HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 2010 AMERICAN MEDICAL ASSOCIATION. ALL RIGHTS HDR RESERVED. APPLICABLE FARS/DFARS APPLY. HDR THE FOLLOWING STATEMENT APPLIES TO ALL DENTAL HDR CODES (HCPCS START WITH LETTER D): COPYRIGHT HDR 2011/12 AMERICAN DENTAL ASSOCIATION. ALL RIGH HDR RESERVED. A0021 Outside state ambulance serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0080 Noninterest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0090 Interest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0100 Nonemergency transport taxi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0110 Nonemergency transport bus I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0120 Noner transport mini-bus I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0130 Noner transport wheelch van I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0140 Nonemergency transport air I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0160 Noner transport case worker I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0170 Transport parking fees/tolls I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0180 Noner transport lodgng recip I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0190 Noner transport meals recip I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0200 Noner transport lodgng escrt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0210 Noner transport meals escort I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0225 Neonatal emergency transport I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0380 Basic life support mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0382 Basic support routine suppls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0384 Bls defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0390 Advanced life support mileag I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0392 Als defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0394 Als IV drug therapy supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0396 Als esophageal intub suppls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0398 Als routine disposble suppls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0420 Ambulance waiting 1/2 hr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0422 Ambulance 02 life sustaining X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0424 Extra ambulance attendant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0425 Ground mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0426 Als 1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0427 ALS1-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0428 bls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0429 BLS-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0430 Fixed wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0431 Rotary wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0432 PI volunteer ambulance co X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0433 als 2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0434 Specialty care transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0435 Fixed wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0436 Rotary wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0888 Noncovered ambulance mileage N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0998 Ambulance response/treatment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A0999 Unlisted ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4206 1 CC sterile syringe&needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4207 2 CC sterile syringe&needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4208 3 CC sterile syringe&needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4209 5+ CC sterile syringe&needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4210 Nonneedle injection device N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4211 Supp for self-adm injections P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4212 Non coring needle or stylet P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4213 20+ CC syringe only X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4215 Sterile needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4216 Sterile water/saline, 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4217 Sterile water/saline, 500 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4218 Sterile saline or water X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4220 Infusion pump refill kit P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4221 Maint drug infus cath per wk X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4222 Infusion supplies with pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4223 Infusion supplies w/o pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4230 Infus insulin pump non needl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4231 Infusion insulin pump needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4232 Syringe w/needle insulin 3cc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4233 Alkalin batt for glucose mon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4234 J-cell batt for glucose mon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4235 Lithium batt for glucose mon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4236 Silvr oxide batt glucose mon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4244 Alcohol or peroxide per pint X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4245 Alcohol wipes per box X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4246 Betadine/phisohex solution X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4247 Betadine/iodine swabs/wipes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4248 Chlorhexidine antisept X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4250 Urine reagent strips/tablets N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4252 Blood ketone test or strip N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4253 Blood glucose/reagent strips P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4255 Glucose monitor platforms X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4256 Calibrator solution/chips P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4257 Replace Lensshield Cartridge X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4258 Lancet device each P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4259 Lancets per box P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4261 Cervical cap contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4262 Temporary tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4263 Permanent tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4264 Intratubal occlusion device I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4266 Diaphragm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4267 Male condom I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4268 Female condom I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4269 Spermicide I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4270 Disposable endoscope sheath B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4280 Brst prsths adhsv attchmnt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4281 Replacement breastpump tube X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4282 Replacement breastpump adpt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4283 Replacement breastpump cap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4284 Replcmnt breast pump shield X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4285 Replcmnt breast pump bottle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4286 Replcmnt breastpump lok ring X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4290 Sacral nerve stim test lead X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4300 Cath impl vasc access portal B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4301 Implantable access syst perc P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4305 Drug delivery system >=50 ML P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4306 Drug delivery system <=50 ml P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4310 Insert tray w/o bag/cath P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4311 Catheter w/o bag 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4312 Cath w/o bag 2-way silicone P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4313 Catheter w/bag 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4314 Cath w/drainage 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4315 Cath w/drainage 2-way silcne P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4316 Cath w/drainage 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4320 Irrigation tray P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4321 Cath therapeutic irrig agent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4322 Irrigation syringe P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4326 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4327 Fem urinary collect dev cup P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4328 Fem urinary collect pouch P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4330 Stool collection pouch P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4331 Extension drainage tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4332 Lube sterile packet X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4333 Urinary cath anchor device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4334 Urinary cath leg strap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4335 Incontinence supply P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4336 Urethral insert X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4338 Indwelling catheter latex P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4340 Indwelling catheter special P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4344 Cath indw foley 2 way silicn P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4346 Cath indw foley 3 way P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4349 Disposable male external cat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4351 Straight tip urine catheter P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4352 Coude tip urinary catheter P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4353 Intermittent urinary cath X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4354 Cath insertion tray w/bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4355 Bladder irrigation tubing P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4356 Ext ureth clmp or compr dvc P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4357 Bedside drainage bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4358 Urinary leg or abdomen bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4360 Disposable ext urethral dev X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4361 Ostomy face plate P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4362 Solid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4363 Ostomy clamp, replacement X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4364 Adhesive, liquid or equal P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4366 Ostomy vent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4367 Ostomy belt P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4368 Ostomy filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4369 Skin barrier liquid per oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4371 Skin barrier powder per oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4372 Skin barrier solid 4x4 equiv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4373 Skin barrier with flange X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4375 Drainable plastic pch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4376 Drainable rubber pch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4377 Drainable plstic pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4378 Drainable rubber pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4379 Urinary plastic pouch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4380 Urinary rubber pouch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4381 Urinary plastic pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4382 Urinary hvy plstc pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4383 Urinary rubber pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4384 Ostomy faceplt/silicone ring X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4385 Ost skn barrier sld ext wear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4387 Ost clsd pouch w att st barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4388 Drainable pch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4389 Drainable pch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4390 Drainable pch ex wear convex X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4391 Urinary pouch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4392 Urinary pouch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4393 Urine pch w ex wear bar conv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4394 Ostomy pouch liq deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4395 Ostomy pouch solid deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4396 Peristomal hernia supprt blt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4397 Irrigation supply sleeve P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4398 Ostomy irrigation bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4399 Ostomy irrig cone/cath w brs P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4400 Ostomy irrigation set P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4402 Lubricant per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4404 Ostomy ring each P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4405 Nonpectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4406 Pectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4407 Ext wear ost skn barr <=4sq" X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4408 Ext wear ost skn barr >4sq" X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4409 Ost skn barr convex <=4 sq i X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4410 Ost skn barr extnd >4 sq X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4411 Ost skn barr extnd =4sq X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4412 Ost pouch drain high output X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4413 2 pc drainable ost pouch X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4414 Ost sknbar w/o conv<=4 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4415 Ost skn barr w/o conv >4 sqi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4416 Ost pch clsd w barrier/filtr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4417 Ost pch w bar/bltinconv/fltr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4418 Ost pch clsd w/o bar w filtr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4419 Ost pch for bar w flange/flt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4420 Ost pch clsd for bar w lk fl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4421 Ostomy supply misc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4422 Ost pouch absorbent material X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4423 Ost pch for bar w lk fl/fltr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4424 Ost pch drain w bar & filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4425 Ost pch drain for barrier fl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4426 Ost pch drain 2 piece system X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4427 Ost pch drain/barr lk flng/f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4428 Urine ost pouch w faucet/tap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4429 Urine ost pouch w bltinconv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4430 Ost urine pch w b/bltin conv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4431 Ost pch urine w barrier/tapv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4432 Os pch urine w bar/fange/tap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4433 Urine ost pch bar w lock fln X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4434 Ost pch urine w lock flng/ft X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4450 Non-waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4452 Waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4455 Adhesive remover per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4456 Adhesive remover, wipes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4458 Reusable enema bag X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4461 Surgicl dress hold non-reuse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4463 Surgical dress holder reuse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4465 Non-elastic extremity binder P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4466 Elastic garment/covering I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4470 Gravlee jet washer P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4480 Vabra aspirator P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4481 Tracheostoma filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4483 Moisture exchanger X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4490 Above knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4495 Thigh length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4500 Below knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4510 Full length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4520 Incontinence garment anytype N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4550 Surgical trays B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4554 Disposable underpads N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4556 Electrodes, pair P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4557 Lead wires, pair P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4558 Conductive gel or paste P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4559 Coupling gel or paste X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4561 Pessary rubber, any type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4562 Pessary, non rubber,any type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4566 Should sling/vest/abrestrain I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4570 Splint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4575 Hyperbaric o2 chamber disps N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4580 Cast supplies (plaster) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4590 Special casting material I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4595 TENS suppl 2 lead per month X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4600 Sleeve, inter limb comp dev X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4601 Lith ion batt, non-pros use X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4604 Tubing with heating element X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4605 Trach suction cath close sys X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4606 Oxygen probe used w oximeter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4608 Transtracheal oxygen cath X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4611 Heavy duty battery X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4612 Battery cables X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4613 Battery charger X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4614 Hand-held PEFR meter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4615 Cannula nasal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4616 Tubing (oxygen) per foot X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4617 Mouth piece X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4618 Breathing circuits X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4619 Face tent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4620 Variable concentration mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4623 Tracheostomy inner cannula X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4624 Tracheal suction tube X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4625 Trach care kit for new trach X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4626 Tracheostomy cleaning brush X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4627 Spacer bag/reservoir N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4628 Oropharyngeal suction cath X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4629 Tracheostomy care kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4630 Repl bat t.e.n.s. own by pt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4633 Uvl replacement bulb X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4634 Replacement bulb th lightbox X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4635 Underarm crutch pad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4636 Handgrip for cane etc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4637 Repl tip cane/crutch/walker X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4638 Repl batt pulse gen sys X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4639 Infrared ht sys replcmnt pad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4640 Alternating pressure pad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4641 Radiopharm dx agent noc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A4642 In111 satumomab C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A4648 Implantable tissue marker X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4649 Surgical supplies P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4650 Implant radiation dosimeter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4651 Calibrated microcap tube X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4652 Microcapillary tube sealant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4653 PD catheter anchor belt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4657 Syringe w/wo needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4660 Sphyg/bp app w cuff and stet X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4663 Dialysis blood pressure cuff X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4670 Automatic bp monitor, dial N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4671 Disposable cycler set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4672 Drainage ext line, dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4673 Ext line w easy lock connect X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4674 Chem/antisept solution, 8oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4680 Activated carbon filter, ea X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4690 Dialyzer, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4706 Bicarbonate conc sol per gal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4707 Bicarbonate conc pow per pac X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4708 Acetate conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4709 Acid conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4714 Treated water per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4719 "Y set" tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4720 Dialysat sol fld vol > 249cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4721 Dialysat sol fld vol > 999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4722 Dialys sol fld vol > 1999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4723 Dialys sol fld vol > 2999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4724 Dialys sol fld vol > 3999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4725 Dialys sol fld vol > 4999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4726 Dialys sol fld vol > 5999cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4728 Dialysate solution, non-dex X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4730 Fistula cannulation set, ea X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4736 Topical anesthetic, per gram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4737 Inj anesthetic per 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4740 Shunt accessory X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4750 Art or venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4755 Comb art/venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4760 Dialysate sol test kit, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4765 Dialysate conc pow per pack X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4766 Dialysate conc sol add 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4770 Blood collection tube/vacuum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4771 Serum clotting time tube X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4772 Blood glucose test strips X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4773 Occult blood test strips X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4774 Ammonia test strips X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4802 Protamine sulfate per 50 mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4860 Disposable catheter tips X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4870 Plumb/elec wk hm hemo equip X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4890 Repair/maint cont hemo equip R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A4911 Drain bag/bottle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4913 Misc dialysis supplies noc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4918 Venous pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4927 Non-sterile gloves X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4928 Surgical mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4929 Tourniquet for dialysis, ea X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4930 Sterile, gloves per pair X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4931 Reusable oral thermometer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A4932 Reusable rectal thermometer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5051 Pouch clsd w barr attached P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5052 Clsd ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5053 Clsd ostomy pouch faceplate P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5054 Clsd ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5055 Stoma cap P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5061 Pouch drainable w barrier at P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5062 Drnble ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5063 Drain ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5071 Urinary pouch w/barrier P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5072 Urinary pouch w/o barrier P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5073 Urinary pouch on barr w/flng P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5081 Continent stoma plug P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5082 Continent stoma catheter P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5083 Stoma absorptive cover X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5093 Ostomy accessory convex inse P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5102 Bedside drain btl w/wo tube P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5105 Urinary suspensory P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5112 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5113 Latex leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5114 Foam/fabric leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5120 Skin barrier, wipe or swab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5121 Solid skin barrier 6x6 P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5122 Solid skin barrier 8x8 P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5126 Disk/foam pad +or- adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5131 Appliance cleaner P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5200 Percutaneous catheter anchor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5500 Diab shoe for density insert X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5501 Diabetic custom molded shoe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5503 Diabetic shoe w/roller/rockr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5504 Diabetic shoe with wedge X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5505 Diab shoe w/metatarsal bar X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5506 Diabetic shoe w/off set heel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5507 Modification diabetic shoe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5508 Diabetic deluxe shoe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5510 Compression form shoe insert X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5512 Multi den insert direct form X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A5513 Multi den insert custom mold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6000 Wound warming wound cover N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6010 Collagen based wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6011 Collagen gel/paste wound fil X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6021 Collagen dressing <=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6022 Collagen drsg>16<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6023 Collagen dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6024 Collagen dsg wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6025 Silicone gel sheet, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6154 Wound pouch each P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6196 Alginate dressing <=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6197 Alginate drsg >16 <=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6198 alginate dressing > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6199 Alginate drsg wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6203 Composite drsg <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6204 Composite drsg >16<=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6205 Composite drsg > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6206 Contact layer <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6207 Contact layer >16<= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6208 Contact layer > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6209 Foam drsg <=16 sq in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6210 Foam drg >16<=48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6211 Foam drg > 48 sq in w/o brdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6212 Foam drg <=16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6213 Foam drg >16<=48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6214 Foam drg > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6215 Foam dressing wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6216 Non-sterile gauze<=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6217 Non-sterile gauze>16<=48 sq P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6218 Non-sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6219 Gauze <= 16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6220 Gauze >16 <=48 sq in w/bordr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6221 Gauze > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6222 Gauze <=16 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6223 Gauze >16<=48 no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6224 Gauze > 48 in no w/sal w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6228 Gauze <= 16 sq in water/sal P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6229 Gauze >16<=48 sq in watr/sal P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6230 Gauze > 48 sq in water/salne P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6231 Hydrogel dsg<=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6232 Hydrogel dsg>16<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6233 Hydrogel dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6234 Hydrocolld drg <=16 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6235 Hydrocolld drg >16<=48 w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6236 Hydrocolld drg > 48 in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6237 Hydrocolld drg <=16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6238 Hydrocolld drg >16<=48 w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6239 Hydrocolld drg > 48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6240 Hydrocolld drg filler paste P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6241 Hydrocolloid drg filler dry P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6242 Hydrogel drg <=16 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6243 Hydrogel drg >16<=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6244 Hydrogel drg >48 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6245 Hydrogel drg <= 16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6246 Hydrogel drg >16<=48 in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6247 Hydrogel drg > 48 sq in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6248 Hydrogel drsg gel filler P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6250 Skin seal protect moisturizr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6251 Absorpt drg <=16 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6252 Absorpt drg >16 <=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6253 Absorpt drg > 48 sq in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6254 Absorpt drg <=16 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6255 Absorpt drg >16<=48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6256 Absorpt drg > 48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6257 Transparent film <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6258 Transparent film >16<=48 in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6259 Transparent film > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6260 Wound cleanser any type/size P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6261 Wound filler gel/paste /oz P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6262 Wound filler dry form / gram P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6266 Impreg gauze no h20/sal/yard P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6402 Sterile gauze <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6403 Sterile gauze>16 <= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6404 Sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6407 Packing strips, non-impreg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6410 Sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6411 Non-sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6412 Occlusive eye patch X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6413 Adhesive bandage, first-aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6441 Pad band w>=3" <5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6442 Conform band n/s w<3"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6443 Conform band n/s w>=3"<5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6444 Conform band n/s w>=5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6445 Conform band s w <3"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6446 Conform band s w>=3" <5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6447 Conform band s w >=5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6448 Lt compres band <3"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6449 Lt compres band >=3" <5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6450 Lt compres band >=5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6451 Mod compres band w>=3"<5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6452 High compres band w>=3"<5"yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6453 Self-adher band w <3"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6454 Self-adher band w>=3" <5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6455 Self-adher band >=5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6456 Zinc paste band w >=3"<5"/yd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6457 Tubular dressing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6501 Compres burngarment bodysuit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6502 Compres burngarment chinstrp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6503 Compres burngarment facehood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6504 Cmprsburngarment glove-wrist X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6505 Cmprsburngarment glove-elbow X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6506 Cmprsburngrmnt glove-axilla X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6507 Cmprs burngarment foot-knee X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6508 Cmprs burngarment foot-thigh X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6509 Compres burn garment jacket X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6510 Compres burn garment leotard X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6511 Compres burn garment panty X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6512 Compres burn garment, noc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6513 Compress burn mask face/neck X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6530 Compression stocking BK18-30 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6531 Compression stocking BK30-40 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6532 Compression stocking BK40-50 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6533 Gc stocking thighlngth 18-30 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6534 Gc stocking thighlngth 30-40 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6535 Gc stocking thighlngth 40-50 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6536 Gc stocking full lngth 18-30 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6537 Gc stocking full lngth 30-40 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6538 Gc stocking full lngth 40-50 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6539 Gc stocking waistlngth 18-30 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6540 Gc stocking waistlngth 30-40 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6541 Gc stocking waistlngth 40-50 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6544 Gc stocking garter belt N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6545 Grad comp non-elastic BK X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6549 G compression stocking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A6550 Neg pres wound ther drsg set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7000 Disposable canister for pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7001 Nondisposable pump canister X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7002 Tubing used w suction pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7003 Nebulizer administration set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7004 Disposable nebulizer sml vol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7005 Nondisposable nebulizer set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7006 Filtered nebulizer admin set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7007 Lg vol nebulizer disposable X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7008 Disposable nebulizer prefill X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7009 Nebulizer reservoir bottle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7010 Disposable corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7011 Nondispos corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7012 Nebulizer water collec devic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7013 Disposable compressor filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7014 Compressor nondispos filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7015 Aerosol mask used w nebulize X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7016 Nebulizer dome & mouthpiece X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7017 Nebulizer not used w oxygen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7018 Water distilled w/nebulizer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7020 Interface, cough stim device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7025 Replace chest compress vest X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7026 Replace chst cmprss sys hose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7027 Combination oral/nasal mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7028 Repl oral cushion combo mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7029 Repl nasal pillow comb mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7030 CPAP full face mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7031 Replacement facemask interfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7032 Replacement nasal cushion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7033 Replacement nasal pillows X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7034 Nasal application device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7035 Pos airway press headgear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7036 Pos airway press chinstrap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7037 Pos airway pressure tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7038 Pos airway pressure filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7039 Filter, non disposable w pap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7040 One way chest drain valve X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7041 Water seal drain container X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7042 Implanted pleural catheter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7043 Vacuum drainagebottle/tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7044 PAP oral interface X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7045 Repl exhalation port for PAP X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7046 Repl water chamber, PAP dev X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7501 Tracheostoma valve w diaphra X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7502 Replacement diaphragm/fplate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7503 HMES filter holder or cap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7504 Tracheostoma HMES filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7505 HMES or trach valve housing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7506 HMES/trachvalve adhesivedisk X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7507 Integrated filter & holder X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7508 Housing & Integrated Adhesiv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7509 Heat & moisture exchange sys X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7520 Trach/laryn tube non-cuffed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7521 Trach/laryn tube cuffed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7522 Trach/laryn tube stainless X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7523 Tracheostomy shower protect X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7524 Tracheostoma stent/stud/bttn X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7525 Tracheostomy mask X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7526 Tracheostomy tube collar X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A7527 Trach/laryn tube plug/stop X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A8000 Soft protect helmet prefab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A8001 Hard protect helmet prefab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A8002 Soft protect helmet custom X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A8003 Hard protect helmet custom X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A8004 Repl soft interface, helmet X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9150 Misc/exper non-prescript dru E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9152 Single vitamin nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9153 Multi-vitamin nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9155 Artificial saliva X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9180 Lice treatment, topical I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9270 Non-covered item or service N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9273 Hot/cold h2obot/cap/col/wrap N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9274 Ext amb insulin delivery sys I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9275 Disp home glucose monitor N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9276 Disposable sensor, CGM sys N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9277 External transmitter, CGM N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9278 External receiver, CGM sys N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9279 Monitoring feature/deviceNOC I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9280 Alert device, noc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9281 Reaching/grabbing device N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9282 Wig any type N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9283 Foot press off load supp dev N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9284 Non-electronic spirometer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9300 Exercise equipment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9500 Tc99m sestamibi C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9501 Technetium TC-99m teboroxime C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9502 Tc99m tetrofosmin C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9503 Tc99m medronate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9504 Tc99m apcitide C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9505 TL201 thallium C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9507 In111 capromab C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9508 I131 iodobenguate, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9509 Iodine I-123 sod iodide mil C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9510 Tc99m disofenin C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9512 Tc99m pertechnetate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9516 Iodine I-123 sod iodide mic C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9517 I131 iodide cap, rx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9521 Tc99m exametazime C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9524 I131 serum albumin, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9526 Nitrogen N-13 ammonia C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9527 Iodine I-125 sodium iodide C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9528 Iodine I-131 iodide cap, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9529 I131 iodide sol, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9530 I131 iodide sol, rx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9531 I131 max 100uCi C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9532 I125 serum albumin, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9536 Tc99m depreotide C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9537 Tc99m mebrofenin C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9538 Tc99m pyrophosphate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9539 Tc99m pentetate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9540 Tc99m MAA C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9541 Tc99m sulfur colloid C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9542 In111 ibritumomab, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9543 Y90 ibritumomab, rx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9544 I131 tositumomab, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9545 I131 tositumomab, rx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9546 Co57/58 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9547 In111 oxyquinoline C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9548 In111 pentetate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9550 Tc99m gluceptate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9551 Tc99m succimer C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9552 F18 fdg C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9553 Cr51 chromate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9554 I125 iothalamate, dx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9555 Rb82 rubidium C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9556 Ga67 gallium C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9557 Tc99m bicisate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9558 Xe133 xenon 10mci C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9559 Co57 cyano C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9560 Tc99m labeled rbc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9561 Tc99m oxidronate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9562 Tc99m mertiatide C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9563 P32 Na phosphate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9564 P32 chromic phosphate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9566 Tc99m fanolesomab C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9567 Technetium TC-99m aerosol C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9568 Technetium tc99m arcitumomab C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9569 Technetium TC-99m auto WBC C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9570 Indium In-111 auto WBC C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9571 Indium IN-111 auto platelet C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9572 Indium In-111 pentetreotide C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9576 Inj prohance multipack X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9577 Inj multihance X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9578 Inj multihance multipack X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9579 Gad-base MR contrast NOS,1ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9580 Sodium fluoride F-18 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9581 Gadoxetate disodium inj X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9582 Iodine I-123 iobenguane X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9583 Gadofosveset trisodium inj X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9600 Sr89 strontium C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9604 Sm 153 lexidronam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9698 Non-rad contrast materialNOC X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9699 Radiopharm rx agent noc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 A9700 Echocardiography Contrast E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9900 Supply/accessory/service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9901 Delivery/set up/dispensing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 A9999 DME supply or accessory, nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0120 Periodic oral evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0140 Limit oral eval problm focus N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0145 Oral evaluation, pt < 3yrs N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0150 Comprehensve oral evaluation R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0160 Extensv oral eval prob focus N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0170 Re-eval,est pt,problem focus N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0180 Comp periodontal evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0210 Intraor complete film series I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0220 Intraoral periapical first f I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0230 Intraoral periapical ea add I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0240 Intraoral occlusal film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0250 Extraoral first film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0260 Extraoral ea additional film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0270 Dental bitewing single film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0272 Dental bitewings two films R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0273 Bitewings - three films N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0274 Dental bitewings four films R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0277 Vert bitewings-sev to eight R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0290 Dental film skull/facial bon I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0310 Dental saliography I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0320 Dental tmj arthrogram incl i I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0321 Dental other tmj films I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0322 Dental tomographic survey I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0330 Dental panoramic film I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0340 Dental cephalometric film I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0350 Oral/facial photo images I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0360 Cone beam ct N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0362 Cone beam, two dimensional N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0363 Cone beam, three dimensional N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0415 Collection of microorganisms N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0416 Viral culture R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0417 Collect & prep saliva sample N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0418 Analysis of saliva sample N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0421 Gen tst suscept oral disease R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0425 Caries susceptibility test N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0431 Diag tst detect mucos abnorm R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0460 Pulp vitality test R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0470 Diagnostic casts N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0472 Gross exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0473 Micro exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0474 Micro w exam of surg margins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0475 Decalcification procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0476 Spec stains for microorganis R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0477 Spec stains not for microorg R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0478 Immunohistochemical stains R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0479 Tissue in-situ hybridization R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0480 Cytopath smear prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0481 Electron microscopy diagnost R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0482 Direct immunofluorescence R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0483 Indirect immunofluorescence R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0484 Consult slides prep elsewher R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0485 Consult inc prep of slides R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0486 Access of transep cytol samp N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D0502 Other oral pathology procedu R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D0999 Unspecified diagnostic proce R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1110 Dental prophylaxis adult N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1120 Dental prophylaxis child N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1203 Topical app fluoride child N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1204 Topical app fluoride adult N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1206 Topical fluoride varnish N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1310 Nutri counsel-control caries N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1320 Tobacco counseling N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1330 Oral hygiene instruction N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1351 Dental sealant per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1352 Prev resin rest, perm tooth I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D1510 Space maintainer fxd unilat R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1515 Fixed bilat space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1520 Remove unilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1525 Remove bilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1550 Recement space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D1555 Remove fix space maintainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2140 Amalgam one surface permanen N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2150 Amalgam two surfaces permane N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2160 Amalgam three surfaces perma N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2161 Amalgam 4 or > surfaces perm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2330 Resin one surface-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2331 Resin two surfaces-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2332 Resin three surfaces-anterio N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2335 Resin 4/> surf or w incis an N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2390 Ant resin-based cmpst crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2391 Post 1 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2392 Post 2 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2393 Post 3 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2394 Post >=4srfc resinbase cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2410 Dental gold foil one surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2420 Dental gold foil two surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2430 Dental gold foil three surfa N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2510 Dental inlay metalic 1 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2520 Dental inlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2530 Dental inlay metl 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2542 Dental onlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2543 Dental onlay metallic 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2544 Dental onlay metl 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2610 Inlay porcelain/ceramic 1 su N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2620 Inlay porcelain/ceramic 2 su N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2630 Dental onlay porc 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2642 Dental onlay porcelin 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2643 Dental onlay porcelin 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2644 Dental onlay porc 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2650 Inlay composite/resin one su N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2651 Inlay composite/resin two su N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2652 Dental inlay resin 3/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2662 Dental onlay resin 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2663 Dental onlay resin 3 surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2664 Dental onlay resin 4/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2710 Crown resin-based indirect N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2712 Crown 3/4 resin-based compos N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2720 Crown resin w/ high noble me N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2721 Crown resin w/ base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2722 Crown resin w/ noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2740 Crown porcelain/ceramic subs N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2750 Crown porcelain w/ h noble m N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2751 Crown porcelain fused base m N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2752 Crown porcelain w/ noble met N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2780 Crown 3/4 cast hi noble met N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2781 Crown 3/4 cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2790 Crown full cast high noble m N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2791 Crown full cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2792 Crown full cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2794 Crown-titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2799 Provisional crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2910 Recement inlay onlay or part N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2915 Recement cast or prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2920 Dental recement crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2930 Prefab stnlss steel crwn pri N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2931 Prefab stnlss steel crown pe N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2932 Prefabricated resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2933 Prefab stainless steel crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2934 Prefab steel crown primary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2940 Protective restoration N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2950 Core build-up incl any pins N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2951 Tooth pin retention N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2952 Post and core cast + crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2953 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2954 Prefab post/core + crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2955 Post removal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2957 Each addtnl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2960 Laminate labial veneer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2961 Lab labial veneer resin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2962 Lab labial veneer porcelain N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2970 Temp crown (fractured tooth) R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2971 Add proc construct new crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2975 Coping N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2980 Crown repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D2999 Dental unspec restorative pr R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D3110 Pulp cap direct N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3120 Pulp cap indirect N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3220 Therapeutic pulpotomy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3221 Gross pulpal debridement N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3222 Part pulp for apexogenesis N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3230 Pulpal therapy anterior prim N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3240 Pulpal therapy posterior pri N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3310 End thxpy, anterior tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3320 End thxpy, bicuspid tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3330 End thxpy, molar N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3331 Non-surg tx root canal obs N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3332 Incomplete endodontic tx N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3333 Internal root repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3346 Retreat root canal anterior N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3347 Retreat root canal bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3348 Retreat root canal molar N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3351 Apexification/recalc initial N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3352 Apexification/recalc interim N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3353 Apexification/recalc final N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3354 Pulpal regeneration I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3410 Apicoect/perirad surg anter N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3421 Root surgery bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3425 Root surgery molar N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3426 Root surgery ea add root N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3430 Retrograde filling N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3450 Root amputation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3460 Endodontic endosseous implan R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D3470 Intentional replantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3910 Isolation- tooth w rubb dam N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3920 Tooth splitting N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3950 Canal prep/fitting of dowel N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D3999 Endodontic procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4210 Gingivectomy/plasty per quad I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4211 Gingivectomy/plasty per toot I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4230 Ana crown exp 4 or> per quad N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4231 Ana crown exp 1-3 per quad N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4240 Gingival flap proc w/ planin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4241 Gngvl flap w rootplan 1-3 th N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4245 Apically positioned flap N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4249 Crown lengthen hard tissue N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4260 Osseous surgery per quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4261 Osseous surgl-3teethperquad N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4263 Bone replce graft first site R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4264 Bone replce graft each add R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4265 Bio mtrls to aid soft/os reg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4266 Guided tiss regen resorble N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4267 Guided tiss regen nonresorb N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4268 Surgical revision procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4270 Pedicle soft tissue graft pr R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4271 Free soft tissue graft proc R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4273 Subepithelial tissue graft R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4274 Distal/proximal wedge proc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4275 Soft tissue allograft N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4276 Con tissue w dble ped graft N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4320 Provision splnt intracoronal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4321 Provisional splint extracoro N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4341 Periodontal scaling & root N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4342 Periodontal scaling 1-3teeth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4355 Full mouth debridement R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4381 Localized delivery antimicro R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D4910 Periodontal maint procedures N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4920 Unscheduled dressing change N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D4999 Unspecified periodontal proc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5110 Dentures complete maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5120 Dentures complete mandible N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5130 Dentures immediat maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5140 Dentures immediat mandible N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5211 Dentures maxill part resin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5212 Dentures mand part resin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5213 Dentures maxill part metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5214 Dentures mandibl part metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5225 Maxillary part denture flex N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5226 Mandibular part denture flex N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5281 Removable partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5410 Dentures adjust cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5411 Dentures adjust cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5421 Dentures adjust part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5422 Dentures adjust part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5510 Dentur repr broken compl bas N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5520 Replace denture teeth complt N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5610 Dentures repair resin base N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5620 Rep part denture cast frame N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5630 Rep partial denture clasp N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5640 Replace part denture teeth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5650 Add tooth to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5660 Add clasp to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5670 Replc tth&acrlc on mtl frmwk N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5671 Replc tth&acrlc mandibular N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5710 Dentures rebase cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5711 Dentures rebase cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5720 Dentures rebase part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5721 Dentures rebase part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5730 Denture reln cmplt maxil ch N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5731 Denture reln cmplt mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5740 Denture reln part maxil chr N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5741 Denture reln part mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5750 Denture reln cmplt max lab N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5751 Denture reln cmplt mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5760 Denture reln part maxil lab N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5761 Denture reln part mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5810 Denture interm cmplt maxill N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5811 Denture interm cmplt mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5820 Denture interm part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5821 Denture interm part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5850 Denture tiss conditn maxill N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5851 Denture tiss condtin mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5860 Overdenture complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5861 Overdenture partial N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5862 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5867 Replacement of precision att N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5875 Prosthesis modification N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5899 Removable prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5911 Facial moulage sectional R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5912 Facial moulage complete R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5913 Nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5914 Auricular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5915 Orbital prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5916 Ocular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5919 Facial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5922 Nasal septal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5923 Ocular prosthesis interim I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5924 Cranial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5925 Facial augmentation implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5926 Replacement nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5927 Auricular replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5928 Orbital replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5929 Facial replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5931 Surgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5932 Postsurgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5933 Refitting of obturator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5934 Mandibular flange prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5935 Mandibular denture prosth I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5936 Temp obturator prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5937 Trismus appliance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5951 Feeding aid R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5952 Pediatric speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5953 Adult speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5954 Superimposed prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5955 Palatal lift prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5958 Intraoral con def inter plt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5959 Intraoral con def mod palat I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5960 Modify speech aid prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5982 Surgical stent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5983 Radiation applicator R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5984 Radiation shield R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5985 Radiation cone locator R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5986 Fluoride applicator N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5987 Commissure splint R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D5988 Surgical splint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5991 Topical medicament carrier N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5992 Adjust max prost appliance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5993 Main/clean max prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D5999 Maxillofacial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6010 Odontics endosteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6012 Endosteal implant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6040 Odontics eposteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6050 Odontics transosteal implnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6053 Implnt/abtmnt spprt remv dnt N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6054 Implnt/abtmnt spprt remvprtl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6055 Implant connecting bar I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6056 Prefabricated abutment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6057 Custom abutment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6058 Abutment supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6059 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6060 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6061 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6062 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6063 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6064 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6065 Implant supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6066 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6067 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6068 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6069 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6070 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6071 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6072 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6073 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6074 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6075 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6076 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6077 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6078 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6079 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6080 Implant maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6090 Repair implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6091 Repl semi/precision attach N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6092 Recement supp crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6093 Recement supp part denture N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6094 Abut support crown titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6095 Odontics repr abutment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6100 Removal of implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6190 Radio/surgical implant index N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6194 Abut support retainer titani N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6199 Implant procedure I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6205 Pontic-indirect resin based N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6210 Prosthodont high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6211 Bridge base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6212 Bridge noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6214 Pontic titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6240 Bridge porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6241 Bridge porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6242 Bridge porcelain nobel metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6245 Bridge porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6250 Bridge resin w/high noble N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6251 Bridge resin base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6252 Bridge resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6253 Provisional pontic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6254 Interim pontic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6545 Dental retainr cast metl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6548 Porcelain/ceramic retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6600 Porcelain/ceramic inlay 2srf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6601 Porc/ceram inlay >= 3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6602 Cst hgh nble mtl inlay 2 srf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6603 Cst hgh nble mtl inlay >=3sr N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6604 Cst bse mtl inlay 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6605 Cst bse mtl inlay >= 3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6606 Cast noble metal inlay 2 sur N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6607 Cst noble mtl inlay >=3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6608 Onlay porc/crmc 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6609 Onlay porc/crmc >=3 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6610 Onlay cst hgh nbl mtl 2 srfc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6611 Onlay cst hgh nbl mtl >=3srf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6612 Onlay cst base mtl 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6613 Onlay cst base mtl >=3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6614 Onlay cst nbl mtl 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6615 Onlay cst nbl mtl >=3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6624 Inlay titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6634 Onlay titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6710 Crown-indirect resin based N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6720 Retain crown resin w hi nble N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6721 Crown resin w/base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6722 Crown resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6740 Crown porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6750 Crown porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6751 Crown porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6752 Crown porcelain noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6780 Crown 3/4 high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6781 Crown 3/4 cast based metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6790 Crown full high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6791 Crown full base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6792 Crown full noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6793 Provisional retainer crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6794 Crown titanium N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6795 Interim retainer crown I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6920 Dental connector bar R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D6930 Dental recement bridge N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6940 Stress breaker N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6950 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6970 Post & core plus retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6972 Prefab post & core plus reta N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6973 Core build up for retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6975 Coping metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6976 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6977 Each addtl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6980 Bridge repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6985 Pediatric partial denture fx N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D6999 Fixed prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7111 Extraction coronal remnants R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7140 Extraction erupted tooth/exr R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7210 Rem imp tooth w mucoper flp R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7220 Impact tooth remov soft tiss R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7230 Impact tooth remov part bony R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7240 Impact tooth remov comp bony R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7241 Impact tooth rem bony w/comp R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7250 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7251 Coronectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7260 Oral antral fistula closure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7261 Primary closure sinus perf R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7270 Tooth reimplantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7272 Tooth transplantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7280 Exposure impact tooth orthod N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7282 Mobilize erupted/malpos toot N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7283 Place device impacted tooth R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7285 Biopsy of oral tissue hard I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7286 Biopsy of oral tissue soft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7287 Exfoliative cytolog collect I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7288 Brush biopsy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7290 Repositioning of teeth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7291 Transseptal fiberotomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7292 Screw retained plate N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7293 Temp anchorage dev w flap N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7294 Temp anchorage dev w/o flap N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7295 Bone harvest,auto graft proc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7310 Alveoplasty w/ extraction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7311 Alveoloplasty w/extract 1-3 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7320 Alveoplasty w/o extraction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7321 Alveoloplasty not w/extracts R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7340 Vestibuloplasty ridge extens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7350 Vestibuloplasty exten graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7410 Rad exc lesion up to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7411 Excision benign lesion>1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7412 Excision benign lesion compl I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7413 Excision malig lesion<=1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7414 Excision malig lesion>1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7415 Excision malig les complicat I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7440 Malig tumor exc to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7441 Malig tumor > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7450 Rem odontogen cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7451 Rem odontogen cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7460 Rem nonodonto cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7461 Rem nonodonto cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7465 Lesion destruction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7471 Rem exostosis any site I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7472 Removal of torus palatinus I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7473 Remove torus mandibularis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7485 Surg reduct osseoustuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7490 Maxilla or mandible resectio I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7510 I&d absc intraoral soft tiss I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7511 Incision/drain abscess intra R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7520 I&d abscess extraoral I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7521 Incision/drain abscess extra R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7530 Removal fb skin/areolar tiss I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7540 Removal of fb reaction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7550 Removal of sloughed off bone I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7560 Maxillary sinusotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7610 Maxilla open reduct simple I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7620 Clsd reduct simpl maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7630 Open red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7640 Clsd red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7650 Open red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7660 Clsd red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7670 Closd rductn splint alveolus I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7671 Alveolus open reduction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7680 Reduct simple facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7710 Maxilla open reduct compound I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7720 Clsd reduct compd maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7730 Open reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7740 Clsd reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7750 Open red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7760 Clsd red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7770 Open reduc compd alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7771 Alveolus clsd reduc stblz te I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7780 Reduct compnd facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7810 Tmj open reduct-dislocation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7820 Closed tmp manipulation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7830 Tmj manipulation under anest I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7840 Removal of tmj condyle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7850 Tmj meniscectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7852 Tmj repair of joint disc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7854 Tmj excisn of joint membrane I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7856 Tmj cutting of a muscle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7858 Tmj reconstruction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7860 Tmj cutting into joint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7865 Tmj reshaping components I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7870 Tmj aspiration joint fluid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7871 Lysis + lavage w catheters N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7872 Tmj diagnostic arthroscopy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7873 Tmj arthroscopy lysis adhesn I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7874 Tmj arthroscopy disc reposit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7875 Tmj arthroscopy synovectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7876 Tmj arthroscopy discectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7877 Tmj arthroscopy debridement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7880 Occlusal orthotic appliance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7899 Tmj unspecified therapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7910 Dent sutur recent wnd to 5cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7911 Dental suture wound to 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7912 Suture complicate wnd > 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7920 Dental skin graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7940 Reshaping bone orthognathic R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D7941 Bone cutting ramus closed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7943 Cutting ramus open w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7944 Bone cutting segmented I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7945 Bone cutting body mandible I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7946 Reconstruction maxilla total I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7947 Reconstruct maxilla segment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7948 Reconstruct midface no graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7949 Reconstruct midface w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7950 Mandible graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7951 Sinus aug w bone/bone sup N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7953 Bone replacement graft N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7955 Repair maxillofacial defects I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7960 Frenulectomy/frenectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7963 Frenuloplasty N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7970 Excision hyperplastic tissue I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7971 Excision pericoronal gingiva I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7972 Surg redct fibrous tuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7981 Excision of salivary gland I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7983 Closure of salivary fistula I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7990 Emergency tracheotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7991 Dental coronoidectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7995 Synthetic graft facial bones I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7996 Implant mandible for augment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7997 Appliance removal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7998 Intraoral place of fix dev N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D7999 Oral surgery procedure I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8010 Limited dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8020 Limited dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8030 Limited dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8040 Limited dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8050 Intercep dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8060 Intercep dental tx transitn N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8070 Compre dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8080 Compre dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8090 Compre dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8210 Orthodontic rem appliance tx N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8220 Fixed appliance therapy habt N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8660 Preorthodontic tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8670 Periodic orthodontc tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8680 Orthodontic retention N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8690 Orthodontic treatment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8691 Repair ortho appliance N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8692 Replacement retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8693 Rebond/cement/repair retain N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D8999 Orthodontic procedure N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9110 Tx dental pain minor proc R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9120 Fix partial denture section N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9210 Dent anesthesia w/o surgery I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9211 Regional block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9212 Trigeminal block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9215 Local anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9220 General anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9221 General anesthesia ea ad 15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9241 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9242 IV sedation ea ad 30 m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9248 Sedation (non-iv) R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9310 Dental consultation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9410 Dental house call I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9420 Hospital/ASC call I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9430 Office visit during hours I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9440 Office visit after hours I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9450 Case presentation tx plan I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9610 Dent therapeutic drug inject I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9612 Thera par drugs 2 or > admin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9630 Other drugs/medicaments R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9910 Dent appl desensitizing med N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9911 Appl desensitizing resin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9920 Behavior management N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9930 Treatment of complications R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9940 Dental occlusal guard R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9941 Fabrication athletic guard N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9942 Repair/reline occlusal guard N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9950 Occlusion analysis R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9951 Limited occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9952 Complete occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 D9970 Enamel microabrasion N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9971 Odontoplasty 1-2 teeth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9972 Extrnl bleaching per arch N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9973 Extrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9974 Intrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 D9999 Adjunctive procedure I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0008 Admin influenza virus vac X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0009 Admin pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0010 Admin hepatitis b vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0027 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0101 CA screen;pelvic/breast exam A 0.45 0.60 0.61 0.32 0.32 0.03 1.08 1.09 0.80 0.80 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0102 Prostate ca screening; dre A 0.17 0.39 0.37 0.08 0.08 0.01 0.57 0.55 0.26 0.26 0XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0103 PSA screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0104 CA screen;flexi sigmoidscope A 0.96 2.95 2.92 0.76 0.79 0.14 4.05 4.02 1.86 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G0105 Colorectal scrn; hi risk ind A 3.69 7.37 7.12 2.22 2.26 0.59 11.65 11.40 6.50 6.54 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G010553Colorectal scrn; hi risk ind A 0.96 2.95 2.92 0.76 0.79 0.14 4.05 4.02 1.86 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G0106 Colon CA screen;barium enema A 0.99 5.23 5.15 5.23NA 5.15 NA 0.04 6.26 6.18 6.26 6.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0106TCColon CA screen;barium enema A 0.00 4.82 4.78 4.82NA 4.78 NA 0.01 4.83 4.79 4.83 4.79 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 G010626Colon CA screen;barium enema A 0.99 0.41 0.37 0.41 0.37 0.03 1.43 1.39 1.43 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0108 Diab manage trn per indiv A 0.90 0.66 0.55 0.66NA 0.55 NA 0.05 1.61 1.50 1.61 1.50 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0109 Diab manage trn ind/group A 0.25 0.29 0.15 0.29NA 0.15 NA 0.01 0.55 0.41 0.55 0.41 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0117 Glaucoma scrn hgh risk direc T 0.45 0.97 1.02 0.97NA 1.02 NA 0.03 1.45 1.50 1.45 1.50 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0118 Glaucoma scrn hgh risk direc T 0.17 0.82 0.86 0.82NA 0.86 NA 0.01 1.00 1.04 1.00 1.04 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0120 Colon ca scrn; barium enema A 0.99 5.23 5.15 5.23NA 5.15 NA 0.04 6.26 6.18 6.26 6.18 1XXX.00.00.0000000 33.9764 090 99 2.92 2.92 0.04 G0120TCColon ca scrn; barium enema A 0.00 4.82 4.78 4.82NA 4.78 NA 0.01 4.83 4.79 4.83 4.79 1XXX.00.00.0000000 33.9764 090 99 2.51 2.51 0.01 G012026Colon ca scrn; barium enema A 0.99 0.41 0.37 0.41 0.37 0.03 1.43 1.39 1.43 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0121 Colon ca scrn not hi rsk ind A 3.69 7.37 7.12 2.22 2.26 0.59 11.65 11.40 6.50 6.54 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G012153Colon ca scrn not hi rsk ind A 0.96 2.95 2.92 0.76 0.79 0.14 4.05 4.02 1.86 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G0122 Colon ca scrn; barium enema N+ 0.99 6.87 7.14 6.87NA 7.14 NA 0.05 7.91 8.18 7.91 8.18 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0122TCColon ca scrn; barium enema N+ 0.00 6.44 6.71 6.44NA 6.71 NA 0.01 6.45 6.72 6.45 6.72 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G012226Colon ca scrn; barium enema N+ 0.99 0.43 0.43 0.43 0.43 0.04 1.46 1.46 1.46 1.46 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0123 Screen cerv/vag thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0124 Screen c/v thin layer by MD A 0.42 0.40 0.42 0.40 0.42 0.03 0.85 0.87 0.85 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0127 Trim nail(s) R 0.17 0.45 0.47 0.06 0.05 0.01 0.63 0.65 0.24 0.23 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G0128 CORF skilled nursing service R 0.08 0.19 0.20 0.19NA 0.20 NA 0.01 0.28 0.29 0.28 0.29 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0130 Single energy x-ray study A 0.22 0.74 0.72 0.74NA 0.72 NA 0.02 0.98 0.96 0.98 0.96 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.03 G0130TCSingle energy x-ray study A 0.00 0.65 0.62 0.65NA 0.62 NA 0.01 0.66 0.63 0.66 0.63 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 G013026Single energy x-ray study A 0.22 0.09 0.10 0.09 0.10 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0141 Scr c/v cyto,autosys and md A 0.42 0.40 0.42 0.40 0.42 0.03 0.85 0.87 0.85 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0143 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0144 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0145 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0147 Scr c/v cyto, automated sys X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0148 Scr c/v cyto, autosys, rescr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0157 HHC PT assistant ea 15 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0158 HHC OT assistant ea 15 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0159 HHC PT maint ea 15 min E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0160 HHC Occup Therapy ea 15 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0161 HHC SLP ea 15 min E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0162 HHC RN E&M plan svs, 15 min E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0163 HHC LPN/RN obs/asses ea 15 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0164 HHC lis nurse train ea 15 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0166 Extrnl counterpulse, per tx A 0.07 4.41 3.85 4.41NA 3.85 NA 0.03 4.51 3.95 4.51 3.95 0XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0168 Wound closure by adhesive A 0.45 2.06 2.13 0.28 0.30 0.03 2.54 2.61 0.76 0.78 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 G0173 Linear acc stereo radsur com X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0175 OPPS Service,sched team conf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0176 OPPS/PHP;activity therapy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0177 OPPS/PHP; train & educ serv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0179 MD recertification HHA PT A 0.45 0.71 0.68 0.71NA 0.68 NA 0.03 1.19 1.16 1.19 1.16 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0180 MD certification HHA patient A 0.67 0.85 0.80 0.85NA 0.80 NA 0.04 1.56 1.51 1.56 1.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0181 Home health care supervision A 1.73 1.24 1.27 1.24NA 1.27 NA 0.10 3.07 3.10 3.07 3.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0182 Hospice care supervision A 1.73 1.28 1.28 1.28NA 1.28 NA 0.10 3.11 3.11 3.11 3.11 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0186 Dstry eye lesn,fdr vssl tech C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 G0202 Screeningmammographydigital A 0.70 3.38 3.33 3.38NA 3.33 NA 0.05 4.13 4.08 4.13 4.08 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G0202TCScreeningmammographydigital A 0.00 3.09 3.05 3.09NA 3.05 NA 0.01 3.10 3.06 3.10 3.06 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G020226Screeningmammographydigital A 0.70 0.29 0.28 0.29 0.28 0.04 1.03 1.02 1.03 1.02 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G0204 Diagnosticmammographydigital A 0.87 4.01 4.04 4.01NA 4.04 NA 0.06 4.94 4.97 4.94 4.97 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G0204TCDiagnosticmammographydigital A 0.00 3.66 3.69 3.66NA 3.69 NA 0.01 3.67 3.70 3.67 3.70 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G020426Diagnosticmammographydigital A 0.87 0.35 0.35 0.35 0.35 0.05 1.27 1.27 1.27 1.27 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 G0206 Diagnosticmammographydigital A 0.70 3.16 3.17 3.16NA 3.17 NA 0.05 3.91 3.92 3.91 3.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0206TCDiagnosticmammographydigital A 0.00 2.87 2.89 2.87NA 2.89 NA 0.01 2.88 2.90 2.88 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G020626Diagnosticmammographydigital A 0.70 0.29 0.28 0.29 0.28 0.04 1.03 1.02 1.03 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0219 PET img wholbod melano nonco N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0219TCPET img wholbod melano nonco N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 G021926PET img wholbod melano nonco N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0235 PET not otherwise specified N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0235TCPET not otherwise specified N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 G023526PET not otherwise specified N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0237 Therapeutic procd strg endur A 0.00 0.29 0.25 0.29NA 0.25 NA 0.01 0.30 0.26 0.30 0.26 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0238 Oth resp proc, indiv A 0.00 0.31 0.26 0.31NA 0.26 NA 0.01 0.32 0.27 0.32 0.27 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0239 Oth resp proc, group A 0.00 0.34 0.31 0.34NA 0.31 NA 0.01 0.35 0.32 0.35 0.32 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0245 Initial foot exam pt lops R 0.88 1.09 1.16 0.44 0.49 0.05 2.02 2.09 1.37 1.42 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0246 Followup eval of foot pt lop R 0.45 0.70 0.72 0.22 0.24 0.03 1.18 1.20 0.70 0.72 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0247 Routine footcare pt w lops R 0.50 1.16 1.56 0.18 0.15 0.04 1.70 2.10 0.72 0.69 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0248 Demonstrate use home inr mon R 0.00 4.11 3.22 4.11NA 3.22 NA 0.01 4.12 3.23 4.12 3.23 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 G0249 Provide INR test mater/equip R 0.00 3.63 3.01 3.63NA 3.01 NA 0.01 3.64 3.02 3.64 3.02 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 G0250 MD INR test revie inter mgmt R 0.18 0.08 0.07 0.08NA 0.07 NA 0.01 0.27 0.26 0.27 0.26 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0251 Linear acc based stero radio E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0252 PET imaging initial dx N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0252TCPET imaging initial dx N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G025226PET imaging initial dx N+ 1.50 0.70 0.66 0.70 0.66 0.10 2.30 2.26 2.30 2.26 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0255 Current percep threshold tst N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0255TCCurrent percep threshold tst N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 G025526Current percep threshold tst N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0257 Unsched dialysis ESRD pt hos E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0259 Inject for sacroiliac joint E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0260 Inj for sacroiliac jt anesth E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0268 Removal of impacted wax md A 0.61 0.86 0.91 0.31 0.36 0.03 1.50 1.55 0.95 1.00 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 G0269 Occlusive device in vein art B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0270 MNT subs tx for change dx A 0.45 0.34 0.37 0.28 0.31 0.03 0.82 0.85 0.76 0.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0271 Group MNT 2 or more 30 mins A 0.25 0.15 0.18 0.15 0.17 0.01 0.41 0.44 0.41 0.43 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0275 Renal angio, cardiac cath A 0.25 0.13NA 0.10NA 0.13 0.10 0.01 0.39 0.36 0.39 0.36 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0278 Iliac art angio,cardiac cath A 0.25 0.13NA 0.10NA 0.13 0.10 0.01 0.39 0.36 0.39 0.36 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0281 Elec stim unattend for press A 0.18 0.18 0.20 0.18NA 0.20 NA 0.01 0.37 0.39 0.37 0.39 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 G0282 Elect stim wound care not pd N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0283 Elec stim other than wound A 0.18 0.18 0.20 0.18NA 0.20 NA 0.01 0.37 0.39 0.37 0.39 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 G0288 Recon, CTA for surg plan A 0.00 2.55 0.99 2.55NA 0.99 NA 0.01 2.56 1.00 2.56 1.00 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 G0289 Arthro, loose body + chondro A 1.48 0.85NA 0.88NA 0.85 0.88 0.29 2.62 2.65 2.62 2.65 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 G0290 Drug-eluting stents, single E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0291 Drug-eluting stents,each add E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0293 Non-cov surg proc,clin trial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0294 Non-cov proc, clinical trial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0295 Electromagnetic therapy onc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0302 Pre-op service LVRS complete X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0303 Pre-op service LVRS 10-15dos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0304 Pre-op service LVRS 1-9 dos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0305 Post op service LVRS min 6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0306 CBC/diffwbc w/o platelet X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0307 CBC without platelet X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0328 Fecal blood scrn immunoassay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0329 Electromagntic tx for ulcers A 0.06 0.20 0.22 0.20NA 0.22 NA 0.01 0.27 0.29 0.27 0.29 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 G0333 Dispense fee initial 30 day X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0337 Hospice evaluation preelecti X+ 1.42 0.62 0.62 0.62 0.62 0.10 2.14 2.14 2.14 2.14 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0339 Robot lin-radsurg com, first C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0340 Robt lin-radsurg fractx 2-5 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0341 Percutaneous islet celltrans A 6.98 29.48 53.44 3.83 3.00 0.49 36.95 60.91 11.30 10.47 0000.00.00.0020010 33.9764 090 99 0.00 0.00 0.00 G0342 Laparoscopy islet cell trans A 11.92 7.14NA 7.83NA 7.14 7.83 0.84 19.90 20.59 19.90 20.59 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 G0343 Laparotomy islet cell transp A 19.85 12.09NA 13.28NA 12.09 13.28 1.40 33.34 34.53 33.34 34.53 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 G0364 Bone marrow aspirate &biopsy A 0.16 0.19 0.19 0.09 0.09 0.01 0.36 0.36 0.26 0.26 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0365 Vessel mapping hemo access A 0.25 5.90 5.87 5.90NA 5.87 NA 0.04 6.19 6.16 6.19 6.16 1XXX.00.00.0000000 33.9764 090 99 4.59 4.59 0.04 G0365TCVessel mapping hemo access A 0.00 5.81 5.78 5.81NA 5.78 NA 0.01 5.82 5.79 5.82 5.79 1XXX.00.00.0000000 33.9764 010 99 4.50 4.50 0.01 G036526Vessel mapping hemo access A 0.25 0.09 0.09 0.09 0.09 0.03 0.37 0.37 0.37 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0372 MD service required for PMD A 0.17 0.12 0.08 0.07 0.08 0.01 0.30 0.26 0.25 0.26 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0378 Hospital observation per hr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0379 Direct refer hospital observ X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0389 Ultrasound exam AAA screen A 0.58 2.68 2.45 2.68NA 2.45 NA 0.04 3.30 3.07 3.30 3.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0389TCUltrasound exam AAA screen A 0.00 2.43 2.23 2.43NA 2.23 NA 0.01 2.44 2.24 2.44 2.24 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 G038926Ultrasound exam AAA screen A 0.58 0.25 0.22 0.25 0.22 0.03 0.86 0.83 0.86 0.83 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0396 Alcohol/subs interv 15-30mn A 0.65 0.28 0.32 0.23 0.27 0.04 0.97 1.01 0.92 0.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0397 Alcohol/subs interv >30 min A 1.30 0.61 0.79 0.56 0.74 0.08 1.99 2.17 1.94 2.12 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0398 Home sleep test/type 2 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0398TCHome sleep test/type 2 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G039826Home sleep test/type 2 Porta C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0399 Home sleep test/type 3 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0399TCHome sleep test/type 3 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G039926Home sleep test/type 3 Porta C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0400 Home sleep test/type 4 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0400TCHome sleep test/type 4 Porta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G040026Home sleep test/type 4 Porta C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0402 Initial preventive exam A 2.43 1.80 2.19 1.15 1.15 0.12 4.35 4.74 3.70 3.70 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0403 EKG for initial prevent exam A 0.17 0.39 0.32 0.37NA 0.32 NA 0.02 0.58 0.51 0.56 0.51 4XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0404 EKG tracing for initial prev A 0.00 0.31 0.25 0.31NA 0.25 NA 0.01 0.32 0.26 0.32 0.26 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0405 EKG interpret & report preve A 0.17 0.08 0.07 0.06 0.07 0.01 0.26 0.25 0.24 0.25 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0406 Telhealth inpt consult 15min A 0.76 0.32NA 0.34NA 0.32 0.34 0.05 1.13 1.15 1.13 1.15 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0407 Telheath inpt consult 25min A 1.39 0.57NA 0.63NA 0.57 0.63 0.08 2.04 2.10 2.04 2.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0408 Telhealth inpt consult 35min A 2.00 0.81NA 0.90NA 0.81 0.90 0.12 2.93 3.02 2.93 3.02 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0409 CORF related serv 15 mins ea A 0.00 0.29 0.29 0.29NA 0.29 NA 0.01 0.30 0.30 0.30 0.30 9XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0410 Grp psych partial hosp 45-50 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0411 Inter active grp psych parti X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0412 Open tx iliac spine uni/bil A 10.45 8.73NA 9.22NA 8.73 9.22 2.04 21.22 21.71 21.22 21.71 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 G0413 Pelvic ring fracture uni/bil A 15.73 12.22NA 12.75NA 12.22 12.75 3.06 31.01 31.54 31.01 31.54 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 G0414 Pelvic ring fx treat int fix A 14.65 12.00NA 12.59NA 12.00 12.59 2.86 29.51 30.10 29.51 30.10 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 G0415 Open tx post pelvic fxcture A 20.93 15.34NA 16.35NA 15.34 16.35 4.21 40.48 41.49 40.48 41.49 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 G0416 Sat biopsy prostate 1-20 spc A 3.09 13.96 13.96 13.96NA 13.96 NA 0.12 17.17 17.17 17.17 17.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0416TCSat biopsy prostate 1-20 spc A 0.00 12.14 12.14 12.14NA 12.14 NA 0.01 12.15 12.15 12.15 12.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G041626Sat biopsy prostate 1-20 spc A 3.09 1.82 1.82 1.82 1.82 0.11 5.02 5.02 5.02 5.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0417 Sat biopsy prostate 21-40 A 5.86 27.26 27.26 27.26NA 27.26 NA 0.25 33.37 33.37 33.37 33.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0417TCSat biopsy prostate 21-40 A 0.00 23.71 23.71 23.71NA 23.71 NA 0.01 23.72 23.72 23.72 23.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G041726Sat biopsy prostate 21-40 A 5.86 3.55 3.55 3.55 3.55 0.24 9.65 9.65 9.65 9.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0418 Sat biopsy prostate 41-60 A 10.30 46.56 46.56 46.56NA 46.56 NA 0.42 57.28 57.28 57.28 57.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0418TCSat biopsy prostate 41-60 A 0.00 40.50 40.50 40.50NA 40.50 NA 0.01 40.51 40.51 40.51 40.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G041826Sat biopsy prostate 41-60 A 10.30 6.06 6.06 6.06 6.06 0.41 16.77 16.77 16.77 16.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0419 Sat biopsy prostate: >60 A 11.61 55.86 55.86 55.86NA 55.86 NA 0.46 67.93 67.93 67.93 67.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0419TCSat biopsy prostate: >60 A 0.00 48.60 48.60 48.60NA 48.60 NA 0.01 48.61 48.61 48.61 48.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G041926Sat biopsy prostate: >60 A 11.61 7.26 7.26 7.26 7.26 0.45 19.32 19.32 19.32 19.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0420 Ed svc CKD ind per session A 2.12 1.02 1.02 1.02NA 1.02 NA 0.11 3.25 3.25 3.25 3.25 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0421 Ed svc CKD grp per session A 0.50 0.24 0.24 0.24NA 0.24 NA 0.03 0.77 0.77 0.77 0.77 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0422 Intens cardiac rehab w/exerc A 1.06 0.91 0.91 0.91 0.91 0.06 2.03 2.03 2.03 2.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0423 Intens cardiac rehab no exer A 1.06 0.91 0.91 0.91 0.91 0.06 2.03 2.03 2.03 2.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0424 Pulmonary rehab w exer A 0.28 0.59 0.59 0.12 0.12 0.03 0.90 0.90 0.43 0.43 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0425 Inpt telehealth consult 30m A 1.92 0.86NA 0.86NA 0.86 0.86 0.18 2.96 2.96 2.96 2.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0426 Inpt telehealth consult 50m A 2.61 1.20NA 1.20NA 1.20 1.20 0.22 4.03 4.03 4.03 4.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0427 Inpt telehealth con 70/>m A 3.86 1.77NA 1.77NA 1.77 1.77 0.29 5.92 5.92 5.92 5.92 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0428 Collagen Meniscus Implant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0429 Dermal filler injection(s) A 1.19 1.19 1.19 0.56 0.56 0.24 2.62 2.62 1.99 1.99 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 G0431 Drug screen multip class X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0432 EIA HIV-1/HIV-2 screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0433 ELISA HIV-1/HIV-2 screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0434 Drug screen multi drug class X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0435 Oral HIV-1/HIV-2 screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G0436 Tobacco-use counsel 3-10 min A 0.24 0.16 0.16 0.10 0.10 0.01 0.41 0.41 0.35 0.35 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0437 Tobacco-use counsel>10min A 0.50 0.30 0.30 0.24 0.24 0.03 0.83 0.83 0.77 0.77 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0438 PPPS, initial visit A 2.43 2.19 2.19 2.19NA 2.19 NA 0.12 4.74 4.74 4.74 4.74 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0439 PPPS, subseq visit A 1.50 1.63 1.63 1.63NA 1.63 NA 0.03 3.16 3.16 3.16 3.16 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G0440 Skin/dermal subs init 25or< A 2.22 2.71 2.71 1.01 1.01 0.27 5.20 5.20 3.50 3.50 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 G0441 Skin/dermal subs each additi A 0.50 0.82 0.82 0.20 0.20 0.07 1.39 1.39 0.77 0.77 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G3001 Admin + supply, tositumomab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8126 Pt treat w/antidepress12wks M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8127 Pt not treat w/antidepres12w M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8128 Pt inelig for antidepres med M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8395 LVEF>=40% doc normal or mild M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8396 LVEF not performed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8397 Dil macula/fundus exam/w doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8398 Dil macular/fundus not perfo M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8399 Pt w/DXA document or order M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8400 Pt w/DXA no document or orde M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8401 Pt inelig osteo screen measu M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8404 Low extemity neur exam docum M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8405 Low extemity neur not perfor M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8406 Pt inelig lower extrem neuro M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8410 Eval on foot documented M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8415 Eval on foot not performed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8416 Pt inelig footwear evaluatio M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8417 Calc BMI abv up param f/u M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8418 Calc BMI blw low param f/u M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8419 Calc BMI out nrm param nof/u M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8420 Calc BMI norm parameters M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8421 BMI not calculated M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8422 Pt inelig BMI calculation M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8427 Doc cur meds by prov M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8428 Cur meds not document M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8430 Pt inelig med check M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8431 Pos clin depres scrn f/u doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8432 Clin depression screen not d M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8433 Pt inelig; scrn clin dep M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8440 Pain assess f/u pln document M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8441 No document of pain assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8442 Pt inelig pain assessment M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8447 Pt vis doc use EHR cer ATCB M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8448 Pt vis doc w/PQRI qual EHR M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8450 Beta-bloc rx pt w/abn lvef M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8451 Pt w/abn lvef inelig b-bloc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8452 Pt w/abn lvef b-bloc no rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8458 Pt inelig geno no antvir tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8459 Doc pt rec antivir treat M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8460 Pt inelig RNA no antvir tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8461 Pt rec antivir treat hep c M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8462 Pt inelig couns no antvir tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8463 Pt rec antiviral treat doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8464 Pt inelig; lo to no dter rsk M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8465 High risk recurrence pro ca M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8468 ACE/ARB rx pt w/abn lvef M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8469 Pt w/abn lvef inelig ACE/ARB M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8470 Pt w/ normal lvef M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8471 LVEF not performed/doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8472 ACE/ARB no rx pt w/abn lvef M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8473 ACE/ARB thxpy rx'd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8474 ACE/ARB not rx'd; doc reas M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8475 ACE/ARB thxpy not rx'd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8476 BP sys <130 and dias <80 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8477 BP sys>=130 and/or dias >=80 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8478 BP not performed/doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8482 Flu immunize order/admin M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8483 Flu imm no ord/admin doc rea M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8484 Flu immunize no order/admin M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8485 Report, Diabetes measures M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8486 Report, Prev Care Measures M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8487 Report CKD Measures M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8489 CAD measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8490 RA measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8491 HIV/AIDS measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8492 Periop Care measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8493 Back pain measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8494 DM meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8495 CKD meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8496 Prev Care MG qual act perfrm M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8497 CABG meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8498 CAD meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8499 RA meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8500 HIV meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8501 Perio meas qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8502 Back Pain MG qual act perfrm M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8506 Pt rec ACE/ARB M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8508 Pt inelig; pain asses no f/u M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8509 Pain assess no f/u pln doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8510 Pt inelig neg scrn depres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8511 Clin depres scrn no f/u doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8524 Patch closure conv CEA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8525 No patch closure CEA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8526 No patch closure conv CEA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8530 Auto AV fistula recd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8531 Pt inelig; auto AV fistula M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8532 No auto AV fistula; no reas M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8534 Doc elder mal scrn f/u plan M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8535 Pt inelig no eld mal scrn M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8536 No doc elder mal scrn M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8537 Pt inelig eldmal scrn no f/u M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8538 Eld mal scrn no f/u pln M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8539 Cur funct assess & care pln M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8540 Pt inelig funct assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8541 No doc cur funct assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8542 Pt inelig func asses no pln M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8543 Cur funct asses; no care pln M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8544 CABG measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8545 HepC measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8546 CAP measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8547 IVD measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8548 HF measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8549 HepC MG qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8550 CAP MG qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8551 HF MG qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8552 IVD MG qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8553 1 Rx via qualified eRx sys M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8556 Ref to doc otolog eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8557 Pt inelig ref otolog eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8558 No ref to doc otolog eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8559 Pt ref doc oto eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8560 Pt hx act drain prev 90 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8561 Pt inelig for ref oto eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8562 Pt no hx act drain 90 d M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8563 Pt no ref oto reas no spec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8564 Pt ref oto eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8565 Ver doc hear loss M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8566 Pt inelig ref oto eval M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8567 Pt no doc hear loss M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8568 Pt no ref otolo no spec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8569 Prol intubation req M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8570 No prol intub req M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8571 Ster wd ifx 30 d postop M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8572 No ster wd ifx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8573 Stk/CVA CABG M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8574 No strk/CVA CABG M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8575 Postop ren insuf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8576 No postop ren insuf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8577 Reop req bld grft oth M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8578 No reop req bld grft oth M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8579 Antplt med disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8580 Antplt med contraind M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8581 no antplt med disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8582 Bblock disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8583 Bblock contraind M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8584 No bblock disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8585 Antilipid treat disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8586 Antlip disch contra M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8587 No antlipid treat disch M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8588 Sys BP <140 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8589 Sys BP >= 140 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8590 Dia BP < 90 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8591 Dia BP >= 90 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8592 No BP measure M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8593 Lipid pn results M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8594 No lipid prof perf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8595 Ldl < 100 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8596 No LDL perf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8597 Ldl >= 100 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8598 Asp therp used M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8599 No asp therp used M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8600 tPA initi w/in 3 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8601 No elig tPA init w/in 3 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8602 No tPA init w/in 3 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8603 Spok lang comp score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8604 No high score spok lang M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8605 No spok lang comp score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8606 Attention score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8607 No high score attention M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8608 No attention score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8609 Memory score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8610 No high score memory M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8611 No memory score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8612 Moto speech score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8613 No high score moto speech M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8614 No moto speech score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8615 Reading score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8616 No high score reading M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8617 No reading score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8618 Spok lang exp score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8619 No high score spok lang exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8620 No spok lang exp score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8621 Writing score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8622 No high score writing M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8623 No writing score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8624 Swallowing score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8625 No high score swallowing M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8626 No swallowing score M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8627 Surg proc w/in 30 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8628 No surg proc w/in 30 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8629 Doc antibio order b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8630 Doc antibio given b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8631 Pt no elg 4 order antbi give M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8632 Doc no antibi order b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8633 Pharm ther osteo rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8634 Pt no elg phar ther osteo M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8635 No pharm ther osteo rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8636 Flu immun admin/prev rec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8637 Pt no elg receiv flu immun M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8638 Flu immun no admin/prev rec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8639 Flu immun admin or prev rec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8640 Pt no elg rec flu immun M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8641 Flu immun not admin/pre rec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8642 Hrdshp rural w/o internet M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8643 Hrdshp w/o suff pharm w/eRx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8644 EP no prescribe priv M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8645 Asthma measures grp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8646 Asthma MG qual act perform M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8647 Fun stat score knee >= 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8648 Fun stat score knee < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8649 Fun stat score knee pt noelg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8650 Fun stat score knee not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8651 Fun stat score hip >= 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8652 Fun stat score hip < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8653 Fun stat score hip pt no elg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8654 Fun stat score hip not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8655 Fun stat score LE >= 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8656 Fun stat score LE < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8657 Fun stat score LE pt no elg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8658 Fun stat score LE not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8659 Fun stat score LS >= 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8660 Fun stat score LS < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8661 Fun stat score LS pt no elg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8662 Fun stat score LS not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8663 Fun stat score shdl >=0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8664 Fun stat score shdl < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8665 Fun stat score shdl pt no el M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8666 Fun stat score shdl not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8667 Fun stat score UE >=0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8668 Fun stat score UE < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8669 Fun stat score UE pt no elg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8670 Fun stat score UE not done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8671 Fun stat score neck/TS >=0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8672 Fun stat score neck/TS < 0 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8673 Fun stat scor nek/TS pt no e M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8674 Fun stat scor nek/TS not don M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8675 BP Syst >= 140 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8676 BP Diast >= 90 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8677 BP Syst < 130 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8678 BP Syst >=130 - 139 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8679 BP Diast < 80 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8680 BP Diast 80-89 mmHg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8681 Pt hosp w/HF M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8682 LVG test perf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8683 Pt not elig for LVF test M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8684 Pt not hosp w/HF M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8685 LVF test not perf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8686 Toba smkr curr or 2 hand exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8687 No tob smkr cur no 2 hnd exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8688 Smkls tob cur; no 2 hnd exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8689 Toba use not assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8690 Curr toba smkr or 2 hand exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8691 No cur tob smkr no 2 hnd exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8692 Curr smkls tob; no 2 hnd exp M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G8693 Tobacco no assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9001 MCCD, initial rate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9002 MCCD,maintenance rate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9003 MCCD, risk adj hi, initial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9004 MCCD, risk adj lo, initial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9005 MCCD, risk adj, maintenance X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9006 MCCD, Home monitoring X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9007 MCCD, sch team conf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9008 Mccd,phys coor-care ovrsght X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9009 MCCD, risk adj, level 3 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9010 MCCD, risk adj, level 4 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9011 MCCD, risk adj, level 5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9012 Other Specified Case Mgmt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9013 ESRD demo bundle level I N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9014 ESRD demo bundle-level II N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9016 Demo-smoking cessation coun N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9017 Amantadine HCL 100mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9018 Zanamivir,inhalation pwd 10m X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9019 Oseltamivir phosphate 75mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9020 Rimantadine HCL 100mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9033 Amantadine HCL oral brand X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9034 Zanamivir, inh pwdr, brand X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9035 Oseltamivir phosp, brand X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9036 Rimantadine HCL, brand X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9041 Low vision rehab occupationa A 0.69 0.28 0.28 0.28 0.28 0.04 1.01 1.01 1.01 1.01 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G9042 Low vision rehab orient/mobi A 0.25 0.25 0.25 0.25 0.25 0.01 0.51 0.51 0.51 0.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G9043 Low vision lowvision therapi A 0.25 0.25 0.25 0.25 0.25 0.01 0.51 0.51 0.51 0.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G9044 Low vision rehabilate teache A 0.24 0.19 0.19 0.19 0.19 0.01 0.44 0.44 0.44 0.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 G9050 Oncology work-up evaluation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9051 Oncology tx decision-mgmt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9052 Onc surveillance for disease I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9053 Onc expectant management pt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9054 Onc supervision palliative I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9055 Onc visit unspecified NOS I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9056 Onc prac mgmt adheres guide I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9057 Onc pract mgmt differs trial I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9058 Onc prac mgmt disagree w/gui I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9059 Onc prac mgmt pt opt alterna I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9060 Onc prac mgmt dif pt comorb I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9061 Onc prac cond noadd by guide I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9062 Onc prac guide differs nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9063 Onc dx nsclc stgI no progres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9064 Onc dx nsclc stg2 no progres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9065 Onc dx nsclc stg3A no progre M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9066 Onc dx nsclc stg3B-4 metasta M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9067 Onc dx nsclc dx unknown nos M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9068 Onc dx sclc/nsclc limited M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9069 Onc dx sclc/nsclc ext at dx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9070 Onc dx sclc/nsclc ext unknwn M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9071 Onc dx brst stg1-2B HR,nopro M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9072 Onc dx brst stg1-2 noprogres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9073 Onc dx brst stg3-HR, no pro M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9074 Onc dx brst stg3-noprogress M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9075 Onc dx brst metastic/ recur M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9077 Onc dx prostate T1no progres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9078 Onc dx prostate T2no progres M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9079 Onc dx prostate T3b-T4noprog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9080 Onc dx prostate w/rise PSA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9083 Onc dx prostate unknwn nos M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9084 Onc dx colon t1-3,n1-2,no pr M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9085 Onc dx colon T4, N0 w/o prog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9086 Onc dx colon T1-4 no dx prog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9087 Onc dx colon metas evid dx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9088 Onc dx colon metas noevid dx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9089 Onc dx colon extent unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9090 Onc dx rectal T1-2 no progr M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9091 Onc dx rectal T3 N0 no prog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9092 Onc dx rectal T1-3,N1-2noprg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9093 Onc dx rectal T4,N,M0 no prg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9094 Onc dx rectal M1 w/mets prog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9095 Onc dx rectal extent unknwn M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9096 Onc dx esophag T1-T3 noprog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9097 Onc dx esophageal T4 no prog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9098 Onc dx esophageal mets recur M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9099 Onc dx esophageal unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9100 Onc dx gastric no recurrence M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9101 Onc dx gastric p R1-R2noprog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9102 Onc dx gastric unresectable M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9103 Onc dx gastric recurrent M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9104 Onc dx gastric unknown NOS M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9105 Onc dx pancreatc p R0 res no M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9106 Onc dx pancreatc p R1/R2 no M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9107 Onc dx pancreatic unresectab M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9108 Onc dx pancreatic unknwn NOS M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9109 Onc dx head/neck T1-T2no prg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9110 Onc dx head/neck T3-4 noprog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9111 Onc dx head/neck M1 mets rec M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9112 Onc dx head/neck ext unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9113 Onc dx ovarian stg1A-B no pr M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9114 Onc dx ovarian stg1A-B or 2 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9115 Onc dx ovarian stg3/4 noprog M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9116 Onc dx ovarian recurrence M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9117 Onc dx ovarian unknown NOS M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9123 Onc dx CML chronic phase M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9124 Onc dx CML acceler phase M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9125 Onc dx CML blast phase M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9126 Onc dx CML remission M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9128 Onc dx multi myeloma stage I M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9129 Onc dx mult myeloma stg2 hig M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9130 Onc dx multi myeloma unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9131 Onc dx brst unknown NOS M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9132 Onc dx prostate mets no cast M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9133 Onc dx prostate clinical met M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9134 Onc NHLstg 1-2 no relap no M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9135 Onc dx NHL stg 3-4 not relap M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9136 Onc dx NHL trans to lg Bcell M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9137 Onc dx NHL relapse/refractor M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9138 Onc dx NHL stg unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9139 Onc dx CML dx status unknown M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9140 Frontier extended stay demo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9141 Influenza A H1N1,admin w cou X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9142 Influenza A H1N1, vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9143 Warfarin respon genetic test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 G9147 Outpt IV insulin tx any mea N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0001 Alcohol and/or drug assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0002 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0003 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0004 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0005 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0006 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0007 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0008 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0009 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0010 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0011 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0012 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0013 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0014 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0015 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0016 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0017 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0018 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0019 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0020 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0021 Alcohol and/or drug training I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0022 Alcohol and/or drug interven I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0023 Alcohol and/or drug outreach I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0024 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0025 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0026 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0027 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0028 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0029 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0030 Alcohol and/or drug hotline I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0031 MH health assess by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0032 MH svc plan dev by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0033 Oral med adm direct observe I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0034 Med trng & support per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0035 MH partial hosp tx under 24h I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0036 Comm psy face-face per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0037 Comm psy sup tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0038 Self-help/peer svc per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0039 Asser com tx face-face/15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0040 Assert comm tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0041 Fos c chld non-ther per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0042 Fos c chld non-ther per mon I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0043 Supported housing, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0044 Supported housing, per month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0045 Respite not-in-home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0046 Mental health service, nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0047 Alcohol/drug abuse svc nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0048 Spec coll non-blood:a/d test I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0049 Alcohol/drug screening I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H0050 Alcohol/drug service 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1000 Prenatal care atrisk assessm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1001 Antepartum management I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1002 Carecoordination prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1003 Prenatal at risk education I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1004 Follow up home visit/prental I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1005 Prenatalcare enhanced srv pk I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1010 Nonmed family planning ed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H1011 Family assessment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2000 Comp multidisipln evaluation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2001 Rehabilitation program 1/2 d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2010 Comprehensive med svc 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2011 Crisis interven svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2012 Behav hlth day treat, per hr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2013 Psych hlth fac svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2014 Skills train and dev, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2015 Comp comm supp svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2016 Comp comm supp svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2017 Psysoc rehab svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2018 Psysoc rehab svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2019 Ther behav svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2020 Ther behav svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2021 Com wrap-around sv, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2022 Com wrap-around sv, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2023 Supported employ, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2024 Supported employ, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2025 Supp maint employ, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2026 Supp maint employ, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2027 Psychoed svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2028 Sex offend tx svc, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2029 Sex offend tx svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2030 MH clubhouse svc, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2031 MH clubhouse svc, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2032 Activity therapy, per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2033 Multisys ther/juvenile 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2034 A/D halfway house, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2035 A/D tx program, per hour I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2036 A/D tx program, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 H2037 Dev delay prev dp ch, 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0129 Abatacept injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0130 Abciximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0132 Acetylcysteine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0133 Acyclovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0135 Adalimumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0150 Injection adenosine 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0152 Adenosine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0171 Adrenalin epinephrine inject E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0180 Agalsidase beta injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0190 Inj biperiden lactate/5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0200 Alatrofloxacin mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0205 Alglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0210 Methyldopate hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0215 Alefacept E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0220 Alglucosidase alfa injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0256 Alpha 1 proteinase inhibitor E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0270 Alprostadil for injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0275 Alprostadil urethral suppos E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0278 Amikacin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0280 Aminophyllin 250 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0282 Amiodarone HCl E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0285 Amphotericin B E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0287 Amphotericin b lipid complex E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0288 Ampho b cholesteryl sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0289 Amphotericin b liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0290 Ampicillin 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0295 Ampicillin sodium per 1.5 gm E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0300 Amobarbital 125 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0330 Succinycholine chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0348 Anidulafungin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0350 Injection anistreplase 30 u E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0360 Hydralazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0364 Apomorphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0365 Aprotonin, 10,000 kiu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0380 Inj metaraminol bitartrate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0390 Chloroquine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0395 Arbutamine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0400 Aripiprazole injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0456 Azithromycin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0461 Atropine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0470 Dimecaprol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0475 Baclofen 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0476 Baclofen intrathecal trial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0480 Basiliximab E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0500 Dicyclomine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0515 Inj benztropine mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0520 Bethanechol chloride inject E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0558 PenG benzathine/procaine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0561 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0583 Bivalirudin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0585 Injection,onabotulinumtoxinA E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0586 AbobotulinumtoxinA E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0587 Inj, rimabotulinumtoxinB E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0592 Buprenorphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0594 Busulfan injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0595 Butorphanol tartrate 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0597 C-1 esterase, berinert E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0598 C-1 esterase, cinryze E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0600 Edetate calcium disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0610 Calcium gluconate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0620 Calcium glycer & lact/10 ML E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0630 Calcitonin salmon injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0636 Inj calcitriol per 0.1 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0637 Caspofungin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0638 Canakinumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0640 Leucovorin calcium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0641 Levoleucovorin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0670 Inj mepivacaine HCL/10 ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0690 Cefazolin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0692 Cefepime HCl for injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0694 Cefoxitin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0696 Ceftriaxone sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0697 Sterile cefuroxime injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0698 Cefotaxime sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0702 Betamethasone acet&sod phosp E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0706 Caffeine citrate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0710 Cephapirin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0713 Inj ceftazidime per 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0715 Ceftizoxime sodium / 500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0718 Certolizumab pegol inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0720 Chloramphenicol sodium injec E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0725 Chorionic gonadotropin/1000u E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0735 Clonidine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0740 Cidofovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0743 Cilastatin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0744 Ciprofloxacin iv E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0745 Inj codeine phosphate /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0760 Colchicine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0770 Colistimethate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0775 Collagenase, clost hist inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0780 Prochlorperazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0795 Corticorelin ovine triflutal E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0800 Corticotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0833 Cosyntropin injection NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0834 Cosyntropin cortrosyn inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0850 Cytomegalovirus imm IV /vial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0878 Daptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0881 Darbepoetin alfa, non-esrd E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0882 Darbepoetin alfa, esrd use E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0885 Epoetin alfa, non-esrd E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0886 Epoetin alfa 1000 units ESRD E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0894 Decitabine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0895 Deferoxamine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0900 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J0945 Brompheniramine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1000 Depo-estradiol cypionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1020 Methylprednisolone 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1030 Methylprednisolone 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1040 Methylprednisolone 80 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1051 Medroxyprogesterone inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1055 Medrxyprogester acetate inj N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1056 MA/EC contraceptiveinjection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1060 Testosterone cypionate 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1070 Testosterone cypionat 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1080 Testosterone cypionat 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1094 Inj dexamethasone acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1100 Dexamethasone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1110 Inj dihydroergotamine mesylt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1120 Acetazolamid sodium injectio E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1160 Digoxin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1162 Digoxin immune fab (ovine) E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1165 Phenytoin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1170 Hydromorphone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1180 Dyphylline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1190 Dexrazoxane HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1200 Diphenhydramine hcl injectio E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1205 Chlorothiazide sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1212 Dimethyl sulfoxide 50% 50 ML E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1230 Methadone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1240 Dimenhydrinate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1245 Dipyridamole injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1250 Inj dobutamine HCL/250 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1260 Dolasetron mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1265 Dopamine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1267 Doripenem injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1270 Injection, doxercalciferol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1290 Ecallantide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1300 Eculizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1320 Amitriptyline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1324 Enfuvirtide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1325 Epoprostenol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1327 Eptifibatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1330 Ergonovine maleate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1335 Ertapenem injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1364 Erythro lactobionate /500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1380 Estradiol valerate 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1410 Inj estrogen conjugate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1430 Ethanolamine oleate 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1435 Injection estrone per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1436 Etidronate disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1438 Etanercept injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1440 Filgrastim 300 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1441 Filgrastim 480 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1450 Fluconazole E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1451 Fomepizole, 15 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1452 Intraocular Fomivirsen na E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1453 Fosaprepitant injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1455 Foscarnet sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1457 Gallium nitrate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1458 Galsulfase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1459 Inj IVIG privigen 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1460 Gamma globulin 1 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1559 Hizentra injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1560 Gamma globulin > 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1561 Gamunex injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1562 Vivaglobin, inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1566 Immune globulin, powder E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1568 Octagam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1569 Gammagard liquid injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1570 Ganciclovir sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1571 Hepagam b im injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1572 Flebogamma injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1573 Hepagam b intravenous, inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1580 Garamycin gentamicin inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1590 Gatifloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1595 Injection glatiramer acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1599 Ivig non-lyophilized, NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1600 Gold sodium thiomaleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1610 Glucagon hydrochloride/1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1620 Gonadorelin hydroch/ 100 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1626 Granisetron hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1630 Haloperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1631 Haloperidol decanoate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1640 Hemin, 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1642 Inj heparin sodium per 10 u E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1644 Inj heparin sodium per 1000u E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1645 Dalteparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1650 Inj enoxaparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1652 Fondaparinux sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1655 Tinzaparin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1670 Tetanus immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1675 Histrelin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1680 Human fibrinogen conc inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1700 Hydrocortisone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1710 Hydrocortisone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1720 Hydrocortisone sodium succ i E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1730 Diazoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1740 Ibandronate sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1742 Ibutilide fumarate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1743 Idursulfase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1745 Infliximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1750 Inj iron dextran E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1756 Iron sucrose injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1786 Imuglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1790 Droperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1800 Propranolol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1810 Droperidol/fentanyl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1815 Insulin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1817 Insulin for insulin pump use E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1826 Interferon Beta-1A inj I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1830 Interferon beta-1b / .25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1835 Itraconazole injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1840 Kanamycin sulfate 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1850 Kanamycin sulfate 75 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1885 Ketorolac tromethamine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1890 Cephalothin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1930 Lanreotide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1931 Laronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1940 Furosemide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1945 Lepirudin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1950 Leuprolide acetate /3.75 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1953 Levetiracetam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1955 Inj levocarnitine per 1 gm E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1956 Levofloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1960 Levorphanol tartrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1980 Hyoscyamine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J1990 Chlordiazepoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2001 Lidocaine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2010 Lincomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2020 Linezolid injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2060 Lorazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2150 Mannitol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2170 Mecasermin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2175 Meperidine hydrochl /100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2180 Meperidine/promethazine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2185 Meropenem E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2210 Methylergonovin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2248 Micafungin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2250 Inj midazolam hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2260 Inj milrinone lactate / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2270 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2271 Morphine so4 injection 100mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2275 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2278 Ziconotide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2280 Inj, moxifloxacin 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2300 Inj nalbuphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2310 Inj naloxone hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2315 Naltrexone, depot form E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2320 Nandrolone decanoate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2323 Natalizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2325 Nesiritide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2353 Octreotide injection, depot E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2354 Octreotide inj, non-depot E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2355 Oprelvekin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2357 Omalizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2358 Olanzapine long-acting inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2360 Orphenadrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2370 Phenylephrine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2400 Chloroprocaine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2405 Ondansetron hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2410 Oxymorphone hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2425 Palifermin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2426 Paliperidone palmitate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2430 Pamidronate disodium /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2440 Papaverin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2460 Oxytetracycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2469 Palonosetron hcl E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2501 Paricalcitol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2503 Pegaptanib sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2504 Pegademase bovine, 25 iu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2505 Injection, pegfilgrastim 6mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2510 Penicillin g procaine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2513 Pentastarch 10% solution E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2515 Pentobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2540 Penicillin g potassium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2543 Piperacillin/tazobactam E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2545 Pentamidine non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2550 Promethazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2560 Phenobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2562 Plerixafor injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2590 Oxytocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2597 Inj desmopressin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2650 Prednisolone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2670 Totazoline hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2675 Inj progesterone per 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2680 Fluphenazine decanoate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2690 Procainamide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2700 Oxacillin sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2710 Neostigmine methylslfte inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2720 Inj protamine sulfate/10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2724 Protein c concentrate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2725 Inj protirelin per 250 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2730 Pralidoxime chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2760 Phentolaine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2765 Metoclopramide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2770 Quinupristin/dalfopristin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2778 Ranibizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2780 Ranitidine hydrochloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2783 Rasburicase E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2785 Regadenoson injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2788 Rho d immune globulin 50 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2790 Rho d immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2791 Rhophylac injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2792 Rho(D) immune globulin h, sd E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2793 Rilonacept injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2794 Risperidone, long acting E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2795 Ropivacaine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2796 Romiplostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2800 Methocarbamol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2805 Sincalide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2810 Inj theophylline per 40 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2820 Sargramostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2850 Inj secretin synthetic human E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2910 Aurothioglucose injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2916 Na ferric gluconate complex E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2920 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2930 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2940 Somatrem injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2941 Somatropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2950 Promazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2993 Reteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2995 Inj streptokinase /250000 IU E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J2997 Alteplase recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3000 Streptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3010 Fentanyl citrate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3030 Sumatriptan succinate / 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3070 Pentazocine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3095 Televancin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3101 Tenecteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3105 Terbutaline sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3110 Teriparatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3120 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3130 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3140 Testosterone suspension inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3150 Testosteron propionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3230 Chlorpromazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3240 Thyrotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3243 Tigecycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3246 Tirofiban HCl E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3250 Trimethobenzamide hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3260 Tobramycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3262 Tocilizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3265 Injection torsemide 10 mg/ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3280 Thiethylperazine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3285 Treprostinil injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3300 Triamcinolone A inj PRS-free E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3301 Triamcinolone acet inj NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3302 Triamcinolone diacetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3303 Triamcinolone hexacetonl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3305 Inj trimetrexate glucoronate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3310 Perphenazine injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3315 Triptorelin pamoate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3320 Spectinomycn di-hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3350 Urea injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3355 Urofollitropin, 75 iu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3357 Ustekinumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3360 Diazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3364 Urokinase 5000 IU injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3365 Urokinase 250,000 IU inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3370 Vancomycin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3385 Velaglucerase alfa E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3396 Verteporfin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3400 Triflupromazine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3410 Hydroxyzine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3411 Thiamine hcl 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3415 Pyridoxine hcl 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3420 Vitamin b12 injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3430 Vitamin k phytonadione inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3465 Injection, voriconazole E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3470 Hyaluronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3471 Ovine, up to 999 USP units E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3472 Ovine, 1000 USP units E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3473 Hyaluronidase recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3475 Inj magnesium sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3480 Inj potassium chloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3485 Zidovudine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3486 Ziprasidone mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3487 Zoledronic acid E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3488 Reclast injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3490 Drugs unclassified injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3520 Edetate disodium per 150 mg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3530 Nasal vaccine inhalation E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3535 Metered dose inhaler drug N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3570 Laetrile amygdalin vit B17 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J3590 Unclassified biologics E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7030 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7040 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7042 5% dextrose/normal saline E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7050 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7060 5% dextrose/water E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7070 D5w infusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7100 Dextran 40 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7110 Dextran 75 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7120 Ringers lactate infusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7130 Hypertonic saline solution E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7184 Wilate injection I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7185 Xyntha inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7186 Antihemophilic viii/vwf comp E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7187 Humate-P, inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7189 Factor viia E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7190 Factor viii X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7191 Factor VIII (porcine) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7192 Factor viii recombinant NOS X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7193 Factor IX non-recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7194 Factor ix complex X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7195 Factor IX recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7196 Antithrombin recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7197 Antithrombin iii injection X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7198 Anti-inhibitor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7199 Hemophilia clot factor noc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7300 Intraut copper contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7302 Levonorgestrel iu contracept N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7303 Contraceptive vaginal ring N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7304 Contraceptive hormone patch N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7306 Levonorgestrel implant sys I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7307 Etonogestrel implant system I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7308 Aminolevulinic acid hcl top E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7309 Methyl aminolevulinate, top E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7310 Ganciclovir long act implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7311 Fluocinolone acetonide implt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7312 Dexamethasone intra implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7321 Hyalgan/supartz inj per dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7323 Euflexxa inj per dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7324 Orthovisc inj per dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7325 Synvisc or Synvisc-One E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7330 Cultured chondrocytes implnt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7335 Capsaicin 8% patch E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7500 Azathioprine oral 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7501 Azathioprine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7502 Cyclosporine oral 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7504 Lymphocyte immune globulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7505 Monoclonal antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7506 Prednisone oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7507 Tacrolimus oral per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7509 Methylprednisolone oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7510 Prednisolone oral per 5 mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7511 Antithymocyte globuln rabbit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7513 Daclizumab, parenteral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7515 Cyclosporine oral 25 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7516 Cyclosporin parenteral 250mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7517 Mycophenolate mofetil oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7518 Mycophenolic acid E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7520 Sirolimus, oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7525 Tacrolimus injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7599 Immunosuppressive drug noc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7604 Acetylcysteine comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7605 Arformoterol non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7606 Formoterol fumarate, inh E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7607 Levalbuterol comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7608 Acetylcysteine non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7609 Albuterol comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7610 Albuterol comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7611 Albuterol non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7612 Levalbuterol non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7613 Albuterol non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7614 Levalbuterol non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7615 Levalbuterol comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7620 Albuterol ipratrop non-comp E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7622 Beclomethasone comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7624 Betamethasone comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7626 Budesonide non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7627 Budesonide comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7628 Bitolterol mesylate comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7629 Bitolterol mesylate comp unt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7631 Cromolyn sodium noncomp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7632 Cromolyn sodium comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7633 Budesonide non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7634 Budesonide comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7635 Atropine comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7636 Atropine comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7637 Dexamethasone comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7638 Dexamethasone comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7639 Dornase alfa non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7640 Formoterol comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7641 Flunisolide comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7642 Glycopyrrolate comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7643 Glycopyrrolate comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7644 Ipratropium bromide non-comp E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7645 Ipratropium bromide comp E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7647 Isoetharine comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7648 Isoetharine non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7649 Isoetharine non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7650 Isoetharine comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7657 Isoproterenol comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7658 Isoproterenol non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7659 Isoproterenol non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7660 Isoproterenol comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7667 Metaproterenol comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7668 Metaproterenol non-comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7669 Metaproterenol non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7670 Metaproterenol comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7674 Methacholine chloride, neb E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7676 Pentamidine comp unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7680 Terbutaline sulf comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7681 Terbutaline sulf comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7682 Tobramycin non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7683 Triamcinolone comp con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7684 Triamcinolone comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7685 Tobramycin comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7686 Treprostinil, non-comp unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7699 Inhalation solution for DME E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J7799 Non-inhalation drug for DME E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8498 Antiemetic rectal/supp NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8499 Oral prescrip drug non chemo N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8501 Oral aprepitant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8510 Oral busulfan E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8515 Cabergoline, oral 0.25mg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8520 Capecitabine, oral, 150 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8521 Capecitabine, oral, 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8530 Cyclophosphamide oral 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8540 Oral dexamethasone E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8560 Etoposide oral 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8562 Oral fludarabine phosphate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8565 Gefitinib oral I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8597 Antiemetic drug oral NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8600 Melphalan oral 2 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8610 Methotrexate oral 2.5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8650 Nabilone oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8700 Temozolomide E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8705 Topotecan oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J8999 Oral prescription drug chemo E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9000 Doxorubicin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9001 Doxorubicin hcl liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9010 Alemtuzumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9015 Aldesleukin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9017 Arsenic trioxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9020 Asparaginase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9025 Azacitidine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9027 Clofarabine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9031 Bcg live intravesical vac E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9033 Bendamustine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9035 Bevacizumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9040 Bleomycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9041 Bortezomib injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9045 Carboplatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9050 Carmustine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9055 Cetuximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9060 Cisplatin 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9065 Inj cladribine per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9070 Cyclophosphamide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9098 Cytarabine liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9100 Cytarabine hcl 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9120 Dactinomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9130 Dacarbazine 100 mg inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9150 Daunorubicin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9151 Daunorubicin citrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9155 Degarelix injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9160 Denileukin diftitox inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9165 Diethylstilbestrol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9171 Docetaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9175 Elliotts b solution per ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9178 Inj, epirubicin hcl, 2 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9181 Etoposide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9185 Fludarabine phosphate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9190 Fluorouracil injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9200 Floxuridine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9201 Gemcitabine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9202 Goserelin acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9206 Irinotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9207 Ixabepilone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9208 Ifosfomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9209 Mesna injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9211 Idarubicin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9212 Interferon alfacon-1 inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9213 Interferon alfa-2a inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9214 Interferon alfa-2b inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9215 Interferon alfa-n3 inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9216 Interferon gamma 1-b inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9217 Leuprolide acetate suspnsion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9218 Leuprolide acetate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9219 Leuprolide acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9225 Vantas implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9226 Supprelin LA implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9230 Mechlorethamine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9245 Inj melphalan hydrochl 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9250 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9260 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9261 Nelarabine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9263 Oxaliplatin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9264 Paclitaxel protein bound E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9265 Paclitaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9266 Pegaspargase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9268 Pentostatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9270 Plicamycin (mithramycin) inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9280 Mitomycin 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9293 Mitoxantrone hydrochl / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9300 Gemtuzumab ozogamicin inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9302 Ofatumumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9303 Panitumumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9305 Pemetrexed injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9307 Pralatrexate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9310 Rituximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9315 Romidepsin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9320 Streptozocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9328 Temozolomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9330 Temsirolimus injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9340 Thiotepa injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9351 Topotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9355 Trastuzumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9357 Valrubicin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9360 Vinblastine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9370 Vincristine sulfate 1 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9390 Vinorelbine tartrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9395 Injection, Fulvestrant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9600 Porfimer sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 J9999 Chemotherapy drug E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 M0064 Visit for drug monitoring A 0.37 0.99 1.07 0.09 0.08 0.01 1.37 1.45 0.47 0.46 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 M0075 Cellular therapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 M0100 Intragastric hypothermia N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 M0301 Fabric wrapping of aneurysm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P2028 Cephalin floculation test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P2029 Congo red blood test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P2031 Hair analysis N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P2033 Blood thymol turbidity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P2038 Blood mucoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P3000 Screen pap by tech w md supv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P3001 Screening pap smear by phys A 0.42 0.40 0.42 0.40 0.42 0.03 0.85 0.87 0.85 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 P7001 Culture bacterial urine I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9010 Whole blood for transfusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9011 Blood split unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9012 Cryoprecipitate each unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9016 RBC leukocytes reduced E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9017 Plasma 1 donor frz w/in 8 hr E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9019 Platelets, each unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9020 Plaelet rich plasma unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9021 Red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9022 Washed red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9023 Frozen plasma, pooled, sd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9031 Platelets leukocytes reduced X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9032 Platelets, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9033 Platelets leukoreduced irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9034 Platelets, pheresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9035 Platelet pheres leukoreduced X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9036 Platelet pheresis irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9037 Plate pheres leukoredu irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9038 RBC irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9039 RBC deglycerolized X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9040 RBC leukoreduced irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9041 Albumin (human),5%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9043 Plasma protein fract,5%,50ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9044 Cryoprecipitatereducedplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9045 Albumin (human), 5%, 250 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9046 Albumin (human), 25%, 20 ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9047 Albumin (human), 25%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9048 Plasmaprotein fract,5%,250ml X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9050 Granulocytes, pheresis unit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9051 Blood, l/r, cmv-neg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9052 Platelets, hla-m, l/r, unit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9053 Plt, pher, l/r cmv-neg, irr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9054 Blood, l/r, froz/degly/wash X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9055 Plt, aph/pher, l/r, cmv-neg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9056 Blood, l/r, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9057 RBC, frz/deg/wsh, l/r, irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9058 RBC, l/r, cmv-neg, irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9059 Plasma, frz between 8-24hour X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9060 Fr frz plasma donor retested X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9603 One-way allow prorated miles X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9604 One-way allow prorated trip X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9612 Catheterize for urine spec X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 P9615 Urine specimen collect mult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0035 Cardiokymography A 0.17 0.35 0.31 0.35NA 0.31 NA 0.02 0.54 0.50 0.54 0.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 Q0035TCCardiokymography A 0.00 0.29 0.25 0.29NA 0.25 NA 0.01 0.30 0.26 0.30 0.26 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 Q003526Cardiokymography A 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 Q0091 Obtaining screen pap smear A 0.37 0.88 0.87 0.15 0.17 0.03 1.28 1.27 0.55 0.57 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 Q0092 Set up port xray equipment A 0.00 0.59 0.64 0.59 0.64 0.01 0.60 0.65 0.60 0.65 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 Q0111 Wet mounts/ w preparations X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0112 Potassium hydroxide preps X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0113 Pinworm examinations X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0114 Fern test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0115 Post-coital mucous exam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0138 Ferumoxytol, non-esrd E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0139 Ferumoxytol, esrd use E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0144 Azithromycin dihydrate, oral N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0163 Diphenhydramine HCl 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0164 Prochlorperazine maleate 5mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0165 Prochlorperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0166 Granisetron hcl 1 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0167 Dronabinol 2.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0168 Dronabinol 5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0169 Promethazine HCl 12.