HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 1998 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 1994 AMERICAN DENTAL ASSOCIATION. ALL RIGHTS HDR RESERVED. A0021 Outside state ambulance serv I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0030 Air ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0040 Helicopter ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0050 Water amb service emergency X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0170 Noner transport parking fees I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0225 Neonatal emergency transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0300 Ambulance basic non-emer all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0302 Ambulance basic emergeny all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0304 Amb adv non-er no serv all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0306 Amb adv non-er spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0308 Amb adv er no spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0310 Amb adv er spec serv all X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0320 Amb basic non-er + supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0322 Amb basic emerg + supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0324 Adv non-er serv sep mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0326 Adv non-er no serv sep mile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0328 Adv er no serv sep mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0330 Adv er spec serv sep mile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0340 Amb basic non-er + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0342 Ambul basic emer + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0344 Amb adv non-er no serv +mile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0346 Amb adv non-er serv + mile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0348 Adv emer no spec serv + mile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0350 Adv emer spec serv + mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0360 Basic non-er sep mile & supp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0362 Basic emer sep mile & supply X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0364 Adv non-er no serv sep mi&su X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0366 Adv non-er serv sep mil&supp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0368 Adv er no serv sep mile&supp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0370 Adv er spec serv sep mi&supp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0380 Basic life support mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A0390 Advanced life support mileag X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4206 1 CC sterile syringe&needle G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4207 2 CC sterile syringe&needle G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4208 3 CC sterile syringe&needle G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4209 5+ CC sterile syringe&needle G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4213 20+ CC syringe only G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4214 30 CC sterile water/saline P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4215 Sterile needle G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4222 Drug infusion pump supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4230 Infus insulin pump non needl N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4231 Infusion insulin pump needle N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4232 Syringe w/needle insulin 3cc N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4244 Alcohol or peroxide per pint G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4245 Alcohol wipes per box G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4246 Betadine/phisohex solution G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 A4247 Betadine/iodine swabs/wipes G 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4254 Battery for glucose monitor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4260 Levonorgestrel implant N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4263 Permanent tear duct plug A 0.00 1.03 0.00 0.77 1.03 0.00 0.77 0.00 0.00 0.77 0.00 0.77 9XXX.00.00.0099999P9 34.7315 4 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4300 Cath impl vasc access portal A 0.00 1.03 0.00 0.77 1.03 0.00 0.77 0.00 0.00 0.77 0.00 0.77 9XXX.00.00.0099999P9 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4306 Drug delivery system <=5 ML P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4320 Irrigation tray P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4322 Irrigation syringe P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4323 Saline irrigation solution P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4329 External catheter start set P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4335 Incontinence supply P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4347 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4358 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4359 Urinary suspensory w/o leg b P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4363 Liquid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4364 Ostomy/cath adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4365 Ostomy adhesive remover wipe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4367 Ostomy belt P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4368 Ostomy filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4421 Ostomy supply misc P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4454 Tape all types all sizes P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4460 Elastic compression bandage P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4462 Abdmnl drssng holder/binder X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4480 Vabra aspirator P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4481 Tracheostoma filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4483 Moisture exchanger X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4550 Surgical trays A 0.00 1.03 0.00 0.77 1.03 0.00 0.77 0.00 0.00 0.77 0.00 0.77 9XXX.00.00.0099999P9 34.7315 4 A4554 Disposable underpads N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4556 Electrodes P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4557 Lead wires P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4558 Conductive paste or gel P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4560 Pessary X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4570 Splint X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4572 Rib belt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4580 Cast supplies (plaster) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4590 Special casting material X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4612 Battery cables X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4613 Battery charger X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4615 Cannula nasal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4617 Mouth piece X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4618 Breathing circuits X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4619 Face tent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4621 Tracheotomy mask or collar X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4622 Tracheostomy or larngectomy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4631 Wheelchair battery X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4641 Diagnostic imaging agent E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4642 Satumomab pendetide per dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4643 High dose contrast MRI E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4644 Contrast 100-199 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4645 Contrast 200-299 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4646 Contrast 300-399 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4647 Supp- paramagnetic contr mat B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4649 Surgical supplies P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4650 Supp esrd centrifuge X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4655 Esrd syringe/needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4660 Esrd blood pressure device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4663 Esrd blood pressure cuff X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4670 Auto blood pressure monitor N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4680 Activated carbon filters X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4690 Dialyzers X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4700 Standard dialysate solution X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4705 Bicarb dialysate solution X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4712 Sterile water X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4714 Treated water for dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4730 Fistula cannulation set dial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4735 Local/topical anesthetics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4740 Esrd shunt accessory X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4750 Arterial or venous tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4755 Arterial and venous tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4760 Standard testing solution X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4765 Dialysate concentrate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4770 Blood testing supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4771 Blood clotting time tube X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4772 Dextrostick/glucose strips X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4773 Hemostix X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4774 Ammonia test paper X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4780 Esrd sterilizing agent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4790 Esrd cleansing agents X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4800 Heparin/antidote dialysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4820 Supplies hemodialysis kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4850 Rubber tipped hemostats X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4860 Disposable catheter caps X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4870 Plumbing/electrical work X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4880 Water storage tanks X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4890 Contracts/repair/maintenance R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 A4900 Capd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4901 Ccpd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4905 Ipd supply kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4910 Esrd nonmedical supplies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4912 Gomco drain bottle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4913 Esrd supply X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4914 Preparation kit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4919 Supp dialysis dialyzer holde X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4920 Harvard pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4921 Measuring cylinder X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A4927 Gloves X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5055 Stoma cap