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0170 Promethazine HCl 25 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0171 Chlorpromazine HCl 10mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0172 Chlorpromazine HCl 25mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0173 Trimethobenzamide HCl 250mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0174 Thiethylperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0175 Perphenazine 4mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0176 Perphenazine 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0177 Hydroxyzine pamoate 25mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0178 Hydroxyzine pamoate 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0179 Ondansetron hcl 8 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0180 Dolasetron mesylate oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0181 Unspecified oral anti-emetic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0478 Power adapter, combo vad E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0479 Power module combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0480 Driver pneumatic vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0481 Microprcsr cu elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0482 Microprcsr cu combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0483 Monitor elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0484 Monitor elec or comb vad rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0485 Monitor cable elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0486 Mon cable elec/pneum vad rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0487 Leads any type vad, rep only E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0488 Pwr pack base elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0489 Pwr pck base combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0490 Emr pwr source elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0491 Emr pwr source combo vad rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0492 Emr pwr cbl elec vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0493 Emr pwr cbl combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0494 Emr hd pmp elec/combo, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0495 Charger elec/combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0496 Battery elec/combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0497 Bat clps elec/comb vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0498 Holster elec/combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0499 Belt/vest elec/combo vad rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0500 Filters elec/combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0501 Shwr cov elec/combo vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0502 Mobility cart pneum vad, rep E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0503 Battery pneum vad replacemnt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0504 Pwr adpt pneum vad, rep veh E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0505 Miscl supply/accessory vad E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0506 Lith-ion batt elec/pneum VAD E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0510 Dispens fee immunosupressive E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0511 Sup fee antiem,antica,immuno E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0512 Px sup fee anti-can sub pres E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0513 Disp fee inhal drugs/30 days E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0514 Disp fee inhal drugs/90 days E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q0515 Sermorelin acetate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q1003 Ntiol category 3 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q1004 Ntiol category 4 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q1005 Ntiol category 5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2004 Bladder calculi irrig sol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2009 Fosphenytoin inj PE E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2017 Teniposide, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2026 Radiesse injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2027 Sculptra injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2035 Afluria vacc, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2036 Flulaval vacc, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2037 Fluvirin vacc, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2038 Fluzone vacc, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2039 NOS flu vacc, 3 yrs & >, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2040 Incobotulinumtoxin A X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2041 Wilate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2042 Hydroxyprogesterone caproate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q2043 Sipuleucel-T auto CD54+ E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 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 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q3001 Brachytherapy Radioelements C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 Q3014 Telehealth facility fee X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q3025 IM inj interferon beta 1-a E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q3026 Subc inj interferon beta-1a I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q3031 Collagen skin test B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4001 Cast sup body cast plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4002 Cast sup body cast fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4003 Cast sup shoulder cast plstr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4004 Cast sup shoulder cast fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4005 Cast sup long arm adult plst X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4006 Cast sup long arm adult fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4007 Cast sup long arm ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4008 Cast sup long arm ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4009 Cast sup sht arm adult plstr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4010 Cast sup sht arm adult fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4011 Cast sup sht arm ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4012 Cast sup sht arm ped fbrglas X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4013 Cast sup gauntlet plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4014 Cast sup gauntlet fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4015 Cast sup gauntlet ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4016 Cast sup gauntlet ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4017 Cast sup lng arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4018 Cast sup lng arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4019 Cast sup lng arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4020 Cast sup lng arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4021 Cast sup sht arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4022 Cast sup sht arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4023 Cast sup sht arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4024 Cast sup sht arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4025 Cast sup hip spica plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4026 Cast sup hip spica fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4027 Cast sup hip spica ped plstr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4028 Cast sup hip spica ped fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4029 Cast sup long leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4030 Cast sup long leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4031 Cast sup lng leg ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4032 Cast sup lng leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4033 Cast sup lng leg cylinder pl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4034 Cast sup lng leg cylinder fb X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4035 Cast sup lngleg cylndr ped p X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4036 Cast sup lngleg cylndr ped f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4037 Cast sup shrt leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4038 Cast sup shrt leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4039 Cast sup shrt leg ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4040 Cast sup shrt leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4041 Cast sup lng leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4042 Cast sup lng leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4043 Cast sup lng leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4044 Cast sup lng leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4045 Cast sup sht leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4046 Cast sup sht leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4047 Cast sup sht leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4048 Cast sup sht leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4049 Finger splint, static X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4050 Cast supplies unlisted X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4051 Splint supplies misc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4074 Iloprost non-comp unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4081 Epoetin alfa, 100 units ESRD E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4082 Drug/bio NOC part B drug CAP E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4100 Skin substitute, NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4101 Apligraf E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4102 Oasis wound matrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4103 Oasis burn matrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4104 Integra BMWD E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4105 Integra DRT E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4106 Dermagraft E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4107 Graftjacket E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4108 Integra matrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4110 Primatrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4111 Gammagraft E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4112 Cymetra injectable E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4113 Graftjacket xpress E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4114 Integra flowable wound matri E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4115 Alloskin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4116 Alloderm E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4117 Hyalomatrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4118 Matristem micromatrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4119 Matristem wound matrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4120 Matristem burn matrix E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q4121 Theraskin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5001 Hospice in patient home E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5002 Hospice in assisted living E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5003 Hospice in LT/non-skilled NF E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5004 Hospice in SNF E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5005 Hospice, inpatient hospital E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5006 Hospice in hospice facility E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5007 Hospice in LTCH E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5008 Hospice in inpatient psych E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5009 Hospice care, NOS E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q5010 Hospice home care in hospice E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9951 LOCM >= 400 mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9953 Inj Fe-based MR contrast,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9954 Oral MR contrast, 100 ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9955 Inj perflexane lip micros,ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9956 Inj octafluoropropane mic,ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9957 Inj perflutren lip micros,ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9958 HOCM <=149 mg/ml iodine, 1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9959 HOCM 150-199mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9960 HOCM 200-249mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9961 HOCM 250-299mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9962 HOCM 300-349mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9963 HOCM 350-399mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9964 HOCM>= 400mg/ml iodine, 1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9965 LOCM 100-199mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9966 LOCM 200-299mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9967 LOCM 300-399mg/ml iodine,1ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 Q9968 Visualization adjunct E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 R0070 Transport portable x-ray C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 R0075 Transport port x-ray multipl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 R0076 Transport portable EKG B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0012 Butorphanol tartrate, nasal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0014 Tacrine hydrochloride, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0017 Injection, aminocaproic acid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0020 Injection, bupivicaine hydro I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0021 Injection, cefoperazone sod I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0023 Injection, cimetidine hydroc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0028 Injection, famotidine, 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0030 Injection, metronidazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0032 Injection, nafcillin sodium I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0034 Injection, ofloxacin, 400 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0039 Injection, sulfamethoxazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0040 Injection, ticarcillin disod I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0073 Injection, aztreonam, 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0074 Injection, cefotetan disodiu I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0077 Injection, clindamycin phosp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0078 Injection, fosphenytoin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0080 Injection, pentamidine iseth I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0081 Injection, piperacillin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0088 Imatinib 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0090 Sildenafil citrate, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0091 Granisetron 1mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0092 Hydromorphone 250 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0093 Morphine 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0104 Zidovudine, oral, 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0106 Bupropion HCL SR 60 tablets I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0108 Mercaptopurine 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0109 Methadone oral 5mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0117 Tretinoin topical 5 g I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0122 Inj menotropins 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0126 Inj follitropin alfa 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0128 Inj follitropin beta 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0132 Inj ganirelix acetat 250 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0136 Clozapine, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0137 Didanosine, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0138 Finasteride, 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0139 Minoxidil, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0140 Saquinavir, 200 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0142 Colistimethate inh sol mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0145 Peg interferon alfa-2A/180 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0148 Peg interferon alfa-2b/10 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0155 Epoprostenol dilutant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0156 Exemestane, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0157 Becaplermin gel 1%, 0.5 gm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0160 Dextroamphetamine I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0164 Injection pantroprazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0166 Inj olanzapine 2.5mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0169 Calcitrol I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0170 Anastrozole 1 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0171 Bumetanide 0.5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0172 Chlorambucil 2 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0174 Dolasetron 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0175 Flutamide 125 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0176 Hydroxyurea 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0177 Levamisole 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0178 Lomustine 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0179 Megestrol 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0181 Ondansetron 4 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0182 Procarbazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0183 Prochlorperazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0187 Tamoxifen 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0189 Testosterone pellet 75 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0190 Mifepristone, oral, 200 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0191 Misoprostol, oral, 200 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0194 Vitamin suppl 100 caps I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0195 Pneumo vaccine 5-9 yrs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0197 Prenatal vitamins 30 day I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0199 Med abortion inc all ex drug I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0201 Partial hospitalization serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0207 Paramedicintercep nonhospals I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0208 Paramed intrcept nonvol I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0209 WC van mileage per mi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0215 Nonemerg transp mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0220 Medical conference by physic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0221 Medical conference, 60 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0250 Comp geriatr assmt team I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0255 Hospice refer visit nonmd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0257 End of life counseling I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0260 H&P for surgery I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0265 Genetic counsel 15 mins I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0270 Home std case rate 30 days I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0271 Home hospice case 30 days I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0272 Home episodic case 30 days I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0273 MD home visit outside cap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0274 Nurse practr visit outs cap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0280 Medical home, initial plan I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0281 Medical home, maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0302 Completed EPSDT I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0310 Hospitalist visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0315 Disease management program I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0316 Follow-up/reassessment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0317 Disease mgmt per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0320 RN telephone calls to DMP I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0340 Lifestyle mod 1st stage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0341 Lifestyle mod 2 or 3 stage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0342 Lifestyle mod 4th stage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0390 Rout foot care per visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0395 Impression casting ft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0400 Global eswl kidney I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0500 Dispos cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0504 Singl prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0506 Bifoc prscp lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0508 Trifoc prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0510 Non-prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0512 Daily cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0514 Color cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0515 Scleral lens liquid bandage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0516 Safety frames I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0518 Sunglass frames I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0580 Polycarb lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0581 Nonstnd lens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0590 Misc integral lens serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0592 Comp cont lens eval I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0595 New lenses in pts old frame I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0601 Screening proctoscopy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0610 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0612 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0613 Ann breast exam I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0618 Audiometry for hearing aid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0620 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0621 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0622 Phys exam for college I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0625 Digital screening retina I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0630 Removal of sutures I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0800 Laser in situ keratomileusis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0810 Photorefractive keratectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S0812 Phototherap keratect I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1001 Deluxe item I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1002 Custom item I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1015 IV tubing extension set I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1016 Non-pvc intravenous administ I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1030 Gluc monitor purchase I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1031 Gluc monitor rental I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S1040 Cranial remolding orthosis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2053 Transplantation of small int I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2054 Transplantation of multivisc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2055 Harvesting of donor multivis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2060 Lobar lung transplantation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2061 Donor lobectomy (lung) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2065 Simult panc kidn trans I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2066 Breast GAP flap reconst I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2067 Breast "stacked" DIEP/GAP I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2068 Breast DIEP or SIEA flap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2070 Cysto laser tx ureteral calc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2079 Lap esophagomyotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2080 Laup I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2083 Adjustment gastric band I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2095 Transcath emboliz microspher I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2102 Islet cell tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2103 Adrenal tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2107 Adoptive immunotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2112 Knee arthroscp harv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2115 Periacetabular osteotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2117 Arthroereisis, subtalar I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2118 Total hip resurfacing I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2120 Low density lipoprotein(LDL) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2140 Cord blood harvesting I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2142 Cord blood-derived stem-cell I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2150 BMT harv/transpl 28d pkg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2152 Solid organ transpl pkg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2202 Echosclerotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2205 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2206 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2207 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2208 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2209 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2225 Myringotomy laser-assist I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2230 Implant semi-imp hear I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2235 Implant auditory brain imp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2260 Induced abortion 17-24 weeks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2265 Induced abortion 25-28 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2266 Induced abortion 29-31 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2267 Induced abortion 32 or more I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2270 Insertion vaginal cylinder D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2300 Arthroscopy, shoulder, surgi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2325 Hip core decompression I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2340 Chemodenervation of abductor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2341 Chemodenerv adduct vocal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2342 Nasal endoscop po debrid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2344 Endosc balloon sinuplasty D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2348 Decompress disc RF lumbar I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2350 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2351 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2360 Vertebroplast cerv 1st I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2361 Vertebroplast cerv addl I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2400 Fetal surg congen hernia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2401 Fetal surg urin trac obstr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2402 Fetal surg cong cyst malf I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2403 Fetal surg pulmon sequest I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2404 Fetal surg myelomeningo I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2405 Fetal surg sacrococ teratoma I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2409 Fetal surg noc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2411 Fetoscop laser ther TTTS I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S2900 Robotic surgical system I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3000 Bilat dil retinal exam I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3005 Eval self-assess depression I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3600 Stat lab I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3601 Stat lab home/nf I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3620 Newborn metabolic screening I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3625 Maternal triple screen test I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3626 Maternal serum quad screen I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3628 PAMG-1 rapid assay for ROM I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3630 Eosinophil blood count I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3645 HIV-1 antibody testing of or I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3650 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3652 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3655 Antisperm antibodies test I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3708 Gastrointestinal fat absorpt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3711 Circulating tumor cell test I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3713 KRAS mutation analysis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3800 Genetic testing ALS I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3818 BRCA1 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3819 BRCA2 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3820 Comp BRCA1/BRCA2 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3822 Sing mutation brst/ovar I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3823 3 mutation brst/ovar I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3828 Comp MLH1 gene I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3829 Comp MSH2 gene I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3830 Gene test HNPCC comp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3831 Gene test HNPCC single I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3833 Comp APC sequence I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3834 Sing mutation APC I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3835 Gene test cystic fibrosis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3837 Gene test hemochromato I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3840 DNA analysis RET-oncogene I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3841 Gene test retinoblastoma I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3842 Gene test Hippel-Lindau I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3843 DNA analysis factor v I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3844 DNA analysis deafness I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3845 Gene test alpha-thalassemia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3846 Gene test beta-thalassemia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3847 Gene test Tay-Sachs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3848 Gene test Gaucher I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3849 Gene test Niemann-Pick I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3850 Gene test sickle cell I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3851 Gene test canavan I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3852 DNA analysis APOE alzheimer I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3853 Gene test myo musclr dyst I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3854 Gene profile panel breast I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3855 Gene test presenilin-1 gene I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3860 Genet test cardiac ion-comp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3861 Genetic test brugada I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3862 Genet test cardiac ion-spec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3865 Comp genet test hyp cardiomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3866 Spec gene test hyp cardiomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3870 CGH test developmental delay I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3890 Fecal DNA analysis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3900 Surface EMG I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3902 Ballistocardiogram I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3904 Masters two step I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S3905 Auto handheld diag nerv test D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4005 Interim labor facility globa I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4011 IVF package I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4013 Compl GIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4014 Compl ZIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4015 Complete IVF nos case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4016 Frozen IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4017 IVF canc a stim case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4018 F EMB trns canc case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4020 IVF canc a aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4021 IVF canc p aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4022 Asst oocyte fert case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4023 Incompl donor egg case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4025 Donor serv IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4026 Procure donor sperm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4027 Store prev froz embryos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4028 Microsurg epi sperm asp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4030 Sperm procure init visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4031 Sperm procure subs visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4035 Stimulated IUI case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4037 Cryo embryo transf case rate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4040 Monit store cryo embryo 30 d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4042 Ovulation mgmt per cycle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4981 Insert levonorgestrel ius I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4989 Contracept IUD I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4990 Nicotine patch legend I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4991 Nicotine patch nonlegend I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4993 Contraceptive pills for bc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S4995 Smoking cessation gum I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5000 Prescription drug, generic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5001 Prescription drug,brand name I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5010 5% dextrose and 0.45% saline I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5011 5% dextrose in lactated ring I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5012 5% dextrose with potassium I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5013 5%dextrose/0.45%saline1000ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5014 D5W/0.45NS w KCl and MGS04 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5035 HIT routine device maint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5036 HIT device repair I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5100 Adult daycare services 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5101 Adult day care per half day I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5102 Adult day care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5105 Centerbased day care perdiem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5108 Homecare train pt 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5109 Homecare train pt session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5110 Family homecare training 15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5111 Family homecare train/sessio I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5115 Nonfamily homecare train/15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5116 Nonfamily HC train/session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5120 Chore services per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5121 Chore services per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5125 Attendant care service /15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5126 Attendant care service /diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5130 Homaker service nos per 15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5131 Homemaker service nos /diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5135 Adult companioncare per 15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5136 Adult companioncare per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5140 Adult foster care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5141 Adult foster care per month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5145 Child fostercare th per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5146 Ther fostercare child /month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5150 Unskilled respite care /15m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5151 Unskilled respitecare /diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5160 Emer response sys instal&tst I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5161 Emer rspns sys serv permonth I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5162 Emer rspns system purchase I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5165 Home modifications per serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5170 Homedelivered prepared meal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5175 Laundry serv,ext,prof,/order I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5180 HH respiratory thrpy in eval I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5181 HH respiratory thrpy nos/day I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5185 Med reminder serv per month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5190 Wellness assessment by nonph I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5199 Personal care item nos each I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5497 HIT cath care noc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5498 HIT simple cath care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5501 HIT complex cath care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5502 HIT interim cath care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5517 HIT declotting kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5518 HIT cath repair kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5520 HIT picc insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5521 HIT midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5522 HIT picc insert no supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5523 HIP midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5550 Insulin rapid 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5551 Insulin most rapid 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5552 Insulin intermed 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5553 Insulin long acting 5 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5560 Insulin reuse pen 1.5 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5561 Insulin reuse pen 3 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5565 Insulin cartridge 150 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5566 Insulin cartridge 300 u I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5570 Insulin dispos pen 1.5 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S5571 Insulin dispos pen 3 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8030 Tantalum ring application I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8035 Magnetic source imaging I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8037 mrcp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8040 Topographic brain mapping I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8042 MRI low field I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8049 Intraoperative radiation the I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8055 Us guidance fetal reduct I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8080 Scintimammography I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8085 Fluorine-18 fluorodeoxygluco I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8092 Electron beam computed tomog I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8096 Portable peak flow meter I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8097 Asthma kit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8100 Spacer without mask I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8101 Spacer with mask I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8110 Peak expiratory flow rate (p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8120 O2 contents gas cubic ft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8121 O2 contents liquid lb I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8185 Flutter device I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8186 Swivel adaptor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8189 Trach supply noc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8210 Mucus trap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8262 Mandib ortho repos device I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8265 Haberman feeder I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8270 Enuresis alarm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8301 Infect control supplies NOS I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8415 Supplies for home delivery I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8420 Custom gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8421 Ready gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8422 Custom grad sleeve med I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8423 Custom grad sleeve heavy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8424 Ready gradient sleeve I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8425 Custom grad glove med I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8426 Custom grad glove heavy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8427 Ready gradient glove I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8428 Ready gradient gauntlet I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8429 Gradient pressure wrap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8430 Padding for comprssn bdg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8431 Compression bandage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8450 Splint digit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8451 Splint wrist or ankle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8452 Splint elbow I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8460 Camisole post-mast I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8490 100 insulin syringes I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8940 Hippotherapy per session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8948 Low-level laser trmt 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8950 Complex lymphedema therapy, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8990 Pt or manip for maint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S8999 Resuscitation bag I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9001 Home uterine monitor with or I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9007 Ultrafiltration monitor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9015 Automated EEG monitoring I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9024 Paranasal sinus ultrasound I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9025 Omnicardiogram/cardiointegra I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9034 ESWL for gallstones I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9055 Procuren or other growth fac I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9056 Coma stimulation per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9061 Medical supplies and equipme I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9075 Smoking cessation treatment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9083 Urgent care center global I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9088 Services provided in urgent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9090 Vertebral axial decompressio I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9097 Home visit wound care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9098 Home phototherapy visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9109 CHF telemonitoring month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9117 Back school visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9122 Home health aide or certifie I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9123 Nursing care in home RN I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9124 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9125 Respite care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9126 Hospice care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9127 Social work visit, in the ho I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9128 Speech therapy, in the home, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9129 Occupational therapy, in the I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9131 PT in the home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9140 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9141 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9145 Insulin pump initiation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9150 Evaluation by ocularist I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9152 Speech therapy, re-eval I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9208 Home mgmt preterm labor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9209 Home mgmt PPROM I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9211 Home mgmt gest hypertension I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9212 Hm postpar hyper per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9213 Hm preeclamp per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9214 Hm gest dm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9325 HIT pain mgmt per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9326 HIT cont pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9327 HIT int pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9328 HIT pain imp pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9329 HIT chemo per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9330 HIT cont chem diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9331 HIT intermit chemo diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9335 HT hemodialysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9336 HIT cont anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9338 HIT immunotherapy diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9339 HIT periton dialysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9340 HIT enteral per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9341 HIT enteral grav diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9342 HIT enteral pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9343 HIT enteral bolus nurs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9345 HIT anti-hemophil diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9346 HIT alpha-1-proteinas diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9347 HIT longterm infusion diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9348 HIT sympathomim diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9349 HIT tocolysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9351 HIT cont antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9353 HIT cont insulin diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9355 HIT chelation diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9357 HIT enzyme replace diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9359 HIT anti-tnf per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9361 HIT diuretic infus diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9363 HIT anti-spasmotic diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9364 HIT tpn total diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9365 HIT tpn 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9366 HIT tpn 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9367 HIT tpn 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9368 HIT tpn over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9370 HT inj antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9372 HT inj anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9373 HIT hydra total diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9374 HIT hydra 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9375 HIT hydra 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9376 HIT hydra 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9377 HIT hydra over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9379 HIT noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9381 HIT high risk/escort I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9401 Anticoag clinic per session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9430 Pharmacy comp/disp serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9433 Medical food oral 100% nutr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9434 Mod solid food suppl I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9435 Medical foods for inborn err I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9436 Lamaze class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9437 Childbirth refresher class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9438 Cesarean birth class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9439 VBAC class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9441 Asthma education I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9442 Birthing class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9443 Lactation class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9444 Parenting class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9445 PT education noc individ I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9446 PT education noc group I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9447 Infant safety class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9449 Weight mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9451 Exercise class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9452 Nutrition class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9453 Smoking cessation class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9454 Stress mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9455 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9460 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9465 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9470 Nutritional counseling, diet I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9472 Cardiac rehabilitation progr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9473 Pulmonary rehabilitation pro I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9474 Enterostomal therapy by a re I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9475 Ambulatory setting substance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9476 Vestibular rehab per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9480 Intensive outpatient psychia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9482 Family stabilization 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9484 Crisis intervention per hour I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9485 Crisis intervention mental h I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9490 HIT corticosteroid/diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9494 HIT antibiotic total diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9497 HIT antibiotic q3h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9500 HIT antibiotic q24h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9501 HIT antibiotic q12h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9502 HIT antibiotic q8h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9503 HIT antibiotic q6h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9504 HIT antibiotic q4h diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9529 Venipuncture home/snf I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9537 HT hem horm inj diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9538 HIT blood products diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9542 HT inj noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9558 HT inj growth horm diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9559 HIT inj interferon diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9560 HT inj hormone diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9562 HT inj palivizumab diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9590 HT irrigation diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9810 HT pharm per hour I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9900 Christian Sci Pract visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9970 Health club membership yr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9975 Transplant related per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9976 Lodging per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9977 Meals per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9981 Med record copy admin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9982 Med record copy per page I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9986 Not medically necessary svc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9988 Serv part of phase I trial I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9989 Services outside US I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9990 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9991 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9992 Transportation costs to and I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9994 Lodging costs (e.g. hotel ch I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9996 Meals for clinical trial par I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 S9999 Sales tax I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1000 Private duty/independent nsg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1001 Nursing assessment/evaluatn I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1002 RN services up to 15 minutes I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1003 LPN/LVN services up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1004 Nsg aide service up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1005 Respite care service 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1006 Family/Couple Counseling I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1007 Treatment Plan Development I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1009 Child Sitting Services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1010 Meals when Receive Services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1012 Alcohol/Substance Abuse Skil I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1013 Sign Lang/Oral Interpreter I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1014 Telehealth transmit, per min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1015 Clinic service I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1016 Case management I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1017 Targeted case management I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1018 School-based IEP ser bundled I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1019 Personal care ser per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1020 Personal care ser per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1021 HH Aide or cn aide per visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1022 Contracted services per day I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1023 Program intake assessment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1024 Team evaluation & management I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1025 Ped compr care pkg, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1026 Ped compr care pkg, per hour I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1027 Family training & counseling I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1028 Home environment assessment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1029 Dwelling lead investigation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1030 RN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1031 LPN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1502 Medication admin visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1503 Med admin, not oral/inject I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1505 Elec med comp dev, noc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T1999 NOC retail items andsupplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2001 N-et; patient attend/escort I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2002 N-et; per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2003 N-et; encounter/trip I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2004 N-et; commerc carrier pass I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2005 N-et; stretcher van I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2007 Non-emer transport wait time I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2010 PASRR Level I I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2011 PASRR Level II I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2012 Habil ed waiver, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2013 Habil ed waiver per hour I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2014 Habil prevoc waiver, per d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2015 Habil prevoc waiver per hr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2016 Habil res waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2017 Habil res waiver 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2018 Habil sup empl waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2019 Habil sup empl waiver 15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2020 Day habil waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2021 Day habil waiver per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2022 Case management, per month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2023 Targeted case mgmt per month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2024 Serv asmnt/care plan waiver I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2025 Waiver service, nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2026 Special childcare waiver/d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2027 Spec childcare waiver 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2028 Special supply, nos waiver I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2029 Special med equip, noswaiver I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2030 Assist living waiver/month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2031 Assist living waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2032 Res care, nos waiver/month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2033 Res, nos waiver per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2034 Crisis interven waiver/diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2035 Utility services waiver I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2036 Camp overnite waiver/session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2037 Camp day waiver/session I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2038 Comm trans waiver/service I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2039 Vehicle mod waiver/service I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2040 Financial mgt waiver/15min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2041 Support broker waiver/15 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2042 Hospice routine home care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2043 Hospice continuous home care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2044 Hospice respite care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2045 Hospice general care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2046 Hospice long term care, r&b I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2048 Bh ltc res r&b, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2049 N-ET; stretcher van, mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T2101 Breast milk proc/store/dist I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4521 Adult size brief/diaper sm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4522 Adult size brief/diaper med N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4523 Adult size brief/diaper lg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4524 Adult size brief/diaper xl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4525 Adult size pull-on sm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4526 Adult size pull-on med N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4527 Adult size pull-on lg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4528 Adult size pull-on xl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4529 Ped size brief/diaper sm/med N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4530 Ped size brief/diaper lg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4531 Ped size pull-on sm/med N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4532 Ped size pull-on lg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4533 Youth size brief/diaper N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4534 Youth size pull-on N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4535 Disposable liner/shield/pad N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4536 Reusable pull-on any size N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4537 Reusable underpad bed size N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4538 Diaper serv reusable diaper N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4539 Reuse diaper/brief any size N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4540 Reusable underpad chair size N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4541 Large disposable underpad I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4542 Small disposable underpad I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T4543 Disp bariatric brief/diaper N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T5001 Position seat spec orth need I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 T5999 Supply, nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2020 Vision svcs frames purchases X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2025 Eyeglasses delux frames N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2100 Lens spher single plano 4.00 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2101 Single visn sphere 4.12-7.00 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2102 Singl visn sphere 7.12-20.00 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2103 Spherocylindr 4.00d/12-2.00d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2104 Spherocylindr 4.00d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2105 Spherocylinder 4.00d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2106 Spherocylinder 4.00d/>6.00d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2107 Spherocylinder 4.25d/12-2d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2108 Spherocylinder 4.25d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2109 Spherocylinder 4.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2110 Spherocylinder 4.25d/over 6d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2111 Spherocylindr 7.25d/.25-2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2112 Spherocylindr 7.25d/2.25-4d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2113 Spherocylindr 7.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2114 Spherocylinder over 12.00d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2115 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2118 Lens aniseikonic single X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2121 Lenticular lens, single X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2199 Lens single vision not oth c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2200 Lens spher bifoc plano 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2201 Lens sphere bifocal 4.12-7.0 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2202 Lens sphere bifocal 7.12-20. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2203 Lens sphcyl bifocal 4.00d/.1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2204 Lens sphcy bifocal 4.00d/2.1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2205 Lens sphcy bifocal 4.00d/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2206 Lens sphcy bifocal 4.00d/ove X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2207 Lens sphcy bifocal 4.25-7d/. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2208 Lens sphcy bifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2209 Lens sphcy bifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2210 Lens sphcy bifocal 4.25-7/ov X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2211 Lens sphcy bifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2212 Lens sphcyl bifo 7.25-12/2.2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2213 Lens sphcyl bifo 7.25-12/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2214 Lens sphcyl bifocal over 12. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2215 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2218 Lens aniseikonic bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2219 Lens bifocal seg width over X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2220 Lens bifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2221 Lenticular lens, bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2299 Lens bifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2300 Lens sphere trifocal 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2301 Lens sphere trifocal 4.12-7. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2302 Lens sphere trifocal 7.12-20 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2303 Lens sphcy trifocal 4.0/.12- X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2304 Lens sphcy trifocal 4.0/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2305 Lens sphcy trifocal 4.0/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2306 Lens sphcyl trifocal 4.00/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2307 Lens sphcy trifocal 4.25-7/. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2308 Lens sphc trifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2309 Lens sphc trifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2310 Lens sphc trifocal 4.25-7/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2311 Lens sphc trifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2312 Lens sphc trifo 7.25-12/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2313 Lens sphc trifo 7.25-12/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2314 Lens sphcyl trifocal over 12 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2315 Lens lenticular trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2318 Lens aniseikonic trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2319 Lens trifocal seg width > 28 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2320 Lens trifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2321 Lenticular lens, trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2399 Lens trifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2410 Lens variab asphericity sing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2430 Lens variable asphericity bi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2499 Variable asphericity lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2500 Contact lens pmma spherical X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2501 Cntct lens pmma-toric/prism X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2502 Contact lens pmma bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2503 Cntct lens pmma color vision X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2510 Cntct gas permeable sphericl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2511 Cntct toric prism ballast X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2512 Cntct lens gas permbl bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2513 Contact lens extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2520 Contact lens hydrophilic P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2521 Cntct lens hydrophilic toric X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2522 Cntct lens hydrophil bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2523 Cntct lens hydrophil extend X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2530 Contact lens gas impermeable X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2531 Contact lens gas permeable X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2599 Contact lens/es other type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2600 Hand held low vision aids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2610 Single lens spectacle mount X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2615 Telescop/othr compound lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2623 Plastic eye prosth custom X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2624 Polishing artifical eye X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2625 Enlargemnt of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2626 Reduction of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2627 Scleral cover shell X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2628 Fabrication & fitting X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2629 Prosthetic eye other type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2630 Anter chamber intraocul lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2631 Iris support intraoclr lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2632 Post chmbr intraocular lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2700 Balance lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2702 Deluxe lens feature N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2710 Glass/plastic slab off prism X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2715 Prism lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2718 Fresnell prism press-on lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2730 Special base curve X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2744 Tint photochromatic lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2745 Tint, any color/solid/grad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2750 Anti-reflective coating X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2755 UV lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2756 Eye glass case X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2760 Scratch resistant coating X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2761 Mirror coating X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2762 Polarization, any lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2770 Occluder lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2780 Oversize lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2781 Progressive lens per lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2782 Lens, 1.54-1.65 p/1.60-1.79g X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2783 Lens, >= 1.66 p/>=1.80 g X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2784 Lens polycarb or equal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2785 Corneal tissue processing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2786 Occupational multifocal lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2787 Astigmatism-correct function N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2788 Presbyopia-correct function N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2790 Amniotic membrane X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2797 Vis item/svc in other code X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V2799 Miscellaneous vision service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5008 Hearing screening N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5010 Assessment for hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5011 Hearing aid fitting/checking N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5014 Hearing aid repair/modifying N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5020 Conformity evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5030 Body-worn hearing aid air N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5040 Body-worn hearing aid bone N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5050 Hearing aid monaural in ear N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5060 Behind ear hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5070 Glasses air conduction N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5080 Glasses bone conduction N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5090 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5095 Implant mid ear hearing pros N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5100 Body-worn bilat hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5110 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5120 Body-worn binaur hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5130 In ear binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5140 Behind ear binaur hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5150 Glasses binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5160 Dispensing fee binaural N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5170 Within ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5180 Behind ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5190 Glasses cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5200 Cros hearing aid dispens fee N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5210 In ear bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5220 Behind ear bicros hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5230 Glasses bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5240 Dispensing fee bicros N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5241 Dispensing fee, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5242 Hearing aid, monaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5243 Hearing aid, monaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5244 Hearing aid, prog, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5245 Hearing aid, prog, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5246 Hearing aid, prog, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5247 Hearing aid, prog, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5248 Hearing aid, binaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5249 Hearing aid, binaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5250 Hearing aid, prog, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5251 Hearing aid, prog, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5252 Hearing aid, prog, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5253 Hearing aid, prog, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5254 Hearing id, digit, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5255 Hearing aid, digit, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5256 Hearing aid, digit, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5257 Hearing aid, digit, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5258 Hearing aid, digit, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5259 Hearing aid, digit, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5260 Hearing aid, digit, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5261 Hearing aid, digit, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5262 Hearing aid, disp, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5263 Hearing aid, disp, binaural N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5264 Ear mold/insert N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5265 Ear mold/insert, disp N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5266 Battery for hearing device N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5267 Hearing aid supply/accessory N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5268 ALD Telephone Amplifier N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5269 Alerting device, any type N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5270 ALD, TV amplifier, any type N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5271 ALD, TV caption decoder N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5272 Tdd N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5273 ALD for cochlear implant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5274 ALD unspecified N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5275 Ear impression N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5298 Hearing aid noc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5299 Hearing service R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 V5336 Repair communication device N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 V5362 Speech screening N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 V5363 Language screening N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 V5364 Dysphagia screening N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 0001F Heart failure composite I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0005F Osteoarthritis composite I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00100 Anesth salivary gland J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00102 Anesth repair of cleft lip J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00103 Anesth blepharoplasty J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00104 Anesth electroshock J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0012F Cap bacterial assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00120 Anesth ear surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00124 Anesth ear exam J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00126 Anesth tympanotomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0014F Comp preop assess cat surg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00140 Anesth procedures on eye J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00142 Anesth lens surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00144 Anesth corneal transplant J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00145 Anesth vitreoretinal surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00147 Anesth iridectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00148 Anesth eye exam J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0015F Melan follow-up complete I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00160 Anesth nose/sinus surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00162 Anesth nose/sinus surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00164 Anesth biopsy of nose J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00170 Anesth procedure on mouth J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00172 Anesth cleft palate repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00174 Anesth pharyngeal surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00176 Anesth pharyngeal surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0019T Extracorp shock wv tx ms nos C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00190 Anesth face/skull bone surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00192 Anesth facial bone surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00210 Anesth cranial surg nos J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00211 Anesth cran surg hemotoma J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00212 Anesth skull drainage J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00214 Anesth skull drainage J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00215 Anesth skull repair/fract J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00216 Anesth head vessel surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00218 Anesth special head surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00220 Anesth intrcrn nerve J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00222 Anesth head nerve surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0030T Antiprothrombin antibody C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00300 Anesth head/neck/ptrunk J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00320 Anesth neck organ 1 & over J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00322 Anesth biopsy of thyroid J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00326 Anesth larynx/trach < 1 yr J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00350 Anesth neck vessel surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00352 Anesth neck vessel surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00400 Anesth skin ext/per/atrunk J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00402 Anesth surgery of breast J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00404 Anesth surgery of breast J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00406 Anesth surgery of breast J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00410 Anesth correct heart rhythm J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0042T Ct perfusion w/contrast cbf C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00450 Anesth surgery of shoulder J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00452 Anesth surgery of shoulder J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00454 Anesth collar bone biopsy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00470 Anesth removal of rib J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00472 Anesth chest wall repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00474 Anesth surgery of rib(s) J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0048T Implant ventricular device C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0050T Removal circulation assist C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00500 Anesth esophageal surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0051T Implant total heart system C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0052T Replace component heart syst C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00520 Anesth chest procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00522 Anesth chest lining biopsy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00524 Anesth chest drainage J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00528 Anesth chest partition view J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00529 Anesth chest partition view J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0053T Replace component heart syst C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00530 Anesth pacemaker insertion J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00532 Anesth vascular access J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00534 Anesth cardioverter/defib J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00537 Anesth cardiac electrophys J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00539 Anesth trach-bronch reconst J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0054T Bone surgery using computer C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00540 Anesth chest surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00541 Anesth one lung ventilation J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00542 Anesth release of lung J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00546 Anesth lung chest wall surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00548 Anesth trachea bronchi surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0055T Bone surgery using computer C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00550 Anesth sternal debridement J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00560 Anesth heart surg w/o pump J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00561 Anesth heart surg < 1 yr J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00562 Anesth hrt surg w/pmp age 1+ J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00563 Anesth heart surg w/arrest J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00566 Anesth cabg w/o pump J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00567 Anesth cabg w/pump J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0058T Cryopreservation ovary tiss C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00580 Anesth heart/lung transplnt J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0059T Cryopreservation oocyte C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00600 Anesth spine cord surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00604 Anesth sitting procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00620 Anesth spine cord surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00622 Anesth removal of nerves J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00625 Anes spine tranthor w/o vent J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00626 Anes spine transthor w/vent J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00630 Anesth spine cord surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00632 Anesth removal of nerves J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00634 Anesth for chemonucleolysis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00635 Anesth lumbar puncture J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00640 Anesth spine manipulation J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00670 Anesth spine cord surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00700 Anesth abdominal wall surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00702 Anesth for liver biopsy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0071T U/s leiomyomata ablate <200 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0072T U/s leiomyomata ablate >200 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0073T Delivery comp imrt A 0.00 15.29 13.27 15.29NA 13.27 NA 0.01 15.30 13.28 15.30 13.28 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00730 Anesth abdominal wall surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00740 Anesth upper gi visualize J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0075T Perq stent/chest vert art C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0075TTCPerq stent/chest vert art C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0075T26Perq stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00750 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00752 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00754 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00756 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0076T S&i stent/chest vert art C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0076TTCS&i stent/chest vert art C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0076T26S&i stent/chest vert art C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00770 Anesth blood vessel repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0078T Endovasc aort repr w/device C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0079T Endovasc visc extnsn repr C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00790 Anesth surg upper abdomen J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00792 Anesth hemorr/excise liver J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00794 Anesth pancreas removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00796 Anesth for liver transplant J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00797 Anesth surgery for obesity J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0080T Endovasc aort repr rad s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00800 Anesth abdominal wall surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00802 Anesth fat layer removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0081T Endovasc visc extnsn s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00810 Anesth low intestine scope J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00820 Anesth abdominal wall surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00830 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00832 Anesth repair of hernia J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00834 Anesth hernia repair < 1 yr J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00836 Anesth hernia repair preemie J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00840 Anesth surg lower abdomen J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00842 Anesth amniocentesis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00844 Anesth pelvis surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00846 Anesth hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00848 Anesth pelvic organ surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0085T Breath test heart reject N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00851 Anesth tubal ligation J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00860 Anesth surgery of abdomen J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00862 Anesth kidney/ureter surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00864 Anesth removal of bladder J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00865 Anesth removal of prostate J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00866 Anesth removal of adrenal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00868 Anesth kidney transplant J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00870 Anesth bladder stone surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00872 Anesth kidney stone destruct J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00873 Anesth kidney stone destruct J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00880 Anesth abdomen vessel surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00882 Anesth major vein ligation J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00902 Anesth anorectal surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00904 Anesth perineal surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00906 Anesth removal of vulva J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00908 Anesth removal of prostate J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00910 Anesth bladder surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00912 Anesth bladder tumor surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00914 Anesth removal of prostate J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00916 Anesth bleeding control J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00918 Anesth stone removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0092T Artific disc addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00920 Anesth genitalia surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00921 Anesth vasectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00922 Anesth sperm duct surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00924 Anesth testis exploration J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00926 Anesth removal of testis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00928 Anesth removal of testis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00930 Anesth testis suspension J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00932 Anesth amputation of penis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00934 Anesth penis nodes removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00936 Anesth penis nodes removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00938 Anesth insert penis device J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00940 Anesth vaginal procedures J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00942 Anesth surg on vag/urethral J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00944 Anesth vaginal hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00948 Anesth repair of cervix J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0095T Artific diskectomy addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 00950 Anesth vaginal endoscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 00952 Anesth hysteroscope/graph J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0098T Rev artific disc addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0099T Implant corneal ring C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0100T Prosth retina receive&gen C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0101T Extracorp shockwv tx hi enrg C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0102T Extracorp shockwv tx anesth C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0103T Holotranscobalamin C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0106T Touch quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0107T Vibrate quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0108T Cool quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0109T Heat quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0110T Nos quant sensory test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0111T Rbc membranes fatty acids C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01112 Anesth bone aspirate/bx J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01120 Anesth pelvis surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01130 Anesth body cast procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01140 Anesth amputation at pelvis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01150 Anesth pelvic tumor surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01160 Anesth pelvis procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01170 Anesth pelvis surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01173 Anesth fx repair pelvis J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01180 Anesth pelvis nerve removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01190 Anesth pelvis nerve removal J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01200 Anesth hip joint procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01202 Anesth arthroscopy of hip J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01210 Anesth hip joint surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01212 Anesth hip disarticulation J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01214 Anesth hip arthroplasty J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01215 Anesth revise hip repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01220 Anesth procedure on femur J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0123T Scleral fistulization C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01230 Anesth surgery of femur J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01232 Anesth amputation of femur J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01234 Anesth radical femur surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0124T Conjunctival drug placement C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01250 Anesth upper leg surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0126T Chd risk imt study C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01260 Anesth upper leg veins surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01270 Anesth thigh arteries surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01272 Anesth femoral artery surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01274 Anesth femoral embolectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01320 Anesth knee area surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01340 Anesth knee area procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01360 Anesth knee area surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01380 Anesth knee joint procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01382 Anesth dx knee arthroscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01390 Anesth knee area procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01392 Anesth knee area surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01400 Anesth knee joint surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01402 Anesth knee arthroplasty J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01404 Anesth amputation at knee J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0141T Perq islet transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0142T Open islet transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01420 Anesth knee joint casting J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0143T Laparoscopic islet transplnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01430 Anesth knee veins surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01432 Anesth knee vessel surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01440 Anesth knee arteries surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01442 Anesth knee artery surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01444 Anesth knee artery repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01462 Anesth lower leg procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01464 Anesth ankle/ft arthroscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01470 Anesth lower leg surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01472 Anesth achilles tendon surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01474 Anesth lower leg surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01480 Anesth lower leg bone surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01482 Anesth radical leg surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01484 Anesth lower leg revision J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01486 Anesth ankle replacement J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01490 Anesth lower leg casting J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01500 Anesth leg arteries surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01502 Anesth lwr leg embolectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01520 Anesth lower leg vein surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01522 Anesth lower leg vein surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0155T Lap impl gast curve electrd C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0156T Lap remv gast curve electrd C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0157T Open impl gast curve electrd C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0158T Open remv gast curve electrd C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0159T Cad breast mri C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0159TTCCad breast mri C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0159T26Cad breast mri C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01610 Anesth surgery of shoulder J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01620 Anesth shoulder procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01622 Anes dx shoulder arthroscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0163T Lumb artif diskectomy addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01630 Anesth surgery of shoulder J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01634 Anesth shoulder joint amput J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01636 Anesth forequarter amput J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01638 Anesth shoulder replacement J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0164T Remove lumb artif disc addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0165T Revise lumb artif disc addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01650 Anesth shoulder artery surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01652 Anesth shoulder vessel surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01654 Anesth shoulder vessel surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01656 Anesth arm-leg vessel surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0166T Tcath vsd close w/o bypass C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0167T Tcath vsd close w/bypass C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01670 Anesth shoulder vein surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0168T Rhinophototx light app bilat C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01680 Anesth shoulder casting J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01682 Anesth airplane cast J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0169T Place stereo cath brain C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0171T Lumbar spine proces distract C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01710 Anesth elbow area surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01712 Anesth uppr arm tendon surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01714 Anesth uppr arm tendon surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01716 Anesth biceps tendon repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0172T Lumbar spine process addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0173T Iop monit io pressure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01730 Anesth uppr arm procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01732 Anesth dx elbow arthroscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0174T Cad cxr with interp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01740 Anesth upper arm surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01742 Anesth humerus surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01744 Anesth humerus repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0175T Cad cxr remote C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01756 Anesth radical humerus surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01758 Anesth humeral lesion surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01760 Anesth elbow replacement J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01770 Anesth uppr arm artery surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01772 Anesth uppr arm embolectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0178T 64 lead ecg w/i&r C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 01780 Anesth upper arm vein surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01782 Anesth uppr arm vein repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0179T 64 lead ecg w/tracing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 0180T 64 lead ecg w/i&r only C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0181T Corneal hysteresis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01810 Anesth lower arm surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0182T Hdr elect brachytherapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0182TTCHdr elect brachytherapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0182T26Hdr elect brachytherapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01820 Anesth lower arm procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01829 Anesth dx wrist arthroscopy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0183T Wound ultrasound C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01830 Anesth lower arm surgery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01832 Anesth wrist replacement J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0184T Exc rectal tumor endoscopic C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01840 Anesth lwr arm artery surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01842 Anesth lwr arm embolectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01844 Anesth vascular shunt surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0185T Comptr probability analysis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01850 Anesth lower arm vein surg J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01852 Anesth lwr arm vein repair J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0186T Suprachoroidal drug delivery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01860 Anesth lower arm casting J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0188T Videoconf crit care 74 min N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0189T Videoconf crit care addl 30 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0190T Place intraoc radiation src C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0191T Insert ant segment drain int C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01916 Anesth dx arteriography J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0192T Insert ant segment drain ext C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01920 Anesth catheterize heart J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01922 Anesth cat or mri scan J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01924 Anes ther interven rad art J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01925 Anes ther interven rad car J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01926 Anes tx interv rad hrt/cran J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01930 Anes ther interven rad vei J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01931 Anes ther interven rad tip J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01932 Anes tx interv rad th vein J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01933 Anes tx interv rad cran v J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01935 Anesth perc img dx sp proc J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01936 Anesth perc img tx sp proc J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0195T Arthrod presac interbody C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01951 Anesth burn less 4 percent J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01952 Anesth burn 4-9 percent J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01953 Anesth burn each 9 percent J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01958 Anesth antepartum manipul J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0196T Arthrod presac interbody eac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01960 Anesth vaginal delivery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01961 Anesth cs delivery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01962 Anesth emer hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01963 Anesth cs hysterectomy J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01965 Anesth inc/missed ab proc J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01966 Anesth induced ab procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01967 Anesth/analg vag delivery J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01968 Anes/analg cs deliver add-on J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01969 Anesth/analg cs hyst add-on J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0197T Intrafraction track motion C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0198T Ocular blood flow measure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0199T Physiologic tremor record C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 01990 Support for organ donor J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01991 Anesth nerve block/inj J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01992 Anesth n block/inj prone J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01996 Hosp manage cont drug admin J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 01999 Unlisted anesth procedure J 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0200T Perq sacral augmt unilat inj C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0201T Perq sacral augmt bilat inj C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 0202T Post vert arthrplst 1 lumbar C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0205T Inirs each vessel add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0206T Remote algorithm analys ecg C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0207T Clear eyelid gland w/heat C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0208T Audiometry air only C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0209T Audiometry air & bone C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0210T Speech audiometry threshold C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0211T Speech audiom thresh & recog C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0212T Compre audiometry evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0213T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0214T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0215T Njx paravert w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0216T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0217T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0218T Njx paravert w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0219T Plmt post facet implt cerv C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0220T Plmt post facet implt thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0221T Plmt post facet implt lumb C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0222T Plmt post facet implt addl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0223T Acoustic ecg w/i&r C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0224T Acoustic ecg 1+ analysis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0225T Acoustic ecg analy & reprog C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0226T Anoscopy hra w/spec collect C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 0227T Anoscopy hra w/biopsy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 0228T Njx tfrml eprl w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 0229T Njx tfrml eprl w/us cer/thor C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 0230T Njx tfrml eprl w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 0231T Njx tfrml eprl w/us lumb/sac C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 0232T Njx platelet plasma C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 0233T Skin glycation spectroscopy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0234T Trluml perip athrc renal art C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0235T Trluml perip athrc visceral C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0236T Trluml perip athrc abd aorta C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0237T Trluml perip athrc brchiocph C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0238T Trluml perip athrc iliac art C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0239T Bioimpedance spectroscopy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0240T Esoph motility 3d topography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0240TTCEsoph motility 3d topography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0240T26Esoph motility 3d topography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0241T Esoph motility w/stim/perf C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0241TTCEsoph motility w/stim/perf C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0241T26Esoph motility w/stim/perf C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0242T Gi tract transit & pres meas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0242TTCGi tract transit & pres meas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0242T26Gi tract transit & pres meas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0243T Intm msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0243TTCIntm msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0243T26Intm msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0244T Cont msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0244TTCCont msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0244T26Cont msr bronchodil wheeze C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0245T Opn tx rib fx 1-2 ribs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0246T Opn tx rib fx 3-4 ribs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0247T Opn tx rib fx 5-6 ribs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0248T Opn tx rib fx 7+ ribs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 0249T Ligation hemorrhoid w/us C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0250T Insert bronchial valve C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0251T Remov bronchial valve C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0252T 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 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0253T Insert aqueous drain device C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0254T Evasc rpr iliac art bifur C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0255T Evasc rpr iliac art bifr s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0255TTCEvasc rpr iliac art bifr s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0255T26Evasc rpr iliac art bifr s&i C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0256T Evasc aortic hrt valve C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0257T Opn tthrc aortic hrt valve C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0258T Aortic hrt valv w/o card byp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0259T Aortic hrt valve w/card byp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0260T Hypthrm bdy neonate 28d/< C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0261T Hypthrm head neonate 28d/< C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 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 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0263T Im b1 mrw cel ther cmpl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0264T Im b1 mrw cel ther xcl hrvst C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0265T Im b1 mrw cel ther hrvst onl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0266T Implt/rpl crtd sns dev total C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0267T Implt/rpl crtd sns dev lead C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0268T Implt/rpl crtd sns dev gen C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0269T Rev/remvl crtd sns dev total C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0270T Rev/remvl crtd sns dev lead C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0271T Rev/remvl crtd sns dev gen C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0272T Interrogate crtd sns dev C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000999 33.9764 090 99 0.00 0.00 0.00 0273T Interrogate crtd sns w/pgrmg C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000999 33.9764 090 99 0.00 0.00 0.00 0274T Perq lamot/lam crv/thrc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 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 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 0500F Initial prenatal care visit M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0501F Prenatal flow sheet I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0502F Subsequent prenatal care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0503F Postpartum care visit I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0505F Hemodialysis plan docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0507F Periton dialysis plan docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0509F Urine incon plan docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0513F Elev bp plan of care docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0514F Care plan hgb docd esa pt M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0516F Anemia plan of care docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0517F Glaucoma plan of care docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0518F Fall plan of care docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0519F Pland chemo docd b/4 txmnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0520F Rad dos limts b/4 3d rad M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0521F Plan of care 4 pain docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0525F Initial visit for episode I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0526F Subs visit for episode M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0528F Rcmnd flw-up 10 yrs docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0529F Intrvl 3+yrs pts clnscp docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0535F Dyspnea mngmnt plan docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0540F Gluco mngmnt plan docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0545F Follow up care plan mdd docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 0575F HIV rna plan care docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1000F Tobacco use assessed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1002F Assess anginal symptom/level M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10021 Fna w/o image A 1.27 2.70 2.77 0.58 0.64 0.22 4.19 4.26 2.07 2.13 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 10022 Fna w/image A 1.27 2.61 2.46 0.52 0.52 0.14 4.02 3.87 1.93 1.93 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 1003F Level of activity assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1004F Clin symp vol ovrld assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10040 Acne surgery A 1.21 1.59 1.64 1.22 1.28 0.18 2.98 3.03 2.61 2.67 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1005F Asthma symptoms evaluate M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1006F Osteoarthritis assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10060 Drainage of skin abscess A 1.22 1.86 1.99 1.37 1.46 0.12 3.20 3.33 2.71 2.80 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 10061 Drainage of skin abscess A 2.45 2.59 2.74 1.93 2.03 0.30 5.34 5.49 4.68 4.78 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1007F Anti-inflm/anlgsc otc assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1008F Gi/renal risk assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10080 Drainage of pilonidal cyst A 1.22 3.48 3.60 1.46 1.58 0.20 4.90 5.02 2.88 3.00 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 10081 Drainage of pilonidal cyst A 2.50 4.61 4.76 1.97 2.13 0.45 7.56 7.71 4.92 5.08 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 10120 Remove foreign body A 1.25 2.54 2.65 1.25 1.33 0.16 3.95 4.06 2.66 2.74 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 10121 Remove foreign body A 2.74 4.52 4.79 2.21 2.36 0.41 7.67 7.94 5.36 5.51 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 10140 Drainage of hematoma/fluid A 1.58 2.75 2.92 1.63 1.69 0.20 4.53 4.70 3.41 3.47 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1015F Copd symptoms assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10160 Puncture drainage of lesion A 1.25 2.26 2.35 1.36 1.40 0.16 3.67 3.76 2.77 2.81 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1018F Assess dyspnea not present I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 10180 Complex drainage wound A 2.30 4.11 4.33 2.38 2.49 0.48 6.89 7.11 5.16 5.27 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1019F Assess dyspnea present I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1022F Pneumo imm status assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1026F Co-morbid condition assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1030F Influenza imm status assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1034F Current tobacco smoker I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1035F Smokeless tobacco user I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1036F Tobacco non-user M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1038F Persistent asthma M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1039F Intermittent asthma M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1040F Dsm-iv info mdd docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1050F History of mole changes I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1055F Visual funct status assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1060F Doc perm/cont/parox atr fib I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1061F Doc lack perm+cont+parox fib I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1065F Ischm stroke symp lt3 hrsb/4 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1066F Ischm stroke symp ge3 hrsb/4 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1070F Alarm symp assessed-absent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1071F Alarm symp assessed-1+ prsnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1090F Pres/absn urine incon assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1091F Urine incon characterized M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1100F Ptfalls assess-docd ge2+/yr M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11000 Debride infected skin A 0.60 0.88 0.92 0.22 0.21 0.05 1.53 1.57 0.87 0.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11001 Debride infected skin add-on A 0.30 0.29 0.29 0.11 0.10 0.03 0.62 0.62 0.44 0.43 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 11004 Debride genitalia & perineum A 10.80 4.53NA 4.70NA 4.53 4.70 1.89 17.22 17.39 17.22 17.39 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11005 Debride abdom wall A 14.24 5.87NA 6.30NA 5.87 6.30 2.97 23.08 23.51 23.08 23.51 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 11006 Debride genit/per/abdom wall A 13.10 5.57NA 5.82NA 5.57 5.82 2.34 21.01 21.26 21.01 21.26 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11008 Remove mesh from abd wall A 5.00 2.06NA 2.20NA 2.06 2.20 1.05 8.11 8.25 8.11 8.25 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 1101F Pt falls assess-docd le1/yr M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11010 Debride skin at fx site A 4.19 8.91 9.41 3.27 3.48 0.76 13.86 14.36 8.22 8.43 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 11011 Debride skin musc at fx site A 4.94 9.29 9.58 2.91 3.10 0.98 15.21 15.50 8.83 9.02 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 11012 Deb skin bone at fx site A 6.87 12.23 12.44 4.44 4.66 1.31 20.41 20.62 12.62 12.84 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 11042 Deb subq tissue 20 sq cm/< A 0.80 1.65 2.12 0.49 0.61 0.10 2.55 3.02 1.39 1.51 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11043 Deb musc/fascia 20 sq cm/< A 2.00 3.28 3.28 1.27 1.27 0.33 5.61 5.61 3.60 3.60 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11044 Deb bone 20 sq cm/< A 3.60 4.33 4.33 2.02 2.02 0.63 8.56 8.56 6.25 6.25 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11045 Deb subq tissue add-on A 0.33 0.51 0.51 0.13 0.13 0.07 0.91 0.91 0.53 0.53 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 11046 Deb musc/fascia add-on A 0.70 0.76 0.76 0.30 0.30 0.12 1.58 1.58 1.12 1.12 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 11047 Deb bone add-on A 1.20 1.18 1.18 0.53 0.53 0.22 2.60 2.60 1.95 1.95 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 11055 Trim skin lesion R 0.43 0.95 1.00 0.14 0.13 0.03 1.41 1.46 0.60 0.59 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11056 Trim skin lesions 2 to 4 R 0.61 1.04 1.09 0.20 0.18 0.04 1.69 1.74 0.85 0.83 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11057 Trim skin lesions over 4 R 0.79 1.16 1.22 0.26 0.24 0.05 2.00 2.06 1.10 1.08 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 1110F Pt lft inpt fac w/in 60 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11100 Biopsy skin lesion A 0.81 2.09 2.09 0.54 0.58 0.11 3.01 3.01 1.46 1.50 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11101 Biopsy skin add-on A 0.41 0.50 0.51 0.28 0.30 0.05 0.96 0.97 0.74 0.76 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 1111F Dschrg med/current med merge M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1116F Auric/peri pain assessed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1118F GERD symps assessed 12 month I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1119F Init eval for condition M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11200 Removal of skin tags A 0.82 1.53 1.60 1.14 1.21 0.11 2.46 2.53 2.07 2.14 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11201 Remove skin tags add-on A 0.29 0.22 0.24 0.16 0.18 0.04 0.55 0.57 0.49 0.51 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 1121F Subs eval for condition M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1123F Acp discuss/dscn mkr docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1124F Acp discuss-no dscnmkr docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1125F Amnt pain noted pain prsnt M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1126F Amnt pain noted none prsnt M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1130F Bk pain + fxn assessed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11300 Shave skin lesion A 0.51 1.41 1.44 0.30 0.33 0.07 1.99 2.02 0.88 0.91 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11301 Shave skin lesion A 0.85 1.74 1.77 0.54 0.59 0.11 2.70 2.73 1.50 1.55 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11302 Shave skin lesion A 1.05 2.04 2.07 0.68 0.74 0.14 3.23 3.26 1.87 1.93 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11303 Shave skin lesion A 1.24 2.39 2.44 0.78 0.86 0.18 3.81 3.86 2.20 2.28 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11305 Shave skin lesion A 0.67 1.27 1.32 0.27 0.26 0.05 1.99 2.04 0.99 0.98 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11306 Shave skin lesion A 0.99 1.66 1.71 0.51 0.52 0.11 2.76 2.81 1.61 1.62 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11307 Shave skin lesion A 1.14 1.99 2.03 0.65 0.68 0.14 3.27 3.31 1.93 1.96 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11308 Shave skin lesion A 1.41 2.07 2.14 0.68 0.70 0.14 3.62 3.69 2.23 2.25 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11310 Shave skin lesion A 0.73 1.63 1.66 0.45 0.49 0.10 2.46 2.49 1.28 1.32 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11311 Shave skin lesion A 1.05 1.91 1.94 0.68 0.74 0.14 3.10 3.13 1.87 1.93 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11312 Shave skin lesion A 1.20 2.23 2.26 0.79 0.86 0.18 3.61 3.64 2.17 2.24 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 11313 Shave skin lesion A 1.62 2.62 2.68 1.04 1.14 0.24 4.48 4.54 2.90 3.00 0000.00.00.0029000 33.9764 090 99 0.00 0.00 0.00 1134F Epsd bk pain for =< 6 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1135F Epsd bk pain for > 6 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1136F Epsd bk pain for <= 12 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1137F Epsd bk pain for > 12 wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11400 Exc tr-ext b9+marg 0.5 < cm A 0.90 2.42 2.49 1.23 1.31 0.12 3.44 3.51 2.25 2.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11401 Exc tr-ext b9+marg 0.6-1 cm A 1.28 2.73 2.82 1.49 1.60 0.20 4.21 4.30 2.97 3.08 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11402 Exc tr-ext b9+marg 1.1-2 cm A 1.45 3.00 3.10 1.59 1.70 0.24 4.69 4.79 3.28 3.39 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11403 Exc tr-ext b9+marg 2.1-3 cm A 1.84 3.24 3.39 2.03 2.20 0.31 5.39 5.54 4.18 4.35 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11404 Exc tr-ext b9+marg 3.1-4 cm A 2.11 3.65 3.81 2.15 2.32 0.37 6.13 6.29 4.63 4.80 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11406 Exc tr-ext b9+marg > 4.0 cm A 3.52 4.55 4.88 2.79 3.09 0.67 8.74 9.07 6.98 7.28 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11420 Exc h-f-nk-sp b9+marg 0.5 < A 1.03 2.28 2.37 1.20 1.26 0.12 3.43 3.52 2.35 2.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11421 Exc h-f-nk-sp b9+marg 0.6-1 A 1.47 2.77 2.88 1.52 1.61 0.22 4.46 4.57 3.21 3.30 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11422 Exc h-f-nk-sp b9+marg 1.1-2 A 1.68 3.03 3.15 1.95 2.08 0.26 4.97 5.09 3.89 4.02 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11423 Exc h-f-nk-sp b9+marg 2.1-3 A 2.06 3.37 3.50 2.14 2.29 0.33 5.76 5.89 4.53 4.68 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11424 Exc h-f-nk-sp b9+marg 3.1-4 A 2.48 3.73 3.88 2.29 2.45 0.41 6.62 6.77 5.18 5.34 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11426 Exc h-f-nk-sp b9+marg > 4 cm A 4.09 4.67 4.93 3.10 3.36 0.71 9.47 9.73 7.90 8.16 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11440 Exc face-mm b9+marg 0.5 < cm A 1.05 2.58 2.65 1.71 1.81 0.16 3.79 3.86 2.92 3.02 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11441 Exc face-mm b9+marg 0.6-1 cm A 1.53 3.00 3.10 2.01 2.13 0.24 4.77 4.87 3.78 3.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11442 Exc face-mm b9+marg 1.1-2 cm A 1.77 3.32 3.43 2.15 2.28 0.29 5.38 5.49 4.21 4.34 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11443 Exc face-mm b9+marg 2.1-3 cm A 2.34 3.69 3.84 2.45 2.61 0.38 6.41 6.56 5.17 5.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11444 Exc face-mm b9+marg 3.1-4 cm A 3.19 4.35 4.56 2.88 3.11 0.52 8.06 8.27 6.59 6.82 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11446 Exc face-mm b9+marg > 4 cm A 4.80 5.50 5.93 3.80 4.19 0.80 11.10 11.53 9.40 9.79 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11450 Removal sweat gland lesion A 3.22 6.63 7.02 3.20 3.52 0.65 10.50 10.89 7.07 7.39 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 11451 Removal sweat gland lesion A 4.43 8.09 8.40 3.82 4.16 0.90 13.42 13.73 9.15 9.49 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 11462 Removal sweat gland lesion A 3.00 6.71 7.02 3.19 3.47 0.60 10.31 10.62 6.79 7.07 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 11463 Removal sweat gland lesion A 4.43 8.39 8.61 3.99 4.31 0.88 13.70 13.92 9.30 9.62 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 11470 Removal sweat gland lesion A 3.74 7.03 7.50 3.53 3.90 0.71 11.48 11.95 7.98 8.35 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 11471 Removal sweat gland lesion A 4.89 8.40 8.89 4.07 4.49 0.91 14.20 14.69 9.87 10.29 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 1150F Doc pt rsk death w/in 1yr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1151F Doc no pt rsk death w/in 1yr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1152F Doc advncd dis comfort 1st I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1153F Doc advncd dis cmfrt not 1st I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1157F Advnc care plan in rcrd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1158F Advnc care plan tlk docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1159F Med list docd in rcrd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 1160F Rvw meds by rx/dr in rcrd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11600 Exc tr-ext mlg+marg 0.5 < cm A 1.63 3.47 3.64 1.52 1.68 0.26 5.36 5.53 3.41 3.57 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11601 Exc tr-ext mlg+marg 0.6-1 cm A 2.07 4.14 4.28 1.96 2.11 0.31 6.52 6.66 4.34 4.49 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11602 Exc tr-ext mlg+marg 1.1-2 cm A 2.27 4.52 4.64 2.17 2.34 0.34 7.13 7.25 4.78 4.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11603 Exc tr-ext mlg+marg 2.1-3 cm A 2.82 4.86 5.05 2.44 2.67 0.42 8.10 8.29 5.68 5.91 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11604 Exc tr-ext mlg+marg 3.1-4 cm A 3.17 5.29 5.51 2.56 2.81 0.52 8.98 9.20 6.25 6.50 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11606 Exc tr-ext mlg+marg > 4 cm A 5.02 6.82 7.29 3.34 3.76 0.88 12.72 13.19 9.24 9.66 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11620 Exc h-f-nk-sp mlg+marg 0.5 < A 1.64 3.56 3.71 1.57 1.73 0.26 5.46 5.61 3.47 3.63 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11621 Exc h-f-nk-sp mlg+marg 0.6-1 A 2.08 4.18 4.32 1.99 2.14 0.31 6.57 6.71 4.38 4.53 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11622 Exc h-f-nk-sp mlg+marg 1.1-2 A 2.41 4.62 4.74 2.27 2.43 0.37 7.40 7.52 5.05 5.21 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11623 Exc h-f-nk-sp mlg+marg 2.1-3 A 3.11 5.05 5.25 2.61 2.85 0.49 8.65 8.85 6.21 6.45 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11624 Exc h-f-nk-sp mlg+marg 3.1-4 A 3.62 5.50 5.75 2.81 3.07 0.60 9.72 9.97 7.03 7.29 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11626 Exc h-f-nk-sp mlg+mar > 4 cm A 4.61 6.33 6.64 3.26 3.54 0.80 11.74 12.05 8.67 8.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11640 Exc face-mm malig+marg 0.5 < A 1.67 3.74 3.88 1.69 1.83 0.26 5.67 5.81 3.62 3.76 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11641 Exc face-mm malig+marg 0.6-1 A 2.17 4.36 4.46 2.12 2.25 0.33 6.86 6.96 4.62 4.75 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11642 Exc face-mm malig+marg 1.1-2 A 2.62 4.85 4.96 2.43 2.59 0.39 7.86 7.97 5.44 5.60 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11643 Exc face-mm malig+marg 2.1-3 A 3.42 5.30 5.49 2.84 3.07 0.54 9.26 9.45 6.80 7.03 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11644 Exc face-mm malig+marg 3.1-4 A 4.34 6.36 6.62 3.38 3.66 0.71 11.41 11.67 8.43 8.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11646 Exc face-mm mlg+marg > 4 cm A 6.26 7.63 8.02 4.44 4.80 1.05 14.94 15.33 11.75 12.11 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 1170F Fxnl status assessed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11719 Trim nail(s) R 0.17 0.44 0.47 0.06 0.05 0.01 0.62 0.65 0.24 0.23 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11720 Debride nail 1-5 A 0.32 0.55 0.58 0.10 0.10 0.03 0.90 0.93 0.45 0.45 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 11721 Debride nail 6 or more A 0.54 0.65 0.67 0.18 0.16 0.04 1.23 1.25 0.76 0.74 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 11730 Removal of nail plate A 1.10 1.58 1.65 0.36 0.33 0.08 2.76 2.83 1.54 1.51 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11732 Remove nail plate add-on A 0.57 0.65 0.68 0.19 0.17 0.04 1.26 1.29 0.80 0.78 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 11740 Drain blood from under nail A 0.37 0.94 1.00 0.52 0.54 0.03 1.34 1.40 0.92 0.94 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11750 Removal of nail bed A 2.50 3.52 3.73 2.30 2.37 0.22 6.24 6.45 5.02 5.09 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11752 Remove nail bed/finger tip A 3.63 4.98 5.36 3.57 3.69 0.39 9.00 9.38 7.59 7.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11755 Biopsy nail unit A 1.31 2.39 2.48 0.93 0.93 0.11 3.81 3.90 2.35 2.35 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11760 Repair of nail bed A 1.63 4.30 4.69 1.94 2.03 0.26 6.19 6.58 3.83 3.92 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11762 Reconstruction of nail bed A 2.94 4.54 4.86 2.24 2.22 0.31 7.79 8.11 5.49 5.47 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11765 Excision of nail fold toe A 0.74 3.14 3.36 1.20 1.27 0.05 3.93 4.15 1.99 2.06 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11770 Removal of pilonidal lesion A 2.66 4.49 4.75 2.06 2.25 0.52 7.67 7.93 5.24 5.43 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 11771 Removal of pilonidal lesion A 6.09 8.58 9.25 4.98 5.45 1.24 15.91 16.58 12.31 12.78 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 11772 Removal of pilonidal lesion A 7.35 10.25 10.88 7.24 7.80 1.47 19.07 19.70 16.06 16.62 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 1180F Thromboemb risk assessed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11900 Injection into skin lesions A 0.52 1.04 1.04 0.34 0.38 0.07 1.63 1.63 0.93 0.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11901 Added skin lesions injection A 0.80 1.15 1.17 0.54 0.59 0.11 2.06 2.08 1.45 1.50 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11920 Correct skin color defects R 1.61 3.20 3.11 1.48 1.58 0.31 5.12 5.03 3.40 3.50 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11921 Correct skin color defects R 1.93 3.60 3.58 1.71 1.84 0.37 5.90 5.88 4.01 4.14 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11922 Correct skin color defects R 0.49 1.20 1.22 0.31 0.35 0.08 1.77 1.79 0.88 0.92 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 11950 Therapy for contour defects R 0.84 1.12 1.05 0.49 0.48 0.10 2.06 1.99 1.43 1.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11951 Therapy for contour defects R 1.19 1.50 1.50 0.69 0.74 0.24 2.93 2.93 2.12 2.17 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11952 Therapy for contour defects R 1.69 1.84 1.61 0.88 0.80 0.24 3.77 3.54 2.81 2.73 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11954 Therapy for contour defects R 1.85 2.49 2.55 1.23 1.38 0.35 4.69 4.75 3.43 3.58 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11960 Insert tissue expander(s) A 11.49 13.02NA 12.99NA 13.02 12.99 1.84 26.35 26.32 26.35 26.32 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 11970 Replace tissue expander A 8.01 8.32NA 9.01NA 8.32 9.01 1.57 17.90 18.59 17.90 18.59 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 11971 Remove tissue expander(s) A 3.41 9.44 9.46 5.08 5.35 0.64 13.49 13.51 9.13 9.40 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 11975 Insert contraceptive cap N+ 1.48 2.11 2.13 0.64 0.65 0.10 3.69 3.71 2.22 2.23 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11976 Removal of contraceptive cap R 1.78 2.16 2.13 0.75 0.83 0.30 4.24 4.21 2.83 2.91 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11977 Removal/reinsert contra cap N+ 3.30 2.95 2.96 1.43 1.45 0.24 6.49 6.50 4.97 4.99 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 11980 Implant hormone pellet(s) A 1.48 1.33 1.36 0.68 0.73 0.23 3.04 3.07 2.39 2.44 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 11981 Insert drug implant device A 1.48 2.21 2.17 0.74 0.71 0.24 3.93 3.89 2.46 2.43 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11982 Remove drug implant device A 1.78 2.36 2.23 0.90 0.84 0.24 4.38 4.25 2.92 2.86 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 11983 Remove/insert drug implant A 3.30 2.86 2.54 1.55 1.35 0.35 6.51 6.19 5.20 5.00 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 1200F Seizure type& frequ docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 12001 Repair superficial wound(s) A 0.84 1.83 1.51 0.64 0.37 0.14 2.81 2.49 1.62 1.35 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12002 Repair superficial wound(s) A 1.14 1.97 1.71 0.75 0.46 0.19 3.30 3.04 2.08 1.79 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12004 Repair superficial wound(s) A 1.44 2.24 1.91 0.85 0.55 0.24 3.92 3.59 2.53 2.23 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12005 Repair superficial wound(s) A 1.97 2.75 2.38 1.03 0.72 0.33 5.05 4.68 3.33 3.02 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12006 Repair superficial wound(s) A 2.39 3.30 2.86 1.27 0.90 0.41 6.10 5.66 4.07 3.70 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12007 Repair superficial wound(s) A 2.90 3.71 3.19 1.49 1.07 0.50 7.11 6.59 4.89 4.47 0000.00.00.0020110 33.9764 090 99 0.00 0.00 0.00 12011 Repair superficial wound(s) A 1.07 2.11 1.86 0.68 0.43 0.19 3.37 3.12 1.94 1.69 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12013 Repair superficial wound(s) A 1.22 2.20 1.87 0.77 0.46 0.20 3.62 3.29 2.19 1.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12014 Repair superficial wound(s) A 1.57 2.46 2.07 0.89 0.57 0.26 4.29 3.90 2.72 2.40 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12015 Repair superficial wound(s) A 1.98 2.95 2.45 1.03 0.66 0.33 5.26 4.76 3.34 2.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12016 Repair superficial wound(s) A 2.68 3.44 2.91 1.29 0.91 0.46 6.58 6.05 4.43 4.05 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 12017 Repair superficial wound(s) A 3.18 1.34NA 0.76NA 1.34 0.76 0.56 5.08 4.50 5.08 4.50 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 12018 Repair superficial wound(s) A 3.61 1.77NA 0.85NA 1.77 0.85 0.64 6.02 5.10 6.02 5.10 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 12020 Closure of split wound A 2.67 4.71 4.91 2.33 2.46 0.42 7.80 8.00 5.42 5.55 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12021 Closure of split wound A 1.89 2.44 2.62 1.80 1.93 0.31 4.64 4.82 4.00 4.13 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12031 Intmd wnd repair s/tr/ext A 2.20 4.51 4.74 2.19 2.40 0.35 7.06 7.29 4.74 4.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12032 Intmd wnd repair s/tr/ext A 2.52 5.99 6.04 2.83 2.97 0.38 8.89 8.94 5.73 5.87 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12034 Intmd wnd repair s/tr/ext A 2.97 5.40 5.63 2.51 2.71 0.50 8.87 9.10 5.98 6.18 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12035 Intmd wnd repair s/tr/ext A 3.47 6.65 6.87 2.81 2.97 0.64 10.76 10.98 6.92 7.08 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12036 Intmd wnd repair s/tr/ext A 4.09 6.89 7.21 3.05 3.24 0.78 11.76 12.08 7.92 8.11 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12037 Intmd wnd repair s/tr/ext A 4.71 7.57 7.87 3.57 3.77 0.90 13.18 13.48 9.18 9.38 0010.10.80.1020010 33.9764 090 99 0.00 0.00 0.00 12041 Intmd wnd repair n-hf/genit A 2.42 4.58 4.84 2.24 2.46 0.37 7.37 7.63 5.03 5.25 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12042 Intmd wnd repair n-hg/genit A 2.79 5.24 5.36 2.65 2.85 0.41 8.44 8.56 5.85 6.05 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12044 Intmd wnd repair n-hg/genit A 3.19 6.29 6.69 2.51 2.70 0.52 10.00 10.40 6.22 6.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12045 Intmd wnd repair n-hg/genit A 3.68 6.41 6.59 2.78 2.91 0.63 10.72 10.90 7.09 7.22 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12046 Intmd wnd repair n-hg/genit A 4.29 7.59 7.76 3.29 3.45 0.84 12.72 12.89 8.42 8.58 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 12047 Intmd wnd repair n-hg/genit A 4.69 8.21 8.56 3.47 3.50 0.91 13.81 14.16 9.07 9.10 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 1205F EPI etiol synd rvwd and docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 12051 Intmd wnd repair face/mm A 2.52 4.89 5.02 2.44 2.62 0.39 7.80 7.93 5.35 5.53 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12052 Intmd wnd repair face/mm A 2.87 5.61 5.77 3.10 3.34 0.42 8.90 9.06 6.39 6.63 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12053 Intmd wnd repair face/mm A 3.17 6.16 6.43 2.68 2.88 0.50 9.83 10.10 6.35 6.55 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12054 Intmd wnd repair face/mm A 3.50 6.34 6.67 2.59 2.76 0.59 10.43 10.76 6.68 6.85 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12055 Intmd wnd repair face/mm A 4.47 7.32 7.80 2.79 2.97 0.73 12.52 13.00 7.99 8.17 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 12056 Intmd wnd repair face/mm A 5.28 8.99 9.94 4.12 4.85 0.67 14.94 15.89 10.07 10.80 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 12057 Intmd wnd repair face/mm A 6.00 10.28 11.61 4.39 4.77 0.76 17.04 18.37 11.15 11.53 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 1220F Pt screened for depression I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 13100 Repair of wound or lesion A 3.17 5.44 5.50 3.23 3.36 0.50 9.11 9.17 6.90 7.03 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13101 Repair of wound or lesion A 3.96 7.01 7.11 3.84 4.03 0.61 11.58 11.68 8.41 8.60 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13102 Repair wound/lesion add-on A 1.24 1.68 1.76 0.76 0.83 0.23 3.15 3.23 2.23 2.30 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 13120 Repair of wound or lesion A 3.35 5.61 5.68 3.36 3.53 0.52 9.48 9.55 7.23 7.40 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13121 Repair of wound or lesion A 4.42 7.82 7.97 4.56 4.81 0.67 12.91 13.06 9.65 9.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13122 Repair wound/lesion add-on A 1.44 1.78 1.84 0.85 0.93 0.26 3.48 3.54 2.55 2.63 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 13131 Repair of wound or lesion A 3.83 6.05 6.14 3.73 3.90 0.59 10.47 10.56 8.15 8.32 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13132 Repair of wound or lesion A 6.58 9.40 9.67 6.34 6.68 0.98 16.96 17.23 13.90 14.24 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13133 Repair wound/lesion add-on A 2.19 2.39 2.49 1.41 1.53 0.34 4.92 5.02 3.94 4.06 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 13150 Repair of wound or lesion A 3.85 5.95 6.06 3.63 3.84 0.61 10.41 10.52 8.09 8.30 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13151 Repair of wound or lesion A 4.49 6.70 6.82 4.23 4.43 0.67 11.86 11.98 9.39 9.59 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13152 Repair of wound or lesion A 6.37 9.08 9.31 5.28 5.55 0.95 16.40 16.63 12.60 12.87 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 13153 Repair wound/lesion add-on A 2.38 2.64 2.78 1.48 1.62 0.38 5.40 5.54 4.24 4.38 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 13160 Late closure of wound A 12.04 9.41NA 10.00NA 9.41 10.00 2.23 23.68 24.27 23.68 24.27 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 1400F Prkns diag rviewed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 14000 Skin tissue rearrangement A 6.37 10.64 10.96 7.38 7.72 1.13 18.14 18.46 14.88 15.22 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14001 Skin tissue rearrangement A 8.78 13.11 13.51 9.22 9.59 1.54 23.43 23.83 19.54 19.91 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14020 Skin tissue rearrangement A 7.22 11.94 12.28 8.50 8.83 1.21 20.37 20.71 16.93 17.26 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14021 Skin tissue rearrangement A 9.72 14.33 14.74 10.34 10.68 1.55 25.60 26.01 21.61 21.95 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14040 Skin tissue rearrangement A 8.60 12.54 12.92 9.12 9.45 1.32 22.46 22.84 19.04 19.37 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14041 Skin tissue rearrangement A 10.83 15.39 15.79 11.02 11.39 1.62 27.84 28.24 23.47 23.84 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14060 Skin tissue rearrangement A 9.23 12.18 12.64 9.50 9.92 1.42 22.83 23.29 20.15 20.57 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14061 Skin tissue rearrangement A 11.48 16.69 17.11 11.86 12.26 1.71 29.88 30.30 25.05 25.45 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 14301 Skin tissue rearrangement A 12.65 17.47 17.47 12.25 12.25 2.14 32.26 32.26 27.04 27.04 0090.10.71.1920200 33.9764 090 99 0.00 0.00 0.00 14302 Skin tissue rearrange add-on A 3.73 2.54 2.54 2.54 2.54 0.63 6.90 6.90 6.90 6.90 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 14350 Skin tissue rearrangement A 11.05 8.58NA 8.67NA 8.58 8.67 1.55 21.18 21.27 21.18 21.27 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15002 Wound prep trk/arm/leg A 3.65 5.48 5.83 2.36 2.59 0.65 9.78 10.13 6.66 6.89 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 15003 Wound prep addl 100 cm A 0.80 1.17 1.23 0.38 0.42 0.16 2.13 2.19 1.34 1.38 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 15004 Wound prep f/n/hf/g A 4.58 6.25 6.49 2.80 2.98 0.67 11.50 11.74 8.05 8.23 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 15005 Wnd prep f/n/hf/g addl cm A 1.60 1.62 1.73 0.76 0.85 0.31 3.53 3.64 2.67 2.76 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 15040 Harvest cultured skin graft A 2.00 4.99 5.03 1.37 1.46 0.37 7.36 7.40 3.74 3.83 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15050 Skin pinch graft A 5.57 9.77 10.46 6.64 7.09 0.90 16.24 16.93 13.11 13.56 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15100 Skin splt grft trnk/arm/leg A 9.90 13.24 13.60 9.22 9.76 1.95 25.09 25.45 21.07 21.61 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15101 Skin splt grft t/a/l add-on A 1.72 3.36 3.33 1.22 1.28 0.34 5.42 5.39 3.28 3.34 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15110 Epidrm autogrft trnk/arm/leg A 10.97 11.63 12.14 8.48 9.08 2.15 24.75 25.26 21.60 22.20 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15111 Epidrm autogrft t/a/l add-on A 1.85 1.23 1.22 0.88 0.90 0.38 3.46 3.45 3.11 3.13 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15115 Epidrm a-grft face/nck/hf/g A 11.28 12.01 12.84 9.13 9.83 1.85 25.14 25.97 22.26 22.96 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15116 Epidrm a-grft f/n/hf/g addl A 2.50 1.98 2.23 1.54 1.80 0.49 4.97 5.22 4.53 4.79 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15120 Skn splt a-grft fac/nck/hf/g A 11.16 14.63 15.53 10.12 10.88 1.93 27.72 28.62 23.21 23.97 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15121 Skn splt a-grft f/n/hf/g add A 2.67 4.58 4.69 1.88 2.01 0.50 7.75 7.86 5.05 5.18 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15130 Derm autograft trnk/arm/leg A 7.53 10.62 10.99 7.53 8.00 1.48 19.63 20.00 16.54 17.01 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15131 Derm autograft t/a/l add-on A 1.50 1.16 1.30 0.90 1.08 0.31 2.97 3.11 2.71 2.89 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15135 Derm autograft face/nck/hf/g A 11.03 12.41 13.27 9.58 10.27 1.88 25.32 26.18 22.49 23.18 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15136 Derm autograft f/n/hf/g add A 1.50 0.98 1.17 0.80 1.00 0.10 2.58 2.77 2.40 2.60 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15150 Cult epiderm grft t/arm/leg A 9.39 8.81 8.93 7.14 7.29 1.99 20.19 20.31 18.52 18.67 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15151 Cult epiderm grft t/a/l addl A 2.00 1.45 1.66 1.17 1.40 0.42 3.87 4.08 3.59 3.82 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15152 Cult epiderm graft t/a/l +% A 2.50 1.56 1.37 1.26 1.12 0.49 4.55 4.36 4.25 4.11 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15155 Cult epiderm graft f/n/hf/g A 10.14 7.90 6.90 6.52 5.54 0.76 18.80 17.80 17.42 16.44 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15156 Cult epidrm grft f/n/hfg add A 2.75 1.62 1.46 1.34 1.20 0.59 4.96 4.80 4.68 4.54 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15157 Cult epiderm grft f/n/hfg +% A 3.00 1.60 1.20 1.24 0.89 0.22 4.82 4.42 4.46 4.11 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15170 Acell graft trunk/arms/legs A 5.99 5.56 6.07 3.80 4.26 1.09 12.64 13.15 10.88 11.34 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 15171 Acell graft t/arm/leg add-on A 1.55 0.90 0.98 0.75 0.81 0.31 2.76 2.84 2.61 2.67 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15175 Acellular graft f/n/hf/g A 7.99 6.02 6.20 4.37 4.51 1.05 15.06 15.24 13.41 13.55 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15176 Acell graft f/n/hf/g add-on A 2.45 1.47 1.57 1.18 1.26 0.39 4.31 4.41 4.02 4.10 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15200 Skin full graft trunk A 9.15 13.04 13.84 8.81 9.57 1.65 23.84 24.64 19.61 20.37 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15201 Skin full graft trunk add-on A 1.32 2.74 2.80 0.80 0.90 0.26 4.32 4.38 2.38 2.48 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15220 Skin full graft sclp/arm/leg A 8.09 12.96 13.46 8.79 9.25 1.39 22.44 22.94 18.27 18.73 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15221 Skin full graft add-on A 1.19 2.58 2.61 0.73 0.79 0.23 4.00 4.03 2.15 2.21 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15240 Skin full grft face/genit/hf A 10.41 15.02 15.76 11.53 12.25 1.70 27.13 27.87 23.64 24.36 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15241 Skin full graft add-on A 1.86 3.20 3.33 1.18 1.29 0.33 5.39 5.52 3.37 3.48 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15260 Skin full graft een & lips A 11.64 16.01 16.76 12.15 12.83 1.77 29.42 30.17 25.56 26.24 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15261 Skin full graft add-on A 2.23 3.69 3.83 1.66 1.77 0.37 6.29 6.43 4.26 4.37 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15300 Apply skinallogrft t/arm/lg A 4.65 4.62 5.03 3.05 3.35 0.86 10.13 10.54 8.56 8.86 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15301 Apply sknallogrft t/a/l addl A 1.00 0.64 0.68 0.48 0.51 0.20 1.84 1.88 1.68 1.71 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15320 Apply skin allogrft f/n/hf/g A 5.36 4.77 4.96 3.07 3.16 0.73 10.86 11.05 9.16 9.25 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15321 Aply sknallogrft f/n/hfg add A 1.50 0.96 1.03 0.75 0.81 0.30 2.76 2.83 2.55 2.61 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15330 Aply acell alogrft t/arm/leg A 3.99 4.67 5.09 3.06 3.36 0.76 9.42 9.84 7.81 8.11 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15331 Aply acell grft t/a/l add-on A 1.00 0.67 0.75 0.53 0.59 0.20 1.87 1.95 1.73 1.79 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15335 Apply acell graft f/n/hf/g A 4.50 4.25 4.43 2.70 2.78 0.50 9.25 9.43 7.70 7.78 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15336 Aply acell grft f/n/hf/g add A 1.43 1.06 1.33 0.80 1.03 0.10 2.59 2.86 2.33 2.56 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 15340 Apply cult skin substitute A 3.82 4.75 4.90 3.41 3.56 0.52 9.09 9.24 7.75 7.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 15341 Apply cult skin sub add-on A 0.50 0.79 0.82 0.20 0.20 0.07 1.36 1.39 0.77 0.77 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15360 Apply cult derm sub t/a/l A 4.02 5.75 5.84 4.21 4.33 0.60 10.37 10.46 8.83 8.95 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 15361 Aply cult derm sub t/a/l add A 1.15 0.57 0.50 0.40 0.34 0.20 1.92 1.85 1.75 1.69 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15365 Apply cult derm sub f/n/hf/g A 4.30 5.20 5.31 3.80 3.90 0.41 9.91 10.02 8.51 8.61 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 15366 Apply cult derm f/hf/g add A 1.45 0.76 0.75 0.54 0.53 0.16 2.37 2.36 2.15 2.14 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15400 Apply skin xenograft t/a/l A 4.47 6.59 7.09 5.22 5.50 0.69 11.75 12.25 10.38 10.66 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15401 Apply skn xenogrft t/a/l add A 1.00 1.43 1.36 0.47 0.51 0.22 2.65 2.58 1.69 1.73 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15420 Apply skin xgraft f/n/hf/g A 4.98 7.11 7.29 5.61 5.78 0.67 12.76 12.94 11.26 11.43 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15421 Apply skn xgrft f/n/hf/g add A 1.50 1.58 1.69 0.74 0.82 0.30 3.38 3.49 2.54 2.62 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15430 Apply acellular xenograft A 6.20 8.46 9.01 7.82 8.30 1.05 15.71 16.26 15.07 15.55 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15431 Apply acellular xgraft add C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 15570 Form skin pedicle flap A 10.21 13.72 14.38 8.96 9.63 2.07 26.00 26.66 21.24 21.91 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15572 Form skin pedicle flap A 10.12 13.40 14.34 9.69 10.60 1.82 25.34 26.28 21.63 22.54 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15574 Form skin pedicle flap A 10.70 13.98 14.79 10.07 10.84 1.82 26.50 27.31 22.59 23.36 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15576 Form skin pedicle flap A 9.37 12.63 13.26 8.97 9.63 1.54 23.54 24.17 19.88 20.54 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15600 Skin graft A 2.01 7.04 6.96 3.61 3.76 0.38 9.43 9.35 6.00 6.15 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15610 Skin graft A 2.52 6.93 7.35 4.05 4.23 0.45 9.90 10.32 7.02 7.20 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15620 Skin graft A 3.75 8.37 8.47 5.09 5.39 0.61 12.73 12.83 9.45 9.75 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15630 Skin graft A 4.08 8.73 8.85 5.51 5.75 0.65 13.46 13.58 10.24 10.48 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15650 Transfer skin pedicle flap A 4.77 9.33 9.37 5.86 6.05 0.78 14.88 14.92 11.41 11.60 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15731 Forehead flap w/vasc pedicle A 14.38 16.62 17.56 13.43 14.38 2.41 33.41 34.35 30.22 31.17 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15732 Muscle-skin graft head/neck A 19.90 20.55 21.83 15.91 17.49 3.54 43.99 45.27 39.35 40.93 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15734 Muscle-skin graft trunk A 19.86 20.86 21.62 15.88 16.83 3.99 44.71 45.47 39.73 40.68 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15736 Muscle-skin graft arm A 17.04 18.94 19.62 13.81 14.86 3.36 39.34 40.02 34.21 35.26 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15738 Muscle-skin graft leg A 19.04 19.03 19.68 14.25 15.19 3.81 41.88 42.53 37.10 38.04 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15740 Island pedicle flap graft A 11.80 16.41 17.05 12.12 12.77 1.77 29.98 30.62 25.69 26.34 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15750 Neurovascular pedicle graft A 12.96 11.71NA 12.47NA 11.71 12.47 2.29 26.96 27.72 26.96 27.72 0090.10.71.1920200 33.9764 090 99 0.00 0.00 0.00 15756 Free myo/skin flap microvasc A 36.94 26.52NA 28.89NA 26.52 28.89 6.36 69.82 72.19 69.82 72.19 0090.10.71.1920220 33.9764 090 99 0.00 0.00 0.00 15757 Free skin flap microvasc A 37.15 26.05NA 28.34NA 26.05 28.34 5.92 69.12 71.41 69.12 71.41 0090.10.71.1920220 33.9764 090 99 0.00 0.00 0.00 15758 Free fascial flap microvasc A 36.90 26.00NA 28.16NA 26.00 28.16 5.92 68.82 70.98 68.82 70.98 0090.10.71.1920220 33.9764 090 99 0.00 0.00 0.00 15760 Composite skin graft A 9.86 13.44 14.16 9.57 10.26 1.58 24.88 25.60 21.01 21.70 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15770 Derma-fat-fascia graft A 8.96 9.05NA 9.78NA 9.05 9.78 1.63 19.64 20.37 19.64 20.37 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15775 Hair transplant punch grafts R 3.95 4.16 3.83 1.97 1.99 0.29 8.40 8.07 6.21 6.23 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 15776 Hair transplant punch grafts R 5.53 6.39 6.61 3.15 3.36 0.38 12.30 12.52 9.06 9.27 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 15780 Abrasion treatment of skin A 8.73 14.03 14.13 8.61 8.59 1.20 23.96 24.06 18.54 18.52 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15781 Abrasion treatment of skin A 5.02 10.05 10.41 6.90 7.17 0.76 15.83 16.19 12.68 12.95 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15782 Abrasion treatment of skin A 4.44 11.04 10.78 6.58 6.37 0.63 16.11 15.85 11.65 11.44 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15783 Abrasion treatment of skin A 4.41 9.15 9.29 5.98 6.29 0.63 14.19 14.33 11.02 11.33 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15786 Abrasion lesion single A 2.08 4.62 4.70 1.67 1.74 0.33 7.03 7.11 4.08 4.15 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 15787 Abrasion lesions add-on A 0.33 1.02 1.00 0.15 0.16 0.04 1.39 1.37 0.52 0.53 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 15788 Chemical peel face epiderm R 2.09 10.58 11.08 4.77 5.05 0.35 13.02 13.52 7.21 7.49 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15789 Chemical peel face dermal R 4.91 10.75 10.71 6.91 7.11 0.68 16.34 16.30 12.50 12.70 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15792 Chemical peel nonfacial R 1.86 10.34 10.56 5.54 5.62 0.30 12.50 12.72 7.70 7.78 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15793 Chemical peel nonfacial A 3.96 9.62 9.95 6.17 6.49 0.56 14.14 14.47 10.69 11.01 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15819 Plastic surgery neck A 10.65 8.13NA 7.58NA 8.13 7.58 2.10 20.88 20.33 20.88 20.33 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15820 Revision of lower eyelid A 6.27 8.81 9.43 7.33 7.98 1.24 16.32 16.94 14.84 15.49 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 15821 Revision of lower eyelid A 6.84 9.24 10.02 7.59 8.37 1.33 17.41 18.19 15.76 16.54 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 15822 Revision of upper eyelid A 4.62 7.21 7.72 5.77 6.29 0.82 12.65 13.16 11.21 11.73 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 15823 Revision of upper eyelid A 6.81 9.75 10.11 8.13 8.45 1.27 17.83 18.19 16.21 16.53 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 15824 Removal of forehead wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15825 Removal of neck wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15826 Removal of brow wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15828 Removal of face wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15829 Removal of skin wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15830 Exc skin abd R 17.11 13.76NA 15.07NA 13.76 15.07 3.39 34.26 35.57 34.26 35.57 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15832 Excise excessive skin tissue A 12.85 11.70NA 13.22NA 11.70 13.22 2.57 27.12 28.64 27.12 28.64 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15833 Excise excessive skin tissue A 11.90 11.24NA 12.54NA 11.24 12.54 2.33 25.47 26.77 25.47 26.77 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15834 Excise excessive skin tissue A 12.17 11.07NA 12.73NA 11.07 12.73 2.40 25.64 27.30 25.64 27.30 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15835 Excise excessive skin tissue A 12.99 11.58NA 13.30NA 11.58 13.30 2.56 27.13 28.85 27.13 28.85 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15836 Excise excessive skin tissue A 10.61 8.49NA 8.50NA 8.49 8.50 2.08 21.18 21.19 21.18 21.19 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15837 Excise excessive skin tissue A 9.55 12.61 14.45 8.91 10.00 2.01 24.17 26.01 20.47 21.56 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15838 Excise excessive skin tissue A 8.25 7.62NA 8.16NA 7.62 8.16 1.06 16.93 17.47 16.93 17.47 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15839 Excise excessive skin tissue A 10.50 12.71 13.44 8.88 9.49 1.93 25.14 25.87 21.31 21.92 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15840 Graft for face nerve palsy A 14.99 12.70NA 13.81NA 12.70 13.81 2.40 30.09 31.20 30.09 31.20 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15841 Graft for face nerve palsy A 25.99 20.34NA 22.80NA 20.34 22.80 3.36 49.69 52.15 49.69 52.15 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15842 Flap for face nerve palsy A 41.01 28.26NA 29.27NA 28.26 29.27 5.28 74.55 75.56 74.55 75.56 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15845 Skin and muscle repair face A 14.32 12.58NA 14.17NA 12.58 14.17 1.84 28.74 30.33 28.74 30.33 0090.10.71.1920200 33.9764 090 99 0.00 0.00 0.00 15847 Exc skin abd add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 15850 Removal of sutures B+ 0.78 1.68 1.61 0.34 0.34 0.05 2.51 2.44 1.17 1.17 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 15851 Removal of sutures A 0.86 1.77 1.84 0.37 0.42 0.12 2.75 2.82 1.35 1.40 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 15852 Dressing change not for burn A 0.86 0.38NA 0.41NA 0.38 0.41 0.14 1.38 1.41 1.38 1.41 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 15860 Test for blood flow in graft A 1.95 0.89NA 0.90NA 0.89 0.90 0.38 3.22 3.23 3.22 3.23 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 15876 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 15877 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 15878 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15879 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 15920 Removal of tail bone ulcer A 8.29 7.54NA 8.19NA 7.54 8.19 1.71 17.54 18.19 17.54 18.19 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15922 Removal of tail bone ulcer A 10.38 10.18NA 11.51NA 10.18 11.51 2.03 22.59 23.92 22.59 23.92 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15931 Remove sacrum pressure sore A 10.07 7.49NA 8.04NA 7.49 8.04 2.07 19.63 20.18 19.63 20.18 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15933 Remove sacrum pressure sore A 11.77 10.14NA 10.89NA 10.14 10.89 2.41 24.32 25.07 24.32 25.07 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15934 Remove sacrum pressure sore A 13.68 10.57NA 11.51NA 10.57 11.51 2.78 27.03 27.97 27.03 27.97 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15935 Remove sacrum pressure sore A 15.78 13.04NA 13.93NA 13.04 13.93 3.18 32.00 32.89 32.00 32.89 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15936 Remove sacrum pressure sore A 13.16 10.26NA 11.10NA 10.26 11.10 2.67 26.09 26.93 26.09 26.93 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15937 Remove sacrum pressure sore A 15.14 12.33NA 13.34NA 12.33 13.34 3.06 30.53 31.54 30.53 31.54 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15940 Remove hip pressure sore A 10.20 7.96NA 8.63NA 7.96 8.63 2.07 20.23 20.90 20.23 20.90 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15941 Remove hip pressure sore A 12.41 11.34NA 12.07NA 11.34 12.07 2.48 26.23 26.96 26.23 26.96 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15944 Remove hip pressure sore A 12.44 11.15NA 12.13NA 11.15 12.13 2.50 26.09 27.07 26.09 27.07 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15945 Remove hip pressure sore A 13.75 12.47NA 13.57NA 12.47 13.57 2.74 28.96 30.06 28.96 30.06 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 15946 Remove hip pressure sore A 24.12 19.21NA 20.86NA 19.21 20.86 4.82 48.15 49.80 48.15 49.80 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15950 Remove thigh pressure sore A 8.03 7.01NA 7.38NA 7.01 7.38 1.59 16.63 17.00 16.63 17.00 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 15951 Remove thigh pressure sore A 11.58 11.20NA 13.04NA 11.20 13.04 2.27 25.05 26.89 25.05 26.89 0090.10.71.1920010 33.9764 090 99 0.00 0.00 0.00 15952 Remove thigh pressure sore A 12.31 9.54NA 9.52NA 9.54 9.52 2.63 24.48 24.46 24.48 24.46 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 15953 Remove thigh pressure sore A 13.57 10.62NA 10.45NA 10.62 10.45 2.67 26.86 26.69 26.86 26.69 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15956 Remove thigh pressure sore A 16.79 13.63NA 14.86NA 13.63 14.86 3.42 33.84 35.07 33.84 35.07 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15958 Remove thigh pressure sore A 16.75 14.39NA 15.65NA 14.39 15.65 3.39 34.53 35.79 34.53 35.79 0090.10.71.1920110 33.9764 090 99 0.00 0.00 0.00 15999 Removal of pressure sore C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 16000 Initial treatment of burn(s) A 0.89 0.97 1.02 0.34 0.39 0.12 1.98 2.03 1.35 1.40 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 16020 Dress/debrid p-thick burn s A 0.80 1.48 1.56 0.75 0.82 0.11 2.39 2.47 1.66 1.73 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 16025 Dress/debrid p-thick burn m A 1.85 2.13 2.26 1.22 1.33 0.31 4.29 4.42 3.38 3.49 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 16030 Dress/debrid p-thick burn l A 2.08 2.71 2.86 1.40 1.52 0.37 5.16 5.31 3.85 3.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 16035 Incision of burn scab initi A 3.74 1.62NA 1.57NA 1.62 1.57 0.63 5.99 5.94 5.99 5.94 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 16036 Escharotomy addl incision A 1.50 0.65NA 0.67NA 0.65 0.67 0.27 2.42 2.44 2.42 2.44 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 17000 Destruct premalg lesion A 0.65 1.61 1.63 0.90 0.94 0.08 2.34 2.36 1.63 1.67 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17003 Destruct premalg les 2-14 A 0.07 0.13 0.12 0.05 0.05 0.01 0.21 0.20 0.13 0.13 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 17004 Destroy premlg lesions 15+ A 1.85 2.94 2.92 1.83 1.85 0.27 5.06 5.04 3.95 3.97 0010.10.80.1000100 33.9764 090 99 0.00 0.00 0.00 17106 Destruction of skin lesions A 3.69 5.76 5.85 3.92 4.02 0.53 9.98 10.07 8.14 8.24 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 17107 Destruction of skin lesions A 4.79 7.43 7.37 4.98 4.94 0.73 12.95 12.89 10.50 10.46 0090.10.71.1920100 33.9764 090 99 0.00 0.00 0.00 17108 Destruction of skin lesions A 7.49 9.70 10.06 6.65 6.85 1.31 18.50 18.86 15.45 15.65 0090.10.71.1920000 33.9764 090 99 0.00 0.00 0.00 17110 Destruct b9 lesion 1-14 A 0.70 2.41 2.40 1.23 1.28 0.08 3.19 3.18 2.01 2.06 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17111 Destruct lesion 15 or more A 0.97 2.71 2.72 1.41 1.46 0.12 3.80 3.81 2.50 2.55 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17250 Chemical cautery tissue A 0.50 1.63 1.68 0.48 0.51 0.07 2.20 2.25 1.05 1.08 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 17260 Destruction of skin lesions A 0.96 1.68 1.69 0.92 0.97 0.12 2.76 2.77 2.00 2.05 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17261 Destruction of skin lesions A 1.22 2.77 2.79 1.32 1.38 0.18 4.17 4.19 2.72 2.78 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17262 Destruction of skin lesions A 1.63 3.20 3.22 1.60 1.69 0.23 5.06 5.08 3.46 3.55 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17263 Destruction of skin lesions A 1.84 3.47 3.50 1.73 1.83 0.26 5.57 5.60 3.83 3.93 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17264 Destruction of skin lesions A 1.99 3.69 3.73 1.81 1.91 0.29 5.97 6.01 4.09 4.19 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17266 Destruction of skin lesions A 2.39 4.04 4.09 2.03 2.17 0.34 6.77 6.82 4.76 4.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17270 Destruction of skin lesions A 1.37 2.78 2.83 1.38 1.46 0.20 4.35 4.40 2.95 3.03 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17271 Destruction of skin lesions A 1.54 3.01 3.04 1.54 1.62 0.23 4.78 4.81 3.31 3.39 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17272 Destruction of skin lesions A 1.82 3.37 3.41 1.73 1.83 0.26 5.45 5.49 3.81 3.91 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17273 Destruction of skin lesions A 2.10 3.67 3.72 1.90 2.02 0.30 6.07 6.12 4.30 4.42 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17274 Destruction of skin lesions A 2.64 4.15 4.21 2.24 2.36 0.37 7.16 7.22 5.25 5.37 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17276 Destruction of skin lesions A 3.25 4.56 4.66 2.56 2.72 0.48 8.29 8.39 6.29 6.45 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17280 Destruction of skin lesions A 1.22 2.68 2.71 1.29 1.36 0.18 4.08 4.11 2.69 2.76 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17281 Destruction of skin lesions A 1.77 3.14 3.18 1.69 1.78 0.26 5.17 5.21 3.72 3.81 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17282 Destruction of skin lesions A 2.09 3.60 3.65 1.91 2.02 0.30 5.99 6.04 4.30 4.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17283 Destruction of skin lesions A 2.69 4.13 4.21 2.29 2.43 0.38 7.20 7.28 5.36 5.50 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17284 Destruction of skin lesions A 3.26 4.64 4.73 2.64 2.80 0.45 8.35 8.44 6.35 6.51 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17286 Destruction of skin lesions A 4.48 5.42 5.60 3.36 3.56 0.67 10.57 10.75 8.51 8.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17311 Mohs 1 stage h/n/hf/g A 6.20 12.59 12.16 4.32 4.65 0.87 19.66 19.23 11.39 11.72 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 17312 Mohs addl stage A 3.30 7.98 7.64 2.30 2.47 0.45 11.73 11.39 6.05 6.22 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 17313 Mohs 1 stage t/a/l A 5.56 11.59 11.18 3.88 4.17 0.78 17.93 17.52 10.22 10.51 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 17314 Mohs addl stage t/a/l A 3.06 7.40 7.08 2.13 2.29 0.42 10.88 10.56 5.61 5.77 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 17315 Mohs surg addl block A 0.87 1.38 1.36 0.61 0.65 0.11 2.36 2.34 1.59 1.63 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 17340 Cryotherapy of skin A 0.77 0.58 0.65 0.52 0.59 0.10 1.45 1.52 1.39 1.46 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17360 Skin peel therapy A 1.46 2.18 2.20 1.31 1.38 0.22 3.86 3.88 2.99 3.06 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 17380 Hair removal by electrolysis R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 17999 Skin tissue procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 19000 Drainage of breast lesion A 0.84 2.25 2.14 0.35 0.33 0.11 3.20 3.09 1.30 1.28 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 19001 Drain breast lesion add-on A 0.42 0.31 0.29 0.17 0.16 0.05 0.78 0.76 0.64 0.63 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 19020 Incision of breast lesion A 3.83 8.42 8.85 3.97 4.30 0.78 13.03 13.46 8.58 8.91 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19030 Injection for breast x-ray A 1.53 3.08 2.82 0.63 0.57 0.14 4.75 4.49 2.30 2.24 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19100 Bx breast percut w/o image A 1.27 2.65 2.76 0.50 0.55 0.26 4.18 4.29 2.03 2.08 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19101 Biopsy of breast open A 3.23 5.63 5.88 2.43 2.61 0.67 9.53 9.78 6.33 6.51 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 19102 Bx breast percut w/image A 2.00 4.04 3.72 0.82 0.76 0.22 6.26 5.94 3.04 2.98 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19103 Bx breast percut w/device A 3.69 11.92 11.10 1.51 1.43 0.48 16.09 15.27 5.68 5.60 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19105 Cryosurg ablate fa each A 3.69 55.82 49.17 1.60 1.61 0.39 59.90 53.25 5.68 5.69 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19110 Nipple exploration A 4.44 8.16 8.71 4.28 4.68 0.93 13.53 14.08 9.65 10.05 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19112 Excise breast duct fistula A 3.81 8.09 8.58 4.13 4.50 0.80 12.70 13.19 8.74 9.11 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 19120 Removal of breast lesion A 5.92 6.62 7.14 4.54 4.96 1.25 13.79 14.31 11.71 12.13 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19125 Excision breast lesion A 6.69 7.20 7.80 4.91 5.39 1.42 15.31 15.91 13.02 13.50 0090.10.71.1921110 33.9764 090 99 0.00 0.00 0.00 19126 Excision addl breast lesion A 2.93 1.16NA 1.27NA 1.16 1.27 0.63 4.72 4.83 4.72 4.83 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 19260 Removal of chest wall lesion A 17.78 13.56NA 14.15NA 13.56 14.15 3.96 35.30 35.89 35.30 35.89 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 19271 Revision of chest wall A 22.19 20.64NA 20.89NA 20.64 20.89 5.05 47.88 48.13 47.88 48.13 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 19272 Extensive chest wall surgery A 25.17 21.89NA 22.01NA 21.89 22.01 5.96 53.02 53.14 53.02 53.14 0090.10.71.1920210 33.9764 090 99 0.00 0.00 0.00 19290 Place needle wire breast A 1.27 3.30 3.07 0.53 0.48 0.12 4.69 4.46 1.92 1.87 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 19291 Place needle wire breast A 0.63 1.31 1.21 0.26 0.24 0.05 1.99 1.89 0.94 0.92 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 19295 Place breast clip percut A 0.00 2.65 2.44 2.65NA 2.44 NA 0.01 2.66 2.45 2.66 2.45 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 19296 Place po breast cath for rad A 3.63 111.86 108.19 1.75 1.89 0.73 116.22 112.55 6.11 6.25 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 19297 Place breast cath for rad A 1.72 0.69NA 0.75NA 0.69 0.75 0.35 2.76 2.82 2.76 2.82 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 19298 Place breast rad tube/caths A 6.00 28.90 24.78 2.81 2.83 0.76 35.66 31.54 9.57 9.59 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 19300 Removal of breast tissue A 5.31 8.19 8.53 5.07 5.53 1.13 14.63 14.97 11.51 11.97 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19301 Partical mastectomy A 10.13 6.23NA 7.01NA 6.23 7.01 2.15 18.51 19.29 18.51 19.29 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 19302 P-mastectomy w/ln removal A 13.99 8.56NA 9.32NA 8.56 9.32 2.98 25.53 26.29 25.53 26.29 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19303 Mast simple complete A 15.85 9.43NA 10.66NA 9.43 10.66 3.38 28.66 29.89 28.66 29.89 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19304 Mast subq A 7.95 6.68NA 7.31NA 6.68 7.31 1.67 16.30 16.93 16.30 16.93 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19305 Mast radical A 17.46 11.19NA 12.28NA 11.19 12.28 3.73 32.38 33.47 32.38 33.47 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19306 Mast rad urban type A 18.13 12.11NA 13.42NA 12.11 13.42 3.87 34.11 35.42 34.11 35.42 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19307 Mast mod rad A 18.23 12.02NA 13.22NA 12.02 13.22 3.87 34.12 35.32 34.12 35.32 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19316 Suspension of breast A 11.09 9.46NA 10.17NA 9.46 10.17 2.19 22.74 23.45 22.74 23.45 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19318 Reduction of large breast A 16.03 13.82NA 14.84NA 13.82 14.84 3.16 33.01 34.03 33.01 34.03 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19324 Enlarge breast A 6.80 5.84NA 6.14NA 5.84 6.14 1.46 14.10 14.40 14.10 14.40 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 19325 Enlarge breast with implant A 8.64 8.71NA 9.41NA 8.71 9.41 1.69 19.04 19.74 19.04 19.74 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 19328 Removal of breast implant A 6.48 6.76NA 7.31NA 6.76 7.31 1.28 14.52 15.07 14.52 15.07 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19330 Removal of implant material A 8.54 8.35NA 9.06NA 8.35 9.06 1.66 18.55 19.26 18.55 19.26 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19340 Immediate breast prosthesis A 13.99 8.94NA 14.04NA 8.94 14.04 2.75 25.68 30.78 25.68 30.78 0090.10.71.1921110 33.9764 090 99 0.00 0.00 0.00 19342 Delayed breast prosthesis A 12.63 12.19NA 13.23NA 12.19 13.23 2.44 27.26 28.30 27.26 28.30 0090.10.71.1921010 33.9764 090 99 0.00 0.00 0.00 19350 Breast reconstruction A 9.11 13.55 13.79 9.02 9.68 1.78 24.44 24.68 19.91 20.57 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19355 Correct inverted nipple(s) A 8.52 10.10 10.09 6.21 6.49 1.82 20.44 20.43 16.55 16.83 0090.10.71.1921000 33.9764 090 99 0.00 0.00 0.00 19357 Breast reconstruction A 18.50 21.46NA 23.69NA 21.46 23.69 3.62 43.58 45.81 43.58 45.81 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19361 Breast reconstr w/lat flap A 23.36 21.92NA 24.33NA 21.92 24.33 4.60 49.88 52.29 49.88 52.29 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19364 Breast reconstruction A 42.58 31.56NA 34.42NA 31.56 34.42 8.25 82.39 85.25 82.39 85.25 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19366 Breast reconstruction A 21.84 14.35NA 15.66NA 14.35 15.66 4.46 40.65 41.96 40.65 41.96 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19367 Breast reconstruction A 26.80 21.40NA 23.19NA 21.40 23.19 5.27 53.47 55.26 53.47 55.26 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19368 Breast reconstruction A 33.90 25.53NA 28.01NA 25.53 28.01 6.67 66.10 68.58 66.10 68.58 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19369 Breast reconstruction A 31.31 23.56NA 26.14NA 23.56 26.14 6.15 61.02 63.60 61.02 63.60 0090.10.71.1921210 33.9764 090 99 0.00 0.00 0.00 19370 Surgery of breast capsule A 9.17 9.24NA 10.00NA 9.24 10.00 1.80 20.21 20.97 20.21 20.97 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19371 Removal of breast capsule A 10.62 10.47NA 11.33NA 10.47 11.33 2.07 23.16 24.02 23.16 24.02 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19380 Revise breast reconstruction A 10.41 10.33NA 11.17NA 10.33 11.17 2.03 22.77 23.61 22.77 23.61 0090.10.71.1921100 33.9764 090 99 0.00 0.00 0.00 19396 Design custom breast implant A 2.17 4.42 5.12 1.39 1.58 0.45 7.04 7.74 4.01 4.20 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 19499 Breast surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 2000F Blood pressure measure M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20005 I&d abscess subfascial A 3.58 4.53 4.62 2.61 2.65 0.59 8.70 8.79 6.78 6.82 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 2001F Weight record I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2002F Clin sign vol ovrld assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2004F Initial exam involved joints I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2010F Vital signs recorded M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20100 Explore wound neck A 10.38 5.13NA 5.73NA 5.13 5.73 1.96 17.47 18.07 17.47 18.07 0010.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 20101 Explore wound chest A 3.23 7.71 7.88 1.97 2.03 0.69 11.63 11.80 5.89 5.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20102 Explore wound abdomen A 3.98 8.94 9.25 2.57 2.78 0.80 13.72 14.03 7.35 7.56 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20103 Explore wound extremity A 5.34 10.17 10.58 3.91 4.13 0.99 16.50 16.91 10.24 10.46 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 2014F Mental status assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20150 Excise epiphyseal bar A 14.75 11.25NA 12.53NA 11.25 12.53 2.93 28.93 30.21 28.93 30.21 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 2018F Hydration status assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2019F Dilated macul exam done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2020F Dilated fundus eval done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20200 Muscle biopsy A 1.46 3.94 4.11 0.96 1.03 0.33 5.73 5.90 2.75 2.82 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20205 Deep muscle biopsy A 2.35 4.98 5.26 1.55 1.67 0.56 7.89 8.17 4.46 4.58 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20206 Needle biopsy muscle A 0.99 6.18 5.63 0.69 0.63 0.10 7.27 6.72 1.78 1.72 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 2021F Dilat macul+ exam done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2022F Dil retina exam interp rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20220 Bone biopsy trocar/needle A 1.27 3.40 2.93 0.82 0.74 0.11 4.78 4.31 2.20 2.12 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20225 Bone biopsy trocar/needle A 1.87 15.82 13.27 1.24 1.14 0.23 17.92 15.37 3.34 3.24 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 2024F 7 field photo interp doc rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20240 Bone biopsy excisional A 3.28 2.76NA 2.84NA 2.76 2.84 0.52 6.56 6.64 6.56 6.64 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20245 Bone biopsy excisional A 8.95 7.84NA 8.30NA 7.84 8.30 1.65 18.44 18.90 18.44 18.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20250 Open bone biopsy A 5.19 4.68NA 4.96NA 4.68 4.96 1.22 11.09 11.37 11.09 11.37 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20251 Open bone biopsy A 5.72 5.08NA 5.26NA 5.08 5.26 1.32 12.12 12.30 12.12 12.30 0010.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 2026F Eye image valid to dx rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2027F Optic nerve head eval done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2028F Foot exam performed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2029F Complete phys skin exam done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2030F H2o stat docd normal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2031F H2o stat docd dehydrated I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2035F Tymp memb motion examd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2040F Bk pn xm on init visit date M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2044F Doc mntl tst b/4 bk trxmnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 2050F Wound char size etc docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20500 Injection of sinus tract A 1.28 1.79 1.66 1.20 1.10 0.12 3.19 3.06 2.60 2.50 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20501 Inject sinus tract for x-ray A 0.76 2.79 2.52 0.32 0.28 0.07 3.62 3.35 1.15 1.11 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20520 Removal of foreign body A 1.90 3.43 3.61 1.98 2.09 0.30 5.63 5.81 4.18 4.29 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20525 Removal of foreign body A 3.54 9.46 9.64 3.06 3.23 0.64 13.64 13.82 7.24 7.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20526 Ther injection carp tunnel A 0.94 1.09 1.13 0.59 0.62 0.14 2.17 2.21 1.67 1.70 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20550 Inj tendon sheath/ligament A 0.75 0.82 0.85 0.37 0.40 0.08 1.65 1.68 1.20 1.23 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20551 Inj tendon origin/insertion A 0.75 0.85 0.91 0.41 0.44 0.08 1.68 1.74 1.24 1.27 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20552 Inj trigger point 1/2 muscl A 0.66 0.81 0.86 0.35 0.40 0.07 1.54 1.59 1.08 1.13 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20553 Inject trigger points =/> 3 A 0.75 0.92 1.00 0.39 0.45 0.07 1.74 1.82 1.21 1.27 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20555 Place ndl musc/tis for rt A 6.00 2.83NA 2.81NA 2.83 2.81 0.86 9.69 9.67 9.69 9.67 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 2060F Pt talk eval hlthwkr re mdd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20600 Drain/inject joint/bursa A 0.66 0.83 0.86 0.41 0.42 0.07 1.56 1.59 1.14 1.15 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20605 Drain/inject joint/bursa A 0.68 0.94 0.98 0.44 0.45 0.08 1.70 1.74 1.20 1.21 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20610 Drain/inject joint/bursa A 0.79 1.35 1.43 0.55 0.58 0.12 2.26 2.34 1.46 1.49 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20612 Aspirate/inj ganglion cyst A 0.70 0.91 0.96 0.44 0.46 0.08 1.69 1.74 1.22 1.24 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20615 Treatment of bone cyst A 2.33 3.68 3.76 1.99 2.07 0.29 6.30 6.38 4.61 4.69 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20650 Insert and remove bone pin A 2.28 3.13 3.30 1.88 1.95 0.29 5.70 5.87 4.45 4.52 0010.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 20660 Apply rem fixation device A 4.00 2.09NA 2.22NA 2.09 2.22 1.10 7.19 7.32 7.19 7.32 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 20661 Application of head brace A 5.26 7.33NA 7.74NA 7.33 7.74 1.65 14.24 14.65 14.24 14.65 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20662 Application of pelvis brace A 6.38 5.59NA 4.72NA 5.59 4.72 0.61 12.58 11.71 12.58 11.71 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 20663 Application of thigh brace A 5.74 6.43NA 6.96NA 6.43 6.96 1.14 13.31 13.84 13.31 13.84 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 20664 Application of halo A 10.06 10.12NA 10.58NA 10.12 10.58 3.61 23.79 24.25 23.79 24.25 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20665 Removal of fixation device A 1.36 1.73 1.55 1.24 1.16 0.11 3.20 3.02 2.71 2.63 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 20670 Removal of support implant A 1.79 9.12 8.78 2.23 2.29 0.30 11.21 10.87 4.32 4.38 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 20680 Removal of support implant A 5.96 10.63 11.12 5.34 5.72 1.06 17.65 18.14 12.36 12.74 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 20690 Apply bone fixation device A 8.78 6.39NA 7.24NA 6.39 7.24 1.62 16.79 17.64 16.79 17.64 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20692 Apply bone fixation device A 16.27 12.48NA 14.32NA 12.48 14.32 2.80 31.55 33.39 31.55 33.39 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20693 Adjust bone fixation device A 6.06 6.14NA 6.36NA 6.14 6.36 1.08 13.28 13.50 13.28 13.50 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20694 Remove bone fixation device A 4.28 7.23 7.37 4.76 4.99 0.76 12.27 12.41 9.80 10.03 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20696 Comp multiplane ext fixation A 17.56 12.64NA 15.44NA 12.64 15.44 1.25 31.45 34.25 31.45 34.25 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20697 Comp ext fixate strut change A 0.00 49.27 57.76 49.27NA 57.76 NA 0.01 49.28 57.77 49.28 57.77 0000.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 20802 Replantation arm complete A 42.62 22.04NA 23.00NA 22.04 23.00 3.05 67.71 68.67 67.71 68.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20805 Replant forearm complete A 51.46 22.17NA 17.98NA 22.17 17.98 10.14 83.77 79.58 83.77 79.58 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20808 Replantation hand complete A 63.09 47.03NA 50.11NA 47.03 50.11 12.43 122.55 125.63 122.55 125.63 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20816 Replantation digit complete A 31.95 27.11NA 26.83NA 27.11 26.83 3.99 63.05 62.77 63.05 62.77 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20822 Replantation digit complete A 26.66 23.80NA 23.99NA 23.80 23.99 5.27 55.73 55.92 55.73 55.92 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20824 Replantation thumb complete A 31.95 25.52NA 24.04NA 25.52 24.04 6.29 63.76 62.28 63.76 62.28 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20827 Replantation thumb complete A 27.48 24.97NA 24.59NA 24.97 24.59 5.42 57.87 57.49 57.87 57.49 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20838 Replantation foot complete A 42.88 23.57NA 23.42NA 23.57 23.42 3.06 69.51 69.36 69.51 69.36 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 20900 Removal of bone for graft A 3.00 8.46 8.59 3.23 2.76 0.56 12.02 12.15 6.79 6.32 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 20902 Removal of bone for graft A 4.58 4.15NA 3.73NA 4.15 3.73 0.87 9.60 9.18 9.60 9.18 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 20910 Remove cartilage for graft A 5.53 6.13NA 6.28NA 6.13 6.28 0.71 12.37 12.52 12.37 12.52 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 20912 Remove cartilage for graft A 6.54 6.79NA 7.21NA 6.79 7.21 0.99 14.32 14.74 14.32 14.74 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 20920 Removal of fascia for graft A 5.51 5.58NA 5.86NA 5.58 5.86 0.69 11.78 12.06 11.78 12.06 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 20922 Removal of fascia for graft A 6.93 9.24 8.97 6.25 6.19 1.28 17.45 17.18 14.46 14.40 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20924 Removal of tendon for graft A 6.68 6.85NA 7.18NA 6.85 7.18 1.20 14.73 15.06 14.73 15.06 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20926 Removal of tissue for graft A 5.79 5.80NA 5.96NA 5.80 5.96 1.17 12.76 12.92 12.76 12.92 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 20930 Sp bone algrft morsel add-on B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20931 Sp bone algrft struct add-on A 1.81 0.99NA 1.02NA 0.99 1.02 0.56 3.36 3.39 3.36 3.39 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 20936 Sp bone agrft local add-on B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 20937 Sp bone agrft morsel add-on A 2.79 1.56NA 1.62NA 1.56 1.62 0.68 5.03 5.09 5.03 5.09 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 20938 Sp bone agrft struct add-on A 3.02 1.67NA 1.74NA 1.67 1.74 0.83 5.52 5.59 5.52 5.59 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 20950 Fluid pressure muscle A 1.26 5.65 5.58 1.16 1.21 0.23 7.14 7.07 2.65 2.70 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 20955 Fibula bone graft microvasc A 40.26 28.46NA 30.82NA 28.46 30.82 6.67 75.39 77.75 75.39 77.75 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20956 Iliac bone graft microvasc A 41.18 28.61NA 30.52NA 28.61 30.52 8.13 77.92 79.83 77.92 79.83 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20957 Mt bone graft microvasc A 42.61 24.83NA 28.51NA 24.83 28.51 8.41 75.85 79.53 75.85 79.53 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20962 Other bone graft microvasc A 39.21 30.31NA 33.05NA 30.31 33.05 7.73 77.25 79.99 77.25 79.99 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20969 Bone/skin graft microvasc A 45.43 31.04NA 33.65NA 31.04 33.65 6.67 83.14 85.75 83.14 85.75 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20970 Bone/skin graft iliac crest A 44.58 29.83NA 31.25NA 29.83 31.25 8.81 83.22 84.64 83.22 84.64 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20972 Bone/skin graft metatarsal A 44.51 19.65NA 17.67NA 19.65 17.67 3.43 67.59 65.61 67.59 65.61 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 20973 Bone/skin graft great toe A 47.27 28.38NA 34.47NA 28.38 34.47 3.38 79.03 85.12 79.03 85.12 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 20974 Electrical bone stimulation A 0.62 1.28 1.42 0.67 0.72 0.12 2.02 2.16 1.41 1.46 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 20975 Electrical bone stimulation A 2.60 2.01NA 2.09NA 2.01 2.09 0.59 5.20 5.28 5.20 5.28 0000.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 20979 Us bone stimulation A 0.62 0.82 0.84 0.29 0.29 0.08 1.52 1.54 0.99 0.99 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 20982 Ablate bone tumor(s) perq A 7.27 97.10 88.57 3.30 3.05 0.80 105.17 96.64 11.37 11.12 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 20985 Cptr-asst dir ms px A 2.50 1.39NA 1.49NA 1.39 1.49 0.49 4.38 4.48 4.38 4.48 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 21010 Incision of jaw joint A 11.04 8.76NA 9.51NA 8.76 9.51 1.42 21.22 21.97 21.22 21.97 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21011 Exc face les sc < 2 cm A 2.99 6.23 6.23 3.93 3.93 0.45 9.67 9.67 7.37 7.37 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21012 Exc face les sbq 2+ cm A 4.45 5.02NA 5.02NA 5.02 5.02 0.72 10.19 10.19 10.19 10.19 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21013 Exc face tum deep < 2 cm A 5.42 8.70 8.70 5.63 5.63 0.82 14.94 14.94 11.87 11.87 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21014 Exc face tum deep 2+ cm A 7.13 7.43NA 7.43NA 7.43 7.43 1.16 15.72 15.72 15.72 15.72 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21015 Resect face tum < 2 cm A 9.89 7.56NA 9.46NA 7.56 9.46 1.86 19.31 21.21 19.31 21.21 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21016 Resect face tum + cm A 15.26 13.01NA 13.01NA 13.01 13.01 2.91 31.18 31.18 31.18 31.18 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21025 Excision of bone lower jaw A 10.03 14.36 15.10 10.46 11.25 1.44 25.83 26.57 21.93 22.72 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21026 Excision of facial bone(s) A 5.70 11.09 11.70 7.90 8.38 0.83 17.62 18.23 14.43 14.91 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21029 Contour of face bone lesion A 8.39 12.43 13.15 8.88 9.52 1.65 22.47 23.19 18.92 19.56 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21030 Excise max/zygoma b9 tumor A 4.91 9.10 9.67 6.37 6.84 0.76 14.77 15.34 12.04 12.51 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21031 Remove exostosis mandible A 3.30 7.41 7.77 4.70 5.04 0.41 11.12 11.48 8.41 8.75 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21032 Remove exostosis maxilla A 3.34 7.55 7.92 4.57 4.92 0.42 11.31 11.68 8.33 8.68 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21034 Excise max/zygoma mlg tumor A 17.38 19.22 20.51 14.74 15.98 2.44 39.04 40.33 34.56 35.80 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21040 Excise mandible lesion A 4.91 9.22 9.80 6.37 6.92 0.75 14.88 15.46 12.03 12.58 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21044 Removal of jaw bone lesion A 12.80 11.42NA 12.31NA 11.42 12.31 1.78 26.00 26.89 26.00 26.89 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21045 Extensive jaw surgery A 18.37 15.34NA 16.65NA 15.34 16.65 2.52 36.23 37.54 36.23 37.54 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21046 Remove mandible cyst complex A 14.21 15.96NA 17.33NA 15.96 17.33 1.82 31.99 33.36 31.99 33.36 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 21047 Excise lwr jaw cyst w/repair A 20.07 15.59NA 17.15NA 15.59 17.15 2.59 38.25 39.81 38.25 39.81 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21048 Remove maxilla cyst complex A 14.71 16.11NA 17.74NA 16.11 17.74 1.89 32.71 34.34 32.71 34.34 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 21049 Excis uppr jaw cyst w/repair A 19.32 14.90NA 15.75NA 14.90 15.75 2.46 36.68 37.53 36.68 37.53 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21050 Removal of jaw joint A 11.76 11.75NA 12.40NA 11.75 12.40 2.30 25.81 26.46 25.81 26.46 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21060 Remove jaw joint cartilage A 11.07 10.65NA 11.65NA 10.65 11.65 2.34 24.06 25.06 24.06 25.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21070 Remove coronoid process A 8.62 8.62NA 9.08NA 8.62 9.08 1.10 18.34 18.80 18.34 18.80 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21073 Mnpj of tmj w/anesth A 3.45 7.12 7.61 3.27 3.68 0.68 11.25 11.74 7.40 7.81 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21076 Prepare face/oral prosthesis A 13.40 13.26 14.99 9.11 10.44 1.70 28.36 30.09 24.21 25.54 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 21077 Prepare face/oral prosthesis A 33.70 32.64 37.39 23.35 26.42 4.33 70.67 75.42 61.38 64.45 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21079 Prepare face/oral prosthesis A 22.31 22.81 25.68 15.48 17.65 2.87 47.99 50.86 40.66 42.83 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21080 Prepare face/oral prosthesis A 25.06 25.90 28.92 17.21 19.55 3.23 54.19 57.21 45.50 47.84 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21081 Prepare face/oral prosthesis A 22.85 23.93 26.78 15.73 17.80 2.95 49.73 52.58 41.53 43.60 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21082 Prepare face/oral prosthesis A 20.84 23.14 26.20 15.23 17.50 2.67 46.65 49.71 38.74 41.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21083 Prepare face/oral prosthesis A 19.27 22.66 25.56 14.18 16.33 1.37 43.30 46.20 34.82 36.97 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21084 Prepare face/oral prosthesis A 22.48 25.71 28.68 16.45 18.72 2.90 51.09 54.06 41.83 44.10 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21085 Prepare face/oral prosthesis A 8.99 10.82 12.59 6.36 7.20 3.35 23.16 24.93 18.70 19.54 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 21086 Prepare face/oral prosthesis A 24.88 23.82 27.93 16.82 19.30 3.20 51.90 56.01 44.90 47.38 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21087 Prepare face/oral prosthesis A 24.88 23.72 27.71 16.67 18.95 3.20 51.80 55.79 44.75 47.03 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21088 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100000 33.9764 090 99 0.00 0.00 0.00 21089 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000111 33.9764 090 99 0.00 0.00 0.00 21100 Maxillofacial fixation A 4.73 13.63 11.81 5.45 4.69 0.64 19.00 17.18 10.82 10.06 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21110 Interdental fixation A 5.99 15.73 16.65 12.24 13.03 0.76 22.48 23.40 18.99 19.78 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21116 Injection jaw joint x-ray A 0.81 3.41 3.32 0.35 0.38 0.05 4.27 4.18 1.21 1.24 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 21120 Reconstruction of chin A 5.10 12.53 12.98 8.93 9.44 1.01 18.64 19.09 15.04 15.55 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 21121 Reconstruction of chin A 7.81 14.05 15.00 10.44 11.18 0.54 22.40 23.35 18.79 19.53 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21122 Reconstruction of chin A 8.71 11.12NA 11.73NA 11.12 11.73 0.61 20.44 21.05 20.44 21.05 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21123 Reconstruction of chin A 11.34 13.41NA 15.49NA 13.41 15.49 0.80 25.55 27.63 25.55 27.63 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21125 Augmentation lower jaw bone A 10.80 75.92 74.00 10.28 11.43 2.14 88.86 86.94 23.22 24.37 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21127 Augmentation lower jaw bone A 12.44 94.49 96.07 11.83 13.18 1.59 108.52 110.10 25.86 27.21 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21137 Reduction of forehead A 10.24 8.87NA 9.21NA 8.87 9.21 2.00 21.11 21.45 21.11 21.45 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21138 Reduction of forehead A 12.87 11.39NA 12.30NA 11.39 12.30 1.82 26.08 26.99 26.08 26.99 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21139 Reduction of forehead A 15.02 12.87NA 14.11NA 12.87 14.11 1.06 28.95 30.19 28.95 30.19 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21141 Reconstruct midface lefort A 19.57 17.01NA 18.17NA 17.01 18.17 3.85 40.43 41.59 40.43 41.59 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21142 Reconstruct midface lefort A 20.28 16.48NA 18.51NA 16.48 18.51 4.00 40.76 42.79 40.76 42.79 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21143 Reconstruct midface lefort A 21.05 17.66NA 19.67NA 17.66 19.67 4.49 43.20 45.21 43.20 45.21 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21145 Reconstruct midface lefort A 23.94 18.27NA 20.34NA 18.27 20.34 1.69 43.90 45.97 43.90 45.97 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21146 Reconstruct midface lefort A 24.87 20.64NA 23.12NA 20.64 23.12 4.90 50.41 52.89 50.41 52.89 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21147 Reconstruct midface lefort A 26.47 19.77NA 20.90NA 19.77 20.90 1.88 48.12 49.25 48.12 49.25 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21150 Reconstruct midface lefort A 25.96 20.40NA 22.65NA 20.40 22.65 1.84 48.20 50.45 48.20 50.45 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21151 Reconstruct midface lefort A 29.02 24.96NA 24.43NA 24.96 24.43 3.74 57.72 57.19 57.72 57.19 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21154 Reconstruct midface lefort A 31.29 27.25NA 31.19NA 27.25 31.19 4.01 62.55 66.49 62.55 66.49 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21155 Reconstruct midface lefort A 35.22 26.00NA 28.50NA 26.00 28.50 2.50 63.72 66.22 63.72 66.22 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21159 Reconstruct midface lefort A 43.14 33.69NA 39.72NA 33.69 39.72 5.53 82.36 88.39 82.36 88.39 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21160 Reconstruct midface lefort A 47.19 28.47NA 28.73NA 28.47 28.73 3.36 79.02 79.28 79.02 79.28 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21172 Reconstruct orbit/forehead A 28.20 20.75NA 23.86NA 20.75 23.86 3.62 52.57 55.68 52.57 55.68 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21175 Reconstruct orbit/forehead A 33.56 25.08NA 28.70NA 25.08 28.70 12.03 70.67 74.29 70.67 74.29 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21179 Reconstruct entire forehead A 22.65 17.84NA 20.10NA 17.84 20.10 4.46 44.95 47.21 44.95 47.21 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21180 Reconstruct entire forehead A 25.58 20.06NA 22.30NA 20.06 22.30 3.29 48.93 51.17 48.93 51.17 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21181 Contour cranial bone lesion A 10.28 9.35NA 10.54NA 9.35 10.54 1.31 20.94 22.13 20.94 22.13 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21182 Reconstruct cranial bone A 32.58 21.74NA 22.59NA 21.74 22.59 4.18 58.50 59.35 58.50 59.35 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21183 Reconstruct cranial bone A 35.70 23.80NA 24.42NA 23.80 24.42 7.02 66.52 67.14 66.52 67.14 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21184 Reconstruct cranial bone A 38.62 27.00NA 30.48NA 27.00 30.48 7.62 73.24 76.72 73.24 76.72 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21188 Reconstruction of midface A 23.15 21.32NA 22.12NA 21.32 22.12 2.98 47.45 48.25 47.45 48.25 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21193 Reconst lwr jaw w/o graft A 18.90 15.70NA 17.86NA 15.70 17.86 4.04 38.64 40.80 38.64 40.80 0090.10.69.2122210 33.9764 090 99 0.00 0.00 0.00 21194 Reconst lwr jaw w/graft A 21.82 16.51NA 17.50NA 16.51 17.50 2.80 41.13 42.12 41.13 42.12 0090.10.69.2122200 33.9764 090 99 0.00 0.00 0.00 21195 Reconst lwr jaw w/o fixation A 19.16 17.94NA 19.33NA 17.94 19.33 2.45 39.55 40.94 39.55 40.94 0090.10.69.2122200 33.9764 090 99 0.00 0.00 0.00 21196 Reconst lwr jaw w/fixation A 20.83 19.78NA 21.71NA 19.78 21.71 2.67 43.28 45.21 43.28 45.21 0090.10.69.2122210 33.9764 090 99 0.00 0.00 0.00 21198 Reconstr lwr jaw segment A 15.71 16.30NA 17.54NA 16.30 17.54 2.18 34.19 35.43 34.19 35.43 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21199 Reconstr lwr jaw w/advance A 16.73 11.25NA 12.27NA 11.25 12.27 2.15 30.13 31.15 30.13 31.15 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21206 Reconstruct upper jaw bone A 15.59 17.12NA 19.43NA 17.12 19.43 3.09 35.80 38.11 35.80 38.11 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21208 Augmentation of facial bones A 11.42 39.19 40.95 11.05 11.44 2.25 52.86 54.62 24.72 25.11 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21209 Reduction of facial bones A 7.82 15.11 15.66 10.03 10.65 1.54 24.47 25.02 19.39 20.01 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21210 Face bone graft A 11.69 50.02 52.78 11.50 12.81 1.51 63.22 65.98 24.70 26.01 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21215 Lower jaw bone graft A 12.23 95.64 100.91 11.74 13.08 2.40 110.27 115.54 26.37 27.71 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 21230 Rib cartilage graft A 11.17 9.54NA 10.20NA 9.54 10.20 2.19 22.90 23.56 22.90 23.56 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21235 Ear cartilage graft A 7.50 12.81 13.27 8.26 8.75 1.10 21.41 21.87 16.86 17.35 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21240 Reconstruction of jaw joint A 16.07 14.19NA 15.56NA 14.19 15.56 2.04 32.30 33.67 32.30 33.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21242 Reconstruction of jaw joint A 14.59 13.16NA 14.20NA 13.16 14.20 1.88 29.63 30.67 29.63 30.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21243 Reconstruction of jaw joint A 24.53 21.08NA 23.17NA 21.08 23.17 3.16 48.77 50.86 48.77 50.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21244 Reconstruction of lower jaw A 13.62 15.62NA 16.73NA 15.62 16.73 1.93 31.17 32.28 31.17 32.28 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21245 Reconstruction of jaw A 13.12 18.33 19.00 11.87 12.48 1.67 33.12 33.79 26.66 27.27 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21246 Reconstruction of jaw A 12.92 10.07NA 10.74NA 10.07 10.74 1.65 24.64 25.31 24.64 25.31 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21247 Reconstruct lower jaw bone A 24.37 18.76NA 19.67NA 18.76 19.67 4.82 47.95 48.86 47.95 48.86 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21248 Reconstruction of jaw A 12.74 17.16 18.55 11.56 12.86 1.63 31.53 32.92 25.93 27.23 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21249 Reconstruction of jaw A 18.77 22.21 24.30 15.61 17.84 2.40 43.38 45.47 36.78 39.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21255 Reconstruct lower jaw bone A 18.46 19.79NA 19.71NA 19.79 19.71 2.35 40.60 40.52 40.60 40.52 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21256 Reconstruction of orbit A 17.66 14.90NA 16.50NA 14.90 16.50 2.26 34.82 36.42 34.82 36.42 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21260 Revise eye sockets A 17.90 19.86NA 21.70NA 19.86 21.70 1.27 39.03 40.87 39.03 40.87 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21261 Revise eye sockets A 34.07 24.21NA 23.56NA 24.21 23.56 6.72 65.00 64.35 65.00 64.35 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21263 Revise eye sockets A 31.01 22.29NA 22.22NA 22.29 22.22 2.20 55.50 55.43 55.50 55.43 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21267 Revise eye sockets A 20.69 22.45NA 24.03NA 22.45 24.03 4.08 47.22 48.80 47.22 48.80 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21268 Revise eye sockets A 27.07 21.64NA 20.50NA 21.64 20.50 5.34 54.05 52.91 54.05 52.91 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21270 Augmentation cheek bone A 10.63 15.63 17.21 9.26 10.57 1.51 27.77 29.35 21.40 22.71 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21275 Revision orbitofacial bones A 11.76 10.58NA 11.79NA 10.58 11.79 2.30 24.64 25.85 24.64 25.85 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21280 Revision of eyelid A 7.13 8.00NA 8.86NA 8.00 8.86 1.40 16.53 17.39 16.53 17.39 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21282 Revision of eyelid A 4.27 5.83NA 6.34NA 5.83 6.34 0.78 10.88 11.39 10.88 11.39 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 21295 Revision of jaw muscle/bone A 1.90 2.91NA 2.89NA 2.91 2.89 0.37 5.18 5.16 5.18 5.16 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21296 Revision of jaw muscle/bone A 4.78 6.37NA 5.91NA 6.37 5.91 0.61 11.76 11.30 11.76 11.30 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21299 Cranio/maxillofacial surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 21310 Treatment of nose fracture A 0.58 2.59 2.72 0.15 0.16 0.10 3.27 3.40 0.83 0.84 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 21315 Treatment of nose fracture A 1.83 5.77 6.01 2.32 2.44 0.29 7.89 8.13 4.44 4.56 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 21320 Treatment of nose fracture A 1.88 5.29 5.49 1.88 1.99 0.27 7.44 7.64 4.03 4.14 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 21325 Treatment of nose fracture A 4.18 9.02NA 9.11NA 9.02 9.11 0.67 13.87 13.96 13.87 13.96 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21330 Treatment of nose fracture A 5.79 10.22NA 10.49NA 10.22 10.49 0.73 16.74 17.01 16.74 17.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21335 Treatment of nose fracture A 9.02 11.34NA 11.81NA 11.34 11.81 1.22 21.58 22.05 21.58 22.05 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21336 Treat nasal septal fracture A 6.77 11.39NA 11.87NA 11.39 11.87 0.91 19.07 19.55 19.07 19.55 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21337 Treat nasal septal fracture A 3.39 7.78 8.08 4.69 4.99 0.52 11.69 11.99 8.60 8.90 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21338 Treat nasoethmoid fracture A 6.87 13.74NA 14.21NA 13.74 14.21 1.36 21.97 22.44 21.97 22.44 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21339 Treat nasoethmoid fracture A 8.50 13.51NA 13.36NA 13.51 13.36 1.66 23.67 23.52 23.67 23.52 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21340 Treatment of nose fracture A 11.49 9.93NA 10.10NA 9.93 10.10 1.48 22.90 23.07 22.90 23.07 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21343 Treatment of sinus fracture A 14.32 16.77NA 17.05NA 16.77 17.05 2.83 33.92 34.20 33.92 34.20 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21344 Treatment of sinus fracture A 21.57 19.88NA 22.00NA 19.88 22.00 7.74 49.19 51.31 49.19 51.31 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21345 Treat nose/jaw fracture A 9.06 12.81 13.05 8.53 8.72 1.17 23.04 23.28 18.76 18.95 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21346 Treat nose/jaw fracture A 11.45 14.46NA 14.75NA 14.46 14.75 1.48 27.39 27.68 27.39 27.68 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 21347 Treat nose/jaw fracture A 13.53 17.21NA 18.39NA 17.21 18.39 1.71 32.45 33.63 32.45 33.63 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21348 Treat nose/jaw fracture A 17.52 14.40NA 16.50NA 14.40 16.50 2.25 34.17 36.27 34.17 36.27 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21355 Treat cheek bone fracture A 4.45 8.01 8.45 4.71 5.14 0.56 13.02 13.46 9.72 10.15 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 21356 Treat cheek bone fracture A 4.83 8.93 9.27 5.51 5.83 0.71 14.47 14.81 11.05 11.37 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 21360 Treat cheek bone fracture A 7.19 7.50NA 8.12NA 7.50 8.12 0.91 15.60 16.22 15.60 16.22 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21365 Treat cheek bone fracture A 16.77 13.34NA 14.60NA 13.34 14.60 2.80 32.91 34.17 32.91 34.17 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21366 Treat cheek bone fracture A 18.60 15.07NA 17.29NA 15.07 17.29 3.67 37.34 39.56 37.34 39.56 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21385 Treat eye socket fracture A 9.57 9.74NA 10.14NA 9.74 10.14 1.22 20.53 20.93 20.53 20.93 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21386 Treat eye socket fracture A 9.57 8.16NA 8.44NA 8.16 8.44 1.88 19.61 19.89 19.61 19.89 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21387 Treat eye socket fracture A 10.11 9.99NA 10.45NA 9.99 10.45 1.97 22.07 22.53 22.07 22.53 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21390 Treat eye socket fracture A 11.23 10.21NA 11.26NA 10.21 11.26 1.89 23.33 24.38 23.33 24.38 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21395 Treat eye socket fracture A 14.70 12.08NA 13.68NA 12.08 13.68 1.88 28.66 30.26 28.66 30.26 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21400 Treat eye socket fracture A 1.50 3.60 3.79 2.62 2.78 0.27 5.37 5.56 4.39 4.55 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21401 Treat eye socket fracture A 3.68 9.47 9.52 4.41 4.59 0.72 13.87 13.92 8.81 8.99 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21406 Treat eye socket fracture A 7.42 7.79NA 8.69NA 7.79 8.69 0.95 16.16 17.06 16.16 17.06 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21407 Treat eye socket fracture A 9.02 8.47NA 9.18NA 8.47 9.18 1.59 19.08 19.79 19.08 19.79 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21408 Treat eye socket fracture A 12.78 11.30NA 12.55NA 11.30 12.55 2.52 26.60 27.85 26.60 27.85 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21421 Treat mouth roof fracture A 6.02 14.66 15.22 11.43 11.93 1.18 21.86 22.42 18.63 19.13 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21422 Treat mouth roof fracture A 8.73 9.63NA 10.25NA 9.63 10.25 1.13 19.49 20.11 19.49 20.11 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21423 Treat mouth roof fracture A 10.85 11.20NA 12.35NA 11.20 12.35 2.14 24.19 25.34 24.19 25.34 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21431 Treat craniofacial fracture A 7.90 12.36NA 12.48NA 12.36 12.48 1.55 21.81 21.93 21.81 21.93 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21432 Treat craniofacial fracture A 8.82 10.12NA 11.29NA 10.12 11.29 1.71 20.65 21.82 20.65 21.82 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21433 Treat craniofacial fracture A 26.29 18.31NA 18.87NA 18.31 18.87 5.19 49.79 50.35 49.79 50.35 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21435 Treat craniofacial fracture A 20.26 15.53NA 16.14NA 15.53 16.14 2.60 38.39 39.00 38.39 39.00 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21436 Treat craniofacial fracture A 30.30 24.22NA 27.24NA 24.22 27.24 5.97 60.49 63.51 60.49 63.51 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 21440 Treat dental ridge fracture A 3.44 12.04 12.52 9.21 9.55 0.67 16.15 16.63 13.32 13.66 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21445 Treat dental ridge fracture A 6.26 14.99 15.50 11.03 11.49 0.80 22.05 22.56 18.09 18.55 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21450 Treat lower jaw fracture A 3.71 12.57 13.23 9.55 9.90 0.65 16.93 17.59 13.91 14.26 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21451 Treat lower jaw fracture A 5.65 15.59 16.56 12.03 12.67 0.72 21.96 22.93 18.40 19.04 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21452 Treat lower jaw fracture A 2.40 14.13 13.35 7.08 7.20 0.48 17.01 16.23 9.96 10.08 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21453 Treat lower jaw fracture A 6.64 17.96 19.09 14.71 15.44 1.05 25.65 26.78 22.40 23.13 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21454 Treat lower jaw fracture A 7.36 8.03NA 8.72NA 8.03 8.72 0.93 16.32 17.01 16.32 17.01 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 21461 Treat lower jaw fracture A 9.31 48.52 51.58 16.62 17.48 1.40 59.23 62.29 27.33 28.19 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 21462 Treat lower jaw fracture A 11.01 50.40 53.07 17.55 18.68 1.42 62.83 65.50 29.98 31.11 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21465 Treat lower jaw fracture A 13.12 12.26NA 13.70NA 12.26 13.70 2.59 27.97 29.41 27.97 29.41 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21470 Treat lower jaw fracture A 17.54 15.09NA 16.63NA 15.09 16.63 2.90 35.53 37.07 35.53 37.07 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21480 Reset dislocated jaw A 0.61 1.97 2.01 0.24 0.26 0.10 2.68 2.72 0.95 0.97 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 21485 Reset dislocated jaw A 4.77 14.36 15.22 11.28 11.91 0.61 19.74 20.60 16.66 17.29 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 21490 Repair dislocated jaw A 12.95 11.92NA 12.84NA 11.92 12.84 2.56 27.43 28.35 27.43 28.35 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21495 Treat hyoid bone fracture A 6.79 12.98NA 13.77NA 12.98 13.77 0.86 20.63 21.42 20.63 21.42 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21497 Interdental wiring A 4.64 14.25 14.66 11.33 11.66 0.90 19.79 20.20 16.87 17.20 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21499 Head surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 21501 Drain neck/chest lesion A 3.98 8.28 8.59 4.65 4.86 0.75 13.01 13.32 9.38 9.59 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21502 Drain chest lesion A 7.55 5.85NA 5.71NA 5.85 5.71 1.61 15.01 14.87 15.01 14.87 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21510 Drainage of bone lesion A 6.20 6.16NA 6.32NA 6.16 6.32 1.46 13.82 13.98 13.82 13.98 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21550 Biopsy of neck/chest A 2.11 5.09 5.19 2.23 2.29 0.30 7.50 7.60 4.64 4.70 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 21552 Exc neck les sc 3+ cm A 6.49 5.61NA 5.61NA 5.61 5.61 1.28 13.38 13.38 13.38 13.38 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21554 Exc neck tum deep 5+ cm A 11.13 8.75NA 8.75NA 8.75 8.75 2.08 21.96 21.96 21.96 21.96 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21555 Exc neck les sc < 3 cm A 3.96 7.22 7.42 4.27 4.36 0.78 11.96 12.16 9.01 9.10 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21556 Exc neck tum deep < 5 cm A 7.66 6.02NA 6.89NA 6.02 6.89 1.44 15.12 15.99 15.12 15.99 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21557 Resect neck tum < 5 cm A 14.75 8.69NA 11.35NA 8.69 11.35 2.79 26.23 28.89 26.23 28.89 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21558 Resect neck tum 5+ cm A 21.58 15.18NA 15.18NA 15.18 15.18 4.08 40.84 40.84 40.84 40.84 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21600 Partial removal of rib A 7.26 7.67NA 8.08NA 7.67 8.08 1.57 16.50 16.91 16.50 16.91 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21610 Partial removal of rib A 15.91 12.44NA 14.01NA 12.44 14.01 5.72 34.07 35.64 34.07 35.64 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21615 Removal of rib A 10.45 6.64NA 6.49NA 6.64 6.49 2.46 19.55 19.40 19.55 19.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 21616 Removal of rib and nerves A 12.69 8.16NA 6.92NA 8.16 6.92 3.04 23.89 22.65 23.89 22.65 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 21620 Partial removal of sternum A 7.28 6.55NA 6.71NA 6.55 6.71 1.62 15.45 15.61 15.45 15.61 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21627 Sternal debridement A 7.30 7.24NA 7.33NA 7.24 7.33 1.65 16.19 16.28 16.19 16.28 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21630 Extensive sternum surgery A 19.18 14.23NA 14.84NA 14.23 14.84 4.04 37.45 38.06 37.45 38.06 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21632 Extensive sternum surgery A 19.68 12.65NA 12.81NA 12.65 12.81 4.94 37.27 37.43 37.27 37.43 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21685 Hyoid myotomy & suspension A 15.26 12.43NA 13.48NA 12.43 13.48 1.96 29.65 30.70 29.65 30.70 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 21700 Revision of neck muscle A 6.31 4.86NA 4.69NA 4.86 4.69 1.50 12.67 12.50 12.67 12.50 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21705 Revision of neck muscle/rib A 9.92 5.67NA 4.71NA 5.67 4.71 2.34 17.93 16.97 17.93 16.97 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21720 Revision of neck muscle A 5.80 5.30NA 5.84NA 5.30 5.84 2.07 13.17 13.71 13.17 13.71 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21725 Revision of neck muscle A 7.19 6.99NA 7.42NA 6.99 7.42 1.42 15.60 16.03 15.60 16.03 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21740 Reconstruction of sternum A 17.57 9.76NA 9.32NA 9.76 9.32 3.47 30.80 30.36 30.80 30.36 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21742 Repair stern/nuss w/o scope C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21743 Repair sternum/nuss w/scope C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21750 Repair of sternum separation A 11.40 6.83NA 6.65NA 6.83 6.65 2.71 20.94 20.76 20.94 20.76 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21800 Treatment of rib fracture A 1.01 1.78 1.91 1.85 2.00 0.18 2.97 3.10 3.04 3.19 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21805 Treatment of rib fracture A 2.88 4.14NA 4.21NA 4.14 4.21 0.67 7.69 7.76 7.69 7.76 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 21810 Treatment of rib fracture(s) A 7.03 6.62NA 7.23NA 6.62 7.23 1.63 15.28 15.89 15.28 15.89 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21820 Treat sternum fracture A 1.36 2.32 2.49 2.39 2.58 0.26 3.94 4.11 4.01 4.20 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21825 Treat sternum fracture A 7.76 7.07NA 7.10NA 7.07 7.10 1.82 16.65 16.68 16.65 16.68 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 21899 Neck/chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 21920 Biopsy soft tissue of back A 2.11 5.06 5.12 2.29 2.41 0.34 7.51 7.57 4.74 4.86 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 21925 Biopsy soft tissue of back A 4.63 6.94 7.34 4.48 4.82 0.93 12.50 12.90 10.04 10.38 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21930 Exc back les sc < 3 cm A 4.94 7.53 7.76 4.66 4.76 1.02 13.49 13.72 10.62 10.72 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 21931 Exc back les sc 3+ cm A 6.88 5.68NA 5.68NA 5.68 5.68 1.42 13.98 13.98 13.98 13.98 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21932 Exc back tum deep < 5 cm A 9.82 8.05NA 8.05NA 8.05 8.05 2.08 19.95 19.95 19.95 19.95 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21933 Exc back tum deep 5+ cm A 11.13 8.50NA 8.50NA 8.50 8.50 2.35 21.98 21.98 21.98 21.98 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 21935 Resect back tum < 5 cm A 15.72 11.36NA 11.67NA 11.36 11.67 3.21 30.29 30.60 30.29 30.60 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 21936 Resect back tum 5+ cm A 22.55 15.43NA 15.43NA 15.43 15.43 4.60 42.58 42.58 42.58 42.58 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22010 I&d p-spine c/t/cerv-thor A 12.75 11.31NA 11.97NA 11.31 11.97 3.29 27.35 28.01 27.35 28.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 22015 I&d p-spine l/s/ls A 12.64 11.20NA 11.74NA 11.20 11.74 3.08 26.92 27.46 26.92 27.46 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 22100 Remove part of neck vertebra A 11.00 10.57NA 11.28NA 10.57 11.28 3.96 25.53 26.24 25.53 26.24 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22101 Remove part thorax vertebra A 11.08 9.94NA 10.02NA 9.94 10.02 3.97 24.99 25.07 24.99 25.07 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22102 Remove part lumbar vertebra A 11.08 10.26NA 10.72NA 10.26 10.72 2.67 24.01 24.47 24.01 24.47 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22103 Remove extra spine segment A 2.34 1.31NA 1.36NA 1.31 1.36 0.64 4.29 4.34 4.29 4.34 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22110 Remove part of neck vertebra A 14.00 12.36NA 13.05NA 12.36 13.05 5.04 31.40 32.09 31.40 32.09 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22112 Remove part thorax vertebra A 14.07 11.84NA 12.88NA 11.84 12.88 5.05 30.96 32.00 30.96 32.00 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22114 Remove part lumbar vertebra A 14.07 12.11NA 12.75NA 12.11 12.75 2.78 28.96 29.60 28.96 29.60 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22116 Remove extra spine segment A 2.32 1.27NA 1.32NA 1.27 1.32 0.60 4.19 4.24 4.19 4.24 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22206 Cut spine 3 col thor A 37.18 24.60NA 26.32NA 24.60 26.32 7.32 69.10 70.82 69.10 70.82 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22207 Cut spine 3 col lumb A 36.68 24.34NA 26.02NA 24.34 26.02 9.20 70.22 71.90 70.22 71.90 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22208 Cut spine 3 col addl seg A 9.66 5.25NA 5.60NA 5.25 5.60 2.59 17.50 17.85 17.50 17.85 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22210 Revision of neck spine A 25.38 19.65NA 20.66NA 19.65 20.66 6.75 51.78 52.79 51.78 52.79 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22212 Revision of thorax spine A 20.99 16.96NA 17.94NA 16.96 17.94 4.97 42.92 43.90 42.92 43.90 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22214 Revision of lumbar spine A 21.02 17.06NA 17.90NA 17.06 17.90 5.12 43.20 44.04 43.20 44.04 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22216 Revise extra spine segment A 6.03 3.38NA 3.50NA 3.38 3.50 1.51 10.92 11.04 10.92 11.04 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22220 Revision of neck spine A 22.94 17.77NA 18.96NA 17.77 18.96 6.42 47.13 48.32 47.13 48.32 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22222 Revision of thorax spine A 23.09 16.09NA 19.26NA 16.09 19.26 4.55 43.73 46.90 43.73 46.90 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22224 Revision of lumbar spine A 23.09 17.71NA 18.80NA 17.71 18.80 5.38 46.18 47.27 46.18 47.27 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22226 Revise extra spine segment A 6.03 3.34NA 3.47NA 3.34 3.47 1.58 10.95 11.08 10.95 11.08 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22305 Treat spine process fracture A 2.13 2.88 3.06 2.43 2.59 0.41 5.42 5.60 4.97 5.13 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 22310 Treat spine fracture A 3.89 4.01 4.35 3.40 3.70 0.78 8.68 9.02 8.07 8.37 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 22315 Treat spine fracture A 10.11 12.76 13.50 9.79 10.42 2.55 25.42 26.16 22.45 23.08 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 22318 Treat odontoid fx w/o graft A 22.72 17.36NA 18.20NA 17.36 18.20 7.68 47.76 48.60 47.76 48.60 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22319 Treat odontoid fx w/graft A 25.33 18.76NA 20.03NA 18.76 20.03 9.11 53.20 54.47 53.20 54.47 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22325 Treat spine fracture A 19.87 16.18NA 17.09NA 16.18 17.09 5.69 41.74 42.65 41.74 42.65 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22326 Treat neck spine fracture A 20.84 16.22NA 17.09NA 16.22 17.09 6.30 43.36 44.23 43.36 44.23 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22327 Treat thorax spine fracture A 20.77 16.67NA 17.81NA 16.67 17.81 5.62 43.06 44.20 43.06 44.20 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22328 Treat each add spine fx A 4.60 2.51NA 2.61NA 2.51 2.61 1.36 8.47 8.57 8.47 8.57 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22505 Manipulation of spine A 1.87 1.30NA 1.42NA 1.30 1.42 0.29 3.46 3.58 3.46 3.58 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 22520 Percut vertebroplasty thor A 9.22 55.34 53.09 5.13 4.78 1.06 65.62 63.37 15.41 15.06 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 22521 Percut vertebroplasty lumb A 8.65 54.72 52.86 4.91 4.59 1.01 64.38 62.52 14.57 14.25 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 22522 Percut vertebroplasty addl A 4.30 1.96NA 1.88NA 1.96 1.88 0.54 6.80 6.72 6.80 6.72 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 22523 Percut kyphoplasty thor A 9.26 6.20NA 6.11NA 6.20 6.11 1.82 17.28 17.19 17.28 17.19 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 22524 Percut kyphoplasty lumbar A 8.86 6.01NA 5.94NA 6.01 5.94 1.74 16.61 16.54 16.61 16.54 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 22525 Percut kyphoplasty add-on A 4.47 2.34NA 2.32NA 2.34 2.32 0.95 7.76 7.74 7.76 7.74 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 22526 Idet single level N+ 6.10 54.88 58.74 2.92 3.48 0.54 61.52 65.38 9.56 10.12 9010.10.80.1099999 33.9764 090 99 0.00 0.00 0.00 22527 Idet 1 or more levels N+ 3.03 46.21 50.43 1.02 1.33 0.24 49.48 53.70 4.29 4.60 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 22532 Lat thorax spine fusion A 25.99 18.75NA 19.82NA 18.75 19.82 7.57 52.31 53.38 52.31 53.38 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22533 Lat lumbar spine fusion A 24.79 18.11NA 19.15NA 18.11 19.15 6.38 49.28 50.32 49.28 50.32 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22534 Lat thor/lumb addl seg A 5.99 3.30NA 3.41NA 3.30 3.41 1.59 10.88 10.99 10.88 10.99 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22548 Neck spine fusion A 27.06 20.26NA 21.72NA 20.26 21.72 9.72 57.04 58.50 57.04 58.50 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22551 Neck spine fuse&remov bel c2 A 25.00 18.57NA 18.57NA 18.57 18.57 7.57 51.14 51.14 51.14 51.14 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22552 Addl neck spine fusion A 6.50 3.64NA 3.64NA 3.64 3.64 1.78 11.92 11.92 11.92 11.92 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22554 Neck spine fusion A 17.69 14.22NA 14.64NA 14.22 14.64 5.47 37.38 37.80 37.38 37.80 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22556 Thorax spine fusion A 24.70 17.70NA 18.56NA 17.70 18.56 6.63 49.03 49.89 49.03 49.89 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22558 Lumbar spine fusion A 23.53 16.12NA 17.08NA 16.12 17.08 5.66 45.31 46.27 45.31 46.27 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22585 Additional spinal fusion A 5.52 2.98NA 3.09NA 2.98 3.09 1.59 10.09 10.20 10.09 10.20 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22590 Spine & skull spinal fusion A 21.76 17.30NA 18.18NA 17.30 18.18 7.05 46.11 46.99 46.11 46.99 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22595 Neck spinal fusion A 20.64 16.62NA 17.48NA 16.62 17.48 6.57 43.83 44.69 43.83 44.69 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22600 Neck spine fusion A 17.40 14.71NA 15.47NA 14.71 15.47 5.32 37.43 38.19 37.43 38.19 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22610 Thorax spine fusion A 17.28 14.53NA 15.28NA 14.53 15.28 4.86 36.67 37.42 36.67 37.42 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22612 Lumbar spine fusion A 23.53 17.15NA 17.97NA 17.15 17.97 6.23 46.91 47.73 46.91 47.73 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22614 Spine fusion extra segment A 6.43 3.56NA 3.67NA 3.56 3.67 1.77 11.76 11.87 11.76 11.87 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22630 Lumbar spine fusion A 22.09 16.84NA 17.60NA 16.84 17.60 6.27 45.20 45.96 45.20 45.96 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22632 Spine fusion extra segment A 5.22 2.87NA 2.97NA 2.87 2.97 1.50 9.59 9.69 9.59 9.69 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22800 Fusion of spine A 19.50 15.30NA 15.99NA 15.30 15.99 4.90 39.70 40.39 39.70 40.39 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22802 Fusion of spine A 32.11 22.55NA 23.55NA 22.55 23.55 7.51 62.17 63.17 62.17 63.17 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22804 Fusion of spine A 37.50 25.63NA 26.80NA 25.63 26.80 8.53 71.66 72.83 71.66 72.83 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22808 Fusion of spine A 27.51 19.27NA 20.13NA 19.27 20.13 7.27 54.05 54.91 54.05 54.91 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22810 Fusion of spine A 31.50 20.69NA 21.62NA 20.69 21.62 7.93 60.12 61.05 60.12 61.05 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22812 Fusion of spine A 34.25 23.99NA 25.73NA 23.99 25.73 6.75 64.99 66.73 64.99 66.73 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22818 Kyphectomy 1-2 segments A 34.33 23.17NA 24.74NA 23.17 24.74 6.76 64.26 65.83 64.26 65.83 0090.11.76.1320222 33.9764 090 99 0.00 0.00 0.00 22819 Kyphectomy 3 or more A 39.38 26.77NA 28.59NA 26.77 28.59 14.15 80.30 82.12 80.30 82.12 0090.11.76.1320222 33.9764 090 99 0.00 0.00 0.00 22830 Exploration of spinal fusion A 11.22 9.54NA 9.95NA 9.54 9.95 2.90 23.66 24.07 23.66 24.07 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22840 Insert spine fixation device A 12.52 6.91NA 7.14NA 6.91 7.14 3.48 22.91 23.14 22.91 23.14 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 22841 Insert spine fixation device B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 22842 Insert spine fixation device A 12.56 6.95NA 7.18NA 6.95 7.18 3.44 22.95 23.18 22.95 23.18 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22843 Insert spine fixation device A 13.44 7.43NA 7.74NA 7.43 7.74 3.50 24.37 24.68 24.37 24.68 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22844 Insert spine fixation device A 16.42 9.31NA 9.58NA 9.31 9.58 3.69 29.42 29.69 29.42 29.69 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22845 Insert spine fixation device A 11.94 6.50NA 6.73NA 6.50 6.73 3.66 22.10 22.33 22.10 22.33 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22846 Insert spine fixation device A 12.40 6.76NA 6.99NA 6.76 6.99 3.77 22.93 23.16 22.93 23.16 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22847 Insert spine fixation device A 13.78 7.48NA 7.68NA 7.48 7.68 4.95 26.21 26.41 26.21 26.41 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22848 Insert pelv fixation device A 5.99 3.40NA 3.50NA 3.40 3.50 1.39 10.78 10.88 10.78 10.88 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22849 Reinsert spinal fixation A 19.17 13.99NA 14.59NA 13.99 14.59 5.14 38.30 38.90 38.30 38.90 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22850 Remove spine fixation device A 9.82 8.58NA 8.96NA 8.58 8.96 2.61 21.01 21.39 21.01 21.39 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22851 Apply spine prosth device A 6.70 3.67NA 3.81NA 3.67 3.81 1.89 12.26 12.40 12.26 12.40 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 22852 Remove spine fixation device A 9.37 8.30NA 8.69NA 8.30 8.69 2.41 20.08 20.47 20.08 20.47 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22855 Remove spine fixation device A 15.86 12.19NA 12.74NA 12.19 12.74 4.75 32.80 33.35 32.80 33.35 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22856 Cerv artific diskectomy A 24.05 17.40NA 18.08NA 17.40 18.08 7.28 48.73 49.41 48.73 49.41 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22857 Lumbar artif diskectomy R 27.13 16.47NA 16.12NA 16.47 16.12 5.78 49.38 49.03 49.38 49.03 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22861 Revise cerv artific disc A 33.36 16.97NA 17.36NA 16.97 17.36 9.12 59.45 59.84 59.45 59.84 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22862 Revise lumbar artif disc R 32.63 17.17NA 17.53NA 17.17 17.53 6.42 56.22 56.58 56.22 56.58 0090.10.71.1920222 33.9764 090 99 0.00 0.00 0.00 22864 Remove cerv artif disc A 29.40 18.37NA 21.67NA 18.37 21.67 8.04 55.81 59.11 55.81 59.11 0090.10.69.2120220 33.9764 090 99 0.00 0.00 0.00 22865 Remove lumb artif disc R 31.75 21.67NA 21.07NA 21.67 21.07 6.25 59.67 59.07 59.67 59.07 0090.10.71.1920222 33.9764 090 99 0.00 0.00 0.00 22899 Spine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 22900 Exc abdl tum deep < 5 cm A 8.32 5.46NA 6.58NA 5.46 6.58 1.71 15.49 16.61 15.49 16.61 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22901 Exc abdl tum deep > 5 cm A 10.11 7.36NA 7.36NA 7.36 7.36 2.10 19.57 19.57 19.57 19.57 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22902 Exc abd les sc < 3 cm A 4.42 7.72 7.72 4.93 4.93 0.71 12.85 12.85 10.06 10.06 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22903 Exc abd les sc > 3 cm A 6.39 5.54NA 5.54NA 5.54 5.54 1.21 13.14 13.14 13.14 13.14 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 22904 Resect abd tum < 5 cm A 16.69 10.36NA 10.36NA 10.36 10.36 3.55 30.60 30.60 30.60 30.60 0090.09.81.1020211 33.9764 090 99 0.00 0.00 0.00 22905 Resect abd tum > 5 cm A 21.58 13.62NA 13.62NA 13.62 13.62 4.60 39.80 39.80 39.80 39.80 0090.09.81.1020211 33.9764 090 99 0.00 0.00 0.00 22999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 23000 Removal of calcium deposits A 4.48 10.62 11.32 5.23 5.56 0.86 15.96 16.66 10.57 10.90 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23020 Release shoulder joint A 9.36 8.83NA 9.21NA 8.83 9.21 1.80 19.99 20.37 19.99 20.37 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23030 Drain shoulder lesion A 3.47 8.27 8.55 3.30 3.45 0.68 12.42 12.70 7.45 7.60 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 23031 Drain shoulder bursa A 2.79 8.24 8.66 2.91 3.10 0.53 11.56 11.98 6.23 6.42 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23035 Drain shoulder bone lesion A 9.16 8.88NA 9.17NA 8.88 9.17 1.80 19.84 20.13 19.84 20.13 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23040 Exploratory shoulder surgery A 9.75 9.25NA 9.70NA 9.25 9.70 1.91 20.91 21.36 20.91 21.36 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23044 Exploratory shoulder surgery A 7.59 7.49NA 7.79NA 7.49 7.79 1.50 16.58 16.88 16.58 16.88 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23065 Biopsy shoulder tissues A 2.30 3.58 3.70 2.23 2.35 0.38 6.26 6.38 4.91 5.03 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23066 Biopsy shoulder tissues A 4.30 9.94 10.45 4.85 5.13 0.84 15.08 15.59 9.99 10.27 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23071 Exc shoulder les sc > 3 cm A 5.91 5.34NA 5.34NA 5.34 5.34 1.21 12.46 12.46 12.46 12.46 0090.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 23073 Exc shoulder tum deep > 5 cm A 10.13 8.47NA 8.47NA 8.47 8.47 2.04 20.64 20.64 20.64 20.64 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23075 Exc shoulder les sc < 3 cm A 4.21 6.51 8.46 3.35 4.51 0.86 11.58 13.53 8.42 9.58 0090.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23076 Exc shoulder tum deep < 5 cm A 7.41 6.82NA 6.99NA 6.82 6.99 1.51 15.74 15.91 15.74 15.91 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23077 Resect shoulder tum < 5 cm A 17.66 12.66NA 13.10NA 12.66 13.10 3.59 33.91 34.35 33.91 34.35 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23078 Resect shoulder tum > 5 cm A 22.55 14.04NA 14.04NA 14.04 14.04 4.82 41.41 41.41 41.41 41.41 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23100 Biopsy of shoulder joint A 6.20 6.91NA 7.34NA 6.91 7.34 1.22 14.33 14.76 14.33 14.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23101 Shoulder joint surgery A 5.72 6.17NA 6.42NA 6.17 6.42 1.13 13.02 13.27 13.02 13.27 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23105 Remove shoulder joint lining A 8.48 8.35NA 8.74NA 8.35 8.74 1.66 18.49 18.88 18.49 18.88 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23106 Incision of collarbone joint A 6.13 6.77NA 7.30NA 6.77 7.30 1.21 14.11 14.64 14.11 14.64 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23107 Explore treat shoulder joint A 8.87 8.59NA 8.99NA 8.59 8.99 1.71 19.17 19.57 19.17 19.57 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23120 Partial removal collar bone A 7.39 7.98NA 8.41NA 7.98 8.41 1.46 16.83 17.26 16.83 17.26 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23125 Removal of collar bone A 9.64 8.98NA 9.53NA 8.98 9.53 1.89 20.51 21.06 20.51 21.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23130 Remove shoulder bone part A 7.77 8.31NA 8.72NA 8.31 8.72 1.52 17.60 18.01 17.60 18.01 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23140 Removal of bone lesion A 7.12 6.55NA 6.98NA 6.55 6.98 1.42 15.09 15.52 15.09 15.52 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23145 Removal of bone lesion A 9.40 8.91NA 9.39NA 8.91 9.39 1.85 20.16 20.64 20.16 20.64 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23146 Removal of bone lesion A 8.08 8.06NA 8.71NA 8.06 8.71 1.59 17.73 18.38 17.73 18.38 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23150 Removal of humerus lesion A 8.91 8.46NA 8.87NA 8.46 8.87 1.71 19.08 19.49 19.08 19.49 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23155 Removal of humerus lesion A 10.86 10.04NA 10.59NA 10.04 10.59 2.14 23.04 23.59 23.04 23.59 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23156 Removal of humerus lesion A 9.11 8.73NA 9.22NA 8.73 9.22 1.80 19.64 20.13 19.64 20.13 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23170 Remove collar bone lesion A 7.21 7.21NA 7.94NA 7.21 7.94 1.42 15.84 16.57 15.84 16.57 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23172 Remove shoulder blade lesion A 7.31 7.43NA 8.00NA 7.43 8.00 1.46 16.20 16.77 16.20 16.77 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23174 Remove humerus lesion A 10.05 9.95NA 10.47NA 9.95 10.47 1.97 21.97 22.49 21.97 22.49 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23180 Remove collar bone lesion A 8.99 8.94NA 9.09NA 8.94 9.09 1.81 19.74 19.89 19.74 19.89 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23182 Remove shoulder blade lesion A 8.61 8.99NA 9.36NA 8.99 9.36 1.69 19.29 19.66 19.29 19.66 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23184 Remove humerus lesion A 9.90 9.68NA 9.95NA 9.68 9.95 1.91 21.49 21.76 21.49 21.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23190 Partial removal of scapula A 7.47 7.46NA 7.99NA 7.46 7.99 1.48 16.41 16.94 16.41 16.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23195 Removal of head of humerus A 10.36 9.53NA 10.07NA 9.53 10.07 2.03 21.92 22.46 21.92 22.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23200 Resect clavicle tumor A 22.71 14.19NA 18.34NA 14.19 18.34 4.48 41.38 45.53 41.38 45.53 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23210 Resect scapula tumor A 27.21 15.85NA 21.02NA 15.85 21.02 5.36 48.42 53.59 48.42 53.59 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23220 Resect prox humerus tumor A 30.21 17.29NA 22.49NA 17.29 22.49 5.96 53.46 58.66 53.46 58.66 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23330 Remove shoulder foreign body A 1.90 4.36 4.52 2.09 2.17 0.35 6.61 6.77 4.34 4.42 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 23331 Remove shoulder foreign body A 7.63 7.98NA 8.36NA 7.98 8.36 1.50 17.11 17.49 17.11 17.49 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23332 Remove shoulder foreign body A 12.37 10.96NA 11.47NA 10.96 11.47 2.40 25.73 26.24 25.73 26.24 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23350 Injection for shoulder x-ray A 1.00 3.26 2.97 0.42 0.40 0.10 4.36 4.07 1.52 1.50 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 23395 Muscle transfer shoulder/arm A 18.54 15.44NA 16.23NA 15.44 16.23 3.59 37.57 38.36 37.57 38.36 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23397 Muscle transfers A 16.76 13.42NA 14.10NA 13.42 14.10 3.31 33.49 34.17 33.49 34.17 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23400 Fixation of shoulder blade A 13.87 11.82NA 12.38NA 11.82 12.38 2.74 28.43 28.99 28.43 28.99 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23405 Incision of tendon & muscle A 8.54 8.06NA 8.37NA 8.06 8.37 1.66 18.26 18.57 18.26 18.57 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23406 Incise tendon(s) & muscle(s) A 11.01 9.58NA 9.97NA 9.58 9.97 2.16 22.75 23.14 22.75 23.14 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 23410 Repair rotator cuff acute A 11.39 10.42NA 10.82NA 10.42 10.82 2.22 24.03 24.43 24.03 24.43 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23412 Repair rotator cuff chronic A 11.93 10.76NA 11.14NA 10.76 11.14 2.31 25.00 25.38 25.00 25.38 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23415 Release of shoulder ligament A 9.23 9.17NA 9.60NA 9.17 9.60 1.81 20.21 20.64 20.21 20.64 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23420 Repair of shoulder A 13.54 12.17NA 12.68NA 12.17 12.68 2.65 28.36 28.87 28.36 28.87 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23430 Repair biceps tendon A 10.17 9.47NA 10.03NA 9.47 10.03 1.97 21.61 22.17 21.61 22.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23440 Remove/transplant tendon A 10.64 9.35NA 9.75NA 9.35 9.75 2.07 22.06 22.46 22.06 22.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23450 Repair shoulder capsule A 13.70 11.32NA 11.87NA 11.32 11.87 2.71 27.73 28.28 27.73 28.28 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23455 Repair shoulder capsule A 14.67 11.93NA 12.47NA 11.93 12.47 2.86 29.46 30.00 29.46 30.00 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23460 Repair shoulder capsule A 15.82 13.05NA 13.65NA 13.05 13.65 3.13 32.00 32.60 32.00 32.60 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23462 Repair shoulder capsule A 15.72 12.61NA 13.27NA 12.61 13.27 3.12 31.45 32.11 31.45 32.11 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23465 Repair shoulder capsule A 16.30 13.21NA 13.86NA 13.21 13.86 3.21 32.72 33.37 32.72 33.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23466 Repair shoulder capsule A 15.80 13.76NA 14.45NA 13.76 14.45 3.12 32.68 33.37 32.68 33.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23470 Reconstruct shoulder joint A 17.89 14.12NA 14.75NA 14.12 14.75 3.51 35.52 36.15 35.52 36.15 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23472 Reconstruct shoulder joint A 22.65 16.94NA 17.76NA 16.94 17.76 4.42 44.01 44.83 44.01 44.83 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23480 Revision of collar bone A 11.54 10.13NA 10.66NA 10.13 10.66 2.26 23.93 24.46 23.93 24.46 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 23485 Revision of collar bone A 13.91 11.48NA 12.00NA 11.48 12.00 2.72 28.11 28.63 28.11 28.63 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23490 Reinforce clavicle A 12.16 10.93NA 12.09NA 10.93 12.09 2.40 25.49 26.65 25.49 26.65 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23491 Reinforce shoulder bones A 14.54 12.25NA 12.84NA 12.25 12.84 2.87 29.66 30.25 29.66 30.25 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23500 Treat clavicle fracture A 2.21 3.48 3.66 3.51 3.75 0.41 6.10 6.28 6.13 6.37 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23505 Treat clavicle fracture A 3.83 5.36 5.65 4.83 5.12 0.72 9.91 10.20 9.38 9.67 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23515 Treat clavicle fracture A 9.69 9.36NA 10.05NA 9.36 10.05 1.89 20.94 21.63 20.94 21.63 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23520 Treat clavicle dislocation A 2.29 3.68 3.97 3.75 4.06 0.44 6.41 6.70 6.48 6.79 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23525 Treat clavicle dislocation A 3.79 5.98 6.89 5.13 5.83 0.73 10.50 11.41 9.65 10.35 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23530 Treat clavicle dislocation A 7.48 7.19NA 7.99NA 7.19 7.99 1.48 16.15 16.95 16.15 16.95 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23532 Treat clavicle dislocation A 8.20 8.25NA 8.67NA 8.25 8.67 1.61 18.06 18.48 18.06 18.48 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 23540 Treat clavicle dislocation A 2.36 3.44 3.61 3.45 3.71 0.42 6.22 6.39 6.23 6.49 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23545 Treat clavicle dislocation A 3.43 5.08 5.40 4.31 4.58 0.60 9.11 9.43 8.34 8.61 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23550 Treat clavicle dislocation A 7.59 7.52NA 7.85NA 7.52 7.85 1.47 16.58 16.91 16.58 16.91 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23552 Treat clavicle dislocation A 8.82 8.59NA 9.00NA 8.59 9.00 1.70 19.11 19.52 19.11 19.52 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23570 Treat shoulder blade fx A 2.36 3.69 3.89 3.83 4.08 0.44 6.49 6.69 6.63 6.88 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23575 Treat shoulder blade fx A 4.23 6.17 6.62 5.50 5.92 0.83 11.23 11.68 10.56 10.98 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 23585 Treat scapula fracture A 14.23 11.43NA 12.35NA 11.43 12.35 2.76 28.42 29.34 28.42 29.34 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23600 Treat humerus fracture A 3.11 5.40 5.65 4.77 5.09 0.60 9.11 9.36 8.48 8.80 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23605 Treat humerus fracture A 5.06 7.20 7.54 6.16 6.48 0.98 13.24 13.58 12.20 12.52 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23615 Treat humerus fracture A 12.30 11.03NA 11.67NA 11.03 11.67 2.40 25.73 26.37 25.73 26.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23616 Treat humerus fracture A 18.37 14.80NA 15.25NA 14.80 15.25 3.58 36.75 37.20 36.75 37.20 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 23620 Treat humerus fracture A 2.55 4.49 4.74 4.10 4.38 0.49 7.53 7.78 7.14 7.42 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23625 Treat humerus fracture A 4.10 5.89 6.19 5.20 5.48 0.78 10.77 11.07 10.08 10.36 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23630 Treat humerus fracture A 10.57 9.84NA 10.63NA 9.84 10.63 2.07 22.48 23.27 22.48 23.27 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23650 Treat shoulder dislocation A 3.53 4.34 4.56 3.65 3.92 0.61 8.48 8.70 7.79 8.06 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23655 Treat shoulder dislocation A 4.76 5.57NA 5.98NA 5.57 5.98 0.88 11.21 11.62 11.21 11.62 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23660 Treat shoulder dislocation A 7.66 7.72NA 8.12NA 7.72 8.12 1.50 16.88 17.28 16.88 17.28 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23665 Treat dislocation/fracture A 4.66 6.47 6.80 5.72 6.02 0.88 12.01 12.34 11.26 11.56 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23670 Treat dislocation/fracture A 12.28 10.53NA 11.40NA 10.53 11.40 2.40 25.21 26.08 25.21 26.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23675 Treat dislocation/fracture A 6.27 8.17 8.63 6.91 7.30 1.20 15.64 16.10 14.38 14.77 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 23680 Treat dislocation/fracture A 13.15 11.18NA 11.96NA 11.18 11.96 2.57 26.90 27.68 26.90 27.68 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23700 Fixation of shoulder A 2.57 2.57NA 2.69NA 2.57 2.69 0.49 5.63 5.75 5.63 5.75 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23800 Fusion of shoulder joint A 14.73 12.36NA 13.00NA 12.36 13.00 2.93 30.02 30.66 30.02 30.66 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 23802 Fusion of shoulder joint A 18.42 15.08NA 16.33NA 15.08 16.33 3.62 37.12 38.37 37.12 38.37 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23900 Amputation of arm & girdle A 20.72 14.96NA 16.83NA 14.96 16.83 4.10 39.78 41.65 39.78 41.65 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 23920 Amputation at shoulder joint A 16.23 12.87NA 14.27NA 12.87 14.27 3.20 32.30 33.70 32.30 33.70 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 23921 Amputation follow-up surgery A 5.72 5.73NA 6.94NA 5.73 6.94 1.36 12.81 14.02 12.81 14.02 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 23929 Shoulder surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 23930 Drainage of arm lesion A 2.99 6.59 6.66 2.70 2.82 0.61 10.19 10.26 6.30 6.42 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23931 Drainage of arm bursa A 1.84 5.88 6.00 2.40 2.51 0.34 8.06 8.18 4.58 4.69 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 23935 Drain arm/elbow bone lesion A 6.38 6.94NA 7.40NA 6.94 7.40 1.24 14.56 15.02 14.56 15.02 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24000 Exploratory elbow surgery A 6.08 6.52NA 6.88NA 6.52 6.88 1.17 13.77 14.13 13.77 14.13 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 24006 Release elbow joint A 9.74 9.12NA 9.62NA 9.12 9.62 1.82 20.68 21.18 20.68 21.18 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 24065 Biopsy arm/elbow soft tissue A 2.13 4.91 5.03 2.44 2.56 0.34 7.38 7.50 4.91 5.03 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 24066 Biopsy arm/elbow soft tissue A 5.35 10.86 11.40 5.33 5.72 1.08 17.29 17.83 11.76 12.15 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24071 Exc arm/elbow les sc 3+ cm A 5.70 5.29NA 5.29NA 5.29 5.29 1.16 12.15 12.15 12.15 12.15 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24073 Ex arm/elbow tum deep > 5 cm A 10.13 8.57NA 8.57NA 8.57 8.57 2.01 20.71 20.71 20.71 20.71 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24075 Exc arm/elbow les sc < 3 cm A 4.24 8.96 9.11 4.37 4.64 0.84 14.04 14.19 9.45 9.72 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24076 Ex arm/elbow tum deep < 5 cm A 7.41 6.47NA 7.14NA 6.47 7.14 1.48 15.36 16.03 15.36 16.03 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24077 Resect arm/elbow tum < 5 cm A 15.72 10.47NA 12.10NA 10.47 12.10 3.18 29.37 31.00 29.37 31.00 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24079 Resect arm/elbow tum > 5 cm A 20.61 13.20NA 13.20NA 13.20 13.20 4.38 38.19 38.19 38.19 38.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24100 Biopsy elbow joint lining A 5.07 5.81NA 6.23NA 5.81 6.23 1.01 11.89 12.31 11.89 12.31 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24101 Explore/treat elbow joint A 6.30 6.94NA 7.28NA 6.94 7.28 1.21 14.45 14.79 14.45 14.79 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24102 Remove elbow joint lining A 8.26 8.01NA 8.44NA 8.01 8.44 1.55 17.82 18.25 17.82 18.25 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24105 Removal of elbow bursa A 3.78 5.41NA 5.74NA 5.41 5.74 0.72 9.91 10.24 9.91 10.24 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24110 Remove humerus lesion A 7.58 7.88NA 8.30NA 7.88 8.30 1.50 16.96 17.38 16.96 17.38 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24115 Remove/graft bone lesion A 10.12 9.24NA 9.82NA 9.24 9.82 1.99 21.35 21.93 21.35 21.93 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24116 Remove/graft bone lesion A 12.23 10.51NA 11.07NA 10.51 11.07 2.41 25.15 25.71 25.15 25.71 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24120 Remove elbow lesion A 6.82 7.10NA 7.53NA 7.10 7.53 1.29 15.21 15.64 15.21 15.64 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24125 Remove/graft bone lesion A 8.14 8.10NA 8.64NA 8.10 8.64 1.59 17.83 18.37 17.83 18.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24126 Remove/graft bone lesion A 8.62 8.47NA 8.92NA 8.47 8.92 1.69 18.78 19.23 18.78 19.23 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24130 Removal of head of radius A 6.42 7.02NA 7.36NA 7.02 7.36 1.20 14.64 14.98 14.64 14.98 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24134 Removal of arm bone lesion A 10.22 9.60NA 9.99NA 9.60 9.99 2.00 21.82 22.21 21.82 22.21 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24136 Remove radius bone lesion A 8.40 7.76NA 8.65NA 7.76 8.65 1.65 17.81 18.70 17.81 18.70 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24138 Remove elbow bone lesion A 8.50 9.25NA 9.76NA 9.25 9.76 1.66 19.41 19.92 19.41 19.92 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24140 Partial removal of arm bone A 9.55 9.32NA 9.59NA 9.32 9.59 1.78 20.65 20.92 20.65 20.92 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24145 Partial removal of radius A 7.81 8.02NA 8.19NA 8.02 8.19 1.54 17.37 17.54 17.37 17.54 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24147 Partial removal of elbow A 7.84 8.81NA 9.09NA 8.81 9.09 1.51 18.16 18.44 18.16 18.44 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24149 Radical resection of elbow A 16.22 14.84NA 15.86NA 14.84 15.86 2.98 34.04 35.06 34.04 35.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24150 Resect distal humerus tumor A 23.46 14.97NA 18.67NA 14.97 18.67 4.63 43.06 46.76 43.06 46.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24152 Resect radius tumor A 19.99 12.70NA 16.61NA 12.70 16.61 3.93 36.62 40.53 36.62 40.53 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24155 Removal of elbow joint A 12.09 10.36NA 10.98NA 10.36 10.98 2.38 24.83 25.45 24.83 25.45 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24160 Remove elbow joint implant A 8.00 8.07NA 8.51NA 8.07 8.51 1.50 17.57 18.01 17.57 18.01 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24164 Remove radius head implant A 6.43 6.71NA 7.02NA 6.71 7.02 1.27 14.41 14.72 14.41 14.72 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 24200 Removal of arm foreign body A 1.81 3.67 3.84 1.88 2.02 0.31 5.79 5.96 4.00 4.14 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 24201 Removal of arm foreign body A 4.70 10.30 10.49 4.96 5.19 0.93 15.93 16.12 10.59 10.82 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24220 Injection for elbow x-ray A 1.31 3.31 2.99 0.59 0.57 0.12 4.74 4.42 2.02 2.00 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 24300 Manipulate elbow w/anesth A 4.04 6.84NA 7.20NA 6.84 7.20 0.72 11.60 11.96 11.60 11.96 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24301 Muscle/tendon transfer A 10.38 9.47NA 9.90NA 9.47 9.90 2.03 21.88 22.31 21.88 22.31 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 24305 Arm tendon lengthening A 7.62 7.81NA 8.23NA 7.81 8.23 1.36 16.79 17.21 16.79 17.21 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 24310 Revision of arm tendon A 6.12 6.49NA 6.81NA 6.49 6.81 1.18 13.79 14.11 13.79 14.11 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 24320 Repair of arm tendon A 10.86 9.67NA 10.25NA 9.67 10.25 2.14 22.67 23.25 22.67 23.25 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 24330 Revision of arm muscles A 9.79 9.15NA 9.61NA 9.15 9.61 1.92 20.86 21.32 20.86 21.32 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24331 Revision of arm muscles A 10.95 10.33NA 11.21NA 10.33 11.21 2.16 23.44 24.32 23.44 24.32 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24332 Tenolysis triceps A 7.91 8.22NA 8.66NA 8.22 8.66 1.55 17.68 18.12 17.68 18.12 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24340 Repair of biceps tendon A 8.08 8.14NA 8.53NA 8.14 8.53 1.58 17.80 18.19 17.80 18.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24341 Repair arm tendon/muscle A 9.49 10.13NA 10.78NA 10.13 10.78 1.85 21.47 22.12 21.47 22.12 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24342 Repair of ruptured tendon A 10.86 9.78NA 10.24NA 9.78 10.24 2.07 22.71 23.17 22.71 23.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24343 Repr elbow lat ligmnt w/tiss A 9.16 9.58NA 10.05NA 9.58 10.05 1.67 20.41 20.88 20.41 20.88 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24344 Reconstruct elbow lat ligmnt A 15.21 13.73NA 14.51NA 13.73 14.51 3.01 31.95 32.73 31.95 32.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24345 Repr elbw med ligmnt w/tissu A 9.16 9.46NA 9.95NA 9.46 9.95 1.67 20.29 20.78 20.29 20.78 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24346 Reconstruct elbow med ligmnt A 15.21 13.78NA 14.51NA 13.78 14.51 3.01 32.00 32.73 32.00 32.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24357 Repair elbow perc A 5.44 6.40NA 6.69NA 6.40 6.69 1.03 12.87 13.16 12.87 13.16 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24358 Repair elbow w/deb open A 6.66 7.24NA 7.62NA 7.24 7.62 1.25 15.15 15.53 15.15 15.53 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24359 Repair elbow deb/attch open A 8.98 8.41NA 9.01NA 8.41 9.01 1.67 19.06 19.66 19.06 19.66 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24360 Reconstruct elbow joint A 12.67 11.11NA 11.65NA 11.11 11.65 2.48 26.26 26.80 26.26 26.80 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24361 Reconstruct elbow joint A 14.41 12.24NA 12.79NA 12.24 12.79 2.84 29.49 30.04 29.49 30.04 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24362 Reconstruct elbow joint A 15.32 12.68NA 13.33NA 12.68 13.33 3.04 31.04 31.69 31.04 31.69 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24363 Replace elbow joint A 22.65 17.03NA 18.11NA 17.03 18.11 4.21 43.89 44.97 43.89 44.97 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24365 Reconstruct head of radius A 8.62 8.28NA 8.65NA 8.28 8.65 1.69 18.59 18.96 18.59 18.96 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24366 Reconstruct head of radius A 9.36 8.73NA 9.16NA 8.73 9.16 1.77 19.86 20.29 19.86 20.29 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24400 Revision of humerus A 11.33 10.37NA 10.83NA 10.37 10.83 2.19 23.89 24.35 23.89 24.35 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24410 Revision of humerus A 15.11 12.62NA 13.48NA 12.62 13.48 2.99 30.72 31.58 30.72 31.58 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24420 Revision of humerus A 13.73 12.45NA 13.08NA 12.45 13.08 2.71 28.89 29.52 28.89 29.52 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24430 Repair of humerus A 15.25 12.66NA 13.47NA 12.66 13.47 2.95 30.86 31.67 30.86 31.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24435 Repair humerus with graft A 14.99 13.47NA 14.27NA 13.47 14.27 2.93 31.39 32.19 31.39 32.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24470 Revision of elbow joint A 8.93 8.21NA 9.21NA 8.21 9.21 1.77 18.91 19.91 18.91 19.91 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24495 Decompression of forearm A 8.41 8.94NA 9.04NA 8.94 9.04 1.80 19.15 19.25 19.15 19.25 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24498 Reinforce humerus A 12.28 10.66NA 11.15NA 10.66 11.15 2.41 25.35 25.84 25.35 25.84 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24500 Treat humerus fracture A 3.41 5.89 6.20 5.00 5.34 0.64 9.94 10.25 9.05 9.39 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24505 Treat humerus fracture A 5.39 7.77 8.14 6.52 6.85 1.05 14.21 14.58 12.96 13.29 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24515 Treat humerus fracture A 12.12 11.07NA 11.62NA 11.07 11.62 2.34 25.53 26.08 25.53 26.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24516 Treat humerus fracture A 12.19 10.58NA 11.08NA 10.58 11.08 2.38 25.15 25.65 25.15 25.65 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 24530 Treat humerus fracture A 3.69 6.27 6.60 5.29 5.63 0.69 10.65 10.98 9.67 10.01 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24535 Treat humerus fracture A 7.11 9.16 9.58 7.90 8.30 1.37 17.64 18.06 16.38 16.78 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24538 Treat humerus fracture A 9.77 9.92NA 10.35NA 9.92 10.35 1.92 21.61 22.04 21.61 22.04 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24545 Treat humerus fracture A 13.15 11.27NA 12.04NA 11.27 12.04 2.56 26.98 27.75 26.98 27.75 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24546 Treat humerus fracture A 14.91 12.72NA 13.27NA 12.72 13.27 2.90 30.53 31.08 30.53 31.08 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 24560 Treat humerus fracture A 2.98 5.39 5.66 4.44 4.76 0.56 8.93 9.20 7.98 8.30 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24565 Treat humerus fracture A 5.78 7.99 8.64 6.83 7.44 1.14 14.91 15.56 13.75 14.36 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24566 Treat humerus fracture A 9.06 9.81NA 10.35NA 9.81 10.35 1.80 20.67 21.21 20.67 21.21 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24575 Treat humerus fracture A 9.71 9.70NA 10.15NA 9.70 10.15 1.88 21.29 21.74 21.29 21.74 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24576 Treat humerus fracture A 3.06 5.82 6.15 4.88 5.21 0.59 9.47 9.80 8.53 8.86 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24577 Treat humerus fracture A 6.01 8.24 8.84 7.01 7.58 1.18 15.43 16.03 14.20 14.77 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24579 Treat humerus fracture A 11.44 10.64NA 11.21NA 10.64 11.21 2.20 24.28 24.85 24.28 24.85 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24582 Treat humerus fracture A 10.14 11.03NA 11.75NA 11.03 11.75 1.99 23.16 23.88 23.16 23.88 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24586 Treat elbow fracture A 15.78 13.02NA 13.64NA 13.02 13.64 3.05 31.85 32.47 31.85 32.47 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24587 Treat elbow fracture A 15.79 13.07NA 13.78NA 13.07 13.78 2.93 31.79 32.50 31.79 32.50 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24600 Treat elbow dislocation A 4.37 5.08 5.24 4.22 4.46 0.76 10.21 10.37 9.35 9.59 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24605 Treat elbow dislocation A 5.64 6.63NA 7.02NA 6.63 7.02 1.09 13.36 13.75 13.36 13.75 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24615 Treat elbow dislocation A 9.83 9.07NA 9.50NA 9.07 9.50 1.84 20.74 21.17 20.74 21.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24620 Treat elbow fracture A 7.22 7.39NA 7.76NA 7.39 7.76 1.36 15.97 16.34 15.97 16.34 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24635 Treat elbow fracture A 8.80 9.98NA 9.47NA 9.98 9.47 1.67 20.45 19.94 20.45 19.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24640 Treat elbow dislocation A 1.25 2.13 2.35 1.07 1.18 0.23 3.61 3.83 2.55 2.66 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 24650 Treat radius fracture A 2.31 4.53 4.76 3.90 4.18 0.42 7.26 7.49 6.63 6.91 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24655 Treat radius fracture A 4.62 6.83 7.09 5.80 6.08 0.86 12.31 12.57 11.28 11.56 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24665 Treat radius fracture A 8.36 8.90NA 9.37NA 8.90 9.37 1.59 18.85 19.32 18.85 19.32 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24666 Treat radius fracture A 9.86 9.56NA 10.04NA 9.56 10.04 1.86 21.28 21.76 21.28 21.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24670 Treat ulnar fracture A 2.69 4.93 5.17 4.13 4.40 0.50 8.12 8.36 7.32 7.59 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24675 Treat ulnar fracture A 4.91 7.13 7.45 6.08 6.38 0.93 12.97 13.29 11.92 12.22 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 24685 Treat ulnar fracture A 8.37 8.90NA 9.36NA 8.90 9.36 1.62 18.89 19.35 18.89 19.35 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24800 Fusion of elbow joint A 11.41 10.07NA 11.02NA 10.07 11.02 2.25 23.73 24.68 23.73 24.68 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24802 Fusion/graft of elbow joint A 14.32 12.08NA 12.75NA 12.08 12.75 2.83 29.23 29.90 29.23 29.90 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24900 Amputation of upper arm A 10.18 8.97NA 9.59NA 8.97 9.59 2.01 21.16 21.78 21.16 21.78 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24920 Amputation of upper arm A 10.13 8.93NA 9.67NA 8.93 9.67 1.99 21.05 21.79 21.05 21.79 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 24925 Amputation follow-up surgery A 7.30 7.57NA 7.99NA 7.57 7.99 1.44 16.31 16.73 16.31 16.73 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24930 Amputation follow-up surgery A 10.83 9.34NA 10.09NA 9.34 10.09 2.14 22.31 23.06 22.31 23.06 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24931 Amputate upper arm & implant A 13.44 8.14NA 8.38NA 8.14 8.38 0.95 22.53 22.77 22.53 22.77 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24935 Revision of amputation A 16.45 8.53NA 7.55NA 8.53 7.55 3.24 28.22 27.24 28.22 27.24 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 24999 Upper arm/elbow surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 25000 Incision of tendon sheath A 3.55 5.73NA 5.65NA 5.73 5.65 0.64 9.92 9.84 9.92 9.84 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25001 Incise flexor carpi radialis A 3.79 5.31NA 5.67NA 5.31 5.67 0.67 9.77 10.13 9.77 10.13 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25020 Decompress forearm 1 space A 6.06 9.56NA 9.85NA 9.56 9.85 1.06 16.68 16.97 16.68 16.97 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25023 Decompress forearm 1 space A 13.83 15.54NA 16.15NA 15.54 16.15 2.74 32.11 32.72 32.11 32.72 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25024 Decompress forearm 2 spaces A 10.79 9.72NA 10.23NA 9.72 10.23 2.12 22.63 23.14 22.63 23.14 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25025 Decompress forearm 2 spaces A 17.94 13.97NA 15.21NA 13.97 15.21 3.54 35.45 36.69 35.45 36.69 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25028 Drainage of forearm lesion A 5.39 8.54NA 8.78NA 8.54 8.78 1.03 14.96 15.20 14.96 15.20 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25031 Drainage of forearm bursa A 4.26 5.41NA 5.12NA 5.41 5.12 0.83 10.50 10.21 10.50 10.21 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25035 Treat forearm bone lesion A 7.65 8.76NA 8.16NA 8.76 8.16 1.48 17.89 17.29 17.89 17.29 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25040 Explore/treat wrist joint A 7.50 7.58NA 7.81NA 7.58 7.81 1.36 16.44 16.67 16.44 16.67 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25065 Biopsy forearm soft tissues A 2.04 4.98 5.09 2.48 2.57 0.33 7.35 7.46 4.85 4.94 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 25066 Biopsy forearm soft tissues A 4.27 5.59NA 5.46NA 5.59 5.46 0.80 10.66 10.53 10.66 10.53 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25071 Exc forearm les sc > 3 cm A 5.91 5.69NA 5.69NA 5.69 5.69 1.17 12.77 12.77 12.77 12.77 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25073 Exc forearm tum deep 3+ cm A 7.13 7.47NA 7.47NA 7.47 7.47 1.36 15.96 15.96 15.96 15.96 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25075 Exc forearm les sc < 3 cm A 3.96 9.16 9.16 4.75 4.64 0.76 13.88 13.88 9.47 9.36 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25076 Exc forearm tum deep < 3 cm A 6.74 7.01NA 7.25NA 7.01 7.25 1.28 15.03 15.27 15.03 15.27 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25077 Resect forearm/wrist tum<3cm A 12.93 10.20NA 10.88NA 10.20 10.88 2.61 25.74 26.42 25.74 26.42 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25078 Resect forearm/wrist tum3+cm A 17.69 11.93NA 11.93NA 11.93 11.93 3.78 33.40 33.40 33.40 33.40 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25085 Incision of wrist capsule A 5.64 6.55NA 6.59NA 6.55 6.59 1.10 13.29 13.33 13.29 13.33 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25100 Biopsy of wrist joint A 4.02 5.21NA 5.34NA 5.21 5.34 0.78 10.01 10.14 10.01 10.14 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25101 Explore/treat wrist joint A 4.83 6.01NA 6.18NA 6.01 6.18 0.90 11.74 11.91 11.74 11.91 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25105 Remove wrist joint lining A 6.02 7.02NA 7.15NA 7.02 7.15 1.10 14.14 14.27 14.14 14.27 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 25107 Remove wrist joint cartilage A 7.70 8.87NA 9.23NA 8.87 9.23 1.36 17.93 18.29 17.93 18.29 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25109 Excise tendon forearm/wrist A 6.94 7.25NA 7.80NA 7.25 7.80 1.24 15.43 15.98 15.43 15.98 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25110 Remove wrist tendon lesion A 4.04 5.36NA 5.20NA 5.36 5.20 0.75 10.15 9.99 10.15 9.99 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25111 Remove wrist tendon lesion A 3.53 4.99NA 5.17NA 4.99 5.17 0.67 9.19 9.37 9.19 9.37 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25112 Reremove wrist tendon lesion A 4.67 5.61NA 5.85NA 5.61 5.85 0.87 11.15 11.39 11.15 11.39 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25115 Remove wrist/forearm lesion A 10.09 10.99NA 10.78NA 10.99 10.78 1.80 22.88 22.67 22.88 22.67 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25116 Remove wrist/forearm lesion A 7.56 9.35NA 8.91NA 9.35 8.91 1.33 18.24 17.80 18.24 17.80 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 25118 Excise wrist tendon sheath A 4.51 5.78NA 5.95NA 5.78 5.95 0.80 11.09 11.26 11.09 11.26 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25119 Partial removal of ulna A 6.21 7.17NA 7.26NA 7.17 7.26 1.22 14.60 14.69 14.60 14.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25120 Removal of forearm lesion A 6.27 7.88NA 7.29NA 7.88 7.29 1.17 15.32 14.73 15.32 14.73 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 25125 Remove/graft forearm lesion A 7.67 8.91NA 8.36NA 8.91 8.36 1.51 18.09 17.54 18.09 17.54 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25126 Remove/graft forearm lesion A 7.74 8.90NA 8.40NA 8.90 8.40 1.52 18.16 17.66 18.16 17.66 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25130 Removal of wrist lesion A 5.43 6.64NA 6.85NA 6.64 6.85 0.99 13.06 13.27 13.06 13.27 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25135 Remove & graft wrist lesion A 7.08 7.80NA 8.00NA 7.80 8.00 1.39 16.27 16.47 16.27 16.47 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25136 Remove & graft wrist lesion A 6.14 6.98NA 7.19NA 6.98 7.19 1.21 14.33 14.54 14.33 14.54 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25145 Remove forearm bone lesion A 6.54 8.00NA 7.43NA 8.00 7.43 1.28 15.82 15.25 15.82 15.25 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25150 Partial removal of ulna A 7.38 7.88NA 8.00NA 7.88 8.00 1.36 16.62 16.74 16.62 16.74 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 25151 Partial removal of radius A 7.68 8.68NA 8.14NA 8.68 8.14 1.51 17.87 17.33 17.87 17.33 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25170 Resect radius/ulnar tumor A 22.21 14.83NA 17.82NA 14.83 17.82 4.37 41.41 44.40 41.41 44.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25210 Removal of wrist bone A 6.12 7.05NA 7.29NA 7.05 7.29 1.08 14.25 14.49 14.25 14.49 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 25215 Removal of wrist bones A 8.14 8.61NA 8.83NA 8.61 8.83 1.40 18.15 18.37 18.15 18.37 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 25230 Partial removal of radius A 5.37 6.29NA 6.49NA 6.29 6.49 0.90 12.56 12.76 12.56 12.76 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 25240 Partial removal of ulna A 5.31 6.37NA 6.43NA 6.37 6.43 0.91 12.59 12.65 12.59 12.65 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 25246 Injection for wrist x-ray A 1.45 3.23 2.93 0.62 0.59 0.14 4.82 4.52 2.21 2.18 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 25248 Remove forearm foreign body A 5.31 6.07NA 5.79NA 6.07 5.79 1.05 12.43 12.15 12.43 12.15 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25250 Removal of wrist prosthesis A 6.77 7.20NA 7.55NA 7.20 7.55 1.32 15.29 15.64 15.29 15.64 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25251 Removal of wrist prosthesis A 9.82 9.17NA 9.62NA 9.17 9.62 1.93 20.92 21.37 20.92 21.37 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 25259 Manipulate wrist w/anesthes A 4.04 6.91NA 7.28NA 6.91 7.28 0.72 11.67 12.04 11.67 12.04 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25260 Repair forearm tendon/muscle A 8.04 9.61NA 9.21NA 9.61 9.21 1.48 19.13 18.73 19.13 18.73 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 25263 Repair forearm tendon/muscle A 8.04 9.44NA 8.92NA 9.44 8.92 1.58 19.06 18.54 19.06 18.54 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 25265 Repair forearm tendon/muscle A 10.10 10.59NA 10.13NA 10.59 10.13 1.97 22.66 22.20 22.66 22.20 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 25270 Repair forearm tendon/muscle A 6.17 7.81NA 7.26NA 7.81 7.26 1.16 15.14 14.59 15.14 14.59 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 25272 Repair forearm tendon/muscle A 7.21 8.47NA 7.90NA 8.47 7.90 1.32 17.00 16.43 17.00 16.43 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 25274 Repair forearm tendon/muscle A 8.94 9.65NA 9.11NA 9.65 9.11 1.77 20.36 19.82 20.36 19.82 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 25275 Repair forearm tendon sheath A 8.96 8.89NA 9.28NA 8.89 9.28 1.77 19.62 20.01 19.62 20.01 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 25280 Revise wrist/forearm tendon A 7.39 8.57NA 8.06NA 8.57 8.06 1.28 17.24 16.73 17.24 16.73 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 25290 Incise wrist/forearm tendon A 5.43 7.64NA 6.50NA 7.64 6.50 0.98 14.05 12.91 14.05 12.91 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 25295 Release wrist/forearm tendon A 6.72 8.15NA 7.62NA 8.15 7.62 1.18 16.05 15.52 16.05 15.52 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 25300 Fusion of tendons at wrist A 9.02 9.17NA 9.48NA 9.17 9.48 1.78 19.97 20.28 19.97 20.28 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25301 Fusion of tendons at wrist A 8.59 8.65NA 8.97NA 8.65 8.97 1.57 18.81 19.13 18.81 19.13 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25310 Transplant forearm tendon A 8.08 9.32NA 8.90NA 9.32 8.90 1.39 18.79 18.37 18.79 18.37 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 25312 Transplant forearm tendon A 9.82 10.22NA 9.80NA 10.22 9.80 1.78 21.82 21.40 21.82 21.40 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 25315 Revise palsy hand tendon(s) A 10.68 10.65NA 10.14NA 10.65 10.14 2.10 23.43 22.92 23.43 22.92 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25316 Revise palsy hand tendon(s) A 12.90 12.05NA 11.80NA 12.05 11.80 1.61 26.56 26.31 26.56 26.31 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25320 Repair/revise wrist joint A 12.75 13.58NA 14.40NA 13.58 14.40 2.26 28.59 29.41 28.59 29.41 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25332 Revise wrist joint A 11.74 10.70NA 11.30NA 10.70 11.30 2.18 24.62 25.22 24.62 25.22 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25335 Realignment of hand A 13.39 10.00NA 8.58NA 10.00 8.58 0.95 24.34 22.92 24.34 22.92 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25337 Reconstruct ulna/radioulnar A 11.73 12.17NA 12.76NA 12.17 12.76 2.01 25.91 26.50 25.91 26.50 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25350 Revision of radius A 9.09 9.82NA 9.31NA 9.82 9.31 1.61 20.52 20.01 20.52 20.01 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25355 Revision of radius A 10.53 10.66NA 10.17NA 10.66 10.17 2.07 23.26 22.77 23.26 22.77 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25360 Revision of ulna A 8.74 9.57NA 9.00NA 9.57 9.00 1.65 19.96 19.39 19.96 19.39 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25365 Revise radius & ulna A 12.91 12.08NA 11.81NA 12.08 11.81 2.55 27.54 27.27 27.54 27.27 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25370 Revise radius or ulna A 14.10 13.30NA 13.10NA 13.30 13.10 2.78 30.18 29.98 30.18 29.98 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25375 Revise radius & ulna A 13.55 12.60NA 12.19NA 12.60 12.19 0.95 27.10 26.69 27.10 26.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25390 Shorten radius or ulna A 10.70 10.77NA 10.37NA 10.77 10.37 1.88 23.35 22.95 23.35 22.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25391 Lengthen radius or ulna A 14.28 12.93NA 12.63NA 12.93 12.63 2.83 30.04 29.74 30.04 29.74 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25392 Shorten radius & ulna A 14.58 13.12NA 12.80NA 13.12 12.80 2.90 30.60 30.28 30.60 30.28 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25393 Lengthen radius & ulna A 16.56 14.99NA 15.42NA 14.99 15.42 3.28 34.83 35.26 34.83 35.26 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25394 Repair carpal bone shorten A 10.85 9.80NA 10.32NA 9.80 10.32 2.14 22.79 23.31 22.79 23.31 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25400 Repair radius or ulna A 11.28 11.08NA 10.61NA 11.08 10.61 2.07 24.43 23.96 24.43 23.96 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25405 Repair/graft radius or ulna A 15.01 13.52NA 13.20NA 13.52 13.20 2.74 31.27 30.95 31.27 30.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25415 Repair radius & ulna A 13.80 13.12NA 12.84NA 13.12 12.84 2.72 29.64 29.36 29.64 29.36 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25420 Repair/graft radius & ulna A 17.04 14.84NA 14.52NA 14.84 14.52 3.38 35.26 34.94 35.26 34.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25425 Repair/graft radius or ulna A 13.72 13.39NA 12.29NA 13.39 12.29 2.71 29.82 28.72 29.82 28.72 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25426 Repair/graft radius & ulna A 16.45 13.13NA 13.92NA 13.13 13.92 3.24 32.82 33.61 32.82 33.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25430 Vasc graft into carpal bone A 9.71 9.46NA 10.06NA 9.46 10.06 1.21 20.38 20.98 20.38 20.98 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25431 Repair nonunion carpal bone A 10.89 9.82NA 10.43NA 9.82 10.43 2.15 22.86 23.47 22.86 23.47 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25440 Repair/graft wrist bone A 10.68 9.89NA 10.26NA 9.89 10.26 1.89 22.46 22.83 22.46 22.83 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25441 Reconstruct wrist joint A 13.29 12.09NA 13.13NA 12.09 13.13 1.65 27.03 28.07 27.03 28.07 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25442 Reconstruct wrist joint A 11.12 10.46NA 11.04NA 10.46 11.04 1.39 22.97 23.55 22.97 23.55 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25443 Reconstruct wrist joint A 10.66 10.01NA 10.45NA 10.01 10.45 2.10 22.77 23.21 22.77 23.21 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25444 Reconstruct wrist joint A 11.42 10.88NA 11.82NA 10.88 11.82 0.80 23.10 24.04 23.10 24.04 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25445 Reconstruct wrist joint A 9.88 9.29NA 9.78NA 9.29 9.78 1.80 20.97 21.46 20.97 21.46 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 25446 Wrist replacement A 17.30 14.04NA 14.88NA 14.04 14.88 2.95 34.29 35.13 34.29 35.13 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25447 Repair wrist joint(s) A 11.14 10.83NA 11.54NA 10.83 11.54 1.96 23.93 24.64 23.93 24.64 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25449 Remove wrist joint implant A 14.94 12.64NA 13.45NA 12.64 13.45 2.95 30.53 31.34 30.53 31.34 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25450 Revision of wrist joint A 8.06 6.80NA 6.03NA 6.80 6.03 1.58 16.44 15.67 16.44 15.67 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25455 Revision of wrist joint A 9.71 7.72NA 6.97NA 7.72 6.97 0.68 18.11 17.36 18.11 17.36 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25490 Reinforce radius A 9.73 9.51NA 8.80NA 9.51 8.80 1.25 20.49 19.78 20.49 19.78 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25491 Reinforce ulna A 10.15 10.35NA 9.84NA 10.35 9.84 1.99 22.49 21.98 22.49 21.98 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25492 Reinforce radius and ulna A 12.66 12.08NA 11.77NA 12.08 11.77 2.48 27.22 26.91 27.22 26.91 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25500 Treat fracture of radius A 2.60 4.43 4.73 3.80 4.13 0.45 7.48 7.78 6.85 7.18 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25505 Treat fracture of radius A 5.45 7.75 8.10 6.64 6.98 1.03 14.23 14.58 13.12 13.46 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25515 Treat fracture of radius A 8.80 8.88NA 9.33NA 8.88 9.33 1.67 19.35 19.80 19.35 19.80 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25520 Treat fracture of radius A 6.50 8.17 8.85 7.39 8.04 1.28 15.95 16.63 15.17 15.82 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25525 Treat fracture of radius A 10.55 10.41NA 10.72NA 10.41 10.72 2.01 22.97 23.28 22.97 23.28 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 25526 Treat fracture of radius A 13.15 12.55NA 12.66NA 12.55 12.66 2.60 28.30 28.41 28.30 28.41 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 25530 Treat fracture of ulna A 2.24 4.60 4.84 3.90 4.17 0.41 7.25 7.49 6.55 6.82 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25535 Treat fracture of ulna A 5.36 7.47 7.88 6.54 6.91 1.02 13.85 14.26 12.92 13.29 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25545 Treat fracture of ulna A 7.94 8.59NA 8.96NA 8.59 8.96 1.51 18.04 18.41 18.04 18.41 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25560 Treat fracture radius & ulna A 2.59 4.53 4.81 3.78 4.11 0.48 7.60 7.88 6.85 7.18 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25565 Treat fracture radius & ulna A 5.85 7.91 8.26 6.62 6.94 1.10 14.86 15.21 13.57 13.89 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25574 Treat fracture radius & ulna A 8.80 8.90NA 9.41NA 8.90 9.41 1.70 19.40 19.91 19.40 19.91 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 25575 Treat fracture radius/ulna A 12.29 11.47NA 12.08NA 11.47 12.08 2.34 26.10 26.71 26.10 26.71 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25600 Treat fracture radius/ulna A 2.78 4.88 5.12 4.14 4.44 0.52 8.18 8.42 7.44 7.74 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25605 Treat fracture radius/ulna A 7.25 9.10 9.62 8.14 8.64 1.39 17.74 18.26 16.78 17.28 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25606 Treat fx distal radial A 8.31 9.35NA 9.66NA 9.35 9.66 1.61 19.27 19.58 19.27 19.58 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25607 Treat fx rad extra-articul A 9.56 9.73NA 10.41NA 9.73 10.41 1.82 21.11 21.79 21.11 21.79 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25608 Treat fx rad intra-articul A 11.07 10.58NA 11.32NA 10.58 11.32 2.07 23.72 24.46 23.72 24.46 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25609 Treat fx radial 3+ frag A 14.38 13.18NA 14.14NA 13.18 14.14 2.69 30.25 31.21 30.25 31.21 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25622 Treat wrist bone fracture A 2.79 5.15 5.44 4.37 4.71 0.52 8.46 8.75 7.68 8.02 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25624 Treat wrist bone fracture A 4.77 7.42 7.69 6.28 6.57 0.88 13.07 13.34 11.93 12.22 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25628 Treat wrist bone fracture A 9.67 9.46NA 9.98NA 9.46 9.98 1.74 20.87 21.39 20.87 21.39 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25630 Treat wrist bone fracture A 3.03 4.98 5.23 4.23 4.56 0.56 8.57 8.82 7.82 8.15 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25635 Treat wrist bone fracture A 4.61 7.17 7.72 5.96 6.63 0.90 12.68 13.23 11.47 12.14 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25645 Treat wrist bone fracture A 7.42 7.57NA 7.95NA 7.57 7.95 1.47 16.46 16.84 16.46 16.84 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25650 Treat wrist bone fracture A 3.23 5.16 5.44 4.53 4.91 0.60 8.99 9.27 8.36 8.74 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25651 Pin ulnar styloid fracture A 5.82 6.97NA 7.42NA 6.97 7.42 1.10 13.89 14.34 13.89 14.34 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25652 Treat fracture ulnar styloid A 8.06 8.45NA 8.93NA 8.45 8.93 1.47 17.98 18.46 17.98 18.46 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 25660 Treat wrist dislocation A 4.98 5.67NA 5.90NA 5.67 5.90 0.90 11.55 11.78 11.55 11.78 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25670 Treat wrist dislocation A 8.09 7.97NA 8.30NA 7.97 8.30 1.50 17.56 17.89 17.56 17.89 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25671 Pin radioulnar dislocation A 6.46 7.51NA 7.97NA 7.51 7.97 1.27 15.24 15.70 15.24 15.70 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25675 Treat wrist dislocation A 4.89 6.50 6.82 5.51 5.81 0.87 12.26 12.58 11.27 11.57 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25676 Treat wrist dislocation A 8.29 8.47NA 8.90NA 8.47 8.90 1.54 18.30 18.73 18.30 18.73 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25680 Treat wrist fracture A 6.23 5.96NA 6.34NA 5.96 6.34 1.08 13.27 13.65 13.27 13.65 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25685 Treat wrist fracture A 10.09 9.26NA 9.79NA 9.26 9.79 1.97 21.32 21.85 21.32 21.85 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25690 Treat wrist dislocation A 5.72 6.77NA 7.27NA 6.77 7.27 1.14 13.63 14.13 13.63 14.13 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25695 Treat wrist dislocation A 8.51 8.21NA 8.60NA 8.21 8.60 1.66 18.38 18.77 18.38 18.77 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25800 Fusion of wrist joint A 10.07 9.57NA 9.91NA 9.57 9.91 1.81 21.45 21.79 21.45 21.79 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25805 Fusion/graft of wrist joint A 11.73 10.79NA 11.10NA 10.79 11.10 2.30 24.82 25.13 24.82 25.13 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25810 Fusion/graft of wrist joint A 11.95 11.24NA 11.82NA 11.24 11.82 2.12 25.31 25.89 25.31 25.89 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25820 Fusion of hand bones A 7.64 8.76NA 9.16NA 8.76 9.16 1.37 17.77 18.17 17.77 18.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25825 Fuse hand bones with graft A 9.69 10.56NA 11.08NA 10.56 11.08 1.69 21.94 22.46 21.94 22.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25830 Fusion radioulnar jnt/ulna A 10.88 14.60NA 14.94NA 14.60 14.94 2.15 27.63 27.97 27.63 27.97 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 25900 Amputation of forearm A 9.61 9.92NA 9.72NA 9.92 9.72 1.82 21.35 21.15 21.35 21.15 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25905 Amputation of forearm A 9.59 9.56NA 9.36NA 9.56 9.36 1.89 21.04 20.84 21.04 20.84 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25907 Amputation follow-up surgery A 8.09 8.73NA 8.47NA 8.73 8.47 1.59 18.41 18.15 18.41 18.15 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25909 Amputation follow-up surgery A 9.31 9.45NA 9.19NA 9.45 9.19 1.84 20.60 20.34 20.60 20.34 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25915 Amputation of forearm A 17.52 12.55NA 10.13NA 12.55 10.13 3.10 33.17 30.75 33.17 30.75 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25920 Amputate hand at wrist A 9.03 9.30NA 9.80NA 9.30 9.80 1.78 20.11 20.61 20.11 20.61 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25922 Amputate hand at wrist A 7.65 6.81NA 6.20NA 6.81 6.20 0.53 14.99 14.38 14.99 14.38 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25924 Amputation follow-up surgery A 8.81 8.10NA 7.63NA 8.10 7.63 1.71 18.62 18.15 18.62 18.15 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25927 Amputation of hand A 9.09 12.25NA 12.86NA 12.25 12.86 1.80 23.14 23.75 23.14 23.75 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 25929 Amputation follow-up surgery A 7.82 7.79NA 8.90NA 7.79 8.90 1.54 17.15 18.26 17.15 18.26 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 25931 Amputation follow-up surgery A 8.04 10.43NA 9.96NA 10.43 9.96 1.70 20.17 19.70 20.17 19.70 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 25999 Forearm or wrist surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 26010 Drainage of finger abscess A 1.59 5.44 5.50 2.03 2.15 0.27 7.30 7.36 3.89 4.01 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 26011 Drainage of finger abscess A 2.24 8.43 8.47 2.69 2.83 0.39 11.06 11.10 5.32 5.46 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 26020 Drain hand tendon sheath A 5.08 6.44NA 6.82NA 6.44 6.82 0.93 12.45 12.83 12.45 12.83 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26025 Drainage of palm bursa A 5.08 6.09NA 6.45NA 6.09 6.45 0.91 12.08 12.44 12.08 12.44 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26030 Drainage of palm bursa(s) A 6.25 6.82NA 7.22NA 6.82 7.22 1.16 14.23 14.63 14.23 14.63 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26034 Treat hand bone lesion A 6.63 7.61NA 8.03NA 7.61 8.03 1.22 15.46 15.88 15.46 15.88 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26035 Decompress fingers/hand A 11.37 10.92NA 11.82NA 10.92 11.82 2.23 24.52 25.42 24.52 25.42 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26037 Decompress fingers/hand A 7.57 7.55NA 8.00NA 7.55 8.00 1.44 16.56 17.01 16.56 17.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26040 Release palm contracture A 3.46 4.86NA 5.14NA 4.86 5.14 0.56 8.88 9.16 8.88 9.16 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26045 Release palm contracture A 5.73 6.64NA 6.97NA 6.64 6.97 1.09 13.46 13.79 13.46 13.79 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26055 Incise finger tendon sheath A 3.11 12.42 12.26 5.07 5.39 0.56 16.09 15.93 8.74 9.06 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26060 Incision of finger tendon A 2.91 4.20NA 4.43NA 4.20 4.43 0.54 7.65 7.88 7.65 7.88 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26070 Explore/treat hand joint A 3.81 4.31NA 4.66NA 4.31 4.66 0.65 8.77 9.12 8.77 9.12 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26075 Explore/treat finger joint A 3.91 4.63NA 4.93NA 4.63 4.93 0.67 9.21 9.51 9.21 9.51 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26080 Explore/treat finger joint A 4.47 5.87NA 6.22NA 5.87 6.22 0.78 11.12 11.47 11.12 11.47 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26100 Biopsy hand joint lining A 3.79 4.93NA 5.27NA 4.93 5.27 0.73 9.45 9.79 9.45 9.79 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 26105 Biopsy finger joint lining A 3.83 5.01NA 5.29NA 5.01 5.29 0.75 9.59 9.87 9.59 9.87 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 26110 Biopsy finger joint lining A 3.65 4.89NA 5.18NA 4.89 5.18 0.64 9.18 9.47 9.18 9.47 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26111 Exc hand les sc > 1.5 cm A 5.42 6.06NA 6.06NA 6.06 6.06 0.99 12.47 12.47 12.47 12.47 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26113 Exc hand tum deep > 1.5 cm A 7.13 7.96NA 7.96NA 7.96 7.96 1.25 16.34 16.34 16.34 16.34 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26115 Exc hand les sc < 1.5 cm A 3.96 11.38 9.88 5.26 5.15 0.71 16.05 14.55 9.93 9.82 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26116 Exc hand tum deep < 1.5 cm A 6.74 7.26NA 7.72NA 7.26 7.72 1.20 15.20 15.66 15.20 15.66 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26117 Exc hand tum ra < 3 cm A 10.13 9.25NA 10.48NA 9.25 10.48 1.85 21.23 22.46 21.23 22.46 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26118 Exc hand tum ra > 3 cm A 14.81 14.22NA 14.22NA 14.22 14.22 2.94 31.97 31.97 31.97 31.97 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26121 Release palm contracture A 7.73 8.17NA 8.62NA 8.17 8.62 1.40 17.30 17.75 17.30 17.75 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26123 Release palm contracture A 10.88 11.24NA 12.02NA 11.24 12.02 1.92 24.04 24.82 24.04 24.82 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26125 Release palm contracture A 4.60 2.77NA 2.94NA 2.77 2.94 0.82 8.19 8.36 8.19 8.36 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 26130 Remove wrist joint lining A 5.59 6.59NA 7.02NA 6.59 7.02 1.06 13.24 13.67 13.24 13.67 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26135 Revise finger joint each A 7.13 7.55NA 7.97NA 7.55 7.97 1.27 15.95 16.37 15.95 16.37 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26140 Revise finger joint each A 6.34 7.10NA 7.49NA 7.10 7.49 1.14 14.58 14.97 14.58 14.97 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26145 Tendon excision palm/finger A 6.49 7.13NA 7.52NA 7.13 7.52 1.18 14.80 15.19 14.80 15.19 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26160 Remove tendon sheath lesion A 3.57 12.10 12.22 5.25 5.58 0.65 16.32 16.44 9.47 9.80 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26170 Removal of palm tendon each A 4.91 5.92NA 6.24NA 5.92 6.24 0.86 11.69 12.01 11.69 12.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26180 Removal of finger tendon A 5.35 6.44NA 6.75NA 6.44 6.75 0.90 12.69 13.00 12.69 13.00 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26185 Remove finger bone A 6.52 7.87NA 8.38NA 7.87 8.38 1.28 15.67 16.18 15.67 16.18 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 26200 Remove hand bone lesion A 5.65 6.33NA 6.65NA 6.33 6.65 1.03 13.01 13.33 13.01 13.33 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26205 Remove/graft bone lesion A 7.93 7.98NA 8.33NA 7.98 8.33 1.57 17.48 17.83 17.48 17.83 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26210 Removal of finger lesion A 5.32 6.45NA 6.80NA 6.45 6.80 0.95 12.72 13.07 12.72 13.07 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26215 Remove/graft finger lesion A 7.27 7.52NA 7.93NA 7.52 7.93 1.44 16.23 16.64 16.23 16.64 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26230 Partial removal of hand bone A 6.47 6.85NA 7.20NA 6.85 7.20 1.13 14.45 14.80 14.45 14.80 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26235 Partial removal finger bone A 6.33 6.86NA 7.26NA 6.86 7.26 1.10 14.29 14.69 14.29 14.69 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26236 Partial removal finger bone A 5.46 6.28NA 6.61NA 6.28 6.61 0.98 12.72 13.05 12.72 13.05 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26250 Extensive hand surgery A 15.21 10.62NA 13.76NA 10.62 13.76 3.01 28.84 31.98 28.84 31.98 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26260 Resect prox finger tumor A 11.16 9.25NA 11.49NA 9.25 11.49 2.19 22.60 24.84 22.60 24.84 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26262 Resect distal finger tumor A 8.29 7.46NA 8.86NA 7.46 8.86 1.62 17.37 18.77 17.37 18.77 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26320 Removal of implant from hand A 4.10 5.16NA 5.45NA 5.16 5.45 0.71 9.97 10.26 9.97 10.26 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26340 Manipulate finger w/anesth A 2.80 6.05NA 6.40NA 6.05 6.40 0.52 9.37 9.72 9.37 9.72 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 26350 Repair finger/hand tendon A 6.21 13.12NA 13.07NA 13.12 13.07 1.13 20.46 20.41 20.46 20.41 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26352 Repair/graft hand tendon A 7.87 13.95NA 14.02NA 13.95 14.02 1.55 23.37 23.44 23.37 23.44 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26356 Repair finger/hand tendon A 10.62 18.68NA 19.12NA 18.68 19.12 1.92 31.22 31.66 31.22 31.66 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26357 Repair finger/hand tendon A 8.77 14.48NA 14.55NA 14.48 14.55 1.71 24.96 25.03 24.96 25.03 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26358 Repair/graft hand tendon A 9.36 15.45NA 15.74NA 15.45 15.74 1.85 26.66 26.95 26.66 26.95 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26370 Repair finger/hand tendon A 7.28 13.39NA 13.35NA 13.39 13.35 1.36 22.03 21.99 22.03 21.99 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26372 Repair/graft hand tendon A 9.01 14.74NA 14.70NA 14.74 14.70 1.78 25.53 25.49 25.53 25.49 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26373 Repair finger/hand tendon A 8.41 14.33NA 14.34NA 14.33 14.34 1.65 24.39 24.40 24.39 24.40 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26390 Revise hand/finger tendon A 9.43 12.71NA 12.96NA 12.71 12.96 1.86 24.00 24.25 24.00 24.25 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26392 Repair/graft hand tendon A 10.50 15.42NA 15.59NA 15.42 15.59 2.07 27.99 28.16 27.99 28.16 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26410 Repair hand tendon A 4.77 10.60NA 10.53NA 10.60 10.53 0.87 16.24 16.17 16.24 16.17 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26412 Repair/graft hand tendon A 6.48 12.05NA 12.07NA 12.05 12.07 1.16 19.69 19.71 19.69 19.71 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26415 Excision hand/finger tendon A 8.51 10.41NA 10.23NA 10.41 10.23 1.17 20.09 19.91 20.09 19.91 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26416 Graft hand or finger tendon A 9.56 12.69NA 14.31NA 12.69 14.31 1.88 24.13 25.75 24.13 25.75 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26418 Repair finger tendon A 4.47 11.19NA 11.17NA 11.19 11.17 0.82 16.48 16.46 16.48 16.46 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26420 Repair/graft finger tendon A 6.94 12.12NA 12.04NA 12.12 12.04 1.37 20.43 20.35 20.43 20.35 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26426 Repair finger/hand tendon A 6.32 8.12NA 7.39NA 8.12 7.39 1.14 15.58 14.85 15.58 14.85 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26428 Repair/graft finger tendon A 7.40 12.79NA 12.87NA 12.79 12.87 1.47 21.66 21.74 21.66 21.74 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26432 Repair finger tendon A 4.16 9.36NA 9.36NA 9.36 9.36 0.73 14.25 14.25 14.25 14.25 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26433 Repair finger tendon A 4.70 9.69NA 9.67NA 9.69 9.67 0.86 15.25 15.23 15.25 15.23 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26434 Repair/graft finger tendon A 6.26 10.95NA 11.07NA 10.95 11.07 1.24 18.45 18.57 18.45 18.57 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26437 Realignment of tendons A 5.99 10.81NA 10.91NA 10.81 10.91 1.03 17.83 17.93 17.83 17.93 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26440 Release palm/finger tendon A 5.16 11.80NA 11.68NA 11.80 11.68 0.90 17.86 17.74 17.86 17.74 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26442 Release palm & finger tendon A 9.75 16.12NA 16.49NA 16.12 16.49 1.74 27.61 27.98 27.61 27.98 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26445 Release hand/finger tendon A 4.45 11.38NA 11.25NA 11.38 11.25 0.78 16.61 16.48 16.61 16.48 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26449 Release forearm/hand tendon A 8.59 11.15NA 10.63NA 11.15 10.63 1.51 21.25 20.73 21.25 20.73 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26450 Incision of palm tendon A 3.79 7.10NA 7.19NA 7.10 7.19 0.68 11.57 11.66 11.57 11.66 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26455 Incision of finger tendon A 3.76 7.08NA 7.20NA 7.08 7.20 0.69 11.53 11.65 11.53 11.65 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26460 Incise hand/finger tendon A 3.58 7.01NA 7.14NA 7.01 7.14 0.63 11.22 11.35 11.22 11.35 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26471 Fusion of finger tendons A 5.90 10.69NA 10.83NA 10.69 10.83 1.03 17.62 17.76 17.62 17.76 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26474 Fusion of finger tendons A 5.49 10.62NA 10.83NA 10.62 10.83 1.08 17.19 17.40 17.19 17.40 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26476 Tendon lengthening A 5.35 10.42NA 10.73NA 10.42 10.73 1.06 16.83 17.14 16.83 17.14 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26477 Tendon shortening A 5.32 10.36NA 10.46NA 10.36 10.46 1.02 16.70 16.80 16.70 16.80 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 26478 Lengthening of hand tendon A 5.97 10.86NA 10.86NA 10.86 10.86 1.09 17.92 17.92 17.92 17.92 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26479 Shortening of hand tendon A 5.91 10.79NA 10.86NA 10.79 10.86 1.17 17.87 17.94 17.87 17.94 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26480 Transplant hand tendon A 6.90 13.51NA 13.53NA 13.51 13.53 1.21 21.62 21.64 21.62 21.64 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26483 Transplant/graft hand tendon A 8.48 14.26NA 14.27NA 14.26 14.27 1.57 24.31 24.32 24.31 24.32 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26485 Transplant palm tendon A 7.89 13.99NA 13.99NA 13.99 13.99 1.40 23.28 23.28 23.28 23.28 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26489 Transplant/graft palm tendon A 9.86 14.35NA 15.20NA 14.35 15.20 1.93 26.14 26.99 26.14 26.99 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26490 Revise thumb tendon A 8.60 12.56NA 12.86NA 12.56 12.86 1.69 22.85 23.15 22.85 23.15 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26492 Tendon transfer with graft A 9.84 13.54NA 13.78NA 13.54 13.78 1.93 25.31 25.55 25.31 25.55 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26494 Hand tendon/muscle transfer A 8.66 12.58NA 12.75NA 12.58 12.75 1.69 22.93 23.10 22.93 23.10 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26496 Revise thumb tendon A 9.78 13.22NA 13.51NA 13.22 13.51 1.65 24.65 24.94 24.65 24.94 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26497 Finger tendon transfer A 9.76 13.20NA 13.40NA 13.20 13.40 1.92 24.88 25.08 24.88 25.08 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26498 Finger tendon transfer A 14.21 16.05NA 16.39NA 16.05 16.39 2.80 33.06 33.40 33.06 33.40 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26499 Revision of finger A 9.17 12.83NA 13.05NA 12.83 13.05 1.81 23.81 24.03 23.81 24.03 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26500 Hand tendon reconstruction A 6.13 10.75NA 10.87NA 10.75 10.87 1.14 18.02 18.14 18.02 18.14 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26502 Hand tendon reconstruction A 7.31 11.76NA 12.09NA 11.76 12.09 1.46 20.53 20.86 20.53 20.86 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26508 Release thumb contracture A 6.18 10.82NA 11.02NA 10.82 11.02 1.10 18.10 18.30 18.10 18.30 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26510 Thumb tendon transfer A 5.60 10.52NA 10.53NA 10.52 10.53 0.98 17.10 17.11 17.10 17.11 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26516 Fusion of knuckle joint A 7.32 11.51NA 11.64NA 11.51 11.64 1.29 20.12 20.25 20.12 20.25 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26517 Fusion of knuckle joints A 9.08 12.86NA 13.00NA 12.86 13.00 1.80 23.74 23.88 23.74 23.88 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26518 Fusion of knuckle joints A 9.27 13.06NA 13.34NA 13.06 13.34 1.82 24.15 24.43 24.15 24.43 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26520 Release knuckle contracture A 5.47 12.29NA 12.22NA 12.29 12.22 0.99 18.75 18.68 18.75 18.68 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26525 Release finger contracture A 5.50 12.31NA 12.22NA 12.31 12.22 0.95 18.76 18.67 18.76 18.67 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 26530 Revise knuckle joint A 6.88 7.39NA 7.81NA 7.39 7.81 1.22 15.49 15.91 15.49 15.91 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26531 Revise knuckle with implant A 8.13 8.51NA 9.02NA 8.51 9.02 1.39 18.03 18.54 18.03 18.54 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26535 Revise finger joint A 5.41 5.53NA 6.05NA 5.53 6.05 0.83 11.77 12.29 11.77 12.29 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26536 Revise/implant finger joint A 6.56 12.17NA 12.88NA 12.17 12.88 1.13 19.86 20.57 19.86 20.57 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26540 Repair hand joint A 6.60 11.15NA 11.23NA 11.15 11.23 1.18 18.93 19.01 18.93 19.01 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 26541 Repair hand joint with graft A 8.81 12.65NA 12.77NA 12.65 12.77 1.52 22.98 23.10 22.98 23.10 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26542 Repair hand joint with graft A 6.95 11.39NA 11.50NA 11.39 11.50 1.25 19.59 19.70 19.59 19.70 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26545 Reconstruct finger joint A 7.11 11.63NA 11.83NA 11.63 11.83 1.27 20.01 20.21 20.01 20.21 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26546 Repair nonunion hand A 10.83 15.66NA 16.11NA 15.66 16.11 1.85 28.34 28.79 28.34 28.79 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 26548 Reconstruct finger joint A 8.22 12.27NA 12.48NA 12.27 12.48 1.50 21.99 22.20 21.99 22.20 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26550 Construct thumb replacement A 21.68 19.65NA 22.42NA 19.65 22.42 4.26 45.59 48.36 45.59 48.36 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26551 Great toe-hand transfer A 48.48 30.75NA 28.76NA 30.75 28.76 9.55 88.78 86.79 88.78 86.79 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26553 Single transfer toe-hand A 48.17 35.13NA 44.59NA 35.13 44.59 3.43 86.73 96.19 86.73 96.19 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26554 Double transfer toe-hand A 57.01 34.07NA 32.81NA 34.07 32.81 4.06 95.14 93.88 95.14 93.88 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26555 Positional change of finger A 17.08 19.23NA 19.68NA 19.23 19.68 3.38 39.69 40.14 39.69 40.14 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26556 Toe joint transfer A 49.75 29.36NA 32.40NA 29.36 32.40 3.96 83.07 86.11 83.07 86.11 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26560 Repair of web finger A 5.52 10.13NA 10.54NA 10.13 10.54 1.09 16.74 17.15 16.74 17.15 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26561 Repair of web finger A 11.10 13.86NA 14.96NA 13.86 14.96 2.35 27.31 28.41 27.31 28.41 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26562 Repair of web finger A 16.68 18.62NA 19.31NA 18.62 19.31 1.18 36.48 37.17 36.48 37.17 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26565 Correct metacarpal flaw A 6.91 11.25NA 11.35NA 11.25 11.35 1.36 19.52 19.62 19.52 19.62 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26567 Correct finger deformity A 6.99 11.31NA 11.39NA 11.31 11.39 1.24 19.54 19.62 19.54 19.62 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26568 Lengthen metacarpal/finger A 9.27 14.71NA 14.85NA 14.71 14.85 1.82 25.80 25.94 25.80 25.94 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26580 Repair hand deformity A 19.75 15.82NA 15.15NA 15.82 15.15 3.89 39.46 38.79 39.46 38.79 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26587 Reconstruct extra finger A 14.50 12.47NA 14.76NA 12.47 14.76 3.10 30.07 32.36 30.07 32.36 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26590 Repair finger deformity A 18.67 14.34NA 15.11NA 14.34 15.11 3.70 36.71 37.48 36.71 37.48 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26591 Repair muscles of hand A 3.38 8.54NA 8.45NA 8.54 8.45 0.61 12.53 12.44 12.53 12.44 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26593 Release muscles of hand A 5.50 10.71NA 10.82NA 10.71 10.82 0.93 17.14 17.25 17.14 17.25 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26596 Excision constricting tissue A 9.14 10.60NA 11.29NA 10.60 11.29 1.81 21.55 22.24 21.55 22.24 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26600 Treat metacarpal fracture A 2.60 4.99 5.35 4.46 4.89 0.48 8.07 8.43 7.54 7.97 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26605 Treat metacarpal fracture A 3.03 5.43 5.70 4.64 4.93 0.56 9.02 9.29 8.23 8.52 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26607 Treat metacarpal fracture A 5.48 6.35NA 6.93NA 6.35 6.93 1.06 12.89 13.47 12.89 13.47 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26608 Treat metacarpal fracture A 5.55 7.14NA 7.47NA 7.14 7.47 1.03 13.72 14.05 13.72 14.05 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26615 Treat metacarpal fracture A 7.07 8.00NA 8.71NA 8.00 8.71 1.29 16.36 17.07 16.36 17.07 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26641 Treat thumb dislocation A 4.13 5.33 5.42 4.50 4.64 0.72 10.18 10.27 9.35 9.49 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26645 Treat thumb fracture A 4.58 6.47 6.98 5.53 6.02 0.88 11.93 12.44 10.99 11.48 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26650 Treat thumb fracture A 5.35 7.37NA 7.68NA 7.37 7.68 1.02 13.74 14.05 13.74 14.05 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26665 Treat thumb fracture A 7.94 8.57NA 9.16NA 8.57 9.16 1.47 17.98 18.57 17.98 18.57 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 26670 Treat hand dislocation A 3.83 4.80 5.04 3.95 4.25 0.67 9.30 9.54 8.45 8.75 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26675 Treat hand dislocation A 4.83 6.92 7.46 5.94 6.46 0.95 12.70 13.24 11.72 12.24 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26676 Pin hand dislocation A 5.74 7.57NA 7.89NA 7.57 7.89 1.06 14.37 14.69 14.37 14.69 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26685 Treat hand dislocation A 7.07 8.07NA 8.62NA 8.07 8.62 1.39 16.53 17.08 16.53 17.08 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 26686 Treat hand dislocation A 8.17 8.24NA 8.67NA 8.24 8.67 1.61 18.02 18.45 18.02 18.45 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 26700 Treat knuckle dislocation A 3.83 4.41 4.66 3.86 4.17 0.65 8.89 9.14 8.34 8.65 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26705 Treat knuckle dislocation A 4.38 6.50 7.02 5.53 6.04 0.82 11.70 12.22 10.73 11.24 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26706 Pin knuckle dislocation A 5.31 6.32NA 6.77NA 6.32 6.77 0.95 12.58 13.03 12.58 13.03 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26715 Treat knuckle dislocation A 7.03 7.95NA 8.59NA 7.95 8.59 1.31 16.29 16.93 16.29 16.93 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26720 Treat finger fracture each A 1.76 3.38 3.56 2.96 3.19 0.33 5.47 5.65 5.05 5.28 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26725 Treat finger fracture each A 3.48 5.44 5.67 4.50 4.79 0.64 9.56 9.79 8.62 8.91 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26727 Treat finger fracture each A 5.42 7.10NA 7.43NA 7.10 7.43 0.99 13.51 13.84 13.51 13.84 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26735 Treat finger fracture each A 7.42 8.20NA 8.90NA 8.20 8.90 1.37 16.99 17.69 16.99 17.69 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26740 Treat finger fracture each A 2.07 3.94 4.19 3.55 3.81 0.35 6.36 6.61 5.97 6.23 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26742 Treat finger fracture each A 3.99 5.69 5.90 4.75 4.98 0.72 10.40 10.61 9.46 9.69 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26746 Treat finger fracture each A 9.80 9.51NA 10.50NA 9.51 10.50 1.78 21.09 22.08 21.09 22.08 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26750 Treat finger fracture each A 1.80 2.96 3.11 2.90 3.12 0.33 5.09 5.24 5.03 5.25 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26755 Treat finger fracture each A 3.23 4.98 5.18 3.88 4.11 0.59 8.80 9.00 7.70 7.93 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26756 Pin finger fracture each A 4.58 6.55NA 6.86NA 6.55 6.86 0.83 11.96 12.27 11.96 12.27 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26765 Treat finger fracture each A 5.86 7.16NA 7.88NA 7.16 7.88 1.09 14.11 14.83 14.11 14.83 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26770 Treat finger dislocation A 3.15 3.88 4.09 3.31 3.58 0.54 7.57 7.78 7.00 7.27 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26775 Treat finger dislocation A 3.90 6.16 6.46 5.12 5.47 0.69 10.75 11.05 9.71 10.06 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26776 Pin finger dislocation A 4.99 6.79NA 7.10NA 6.79 7.10 0.91 12.69 13.00 12.69 13.00 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26785 Treat finger dislocation A 6.60 7.58NA 8.38NA 7.58 8.38 1.21 15.39 16.19 15.39 16.19 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26820 Thumb fusion with graft A 8.45 12.51NA 12.62NA 12.51 12.62 1.66 22.62 22.73 22.62 22.73 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26841 Fusion of thumb A 7.35 12.22NA 12.32NA 12.22 12.32 1.39 20.96 21.06 20.96 21.06 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 26842 Thumb fusion with graft A 8.49 12.58NA 12.67NA 12.58 12.67 1.66 22.73 22.82 22.73 22.82 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26843 Fusion of hand joint A 7.78 11.84NA 11.97NA 11.84 11.97 1.54 21.16 21.29 21.16 21.29 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26844 Fusion/graft of hand joint A 8.98 12.79NA 12.94NA 12.79 12.94 1.78 23.55 23.70 23.55 23.70 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26850 Fusion of knuckle A 7.14 11.53NA 11.65NA 11.53 11.65 1.24 19.91 20.03 19.91 20.03 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26852 Fusion of knuckle with graft A 8.71 12.67NA 12.90NA 12.67 12.90 1.47 22.85 23.08 22.85 23.08 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26860 Fusion of finger joint A 4.88 10.39NA 10.45NA 10.39 10.45 0.84 16.11 16.17 16.11 16.17 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26861 Fusion of finger jnt add-on A 1.74 1.03NA 1.10NA 1.03 1.10 0.31 3.08 3.15 3.08 3.15 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 26862 Fusion/graft of finger joint A 7.56 11.96NA 12.15NA 11.96 12.15 1.31 20.83 21.02 20.83 21.02 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 26863 Fuse/graft added joint A 3.89 2.25NA 2.32NA 2.25 2.32 0.75 6.89 6.96 6.89 6.96 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 26910 Amputate metacarpal bone A 7.79 11.32NA 11.54NA 11.32 11.54 1.50 20.61 20.83 20.61 20.83 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26951 Amputation of finger/thumb A 6.04 11.21NA 11.62NA 11.21 11.62 1.14 18.39 18.80 18.39 18.80 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26952 Amputation of finger/thumb A 6.48 10.94NA 11.03NA 10.94 11.03 1.21 18.63 18.72 18.63 18.72 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26989 Hand/finger surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 26990 Drainage of pelvis lesion A 7.95 8.49NA 8.91NA 8.49 8.91 1.58 18.02 18.44 18.02 18.44 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 26991 Drainage of pelvis bursa A 7.06 11.81 12.18 6.74 7.15 1.39 20.26 20.63 15.19 15.60 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 26992 Drainage of bone lesion A 13.48 11.88NA 12.48NA 11.88 12.48 2.67 28.03 28.63 28.03 28.63 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 27000 Incision of hip tendon A 5.74 5.93NA 6.04NA 5.93 6.04 1.08 12.75 12.86 12.75 12.86 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27001 Incision of hip tendon A 7.14 7.13NA 7.47NA 7.13 7.47 1.40 15.67 16.01 15.67 16.01 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27003 Incision of hip tendon A 7.81 7.81NA 8.30NA 7.81 8.30 1.54 17.16 17.65 17.16 17.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27005 Incision of hip tendon A 10.07 9.13NA 9.57NA 9.13 9.57 1.97 21.17 21.61 21.17 21.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27006 Incision of hip tendons A 10.11 9.38NA 9.86NA 9.38 9.86 1.96 21.45 21.93 21.45 21.93 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27025 Incision of hip/thigh fascia A 12.89 11.02NA 11.77NA 11.02 11.77 2.57 26.48 27.23 26.48 27.23 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27027 Buttock fasciotomy A 13.04 10.35NA 11.40NA 10.35 11.40 0.91 24.30 25.35 24.30 25.35 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27030 Drainage of hip joint A 13.65 11.09NA 11.52NA 11.09 11.52 2.67 27.41 27.84 27.41 27.84 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27033 Exploration of hip joint A 14.11 11.64NA 12.19NA 11.64 12.19 2.78 28.53 29.08 28.53 29.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27035 Denervation of hip joint A 17.37 12.68NA 14.47NA 12.68 14.47 3.43 33.48 35.27 33.48 35.27 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27036 Excision of hip joint/muscle A 14.38 12.22NA 12.86NA 12.22 12.86 2.79 29.39 30.03 29.39 30.03 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27040 Biopsy of soft tissues A 2.92 6.39 6.35 2.43 2.44 0.48 9.79 9.75 5.83 5.84 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 27041 Biopsy of soft tissues A 10.18 7.78NA 7.96NA 7.78 7.96 1.81 19.77 19.95 19.77 19.95 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27043 Exc hip pelvis les sc > 3 cm A 6.88 5.68NA 5.68NA 5.68 5.68 1.42 13.98 13.98 13.98 13.98 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27045 Exc hip/pelv tum deep > 5 cm A 11.13 8.79NA 8.79NA 8.79 8.79 2.26 22.18 22.18 22.18 22.18 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27047 Exc hip/pelvis les sc < 3 cm A 4.94 8.16 7.70 5.20 4.76 1.02 14.12 13.66 11.16 10.72 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27048 Exc hip/pelv tum deep < 5 cm A 8.85 6.66NA 7.50NA 6.66 7.50 1.81 17.32 18.16 17.32 18.16 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27049 Resect hip/pelv tum < 5 cm A 21.55 12.62NA 14.88NA 12.62 14.88 4.33 38.50 40.76 38.50 40.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27050 Biopsy of sacroiliac joint A 4.74 5.27NA 6.14NA 5.27 6.14 0.93 10.94 11.81 10.94 11.81 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27052 Biopsy of hip joint A 7.42 7.61NA 8.15NA 7.61 8.15 1.47 16.50 17.04 16.50 17.04 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27054 Removal of hip joint lining A 9.21 8.84NA 9.30NA 8.84 9.30 1.81 19.86 20.32 19.86 20.32 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27057 Buttock fasciotomy w/dbrdmt A 14.91 11.37NA 12.52NA 11.37 12.52 1.06 27.34 28.49 27.34 28.49 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27059 Resect hip/pelv tum > 5 cm A 29.35 19.17NA 19.17NA 19.17 19.17 5.78 54.30 54.30 54.30 54.30 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27060 Removal of ischial bursa A 5.87 6.01NA 6.70NA 6.01 6.70 1.17 13.05 13.74 13.05 13.74 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27062 Remove femur lesion/bursa A 5.75 6.27NA 6.62NA 6.27 6.62 1.13 13.15 13.50 13.15 13.50 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27065 Remove hip bone les super A 6.55 6.79NA 7.11NA 6.79 7.11 1.28 14.62 14.94 14.62 14.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27066 Remove hip bone les deep A 11.20 10.22NA 10.76NA 10.22 10.76 2.20 23.62 24.16 23.62 24.16 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27067 Remove/graft hip bone lesion A 14.72 12.61NA 13.25NA 12.61 13.25 2.91 30.24 30.88 30.24 30.88 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27070 Part remove hip bone super A 11.56 10.95NA 11.47NA 10.95 11.47 2.27 24.78 25.30 24.78 25.30 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27071 Part removal hip bone deep A 12.39 11.71NA 12.23NA 11.71 12.23 2.44 26.54 27.06 26.54 27.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27075 Resect hip tumor A 32.71 22.51NA 23.19NA 22.51 23.19 6.44 61.66 62.34 61.66 62.34 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27076 Resect hip tum incl acetabul A 40.21 22.44NA 28.11NA 22.44 28.11 7.93 70.58 76.25 70.58 76.25 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27077 Resect hip tum w/innom bone A 45.21 28.61NA 31.64NA 28.61 31.64 8.91 82.73 85.76 82.73 85.76 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27078 Rsect hip tum incl femur A 32.21 17.82NA 23.89NA 17.82 23.89 6.34 56.37 62.44 56.37 62.44 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27080 Removal of tail bone A 6.89 6.36NA 6.83NA 6.36 6.83 1.42 14.67 15.14 14.67 15.14 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27086 Remove hip foreign body A 1.92 4.84 4.89 2.04 2.12 0.31 7.07 7.12 4.27 4.35 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 27087 Remove hip foreign body A 8.83 7.80NA 8.10NA 7.80 8.10 1.70 18.33 18.63 18.33 18.63 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27090 Removal of hip prosthesis A 11.69 10.25NA 10.75NA 10.25 10.75 2.29 24.23 24.73 24.23 24.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27091 Removal of hip prosthesis A 24.35 17.81NA 18.88NA 17.81 18.88 4.80 46.96 48.03 46.96 48.03 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27093 Injection for hip x-ray A 1.30 4.13 4.02 0.63 0.66 0.14 5.57 5.46 2.07 2.10 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 27095 Injection for hip x-ray A 1.50 5.14 5.05 0.73 0.78 0.18 6.82 6.73 2.41 2.46 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 27096 Inject sacroiliac joint A 1.40 3.91 4.14 0.56 0.68 0.12 5.43 5.66 2.08 2.20 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 27097 Revision of hip tendon A 9.27 8.51NA 9.16NA 8.51 9.16 1.82 19.60 20.25 19.60 20.25 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27098 Transfer tendon to pelvis A 9.32 8.21NA 9.44NA 8.21 9.44 1.84 19.37 20.60 19.37 20.60 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27100 Transfer of abdominal muscle A 11.35 10.42NA 10.98NA 10.42 10.98 2.23 24.00 24.56 24.00 24.56 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27105 Transfer of spinal muscle A 12.04 10.84NA 11.39NA 10.84 11.39 2.35 25.23 25.78 25.23 25.78 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27110 Transfer of iliopsoas muscle A 13.77 11.65NA 12.42NA 11.65 12.42 2.72 28.14 28.91 28.14 28.91 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27111 Transfer of iliopsoas muscle A 12.60 10.54NA 11.73NA 10.54 11.73 2.46 25.60 26.79 25.60 26.79 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27120 Reconstruction of hip socket A 19.25 14.91NA 15.93NA 14.91 15.93 3.80 37.96 38.98 37.96 38.98 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27122 Reconstruction of hip socket A 16.09 13.06NA 13.70NA 13.06 13.70 3.16 32.31 32.95 32.31 32.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27125 Partial hip replacement A 16.64 13.24NA 14.02NA 13.24 14.02 3.28 33.16 33.94 33.16 33.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27130 Total hip arthroplasty A 21.79 16.31NA 17.19NA 16.31 17.19 4.29 42.39 43.27 42.39 43.27 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27132 Total hip arthroplasty A 25.69 18.74NA 19.69NA 18.74 19.69 5.06 49.49 50.44 49.49 50.44 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27134 Revise hip joint replacement A 30.28 20.68NA 21.62NA 20.68 21.62 5.96 56.92 57.86 56.92 57.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27137 Revise hip joint replacement A 22.70 16.41NA 17.20NA 16.41 17.20 4.46 43.57 44.36 43.57 44.36 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27138 Revise hip joint replacement A 23.70 16.97NA 17.79NA 16.97 17.79 4.67 45.34 46.16 45.34 46.16 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27140 Transplant femur ridge A 12.78 10.89NA 11.35NA 10.89 11.35 2.52 26.19 26.65 26.19 26.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27146 Incision of hip bone A 18.92 14.77NA 15.86NA 14.77 15.86 3.74 37.43 38.52 37.43 38.52 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27147 Revision of hip bone A 22.07 16.75NA 17.74NA 16.75 17.74 4.34 43.16 44.15 43.16 44.15 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27151 Incision of hip bones A 24.12 16.93NA 18.96NA 16.93 18.96 4.76 45.81 47.84 45.81 47.84 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27156 Revision of hip bones A 26.23 18.98NA 20.22NA 18.98 20.22 5.16 50.37 51.61 50.37 51.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27158 Revision of pelvis A 21.04 15.69NA 16.90NA 15.69 16.90 4.15 40.88 42.09 40.88 42.09 0090.10.69.2122200 33.9764 090 99 0.00 0.00 0.00 27161 Incision of neck of femur A 17.89 14.27NA 14.94NA 14.27 14.94 3.51 35.67 36.34 35.67 36.34 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27165 Incision/fixation of femur A 20.29 15.99NA 16.92NA 15.99 16.92 3.99 40.27 41.20 40.27 41.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27170 Repair/graft femur head/neck A 17.61 13.53NA 14.22NA 13.53 14.22 3.47 34.61 35.30 34.61 35.30 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27175 Treat slipped epiphysis A 9.38 8.19NA 8.65NA 8.19 8.65 1.85 19.42 19.88 19.42 19.88 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27176 Treat slipped epiphysis A 12.92 11.25NA 11.92NA 11.25 11.92 2.56 26.73 27.40 26.73 27.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27177 Treat slipped epiphysis A 16.09 13.32NA 14.06NA 13.32 14.06 3.17 32.58 33.32 32.58 33.32 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27178 Treat slipped epiphysis A 12.92 11.16NA 11.92NA 11.16 11.92 2.56 26.64 27.40 26.64 27.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27179 Revise head/neck of femur A 13.97 11.78NA 12.43NA 11.78 12.43 2.75 28.50 29.15 28.50 29.15 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27181 Treat slipped epiphysis A 16.18 13.34NA 14.23NA 13.34 14.23 3.20 32.72 33.61 32.72 33.61 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27185 Revision of femur epiphysis A 9.79 7.05NA 6.78NA 7.05 6.78 0.69 17.53 17.26 17.53 17.26 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27187 Reinforce hip bones A 14.23 12.01NA 12.56NA 12.01 12.56 2.80 29.04 29.59 29.04 29.59 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27193 Treat pelvic ring fracture A 6.09 6.28 6.64 6.43 6.82 1.20 13.57 13.93 13.72 14.11 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 27194 Treat pelvic ring fracture A 10.20 8.34NA 8.52NA 8.34 8.52 1.66 20.20 20.38 20.20 20.38 0090.10.69.2120020 33.9764 090 99 0.00 0.00 0.00 27200 Treat tail bone fracture A 1.92 2.77 2.96 2.92 3.16 0.35 5.04 5.23 5.19 5.43 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 27202 Treat tail bone fracture A 7.31 8.75NA 7.82NA 8.75 7.82 1.46 17.52 16.59 17.52 16.59 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 27215 Treat pelvic fracture(s) I+ 10.45 7.37NA 6.55NA 7.37 6.55 0.73 18.55 17.73 18.55 17.73 9090.10.69.2199999 33.9764 090 99 0.00 0.00 0.00 27216 Treat pelvic ring fracture I+ 15.73 10.56NA 9.48NA 10.56 9.48 1.13 27.42 26.34 27.42 26.34 9090.10.69.2199999 33.9764 090 99 0.00 0.00 0.00 27217 Treat pelvic ring fracture I+ 14.65 10.18NA 9.01NA 10.18 9.01 1.05 25.88 24.71 25.88 24.71 9090.10.69.2199999 33.9764 090 99 0.00 0.00 0.00 27218 Treat pelvic ring fracture I+ 20.93 13.01NA 11.76NA 13.01 11.76 1.50 35.44 34.19 35.44 34.19 9090.10.69.2199999 33.9764 090 99 0.00 0.00 0.00 27220 Treat hip socket fracture A 6.83 7.11 7.52 6.99 7.39 1.33 15.27 15.68 15.15 15.55 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27222 Treat hip socket fracture A 14.11 11.68NA 12.22NA 11.68 12.22 2.76 28.55 29.09 28.55 29.09 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27226 Treat hip wall fracture A 15.57 12.08NA 13.13NA 12.08 13.13 3.08 30.73 31.78 30.73 31.78 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27227 Treat hip fracture(s) A 25.41 18.63NA 19.64NA 18.63 19.64 5.01 49.05 50.06 49.05 50.06 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27228 Treat hip fracture(s) A 29.33 20.89NA 21.92NA 20.89 21.92 5.78 56.00 57.03 56.00 57.03 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27230 Treat thigh fracture A 5.81 6.66 7.00 6.53 6.91 1.14 13.61 13.95 13.48 13.86 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27232 Treat thigh fracture A 11.72 8.46NA 8.85NA 8.46 8.85 2.25 22.43 22.82 22.43 22.82 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27235 Treat thigh fracture A 13.00 11.08NA 11.63NA 11.08 11.63 2.56 26.64 27.19 26.64 27.19 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27236 Treat thigh fracture A 17.61 13.95NA 14.78NA 13.95 14.78 3.47 35.03 35.86 35.03 35.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27238 Treat thigh fracture A 5.75 6.30NA 6.63NA 6.30 6.63 1.13 13.18 13.51 13.18 13.51 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27240 Treat thigh fracture A 13.81 11.41NA 12.00NA 11.41 12.00 2.69 27.91 28.50 27.91 28.50 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27244 Treat thigh fracture A 18.18 14.29NA 15.15NA 14.29 15.15 3.57 36.04 36.90 36.04 36.90 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27245 Treat thigh fracture A 18.18 14.68NA 15.17NA 14.68 15.17 3.57 36.43 36.92 36.43 36.92 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27246 Treat thigh fracture A 4.83 5.31 5.57 5.34 5.62 0.93 11.07 11.33 11.10 11.38 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27248 Treat thigh fracture A 10.78 8.97NA 9.30NA 8.97 9.30 2.12 21.87 22.20 21.87 22.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27250 Treat hip dislocation A 3.82 1.53NA 0.98NA 1.53 0.98 0.67 6.02 5.47 6.02 5.47 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 27252 Treat hip dislocation A 11.03 8.88NA 9.33NA 8.88 9.33 2.14 22.05 22.50 22.05 22.50 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27253 Treat hip dislocation A 13.58 11.34NA 11.87NA 11.34 11.87 2.67 27.59 28.12 27.59 28.12 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27254 Treat hip dislocation A 18.94 14.52NA 15.26NA 14.52 15.26 3.73 37.19 37.93 37.19 37.93 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27256 Treat hip dislocation A 4.28 3.42 3.52 1.85 1.78 0.75 8.45 8.55 6.88 6.81 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 27257 Treat hip dislocation A 5.38 3.39NA 3.57NA 3.39 3.57 0.98 9.75 9.93 9.75 9.93 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 27258 Treat hip dislocation A 16.18 13.11NA 13.86NA 13.11 13.86 3.20 32.49 33.24 32.49 33.24 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27259 Treat hip dislocation A 23.26 17.73NA 18.78NA 17.73 18.78 4.57 45.56 46.61 45.56 46.61 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27265 Treat hip dislocation A 5.24 5.14NA 5.28NA 5.14 5.28 0.93 11.31 11.45 11.31 11.45 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27266 Treat hip dislocation A 7.78 7.56NA 7.95NA 7.56 7.95 1.52 16.86 17.25 16.86 17.25 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27267 Cltx thigh fx A 5.50 5.74NA 6.23NA 5.74 6.23 1.09 12.33 12.82 12.33 12.82 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27268 Cltx thigh fx w/mnpj A 7.12 6.75NA 7.44NA 6.75 7.44 1.40 15.27 15.96 15.27 15.96 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27269 Optx thigh fx A 18.89 13.34NA 14.53NA 13.34 14.53 3.70 35.93 37.12 35.93 37.12 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27275 Manipulation of hip joint A 2.32 2.44NA 2.53NA 2.44 2.53 0.39 5.15 5.24 5.15 5.24 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 27280 Fusion of sacroiliac joint A 14.64 12.42NA 13.05NA 12.42 13.05 3.04 30.10 30.73 30.10 30.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27282 Fusion of pubic bones A 11.85 10.10NA 11.28NA 10.10 11.28 2.31 24.26 25.44 24.26 25.44 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27284 Fusion of hip joint A 25.06 16.60NA 18.77NA 16.60 18.77 4.95 46.61 48.78 46.61 48.78 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27286 Fusion of hip joint A 25.17 18.64NA 19.59NA 18.64 19.59 4.97 48.78 49.73 48.78 49.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27290 Amputation of leg at hip A 24.55 17.67NA 19.43NA 17.67 19.43 4.85 47.07 48.83 47.07 48.83 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27295 Amputation of leg at hip A 19.66 13.64NA 14.42NA 13.64 14.42 4.01 37.31 38.09 37.31 38.09 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27299 Pelvis/hip joint surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 27301 Drain thigh/knee lesion A 6.78 11.03 11.38 6.35 6.71 1.37 19.18 19.53 14.50 14.86 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27303 Drainage of bone lesion A 8.63 8.25NA 8.66NA 8.25 8.66 1.69 18.57 18.98 18.57 18.98 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27305 Incise thigh tendon & fascia A 6.18 6.33NA 6.77NA 6.33 6.77 1.22 13.73 14.17 13.73 14.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27306 Incision of thigh tendon A 4.74 5.20NA 5.35NA 5.20 5.35 0.93 10.87 11.02 10.87 11.02 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27307 Incision of thigh tendons A 6.06 6.44NA 6.92NA 6.44 6.92 1.20 13.70 14.18 13.70 14.18 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27310 Exploration of knee joint A 10.00 9.27NA 9.78NA 9.27 9.78 1.96 21.23 21.74 21.23 21.74 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27323 Biopsy thigh soft tissues A 2.33 5.06 5.21 2.49 2.59 0.41 7.80 7.95 5.23 5.33 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 27324 Biopsy thigh soft tissues A 5.04 5.20NA 5.52NA 5.20 5.52 1.05 11.29 11.61 11.29 11.61 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27325 Neurectomy hamstring A 7.20 7.15NA 7.86NA 7.15 7.86 1.42 15.77 16.48 15.77 16.48 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27326 Neurectomy popliteal A 6.47 6.77NA 7.43NA 6.77 7.43 1.27 14.51 15.17 14.51 15.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27327 Exc thigh/knee les sc < 3 cm A 3.96 7.92 8.45 4.45 4.42 0.80 12.68 13.21 9.21 9.18 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27328 Exc thigh/knee tum deep <5cm A 8.85 6.48NA 7.75NA 6.48 7.75 1.81 17.14 18.41 17.14 18.41 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27329 Resect thigh/knee tum < 5 cm A 15.72 11.56NA 12.26NA 11.56 12.26 3.18 30.46 31.16 30.46 31.16 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27330 Biopsy knee joint lining A 5.11 5.68NA 6.11NA 5.68 6.11 0.95 11.74 12.17 11.74 12.17 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27331 Explore/treat knee joint A 6.02 6.53NA 6.85NA 6.53 6.85 1.18 13.73 14.05 13.73 14.05 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27332 Removal of knee cartilage A 8.46 8.46NA 8.88NA 8.46 8.88 1.65 18.57 18.99 18.57 18.99 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27333 Removal of knee cartilage A 7.55 7.87NA 8.29NA 7.87 8.29 1.50 16.92 17.34 16.92 17.34 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27334 Remove knee joint lining A 9.19 8.82NA 9.31NA 8.82 9.31 1.81 19.82 20.31 19.82 20.31 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27335 Remove knee joint lining A 10.55 9.63NA 10.08NA 9.63 10.08 2.07 22.25 22.70 22.25 22.70 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27337 Exc thigh/knee les sc 3+ cm A 5.91 5.38NA 5.38NA 5.38 5.38 1.21 12.50 12.50 12.50 12.50 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27339 Exc thigh/knee tum deep 5+cm A 11.13 9.09NA 9.09NA 9.09 9.09 2.26 22.48 22.48 22.48 22.48 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27340 Removal of kneecap bursa A 4.32 5.47NA 5.76NA 5.47 5.76 0.84 10.63 10.92 10.63 10.92 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27345 Removal of knee cyst A 6.09 6.62NA 6.91NA 6.62 6.91 1.20 13.91 14.20 13.91 14.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27347 Remove knee cyst A 6.73 7.12NA 7.57NA 7.12 7.57 1.32 15.17 15.62 15.17 15.62 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27350 Removal of kneecap A 8.66 8.56NA 8.98NA 8.56 8.98 1.69 18.91 19.33 18.91 19.33 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27355 Remove femur lesion A 8.00 7.92NA 8.28NA 7.92 8.28 1.58 17.50 17.86 17.50 17.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27356 Remove femur lesion/graft A 10.09 9.36NA 9.81NA 9.36 9.81 1.97 21.42 21.87 21.42 21.87 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27357 Remove femur lesion/graft A 11.16 10.33NA 10.86NA 10.33 10.86 2.20 23.69 24.22 23.69 24.22 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27358 Remove femur lesion/fixation A 4.73 2.72NA 2.82NA 2.72 2.82 0.91 8.36 8.46 8.36 8.46 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 27360 Partial removal leg bone(s) A 11.46 11.04NA 11.56NA 11.04 11.56 2.26 24.76 25.28 24.76 25.28 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27364 Resect thigh/knee tum 5+ cm A 24.49 17.23NA 17.23NA 17.23 17.23 4.97 46.69 46.69 46.69 46.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27365 Resect femur/knee tumor A 32.21 18.72NA 23.74NA 18.72 23.74 6.36 57.29 62.31 57.29 62.31 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27370 Injection for knee x-ray A 0.96 3.84 3.83 0.47 0.51 0.12 4.92 4.91 1.55 1.59 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 27372 Removal of foreign body A 5.21 11.06 11.37 5.51 5.77 1.03 17.30 17.61 11.75 12.01 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27380 Repair of kneecap tendon A 7.45 8.25NA 8.58NA 8.25 8.58 1.47 17.17 17.50 17.17 17.50 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27381 Repair/graft kneecap tendon A 10.76 10.37NA 10.79NA 10.37 10.79 2.12 23.25 23.67 23.25 23.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27385 Repair of thigh muscle A 8.11 8.65NA 9.00NA 8.65 9.00 1.59 18.35 18.70 18.35 18.70 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27386 Repair/graft of thigh muscle A 11.13 10.86NA 11.34NA 10.86 11.34 2.19 24.18 24.66 24.18 24.66 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27390 Incision of thigh tendon A 5.53 6.24NA 6.60NA 6.24 6.60 1.09 12.86 13.22 12.86 13.22 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 27391 Incision of thigh tendons A 7.49 7.69NA 8.10NA 7.69 8.10 1.48 16.66 17.07 16.66 17.07 0090.10.69.2120010 33.9764 090 99 0.00 0.00 0.00 27392 Incision of thigh tendons A 9.63 9.04NA 9.63NA 9.04 9.63 1.89 20.56 21.15 20.56 21.15 0090.10.69.2122210 33.9764 090 99 0.00 0.00 0.00 27393 Lengthening of thigh tendon A 6.59 6.78NA 7.06NA 6.78 7.06 1.29 14.66 14.94 14.66 14.94 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27394 Lengthening of thigh tendons A 8.79 8.38NA 8.73NA 8.38 8.73 1.70 18.87 19.22 18.87 19.22 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 27395 Lengthening of thigh tendons A 12.24 10.97NA 11.51NA 10.97 11.51 2.41 25.62 26.16 25.62 26.16 0090.10.69.2122210 33.9764 090 99 0.00 0.00 0.00 27396 Transplant of thigh tendon A 8.15 8.11NA 8.49NA 8.11 8.49 1.61 17.87 18.25 17.87 18.25 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27397 Transplants of thigh tendons A 12.66 11.45NA 12.13NA 11.45 12.13 2.48 26.59 27.27 26.59 27.27 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 27400 Revise thigh muscles/tendons A 9.33 8.95NA 9.45NA 8.95 9.45 1.84 20.12 20.62 20.12 20.62 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27403 Repair of knee cartilage A 8.62 8.32NA 8.70NA 8.32 8.70 1.67 18.61 18.99 18.61 18.99 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27405 Repair of knee ligament A 9.08 8.80NA 9.21NA 8.80 9.21 1.80 19.68 20.09 19.68 20.09 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27407 Repair of knee ligament A 10.85 9.77NA 10.57NA 9.77 10.57 2.14 22.76 23.56 22.76 23.56 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27409 Repair of knee ligaments A 13.71 11.77NA 12.39NA 11.77 12.39 2.71 28.19 28.81 28.19 28.81 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27412 Autochondrocyte implant knee A 24.74 18.79NA 19.87NA 18.79 19.87 4.89 48.42 49.50 48.42 49.50 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27415 Osteochondral knee allograft A 20.00 16.19NA 17.22NA 16.19 17.22 3.93 40.12 41.15 40.12 41.15 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27416 Osteochondral knee autograft A 14.16 11.50NA 12.36NA 11.50 12.36 2.79 28.45 29.31 28.45 29.31 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27418 Repair degenerated kneecap A 11.60 10.41NA 10.87NA 10.41 10.87 2.26 24.27 24.73 24.27 24.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27420 Revision of unstable kneecap A 10.26 9.47NA 9.91NA 9.47 9.91 2.00 21.73 22.17 21.73 22.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27422 Revision of unstable kneecap A 10.21 9.44NA 9.88NA 9.44 9.88 1.99 21.64 22.08 21.64 22.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27424 Revision/removal of kneecap A 10.24 9.43NA 9.82NA 9.43 9.82 2.00 21.67 22.06 21.67 22.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27425 Lat retinacular release open A 5.39 6.42NA 6.74NA 6.42 6.74 1.06 12.87 13.19 12.87 13.19 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27427 Reconstruction knee A 9.79 9.17NA 9.60NA 9.17 9.60 1.92 20.88 21.31 20.88 21.31 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27428 Reconstruction knee A 15.58 13.77NA 14.53NA 13.77 14.53 3.09 32.44 33.20 32.44 33.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27429 Reconstruction knee A 17.54 15.28NA 16.06NA 15.28 16.06 3.47 36.29 37.07 36.29 37.07 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27430 Revision of thigh muscles A 10.16 9.39NA 9.84NA 9.39 9.84 1.99 21.54 21.99 21.54 21.99 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27435 Incision of knee joint A 10.88 10.36NA 10.92NA 10.36 10.92 2.15 23.39 23.95 23.39 23.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27437 Revise kneecap A 8.93 8.52NA 8.94NA 8.52 8.94 1.77 19.22 19.64 19.22 19.64 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27438 Revise kneecap with implant A 11.89 10.30NA 10.83NA 10.30 10.83 2.33 24.52 25.05 24.52 25.05 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27440 Revision of knee joint A 11.09 9.57NA 10.49NA 9.57 10.49 2.18 22.84 23.76 22.84 23.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27441 Revision of knee joint A 11.54 9.78NA 10.76NA 9.78 10.76 2.26 23.58 24.56 23.58 24.56 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27442 Revision of knee joint A 12.37 10.57NA 11.15NA 10.57 11.15 2.42 25.36 25.94 25.36 25.94 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27443 Revision of knee joint A 11.41 10.15NA 10.68NA 10.15 10.68 2.25 23.81 24.34 23.81 24.34 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27445 Revision of knee joint A 18.66 14.49NA 15.19NA 14.49 15.19 3.70 36.85 37.55 36.85 37.55 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27446 Revision of knee joint A 16.38 12.93NA 13.48NA 12.93 13.48 3.23 32.54 33.09 32.54 33.09 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27447 Total knee arthroplasty A 23.25 17.49NA 18.37NA 17.49 18.37 4.57 45.31 46.19 45.31 46.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27448 Incision of thigh A 11.60 10.02NA 10.51NA 10.02 10.51 2.29 23.91 24.40 23.91 24.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27450 Incision of thigh A 14.61 12.22NA 12.75NA 12.22 12.75 2.90 29.73 30.26 29.73 30.26 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27454 Realignment of thigh bone A 19.17 14.94NA 16.01NA 14.94 16.01 3.78 37.89 38.96 37.89 38.96 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27455 Realignment of knee A 13.36 11.54NA 12.13NA 11.54 12.13 2.63 27.53 28.12 27.53 28.12 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27457 Realignment of knee A 14.03 11.47NA 12.01NA 11.47 12.01 2.76 28.26 28.80 28.26 28.80 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27465 Shortening of thigh bone A 18.60 14.19NA 15.32NA 14.19 15.32 3.69 36.48 37.61 36.48 37.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27466 Lengthening of thigh bone A 17.28 13.87NA 14.47NA 13.87 14.47 3.42 34.57 35.17 34.57 35.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27468 Shorten/lengthen thighs A 19.97 15.39NA 16.37NA 15.39 16.37 3.93 39.29 40.27 39.29 40.27 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27470 Repair of thigh A 17.14 14.05NA 14.75NA 14.05 14.75 3.39 34.58 35.28 34.58 35.28 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27472 Repair/graft of thigh A 18.72 14.79NA 15.45NA 14.79 15.45 3.70 37.21 37.87 37.21 37.87 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27475 Surgery to stop leg growth A 8.93 7.18NA 6.31NA 7.18 6.31 1.77 17.88 17.01 17.88 17.01 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27477 Surgery to stop leg growth A 10.14 9.21NA 9.68NA 9.21 9.68 1.99 21.34 21.81 21.34 21.81 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27479 Surgery to stop leg growth A 13.16 11.19NA 11.73NA 11.19 11.73 0.93 25.28 25.82 25.28 25.82 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27485 Surgery to stop leg growth A 9.13 8.59NA 9.00NA 8.59 9.00 1.81 19.53 19.94 19.53 19.94 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27486 Revise/replace knee joint A 21.12 16.16NA 16.98NA 16.16 16.98 4.15 41.43 42.25 41.43 42.25 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27487 Revise/replace knee joint A 27.11 19.56NA 20.50NA 19.56 20.50 5.34 52.01 52.95 52.01 52.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27488 Removal of knee prosthesis A 17.60 14.16NA 14.90NA 14.16 14.90 3.47 35.23 35.97 35.23 35.97 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27495 Reinforce thigh A 16.54 13.34NA 13.96NA 13.34 13.96 3.25 33.13 33.75 33.13 33.75 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27496 Decompression of thigh/knee A 6.78 7.12NA 7.93NA 7.12 7.93 1.33 15.23 16.04 15.23 16.04 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27497 Decompression of thigh/knee A 7.79 7.09NA 7.95NA 7.09 7.95 1.54 16.42 17.28 16.42 17.28 0090.10.69.2121020 33.9764 090 99 0.00 0.00 0.00 27498 Decompression of thigh/knee A 8.66 7.84NA 9.05NA 7.84 9.05 1.69 18.19 19.40 18.19 19.40 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27499 Decompression of thigh/knee A 9.43 8.49NA 9.51NA 8.49 9.51 1.86 19.78 20.80 19.78 20.80 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27500 Treatment of thigh fracture A 6.30 7.33 7.73 6.28 6.67 1.22 14.85 15.25 13.80 14.19 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27501 Treatment of thigh fracture A 6.45 6.84 7.18 6.68 7.06 1.27 14.56 14.90 14.40 14.78 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27502 Treatment of thigh fracture A 11.36 9.27NA 9.65NA 9.27 9.65 2.19 22.82 23.20 22.82 23.20 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27503 Treatment of thigh fracture A 11.27 9.95NA 10.49NA 9.95 10.49 2.20 23.42 23.96 23.42 23.96 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27506 Treatment of thigh fracture A 19.65 15.71NA 16.59NA 15.71 16.59 3.87 39.23 40.11 39.23 40.11 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27507 Treatment of thigh fracture A 14.48 11.34NA 11.85NA 11.34 11.85 2.86 28.68 29.19 28.68 29.19 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27508 Treatment of thigh fracture A 6.20 7.62 7.98 6.77 7.14 1.20 15.02 15.38 14.17 14.54 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27509 Treatment of thigh fracture A 8.14 8.99NA 9.37NA 8.99 9.37 1.59 18.72 19.10 18.72 19.10 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27510 Treatment of thigh fracture A 9.80 8.51NA 8.80NA 8.51 8.80 1.88 20.19 20.48 20.19 20.48 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27511 Treatment of thigh fracture A 15.11 11.57NA 11.90NA 11.57 11.90 2.98 29.66 29.99 29.66 29.99 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27513 Treatment of thigh fracture A 19.25 14.02NA 14.35NA 14.02 14.35 3.80 37.07 37.40 37.07 37.40 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27514 Treatment of thigh fracture A 14.60 11.63NA 11.58NA 11.63 11.58 2.87 29.10 29.05 29.10 29.05 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27516 Treat thigh fx growth plate A 5.59 7.67 8.18 6.84 7.32 1.10 14.36 14.87 13.53 14.01 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27517 Treat thigh fx growth plate A 9.12 8.95NA 9.43NA 8.95 9.43 1.80 19.87 20.35 19.87 20.35 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27519 Treat thigh fx growth plate A 13.25 10.77NA 10.87NA 10.77 10.87 2.61 26.63 26.73 26.63 26.73 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27520 Treat kneecap fracture A 3.04 5.43 5.70 4.62 4.94 0.59 9.06 9.33 8.25 8.57 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27524 Treat kneecap fracture A 10.37 9.55NA 10.00NA 9.55 10.00 2.03 21.95 22.40 21.95 22.40 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27530 Treat knee fracture A 4.09 6.40 6.72 5.64 5.98 0.78 11.27 11.59 10.51 10.85 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27532 Treat knee fracture A 7.55 8.71 9.17 7.71 8.13 1.48 17.74 18.20 16.74 17.16 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27535 Treat knee fracture A 13.41 10.57NA 10.89NA 10.57 10.89 2.63 26.61 26.93 26.61 26.93 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27536 Treat knee fracture A 17.39 14.10NA 14.88NA 14.10 14.88 3.43 34.92 35.70 34.92 35.70 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27538 Treat knee fracture(s) A 5.09 7.36 7.73 6.53 6.91 0.99 13.44 13.81 12.61 12.99 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27540 Treat knee fracture A 11.30 10.36NA 10.72NA 10.36 10.72 2.22 23.88 24.24 23.88 24.24 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27550 Treat knee dislocation A 5.98 7.10 7.44 6.12 6.46 1.10 14.18 14.52 13.20 13.54 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27552 Treat knee dislocation A 8.18 8.33NA 8.79NA 8.33 8.79 1.61 18.12 18.58 18.12 18.58 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27556 Treat knee dislocation A 13.00 10.62NA 10.72NA 10.62 10.72 2.57 26.19 26.29 26.19 26.29 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27557 Treat knee dislocation A 15.90 12.31NA 12.45NA 12.31 12.45 3.14 31.35 31.49 31.35 31.49 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27558 Treat knee dislocation A 18.39 13.56NA 13.93NA 13.56 13.93 3.62 35.57 35.94 35.57 35.94 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27560 Treat kneecap dislocation A 3.99 5.95 6.34 5.10 5.62 0.76 10.70 11.09 9.85 10.37 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27562 Treat kneecap dislocation A 5.98 6.53NA 7.10NA 6.53 7.10 1.18 13.69 14.26 13.69 14.26 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27566 Treat kneecap dislocation A 12.71 10.85NA 11.36NA 10.85 11.36 2.50 26.06 26.57 26.06 26.57 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27570 Fixation of knee joint A 1.79 2.18NA 2.30NA 2.18 2.30 0.34 4.31 4.43 4.31 4.43 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 27580 Fusion of knee A 21.10 17.04NA 17.83NA 17.04 17.83 4.15 42.29 43.08 42.29 43.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27590 Amputate leg at thigh A 13.47 8.08NA 8.41NA 8.08 8.41 2.95 24.50 24.83 24.50 24.83 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27591 Amputate leg at thigh A 13.94 9.91NA 10.13NA 9.91 10.13 2.91 26.76 26.98 26.76 26.98 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27592 Amputate leg at thigh A 10.98 7.48NA 7.79NA 7.48 7.79 2.34 20.80 21.11 20.80 21.11 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27594 Amputation follow-up surgery A 7.29 6.23NA 6.42NA 6.23 6.42 1.55 15.07 15.26 15.07 15.26 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27596 Amputation follow-up surgery A 11.29 8.04NA 8.33NA 8.04 8.33 2.40 21.73 22.02 21.73 22.02 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27598 Amputate lower leg at knee A 11.22 8.48NA 8.82NA 8.48 8.82 2.33 22.03 22.37 22.03 22.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27599 Leg surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 27600 Decompression of lower leg A 6.03 5.07NA 5.12NA 5.07 5.12 1.27 12.37 12.42 12.37 12.42 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27601 Decompression of lower leg A 6.05 5.76NA 5.98NA 5.76 5.98 1.27 13.08 13.30 13.08 13.30 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27602 Decompression of lower leg A 7.82 5.63NA 5.66NA 5.63 5.66 1.74 15.19 15.22 15.19 15.22 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27603 Drain lower leg lesion A 5.23 9.17 9.60 5.21 5.51 1.01 15.41 15.84 11.45 11.75 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27604 Drain lower leg bursa A 4.59 8.11 8.60 4.49 4.68 0.78 13.48 13.97 9.86 10.05 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27605 Incision of achilles tendon A 2.92 6.78 6.53 2.26 2.19 0.34 10.04 9.79 5.52 5.45 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 27606 Incision of achilles tendon A 4.18 3.58NA 3.66NA 3.58 3.66 0.72 8.48 8.56 8.48 8.56 0010.10.80.1021110 33.9764 090 99 0.00 0.00 0.00 27607 Treat lower leg bone lesion A 8.62 7.72NA 8.11NA 7.72 8.11 1.58 17.92 18.31 17.92 18.31 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27610 Explore/treat ankle joint A 9.13 8.32NA 8.71NA 8.32 8.71 1.63 19.08 19.47 19.08 19.47 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27612 Exploration of ankle joint A 8.15 7.07NA 7.34NA 7.07 7.34 1.16 16.38 16.65 16.38 16.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27613 Biopsy lower leg soft tissue A 2.22 4.75 4.90 2.30 2.38 0.31 7.28 7.43 4.83 4.91 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 27614 Biopsy lower leg soft tissue A 5.80 9.62 10.09 5.12 5.28 1.03 16.45 16.92 11.95 12.11 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27615 Resect leg/ankle tum < 5 cm A 15.72 10.98NA 12.21NA 10.98 12.21 3.14 29.84 31.07 29.84 31.07 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27616 Resect leg/ankle tum 5+ cm A 19.63 14.60NA 14.60NA 14.60 14.60 3.91 38.14 38.14 38.14 38.14 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27618 Exc leg/ankle tum < 3 cm A 3.96 8.04 8.32 4.57 4.38 0.73 12.73 13.01 9.26 9.07 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27619 Exc leg/ankle tum deep <5 cm A 6.91 6.49NA 6.31NA 6.49 6.31 1.22 14.62 14.44 14.62 14.44 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27620 Explore/treat ankle joint A 6.15 6.18NA 6.41NA 6.18 6.41 1.05 13.38 13.61 13.38 13.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27625 Remove ankle joint lining A 8.49 7.15NA 7.31NA 7.15 7.31 1.27 16.91 17.07 16.91 17.07 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27626 Remove ankle joint lining A 9.10 7.82NA 8.09NA 7.82 8.09 1.52 18.44 18.71 18.44 18.71 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27630 Removal of tendon lesion A 4.94 10.04 10.59 4.99 5.16 0.78 15.76 16.31 10.71 10.88 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27632 Exc leg/ankle les sc 3+ cm A 5.91 5.33NA 5.33NA 5.33 5.33 1.13 12.37 12.37 12.37 12.37 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27634 Exc leg/ankle tum deep 5+ cm A 10.13 8.13NA 8.13NA 8.13 8.13 1.80 20.06 20.06 20.06 20.06 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27635 Remove lower leg bone lesion A 8.03 7.78NA 8.13NA 7.78 8.13 1.50 17.31 17.66 17.31 17.66 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27637 Remove/graft leg bone lesion A 10.31 9.82NA 10.37NA 9.82 10.37 2.01 22.14 22.69 22.14 22.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27638 Remove/graft leg bone lesion A 10.99 9.56NA 9.89NA 9.56 9.89 2.16 22.71 23.04 22.71 23.04 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27640 Partial removal of tibia A 12.24 10.48NA 10.69NA 10.48 10.69 2.20 24.92 25.13 24.92 25.13 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27641 Partial removal of fibula A 9.84 8.34NA 8.45NA 8.34 8.45 1.67 19.85 19.96 19.85 19.96 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27645 Resect tibia tumor A 27.21 16.69NA 21.02NA 16.69 21.02 5.36 49.26 53.59 49.26 53.59 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27646 Resect fibula tumor A 23.21 14.73NA 18.64NA 14.73 18.64 4.57 42.51 46.42 42.51 46.42 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27647 Resect talus/calcaneus tum A 20.26 9.49NA 10.84NA 9.49 10.84 2.03 31.78 33.13 31.78 33.13 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27648 Injection for ankle x-ray A 0.96 3.64 3.62 0.46 0.49 0.12 4.72 4.70 1.54 1.57 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 27650 Repair achilles tendon A 9.21 8.80NA 9.15NA 8.80 9.15 1.51 19.52 19.87 19.52 19.87 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27652 Repair/graft achilles tendon A 10.78 8.50NA 8.57NA 8.50 8.57 1.51 20.79 20.86 20.79 20.86 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27654 Repair of achilles tendon A 10.53 8.78NA 9.15NA 8.78 9.15 1.51 20.82 21.19 20.82 21.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27656 Repair leg fascia defect A 4.71 11.28 12.62 5.29 6.04 0.91 16.90 18.24 10.91 11.66 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27658 Repair of leg tendon each A 5.12 5.13NA 5.28NA 5.13 5.28 0.78 11.03 11.18 11.03 11.18 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27659 Repair of leg tendon each A 7.10 6.23NA 6.42NA 6.23 6.42 0.99 14.32 14.51 14.32 14.51 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27664 Repair of leg tendon each A 4.73 5.15NA 5.37NA 5.15 5.37 0.75 10.63 10.85 10.63 10.85 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 27665 Repair of leg tendon each A 5.57 5.58NA 5.71NA 5.58 5.71 0.88 12.03 12.16 12.03 12.16 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 27675 Repair lower leg tendons A 7.35 6.08NA 6.16NA 6.08 6.16 1.02 14.45 14.53 14.45 14.53 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27676 Repair lower leg tendons A 8.73 7.80NA 8.10NA 7.80 8.10 1.70 18.23 18.53 18.23 18.53 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27680 Release of lower leg tendon A 5.88 5.77NA 6.04NA 5.77 6.04 0.98 12.63 12.90 12.63 12.90 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 27681 Release of lower leg tendons A 7.05 7.11NA 7.74NA 7.11 7.74 1.39 15.55 16.18 15.55 16.18 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 27685 Revision of lower leg tendon A 6.69 11.01 11.82 6.06 6.23 0.91 18.61 19.42 13.66 13.83 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27686 Revise lower leg tendons A 7.75 7.23NA 7.46NA 7.23 7.46 1.29 16.27 16.50 16.27 16.50 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27687 Revision of calf tendon A 6.41 5.98NA 6.19NA 5.98 6.19 0.99 13.38 13.59 13.38 13.59 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27690 Revise lower leg tendon A 9.17 8.08NA 8.52NA 8.08 8.52 1.32 18.57 19.01 18.57 19.01 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27691 Revise lower leg tendon A 10.49 9.66NA 10.15NA 9.66 10.15 1.82 21.97 22.46 21.97 22.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27692 Revise additional leg tendon A 1.87 1.01NA 1.05NA 1.01 1.05 0.34 3.22 3.26 3.22 3.26 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 27695 Repair of ankle ligament A 6.70 6.39NA 6.49NA 6.39 6.49 1.08 14.17 14.27 14.17 14.27 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27696 Repair of ankle ligaments A 8.58 6.88NA 7.00NA 6.88 7.00 1.16 16.62 16.74 16.62 16.74 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27698 Repair of ankle ligament A 9.61 7.83NA 8.08NA 7.83 8.08 1.51 18.95 19.20 18.95 19.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27700 Revision of ankle joint A 9.66 6.67NA 6.78NA 6.67 6.78 1.20 17.53 17.64 17.53 17.64 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27702 Reconstruct ankle joint A 14.42 11.77NA 12.13NA 11.77 12.13 2.65 28.84 29.20 28.84 29.20 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27703 Reconstruction ankle joint A 16.94 13.29NA 13.72NA 13.29 13.72 3.18 33.41 33.84 33.41 33.84 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27704 Removal of ankle implant A 7.81 7.49NA 7.97NA 7.49 7.97 1.42 16.72 17.20 16.72 17.20 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27705 Incision of tibia A 10.86 9.47NA 9.91NA 9.47 9.91 2.01 22.34 22.78 22.34 22.78 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27707 Incision of fibula A 4.78 6.00NA 6.33NA 6.00 6.33 0.90 11.68 12.01 11.68 12.01 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27709 Incision of tibia & fibula A 17.48 13.27NA 14.60NA 13.27 14.60 3.38 34.13 35.46 34.13 35.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27712 Realignment of lower leg A 15.87 13.30NA 14.05NA 13.30 14.05 3.14 32.31 33.06 32.31 33.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27715 Revision of lower leg A 15.50 12.54NA 12.98NA 12.54 12.98 3.08 31.12 31.56 31.12 31.56 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27720 Repair of tibia A 12.36 10.91NA 11.37NA 10.91 11.37 2.40 25.67 26.13 25.67 26.13 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27722 Repair/graft of tibia A 12.45 10.96NA 11.64NA 10.96 11.64 2.44 25.85 26.53 25.85 26.53 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27724 Repair/graft of tibia A 19.31 14.39NA 15.06NA 14.39 15.06 3.80 37.50 38.17 37.50 38.17 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27725 Repair of lower leg A 17.41 14.72NA 15.63NA 14.72 15.63 3.44 35.57 36.48 35.57 36.48 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27726 Repair fibula nonunion A 14.34 10.88NA 12.08NA 10.88 12.08 2.78 28.00 29.20 28.00 29.20 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27727 Repair of lower leg A 14.84 11.66NA 13.21NA 11.66 13.21 2.94 29.44 30.99 29.44 30.99 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27730 Repair of tibia epiphysis A 7.70 7.74NA 8.15NA 7.74 8.15 1.52 16.96 17.37 16.96 17.37 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27732 Repair of fibula epiphysis A 5.46 5.85NA 6.65NA 5.85 6.65 1.08 12.39 13.19 12.39 13.19 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27734 Repair lower leg epiphyses A 8.83 7.76NA 8.91NA 7.76 8.91 0.63 17.22 18.37 17.22 18.37 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27740 Repair of leg epiphyses A 9.61 7.08NA 6.73NA 7.08 6.73 1.89 18.58 18.23 18.58 18.23 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27742 Repair of leg epiphyses A 10.63 8.07NA 8.98NA 8.07 8.98 2.08 20.78 21.69 20.78 21.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27745 Reinforce tibia A 10.49 9.49NA 9.89NA 9.49 9.89 2.04 22.02 22.42 22.02 22.42 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27750 Treatment of tibia fracture A 3.37 5.72 6.01 4.93 5.23 0.64 9.73 10.02 8.94 9.24 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27752 Treatment of tibia fracture A 6.27 7.96 8.34 6.86 7.22 1.21 15.44 15.82 14.34 14.70 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27756 Treatment of tibia fracture A 7.45 7.73NA 8.12NA 7.73 8.12 1.46 16.64 17.03 16.64 17.03 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27758 Treatment of tibia fracture A 12.54 11.03NA 11.61NA 11.03 11.61 2.45 26.02 26.60 26.02 26.60 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27759 Treatment of tibia fracture A 14.45 12.03NA 12.60NA 12.03 12.60 2.84 29.32 29.89 29.32 29.89 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27760 Cltx medial ankle fx A 3.21 5.60 5.87 4.77 5.07 0.59 9.40 9.67 8.57 8.87 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27762 Cltx med ankle fx w/mnpj A 5.47 7.30 7.57 6.20 6.45 1.01 13.78 14.05 12.68 12.93 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27766 Optx medial ankle fx A 7.89 8.35NA 8.74NA 8.35 8.74 1.51 17.75 18.14 17.75 18.14 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27767 Cltx post ankle fx A 2.64 4.65 5.05 4.69 5.10 0.50 7.79 8.19 7.83 8.24 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27768 Cltx post ankle fx w/mnpj A 5.14 6.10NA 6.78NA 6.10 6.78 1.02 12.26 12.94 12.26 12.94 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27769 Optx post ankle fx A 10.14 8.80NA 9.81NA 8.80 9.81 1.99 20.93 21.94 20.93 21.94 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27780 Treatment of fibula fracture A 2.83 5.15 5.45 4.38 4.70 0.53 8.51 8.81 7.74 8.06 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27781 Treatment of fibula fracture A 4.59 6.61 6.95 5.78 6.11 0.87 12.07 12.41 11.24 11.57 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27784 Treatment of fibula fracture A 9.67 9.15NA 9.84NA 9.15 9.84 1.88 20.70 21.39 20.70 21.39 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27786 Treatment of ankle fracture A 3.02 5.33 5.59 4.48 4.77 0.54 8.89 9.15 8.04 8.33 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27788 Treatment of ankle fracture A 4.64 6.58 6.86 5.61 5.87 0.84 12.06 12.34 11.09 11.35 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27792 Treatment of ankle fracture A 9.71 9.16NA 9.75NA 9.16 9.75 1.84 20.71 21.30 20.71 21.30 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27808 Treatment of ankle fracture A 3.03 5.77 6.04 4.83 5.12 0.56 9.36 9.63 8.42 8.71 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27810 Treatment of ankle fracture A 5.32 7.16 7.41 6.04 6.26 1.01 13.49 13.74 12.37 12.59 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27814 Treatment of ankle fracture A 10.62 9.94NA 10.39NA 9.94 10.39 2.04 22.60 23.05 22.60 23.05 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27816 Treatment of ankle fracture A 3.07 5.28 5.60 4.39 4.70 0.54 8.89 9.21 8.00 8.31 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27818 Treatment of ankle fracture A 5.69 7.09 7.30 5.82 6.00 1.05 13.83 14.04 12.56 12.74 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27822 Treatment of ankle fracture A 11.21 11.36NA 11.71NA 11.36 11.71 2.16 24.73 25.08 24.73 25.08 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27823 Treatment of ankle fracture A 13.16 12.42NA 12.86NA 12.42 12.86 2.55 28.13 28.57 28.13 28.57 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27824 Treat lower leg fracture A 3.31 4.93 5.18 4.64 4.93 0.61 8.85 9.10 8.56 8.85 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27825 Treat lower leg fracture A 6.69 7.79 8.13 6.45 6.75 1.28 15.76 16.10 14.42 14.72 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27826 Treat lower leg fracture A 11.10 11.08NA 11.72NA 11.08 11.72 2.14 24.32 24.96 24.32 24.96 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27827 Treat lower leg fracture A 14.79 14.11NA 14.68NA 14.11 14.68 2.90 31.80 32.37 31.80 32.37 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27828 Treat lower leg fracture A 18.43 16.06NA 16.80NA 16.06 16.80 3.59 38.08 38.82 38.08 38.82 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27829 Treat lower leg joint A 8.80 9.24NA 9.84NA 9.24 9.84 1.69 19.73 20.33 19.73 20.33 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 27830 Treat lower leg dislocation A 3.96 5.83 6.37 5.14 5.65 0.76 10.55 11.09 9.86 10.37 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27831 Treat lower leg dislocation A 4.73 5.62NA 6.10NA 5.62 6.10 0.91 11.26 11.74 11.26 11.74 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27832 Treat lower leg dislocation A 10.17 9.37NA 10.31NA 9.37 10.31 1.99 21.53 22.47 21.53 22.47 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27840 Treat ankle dislocation A 4.77 4.68NA 4.94NA 4.68 4.94 0.83 10.28 10.54 10.28 10.54 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27842 Treat ankle dislocation A 6.46 6.58NA 7.04NA 6.58 7.04 1.21 14.25 14.71 14.25 14.71 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27846 Treat ankle dislocation A 10.28 9.26NA 9.63NA 9.26 9.63 1.95 21.49 21.86 21.49 21.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27848 Treat ankle dislocation A 11.68 10.24NA 10.50NA 10.24 10.50 2.25 24.17 24.43 24.17 24.43 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27860 Fixation of ankle joint A 2.39 2.32NA 2.36NA 2.32 2.36 0.39 5.10 5.14 5.10 5.14 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 27870 Fusion of ankle joint open A 15.41 12.40NA 12.92NA 12.40 12.92 2.80 30.61 31.13 30.61 31.13 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27871 Fusion of tibiofibular joint A 9.54 8.87NA 9.26NA 8.87 9.26 1.85 20.26 20.65 20.26 20.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27880 Amputation of lower leg A 15.37 9.03NA 9.50NA 9.03 9.50 3.32 27.72 28.19 27.72 28.19 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27881 Amputation of lower leg A 13.47 9.97NA 10.24NA 9.97 10.24 2.80 26.24 26.51 26.24 26.51 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27882 Amputation of lower leg A 9.79 6.63NA 6.68NA 6.63 6.68 2.15 18.57 18.62 18.57 18.62 0090.10.69.2121010 33.9764 090 99 0.00 0.00 0.00 27884 Amputation follow-up surgery A 8.76 6.77NA 7.00NA 6.77 7.00 1.86 17.39 17.62 17.39 17.62 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 27886 Amputation follow-up surgery A 10.02 7.66NA 7.90NA 7.66 7.90 2.14 19.82 20.06 19.82 20.06 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27888 Amputation of foot at ankle A 10.37 8.11NA 8.15NA 8.11 8.15 1.93 20.41 20.45 20.41 20.45 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 27889 Amputation of foot at ankle A 10.86 7.02NA 7.04NA 7.02 7.04 2.41 20.29 20.31 20.29 20.31 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 27892 Decompression of leg A 7.94 6.64NA 7.00NA 6.64 7.00 1.63 16.21 16.57 16.21 16.57 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27893 Decompression of leg A 7.90 7.58NA 8.60NA 7.58 8.60 1.67 17.15 18.17 17.15 18.17 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 27894 Decompression of leg A 12.67 9.97NA 10.44NA 9.97 10.44 2.67 25.31 25.78 25.31 25.78 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 27899 Leg/ankle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 28001 Drainage of bursa of foot A 2.78 4.73 4.98 2.01 1.97 0.23 7.74 7.99 5.02 4.98 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 28002 Treatment of foot infection A 5.93 8.05 8.52 4.50 4.57 0.67 14.65 15.12 11.10 11.17 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 28003 Treatment of foot infection A 9.06 9.39 9.78 5.78 5.75 1.06 19.51 19.90 15.90 15.87 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28005 Treat foot bone lesion A 9.44 7.03NA 7.11NA 7.03 7.11 1.02 17.49 17.57 17.49 17.57 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28008 Incision of foot fascia A 4.59 7.24 7.62 3.66 3.67 0.41 12.24 12.62 8.66 8.67 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28010 Incision of toe tendon A 2.97 3.47 3.63 2.91 2.97 0.27 6.71 6.87 6.15 6.21 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28011 Incision of toe tendons A 4.28 4.77 5.05 3.92 4.04 0.49 9.54 9.82 8.69 8.81 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28020 Exploration of foot joint A 5.15 9.15 9.85 4.68 4.83 0.67 14.97 15.67 10.50 10.65 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28022 Exploration of foot joint A 4.81 8.25 8.72 4.18 4.17 0.49 13.55 14.02 9.48 9.47 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28024 Exploration of toe joint A 4.52 7.86 8.25 3.97 3.91 0.42 12.80 13.19 8.91 8.85 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28035 Decompression of tibia nerve A 5.23 8.96 9.46 4.59 4.63 0.65 14.84 15.34 10.47 10.51 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28039 Exc foot/toe tum sc > 1.5 cm A 5.42 8.34 8.34 4.04 4.04 0.54 14.30 14.30 10.00 10.00 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 28041 Exc foot/toe tum deep 1.5cm+ A 7.13 5.27NA 5.27NA 5.27 5.27 0.73 13.13 13.13 13.13 13.13 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28043 Exc foot/toe tum sc < 1.5 cm A 3.96 6.49 7.50 3.48 3.52 0.39 10.84 11.85 7.83 7.87 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28045 Exc foot/toe tum deep <1.5cm A 5.45 8.42 8.86 4.30 4.53 0.56 14.43 14.87 10.31 10.54 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28046 Resect foot/toe tumor < 3 cm A 12.38 7.91NA 8.52NA 7.91 8.52 1.66 21.95 22.56 21.95 22.56 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28047 Resect foot/toe tumor > 3 cm A 17.45 8.52NA 8.52NA 8.52 8.52 1.33 27.30 27.30 27.30 27.30 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28050 Biopsy of foot joint lining A 4.39 7.69 7.69 3.81 3.55 0.39 12.47 12.47 8.59 8.33 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28052 Biopsy of foot joint lining A 4.06 7.57 8.03 3.65 3.66 0.49 12.12 12.58 8.20 8.21 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28054 Biopsy of toe joint lining A 3.57 7.05 7.11 3.31 3.11 0.27 10.89 10.95 7.15 6.95 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28055 Neurectomy foot A 6.29 4.36NA 4.40NA 4.36 4.40 0.53 11.18 11.22 11.18 11.22 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28060 Partial removal foot fascia A 5.40 8.61 9.16 4.50 4.58 0.54 14.55 15.10 10.44 10.52 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28062 Removal of foot fascia A 6.69 9.48 9.92 4.76 4.80 0.60 16.77 17.21 12.05 12.09 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28070 Removal of foot joint lining A 5.24 8.99 9.87 4.55 4.77 0.56 14.79 15.67 10.35 10.57 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28072 Removal of foot joint lining A 4.72 9.16 9.77 4.66 4.67 0.64 14.52 15.13 10.02 10.03 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28080 Removal of foot lesion A 4.86 9.13 9.83 5.14 5.38 0.48 14.47 15.17 10.48 10.72 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28086 Excise foot tendon sheath A 4.92 9.77 10.22 4.91 5.01 0.72 15.41 15.86 10.55 10.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28088 Excise foot tendon sheath A 3.98 9.00 9.81 4.37 4.56 0.54 13.52 14.33 8.89 9.08 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28090 Removal of foot lesion A 4.55 8.17 8.70 4.01 4.08 0.48 13.20 13.73 9.04 9.11 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28092 Removal of toe lesions A 3.78 7.83 8.31 3.80 3.85 0.39 12.00 12.48 7.97 8.02 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28100 Removal of ankle/heel lesion A 5.83 10.32 10.80 5.29 5.41 0.76 16.91 17.39 11.88 12.00 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28102 Remove/graft foot lesion A 7.92 7.78NA 8.50NA 7.78 8.50 0.61 16.31 17.03 16.31 17.03 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 28103 Remove/graft foot lesion A 6.67 4.90NA 4.44NA 4.90 4.44 0.50 12.07 11.61 12.07 11.61 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 28104 Removal of foot lesion A 5.26 8.66 9.19 4.36 4.39 0.54 14.46 14.99 10.16 10.19 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28106 Remove/graft foot lesion A 7.35 5.05NA 4.81NA 5.05 4.81 0.56 12.96 12.72 12.96 12.72 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28107 Remove/graft foot lesion A 5.73 9.07 8.96 4.46 4.16 0.42 15.22 15.11 10.61 10.31 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 28108 Removal of toe lesions A 4.30 7.58 8.08 3.73 3.78 0.38 12.26 12.76 8.41 8.46 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28110 Part removal of metatarsal A 4.22 8.31 8.83 3.82 3.89 0.41 12.94 13.46 8.45 8.52 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28111 Part removal of metatarsal A 5.15 8.78 9.18 4.13 4.18 0.60 14.53 14.93 9.88 9.93 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28112 Part removal of metatarsal A 4.63 8.77 9.29 4.13 4.20 0.52 13.92 14.44 9.28 9.35 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28113 Part removal of metatarsal A 6.11 10.08 10.76 5.73 5.94 0.63 16.82 17.50 12.47 12.68 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28114 Removal of metatarsal heads A 12.00 16.85 17.97 10.73 11.25 1.65 30.50 31.62 24.38 24.90 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28116 Revision of foot A 9.14 11.31 12.17 6.61 6.86 0.95 21.40 22.26 16.70 16.95 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28118 Removal of heel bone A 6.13 9.81 10.43 5.21 5.33 0.75 16.69 17.31 12.09 12.21 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28119 Removal of heel spur A 5.56 8.68 9.25 4.47 4.56 0.53 14.77 15.34 10.56 10.65 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28120 Part removal of ankle/heel A 8.27 10.79 12.06 5.97 6.94 1.14 20.20 21.47 15.38 16.35 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28122 Partial removal of foot bone A 7.72 10.21 10.67 6.06 6.13 0.82 18.75 19.21 14.60 14.67 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28124 Partial removal of toe A 5.00 8.06 8.53 4.29 4.33 0.42 13.48 13.95 9.71 9.75 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28126 Partial removal of toe A 3.64 7.09 7.55 3.34 3.35 0.34 11.07 11.53 7.32 7.33 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28130 Removal of ankle bone A 9.50 8.91NA 10.25NA 8.91 10.25 1.86 20.27 21.61 20.27 21.61 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28140 Removal of metatarsal A 7.14 9.56 9.84 5.23 5.22 0.90 17.60 17.88 13.27 13.26 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28150 Removal of toe A 4.23 7.63 8.09 3.74 3.79 0.42 12.28 12.74 8.39 8.44 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28153 Partial removal of toe A 3.80 7.42 7.96 3.57 3.69 0.37 11.59 12.13 7.74 7.86 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28160 Partial removal of toe A 3.88 7.59 8.10 3.72 3.75 0.38 11.85 12.36 7.98 8.01 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28171 Resect tarsal tumor A 16.41 7.05NA 7.68NA 7.05 7.68 1.25 24.71 25.34 24.71 25.34 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 28173 Resect metatarsal tumor A 14.16 6.65NA 7.45NA 6.65 7.45 1.57 22.38 23.18 22.38 23.18 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28175 Resect phalanx of toe tumor A 8.29 5.00NA 5.56NA 5.00 5.56 0.80 14.09 14.65 14.09 14.65 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28190 Removal of foot foreign body A 2.01 4.92 5.20 1.71 1.75 0.20 7.13 7.41 3.92 3.96 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 28192 Removal of foot foreign body A 4.78 8.12 8.58 4.04 4.08 0.49 13.39 13.85 9.31 9.35 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28193 Removal of foot foreign body A 5.90 8.73 9.18 4.50 4.53 0.56 15.19 15.64 10.96 10.99 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28200 Repair of foot tendon A 4.74 8.24 8.77 4.06 4.09 0.45 13.43 13.96 9.25 9.28 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28202 Repair/graft of foot tendon A 7.07 9.34 9.48 4.85 4.73 0.64 17.05 17.19 12.56 12.44 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28208 Repair of foot tendon A 4.51 8.12 8.72 4.03 4.15 0.49 13.12 13.72 9.03 9.15 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28210 Repair/graft of foot tendon A 6.52 9.16 9.60 4.86 4.91 0.64 16.32 16.76 12.02 12.07 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 28220 Release of foot tendon A 4.67 7.60 8.05 3.82 3.82 0.41 12.68 13.13 8.90 8.90 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28222 Release of foot tendons A 5.76 8.26 8.74 4.22 4.18 0.50 14.52 15.00 10.48 10.44 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28225 Release of foot tendon A 3.78 7.06 7.54 3.33 3.37 0.35 11.19 11.67 7.46 7.50 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28226 Release of foot tendons A 4.67 8.31 8.89 4.17 4.19 0.35 13.33 13.91 9.19 9.21 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28230 Incision of foot tendon(s) A 4.36 7.44 7.85 3.64 3.57 0.39 12.19 12.60 8.39 8.32 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28232 Incision of toe tendon A 3.51 7.15 7.60 3.43 3.41 0.34 11.00 11.45 7.28 7.26 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28234 Incision of foot tendon A 3.54 7.65 8.18 3.90 3.97 0.35 11.54 12.07 7.79 7.86 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28238 Revision of foot tendon A 7.96 10.44 11.09 5.65 5.78 0.86 19.26 19.91 14.47 14.60 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28240 Release of big toe A 4.48 7.58 7.94 3.72 3.65 0.44 12.50 12.86 8.64 8.57 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28250 Revision of foot fascia A 6.06 9.37 10.08 4.99 5.13 0.76 16.19 16.90 11.81 11.95 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28260 Release of midfoot joint A 8.19 10.49 11.47 6.02 6.32 1.03 19.71 20.69 15.24 15.54 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28261 Revision of foot tendon A 13.11 13.22 14.07 8.22 8.35 1.28 27.61 28.46 22.61 22.74 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28262 Revision of foot and ankle A 17.21 19.62 21.00 12.92 13.47 3.01 39.84 41.22 33.14 33.69 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28264 Release of midfoot joint A 10.65 14.59 16.92 9.12 10.17 0.82 26.06 28.39 20.59 21.64 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 28270 Release of foot contracture A 4.93 8.39 9.04 4.39 4.49 0.50 13.82 14.47 9.82 9.92 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28272 Release of toe joint each A 3.92 6.87 7.27 3.26 3.27 0.31 11.10 11.50 7.49 7.50 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28280 Fusion of toes A 5.33 8.90 9.31 4.56 4.50 0.60 14.83 15.24 10.49 10.43 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28285 Repair of hammertoe A 4.76 8.08 8.64 4.20 4.30 0.45 13.29 13.85 9.41 9.51 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28286 Repair of hammertoe A 4.70 7.78 8.28 3.80 3.85 0.39 12.87 13.37 8.89 8.94 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28288 Partial removal of foot bone A 6.02 10.40 11.29 5.96 6.19 0.67 17.09 17.98 12.65 12.88 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28289 Repair hallux rigidus A 8.31 11.66 12.41 6.84 7.06 1.01 20.98 21.73 16.16 16.38 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28290 Correction of bunion A 5.83 10.01 10.77 5.14 5.23 0.69 16.53 17.29 11.66 11.75 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28292 Correction of bunion A 9.05 12.49 13.35 7.62 7.94 0.87 22.41 23.27 17.54 17.86 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28293 Correction of bunion A 11.48 17.20 18.18 8.38 8.63 0.95 29.63 30.61 20.81 21.06 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28294 Correction of bunion A 8.75 11.20 11.60 5.79 5.77 0.93 20.88 21.28 15.47 15.45 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28296 Correction of bunion A 8.35 11.37 11.87 6.29 6.35 0.76 20.48 20.98 15.40 15.46 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28297 Correction of bunion A 9.43 12.89 13.59 6.88 6.94 1.18 23.50 24.20 17.49 17.55 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28298 Correction of bunion A 8.13 11.43 12.21 5.90 6.03 0.87 20.43 21.21 14.90 15.03 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28299 Correction of bunion A 11.57 12.99 13.70 7.29 7.42 1.14 25.70 26.41 20.00 20.13 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28300 Incision of heel bone A 9.73 8.12NA 8.42NA 8.12 8.42 1.61 19.46 19.76 19.46 19.76 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28302 Incision of ankle bone A 9.74 8.68NA 9.63NA 8.68 9.63 1.92 20.34 21.29 20.34 21.29 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28304 Incision of midfoot bones A 9.41 12.24 13.22 6.84 7.13 1.21 22.86 23.84 17.46 17.75 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28305 Incise/graft midfoot bones A 10.77 7.69NA 7.64NA 7.69 7.64 0.82 19.28 19.23 19.28 19.23 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28306 Incision of metatarsal A 6.00 10.59 11.36 5.12 5.31 0.83 17.42 18.19 11.95 12.14 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28307 Incision of metatarsal A 6.50 12.41 12.49 5.92 5.92 1.28 20.19 20.27 13.70 13.70 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28308 Incision of metatarsal A 5.48 9.67 10.39 4.84 5.03 0.61 15.76 16.48 10.93 11.12 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28309 Incision of metatarsals A 14.16 9.96NA 10.56NA 9.96 10.56 2.10 26.22 26.82 26.22 26.82 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28310 Revision of big toe A 5.57 9.16 9.78 4.31 4.42 0.54 15.27 15.89 10.42 10.53 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28312 Revision of toe A 4.69 8.96 9.57 4.14 4.19 0.50 14.15 14.76 9.33 9.38 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28313 Repair deformity of toe A 5.15 9.10 9.77 4.91 4.88 0.69 14.94 15.61 10.75 10.72 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28315 Removal of sesamoid bone A 5.00 7.96 8.48 4.00 4.06 0.49 13.45 13.97 9.49 9.55 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28320 Repair of foot bones A 9.37 7.34NA 7.47NA 7.34 7.47 1.39 18.10 18.23 18.10 18.23 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28322 Repair of metatarsals A 8.53 12.51 13.35 7.13 7.40 1.31 22.35 23.19 16.97 17.24 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28340 Resect enlarged toe tissue A 7.15 9.17 9.34 4.72 4.58 0.54 16.86 17.03 12.41 12.27 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28341 Resect enlarged toe A 8.72 10.08 10.41 5.33 5.25 0.67 19.47 19.80 14.72 14.64 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28344 Repair extra toe(s) A 4.40 8.08 7.81 3.94 3.63 0.34 12.82 12.55 8.68 8.37 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28345 Repair webbed toe(s) A 6.09 8.89 8.79 4.64 4.27 0.45 15.43 15.33 11.18 10.81 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28360 Reconstruct cleft foot A 14.92 12.51NA 14.46NA 12.51 14.46 3.18 30.61 32.56 30.61 32.56 0090.10.69.2120200 33.9764 090 99 0.00 0.00 0.00 28400 Treatment of heel fracture A 2.31 4.34 4.53 3.76 3.94 0.37 7.02 7.21 6.44 6.62 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28405 Treatment of heel fracture A 4.74 5.82 6.20 4.94 5.17 0.65 11.21 11.59 10.33 10.56 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28406 Treatment of heel fracture A 6.56 7.54NA 7.81NA 7.54 7.81 1.17 15.27 15.54 15.27 15.54 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28415 Treat heel fracture A 16.19 13.98NA 14.37NA 13.98 14.37 2.83 33.00 33.39 33.00 33.39 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28420 Treat/graft heel fracture A 17.52 15.10NA 16.46NA 15.10 16.46 3.46 36.08 37.44 36.08 37.44 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28430 Treatment of ankle fracture A 2.22 4.04 4.25 3.31 3.53 0.35 6.61 6.82 5.88 6.10 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28435 Treatment of ankle fracture A 3.54 5.54 6.27 4.66 5.21 0.69 9.77 10.50 8.89 9.44 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28436 Treatment of ankle fracture A 4.90 6.84NA 7.30NA 6.84 7.30 0.98 12.72 13.18 12.72 13.18 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 28445 Treat ankle fracture A 15.76 12.62NA 13.08NA 12.62 13.08 2.78 31.16 31.62 31.16 31.62 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28446 Osteochondral talus autogrft A 17.71 14.26NA 15.45NA 14.26 15.45 3.50 35.47 36.66 35.47 36.66 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28450 Treat midfoot fracture each A 2.03 3.75 3.92 3.10 3.27 0.30 6.08 6.25 5.43 5.60 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28455 Treat midfoot fracture each A 3.24 4.68 4.97 3.98 4.13 0.44 8.36 8.65 7.66 7.81 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28456 Treat midfoot fracture A 2.86 5.32NA 6.08NA 5.32 6.08 0.56 8.74 9.50 8.74 9.50 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28465 Treat midfoot fracture each A 8.80 7.75NA 8.04NA 7.75 8.04 1.27 17.82 18.11 17.82 18.11 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28470 Treat metatarsal fracture A 2.03 3.65 3.80 3.06 3.22 0.33 6.01 6.16 5.42 5.58 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28475 Treat metatarsal fracture A 3.01 3.99 4.12 3.29 3.31 0.38 7.38 7.51 6.68 6.70 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28476 Treat metatarsal fracture A 3.60 5.80NA 6.04NA 5.80 6.04 0.53 9.93 10.17 9.93 10.17 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28485 Treat metatarsal fracture A 7.44 7.08NA 7.40NA 7.08 7.40 0.95 15.47 15.79 15.47 15.79 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28490 Treat big toe fracture A 1.17 2.66 2.82 2.14 2.26 0.16 3.99 4.15 3.47 3.59 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28495 Treat big toe fracture A 1.68 3.10 3.31 2.42 2.51 0.20 4.98 5.19 4.30 4.39 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28496 Treat big toe fracture A 2.48 9.43 9.83 3.83 4.01 0.35 12.26 12.66 6.66 6.84 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28505 Treat big toe fracture A 7.44 10.75 11.34 6.08 6.51 0.93 19.12 19.71 14.45 14.88 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28510 Treatment of toe fracture A 1.17 2.11 2.25 2.03 2.15 0.14 3.42 3.56 3.34 3.46 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28515 Treatment of toe fracture A 1.56 2.75 2.92 2.31 2.39 0.18 4.49 4.66 4.05 4.13 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28525 Treat toe fracture A 5.62 9.89 10.43 5.21 5.57 0.71 16.22 16.76 11.54 11.90 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28530 Treat sesamoid bone fracture A 1.11 2.03 2.17 1.72 1.79 0.11 3.25 3.39 2.94 3.01 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28531 Treat sesamoid bone fracture A 2.57 7.32 7.20 2.58 2.60 0.50 10.39 10.27 5.65 5.67 0090.10.69.2120120 33.9764 090 99 0.00 0.00 0.00 28540 Treat foot dislocation A 2.19 3.33 3.52 2.85 2.95 0.22 5.74 5.93 5.26 5.36 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28545 Treat foot dislocation A 2.60 4.70 5.48 3.95 4.54 0.50 7.80 8.58 7.05 7.64 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28546 Treat foot dislocation A 3.40 10.94 12.53 5.25 5.85 0.67 15.01 16.60 9.32 9.92 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28555 Repair foot dislocation A 9.65 13.84 14.60 8.18 8.65 1.61 25.10 25.86 19.44 19.91 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28570 Treat foot dislocation A 1.76 2.84 2.85 2.26 2.19 0.12 4.72 4.73 4.14 4.07 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28575 Treat foot dislocation A 3.49 5.84 6.46 5.03 5.48 0.68 10.01 10.63 9.20 9.65 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28576 Treat foot dislocation A 4.60 5.43NA 6.14NA 5.43 6.14 0.90 10.93 11.64 10.93 11.64 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28585 Repair foot dislocation A 11.13 13.66 14.46 8.51 8.73 1.65 26.44 27.24 21.29 21.51 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28600 Treat foot dislocation A 2.02 3.85 4.11 3.10 3.24 0.29 6.16 6.42 5.41 5.55 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28605 Treat foot dislocation A 2.89 4.61 4.96 3.97 4.19 0.56 8.06 8.41 7.42 7.64 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28606 Treat foot dislocation A 5.09 5.42NA 5.70NA 5.42 5.70 0.84 11.35 11.63 11.35 11.63 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28615 Repair foot dislocation A 10.70 10.50NA 11.03NA 10.50 11.03 1.77 22.97 23.50 22.97 23.50 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28630 Treat toe dislocation A 1.75 2.34 2.53 1.20 1.26 0.23 4.32 4.51 3.18 3.24 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 28635 Treat toe dislocation A 1.96 2.89 3.09 1.76 1.82 0.22 5.07 5.27 3.94 4.00 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 28636 Treat toe dislocation A 2.77 4.67 4.42 2.28 1.98 0.39 7.83 7.58 5.44 5.14 0010.10.80.1020120 33.9764 090 99 0.00 0.00 0.00 28645 Repair toe dislocation A 7.44 9.96 10.81 5.63 5.98 0.80 18.20 19.05 13.87 14.22 0090.10.69.2120110 33.9764 090 99 0.00 0.00 0.00 28660 Treat toe dislocation A 1.28 1.70 1.83 1.04 1.11 0.20 3.18 3.31 2.52 2.59 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 28665 Treat toe dislocation A 1.97 2.24 2.38 1.69 1.73 0.24 4.45 4.59 3.90 3.94 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 28666 Treat toe dislocation A 2.66 2.77NA 3.08NA 2.77 3.08 0.52 5.95 6.26 5.95 6.26 0010.10.80.1020120 33.9764 090 99 0.00 0.00 0.00 28675 Repair of toe dislocation A 5.62 10.21 10.64 5.48 5.77 0.75 16.58 17.01 11.85 12.14 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28705 Fusion of foot bones A 20.33 14.40NA 14.90NA 14.40 14.90 3.46 38.19 38.69 38.19 38.69 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28715 Fusion of foot bones A 14.60 11.48NA 11.96NA 11.48 11.96 2.48 28.56 29.04 28.56 29.04 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28725 Fusion of foot bones A 12.18 9.21NA 9.57NA 9.21 9.57 1.88 23.27 23.63 23.27 23.63 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28730 Fusion of foot bones A 12.42 10.35NA 10.86NA 10.35 10.86 1.92 24.69 25.20 24.69 25.20 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28735 Fusion of foot bones A 12.23 9.31NA 9.70NA 9.31 9.70 1.78 23.32 23.71 23.32 23.71 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28737 Revision of foot bones A 11.03 7.74NA 7.75NA 7.74 7.75 1.28 20.05 20.06 20.05 20.06 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28740 Fusion of foot bones A 9.29 13.90 14.62 7.83 8.17 1.36 24.55 25.27 18.48 18.82 0090.10.69.2120210 33.9764 090 99 0.00 0.00 0.00 28750 Fusion of big toe joint A 8.57 13.99 14.51 7.78 8.04 1.31 23.87 24.39 17.66 17.92 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28755 Fusion of big toe joint A 4.88 8.90 9.36 4.27 4.32 0.52 14.30 14.76 9.67 9.72 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28760 Fusion of big toe joint A 9.14 12.43 13.36 6.89 7.18 1.05 22.62 23.55 17.08 17.37 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28800 Amputation of midfoot A 8.79 6.47NA 6.55NA 6.47 6.55 1.31 16.57 16.65 16.57 16.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 28805 Amputation thru metatarsal A 12.71 7.53NA 7.80NA 7.53 7.80 2.14 22.38 22.65 22.38 22.65 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 28810 Amputation toe & metatarsal A 6.64 5.24NA 5.36NA 5.24 5.36 1.18 13.06 13.18 13.06 13.18 0090.10.69.2120000 33.9764 090 99 0.00 0.00 0.00 28820 Amputation of toe A 5.00 9.42 9.64 4.48 4.56 0.73 15.15 15.37 10.21 10.29 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28825 Partial amputation of toe A 6.01 9.86 10.29 5.09 5.33 0.84 16.71 17.14 11.94 12.18 0090.10.69.2120100 33.9764 090 99 0.00 0.00 0.00 28890 High energy eswt plantar f A 3.45 6.04 6.21 2.84 3.02 0.35 9.84 10.01 6.64 6.82 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 28899 Foot/toes surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 29000 Application of body cast A 2.25 5.94 6.97 2.46 2.76 0.18 8.37 9.40 4.89 5.19 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29010 Application of body cast A 2.06 5.64 6.87 2.30 2.65 0.39 8.09 9.32 4.75 5.10 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29015 Application of body cast A 2.41 3.99 4.11 1.84 1.91 0.41 6.81 6.93 4.66 4.73 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29020 Application of body cast A 2.11 3.91 3.89 1.58 1.52 0.08 6.10 6.08 3.77 3.71 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29025 Application of body cast A 2.40 4.30 4.25 2.05 1.98 0.48 7.18 7.13 4.93 4.86 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29035 Application of body cast A 1.77 4.96 5.22 2.03 2.15 0.34 7.07 7.33 4.14 4.26 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29040 Application of body cast A 2.22 4.13 4.43 1.89 1.98 0.42 6.77 7.07 4.53 4.62 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29044 Application of body cast A 2.12 5.27 5.72 2.29 2.45 0.41 7.80 8.25 4.82 4.98 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29046 Application of body cast A 2.41 4.81 4.53 2.24 2.05 0.48 7.70 7.42 5.13 4.94 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29049 Application of figure eight A 0.89 1.58 1.80 0.85 1.01 0.18 2.65 2.87 1.92 2.08 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29055 Application of shoulder cast A 1.78 3.98 4.29 1.85 1.99 0.35 6.11 6.42 3.98 4.12 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29058 Application of shoulder cast A 1.31 1.38 1.23 0.80 0.79 0.23 2.92 2.77 2.34 2.33 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29065 Application of long arm cast A 0.87 1.66 1.74 0.94 0.99 0.16 2.69 2.77 1.97 2.02 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29075 Application of forearm cast A 0.77 1.60 1.68 0.88 0.93 0.14 2.51 2.59 1.79 1.84 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29085 Apply hand/wrist cast A 0.87 1.65 1.74 0.91 0.98 0.14 2.66 2.75 1.92 1.99 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29086 Apply finger cast A 0.62 1.41 1.55 0.74 0.81 0.08 2.11 2.25 1.44 1.51 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29105 Apply long arm splint A 0.87 1.43 1.49 0.70 0.75 0.14 2.44 2.50 1.71 1.76 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29125 Apply forearm splint A 0.59 1.26 1.32 0.56 0.60 0.10 1.95 2.01 1.25 1.29 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29126 Apply forearm splint A 0.77 1.34 1.42 0.64 0.70 0.11 2.22 2.30 1.52 1.58 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29130 Application of finger splint A 0.50 0.58 0.61 0.26 0.28 0.07 1.15 1.18 0.83 0.85 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29131 Application of finger splint A 0.55 0.83 0.88 0.34 0.37 0.08 1.46 1.51 0.97 1.00 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29200 Strapping of chest A 0.65 0.81 0.86 0.45 0.49 0.05 1.51 1.56 1.15 1.19 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29240 Strapping of shoulder A 0.71 0.87 0.88 0.49 0.51 0.05 1.63 1.64 1.25 1.27 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29260 Strapping of elbow or wrist A 0.55 0.86 0.90 0.47 0.51 0.05 1.46 1.50 1.07 1.11 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29280 Strapping of hand or finger A 0.51 0.87 0.91 0.47 0.52 0.04 1.42 1.46 1.02 1.07 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29305 Application of hip cast A 2.03 4.41 4.71 2.18 2.30 0.39 6.83 7.13 4.60 4.72 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29325 Application of hip casts A 2.32 4.82 5.14 2.41 2.54 0.45 7.59 7.91 5.18 5.31 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29345 Application of long leg cast A 1.40 2.18 2.29 1.28 1.34 0.27 3.85 3.96 2.95 3.01 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29355 Application of long leg cast A 1.53 2.18 2.32 1.31 1.38 0.29 4.00 4.14 3.13 3.20 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29358 Apply long leg cast brace A 1.43 2.73 2.94 1.31 1.39 0.29 4.45 4.66 3.03 3.11 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29365 Application of long leg cast A 1.18 2.06 2.17 1.16 1.21 0.23 3.47 3.58 2.57 2.62 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29405 Apply short leg cast A 0.86 1.53 1.60 0.86 0.89 0.12 2.51 2.58 1.84 1.87 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29425 Apply short leg cast A 1.01 1.55 1.62 0.85 0.88 0.12 2.68 2.75 1.98 2.01 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29435 Apply short leg cast A 1.18 1.96 2.04 1.08 1.11 0.23 3.37 3.45 2.49 2.52 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29440 Addition of walker to cast A 0.57 0.73 0.66 0.28 0.25 0.08 1.38 1.31 0.93 0.90 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29445 Apply rigid leg cast A 1.78 2.02 2.07 1.15 1.19 0.24 4.04 4.09 3.17 3.21 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29450 Application of leg cast A 2.08 1.88 1.91 1.10 1.06 0.22 4.18 4.21 3.40 3.36 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29505 Application long leg splint A 0.69 1.39 1.46 0.59 0.63 0.11 2.19 2.26 1.39 1.43 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29515 Application lower leg splint A 0.73 1.21 1.29 0.60 0.63 0.10 2.04 2.12 1.43 1.46 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29520 Strapping of hip A 0.54 0.83 0.85 0.46 0.47 0.04 1.41 1.43 1.04 1.05 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29530 Strapping of knee A 0.57 0.86 0.90 0.46 0.50 0.05 1.48 1.52 1.08 1.12 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29540 Strapping of ankle and/or ft A 0.32 0.62 0.62 0.34 0.32 0.03 0.97 0.97 0.69 0.67 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29550 Strapping of toes A 0.15 0.62 0.62 0.31 0.27 0.01 0.78 0.78 0.47 0.43 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29580 Application of paste boot A 0.55 0.88 0.92 0.43 0.44 0.07 1.50 1.54 1.05 1.06 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29581 Apply multlay comprs lwr leg A 0.60 2.03 2.03 0.27 0.27 0.07 2.70 2.70 0.94 0.94 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 29590 Application of foot splint A 0.76 0.71 0.74 0.32 0.31 0.05 1.52 1.55 1.13 1.12 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29700 Removal/revision of cast A 0.57 1.19 1.25 0.34 0.36 0.10 1.86 1.92 1.01 1.03 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29705 Removal/revision of cast A 0.76 1.02 1.07 0.50 0.53 0.12 1.90 1.95 1.38 1.41 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 29710 Removal/revision of cast A 1.34 1.86 2.02 0.85 0.92 0.27 3.47 3.63 2.46 2.53 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 29715 Removal/revision of cast A 0.94 1.38 1.31 0.53 0.53 0.12 2.44 2.37 1.59 1.59 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 29720 Repair of body cast A 0.68 1.51 1.61 0.48 0.51 0.12 2.31 2.41 1.28 1.31 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29730 Windowing of cast A 0.75 0.98 1.03 0.46 0.49 0.11 1.84 1.89 1.32 1.35 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29740 Wedging of cast A 1.12 1.29 1.30 0.59 0.59 0.18 2.59 2.60 1.89 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 29750 Wedging of clubfoot cast A 1.26 1.40 1.46 0.74 0.78 0.26 2.92 2.98 2.26 2.30 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 29799 Casting/strapping procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 29800 Jaw arthroscopy/surgery A 6.84 7.09NA 7.45NA 7.09 7.45 1.33 15.26 15.62 15.26 15.62 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29804 Jaw arthroscopy/surgery A 8.87 8.47NA 9.14NA 8.47 9.14 1.74 19.08 19.75 19.08 19.75 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29805 Shoulder arthroscopy dx A 6.03 6.47NA 6.77NA 6.47 6.77 1.18 13.68 13.98 13.68 13.98 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 29806 Shoulder arthroscopy/surgery A 15.14 12.96NA 13.55NA 12.96 13.55 2.98 31.08 31.67 31.08 31.67 0090.10.69.2131110 29805 33.9764 090 99 0.00 0.00 0.00 29807 Shoulder arthroscopy/surgery A 14.67 12.79NA 13.42NA 12.79 13.42 2.87 30.33 30.96 30.33 30.96 0090.10.69.2131110 29805 33.9764 090 99 0.00 0.00 0.00 29819 Shoulder arthroscopy/surgery A 7.79 7.78NA 8.13NA 7.78 8.13 1.52 17.09 17.44 17.09 17.44 0090.10.69.2131110 29805 33.9764 090 99 0.00 0.00 0.00 29820 Shoulder arthroscopy/surgery A 7.21 7.12NA 7.42NA 7.12 7.42 1.40 15.73 16.03 15.73 16.03 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29821 Shoulder arthroscopy/surgery A 7.89 7.78NA 8.12NA 7.78 8.12 1.55 17.22 17.56 17.22 17.56 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29822 Shoulder arthroscopy/surgery A 7.60 7.64NA 7.96NA 7.64 7.96 1.50 16.74 17.06 16.74 17.06 0090.10.69.2131200 29805 33.9764 090 99 0.00 0.00 0.00 29823 Shoulder arthroscopy/surgery A 8.36 8.28NA 8.62NA 8.28 8.62 1.63 18.27 18.61 18.27 18.61 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29824 Shoulder arthroscopy/surgery A 8.98 8.90NA 9.31NA 8.90 9.31 1.77 19.65 20.06 19.65 20.06 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29825 Shoulder arthroscopy/surgery A 7.79 7.74NA 8.07NA 7.74 8.07 1.52 17.05 17.38 17.05 17.38 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29826 Shoulder arthroscopy/surgery A 9.16 8.52NA 8.87NA 8.52 8.87 1.80 19.48 19.83 19.48 19.83 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29827 Arthroscop rotator cuff repr A 15.59 12.98NA 13.50NA 12.98 13.50 3.08 31.65 32.17 31.65 32.17 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29828 Arthroscopy biceps tenodesis A 13.16 11.09NA 11.81NA 11.09 11.81 2.59 26.84 27.56 26.84 27.56 0090.10.69.2131210 29805 33.9764 090 99 0.00 0.00 0.00 29830 Elbow arthroscopy A 5.88 6.16NA 6.45NA 6.16 6.45 1.17 13.21 13.50 13.21 13.50 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 29834 Elbow arthroscopy/surgery A 6.42 6.68NA 6.98NA 6.68 6.98 1.22 14.32 14.62 14.32 14.62 0090.10.69.2131210 29830 33.9764 090 99 0.00 0.00 0.00 29835 Elbow arthroscopy/surgery A 6.62 6.82NA 7.14NA 6.82 7.14 1.29 14.73 15.05 14.73 15.05 0090.10.69.2131210 29830 33.9764 090 99 0.00 0.00 0.00 29836 Elbow arthroscopy/surgery A 7.72 7.75NA 8.09NA 7.75 8.09 1.52 16.99 17.33 16.99 17.33 0090.10.69.2131210 29830 33.9764 090 99 0.00 0.00 0.00 29837 Elbow arthroscopy/surgery A 7.01 7.04NA 7.36NA 7.04 7.36 1.36 15.41 15.73 15.41 15.73 0090.10.69.2131210 29830 33.9764 090 99 0.00 0.00 0.00 29838 Elbow arthroscopy/surgery A 7.88 7.86NA 8.23NA 7.86 8.23 1.50 17.24 17.61 17.24 17.61 0090.10.69.2131000 29830 33.9764 090 99 0.00 0.00 0.00 29840 Wrist arthroscopy A 5.68 6.28NA 6.58NA 6.28 6.58 1.13 13.09 13.39 13.09 13.39 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29843 Wrist arthroscopy/surgery A 6.15 6.66NA 6.97NA 6.66 6.97 1.21 14.02 14.33 14.02 14.33 0090.10.69.2131210 29840 33.9764 090 99 0.00 0.00 0.00 29844 Wrist arthroscopy/surgery A 6.51 6.77NA 7.17NA 6.77 7.17 1.18 14.46 14.86 14.46 14.86 0090.10.69.2131200 29840 33.9764 090 99 0.00 0.00 0.00 29845 Wrist arthroscopy/surgery A 7.69 7.64NA 8.14NA 7.64 8.14 1.37 16.70 17.20 16.70 17.20 0090.10.69.2131210 29840 33.9764 090 99 0.00 0.00 0.00 29846 Wrist arthroscopy/surgery A 6.89 7.06NA 7.44NA 7.06 7.44 1.22 15.17 15.55 15.17 15.55 0090.10.69.2131000 29840 33.9764 090 99 0.00 0.00 0.00 29847 Wrist arthroscopy/surgery A 7.22 7.18NA 7.49NA 7.18 7.49 1.42 15.82 16.13 15.82 16.13 0090.10.69.2131200 29840 33.9764 090 99 0.00 0.00 0.00 29848 Wrist endoscopy/surgery A 6.39 7.16NA 7.64NA 7.16 7.64 1.17 14.72 15.20 14.72 15.20 0090.10.69.2121100 33.9764 090 99 0.00 0.00 0.00 29850 Knee arthroscopy/surgery A 8.27 7.55NA 8.64NA 7.55 8.64 1.62 17.44 18.53 17.44 18.53 0090.10.69.2121020 33.9764 090 99 0.00 0.00 0.00 29851 Knee arthroscopy/surgery A 13.26 11.42NA 11.99NA 11.42 11.99 2.61 27.29 27.86 27.29 27.86 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 29855 Tibial arthroscopy/surgery A 10.76 10.08NA 10.54NA 10.08 10.54 2.12 22.96 23.42 22.96 23.42 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 29856 Tibial arthroscopy/surgery A 14.28 12.15NA 12.71NA 12.15 12.71 2.83 29.26 29.82 29.26 29.82 0090.10.69.2121220 33.9764 090 99 0.00 0.00 0.00 29860 Hip arthroscopy dx A 9.00 8.49NA 9.07NA 8.49 9.07 1.78 19.27 19.85 19.27 19.85 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29861 Hip arthro w/fb removal A 10.10 9.14NA 9.73NA 9.14 9.73 1.97 21.21 21.80 21.21 21.80 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29862 Hip arthr0 w/debridement A 11.17 10.44NA 11.04NA 10.44 11.04 2.19 23.80 24.40 23.80 24.40 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29863 Hip arthr0 w/synovectomy A 11.17 10.36NA 10.98NA 10.36 10.98 2.20 23.73 24.35 23.73 24.35 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29866 Autgrft implnt knee w/scope A 14.67 13.07NA 13.76NA 13.07 13.76 2.91 30.65 31.34 30.65 31.34 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29867 Allgrft implnt knee w/scope A 18.39 15.30NA 16.26NA 15.30 16.26 3.62 37.31 38.27 37.31 38.27 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29868 Meniscal trnspl knee w/scpe A 25.10 19.12NA 20.26NA 19.12 20.26 4.95 49.17 50.31 49.17 50.31 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29870 Knee arthroscopy dx A 5.19 10.79 10.79 5.73 6.02 1.02 17.00 17.00 11.94 12.23 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 29871 Knee arthroscopy/drainage A 6.69 6.92NA 7.27NA 6.92 7.27 1.31 14.92 15.27 14.92 15.27 0090.10.69.2131100 29870 33.9764 090 99 0.00 0.00 0.00 29873 Knee arthroscopy/surgery A 6.24 7.64NA 8.02NA 7.64 8.02 1.22 15.10 15.48 15.10 15.48 0090.10.69.2131110 29870 33.9764 090 99 0.00 0.00 0.00 29874 Knee arthroscopy/surgery A 7.19 7.10NA 7.45NA 7.10 7.45 1.40 15.69 16.04 15.69 16.04 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29875 Knee arthroscopy/surgery A 6.45 6.70NA 7.01NA 6.70 7.01 1.27 14.42 14.73 14.42 14.73 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29876 Knee arthroscopy/surgery A 8.87 8.50NA 8.97NA 8.50 8.97 1.74 19.11 19.58 19.11 19.58 0090.10.69.2131100 29870 33.9764 090 99 0.00 0.00 0.00 29877 Knee arthroscopy/surgery A 8.30 8.18NA 8.63NA 8.18 8.63 1.62 18.10 18.55 18.10 18.55 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29879 Knee arthroscopy/surgery A 8.99 8.56NA 9.02NA 8.56 9.02 1.77 19.32 19.78 19.32 19.78 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29880 Knee arthroscopy/surgery A 9.45 8.84NA 9.31NA 8.84 9.31 1.85 20.14 20.61 20.14 20.61 0090.10.69.2131010 29870 33.9764 090 99 0.00 0.00 0.00 29881 Knee arthroscopy/surgery A 8.71 8.41NA 8.87NA 8.41 8.87 1.70 18.82 19.28 18.82 19.28 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29882 Knee arthroscopy/surgery A 9.60 8.86NA 9.37NA 8.86 9.37 1.89 20.35 20.86 20.35 20.86 0090.10.69.2131100 29870 33.9764 090 99 0.00 0.00 0.00 29883 Knee arthroscopy/surgery A 11.77 10.50NA 10.97NA 10.50 10.97 2.30 24.57 25.04 24.57 25.04 0090.10.69.2131000 29870 33.9764 090 99 0.00 0.00 0.00 29884 Knee arthroscopy/surgery A 8.28 8.15NA 8.60NA 8.15 8.60 1.62 18.05 18.50 18.05 18.50 0090.10.69.2131210 29870 33.9764 090 99 0.00 0.00 0.00 29885 Knee arthroscopy/surgery A 10.21 9.66NA 10.20NA 9.66 10.20 2.00 21.87 22.41 21.87 22.41 0090.10.69.2131210 29870 33.9764 090 99 0.00 0.00 0.00 29886 Knee arthroscopy/surgery A 8.49 8.31NA 8.77NA 8.31 8.77 1.66 18.46 18.92 18.46 18.92 0090.10.69.2131100 29870 33.9764 090 99 0.00 0.00 0.00 29887 Knee arthroscopy/surgery A 10.16 9.58NA 10.11NA 9.58 10.11 1.99 21.73 22.26 21.73 22.26 0090.10.69.2131210 29870 33.9764 090 99 0.00 0.00 0.00 29888 Knee arthroscopy/surgery A 14.30 11.90NA 12.47NA 11.90 12.47 2.80 29.00 29.57 29.00 29.57 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29889 Knee arthroscopy/surgery A 17.41 14.86NA 15.61NA 14.86 15.61 3.42 35.69 36.44 35.69 36.44 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29891 Ankle arthroscopy/surgery A 9.67 8.88NA 9.22NA 8.88 9.22 1.65 20.20 20.54 20.20 20.54 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29892 Ankle arthroscopy/surgery A 10.27 7.18NA 6.15NA 7.18 6.15 2.01 19.46 18.43 19.46 18.43 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29893 Scope plantar fasciotomy A 6.32 10.39 11.00 5.59 5.77 0.50 17.21 17.82 12.41 12.59 0090.10.69.2121110 33.9764 090 99 0.00 0.00 0.00 29894 Ankle arthroscopy/surgery A 7.35 6.50NA 6.86NA 6.50 6.86 1.22 15.07 15.43 15.07 15.43 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29895 Ankle arthroscopy/surgery A 7.13 6.15NA 6.39NA 6.15 6.39 1.13 14.41 14.65 14.41 14.65 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29897 Ankle arthroscopy/surgery A 7.32 6.54NA 6.72NA 6.54 6.72 1.24 15.10 15.28 15.10 15.28 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29898 Ankle arthroscopy/surgery A 8.49 7.00NA 7.24NA 7.00 7.24 1.29 16.78 17.02 16.78 17.02 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29899 Ankle arthroscopy/surgery A 15.41 12.42NA 12.93NA 12.42 12.93 2.87 30.70 31.21 30.70 31.21 0090.10.69.2121210 33.9764 090 99 0.00 0.00 0.00 29900 Mcp joint arthroscopy dx A 5.88 6.83NA 7.56NA 6.83 7.56 0.41 13.12 13.85 13.12 13.85 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29901 Mcp joint arthroscopy surg A 6.59 7.17NA 7.87NA 7.17 7.87 1.29 15.05 15.75 15.05 15.75 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29902 Mcp joint arthroscopy surg A 7.16 6.24NA 5.74NA 6.24 5.74 2.57 15.97 15.47 15.97 15.47 0090.10.69.2121000 33.9764 090 99 0.00 0.00 0.00 29904 Subtalar arthro w/fb rmvl A 8.65 8.05NA 8.64NA 8.05 8.64 1.69 18.39 18.98 18.39 18.98 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29905 Subtalar arthro w/exc A 9.18 8.89NA 9.54NA 8.89 9.54 1.81 19.88 20.53 19.88 20.53 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29906 Subtalar arthro w/deb A 9.65 9.38NA 10.06NA 9.38 10.06 1.89 20.92 21.60 20.92 21.60 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29907 Subtalar arthro w/fusion A 12.18 10.79NA 11.57NA 10.79 11.57 2.40 25.37 26.15 25.37 26.15 0090.10.69.2121200 33.9764 090 99 0.00 0.00 0.00 29914 Hip arthro w/femoroplasty A 14.67 12.74NA 12.74NA 12.74 12.74 2.91 30.32 30.32 30.32 30.32 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29915 Hip arthro acetabuloplasty A 15.00 12.94NA 12.94NA 12.94 12.94 2.95 30.89 30.89 30.89 30.89 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29916 Hip arthro w/labral repair A 15.00 12.94NA 12.94NA 12.94 12.94 2.95 30.89 30.89 30.89 30.89 0090.10.69.2131210 29860 33.9764 090 99 0.00 0.00 0.00 29999 Arthroscopy of joint C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 30000 Drainage of nose lesion A 1.48 5.04 5.13 1.80 1.90 0.22 6.74 6.83 3.50 3.60 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 30020 Drainage of nose lesion A 1.48 4.99 5.24 1.83 1.94 0.20 6.67 6.92 3.51 3.62 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 3006F Cxr doc rev I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3008F Body mass index docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30100 Intranasal biopsy A 0.94 3.06 3.17 0.99 1.02 0.11 4.11 4.22 2.04 2.07 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 3011F Lipid panel doc rev I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30110 Removal of nose polyp(s) A 1.68 4.76 4.97 1.95 2.06 0.23 6.67 6.88 3.86 3.97 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 30115 Removal of nose polyp(s) A 4.44 7.62NA 7.97NA 7.62 7.97 0.56 12.62 12.97 12.62 12.97 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 30117 Removal of intranasal lesion A 3.26 21.25 22.07 6.19 6.46 0.41 24.92 25.74 9.86 10.13 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30118 Removal of intranasal lesion A 9.92 11.38NA 11.99NA 11.38 11.99 1.31 22.61 23.22 22.61 23.22 0090.10.76.1420110 33.9764 090 99 0.00 0.00 0.00 30120 Revision of nose A 5.39 8.97 9.28 6.85 6.99 0.84 15.20 15.51 13.08 13.22 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30124 Removal of nose lesion A 3.20 4.41NA 4.66NA 4.41 4.66 0.41 8.02 8.27 8.02 8.27 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30125 Removal of nose lesion A 7.30 9.75NA 10.18NA 9.75 10.18 0.93 17.98 18.41 17.98 18.41 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 30130 Excise inferior turbinate A 3.47 7.17NA 7.46NA 7.17 7.46 0.44 11.08 11.37 11.08 11.37 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 3014F Screen mammo doc rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30140 Resect inferior turbinate A 3.57 8.75NA 9.12NA 8.75 9.12 0.45 12.77 13.14 12.77 13.14 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 3015F Cerv cancer screen docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30150 Partial removal of nose A 9.55 11.98NA 12.31NA 11.98 12.31 1.42 22.95 23.28 22.95 23.28 0090.10.76.1420110 33.9764 090 99 0.00 0.00 0.00 3016F Pt scrnd unhlthy OH use M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30160 Removal of nose A 9.99 11.75NA 12.22NA 11.75 12.22 1.28 23.02 23.49 23.02 23.49 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3017F Colorectal ca screen doc rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3018F Pre-prxd rsk et al docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3020F Lvf assess M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30200 Injection treatment of nose A 0.78 2.42 2.52 0.89 0.94 0.10 3.30 3.40 1.77 1.82 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 3021F Lvef mod/sever deprs syst M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30210 Nasal sinus therapy A 1.13 3.08 3.21 1.66 1.74 0.14 4.35 4.48 2.93 3.01 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 3022F Lvef >=40% systolic M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30220 Insert nasal septal button A 1.59 6.89 7.20 1.91 2.01 0.22 8.70 9.01 3.72 3.82 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 3023F Spirom doc rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3025F Spirom fev/fvc<70% w/copd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3027F Spirom fev/fvc>=70%/w/o copd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3028F O2 saturation doc rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30300 Remove nasal foreign body A 1.09 5.41 5.51 2.40 2.52 0.14 6.64 6.74 3.63 3.75 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 30310 Remove nasal foreign body A 2.01 3.75NA 3.89NA 3.75 3.89 0.26 6.02 6.16 6.02 6.16 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 30320 Remove nasal foreign body A 4.64 8.03NA 8.36NA 8.03 8.36 0.60 13.27 13.60 13.27 13.60 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 3035F O2 saturation<=88% /pao<=55 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3037F O2 saturation> 88% /pao>55 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3038F Pulm fx w/in 12 mon b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3040F Fev<40% predicted value I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30400 Reconstruction of nose R 10.86 17.84NA 18.13NA 17.84 18.13 1.39 30.09 30.38 30.09 30.38 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 30410 Reconstruction of nose R 14.00 19.59NA 19.98NA 19.59 19.98 1.80 35.39 35.78 35.39 35.78 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 3042F Fev>=40% predicted value I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30420 Reconstruction of nose R 16.90 21.20NA 22.17NA 21.20 22.17 2.40 40.50 41.47 40.50 41.47 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30430 Revision of nose R 8.24 16.81NA 16.60NA 16.81 16.60 1.62 26.67 26.46 26.67 26.46 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 30435 Revision of nose R 12.73 21.08NA 22.18NA 21.08 22.18 1.63 35.44 36.54 35.44 36.54 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 3044F Hg a1c level lt 7.0% M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3045F Hg a1c level 7.0-9.0% M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30450 Revision of nose R 19.66 23.00NA 23.30NA 23.00 23.30 2.52 45.18 45.48 45.18 45.48 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 3046F Hemoglobin a1c level > 9.0% M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30460 Revision of nose A 10.32 10.24NA 10.59NA 10.24 10.59 2.01 22.57 22.92 22.57 22.92 0090.10.76.1420220 33.9764 090 99 0.00 0.00 0.00 30462 Revision of nose A 20.28 21.76NA 23.40NA 21.76 23.40 4.00 46.04 47.68 46.04 47.68 0090.10.76.1420220 33.9764 090 99 0.00 0.00 0.00 30465 Repair nasal stenosis A 12.36 14.83NA 15.66NA 14.83 15.66 1.74 28.93 29.76 28.93 29.76 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 3048F Ldl-c <100 mg/dl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3049F Ldl-c 100-129 mg/dl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3050F Ldl-c >= 130 mg/dl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30520 Repair of nasal septum A 7.01 10.21NA 10.94NA 10.21 10.94 0.90 18.12 18.85 18.12 18.85 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30540 Repair nasal defect A 7.92 11.05NA 11.84NA 11.05 11.84 1.02 19.99 20.78 19.99 20.78 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 30545 Repair nasal defect A 11.62 13.07NA 12.24NA 13.07 12.24 0.82 25.51 24.68 25.51 24.68 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 30560 Release of nasal adhesions A 1.31 6.39 6.53 2.59 2.67 0.18 7.88 8.02 4.08 4.16 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 30580 Repair upper jaw fistula A 6.88 10.69 11.40 6.90 7.54 0.87 18.44 19.15 14.65 15.29 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 3060F Pos microalbuminuria rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30600 Repair mouth/nose fistula A 6.16 9.89 10.31 5.84 6.15 0.78 16.83 17.25 12.78 13.09 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 3061F Neg microalbuminuria rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3062F Pos macroalbuminuria rev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30620 Intranasal reconstruction A 6.16 11.17NA 11.59NA 11.17 11.59 0.88 18.21 18.63 18.21 18.63 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 30630 Repair nasal septum defect A 7.29 10.11NA 10.62NA 10.11 10.62 0.99 18.39 18.90 18.39 18.90 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 3066F Nephropathy doc tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3072F Low risk for retinopathy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3073F Pre-surg eye measures docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3074F Syst bp lt 130 mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3075F Syst bp ge 130 - 139mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3077F Syst bp >= 140 mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3078F Diast bp < 80 mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3079F Diast bp 80-89 mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3080F Diast bp >= 90 mm hg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30801 Ablate inf turbinate superf A 1.14 5.32 5.44 2.67 2.79 0.14 6.60 6.72 3.95 4.07 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 30802 Ablate inf turbinate submuc A 2.08 6.12 6.30 3.22 3.39 0.27 8.47 8.65 5.57 5.74 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 3082F Kt/v <1.2 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3083F Kt/v > 1.2 <1.7 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3084F Kt/v ge 1.7 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3085F Suicide risk assessed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3088F Mdd mild I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3089F Mdd moderate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3090F Mdd severe w/o psych I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30901 Control of nosebleed A 1.10 1.56 1.54 0.43 0.46 0.16 2.82 2.80 1.69 1.72 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 30903 Control of nosebleed A 1.54 4.00 4.21 0.63 0.70 0.23 5.77 5.98 2.40 2.47 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 30905 Control of nosebleed A 1.97 4.89 5.13 0.78 0.83 0.30 7.16 7.40 3.05 3.10 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 30906 Repeat control of nosebleed A 2.45 5.33 5.55 1.21 1.30 0.33 8.11 8.33 3.99 4.08 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 3091F Mdd severe w/psych I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30915 Ligation nasal sinus artery A 7.44 8.57NA 9.07NA 8.57 9.07 0.99 17.00 17.50 17.00 17.50 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 3092F Mdd in remission M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30920 Ligation upper jaw artery A 11.14 11.93NA 12.75NA 11.93 12.75 1.46 24.53 25.35 24.53 25.35 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 3093F Doc new diag 1st/addl mdd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30930 Ther fx nasal inf turbinate A 1.31 2.12NA 2.24NA 2.12 2.24 0.18 3.61 3.73 3.61 3.73 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 3095F Central dexa results docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3096F Central dexa ordered M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 30999 Nasal surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 3100F Image test ref carot diam M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31000 Irrigation maxillary sinus A 1.20 3.91 4.03 1.74 1.81 0.14 5.25 5.37 3.08 3.15 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 31002 Irrigation sphenoid sinus A 1.96 3.67NA 3.76NA 3.67 3.76 0.26 5.89 5.98 5.89 5.98 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31020 Exploration maxillary sinus A 3.07 10.60 10.77 6.92 7.17 0.39 14.06 14.23 10.38 10.63 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31030 Exploration maxillary sinus A 6.01 13.39 13.68 8.51 8.96 0.75 20.15 20.44 15.27 15.72 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31032 Explore sinus remove polyps A 6.69 9.20NA 9.69NA 9.20 9.69 0.87 16.76 17.25 16.76 17.25 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31040 Exploration behind upper jaw A 9.77 10.87NA 11.50NA 10.87 11.50 1.39 22.03 22.66 22.03 22.66 0090.10.76.1420110 33.9764 090 99 0.00 0.00 0.00 31050 Exploration sphenoid sinus A 5.37 8.29NA 8.55NA 8.29 8.55 0.68 14.34 14.60 14.34 14.60 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31051 Sphenoid sinus surgery A 7.25 10.76NA 11.29NA 10.76 11.29 0.91 18.92 19.45 18.92 19.45 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31070 Exploration of frontal sinus A 4.40 7.86NA 8.21NA 7.86 8.21 0.59 12.85 13.20 12.85 13.20 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31075 Exploration of frontal sinus A 9.51 12.31NA 12.92NA 12.31 12.92 1.22 23.04 23.65 23.04 23.65 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31080 Removal of frontal sinus A 12.74 15.63NA 16.83NA 15.63 16.83 1.63 30.00 31.20 30.00 31.20 0090.10.76.1421200 33.9764 090 99 0.00 0.00 0.00 31081 Removal of frontal sinus A 14.19 21.30NA 24.08NA 21.30 24.08 5.09 40.58 43.36 40.58 43.36 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31084 Removal of frontal sinus A 14.95 17.51NA 18.13NA 17.51 18.13 1.92 34.38 35.00 34.38 35.00 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31085 Removal of frontal sinus A 15.64 18.10NA 18.53NA 18.10 18.53 5.62 39.36 39.79 39.36 39.79 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31086 Removal of frontal sinus A 14.36 16.79NA 17.78NA 16.79 17.78 1.85 33.00 33.99 33.00 33.99 0090.10.76.1421200 33.9764 090 99 0.00 0.00 0.00 31087 Removal of frontal sinus A 14.57 15.66NA 16.43NA 15.66 16.43 1.86 32.09 32.86 32.09 32.86 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31090 Exploration of sinuses A 11.17 17.20NA 18.19NA 17.20 18.19 1.47 29.84 30.83 29.84 30.83 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 3110F Pres/absn hmrhg/lesion docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3111F Ct/mri brain done w/in 24hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3112F Ct/mri brain done >24 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3120F 12-lead ecg performed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31200 Removal of ethmoid sinus A 5.14 10.15NA 10.57NA 10.15 10.57 0.73 16.02 16.44 16.02 16.44 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31201 Removal of ethmoid sinus A 8.60 11.81NA 12.49NA 11.81 12.49 1.14 21.55 22.23 21.55 22.23 0090.10.76.1421100 33.9764 090 99 0.00 0.00 0.00 31205 Removal of ethmoid sinus A 10.58 13.61NA 14.55NA 13.61 14.55 1.59 25.78 26.72 25.78 26.72 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31225 Removal of upper jaw A 26.70 24.55NA 26.67NA 24.55 26.67 3.55 54.80 56.92 54.80 56.92 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31230 Removal of upper jaw A 30.82 26.37NA 28.72NA 26.37 28.72 3.96 61.15 63.50 61.15 63.50 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 31231 Nasal endoscopy dx A 1.10 4.37 4.46 1.06 1.12 0.12 5.59 5.68 2.28 2.34 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 31233 Nasal/sinus endoscopy dx A 2.18 5.34 5.47 1.64 1.75 0.29 7.81 7.94 4.11 4.22 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31235 Nasal/sinus endoscopy dx A 2.64 5.88 5.97 1.87 1.99 0.33 8.85 8.94 4.84 4.96 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31237 Nasal/sinus endoscopy surg A 2.98 6.22 6.37 2.07 2.23 0.38 9.58 9.73 5.43 5.59 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31238 Nasal/sinus endoscopy surg A 3.26 6.19 6.34 2.23 2.39 0.41 9.86 10.01 5.90 6.06 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31239 Nasal/sinus endoscopy surg A 9.33 9.33NA 10.07NA 9.33 10.07 1.24 19.90 20.64 19.90 20.64 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31240 Nasal/sinus endoscopy surg A 2.61 1.88NA 2.01NA 1.88 2.01 0.34 4.83 4.96 4.83 4.96 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31254 Revision of ethmoid sinus A 4.64 2.99NA 3.21NA 2.99 3.21 0.60 8.23 8.45 8.23 8.45 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31255 Removal of ethmoid sinus A 6.95 4.23NA 4.56NA 4.23 4.56 0.88 12.06 12.39 12.06 12.39 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31256 Exploration maxillary sinus A 3.29 2.25NA 2.41NA 2.25 2.41 0.41 5.95 6.11 5.95 6.11 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31267 Endoscopy maxillary sinus A 5.45 3.42NA 3.68NA 3.42 3.68 0.69 9.56 9.82 9.56 9.82 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31276 Sinus endoscopy surgical A 8.84 5.24NA 5.66NA 5.24 5.66 1.14 15.22 15.64 15.22 15.64 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 31287 Nasal/sinus endoscopy surg A 3.91 2.58NA 2.77NA 2.58 2.77 0.50 6.99 7.18 6.99 7.18 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31288 Nasal/sinus endoscopy surg A 4.57 2.95NA 3.17NA 2.95 3.17 0.60 8.12 8.34 8.12 8.34 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31290 Nasal/sinus endoscopy surg A 18.61 13.40NA 14.39NA 13.40 14.39 2.64 34.65 35.64 34.65 35.64 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31291 Nasal/sinus endoscopy surg A 19.56 14.04NA 15.10NA 14.04 15.10 3.14 36.74 37.80 36.74 37.80 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31292 Nasal/sinus endoscopy surg A 15.90 11.88NA 12.74NA 11.88 12.74 2.04 29.82 30.68 29.82 30.68 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31293 Nasal/sinus endoscopy surg A 17.47 12.79NA 13.73NA 12.79 13.73 2.23 32.49 33.43 32.49 33.43 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31294 Nasal/sinus endoscopy surg A 20.31 14.31NA 15.40NA 14.31 15.40 2.61 37.23 38.32 37.23 38.32 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 31295 Sinus endo w/balloon dil A 2.70 56.78 56.78 2.11 2.11 0.35 59.83 59.83 5.16 5.16 0000.00.00.0021200 33.9764 090 99 0.00 0.00 0.00 31296 Sinus endo w/balloon dil A 3.29 108.31 108.31 2.45 2.45 0.42 112.02 112.02 6.16 6.16 0000.00.00.0021200 33.9764 090 99 0.00 0.00 0.00 31297 Sinus endo w/balloon dil A 2.64 107.99 107.99 2.07 2.07 0.34 110.97 110.97 5.05 5.05 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31299 Sinus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 3130F Upper gi endoscopy performed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31300 Removal of larynx lesion A 15.91 19.36NA 20.47NA 19.36 20.47 2.03 37.30 38.41 37.30 38.41 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3132F Doc ref upper gi endoscopy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31320 Diagnostic incision larynx A 5.73 12.77NA 13.21NA 12.77 13.21 0.72 19.22 19.66 19.22 19.66 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 31360 Removal of larynx A 29.91 26.91NA 29.73NA 26.91 29.73 3.92 60.74 63.56 60.74 63.56 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31365 Removal of larynx A 38.81 31.53NA 34.91NA 31.53 34.91 5.08 75.42 78.80 75.42 78.80 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31367 Partial removal of larynx A 30.57 30.31NA 32.73NA 30.31 32.73 3.97 64.85 67.27 64.85 67.27 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31368 Partial removal of larynx A 34.19 33.45NA 36.00NA 33.45 36.00 4.38 72.02 74.57 72.02 74.57 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31370 Partial removal of larynx A 27.57 29.81NA 31.95NA 29.81 31.95 3.54 60.92 63.06 60.92 63.06 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31375 Partial removal of larynx A 26.07 28.33NA 30.43NA 28.33 30.43 3.36 57.76 59.86 57.76 59.86 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31380 Partial removal of larynx A 25.57 28.03NA 30.14NA 28.03 30.14 3.29 56.89 59.00 56.89 59.00 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31382 Partial removal of larynx A 28.57 30.17NA 32.54NA 30.17 32.54 3.69 62.43 64.80 62.43 64.80 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31390 Removal of larynx & pharynx A 42.51 35.48NA 38.78NA 35.48 38.78 5.84 83.83 87.13 83.83 87.13 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31395 Reconstruct larynx & pharynx A 43.80 39.07NA 42.53NA 39.07 42.53 5.63 88.50 91.96 88.50 91.96 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3140F Upper gi endo shows barrtts I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31400 Revision of larynx A 11.60 16.47NA 17.10NA 16.47 17.10 1.50 29.57 30.20 29.57 30.20 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 3141F Upper gi endo not barrtts I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3142F Barium swallow test ordered I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31420 Removal of epiglottis A 11.43 11.84NA 12.58NA 11.84 12.58 1.47 24.74 25.48 24.74 25.48 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3150F Forceps esoph biopsy done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31500 Insert emergency airway A 2.33 0.60NA 0.64NA 0.60 0.64 0.31 3.24 3.28 3.24 3.28 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 31502 Change of windpipe airway A 0.65 0.32NA 0.34NA 0.32 0.34 0.07 1.04 1.06 1.04 1.06 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31505 Diagnostic laryngoscopy A 0.61 1.76 1.78 0.77 0.80 0.07 2.44 2.46 1.45 1.48 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31510 Laryngoscopy with biopsy A 1.92 4.05 4.13 1.44 1.54 0.26 6.23 6.31 3.62 3.72 0000.00.00.0030000 31505 33.9764 090 99 0.00 0.00 0.00 31511 Remove foreign body larynx A 2.16 3.75 3.83 1.36 1.41 0.31 6.22 6.30 3.83 3.88 0000.00.00.0030100 31505 33.9764 090 99 0.00 0.00 0.00 31512 Removal of larynx lesion A 2.07 3.82 3.93 1.57 1.70 0.27 6.16 6.27 3.91 4.04 0000.00.00.0030000 31505 33.9764 090 99 0.00 0.00 0.00 31513 Injection into vocal cord A 2.10 1.60NA 1.71NA 1.60 1.71 0.27 3.97 4.08 3.97 4.08 0000.00.00.0030000 31505 33.9764 090 99 0.00 0.00 0.00 31515 Laryngoscopy for aspiration A 1.80 4.10 4.14 1.24 1.31 0.24 6.14 6.18 3.28 3.35 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31520 Dx laryngoscopy newborn A 2.56 1.79NA 1.98NA 1.79 1.98 0.33 4.68 4.87 4.68 4.87 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 31525 Dx laryngoscopy excl nb A 2.63 4.44 4.60 1.82 1.94 0.34 7.41 7.57 4.79 4.91 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31526 Dx laryngoscopy w/oper scope A 2.57 1.86NA 1.98NA 1.86 1.98 0.33 4.76 4.88 4.76 4.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31527 Laryngoscopy for treatment A 3.27 2.18NA 2.40NA 2.18 2.40 0.41 5.86 6.08 5.86 6.08 0000.00.00.0030000 31525 33.9764 090 99 0.00 0.00 0.00 31528 Laryngoscopy and dilation A 2.37 1.68NA 1.81NA 1.68 1.81 0.31 4.36 4.49 4.36 4.49 0000.00.00.0030000 31525 33.9764 090 99 0.00 0.00 0.00 31529 Laryngoscopy and dilation A 2.68 1.86NA 1.99NA 1.86 1.99 0.34 4.88 5.01 4.88 5.01 0000.00.00.0030000 31525 33.9764 090 99 0.00 0.00 0.00 31530 Laryngoscopy w/fb removal A 3.38 2.15NA 2.32NA 2.15 2.32 0.44 5.97 6.14 5.97 6.14 0000.00.00.0030100 31525 33.9764 090 99 0.00 0.00 0.00 31531 Laryngoscopy w/fb & op scope A 3.58 2.39NA 2.55NA 2.39 2.55 0.45 6.42 6.58 6.42 6.58 0000.00.00.0030000 31526 33.9764 090 99 0.00 0.00 0.00 31535 Laryngoscopy w/biopsy A 3.16 2.16NA 2.32NA 2.16 2.32 0.41 5.73 5.89 5.73 5.89 0000.00.00.0030100 31525 33.9764 090 99 0.00 0.00 0.00 31536 Laryngoscopy w/bx & op scope A 3.55 2.39NA 2.56NA 2.39 2.56 0.45 6.39 6.56 6.39 6.56 0000.00.00.0030100 31526 33.9764 090 99 0.00 0.00 0.00 31540 Laryngoscopy w/exc of tumor A 4.12 2.69NA 2.89NA 2.69 2.89 0.53 7.34 7.54 7.34 7.54 0000.00.00.0030100 31525 33.9764 090 99 0.00 0.00 0.00 31541 Larynscop w/tumr exc + scope A 4.52 2.91NA 3.13NA 2.91 3.13 0.59 8.02 8.24 8.02 8.24 0000.00.00.0030100 31526 33.9764 090 99 0.00 0.00 0.00 31545 Remove vc lesion w/scope A 6.30 3.87NA 4.20NA 3.87 4.20 0.80 10.97 11.30 10.97 11.30 0000.00.00.0031100 31526 33.9764 090 99 0.00 0.00 0.00 31546 Remove vc lesion scope/graft A 9.73 5.64NA 6.23NA 5.64 6.23 1.25 16.62 17.21 16.62 17.21 0000.00.00.0031100 31526 33.9764 090 99 0.00 0.00 0.00 3155F Cytogen test marrow b/4 tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31560 Laryngoscop w/arytenoidectom A 5.45 3.36NA 3.64NA 3.36 3.64 0.69 9.50 9.78 9.50 9.78 0000.00.00.0030000 31525 33.9764 090 99 0.00 0.00 0.00 31561 Larynscop remve cart + scop A 5.99 3.64NA 3.94NA 3.64 3.94 0.76 10.39 10.69 10.39 10.69 0000.00.00.0030000 31526 33.9764 090 99 0.00 0.00 0.00 31570 Laryngoscope w/vc inj A 3.86 5.78 5.87 2.52 2.71 0.53 10.17 10.26 6.91 7.10 0000.00.00.0030100 31525 33.9764 090 99 0.00 0.00 0.00 31571 Laryngoscop w/vc inj + scope A 4.26 2.76NA 2.97NA 2.76 2.97 0.54 7.56 7.77 7.56 7.77 0000.00.00.0030100 31526 33.9764 090 99 0.00 0.00 0.00 31575 Diagnostic laryngoscopy A 1.10 2.17 2.20 1.05 1.11 0.12 3.39 3.42 2.27 2.33 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31576 Laryngoscopy with biopsy A 1.97 4.43 4.50 1.50 1.59 0.24 6.64 6.71 3.71 3.80 0000.00.00.0030100 31575 33.9764 090 99 0.00 0.00 0.00 31577 Remove foreign body larynx A 2.47 4.37 4.50 1.67 1.77 0.33 7.17 7.30 4.47 4.57 0000.00.00.0030000 31575 33.9764 090 99 0.00 0.00 0.00 31578 Removal of larynx lesion A 2.84 5.13 5.27 1.95 2.15 0.35 8.32 8.46 5.14 5.34 0000.00.00.0030000 31575 33.9764 090 99 0.00 0.00 0.00 31579 Diagnostic laryngoscopy A 2.26 3.81 3.83 1.68 1.80 0.30 6.37 6.39 4.24 4.36 0000.00.00.0030100 31575 33.9764 090 99 0.00 0.00 0.00 31580 Revision of larynx A 14.66 19.36NA 20.52NA 19.36 20.52 1.88 35.90 37.06 35.90 37.06 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31582 Revision of larynx A 23.22 30.12NA 31.32NA 30.12 31.32 2.99 56.33 57.53 56.33 57.53 0090.10.76.1420110 33.9764 090 99 0.00 0.00 0.00 31584 Treat larynx fracture A 20.47 21.64NA 22.91NA 21.64 22.91 2.63 44.74 46.01 44.74 46.01 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31587 Revision of larynx A 15.27 12.38NA 13.55NA 12.38 13.55 1.95 29.60 30.77 29.60 30.77 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31588 Revision of larynx A 14.99 16.86NA 17.86NA 16.86 17.86 1.93 33.78 34.78 33.78 34.78 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 31590 Reinnervate larynx A 7.85 17.46NA 17.85NA 17.46 17.85 1.02 26.33 26.72 26.33 26.72 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31595 Larynx nerve surgery A 8.84 12.65NA 13.16NA 12.65 13.16 1.14 22.63 23.14 22.63 23.14 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31599 Larynx surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 3160F Doc fe+ stores b/4 epo thx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31600 Incision of windpipe A 7.17 3.43NA 3.64NA 3.43 3.64 1.27 11.87 12.08 11.87 12.08 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31601 Incision of windpipe A 4.44 2.82NA 3.04NA 2.82 3.04 0.56 7.82 8.04 7.82 8.04 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 31603 Incision of windpipe A 4.14 1.86NA 2.01NA 1.86 2.01 0.69 6.69 6.84 6.69 6.84 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31605 Incision of windpipe A 3.57 1.26NA 1.34NA 1.26 1.34 0.63 5.46 5.54 5.46 5.54 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31610 Incision of windpipe A 9.38 10.34NA 10.93NA 10.34 10.93 1.32 21.04 21.63 21.04 21.63 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 31611 Surgery/speech prosthesis A 6.00 9.12NA 9.55NA 9.12 9.55 0.76 15.88 16.31 15.88 16.31 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31612 Puncture/clear windpipe A 0.91 1.37 1.44 0.40 0.44 0.11 2.39 2.46 1.42 1.46 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 31613 Repair windpipe opening A 4.71 7.81NA 8.12NA 7.81 8.12 0.72 13.24 13.55 13.24 13.55 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 31614 Repair windpipe opening A 8.63 12.30NA 13.04NA 12.30 13.04 1.18 22.11 22.85 22.11 22.85 0090.10.76.1420100 33.9764 090 99 0.00 0.00 0.00 31615 Visualization of windpipe A 2.09 3.04 3.10 1.47 1.58 0.26 5.39 5.45 3.82 3.93 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31620 Endobronchial us add-on A 1.40 6.66 6.25 0.49 0.50 0.12 8.18 7.77 2.01 2.02 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 31622 Dx bronchoscope/wash A 2.78 6.12 5.82 1.22 1.26 0.34 9.24 8.94 4.34 4.38 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31623 Dx bronchoscope/brush A 2.88 6.77 6.26 1.20 1.24 0.26 9.91 9.40 4.34 4.38 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31624 Dx bronchoscope/lavage A 2.88 6.12 5.73 1.21 1.26 0.26 9.26 8.87 4.35 4.40 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31625 Bronchoscopy w/biopsy(s) A 3.36 6.28 5.89 1.37 1.42 0.31 9.95 9.56 5.04 5.09 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31626 Bronchoscopy w/markers A 4.16 8.56 8.56 1.72 1.72 0.31 13.03 13.03 6.19 6.19 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 31627 Navigational bronchoscopy A 2.00 35.28 35.28 0.88 0.88 0.14 37.42 37.42 3.02 3.02 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 31628 Bronchoscopy/lung bx each A 3.80 7.55 6.78 1.50 1.56 0.30 11.65 10.88 5.60 5.66 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31629 Bronchoscopy/needle bx each A 4.09 13.68 12.40 1.61 1.68 0.34 18.11 16.83 6.04 6.11 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31630 Bronchoscopy dilate/fx repr A 3.81 1.75NA 1.76NA 1.75 1.76 0.49 6.05 6.06 6.05 6.06 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31631 Bronchoscopy dilate w/stent A 4.36 1.94NA 1.97NA 1.94 1.97 0.60 6.90 6.93 6.90 6.93 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31632 Bronchoscopy/lung bx addl A 1.03 1.00 0.98 0.35 0.37 0.07 2.10 2.08 1.45 1.47 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 31633 Bronchoscopy/needle bx addl A 1.32 1.15 1.14 0.44 0.47 0.10 2.57 2.56 1.86 1.89 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 31634 Bronch w/balloon occlusion A 4.00 48.76 48.76 1.75 1.75 0.33 53.09 53.09 6.08 6.08 0000.00.00.0030200 31622 33.9764 090 99 0.00 0.00 0.00 31635 Bronchoscopy w/fb removal A 3.67 6.15 5.77 1.55 1.59 0.39 10.21 9.83 5.61 5.65 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31636 Bronchoscopy bronch stents A 4.30 1.82NA 1.82NA 1.82 1.82 0.56 6.68 6.68 6.68 6.68 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31637 Bronchoscopy stent add-on A 1.58 0.59NA 0.61NA 0.59 0.61 0.11 2.28 2.30 2.28 2.30 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 31638 Bronchoscopy revise stent A 4.88 2.11NA 2.14NA 2.11 2.14 0.65 7.64 7.67 7.64 7.67 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31640 Bronchoscopy w/tumor excise A 4.93 2.14NA 2.16NA 2.14 2.16 0.64 7.71 7.73 7.71 7.73 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31641 Bronchoscopy treat blockage A 5.02 2.08NA 2.17NA 2.08 2.17 0.59 7.69 7.78 7.69 7.78 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31643 Diag bronchoscope/catheter A 3.49 1.40NA 1.44NA 1.40 1.44 0.29 5.18 5.22 5.18 5.22 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31645 Bronchoscopy clear airways A 3.16 5.47 5.15 1.30 1.36 0.29 8.92 8.60 4.75 4.81 0000.00.00.0030100 31622 33.9764 090 99 0.00 0.00 0.00 31646 Bronchoscopy reclear airway A 2.72 5.15 4.85 1.15 1.19 0.26 8.13 7.83 4.13 4.17 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31656 Bronchoscopy inj for x-ray A 2.17 6.71 6.05 0.92 0.93 0.16 9.04 8.38 3.25 3.26 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 3170F Flow cyto done b/4 tx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 31715 Injection for bronchus x-ray A 1.11 0.39NA 0.37NA 0.39 0.37 0.08 1.58 1.56 1.58 1.56 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 31717 Bronchial brush biopsy A 2.12 6.12 5.41 0.97 1.03 0.16 8.40 7.69 3.25 3.31 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31720 Clearance of airways A 1.06 0.38NA 0.41NA 0.38 0.41 0.08 1.52 1.55 1.52 1.55 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31725 Clearance of airways A 1.96 0.65NA 0.73NA 0.65 0.73 0.20 2.81 2.89 2.81 2.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31730 Intro windpipe wire/tube A 2.85 26.66 29.64 1.12 1.19 0.45 29.96 32.94 4.42 4.49 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 31750 Repair of windpipe A 15.39 22.58NA 23.62NA 22.58 23.62 2.27 40.24 41.28 40.24 41.28 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31755 Repair of windpipe A 17.54 31.06NA 32.25NA 31.06 32.25 2.25 50.85 52.04 50.85 52.04 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31760 Repair of windpipe A 23.48 12.74NA 12.32NA 12.74 12.32 5.48 41.70 41.28 41.70 41.28 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31766 Reconstruction of windpipe A 31.67 14.95NA 14.61NA 14.95 14.61 7.40 54.02 53.68 54.02 53.68 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31770 Repair/graft of bronchus A 23.54 11.40NA 11.15NA 11.40 11.15 5.50 40.44 40.19 40.44 40.19 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31775 Reconstruct bronchus A 24.59 11.06NA 10.45NA 11.06 10.45 5.76 41.41 40.80 41.41 40.80 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 31780 Reconstruct windpipe A 19.84 12.69NA 13.47NA 12.69 13.47 3.23 35.76 36.54 35.76 36.54 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31781 Reconstruct windpipe A 24.85 12.12NA 11.16NA 12.12 11.16 5.81 42.78 41.82 42.78 41.82 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31785 Remove windpipe lesion A 18.35 11.33NA 12.13NA 11.33 12.13 2.61 32.29 33.09 32.29 33.09 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31786 Remove windpipe lesion A 25.42 12.98NA 12.14NA 12.98 12.14 5.96 44.36 43.52 44.36 43.52 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31800 Repair of windpipe injury A 8.18 11.44NA 11.98NA 11.44 11.98 1.05 20.67 21.21 20.67 21.21 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 31805 Repair of windpipe injury A 13.42 8.15NA 7.91NA 8.15 7.91 3.16 24.73 24.49 24.73 24.49 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 31820 Closure of windpipe lesion A 4.64 7.49 7.85 4.46 4.74 0.67 12.80 13.16 9.77 10.05 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 31825 Repair of windpipe defect A 7.07 9.75 10.23 6.30 6.69 0.99 17.81 18.29 14.36 14.75 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 31830 Revise windpipe scar A 4.62 7.60 7.96 4.83 5.11 0.71 12.93 13.29 10.16 10.44 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 31899 Airways surgical procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 3200F Barium swallow test not req I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32035 Exploration of chest A 11.29 7.78NA 7.97NA 7.78 7.97 2.57 21.64 21.83 21.64 21.83 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32036 Exploration of chest A 12.30 8.18NA 8.24NA 8.18 8.24 2.90 23.38 23.44 23.38 23.44 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32095 Biopsy through chest wall A 10.14 6.57NA 6.57NA 6.57 6.57 2.34 19.05 19.05 19.05 19.05 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3210F Grp a strep test performed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32100 Exploration/biopsy of chest A 16.16 9.05NA 8.92NA 9.05 8.92 3.80 29.01 28.88 29.01 28.88 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32110 Explore/repair chest A 25.28 13.05NA 13.25NA 13.05 13.25 5.74 44.07 44.27 44.07 44.27 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32120 Re-exploration of chest A 14.39 8.67NA 8.61NA 8.67 8.61 3.40 26.46 26.40 26.46 26.40 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32124 Explore chest free adhesions A 15.45 8.97NA 8.99NA 8.97 8.99 3.67 28.09 28.11 28.09 28.11 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32140 Removal of lung lesion(s) A 16.66 9.39NA 9.34NA 9.39 9.34 3.89 29.94 29.89 29.94 29.89 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32141 Remove/treat lung lesions A 27.18 12.70NA 12.96NA 12.70 12.96 6.40 46.28 46.54 46.28 46.54 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3215F Pt immunity to hep a docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32150 Removal of lung lesion(s) A 16.82 9.51NA 9.56NA 9.51 9.56 3.93 30.26 30.31 30.26 30.31 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32151 Remove lung foreign body A 16.94 9.70NA 9.40NA 9.70 9.40 3.97 30.61 30.31 30.61 30.31 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3216F Pt immunity to hep b docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32160 Open chest heart massage A 13.10 7.36NA 7.50NA 7.36 7.50 2.99 23.45 23.59 23.45 23.59 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3218F Rna tstng hep c docd done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3220F Hep c quant rna tstng docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32200 Drain open lung lesion A 18.68 11.23NA 11.41NA 11.23 11.41 4.29 34.20 34.38 34.20 34.38 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32201 Drain percut lung lesion A 3.99 22.83 21.19 1.66 1.48 0.38 27.20 25.56 6.03 5.85 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32215 Treat chest lining A 13.05 8.12NA 8.03NA 8.12 8.03 3.05 24.22 24.13 24.22 24.13 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32220 Release of lung A 26.65 15.34NA 15.16NA 15.34 15.16 6.30 48.29 48.11 48.29 48.11 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32225 Partial release of lung A 16.75 9.51NA 9.48NA 9.51 9.48 3.92 30.18 30.15 30.18 30.15 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3230F Note hring tst w/in 6 mon I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32310 Removal of chest lining A 15.28 8.87NA 8.79NA 8.87 8.79 3.62 27.77 27.69 27.77 27.69 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32320 Free/remove chest lining A 27.25 14.89NA 14.89NA 14.89 14.89 6.33 48.47 48.47 48.47 48.47 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32400 Needle biopsy chest lining A 1.76 2.48 2.30 0.69 0.65 0.18 4.42 4.24 2.63 2.59 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32402 Open biopsy chest lining A 8.97 6.09NA 6.03NA 6.09 6.03 2.03 17.09 17.03 17.09 17.03 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32405 Biopsy lung or mediastinum A 1.93 0.81 0.71 0.80 0.71 0.18 2.92 2.82 2.91 2.82 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32420 Puncture/clear lung A 2.18 0.87NA 0.82NA 0.87 0.82 0.24 3.29 3.24 3.29 3.24 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32421 Thoracentesis for aspiration A 1.54 2.89 2.65 0.60 0.58 0.14 4.57 4.33 2.28 2.26 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 32422 Thoracentesis w/tube insert A 2.19 3.38 3.13 1.26 1.20 0.22 5.79 5.54 3.67 3.61 0000.00.00.0021110 33.9764 090 99 0.00 0.00 0.00 32440 Removal of lung A 27.28 14.21NA 13.83NA 14.21 13.83 6.36 47.85 47.47 47.85 47.47 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32442 Sleeve pneumonectomy A 56.47 22.70NA 23.12NA 22.70 23.12 4.25 83.42 83.84 83.42 83.84 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32445 Removal of lung A 63.84 27.27NA 28.12NA 27.27 28.12 14.94 106.05 106.90 106.05 106.90 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32480 Partial removal of lung A 25.82 13.39NA 13.11NA 13.39 13.11 6.06 45.27 44.99 45.27 44.99 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32482 Bilobectomy A 27.44 14.53NA 14.26NA 14.53 14.26 6.42 48.39 48.12 48.39 48.12 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32484 Segmentectomy A 25.38 12.59NA 12.34NA 12.59 12.34 5.91 43.88 43.63 43.88 43.63 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32486 Sleeve lobectomy A 42.88 18.57NA 18.59NA 18.57 18.59 10.14 71.59 71.61 71.59 71.61 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32488 Completion pneumonectomy A 42.99 19.52NA 19.78NA 19.52 19.78 10.11 72.62 72.88 72.62 72.88 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32491 Lung volume reduction R 25.24 13.99NA 13.48NA 13.99 13.48 5.88 45.11 44.60 45.11 44.60 0090.10.76.1421210 33.9764 090 99 0.00 0.00 0.00 3250F Nonprim loc anat bx site tum M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32500 Partial removal of lung A 24.64 13.45NA 13.12NA 13.45 13.12 5.80 43.89 43.56 43.89 43.56 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32501 Repair bronchus add-on A 4.68 1.76NA 1.70NA 1.76 1.70 1.09 7.53 7.47 7.53 7.47 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 32503 Resect apical lung tumor A 31.74 15.93NA 15.55NA 15.93 15.55 7.50 55.17 54.79 55.17 54.79 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32504 Resect apical lung tum/chest A 36.54 17.67NA 16.81NA 17.67 16.81 8.52 62.73 61.87 62.73 61.87 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32540 Removal of lung lesion A 30.35 14.66NA 14.79NA 14.66 14.79 7.10 52.11 52.24 52.11 52.24 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32550 Insert pleural cath A 4.17 18.58 17.43 1.93 1.85 0.69 23.44 22.29 6.79 6.71 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 32551 Insertion of chest tube A 3.29 1.34NA 1.29NA 1.34 1.29 0.52 5.15 5.10 5.15 5.10 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 32552 Remove lung catheter A 2.53 2.42 2.42 1.75 1.75 0.60 5.55 5.55 4.88 4.88 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 32553 Ins mark thor for rt perq A 3.80 13.57 13.57 1.53 1.53 0.88 18.25 18.25 6.21 6.21 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 32560 Treat pleurodesis w/agent A 1.54 5.86 5.19 0.68 0.57 0.27 7.67 7.00 2.49 2.38 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32561 Lyse chest fibrin init day A 1.39 1.21 1.21 0.51 0.51 0.24 2.84 2.84 2.14 2.14 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 32562 Lyse chest fibrin subq day A 1.24 1.07 1.07 0.46 0.46 0.23 2.54 2.54 1.93 1.93 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 3260F Pt cat/pn cat/hist grd docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32601 Thoracoscopy diagnostic A 5.45 2.69NA 2.63NA 2.69 2.63 1.27 9.41 9.35 9.41 9.35 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 32602 Thoracoscopy diagnostic A 5.95 2.88NA 2.82NA 2.88 2.82 1.36 10.19 10.13 10.19 10.13 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 32603 Thoracoscopy diagnostic A 7.80 3.55NA 3.42NA 3.55 3.42 1.95 13.30 13.17 13.30 13.17 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 32604 Thoracoscopy diagnostic A 8.77 3.95NA 3.76NA 3.95 3.76 2.04 14.76 14.57 14.76 14.57 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 32605 Thoracoscopy diagnostic A 6.92 3.19NA 3.11NA 3.19 3.11 1.62 11.73 11.65 11.73 11.65 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 32606 Thoracoscopy diagnostic A 8.39 3.82NA 3.71NA 3.82 3.71 1.93 14.14 14.03 14.14 14.03 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 3265F Rna tstng hepc vir ord/docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32650 Thoracoscopy surgical A 10.83 6.94NA 6.78NA 6.94 6.78 2.48 20.25 20.09 20.25 20.09 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32651 Thoracoscopy surgical A 18.78 9.85NA 10.07NA 9.85 10.07 4.31 32.94 33.16 32.94 33.16 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32652 Thoracoscopy surgical A 29.13 14.17NA 14.37NA 14.17 14.37 6.72 50.02 50.22 50.02 50.22 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32653 Thoracoscopy surgical A 18.17 9.45NA 9.59NA 9.45 9.59 4.12 31.74 31.88 31.74 31.88 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32654 Thoracoscopy surgical A 20.52 10.27NA 10.42NA 10.27 10.42 4.65 35.44 35.59 35.44 35.59 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32655 Thoracoscopy surgical A 16.17 8.94NA 9.00NA 8.94 9.00 3.77 28.88 28.94 28.88 28.94 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32656 Thoracoscopy surgical A 13.26 7.97NA 7.80NA 7.97 7.80 3.01 24.24 24.07 24.24 24.07 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32657 Thoracoscopy surgical A 12.93 7.95NA 7.78NA 7.95 7.78 3.04 23.92 23.75 23.92 23.75 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32658 Thoracoscopy surgical A 11.71 7.32NA 6.99NA 7.32 6.99 2.75 21.78 21.45 21.78 21.45 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 32659 Thoracoscopy surgical A 11.94 7.58NA 7.34NA 7.58 7.34 2.80 22.32 22.08 22.32 22.08 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3266F Hepc gn tstng docd b/4txmnt M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32660 Thoracoscopy surgical A 17.77 9.67NA 9.31NA 9.67 9.31 4.45 31.89 31.53 31.89 31.53 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 32661 Thoracoscopy surgical A 13.33 7.88NA 7.56NA 7.88 7.56 3.13 24.34 24.02 24.34 24.02 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 32662 Thoracoscopy surgical A 14.99 8.79NA 8.49NA 8.79 8.49 3.50 27.28 26.98 27.28 26.98 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 32663 Thoracoscopy surgical A 24.64 12.24NA 11.97NA 12.24 11.97 5.74 42.62 42.35 42.62 42.35 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 32664 Thoracoscopy surgical A 14.28 8.12NA 7.90NA 8.12 7.90 3.36 25.76 25.54 25.76 25.54 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 32665 Thoracoscopy surgical A 21.53 10.70NA 10.63NA 10.70 10.63 4.60 36.83 36.76 36.83 36.76 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 3268F Psa/t/glsc docd b/4 txmnt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3269F Bone scn b/4 txmnt/aftr Dx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3270F No bone scn b/4 txmnt/aftrDx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3271F Low risk prostate cancer M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3272F Med risk prostate cancer M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3273F High risk prostate cancer M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3274F Prost Cncr rsk not lw/md/hgh M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3278F Serum lvls CA/iPTH/lpd ord M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3279F Hgb lvl >/= 13 g/dl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3280F Hgb lvl 11-12.9 g/dL M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32800 Repair lung hernia A 15.71 9.01NA 8.98NA 9.01 8.98 3.69 28.41 28.38 28.41 28.38 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3281F Hgb lvl < 11 g/dl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32810 Close chest after drainage A 14.95 8.85NA 8.65NA 8.85 8.65 3.51 27.31 27.11 27.31 27.11 0090.10.76.1420200 33.9764 090 99 0.00 0.00 0.00 32815 Close bronchial fistula A 50.03 22.34NA 23.21NA 22.34 23.21 11.90 84.27 85.14 84.27 85.14 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32820 Reconstruct injured chest A 22.51 12.87NA 12.28NA 12.87 12.28 5.28 40.66 40.07 40.66 40.07 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3284F Iop down >15% of pre-svc lvl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3285F IOP down <15% of pre-svc lvl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32851 Lung transplant single A 41.61 27.23NA 26.20NA 27.23 26.20 9.80 78.64 77.61 78.64 77.61 0090.10.76.1420212 33.9764 090 99 0.00 0.00 0.00 32852 Lung transplant with bypass A 45.48 30.87NA 29.49NA 30.87 29.49 10.66 87.01 85.63 87.01 85.63 0090.10.76.1420212 33.9764 090 99 0.00 0.00 0.00 32853 Lung transplant double A 50.78 30.73NA 29.48NA 30.73 29.48 12.02 93.53 92.28 93.53 92.28 0090.10.76.1422212 33.9764 090 99 0.00 0.00 0.00 32854 Lung transplant with bypass A 54.74 34.68NA 33.30NA 34.68 33.30 12.90 102.32 100.94 102.32 100.94 0090.10.76.1422212 33.9764 090 99 0.00 0.00 0.00 32855 Prepare donor lung single C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 32856 Prepare donor lung double C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 3288F Fall risk assessment docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3290F Pt=D(Rh)- and unsensitized I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32900 Removal of rib(s) A 23.81 12.70NA 13.07NA 12.70 13.07 5.48 41.99 42.36 41.99 42.36 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32905 Revise & repair chest wall A 23.29 11.89NA 11.59NA 11.89 11.59 5.44 40.62 40.32 40.62 40.32 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32906 Revise & repair chest wall A 29.30 14.14NA 13.71NA 14.14 13.71 6.87 50.31 49.88 50.31 49.88 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 3291F Pt=d(rh)+ or sensitized I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3292F Hiv tstng asked/docd/revwd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3293F Abo rh blood typing docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3294F Grp b strep screening docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 32940 Revision of lung A 21.34 11.09NA 10.99NA 11.09 10.99 5.01 37.44 37.34 37.44 37.34 0090.10.76.1420210 33.9764 090 99 0.00 0.00 0.00 32960 Therapeutic pneumothorax A 1.84 1.91 1.75 0.86 0.83 0.42 4.17 4.01 3.12 3.09 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32997 Total lung lavage A 7.31 2.35NA 2.42NA 2.35 2.42 0.91 10.57 10.64 10.57 10.64 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 32998 Perq rf ablate tx pul tumor A 5.68 78.71 74.08 2.54 2.21 0.60 84.99 80.36 8.82 8.49 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 3300F AJCC stage docd b/4 thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3301F Cancer stage docd metast M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33010 Drainage of heart sac A 2.24 1.03NA 0.84NA 1.03 0.84 0.45 3.72 3.53 3.72 3.53 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 33011 Repeat drainage of heart sac A 2.24 0.99NA 0.87NA 0.99 0.87 0.49 3.72 3.60 3.72 3.60 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 33015 Incision of heart sac A 8.52 5.62NA 4.78NA 5.62 4.78 1.67 15.81 14.97 15.81 14.97 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33020 Incision of heart sac A 14.95 8.24NA 8.18NA 8.24 8.18 3.51 26.70 26.64 26.70 26.64 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33025 Incision of heart sac A 13.70 7.49NA 7.33NA 7.49 7.33 3.25 24.44 24.28 24.44 24.28 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33030 Partial removal of heart sac A 22.39 11.66NA 11.56NA 11.66 11.56 5.32 39.37 39.27 39.37 39.27 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33031 Partial removal of heart sac A 25.38 12.35NA 12.08NA 12.35 12.08 6.11 43.84 43.57 43.84 43.57 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33050 Removal of heart sac lesion A 16.97 9.60NA 9.62NA 9.60 9.62 3.97 30.54 30.56 30.54 30.56 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33120 Removal of heart lesion A 27.45 13.63NA 13.26NA 13.63 13.26 6.57 47.65 47.28 47.65 47.28 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33130 Removal of heart lesion A 24.17 12.22NA 11.90NA 12.22 11.90 6.04 42.43 42.11 42.43 42.11 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33140 Heart revascularize (tmr) A 28.34 13.39NA 13.01NA 13.39 13.01 7.08 48.81 48.43 48.81 48.43 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33141 Heart tmr w/other procedure A 2.54 1.09NA 0.93NA 1.09 0.93 0.61 4.24 4.08 4.24 4.08 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 3315F Er+ or pr+ breast cancer M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3316F ER- or PR- breast cancer M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3317F Path rpt malig cancer docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3318F Path rpt malig cancer docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3319F X-ray/ct/ultrsnd et al ord M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3320F No xray/ct/ et al ordd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33202 Insert epicard eltrd open A 13.20 7.40NA 7.08NA 7.40 7.08 3.16 23.76 23.44 23.76 23.44 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33203 Insert epicard eltrd endo A 13.97 7.68NA 6.97NA 7.68 6.97 3.28 24.93 24.22 24.93 24.22 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33206 Insertion of heart pacemaker A 7.39 5.20NA 4.34NA 5.20 4.34 1.62 14.21 13.35 14.21 13.35 0090.09.84.0720120 33.9764 090 99 0.00 0.00 0.00 33207 Insertion of heart pacemaker A 8.05 5.32NA 4.39NA 5.32 4.39 1.77 15.14 14.21 15.14 14.21 0090.09.84.0720120 33.9764 090 99 0.00 0.00 0.00 33208 Insertion of heart pacemaker A 8.77 5.66NA 4.66NA 5.66 4.66 1.92 16.35 15.35 16.35 15.35 0090.09.84.0720120 33.9764 090 99 0.00 0.00 0.00 3321F AJCC cncr 0/IA melan docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33210 Insertion of heart electrode A 3.30 1.60NA 1.28NA 1.60 1.28 0.71 5.61 5.29 5.61 5.29 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 33211 Insertion of heart electrode A 3.39 1.56NA 1.30NA 1.56 1.30 0.75 5.70 5.44 5.70 5.44 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 33212 Insertion of pulse generator A 5.52 3.80NA 3.16NA 3.80 3.16 1.21 10.53 9.89 10.53 9.89 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33213 Insertion of pulse generator A 6.37 4.24NA 3.47NA 4.24 3.47 1.40 12.01 11.24 12.01 11.24 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33214 Upgrade of pacemaker system A 7.84 5.45NA 4.58NA 5.45 4.58 1.70 14.99 14.12 14.99 14.12 0090.09.84.0720020 33.9764 090 99 0.00 0.00 0.00 33215 Reposition pacing-defib lead A 4.92 3.51NA 2.88NA 3.51 2.88 1.08 9.51 8.88 9.51 8.88 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33216 Insert 1 electrode pm-defib A 5.87 4.59NA 3.74NA 4.59 3.74 1.28 11.74 10.89 11.74 10.89 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33217 Insert 2 electrode pm-defib A 5.84 4.55NA 3.75NA 4.55 3.75 1.28 11.67 10.87 11.67 10.87 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33218 Repair lead pace-defib one A 6.07 4.85NA 4.03NA 4.85 4.03 1.32 12.24 11.42 12.24 11.42 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 3322F Melanoma>ajcc stage 0 or ia M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33220 Repair lead pace-defib dual A 6.15 4.86NA 4.03NA 4.86 4.03 1.33 12.34 11.51 12.34 11.51 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33222 Revise pocket pacemaker A 5.10 4.53NA 3.83NA 4.53 3.83 1.14 10.77 10.07 10.77 10.07 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33223 Revise pocket for defib A 6.55 4.92NA 4.00NA 4.92 4.00 1.46 12.93 12.01 12.93 12.01 0090.09.84.0720000 33.9764 090 99 0.00 0.00 0.00 33224 Insert pacing lead & connect A 9.04 4.81NA 3.86NA 4.81 3.86 1.99 15.84 14.89 15.84 14.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 33225 L ventric pacing lead add-on A 8.33 4.13NA 3.25NA 4.13 3.25 1.82 14.28 13.40 14.28 13.40 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 33226 Reposition l ventric lead A 8.68 4.66NA 3.75NA 4.66 3.75 1.91 15.25 14.34 15.25 14.34 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 3323F Clin node stgng docdb/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33233 Removal of pacemaker system A 3.39 3.32NA 2.72NA 3.32 2.72 0.73 7.44 6.84 7.44 6.84 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33234 Removal of pacemaker system A 7.91 5.52NA 4.53NA 5.52 4.53 1.74 15.17 14.18 15.17 14.18 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33235 Removal pacemaker electrode A 10.15 7.40NA 6.12NA 7.40 6.12 2.25 19.80 18.52 19.80 18.52 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33236 Remove electrode/thoracotomy A 12.73 8.15NA 7.86NA 8.15 7.86 3.18 24.06 23.77 24.06 23.77 0090.09.84.0720020 33.9764 090 99 0.00 0.00 0.00 33237 Remove electrode/thoracotomy A 13.84 8.69NA 7.58NA 8.69 7.58 3.24 25.77 24.66 25.77 24.66 0090.09.84.0720020 33.9764 090 99 0.00 0.00 0.00 33238 Remove electrode/thoracotomy A 15.40 9.57NA 9.34NA 9.57 9.34 3.69 28.66 28.43 28.66 28.43 0090.09.84.0720020 33.9764 090 99 0.00 0.00 0.00 3324F Mri ct scan ord rvwd rqstd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33240 Insert pulse generator A 7.64 5.15NA 4.11NA 5.15 4.11 1.66 14.45 13.41 14.45 13.41 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33241 Remove pulse generator A 3.29 3.01NA 2.42NA 3.01 2.42 0.71 7.01 6.42 7.01 6.42 0090.09.84.0720010 33.9764 090 99 0.00 0.00 0.00 33243 Remove eltrd/thoracotomy A 23.57 13.01NA 12.07NA 13.01 12.07 5.57 42.15 41.21 42.15 41.21 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33244 Remove eltrd transven A 13.99 9.57NA 7.77NA 9.57 7.77 3.10 26.66 24.86 26.66 24.86 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 33249 Eltrd/insert pace-defib A 15.17 9.84NA 7.91NA 9.84 7.91 3.32 28.33 26.40 28.33 26.40 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 3325F Preop asses 4 cataract surg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33250 Ablate heart dysrhythm focus A 25.90 12.91NA 12.51NA 12.91 12.51 6.46 45.27 44.87 45.27 44.87 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33251 Ablate heart dysrhythm focus A 28.92 14.27NA 14.11NA 14.27 14.11 7.01 50.20 50.04 50.20 50.04 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33254 Ablate atria lmtd A 23.71 12.45NA 12.21NA 12.45 12.21 5.92 42.08 41.84 42.08 41.84 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33255 Ablate atria w/o bypass ext A 29.04 14.77NA 13.97NA 14.77 13.97 7.25 51.06 50.26 51.06 50.26 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33256 Ablate atria w/bypass exten A 34.90 17.04NA 16.09NA 17.04 16.09 8.75 60.69 59.74 60.69 59.74 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33257 Ablate atria lmtd add-on A 9.63 6.00NA 5.82NA 6.00 5.82 2.31 17.94 17.76 17.94 17.76 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33258 Ablate atria x10sv add-on A 11.00 6.55NA 6.34NA 6.55 6.34 2.63 20.18 19.97 20.18 19.97 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33259 Ablate atria w/bypass add-on A 14.14 8.49NA 8.21NA 8.49 8.21 3.43 26.06 25.78 26.06 25.78 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33261 Ablate heart dysrhythm focus A 28.92 13.85NA 13.43NA 13.85 13.43 7.23 50.00 49.58 50.00 49.58 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33265 Ablate atria lmtd endo A 23.71 12.22NA 11.84NA 12.22 11.84 5.65 41.58 41.20 41.58 41.20 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33266 Ablate atria x10sv endo A 33.04 15.83NA 15.23NA 15.83 15.23 7.98 56.85 56.25 56.85 56.25 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3328F Prfrmnc docd 2 wks b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33282 Implant pat-active ht record A 4.80 4.24NA 3.43NA 4.24 3.43 1.05 10.09 9.28 10.09 9.28 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33284 Remove pat-active ht record A 3.14 3.44NA 2.79NA 3.44 2.79 0.68 7.26 6.61 7.26 6.61 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 3330F Imaging study ordered (bkp) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33300 Repair of heart wound A 44.97 18.53NA 19.17NA 18.53 19.17 10.74 74.24 74.88 74.24 74.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33305 Repair of heart wound A 76.93 29.49NA 30.48NA 29.49 30.48 18.43 124.85 125.84 124.85 125.84 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3331F Bk imaging tst not ordered I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33310 Exploratory heart surgery A 20.34 10.73NA 10.44NA 10.73 10.44 4.49 35.56 35.27 35.56 35.27 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33315 Exploratory heart surgery A 26.17 13.14NA 12.69NA 13.14 12.69 6.29 45.60 45.15 45.60 45.15 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33320 Repair major blood vessel(s) A 18.54 9.78NA 9.52NA 9.78 9.52 4.30 32.62 32.36 32.62 32.36 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33321 Repair major vessel A 20.81 10.78NA 10.55NA 10.78 10.55 4.87 36.46 36.23 36.46 36.23 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33322 Repair major blood vessel(s) A 24.42 12.57NA 12.26NA 12.57 12.26 5.87 42.86 42.55 42.86 42.55 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33330 Insert major vessel graft A 25.29 12.22NA 12.17NA 12.22 12.17 6.33 43.84 43.79 43.84 43.79 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33332 Insert major vessel graft A 24.56 12.33NA 11.75NA 12.33 11.75 6.12 43.01 42.43 43.01 42.43 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33335 Insert major vessel graft A 33.91 15.96NA 15.58NA 15.96 15.58 8.18 58.05 57.67 58.05 57.67 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3340F Mammo assess inc xray docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33400 Repair of aortic valve A 41.50 19.12NA 18.50NA 19.12 18.50 9.89 70.51 69.89 70.51 69.89 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33401 Valvuloplasty open A 24.63 14.14NA 12.33NA 14.14 12.33 5.38 44.15 42.34 44.15 42.34 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33403 Valvuloplasty w/cp bypass A 25.61 14.13NA 13.23NA 14.13 13.23 6.40 46.14 45.24 46.14 45.24 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33404 Prepare heart-aorta conduit A 31.37 15.48NA 14.69NA 15.48 14.69 7.34 54.19 53.40 54.19 53.40 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33405 Replacement of aortic valve A 41.32 19.65NA 18.83NA 19.65 18.83 9.92 70.89 70.07 70.89 70.07 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33406 Replacement of aortic valve A 52.68 23.36NA 22.65NA 23.36 22.65 12.77 88.81 88.10 88.81 88.10 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3341F Mammo assess negative docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33410 Replacement of aortic valve A 46.41 21.04NA 20.63NA 21.04 20.63 11.15 78.60 78.19 78.60 78.19 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33411 Replacement of aortic valve A 62.07 26.47NA 26.26NA 26.47 26.26 14.93 103.47 103.26 103.47 103.26 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33412 Replacement of aortic valve A 43.94 21.28NA 20.13NA 21.28 20.13 11.00 76.22 75.07 76.22 75.07 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33413 Replacement of aortic valve A 59.87 25.98NA 24.98NA 25.98 24.98 14.02 99.87 98.87 99.87 98.87 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33414 Repair of aortic valve A 39.37 17.80NA 16.93NA 17.80 16.93 9.84 67.01 66.14 67.01 66.14 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33415 Revision subvalvular tissue A 37.27 16.37NA 16.29NA 16.37 16.29 8.52 62.16 62.08 62.16 62.08 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33416 Revise ventricle muscle A 36.56 17.20NA 17.07NA 17.20 17.07 8.81 62.57 62.44 62.57 62.44 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33417 Repair of aortic valve A 29.33 15.13NA 14.56NA 15.13 14.56 7.04 51.50 50.93 51.50 50.93 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3342F Mammo assess bengn docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33420 Revision of mitral valve A 25.79 13.64NA 15.71NA 13.64 15.71 3.54 42.97 45.04 42.97 45.04 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 33422 Revision of mitral valve A 29.73 14.95NA 14.39NA 14.95 14.39 7.42 52.10 51.54 52.10 51.54 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33425 Repair of mitral valve A 49.96 21.63NA 21.93NA 21.63 21.93 11.99 83.58 83.88 83.58 83.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33426 Repair of mitral valve A 43.28 20.20NA 19.61NA 20.20 19.61 10.41 73.89 73.30 73.89 73.30 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33427 Repair of mitral valve A 44.83 20.46NA 19.50NA 20.46 19.50 10.78 76.07 75.11 76.07 75.11 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3343F Mammo probably bengn docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33430 Replacement of mitral valve A 50.93 23.34NA 23.06NA 23.34 23.06 12.26 86.53 86.25 86.53 86.25 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3344F Mammo assess susp docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3345F Mammo assess hghlymalig doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33460 Revision of tricuspid valve A 44.70 18.54NA 18.33NA 18.54 18.33 11.17 74.41 74.20 74.41 74.20 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33463 Valvuloplasty tricuspid A 57.08 23.79NA 24.16NA 23.79 24.16 13.79 94.66 95.03 94.66 95.03 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33464 Valvuloplasty tricuspid A 44.62 19.86NA 19.99NA 19.86 19.99 10.74 75.22 75.35 75.22 75.35 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33465 Replace tricuspid valve A 50.72 21.54NA 21.76NA 21.54 21.76 12.29 84.55 84.77 84.55 84.77 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33468 Revision of tricuspid valve A 32.94 16.38NA 15.03NA 16.38 15.03 8.25 57.57 56.22 57.57 56.22 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33470 Revision of pulmonary valve A 21.54 12.11NA 12.45NA 12.11 12.45 5.05 38.70 39.04 38.70 39.04 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33471 Valvotomy pulmonary valve A 22.96 12.75NA 13.03NA 12.75 13.03 1.62 37.33 37.61 37.33 37.61 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33472 Revision of pulmonary valve A 23.06 11.84NA 11.04NA 11.84 11.04 1.63 36.53 35.73 36.53 35.73 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33474 Revision of pulmonary valve A 39.40 16.70NA 17.25NA 16.70 17.25 9.23 65.33 65.88 65.33 65.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33475 Replacement pulmonary valve A 42.40 19.12NA 18.71NA 19.12 18.71 10.60 72.12 71.71 72.12 71.71 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33476 Revision of heart chamber A 26.57 13.32NA 13.27NA 13.32 13.27 6.64 46.53 46.48 46.53 46.48 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33478 Revision of heart chamber A 27.54 14.02NA 13.47NA 14.02 13.47 6.89 48.45 47.90 48.45 47.90 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33496 Repair prosth valve clot A 29.84 14.62NA 14.15NA 14.62 14.15 6.98 51.44 50.97 51.44 50.97 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3350F Mammo bx proven malig docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33500 Repair heart vessel fistula A 27.94 13.73NA 13.22NA 13.73 13.22 6.98 48.65 48.14 48.65 48.14 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33501 Repair heart vessel fistula A 19.51 10.11NA 9.87NA 10.11 9.87 4.89 34.51 34.27 34.51 34.27 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 33502 Coronary artery correction A 21.85 11.88NA 11.49NA 11.88 11.49 5.46 39.19 38.80 39.19 38.80 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33503 Coronary artery graft A 22.51 13.49NA 11.53NA 13.49 11.53 4.93 40.93 38.97 40.93 38.97 0090.09.84.0720010 33.9764 090 99 0.00 0.00 0.00 33504 Coronary artery graft A 25.46 13.09NA 12.79NA 13.09 12.79 6.36 44.91 44.61 44.91 44.61 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33505 Repair artery w/tunnel A 38.40 15.65NA 15.32NA 15.65 15.32 9.60 63.65 63.32 63.65 63.32 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33506 Repair artery translocation A 37.85 20.01NA 22.85NA 20.01 22.85 8.87 66.73 69.57 66.73 69.57 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33507 Repair art intramural A 31.40 14.26NA 13.42NA 14.26 13.42 7.35 53.01 52.17 53.01 52.17 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33508 Endoscopic vein harvest A 0.31 0.12NA 0.11NA 0.12 0.11 0.07 0.50 0.49 0.50 0.49 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 3351F Neg scrn dep symp by deptool I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33510 Cabg vein single A 34.98 16.97NA 16.23NA 16.97 16.23 8.41 60.36 59.62 60.36 59.62 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33511 Cabg vein two A 38.45 18.43NA 17.68NA 18.43 17.68 9.25 66.13 65.38 66.13 65.38 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33512 Cabg vein three A 43.98 20.43NA 19.73NA 20.43 19.73 10.60 75.01 74.31 75.01 74.31 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33513 Cabg vein four A 45.37 20.53NA 20.10NA 20.53 20.10 10.97 76.87 76.44 76.87 76.44 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33514 Cabg vein five A 48.08 21.75NA 20.98NA 21.75 20.98 11.54 81.37 80.60 81.37 80.60 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33516 Cabg vein six or more A 49.76 22.62NA 21.68NA 22.62 21.68 12.43 84.81 83.87 84.81 83.87 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33517 Cabg artery-vein single A 3.61 1.33NA 1.31NA 1.33 1.31 0.86 5.80 5.78 5.80 5.78 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33518 Cabg artery-vein two A 7.93 2.88NA 2.89NA 2.88 2.89 1.91 12.72 12.73 12.72 12.73 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33519 Cabg artery-vein three A 10.49 3.85NA 3.82NA 3.85 3.82 2.52 16.86 16.83 16.86 16.83 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 3352F No sig dep symp by dep tool I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33521 Cabg artery-vein four A 12.59 4.67NA 4.60NA 4.67 4.60 3.05 20.31 20.24 20.31 20.24 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33522 Cabg artery-vein five A 14.14 5.30NA 5.17NA 5.30 5.17 3.43 22.87 22.74 22.87 22.74 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33523 Cabg art-vein six or more A 16.08 6.01NA 5.83NA 6.01 5.83 3.87 25.96 25.78 25.96 25.78 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 3353F Mild-mod dep symp by deptool I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33530 Coronary artery bypass/reop A 10.13 3.65NA 3.68NA 3.65 3.68 2.42 16.20 16.23 16.20 16.23 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33533 Cabg arterial single A 33.75 16.52NA 15.61NA 16.52 15.61 8.13 58.40 57.49 58.40 57.49 0090.09.82.0920200 33.9764 090 99 0.00 0.00 0.00 33534 Cabg arterial two A 39.88 19.06NA 18.18NA 19.06 18.18 9.58 68.52 67.64 68.52 67.64 0090.09.82.0920200 33.9764 090 99 0.00 0.00 0.00 33535 Cabg arterial three A 44.75 20.82NA 19.95NA 20.82 19.95 10.75 76.32 75.45 76.32 75.45 0090.09.82.0920200 33.9764 090 99 0.00 0.00 0.00 33536 Cabg arterial four or more A 48.43 21.96NA 21.34NA 21.96 21.34 11.70 82.09 81.47 82.09 81.47 0090.09.82.0920200 33.9764 090 99 0.00 0.00 0.00 3354F Clin sig dep sym by dep tool I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33542 Removal of heart lesion A 48.21 20.83NA 21.06NA 20.83 21.06 11.64 80.68 80.91 80.68 80.91 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33545 Repair of heart damage A 57.06 24.08NA 24.16NA 24.08 24.16 13.68 94.82 94.90 94.82 94.90 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33548 Restore/remodel ventricle A 54.14 24.76NA 23.96NA 24.76 23.96 13.11 92.01 91.21 92.01 91.21 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33572 Open coronary endarterectomy A 4.44 1.69NA 1.61NA 1.69 1.61 1.08 7.21 7.13 7.21 7.13 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 33600 Closure of valve A 30.31 14.96NA 14.64NA 14.96 14.64 7.08 52.35 52.03 52.35 52.03 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33602 Closure of valve A 29.34 14.31NA 14.29NA 14.31 14.29 6.25 49.90 49.88 49.90 49.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33606 Anastomosis/artery-aorta A 31.53 16.46NA 16.97NA 16.46 16.97 6.72 54.71 55.22 54.71 55.22 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33608 Repair anomaly w/conduit A 31.88 15.98NA 15.19NA 15.98 15.19 7.46 55.32 54.53 55.32 54.53 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33610 Repair by enlargement A 31.40 15.46NA 14.86NA 15.46 14.86 7.35 54.21 53.61 54.21 53.61 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33611 Repair double ventricle A 35.57 16.04NA 15.36NA 16.04 15.36 8.90 60.51 59.83 60.51 59.83 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33612 Repair double ventricle A 36.57 16.18NA 15.54NA 16.18 15.54 7.98 60.73 60.09 60.73 60.09 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33615 Repair modified fontan A 35.89 17.26NA 16.21NA 17.26 16.21 8.41 61.56 60.51 61.56 60.51 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33617 Repair single ventricle A 39.09 17.73NA 17.38NA 17.73 17.38 9.16 65.98 65.63 65.98 65.63 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33619 Repair single ventricle A 48.76 23.63NA 25.72NA 23.63 25.72 11.42 83.81 85.90 83.81 85.90 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33620 Apply r&l pulm art bands A 30.00 13.40NA 13.40NA 13.40 13.40 7.50 50.90 50.90 50.90 50.90 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33621 Transthor cath for stent A 16.18 7.39NA 7.39NA 7.39 7.39 3.76 27.33 27.33 27.33 27.33 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33622 Redo compl cardiac anomaly A 64.00 28.20NA 28.20NA 28.20 28.20 14.98 107.18 107.18 107.18 107.18 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33641 Repair heart septum defect A 29.58 13.70NA 13.76NA 13.70 13.76 7.12 50.40 50.46 50.40 50.46 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33645 Revision of heart veins A 28.10 13.73NA 13.19NA 13.73 13.19 7.02 48.85 48.31 48.85 48.31 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33647 Repair heart septum defects A 29.53 15.31NA 14.36NA 15.31 14.36 7.38 52.22 51.27 52.22 51.27 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33660 Repair of heart defects A 31.83 17.56NA 20.04NA 17.56 20.04 7.96 57.35 59.83 57.35 59.83 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33665 Repair of heart defects A 34.85 15.75NA 15.11NA 15.75 15.11 8.74 59.34 58.70 59.34 58.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33670 Repair of heart chambers A 36.63 15.45NA 14.78NA 15.45 14.78 9.17 61.25 60.58 61.25 60.58 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33675 Close mult vsd A 35.95 16.00NA 15.37NA 16.00 15.37 8.98 60.93 60.30 60.93 60.30 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33676 Close mult vsd w/resection A 36.95 18.12NA 18.56NA 18.12 18.56 2.63 57.70 58.14 57.70 58.14 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33677 Cl mult vsd w/rem pul band A 38.45 15.78NA 13.36NA 15.78 13.36 2.74 56.97 54.55 56.97 54.55 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33681 Repair heart septum defect A 32.34 16.46NA 16.15NA 16.46 16.15 7.80 56.60 56.29 56.60 56.29 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33684 Repair heart septum defect A 34.37 15.57NA 14.94NA 15.57 14.94 8.60 58.54 57.91 58.54 57.91 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33688 Repair heart septum defect A 34.75 14.56NA 14.22NA 14.56 14.22 8.70 58.01 57.67 58.01 57.67 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33690 Reinforce pulmonary artery A 20.36 12.29NA 13.21NA 12.29 13.21 4.76 37.41 38.33 37.41 38.33 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33692 Repair of heart defects A 31.54 15.90NA 16.26NA 15.90 16.26 2.23 49.67 50.03 49.67 50.03 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33694 Repair of heart defects A 35.57 16.18NA 15.19NA 16.18 15.19 8.90 60.65 59.66 60.65 59.66 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33697 Repair of heart defects A 37.57 18.53NA 16.36NA 18.53 16.36 8.19 64.29 62.12 64.29 62.12 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3370F AJCC brst cncr stage 0 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33702 Repair of heart defects A 27.24 13.52NA 13.21NA 13.52 13.21 6.81 47.57 47.26 47.57 47.26 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33710 Repair of heart defects A 30.41 17.03NA 14.17NA 17.03 14.17 7.12 54.56 51.70 54.56 51.70 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 3372F Ajcc brst cncr stage 1 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33720 Repair of heart defect A 27.26 13.71NA 13.08NA 13.71 13.08 6.38 47.35 46.72 47.35 46.72 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33722 Repair of heart defect A 29.21 14.53NA 15.24NA 14.53 15.24 7.29 51.03 51.74 51.03 51.74 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33724 Repair venous anomaly A 27.63 13.49NA 12.54NA 13.49 12.54 6.45 47.57 46.62 47.57 46.62 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33726 Repair pul venous stenosis A 37.12 18.54NA 19.30NA 18.54 19.30 9.28 64.94 65.70 64.94 65.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33730 Repair heart-vein defect(s) A 36.14 15.93NA 16.05NA 15.93 16.05 9.05 61.12 61.24 61.12 61.24 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33732 Repair heart-vein defect A 28.96 14.68NA 14.16NA 14.68 14.16 7.24 50.88 50.36 50.88 50.36 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33735 Revision of heart chamber A 22.20 11.92NA 11.66NA 11.92 11.66 5.57 39.69 39.43 39.69 39.43 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33736 Revision of heart chamber A 24.32 12.86NA 12.40NA 12.86 12.40 6.07 43.25 42.79 43.25 42.79 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33737 Revision of heart chamber A 22.47 11.89NA 11.41NA 11.89 11.41 5.27 39.63 39.15 39.63 39.15 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3374F Ajcc brst cncr stage 1 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33750 Major vessel shunt A 22.22 12.09NA 9.50NA 12.09 9.50 7.98 42.29 39.70 42.29 39.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33755 Major vessel shunt A 22.60 11.96NA 11.92NA 11.96 11.92 4.94 39.50 39.46 39.50 39.46 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3376F AJCC brstcncr stage 2 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33762 Major vessel shunt A 22.60 12.19NA 12.35NA 12.19 12.35 1.61 36.40 36.56 36.40 36.56 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33764 Major vessel shunt & graft A 22.60 12.34NA 13.16NA 12.34 13.16 4.83 39.77 40.59 39.77 40.59 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33766 Major vessel shunt A 23.57 12.55NA 11.15NA 12.55 11.15 5.13 41.25 39.85 41.25 39.85 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33767 Major vessel shunt A 25.30 12.05NA 11.88NA 12.05 11.88 6.33 43.68 43.51 43.68 43.51 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33768 Cavopulmonary shunting A 8.00 3.40NA 3.51NA 3.40 3.51 0.56 11.96 12.07 11.96 12.07 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 33770 Repair great vessels defect A 39.07 16.78NA 15.94NA 16.78 15.94 9.16 65.01 64.17 65.01 64.17 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33771 Repair great vessels defect A 40.63 18.41NA 19.28NA 18.41 19.28 2.90 61.94 62.81 61.94 62.81 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33774 Repair great vessels defect A 31.73 15.89NA 15.18NA 15.89 15.18 7.93 55.55 54.84 55.55 54.84 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33775 Repair great vessels defect A 32.99 17.45NA 17.61NA 17.45 17.61 2.33 52.77 52.93 52.77 52.93 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33776 Repair great vessels defect A 34.75 18.53NA 18.72NA 18.53 18.72 2.45 55.73 55.92 55.73 55.92 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33777 Repair great vessels defect A 34.17 14.80NA 12.30NA 14.80 12.30 2.42 51.39 48.89 51.39 48.89 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33778 Repair great vessels defect A 42.75 21.14NA 21.61NA 21.14 21.61 3.05 66.94 67.41 66.94 67.41 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33779 Repair great vessels defect A 43.23 20.08NA 20.70NA 20.08 20.70 3.09 66.40 67.02 66.40 67.02 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3378F AJCC brstcncr stage 3 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33780 Repair great vessels defect A 43.90 21.07NA 21.18NA 21.07 21.18 3.13 68.10 68.21 68.10 68.21 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33781 Repair great vessels defect A 43.21 19.52NA 20.41NA 19.52 20.41 3.09 65.82 66.71 65.82 66.71 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33782 Nikaidoh proc A 60.08 24.03NA 24.03NA 24.03 24.03 14.07 98.18 98.18 98.18 98.18 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33783 Nikaidoh proc w/ostia implt A 65.08 25.79NA 25.79NA 25.79 25.79 15.24 106.11 106.11 106.11 106.11 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33786 Repair arterial trunk A 41.87 18.27NA 17.27NA 18.27 17.27 2.98 63.12 62.12 63.12 62.12 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33788 Revision of pulmonary artery A 27.42 13.26NA 12.49NA 13.26 12.49 1.93 42.61 41.84 42.61 41.84 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3380F AJCC brstcncr stage 4 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33800 Aortic suspension A 17.28 8.59NA 8.48NA 8.59 8.48 4.31 30.18 30.07 30.18 30.07 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 33802 Repair vessel defect A 18.37 11.01NA 11.96NA 11.01 11.96 4.60 33.98 34.93 33.98 34.93 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33803 Repair vessel defect A 20.31 9.78NA 9.68NA 9.78 9.68 5.08 35.17 35.07 35.17 35.07 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33813 Repair septal defect A 21.36 13.02NA 12.33NA 13.02 12.33 5.01 39.39 38.70 39.39 38.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33814 Repair septal defect A 26.57 13.72NA 13.18NA 13.72 13.18 6.64 46.93 46.39 46.93 46.39 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3382F AJCC cln cncr stage 0 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33820 Revise major vessel A 16.69 9.16NA 8.71NA 9.16 8.71 4.18 30.03 29.58 30.03 29.58 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33822 Revise major vessel A 17.71 10.08NA 10.09NA 10.08 10.09 1.25 29.04 29.05 29.04 29.05 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33824 Revise major vessel A 20.23 11.56NA 11.80NA 11.56 11.80 4.74 36.53 36.77 36.53 36.77 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3384F AJCC cln cncr stage 1 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33840 Remove aorta constriction A 21.34 12.10NA 13.25NA 12.10 13.25 5.34 38.78 39.93 38.78 39.93 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33845 Remove aorta constriction A 22.93 13.02NA 11.91NA 13.02 11.91 5.73 41.68 40.57 41.68 40.57 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33851 Remove aorta constriction A 21.98 15.11NA 18.42NA 15.11 18.42 5.48 42.57 45.88 42.57 45.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33852 Repair septal defect A 24.41 12.41NA 11.77NA 12.41 11.77 6.10 42.92 42.28 42.92 42.28 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33853 Repair septal defect A 32.51 16.71NA 15.25NA 16.71 15.25 8.14 57.36 55.90 57.36 55.90 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3386F AJCC cln cncr stage 2 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33860 Ascending aortic graft A 59.46 25.06NA 24.99NA 25.06 24.99 14.25 98.77 98.70 98.77 98.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33863 Ascending aortic graft A 58.79 24.53NA 23.92NA 24.53 23.92 14.07 97.39 96.78 97.39 96.78 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33864 Ascending aortic graft A 60.08 25.30NA 24.32NA 25.30 24.32 14.32 99.70 98.72 99.70 98.72 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33870 Transverse aortic arch graft A 46.06 20.87NA 20.01NA 20.87 20.01 11.00 77.93 77.07 77.93 77.07 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33875 Thoracic aortic graft A 35.78 17.08NA 17.12NA 17.08 17.12 8.55 61.41 61.45 61.41 61.45 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33877 Thoracoabdominal graft A 69.03 26.18NA 26.54NA 26.18 26.54 16.35 111.56 111.92 111.56 111.92 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 3388F AJCC cln cncr stage 3 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33880 Endovasc taa repr incl subcl A 34.58 14.32NA 13.59NA 14.32 13.59 7.72 56.62 55.89 56.62 55.89 0090.09.84.0722220 33.9764 090 99 0.00 0.00 0.00 33881 Endovasc taa repr w/o subcl A 29.58 12.53NA 11.96NA 12.53 11.96 6.60 48.71 48.14 48.71 48.14 0090.09.84.0722220 33.9764 090 99 0.00 0.00 0.00 33883 Insert endovasc prosth taa A 21.09 9.52NA 9.12NA 9.52 9.12 4.70 35.31 34.91 35.31 34.91 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 33884 Endovasc prosth taa add-on A 8.20 2.83NA 2.76NA 2.83 2.76 1.84 12.87 12.80 12.87 12.80 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 33886 Endovasc prosth delayed A 18.09 8.26NA 7.94NA 8.26 7.94 4.30 30.65 30.33 30.65 30.33 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 33889 Artery transpose/endovas taa A 15.92 5.49NA 5.46NA 5.49 5.46 3.78 25.19 25.16 25.19 25.16 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 33891 Car-car bp grft/endovas taa A 20.00 6.36NA 5.94NA 6.36 5.94 4.75 31.11 30.69 31.11 30.69 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 3390F AJCC cln cncr stage 4 docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33910 Remove lung artery emboli A 29.71 14.59NA 14.26NA 14.59 14.26 7.42 51.72 51.39 51.72 51.39 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33915 Remove lung artery emboli A 24.95 11.40NA 11.10NA 11.40 11.10 5.44 41.79 41.49 41.79 41.49 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33916 Surgery of great vessel A 28.42 14.93NA 13.26NA 14.93 13.26 7.10 50.45 48.78 50.45 48.78 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33917 Repair pulmonary artery A 25.30 14.10NA 12.87NA 14.10 12.87 5.92 45.32 44.09 45.32 44.09 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33920 Repair pulmonary atresia A 32.74 15.15NA 14.50NA 15.15 14.50 8.18 56.07 55.42 56.07 55.42 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33922 Transect pulmonary artery A 24.22 12.42NA 12.02NA 12.42 12.02 6.06 42.70 42.30 42.70 42.30 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33924 Remove pulmonary shunt A 5.49 1.99NA 1.91NA 1.99 1.91 1.28 8.76 8.68 8.76 8.68 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 33925 Rpr pul art unifocal w/o cpb A 31.30 14.60NA 13.54NA 14.60 13.54 7.32 53.22 52.16 53.22 52.16 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33926 Repr pul art unifocal w/cpb A 44.73 21.91NA 26.73NA 21.91 26.73 11.17 77.81 82.63 77.81 82.63 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 33930 Removal of donor heart/lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33933 Prepare donor heart/lung C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 33935 Transplantation heart/lung R 62.01 29.24NA 27.88NA 29.24 27.88 15.50 106.75 105.39 106.75 105.39 0090.09.84.0720212 33.9764 090 99 0.00 0.00 0.00 33940 Removal of donor heart X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 33944 Prepare donor heart C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 33945 Transplantation of heart R 89.50 37.02NA 37.34NA 37.02 37.34 21.34 147.86 148.18 147.86 148.18 0090.09.84.0720212 33.9764 090 99 0.00 0.00 0.00 33960 External circulation assist A 19.33 7.08NA 7.10NA 7.08 7.10 3.82 30.23 30.25 30.23 30.25 0000.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 33961 External circulation assist A 10.91 4.13NA 4.00NA 4.13 4.00 1.66 16.70 16.57 16.70 16.57 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 33967 Insert ia percut device A 4.84 2.34NA 1.87NA 2.34 1.87 1.08 8.26 7.79 8.26 7.79 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 33968 Remove aortic assist device A 0.64 0.28NA 0.25NA 0.28 0.25 0.14 1.06 1.03 1.06 1.03 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 33970 Aortic circulation assist A 6.74 2.84NA 2.49NA 2.84 2.49 1.57 11.15 10.80 11.15 10.80 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 33971 Aortic circulation assist A 11.99 7.20NA 6.70NA 7.20 6.70 2.80 21.99 21.49 21.99 21.49 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33973 Insert balloon device A 9.75 4.17NA 3.65NA 4.17 3.65 2.26 16.18 15.66 16.18 15.66 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 33974 Remove intra-aortic balloon A 15.03 8.94NA 7.89NA 8.94 7.89 3.77 27.74 26.69 27.74 26.69 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 33975 Implant ventricular device A 20.97 7.99NA 7.62NA 7.99 7.62 4.99 33.95 33.58 33.95 33.58 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 33976 Implant ventricular device A 22.97 8.96NA 8.11NA 8.96 8.11 5.74 37.67 36.82 37.67 36.82 0XXX.00.00.0022200 33.9764 090 99 0.00 0.00 0.00 33977 Remove ventricular device A 20.28 11.93NA 11.38NA 11.93 11.38 4.82 37.03 36.48 37.03 36.48 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33978 Remove ventricular device A 22.72 12.75NA 12.43NA 12.75 12.43 5.69 41.16 40.84 41.16 40.84 0090.09.84.0722200 33.9764 090 99 0.00 0.00 0.00 33979 Insert intracorporeal device A 45.93 17.31NA 16.41NA 17.31 16.41 11.00 74.24 73.34 74.24 73.34 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 33980 Remove intracorporeal device A 65.20 30.57NA 29.72NA 30.57 29.72 15.73 111.50 110.65 111.50 110.65 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 33981 Replace vad pump ext C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 33982 Replace vad intra w/o bp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 33983 Replace vad intra w/bp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 33999 Cardiac surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 34001 Removal of artery clot A 17.88 8.60NA 8.81NA 8.60 8.81 4.07 30.55 30.76 30.55 30.76 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34051 Removal of artery clot A 16.99 9.16NA 9.07NA 9.16 9.07 4.25 30.40 30.31 30.40 30.31 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34101 Removal of artery clot A 10.93 5.69NA 5.65NA 5.69 5.65 2.46 19.08 19.04 19.08 19.04 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34111 Removal of arm artery clot A 10.93 5.70NA 5.67NA 5.70 5.67 2.44 19.07 19.04 19.07 19.04 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34151 Removal of artery clot A 26.52 11.58NA 11.75NA 11.58 11.75 5.97 44.07 44.24 44.07 44.24 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34201 Removal of artery clot A 19.48 8.36NA 8.77NA 8.36 8.77 4.48 32.32 32.73 32.32 32.73 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34203 Removal of leg artery clot A 17.86 8.51NA 8.43NA 8.51 8.43 4.11 30.48 30.40 30.48 30.40 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34401 Removal of vein clot A 26.52 13.90NA 14.53NA 13.90 14.53 5.66 46.08 46.71 46.08 46.71 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34421 Removal of vein clot A 13.37 6.86NA 6.83NA 6.86 6.83 2.97 23.20 23.17 23.20 23.17 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34451 Removal of vein clot A 28.52 11.37NA 10.32NA 11.37 10.32 6.78 46.67 45.62 46.67 45.62 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34471 Removal of vein clot A 21.11 10.41NA 12.18NA 10.41 12.18 4.50 36.02 37.79 36.02 37.79 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 34490 Removal of vein clot A 10.91 5.95NA 6.03NA 5.95 6.03 2.42 19.28 19.36 19.28 19.36 0090.09.84.0721100 33.9764 090 99 0.00 0.00 0.00 3450F Dyspnea scrnd no-mild dysp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 34501 Repair valve femoral vein A 16.85 8.24NA 7.48NA 8.24 7.48 4.00 29.09 28.33 29.09 28.33 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34502 Reconstruct vena cava A 28.07 13.45NA 13.11NA 13.45 13.11 5.89 47.41 47.07 47.41 47.07 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 3451F Dyspnea scrnd mod-high dysp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 34510 Transposition of vein valve A 19.91 10.62NA 11.68NA 10.62 11.68 4.23 34.76 35.82 34.76 35.82 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 3452F Dyspnea not screened I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 34520 Cross-over vein graft A 19.18 8.35NA 7.66NA 8.35 7.66 4.55 32.08 31.39 32.08 31.39 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 34530 Leg vein fusion A 17.93 8.30NA 7.59NA 8.30 7.59 3.82 30.05 29.34 30.05 29.34 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 3455F TB scrng done-interpd 6mon M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3470F Ra disease activity low M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3471F Ra disease activity mod M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3472F Ra disease activity high M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3475F Disease progn RA poor docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3476F Disease progn RA good docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 34800 Endovas aaa repr w/sm tube A 21.54 9.52NA 9.02NA 9.52 9.02 4.57 35.63 35.13 35.63 35.13 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34802 Endovas aaa repr w/2-p part A 23.79 10.50NA 10.09NA 10.50 10.09 5.09 39.38 38.97 39.38 38.97 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34803 Endovas aaa repr w/3-p part A 24.82 10.53NA 10.18NA 10.53 10.18 5.34 40.69 40.34 40.69 40.34 0090.09.84.0722220 33.9764 090 99 0.00 0.00 0.00 34804 Endovas aaa repr w/1-p part A 23.79 10.49NA 10.07NA 10.49 10.07 5.14 39.42 39.00 39.42 39.00 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34805 Endovas aaa repr w/long tube A 22.67 9.77NA 9.58NA 9.77 9.58 5.04 37.48 37.29 37.48 37.29 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34806 Aneurysm press sensor add-on A 2.06 0.74NA 0.69NA 0.74 0.69 0.45 3.25 3.20 3.25 3.20 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 34808 Endovas iliac a device addon A 4.12 1.44NA 1.42NA 1.44 1.42 0.90 6.46 6.44 6.46 6.44 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 34812 Xpose for endoprosth femorl A 6.74 2.33NA 2.33NA 2.33 2.33 1.55 10.62 10.62 10.62 10.62 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 34813 Femoral endovas graft add-on A 4.79 1.61NA 1.61NA 1.61 1.61 1.10 7.50 7.50 7.50 7.50 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 34820 Xpose for endoprosth iliac A 9.74 3.39NA 3.33NA 3.39 3.33 2.18 15.31 15.25 15.31 15.25 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 34825 Endovasc extend prosth init A 12.80 6.54NA 6.25NA 6.54 6.25 2.75 22.09 21.80 22.09 21.80 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34826 Endovasc exten prosth addl A 4.12 1.48NA 1.43NA 1.48 1.43 0.88 6.48 6.43 6.48 6.43 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 34830 Open aortic tube prosth repr A 35.23 13.45NA 12.40NA 13.45 12.40 8.36 57.04 55.99 57.04 55.99 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34831 Open aortoiliac prosth repr A 37.98 13.86NA 13.22NA 13.86 13.22 9.02 60.86 60.22 60.86 60.22 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34832 Open aortofemor prosth repr A 37.98 14.33NA 13.22NA 14.33 13.22 9.02 61.33 60.22 61.33 60.22 0090.09.84.0720220 33.9764 090 99 0.00 0.00 0.00 34833 Xpose for endoprosth iliac A 11.98 4.48NA 4.38NA 4.48 4.38 2.79 19.25 19.15 19.25 19.15 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 34834 Xpose endoprosth brachial A 5.34 2.12NA 2.05NA 2.12 2.05 1.24 8.70 8.63 8.70 8.63 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 3490F History aids-defining cond M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 34900 Endovasc iliac repr w/graft A 16.85 7.93NA 7.60NA 7.93 7.60 3.58 28.36 28.03 28.36 28.03 0090.09.84.0721220 33.9764 090 99 0.00 0.00 0.00 3491F HIV unsure baby of HIV+moms I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3492F History cd4+ cell count <350 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3493F No hist cd4+ cell count<350 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3494F CD4+cell count <200cells/mm3 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3495F Cd4+cell cnt 200-499 cells M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3496F Cd4+ cell count + 500 cells M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3497F CD4+ cell percentage <15% I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3498F Cd4+ cell % >=15% (hiv) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 3500F Cd4+cell cnt/% docd as done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 35001 Repair defect of artery A 20.81 10.00NA 9.69NA 10.00 9.69 4.82 35.63 35.32 35.63 35.32 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 35002 Repair artery rupture neck A 22.23 9.52NA 8.53NA 9.52 8.53 4.75 36.50 35.51 36.50 35.51 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 35005 Repair defect of artery A 19.29 10.75NA 11.52NA 10.75 11.52 4.57 34.61 35.38 34.61 35.38 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 35011 Repair defect of artery A 18.58 8.62NA 8.66NA 8.62 8.66 4.22 31.42 31.46 31.42 31.46 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 35013 Repair artery rupture arm A 23.23 10.81NA 11.10NA 10.81 11.10 5.28 39.32 39.61 39.32 39.61 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 3502F HIV rna vrl ld 3 yrs A 0.18 0.33 0.27 0.07 0.08 0.03 0.54 0.48 0.28 0.29 0XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36415 Routine venipuncture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 36416 Capillary blood draw B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 36420 Vein access cutdown < 1 yr A 1.01 0.27NA 0.23NA 0.27 0.23 0.12 1.40 1.36 1.40 1.36 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36425 Vein access cutdown > 1 yr A 0.76 0.31NA 0.34NA 0.31 0.34 0.11 1.18 1.21 1.18 1.21 0XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36430 Blood transfusion service A 0.00 1.02 0.90 1.02NA 0.90 NA 0.01 1.03 0.91 1.03 0.91 5XXX.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36440 Bl push transfuse 2 yr or < A 1.03 0.42NA 0.50NA 0.42 0.50 0.24 1.69 1.77 1.69 1.77 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36450 Bl exchange/transfuse nb A 2.23 1.03NA 1.09NA 1.03 1.09 0.11 3.37 3.43 3.37 3.43 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36455 Bl exchange/transfuse non-nb A 2.43 0.99NA 0.85NA 0.99 0.85 0.14 3.56 3.42 3.56 3.42 0XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36460 Transfusion service fetal A 6.58 2.71NA 3.06NA 2.71 3.06 1.40 10.69 11.04 10.69 11.04 0XXX.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 36468 Injection(s) spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36469 Injection(s) spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36470 Injection therapy of vein A 1.10 2.94 2.91 0.83 0.84 0.22 4.26 4.23 2.15 2.16 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 36471 Injection therapy of veins A 1.65 3.26 3.21 1.07 1.09 0.33 5.24 5.19 3.05 3.07 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 36475 Endovenous rf 1st vein A 6.72 46.32 43.76 2.73 2.77 1.42 54.46 51.90 10.87 10.91 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 36476 Endovenous rf vein add-on A 3.38 7.80 7.57 1.22 1.23 0.72 11.90 11.67 5.32 5.33 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 36478 Endovenous laser 1st vein A 6.72 35.01 31.30 2.76 2.72 1.32 43.05 39.34 10.80 10.76 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 36479 Endovenous laser vein addon A 3.38 8.22 7.78 1.26 1.28 0.65 12.25 11.81 5.29 5.31 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 36481 Insertion of catheter vein A 6.98 29.48 53.44 3.00 3.00 0.88 37.34 61.30 10.86 10.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 3650F Eeg ordered rvwd reqstd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 36500 Insertion of catheter vein A 3.51 1.48NA 1.35NA 1.48 1.35 0.53 5.52 5.39 5.52 5.39 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36510 Insertion of catheter vein A 1.09 1.81 1.52 0.50 0.53 0.24 3.14 2.85 1.83 1.86 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36511 Apheresis wbc A 1.74 0.82NA 0.89NA 0.82 0.89 0.27 2.83 2.90 2.83 2.90 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36512 Apheresis rbc A 1.74 0.84NA 0.87NA 0.84 0.87 0.16 2.74 2.77 2.74 2.77 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36513 Apheresis platelets A 1.74 0.91NA 0.98NA 0.91 0.98 0.34 2.99 3.06 2.99 3.06 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36514 Apheresis plasma A 1.74 13.33 12.13 0.77 0.80 0.27 15.34 14.14 2.78 2.81 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36515 Apheresis adsorp/reinfuse A 1.74 55.17 50.11 0.78 0.88 0.24 57.15 52.09 2.76 2.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36516 Apheresis selective A 1.22 61.60 54.14 0.53 0.56 0.35 63.17 55.71 2.10 2.13 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36522 Photopheresis A 1.67 38.36 34.80 1.19 1.20 0.16 40.19 36.63 3.02 3.03 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36555 Insert non-tunnel cv cath A 2.68 5.07 4.66 0.74 0.66 0.22 7.97 7.56 3.64 3.56 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36556 Insert non-tunnel cv cath A 2.50 4.13 3.92 0.80 0.84 0.31 6.94 6.73 3.61 3.65 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36557 Insert tunneled cv cath A 5.14 21.59 22.62 3.36 3.58 1.09 27.82 28.85 9.59 9.81 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36558 Insert tunneled cv cath A 4.84 18.39 16.82 2.94 2.80 0.72 23.95 22.38 8.50 8.36 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36560 Insert tunneled cv cath A 6.29 30.60 31.86 3.82 4.10 0.59 37.48 38.74 10.70 10.98 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36561 Insert tunneled cv cath A 6.04 27.95 26.73 3.52 3.59 1.10 35.09 33.87 10.66 10.73 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36563 Insert tunneled cv cath A 6.24 29.76 30.35 3.64 3.87 1.31 37.31 37.90 11.19 11.42 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36565 Insert tunneled cv cath A 6.04 22.48 21.50 3.31 3.33 1.29 29.81 28.83 10.64 10.66 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36566 Insert tunneled cv cath A 6.54 124.76 140.45 3.58 3.70 1.27 132.57 148.26 11.39 11.51 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36568 Insert picc cath A 1.92 6.73 5.85 0.76 0.75 0.18 8.83 7.95 2.86 2.85 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36569 Insert picc cath A 1.82 5.65 4.95 0.79 0.73 0.18 7.65 6.95 2.79 2.73 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36570 Insert picvad cath A 5.36 27.56 24.17 3.20 2.98 0.49 33.41 30.02 9.05 8.83 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36571 Insert picvad cath A 5.34 31.38 30.28 3.25 3.34 1.02 37.74 36.64 9.61 9.70 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 36575 Repair tunneled cv cath A 0.67 4.04 3.85 0.30 0.30 0.10 4.81 4.62 1.07 1.07 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36576 Repair tunneled cv cath A 3.24 7.32 7.11 2.06 2.05 0.56 11.12 10.91 5.86 5.85 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36578 Replace tunneled cv cath A 3.54 11.13 10.48 2.47 2.37 0.53 15.20 14.55 6.54 6.44 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36580 Replace cvad cath A 1.31 5.16 4.57 0.55 0.54 0.16 6.63 6.04 2.02 2.01 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36581 Replace tunneled cv cath A 3.48 18.82 17.51 2.12 1.96 0.44 22.74 21.43 6.04 5.88 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36582 Replace tunneled cv cath A 5.24 26.57 25.46 3.17 3.11 0.88 32.69 31.58 9.29 9.23 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36583 Replace tunneled cv cath A 5.29 30.01 32.29 3.43 3.66 1.14 36.44 38.72 9.86 10.09 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36584 Replace picc cath A 1.20 5.05 4.34 0.71 0.66 0.11 6.36 5.65 2.02 1.97 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36585 Replace picvad cath A 4.84 27.34 25.61 3.00 2.86 0.67 32.85 31.12 8.51 8.37 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36589 Removal tunneled cv cath A 2.28 2.35 2.27 1.57 1.54 0.37 5.00 4.92 4.22 4.19 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36590 Removal tunneled cv cath A 3.35 4.52 4.65 2.14 2.22 0.63 8.50 8.63 6.12 6.20 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 36591 Draw blood off venous device T 0.00 0.67 0.61 0.67NA 0.61 NA 0.01 0.68 0.62 0.68 0.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 36592 Collect blood from picc T 0.00 0.75 0.69 0.75NA 0.69 NA 0.01 0.76 0.70 0.76 0.70 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 36593 Declot vascular device A 0.00 0.84 0.82 0.84NA 0.82 NA 0.01 0.85 0.83 0.85 0.83 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 36595 Mech remov tunneled cv cath A 3.59 13.52 11.87 1.68 1.52 0.39 17.50 15.85 5.66 5.50 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36596 Mech remov tunneled cv cath A 0.75 3.18 2.88 0.52 0.48 0.10 4.03 3.73 1.37 1.33 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36597 Reposition venous catheter A 1.21 2.41 2.20 0.54 0.48 0.11 3.73 3.52 1.86 1.80 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36598 Inj w/fluor eval cv device T 0.74 2.55 2.31 0.67 0.27 0.07 3.36 3.12 1.48 1.08 9000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 36600 Withdrawal of arterial blood A 0.32 0.56 0.53 0.11 0.11 0.03 0.91 0.88 0.46 0.46 0XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36620 Insertion catheter artery A 1.15 0.25NA 0.29NA 0.25 0.29 0.10 1.50 1.54 1.50 1.54 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36625 Insertion catheter artery A 2.11 0.70NA 0.71NA 0.70 0.71 0.42 3.23 3.24 3.23 3.24 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 36640 Insertion catheter artery A 2.10 1.29NA 1.40NA 1.29 1.40 0.42 3.81 3.92 3.81 3.92 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36660 Insertion catheter artery A 1.40 0.53NA 0.68NA 0.53 0.68 0.34 2.27 2.42 2.27 2.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36680 Insert needle bone cavity A 1.20 0.37NA 0.34NA 0.37 0.34 0.22 1.79 1.76 1.79 1.76 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 36800 Insertion of cannula A 2.43 2.00NA 2.01NA 2.00 2.01 0.42 4.85 4.86 4.85 4.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36810 Insertion of cannula A 3.96 1.74NA 1.80NA 1.74 1.80 0.73 6.43 6.49 6.43 6.49 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36815 Insertion of cannula A 2.62 1.42NA 1.46NA 1.42 1.46 0.56 4.60 4.64 4.60 4.64 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36818 Av fuse uppr arm cephalic A 11.89 6.26NA 6.34NA 6.26 6.34 2.65 20.80 20.88 20.80 20.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36819 Av fuse uppr arm basilic A 14.47 7.05NA 7.20NA 7.05 7.20 3.25 24.77 24.92 24.77 24.92 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36820 Av fusion/forearm vein A 14.47 7.24NA 7.49NA 7.24 7.49 3.24 24.95 25.20 24.95 25.20 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 36821 Av fusion direct any site A 12.11 6.43NA 6.77NA 6.43 6.77 2.71 21.25 21.59 21.25 21.59 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36822 Insertion of cannula(s) A 5.57 4.79NA 4.69NA 4.79 4.69 1.29 11.65 11.55 11.65 11.55 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 36823 Insertion of cannula(s) A 22.98 11.91NA 12.41NA 11.91 12.41 5.01 39.90 40.40 39.90 40.40 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 36825 Artery-vein autograft A 15.13 6.71NA 7.79NA 6.71 7.79 3.38 25.22 26.30 25.22 26.30 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36830 Artery-vein nonautograft A 12.03 5.68NA 5.78NA 5.68 5.78 2.71 20.42 20.52 20.42 20.52 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36831 Open thrombect av fistula A 8.04 4.34NA 4.43NA 4.34 4.43 1.80 14.18 14.27 14.18 14.27 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36832 Av fistula revision open A 10.53 5.15NA 5.26NA 5.15 5.26 2.34 18.02 18.13 18.02 18.13 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36833 Av fistula revision A 11.98 5.70NA 5.83NA 5.70 5.83 2.69 20.37 20.50 20.37 20.50 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 36835 Artery to vein shunt A 7.51 5.51NA 5.92NA 5.51 5.92 1.78 14.80 15.21 14.80 15.21 0090.09.84.0720100 33.9764 090 99 0.00 0.00 0.00 36838 Dist revas ligation hemo A 21.69 9.52NA 9.44NA 9.52 9.44 4.94 36.15 36.07 36.15 36.07 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 36860 External cannula declotting A 2.01 3.71 3.79 0.94 1.04 0.26 5.98 6.06 3.21 3.31 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36861 Cannula declotting A 2.52 1.62NA 1.61NA 1.62 1.61 0.48 4.62 4.61 4.62 4.61 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 36870 Percut thrombect av fistula A 5.20 49.76 46.24 3.35 3.10 0.68 55.64 52.12 9.23 8.98 0090.09.84.0721120 33.9764 090 99 0.00 0.00 0.00 3700F Psych disorders assessed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 37140 Revision of circulation A 25.23 12.88NA 14.11NA 12.88 14.11 5.38 43.49 44.72 43.49 44.72 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 37145 Revision of circulation A 26.24 13.67NA 14.45NA 13.67 14.45 5.72 45.63 46.41 45.63 46.41 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 37160 Revision of circulation A 23.24 11.99NA 13.24NA 11.99 13.24 4.97 40.20 41.45 40.20 41.45 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37180 Revision of circulation A 26.24 13.07NA 14.55NA 13.07 14.55 5.61 44.92 46.40 44.92 46.40 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37181 Splice spleen/kidney veins A 28.37 14.08NA 15.47NA 14.08 15.47 6.04 48.49 49.88 48.49 49.88 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37182 Insert hepatic shunt (tips) A 16.97 7.31NA 6.31NA 7.31 6.31 1.62 25.90 24.90 25.90 24.90 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 37183 Remove hepatic shunt (tips) A 7.99 151.60 151.60 3.52 2.99 0.73 160.32 160.32 12.24 11.71 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 37184 Prim art mech thrombectomy A 8.66 61.00 54.42 3.90 3.55 1.51 71.17 64.59 14.07 13.72 0000.00.00.0021120 33.9764 090 99 0.00 0.00 0.00 37185 Prim art m-thrombect add-on A 3.28 19.61 17.42 1.32 1.20 0.61 23.50 21.31 5.21 5.09 0ZZZ.00.00.0002120 33.9764 090 99 0.00 0.00 0.00 37186 Sec art m-thrombect add-on A 4.92 40.44 34.22 2.08 1.80 0.95 46.31 40.09 7.95 7.67 0ZZZ.00.00.0002120 33.9764 090 99 0.00 0.00 0.00 37187 Venous mech thrombectomy A 8.03 58.58 52.07 3.57 3.18 1.13 67.74 61.23 12.73 12.34 0000.00.00.0021120 33.9764 090 99 0.00 0.00 0.00 37188 Venous m-thrombectomy add-on A 5.71 50.73 44.73 2.69 2.38 0.69 57.13 51.13 9.09 8.78 0000.00.00.0021120 33.9764 090 99 0.00 0.00 0.00 37195 Thrombolytic therapy stroke C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 3720F Cognit impairment assessed I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 37200 Transcatheter biopsy A 4.55 1.89NA 1.63NA 1.89 1.63 0.42 6.86 6.60 6.86 6.60 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37201 Transcatheter therapy infuse A 4.99 2.75NA 2.48NA 2.75 2.48 0.76 8.50 8.23 8.50 8.23 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37202 Transcatheter therapy infuse A 5.67 3.49NA 2.96NA 3.49 2.96 1.18 10.34 9.81 10.34 9.81 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37203 Transcatheter retrieval A 5.02 34.36 31.49 2.36 2.08 0.68 40.06 37.19 8.06 7.78 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37204 Transcatheter occlusion A 18.11 7.32NA 6.50NA 7.32 6.50 2.22 27.65 26.83 27.65 26.83 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37205 Transcath iv stent percut A 8.27 118.17 107.98 3.63 3.04 1.57 128.01 117.82 13.47 12.88 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 37206 Transcath iv stent/perc addl A 4.12 72.04 65.64 1.70 1.48 0.82 76.98 70.58 6.64 6.42 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 37207 Transcath iv stent open A 8.27 3.26NA 3.22NA 3.26 3.22 1.86 13.39 13.35 13.39 13.35 0000.00.00.0021220 33.9764 090 99 0.00 0.00 0.00 37208 Transcath iv stent/open addl A 4.12 1.42NA 1.41NA 1.42 1.41 0.93 6.47 6.46 6.47 6.46 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 37209 Change iv cath at thromb tx A 2.27 0.89NA 0.80NA 0.89 0.80 0.33 3.49 3.40 3.49 3.40 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37210 Embolization uterine fibroid A 10.60 94.83 88.25 4.66 3.99 1.02 106.45 99.87 16.28 15.61 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 37215 Transcath stent cca w/eps R 19.68 10.47NA 8.91NA 10.47 8.91 4.19 34.34 32.78 34.34 32.78 0090.09.84.0720000 33.9764 090 99 0.00 0.00 0.00 37216 Transcath stent cca w/o eps N+ 18.95 10.00NA 10.06NA 10.00 10.06 1.33 30.28 30.34 30.28 30.34 9090.09.84.0799999 33.9764 090 99 0.00 0.00 0.00 37220 Iliac revasc A 8.15 83.53 83.53 3.02 3.02 1.67 93.35 93.35 12.84 12.84 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 37221 Iliac revasc w/stent A 10.00 126.04 126.04 3.73 3.73 1.89 137.93 137.93 15.62 15.62 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37222 Iliac revasc add-on A 3.73 22.43 22.43 1.34 1.34 0.76 26.92 26.92 5.83 5.83 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37223 Iliac revasc w/stent add-on A 4.25 70.87 70.87 1.53 1.53 0.84 75.96 75.96 6.62 6.62 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37224 Fem/popl revas w/tla A 9.00 101.34 101.34 3.33 3.33 1.81 112.15 112.15 14.14 14.14 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37225 Fem/popl revas w/ather A 12.00 302.09 302.09 4.53 4.53 2.52 316.61 316.61 19.05 19.05 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37226 Fem/popl revasc w/stent A 10.49 253.23 253.23 3.91 3.91 1.29 265.01 265.01 15.69 15.69 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37227 Fem/popl revasc stnt & ather A 14.50 410.48 410.48 5.46 5.46 3.05 428.03 428.03 23.01 23.01 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37228 Tib/per revasc w/tla A 11.00 146.38 146.38 4.02 4.02 2.26 159.64 159.64 17.28 17.28 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37229 Tib/per revasc w/ather A 14.05 296.88 296.88 5.28 5.28 2.98 313.91 313.91 22.31 22.31 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37230 Tib/per revasc w/stent A 13.80 230.22 230.22 5.11 5.11 2.61 246.63 246.63 21.52 21.52 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37231 Tib/per revasc stent & ather A 15.00 377.88 377.88 5.55 5.55 2.84 395.72 395.72 23.39 23.39 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 37232 Tib/per revasc add-on A 4.00 31.04 31.04 1.43 1.43 0.82 35.86 35.86 6.25 6.25 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37233 Tibper revasc w/ather add-on A 6.50 35.96 35.96 2.40 2.40 1.37 43.83 43.83 10.27 10.27 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37234 Revsc opn/prq tib/pero stent A 5.50 107.58 107.58 1.97 1.97 1.09 114.17 114.17 8.56 8.56 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37235 Tib/per revasc stnt & ather A 7.80 112.63 112.63 2.80 2.80 1.55 121.98 121.98 12.15 12.15 0ZZZ.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 37250 Iv us first vessel add-on A 2.10 0.84NA 0.74NA 0.84 0.74 0.45 3.39 3.29 3.39 3.29 0ZZZ.00.00.0000010 33.9764 090 99 0.00 0.00 0.00 37251 Iv us each add vessel add-on A 1.60 0.58NA 0.53NA 0.58 0.53 0.35 2.53 2.48 2.53 2.48 0ZZZ.00.00.0000010 33.9764 090 99 0.00 0.00 0.00 37500 Endoscopy ligate perf veins A 11.67 7.15NA 7.12NA 7.15 7.12 2.63 21.45 21.42 21.45 21.42 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37501 Vascular endoscopy procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021111 33.9764 090 99 0.00 0.00 0.00 37565 Ligation of neck vein A 12.05 7.16NA 7.63NA 7.16 7.63 2.57 21.78 22.25 21.78 22.25 0090.09.84.0720010 33.9764 090 99 0.00 0.00 0.00 37600 Ligation of neck artery A 12.42 6.88NA 7.10NA 6.88 7.10 2.55 21.85 22.07 21.85 22.07 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37605 Ligation of neck artery A 14.28 7.36NA 7.51NA 7.36 7.51 3.39 25.03 25.18 25.03 25.18 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37606 Ligation of neck artery A 8.81 4.86NA 4.32NA 4.86 4.32 1.88 15.55 15.01 15.55 15.01 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 37607 Ligation of a-v fistula A 6.25 4.01NA 4.09NA 4.01 4.09 1.37 11.63 11.71 11.63 11.71 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 37609 Temporal artery procedure A 3.05 5.41 5.60 2.49 2.66 0.64 9.10 9.29 6.18 6.35 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 37615 Ligation of neck artery A 7.80 6.06NA 6.95NA 6.06 6.95 1.65 15.51 16.40 15.51 16.40 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37616 Ligation of chest artery A 18.97 10.26NA 10.36NA 10.26 10.36 4.06 33.29 33.39 33.29 33.39 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37617 Ligation of abdomen artery A 23.79 11.05NA 11.70NA 11.05 11.70 5.02 39.86 40.51 39.86 40.51 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37618 Ligation of extremity artery A 6.03 4.39NA 4.50NA 4.39 4.50 1.32 11.74 11.85 11.74 11.85 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37620 Revision of major vein A 11.57 6.52NA 5.99NA 6.52 5.99 1.70 19.79 19.26 19.79 19.26 0090.09.84.0720110 33.9764 090 99 0.00 0.00 0.00 37650 Revision of major vein A 8.49 4.72NA 4.07NA 4.72 4.07 1.88 15.09 14.44 15.09 14.44 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37660 Revision of major vein A 22.28 11.10NA 12.20NA 11.10 12.20 4.75 38.13 39.23 38.13 39.23 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37700 Revise leg vein A 3.82 3.11NA 3.14NA 3.11 3.14 0.84 7.77 7.80 7.77 7.80 0090.09.84.0721100 33.9764 090 99 0.00 0.00 0.00 37718 Ligate/strip short leg vein A 7.13 4.73NA 4.84NA 4.73 4.84 1.57 13.43 13.54 13.43 13.54 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37722 Ligate/strip long leg vein A 8.16 4.98NA 5.11NA 4.98 5.11 1.81 14.95 15.08 14.95 15.08 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37735 Removal of leg veins/lesion A 10.90 6.12NA 6.14NA 6.12 6.14 2.40 19.42 19.44 19.42 19.44 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37760 Ligate leg veins radical A 10.78 6.71NA 7.44NA 6.71 7.44 2.29 19.78 20.51 19.78 20.51 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37761 Ligate leg veins open A 9.13 6.18NA 6.18NA 6.18 6.18 1.96 17.27 17.27 17.27 17.27 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 37765 Stab phleb veins xtr 10-20 A 7.71 10.64 10.64 4.73 4.66 1.57 19.92 19.92 14.01 13.94 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37766 Phleb veins - extrem 20+ A 9.66 12.06 12.06 5.49 5.42 2.01 23.73 23.73 17.16 17.09 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37780 Revision of leg vein A 3.93 3.22NA 3.24NA 3.22 3.24 0.86 8.01 8.03 8.01 8.03 0090.09.84.0721110 33.9764 090 99 0.00 0.00 0.00 37785 Ligate/divide/excise vein A 3.93 6.01 5.96 3.24 3.26 0.86 10.80 10.75 8.03 8.05 0090.09.84.0721100 33.9764 090 99 0.00 0.00 0.00 37788 Revascularization penis A 23.33 13.68NA 12.80NA 13.68 12.80 4.98 41.99 41.11 41.99 41.11 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 37790 Penile venous occlusion A 8.43 5.26NA 4.99NA 5.26 4.99 0.82 14.51 14.24 14.51 14.24 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 37799 Vascular surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 38100 Removal of spleen total A 19.55 9.63NA 10.74NA 9.63 10.74 4.08 33.26 34.37 33.26 34.37 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38101 Removal of spleen partial A 19.55 9.81NA 11.02NA 9.81 11.02 4.16 33.52 34.73 33.52 34.73 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38102 Removal of spleen total A 4.79 1.91NA 2.08NA 1.91 2.08 0.99 7.69 7.86 7.69 7.86 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 38115 Repair of ruptured spleen A 21.88 10.55NA 11.78NA 10.55 11.78 4.29 36.72 37.95 36.72 37.95 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38120 Laparoscopy splenectomy A 17.07 9.78NA 10.70NA 9.78 10.70 3.61 30.46 31.38 30.46 31.38 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 38129 Laparoscope proc spleen C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 38200 Injection for spleen x-ray A 2.64 1.17NA 1.15NA 1.17 1.15 0.63 4.44 4.42 4.44 4.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38204 Bl donor search management B+ 2.00 0.85NA 0.88NA 0.85 0.88 0.14 2.99 3.02 2.99 3.02 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38205 Harvest allogenic stem cells R 1.50 0.77NA 0.80NA 0.77 0.80 0.08 2.35 2.38 2.35 2.38 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38206 Harvest auto stem cells R 1.50 0.77NA 0.81NA 0.77 0.81 0.11 2.38 2.42 2.38 2.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38207 Cryopreserve stem cells I+ 0.89 0.46NA 0.39NA 0.46 0.39 0.05 1.40 1.33 1.40 1.33 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38208 Thaw preserved stem cells I+ 0.56 0.29NA 0.25NA 0.29 0.25 0.04 0.89 0.85 0.89 0.85 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38209 Wash harvest stem cells I+ 0.24 0.13NA 0.11NA 0.13 0.11 0.01 0.38 0.36 0.38 0.36 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38210 T-cell depletion of harvest I+ 1.57 0.82NA 0.69NA 0.82 0.69 0.10 2.49 2.36 2.49 2.36 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38211 Tumor cell deplete of harvst I+ 1.42 0.74NA 0.62NA 0.74 0.62 0.10 2.26 2.14 2.26 2.14 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38212 Rbc depletion of harvest I+ 0.94 0.49NA 0.41NA 0.49 0.41 0.05 1.48 1.40 1.48 1.40 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38213 Platelet deplete of harvest I+ 0.24 0.13NA 0.11NA 0.13 0.11 0.01 0.38 0.36 0.38 0.36 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38214 Volume deplete of harvest I+ 0.81 0.42NA 0.35NA 0.42 0.35 0.05 1.28 1.21 1.28 1.21 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38215 Harvest stem cell concentrte I+ 0.94 0.49NA 0.41NA 0.49 0.41 0.05 1.48 1.40 1.48 1.40 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 38220 Bone marrow aspiration A 1.08 3.26 2.92 0.62 0.63 0.11 4.45 4.11 1.81 1.82 0XXX.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 38221 Bone marrow biopsy A 1.37 3.36 2.94 0.78 0.79 0.08 4.81 4.39 2.23 2.24 0XXX.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 38230 Bone marrow collection R 4.85 4.15NA 4.43NA 4.15 4.43 1.10 10.10 10.38 10.10 10.38 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 38240 Bone marrow/stem transplant R 2.24 1.29NA 1.35NA 1.29 1.35 0.16 3.69 3.75 3.69 3.75 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38241 Bone marrow/stem transplant R 2.24 1.30NA 1.33NA 1.30 1.33 0.14 3.68 3.71 3.68 3.71 0XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38242 Lymphocyte infuse transplant A 1.71 1.00NA 1.05NA 1.00 1.05 0.10 2.81 2.86 2.81 2.86 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 38300 Drainage lymph node lesion A 2.36 5.24 5.27 2.61 2.69 0.41 8.01 8.04 5.38 5.46 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 38305 Drainage lymph node lesion A 6.68 5.47NA 5.68NA 5.47 5.68 1.33 13.48 13.69 13.48 13.69 0090.11.73.1620100 33.9764 090 99 0.00 0.00 0.00 38308 Incision of lymph channels A 6.81 4.81NA 5.15NA 4.81 5.15 1.46 13.08 13.42 13.08 13.42 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38380 Thoracic duct procedure A 8.46 7.27NA 8.05NA 7.27 8.05 1.09 16.82 17.60 16.82 17.60 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38381 Thoracic duct procedure A 13.38 7.77NA 7.63NA 7.77 7.63 3.14 24.29 24.15 24.29 24.15 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38382 Thoracic duct procedure A 10.65 6.93NA 7.05NA 6.93 7.05 2.26 19.84 19.96 19.84 19.96 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38500 Biopsy/removal lymph nodes A 3.79 4.86 5.13 2.76 2.97 0.78 9.43 9.70 7.33 7.54 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 38505 Needle biopsy lymph nodes A 1.14 2.44 2.32 0.89 0.84 0.12 3.70 3.58 2.15 2.10 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 38510 Biopsy/removal lymph nodes A 6.74 7.16 7.59 4.40 4.78 1.21 15.11 15.54 12.35 12.73 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 38520 Biopsy/removal lymph nodes A 7.03 5.16NA 5.50NA 5.16 5.50 1.42 13.61 13.95 13.61 13.95 0090.11.73.1621100 33.9764 090 99 0.00 0.00 0.00 38525 Biopsy/removal lymph nodes A 6.43 4.69NA 5.10NA 4.69 5.10 1.36 12.48 12.89 12.48 12.89 0090.11.73.1621100 33.9764 090 99 0.00 0.00 0.00 38530 Biopsy/removal lymph nodes A 8.34 5.78NA 6.25NA 5.78 6.25 1.82 15.94 16.41 15.94 16.41 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38542 Explore deep node(s) neck A 7.95 6.00NA 6.49NA 6.00 6.49 1.33 15.28 15.77 15.28 15.77 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38550 Removal neck/armpit lesion A 7.11 5.78NA 6.36NA 5.78 6.36 1.52 14.41 14.99 14.41 14.99 0090.11.73.1620000 33.9764 090 99 0.00 0.00 0.00 38555 Removal neck/armpit lesion A 15.59 10.41NA 11.07NA 10.41 11.07 3.35 29.35 30.01 29.35 30.01 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38562 Removal pelvic lymph nodes A 11.06 7.44NA 7.63NA 7.44 7.63 1.96 20.46 20.65 20.46 20.65 0090.11.73.1622210 33.9764 090 99 0.00 0.00 0.00 38564 Removal abdomen lymph nodes A 11.38 6.92NA 7.32NA 6.92 7.32 2.25 20.55 20.95 20.55 20.95 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38570 Laparoscopy lymph node biop A 9.34 5.15NA 5.12NA 5.15 5.12 1.37 15.86 15.83 15.86 15.83 0010.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 38571 Laparoscopy lymphadenectomy A 14.76 7.77NA 7.04NA 7.77 7.04 1.48 24.01 23.28 24.01 23.28 0010.10.80.1022220 33.9764 090 99 0.00 0.00 0.00 38572 Laparoscopy lymphadenectomy A 16.94 8.42NA 8.88NA 8.42 8.88 2.40 27.76 28.22 27.76 28.22 0010.10.80.1022220 33.9764 090 99 0.00 0.00 0.00 38589 Laparoscope proc lymphatic C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 38700 Removal of lymph nodes neck A 12.81 9.14NA 10.13NA 9.14 10.13 1.77 23.72 24.71 23.72 24.71 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38720 Removal of lymph nodes neck A 21.95 14.28NA 15.87NA 14.28 15.87 3.39 39.62 41.21 39.62 41.21 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38724 Removal of lymph nodes neck A 23.95 15.58NA 17.57NA 15.58 17.57 3.35 42.88 44.87 42.88 44.87 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38740 Remove armpit lymph nodes A 10.70 6.91NA 7.52NA 6.91 7.52 2.26 19.87 20.48 19.87 20.48 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38745 Remove armpit lymph nodes A 13.87 8.42NA 9.21NA 8.42 9.21 2.95 25.24 26.03 25.24 26.03 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38746 Remove thoracic lymph nodes A 4.88 1.86NA 1.79NA 1.86 1.79 1.14 7.88 7.81 7.88 7.81 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 38747 Remove abdominal lymph nodes A 4.88 1.93NA 2.09NA 1.93 2.09 1.03 7.84 8.00 7.84 8.00 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 38760 Remove groin lymph nodes A 13.62 8.13NA 8.70NA 8.13 8.70 2.79 24.54 25.11 24.54 25.11 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38765 Remove groin lymph nodes A 21.91 11.59NA 12.29NA 11.59 12.29 4.23 37.73 38.43 37.73 38.43 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38770 Remove pelvis lymph nodes A 14.06 8.06NA 7.83NA 8.06 7.83 1.77 23.89 23.66 23.89 23.66 0090.11.73.1621210 33.9764 090 99 0.00 0.00 0.00 38780 Remove abdomen lymph nodes A 17.70 10.31NA 10.22NA 10.31 10.22 2.56 30.57 30.48 30.57 30.48 0090.11.73.1620210 33.9764 090 99 0.00 0.00 0.00 38790 Inject for lymphatic x-ray A 1.29 0.95NA 0.96NA 0.95 0.96 0.24 2.48 2.49 2.48 2.49 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 38792 Identify sentinel node A 0.52 0.59NA 0.59NA 0.59 0.59 0.08 1.19 1.19 1.19 1.19 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 38794 Access thoracic lymph duct A 4.62 3.78NA 3.42NA 3.78 3.42 0.42 8.82 8.46 8.82 8.46 0090.11.73.1620000 33.9764 090 99 0.00 0.00 0.00 38900 Io map of sent lymph node A 2.50 1.01 1.01 1.01 1.01 0.53 4.04 4.04 4.04 4.04 0ZZZ.00.00.0001210 33.9764 090 99 0.00 0.00 0.00 38999 Blood/lymph system procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 39000 Exploration of chest A 7.57 5.67NA 5.78NA 5.67 5.78 1.67 14.91 15.02 14.91 15.02 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39010 Exploration of chest A 13.19 7.86NA 7.59NA 7.86 7.59 3.13 24.18 23.91 24.18 23.91 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39200 Removal chest lesion A 15.09 8.14NA 7.99NA 8.14 7.99 3.54 26.77 26.62 26.77 26.62 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39220 Removal chest lesion A 19.55 10.56NA 10.45NA 10.56 10.45 4.44 34.55 34.44 34.55 34.44 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39400 Visualization of chest A 8.05 5.39NA 5.32NA 5.39 5.32 1.88 15.32 15.25 15.32 15.25 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 39499 Chest procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 39501 Repair diaphragm laceration A 13.98 8.00NA 8.44NA 8.00 8.44 2.95 24.93 25.37 24.93 25.37 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39503 Repair of diaphragm hernia A 108.91 45.81NA 51.96NA 45.81 51.96 23.23 177.95 184.10 177.95 184.10 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39540 Repair of diaphragm hernia A 14.57 7.87NA 8.40NA 7.87 8.40 3.12 25.56 26.09 25.56 26.09 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39541 Repair of diaphragm hernia A 15.75 8.55NA 9.20NA 8.55 9.20 3.40 27.70 28.35 27.70 28.35 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39545 Revision of diaphragm A 14.67 8.82NA 8.75NA 8.82 8.75 3.42 26.91 26.84 26.91 26.84 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39560 Resect diaphragm simple A 13.06 7.53NA 7.85NA 7.53 7.85 2.79 23.38 23.70 23.38 23.70 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39561 Resect diaphragm complex A 19.99 12.38NA 12.98NA 12.38 12.98 4.38 36.75 37.35 36.75 37.35 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 4000F Tobacco use txmnt counseling M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4001F Tobacco use txmnt pharmacol M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4002F Statin therapy rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4003F Pt ed write/oral pts w/ hf M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4004F Pt tobacco screen rcvd tlk M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4005F Pharm thx for op rxd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4006F Beta-blocker therapy rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4009F Ace/arb inhibitor therapy rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4011F Oral antiplatelet therapy rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4012F Warfarin therapy rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4014F Written discharge instr prvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4015F Persist asthma medicine ctrl M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4016F Anti-inflm/anlgsc agent rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4017F Gi prophylaxis for nsaid rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4018F Therapy exercise joint rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4019F Doc recpt counsl vit d/calc+ I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4025F Inhaled bronchodilator rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4030F Oxygen therapy rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4033F Pulmonary rehab rec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4035F Influenza imm rec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4037F Influenza imm order/admin M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4040F Pneumoc vac/admin/rcvd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4041F Doc order cefazolin/cefurox M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4042F Doc antibio not given M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4043F Doc order given stop antibio M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4044F Doc order given vte prophylx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4045F Empiric antibiotic rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4046F Doc antibio given b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4047F Doc antibio given b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4048F Doc antibio given b/4 surg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4049F Doc order given stop antibio M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40490 Biopsy of lip A 1.22 2.40 2.39 0.82 0.89 0.18 3.80 3.79 2.22 2.29 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 4050F Ht care plan doc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40500 Partial excision of lip A 4.47 9.65 10.00 5.66 5.96 0.67 14.79 15.14 10.80 11.10 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 4051F Referred for an AV fistula M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40510 Partial excision of lip A 4.82 8.62 8.98 5.02 5.38 0.71 14.15 14.51 10.55 10.91 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 4052F Hemodialysis via AV fistula I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40520 Partial excision of lip A 4.79 8.92 9.18 5.13 5.46 0.75 14.46 14.72 10.67 11.00 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 40525 Reconstruct lip with flap A 7.72 7.50NA 7.95NA 7.50 7.95 1.27 16.49 16.94 16.49 16.94 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 40527 Reconstruct lip with flap A 9.32 8.35NA 8.62NA 8.35 8.62 1.20 18.87 19.14 18.87 19.14 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4053F Hemodialysis via AV graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40530 Partial removal of lip A 5.54 9.56 9.85 5.67 5.99 0.86 15.96 16.25 12.07 12.39 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 4054F Hemodialysis via catheter I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4055F Pt rcvng periton dialysis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4056F Approp oral rehyd recommd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4058F Ped gastro ed given caregvr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4060F Psych svcs provided I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4062F Pt referral psych docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4063F Antidepres rxthxpy not rxd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4064F Antidepressant rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4065F Antipsychotic rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40650 Repair lip A 3.78 7.76 8.00 4.12 4.31 0.65 12.19 12.43 8.55 8.74 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40652 Repair lip A 4.43 9.02 9.24 5.23 5.50 0.76 14.21 14.43 10.42 10.69 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40654 Repair lip A 5.48 10.32 10.58 6.21 6.52 0.93 16.73 16.99 12.62 12.93 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 4066F ECT provided I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4067F Pt referral for ect docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4070F Dvt prophylx recvd day 2 M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40700 Repair cleft lip/nasal A 14.17 12.51NA 14.32NA 12.51 14.32 1.82 28.50 30.31 28.50 30.31 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40701 Repair cleft lip/nasal A 17.23 13.53NA 13.83NA 13.53 13.83 2.20 32.96 33.26 32.96 33.26 0090.09.81.1022200 33.9764 090 99 0.00 0.00 0.00 40702 Repair cleft lip/nasal A 14.27 9.15NA 9.10NA 9.15 9.10 1.02 24.44 24.39 24.44 24.39 0090.09.81.1022200 33.9764 090 99 0.00 0.00 0.00 40720 Repair cleft lip/nasal A 14.72 11.55NA 12.06NA 11.55 12.06 2.91 29.18 29.69 29.18 29.69 0090.09.81.1021000 33.9764 090 99 0.00 0.00 0.00 4073F Oral antiplat thx rx dischrg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4075F Anticoag thx rx at dischrg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40761 Repair cleft lip/nasal A 15.84 13.47NA 14.86NA 13.47 14.86 3.13 32.44 33.83 32.44 33.83 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 4077F Doc t-pa admin considered I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4079F Doc rehab svcs considered M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40799 Lip surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 40800 Drainage of mouth lesion A 1.23 4.59 4.77 2.40 2.53 0.18 6.00 6.18 3.81 3.94 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40801 Drainage of mouth lesion A 2.63 6.06 6.36 3.51 3.74 0.37 9.06 9.36 6.51 6.74 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40804 Removal foreign body mouth A 1.30 4.69 4.92 2.38 2.50 0.16 6.15 6.38 3.84 3.96 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 40805 Removal foreign body mouth A 2.79 6.26 6.53 3.51 3.71 0.35 9.40 9.67 6.65 6.85 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 40806 Incision of lip fold A 0.31 2.73 2.71 0.57 0.52 0.04 3.08 3.06 0.92 0.87 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 40808 Biopsy of mouth lesion A 1.01 4.24 4.39 2.04 2.13 0.12 5.37 5.52 3.17 3.26 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40810 Excision of mouth lesion A 1.36 4.42 4.60 2.22 2.35 0.18 5.96 6.14 3.76 3.89 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40812 Excise/repair mouth lesion A 2.37 5.60 5.89 3.10 3.32 0.31 8.28 8.57 5.78 6.00 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40814 Excise/repair mouth lesion A 3.52 7.15 7.55 4.96 5.28 0.48 11.15 11.55 8.96 9.28 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 40816 Excision of mouth lesion A 3.77 7.44 7.83 5.08 5.40 0.52 11.73 12.12 9.37 9.69 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 40818 Excise oral mucosa for graft A 2.83 7.10 7.24 4.79 4.86 0.37 10.30 10.44 7.99 8.06 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40819 Excise lip or cheek fold A 2.51 6.03 6.29 4.04 4.26 0.33 8.87 9.13 6.88 7.10 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40820 Treatment of mouth lesion A 1.34 6.20 6.30 3.57 3.64 0.18 7.72 7.82 5.09 5.16 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 40830 Repair mouth laceration A 1.82 5.06 5.27 2.59 2.70 0.31 7.19 7.40 4.72 4.83 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 40831 Repair mouth laceration A 2.57 6.57 6.92 3.61 3.76 0.42 9.56 9.91 6.60 6.75 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4084F Aspirin recvd w/in 24 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 40840 Reconstruction of mouth R 9.15 14.07 15.68 8.71 9.87 1.18 24.40 26.01 19.04 20.20 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 40842 Reconstruction of mouth R 9.15 13.06 14.06 8.27 9.42 1.18 23.39 24.39 18.60 19.75 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40843 Reconstruction of mouth R 12.79 15.94 17.17 9.08 10.01 2.52 31.25 32.48 24.39 25.32 0090.09.81.1022200 33.9764 090 99 0.00 0.00 0.00 40844 Reconstruction of mouth R 16.80 20.94 22.30 14.35 15.99 3.32 41.06 42.42 34.47 36.11 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 40845 Reconstruction of mouth R 19.36 21.30 22.53 14.77 15.86 2.48 43.14 44.37 36.61 37.70 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 40899 Mouth surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4090F Pt rcvng epo thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4095F Pt not rcvng epo thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4100F Biphos thxpy vein ord/recvd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41000 Drainage of mouth lesion A 1.35 3.18 3.31 1.77 1.88 0.18 4.71 4.84 3.30 3.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41005 Drainage of mouth lesion A 1.31 5.04 5.08 2.30 2.40 0.16 6.51 6.55 3.77 3.87 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41006 Drainage of mouth lesion A 3.34 6.74 7.06 3.96 4.32 0.42 10.50 10.82 7.72 8.08 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41007 Drainage of mouth lesion A 3.20 6.87 7.10 3.76 3.95 0.41 10.48 10.71 7.37 7.56 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41008 Drainage of mouth lesion A 3.46 6.95 7.35 3.99 4.30 0.44 10.85 11.25 7.89 8.20 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41009 Drainage of mouth lesion A 3.71 7.36 7.80 4.39 4.71 0.48 11.55 11.99 8.58 8.90 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41010 Incision of tongue fold A 1.11 4.75 4.88 2.01 2.09 0.14 6.00 6.13 3.26 3.34 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41015 Drainage of mouth lesion A 4.08 8.07 8.76 5.42 5.91 0.52 12.67 13.36 10.02 10.51 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41016 Drainage of mouth lesion A 4.19 7.95 8.40 5.53 5.92 0.53 12.67 13.12 10.25 10.64 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41017 Drainage of mouth lesion A 4.19 8.06 8.51 5.57 5.95 0.53 12.78 13.23 10.29 10.67 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41018 Drainage of mouth lesion A 5.22 8.56 8.99 5.96 6.32 0.67 14.45 14.88 11.85 12.21 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41019 Place needles h&n for rt A 8.84 4.27NA 4.21NA 4.27 4.21 0.72 13.83 13.77 13.83 13.77 0000.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4110F Int mam art used for cabg M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41100 Biopsy of tongue A 1.42 3.32 3.44 1.62 1.71 0.20 4.94 5.06 3.24 3.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41105 Biopsy of tongue A 1.47 3.32 3.47 1.65 1.77 0.20 4.99 5.14 3.32 3.44 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41108 Biopsy of floor of mouth A 1.10 3.06 3.20 1.44 1.53 0.14 4.30 4.44 2.68 2.77 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41110 Excision of tongue lesion A 1.56 4.43 4.62 2.15 2.28 0.22 6.21 6.40 3.93 4.06 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41112 Excision of tongue lesion A 2.83 6.51 6.83 4.25 4.51 0.37 9.71 10.03 7.45 7.71 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 41113 Excision of tongue lesion A 3.29 6.88 7.24 4.52 4.82 0.42 10.59 10.95 8.23 8.53 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 41114 Excision of tongue lesion A 8.82 8.90NA 9.60NA 8.90 9.60 1.17 18.89 19.59 18.89 19.59 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41115 Excision of tongue fold A 1.79 5.10 5.26 2.41 2.60 0.23 7.12 7.28 4.43 4.62 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41116 Excision of mouth lesion A 2.52 6.74 7.08 3.66 3.88 0.34 9.60 9.94 6.52 6.74 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 41120 Partial removal of tongue A 11.14 18.61NA 19.24NA 18.61 19.24 1.48 31.23 31.86 31.23 31.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41130 Partial removal of tongue A 15.74 20.82NA 21.95NA 20.82 21.95 2.08 38.64 39.77 38.64 39.77 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41135 Tongue and neck surgery A 30.14 29.76NA 31.85NA 29.76 31.85 4.04 63.94 66.03 63.94 66.03 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41140 Removal of tongue A 29.15 32.25NA 34.01NA 32.25 34.01 3.76 65.16 66.92 65.16 66.92 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41145 Tongue removal neck surgery A 37.93 39.24NA 41.92NA 39.24 41.92 4.87 82.04 84.72 82.04 84.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4115F Beta blckr admin w/in 24 hrs M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41150 Tongue mouth jaw surgery A 29.86 31.13NA 33.03NA 31.13 33.03 3.96 64.95 66.85 64.95 66.85 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41153 Tongue mouth neck surgery A 33.59 32.58NA 34.94NA 32.58 34.94 4.41 70.58 72.94 70.58 72.94 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 41155 Tongue jaw & neck surgery A 44.30 37.99NA 41.46NA 37.99 41.46 5.92 88.21 91.68 88.21 91.68 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4120F Antibiot rxd/given M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4124F Antibiot not rxd/given M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41250 Repair tongue laceration A 1.96 4.73 5.21 2.03 2.25 0.33 7.02 7.50 4.32 4.54 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41251 Repair tongue laceration A 2.32 4.73 5.43 2.28 2.52 0.30 7.35 8.05 4.90 5.14 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41252 Repair tongue laceration A 3.02 5.62 5.97 2.80 3.00 0.48 9.12 9.47 6.30 6.50 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4130F Topical prep rx aoe M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4131F Syst antimicrobial thx rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4132F No syst antimicrobial thx rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4133F Antihist/decong rx/recom I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4134F No antihist/decong rx/recom I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4135F Systemic corticosteroids rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4136F Syst corticosteroids not rx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4148F Hep A vac injxn admin/recvd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4149F Hep B vac injxn admin/recvd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4150F Pt recvng antivir txmnt hepc M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41500 Fixation of tongue A 3.80 9.04NA 9.36NA 9.04 9.36 0.49 13.33 13.65 13.33 13.65 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4151F Pt not recvng antiv hep c M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41510 Tongue to lip surgery A 3.51 7.30NA 6.58NA 7.30 6.58 0.44 11.25 10.53 11.25 10.53 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41512 Tongue suspension A 6.86 11.04NA 11.70NA 11.04 11.70 0.49 18.39 19.05 18.39 19.05 0090.10.76.1420000 33.9764 090 99 0.00 0.00 0.00 41520 Reconstruction tongue fold A 2.83 6.95 7.25 4.34 4.57 0.35 10.13 10.43 7.52 7.75 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4153F Combo pegintf/rib rx M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41530 Tongue base vol reduction A 4.51 90.03 90.54 7.21 7.58 0.31 94.85 95.36 12.03 12.40 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4155F Hep A vac series prev recvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4157F Hep B vac series prev recvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4158F Pt edu re alcoh drnkng done M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4159F Contrcp talk b/4 antiv txmnt M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41599 Tongue and mouth surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4163F Pt couns 4 txmnt opt prost I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4164F Adjv hrmnl thxpy rxd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4165F 3d-crt/imrt received M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4167F Hd bed tilted 1st day vent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4168F Pt care icu&vent w/in 24hrs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4169F No pt care ICU/vent in 24hrs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4171F Pt rcvng esa thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4172F Pt not rcvng esa thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4174F Couns potent glauc impct I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4175F Vis of >= 20/40 w/in 90 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4176F Talk re uv light pt/crgvr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4177F Talk pt/crgvr re areds prev M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4178F Antid glbln rcvd w/in 26wks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4179F Tamoxifen/AI prescribed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4180F Adjv thxpyrxd/rcvd colon ca M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41800 Drainage of gum lesion A 1.27 5.66 6.17 2.56 2.79 0.22 7.15 7.66 4.05 4.28 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41805 Removal foreign body gum A 1.34 5.49 5.71 3.42 3.56 0.18 7.01 7.23 4.94 5.08 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41806 Removal foreign body jawbone A 2.79 7.09 7.66 4.43 4.78 0.54 10.42 10.99 7.76 8.11 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4181F Conformal radn thxpy rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4182F No conformal radn thxpy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41820 Excision gum each quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 41822 Excision of gum lesion R 2.41 5.64 5.90 2.55 2.87 0.31 8.36 8.62 5.27 5.59 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41823 Excision of gum lesion R 3.77 8.16 8.48 5.21 5.57 0.48 12.41 12.73 9.46 9.82 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41825 Excision of gum lesion A 1.41 4.47 4.62 2.08 2.10 0.20 6.08 6.23 3.69 3.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41826 Excision of gum lesion A 2.41 6.00 6.56 3.39 3.71 0.31 8.72 9.28 6.11 6.43 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 41827 Excision of gum lesion A 3.83 8.30 8.75 4.69 5.06 0.49 12.62 13.07 9.01 9.38 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 41828 Excision of gum lesion R 3.14 5.27 5.64 2.75 3.03 0.39 8.80 9.17 6.28 6.56 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 41830 Removal of gum tissue R 3.45 7.38 7.79 4.36 4.74 0.44 11.27 11.68 8.25 8.63 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4185F Continuous ppi or h2ra rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 4186F No cont ppi or h2ra rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4187F Anti rheum drugthxpyrxd/gvn M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41870 Gum graft R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 41872 Repair gum R 3.01 7.16 7.37 4.30 4.51 0.60 10.77 10.98 7.91 8.12 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 41874 Repair tooth socket R 3.19 7.10 7.47 3.86 4.17 0.39 10.68 11.05 7.44 7.75 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4188F Approp ACE/ARB tstng done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4189F Approp digoxin tstng done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 41899 Dental surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4190F Approp diuretic tstng done I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4191F Approp anticonvuls tstng I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4192F Pt not rcvng glucoco thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4193F Pt rcvng<10mg daily predniso M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4194F Pt rcvng>10mg daily predniso M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4195F Pt rcvng anti-rheum thxpy RA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4196F Ptnot rcvng anti-rhm thxpyRA M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4200F External beam to prost only M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42000 Drainage mouth roof lesion A 1.28 3.15 3.25 1.63 1.75 0.16 4.59 4.69 3.07 3.19 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4201F Extrnl beam other than prost M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4210F ACE/ARB thxpy for >= 6 mons I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42100 Biopsy roof of mouth A 1.36 2.85 2.98 1.70 1.81 0.18 4.39 4.52 3.24 3.35 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42104 Excision lesion mouth roof A 1.69 4.31 4.57 2.19 2.36 0.23 6.23 6.49 4.11 4.28 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42106 Excision lesion mouth roof A 2.15 5.39 5.71 2.85 3.01 0.29 7.83 8.15 5.29 5.45 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42107 Excision lesion mouth roof A 4.56 8.28 8.74 5.08 5.45 0.59 13.43 13.89 10.23 10.60 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42120 Remove palate/lesion A 11.86 15.97NA 16.98NA 15.97 16.98 1.57 29.40 30.41 29.40 30.41 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42140 Excision of uvula A 1.70 5.53 5.75 2.72 2.85 0.23 7.46 7.68 4.65 4.78 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42145 Repair palate pharynx/uvula A 9.78 10.00NA 10.74NA 10.00 10.74 1.25 21.03 21.77 21.03 21.77 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42160 Treatment mouth roof lesion A 1.85 4.85 4.91 2.37 2.43 0.24 6.94 7.00 4.46 4.52 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42180 Repair palate A 2.55 4.00 3.99 2.39 2.38 0.33 6.88 6.87 5.27 5.26 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42182 Repair palate A 3.87 5.21 5.48 3.41 3.59 0.49 9.57 9.84 7.77 7.95 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4220F Digoxin thxpy for >= 6 mons I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42200 Reconstruct cleft palate A 12.53 11.67NA 12.21NA 11.67 12.21 1.61 25.81 26.35 25.81 26.35 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42205 Reconstruct cleft palate A 13.66 12.84NA 14.40NA 12.84 14.40 1.77 28.27 29.83 28.27 29.83 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 4221F Diuretic thxpy for >= 6 mons I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42210 Reconstruct cleft palate A 15.03 13.28NA 13.70NA 13.28 13.70 2.97 31.28 31.70 31.28 31.70 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42215 Reconstruct cleft palate A 8.99 10.57NA 11.47NA 10.57 11.47 1.78 21.34 22.24 21.34 22.24 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42220 Reconstruct cleft palate A 7.16 7.93NA 8.33NA 7.93 8.33 0.50 15.59 15.99 15.59 15.99 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42225 Reconstruct cleft palate A 9.77 16.11NA 15.88NA 16.11 15.88 1.25 27.13 26.90 27.13 26.90 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42226 Lengthening of palate A 10.35 15.52NA 15.73NA 15.52 15.73 1.32 27.19 27.40 27.19 27.40 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42227 Lengthening of palate A 9.90 14.80NA 14.55NA 14.80 14.55 1.27 25.97 25.72 25.97 25.72 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42235 Repair palate A 8.01 12.97NA 13.44NA 12.97 13.44 1.03 22.01 22.48 22.01 22.48 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42260 Repair nose to lip fistula A 10.22 12.71 13.43 8.34 8.96 1.31 24.24 24.96 19.87 20.49 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42280 Preparation palate mold A 1.59 2.86 3.08 1.36 1.57 0.34 4.79 5.01 3.29 3.50 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42281 Insertion palate prosthesis A 1.98 3.79 4.01 2.29 2.42 0.26 6.03 6.25 4.53 4.66 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42299 Palate/uvula surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 4230F Anticonv thxpy for >= 6 mons I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42300 Drainage of salivary gland A 1.98 3.92 4.12 2.31 2.46 0.27 6.17 6.37 4.56 4.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42305 Drainage of salivary gland A 6.31 5.68NA 6.07NA 5.68 6.07 0.86 12.85 13.24 12.85 13.24 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42310 Drainage of salivary gland A 1.61 2.96 3.12 1.90 2.03 0.22 4.79 4.95 3.73 3.86 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42320 Drainage of salivary gland A 2.40 4.68 4.93 2.57 2.73 0.31 7.39 7.64 5.28 5.44 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42330 Removal of salivary stone A 2.26 4.30 4.50 2.37 2.54 0.30 6.86 7.06 4.93 5.10 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42335 Removal of salivary stone A 3.41 7.16 7.52 3.87 4.11 0.42 10.99 11.35 7.70 7.94 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42340 Removal of salivary stone A 4.72 8.36 8.77 4.75 5.06 0.61 13.69 14.10 10.08 10.39 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4240F Instr xrcz 4bk pn >12 weeks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42400 Biopsy of salivary gland A 0.78 2.31 2.32 0.82 0.82 0.08 3.17 3.18 1.68 1.68 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 42405 Biopsy of salivary gland A 3.34 5.07 5.24 2.98 3.16 0.42 8.83 9.00 6.74 6.92 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42408 Excision of salivary cyst A 4.66 8.18 8.64 4.55 4.91 0.60 13.44 13.90 9.81 10.17 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42409 Drainage of salivary cyst A 2.91 6.54 6.88 3.39 3.59 0.37 9.82 10.16 6.67 6.87 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42410 Excise parotid gland/lesion A 9.57 7.58NA 8.17NA 7.58 8.17 1.44 18.59 19.18 18.59 19.18 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42415 Excise parotid gland/lesion A 18.12 12.73NA 13.79NA 12.73 13.79 2.42 33.27 34.33 33.27 34.33 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4242F Sprvsd xrcz bk pn >12 weeks I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42420 Excise parotid gland/lesion A 21.00 14.28NA 15.51NA 14.28 15.51 2.83 38.11 39.34 38.11 39.34 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42425 Excise parotid gland/lesion A 13.42 9.89NA 10.61NA 9.89 10.61 1.84 25.15 25.87 25.15 25.87 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42426 Excise parotid gland/lesion A 22.66 14.89NA 16.10NA 14.89 16.10 3.12 40.67 41.88 40.67 41.88 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42440 Excise submaxillary gland A 7.13 5.88NA 6.34NA 5.88 6.34 0.95 13.96 14.42 13.96 14.42 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4245F Pt instr nrml lifest M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42450 Excise sublingual gland A 4.74 8.01 8.40 5.35 5.68 0.64 13.39 13.78 10.73 11.06 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4248F Pt instr no bd rest>= 4 days M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4250F Wrmng 4 surg normothermia M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42500 Repair salivary duct A 4.42 7.77 8.15 5.20 5.51 0.60 12.79 13.17 10.22 10.53 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42505 Repair salivary duct A 6.32 9.32 9.80 6.44 6.85 0.80 16.44 16.92 13.56 13.97 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42507 Parotid duct diversion A 6.25 8.33NA 8.74NA 8.33 8.74 0.80 15.38 15.79 15.38 15.79 0090.09.81.1022200 33.9764 090 99 0.00 0.00 0.00 42508 Parotid duct diversion A 9.33 10.55NA 10.70NA 10.55 10.70 1.20 21.08 21.23 21.08 21.23 0090.09.81.1022200 33.9764 090 99 0.00 0.00 0.00 42509 Parotid duct diversion A 11.76 10.44NA 10.13NA 10.44 10.13 2.30 24.50 24.19 24.50 24.19 0090.09.81.1022000 33.9764 090 99 0.00 0.00 0.00 42510 Parotid duct diversion A 8.35 9.43NA 9.97NA 9.43 9.97 1.08 18.86 19.40 18.86 19.40 0090.09.81.1022210 33.9764 090 99 0.00 0.00 0.00 4255F Anesth 60+ min as docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42550 Injection for salivary x-ray A 1.25 2.74 2.42 0.52 0.47 0.11 4.10 3.78 1.88 1.83 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 4256F Anesthe <60 min as docd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4260F Wound srfc culturetech used I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42600 Closure of salivary fistula A 4.94 8.72 9.08 4.94 5.21 0.64 14.30 14.66 10.52 10.79 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4261F Tech other than surfc cultr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4265F Wet-dry dressings rx recmd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42650 Dilation of salivary duct A 0.77 1.59 1.67 0.89 0.94 0.10 2.46 2.54 1.76 1.81 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 4266F No wet-dry drssings rx recmd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42660 Dilation of salivary duct A 1.13 1.87 1.97 1.05 1.13 0.14 3.14 3.24 2.32 2.40 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 42665 Ligation of salivary duct A 2.63 6.27 6.59 3.24 3.42 0.34 9.24 9.56 6.21 6.39 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 4267F Comprssion thxpy prescribed M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4268F Pt ed re comp thxpy rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4269F Appropos mthd offloading Rxd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42699 Salivary surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 4270F Pt rcvng anti r-viral thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42700 Drainage of tonsil abscess A 1.67 3.69 3.84 2.17 2.27 0.23 5.59 5.74 4.07 4.17 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 4271F Pt rcvng anti r-viral thxpy M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42720 Drainage of throat abscess A 6.31 6.40 6.84 4.65 5.04 0.83 13.54 13.98 11.79 12.18 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42725 Drainage of throat abscess A 12.41 10.25NA 11.08NA 10.25 11.08 1.59 24.25 25.08 24.25 25.08 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4274F Flu immuno admind rcvd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4275F Hep b vac inj admin/rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4276F Potent antivir thxpy Rxd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4279F PCP prophylaxis Rxd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4280F PCP prophylax Rxd 3mon low % M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42800 Biopsy of throat A 1.44 3.06 3.20 1.73 1.83 0.20 4.70 4.84 3.37 3.47 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42802 Biopsy of throat A 1.59 5.21 5.20 2.24 2.29 0.22 7.02 7.01 4.05 4.10 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42804 Biopsy of upper nose/throat A 1.29 4.46 4.50 1.98 2.04 0.16 5.91 5.95 3.43 3.49 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42806 Biopsy of upper nose/throat A 1.63 4.79 4.85 2.16 2.23 0.22 6.64 6.70 4.01 4.08 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42808 Excise pharynx lesion A 2.35 4.10 4.29 2.24 2.37 0.30 6.75 6.94 4.89 5.02 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42809 Remove pharynx foreign body A 1.86 2.91 3.04 1.77 1.90 0.27 5.04 5.17 3.90 4.03 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 42810 Excision of neck cyst A 3.38 7.69 8.02 4.80 5.10 0.42 11.49 11.82 8.60 8.90 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42815 Excision of neck cyst A 7.31 8.32NA 8.83NA 8.32 8.83 1.01 16.64 17.15 16.64 17.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42820 Remove tonsils and adenoids A 4.22 3.96NA 4.23NA 3.96 4.23 0.53 8.71 8.98 8.71 8.98 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42821 Remove tonsils and adenoids A 4.36 4.15NA 4.42NA 4.15 4.42 0.56 9.07 9.34 9.07 9.34 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42825 Removal of tonsils A 3.51 3.91NA 4.13NA 3.91 4.13 0.44 7.86 8.08 7.86 8.08 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42826 Removal of tonsils A 3.45 3.66NA 3.88NA 3.66 3.88 0.44 7.55 7.77 7.55 7.77 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42830 Removal of adenoids A 2.65 3.22NA 3.41NA 3.22 3.41 0.34 6.21 6.40 6.21 6.40 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42831 Removal of adenoids A 2.81 3.53NA 3.72NA 3.53 3.72 0.35 6.69 6.88 6.69 6.88 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42835 Removal of adenoids A 2.38 2.66NA 2.58NA 2.66 2.58 0.30 5.34 5.26 5.34 5.26 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42836 Removal of adenoids A 3.26 3.57NA 3.76NA 3.57 3.76 0.41 7.24 7.43 7.24 7.43 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42842 Extensive surgery of throat A 12.23 15.65NA 16.75NA 15.65 16.75 1.58 29.46 30.56 29.46 30.56 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42844 Extensive surgery of throat A 17.78 20.73NA 21.98NA 20.73 21.98 2.27 40.78 42.03 40.78 42.03 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42845 Extensive surgery of throat A 32.56 29.54NA 31.77NA 29.54 31.77 4.18 66.28 68.51 66.28 68.51 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42860 Excision of tonsil tags A 2.30 3.04NA 3.20NA 3.04 3.20 0.30 5.64 5.80 5.64 5.80 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42870 Excision of lingual tonsil A 5.52 11.02NA 11.41NA 11.02 11.41 0.71 17.25 17.64 17.25 17.64 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 42890 Partial removal of pharynx A 19.13 20.24NA 21.85NA 20.24 21.85 2.52 41.89 43.50 41.89 43.50 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42892 Revision of pharyngeal walls A 26.03 25.83NA 28.30NA 25.83 28.30 3.42 55.28 57.75 55.28 57.75 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42894 Revision of pharyngeal walls A 33.92 31.75NA 34.51NA 31.75 34.51 4.42 70.09 72.85 70.09 72.85 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4290F Pt scrned for inj drug use M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42900 Repair throat wound A 5.29 4.24NA 4.56NA 4.24 4.56 0.68 10.21 10.53 10.21 10.53 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 4293F Pt scrnd hgh-risk sex behav M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 42950 Reconstruction of throat A 8.27 14.28NA 14.73NA 14.28 14.73 1.14 23.69 24.14 23.69 24.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 42953 Repair throat esophagus A 9.45 18.03NA 18.18NA 18.03 18.18 1.31 28.79 28.94 28.79 28.94 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42955 Surgical opening of throat A 8.01 13.29NA 13.95NA 13.29 13.95 1.03 22.33 22.99 22.33 22.99 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42960 Control throat bleeding A 2.38 2.38NA 2.53NA 2.38 2.53 0.31 5.07 5.22 5.07 5.22 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 42961 Control throat bleeding A 5.77 6.10NA 6.49NA 6.10 6.49 0.73 12.60 12.99 12.60 12.99 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42962 Control throat bleeding A 7.40 7.19NA 7.65NA 7.19 7.65 0.95 15.54 16.00 15.54 16.00 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42970 Control nose/throat bleeding A 5.82 5.13NA 5.56NA 5.13 5.56 0.84 11.79 12.22 11.79 12.22 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 42971 Control nose/throat bleeding A 6.60 6.27NA 6.72NA 6.27 6.72 0.84 13.71 14.16 13.71 14.16 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42972 Control nose/throat bleeding A 7.59 6.78NA 7.31NA 6.78 7.31 0.98 15.35 15.88 15.35 15.88 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 42999 Throat surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4300F Pt rcvng warf thxpy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4301F Pt not rcvng warf thxpy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43020 Incision of esophagus A 8.23 6.60NA 7.45NA 6.60 7.45 1.06 15.89 16.74 15.89 16.74 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43030 Throat muscle surgery A 7.99 6.44NA 6.87NA 6.44 6.87 1.17 15.60 16.03 15.60 16.03 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43045 Incision of esophagus A 21.88 12.36NA 12.19NA 12.36 12.19 5.12 39.36 39.19 39.36 39.19 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4305F Pt ed re ft care inspct rcvd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 4306F Pt tlk psych & Rx opd addic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43100 Excision of esophagus lesion A 9.66 7.78NA 8.55NA 7.78 8.55 1.24 18.68 19.45 18.68 19.45 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43101 Excision of esophagus lesion A 17.07 9.37NA 9.25NA 9.37 9.25 4.00 30.44 30.32 30.44 30.32 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43107 Removal of esophagus A 44.18 22.09NA 22.68NA 22.09 22.68 9.87 76.14 76.73 76.14 76.73 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43108 Removal of esophagus A 82.87 34.84NA 40.18NA 34.84 40.18 17.67 135.38 140.72 135.38 140.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43112 Removal of esophagus A 47.48 22.52NA 22.60NA 22.52 22.60 10.77 80.77 80.85 80.77 80.85 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43113 Removal of esophagus A 80.06 36.45NA 40.33NA 36.45 40.33 17.08 133.59 137.47 133.59 137.47 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43116 Partial removal of esophagus A 92.99 47.38NA 58.31NA 47.38 58.31 11.94 152.31 163.24 152.31 163.24 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43117 Partial removal of esophagus A 43.65 20.55NA 20.83NA 20.55 20.83 9.87 74.07 74.35 74.07 74.35 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43118 Partial removal of esophagus A 67.07 29.22NA 33.31NA 29.22 33.31 14.30 110.59 114.68 110.59 114.68 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43121 Partial removal of esophagus A 51.43 22.40NA 23.09NA 22.40 23.09 12.03 85.86 86.55 85.86 86.55 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43122 Partial removal of esophagus A 44.18 21.55NA 22.65NA 21.55 22.65 9.64 75.37 76.47 75.37 76.47 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43123 Partial removal of esophagus A 83.12 35.76NA 41.66NA 35.76 41.66 17.71 136.59 142.49 136.59 142.49 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43124 Removal of esophagus A 69.09 32.16NA 36.43NA 32.16 36.43 16.18 117.43 121.70 117.43 121.70 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43130 Removal of esophagus pouch A 12.53 9.05NA 9.62NA 9.05 9.62 1.99 23.57 24.14 23.57 24.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43135 Removal of esophagus pouch A 26.17 12.63NA 13.16NA 12.63 13.16 5.97 44.77 45.30 44.77 45.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4320F Pt talk psychsoc&rx oh dpnd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43200 Esophagus endoscopy A 1.59 4.57 4.53 1.31 1.38 0.23 6.39 6.35 3.13 3.20 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43201 Esoph scope w/submucous inj A 2.09 6.34 6.20 1.48 1.49 0.30 8.73 8.59 3.87 3.88 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43202 Esophagus endoscopy biopsy A 1.89 6.18 6.04 1.27 1.32 0.29 8.36 8.22 3.45 3.50 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43204 Esoph scope w/sclerosis inj A 3.76 2.32NA 2.28NA 2.32 2.28 0.59 6.67 6.63 6.67 6.63 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43205 Esophagus endoscopy/ligation A 3.78 2.39NA 2.40NA 2.39 2.40 0.56 6.73 6.74 6.73 6.74 0000.00.00.0030000 43200 33.9764 090 99 0.00 0.00 0.00 43215 Esophagus endoscopy A 2.60 1.62NA 1.67NA 1.62 1.67 0.41 4.63 4.68 4.63 4.68 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43216 Esophagus endoscopy/lesion A 2.40 3.38 3.65 1.55 1.59 0.35 6.13 6.40 4.30 4.34 0000.00.00.0030000 43200 33.9764 090 99 0.00 0.00 0.00 43217 Esophagus endoscopy A 2.90 7.80 7.64 1.74 1.81 0.49 11.19 11.03 5.13 5.20 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43219 Esophagus endoscopy A 2.80 1.87NA 1.87NA 1.87 1.87 0.48 5.15 5.15 5.15 5.15 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43220 Esoph endoscopy dilation A 2.10 1.40NA 1.44NA 1.40 1.44 0.31 3.81 3.85 3.81 3.85 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43226 Esoph endoscopy dilation A 2.34 1.54NA 1.55NA 1.54 1.55 0.37 4.25 4.26 4.25 4.26 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43227 Esoph endoscopy repair A 3.59 2.18NA 2.22NA 2.18 2.22 0.54 6.31 6.35 6.31 6.35 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43228 Esoph endoscopy ablation A 3.76 2.35NA 2.38NA 2.35 2.38 0.59 6.70 6.73 6.70 6.73 0000.00.00.0030100 43200 33.9764 090 99 0.00 0.00 0.00 43231 Esoph endoscopy w/us exam A 3.19 2.05NA 2.06NA 2.05 2.06 0.48 5.72 5.73 5.72 5.73 0000.00.00.0030020 43235 33.9764 090 99 0.00 0.00 0.00 43232 Esoph endoscopy w/us fn bx A 4.47 2.72NA 2.73NA 2.72 2.73 0.69 7.88 7.89 7.88 7.89 0000.00.00.0030020 43235 33.9764 090 99 0.00 0.00 0.00 43234 Upper gi endoscopy exam A 2.01 5.93 5.77 1.27 1.32 0.34 8.28 8.12 3.62 3.67 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43235 Uppr gi endoscopy diagnosis A 2.39 6.01 5.71 1.60 1.61 0.37 8.77 8.47 4.36 4.37 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43236 Uppr gi scope w/submuc inj A 2.92 7.53 7.11 1.93 1.92 0.42 10.87 10.45 5.27 5.26 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43237 Endoscopic us exam esoph A 3.98 2.50NA 2.49NA 2.50 2.49 0.60 7.08 7.07 7.08 7.07 0000.00.00.0030000 43235 33.9764 090 99 0.00 0.00 0.00 43238 Uppr gi endoscopy w/us fn bx A 5.02 3.06NA 3.03NA 3.06 3.03 0.75 8.83 8.80 8.83 8.80 0000.00.00.0030000 43235 33.9764 090 99 0.00 0.00 0.00 43239 Upper gi endoscopy biopsy A 2.87 6.87 6.57 1.85 1.87 0.42 10.16 9.86 5.14 5.16 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 4324F Pt queried prkns complic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43240 Esoph endoscope w/drain cyst A 6.85 4.04NA 4.07NA 4.04 4.07 1.03 11.92 11.95 11.92 11.95 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43241 Upper GI endoscopy with tube A 2.59 1.69NA 1.71NA 1.69 1.71 0.39 4.67 4.69 4.67 4.69 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43242 Uppr gi endoscopy w/us fn bx A 7.30 4.35NA 4.36NA 4.35 4.36 1.08 12.73 12.74 12.73 12.74 0000.00.00.0030000 43235 33.9764 090 99 0.00 0.00 0.00 43243 Upper gi endoscopy & inject A 4.56 2.80NA 2.80NA 2.80 2.80 0.68 8.04 8.04 8.04 8.04 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43244 Upper GI endoscopy/ligation A 5.04 3.11NA 3.11NA 3.11 3.11 0.73 8.88 8.88 8.88 8.88 0000.00.00.0030000 43235 33.9764 090 99 0.00 0.00 0.00 43245 Uppr gi scope dilate strictr A 3.18 1.97NA 2.00NA 1.97 2.00 0.50 5.65 5.68 5.65 5.68 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43246 Place gastrostomy tube A 4.32 2.55NA 2.58NA 2.55 2.58 0.69 7.56 7.59 7.56 7.59 0000.00.00.0030020 43235 33.9764 090 99 0.00 0.00 0.00 43247 Operative upper GI endoscopy A 3.38 2.12NA 2.14NA 2.12 2.14 0.52 6.02 6.04 6.02 6.04 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43248 Uppr gi endoscopy/guide wire A 3.15 2.06NA 2.06NA 2.06 2.06 0.45 5.66 5.66 5.66 5.66 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43249 Esoph endoscopy dilation A 2.90 1.90NA 1.90NA 1.90 1.90 0.42 5.22 5.22 5.22 5.22 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 4325F Med txmnt options rvwd w/pt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43250 Upper GI endoscopy/tumor A 3.20 1.95NA 1.99NA 1.95 1.99 0.52 5.67 5.71 5.67 5.71 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43251 Operative upper GI endoscopy A 3.69 2.30NA 2.32NA 2.30 2.32 0.56 6.55 6.57 6.55 6.57 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43255 Operative upper GI endoscopy A 4.81 2.97NA 2.97NA 2.97 2.97 0.71 8.49 8.49 8.49 8.49 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43256 Uppr gi endoscopy w/stent A 4.34 2.64NA 2.63NA 2.64 2.63 0.68 7.66 7.65 7.66 7.65 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43257 Uppr gi scope w/thrml txmnt A 5.50 3.26NA 3.45NA 3.26 3.45 0.80 9.56 9.75 9.56 9.75 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43258 Operative upper GI endoscopy A 4.54 2.80NA 2.81NA 2.80 2.81 0.68 8.02 8.03 8.02 8.03 0000.00.00.0030100 43235 33.9764 090 99 0.00 0.00 0.00 43259 Endoscopic ultrasound exam A 5.19 3.19NA 3.19NA 3.19 3.19 0.75 9.13 9.13 9.13 9.13 0000.00.00.0030000 43235 33.9764 090 99 0.00 0.00 0.00 4326F Pt asked re symp auto dysfxn I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43260 Endo cholangiopancreatograph A 5.95 3.60NA 3.60NA 3.60 3.60 0.87 10.42 10.42 10.42 10.42 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43261 Endo cholangiopancreatograph A 6.26 3.78NA 3.78NA 3.78 3.78 0.91 10.95 10.95 10.95 10.95 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43262 Endo cholangiopancreatograph A 7.38 4.40NA 4.40NA 4.40 4.40 1.09 12.87 12.87 12.87 12.87 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43263 Endo cholangiopancreatograph A 7.28 4.33NA 4.27NA 4.33 4.27 1.08 12.69 12.63 12.69 12.63 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43264 Endo cholangiopancreatograph A 8.89 5.25NA 5.24NA 5.25 5.24 1.31 15.45 15.44 15.45 15.44 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43265 Endo cholangiopancreatograph A 10.00 5.85NA 5.84NA 5.85 5.84 1.48 17.33 17.32 17.33 17.32 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43267 Endo cholangiopancreatograph A 7.38 4.35NA 4.35NA 4.35 4.35 1.09 12.82 12.82 12.82 12.82 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43268 Endo cholangiopancreatograph A 7.38 4.57NA 4.56NA 4.57 4.56 1.09 13.04 13.03 13.04 13.03 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43269 Endo cholangiopancreatograph A 8.20 4.85NA 4.85NA 4.85 4.85 1.21 14.26 14.26 14.26 14.26 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43271 Endo cholangiopancreatograph A 7.38 4.39NA 4.39NA 4.39 4.39 1.09 12.86 12.86 12.86 12.86 0000.00.00.0030100 43260 33.9764 090 99 0.00 0.00 0.00 43272 Endo cholangiopancreatograph A 7.38 4.40NA 4.43NA 4.40 4.43 1.09 12.87 12.90 12.87 12.90 0000.00.00.0030000 43260 33.9764 090 99 0.00 0.00 0.00 43273 Endoscopic pancreatoscopy A 2.24 1.28NA 1.24NA 1.28 1.24 0.33 3.85 3.81 3.85 3.81 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 43279 Lap myotomy heller A 22.10 10.96NA 12.01NA 10.96 12.01 4.71 37.77 38.82 37.77 38.82 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4328F Pt asked re sleep disturb I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43280 Laparoscopy fundoplasty A 18.10 9.52NA 10.40NA 9.52 10.40 3.85 31.47 32.35 31.47 32.35 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43281 Lap paraesophag hern repair A 26.60 14.10NA 14.10NA 14.10 14.10 5.66 46.36 46.36 46.36 46.36 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43282 Lap paraesoph her rpr w/mesh A 30.10 15.61NA 15.61NA 15.61 15.61 6.38 52.09 52.09 52.09 52.09 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43283 Lap esoph lengthening A 2.95 1.28NA 1.28NA 1.28 1.28 0.60 4.83 4.83 4.83 4.83 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 43289 Laparoscope proc esoph C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 4330F Cnslng epi spec sfty issues I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43300 Repair of esophagus A 9.33 7.85NA 8.56NA 7.85 8.56 1.20 18.38 19.09 18.38 19.09 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43305 Repair esophagus and fistula A 18.10 12.42NA 13.55NA 12.42 13.55 2.31 32.83 33.96 32.83 33.96 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43310 Repair of esophagus A 26.26 12.78NA 12.44NA 12.78 12.44 6.14 45.18 44.84 45.18 44.84 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43312 Repair esophagus and fistula A 29.25 13.17NA 12.29NA 13.17 12.29 6.86 49.28 48.40 49.28 48.40 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43313 Esophagoplasty congenital A 48.45 23.58NA 26.00NA 23.58 26.00 11.35 83.38 85.80 83.38 85.80 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43314 Tracheo-esophagoplasty cong A 53.43 24.78NA 23.14NA 24.78 23.14 6.87 85.08 83.44 85.08 83.44 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43320 Fuse esophagus & stomach A 23.31 12.52NA 13.36NA 12.52 13.36 4.98 40.81 41.65 40.81 41.65 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43325 Revise esophagus & stomach A 22.60 11.55NA 12.35NA 11.55 12.35 4.83 38.98 39.78 38.98 39.78 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43327 Esoph fundoplasty lap A 13.35 8.12NA 8.12NA 8.12 8.12 2.84 24.31 24.31 24.31 24.31 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43328 Esoph fundoplasty thor A 19.91 10.82NA 10.82NA 10.82 10.82 4.98 35.71 35.71 35.71 35.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43330 Esophagomyotomy abdominal A 22.19 11.43NA 12.41NA 11.43 12.41 4.78 38.40 39.38 38.40 39.38 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43331 Esophagomyotomy thoracic A 23.06 12.36NA 12.26NA 12.36 12.26 5.40 40.82 40.72 40.82 40.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43332 Transab esoph hiat hern rpr A 19.62 11.02NA 11.02NA 11.02 11.02 4.18 34.82 34.82 34.82 34.82 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43333 Transab esoph hiat hern rpr A 21.46 11.80NA 11.80NA 11.80 11.80 4.55 37.81 37.81 37.81 37.81 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43334 Transthor diaphrag hern rpr A 22.12 11.39NA 11.39NA 11.39 11.39 4.71 38.22 38.22 38.22 38.22 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43335 Transthor diaphrag hern rpr A 23.97 12.13NA 12.13NA 12.13 12.13 5.08 41.18 41.18 41.18 41.18 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43336 Thorabd diaphr hern repair A 25.81 13.46NA 13.46NA 13.46 13.46 5.85 45.12 45.12 45.12 45.12 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43337 Thorabd diaphr hern repair A 27.65 15.33NA 15.33NA 15.33 15.33 6.27 49.25 49.25 49.25 49.25 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43338 Esoph lengthening A 2.21 1.30NA 1.30NA 1.30 1.30 0.50 4.01 4.01 4.01 4.01 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 43340 Fuse esophagus & intestine A 22.99 12.17NA 13.22NA 12.17 13.22 4.90 40.06 41.11 40.06 41.11 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43341 Fuse esophagus & intestine A 24.23 14.11NA 14.80NA 14.11 14.80 5.68 44.02 44.71 44.02 44.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43350 Surgical opening esophagus A 19.49 12.38NA 14.42NA 12.38 14.42 4.15 36.02 38.06 36.02 38.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43351 Surgical opening esophagus A 22.05 12.18NA 11.96NA 12.18 11.96 5.16 39.39 39.17 39.39 39.17 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43352 Surgical opening esophagus A 17.81 10.27NA 10.15NA 10.27 10.15 4.16 32.24 32.12 32.24 32.12 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43360 Gastrointestinal repair A 40.11 18.95NA 18.71NA 18.95 18.71 9.40 68.46 68.22 68.46 68.22 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43361 Gastrointestinal repair A 45.68 20.83NA 20.54NA 20.83 20.54 9.74 76.25 75.96 76.25 75.96 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 4340F Cnslng chldbrng women epi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43400 Ligate esophagus veins A 25.60 15.61NA 14.35NA 15.61 14.35 3.77 44.98 43.72 44.98 43.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43401 Esophagus surgery for veins A 26.49 12.33NA 12.50NA 12.33 12.50 5.65 44.47 44.64 44.47 44.64 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43405 Ligate/staple esophagus A 24.73 14.52NA 15.88NA 14.52 15.88 5.28 44.53 45.89 44.53 45.89 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43410 Repair esophagus wound A 16.41 10.61NA 11.38NA 10.61 11.38 3.84 30.86 31.63 30.86 31.63 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43415 Repair esophagus wound A 28.91 15.65NA 16.29NA 15.65 16.29 6.60 51.16 51.80 51.16 51.80 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43420 Repair esophagus opening A 16.78 11.20NA 12.74NA 11.20 12.74 2.15 30.13 31.67 30.13 31.67 0090.09.81.1020010 33.9764 090 99 0.00 0.00 0.00 43425 Repair esophagus opening A 25.04 14.40NA 15.15NA 14.40 15.15 5.35 44.79 45.54 44.79 45.54 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43450 Dilate esophagus A 1.38 3.04 2.89 1.08 1.07 0.22 4.64 4.49 2.68 2.67 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43453 Dilate esophagus A 1.51 6.99 6.56 1.15 1.14 0.23 8.73 8.30 2.89 2.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43456 Dilate esophagus A 2.57 14.72 13.78 1.70 1.72 0.38 17.67 16.73 4.65 4.67 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43458 Dilate esophagus A 3.06 7.94 7.65 1.94 1.97 0.45 11.45 11.16 5.45 5.48 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43460 Pressure treatment esophagus A 3.79 2.31NA 2.43NA 2.31 2.43 0.54 6.64 6.76 6.64 6.76 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43496 Free jejunum flap microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43499 Esophagus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 43500 Surgical opening of stomach A 12.79 7.22NA 7.91NA 7.22 7.91 2.71 22.72 23.41 22.72 23.41 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43501 Surgical repair of stomach A 22.60 11.55NA 12.76NA 11.55 12.76 4.78 38.93 40.14 38.93 40.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43502 Surgical repair of stomach A 25.69 12.92NA 14.34NA 12.92 14.34 5.47 44.08 45.50 44.08 45.50 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43510 Surgical opening of stomach A 15.14 10.29NA 11.35NA 10.29 11.35 2.22 27.65 28.71 27.65 28.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43520 Incision of pyloric muscle A 11.29 6.52NA 6.80NA 6.52 6.80 2.50 20.31 20.59 20.31 20.59 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43605 Biopsy of stomach A 13.72 7.68NA 8.63NA 7.68 8.63 2.87 24.27 25.22 24.27 25.22 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43610 Excision of stomach lesion A 16.34 8.59NA 9.48NA 8.59 9.48 3.46 28.39 29.28 28.39 29.28 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43611 Excision of stomach lesion A 20.38 10.67NA 11.74NA 10.67 11.74 4.30 35.35 36.42 35.35 36.42 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43620 Removal of stomach A 34.04 15.97NA 17.55NA 15.97 17.55 7.25 57.26 58.84 57.26 58.84 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43621 Removal of stomach A 39.53 17.83NA 19.86NA 17.83 19.86 8.41 65.77 67.80 65.77 67.80 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43622 Removal of stomach A 40.03 18.12NA 20.28NA 18.12 20.28 8.55 66.70 68.86 66.70 68.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43631 Removal of stomach partial A 24.51 12.36NA 13.61NA 12.36 13.61 5.20 42.07 43.32 42.07 43.32 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43632 Removal of stomach partial A 35.14 15.96NA 18.15NA 15.96 18.15 7.42 58.52 60.71 58.52 60.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43633 Removal of stomach partial A 33.14 15.31NA 17.31NA 15.31 17.31 7.00 55.45 57.45 55.45 57.45 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43634 Removal of stomach partial A 36.64 16.89NA 19.10NA 16.89 19.10 7.81 61.34 63.55 61.34 63.55 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43635 Removal of stomach partial A 2.06 0.80NA 0.88NA 0.80 0.88 0.42 3.28 3.36 3.28 3.36 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 43640 Vagotomy & pylorus repair A 19.56 10.39NA 11.52NA 10.39 11.52 4.12 34.07 35.20 34.07 35.20 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43641 Vagotomy & pylorus repair A 19.81 10.53NA 11.78NA 10.53 11.78 4.22 34.56 35.81 34.56 35.81 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43644 Lap gastric bypass/roux-en-y A 29.40 14.69NA 16.12NA 14.69 16.12 6.22 50.31 51.74 50.31 51.74 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43645 Lap gastr bypass incl smll i A 31.53 15.51NA 17.07NA 15.51 17.07 6.74 53.78 55.34 53.78 55.34 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43647 Lap impl electrode antrum C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 43648 Lap revise/remv eltrd antrum C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 43651 Laparoscopy vagus nerve A 10.13 6.53NA 7.14NA 6.53 7.14 2.16 18.82 19.43 18.82 19.43 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 43652 Laparoscopy vagus nerve A 12.13 7.30NA 8.01NA 7.30 8.01 2.59 22.02 22.73 22.02 22.73 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 43653 Laparoscopy gastrostomy A 8.48 6.06NA 6.63NA 6.06 6.63 1.81 16.35 16.92 16.35 16.92 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43659 Laparoscope proc stom C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 43752 Nasal/orogastric w/stent A 0.81 0.33NA 0.32NA 0.33 0.32 0.08 1.22 1.21 1.22 1.21 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 43753 Tx gastro intub w/asp A 0.45 0.13NA 0.13NA 0.13 0.13 0.03 0.61 0.61 0.61 0.61 0000.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 43754 Dx gastr intub w/asp spec A 0.45 1.83 1.83 0.44 0.44 0.04 2.32 2.32 0.93 0.93 0000.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 43755 Dx gastr intub w/asp specs A 0.94 2.52 2.52 0.68 0.68 0.08 3.54 3.54 1.70 1.70 0000.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 43756 Dx duod intub w/asp spec A 0.77 5.60 5.60 0.71 0.71 0.05 6.42 6.42 1.53 1.53 0000.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 43757 Dx duod intub w/asp specs A 1.26 6.92 6.92 0.87 0.87 0.08 8.26 8.26 2.21 2.21 0000.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 43760 Change gastrostomy tube A 0.90 10.85 12.27 0.43 0.41 0.14 11.89 13.31 1.47 1.45 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43761 Reposition gastrostomy tube A 2.01 1.30 1.21 0.87 0.83 0.24 3.55 3.46 3.12 3.08 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 43770 Lap place gastr adj device A 18.00 10.49NA 11.50NA 10.49 11.50 3.81 32.30 33.31 32.30 33.31 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43771 Lap revise gastr adj device A 20.79 11.58NA 12.74NA 11.58 12.74 4.44 36.81 37.97 36.81 37.97 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 43772 Lap rmvl gastr adj device A 15.70 8.67NA 9.47NA 8.67 9.47 3.36 27.73 28.53 27.73 28.53 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43773 Lap replace gastr adj device A 20.79 11.58NA 12.72NA 11.58 12.72 4.44 36.81 37.95 36.81 37.95 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43774 Lap rmvl gastr adj all parts A 15.76 8.69NA 9.48NA 8.69 9.48 3.36 27.81 28.60 27.81 28.60 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 43775 Lap sleeve gastrectomy N+ 21.56 12.08NA 12.08NA 12.08 12.08 4.60 38.24 38.24 38.24 38.24 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 43800 Reconstruction of pylorus A 15.43 8.20NA 8.98NA 8.20 8.98 3.31 26.94 27.72 26.94 27.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43810 Fusion of stomach and bowel A 16.88 8.85NA 9.84NA 8.85 9.84 3.59 29.32 30.31 29.32 30.31 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43820 Fusion of stomach and bowel A 22.53 11.26NA 12.74NA 11.26 12.74 4.76 38.55 40.03 38.55 40.03 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43825 Fusion of stomach and bowel A 21.76 11.37NA 12.66NA 11.37 12.66 4.64 37.77 39.06 37.77 39.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43830 Place gastrostomy tube A 10.85 7.04NA 7.68NA 7.04 7.68 2.23 20.12 20.76 20.12 20.76 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43831 Place gastrostomy tube A 8.49 6.71NA 7.29NA 6.71 7.29 1.81 17.01 17.59 17.01 17.59 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43832 Place gastrostomy tube A 17.34 9.63NA 10.37NA 9.63 10.37 3.58 30.55 31.29 30.55 31.29 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43840 Repair of stomach lesion A 22.83 11.42NA 12.89NA 11.42 12.89 4.82 39.07 40.54 39.07 40.54 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43842 V-band gastroplasty N+ 21.03 11.21NA 11.62NA 11.21 11.62 1.50 33.74 34.15 33.74 34.15 9090.09.81.1099999 33.9764 090 99 0.00 0.00 0.00 43843 Gastroplasty w/o v-band A 21.21 11.14NA 12.44NA 11.14 12.44 4.52 36.87 38.17 36.87 38.17 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 43845 Gastroplasty duodenal switch A 33.30 16.35NA 18.30NA 16.35 18.30 7.06 56.71 58.66 56.71 58.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43846 Gastric bypass for obesity A 27.41 14.06NA 15.51NA 14.06 15.51 5.80 47.27 48.72 47.27 48.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43847 Gastric bypass incl small i A 30.28 15.17NA 17.05NA 15.17 17.05 6.45 51.90 53.78 51.90 53.78 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43848 Revision gastroplasty A 32.75 16.27NA 18.02NA 16.27 18.02 6.94 55.96 57.71 55.96 57.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43850 Revise stomach-bowel fusion A 27.58 13.54NA 15.16NA 13.54 15.16 5.88 47.00 48.62 47.00 48.62 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43855 Revise stomach-bowel fusion A 28.69 14.11NA 15.64NA 14.11 15.64 6.11 48.91 50.44 48.91 50.44 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43860 Revise stomach-bowel fusion A 27.89 13.64NA 15.02NA 13.64 15.02 5.88 47.41 48.79 47.41 48.79 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43865 Revise stomach-bowel fusion A 29.05 14.22NA 15.80NA 14.22 15.80 6.19 49.46 51.04 49.46 51.04 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43870 Repair stomach opening A 11.44 6.72NA 7.40NA 6.72 7.40 2.35 20.51 21.19 20.51 21.19 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43880 Repair stomach-bowel fistula A 27.18 13.40NA 14.78NA 13.40 14.78 5.70 46.28 47.66 46.28 47.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43881 Impl/redo electrd antrum C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 43882 Revise/remove electrd antrum C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 43886 Revise gastric port open A 4.64 4.61NA 5.04NA 4.61 5.04 0.99 10.24 10.67 10.24 10.67 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 43887 Remove gastric port open A 4.32 4.06NA 4.40NA 4.06 4.40 0.91 9.29 9.63 9.29 9.63 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 43888 Change gastric port open A 6.44 5.31NA 5.79NA 5.31 5.79 1.37 13.12 13.60 13.12 13.60 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 43999 Stomach surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 4400F Rehab thxpy options w/pt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 44005 Freeing of bowel adhesion A 18.46 9.39NA 10.36NA 9.39 10.36 3.84 31.69 32.66 31.69 32.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44010 Incision of small bowel A 14.26 7.79NA 8.58NA 7.79 8.58 3.01 25.06 25.85 25.06 25.85 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44015 Insert needle cath bowel A 2.62 1.03NA 1.10NA 1.03 1.10 0.56 4.21 4.28 4.21 4.28 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44020 Explore small intestine A 16.22 8.52NA 9.43NA 8.52 9.43 3.40 28.14 29.05 28.14 29.05 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44021 Decompress small bowel A 16.31 8.69NA 9.55NA 8.69 9.55 3.44 28.44 29.30 28.44 29.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44025 Incision of large bowel A 16.51 8.65NA 9.56NA 8.65 9.56 3.43 28.59 29.50 28.59 29.50 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44050 Reduce bowel obstruction A 15.52 8.27NA 9.13NA 8.27 9.13 3.24 27.03 27.89 27.03 27.89 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44055 Correct malrotation of bowel A 25.63 12.29NA 13.63NA 12.29 13.63 5.42 43.34 44.68 43.34 44.68 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44100 Biopsy of bowel A 2.01 1.09NA 1.08NA 1.09 1.08 0.31 3.41 3.40 3.41 3.40 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44110 Excise intestine lesion(s) A 14.04 7.61NA 8.38NA 7.61 8.38 2.90 24.55 25.32 24.55 25.32 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44111 Excision of bowel lesion(s) A 16.52 8.56NA 9.45NA 8.56 9.45 3.44 28.52 29.41 28.52 29.41 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44120 Removal of small intestine A 20.82 10.25NA 11.39NA 10.25 11.39 4.33 35.40 36.54 35.40 36.54 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44121 Removal of small intestine A 4.44 1.75NA 1.92NA 1.75 1.92 0.90 7.09 7.26 7.09 7.26 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44125 Removal of small intestine A 20.03 10.11NA 11.20NA 10.11 11.20 4.07 34.21 35.30 34.21 35.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44126 Enterectomy w/o taper cong A 42.23 20.01NA 22.46NA 20.01 22.46 9.00 71.24 73.69 71.24 73.69 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44127 Enterectomy w/taper cong A 49.30 22.71NA 25.44NA 22.71 25.44 10.51 82.52 85.25 82.52 85.25 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44128 Enterectomy cong add-on A 4.44 1.76NA 1.93NA 1.76 1.93 0.93 7.13 7.30 7.13 7.30 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44130 Bowel to bowel fusion A 22.11 11.08NA 12.57NA 11.08 12.57 4.56 37.75 39.24 37.75 39.24 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44132 Enterectomy cadaver donor R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 44133 Enterectomy live donor R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 44135 Intestine transplnt cadaver R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 44136 Intestine transplant live R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 44137 Remove intestinal allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 44139 Mobilization of colon A 2.23 0.88NA 0.97NA 0.88 0.97 0.44 3.55 3.64 3.55 3.64 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44140 Partial removal of colon A 22.59 11.64NA 12.83NA 11.64 12.83 4.64 38.87 40.06 38.87 40.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44141 Partial removal of colon A 29.91 16.41NA 18.40NA 16.41 18.40 6.18 52.50 54.49 52.50 54.49 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44143 Partial removal of colon A 27.79 14.70NA 16.23NA 14.70 16.23 5.74 48.23 49.76 48.23 49.76 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44144 Partial removal of colon A 29.91 15.04NA 16.86NA 15.04 16.86 6.18 51.13 52.95 51.13 52.95 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44145 Partial removal of colon A 28.58 13.98NA 15.44NA 13.98 15.44 5.66 48.22 49.68 48.22 49.68 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44146 Partial removal of colon A 35.30 18.96NA 21.14NA 18.96 21.14 6.87 61.13 63.31 61.13 63.31 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44147 Partial removal of colon A 33.69 15.45NA 17.71NA 15.45 17.71 6.78 55.92 58.18 55.92 58.18 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44150 Removal of colon A 30.18 17.64NA 19.56NA 17.64 19.56 6.12 53.94 55.86 53.94 55.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44151 Removal of colon/ileostomy A 34.92 19.50NA 21.61NA 19.50 21.61 7.44 61.86 63.97 61.86 63.97 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44155 Removal of colon/ileostomy A 34.42 19.13NA 21.36NA 19.13 21.36 6.46 60.01 62.24 60.01 62.24 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44156 Removal of colon/ileostomy A 37.42 21.16NA 23.53NA 21.16 23.53 7.99 66.57 68.94 66.57 68.94 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44157 Colectomy w/ileoanal anast A 35.70 19.62NA 21.71NA 19.62 21.71 7.62 62.94 65.03 62.94 65.03 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44158 Colectomy w/neo-rectum pouch A 36.70 19.90NA 21.99NA 19.90 21.99 7.83 64.43 66.52 64.43 66.52 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44160 Removal of colon A 20.89 10.80NA 11.98NA 10.80 11.98 4.26 35.95 37.13 35.95 37.13 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44180 Lap enterolysis A 15.27 8.25NA 9.02NA 8.25 9.02 3.17 26.69 27.46 26.69 27.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44186 Lap jejunostomy A 10.38 6.33NA 6.82NA 6.33 6.82 2.22 18.93 19.42 18.93 19.42 0090.09.84.0720210 33.9764 090 99 0.00 0.00 0.00 44187 Lap ileo/jejuno-stomy A 17.40 11.17NA 12.24NA 11.17 12.24 3.31 31.88 32.95 31.88 32.95 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44188 Lap colostomy A 19.35 12.18NA 13.36NA 12.18 13.36 3.84 35.37 36.55 35.37 36.55 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44202 Lap enterectomy A 23.39 11.99NA 13.23NA 11.99 13.23 4.85 40.23 41.47 40.23 41.47 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44203 Lap resect s/intestine addl A 4.44 1.73NA 1.91NA 1.73 1.91 0.93 7.10 7.28 7.10 7.28 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44204 Laparo partial colectomy A 26.42 13.08NA 14.49NA 13.08 14.49 5.23 44.73 46.14 44.73 46.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44205 Lap colectomy part w/ileum A 22.95 11.49NA 12.71NA 11.49 12.71 4.50 38.94 40.16 38.94 40.16 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44206 Lap part colectomy w/stoma A 29.79 15.17NA 16.79NA 15.17 16.79 6.06 51.02 52.64 51.02 52.64 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44207 L colectomy/coloproctostomy A 31.92 15.08NA 16.79NA 15.08 16.79 6.18 53.18 54.89 53.18 54.89 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44208 L colectomy/coloproctostomy A 33.99 17.39NA 19.27NA 17.39 19.27 6.40 57.78 59.66 57.78 59.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44210 Laparo total proctocolectomy A 30.09 16.14NA 17.88NA 16.14 17.88 5.81 52.04 53.78 52.04 53.78 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44211 Lap colectomy w/proctectomy A 37.08 19.92NA 22.36NA 19.92 22.36 7.92 64.92 67.36 64.92 67.36 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44212 Laparo total proctocolectomy A 34.58 18.72NA 20.70NA 18.72 20.70 6.37 59.67 61.65 59.67 61.65 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44213 Lap mobil splenic fl add-on A 3.50 1.37NA 1.52NA 1.37 1.52 0.67 5.54 5.69 5.54 5.69 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44227 Lap close enterostomy A 28.62 14.08NA 15.58NA 14.08 15.58 5.84 48.54 50.04 48.54 50.04 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44238 Laparoscope proc intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 44300 Open bowel to skin A 13.75 7.74NA 8.48NA 7.74 8.48 2.91 24.40 25.14 24.40 25.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44310 Ileostomy/jejunostomy A 17.59 9.20NA 10.16NA 9.20 10.16 3.46 30.25 31.21 30.25 31.21 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44312 Revision of ileostomy A 9.43 6.04NA 6.44NA 6.04 6.44 1.71 17.18 17.58 17.18 17.58 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 44314 Revision of ileostomy A 16.74 9.35NA 10.18NA 9.35 10.18 3.16 29.25 30.08 29.25 30.08 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44316 Devise bowel pouch A 23.59 12.17NA 13.55NA 12.17 13.55 5.04 40.80 42.18 40.80 42.18 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44320 Colostomy A 19.91 10.78NA 11.91NA 10.78 11.91 4.07 34.76 35.89 34.76 35.89 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44322 Colostomy with biopsies A 13.32 12.23NA 13.37NA 12.23 13.37 2.84 28.39 29.53 28.39 29.53 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44340 Revision of colostomy A 9.28 6.66NA 7.35NA 6.66 7.35 1.88 17.82 18.51 17.82 18.51 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 44345 Revision of colostomy A 17.22 9.77NA 10.80NA 9.77 10.80 3.44 30.43 31.46 30.43 31.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44346 Revision of colostomy A 19.63 10.67NA 11.86NA 10.67 11.86 3.88 34.18 35.37 34.18 35.37 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44360 Small bowel endoscopy A 2.59 1.76NA 1.75NA 1.76 1.75 0.38 4.73 4.72 4.73 4.72 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44361 Small bowel endoscopy/biopsy A 2.87 1.92NA 1.91NA 1.92 1.91 0.41 5.20 5.19 5.20 5.19 0000.00.00.0030100 44360 33.9764 090 99 0.00 0.00 0.00 44363 Small bowel endoscopy A 3.49 2.19NA 2.23NA 2.19 2.23 0.52 6.20 6.24 6.20 6.24 0000.00.00.0030000 44360 33.9764 090 99 0.00 0.00 0.00 44364 Small bowel endoscopy A 3.73 2.37NA 2.37NA 2.37 2.37 0.54 6.64 6.64 6.64 6.64 0000.00.00.0030000 44360 33.9764 090 99 0.00 0.00 0.00 44365 Small bowel endoscopy A 3.31 2.13NA 2.14NA 2.13 2.14 0.49 5.93 5.94 5.93 5.94 0000.00.00.0030000 44360 33.9764 090 99 0.00 0.00 0.00 44366 Small bowel endoscopy A 4.40 2.77NA 2.77NA 2.77 2.77 0.64 7.81 7.81 7.81 7.81 0000.00.00.0030100 44360 33.9764 090 99 0.00 0.00 0.00 44369 Small bowel endoscopy A 4.51 2.82NA 2.83NA 2.82 2.83 0.65 7.98 7.99 7.98 7.99 0000.00.00.0030000 44360 33.9764 090 99 0.00 0.00 0.00 44370 Small bowel endoscopy/stent A 4.79 3.14NA 3.17NA 3.14 3.17 0.69 8.62 8.65 8.62 8.65 0000.00.00.0030000 44360 33.9764 090 99 0.00 0.00 0.00 44372 Small bowel endoscopy A 4.40 2.58NA 2.63NA 2.58 2.63 0.69 7.67 7.72 7.67 7.72 0000.00.00.0030100 44360 33.9764 090 99 0.00 0.00 0.00 44373 Small bowel endoscopy A 3.49 2.15NA 2.15NA 2.15 2.15 0.53 6.17 6.17 6.17 6.17 0000.00.00.0030100 44360 33.9764 090 99 0.00 0.00 0.00 44376 Small bowel endoscopy A 5.25 3.06NA 3.09NA 3.06 3.09 0.82 9.13 9.16 9.13 9.16 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 44377 Small bowel endoscopy/biopsy A 5.52 3.32NA 3.32NA 3.32 3.32 0.82 9.66 9.66 9.66 9.66 0000.00.00.0030000 44376 33.9764 090 99 0.00 0.00 0.00 44378 Small bowel endoscopy A 7.12 4.23NA 4.26NA 4.23 4.26 1.05 12.40 12.43 12.40 12.43 0000.00.00.0030000 44376 33.9764 090 99 0.00 0.00 0.00 44379 S bowel endoscope w/stent A 7.46 4.59NA 4.67NA 4.59 4.67 1.09 13.14 13.22 13.14 13.22 0000.00.00.0030000 44376 33.9764 090 99 0.00 0.00 0.00 44380 Small bowel endoscopy A 1.05 0.85NA 0.84NA 0.85 0.84 0.14 2.04 2.03 2.04 2.03 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44382 Small bowel endoscopy A 1.27 1.01NA 1.00NA 1.01 1.00 0.20 2.48 2.47 2.48 2.47 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44383 Ileoscopy w/stent A 2.94 1.78NA 1.61NA 1.78 1.61 0.33 5.05 4.88 5.05 4.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44385 Endoscopy of bowel pouch A 1.82 5.37 5.35 1.08 1.11 0.26 7.45 7.43 3.16 3.19 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44386 Endoscopy bowel pouch/biop A 2.12 7.81 7.63 1.31 1.38 0.33 10.26 10.08 3.76 3.83 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 44388 Colonoscopy A 2.82 7.00 6.94 1.69 1.75 0.45 10.27 10.21 4.96 5.02 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44389 Colonoscopy with biopsy A 3.13 8.14 7.89 1.92 1.96 0.49 11.76 11.51 5.54 5.58 0000.00.00.0030100 44388 33.9764 090 99 0.00 0.00 0.00 44390 Colonoscopy for foreign body A 3.82 9.29 9.15 2.31 2.44 0.56 13.67 13.53 6.69 6.82 0000.00.00.0030000 44388 33.9764 090 99 0.00 0.00 0.00 44391 Colonoscopy for bleeding A 4.31 10.02 9.51 2.58 2.61 0.65 14.98 14.47 7.54 7.57 0000.00.00.0030000 44388 33.9764 090 99 0.00 0.00 0.00 44392 Colonoscopy & polypectomy A 3.81 8.46 8.37 2.12 2.20 0.63 12.90 12.81 6.56 6.64 0000.00.00.0030100 44388 33.9764 090 99 0.00 0.00 0.00 44393 Colonoscopy lesion removal A 4.83 9.35 9.28 2.75 2.84 0.76 14.94 14.87 8.34 8.43 0000.00.00.0030100 44388 33.9764 090 99 0.00 0.00 0.00 44394 Colonoscopy w/snare A 4.42 9.77 9.49 2.57 2.62 0.69 14.88 14.60 7.68 7.73 0000.00.00.0030100 44388 33.9764 090 99 0.00 0.00 0.00 44397 Colonoscopy w/stent A 4.70 2.88NA 2.93NA 2.88 2.93 0.68 8.26 8.31 8.26 8.31 0000.00.00.0030100 44388 33.9764 090 99 0.00 0.00 0.00 44500 Intro gastrointestinal tube A 0.49 0.20NA 0.19NA 0.20 0.19 0.04 0.73 0.72 0.73 0.72 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 44602 Suture small intestine A 24.72 10.85NA 12.40NA 10.85 12.40 5.10 40.67 42.22 40.67 42.22 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44603 Suture small intestine A 28.16 12.74NA 14.53NA 12.74 14.53 5.76 46.66 48.45 46.66 48.45 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44604 Suture large intestine A 18.16 8.79NA 9.73NA 8.79 9.73 3.72 30.67 31.61 30.67 31.61 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44605 Repair of bowel lesion A 22.08 11.30NA 12.49NA 11.30 12.49 4.56 37.94 39.13 37.94 39.13 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44615 Intestinal stricturoplasty A 18.16 9.35NA 10.32NA 9.35 10.32 3.73 31.24 32.21 31.24 32.21 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44620 Repair bowel opening A 14.43 7.80NA 8.68NA 7.80 8.68 2.83 25.06 25.94 25.06 25.94 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44625 Repair bowel opening A 17.28 8.90NA 9.91NA 8.90 9.91 3.36 29.54 30.55 29.54 30.55 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44626 Repair bowel opening A 27.90 13.09NA 14.50NA 13.09 14.50 5.70 46.69 48.10 46.69 48.10 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44640 Repair bowel-skin fistula A 24.20 11.68NA 12.92NA 11.68 12.92 4.89 40.77 42.01 40.77 42.01 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44650 Repair bowel fistula A 25.12 12.03NA 13.18NA 12.03 13.18 5.06 42.21 43.36 42.21 43.36 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44660 Repair bowel-bladder fistula A 23.91 11.88NA 12.10NA 11.88 12.10 3.85 39.64 39.86 39.64 39.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44661 Repair bowel-bladder fistula A 27.35 12.99NA 13.92NA 12.99 13.92 5.10 45.44 46.37 45.44 46.37 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44680 Surgical revision intestine A 17.96 9.25NA 10.22NA 9.25 10.22 3.84 31.05 32.02 31.05 32.02 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44700 Suspend bowel w/prosthesis A 17.48 8.96NA 9.94NA 8.96 9.94 3.04 29.48 30.46 29.48 30.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44701 Intraop colon lavage add-on A 3.10 1.21NA 1.33NA 1.21 1.33 0.59 4.90 5.02 4.90 5.02 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44715 Prepare donor intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 44720 Prep donor intestine/venous A 5.00 2.12NA 2.17NA 2.12 2.17 0.35 7.47 7.52 7.47 7.52 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 44721 Prep donor intestine/artery A 7.00 2.81NA 3.07NA 2.81 3.07 1.50 11.31 11.57 11.31 11.57 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 44799 Unlisted procedure intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 44800 Excision of bowel pouch A 12.05 7.53NA 8.21NA 7.53 8.21 2.44 22.02 22.70 22.02 22.70 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44820 Excision of mesentery lesion A 13.73 7.75NA 8.46NA 7.75 8.46 2.83 24.31 25.02 24.31 25.02 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44850 Repair of mesentery A 12.11 6.97NA 7.73NA 6.97 7.73 2.52 21.60 22.36 21.60 22.36 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44899 Bowel surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 44900 Drain app abscess open A 12.57 7.09NA 7.87NA 7.09 7.87 2.64 22.30 23.08 22.30 23.08 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44901 Drain app abscess percut A 3.37 24.04 21.42 1.38 1.25 0.35 27.76 25.14 5.10 4.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 44950 Appendectomy A 10.60 5.76NA 6.32NA 5.76 6.32 2.23 18.59 19.15 18.59 19.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44955 Appendectomy add-on A 1.53 0.62NA 0.67NA 0.62 0.67 0.31 2.46 2.51 2.46 2.51 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 44960 Appendectomy A 14.50 7.68NA 8.51NA 7.68 8.51 3.08 25.26 26.09 25.26 26.09 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 44970 Laparoscopy appendectomy A 9.45 5.83NA 6.42NA 5.83 6.42 1.97 17.25 17.84 17.25 17.84 0090.09.81.1020220 33.9764 090 99 0.00 0.00 0.00 44979 Laparoscope proc app C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 45000 Drainage of pelvic abscess A 6.30 4.72NA 5.12NA 4.72 5.12 1.09 12.11 12.51 12.11 12.51 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 45005 Drainage of rectal abscess A 2.02 5.06 5.29 2.09 2.24 0.38 7.46 7.69 4.49 4.64 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 45020 Drainage of rectal abscess A 8.56 5.99NA 6.67NA 5.99 6.67 1.62 16.17 16.85 16.17 16.85 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 45100 Biopsy of rectum A 4.04 3.71NA 4.06NA 3.71 4.06 0.72 8.47 8.82 8.47 8.82 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 45108 Removal of anorectal lesion A 5.12 4.23NA 4.68NA 4.23 4.68 1.09 10.44 10.89 10.44 10.89 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 45110 Removal of rectum A 30.76 16.99NA 18.81NA 16.99 18.81 5.83 53.58 55.40 53.58 55.40 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45111 Partial removal of rectum A 18.01 9.98NA 11.06NA 9.98 11.06 3.55 31.54 32.62 31.54 32.62 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45112 Removal of rectum A 33.18 15.54NA 17.35NA 15.54 17.35 6.08 54.80 56.61 54.80 56.61 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45113 Partial proctectomy A 33.22 17.01NA 18.91NA 17.01 18.91 7.08 57.31 59.21 57.31 59.21 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45114 Partial removal of rectum A 30.79 15.03NA 16.91NA 15.03 16.91 6.57 52.39 54.27 52.39 54.27 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45116 Partial removal of rectum A 27.72 13.72NA 15.56NA 13.72 15.56 3.96 45.40 47.24 45.40 47.24 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45119 Remove rectum w/reservoir A 33.48 17.10NA 19.23NA 17.10 19.23 5.87 56.45 58.58 56.45 58.58 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45120 Removal of rectum A 26.40 13.85NA 15.41NA 13.85 15.41 5.63 45.88 47.44 45.88 47.44 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45121 Removal of rectum and colon A 29.08 14.85NA 16.57NA 14.85 16.57 6.19 50.12 51.84 50.12 51.84 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45123 Partial proctectomy A 18.86 10.12NA 11.45NA 10.12 11.45 3.17 32.15 33.48 32.15 33.48 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45126 Pelvic exenteration A 49.10 24.86NA 26.61NA 24.86 26.61 10.47 84.43 86.18 84.43 86.18 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 45130 Excision of rectal prolapse A 18.50 9.76NA 11.03NA 9.76 11.03 3.13 31.39 32.66 31.39 32.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45135 Excision of rectal prolapse A 22.36 12.30NA 13.89NA 12.30 13.89 4.76 39.42 41.01 39.42 41.01 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45136 Excise ileoanal reservior A 30.82 17.10NA 18.96NA 17.10 18.96 4.41 52.33 54.19 52.33 54.19 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45150 Excision of rectal stricture A 5.85 4.72NA 5.14NA 4.72 5.14 0.83 11.40 11.82 11.40 11.82 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 45160 Excision of rectal lesion A 16.33 9.32NA 10.26NA 9.32 10.26 3.48 29.13 30.07 29.13 30.07 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45171 Exc rect tum transanal part A 8.13 8.03NA 8.03NA 8.03 8.03 1.51 17.67 17.67 17.67 17.67 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45172 Exc rect tum transanal full A 12.13 9.76NA 9.76NA 9.76 9.76 2.23 24.12 24.12 24.12 24.12 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45190 Destruction rectal tumor A 10.42 7.41NA 8.23NA 7.41 8.23 1.86 19.69 20.51 19.69 20.51 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 45300 Proctosigmoidoscopy dx A 0.80 2.42 2.58 0.60 0.68 0.12 3.34 3.50 1.52 1.60 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45303 Proctosigmoidoscopy dilate A 1.50 24.08 24.62 0.86 0.99 0.26 25.84 26.38 2.62 2.75 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45305 Proctosigmoidoscopy w/bx A 1.25 3.88 4.07 0.81 0.90 0.23 5.36 5.55 2.29 2.38 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45307 Proctosigmoidoscopy fb A 1.70 3.99 4.23 0.93 1.07 0.33 6.02 6.26 2.96 3.10 0000.00.00.0030000 45300 33.9764 090 99 0.00 0.00 0.00 45308 Proctosigmoidoscopy removal A 1.40 4.00 4.35 0.85 0.97 0.26 5.66 6.01 2.51 2.63 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45309 Proctosigmoidoscopy removal A 1.50 4.26 4.44 0.97 1.02 0.27 6.03 6.21 2.74 2.79 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45315 Proctosigmoidoscopy removal A 1.80 4.55 4.84 1.07 1.14 0.33 6.68 6.97 3.20 3.27 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45317 Proctosigmoidoscopy bleed A 2.00 4.11 4.42 1.07 1.23 0.33 6.44 6.75 3.40 3.56 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45320 Proctosigmoidoscopy ablate A 1.78 4.17 4.25 1.08 1.14 0.31 6.26 6.34 3.17 3.23 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45321 Proctosigmoidoscopy volvul A 1.75 1.07NA 1.16NA 1.07 1.16 0.33 3.15 3.24 3.15 3.24 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45327 Proctosigmoidoscopy w/stent A 2.00 1.31NA 1.44NA 1.31 1.44 0.42 3.73 3.86 3.73 3.86 0000.00.00.0030100 45300 33.9764 090 99 0.00 0.00 0.00 45330 Diagnostic sigmoidoscopy A 0.96 2.95 2.92 0.76 0.79 0.14 4.05 4.02 1.86 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45331 Sigmoidoscopy and biopsy A 1.15 3.72 3.56 0.93 0.94 0.18 5.05 4.89 2.26 2.27 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45332 Sigmoidoscopy w/fb removal A 1.79 6.35 6.22 1.22 1.26 0.29 8.43 8.30 3.30 3.34 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45333 Sigmoidoscopy & polypectomy A 1.79 6.44 6.34 1.21 1.24 0.29 8.52 8.42 3.29 3.32 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45334 Sigmoidoscopy for bleeding A 2.73 1.79NA 1.80NA 1.79 1.80 0.39 4.91 4.92 4.91 4.92 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45335 Sigmoidoscopy w/submuc inj A 1.46 5.75 5.79 1.06 1.08 0.23 7.44 7.48 2.75 2.77 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45337 Sigmoidoscopy & decompress A 2.36 1.51NA 1.56NA 1.51 1.56 0.38 4.25 4.30 4.25 4.30 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45338 Sigmoidoscopy w/tumr remove A 2.34 6.65 6.44 1.54 1.56 0.35 9.34 9.13 4.23 4.25 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45339 Sigmoidoscopy w/ablate tumr A 3.14 6.23 6.26 1.97 1.99 0.48 9.85 9.88 5.59 5.61 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45340 Sig w/balloon dilation A 1.89 11.19 11.28 1.27 1.30 0.30 13.38 13.47 3.46 3.49 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45341 Sigmoidoscopy w/ultrasound A 2.60 1.73NA 1.74NA 1.73 1.74 0.38 4.71 4.72 4.71 4.72 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45342 Sigmoidoscopy w/us guide bx A 4.05 2.54NA 2.56NA 2.54 2.56 0.60 7.19 7.21 7.19 7.21 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45345 Sigmoidoscopy w/stent A 2.92 1.87NA 1.89NA 1.87 1.89 0.44 5.23 5.25 5.23 5.25 0000.00.00.0030100 45330 33.9764 090 99 0.00 0.00 0.00 45355 Surgical colonoscopy A 3.51 1.98NA 2.09NA 1.98 2.09 0.59 6.08 6.19 6.08 6.19 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45378 Diagnostic colonoscopy A 3.69 7.37 7.12 2.22 2.26 0.59 11.65 11.40 6.50 6.54 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 4537853Diagnostic colonoscopy A 0.96 2.95 2.92 0.76 0.79 0.14 4.05 4.02 1.86 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45379 Colonoscopy w/fb removal A 4.68 9.46 9.23 2.73 2.82 0.72 14.86 14.63 8.13 8.22 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45380 Colonoscopy and biopsy A 4.43 8.82 8.48 2.69 2.72 0.67 13.92 13.58 7.79 7.82 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45381 Colonoscopy submucous inj A 4.19 8.73 8.35 2.57 2.59 0.63 13.55 13.17 7.39 7.41 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45382 Colonoscopy/control bleeding A 5.68 11.71 11.11 3.42 3.43 0.84 18.23 17.63 9.94 9.95 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45383 Lesion removal colonoscopy A 5.86 9.95 9.75 3.28 3.37 0.91 16.72 16.52 10.05 10.14 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45384 Lesion remove colonoscopy A 4.69 8.36 8.16 2.70 2.76 0.73 13.78 13.58 8.12 8.18 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45385 Lesion removal colonoscopy A 5.30 9.59 9.23 3.14 3.18 0.80 15.69 15.33 9.24 9.28 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45386 Colonoscopy dilate stricture A 4.57 14.17 13.55 2.68 2.73 0.72 19.46 18.84 7.97 8.02 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45387 Colonoscopy w/stent A 5.90 3.57NA 3.62NA 3.57 3.62 0.88 10.35 10.40 10.35 10.40 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45391 Colonoscopy w/endoscope us A 5.09 3.06NA 3.09NA 3.06 3.09 0.73 8.88 8.91 8.88 8.91 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45392 Colonoscopy w/endoscopic fnb A 6.54 3.85NA 3.89NA 3.85 3.89 1.02 11.41 11.45 11.41 11.45 0000.00.00.0030100 45378 33.9764 090 99 0.00 0.00 0.00 45395 Lap removal of rectum A 33.00 18.65NA 20.59NA 18.65 20.59 5.99 57.64 59.58 57.64 59.58 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45397 Lap remove rectum w/pouch A 36.50 19.65NA 21.94NA 19.65 21.94 6.02 62.17 64.46 62.17 64.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45400 Laparoscopic proc A 19.44 10.36NA 11.50NA 10.36 11.50 3.57 33.37 34.51 33.37 34.51 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45402 Lap proctopexy w/sig resect A 26.51 13.07NA 14.58NA 13.07 14.58 4.82 44.40 45.91 44.40 45.91 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45499 Laparoscope proc rectum C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 45500 Repair of rectum A 7.73 5.92NA 6.60NA 5.92 6.60 1.21 14.86 15.54 14.86 15.54 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 45505 Repair of rectum A 8.36 6.78NA 7.60NA 6.78 7.60 1.51 16.65 17.47 16.65 17.47 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 45520 Treatment of rectal prolapse A 0.55 3.42 3.74 0.52 0.57 0.07 4.04 4.36 1.14 1.19 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 45540 Correct rectal prolapse A 18.12 9.33NA 10.39NA 9.33 10.39 3.12 30.57 31.63 30.57 31.63 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45541 Correct rectal prolapse A 14.85 9.19NA 10.27NA 9.19 10.27 2.59 26.63 27.71 26.63 27.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45550 Repair rectum/remove sigmoid A 24.80 13.03NA 14.60NA 13.03 14.60 4.48 42.31 43.88 42.31 43.88 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45560 Repair of rectocele A 11.50 7.15NA 7.52NA 7.15 7.52 1.80 20.45 20.82 20.45 20.82 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45562 Exploration/repair of rectum A 17.98 10.87NA 11.84NA 10.87 11.84 3.38 32.23 33.20 32.23 33.20 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45563 Exploration/repair of rectum A 26.38 15.24NA 16.98NA 15.24 16.98 5.63 47.25 48.99 47.25 48.99 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45800 Repair rect/bladder fistula A 20.31 11.49NA 11.90NA 11.49 11.90 3.39 35.19 35.60 35.19 35.60 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45805 Repair fistula w/colostomy A 23.32 13.63NA 15.16NA 13.63 15.16 4.98 41.93 43.46 41.93 43.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45820 Repair rectourethral fistula A 20.37 11.70NA 12.43NA 11.70 12.43 1.96 34.03 34.76 34.03 34.76 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45825 Repair fistula w/colostomy A 24.17 14.40NA 15.49NA 14.40 15.49 3.46 42.03 43.12 42.03 43.12 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 45900 Reduction of rectal prolapse A 2.99 2.22NA 2.43NA 2.22 2.43 0.56 5.77 5.98 5.77 5.98 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 45905 Dilation of anal sphincter A 2.35 2.08NA 2.22NA 2.08 2.22 0.41 4.84 4.98 4.84 4.98 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 45910 Dilation of rectal narrowing A 2.85 2.33NA 2.44NA 2.33 2.44 0.48 5.66 5.77 5.66 5.77 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 45915 Remove rectal obstruction A 3.19 5.43 5.71 2.72 2.93 0.52 9.14 9.42 6.43 6.64 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 45990 Surg dx exam anorectal A 1.80 1.02NA 1.09NA 1.02 1.09 0.31 3.13 3.20 3.13 3.20 0000.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 45999 Rectum surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 46020 Placement of seton A 3.00 4.07 4.50 3.03 3.36 0.54 7.61 8.04 6.57 6.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46030 Removal of rectal marker A 1.26 2.34 2.55 1.08 1.19 0.23 3.83 4.04 2.57 2.68 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 46040 Incision of rectal abscess A 5.37 8.32 8.96 5.25 5.71 1.05 14.74 15.38 11.67 12.13 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46045 Incision of rectal abscess A 5.87 5.13NA 5.70NA 5.13 5.70 1.17 12.17 12.74 12.17 12.74 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46050 Incision of anal abscess A 1.24 3.94 4.22 1.27 1.39 0.24 5.42 5.70 2.75 2.87 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46060 Incision of rectal abscess A 6.37 5.78NA 6.43NA 5.78 6.43 1.18 13.33 13.98 13.33 13.98 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46070 Incision of anal septum A 2.79 3.48NA 3.81NA 3.48 3.81 0.20 6.47 6.80 6.47 6.80 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 46080 Incision of anal sphincter A 2.52 3.87 4.20 1.58 1.74 0.49 6.88 7.21 4.59 4.75 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46083 Incise external hemorrhoid A 1.45 3.31 3.31 1.38 1.44 0.24 5.00 5.00 3.07 3.13 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46200 Removal of anal fissure A 3.59 7.69 8.46 4.77 5.22 0.63 11.91 12.68 8.99 9.44 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46220 Excise anal ext tag/papilla A 1.61 3.75 4.03 1.47 1.61 0.30 5.66 5.94 3.38 3.52 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46221 Ligation of hemorrhoid(s) A 2.36 4.60 4.98 2.60 2.83 0.41 7.37 7.75 5.37 5.60 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46230 Removal of anal tags A 2.62 4.48 4.81 1.85 2.03 0.48 7.58 7.91 4.95 5.13 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46250 Remove ext hem groups 2+ A 4.25 7.67 8.22 3.82 4.18 0.82 12.74 13.29 8.89 9.25 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46255 Remove int/ext hem 1 group A 4.96 8.11 8.61 4.11 4.48 0.95 14.02 14.52 10.02 10.39 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46257 Remove in/ex hem grp & fiss A 5.76 5.02NA 5.59NA 5.02 5.59 1.08 11.86 12.43 11.86 12.43 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46258 Remove in/ex hem grp w/fistu A 6.41 5.43NA 6.07NA 5.43 6.07 1.37 13.21 13.85 13.21 13.85 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 46260 Remove in/ex hem groups 2+ A 6.73 5.39NA 5.99NA 5.39 5.99 1.27 13.39 13.99 13.39 13.99 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46261 Remove in/ex hem grps & fiss A 7.76 5.82NA 6.48NA 5.82 6.48 1.39 14.97 15.63 14.97 15.63 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46262 Remove in/ex hem grps w/fist A 7.91 6.28NA 6.98NA 6.28 6.98 1.44 15.63 16.33 15.63 16.33 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46270 Remove anal fist subq A 4.92 8.05 8.74 5.04 5.59 0.98 13.95 14.64 10.94 11.49 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46275 Remove anal fist inter A 5.42 8.30 9.09 5.18 5.74 0.98 14.70 15.49 11.58 12.14 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46280 Remove anal fist complex A 6.39 5.62NA 6.26NA 5.62 6.26 1.13 13.14 13.78 13.14 13.78 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46285 Remove anal fist 2 stage A 5.42 8.11 9.05 5.15 5.78 0.91 14.44 15.38 11.48 12.11 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46288 Repair anal fistula A 7.81 6.28NA 7.01NA 6.28 7.01 1.33 15.42 16.15 15.42 16.15 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46320 Removal of hemorrhoid clot A 1.64 3.10 3.34 1.22 1.35 0.30 5.04 5.28 3.16 3.29 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46500 Injection into hemorrhoid(s) A 1.69 4.37 4.79 1.68 1.83 0.29 6.35 6.77 3.66 3.81 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46505 Chemodenervation anal musc A 3.18 4.27 4.58 3.03 3.31 0.59 8.04 8.35 6.80 7.08 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 46600 Diagnostic anoscopy A 0.55 1.79 1.86 0.51 0.57 0.08 2.42 2.49 1.14 1.20 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 46604 Anoscopy and dilation A 1.03 14.88 15.86 0.72 0.77 0.16 16.07 17.05 1.91 1.96 0000.00.00.0030100 46600 33.9764 090 99 0.00 0.00 0.00 46606 Anoscopy and biopsy A 1.20 4.82 4.93 0.78 0.86 0.23 6.25 6.36 2.21 2.29 0000.00.00.0030100 46600 33.9764 090 99 0.00 0.00 0.00 46608 Anoscopy remove for body A 1.30 4.91 5.09 0.80 0.86 0.24 6.45 6.63 2.34 2.40 0000.00.00.0030000 46600 33.9764 090 99 0.00 0.00 0.00 46610 Anoscopy remove lesion A 1.28 4.82 4.95 0.83 0.90 0.24 6.34 6.47 2.35 2.42 0000.00.00.0030100 46600 33.9764 090 99 0.00 0.00 0.00 46611 Anoscopy A 1.30 3.42 3.55 0.85 0.93 0.23 4.95 5.08 2.38 2.46 0000.00.00.0030000 46600 33.9764 090 99 0.00 0.00 0.00 46612 Anoscopy remove lesions A 1.50 5.67 5.76 0.96 1.01 0.31 7.48 7.57 2.77 2.82 0000.00.00.0030000 46600 33.9764 090 99 0.00 0.00 0.00 46614 Anoscopy control bleeding A 1.00 2.48 2.49 0.76 0.77 0.14 3.62 3.63 1.90 1.91 0000.00.00.0030100 46600 33.9764 090 99 0.00 0.00 0.00 46615 Anoscopy A 1.50 2.36 2.39 0.97 1.01 0.29 4.15 4.18 2.76 2.80 0000.00.00.0030000 46600 33.9764 090 99 0.00 0.00 0.00 46700 Repair of anal stricture A 9.81 7.05NA 7.93NA 7.05 7.93 1.63 18.49 19.37 18.49 19.37 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46705 Repair of anal stricture A 7.43 5.99NA 6.20NA 5.99 6.20 0.52 13.94 14.15 13.94 14.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46706 Repr of anal fistula w/glue A 2.44 1.94NA 2.08NA 1.94 2.08 0.42 4.80 4.94 4.80 4.94 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46707 Repair anorectal fist w/plug A 6.39 6.50NA 6.50NA 6.50 6.50 0.90 13.79 13.79 13.79 13.79 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 46710 Repr per/vag pouch sngl proc A 17.14 10.77NA 11.54NA 10.77 11.54 3.67 31.58 32.35 31.58 32.35 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46712 Repr per/vag pouch dbl proc A 36.45 19.91NA 22.11NA 19.91 22.11 2.59 58.95 61.15 58.95 61.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46715 Rep perf anoper fistu A 7.62 5.84NA 6.35NA 5.84 6.35 0.53 13.99 14.50 13.99 14.50 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 46716 Rep perf anoper/vestib fistu A 17.54 14.45NA 13.74NA 14.45 13.74 1.24 33.23 32.52 33.23 32.52 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46730 Construction of absent anus A 30.65 18.42NA 19.17NA 18.42 19.17 2.18 51.25 52.00 51.25 52.00 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46735 Construction of absent anus A 36.14 20.71NA 21.57NA 20.71 21.57 2.57 59.42 60.28 59.42 60.28 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46740 Construction of absent anus A 33.90 20.20NA 22.50NA 20.20 22.50 7.23 61.33 63.63 61.33 63.63 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46742 Repair of imperforated anus A 40.14 22.89NA 25.12NA 22.89 25.12 8.56 71.59 73.82 71.59 73.82 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46744 Repair of cloacal anomaly A 58.94 30.46NA 35.23NA 30.46 35.23 8.42 97.82 102.59 97.82 102.59 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46746 Repair of cloacal anomaly A 65.44 33.54NA 34.55NA 33.54 34.55 4.64 103.62 104.63 103.62 104.63 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46748 Repair of cloacal anomaly A 71.42 33.62NA 33.37NA 33.62 33.37 5.08 110.12 109.87 110.12 109.87 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46750 Repair of anal sphincter A 12.15 7.84NA 8.60NA 7.84 8.60 1.97 21.96 22.72 21.96 22.72 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46751 Repair of anal sphincter A 9.30 6.89NA 6.95NA 6.89 6.95 1.57 17.76 17.82 17.76 17.82 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46753 Reconstruction of anus A 8.89 6.28NA 6.97NA 6.28 6.97 1.51 16.68 17.37 16.68 17.37 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46754 Removal of suture from anus A 3.01 4.86 5.20 3.01 3.39 0.42 8.29 8.63 6.44 6.82 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 46760 Repair of anal sphincter A 17.45 11.12NA 12.49NA 11.12 12.49 2.48 31.05 32.42 31.05 32.42 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46761 Repair of anal sphincter A 15.29 9.09NA 10.15NA 9.09 10.15 2.42 26.80 27.86 26.80 27.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46762 Implant artificial sphincter A 14.82 9.42NA 10.44NA 9.42 10.44 2.12 26.36 27.38 26.36 27.38 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 46900 Destruction anal lesion(s) A 1.91 4.45 4.74 1.76 1.89 0.30 6.66 6.95 3.97 4.10 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46910 Destruction anal lesion(s) A 1.91 4.68 4.88 1.59 1.70 0.34 6.93 7.13 3.84 3.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46916 Cryosurgery anal lesion(s) A 1.91 4.51 4.54 2.04 2.15 0.27 6.69 6.72 4.22 4.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46917 Laser surgery anal lesions A 1.91 10.84 10.92 1.61 1.73 0.33 13.08 13.16 3.85 3.97 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46922 Excision of anal lesion(s) A 1.91 5.06 5.37 1.60 1.74 0.35 7.32 7.63 3.86 4.00 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46924 Destruction anal lesion(s) A 2.81 11.68 11.99 2.05 2.24 0.45 14.94 15.25 5.31 5.50 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46930 Destroy internal hemorrhoids A 1.61 4.12 3.92 2.48 2.40 0.26 5.99 5.79 4.35 4.27 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 46940 Treatment of anal fissure A 2.35 3.57 3.93 1.49 1.65 0.37 6.29 6.65 4.21 4.37 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 46942 Treatment of anal fissure A 2.07 3.48 3.83 1.37 1.52 0.33 5.88 6.23 3.77 3.92 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 46945 Remove by ligat int hem grp A 2.21 5.73 6.14 3.69 3.91 0.38 8.32 8.73 6.28 6.50 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46946 Remove by ligat int hem grps A 2.63 5.60 5.84 3.32 3.47 0.44 8.67 8.91 6.39 6.54 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46947 Hemorrhoidopexy by stapling A 5.57 4.21NA 4.66NA 4.21 4.66 1.09 10.87 11.32 10.87 11.32 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 46999 Anus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 47000 Needle biopsy of liver A 1.90 8.05 8.17 0.81 0.74 0.20 10.15 10.27 2.91 2.84 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 47001 Needle biopsy liver add-on A 1.90 0.75NA 0.82NA 0.75 0.82 0.38 3.03 3.10 3.03 3.10 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 47010 Open drainage liver lesion A 19.40 11.31NA 12.14NA 11.31 12.14 3.96 34.67 35.50 34.67 35.50 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47011 Percut drain liver lesion A 3.69 1.54NA 1.35NA 1.54 1.35 0.35 5.58 5.39 5.58 5.39 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 47015 Inject/aspirate liver cyst A 18.50 10.94NA 12.12NA 10.94 12.12 3.93 33.37 34.55 33.37 34.55 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47100 Wedge biopsy of liver A 12.91 8.64NA 9.44NA 8.64 9.44 2.69 24.24 25.04 24.24 25.04 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47120 Partial removal of liver A 39.01 20.15NA 22.08NA 20.15 22.08 8.26 67.42 69.35 67.42 69.35 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47122 Extensive removal of liver A 59.48 27.54NA 30.18NA 27.54 30.18 12.64 99.66 102.30 99.66 102.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47125 Partial removal of liver A 53.04 24.99NA 27.38NA 24.99 27.38 11.20 89.23 91.62 89.23 91.62 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47130 Partial removal of liver A 57.19 26.56NA 29.04NA 26.56 29.04 12.04 95.79 98.27 95.79 98.27 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47133 Removal of donor liver X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 47135 Transplantation of liver R 83.64 40.62NA 44.70NA 40.62 44.70 17.71 141.97 146.05 141.97 146.05 0090.09.81.1020212 33.9764 090 99 0.00 0.00 0.00 47136 Transplantation of liver R 70.74 34.72NA 37.44NA 34.72 37.44 15.09 120.55 123.27 120.55 123.27 0090.09.81.1020212 33.9764 090 99 0.00 0.00 0.00 47140 Partial removal donor liver A 59.40 30.99NA 34.31NA 30.99 34.31 12.67 103.06 106.38 103.06 106.38 0090.09.81.1020212 33.9764 090 99 0.00 0.00 0.00 47141 Partial removal donor liver A 71.50 35.51NA 38.33NA 35.51 38.33 5.08 112.09 114.91 112.09 114.91 0090.09.81.1020212 33.9764 090 99 0.00 0.00 0.00 47142 Partial removal donor liver A 79.44 39.70NA 43.89NA 39.70 43.89 16.93 136.07 140.26 136.07 140.26 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47143 Prep donor liver whole C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 47144 Prep donor liver 3-segment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47145 Prep donor liver lobe split C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 47146 Prep donor liver/venous A 6.00 2.37NA 2.61NA 2.37 2.61 1.28 9.65 9.89 9.65 9.89 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 47147 Prep donor liver/arterial A 7.00 2.77NA 3.05NA 2.77 3.05 1.48 11.25 11.53 11.25 11.53 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 47300 Surgery for liver lesion A 18.14 10.67NA 11.81NA 10.67 11.81 3.84 32.65 33.79 32.65 33.79 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47350 Repair liver wound A 22.49 12.45NA 13.66NA 12.45 13.66 4.70 39.64 40.85 39.64 40.85 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47360 Repair liver wound A 31.31 16.23NA 17.98NA 16.23 17.98 6.67 54.21 55.96 54.21 55.96 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47361 Repair liver wound A 52.60 24.32NA 26.61NA 24.32 26.61 10.70 87.62 89.91 87.62 89.91 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47362 Repair liver wound A 23.54 13.08NA 14.60NA 13.08 14.60 4.94 41.56 43.08 41.56 43.08 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47370 Laparo ablate liver tumor rf A 20.80 10.86NA 11.88NA 10.86 11.88 4.22 35.88 36.90 35.88 36.90 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47371 Laparo ablate liver cryosurg A 20.80 11.35NA 12.20NA 11.35 12.20 4.44 36.59 37.44 36.59 37.44 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47379 Laparoscope procedure liver C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 47380 Open ablate liver tumor rf A 24.56 12.30NA 13.32NA 12.30 13.32 4.95 41.81 42.83 41.81 42.83 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47381 Open ablate liver tumor cryo A 24.88 11.53NA 11.31NA 11.53 11.31 5.31 41.72 41.50 41.72 41.50 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47382 Percut ablate liver rf A 15.22 119.61 119.61 7.14 6.19 1.48 136.31 136.31 23.84 22.89 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 47400 Incision of liver duct A 36.36 18.26NA 20.18NA 18.26 20.18 7.74 62.36 64.28 62.36 64.28 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47420 Incision of bile duct A 22.03 12.09NA 13.28NA 12.09 13.28 4.67 38.79 39.98 38.79 39.98 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47425 Incision of bile duct A 22.31 12.30NA 13.63NA 12.30 13.63 4.76 39.37 40.70 39.37 40.70 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47460 Incise bile duct sphincter A 20.52 12.05NA 12.85NA 12.05 12.85 4.37 36.94 37.74 36.94 37.74 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47480 Incision of gallbladder A 13.25 8.99NA 9.86NA 8.99 9.86 2.75 24.99 25.86 24.99 25.86 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47490 Incision of gallbladder A 4.76 5.55NA 4.30NA 5.55 4.30 0.44 10.75 9.50 10.75 9.50 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 47500 Injection for liver x-rays A 1.96 0.81NA 0.71NA 0.81 0.71 0.20 2.97 2.87 2.97 2.87 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 47505 Injection for liver x-rays A 0.76 0.31NA 0.28NA 0.31 0.28 0.07 1.14 1.11 1.14 1.11 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 47510 Insert catheter bile duct A 8.03 5.44NA 4.86NA 5.44 4.86 0.80 14.27 13.69 14.27 13.69 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 47511 Insert bile duct drain A 10.77 5.86NA 5.14NA 5.86 5.14 1.02 17.65 16.93 17.65 16.93 0090.09.81.1021100 33.9764 090 99 0.00 0.00 0.00 47525 Change bile duct catheter A 1.54 13.46 12.30 1.22 0.81 0.14 15.14 13.98 2.90 2.49 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 47530 Revise/reinsert bile tube A 6.05 35.96 33.50 4.08 3.64 0.61 42.62 40.16 10.74 10.30 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 47550 Bile duct endoscopy add-on A 3.02 1.21NA 1.31NA 1.21 1.31 0.63 4.86 4.96 4.86 4.96 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 47552 Biliary endoscopy thru skin A 6.03 2.92NA 2.59NA 2.92 2.59 0.63 9.58 9.25 9.58 9.25 0000.00.00.0020110 33.9764 090 99 0.00 0.00 0.00 47553 Biliary endoscopy thru skin A 6.34 2.62NA 2.33NA 2.62 2.33 0.63 9.59 9.30 9.59 9.30 0000.00.00.0030100 47552 33.9764 090 99 0.00 0.00 0.00 47554 Biliary endoscopy thru skin A 9.05 4.14NA 4.05NA 4.14 4.05 1.51 14.70 14.61 14.70 14.61 0000.00.00.0030110 47552 33.9764 090 99 0.00 0.00 0.00 47555 Biliary endoscopy thru skin A 7.55 3.13NA 2.70NA 3.13 2.70 0.71 11.39 10.96 11.39 10.96 0000.00.00.0030100 47552 33.9764 090 99 0.00 0.00 0.00 47556 Biliary endoscopy thru skin A 8.55 3.56NA 3.09NA 3.56 3.09 0.80 12.91 12.44 12.91 12.44 0000.00.00.0030100 47552 33.9764 090 99 0.00 0.00 0.00 47560 Laparoscopy w/cholangio A 4.88 1.95NA 2.12NA 1.95 2.12 1.05 7.88 8.05 7.88 8.05 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 47561 Laparo w/cholangio/biopsy A 5.17 2.33NA 2.54NA 2.33 2.54 1.10 8.60 8.81 8.60 8.81 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 47562 Laparoscopic cholecystectomy A 11.76 7.29NA 8.05NA 7.29 8.05 2.48 21.53 22.29 21.53 22.29 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47563 Laparo cholecystectomy/graph A 12.11 7.14NA 7.83NA 7.14 7.83 2.57 21.82 22.51 21.82 22.51 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47564 Laparo cholecystectomy/explr A 14.24 7.74NA 8.46NA 7.74 8.46 3.04 25.02 25.74 25.02 25.74 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47570 Laparo cholecystoenterostomy A 12.56 7.15NA 7.83NA 7.15 7.83 2.67 22.38 23.06 22.38 23.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47579 Laparoscope proc biliary C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 47600 Removal of gallbladder A 17.48 9.94NA 11.10NA 9.94 11.10 3.70 31.12 32.28 31.12 32.28 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47605 Removal of gallbladder A 15.98 8.98NA 9.88NA 8.98 9.88 3.40 28.36 29.26 28.36 29.26 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47610 Removal of gallbladder A 20.92 10.92NA 12.03NA 10.92 12.03 4.45 36.29 37.40 36.29 37.40 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47612 Removal of gallbladder A 21.21 10.97NA 12.10NA 10.97 12.10 4.50 36.68 37.81 36.68 37.81 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47620 Removal of gallbladder A 23.07 11.85NA 13.12NA 11.85 13.12 4.94 39.86 41.13 39.86 41.13 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47630 Remove bile duct stone A 9.65 5.69NA 5.25NA 5.69 5.25 1.21 16.55 16.11 16.55 16.11 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 47700 Exploration of bile ducts A 16.50 10.30NA 11.24NA 10.30 11.24 3.52 30.32 31.26 30.32 31.26 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47701 Bile duct revision A 28.73 16.14NA 16.84NA 16.14 16.84 6.11 50.98 51.68 50.98 51.68 0090.09.81.1020000 33.9764 090 99 0.00 0.00 0.00 47711 Excision of bile duct tumor A 25.90 13.72NA 15.11NA 13.72 15.11 5.48 45.10 46.49 45.10 46.49 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47712 Excision of bile duct tumor A 33.72 16.89NA 18.74NA 16.89 18.74 7.20 57.81 59.66 57.81 59.66 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47715 Excision of bile duct cyst A 21.55 12.09NA 13.45NA 12.09 13.45 4.60 38.24 39.60 38.24 39.60 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47720 Fuse gallbladder & bowel A 18.34 10.77NA 11.87NA 10.77 11.87 3.88 32.99 34.09 32.99 34.09 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47721 Fuse upper gi structures A 21.99 12.28NA 13.64NA 12.28 13.64 4.70 38.97 40.33 38.97 40.33 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47740 Fuse gallbladder & bowel A 21.23 11.95NA 13.31NA 11.95 13.31 4.52 37.70 39.06 37.70 39.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47741 Fuse gallbladder & bowel A 24.21 13.16NA 14.61NA 13.16 14.61 5.16 42.53 43.98 42.53 43.98 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47760 Fuse bile ducts and bowel A 38.32 18.45NA 20.91NA 18.45 20.91 8.11 64.88 67.34 64.88 67.34 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47765 Fuse liver ducts & bowel A 52.19 23.76NA 27.49NA 23.76 27.49 11.13 87.08 90.81 87.08 90.81 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47780 Fuse bile ducts and bowel A 42.32 19.83NA 22.54NA 19.83 22.54 8.98 71.13 73.84 71.13 73.84 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47785 Fuse bile ducts and bowel A 56.19 25.09NA 28.80NA 25.09 28.80 11.99 93.27 96.98 93.27 96.98 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47800 Reconstruction of bile ducts A 26.17 13.93NA 15.43NA 13.93 15.43 5.59 45.69 47.19 45.69 47.19 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47801 Placement bile duct support A 17.60 10.36NA 9.96NA 10.36 9.96 2.44 30.40 30.00 30.40 30.00 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47802 Fuse liver duct & intestine A 24.93 13.74NA 15.21NA 13.74 15.21 5.32 43.99 45.46 43.99 45.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47900 Suture bile duct injury A 22.44 12.24NA 13.44NA 12.24 13.44 4.72 39.40 40.60 39.40 40.60 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 47999 Bile tract surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 48000 Drainage of abdomen A 31.95 15.62NA 16.91NA 15.62 16.91 6.18 53.75 55.04 53.75 55.04 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48001 Placement of drain pancreas A 39.69 18.80NA 20.84NA 18.80 20.84 8.48 66.97 69.01 66.97 69.01 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48020 Removal of pancreatic stone A 19.09 10.79NA 11.88NA 10.79 11.88 4.08 33.96 35.05 33.96 35.05 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48100 Biopsy of pancreas open A 14.46 8.17NA 8.97NA 8.17 8.97 2.99 25.62 26.42 25.62 26.42 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48102 Needle biopsy pancreas A 4.70 10.77 10.21 2.24 1.97 0.44 15.91 15.35 7.38 7.11 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 48105 Resect/debride pancreas A 49.26 23.11NA 25.74NA 23.11 25.74 10.30 82.67 85.30 82.67 85.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48120 Removal of pancreas lesion A 18.41 9.69NA 10.69NA 9.69 10.69 3.91 32.01 33.01 32.01 33.01 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48140 Partial removal of pancreas A 26.32 13.33NA 14.71NA 13.33 14.71 5.58 45.23 46.61 45.23 46.61 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48145 Partial removal of pancreas A 27.39 13.91NA 15.49NA 13.91 15.49 5.83 47.13 48.71 47.13 48.71 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48146 Pancreatectomy A 30.60 16.93NA 18.84NA 16.93 18.84 6.52 54.05 55.96 54.05 55.96 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48148 Removal of pancreatic duct A 20.39 11.18NA 12.45NA 11.18 12.45 4.34 35.91 37.18 35.91 37.18 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48150 Partial removal of pancreas A 52.84 25.92NA 28.42NA 25.92 28.42 11.23 89.99 92.49 89.99 92.49 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48152 Pancreatectomy A 48.65 24.53NA 27.12NA 24.53 27.12 10.38 83.56 86.15 83.56 86.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48153 Pancreatectomy A 52.79 25.86NA 28.39NA 25.86 28.39 11.21 89.86 92.39 89.86 92.39 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48154 Pancreatectomy A 48.88 24.53NA 27.22NA 24.53 27.22 10.43 83.84 86.53 83.84 86.53 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48155 Removal of pancreas A 29.45 16.62NA 18.27NA 16.62 18.27 6.27 52.34 53.99 52.34 53.99 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48160 Pancreas removal/transplant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 48400 Injection intraop add-on A 1.95 0.86NA 0.85NA 0.86 0.85 0.29 3.10 3.09 3.10 3.09 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 48500 Surgery of pancreatic cyst A 18.16 10.98NA 12.18NA 10.98 12.18 3.87 33.01 34.21 33.01 34.21 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48510 Drain pancreatic pseudocyst A 17.19 10.48NA 11.52NA 10.48 11.52 3.59 31.26 32.30 31.26 32.30 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48511 Drain pancreatic pseudocyst A 3.99 23.36 21.76 1.67 1.47 0.38 27.73 26.13 6.04 5.84 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 48520 Fuse pancreas cyst and bowel A 18.15 9.63NA 10.60NA 9.63 10.60 3.84 31.62 32.59 31.62 32.59 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48540 Fuse pancreas cyst and bowel A 21.94 10.91NA 11.92NA 10.91 11.92 4.67 37.52 38.53 37.52 38.53 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48545 Pancreatorrhaphy A 22.23 11.71NA 13.13NA 11.71 13.13 4.75 38.69 40.11 38.69 40.11 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48547 Duodenal exclusion A 30.38 14.91NA 16.67NA 14.91 16.67 6.46 51.75 53.51 51.75 53.51 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48548 Fuse pancreas and bowel A 28.09 14.15NA 15.58NA 14.15 15.58 5.97 48.21 49.64 48.21 49.64 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 48550 Donor pancreatectomy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 48551 Prep donor pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 48552 Prep donor pancreas/venous A 4.30 1.73NA 1.87NA 1.73 1.87 0.90 6.93 7.07 6.93 7.07 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 48554 Transpl allograft pancreas R 37.80 27.54NA 30.03NA 27.54 30.03 7.89 73.23 75.72 73.23 75.72 0090.09.81.1020222 33.9764 090 99 0.00 0.00 0.00 48556 Removal allograft pancreas A 19.47 12.79NA 14.07NA 12.79 14.07 4.15 36.41 37.69 36.41 37.69 0090.09.81.1020222 33.9764 090 99 0.00 0.00 0.00 48999 Pancreas surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 49000 Exploration of abdomen A 12.54 7.23NA 7.81NA 7.23 7.81 2.57 22.34 22.92 22.34 22.92 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49002 Reopening of abdomen A 17.63 8.81NA 9.92NA 8.81 9.92 3.66 30.10 31.21 30.10 31.21 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49010 Exploration behind abdomen A 16.06 8.34NA 8.86NA 8.34 8.86 3.20 27.60 28.12 27.60 28.12 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49020 Drain abdominal abscess A 26.67 14.00NA 15.35NA 14.00 15.35 5.42 46.09 47.44 46.09 47.44 0090.09.81.1020200 33.9764 090 99 0.00 0.00 0.00 49021 Drain abdominal abscess A 3.37 22.71 21.01 1.40 1.24 0.31 26.39 24.69 5.08 4.92 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49040 Drain open abdom abscess A 16.52 9.08NA 9.94NA 9.08 9.94 3.39 28.99 29.85 28.99 29.85 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49041 Drain percut abdom abscess A 3.99 22.83 21.44 1.66 1.46 0.38 27.20 25.81 6.03 5.83 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49060 Drain open retrop abscess A 18.53 9.90NA 10.54NA 9.90 10.54 3.69 32.12 32.76 32.12 32.76 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 49061 Drain percut retroper absc A 3.69 22.59 21.09 1.54 1.35 0.34 26.62 25.12 5.57 5.38 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49062 Drain to peritoneal cavity A 12.22 7.05NA 7.47NA 7.05 7.47 2.46 21.73 22.15 21.73 22.15 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49080 Puncture peritoneal cavity A 1.35 3.34 2.96 0.58 0.53 0.12 4.81 4.43 2.05 2.00 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49081 Removal of abdominal fluid A 1.26 3.39 3.30 0.58 0.57 0.16 4.81 4.72 2.00 1.99 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49180 Biopsy abdominal mass A 1.73 2.94 2.63 0.72 0.64 0.16 4.83 4.52 2.61 2.53 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49203 Exc abd tum 5 cm or less A 20.13 10.70NA 11.54NA 10.70 11.54 3.93 34.76 35.60 34.76 35.60 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49204 Exc abd tum over 5 cm A 26.13 13.06NA 14.14NA 13.06 14.14 5.08 44.27 45.35 44.27 45.35 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49205 Exc abd tum over 10 cm A 30.13 14.65NA 15.90NA 14.65 15.90 6.03 50.81 52.06 50.81 52.06 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49215 Excise sacral spine tumor A 37.81 18.69NA 20.70NA 18.69 20.70 7.54 64.04 66.05 64.04 66.05 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49220 Multiple surgery abdomen A 15.79 8.93NA 9.73NA 8.93 9.73 3.39 28.11 28.91 28.11 28.91 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49250 Excision of umbilicus A 9.01 5.98NA 6.50NA 5.98 6.50 1.84 16.83 17.35 16.83 17.35 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 49255 Removal of omentum A 12.56 7.71NA 8.35NA 7.71 8.35 2.55 22.82 23.46 22.82 23.46 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49320 Diag laparo separate proc A 5.14 3.34NA 3.55NA 3.34 3.55 1.03 9.51 9.72 9.51 9.72 0010.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 49321 Laparoscopy biopsy A 5.44 3.50NA 3.75NA 3.50 3.75 1.13 10.07 10.32 10.07 10.32 0010.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 49322 Laparoscopy aspiration A 6.01 3.65NA 3.87NA 3.65 3.87 1.16 10.82 11.04 10.82 11.04 0010.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 49323 Laparo drain lymphocele A 10.23 6.36NA 6.88NA 6.36 6.88 2.14 18.73 19.25 18.73 19.25 0090.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 49324 Lap insert tunnel ip cath A 6.32 3.81NA 4.11NA 3.81 4.11 1.33 11.46 11.76 11.46 11.76 0010.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 49325 Lap revision perm ip cath A 6.82 3.98NA 4.31NA 3.98 4.31 1.47 12.27 12.60 12.27 12.60 0010.10.80.1030220 49320 33.9764 090 99 0.00 0.00 0.00 49326 Lap w/omentopexy add-on A 3.50 1.32NA 1.46NA 1.32 1.46 0.73 5.55 5.69 5.55 5.69 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 49327 Lap ins device for rt A 2.38 1.03NA 1.03NA 1.03 1.03 0.48 3.89 3.89 3.89 3.89 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 49329 Laparo proc abdm/per/oment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 49400 Air injection into abdomen A 1.88 2.52 1.80 0.77 0.70 0.24 4.64 3.92 2.89 2.82 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49402 Remove foreign body adbomen A 14.09 7.78NA 8.53NA 7.78 8.53 2.90 24.77 25.52 24.77 25.52 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 49411 Ins mark abd/pel for rt perq A 3.82 11.19 11.19 1.65 1.65 0.35 15.36 15.36 5.82 5.82 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49412 Ins device for rt guide open A 1.50 0.63NA 0.63NA 0.63 0.63 0.30 2.43 2.43 2.43 2.43 0ZZZ.00.00.0000010 33.9764 090 99 0.00 0.00 0.00 49418 Insert tun ip cath perc A 4.21 39.87 39.87 2.07 2.07 0.63 44.71 44.71 6.91 6.91 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49419 Insert tun ip cath w/port A 7.08 4.59NA 4.78NA 4.59 4.78 1.22 12.89 13.08 12.89 13.08 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 49421 Ins tun ip cath for dial opn A 4.21 2.89NA 1.90NA 2.89 1.90 0.83 7.93 6.94 7.93 6.94 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 49422 Remove tunneled ip cath A 6.29 3.61NA 3.83NA 3.61 3.83 1.29 11.19 11.41 11.19 11.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 49423 Exchange drainage catheter A 1.46 15.21 14.12 0.65 0.56 0.12 16.79 15.70 2.23 2.14 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49424 Assess cyst contrast inject A 0.76 3.65 3.33 0.35 0.31 0.07 4.48 4.16 1.18 1.14 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49425 Insert abdomen-venous drain A 12.22 7.18NA 7.54NA 7.18 7.54 2.67 22.07 22.43 22.07 22.43 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49426 Revise abdomen-venous shunt A 10.41 6.14NA 6.44NA 6.14 6.44 2.07 18.62 18.92 18.62 18.92 0090.09.81.1020100 33.9764 090 99 0.00 0.00 0.00 49427 Injection abdominal shunt A 0.89 0.38NA 0.34NA 0.38 0.34 0.10 1.37 1.33 1.37 1.33 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49428 Ligation of shunt A 6.87 4.34NA 4.51NA 4.34 4.51 1.47 12.68 12.85 12.68 12.85 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 49429 Removal of shunt A 7.44 4.31NA 4.63NA 4.31 4.63 1.59 13.34 13.66 13.34 13.66 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 49435 Insert subq exten to ip cath A 2.25 0.81NA 0.89NA 0.81 0.89 0.45 3.51 3.59 3.51 3.59 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 49436 Embedded ip cath exit-site A 2.72 2.09NA 2.21NA 2.09 2.21 0.59 5.40 5.52 5.40 5.52 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 49440 Place gastrostomy tube perc A 4.18 27.42 25.02 2.16 2.00 0.48 32.08 29.68 6.82 6.66 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 49441 Place duod/jej tube perc A 4.77 30.24 28.18 2.44 2.29 0.54 35.55 33.49 7.75 7.60 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 49442 Place cecostomy tube perc A 4.00 25.46 21.69 2.04 2.01 0.37 29.83 26.06 6.41 6.38 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 49446 Change g-tube to g-j perc A 3.31 26.04 24.16 1.39 1.22 0.31 29.66 27.78 5.01 4.84 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49450 Replace g/c tube perc A 1.36 19.67 17.07 0.54 0.51 0.12 21.15 18.55 2.02 1.99 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49451 Replace duod/jej tube perc A 1.84 19.39 18.23 0.78 0.69 0.20 21.43 20.27 2.82 2.73 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49452 Replace g-j tube perc A 2.86 23.51 21.85 1.21 1.06 0.27 26.64 24.98 4.34 4.19 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49460 Fix g/colon tube w/device A 0.96 22.28 19.46 0.40 0.38 0.10 23.34 20.52 1.46 1.44 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49465 Fluoro exam of g/colon tube A 0.62 4.42 4.12 0.26 0.23 0.05 5.09 4.79 0.93 0.90 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 49491 Rpr hern preemie reduc A 12.53 7.53NA 8.36NA 7.53 8.36 2.67 22.73 23.56 22.73 23.56 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49492 Rpr ing hern premie blocked A 15.43 8.82NA 9.71NA 8.82 9.71 3.29 27.54 28.43 27.54 28.43 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49495 Rpr ing hernia baby reduc A 6.20 4.11NA 4.62NA 4.11 4.62 1.32 11.63 12.14 11.63 12.14 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49496 Rpr ing hernia baby blocked A 9.42 6.14NA 6.77NA 6.14 6.77 2.20 17.76 18.39 17.76 18.39 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49500 Rpr ing hernia init reduce A 5.84 3.99NA 3.94NA 3.99 3.94 1.24 11.07 11.02 11.07 11.02 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49501 Rpr ing hernia init blocked A 9.36 5.99NA 6.59NA 5.99 6.59 1.99 17.34 17.94 17.34 17.94 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49505 Prp i/hern init reduc >5 yr A 7.96 5.31NA 5.80NA 5.31 5.80 1.66 14.93 15.42 14.93 15.42 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49507 Prp i/hern init block >5 yr A 10.05 6.19NA 6.77NA 6.19 6.77 2.12 18.36 18.94 18.36 18.94 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49520 Rerepair ing hernia reduce A 9.99 6.10NA 6.67NA 6.10 6.67 2.10 18.19 18.76 18.19 18.76 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49521 Rerepair ing hernia blocked A 12.44 7.04NA 7.70NA 7.04 7.70 2.61 22.09 22.75 22.09 22.75 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49525 Repair ing hernia sliding A 8.93 5.68NA 6.20NA 5.68 6.20 1.86 16.47 16.99 16.47 16.99 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49540 Repair lumbar hernia A 10.74 6.49NA 7.14NA 6.49 7.14 2.26 19.49 20.14 19.49 20.14 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49550 Rpr rem hernia init reduce A 8.99 5.69NA 6.22NA 5.69 6.22 1.89 16.57 17.10 16.57 17.10 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49553 Rpr fem hernia init blocked A 9.92 6.14NA 6.73NA 6.14 6.73 2.10 18.16 18.75 18.16 18.75 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49555 Rerepair fem hernia reduce A 9.39 5.85NA 6.38NA 5.85 6.38 1.97 17.21 17.74 17.21 17.74 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49557 Rerepair fem hernia blocked A 11.62 6.81NA 7.46NA 6.81 7.46 2.45 20.88 21.53 20.88 21.53 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49560 Rpr ventral hern init reduc A 11.92 6.88NA 7.53NA 6.88 7.53 2.48 21.28 21.93 21.28 21.93 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49561 Rpr ventral hern init block A 15.38 8.26NA 9.10NA 8.26 9.10 3.24 26.88 27.72 26.88 27.72 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49565 Rerepair ventrl hern reduce A 12.37 7.19NA 7.90NA 7.19 7.90 2.60 22.16 22.87 22.16 22.87 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49566 Rerepair ventrl hern block A 15.53 8.35NA 9.20NA 8.35 9.20 3.29 27.17 28.02 27.17 28.02 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49568 Hernia repair w/mesh A 4.88 1.93NA 2.12NA 1.93 2.12 1.03 7.84 8.03 7.84 8.03 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 49570 Rpr epigastric hern reduce A 6.05 4.55NA 4.96NA 4.55 4.96 1.28 11.88 12.29 11.88 12.29 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49572 Rpr epigastric hern blocked A 7.87 5.22NA 5.76NA 5.22 5.76 1.65 14.74 15.28 14.74 15.28 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49580 Rpr umbil hern reduc < 5 yr A 4.47 3.98NA 4.37NA 3.98 4.37 0.95 9.40 9.79 9.40 9.79 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49582 Rpr umbil hern block < 5 yr A 7.13 5.11NA 5.62NA 5.11 5.62 1.52 13.76 14.27 13.76 14.27 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49585 Rpr umbil hern reduc > 5 yr A 6.59 4.75NA 5.18NA 4.75 5.18 1.37 12.71 13.14 12.71 13.14 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49587 Rpr umbil hern block > 5 yr A 8.04 5.30NA 5.81NA 5.30 5.81 1.69 15.03 15.54 15.03 15.54 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49590 Repair spigelian hernia A 8.90 5.67NA 6.21NA 5.67 6.21 1.88 16.45 16.99 16.45 16.99 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49600 Repair umbilical lesion A 11.55 7.15NA 7.68NA 7.15 7.68 2.45 21.15 21.68 21.15 21.68 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49605 Repair umbilical lesion A 87.09 39.02NA 42.03NA 39.02 42.03 18.58 144.69 147.70 144.69 147.70 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49606 Repair umbilical lesion A 19.00 9.76NA 10.70NA 9.76 10.70 4.06 32.82 33.76 32.82 33.76 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49610 Repair umbilical lesion A 10.91 6.64NA 7.18NA 6.64 7.18 2.31 19.86 20.40 19.86 20.40 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49611 Repair umbilical lesion A 9.34 6.12NA 6.01NA 6.12 6.01 0.65 16.11 16.00 16.11 16.00 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49650 Lap ing hernia repair init A 6.36 4.56NA 4.97NA 4.56 4.97 1.33 12.25 12.66 12.25 12.66 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49651 Lap ing hernia repair recur A 8.38 5.79NA 6.35NA 5.79 6.35 1.78 15.95 16.51 15.95 16.51 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49652 Lap vent/abd hernia repair A 12.88 7.39NA 8.11NA 7.39 8.11 0.90 21.17 21.89 21.17 21.89 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49653 Lap vent/abd hern proc comp A 16.21 9.16NA 10.08NA 9.16 10.08 1.16 26.53 27.45 26.53 27.45 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49654 Lap inc hernia repair A 15.03 8.24NA 9.07NA 8.24 9.07 1.06 24.33 25.16 24.33 25.16 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49655 Lap inc hern repair comp A 18.11 9.89NA 10.89NA 9.89 10.89 1.28 29.28 30.28 29.28 30.28 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49656 Lap inc hernia repair recur A 15.08 8.26NA 9.11NA 8.26 9.11 1.08 24.42 25.27 24.42 25.27 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49657 Lap inc hern recur comp A 22.11 11.44NA 12.65NA 11.44 12.65 1.57 35.12 36.33 35.12 36.33 0090.09.81.1021210 33.9764 090 99 0.00 0.00 0.00 49659 Laparo proc hernia repair C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 49900 Repair of abdominal wall A 12.41 8.57NA 9.26NA 8.57 9.26 2.55 23.53 24.22 23.53 24.22 0090.09.81.1020210 33.9764 090 99 0.00 0.00 0.00 49904 Omental flap extra-abdom A 22.35 15.78NA 15.80NA 15.78 15.80 4.75 42.88 42.90 42.88 42.90 0090.10.80.1020111 33.9764 090 99 0.00 0.00 0.00 49905 Omental flap intra-abdom A 6.54 2.59NA 2.80NA 2.59 2.80 1.24 10.37 10.58 10.37 10.58 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 49906 Free omental flap microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020110 33.9764 090 99 0.00 0.00 0.00 49999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 50010 Exploration of kidney A 12.28 7.91NA 7.75NA 7.91 7.75 1.80 21.99 21.83 21.99 21.83 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50020 Renal abscess open drain A 18.08 10.77NA 10.76NA 10.77 10.76 2.41 31.26 31.25 31.26 31.25 0090.08.83.0920110 33.9764 090 99 0.00 0.00 0.00 50021 Renal abscess percut drain A 3.37 24.20 22.47 1.39 1.23 0.31 27.88 26.15 5.07 4.91 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 50040 Drainage of kidney A 16.68 9.77NA 8.76NA 9.77 8.76 1.69 28.14 27.13 28.14 27.13 0090.08.83.0920110 33.9764 090 99 0.00 0.00 0.00 50045 Exploration of kidney A 16.82 9.78NA 8.87NA 9.78 8.87 1.62 28.22 27.31 28.22 27.31 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 5005F Pt counsld on exam for moles I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50060 Removal of kidney stone A 20.95 11.72NA 10.49NA 11.72 10.49 2.01 34.68 33.45 34.68 33.45 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50065 Incision of kidney A 22.32 12.06NA 11.02NA 12.06 11.02 2.16 36.54 35.50 36.54 35.50 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 50070 Incision of kidney A 21.85 12.20NA 10.84NA 12.20 10.84 2.12 36.17 34.81 36.17 34.81 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50075 Removal of kidney stone A 27.09 14.72NA 13.11NA 14.72 13.11 2.63 44.44 42.83 44.44 42.83 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50080 Removal of kidney stone A 15.74 9.23NA 8.22NA 9.23 8.22 1.55 26.52 25.51 26.52 25.51 0090.08.83.0921100 33.9764 090 99 0.00 0.00 0.00 50081 Removal of kidney stone A 23.50 13.12NA 11.72NA 13.12 11.72 2.31 38.93 37.53 38.93 37.53 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 5010F Macul result to phy mng dm M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50100 Revise kidney blood vessels A 17.45 8.32NA 7.23NA 8.32 7.23 3.73 29.50 28.41 29.50 28.41 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50120 Exploration of kidney A 17.21 9.90NA 8.96NA 9.90 8.96 1.66 28.77 27.83 28.77 27.83 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50125 Explore and drain kidney A 17.82 11.06NA 11.06NA 11.06 11.06 1.71 30.59 30.59 30.59 30.59 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50130 Removal of kidney stone A 18.82 10.83NA 9.71NA 10.83 9.71 1.82 31.47 30.35 31.47 30.35 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50135 Exploration of kidney A 20.59 11.51NA 10.35NA 11.51 10.35 1.99 34.09 32.93 34.09 32.93 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 5015F Doc fx & test/txmnt for op M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 5020F Txmnts 2 main Dr by 1 mon I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50200 Renal biopsy perq A 2.63 14.10 14.10 1.42 1.29 0.31 17.04 17.04 4.36 4.23 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50205 Renal biopsy open A 12.29 7.20NA 7.61NA 7.20 7.61 2.40 21.89 22.30 21.89 22.30 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50220 Remove kidney open A 18.68 10.65NA 9.83NA 10.65 9.83 2.25 31.58 30.76 31.58 30.76 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50225 Removal kidney open complex A 21.88 12.00NA 11.01NA 12.00 11.01 2.38 36.26 35.27 36.26 35.27 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50230 Removal kidney open radical A 23.81 12.73NA 11.45NA 12.73 11.45 2.45 38.99 37.71 38.99 37.71 0090.08.83.0921220 33.9764 090 99 0.00 0.00 0.00 50234 Removal of kidney & ureter A 24.05 13.10NA 11.80NA 13.10 11.80 2.44 39.59 38.29 39.59 38.29 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50236 Removal of kidney & ureter A 26.94 15.08NA 13.47NA 15.08 13.47 2.64 44.66 43.05 44.66 43.05 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50240 Partial removal of kidney A 24.21 13.66NA 12.28NA 13.66 12.28 2.42 40.29 38.91 40.29 38.91 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50250 Cryoablate renal mass open A 22.22 12.79NA 11.33NA 12.79 11.33 2.18 37.19 35.73 37.19 35.73 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50280 Removal of kidney lesion A 17.09 10.03NA 9.19NA 10.03 9.19 1.86 28.98 28.14 28.98 28.14 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50290 Removal of kidney lesion A 16.15 9.85NA 10.34NA 9.85 10.34 1.57 27.57 28.06 27.57 28.06 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50300 Remove cadaver donor kidney X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50320 Remove kidney living donor A 22.43 15.33NA 15.42NA 15.33 15.42 3.88 41.64 41.73 41.64 41.73 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50323 Prep cadaver renal allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 50325 Prep donor renal graft C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 50327 Prep renal graft/venous A 4.00 1.60NA 1.69NA 1.60 1.69 0.78 6.38 6.47 6.38 6.47 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 50328 Prep renal graft/arterial A 3.50 1.41NA 1.48NA 1.41 1.48 0.67 5.58 5.65 5.58 5.65 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 50329 Prep renal graft/ureteral A 3.34 1.42NA 1.37NA 1.42 1.37 0.48 5.24 5.19 5.24 5.19 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 50340 Removal of kidney A 14.04 10.06NA 11.01NA 10.06 11.01 3.01 27.11 28.06 27.11 28.06 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50360 Transplantation of kidney A 40.90 24.82NA 27.10NA 24.82 27.10 8.30 74.02 76.30 74.02 76.30 0090.08.83.0920222 33.9764 090 99 0.00 0.00 0.00 50365 Transplantation of kidney A 46.13 27.41NA 29.69NA 27.41 29.69 9.84 83.38 85.66 83.38 85.66 0090.08.83.0921222 33.9764 090 99 0.00 0.00 0.00 50370 Remove transplanted kidney A 18.88 11.93NA 12.95NA 11.93 12.95 3.76 34.57 35.59 34.57 35.59 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50380 Reimplantation of kidney A 30.11 21.93NA 22.76NA 21.93 22.76 6.41 58.45 59.28 58.45 59.28 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50382 Change ureter stent percut A 5.50 31.69 27.93 2.37 2.07 0.52 37.71 33.95 8.39 8.09 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50384 Remove ureter stent percut A 5.00 26.02 21.93 2.14 1.85 0.48 31.50 27.41 7.62 7.33 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50385 Change stent via transureth A 4.44 31.98 28.05 2.30 1.97 0.42 36.84 32.91 7.16 6.83 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50386 Remove stent via transureth A 3.30 20.40 18.06 1.80 1.55 0.31 24.01 21.67 5.41 5.16 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50387 Change ext/int ureter stent A 2.00 15.28 13.45 0.84 0.72 0.20 17.48 15.65 3.04 2.92 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50389 Remove renal tube w/fluoro A 1.10 8.52 7.06 0.46 0.41 0.10 9.72 8.26 1.66 1.61 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50390 Drainage of kidney lesion A 1.96 0.81NA 0.71NA 0.81 0.71 0.18 2.95 2.85 2.95 2.85 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50391 Instll rx agnt into rnal tub A 1.96 1.65 1.43 0.88 0.79 0.20 3.81 3.59 3.04 2.95 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 50392 Insert kidney drain A 3.37 1.76NA 1.55NA 1.76 1.55 0.31 5.44 5.23 5.44 5.23 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50393 Insert ureteral tube A 4.15 2.09NA 1.83NA 2.09 1.83 0.38 6.62 6.36 6.62 6.36 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50394 Injection for kidney x-ray A 0.76 2.26 1.98 0.68 0.60 0.07 3.09 2.81 1.51 1.43 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50395 Create passage to kidney A 3.37 1.80NA 1.58NA 1.80 1.58 0.33 5.50 5.28 5.50 5.28 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50396 Measure kidney pressure A 2.09 1.25NA 1.09NA 1.25 1.09 0.20 3.54 3.38 3.54 3.38 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50398 Change kidney tube A 1.46 14.24 12.69 0.65 0.57 0.12 15.82 14.27 2.23 2.15 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50400 Revision of kidney/ureter A 21.27 11.80NA 10.67NA 11.80 10.67 2.10 35.17 34.04 35.17 34.04 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50405 Revision of kidney/ureter A 25.86 14.07NA 12.63NA 14.07 12.63 2.50 42.43 40.99 42.43 40.99 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 5050F Plan 2 main dr by 1 month M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50500 Repair of kidney wound A 21.22 11.61NA 11.99NA 11.61 11.99 4.52 37.35 37.73 37.35 37.73 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50520 Close kidney-skin fistula A 18.88 10.66NA 9.68NA 10.66 9.68 1.84 31.38 30.40 31.38 30.40 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50525 Repair renal-abdomen fistula A 24.39 13.88NA 14.15NA 13.88 14.15 5.20 43.47 43.74 43.47 43.74 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50526 Repair renal-abdomen fistula A 26.31 13.71NA 14.18NA 13.71 14.18 1.86 41.88 42.35 41.88 42.35 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 50540 Revision of horseshoe kidney A 21.10 11.44NA 10.55NA 11.44 10.55 2.03 34.57 33.68 34.57 33.68 0090.08.83.0922210 33.9764 090 99 0.00 0.00 0.00 50541 Laparo ablate renal cyst A 16.86 9.46NA 8.51NA 9.46 8.51 1.70 28.02 27.07 28.02 27.07 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50542 Laparo ablate renal mass A 21.36 12.11NA 10.86NA 12.11 10.86 2.10 35.57 34.32 35.57 34.32 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50543 Laparo partial nephrectomy A 27.41 15.24NA 13.65NA 15.24 13.65 2.72 45.37 43.78 45.37 43.78 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50544 Laparoscopy pyeloplasty A 23.37 12.36NA 11.03NA 12.36 11.03 2.31 38.04 36.71 38.04 36.71 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50545 Laparo radical nephrectomy A 25.06 13.33NA 11.93NA 13.33 11.93 2.55 40.94 39.54 40.94 39.54 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50546 Laparoscopic nephrectomy A 21.87 12.36NA 11.17NA 12.36 11.17 2.30 36.53 35.34 36.53 35.34 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50547 Laparo removal donor kidney A 26.34 15.84NA 16.33NA 15.84 16.33 4.83 47.01 47.50 47.01 47.50 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50548 Laparo remove w/ureter A 25.36 13.27NA 11.84NA 13.27 11.84 2.50 41.13 39.70 41.13 39.70 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50549 Laparoscope proc renal C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 50551 Kidney endoscopy A 5.59 4.92 4.25 2.88 2.56 0.54 11.05 10.38 9.01 8.69 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50553 Kidney endoscopy A 5.98 5.11 4.54 2.99 2.68 0.65 11.74 11.17 9.62 9.31 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50555 Kidney endoscopy & biopsy A 6.52 5.47 4.76 3.28 2.93 0.63 12.62 11.91 10.43 10.08 0000.00.00.0031000 50551 33.9764 090 99 0.00 0.00 0.00 50557 Kidney endoscopy & treatment A 6.61 5.60 4.85 3.33 2.96 0.64 12.85 12.10 10.58 10.21 0000.00.00.0031000 50551 33.9764 090 99 0.00 0.00 0.00 50561 Kidney endoscopy & treatment A 7.58 6.27 5.44 3.76 3.34 0.75 14.60 13.77 12.09 11.67 0000.00.00.0031000 50551 33.9764 090 99 0.00 0.00 0.00 50562 Renal scope w/tumor resect A 10.90 5.84NA 5.15NA 5.84 5.15 1.06 17.80 17.11 17.80 17.11 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50570 Kidney endoscopy A 9.53 4.60NA 4.06NA 4.60 4.06 0.91 15.04 14.50 15.04 14.50 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50572 Kidney endoscopy A 10.33 4.96NA 4.38NA 4.96 4.38 1.01 16.30 15.72 16.30 15.72 0000.00.00.0031000 50570 33.9764 090 99 0.00 0.00 0.00 50574 Kidney endoscopy & biopsy A 11.00 5.25NA 4.64NA 5.25 4.64 1.08 17.33 16.72 17.33 16.72 0000.00.00.0031000 50570 33.9764 090 99 0.00 0.00 0.00 50575 Kidney endoscopy A 13.96 6.56NA 5.80NA 6.56 5.80 1.36 21.88 21.12 21.88 21.12 0000.00.00.0031100 50570 33.9764 090 99 0.00 0.00 0.00 50576 Kidney endoscopy & treatment A 10.97 5.24NA 4.63NA 5.24 4.63 1.06 17.27 16.66 17.27 16.66 0000.00.00.0031000 50570 33.9764 090 99 0.00 0.00 0.00 50580 Kidney endoscopy & treatment A 11.84 5.56NA 4.97NA 5.56 4.97 1.16 18.56 17.97 18.56 17.97 0000.00.00.0031000 50570 33.9764 090 99 0.00 0.00 0.00 50590 Fragmenting of kidney stone A 9.77 15.32 11.22 6.47 5.80 0.95 26.04 21.94 17.19 16.52 0090.08.83.0921100 33.9764 090 99 0.00 0.00 0.00 50592 Perc rf ablate renal tumor A 6.80 94.06 76.33 3.55 3.15 0.64 101.50 83.77 10.99 10.59 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 50593 Perc cryo ablate renal tum A 9.13 129.65 115.17 4.30 4.21 0.86 139.64 125.16 14.29 14.20 0010.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 5060F Fndngs mammo 2pt w/in 3 days I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50600 Exploration of ureter A 17.17 9.64NA 8.72NA 9.64 8.72 1.66 28.47 27.55 28.47 27.55 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50605 Insert ureteral support A 16.79 9.48NA 9.37NA 9.48 9.37 2.65 28.92 28.81 28.92 28.81 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50610 Removal of ureter stone A 17.25 9.85NA 8.82NA 9.85 8.82 1.66 28.76 27.73 28.76 27.73 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 5062F Mammo result com to pt 5 day I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 50620 Removal of ureter stone A 16.43 9.49NA 8.50NA 9.49 8.50 1.59 27.51 26.52 27.51 26.52 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50630 Removal of ureter stone A 16.21 9.18NA 8.41NA 9.18 8.41 1.57 26.96 26.19 26.96 26.19 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50650 Removal of ureter A 18.82 10.78NA 9.72NA 10.78 9.72 1.89 31.49 30.43 31.49 30.43 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50660 Removal of ureter A 21.02 11.65NA 10.52NA 11.65 10.52 2.03 34.70 33.57 34.70 33.57 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50684 Injection for ureter x-ray A 0.76 3.61 2.14 0.68 0.62 0.07 4.44 2.97 1.51 1.45 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 50686 Measure ureter pressure A 1.51 2.62 2.62 1.11 1.03 0.22 4.35 4.35 2.84 2.76 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 50688 Change of ureter tube/stent A 1.20 1.11NA 0.99NA 1.11 0.99 0.11 2.42 2.30 2.42 2.30 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 50690 Injection for ureter x-ray A 1.16 1.70 1.48 0.85 0.76 0.10 2.96 2.74 2.11 2.02 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 50700 Revision of ureter A 16.69 9.76NA 8.82NA 9.76 8.82 1.62 28.07 27.13 28.07 27.13 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50715 Release of ureter A 20.64 11.27NA 11.58NA 11.27 11.58 3.01 34.92 35.23 34.92 35.23 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50722 Release of ureter A 17.95 10.02NA 10.50NA 10.02 10.50 3.05 31.02 31.50 31.02 31.50 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50725 Release/revise ureter A 20.20 11.96NA 12.10NA 11.96 12.10 1.95 34.11 34.25 34.11 34.25 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50727 Revise ureter A 8.28 6.21NA 5.65NA 6.21 5.65 0.84 15.33 14.77 15.33 14.77 0090.08.83.0920220 33.9764 090 99 0.00 0.00 0.00 50728 Revise ureter A 12.18 7.66NA 7.06NA 7.66 7.06 1.18 21.02 20.42 21.02 20.42 0090.08.83.0920220 33.9764 090 99 0.00 0.00 0.00 50740 Fusion of ureter & kidney A 20.07 11.21NA 11.40NA 11.21 11.40 4.29 35.57 35.76 35.57 35.76 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50750 Fusion of ureter & kidney A 21.22 11.92NA 10.59NA 11.92 10.59 2.04 35.18 33.85 35.18 33.85 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 50760 Fusion of ureters A 20.07 11.19NA 10.57NA 11.19 10.57 2.67 33.93 33.31 33.93 33.31 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50770 Splicing of ureters A 21.22 11.25NA 10.59NA 11.25 10.59 2.04 34.51 33.85 34.51 33.85 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50780 Reimplant ureter in bladder A 19.95 11.21NA 10.32NA 11.21 10.32 2.31 33.47 32.58 33.47 32.58 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50782 Reimplant ureter in bladder A 19.66 10.83NA 9.98NA 10.83 9.98 4.19 34.68 33.83 34.68 33.83 0090.08.83.0921220 33.9764 090 99 0.00 0.00 0.00 50783 Reimplant ureter in bladder A 20.70 11.93NA 12.32NA 11.93 12.32 2.00 34.63 35.02 34.63 35.02 0090.08.83.0921220 33.9764 090 99 0.00 0.00 0.00 50785 Reimplant ureter in bladder A 22.23 12.31NA 11.14NA 12.31 11.14 2.25 36.79 35.62 36.79 35.62 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50800 Implant ureter in bowel A 16.41 9.95NA 9.07NA 9.95 9.07 1.74 28.10 27.22 28.10 27.22 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50810 Fusion of ureter & bowel A 22.61 12.09NA 11.81NA 12.09 11.81 4.83 39.53 39.25 39.53 39.25 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50815 Urine shunt to intestine A 22.26 12.71NA 11.45NA 12.71 11.45 2.16 37.13 35.87 37.13 35.87 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50820 Construct bowel bladder A 24.07 13.18NA 12.18NA 13.18 12.18 2.65 39.90 38.90 39.90 38.90 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50825 Construct bowel bladder A 30.68 16.51NA 14.97NA 16.51 14.97 3.17 50.36 48.82 50.36 48.82 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50830 Revise urine flow A 33.77 17.42NA 15.95NA 17.42 15.95 3.29 54.48 53.01 54.48 53.01 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50840 Replace ureter by bowel A 22.39 12.82NA 11.50NA 12.82 11.50 2.18 37.39 36.07 37.39 36.07 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50845 Appendico-vesicostomy A 22.46 13.31NA 11.97NA 13.31 11.97 2.18 37.95 36.61 37.95 36.61 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50860 Transplant ureter to skin A 17.08 9.93NA 8.97NA 9.93 8.97 1.65 28.66 27.70 28.66 27.70 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50900 Repair of ureter A 15.04 9.03NA 8.47NA 9.03 8.47 1.47 25.54 24.98 25.54 24.98 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50920 Closure ureter/skin fistula A 15.81 9.44NA 8.48NA 9.44 8.48 1.54 26.79 25.83 26.79 25.83 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50930 Closure ureter/bowel fistula A 20.19 10.69NA 10.19NA 10.69 10.19 4.30 35.18 34.68 35.18 34.68 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 50940 Release of ureter A 15.93 9.38NA 8.52NA 9.38 8.52 1.55 26.86 26.00 26.86 26.00 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50945 Laparoscopy ureterolithotomy A 17.97 9.90NA 8.88NA 9.90 8.88 1.74 29.61 28.59 29.61 28.59 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50947 Laparo new ureter/bladder A 25.78 13.66NA 12.38NA 13.66 12.38 2.50 41.94 40.66 41.94 40.66 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50948 Laparo new ureter/bladder A 23.82 12.80NA 11.36NA 12.80 11.36 2.30 38.92 37.48 38.92 37.48 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 50949 Laparoscope proc ureter C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 50951 Endoscopy of ureter A 5.83 5.16 4.45 3.00 2.66 0.56 11.55 10.84 9.39 9.05 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50953 Endoscopy of ureter A 6.23 5.38 4.66 3.54 3.14 0.61 12.22 11.50 10.38 9.98 0000.00.00.0031000 50951 33.9764 090 99 0.00 0.00 0.00 50955 Ureter endoscopy & biopsy A 6.74 5.91 4.91 3.79 3.35 0.65 13.30 12.30 11.18 10.74 0000.00.00.0031000 50951 33.9764 090 99 0.00 0.00 0.00 50957 Ureter endoscopy & treatment A 6.78 5.71 4.96 3.40 3.02 0.65 13.14 12.39 10.83 10.45 0000.00.00.0031000 50951 33.9764 090 99 0.00 0.00 0.00 50961 Ureter endoscopy & treatment A 6.04 5.24 4.53 3.09 2.73 0.59 11.87 11.16 9.72 9.36 0000.00.00.0031000 50951 33.9764 090 99 0.00 0.00 0.00 50970 Ureter endoscopy A 7.13 3.53NA 3.13NA 3.53 3.13 0.68 11.34 10.94 11.34 10.94 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50972 Ureter endoscopy & catheter A 6.88 3.40NA 3.03NA 3.40 3.03 0.67 10.95 10.58 10.95 10.58 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 50974 Ureter endoscopy & biopsy A 9.16 4.44NA 3.92NA 4.44 3.92 0.88 14.48 13.96 14.48 13.96 0000.00.00.0031000 50970 33.9764 090 99 0.00 0.00 0.00 50976 Ureter endoscopy & treatment A 9.03 4.36NA 3.87NA 4.36 3.87 0.87 14.26 13.77 14.26 13.77 0000.00.00.0031000 50970 33.9764 090 99 0.00 0.00 0.00 50980 Ureter endoscopy & treatment A 6.84 3.41NA 3.01NA 3.41 3.01 0.65 10.90 10.50 10.90 10.50 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 5100F Rsk fx ref w/n 24 hrs xray I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 51020 Incise & treat bladder A 7.69 5.78NA 5.19NA 5.78 5.19 0.78 14.25 13.66 14.25 13.66 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51030 Incise & treat bladder A 7.81 5.56NA 5.14NA 5.56 5.14 0.75 14.12 13.70 14.12 13.70 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 51040 Incise & drain bladder A 4.49 3.90NA 3.46NA 3.90 3.46 0.44 8.83 8.39 8.83 8.39 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51045 Incise bladder/drain ureter A 7.81 5.85NA 5.56NA 5.85 5.56 1.06 14.72 14.43 14.72 14.43 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 51050 Removal of bladder stone A 7.97 5.62NA 5.04NA 5.62 5.04 0.78 14.37 13.79 14.37 13.79 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51060 Removal of ureter stone A 9.95 6.76NA 6.05NA 6.76 6.05 0.98 17.69 16.98 17.69 16.98 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51065 Remove ureter calculus A 9.95 6.65NA 5.97NA 6.65 5.97 0.98 17.58 16.90 17.58 16.90 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 51080 Drainage of bladder abscess A 6.71 5.01NA 4.53NA 5.01 4.53 0.65 12.37 11.89 12.37 11.89 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51100 Drain bladder by needle A 0.78 1.02 0.95 0.33 0.31 0.08 1.88 1.81 1.19 1.17 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51101 Drain bladder by trocar/cath A 1.02 2.70 2.45 0.45 0.44 0.12 3.84 3.59 1.59 1.58 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51102 Drain bl w/cath insertion A 2.70 4.01 3.49 1.49 1.31 0.29 7.00 6.48 4.48 4.30 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51500 Removal of bladder cyst A 11.05 7.56NA 7.92NA 7.56 7.92 1.08 19.69 20.05 19.69 20.05 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51520 Removal of bladder lesion A 10.21 6.70NA 6.15NA 6.70 6.15 0.99 17.90 17.35 17.90 17.35 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51525 Removal of bladder lesion A 15.42 9.17NA 8.23NA 9.17 8.23 1.57 26.16 25.22 26.16 25.22 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51530 Removal of bladder lesion A 13.71 8.45NA 7.97NA 8.45 7.97 1.65 23.81 23.33 23.81 23.33 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51535 Repair of ureter lesion A 13.90 8.27NA 7.58NA 8.27 7.58 1.33 23.50 22.81 23.50 22.81 0090.08.83.0921210 33.9764 090 99 0.00 0.00 0.00 51550 Partial removal of bladder A 17.23 9.88NA 9.18NA 9.88 9.18 2.14 29.25 28.55 29.25 28.55 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51555 Partial removal of bladder A 23.18 12.71NA 11.68NA 12.71 11.68 2.60 38.49 37.46 38.49 37.46 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51565 Revise bladder & ureter(s) A 23.68 13.12NA 12.05NA 13.12 12.05 2.42 39.22 38.15 39.22 38.15 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51570 Removal of bladder A 27.46 14.60NA 13.47NA 14.60 13.47 2.80 44.86 43.73 44.86 43.73 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51575 Removal of bladder & nodes A 34.18 17.94NA 16.07NA 17.94 16.07 3.35 55.47 53.60 55.47 53.60 0090.08.83.0922210 33.9764 090 99 0.00 0.00 0.00 51580 Remove bladder/revise tract A 35.37 18.97NA 16.93NA 18.97 16.93 3.44 57.78 55.74 57.78 55.74 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51585 Removal of bladder & nodes A 39.64 20.85NA 18.60NA 20.85 18.60 3.85 64.34 62.09 64.34 62.09 0090.08.83.0922210 33.9764 090 99 0.00 0.00 0.00 51590 Remove bladder/revise tract A 36.33 18.83NA 16.93NA 18.83 16.93 3.67 58.83 56.93 58.83 56.93 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51595 Remove bladder/revise tract A 41.32 21.29NA 19.09NA 21.29 19.09 4.11 66.72 64.52 66.72 64.52 0090.08.83.0922210 33.9764 090 99 0.00 0.00 0.00 51596 Remove bladder/create pouch A 44.26 23.09NA 20.67NA 23.09 20.67 4.34 71.69 69.27 71.69 69.27 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51597 Removal of pelvic structures A 42.86 22.31NA 20.33NA 22.31 20.33 4.53 69.70 67.72 69.70 67.72 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51600 Injection for bladder x-ray A 0.88 4.81 4.21 0.38 0.34 0.08 5.77 5.17 1.34 1.30 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51605 Preparation for bladder xray A 0.64 0.47NA 0.42NA 0.47 0.42 0.05 1.16 1.11 1.16 1.11 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51610 Injection for bladder x-ray A 1.05 2.16 1.87 0.78 0.71 0.10 3.31 3.02 1.93 1.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51700 Irrigation of bladder A 0.88 1.62 1.39 0.39 0.36 0.08 2.58 2.35 1.35 1.32 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51701 Insert bladder catheter A 0.50 1.21 0.99 0.28 0.26 0.05 1.76 1.54 0.83 0.81 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51702 Insert temp bladder cath A 0.50 1.72 1.43 0.36 0.33 0.05 2.27 1.98 0.91 0.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51703 Insert bladder cath complex A 1.47 2.50 2.07 0.87 0.78 0.14 4.11 3.68 2.48 2.39 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51705 Change of bladder tube A 1.05 2.19 1.84 0.90 0.80 0.10 3.34 2.99 2.05 1.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 51710 Change of bladder tube A 1.52 2.99 2.46 1.23 1.11 0.14 4.65 4.12 2.89 2.77 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 51715 Endoscopic injection/implant A 3.73 4.72 4.16 1.94 1.79 0.39 8.84 8.28 6.06 5.91 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51720 Treatment of bladder lesion A 1.50 1.76 1.48 0.83 0.72 0.14 3.40 3.12 2.47 2.36 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51725 Simple cystometrogram A 1.51 4.57 3.62 4.57NA 3.62 NA 0.13 6.21 5.26 6.21 5.26 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51725TCSimple cystometrogram A 0.00 3.91 2.99 3.91NA 2.99 NA 0.01 3.92 3.00 3.92 3.00 1000.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5172526Simple cystometrogram A 1.51 0.66 0.63 0.66 0.63 0.12 2.29 2.26 2.29 2.26 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51726 Complex cystometrogram A 1.71 7.19 5.69 7.19NA 5.69 NA 0.17 9.07 7.57 9.07 7.57 1000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51726TCComplex cystometrogram A 0.00 6.43 4.98 6.43NA 4.98 NA 0.03 6.46 5.01 6.46 5.01 1000.00.00.0020100 33.9764 020 99 0.00 0.00 0.00 5172626Complex cystometrogram A 1.71 0.76 0.71 0.76 0.71 0.14 2.61 2.56 2.61 2.56 1000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51727 Cystometrogram w/up A 2.11 6.68 6.68 6.68NA 6.68 NA 0.23 9.02 9.02 9.02 9.02 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51727TCCystometrogram w/up A 0.00 5.78 5.78 5.78NA 5.78 NA 0.01 5.79 5.79 5.79 5.79 1000.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5172726Cystometrogram w/up A 2.11 0.90 0.90 0.90 0.90 0.22 3.23 3.23 3.23 3.23 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51728 Cystometrogram w/vp A 2.11 6.63 6.63 6.63NA 6.63 NA 0.19 8.93 8.93 8.93 8.93 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51728TCCystometrogram w/vp A 0.00 5.76 5.76 5.76NA 5.76 NA 0.01 5.77 5.77 5.77 5.77 1000.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5172826Cystometrogram w/vp A 2.11 0.87 0.87 0.87 0.87 0.18 3.16 3.16 3.16 3.16 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51729 Cystometrogram w/vp&up A 2.51 7.02 7.02 7.02NA 7.02 NA 0.25 9.78 9.78 9.78 9.78 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51729TCCystometrogram w/vp&up A 0.00 5.96 5.96 5.96NA 5.96 NA 0.01 5.97 5.97 5.97 5.97 1000.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5172926Cystometrogram w/vp&up A 2.51 1.06 1.06 1.06 1.06 0.24 3.81 3.81 3.81 3.81 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51736 Urine flow measurement A 0.17 0.85 0.66 0.85NA 0.66 NA 0.02 1.04 0.85 1.04 0.85 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51736TCUrine flow measurement A 0.00 0.67 0.59 0.67NA 0.59 NA 0.01 0.68 0.60 0.68 0.60 1XXX.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5173626Urine flow measurement A 0.17 0.18 0.07 0.18 0.07 0.01 0.36 0.25 0.36 0.25 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51741 Electro-uroflowmetry first A 0.17 1.08 0.75 1.08NA 0.75 NA 0.02 1.27 0.94 1.27 0.94 1XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51741TCElectro-uroflowmetry first A 0.00 0.77 0.68 0.77NA 0.68 NA 0.01 0.78 0.69 0.78 0.69 1XXX.00.00.0020100 33.9764 020 99 0.00 0.00 0.00 5174126Electro-uroflowmetry first A 0.17 0.31 0.07 0.31 0.07 0.01 0.49 0.25 0.49 0.25 1XXX.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51784 Anal/urinary muscle study A 1.53 4.40 3.90 4.40NA 3.90 NA 0.13 6.06 5.56 6.06 5.56 1000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51784TCAnal/urinary muscle study A 0.00 3.73 3.26 3.73NA 3.26 NA 0.01 3.74 3.27 3.74 3.27 1000.00.00.0020100 33.9764 020 99 0.00 0.00 0.00 5178426Anal/urinary muscle study A 1.53 0.67 0.64 0.67 0.64 0.12 2.32 2.29 2.32 2.29 1000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 51785 Anal/urinary muscle study A 1.53 5.00 4.50 5.00NA 4.50 NA 0.13 6.66 6.16 6.66 6.16 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51785TCAnal/urinary muscle study A 0.00 4.32 3.85 4.32NA 3.85 NA 0.01 4.33 3.86 4.33 3.86 1000.00.00.0020000 33.9764 030 99 0.00 0.00 0.00 5178526Anal/urinary muscle study A 1.53 0.68 0.65 0.68 0.65 0.12 2.33 2.30 2.33 2.30 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51792 Urinary reflex study A 1.10 5.65 4.96 5.65NA 4.96 NA 0.11 6.86 6.17 6.86 6.17 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51792TCUrinary reflex study A 0.00 5.16 4.49 5.16NA 4.49 NA 0.01 5.17 4.50 5.17 4.50 1000.00.00.0020000 33.9764 020 99 0.00 0.00 0.00 5179226Urinary reflex study A 1.10 0.49 0.47 0.49 0.47 0.10 1.69 1.67 1.69 1.67 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 51797 Intraabdominal pressure test A 0.80 3.12 2.27 3.12NA 2.27 NA 0.06 3.98 3.13 3.98 3.13 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 51797TCIntraabdominal pressure test A 0.00 2.73 1.94 2.73NA 1.94 NA 0.01 2.74 1.95 2.74 1.95 1ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 5179726Intraabdominal pressure test A 0.80 0.39 0.33 0.39 0.33 0.05 1.24 1.18 1.24 1.18 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 51798 Us urine capacity measure A 0.00 0.57 0.50 0.57NA 0.50 NA 0.01 0.58 0.51 0.58 0.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 51800 Revision of bladder/urethra A 18.89 10.94NA 9.89NA 10.94 9.89 1.95 31.78 30.73 31.78 30.73 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51820 Revision of urinary tract A 19.59 10.89NA 10.27NA 10.89 10.27 1.89 32.37 31.75 32.37 31.75 0090.08.83.0922210 33.9764 090 99 0.00 0.00 0.00 51840 Attach bladder/urethra A 11.36 7.02NA 6.78NA 7.02 6.78 1.50 19.88 19.64 19.88 19.64 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51841 Attach bladder/urethra A 13.68 8.14NA 7.92NA 8.14 7.92 1.84 23.66 23.44 23.66 23.44 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51845 Repair bladder neck A 10.15 6.53NA 6.05NA 6.53 6.05 1.20 17.88 17.40 17.88 17.40 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51860 Repair of bladder wound A 12.60 7.94NA 7.68NA 7.94 7.68 1.85 22.39 22.13 22.39 22.13 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51865 Repair of bladder wound A 15.80 9.38NA 8.71NA 9.38 8.71 1.92 27.10 26.43 27.10 26.43 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51880 Repair of bladder opening A 7.87 5.34NA 4.97NA 5.34 4.97 0.99 14.20 13.83 14.20 13.83 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51900 Repair bladder/vagina lesion A 14.63 8.84NA 8.34NA 8.84 8.34 1.42 24.89 24.39 24.89 24.39 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51920 Close bladder-uterus fistula A 13.41 8.18NA 7.61NA 8.18 7.61 1.29 22.88 22.31 22.88 22.31 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51925 Hysterectomy/bladder repair A 17.53 11.30NA 11.65NA 11.30 11.65 2.97 31.80 32.15 31.80 32.15 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51940 Correction of bladder defect A 30.66 15.48NA 14.62NA 15.48 14.62 2.98 49.12 48.26 49.12 48.26 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51960 Revision of bladder & bowel A 25.40 14.25NA 12.83NA 14.25 12.83 2.65 42.30 40.88 42.30 40.88 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51980 Construct bladder opening A 12.57 7.83NA 7.07NA 7.83 7.07 1.22 21.62 20.86 21.62 20.86 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51990 Laparo urethral suspension A 13.36 7.64NA 7.43NA 7.64 7.43 1.77 22.77 22.56 22.77 22.56 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51992 Laparo sling operation A 14.87 8.39NA 8.51NA 8.39 8.51 2.23 25.49 25.61 25.49 25.61 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 51999 Laparoscope proc bla C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000011 33.9764 090 99 0.00 0.00 0.00 5200F Eval appros surg thxpy epi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 52000 Cystoscopy A 2.23 3.83 3.29 1.37 1.25 0.23 6.29 5.75 3.83 3.71 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 52001 Cystoscopy removal of clots A 5.44 5.49 4.68 2.80 2.51 0.53 11.46 10.65 8.77 8.48 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52005 Cystoscopy & ureter catheter A 2.37 6.00 5.09 1.45 1.30 0.24 8.61 7.70 4.06 3.91 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52007 Cystoscopy and biopsy A 3.02 12.13 9.52 1.74 1.55 0.30 15.45 12.84 5.06 4.87 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52010 Cystoscopy & duct catheter A 3.02 8.60 7.18 1.65 1.55 0.30 11.92 10.50 4.97 4.87 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52204 Cystoscopy w/biopsy(s) A 2.59 9.64 7.35 1.46 1.32 0.26 12.49 10.20 4.31 4.17 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52214 Cystoscopy and treatment A 3.70 14.60 13.84 2.31 1.75 0.35 18.65 17.89 6.36 5.80 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52224 Cystoscopy and treatment A 3.14 18.84 13.13 1.72 1.53 0.31 22.29 16.58 5.17 4.98 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52234 Cystoscopy and treatment A 4.62 2.46NA 2.18NA 2.46 2.18 0.44 7.52 7.24 7.52 7.24 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52235 Cystoscopy and treatment A 5.44 2.85NA 2.53NA 2.85 2.53 0.53 8.82 8.50 8.82 8.50 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52240 Cystoscopy and treatment A 9.71 4.75NA 4.20NA 4.75 4.20 0.95 15.41 14.86 15.41 14.86 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52250 Cystoscopy and radiotracer A 4.49 2.48NA 2.22NA 2.48 2.22 0.45 7.42 7.16 7.42 7.16 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52260 Cystoscopy and treatment A 3.91 2.11NA 1.90NA 2.11 1.90 0.39 6.41 6.20 6.41 6.20 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52265 Cystoscopy and treatment A 2.94 8.90 6.98 1.66 1.57 0.35 12.19 10.27 4.95 4.86 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52270 Cystoscopy & revise urethra A 3.36 8.00 6.23 1.87 1.66 0.33 11.69 9.92 5.56 5.35 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52275 Cystoscopy & revise urethra A 4.69 10.76 8.28 2.46 2.18 0.45 15.90 13.42 7.60 7.32 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52276 Cystoscopy and treatment A 4.99 2.64NA 2.35NA 2.64 2.35 0.49 8.12 7.83 8.12 7.83 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52277 Cystoscopy and treatment A 6.16 3.18NA 2.86NA 3.18 2.86 0.60 9.94 9.62 9.94 9.62 0000.00.00.0030000 52000 33.9764 090 99 0.00 0.00 0.00 52281 Cystoscopy and treatment A 2.60 5.77 4.54 1.60 1.39 0.27 8.64 7.41 4.47 4.26 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52282 Cystoscopy implant stent A 6.39 3.25NA 2.92NA 3.25 2.92 0.65 10.29 9.96 10.29 9.96 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52283 Cystoscopy and treatment A 3.73 4.41 3.82 2.05 1.85 0.37 8.51 7.92 6.15 5.95 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52285 Cystoscopy and treatment A 3.60 4.61 3.99 2.00 1.81 0.37 8.58 7.96 5.97 5.78 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52290 Cystoscopy and treatment A 4.58 2.45NA 2.17NA 2.45 2.17 0.44 7.47 7.19 7.47 7.19 0000.00.00.0032100 52000 33.9764 090 99 0.00 0.00 0.00 52300 Cystoscopy and treatment A 5.30 2.80NA 2.54NA 2.80 2.54 0.56 8.66 8.40 8.66 8.40 0000.00.00.0032000 52000 33.9764 090 99 0.00 0.00 0.00 52301 Cystoscopy and treatment A 5.50 2.92NA 2.59NA 2.92 2.59 0.53 8.95 8.62 8.95 8.62 0000.00.00.0032000 52000 33.9764 090 99 0.00 0.00 0.00 52305 Cystoscopy and treatment A 5.30 2.70NA 2.41NA 2.70 2.41 0.52 8.52 8.23 8.52 8.23 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52310 Cystoscopy and treatment A 2.81 4.37 3.62 1.54 1.37 0.29 7.47 6.72 4.64 4.47 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52315 Cystoscopy and treatment A 5.20 7.38 5.98 2.68 2.38 0.50 13.08 11.68 8.38 8.08 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52317 Remove bladder stone A 6.71 19.72 15.10 3.27 2.89 0.65 27.08 22.46 10.63 10.25 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52318 Remove bladder stone A 9.18 4.42NA 3.92NA 4.42 3.92 0.88 14.48 13.98 14.48 13.98 0000.00.00.0030100 52000 33.9764 090 99 0.00 0.00 0.00 52320 Cystoscopy and treatment A 4.69 2.39NA 2.13NA 2.39 2.13 0.45 7.53 7.27 7.53 7.27 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52325 Cystoscopy stone removal A 6.15 3.05NA 2.71NA 3.05 2.71 0.60 9.80 9.46 9.80 9.46 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52327 Cystoscopy inject material A 5.18 2.32NA 2.05NA 2.32 2.05 0.52 8.02 7.75 8.02 7.75 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52330 Cystoscopy and treatment A 5.03 14.31 8.33 2.54 2.26 0.49 19.83 13.85 8.06 7.78 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52332 Cystoscopy and treatment A 2.60 11.89 10.78 1.61 1.39 0.26 14.75 13.64 4.47 4.25 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52334 Create passage to kidney A 4.82 2.55NA 2.26NA 2.55 2.26 0.48 7.85 7.56 7.85 7.56 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52341 Cysto w/ureter stricture tx A 5.35 2.99NA 2.63NA 2.99 2.63 0.52 8.86 8.50 8.86 8.50 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52342 Cysto w/up stricture tx A 5.85 3.22NA 2.82NA 3.22 2.82 0.56 9.63 9.23 9.63 9.23 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52343 Cysto w/renal stricture tx A 6.55 3.53NA 3.10NA 3.53 3.10 0.64 10.72 10.29 10.72 10.29 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52344 Cysto/uretero stricture tx A 7.05 3.90NA 3.44NA 3.90 3.44 0.68 11.63 11.17 11.63 11.17 0000.00.00.0031100 52000 33.9764 090 99 0.00 0.00 0.00 52345 Cysto/uretero w/up stricture A 7.55 4.13NA 3.64NA 4.13 3.64 0.72 12.40 11.91 12.40 11.91 0000.00.00.0030000 52351 33.9764 090 99 0.00 0.00 0.00 52346 Cystouretero w/renal strict A 8.58 4.59NA 4.03NA 4.59 4.03 0.83 14.00 13.44 14.00 13.44 0000.00.00.0030000 52351 33.9764 090 99 0.00 0.00 0.00 52351 Cystouretero & or pyeloscope A 5.85 3.18NA 2.83NA 3.18 2.83 0.56 9.59 9.24 9.59 9.24 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 52352 Cystouretero w/stone remove A 6.87 3.73NA 3.31NA 3.73 3.31 0.67 11.27 10.85 11.27 10.85 0000.00.00.0031100 52351 33.9764 090 99 0.00 0.00 0.00 52353 Cystouretero w/lithotripsy A 7.96 4.22NA 3.74NA 4.22 3.74 0.76 12.94 12.46 12.94 12.46 0000.00.00.0031100 52351 33.9764 090 99 0.00 0.00 0.00 52354 Cystouretero w/biopsy A 7.33 3.94NA 3.50NA 3.94 3.50 0.71 11.98 11.54 11.98 11.54 0000.00.00.0031100 52351 33.9764 090 99 0.00 0.00 0.00 52355 Cystouretero w/excise tumor A 8.81 4.60NA 4.08NA 4.60 4.08 0.86 14.27 13.75 14.27 13.75 0000.00.00.0031100 52351 33.9764 090 99 0.00 0.00 0.00 52400 Cystouretero w/congen repr A 8.69 5.11NA 4.49NA 5.11 4.49 0.84 14.64 14.02 14.64 14.02 0090.08.83.0930100 52000 33.9764 090 99 0.00 0.00 0.00 52402 Cystourethro cut ejacul duct A 5.27 2.39NA 2.11NA 2.39 2.11 0.50 8.16 7.88 8.16 7.88 0000.00.00.0030000 52000 33.9764 090 99 0.00 0.00 0.00 52450 Incision of prostate A 7.78 5.75NA 5.16NA 5.75 5.16 0.75 14.28 13.69 14.28 13.69 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52500 Revision of bladder neck A 8.14 5.93NA 5.30NA 5.93 5.30 0.78 14.85 14.22 14.85 14.22 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52601 Prostatectomy (TURP) A 15.26 8.68NA 8.04NA 8.68 8.04 1.50 25.44 24.80 25.44 24.80 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52630 Remove prostate regrowth A 7.73 5.02NA 4.53NA 5.02 4.53 0.75 13.50 13.01 13.50 13.01 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52640 Relieve bladder contracture A 4.79 3.80NA 3.31NA 3.80 3.31 0.45 9.04 8.55 9.04 8.55 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52647 Laser surgery of prostate A 11.30 48.67 36.89 7.27 6.53 1.10 61.07 49.29 19.67 18.93 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52648 Laser surgery of prostate A 12.15 49.21 37.46 7.64 6.86 1.20 62.56 50.81 20.99 20.21 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 52649 Prostate laser enucleation A 17.29 10.47NA 8.91NA 10.47 8.91 1.67 29.43 27.87 29.43 27.87 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 52700 Drainage of prostate abscess A 7.49 5.08NA 4.65NA 5.08 4.65 0.72 13.29 12.86 13.29 12.86 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 53000 Incision of urethra A 2.33 1.96NA 1.74NA 1.96 1.74 0.24 4.53 4.31 4.53 4.31 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53010 Incision of urethra A 4.45 4.08NA 3.65NA 4.08 3.65 0.42 8.95 8.52 8.95 8.52 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53020 Incision of urethra A 1.77 1.01NA 0.91NA 1.01 0.91 0.18 2.96 2.86 2.96 2.86 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53025 Incision of urethra A 1.13 0.81NA 0.83NA 0.81 0.83 0.07 2.01 2.03 2.01 2.03 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 53040 Drainage of urethra abscess A 6.55 4.73NA 4.26NA 4.73 4.26 0.64 11.92 11.45 11.92 11.45 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 53060 Drainage of urethra abscess A 2.68 2.44 2.39 1.85 1.89 0.44 5.56 5.51 4.97 5.01 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53080 Drainage of urinary leakage A 6.92 5.42NA 4.64NA 5.42 4.64 0.67 13.01 12.23 13.01 12.23 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53085 Drainage of urinary leakage A 11.18 6.81NA 6.69NA 6.81 6.69 1.46 19.45 19.33 19.45 19.33 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53200 Biopsy of urethra A 2.59 1.85 1.68 1.43 1.32 0.27 4.71 4.54 4.29 4.18 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53210 Removal of urethra A 13.72 8.43NA 7.68NA 8.43 7.68 1.32 23.47 22.72 23.47 22.72 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53215 Removal of urethra A 16.85 9.81NA 8.74NA 9.81 8.74 1.63 28.29 27.22 28.29 27.22 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53220 Treatment of urethra lesion A 7.63 5.41NA 4.93NA 5.41 4.93 0.73 13.77 13.29 13.77 13.29 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 53230 Removal of urethra lesion A 10.44 6.87NA 6.28NA 6.87 6.28 1.17 18.48 17.89 18.48 17.89 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53235 Removal of urethra lesion A 10.99 7.27NA 6.44NA 7.27 6.44 1.06 19.32 18.49 19.32 18.49 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53240 Surgery for urethra pouch A 7.08 5.21NA 4.61NA 5.21 4.61 0.68 12.97 12.37 12.97 12.37 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53250 Removal of urethra gland A 6.52 5.14NA 4.82NA 5.14 4.82 1.42 13.08 12.76 13.08 12.76 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53260 Treatment of urethra lesion A 3.03 2.73 2.50 2.05 1.94 0.35 6.11 5.88 5.43 5.32 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53265 Treatment of urethra lesion A 3.17 3.17 2.79 2.13 1.96 0.34 6.68 6.30 5.64 5.47 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53270 Removal of urethra gland A 3.14 2.78 2.65 2.14 2.11 0.53 6.45 6.32 5.81 5.78 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53275 Repair of urethra defect A 4.57 3.00NA 2.65NA 3.00 2.65 0.45 8.02 7.67 8.02 7.67 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 53400 Revise urethra stage 1 A 14.13 8.84NA 7.98NA 8.84 7.98 1.42 24.39 23.53 24.39 23.53 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53405 Revise urethra stage 2 A 15.66 9.47NA 8.41NA 9.47 8.41 1.52 26.65 25.59 26.65 25.59 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53410 Reconstruction of urethra A 17.68 10.44NA 9.34NA 10.44 9.34 1.71 29.83 28.73 29.83 28.73 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53415 Reconstruction of urethra A 20.70 11.65NA 10.44NA 11.65 10.44 2.04 34.39 33.18 34.39 33.18 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53420 Reconstruct urethra stage 1 A 15.17 8.31NA 8.01NA 8.31 8.01 1.48 24.96 24.66 24.96 24.66 0090.08.83.0920110 33.9764 090 99 0.00 0.00 0.00 53425 Reconstruct urethra stage 2 A 17.07 9.89NA 8.75NA 9.89 8.75 1.65 28.61 27.47 28.61 27.47 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53430 Reconstruction of urethra A 17.43 9.84NA 9.19NA 9.84 9.19 1.97 29.24 28.59 29.24 28.59 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53431 Reconstruct urethra/bladder A 21.18 11.88NA 10.65NA 11.88 10.65 2.04 35.10 33.87 35.10 33.87 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53440 Male sling procedure A 15.54 9.78NA 8.82NA 9.78 8.82 1.52 26.84 25.88 26.84 25.88 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53442 Remove/revise male sling A 13.49 8.91NA 8.09NA 8.91 8.09 1.31 23.71 22.89 23.71 22.89 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 53444 Insert tandem cuff A 14.19 8.62NA 7.68NA 8.62 7.68 1.37 24.18 23.24 24.18 23.24 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53445 Insert uro/ves nck sphincter A 15.39 9.88NA 8.77NA 9.88 8.77 1.51 26.78 25.67 26.78 25.67 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53446 Remove uro sphincter A 11.02 7.50NA 6.67NA 7.50 6.67 1.09 19.61 18.78 19.61 18.78 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53447 Remove/replace ur sphincter A 14.28 9.02NA 8.01NA 9.02 8.01 1.40 24.70 23.69 24.70 23.69 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53448 Remov/replc ur sphinctr comp A 23.44 13.30NA 11.86NA 13.30 11.86 2.26 39.00 37.56 39.00 37.56 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53449 Repair uro sphincter A 10.56 7.05NA 6.29NA 7.05 6.29 1.05 18.66 17.90 18.66 17.90 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53450 Revision of urethra A 6.77 5.01NA 4.47NA 5.01 4.47 0.65 12.43 11.89 12.43 11.89 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53460 Revision of urethra A 7.75 5.44NA 4.85NA 5.44 4.85 0.73 13.92 13.33 13.92 13.33 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 53500 Urethrlys transvag w/ scope A 13.00 8.25NA 7.59NA 8.25 7.59 1.50 22.75 22.09 22.75 22.09 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 53502 Repair of urethra injury A 8.26 5.67NA 5.14NA 5.67 5.14 0.80 14.73 14.20 14.73 14.20 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53505 Repair of urethra injury A 8.26 5.74NA 5.12NA 5.74 5.12 0.80 14.80 14.18 14.80 14.18 0090.08.83.0920200 33.9764 090 99 0.00 0.00 0.00 53510 Repair of urethra injury A 10.96 7.20NA 6.42NA 7.20 6.42 1.06 19.22 18.44 19.22 18.44 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53515 Repair of urethra injury A 14.22 8.57NA 7.70NA 8.57 7.70 1.37 24.16 23.29 24.16 23.29 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 53520 Repair of urethra defect A 9.48 6.53NA 5.84NA 6.53 5.84 0.91 16.92 16.23 16.92 16.23 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53600 Dilate urethra stricture A 1.21 1.25 1.07 0.62 0.55 0.11 2.57 2.39 1.94 1.87 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53601 Dilate urethra stricture A 0.98 1.44 1.23 0.56 0.50 0.08 2.50 2.29 1.62 1.56 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53605 Dilate urethra stricture A 1.28 0.56NA 0.50NA 0.56 0.50 0.12 1.96 1.90 1.96 1.90 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53620 Dilate urethra stricture A 1.62 1.87 1.55 0.89 0.79 0.16 3.65 3.33 2.67 2.57 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53621 Dilate urethra stricture A 1.35 1.97 1.63 0.72 0.64 0.12 3.44 3.10 2.19 2.11 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53660 Dilation of urethra A 0.71 1.41 1.21 0.48 0.44 0.07 2.19 1.99 1.26 1.22 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53661 Dilation of urethra A 0.72 1.38 1.17 0.44 0.40 0.07 2.17 1.96 1.23 1.19 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53665 Dilation of urethra A 0.76 0.33NA 0.31NA 0.33 0.31 0.08 1.17 1.15 1.17 1.15 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 53850 Prostatic microwave thermotx A 10.08 58.11 43.20 6.22 5.58 0.99 69.18 54.27 17.29 16.65 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53852 Prostatic rf thermotx A 10.83 54.81 40.73 7.02 6.31 1.06 66.70 52.62 18.91 18.20 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 53855 Insert prost urethral stent A 1.64 19.26 19.26 0.64 0.64 0.16 21.06 21.06 2.44 2.44 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 53860 Transurethral rf treatment A 3.97 38.32 38.32 2.23 2.23 0.68 42.97 42.97 6.88 6.88 0090.08.83.0920000 33.9764 090 99 0.00 0.00 0.00 53899 Urology surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 54000 Slitting of prepuce A 1.59 2.91 2.44 1.53 1.38 0.14 4.64 4.17 3.26 3.11 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54001 Slitting of prepuce A 2.24 3.29 2.80 1.75 1.58 0.23 5.76 5.27 4.22 4.05 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54015 Drain penis lesion A 5.36 3.47NA 3.08NA 3.47 3.08 0.56 9.39 9.00 9.39 9.00 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54050 Destruction penis lesion(s) A 1.29 2.42 2.39 1.64 1.66 0.16 3.87 3.84 3.09 3.11 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54055 Destruction penis lesion(s) A 1.25 2.15 2.00 1.36 1.31 0.14 3.54 3.39 2.75 2.70 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54056 Cryosurgery penis lesion(s) A 1.29 2.68 2.71 1.81 1.86 0.18 4.15 4.18 3.28 3.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54057 Laser surg penis lesion(s) A 1.29 2.75 2.45 1.42 1.32 0.12 4.16 3.86 2.83 2.73 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54060 Excision of penis lesion(s) A 1.98 3.36 2.92 1.74 1.61 0.22 5.56 5.12 3.94 3.81 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54065 Destruction penis lesion(s) A 2.47 3.73 3.64 2.31 2.37 0.31 6.51 6.42 5.09 5.15 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54100 Biopsy of penis A 1.90 3.77 3.61 1.62 1.68 0.24 5.91 5.75 3.76 3.82 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54105 Biopsy of penis A 3.54 4.35 3.68 2.63 2.33 0.35 8.24 7.57 6.52 6.22 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54110 Treatment of penis lesion A 10.92 7.00NA 6.27NA 7.00 6.27 1.06 18.98 18.25 18.98 18.25 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54111 Treat penis lesion graft A 14.42 8.59NA 7.64NA 8.59 7.64 1.40 24.41 23.46 24.41 23.46 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54112 Treat penis lesion graft A 16.98 10.00NA 8.87NA 10.00 8.87 1.63 28.61 27.48 28.61 27.48 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54115 Treatment of penis lesion A 6.95 6.12 5.44 5.25 4.72 0.67 13.74 13.06 12.87 12.34 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54120 Partial removal of penis A 11.01 7.14NA 6.39NA 7.14 6.39 1.09 19.24 18.49 19.24 18.49 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54125 Removal of penis A 14.56 8.72NA 7.83NA 8.72 7.83 1.48 24.76 23.87 24.76 23.87 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54130 Remove penis & nodes A 21.84 12.41NA 11.06NA 12.41 11.06 2.12 36.37 35.02 36.37 35.02 0090.10.80.1022210 33.9764 090 99 0.00 0.00 0.00 54135 Remove penis & nodes A 28.17 15.22NA 13.54NA 15.22 13.54 2.74 46.13 44.45 46.13 44.45 0090.10.80.1022200 33.9764 090 99 0.00 0.00 0.00 54150 Circumcision w/regionl block A 1.90 2.83 2.33 0.86 0.80 0.23 4.96 4.46 2.99 2.93 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 54160 Circumcision neonate A 2.53 4.12 3.44 1.61 1.43 0.24 6.89 6.21 4.38 4.20 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54161 Circum 28 days or older A 3.32 2.34NA 2.09NA 2.34 2.09 0.34 6.00 5.75 6.00 5.75 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54162 Lysis penil circumic lesion A 3.32 4.42 3.71 2.38 2.17 0.33 8.07 7.36 6.03 5.82 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54163 Repair of circumcision A 3.32 3.01NA 2.71NA 3.01 2.71 0.33 6.66 6.36 6.66 6.36 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54164 Frenulotomy of penis A 2.82 2.77NA 2.48NA 2.77 2.48 0.29 5.88 5.59 5.88 5.59 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54200 Treatment of penis lesion A 1.11 2.11 1.82 1.36 1.20 0.10 3.32 3.03 2.57 2.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54205 Treatment of penis lesion A 8.97 6.45NA 5.69NA 6.45 5.69 0.86 16.28 15.52 16.28 15.52 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54220 Treatment of penis lesion A 2.42 3.64 3.05 1.43 1.29 0.26 6.32 5.73 4.11 3.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54230 Prepare penis study A 1.34 1.48 1.30 0.96 0.86 0.12 2.94 2.76 2.42 2.32 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54231 Dynamic cavernosometry A 2.04 2.03 1.79 1.32 1.17 0.20 4.27 4.03 3.56 3.41 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54235 Penile injection A 1.19 1.44 1.29 0.93 0.84 0.11 2.74 2.59 2.23 2.14 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54240 Penis study A 1.31 1.60 1.43 1.60NA 1.43 NA 0.09 3.00 2.83 3.00 2.83 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 54240TCPenis study A 0.00 1.03 0.92 1.03NA 0.92 NA 0.01 1.04 0.93 1.04 0.93 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 5424026Penis study A 1.31 0.57 0.51 0.57 0.51 0.08 1.96 1.90 1.96 1.90 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 54250 Penis study A 2.22 1.32 1.15 1.32NA 1.15 NA 0.15 3.69 3.52 3.69 3.52 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 54250TCPenis study A 0.00 0.34 0.28 0.34NA 0.28 NA 0.01 0.35 0.29 0.35 0.29 1000.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 5425026Penis study A 2.22 0.98 0.87 0.98 0.87 0.14 3.34 3.23 3.34 3.23 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 54300 Revision of penis A 11.20 7.37NA 6.49NA 7.37 6.49 1.09 19.66 18.78 19.66 18.78 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54304 Revision of penis A 13.28 8.42NA 7.39NA 8.42 7.39 1.28 22.98 21.95 22.98 21.95 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54308 Reconstruction of urethra A 12.62 8.45NA 7.86NA 8.45 7.86 1.22 22.29 21.70 22.29 21.70 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54312 Reconstruction of urethra A 14.51 9.62NA 8.92NA 9.62 8.92 1.40 25.53 24.83 25.53 24.83 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54316 Reconstruction of urethra A 18.05 11.30NA 10.51NA 11.30 10.51 1.74 31.09 30.30 31.09 30.30 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54318 Reconstruction of urethra A 12.43 8.50NA 7.93NA 8.50 7.93 0.87 21.80 21.23 21.80 21.23 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54322 Reconstruction of urethra A 13.98 8.59NA 7.54NA 8.59 7.54 1.36 23.93 22.88 23.93 22.88 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54324 Reconstruction of urethra A 17.55 10.46NA 9.16NA 10.46 9.16 1.69 29.70 28.40 29.70 28.40 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54326 Reconstruction of urethra A 17.02 9.72NA 9.06NA 9.72 9.06 1.65 28.39 27.73 28.39 27.73 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54328 Revise penis/urethra A 16.89 10.06NA 9.01NA 10.06 9.01 1.63 28.58 27.53 28.58 27.53 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54332 Revise penis/urethra A 18.37 10.86NA 9.59NA 10.86 9.59 1.78 31.01 29.74 31.01 29.74 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54336 Revise penis/urethra A 21.62 12.29NA 12.42NA 12.29 12.42 2.10 36.01 36.14 36.01 36.14 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54340 Secondary urethral surgery A 9.71 6.61NA 5.98NA 6.61 5.98 0.93 17.25 16.62 17.25 16.62 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54344 Secondary urethral surgery A 17.06 10.84NA 10.07NA 10.84 10.07 1.65 29.55 28.78 29.55 28.78 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54348 Secondary urethral surgery A 18.32 14.62NA 16.75NA 14.62 16.75 1.29 34.23 36.36 34.23 36.36 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54352 Reconstruct urethra/penis A 26.13 19.75NA 22.73NA 19.75 22.73 2.55 48.43 51.41 48.43 51.41 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54360 Penis plastic surgery A 12.78 8.06NA 7.08NA 8.06 7.08 1.24 22.08 21.10 22.08 21.10 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54380 Repair penis A 14.18 8.92NA 7.84NA 8.92 7.84 1.37 24.47 23.39 24.47 23.39 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54385 Repair penis A 16.56 11.01NA 9.02NA 11.01 9.02 2.42 29.99 28.00 29.99 28.00 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54390 Repair penis and bladder A 22.77 12.41NA 12.73NA 12.41 12.73 2.20 37.38 37.70 37.38 37.70 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54400 Insert semi-rigid prosthesis A 9.17 6.12NA 5.42NA 6.12 5.42 0.88 16.17 15.47 16.17 15.47 0090.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 54401 Insert self-contd prosthesis A 10.44 8.52NA 7.59NA 8.52 7.59 1.03 19.99 19.06 19.99 19.06 0090.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 54405 Insert multi-comp penis pros A 14.52 8.73NA 7.79NA 8.73 7.79 1.42 24.67 23.73 24.67 23.73 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54406 Remove muti-comp penis pros A 12.89 8.11NA 7.24NA 8.11 7.24 1.25 22.25 21.38 22.25 21.38 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54408 Repair multi-comp penis pros A 13.91 8.79NA 7.88NA 8.79 7.88 1.37 24.07 23.16 24.07 23.16 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54410 Remove/replace penis prosth A 15.18 9.58NA 8.52NA 9.58 8.52 1.48 26.24 25.18 26.24 25.18 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54411 Remov/replc penis pros comp A 18.35 11.10NA 9.96NA 11.10 9.96 1.78 31.23 30.09 31.23 30.09 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54415 Remove self-contd penis pros A 8.88 6.33NA 5.66NA 6.33 5.66 0.86 16.07 15.40 16.07 15.40 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54416 Remv/repl penis contain pros A 12.08 8.35NA 7.49NA 8.35 7.49 1.18 21.61 20.75 21.61 20.75 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54417 Remv/replc penis pros compl A 16.10 9.69NA 8.67NA 9.69 8.67 1.57 27.36 26.34 27.36 26.34 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54420 Revision of penis A 12.39 7.94NA 7.03NA 7.94 7.03 1.21 21.54 20.63 21.54 20.63 0090.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 54430 Revision of penis A 11.06 7.42NA 6.57NA 7.42 6.57 1.08 19.56 18.71 19.56 18.71 0090.10.80.1022200 33.9764 090 99 0.00 0.00 0.00 54435 Revision of penis A 6.81 5.25NA 4.66NA 5.25 4.66 0.65 12.71 12.12 12.71 12.12 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 54450 Preputial stretching A 1.12 0.95 0.80 0.54 0.47 0.10 2.17 2.02 1.76 1.69 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 54500 Biopsy of testis A 1.31 0.84NA 0.75NA 0.84 0.75 0.12 2.27 2.18 2.27 2.18 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 54505 Biopsy of testis A 3.50 2.59NA 2.28NA 2.59 2.28 0.34 6.43 6.12 6.43 6.12 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 54512 Excise lesion testis A 9.33 6.07NA 5.49NA 6.07 5.49 0.93 16.33 15.75 16.33 15.75 0090.10.80.1021110 33.9764 090 99 0.00 0.00 0.00 54520 Removal of testis A 5.30 4.02NA 3.66NA 4.02 3.66 0.61 9.93 9.57 9.93 9.57 0090.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 54522 Orchiectomy partial A 10.25 6.46NA 6.00NA 6.46 6.00 1.01 17.72 17.26 17.72 17.26 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 54530 Removal of testis A 8.46 6.08NA 5.43NA 6.08 5.43 0.87 15.41 14.76 15.41 14.76 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 54535 Extensive testis surgery A 13.19 7.97NA 7.32NA 7.97 7.32 1.28 22.44 21.79 22.44 21.79 0090.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 54550 Exploration for testis A 8.41 5.68NA 5.14NA 5.68 5.14 0.82 14.91 14.37 14.91 14.37 0090.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 54560 Exploration for testis A 12.10 7.21NA 6.82NA 7.21 6.82 1.18 20.49 20.10 20.49 20.10 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 54600 Reduce testis torsion A 7.64 5.40NA 4.84NA 5.40 4.84 0.73 13.77 13.21 13.77 13.21 0090.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 54620 Suspension of testis A 5.21 3.45NA 3.05NA 3.45 3.05 0.50 9.16 8.76 9.16 8.76 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 54640 Suspension of testis A 7.73 5.86NA 5.45NA 5.86 5.45 0.87 14.46 14.05 14.46 14.05 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 54650 Orchiopexy (Fowler-Stephens) A 12.39 7.91NA 7.21NA 7.91 7.21 1.21 21.51 20.81 21.51 20.81 0090.10.80.1021200 33.9764 090 99 0.00 0.00 0.00 54660 Revision of testis A 5.74 4.54NA 4.09NA 4.54 4.09 0.54 10.82 10.37 10.82 10.37 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 54670 Repair testis injury A 6.65 5.01NA 4.50NA 5.01 4.50 0.64 12.30 11.79 12.30 11.79 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 54680 Relocation of testis(es) A 14.04 8.38NA 7.65NA 8.38 7.65 1.36 23.78 23.05 23.78 23.05 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 54690 Laparoscopy orchiectomy A 11.70 6.63NA 6.42NA 6.63 6.42 2.48 20.81 20.60 20.81 20.60 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 54692 Laparoscopy orchiopexy A 13.74 8.09NA 7.19NA 8.09 7.19 1.32 23.15 22.25 23.15 22.25 0090.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 54699 Laparoscope proc testis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 54700 Drainage of scrotum A 3.47 2.61NA 2.39NA 2.61 2.39 0.39 6.47 6.25 6.47 6.25 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54800 Biopsy of epididymis A 2.33 1.81NA 2.06NA 1.81 2.06 0.33 4.47 4.72 4.47 4.72 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 54830 Remove epididymis lesion A 6.01 4.68NA 4.24NA 4.68 4.24 0.63 11.32 10.88 11.32 10.88 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54840 Remove epididymis lesion A 5.27 4.01NA 3.57NA 4.01 3.57 0.52 9.80 9.36 9.80 9.36 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54860 Removal of epididymis A 6.95 5.11NA 4.58NA 5.11 4.58 0.68 12.74 12.21 12.74 12.21 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 54861 Removal of epididymis A 9.70 6.56NA 5.89NA 6.56 5.89 0.93 17.19 16.52 17.19 16.52 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54865 Explore epididymis A 5.77 4.55NA 4.10NA 4.55 4.10 0.56 10.88 10.43 10.88 10.43 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54900 Fusion of spermatic ducts A 14.20 7.99NA 7.85NA 7.99 7.85 1.02 23.21 23.07 23.21 23.07 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 54901 Fusion of spermatic ducts A 19.10 11.82NA 11.13NA 11.82 11.13 1.36 32.28 31.59 32.28 31.59 0090.10.80.1022000 33.9764 090 99 0.00 0.00 0.00 55000 Drainage of hydrocele A 1.43 2.06 1.78 0.99 0.91 0.14 3.63 3.35 2.56 2.48 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 55040 Removal of hydrocele A 5.45 4.24NA 3.83NA 4.24 3.83 0.61 10.30 9.89 10.30 9.89 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 55041 Removal of hydroceles A 8.54 6.06NA 5.49NA 6.06 5.49 0.90 15.50 14.93 15.50 14.93 0090.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 55060 Repair of hydrocele A 6.15 4.74NA 4.31NA 4.74 4.31 0.67 11.56 11.13 11.56 11.13 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 55100 Drainage of scrotum abscess A 2.45 3.86 3.40 2.27 2.11 0.30 6.61 6.15 5.02 4.86 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 55110 Explore scrotum A 6.33 4.78NA 4.37NA 4.78 4.37 0.68 11.79 11.38 11.79 11.38 0090.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 55120 Removal of scrotum lesion A 5.72 4.49NA 4.08NA 4.49 4.08 0.61 10.82 10.41 10.82 10.41 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55150 Removal of scrotum A 8.14 5.91NA 5.38NA 5.91 5.38 0.86 14.91 14.38 14.91 14.38 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55175 Revision of scrotum A 5.87 4.60NA 4.17NA 4.60 4.17 0.60 11.07 10.64 11.07 10.64 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55180 Revision of scrotum A 11.78 7.94NA 7.28NA 7.94 7.28 1.29 21.01 20.35 21.01 20.35 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55200 Incision of sperm duct A 4.55 9.18 7.31 3.42 3.11 0.44 14.17 12.30 8.41 8.10 0090.10.80.1022000 33.9764 090 99 0.00 0.00 0.00 55250 Removal of sperm duct(s) A 3.37 8.94 7.28 3.24 2.94 0.33 12.64 10.98 6.94 6.64 0090.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 55300 Prepare sperm duct x-ray A 3.50 1.72NA 1.67NA 1.72 1.67 0.34 5.56 5.51 5.56 5.51 0000.00.00.0022000 33.9764 090 99 0.00 0.00 0.00 55400 Repair of sperm duct A 8.61 5.79NA 5.12NA 5.79 5.12 0.83 15.23 14.56 15.23 14.56 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 55450 Ligation of sperm duct A 4.43 6.44 5.35 2.92 2.66 0.42 11.29 10.20 7.77 7.51 0010.10.80.1022000 33.9764 090 99 0.00 0.00 0.00 55500 Removal of hydrocele A 6.22 4.78NA 4.65NA 4.78 4.65 0.88 11.88 11.75 11.88 11.75 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55520 Removal of sperm cord lesion A 6.66 4.98NA 5.36NA 4.98 5.36 1.36 13.00 13.38 13.00 13.38 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55530 Revise spermatic cord veins A 5.75 4.39NA 3.96NA 4.39 3.96 0.63 10.77 10.34 10.77 10.34 0090.10.80.1021110 33.9764 090 99 0.00 0.00 0.00 55535 Revise spermatic cord veins A 7.19 5.14NA 4.66NA 5.14 4.66 0.69 13.02 12.54 13.02 12.54 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 55540 Revise hernia & sperm veins A 8.30 5.66NA 6.09NA 5.66 6.09 1.65 15.61 16.04 15.61 16.04 0090.10.80.1021110 33.9764 090 99 0.00 0.00 0.00 55550 Laparo ligate spermatic vein A 7.20 4.99NA 4.60NA 4.99 4.60 0.69 12.88 12.49 12.88 12.49 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 55559 Laparo proc spermatic cord C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 55600 Incise sperm duct pouch A 7.01 5.15NA 4.60NA 5.15 4.60 0.68 12.84 12.29 12.84 12.29 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 55605 Incise sperm duct pouch A 8.76 6.21NA 6.18NA 6.21 6.18 0.84 15.81 15.78 15.81 15.78 0090.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 55650 Remove sperm duct pouch A 12.65 7.84NA 7.12NA 7.84 7.12 1.22 21.71 20.99 21.71 20.99 0090.10.80.1021210 33.9764 090 99 0.00 0.00 0.00 55680 Remove sperm pouch lesion A 5.67 4.15NA 3.86NA 4.15 3.86 0.54 10.36 10.07 10.36 10.07 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55700 Biopsy of prostate A 2.58 4.03 3.35 1.38 1.27 0.26 6.87 6.19 4.22 4.11 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 55705 Biopsy of prostate A 4.61 3.09NA 2.74NA 3.09 2.74 0.45 8.15 7.80 8.15 7.80 0010.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 55706 Prostate saturation sampling A 6.28 4.67NA 3.99NA 4.67 3.99 0.44 11.39 10.71 11.39 10.71 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55720 Drainage of prostate abscess A 7.73 5.26NA 4.72NA 5.26 4.72 0.73 13.72 13.18 13.72 13.18 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55725 Drainage of prostate abscess A 10.05 6.93NA 6.29NA 6.93 6.29 0.98 17.96 17.32 17.96 17.32 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55801 Removal of prostate A 19.80 11.43NA 10.35NA 11.43 10.35 1.92 33.15 32.07 33.15 32.07 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55810 Extensive prostate surgery A 24.29 13.32NA 12.00NA 13.32 12.00 2.48 40.09 38.77 40.09 38.77 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55812 Extensive prostate surgery A 29.89 16.20NA 14.50NA 16.20 14.50 2.91 49.00 47.30 49.00 47.30 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55815 Extensive prostate surgery A 32.95 17.59NA 15.70NA 17.59 15.70 3.20 53.74 51.85 53.74 51.85 0090.10.80.1022210 33.9764 090 99 0.00 0.00 0.00 55821 Removal of prostate A 15.76 9.33NA 8.35NA 9.33 8.35 1.55 26.64 25.66 26.64 25.66 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55831 Removal of prostate A 17.19 9.96NA 8.90NA 9.96 8.90 1.66 28.81 27.75 28.81 27.75 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55840 Extensive prostate surgery A 24.63 13.74NA 12.28NA 13.74 12.28 2.41 40.78 39.32 40.78 39.32 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55842 Extensive prostate surgery A 26.49 14.57NA 13.01NA 14.57 13.01 2.60 43.66 42.10 43.66 42.10 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55845 Extensive prostate surgery A 30.67 16.18NA 14.46NA 16.18 14.46 3.04 49.89 48.17 49.89 48.17 0090.10.80.1022210 33.9764 090 99 0.00 0.00 0.00 55860 Surgical exposure prostate A 15.84 9.28NA 8.27NA 9.28 8.27 1.52 26.64 25.63 26.64 25.63 0090.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 55862 Extensive prostate surgery A 20.04 11.50NA 10.21NA 11.50 10.21 1.93 33.47 32.18 33.47 32.18 0090.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 55865 Extensive prostate surgery A 24.57 13.76NA 12.23NA 13.76 12.23 2.38 40.71 39.18 40.71 39.18 0090.10.80.1022210 33.9764 090 99 0.00 0.00 0.00 55866 Laparo radical prostatectomy A 32.06 17.57NA 15.90NA 17.57 15.90 3.18 52.81 51.14 52.81 51.14 0090.08.83.0920210 33.9764 090 99 0.00 0.00 0.00 55870 Electroejaculation A 2.58 2.50 2.22 1.53 1.34 0.26 5.34 5.06 4.37 4.18 0000.00.00.0020110 33.9764 090 99 0.00 0.00 0.00 55873 Cryoablate prostate A 13.60 171.44 171.44 10.53 7.46 1.36 186.40 186.40 25.49 22.42 0090.08.83.0920100 33.9764 090 99 0.00 0.00 0.00 55875 Transperi needle place pros A 13.46 8.45NA 7.57NA 8.45 7.57 1.29 23.20 22.32 23.20 22.32 0090.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 55876 Place rt device/marker pros A 1.73 2.26 1.97 1.19 1.04 0.16 4.15 3.86 3.08 2.93 0000.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 55920 Place needles pelvic for rt A 8.31 4.11NA 4.05NA 4.11 4.05 0.80 13.22 13.16 13.22 13.16 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 55970 Sex transformation m to f N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 55980 Sex transformation f to m N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 56405 I & D of vulva/perineum A 1.49 1.49 1.49 1.45 1.47 0.26 3.24 3.24 3.20 3.22 0010.10.80.1020120 33.9764 090 99 0.00 0.00 0.00 56420 Drainage of gland abscess A 1.44 1.98 1.87 1.05 1.05 0.24 3.66 3.55 2.73 2.73 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 56440 Surgery for vulva lesion A 2.89 2.06NA 2.11NA 2.06 2.11 0.49 5.44 5.49 5.44 5.49 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 56441 Lysis of labial lesion(s) A 2.02 2.03 1.92 1.83 1.77 0.29 4.34 4.23 4.14 4.08 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 56442 Hymenotomy A 0.68 0.64NA 0.63NA 0.64 0.63 0.11 1.43 1.42 1.43 1.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 56501 Destroy vulva lesions sim A 1.58 2.02 1.99 1.54 1.56 0.27 3.87 3.84 3.39 3.41 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 56515 Destroy vulva lesion/s compl A 3.08 3.05 3.09 2.31 2.42 0.50 6.63 6.67 5.89 6.00 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 56605 Biopsy of vulva/perineum A 1.10 1.17 1.15 0.52 0.56 0.18 2.45 2.43 1.80 1.84 0000.00.00.0020120 33.9764 090 99 0.00 0.00 0.00 56606 Biopsy of vulva/perineum A 0.55 0.48 0.47 0.24 0.26 0.08 1.11 1.10 0.87 0.89 0ZZZ.00.00.0000120 33.9764 090 99 0.00 0.00 0.00 56620 Partial removal of vulva A 7.53 6.03NA 6.26NA 6.03 6.26 1.27 14.83 15.06 14.83 15.06 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 56625 Complete removal of vulva A 9.68 6.50NA 6.83NA 6.50 6.83 1.62 17.80 18.13 17.80 18.13 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 56630 Extensive vulva surgery A 14.80 8.79NA 9.43NA 8.79 9.43 2.56 26.15 26.79 26.15 26.79 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 56631 Extensive vulva surgery A 18.99 10.94NA 11.73NA 10.94 11.73 3.21 33.14 33.93 33.14 33.93 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 56632 Extensive vulva surgery A 21.86 12.95NA 14.04NA 12.95 14.04 3.70 38.51 39.60 38.51 39.60 0090.12.74.1422220 33.9764 090 99 0.00 0.00 0.00 56633 Extensive vulva surgery A 19.62 11.05NA 11.91NA 11.05 11.91 3.32 33.99 34.85 33.99 34.85 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 56634 Extensive vulva surgery A 20.66 11.77NA 12.73NA 11.77 12.73 3.50 35.93 36.89 35.93 36.89 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 56637 Extensive vulva surgery A 24.75 13.36NA 14.43NA 13.36 14.43 4.18 42.29 43.36 42.29 43.36 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 56640 Extensive vulva surgery A 24.78 12.74NA 13.65NA 12.74 13.65 4.18 41.70 42.61 41.70 42.61 0090.12.74.1421210 33.9764 090 99 0.00 0.00 0.00 56700 Partial removal of hymen A 2.84 2.24NA 2.28NA 2.24 2.28 0.48 5.56 5.60 5.56 5.60 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 56740 Remove vagina gland lesion A 4.88 3.12NA 3.26NA 3.12 3.26 0.83 8.83 8.97 8.83 8.97 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 56800 Repair of vagina A 3.93 2.61NA 2.66NA 2.61 2.66 0.64 7.18 7.23 7.18 7.23 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 56805 Repair clitoris A 19.88 10.79NA 11.30NA 10.79 11.30 3.38 34.05 34.56 34.05 34.56 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 56810 Repair of perineum A 4.29 2.74NA 2.83NA 2.74 2.83 0.69 7.72 7.81 7.72 7.81 0010.10.80.1020220 33.9764 090 99 0.00 0.00 0.00 56820 Exam of vulva w/scope A 1.50 1.51 1.51 0.77 0.82 0.26 3.27 3.27 2.53 2.58 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 56821 Exam/biopsy of vulva w/scope A 2.05 1.96 1.94 1.01 1.08 0.34 4.35 4.33 3.40 3.47 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57000 Exploration of vagina A 3.02 2.13NA 2.16NA 2.13 2.16 0.50 5.65 5.68 5.65 5.68 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 57010 Drainage of pelvic abscess A 6.84 4.88NA 5.05NA 4.88 5.05 1.16 12.88 13.05 12.88 13.05 0090.12.74.1420000 33.9764 090 99 0.00 0.00 0.00 57020 Drainage of pelvic fluid A 1.50 1.03 1.05 0.67 0.73 0.26 2.79 2.81 2.43 2.49 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 57022 I & d vaginal hematoma pp A 2.73 1.80NA 1.88NA 1.80 1.88 0.45 4.98 5.06 4.98 5.06 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 57023 I & d vag hematoma non-ob A 5.18 3.20NA 3.33NA 3.20 3.33 0.87 9.25 9.38 9.25 9.38 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 57061 Destroy vag lesions simple A 1.30 1.85 1.80 1.38 1.38 0.22 3.37 3.32 2.90 2.90 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57065 Destroy vag lesions complex A 2.66 2.57 2.56 1.97 2.02 0.44 5.67 5.66 5.07 5.12 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57100 Biopsy of vagina A 1.20 1.20 1.20 0.55 0.60 0.20 2.60 2.60 1.95 2.00 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57105 Biopsy of vagina A 1.74 1.97 1.92 1.67 1.66 0.29 4.00 3.95 3.70 3.69 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57106 Remove vagina wall partial A 7.50 5.52NA 5.71NA 5.52 5.71 1.21 14.23 14.42 14.23 14.42 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57107 Remove vagina tissue part A 24.56 12.94NA 13.86NA 12.94 13.86 4.15 41.65 42.57 41.65 42.57 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57109 Vaginectomy partial w/nodes A 28.40 14.40NA 15.55NA 14.40 15.55 4.80 47.60 48.75 47.60 48.75 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 57110 Remove vagina wall complete A 15.48 8.63NA 9.08NA 8.63 9.08 2.59 26.70 27.15 26.70 27.15 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57111 Remove vagina tissue compl A 28.40 14.69NA 15.55NA 14.69 15.55 4.80 47.89 48.75 47.89 48.75 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 57112 Vaginectomy w/nodes compl A 30.52 11.96NA 9.59NA 11.96 9.59 2.42 44.90 42.53 44.90 42.53 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 57120 Closure of vagina A 8.28 5.55NA 5.70NA 5.55 5.70 1.36 15.19 15.34 15.19 15.34 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57130 Remove vagina lesion A 2.46 2.43 2.38 1.88 1.90 0.41 5.30 5.25 4.75 4.77 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 57135 Remove vagina lesion A 2.70 2.55 2.52 1.98 2.02 0.44 5.69 5.66 5.12 5.16 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57150 Treat vagina infection A 0.55 0.78 0.69 0.24 0.25 0.08 1.41 1.32 0.87 0.88 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57155 Insert uteri tandems/ovoids A 3.37 5.99 5.99 1.66 1.66 0.30 9.66 9.66 5.33 5.33 0000.00.00.0020120 33.9764 090 99 0.00 0.00 0.00 57156 Ins vag brachytx device A 1.87 2.38 2.38 0.99 0.99 0.16 4.41 4.41 3.02 3.02 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 57160 Insert pessary/other device A 0.89 1.24 1.20 0.38 0.41 0.14 2.27 2.23 1.41 1.44 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57170 Fitting of diaphragm/cap A 0.91 0.87 0.75 0.38 0.41 0.14 1.92 1.80 1.43 1.46 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 57180 Treat vaginal bleeding A 1.63 2.28 2.19 1.25 1.25 0.27 4.18 4.09 3.15 3.15 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57200 Repair of vagina A 4.42 3.70NA 3.76NA 3.70 3.76 0.71 8.83 8.89 8.83 8.89 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57210 Repair vagina/perineum A 5.71 4.24NA 4.31NA 4.24 4.31 0.91 10.86 10.93 10.86 10.93 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57220 Revision of urethra A 4.85 3.86NA 3.91NA 3.86 3.91 0.80 9.51 9.56 9.51 9.56 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57230 Repair of urethral lesion A 6.30 4.53NA 4.52NA 4.53 4.52 1.06 11.89 11.88 11.89 11.88 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57240 Repair bladder & vagina A 11.50 6.66NA 6.88NA 6.66 6.88 1.63 19.79 20.01 19.79 20.01 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57250 Repair rectum & vagina A 11.50 6.50NA 7.05NA 6.50 7.05 1.86 19.86 20.41 19.86 20.41 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57260 Repair of vagina A 14.44 7.76NA 8.39NA 7.76 8.39 2.34 24.54 25.17 24.54 25.17 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57265 Extensive repair of vagina A 15.94 8.53NA 9.05NA 8.53 9.05 2.57 27.04 27.56 27.04 27.56 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57267 Insert mesh/pelvic flr addon A 4.88 2.13NA 2.17NA 2.13 2.17 0.72 7.73 7.77 7.73 7.77 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 57268 Repair of bowel bulge A 7.57 5.51NA 5.64NA 5.51 5.64 1.22 14.30 14.43 14.30 14.43 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57270 Repair of bowel pouch A 13.67 7.79NA 8.18NA 7.79 8.18 2.25 23.71 24.10 23.71 24.10 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57280 Suspension of vagina A 16.72 9.15NA 9.41NA 9.15 9.41 2.60 28.47 28.73 28.47 28.73 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57282 Colpopexy extraperitoneal A 7.97 5.72NA 5.77NA 5.72 5.77 1.24 14.93 14.98 14.93 14.98 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57283 Colpopexy intraperitoneal A 11.66 6.97NA 7.23NA 6.97 7.23 1.92 20.55 20.81 20.55 20.81 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57284 Repair paravag defect open A 14.33 7.98NA 8.03NA 7.98 8.03 2.16 24.47 24.52 24.47 24.52 0090.08.83.0920220 33.9764 090 99 0.00 0.00 0.00 57285 Repair paravag defect vag A 11.60 6.75NA 6.93NA 6.75 6.93 1.80 20.15 20.33 20.15 20.33 0090.08.83.0920220 33.9764 090 99 0.00 0.00 0.00 57287 Revise/remove sling repair A 11.15 7.82NA 7.50NA 7.82 7.50 1.47 20.44 20.12 20.44 20.12 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57288 Repair bladder defect A 12.13 7.49NA 7.15NA 7.49 7.15 1.59 21.21 20.87 21.21 20.87 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57289 Repair bladder & vagina A 12.80 7.69NA 7.28NA 7.69 7.28 1.24 21.73 21.32 21.73 21.32 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57291 Construction of vagina A 8.64 7.51NA 9.07NA 7.51 9.07 1.47 17.62 19.18 17.62 19.18 0090.12.74.1420200 33.9764 090 99 0.00 0.00 0.00 57292 Construct vagina with graft A 14.01 8.13NA 8.37NA 8.13 8.37 2.34 24.48 24.72 24.48 24.72 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57295 Revise vag graft via vagina A 7.82 5.33NA 5.30NA 5.33 5.30 1.20 14.35 14.32 14.35 14.32 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57296 Revise vag graft open abd A 16.56 8.94NA 9.44NA 8.94 9.44 2.79 28.29 28.79 28.29 28.79 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57300 Repair rectum-vagina fistula A 8.71 6.01NA 6.48NA 6.01 6.48 1.52 16.24 16.71 16.24 16.71 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57305 Repair rectum-vagina fistula A 15.35 8.75NA 9.60NA 8.75 9.60 2.97 27.07 27.92 27.07 27.92 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57307 Fistula repair & colostomy A 17.17 9.90NA 10.99NA 9.90 10.99 3.67 30.74 31.83 30.74 31.83 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57308 Fistula repair transperine A 10.59 6.81NA 7.40NA 6.81 7.40 1.80 19.20 19.79 19.20 19.79 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57310 Repair urethrovaginal lesion A 7.65 5.48NA 5.02NA 5.48 5.02 0.73 13.86 13.40 13.86 13.40 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57311 Repair urethrovaginal lesion A 8.91 6.01NA 5.51NA 6.01 5.51 0.86 15.78 15.28 15.78 15.28 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57320 Repair bladder-vagina lesion A 8.88 6.10NA 5.76NA 6.10 5.76 1.05 16.03 15.69 16.03 15.69 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57330 Repair bladder-vagina lesion A 13.21 7.72NA 7.15NA 7.72 7.15 1.28 22.21 21.64 22.21 21.64 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57335 Repair vagina A 20.02 11.27NA 11.66NA 11.27 11.66 3.39 34.68 35.07 34.68 35.07 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57400 Dilation of vagina A 2.27 1.34NA 1.36NA 1.34 1.36 0.38 3.99 4.01 3.99 4.01 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 57410 Pelvic examination A 1.75 1.14NA 1.18NA 1.14 1.18 0.29 3.18 3.22 3.18 3.22 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57415 Remove vaginal foreign body A 2.49 1.88NA 1.89NA 1.88 1.89 0.37 4.74 4.75 4.74 4.75 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 57420 Exam of vagina w/scope A 1.60 1.56 1.56 0.81 0.87 0.26 3.42 3.42 2.67 2.73 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57421 Exam/biopsy of vag w/scope A 2.20 2.04 2.04 1.07 1.15 0.37 4.61 4.61 3.64 3.72 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57423 Repair paravag defect lap A 16.08 8.63NA 8.92NA 8.63 8.92 2.72 27.43 27.72 27.43 27.72 0090.08.83.0920220 33.9764 090 99 0.00 0.00 0.00 57425 Laparoscopy surg colpopexy A 17.03 9.17NA 9.62NA 9.17 9.62 2.67 28.87 29.32 28.87 29.32 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57426 Revise prosth vag graft lap A 14.30 8.32NA 8.32NA 8.32 8.32 2.41 25.03 25.03 25.03 25.03 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57452 Exam of cervix w/scope A 1.50 1.47 1.46 0.97 1.02 0.24 3.21 3.20 2.71 2.76 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57454 Bx/curett of cervix w/scope A 2.33 1.84 1.86 1.33 1.40 0.38 4.55 4.57 4.04 4.11 0000.00.00.0030100 57452 33.9764 090 99 0.00 0.00 0.00 57455 Biopsy of cervix w/scope A 1.99 1.91 1.91 0.98 1.04 0.33 4.23 4.23 3.30 3.36 0000.00.00.0030100 57452 33.9764 090 99 0.00 0.00 0.00 57456 Endocerv curettage w/scope A 1.85 1.84 1.83 0.92 0.98 0.31 4.00 3.99 3.08 3.14 0000.00.00.0030100 57452 33.9764 090 99 0.00 0.00 0.00 57460 Bx of cervix w/scope leep A 2.83 5.30 4.89 1.55 1.63 0.48 8.61 8.20 4.86 4.94 0000.00.00.0030100 57452 33.9764 090 99 0.00 0.00 0.00 57461 Conz of cervix w/scope leep A 3.43 5.67 5.28 1.60 1.71 0.59 9.69 9.30 5.62 5.73 0000.00.00.0030100 57452 33.9764 090 99 0.00 0.00 0.00 57500 Biopsy of cervix A 1.20 2.45 2.28 0.84 0.88 0.20 3.85 3.68 2.24 2.28 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 57505 Endocervical curettage A 1.19 1.62 1.58 1.32 1.32 0.20 3.01 2.97 2.71 2.71 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57510 Cauterization of cervix A 1.90 1.69 1.69 1.22 1.27 0.31 3.90 3.90 3.43 3.48 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57511 Cryocautery of cervix A 1.95 2.03 2.02 1.64 1.67 0.33 4.31 4.30 3.92 3.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57513 Laser surgery of cervix A 1.95 1.98 1.97 1.65 1.67 0.33 4.26 4.25 3.93 3.95 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57520 Conization of cervix A 4.11 4.27 4.21 3.28 3.33 0.68 9.06 9.00 8.07 8.12 0090.12.74.1420100 33.9764 090 99 0.00 0.00 0.00 57522 Conization of cervix A 3.67 3.52 3.50 2.92 2.97 0.63 7.82 7.80 7.22 7.27 0090.12.74.1420100 33.9764 090 99 0.00 0.00 0.00 57530 Removal of cervix A 5.27 4.07NA 4.15NA 4.07 4.15 0.87 10.21 10.29 10.21 10.29 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57531 Removal of cervix radical A 29.95 15.82NA 17.20NA 15.82 17.20 5.06 50.83 52.21 50.83 52.21 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 57540 Removal of residual cervix A 13.29 7.62NA 8.05NA 7.62 8.05 2.23 23.14 23.57 23.14 23.57 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57545 Remove cervix/repair pelvis A 14.10 7.97NA 8.42NA 7.97 8.42 2.35 24.42 24.87 24.42 24.87 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57550 Removal of residual cervix A 6.34 4.71NA 4.82NA 4.71 4.82 1.08 12.13 12.24 12.13 12.24 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57555 Remove cervix/repair vagina A 9.94 6.23NA 6.52NA 6.23 6.52 1.66 17.83 18.12 17.83 18.12 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57556 Remove cervix repair bowel A 9.36 6.03NA 6.12NA 6.03 6.12 1.46 16.85 16.94 16.85 16.94 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 57558 D&c of cervical stump A 1.72 1.70 1.69 1.36 1.39 0.29 3.71 3.70 3.37 3.40 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 57700 Revision of cervix A 4.35 4.15NA 4.16NA 4.15 4.16 0.72 9.22 9.23 9.22 9.23 0090.12.74.1420000 33.9764 090 99 0.00 0.00 0.00 57720 Revision of cervix A 4.61 3.75NA 3.81NA 3.75 3.81 0.76 9.12 9.18 9.12 9.18 0090.12.74.1420200 33.9764 090 99 0.00 0.00 0.00 57800 Dilation of cervical canal A 0.77 0.88 0.88 0.54 0.56 0.12 1.77 1.77 1.43 1.45 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 58100 Biopsy of uterus lining A 1.53 1.46 1.45 0.82 0.87 0.26 3.25 3.24 2.61 2.66 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 58110 Bx done w/colposcopy add-on A 0.77 0.54 0.55 0.33 0.36 0.12 1.43 1.44 1.22 1.25 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 58120 Dilation and curettage A 3.59 3.32 3.43 2.26 2.36 0.61 7.52 7.63 6.46 6.56 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 58140 Myomectomy abdom method A 15.79 8.66NA 9.24NA 8.66 9.24 2.80 27.25 27.83 27.25 27.83 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58145 Myomectomy vag method A 8.91 5.73NA 5.97NA 5.73 5.97 1.50 16.14 16.38 16.14 16.38 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58146 Myomectomy abdom complex A 20.34 10.61NA 11.25NA 10.61 11.25 3.44 34.39 35.03 34.39 35.03 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58150 Total hysterectomy A 17.31 9.27NA 9.93NA 9.27 9.93 2.94 29.52 30.18 29.52 30.18 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58152 Total hysterectomy A 21.86 11.46NA 12.19NA 11.46 12.19 3.74 37.06 37.79 37.06 37.79 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58180 Partial hysterectomy A 16.60 8.98NA 9.56NA 8.98 9.56 2.80 28.38 28.96 28.38 28.96 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58200 Extensive hysterectomy A 23.10 11.92NA 12.86NA 11.92 12.86 3.89 38.91 39.85 38.91 39.85 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58210 Extensive hysterectomy A 30.91 15.82NA 17.15NA 15.82 17.15 5.27 52.00 53.33 52.00 53.33 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58240 Removal of pelvis contents A 49.33 24.85NA 26.84NA 24.85 26.84 8.33 82.51 84.50 82.51 84.50 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58260 Vaginal hysterectomy A 14.15 8.05NA 8.49NA 8.05 8.49 2.38 24.58 25.02 24.58 25.02 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58262 Vag hyst including t/o A 15.94 8.79NA 9.30NA 8.79 9.30 2.69 27.42 27.93 27.42 27.93 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58263 Vag hyst w/t/o & vag repair A 17.23 9.36NA 9.90NA 9.36 9.90 2.91 29.50 30.04 29.50 30.04 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58267 Vag hyst w/urinary repair A 18.36 9.90NA 10.49NA 9.90 10.49 3.12 31.38 31.97 31.38 31.97 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58270 Vag hyst w/enterocele repair A 15.30 8.35NA 8.82NA 8.35 8.82 2.57 26.22 26.69 26.22 26.69 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58275 Hysterectomy/revise vagina A 17.03 9.32NA 9.85NA 9.32 9.85 2.90 29.25 29.78 29.25 29.78 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58280 Hysterectomy/revise vagina A 18.33 9.87NA 10.50NA 9.87 10.50 3.08 31.28 31.91 31.28 31.91 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58285 Extensive hysterectomy A 23.38 11.73NA 12.52NA 11.73 12.52 3.93 39.04 39.83 39.04 39.83 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58290 Vag hyst complex A 20.27 10.57NA 11.22NA 10.57 11.22 3.43 34.27 34.92 34.27 34.92 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58291 Vag hyst incl t/o complex A 22.06 11.38NA 12.05NA 11.38 12.05 3.73 37.17 37.84 37.17 37.84 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58292 Vag hyst t/o & repair compl A 23.35 11.89NA 12.64NA 11.89 12.64 3.93 39.17 39.92 39.17 39.92 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58293 Vag hyst w/uro repair compl A 24.33 12.27NA 13.10NA 12.27 13.10 4.11 40.71 41.54 40.71 41.54 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58294 Vag hyst w/enterocele compl A 21.55 11.06NA 11.81NA 11.06 11.81 3.66 36.27 37.02 36.27 37.02 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58300 Insert intrauterine device N+ 1.01 1.04 0.94 0.44 0.44 0.07 2.12 2.02 1.52 1.52 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 58301 Remove intrauterine device A 1.27 1.35 1.32 0.54 0.59 0.22 2.84 2.81 2.03 2.08 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 58321 Artificial insemination A 0.92 1.23 1.18 0.40 0.42 0.05 2.20 2.15 1.37 1.39 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 58322 Artificial insemination A 1.10 1.28 1.24 0.47 0.51 0.18 2.56 2.52 1.75 1.79 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 58323 Sperm washing A 0.23 0.25 0.19 0.10 0.11 0.04 0.52 0.46 0.37 0.38 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 58340 Catheter for hysterography A 0.88 2.62 2.33 0.72 0.71 0.12 3.62 3.33 1.72 1.71 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 58345 Reopen fallopian tube A 4.70 2.84NA 2.94NA 2.84 2.94 0.78 8.32 8.42 8.32 8.42 0010.10.80.1021220 33.9764 090 99 0.00 0.00 0.00 58346 Insert heyman uteri capsule A 7.56 4.73NA 4.70NA 4.73 4.70 0.63 12.92 12.89 12.92 12.89 0090.12.74.1420100 33.9764 090 99 0.00 0.00 0.00 58350 Reopen fallopian tube A 1.06 1.63 1.57 1.10 1.09 0.18 2.87 2.81 2.34 2.33 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 58353 Endometr ablate thermal A 3.60 27.59 23.80 2.33 2.40 0.61 31.80 28.01 6.54 6.61 0010.10.80.1020120 33.9764 090 99 0.00 0.00 0.00 58356 Endometrial cryoablation A 6.41 51.43 45.11 2.85 3.06 1.08 58.92 52.60 10.34 10.55 0010.10.80.1020220 33.9764 090 99 0.00 0.00 0.00 58400 Suspension of uterus A 7.14 4.89NA 4.93NA 4.89 4.93 1.08 13.11 13.15 13.11 13.15 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58410 Suspension of uterus A 13.80 7.77NA 8.22NA 7.77 8.22 2.31 23.88 24.33 23.88 24.33 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58520 Repair of ruptured uterus A 13.48 7.58NA 8.07NA 7.58 8.07 2.90 23.96 24.45 23.96 24.45 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58540 Revision of uterus A 15.71 8.62NA 9.17NA 8.62 9.17 2.65 26.98 27.53 26.98 27.53 0090.12.74.1420200 33.9764 090 99 0.00 0.00 0.00 58541 Lsh uterus 250 g or less A 14.70 8.39NA 8.97NA 8.39 8.97 2.46 25.55 26.13 25.55 26.13 0090.12.74.1430220 49320 33.9764 090 99 0.00 0.00 0.00 58542 Lsh w/t/o ut 250 g or less A 16.56 9.18NA 9.84NA 9.18 9.84 2.80 28.54 29.20 28.54 29.20 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58543 Lsh uterus above 250 g A 16.87 9.30NA 10.00NA 9.30 10.00 2.86 29.03 29.73 29.03 29.73 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58544 Lsh w/t/o uterus above 250 g A 18.37 9.89NA 10.68NA 9.89 10.68 3.12 31.38 32.17 31.38 32.17 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58545 Laparoscopic myomectomy A 15.55 8.37NA 8.89NA 8.37 8.89 2.67 26.59 27.11 26.59 27.11 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58546 Laparo-myomectomy complex A 19.94 10.23NA 10.88NA 10.23 10.88 3.39 33.56 34.21 33.56 34.21 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58548 Lap radical hyst A 31.63 16.09NA 17.80NA 16.09 17.80 5.32 53.04 54.75 53.04 54.75 0090.12.74.1422220 33.9764 090 99 0.00 0.00 0.00 58550 Laparo-asst vag hysterectomy A 15.10 8.58NA 9.05NA 8.58 9.05 2.56 26.24 26.71 26.24 26.71 0090.12.74.1430220 49320 33.9764 090 99 0.00 0.00 0.00 58552 Laparo-vag hyst incl t/o A 16.91 9.33NA 9.87NA 9.33 9.87 2.87 29.11 29.65 29.11 29.65 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58553 Laparo-vag hyst complex A 20.06 10.30NA 10.99NA 10.30 10.99 3.40 33.76 34.45 33.76 34.45 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58554 Laparo-vag hyst w/t/o compl A 23.11 12.01NA 12.84NA 12.01 12.84 3.93 39.05 39.88 39.05 39.88 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58555 Hysteroscopy dx sep proc A 3.33 4.10 4.95 1.76 1.87 0.56 7.99 8.84 5.65 5.76 0000.00.00.0020020 33.9764 090 99 0.00 0.00 0.00 58558 Hysteroscopy biopsy A 4.74 5.06 6.06 2.41 2.55 0.80 10.60 11.60 7.95 8.09 0000.00.00.0030120 58555 33.9764 090 99 0.00 0.00 0.00 58559 Hysteroscopy lysis A 6.16 3.02NA 3.21NA 3.02 3.21 1.05 10.23 10.42 10.23 10.42 0000.00.00.0030120 58555 33.9764 090 99 0.00 0.00 0.00 58560 Hysteroscopy resect septum A 6.99 3.38NA 3.60NA 3.38 3.60 1.18 11.55 11.77 11.55 11.77 0000.00.00.0030220 58555 33.9764 090 99 0.00 0.00 0.00 58561 Hysteroscopy remove myoma A 9.99 4.67NA 4.99NA 4.67 4.99 1.67 16.33 16.65 16.33 16.65 0000.00.00.0030020 58555 33.9764 090 99 0.00 0.00 0.00 58562 Hysteroscopy remove fb A 5.20 5.01 5.99 2.58 2.73 0.87 11.08 12.06 8.65 8.80 0000.00.00.0030120 58555 33.9764 090 99 0.00 0.00 0.00 58563 Hysteroscopy ablation A 6.16 44.84 39.03 3.02 3.21 1.05 52.05 46.24 10.23 10.42 0000.00.00.0030020 58555 33.9764 090 99 0.00 0.00 0.00 58565 Hysteroscopy sterilization A 7.12 48.34 43.73 4.58 4.75 1.20 56.66 52.05 12.90 13.07 0090.12.74.1432120 58555 33.9764 090 99 0.00 0.00 0.00 58570 Tlh uterus 250 g or less A 15.88 8.90NA 9.55NA 8.90 9.55 2.69 27.47 28.12 27.47 28.12 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58571 Tlh w/t/o 250 g or less A 17.69 9.73NA 10.56NA 9.73 10.56 3.01 30.43 31.26 30.43 31.26 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58572 Tlh uterus over 250 g A 20.09 10.65NA 11.55NA 10.65 11.55 3.40 34.14 35.04 34.14 35.04 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58573 Tlh w/t/o uterus over 250 g A 23.11 11.97NA 13.10NA 11.97 13.10 3.89 38.97 40.10 38.97 40.10 0090.12.74.1420220 33.9764 090 99 0.00 0.00 0.00 58578 Laparo proc uterus C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 58579 Hysteroscope procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 58600 Division of fallopian tube A 5.91 3.90NA 4.07NA 3.90 4.07 1.01 10.82 10.99 10.82 10.99 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58605 Division of fallopian tube A 5.28 3.62NA 3.74NA 3.62 3.74 0.88 9.78 9.90 9.78 9.90 0090.12.74.1422200 33.9764 090 99 0.00 0.00 0.00 58611 Ligate oviduct(s) add-on A 1.45 0.62NA 0.67NA 0.62 0.67 0.24 2.31 2.36 2.31 2.36 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 58615 Occlude fallopian tube(s) A 3.94 2.71NA 2.73NA 2.71 2.73 0.67 7.32 7.34 7.32 7.34 0010.10.80.1020200 33.9764 090 99 0.00 0.00 0.00 58660 Laparoscopy lysis A 11.59 6.33NA 6.73NA 6.33 6.73 2.04 19.96 20.36 19.96 20.36 0090.09.84.0730220 49320 33.9764 090 99 0.00 0.00 0.00 58661 Laparoscopy remove adnexa A 11.35 5.83NA 6.21NA 5.83 6.21 1.93 19.11 19.49 19.11 19.49 0010.10.80.1031220 49320 33.9764 090 99 0.00 0.00 0.00 58662 Laparoscopy excise lesions A 12.15 6.72NA 7.10NA 6.72 7.10 2.07 20.94 21.32 20.94 21.32 0090.09.84.0730220 49320 33.9764 090 99 0.00 0.00 0.00 58670 Laparoscopy tubal cautery A 5.91 3.94NA 4.09NA 3.94 4.09 1.01 10.86 11.01 10.86 11.01 0090.10.80.1030120 49320 33.9764 090 99 0.00 0.00 0.00 58671 Laparoscopy tubal block A 5.91 3.93NA 4.08NA 3.93 4.08 1.01 10.85 11.00 10.85 11.00 0090.10.80.1030120 49320 33.9764 090 99 0.00 0.00 0.00 58672 Laparoscopy fimbrioplasty A 12.91 6.81NA 7.23NA 6.81 7.23 2.18 21.90 22.32 21.90 22.32 0090.10.80.1031200 49320 33.9764 090 99 0.00 0.00 0.00 58673 Laparoscopy salpingostomy A 14.04 7.43NA 7.85NA 7.43 7.85 2.35 23.82 24.24 23.82 24.24 0090.10.80.1031200 49320 33.9764 090 99 0.00 0.00 0.00 58679 Laparo proc oviduct-ovary C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 58700 Removal of fallopian tube A 12.95 7.58NA 8.09NA 7.58 8.09 2.41 22.94 23.45 22.94 23.45 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58720 Removal of ovary/tube(s) A 12.16 7.08NA 7.50NA 7.08 7.50 2.15 21.39 21.81 21.39 21.81 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58740 Adhesiolysis tube ovary A 14.90 8.45NA 8.90NA 8.45 8.90 2.64 25.99 26.44 25.99 26.44 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58750 Repair oviduct A 15.64 8.56NA 9.04NA 8.56 9.04 2.64 26.84 27.32 26.84 27.32 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58752 Revise ovarian tube(s) A 15.64 8.57NA 8.81NA 8.57 8.81 1.10 25.31 25.55 25.31 25.55 0090.12.74.1420200 33.9764 090 99 0.00 0.00 0.00 58760 Fimbrioplasty A 13.93 7.87NA 8.24NA 7.87 8.24 2.34 24.14 24.51 24.14 24.51 0090.12.74.1421210 33.9764 090 99 0.00 0.00 0.00 58770 Create new tubal opening A 14.77 7.88NA 8.57NA 7.88 8.57 2.48 25.13 25.82 25.13 25.82 0090.12.74.1421200 33.9764 090 99 0.00 0.00 0.00 58800 Drainage of ovarian cyst(s) A 4.62 4.12 4.08 3.51 3.55 0.76 9.50 9.46 8.89 8.93 0090.12.74.1422100 33.9764 090 99 0.00 0.00 0.00 58805 Drainage of ovarian cyst(s) A 6.42 4.46NA 4.52NA 4.46 4.52 1.09 11.97 12.03 11.97 12.03 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58820 Drain ovary abscess open A 4.70 4.19NA 4.60NA 4.19 4.60 0.78 9.67 10.08 9.67 10.08 0090.12.74.1420200 33.9764 090 99 0.00 0.00 0.00 58822 Drain ovary abscess percut A 11.81 7.14NA 7.36NA 7.14 7.36 2.52 21.47 21.69 21.47 21.69 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58823 Drain pelvic abscess percut A 3.37 23.12 21.52 1.39 1.26 0.38 26.87 25.27 5.14 5.01 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 58825 Transposition ovary(s) A 11.78 7.05NA 7.55NA 7.05 7.55 1.97 20.80 21.30 20.80 21.30 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58900 Biopsy of ovary(s) A 6.59 4.95NA 5.42NA 4.95 5.42 1.40 12.94 13.41 12.94 13.41 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58920 Partial removal of ovary(s) A 11.95 6.81NA 7.22NA 6.81 7.22 2.00 20.76 21.17 20.76 21.17 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58925 Removal of ovarian cyst(s) A 12.43 7.25NA 7.71NA 7.25 7.71 2.23 21.91 22.37 21.91 22.37 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58940 Removal of ovary(s) A 8.22 5.47NA 5.85NA 5.47 5.85 1.54 15.23 15.61 15.23 15.61 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58943 Removal of ovary(s) A 19.52 10.39NA 11.19NA 10.39 11.19 3.52 33.43 34.23 33.43 34.23 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58950 Resect ovarian malignancy A 18.37 10.32NA 11.08NA 10.32 11.08 3.25 31.94 32.70 31.94 32.70 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58951 Resect ovarian malignancy A 24.26 12.60NA 13.64NA 12.60 13.64 4.18 41.04 42.08 41.04 42.08 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58952 Resect ovarian malignancy A 27.29 14.29NA 15.46NA 14.29 15.46 4.74 46.32 47.49 46.32 47.49 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58953 Tah rad dissect for debulk A 34.13 17.30NA 18.76NA 17.30 18.76 5.88 57.31 58.77 57.31 58.77 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58954 Tah rad debulk/lymph remove A 37.13 18.63NA 20.19NA 18.63 20.19 6.36 62.12 63.68 62.12 63.68 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58956 Bso omentectomy w/tah A 22.80 12.38NA 13.29NA 12.38 13.29 3.99 39.17 40.08 39.17 40.08 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58957 Resect recurrent gyn mal A 26.22 13.65NA 14.99NA 13.65 14.99 4.80 44.67 46.01 44.67 46.01 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58958 Resect recur gyn mal w/lym A 29.22 14.95NA 16.35NA 14.95 16.35 4.94 49.11 50.51 49.11 50.51 0090.12.74.1422210 33.9764 090 99 0.00 0.00 0.00 58960 Exploration of abdomen A 15.79 8.92NA 9.50NA 8.92 9.50 2.76 27.47 28.05 27.47 28.05 0090.12.74.1420210 33.9764 090 99 0.00 0.00 0.00 58970 Retrieval of oocyte A 3.52 2.51 2.56 1.83 1.98 0.26 6.29 6.34 5.61 5.76 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 58974 Transfer of embryo C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 58976 Transfer of embryo A 3.82 3.03 2.99 2.07 2.07 0.27 7.12 7.08 6.16 6.16 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 58999 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 33.9764 090 99 0.00 0.00 0.00 59000 Amniocentesis diagnostic A 1.30 2.12 2.01 0.76 0.79 0.37 3.79 3.68 2.43 2.46 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59001 Amniocentesis therapeutic A 3.00 1.63NA 1.64NA 1.63 1.64 0.86 5.49 5.50 5.49 5.50 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59012 Fetal cord puncture prenatal A 3.44 1.69NA 1.79NA 1.69 1.79 0.99 6.12 6.22 6.12 6.22 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59015 Chorion biopsy A 2.20 1.83 1.85 1.15 1.21 0.63 4.66 4.68 3.98 4.04 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59020 Fetal contract stress test A 0.66 1.21 1.22 1.21NA 1.22 NA 0.17 2.04 2.05 2.04 2.05 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59020TCFetal contract stress test A 0.00 0.93 0.91 0.93NA 0.91 NA 0.01 0.94 0.92 0.94 0.92 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 5902026Fetal contract stress test A 0.66 0.28 0.31 0.28 0.31 0.16 1.10 1.13 1.10 1.13 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59025 Fetal non-stress test A 0.53 0.73 0.75 0.73NA 0.75 NA 0.13 1.39 1.41 1.39 1.41 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59025TCFetal non-stress test A 0.00 0.50 0.50 0.50NA 0.50 NA 0.01 0.51 0.51 0.51 0.51 1000.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 5902526Fetal non-stress test A 0.53 0.23 0.25 0.23 0.25 0.12 0.88 0.90 0.88 0.90 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59030 Fetal scalp blood sample A 1.99 0.82NA 0.87NA 0.82 0.87 0.12 2.93 2.98 2.93 2.98 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59050 Fetal monitor w/report A 0.89 0.38NA 0.41NA 0.38 0.41 0.26 1.53 1.56 1.53 1.56 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59051 Fetal monitor/interpret only A 0.74 0.31NA 0.34NA 0.31 0.34 0.22 1.27 1.30 1.27 1.30 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59070 Transabdom amnioinfus w/us A 5.24 5.80 5.72 2.64 2.70 1.51 12.55 12.47 9.39 9.45 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 59072 Umbilical cord occlud w/us A 8.99 4.20NA 4.34NA 4.20 4.34 2.59 15.78 15.92 15.78 15.92 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59074 Fetal fluid drainage w/us A 5.24 5.56 5.89 2.75 3.00 1.51 12.31 12.64 9.50 9.75 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 59076 Fetal shunt placement w/us A 8.99 4.03NA 4.34NA 4.03 4.34 2.59 15.61 15.92 15.61 15.92 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 59100 Remove uterus lesion A 13.37 7.70NA 8.18NA 7.70 8.18 3.84 24.91 25.39 24.91 25.39 0090.17.60.2320210 33.9764 090 99 0.00 0.00 0.00 59120 Treat ectopic pregnancy A 12.67 7.48NA 7.85NA 7.48 7.85 3.66 23.81 24.18 23.81 24.18 0090.17.60.2320210 33.9764 090 99 0.00 0.00 0.00 59121 Treat ectopic pregnancy A 12.74 7.43NA 7.79NA 7.43 7.79 3.67 23.84 24.20 23.84 24.20 0090.17.60.2320210 33.9764 090 99 0.00 0.00 0.00 59130 Treat ectopic pregnancy A 15.08 8.37NA 8.88NA 8.37 8.88 1.08 24.53 25.04 24.53 25.04 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59135 Treat ectopic pregnancy A 14.92 8.54NA 8.62NA 8.54 8.62 1.06 24.52 24.60 24.52 24.60 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59136 Treat ectopic pregnancy A 14.25 7.97NA 8.43NA 7.97 8.43 4.10 26.32 26.78 26.32 26.78 0090.17.60.2320200 33.9764 090 99 0.00 0.00 0.00 59140 Treat ectopic pregnancy A 5.94 4.26NA 4.46NA 4.26 4.46 0.41 10.61 10.81 10.61 10.81 0090.17.60.2320200 33.9764 090 99 0.00 0.00 0.00 59150 Treat ectopic pregnancy A 12.29 7.20NA 7.59NA 7.20 7.59 3.54 23.03 23.42 23.03 23.42 0090.17.60.2320200 33.9764 090 99 0.00 0.00 0.00 59151 Treat ectopic pregnancy A 12.11 6.87NA 7.22NA 6.87 7.22 3.48 22.46 22.81 22.46 22.81 0090.17.60.2320200 33.9764 090 99 0.00 0.00 0.00 59160 D & c after delivery A 2.76 2.71 2.55 1.76 1.73 0.78 6.25 6.09 5.30 5.27 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 59200 Insert cervical dilator A 0.79 1.16 1.10 0.34 0.37 0.23 2.18 2.12 1.36 1.39 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59300 Episiotomy or vaginal repair A 2.41 2.64 2.64 1.33 1.44 0.68 5.73 5.73 4.42 4.53 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59320 Revision of cervix A 2.48 1.40NA 1.47NA 1.40 1.47 0.69 4.57 4.64 4.57 4.64 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59325 Revision of cervix A 4.06 2.08NA 2.20NA 2.08 2.20 0.29 6.43 6.55 6.43 6.55 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59350 Repair of uterus A 4.94 2.05NA 2.29NA 2.05 2.29 1.42 8.41 8.65 8.41 8.65 0000.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 59400 Obstetrical care A 28.69 19.32NA 20.58NA 19.32 20.58 7.99 56.00 57.26 56.00 57.26 0MMM.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59409 Obstetrical care A 12.82 5.63NA 6.00NA 5.63 6.00 3.55 22.00 22.37 22.00 22.37 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59410 Obstetrical care A 16.07 7.37NA 7.99NA 7.37 7.99 4.45 27.89 28.51 27.89 28.51 0MMM.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59412 Antepartum manipulation A 1.53 0.87NA 0.88NA 0.87 0.88 0.44 2.84 2.85 2.84 2.85 0MMM.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59414 Deliver placenta A 1.44 0.65NA 0.67NA 0.65 0.67 0.41 2.50 2.52 2.50 2.52 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59425 Antepartum care only A 5.63 5.28 5.32 2.42 2.61 1.55 12.46 12.50 9.60 9.79 0MMM.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59426 Antepartum care only A 9.96 9.62 9.69 4.28 4.61 2.69 22.27 22.34 16.93 17.26 0MMM.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 59430 Care after delivery A 2.20 1.84 2.26 0.99 1.02 0.60 4.64 5.06 3.79 3.82 0MMM.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59510 Cesarean delivery A 31.80 21.50NA 22.58NA 21.50 22.58 9.06 62.36 63.44 62.36 63.44 0MMM.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59514 Cesarean delivery only A 14.39 6.50NA 6.74NA 6.50 6.74 4.08 24.97 25.21 24.97 25.21 0MMM.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 59515 Cesarean delivery A 19.15 9.21NA 10.02NA 9.21 10.02 5.43 33.79 34.60 33.79 34.60 0MMM.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59525 Remove uterus after cesarean A 8.53 3.65NA 3.96NA 3.65 3.96 2.44 14.62 14.93 14.62 14.93 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 59610 Vbac delivery A 30.22 20.09NA 21.22NA 20.09 21.22 8.70 59.01 60.14 59.01 60.14 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59612 Vbac delivery only A 14.35 6.33NA 6.67NA 6.33 6.67 4.12 24.80 25.14 24.80 25.14 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59614 Vbac care after delivery A 17.60 7.88NA 8.62NA 7.88 8.62 5.05 30.53 31.27 30.53 31.27 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59618 Attempted vbac delivery A 32.26 21.98NA 22.73NA 21.98 22.73 9.28 63.52 64.27 63.52 64.27 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59620 Attempted vbac delivery only A 14.86 6.88NA 6.90NA 6.88 6.90 4.27 26.01 26.03 26.01 26.03 0MMM.00.00.0020200 33.9764 090 99 0.00 0.00 0.00 59622 Attempted vbac after care A 19.63 9.74NA 10.27NA 9.74 10.27 5.65 35.02 35.55 35.02 35.55 0MMM.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59812 Treatment of miscarriage A 4.44 3.76 3.85 3.12 3.24 1.25 9.45 9.54 8.81 8.93 0090.17.60.2320100 33.9764 090 99 0.00 0.00 0.00 59820 Care of miscarriage A 4.84 5.09 5.06 4.38 4.45 1.39 11.32 11.29 10.61 10.68 0090.17.60.2320100 33.9764 090 99 0.00 0.00 0.00 59821 Treatment of miscarriage A 5.09 4.87 4.86 4.10 4.19 1.47 11.43 11.42 10.66 10.75 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59830 Treat uterus infection A 6.59 4.59NA 4.72NA 4.59 4.72 1.89 13.07 13.20 13.07 13.20 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59840 Abortion R 3.01 2.60 2.66 2.37 2.41 0.80 6.41 6.47 6.18 6.22 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 59841 Abortion R 5.65 4.13 4.26 3.51 3.68 1.62 11.40 11.53 10.78 10.95 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 59850 Abortion R 5.90 3.93NA 3.94NA 3.93 3.94 0.41 10.24 10.25 10.24 10.25 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59851 Abortion R 5.92 4.32NA 4.42NA 4.32 4.42 1.69 11.93 12.03 11.93 12.03 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59852 Abortion R 8.23 6.01NA 5.99NA 6.01 5.99 0.59 14.83 14.81 14.83 14.81 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59855 Abortion R 6.43 4.16NA 4.31NA 4.16 4.31 1.85 12.44 12.59 12.44 12.59 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59856 Abortion R 7.79 4.61NA 4.80NA 4.61 4.80 2.23 14.63 14.82 14.63 14.82 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59857 Abortion R 9.33 5.37NA 5.42NA 5.37 5.42 0.65 15.35 15.40 15.35 15.40 0090.17.60.2320000 33.9764 090 99 0.00 0.00 0.00 59866 Abortion (mpr) R 3.99 2.07NA 2.15NA 2.07 2.15 0.29 6.35 6.43 6.35 6.43 0000.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 59870 Evacuate mole of uterus A 6.57 5.69NA 5.71NA 5.69 5.71 1.89 14.15 14.17 14.15 14.17 0090.17.60.2320200 33.9764 090 99 0.00 0.00 0.00 59871 Remove cerclage suture A 2.13 1.28NA 1.34NA 1.28 1.34 0.61 4.02 4.08 4.02 4.08 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 59897 Fetal invas px w/us C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 59898 Laparo proc ob care/deliver C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 60000 Drain thyroid/tongue cyst A 1.81 2.73 2.84 2.27 2.36 0.24 4.78 4.89 4.32 4.41 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 6005F Care level rationale doc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 6010F Dysphag test done b/4 eating M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 60100 Biopsy of thyroid A 1.56 1.58 1.48 0.65 0.61 0.16 3.30 3.20 2.37 2.33 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 6015F Dysphag test done b/4 eating M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 6020F Npo (nothing-mouth) ordered M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 60200 Remove thyroid lesion A 10.02 7.64NA 8.22NA 7.64 8.22 1.70 19.36 19.94 19.36 19.94 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60210 Partial thyroid excision A 11.23 7.42NA 8.10NA 7.42 8.10 2.07 20.72 21.40 20.72 21.40 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60212 Partial thyroid excision A 16.43 10.26NA 11.36NA 10.26 11.36 3.06 29.75 30.85 29.75 30.85 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60220 Partial removal of thyroid A 12.37 8.10NA 8.87NA 8.10 8.87 2.15 22.62 23.39 22.62 23.39 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60225 Partial removal of thyroid A 14.79 9.78NA 10.67NA 9.78 10.67 2.64 27.21 28.10 27.21 28.10 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60240 Removal of thyroid A 16.22 9.39NA 10.27NA 9.39 10.27 2.95 28.56 29.44 28.56 29.44 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60252 Removal of thyroid A 22.01 12.86NA 14.08NA 12.86 14.08 3.88 38.75 39.97 38.75 39.97 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60254 Extensive thyroid surgery A 28.42 16.76NA 18.34NA 16.76 18.34 4.53 49.71 51.29 49.71 51.29 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60260 Repeat thyroid surgery A 18.26 10.85NA 11.87NA 10.85 11.87 3.13 32.24 33.26 32.24 33.26 0090.09.82.0921210 33.9764 090 99 0.00 0.00 0.00 60270 Removal of thyroid A 23.20 13.11NA 13.98NA 13.11 13.98 4.38 40.69 41.56 40.69 41.56 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60271 Removal of thyroid A 17.62 10.50NA 11.38NA 10.50 11.38 3.01 31.13 32.01 31.13 32.01 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60280 Remove thyroid duct lesion A 6.16 6.07NA 6.50NA 6.07 6.50 0.84 13.07 13.50 13.07 13.50 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60281 Remove thyroid duct lesion A 8.82 7.46NA 8.18NA 7.46 8.18 1.14 17.42 18.14 17.42 18.14 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 6030F Max sterile barriers follwd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 60300 Aspir/inj thyroid cyst A 0.97 2.18 2.17 0.39 0.38 0.11 3.26 3.25 1.47 1.46 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 6040F Appro rad ds dvcs techs docd I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 6045F Radxps in end rprt4fluro pxd M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 60500 Explore parathyroid glands A 16.78 9.83NA 10.78NA 9.83 10.78 3.24 29.85 30.80 29.85 30.80 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60502 Re-explore parathyroids A 21.15 12.20NA 13.36NA 12.20 13.36 4.15 37.50 38.66 37.50 38.66 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60505 Explore parathyroid glands A 23.06 13.56NA 14.68NA 13.56 14.68 4.33 40.95 42.07 40.95 42.07 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60512 Autotransplant parathyroid A 4.44 1.89NA 2.09NA 1.89 2.09 0.83 7.16 7.36 7.16 7.36 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 60520 Removal of thymus gland A 17.16 9.84NA 10.49NA 9.84 10.49 3.47 30.47 31.12 30.47 31.12 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60521 Removal of thymus gland A 19.18 10.62NA 10.37NA 10.62 10.37 4.53 34.33 34.08 34.33 34.08 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60522 Removal of thymus gland A 23.48 12.64NA 12.47NA 12.64 12.47 5.46 41.58 41.41 41.58 41.41 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60540 Explore adrenal gland A 18.02 10.21NA 10.18NA 10.21 10.18 3.04 31.27 31.24 31.27 31.24 0090.09.82.0921210 33.9764 090 99 0.00 0.00 0.00 60545 Explore adrenal gland A 20.93 11.30NA 11.56NA 11.30 11.56 3.69 35.92 36.18 35.92 36.18 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60600 Remove carotid body lesion A 25.09 12.44NA 12.87NA 12.44 12.87 5.31 42.84 43.27 42.84 43.27 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60605 Remove carotid body lesion A 31.96 16.77NA 18.71NA 16.77 18.71 4.11 52.84 54.78 52.84 54.78 0090.09.82.0920210 33.9764 090 99 0.00 0.00 0.00 60650 Laparoscopy adrenalectomy A 20.73 10.69NA 11.09NA 10.69 11.09 3.74 35.16 35.56 35.16 35.56 0090.09.84.0721210 33.9764 090 99 0.00 0.00 0.00 60659 Laparo proc endocrine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 33.9764 090 99 0.00 0.00 0.00 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 33.9764 090 99 0.00 0.00 0.00 6070F Pt asked/cnsld aed effects I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 6080F Pt/caregiver queried falls I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 6090F Pt/caregiver counsel safety I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 61000 Remove cranial cavity fluid A 1.58 1.46NA 1.53NA 1.46 1.53 0.14 3.18 3.25 3.18 3.25 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 61001 Remove cranial cavity fluid A 1.49 1.36NA 1.32NA 1.36 1.32 0.53 3.38 3.34 3.38 3.34 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 61020 Remove brain cavity fluid A 1.51 1.98NA 2.08NA 1.98 2.08 0.50 3.99 4.09 3.99 4.09 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61026 Injection into brain canal A 1.69 1.67NA 1.69NA 1.67 1.69 0.38 3.74 3.76 3.74 3.76 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61050 Remove brain canal fluid A 1.51 1.42NA 1.37NA 1.42 1.37 0.12 3.05 3.00 3.05 3.00 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 61055 Injection into brain canal A 2.10 1.61NA 1.55NA 1.61 1.55 0.29 4.00 3.94 4.00 3.94 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 61070 Brain canal shunt procedure A 0.89 1.36NA 1.39NA 1.36 1.39 0.20 2.45 2.48 2.45 2.48 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61105 Twist drill hole A 5.45 5.88NA 6.30NA 5.88 6.30 1.92 13.25 13.67 13.25 13.67 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 61107 Drill skull for implantation A 4.99 2.66NA 2.76NA 2.66 2.76 1.78 9.43 9.53 9.43 9.53 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 61108 Drill skull for drainage A 11.64 10.51NA 11.17NA 10.51 11.17 4.14 26.29 26.95 26.29 26.95 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 61120 Burr hole for puncture A 9.60 8.60NA 9.16NA 8.60 9.16 3.46 21.66 22.22 21.66 22.22 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 61140 Pierce skull for biopsy A 17.23 13.48NA 14.16NA 13.48 14.16 6.11 36.82 37.50 36.82 37.50 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61150 Pierce skull for drainage A 18.90 13.98NA 14.82NA 13.98 14.82 6.78 39.66 40.50 39.66 40.50 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61151 Pierce skull for drainage A 13.49 10.60NA 11.33NA 10.60 11.33 4.85 28.94 29.67 28.94 29.67 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 61154 Pierce skull & remove clot A 17.07 13.80NA 14.59NA 13.80 14.59 6.10 36.97 37.76 36.97 37.76 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61156 Pierce skull for drainage A 17.45 12.87NA 13.44NA 12.87 13.44 6.26 36.58 37.15 36.58 37.15 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61210 Pierce skull implant device A 5.83 3.10NA 3.22NA 3.10 3.22 2.08 11.01 11.13 11.01 11.13 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61215 Insert brain-fluid device A 5.85 6.59NA 6.97NA 6.59 6.97 2.07 14.51 14.89 14.51 14.89 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61250 Pierce skull & explore A 11.49 9.51NA 10.22NA 9.51 10.22 4.12 25.12 25.83 25.12 25.83 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61253 Pierce skull & explore A 13.49 9.56NA 10.12NA 9.56 10.12 1.71 24.76 25.32 24.76 25.32 0090.11.76.1322200 33.9764 090 99 0.00 0.00 0.00 61304 Open skull for exploration A 23.41 16.63NA 17.52NA 16.63 17.52 8.15 48.19 49.08 48.19 49.08 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61305 Open skull for exploration A 28.64 20.15NA 21.25NA 20.15 21.25 10.28 59.07 60.17 59.07 60.17 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61312 Open skull for drainage A 30.17 20.19NA 21.27NA 20.19 21.27 10.79 61.15 62.23 61.15 62.23 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61313 Open skull for drainage A 28.09 20.05NA 21.13NA 20.05 21.13 10.03 58.17 59.25 58.17 59.25 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61314 Open skull for drainage A 25.90 18.43NA 19.46NA 18.43 19.46 9.27 53.60 54.63 53.60 54.63 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61315 Open skull for drainage A 29.65 20.56NA 21.55NA 20.56 21.55 10.66 60.87 61.86 60.87 61.86 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61316 Implt cran bone flap to abdo A 1.39 0.73NA 0.77NA 0.73 0.77 0.49 2.61 2.65 2.61 2.65 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 61320 Open skull for drainage A 27.42 18.89NA 19.72NA 18.89 19.72 9.69 56.00 56.83 56.00 56.83 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61321 Open skull for drainage A 30.53 20.83NA 22.30NA 20.83 22.30 10.97 62.33 63.80 62.33 63.80 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61322 Decompressive craniotomy A 34.26 22.94NA 24.55NA 22.94 24.55 12.24 69.44 71.05 69.44 71.05 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61323 Decompressive lobectomy A 35.06 22.69NA 24.23NA 22.69 24.23 12.45 70.20 71.74 70.20 71.74 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61330 Decompress eye socket A 25.30 17.48NA 19.33NA 17.48 19.33 9.09 51.87 53.72 51.87 53.72 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61332 Explore/biopsy eye socket A 28.60 18.89NA 20.61NA 18.89 20.61 10.26 57.75 59.47 57.75 59.47 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61333 Explore orbit/remove lesion A 29.27 20.44NA 23.18NA 20.44 23.18 10.51 60.22 62.96 60.22 62.96 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61334 Explore orbit/remove object A 19.60 12.81NA 14.21NA 12.81 14.21 7.02 39.43 40.83 39.43 40.83 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61340 Subtemporal decompression A 20.11 14.92NA 15.88NA 14.92 15.88 7.23 42.26 43.22 42.26 43.22 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61343 Incise skull (press relief) A 31.86 21.47NA 22.52NA 21.47 22.52 11.35 64.68 65.73 64.68 65.73 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61345 Relieve cranial pressure A 29.23 20.32NA 21.38NA 20.32 21.38 10.49 60.04 61.10 60.04 61.10 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61440 Incise skull for surgery A 28.66 19.93NA 21.06NA 19.93 21.06 10.28 58.87 60.00 58.87 60.00 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61450 Incise skull for surgery A 27.69 18.85NA 19.98NA 18.85 19.98 9.94 56.48 57.61 56.48 57.61 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61458 Incise skull for brain wound A 28.84 20.01NA 20.96NA 20.01 20.96 10.25 59.10 60.05 59.10 60.05 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61460 Incise skull for surgery A 30.24 20.46NA 21.94NA 20.46 21.94 10.85 61.55 63.03 61.55 63.03 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 61470 Incise skull for surgery A 27.62 18.91NA 19.94NA 18.91 19.94 9.91 56.44 57.47 56.44 57.47 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61480 Incise skull for surgery A 28.05 14.71NA 14.41NA 14.71 14.41 1.97 44.73 44.43 44.73 44.43 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61490 Incise skull for surgery A 27.22 18.80NA 19.72NA 18.80 19.72 9.79 55.81 56.73 55.81 56.73 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61500 Removal of skull lesion A 19.18 14.35NA 15.26NA 14.35 15.26 5.78 39.31 40.22 39.31 40.22 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61501 Remove infected skull bone A 16.35 12.78NA 13.65NA 12.78 13.65 4.67 33.80 34.67 33.80 34.67 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61510 Removal of brain lesion A 30.83 22.26NA 23.35NA 22.26 23.35 11.01 64.10 65.19 64.10 65.19 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61512 Remove brain lining lesion A 37.14 24.76NA 25.91NA 24.76 25.91 13.28 75.18 76.33 75.18 76.33 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61514 Removal of brain abscess A 27.23 18.97NA 19.80NA 18.97 19.80 9.72 55.92 56.75 55.92 56.75 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61516 Removal of brain lesion A 26.58 18.63NA 19.56NA 18.63 19.56 9.23 54.44 55.37 54.44 55.37 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61517 Implt brain chemotx add-on A 1.38 0.73NA 0.76NA 0.73 0.76 0.49 2.60 2.63 2.60 2.63 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 61518 Removal of brain lesion A 39.89 26.99NA 28.33NA 26.99 28.33 14.30 81.18 82.52 81.18 82.52 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61519 Remove brain lining lesion A 43.43 28.12NA 29.48NA 28.12 29.48 15.49 87.04 88.40 87.04 88.40 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61520 Removal of brain lesion A 57.09 35.97NA 37.72NA 35.97 37.72 17.97 111.03 112.78 111.03 112.78 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 61521 Removal of brain lesion A 46.99 30.05NA 31.73NA 30.05 31.73 16.86 93.90 95.58 93.90 95.58 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61522 Removal of brain abscess A 31.54 21.59NA 22.66NA 21.59 22.66 11.32 64.45 65.52 64.45 65.52 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61524 Removal of brain lesion A 29.89 20.51NA 21.74NA 20.51 21.74 10.74 61.14 62.37 61.14 62.37 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61526 Removal of brain lesion A 54.08 33.50NA 36.11NA 33.50 36.11 19.41 106.99 109.60 106.99 109.60 0090.11.76.1320120 33.9764 090 99 0.00 0.00 0.00 61530 Removal of brain lesion A 45.56 28.51NA 30.47NA 28.51 30.47 16.37 90.44 92.40 90.44 92.40 0090.11.76.1320120 33.9764 090 99 0.00 0.00 0.00 61531 Implant brain electrodes A 16.41 13.40NA 14.13NA 13.40 14.13 5.89 35.70 36.43 35.70 36.43 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 61533 Implant brain electrodes A 21.46 15.57NA 16.43NA 15.57 16.43 7.69 44.72 45.58 44.72 45.58 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61534 Removal of brain lesion A 23.01 17.00NA 17.91NA 17.00 17.91 8.26 48.27 49.18 48.27 49.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61535 Remove brain electrodes A 13.15 11.25NA 11.88NA 11.25 11.88 4.72 29.12 29.75 29.12 29.75 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61536 Removal of brain lesion A 37.72 24.95NA 26.11NA 24.95 26.11 13.54 76.21 77.37 76.21 77.37 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61537 Removal of brain tissue A 36.45 22.79NA 24.52NA 22.79 24.52 13.01 72.25 73.98 72.25 73.98 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61538 Removal of brain tissue A 39.45 24.53NA 26.53NA 24.53 26.53 14.18 78.16 80.16 78.16 80.16 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61539 Removal of brain tissue A 34.28 22.81NA 24.19NA 22.81 24.19 12.30 69.39 70.77 69.39 70.77 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61540 Removal of brain tissue A 31.43 21.64NA 22.70NA 21.64 22.70 11.28 64.35 65.41 64.35 65.41 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61541 Incision of brain tissue A 30.94 21.14NA 22.33NA 21.14 22.33 11.11 63.19 64.38 63.19 64.38 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61542 Removal of brain tissue A 33.16 20.88NA 20.39NA 20.88 20.39 11.90 65.94 65.45 65.94 65.45 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61543 Removal of brain tissue A 31.31 21.06NA 22.54NA 21.06 22.54 11.23 63.60 65.08 63.60 65.08 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61544 Remove & treat brain lesion A 27.36 17.16NA 19.80NA 17.16 19.80 9.83 54.35 56.99 54.35 56.99 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61545 Excision of brain tumor A 46.43 30.64NA 32.41NA 30.64 32.41 16.66 93.73 95.50 93.73 95.50 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61546 Removal of pituitary gland A 33.44 22.46NA 23.72NA 22.46 23.72 11.99 67.89 69.15 67.89 69.15 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61548 Removal of pituitary gland A 23.37 15.91NA 16.80NA 15.91 16.80 6.67 45.95 46.84 45.95 46.84 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 61550 Release of skull seams A 15.59 10.57NA 10.51NA 10.57 10.51 1.10 27.26 27.20 27.26 27.20 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61552 Release of skull seams A 20.40 12.76NA 11.39NA 12.76 11.39 1.46 34.62 33.25 34.62 33.25 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61556 Incise skull/sutures A 24.09 15.64NA 15.82NA 15.64 15.82 8.66 48.39 48.57 48.39 48.57 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61557 Incise skull/sutures A 23.31 17.77NA 18.54NA 17.77 18.54 8.37 49.45 50.22 49.45 50.22 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61558 Excision of skull/sutures A 26.50 16.17NA 14.21NA 16.17 14.21 9.51 52.18 50.22 52.18 50.22 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61559 Excision of skull/sutures A 34.02 24.32NA 25.34NA 24.32 25.34 2.41 60.75 61.77 60.75 61.77 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61563 Excision of skull tumor A 28.44 19.67NA 20.66NA 19.67 20.66 10.21 58.32 59.31 58.32 59.31 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61564 Excision of skull tumor A 34.74 23.76NA 24.90NA 23.76 24.90 12.45 70.95 72.09 70.95 72.09 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61566 Removal of brain tissue A 32.45 22.30NA 23.27NA 22.30 23.27 11.64 66.39 67.36 66.39 67.36 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61567 Incision of brain tissue A 37.00 25.48NA 26.52NA 25.48 26.52 13.30 75.78 76.82 75.78 76.82 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61570 Remove foreign body brain A 26.51 18.62NA 19.86NA 18.62 19.86 9.51 54.64 55.88 54.64 55.88 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61571 Incise skull for brain wound A 28.42 19.95NA 20.93NA 19.95 20.93 10.19 58.56 59.54 58.56 59.54 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61575 Skull base/brainstem surgery A 36.56 23.50NA 25.46NA 23.50 25.46 13.12 73.18 75.14 73.18 75.14 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61576 Skull base/brainstem surgery A 55.31 42.09NA 43.49NA 42.09 43.49 7.10 104.50 105.90 104.50 105.90 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61580 Craniofacial approach skull A 34.51 31.81NA 34.24NA 31.81 34.24 5.89 72.21 74.64 72.21 74.64 0090.11.76.1321112 33.9764 090 99 0.00 0.00 0.00 61581 Craniofacial approach skull A 39.13 35.43NA 38.38NA 35.43 38.38 5.04 79.60 82.55 79.60 82.55 0090.11.76.1321122 33.9764 090 99 0.00 0.00 0.00 61582 Craniofacial approach skull A 35.14 39.60NA 42.42NA 39.60 42.42 12.62 87.36 90.18 87.36 90.18 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61583 Craniofacial approach skull A 38.50 33.29NA 34.81NA 33.29 34.81 12.94 84.73 86.25 84.73 86.25 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61584 Orbitocranial approach/skull A 37.70 32.92NA 34.50NA 32.92 34.50 12.70 83.32 84.90 83.32 84.90 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61585 Orbitocranial approach/skull A 42.57 35.04NA 38.65NA 35.04 38.65 15.28 92.89 96.50 92.89 96.50 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61586 Resect nasopharynx skull A 27.48 31.16NA 34.97NA 31.16 34.97 9.87 68.51 72.32 68.51 72.32 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61590 Infratemporal approach/skull A 47.04 35.52NA 38.39NA 35.52 38.39 8.45 91.01 93.88 91.01 93.88 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61591 Infratemporal approach/skull A 47.02 35.53NA 38.04NA 35.53 38.04 9.60 92.15 94.66 92.15 94.66 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61592 Orbitocranial approach/skull A 43.08 35.27NA 36.78NA 35.27 36.78 14.51 92.86 94.37 92.86 94.37 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61595 Transtemporal approach/skull A 33.74 28.83NA 30.62NA 28.83 30.62 7.15 69.72 71.51 69.72 71.51 0090.11.76.1321112 33.9764 090 99 0.00 0.00 0.00 61596 Transcochlear approach/skull A 39.43 29.50NA 31.43NA 29.50 31.43 5.06 73.99 75.92 73.99 75.92 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61597 Transcondylar approach/skull A 40.82 29.89NA 31.11NA 29.89 31.11 14.66 85.37 86.59 85.37 86.59 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61598 Transpetrosal approach/skull A 36.53 30.82NA 34.68NA 30.82 34.68 13.11 80.46 84.32 80.46 84.32 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61600 Resect/excise cranial lesion A 30.01 26.70NA 28.72NA 26.70 28.72 6.22 62.93 64.95 62.93 64.95 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61601 Resect/excise cranial lesion A 31.14 28.27NA 29.74NA 28.27 29.74 10.17 69.58 71.05 69.58 71.05 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61605 Resect/excise cranial lesion A 32.57 27.47NA 29.59NA 27.47 29.59 4.95 64.99 67.11 64.99 67.11 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61606 Resect/excise cranial lesion A 42.05 32.50NA 33.65NA 32.50 33.65 13.68 88.23 89.38 88.23 89.38 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61607 Resect/excise cranial lesion A 40.93 29.85NA 31.82NA 29.85 31.82 14.69 85.47 87.44 85.47 87.44 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61608 Resect/excise cranial lesion A 45.54 34.28NA 35.89NA 34.28 35.89 15.38 95.20 96.81 95.20 96.81 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61609 Transect artery sinus A 9.88 4.43NA 4.33NA 4.43 4.33 3.55 17.86 17.76 17.86 17.76 0ZZZ.00.00.0000212 33.9764 090 99 0.00 0.00 0.00 61610 Transect artery sinus A 29.63 15.68NA 16.50NA 15.68 16.50 10.64 55.95 56.77 55.95 56.77 0ZZZ.00.00.0000212 33.9764 090 99 0.00 0.00 0.00 61611 Transect artery sinus A 7.41 3.55NA 3.25NA 3.55 3.25 0.52 11.48 11.18 11.48 11.18 0ZZZ.00.00.0000212 33.9764 090 99 0.00 0.00 0.00 61612 Transect artery sinus A 27.84 12.79NA 12.20NA 12.79 12.20 1.96 42.59 42.00 42.59 42.00 0ZZZ.00.00.0000212 33.9764 090 99 0.00 0.00 0.00 61613 Remove aneurysm sinus A 45.03 34.66NA 36.84NA 34.66 36.84 16.17 95.86 98.04 95.86 98.04 0090.11.76.1321212 33.9764 090 99 0.00 0.00 0.00 61615 Resect/excise lesion skull A 35.77 28.31NA 29.44NA 28.31 29.44 4.60 68.68 69.81 68.68 69.81 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61616 Resect/excise lesion skull A 46.74 36.19NA 38.15NA 36.19 38.15 14.41 97.34 99.30 97.34 99.30 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61618 Repair dura A 18.69 13.80NA 14.66NA 13.80 14.66 5.76 38.25 39.11 38.25 39.11 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61619 Repair dura A 22.10 15.51NA 16.55NA 15.51 16.55 6.33 43.94 44.98 43.94 44.98 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 61623 Endovasc tempory vessel occl A 9.95 4.68NA 4.46NA 4.68 4.46 1.85 16.48 16.26 16.48 16.26 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61624 Transcath occlusion cns A 20.12 9.10NA 8.75NA 9.10 8.75 3.77 32.99 32.64 32.99 32.64 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61626 Transcath occlusion non-cns A 16.60 7.07NA 6.42NA 7.07 6.42 2.14 25.81 25.16 25.81 25.16 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 61630 Intracranial angioplasty R 22.07 11.59NA 11.18NA 11.59 11.18 4.18 37.84 37.43 37.84 37.43 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 61635 Intracran angioplsty w/stent R 24.28 12.54NA 12.09NA 12.54 12.09 4.07 40.89 40.44 40.89 40.44 0XXX.00.00.0020210 33.9764 090 99 0.00 0.00 0.00 61640 Dilate ic vasospasm init N+ 12.32 5.23NA 5.40NA 5.23 5.40 0.87 18.42 18.59 18.42 18.59 9000.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 61641 Dilate ic vasospasm add-on N+ 4.33 1.84NA 1.90NA 1.84 1.90 0.31 6.48 6.54 6.48 6.54 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 61642 Dilate ic vasospasm add-on N+ 8.66 3.67NA 3.79NA 3.67 3.79 0.61 12.94 13.06 12.94 13.06 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 61680 Intracranial vessel surgery A 32.55 22.40NA 23.42NA 22.40 23.42 11.68 66.63 67.65 66.63 67.65 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61682 Intracranial vessel surgery A 63.41 37.99NA 39.62NA 37.99 39.62 22.76 124.16 125.79 124.16 125.79 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61684 Intracranial vessel surgery A 41.64 27.01NA 28.75NA 27.01 28.75 14.94 83.59 85.33 83.59 85.33 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61686 Intracranial vessel surgery A 67.50 41.67NA 43.58NA 41.67 43.58 24.24 133.41 135.32 133.41 135.32 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61690 Intracranial vessel surgery A 31.34 21.65NA 22.88NA 21.65 22.88 11.26 64.25 65.48 64.25 65.48 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61692 Intracranial vessel surgery A 54.59 33.97NA 35.83NA 33.97 35.83 19.60 108.16 110.02 108.16 110.02 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61697 Brain aneurysm repr complx A 63.40 38.60NA 41.00NA 38.60 41.00 22.52 124.52 126.92 124.52 126.92 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61698 Brain aneurysm repr complx A 69.63 41.53NA 44.77NA 41.53 44.77 24.99 136.15 139.39 136.15 139.39 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61700 Brain aneurysm repr simple A 50.62 32.61NA 33.89NA 32.61 33.89 18.06 101.29 102.57 101.29 102.57 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61702 Inner skull vessel surgery A 60.04 36.78NA 39.43NA 36.78 39.43 21.54 118.36 121.01 118.36 121.01 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61703 Clamp neck artery A 18.80 14.33NA 15.03NA 14.33 15.03 6.75 39.88 40.58 39.88 40.58 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61705 Revise circulation to head A 38.10 24.49NA 26.32NA 24.49 26.32 13.68 76.27 78.10 76.27 78.10 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61708 Revise circulation to head A 37.20 20.59NA 22.49NA 20.59 22.49 3.08 60.87 62.77 60.87 62.77 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61710 Revise circulation to head A 31.29 17.11NA 16.07NA 17.11 16.07 6.52 54.92 53.88 54.92 53.88 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 61711 Fusion of skull arteries A 38.23 24.90NA 26.32NA 24.90 26.32 13.72 76.85 78.27 76.85 78.27 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61720 Incise skull/brain surgery A 17.62 12.53NA 14.00NA 12.53 14.00 6.33 36.48 37.95 36.48 37.95 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 61735 Incise skull/brain surgery A 22.35 14.10NA 14.95NA 14.10 14.95 8.02 44.47 45.32 44.47 45.32 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61750 Incise skull/brain biopsy A 19.83 14.39NA 15.13NA 14.39 15.13 7.06 41.28 42.02 41.28 42.02 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61751 Brain biopsy w/ct/mr guide A 18.79 14.78NA 15.51NA 14.78 15.51 6.70 40.27 41.00 40.27 41.00 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61760 Implant brain electrodes A 22.39 15.52NA 16.86NA 15.52 16.86 8.03 45.94 47.28 45.94 47.28 0090.11.76.1320120 33.9764 090 99 0.00 0.00 0.00 61770 Incise skull for treatment A 23.19 15.60NA 17.10NA 15.60 17.10 8.19 46.98 48.48 46.98 48.48 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 61781 Scan proc cranial intra A 3.75 2.13NA 2.13NA 2.13 2.13 1.25 7.13 7.13 7.13 7.13 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 61782 Scan proc cranial extra A 3.18 1.80NA 1.80NA 1.80 1.80 0.87 5.85 5.85 5.85 5.85 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 61783 Scan proc spinal A 3.75 2.13NA 2.13NA 2.13 2.13 1.25 7.13 7.13 7.13 7.13 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 61790 Treat trigeminal nerve A 11.60 9.62NA 10.40NA 9.62 10.40 4.07 25.29 26.07 25.29 26.07 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 61791 Treat trigeminal tract A 15.41 11.88NA 12.61NA 11.88 12.61 5.20 32.49 33.22 32.49 33.22 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 61796 Srs cranial lesion simple A 13.93 9.90NA 11.36NA 9.90 11.36 4.63 28.46 29.92 28.46 29.92 0090.11.76.1300200 33.9764 090 99 0.00 0.00 0.00 61797 Srs cran les simple addl A 3.48 1.79NA 1.93NA 1.79 1.93 1.16 6.43 6.57 6.43 6.57 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 61798 Srs cranial lesion complex A 19.85 11.56NA 14.63NA 11.56 14.63 6.60 38.01 41.08 38.01 41.08 0090.11.76.1300200 33.9764 090 99 0.00 0.00 0.00 61799 Srs cran les complex addl A 4.81 2.47NA 2.66NA 2.47 2.66 1.59 8.87 9.06 8.87 9.06 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 61800 Apply srs headframe add-on A 2.25 1.47NA 1.58NA 1.47 1.58 0.73 4.45 4.56 4.45 4.56 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 61850 Implant neuroelectrodes A 13.34 9.14NA 8.19NA 9.14 8.19 4.80 27.28 26.33 27.28 26.33 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61860 Implant neuroelectrodes A 22.26 15.80NA 16.58NA 15.80 16.58 7.99 46.05 46.83 46.05 46.83 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61863 Implant neuroelectrode A 20.71 15.92NA 16.62NA 15.92 16.62 7.40 44.03 44.73 44.03 44.73 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61864 Implant neuroelectrde addl A 4.49 2.41NA 2.50NA 2.41 2.50 1.61 8.51 8.60 8.51 8.60 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 61867 Implant neuroelectrode A 33.03 22.45NA 23.53NA 22.45 23.53 11.83 67.31 68.39 67.31 68.39 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61868 Implant neuroelectrde addl A 7.91 4.24NA 4.39NA 4.24 4.39 2.84 14.99 15.14 14.99 15.14 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 61870 Implant neuroelectrodes A 16.34 12.60NA 13.13NA 12.60 13.13 5.87 34.81 35.34 34.81 35.34 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 61875 Implant neuroelectrodes A 16.46 12.49NA 13.20NA 12.49 13.20 1.17 30.12 30.83 30.12 30.83 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 61880 Revise/remove neuroelectrode A 6.95 6.92NA 7.41NA 6.92 7.41 2.46 16.33 16.82 16.33 16.82 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 61885 Insrt/redo neurostim 1 array A 6.05 7.79NA 7.19NA 7.79 7.19 2.07 15.91 15.31 15.91 15.31 0090.11.76.1321000 33.9764 090 99 0.00 0.00 0.00 61886 Implant neurostim arrays A 9.93 10.83NA 11.55NA 10.83 11.55 3.52 24.28 25.00 24.28 25.00 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 61888 Revise/remove neuroreceiver A 5.23 4.52NA 4.66NA 4.52 4.66 1.71 11.46 11.60 11.46 11.60 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 62000 Treat skull fracture A 13.93 10.06NA 11.79NA 10.06 11.79 5.01 29.00 30.73 29.00 30.73 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 62005 Treat skull fracture A 17.63 13.08NA 14.00NA 13.08 14.00 6.33 37.04 37.96 37.04 37.96 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62010 Treatment of head injury A 21.43 15.65NA 16.65NA 15.65 16.65 7.69 44.77 45.77 44.77 45.77 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62100 Repair brain fluid leakage A 23.53 16.18NA 17.14NA 16.18 17.14 7.51 47.22 48.18 47.22 48.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62115 Reduction of skull defect A 22.91 11.57NA 12.93NA 11.57 12.93 1.62 36.10 37.46 36.10 37.46 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62116 Reduction of skull defect A 25.02 18.12NA 19.04NA 18.12 19.04 8.98 52.12 53.04 52.12 53.04 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 62117 Reduction of skull defect A 28.35 19.42NA 20.28NA 19.42 20.28 3.66 51.43 52.29 51.43 52.29 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62120 Repair skull cavity lesion A 24.59 22.72NA 23.61NA 22.72 23.61 3.17 50.48 51.37 50.48 51.37 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62121 Incise skull repair A 23.03 18.71NA 19.50NA 18.71 19.50 8.27 50.01 50.80 50.01 50.80 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62140 Repair of skull defect A 14.55 11.23NA 11.88NA 11.23 11.88 4.75 30.53 31.18 30.53 31.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62141 Repair of skull defect A 16.07 12.16NA 12.80NA 12.16 12.80 5.31 33.54 34.18 33.54 34.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62142 Remove skull plate/flap A 11.83 9.98NA 10.52NA 9.98 10.52 4.08 25.89 26.43 25.89 26.43 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 62143 Replace skull plate/flap A 14.15 11.17NA 11.80NA 11.17 11.80 5.01 30.33 30.96 30.33 30.96 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62145 Repair of skull & brain A 20.09 14.29NA 14.95NA 14.29 14.95 7.21 41.59 42.25 41.59 42.25 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62146 Repair of skull with graft A 17.28 12.84NA 13.81NA 12.84 13.81 6.21 36.33 37.30 36.33 37.30 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62147 Repair of skull with graft A 20.67 14.78NA 15.70NA 14.78 15.70 7.40 42.85 43.77 42.85 43.77 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62148 Retr bone flap to fix skull A 2.00 1.05NA 1.11NA 1.05 1.11 0.71 3.76 3.82 3.76 3.82 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 62160 Neuroendoscopy add-on A 3.00 1.61NA 1.66NA 1.61 1.66 1.08 5.69 5.74 5.69 5.74 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 62161 Dissect brain w/scope A 21.23 15.67NA 16.48NA 15.67 16.48 7.62 44.52 45.33 44.52 45.33 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62162 Remove colloid cyst w/scope A 26.80 19.27NA 20.14NA 19.27 20.14 9.61 55.68 56.55 55.68 56.55 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62163 Neuroendoscopy w/fb removal A 16.53 13.44NA 14.04NA 13.44 14.04 5.92 35.89 36.49 35.89 36.49 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62164 Remove brain tumor w/scope A 29.43 20.93NA 22.50NA 20.93 22.50 10.57 60.93 62.50 60.93 62.50 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62165 Remove pituit tumor w/scope A 23.23 16.38NA 17.27NA 16.38 17.27 6.37 45.98 46.87 45.98 46.87 0090.11.76.1320010 33.9764 090 99 0.00 0.00 0.00 62180 Establish brain cavity shunt A 22.58 16.36NA 17.19NA 16.36 17.19 8.11 47.05 47.88 47.05 47.88 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 62190 Establish brain cavity shunt A 12.17 10.35NA 10.96NA 10.35 10.96 4.37 26.89 27.50 26.89 27.50 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 62192 Establish brain cavity shunt A 13.35 10.51NA 11.14NA 10.51 11.14 4.63 28.49 29.12 28.49 29.12 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62194 Replace/irrigate catheter A 5.78 5.26NA 6.53NA 5.26 6.53 0.45 11.49 12.76 11.49 12.76 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 62200 Establish brain cavity shunt A 19.29 14.18NA 14.93NA 14.18 14.93 6.93 40.40 41.15 40.40 41.15 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62201 Brain cavity shunt w/scope A 16.04 13.29NA 14.07NA 13.29 14.07 5.73 35.06 35.84 35.06 35.84 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 62220 Establish brain cavity shunt A 14.10 10.79NA 11.46NA 10.79 11.46 4.83 29.72 30.39 29.72 30.39 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62223 Establish brain cavity shunt A 14.05 11.84NA 12.44NA 11.84 12.44 4.85 30.74 31.34 30.74 31.34 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62225 Replace/irrigate catheter A 6.19 6.55NA 7.00NA 6.55 7.00 2.20 14.94 15.39 14.94 15.39 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 62230 Replace/revise brain shunt A 11.43 9.17NA 9.65NA 9.17 9.65 3.97 24.57 25.05 24.57 25.05 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62252 Csf shunt reprogram A 0.74 1.71 1.42 1.71NA 1.42 NA 0.25 2.70 2.41 2.70 2.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 62252TCCsf shunt reprogram A 0.00 1.32 1.01 1.32NA 1.01 NA 0.01 1.33 1.02 1.33 1.02 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 6225226Csf shunt reprogram A 0.74 0.39 0.41 0.39 0.41 0.24 1.37 1.39 1.37 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 62256 Remove brain cavity shunt A 7.38 7.32NA 7.75NA 7.32 7.75 2.63 17.33 17.76 17.33 17.76 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 62258 Replace brain cavity shunt A 15.64 11.82NA 12.38NA 11.82 12.38 5.43 32.89 33.45 32.89 33.45 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 62263 Epidural lysis mult sessions A 6.54 13.80 15.62 4.70 5.75 0.52 20.86 22.68 11.76 12.81 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 62264 Epidural lysis on single day A 4.42 7.37 8.05 2.07 2.54 0.35 12.14 12.82 6.84 7.31 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 62267 Interdiscal perq aspir dx A 3.00 3.96 3.80 1.39 1.37 0.30 7.26 7.10 4.69 4.67 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 62268 Drain spinal cord cyst A 4.73 5.19 2.03 2.45 2.52 0.45 10.37 7.21 7.63 7.70 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62269 Needle biopsy spinal cord A 5.01 5.59 1.91 2.26 2.30 0.56 11.16 7.48 7.83 7.87 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 62270 Spinal fluid tap diagnostic A 1.37 2.97 2.85 0.72 0.71 0.23 4.57 4.45 2.32 2.31 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62272 Drain cerebro spinal fluid A 1.35 3.99 4.06 0.82 0.84 0.33 5.67 5.74 2.50 2.52 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62273 Inject epidural patch A 2.15 2.58 2.75 0.93 1.08 0.20 4.93 5.10 3.28 3.43 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62280 Treat spinal cord lesion A 2.63 6.39 6.72 1.64 1.92 0.50 9.52 9.85 4.77 5.05 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 62281 Treat spinal cord lesion A 2.66 4.70 4.02 1.48 1.73 0.27 7.63 6.95 4.41 4.66 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 62282 Treat spinal canal lesion A 2.33 6.01 5.88 1.49 1.69 0.29 8.63 8.50 4.11 4.31 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 62284 Injection for myelogram A 1.54 4.57 4.16 0.85 0.80 0.18 6.29 5.88 2.57 2.52 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62287 Percutaneous diskectomy A 9.03 6.32NA 6.87NA 6.32 6.87 0.82 16.17 16.72 16.17 16.72 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 62290 Inject for spine disk x-ray A 3.00 6.47 6.63 1.72 1.91 0.30 9.77 9.93 5.02 5.21 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62291 Inject for spine disk x-ray A 2.91 6.04 6.32 1.66 1.88 0.27 9.22 9.50 4.84 5.06 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62292 Injection into disk lesion A 9.24 6.03NA 8.47NA 6.03 8.47 0.75 16.02 18.46 16.02 18.46 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 62294 Injection into spinal artery A 12.87 6.31NA 4.61NA 6.31 4.61 1.02 20.20 18.50 20.20 18.50 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 62310 Inject spine c/t A 1.91 4.71 5.13 0.97 1.19 0.16 6.78 7.20 3.04 3.26 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62311 Inject spine l/s (cd) A 1.54 4.16 4.35 0.84 0.99 0.12 5.82 6.01 2.50 2.65 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62318 Inject spine w/cath c/t A 2.04 4.77 4.96 0.72 0.83 0.16 6.97 7.16 2.92 3.03 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62319 Inject spine w/cath l/s (cd) A 1.87 3.53 2.97 0.74 0.86 0.16 5.56 5.00 2.77 2.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 62350 Implant spinal canal cath A 6.05 4.37NA 4.93NA 4.37 4.93 1.05 11.47 12.03 11.47 12.03 0010.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 62351 Implant spinal canal cath A 11.66 10.06NA 10.84NA 10.06 10.84 3.39 25.11 25.89 25.11 25.89 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 62355 Remove spinal canal catheter A 4.35 3.58NA 4.01NA 3.58 4.01 0.73 8.66 9.09 8.66 9.09 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 62360 Insert spine infusion device A 4.33 3.65NA 4.16NA 3.65 4.16 0.87 8.85 9.36 8.85 9.36 0010.10.80.1020010 33.9764 090 99 0.00 0.00 0.00 62361 Implant spine infusion pump A 5.65 4.67NA 4.93NA 4.67 4.93 1.10 11.42 11.68 11.42 11.68 0010.10.80.1020010 33.9764 090 99 0.00 0.00 0.00 62362 Implant spine infusion pump A 6.10 4.65NA 5.08NA 4.65 5.08 1.22 11.97 12.40 11.97 12.40 0010.10.80.1020010 33.9764 090 99 0.00 0.00 0.00 62365 Remove spine infusion device A 4.65 4.01NA 4.41NA 4.01 4.41 0.88 9.54 9.94 9.54 9.94 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 62367 Analyze spine infusion pump A 0.48 0.65 0.72 0.19 0.23 0.05 1.18 1.25 0.72 0.76 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 62368 Analyze spine infusion pump A 0.75 0.88 1.00 0.30 0.37 0.07 1.70 1.82 1.12 1.19 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 63001 Removal of spinal lamina A 17.61 12.91NA 13.65NA 12.91 13.65 5.69 36.21 36.95 36.21 36.95 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63003 Removal of spinal lamina A 17.74 13.00NA 13.72NA 13.00 13.72 5.63 36.37 37.09 36.37 37.09 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63005 Removal of spinal lamina A 16.43 13.02NA 13.66NA 13.02 13.66 5.08 34.53 35.17 34.53 35.17 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63011 Removal of spinal lamina A 15.91 11.88NA 12.71NA 11.88 12.71 4.01 31.80 32.63 31.80 32.63 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63012 Removal of spinal lamina A 16.85 12.90NA 13.47NA 12.90 13.47 5.10 34.85 35.42 34.85 35.42 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63015 Removal of spinal lamina A 20.85 15.62NA 16.41NA 15.62 16.41 7.01 43.48 44.27 43.48 44.27 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63016 Removal of spinal lamina A 22.03 15.67NA 16.58NA 15.67 16.58 6.78 44.48 45.39 44.48 45.39 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63017 Removal of spinal lamina A 17.33 13.65NA 14.34NA 13.65 14.34 5.57 36.55 37.24 36.55 37.24 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63020 Neck spine disk surgery A 16.20 12.92NA 13.56NA 12.92 13.56 5.06 34.18 34.82 34.18 34.82 0090.11.76.1321220 33.9764 090 99 0.00 0.00 0.00 63030 Low back disk surgery A 13.18 11.25NA 11.84NA 11.25 11.84 3.87 28.30 28.89 28.30 28.89 0090.11.76.1321220 33.9764 090 99 0.00 0.00 0.00 63035 Spinal disk surgery add-on A 3.15 1.73NA 1.79NA 1.73 1.79 0.88 5.76 5.82 5.76 5.82 0ZZZ.00.00.0001220 33.9764 090 99 0.00 0.00 0.00 63040 Laminotomy single cervical A 20.31 14.67NA 15.40NA 14.67 15.40 6.27 41.25 41.98 41.25 41.98 0090.11.76.1321220 33.9764 090 99 0.00 0.00 0.00 63042 Laminotomy single lumbar A 18.76 14.21NA 14.91NA 14.21 14.91 5.20 38.17 38.87 38.17 38.87 0090.11.76.1321220 33.9764 090 99 0.00 0.00 0.00 63043 Laminotomy addl cervical C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001220 33.9764 090 99 0.00 0.00 0.00 63044 Laminotomy addl lumbar C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001220 33.9764 090 99 0.00 0.00 0.00 63045 Removal of spinal lamina A 17.95 13.60NA 14.28NA 13.60 14.28 5.73 37.28 37.96 37.28 37.96 0090.11.76.1322220 33.9764 090 99 0.00 0.00 0.00 63046 Removal of spinal lamina A 17.25 13.11NA 13.77NA 13.11 13.77 5.14 35.50 36.16 35.50 36.16 0090.11.76.1322220 33.9764 090 99 0.00 0.00 0.00 63047 Removal of spinal lamina A 15.37 12.45NA 13.04NA 12.45 13.04 4.41 32.23 32.82 32.23 32.82 0090.11.76.1322220 33.9764 090 99 0.00 0.00 0.00 63048 Remove spinal lamina add-on A 3.47 1.89NA 1.97NA 1.89 1.97 1.01 6.37 6.45 6.37 6.45 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 63050 Cervical laminoplasty A 22.01 16.20NA 17.34NA 16.20 17.34 7.91 46.12 47.26 46.12 47.26 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63051 C-laminoplasty w/graft/plate A 25.51 17.68NA 18.70NA 17.68 18.70 7.24 50.43 51.45 50.43 51.45 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63055 Decompress spinal cord A 23.55 16.67NA 17.47NA 16.67 17.47 7.66 47.88 48.68 47.88 48.68 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63056 Decompress spinal cord A 21.86 15.46NA 16.27NA 15.46 16.27 6.19 43.51 44.32 43.51 44.32 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63057 Decompress spine cord add-on A 5.25 2.87NA 2.99NA 2.87 2.99 1.51 9.63 9.75 9.63 9.75 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 63064 Decompress spinal cord A 26.22 17.85NA 18.85NA 17.85 18.85 7.95 52.02 53.02 52.02 53.02 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63066 Decompress spine cord add-on A 3.26 1.77NA 1.82NA 1.77 1.82 1.17 6.20 6.25 6.20 6.25 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 63075 Neck spine disk surgery A 19.60 14.72NA 15.34NA 14.72 15.34 6.11 40.43 41.05 40.43 41.05 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63076 Neck spine disk surgery A 4.04 2.20NA 2.28NA 2.20 2.28 1.25 7.49 7.57 7.49 7.57 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 63077 Spine disk surgery thorax A 22.88 15.43NA 16.23NA 15.43 16.23 5.87 44.18 44.98 44.18 44.98 0090.11.76.1320220 33.9764 090 99 0.00 0.00 0.00 63078 Spine disk surgery thorax A 3.28 1.78NA 1.86NA 1.78 1.86 0.75 5.81 5.89 5.81 5.89 0ZZZ.00.00.0000220 33.9764 090 99 0.00 0.00 0.00 63081 Removal of vertebral body A 26.10 18.18NA 19.10NA 18.18 19.10 7.89 52.17 53.09 52.17 53.09 0090.11.76.1320212 33.9764 090 99 0.00 0.00 0.00 63082 Remove vertebral body add-on A 4.36 2.38NA 2.47NA 2.38 2.47 1.31 8.05 8.14 8.05 8.14 0ZZZ.00.00.0000212 33.9764 090 99 0.00 0.00 0.00 63085 Removal of vertebral body A 29.47 18.57NA 19.44NA 18.57 19.44 7.93 55.97 56.84 55.97 56.84 0090.11.76.1320222 33.9764 090 99 0.00 0.00 0.00 63086 Remove vertebral body add-on A 3.19 1.67NA 1.71NA 1.67 1.71 0.87 5.73 5.77 5.73 5.77 0ZZZ.00.00.0000222 33.9764 090 99 0.00 0.00 0.00 63087 Removal of vertebral body A 37.53 23.34NA 24.39NA 23.34 24.39 9.73 70.60 71.65 70.60 71.65 0090.11.76.1320222 33.9764 090 99 0.00 0.00 0.00 63088 Remove vertebral body add-on A 4.32 2.37NA 2.47NA 2.37 2.47 1.06 7.75 7.85 7.75 7.85 0ZZZ.00.00.0000222 33.9764 090 99 0.00 0.00 0.00 63090 Removal of vertebral body A 30.93 19.88NA 21.02NA 19.88 21.02 7.20 58.01 59.15 58.01 59.15 0090.11.76.1320222 33.9764 090 99 0.00 0.00 0.00 63091 Remove vertebral body add-on A 3.03 1.62NA 1.69NA 1.62 1.69 0.68 5.33 5.40 5.33 5.40 0ZZZ.00.00.0000222 33.9764 090 99 0.00 0.00 0.00 63101 Removal of vertebral body A 34.10 23.63NA 24.88NA 23.63 24.88 10.63 68.36 69.61 68.36 69.61 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63102 Removal of vertebral body A 34.10 23.31NA 24.52NA 23.31 24.52 8.60 66.01 67.22 66.01 67.22 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63103 Remove vertebral body add-on A 4.82 2.66NA 2.74NA 2.66 2.74 1.29 8.77 8.85 8.77 8.85 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 63170 Incise spinal cord tract(s) A 22.21 16.18NA 17.42NA 16.18 17.42 7.98 46.37 47.61 46.37 47.61 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63172 Drainage of spinal cyst A 19.76 14.44NA 15.26NA 14.44 15.26 7.08 41.28 42.10 41.28 42.10 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63173 Drainage of spinal cyst A 24.31 17.66NA 18.59NA 17.66 18.59 8.75 50.72 51.65 50.72 51.65 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63180 Revise spinal cord ligaments A 20.53 14.93NA 16.48NA 14.93 16.48 7.36 42.82 44.37 42.82 44.37 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63182 Revise spinal cord ligaments A 22.82 15.09NA 17.76NA 15.09 17.76 8.19 46.10 48.77 46.10 48.77 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63185 Incise spinal column/nerves A 16.49 12.41NA 13.29NA 12.41 13.29 5.92 34.82 35.70 34.82 35.70 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63190 Incise spinal column/nerves A 18.89 14.06NA 14.84NA 14.06 14.84 4.29 37.24 38.02 37.24 38.02 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63191 Incise spinal column/nerves A 18.92 12.18NA 15.43NA 12.18 15.43 3.74 34.84 38.09 34.84 38.09 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 63194 Incise spinal column & cord A 22.10 15.35NA 16.08NA 15.35 16.08 2.84 40.29 41.02 40.29 41.02 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63195 Incise spinal column & cord A 21.64 15.47NA 16.56NA 15.47 16.56 7.77 44.88 45.97 44.88 45.97 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63196 Incise spinal column & cord A 25.27 15.23NA 13.43NA 15.23 13.43 1.80 42.30 40.50 42.30 40.50 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63197 Incise spinal column & cord A 24.08 17.46NA 18.46NA 17.46 18.46 8.66 50.20 51.20 50.20 51.20 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63198 Incise spinal column & cord A 29.90 14.78NA 15.68NA 14.78 15.68 2.12 46.80 47.70 46.80 47.70 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63199 Incise spinal column & cord A 31.47 17.88NA 16.36NA 17.88 16.36 2.23 51.58 50.06 51.58 50.06 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63200 Release of spinal cord A 21.44 15.63NA 16.53NA 15.63 16.53 7.58 44.65 45.55 44.65 45.55 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 63250 Revise spinal cord vessels A 43.86 27.81NA 29.53NA 27.81 29.53 15.75 87.42 89.14 87.42 89.14 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63251 Revise spinal cord vessels A 44.64 28.87NA 30.42NA 28.87 30.42 16.03 89.54 91.09 89.54 91.09 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63252 Revise spinal cord vessels A 44.63 28.81NA 30.41NA 28.81 30.41 16.03 89.47 91.07 89.47 91.07 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63265 Excise intraspinal lesion A 23.82 17.11NA 17.97NA 17.11 17.97 8.08 49.01 49.87 49.01 49.87 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63266 Excise intraspinal lesion A 24.68 17.41NA 18.33NA 17.41 18.33 8.40 50.49 51.41 50.49 51.41 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63267 Excise intraspinal lesion A 19.45 14.64NA 15.36NA 14.64 15.36 6.26 40.35 41.07 40.35 41.07 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63268 Excise intraspinal lesion A 20.02 15.10NA 16.25NA 15.10 16.25 7.19 42.31 43.46 42.31 43.46 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63270 Excise intraspinal lesion A 29.80 20.47NA 21.69NA 20.47 21.69 10.71 60.98 62.20 60.98 62.20 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63271 Excise intraspinal lesion A 29.92 20.44NA 21.50NA 20.44 21.50 10.57 60.93 61.99 60.93 61.99 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63272 Excise intraspinal lesion A 27.50 19.02NA 19.95NA 19.02 19.95 9.47 55.99 56.92 55.99 56.92 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63273 Excise intraspinal lesion A 26.47 18.21NA 19.84NA 18.21 19.84 9.50 54.18 55.81 54.18 55.81 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 63275 Biopsy/excise spinal tumor A 25.86 18.08NA 19.04NA 18.08 19.04 8.82 52.76 53.72 52.76 53.72 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63276 Biopsy/excise spinal tumor A 25.69 18.06NA 19.02NA 18.06 19.02 8.71 52.46 53.42 52.46 53.42 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63277 Biopsy/excise spinal tumor A 22.39 16.18NA 17.05NA 16.18 17.05 7.00 45.57 46.44 45.57 46.44 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63278 Biopsy/excise spinal tumor A 22.12 16.24NA 17.42NA 16.24 17.42 7.95 46.31 47.49 46.31 47.49 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63280 Biopsy/excise spinal tumor A 30.29 21.14NA 22.05NA 21.14 22.05 10.83 62.26 63.17 62.26 63.17 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63281 Biopsy/excise spinal tumor A 29.99 20.99NA 22.00NA 20.99 22.00 10.67 61.65 62.66 61.65 62.66 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63282 Biopsy/excise spinal tumor A 28.15 19.97NA 20.88NA 19.97 20.88 9.95 58.07 58.98 58.07 58.98 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63283 Biopsy/excise spinal tumor A 26.76 19.27NA 20.46NA 19.27 20.46 9.60 55.63 56.82 55.63 56.82 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63285 Biopsy/excise spinal tumor A 38.05 24.99NA 26.47NA 24.99 26.47 13.66 76.70 78.18 76.70 78.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63286 Biopsy/excise spinal tumor A 37.62 24.95NA 26.16NA 24.95 26.16 13.20 75.77 76.98 75.77 76.98 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63287 Biopsy/excise spinal tumor A 40.08 26.35NA 27.88NA 26.35 27.88 14.40 80.83 82.36 80.83 82.36 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63290 Biopsy/excise spinal tumor A 40.82 26.53NA 27.88NA 26.53 27.88 14.66 82.01 83.36 82.01 83.36 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63295 Repair of laminectomy defect A 5.25 2.73NA 2.92NA 2.73 2.92 1.88 9.86 10.05 9.86 10.05 0ZZZ.00.00.0002220 33.9764 090 99 0.00 0.00 0.00 63300 Removal of vertebral body A 26.80 18.43NA 19.39NA 18.43 19.39 8.68 53.91 54.87 53.91 54.87 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63301 Removal of vertebral body A 31.57 20.98NA 23.14NA 20.98 23.14 11.34 63.89 66.05 63.89 66.05 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63302 Removal of vertebral body A 31.15 20.88NA 22.90NA 20.88 22.90 11.17 63.20 65.22 63.20 65.22 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63303 Removal of vertebral body A 33.55 21.57NA 23.78NA 21.57 23.78 12.03 67.15 69.36 67.15 69.36 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63304 Removal of vertebral body A 33.85 22.98NA 24.41NA 22.98 24.41 12.14 68.97 70.40 68.97 70.40 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63305 Removal of vertebral body A 36.24 23.12NA 25.65NA 23.12 25.65 13.01 72.37 74.90 72.37 74.90 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63306 Removal of vertebral body A 35.55 19.22NA 15.84NA 19.22 15.84 12.77 67.54 64.16 67.54 64.16 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63307 Removal of vertebral body A 34.96 22.97NA 24.65NA 22.97 24.65 12.56 70.49 72.17 70.49 72.17 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63308 Remove vertebral body add-on A 5.24 2.81NA 2.90NA 2.81 2.90 1.57 9.62 9.71 9.62 9.71 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 63600 Remove spinal cord lesion A 15.12 8.18NA 10.44NA 8.18 10.44 1.58 24.88 27.14 24.88 27.14 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 63610 Stimulation of spinal cord A 8.72 15.88 2.03 2.32 2.40 0.68 25.28 11.43 11.72 11.80 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 63615 Remove lesion of spinal cord A 17.32 12.20NA 13.45NA 12.20 13.45 6.21 35.73 36.98 35.73 36.98 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 63620 Srs spinal lesion A 15.60 10.29NA 12.14NA 10.29 12.14 5.19 31.08 32.93 31.08 32.93 0090.11.76.1300200 33.9764 090 99 0.00 0.00 0.00 63621 Srs spinal lesion addl A 4.00 2.06NA 2.23NA 2.06 2.23 1.32 7.38 7.55 7.38 7.55 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 63650 Implant neuroelectrodes A 7.20 4.37NA 5.25NA 4.37 5.25 0.64 12.21 13.09 12.21 13.09 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 63655 Implant neuroelectrodes A 11.56 10.00NA 10.70NA 10.00 10.70 3.62 25.18 25.88 25.18 25.88 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63661 Remove spine eltrd perq aray A 5.08 11.80 11.80 3.93 3.93 0.71 17.59 17.59 9.72 9.72 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 63662 Remove spine eltrd plate A 11.00 8.54NA 8.54NA 8.54 8.54 1.55 21.09 21.09 21.09 21.09 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63663 Revise spine eltrd perq aray A 7.75 16.29 16.29 5.27 5.27 1.09 25.13 25.13 14.11 14.11 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 63664 Revise spine eltrd plate A 11.52 8.80NA 8.80NA 8.80 8.80 1.61 21.93 21.93 21.93 21.93 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63685 Insrt/redo spine n generator A 6.05 4.52NA 5.09NA 4.52 5.09 1.10 11.67 12.24 11.67 12.24 0010.10.80.1020210 33.9764 090 99 0.00 0.00 0.00 63688 Revise/remove neuroreceiver A 5.30 4.24NA 4.73NA 4.24 4.73 1.01 10.55 11.04 10.55 11.04 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 63700 Repair of spinal herniation A 17.47 13.80NA 14.96NA 13.80 14.96 6.26 37.53 38.69 37.53 38.69 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63702 Repair of spinal herniation A 19.41 15.19NA 16.04NA 15.19 16.04 6.97 41.57 42.42 41.57 42.42 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63704 Repair of spinal herniation A 22.43 16.88NA 18.71NA 16.88 18.71 8.04 47.35 49.18 47.35 49.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63706 Repair of spinal herniation A 25.35 19.02NA 20.34NA 19.02 20.34 9.12 53.49 54.81 53.49 54.81 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63707 Repair spinal fluid leakage A 12.65 10.38NA 11.02NA 10.38 11.02 3.50 26.53 27.17 26.53 27.17 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63709 Repair spinal fluid leakage A 15.65 12.05NA 12.68NA 12.05 12.68 4.50 32.20 32.83 32.20 32.83 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63710 Graft repair of spine defect A 15.40 12.08NA 12.72NA 12.08 12.72 4.86 32.34 32.98 32.34 32.98 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63740 Install spinal shunt A 12.63 10.60NA 10.97NA 10.60 10.97 4.26 27.49 27.86 27.49 27.86 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63741 Install spinal shunt A 9.12 6.67NA 7.57NA 6.67 7.57 2.19 17.98 18.88 17.98 18.88 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63744 Revision of spinal shunt A 8.94 7.36NA 8.06NA 7.36 8.06 3.06 19.36 20.06 19.36 20.06 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 63746 Removal of spinal shunt A 7.33 7.17NA 7.81NA 7.17 7.81 2.63 17.13 17.77 17.13 17.77 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64400 N block inj trigeminal A 1.11 2.03 2.17 0.67 0.78 0.18 3.32 3.46 1.96 2.07 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64402 N block inj facial A 1.25 1.88 1.99 0.71 0.78 0.18 3.31 3.42 2.14 2.21 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64405 N block inj occipital A 1.32 1.73 1.94 0.76 0.90 0.26 3.31 3.52 2.34 2.48 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64408 N block inj vagus A 1.41 2.04 2.20 1.10 1.24 0.16 3.61 3.77 2.67 2.81 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 64410 N block inj phrenic A 1.43 2.60 2.73 0.70 0.75 0.33 4.36 4.49 2.46 2.51 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 64412 N block inj spinal accessor A 1.18 3.01 3.25 0.80 0.92 0.20 4.39 4.63 2.18 2.30 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64413 N block inj cervical plexus A 1.40 1.89 2.00 0.72 0.83 0.20 3.49 3.60 2.32 2.43 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64415 N block inj brachial plexus A 1.48 2.01 1.89 0.39 0.36 0.11 3.60 3.48 1.98 1.95 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64416 N block cont infuse b plex A 1.81 0.44NA 0.43NA 0.44 0.43 0.14 2.39 2.38 2.39 2.38 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64417 N block inj axillary A 1.44 2.23 2.24 0.50 0.56 0.11 3.78 3.79 2.05 2.11 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64418 N block inj suprascapular A 1.32 2.59 2.69 0.72 0.83 0.12 4.03 4.13 2.16 2.27 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64420 N block inj intercost sng A 1.18 2.70 2.00 0.66 0.76 0.12 4.00 3.30 1.96 2.06 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64421 N block inj intercost mlt A 1.68 3.87 2.63 0.82 0.96 0.20 5.75 4.51 2.70 2.84 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64425 N block inj ilio-ing/hypogi A 1.75 1.89 2.07 0.82 0.95 0.20 3.84 4.02 2.77 2.90 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64430 N block inj pudendal A 1.46 2.60 2.25 0.84 0.78 0.14 4.20 3.85 2.44 2.38 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64435 N block inj paracervical A 1.45 2.46 2.35 0.77 0.79 0.24 4.15 4.04 2.46 2.48 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64445 N block inj sciatic sng A 1.48 2.29 2.29 0.58 0.54 0.16 3.93 3.93 2.22 2.18 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64446 N blk inj sciatic cont inf A 1.81 0.48NA 0.44NA 0.48 0.44 0.14 2.43 2.39 2.43 2.39 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64447 N block inj fem single A 1.50 1.89 1.89 0.33 0.36 0.11 3.50 3.50 1.94 1.97 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64448 N block inj fem cont inf A 1.63 0.41NA 0.39NA 0.41 0.39 0.12 2.16 2.14 2.16 2.14 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64449 N block inj lumbar plexus A 1.81 0.52NA 0.51NA 0.52 0.51 0.14 2.47 2.46 2.47 2.46 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64450 N block other peripheral A 1.27 1.63 1.72 0.64 0.67 0.11 3.01 3.10 2.02 2.05 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64455 N block inj plantar digit A 0.75 0.61 0.58 0.26 0.24 0.08 1.44 1.41 1.09 1.07 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 64479 Inj foramen epidural c/t A 2.29 5.25 4.75 1.30 1.54 0.27 7.81 7.31 3.86 4.10 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64480 Inj foramen epidural add-on A 1.20 2.34 2.36 0.59 0.63 0.18 3.72 3.74 1.97 2.01 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 64483 Inj foramen epidural l/s A 1.75 5.17 4.46 1.12 1.27 0.15 7.07 6.36 3.02 3.17 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 64484 Inj foramen epidural add-on A 1.00 2.05 1.60 0.48 0.52 0.08 3.13 2.68 1.56 1.60 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 64490 Inj paravert f jnt c/t 1 lev A 1.82 3.76 3.76 1.26 1.26 0.20 5.78 5.78 3.28 3.28 0000.00.00.0021200 33.9764 090 99 0.00 0.00 0.00 64491 Inj paravert f jnt c/t 2 lev A 1.16 1.59 1.59 0.58 0.58 0.11 2.86 2.86 1.85 1.85 0ZZZ.00.00.0001200 33.9764 090 99 0.00 0.00 0.00 64492 Inj paravert f jnt c/t 3 lev A 1.16 1.62 1.62 0.61 0.61 0.11 2.89 2.89 1.88 1.88 0ZZZ.00.00.0001200 33.9764 090 99 0.00 0.00 0.00 64493 Inj paravert f jnt l/s 1 lev A 1.52 3.49 3.49 1.10 1.10 0.14 5.15 5.15 2.76 2.76 0000.00.00.0021200 33.9764 090 99 0.00 0.00 0.00 64494 Inj paravert f jnt l/s 2 lev A 1.00 1.50 1.50 0.49 0.49 0.08 2.58 2.58 1.57 1.57 0ZZZ.00.00.0001200 33.9764 090 99 0.00 0.00 0.00 64495 Inj paravert f jnt l/s 3 lev A 1.00 1.54 1.54 0.51 0.51 0.08 2.62 2.62 1.59 1.59 0ZZZ.00.00.0001200 33.9764 090 99 0.00 0.00 0.00 64505 N block spenopalatine gangl A 1.36 1.42 1.44 0.95 1.01 0.10 2.88 2.90 2.41 2.47 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64508 N block carotid sinus s/p A 1.12 1.71 0.50 0.84 0.94 0.24 3.07 1.86 2.20 2.30 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 64510 N block stellate ganglion A 1.22 2.65 2.48 0.73 0.90 0.10 3.97 3.80 2.05 2.22 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64517 N block inj hypogas plxs A 2.20 2.72 2.98 1.14 1.35 0.18 5.10 5.36 3.52 3.73 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64520 N block lumbar/thoracic A 1.35 4.16 4.32 0.84 1.01 0.11 5.62 5.78 2.30 2.47 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64530 N block inj celiac pelus A 1.58 3.97 4.05 0.94 1.06 0.14 5.69 5.77 2.66 2.78 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64550 Apply neurostimulator A 0.18 0.27 0.29 0.07 0.08 0.01 0.46 0.48 0.26 0.27 0000.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 64553 Implant neuroelectrodes A 2.36 3.32 3.38 1.96 2.00 0.38 6.06 6.12 4.70 4.74 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 64555 Implant neuroelectrodes A 2.32 3.34 3.00 1.79 1.71 0.26 5.92 5.58 4.37 4.29 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64560 Implant neuroelectrodes A 2.41 4.17 4.83 2.19 2.49 0.16 6.74 7.40 4.76 5.06 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 64561 Implant neuroelectrodes A 7.15 20.79 14.80 4.15 3.86 0.78 28.72 22.73 12.08 11.79 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 64565 Implant neuroelectrodes A 1.81 3.13 3.30 1.61 1.80 0.24 5.18 5.35 3.66 3.85 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64566 Neuroeltrd stim post tibial A 0.60 3.15 3.15 0.23 0.23 0.05 3.80 3.80 0.88 0.88 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 64568 Inc for vagus n elect impl A 9.00 8.64NA 8.64NA 8.64 8.64 1.25 18.89 18.89 18.89 18.89 0090.11.76.1321000 33.9764 090 99 0.00 0.00 0.00 64569 Revise/repl vagus n eltrd A 11.00 4.49NA 4.49NA 4.49 4.49 3.16 18.65 18.65 18.65 18.65 0090.11.76.1321011 33.9764 090 99 0.00 0.00 0.00 64570 Remove vagus n eltrd A 9.10 4.05NA 4.05NA 4.05 4.05 3.27 16.42 16.42 16.42 16.42 0090.11.76.1321011 33.9764 090 99 0.00 0.00 0.00 64575 Implant neuroelectrodes A 4.42 3.57NA 4.19NA 3.57 4.19 0.44 8.43 9.05 8.43 9.05 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64577 Implant neuroelectrodes A 4.69 3.52NA 2.74NA 3.52 2.74 1.67 9.88 9.10 9.88 9.10 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64580 Implant neuroelectrodes A 4.19 3.81NA 3.91NA 3.81 3.91 0.88 8.88 8.98 8.88 8.98 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64581 Implant neuroelectrodes A 12.20 7.02NA 6.00NA 7.02 6.00 1.58 20.80 19.78 20.80 19.78 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64585 Revise/remove neuroelectrode A 2.11 6.20 4.73 2.09 1.88 0.27 8.58 7.11 4.47 4.26 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64590 Insrt/redo pn/gastr stimul A 2.45 5.68 4.73 2.21 1.95 0.29 8.42 7.47 4.95 4.69 0010.10.80.1020110 33.9764 090 99 0.00 0.00 0.00 64595 Revise/rmv pn/gastr stimul A 1.78 6.35 4.94 1.91 1.69 0.22 8.35 6.94 3.91 3.69 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64600 Injection treatment of nerve A 3.49 8.05 8.21 2.45 2.80 0.53 12.07 12.23 6.47 6.82 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 64605 Injection treatment of nerve A 5.65 12.95 15.88 3.92 4.82 0.44 19.04 21.97 10.01 10.91 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 64610 Injection treatment of nerve A 7.20 12.07 12.97 4.98 5.24 2.15 21.42 22.32 14.33 14.59 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64611 Chemodenerv saliv glands A 1.03 1.63 1.63 1.35 1.35 0.29 2.95 2.95 2.67 2.67 0010.10.80.1022000 33.9764 090 99 0.00 0.00 0.00 64612 Destroy nerve face muscle A 2.01 2.38 2.51 1.93 2.18 0.65 5.04 5.17 4.59 4.84 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 64613 Destroy nerve neck muscle A 2.01 2.23 2.29 1.68 1.92 0.59 4.83 4.89 4.28 4.52 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 64614 Destroy nerve extrem musc A 2.20 2.53 2.58 1.85 2.08 0.42 5.15 5.20 4.47 4.70 0010.10.80.1022100 33.9764 090 99 0.00 0.00 0.00 64620 Injection treatment of nerve A 2.89 3.85 3.06 1.81 2.12 0.29 7.03 6.24 4.99 5.30 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64622 Destr paravertebrl nerve l/s A 3.05 6.55 6.94 2.07 2.50 0.26 9.86 10.25 5.38 5.81 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 64623 Destr paravertebral n add-on A 0.99 2.61 2.76 0.40 0.51 0.08 3.68 3.83 1.47 1.58 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 64626 Destr paravertebrl nerve c/t A 3.92 7.47 8.13 3.03 3.65 0.34 11.73 12.39 7.29 7.91 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 64627 Destr paravertebral n add-on A 1.16 3.77 3.95 0.47 0.60 0.10 5.03 5.21 1.73 1.86 0ZZZ.00.00.0001100 33.9764 090 99 0.00 0.00 0.00 64630 Injection treatment of nerve A 3.05 3.24 3.15 2.14 2.16 0.34 6.63 6.54 5.53 5.55 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 64632 N block inj common digit A 1.23 1.17 1.17 0.74 0.72 0.10 2.50 2.50 2.07 2.05 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 64640 Injection treatment of nerve A 2.81 3.36 3.26 1.90 1.93 0.24 6.41 6.31 4.95 4.98 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 64650 Chemodenerv eccrine glands A 0.70 1.89 2.59 0.37 0.42 0.11 2.70 3.40 1.18 1.23 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 64653 Chemodenerv eccrine glands A 0.88 2.11 2.92 0.44 0.47 0.24 3.23 4.04 1.56 1.59 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 64680 Injection treatment of nerve A 2.67 6.26 6.45 1.83 2.03 0.30 9.23 9.42 4.80 5.00 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64681 Injection treatment of nerve A 3.78 6.91 6.48 1.78 1.70 0.30 10.99 10.56 5.86 5.78 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 64702 Revise finger/toe nerve A 6.26 6.77NA 7.50NA 6.77 7.50 1.06 14.09 14.82 14.09 14.82 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64704 Revise hand/foot nerve A 4.69 4.23NA 4.32NA 4.23 4.32 0.54 9.46 9.55 9.46 9.55 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64708 Revise arm/leg nerve A 6.36 6.60NA 7.07NA 6.60 7.07 1.16 14.12 14.59 14.12 14.59 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64712 Revision of sciatic nerve A 8.07 6.69NA 7.22NA 6.69 7.22 1.33 16.09 16.62 16.09 16.62 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64713 Revision of arm nerve(s) A 11.40 8.52NA 9.01NA 8.52 9.01 2.34 22.26 22.75 22.26 22.75 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64714 Revise low back nerve(s) A 10.55 7.42NA 8.63NA 7.42 8.63 1.71 19.68 20.89 19.68 20.89 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64716 Revision of cranial nerve A 6.99 7.46NA 7.94NA 7.46 7.94 1.13 15.58 16.06 15.58 16.06 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64718 Revise ulnar nerve at elbow A 7.26 8.26NA 8.87NA 8.26 8.87 1.48 17.00 17.61 17.00 17.61 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64719 Revise ulnar nerve at wrist A 4.97 5.62NA 5.96NA 5.62 5.96 0.93 11.52 11.86 11.52 11.86 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64721 Carpal tunnel surgery A 4.97 6.37 6.71 6.31 6.64 0.98 12.32 12.66 12.26 12.59 0090.11.76.1321100 33.9764 090 99 0.00 0.00 0.00 64722 Relieve pressure on nerve(s) A 4.82 4.39NA 4.80NA 4.39 4.80 0.84 10.05 10.46 10.05 10.46 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64726 Release foot/toe nerve A 4.27 3.45NA 3.55NA 3.45 3.55 0.39 8.11 8.21 8.11 8.21 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64727 Internal nerve revision A 3.10 1.77NA 1.89NA 1.77 1.89 0.60 5.47 5.59 5.47 5.59 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 64732 Incision of brow nerve A 4.89 5.63NA 6.30NA 5.63 6.30 1.77 12.29 12.96 12.29 12.96 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64734 Incision of cheek nerve A 5.55 6.15NA 7.12NA 6.15 7.12 0.71 12.41 13.38 12.41 13.38 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64736 Incision of chin nerve A 5.23 5.56NA 5.95NA 5.56 5.95 1.88 12.67 13.06 12.67 13.06 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64738 Incision of jaw nerve A 6.36 6.53NA 7.57NA 6.53 7.57 2.27 15.16 16.20 15.16 16.20 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64740 Incision of tongue nerve A 6.22 6.46NA 6.98NA 6.46 6.98 0.80 13.48 14.00 13.48 14.00 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64742 Incision of facial nerve A 6.85 6.27NA 7.07NA 6.27 7.07 0.87 13.99 14.79 13.99 14.79 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64744 Incise nerve back of head A 5.72 5.75NA 6.76NA 5.75 6.76 2.04 13.51 14.52 13.51 14.52 0090.11.76.1321000 33.9764 090 99 0.00 0.00 0.00 64746 Incise diaphragm nerve A 6.56 4.86NA 4.76NA 4.86 4.76 1.54 12.96 12.86 12.96 12.86 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64752 Incision of vagus nerve A 7.69 5.65NA 6.03NA 5.65 6.03 1.81 15.15 15.53 15.15 15.53 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64755 Incision of stomach nerves A 15.05 8.25NA 9.08NA 8.25 9.08 3.21 26.51 27.34 26.51 27.34 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64760 Incision of vagus nerve A 7.59 5.32NA 5.99NA 5.32 5.99 1.61 14.52 15.19 14.52 15.19 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64761 Incision of pelvis nerve A 7.04 5.09NA 5.41NA 5.09 5.41 1.01 13.14 13.46 13.14 13.46 0090.11.76.1321200 33.9764 090 99 0.00 0.00 0.00 64763 Incise hip/thigh nerve A 7.56 6.28NA 5.88NA 6.28 5.88 1.61 15.45 15.05 15.45 15.05 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 64766 Incise hip/thigh nerve A 9.47 6.93NA 7.05NA 6.93 7.05 0.91 17.31 17.43 17.31 17.43 0090.11.76.1321200 33.9764 090 99 0.00 0.00 0.00 64771 Sever cranial nerve A 8.15 7.32NA 7.51NA 7.32 7.51 1.05 16.52 16.71 16.52 16.71 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64772 Incision of spinal nerve A 7.84 7.15NA 7.64NA 7.15 7.64 1.81 16.80 17.29 16.80 17.29 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64774 Remove skin nerve lesion A 5.80 5.25NA 5.61NA 5.25 5.61 1.05 12.10 12.46 12.10 12.46 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64776 Remove digit nerve lesion A 5.60 4.94NA 5.27NA 4.94 5.27 0.84 11.38 11.71 11.38 11.71 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64778 Digit nerve surgery add-on A 3.11 1.93NA 2.24NA 1.93 2.24 0.61 5.65 5.96 5.65 5.96 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 64782 Remove limb nerve lesion A 6.86 5.43NA 5.74NA 5.43 5.74 0.91 13.20 13.51 13.20 13.51 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 64783 Limb nerve surgery add-on A 3.71 2.27NA 2.57NA 2.27 2.57 0.45 6.43 6.73 6.43 6.73 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 64784 Remove nerve lesion A 10.62 8.72NA 9.45NA 8.72 9.45 2.00 21.34 22.07 21.34 22.07 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64786 Remove sciatic nerve lesion A 16.25 12.05NA 13.01NA 12.05 13.01 3.21 31.51 32.47 31.51 32.47 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64787 Implant nerve end A 4.29 2.25NA 2.27NA 2.25 2.27 0.68 7.22 7.24 7.22 7.24 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 64788 Remove skin nerve lesion A 5.24 5.24NA 5.65NA 5.24 5.65 1.08 11.56 11.97 11.56 11.97 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64790 Removal of nerve lesion A 12.10 9.51NA 10.28NA 9.51 10.28 2.75 24.36 25.13 24.36 25.13 0090.11.76.1320010 33.9764 090 99 0.00 0.00 0.00 64792 Removal of nerve lesion A 15.86 11.73NA 12.16NA 11.73 12.16 5.69 33.28 33.71 33.28 33.71 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64795 Biopsy of nerve A 3.01 1.99NA 2.14NA 1.99 2.14 0.82 5.82 5.97 5.82 5.97 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 64802 Remove sympathetic nerves A 10.37 6.86NA 8.81NA 6.86 8.81 0.82 18.05 20.00 18.05 20.00 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 64804 Remove sympathetic nerves A 15.91 6.80NA 6.59NA 6.80 6.59 1.27 23.98 23.77 23.98 23.77 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 64809 Remove sympathetic nerves A 14.71 9.05NA 10.77NA 9.05 10.77 1.17 24.93 26.65 24.93 26.65 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 64818 Remove sympathetic nerves A 11.34 6.20NA 6.74NA 6.20 6.74 2.07 19.61 20.15 19.61 20.15 0090.11.76.1321210 33.9764 090 99 0.00 0.00 0.00 64820 Remove sympathetic nerves A 10.74 9.62NA 10.47NA 9.62 10.47 1.91 22.27 23.12 22.27 23.12 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64821 Remove sympathetic nerves A 9.33 8.96NA 9.42NA 8.96 9.42 1.84 20.13 20.59 20.13 20.59 0090.11.76.1321100 33.9764 090 99 0.00 0.00 0.00 64822 Remove sympathetic nerves A 9.33 8.81NA 9.42NA 8.81 9.42 1.84 19.98 20.59 19.98 20.59 0090.11.76.1321100 33.9764 090 99 0.00 0.00 0.00 64823 Remove sympathetic nerves A 10.94 9.58NA 10.38NA 9.58 10.38 2.15 22.67 23.47 22.67 23.47 0090.11.76.1321100 33.9764 090 99 0.00 0.00 0.00 64831 Repair of digit nerve A 9.16 9.09NA 9.76NA 9.09 9.76 1.63 19.88 20.55 19.88 20.55 0090.11.76.1320100 33.9764 090 99 0.00 0.00 0.00 64832 Repair nerve add-on A 5.65 3.43NA 3.70NA 3.43 3.70 1.01 10.09 10.36 10.09 10.36 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 64834 Repair of hand or foot nerve A 10.81 9.07NA 9.76NA 9.07 9.76 1.85 21.73 22.42 21.73 22.42 0090.11.76.1320000 33.9764 090 99 0.00 0.00 0.00 64835 Repair of hand or foot nerve A 11.73 9.68NA 10.32NA 9.68 10.32 2.30 23.71 24.35 23.71 24.35 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64836 Repair of hand or foot nerve A 11.73 9.70NA 10.32NA 9.70 10.32 2.30 23.73 24.35 23.73 24.35 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64837 Repair nerve add-on A 6.25 3.61NA 3.73NA 3.61 3.73 0.76 10.62 10.74 10.62 10.74 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 64840 Repair of leg nerve A 14.02 10.55NA 11.17NA 10.55 11.17 1.08 25.65 26.27 25.65 26.27 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64856 Repair/transpose nerve A 15.07 11.86NA 12.74NA 11.86 12.74 2.84 29.77 30.65 29.77 30.65 0090.11.76.1320110 33.9764 090 99 0.00 0.00 0.00 64857 Repair arm/leg nerve A 15.82 12.26NA 13.11NA 12.26 13.11 2.91 30.99 31.84 30.99 31.84 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64858 Repair sciatic nerve A 17.82 14.44NA 15.85NA 14.44 15.85 3.51 35.77 37.18 35.77 37.18 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64859 Nerve surgery A 4.25 2.71NA 3.06NA 2.71 3.06 0.83 7.79 8.14 7.79 8.14 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 64861 Repair of arm nerves A 20.89 12.89NA 12.41NA 12.89 12.41 4.12 37.90 37.42 37.90 37.42 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64862 Repair of low back nerves A 21.09 14.47NA 16.77NA 14.47 16.77 7.57 43.13 45.43 43.13 45.43 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64864 Repair of facial nerve A 13.41 10.31NA 11.08NA 10.31 11.08 1.70 25.42 26.19 25.42 26.19 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64865 Repair of facial nerve A 16.09 15.42NA 16.04NA 15.42 16.04 2.04 33.55 34.17 33.55 34.17 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64866 Fusion of facial/other nerve A 16.83 14.74NA 14.65NA 14.74 14.65 2.16 33.73 33.64 33.73 33.64 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64868 Fusion of facial/other nerve A 14.90 13.79NA 14.51NA 13.79 14.51 1.91 30.60 31.32 30.60 31.32 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64870 Fusion of facial/other nerve A 17.08 10.94NA 12.14NA 10.94 12.14 4.00 32.02 33.22 32.02 33.22 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64872 Subsequent repair of nerve A 1.99 1.16NA 1.19NA 1.16 1.19 0.26 3.41 3.44 3.41 3.44 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 64874 Repair & revise nerve add-on A 2.98 1.83NA 2.07NA 1.83 2.07 0.37 5.18 5.42 5.18 5.42 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 64876 Repair nerve/shorten bone A 3.37 1.73NA 1.88NA 1.73 1.88 0.65 5.75 5.90 5.75 5.90 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 64885 Nerve graft head or neck A 17.60 13.03NA 13.83NA 13.03 13.83 2.25 32.88 33.68 32.88 33.68 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64886 Nerve graft head or neck A 20.82 15.10NA 15.77NA 15.10 15.77 2.67 38.59 39.26 38.59 39.26 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64890 Nerve graft hand or foot A 16.24 12.40NA 13.01NA 12.40 13.01 3.20 31.84 32.45 31.84 32.45 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64891 Nerve graft hand or foot A 17.35 13.80NA 15.51NA 13.80 15.51 3.43 34.58 36.29 34.58 36.29 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64892 Nerve graft arm or leg A 15.74 12.03NA 12.71NA 12.03 12.71 3.12 30.89 31.57 30.89 31.57 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64893 Nerve graft arm or leg A 16.87 12.85NA 14.11NA 12.85 14.11 3.35 33.07 34.33 33.07 34.33 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64895 Nerve graft hand or foot A 20.39 15.47NA 17.70NA 15.47 17.70 4.01 39.87 42.10 39.87 42.10 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64896 Nerve graft hand or foot A 21.96 15.41NA 15.88NA 15.41 15.88 7.89 45.26 45.73 45.26 45.73 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64897 Nerve graft arm or leg A 19.38 14.35NA 15.51NA 14.35 15.51 3.82 37.55 38.71 37.55 38.71 0090.11.76.1320200 33.9764 090 99 0.00 0.00 0.00 64898 Nerve graft arm or leg A 20.97 15.43NA 16.27NA 15.43 16.27 4.14 40.54 41.38 40.54 41.38 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64901 Nerve graft add-on A 10.20 6.38NA 7.34NA 6.38 7.34 2.00 18.58 19.54 18.58 19.54 0ZZZ.00.00.0000210 33.9764 090 99 0.00 0.00 0.00 64902 Nerve graft add-on A 11.81 7.32NA 8.50NA 7.32 8.50 2.31 21.44 22.62 21.44 22.62 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 64905 Nerve pedicle transfer A 15.11 12.04NA 12.98NA 12.04 12.98 2.98 30.13 31.07 30.13 31.07 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64907 Nerve pedicle transfer A 20.03 12.38NA 10.97NA 12.38 10.97 1.42 33.83 32.42 33.83 32.42 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64910 Nerve repair w/allograft A 11.39 10.66NA 11.45NA 10.66 11.45 1.97 24.02 24.81 24.02 24.81 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64911 Neurorraphy w/vein autograft A 14.39 12.74NA 14.24NA 12.74 14.24 2.84 29.97 31.47 29.97 31.47 0090.11.76.1320210 33.9764 090 99 0.00 0.00 0.00 64999 Nervous system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 65091 Revise eye A 7.26 9.65NA 10.39NA 9.65 10.39 1.44 18.35 19.09 18.35 19.09 0090.10.70.2021010 33.9764 090 99 0.00 0.00 0.00 65093 Revise eye with implant A 7.04 9.75NA 10.39NA 9.75 10.39 1.39 18.18 18.82 18.18 18.82 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65101 Removal of eye A 8.30 11.32NA 12.21NA 11.32 12.21 1.63 21.25 22.14 21.25 22.14 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65103 Remove eye/insert implant A 8.84 11.63NA 12.59NA 11.63 12.59 1.74 22.21 23.17 22.21 23.17 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65105 Remove eye/attach implant A 9.93 12.63NA 13.71NA 12.63 13.71 1.95 24.51 25.59 24.51 25.59 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65110 Removal of eye A 15.70 16.70NA 18.29NA 16.70 18.29 2.00 34.40 35.99 34.40 35.99 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65112 Remove eye/revise socket A 18.51 19.32NA 21.16NA 19.32 21.16 2.35 40.18 42.02 40.18 42.02 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65114 Remove eye/revise socket A 19.65 19.94NA 21.96NA 19.94 21.96 2.52 42.11 44.13 42.11 44.13 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65125 Revise ocular implant A 3.27 8.98 9.14 4.45 4.82 0.64 12.89 13.05 8.36 8.73 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65130 Insert ocular implant A 8.42 11.00NA 11.94NA 11.00 11.94 1.65 21.07 22.01 21.07 22.01 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65135 Insert ocular implant A 8.60 11.14NA 12.07NA 11.14 12.07 1.67 21.41 22.34 21.41 22.34 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65140 Attach ocular implant A 9.46 12.03NA 13.03NA 12.03 13.03 1.22 22.71 23.71 22.71 23.71 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65150 Revise ocular implant A 6.43 9.02NA 9.61NA 9.02 9.61 0.45 15.90 16.49 15.90 16.49 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65155 Reinsert ocular implant A 10.10 12.44NA 13.48NA 12.44 13.48 1.97 24.51 25.55 24.51 25.55 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65175 Removal of ocular implant A 7.40 10.10NA 10.90NA 10.10 10.90 0.95 18.45 19.25 18.45 19.25 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65205 Remove foreign body from eye A 0.71 0.77 0.82 0.45 0.51 0.10 1.58 1.63 1.26 1.32 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65210 Remove foreign body from eye A 0.84 1.00 1.08 0.58 0.67 0.12 1.96 2.04 1.54 1.63 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65220 Remove foreign body from eye A 0.71 0.81 0.87 0.40 0.45 0.11 1.63 1.69 1.22 1.27 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65222 Remove foreign body from eye A 0.93 1.09 1.18 0.62 0.71 0.14 2.16 2.25 1.69 1.78 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65235 Remove foreign body from eye A 9.01 9.74NA 10.91NA 9.74 10.91 1.24 19.99 21.16 19.99 21.16 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65260 Remove foreign body from eye A 12.54 12.85NA 14.32NA 12.85 14.32 0.88 26.27 27.74 26.27 27.74 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 65265 Remove foreign body from eye A 14.34 14.23NA 15.91NA 14.23 15.91 3.08 31.65 33.33 31.65 33.33 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65270 Repair of eye wound A 1.95 5.21 5.30 1.78 1.99 0.27 7.43 7.52 4.00 4.21 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 65272 Repair of eye wound A 4.62 8.75 9.23 4.66 5.24 0.33 13.70 14.18 9.61 10.19 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65273 Repair of eye wound A 5.16 4.95NA 5.55NA 4.95 5.55 0.37 10.48 11.08 10.48 11.08 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65275 Repair of eye wound A 6.29 8.83 9.78 5.84 6.71 0.86 15.98 16.93 12.99 13.86 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65280 Repair of eye wound A 9.10 8.59NA 9.62NA 8.59 9.62 1.80 19.49 20.52 19.49 20.52 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65285 Repair of eye wound A 14.71 12.73NA 14.44NA 12.73 14.44 2.60 30.04 31.75 30.04 31.75 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65286 Repair of eye wound A 6.63 12.19 12.80 6.47 7.29 0.90 19.72 20.33 14.00 14.82 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65290 Repair of eye socket wound A 6.53 6.49NA 7.25NA 6.49 7.25 1.28 14.30 15.06 14.30 15.06 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65400 Removal of eye lesion A 7.50 10.50 11.41 8.43 9.38 1.03 19.03 19.94 16.96 17.91 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65410 Biopsy of cornea A 1.47 2.35 2.48 1.30 1.46 0.31 4.13 4.26 3.08 3.24 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 65420 Removal of eye lesion A 4.36 9.46 9.83 5.64 6.16 0.56 14.38 14.75 10.56 11.08 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65426 Removal of eye lesion A 6.05 11.36 11.95 6.62 7.36 0.83 18.24 18.83 13.50 14.24 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65430 Corneal smear A 1.47 1.58 1.73 1.28 1.44 0.22 3.27 3.42 2.97 3.13 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65435 Curette/treat cornea A 0.92 1.21 1.31 0.94 1.04 0.16 2.29 2.39 2.02 2.12 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65436 Curette/treat cornea A 4.82 5.44 6.02 5.01 5.60 0.84 11.10 11.68 10.67 11.26 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65450 Treatment of corneal lesion A 3.47 5.14 5.57 5.04 5.48 0.48 9.09 9.52 8.99 9.43 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65600 Revision of cornea A 4.20 6.25 6.78 4.86 5.45 0.60 11.05 11.58 9.66 10.25 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65710 Corneal transplant A 14.45 14.92NA 16.63NA 14.92 16.63 1.97 31.34 33.05 31.34 33.05 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65730 Corneal transplant A 16.35 16.21NA 18.14NA 16.21 18.14 2.23 34.79 36.72 34.79 36.72 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65750 Corneal transplant A 16.90 15.89NA 17.81NA 15.89 17.81 2.16 34.95 36.87 34.95 36.87 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65755 Corneal transplant A 16.79 15.83NA 17.74NA 15.83 17.74 2.29 34.91 36.82 34.91 36.82 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65756 Corneal trnspl endothelial A 16.84 14.50NA 16.51NA 14.50 16.51 1.20 32.54 34.55 32.54 34.55 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65757 Prep corneal endo allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 65760 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 65765 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 65767 Corneal tissue transplant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 65770 Revise cornea with implant A 19.74 17.60NA 19.79NA 17.60 19.79 7.08 44.42 46.61 44.42 46.61 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 65771 Radial keratotomy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 65772 Correction of astigmatism A 5.09 6.88 7.48 5.66 6.29 0.65 12.62 13.22 11.40 12.03 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65775 Correction of astigmatism A 6.91 7.73NA 8.55NA 7.73 8.55 0.49 15.13 15.95 15.13 15.95 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65778 Cover eye w/membrane A 1.19 35.56 35.56 0.84 0.84 0.18 36.93 36.93 2.21 2.21 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 65779 Cover eye w/membrane suture A 3.92 28.93 28.93 4.07 4.07 0.56 33.41 33.41 8.55 8.55 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 65780 Ocular reconst transplant A 10.73 12.89NA 14.12NA 12.89 14.12 1.39 25.01 26.24 25.01 26.24 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65781 Ocular reconst transplant A 18.14 17.39NA 19.36NA 17.39 19.36 1.28 36.81 38.78 36.81 38.78 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 65782 Ocular reconst transplant A 15.43 15.23NA 16.92NA 15.23 16.92 3.06 33.72 35.41 33.72 35.41 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65800 Drainage of eye A 1.91 2.06 2.24 1.57 1.76 0.27 4.24 4.42 3.75 3.94 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65805 Drainage of eye A 1.91 2.46 2.63 1.57 1.78 0.34 4.71 4.88 3.82 4.03 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 65810 Drainage of eye A 5.82 6.67NA 7.43NA 6.67 7.43 0.84 13.33 14.09 13.33 14.09 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65815 Drainage of eye A 6.00 11.04 11.60 6.62 7.37 1.06 18.10 18.66 13.68 14.43 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65820 Relieve inner eye pressure A 8.91 10.99NA 11.98NA 10.99 11.98 0.63 20.53 21.52 20.53 21.52 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65850 Incision of eye A 11.39 10.94NA 12.20NA 10.94 12.20 1.99 24.32 25.58 24.32 25.58 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65855 Laser surgery of eye A 3.99 5.05 5.46 3.93 4.37 0.63 9.67 10.08 8.55 8.99 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 65860 Incise inner eye adhesions A 3.59 4.68 5.04 3.17 3.54 1.32 9.59 9.95 8.08 8.45 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 65865 Incise inner eye adhesions A 5.77 6.82NA 7.44NA 6.82 7.44 0.39 12.98 13.60 12.98 13.60 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65870 Incise inner eye adhesions A 7.39 8.29NA 9.16NA 8.29 9.16 1.29 16.97 17.84 16.97 17.84 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65875 Incise inner eye adhesions A 7.81 8.89NA 9.82NA 8.89 9.82 1.08 17.78 18.71 17.78 18.71 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65880 Incise inner eye adhesions A 8.36 9.20NA 10.20NA 9.20 10.20 0.60 18.16 19.16 18.16 19.16 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 65900 Remove eye lesion A 12.51 13.09NA 14.52NA 13.09 14.52 0.88 26.48 27.91 26.48 27.91 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 65920 Remove implant of eye A 9.99 10.88NA 12.09NA 10.88 12.09 1.29 22.16 23.37 22.16 23.37 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 65930 Remove blood clot from eye A 8.39 8.57NA 9.48NA 8.57 9.48 1.48 18.44 19.35 18.44 19.35 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66020 Injection treatment of eye A 1.64 3.35 3.49 1.85 2.04 0.11 5.10 5.24 3.60 3.79 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 66030 Injection treatment of eye A 1.30 3.15 3.25 1.64 1.80 0.18 4.63 4.73 3.12 3.28 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 66130 Remove eye lesion A 7.83 10.80 11.53 7.31 8.17 1.66 20.29 21.02 16.80 17.66 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 66150 Glaucoma surgery A 10.53 12.63NA 13.97NA 12.63 13.97 0.73 23.89 25.23 23.89 25.23 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66155 Glaucoma surgery A 10.52 12.62NA 13.96NA 12.62 13.96 0.73 23.87 25.21 23.87 25.21 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66160 Glaucoma surgery A 12.39 13.75NA 15.28NA 13.75 15.28 0.87 27.01 28.54 27.01 28.54 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66165 Glaucoma surgery A 10.24 12.45NA 13.77NA 12.45 13.77 0.72 23.41 24.73 23.41 24.73 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 66170 Glaucoma surgery A 15.02 16.71NA 18.61NA 16.71 18.61 1.92 33.65 35.55 33.65 35.55 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66172 Incision of eye A 18.86 21.13NA 23.57NA 21.13 23.57 2.41 42.40 44.84 42.40 44.84 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66174 Translum dil eye canal A 12.85 13.79NA 13.79NA 13.79 13.79 2.27 28.91 28.91 28.91 28.91 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66175 Trnslum dil eye canal w/stnt A 13.60 14.31NA 14.31NA 14.31 14.31 4.87 32.78 32.78 32.78 32.78 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66180 Implant eye shunt A 16.30 14.61NA 16.48NA 14.61 16.48 2.12 33.03 34.90 33.03 34.90 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66185 Revise eye shunt A 9.58 10.24NA 11.43NA 10.24 11.43 1.67 21.49 22.68 21.49 22.68 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 66220 Repair eye lesion A 9.21 10.31NA 11.61NA 10.31 11.61 1.27 20.79 22.09 20.79 22.09 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 66225 Repair/graft eye lesion A 12.63 12.04NA 13.54NA 12.04 13.54 2.48 27.15 28.65 27.15 28.65 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66250 Follow-up surgery of eye A 7.10 12.91 13.58 7.62 8.51 1.40 21.41 22.08 16.12 17.01 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66500 Incision of iris A 3.83 5.57NA 6.00NA 5.57 6.00 0.27 9.67 10.10 9.67 10.10 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66505 Incision of iris A 4.22 6.08NA 6.56NA 6.08 6.56 0.30 10.60 11.08 10.60 11.08 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66600 Remove iris and lesion A 10.12 11.79NA 13.14NA 11.79 13.14 0.76 22.67 24.02 22.67 24.02 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66605 Removal of iris A 14.22 13.73NA 15.47NA 13.73 15.47 1.02 28.97 30.71 28.97 30.71 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66625 Removal of iris A 5.30 6.09NA 6.71NA 6.09 6.71 0.72 12.11 12.73 12.11 12.73 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66630 Removal of iris A 7.28 7.78NA 8.68NA 7.78 8.68 1.22 16.28 17.18 16.28 17.18 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66635 Removal of iris A 7.37 7.84NA 8.74NA 7.84 8.74 0.52 15.73 16.63 15.73 16.63 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66680 Repair iris & ciliary body A 6.39 7.26NA 8.07NA 7.26 8.07 1.36 15.01 15.82 15.01 15.82 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66682 Repair iris & ciliary body A 7.33 9.42NA 10.42NA 9.42 10.42 1.46 18.21 19.21 18.21 19.21 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66700 Destruction ciliary body A 5.14 6.79 7.41 5.28 5.89 0.49 12.42 13.04 10.91 11.52 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 66710 Ciliary transsleral therapy A 5.14 6.56 7.16 5.27 5.89 1.02 12.72 13.32 11.43 12.05 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66711 Ciliary endoscopic ablation A 7.93 9.05NA 10.08NA 9.05 10.08 0.56 17.54 18.57 17.54 18.57 0090.10.70.2031100 66710 33.9764 090 99 0.00 0.00 0.00 66720 Destruction ciliary body A 5.00 7.46 8.13 6.15 6.77 0.68 13.14 13.81 11.83 12.45 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66740 Destruction ciliary body A 5.14 6.47 7.06 5.30 5.89 0.35 11.96 12.55 10.79 11.38 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66761 Revision of iris A 3.00 5.82 5.22 4.44 3.61 0.45 9.27 8.67 7.89 7.06 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 66762 Revision of iris A 5.38 7.22 7.88 5.89 6.56 0.68 13.28 13.94 11.95 12.62 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66770 Removal of inner eye lesion A 6.13 7.85 8.60 6.64 7.40 0.42 14.40 15.15 13.19 13.95 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66820 Incision secondary cataract A 4.01 6.51NA 6.88NA 6.51 6.88 0.67 11.19 11.56 11.19 11.56 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66821 After cataract laser surgery A 3.42 5.31 5.75 4.79 5.23 0.53 9.26 9.70 8.74 9.18 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66825 Reposition intraocular lens A 9.01 11.18NA 12.18NA 11.18 12.18 1.17 21.36 22.36 21.36 22.36 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 66830 Removal of lens lesion A 9.47 9.42NA 10.56NA 9.42 10.56 0.67 19.56 20.70 19.56 20.70 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66840 Removal of lens material A 9.18 9.24NA 10.37NA 9.24 10.37 1.81 20.23 21.36 20.23 21.36 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66850 Removal of lens material A 10.55 10.44NA 11.71NA 10.44 11.71 1.46 22.45 23.72 22.45 23.72 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66852 Removal of lens material A 11.41 10.98NA 12.32NA 10.98 12.32 2.00 24.39 25.73 24.39 25.73 0090.10.70.2021010 33.9764 090 99 0.00 0.00 0.00 66920 Extraction of lens A 10.13 9.86NA 11.06NA 9.86 11.06 0.71 20.70 21.90 20.70 21.90 0090.10.70.2021010 33.9764 090 99 0.00 0.00 0.00 66930 Extraction of lens A 11.61 11.10NA 12.47NA 11.10 12.47 0.82 23.53 24.90 23.53 24.90 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 66940 Extraction of lens A 10.37 10.33NA 11.58NA 10.33 11.58 1.74 22.44 23.69 22.44 23.69 0090.10.70.2021010 33.9764 090 99 0.00 0.00 0.00 66982 Cataract surgery complex A 15.02 13.01NA 14.64NA 13.01 14.64 2.33 30.36 31.99 30.36 31.99 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66983 Cataract surg w/iol 1 stage A 10.43 9.25NA 10.36NA 9.25 10.36 0.83 20.51 21.62 20.51 21.62 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66984 Cataract surg w/iol 1 stage A 10.52 9.68NA 10.81NA 9.68 10.81 1.65 21.85 22.98 21.85 22.98 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 66985 Insert lens prosthesis A 9.98 10.38NA 11.63NA 10.38 11.63 1.29 21.65 22.90 21.65 22.90 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66986 Exchange lens prosthesis A 12.26 11.94NA 13.26NA 11.94 13.26 1.57 25.77 27.09 25.77 27.09 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 66990 Ophthalmic endoscope add-on A 1.51 0.91NA 1.06NA 0.91 1.06 0.10 2.52 2.67 2.52 2.67 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 66999 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 67005 Partial removal of eye fluid A 5.89 6.60NA 7.33NA 6.60 7.33 1.25 13.74 14.47 13.74 14.47 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67010 Partial removal of eye fluid A 7.06 7.30NA 8.14NA 7.30 8.14 0.98 15.34 16.18 15.34 16.18 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67015 Release of eye fluid A 7.14 8.25NA 9.08NA 8.25 9.08 0.99 16.38 17.21 16.38 17.21 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67025 Replace eye fluid A 8.11 11.18 12.09 8.61 9.62 1.44 20.73 21.64 18.16 19.17 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67027 Implant eye drug system A 11.62 10.93NA 12.26NA 10.93 12.26 2.03 24.58 25.91 24.58 25.91 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67028 Injection eye drug A 1.44 2.14 1.42 1.52 1.37 0.20 3.78 3.06 3.16 3.01 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67030 Incise inner eye strands A 6.11 7.92NA 8.73NA 7.92 8.73 0.42 14.45 15.26 14.45 15.26 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67031 Laser surgery eye strands A 4.47 5.83 6.37 4.96 5.52 0.59 10.89 11.43 10.02 10.58 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67036 Removal of inner eye fluid A 13.32 12.15NA 13.66NA 12.15 13.66 1.82 27.29 28.80 27.29 28.80 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67039 Laser treatment of retina A 16.74 16.01NA 17.91NA 16.01 17.91 2.97 35.72 37.62 35.72 37.62 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67040 Laser treatment of retina A 19.61 18.09NA 20.32NA 18.09 20.32 2.69 40.39 42.62 40.39 42.62 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67041 Vit for macular pucker A 19.25 15.81NA 18.09NA 15.81 18.09 2.64 37.70 39.98 37.70 39.98 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67042 Vit for macular hole A 22.38 17.66NA 20.28NA 17.66 20.28 3.09 43.13 45.75 43.13 45.75 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67043 Vit for membrane dissect A 23.24 18.87NA 21.60NA 18.87 21.60 4.10 46.21 48.94 46.21 48.94 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67101 Repair detached retina A 8.80 11.95 13.06 9.03 10.12 1.55 22.30 23.41 19.38 20.47 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67105 Repair detached retina A 8.53 10.58 11.62 8.52 9.55 1.17 20.28 21.32 18.22 19.25 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67107 Repair detached retina A 16.71 15.50NA 17.47NA 15.50 17.47 2.95 35.16 37.13 35.16 37.13 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67108 Repair detached retina A 22.89 19.69NA 22.31NA 19.69 22.31 3.14 45.72 48.34 45.72 48.34 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67110 Repair detached retina A 10.25 12.82 14.00 10.25 11.51 1.31 24.38 25.56 21.81 23.07 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67112 Rerepair detached retina A 18.75 16.40NA 18.57NA 16.40 18.57 2.57 37.72 39.89 37.72 39.89 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67113 Repair retinal detach cplx A 25.35 20.82NA 23.82NA 20.82 23.82 3.48 49.65 52.65 49.65 52.65 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67115 Release encircling material A 6.11 7.07NA 7.86NA 7.07 7.86 0.78 13.96 14.75 13.96 14.75 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67120 Remove eye implant material A 7.10 10.38 11.18 7.66 8.55 1.40 18.88 19.68 16.16 17.05 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67121 Remove eye implant material A 12.25 11.80NA 13.28NA 11.80 13.28 2.16 26.21 27.69 26.21 27.69 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67141 Treatment of retina A 6.15 7.71 8.47 6.73 7.51 1.09 14.95 15.71 13.97 14.75 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67145 Treatment of retina A 6.32 7.64 8.42 6.83 7.63 0.86 14.82 15.60 14.01 14.81 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67208 Treatment of retinal lesion A 7.65 8.22 9.14 7.65 8.57 0.53 16.40 17.32 15.83 16.75 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67210 Treatment of retinal lesion A 9.45 8.84 9.91 8.21 9.31 1.40 19.69 20.76 19.06 20.16 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67218 Treatment of retinal lesion A 20.36 16.41NA 18.64NA 16.41 18.64 1.46 38.23 40.46 38.23 40.46 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67220 Treatment of choroid lesion A 14.39 13.76 15.38 12.39 14.04 2.55 30.70 32.32 29.33 30.98 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67221 Ocular photodynamic ther R 3.45 4.34 4.56 2.28 2.61 0.48 8.27 8.49 6.21 6.54 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 67225 Eye photodynamic ther add-on A 0.47 0.33 0.37 0.28 0.33 0.03 0.83 0.87 0.78 0.83 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 67227 Treatment of retinal lesion A 7.53 8.65 9.55 7.58 8.49 0.53 16.71 17.61 15.64 16.55 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67228 Treatment of retinal lesion A 13.82 17.42 18.46 14.18 15.95 2.10 33.34 34.38 30.10 31.87 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67229 Tr retinal les preterm inf A 16.30 13.92NA 15.55NA 13.92 15.55 1.17 31.39 33.02 31.39 33.02 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67250 Reinforce eye wall A 9.61 11.17NA 12.20NA 11.17 12.20 1.62 22.40 23.43 22.40 23.43 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67255 Reinforce/graft eye wall A 10.17 12.20NA 13.31NA 12.20 13.31 1.99 24.36 25.47 24.36 25.47 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67299 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 67311 Revise eye muscle A 7.77 8.08NA 9.00NA 8.08 9.00 1.31 17.16 18.08 17.16 18.08 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67312 Revise two eye muscles A 9.66 9.19NA 10.32NA 9.19 10.32 1.91 20.76 21.89 20.76 21.89 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67314 Revise eye muscle A 8.79 9.01NA 10.08NA 9.01 10.08 1.48 19.28 20.35 19.28 20.35 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67316 Revise two eye muscles A 10.93 10.25NA 11.55NA 10.25 11.55 2.15 23.33 24.63 23.33 24.63 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 67318 Revise eye muscle(s) A 9.12 9.53NA 10.66NA 9.53 10.66 0.64 19.29 20.42 19.29 20.42 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67320 Revise eye muscle(s) add-on A 5.40 3.17NA 3.76NA 3.17 3.76 0.38 8.95 9.54 8.95 9.54 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 67331 Eye surgery follow-up add-on A 5.13 2.98NA 3.54NA 2.98 3.54 0.86 8.97 9.53 8.97 9.53 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 67332 Rerevise eye muscles add-on A 5.56 3.26NA 3.89NA 3.26 3.89 0.93 9.75 10.38 9.75 10.38 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 67334 Revise eye muscle w/suture A 5.05 2.97NA 3.54NA 2.97 3.54 0.35 8.37 8.94 8.37 8.94 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 67335 Eye suture during surgery A 2.49 1.49NA 1.73NA 1.49 1.73 0.41 4.39 4.63 4.39 4.63 0ZZZ.00.00.0000110 33.9764 090 99 0.00 0.00 0.00 67340 Revise eye muscle add-on A 6.00 3.54NA 4.21NA 3.54 4.21 0.42 9.96 10.63 9.96 10.63 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 67343 Release eye tissue A 8.47 8.82NA 9.84NA 8.82 9.84 1.66 18.95 19.97 18.95 19.97 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67345 Destroy nerve of eye muscle A 3.01 3.21 3.55 2.59 2.92 0.80 7.02 7.36 6.40 6.73 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67346 Biopsy eye muscle A 2.87 2.47NA 2.78NA 2.47 2.78 0.61 5.95 6.26 5.95 6.26 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 67399 Eye muscle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 67400 Explore/biopsy eye socket A 11.20 13.59NA 14.76NA 13.59 14.76 2.07 26.86 28.03 26.86 28.03 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67405 Explore/drain eye socket A 9.20 11.95NA 12.89NA 11.95 12.89 1.18 22.33 23.27 22.33 23.27 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67412 Explore/treat eye socket A 10.30 12.47NA 13.44NA 12.47 13.44 1.86 24.63 25.60 24.63 25.60 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67413 Explore/treat eye socket A 10.24 12.60NA 13.59NA 12.60 13.59 2.00 24.84 25.83 24.84 25.83 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 67414 Explr/decompress eye socket A 17.94 17.12NA 19.25NA 17.12 19.25 2.29 37.35 39.48 37.35 39.48 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67415 Aspiration orbital contents A 1.76 1.04NA 1.24NA 1.04 1.24 0.24 3.04 3.24 3.04 3.24 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 67420 Explore/treat eye socket A 21.87 21.29NA 23.51NA 21.29 23.51 4.31 47.47 49.69 47.47 49.69 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67430 Explore/treat eye socket A 15.29 17.91NA 19.53NA 17.91 19.53 1.09 34.29 35.91 34.29 35.91 0090.10.70.2021200 33.9764 090 99 0.00 0.00 0.00 67440 Explore/drain eye socket A 14.84 17.26NA 18.84NA 17.26 18.84 1.91 34.01 35.59 34.01 35.59 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67445 Explr/decompress eye socket A 19.12 18.14NA 20.21NA 18.14 20.21 3.77 41.03 43.10 41.03 43.10 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67450 Explore/biopsy eye socket A 15.41 17.96NA 19.61NA 17.96 19.61 1.97 35.34 36.99 35.34 36.99 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67500 Inject/treat eye socket A 1.44 0.83 0.89 0.62 0.70 0.11 2.38 2.44 2.17 2.25 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67505 Inject/treat eye socket A 1.27 1.08 1.24 0.85 1.04 0.26 2.61 2.77 2.38 2.57 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67515 Inject/treat eye socket A 1.40 1.13 1.33 0.93 1.13 0.26 2.79 2.99 2.59 2.79 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67550 Insert eye socket implant A 11.77 13.95NA 15.18NA 13.95 15.18 2.30 28.02 29.25 28.02 29.25 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67560 Revise eye socket implant A 12.18 14.15NA 15.50NA 14.15 15.50 1.57 27.90 29.25 27.90 29.25 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 67570 Decompress optic nerve A 14.40 16.11NA 17.39NA 16.11 17.39 5.16 35.67 36.95 35.67 36.95 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67599 Orbit surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 33.9764 090 99 0.00 0.00 0.00 67700 Drainage of eyelid abscess A 1.40 5.82 5.84 1.67 1.84 0.23 7.45 7.47 3.30 3.47 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67710 Incision of eyelid A 1.07 5.01 4.97 1.51 1.64 0.22 6.30 6.26 2.80 2.93 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67715 Incision of eyelid fold A 1.27 5.13 5.14 1.63 1.77 0.26 6.66 6.67 3.16 3.30 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67800 Remove eyelid lesion A 1.41 1.97 2.13 1.35 1.50 0.24 3.62 3.78 3.00 3.15 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 67801 Remove eyelid lesions A 1.91 2.40 2.61 1.65 1.85 0.37 4.68 4.89 3.93 4.13 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 67805 Remove eyelid lesions A 2.27 3.10 3.35 2.12 2.37 0.44 5.81 6.06 4.83 5.08 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 67808 Remove eyelid lesion(s) A 4.60 5.15NA 5.71NA 5.15 5.71 0.90 10.65 11.21 10.65 11.21 0090.10.70.2020100 33.9764 090 99 0.00 0.00 0.00 67810 Biopsy of eyelid A 1.48 4.56 4.51 0.98 1.08 0.22 6.26 6.21 2.68 2.78 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67820 Revise eyelashes A 0.71 0.65 0.70 0.72 0.79 0.11 1.47 1.52 1.54 1.61 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67825 Revise eyelashes A 1.43 2.00 2.14 1.80 1.96 0.27 3.70 3.84 3.50 3.66 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67830 Revise eyelashes A 1.75 5.44 5.51 1.92 2.12 0.34 7.53 7.60 4.01 4.21 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67835 Revise eyelashes A 5.70 5.96NA 6.61NA 5.96 6.61 1.13 12.79 13.44 12.79 13.44 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 67840 Remove eyelid lesion A 2.09 5.37 5.45 2.13 2.36 0.34 7.80 7.88 4.56 4.79 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67850 Treat eyelid lesion A 1.74 4.22 4.24 1.99 2.10 0.24 6.20 6.22 3.97 4.08 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67875 Closure of eyelid by suture A 1.35 3.28 3.34 1.24 1.38 0.24 4.87 4.93 2.83 2.97 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 67880 Revision of eyelid A 4.60 7.61 8.09 5.15 5.72 0.82 13.03 13.51 10.57 11.14 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67882 Revision of eyelid A 6.02 8.99 9.63 6.49 7.22 1.18 16.19 16.83 13.69 14.42 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67900 Repair brow defect A 6.82 10.33 10.96 6.76 7.48 1.22 18.37 19.00 14.80 15.52 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67901 Repair eyelid defect A 7.59 11.69 13.29 7.65 8.57 1.50 20.78 22.38 16.74 17.66 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67902 Repair eyelid defect A 9.82 9.20NA 10.54NA 9.20 10.54 1.93 20.95 22.29 20.95 22.29 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67903 Repair eyelid defect A 6.51 9.57 9.99 6.47 7.09 1.27 17.35 17.77 14.25 14.87 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67904 Repair eyelid defect A 7.97 11.51 12.36 7.80 8.81 1.52 21.00 21.85 17.29 18.30 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67906 Repair eyelid defect A 6.93 6.61NA 7.36NA 6.61 7.36 0.49 14.03 14.78 14.03 14.78 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67908 Repair eyelid defect A 5.30 7.84 8.41 6.09 6.59 1.05 14.19 14.76 12.44 12.94 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67909 Revise eyelid defect A 5.57 8.77 9.25 6.11 6.69 1.10 15.44 15.92 12.78 13.36 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67911 Revise eyelid defect A 7.50 7.31NA 8.29NA 7.31 8.29 1.40 16.21 17.19 16.21 17.19 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67912 Correction eyelid w/implant A 6.36 17.92 17.97 6.82 7.44 0.93 25.21 25.26 14.11 14.73 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67914 Repair eyelid defect A 3.75 6.67 6.96 3.92 4.33 0.68 11.10 11.39 8.35 8.76 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67915 Repair eyelid defect A 3.26 6.06 6.26 3.51 3.84 0.45 9.77 9.97 7.22 7.55 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67916 Repair eyelid defect A 5.48 8.94 9.43 6.03 6.62 0.95 15.37 15.86 12.46 13.05 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67917 Repair eyelid defect A 6.19 9.49 10.06 6.46 7.13 1.16 16.84 17.41 13.81 14.48 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67921 Repair eyelid defect A 3.47 6.48 6.74 3.73 4.13 0.68 10.63 10.89 7.88 8.28 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67922 Repair eyelid defect A 3.14 5.88 6.07 3.38 3.69 0.42 9.44 9.63 6.94 7.25 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67923 Repair eyelid defect A 6.05 9.12 9.70 6.35 7.02 1.13 16.30 16.88 13.53 14.20 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67924 Repair eyelid defect A 5.93 9.76 10.28 6.01 6.66 1.13 16.82 17.34 13.07 13.72 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67930 Repair eyelid wound A 3.65 6.15 6.45 2.79 3.14 0.71 10.51 10.81 7.15 7.50 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67935 Repair eyelid wound A 6.36 9.55 10.14 5.48 6.11 1.25 17.16 17.75 13.09 13.72 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67938 Remove eyelid foreign body A 1.38 5.20 5.23 1.70 1.86 0.22 6.80 6.83 3.30 3.46 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 67950 Revision of eyelid A 5.99 9.39 9.90 6.40 7.01 1.10 16.48 16.99 13.49 14.10 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67961 Revision of eyelid A 5.86 9.56 10.08 6.28 6.90 1.10 16.52 17.04 13.24 13.86 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 67966 Revision of eyelid A 8.97 11.44 12.45 8.39 9.52 1.70 22.11 23.12 19.06 20.19 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67971 Reconstruction of eyelid A 10.01 9.29NA 10.35NA 9.29 10.35 1.96 21.26 22.32 21.26 22.32 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 67973 Reconstruction of eyelid A 13.13 11.75NA 13.11NA 11.75 13.11 2.59 27.47 28.83 27.47 28.83 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67974 Reconstruction of eyelid A 13.10 11.70NA 13.08NA 11.70 13.08 2.59 27.39 28.77 27.39 28.77 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 67975 Reconstruction of eyelid A 9.35 8.91NA 9.91NA 8.91 9.91 1.84 20.10 21.10 20.10 21.10 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 67999 Revision of eyelid C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 68020 Incise/drain eyelid lining A 1.42 1.76 1.91 1.53 1.68 0.20 3.38 3.53 3.15 3.30 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68040 Treatment of eyelid lesions A 0.85 0.88 0.97 0.56 0.65 0.16 1.89 1.98 1.57 1.66 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 68100 Biopsy of eyelid lining A 1.35 3.23 3.28 1.26 1.40 0.20 4.78 4.83 2.81 2.95 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 68110 Remove eyelid lining lesion A 1.82 4.23 4.36 2.13 2.34 0.35 6.40 6.53 4.30 4.51 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68115 Remove eyelid lining lesion A 2.41 5.97 6.10 2.48 2.75 0.31 8.69 8.82 5.20 5.47 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68130 Remove eyelid lining lesion A 5.10 9.34 9.77 5.86 6.44 0.35 14.79 15.22 11.31 11.89 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68135 Remove eyelid lining lesion A 1.89 2.27 2.48 2.12 2.33 0.26 4.42 4.63 4.27 4.48 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68200 Treat eyelid by injection A 0.49 0.64 0.69 0.43 0.49 0.08 1.21 1.26 1.00 1.06 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 68320 Revise/graft eyelid lining A 6.64 12.70 13.36 7.62 8.46 1.29 20.63 21.29 15.55 16.39 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 68325 Revise/graft eyelid lining A 8.63 8.84NA 9.87NA 8.84 9.87 1.69 19.16 20.19 19.16 20.19 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 68326 Revise/graft eyelid lining A 8.42 8.69NA 9.71NA 8.69 9.71 1.65 18.76 19.78 18.76 19.78 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68328 Revise/graft eyelid lining A 9.45 9.44NA 10.52NA 9.44 10.52 1.86 20.75 21.83 20.75 21.83 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 68330 Revise eyelid lining A 5.78 10.36 10.90 6.42 7.14 1.14 17.28 17.82 13.34 14.06 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 68335 Revise/graft eyelid lining A 8.46 8.68NA 9.70NA 8.68 9.70 1.66 18.80 19.82 18.80 19.82 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 68340 Separate eyelid adhesions A 4.97 9.58 10.03 5.58 6.21 0.99 15.54 15.99 11.54 12.17 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 68360 Revise eyelid lining A 5.17 8.98 9.46 5.70 6.32 1.02 15.17 15.65 11.89 12.51 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68362 Revise eyelid lining A 8.61 8.77NA 9.82NA 8.77 9.82 1.69 19.07 20.12 19.07 20.12 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 68371 Harvest eye tissue alograft A 5.09 5.90NA 6.47NA 5.90 6.47 0.35 11.34 11.91 11.34 11.91 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68399 Eyelid lining surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 68400 Incise/drain tear gland A 1.74 5.87 5.94 1.83 1.95 0.34 7.95 8.02 3.91 4.03 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68420 Incise/drain tear sac A 2.35 6.28 6.40 2.20 2.38 0.30 8.93 9.05 4.85 5.03 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68440 Incise tear duct opening A 0.99 1.82 1.84 1.63 1.76 0.20 3.01 3.03 2.82 2.95 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68500 Removal of tear gland A 12.77 13.07NA 14.60NA 13.07 14.60 2.99 28.83 30.36 28.83 30.36 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68505 Partial removal tear gland A 12.69 13.18NA 14.54NA 13.18 14.54 2.48 28.35 29.71 28.35 29.71 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68510 Biopsy of tear gland A 4.60 7.43 7.73 3.18 3.69 0.90 12.93 13.23 8.68 9.19 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 68520 Removal of tear sac A 8.78 9.48NA 10.45NA 9.48 10.45 1.14 19.40 20.37 19.40 20.37 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 68525 Biopsy of tear sac A 4.42 2.65NA 3.10NA 2.65 3.10 0.86 7.93 8.38 7.93 8.38 0000.00.00.0021110 33.9764 090 99 0.00 0.00 0.00 68530 Clearance of tear duct A 3.70 7.87 8.02 3.19 3.55 0.72 12.29 12.44 7.61 7.97 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68540 Remove tear gland lesion A 12.18 12.48NA 13.89NA 12.48 13.89 1.57 26.23 27.64 26.23 27.64 0090.10.70.2021110 33.9764 090 99 0.00 0.00 0.00 68550 Remove tear gland lesion A 15.16 15.03NA 16.82NA 15.03 16.82 1.93 32.12 33.91 32.12 33.91 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68700 Repair tear ducts A 7.87 8.14NA 9.08NA 8.14 9.08 1.54 17.55 18.49 17.55 18.49 0090.10.70.2021100 33.9764 090 99 0.00 0.00 0.00 68705 Revise tear duct opening A 2.11 4.25 4.38 2.31 2.55 0.41 6.77 6.90 4.83 5.07 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68720 Create tear sac drain A 9.96 10.16NA 11.27NA 10.16 11.27 1.66 21.78 22.89 21.78 22.89 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 68745 Create tear duct drain A 9.90 10.29NA 11.42NA 10.29 11.42 1.95 22.14 23.27 22.14 23.27 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 68750 Create tear duct drain A 10.10 10.80NA 11.97NA 10.80 11.97 1.97 22.87 24.04 22.87 24.04 0090.10.70.2021210 33.9764 090 99 0.00 0.00 0.00 68760 Close tear duct opening A 1.78 3.62 3.74 2.10 2.30 0.34 5.74 5.86 4.22 4.42 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68761 Close tear duct opening A 1.41 2.54 2.66 1.76 1.91 0.22 4.17 4.29 3.39 3.54 0010.10.80.1021000 33.9764 090 99 0.00 0.00 0.00 68770 Close tear system fistula A 8.29 7.92NA 9.37NA 7.92 9.37 1.62 17.83 19.28 17.83 19.28 0090.10.70.2021000 33.9764 090 99 0.00 0.00 0.00 68801 Dilate tear duct opening A 1.00 2.34 2.44 1.88 1.99 0.16 3.50 3.60 3.04 3.15 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68810 Probe nasolacrimal duct A 2.15 4.28 4.52 2.89 3.07 0.39 6.82 7.06 5.43 5.61 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68811 Probe nasolacrimal duct A 2.45 3.04NA 3.32NA 3.04 3.32 0.48 5.97 6.25 5.97 6.25 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68815 Probe nasolacrimal duct A 3.30 8.72 8.97 3.56 3.92 0.59 12.61 12.86 7.45 7.81 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68816 Probe nl duct w/balloon A 3.06 16.27 17.02 3.59 3.98 0.60 19.93 20.68 7.25 7.64 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68840 Explore/irrigate tear ducts A 1.30 2.08 2.25 1.75 1.95 0.24 3.62 3.79 3.29 3.49 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 68850 Injection for tear sac x-ray A 0.80 0.89 0.83 0.74 0.70 0.07 1.76 1.70 1.61 1.57 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 68899 Tear duct system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 69000 Drain external ear lesion A 1.50 3.65 3.78 1.77 1.89 0.22 5.37 5.50 3.49 3.61 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 69005 Drain external ear lesion A 2.16 3.83 3.98 2.21 2.34 0.29 6.28 6.43 4.66 4.79 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 69020 Drain outer ear canal lesion A 1.53 5.10 5.22 2.50 2.59 0.20 6.83 6.95 4.23 4.32 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 69090 Pierce earlobes N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 69100 Biopsy of external ear A 0.81 2.11 2.02 0.55 0.59 0.11 3.03 2.94 1.47 1.51 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 69105 Biopsy of external ear canal A 0.85 3.18 3.24 0.94 0.99 0.10 4.13 4.19 1.89 1.94 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 69110 Remove external ear partial A 3.53 9.41 9.56 5.64 5.77 0.53 13.47 13.62 9.70 9.83 0090.07.79.1420100 33.9764 090 99 0.00 0.00 0.00 69120 Removal of external ear A 4.14 7.17NA 7.49NA 7.17 7.49 0.60 11.91 12.23 11.91 12.23 0090.07.79.1420100 33.9764 090 99 0.00 0.00 0.00 69140 Remove ear canal lesion(s) A 8.14 16.74NA 17.26NA 16.74 17.26 1.05 25.93 26.45 25.93 26.45 0090.07.79.1420000 33.9764 090 99 0.00 0.00 0.00 69145 Remove ear canal lesion(s) A 2.70 8.50 8.84 4.33 4.54 0.35 11.55 11.89 7.38 7.59 0090.07.79.1420100 33.9764 090 99 0.00 0.00 0.00 69150 Extensive ear canal surgery A 13.61 15.52NA 16.15NA 15.52 16.15 1.95 31.08 31.71 31.08 31.71 0090.07.79.1420110 33.9764 090 99 0.00 0.00 0.00 69155 Extensive ear/neck surgery A 23.35 23.53NA 24.86NA 23.53 24.86 3.01 49.89 51.22 49.89 51.22 0090.07.79.1420210 33.9764 090 99 0.00 0.00 0.00 69200 Clear outer ear canal A 0.77 2.73 2.78 0.81 0.88 0.10 3.60 3.65 1.68 1.75 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 69205 Clear outer ear canal A 1.21 1.64NA 1.72NA 1.64 1.72 0.16 3.01 3.09 3.01 3.09 0010.10.80.1020100 33.9764 090 99 0.00 0.00 0.00 69210 Remove impacted ear wax A 0.61 0.79 0.85 0.28 0.32 0.07 1.47 1.53 0.96 1.00 0000.00.00.0022100 33.9764 090 99 0.00 0.00 0.00 69220 Clean out mastoid cavity A 0.83 3.12 3.19 0.91 0.96 0.10 4.05 4.12 1.84 1.89 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 69222 Clean out mastoid cavity A 1.45 4.87 4.97 2.45 2.53 0.18 6.50 6.60 4.08 4.16 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69300 Revise external ear R 6.69 12.17 13.36 6.57 7.06 0.86 19.72 20.91 14.12 14.61 0YYY.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 69310 Rebuild outer ear canal A 10.97 19.83NA 20.48NA 19.83 20.48 1.44 32.24 32.89 32.24 32.89 0090.07.79.1420100 33.9764 090 99 0.00 0.00 0.00 69320 Rebuild outer ear canal A 17.18 26.20NA 27.10NA 26.20 27.10 2.20 45.58 46.48 45.58 46.48 0090.07.79.1420200 33.9764 090 99 0.00 0.00 0.00 69399 Outer ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 33.9764 090 99 0.00 0.00 0.00 69400 Inflate middle ear canal A 0.83 3.34 3.48 0.91 0.96 0.10 4.27 4.41 1.84 1.89 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 69401 Inflate middle ear canal A 0.63 1.79 1.89 0.76 0.80 0.07 2.49 2.59 1.46 1.50 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 69405 Catheterize middle ear canal A 2.68 4.67 4.90 2.72 2.89 0.34 7.69 7.92 5.74 5.91 0010.10.80.1020000 33.9764 090 99 0.00 0.00 0.00 69420 Incision of eardrum A 1.38 4.09 4.20 2.02 2.12 0.18 5.65 5.76 3.58 3.68 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69421 Incision of eardrum A 1.78 2.46NA 2.55NA 2.46 2.55 0.23 4.47 4.56 4.47 4.56 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69424 Remove ventilating tube A 0.85 2.84 2.89 0.89 0.95 0.10 3.79 3.84 1.84 1.90 0000.00.00.0021100 33.9764 090 99 0.00 0.00 0.00 69433 Create eardrum opening A 1.57 4.10 4.23 2.09 2.20 0.22 5.89 6.02 3.88 3.99 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69436 Create eardrum opening A 2.01 2.56NA 2.65NA 2.56 2.65 0.26 4.83 4.92 4.83 4.92 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69440 Exploration of middle ear A 7.71 11.70NA 12.32NA 11.70 12.32 0.99 20.40 21.02 20.40 21.02 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69450 Eardrum revision A 5.69 9.67NA 10.16NA 9.67 10.16 0.72 16.08 16.57 16.08 16.57 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69501 Mastoidectomy A 9.21 11.35NA 12.02NA 11.35 12.02 1.18 21.74 22.41 21.74 22.41 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69502 Mastoidectomy A 12.56 14.66NA 15.51NA 14.66 15.51 1.69 28.91 29.76 28.91 29.76 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69505 Remove mastoid structures A 13.17 20.91NA 21.72NA 20.91 21.72 1.70 35.78 36.59 35.78 36.59 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69511 Extensive mastoid surgery A 13.70 21.24NA 22.03NA 21.24 22.03 1.77 36.71 37.50 36.71 37.50 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69530 Extensive mastoid surgery A 20.38 26.27NA 27.47NA 26.27 27.47 2.61 49.26 50.46 49.26 50.46 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69535 Remove part of temporal bone A 37.42 37.20NA 39.37NA 37.20 39.37 5.23 79.85 82.02 79.85 82.02 0090.07.79.1421110 33.9764 090 99 0.00 0.00 0.00 69540 Remove ear lesion A 1.25 4.76 4.86 2.38 2.45 0.16 6.17 6.27 3.79 3.86 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69550 Remove ear lesion A 11.15 18.36NA 19.04NA 18.36 19.04 1.44 30.95 31.63 30.95 31.63 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69552 Remove ear lesion A 19.81 24.44NA 25.62NA 24.44 25.62 2.55 46.80 47.98 46.80 47.98 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69554 Remove ear lesion A 35.97 34.02NA 36.94NA 34.02 36.94 4.61 74.60 77.52 74.60 77.52 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69601 Mastoid surgery revision A 13.45 15.97NA 16.90NA 15.97 16.90 1.71 31.13 32.06 31.13 32.06 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69602 Mastoid surgery revision A 13.76 16.86NA 17.82NA 16.86 17.82 1.77 32.39 33.35 32.39 33.35 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69603 Mastoid surgery revision A 14.20 21.60NA 22.33NA 21.60 22.33 1.82 37.62 38.35 37.62 38.35 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69604 Mastoid surgery revision A 14.20 17.23NA 18.08NA 17.23 18.08 1.82 33.25 34.10 33.25 34.10 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69605 Mastoid surgery revision A 18.69 25.40NA 26.48NA 25.40 26.48 2.40 46.49 47.57 46.49 47.57 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69610 Repair of eardrum A 4.47 6.46 6.68 3.71 3.94 0.59 11.52 11.74 8.77 9.00 0010.10.80.1021100 33.9764 090 99 0.00 0.00 0.00 69620 Repair of eardrum A 6.03 13.72 14.07 7.72 8.09 0.76 20.51 20.86 14.51 14.88 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69631 Repair eardrum structures A 10.05 14.87NA 15.64NA 14.87 15.64 1.29 26.21 26.98 26.21 26.98 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69632 Rebuild eardrum structures A 12.96 17.42NA 18.34NA 17.42 18.34 1.66 32.04 32.96 32.04 32.96 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69633 Rebuild eardrum structures A 12.31 17.02NA 17.91NA 17.02 17.91 1.59 30.92 31.81 30.92 31.81 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69635 Repair eardrum structures A 13.51 21.06NA 21.93NA 21.06 21.93 1.74 36.31 37.18 36.31 37.18 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69636 Rebuild eardrum structures A 15.43 23.64NA 24.57NA 23.64 24.57 1.97 41.04 41.97 41.04 41.97 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69637 Rebuild eardrum structures A 15.32 23.60NA 24.54NA 23.60 24.54 2.00 40.92 41.86 40.92 41.86 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69641 Revise middle ear & mastoid A 12.89 16.39NA 17.27NA 16.39 17.27 1.67 30.95 31.83 30.95 31.83 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69642 Revise middle ear & mastoid A 17.06 20.58NA 21.72NA 20.58 21.72 2.19 39.83 40.97 39.83 40.97 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69643 Revise middle ear & mastoid A 15.59 18.81NA 19.87NA 18.81 19.87 2.00 36.40 37.46 36.40 37.46 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69644 Revise middle ear & mastoid A 17.23 24.59NA 25.55NA 24.59 25.55 2.22 44.04 45.00 44.04 45.00 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69645 Revise middle ear & mastoid A 16.71 24.34NA 25.32NA 24.34 25.32 2.18 43.23 44.21 43.23 44.21 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69646 Revise middle ear & mastoid A 18.37 25.14NA 26.24NA 25.14 26.24 2.35 45.86 46.96 45.86 46.96 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69650 Release middle ear bone A 9.80 12.69NA 13.54NA 12.69 13.54 1.25 23.74 24.59 23.74 24.59 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69660 Revise middle ear bone A 12.03 14.04NA 14.84NA 14.04 14.84 1.55 27.62 28.42 27.62 28.42 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69661 Revise middle ear bone A 15.92 18.09NA 19.09NA 18.09 19.09 2.00 36.01 37.01 36.01 37.01 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69662 Revise middle ear bone A 15.60 16.89NA 17.87NA 16.89 17.87 2.00 34.49 35.47 34.49 35.47 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69666 Repair middle ear structures A 9.89 12.83NA 13.58NA 12.83 13.58 1.28 24.00 24.75 24.00 24.75 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69667 Repair middle ear structures A 9.90 12.86NA 13.56NA 12.86 13.56 1.28 24.04 24.74 24.04 24.74 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69670 Remove mastoid air cells A 11.73 14.80NA 15.66NA 14.80 15.66 1.51 28.04 28.90 28.04 28.90 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69676 Remove middle ear nerve A 9.69 13.79NA 14.46NA 13.79 14.46 1.24 24.72 25.39 24.72 25.39 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69700 Close mastoid fistula A 8.37 11.05NA 11.53NA 11.05 11.53 1.08 20.50 20.98 20.50 20.98 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69710 Implant/replace hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 69711 Remove/repair hearing aid A 10.62 13.74NA 14.42NA 13.74 14.42 1.36 25.72 26.40 25.72 26.40 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69714 Implant temple bone w/stimul A 14.45 15.76NA 16.69NA 15.76 16.69 1.86 32.07 33.00 32.07 33.00 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69715 Temple bne implnt w/stimulat A 18.96 18.35NA 19.53NA 18.35 19.53 2.42 39.73 40.91 39.73 40.91 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69717 Temple bone implant revision A 15.43 16.51NA 17.30NA 16.51 17.30 1.97 33.91 34.70 33.91 34.70 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69718 Revise temple bone implant A 19.21 18.51NA 19.68NA 18.51 19.68 2.45 40.17 41.34 40.17 41.34 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69720 Release facial nerve A 14.71 18.35NA 19.37NA 18.35 19.37 1.89 34.95 35.97 34.95 35.97 0090.07.79.1421010 33.9764 090 99 0.00 0.00 0.00 69725 Release facial nerve A 27.64 25.02NA 26.81NA 25.02 26.81 3.55 56.21 58.00 56.21 58.00 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69740 Repair facial nerve A 16.27 16.53NA 17.55NA 16.53 17.55 2.08 34.88 35.90 34.88 35.90 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69745 Repair facial nerve A 17.02 17.98NA 18.98NA 17.98 18.98 2.18 37.18 38.18 37.18 38.18 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69799 Middle ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 69801 Incise inner ear A 2.06 3.61 3.61 6.59 1.57 0.27 5.94 5.94 8.92 3.90 0000.00.00.0021000 33.9764 090 99 0.00 0.00 0.00 69802 Incise inner ear A 13.50 15.78NA 16.70NA 15.78 16.70 1.71 30.99 31.91 30.99 31.91 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69805 Explore inner ear A 14.71 14.84NA 15.84NA 14.84 15.84 1.89 31.44 32.44 31.44 32.44 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69806 Explore inner ear A 12.63 13.92NA 14.73NA 13.92 14.73 1.63 28.18 28.99 28.18 28.99 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69820 Establish inner ear window A 10.52 13.71NA 14.36NA 13.71 14.36 1.36 25.59 26.24 25.59 26.24 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69840 Revise inner ear window A 10.44 13.62NA 12.68NA 13.62 12.68 0.73 24.79 23.85 24.79 23.85 0090.07.79.1421200 33.9764 090 99 0.00 0.00 0.00 69905 Remove inner ear A 11.26 14.64NA 15.38NA 14.64 15.38 1.46 27.36 28.10 27.36 28.10 0090.07.79.1421100 33.9764 090 99 0.00 0.00 0.00 69910 Remove inner ear & mastoid A 13.91 14.71NA 15.57NA 14.71 15.57 1.80 30.42 31.28 30.42 31.28 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69915 Incise inner ear nerve A 22.77 20.27NA 21.76NA 20.27 21.76 2.97 46.01 47.50 46.01 47.50 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69930 Implant cochlear device A 17.73 16.73NA 17.65NA 16.73 17.65 2.27 36.73 37.65 36.73 37.65 0090.07.79.1421000 33.9764 090 99 0.00 0.00 0.00 69949 Inner ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 69950 Incise inner ear nerve A 27.63 25.02NA 28.74NA 25.02 28.74 3.55 56.20 59.92 56.20 59.92 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69955 Release facial nerve A 29.42 26.04NA 27.87NA 26.04 27.87 3.78 59.24 61.07 59.24 61.07 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69960 Release inner ear canal A 29.42 24.42NA 26.28NA 24.42 26.28 3.78 57.62 59.48 57.62 59.48 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69970 Remove inner ear lesion A 32.41 27.67NA 29.61NA 27.67 29.61 4.16 64.24 66.18 64.24 66.18 0090.07.79.1421210 33.9764 090 99 0.00 0.00 0.00 69979 Temporal bone surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 33.9764 090 99 0.00 0.00 0.00 69990 Microsurgery add-on R 3.46 1.86NA 1.93NA 1.86 1.93 1.16 6.48 6.55 6.48 6.55 0ZZZ.00.00.0000200 33.9764 090 99 0.00 0.00 0.00 70010 Contrast x-ray of brain A 1.19 2.38 0.80 2.38 0.80 0.22 3.79 2.21 3.79 2.21 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70015 Contrast x-ray of brain A 1.19 3.09 3.01 3.09NA 3.01 NA 0.08 4.36 4.28 4.36 4.28 1XXX.00.00.0000000 33.9764 090 99 15.13 15.13 0.13 70015TCContrast x-ray of brain A 0.00 2.59 2.56 2.59NA 2.56 NA 0.01 2.60 2.57 2.60 2.57 1XXX.00.00.0000000 33.9764 030 99 14.63 14.63 0.06 7001526Contrast x-ray of brain A 1.19 0.50 0.45 0.50 0.45 0.07 1.76 1.71 1.76 1.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70030 X-ray eye for foreign body A 0.17 0.66 0.63 0.66NA 0.63 NA 0.02 0.85 0.82 0.85 0.82 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 70030TCX-ray eye for foreign body A 0.00 0.59 0.57 0.59NA 0.57 NA 0.01 0.60 0.58 0.60 0.58 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7003026X-ray eye for foreign body A 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.25 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 7010F Pt info into recall system M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 70100 X-ray exam of jaw A 0.18 0.78 0.80 0.78NA 0.80 NA 0.02 0.98 1.00 0.98 1.00 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 70100TCX-ray exam of jaw A 0.00 0.70 0.72 0.70NA 0.72 NA 0.01 0.71 0.73 0.71 0.73 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7010026X-ray exam of jaw A 0.18 0.08 0.08 0.08 0.08 0.01 0.27 0.27 0.27 0.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70110 X-ray exam of jaw A 0.25 0.90 0.85 0.90NA 0.85 NA 0.02 1.17 1.12 1.17 1.12 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.03 70110TCX-ray exam of jaw A 0.00 0.80 0.75 0.80NA 0.75 NA 0.01 0.81 0.76 0.81 0.76 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7011026X-ray exam of jaw A 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70120 X-ray exam of mastoids A 0.18 0.84 0.84 0.84NA 0.84 NA 0.02 1.04 1.04 1.04 1.04 1XXX.00.00.0003000 33.9764 090 99 1.39 1.39 0.03 70120TCX-ray exam of mastoids A 0.00 0.76 0.76 0.76NA 0.76 NA 0.01 0.77 0.77 0.77 0.77 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7012026X-ray exam of mastoids A 0.18 0.08 0.08 0.08 0.08 0.01 0.27 0.27 0.27 0.27 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70130 X-ray exam of mastoids A 0.34 1.30 1.28 1.30NA 1.28 NA 0.02 1.66 1.64 1.66 1.64 1XXX.00.00.0003000 33.9764 090 99 1.45 1.45 0.02 70130TCX-ray exam of mastoids A 0.00 1.16 1.14 1.16NA 1.14 NA 0.01 1.17 1.15 1.17 1.15 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.01 7013026X-ray exam of mastoids A 0.34 0.14 0.14 0.14 0.14 0.01 0.49 0.49 0.49 0.49 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70134 X-ray exam of middle ear A 0.34 1.01 0.95 1.01NA 0.95 NA 0.02 1.37 1.31 1.37 1.31 1XXX.00.00.0000000 33.9764 090 99 2.35 2.35 0.04 70134TCX-ray exam of middle ear A 0.00 0.87 0.82 0.87NA 0.82 NA 0.01 0.88 0.83 0.88 0.83 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.03 7013426X-ray exam of middle ear A 0.34 0.14 0.13 0.14 0.13 0.01 0.49 0.48 0.49 0.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70140 X-ray exam of facial bones A 0.19 0.69 0.66 0.69NA 0.66 NA 0.02 0.90 0.87 0.90 0.87 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 70140TCX-ray exam of facial bones A 0.00 0.60 0.56 0.60NA 0.56 NA 0.01 0.61 0.57 0.61 0.57 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7014026X-ray exam of facial bones A 0.19 0.09 0.10 0.09 0.10 0.01 0.29 0.30 0.29 0.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70150 X-ray exam of facial bones A 0.26 0.99 0.94 0.99NA 0.94 NA 0.02 1.27 1.22 1.27 1.22 1XXX.00.00.0000000 33.9764 090 99 1.42 1.42 0.02 70150TCX-ray exam of facial bones A 0.00 0.88 0.83 0.88NA 0.83 NA 0.01 0.89 0.84 0.89 0.84 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7015026X-ray exam of facial bones A 0.26 0.11 0.11 0.11 0.11 0.01 0.38 0.38 0.38 0.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70160 X-ray exam of nasal bones A 0.17 0.79 0.76 0.79NA 0.76 NA 0.02 0.98 0.95 0.98 0.95 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.03 70160TCX-ray exam of nasal bones A 0.00 0.72 0.69 0.72NA 0.69 NA 0.01 0.73 0.70 0.73 0.70 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7016026X-ray exam of nasal bones A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70170 X-ray exam of tear duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 6.88 6.88 0.04 70170TCX-ray exam of tear duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 6.76 6.76 0.01 7017026X-ray exam of tear duct A 0.30 0.12 0.11 0.12 0.11 0.03 0.45 0.44 0.45 0.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70190 X-ray exam of eye sockets A 0.21 0.83 0.80 0.83NA 0.80 NA 0.02 1.06 1.03 1.06 1.03 1XXX.00.00.0003000 33.9764 090 99 1.40 1.40 0.03 70190TCX-ray exam of eye sockets A 0.00 0.74 0.71 0.74NA 0.71 NA 0.01 0.75 0.72 0.75 0.72 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7019026X-ray exam of eye sockets A 0.21 0.09 0.09 0.09 0.09 0.01 0.31 0.31 0.31 0.31 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 7020F Mammo assess cat in dbase I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 70200 X-ray exam of eye sockets A 0.28 1.01 0.94 1.01NA 0.94 NA 0.02 1.31 1.24 1.31 1.24 1XXX.00.00.0000000 33.9764 090 99 1.43 1.43 0.02 70200TCX-ray exam of eye sockets A 0.00 0.89 0.83 0.89NA 0.83 NA 0.01 0.90 0.84 0.90 0.84 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7020026X-ray exam of eye sockets A 0.28 0.12 0.11 0.12 0.11 0.01 0.41 0.40 0.41 0.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70210 X-ray exam of sinuses A 0.17 0.73 0.71 0.73NA 0.71 NA 0.02 0.92 0.90 0.92 0.90 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 70210TCX-ray exam of sinuses A 0.00 0.65 0.63 0.65NA 0.63 NA 0.01 0.66 0.64 0.66 0.64 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7021026X-ray exam of sinuses A 0.17 0.08 0.08 0.08 0.08 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70220 X-ray exam of sinuses A 0.25 0.88 0.85 0.88NA 0.85 NA 0.02 1.15 1.12 1.15 1.12 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.03 70220TCX-ray exam of sinuses A 0.00 0.78 0.74 0.78NA 0.74 NA 0.01 0.79 0.75 0.79 0.75 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7022026X-ray exam of sinuses A 0.25 0.10 0.11 0.10 0.11 0.01 0.36 0.37 0.36 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70240 X-ray exam pituitary saddle A 0.19 0.67 0.64 0.67NA 0.64 NA 0.02 0.88 0.85 0.88 0.85 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.03 70240TCX-ray exam pituitary saddle A 0.00 0.59 0.56 0.59NA 0.56 NA 0.01 0.60 0.57 0.60 0.57 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7024026X-ray exam pituitary saddle A 0.19 0.08 0.08 0.08 0.08 0.01 0.28 0.28 0.28 0.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7025F Pt infosys alarm 4 nxt mammo M 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 70250 X-ray exam of skull A 0.24 0.84 0.81 0.84NA 0.81 NA 0.02 1.10 1.07 1.10 1.07 1XXX.00.00.0000000 33.9764 090 99 1.42 1.42 0.03 70250TCX-ray exam of skull A 0.00 0.73 0.70 0.73NA 0.70 NA 0.01 0.74 0.71 0.74 0.71 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7025026X-ray exam of skull A 0.24 0.11 0.11 0.11 0.11 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70260 X-ray exam of skull A 0.34 1.04 0.99 1.04NA 0.99 NA 0.02 1.40 1.35 1.40 1.35 1XXX.00.00.0000000 33.9764 090 99 2.35 2.35 0.03 70260TCX-ray exam of skull A 0.00 0.90 0.84 0.90NA 0.84 NA 0.01 0.91 0.85 0.91 0.85 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.02 7026026X-ray exam of skull A 0.34 0.14 0.15 0.14 0.15 0.01 0.49 0.50 0.49 0.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70300 X-ray exam of teeth A 0.10 0.31 0.31 0.31NA 0.31 NA 0.02 0.43 0.43 0.43 0.43 1XXX.00.00.0000000 33.9764 090 99 0.92 0.92 0.04 70300TCX-ray exam of teeth A 0.00 0.25 0.24 0.25NA 0.24 NA 0.01 0.26 0.25 0.26 0.25 1XXX.00.00.0000000 33.9764 010 99 0.86 0.86 0.03 7030026X-ray exam of teeth A 0.10 0.06 0.07 0.06 0.07 0.01 0.17 0.18 0.17 0.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70310 X-ray exam of teeth A 0.16 0.93 0.97 0.93NA 0.97 NA 0.02 1.11 1.15 1.11 1.15 1XXX.00.00.0000000 33.9764 090 99 0.98 0.98 0.02 70310TCX-ray exam of teeth A 0.00 0.84 0.86 0.84NA 0.86 NA 0.01 0.85 0.87 0.85 0.87 1XXX.00.00.0000000 33.9764 010 99 0.89 0.89 0.01 7031026X-ray exam of teeth A 0.16 0.09 0.11 0.09 0.11 0.01 0.26 0.28 0.26 0.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70320 Full mouth x-ray of teeth A 0.22 1.25 1.25 1.25NA 1.25 NA 0.02 1.49 1.49 1.49 1.49 1XXX.00.00.0000000 33.9764 090 99 1.00 1.00 0.02 70320TCFull mouth x-ray of teeth A 0.00 1.14 1.12 1.14NA 1.12 NA 0.01 1.15 1.13 1.15 1.13 1XXX.00.00.0000000 33.9764 010 99 0.89 0.89 0.01 7032026Full mouth x-ray of teeth A 0.22 0.11 0.13 0.11 0.13 0.01 0.34 0.36 0.34 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70328 X-ray exam of jaw joint A 0.18 0.72 0.69 0.72NA 0.69 NA 0.02 0.92 0.89 0.92 0.89 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 70328TCX-ray exam of jaw joint A 0.00 0.64 0.61 0.64NA 0.61 NA 0.01 0.65 0.62 0.65 0.62 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7032826X-ray exam of jaw joint A 0.18 0.08 0.08 0.08 0.08 0.01 0.27 0.27 0.27 0.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70330 X-ray exam of jaw joints A 0.24 1.17 1.12 1.17NA 1.12 NA 0.02 1.43 1.38 1.43 1.38 1XXX.00.00.0002000 33.9764 090 99 1.42 1.42 0.02 70330TCX-ray exam of jaw joints A 0.00 1.06 1.01 1.06NA 1.01 NA 0.01 1.07 1.02 1.07 1.02 1XXX.00.00.0002000 33.9764 010 99 1.31 1.31 0.01 7033026X-ray exam of jaw joints A 0.24 0.11 0.11 0.11 0.11 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 70332 X-ray exam of jaw joint A 0.54 1.95 1.87 1.95NA 1.87 NA 0.04 2.53 2.45 2.53 2.45 1XXX.00.00.0003000 33.9764 090 99 8.32 8.32 0.08 70332TCX-ray exam of jaw joint A 0.00 1.68 1.56 1.68NA 1.56 NA 0.01 1.69 1.57 1.69 1.57 1XXX.00.00.0003000 33.9764 030 99 8.05 8.05 0.05 7033226X-ray exam of jaw joint A 0.54 0.27 0.31 0.27 0.31 0.03 0.84 0.88 0.84 0.88 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70336 Magnetic image jaw joint A 1.48 11.75 8.91 11.75NA 8.91 NA 0.09 13.32 10.48 13.32 10.48 1XXX.00.00.0040000 33.9764 090 88 10.68 10.68 0.09 70336TCMagnetic image jaw joint A 0.00 11.15 8.37 11.15NA 8.37 NA 0.01 11.16 8.38 11.16 8.38 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7033626Magnetic image jaw joint A 1.48 0.60 0.54 0.60 0.54 0.08 2.16 2.10 2.16 2.10 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70350 X-ray head for orthodontia A 0.17 0.44 0.44 0.44NA 0.44 NA 0.02 0.63 0.63 0.63 0.63 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.05 70350TCX-ray head for orthodontia A 0.00 0.34 0.32 0.34NA 0.32 NA 0.01 0.35 0.33 0.35 0.33 1XXX.00.00.0000000 33.9764 010 99 1.29 1.29 0.04 7035026X-ray head for orthodontia A 0.17 0.10 0.12 0.10 0.12 0.01 0.28 0.30 0.28 0.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70355 Panoramic x-ray of jaws A 0.20 0.42 0.39 0.42NA 0.39 NA 0.02 0.64 0.61 0.64 0.61 1XXX.00.00.0000000 33.9764 090 99 0.97 0.97 0.04 70355TCPanoramic x-ray of jaws A 0.00 0.32 0.27 0.32NA 0.27 NA 0.01 0.33 0.28 0.33 0.28 1XXX.00.00.0000000 33.9764 010 99 0.87 0.87 0.03 7035526Panoramic x-ray of jaws A 0.20 0.10 0.12 0.10 0.12 0.01 0.31 0.33 0.31 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70360 X-ray exam of neck A 0.17 0.63 0.60 0.63NA 0.60 NA 0.02 0.82 0.79 0.82 0.79 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.03 70360TCX-ray exam of neck A 0.00 0.56 0.53 0.56NA 0.53 NA 0.01 0.57 0.54 0.57 0.54 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7036026X-ray exam of neck A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70370 Throat x-ray & fluoroscopy A 0.32 2.07 2.14 2.07NA 2.14 NA 0.02 2.41 2.48 2.41 2.48 1XXX.00.00.0000000 33.9764 090 99 2.58 2.58 0.02 70370TCThroat x-ray & fluoroscopy A 0.00 1.93 2.00 1.93NA 2.00 NA 0.01 1.94 2.01 1.94 2.01 1XXX.00.00.0000000 33.9764 030 99 2.44 2.44 0.01 7037026Throat x-ray & fluoroscopy A 0.32 0.14 0.14 0.14 0.14 0.01 0.47 0.47 0.47 0.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70371 Speech evaluation complex A 0.84 1.91 1.76 1.91NA 1.76 NA 0.04 2.79 2.64 2.79 2.64 1XXX.00.00.0000000 33.9764 090 99 2.78 2.78 0.05 70371TCSpeech evaluation complex A 0.00 1.57 1.41 1.57NA 1.41 NA 0.01 1.58 1.42 1.58 1.42 1XXX.00.00.0000000 33.9764 030 99 2.44 2.44 0.02 7037126Speech evaluation complex A 0.84 0.34 0.35 0.34 0.35 0.03 1.21 1.22 1.21 1.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70373 Contrast x-ray of larynx A 0.44 1.97 1.92 1.97NA 1.92 NA 0.02 2.43 2.38 2.43 2.38 1XXX.00.00.0000000 33.9764 090 99 6.90 6.90 0.05 70373TCContrast x-ray of larynx A 0.00 1.80 1.74 1.80NA 1.74 NA 0.01 1.81 1.75 1.81 1.75 1XXX.00.00.0000000 33.9764 030 99 6.73 6.73 0.04 7037326Contrast x-ray of larynx A 0.44 0.17 0.18 0.17 0.18 0.01 0.62 0.63 0.62 0.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70380 X-ray exam of salivary gland A 0.17 0.98 1.00 0.98NA 1.00 NA 0.02 1.17 1.19 1.17 1.19 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.02 70380TCX-ray exam of salivary gland A 0.00 0.89 0.89 0.89NA 0.89 NA 0.01 0.90 0.90 0.90 0.90 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7038026X-ray exam of salivary gland A 0.17 0.09 0.11 0.09 0.11 0.01 0.27 0.29 0.27 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70390 X-ray exam of salivary duct A 0.38 2.59 2.47 2.59NA 2.47 NA 0.04 3.01 2.89 3.01 2.89 1XXX.00.00.0000000 33.9764 090 99 6.90 6.90 0.06 70390TCX-ray exam of salivary duct A 0.00 2.43 2.32 2.43NA 2.32 NA 0.01 2.44 2.33 2.44 2.33 1XXX.00.00.0000000 33.9764 030 99 6.74 6.74 0.03 7039026X-ray exam of salivary duct A 0.38 0.16 0.15 0.16 0.15 0.03 0.57 0.56 0.57 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70450 Ct head/brain w/o dye A 0.85 4.91 3.84 4.91NA 3.84 NA 0.05 5.81 4.74 5.81 4.74 1XXX.00.00.0040000 33.9764 090 88 6.04 6.04 0.05 70450TCCt head/brain w/o dye A 0.00 4.56 3.52 4.56NA 3.52 NA 0.01 4.57 3.53 4.57 3.53 1XXX.00.00.0040000 33.9764 010 88 5.69 5.69 0.01 7045026Ct head/brain w/o dye A 0.85 0.35 0.32 0.35 0.32 0.04 1.24 1.21 1.24 1.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70460 Ct head/brain w/dye A 1.13 6.38 5.04 6.38NA 5.04 NA 0.06 7.57 6.23 7.57 6.23 1XXX.00.00.0040000 33.9764 090 88 9.28 9.28 0.06 70460TCCt head/brain w/dye A 0.00 5.91 4.61 5.91NA 4.61 NA 0.01 5.92 4.62 5.92 4.62 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7046026Ct head/brain w/dye A 1.13 0.47 0.43 0.47 0.43 0.05 1.65 1.61 1.65 1.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70470 Ct head/brain w/o & w/dye A 1.27 7.81 6.15 7.81NA 6.15 NA 0.08 9.16 7.50 9.16 7.50 1XXX.00.00.0040000 33.9764 090 88 10.35 10.35 0.08 70470TCCt head/brain w/o & w/dye A 0.00 7.28 5.67 7.28NA 5.67 NA 0.01 7.29 5.68 7.29 5.68 1XXX.00.00.0040000 33.9764 020 88 9.82 9.82 0.01 7047026Ct head/brain w/o & w/dye A 1.27 0.53 0.48 0.53 0.48 0.07 1.87 1.82 1.87 1.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70480 Ct orbit/ear/fossa w/o dye A 1.28 7.94 6.63 7.94NA 6.63 NA 0.08 9.30 7.99 9.30 7.99 1XXX.00.00.0040000 33.9764 090 88 6.23 6.23 0.08 70480TCCt orbit/ear/fossa w/o dye A 0.00 7.41 6.14 7.41NA 6.14 NA 0.01 7.42 6.15 7.42 6.15 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7048026Ct orbit/ear/fossa w/o dye A 1.28 0.53 0.49 0.53 0.49 0.07 1.88 1.84 1.88 1.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70481 Ct orbit/ear/fossa w/dye A 1.38 9.33 7.75 9.33NA 7.75 NA 0.09 10.80 9.22 10.80 9.22 1XXX.00.00.0040000 33.9764 090 88 9.38 9.38 0.09 70481TCCt orbit/ear/fossa w/dye A 0.00 8.76 7.23 8.76NA 7.23 NA 0.01 8.77 7.24 8.77 7.24 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7048126Ct orbit/ear/fossa w/dye A 1.38 0.57 0.52 0.57 0.52 0.08 2.03 1.98 2.03 1.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70482 Ct orbit/ear/fossa w/o&w/dye A 1.45 10.65 8.68 10.65NA 8.68 NA 0.09 12.19 10.22 12.19 10.22 1XXX.00.00.0040000 33.9764 090 88 10.42 10.42 0.09 70482TCCt orbit/ear/fossa w/o&w/dye A 0.00 10.06 8.14 10.06NA 8.14 NA 0.01 10.07 8.15 10.07 8.15 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7048226Ct orbit/ear/fossa w/o&w/dye A 1.45 0.59 0.54 0.59 0.54 0.08 2.12 2.07 2.12 2.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70486 Ct maxillofacial w/o dye A 1.14 6.55 5.38 6.55NA 5.38 NA 0.06 7.75 6.58 7.75 6.58 1XXX.00.00.0040000 33.9764 090 88 6.18 6.18 0.06 70486TCCt maxillofacial w/o dye A 0.00 6.07 4.93 6.07NA 4.93 NA 0.01 6.08 4.94 6.08 4.94 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7048626Ct maxillofacial w/o dye A 1.14 0.48 0.45 0.48 0.45 0.05 1.67 1.64 1.67 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70487 Ct maxillofacial w/dye A 1.30 7.96 6.50 7.96NA 6.50 NA 0.08 9.34 7.88 9.34 7.88 1XXX.00.00.0040000 33.9764 090 88 9.35 9.35 0.08 70487TCCt maxillofacial w/dye A 0.00 7.42 6.01 7.42NA 6.01 NA 0.01 7.43 6.02 7.43 6.02 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7048726Ct maxillofacial w/dye A 1.30 0.54 0.49 0.54 0.49 0.07 1.91 1.86 1.91 1.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70488 Ct maxillofacial w/o & w/dye A 1.42 9.84 8.00 9.84NA 8.00 NA 0.09 11.35 9.51 11.35 9.51 1XXX.00.00.0040000 33.9764 090 88 10.41 10.41 0.09 70488TCCt maxillofacial w/o & w/dye A 0.00 9.26 7.47 9.26NA 7.47 NA 0.01 9.27 7.48 9.27 7.48 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7048826Ct maxillofacial w/o & w/dye A 1.42 0.58 0.53 0.58 0.53 0.08 2.08 2.03 2.08 2.03 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70490 Ct soft tissue neck w/o dye A 1.28 6.24 5.03 6.24NA 5.03 NA 0.08 7.60 6.39 7.60 6.39 1XXX.00.00.0040000 33.9764 090 88 6.23 6.23 0.08 70490TCCt soft tissue neck w/o dye A 0.00 5.71 4.55 5.71NA 4.55 NA 0.01 5.72 4.56 5.72 4.56 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7049026Ct soft tissue neck w/o dye A 1.28 0.53 0.48 0.53 0.48 0.07 1.88 1.83 1.88 1.83 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70491 Ct soft tissue neck w/dye A 1.38 7.69 6.25 7.69NA 6.25 NA 0.08 9.15 7.71 9.15 7.71 1XXX.00.00.0040000 33.9764 090 88 9.38 9.38 0.08 70491TCCt soft tissue neck w/dye A 0.00 7.12 5.72 7.12NA 5.72 NA 0.01 7.13 5.73 7.13 5.73 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7049126Ct soft tissue neck w/dye A 1.38 0.57 0.53 0.57 0.53 0.07 2.02 1.98 2.02 1.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70492 Ct sft tsue nck w/o & w/dye A 1.45 9.51 7.66 9.51NA 7.66 NA 0.09 11.05 9.20 11.05 9.20 1XXX.00.00.0040000 33.9764 090 88 10.42 10.42 0.09 70492TCCt sft tsue nck w/o & w/dye A 0.00 8.92 7.12 8.92NA 7.12 NA 0.01 8.93 7.13 8.93 7.13 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7049226Ct sft tsue nck w/o & w/dye A 1.45 0.59 0.54 0.59 0.54 0.08 2.12 2.07 2.12 2.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70496 Ct angiography head A 1.75 15.69 12.53 15.69NA 12.53 NA 0.11 17.55 14.39 17.55 14.39 1XXX.00.00.0040000 33.9764 090 88 10.69 10.69 0.11 70496TCCt angiography head A 0.00 14.96 11.88 14.96NA 11.88 NA 0.01 14.97 11.89 14.97 11.89 1XXX.00.00.0040000 33.9764 020 88 9.96 9.96 0.01 7049626Ct angiography head A 1.75 0.73 0.65 0.73 0.65 0.10 2.58 2.50 2.58 2.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70498 Ct angiography neck A 1.75 15.99 13.03 15.99NA 13.03 NA 0.11 17.85 14.89 17.85 14.89 1XXX.00.00.0040000 33.9764 090 88 10.69 10.69 0.11 70498TCCt angiography neck A 0.00 15.26 12.38 15.26NA 12.38 NA 0.01 15.27 12.39 15.27 12.39 1XXX.00.00.0040000 33.9764 020 88 9.96 9.96 0.01 7049826Ct angiography neck A 1.75 0.73 0.65 0.73 0.65 0.10 2.58 2.50 2.58 2.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70540 Mri orbit/face/neck w/o dye A 1.35 13.33 10.31 13.33NA 10.31 NA 0.09 14.77 11.75 14.77 11.75 1XXX.00.00.0040000 33.9764 090 88 10.64 10.64 0.09 70540TCMri orbit/face/neck w/o dye A 0.00 12.78 9.81 12.78NA 9.81 NA 0.01 12.79 9.82 12.79 9.82 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7054026Mri orbit/face/neck w/o dye A 1.35 0.55 0.50 0.55 0.50 0.08 1.98 1.93 1.98 1.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70542 Mri orbit/face/neck w/dye A 1.62 14.78 11.58 14.78NA 11.58 NA 0.11 16.51 13.31 16.51 13.31 1XXX.00.00.0040000 33.9764 090 88 13.51 13.51 0.11 70542TCMri orbit/face/neck w/dye A 0.00 14.12 10.98 14.12NA 10.98 NA 0.01 14.13 10.99 14.13 10.99 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7054226Mri orbit/face/neck w/dye A 1.62 0.66 0.60 0.66 0.60 0.10 2.38 2.32 2.38 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70543 Mri orbt/fac/nck w/o & w/dye A 2.15 19.29 13.89 19.29NA 13.89 NA 0.13 21.57 16.17 21.57 16.17 1XXX.00.00.0040000 33.9764 090 88 16.57 16.57 0.13 70543TCMri orbt/fac/nck w/o & w/dye A 0.00 18.42 13.10 18.42NA 13.10 NA 0.01 18.43 13.11 18.43 13.11 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7054326Mri orbt/fac/nck w/o & w/dye A 2.15 0.87 0.79 0.87 0.79 0.12 3.14 3.06 3.14 3.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70544 Mr angiography head w/o dye A 1.20 14.87 11.92 14.87NA 11.92 NA 0.08 16.15 13.20 16.15 13.20 1XXX.00.00.0040000 33.9764 090 88 10.58 10.58 0.08 70544TCMr angiography head w/o dye A 0.00 14.38 11.47 14.38NA 11.47 NA 0.01 14.39 11.48 14.39 11.48 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7054426Mr angiography head w/o dye A 1.20 0.49 0.45 0.49 0.45 0.07 1.76 1.72 1.76 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70545 Mr angiography head w/dye A 1.20 14.77 11.80 14.77NA 11.80 NA 0.08 16.05 13.08 16.05 13.08 1XXX.00.00.0040000 33.9764 090 88 13.34 13.34 0.08 70545TCMr angiography head w/dye A 0.00 14.28 11.36 14.28NA 11.36 NA 0.01 14.29 11.37 14.29 11.37 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7054526Mr angiography head w/dye A 1.20 0.49 0.44 0.49 0.44 0.07 1.76 1.71 1.76 1.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70546 Mr angiograph head w/o&w/dye A 1.80 23.36 18.05 23.36NA 18.05 NA 0.12 25.28 19.97 25.28 19.97 1XXX.00.00.0040000 33.9764 090 88 16.44 16.44 0.12 70546TCMr angiograph head w/o&w/dye A 0.00 22.62 17.38 22.62NA 17.38 NA 0.01 22.63 17.39 22.63 17.39 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7054626Mr angiograph head w/o&w/dye A 1.80 0.74 0.67 0.74 0.67 0.11 2.65 2.58 2.65 2.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70547 Mr angiography neck w/o dye A 1.20 14.84 11.91 14.84NA 11.91 NA 0.08 16.12 13.19 16.12 13.19 1XXX.00.00.0040000 33.9764 090 88 10.58 10.58 0.08 70547TCMr angiography neck w/o dye A 0.00 14.35 11.46 14.35NA 11.46 NA 0.01 14.36 11.47 14.36 11.47 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7054726Mr angiography neck w/o dye A 1.20 0.49 0.45 0.49 0.45 0.07 1.76 1.72 1.76 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70548 Mr angiography neck w/dye A 1.20 15.64 12.72 15.64NA 12.72 NA 0.08 16.92 14.00 16.92 14.00 1XXX.00.00.0040000 33.9764 090 88 13.34 13.34 0.08 70548TCMr angiography neck w/dye A 0.00 15.15 12.27 15.15NA 12.27 NA 0.01 15.16 12.28 15.16 12.28 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7054826Mr angiography neck w/dye A 1.20 0.49 0.45 0.49 0.45 0.07 1.76 1.72 1.76 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70549 Mr angiograph neck w/o&w/dye A 1.80 23.38 18.06 23.38NA 18.06 NA 0.11 25.29 19.97 25.29 19.97 1XXX.00.00.0040000 33.9764 090 88 16.44 16.44 0.11 70549TCMr angiograph neck w/o&w/dye A 0.00 22.64 17.39 22.64NA 17.39 NA 0.01 22.65 17.40 22.65 17.40 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7054926Mr angiograph neck w/o&w/dye A 1.80 0.74 0.67 0.74 0.67 0.10 2.64 2.57 2.64 2.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70551 Mri brain w/o dye A 1.48 13.71 10.79 13.71NA 10.79 NA 0.09 15.28 12.36 15.28 12.36 1XXX.00.00.0040000 33.9764 090 88 10.70 10.70 0.09 70551TCMri brain w/o dye A 0.00 13.10 10.24 13.10NA 10.24 NA 0.01 13.11 10.25 13.11 10.25 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7055126Mri brain w/o dye A 1.48 0.61 0.55 0.61 0.55 0.08 2.17 2.11 2.17 2.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70552 Mri brain w/dye A 1.78 15.15 11.92 15.15NA 11.92 NA 0.12 17.05 13.82 17.05 13.82 1XXX.00.00.0040000 33.9764 090 88 13.59 13.59 0.12 70552TCMri brain w/dye A 0.00 14.41 11.25 14.41NA 11.25 NA 0.01 14.42 11.26 14.42 11.26 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7055226Mri brain w/dye A 1.78 0.74 0.67 0.74 0.67 0.11 2.63 2.56 2.63 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70553 Mri brain w/o & w/dye A 2.36 18.91 13.68 18.91NA 13.68 NA 0.15 21.42 16.19 21.42 16.19 1XXX.00.00.0040000 33.9764 090 88 16.67 16.67 0.15 70553TCMri brain w/o & w/dye A 0.00 17.94 12.80 17.94NA 12.80 NA 0.01 17.95 12.81 17.95 12.81 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7055326Mri brain w/o & w/dye A 2.36 0.97 0.88 0.97 0.88 0.14 3.47 3.38 3.47 3.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70554 Fmri brain by tech A 2.11 14.61 12.01 14.61NA 12.01 NA 0.13 16.85 14.25 16.85 14.25 1XXX.00.00.0043000 33.9764 090 88 0.00 0.00 0.00 70554TCFmri brain by tech A 0.00 13.72 11.20 13.72NA 11.20 NA 0.01 13.73 11.21 13.73 11.21 1XXX.00.00.0043000 33.9764 020 88 0.00 0.00 0.00 7055426Fmri brain by tech A 2.11 0.89 0.81 0.89 0.81 0.12 3.12 3.04 3.12 3.04 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70555 Fmri brain by phys/psych C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70555TCFmri brain by phys/psych C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0003000 33.9764 020 99 0.00 0.00 0.00 7055526Fmri brain by phys/psych A 2.54 1.06 0.92 1.06 0.92 0.24 3.84 3.70 3.84 3.70 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 70557 Mri brain w/o dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 11.58 11.58 1.06 70557TCMri brain w/o dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 10.08 10.08 0.01 7055726Mri brain w/o dye A 2.90 1.50 1.62 1.50 1.62 1.05 5.45 5.57 5.45 5.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70558 Mri brain w/dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 14.18 14.18 0.31 70558TCMri brain w/dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 12.85 12.85 0.01 7055826Mri brain w/dye A 3.20 1.33 1.20 1.33 1.20 0.30 4.83 4.70 4.83 4.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 70559 Mri brain w/o & w/dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 17.08 17.08 0.31 70559TCMri brain w/o & w/dye C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 15.70 15.70 0.01 7055926Mri brain w/o & w/dye A 3.20 1.38 1.24 1.38 1.24 0.30 4.88 4.74 4.88 4.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71010 Chest x-ray A 0.18 0.50 0.46 0.50NA 0.46 NA 0.02 0.70 0.66 0.70 0.66 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.04 71010TCChest x-ray A 0.00 0.43 0.39 0.43NA 0.39 NA 0.01 0.44 0.40 0.44 0.40 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.03 7101026Chest x-ray A 0.18 0.07 0.07 0.07 0.07 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71015 Chest x-ray A 0.21 0.66 0.62 0.66NA 0.62 NA 0.02 0.89 0.85 0.89 0.85 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.03 71015TCChest x-ray A 0.00 0.58 0.54 0.58NA 0.54 NA 0.01 0.59 0.55 0.59 0.55 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7101526Chest x-ray A 0.21 0.08 0.08 0.08 0.08 0.01 0.30 0.30 0.30 0.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71020 Chest x-ray A 0.22 0.68 0.62 0.68NA 0.62 NA 0.02 0.92 0.86 0.92 0.86 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 71020TCChest x-ray A 0.00 0.59 0.53 0.59NA 0.53 NA 0.01 0.60 0.54 0.60 0.54 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7102026Chest x-ray A 0.22 0.09 0.09 0.09 0.09 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71021 Chest x-ray A 0.27 0.84 0.79 0.84NA 0.79 NA 0.02 1.13 1.08 1.13 1.08 1XXX.00.00.0000000 33.9764 090 99 1.42 1.42 0.03 71021TCChest x-ray A 0.00 0.73 0.67 0.73NA 0.67 NA 0.01 0.74 0.68 0.74 0.68 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7102126Chest x-ray A 0.27 0.11 0.12 0.11 0.12 0.01 0.39 0.40 0.39 0.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71022 Chest x-ray A 0.31 1.05 1.00 1.05NA 1.00 NA 0.02 1.38 1.33 1.38 1.33 1XXX.00.00.0000000 33.9764 090 99 1.44 1.44 0.02 71022TCChest x-ray A 0.00 0.92 0.87 0.92NA 0.87 NA 0.01 0.93 0.88 0.93 0.88 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7102226Chest x-ray A 0.31 0.13 0.13 0.13 0.13 0.01 0.45 0.45 0.45 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71023 Chest x-ray and fluoroscopy A 0.38 1.65 1.60 1.65NA 1.60 NA 0.02 2.05 2.00 2.05 2.00 1XXX.00.00.0000000 33.9764 090 99 2.61 2.61 0.03 71023TCChest x-ray and fluoroscopy A 0.00 1.48 1.45 1.48NA 1.45 NA 0.01 1.49 1.46 1.49 1.46 1XXX.00.00.0000000 33.9764 030 99 2.44 2.44 0.02 7102326Chest x-ray and fluoroscopy A 0.38 0.17 0.15 0.17 0.15 0.01 0.56 0.54 0.56 0.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71030 Chest x-ray A 0.31 1.04 0.96 1.04NA 0.96 NA 0.02 1.37 1.29 1.37 1.29 1XXX.00.00.0000000 33.9764 090 99 1.44 1.44 0.02 71030TCChest x-ray A 0.00 0.91 0.84 0.91NA 0.84 NA 0.01 0.92 0.85 0.92 0.85 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7103026Chest x-ray A 0.31 0.13 0.12 0.13 0.12 0.01 0.45 0.44 0.45 0.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71034 Chest x-ray and fluoroscopy A 0.46 2.15 1.90 2.15NA 1.90 NA 0.02 2.63 2.38 2.63 2.38 1XXX.00.00.0000000 33.9764 090 99 2.66 2.66 0.02 71034TCChest x-ray and fluoroscopy A 0.00 1.93 1.72 1.93NA 1.72 NA 0.01 1.94 1.73 1.94 1.73 1XXX.00.00.0000000 33.9764 030 99 2.44 2.44 0.01 7103426Chest x-ray and fluoroscopy A 0.46 0.22 0.18 0.22 0.18 0.01 0.69 0.65 0.69 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71035 Chest x-ray A 0.18 0.85 0.81 0.85NA 0.81 NA 0.02 1.05 1.01 1.05 1.01 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 71035TCChest x-ray A 0.00 0.77 0.74 0.77NA 0.74 NA 0.01 0.78 0.75 0.78 0.75 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7103526Chest x-ray A 0.18 0.08 0.07 0.08 0.07 0.01 0.27 0.26 0.27 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71040 Contrast x-ray of bronchi A 0.58 2.26 2.15 2.26NA 2.15 NA 0.02 2.86 2.75 2.86 2.75 1XXX.00.00.0000000 33.9764 090 99 6.96 6.96 0.04 71040TCContrast x-ray of bronchi A 0.00 2.03 1.94 2.03NA 1.94 NA 0.01 2.04 1.95 2.04 1.95 1XXX.00.00.0000000 33.9764 030 99 6.73 6.73 0.03 7104026Contrast x-ray of bronchi A 0.58 0.23 0.21 0.23 0.21 0.01 0.82 0.80 0.82 0.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71060 Contrast x-ray of bronchi A 0.74 3.39 3.22 3.39NA 3.22 NA 0.05 4.18 4.01 4.18 4.01 1XXX.00.00.0002000 33.9764 090 99 7.05 7.05 0.06 71060TCContrast x-ray of bronchi A 0.00 3.09 2.94 3.09NA 2.94 NA 0.01 3.10 2.95 3.10 2.95 1XXX.00.00.0002000 33.9764 030 99 6.75 6.75 0.02 7106026Contrast x-ray of bronchi A 0.74 0.30 0.28 0.30 0.28 0.04 1.08 1.06 1.08 1.06 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 71090 X-ray & pacemaker insertion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71090TCX-ray & pacemaker insertion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7109026X-ray & pacemaker insertion A 0.54 0.26 0.21 0.26 0.21 0.04 0.84 0.79 0.84 0.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71100 X-ray exam of ribs A 0.22 0.72 0.68 0.72NA 0.68 NA 0.02 0.96 0.92 0.96 0.92 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 71100TCX-ray exam of ribs A 0.00 0.63 0.59 0.63NA 0.59 NA 0.01 0.64 0.60 0.64 0.60 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7110026X-ray exam of ribs A 0.22 0.09 0.09 0.09 0.09 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71101 X-ray exam of ribs/chest A 0.27 0.88 0.84 0.88NA 0.84 NA 0.02 1.17 1.13 1.17 1.13 1XXX.00.00.0000000 33.9764 090 99 1.42 1.42 0.03 71101TCX-ray exam of ribs/chest A 0.00 0.77 0.73 0.77NA 0.73 NA 0.01 0.78 0.74 0.78 0.74 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7110126X-ray exam of ribs/chest A 0.27 0.11 0.11 0.11 0.11 0.01 0.39 0.39 0.39 0.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71110 X-ray exam of ribs A 0.27 0.92 0.88 0.92NA 0.88 NA 0.02 1.21 1.17 1.21 1.17 1XXX.00.00.0002000 33.9764 090 99 1.42 1.42 0.03 71110TCX-ray exam of ribs A 0.00 0.81 0.76 0.81NA 0.76 NA 0.01 0.82 0.77 0.82 0.77 1XXX.00.00.0002000 33.9764 010 99 1.31 1.31 0.02 7111026X-ray exam of ribs A 0.27 0.11 0.12 0.11 0.12 0.01 0.39 0.40 0.39 0.40 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 71111 X-ray exam of ribs/chest A 0.32 1.22 1.17 1.22NA 1.17 NA 0.02 1.56 1.51 1.56 1.51 1XXX.00.00.0002000 33.9764 090 99 2.34 2.34 0.03 71111TCX-ray exam of ribs/chest A 0.00 1.09 1.04 1.09NA 1.04 NA 0.01 1.10 1.05 1.10 1.05 1XXX.00.00.0002000 33.9764 010 99 2.21 2.21 0.02 7111126X-ray exam of ribs/chest A 0.32 0.13 0.13 0.13 0.13 0.01 0.46 0.46 0.46 0.46 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 71120 X-ray exam of breastbone A 0.20 0.73 0.67 0.73NA 0.67 NA 0.02 0.95 0.89 0.95 0.89 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 71120TCX-ray exam of breastbone A 0.00 0.65 0.59 0.65NA 0.59 NA 0.01 0.66 0.60 0.66 0.60 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7112026X-ray exam of breastbone A 0.20 0.08 0.08 0.08 0.08 0.01 0.29 0.29 0.29 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71130 X-ray exam of breastbone A 0.22 0.87 0.81 0.87NA 0.81 NA 0.02 1.11 1.05 1.11 1.05 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.03 71130TCX-ray exam of breastbone A 0.00 0.78 0.72 0.78NA 0.72 NA 0.01 0.79 0.73 0.79 0.73 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7113026X-ray exam of breastbone A 0.22 0.09 0.09 0.09 0.09 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71250 Ct thorax w/o dye A 1.00 6.35 4.94 6.35NA 4.94 NA 0.06 7.41 6.00 7.41 6.00 1XXX.00.00.0040000 33.9764 090 88 6.15 6.15 0.06 71250TCCt thorax w/o dye A 0.00 5.90 4.57 5.90NA 4.57 NA 0.01 5.91 4.58 5.91 4.58 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7125026Ct thorax w/o dye A 1.00 0.45 0.37 0.45 0.37 0.05 1.50 1.42 1.50 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71260 Ct thorax w/dye A 1.24 7.87 6.21 7.87NA 6.21 NA 0.08 9.19 7.53 9.19 7.53 1XXX.00.00.0040000 33.9764 090 88 9.33 9.33 0.08 71260TCCt thorax w/dye A 0.00 7.35 5.74 7.35NA 5.74 NA 0.01 7.36 5.75 7.36 5.75 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7126026Ct thorax w/dye A 1.24 0.52 0.47 0.52 0.47 0.07 1.83 1.78 1.83 1.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71270 Ct thorax w/o & w/dye A 1.38 9.82 7.69 9.82NA 7.69 NA 0.08 11.28 9.15 11.28 9.15 1XXX.00.00.0040000 33.9764 090 88 10.40 10.40 0.08 71270TCCt thorax w/o & w/dye A 0.00 9.25 7.18 9.25NA 7.18 NA 0.01 9.26 7.19 9.26 7.19 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7127026Ct thorax w/o & w/dye A 1.38 0.57 0.51 0.57 0.51 0.07 2.02 1.96 2.02 1.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71275 Ct angiography chest A 1.92 12.00 9.41 12.00NA 9.41 NA 0.12 14.04 11.45 14.04 11.45 1XXX.00.00.0040000 33.9764 090 88 10.75 10.75 0.12 71275TCCt angiography chest A 0.00 11.20 8.70 11.20NA 8.70 NA 0.01 11.21 8.71 11.21 8.71 1XXX.00.00.0040000 33.9764 020 88 9.95 9.95 0.01 7127526Ct angiography chest A 1.92 0.80 0.71 0.80 0.71 0.11 2.83 2.74 2.83 2.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71550 Mri chest w/o dye A 1.46 15.14 11.97 15.14NA 11.97 NA 0.09 16.69 13.52 16.69 13.52 1XXX.00.00.0040000 33.9764 090 88 10.68 10.68 0.09 71550TCMri chest w/o dye A 0.00 14.55 11.43 14.55NA 11.43 NA 0.01 14.56 11.44 14.56 11.44 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7155026Mri chest w/o dye A 1.46 0.59 0.54 0.59 0.54 0.08 2.13 2.08 2.13 2.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71551 Mri chest w/dye A 1.73 16.97 13.53 16.97NA 13.53 NA 0.11 18.81 15.37 18.81 15.37 1XXX.00.00.0040000 33.9764 090 88 13.55 13.55 0.11 71551TCMri chest w/dye A 0.00 16.27 12.88 16.27NA 12.88 NA 0.01 16.28 12.89 16.28 12.89 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7155126Mri chest w/dye A 1.73 0.70 0.65 0.70 0.65 0.10 2.53 2.48 2.53 2.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71552 Mri chest w/o & w/dye A 2.26 22.39 16.63 22.39NA 16.63 NA 0.13 24.78 19.02 24.78 19.02 1XXX.00.00.0040000 33.9764 090 88 16.64 16.64 0.13 71552TCMri chest w/o & w/dye A 0.00 21.45 15.79 21.45NA 15.79 NA 0.01 21.46 15.80 21.46 15.80 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7155226Mri chest w/o & w/dye A 2.26 0.94 0.84 0.94 0.84 0.12 3.32 3.22 3.32 3.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 71555 Mri angio chest w or w/o dye R 1.81 14.47 11.54 14.47NA 11.54 NA 0.11 16.39 13.46 16.39 13.46 1XXX.00.00.0040000 33.9764 090 88 16.45 16.45 0.11 71555TCMri angio chest w or w/o dye R 0.00 13.71 10.86 13.71NA 10.86 NA 0.01 13.72 10.87 13.72 10.87 1XXX.00.00.0040000 33.9764 020 88 15.69 15.69 0.01 7155526Mri angio chest w or w/o dye R 1.81 0.76 0.68 0.76 0.68 0.10 2.67 2.59 2.67 2.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72010 X-ray exam of spine A 0.45 1.71 1.76 1.71NA 1.76 NA 0.04 2.20 2.25 2.20 2.25 1XXX.00.00.0000000 33.9764 090 99 2.41 2.41 0.04 72010TCX-ray exam of spine A 0.00 1.52 1.55 1.52NA 1.55 NA 0.01 1.53 1.56 1.53 1.56 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.01 7201026X-ray exam of spine A 0.45 0.19 0.21 0.19 0.21 0.03 0.67 0.69 0.67 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72020 X-ray exam of spine A 0.15 0.54 0.50 0.54NA 0.50 NA 0.02 0.71 0.67 0.71 0.67 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.04 72020TCX-ray exam of spine A 0.00 0.47 0.44 0.47NA 0.44 NA 0.01 0.48 0.45 0.48 0.45 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.03 7202026X-ray exam of spine A 0.15 0.07 0.06 0.07 0.06 0.01 0.23 0.22 0.23 0.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72040 X-ray exam of neck spine A 0.22 0.90 0.89 0.90NA 0.89 NA 0.04 1.16 1.15 1.16 1.15 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.05 72040TCX-ray exam of neck spine A 0.00 0.80 0.79 0.80NA 0.79 NA 0.01 0.81 0.80 0.81 0.80 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7204026X-ray exam of neck spine A 0.22 0.10 0.10 0.10 0.10 0.03 0.35 0.35 0.35 0.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72050 X-ray exam of neck spine A 0.31 1.22 1.16 1.22NA 1.16 NA 0.04 1.57 1.51 1.57 1.51 1XXX.00.00.0000000 33.9764 090 99 2.34 2.34 0.05 72050TCX-ray exam of neck spine A 0.00 1.09 1.04 1.09NA 1.04 NA 0.01 1.10 1.05 1.10 1.05 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.02 7205026X-ray exam of neck spine A 0.31 0.13 0.12 0.13 0.12 0.03 0.47 0.46 0.47 0.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72052 X-ray exam of neck spine A 0.36 1.59 1.54 1.59NA 1.54 NA 0.04 1.99 1.94 1.99 1.94 1XXX.00.00.0000000 33.9764 090 99 2.37 2.37 0.05 72052TCX-ray exam of neck spine A 0.00 1.44 1.39 1.44NA 1.39 NA 0.01 1.45 1.40 1.45 1.40 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.02 7205226X-ray exam of neck spine A 0.36 0.15 0.15 0.15 0.15 0.03 0.54 0.54 0.54 0.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72069 X-ray exam of trunk spine A 0.22 0.85 0.85 0.85NA 0.85 NA 0.04 1.11 1.11 1.11 1.11 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.05 72069TCX-ray exam of trunk spine A 0.00 0.75 0.75 0.75NA 0.75 NA 0.01 0.76 0.76 0.76 0.76 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7206926X-ray exam of trunk spine A 0.22 0.10 0.10 0.10 0.10 0.03 0.35 0.35 0.35 0.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72070 X-ray exam of thoracic spine A 0.22 0.77 0.72 0.77NA 0.72 NA 0.02 1.01 0.96 1.01 0.96 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.03 72070TCX-ray exam of thoracic spine A 0.00 0.67 0.62 0.67NA 0.62 NA 0.01 0.68 0.63 0.68 0.63 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7207026X-ray exam of thoracic spine A 0.22 0.10 0.10 0.10 0.10 0.01 0.33 0.33 0.33 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72072 X-ray exam of thoracic spine A 0.22 0.88 0.81 0.88NA 0.81 NA 0.02 1.12 1.05 1.12 1.05 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.03 72072TCX-ray exam of thoracic spine A 0.00 0.79 0.73 0.79NA 0.73 NA 0.01 0.80 0.74 0.80 0.74 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7207226X-ray exam of thoracic spine A 0.22 0.09 0.08 0.09 0.08 0.01 0.32 0.31 0.32 0.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72074 X-ray exam of thoracic spine A 0.22 1.08 1.01 1.08NA 1.01 NA 0.02 1.32 1.25 1.32 1.25 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.02 72074TCX-ray exam of thoracic spine A 0.00 0.99 0.92 0.99NA 0.92 NA 0.01 1.00 0.93 1.00 0.93 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7207426X-ray exam of thoracic spine A 0.22 0.09 0.09 0.09 0.09 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72080 X-ray exam of trunk spine A 0.22 0.83 0.80 0.83NA 0.80 NA 0.04 1.09 1.06 1.09 1.06 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.05 72080TCX-ray exam of trunk spine A 0.00 0.73 0.70 0.73NA 0.70 NA 0.01 0.74 0.71 0.74 0.71 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7208026X-ray exam of trunk spine A 0.22 0.10 0.10 0.10 0.10 0.03 0.35 0.35 0.35 0.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72090 X-ray exam of trunk spine A 0.28 1.14 1.14 1.14NA 1.14 NA 0.05 1.47 1.47 1.47 1.47 1XXX.00.00.0000000 33.9764 090 99 2.34 2.34 0.06 72090TCX-ray exam of trunk spine A 0.00 1.01 1.01 1.01NA 1.01 NA 0.01 1.02 1.02 1.02 1.02 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.02 7209026X-ray exam of trunk spine A 0.28 0.13 0.13 0.13 0.13 0.04 0.45 0.45 0.45 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72100 X-ray exam of lower spine A 0.22 0.95 0.94 0.95NA 0.94 NA 0.04 1.21 1.20 1.21 1.20 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.05 72100TCX-ray exam of lower spine A 0.00 0.85 0.84 0.85NA 0.84 NA 0.01 0.86 0.85 0.86 0.85 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7210026X-ray exam of lower spine A 0.22 0.10 0.10 0.10 0.10 0.03 0.35 0.35 0.35 0.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72110 X-ray exam of lower spine A 0.31 1.30 1.25 1.30NA 1.25 NA 0.04 1.65 1.60 1.65 1.60 1XXX.00.00.0000000 33.9764 090 99 2.34 2.34 0.05 72110TCX-ray exam of lower spine A 0.00 1.17 1.12 1.17NA 1.12 NA 0.01 1.18 1.13 1.18 1.13 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.02 7211026X-ray exam of lower spine A 0.31 0.13 0.13 0.13 0.13 0.03 0.47 0.47 0.47 0.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72114 X-ray exam of lower spine A 0.36 1.80 1.77 1.80NA 1.77 NA 0.05 2.21 2.18 2.21 2.18 1XXX.00.00.0000000 33.9764 090 99 2.38 2.38 0.05 72114TCX-ray exam of lower spine A 0.00 1.64 1.61 1.64NA 1.61 NA 0.01 1.65 1.62 1.65 1.62 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.01 7211426X-ray exam of lower spine A 0.36 0.16 0.16 0.16 0.16 0.04 0.56 0.56 0.56 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72120 X-ray exam of lower spine A 0.22 1.27 1.28 1.27NA 1.28 NA 0.04 1.53 1.54 1.53 1.54 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.04 72120TCX-ray exam of lower spine A 0.00 1.17 1.17 1.17NA 1.17 NA 0.01 1.18 1.18 1.18 1.18 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7212026X-ray exam of lower spine A 0.22 0.10 0.11 0.10 0.11 0.03 0.35 0.36 0.35 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72125 Ct neck spine w/o dye A 1.00 6.39 4.99 6.39NA 4.99 NA 0.06 7.45 6.05 7.45 6.05 1XXX.00.00.0040000 33.9764 090 88 6.15 6.15 0.06 72125TCCt neck spine w/o dye A 0.00 5.94 4.62 5.94NA 4.62 NA 0.01 5.95 4.63 5.95 4.63 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7212526Ct neck spine w/o dye A 1.00 0.45 0.37 0.45 0.37 0.05 1.50 1.42 1.50 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72126 Ct neck spine w/dye A 1.22 7.87 6.22 7.87NA 6.22 NA 0.08 9.17 7.52 9.17 7.52 1XXX.00.00.0040000 33.9764 090 88 9.31 9.31 0.08 72126TCCt neck spine w/dye A 0.00 7.37 5.77 7.37NA 5.77 NA 0.01 7.38 5.78 7.38 5.78 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7212626Ct neck spine w/dye A 1.22 0.50 0.45 0.50 0.45 0.07 1.79 1.74 1.79 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72127 Ct neck spine w/o & w/dye A 1.27 9.76 7.66 9.76NA 7.66 NA 0.08 11.11 9.01 11.11 9.01 1XXX.00.00.0040000 33.9764 090 88 10.35 10.35 0.08 72127TCCt neck spine w/o & w/dye A 0.00 9.24 7.19 9.24NA 7.19 NA 0.01 9.25 7.20 9.25 7.20 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7212726Ct neck spine w/o & w/dye A 1.27 0.52 0.47 0.52 0.47 0.07 1.86 1.81 1.86 1.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72128 Ct chest spine w/o dye A 1.00 6.38 4.98 6.38NA 4.98 NA 0.06 7.44 6.04 7.44 6.04 1XXX.00.00.0040000 33.9764 090 88 6.15 6.15 0.06 72128TCCt chest spine w/o dye A 0.00 5.93 4.61 5.93NA 4.61 NA 0.01 5.94 4.62 5.94 4.62 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7212826Ct chest spine w/o dye A 1.00 0.45 0.37 0.45 0.37 0.05 1.50 1.42 1.50 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72129 Ct chest spine w/dye A 1.22 7.89 6.25 7.89NA 6.25 NA 0.08 9.19 7.55 9.19 7.55 1XXX.00.00.0040000 33.9764 090 88 9.32 9.32 0.08 72129TCCt chest spine w/dye A 0.00 7.38 5.79 7.38NA 5.79 NA 0.01 7.39 5.80 7.39 5.80 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7212926Ct chest spine w/dye A 1.22 0.51 0.46 0.51 0.46 0.07 1.80 1.75 1.80 1.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72130 Ct chest spine w/o & w/dye A 1.27 9.77 7.66 9.77NA 7.66 NA 0.08 11.12 9.01 11.12 9.01 1XXX.00.00.0040000 33.9764 090 88 10.35 10.35 0.08 72130TCCt chest spine w/o & w/dye A 0.00 9.25 7.19 9.25NA 7.19 NA 0.01 9.26 7.20 9.26 7.20 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7213026Ct chest spine w/o & w/dye A 1.27 0.52 0.47 0.52 0.47 0.07 1.86 1.81 1.86 1.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72131 Ct lumbar spine w/o dye A 1.00 6.36 4.97 6.36NA 4.97 NA 0.06 7.42 6.03 7.42 6.03 1XXX.00.00.0040000 33.9764 090 88 6.15 6.15 0.06 72131TCCt lumbar spine w/o dye A 0.00 5.91 4.59 5.91NA 4.59 NA 0.01 5.92 4.60 5.92 4.60 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7213126Ct lumbar spine w/o dye A 1.00 0.45 0.38 0.45 0.38 0.05 1.50 1.43 1.50 1.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72132 Ct lumbar spine w/dye A 1.22 7.87 6.22 7.87NA 6.22 NA 0.08 9.17 7.52 9.17 7.52 1XXX.00.00.0040000 33.9764 090 88 9.32 9.32 0.08 72132TCCt lumbar spine w/dye A 0.00 7.36 5.77 7.36NA 5.77 NA 0.01 7.37 5.78 7.37 5.78 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7213226Ct lumbar spine w/dye A 1.22 0.51 0.45 0.51 0.45 0.07 1.80 1.74 1.80 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72133 Ct lumbar spine w/o & w/dye A 1.27 9.76 7.65 9.76NA 7.65 NA 0.08 11.11 9.00 11.11 9.00 1XXX.00.00.0040000 33.9764 090 88 10.35 10.35 0.08 72133TCCt lumbar spine w/o & w/dye A 0.00 9.24 7.18 9.24NA 7.18 NA 0.01 9.25 7.19 9.25 7.19 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7213326Ct lumbar spine w/o & w/dye A 1.27 0.52 0.47 0.52 0.47 0.07 1.86 1.81 1.86 1.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72141 Mri neck spine w/o dye A 1.60 12.08 9.32 12.08NA 9.32 NA 0.11 13.79 11.03 13.79 11.03 1XXX.00.00.0040000 33.9764 090 88 10.74 10.74 0.11 72141TCMri neck spine w/o dye A 0.00 11.42 8.71 11.42NA 8.71 NA 0.01 11.43 8.72 11.43 8.72 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7214126Mri neck spine w/o dye A 1.60 0.66 0.61 0.66 0.61 0.10 2.36 2.31 2.36 2.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72142 Mri neck spine w/dye A 1.92 15.21 12.02 15.21NA 12.02 NA 0.12 17.25 14.06 17.25 14.06 1XXX.00.00.0040000 33.9764 090 88 13.64 13.64 0.12 72142TCMri neck spine w/dye A 0.00 14.42 11.29 14.42NA 11.29 NA 0.01 14.43 11.30 14.43 11.30 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7214226Mri neck spine w/dye A 1.92 0.79 0.73 0.79 0.73 0.11 2.82 2.76 2.82 2.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72146 Mri chest spine w/o dye A 1.60 12.28 9.33 12.28NA 9.33 NA 0.11 13.99 11.04 13.99 11.04 1XXX.00.00.0040000 33.9764 090 88 10.74 10.74 0.11 72146TCMri chest spine w/o dye A 0.00 11.62 8.73 11.62NA 8.73 NA 0.01 11.63 8.74 11.63 8.74 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7214626Mri chest spine w/o dye A 1.60 0.66 0.60 0.66 0.60 0.10 2.36 2.30 2.36 2.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72147 Mri chest spine w/dye A 1.92 13.52 10.48 13.52NA 10.48 NA 0.12 15.56 12.52 15.56 12.52 1XXX.00.00.0040000 33.9764 090 88 13.65 13.65 0.12 72147TCMri chest spine w/dye A 0.00 12.72 9.75 12.72NA 9.75 NA 0.01 12.73 9.76 12.73 9.76 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7214726Mri chest spine w/dye A 1.92 0.80 0.73 0.80 0.73 0.11 2.83 2.76 2.83 2.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72148 Mri lumbar spine w/o dye A 1.48 12.21 9.26 12.21NA 9.26 NA 0.11 13.80 10.85 13.80 10.85 1XXX.00.00.0040000 33.9764 090 88 10.69 10.69 0.11 72148TCMri lumbar spine w/o dye A 0.00 11.60 8.70 11.60NA 8.70 NA 0.01 11.61 8.71 11.61 8.71 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7214826Mri lumbar spine w/o dye A 1.48 0.61 0.56 0.61 0.56 0.10 2.19 2.14 2.19 2.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72149 Mri lumbar spine w/dye A 1.78 15.07 11.81 15.07NA 11.81 NA 0.12 16.97 13.71 16.97 13.71 1XXX.00.00.0040000 33.9764 090 88 13.59 13.59 0.12 72149TCMri lumbar spine w/dye A 0.00 14.33 11.13 14.33NA 11.13 NA 0.01 14.34 11.14 14.34 11.14 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7214926Mri lumbar spine w/dye A 1.78 0.74 0.68 0.74 0.68 0.11 2.63 2.57 2.63 2.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72156 Mri neck spine w/o & w/dye A 2.57 18.69 13.48 18.69NA 13.48 NA 0.17 21.43 16.22 21.43 16.22 1XXX.00.00.0040000 33.9764 090 88 16.76 16.76 0.17 72156TCMri neck spine w/o & w/dye A 0.00 17.63 12.52 17.63NA 12.52 NA 0.01 17.64 12.53 17.64 12.53 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7215626Mri neck spine w/o & w/dye A 2.57 1.06 0.96 1.06 0.96 0.16 3.79 3.69 3.79 3.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72157 Mri chest spine w/o & w/dye A 2.57 17.42 12.37 17.42NA 12.37 NA 0.17 20.16 15.11 20.16 15.11 1XXX.00.00.0040000 33.9764 090 88 16.76 16.76 0.17 72157TCMri chest spine w/o & w/dye A 0.00 16.36 11.41 16.36NA 11.41 NA 0.01 16.37 11.42 16.37 11.42 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7215726Mri chest spine w/o & w/dye A 2.57 1.06 0.96 1.06 0.96 0.16 3.79 3.69 3.79 3.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72158 Mri lumbar spine w/o & w/dye A 2.36 18.56 13.35 18.56NA 13.35 NA 0.17 21.09 15.88 21.09 15.88 1XXX.00.00.0040000 33.9764 090 88 16.67 16.67 0.17 72158TCMri lumbar spine w/o & w/dye A 0.00 17.59 12.46 17.59NA 12.46 NA 0.01 17.60 12.47 17.60 12.47 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7215826Mri lumbar spine w/o & w/dye A 2.36 0.97 0.89 0.97 0.89 0.16 3.49 3.41 3.49 3.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72159 Mr angio spine w/o&w/dye R 1.80 16.23 13.63 16.23NA 13.63 NA 0.08 18.11 15.51 18.11 15.51 1XXX.00.00.0040000 33.9764 090 88 16.48 16.48 0.08 72159TCMr angio spine w/o&w/dye R 0.00 15.45 12.84 15.45NA 12.84 NA 0.01 15.46 12.85 15.46 12.85 1XXX.00.00.0040900 33.9764 020 88 15.70 15.70 0.01 7215926Mr angio spine w/o&w/dye R 1.80 0.78 0.79 0.78 0.79 0.07 2.65 2.66 2.65 2.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72170 X-ray exam of pelvis A 0.17 0.60 0.57 0.60NA 0.57 NA 0.04 0.81 0.78 0.81 0.78 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.06 72170TCX-ray exam of pelvis A 0.00 0.52 0.49 0.52NA 0.49 NA 0.01 0.53 0.50 0.53 0.50 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.03 7217026X-ray exam of pelvis A 0.17 0.08 0.08 0.08 0.08 0.03 0.28 0.28 0.28 0.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72190 X-ray exam of pelvis A 0.21 1.00 0.99 1.00NA 0.99 NA 0.04 1.25 1.24 1.25 1.24 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.04 72190TCX-ray exam of pelvis A 0.00 0.90 0.89 0.90NA 0.89 NA 0.01 0.91 0.90 0.91 0.90 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7219026X-ray exam of pelvis A 0.21 0.10 0.10 0.10 0.10 0.03 0.34 0.34 0.34 0.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72191 Ct angiograph pelv w/o&w/dye A 1.81 11.52 8.94 11.52NA 8.94 NA 0.13 13.46 10.88 13.46 10.88 1XXX.00.00.0040000 33.9764 090 88 10.70 10.70 0.13 72191TCCt angiograph pelv w/o&w/dye A 0.00 10.77 8.27 10.77NA 8.27 NA 0.01 10.78 8.28 10.78 8.28 1XXX.00.00.0040000 33.9764 020 88 9.95 9.95 0.01 7219126Ct angiograph pelv w/o&w/dye A 1.81 0.75 0.67 0.75 0.67 0.12 2.68 2.60 2.68 2.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72192 Ct pelvis w/o dye A 1.09 6.03 4.69 6.03NA 4.69 NA 0.06 7.18 5.84 7.18 5.84 1XXX.00.00.0040000 33.9764 090 88 6.15 6.15 0.06 72192TCCt pelvis w/o dye A 0.00 5.58 4.28 5.58NA 4.28 NA 0.01 5.59 4.29 5.59 4.29 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7219226Ct pelvis w/o dye A 1.09 0.45 0.41 0.45 0.41 0.05 1.59 1.55 1.59 1.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72193 Ct pelvis w/dye A 1.16 7.46 5.87 7.46NA 5.87 NA 0.08 8.70 7.11 8.70 7.11 1XXX.00.00.0040000 33.9764 090 88 9.29 9.29 0.08 72193TCCt pelvis w/dye A 0.00 6.98 5.44 6.98NA 5.44 NA 0.01 6.99 5.45 6.99 5.45 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7219326Ct pelvis w/dye A 1.16 0.48 0.43 0.48 0.43 0.07 1.71 1.66 1.71 1.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72194 Ct pelvis w/o & w/dye A 1.22 9.84 7.78 9.84NA 7.78 NA 0.08 11.14 9.08 11.14 9.08 1XXX.00.00.0040000 33.9764 090 88 10.33 10.33 0.08 72194TCCt pelvis w/o & w/dye A 0.00 9.34 7.33 9.34NA 7.33 NA 0.01 9.35 7.34 9.35 7.34 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7219426Ct pelvis w/o & w/dye A 1.22 0.50 0.45 0.50 0.45 0.07 1.79 1.74 1.79 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72195 Mri pelvis w/o dye A 1.46 13.63 10.67 13.63NA 10.67 NA 0.11 15.20 12.24 15.20 12.24 1XXX.00.00.0040000 33.9764 090 88 10.69 10.69 0.11 72195TCMri pelvis w/o dye A 0.00 13.03 10.12 13.03NA 10.12 NA 0.01 13.04 10.13 13.04 10.13 1XXX.00.00.0040000 33.9764 010 88 10.09 10.09 0.01 7219526Mri pelvis w/o dye A 1.46 0.60 0.55 0.60 0.55 0.10 2.16 2.11 2.16 2.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72196 Mri pelvis w/dye A 1.73 14.99 11.76 14.99NA 11.76 NA 0.11 16.83 13.60 16.83 13.60 1XXX.00.00.0040000 33.9764 090 88 13.57 13.57 0.11 72196TCMri pelvis w/dye A 0.00 14.27 11.11 14.27NA 11.11 NA 0.01 14.28 11.12 14.28 11.12 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7219626Mri pelvis w/dye A 1.73 0.72 0.65 0.72 0.65 0.10 2.55 2.48 2.55 2.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72197 Mri pelvis w/o & w/dye A 2.26 19.54 14.17 19.54NA 14.17 NA 0.13 21.93 16.56 21.93 16.56 1XXX.00.00.0040000 33.9764 090 88 16.63 16.63 0.13 72197TCMri pelvis w/o & w/dye A 0.00 18.61 13.33 18.61NA 13.33 NA 0.01 18.62 13.34 18.62 13.34 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7219726Mri pelvis w/o & w/dye A 2.26 0.93 0.84 0.93 0.84 0.12 3.31 3.22 3.31 3.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72198 Mr angio pelvis w/o & w/dye A 1.80 14.41 11.52 14.41NA 11.52 NA 0.11 16.32 13.43 16.32 13.43 1XXX.00.00.0040000 33.9764 090 88 16.43 16.43 0.11 72198TCMr angio pelvis w/o & w/dye A 0.00 13.67 10.86 13.67NA 10.86 NA 0.01 13.68 10.87 13.68 10.87 1XXX.00.00.0040000 33.9764 020 88 15.69 15.69 0.01 7219826Mr angio pelvis w/o & w/dye A 1.80 0.74 0.66 0.74 0.66 0.10 2.64 2.56 2.64 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72200 X-ray exam sacroiliac joints A 0.17 0.69 0.65 0.69NA 0.65 NA 0.02 0.88 0.84 0.88 0.84 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.03 72200TCX-ray exam sacroiliac joints A 0.00 0.62 0.58 0.62NA 0.58 NA 0.01 0.63 0.59 0.63 0.59 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7220026X-ray exam sacroiliac joints A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72202 X-ray exam sacroiliac joints A 0.19 0.82 0.76 0.82NA 0.76 NA 0.02 1.03 0.97 1.03 0.97 1XXX.00.00.0000000 33.9764 090 99 1.39 1.39 0.03 72202TCX-ray exam sacroiliac joints A 0.00 0.74 0.69 0.74NA 0.69 NA 0.01 0.75 0.70 0.75 0.70 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7220226X-ray exam sacroiliac joints A 0.19 0.08 0.07 0.08 0.07 0.01 0.28 0.27 0.28 0.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72220 X-ray exam of tailbone A 0.17 0.68 0.63 0.68NA 0.63 NA 0.02 0.87 0.82 0.87 0.82 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.03 72220TCX-ray exam of tailbone A 0.00 0.61 0.56 0.61NA 0.56 NA 0.01 0.62 0.57 0.62 0.57 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7222026X-ray exam of tailbone A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72240 Contrast x-ray of neck spine A 0.91 3.31 2.73 3.31NA 2.73 NA 0.06 4.28 3.70 4.28 3.70 1XXX.00.00.0000000 33.9764 090 99 15.02 15.02 0.10 72240TCContrast x-ray of neck spine A 0.00 2.93 2.38 2.93NA 2.38 NA 0.01 2.94 2.39 2.94 2.39 1XXX.00.00.0000000 33.9764 030 99 14.64 14.64 0.05 7224026Contrast x-ray of neck spine A 0.91 0.38 0.35 0.38 0.35 0.05 1.34 1.31 1.34 1.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72255 Contrast x-ray thorax spine A 0.91 3.06 2.65 3.06NA 2.65 NA 0.05 4.02 3.61 4.02 3.61 1XXX.00.00.0000000 33.9764 090 99 15.00 15.00 0.09 72255TCContrast x-ray thorax spine A 0.00 2.69 2.28 2.69NA 2.28 NA 0.01 2.70 2.29 2.70 2.29 1XXX.00.00.0000000 33.9764 030 99 14.63 14.63 0.05 7225526Contrast x-ray thorax spine A 0.91 0.37 0.37 0.37 0.37 0.04 1.32 1.32 1.32 1.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72265 Contrast x-ray lower spine A 0.83 3.20 2.75 3.20NA 2.75 NA 0.05 4.08 3.63 4.08 3.63 1XXX.00.00.0000000 33.9764 090 99 14.99 14.99 0.09 72265TCContrast x-ray lower spine A 0.00 2.85 2.42 2.85NA 2.42 NA 0.01 2.86 2.43 2.86 2.43 1XXX.00.00.0000000 33.9764 030 99 14.64 14.64 0.05 7226526Contrast x-ray lower spine A 0.83 0.35 0.33 0.35 0.33 0.04 1.22 1.20 1.22 1.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72270 Contrast x-ray spine A 1.33 4.94 4.24 4.94NA 4.24 NA 0.08 6.35 5.65 6.35 5.65 1XXX.00.00.0000000 33.9764 090 99 15.21 15.21 0.10 72270TCContrast x-ray spine A 0.00 4.39 3.73 4.39NA 3.73 NA 0.01 4.40 3.74 4.40 3.74 1XXX.00.00.0000000 33.9764 030 99 14.66 14.66 0.03 7227026Contrast x-ray spine A 1.33 0.55 0.51 0.55 0.51 0.07 1.95 1.91 1.95 1.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72275 Epidurography A 0.76 2.49 2.68 2.49NA 2.68 NA 0.05 3.30 3.49 3.30 3.49 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 72275TCEpidurography A 0.00 2.17 2.30 2.17NA 2.30 NA 0.01 2.18 2.31 2.18 2.31 1XXX.00.00.0099999 33.9764 030 99 0.00 0.00 0.00 7227526Epidurography A 0.76 0.32 0.38 0.32 0.38 0.04 1.12 1.18 1.12 1.18 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 72285 X-ray c/t spine disk A 1.16 3.14 2.26 3.14NA 2.26 NA 0.06 4.36 3.48 4.36 3.48 1XXX.00.00.0000000 33.9764 090 99 49.54 49.54 0.24 72285TCX-ray c/t spine disk A 0.00 2.63 1.66 2.63NA 1.66 NA 0.01 2.64 1.67 2.64 1.67 1XXX.00.00.0000000 33.9764 030 99 49.03 49.03 0.19 7228526X-ray c/t spine disk A 1.16 0.51 0.60 0.51 0.60 0.05 1.72 1.81 1.72 1.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72291 Perq verte/sacroplsty fluor C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72291TCPerq verte/sacroplsty fluor C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7229126Perq verte/sacroplsty fluor A 1.31 0.61 0.60 0.61 0.60 0.22 2.14 2.13 2.14 2.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72292 Perq verte/sacroplsty ct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72292TCPerq verte/sacroplsty ct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7229226Perq verte/sacroplsty ct A 1.38 0.62 0.58 0.62 0.58 0.20 2.20 2.16 2.20 2.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 72295 X-ray of lower spine disk A 0.83 2.96 2.12 2.96NA 2.12 NA 0.05 3.84 3.00 3.84 3.00 1XXX.00.00.0000000 33.9764 090 99 49.40 49.40 0.23 72295TCX-ray of lower spine disk A 0.00 2.59 1.70 2.59NA 1.70 NA 0.01 2.60 1.71 2.60 1.71 1XXX.00.00.0000000 33.9764 030 99 49.03 49.03 0.19 7229526X-ray of lower spine disk A 0.83 0.37 0.42 0.37 0.42 0.04 1.24 1.29 1.24 1.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73000 X-ray exam of collar bone A 0.16 0.67 0.66 0.67NA 0.66 NA 0.02 0.85 0.84 0.85 0.84 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73000TCX-ray exam of collar bone A 0.00 0.60 0.58 0.60NA 0.58 NA 0.01 0.61 0.59 0.61 0.59 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7300026X-ray exam of collar bone A 0.16 0.07 0.08 0.07 0.08 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73010 X-ray exam of shoulder blade A 0.17 0.70 0.70 0.70NA 0.70 NA 0.04 0.91 0.91 0.91 0.91 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.05 73010TCX-ray exam of shoulder blade A 0.00 0.62 0.62 0.62NA 0.62 NA 0.01 0.63 0.63 0.63 0.63 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7301026X-ray exam of shoulder blade A 0.17 0.08 0.08 0.08 0.08 0.03 0.28 0.28 0.28 0.28 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73020 X-ray exam of shoulder A 0.15 0.53 0.52 0.53NA 0.52 NA 0.02 0.70 0.69 0.70 0.69 1XXX.00.00.0003000 33.9764 090 99 1.36 1.36 0.04 73020TCX-ray exam of shoulder A 0.00 0.47 0.45 0.47NA 0.45 NA 0.01 0.48 0.46 0.48 0.46 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.03 7302026X-ray exam of shoulder A 0.15 0.06 0.07 0.06 0.07 0.01 0.22 0.23 0.22 0.23 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73030 X-ray exam of shoulder A 0.18 0.70 0.68 0.70NA 0.68 NA 0.04 0.92 0.90 0.92 0.90 1XXX.00.00.0003000 33.9764 090 99 1.39 1.39 0.05 73030TCX-ray exam of shoulder A 0.00 0.61 0.59 0.61NA 0.59 NA 0.01 0.62 0.60 0.62 0.60 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7303026X-ray exam of shoulder A 0.18 0.09 0.09 0.09 0.09 0.03 0.30 0.30 0.30 0.30 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73040 Contrast x-ray of shoulder A 0.54 2.60 2.46 2.60NA 2.46 NA 0.05 3.19 3.05 3.19 3.05 1XXX.00.00.0003000 33.9764 090 99 8.29 8.29 0.07 73040TCContrast x-ray of shoulder A 0.00 2.37 2.24 2.37NA 2.24 NA 0.01 2.38 2.25 2.38 2.25 1XXX.00.00.0003000 33.9764 030 99 8.06 8.06 0.03 7304026Contrast x-ray of shoulder A 0.54 0.23 0.22 0.23 0.22 0.04 0.81 0.80 0.81 0.80 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73050 X-ray exam of shoulders A 0.20 0.90 0.91 0.90NA 0.91 NA 0.04 1.14 1.15 1.14 1.15 1XXX.00.00.0002000 33.9764 090 99 1.41 1.41 0.05 73050TCX-ray exam of shoulders A 0.00 0.80 0.81 0.80NA 0.81 NA 0.01 0.81 0.82 0.81 0.82 1XXX.00.00.0002000 33.9764 010 99 1.31 1.31 0.02 7305026X-ray exam of shoulders A 0.20 0.10 0.10 0.10 0.10 0.03 0.33 0.33 0.33 0.33 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 73060 X-ray exam of humerus A 0.17 0.68 0.65 0.68NA 0.65 NA 0.02 0.87 0.84 0.87 0.84 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73060TCX-ray exam of humerus A 0.00 0.60 0.57 0.60NA 0.57 NA 0.01 0.61 0.58 0.61 0.58 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7306026X-ray exam of humerus A 0.17 0.08 0.08 0.08 0.08 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73070 X-ray exam of elbow A 0.15 0.67 0.65 0.67NA 0.65 NA 0.02 0.84 0.82 0.84 0.82 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73070TCX-ray exam of elbow A 0.00 0.60 0.58 0.60NA 0.58 NA 0.01 0.61 0.59 0.61 0.59 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7307026X-ray exam of elbow A 0.15 0.07 0.07 0.07 0.07 0.01 0.23 0.23 0.23 0.23 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73080 X-ray exam of elbow A 0.17 0.82 0.77 0.82NA 0.77 NA 0.02 1.01 0.96 1.01 0.96 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73080TCX-ray exam of elbow A 0.00 0.75 0.70 0.75NA 0.70 NA 0.01 0.76 0.71 0.76 0.71 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7308026X-ray exam of elbow A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73085 Contrast x-ray of elbow A 0.54 2.31 2.21 2.31NA 2.21 NA 0.04 2.89 2.79 2.89 2.79 1XXX.00.00.0003000 33.9764 090 99 8.30 8.30 0.07 73085TCContrast x-ray of elbow A 0.00 2.07 1.96 2.07NA 1.96 NA 0.01 2.08 1.97 2.08 1.97 1XXX.00.00.0003000 33.9764 030 99 8.06 8.06 0.04 7308526Contrast x-ray of elbow A 0.54 0.24 0.25 0.24 0.25 0.03 0.81 0.82 0.81 0.82 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73090 X-ray exam of forearm A 0.16 0.65 0.62 0.65NA 0.62 NA 0.02 0.83 0.80 0.83 0.80 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73090TCX-ray exam of forearm A 0.00 0.58 0.55 0.58NA 0.55 NA 0.01 0.59 0.56 0.59 0.56 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7309026X-ray exam of forearm A 0.16 0.07 0.07 0.07 0.07 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73092 X-ray exam of arm infant A 0.16 0.73 0.76 0.73NA 0.76 NA 0.02 0.91 0.94 0.91 0.94 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73092TCX-ray exam of arm infant A 0.00 0.66 0.69 0.66NA 0.69 NA 0.01 0.67 0.70 0.67 0.70 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7309226X-ray exam of arm infant A 0.16 0.07 0.07 0.07 0.07 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73100 X-ray exam of wrist A 0.16 0.72 0.73 0.72NA 0.73 NA 0.04 0.92 0.93 0.92 0.93 1XXX.00.00.0003000 33.9764 090 99 1.39 1.39 0.05 73100TCX-ray exam of wrist A 0.00 0.64 0.65 0.64NA 0.65 NA 0.01 0.65 0.66 0.65 0.66 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7310026X-ray exam of wrist A 0.16 0.08 0.08 0.08 0.08 0.03 0.27 0.27 0.27 0.27 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73110 X-ray exam of wrist A 0.17 0.89 0.89 0.89NA 0.89 NA 0.02 1.08 1.08 1.08 1.08 1XXX.00.00.0003000 33.9764 090 99 1.39 1.39 0.03 73110TCX-ray exam of wrist A 0.00 0.81 0.81 0.81NA 0.81 NA 0.01 0.82 0.82 0.82 0.82 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7311026X-ray exam of wrist A 0.17 0.08 0.08 0.08 0.08 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73115 Contrast x-ray of wrist A 0.54 2.64 2.66 2.64NA 2.66 NA 0.05 3.23 3.25 3.23 3.25 1XXX.00.00.0003000 33.9764 090 99 8.31 8.31 0.07 73115TCContrast x-ray of wrist A 0.00 2.39 2.41 2.39NA 2.41 NA 0.01 2.40 2.42 2.40 2.42 1XXX.00.00.0003000 33.9764 030 99 8.06 8.06 0.03 7311526Contrast x-ray of wrist A 0.54 0.25 0.25 0.25 0.25 0.04 0.83 0.83 0.83 0.83 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73120 X-ray exam of hand A 0.16 0.64 0.62 0.64NA 0.62 NA 0.02 0.82 0.80 0.82 0.80 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73120TCX-ray exam of hand A 0.00 0.57 0.55 0.57NA 0.55 NA 0.01 0.58 0.56 0.58 0.56 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7312026X-ray exam of hand A 0.16 0.07 0.07 0.07 0.07 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73130 X-ray exam of hand A 0.17 0.76 0.75 0.76NA 0.75 NA 0.02 0.95 0.94 0.95 0.94 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73130TCX-ray exam of hand A 0.00 0.69 0.67 0.69NA 0.67 NA 0.01 0.70 0.68 0.70 0.68 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7313026X-ray exam of hand A 0.17 0.07 0.08 0.07 0.08 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73140 X-ray exam of finger(s) A 0.13 0.78 0.81 0.78NA 0.81 NA 0.02 0.93 0.96 0.93 0.96 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73140TCX-ray exam of finger(s) A 0.00 0.72 0.75 0.72NA 0.75 NA 0.01 0.73 0.76 0.73 0.76 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7314026X-ray exam of finger(s) A 0.13 0.06 0.06 0.06 0.06 0.01 0.20 0.20 0.20 0.20 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73200 Ct upper extremity w/o dye A 1.00 6.17 4.93 6.17NA 4.93 NA 0.08 7.25 6.01 7.25 6.01 1XXX.00.00.0043000 33.9764 090 88 6.13 6.13 0.08 73200TCCt upper extremity w/o dye A 0.00 5.74 4.56 5.74NA 4.56 NA 0.01 5.75 4.57 5.75 4.57 1XXX.00.00.0043000 33.9764 010 88 5.70 5.70 0.01 7320026Ct upper extremity w/o dye A 1.00 0.43 0.37 0.43 0.37 0.07 1.50 1.44 1.50 1.44 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73201 Ct upper extremity w/dye A 1.16 7.61 6.15 7.61NA 6.15 NA 0.08 8.85 7.39 8.85 7.39 1XXX.00.00.0043000 33.9764 090 88 9.29 9.29 0.08 73201TCCt upper extremity w/dye A 0.00 7.13 5.71 7.13NA 5.71 NA 0.01 7.14 5.72 7.14 5.72 1XXX.00.00.0043000 33.9764 020 88 8.81 8.81 0.01 7320126Ct upper extremity w/dye A 1.16 0.48 0.44 0.48 0.44 0.07 1.71 1.67 1.71 1.67 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73202 Ct uppr extremity w/o&w/dye A 1.22 10.02 8.09 10.02NA 8.09 NA 0.08 11.32 9.39 11.32 9.39 1XXX.00.00.0043000 33.9764 090 88 10.33 10.33 0.08 73202TCCt uppr extremity w/o&w/dye A 0.00 9.52 7.63 9.52NA 7.63 NA 0.01 9.53 7.64 9.53 7.64 1XXX.00.00.0043000 33.9764 020 88 9.83 9.83 0.01 7320226Ct uppr extremity w/o&w/dye A 1.22 0.50 0.46 0.50 0.46 0.07 1.79 1.75 1.79 1.75 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73206 Ct angio upr extrm w/o&w/dye A 1.81 10.93 8.48 10.93NA 8.48 NA 0.09 12.83 10.38 12.83 10.38 1XXX.00.00.0040000 33.9764 090 88 10.71 10.71 0.09 73206TCCt angio upr extrm w/o&w/dye A 0.00 10.17 7.81 10.17NA 7.81 NA 0.01 10.18 7.82 10.18 7.82 1XXX.00.00.0040000 33.9764 020 88 9.95 9.95 0.01 7320626Ct angio upr extrm w/o&w/dye A 1.81 0.76 0.67 0.76 0.67 0.08 2.65 2.56 2.65 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73218 Mri upper extremity w/o dye A 1.35 13.86 10.93 13.86NA 10.93 NA 0.08 15.29 12.36 15.29 12.36 1XXX.00.00.0043000 33.9764 090 88 10.65 10.65 0.08 73218TCMri upper extremity w/o dye A 0.00 13.30 10.40 13.30NA 10.40 NA 0.01 13.31 10.41 13.31 10.41 1XXX.00.00.0043000 33.9764 010 88 10.09 10.09 0.01 7321826Mri upper extremity w/o dye A 1.35 0.56 0.53 0.56 0.53 0.07 1.98 1.95 1.98 1.95 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73219 Mri upper extremity w/dye A 1.62 14.82 11.43 14.82NA 11.43 NA 0.11 16.55 13.16 16.55 13.16 1XXX.00.00.0043000 33.9764 090 88 13.52 13.52 0.11 73219TCMri upper extremity w/dye A 0.00 14.15 10.82 14.15NA 10.82 NA 0.01 14.16 10.83 14.16 10.83 1XXX.00.00.0043000 33.9764 020 88 12.85 12.85 0.01 7321926Mri upper extremity w/dye A 1.62 0.67 0.61 0.67 0.61 0.10 2.39 2.33 2.39 2.33 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73220 Mri uppr extremity w/o&w/dye A 2.15 19.58 14.21 19.58NA 14.21 NA 0.13 21.86 16.49 21.86 16.49 1XXX.00.00.0043000 33.9764 090 88 16.59 16.59 0.13 73220TCMri uppr extremity w/o&w/dye A 0.00 18.69 13.40 18.69NA 13.40 NA 0.01 18.70 13.41 18.70 13.41 1XXX.00.00.0043000 33.9764 020 88 15.70 15.70 0.01 7322026Mri uppr extremity w/o&w/dye A 2.15 0.89 0.81 0.89 0.81 0.12 3.16 3.08 3.16 3.08 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73221 Mri joint upr extrem w/o dye A 1.35 12.95 10.12 12.95NA 10.12 NA 0.11 14.41 11.58 14.41 11.58 1XXX.00.00.0043000 33.9764 090 88 10.66 10.66 0.11 73221TCMri joint upr extrem w/o dye A 0.00 12.38 9.59 12.38NA 9.59 NA 0.01 12.39 9.60 12.39 9.60 1XXX.00.00.0043000 33.9764 010 88 10.09 10.09 0.01 7322126Mri joint upr extrem w/o dye A 1.35 0.57 0.53 0.57 0.53 0.10 2.02 1.98 2.02 1.98 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73222 Mri joint upr extrem w/dye A 1.62 13.97 10.75 13.97NA 10.75 NA 0.11 15.70 12.48 15.70 12.48 1XXX.00.00.0043000 33.9764 090 88 13.52 13.52 0.11 73222TCMri joint upr extrem w/dye A 0.00 13.30 10.14 13.30NA 10.14 NA 0.01 13.31 10.15 13.31 10.15 1XXX.00.00.0043000 33.9764 020 88 12.85 12.85 0.01 7322226Mri joint upr extrem w/dye A 1.62 0.67 0.61 0.67 0.61 0.10 2.39 2.33 2.39 2.33 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73223 Mri joint upr extr w/o&w/dye A 2.15 18.47 13.25 18.47NA 13.25 NA 0.13 20.75 15.53 20.75 15.53 1XXX.00.00.0043000 33.9764 090 88 16.58 16.58 0.13 73223TCMri joint upr extr w/o&w/dye A 0.00 17.59 12.43 17.59NA 12.43 NA 0.01 17.60 12.44 17.60 12.44 1XXX.00.00.0043000 33.9764 020 88 15.70 15.70 0.01 7322326Mri joint upr extr w/o&w/dye A 2.15 0.88 0.82 0.88 0.82 0.12 3.15 3.09 3.15 3.09 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73225 Mr angio upr extr w/o&w/dye R 1.73 16.01 13.60 16.01NA 13.60 NA 0.08 17.82 15.41 17.82 15.41 1XXX.00.00.0040000 33.9764 090 88 16.44 16.44 0.08 73225TCMr angio upr extr w/o&w/dye R 0.00 15.26 12.84 15.26NA 12.84 NA 0.01 15.27 12.85 15.27 12.85 1XXX.00.00.0040900 33.9764 020 88 15.69 15.69 0.01 7322526Mr angio upr extr w/o&w/dye R 1.73 0.75 0.76 0.75 0.76 0.07 2.55 2.56 2.55 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73500 X-ray exam of hip A 0.17 0.59 0.58 0.59NA 0.58 NA 0.04 0.80 0.79 0.80 0.79 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.06 73500TCX-ray exam of hip A 0.00 0.51 0.50 0.51NA 0.50 NA 0.01 0.52 0.51 0.52 0.51 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.03 7350026X-ray exam of hip A 0.17 0.08 0.08 0.08 0.08 0.03 0.28 0.28 0.28 0.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73510 X-ray exam of hip A 0.21 0.90 0.89 0.90NA 0.89 NA 0.04 1.15 1.14 1.15 1.14 1XXX.00.00.0000000 33.9764 090 99 1.41 1.41 0.05 73510TCX-ray exam of hip A 0.00 0.80 0.79 0.80NA 0.79 NA 0.01 0.81 0.80 0.81 0.80 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7351026X-ray exam of hip A 0.21 0.10 0.10 0.10 0.10 0.03 0.34 0.34 0.34 0.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73520 X-ray exam of hips A 0.26 0.91 0.89 0.91NA 0.89 NA 0.04 1.21 1.19 1.21 1.19 1XXX.00.00.0002000 33.9764 090 99 1.42 1.42 0.05 73520TCX-ray exam of hips A 0.00 0.80 0.77 0.80NA 0.77 NA 0.01 0.81 0.78 0.81 0.78 1XXX.00.00.0002000 33.9764 010 99 1.31 1.31 0.02 7352026X-ray exam of hips A 0.26 0.11 0.12 0.11 0.12 0.03 0.40 0.41 0.40 0.41 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 73525 Contrast x-ray of hip A 0.54 2.38 2.37 2.38NA 2.37 NA 0.05 2.97 2.96 2.97 2.96 1XXX.00.00.0003000 33.9764 090 99 8.31 8.31 0.08 73525TCContrast x-ray of hip A 0.00 2.13 2.11 2.13NA 2.11 NA 0.01 2.14 2.12 2.14 2.12 1XXX.00.00.0003000 33.9764 030 99 8.06 8.06 0.04 7352526Contrast x-ray of hip A 0.54 0.25 0.26 0.25 0.26 0.04 0.83 0.84 0.83 0.84 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73530 X-ray exam of hip C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73530TCX-ray exam of hip C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0003000 33.9764 030 99 0.00 0.00 0.00 7353026X-ray exam of hip A 0.29 0.12 0.11 0.12 0.11 0.03 0.44 0.43 0.44 0.43 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73540 X-ray exam of pelvis & hips A 0.20 0.97 1.03 0.97NA 1.03 NA 0.04 1.21 1.27 1.21 1.27 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.04 73540TCX-ray exam of pelvis & hips A 0.00 0.88 0.93 0.88NA 0.93 NA 0.01 0.89 0.94 0.89 0.94 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.01 7354026X-ray exam of pelvis & hips A 0.20 0.09 0.10 0.09 0.10 0.03 0.32 0.33 0.32 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 73542 X-ray exam sacroiliac joint A 0.59 1.81 1.85 1.81NA 1.85 NA 0.04 2.44 2.48 2.44 2.48 1XXX.00.00.0099999 33.9764 090 99 8.29 8.29 0.08 73542TCX-ray exam sacroiliac joint A 0.00 1.56 1.56 1.56NA 1.56 NA 0.01 1.57 1.57 1.57 1.57 1XXX.00.00.0099999 33.9764 030 99 8.04 8.04 0.05 7354226X-ray exam sacroiliac joint A 0.59 0.25 0.29 0.25 0.29 0.03 0.87 0.91 0.87 0.91 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 73550 X-ray exam of thigh A 0.17 0.64 0.62 0.64NA 0.62 NA 0.04 0.85 0.83 0.85 0.83 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.05 73550TCX-ray exam of thigh A 0.00 0.57 0.54 0.57NA 0.54 NA 0.01 0.58 0.55 0.58 0.55 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7355026X-ray exam of thigh A 0.17 0.07 0.08 0.07 0.08 0.03 0.27 0.28 0.27 0.28 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73560 X-ray exam of knee 1 or 2 A 0.17 0.70 0.69 0.70NA 0.69 NA 0.04 0.91 0.90 0.91 0.90 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.05 73560TCX-ray exam of knee 1 or 2 A 0.00 0.62 0.61 0.62NA 0.61 NA 0.01 0.63 0.62 0.63 0.62 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7356026X-ray exam of knee 1 or 2 A 0.17 0.08 0.08 0.08 0.08 0.03 0.28 0.28 0.28 0.28 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73562 X-ray exam of knee 3 A 0.18 0.87 0.87 0.87NA 0.87 NA 0.04 1.09 1.09 1.09 1.09 1XXX.00.00.0003000 33.9764 090 99 1.40 1.40 0.05 73562TCX-ray exam of knee 3 A 0.00 0.78 0.78 0.78NA 0.78 NA 0.01 0.79 0.79 0.79 0.79 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7356226X-ray exam of knee 3 A 0.18 0.09 0.09 0.09 0.09 0.03 0.30 0.30 0.30 0.30 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73564 X-ray exam knee 4 or more A 0.22 0.99 1.00 0.99NA 1.00 NA 0.04 1.25 1.26 1.25 1.26 1XXX.00.00.0003000 33.9764 090 99 1.41 1.41 0.04 73564TCX-ray exam knee 4 or more A 0.00 0.89 0.90 0.89NA 0.90 NA 0.01 0.90 0.91 0.90 0.91 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.01 7356426X-ray exam knee 4 or more A 0.22 0.10 0.10 0.10 0.10 0.03 0.35 0.35 0.35 0.35 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73565 X-ray exam of knees A 0.17 0.80 0.83 0.80NA 0.83 NA 0.04 1.01 1.04 1.01 1.04 1XXX.00.00.0002000 33.9764 090 99 1.40 1.40 0.05 73565TCX-ray exam of knees A 0.00 0.71 0.74 0.71NA 0.74 NA 0.01 0.72 0.75 0.72 0.75 1XXX.00.00.0002000 33.9764 010 99 1.31 1.31 0.02 7356526X-ray exam of knees A 0.17 0.09 0.09 0.09 0.09 0.03 0.29 0.29 0.29 0.29 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 73580 Contrast x-ray of knee joint A 0.54 3.30 3.42 3.30NA 3.42 NA 0.06 3.90 4.02 3.90 4.02 1XXX.00.00.0003000 33.9764 090 99 8.34 8.34 0.08 73580TCContrast x-ray of knee joint A 0.00 3.03 3.13 3.03NA 3.13 NA 0.01 3.04 3.14 3.04 3.14 1XXX.00.00.0003000 33.9764 030 99 8.07 8.07 0.03 7358026Contrast x-ray of knee joint A 0.54 0.27 0.29 0.27 0.29 0.05 0.86 0.88 0.86 0.88 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73590 X-ray exam of lower leg A 0.17 0.63 0.60 0.63NA 0.60 NA 0.02 0.82 0.79 0.82 0.79 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73590TCX-ray exam of lower leg A 0.00 0.56 0.53 0.56NA 0.53 NA 0.01 0.57 0.54 0.57 0.54 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7359026X-ray exam of lower leg A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73592 X-ray exam of leg infant A 0.16 0.74 0.79 0.74NA 0.79 NA 0.02 0.92 0.97 0.92 0.97 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73592TCX-ray exam of leg infant A 0.00 0.67 0.71 0.67NA 0.71 NA 0.01 0.68 0.72 0.68 0.72 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7359226X-ray exam of leg infant A 0.16 0.07 0.08 0.07 0.08 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73600 X-ray exam of ankle A 0.16 0.66 0.65 0.66NA 0.65 NA 0.02 0.84 0.83 0.84 0.83 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73600TCX-ray exam of ankle A 0.00 0.59 0.58 0.59NA 0.58 NA 0.01 0.60 0.59 0.60 0.59 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7360026X-ray exam of ankle A 0.16 0.07 0.07 0.07 0.07 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73610 X-ray exam of ankle A 0.17 0.77 0.78 0.77NA 0.78 NA 0.02 0.96 0.97 0.96 0.97 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73610TCX-ray exam of ankle A 0.00 0.70 0.70 0.70NA 0.70 NA 0.01 0.71 0.71 0.71 0.71 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7361026X-ray exam of ankle A 0.17 0.07 0.08 0.07 0.08 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73615 Contrast x-ray of ankle A 0.54 2.49 2.51 2.49NA 2.51 NA 0.05 3.08 3.10 3.08 3.10 1XXX.00.00.0003000 33.9764 090 99 8.31 8.31 0.08 73615TCContrast x-ray of ankle A 0.00 2.24 2.24 2.24NA 2.24 NA 0.01 2.25 2.25 2.25 2.25 1XXX.00.00.0003000 33.9764 030 99 8.06 8.06 0.04 7361526Contrast x-ray of ankle A 0.54 0.25 0.27 0.25 0.27 0.04 0.83 0.85 0.83 0.85 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73620 X-ray exam of foot A 0.16 0.63 0.63 0.63NA 0.63 NA 0.02 0.81 0.81 0.81 0.81 1XXX.00.00.0003000 33.9764 090 99 1.36 1.36 0.03 73620TCX-ray exam of foot A 0.00 0.57 0.57 0.57NA 0.57 NA 0.01 0.58 0.58 0.58 0.58 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7362026X-ray exam of foot A 0.16 0.06 0.06 0.06 0.06 0.01 0.23 0.23 0.23 0.23 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73630 X-ray exam of foot A 0.17 0.75 0.72 0.75NA 0.72 NA 0.02 0.94 0.91 0.94 0.91 1XXX.00.00.0003000 33.9764 090 99 1.38 1.38 0.03 73630TCX-ray exam of foot A 0.00 0.68 0.65 0.68NA 0.65 NA 0.01 0.69 0.66 0.69 0.66 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7363026X-ray exam of foot A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73650 X-ray exam of heel A 0.16 0.65 0.65 0.65NA 0.65 NA 0.02 0.83 0.83 0.83 0.83 1XXX.00.00.0003000 33.9764 090 99 1.37 1.37 0.03 73650TCX-ray exam of heel A 0.00 0.58 0.58 0.58NA 0.58 NA 0.01 0.59 0.59 0.59 0.59 1XXX.00.00.0003000 33.9764 010 99 1.30 1.30 0.02 7365026X-ray exam of heel A 0.16 0.07 0.07 0.07 0.07 0.01 0.24 0.24 0.24 0.24 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73660 X-ray exam of toe(s) A 0.13 0.72 0.73 0.72NA 0.73 NA 0.02 0.87 0.88 0.87 0.88 1XXX.00.00.0003000 33.9764 090 99 1.36 1.36 0.03 73660TCX-ray exam of toe(s) A 0.00 0.67 0.67 0.67NA 0.67 NA 0.01 0.68 0.68 0.68 0.68 1XXX.00.00.0003000 33.9764 010 99 1.31 1.31 0.02 7366026X-ray exam of toe(s) A 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73700 Ct lower extremity w/o dye A 1.00 6.18 4.94 6.18NA 4.94 NA 0.08 7.26 6.02 7.26 6.02 1XXX.00.00.0043000 33.9764 090 88 6.13 6.13 0.08 73700TCCt lower extremity w/o dye A 0.00 5.75 4.57 5.75NA 4.57 NA 0.01 5.76 4.58 5.76 4.58 1XXX.00.00.0043000 33.9764 010 88 5.70 5.70 0.01 7370026Ct lower extremity w/o dye A 1.00 0.43 0.37 0.43 0.37 0.07 1.50 1.44 1.50 1.44 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73701 Ct lower extremity w/dye A 1.16 7.69 6.23 7.69NA 6.23 NA 0.08 8.93 7.47 8.93 7.47 1XXX.00.00.0043000 33.9764 090 88 9.29 9.29 0.08 73701TCCt lower extremity w/dye A 0.00 7.21 5.80 7.21NA 5.80 NA 0.01 7.22 5.81 7.22 5.81 1XXX.00.00.0043000 33.9764 020 88 8.81 8.81 0.01 7370126Ct lower extremity w/dye A 1.16 0.48 0.43 0.48 0.43 0.07 1.71 1.66 1.71 1.66 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73702 Ct lwr extremity w/o&w/dye A 1.22 10.08 8.16 10.08NA 8.16 NA 0.08 11.38 9.46 11.38 9.46 1XXX.00.00.0043000 33.9764 090 88 10.34 10.34 0.08 73702TCCt lwr extremity w/o&w/dye A 0.00 9.57 7.70 9.57NA 7.70 NA 0.01 9.58 7.71 9.58 7.71 1XXX.00.00.0043000 33.9764 020 88 9.83 9.83 0.01 7370226Ct lwr extremity w/o&w/dye A 1.22 0.51 0.46 0.51 0.46 0.07 1.80 1.75 1.80 1.75 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73706 Ct angio lwr extr w/o&w/dye A 1.90 12.10 9.53 12.10NA 9.53 NA 0.12 14.12 11.55 14.12 11.55 1XXX.00.00.0043000 33.9764 090 88 10.75 10.75 0.12 73706TCCt angio lwr extr w/o&w/dye A 0.00 11.30 8.82 11.30NA 8.82 NA 0.01 11.31 8.83 11.31 8.83 1XXX.00.00.0043000 33.9764 020 88 9.95 9.95 0.01 7370626Ct angio lwr extr w/o&w/dye A 1.90 0.80 0.71 0.80 0.71 0.11 2.81 2.72 2.81 2.72 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73718 Mri lower extremity w/o dye A 1.35 13.54 10.64 13.54NA 10.64 NA 0.09 14.98 12.08 14.98 12.08 1XXX.00.00.0043000 33.9764 090 88 10.64 10.64 0.09 73718TCMri lower extremity w/o dye A 0.00 12.99 10.13 12.99NA 10.13 NA 0.01 13.00 10.14 13.00 10.14 1XXX.00.00.0043000 33.9764 010 88 10.09 10.09 0.01 7371826Mri lower extremity w/o dye A 1.35 0.55 0.51 0.55 0.51 0.08 1.98 1.94 1.98 1.94 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73719 Mri lower extremity w/dye A 1.62 14.77 11.55 14.77NA 11.55 NA 0.11 16.50 13.28 16.50 13.28 1XXX.00.00.0043000 33.9764 090 88 13.51 13.51 0.11 73719TCMri lower extremity w/dye A 0.00 14.11 10.95 14.11NA 10.95 NA 0.01 14.12 10.96 14.12 10.96 1XXX.00.00.0043000 33.9764 020 88 12.85 12.85 0.01 7371926Mri lower extremity w/dye A 1.62 0.66 0.60 0.66 0.60 0.10 2.38 2.32 2.38 2.32 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73720 Mri lwr extremity w/o&w/dye A 2.15 19.60 14.26 19.60NA 14.26 NA 0.13 21.88 16.54 21.88 16.54 1XXX.00.00.0043000 33.9764 090 88 16.58 16.58 0.13 73720TCMri lwr extremity w/o&w/dye A 0.00 18.72 13.46 18.72NA 13.46 NA 0.01 18.73 13.47 18.73 13.47 1XXX.00.00.0043000 33.9764 020 88 15.70 15.70 0.01 7372026Mri lwr extremity w/o&w/dye A 2.15 0.88 0.80 0.88 0.80 0.12 3.15 3.07 3.15 3.07 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73721 Mri jnt of lwr extre w/o dye A 1.35 13.22 10.38 13.22NA 10.38 NA 0.11 14.68 11.84 14.68 11.84 1XXX.00.00.0043000 33.9764 090 88 10.65 10.65 0.11 73721TCMri jnt of lwr extre w/o dye A 0.00 12.66 9.85 12.66NA 9.85 NA 0.01 12.67 9.86 12.67 9.86 1XXX.00.00.0043000 33.9764 010 88 10.09 10.09 0.01 7372126Mri jnt of lwr extre w/o dye A 1.35 0.56 0.53 0.56 0.53 0.10 2.01 1.98 2.01 1.98 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73722 Mri joint of lwr extr w/dye A 1.62 14.22 11.08 14.22NA 11.08 NA 0.12 15.96 12.82 15.96 12.82 1XXX.00.00.0043000 33.9764 090 88 13.53 13.53 0.12 73722TCMri joint of lwr extr w/dye A 0.00 13.54 10.46 13.54NA 10.46 NA 0.01 13.55 10.47 13.55 10.47 1XXX.00.00.0043000 33.9764 020 88 12.85 12.85 0.01 7372226Mri joint of lwr extr w/dye A 1.62 0.68 0.62 0.68 0.62 0.11 2.41 2.35 2.41 2.35 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73723 Mri joint lwr extr w/o&w/dye A 2.15 18.43 13.24 18.43NA 13.24 NA 0.13 20.71 15.52 20.71 15.52 1XXX.00.00.0043000 33.9764 090 88 16.58 16.58 0.13 73723TCMri joint lwr extr w/o&w/dye A 0.00 17.55 12.43 17.55NA 12.43 NA 0.01 17.56 12.44 17.56 12.44 1XXX.00.00.0043000 33.9764 020 88 15.70 15.70 0.01 7372326Mri joint lwr extr w/o&w/dye A 2.15 0.88 0.81 0.88 0.81 0.12 3.15 3.08 3.15 3.08 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 73725 Mr ang lwr ext w or w/o dye R 1.82 14.43 11.56 14.43NA 11.56 NA 0.11 16.36 13.49 16.36 13.49 1XXX.00.00.0043000 33.9764 090 88 16.44 16.44 0.11 73725TCMr ang lwr ext w or w/o dye R 0.00 13.68 10.89 13.68NA 10.89 NA 0.01 13.69 10.90 13.69 10.90 1XXX.00.00.0043000 33.9764 020 88 15.69 15.69 0.01 7372526Mr ang lwr ext w or w/o dye R 1.82 0.75 0.67 0.75 0.67 0.10 2.67 2.59 2.67 2.59 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 74000 X-ray exam of abdomen A 0.18 0.54 0.49 0.54NA 0.49 NA 0.02 0.74 0.69 0.74 0.69 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.04 74000TCX-ray exam of abdomen A 0.00 0.47 0.42 0.47NA 0.42 NA 0.01 0.48 0.43 0.48 0.43 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.03 7400026X-ray exam of abdomen A 0.18 0.07 0.07 0.07 0.07 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74010 X-ray exam of abdomen A 0.23 0.88 0.84 0.88NA 0.84 NA 0.02 1.13 1.09 1.13 1.09 1XXX.00.00.0000000 33.9764 090 99 1.40 1.40 0.03 74010TCX-ray exam of abdomen A 0.00 0.79 0.75 0.79NA 0.75 NA 0.01 0.80 0.76 0.80 0.76 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7401026X-ray exam of abdomen A 0.23 0.09 0.09 0.09 0.09 0.01 0.33 0.33 0.33 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74020 X-ray exam of abdomen A 0.27 0.90 0.85 0.90NA 0.85 NA 0.02 1.19 1.14 1.19 1.14 1XXX.00.00.0000000 33.9764 090 99 1.42 1.42 0.03 74020TCX-ray exam of abdomen A 0.00 0.79 0.75 0.79NA 0.75 NA 0.01 0.80 0.76 0.80 0.76 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7402026X-ray exam of abdomen A 0.27 0.11 0.10 0.11 0.10 0.01 0.39 0.38 0.39 0.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74022 X-ray exam series abdomen A 0.32 1.09 1.02 1.09NA 1.02 NA 0.02 1.43 1.36 1.43 1.36 1XXX.00.00.0000000 33.9764 090 99 2.34 2.34 0.03 74022TCX-ray exam series abdomen A 0.00 0.96 0.90 0.96NA 0.90 NA 0.01 0.97 0.91 0.97 0.91 1XXX.00.00.0000000 33.9764 010 99 2.21 2.21 0.02 7402226X-ray exam series abdomen A 0.32 0.13 0.12 0.13 0.12 0.01 0.46 0.45 0.46 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74150 Ct abdomen w/o dye A 1.19 6.03 4.71 6.03NA 4.71 NA 0.08 7.30 5.98 7.30 5.98 1XXX.00.00.0040000 33.9764 090 88 6.19 6.19 0.08 74150TCCt abdomen w/o dye A 0.00 5.54 4.27 5.54NA 4.27 NA 0.01 5.55 4.28 5.55 4.28 1XXX.00.00.0040000 33.9764 010 88 5.70 5.70 0.01 7415026Ct abdomen w/o dye A 1.19 0.49 0.44 0.49 0.44 0.07 1.75 1.70 1.75 1.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74160 Ct abdomen w/dye A 1.27 8.52 6.83 8.52NA 6.83 NA 0.08 9.87 8.18 9.87 8.18 1XXX.00.00.0040000 33.9764 090 88 9.34 9.34 0.08 74160TCCt abdomen w/dye A 0.00 7.99 6.35 7.99NA 6.35 NA 0.01 8.00 6.36 8.00 6.36 1XXX.00.00.0040000 33.9764 020 88 8.81 8.81 0.01 7416026Ct abdomen w/dye A 1.27 0.53 0.48 0.53 0.48 0.07 1.87 1.82 1.87 1.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74170 Ct abdomen w/o & w/dye A 1.40 11.55 9.35 11.55NA 9.35 NA 0.09 13.04 10.84 13.04 10.84 1XXX.00.00.0040000 33.9764 090 88 10.41 10.41 0.09 74170TCCt abdomen w/o & w/dye A 0.00 10.97 8.82 10.97NA 8.82 NA 0.01 10.98 8.83 10.98 8.83 1XXX.00.00.0040000 33.9764 020 88 9.83 9.83 0.01 7417026Ct abdomen w/o & w/dye A 1.40 0.58 0.53 0.58 0.53 0.08 2.06 2.01 2.06 2.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74175 Ct angio abdom w/o & w/dye A 1.90 12.26 9.56 12.26NA 9.56 NA 0.13 14.29 11.59 14.29 11.59 1XXX.00.00.0040000 33.9764 090 88 10.75 10.75 0.13 74175TCCt angio abdom w/o & w/dye A 0.00 11.47 8.86 11.47NA 8.86 NA 0.01 11.48 8.87 11.48 8.87 1XXX.00.00.0040000 33.9764 020 88 9.96 9.96 0.01 7417526Ct angio abdom w/o & w/dye A 1.90 0.79 0.70 0.79 0.70 0.12 2.81 2.72 2.81 2.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74176 Ct abd & pelvis A 1.74 4.52 4.52 4.52NA 4.52 NA 0.11 6.37 6.37 6.37 6.37 1XXX.00.00.0040900 33.9764 090 88 6.34 6.34 0.11 74176TCCt abd & pelvis A 0.00 3.87 3.87 3.87NA 3.87 NA 0.01 3.88 3.88 3.88 3.88 1XXX.00.00.0040900 33.9764 010 88 5.69 5.69 0.01 7417626Ct abd & pelvis A 1.74 0.65 0.65 0.65 0.65 0.10 2.49 2.49 2.49 2.49 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 74177 Ct abd & pelv w/contrast A 1.82 8.08 8.08 8.08NA 8.08 NA 0.11 10.01 10.01 10.01 10.01 1XXX.00.00.0040900 33.9764 090 88 9.50 9.50 0.11 74177TCCt abd & pelv w/contrast A 0.00 7.39 7.39 7.39NA 7.39 NA 0.01 7.40 7.40 7.40 7.40 1XXX.00.00.0040900 33.9764 020 88 8.81 8.81 0.01 7417726Ct 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 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 74178 Ct abd & pelv 1/> regns A 2.01 10.53 10.53 10.53NA 10.53 NA 0.13 12.67 12.67 12.67 12.67 1XXX.00.00.0040900 33.9764 090 88 10.59 10.59 0.13 74178TCCt abd & pelv 1/> regns A 0.00 9.77 9.77 9.77NA 9.77 NA 0.01 9.78 9.78 9.78 9.78 1XXX.00.00.0040900 33.9764 020 88 9.83 9.83 0.01 7417826Ct abd & pelv 1/> regns A 2.01 0.76 0.76 0.76 0.76 0.12 2.89 2.89 2.89 2.89 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 74181 Mri abdomen w/o dye A 1.46 12.05 9.29 12.05NA 9.29 NA 0.09 13.60 10.84 13.60 10.84 1XXX.00.00.0040000 33.9764 090 88 10.68 10.68 0.09 74181TCMri abdomen w/o dye A 0.00 11.45 8.75 11.45NA 8.75 NA 0.01 11.46 8.76 11.46 8.76 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7418126Mri abdomen w/o dye A 1.46 0.60 0.54 0.60 0.54 0.08 2.14 2.08 2.14 2.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74182 Mri abdomen w/dye A 1.73 16.56 13.12 16.56NA 13.12 NA 0.11 18.40 14.96 18.40 14.96 1XXX.00.00.0040000 33.9764 090 88 13.56 13.56 0.11 74182TCMri abdomen w/dye A 0.00 15.85 12.48 15.85NA 12.48 NA 0.01 15.86 12.49 15.86 12.49 1XXX.00.00.0040000 33.9764 020 88 12.85 12.85 0.01 7418226Mri abdomen w/dye A 1.73 0.71 0.64 0.71 0.64 0.10 2.54 2.47 2.54 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74183 Mri abdomen w/o & w/dye A 2.26 19.57 14.23 19.57NA 14.23 NA 0.13 21.96 16.62 21.96 16.62 1XXX.00.00.0040000 33.9764 090 88 16.62 16.62 0.13 74183TCMri abdomen w/o & w/dye A 0.00 18.65 13.39 18.65NA 13.39 NA 0.01 18.66 13.40 18.66 13.40 1XXX.00.00.0040000 33.9764 020 88 15.70 15.70 0.01 7418326Mri abdomen w/o & w/dye A 2.26 0.92 0.84 0.92 0.84 0.12 3.30 3.22 3.30 3.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74185 Mri angio abdom w orw/o dye R 1.80 14.38 11.51 14.38NA 11.51 NA 0.11 16.29 13.42 16.29 13.42 1XXX.00.00.0040000 33.9764 090 88 16.43 16.43 0.11 74185TCMri angio abdom w orw/o dye R 0.00 13.64 10.85 13.64NA 10.85 NA 0.01 13.65 10.86 13.65 10.86 1XXX.00.00.0040000 33.9764 020 88 15.69 15.69 0.01 7418526Mri angio abdom w orw/o dye R 1.80 0.74 0.66 0.74 0.66 0.10 2.64 2.56 2.64 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74190 X-ray exam of peritoneum C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 6.96 6.96 0.05 74190TCX-ray exam of peritoneum C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 6.76 6.76 0.01 7419026X-ray exam of peritoneum A 0.48 0.20 0.17 0.20 0.17 0.04 0.72 0.69 0.72 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74210 Contrst x-ray exam of throat A 0.36 1.94 1.84 1.94NA 1.84 NA 0.02 2.32 2.22 2.32 2.22 1XXX.00.00.0000000 33.9764 090 99 2.69 2.69 0.02 74210TCContrst x-ray exam of throat A 0.00 1.79 1.71 1.79NA 1.71 NA 0.01 1.80 1.72 1.80 1.72 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7421026Contrst x-ray exam of throat A 0.36 0.15 0.13 0.15 0.13 0.01 0.52 0.50 0.52 0.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74220 Contrast x-ray esophagus A 0.46 2.17 2.09 2.17NA 2.09 NA 0.04 2.67 2.59 2.67 2.59 1XXX.00.00.0000000 33.9764 090 99 2.73 2.73 0.04 74220TCContrast x-ray esophagus A 0.00 1.98 1.92 1.98NA 1.92 NA 0.01 1.99 1.93 1.99 1.93 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7422026Contrast x-ray esophagus A 0.46 0.19 0.17 0.19 0.17 0.03 0.68 0.66 0.68 0.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74230 Cine/vid x-ray throat/esoph A 0.53 2.14 2.04 2.14NA 2.04 NA 0.04 2.71 2.61 2.71 2.61 1XXX.00.00.0000000 33.9764 090 99 2.76 2.76 0.04 74230TCCine/vid x-ray throat/esoph A 0.00 1.92 1.84 1.92NA 1.84 NA 0.01 1.93 1.85 1.93 1.85 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7423026Cine/vid x-ray throat/esoph A 0.53 0.22 0.20 0.22 0.20 0.03 0.78 0.76 0.78 0.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74235 Remove esophagus obstruction C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74235TCRemove esophagus obstruction C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7423526Remove esophagus obstruction A 1.19 0.63 0.66 0.63 0.66 0.10 1.92 1.95 1.92 1.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74240 X-ray exam upper gi tract A 0.69 2.57 2.52 2.57NA 2.52 NA 0.05 3.31 3.26 3.31 3.26 1XXX.00.00.0000000 33.9764 090 99 2.83 2.83 0.05 74240TCX-ray exam upper gi tract A 0.00 2.28 2.25 2.28NA 2.25 NA 0.01 2.29 2.26 2.29 2.26 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7424026X-ray exam upper gi tract A 0.69 0.29 0.27 0.29 0.27 0.04 1.02 1.00 1.02 1.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74241 X-ray exam upper gi tract A 0.69 2.78 2.70 2.78NA 2.70 NA 0.04 3.51 3.43 3.51 3.43 1XXX.00.00.0000000 33.9764 090 99 2.82 2.82 0.04 74241TCX-ray exam upper gi tract A 0.00 2.50 2.44 2.50NA 2.44 NA 0.01 2.51 2.45 2.51 2.45 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7424126X-ray exam upper gi tract A 0.69 0.28 0.26 0.28 0.26 0.03 1.00 0.98 1.00 0.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74245 X-ray exam upper gi tract A 0.91 4.27 4.10 4.27NA 4.10 NA 0.06 5.24 5.07 5.24 5.07 1XXX.00.00.0000000 33.9764 090 99 4.55 4.55 0.06 74245TCX-ray exam upper gi tract A 0.00 3.89 3.76 3.89NA 3.76 NA 0.01 3.90 3.77 3.90 3.77 1XXX.00.00.0000000 33.9764 030 99 4.17 4.17 0.01 7424526X-ray exam upper gi tract A 0.91 0.38 0.34 0.38 0.34 0.05 1.34 1.30 1.34 1.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74246 Contrst x-ray uppr gi tract A 0.69 3.02 2.91 3.02NA 2.91 NA 0.05 3.76 3.65 3.76 3.65 1XXX.00.00.0000000 33.9764 090 99 2.83 2.83 0.05 74246TCContrst x-ray uppr gi tract A 0.00 2.73 2.65 2.73NA 2.65 NA 0.01 2.74 2.66 2.74 2.66 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7424626Contrst x-ray uppr gi tract A 0.69 0.29 0.26 0.29 0.26 0.04 1.02 0.99 1.02 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74247 Contrst x-ray uppr gi tract A 0.69 3.44 3.35 3.44NA 3.35 NA 0.05 4.18 4.09 4.18 4.09 1XXX.00.00.0000000 33.9764 090 99 2.83 2.83 0.05 74247TCContrst x-ray uppr gi tract A 0.00 3.15 3.09 3.15NA 3.09 NA 0.01 3.16 3.10 3.16 3.10 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7424726Contrst x-ray uppr gi tract A 0.69 0.29 0.26 0.29 0.26 0.04 1.02 0.99 1.02 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74249 Contrst x-ray uppr gi tract A 0.91 4.68 4.52 4.68NA 4.52 NA 0.06 5.65 5.49 5.65 5.49 1XXX.00.00.0000000 33.9764 090 99 4.55 4.55 0.06 74249TCContrst x-ray uppr gi tract A 0.00 4.30 4.18 4.30NA 4.18 NA 0.01 4.31 4.19 4.31 4.19 1XXX.00.00.0000000 33.9764 030 99 4.17 4.17 0.01 7424926Contrst x-ray uppr gi tract A 0.91 0.38 0.34 0.38 0.34 0.05 1.34 1.30 1.34 1.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74250 X-ray exam of small bowel A 0.47 2.64 2.59 2.64NA 2.59 NA 0.04 3.15 3.10 3.15 3.10 1XXX.00.00.0000000 33.9764 090 99 2.73 2.73 0.04 74250TCX-ray exam of small bowel A 0.00 2.45 2.41 2.45NA 2.41 NA 0.01 2.46 2.42 2.46 2.42 1XXX.00.00.0000000 33.9764 020 99 2.54 2.54 0.01 7425026X-ray exam of small bowel A 0.47 0.19 0.18 0.19 0.18 0.03 0.69 0.68 0.69 0.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74251 X-ray exam of small bowel A 0.69 10.08 10.56 10.08NA 10.56 NA 0.05 10.82 11.30 10.82 11.30 1XXX.00.00.0000000 33.9764 090 99 4.46 4.46 0.04 74251TCX-ray exam of small bowel A 0.00 9.79 10.30 9.79NA 10.30 NA 0.01 9.80 10.31 9.80 10.31 1XXX.00.00.0000000 33.9764 030 99 4.17 4.17 0.00 7425126X-ray exam of small bowel A 0.69 0.29 0.26 0.29 0.26 0.04 1.02 0.99 1.02 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74260 X-ray exam of small bowel A 0.50 8.39 8.72 8.39NA 8.72 NA 0.04 8.93 9.26 8.93 9.26 1XXX.00.00.0000000 33.9764 090 99 2.75 2.75 0.03 74260TCX-ray exam of small bowel A 0.00 8.19 8.53 8.19NA 8.53 NA 0.01 8.20 8.54 8.20 8.54 1XXX.00.00.0000000 33.9764 030 99 2.55 2.55 0.00 7426026X-ray exam of small bowel A 0.50 0.20 0.19 0.20 0.19 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74261 Ct colonography dx A 2.40 12.70 12.70 12.70NA 12.70 NA 0.13 15.23 15.23 15.23 15.23 1XXX.00.00.0040000 33.9764 090 88 6.60 6.60 0.12 74261TCCt colonography dx A 0.00 11.80 11.80 11.80NA 11.80 NA 0.01 11.81 11.81 11.81 11.81 1XXX.00.00.0040000 33.9764 020 88 5.70 5.70 0.00 7426126Ct colonography dx A 2.40 0.90 0.90 0.90 0.90 0.12 3.42 3.42 3.42 3.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74262 Ct colonography dx w/dye A 2.50 14.27 14.27 14.27NA 14.27 NA 0.15 16.92 16.92 16.92 16.92 1XXX.00.00.0040000 33.9764 090 88 9.76 9.76 0.15 74262TCCt colonography dx w/dye A 0.00 13.33 13.33 13.33NA 13.33 NA 0.01 13.34 13.34 13.34 13.34 1XXX.00.00.0040000 33.9764 020 88 8.82 8.82 0.01 7426226Ct colonography dx w/dye A 2.50 0.94 0.94 0.94 0.94 0.14 3.58 3.58 3.58 3.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74263 Ct colonography screening N+ 2.28 20.09 20.09 20.09NA 20.09 NA 0.13 22.50 22.50 22.50 22.50 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 74263TCCt colonography screening N+ 0.00 19.09 19.09 19.09NA 19.09 NA 0.01 19.10 19.10 19.10 19.10 1XXX.00.00.0099999 33.9764 020 99 0.00 0.00 0.00 7426326Ct colonography screening N+ 2.28 1.00 1.00 1.00 1.00 0.12 3.40 3.40 3.40 3.40 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 74270 Contrast x-ray exam of colon A 0.69 3.79 3.73 3.79NA 3.73 NA 0.05 4.53 4.47 4.53 4.47 1XXX.00.00.0000000 33.9764 090 99 2.84 2.84 0.05 74270TCContrast x-ray exam of colon A 0.00 3.50 3.47 3.50NA 3.47 NA 0.01 3.51 3.48 3.51 3.48 1XXX.00.00.0000000 33.9764 030 99 2.55 2.55 0.01 7427026Contrast x-ray exam of colon A 0.69 0.29 0.26 0.29 0.26 0.04 1.02 0.99 1.02 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74280 Contrast x-ray exam of colon A 0.99 5.23 5.15 5.23NA 5.15 NA 0.06 6.28 6.20 6.28 6.20 1XXX.00.00.0000000 33.9764 090 99 4.58 4.58 0.06 74280TCContrast x-ray exam of colon A 0.00 4.82 4.78 4.82NA 4.78 NA 0.01 4.83 4.79 4.83 4.79 1XXX.00.00.0000000 33.9764 030 99 4.17 4.17 0.01 7428026Contrast x-ray exam of colon A 0.99 0.41 0.37 0.41 0.37 0.05 1.45 1.41 1.45 1.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74283 Contrast x-ray exam of colon A 2.02 3.98 3.75 3.98NA 3.75 NA 0.06 6.06 5.83 6.06 5.83 1XXX.00.00.0000000 33.9764 090 99 3.38 3.38 0.06 74283TCContrast x-ray exam of colon A 0.00 3.14 2.97 3.14NA 2.97 NA 0.01 3.15 2.98 3.15 2.98 1XXX.00.00.0000000 33.9764 030 99 2.54 2.54 0.01 7428326Contrast x-ray exam of colon A 2.02 0.84 0.78 0.84 0.78 0.05 2.91 2.85 2.91 2.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74290 Contrast x-ray gallbladder A 0.32 1.68 1.66 1.68NA 1.66 NA 0.02 2.02 2.00 2.02 2.00 1XXX.00.00.0000000 33.9764 090 99 2.67 2.67 0.03 74290TCContrast x-ray gallbladder A 0.00 1.55 1.54 1.55NA 1.54 NA 0.01 1.56 1.55 1.56 1.55 1XXX.00.00.0000000 33.9764 010 99 2.54 2.54 0.02 7429026Contrast x-ray gallbladder A 0.32 0.13 0.12 0.13 0.12 0.01 0.46 0.45 0.46 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74291 Contrast x-rays gallbladder A 0.20 1.67 1.76 1.67NA 1.76 NA 0.02 1.89 1.98 1.89 1.98 1XXX.00.00.0000000 33.9764 090 99 2.62 2.62 0.03 74291TCContrast x-rays gallbladder A 0.00 1.59 1.68 1.59NA 1.68 NA 0.01 1.60 1.69 1.60 1.69 1XXX.00.00.0000000 33.9764 010 99 2.54 2.54 0.02 7429126Contrast x-rays gallbladder A 0.20 0.08 0.08 0.08 0.08 0.01 0.29 0.29 0.29 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74300 X-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74300TCX-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7430026X-ray bile ducts/pancreas A 0.36 0.15 0.14 0.15 0.14 0.03 0.54 0.53 0.54 0.53 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74301 X-rays at surgery add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74301TCX-rays at surgery add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7430126X-rays at surgery add-on A 0.21 0.09 0.08 0.09 0.08 0.03 0.33 0.32 0.33 0.32 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74305 X-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 6.93 6.93 0.05 74305TCX-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 6.76 6.76 0.01 7430526X-ray bile ducts/pancreas A 0.42 0.17 0.15 0.17 0.15 0.04 0.63 0.61 0.63 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74320 Contrast x-ray of bile ducts A 0.54 2.62 2.25 2.62NA 2.25 NA 0.04 3.20 2.83 3.20 2.83 1XXX.00.00.0000000 33.9764 090 99 12.16 12.16 0.08 74320TCContrast x-ray of bile ducts A 0.00 2.39 2.05 2.39NA 2.05 NA 0.01 2.40 2.06 2.40 2.06 1XXX.00.00.0000000 33.9764 030 99 11.93 11.93 0.05 7432026Contrast x-ray of bile ducts A 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74327 X-ray bile stone removal A 0.70 3.25 3.16 3.25NA 3.16 NA 0.13 4.08 3.99 4.08 3.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74327TCX-ray bile stone removal A 0.00 2.96 2.90 2.96NA 2.90 NA 0.01 2.97 2.91 2.97 2.91 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7432726X-ray bile stone removal A 0.70 0.29 0.26 0.29 0.26 0.12 1.11 1.08 1.11 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74328 X-ray bile duct endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74328TCX-ray bile duct endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7432826X-ray bile duct endoscopy A 0.70 0.31 0.29 0.31 0.29 0.05 1.06 1.04 1.06 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74329 X-ray for pancreas endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74329TCX-ray for pancreas endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7432926X-ray for pancreas endoscopy A 0.70 0.31 0.29 0.31 0.29 0.05 1.06 1.04 1.06 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74330 X-ray bile/panc endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74330TCX-ray bile/panc endoscopy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7433026X-ray bile/panc endoscopy A 0.90 0.39 0.36 0.39 0.36 0.07 1.36 1.33 1.36 1.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74340 X-ray guide for GI tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74340TCX-ray guide for GI tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7434026X-ray guide for GI tube A 0.54 0.23 0.21 0.23 0.21 0.04 0.81 0.79 0.81 0.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74355 X-ray guide intestinal tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74355TCX-ray guide intestinal tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7435526X-ray guide intestinal tube A 0.76 0.33 0.31 0.33 0.31 0.07 1.16 1.14 1.16 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74360 X-ray guide gi dilation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74360TCX-ray guide gi dilation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7436026X-ray guide gi dilation A 0.54 0.28 0.28 0.28 0.28 0.04 0.86 0.86 0.86 0.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74363 X-ray bile duct dilation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74363TCX-ray bile duct dilation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7436326X-ray bile duct dilation A 0.88 0.37 0.32 0.37 0.32 0.08 1.33 1.28 1.33 1.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74400 Contrst x-ray urinary tract A 0.49 2.78 2.64 2.78NA 2.64 NA 0.04 3.31 3.17 3.31 3.17 1XXX.00.00.0000000 33.9764 090 99 5.36 5.36 0.05 74400TCContrst x-ray urinary tract A 0.00 2.58 2.46 2.58NA 2.46 NA 0.01 2.59 2.47 2.59 2.47 1XXX.00.00.0000000 33.9764 020 99 5.16 5.16 0.02 7440026Contrst x-ray urinary tract A 0.49 0.20 0.18 0.20 0.18 0.03 0.72 0.70 0.72 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74410 Contrst x-ray urinary tract A 0.49 2.88 2.64 2.88NA 2.64 NA 0.04 3.41 3.17 3.41 3.17 1XXX.00.00.0000000 33.9764 090 99 5.37 5.37 0.05 74410TCContrst x-ray urinary tract A 0.00 2.67 2.46 2.67NA 2.46 NA 0.01 2.68 2.47 2.68 2.47 1XXX.00.00.0000000 33.9764 020 99 5.16 5.16 0.02 7441026Contrst x-ray urinary tract A 0.49 0.21 0.18 0.21 0.18 0.03 0.73 0.70 0.73 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74415 Contrst x-ray urinary tract A 0.49 3.50 3.34 3.50NA 3.34 NA 0.04 4.03 3.87 4.03 3.87 1XXX.00.00.0000000 33.9764 090 99 5.37 5.37 0.05 74415TCContrst x-ray urinary tract A 0.00 3.30 3.16 3.30NA 3.16 NA 0.01 3.31 3.17 3.31 3.17 1XXX.00.00.0000000 33.9764 020 99 5.17 5.17 0.02 7441526Contrst x-ray urinary tract A 0.49 0.20 0.18 0.20 0.18 0.03 0.72 0.70 0.72 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74420 Contrst x-ray urinary tract C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 5.32 5.32 0.04 74420TCContrst x-ray urinary tract C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 5.17 5.17 0.01 7442026Contrst x-ray urinary tract A 0.36 0.15 0.14 0.15 0.14 0.03 0.54 0.53 0.54 0.53 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74425 Contrst x-ray urinary tract C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 5.32 5.32 0.04 74425TCContrst x-ray urinary tract C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 5.17 5.17 0.01 7442526Contrst x-ray urinary tract A 0.36 0.15 0.13 0.15 0.13 0.03 0.54 0.52 0.54 0.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74430 Contrast x-ray bladder A 0.32 1.46 0.82 1.46NA 0.82 NA 0.02 1.80 1.16 1.80 1.16 1XXX.00.00.0000000 33.9764 090 99 5.27 5.27 0.05 74430TCContrast x-ray bladder A 0.00 1.33 0.70 1.33NA 0.70 NA 0.01 1.34 0.71 1.34 0.71 1XXX.00.00.0000000 33.9764 030 99 5.14 5.14 0.04 7443026Contrast x-ray bladder A 0.32 0.13 0.12 0.13 0.12 0.01 0.46 0.45 0.46 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74440 X-ray male genital tract A 0.38 2.14 2.02 2.14NA 2.02 NA 0.04 2.56 2.44 2.56 2.44 1XXX.00.00.0000000 33.9764 090 99 5.32 5.32 0.06 74440TCX-ray male genital tract A 0.00 1.98 1.87 1.98NA 1.87 NA 0.01 1.99 1.88 1.99 1.88 1XXX.00.00.0000000 33.9764 030 99 5.16 5.16 0.03 7444026X-ray male genital tract A 0.38 0.16 0.15 0.16 0.15 0.03 0.57 0.56 0.57 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74445 X-ray exam of penis C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 5.67 5.67 0.11 74445TCX-ray exam of penis C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 5.17 5.17 0.01 7444526X-ray exam of penis A 1.14 0.50 0.45 0.50 0.45 0.10 1.74 1.69 1.74 1.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74450 X-ray urethra/bladder C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 5.31 5.31 0.04 74450TCX-ray urethra/bladder C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 5.17 5.17 0.01 7445026X-ray urethra/bladder A 0.33 0.14 0.12 0.14 0.12 0.03 0.50 0.48 0.50 0.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74455 X-ray urethra/bladder A 0.33 2.30 2.10 2.30NA 2.10 NA 0.02 2.65 2.45 2.65 2.45 1XXX.00.00.0000000 33.9764 090 99 5.30 5.30 0.03 74455TCX-ray urethra/bladder A 0.00 2.16 1.97 2.16NA 1.97 NA 0.01 2.17 1.98 2.17 1.98 1XXX.00.00.0000000 33.9764 030 99 5.16 5.16 0.02 7445526X-ray urethra/bladder A 0.33 0.14 0.13 0.14 0.13 0.01 0.48 0.47 0.48 0.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74470 X-ray exam of kidney lesion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 6.99 6.99 0.05 74470TCX-ray exam of kidney lesion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 6.76 6.76 0.01 7447026X-ray exam of kidney lesion A 0.54 0.23 0.20 0.23 0.20 0.04 0.81 0.78 0.81 0.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74475 X-ray control cath insert A 0.54 2.73 2.23 2.73NA 2.23 NA 0.04 3.31 2.81 3.31 2.81 1XXX.00.00.0000000 33.9764 090 99 35.71 35.71 0.17 74475TCX-ray control cath insert A 0.00 2.50 2.03 2.50NA 2.03 NA 0.01 2.51 2.04 2.51 2.04 1XXX.00.00.0000000 33.9764 030 99 35.48 35.48 0.14 7447526X-ray control cath insert A 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74480 X-ray control cath insert A 0.54 2.74 2.23 2.74NA 2.23 NA 0.04 3.32 2.81 3.32 2.81 1XXX.00.00.0000000 33.9764 090 99 35.71 35.71 0.17 74480TCX-ray control cath insert A 0.00 2.51 2.03 2.51NA 2.03 NA 0.01 2.52 2.04 2.52 2.04 1XXX.00.00.0000000 33.9764 030 99 35.48 35.48 0.14 7448026X-ray control cath insert A 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74485 X-ray guide gu dilation A 0.54 2.69 2.27 2.69NA 2.27 NA 0.04 3.27 2.85 3.27 2.85 1XXX.00.00.0000000 33.9764 090 99 35.71 35.71 0.17 74485TCX-ray guide gu dilation A 0.00 2.46 2.07 2.46NA 2.07 NA 0.01 2.47 2.08 2.47 2.08 1XXX.00.00.0000000 33.9764 030 99 35.48 35.48 0.14 7448526X-ray guide gu dilation A 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74710 X-ray measurement of pelvis A 0.34 0.81 0.68 0.81NA 0.68 NA 0.02 1.17 1.04 1.17 1.04 1XXX.00.00.0000000 33.9764 090 99 2.34 2.34 0.04 74710TCX-ray measurement of pelvis A 0.00 0.67 0.55 0.67NA 0.55 NA 0.01 0.68 0.56 0.68 0.56 1XXX.00.00.0000000 33.9764 010 99 2.20 2.20 0.03 7471026X-ray measurement of pelvis A 0.34 0.14 0.13 0.14 0.13 0.01 0.49 0.48 0.49 0.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74740 X-ray female genital tract A 0.38 1.94 1.84 1.94NA 1.84 NA 0.02 2.34 2.24 2.34 2.24 1XXX.00.00.0000000 33.9764 090 99 6.89 6.89 0.05 74740TCX-ray female genital tract A 0.00 1.78 1.69 1.78NA 1.69 NA 0.01 1.79 1.70 1.79 1.70 1XXX.00.00.0000000 33.9764 030 99 6.73 6.73 0.04 7474026X-ray female genital tract A 0.38 0.16 0.15 0.16 0.15 0.01 0.55 0.54 0.55 0.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74742 X-ray fallopian tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74742TCX-ray fallopian tube C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7474226X-ray fallopian tube A 0.61 0.25 0.24 0.25 0.24 0.05 0.91 0.90 0.91 0.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 74775 X-ray exam of perineum C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 5.43 5.43 0.06 74775TCX-ray exam of perineum C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 5.17 5.17 0.01 7477526X-ray exam of perineum A 0.62 0.26 0.23 0.26 0.23 0.05 0.93 0.90 0.93 0.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75557 Cardiac mri for morph A 2.35 10.76 8.11 10.76NA 8.11 NA 0.11 13.22 10.57 13.22 10.57 1XXX.00.00.0040000 33.9764 090 88 11.13 11.13 0.11 75557TCCardiac mri for morph A 0.00 9.71 7.22 9.71NA 7.22 NA 0.01 9.72 7.23 9.72 7.23 1XXX.00.00.0040000 33.9764 010 88 10.08 10.08 0.01 7555726Cardiac mri for morph A 2.35 1.05 0.89 1.05 0.89 0.10 3.50 3.34 3.50 3.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75559 Cardiac mri w/stress img A 2.95 16.04 11.64 16.04NA 11.64 NA 0.13 19.12 14.72 19.12 14.72 1XXX.00.00.0040000 33.9764 090 88 11.47 11.47 0.13 75559TCCardiac mri w/stress img A 0.00 14.66 10.52 14.66NA 10.52 NA 0.01 14.67 10.53 14.67 10.53 1XXX.00.00.0040000 33.9764 020 88 10.09 10.09 0.01 7555926Cardiac mri w/stress img A 2.95 1.38 1.12 1.38 1.12 0.12 4.45 4.19 4.45 4.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75561 Cardiac mri for morph w/dye A 2.60 15.18 11.36 15.18NA 11.36 NA 0.12 17.90 14.08 17.90 14.08 1XXX.00.00.0040000 33.9764 090 88 16.86 16.86 0.12 75561TCCardiac mri for morph w/dye A 0.00 14.01 10.37 14.01NA 10.37 NA 0.01 14.02 10.38 14.02 10.38 1XXX.00.00.0040000 33.9764 010 88 15.69 15.69 0.01 7556126Cardiac mri for morph w/dye A 2.60 1.17 0.99 1.17 0.99 0.11 3.88 3.70 3.88 3.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75563 Card mri w/stress img & dye A 3.00 18.67 13.55 18.67NA 13.55 NA 0.12 21.79 16.67 21.79 16.67 1XXX.00.00.0040000 33.9764 090 88 17.16 17.16 0.12 75563TCCard mri w/stress img & dye A 0.00 17.21 12.38 17.21NA 12.38 NA 0.01 17.22 12.39 17.22 12.39 1XXX.00.00.0040000 33.9764 010 88 15.70 15.70 0.01 7556326Card mri w/stress img & dye A 3.00 1.46 1.17 1.46 1.17 0.11 4.57 4.28 4.57 4.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75565 Card mri veloc flow mapping A 0.25 1.92 1.92 1.92NA 1.92 NA 0.02 2.19 2.19 2.19 2.19 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75565TCCard mri veloc flow mapping A 0.00 1.81 1.81 1.81NA 1.81 NA 0.01 1.82 1.82 1.82 1.82 1ZZZ.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7556526Card mri veloc flow mapping A 0.25 0.11 0.11 0.11 0.11 0.01 0.37 0.37 0.37 0.37 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75571 Ct hrt w/o dye w/ca test A 0.58 2.55 2.55 2.55NA 2.55 NA 0.02 3.15 3.15 3.15 3.15 1XXX.00.00.0040000 33.9764 090 88 1.58 1.58 0.02 75571TCCt hrt w/o dye w/ca test A 0.00 2.33 2.33 2.33NA 2.33 NA 0.01 2.34 2.34 2.34 2.34 1XXX.00.00.0040000 33.9764 020 88 1.36 1.36 0.01 7557126Ct hrt w/o dye w/ca test A 0.58 0.22 0.22 0.22 0.22 0.01 0.81 0.81 0.81 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75572 Ct hrt w/3d image A 1.75 6.82 6.82 6.82NA 6.82 NA 0.06 8.63 8.63 8.63 8.63 1XXX.00.00.0040000 33.9764 090 88 8.22 8.22 0.06 75572TCCt hrt w/3d image A 0.00 6.15 6.15 6.15NA 6.15 NA 0.01 6.16 6.16 6.16 6.16 1XXX.00.00.0040000 33.9764 020 88 7.55 7.55 0.01 7557226Ct hrt w/3d image A 1.75 0.67 0.67 0.67 0.67 0.05 2.47 2.47 2.47 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75573 Ct hrt w/3d image congen A 2.55 9.10 9.10 9.10NA 9.10 NA 0.09 11.74 11.74 11.74 11.74 1XXX.00.00.0040000 33.9764 090 88 8.54 8.54 0.09 75573TCCt hrt w/3d image congen A 0.00 8.11 8.11 8.11NA 8.11 NA 0.01 8.12 8.12 8.12 8.12 1XXX.00.00.0040000 33.9764 020 88 7.55 7.55 0.01 7557326Ct hrt w/3d image congen A 2.55 0.99 0.99 0.99 0.99 0.08 3.62 3.62 3.62 3.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75574 Ct angio hrt w/3d image A 2.40 10.63 10.63 10.63NA 10.63 NA 0.09 13.12 13.12 13.12 13.12 1XXX.00.00.0040000 33.9764 090 88 8.47 8.47 0.09 75574TCCt angio hrt w/3d image A 0.00 9.71 9.71 9.71NA 9.71 NA 0.01 9.72 9.72 9.72 9.72 1XXX.00.00.0040000 33.9764 020 88 7.55 7.55 0.01 7557426Ct angio hrt w/3d image A 2.40 0.92 0.92 0.92 0.92 0.08 3.40 3.40 3.40 3.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75600 Contrast x-ray exam of aorta A 0.49 7.45 5.43 7.45NA 5.43 NA 0.04 7.98 5.96 7.98 5.96 1XXX.00.00.0000000 33.9764 090 99 59.79 59.79 0.11 75600TCContrast x-ray exam of aorta A 0.00 7.22 5.25 7.22NA 5.25 NA 0.01 7.23 5.26 7.23 5.26 1XXX.00.00.0000000 33.9764 030 99 59.56 59.56 0.08 7560026Contrast x-ray exam of aorta A 0.49 0.23 0.18 0.23 0.18 0.03 0.75 0.70 0.75 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75605 Contrast x-ray exam of aorta A 1.14 5.13 3.18 5.13NA 3.18 NA 0.08 6.35 4.40 6.35 4.40 1XXX.00.00.0000000 33.9764 090 99 60.02 60.02 0.20 75605TCContrast x-ray exam of aorta A 0.00 4.63 2.76 4.63NA 2.76 NA 0.01 4.64 2.77 4.64 2.77 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7560526Contrast x-ray exam of aorta A 1.14 0.50 0.42 0.50 0.42 0.07 1.71 1.63 1.71 1.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75625 Contrast x-ray exam of aorta A 1.14 5.11 3.27 5.11NA 3.27 NA 0.11 6.36 4.52 6.36 4.52 1XXX.00.00.0000000 33.9764 090 99 59.99 59.99 0.23 75625TCContrast x-ray exam of aorta A 0.00 4.64 2.86 4.64NA 2.86 NA 0.01 4.65 2.87 4.65 2.87 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7562526Contrast x-ray exam of aorta A 1.14 0.47 0.41 0.47 0.41 0.10 1.71 1.65 1.71 1.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75630 X-ray aorta leg arteries A 1.79 5.51 3.51 5.51NA 3.51 NA 0.11 7.41 5.41 7.41 5.41 1XXX.00.00.0000000 33.9764 090 99 60.28 60.28 0.23 75630TCX-ray aorta leg arteries A 0.00 4.75 2.85 4.75NA 2.85 NA 0.01 4.76 2.86 4.76 2.86 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7563026X-ray aorta leg arteries A 1.79 0.76 0.66 0.76 0.66 0.10 2.65 2.55 2.65 2.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75635 Ct angio abdominal arteries A 2.40 13.46 10.15 13.46NA 10.15 NA 0.15 16.01 12.70 16.01 12.70 1XXX.00.00.0040000 33.9764 090 88 10.97 10.97 0.14 75635TCCt angio abdominal arteries A 0.00 12.43 9.26 12.43NA 9.26 NA 0.03 12.46 9.29 12.46 9.29 1XXX.00.00.0040000 33.9764 020 88 9.94 9.94 0.02 7563526Ct angio abdominal arteries A 2.40 1.03 0.89 1.03 0.89 0.12 3.55 3.41 3.55 3.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75650 Artery x-rays head & neck A 1.49 5.30 3.44 5.30NA 3.44 NA 0.11 6.90 5.04 6.90 5.04 1XXX.00.00.0000000 33.9764 090 99 97.25 97.25 0.31 75650TCArtery x-rays head & neck A 0.00 4.67 2.89 4.67NA 2.89 NA 0.01 4.68 2.90 4.68 2.90 1XXX.00.00.0000000 33.9764 030 99 96.62 96.62 0.21 7565026Artery x-rays head & neck A 1.49 0.63 0.55 0.63 0.55 0.10 2.22 2.14 2.22 2.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75658 Artery x-rays arm A 1.31 5.67 4.05 5.67NA 4.05 NA 0.09 7.07 5.45 7.07 5.45 1XXX.00.00.0000000 33.9764 090 99 60.04 60.04 0.20 75658TCArtery x-rays arm A 0.00 5.16 3.59 5.16NA 3.59 NA 0.01 5.17 3.60 5.17 3.60 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.12 7565826Artery x-rays arm A 1.31 0.51 0.46 0.51 0.46 0.08 1.90 1.85 1.90 1.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75660 Artery x-rays head & neck A 1.31 5.81 4.16 5.81NA 4.16 NA 0.05 7.17 5.52 7.17 5.52 1XXX.00.00.0000000 33.9764 090 99 97.21 97.21 0.22 75660TCArtery x-rays head & neck A 0.00 5.24 3.63 5.24NA 3.63 NA 0.01 5.25 3.64 5.25 3.64 1XXX.00.00.0000000 33.9764 030 99 96.64 96.64 0.18 7566026Artery x-rays head & neck A 1.31 0.57 0.53 0.57 0.53 0.04 1.92 1.88 1.92 1.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75662 Artery x-rays head & neck A 1.66 6.77 5.05 6.77NA 5.05 NA 0.10 8.53 6.81 8.53 6.81 1XXX.00.00.0002000 33.9764 090 99 97.10 97.10 0.55 75662TCArtery x-rays head & neck A 0.00 6.01 4.38 6.01NA 4.38 NA 0.03 6.04 4.41 6.04 4.41 1XXX.00.00.0002000 33.9764 030 99 96.34 96.34 0.48 7566226Artery x-rays head & neck A 1.66 0.76 0.67 0.76 0.67 0.07 2.49 2.40 2.49 2.40 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75665 Artery x-rays head & neck A 1.31 6.05 4.39 6.05NA 4.39 NA 0.12 7.48 5.82 7.48 5.82 1XXX.00.00.0000000 33.9764 090 99 60.11 60.11 0.22 75665TCArtery x-rays head & neck A 0.00 5.48 3.87 5.48NA 3.87 NA 0.01 5.49 3.88 5.49 3.88 1XXX.00.00.0000000 33.9764 030 99 59.54 59.54 0.11 7566526Artery x-rays head & neck A 1.31 0.57 0.52 0.57 0.52 0.11 1.99 1.94 1.99 1.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75671 Artery x-rays head & neck A 1.66 6.93 5.24 6.93NA 5.24 NA 0.13 8.72 7.03 8.72 7.03 1XXX.00.00.0002000 33.9764 090 99 97.08 97.08 0.57 75671TCArtery x-rays head & neck A 0.00 6.21 4.59 6.21NA 4.59 NA 0.03 6.24 4.62 6.24 4.62 1XXX.00.00.0002000 33.9764 030 99 96.36 96.36 0.47 7567126Artery x-rays head & neck A 1.66 0.72 0.65 0.72 0.65 0.10 2.48 2.41 2.48 2.41 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75676 Artery x-rays neck A 1.31 5.75 4.03 5.75NA 4.03 NA 0.12 7.18 5.46 7.18 5.46 1XXX.00.00.0000000 33.9764 090 99 60.09 60.09 0.22 75676TCArtery x-rays neck A 0.00 5.19 3.52 5.19NA 3.52 NA 0.01 5.20 3.53 5.20 3.53 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.11 7567626Artery x-rays neck A 1.31 0.56 0.51 0.56 0.51 0.11 1.98 1.93 1.98 1.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75680 Artery x-rays neck A 1.66 6.36 4.56 6.36NA 4.56 NA 0.11 8.13 6.33 8.13 6.33 1XXX.00.00.0002000 33.9764 090 99 60.26 60.26 0.21 75680TCArtery x-rays neck A 0.00 5.64 3.92 5.64NA 3.92 NA 0.01 5.65 3.93 5.65 3.93 1XXX.00.00.0002000 33.9764 030 99 59.54 59.54 0.11 7568026Artery x-rays neck A 1.66 0.72 0.64 0.72 0.64 0.10 2.48 2.40 2.48 2.40 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75685 Artery x-rays spine A 1.31 5.81 4.12 5.81NA 4.12 NA 0.09 7.21 5.52 7.21 5.52 1XXX.00.00.0003000 33.9764 090 99 60.10 60.10 0.19 75685TCArtery x-rays spine A 0.00 5.24 3.60 5.24NA 3.60 NA 0.01 5.25 3.61 5.25 3.61 1XXX.00.00.0003000 33.9764 030 99 59.53 59.53 0.11 7568526Artery x-rays spine A 1.31 0.57 0.52 0.57 0.52 0.08 1.96 1.91 1.96 1.91 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 75705 Artery x-rays spine A 2.18 6.14 4.44 6.14NA 4.44 NA 0.08 8.40 6.70 8.40 6.70 1XXX.00.00.0000000 33.9764 090 99 60.47 60.47 0.18 75705TCArtery x-rays spine A 0.00 5.20 3.59 5.20NA 3.59 NA 0.01 5.21 3.60 5.21 3.60 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.11 7570526Artery x-rays spine A 2.18 0.94 0.85 0.94 0.85 0.07 3.19 3.10 3.19 3.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75710 Artery x-rays arm/leg A 1.14 5.69 3.92 5.69NA 3.92 NA 0.06 6.89 5.12 6.89 5.12 1XXX.00.00.0000000 33.9764 090 99 60.00 60.00 0.16 75710TCArtery x-rays arm/leg A 0.00 5.22 3.50 5.22NA 3.50 NA 0.01 5.23 3.51 5.23 3.51 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.11 7571026Artery x-rays arm/leg A 1.14 0.47 0.42 0.47 0.42 0.05 1.66 1.61 1.66 1.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75716 Artery x-rays arms/legs A 1.31 6.53 4.70 6.53NA 4.70 NA 0.13 7.97 6.14 7.97 6.14 1XXX.00.00.0002000 33.9764 090 99 59.89 59.89 0.40 75716TCArtery x-rays arms/legs A 0.00 5.99 4.22 5.99NA 4.22 NA 0.03 6.02 4.25 6.02 4.25 1XXX.00.00.0002000 33.9764 030 99 59.35 59.35 0.30 7571626Artery x-rays arms/legs A 1.31 0.54 0.48 0.54 0.48 0.10 1.95 1.89 1.95 1.89 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75722 Artery x-rays kidney A 1.14 5.46 3.54 5.46NA 3.54 NA 0.08 6.68 4.76 6.68 4.76 1XXX.00.00.0000000 33.9764 090 99 60.03 60.03 0.19 75722TCArtery x-rays kidney A 0.00 4.96 3.12 4.96NA 3.12 NA 0.01 4.97 3.13 4.97 3.13 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.12 7572226Artery x-rays kidney A 1.14 0.50 0.42 0.50 0.42 0.07 1.71 1.63 1.71 1.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75724 Artery x-rays kidneys A 1.49 6.35 4.21 6.35NA 4.21 NA 0.08 7.92 5.78 7.92 5.78 1XXX.00.00.0002000 33.9764 090 99 60.05 60.05 0.37 75724TCArtery x-rays kidneys A 0.00 5.63 3.64 5.63NA 3.64 NA 0.03 5.66 3.67 5.66 3.67 1XXX.00.00.0002000 33.9764 030 99 59.33 59.33 0.32 7572426Artery x-rays kidneys A 1.49 0.72 0.57 0.72 0.57 0.05 2.26 2.11 2.26 2.11 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75726 Artery x-rays abdomen A 1.14 5.61 3.84 5.61NA 3.84 NA 0.09 6.84 5.07 6.84 5.07 1XXX.00.00.0000000 33.9764 090 99 60.00 60.00 0.20 75726TCArtery x-rays abdomen A 0.00 5.14 3.43 5.14NA 3.43 NA 0.01 5.15 3.44 5.15 3.44 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.12 7572626Artery x-rays abdomen A 1.14 0.47 0.41 0.47 0.41 0.08 1.69 1.63 1.69 1.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75731 Artery x-rays adrenal gland A 1.14 5.75 3.81 5.75NA 3.81 NA 0.05 6.94 5.00 6.94 5.00 1XXX.00.00.0000000 33.9764 090 99 60.06 60.06 0.15 75731TCArtery x-rays adrenal gland A 0.00 5.22 3.38 5.22NA 3.38 NA 0.01 5.23 3.39 5.23 3.39 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.11 7573126Artery x-rays adrenal gland A 1.14 0.53 0.43 0.53 0.43 0.04 1.71 1.61 1.71 1.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75733 Artery x-rays adrenals A 1.31 6.61 4.45 6.61NA 4.45 NA 0.07 7.99 5.83 7.99 5.83 1XXX.00.00.0002000 33.9764 090 99 59.99 59.99 0.34 75733TCArtery x-rays adrenals A 0.00 5.97 3.94 5.97NA 3.94 NA 0.03 6.00 3.97 6.00 3.97 1XXX.00.00.0002000 33.9764 030 99 59.35 59.35 0.30 7573326Artery x-rays adrenals A 1.31 0.64 0.51 0.64 0.51 0.04 1.99 1.86 1.99 1.86 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75736 Artery x-rays pelvis A 1.14 5.61 3.76 5.61NA 3.76 NA 0.06 6.81 4.96 6.81 4.96 1XXX.00.00.0000000 33.9764 090 99 60.01 60.01 0.17 75736TCArtery x-rays pelvis A 0.00 5.13 3.35 5.13NA 3.35 NA 0.01 5.14 3.36 5.14 3.36 1XXX.00.00.0000000 33.9764 030 99 59.53 59.53 0.12 7573626Artery x-rays pelvis A 1.14 0.48 0.41 0.48 0.41 0.05 1.67 1.60 1.67 1.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75741 Artery x-rays lung A 1.31 5.07 3.26 5.07NA 3.26 NA 0.09 6.47 4.66 6.47 4.66 1XXX.00.00.0000000 33.9764 090 99 60.07 60.07 0.21 75741TCArtery x-rays lung A 0.00 4.52 2.79 4.52NA 2.79 NA 0.01 4.53 2.80 4.53 2.80 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7574126Artery x-rays lung A 1.31 0.55 0.47 0.55 0.47 0.08 1.94 1.86 1.94 1.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75743 Artery x-rays lungs A 1.66 5.47 3.64 5.47NA 3.64 NA 0.11 7.24 5.41 7.24 5.41 1XXX.00.00.0002000 33.9764 090 99 60.22 60.22 0.23 75743TCArtery x-rays lungs A 0.00 4.77 3.04 4.77NA 3.04 NA 0.01 4.78 3.05 4.78 3.05 1XXX.00.00.0002000 33.9764 030 99 59.52 59.52 0.13 7574326Artery x-rays lungs A 1.66 0.70 0.60 0.70 0.60 0.10 2.46 2.36 2.46 2.36 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75746 Artery x-rays lung A 1.14 5.40 3.62 5.40NA 3.62 NA 0.08 6.62 4.84 6.62 4.84 1XXX.00.00.0000000 33.9764 090 99 21.59 21.59 0.11 75746TCArtery x-rays lung A 0.00 4.92 3.19 4.92NA 3.19 NA 0.01 4.93 3.20 4.93 3.20 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.04 7574626Artery x-rays lung A 1.14 0.48 0.43 0.48 0.43 0.07 1.69 1.64 1.69 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75756 Artery x-rays chest A 1.14 5.77 3.80 5.77NA 3.80 NA 0.23 7.14 5.17 7.14 5.17 1XXX.00.00.0000000 33.9764 090 99 21.65 21.65 0.26 75756TCArtery x-rays chest A 0.00 5.23 3.39 5.23NA 3.39 NA 0.01 5.24 3.40 5.24 3.40 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.04 7575626Artery x-rays chest A 1.14 0.54 0.41 0.54 0.41 0.22 1.90 1.77 1.90 1.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75774 Artery x-ray each vessel A 0.36 4.30 2.50 4.30NA 2.50 NA 0.04 4.70 2.90 4.70 2.90 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75774TCArtery x-ray each vessel A 0.00 4.15 2.37 4.15NA 2.37 NA 0.01 4.16 2.38 4.16 2.38 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7577426Artery x-ray each vessel A 0.36 0.15 0.13 0.15 0.13 0.03 0.54 0.52 0.54 0.52 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75791 Av dialysis shunt imaging A 1.71 7.84 7.84 7.84NA 7.84 NA 0.11 9.66 9.66 9.66 9.66 1XXX.00.00.0000000 33.9764 090 99 5.37 5.37 0.11 75791TCAv dialysis shunt imaging A 0.00 7.22 7.22 7.22NA 7.22 NA 0.01 7.23 7.23 7.23 7.23 1XXX.00.00.0000000 33.9764 030 99 4.75 4.75 0.01 7579126Av dialysis shunt imaging A 1.71 0.62 0.62 0.62 0.62 0.10 2.43 2.43 2.43 2.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75801 Lymph vessel x-ray arm/leg C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 12.30 12.30 0.19 75801TCLymph vessel x-ray arm/leg C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 11.97 11.97 0.01 7580126Lymph vessel x-ray arm/leg A 0.81 0.33 0.35 0.33 0.35 0.18 1.32 1.34 1.32 1.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75803 Lymph vessel x-ray arms/legs C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000 33.9764 090 99 12.46 12.46 0.11 75803TCLymph vessel x-ray arms/legs C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000 33.9764 030 99 11.97 11.97 0.01 7580326Lymph vessel x-ray arms/legs A 1.17 0.49 0.44 0.49 0.44 0.10 1.76 1.71 1.76 1.71 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75805 Lymph vessel x-ray trunk C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 12.31 12.31 0.08 75805TCLymph vessel x-ray trunk C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 11.97 11.97 0.01 7580526Lymph vessel x-ray trunk A 0.81 0.34 0.30 0.34 0.30 0.07 1.22 1.18 1.22 1.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75807 Lymph vessel x-ray trunk C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000 33.9764 090 99 12.47 12.47 0.11 75807TCLymph vessel x-ray trunk C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000 33.9764 030 99 11.97 11.97 0.01 7580726Lymph vessel x-ray trunk A 1.17 0.50 0.45 0.50 0.45 0.10 1.77 1.72 1.77 1.72 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75809 Nonvascular shunt x-ray A 0.47 2.38 2.49 2.38NA 2.49 NA 0.04 2.89 3.00 2.89 3.00 1XXX.00.00.0000000 33.9764 090 99 2.42 2.42 0.04 75809TCNonvascular shunt x-ray A 0.00 2.18 2.30 2.18NA 2.30 NA 0.01 2.19 2.31 2.19 2.31 1XXX.00.00.0000000 33.9764 030 99 2.22 2.22 0.01 7580926Nonvascular shunt x-ray A 0.47 0.20 0.19 0.20 0.19 0.03 0.70 0.69 0.70 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75810 Vein x-ray spleen/liver C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 60.13 60.13 0.11 75810TCVein x-ray spleen/liver C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 59.64 59.64 0.01 7581026Vein x-ray spleen/liver A 1.14 0.49 0.43 0.49 0.43 0.10 1.73 1.67 1.73 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75820 Vein x-ray arm/leg A 0.70 2.96 2.88 2.96NA 2.88 NA 0.05 3.71 3.63 3.71 3.63 1XXX.00.00.0000000 33.9764 090 99 21.37 21.37 0.12 75820TCVein x-ray arm/leg A 0.00 2.66 2.62 2.66NA 2.62 NA 0.01 2.67 2.63 2.67 2.63 1XXX.00.00.0000000 33.9764 030 99 21.07 21.07 0.08 7582026Vein x-ray arm/leg A 0.70 0.30 0.26 0.30 0.26 0.04 1.04 1.00 1.04 1.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75822 Vein x-ray arms/legs A 1.06 3.41 3.36 3.41NA 3.36 NA 0.08 4.55 4.50 4.55 4.50 1XXX.00.00.0002000 33.9764 090 99 21.51 21.51 0.14 75822TCVein x-ray arms/legs A 0.00 2.98 2.97 2.98NA 2.97 NA 0.01 2.99 2.98 2.99 2.98 1XXX.00.00.0002000 33.9764 030 99 21.08 21.08 0.07 7582226Vein x-ray arms/legs A 1.06 0.43 0.39 0.43 0.39 0.07 1.56 1.52 1.56 1.52 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75825 Vein x-ray trunk A 1.14 4.86 3.10 4.86NA 3.10 NA 0.09 6.09 4.33 6.09 4.33 1XXX.00.00.0000000 33.9764 090 99 59.96 59.96 0.22 75825TCVein x-ray trunk A 0.00 4.41 2.69 4.41NA 2.69 NA 0.01 4.42 2.70 4.42 2.70 1XXX.00.00.0000000 33.9764 030 99 59.51 59.51 0.14 7582526Vein x-ray trunk A 1.14 0.45 0.41 0.45 0.41 0.08 1.67 1.63 1.67 1.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75827 Vein x-ray chest A 1.14 4.94 3.27 4.94NA 3.27 NA 0.08 6.16 4.49 6.16 4.49 1XXX.00.00.0000000 33.9764 090 99 21.55 21.55 0.12 75827TCVein x-ray chest A 0.00 4.50 2.86 4.50NA 2.86 NA 0.01 4.51 2.87 4.51 2.87 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.05 7582726Vein x-ray chest A 1.14 0.44 0.41 0.44 0.41 0.07 1.65 1.62 1.65 1.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75831 Vein x-ray kidney A 1.14 4.97 3.20 4.97NA 3.20 NA 0.25 6.36 4.59 6.36 4.59 1XXX.00.00.0000000 33.9764 090 99 59.97 59.97 0.37 75831TCVein x-ray kidney A 0.00 4.51 2.80 4.51NA 2.80 NA 0.01 4.52 2.81 4.52 2.81 1XXX.00.00.0000000 33.9764 030 99 59.51 59.51 0.13 7583126Vein x-ray kidney A 1.14 0.46 0.40 0.46 0.40 0.24 1.84 1.78 1.84 1.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75833 Vein x-ray kidneys A 1.49 5.56 3.83 5.56NA 3.83 NA 0.09 7.14 5.41 7.14 5.41 1XXX.00.00.0002000 33.9764 090 99 60.10 60.10 0.20 75833TCVein x-ray kidneys A 0.00 4.99 3.32 4.99NA 3.32 NA 0.01 5.00 3.33 5.00 3.33 1XXX.00.00.0002000 33.9764 030 99 59.53 59.53 0.12 7583326Vein x-ray kidneys A 1.49 0.57 0.51 0.57 0.51 0.08 2.14 2.08 2.14 2.08 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75840 Vein x-ray adrenal gland A 1.14 4.85 3.05 4.85NA 3.05 NA 0.25 6.24 4.44 6.24 4.44 1XXX.00.00.0000000 33.9764 090 99 59.94 59.94 0.37 75840TCVein x-ray adrenal gland A 0.00 4.42 2.67 4.42NA 2.67 NA 0.01 4.43 2.68 4.43 2.68 1XXX.00.00.0000000 33.9764 030 99 59.51 59.51 0.13 7584026Vein x-ray adrenal gland A 1.14 0.43 0.38 0.43 0.38 0.24 1.81 1.76 1.81 1.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75842 Vein x-ray adrenal glands A 1.49 5.58 3.80 5.58NA 3.80 NA 0.09 7.16 5.38 7.16 5.38 1XXX.00.00.0002000 33.9764 090 99 60.15 60.15 0.20 75842TCVein x-ray adrenal glands A 0.00 4.96 3.24 4.96NA 3.24 NA 0.01 4.97 3.25 4.97 3.25 1XXX.00.00.0002000 33.9764 030 99 59.53 59.53 0.12 7584226Vein x-ray adrenal glands A 1.49 0.62 0.56 0.62 0.56 0.08 2.19 2.13 2.19 2.13 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 75860 Vein x-ray neck A 1.14 5.06 3.18 5.06NA 3.18 NA 0.09 6.29 4.41 6.29 4.41 1XXX.00.00.0000000 33.9764 090 99 21.61 21.61 0.13 75860TCVein x-ray neck A 0.00 4.56 2.76 4.56NA 2.76 NA 0.01 4.57 2.77 4.57 2.77 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.05 7586026Vein x-ray neck A 1.14 0.50 0.42 0.50 0.42 0.08 1.72 1.64 1.72 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75870 Vein x-ray skull A 1.14 4.99 3.15 4.99NA 3.15 NA 0.08 6.21 4.37 6.21 4.37 1XXX.00.00.0000000 33.9764 090 99 21.58 21.58 0.12 75870TCVein x-ray skull A 0.00 4.52 2.72 4.52NA 2.72 NA 0.01 4.53 2.73 4.53 2.73 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.05 7587026Vein x-ray skull A 1.14 0.47 0.43 0.47 0.43 0.07 1.68 1.64 1.68 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75872 Vein x-ray skull A 1.14 7.16 6.71 7.16NA 6.71 NA 0.08 8.38 7.93 8.38 7.93 1XXX.00.00.0000000 33.9764 090 99 21.71 21.71 0.10 75872TCVein x-ray skull A 0.00 6.57 6.08 6.57NA 6.08 NA 0.01 6.58 6.09 6.58 6.09 1XXX.00.00.0000000 33.9764 030 99 21.12 21.12 0.03 7587226Vein x-ray skull A 1.14 0.59 0.63 0.59 0.63 0.07 1.80 1.84 1.80 1.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75880 Vein x-ray eye socket A 0.70 4.32 5.52 4.32NA 5.52 NA 0.05 5.07 6.27 5.07 6.27 1XXX.00.00.0000000 33.9764 090 99 21.42 21.42 0.09 75880TCVein x-ray eye socket A 0.00 4.00 5.18 4.00NA 5.18 NA 0.01 4.01 5.19 4.01 5.19 1XXX.00.00.0000000 33.9764 030 99 21.10 21.10 0.05 7588026Vein x-ray eye socket A 0.70 0.32 0.34 0.32 0.34 0.04 1.06 1.08 1.06 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75885 Vein x-ray liver A 1.44 5.11 3.29 5.11NA 3.29 NA 0.09 6.64 4.82 6.64 4.82 1XXX.00.00.0000000 33.9764 090 99 60.11 60.11 0.21 75885TCVein x-ray liver A 0.00 4.51 2.77 4.51NA 2.77 NA 0.01 4.52 2.78 4.52 2.78 1XXX.00.00.0000000 33.9764 030 99 59.51 59.51 0.13 7588526Vein x-ray liver A 1.44 0.60 0.52 0.60 0.52 0.08 2.12 2.04 2.12 2.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75887 Vein x-ray liver A 1.44 5.19 3.38 5.19NA 3.38 NA 0.06 6.69 4.88 6.69 4.88 1XXX.00.00.0000000 33.9764 090 99 21.72 21.72 0.10 75887TCVein x-ray liver A 0.00 4.58 2.85 4.58NA 2.85 NA 0.01 4.59 2.86 4.59 2.86 1XXX.00.00.0000000 33.9764 030 99 21.11 21.11 0.05 7588726Vein x-ray liver A 1.44 0.61 0.53 0.61 0.53 0.05 2.10 2.02 2.10 2.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75889 Vein x-ray liver A 1.14 4.98 3.21 4.98NA 3.21 NA 0.08 6.20 4.43 6.20 4.43 1XXX.00.00.0000000 33.9764 090 99 59.99 59.99 0.20 75889TCVein x-ray liver A 0.00 4.51 2.80 4.51NA 2.80 NA 0.01 4.52 2.81 4.52 2.81 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7588926Vein x-ray liver A 1.14 0.47 0.41 0.47 0.41 0.07 1.68 1.62 1.68 1.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75891 Vein x-ray liver A 1.14 4.99 3.21 4.99NA 3.21 NA 0.08 6.21 4.43 6.21 4.43 1XXX.00.00.0000000 33.9764 090 99 59.99 59.99 0.20 75891TCVein x-ray liver A 0.00 4.52 2.80 4.52NA 2.80 NA 0.01 4.53 2.81 4.53 2.81 1XXX.00.00.0000000 33.9764 030 99 59.52 59.52 0.13 7589126Vein x-ray liver A 1.14 0.47 0.41 0.47 0.41 0.07 1.68 1.62 1.68 1.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75893 Venous sampling by catheter A 0.54 4.70 2.94 4.70NA 2.94 NA 0.02 5.26 3.50 5.26 3.50 1XXX.00.00.0000000 33.9764 090 99 59.73 59.73 0.14 75893TCVenous sampling by catheter A 0.00 4.48 2.74 4.48NA 2.74 NA 0.01 4.49 2.75 4.49 2.75 1XXX.00.00.0000000 33.9764 030 99 59.51 59.51 0.13 7589326Venous sampling by catheter A 0.54 0.22 0.20 0.22 0.20 0.01 0.77 0.75 0.77 0.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75894 X-rays transcath therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75894TCX-rays transcath therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7589426X-rays transcath therapy A 1.31 0.54 0.48 0.54 0.48 0.16 2.01 1.95 2.01 1.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75896 X-rays transcath therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75896TCX-rays transcath therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7589626X-rays transcath therapy A 1.31 0.56 0.48 0.56 0.48 0.16 2.03 1.95 2.03 1.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75898 Follow-up angiography C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 2.93 2.93 0.21 75898TCFollow-up angiography C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 2.22 2.22 0.01 7589826Follow-up angiography A 1.65 0.71 0.62 0.71 0.62 0.20 2.56 2.47 2.56 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75900 Intravascular cath exchange C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75900TCIntravascular cath exchange C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7590026Intravascular cath exchange A 0.49 0.20 0.17 0.20 0.17 0.05 0.74 0.71 0.74 0.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75901 Remove cva device obstruct A 0.49 4.41 4.56 4.41NA 4.56 NA 0.04 4.94 5.09 4.94 5.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75901TCRemove cva device obstruct A 0.00 4.21 4.38 4.21NA 4.38 NA 0.01 4.22 4.39 4.22 4.39 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7590126Remove cva device obstruct A 0.49 0.20 0.18 0.20 0.18 0.03 0.72 0.70 0.72 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75902 Remove cva lumen obstruct A 0.39 1.84 1.76 1.84NA 1.76 NA 0.05 2.28 2.20 2.28 2.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75902TCRemove cva lumen obstruct A 0.00 1.69 1.62 1.69NA 1.62 NA 0.01 1.70 1.63 1.70 1.63 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7590226Remove cva lumen obstruct A 0.39 0.15 0.14 0.15 0.14 0.04 0.58 0.57 0.58 0.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75940 X-ray placement vein filter C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75940TCX-ray placement vein filter C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7594026X-ray placement vein filter A 0.54 0.21 0.19 0.21 0.19 0.07 0.82 0.80 0.82 0.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75945 Intravascular us C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 4.65 4.65 0.06 75945TCIntravascular us C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 4.49 4.49 0.01 7594526Intravascular us A 0.40 0.16 0.14 0.16 0.14 0.05 0.61 0.59 0.61 0.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75946 Intravascular us add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75946TCIntravascular us add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7594626Intravascular us add-on A 0.40 0.15 0.13 0.15 0.13 0.07 0.62 0.60 0.62 0.60 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75952 Endovasc repair abdom aorta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75952TCEndovasc repair abdom aorta C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595226Endovasc repair abdom aorta A 4.49 1.64 1.54 1.64 1.54 0.86 6.99 6.89 6.99 6.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75953 Abdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75953TCAbdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595326Abdom aneurysm endovas rpr A 1.36 0.50 0.47 0.50 0.47 0.27 2.13 2.10 2.13 2.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75954 Iliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75954TCIliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595426Iliac aneurysm endovas rpr A 2.25 0.83 0.79 0.83 0.79 0.41 3.49 3.45 3.49 3.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75956 Xray endovasc thor ao repr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75956TCXray endovasc thor ao repr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595626Xray endovasc thor ao repr A 7.00 2.54 2.34 2.54 2.34 1.44 10.98 10.78 10.98 10.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75957 Xray endovasc thor ao repr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75957TCXray endovasc thor ao repr C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595726Xray endovasc thor ao repr A 6.00 2.18 2.02 2.18 2.02 1.21 9.39 9.23 9.39 9.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75958 Xray place prox ext thor ao C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75958TCXray place prox ext thor ao C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595826Xray place prox ext thor ao A 4.00 1.42 1.33 1.42 1.33 0.82 6.24 6.15 6.24 6.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75959 Xray place dist ext thor ao C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75959TCXray place dist ext thor ao C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7595926Xray place dist ext thor ao A 3.50 1.19 1.05 1.19 1.05 0.83 5.52 5.38 5.52 5.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75960 Transcath iv stent rs&i A 0.82 4.84 2.69 4.84NA 2.69 NA 0.06 5.72 3.57 5.72 3.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75960TCTranscath iv stent rs&i A 0.00 4.50 2.39 4.50NA 2.39 NA 0.01 4.51 2.40 4.51 2.40 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7596026Transcath iv stent rs&i A 0.82 0.34 0.30 0.34 0.30 0.05 1.21 1.17 1.21 1.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75961 Retrieval broken catheter A 4.24 6.38 4.76 6.38NA 4.76 NA 0.28 10.90 9.28 10.90 9.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75961TCRetrieval broken catheter A 0.00 4.65 3.25 4.65NA 3.25 NA 0.01 4.66 3.26 4.66 3.26 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7596126Retrieval broken catheter A 4.24 1.73 1.51 1.73 1.51 0.27 6.24 6.02 6.24 6.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75962 Repair arterial blockage A 0.54 5.69 3.44 5.69NA 3.44 NA 0.04 6.27 4.02 6.27 4.02 1XXX.00.00.0000000 33.9764 090 99 111.28 111.28 0.23 75962TCRepair arterial blockage A 0.00 5.47 3.25 5.47NA 3.25 NA 0.01 5.48 3.26 5.48 3.26 1XXX.00.00.0000000 33.9764 030 99 111.06 111.06 0.20 7596226Repair arterial blockage A 0.54 0.22 0.19 0.22 0.19 0.03 0.79 0.76 0.79 0.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75964 Repair artery blockage each A 0.36 3.50 2.34 3.50NA 2.34 NA 0.05 3.91 2.75 3.91 2.75 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75964TCRepair artery blockage each A 0.00 3.36 2.21 3.36NA 2.21 NA 0.01 3.37 2.22 3.37 2.22 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7596426Repair artery blockage each A 0.36 0.14 0.13 0.14 0.13 0.04 0.54 0.53 0.54 0.53 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75966 Repair arterial blockage A 1.31 6.15 3.70 6.15NA 3.70 NA 0.08 7.54 5.09 7.54 5.09 1XXX.00.00.0000000 33.9764 090 99 111.64 111.64 0.27 75966TCRepair arterial blockage A 0.00 5.57 3.22 5.57NA 3.22 NA 0.01 5.58 3.23 5.58 3.23 1XXX.00.00.0000000 33.9764 030 99 111.06 111.06 0.20 7596626Repair arterial blockage A 1.31 0.58 0.48 0.58 0.48 0.07 1.96 1.86 1.96 1.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75968 Repair artery blockage each A 0.36 3.45 2.20 3.45NA 2.20 NA 0.02 3.83 2.58 3.83 2.58 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75968TCRepair artery blockage each A 0.00 3.29 2.07 3.29NA 2.07 NA 0.01 3.30 2.08 3.30 2.08 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7596826Repair artery blockage each A 0.36 0.16 0.13 0.16 0.13 0.01 0.53 0.50 0.53 0.50 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75970 Vascular biopsy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75970TCVascular biopsy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7597026Vascular biopsy A 0.83 0.35 0.30 0.35 0.30 0.07 1.25 1.20 1.25 1.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75978 Repair venous blockage A 0.54 5.70 3.62 5.70NA 3.62 NA 0.04 6.28 4.20 6.28 4.20 1XXX.00.00.0000000 33.9764 090 99 74.04 74.04 0.16 75978TCRepair venous blockage A 0.00 5.49 3.42 5.49NA 3.42 NA 0.01 5.50 3.43 5.50 3.43 1XXX.00.00.0000000 33.9764 030 99 73.83 73.83 0.13 7597826Repair venous blockage A 0.54 0.21 0.20 0.21 0.20 0.03 0.78 0.77 0.78 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75980 Contrast xray exam bile duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75980TCContrast xray exam bile duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7598026Contrast xray exam bile duct A 1.44 0.60 0.52 0.60 0.52 0.12 2.16 2.08 2.16 2.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75982 Contrast xray exam bile duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75982TCContrast xray exam bile duct C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7598226Contrast xray exam bile duct A 1.44 0.60 0.52 0.60 0.52 0.12 2.16 2.08 2.16 2.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75984 Xray control catheter change A 0.72 2.63 2.45 2.63NA 2.45 NA 0.05 3.40 3.22 3.40 3.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75984TCXray control catheter change A 0.00 2.33 2.19 2.33NA 2.19 NA 0.01 2.34 2.20 2.34 2.20 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7598426Xray control catheter change A 0.72 0.30 0.26 0.30 0.26 0.04 1.06 1.02 1.06 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75989 Abscess drainage under x-ray A 1.19 2.76 2.37 2.76NA 2.37 NA 0.06 4.01 3.62 4.01 3.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 75989TCAbscess drainage under x-ray A 0.00 2.27 1.93 2.27NA 1.93 NA 0.01 2.28 1.94 2.28 1.94 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7598926Abscess drainage under x-ray A 1.19 0.49 0.44 0.49 0.44 0.05 1.73 1.68 1.73 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76000 Fluoroscope examination A 0.17 2.10 1.30 2.10NA 1.30 NA 0.02 2.29 1.49 2.29 1.49 1XXX.00.00.0000000 33.9764 090 99 2.52 2.52 0.02 76000TCFluoroscope examination A 0.00 2.03 1.23 2.03NA 1.23 NA 0.01 2.04 1.24 2.04 1.24 1XXX.00.00.0000000 33.9764 030 99 2.45 2.45 0.01 7600026Fluoroscope examination A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76001 Fluoroscope exam extensive C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76001TCFluoroscope exam extensive C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7600126Fluoroscope exam extensive A 0.67 0.30 0.30 0.30 0.30 0.08 1.05 1.05 1.05 1.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76010 X-ray nose to rectum A 0.18 0.62 0.56 0.62NA 0.56 NA 0.02 0.82 0.76 0.82 0.76 1XXX.00.00.0000000 33.9764 090 99 1.38 1.38 0.03 76010TCX-ray nose to rectum A 0.00 0.54 0.49 0.54NA 0.49 NA 0.01 0.55 0.50 0.55 0.50 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.02 7601026X-ray nose to rectum A 0.18 0.08 0.07 0.08 0.07 0.01 0.27 0.26 0.27 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76080 X-ray exam of fistula A 0.54 1.27 1.15 1.27NA 1.15 NA 0.04 1.85 1.73 1.85 1.73 1XXX.00.00.0000000 33.9764 090 99 6.93 6.93 0.09 76080TCX-ray exam of fistula A 0.00 1.04 0.95 1.04NA 0.95 NA 0.01 1.05 0.96 1.05 0.96 1XXX.00.00.0000000 33.9764 030 99 6.70 6.70 0.06 7608026X-ray exam of fistula A 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76098 X-ray exam breast specimen A 0.16 0.39 0.33 0.39NA 0.33 NA 0.02 0.57 0.51 0.57 0.51 1XXX.00.00.0000000 33.9764 090 99 11.69 11.69 0.37 76098TCX-ray exam breast specimen A 0.00 0.32 0.27 0.32NA 0.27 NA 0.01 0.33 0.28 0.33 0.28 1XXX.00.00.0000000 33.9764 010 99 11.62 11.62 0.36 7609826X-ray exam breast specimen A 0.16 0.07 0.06 0.07 0.06 0.01 0.24 0.23 0.24 0.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76100 X-ray exam of body section A 0.58 2.99 2.33 2.99NA 2.33 NA 0.06 3.63 2.97 3.63 2.97 1XXX.00.00.0000000 33.9764 090 99 2.50 2.50 0.06 76100TCX-ray exam of body section A 0.00 2.71 2.02 2.71NA 2.02 NA 0.01 2.72 2.03 2.72 2.03 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.01 7610026X-ray exam of body section A 0.58 0.28 0.31 0.28 0.31 0.05 0.91 0.94 0.91 0.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76101 Complex body section x-ray A 0.58 4.55 3.72 4.55NA 3.72 NA 0.09 5.22 4.39 5.22 4.39 1XXX.00.00.0000000 33.9764 090 99 7.08 7.08 0.10 76101TCComplex body section x-ray A 0.00 4.22 3.31 4.22NA 3.31 NA 0.01 4.23 3.32 4.23 3.32 1XXX.00.00.0000000 33.9764 020 99 6.75 6.75 0.02 7610126Complex body section x-ray A 0.58 0.33 0.41 0.33 0.41 0.08 0.99 1.07 0.99 1.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76102 Complex body section x-rays A 0.58 6.32 5.19 6.32NA 5.19 NA 0.11 7.01 5.88 7.01 5.88 1XXX.00.00.0002000 33.9764 090 99 7.09 7.09 0.11 76102TCComplex body section x-rays A 0.00 5.99 4.77 5.99NA 4.77 NA 0.01 6.00 4.78 6.00 4.78 1XXX.00.00.0002000 33.9764 020 99 6.76 6.76 0.01 7610226Complex body section x-rays A 0.58 0.33 0.42 0.33 0.42 0.10 1.01 1.10 1.01 1.10 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 76120 Cine/video x-rays A 0.38 1.85 1.73 1.85NA 1.73 NA 0.04 2.27 2.15 2.27 2.15 1XXX.00.00.0000000 33.9764 090 99 2.59 2.59 0.04 76120TCCine/video x-rays A 0.00 1.70 1.58 1.70NA 1.58 NA 0.01 1.71 1.59 1.71 1.59 1XXX.00.00.0000000 33.9764 020 99 2.44 2.44 0.01 7612026Cine/video x-rays A 0.38 0.15 0.15 0.15 0.15 0.03 0.56 0.56 0.56 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76125 Cine/video x-rays add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76125TCCine/video x-rays add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 7612526Cine/video x-rays add-on A 0.27 0.13 0.11 0.13 0.11 0.03 0.43 0.41 0.43 0.41 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76140 X-ray consultation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 76376 3d render w/o postprocess A 0.20 1.90 1.45 1.90NA 1.45 NA 0.02 2.12 1.67 2.12 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76376TC3d render w/o postprocess A 0.00 1.81 1.37 1.81NA 1.37 NA 0.01 1.82 1.38 1.82 1.38 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 76376263d render w/o postprocess A 0.20 0.09 0.08 0.09 0.08 0.01 0.30 0.29 0.30 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76377 3d rendering w/postprocess A 0.79 1.92 1.42 1.92NA 1.42 NA 0.05 2.76 2.26 2.76 2.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76377TC3d rendering w/postprocess A 0.00 1.59 1.12 1.59NA 1.12 NA 0.01 1.60 1.13 1.60 1.13 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 76377263d rendering w/postprocess A 0.79 0.33 0.30 0.33 0.30 0.04 1.16 1.13 1.16 1.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76380 CAT scan follow-up study A 0.98 4.57 3.70 4.57NA 3.70 NA 0.05 5.60 4.73 5.60 4.73 1XXX.00.00.0000000 33.9764 090 99 3.74 3.74 0.05 76380TCCAT scan follow-up study A 0.00 4.16 3.32 4.16NA 3.32 NA 0.01 4.17 3.33 4.17 3.33 1XXX.00.00.0000000 33.9764 010 99 3.33 3.33 0.01 7638026CAT scan follow-up study A 0.98 0.41 0.38 0.41 0.38 0.04 1.43 1.40 1.43 1.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76390 Mr spectroscopy N+ 1.40 12.50 11.89 12.50NA 11.89 NA 0.06 13.96 13.35 13.96 13.35 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 76390TCMr spectroscopy N+ 0.00 11.91 11.28 11.91NA 11.28 NA 0.01 11.92 11.29 11.92 11.29 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 7639026Mr spectroscopy N+ 1.40 0.59 0.61 0.59 0.61 0.05 2.04 2.06 2.04 2.06 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 76496 Fluoroscopic procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 76496TCFluoroscopic procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 2.45 2.45 0.01 7649626Fluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76497 Ct procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 76497TCCt procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 3.33 3.33 0.01 7649726Ct procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76498 Mri procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 76498TCMri procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 10.08 10.08 0.01 7649826Mri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76499 Radiographic procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 1.32 1.32 0.01 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76506 Echo exam of head A 0.63 2.89 2.82 2.89NA 2.82 NA 0.05 3.57 3.50 3.57 3.50 1XXX.00.00.0000000 33.9764 090 99 2.09 2.09 0.05 76506TCEcho exam of head A 0.00 2.63 2.58 2.63NA 2.58 NA 0.01 2.64 2.59 2.64 2.59 1XXX.00.00.0000000 33.9764 010 99 1.83 1.83 0.01 7650626Echo exam of head A 0.63 0.26 0.24 0.26 0.24 0.04 0.93 0.91 0.93 0.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76510 Ophth us b & quant a A 1.55 3.11 3.24 3.11NA 3.24 NA 0.27 4.93 5.06 4.93 5.06 1XXX.00.00.0003000 33.9764 090 99 6.07 6.07 0.28 76510TCOphth us b & quant a A 0.00 2.18 2.16 2.18NA 2.16 NA 0.01 2.19 2.17 2.19 2.17 1XXX.00.00.0003000 33.9764 020 99 5.14 5.14 0.02 7651026Ophth us b & quant a A 1.55 0.93 1.08 0.93 1.08 0.26 2.74 2.89 2.74 2.89 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76511 Ophth us quant a only A 0.94 1.97 1.94 1.97NA 1.94 NA 0.02 2.93 2.90 2.93 2.90 1XXX.00.00.0003000 33.9764 090 99 3.36 3.36 0.03 76511TCOphth us quant a only A 0.00 1.42 1.30 1.42NA 1.30 NA 0.01 1.43 1.31 1.43 1.31 1XXX.00.00.0003000 33.9764 020 99 2.81 2.81 0.02 7651126Ophth us quant a only A 0.94 0.55 0.64 0.55 0.64 0.01 1.50 1.59 1.50 1.59 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76512 Ophth us b w/non-quant a A 0.94 1.73 1.68 1.73NA 1.68 NA 0.05 2.72 2.67 2.72 2.67 1XXX.00.00.0003000 33.9764 090 99 3.36 3.36 0.06 76512TCOphth us b w/non-quant a A 0.00 1.18 1.05 1.18NA 1.05 NA 0.01 1.19 1.06 1.19 1.06 1XXX.00.00.0003000 33.9764 020 99 2.81 2.81 0.02 7651226Ophth us b w/non-quant a A 0.94 0.55 0.63 0.55 0.63 0.04 1.53 1.61 1.53 1.61 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76513 Echo exam of eye water bath A 0.66 1.91 1.94 1.91NA 1.94 NA 0.02 2.59 2.62 2.59 2.62 1XXX.00.00.0003000 33.9764 090 99 3.15 3.15 0.03 76513TCEcho exam of eye water bath A 0.00 1.58 1.57 1.58NA 1.57 NA 0.01 1.59 1.58 1.59 1.58 1XXX.00.00.0003000 33.9764 020 99 2.82 2.82 0.02 7651326Echo exam of eye water bath A 0.66 0.33 0.37 0.33 0.37 0.01 1.00 1.04 1.00 1.04 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76514 Echo exam of eye thickness A 0.17 0.22 0.24 0.22NA 0.24 NA 0.02 0.41 0.43 0.41 0.43 1XXX.00.00.0002000 33.9764 090 99 0.60 0.60 0.05 76514TCEcho exam of eye thickness A 0.00 0.12 0.13 0.12NA 0.13 NA 0.01 0.13 0.14 0.13 0.14 1XXX.00.00.0002000 33.9764 010 99 0.50 0.50 0.04 7651426Echo exam of eye thickness A 0.17 0.10 0.11 0.10 0.11 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 76516 Echo exam of eye A 0.54 1.56 1.61 1.56NA 1.61 NA 0.02 2.12 2.17 2.12 2.17 1XXX.00.00.0002000 33.9764 090 99 2.13 2.13 0.02 76516TCEcho exam of eye A 0.00 1.25 1.25 1.25NA 1.25 NA 0.01 1.26 1.26 1.26 1.26 1XXX.00.00.0002000 33.9764 010 99 1.82 1.82 0.01 7651626Echo exam of eye A 0.54 0.31 0.36 0.31 0.36 0.01 0.86 0.91 0.86 0.91 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 76519 Echo exam of eye A 0.54 1.72 1.77 1.72NA 1.77 NA 0.04 2.30 2.35 2.30 2.35 1XXX.00.00.0002000 33.9764 090 99 3.13 3.13 0.05 76519TCEcho exam of eye A 0.00 1.40 1.40 1.40NA 1.40 NA 0.01 1.41 1.41 1.41 1.41 1XXX.00.00.0002000 33.9764 010 99 2.81 2.81 0.02 7651926Echo exam of eye A 0.54 0.32 0.37 0.32 0.37 0.03 0.89 0.94 0.89 0.94 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76529 Echo exam of eye A 0.57 1.56 1.63 1.56NA 1.63 NA 0.04 2.17 2.24 2.17 2.24 1XXX.00.00.0003000 33.9764 090 99 2.16 2.16 0.04 76529TCEcho exam of eye A 0.00 1.22 1.23 1.22NA 1.23 NA 0.01 1.23 1.24 1.23 1.24 1XXX.00.00.0003000 33.9764 010 99 1.82 1.82 0.01 7652926Echo exam of eye A 0.57 0.34 0.40 0.34 0.40 0.03 0.94 1.00 0.94 1.00 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 76536 Us exam of head and neck A 0.56 2.90 2.88 2.90NA 2.88 NA 0.04 3.50 3.48 3.50 3.48 1XXX.00.00.0000000 33.9764 090 99 3.05 3.05 0.04 76536TCUs exam of head and neck A 0.00 2.67 2.66 2.67NA 2.66 NA 0.01 2.68 2.67 2.68 2.67 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7653626Us exam of head and neck A 0.56 0.23 0.22 0.23 0.22 0.03 0.82 0.81 0.82 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76604 Us exam chest A 0.55 2.01 1.90 2.01NA 1.90 NA 0.04 2.60 2.49 2.60 2.49 1XXX.00.00.0040000 33.9764 090 88 2.04 2.04 0.04 76604TCUs exam chest A 0.00 1.79 1.70 1.79NA 1.70 NA 0.01 1.80 1.71 1.80 1.71 1XXX.00.00.0040000 33.9764 010 88 1.82 1.82 0.01 7660426Us exam chest A 0.55 0.22 0.20 0.22 0.20 0.03 0.80 0.78 0.80 0.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76645 Us exam breast(s) A 0.54 2.25 2.20 2.25NA 2.20 NA 0.05 2.84 2.79 2.84 2.79 1XXX.00.00.0002000 33.9764 090 99 2.04 2.04 0.05 76645TCUs exam breast(s) A 0.00 2.03 2.00 2.03NA 2.00 NA 0.01 2.04 2.01 2.04 2.01 1XXX.00.00.0002000 33.9764 010 99 1.82 1.82 0.01 7664526Us exam breast(s) A 0.54 0.22 0.20 0.22 0.20 0.04 0.80 0.78 0.80 0.78 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 76700 Us exam abdom complete A 0.81 3.30 3.16 3.30NA 3.16 NA 0.05 4.16 4.02 4.16 4.02 1XXX.00.00.0040000 33.9764 090 88 3.15 3.15 0.05 76700TCUs exam abdom complete A 0.00 2.97 2.85 2.97NA 2.85 NA 0.01 2.98 2.86 2.98 2.86 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7670026Us exam abdom complete A 0.81 0.33 0.31 0.33 0.31 0.04 1.18 1.16 1.18 1.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76705 Echo exam of abdomen A 0.59 2.53 2.43 2.53NA 2.43 NA 0.04 3.16 3.06 3.16 3.06 1XXX.00.00.0040000 33.9764 090 88 3.06 3.06 0.04 76705TCEcho exam of abdomen A 0.00 2.29 2.21 2.29NA 2.21 NA 0.01 2.30 2.22 2.30 2.22 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7670526Echo exam of abdomen A 0.59 0.24 0.22 0.24 0.22 0.03 0.86 0.84 0.86 0.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76770 Us exam abdo back wall comp A 0.74 3.16 2.99 3.16NA 2.99 NA 0.05 3.95 3.78 3.95 3.78 1XXX.00.00.0040000 33.9764 090 88 3.12 3.12 0.05 76770TCUs exam abdo back wall comp A 0.00 2.86 2.71 2.86NA 2.71 NA 0.01 2.87 2.72 2.87 2.72 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7677026Us exam abdo back wall comp A 0.74 0.30 0.28 0.30 0.28 0.04 1.08 1.06 1.08 1.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76775 Us exam abdo back wall lim A 0.58 2.68 2.45 2.68NA 2.45 NA 0.04 3.30 3.07 3.30 3.07 1XXX.00.00.0040000 33.9764 090 88 3.07 3.07 0.04 76775TCUs exam abdo back wall lim A 0.00 2.43 2.23 2.43NA 2.23 NA 0.01 2.44 2.24 2.44 2.24 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7677526Us exam abdo back wall lim A 0.58 0.25 0.22 0.25 0.22 0.03 0.86 0.83 0.86 0.83 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76776 Us exam k transpl w/doppler A 0.76 3.67 3.54 3.67NA 3.54 NA 0.05 4.48 4.35 4.48 4.35 1XXX.00.00.0040000 33.9764 090 88 0.00 0.00 0.00 76776TCUs exam k transpl w/doppler A 0.00 3.36 3.26 3.36NA 3.26 NA 0.01 3.37 3.27 3.37 3.27 1XXX.00.00.0040000 33.9764 010 88 0.00 0.00 0.00 7677626Us exam k transpl w/doppler A 0.76 0.31 0.28 0.31 0.28 0.04 1.11 1.08 1.11 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76800 Us exam spinal canal A 1.13 2.76 2.91 2.76NA 2.91 NA 0.05 3.94 4.09 3.94 4.09 1XXX.00.00.0000000 33.9764 090 99 3.27 3.27 0.05 76800TCUs exam spinal canal A 0.00 2.31 2.41 2.31NA 2.41 NA 0.01 2.32 2.42 2.32 2.42 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7680026Us exam spinal canal A 1.13 0.45 0.50 0.45 0.50 0.04 1.62 1.67 1.62 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76801 Ob us < 14 wks single fetus A 0.99 2.82 2.62 2.82NA 2.62 NA 0.04 3.85 3.65 3.85 3.65 1XXX.00.00.0000000 33.9764 010 99 3.24 3.24 0.04 76801TCOb us < 14 wks single fetus A 0.00 2.40 2.21 2.40NA 2.21 NA 0.01 2.41 2.22 2.41 2.22 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7680126Ob us < 14 wks single fetus A 0.99 0.42 0.41 0.42 0.41 0.03 1.44 1.43 1.44 1.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76802 Ob us < 14 wks addl fetus A 0.83 1.20 1.08 1.20NA 1.08 NA 0.04 2.07 1.95 2.07 1.95 1ZZZ.00.00.0000000 33.9764 010 99 2.16 2.16 0.05 76802TCOb us < 14 wks addl fetus A 0.00 0.85 0.73 0.85NA 0.73 NA 0.01 0.86 0.74 0.86 0.74 1ZZZ.00.00.0000000 33.9764 010 99 1.81 1.81 0.02 7680226Ob us < 14 wks addl fetus A 0.83 0.35 0.35 0.35 0.35 0.03 1.21 1.21 1.21 1.21 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76805 Ob us >/= 14 wks sngl fetus A 0.99 3.38 3.23 3.38NA 3.23 NA 0.04 4.41 4.26 4.41 4.26 1XXX.00.00.0000000 33.9764 090 99 3.24 3.24 0.04 76805TCOb us >/= 14 wks sngl fetus A 0.00 2.96 2.81 2.96NA 2.81 NA 0.01 2.97 2.82 2.97 2.82 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7680526Ob us >/= 14 wks sngl fetus A 0.99 0.42 0.42 0.42 0.42 0.03 1.44 1.44 1.44 1.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76810 Ob us >/= 14 wks addl fetus A 0.98 1.87 1.80 1.87NA 1.80 NA 0.04 2.89 2.82 2.89 2.82 1ZZZ.00.00.0000000 33.9764 090 99 3.22 3.22 0.05 76810TCOb us >/= 14 wks addl fetus A 0.00 1.46 1.38 1.46NA 1.38 NA 0.01 1.47 1.39 1.47 1.39 1ZZZ.00.00.0000000 33.9764 010 99 2.81 2.81 0.02 7681026Ob us >/= 14 wks addl fetus A 0.98 0.41 0.42 0.41 0.42 0.03 1.42 1.43 1.42 1.43 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76811 Ob us detailed sngl fetus A 1.90 3.75 3.42 3.75NA 3.42 NA 0.06 5.71 5.38 5.71 5.38 1XXX.00.00.0000000 33.9764 010 99 5.30 5.30 0.07 76811TCOb us detailed sngl fetus A 0.00 2.94 2.56 2.94NA 2.56 NA 0.01 2.95 2.57 2.95 2.57 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.02 7681126Ob us detailed sngl fetus A 1.90 0.81 0.86 0.81 0.86 0.05 2.76 2.81 2.76 2.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76812 Ob us detailed addl fetus A 1.78 4.21 4.32 4.21NA 4.32 NA 0.06 6.05 6.16 6.05 6.16 1ZZZ.00.00.0000000 33.9764 010 99 2.58 2.58 0.06 76812TCOb us detailed addl fetus A 0.00 3.46 3.51 3.46NA 3.51 NA 0.01 3.47 3.52 3.47 3.52 1ZZZ.00.00.0000000 33.9764 010 99 1.83 1.83 0.01 7681226Ob us detailed addl fetus A 1.78 0.75 0.81 0.75 0.81 0.05 2.58 2.64 2.58 2.64 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76813 Ob us nuchal meas 1 gest A 1.18 2.52 2.40 2.52NA 2.40 NA 0.05 3.75 3.63 3.75 3.63 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 76813TCOb us nuchal meas 1 gest A 0.00 2.03 1.86 2.03NA 1.86 NA 0.01 2.04 1.87 2.04 1.87 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7681326Ob us nuchal meas 1 gest A 1.18 0.49 0.54 0.49 0.54 0.04 1.71 1.76 1.71 1.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76814 Ob us nuchal meas add-on A 0.99 1.36 1.34 1.36NA 1.34 NA 0.04 2.39 2.37 2.39 2.37 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 76814TCOb us nuchal meas add-on A 0.00 0.95 0.88 0.95NA 0.88 NA 0.01 0.96 0.89 0.96 0.89 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7681426Ob us nuchal meas add-on A 0.99 0.41 0.46 0.41 0.46 0.03 1.43 1.48 1.43 1.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76815 Ob us limited fetus(s) A 0.65 2.03 1.92 2.03NA 1.92 NA 0.02 2.70 2.59 2.70 2.59 1XXX.00.00.0000000 33.9764 090 99 2.09 2.09 0.02 76815TCOb us limited fetus(s) A 0.00 1.76 1.65 1.76NA 1.65 NA 0.01 1.77 1.66 1.77 1.66 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7681526Ob us limited fetus(s) A 0.65 0.27 0.27 0.27 0.27 0.01 0.93 0.93 0.93 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76816 Ob us follow-up per fetus A 0.85 2.57 2.55 2.57NA 2.55 NA 0.04 3.46 3.44 3.46 3.44 1XXX.00.00.0000000 33.9764 090 99 2.18 2.18 0.04 76816TCOb us follow-up per fetus A 0.00 2.21 2.17 2.21NA 2.17 NA 0.01 2.22 2.18 2.22 2.18 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7681626Ob us follow-up per fetus A 0.85 0.36 0.38 0.36 0.38 0.03 1.24 1.26 1.24 1.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76817 Transvaginal us obstetric A 0.75 2.27 2.15 2.27NA 2.15 NA 0.04 3.06 2.94 3.06 2.94 1XXX.00.00.0000000 33.9764 010 99 2.13 2.13 0.04 76817TCTransvaginal us obstetric A 0.00 1.96 1.84 1.96NA 1.84 NA 0.01 1.97 1.85 1.97 1.85 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7681726Transvaginal us obstetric A 0.75 0.31 0.31 0.31 0.31 0.03 1.09 1.09 1.09 1.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76818 Fetal biophys profile w/nst A 1.05 2.53 2.45 2.53NA 2.45 NA 0.04 3.62 3.54 3.62 3.54 1XXX.00.00.0000000 33.9764 090 99 3.27 3.27 0.04 76818TCFetal biophys profile w/nst A 0.00 2.08 1.97 2.08NA 1.97 NA 0.01 2.09 1.98 2.09 1.98 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7681826Fetal biophys profile w/nst A 1.05 0.45 0.48 0.45 0.48 0.03 1.53 1.56 1.53 1.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76819 Fetal biophys profil w/o nst A 0.77 1.91 1.76 1.91NA 1.76 NA 0.04 2.72 2.57 2.72 2.57 1XXX.00.00.0000000 33.9764 090 99 3.15 3.15 0.05 76819TCFetal biophys profil w/o nst A 0.00 1.58 1.42 1.58NA 1.42 NA 0.01 1.59 1.43 1.59 1.43 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.02 7681926Fetal biophys profil w/o nst A 0.77 0.33 0.34 0.33 0.34 0.03 1.13 1.14 1.13 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76820 Umbilical artery echo A 0.50 0.86 0.66 0.86NA 0.66 NA 0.02 1.38 1.18 1.38 1.18 1XXX.00.00.0000000 33.9764 090 99 2.01 2.01 0.04 76820TCUmbilical artery echo A 0.00 0.65 0.43 0.65NA 0.43 NA 0.01 0.66 0.44 0.66 0.44 1XXX.00.00.0000000 33.9764 010 99 1.80 1.80 0.03 7682026Umbilical artery echo A 0.50 0.21 0.23 0.21 0.23 0.01 0.72 0.74 0.72 0.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76821 Middle cerebral artery echo A 0.70 2.14 2.02 2.14NA 2.02 NA 0.04 2.88 2.76 2.88 2.76 1XXX.00.00.0000000 33.9764 090 99 2.12 2.12 0.04 76821TCMiddle cerebral artery echo A 0.00 1.84 1.70 1.84NA 1.70 NA 0.01 1.85 1.71 1.85 1.71 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7682126Middle cerebral artery echo A 0.70 0.30 0.32 0.30 0.32 0.03 1.03 1.05 1.03 1.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76825 Echo exam of fetal heart A 1.67 4.70 4.64 4.70NA 4.64 NA 0.05 6.42 6.36 6.42 6.36 1XXX.00.00.0000000 33.9764 090 99 17.20 17.20 0.08 76825TCEcho exam of fetal heart A 0.00 4.00 3.91 4.00NA 3.91 NA 0.01 4.01 3.92 4.01 3.92 1XXX.00.00.0000000 33.9764 010 99 16.50 16.50 0.04 7682526Echo exam of fetal heart A 1.67 0.70 0.73 0.70 0.73 0.04 2.41 2.44 2.41 2.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76826 Echo exam of fetal heart A 0.83 2.83 2.90 2.83NA 2.90 NA 0.04 3.70 3.77 3.70 3.77 1XXX.00.00.0000000 33.9764 090 99 12.14 12.14 0.08 76826TCEcho exam of fetal heart A 0.00 2.49 2.54 2.49NA 2.54 NA 0.01 2.50 2.55 2.50 2.55 1XXX.00.00.0000000 33.9764 010 99 11.80 11.80 0.05 7682626Echo exam of fetal heart A 0.83 0.34 0.36 0.34 0.36 0.03 1.20 1.22 1.20 1.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76827 Echo exam of fetal heart A 0.58 1.36 1.17 1.36NA 1.17 NA 0.02 1.96 1.77 1.96 1.77 1XXX.00.00.0000000 33.9764 090 99 2.06 2.06 0.03 76827TCEcho exam of fetal heart A 0.00 1.12 0.92 1.12NA 0.92 NA 0.01 1.13 0.93 1.13 0.93 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.02 7682726Echo exam of fetal heart A 0.58 0.24 0.25 0.24 0.25 0.01 0.83 0.84 0.83 0.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76828 Echo exam of fetal heart A 0.56 0.86 0.73 0.86NA 0.73 NA 0.02 1.44 1.31 1.44 1.31 1XXX.00.00.0000000 33.9764 090 99 2.04 2.04 0.04 76828TCEcho exam of fetal heart A 0.00 0.62 0.48 0.62NA 0.48 NA 0.01 0.63 0.49 0.63 0.49 1XXX.00.00.0000000 33.9764 010 99 1.80 1.80 0.03 7682826Echo exam of fetal heart A 0.56 0.24 0.25 0.24 0.25 0.01 0.81 0.82 0.81 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76830 Transvaginal us non-ob A 0.69 2.97 2.88 2.97NA 2.88 NA 0.04 3.70 3.61 3.70 3.61 1XXX.00.00.0000000 33.9764 090 99 3.11 3.11 0.04 76830TCTransvaginal us non-ob A 0.00 2.68 2.60 2.68NA 2.60 NA 0.01 2.69 2.61 2.69 2.61 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7683026Transvaginal us non-ob A 0.69 0.29 0.28 0.29 0.28 0.03 1.01 1.00 1.01 1.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76831 Echo exam uterus A 0.72 2.95 2.89 2.95NA 2.89 NA 0.04 3.71 3.65 3.71 3.65 1XXX.00.00.0040000 33.9764 090 88 4.79 4.79 0.05 76831TCEcho exam uterus A 0.00 2.65 2.57 2.65NA 2.57 NA 0.01 2.66 2.58 2.66 2.58 1XXX.00.00.0040000 33.9764 030 88 4.49 4.49 0.02 7683126Echo exam uterus A 0.72 0.30 0.32 0.30 0.32 0.03 1.05 1.07 1.05 1.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76856 Us exam pelvic complete A 0.69 2.96 2.85 2.96NA 2.85 NA 0.04 3.69 3.58 3.69 3.58 1XXX.00.00.0040000 33.9764 090 88 3.11 3.11 0.04 76856TCUs exam pelvic complete A 0.00 2.67 2.58 2.67NA 2.58 NA 0.01 2.68 2.59 2.68 2.59 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7685626Us exam pelvic complete A 0.69 0.29 0.27 0.29 0.27 0.03 1.01 0.99 1.01 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76857 Us exam pelvic limited A 0.38 2.58 2.33 2.58NA 2.33 NA 0.04 3.00 2.75 3.00 2.75 1XXX.00.00.0040000 33.9764 090 88 1.99 1.99 0.04 76857TCUs exam pelvic limited A 0.00 2.41 2.18 2.41NA 2.18 NA 0.01 2.42 2.19 2.42 2.19 1XXX.00.00.0040000 33.9764 010 88 1.82 1.82 0.01 7685726Us exam pelvic limited A 0.38 0.17 0.15 0.17 0.15 0.03 0.58 0.56 0.58 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76870 Us exam scrotum A 0.64 2.98 2.85 2.98NA 2.85 NA 0.05 3.67 3.54 3.67 3.54 1XXX.00.00.0040000 33.9764 090 88 3.09 3.09 0.05 76870TCUs exam scrotum A 0.00 2.71 2.61 2.71NA 2.61 NA 0.01 2.72 2.62 2.72 2.62 1XXX.00.00.0040000 33.9764 010 88 2.82 2.82 0.01 7687026Us exam scrotum A 0.64 0.27 0.24 0.27 0.24 0.04 0.95 0.92 0.95 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76872 Us transrectal A 0.69 3.42 3.04 3.42NA 3.04 NA 0.05 4.16 3.78 4.16 3.78 1XXX.00.00.0000000 33.9764 090 99 3.13 3.13 0.05 76872TCUs transrectal A 0.00 3.11 2.77 3.11NA 2.77 NA 0.01 3.12 2.78 3.12 2.78 1XXX.00.00.0000000 33.9764 010 99 2.82 2.82 0.01 7687226Us transrectal A 0.69 0.31 0.27 0.31 0.27 0.04 1.04 1.00 1.04 1.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76873 Echograp trans r pros study A 1.55 3.63 3.39 3.63NA 3.39 NA 0.09 5.27 5.03 5.27 5.03 1XXX.00.00.0099999 33.9764 090 99 3.49 3.49 0.09 76873TCEchograp trans r pros study A 0.00 2.96 2.74 2.96NA 2.74 NA 0.01 2.97 2.75 2.97 2.75 1XXX.00.00.0099999 33.9764 020 99 2.82 2.82 0.01 7687326Echograp trans r pros study A 1.55 0.67 0.65 0.67 0.65 0.08 2.30 2.28 2.30 2.28 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 76881 Us xtr non-vasc complete A 0.59 2.75 2.75 2.75NA 2.75 NA 0.05 3.39 3.39 3.39 3.39 1XXX.00.00.0000900 33.9764 090 99 3.04 3.04 0.05 76881TCUs xtr non-vasc complete A 0.00 2.53 2.53 2.53NA 2.53 NA 0.01 2.54 2.54 2.54 2.54 1XXX.00.00.0000900 33.9764 010 99 2.82 2.82 0.01 7688126Us xtr non-vasc complete A 0.59 0.22 0.22 0.22 0.22 0.04 0.85 0.85 0.85 0.85 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 76882 Us xtr non-vasc lmtd A 0.41 0.44 0.44 0.44NA 0.44 NA 0.04 0.89 0.89 0.89 0.89 1XXX.00.00.0000900 33.9764 090 99 1.92 1.92 0.09 76882TCUs xtr non-vasc lmtd A 0.00 0.29 0.29 0.29NA 0.29 NA 0.01 0.30 0.30 0.30 0.30 1XXX.00.00.0000900 33.9764 010 99 1.77 1.77 0.06 7688226Us xtr non-vasc lmtd A 0.41 0.15 0.15 0.15 0.15 0.03 0.59 0.59 0.59 0.59 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 76885 Us exam infant hips dynamic A 0.74 3.51 3.49 3.51NA 3.49 NA 0.05 4.30 4.28 4.30 4.28 1XXX.00.00.0000000 33.9764 090 99 2.14 2.14 0.05 76885TCUs exam infant hips dynamic A 0.00 3.20 3.20 3.20NA 3.20 NA 0.01 3.21 3.21 3.21 3.21 1XXX.00.00.0000000 33.9764 010 99 1.83 1.83 0.01 7688526Us exam infant hips dynamic A 0.74 0.31 0.29 0.31 0.29 0.04 1.09 1.07 1.09 1.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76886 Us exam infant hips static A 0.62 2.77 3.03 2.77NA 3.03 NA 0.02 3.41 3.67 3.41 3.67 1XXX.00.00.0000000 33.9764 090 99 2.10 2.10 0.02 76886TCUs exam infant hips static A 0.00 2.49 2.73 2.49NA 2.73 NA 0.01 2.50 2.74 2.50 2.74 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7688626Us exam infant hips static A 0.62 0.28 0.30 0.28 0.30 0.01 0.91 0.93 0.91 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76930 Echo guide cardiocentesis A 0.67 1.99 1.63 1.99NA 1.63 NA 0.02 2.68 2.32 2.68 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76930TCEcho guide cardiocentesis A 0.00 1.67 1.37 1.67NA 1.37 NA 0.01 1.68 1.38 1.68 1.38 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7693026Echo guide cardiocentesis A 0.67 0.32 0.26 0.32 0.26 0.01 1.00 0.94 1.00 0.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76932 Echo guide for heart biopsy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76932TCEcho guide for heart biopsy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7693226Echo guide for heart biopsy A 0.67 0.33 0.26 0.33 0.26 0.04 1.04 0.97 1.04 0.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76936 Echo guide for artery repair A 1.99 6.95 6.26 6.95NA 6.26 NA 0.24 9.18 8.49 9.18 8.49 1XXX.00.00.0000000 33.9764 090 99 3.93 3.93 0.24 76936TCEcho guide for artery repair A 0.00 6.15 5.55 6.15NA 5.55 NA 0.01 6.16 5.56 6.16 5.56 1XXX.00.00.0000000 33.9764 030 99 3.13 3.13 0.01 7693626Echo guide for artery repair A 1.99 0.80 0.71 0.80 0.71 0.23 3.02 2.93 3.02 2.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76937 Us guide vascular access A 0.30 0.69 0.67 0.69NA 0.67 NA 0.04 1.03 1.01 1.03 1.01 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76937TCUs guide vascular access A 0.00 0.57 0.56 0.57NA 0.56 NA 0.01 0.58 0.57 0.58 0.57 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7693726Us guide vascular access A 0.30 0.12 0.11 0.12 0.11 0.03 0.45 0.44 0.45 0.44 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76940 Us guide tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76940TCUs guide tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694026Us guide tissue ablation A 2.00 0.82 0.79 0.82 0.79 0.29 3.11 3.08 3.11 3.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76941 Echo guide for transfusion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76941TCEcho guide for transfusion C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694126Echo guide for transfusion A 1.34 0.58 0.62 0.58 0.62 0.11 2.03 2.07 2.03 2.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76942 Echo guide for biopsy A 0.67 5.11 4.96 5.11NA 4.96 NA 0.05 5.83 5.68 5.83 5.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76942TCEcho guide for biopsy A 0.00 4.83 4.70 4.83NA 4.70 NA 0.01 4.84 4.71 4.84 4.71 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694226Echo guide for biopsy A 0.67 0.28 0.26 0.28 0.26 0.04 0.99 0.97 0.99 0.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76945 Echo guide villus sampling C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76945TCEcho guide villus sampling C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694526Echo guide villus sampling A 0.67 0.29 0.31 0.29 0.31 0.04 1.00 1.02 1.00 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76946 Echo guide for amniocentesis A 0.38 0.72 0.52 0.72NA 0.52 NA 0.02 1.12 0.92 1.12 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76946TCEcho guide for amniocentesis A 0.00 0.56 0.35 0.56NA 0.35 NA 0.01 0.57 0.36 0.57 0.36 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694626Echo guide for amniocentesis A 0.38 0.16 0.17 0.16 0.17 0.01 0.55 0.56 0.55 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76948 Echo guide ova aspiration A 0.38 0.72 0.53 0.72NA 0.53 NA 0.04 1.14 0.95 1.14 0.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76948TCEcho guide ova aspiration A 0.00 0.56 0.36 0.56NA 0.36 NA 0.01 0.57 0.37 0.57 0.37 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7694826Echo guide ova aspiration A 0.38 0.16 0.17 0.16 0.17 0.03 0.57 0.58 0.57 0.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76950 Echo guidance radiotherapy A 0.58 1.42 1.27 1.42NA 1.27 NA 0.04 2.04 1.89 2.04 1.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76950TCEcho guidance radiotherapy A 0.00 1.17 1.02 1.17NA 1.02 NA 0.01 1.18 1.03 1.18 1.03 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7695026Echo guidance radiotherapy A 0.58 0.25 0.25 0.25 0.25 0.03 0.86 0.86 0.86 0.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76965 Echo guidance radiotherapy A 1.34 2.06 1.18 2.06NA 1.18 NA 0.09 3.49 2.61 3.49 2.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76965TCEcho guidance radiotherapy A 0.00 1.47 0.63 1.47NA 0.63 NA 0.01 1.48 0.64 1.48 0.64 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7696526Echo guidance radiotherapy A 1.34 0.59 0.55 0.59 0.55 0.08 2.01 1.97 2.01 1.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76970 Ultrasound exam follow-up A 0.40 2.39 2.56 2.39NA 2.56 NA 0.05 2.84 3.01 2.84 3.01 1XXX.00.00.0000000 33.9764 090 99 1.98 1.98 0.05 76970TCUltrasound exam follow-up A 0.00 2.23 2.39 2.23NA 2.39 NA 0.01 2.24 2.40 2.24 2.40 1XXX.00.00.0000000 33.9764 010 99 1.82 1.82 0.01 7697026Ultrasound exam follow-up A 0.40 0.16 0.17 0.16 0.17 0.04 0.60 0.61 0.60 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76975 GI endoscopic ultrasound C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 4.88 4.88 0.09 76975TCGI endoscopic ultrasound C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 4.49 4.49 0.01 7697526GI endoscopic ultrasound A 0.81 0.39 0.40 0.39 0.40 0.08 1.28 1.29 1.28 1.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76977 Us bone density measure A 0.05 0.24 0.14 0.24NA 0.14 NA 0.02 0.31 0.21 0.31 0.21 1XXX.00.00.0000000 33.9764 090 99 1.32 1.32 0.07 76977TCUs bone density measure A 0.00 0.22 0.12 0.22NA 0.12 NA 0.01 0.23 0.13 0.23 0.13 1XXX.00.00.0000000 33.9764 010 99 1.30 1.30 0.06 7697726Us bone density measure A 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76998 Us guide intraop C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76998TCUs guide intraop C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 7699826Us guide intraop A 1.20 0.47 0.47 0.47 0.47 0.26 1.93 1.93 1.93 1.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76999 Echo examination procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 76999TCEcho examination procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77001 Fluoroguide for vein device A 0.38 2.96 2.99 2.96NA 2.99 NA 0.04 3.38 3.41 3.38 3.41 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77001TCFluoroguide for vein device A 0.00 2.80 2.85 2.80NA 2.85 NA 0.01 2.81 2.86 2.81 2.86 1ZZZ.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7700126Fluoroguide for vein device A 0.38 0.16 0.14 0.16 0.14 0.03 0.57 0.55 0.57 0.55 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77002 Needle localization by xray A 0.54 1.65 1.65 1.65NA 1.65 NA 0.04 2.23 2.23 2.23 2.23 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77002TCNeedle localization by xray A 0.00 1.41 1.40 1.41NA 1.40 NA 0.01 1.42 1.41 1.42 1.41 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7700226Needle localization by xray A 0.54 0.24 0.25 0.24 0.25 0.03 0.81 0.82 0.81 0.82 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77003 Fluoroguide for spine inject A 0.60 1.20 1.24 1.20NA 1.24 NA 0.04 1.84 1.88 1.84 1.88 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 77003TCFluoroguide for spine inject A 0.00 0.96 0.95 0.96NA 0.95 NA 0.01 0.97 0.96 0.97 0.96 1XXX.00.00.0099999 33.9764 030 99 0.00 0.00 0.00 7700326Fluoroguide for spine inject A 0.60 0.24 0.29 0.24 0.29 0.03 0.87 0.92 0.87 0.92 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 77011 Ct scan for localization A 1.21 12.98 5.36 12.98NA 5.36 NA 0.05 14.24 6.62 14.24 6.62 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77011TCCt scan for localization A 0.00 12.44 4.82 12.44NA 4.82 NA 0.01 12.45 4.83 12.45 4.83 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7701126Ct scan for localization A 1.21 0.54 0.54 0.54 0.54 0.04 1.79 1.79 1.79 1.79 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77012 Ct scan for needle biopsy A 1.16 3.61 2.46 3.61NA 2.46 NA 0.05 4.82 3.67 4.82 3.67 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77012TCCt scan for needle biopsy A 0.00 3.13 2.03 3.13NA 2.03 NA 0.01 3.14 2.04 3.14 2.04 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7701226Ct scan for needle biopsy A 1.16 0.48 0.43 0.48 0.43 0.04 1.68 1.63 1.68 1.63 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77013 Ct guide for tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77013TCCt guide for tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7701326Ct guide for tissue ablation A 3.99 1.65 1.45 1.65 1.45 0.37 6.01 5.81 6.01 5.81 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77014 Ct scan for therapy guide A 0.85 4.75 4.51 4.75NA 4.51 NA 0.05 5.65 5.41 5.65 5.41 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77014TCCt scan for therapy guide A 0.00 4.39 4.14 4.39NA 4.14 NA 0.01 4.40 4.15 4.40 4.15 1XXX.00.00.0000900 33.9764 020 99 0.00 0.00 0.00 7701426Ct scan for therapy guide A 0.85 0.36 0.37 0.36 0.37 0.04 1.25 1.26 1.25 1.26 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77021 Mr guidance for needle place A 1.50 11.16 9.78 11.16NA 9.78 NA 0.13 12.79 11.41 12.79 11.41 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77021TCMr guidance for needle place A 0.00 10.54 9.22 10.54NA 9.22 NA 0.01 10.55 9.23 10.55 9.23 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7702126Mr guidance for needle place A 1.50 0.62 0.56 0.62 0.56 0.12 2.24 2.18 2.24 2.18 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77022 Mri for tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77022TCMri for tissue ablation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7702226Mri for tissue ablation A 4.24 1.73 1.64 1.73 1.64 0.38 6.35 6.26 6.35 6.26 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77031 Stereotact guide for brst bx A 1.59 3.04 2.02 3.04NA 2.02 NA 0.13 4.76 3.74 4.76 3.74 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77031TCStereotact guide for brst bx A 0.00 2.39 1.41 2.39NA 1.41 NA 0.01 2.40 1.42 2.40 1.42 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7703126Stereotact guide for brst bx A 1.59 0.65 0.61 0.65 0.61 0.12 2.36 2.32 2.36 2.32 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77032 Guidance for needle breast A 0.56 1.05 0.87 1.05NA 0.87 NA 0.04 1.65 1.47 1.65 1.47 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77032TCGuidance for needle breast A 0.00 0.82 0.66 0.82NA 0.66 NA 0.01 0.83 0.67 0.83 0.67 1XXX.00.00.0000900 33.9764 030 99 0.00 0.00 0.00 7703226Guidance for needle breast A 0.56 0.23 0.21 0.23 0.21 0.03 0.82 0.80 0.82 0.80 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77051 Computer dx mammogram add-on A 0.06 0.26 0.20 0.26NA 0.20 NA 0.02 0.34 0.28 0.34 0.28 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77051TCComputer dx mammogram add-on A 0.00 0.24 0.18 0.24NA 0.18 NA 0.01 0.25 0.19 0.25 0.19 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 7705126Computer dx mammogram add-on A 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77052 Comp screen mammogram add-on A 0.06 0.26 0.20 0.26NA 0.20 NA 0.02 0.34 0.28 0.34 0.28 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77052TCComp screen mammogram add-on A 0.00 0.24 0.18 0.24NA 0.18 NA 0.01 0.25 0.19 0.25 0.19 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 7705226Comp screen mammogram add-on A 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 1ZZZ.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77053 X-ray of mammary duct A 0.36 1.62 1.26 1.62NA 1.26 NA 0.02 2.00 1.64 2.00 1.64 1XXX.00.00.0000900 33.9764 090 99 6.87 6.87 0.06 77053TCX-ray of mammary duct A 0.00 1.47 1.13 1.47NA 1.13 NA 0.01 1.48 1.14 1.48 1.14 1XXX.00.00.0000900 33.9764 030 99 6.72 6.72 0.05 7705326X-ray of mammary duct A 0.36 0.15 0.13 0.15 0.13 0.01 0.52 0.50 0.52 0.50 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77054 X-ray of mammary ducts A 0.45 2.22 1.74 2.22NA 1.74 NA 0.04 2.71 2.23 2.71 2.23 1XXX.00.00.0000900 33.9764 090 99 6.93 6.93 0.06 77054TCX-ray of mammary ducts A 0.00 2.03 1.57 2.03NA 1.57 NA 0.01 2.04 1.58 2.04 1.58 1XXX.00.00.0000900 33.9764 030 99 6.74 6.74 0.03 7705426X-ray of mammary ducts A 0.45 0.19 0.17 0.19 0.17 0.03 0.67 0.65 0.67 0.65 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77055 Mammogram one breast A 0.70 1.80 1.70 1.80NA 1.70 NA 0.05 2.55 2.45 2.55 2.45 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77055TCMammogram one breast A 0.00 1.51 1.44 1.51NA 1.44 NA 0.01 1.52 1.45 1.52 1.45 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 7705526Mammogram one breast A 0.70 0.29 0.26 0.29 0.26 0.04 1.03 1.00 1.03 1.00 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77056 Mammogram both breasts A 0.87 2.33 2.22 2.33NA 2.22 NA 0.06 3.26 3.15 3.26 3.15 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77056TCMammogram both breasts A 0.00 1.97 1.89 1.97NA 1.89 NA 0.01 1.98 1.90 1.98 1.90 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 7705626Mammogram both breasts A 0.87 0.36 0.33 0.36 0.33 0.05 1.28 1.25 1.28 1.25 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77057 Mammogram screening A 0.70 1.64 1.50 1.64NA 1.50 NA 0.05 2.39 2.25 2.39 2.25 1XXX.00.00.0002900 33.9764 090 99 0.00 0.00 0.00 77057TCMammogram screening A 0.00 1.35 1.24 1.35NA 1.24 NA 0.01 1.36 1.25 1.36 1.25 1XXX.00.00.0002900 33.9764 090 99 0.00 0.00 0.00 7705726Mammogram screening A 0.70 0.29 0.26 0.29 0.26 0.04 1.03 1.00 1.03 1.00 1XXX.00.00.0002900 33.9764 090 99 0.00 0.00 0.00 77058 Mri one breast A 1.63 20.59 16.03 20.59NA 16.03 NA 0.11 22.33 17.77 22.33 17.77 1XXX.00.00.0040900 33.9764 090 88 16.37 16.37 0.11 77058TCMri one breast A 0.00 19.92 15.43 19.92NA 15.43 NA 0.01 19.93 15.44 19.93 15.44 1XXX.00.00.0040900 33.9764 020 88 15.70 15.70 0.01 7705826Mri one breast A 1.63 0.67 0.60 0.67 0.60 0.10 2.40 2.33 2.40 2.33 1XXX.00.00.0000900 33.9764 090 99 0.00 0.00 0.00 77059 Mri both breasts A 1.63 21.43 15.93 21.43NA 15.93 NA 0.11 23.17 17.67 23.17 17.67 1XXX.00.00.0042900 33.9764 090 88 16.37 16.37 0.11 77059TCMri both breasts A 0.00 20.76 15.33 20.76NA 15.33 NA 0.01 20.77 15.34 20.77 15.34 1XXX.00.00.0042900 33.9764 020 88 15.70 15.70 0.01 7705926Mri both breasts A 1.63 0.67 0.60 0.67 0.60 0.10 2.40 2.33 2.40 2.33 1XXX.00.00.0002900 33.9764 090 99 0.00 0.00 0.00 77071 X-ray stress view A 0.41 0.90 1.03 0.90 1.03 0.07 1.38 1.51 1.38 1.51 2XXX.00.00.0002000 33.9764 030 99 0.00 0.00 0.00 77072 X-rays for bone age A 0.19 0.49 0.46 0.49NA 0.46 NA 0.02 0.70 0.67 0.70 0.67 1XXX.00.00.0000000 33.9764 090 99 1.37 1.37 0.04 77072TCX-rays for bone age A 0.00 0.41 0.38 0.41NA 0.38 NA 0.01 0.42 0.39 0.42 0.39 1XXX.00.00.0000000 33.9764 010 99 1.29 1.29 0.03 7707226X-rays for bone age A 0.19 0.08 0.08 0.08 0.08 0.01 0.28 0.28 0.28 0.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77073 X-rays bone length studies A 0.27 0.84 0.81 0.84NA 0.81 NA 0.05 1.16 1.13 1.16 1.13 1XXX.00.00.0000000 33.9764 090 99 1.44 1.44 0.06 77073TCX-rays bone length studies A 0.00 0.71 0.67 0.71NA 0.67 NA 0.01 0.72 0.68 0.72 0.68 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7707326X-rays bone length studies A 0.27 0.13 0.14 0.13 0.14 0.04 0.44 0.45 0.44 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77074 X-rays bone survey limited A 0.45 1.58 1.48 1.58NA 1.48 NA 0.04 2.07 1.97 2.07 1.97 1XXX.00.00.0000000 33.9764 090 99 2.41 2.41 0.05 77074TCX-rays bone survey limited A 0.00 1.39 1.31 1.39NA 1.31 NA 0.01 1.40 1.32 1.40 1.32 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.02 7707426X-rays bone survey limited A 0.45 0.19 0.17 0.19 0.17 0.03 0.67 0.65 0.67 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77075 X-rays bone survey complete A 0.54 2.46 2.35 2.46NA 2.35 NA 0.04 3.04 2.93 3.04 2.93 1XXX.00.00.0000000 33.9764 090 99 2.44 2.44 0.04 77075TCX-rays bone survey complete A 0.00 2.24 2.15 2.24NA 2.15 NA 0.01 2.25 2.16 2.25 2.16 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.01 7707526X-rays bone survey complete A 0.54 0.22 0.20 0.22 0.20 0.03 0.79 0.77 0.79 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77076 X-rays bone survey infant A 0.70 2.22 2.25 2.22NA 2.25 NA 0.05 2.97 3.00 2.97 3.00 1XXX.00.00.0000000 33.9764 090 99 2.49 2.49 0.05 77076TCX-rays bone survey infant A 0.00 1.95 1.98 1.95NA 1.98 NA 0.01 1.96 1.99 1.96 1.99 1XXX.00.00.0000000 33.9764 010 99 2.22 2.22 0.01 7707626X-rays bone survey infant A 0.70 0.27 0.27 0.27 0.27 0.04 1.01 1.01 1.01 1.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77077 Joint survey single view A 0.31 0.89 0.82 0.89NA 0.82 NA 0.05 1.25 1.18 1.25 1.18 1XXX.00.00.0000000 33.9764 090 99 1.45 1.45 0.06 77077TCJoint survey single view A 0.00 0.75 0.67 0.75NA 0.67 NA 0.01 0.76 0.68 0.76 0.68 1XXX.00.00.0000000 33.9764 010 99 1.31 1.31 0.02 7707726Joint survey single view A 0.31 0.14 0.15 0.14 0.15 0.04 0.49 0.50 0.49 0.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77078 Ct bone density axial A 0.25 4.38 3.54 4.38NA 3.54 NA 0.02 4.65 3.81 4.65 3.81 1XXX.00.00.0000000 33.9764 090 99 2.17 2.17 0.01 77078TCCt bone density axial A 0.00 4.28 3.44 4.28NA 3.44 NA 0.01 4.29 3.45 4.29 3.45 1XXX.00.00.0000000 33.9764 010 99 2.07 2.07 0.00 7707826Ct bone density axial A 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77079 Ct bone density peripheral A 0.22 1.26 0.92 1.26NA 0.92 NA 0.02 1.50 1.16 1.50 1.16 1XXX.00.00.0000000 33.9764 010 99 3.40 3.40 0.04 77079TCCt bone density peripheral A 0.00 1.17 0.82 1.17NA 0.82 NA 0.01 1.18 0.83 1.18 0.83 1XXX.00.00.0000000 33.9764 010 99 3.31 3.31 0.03 7707926Ct bone density peripheral A 0.22 0.09 0.10 0.09 0.10 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77080 Dxa bone density axial A 0.23 2.50 2.50 2.50NA 2.50 NA 0.14 2.87 2.87 2.87 2.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77080TCDxa bone density axial A 0.00 2.42 2.42 2.42NA 2.42 NA 0.13 2.55 2.55 2.55 2.55 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7708026Dxa bone density axial A 0.23 0.08 0.08 0.08 0.08 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77081 Dxa bone density/peripheral A 0.22 0.61 0.61 0.61NA 0.61 NA 0.02 0.85 0.85 0.85 0.85 1XXX.00.00.0000000 33.9764 090 99 0.99 0.99 0.03 77081TCDxa bone density/peripheral A 0.00 0.55 0.55 0.55NA 0.55 NA 0.01 0.56 0.56 0.56 0.56 1XXX.00.00.0000000 33.9764 010 99 0.93 0.93 0.02 7708126Dxa bone density/peripheral A 0.22 0.06 0.06 0.06 0.06 0.01 0.29 0.29 0.29 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77082 Dxa bone density vert fx A 0.13 0.64 0.64 0.64NA 0.64 NA 0.05 0.82 0.82 0.82 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77082TCDxa bone density vert fx A 0.00 0.59 0.59 0.59NA 0.59 NA 0.04 0.63 0.63 0.63 0.63 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7708226Dxa bone density vert fx A 0.13 0.05 0.05 0.05 0.05 0.01 0.19 0.19 0.19 0.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77083 Radiographic absorptiometry A 0.20 0.52 0.47 0.52NA 0.47 NA 0.02 0.74 0.69 0.74 0.69 1XXX.00.00.0000000 33.9764 090 99 2.26 2.26 0.06 77083TCRadiographic absorptiometry A 0.00 0.44 0.38 0.44NA 0.38 NA 0.01 0.45 0.39 0.45 0.39 1XXX.00.00.0000000 33.9764 010 99 2.18 2.18 0.05 7708326Radiographic absorptiometry A 0.20 0.08 0.09 0.08 0.09 0.01 0.29 0.30 0.29 0.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77084 Magnetic image bone marrow A 1.60 13.88 10.98 13.88NA 10.98 NA 0.11 15.59 12.69 15.59 12.69 1XXX.00.00.0000000 33.9764 090 99 10.76 10.76 0.11 77084TCMagnetic image bone marrow A 0.00 13.21 10.38 13.21NA 10.38 NA 0.01 13.22 10.39 13.22 10.39 1XXX.00.00.0000000 33.9764 010 99 10.09 10.09 0.01 7708426Magnetic image bone marrow A 1.60 0.67 0.60 0.67 0.60 0.10 2.37 2.30 2.37 2.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77261 Radiation therapy planning A 1.39 0.64 0.66 0.64 0.66 0.10 2.13 2.15 2.13 2.15 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77262 Radiation therapy planning A 2.11 0.92 0.93 0.92 0.93 0.18 3.21 3.22 3.21 3.22 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77263 Radiation therapy planning A 3.14 1.36 1.38 1.36 1.38 0.26 4.76 4.78 4.76 4.78 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77280 Set radiation therapy field A 0.70 4.82 4.53 4.82NA 4.53 NA 0.04 5.56 5.27 5.56 5.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77280TCSet radiation therapy field A 0.00 4.52 4.22 4.52NA 4.22 NA 0.01 4.53 4.23 4.53 4.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7728026Set radiation therapy field A 0.70 0.30 0.31 0.30 0.31 0.03 1.03 1.04 1.03 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77285 Set radiation therapy field A 1.05 8.64 8.23 8.64NA 8.23 NA 0.06 9.75 9.34 9.75 9.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77285TCSet radiation therapy field A 0.00 8.19 7.77 8.19NA 7.77 NA 0.01 8.20 7.78 8.20 7.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7728526Set radiation therapy field A 1.05 0.45 0.46 0.45 0.46 0.05 1.55 1.56 1.55 1.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77290 Set radiation therapy field A 1.56 13.96 13.68 13.96NA 13.68 NA 0.08 15.60 15.32 15.60 15.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77290TCSet radiation therapy field A 0.00 13.29 12.99 13.29NA 12.99 NA 0.01 13.30 13.00 13.30 13.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7729026Set radiation therapy field A 1.56 0.67 0.69 0.67 0.69 0.07 2.30 2.32 2.30 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77295 Set radiation therapy field A 4.56 11.78 7.92 11.78NA 7.92 NA 0.28 16.62 12.76 16.62 12.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77295TCSet radiation therapy field A 0.00 9.83 5.91 9.83NA 5.91 NA 0.04 9.87 5.95 9.87 5.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7729526Set radiation therapy field A 4.56 1.95 2.01 1.95 2.01 0.24 6.75 6.81 6.75 6.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77299 Radiation therapy planning C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77299TCRadiation therapy planning C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7729926Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77300 Radiation therapy dose plan A 0.62 1.40 1.25 1.40NA 1.25 NA 0.04 2.06 1.91 2.06 1.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77300TCRadiation therapy dose plan A 0.00 1.13 0.98 1.13NA 0.98 NA 0.01 1.14 0.99 1.14 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7730026Radiation therapy dose plan A 0.62 0.27 0.27 0.27 0.27 0.03 0.92 0.92 0.92 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77301 Radiotherapy dose plan imrt A 7.99 52.84 44.85 52.84NA 44.85 NA 0.63 61.46 53.47 61.46 53.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77301TCRadiotherapy dose plan imrt A 0.00 49.42 41.34 49.42NA 41.34 NA 0.22 49.64 41.56 49.64 41.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7730126Radiotherapy dose plan imrt A 7.99 3.42 3.51 3.42 3.51 0.41 11.82 11.91 11.82 11.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77305 Teletx isodose plan simple A 0.70 1.22 0.98 1.22NA 0.98 NA 0.04 1.96 1.72 1.96 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77305TCTeletx isodose plan simple A 0.00 0.92 0.67 0.92NA 0.67 NA 0.01 0.93 0.68 0.93 0.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7730526Teletx isodose plan simple A 0.70 0.30 0.31 0.30 0.31 0.03 1.03 1.04 1.03 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77310 Teletx isodose plan intermed A 1.05 1.66 1.37 1.66NA 1.37 NA 0.06 2.77 2.48 2.77 2.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77310TCTeletx isodose plan intermed A 0.00 1.21 0.91 1.21NA 0.91 NA 0.01 1.22 0.92 1.22 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7731026Teletx isodose plan intermed A 1.05 0.45 0.46 0.45 0.46 0.05 1.55 1.56 1.55 1.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77315 Teletx isodose plan complex A 1.56 2.56 2.26 2.56NA 2.26 NA 0.08 4.20 3.90 4.20 3.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77315TCTeletx isodose plan complex A 0.00 1.89 1.57 1.89NA 1.57 NA 0.01 1.90 1.58 1.90 1.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7731526Teletx isodose plan complex A 1.56 0.67 0.69 0.67 0.69 0.07 2.30 2.32 2.30 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77321 Special teletx port plan A 0.95 2.15 1.62 2.15NA 1.62 NA 0.05 3.15 2.62 3.15 2.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77321TCSpecial teletx port plan A 0.00 1.75 1.20 1.75NA 1.20 NA 0.01 1.76 1.21 1.76 1.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7732126Special teletx port plan A 0.95 0.40 0.42 0.40 0.42 0.04 1.39 1.41 1.39 1.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77326 Brachytx isodose calc simp A 0.93 3.27 3.08 3.27NA 3.08 NA 0.07 4.27 4.08 4.27 4.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77326TCBrachytx isodose calc simp A 0.00 2.88 2.67 2.88NA 2.67 NA 0.03 2.91 2.70 2.91 2.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7732626Brachytx isodose calc simp A 0.93 0.39 0.41 0.39 0.41 0.04 1.36 1.38 1.36 1.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77327 Brachytx isodose calc interm A 1.39 4.56 4.23 4.56NA 4.23 NA 0.10 6.05 5.72 6.05 5.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77327TCBrachytx isodose calc interm A 0.00 3.97 3.62 3.97NA 3.62 NA 0.03 4.00 3.65 4.00 3.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7732726Brachytx isodose calc interm A 1.39 0.59 0.61 0.59 0.61 0.07 2.05 2.07 2.05 2.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77328 Brachytx isodose plan compl A 2.09 5.94 5.44 5.94NA 5.44 NA 0.14 8.17 7.67 8.17 7.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77328TCBrachytx isodose plan compl A 0.00 5.05 4.52 5.05NA 4.52 NA 0.04 5.09 4.56 5.09 4.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7732826Brachytx isodose plan compl A 2.09 0.89 0.92 0.89 0.92 0.10 3.08 3.11 3.08 3.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77331 Special radiation dosimetry A 0.87 0.94 0.90 0.94NA 0.90 NA 0.05 1.86 1.82 1.86 1.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77331TCSpecial radiation dosimetry A 0.00 0.56 0.52 0.56NA 0.52 NA 0.01 0.57 0.53 0.57 0.53 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7733126Special radiation dosimetry A 0.87 0.38 0.38 0.38 0.38 0.04 1.29 1.29 1.29 1.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77332 Radiation treatment aid(s) A 0.54 1.74 1.62 1.74NA 1.62 NA 0.04 2.32 2.20 2.32 2.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77332TCRadiation treatment aid(s) A 0.00 1.51 1.38 1.51NA 1.38 NA 0.01 1.52 1.39 1.52 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7733226Radiation treatment aid(s) A 0.54 0.23 0.24 0.23 0.24 0.03 0.80 0.81 0.80 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77333 Radiation treatment aid(s) A 0.84 0.87 0.61 0.87NA 0.61 NA 0.05 1.76 1.50 1.76 1.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77333TCRadiation treatment aid(s) A 0.00 0.51 0.24 0.51NA 0.24 NA 0.01 0.52 0.25 0.52 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7733326Radiation treatment aid(s) A 0.84 0.36 0.37 0.36 0.37 0.04 1.24 1.25 1.24 1.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77334 Radiation treatment aid(s) A 1.24 3.22 2.87 3.22NA 2.87 NA 0.06 4.52 4.17 4.52 4.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77334TCRadiation treatment aid(s) A 0.00 2.69 2.32 2.69NA 2.32 NA 0.01 2.70 2.33 2.70 2.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7733426Radiation treatment aid(s) A 1.24 0.53 0.55 0.53 0.55 0.05 1.82 1.84 1.82 1.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77336 Radiation physics consult A 0.00 1.53 1.13 1.53NA 1.13 NA 0.01 1.54 1.14 1.54 1.14 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77338 Design mlc device for imrt A 4.29 9.55 9.55 9.55NA 9.55 NA 0.27 14.11 14.11 14.11 14.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77338TCDesign mlc device for imrt A 0.00 7.66 7.66 7.66NA 7.66 NA 0.04 7.70 7.70 7.70 7.70 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7733826Design mlc device for imrt A 4.29 1.89 1.89 1.89 1.89 0.23 6.41 6.41 6.41 6.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77370 Radiation physics consult A 0.00 3.39 3.01 3.39NA 3.01 NA 0.04 3.43 3.05 3.43 3.05 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77371 Srs multisource C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77372 Srs linear based A 0.00 25.02 22.83 25.02NA 22.83 NA 0.05 25.07 22.88 25.07 22.88 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77373 Sbrt delivery A 0.00 46.74 42.95 46.74NA 42.95 NA 0.07 46.81 43.02 46.81 43.02 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77399 External radiation dosimetry C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77399TCExternal radiation dosimetry C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7739926External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77401 Radiation treatment delivery A 0.00 0.74 0.53 0.74NA 0.53 NA 0.01 0.75 0.54 0.75 0.54 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77402 Radiation treatment delivery A 0.00 5.18 5.86 5.18NA 5.86 NA 0.01 5.19 5.87 5.19 5.87 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77403 Radiation treatment delivery A 0.00 3.85 3.79 3.85NA 3.79 NA 0.01 3.86 3.80 3.86 3.80 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77404 Radiation treatment delivery A 0.00 4.28 4.24 4.28NA 4.24 NA 0.01 4.29 4.25 4.29 4.25 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77406 Radiation treatment delivery A 0.00 4.32 4.28 4.32NA 4.28 NA 0.01 4.33 4.29 4.33 4.29 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77407 Radiation treatment delivery A 0.00 7.51 7.96 7.51NA 7.96 NA 0.01 7.52 7.97 7.52 7.97 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77408 Radiation treatment delivery A 0.00 5.24 5.21 5.24NA 5.21 NA 0.01 5.25 5.22 5.25 5.22 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77409 Radiation treatment delivery A 0.00 5.83 5.84 5.83NA 5.84 NA 0.01 5.84 5.85 5.84 5.85 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77411 Radiation treatment delivery A 0.00 5.80 5.81 5.80NA 5.81 NA 0.01 5.81 5.82 5.81 5.82 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77412 Radiation treatment delivery A 0.00 6.84 6.86 6.84NA 6.86 NA 0.01 6.85 6.87 6.85 6.87 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77413 Radiation treatment delivery A 0.00 6.89 6.90 6.89NA 6.90 NA 0.01 6.90 6.91 6.90 6.91 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77414 Radiation treatment delivery A 0.00 7.71 7.78 7.71NA 7.78 NA 0.01 7.72 7.79 7.72 7.79 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77416 Radiation treatment delivery A 0.00 7.75 7.83 7.75NA 7.83 NA 0.01 7.76 7.84 7.76 7.84 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77417 Radiology port film(s) A 0.00 0.43 0.36 0.43NA 0.36 NA 0.01 0.44 0.37 0.44 0.37 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 77418 Radiation tx delivery imrt A 0.00 15.29 13.27 15.29NA 13.27 NA 0.01 15.30 13.28 15.30 13.28 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77421 Stereoscopic x-ray guidance A 0.39 2.83 2.44 2.83NA 2.44 NA 0.02 3.24 2.85 3.24 2.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77421TCStereoscopic x-ray guidance A 0.00 2.66 2.27 2.66NA 2.27 NA 0.01 2.67 2.28 2.67 2.28 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 7742126Stereoscopic x-ray guidance A 0.39 0.17 0.17 0.17 0.17 0.01 0.57 0.57 0.57 0.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77422 Neutron beam tx simple A 0.00 5.85 5.30 5.85NA 5.30 NA 0.01 5.86 5.31 5.86 5.31 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77423 Neutron beam tx complex A 0.00 7.44 7.49 7.44NA 7.49 NA 0.01 7.45 7.50 7.45 7.50 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77427 Radiation tx management x5 A 3.37 1.67 1.69 1.67 1.69 0.27 5.31 5.33 5.31 5.33 2XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 77431 Radiation therapy management A 1.81 0.96 0.98 0.96 0.98 0.14 2.91 2.93 2.91 2.93 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77432 Stereotactic radiation trmt A 7.92 3.46 3.51 3.46 3.51 0.65 12.03 12.08 12.03 12.08 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77435 Sbrt management A 13.00 5.85 5.87 5.87 5.87 1.08 19.93 19.95 19.95 19.95 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77470 Special radiation treatment A 2.09 3.75 2.15 3.75NA 2.15 NA 0.11 5.95 4.35 5.95 4.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77470TCSpecial radiation treatment A 0.00 2.85 1.23 2.85NA 1.23 NA 0.01 2.86 1.24 2.86 1.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7747026Special radiation treatment A 2.09 0.90 0.92 0.90 0.92 0.10 3.09 3.11 3.09 3.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77499 Radiation therapy management C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77499TCRadiation therapy management C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7749926Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77520 Proton trmt simple w/o comp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77522 Proton trmt simple w/comp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77523 Proton trmt intermediate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77525 Proton treatment complex C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77600 Hyperthermia treatment R 1.56 10.34 10.37 10.34NA 10.37 NA 0.10 12.00 12.03 12.00 12.03 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77600TCHyperthermia treatment R 0.00 9.67 9.68 9.67NA 9.68 NA 0.03 9.70 9.71 9.70 9.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7760026Hyperthermia treatment R 1.56 0.67 0.69 0.67 0.69 0.07 2.30 2.32 2.30 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77605 Hyperthermia treatment R 2.09 24.92 30.32 24.92NA 30.32 NA 0.41 27.42 32.82 27.42 32.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77605TCHyperthermia treatment R 0.00 24.10 29.41 24.10NA 29.41 NA 0.03 24.13 29.44 24.13 29.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7760526Hyperthermia treatment R 2.09 0.82 0.91 0.82 0.91 0.38 3.29 3.38 3.29 3.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77610 Hyperthermia treatment R 1.56 23.31 27.81 23.31NA 27.81 NA 0.10 24.97 29.47 24.97 29.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77610TCHyperthermia treatment R 0.00 22.68 27.13 22.68NA 27.13 NA 0.03 22.71 27.16 22.71 27.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7761026Hyperthermia treatment R 1.56 0.63 0.68 0.63 0.68 0.07 2.26 2.31 2.26 2.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77615 Hyperthermia treatment R 2.09 26.37 26.22 26.37NA 26.22 NA 0.17 28.63 28.48 28.63 28.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77615TCHyperthermia treatment R 0.00 25.48 25.29 25.48NA 25.29 NA 0.07 25.55 25.36 25.55 25.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7761526Hyperthermia treatment R 2.09 0.89 0.93 0.89 0.93 0.10 3.08 3.12 3.08 3.12 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77620 Hyperthermia treatment R 1.56 12.52 14.18 12.52NA 14.18 NA 0.08 14.16 15.82 14.16 15.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77620TCHyperthermia treatment R 0.00 11.90 13.50 11.90NA 13.50 NA 0.04 11.94 13.54 11.94 13.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7762026Hyperthermia treatment R 1.56 0.62 0.68 0.62 0.68 0.04 2.22 2.28 2.22 2.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77750 Infuse radioactive materials A 5.00 5.09 5.10 5.09NA 5.10 NA 0.29 10.38 10.39 10.38 10.39 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77750TCInfuse radioactive materials A 0.00 2.96 2.91 2.96NA 2.91 NA 0.03 2.99 2.94 2.99 2.94 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7775026Infuse radioactive materials A 5.00 2.13 2.19 2.13 2.19 0.26 7.39 7.45 7.39 7.45 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77761 Apply intrcav radiat simple A 3.85 6.75 6.65 6.75NA 6.65 NA 0.24 10.84 10.74 10.84 10.74 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77761TCApply intrcav radiat simple A 0.00 5.14 4.98 5.14NA 4.98 NA 0.04 5.18 5.02 5.18 5.02 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7776126Apply intrcav radiat simple A 3.85 1.61 1.67 1.61 1.67 0.20 5.66 5.72 5.66 5.72 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77762 Apply intrcav radiat interm A 5.76 8.46 8.25 8.46NA 8.25 NA 0.35 14.57 14.36 14.57 14.36 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77762TCApply intrcav radiat interm A 0.00 6.01 5.74 6.01NA 5.74 NA 0.05 6.06 5.79 6.06 5.79 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7776226Apply intrcav radiat interm A 5.76 2.45 2.51 2.45 2.51 0.30 8.51 8.57 8.51 8.57 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77763 Apply intrcav radiat compl A 8.66 11.45 11.22 11.45NA 11.22 NA 0.51 20.62 20.39 20.62 20.39 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77763TCApply intrcav radiat compl A 0.00 7.77 7.45 7.77NA 7.45 NA 0.07 7.84 7.52 7.84 7.52 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7776326Apply intrcav radiat compl A 8.66 3.68 3.77 3.68 3.77 0.44 12.78 12.87 12.78 12.87 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77776 Apply interstit radiat simpl A 4.70 7.36 7.08 7.36NA 7.08 NA 0.36 12.42 12.14 12.42 12.14 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77776TCApply interstit radiat simpl A 0.00 5.36 5.00 5.36NA 5.00 NA 0.05 5.41 5.05 5.41 5.05 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7777626Apply interstit radiat simpl A 4.70 2.00 2.08 2.00 2.08 0.31 7.01 7.09 7.01 7.09 1090.00.00.0000020 33.9764 090 99 0.00 0.00 0.00 77777 Apply interstit radiat inter A 7.52 9.15 8.74 9.15NA 8.74 NA 0.54 17.21 16.80 17.21 16.80 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77777TCApply interstit radiat inter A 0.00 5.86 5.43 5.86NA 5.43 NA 0.05 5.91 5.48 5.91 5.48 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7777726Apply interstit radiat inter A 7.52 3.29 3.31 3.29 3.31 0.49 11.30 11.32 11.30 11.32 1090.00.00.0000020 33.9764 090 99 0.00 0.00 0.00 77778 Apply interstit radiat compl A 11.32 12.78 12.47 12.78NA 12.47 NA 0.68 24.78 24.47 24.78 24.47 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77778TCApply interstit radiat compl A 0.00 7.97 7.56 7.97NA 7.56 NA 0.08 8.05 7.64 8.05 7.64 1090.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7777826Apply interstit radiat compl A 11.32 4.81 4.91 4.81 4.91 0.60 16.73 16.83 16.73 16.83 1090.00.00.0000020 33.9764 090 99 0.00 0.00 0.00 77785 Hdr brachytx 1 channel A 1.42 4.95 5.55 4.95NA 5.55 NA 0.10 6.47 7.07 6.47 7.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77785TCHdr brachytx 1 channel A 0.00 4.34 4.93 4.34NA 4.93 NA 0.03 4.37 4.96 4.37 4.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7778526Hdr brachytx 1 channel A 1.42 0.61 0.62 0.61 0.62 0.07 2.10 2.11 2.10 2.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77786 Hdr brachytx 2-12 channel A 3.25 13.35 12.34 13.35NA 12.34 NA 0.21 16.81 15.80 16.81 15.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77786TCHdr brachytx 2-12 channel A 0.00 12.00 10.91 12.00NA 10.91 NA 0.05 12.05 10.96 12.05 10.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7778626Hdr brachytx 2-12 channel A 3.25 1.35 1.43 1.35 1.43 0.16 4.76 4.84 4.76 4.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77787 Hdr brachytx over 12 chan A 4.89 21.58 21.83 21.58NA 21.83 NA 0.34 26.81 27.06 26.81 27.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77787TCHdr brachytx over 12 chan A 0.00 19.45 19.67 19.45NA 19.67 NA 0.08 19.53 19.75 19.53 19.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7778726Hdr brachytx over 12 chan A 4.89 2.13 2.16 2.13 2.16 0.26 7.28 7.31 7.28 7.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77789 Apply surface radiation A 1.14 2.07 2.10 2.07NA 2.10 NA 0.06 3.27 3.30 3.27 3.30 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77789TCApply surface radiation A 0.00 1.57 1.58 1.57NA 1.58 NA 0.01 1.58 1.59 1.58 1.59 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7778926Apply surface radiation A 1.14 0.50 0.52 0.50 0.52 0.05 1.69 1.71 1.69 1.71 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77790 Radiation handling A 1.05 1.58 1.58 1.58NA 1.58 NA 0.05 2.68 2.68 2.68 2.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77790TCRadiation handling A 0.00 1.13 1.12 1.13NA 1.12 NA 0.01 1.14 1.13 1.14 1.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7779026Radiation handling A 1.05 0.45 0.46 0.45 0.46 0.04 1.54 1.55 1.54 1.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77799 Radium/radioisotope therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 77799TCRadium/radioisotope therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7779926Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78000 Thyroid single uptake A 0.19 1.91 1.79 1.91NA 1.79 NA 0.02 2.12 2.00 2.12 2.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78000TCThyroid single uptake A 0.00 1.83 1.73 1.83NA 1.73 NA 0.01 1.84 1.74 1.84 1.74 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7800026Thyroid single uptake A 0.19 0.08 0.06 0.08 0.06 0.01 0.28 0.26 0.28 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78001 Thyroid multiple uptakes A 0.26 2.42 2.31 2.42NA 2.31 NA 0.04 2.72 2.61 2.72 2.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78001TCThyroid multiple uptakes A 0.00 2.31 2.22 2.31NA 2.22 NA 0.03 2.34 2.25 2.34 2.25 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7800126Thyroid multiple uptakes A 0.26 0.11 0.09 0.11 0.09 0.01 0.38 0.36 0.38 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78003 Thyroid suppress/stimul A 0.33 2.01 1.93 2.01NA 1.93 NA 0.02 2.36 2.28 2.36 2.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78003TCThyroid suppress/stimul A 0.00 1.87 1.81 1.87NA 1.81 NA 0.01 1.88 1.82 1.88 1.82 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7800326Thyroid suppress/stimul A 0.33 0.14 0.12 0.14 0.12 0.01 0.48 0.46 0.48 0.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78006 Thyroid imaging with uptake A 0.49 6.39 6.30 6.39NA 6.30 NA 0.06 6.94 6.85 6.94 6.85 1XXX.00.00.0000000 33.9764 090 99 6.63 6.63 0.06 78006TCThyroid imaging with uptake A 0.00 6.19 6.13 6.19NA 6.13 NA 0.03 6.22 6.16 6.22 6.16 1XXX.00.00.0000000 33.9764 010 99 6.43 6.43 0.03 7800626Thyroid imaging with uptake A 0.49 0.20 0.17 0.20 0.17 0.03 0.72 0.69 0.72 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78007 Thyroid image mult uptakes A 0.50 5.19 6.69 5.19NA 6.69 NA 0.06 5.75 7.25 5.75 7.25 1XXX.00.00.0000000 33.9764 090 99 6.62 6.62 0.07 78007TCThyroid image mult uptakes A 0.00 4.99 6.51 4.99NA 6.51 NA 0.03 5.02 6.54 5.02 6.54 1XXX.00.00.0000000 33.9764 010 99 6.42 6.42 0.04 7800726Thyroid image mult uptakes A 0.50 0.20 0.18 0.20 0.18 0.03 0.73 0.71 0.73 0.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78010 Thyroid imaging A 0.39 4.36 4.32 4.36NA 4.32 NA 0.04 4.79 4.75 4.79 4.75 1XXX.00.00.0000000 33.9764 090 99 4.03 4.03 0.04 78010TCThyroid imaging A 0.00 4.21 4.18 4.21NA 4.18 NA 0.03 4.24 4.21 4.24 4.21 1XXX.00.00.0000000 33.9764 010 99 3.88 3.88 0.03 7801026Thyroid imaging A 0.39 0.15 0.14 0.15 0.14 0.01 0.55 0.54 0.55 0.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78011 Thyroid imaging with flow A 0.45 4.78 4.54 4.78NA 4.54 NA 0.06 5.29 5.05 5.29 5.05 1XXX.00.00.0000000 33.9764 090 99 4.07 4.07 0.06 78011TCThyroid imaging with flow A 0.00 4.59 4.37 4.59NA 4.37 NA 0.03 4.62 4.40 4.62 4.40 1XXX.00.00.0000000 33.9764 010 99 3.88 3.88 0.03 7801126Thyroid imaging with flow A 0.45 0.19 0.17 0.19 0.17 0.03 0.67 0.65 0.67 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78015 Thyroid met imaging A 0.67 5.60 5.41 5.60NA 5.41 NA 0.07 6.34 6.15 6.34 6.15 1XXX.00.00.0000000 33.9764 090 99 8.75 8.75 0.09 78015TCThyroid met imaging A 0.00 5.34 5.19 5.34NA 5.19 NA 0.03 5.37 5.22 5.37 5.22 1XXX.00.00.0000000 33.9764 010 99 8.49 8.49 0.05 7801526Thyroid met imaging A 0.67 0.26 0.22 0.26 0.22 0.04 0.97 0.93 0.97 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78016 Thyroid met imaging/studies A 0.82 8.09 7.11 8.09NA 7.11 NA 0.06 8.97 7.99 8.97 7.99 1XXX.00.00.0000000 33.9764 090 99 8.77 8.77 0.06 78016TCThyroid met imaging/studies A 0.00 7.83 6.97 7.83NA 6.97 NA 0.03 7.86 7.00 7.86 7.00 1XXX.00.00.0000000 33.9764 010 99 8.51 8.51 0.03 7801626Thyroid met imaging/studies A 0.82 0.26 0.14 0.26 0.14 0.03 1.11 0.99 1.11 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78018 Thyroid met imaging body A 0.86 8.45 7.89 8.45NA 7.89 NA 0.07 9.38 8.82 9.38 8.82 1XXX.00.00.0000000 33.9764 090 99 8.84 8.84 0.07 78018TCThyroid met imaging body A 0.00 8.12 7.61 8.12NA 7.61 NA 0.03 8.15 7.64 8.15 7.64 1XXX.00.00.0000000 33.9764 010 99 8.51 8.51 0.03 7801826Thyroid met imaging body A 0.86 0.33 0.28 0.33 0.28 0.04 1.23 1.18 1.23 1.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78020 Thyroid met uptake A 0.60 1.90 1.66 1.90NA 1.66 NA 0.04 2.54 2.30 2.54 2.30 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78020TCThyroid met uptake A 0.00 1.68 1.49 1.68NA 1.49 NA 0.01 1.69 1.50 1.69 1.50 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7802026Thyroid met uptake A 0.60 0.22 0.17 0.22 0.17 0.03 0.85 0.80 0.85 0.80 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78070 Parathyroid nuclear imaging A 0.82 3.99 3.39 3.99NA 3.39 NA 0.07 4.88 4.28 4.88 4.28 1XXX.00.00.0000000 33.9764 090 99 6.74 6.74 0.09 78070TCParathyroid nuclear imaging A 0.00 3.66 3.11 3.66NA 3.11 NA 0.03 3.69 3.14 3.69 3.14 1XXX.00.00.0000000 33.9764 010 99 6.41 6.41 0.05 7807026Parathyroid nuclear imaging A 0.82 0.33 0.28 0.33 0.28 0.04 1.19 1.14 1.19 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78075 Adrenal nuclear imaging A 0.74 11.72 11.16 11.72NA 11.16 NA 0.08 12.54 11.98 12.54 11.98 1XXX.00.00.0000000 33.9764 090 99 24.48 24.48 0.12 78075TCAdrenal nuclear imaging A 0.00 11.44 10.93 11.44NA 10.93 NA 0.04 11.48 10.97 11.48 10.97 1XXX.00.00.0000000 33.9764 010 99 24.20 24.20 0.08 7807526Adrenal nuclear imaging A 0.74 0.28 0.23 0.28 0.23 0.04 1.06 1.01 1.06 1.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78099 Endocrine nuclear procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78099TCEndocrine nuclear procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7809926Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78102 Bone marrow imaging ltd A 0.55 4.29 4.06 4.29NA 4.06 NA 0.06 4.90 4.67 4.90 4.67 1XXX.00.00.0000000 33.9764 090 99 7.72 7.72 0.09 78102TCBone marrow imaging ltd A 0.00 4.08 3.89 4.08NA 3.89 NA 0.03 4.11 3.92 4.11 3.92 1XXX.00.00.0000000 33.9764 010 99 7.51 7.51 0.06 7810226Bone marrow imaging ltd A 0.55 0.21 0.17 0.21 0.17 0.03 0.79 0.75 0.79 0.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78103 Bone marrow imaging mult A 0.75 5.64 5.24 5.64NA 5.24 NA 0.07 6.46 6.06 6.46 6.06 1XXX.00.00.0000000 33.9764 090 99 7.80 7.80 0.08 78103TCBone marrow imaging mult A 0.00 5.36 5.02 5.36NA 5.02 NA 0.03 5.39 5.05 5.39 5.05 1XXX.00.00.0000000 33.9764 010 99 7.52 7.52 0.04 7810326Bone marrow imaging mult A 0.75 0.28 0.22 0.28 0.22 0.04 1.07 1.01 1.07 1.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78104 Bone marrow imaging body A 0.80 6.47 5.95 6.47NA 5.95 NA 0.07 7.34 6.82 7.34 6.82 1XXX.00.00.0000000 33.9764 090 99 7.84 7.84 0.08 78104TCBone marrow imaging body A 0.00 6.16 5.70 6.16NA 5.70 NA 0.03 6.19 5.73 6.19 5.73 1XXX.00.00.0000000 33.9764 010 99 7.53 7.53 0.04 7810426Bone marrow imaging body A 0.80 0.31 0.25 0.31 0.25 0.04 1.15 1.09 1.15 1.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78110 Plasma volume single A 0.19 2.21 2.17 2.21NA 2.17 NA 0.04 2.44 2.40 2.44 2.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78110TCPlasma volume single A 0.00 2.13 2.10 2.13NA 2.10 NA 0.03 2.16 2.13 2.16 2.13 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7811026Plasma volume single A 0.19 0.08 0.07 0.08 0.07 0.01 0.28 0.27 0.28 0.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78111 Plasma volume multiple A 0.22 2.32 1.80 2.32NA 1.80 NA 0.04 2.58 2.06 2.58 2.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78111TCPlasma volume multiple A 0.00 2.24 1.76 2.24NA 1.76 NA 0.03 2.27 1.79 2.27 1.79 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7811126Plasma volume multiple A 0.22 0.08 0.04 0.08 0.04 0.01 0.31 0.27 0.31 0.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78120 Red cell mass single A 0.23 2.32 2.13 2.32NA 2.13 NA 0.04 2.59 2.40 2.59 2.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78120TCRed cell mass single A 0.00 2.22 2.04 2.22NA 2.04 NA 0.03 2.25 2.07 2.25 2.07 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7812026Red cell mass single A 0.23 0.10 0.09 0.10 0.09 0.01 0.34 0.33 0.34 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78121 Red cell mass multiple A 0.32 2.61 2.24 2.61NA 2.24 NA 0.04 2.97 2.60 2.97 2.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78121TCRed cell mass multiple A 0.00 2.48 2.12 2.48NA 2.12 NA 0.03 2.51 2.15 2.51 2.15 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7812126Red cell mass multiple A 0.32 0.13 0.12 0.13 0.12 0.01 0.46 0.45 0.46 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78122 Blood volume A 0.45 2.82 2.08 2.82NA 2.08 NA 0.04 3.31 2.57 3.31 2.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78122TCBlood volume A 0.00 2.65 1.95 2.65NA 1.95 NA 0.03 2.68 1.98 2.68 1.98 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7812226Blood volume A 0.45 0.17 0.13 0.17 0.13 0.01 0.63 0.59 0.63 0.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78130 Red cell survival study A 0.61 3.88 3.57 3.88NA 3.57 NA 0.08 4.57 4.26 4.57 4.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78130TCRed cell survival study A 0.00 3.62 3.34 3.62NA 3.34 NA 0.04 3.66 3.38 3.66 3.38 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7813026Red cell survival study A 0.61 0.26 0.23 0.26 0.23 0.04 0.91 0.88 0.91 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78135 Red cell survival kinetics A 0.64 9.40 9.25 9.40NA 9.25 NA 0.07 10.11 9.96 10.11 9.96 1XXX.00.00.0000000 33.9764 090 99 12.54 12.54 0.08 78135TCRed cell survival kinetics A 0.00 9.13 9.00 9.13NA 9.00 NA 0.03 9.16 9.03 9.16 9.03 1XXX.00.00.0000000 33.9764 010 99 12.27 12.27 0.04 7813526Red cell survival kinetics A 0.64 0.27 0.25 0.27 0.25 0.04 0.95 0.93 0.95 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78140 Red cell sequestration A 0.61 3.42 2.89 3.42NA 2.89 NA 0.07 4.10 3.57 4.10 3.57 1XXX.00.00.0000000 33.9764 090 99 12.45 12.45 0.16 78140TCRed cell sequestration A 0.00 3.17 2.67 3.17NA 2.67 NA 0.03 3.20 2.70 3.20 2.70 1XXX.00.00.0000000 33.9764 010 99 12.20 12.20 0.12 7814026Red cell sequestration A 0.61 0.25 0.22 0.25 0.22 0.04 0.90 0.87 0.90 0.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78185 Spleen imaging A 0.40 5.48 5.39 5.48NA 5.39 NA 0.04 5.92 5.83 5.92 5.83 1XXX.00.00.0000000 33.9764 090 99 7.69 7.69 0.05 78185TCSpleen imaging A 0.00 5.31 5.24 5.31NA 5.24 NA 0.03 5.34 5.27 5.34 5.27 1XXX.00.00.0000000 33.9764 010 99 7.52 7.52 0.04 7818526Spleen imaging A 0.40 0.17 0.15 0.17 0.15 0.01 0.58 0.56 0.58 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78190 Platelet survival kinetics A 1.09 9.98 9.52 9.98NA 9.52 NA 0.07 11.14 10.68 11.14 10.68 1XXX.00.00.0000000 33.9764 090 99 5.54 5.54 0.06 78190TCPlatelet survival kinetics A 0.00 9.54 9.09 9.54NA 9.09 NA 0.03 9.57 9.12 9.57 9.12 1XXX.00.00.0000000 33.9764 010 99 5.10 5.10 0.02 7819026Platelet survival kinetics A 1.09 0.44 0.43 0.44 0.43 0.04 1.57 1.56 1.57 1.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78191 Platelet survival A 0.61 4.53 3.59 4.53NA 3.59 NA 0.08 5.22 4.28 5.22 4.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78191TCPlatelet survival A 0.00 4.28 3.36 4.28NA 3.36 NA 0.04 4.32 3.40 4.32 3.40 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7819126Platelet survival A 0.61 0.25 0.23 0.25 0.23 0.04 0.90 0.88 0.90 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78195 Lymph system imaging A 1.20 9.08 8.83 9.08NA 8.83 NA 0.10 10.38 10.13 10.38 10.13 1XXX.00.00.0000000 33.9764 090 99 8.02 8.02 0.10 78195TCLymph system imaging A 0.00 8.60 8.42 8.60NA 8.42 NA 0.03 8.63 8.45 8.63 8.45 1XXX.00.00.0000000 33.9764 010 99 7.54 7.54 0.03 7819526Lymph system imaging A 1.20 0.48 0.41 0.48 0.41 0.07 1.75 1.68 1.75 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78199 Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78199TCBlood/lymph nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7819926Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78201 Liver imaging A 0.44 4.96 4.90 4.96NA 4.90 NA 0.07 5.47 5.41 5.47 5.41 1XXX.00.00.0000000 33.9764 090 99 7.91 7.91 0.09 78201TCLiver imaging A 0.00 4.80 4.75 4.80NA 4.75 NA 0.03 4.83 4.78 4.83 4.78 1XXX.00.00.0000000 33.9764 010 99 7.75 7.75 0.05 7820126Liver imaging A 0.44 0.16 0.15 0.16 0.15 0.04 0.64 0.63 0.64 0.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78202 Liver imaging with flow A 0.51 5.41 5.02 5.41NA 5.02 NA 0.04 5.96 5.57 5.96 5.57 1XXX.00.00.0000000 33.9764 090 99 7.94 7.94 0.05 78202TCLiver imaging with flow A 0.00 5.23 4.88 5.23NA 4.88 NA 0.03 5.26 4.91 5.26 4.91 1XXX.00.00.0000000 33.9764 010 99 7.76 7.76 0.04 7820226Liver imaging with flow A 0.51 0.18 0.14 0.18 0.14 0.01 0.70 0.66 0.70 0.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78205 Liver imaging (3D) A 0.71 5.92 5.16 5.92NA 5.16 NA 0.07 6.70 5.94 6.70 5.94 1XXX.00.00.0000000 33.9764 090 99 8.04 8.04 0.08 78205TCLiver imaging (3D) A 0.00 5.64 4.93 5.64NA 4.93 NA 0.03 5.67 4.96 5.67 4.96 1XXX.00.00.0000000 33.9764 010 99 7.76 7.76 0.04 7820526Liver imaging (3D) A 0.71 0.28 0.23 0.28 0.23 0.04 1.03 0.98 1.03 0.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78206 Liver image (3d) with flow A 0.96 9.21 8.68 9.21NA 8.68 NA 0.07 10.24 9.71 10.24 9.71 1XXX.00.00.0000000 33.9764 090 99 8.16 8.16 0.07 78206TCLiver image (3d) with flow A 0.00 8.83 8.36 8.83NA 8.36 NA 0.03 8.86 8.39 8.86 8.39 1XXX.00.00.0000000 33.9764 010 99 7.78 7.78 0.03 7820626Liver image (3d) with flow A 0.96 0.38 0.32 0.38 0.32 0.04 1.38 1.32 1.38 1.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78215 Liver and spleen imaging A 0.49 5.11 4.86 5.11NA 4.86 NA 0.06 5.66 5.41 5.66 5.41 1XXX.00.00.0000000 33.9764 090 99 7.96 7.96 0.08 78215TCLiver and spleen imaging A 0.00 4.91 4.69 4.91NA 4.69 NA 0.03 4.94 4.72 4.94 4.72 1XXX.00.00.0000000 33.9764 010 99 7.76 7.76 0.05 7821526Liver and spleen imaging A 0.49 0.20 0.17 0.20 0.17 0.03 0.72 0.69 0.72 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78216 Liver & spleen image/flow A 0.57 3.22 2.72 3.22NA 2.72 NA 0.06 3.85 3.35 3.85 3.35 1XXX.00.00.0000000 33.9764 090 99 7.95 7.95 0.11 78216TCLiver & spleen image/flow A 0.00 3.00 2.53 3.00NA 2.53 NA 0.03 3.03 2.56 3.03 2.56 1XXX.00.00.0000000 33.9764 010 99 7.73 7.73 0.08 7821626Liver & spleen image/flow A 0.57 0.22 0.19 0.22 0.19 0.03 0.82 0.79 0.82 0.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78220 Liver function study A 0.49 3.49 3.00 3.49NA 3.00 NA 0.04 4.02 3.53 4.02 3.53 1XXX.00.00.0000000 33.9764 090 99 7.92 7.92 0.08 78220TCLiver function study A 0.00 3.30 2.83 3.30NA 2.83 NA 0.03 3.33 2.86 3.33 2.86 1XXX.00.00.0000000 33.9764 010 99 7.73 7.73 0.07 7822026Liver function study A 0.49 0.19 0.17 0.19 0.17 0.01 0.69 0.67 0.69 0.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78223 Hepatobiliary imaging A 0.84 8.83 8.70 8.83NA 8.70 NA 0.07 9.74 9.61 9.74 9.61 1XXX.00.00.0000000 33.9764 090 99 8.12 8.12 0.07 78223TCHepatobiliary imaging A 0.00 8.49 8.40 8.49NA 8.40 NA 0.03 8.52 8.43 8.52 8.43 1XXX.00.00.0000000 33.9764 010 99 7.78 7.78 0.03 7822326Hepatobiliary imaging A 0.84 0.34 0.30 0.34 0.30 0.04 1.22 1.18 1.22 1.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78230 Salivary gland imaging A 0.45 4.38 4.27 4.38NA 4.27 NA 0.06 4.89 4.78 4.89 4.78 1XXX.00.00.0000000 33.9764 090 99 7.17 7.17 0.08 78230TCSalivary gland imaging A 0.00 4.20 4.10 4.20NA 4.10 NA 0.03 4.23 4.13 4.23 4.13 1XXX.00.00.0000000 33.9764 010 99 6.99 6.99 0.05 7823026Salivary gland imaging A 0.45 0.18 0.17 0.18 0.17 0.03 0.66 0.65 0.66 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78231 Serial salivary imaging A 0.52 3.23 2.85 3.23NA 2.85 NA 0.04 3.79 3.41 3.79 3.41 1XXX.00.00.0000000 33.9764 090 99 7.18 7.18 0.08 78231TCSerial salivary imaging A 0.00 3.02 2.66 3.02NA 2.66 NA 0.03 3.05 2.69 3.05 2.69 1XXX.00.00.0000000 33.9764 010 99 6.97 6.97 0.07 7823126Serial salivary imaging A 0.52 0.21 0.19 0.21 0.19 0.01 0.74 0.72 0.74 0.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78232 Salivary gland function exam A 0.47 2.93 2.13 2.93NA 2.13 NA 0.06 3.46 2.66 3.46 2.66 1XXX.00.00.0000000 33.9764 090 99 7.12 7.12 0.11 78232TCSalivary gland function exam A 0.00 2.78 2.05 2.78NA 2.05 NA 0.03 2.81 2.08 2.81 2.08 1XXX.00.00.0000000 33.9764 010 99 6.97 6.97 0.08 7823226Salivary gland function exam A 0.47 0.15 0.08 0.15 0.08 0.03 0.65 0.58 0.65 0.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78258 Esophageal motility study A 0.74 5.92 5.67 5.92NA 5.67 NA 0.06 6.72 6.47 6.72 6.47 1XXX.00.00.0000000 33.9764 090 99 7.32 7.32 0.07 78258TCEsophageal motility study A 0.00 5.61 5.41 5.61NA 5.41 NA 0.03 5.64 5.44 5.64 5.44 1XXX.00.00.0000000 33.9764 010 99 7.01 7.01 0.04 7825826Esophageal motility study A 0.74 0.31 0.26 0.31 0.26 0.03 1.08 1.03 1.08 1.03 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78261 Gastric mucosa imaging A 0.69 6.60 6.28 6.60NA 6.28 NA 0.07 7.36 7.04 7.36 7.04 1XXX.00.00.0000000 33.9764 090 99 7.30 7.30 0.07 78261TCGastric mucosa imaging A 0.00 6.31 6.02 6.31NA 6.02 NA 0.03 6.34 6.05 6.34 6.05 1XXX.00.00.0000000 33.9764 010 99 7.01 7.01 0.03 7826126Gastric mucosa imaging A 0.69 0.29 0.26 0.29 0.26 0.04 1.02 0.99 1.02 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78262 Gastroesophageal reflux exam A 0.68 6.49 6.17 6.49NA 6.17 NA 0.04 7.21 6.89 7.21 6.89 1XXX.00.00.0000000 33.9764 090 99 7.28 7.28 0.04 78262TCGastroesophageal reflux exam A 0.00 6.22 5.93 6.22NA 5.93 NA 0.03 6.25 5.96 6.25 5.96 1XXX.00.00.0000000 33.9764 010 99 7.01 7.01 0.03 7826226Gastroesophageal reflux exam A 0.68 0.27 0.24 0.27 0.24 0.01 0.96 0.93 0.96 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78264 Gastric emptying study A 0.78 7.56 7.25 7.56NA 7.25 NA 0.07 8.41 8.10 8.41 8.10 1XXX.00.00.0000000 33.9764 090 99 7.32 7.32 0.07 78264TCGastric emptying study A 0.00 7.25 6.98 7.25NA 6.98 NA 0.03 7.28 7.01 7.28 7.01 1XXX.00.00.0000000 33.9764 010 99 7.01 7.01 0.03 7826426Gastric emptying study A 0.78 0.31 0.27 0.31 0.27 0.04 1.13 1.09 1.13 1.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78267 Breath tst attain/anal c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78268 Breath test analysis c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78270 Vit B-12 absorption exam A 0.20 2.17 2.07 2.17NA 2.07 NA 0.02 2.39 2.29 2.39 2.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78270TCVit B-12 absorption exam A 0.00 2.09 1.99 2.09NA 1.99 NA 0.01 2.10 2.00 2.10 2.00 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7827026Vit B-12 absorption exam A 0.20 0.08 0.08 0.08 0.08 0.01 0.29 0.29 0.29 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78271 Vit b-12 absrp exam int fac A 0.20 2.30 2.29 2.30NA 2.29 NA 0.02 2.52 2.51 2.52 2.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78271TCVit b-12 absrp exam int fac A 0.00 2.22 2.20 2.22NA 2.20 NA 0.01 2.23 2.21 2.23 2.21 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7827126Vit b-12 absrp exam int fac A 0.20 0.08 0.09 0.08 0.09 0.01 0.29 0.30 0.29 0.30 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78272 Vit b-12 absorp combined A 0.27 2.37 2.19 2.37NA 2.19 NA 0.04 2.68 2.50 2.68 2.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78272TCVit b-12 absorp combined A 0.00 2.27 2.09 2.27NA 2.09 NA 0.03 2.30 2.12 2.30 2.12 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7827226Vit b-12 absorp combined A 0.27 0.10 0.10 0.10 0.10 0.01 0.38 0.38 0.38 0.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78278 Acute GI blood loss imaging A 0.99 9.10 8.75 9.10NA 8.75 NA 0.08 10.17 9.82 10.17 9.82 1XXX.00.00.0000000 33.9764 090 99 7.42 7.42 0.07 78278TCAcute GI blood loss imaging A 0.00 8.70 8.40 8.70NA 8.40 NA 0.03 8.73 8.43 8.73 8.43 1XXX.00.00.0000000 33.9764 010 99 7.02 7.02 0.02 7827826Acute GI blood loss imaging A 0.99 0.40 0.35 0.40 0.35 0.05 1.44 1.39 1.44 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78282 GI protein loss exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 7.19 7.19 0.04 78282TCGI protein loss exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 7.03 7.03 0.01 7828226GI protein loss exam A 0.38 0.16 0.14 0.16 0.14 0.03 0.57 0.55 0.57 0.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78290 Meckels divert exam A 0.68 8.71 8.66 8.71NA 8.66 NA 0.07 9.46 9.41 9.46 9.41 1XXX.00.00.0000000 33.9764 090 99 7.30 7.30 0.07 78290TCMeckels divert exam A 0.00 8.43 8.42 8.43NA 8.42 NA 0.03 8.46 8.45 8.46 8.45 1XXX.00.00.0000000 33.9764 010 99 7.02 7.02 0.03 7829026Meckels divert exam A 0.68 0.28 0.24 0.28 0.24 0.04 1.00 0.96 1.00 0.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78291 Leveen/shunt patency exam A 0.88 6.48 6.27 6.48NA 6.27 NA 0.08 7.44 7.23 7.44 7.23 1XXX.00.00.0000000 33.9764 090 99 7.36 7.36 0.08 78291TCLeveen/shunt patency exam A 0.00 6.13 5.97 6.13NA 5.97 NA 0.03 6.16 6.00 6.16 6.00 1XXX.00.00.0000000 33.9764 010 99 7.01 7.01 0.03 7829126Leveen/shunt patency exam A 0.88 0.35 0.30 0.35 0.30 0.05 1.28 1.23 1.28 1.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78299 GI nuclear procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78299TCGI nuclear procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7829926GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78300 Bone imaging limited area A 0.62 4.51 4.35 4.51NA 4.35 NA 0.06 5.19 5.03 5.19 5.03 1XXX.00.00.0000000 33.9764 090 99 7.41 7.41 0.08 78300TCBone imaging limited area A 0.00 4.25 4.12 4.25NA 4.12 NA 0.03 4.28 4.15 4.28 4.15 1XXX.00.00.0000000 33.9764 010 99 7.15 7.15 0.05 7830026Bone imaging limited area A 0.62 0.26 0.23 0.26 0.23 0.03 0.91 0.88 0.91 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78305 Bone imaging multiple areas A 0.83 5.95 5.71 5.95NA 5.71 NA 0.07 6.85 6.61 6.85 6.61 1XXX.00.00.0000000 33.9764 090 99 7.49 7.49 0.08 78305TCBone imaging multiple areas A 0.00 5.62 5.41 5.62NA 5.41 NA 0.03 5.65 5.44 5.65 5.44 1XXX.00.00.0000000 33.9764 010 99 7.16 7.16 0.04 7830526Bone imaging multiple areas A 0.83 0.33 0.30 0.33 0.30 0.04 1.20 1.17 1.20 1.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78306 Bone imaging whole body A 0.86 6.53 6.12 6.53NA 6.12 NA 0.07 7.46 7.05 7.46 7.05 1XXX.00.00.0000000 33.9764 090 99 7.52 7.52 0.07 78306TCBone imaging whole body A 0.00 6.18 5.82 6.18NA 5.82 NA 0.03 6.21 5.85 6.21 5.85 1XXX.00.00.0000000 33.9764 010 99 7.17 7.17 0.03 7830626Bone imaging whole body A 0.86 0.35 0.30 0.35 0.30 0.04 1.25 1.20 1.25 1.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78315 Bone imaging 3 phase A 1.02 9.06 8.70 9.06NA 8.70 NA 0.08 10.16 9.80 10.16 9.80 1XXX.00.00.0000000 33.9764 090 99 7.59 7.59 0.07 78315TCBone imaging 3 phase A 0.00 8.65 8.35 8.65NA 8.35 NA 0.03 8.68 8.38 8.68 8.38 1XXX.00.00.0000000 33.9764 010 99 7.18 7.18 0.02 7831526Bone imaging 3 phase A 1.02 0.41 0.35 0.41 0.35 0.05 1.48 1.42 1.48 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78320 Bone imaging (3D) A 1.04 6.07 5.30 6.07NA 5.30 NA 0.08 7.19 6.42 7.19 6.42 1XXX.00.00.0000000 33.9764 090 99 7.57 7.57 0.09 78320TCBone imaging (3D) A 0.00 5.66 4.96 5.66NA 4.96 NA 0.03 5.69 4.99 5.69 4.99 1XXX.00.00.0000000 33.9764 010 99 7.16 7.16 0.04 7832026Bone imaging (3D) A 1.04 0.41 0.34 0.41 0.34 0.05 1.50 1.43 1.50 1.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78350 Bone mineral single photon N+ 0.22 0.73 0.68 0.73NA 0.68 NA 0.02 0.97 0.92 0.97 0.92 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78350TCBone mineral single photon N+ 0.00 0.64 0.58 0.64NA 0.58 NA 0.01 0.65 0.59 0.65 0.59 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 7835026Bone mineral single photon N+ 0.22 0.09 0.10 0.09 0.10 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78351 Bone mineral dual photon N+ 0.30 0.13 0.13 0.13 0.13 0.01 0.44 0.44 0.44 0.44 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78399 Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78399TCMusculoskeletal nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7839926Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78414 Non-imaging heart function C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78414TCNon-imaging heart function C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7841426Non-imaging heart function A 0.45 0.18 0.20 0.18 0.20 0.03 0.66 0.68 0.66 0.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78428 Cardiac shunt imaging A 0.78 4.87 4.37 4.87NA 4.37 NA 0.06 5.71 5.21 5.71 5.21 1XXX.00.00.0000000 33.9764 090 99 8.87 8.87 0.09 78428TCCardiac shunt imaging A 0.00 4.52 4.09 4.52NA 4.09 NA 0.03 4.55 4.12 4.55 4.12 1XXX.00.00.0000000 33.9764 010 99 8.52 8.52 0.06 7842826Cardiac shunt imaging A 0.78 0.35 0.28 0.35 0.28 0.03 1.16 1.09 1.16 1.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78445 Vascular flow imaging A 0.49 4.51 4.29 4.51NA 4.29 NA 0.04 5.04 4.82 5.04 4.82 1XXX.00.00.0000000 33.9764 090 99 6.05 6.05 0.05 78445TCVascular flow imaging A 0.00 4.32 4.14 4.32NA 4.14 NA 0.03 4.35 4.17 4.35 4.17 1XXX.00.00.0000000 33.9764 010 99 5.86 5.86 0.04 7844526Vascular flow imaging A 0.49 0.19 0.15 0.19 0.15 0.01 0.69 0.65 0.69 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78451 Ht muscle image spect sing A 1.38 8.58 8.58 8.58NA 8.58 NA 0.08 10.04 10.04 10.04 10.04 1XXX.00.00.0000000 33.9764 090 99 22.79 22.79 0.13 78451TCHt muscle image spect sing A 0.00 8.07 8.07 8.07NA 8.07 NA 0.03 8.10 8.10 8.10 8.10 1XXX.00.00.0000000 33.9764 010 99 22.28 22.28 0.08 7845126Ht muscle image spect sing A 1.38 0.51 0.51 0.51 0.51 0.05 1.94 1.94 1.94 1.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78452 Ht muscle image spect mult A 1.62 12.35 12.35 12.35NA 12.35 NA 0.09 14.06 14.06 14.06 14.06 1XXX.00.00.0000000 33.9764 090 99 22.91 22.91 0.13 78452TCHt muscle image spect mult A 0.00 11.73 11.73 11.73NA 11.73 NA 0.04 11.77 11.77 11.77 11.77 1XXX.00.00.0000000 33.9764 010 99 22.29 22.29 0.08 7845226Ht muscle image spect mult A 1.62 0.62 0.62 0.62 0.62 0.05 2.29 2.29 2.29 2.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78453 Ht muscle image planar sing A 1.00 7.55 7.55 7.55NA 7.55 NA 0.08 8.63 8.63 8.63 8.63 1XXX.00.00.0000000 33.9764 090 99 22.64 22.64 0.14 78453TCHt muscle image planar sing A 0.00 7.18 7.18 7.18NA 7.18 NA 0.03 7.21 7.21 7.21 7.21 1XXX.00.00.0000000 33.9764 010 99 22.27 22.27 0.09 7845326Ht muscle image planar sing A 1.00 0.37 0.37 0.37 0.37 0.05 1.42 1.42 1.42 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78454 Ht musc image planar mult A 1.34 11.03 11.03 11.03NA 11.03 NA 0.09 12.46 12.46 12.46 12.46 1XXX.00.00.0000000 33.9764 090 99 22.78 22.78 0.13 78454TCHt musc image planar mult A 0.00 10.53 10.53 10.53NA 10.53 NA 0.04 10.57 10.57 10.57 10.57 1XXX.00.00.0000000 33.9764 010 99 22.28 22.28 0.08 7845426Ht musc image planar mult A 1.34 0.50 0.50 0.50 0.50 0.05 1.89 1.89 1.89 1.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78456 Acute venous thrombus image A 1.00 9.36 8.75 9.36NA 8.75 NA 0.06 10.42 9.81 10.42 9.81 1XXX.00.00.0099999 33.9764 090 99 6.35 6.35 0.05 78456TCAcute venous thrombus image A 0.00 8.89 8.38 8.89NA 8.38 NA 0.03 8.92 8.41 8.92 8.41 1XXX.00.00.0099999 33.9764 090 99 5.88 5.88 0.02 7845626Acute venous thrombus image A 1.00 0.47 0.37 0.47 0.37 0.03 1.50 1.40 1.50 1.40 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78457 Venous thrombosis imaging A 0.77 4.91 4.67 4.91NA 4.67 NA 0.07 5.75 5.51 5.75 5.51 1XXX.00.00.0000000 33.9764 090 99 6.17 6.17 0.08 78457TCVenous thrombosis imaging A 0.00 4.60 4.40 4.60NA 4.40 NA 0.03 4.63 4.43 4.63 4.43 1XXX.00.00.0000000 33.9764 010 99 5.86 5.86 0.04 7845726Venous thrombosis imaging A 0.77 0.31 0.27 0.31 0.27 0.04 1.12 1.08 1.12 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78458 Ven thrombosis images bilat A 0.90 4.80 4.07 4.80NA 4.07 NA 0.08 5.78 5.05 5.78 5.05 1XXX.00.00.0002000 33.9764 090 99 6.17 6.17 0.09 78458TCVen thrombosis images bilat A 0.00 4.49 3.86 4.49NA 3.86 NA 0.03 4.52 3.89 4.52 3.89 1XXX.00.00.0002000 33.9764 010 99 5.86 5.86 0.04 7845826Ven thrombosis images bilat A 0.90 0.31 0.21 0.31 0.21 0.05 1.26 1.16 1.26 1.16 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 78459 Heart muscle imaging (PET) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 33.20 33.20 0.11 78459TCHeart muscle imaging (PET) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 32.58 32.58 0.01 7845926Heart muscle imaging (PET) A 1.50 0.62 0.45 0.62 0.45 0.10 2.22 2.05 2.22 2.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78466 Heart infarct image A 0.69 4.57 4.17 4.57NA 4.17 NA 0.06 5.32 4.92 5.32 4.92 1XXX.00.00.0000000 33.9764 090 99 8.83 8.83 0.09 78466TCHeart infarct image A 0.00 4.26 3.91 4.26NA 3.91 NA 0.03 4.29 3.94 4.29 3.94 1XXX.00.00.0000000 33.9764 010 99 8.52 8.52 0.06 7846626Heart infarct image A 0.69 0.31 0.26 0.31 0.26 0.03 1.03 0.98 1.03 0.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78468 Heart infarct image (ef) A 0.80 5.59 4.85 5.59NA 4.85 NA 0.06 6.45 5.71 6.45 5.71 1XXX.00.00.0000000 33.9764 090 99 8.91 8.91 0.08 78468TCHeart infarct image (ef) A 0.00 5.21 4.54 5.21NA 4.54 NA 0.03 5.24 4.57 5.24 4.57 1XXX.00.00.0000000 33.9764 010 99 8.53 8.53 0.05 7846826Heart infarct image (ef) A 0.80 0.38 0.31 0.38 0.31 0.03 1.21 1.14 1.21 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78469 Heart infarct image (3D) A 0.92 6.61 6.07 6.61NA 6.07 NA 0.06 7.59 7.05 7.59 7.05 1XXX.00.00.0000000 33.9764 090 99 8.98 8.98 0.07 78469TCHeart infarct image (3D) A 0.00 6.16 5.67 6.16NA 5.67 NA 0.03 6.19 5.70 6.19 5.70 1XXX.00.00.0000000 33.9764 010 99 8.53 8.53 0.04 7846926Heart infarct image (3D) A 0.92 0.45 0.40 0.45 0.40 0.03 1.40 1.35 1.40 1.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78472 Gated heart planar single A 0.98 6.37 5.54 6.37NA 5.54 NA 0.07 7.42 6.59 7.42 6.59 1XXX.00.00.0000000 33.9764 090 99 8.96 8.96 0.08 78472TCGated heart planar single A 0.00 5.94 5.19 5.94NA 5.19 NA 0.03 5.97 5.22 5.97 5.22 1XXX.00.00.0000000 33.9764 010 99 8.53 8.53 0.04 7847226Gated heart planar single A 0.98 0.43 0.35 0.43 0.35 0.04 1.45 1.37 1.45 1.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78473 Gated heart multiple A 1.47 8.25 6.86 8.25NA 6.86 NA 0.08 9.80 8.41 9.80 8.41 1XXX.00.00.0000000 33.9764 090 99 9.21 9.21 0.08 78473TCGated heart multiple A 0.00 7.58 6.31 7.58NA 6.31 NA 0.03 7.61 6.34 7.61 6.34 1XXX.00.00.0000000 33.9764 010 99 8.54 8.54 0.03 7847326Gated heart multiple A 1.47 0.67 0.55 0.67 0.55 0.05 2.19 2.07 2.19 2.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78481 Heart first pass single A 0.98 5.17 4.20 5.17NA 4.20 NA 0.04 6.19 5.22 6.19 5.22 1XXX.00.00.0000000 33.9764 090 99 9.04 9.04 0.05 78481TCHeart first pass single A 0.00 4.69 3.82 4.69NA 3.82 NA 0.01 4.70 3.83 4.70 3.83 1XXX.00.00.0000000 33.9764 010 99 8.56 8.56 0.02 7848126Heart first pass single A 0.98 0.48 0.38 0.48 0.38 0.03 1.49 1.39 1.49 1.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78483 Heart first pass multiple A 1.47 7.04 5.53 7.04NA 5.53 NA 0.08 8.59 7.08 8.59 7.08 1XXX.00.00.0000000 33.9764 090 99 9.27 9.27 0.09 78483TCHeart first pass multiple A 0.00 6.31 4.96 6.31NA 4.96 NA 0.03 6.34 4.99 6.34 4.99 1XXX.00.00.0000000 33.9764 010 99 8.54 8.54 0.04 7848326Heart first pass multiple A 1.47 0.73 0.57 0.73 0.57 0.05 2.25 2.09 2.25 2.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78491 Heart image (pet) single C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 33.23 33.23 0.11 78491TCHeart image (pet) single C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 32.58 32.58 0.01 7849126Heart image (pet) single A 1.50 0.65 0.49 0.65 0.49 0.10 2.25 2.09 2.25 2.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78492 Heart image (pet) multiple C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 33.44 33.44 0.13 78492TCHeart image (pet) multiple C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 32.58 32.58 0.01 7849226Heart image (pet) multiple A 1.87 0.86 0.65 0.86 0.65 0.12 2.85 2.64 2.85 2.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78494 Heart image spect A 1.19 6.64 5.56 6.64NA 5.56 NA 0.07 7.90 6.82 7.90 6.82 1XXX.00.00.0000000 33.9764 090 99 9.08 9.08 0.08 78494TCHeart image spect A 0.00 6.09 5.09 6.09NA 5.09 NA 0.03 6.12 5.12 6.12 5.12 1XXX.00.00.0000000 33.9764 010 99 8.53 8.53 0.04 7849426Heart image spect A 1.19 0.55 0.47 0.55 0.47 0.04 1.78 1.70 1.78 1.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78496 Heart first pass add-on A 0.50 1.86 0.74 1.86NA 0.74 NA 0.02 2.38 1.26 2.38 1.26 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78496TCHeart first pass add-on A 0.00 1.63 0.55 1.63NA 0.55 NA 0.01 1.64 0.56 1.64 0.56 1ZZZ.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7849626Heart first pass add-on A 0.50 0.23 0.19 0.23 0.19 0.01 0.74 0.70 0.74 0.70 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78499 Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78499TCCardiovascular nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7849926Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78580 Lung perfusion imaging A 0.74 5.46 5.12 5.46NA 5.12 NA 0.06 6.26 5.92 6.26 5.92 1XXX.00.00.0000000 33.9764 090 99 6.06 6.06 0.06 78580TCLung perfusion imaging A 0.00 5.16 4.87 5.16NA 4.87 NA 0.03 5.19 4.90 5.19 4.90 1XXX.00.00.0000000 33.9764 010 99 5.76 5.76 0.03 7858026Lung perfusion imaging A 0.74 0.30 0.25 0.30 0.25 0.03 1.07 1.02 1.07 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78584 Lung V/Q image single breath A 0.99 3.43 3.01 3.43NA 3.01 NA 0.08 4.50 4.08 4.50 4.08 1XXX.00.00.0000000 33.9764 090 99 9.73 9.73 0.14 78584TCLung V/Q image single breath A 0.00 3.02 2.65 3.02NA 2.65 NA 0.03 3.05 2.68 3.05 2.68 1XXX.00.00.0000000 33.9764 010 99 9.32 9.32 0.09 7858426Lung V/Q image single breath A 0.99 0.41 0.36 0.41 0.36 0.05 1.45 1.40 1.45 1.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78585 Lung V/Q imaging A 1.09 9.23 8.75 9.23NA 8.75 NA 0.08 10.40 9.92 10.40 9.92 1XXX.00.00.0000000 33.9764 090 99 9.82 9.82 0.08 78585TCLung V/Q imaging A 0.00 8.79 8.37 8.79NA 8.37 NA 0.03 8.82 8.40 8.82 8.40 1XXX.00.00.0000000 33.9764 010 99 9.38 9.38 0.03 7858526Lung V/Q imaging A 1.09 0.44 0.38 0.44 0.38 0.05 1.58 1.52 1.58 1.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78586 Aerosol lung image single A 0.40 4.46 4.31 4.46NA 4.31 NA 0.04 4.90 4.75 4.90 4.75 1XXX.00.00.0000000 33.9764 090 99 5.91 5.91 0.05 78586TCAerosol lung image single A 0.00 4.30 4.16 4.30NA 4.16 NA 0.03 4.33 4.19 4.33 4.19 1XXX.00.00.0000000 33.9764 010 99 5.75 5.75 0.04 7858626Aerosol lung image single A 0.40 0.16 0.15 0.16 0.15 0.01 0.57 0.56 0.57 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78587 Aerosol lung image multiple A 0.49 5.59 5.33 5.59NA 5.33 NA 0.06 6.14 5.88 6.14 5.88 1XXX.00.00.0000000 33.9764 090 99 5.95 5.95 0.06 78587TCAerosol lung image multiple A 0.00 5.40 5.17 5.40NA 5.17 NA 0.03 5.43 5.20 5.43 5.20 1XXX.00.00.0000000 33.9764 010 99 5.76 5.76 0.03 7858726Aerosol lung image multiple A 0.49 0.19 0.16 0.19 0.16 0.03 0.71 0.68 0.71 0.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78588 Perfusion lung image A 1.09 8.91 8.82 8.91NA 8.82 NA 0.08 10.08 9.99 10.08 9.99 1XXX.00.00.0000000 33.9764 090 99 9.82 9.82 0.08 78588TCPerfusion lung image A 0.00 8.47 8.44 8.47NA 8.44 NA 0.03 8.50 8.47 8.50 8.47 1XXX.00.00.0000000 33.9764 010 99 9.38 9.38 0.03 7858826Perfusion lung image A 1.09 0.44 0.38 0.44 0.38 0.05 1.58 1.52 1.58 1.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78591 Vent image 1 breath 1 proj A 0.40 4.52 4.34 4.52NA 4.34 NA 0.04 4.96 4.78 4.96 4.78 1XXX.00.00.0000000 33.9764 090 99 5.92 5.92 0.05 78591TCVent image 1 breath 1 proj A 0.00 4.35 4.19 4.35NA 4.19 NA 0.03 4.38 4.22 4.38 4.22 1XXX.00.00.0000000 33.9764 010 99 5.75 5.75 0.04 7859126Vent image 1 breath 1 proj A 0.40 0.17 0.15 0.17 0.15 0.01 0.58 0.56 0.58 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78593 Vent image 1 proj gas A 0.49 5.22 4.94 5.22NA 4.94 NA 0.06 5.77 5.49 5.77 5.49 1XXX.00.00.0000000 33.9764 090 99 5.96 5.96 0.06 78593TCVent image 1 proj gas A 0.00 5.02 4.77 5.02NA 4.77 NA 0.03 5.05 4.80 5.05 4.80 1XXX.00.00.0000000 33.9764 010 99 5.76 5.76 0.03 7859326Vent image 1 proj gas A 0.49 0.20 0.17 0.20 0.17 0.03 0.72 0.69 0.72 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78594 Vent image mult proj gas A 0.53 5.79 5.14 5.79NA 5.14 NA 0.06 6.38 5.73 6.38 5.73 1XXX.00.00.0000000 33.9764 090 99 5.96 5.96 0.06 78594TCVent image mult proj gas A 0.00 5.59 4.98 5.59NA 4.98 NA 0.03 5.62 5.01 5.62 5.01 1XXX.00.00.0000000 33.9764 010 99 5.76 5.76 0.03 7859426Vent image mult proj gas A 0.53 0.20 0.16 0.20 0.16 0.03 0.76 0.72 0.76 0.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78596 Lung differential function A 1.27 9.63 8.99 9.63NA 8.99 NA 0.07 10.97 10.33 10.97 10.33 1XXX.00.00.0000000 33.9764 090 99 9.87 9.87 0.07 78596TCLung differential function A 0.00 9.15 8.56 9.15NA 8.56 NA 0.03 9.18 8.59 9.18 8.59 1XXX.00.00.0000000 33.9764 010 99 9.39 9.39 0.03 7859626Lung differential function A 1.27 0.48 0.43 0.48 0.43 0.04 1.79 1.74 1.79 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78599 Respiratory nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78599TCRespiratory nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7859926Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78600 Brain image < 4 views A 0.44 4.81 4.57 4.81NA 4.57 NA 0.04 5.29 5.05 5.29 5.05 1XXX.00.00.0000000 33.9764 090 99 7.21 7.21 0.06 78600TCBrain image < 4 views A 0.00 4.62 4.41 4.62NA 4.41 NA 0.03 4.65 4.44 4.65 4.44 1XXX.00.00.0000000 33.9764 010 99 7.02 7.02 0.05 7860026Brain image < 4 views A 0.44 0.19 0.16 0.19 0.16 0.01 0.64 0.61 0.64 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78601 Brain image w/flow < 4 views A 0.51 5.71 5.42 5.71NA 5.42 NA 0.06 6.28 5.99 6.28 5.99 1XXX.00.00.0000000 33.9764 090 99 17.65 17.65 0.13 78601TCBrain image w/flow < 4 views A 0.00 5.51 5.24 5.51NA 5.24 NA 0.03 5.54 5.27 5.54 5.27 1XXX.00.00.0000000 33.9764 010 99 17.45 17.45 0.10 7860126Brain image w/flow < 4 views A 0.51 0.20 0.18 0.20 0.18 0.03 0.74 0.72 0.74 0.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78605 Brain image 4+ views A 0.53 5.22 4.89 5.22NA 4.89 NA 0.06 5.81 5.48 5.81 5.48 1XXX.00.00.0000000 33.9764 090 99 7.26 7.26 0.07 78605TCBrain image 4+ views A 0.00 4.99 4.69 4.99NA 4.69 NA 0.03 5.02 4.72 5.02 4.72 1XXX.00.00.0000000 33.9764 010 99 7.03 7.03 0.04 7860526Brain image 4+ views A 0.53 0.23 0.20 0.23 0.20 0.03 0.79 0.76 0.79 0.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78606 Brain image w/flow 4 + views A 0.64 8.85 8.71 8.85NA 8.71 NA 0.04 9.53 9.39 9.53 9.39 1XXX.00.00.0000000 33.9764 090 99 17.75 17.75 0.07 78606TCBrain image w/flow 4 + views A 0.00 8.59 8.48 8.59NA 8.48 NA 0.03 8.62 8.51 8.62 8.51 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7860626Brain image w/flow 4 + views A 0.64 0.26 0.23 0.26 0.23 0.01 0.91 0.88 0.91 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78607 Brain imaging (3D) A 1.23 9.37 8.66 9.37NA 8.66 NA 0.08 10.68 9.97 10.68 9.97 1XXX.00.00.0000000 33.9764 090 99 17.96 17.96 0.11 78607TCBrain imaging (3D) A 0.00 8.90 8.27 8.90NA 8.27 NA 0.03 8.93 8.30 8.93 8.30 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7860726Brain imaging (3D) A 1.23 0.47 0.39 0.47 0.39 0.05 1.75 1.67 1.75 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78608 Brain imaging (PET) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.24 31.24 0.12 78608TCBrain imaging (PET) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7860826Brain imaging (PET) A 1.50 0.58 0.48 0.58 0.48 0.11 2.19 2.09 2.19 2.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78609 Brain imaging (PET) N+ 1.50 0.63 0.66 0.63NA 0.66 NA 0.10 2.23 2.26 2.23 2.26 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78609TCBrain imaging (PET) N 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 7860926Brain imaging (PET) N+ 1.50 0.63 0.66 0.63 0.66 0.10 2.23 2.26 2.23 2.26 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 78610 Brain flow imaging only A 0.30 4.88 4.47 4.88NA 4.47 NA 0.04 5.22 4.81 5.22 4.81 1XXX.00.00.0000000 33.9764 090 99 7.16 7.16 0.05 78610TCBrain flow imaging only A 0.00 4.75 4.36 4.75NA 4.36 NA 0.03 4.78 4.39 4.78 4.39 1XXX.00.00.0000000 33.9764 010 99 7.03 7.03 0.04 7861026Brain flow imaging only A 0.30 0.13 0.11 0.13 0.11 0.01 0.44 0.42 0.44 0.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78630 Cerebrospinal fluid scan A 0.68 9.16 8.83 9.16NA 8.83 NA 0.06 9.90 9.57 9.90 9.57 1XXX.00.00.0000000 33.9764 090 99 17.77 17.77 0.09 78630TCCerebrospinal fluid scan A 0.00 8.88 8.59 8.88NA 8.59 NA 0.03 8.91 8.62 8.91 8.62 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7863026Cerebrospinal fluid scan A 0.68 0.28 0.24 0.28 0.24 0.03 0.99 0.95 0.99 0.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78635 CSF ventriculography A 0.61 8.79 8.84 8.79NA 8.84 NA 0.04 9.44 9.49 9.44 9.49 1XXX.00.00.0000000 33.9764 090 99 17.75 17.75 0.07 78635TCCSF ventriculography A 0.00 8.53 8.61 8.53NA 8.61 NA 0.03 8.56 8.64 8.56 8.64 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7863526CSF ventriculography A 0.61 0.26 0.23 0.26 0.23 0.01 0.88 0.85 0.88 0.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78645 CSF shunt evaluation A 0.57 8.68 8.49 8.68NA 8.49 NA 0.06 9.31 9.12 9.31 9.12 1XXX.00.00.0000000 33.9764 090 99 7.28 7.28 0.06 78645TCCSF shunt evaluation A 0.00 8.45 8.30 8.45NA 8.30 NA 0.03 8.48 8.33 8.48 8.33 1XXX.00.00.0000000 33.9764 010 99 7.05 7.05 0.03 7864526CSF shunt evaluation A 0.57 0.23 0.19 0.23 0.19 0.03 0.83 0.79 0.83 0.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78647 Cerebrospinal fluid scan A 0.90 9.25 8.76 9.25NA 8.76 NA 0.08 10.23 9.74 10.23 9.74 1XXX.00.00.0000000 33.9764 090 99 17.83 17.83 0.11 78647TCCerebrospinal fluid scan A 0.00 8.91 8.47 8.91NA 8.47 NA 0.03 8.94 8.50 8.94 8.50 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7864726Cerebrospinal fluid scan A 0.90 0.34 0.29 0.34 0.29 0.05 1.29 1.24 1.29 1.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78650 CSF leakage imaging A 0.61 9.02 8.69 9.02NA 8.69 NA 0.07 9.70 9.37 9.70 9.37 1XXX.00.00.0000000 33.9764 090 99 17.73 17.73 0.10 78650TCCSF leakage imaging A 0.00 8.78 8.49 8.78NA 8.49 NA 0.03 8.81 8.52 8.81 8.52 1XXX.00.00.0000000 33.9764 010 99 17.49 17.49 0.06 7865026CSF leakage imaging A 0.61 0.24 0.20 0.24 0.20 0.04 0.89 0.85 0.89 0.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78660 Nuclear exam of tear flow A 0.53 4.62 4.63 4.62NA 4.63 NA 0.06 5.21 5.22 5.21 5.22 1XXX.00.00.0000000 33.9764 090 99 7.25 7.25 0.08 78660TCNuclear exam of tear flow A 0.00 4.39 4.41 4.39NA 4.41 NA 0.03 4.42 4.44 4.42 4.44 1XXX.00.00.0000000 33.9764 010 99 7.02 7.02 0.05 7866026Nuclear exam of tear flow A 0.53 0.23 0.22 0.23 0.22 0.03 0.79 0.78 0.79 0.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78699 Nervous system nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78699TCNervous system nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7869926Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78700 Kidney imaging morphol A 0.45 4.68 4.39 4.68NA 4.39 NA 0.06 5.19 4.90 5.19 4.90 1XXX.00.00.0000000 33.9764 090 99 9.59 9.59 0.09 78700TCKidney imaging morphol A 0.00 4.49 4.23 4.49NA 4.23 NA 0.03 4.52 4.26 4.52 4.26 1XXX.00.00.0000000 33.9764 010 99 9.40 9.40 0.06 7870026Kidney imaging morphol A 0.45 0.19 0.16 0.19 0.16 0.03 0.67 0.64 0.67 0.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78701 Kidney imaging with flow A 0.49 5.72 5.42 5.72NA 5.42 NA 0.06 6.27 5.97 6.27 5.97 1XXX.00.00.0000000 33.9764 090 99 9.61 9.61 0.08 78701TCKidney imaging with flow A 0.00 5.52 5.25 5.52NA 5.25 NA 0.03 5.55 5.28 5.55 5.28 1XXX.00.00.0000000 33.9764 010 99 9.41 9.41 0.05 7870126Kidney imaging with flow A 0.49 0.20 0.17 0.20 0.17 0.03 0.72 0.69 0.72 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78707 K flow/funct image w/o drug A 0.96 5.97 5.45 5.97NA 5.45 NA 0.07 7.00 6.48 7.00 6.48 1XXX.00.00.0000000 33.9764 090 99 9.79 9.79 0.09 78707TCK flow/funct image w/o drug A 0.00 5.59 5.13 5.59NA 5.13 NA 0.03 5.62 5.16 5.62 5.16 1XXX.00.00.0000000 33.9764 010 99 9.41 9.41 0.05 7870726K flow/funct image w/o drug A 0.96 0.38 0.32 0.38 0.32 0.04 1.38 1.32 1.38 1.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78708 K flow/funct image w/drug A 1.21 4.03 3.35 4.03NA 3.35 NA 0.08 5.32 4.64 5.32 4.64 1XXX.00.00.0000000 33.9764 090 99 9.87 9.87 0.13 78708TCK flow/funct image w/drug A 0.00 3.54 2.94 3.54NA 2.94 NA 0.03 3.57 2.97 3.57 2.97 1XXX.00.00.0000000 33.9764 010 99 9.38 9.38 0.08 7870826K flow/funct image w/drug A 1.21 0.49 0.41 0.49 0.41 0.05 1.75 1.67 1.75 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78709 K flow/funct image multiple A 1.41 9.28 8.92 9.28NA 8.92 NA 0.10 10.79 10.43 10.79 10.43 1XXX.00.00.0000000 33.9764 090 99 9.99 9.99 0.10 78709TCK flow/funct image multiple A 0.00 8.72 8.44 8.72NA 8.44 NA 0.03 8.75 8.47 8.75 8.47 1XXX.00.00.0000000 33.9764 010 99 9.43 9.43 0.03 7870926K flow/funct image multiple A 1.41 0.56 0.48 0.56 0.48 0.07 2.04 1.96 2.04 1.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78710 Kidney imaging (3D) A 0.66 5.85 5.03 5.85NA 5.03 NA 0.04 6.55 5.73 6.55 5.73 1XXX.00.00.0000000 33.9764 090 99 9.66 9.66 0.06 78710TCKidney imaging (3D) A 0.00 5.60 4.83 5.60NA 4.83 NA 0.03 5.63 4.86 5.63 4.86 1XXX.00.00.0000000 33.9764 010 99 9.41 9.41 0.05 7871026Kidney imaging (3D) A 0.66 0.25 0.20 0.25 0.20 0.01 0.92 0.87 0.92 0.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78725 Kidney function study A 0.38 2.60 2.48 2.60NA 2.48 NA 0.04 3.02 2.90 3.02 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78725TCKidney function study A 0.00 2.45 2.34 2.45NA 2.34 NA 0.03 2.48 2.37 2.48 2.37 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 7872526Kidney function study A 0.38 0.15 0.14 0.15 0.14 0.01 0.54 0.53 0.54 0.53 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78730 Urinary bladder retention A 0.15 2.03 1.80 2.03NA 1.80 NA 0.02 2.20 1.97 2.20 1.97 1ZZZ.00.00.0000000 33.9764 090 99 3.03 3.03 0.03 78730TCUrinary bladder retention A 0.00 1.95 1.74 1.95NA 1.74 NA 0.01 1.96 1.75 1.96 1.75 1ZZZ.00.00.0000000 33.9764 010 99 2.95 2.95 0.02 7873026Urinary bladder retention A 0.15 0.08 0.06 0.08 0.06 0.01 0.24 0.22 0.24 0.22 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78740 Ureteral reflux study A 0.57 5.89 5.84 5.89NA 5.84 NA 0.06 6.52 6.47 6.52 6.47 1XXX.00.00.0000000 33.9764 090 99 9.66 9.66 0.08 78740TCUreteral reflux study A 0.00 5.64 5.62 5.64NA 5.62 NA 0.03 5.67 5.65 5.67 5.65 1XXX.00.00.0000000 33.9764 010 99 9.41 9.41 0.05 7874026Ureteral reflux study A 0.57 0.25 0.22 0.25 0.22 0.03 0.85 0.82 0.85 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78761 Testicular imaging w/flow A 0.71 5.48 5.24 5.48NA 5.24 NA 0.07 6.26 6.02 6.26 6.02 1XXX.00.00.0000000 33.9764 090 99 9.71 9.71 0.09 78761TCTesticular imaging w/flow A 0.00 5.18 4.97 5.18NA 4.97 NA 0.03 5.21 5.00 5.21 5.00 1XXX.00.00.0000000 33.9764 010 99 9.41 9.41 0.05 7876126Testicular imaging w/flow A 0.71 0.30 0.27 0.30 0.27 0.04 1.05 1.02 1.05 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78799 Genitourinary nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78799TCGenitourinary nuclear exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7879926Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78800 Tumor imaging limited area A 0.66 4.78 4.51 4.78NA 4.51 NA 0.07 5.51 5.24 5.51 5.24 1XXX.00.00.0000000 33.9764 090 99 8.74 8.74 0.10 78800TCTumor imaging limited area A 0.00 4.52 4.27 4.52NA 4.27 NA 0.03 4.55 4.30 4.55 4.30 1XXX.00.00.0000000 33.9764 010 99 8.48 8.48 0.06 7880026Tumor imaging limited area A 0.66 0.26 0.24 0.26 0.24 0.04 0.96 0.94 0.96 0.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78801 Tumor imaging mult areas A 0.79 6.58 6.27 6.58NA 6.27 NA 0.07 7.44 7.13 7.44 7.13 1XXX.00.00.0000000 33.9764 090 99 14.23 14.23 0.11 78801TCTumor imaging mult areas A 0.00 6.26 5.98 6.26NA 5.98 NA 0.03 6.29 6.01 6.29 6.01 1XXX.00.00.0000000 33.9764 010 99 13.91 13.91 0.07 7880126Tumor imaging mult areas A 0.79 0.32 0.29 0.32 0.29 0.04 1.15 1.12 1.15 1.12 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78802 Tumor imaging whole body A 0.86 8.69 8.12 8.69NA 8.12 NA 0.07 9.62 9.05 9.62 9.05 1XXX.00.00.0020000 33.9764 090 99 14.27 14.27 0.09 78802TCTumor imaging whole body A 0.00 8.35 7.84 8.35NA 7.84 NA 0.03 8.38 7.87 8.38 7.87 1XXX.00.00.0020000 33.9764 010 99 13.93 13.93 0.05 7880226Tumor imaging whole body A 0.86 0.34 0.28 0.34 0.28 0.04 1.24 1.18 1.24 1.18 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 78803 Tumor imaging (3D) A 1.09 9.17 8.34 9.17NA 8.34 NA 0.08 10.34 9.51 10.34 9.51 1XXX.00.00.0020000 33.9764 090 99 14.35 14.35 0.10 78803TCTumor imaging (3D) A 0.00 8.75 8.01 8.75NA 8.01 NA 0.03 8.78 8.04 8.78 8.04 1XXX.00.00.0020000 33.9764 010 99 13.93 13.93 0.05 7880326Tumor imaging (3D) A 1.09 0.42 0.33 0.42 0.33 0.05 1.56 1.47 1.56 1.47 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 78804 Tumor imaging whole body A 1.07 15.92 14.79 15.92NA 14.79 NA 0.10 17.09 15.96 17.09 15.96 1XXX.00.00.0000000 33.9764 090 99 24.63 24.63 0.13 78804TCTumor imaging whole body A 0.00 15.50 14.44 15.50NA 14.44 NA 0.05 15.55 14.49 15.55 14.49 1XXX.00.00.0000000 33.9764 010 99 24.21 24.21 0.08 7880426Tumor imaging whole body A 1.07 0.42 0.35 0.42 0.35 0.05 1.54 1.47 1.54 1.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78805 Abscess imaging ltd area A 0.73 4.63 4.29 4.63NA 4.29 NA 0.07 5.43 5.09 5.43 5.09 1XXX.00.00.0000000 33.9764 090 99 14.17 14.17 0.14 78805TCAbscess imaging ltd area A 0.00 4.34 4.04 4.34NA 4.04 NA 0.03 4.37 4.07 4.37 4.07 1XXX.00.00.0000000 33.9764 010 99 13.88 13.88 0.10 7880526Abscess imaging ltd area A 0.73 0.29 0.25 0.29 0.25 0.04 1.06 1.02 1.06 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78806 Abscess imaging whole body A 0.86 9.03 8.35 9.03NA 8.35 NA 0.07 9.96 9.28 9.96 9.28 1XXX.00.00.0020000 33.9764 090 99 14.27 14.27 0.09 78806TCAbscess imaging whole body A 0.00 8.69 8.07 8.69NA 8.07 NA 0.03 8.72 8.10 8.72 8.10 1XXX.00.00.0020000 33.9764 010 99 13.93 13.93 0.05 7880626Abscess imaging whole body A 0.86 0.34 0.28 0.34 0.28 0.04 1.24 1.18 1.24 1.18 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 78807 Nuclear localization/abscess A 1.09 9.16 8.33 9.16NA 8.33 NA 0.07 10.32 9.49 10.32 9.49 1XXX.00.00.0020000 33.9764 090 99 14.34 14.34 0.09 78807TCNuclear localization/abscess A 0.00 8.75 8.01 8.75NA 8.01 NA 0.03 8.78 8.04 8.78 8.04 1XXX.00.00.0020000 33.9764 010 99 13.93 13.93 0.05 7880726Nuclear localization/abscess A 1.09 0.41 0.32 0.41 0.32 0.04 1.54 1.45 1.54 1.45 1XXX.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 78808 Iv inj ra drug dx study A 0.18 1.06 0.89 1.06NA 0.89 NA 0.03 1.27 1.10 1.27 1.10 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78811 Pet image ltd area C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.29 31.29 0.19 78811TCPet image ltd area C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881126Pet image ltd area A 1.54 0.63 0.54 0.63 0.54 0.18 2.35 2.26 2.35 2.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78812 Pet image skull-thigh C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.44 31.44 0.17 78812TCPet image skull-thigh C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881226Pet image skull-thigh A 1.93 0.78 0.66 0.78 0.66 0.16 2.87 2.75 2.87 2.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78813 Pet image full body C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.48 31.48 0.19 78813TCPet image full body C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881326Pet image full body A 2.00 0.82 0.72 0.82 0.72 0.18 3.00 2.90 3.00 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78814 Pet image w/ct lmtd C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.53 31.53 0.21 78814TCPet image w/ct lmtd C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881426Pet image w/ct lmtd A 2.20 0.87 0.73 0.87 0.73 0.20 3.27 3.13 3.27 3.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78815 Pet image w/ct skull-thigh C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.64 31.64 0.23 78815TCPet image w/ct skull-thigh C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881526Pet image w/ct skull-thigh A 2.44 0.98 0.83 0.98 0.83 0.22 3.64 3.49 3.64 3.49 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78816 Pet image w/ct full body C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 31.64 31.64 0.23 78816TCPet image w/ct full body C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 30.66 30.66 0.01 7881626Pet image w/ct full body A 2.50 0.98 0.80 0.98 0.80 0.22 3.70 3.52 3.70 3.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78999 Nuclear diagnostic exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 78999TCNuclear diagnostic exam C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7899926Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79005 Nuclear rx oral admin A 1.80 2.32 1.91 2.32NA 1.91 NA 0.08 4.20 3.79 4.20 3.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79005TCNuclear rx oral admin A 0.00 1.60 1.26 1.60NA 1.26 NA 0.01 1.61 1.27 1.61 1.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7900526Nuclear rx oral admin A 1.80 0.72 0.65 0.72 0.65 0.07 2.59 2.52 2.59 2.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79101 Nuclear rx iv admin A 1.96 2.71 2.24 2.71NA 2.24 NA 0.08 4.75 4.28 4.75 4.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79101TCNuclear rx iv admin A 0.00 1.74 1.34 1.74NA 1.34 NA 0.01 1.75 1.35 1.75 1.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7910126Nuclear rx iv admin A 1.96 0.97 0.90 0.97 0.90 0.07 3.00 2.93 3.00 2.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79200 Nuclear rx intracav admin A 1.99 2.82 2.43 2.82NA 2.43 NA 0.12 4.93 4.54 4.93 4.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79200TCNuclear rx intracav admin A 0.00 1.98 1.67 1.98NA 1.67 NA 0.01 1.99 1.68 1.99 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7920026Nuclear rx intracav admin A 1.99 0.84 0.76 0.84 0.76 0.11 2.94 2.86 2.94 2.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79300 Nuclr rx interstit colloid C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79300TCNuclr rx interstit colloid C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7930026Nuclr rx interstit colloid A 1.60 0.66 0.61 0.66 0.61 0.14 2.40 2.35 2.40 2.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79403 Hematopoietic nuclear tx A 2.25 3.61 2.87 3.61NA 2.87 NA 0.14 6.00 5.26 6.00 5.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79403TCHematopoietic nuclear tx A 0.00 2.68 2.07 2.68NA 2.07 NA 0.03 2.71 2.10 2.71 2.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7940326Hematopoietic nuclear tx A 2.25 0.93 0.80 0.93 0.80 0.11 3.29 3.16 3.29 3.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79440 Nuclear rx intra-articular A 1.99 2.58 2.38 2.58NA 2.38 NA 0.06 4.63 4.43 4.63 4.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79440TCNuclear rx intra-articular A 0.00 1.66 1.46 1.66NA 1.46 NA 0.01 1.67 1.47 1.67 1.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7944026Nuclear rx intra-articular A 1.99 0.92 0.92 0.92 0.92 0.05 2.96 2.96 2.96 2.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79445 Nuclear rx intra-arterial C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79445TCNuclear rx intra-arterial C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7944526Nuclear rx intra-arterial A 2.40 0.94 0.76 0.94 0.76 0.20 3.54 3.36 3.54 3.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79999 Nuclear medicine therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 79999TCNuclear medicine therapy C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 7999926Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 80047 Metabolic panel ionized ca X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80048 Metabolic panel total ca X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80050 General health panel N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80053 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80055 Obstetric panel I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80069 Renal function panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80074 Acute hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80076 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80100 Drug screen qualitate/multi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80101 Drug screen single I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80102 Drug confirmation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80103 Drug analysis tissue prep X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80104 Drug scrn 1+ class nonchromo I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80150 Assay of amikacin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80152 Assay of amitriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80154 Assay of benzodiazepines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80156 Assay carbamazepine total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80157 Assay carbamazepine free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80158 Assay of cyclosporine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80160 Assay of desipramine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80162 Assay of digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80164 Assay dipropylacetic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80166 Assay of doxepin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80168 Assay of ethosuximide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80170 Assay of gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80172 Assay of gold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80173 Assay of haloperidol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80174 Assay of imipramine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80176 Assay of lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80178 Assay of lithium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80182 Assay of nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80184 Assay of phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80185 Assay of phenytoin total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80186 Assay of phenytoin free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80188 Assay of primidone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80190 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80192 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80194 Assay of quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80195 Assay of sirolimus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80196 Assay of salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80197 Assay of tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80198 Assay of theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80200 Assay of tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80201 Assay of topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80202 Assay of vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80299 Quantitative assay drug X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80400 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80402 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80406 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80408 Aldosterone suppression eval X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80410 Calcitonin stimul panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80412 CRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80414 Testosterone response X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80415 Estradiol response panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80416 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80417 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80418 Pituitary evaluation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80422 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80424 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80426 Gonadotropin hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80428 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80430 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80432 Insulin suppression panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80434 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80435 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80438 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80439 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80440 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 80500 Lab pathology consultation A 0.37 0.21 0.18 0.14 0.12 0.03 0.61 0.58 0.54 0.52 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 80502 Lab pathology consultation A 1.33 0.48 0.46 0.43 0.41 0.07 1.88 1.86 1.83 1.81 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 81000 Urinalysis nonauto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81001 Urinalysis auto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81002 Urinalysis nonauto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81003 Urinalysis auto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81007 Urine screen for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81015 Microscopic exam of urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81020 Urinalysis glass test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81025 Urine pregnancy test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81050 Urinalysis volume measure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 81099 Urinalysis test procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82000 Assay of blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82003 Assay of acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82009 Test for acetone/ketones X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82010 Acetone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82016 Acylcarnitines qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82017 Acylcarnitines quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82024 Assay of acth X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82030 Assay of adp & amp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82040 Assay of serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82042 Assay of urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82043 Microalbumin quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82044 Microalbumin semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82045 Albumin ischemia modified X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82055 Assay of ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82075 Assay of breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82085 Assay of aldolase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82088 Assay of aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82101 Assay of urine alkaloids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82103 Alpha-1-antitrypsin total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82104 Alpha-1-antitrypsin pheno X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82105 Alpha-fetoprotein serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82106 Alpha-fetoprotein amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82107 Alpha-fetoprotein l3 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82108 Assay of aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82120 Amines vaginal fluid qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82127 Amino acid single qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82128 Amino acids mult qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82131 Amino acids single quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82135 Assay aminolevulinic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82136 Amino acids quant 2-5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82139 Amino acids quan 6 or more X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82140 Assay of ammonia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82143 Amniotic fluid scan X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82145 Assay of amphetamines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82150 Assay of amylase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82157 Assay of androstenedione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82160 Assay of androsterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82163 Assay of angiotensin II X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82164 Angiotensin I enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82172 Assay of apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82175 Assay of arsenic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82180 Assay of ascorbic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82205 Assay of barbiturates X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82232 Assay of beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82239 Bile acids total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82240 Bile acids cholylglycine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82247 Bilirubin total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82248 Bilirubin direct X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82252 Fecal bilirubin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82261 Assay of biotinidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82270 Occult blood feces X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82271 Occult blood other sources X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82272 Occult bld feces 1-3 tests X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82274 Assay test for blood fecal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82286 Assay of bradykinin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82300 Assay of cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82306 Vitamin d 25 hydroxy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82308 Assay of calcitonin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82310 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82330 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82331 Calcium infusion test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82340 Assay of calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82355 Calculus analysis qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82360 Calculus assay quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82365 Calculus spectroscopy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82370 X-ray assay calculus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82373 Assay c-d transfer measure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82374 Assay blood carbon dioxide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82375 Assay carboxyhb quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82376 Assay carboxyhb qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82379 Assay of carnitine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82380 Assay of carotene X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82382 Assay urine catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82383 Assay blood catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82384 Assay three catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82387 Assay of cathepsin-d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82390 Assay of ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82415 Assay of chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82435 Assay of blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82436 Assay of urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82438 Assay other fluid chlorides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82441 Test for chlorohydrocarbons X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82465 Assay bld/serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82480 Assay serum cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82482 Assay rbc cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82485 Assay chondroitin sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82486 Gas/liquid chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82487 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82488 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82489 Thin layer chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82491 Chromotography quant sing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82492 Chromotography quant mult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82495 Assay of chromium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82507 Assay of citrate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82520 Assay of cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82525 Assay of copper X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82528 Assay of corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82530 Cortisol free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82540 Assay of creatine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82541 Column chromotography qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82542 Column chromotography quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82543 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82544 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82550 Assay of ck (cpk) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82552 Assay of cpk in blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82553 Creatine mb fraction X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82554 Creatine isoforms X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82565 Assay of creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82570 Assay of urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82575 Creatinine clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82585 Assay of cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82595 Assay of cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82600 Assay of cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82607 Vitamin B-12 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82608 B-12 binding capacity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82610 Cystatin c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82615 Test for urine cystines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82638 Assay of dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82646 Assay of dihydrocodeinone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82649 Assay of dihydromorphinone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82651 Assay of dihydrotestosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82652 Vit d 1 25-dihydroxy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82654 Assay of dimethadione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82656 Pancreatic elastase fecal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82657 Enzyme cell activity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82658 Enzyme cell activity ra X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82666 Assay of epiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82668 Assay of erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82670 Assay of estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82671 Assay of estrogens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82672 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82677 Assay of estriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82679 Assay of estrone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82690 Assay of ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82693 Assay of ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82696 Assay of etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82705 Fats/lipids feces qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82710 Fats/lipids feces quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82715 Assay of fecal fat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82725 Assay of blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82726 Long chain fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82728 Assay of ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82731 Assay of fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82735 Assay of fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82742 Assay of flurazepam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82746 Blood folic acid serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82747 Assay of folic acid rbc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82757 Assay of semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82759 Assay of rbc galactokinase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82760 Assay of galactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82775 Assay galactose transferase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82776 Galactose transferase test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82784 Assay iga/igd/igg/igm each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82785 Assay of ige X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82787 Igg 1 2 3 or 4 each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82800 Blood pH X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82803 Blood gases any combination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82805 Blood gases w/o2 saturation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82810 Blood gases o2 sat only X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82820 Hemoglobin-oxygen affinity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82930 Gastric analy w/ph ea spec X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82941 Assay of gastrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82943 Assay of glucagon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82945 Glucose other fluid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82946 Glucagon tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82947 Assay glucose blood quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82948 Reagent strip/blood glucose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82951 Glucose tolerance test (GTT) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82952 GTT-added samples X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82953 Glucose-tolbutamide test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82955 Assay of g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82960 Test for G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82962 Glucose blood test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82963 Assay of glucosidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82965 Assay of gdh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82975 Assay of glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82977 Assay of GGT X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82978 Assay of glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82979 Assay rbc glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82980 Assay of glutethimide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 82985 Glycated protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83001 Gonadotropin (FSH) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83002 Gonadotropin (LH) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83003 Assay growth hormone (hgh) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83008 Assay of guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83009 H pylori (c-13) blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83010 Assay of haptoglobin quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83012 Assay of haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83013 H pylori (c-13) breath X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83014 H pylori drug admin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83015 Heavy metal screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83018 Quantitative screen metals X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83020 Hemoglobin electrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8302026Hemoglobin electrophoresis A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 83021 Hemoglobin chromotography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83026 Hemoglobin copper sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83030 Fetal hemoglobin chemical X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83033 Fetal hemoglobin assay qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83036 Glycosylated hemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83037 Glycosylated hb home device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83045 Blood methemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83050 Blood methemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83051 Assay of plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83055 Blood sulfhemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83060 Blood sulfhemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83065 Assay of hemoglobin heat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83068 Hemoglobin stability screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83069 Assay of urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83070 Assay of hemosiderin qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83071 Assay of hemosiderin quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83080 Assay of b hexosaminidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83088 Assay of histamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83090 Assay of homocystine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83150 Assay of for hva X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83491 Assay of corticosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83497 Assay of 5-hiaa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83498 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83499 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83500 Assay free hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83505 Assay total hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83516 Immunoassay nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83518 Immunoassay dipstick X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83519 Ria nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83520 Immunoassay quant nos nonab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83525 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83527 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83528 Assay of intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83540 Assay of iron X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83550 Iron binding test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83570 Assay of idh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83582 Assay of ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83586 Assay 17- ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83593 Fractionation ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83605 Assay of lactic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83615 Lactate (LD) (LDH) enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83625 Assay of ldh enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83630 Lactoferrin fecal (qual) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83631 Lactoferrin fecal (quant) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83633 Test urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83634 Assay of urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83655 Assay of lead X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83661 L/s ratio fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83662 Foam stability fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83663 Fluoro polarize fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83664 Lamellar bdy fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83670 Assay of lap enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83690 Assay of lipase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83695 Assay of lipoprotein(a) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83698 Assay lipoprotein pla2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83700 Lipopro bld electrophoretic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83701 Lipoprotein bld hr fraction X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83704 Lipoprotein bld by nmr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83718 Assay of lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83719 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83721 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83727 Assay of lrh hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83735 Assay of magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83775 Assay of md enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83785 Assay of manganese X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83788 Mass spectrometry qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83789 Mass spectrometry quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83805 Assay of meprobamate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83825 Assay of mercury X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83835 Assay of metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83840 Assay of methadone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83857 Assay of methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83858 Assay of methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83861 Microfluid analy tears X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83866 Mucopolysaccharides screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83872 Assay synovial fluid mucin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83873 Assay of csf protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83874 Assay of myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83876 Assay myeloperoxidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83880 Natriuretic peptide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83883 Assay nephelometry not spec X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83885 Assay of nickel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83887 Assay of nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83890 Molecule isolate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83891 Molecule isolate nucleic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83892 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83893 Molecule dot/slot/blot X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83894 Molecule gel electrophor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83896 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83897 Molecule nucleic transfer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83898 Molecule nucleic ampli each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83900 Molecule nucleic ampli 2 seq X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83901 Molecule nucleic ampli addon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83902 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83903 Molecule mutation scan X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83904 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83905 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83906 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83907 Lyse cells for nucleic ext X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83908 Nucleic acid signal ampli X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83909 Nucleic acid high resolute X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83912 Genetic examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8391226Genetic examination A 0.37 0.14 0.15 0.14 0.15 0.03 0.54 0.55 0.54 0.55 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 83913 Molecular rna stabilization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83914 Mutation ident ola/sbce/aspe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83915 Assay of nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83918 Organic acids total quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83919 Organic acids qual each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83921 Organic acid single quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83925 Assay of opiates X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83930 Assay of blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83935 Assay of urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83937 Assay of osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83945 Assay of oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83950 Oncoprotein her-2/neu X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83951 Oncoprotein dcp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83970 Assay of parathormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83986 Assay ph body fluid nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83987 Exhaled breath condensate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83992 Assay for phencyclidine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 83993 Assay for calprotectin fecal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84022 Assay of phenothiazine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84030 Assay of blood pku X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84035 Assay of phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84060 Assay acid phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84061 Phosphatase forensic exam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84066 Assay prostate phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84075 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84078 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84080 Assay alkaline phosphatases X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84081 Amniotic fluid enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84085 Assay of rbc pg6d enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84087 Assay phosphohexose enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84100 Assay of phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84105 Assay of urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84106 Test for porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84110 Assay of porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84112 Placenta alpha micro ig c/v X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84119 Test urine for porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84120 Assay of urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84126 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84127 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84132 Assay of serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84133 Assay of urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84134 Assay of prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84135 Assay of pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84138 Assay of pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84140 Assay of pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84143 Assay of 17-hydroxypregneno X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84144 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84145 Procalcitonin (pct) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84146 Assay of prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84150 Assay of prostaglandin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84152 Assay of psa complexed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84153 Assay of psa total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84154 Assay of psa free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84155 Assay of protein serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84156 Assay of protein urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84157 Assay of protein other X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84160 Assay of protein any source X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84163 Pappa serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84165 Protein e-phoresis serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8416526Protein e-phoresis serum A 0.37 0.16 0.18 0.16 0.18 0.03 0.56 0.58 0.56 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 84166 Protein e-phoresis/urine/csf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8416626Protein e-phoresis/urine/csf A 0.37 0.16 0.18 0.16 0.18 0.03 0.56 0.58 0.56 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 84181 Western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8418126Western blot test A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 84182 Protein western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8418226Protein western blot test A 0.37 0.16 0.17 0.16 0.17 0.03 0.56 0.57 0.56 0.57 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 84202 Assay RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84203 Test RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84206 Assay of proinsulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84207 Assay of vitamin b-6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84210 Assay of pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84220 Assay of pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84228 Assay of quinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84233 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84234 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84235 Assay of endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84238 Assay nonendocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84244 Assay of renin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84252 Assay of vitamin b-2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84255 Assay of selenium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84260 Assay of serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84270 Assay of sex hormone globul X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84275 Assay of sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84285 Assay of silica X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84295 Assay of serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84300 Assay of urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84302 Assay of sweat sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84305 Assay of somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84307 Assay of somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84315 Body fluid specific gravity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84375 Chromatogram assay sugars X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84376 Sugars single qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84377 Sugars multiple qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84378 Sugars single quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84379 Sugars multiple quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84392 Assay of urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84402 Assay of testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84403 Assay of total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84425 Assay of vitamin b-1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84430 Assay of thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84431 Thromboxane urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84432 Assay of thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84436 Assay of total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84437 Assay of neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84439 Assay of free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84442 Assay of thyroid activity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84443 Assay thyroid stim hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84445 Assay of tsi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84446 Assay of vitamin e X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84449 Assay of transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84450 Transferase (AST) (SGOT) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84460 Alanine amino (ALT) (SGPT) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84466 Assay of transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84478 Assay of triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84479 Assay of thyroid (t3 or t4) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84480 Assay triiodothyronine (t3) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84481 Free assay (FT-3) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84482 T3 reverse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84484 Assay of troponin quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84485 Assay duodenal fluid trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84488 Test feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84490 Assay of feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84510 Assay of tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84512 Assay of troponin qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84520 Assay of urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84525 Urea nitrogen semi-quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84540 Assay of urine/urea-n X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84545 Urea-N clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84550 Assay of blood/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84560 Assay of urine/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84577 Assay of feces/urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84578 Test urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84580 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84583 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84585 Assay of urine vma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84586 Assay of vip X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84588 Assay of vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84590 Assay of vitamin a X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84591 Assay of nos vitamin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84597 Assay of vitamin k X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84600 Assay of volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84620 Xylose tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84630 Assay of zinc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84681 Assay of c-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84702 Chorionic gonadotropin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84703 Chorionic gonadotropin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84704 Hcg free betachain test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84830 Ovulation tests X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 84999 Clinical chemistry test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85002 Bleeding time test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85004 Automated diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85007 Bl smear w/diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85008 Bl smear w/o diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85009 Manual diff wbc count b-coat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85013 Spun microhematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85025 Complete cbc w/auto diff wbc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85027 Complete cbc automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85032 Manual cell count each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85041 Automated rbc count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85044 Manual reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85045 Automated reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85046 Reticyte/hgb concentrate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85048 Automated leukocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85049 Automated platelet count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85055 Reticulated platelet assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85060 Blood smear interpretation A 0.45 0.20 0.22 0.20 0.22 0.03 0.68 0.70 0.68 0.70 8XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 85097 Bone marrow interpretation A 0.94 1.53 1.36 0.39 0.39 0.05 2.52 2.35 1.38 1.38 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 85130 Chromogenic substrate assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85170 Blood clot retraction X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85175 Blood clot lysis time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85210 Blood clot factor II test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85220 Blood clot factor V test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85230 Blood clot factor VII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85240 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85244 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85245 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85246 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85247 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85250 Blood clot factor IX test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85260 Blood clot factor X test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85270 Blood clot factor XI test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85280 Blood clot factor XII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85290 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85291 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85292 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85293 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85300 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85301 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85302 Blood clot inhibitor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85303 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85305 Blood clot inhibitor assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85306 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85307 Assay activated protein c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85335 Factor inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85345 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85347 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85348 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85360 Euglobulin lysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85362 Fibrin degradation products X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85366 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85370 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85378 Fibrin degrade semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85379 Fibrin degradation quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85380 Fibrin degradation vte X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85390 Fibrinolysins screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8539026Fibrinolysins screen A 0.37 0.18 0.19 0.18 0.19 0.03 0.58 0.59 0.58 0.59 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 85396 Clotting assay whole blood A 0.37 0.16NA 0.17NA 0.16 0.17 0.03 0.56 0.57 0.56 0.57 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 85397 Clotting funct activity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85400 Fibrinolytic plasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85410 Fibrinolytic antiplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85415 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85420 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85421 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85441 Heinz bodies direct X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85445 Heinz bodies induced X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85460 Hemoglobin fetal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85461 Hemoglobin fetal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85520 Heparin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85525 Heparin neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85530 Heparin-protamine tolerance X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85536 Iron stain peripheral blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85540 Wbc alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85547 RBC mechanical fragility X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85555 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85557 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85576 Blood platelet aggregation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8557626Blood platelet aggregation A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 85597 Phospholipid pltlt neutraliz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85598 Hexagnal phosph pltlt neutrl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85610 Prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85611 Prothrombin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85612 Viper venom prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85613 Russell viper venom diluted X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85635 Reptilase test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85651 Rbc sed rate nonautomated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85652 Rbc sed rate automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85660 RBC sickle cell test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85670 Thrombin time plasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85675 Thrombin time titer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85705 Thromboplastin inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85730 Thromboplastin time partial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85732 Thromboplastin time partial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85810 Blood viscosity examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 85999 Hematology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86000 Agglutinins febrile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86001 Allergen specific igg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86003 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86005 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86021 WBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86022 Platelet antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86023 Immunoglobulin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86038 Antinuclear antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86039 Antinuclear antibodies (ANA) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86060 Antistreptolysin o titer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86063 Antistreptolysin o screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86077 Physician blood bank service A 0.94 0.51 0.55 0.42 0.46 0.05 1.50 1.54 1.41 1.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86078 Physician blood bank service A 0.94 0.52 0.55 0.43 0.46 0.05 1.51 1.54 1.42 1.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86079 Physician blood bank service A 0.94 0.52 0.54 0.43 0.45 0.05 1.51 1.53 1.42 1.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86140 C-reactive protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86141 C-reactive protein hs X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86146 Glycoprotein antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86147 Cardiolipin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86148 Phospholipid antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86155 Chemotaxis assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86156 Cold agglutinin screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86157 Cold agglutinin titer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86160 Complement antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86161 Complement/function activity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86162 Complement total (ch50) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86171 Complement fixation each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86200 Ccp antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86215 Deoxyribonuclease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86225 DNA antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86226 Dna antibody single strand X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86235 Nuclear antigen antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86243 Fc receptor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86255 Fluorescent antibody screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8625526Fluorescent antibody screen A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86256 Fluorescent antibody titer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8625626Fluorescent antibody titer A 0.37 0.17 0.18 0.17 0.18 0.01 0.55 0.56 0.55 0.56 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86277 Growth hormone antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86280 Hemagglutination inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86294 Immunoassay tumor qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86300 Immunoassay tumor ca 15-3 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86301 Immunoassay tumor ca 19-9 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86304 Immunoassay tumor ca 125 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86305 Human epididymis protein 4 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86308 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86309 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86310 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86316 Immunoassay tumor other X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86317 Immunoassay infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86318 Immunoassay infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86320 Serum immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8632026Serum immunoelectrophoresis A 0.37 0.17 0.18 0.17 0.18 0.01 0.55 0.56 0.55 0.56 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86325 Other immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8632526Other immunoelectrophoresis A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86327 Immunoelectrophoresis assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8632726Immunoelectrophoresis assay A 0.42 0.20 0.21 0.20 0.21 0.03 0.65 0.66 0.65 0.66 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86331 Immunodiffusion ouchterlony X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86332 Immune complex assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86334 Immunofix e-phoresis serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8633426Immunofix e-phoresis serum A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86335 Immunfix e-phorsis/urine/csf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8633526Immunfix e-phorsis/urine/csf A 0.37 0.16 0.18 0.16 0.18 0.03 0.56 0.58 0.56 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86336 Inhibin A X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86337 Insulin antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86340 Intrinsic factor antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86341 Islet cell antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86343 Leukocyte histamine release X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86344 Leukocyte phagocytosis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86352 Cell function assay w/stim X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86353 Lymphocyte transformation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86355 B cells total count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86356 Mononuclear cell antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86357 Nk cells total count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86359 T cells total count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86360 T cell absolute count/ratio X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86361 T cell absolute count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86367 Stem cells total count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86376 Microsomal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86378 Migration inhibitory factor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86382 Neutralization test viral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86384 Nitroblue tetrazolium dye X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86403 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86406 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86430 Rheumatoid factor test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86431 Rheumatoid factor quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86480 Tb test cell immun measure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86481 Tb ag response t-cell susp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86485 Skin test candida C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86486 Skin test nos antigen A 0.00 0.14 0.13 0.14NA 0.13 NA 0.01 0.15 0.14 0.15 0.14 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86490 Coccidioidomycosis skin test A 0.00 0.19 0.17 0.19NA 0.17 NA 0.01 0.20 0.18 0.20 0.18 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86510 Histoplasmosis skin test A 0.00 0.18 0.16 0.18NA 0.16 NA 0.01 0.19 0.17 0.19 0.17 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86580 TB intradermal test A 0.00 0.21 0.20 0.21NA 0.20 NA 0.01 0.22 0.21 0.22 0.21 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 86590 Streptokinase antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86592 Syphilis test non-trep qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86593 Syphilis test non-trep quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86602 Antinomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86603 Adenovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86606 Aspergillus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86609 Bacterium antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86611 Bartonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86612 Blastomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86615 Bordetella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86617 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86618 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86619 Borrelia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86622 Brucella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86625 Campylobacter antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86628 Candida antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86631 Chlamydia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86632 Chlamydia igm antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86635 Coccidioides antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86638 Q fever antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86641 Cryptococcus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86644 CMV antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86645 Cmv antibody igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86648 Diphtheria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86651 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86652 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86653 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86654 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86658 Enterovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86663 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86664 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86665 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86666 Ehrlichia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86668 Francisella tularensis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86671 Fungus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86674 Giardia lamblia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86677 Helicobacter pylori X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86682 Helminth antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86684 Hemophilus influenza X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86687 Htlv-i antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86688 Htlv-ii antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86689 HTLV/HIV confirmatory test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86692 Hepatitis delta agent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86694 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86695 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86696 Herpes simplex type 2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86701 HIV-1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86702 HIV-2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86703 Hiv-1/hiv-2 single assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86704 Hep b core antibody total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86705 Hep b core antibody igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86706 Hep b surface antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86707 Hep be antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86708 Hep a antibody total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86709 Hep a antibody igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86710 Influenza virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86713 Legionella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86717 Leishmania antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86720 Leptospira antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86723 Listeria monocytogenes ab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86727 Lymph choriomeningitis ab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86729 Lympho venereum antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86732 Mucormycosis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86735 Mumps antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86738 Mycoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86741 Neisseria meningitidis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86744 Nocardia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86747 Parvovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86750 Malaria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86753 Protozoa antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86756 Respiratory virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86757 Rickettsia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86759 Rotavirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86762 Rubella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86765 Rubeola antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86768 Salmonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86771 Shigella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86774 Tetanus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86777 Toxoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86778 Toxoplasma antibody igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86780 Treponema pallidum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86784 Trichinella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86787 Varicella-zoster antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86788 West nile virus ab igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86789 West nile virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86790 Virus antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86793 Yersinia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86800 Thyroglobulin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86803 Hepatitis c ab test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86804 Hep c ab test confirm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86805 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86806 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86807 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86808 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86812 Hla typing a b or c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86813 Hla typing a b or c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86816 Hla typing dr/dq X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86817 Hla typing dr/dq X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86821 Lymphocyte culture mixed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86822 Lymphocyte culture primed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86825 Hla x-math non-cytotoxic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86826 Hla x-match noncytotoxc addl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86849 Immunology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86850 RBC antibody screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86860 RBC antibody elution X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86870 RBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86880 Coombs test direct X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86885 Coombs test indirect qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86886 Coombs test indirect titer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86890 Autologous blood process X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86891 Autologous blood op salvage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86900 Blood typing abo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86901 Blood typing rh (d) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86902 Blood type antigen donor ea X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86904 Blood typing patient serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86905 Blood typing rbc antigens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86906 Blood typing rh phenotype X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86910 Blood typing paternity test N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86911 Blood typing antigen system N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86920 Compatibility test spin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86921 Compatibility test incubate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86922 Compatibility test antiglob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86923 Compatibility test electric X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86927 Plasma fresh frozen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86930 Frozen blood prep X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86931 Frozen blood thaw X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86932 Frozen blood freeze/thaw X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86940 Hemolysins/agglutinins auto X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86941 Hemolysins/agglutinins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86945 Blood product/irradiation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86950 Leukacyte transfusion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86960 Vol reduction of blood/prod X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86965 Pooling blood platelets X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86970 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86971 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86972 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86975 Rbc pretreatment serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86976 Rbc pretreatment serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86977 Rbc pretreatment serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86978 Rbc pretreatment serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86985 Split blood or products X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 86999 Transfusion procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87001 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87003 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87015 Specimen concentration X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87040 Blood culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87045 Feces culture bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87046 Stool cultr bacteria each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87070 Culture bacteria other X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87071 Culture bacteri aerobic othr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87073 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87075 Cultr bacteria except blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87076 Culture anaerobe ident each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87077 Culture aerobic identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87081 Culture screen only X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87084 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87086 Urine culture/colony count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87088 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87101 Skin fungi culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87102 Fungus isolation culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87103 Blood fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87106 Fungi identification yeast X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87107 Fungi identification mold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87109 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87110 Chlamydia culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87116 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87118 Mycobacteric identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87140 Culture type immunofluoresc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87143 Culture typing glc/hplc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87147 Culture type immunologic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87149 Dna/rna direct probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87150 Dna/rna amplified probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87152 Culture type pulse field gel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87153 Dna/rna sequencing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87158 Culture typing added method X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87164 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8716426Dark field examination A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 87166 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87168 Macroscopic exam arthropod X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87169 Macroscopic exam parasite X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87172 Pinworm exam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87176 Tissue homogenization cultr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87177 Ova and parasites smears X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87181 Microbe susceptible diffuse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87184 Microbe susceptible disk X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87185 Microbe susceptible enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87186 Microbe susceptible mic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87187 Microbe susceptible mlc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87188 Microbe suscept macrobroth X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87190 Microbe suscept mycobacteri X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87197 Bactericidal level serum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87205 Smear gram stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87206 Smear fluorescent/acid stai X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87207 Smear special stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8720726Smear special stain A 0.37 0.17 0.19 0.17 0.19 0.03 0.57 0.59 0.57 0.59 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 87209 Smear complex stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87210 Smear wet mount saline/ink X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87220 Tissue exam for fungi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87230 Assay toxin or antitoxin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87250 Virus inoculate eggs/animal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87252 Virus inoculation tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87253 Virus inoculate tissue addl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87254 Virus inoculation shell via X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87255 Genet virus isolate hsv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87260 Adenovirus ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87265 Pertussis ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87267 Enterovirus antibody dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87269 Giardia ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87270 Chlamydia trachomatis ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87271 Cytomegalovirus dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87272 Cryptosporidium ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87273 Herpes simplex 2 ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87274 Herpes simplex 1 ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87275 Influenza b ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87276 Influenza a ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87277 Legionella micdadei ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87278 Legion pneumophilia ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87279 Parainfluenza ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87280 Respiratory syncytial ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87281 Pneumocystis carinii ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87283 Rubeola ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87285 Treponema pallidum ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87290 Varicella zoster ag if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87299 Antibody detection nos if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87300 Ag detection polyval if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87301 Adenovirus ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87305 Aspergillus ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87320 Chylmd trach ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87324 Clostridium ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87327 Cryptococcus neoform ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87328 Cryptosporidium ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87329 Giardia ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87332 Cytomegalovirus ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87335 E coli 0157 ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87336 Entamoeb hist dispr ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87337 Entamoeb hist group ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87338 Hpylori stool eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87339 H pylori ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87340 Hepatitis b surface ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87341 Hepatitis b surface ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87350 Hepatitis be ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87380 Hepatitis delta ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87385 Histoplasma capsul ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87390 Hiv-1 ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87391 Hiv-2 ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87400 Influenza a/b ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87420 Resp syncytial ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87425 Rotavirus ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87427 Shiga-like toxin ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87430 Strep a ag eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87449 Ag detect nos eia mult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87450 Ag detect nos eia single X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87451 Ag detect polyval eia mult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87470 Bartonella dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87471 Bartonella dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87472 Bartonella dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87475 Lyme dis dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87476 Lyme dis dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87477 Lyme dis dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87480 Candida dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87481 Candida dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87482 Candida dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87485 Chylmd pneum dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87486 Chylmd pneum dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87487 Chylmd pneum dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87490 Chylmd trach dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87491 Chylmd trach dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87492 Chylmd trach dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87493 C diff amplified probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87495 Cytomeg dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87496 Cytomeg dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87497 Cytomeg dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87498 Enterovirus dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87500 Vanomycin dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87501 Influenza dna amp prob 1+ X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87502 Influenza dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87503 Influenza dna amp prob addl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87510 Gardner vag dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87511 Gardner vag dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87512 Gardner vag dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87515 Hepatitis b dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87516 Hepatitis b dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87517 Hepatitis b dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87520 Hepatitis c rna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87521 Hepatitis c rna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87522 Hepatitis c rna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87525 Hepatitis g dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87526 Hepatitis g dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87527 Hepatitis g dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87528 Hsv dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87529 Hsv dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87530 Hsv dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87531 Hhv-6 dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87532 Hhv-6 dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87533 Hhv-6 dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87534 Hiv-1 dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87535 Hiv-1 dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87536 Hiv-1 dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87537 Hiv-2 dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87538 Hiv-2 dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87539 Hiv-2 dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87540 Legion pneumo dna dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87541 Legion pneumo dna amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87542 Legion pneumo dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87550 Mycobacteria dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87551 Mycobacteria dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87552 Mycobacteria dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87555 M.tuberculo dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87556 M.tuberculo dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87557 M.tuberculo dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87560 M.avium-intra dna dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87561 M.avium-intra dna amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87562 M.avium-intra dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87580 M.pneumon dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87581 M.pneumon dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87582 M.pneumon dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87590 N.gonorrhoeae dna dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87591 N.gonorrhoeae dna amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87592 N.gonorrhoeae dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87620 Hpv dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87621 Hpv dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87622 Hpv dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87640 Staph a dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87641 Mr-staph dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87650 Strep a dna dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87651 Strep a dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87652 Strep a dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87653 Strep b dna amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87660 Trichomonas vagin dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87797 Detect agent nos dna dir X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87798 Detect agent nos dna amp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87799 Detect agent nos dna quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87800 Detect agnt mult dna direc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87801 Detect agnt mult dna ampli X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87802 Strep b assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87803 Clostridium toxin a w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87804 Influenza assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87807 Rsv assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87808 Trichomonas assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87809 Adenovirus assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87810 Chylmd trach assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87850 N. gonorrhoeae assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87880 Strep a assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87899 Agent nos assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87900 Phenotype infect agent drug X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87901 Genotype dna hiv reverse t X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87902 Genotype dna hepatitis c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87903 Phenotype dna hiv w/culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87904 Phenotype dna hiv w/clt add X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87905 Sialidase enzyme assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87906 Genotype dna hiv reverse t X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 87999 Microbiology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88000 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88005 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88007 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88012 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88014 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88016 Autopsy (necropsy) gross N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88020 Autopsy (necropsy) complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88025 Autopsy (necropsy) complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88027 Autopsy (necropsy) complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88028 Autopsy (necropsy) complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88029 Autopsy (necropsy) complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88036 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88037 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88040 Forensic autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88045 Coroners autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88099 Necropsy (autopsy) procedure N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88104 Cytopath fl nongyn smears A 0.56 1.34 1.36 1.34NA 1.36 NA 0.02 1.92 1.94 1.92 1.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88104TCCytopath fl nongyn smears A 0.00 1.10 1.11 1.10NA 1.11 NA 0.01 1.11 1.12 1.11 1.12 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8810426Cytopath fl nongyn smears A 0.56 0.24 0.25 0.24 0.25 0.01 0.81 0.82 0.81 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88106 Cytopath fl nongyn filter A 0.56 1.77 1.74 1.77NA 1.74 NA 0.02 2.35 2.32 2.35 2.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88106TCCytopath fl nongyn filter A 0.00 1.54 1.49 1.54NA 1.49 NA 0.01 1.55 1.50 1.55 1.50 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8810626Cytopath fl nongyn filter A 0.56 0.23 0.25 0.23 0.25 0.01 0.80 0.82 0.80 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88107 Cytopath fl nongyn sm/fltr A 0.76 2.15 2.07 2.15NA 2.07 NA 0.04 2.95 2.87 2.95 2.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88107TCCytopath fl nongyn sm/fltr A 0.00 1.82 1.73 1.82NA 1.73 NA 0.01 1.83 1.74 1.83 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8810726Cytopath fl nongyn sm/fltr A 0.76 0.33 0.34 0.33 0.34 0.03 1.12 1.13 1.12 1.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88108 Cytopath concentrate tech A 0.56 1.64 1.58 1.64NA 1.58 NA 0.02 2.22 2.16 2.22 2.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88108TCCytopath concentrate tech A 0.00 1.41 1.34 1.41NA 1.34 NA 0.01 1.42 1.35 1.42 1.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8810826Cytopath concentrate tech A 0.56 0.23 0.24 0.23 0.24 0.01 0.80 0.81 0.80 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88112 Cytopath cell enhance tech A 1.18 1.79 1.67 1.79NA 1.67 NA 0.05 3.02 2.90 3.02 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88112TCCytopath cell enhance tech A 0.00 1.35 1.21 1.35NA 1.21 NA 0.01 1.36 1.22 1.36 1.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8811226Cytopath cell enhance tech A 1.18 0.44 0.46 0.44 0.46 0.04 1.66 1.68 1.66 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88120 Cytp urne 3-5 probes ea spec A 1.20 12.17 12.17 12.17NA 12.17 NA 0.06 13.43 13.43 13.43 13.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88120TCCytp urne 3-5 probes ea spec A 0.00 11.86 11.86 11.86NA 11.86 NA 0.03 11.89 11.89 11.89 11.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8812026Cytp urne 3-5 probes ea spec A 1.20 0.31 0.31 0.31 0.31 0.03 1.54 1.54 1.54 1.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88121 Cytp urine 3-5 probes cmptr A 1.00 10.30 10.30 10.30NA 10.30 NA 0.04 11.34 11.34 11.34 11.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88121TCCytp urine 3-5 probes cmptr A 0.00 9.96 9.96 9.96NA 9.96 NA 0.01 9.97 9.97 9.97 9.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8812126Cytp urine 3-5 probes cmptr A 1.00 0.34 0.34 0.34 0.34 0.03 1.37 1.37 1.37 1.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88125 Forensic cytopathology A 0.26 0.37 0.35 0.37NA 0.35 NA 0.02 0.65 0.63 0.65 0.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88125TCForensic cytopathology A 0.00 0.25 0.23 0.25NA 0.23 NA 0.01 0.26 0.24 0.26 0.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8812526Forensic cytopathology A 0.26 0.12 0.12 0.12 0.12 0.01 0.39 0.39 0.39 0.39 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88130 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88140 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88141 Cytopath c/v interpret A 0.42 0.40 0.42 0.40 0.42 0.03 0.85 0.87 0.85 0.87 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88142 Cytopath c/v thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88143 Cytopath c/v thin layer redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88147 Cytopath c/v automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88148 Cytopath c/v auto rescreen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88150 Cytopath c/v manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88152 Cytopath c/v auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88153 Cytopath c/v redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88154 Cytopath c/v select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88155 Cytopath c/v index add-on X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88160 Cytopath smear other source A 0.50 1.08 1.08 1.08NA 1.08 NA 0.02 1.60 1.60 1.60 1.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88160TCCytopath smear other source A 0.00 0.87 0.86 0.87NA 0.86 NA 0.01 0.88 0.87 0.88 0.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8816026Cytopath smear other source A 0.50 0.21 0.22 0.21 0.22 0.01 0.72 0.73 0.72 0.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88161 Cytopath smear other source A 0.50 1.08 1.00 1.08NA 1.00 NA 0.02 1.60 1.52 1.60 1.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88161TCCytopath smear other source A 0.00 0.89 0.81 0.89NA 0.81 NA 0.01 0.90 0.82 0.90 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8816126Cytopath smear other source A 0.50 0.19 0.19 0.19 0.19 0.01 0.70 0.70 0.70 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88162 Cytopath smear other source A 0.76 1.50 1.38 1.50NA 1.38 NA 0.04 2.30 2.18 2.30 2.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88162TCCytopath smear other source A 0.00 1.20 1.09 1.20NA 1.09 NA 0.01 1.21 1.10 1.21 1.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8816226Cytopath smear other source A 0.76 0.30 0.29 0.30 0.29 0.03 1.09 1.08 1.09 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88164 Cytopath tbs c/v manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88165 Cytopath tbs c/v redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88166 Cytopath tbs c/v auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88167 Cytopath tbs c/v select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88172 Cytp dx eval fna 1st ea site A 0.60 0.87 0.74 0.87NA 0.74 NA 0.02 1.49 1.36 1.49 1.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88172TCCytp dx eval fna 1st ea site A 0.00 0.60 0.46 0.60NA 0.46 NA 0.01 0.61 0.47 0.61 0.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8817226Cytp dx eval fna 1st ea site A 0.60 0.27 0.28 0.27 0.28 0.01 0.88 0.89 0.88 0.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88173 Cytopath eval fna report A 1.39 2.61 2.54 2.61NA 2.54 NA 0.05 4.05 3.98 4.05 3.98 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88173TCCytopath eval fna report A 0.00 2.03 1.94 2.03NA 1.94 NA 0.01 2.04 1.95 2.04 1.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8817326Cytopath eval fna report A 1.39 0.58 0.60 0.58 0.60 0.04 2.01 2.03 2.01 2.03 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88174 Cytopath c/v auto in fluid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88175 Cytopath c/v auto fluid redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88177 Cytp fna eval ea addl A 0.42 0.38 0.38 0.38NA 0.38 NA 0.02 0.82 0.82 0.82 0.82 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88177TCCytp fna eval ea addl A 0.00 0.18 0.18 0.18NA 0.18 NA 0.01 0.19 0.19 0.19 0.19 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8817726Cytp 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 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88182 Cell marker study A 0.77 2.23 2.06 2.23NA 2.06 NA 0.06 3.06 2.89 3.06 2.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88182TCCell marker study A 0.00 2.01 1.85 2.01NA 1.85 NA 0.03 2.04 1.88 2.04 1.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8818226Cell marker study A 0.77 0.22 0.21 0.22 0.21 0.03 1.02 1.01 1.02 1.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88184 Flowcytometry/ tc 1 marker A 0.00 2.46 2.29 2.46NA 2.29 NA 0.01 2.47 2.30 2.47 2.30 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88185 Flowcytometry/tc add-on A 0.00 1.47 1.39 1.47NA 1.39 NA 0.01 1.48 1.40 1.48 1.40 3ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88187 Flowcytometry/read 2-8 A 1.36 0.55 0.59 0.55 0.59 0.08 1.99 2.03 1.99 2.03 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88188 Flowcytometry/read 9-15 A 1.69 0.68 0.76 0.68 0.76 0.10 2.47 2.55 2.47 2.55 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88189 Flowcytometry/read 16 & > A 2.23 0.69 0.70 0.69 0.70 0.12 3.04 3.05 3.04 3.05 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88199 Cytopathology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88230 Tissue culture lymphocyte X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88233 Tissue culture skin/biopsy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88235 Tissue culture placenta X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88237 Tissue culture bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88239 Tissue culture tumor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88240 Cell cryopreserve/storage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88241 Frozen cell preparation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88245 Chromosome analysis 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88248 Chromosome analysis 50-100 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88249 Chromosome analysis 100 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88261 Chromosome analysis 5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88262 Chromosome analysis 15-20 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88263 Chromosome analysis 45 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88264 Chromosome analysis 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88267 Chromosome analys placenta X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88269 Chromosome analys amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88271 Cytogenetics dna probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88272 Cytogenetics 3-5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88273 Cytogenetics 10-30 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88274 Cytogenetics 25-99 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88275 Cytogenetics 100-300 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88280 Chromosome karyotype study X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88283 Chromosome banding study X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88285 Chromosome count additional X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88289 Chromosome study additional X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88291 Cyto/molecular report A 0.52 0.31 0.31 0.31 0.31 0.03 0.86 0.86 0.86 0.86 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88299 Cytogenetic study C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88300 Surgical path gross A 0.08 0.69 0.71 0.69NA 0.71 NA 0.02 0.79 0.81 0.79 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88300TCSurgical path gross A 0.00 0.65 0.67 0.65NA 0.67 NA 0.01 0.66 0.68 0.66 0.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830026Surgical path gross A 0.08 0.04 0.04 0.04 0.04 0.01 0.13 0.13 0.13 0.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88302 Tissue exam by pathologist A 0.13 1.42 1.40 1.42NA 1.40 NA 0.02 1.57 1.55 1.57 1.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88302TCTissue exam by pathologist A 0.00 1.37 1.34 1.37NA 1.34 NA 0.01 1.38 1.35 1.38 1.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830226Tissue exam by pathologist A 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88304 Tissue exam by pathologist A 0.22 1.60 1.44 1.60NA 1.44 NA 0.02 1.84 1.68 1.84 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88304TCTissue exam by pathologist A 0.00 1.51 1.34 1.51NA 1.34 NA 0.01 1.52 1.35 1.52 1.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830426Tissue exam by pathologist A 0.22 0.09 0.10 0.09 0.10 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88305 Tissue exam by pathologist A 0.75 2.35 2.18 2.35NA 2.18 NA 0.02 3.12 2.95 3.12 2.95 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88305TCTissue exam by pathologist A 0.00 2.04 1.86 2.04NA 1.86 NA 0.01 2.05 1.87 2.05 1.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830526Tissue exam by pathologist A 0.75 0.31 0.32 0.31 0.32 0.01 1.07 1.08 1.07 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88307 Tissue exam by pathologist A 1.59 5.02 5.07 5.02NA 5.07 NA 0.05 6.66 6.71 6.66 6.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88307TCTissue exam by pathologist A 0.00 4.31 4.32 4.31NA 4.32 NA 0.01 4.32 4.33 4.32 4.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830726Tissue exam by pathologist A 1.59 0.71 0.75 0.71 0.75 0.04 2.34 2.38 2.34 2.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88309 Tissue exam by pathologist A 2.80 7.18 7.35 7.18NA 7.35 NA 0.11 10.09 10.26 10.09 10.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88309TCTissue exam by pathologist A 0.00 5.97 6.02 5.97NA 6.02 NA 0.03 6.00 6.05 6.00 6.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8830926Tissue exam by pathologist A 2.80 1.21 1.33 1.21 1.33 0.08 4.09 4.21 4.09 4.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88311 Decalcify tissue A 0.24 0.29 0.30 0.29NA 0.30 NA 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88311TCDecalcify tissue A 0.00 0.19 0.19 0.19NA 0.19 NA 0.01 0.20 0.20 0.20 0.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831126Decalcify tissue A 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88312 Special stains group 1 A 0.54 2.58 2.52 2.58NA 2.52 NA 0.02 3.14 3.08 3.14 3.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88312TCSpecial stains group 1 A 0.00 2.36 2.30 2.36NA 2.30 NA 0.01 2.37 2.31 2.37 2.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831226Special stains group 1 A 0.54 0.22 0.22 0.22 0.22 0.01 0.77 0.77 0.77 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88313 Special stains group 2 A 0.24 2.03 1.95 2.03NA 1.95 NA 0.02 2.29 2.21 2.29 2.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88313TCSpecial stains group 2 A 0.00 1.94 1.86 1.94NA 1.86 NA 0.01 1.95 1.87 1.95 1.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831326Special stains group 2 A 0.24 0.09 0.09 0.09 0.09 0.01 0.34 0.34 0.34 0.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88314 Histochemical stains add-on A 0.45 2.18 1.99 2.18NA 1.99 NA 0.02 2.65 2.46 2.65 2.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88314TCHistochemical stains add-on A 0.00 1.98 1.78 1.98NA 1.78 NA 0.01 1.99 1.79 1.99 1.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831426Histochemical stains add-on A 0.45 0.20 0.21 0.20 0.21 0.01 0.66 0.67 0.66 0.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88318 Chemical histochemistry A 0.42 2.99 3.18 2.99NA 3.18 NA 0.02 3.43 3.62 3.43 3.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88318TCChemical histochemistry A 0.00 2.81 2.99 2.81NA 2.99 NA 0.01 2.82 3.00 2.82 3.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831826Chemical histochemistry A 0.42 0.18 0.19 0.18 0.19 0.01 0.61 0.62 0.61 0.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88319 Enzyme histochemistry A 0.53 3.74 3.56 3.74NA 3.56 NA 0.04 4.31 4.13 4.31 4.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88319TCEnzyme histochemistry A 0.00 3.52 3.32 3.52NA 3.32 NA 0.01 3.53 3.33 3.53 3.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8831926Enzyme histochemistry A 0.53 0.22 0.24 0.22 0.24 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88321 Microslide consultation A 1.63 0.94 0.96 0.66 0.71 0.10 2.67 2.69 2.39 2.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88323 Microslide consultation A 1.83 2.32 2.17 2.32NA 2.17 NA 0.05 4.20 4.05 4.20 4.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88323TCMicroslide consultation A 0.00 1.72 1.57 1.72NA 1.57 NA 0.01 1.73 1.58 1.73 1.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8832326Microslide consultation A 1.83 0.60 0.60 0.60 0.60 0.04 2.47 2.47 2.47 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88325 Comprehensive review of data A 2.50 3.25 3.28 1.14 1.27 0.12 5.87 5.90 3.76 3.89 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88329 Path consult introp A 0.67 0.82 0.84 0.30 0.32 0.04 1.53 1.55 1.01 1.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88331 Path consult intraop 1 bloc A 1.19 1.48 1.52 1.48NA 1.52 NA 0.02 2.69 2.73 2.69 2.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88331TCPath consult intraop 1 bloc A 0.00 0.93 0.93 0.93NA 0.93 NA 0.01 0.94 0.94 0.94 0.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8833126Path consult intraop 1 bloc A 1.19 0.55 0.59 0.55 0.59 0.01 1.75 1.79 1.75 1.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88332 Path consult intraop addl A 0.59 0.58 0.59 0.58NA 0.59 NA 0.02 1.19 1.20 1.19 1.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88332TCPath consult intraop addl A 0.00 0.32 0.31 0.32NA 0.31 NA 0.01 0.33 0.32 0.33 0.32 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8833226Path consult intraop addl A 0.59 0.26 0.28 0.26 0.28 0.01 0.86 0.88 0.86 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88333 Intraop cyto path consult 1 A 1.20 1.55 1.59 1.55NA 1.59 NA 0.05 2.80 2.84 2.80 2.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88333TCIntraop cyto path consult 1 A 0.00 1.02 1.03 1.02NA 1.03 NA 0.01 1.03 1.04 1.03 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8833326Intraop cyto path consult 1 A 1.20 0.53 0.56 0.53 0.56 0.04 1.77 1.80 1.77 1.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88334 Intraop cyto path consult 2 A 0.73 0.96 1.00 0.96NA 1.00 NA 0.04 1.73 1.77 1.73 1.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88334TCIntraop cyto path consult 2 A 0.00 0.64 0.65 0.64NA 0.65 NA 0.01 0.65 0.66 0.65 0.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8833426Intraop cyto path consult 2 A 0.73 0.32 0.35 0.32 0.35 0.03 1.08 1.11 1.08 1.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88342 Immunohistochemistry A 0.85 2.17 2.11 2.17NA 2.11 NA 0.04 3.06 3.00 3.06 3.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88342TCImmunohistochemistry A 0.00 1.84 1.77 1.84NA 1.77 NA 0.01 1.85 1.78 1.85 1.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8834226Immunohistochemistry A 0.85 0.33 0.34 0.33 0.34 0.03 1.21 1.22 1.21 1.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88346 Immunofluorescent study A 0.86 2.12 2.02 2.12NA 2.02 NA 0.02 3.00 2.90 3.00 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88346TCImmunofluorescent study A 0.00 1.78 1.67 1.78NA 1.67 NA 0.01 1.79 1.68 1.79 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8834626Immunofluorescent study A 0.86 0.34 0.35 0.34 0.35 0.01 1.21 1.22 1.21 1.22 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88347 Immunofluorescent study A 0.86 1.39 1.27 1.39NA 1.27 NA 0.02 2.27 2.15 2.27 2.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88347TCImmunofluorescent study A 0.00 1.14 1.03 1.14NA 1.03 NA 0.01 1.15 1.04 1.15 1.04 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8834726Immunofluorescent study A 0.86 0.25 0.24 0.25 0.24 0.01 1.12 1.11 1.12 1.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88348 Electron microscopy A 1.51 18.41 17.88 18.41NA 17.88 NA 0.12 20.04 19.51 20.04 19.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88348TCElectron microscopy A 0.00 17.81 17.27 17.81NA 17.27 NA 0.08 17.89 17.35 17.89 17.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8834826Electron microscopy A 1.51 0.60 0.61 0.60 0.61 0.04 2.15 2.16 2.15 2.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88349 Scanning electron microscopy A 0.76 9.74 10.52 9.74NA 10.52 NA 0.07 10.57 11.35 10.57 11.35 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88349TCScanning electron microscopy A 0.00 9.39 10.14 9.39NA 10.14 NA 0.04 9.43 10.18 9.43 10.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8834926Scanning electron microscopy A 0.76 0.35 0.38 0.35 0.38 0.03 1.14 1.17 1.14 1.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88355 Analysis skeletal muscle A 1.85 4.38 3.22 4.38NA 3.22 NA 0.06 6.29 5.13 6.29 5.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88355TCAnalysis skeletal muscle A 0.00 3.82 2.68 3.82NA 2.68 NA 0.01 3.83 2.69 3.83 2.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8835526Analysis skeletal muscle A 1.85 0.56 0.54 0.56 0.54 0.05 2.46 2.44 2.46 2.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88356 Analysis nerve A 3.02 5.13 4.49 5.13NA 4.49 NA 0.18 8.33 7.69 8.33 7.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88356TCAnalysis nerve A 0.00 4.43 3.92 4.43NA 3.92 NA 0.04 4.47 3.96 4.47 3.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8835626Analysis nerve A 3.02 0.70 0.57 0.70 0.57 0.14 3.86 3.73 3.86 3.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88358 Analysis tumor A 0.95 1.21 1.16 1.21NA 1.16 NA 0.04 2.20 2.15 2.20 2.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88358TCAnalysis tumor A 0.00 0.95 0.91 0.95NA 0.91 NA 0.01 0.96 0.92 0.96 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8835826Analysis tumor A 0.95 0.26 0.25 0.26 0.25 0.03 1.24 1.23 1.24 1.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88360 Tumor immunohistochem/manual A 1.10 2.49 2.40 2.49NA 2.40 NA 0.04 3.63 3.54 3.63 3.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88360TCTumor immunohistochem/manual A 0.00 2.08 1.98 2.08NA 1.98 NA 0.01 2.09 1.99 2.09 1.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836026Tumor immunohistochem/manual A 1.10 0.41 0.42 0.41 0.42 0.03 1.54 1.55 1.54 1.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88361 Tumor immunohistochem/comput A 1.18 3.23 3.01 3.23NA 3.01 NA 0.05 4.46 4.24 4.46 4.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88361TCTumor immunohistochem/comput A 0.00 2.81 2.57 2.81NA 2.57 NA 0.01 2.82 2.58 2.82 2.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836126Tumor immunohistochem/comput A 1.18 0.42 0.44 0.42 0.44 0.04 1.64 1.66 1.64 1.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88362 Nerve teasing preparations A 2.17 6.00 6.03 6.00NA 6.03 NA 0.14 8.31 8.34 8.31 8.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88362TCNerve teasing preparations A 0.00 5.12 5.10 5.12NA 5.10 NA 0.04 5.16 5.14 5.16 5.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836226Nerve teasing preparations A 2.17 0.88 0.93 0.88 0.93 0.10 3.15 3.20 3.15 3.20 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88363 Xm archive tissue molec anal A 0.37 0.72 0.72 0.10 0.10 0.03 1.12 1.12 0.50 0.50 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88365 Insitu hybridization (fish) A 1.20 3.63 3.56 3.63NA 3.56 NA 0.04 4.87 4.80 4.87 4.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88365TCInsitu hybridization (fish) A 0.00 3.18 3.09 3.18NA 3.09 NA 0.01 3.19 3.10 3.19 3.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836526Insitu hybridization (fish) A 1.20 0.45 0.47 0.45 0.47 0.03 1.68 1.70 1.68 1.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88367 Insitu hybridization auto A 1.30 6.18 6.06 6.18NA 6.06 NA 0.06 7.54 7.42 7.54 7.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88367TCInsitu hybridization auto A 0.00 5.74 5.61 5.74NA 5.61 NA 0.01 5.75 5.62 5.75 5.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836726Insitu hybridization auto A 1.30 0.44 0.45 0.44 0.45 0.05 1.79 1.80 1.79 1.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88368 Insitu hybridization manual A 1.40 5.02 4.81 5.02NA 4.81 NA 0.05 6.47 6.26 6.47 6.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88368TCInsitu hybridization manual A 0.00 4.63 4.45 4.63NA 4.45 NA 0.01 4.64 4.46 4.64 4.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8836826Insitu hybridization manual A 1.40 0.39 0.36 0.39 0.36 0.04 1.83 1.80 1.83 1.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88371 Protein western blot tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8837126Protein western blot tissue A 0.37 0.16 0.18 0.16 0.18 0.03 0.56 0.58 0.56 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88372 Protein analysis w/probe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8837226Protein analysis w/probe A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88380 Microdissection laser A 1.56 3.54 2.60 3.54NA 2.60 NA 0.05 5.15 4.21 5.15 4.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88380TCMicrodissection laser A 0.00 3.01 2.15 3.01NA 2.15 NA 0.01 3.02 2.16 3.02 2.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838026Microdissection laser A 1.56 0.53 0.45 0.53 0.45 0.04 2.13 2.05 2.13 2.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88381 Microdissection manual A 1.18 4.20 2.80 4.20NA 2.80 NA 0.04 5.42 4.02 5.42 4.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88381TCMicrodissection manual A 0.00 3.84 2.55 3.84NA 2.55 NA 0.01 3.85 2.56 3.85 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838126Microdissection manual A 1.18 0.36 0.25 0.36 0.25 0.03 1.57 1.46 1.57 1.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88384 Eval molecular probes 11-50 C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88384TCEval molecular probes 11-50 C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838426Eval molecular probes 11-50 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88385 Eval molecul probes 51-250 A 1.50 15.33 15.08 15.33NA 15.08 NA 0.07 16.90 16.65 16.90 16.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88385TCEval molecul probes 51-250 A 0.00 14.94 14.71 14.94NA 14.71 NA 0.03 14.97 14.74 14.97 14.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838526Eval molecul probes 51-250 A 1.50 0.39 0.37 0.39 0.37 0.04 1.93 1.91 1.93 1.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88386 Eval molecul probes 251-500 A 1.88 16.89 13.86 16.89NA 13.86 NA 0.08 18.85 15.82 18.85 15.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88386TCEval molecul probes 251-500 A 0.00 16.28 13.51 16.28NA 13.51 NA 0.03 16.31 13.54 16.31 13.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838626Eval molecul probes 251-500 A 1.88 0.61 0.35 0.61 0.35 0.05 2.54 2.28 2.54 2.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88387 Tiss exam molecular study A 0.62 0.55 0.55 0.55NA 0.55 NA 0.02 1.19 1.19 1.19 1.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88387TCTiss exam molecular study A 0.00 0.25 0.25 0.25NA 0.25 NA 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838726Tiss exam molecular study A 0.62 0.30 0.30 0.30 0.30 0.01 0.93 0.93 0.93 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88388 Tiss ex molecul study add-on A 0.45 0.22 0.22 0.22NA 0.22 NA 0.02 0.69 0.69 0.69 0.69 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88388TCTiss ex molecul study add-on A 0.00 0.12 0.12 0.12NA 0.12 NA 0.01 0.13 0.13 0.13 0.13 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8838826Tiss ex molecul study add-on A 0.45 0.10 0.10 0.10 0.10 0.01 0.56 0.56 0.56 0.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88399 Surgical pathology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88399TCSurgical pathology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 8839926Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 88720 Bilirubin total transcut X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88738 Hgb quant transcutaneous X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88740 Transcutaneous carboxyhb X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88741 Transcutaneous methb X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 88749 In vivo lab service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89049 Chct for mal hyperthermia A 1.40 6.00 5.80 0.45 0.40 0.10 7.50 7.30 1.95 1.90 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 89050 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89051 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89055 Leukocyte assessment fecal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89060 Exam synovial fluid crystals X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 8906026Exam synovial fluid crystals A 0.37 0.17 0.18 0.17 0.18 0.03 0.57 0.58 0.57 0.58 6XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 89125 Specimen fat stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89160 Exam feces for meat fibers X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89190 Nasal smear for eosinophils X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89220 Sputum specimen collection A 0.00 0.46 0.44 0.46NA 0.44 NA 0.01 0.47 0.45 0.47 0.45 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 89230 Collect sweat for test A 0.00 0.08 0.06 0.08NA 0.06 NA 0.01 0.09 0.07 0.09 0.07 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 89240 Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 89250 Cultr oocyte/embryo <4 days X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89251 Cultr oocyte/embryo <4 days X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89253 Embryo hatching X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89254 Oocyte identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89255 Prepare embryo for transfer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89257 Sperm identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89258 Cryopreservation embryo(s) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89259 Cryopreservation sperm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89260 Sperm isolation simple X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89261 Sperm isolation complex X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89264 Identify sperm tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89268 Insemination of oocytes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89272 Extended culture of oocytes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89280 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89281 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89290 Biopsy oocyte polar body X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89291 Biopsy oocyte polar body X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89300 Semen analysis w/huhner X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89310 Semen analysis w/count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89320 Semen anal vol/count/mot X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89321 Semen anal sperm detection X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89322 Semen anal strict criteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89325 Sperm antibody test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89329 Sperm evaluation test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89330 Evaluation cervical mucus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89331 Retrograde ejaculation anal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89335 Cryopreserve testicular tiss X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89342 Storage/year embryo(s) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89343 Storage/year sperm/semen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89344 Storage/year reprod tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89346 Storage/year oocyte(s) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89352 Thawing cryopresrved embryo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89353 Thawing cryopresrved sperm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89354 Thaw cryoprsvrd reprod tiss X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89356 Thawing cryopresrved oocyte X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 89398 Unlisted reprod med lab proc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90281 Human ig im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90283 Human ig iv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90284 Human ig sc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90287 Botulinum antitoxin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90288 Botulism ig iv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90291 Cmv ig iv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90296 Diphtheria antitoxin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90371 Hep b ig im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90375 Rabies ig im/sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90376 Rabies ig heat treated E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90378 Rsv mab im 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90384 Rh ig full-dose im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90385 Rh ig minidose im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90386 Rh ig iv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90389 Tetanus ig im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90393 Vaccina ig im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90396 Varicella-zoster ig im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90399 Immune globulin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90460 Imadm any route 1st vac/tox A 0.17 0.50 0.50 0.50NA 0.50 NA 0.01 0.68 0.68 0.68 0.68 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90461 Inadm any route addl vac/tox A 0.15 0.18 0.20 0.18NA 0.20 NA 0.01 0.34 0.36 0.34 0.36 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90470 Immune admin H1N1 im/nasal D 0.20 0.39 0.39 0.39NA 0.39 NA 0.01 0.60 0.60 0.60 0.60 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90471 Immunization admin A 0.17 0.50 0.50 0.50NA 0.50 NA 0.01 0.68 0.68 0.68 0.68 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90472 Immunization admin each add A 0.15 0.18 0.20 0.18NA 0.20 NA 0.01 0.34 0.36 0.34 0.36 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90473 Immune admin oral/nasal R 0.17 0.50 0.50 0.50NA 0.50 NA 0.01 0.68 0.68 0.68 0.68 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90474 Immune admin oral/nasal addl R 0.15 0.18 0.20 0.18NA 0.20 NA 0.01 0.34 0.36 0.34 0.36 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90476 Adenovirus vaccine type 4 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90477 Adenovirus vaccine type 7 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90581 Anthrax vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90585 Bcg vaccine percut E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90586 Bcg vaccine intravesical E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90632 Hep a vaccine adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90633 Hep a vacc ped/adol 2 dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90634 Hep a vacc ped/adol 3 dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90636 Hep a/hep b vacc adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90644 Meningoccl hib vac 4 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90645 Hib vaccine hboc im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90646 Hib vaccine prp-d im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90647 Hib vaccine prp-omp im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90648 Hib vaccine prp-t im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90649 Hpv vaccine 4 valent im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90650 Hpv vaccine 2 valent im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90654 Flu vaccine no preserv, ID X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90655 Flu vaccine no preserv 6-35m X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90656 Flu vaccine no preserv 3 & > X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90657 Flu vaccine 3 yrs im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90658 Flu vaccine 3 yrs & > im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90660 Flu vaccine nasal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90661 Flu vacc cell cult prsv free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90662 Flu vacc prsv free inc antig X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90663 Flu vacc pandemic H1N1 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90664 Flu vacc pandemic intranasal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90665 Lyme disease vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90666 Flu vac pandem prsrv free im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90667 Flu vac pandemic adjuvant im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90668 Flu vac pandemic splt im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90669 Pneumococcal vacc 7 val im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90670 Pneumococcal vacc 13 val im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90675 Rabies vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90676 Rabies vaccine id E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90680 Rotovirus vacc 3 dose oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90681 Rotavirus vacc 2 dose oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90690 Typhoid vaccine oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90691 Typhoid vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90692 Typhoid vaccine h-p sc/id E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90693 Typhoid vaccine akd sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90696 Dtap-ipv vacc 4-6 yr im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90698 Dtap-hib-ip vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90700 Dtap vaccine < 7 yrs im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90701 Dtp vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90702 Dt vaccine < 7 im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90703 Tetanus vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90704 Mumps vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90705 Measles vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90706 Rubella vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90707 Mmr vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90708 Measles-rubella vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90710 Mmrv vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90712 Oral poliovirus vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90713 Poliovirus ipv sc/im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90714 Td vaccine no prsrv >/= 7 im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90715 Tdap vaccine >7 im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90716 Chicken pox vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90717 Yellow fever vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90718 Td vaccine > 7 im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90719 Diphtheria vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90720 Dtp/hib vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90721 Dtap/hib vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90723 Dtap-hep b-ipv vaccine im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90725 Cholera vaccine injectable E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90727 Plague vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90732 Pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90733 Meningococcal vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90734 Meningococcal vaccine im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90735 Encephalitis vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90736 Zoster vacc sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90738 Inactivated je vacc im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90740 Hepb vacc ill pat 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90743 Hep b vacc adol 2 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90744 Hepb vacc ped/adol 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90746 Hep b vaccine adult im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90747 Hepb vacc ill pat 4 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90748 Hep b/hib vaccine im I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90749 Vaccine toxoid E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90801 Psy dx interview A 2.80 1.62 1.55 0.72 0.60 0.11 4.53 4.46 3.63 3.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90802 Intac psy dx interview A 3.01 1.79 1.82 0.84 0.78 0.12 4.92 4.95 3.97 3.91 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90804 Psytx office 20-30 min A 1.21 0.61 0.56 0.25 0.18 0.04 1.86 1.81 1.50 1.43 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90805 Psytx off 20-30 min w/e&m A 1.37 0.70 0.70 0.32 0.28 0.05 2.12 2.12 1.74 1.70 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90806 Psytx off 45-50 min A 1.86 0.57 0.46 0.37 0.25 0.07 2.50 2.39 2.30 2.18 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90807 Psytx off 45-50 min w/e&m A 2.02 0.84 0.83 0.47 0.41 0.08 2.94 2.93 2.57 2.51 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90808 Psytx office 75-80 min A 2.79 0.79 0.63 0.59 0.43 0.10 3.68 3.52 3.48 3.32 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90809 Psytx off 75-80 w/e&m A 2.95 1.06 1.02 0.71 0.64 0.12 4.13 4.09 3.78 3.71 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90810 Intac psytx off 20-30 min A 1.32 0.55 0.47 0.27 0.21 0.05 1.92 1.84 1.64 1.58 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90811 Intac psytx 20-30 w/e&m A 1.48 0.84 0.86 0.36 0.32 0.07 2.39 2.41 1.91 1.87 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90812 Intac psytx off 45-50 min A 1.97 0.70 0.57 0.39 0.26 0.07 2.74 2.61 2.43 2.30 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90813 Intac psytx 45-50 min w/e&m A 2.13 0.98 0.97 0.50 0.43 0.08 3.19 3.18 2.71 2.64 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90814 Intac psytx off 75-80 min A 2.90 0.94 0.73 0.62 0.38 0.11 3.95 3.74 3.63 3.39 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90815 Intac psytx 75-80 w/e&m A 3.06 1.29 1.35 0.81 0.82 0.14 4.49 4.55 4.01 4.02 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90816 Psytx hosp 20-30 min A 1.25 0.26 0.26 0.35 0.26 0.04 1.55 1.55 1.64 1.55 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90817 Psytx hosp 20-30 min w/e&m A 1.41 0.41 0.41 0.44 0.41 0.05 1.87 1.87 1.90 1.87 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90818 Psytx hosp 45-50 min A 1.89 0.34 0.34 0.48 0.34 0.07 2.30 2.30 2.44 2.30 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90819 Psytx hosp 45-50 min w/e&m A 2.05 0.55 0.55 0.59 0.55 0.08 2.68 2.68 2.72 2.68 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90821 Psytx hosp 75-80 min A 2.83 0.48 0.48 0.67 0.48 0.10 3.41 3.41 3.60 3.41 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90822 Psytx hosp 75-80 min w/e&m A 2.99 0.74 0.74 0.81 0.74 0.12 3.85 3.85 3.92 3.85 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90823 Intac psytx hosp 20-30 min A 1.36 0.29 0.29 0.37 0.29 0.04 1.69 1.69 1.77 1.69 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90824 Intac psytx hsp 20-30 w/e&m A 1.52 0.43 0.43 0.47 0.43 0.07 2.02 2.02 2.06 2.02 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90826 Intac psytx hosp 45-50 min A 2.01 0.38 0.38 0.51 0.38 0.07 2.46 2.46 2.59 2.46 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90827 Intac psytx hsp 45-50 w/e&m A 2.16 0.56 0.56 0.61 0.56 0.08 2.80 2.80 2.85 2.80 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90828 Intac psytx hosp 75-80 min A 2.94 0.51 0.51 0.71 0.51 0.10 3.55 3.55 3.75 3.55 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90829 Intac psytx hsp 75-80 w/e&m A 3.10 0.75 0.75 0.83 0.75 0.12 3.97 3.97 4.05 3.97 0XXX.00.00.0000000 33.9764 092 99 0.00 0.00 0.00 90845 Psychoanalysis A 1.79 0.48 0.43 0.41 0.35 0.07 2.34 2.29 2.27 2.21 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90846 Family psytx w/o patient R 1.83 0.58 0.49 0.50 0.40 0.07 2.48 2.39 2.40 2.30 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90847 Family psytx w/patient R 2.21 0.80 0.70 0.56 0.43 0.08 3.09 2.99 2.85 2.72 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90849 Multiple family group psytx R 0.59 0.38 0.38 0.25 0.22 0.03 1.00 1.00 0.87 0.84 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90853 Group psychotherapy A 0.59 0.32 0.32 0.25 0.25 0.03 0.94 0.94 0.87 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90857 Intac group psytx A 0.63 0.42 0.44 0.28 0.30 0.03 1.08 1.10 0.94 0.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90862 Medication management A 0.95 0.71 0.73 0.33 0.32 0.04 1.70 1.72 1.32 1.31 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90865 Narcosynthesis A 2.84 1.69 1.76 0.79 0.70 0.11 4.64 4.71 3.74 3.65 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90867 Tcranial magn stim tx plan C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90868 Tcranial magn stim tx deli C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90870 Electroconvulsive therapy A 2.50 2.30 2.32 0.56 0.57 0.11 4.91 4.93 3.17 3.18 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90875 Psychophysiological therapy N+ 1.20 0.86 0.83 0.52 0.53 0.08 2.14 2.11 1.80 1.81 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90876 Psychophysiological therapy N+ 1.90 1.15 1.12 0.82 0.83 0.12 3.17 3.14 2.84 2.85 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90880 Hypnotherapy A 2.19 0.69 0.52 0.47 0.36 0.08 2.96 2.79 2.74 2.63 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90882 Environmental manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90885 Psy evaluation of records B+ 0.97 0.42 0.43 0.42 0.43 0.07 1.46 1.47 1.46 1.47 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90887 Consultation with family B+ 1.48 0.98 0.98 0.64 0.65 0.10 2.56 2.56 2.22 2.23 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90889 Preparation of report B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90899 Psychiatric service/therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90901 Biofeedback train any meth A 0.41 0.66 0.70 0.17 0.19 0.01 1.08 1.12 0.59 0.61 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90911 Biofeedback peri/uro/rectal A 0.89 1.61 1.47 0.38 0.37 0.07 2.57 2.43 1.34 1.33 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90935 Hemodialysis one evaluation A 1.48 0.64NA 0.57NA 0.64 0.57 0.08 2.20 2.13 2.20 2.13 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90937 Hemodialysis repeated eval A 2.11 0.92NA 0.82NA 0.92 0.82 0.11 3.14 3.04 3.14 3.04 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90940 Hemodialysis access study X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90945 Dialysis one evaluation A 1.56 0.79NA 0.86NA 0.79 0.86 0.08 2.43 2.50 2.43 2.50 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90947 Dialysis repeated eval A 2.52 1.01NA 0.97NA 1.01 0.97 0.15 3.68 3.64 3.68 3.64 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90951 Esrd serv 4 visits p mo <2 A 18.46 8.64 8.00 8.64 8.00 1.02 28.12 27.48 28.12 27.48 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90952 Esrd serv 2-3 vsts p mo <2 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90953 Esrd serv 1 visit p mo <2 C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90954 Esrd serv 4 vsts p mo 2-11 A 15.98 6.71 6.92 6.71 6.92 0.90 23.59 23.80 23.59 23.80 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90955 Esrd srv 2-3 vsts p mo 2-11 A 8.79 4.05 4.07 4.05 4.07 0.49 13.33 13.35 13.33 13.35 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90956 Esrd srv 1 visit p mo 2-11 A 5.95 2.86 2.97 2.86 2.97 0.34 9.15 9.26 9.15 9.26 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90957 Esrd srv 4 vsts p mo 12-19 A 12.52 5.63 5.60 5.63 5.60 0.72 18.87 18.84 18.87 18.84 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90958 Esrd srv 2-3 vsts p mo 12-19 A 8.34 3.96 3.97 3.96 3.97 0.48 12.78 12.79 12.78 12.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90959 Esrd serv 1 vst p mo 12-19 A 5.50 2.70 2.83 2.70 2.83 0.31 8.51 8.64 8.51 8.64 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90960 Esrd srv 4 visits p mo 20+ A 5.18 2.90 2.79 2.90 2.79 0.31 8.39 8.28 8.39 8.28 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90961 Esrd srv 2-3 vsts p mo 20+ A 4.26 2.38 2.44 2.38 2.44 0.26 6.90 6.96 6.90 6.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90962 Esrd serv 1 visit p mo 20+ A 3.15 1.81 2.01 1.81 2.01 0.20 5.16 5.36 5.16 5.36 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90963 Esrd home pt serv p mo <2 A 10.56 4.91 4.76 4.91 4.76 0.60 16.07 15.92 16.07 15.92 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90964 Esrd home pt serv p mo 2-11 A 9.14 3.99 4.21 3.99 4.21 0.52 13.65 13.87 13.65 13.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90965 Esrd home pt serv p mo 12-19 A 8.69 3.83 4.04 3.83 4.04 0.49 13.01 13.22 13.01 13.22 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90966 Esrd home pt serv p mo 20+ A 4.26 2.34 2.43 2.34 2.43 0.26 6.86 6.95 6.86 6.95 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90967 Esrd home pt serv p day <2 A 0.35 0.19 0.16 0.19 0.16 0.01 0.55 0.52 0.55 0.52 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90968 Esrd home pt srv p day 2-11 A 0.30 0.14 0.14 0.14 0.14 0.01 0.45 0.45 0.45 0.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90969 Esrd home pt srv p day 12-19 A 0.29 0.14 0.14 0.14 0.14 0.01 0.44 0.44 0.44 0.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90970 Esrd home pt serv p day 20+ A 0.14 0.08 0.08 0.08 0.08 0.01 0.23 0.23 0.23 0.23 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90989 Dialysis training complete X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90993 Dialysis training incompl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 90997 Hemoperfusion A 1.84 0.68NA 0.68NA 0.68 0.68 0.10 2.62 2.62 2.62 2.62 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 90999 Dialysis procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91010 Esophagus motility study A 1.28 4.16 3.72 4.16NA 3.72 NA 0.08 5.52 5.08 5.52 5.08 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91010TCEsophagus motility study A 0.00 3.48 3.03 3.48NA 3.03 NA 0.01 3.49 3.04 3.49 3.04 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9101026Esophagus motility study A 1.28 0.68 0.69 0.68 0.69 0.07 2.03 2.04 2.03 2.04 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91013 Esophgl motil w/stim/perfus A 0.18 0.48 0.48 0.48NA 0.48 NA 0.02 0.68 0.68 0.68 0.68 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91013TCEsophgl motil w/stim/perfus A 0.00 0.38 0.38 0.38NA 0.38 NA 0.01 0.39 0.39 0.39 0.39 1ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9101326Esophgl motil w/stim/perfus A 0.18 0.10 0.10 0.10 0.10 0.01 0.29 0.29 0.29 0.29 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91020 Gastric motility studies A 1.44 5.46 5.22 5.46NA 5.22 NA 0.08 6.98 6.74 6.98 6.74 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91020TCGastric motility studies A 0.00 4.70 4.44 4.70NA 4.44 NA 0.01 4.71 4.45 4.71 4.45 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9102026Gastric motility studies A 1.44 0.76 0.78 0.76 0.78 0.07 2.27 2.29 2.27 2.29 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91022 Duodenal motility study A 1.44 3.89 3.45 3.89NA 3.45 NA 0.06 5.39 4.95 5.39 4.95 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91022TCDuodenal motility study A 0.00 3.08 2.65 3.08NA 2.65 NA 0.01 3.09 2.66 3.09 2.66 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9102226Duodenal motility study A 1.44 0.81 0.80 0.81 0.80 0.05 2.30 2.29 2.30 2.29 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91030 Acid perfusion of esophagus A 0.91 3.19 3.01 3.19NA 3.01 NA 0.05 4.15 3.97 4.15 3.97 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91030TCAcid perfusion of esophagus A 0.00 2.68 2.50 2.68NA 2.50 NA 0.01 2.69 2.51 2.69 2.51 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9103026Acid perfusion of esophagus A 0.91 0.51 0.51 0.51 0.51 0.04 1.46 1.46 1.46 1.46 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91034 Gastroesophageal reflux test A 0.97 4.80 4.37 4.80NA 4.37 NA 0.05 5.82 5.39 5.82 5.39 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91034TCGastroesophageal reflux test A 0.00 4.29 3.85 4.29NA 3.85 NA 0.01 4.30 3.86 4.30 3.86 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9103426Gastroesophageal reflux test A 0.97 0.51 0.52 0.51 0.52 0.04 1.52 1.53 1.52 1.53 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91035 G-esoph reflx tst w/electrod A 1.59 12.65 11.97 12.65NA 11.97 NA 0.08 14.32 13.64 14.32 13.64 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91035TCG-esoph reflx tst w/electrod A 0.00 11.80 11.11 11.80NA 11.11 NA 0.01 11.81 11.12 11.81 11.12 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9103526G-esoph reflx tst w/electrod A 1.59 0.85 0.86 0.85 0.86 0.07 2.51 2.52 2.51 2.52 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91037 Esoph imped function test A 0.97 3.77 3.58 3.77NA 3.58 NA 0.08 4.82 4.63 4.82 4.63 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91037TCEsoph imped function test A 0.00 3.24 3.06 3.24NA 3.06 NA 0.01 3.25 3.07 3.25 3.07 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9103726Esoph imped function test A 0.97 0.53 0.52 0.53 0.52 0.07 1.57 1.56 1.57 1.56 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91038 Esoph imped funct test > 1h A 1.10 7.64 11.95 7.64NA 11.95 NA 0.06 8.80 13.11 8.80 13.11 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91038TCEsoph imped funct test > 1h A 0.00 7.04 11.35 7.04NA 11.35 NA 0.01 7.05 11.36 7.05 11.36 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9103826Esoph imped funct test > 1h A 1.10 0.60 0.60 0.60 0.60 0.05 1.75 1.75 1.75 1.75 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91040 Esoph balloon distension tst A 0.97 9.08 7.06 9.08NA 7.06 NA 0.04 10.09 8.07 10.09 8.07 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91040TCEsoph balloon distension tst A 0.00 8.61 6.68 8.61NA 6.68 NA 0.01 8.62 6.69 8.62 6.69 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9104026Esoph balloon distension tst A 0.97 0.47 0.38 0.47 0.38 0.03 1.47 1.38 1.47 1.38 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91065 Breath hydrogen test A 0.20 2.12 2.35 2.12NA 2.35 NA 0.02 2.34 2.57 2.34 2.57 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91065TCBreath hydrogen test A 0.00 2.02 2.24 2.02NA 2.24 NA 0.01 2.03 2.25 2.03 2.25 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9106526Breath hydrogen test A 0.20 0.10 0.11 0.10 0.11 0.01 0.31 0.32 0.31 0.32 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91110 Gi tract capsule endoscopy A 3.64 23.27 21.52 23.27NA 21.52 NA 0.17 27.08 25.33 27.08 25.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91110TCGi tract capsule endoscopy A 0.00 21.27 19.51 21.27NA 19.51 NA 0.01 21.28 19.52 21.28 19.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9111026Gi tract capsule endoscopy A 3.64 2.00 2.01 2.00 2.01 0.16 5.80 5.81 5.80 5.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91111 Esophageal capsule endoscopy A 1.00 20.63 19.37 20.63NA 19.37 NA 0.05 21.68 20.42 21.68 20.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91111TCEsophageal capsule endoscopy A 0.00 20.07 18.82 20.07NA 18.82 NA 0.01 20.08 18.83 20.08 18.83 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9111126Esophageal capsule endoscopy A 1.00 0.56 0.55 0.56 0.55 0.04 1.60 1.59 1.60 1.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91117 Colon motility 6 hr study A 2.45 1.36 1.36 1.63 1.63 0.38 4.19 4.19 4.46 4.46 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91120 Rectal sensation test A 0.97 10.27 9.06 10.27NA 9.06 NA 0.09 11.33 10.12 11.33 10.12 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91120TCRectal sensation test A 0.00 9.85 8.62 9.85NA 8.62 NA 0.01 9.86 8.63 9.86 8.63 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9112026Rectal sensation test A 0.97 0.42 0.44 0.42 0.44 0.08 1.47 1.49 1.47 1.49 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91122 Anal pressure record A 1.77 4.85 4.43 4.85NA 4.43 NA 0.11 6.73 6.31 6.73 6.31 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91122TCAnal pressure record A 0.00 4.08 3.65 4.08NA 3.65 NA 0.01 4.09 3.66 4.09 3.66 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9112226Anal pressure record A 1.77 0.77 0.78 0.77 0.78 0.10 2.64 2.65 2.64 2.65 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91132 Electrogastrography A 0.52 3.60 3.59 3.60NA 3.59 NA 0.04 4.16 4.15 4.16 4.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91132TCElectrogastrography A 0.00 3.32 3.32 3.32NA 3.32 NA 0.01 3.33 3.33 3.33 3.33 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9113226Electrogastrography A 0.52 0.28 0.27 0.28 0.27 0.03 0.83 0.82 0.83 0.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91133 Electrogastrography w/test A 0.66 4.37 4.37 4.37NA 4.37 NA 0.05 5.08 5.08 5.08 5.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91133TCElectrogastrography w/test A 0.00 4.00 4.00 4.00NA 4.00 NA 0.01 4.01 4.01 4.01 4.01 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9113326Electrogastrography w/test A 0.66 0.37 0.37 0.37 0.37 0.04 1.07 1.07 1.07 1.07 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92002 Eye exam new patient A 0.88 1.27 1.36 0.43 0.49 0.07 2.22 2.31 1.38 1.44 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92004 Eye exam new patient A 1.82 2.18 2.36 0.91 1.05 0.12 4.12 4.30 2.85 2.99 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92012 Eye exam established pat A 0.92 1.36 1.47 0.50 0.60 0.07 2.35 2.46 1.49 1.59 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92014 Eye exam & treatment A 1.42 1.89 2.06 0.75 0.89 0.10 3.41 3.58 2.27 2.41 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92015 Refraction N+ 0.38 0.38 0.18 0.16 0.17 0.03 0.79 0.59 0.57 0.58 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92018 New eye exam & treatment A 2.50 1.42NA 1.65NA 1.42 1.65 0.16 4.08 4.31 4.08 4.31 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92019 Eye exam & treatment A 1.31 0.59NA 0.67NA 0.59 0.67 0.07 1.97 2.05 1.97 2.05 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92020 Special eye evaluation A 0.37 0.37 0.40 0.21 0.24 0.03 0.77 0.80 0.61 0.64 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92025 Corneal topography A 0.35 0.66 0.71 0.66NA 0.71 NA 0.02 1.03 1.08 1.03 1.08 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92025TCCorneal topography A 0.00 0.46 0.48 0.46NA 0.48 NA 0.01 0.47 0.49 0.47 0.49 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 9202526Corneal topography A 0.35 0.20 0.23 0.20 0.23 0.01 0.56 0.59 0.56 0.59 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92060 Special eye evaluation A 0.69 1.05 1.13 1.05NA 1.13 NA 0.04 1.78 1.86 1.78 1.86 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92060TCSpecial eye evaluation A 0.00 0.67 0.70 0.67NA 0.70 NA 0.01 0.68 0.71 0.68 0.71 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9206026Special eye evaluation A 0.69 0.38 0.43 0.38 0.43 0.03 1.10 1.15 1.10 1.15 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92065 Orthoptic/pleoptic training A 0.37 1.04 1.13 1.04NA 1.13 NA 0.02 1.43 1.52 1.43 1.52 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92065TCOrthoptic/pleoptic training A 0.00 0.90 0.98 0.90NA 0.98 NA 0.01 0.91 0.99 0.91 0.99 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9206526Orthoptic/pleoptic training A 0.37 0.14 0.15 0.14 0.15 0.01 0.52 0.53 0.52 0.53 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92070 Fitting of contact lens A 0.70 1.23 1.29 0.37 0.43 0.04 1.97 2.03 1.11 1.17 0XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92081 Visual field examination(s) A 0.30 1.09 1.02 1.09NA 1.02 NA 0.04 1.43 1.36 1.43 1.36 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92081TCVisual field examination(s) A 0.00 0.93 0.85 0.93NA 0.85 NA 0.01 0.94 0.86 0.94 0.86 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9208126Visual field examination(s) A 0.30 0.16 0.17 0.16 0.17 0.03 0.49 0.50 0.49 0.50 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92082 Visual field examination(s) A 0.40 1.54 1.50 1.54NA 1.50 NA 0.05 1.99 1.95 1.99 1.95 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92082TCVisual field examination(s) A 0.00 1.33 1.27 1.33NA 1.27 NA 0.01 1.34 1.28 1.34 1.28 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9208226Visual field examination(s) A 0.40 0.21 0.23 0.21 0.23 0.04 0.65 0.67 0.65 0.67 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92083 Visual field examination(s) A 0.50 1.94 2.05 1.94NA 2.05 NA 0.04 2.48 2.59 2.48 2.59 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92083TCVisual field examination(s) A 0.00 1.66 1.73 1.66NA 1.73 NA 0.01 1.67 1.74 1.67 1.74 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9208326Visual field examination(s) A 0.50 0.28 0.32 0.28 0.32 0.03 0.81 0.85 0.81 0.85 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92100 Serial tonometry exam(s) A 0.92 1.70 1.81 0.47 0.55 0.05 2.67 2.78 1.44 1.52 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92120 Tonography & eye evaluation A 0.81 1.32 1.40 0.41 0.47 0.05 2.18 2.26 1.27 1.33 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92130 Water provocation tonography A 0.81 1.57 1.66 0.45 0.51 0.04 2.42 2.51 1.30 1.36 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92132 Cmptr ophth dx img ant segmt A 0.35 0.68 0.68 0.68NA 0.68 NA 0.04 1.07 1.07 1.07 1.07 1XXX.00.00.0002000 33.9764 090 99 1.44 1.44 0.06 92132TCCmptr ophth dx img ant segmt A 0.00 0.44 0.44 0.44NA 0.44 NA 0.01 0.45 0.45 0.45 0.45 1XXX.00.00.0002000 33.9764 010 99 1.20 1.20 0.03 9213226Cmptr ophth dx img ant segmt A 0.35 0.24 0.24 0.24 0.24 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92133 Cmptr ophth img optic nerve A 0.50 0.77 0.77 0.77NA 0.77 NA 0.04 1.31 1.31 1.31 1.31 1XXX.00.00.0002000 33.9764 090 99 1.53 1.53 0.06 92133TCCmptr ophth img optic nerve A 0.00 0.44 0.44 0.44NA 0.44 NA 0.01 0.45 0.45 0.45 0.45 1XXX.00.00.0002000 33.9764 010 99 1.20 1.20 0.03 9213326Cmptr ophth img optic nerve A 0.50 0.33 0.33 0.33 0.33 0.03 0.86 0.86 0.86 0.86 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92134 Cptr ophth dx img post segmt A 0.50 0.77 0.77 0.77NA 0.77 NA 0.04 1.31 1.31 1.31 1.31 1XXX.00.00.0002000 33.9764 090 99 1.53 1.53 0.06 92134TCCptr ophth dx img post segmt A 0.00 0.44 0.44 0.44NA 0.44 NA 0.01 0.45 0.45 0.45 0.45 1XXX.00.00.0002000 33.9764 010 99 1.20 1.20 0.03 9213426Cptr ophth dx img post segmt A 0.50 0.33 0.33 0.33 0.33 0.03 0.86 0.86 0.86 0.86 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92136 Ophthalmic biometry A 0.54 1.88 1.95 1.88NA 1.95 NA 0.02 2.44 2.51 2.44 2.51 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92136TCOphthalmic biometry A 0.00 1.56 1.57 1.56NA 1.57 NA 0.01 1.57 1.58 1.57 1.58 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 9213626Ophthalmic biometry A 0.54 0.32 0.38 0.32 0.38 0.01 0.87 0.93 0.87 0.93 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92140 Glaucoma provocative tests A 0.50 1.20 1.26 0.24 0.28 0.03 1.73 1.79 0.77 0.81 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92225 Special eye exam initial A 0.38 0.34 0.39 0.21 0.24 0.03 0.75 0.80 0.62 0.65 0XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92226 Special eye exam subsequent A 0.33 0.33 0.38 0.19 0.22 0.01 0.67 0.72 0.53 0.56 0XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92227 Remote dx retinal imaging A 0.00 0.33 0.33 0.33NA 0.33 NA 0.01 0.34 0.34 0.34 0.34 9XXX.00.00.0002000 33.9764 090 99 0.53 0.53 0.02 92228 Remote retinal imaging mgmt A 0.30 0.56 0.56 0.56NA 0.56 NA 0.02 0.88 0.88 0.88 0.88 1XXX.00.00.0002000 33.9764 090 99 0.73 0.73 0.02 92228TCRemote retinal imaging mgmt A 0.00 0.36 0.36 0.36NA 0.36 NA 0.01 0.37 0.37 0.37 0.37 1XXX.00.00.0002000 33.9764 010 99 0.53 0.53 0.01 9222826Remote retinal imaging mgmt A 0.30 0.20 0.20 0.20 0.20 0.01 0.51 0.51 0.51 0.51 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92230 Eye exam with photos A 0.60 1.05 1.01 0.31 0.36 0.04 1.69 1.65 0.95 1.00 0XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92235 Eye exam with photos A 0.81 2.99 3.09 2.99NA 3.09 NA 0.04 3.84 3.94 3.84 3.94 1XXX.00.00.0003000 33.9764 090 99 5.15 5.15 0.05 92235TCEye exam with photos A 0.00 2.50 2.52 2.50NA 2.52 NA 0.01 2.51 2.53 2.51 2.53 1XXX.00.00.0003000 33.9764 020 99 4.66 4.66 0.02 9223526Eye exam with photos A 0.81 0.49 0.57 0.49 0.57 0.03 1.33 1.41 1.33 1.41 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92240 Icg angiography A 1.10 5.87 5.85 5.87NA 5.85 NA 0.04 7.01 6.99 7.01 6.99 1XXX.00.00.0003000 33.9764 090 99 5.33 5.33 0.04 92240TCIcg angiography A 0.00 5.21 5.08 5.21NA 5.08 NA 0.01 5.22 5.09 5.22 5.09 1XXX.00.00.0003000 33.9764 020 99 4.67 4.67 0.01 9224026Icg angiography A 1.10 0.66 0.77 0.66 0.77 0.03 1.79 1.90 1.79 1.90 1XXX.00.00.0003000 33.9764 090 99 0.00 0.00 0.00 92250 Eye exam with photos A 0.44 1.70 1.73 1.70NA 1.73 NA 0.02 2.16 2.19 2.16 2.19 1XXX.00.00.0002000 33.9764 090 99 2.18 2.18 0.02 92250TCEye exam with photos A 0.00 1.47 1.47 1.47NA 1.47 NA 0.01 1.48 1.48 1.48 1.48 1XXX.00.00.0002000 33.9764 010 99 1.95 1.95 0.01 9225026Eye exam with photos A 0.44 0.23 0.26 0.23 0.26 0.01 0.68 0.71 0.68 0.71 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92260 Ophthalmoscopy/dynamometry A 0.20 0.31 0.33 0.11 0.13 0.01 0.52 0.54 0.32 0.34 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92265 Eye muscle evaluation A 0.81 1.47 1.58 1.47NA 1.58 NA 0.02 2.30 2.41 2.30 2.41 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92265TCEye muscle evaluation A 0.00 1.03 1.02 1.03NA 1.02 NA 0.01 1.04 1.03 1.04 1.03 1XXX.00.00.0002000 33.9764 030 99 0.00 0.00 0.00 9226526Eye muscle evaluation A 0.81 0.44 0.56 0.44 0.56 0.01 1.26 1.38 1.26 1.38 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92270 Electro-oculography A 0.81 1.72 1.73 1.72NA 1.73 NA 0.04 2.57 2.58 2.57 2.58 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92270TCElectro-oculography A 0.00 1.36 1.34 1.36NA 1.34 NA 0.01 1.37 1.35 1.37 1.35 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9227026Electro-oculography A 0.81 0.36 0.39 0.36 0.39 0.03 1.20 1.23 1.20 1.23 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92275 Electroretinography A 1.01 3.11 3.38 3.11NA 3.38 NA 0.05 4.17 4.44 4.17 4.44 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92275TCElectroretinography A 0.00 2.52 2.69 2.52NA 2.69 NA 0.01 2.53 2.70 2.53 2.70 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9227526Electroretinography A 1.01 0.59 0.69 0.59 0.69 0.04 1.64 1.74 1.64 1.74 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92283 Color vision examination A 0.17 1.24 1.31 1.24NA 1.31 NA 0.02 1.43 1.50 1.43 1.50 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92283TCColor vision examination A 0.00 1.16 1.22 1.16NA 1.22 NA 0.01 1.17 1.23 1.17 1.23 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9228326Color vision examination A 0.17 0.08 0.09 0.08 0.09 0.01 0.26 0.27 0.26 0.27 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92284 Dark adaptation eye exam A 0.24 1.48 1.40 1.48NA 1.40 NA 0.02 1.74 1.66 1.74 1.66 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92284TCDark adaptation eye exam A 0.00 1.38 1.29 1.38NA 1.29 NA 0.01 1.39 1.30 1.39 1.30 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9228426Dark adaptation eye exam A 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92285 Eye photography A 0.05 0.75 0.49 0.75NA 0.49 NA 0.02 0.82 0.56 0.82 0.56 1XXX.00.00.0002000 33.9764 090 99 2.00 2.00 0.04 92285TCEye photography A 0.00 0.69 0.46 0.69NA 0.46 NA 0.01 0.70 0.47 0.70 0.47 1XXX.00.00.0002000 33.9764 010 99 1.94 1.94 0.03 9228526Eye photography A 0.05 0.06 0.03 0.06 0.03 0.01 0.12 0.09 0.12 0.09 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92286 Internal eye photography A 0.66 2.81 2.80 2.81NA 2.80 NA 0.02 3.49 3.48 3.49 3.48 1XXX.00.00.0002000 33.9764 090 99 5.02 5.02 0.03 92286TCInternal eye photography A 0.00 2.45 2.38 2.45NA 2.38 NA 0.01 2.46 2.39 2.46 2.39 1XXX.00.00.0002000 33.9764 010 99 4.66 4.66 0.02 9228626Internal eye photography A 0.66 0.36 0.42 0.36 0.42 0.01 1.03 1.09 1.03 1.09 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92287 Internal eye photography A 0.81 2.57 2.66 0.47 0.56 0.04 3.42 3.51 1.32 1.41 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92310 Contact lens fitting N+ 1.17 1.50 1.49 0.51 0.51 0.08 2.75 2.74 1.76 1.76 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92311 Contact lens fitting A 1.08 1.67 1.81 0.49 0.56 0.08 2.83 2.97 1.65 1.72 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92312 Contact lens fitting A 1.26 1.90 2.10 0.57 0.64 0.05 3.21 3.41 1.88 1.95 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92313 Contact lens fitting A 0.92 1.81 1.99 0.49 0.58 0.05 2.78 2.96 1.46 1.55 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92314 Prescription of contact lens N+ 0.69 1.50 1.51 0.30 0.30 0.04 2.23 2.24 1.03 1.03 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92315 Prescription of contact lens A 0.45 1.57 1.69 0.19 0.22 0.04 2.06 2.18 0.68 0.71 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92316 Prescription of contact lens A 0.68 2.04 2.31 0.39 0.48 0.04 2.76 3.03 1.11 1.20 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92317 Prescription of contact lens A 0.45 1.59 1.67 0.17 0.18 0.01 2.05 2.13 0.63 0.64 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92325 Modification of contact lens A 0.00 0.98 1.07 0.98NA 1.07 NA 0.01 0.99 1.08 0.99 1.08 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92326 Replacement of contact lens A 0.00 1.04 0.92 1.04NA 0.92 NA 0.01 1.05 0.93 1.05 0.93 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92340 Fitting of spectacles N+ 0.37 0.64 0.60 0.16 0.16 0.03 1.04 1.00 0.56 0.56 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92341 Fitting of spectacles N+ 0.47 0.69 0.65 0.20 0.21 0.03 1.19 1.15 0.70 0.71 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92342 Fitting of spectacles N+ 0.53 0.72 0.67 0.23 0.23 0.04 1.29 1.24 0.80 0.80 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92352 Special spectacles fitting B+ 0.37 0.78 0.75 0.16 0.16 0.03 1.18 1.15 0.56 0.56 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92353 Special spectacles fitting B+ 0.50 0.83 0.81 0.21 0.22 0.03 1.36 1.34 0.74 0.75 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92354 Special spectacles fitting B+ 0.00 1.66 0.35 1.66NA 0.35 NA 0.01 1.67 0.36 1.67 0.36 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92355 Special spectacles fitting B+ 0.00 1.16 0.55 1.16NA 0.55 NA 0.01 1.17 0.56 1.17 0.56 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92358 Eye prosthesis service B+ 0.00 0.41 0.29 0.41NA 0.29 NA 0.01 0.42 0.30 0.42 0.30 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92370 Repair & adjust spectacles N+ 0.32 0.56 0.53 0.14 0.14 0.03 0.91 0.88 0.49 0.49 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92371 Repair & adjust spectacles B+ 0.00 0.37 0.30 0.37NA 0.30 NA 0.01 0.38 0.31 0.38 0.31 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92499 Eye service or procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92499TCEye service or procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9249926Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92502 Ear and throat examination A 1.51 1.27NA 1.36NA 1.27 1.36 0.07 2.85 2.94 2.85 2.94 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92504 Ear microscopy examination A 0.18 0.70 0.70 0.10 0.10 0.01 0.89 0.89 0.29 0.29 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92506 Speech/hearing evaluation A 0.86 4.01 4.10 4.01NA 4.10 NA 0.05 4.92 5.01 4.92 5.01 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92507 Speech/hearing therapy A 1.30 1.05 0.69 1.05NA 0.69 NA 0.07 2.42 2.06 2.42 2.06 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92508 Speech/hearing therapy A 0.33 0.45 0.24 0.45NA 0.24 NA 0.01 0.79 0.58 0.79 0.58 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92511 Nasopharyngoscopy A 0.84 3.83 3.82 0.90 0.94 0.04 4.71 4.70 1.78 1.82 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92512 Nasal function studies A 0.55 1.23 1.22 0.27 0.30 0.03 1.81 1.80 0.85 0.88 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92516 Facial nerve function test A 0.43 1.54 1.60 0.23 0.24 0.03 2.00 2.06 0.69 0.70 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92520 Laryngeal function studies A 0.75 1.20 1.37 0.42 0.48 0.04 1.99 2.16 1.21 1.27 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92526 Oral function therapy A 1.34 1.36 0.77 1.36NA 0.77 NA 0.07 2.77 2.18 2.77 2.18 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92531 Spontaneous nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92532 Positional nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92533 Caloric vestibular test B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92534 Optokinetic nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92540 Basic vestibular evaluation A 1.50 1.31 1.31 1.31NA 1.31 NA 0.05 2.86 2.86 2.86 2.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92540TCBasic vestibular evaluation A 0.00 0.54 0.54 0.54NA 0.54 NA 0.01 0.55 0.55 0.55 0.55 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254026Basic vestibular evaluation A 1.50 0.77 0.77 0.77 0.77 0.04 2.31 2.31 2.31 2.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92541 Spontaneous nystagmus test A 0.40 0.92 0.45 0.92NA 0.45 NA 0.02 1.34 0.87 1.34 0.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92541TCSpontaneous nystagmus test A 0.00 0.73 0.25 0.73NA 0.25 NA 0.01 0.74 0.26 0.74 0.26 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254126Spontaneous nystagmus test A 0.40 0.19 0.20 0.19 0.20 0.01 0.60 0.61 0.60 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92542 Positional nystagmus test A 0.33 0.98 0.42 0.98NA 0.42 NA 0.02 1.33 0.77 1.33 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92542TCPositional nystagmus test A 0.00 0.82 0.25 0.82NA 0.25 NA 0.01 0.83 0.26 0.83 0.26 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254226Positional nystagmus test A 0.33 0.16 0.17 0.16 0.17 0.01 0.50 0.51 0.50 0.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92543 Caloric vestibular test A 0.10 0.54 0.30 0.54NA 0.30 NA 0.02 0.66 0.42 0.66 0.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92543TCCaloric vestibular test A 0.00 0.49 0.25 0.49NA 0.25 NA 0.01 0.50 0.26 0.50 0.26 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254326Caloric vestibular test A 0.10 0.05 0.05 0.05 0.05 0.01 0.16 0.16 0.16 0.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92544 Optokinetic nystagmus test A 0.26 0.81 0.37 0.81NA 0.37 NA 0.02 1.09 0.65 1.09 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92544TCOptokinetic nystagmus test A 0.00 0.69 0.24 0.69NA 0.24 NA 0.01 0.70 0.25 0.70 0.25 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254426Optokinetic nystagmus test A 0.26 0.12 0.13 0.12 0.13 0.01 0.39 0.40 0.39 0.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92545 Oscillating tracking test A 0.23 0.77 0.35 0.77NA 0.35 NA 0.02 1.02 0.60 1.02 0.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92545TCOscillating tracking test A 0.00 0.66 0.23 0.66NA 0.23 NA 0.01 0.67 0.24 0.67 0.24 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254526Oscillating tracking test A 0.23 0.11 0.12 0.11 0.12 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92546 Sinusoidal rotational test A 0.29 2.46 2.59 2.46NA 2.59 NA 0.02 2.77 2.90 2.77 2.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92546TCSinusoidal rotational test A 0.00 2.33 2.45 2.33NA 2.45 NA 0.01 2.34 2.46 2.34 2.46 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254626Sinusoidal rotational test A 0.29 0.13 0.14 0.13 0.14 0.01 0.43 0.44 0.43 0.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92547 Supplemental electrical test A 0.00 0.14 0.15 0.14 0.15 0.01 0.15 0.16 0.15 0.16 3ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92548 Posturography A 0.50 2.49 2.65 2.49NA 2.65 NA 0.02 3.01 3.17 3.01 3.17 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92548TCPosturography A 0.00 2.25 2.39 2.25NA 2.39 NA 0.01 2.26 2.40 2.26 2.40 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9254826Posturography A 0.50 0.24 0.26 0.24 0.26 0.01 0.75 0.77 0.75 0.77 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92550 Tympanometry & reflex thresh A 0.35 0.25 0.25 0.25NA 0.25 NA 0.01 0.61 0.61 0.61 0.61 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92551 Pure tone hearing test air N+ 0.00 0.33 0.31 0.33NA 0.31 NA 0.01 0.34 0.32 0.34 0.32 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92552 Pure tone audiometry air A 0.00 0.74 0.81 0.74NA 0.81 NA 0.01 0.75 0.82 0.75 0.82 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92553 Audiometry air & bone A 0.00 0.94 0.98 0.94NA 0.98 NA 0.01 0.95 0.99 0.95 0.99 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92555 Speech threshold audiometry A 0.00 0.54 0.58 0.54NA 0.58 NA 0.01 0.55 0.59 0.55 0.59 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92556 Speech audiometry complete A 0.00 0.84 0.92 0.84NA 0.92 NA 0.01 0.85 0.93 0.85 0.93 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92557 Comprehensive hearing test A 0.60 0.56 0.46 0.44 0.33 0.03 1.19 1.09 1.07 0.96 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92559 Group audiometric testing N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92560 Bekesy audiometry screen N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92561 Bekesy audiometry diagnosis A 0.00 0.95 1.03 0.95NA 1.03 NA 0.01 0.96 1.04 0.96 1.04 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92562 Loudness balance test A 0.00 0.92 1.12 0.92NA 1.12 NA 0.01 0.93 1.13 0.93 1.13 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92563 Tone decay hearing test A 0.00 0.72 0.80 0.72NA 0.80 NA 0.01 0.73 0.81 0.73 0.81 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92564 Sisi hearing test A 0.00 0.65 0.69 0.65NA 0.69 NA 0.01 0.66 0.70 0.66 0.70 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92565 Stenger test pure tone A 0.00 0.37 0.37 0.37NA 0.37 NA 0.01 0.38 0.38 0.38 0.38 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92567 Tympanometry A 0.20 0.24 0.20 0.16 0.11 0.01 0.45 0.41 0.37 0.32 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92568 Acoustic refl threshold tst A 0.29 0.19 0.16 0.18 0.16 0.01 0.49 0.46 0.48 0.46 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92570 Acoustic immitance testing A 0.55 0.36 0.36 0.30 0.30 0.03 0.94 0.94 0.88 0.88 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92571 Filtered speech hearing test A 0.00 0.58 0.65 0.58NA 0.65 NA 0.01 0.59 0.66 0.59 0.66 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92572 Staggered spondaic word test A 0.00 0.92 1.27 0.92NA 1.27 NA 0.01 0.93 1.28 0.93 1.28 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92575 Sensorineural acuity test A 0.00 1.44 1.73 1.44NA 1.73 NA 0.01 1.45 1.74 1.45 1.74 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92576 Synthetic sentence test A 0.00 0.77 0.89 0.77NA 0.89 NA 0.01 0.78 0.90 0.78 0.90 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92577 Stenger test speech A 0.00 0.47 0.44 0.47NA 0.44 NA 0.01 0.48 0.45 0.48 0.45 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92579 Visual audiometry (vra) A 0.70 0.55 0.56 0.43 0.41 0.03 1.28 1.29 1.16 1.14 7XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92582 Conditioning play audiometry A 0.00 1.50 1.69 1.50NA 1.69 NA 0.01 1.51 1.70 1.51 1.70 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92583 Select picture audiometry A 0.00 1.04 1.06 1.04NA 1.06 NA 0.01 1.05 1.07 1.05 1.07 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92584 Electrocochleography A 0.00 1.95 1.88 1.95NA 1.88 NA 0.01 1.96 1.89 1.96 1.89 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92585 Auditor evoke potent compre A 0.50 2.81 3.06 2.81NA 3.06 NA 0.02 3.33 3.58 3.33 3.58 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92585TCAuditor evoke potent compre A 0.00 2.57 2.79 2.57NA 2.79 NA 0.01 2.58 2.80 2.58 2.80 1XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 9258526Auditor evoke potent compre A 0.50 0.24 0.27 0.24 0.27 0.01 0.75 0.78 0.75 0.78 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92586 Auditor evoke potent limit A 0.00 2.06 2.20 2.06NA 2.20 NA 0.01 2.07 2.21 2.07 2.21 3XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92587 Evoked auditory test A 0.13 0.94 0.87 0.94NA 0.87 NA 0.02 1.09 1.02 1.09 1.02 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92587TCEvoked auditory test A 0.00 0.87 0.80 0.87NA 0.80 NA 0.01 0.88 0.81 0.88 0.81 1XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 9258726Evoked auditory test A 0.13 0.07 0.07 0.07 0.07 0.01 0.21 0.21 0.21 0.21 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92588 Evoked auditory test A 0.36 1.57 1.62 1.57NA 1.62 NA 0.02 1.95 2.00 1.95 2.00 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92588TCEvoked auditory test A 0.00 1.39 1.42 1.39NA 1.42 NA 0.01 1.40 1.43 1.40 1.43 1XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 9258826Evoked auditory test A 0.36 0.18 0.20 0.18 0.20 0.01 0.55 0.57 0.55 0.57 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92590 Hearing aid exam one ear N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92591 Hearing aid exam both ears N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92592 Hearing aid check one ear N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92593 Hearing aid check both ears N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92594 Electro hearng aid test one N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92595 Electro hearng aid tst both N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92596 Ear protector evaluation A 0.00 1.16 1.23 1.16NA 1.23 NA 0.01 1.17 1.24 1.17 1.24 3XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 92597 Oral speech device eval A 1.26 1.55 0.80 1.55NA 0.80 NA 0.07 2.88 2.13 2.88 2.13 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92601 Cochlear implt f/up exam < 7 A 2.30 1.88 1.51 1.40 1.01 0.11 4.29 3.92 3.81 3.42 7XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92602 Reprogram cochlear implt < 7 A 1.30 1.28 1.02 0.86 0.57 0.07 2.65 2.39 2.23 1.94 7XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92603 Cochlear implt f/up exam 7 > A 2.25 1.83 1.86 1.30 1.22 0.11 4.19 4.22 3.66 3.58 7XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92604 Reprogram cochlear implt 7 > A 1.25 1.18 1.21 0.75 0.67 0.05 2.48 2.51 2.05 1.97 7XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92605 Eval for nonspeech device rx B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92606 Non-speech device service B+ 1.40 0.93 0.93 0.61 0.61 0.07 2.40 2.40 2.08 2.08 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92607 Ex for speech device rx 1hr A 1.85 3.24 1.49 3.24NA 1.49 NA 0.10 5.19 3.44 5.19 3.44 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92608 Ex for speech device rx addl A 0.70 0.80 0.67 0.80NA 0.67 NA 0.04 1.54 1.41 1.54 1.41 7ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92609 Use of speech device service A 1.50 1.84 1.03 1.84NA 1.03 NA 0.07 3.41 2.60 3.41 2.60 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 92610 Evaluate swallowing function A 1.30 1.72 0.92 0.67 0.67 0.07 3.09 2.29 2.04 2.04 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92611 Motion fluoroscopy/swallow A 1.34 1.92 1.09 1.92NA 1.09 NA 0.08 3.34 2.51 3.34 2.51 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92612 Endoscopy swallow tst (fees) A 1.27 3.57 3.60 0.66 0.71 0.07 4.91 4.94 2.00 2.05 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92613 Endoscopy swallow tst (fees) A 0.71 0.38 0.39 0.37 0.39 0.04 1.13 1.14 1.12 1.14 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92614 Laryngoscopic sensory test A 1.27 3.03 3.09 0.67 0.73 0.07 4.37 4.43 2.01 2.07 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92615 Eval laryngoscopy sense tst A 0.63 0.34 0.37 0.34 0.37 0.03 1.00 1.03 1.00 1.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92616 Fees w/laryngeal sense test A 1.88 3.94 3.96 0.97 1.04 0.10 5.92 5.94 2.95 3.02 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92617 Interprt fees/laryngeal test A 0.79 0.41 0.44 0.41 0.44 0.04 1.24 1.27 1.24 1.27 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92620 Auditory function 60 min A 1.50 0.86 1.16 0.71 0.88 0.07 2.43 2.73 2.28 2.45 9XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92621 Auditory function + 15 min A 0.35 0.20 0.28 0.15 0.18 0.01 0.56 0.64 0.51 0.54 9ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92625 Tinnitus assessment A 1.15 0.66 0.83 0.55 0.62 0.05 1.86 2.03 1.75 1.82 9XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92626 Eval aud rehab status A 1.40 1.00 1.11 0.81 0.74 0.07 2.47 2.58 2.28 2.21 9XXX.00.00.0002000 33.9764 020 99 0.00 0.00 0.00 92627 Eval aud status rehab add-on A 0.33 0.26 0.29 0.20 0.17 0.01 0.60 0.63 0.54 0.51 9ZZZ.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 92630 Aud rehab pre-ling hear loss I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92633 Aud rehab postling hear loss I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92640 Aud brainstem implt programg A 1.76 0.78 1.22 0.62 0.90 0.37 2.91 3.35 2.75 3.03 9XXX.00.00.0002000 33.9764 050 99 0.00 0.00 0.00 92700 Ent procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92950 Heart/lung resuscitation cpr A 3.79 4.18 4.18 1.05 1.07 0.30 8.27 8.27 5.14 5.16 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92953 Temporary external pacing A 0.23 0.09NA 0.07NA 0.09 0.07 0.01 0.33 0.31 0.33 0.31 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92960 Cardioversion electric ext A 2.25 4.70 3.63 1.40 1.13 0.14 7.09 6.02 3.79 3.52 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92961 Cardioversion electric int A 4.59 2.47NA 2.03NA 2.47 2.03 0.44 7.50 7.06 7.50 7.06 0000.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 92970 Cardioassist internal A 3.51 1.52NA 1.36NA 1.52 1.36 0.24 5.27 5.11 5.27 5.11 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92971 Cardioassist external A 1.77 1.04NA 0.82NA 1.04 0.82 0.11 2.92 2.70 2.92 2.70 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92973 Percut coronary thrombectomy A 3.28 1.64NA 1.28NA 1.64 1.28 0.71 5.63 5.27 5.63 5.27 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92974 Cath place cardio brachytx A 3.00 1.51NA 1.17NA 1.51 1.17 0.65 5.16 4.82 5.16 4.82 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92975 Dissolve clot heart vessel A 7.24 3.62NA 2.87NA 3.62 2.87 1.58 12.44 11.69 12.44 11.69 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 92977 Dissolve clot heart vessel A 0.00 2.69 1.43 2.69NA 1.43 NA 0.03 2.72 1.46 2.72 1.46 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92978 Intravasc us heart add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92978TCIntravasc us heart add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9297826Intravasc us heart add-on A 1.80 0.90 0.70 0.90 0.70 0.12 2.82 2.62 2.82 2.62 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92979 Intravasc us heart add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92979TCIntravasc us heart add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9297926Intravasc us heart add-on A 1.44 0.72 0.56 0.72 0.56 0.10 2.26 2.10 2.26 2.10 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92980 Insert intracoronary stent A 14.82 7.64NA 5.96NA 7.64 5.96 3.24 25.70 24.02 25.70 24.02 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 92981 Insert intracoronary stent A 4.16 2.08NA 1.62NA 2.08 1.62 0.90 7.14 6.68 7.14 6.68 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92982 Coronary artery dilation A 10.96 5.70NA 4.46NA 5.70 4.46 2.38 19.04 17.80 19.04 17.80 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 92984 Coronary artery dilation A 2.97 1.48NA 1.16NA 1.48 1.16 0.64 5.09 4.77 5.09 4.77 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92986 Revision of aortic valve A 22.85 14.58NA 11.68NA 14.58 11.68 4.98 42.41 39.51 42.41 39.51 0090.09.84.0720000 33.9764 090 99 0.00 0.00 0.00 92987 Revision of mitral valve A 23.63 15.00NA 11.91NA 15.00 11.91 5.14 43.77 40.68 43.77 40.68 0090.09.84.0720000 33.9764 090 99 0.00 0.00 0.00 92990 Revision of pulmonary valve A 18.27 11.80NA 9.72NA 11.80 9.72 3.99 34.06 31.98 34.06 31.98 0090.09.84.0720000 33.9764 090 99 0.00 0.00 0.00 92992 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 92993 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 33.9764 090 99 0.00 0.00 0.00 92995 Coronary atherectomy A 12.07 6.27NA 4.89NA 6.27 4.89 2.63 20.97 19.59 20.97 19.59 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 92996 Coronary atherectomy add-on A 3.26 1.64NA 1.28NA 1.64 1.28 0.71 5.61 5.25 5.61 5.25 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 92997 Pul art balloon repr percut A 11.98 5.61NA 4.81NA 5.61 4.81 2.61 20.20 19.40 20.20 19.40 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 92998 Pul art balloon repr percut A 5.99 2.86NA 2.32NA 2.86 2.32 1.31 10.16 9.62 10.16 9.62 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93000 Electrocardiogram complete A 0.17 0.39 0.32 0.39NA 0.32 NA 0.02 0.58 0.51 0.58 0.51 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93005 Electrocardiogram tracing A 0.00 0.31 0.25 0.31NA 0.25 NA 0.01 0.32 0.26 0.32 0.26 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93010 Electrocardiogram report A 0.17 0.08 0.07 0.08 0.07 0.01 0.26 0.25 0.26 0.25 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93015 Cardiovascular stress test A 0.75 1.94 1.58 1.94NA 1.58 NA 0.03 2.72 2.36 2.72 2.36 4XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 93016 Cardiovascular stress test A 0.45 0.22 0.18 0.22 0.18 0.01 0.68 0.64 0.68 0.64 2XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 93017 Cardiovascular stress test A 0.00 1.58 1.28 1.58NA 1.28 NA 0.01 1.59 1.29 1.59 1.29 3XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 93018 Cardiovascular stress test A 0.30 0.14 0.12 0.14 0.12 0.01 0.45 0.43 0.45 0.43 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93024 Cardiac drug stress test A 1.17 2.22 1.90 2.22NA 1.90 NA 0.05 3.44 3.12 3.44 3.12 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93024TCCardiac drug stress test A 0.00 1.66 1.44 1.66NA 1.44 NA 0.01 1.67 1.45 1.67 1.45 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9302426Cardiac drug stress test A 1.17 0.56 0.46 0.56 0.46 0.04 1.77 1.67 1.77 1.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93025 Microvolt t-wave assess A 0.75 4.89 3.68 4.89NA 3.68 NA 0.04 5.68 4.47 5.68 4.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93025TCMicrovolt t-wave assess A 0.00 4.52 3.38 4.52NA 3.38 NA 0.01 4.53 3.39 4.53 3.39 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9302526Microvolt t-wave assess A 0.75 0.37 0.30 0.37 0.30 0.03 1.15 1.08 1.15 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93040 Rhythm ECG with report A 0.15 0.22 0.19 0.22NA 0.19 NA 0.02 0.39 0.36 0.39 0.36 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93041 Rhythm ecg tracing A 0.00 0.16 0.14 0.16NA 0.14 NA 0.01 0.17 0.15 0.17 0.15 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93042 Rhythm ecg report A 0.15 0.06 0.05 0.06 0.05 0.01 0.22 0.21 0.22 0.21 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93224 Ecg monit/reprt up to 48 hrs A 0.52 2.53 1.98 2.53NA 1.98 NA 0.03 3.08 2.53 3.08 2.53 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93225 Ecg monit/reprt up to 48 hrs A 0.00 0.91 0.72 0.91NA 0.72 NA 0.01 0.92 0.73 0.92 0.73 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93226 Ecg monit/reprt up to 48 hrs A 0.00 1.35 1.02 1.35NA 1.02 NA 0.01 1.36 1.03 1.36 1.03 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93227 Ecg monit/reprt up to 48 hrs A 0.52 0.27 0.24 0.27 0.24 0.01 0.80 0.77 0.80 0.77 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93228 Remote 30 day ecg rev/report A 0.52 0.21 0.21 0.21 0.21 0.03 0.76 0.76 0.76 0.76 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93229 Remote 30 day ecg tech supp A 0.00 20.04 20.04 20.04NA 20.04 NA 0.01 20.05 20.05 20.05 20.05 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93268 ECG record/review A 0.52 6.83 5.67 6.83NA 5.67 NA 0.03 7.38 6.22 7.38 6.22 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93270 Remote 30 day ecg rev/report A 0.00 0.44 0.24 0.44NA 0.24 NA 0.01 0.45 0.25 0.45 0.25 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93271 Ecg/monitoring and analysis A 0.00 6.16 5.23 6.16NA 5.23 NA 0.01 6.17 5.24 6.17 5.24 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93272 Ecg/review interpret only A 0.52 0.23 0.20 0.23 0.20 0.01 0.76 0.73 0.76 0.73 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93278 ECG/signal-averaged A 0.25 0.76 0.61 0.76NA 0.61 NA 0.02 1.03 0.88 1.03 0.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93278TCECG/signal-averaged A 0.00 0.65 0.50 0.65NA 0.50 NA 0.01 0.66 0.51 0.66 0.51 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9327826ECG/signal-averaged A 0.25 0.11 0.11 0.11 0.11 0.01 0.37 0.37 0.37 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93279 Pm device progr eval sngl A 0.65 0.86 0.71 0.86NA 0.71 NA 0.04 1.55 1.40 1.55 1.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93279TCPm device progr eval sngl A 0.00 0.53 0.45 0.53NA 0.45 NA 0.01 0.54 0.46 0.54 0.46 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9327926Pm device progr eval sngl A 0.65 0.33 0.26 0.33 0.26 0.03 1.01 0.94 1.01 0.94 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93280 Pm device progr eval dual A 0.77 1.02 0.80 1.02NA 0.80 NA 0.04 1.83 1.61 1.83 1.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93280TCPm device progr eval dual A 0.00 0.62 0.50 0.62NA 0.50 NA 0.01 0.63 0.51 0.63 0.51 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328026Pm device progr eval dual A 0.77 0.40 0.30 0.40 0.30 0.03 1.20 1.10 1.20 1.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93281 Pm device progr eval multi A 0.90 1.19 0.94 1.19NA 0.94 NA 0.04 2.13 1.88 2.13 1.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93281TCPm device progr eval multi A 0.00 0.72 0.59 0.72NA 0.59 NA 0.01 0.73 0.60 0.73 0.60 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328126Pm device progr eval multi A 0.90 0.47 0.35 0.47 0.35 0.03 1.40 1.28 1.40 1.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93282 Icd device prog eval 1 sngl A 0.85 1.07 0.85 1.07NA 0.85 NA 0.04 1.96 1.74 1.96 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93282TCIcd device prog eval 1 sngl A 0.00 0.64 0.52 0.64NA 0.52 NA 0.01 0.65 0.53 0.65 0.53 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328226Icd device prog eval 1 sngl A 0.85 0.43 0.33 0.43 0.33 0.03 1.31 1.21 1.31 1.21 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93283 Icd device progr eval dual A 1.15 1.31 1.05 1.31NA 1.05 NA 0.05 2.51 2.25 2.51 2.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93283TCIcd device progr eval dual A 0.00 0.74 0.60 0.74NA 0.60 NA 0.01 0.75 0.61 0.75 0.61 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328326Icd device progr eval dual A 1.15 0.57 0.45 0.57 0.45 0.04 1.76 1.64 1.76 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93284 Icd device progr eval mult A 1.25 1.49 1.17 1.49NA 1.17 NA 0.05 2.79 2.47 2.79 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93284TCIcd device progr eval mult A 0.00 0.84 0.68 0.84NA 0.68 NA 0.01 0.85 0.69 0.85 0.69 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328426Icd device progr eval mult A 1.25 0.65 0.49 0.65 0.49 0.04 1.94 1.78 1.94 1.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93285 Ilr device eval progr A 0.52 0.76 0.60 0.76NA 0.60 NA 0.02 1.30 1.14 1.30 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93285TCIlr device eval progr A 0.00 0.49 0.40 0.49NA 0.40 NA 0.01 0.50 0.41 0.50 0.41 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328526Ilr device eval progr A 0.52 0.27 0.20 0.27 0.20 0.01 0.80 0.73 0.80 0.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93286 Pre-op pm device eval A 0.30 0.46 0.41 0.46NA 0.41 NA 0.02 0.78 0.73 0.78 0.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93286TCPre-op pm device eval A 0.00 0.34 0.29 0.34NA 0.29 NA 0.01 0.35 0.30 0.35 0.30 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328626Pre-op pm device eval A 0.30 0.12 0.12 0.12 0.12 0.01 0.43 0.43 0.43 0.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93287 Pre-op icd device eval A 0.45 0.55 0.50 0.55NA 0.50 NA 0.02 1.02 0.97 1.02 0.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93287TCPre-op icd device eval A 0.00 0.37 0.32 0.37NA 0.32 NA 0.01 0.38 0.33 0.38 0.33 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328726Pre-op icd device eval A 0.45 0.18 0.18 0.18 0.18 0.01 0.64 0.64 0.64 0.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93288 Pm device eval in person A 0.43 0.72 0.58 0.72NA 0.58 NA 0.02 1.17 1.03 1.17 1.03 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93288TCPm device eval in person A 0.00 0.50 0.41 0.50NA 0.41 NA 0.01 0.51 0.42 0.51 0.42 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328826Pm device eval in person A 0.43 0.22 0.17 0.22 0.17 0.01 0.66 0.61 0.66 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93289 Icd device interrogate A 0.92 1.05 0.86 1.05NA 0.86 NA 0.04 2.01 1.82 2.01 1.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93289TCIcd device interrogate A 0.00 0.62 0.50 0.62NA 0.50 NA 0.01 0.63 0.51 0.63 0.51 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9328926Icd device interrogate A 0.92 0.43 0.36 0.43 0.36 0.03 1.38 1.31 1.38 1.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93290 Icm device eval A 0.43 0.45 0.41 0.45NA 0.41 NA 0.02 0.90 0.86 0.90 0.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93290TCIcm device eval A 0.00 0.28 0.24 0.28NA 0.24 NA 0.01 0.29 0.25 0.29 0.25 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9329026Icm device eval A 0.43 0.17 0.17 0.17 0.17 0.01 0.61 0.61 0.61 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93291 Ilr device interrogate A 0.43 0.67 0.54 0.67NA 0.54 NA 0.02 1.12 0.99 1.12 0.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93291TCIlr device interrogate A 0.00 0.45 0.37 0.45NA 0.37 NA 0.01 0.46 0.38 0.46 0.38 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9329126Ilr device interrogate A 0.43 0.22 0.17 0.22 0.17 0.01 0.66 0.61 0.66 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93292 Wcd device interrogate A 0.43 0.56 0.45 0.56NA 0.45 NA 0.02 1.01 0.90 1.01 0.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93292TCWcd device interrogate A 0.00 0.34 0.28 0.34NA 0.28 NA 0.01 0.35 0.29 0.35 0.29 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9329226Wcd device interrogate A 0.43 0.22 0.17 0.22 0.17 0.01 0.66 0.61 0.66 0.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93293 Pm phone r-strip device eval A 0.32 1.31 1.14 1.31NA 1.14 NA 0.02 1.65 1.48 1.65 1.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93293TCPm phone r-strip device eval A 0.00 1.17 1.02 1.17NA 1.02 NA 0.01 1.18 1.03 1.18 1.03 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9329326Pm phone r-strip device eval A 0.32 0.14 0.12 0.14 0.12 0.01 0.47 0.45 0.47 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93294 Pm device interrogate remote A 0.65 0.33 0.25 0.33 0.25 0.04 1.02 0.94 1.02 0.94 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93295 Icd device interrogat remote A 1.29 0.64 0.50 0.64 0.50 0.08 2.01 1.87 2.01 1.87 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93296 Pm/icd remote tech serv A 0.00 0.95 0.69 0.95NA 0.69 NA 0.01 0.96 0.70 0.96 0.70 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93297 Icm device interrogat remote A 0.52 0.21 0.20 0.21 0.20 0.03 0.76 0.75 0.76 0.75 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93298 Ilr device interrogat remote A 0.52 0.27 0.20 0.27 0.20 0.03 0.82 0.75 0.82 0.75 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93299 Icm/ilr remote tech serv C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93303 Echo transthoracic A 1.30 4.84 4.23 4.84NA 4.23 NA 0.05 6.19 5.58 6.19 5.58 1XXX.00.00.0000000 33.9764 090 99 17.12 17.12 0.08 93303TCEcho transthoracic A 0.00 4.23 3.70 4.23NA 3.70 NA 0.01 4.24 3.71 4.24 3.71 1XXX.00.00.0000000 33.9764 010 99 16.51 16.51 0.04 9330326Echo transthoracic A 1.30 0.61 0.53 0.61 0.53 0.04 1.95 1.87 1.95 1.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93304 Echo transthoracic A 0.75 3.16 2.86 3.16NA 2.86 NA 0.04 3.95 3.65 3.95 3.65 1XXX.00.00.0000000 33.9764 090 99 12.14 12.14 0.07 93304TCEcho transthoracic A 0.00 2.82 2.56 2.82NA 2.56 NA 0.01 2.83 2.57 2.83 2.57 1XXX.00.00.0000000 33.9764 010 99 11.80 11.80 0.04 9330426Echo transthoracic A 0.75 0.34 0.30 0.34 0.30 0.03 1.12 1.08 1.12 1.08 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93306 Tte w/doppler complete A 1.30 5.50 4.01 5.50NA 4.01 NA 0.05 6.85 5.36 6.85 5.36 1XXX.00.00.0000000 33.9764 090 99 12.47 12.47 0.06 93306TCTte w/doppler complete A 0.00 4.85 3.49 4.85NA 3.49 NA 0.01 4.86 3.50 4.86 3.50 1XXX.00.00.0000000 33.9764 010 99 11.82 11.82 0.02 9330626Tte w/doppler complete A 1.30 0.65 0.52 0.65 0.52 0.04 1.99 1.86 1.99 1.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93307 Tte w/o doppler complete A 0.92 3.40 2.27 3.40NA 2.27 NA 0.04 4.36 3.23 4.36 3.23 1XXX.00.00.0000000 33.9764 090 99 12.25 12.25 0.07 93307TCTte w/o doppler complete A 0.00 2.95 1.89 2.95NA 1.89 NA 0.01 2.96 1.90 2.96 1.90 1XXX.00.00.0000000 33.9764 010 99 11.80 11.80 0.04 9330726Tte w/o doppler complete A 0.92 0.45 0.38 0.45 0.38 0.03 1.40 1.33 1.40 1.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93308 Tte f-up or lmtd A 0.53 2.55 2.16 2.55NA 2.16 NA 0.02 3.10 2.71 3.10 2.71 1XXX.00.00.0000000 33.9764 090 99 6.48 6.48 0.04 93308TCTte f-up or lmtd A 0.00 2.29 1.95 2.29NA 1.95 NA 0.01 2.30 1.96 2.30 1.96 1XXX.00.00.0000000 33.9764 010 99 6.22 6.22 0.03 9330826Tte f-up or lmtd A 0.53 0.26 0.21 0.26 0.21 0.01 0.80 0.75 0.80 0.75 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93312 Echo transesophageal A 2.20 7.23 6.57 7.23NA 6.57 NA 0.10 9.53 8.87 9.53 8.87 1XXX.00.00.0000000 33.9764 090 99 17.44 17.44 0.15 93312TCEcho transesophageal A 0.00 6.26 5.78 6.26NA 5.78 NA 0.03 6.29 5.81 6.29 5.81 1XXX.00.00.0000000 33.9764 030 99 16.47 16.47 0.08 9331226Echo transesophageal A 2.20 0.97 0.79 0.97 0.79 0.07 3.24 3.06 3.24 3.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93313 Echo transesophageal A 0.95 0.20NA 0.23NA 0.20 0.23 0.07 1.22 1.25 1.22 1.25 0XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 93314 Echo transesophageal A 1.25 7.08 6.59 7.08NA 6.59 NA 0.07 8.40 7.91 8.40 7.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93314TCEcho transesophageal A 0.00 6.52 6.12 6.52NA 6.12 NA 0.03 6.55 6.15 6.55 6.15 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9331426Echo transesophageal A 1.25 0.56 0.47 0.56 0.47 0.04 1.85 1.76 1.85 1.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93315 Echo transesophageal C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 17.82 17.82 0.24 93315TCEcho transesophageal C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 16.54 16.54 0.01 9331526Echo transesophageal A 2.78 1.28 1.04 1.28 1.04 0.23 4.29 4.05 4.29 4.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93316 Echo transesophageal A 0.95 0.30NA 0.28NA 0.30 0.28 0.07 1.32 1.30 1.32 1.30 0XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 93317 Echo transesophageal C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93317TCEcho transesophageal C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9331726Echo transesophageal A 1.83 0.73 0.67 0.73 0.67 0.23 2.79 2.73 2.79 2.73 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93318 Echo transesophageal intraop C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 17.41 17.41 0.32 93318TCEcho transesophageal intraop C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 16.54 16.54 0.01 9331826Echo transesophageal intraop A 2.20 0.87 0.77 0.87 0.77 0.31 3.38 3.28 3.38 3.28 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93320 Doppler echo exam heart A 0.38 1.44 0.88 1.44NA 0.88 NA 0.02 1.84 1.28 1.84 1.28 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93320TCDoppler echo exam heart A 0.00 1.26 0.73 1.26NA 0.73 NA 0.01 1.27 0.74 1.27 0.74 1ZZZ.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9332026Doppler echo exam heart A 0.38 0.18 0.15 0.18 0.15 0.01 0.57 0.54 0.57 0.54 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93321 Doppler echo exam heart A 0.15 0.69 0.51 0.69NA 0.51 NA 0.02 0.86 0.68 0.86 0.68 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93321TCDoppler echo exam heart A 0.00 0.62 0.45 0.62NA 0.45 NA 0.01 0.63 0.46 0.63 0.46 1ZZZ.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9332126Doppler echo exam heart A 0.15 0.07 0.06 0.07 0.06 0.01 0.23 0.22 0.23 0.22 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93325 Doppler color flow add-on A 0.07 0.96 0.47 0.96NA 0.47 NA 0.02 1.05 0.56 1.05 0.56 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93325TCDoppler color flow add-on A 0.00 0.93 0.44 0.93NA 0.44 NA 0.01 0.94 0.45 0.94 0.45 1ZZZ.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9332526Doppler color flow add-on A 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93350 Stress tte only A 1.46 4.67 4.18 4.67NA 4.18 NA 0.06 6.19 5.70 6.19 5.70 1XXX.00.00.0000000 33.9764 090 99 12.54 12.54 0.08 93350TCStress tte only A 0.00 3.94 3.60 3.94NA 3.60 NA 0.01 3.95 3.61 3.95 3.61 1XXX.00.00.0000000 33.9764 020 99 11.81 11.81 0.03 9335026Stress tte only A 1.46 0.73 0.58 0.73 0.58 0.05 2.24 2.09 2.24 2.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93351 Stress tte complete A 1.75 5.46 4.74 5.46NA 4.74 NA 0.08 7.29 6.57 7.29 6.57 1XXX.00.00.0000999 33.9764 090 99 17.34 17.34 0.16 93351TCStress tte complete A 0.00 4.56 4.05 4.56NA 4.05 NA 0.03 4.59 4.08 4.59 4.08 1XXX.00.00.0000999 33.9764 020 99 16.44 16.44 0.11 9335126Stress tte complete A 1.75 0.90 0.69 0.90 0.69 0.05 2.70 2.49 2.70 2.49 1XXX.00.00.0000999 33.9764 090 99 0.00 0.00 0.00 93352 Admin ecg contrast agent A 0.19 0.87 0.71 0.87NA 0.71 NA 0.01 1.07 0.91 1.07 0.91 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93451 Right heart cath A 2.72 19.13 19.13 19.13NA 19.13 NA 0.62 22.47 22.47 22.47 22.47 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93451TCRight heart cath A 0.00 18.07 18.07 18.07NA 18.07 NA 0.03 18.10 18.10 18.10 18.10 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345126Right heart cath A 2.72 1.06 1.06 1.06 1.06 0.59 4.37 4.37 4.37 4.37 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93452 Left hrt cath w/ventrclgrphy A 4.75 19.11 19.11 19.11NA 19.11 NA 1.09 24.95 24.95 24.95 24.95 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93452TCLeft hrt cath w/ventrclgrphy A 0.00 17.26 17.26 17.26NA 17.26 NA 0.03 17.29 17.29 17.29 17.29 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345226Left hrt cath w/ventrclgrphy A 4.75 1.85 1.85 1.85 1.85 1.06 7.66 7.66 7.66 7.66 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93453 R&l hrt cath w/ventriclgrphy A 6.24 25.00 25.00 25.00NA 25.00 NA 1.41 32.65 32.65 32.65 32.65 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93453TCR&l hrt cath w/ventriclgrphy A 0.00 22.57 22.57 22.57NA 22.57 NA 0.04 22.61 22.61 22.61 22.61 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345326R&l hrt cath w/ventriclgrphy A 6.24 2.43 2.43 2.43 2.43 1.37 10.04 10.04 10.04 10.04 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93454 Coronary artery angio s&i A 4.79 19.85 19.85 19.85NA 19.85 NA 1.09 25.73 25.73 25.73 25.73 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93454TCCoronary artery angio s&i A 0.00 17.98 17.98 17.98NA 17.98 NA 0.03 18.01 18.01 18.01 18.01 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345426Coronary artery angio s&i A 4.79 1.87 1.87 1.87 1.87 1.06 7.72 7.72 7.72 7.72 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93455 Coronary art/grft angio s&i A 5.54 23.23 23.23 23.23NA 23.23 NA 1.25 30.02 30.02 30.02 30.02 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93455TCCoronary art/grft angio s&i A 0.00 21.07 21.07 21.07NA 21.07 NA 0.04 21.11 21.11 21.11 21.11 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345526Coronary art/grft angio s&i A 5.54 2.16 2.16 2.16 2.16 1.21 8.91 8.91 8.91 8.91 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93456 R hrt coronary artery angio A 6.15 24.68 24.68 24.68NA 24.68 NA 1.37 32.20 32.20 32.20 32.20 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93456TCR hrt coronary artery angio A 0.00 22.28 22.28 22.28NA 22.28 NA 0.04 22.32 22.32 22.32 22.32 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345626R hrt coronary artery angio A 6.15 2.40 2.40 2.40 2.40 1.33 9.88 9.88 9.88 9.88 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93457 R hrt art/grft angio A 6.89 28.06 28.06 28.06NA 28.06 NA 1.54 36.49 36.49 36.49 36.49 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93457TCR hrt art/grft angio A 0.00 25.37 25.37 25.37NA 25.37 NA 0.04 25.41 25.41 25.41 25.41 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345726R hrt art/grft angio A 6.89 2.69 2.69 2.69 2.69 1.50 11.08 11.08 11.08 11.08 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93458 L hrt artery/ventricle angio A 5.85 23.87 23.87 23.87NA 23.87 NA 1.33 31.05 31.05 31.05 31.05 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93458TCL hrt artery/ventricle angio A 0.00 21.59 21.59 21.59NA 21.59 NA 0.04 21.63 21.63 21.63 21.63 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345826L hrt artery/ventricle angio A 5.85 2.28 2.28 2.28 2.28 1.29 9.42 9.42 9.42 9.42 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93459 L hrt art/grft angio A 6.60 26.22 26.22 26.22NA 26.22 NA 1.47 34.29 34.29 34.29 34.29 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93459TCL hrt art/grft angio A 0.00 23.65 23.65 23.65NA 23.65 NA 0.04 23.69 23.69 23.69 23.69 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9345926L hrt art/grft angio A 6.60 2.57 2.57 2.57 2.57 1.43 10.60 10.60 10.60 10.60 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93460 R&l hrt art/ventricle angio A 7.35 27.72 27.72 27.72NA 27.72 NA 1.63 36.70 36.70 36.70 36.70 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93460TCR&l hrt art/ventricle angio A 0.00 24.85 24.85 24.85NA 24.85 NA 0.04 24.89 24.89 24.89 24.89 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9346026R&l hrt art/ventricle angio A 7.35 2.87 2.87 2.87 2.87 1.59 11.81 11.81 11.81 11.81 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93461 R&l hrt art/ventricle angio A 8.10 32.13 32.13 32.13NA 32.13 NA 1.82 42.05 42.05 42.05 42.05 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93461TCR&l hrt art/ventricle angio A 0.00 28.97 28.97 28.97NA 28.97 NA 0.05 29.02 29.02 29.02 29.02 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9346126R&l hrt art/ventricle angio A 8.10 3.16 3.16 3.16 3.16 1.77 13.03 13.03 13.03 13.03 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93462 L hrt cath trnsptl puncture A 3.73 1.47 1.47 1.47 1.47 0.80 6.00 6.00 6.00 6.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93463 Drug admin & hemodynmic meas A 2.00 0.79 0.79 0.79 0.79 0.39 3.18 3.18 3.18 3.18 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93464 Exercise w/hemodynamic meas A 1.80 5.26 5.26 5.26NA 5.26 NA 0.36 7.42 7.42 7.42 7.42 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93464TCExercise w/hemodynamic meas A 0.00 4.61 4.61 4.61NA 4.61 NA 0.01 4.62 4.62 4.62 4.62 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9346426Exercise w/hemodynamic meas A 1.80 0.65 0.65 0.65 0.65 0.35 2.80 2.80 2.80 2.80 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93503 Insert/place heart catheter A 2.91 0.73NA 0.73NA 0.73 0.73 0.27 3.91 3.91 3.91 3.91 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93505 Biopsy of heart lining A 4.37 18.38 17.36 18.38NA 17.36 NA 0.86 23.61 22.59 23.61 22.59 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93505TCBiopsy of heart lining A 0.00 16.22 15.65 16.22NA 15.65 NA 0.03 16.25 15.68 16.25 15.68 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9350526Biopsy of heart lining A 4.37 2.16 1.71 2.16 1.71 0.83 7.36 6.91 7.36 6.91 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93530 Rt heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93530TCRt heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9353026Rt heart cath congenital A 4.22 2.05 1.67 2.05 1.67 0.91 7.18 6.80 7.18 6.80 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93531 R & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93531TCR & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9353126R & l heart cath congenital A 8.34 3.96 3.29 3.96 3.29 1.82 14.12 13.45 14.12 13.45 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93532 R & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93532TCR & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9353226R & l heart cath congenital A 9.99 4.62 3.88 4.62 3.88 2.18 16.79 16.05 16.79 16.05 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93533 R & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93533TCR & l heart cath congenital C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9353326R & l heart cath congenital A 6.69 3.12 2.59 3.12 2.59 1.47 11.28 10.75 11.28 10.75 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93561 Cardiac output measurement C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93561TCCardiac output measurement C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9356126Cardiac output measurement A 0.50 0.19 0.20 0.19 0.20 0.04 0.73 0.74 0.73 0.74 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93562 Cardiac output measurement C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93562TCCardiac output measurement C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9356226Cardiac output measurement A 0.16 0.05 0.06 0.05 0.06 0.01 0.22 0.23 0.22 0.23 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93563 Inject congenital card cath A 1.11 0.44 0.44 0.44 0.44 0.10 1.65 1.65 1.65 1.65 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93564 Inject hrt congntl art/grft A 1.13 0.44 0.44 0.44 0.44 0.11 1.68 1.68 1.68 1.68 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93565 Inject l ventr/atrial angio A 0.86 0.33 0.33 0.33 0.33 0.08 1.27 1.27 1.27 1.27 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93566 Inject r ventr/atrial angio A 0.86 4.04 4.04 0.33 0.33 0.08 4.98 4.98 1.27 1.27 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93567 Inject suprvlv aortography A 0.97 3.06 3.06 0.38 0.38 0.08 4.11 4.11 1.43 1.43 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93568 Inject pulm art hrt cath A 0.88 3.54 3.54 0.34 0.34 0.08 4.50 4.50 1.30 1.30 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93571 Heart flow reserve measure C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93571TCHeart flow reserve measure C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9357126Heart flow reserve measure A 1.80 0.89 0.70 0.89 0.70 0.11 2.80 2.61 2.80 2.61 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93572 Heart flow reserve measure C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93572TCHeart flow reserve measure C 0.00 0.00NA 0.00NA 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9357226Heart flow reserve measure A 1.44 0.69 0.56 0.69 0.56 0.11 2.24 2.11 2.24 2.11 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93580 Transcath closure of asd A 17.97 9.19NA 7.38NA 9.19 7.38 3.92 31.08 29.27 31.08 29.27 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93581 Transcath closure of vsd A 24.39 11.53NA 9.79NA 11.53 9.79 5.32 41.24 39.50 41.24 39.50 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93600 Bundle of His recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93600TCBundle of His recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9360026Bundle of His recording A 2.12 1.04 0.83 1.04 0.83 0.45 3.61 3.40 3.61 3.40 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93602 Intra-atrial recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93602TCIntra-atrial recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9360226Intra-atrial recording A 2.12 1.03 0.82 1.03 0.82 0.45 3.60 3.39 3.60 3.39 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93603 Right ventricular recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93603TCRight ventricular recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9360326Right ventricular recording A 2.12 1.03 0.82 1.03 0.82 0.45 3.60 3.39 3.60 3.39 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93609 Map tachycardia add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93609TCMap tachycardia add-on C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9360926Map tachycardia add-on A 4.99 2.47 1.95 2.47 1.95 1.09 8.55 8.03 8.55 8.03 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93610 Intra-atrial pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93610TCIntra-atrial pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361026Intra-atrial pacing A 3.02 1.45 1.17 1.45 1.17 0.65 5.12 4.84 5.12 4.84 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93612 Intraventricular pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93612TCIntraventricular pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361226Intraventricular pacing A 3.02 1.43 1.16 1.43 1.16 0.65 5.10 4.83 5.10 4.83 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93613 Electrophys map 3d add-on A 6.99 3.48NA 2.73NA 3.48 2.73 1.52 11.99 11.24 11.99 11.24 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93615 Esophageal recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93615TCEsophageal recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361526Esophageal recording A 0.99 0.48 0.39 0.48 0.39 0.05 1.52 1.43 1.52 1.43 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93616 Esophageal recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93616TCEsophageal recording C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361626Esophageal recording A 1.49 0.39 0.35 0.39 0.35 0.11 1.99 1.95 1.99 1.95 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93618 Heart rhythm pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93618TCHeart rhythm pacing C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361826Heart rhythm pacing A 4.25 2.13 1.65 2.13 1.65 0.91 7.29 6.81 7.29 6.81 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93619 Electrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93619TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9361926Electrophysiology evaluation A 7.31 3.70 2.85 3.70 2.85 1.59 12.60 11.75 12.60 11.75 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93620 Electrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93620TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9362026Electrophysiology evaluation A 11.57 5.79 4.52 5.79 4.52 2.52 19.88 18.61 19.88 18.61 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93621 Electrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9362126Electrophysiology evaluation A 2.10 1.04 0.82 1.04 0.82 0.45 3.59 3.37 3.59 3.37 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93622 Electrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9362226Electrophysiology evaluation A 3.10 1.51 1.21 1.51 1.21 0.67 5.28 4.98 5.28 4.98 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93623 Stimulation pacing heart C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93623TCStimulation pacing heart C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9362326Stimulation pacing heart A 2.85 1.41 1.11 1.41 1.11 0.63 4.89 4.59 4.89 4.59 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93624 Electrophysiologic study C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93624TCElectrophysiologic study C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9362426Electrophysiologic study A 4.80 2.43 1.86 2.43NA 1.86 NA 1.05 8.28 7.71 8.28 7.71 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93631 Heart pacing mapping C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93631TCHeart pacing mapping C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9363126Heart pacing mapping A 7.59 3.07 2.76 3.07 2.76 1.81 12.47 12.16 12.47 12.16 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93640 Evaluation heart device C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93640TCEvaluation heart device C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9364026Evaluation heart device A 3.51 1.74 1.38 1.74 1.38 0.76 6.01 5.65 6.01 5.65 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93641 Electrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93641TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9364126Electrophysiology evaluation A 5.92 2.94 2.31 2.94 2.31 1.29 10.15 9.52 10.15 9.52 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93642 Electrophysiology evaluation A 4.88 7.50 5.69 7.50NA 5.69 NA 0.21 12.59 10.78 12.59 10.78 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93642TCElectrophysiology evaluation A 0.00 5.02 3.78 5.02NA 3.78 NA 0.03 5.05 3.81 5.05 3.81 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9364226Electrophysiology evaluation A 4.88 2.48 1.91 2.48 1.91 0.18 7.54 6.97 7.54 6.97 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93650 Ablate heart dysrhythm focus A 10.49 5.51NA 4.37NA 5.51 4.37 2.27 18.27 17.13 18.27 17.13 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93651 Ablate heart dysrhythm focus A 16.23 8.05NA 6.34NA 8.05 6.34 3.54 27.82 26.11 27.82 26.11 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93652 Ablate heart dysrhythm focus A 17.65 8.78NA 6.92NA 8.78 6.92 3.85 30.28 28.42 30.28 28.42 0000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93660 Tilt table evaluation A 1.89 2.87 2.36 2.87NA 2.36 NA 0.08 4.84 4.33 4.84 4.33 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93660TCTilt table evaluation A 0.00 1.93 1.61 1.93NA 1.61 NA 0.01 1.94 1.62 1.94 1.62 1000.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9366026Tilt table evaluation A 1.89 0.94 0.75 0.94 0.75 0.07 2.90 2.71 2.90 2.71 1000.00.00.0020000 33.9764 090 99 0.00 0.00 0.00 93662 Intracardiac ecg (ice) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93662TCIntracardiac ecg (ice) C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9366226Intracardiac ecg (ice) A 2.80 1.38 1.09 1.38 1.09 0.20 4.38 4.09 4.38 4.09 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93668 Peripheral vascular rehab N+ 0.00 0.54 0.51 0.54NA 0.51 NA 0.01 0.55 0.52 0.55 0.52 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 93701 Bioimpedance cv analysis A 0.00 0.78 0.65 0.78NA 0.65 NA 0.01 0.79 0.66 0.79 0.66 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93720 Total body plethysmography A 0.17 1.25 1.22 1.25NA 1.22 NA 0.02 1.44 1.41 1.44 1.41 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93721 Plethysmography tracing A 0.00 1.19 1.16 1.19NA 1.16 NA 0.01 1.20 1.17 1.20 1.17 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93722 Plethysmography report A 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93724 Analyze pacemaker system A 4.88 3.77 2.66 3.77NA 2.66 NA 0.19 8.84 7.73 8.84 7.73 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93724TCAnalyze pacemaker system A 0.00 1.35 0.72 1.35NA 0.72 NA 0.01 1.36 0.73 1.36 0.73 1000.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9372426Analyze pacemaker system A 4.88 2.42 1.94 2.42 1.94 0.18 7.48 7.00 7.48 7.00 1000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93740 Temperature gradient studies B+ 0.16 0.07 0.07 0.07 0.07 0.03 0.26 0.26 0.26 0.26 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 93745 Set-up cardiovert-defibrill C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93745TCSet-up cardiovert-defibrill C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9374526Set-up cardiovert-defibrill C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93750 Interrogation vad in person A 0.92 0.54 0.54 0.34 0.34 0.05 1.51 1.51 1.31 1.31 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93770 Measure venous pressure B+ 0.16 0.07 0.07 0.07 0.07 0.03 0.26 0.26 0.26 0.26 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 93784 Ambulatory BP monitoring A 0.38 1.42 1.12 1.42NA 1.12 NA 0.03 1.83 1.53 1.83 1.53 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93786 Ambulatory BP recording A 0.00 0.91 0.82 0.91NA 0.82 NA 0.01 0.92 0.83 0.92 0.83 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 93788 Ambulatory BP analysis A 0.00 0.34 0.14 0.34NA 0.14 NA 0.01 0.35 0.15 0.35 0.15 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93790 Review/report BP recording A 0.38 0.17 0.16 0.17 0.16 0.01 0.56 0.55 0.56 0.55 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93797 Cardiac rehab A 0.18 0.34 0.30 0.09 0.08 0.01 0.53 0.49 0.28 0.27 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93798 Cardiac rehab/monitor A 0.28 0.46 0.40 0.14 0.12 0.01 0.75 0.69 0.43 0.41 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93799 Cardiovascular procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93875 Extracranial study A 0.22 2.87 2.73 2.87NA 2.73 NA 0.02 3.11 2.97 3.11 2.97 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93875TCExtracranial study A 0.00 2.78 2.64 2.78NA 2.64 NA 0.01 2.79 2.65 2.79 2.65 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9387526Extracranial study A 0.22 0.09 0.09 0.09 0.09 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93880 Extracranial study A 0.60 6.72 6.23 6.72NA 6.23 NA 0.05 7.37 6.88 7.37 6.88 1XXX.00.00.0002000 33.9764 090 99 4.75 4.75 0.05 93880TCExtracranial study A 0.00 6.47 6.00 6.47NA 6.00 NA 0.01 6.48 6.01 6.48 6.01 1XXX.00.00.0002000 33.9764 010 99 4.50 4.50 0.01 9388026Extracranial study A 0.60 0.25 0.23 0.25 0.23 0.04 0.89 0.87 0.89 0.87 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93882 Extracranial study A 0.40 4.65 4.56 4.65NA 4.56 NA 0.06 5.11 5.02 5.11 5.02 1XXX.00.00.0000000 33.9764 090 99 4.64 4.64 0.06 93882TCExtracranial study A 0.00 4.50 4.41 4.50NA 4.41 NA 0.01 4.51 4.42 4.51 4.42 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.01 9388226Extracranial study A 0.40 0.15 0.15 0.15 0.15 0.05 0.60 0.60 0.60 0.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93886 Intracranial study A 0.94 8.76 9.10 8.76NA 9.10 NA 0.05 9.75 10.09 9.75 10.09 1XXX.00.00.0000000 33.9764 090 99 4.90 4.90 0.05 93886TCIntracranial study A 0.00 8.36 8.68 8.36NA 8.68 NA 0.01 8.37 8.69 8.37 8.69 1XXX.00.00.0000000 33.9764 010 99 4.50 4.50 0.01 9388626Intracranial study A 0.94 0.40 0.42 0.40 0.42 0.04 1.38 1.40 1.38 1.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93888 Intracranial study A 0.62 5.54 5.36 5.54NA 5.36 NA 0.05 6.21 6.03 6.21 6.03 1XXX.00.00.0000000 33.9764 090 99 2.09 2.09 0.04 93888TCIntracranial study A 0.00 5.28 5.10 5.28NA 5.10 NA 0.01 5.29 5.11 5.29 5.11 1XXX.00.00.0000000 33.9764 010 99 1.83 1.83 0.00 9388826Intracranial study A 0.62 0.26 0.26 0.26 0.26 0.04 0.92 0.92 0.92 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93890 Tcd vasoreactivity study A 1.00 6.92 6.74 6.92NA 6.74 NA 0.05 7.97 7.79 7.97 7.79 1XXX.00.00.0000000 33.9764 090 99 3.24 3.24 0.04 93890TCTcd vasoreactivity study A 0.00 6.51 6.32 6.51NA 6.32 NA 0.01 6.52 6.33 6.52 6.33 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.00 9389026Tcd vasoreactivity study A 1.00 0.41 0.42 0.41 0.42 0.04 1.45 1.46 1.45 1.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93892 Tcd emboli detect w/o inj A 1.15 8.19 8.61 8.19NA 8.61 NA 0.06 9.40 9.82 9.40 9.82 1XXX.00.00.0000000 33.9764 090 99 3.31 3.31 0.05 93892TCTcd emboli detect w/o inj A 0.00 7.71 8.10 7.71NA 8.10 NA 0.01 7.72 8.11 7.72 8.11 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.00 9389226Tcd emboli detect w/o inj A 1.15 0.48 0.51 0.48 0.51 0.05 1.68 1.71 1.68 1.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93893 Tcd emboli detect w/inj A 1.15 8.61 9.45 8.61NA 9.45 NA 0.06 9.82 10.66 9.82 10.66 1XXX.00.00.0000000 33.9764 090 99 3.32 3.32 0.05 93893TCTcd emboli detect w/inj A 0.00 8.12 8.93 8.12NA 8.93 NA 0.01 8.13 8.94 8.13 8.94 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.00 9389326Tcd emboli detect w/inj A 1.15 0.49 0.52 0.49 0.52 0.05 1.69 1.72 1.69 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93922 Upr/l xtremity art 2 levels A 0.25 2.98 2.38 2.98NA 2.38 NA 0.02 3.25 2.65 3.25 2.65 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93922TCUpr/l xtremity art 2 levels A 0.00 2.88 2.28 2.88NA 2.28 NA 0.01 2.89 2.29 2.89 2.29 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9392226Upr/l xtremity art 2 levels A 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93923 Upr/lxtr art stdy 3+ lvls A 0.45 4.53 3.63 4.53NA 3.63 NA 0.05 5.03 4.13 5.03 4.13 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93923TCUpr/lxtr art stdy 3+ lvls A 0.00 4.35 3.46 4.35NA 3.46 NA 0.01 4.36 3.47 4.36 3.47 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9392326Upr/lxtr art stdy 3+ lvls A 0.45 0.18 0.17 0.18 0.17 0.04 0.67 0.66 0.67 0.66 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93924 Lwr xtr vasc stdy bilat A 0.50 5.73 4.70 5.73NA 4.70 NA 0.05 6.28 5.25 6.28 5.25 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93924TCLwr xtr vasc stdy bilat A 0.00 5.53 4.51 5.53NA 4.51 NA 0.01 5.54 4.52 5.54 4.52 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9392426Lwr xtr vasc stdy bilat A 0.50 0.20 0.19 0.20 0.19 0.04 0.74 0.73 0.74 0.73 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93925 Lower extremity study A 0.58 8.67 8.08 8.67NA 8.08 NA 0.07 9.32 8.73 9.32 8.73 1XXX.00.00.0002000 33.9764 090 99 4.72 4.72 0.06 93925TCLower extremity study A 0.00 8.44 7.86 8.44NA 7.86 NA 0.03 8.47 7.89 8.47 7.89 1XXX.00.00.0002000 33.9764 010 99 4.49 4.49 0.02 9392526Lower extremity study A 0.58 0.23 0.22 0.23 0.22 0.04 0.85 0.84 0.85 0.84 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93926 Lower extremity study A 0.39 5.61 5.34 5.61NA 5.34 NA 0.06 6.06 5.79 6.06 5.79 1XXX.00.00.0000000 33.9764 090 99 2.98 2.98 0.06 93926TCLower extremity study A 0.00 5.46 5.20 5.46NA 5.20 NA 0.01 5.47 5.21 5.47 5.21 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.01 9392626Lower extremity study A 0.39 0.15 0.14 0.15 0.14 0.05 0.59 0.58 0.59 0.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93930 Upper extremity study A 0.46 6.83 6.46 6.83NA 6.46 NA 0.05 7.34 6.97 7.34 6.97 1XXX.00.00.0002000 33.9764 090 99 4.68 4.68 0.05 93930TCUpper extremity study A 0.00 6.65 6.29 6.65NA 6.29 NA 0.01 6.66 6.30 6.66 6.30 1XXX.00.00.0002000 33.9764 010 99 4.50 4.50 0.01 9393026Upper extremity study A 0.46 0.18 0.17 0.18 0.17 0.04 0.68 0.67 0.68 0.67 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93931 Upper extremity study A 0.31 4.56 4.29 4.56NA 4.29 NA 0.04 4.91 4.64 4.91 4.64 1XXX.00.00.0000000 33.9764 090 99 2.95 2.95 0.04 93931TCUpper extremity study A 0.00 4.44 4.18 4.44NA 4.18 NA 0.01 4.45 4.19 4.45 4.19 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.01 9393126Upper extremity study A 0.31 0.12 0.11 0.12 0.11 0.03 0.46 0.45 0.46 0.45 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93965 Extremity study A 0.35 3.34 3.11 3.34NA 3.11 NA 0.04 3.73 3.50 3.73 3.50 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93965TCExtremity study A 0.00 3.20 2.98 3.20NA 2.98 NA 0.01 3.21 2.99 3.21 2.99 1XXX.00.00.0002000 33.9764 010 99 0.00 0.00 0.00 9396526Extremity study A 0.35 0.14 0.13 0.14 0.13 0.03 0.52 0.51 0.52 0.51 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93970 Extremity study A 0.68 6.84 6.46 6.84NA 6.46 NA 0.08 7.60 7.22 7.60 7.22 1XXX.00.00.0002000 33.9764 090 99 4.77 4.77 0.08 93970TCExtremity study A 0.00 6.57 6.21 6.57NA 6.21 NA 0.01 6.58 6.22 6.58 6.22 1XXX.00.00.0002000 33.9764 010 99 4.50 4.50 0.01 9397026Extremity study A 0.68 0.27 0.25 0.27 0.25 0.07 1.02 1.00 1.02 1.00 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 93971 Extremity study A 0.45 4.49 4.21 4.49NA 4.21 NA 0.05 4.99 4.71 4.99 4.71 1XXX.00.00.0000000 33.9764 090 99 3.01 3.01 0.05 93971TCExtremity study A 0.00 4.31 4.04 4.31NA 4.04 NA 0.01 4.32 4.05 4.32 4.05 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.01 9397126Extremity study A 0.45 0.18 0.17 0.18 0.17 0.04 0.67 0.66 0.67 0.66 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93975 Vascular study A 1.80 9.22 8.52 9.22NA 8.52 NA 0.17 11.19 10.49 11.19 10.49 1XXX.00.00.0000000 33.9764 090 99 5.22 5.22 0.16 93975TCVascular study A 0.00 8.49 7.85 8.49NA 7.85 NA 0.03 8.52 7.88 8.52 7.88 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.02 9397526Vascular study A 1.80 0.73 0.67 0.73 0.67 0.14 2.67 2.61 2.67 2.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93976 Vascular study A 1.21 5.11 4.72 5.11NA 4.72 NA 0.09 6.41 6.02 6.41 6.02 1XXX.00.00.0000000 33.9764 090 99 4.99 4.99 0.09 93976TCVascular study A 0.00 4.61 4.27 4.61NA 4.27 NA 0.01 4.62 4.28 4.62 4.28 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.01 9397626Vascular study A 1.21 0.50 0.45 0.50 0.45 0.08 1.79 1.74 1.79 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93978 Vascular study A 0.65 6.42 6.06 6.42NA 6.06 NA 0.08 7.15 6.79 7.15 6.79 1XXX.00.00.0000000 33.9764 090 99 4.76 4.76 0.08 93978TCVascular study A 0.00 6.16 5.82 6.16NA 5.82 NA 0.01 6.17 5.83 6.17 5.83 1XXX.00.00.0000000 33.9764 010 99 4.50 4.50 0.01 9397826Vascular study A 0.65 0.26 0.24 0.26 0.24 0.07 0.98 0.96 0.98 0.96 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93979 Vascular study A 0.44 4.46 4.21 4.46NA 4.21 NA 0.05 4.95 4.70 4.95 4.70 1XXX.00.00.0000000 33.9764 090 99 3.00 3.00 0.05 93979TCVascular study A 0.00 4.29 4.05 4.29NA 4.05 NA 0.01 4.30 4.06 4.30 4.06 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.01 9397926Vascular study A 0.44 0.17 0.16 0.17 0.16 0.04 0.65 0.64 0.65 0.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93980 Penile vascular study A 1.25 3.86 3.51 3.86NA 3.51 NA 0.08 5.19 4.84 5.19 4.84 1XXX.00.00.0000000 33.9764 090 99 5.03 5.03 0.08 93980TCPenile vascular study A 0.00 3.32 3.02 3.32NA 3.02 NA 0.01 3.33 3.03 3.33 3.03 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.01 9398026Penile vascular study A 1.25 0.54 0.49 0.54 0.49 0.07 1.86 1.81 1.86 1.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93981 Penile vascular study A 0.44 3.07 2.69 3.07NA 2.69 NA 0.04 3.55 3.17 3.55 3.17 1XXX.00.00.0000000 33.9764 090 99 4.67 4.67 0.05 93981TCPenile vascular study A 0.00 2.89 2.52 2.89NA 2.52 NA 0.01 2.90 2.53 2.90 2.53 1XXX.00.00.0000000 33.9764 010 99 4.49 4.49 0.02 9398126Penile vascular study A 0.44 0.18 0.17 0.18 0.17 0.03 0.65 0.64 0.65 0.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93982 Aneurysm pressure sens study R 0.30 0.92 0.87 0.92NA 0.87 NA 0.05 1.27 1.22 1.27 1.22 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 93990 Doppler flow testing A 0.25 5.90 5.87 5.90NA 5.87 NA 0.05 6.20 6.17 6.20 6.17 1XXX.00.00.0000000 33.9764 090 99 2.92 2.92 0.04 93990TCDoppler flow testing A 0.00 5.81 5.78 5.81NA 5.78 NA 0.01 5.82 5.79 5.82 5.79 1XXX.00.00.0000000 33.9764 010 99 2.83 2.83 0.00 9399026Doppler flow testing A 0.25 0.09 0.09 0.09 0.09 0.04 0.38 0.38 0.38 0.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94002 Vent mgmt inpat init day A 1.99 0.52NA 0.60NA 0.52 0.60 0.16 2.67 2.75 2.67 2.75 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94003 Vent mgmt inpat subq day A 1.37 0.45NA 0.49NA 0.45 0.49 0.10 1.92 1.96 1.92 1.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94004 Vent mgmt nf per day A 1.00 0.33NA 0.36NA 0.33 0.36 0.07 1.40 1.43 1.40 1.43 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94005 Home vent mgmt supervision B+ 1.50 1.09 1.09 1.09NA 1.09 NA 0.10 2.69 2.69 2.69 2.69 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 94010 Breathing capacity test A 0.17 0.85 0.83 0.85NA 0.83 NA 0.02 1.04 1.02 1.04 1.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94010TCBreathing capacity test A 0.00 0.78 0.76 0.78NA 0.76 NA 0.01 0.79 0.77 0.79 0.77 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9401026Breathing capacity test A 0.17 0.07 0.07 0.07 0.07 0.01 0.25 0.25 0.25 0.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94011 Spirometry up to 2 yrs old A 2.00 0.77NA 0.77NA 0.77 0.77 0.14 2.91 2.91 2.91 2.91 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94012 Spirmtry w/brnchdil inf-2 yr A 3.10 1.16NA 1.16NA 1.16 1.16 0.23 4.49 4.49 4.49 4.49 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94013 Meas lung vol thru 2 yrs A 0.66 0.22NA 0.22NA 0.22 0.22 0.04 0.92 0.92 0.92 0.92 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94014 Patient recorded spirometry A 0.52 0.90 0.83 0.90NA 0.83 NA 0.02 1.44 1.37 1.44 1.37 4XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 94015 Patient recorded spirometry A 0.00 0.71 0.64 0.71NA 0.64 NA 0.01 0.72 0.65 0.72 0.65 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 94016 Review patient spirometry A 0.52 0.19 0.19 0.19 0.19 0.01 0.72 0.72 0.72 0.72 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94060 Evaluation of wheezing A 0.31 1.46 1.43 1.46NA 1.43 NA 0.02 1.79 1.76 1.79 1.76 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94060TCEvaluation of wheezing A 0.00 1.35 1.31 1.35NA 1.31 NA 0.01 1.36 1.32 1.36 1.32 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9406026Evaluation of wheezing A 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94070 Evaluation of wheezing A 0.60 1.12 1.10 1.12NA 1.10 NA 0.04 1.76 1.74 1.76 1.74 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94070TCEvaluation of wheezing A 0.00 0.91 0.87 0.91NA 0.87 NA 0.01 0.92 0.88 0.92 0.88 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9407026Evaluation of wheezing A 0.60 0.21 0.23 0.21 0.23 0.03 0.84 0.86 0.84 0.86 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94150 Vital capacity test B+ 0.07 0.62 0.61 0.62NA 0.61 NA 0.02 0.71 0.70 0.71 0.70 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 94150TCVital capacity test B+ 0.00 0.59 0.58 0.59NA 0.58 NA 0.01 0.60 0.59 0.60 0.59 1XXX.00.00.0099999 33.9764 010 99 0.00 0.00 0.00 9415026Vital capacity test B+ 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 1XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 94200 Lung function test (MBC/MVV) A 0.11 0.58 0.57 0.58NA 0.57 NA 0.02 0.71 0.70 0.71 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94200TCLung function test (MBC/MVV) A 0.00 0.54 0.53 0.54NA 0.53 NA 0.01 0.55 0.54 0.55 0.54 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9420026Lung function test (MBC/MVV) A 0.11 0.04 0.04 0.04 0.04 0.01 0.16 0.16 0.16 0.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94240 Residual lung capacity A 0.26 0.90 0.86 0.90NA 0.86 NA 0.02 1.18 1.14 1.18 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94240TCResidual lung capacity A 0.00 0.81 0.77 0.81NA 0.77 NA 0.01 0.82 0.78 0.82 0.78 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9424026Residual lung capacity A 0.26 0.09 0.09 0.09 0.09 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94250 Expired gas collection A 0.11 0.62 0.57 0.62NA 0.57 NA 0.02 0.75 0.70 0.75 0.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94250TCExpired gas collection A 0.00 0.58 0.53 0.58NA 0.53 NA 0.01 0.59 0.54 0.59 0.54 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9425026Expired gas collection A 0.11 0.04 0.04 0.04 0.04 0.01 0.16 0.16 0.16 0.16 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94260 Thoracic gas volume A 0.13 0.81 0.78 0.81NA 0.78 NA 0.02 0.96 0.93 0.96 0.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94260TCThoracic gas volume A 0.00 0.77 0.73 0.77NA 0.73 NA 0.01 0.78 0.74 0.78 0.74 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9426026Thoracic gas volume A 0.13 0.04 0.05 0.04 0.05 0.01 0.18 0.19 0.18 0.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94350 Lung nitrogen washout curve A 0.26 0.74 0.69 0.74NA 0.69 NA 0.02 1.02 0.97 1.02 0.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94350TCLung nitrogen washout curve A 0.00 0.65 0.59 0.65NA 0.59 NA 0.01 0.66 0.60 0.66 0.60 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9435026Lung nitrogen washout curve A 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94360 Measure airflow resistance A 0.26 1.03 0.99 1.03NA 0.99 NA 0.02 1.31 1.27 1.31 1.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94360TCMeasure airflow resistance A 0.00 0.94 0.90 0.94NA 0.90 NA 0.01 0.95 0.91 0.95 0.91 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9436026Measure airflow resistance A 0.26 0.09 0.09 0.09 0.09 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94370 Breath airway closing volume A 0.26 0.73 0.69 0.73NA 0.69 NA 0.02 1.01 0.97 1.01 0.97 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94370TCBreath airway closing volume A 0.00 0.64 0.59 0.64NA 0.59 NA 0.01 0.65 0.60 0.65 0.60 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9437026Breath airway closing volume A 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94375 Respiratory flow volume loop A 0.31 0.80 0.78 0.80NA 0.78 NA 0.02 1.13 1.11 1.13 1.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94375TCRespiratory flow volume loop A 0.00 0.69 0.66 0.69NA 0.66 NA 0.01 0.70 0.67 0.70 0.67 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9437526Respiratory flow volume loop A 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94400 CO2 breathing response curve A 0.40 1.16 1.13 1.16NA 1.13 NA 0.02 1.58 1.55 1.58 1.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94400TCCO2 breathing response curve A 0.00 1.02 0.99 1.02NA 0.99 NA 0.01 1.03 1.00 1.03 1.00 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9440026CO2 breathing response curve A 0.40 0.14 0.14 0.14 0.14 0.01 0.55 0.55 0.55 0.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94450 Hypoxia response curve A 0.40 1.32 1.47 1.32NA 1.47 NA 0.02 1.74 1.89 1.74 1.89 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94450TCHypoxia response curve A 0.00 1.17 1.30 1.17NA 1.30 NA 0.01 1.18 1.31 1.18 1.31 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9445026Hypoxia response curve A 0.40 0.15 0.17 0.15 0.17 0.01 0.56 0.58 0.56 0.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94452 Hast w/report A 0.31 1.36 1.29 1.36NA 1.29 NA 0.02 1.69 1.62 1.69 1.62 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94452TCHast w/report A 0.00 1.26 1.18 1.26NA 1.18 NA 0.01 1.27 1.19 1.27 1.19 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9445226Hast w/report A 0.31 0.10 0.11 0.10 0.11 0.01 0.42 0.43 0.42 0.43 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94453 Hast w/oxygen titrate A 0.40 1.87 1.77 1.87NA 1.77 NA 0.02 2.29 2.19 2.29 2.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94453TCHast w/oxygen titrate A 0.00 1.73 1.63 1.73NA 1.63 NA 0.01 1.74 1.64 1.74 1.64 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9445326Hast w/oxygen titrate A 0.40 0.14 0.14 0.14 0.14 0.01 0.55 0.55 0.55 0.55 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94610 Surfactant admin thru tube A 1.16 0.51 0.56 0.51 0.56 0.07 1.74 1.79 1.74 1.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94620 Pulmonary stress test/simple A 0.64 1.19 0.88 1.19NA 0.88 NA 0.04 1.87 1.56 1.87 1.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94620TCPulmonary stress test/simple A 0.00 0.96 0.65 0.96NA 0.65 NA 0.01 0.97 0.66 0.97 0.66 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9462026Pulmonary stress test/simple A 0.64 0.23 0.23 0.23 0.23 0.03 0.90 0.90 0.90 0.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94621 Pulm stress test/complex A 1.42 3.31 3.11 3.31NA 3.11 NA 0.06 4.79 4.59 4.79 4.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94621TCPulm stress test/complex A 0.00 2.76 2.58 2.76NA 2.58 NA 0.01 2.77 2.59 2.77 2.59 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9462126Pulm stress test/complex A 1.42 0.55 0.53 0.55 0.53 0.05 2.02 2.00 2.02 2.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94640 Airway inhalation treatment A 0.00 0.46 0.49 0.46NA 0.49 NA 0.01 0.47 0.50 0.47 0.50 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94642 Aerosol inhalation treatment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94644 Cbt 1st hour A 0.00 1.17 1.21 1.17NA 1.21 NA 0.01 1.18 1.22 1.18 1.22 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94645 Cbt each addl hour A 0.00 0.42 0.40 0.42NA 0.40 NA 0.01 0.43 0.41 0.43 0.41 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94660 Pos airway pressure cpap A 0.76 0.94 0.96 0.27 0.30 0.05 1.75 1.77 1.08 1.11 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94662 Neg press ventilation cnp A 0.76 0.25NA 0.26NA 0.25 0.26 0.05 1.06 1.07 1.06 1.07 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94664 Evaluate pt use of inhaler A 0.00 0.46 0.47 0.46NA 0.47 NA 0.01 0.47 0.48 0.47 0.48 5XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 94667 Chest wall manipulation A 0.00 0.65 0.67 0.65NA 0.67 NA 0.01 0.66 0.68 0.66 0.68 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94668 Chest wall manipulation A 0.00 0.63 0.64 0.63NA 0.64 NA 0.01 0.64 0.65 0.64 0.65 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94680 Exhaled air analysis o2 A 0.26 1.45 1.35 1.45NA 1.35 NA 0.02 1.73 1.63 1.73 1.63 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94680TCExhaled air analysis o2 A 0.00 1.35 1.24 1.35NA 1.24 NA 0.01 1.36 1.25 1.36 1.25 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9468026Exhaled air analysis o2 A 0.26 0.10 0.11 0.10 0.11 0.01 0.37 0.38 0.37 0.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94681 Exhaled air analysis o2/co2 A 0.20 1.46 1.20 1.46NA 1.20 NA 0.02 1.68 1.42 1.68 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94681TCExhaled air analysis o2/co2 A 0.00 1.39 1.12 1.39NA 1.12 NA 0.01 1.40 1.13 1.40 1.13 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9468126Exhaled air analysis o2/co2 A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94690 Exhaled air analysis A 0.07 1.43 1.31 1.43NA 1.31 NA 0.02 1.52 1.40 1.52 1.40 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94690TCExhaled air analysis A 0.00 1.40 1.28 1.40NA 1.28 NA 0.01 1.41 1.29 1.41 1.29 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9469026Exhaled air analysis A 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94720 Monoxide diffusing capacity A 0.26 1.26 1.18 1.26NA 1.18 NA 0.02 1.54 1.46 1.54 1.46 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94720TCMonoxide diffusing capacity A 0.00 1.17 1.09 1.17NA 1.09 NA 0.01 1.18 1.10 1.18 1.10 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9472026Monoxide diffusing capacity A 0.26 0.09 0.09 0.09 0.09 0.01 0.36 0.36 0.36 0.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94725 Membrane diffusion capacity A 0.26 1.48 1.16 1.48NA 1.16 NA 0.02 1.76 1.44 1.76 1.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94725TCMembrane diffusion capacity A 0.00 1.38 1.06 1.38NA 1.06 NA 0.01 1.39 1.07 1.39 1.07 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9472526Membrane diffusion capacity A 0.26 0.10 0.10 0.10 0.10 0.01 0.37 0.37 0.37 0.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94750 Pulmonary compliance study A 0.23 2.04 2.04 2.04NA 2.04 NA 0.02 2.29 2.29 2.29 2.29 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94750TCPulmonary compliance study A 0.00 1.96 1.95 1.96NA 1.95 NA 0.01 1.97 1.96 1.97 1.96 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9475026Pulmonary compliance study A 0.23 0.08 0.09 0.08 0.09 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94760 Measure blood oxygen level T 0.00 0.07 0.08 0.07NA 0.08 NA 0.01 0.08 0.09 0.08 0.09 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 94761 Measure blood oxygen level T 0.00 0.12 0.12 0.12NA 0.12 NA 0.01 0.13 0.13 0.13 0.13 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 94762 Measure blood oxygen level A 0.00 0.58 0.29 0.58NA 0.29 NA 0.01 0.59 0.30 0.59 0.30 3XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 94770 Exhaled carbon dioxide test A 0.15 0.50 0.07 0.50 0.07 0.03 0.68 0.25 0.68 0.25 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94772 Breath recording infant C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94772TCBreath recording infant C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9477226Breath recording infant C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94774 Ped home apnea rec compl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94775 Ped home apnea rec hk-up C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94776 Ped home apnea rec downld C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94777 Ped home apnea rec report C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2YYY.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94799 Pulmonary service/procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 94799TCPulmonary service/procedure C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9479926Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95004 Percut allergy skin tests A 0.01 0.17 0.17 0.17NA 0.17 NA 0.01 0.19 0.19 0.19 0.19 0XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95010 Percut allergy titrate test A 0.15 0.38 0.38 0.38NA 0.38 NA 0.01 0.54 0.54 0.54 0.54 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95012 Exhaled nitric oxide meas A 0.00 0.60 0.55 0.60NA 0.55 NA 0.01 0.61 0.56 0.61 0.56 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95015 Id allergy titrate-drug/bug A 0.15 0.26 0.29 0.07 0.07 0.01 0.42 0.45 0.23 0.23 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95024 Id allergy test drug/bug A 0.01 0.20 0.19 0.20NA 0.19 NA 0.01 0.22 0.21 0.22 0.21 0XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95027 Id allergy titrate-airborne A 0.01 0.12 0.11 0.12NA 0.11 NA 0.01 0.14 0.13 0.14 0.13 0XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95028 Id allergy test-delayed type A 0.00 0.36 0.37 0.36NA 0.37 NA 0.01 0.37 0.38 0.37 0.38 3XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95044 Allergy patch tests A 0.00 0.17 0.15 0.17NA 0.15 NA 0.01 0.18 0.16 0.18 0.16 5XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95052 Photo patch test A 0.00 0.20 0.17 0.20NA 0.17 NA 0.01 0.21 0.18 0.21 0.18 5XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95056 Photosensitivity tests A 0.00 1.19 1.23 1.19NA 1.23 NA 0.01 1.20 1.24 1.20 1.24 5XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95060 Eye allergy tests A 0.00 0.83 0.90 0.83 0.90 0.01 0.84 0.91 0.84 0.91 3XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 95065 Nose allergy test A 0.00 0.71 0.72 0.71 0.72 0.01 0.72 0.73 0.72 0.73 3XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 95070 Bronchial allergy tests A 0.00 1.11 0.80 1.11NA 0.80 NA 0.01 1.12 0.81 1.12 0.81 3XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95071 Bronchial allergy tests A 0.00 1.49 1.23 1.49NA 1.23 NA 0.01 1.50 1.24 1.50 1.24 3XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 95075 Ingestion challenge test A 0.95 0.90 0.90 0.42 0.44 0.04 1.89 1.89 1.41 1.43 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95115 Immunotherapy one injection A 0.00 0.29 0.26 0.29NA 0.26 NA 0.01 0.30 0.27 0.30 0.27 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95117 Immunotherapy injections A 0.00 0.36 0.31 0.36NA 0.31 NA 0.01 0.37 0.32 0.37 0.32 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95120 Immunotherapy one injection I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95125 Immunotherapy many antigens I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95130 Immunotherapy insect venom I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95131 Immunotherapy insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95132 Immunotherapy insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95133 Immunotherapy insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95134 Immunotherapy insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 95144 Antigen therapy services A 0.06 0.30 0.30 0.03 0.03 0.01 0.37 0.37 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95145 Antigen therapy services A 0.06 0.49 0.55 0.03 0.03 0.01 0.56 0.62 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95146 Antigen therapy services A 0.06 0.91 1.06 0.03 0.03 0.01 0.98 1.13 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95147 Antigen therapy services A 0.06 0.85 0.95 0.03 0.03 0.01 0.92 1.02 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95148 Antigen therapy services A 0.06 1.26 1.45 0.03 0.03 0.01 1.33 1.52 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95149 Antigen therapy services A 0.06 1.70 1.97 0.03 0.03 0.01 1.77 2.04 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95165 Antigen therapy services A 0.06 0.30 0.30 0.03 0.03 0.01 0.37 0.37 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95170 Antigen therapy services A 0.06 0.22 0.21 0.03 0.03 0.01 0.29 0.28 0.10 0.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95180 Rapid desensitization A 2.01 2.07 1.94 1.02 0.99 0.07 4.15 4.02 3.10 3.07 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95199 Allergy immunology services C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95250 Glucose monitoring cont A 0.00 4.35 4.35 4.35NA 4.35 NA 0.01 4.36 4.36 4.36 4.36 3XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95251 Gluc monitor cont phys i&r A 0.85 0.34 0.39 0.34 0.39 0.04 1.23 1.28 1.23 1.28 2XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95800 Slp stdy unattended A 1.05 4.95 4.95 4.95NA 4.95 NA 0.05 6.05 6.05 6.05 6.05 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95800TCSlp stdy unattended A 0.00 4.33 4.33 4.33NA 4.33 NA 0.01 4.34 4.34 4.34 4.34 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580026Slp stdy unattended A 1.05 0.62 0.62 0.62 0.62 0.04 1.71 1.71 1.71 1.71 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95801 Slp stdy unatnd w/anal A 1.00 1.80 1.80 1.80NA 1.80 NA 0.05 2.85 2.85 2.85 2.85 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95801TCSlp stdy unatnd w/anal A 0.00 1.33 1.33 1.33NA 1.33 NA 0.01 1.34 1.34 1.34 1.34 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580126Slp stdy unatnd w/anal A 1.00 0.47 0.47 0.47 0.47 0.04 1.51 1.51 1.51 1.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95803 Actigraphy testing A 0.90 3.83 3.83 3.83NA 3.83 NA 0.05 4.78 4.78 4.78 4.78 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95803TCActigraphy testing A 0.00 3.39 3.39 3.39NA 3.39 NA 0.01 3.40 3.40 3.40 3.40 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580326Actigraphy testing A 0.90 0.44 0.44 0.44 0.44 0.04 1.38 1.38 1.38 1.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95805 Multiple sleep latency test A 1.20 10.80 10.13 10.80NA 10.13 NA 0.08 12.08 11.41 12.08 11.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95805TCMultiple sleep latency test A 0.00 10.22 9.65 10.22NA 9.65 NA 0.04 10.26 9.69 10.26 9.69 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580526Multiple sleep latency test A 1.20 0.58 0.48 0.58 0.48 0.04 1.82 1.72 1.82 1.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95806 Sleep study unatt&resp efft A 1.25 4.03 3.49 4.03NA 3.49 NA 0.08 5.36 4.82 5.36 4.82 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95806TCSleep study unatt&resp efft A 0.00 3.48 3.00 3.48NA 3.00 NA 0.03 3.51 3.03 3.51 3.03 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580626Sleep study unatt&resp efft A 1.25 0.55 0.49 0.55 0.49 0.05 1.85 1.79 1.85 1.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95807 Sleep study attended A 1.28 12.40 10.76 12.40NA 10.76 NA 0.15 13.83 12.19 13.83 12.19 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95807TCSleep study attended A 0.00 11.87 10.29 11.87NA 10.29 NA 0.10 11.97 10.39 11.97 10.39 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580726Sleep study attended A 1.28 0.53 0.47 0.53 0.47 0.05 1.86 1.80 1.86 1.80 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95808 Polysomnography 1-3 A 1.74 17.21 16.46 17.21NA 16.46 NA 0.17 19.12 18.37 19.12 18.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95808TCPolysomnography 1-3 A 0.00 16.37 15.73 16.37NA 15.73 NA 0.10 16.47 15.83 16.47 15.83 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9580826Polysomnography 1-3 A 1.74 0.84 0.73 0.84 0.73 0.07 2.65 2.54 2.65 2.54 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95810 Polysomnography 4 or more A 2.50 17.72 14.54 17.72NA 14.54 NA 0.21 20.43 17.25 20.43 17.25 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95810TCPolysomnography 4 or more A 0.00 16.63 13.58 16.63NA 13.58 NA 0.11 16.74 13.69 16.74 13.69 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581026Polysomnography 4 or more A 2.50 1.09 0.96 1.09 0.96 0.10 3.69 3.56 3.69 3.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95811 Polysomnography w/cpap A 2.60 19.22 15.27 19.22NA 15.27 NA 0.23 22.05 18.10 22.05 18.10 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95811TCPolysomnography w/cpap A 0.00 18.07 14.28 18.07NA 14.28 NA 0.12 18.19 14.40 18.19 14.40 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581126Polysomnography w/cpap A 2.60 1.15 0.99 1.15 0.99 0.11 3.86 3.70 3.86 3.70 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95812 Eeg 41-60 minutes A 1.08 8.12 9.75 8.12NA 9.75 NA 0.07 9.27 10.90 9.27 10.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95812TCEeg 41-60 minutes A 0.00 7.65 9.23 7.65NA 9.23 NA 0.03 7.68 9.26 7.68 9.26 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581226Eeg 41-60 minutes A 1.08 0.47 0.52 0.47 0.52 0.04 1.59 1.64 1.59 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95813 Eeg over 1 hour A 1.73 8.61 9.75 8.61NA 9.75 NA 0.11 10.45 11.59 10.45 11.59 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95813TCEeg over 1 hour A 0.00 7.87 8.95 7.87NA 8.95 NA 0.04 7.91 8.99 7.91 8.99 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581326Eeg over 1 hour A 1.73 0.74 0.80 0.74 0.80 0.07 2.54 2.60 2.54 2.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95816 Eeg awake and drowsy A 1.08 7.43 8.99 7.43NA 8.99 NA 0.08 8.59 10.15 8.59 10.15 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95816TCEeg awake and drowsy A 0.00 6.95 8.47 6.95NA 8.47 NA 0.03 6.98 8.50 6.98 8.50 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581626Eeg awake and drowsy A 1.08 0.48 0.52 0.48 0.52 0.05 1.61 1.65 1.61 1.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95819 Eeg awake and asleep A 1.08 8.43 10.45 8.43NA 10.45 NA 0.07 9.58 11.60 9.58 11.60 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95819TCEeg awake and asleep A 0.00 7.95 9.93 7.95NA 9.93 NA 0.03 7.98 9.96 7.98 9.96 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9581926Eeg awake and asleep A 1.08 0.48 0.52 0.48 0.52 0.04 1.60 1.64 1.60 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95822 Eeg coma or sleep only A 1.08 7.81 9.27 7.81NA 9.27 NA 0.07 8.96 10.42 8.96 10.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95822TCEeg coma or sleep only A 0.00 7.33 8.75 7.33NA 8.75 NA 0.03 7.36 8.78 7.36 8.78 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9582226Eeg coma or sleep only A 1.08 0.48 0.52 0.48 0.52 0.04 1.60 1.64 1.60 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95824 Eeg cerebral death only C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95824TCEeg cerebral death only C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9582426Eeg cerebral death only A 0.74 0.32 0.35 0.32 0.35 0.05 1.11 1.14 1.11 1.14 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95827 Eeg all night recording A 1.08 15.25 19.27 15.25NA 19.27 NA 0.13 16.46 20.48 16.46 20.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95827TCEeg all night recording A 0.00 14.78 18.75 14.78NA 18.75 NA 0.08 14.86 18.83 14.86 18.83 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9582726Eeg all night recording A 1.08 0.47 0.52 0.47 0.52 0.05 1.60 1.65 1.60 1.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95829 Surgery electrocorticogram A 6.20 37.55 42.49 37.55NA 42.49 NA 0.21 43.96 48.90 43.96 48.90 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95829TCSurgery electrocorticogram A 0.00 34.81 39.49 34.81NA 39.49 NA 0.05 34.86 39.54 34.86 39.54 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9582926Surgery electrocorticogram A 6.20 2.74 3.00 2.74 3.00 0.16 9.10 9.36 9.10 9.36 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95830 Insert electrodes for EEG A 1.70 3.77 3.85 0.70 0.74 0.14 5.61 5.69 2.54 2.58 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95831 Limb muscle testing manual A 0.28 0.54 0.57 0.13 0.14 0.03 0.85 0.88 0.44 0.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95832 Hand muscle testing manual A 0.29 0.50 0.57 0.14 0.17 0.03 0.82 0.89 0.46 0.49 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95833 Body muscle testing manual A 0.47 0.60 0.61 0.18 0.16 0.01 1.08 1.09 0.66 0.64 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95834 Body muscle testing manual A 0.60 0.73 0.81 0.24 0.26 0.03 1.36 1.44 0.87 0.89 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95851 Range of motion measurements A 0.16 0.34 0.34 0.06 0.06 0.01 0.51 0.51 0.23 0.23 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95852 Range of motion measurements A 0.11 0.31 0.34 0.05 0.05 0.01 0.43 0.46 0.17 0.17 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95857 Cholinesterase challenge A 0.53 0.81 0.92 0.27 0.30 0.04 1.38 1.49 0.84 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95860 Muscle test one limb A 0.96 1.66 1.84 1.66NA 1.84 NA 0.04 2.66 2.84 2.66 2.84 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95860TCMuscle test one limb A 0.00 1.19 1.34 1.19NA 1.34 NA 0.01 1.20 1.35 1.20 1.35 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586026Muscle test one limb A 0.96 0.47 0.50 0.47 0.50 0.03 1.46 1.49 1.46 1.49 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95861 Muscle test 2 limbs A 1.54 2.26 2.58 2.26NA 2.58 NA 0.06 3.86 4.18 3.86 4.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95861TCMuscle test 2 limbs A 0.00 1.52 1.79 1.52NA 1.79 NA 0.01 1.53 1.80 1.53 1.80 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586126Muscle test 2 limbs A 1.54 0.74 0.79 0.74 0.79 0.05 2.33 2.38 2.33 2.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95863 Muscle test 3 limbs A 1.87 2.71 3.16 2.71NA 3.16 NA 0.08 4.66 5.11 4.66 5.11 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95863TCMuscle test 3 limbs A 0.00 1.85 2.22 1.85NA 2.22 NA 0.01 1.86 2.23 1.86 2.23 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586326Muscle test 3 limbs A 1.87 0.86 0.94 0.86 0.94 0.07 2.80 2.88 2.80 2.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95864 Muscle test 4 limbs A 1.99 3.05 3.34 3.05NA 3.34 NA 0.08 5.12 5.41 5.12 5.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95864TCMuscle test 4 limbs A 0.00 2.12 2.34 2.12NA 2.34 NA 0.01 2.13 2.35 2.13 2.35 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586426Muscle test 4 limbs A 1.99 0.93 1.00 0.93 1.00 0.07 2.99 3.06 2.99 3.06 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95865 Muscle test larynx A 1.57 1.90 2.06 1.90NA 2.06 NA 0.05 3.52 3.68 3.52 3.68 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95865TCMuscle test larynx A 0.00 1.12 1.22 1.12NA 1.22 NA 0.01 1.13 1.23 1.13 1.23 1XXX.00.00.0002000 33.9764 6A0 99 0.00 0.00 0.00 9586526Muscle test larynx A 1.57 0.78 0.84 0.78 0.84 0.04 2.39 2.45 2.39 2.45 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95866 Muscle test hemidiaphragm A 1.25 1.74 2.01 1.74NA 2.01 NA 0.06 3.05 3.32 3.05 3.32 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95866TCMuscle test hemidiaphragm A 0.00 1.16 1.41 1.16NA 1.41 NA 0.01 1.17 1.42 1.17 1.42 1XXX.00.00.0001000 33.9764 6A0 99 0.00 0.00 0.00 9586626Muscle test hemidiaphragm A 1.25 0.58 0.60 0.58 0.60 0.05 1.88 1.90 1.88 1.90 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95867 Muscle test cran nerv unilat A 0.79 1.53 1.73 1.53NA 1.73 NA 0.04 2.36 2.56 2.36 2.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95867TCMuscle test cran nerv unilat A 0.00 1.15 1.32 1.15NA 1.32 NA 0.01 1.16 1.33 1.16 1.33 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586726Muscle test cran nerv unilat A 0.79 0.38 0.41 0.38 0.41 0.03 1.20 1.23 1.20 1.23 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95868 Muscle test cran nerve bilat A 1.18 1.97 2.25 1.97NA 2.25 NA 0.05 3.20 3.48 3.20 3.48 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95868TCMuscle test cran nerve bilat A 0.00 1.42 1.65 1.42NA 1.65 NA 0.01 1.43 1.66 1.43 1.66 1XXX.00.00.0002000 33.9764 6A0 99 0.00 0.00 0.00 9586826Muscle test cran nerve bilat A 1.18 0.55 0.60 0.55 0.60 0.04 1.77 1.82 1.77 1.82 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95869 Muscle test thor paraspinal A 0.37 1.33 1.62 1.33NA 1.62 NA 0.02 1.72 2.01 1.72 2.01 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95869TCMuscle test thor paraspinal A 0.00 1.15 1.43 1.15NA 1.43 NA 0.01 1.16 1.44 1.16 1.44 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9586926Muscle test thor paraspinal A 0.37 0.18 0.19 0.18 0.19 0.01 0.56 0.57 0.56 0.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95870 Muscle test nonparaspinal A 0.37 1.29 1.60 1.29NA 1.60 NA 0.02 1.68 1.99 1.68 1.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95870TCMuscle test nonparaspinal A 0.00 1.12 1.41 1.12NA 1.41 NA 0.01 1.13 1.42 1.13 1.42 1XXX.00.00.0000000 33.9764 6A0 99 0.00 0.00 0.00 9587026Muscle test nonparaspinal A 0.37 0.17 0.19 0.17 0.19 0.01 0.55 0.57 0.55 0.57 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95872 Muscle test one fiber A 2.88 2.23 2.58 2.23NA 2.58 NA 0.12 5.23 5.58 5.23 5.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95872TCMuscle test one fiber A 0.00 1.02 1.20 1.02NA 1.20 NA 0.01 1.03 1.21 1.03 1.21 1XXX.00.00.0000000 33.9764 660 99 0.00 0.00 0.00 9587226Muscle test one fiber A 2.88 1.21 1.38 1.21 1.38 0.11 4.20 4.37 4.20 4.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95873 Guide nerv destr elec stim A 0.37 1.32 1.60 1.32NA 1.60 NA 0.02 1.71 1.99 1.71 1.99 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95873TCGuide nerv destr elec stim A 0.00 1.12 1.39 1.12NA 1.39 NA 0.01 1.13 1.40 1.13 1.40 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9587326Guide nerv destr elec stim A 0.37 0.20 0.21 0.20 0.21 0.01 0.58 0.59 0.58 0.59 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95874 Guide nerv destr needle emg A 0.37 1.24 1.53 1.24NA 1.53 NA 0.02 1.63 1.92 1.63 1.92 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95874TCGuide nerv destr needle emg A 0.00 1.06 1.33 1.06NA 1.33 NA 0.01 1.07 1.34 1.07 1.34 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9587426Guide nerv destr needle emg A 0.37 0.18 0.20 0.18 0.20 0.01 0.56 0.58 0.56 0.58 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95875 Limb exercise test A 1.10 1.93 2.21 1.93NA 2.21 NA 0.06 3.09 3.37 3.09 3.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95875TCLimb exercise test A 0.00 1.44 1.68 1.44NA 1.68 NA 0.01 1.45 1.69 1.45 1.69 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9587526Limb exercise test A 1.10 0.49 0.53 0.49 0.53 0.05 1.64 1.68 1.64 1.68 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95900 Motor nerve conduction test A 0.42 1.33 1.44 1.33NA 1.44 NA 0.02 1.77 1.88 1.77 1.88 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95900TCMotor nerve conduction test A 0.00 1.13 1.22 1.13NA 1.22 NA 0.01 1.14 1.23 1.14 1.23 1XXX.00.00.0000000 33.9764 7A0 99 0.00 0.00 0.00 9590026Motor nerve conduction test A 0.42 0.20 0.22 0.20 0.22 0.01 0.63 0.65 0.63 0.65 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95903 Motor nerve conduction test A 0.60 1.41 1.54 1.41NA 1.54 NA 0.04 2.05 2.18 2.05 2.18 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95903TCMotor nerve conduction test A 0.00 1.14 1.25 1.14NA 1.25 NA 0.01 1.15 1.26 1.15 1.26 1XXX.00.00.0000000 33.9764 7A0 99 0.00 0.00 0.00 9590326Motor nerve conduction test A 0.60 0.27 0.29 0.27 0.29 0.03 0.90 0.92 0.90 0.92 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95904 Sense nerve conduction test A 0.34 1.20 1.28 1.20NA 1.28 NA 0.02 1.56 1.64 1.56 1.64 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95904TCSense nerve conduction test A 0.00 1.04 1.11 1.04NA 1.11 NA 0.01 1.05 1.12 1.05 1.12 1XXX.00.00.0000000 33.9764 7A0 99 0.00 0.00 0.00 9590426Sense nerve conduction test A 0.34 0.16 0.17 0.16 0.17 0.01 0.51 0.52 0.51 0.52 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95905 Motor/sens nrve conduct test A 0.05 2.41 2.41 2.41NA 2.41 NA 0.02 2.48 2.48 2.48 2.48 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95905TCMotor/sens nrve conduct test A 0.00 2.38 2.38 2.38NA 2.38 NA 0.01 2.39 2.39 2.39 2.39 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9590526Motor/sens nrve conduct test A 0.05 0.03 0.03 0.03 0.03 0.01 0.09 0.09 0.09 0.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95920 Intraop nerve test add-on A 2.11 2.46 2.69 2.46NA 2.69 NA 0.09 4.66 4.89 4.66 4.89 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95920TCIntraop nerve test add-on A 0.00 1.51 1.66 1.51NA 1.66 NA 0.01 1.52 1.67 1.52 1.67 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9592026Intraop nerve test add-on A 2.11 0.95 1.03 0.95 1.03 0.08 3.14 3.22 3.14 3.22 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95921 Autonomic nerv function test A 0.90 1.41 1.53 1.41NA 1.53 NA 0.04 2.35 2.47 2.35 2.47 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95921TCAutonomic nerv function test A 0.00 1.03 1.12 1.03NA 1.12 NA 0.01 1.04 1.13 1.04 1.13 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9592126Autonomic nerv function test A 0.90 0.38 0.41 0.38 0.41 0.03 1.31 1.34 1.31 1.34 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95922 Autonomic nerv function test A 0.96 1.90 2.09 1.90NA 2.09 NA 0.04 2.90 3.09 2.90 3.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95922TCAutonomic nerv function test A 0.00 1.49 1.66 1.49NA 1.66 NA 0.01 1.50 1.67 1.50 1.67 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9592226Autonomic nerv function test A 0.96 0.41 0.43 0.41 0.43 0.03 1.40 1.42 1.40 1.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95923 Autonomic nerv function test A 0.90 3.31 3.92 3.31NA 3.92 NA 0.05 4.26 4.87 4.26 4.87 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95923TCAutonomic nerv function test A 0.00 2.91 3.48 2.91NA 3.48 NA 0.01 2.92 3.49 2.92 3.49 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9592326Autonomic nerv function test A 0.90 0.40 0.44 0.40 0.44 0.04 1.34 1.38 1.34 1.38 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95925 Somatosensory testing A 0.54 4.05 4.92 4.05NA 4.92 NA 0.02 4.61 5.48 4.61 5.48 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95925TCSomatosensory testing A 0.00 3.81 4.66 3.81NA 4.66 NA 0.01 3.82 4.67 3.82 4.67 1XXX.00.00.0002000 33.9764 210 99 0.00 0.00 0.00 9592526Somatosensory testing A 0.54 0.24 0.26 0.24 0.26 0.01 0.79 0.81 0.79 0.81 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95926 Somatosensory testing A 0.54 3.89 4.65 3.89NA 4.65 NA 0.04 4.47 5.23 4.47 5.23 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95926TCSomatosensory testing A 0.00 3.65 4.40 3.65NA 4.40 NA 0.01 3.66 4.41 3.66 4.41 1XXX.00.00.0002000 33.9764 210 99 0.00 0.00 0.00 9592626Somatosensory testing A 0.54 0.24 0.25 0.24 0.25 0.03 0.81 0.82 0.81 0.82 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95927 Somatosensory testing A 0.54 3.63 4.05 3.63NA 4.05 NA 0.02 4.19 4.61 4.19 4.61 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95927TCSomatosensory testing A 0.00 3.38 3.79 3.38NA 3.79 NA 0.01 3.39 3.80 3.39 3.80 1XXX.00.00.0000000 33.9764 210 99 0.00 0.00 0.00 9592726Somatosensory testing A 0.54 0.25 0.26 0.25 0.26 0.01 0.80 0.81 0.80 0.81 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95928 C motor evoked uppr limbs A 1.50 5.28 6.22 5.28NA 6.22 NA 0.10 6.88 7.82 6.88 7.82 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95928TCC motor evoked uppr limbs A 0.00 4.62 5.49 4.62NA 5.49 NA 0.03 4.65 5.52 4.65 5.52 1XXX.00.00.0002000 33.9764 210 99 0.00 0.00 0.00 9592826C motor evoked uppr limbs A 1.50 0.66 0.73 0.66 0.73 0.07 2.23 2.30 2.23 2.30 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95929 C motor evoked lwr limbs A 1.50 5.69 6.67 5.69NA 6.67 NA 0.10 7.29 8.27 7.29 8.27 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95929TCC motor evoked lwr limbs A 0.00 5.02 5.94 5.02NA 5.94 NA 0.03 5.05 5.97 5.05 5.97 1XXX.00.00.0002000 33.9764 210 99 0.00 0.00 0.00 9592926C motor evoked lwr limbs A 1.50 0.67 0.73 0.67 0.73 0.07 2.24 2.30 2.24 2.30 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95930 Visual evoked potential test A 0.35 3.55 4.08 3.55NA 4.08 NA 0.02 3.92 4.45 3.92 4.45 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95930TCVisual evoked potential test A 0.00 3.39 3.90 3.39NA 3.90 NA 0.01 3.40 3.91 3.40 3.91 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 9593026Visual evoked potential test A 0.35 0.16 0.18 0.16 0.18 0.01 0.52 0.54 0.52 0.54 1XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 95933 Blink reflex test A 0.59 1.55 1.78 1.55NA 1.78 NA 0.04 2.18 2.41 2.18 2.41 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95933TCBlink reflex test A 0.00 1.28 1.49 1.28NA 1.49 NA 0.01 1.29 1.50 1.29 1.50 1XXX.00.00.0000000 33.9764 7A0 99 0.00 0.00 0.00 9593326Blink reflex test A 0.59 0.27 0.29 0.27 0.29 0.03 0.89 0.91 0.89 0.91 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95934 H-reflex test A 0.51 1.12 1.30 1.12NA 1.30 NA 0.02 1.65 1.83 1.65 1.83 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95934TCH-reflex test A 0.00 0.88 1.05 0.88NA 1.05 NA 0.01 0.89 1.06 0.89 1.06 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 9593426H-reflex test A 0.51 0.24 0.25 0.24 0.25 0.01 0.76 0.77 0.76 0.77 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95936 H-reflex test A 0.55 0.79 0.90 0.79NA 0.90 NA 0.02 1.36 1.47 1.36 1.47 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95936TCH-reflex test A 0.00 0.54 0.63 0.54NA 0.63 NA 0.01 0.55 0.64 0.55 0.64 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 9593626H-reflex test A 0.55 0.25 0.27 0.25 0.27 0.01 0.81 0.83 0.81 0.83 1XXX.00.00.0001000 33.9764 090 99 0.00 0.00 0.00 95937 Neuromuscular junction test A 0.65 1.20 1.39 1.20NA 1.39 NA 0.05 1.90 2.09 1.90 2.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95937TCNeuromuscular junction test A 0.00 0.91 1.08 0.91NA 1.08 NA 0.01 0.92 1.09 0.92 1.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9593726Neuromuscular junction test A 0.65 0.29 0.31 0.29 0.31 0.04 0.98 1.00 0.98 1.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95950 Ambulatory eeg monitoring A 1.51 6.35 7.11 6.35NA 7.11 NA 0.10 7.96 8.72 7.96 8.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95950TCAmbulatory eeg monitoring A 0.00 5.69 6.38 5.69NA 6.38 NA 0.03 5.72 6.41 5.72 6.41 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9595026Ambulatory eeg monitoring A 1.51 0.66 0.73 0.66 0.73 0.07 2.24 2.31 2.24 2.31 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95951 EEG monitoring/videorecord C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95951TCEEG monitoring/videorecord C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9595126EEG monitoring/videorecord A 5.99 2.65 2.90 2.65 2.90 0.48 9.12 9.37 9.12 9.37 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95953 EEG monitoring/computer A 3.08 8.89 9.01 8.89NA 9.01 NA 0.18 12.15 12.27 12.15 12.27 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95953TCEEG monitoring/computer A 0.00 7.50 7.52 7.50NA 7.52 NA 0.03 7.53 7.55 7.53 7.55 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9595326EEG monitoring/computer A 3.08 1.39 1.49 1.39 1.49 0.15 4.62 4.72 4.62 4.72 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95954 EEG monitoring/giving drugs A 2.45 6.53 7.96 6.53NA 7.96 NA 0.15 9.13 10.56 9.13 10.56 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95954TCEEG monitoring/giving drugs A 0.00 5.74 7.08 5.74NA 7.08 NA 0.04 5.78 7.12 5.78 7.12 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9595426EEG monitoring/giving drugs A 2.45 0.79 0.88 0.79 0.88 0.11 3.35 3.44 3.35 3.44 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95955 EEG during surgery A 1.01 3.88 4.61 3.88NA 4.61 NA 0.05 4.94 5.67 4.94 5.67 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95955TCEEG during surgery A 0.00 3.45 4.13 3.45NA 4.13 NA 0.01 3.46 4.14 3.46 4.14 1XXX.00.00.0000000 33.9764 020 99 0.00 0.00 0.00 9595526EEG during surgery A 1.01 0.43 0.48 0.43 0.48 0.04 1.48 1.53 1.48 1.53 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95956 Eeg monitor technol attended A 3.61 25.78 32.06 25.78NA 32.06 NA 0.32 29.71 35.99 29.71 35.99 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95956TCEeg monitor technol attended A 0.00 24.33 30.41 24.33NA 30.41 NA 0.16 24.49 30.57 24.49 30.57 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9595626Eeg monitor technol attended A 3.61 1.45 1.65 1.45 1.65 0.16 5.22 5.42 5.22 5.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95957 EEG digital analysis A 1.98 7.88 9.70 7.88NA 9.70 NA 0.11 9.97 11.79 9.97 11.79 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95957TCEEG digital analysis A 0.00 7.01 8.76 7.01NA 8.76 NA 0.01 7.02 8.77 7.02 8.77 1XXX.00.00.0000000 33.9764 010 99 0.00 0.00 0.00 9595726EEG digital analysis A 1.98 0.87 0.94 0.87 0.94 0.10 2.95 3.02 2.95 3.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95958 EEG monitoring/function test A 4.24 8.85 10.43 8.85NA 10.43 NA 0.26 13.35 14.93 13.35 14.93 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95958TCEEG monitoring/function test A 0.00 7.01 8.47 7.01NA 8.47 NA 0.04 7.05 8.51 7.05 8.51 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9595826EEG monitoring/function test A 4.24 1.84 1.96 1.84 1.96 0.22 6.30 6.42 6.30 6.42 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95961 Electrode stimulation brain A 2.97 4.27 4.97 4.27NA 4.97 NA 0.15 7.39 8.09 7.39 8.09 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95961TCElectrode stimulation brain A 0.00 2.91 3.50 2.91NA 3.50 NA 0.01 2.92 3.51 2.92 3.51 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9596126Electrode stimulation brain A 2.97 1.36 1.47 1.36 1.47 0.14 4.47 4.58 4.47 4.58 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95962 Electrode stim brain add-on A 3.21 3.29 3.76 3.29NA 3.76 NA 0.15 6.65 7.12 6.65 7.12 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95962TCElectrode stim brain add-on A 0.00 1.86 2.19 1.86NA 2.19 NA 0.01 1.87 2.20 1.87 2.20 1ZZZ.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9596226Electrode stim brain add-on A 3.21 1.43 1.57 1.43 1.57 0.14 4.78 4.92 4.78 4.92 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95965 Meg spontaneous C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95965TCMeg spontaneous C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9596526Meg spontaneous A 7.99 3.69 3.88 3.69 3.88 0.64 12.32 12.51 12.32 12.51 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95966 Meg evoked single C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95966TCMeg evoked single C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9596626Meg evoked single A 3.99 1.85 1.94 1.85 1.94 0.31 6.15 6.24 6.15 6.24 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95967 Meg evoked each addl C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95967TCMeg evoked each addl C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 9596726Meg evoked each addl A 3.49 1.56 1.69 1.56 1.69 0.29 5.34 5.47 5.34 5.47 1ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95970 Analyze neurostim no prog A 0.45 1.24 1.40 0.19 0.21 0.04 1.73 1.89 0.68 0.70 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95971 Analyze neurostim simple A 0.78 0.85 0.82 0.33 0.34 0.07 1.70 1.67 1.18 1.19 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95972 Analyze neurostim complex A 1.50 1.49 1.55 0.64 0.70 0.14 3.13 3.19 2.28 2.34 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95973 Analyze neurostim complex A 0.92 0.76 0.86 0.39 0.46 0.08 1.76 1.86 1.39 1.46 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95974 Cranial neurostim complex A 3.00 2.18 2.49 1.28 1.41 0.26 5.44 5.75 4.54 4.67 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95975 Cranial neurostim complex A 1.70 1.12 1.28 0.75 0.82 0.12 2.94 3.10 2.57 2.64 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95978 Analyze neurostim brain/1h A 3.50 2.71 3.10 1.56 1.72 0.38 6.59 6.98 5.44 5.60 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95979 Analyz neurostim brain addon A 1.64 1.10 1.24 0.73 0.81 0.14 2.88 3.02 2.51 2.59 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95980 Io anal gast n-stim init A 0.80 0.37NA 0.44NA 0.37 0.44 0.16 1.33 1.40 1.33 1.40 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95981 Io anal gast n-stim subsq A 0.30 0.57 0.60 0.17 0.20 0.03 0.90 0.93 0.50 0.53 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95982 Io ga n-stim subsq w/reprog A 0.65 0.70 0.80 0.30 0.36 0.05 1.40 1.50 1.00 1.06 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95990 Spin/brain pump refil & main A 0.00 2.19 2.47 2.19NA 2.47 NA 0.03 2.22 2.50 2.22 2.50 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95991 Spin/brain pump refil & main A 0.77 2.28 2.63 0.29 0.36 0.05 3.10 3.45 1.11 1.18 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95992 Canalith repositioning proc A 0.75 0.45 0.46 0.32 0.33 0.05 1.25 1.26 1.12 1.13 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 95999 Neurological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96000 Motion analysis video/3d A 1.80 0.77NA 0.93NA 0.77 0.93 0.11 2.68 2.84 2.68 2.84 7XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 96001 Motion test w/ft press meas A 2.15 0.68NA 0.65NA 0.68 0.65 0.12 2.95 2.92 2.95 2.92 7XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 96002 Dynamic surface emg A 0.41 0.18NA 0.20NA 0.18 0.20 0.03 0.62 0.64 0.62 0.64 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 96003 Dynamic fine wire emg A 0.37 0.15NA 0.18NA 0.15 0.18 0.03 0.55 0.58 0.55 0.58 0XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 96004 Phys review of motion tests A 2.14 1.00 1.03 1.00 1.03 0.14 3.28 3.31 3.28 3.31 2XXX.00.00.0002000 33.9764 090 99 0.00 0.00 0.00 96020 Functional brain mapping C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96020TCFunctional brain mapping C 0.00 0.00 0.00 0.00NA 0.00 NA 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 33.9764 030 99 0.00 0.00 0.00 9602026Functional brain mapping A 3.43 1.45 1.28 1.45 1.28 0.31 5.19 5.02 5.19 5.02 1XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96040 Genetic counseling 30 min B+ 0.00 1.29 1.23 1.29NA 1.23 NA 0.03 1.32 1.26 1.32 1.26 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 96101 Psycho testing by psych/phys A 1.86 0.51 0.48 0.40 0.28 0.07 2.44 2.41 2.33 2.21 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96102 Psycho testing by technician A 0.50 1.43 1.73 0.16 0.17 0.03 1.96 2.26 0.69 0.70 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96103 Psycho testing admin by comp A 0.51 1.11 1.30 0.18 0.19 0.03 1.65 1.84 0.72 0.73 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96105 Assessment of aphasia A 1.75 1.35 0.84 1.35NA 0.84 NA 0.04 3.14 2.63 3.14 2.63 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96110 Developmental test lim A 0.00 0.23 0.24 0.23NA 0.24 NA 0.01 0.24 0.25 0.24 0.25 5XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96111 Developmental test extend A 2.60 0.93 0.84 0.79 0.67 0.16 3.69 3.60 3.55 3.43 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96116 Neurobehavioral status exam A 1.86 0.72 0.70 0.56 0.55 0.10 2.68 2.66 2.52 2.51 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96118 Neuropsych tst by psych/phys A 1.86 0.93 0.69 0.38 0.26 0.07 2.86 2.62 2.31 2.19 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96119 Neuropsych testing by tec A 0.55 1.51 1.39 0.12 0.09 0.01 2.07 1.95 0.68 0.65 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96120 Neuropsych tst admin w/comp A 0.51 1.88 2.07 0.17 0.18 0.03 2.42 2.61 0.71 0.72 0XXX.00.00.0000000 33.9764 040 99 0.00 0.00 0.00 96125 Cognitive test by hc pro A 1.70 0.99 1.04 0.99NA 1.04 NA 0.07 2.76 2.81 2.76 2.81 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 96150 Assess hlth/behave init A 0.50 0.11 0.07 0.10 0.07 0.01 0.62 0.58 0.61 0.58 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96151 Assess hlth/behave subseq A 0.48 0.11 0.08 0.10 0.07 0.01 0.60 0.57 0.59 0.56 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96152 Intervene hlth/behave indiv A 0.46 0.10 0.07 0.09 0.06 0.01 0.57 0.54 0.56 0.53 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96153 Intervene hlth/behave group A 0.10 0.03 0.02 0.02 0.02 0.01 0.14 0.13 0.13 0.13 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96154 Interv hlth/behav fam w/pt A 0.45 0.10 0.07 0.09 0.06 0.01 0.56 0.53 0.55 0.52 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96155 Interv hlth/behav fam no pt N+ 0.44 0.20 0.19 0.19 0.19 0.03 0.67 0.66 0.66 0.66 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 96360 Hydration iv infusion init A 0.17 1.48 1.33 1.48NA 1.33 NA 0.03 1.68 1.53 1.68 1.53 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96361 Hydrate iv infusion add-on A 0.09 0.35 0.31 0.35NA 0.31 NA 0.01 0.45 0.41 0.45 0.41 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96365 Ther/proph/diag iv inf init A 0.21 1.85 1.71 1.85NA 1.71 NA 0.03 2.09 1.95 2.09 1.95 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96366 Ther/proph/diag iv inf addon A 0.18 0.45 0.42 0.45NA 0.42 NA 0.01 0.64 0.61 0.64 0.61 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96367 Tx/proph/dg addl seq iv inf A 0.19 0.77 0.65 0.77NA 0.65 NA 0.01 0.97 0.85 0.97 0.85 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96368 Ther/diag concurrent inf A 0.17 0.39 0.35 0.39NA 0.35 NA 0.01 0.57 0.53 0.57 0.53 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96369 Sc ther infusion up to 1 hr A 0.21 4.79 4.82 4.79NA 4.82 NA 0.03 5.03 5.06 5.03 5.06 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96370 Sc ther infusion addl hr A 0.18 0.26 0.26 0.26NA 0.26 NA 0.01 0.45 0.45 0.45 0.45 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96371 Sc ther infusion reset pump A 0.00 2.35 2.25 2.35NA 2.25 NA 0.01 2.36 2.26 2.36 2.26 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96372 Ther/proph/diag inj sc/im A 0.17 0.50 0.50 0.50NA 0.50 NA 0.01 0.68 0.68 0.68 0.68 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96373 Ther/proph/diag inj ia A 0.17 0.38 0.38 0.38NA 0.38 NA 0.01 0.56 0.56 0.56 0.56 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96374 Ther/proph/diag inj iv push A 0.18 1.43 1.29 1.43NA 1.29 NA 0.03 1.64 1.50 1.64 1.50 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96375 Tx/pro/dx inj new drug addon A 0.10 0.56 0.48 0.56NA 0.48 NA 0.01 0.67 0.59 0.67 0.59 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96376 Tx/pro/dx inj same drug adon X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 96379 Ther/prop/diag inj/inf proc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96401 Chemo anti-neopl sq/im A 0.21 1.89 1.76 1.89NA 1.76 NA 0.04 2.14 2.01 2.14 2.01 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96402 Chemo hormon antineopl sq/im A 0.19 0.83 0.67 0.83NA 0.67 NA 0.01 1.03 0.87 1.03 0.87 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96405 Chemo intralesional up to 7 A 0.52 1.98 1.78 0.34 0.37 0.03 2.53 2.33 0.89 0.92 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 96406 Chemo intralesional over 7 A 0.80 2.64 2.35 0.45 0.50 0.04 3.48 3.19 1.29 1.34 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 96409 Chemo iv push sngl drug A 0.24 3.03 2.64 3.03NA 2.64 NA 0.05 3.32 2.93 3.32 2.93 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96411 Chemo iv push addl drug A 0.20 1.63 1.42 1.63NA 1.42 NA 0.03 1.86 1.65 1.86 1.65 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96413 Chemo iv infusion 1 hr A 0.28 3.98 3.42 3.98NA 3.42 NA 0.05 4.31 3.75 4.31 3.75 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96415 Chemo iv infusion addl hr A 0.19 0.72 0.62 0.72NA 0.62 NA 0.01 0.92 0.82 0.92 0.82 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96416 Chemo prolong infuse w/pump A 0.21 4.47 3.85 4.47NA 3.85 NA 0.07 4.75 4.13 4.75 4.13 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96417 Chemo iv infus each addl seq A 0.21 1.89 1.63 1.89NA 1.63 NA 0.03 2.13 1.87 2.13 1.87 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96420 Chemo ia push tecnique A 0.17 2.96 2.57 2.96NA 2.57 NA 0.08 3.21 2.82 3.21 2.82 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96422 Chemo ia infusion up to 1 hr A 0.17 4.91 4.25 4.91NA 4.25 NA 0.08 5.16 4.50 5.16 4.50 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96423 Chemo ia infuse each addl hr A 0.17 2.14 1.89 2.14NA 1.89 NA 0.04 2.35 2.10 2.35 2.10 5ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96425 Chemotherapy infusion method A 0.17 5.02 4.55 5.02NA 4.55 NA 0.10 5.29 4.82 5.29 4.82 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96440 Chemotherapy intracavitary A 2.37 18.54 19.85 1.45 1.51 0.54 21.45 22.76 4.36 4.42 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96446 Chemotx admn prtl cavity A 0.37 4.77 4.77 0.19 0.19 0.07 5.21 5.21 0.63 0.63 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96450 Chemotherapy into cns A 1.53 4.21 3.37 0.88 0.75 0.11 5.85 5.01 2.52 2.39 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96521 Refill/maint portable pump A 0.21 3.66 3.35 3.66NA 3.35 NA 0.05 3.92 3.61 3.92 3.61 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96522 Refill/maint pump/resvr syst A 0.21 3.01 2.70 3.01NA 2.70 NA 0.05 3.27 2.96 3.27 2.96 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96523 Irrig drug delivery device T 0.04 0.70 0.61 0.70NA 0.61 NA 0.01 0.75 0.66 0.75 0.66 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96542 Chemotherapy injection A 0.75 2.95 2.37 0.50 0.45 0.04 3.74 3.16 1.29 1.24 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96549 Chemotherapy unspecified C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96567 Photodynamic tx skin A 0.00 3.84 3.76 3.84NA 3.76 NA 0.01 3.85 3.77 3.85 3.77 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96570 Photodynmc tx 30 min add-on A 1.10 0.47 0.44 0.47 0.44 0.18 1.75 1.72 1.75 1.72 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 96571 Photodynamic tx addl 15 min A 0.55 0.21 0.19 0.21 0.19 0.04 0.80 0.78 0.80 0.78 0ZZZ.00.00.0000100 33.9764 090 99 0.00 0.00 0.00 96900 Ultraviolet light therapy A 0.00 0.60 0.57 0.60NA 0.57 NA 0.01 0.61 0.58 0.61 0.58 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96902 Trichogram B+ 0.41 0.20 0.20 0.18 0.18 0.03 0.64 0.64 0.62 0.62 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 96904 Whole body photography R 0.00 1.99 1.82 1.99NA 1.82 NA 0.01 2.00 1.83 2.00 1.83 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96910 Photochemotherapy with UV-B A 0.00 2.03 1.98 2.03NA 1.98 NA 0.01 2.04 1.99 2.04 1.99 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96912 Photochemotherapy with UV-A A 0.00 2.61 2.55 2.61NA 2.55 NA 0.01 2.62 2.56 2.62 2.56 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96913 Photochemotherapy uv-a or b A 0.00 3.63 3.59 3.63NA 3.59 NA 0.01 3.64 3.60 3.64 3.60 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 96920 Laser tx skin < 250 sq cm A 1.15 3.91 3.81 0.79 0.85 0.04 5.10 5.00 1.98 2.04 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 96921 Laser tx skin 250-500 sq cm A 1.17 3.90 3.94 0.76 0.85 0.04 5.11 5.15 1.97 2.06 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 96922 Laser tx skin > 500 sq cm A 2.10 5.17 5.07 1.38 1.55 0.08 7.35 7.25 3.56 3.73 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 96999 Dermatological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97001 Pt evaluation A 1.20 0.88 0.92 0.88NA 0.92 NA 0.05 2.13 2.17 2.13 2.17 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97002 Pt re-evaluation A 0.60 0.55 0.58 0.55NA 0.58 NA 0.03 1.18 1.21 1.18 1.21 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97003 Ot evaluation A 1.20 1.10 1.23 1.10NA 1.23 NA 0.05 2.35 2.48 2.35 2.48 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97004 Ot re-evaluation A 0.60 0.80 0.89 0.80NA 0.89 NA 0.03 1.43 1.52 1.43 1.52 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97005 Athletic train eval I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97006 Athletic train reeval I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97010 Hot or cold packs therapy B+ 0.06 0.09 0.10 0.09NA 0.10 NA 0.01 0.16 0.17 0.16 0.17 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97012 Mechanical traction therapy A 0.25 0.19 0.20 0.19NA 0.20 NA 0.01 0.45 0.46 0.45 0.46 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97014 Electric stimulation therapy I+ 0.18 0.24 0.26 0.24NA 0.26 NA 0.01 0.43 0.45 0.43 0.45 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97016 Vasopneumatic device therapy A 0.18 0.32 0.35 0.32NA 0.35 NA 0.01 0.51 0.54 0.51 0.54 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97018 Paraffin bath therapy A 0.06 0.21 0.23 0.21NA 0.23 NA 0.01 0.28 0.30 0.28 0.30 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97022 Whirlpool therapy A 0.17 0.42 0.47 0.42NA 0.47 NA 0.01 0.60 0.65 0.60 0.65 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97024 Diathermy eg microwave A 0.06 0.11 0.12 0.11NA 0.12 NA 0.01 0.18 0.19 0.18 0.19 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97026 Infrared therapy R 0.06 0.09 0.10 0.09NA 0.10 NA 0.01 0.16 0.17 0.16 0.17 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97028 Ultraviolet therapy A 0.08 0.11 0.12 0.11NA 0.12 NA 0.01 0.20 0.21 0.20 0.21 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97032 Electrical stimulation A 0.25 0.26 0.28 0.26NA 0.28 NA 0.01 0.52 0.54 0.52 0.54 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97033 Electric current therapy A 0.26 0.56 0.63 0.56NA 0.63 NA 0.01 0.83 0.90 0.83 0.90 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97034 Contrast bath therapy A 0.21 0.26 0.29 0.26NA 0.29 NA 0.01 0.48 0.51 0.48 0.51 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97035 Ultrasound therapy A 0.21 0.13 0.14 0.13NA 0.14 NA 0.01 0.35 0.36 0.35 0.36 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97036 Hydrotherapy A 0.28 0.57 0.63 0.57NA 0.63 NA 0.01 0.86 0.92 0.86 0.92 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97039 Physical therapy treatment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97110 Therapeutic exercises A 0.45 0.41 0.45 0.41NA 0.45 NA 0.01 0.87 0.91 0.87 0.91 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97112 Neuromuscular reeducation A 0.45 0.45 0.49 0.45NA 0.49 NA 0.01 0.91 0.95 0.91 0.95 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97113 Aquatic therapy/exercises A 0.44 0.69 0.76 0.69NA 0.76 NA 0.01 1.14 1.21 1.14 1.21 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97116 Gait training therapy A 0.40 0.36 0.39 0.36NA 0.39 NA 0.01 0.77 0.80 0.77 0.80 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97124 Massage therapy A 0.35 0.35 0.38 0.35NA 0.38 NA 0.01 0.71 0.74 0.71 0.74 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97139 Physical medicine procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97140 Manual therapy A 0.43 0.38 0.41 0.38NA 0.41 NA 0.01 0.82 0.85 0.82 0.85 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97150 Group therapeutic procedures A 0.27 0.28 0.31 0.28NA 0.31 NA 0.01 0.56 0.59 0.56 0.59 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97530 Therapeutic activities A 0.44 0.50 0.54 0.50NA 0.54 NA 0.01 0.95 0.99 0.95 0.99 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97532 Cognitive skills development A 0.44 0.29 0.31 0.29NA 0.31 NA 0.01 0.74 0.76 0.74 0.76 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97533 Sensory integration A 0.44 0.36 0.38 0.36NA 0.38 NA 0.01 0.81 0.83 0.81 0.83 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97535 Self care mngment training A 0.45 0.49 0.53 0.49NA 0.53 NA 0.01 0.95 0.99 0.95 0.99 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97537 Community/work reintegration A 0.45 0.37 0.40 0.37NA 0.40 NA 0.01 0.83 0.86 0.83 0.86 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97542 Wheelchair mngment training A 0.45 0.38 0.41 0.38NA 0.41 NA 0.01 0.84 0.87 0.84 0.87 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97545 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97546 Work hardening add-on R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97597 Rmvl devital tis 20 cm/< A 0.51 1.56 1.56 0.15 0.15 0.05 2.12 2.12 0.71 0.71 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97598 Rmvl devital tis addl 20 cm< A 0.24 0.44 0.44 0.07 0.07 0.03 0.71 0.71 0.34 0.34 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97602 Wound(s) care non-selective B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97605 Neg press wound tx < 50 cm A 0.55 0.53 0.57 0.17 0.16 0.08 1.16 1.20 0.80 0.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97606 Neg press wound tx > 50 cm A 0.60 0.54 0.59 0.18 0.17 0.10 1.24 1.29 0.88 0.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97750 Physical performance test A 0.45 0.44 0.47 0.44NA 0.47 NA 0.03 0.92 0.95 0.92 0.95 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97755 Assistive technology assess A 0.62 0.36 0.39 0.36NA 0.39 NA 0.03 1.01 1.04 1.01 1.04 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97760 Orthotic mgmt and training A 0.45 0.55 0.60 0.55NA 0.60 NA 0.03 1.03 1.08 1.03 1.08 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97761 Prosthetic training A 0.45 0.43 0.46 0.43NA 0.46 NA 0.03 0.91 0.94 0.91 0.94 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97762 C/o for orthotic/prosth use A 0.25 0.93 1.05 0.93NA 1.05 NA 0.01 1.19 1.31 1.19 1.31 7XXX.00.00.0050000 33.9764 090 99 0.00 0.00 0.00 97799 Physical medicine procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97802 Medical nutrition indiv in A 0.53 0.38 0.42 0.32 0.36 0.03 0.94 0.98 0.88 0.92 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97803 Med nutrition indiv subseq A 0.45 0.34 0.37 0.28 0.31 0.03 0.82 0.85 0.76 0.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97804 Medical nutrition group A 0.25 0.15 0.18 0.15 0.17 0.01 0.41 0.44 0.41 0.43 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 97810 Acupunct w/o stimul 15 min N+ 0.60 0.41 0.41 0.26 0.26 0.04 1.05 1.05 0.90 0.90 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97811 Acupunct w/o stimul addl 15m N+ 0.50 0.27 0.27 0.21 0.22 0.03 0.80 0.80 0.74 0.75 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97813 Acupunct w/stimul 15 min N+ 0.65 0.44 0.43 0.28 0.28 0.04 1.13 1.12 0.97 0.97 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 97814 Acupunct w/stimul addl 15m N+ 0.55 0.32 0.32 0.24 0.24 0.04 0.91 0.91 0.83 0.83 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98925 Osteopathic manipulation A 0.45 0.41 0.44 0.18 0.20 0.03 0.89 0.92 0.66 0.68 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 98926 Osteopathic manipulation A 0.65 0.51 0.56 0.26 0.28 0.03 1.19 1.24 0.94 0.96 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 98927 Osteopathic manipulation A 0.87 0.64 0.71 0.33 0.35 0.04 1.55 1.62 1.24 1.26 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 98928 Osteopathic manipulation A 1.03 0.73 0.79 0.38 0.41 0.05 1.81 1.87 1.46 1.49 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 98929 Osteopathic manipulation A 1.19 0.83 0.92 0.45 0.48 0.07 2.09 2.18 1.71 1.74 0000.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 98940 Chiropractic manipulation A 0.45 0.29 0.30 0.15 0.16 0.01 0.75 0.76 0.61 0.62 0000.00.00.0000000 33.9764 093 99 0.00 0.00 0.00 98941 Chiropractic manipulation A 0.65 0.36 0.39 0.23 0.23 0.03 1.04 1.07 0.91 0.91 0000.00.00.0000000 33.9764 093 99 0.00 0.00 0.00 98942 Chiropractic manipulation A 0.87 0.44 0.47 0.30 0.31 0.03 1.34 1.37 1.20 1.21 0000.00.00.0000000 33.9764 093 99 0.00 0.00 0.00 98943 Chiropractic manipulation N+ 0.40 0.28 0.28 0.17 0.18 0.03 0.71 0.71 0.60 0.61 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98960 Self-mgmt educ & train 1 pt B+ 0.00 0.76 0.73 0.76NA 0.73 NA 0.01 0.77 0.74 0.77 0.74 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98961 Self-mgmt educ/train 2-4 pt B+ 0.00 0.36 0.35 0.36NA 0.35 NA 0.01 0.37 0.36 0.37 0.36 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98962 Self-mgmt educ/train 5-8 pt B+ 0.00 0.27 0.25 0.27NA 0.25 NA 0.01 0.28 0.26 0.28 0.26 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98966 Hc pro phone call 5-10 min N+ 0.25 0.15 0.15 0.10 0.11 0.01 0.41 0.41 0.36 0.37 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98967 Hc pro phone call 11-20 min N+ 0.50 0.25 0.26 0.21 0.22 0.03 0.78 0.79 0.74 0.75 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98968 Hc pro phone call 21-30 min N+ 0.75 0.35 0.36 0.32 0.33 0.05 1.15 1.16 1.12 1.13 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 98969 Online service by hc pro N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99000 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99001 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99002 Device handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99024 Postop follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99026 In-hospital on call service N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99027 Out-of-hosp on call service N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99050 Medical services after hrs B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99051 Med serv eve/wkend/holiday B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99053 Med serv 10pm-8am 24 hr fac B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99056 Med service out of office B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99058 Office emergency care B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99060 Out of office emerg med serv B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99070 Special supplies B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99071 Patient education materials B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99075 Medical testimony N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99078 Group health education B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99080 Special reports or forms B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99082 Unusual physician travel C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99090 Computer data analysis B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99091 Collect/review data from pt B+ 1.10 0.47 0.48 0.47NA 0.48 NA 0.07 1.64 1.65 1.64 1.65 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99100 Special anesthesia service B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99116 Anesthesia with hypothermia B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99135 Special anesthesia procedure B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99140 Emergency anesthesia B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99143 Mod cs by same phys < 5 yrs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99144 Mod cs by same phys 5 yrs + C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99145 Mod cs by same phys add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99148 Mod cs diff phys < 5 yrs C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99149 Mod cs diff phys 5 yrs + C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99150 Mod cs diff phys add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99170 Anogenital exam child A 1.75 2.38 2.18 0.91 0.86 0.12 4.25 4.05 2.78 2.73 0000.00.00.0020100 33.9764 090 99 0.00 0.00 0.00 99172 Ocular function screen N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99173 Visual acuity screen N+ 0.00 0.07 0.07 0.07NA 0.07 NA 0.01 0.08 0.08 0.08 0.08 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99174 Ocular photoscreening N+ 0.00 0.81 0.78 0.81NA 0.78 NA 0.01 0.82 0.79 0.82 0.79 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99175 Induction of vomiting A 0.00 0.71 0.66 0.71NA 0.66 NA 0.01 0.72 0.67 0.72 0.67 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99183 Hyperbaric oxygen therapy A 2.34 3.52 3.67 0.89 0.99 0.26 6.12 6.27 3.49 3.59 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99190 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99191 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99192 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99195 Phlebotomy A 0.00 2.49 2.61 2.49NA 2.61 NA 0.05 2.54 2.66 2.54 2.66 5XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99199 Special service/proc/report C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99201 Office/outpatient visit new A 0.48 0.69 0.73 0.24 0.26 0.04 1.21 1.25 0.76 0.78 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99202 Office/outpatient visit new A 0.93 1.09 1.16 0.44 0.49 0.07 2.09 2.16 1.44 1.49 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99203 Office/outpatient visit new A 1.42 1.47 1.57 0.64 0.72 0.14 3.03 3.13 2.20 2.28 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99204 Office/outpatient visit new A 2.43 2.00 2.14 1.06 1.20 0.23 4.66 4.80 3.72 3.86 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99205 Office/outpatient visit new A 3.17 2.36 2.51 1.34 1.49 0.27 5.80 5.95 4.78 4.93 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99211 Office/outpatient visit est A 0.18 0.39 0.37 0.08 0.08 0.01 0.58 0.56 0.27 0.27 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99212 Office/outpatient visit est A 0.48 0.70 0.72 0.22 0.24 0.04 1.22 1.24 0.74 0.76 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99213 Office/outpatient visit est A 0.97 0.99 1.05 0.41 0.47 0.07 2.03 2.09 1.45 1.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99214 Office/outpatient visit est A 1.50 1.41 1.48 0.63 0.71 0.10 3.01 3.08 2.23 2.31 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99215 Office/outpatient visit est A 2.11 1.80 1.90 0.90 1.00 0.14 4.05 4.15 3.15 3.25 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99217 Observation care discharge A 1.28 0.68NA 0.73NA 0.68 0.73 0.08 2.04 2.09 2.04 2.09 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99218 Initial observation care A 1.28 0.53NA 0.58NA 0.53 0.58 0.08 1.89 1.94 1.89 1.94 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99219 Initial observation care A 2.14 0.88NA 0.98NA 0.88 0.98 0.14 3.16 3.26 3.16 3.26 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99220 Initial observation care A 2.99 1.23NA 1.34NA 1.23 1.34 0.20 4.42 4.53 4.42 4.53 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99221 Initial hospital care A 1.92 0.76NA 0.86NA 0.76 0.86 0.18 2.86 2.96 2.86 2.96 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99222 Initial hospital care A 2.61 1.06NA 1.20NA 1.06 1.20 0.22 3.89 4.03 3.89 4.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99223 Initial hospital care A 3.86 1.56NA 1.77NA 1.56 1.77 0.29 5.71 5.92 5.71 5.92 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99224 Subsequent observation care A 0.54 0.24NA 0.24NA 0.24 0.24 0.04 0.82 0.82 0.82 0.82 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99225 Subsequent observation care A 0.96 0.44NA 0.44NA 0.44 0.44 0.05 1.45 1.45 1.45 1.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99226 Subsequent observation care A 1.44 0.65NA 0.65NA 0.65 0.65 0.08 2.17 2.17 2.17 2.17 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99231 Subsequent hospital care A 0.76 0.32NA 0.34NA 0.32 0.34 0.05 1.13 1.15 1.13 1.15 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99232 Subsequent hospital care A 1.39 0.57NA 0.63NA 0.57 0.63 0.08 2.04 2.10 2.04 2.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99233 Subsequent hospital care A 2.00 0.81NA 0.90NA 0.81 0.90 0.12 2.93 3.02 2.93 3.02 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99234 Observ/hosp same date A 2.56 1.09NA 1.16NA 1.09 1.16 0.22 3.87 3.94 3.87 3.94 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99235 Observ/hosp same date A 3.41 1.43NA 1.55NA 1.43 1.55 0.23 5.07 5.19 5.07 5.19 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99236 Observ/hosp same date A 4.26 1.75NA 1.89NA 1.75 1.89 0.29 6.30 6.44 6.30 6.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99238 Hospital discharge day A 1.28 0.68NA 0.74NA 0.68 0.74 0.07 2.03 2.09 2.03 2.09 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99239 Hospital discharge day A 1.90 0.97NA 1.09NA 0.97 1.09 0.11 2.98 3.10 2.98 3.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99241 Office consultation I+ 0.64 0.66 0.66 0.24 0.24 0.07 1.37 1.37 0.95 0.95 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99242 Office consultation I+ 1.34 1.10 1.10 0.51 0.51 0.14 2.58 2.58 1.99 1.99 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99243 Office consultation I+ 1.88 1.46 1.46 0.71 0.71 0.18 3.52 3.52 2.77 2.77 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99244 Office consultation I+ 3.02 1.96 1.96 1.14 1.14 0.22 5.20 5.20 4.38 4.38 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99245 Office consultation I+ 3.77 2.30 2.30 1.38 1.38 0.29 6.36 6.36 5.44 5.44 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99251 Inpatient consultation I+ 1.00 0.32NA 0.32NA 0.32 0.32 0.07 1.39 1.39 1.39 1.39 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99252 Inpatient consultation I+ 1.50 0.52NA 0.52NA 0.52 0.52 0.12 2.14 2.14 2.14 2.14 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99253 Inpatient consultation I+ 2.27 0.84NA 0.84NA 0.84 0.84 0.15 3.26 3.26 3.26 3.26 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99254 Inpatient consultation I+ 3.29 1.23NA 1.23NA 1.23 1.23 0.18 4.70 4.70 4.70 4.70 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99255 Inpatient consultation I+ 4.00 1.44NA 1.44NA 1.44 1.44 0.24 5.68 5.68 5.68 5.68 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99281 Emergency dept visit A 0.45 0.13NA 0.14NA 0.13 0.14 0.03 0.61 0.62 0.61 0.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99282 Emergency dept visit A 0.88 0.24NA 0.27NA 0.24 0.27 0.07 1.19 1.22 1.19 1.22 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99283 Emergency dept visit A 1.34 0.36NA 0.39NA 0.36 0.39 0.10 1.80 1.83 1.80 1.83 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99284 Emergency dept visit A 2.56 0.62NA 0.67NA 0.62 0.67 0.22 3.40 3.45 3.40 3.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99285 Emergency dept visit A 3.80 0.88NA 0.91NA 0.88 0.91 0.30 4.98 5.01 4.98 5.01 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99288 Direct advanced life support B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99291 Critical care first hour A 4.50 2.94 3.02 1.55 1.67 0.34 7.78 7.86 6.39 6.51 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99292 Critical care addl 30 min A 2.25 1.07 1.12 0.78 0.84 0.18 3.50 3.55 3.21 3.27 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99304 Nursing facility care init A 1.64 0.81 0.94 0.81 0.94 0.14 2.59 2.72 2.59 2.72 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99305 Nursing facility care init A 2.35 1.09 1.27 1.09 1.27 0.20 3.64 3.82 3.64 3.82 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99306 Nursing facility care init A 3.06 1.34 1.58 1.34 1.58 0.23 4.63 4.87 4.63 4.87 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99307 Nursing fac care subseq A 0.76 0.44 0.49 0.44 0.49 0.04 1.24 1.29 1.24 1.29 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99308 Nursing fac care subseq A 1.16 0.68 0.76 0.68 0.76 0.07 1.91 1.99 1.91 1.99 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99309 Nursing fac care subseq A 1.55 0.88 0.99 0.88 0.99 0.08 2.51 2.62 2.51 2.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99310 Nursing fac care subseq A 2.35 1.23 1.41 1.23 1.41 0.14 3.72 3.90 3.72 3.90 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99315 Nursing fac discharge day A 1.13 0.61 0.69 0.61 0.69 0.07 1.81 1.89 1.81 1.89 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99316 Nursing fac discharge day A 1.50 0.77 0.87 0.77 0.87 0.08 2.35 2.45 2.35 2.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99318 Annual nursing fac assessmnt A 1.71 0.84 0.98 0.84 0.98 0.10 2.65 2.79 2.65 2.79 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99324 Domicil/r-home visit new pat A 1.01 0.54 0.54 0.54NA 0.54 NA 0.07 1.62 1.62 1.62 1.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99325 Domicil/r-home visit new pat A 1.52 0.72 0.72 0.72NA 0.72 NA 0.10 2.34 2.34 2.34 2.34 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99326 Domicil/r-home visit new pat A 2.63 1.18 1.31 1.18NA 1.31 NA 0.16 3.97 4.10 3.97 4.10 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99327 Domicil/r-home visit new pat A 3.46 1.54 1.74 1.54NA 1.74 NA 0.22 5.22 5.42 5.22 5.42 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99328 Domicil/r-home visit new pat A 4.09 1.77 1.99 1.77NA 1.99 NA 0.24 6.10 6.32 6.10 6.32 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99334 Domicil/r-home visit est pat A 1.07 0.58 0.62 0.58NA 0.62 NA 0.07 1.72 1.76 1.72 1.76 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99335 Domicil/r-home visit est pat A 1.72 0.84 0.94 0.84NA 0.94 NA 0.10 2.66 2.76 2.66 2.76 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99336 Domicil/r-home visit est pat A 2.46 1.15 1.31 1.15NA 1.31 NA 0.14 3.75 3.91 3.75 3.91 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99337 Domicil/r-home visit est pat A 3.58 1.59 1.83 1.59NA 1.83 NA 0.23 5.40 5.64 5.40 5.64 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99339 Domicil/r-home care supervis B+ 1.25 0.91 0.91 0.91NA 0.91 NA 0.08 2.24 2.24 2.24 2.24 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99340 Domicil/r-home care supervis B+ 1.80 1.22 1.22 1.22NA 1.22 NA 0.12 3.14 3.14 3.14 3.14 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99341 Home visit new patient A 1.01 0.53 0.52 0.53NA 0.52 NA 0.07 1.61 1.60 1.61 1.60 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99342 Home visit new patient A 1.52 0.71 0.70 0.71NA 0.70 NA 0.11 2.34 2.33 2.34 2.33 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99343 Home visit new patient A 2.53 1.11 1.15 1.11NA 1.15 NA 0.18 3.82 3.86 3.82 3.86 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99344 Home visit new patient A 3.38 1.53 1.74 1.53NA 1.74 NA 0.22 5.13 5.34 5.13 5.34 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99345 Home visit new patient A 4.09 1.81 2.05 1.81NA 2.05 NA 0.26 6.16 6.40 6.16 6.40 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99347 Home visit est patient A 1.00 0.53 0.55 0.53NA 0.55 NA 0.07 1.60 1.62 1.60 1.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99348 Home visit est patient A 1.56 0.76 0.80 0.76NA 0.80 NA 0.10 2.42 2.46 2.42 2.46 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99349 Home visit est patient A 2.33 1.11 1.26 1.11NA 1.26 NA 0.14 3.58 3.73 3.58 3.73 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99350 Home visit est patient A 3.28 1.49 1.69 1.49NA 1.69 NA 0.22 4.99 5.19 4.99 5.19 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99354 Prolonged service office A 1.77 0.93 1.00 0.75 0.81 0.11 2.81 2.88 2.63 2.69 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99355 Prolonged service office A 1.77 0.90 0.96 0.72 0.78 0.11 2.78 2.84 2.60 2.66 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99356 Prolonged service inpatient A 1.71 0.75NA 0.85NA 0.75 0.85 0.11 2.57 2.67 2.57 2.67 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99357 Prolonged service inpatient A 1.71 0.76NA 0.85NA 0.76 0.85 0.11 2.58 2.67 2.58 2.67 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99358 Prolong service w/o contact B+ 2.10 0.93 0.96 0.93 0.96 0.14 3.17 3.20 3.17 3.20 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99359 Prolong serv w/o contact add B+ 1.00 0.46 0.47 0.46 0.47 0.07 1.53 1.54 1.53 1.54 9ZZZ.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99360 Physician standby services X+ 1.20 0.51NA 0.53NA 0.51 0.53 0.08 1.79 1.81 1.79 1.81 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99363 Anticoag mgmt init B+ 1.65 1.89 1.86 0.70 0.72 0.11 3.65 3.62 2.46 2.48 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99364 Anticoag mgmt subseq B+ 0.63 0.57 0.57 0.27 0.28 0.04 1.24 1.24 0.94 0.95 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99366 Team conf w/pat by hc pro B+ 0.82 0.37 0.38 0.35 0.36 0.05 1.24 1.25 1.22 1.23 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99367 Team conf w/o pat by phys B+ 1.10 0.47NA 0.48NA 0.47 0.48 0.07 1.64 1.65 1.64 1.65 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99368 Team conf w/o pat by hc pro B+ 0.72 0.30NA 0.32NA 0.30 0.32 0.04 1.06 1.08 1.06 1.08 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99374 Home health care supervision B+ 1.10 0.85 0.85 0.47 0.48 0.07 2.02 2.02 1.64 1.65 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99375 Home health care supervision I+ 1.73 1.28 1.19 0.88 0.76 0.11 3.12 3.03 2.72 2.60 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99377 Hospice care supervision B+ 1.10 0.85 0.85 0.47 0.48 0.07 2.02 2.02 1.64 1.65 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99378 Hospice care supervision I+ 1.73 1.34 1.19 0.94 0.76 0.11 3.18 3.03 2.78 2.60 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99379 Nursing fac care supervision B+ 1.10 0.85 0.85 0.47 0.48 0.07 2.02 2.02 1.64 1.65 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99380 Nursing fac care supervision B+ 1.73 1.19 1.19 0.75 0.76 0.11 3.03 3.03 2.59 2.60 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99381 Init pm e/m new pat inf N+ 1.19 1.49 1.42 0.51 0.52 0.08 2.76 2.69 1.78 1.79 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99382 Init pm e/m new pat 1-4 yrs N+ 1.36 1.55 1.49 0.59 0.60 0.08 2.99 2.93 2.03 2.04 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99383 Prev visit new age 5-11 N+ 1.36 1.54 1.48 0.59 0.60 0.08 2.98 2.92 2.03 2.04 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99384 Prev visit new age 12-17 N+ 1.53 1.61 1.56 0.66 0.67 0.10 3.24 3.19 2.29 2.30 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99385 Prev visit new age 18-39 N+ 1.53 1.61 1.56 0.66 0.67 0.10 3.24 3.19 2.29 2.30 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99386 Prev visit new age 40-64 N+ 1.88 1.77 1.71 0.81 0.82 0.12 3.77 3.71 2.81 2.82 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99387 Init pm e/m new pat 65+ yrs N+ 2.06 1.96 1.90 0.89 0.90 0.14 4.16 4.10 3.09 3.10 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99391 Per pm reeval est pat inf N+ 1.02 1.24 1.22 0.44 0.45 0.07 2.33 2.31 1.53 1.54 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99392 Prev visit est age 1-4 N+ 1.19 1.32 1.30 0.51 0.52 0.08 2.59 2.57 1.78 1.79 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99393 Prev visit est age 5-11 N+ 1.19 1.31 1.29 0.51 0.52 0.08 2.58 2.56 1.78 1.79 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99394 Prev visit est age 12-17 N+ 1.36 1.38 1.36 0.59 0.60 0.08 2.82 2.80 2.03 2.04 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99395 Prev visit est age 18-39 N+ 1.36 1.39 1.37 0.59 0.60 0.08 2.83 2.81 2.03 2.04 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99396 Prev visit est age 40-64 N+ 1.53 1.46 1.44 0.66 0.67 0.10 3.09 3.07 2.29 2.30 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99397 Per pm reeval est pat 65+ yr N+ 1.71 1.66 1.64 0.74 0.75 0.11 3.48 3.46 2.56 2.57 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99401 Preventive counseling indiv N+ 0.48 0.55 0.52 0.21 0.21 0.03 1.06 1.03 0.72 0.72 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99402 Preventive counseling indiv N+ 0.98 0.78 0.74 0.42 0.43 0.07 1.83 1.79 1.47 1.48 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99403 Preventive counseling indiv N+ 1.46 0.99 0.95 0.63 0.64 0.10 2.55 2.51 2.19 2.20 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99404 Preventive counseling indiv N+ 1.95 1.21 1.17 0.84 0.85 0.12 3.28 3.24 2.91 2.92 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99406 Behav chng smoking 3-10 min A 0.24 0.15 0.16 0.10 0.10 0.01 0.40 0.41 0.35 0.35 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99407 Behav chng smoking > 10 min A 0.50 0.25 0.27 0.20 0.22 0.03 0.78 0.80 0.73 0.75 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99408 Audit/dast 15-30 min N+ 0.65 0.33 0.34 0.28 0.28 0.04 1.02 1.03 0.97 0.97 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99409 Audit/dast over 30 min N+ 1.30 0.60 0.62 0.55 0.57 0.08 1.98 2.00 1.93 1.95 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99411 Preventive counseling group N+ 0.15 0.30 0.30 0.06 0.07 0.01 0.46 0.46 0.22 0.23 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99412 Preventive counseling group N+ 0.25 0.34 0.34 0.11 0.11 0.01 0.60 0.60 0.37 0.37 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99420 Health risk assessment test N+ 0.00 0.29 0.28 0.29NA 0.28 NA 0.01 0.30 0.29 0.30 0.29 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99429 Unlisted preventive service N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99441 Phone e/m by phys 5-10 min N+ 0.25 0.15 0.15 0.10 0.11 0.01 0.41 0.41 0.36 0.37 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99442 Phone e/m by phys 11-20 min N+ 0.50 0.25 0.26 0.21 0.22 0.03 0.78 0.79 0.74 0.75 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99443 Phone e/m by phys 21-30 min N+ 0.75 0.35 0.36 0.32 0.33 0.05 1.15 1.16 1.12 1.13 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99444 Online e/m by phys N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99450 Basic life disability exam N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99455 Work related disability exam R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99456 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99460 Init nb em per day hosp A 1.17 0.48NA 0.55NA 0.48 0.55 0.05 1.70 1.77 1.70 1.77 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99461 Init nb em per day non-fac A 1.26 1.34 1.44 0.53 0.55 0.08 2.68 2.78 1.87 1.89 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99462 Sbsq nb em per day hosp A 0.62 0.26NA 0.29NA 0.26 0.29 0.04 0.92 0.95 0.92 0.95 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99463 Same day nb discharge A 1.50 0.75NA 0.86NA 0.75 0.86 0.08 2.33 2.44 2.33 2.44 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99464 Attendance at delivery A 1.50 0.54NA 0.59NA 0.54 0.59 0.07 2.11 2.16 2.11 2.16 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99465 Nb resuscitation A 2.93 0.93NA 0.68NA 0.93 0.68 0.22 4.08 3.83 4.08 3.83 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99466 Ped crit care transport A 4.79 1.98NA 2.23NA 1.98 2.23 1.02 7.79 8.04 7.79 8.04 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99467 Ped crit care transport addl A 2.40 0.95NA 1.05NA 0.95 1.05 0.14 3.49 3.59 3.49 3.59 0ZZZ.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99468 Neonate crit care initial A 18.46 6.47NA 7.38NA 6.47 7.38 1.52 26.45 27.36 26.45 27.36 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99469 Neonate crit care subsq A 7.99 3.11NA 3.50NA 3.11 3.50 0.42 11.52 11.91 11.52 11.91 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99471 Ped critical care initial A 15.98 5.94NA 6.39NA 5.94 6.39 0.87 22.79 23.24 22.79 23.24 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99472 Ped critical care subsq A 7.99 3.00NA 3.28NA 3.00 3.28 0.48 11.47 11.75 11.47 11.75 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99475 Ped crit care age 2-5 init A 11.25 4.00 4.51 4.00 4.51 0.86 16.11 16.62 16.11 16.62 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99476 Ped crit care age 2-5 subsq A 6.75 2.49 2.89 2.49 2.89 0.52 9.76 10.16 9.76 10.16 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99477 Init day hosp neonate care A 7.00 2.79NA 3.07NA 2.79 3.07 0.38 10.17 10.45 10.17 10.45 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99478 Ic lbw inf < 1500 gm subsq A 2.75 1.11NA 1.10NA 1.11 1.10 0.18 4.04 4.03 4.04 4.03 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99479 Ic lbw inf 1500-2500 g subsq A 2.50 1.05NA 1.22NA 1.05 1.22 0.16 3.71 3.88 3.71 3.88 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99480 Ic inf pbw 2501-5000 g subsq A 2.40 0.90NA 0.96NA 0.90 0.96 0.16 3.46 3.52 3.46 3.52 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99499 Unlisted e&m service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 33.9764 090 99 0.00 0.00 0.00 99500 Home visit prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99501 Home visit postnatal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99502 Home visit nb care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99503 Home visit resp therapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99504 Home visit mech ventilator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99505 Home visit stoma care I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99506 Home visit im injection I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99507 Home visit cath maintain I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99509 Home visit day life activity I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99510 Home visit sing/m/fam couns I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99511 Home visit fecal/enema mgmt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99512 Home visit for hemodialysis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99600 Home visit nos I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99601 Home infusion/visit 2 hrs I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99602 Home infusion each addtl hr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99605 Mtms by pharm np 15 min X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99606 Mtms by pharm est 15 min X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00 99607 Mtms by pharm addl 15 min X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 33.9764 090 99 0.00 0.00 0.00