P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5064 Drain ostomy pouch w/fceplte I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5065 Drain ostomy pouch on fcplte I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5074 Urinary pouch w/faceplate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5075 Urinary pouch on faceplate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5105 Urinary suspensory P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5119 Skin barrier wipes box pr 50 P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5123 Skin barrier with flange P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5126 Adhesive disc/foam pad P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5131 Appliance cleaner P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5149 Incontinence/ostomy supply P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A5502 Diabetic shoe density insert X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6020 Collagen wound dressing P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6025 Silicone gel sheet, each I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6200 Compos drsg <=16 no border X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6201 Compos drsg >16<=48 no bdr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6202 Compos drsg >48 no border X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6263 Non-sterile elastic gauze/yd P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6264 Non-sterile no elastic gauze P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6265 Tape per 18 sq inches P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6405 Sterile elastic gauze /yd P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A6406 Sterile non-elastic gauze/yd P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9160 Podiatrist non-covered servi N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9170 Chiropractor non-covered ser N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9190 Misc/expe personal comfort i N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9300 Exercise equipment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9500 Technetium TC 99m sestamibi E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9502 Technetium TC99M tetrofosmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9503 Technetium TC 99m medronate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9505 Thallous chloride TL 201/mci E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9507 Indium/111 capromab pendetid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9600 Strontium-89 chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 A9605 Samarium sm153 lexidronamm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0150 Comprehensve oral evaluation R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0240 Intraoral occlusal film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0250 Extraoral first film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0260 Extraoral ea additional film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0270 Dental bitewing single film R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0272 Dental bitewings two films R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0274 Dental bitewings four films R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0310 Dental saliography I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0415 Bacteriologic study N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0460 Pulp vitality test R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0470 Diagnostic casts N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D0471 Diagnostic photographs R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0501 Histopathologic examinations R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0502 Other oral pathology procedu R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D0999 Unspecified diagnostic proce R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1201 Topical fluor w prophy child N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1203 Topical fluor w/o prophy chi N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1204 Topical fluor w/o prophy adu N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1205 Topical fluoride w/ prophy a N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1320 Tobacco counseling N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D1510 Space maintainer fxd unilat R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D1515 Fixed bilat space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D1520 Remove unilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D1525 Remove bilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D1550 Recement space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D2110 Amalgam one surface primary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2120 Amalgam two surfaces primary N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2130 Amalgam three surfaces prima N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2131 Amalgam four/more surf prima N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2210 Silcate cement per restorat N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2336 Composite resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2380 Resin one surf poster primar N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2381 Resin two surf poster primar N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2382 Resin three/more surf post p N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2385 Resin one surf poster perman N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2386 Resin two surf poster perman N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2387 Resin three/more surf post p N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2710 Crown resin laboratory N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2810 Crown 3/4 cast metallic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2910 Dental recement inlay N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2940 Dental sedative filling N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2955 Post removal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2970 Temporary- fractured tooth R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D2980 Crown repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D2999 Dental unspec restorative pr R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3220 Therapeutic pulpotomy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3310 Anterior N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3320 Root canal therapy 2 canals N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3330 Root canal therapy 3 canals N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3430 Retrograde filling N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3450 Root amputation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3460 Endodontic endosseous implan R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D3470 Intentional replantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3920 Tooth splitting N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3960 Bleaching of discolored toot N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D3999 Endodontic procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D4220 Gingival curettage per quadr N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D4250 Mucogingival surg per quadra R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4260 Osseous surgery per quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4263 Bone replce graft first site R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4264 Bone replce graft each add R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D4270 Pedicle soft tissue graft pr R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4271 Free soft tissue graft proc R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4273 Subepithelial tissue graft R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D4355 Full mouth debridement R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D4381 Localized chemo delivery R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5860 Overdenture complete N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5861 Overdenture partial N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5862 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5911 Facial moulage sectional R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5912 Facial moulage complete R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5913 Nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5914 Auricular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5915 Orbital prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5916 Ocular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5919 Facial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5924 Cranial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5927 Auricular replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5928 Orbital replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5929 Facial replacement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5931 Surgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5932 Postsurgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5937 Trismus appliance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5951 Feeding aid R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5954 Superimposed prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5982 Surgical stent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5983 Radiation applicator R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5984 Radiation shield R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5985 Radiation cone locator R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5986 Fluoride applicator N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5987 Commissure splint R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D5988 Surgical splint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D5999 Maxillofacial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6020 Odontics abutment placement I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6080 Implant maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6090 Repair implant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6199 Implant procedure I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6520 Dental retainer two surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6530 Retainer metallic 3+ surface N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6543 Dental retainr onlay 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6544 Dental retainr onlay 4/more N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6920 Dental connector bar R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6940 Stress breaker N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6950 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6971 Cast post bridge retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6975 Coping metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D6980 Bridge repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7110 Oral surgery single tooth R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7120 Each add tooth extraction R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7130 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7210 Rem imp tooth w mucoper flp R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7220 Impact tooth remov soft tiss R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7230 Impact tooth remov part bony R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7240 Impact tooth remov comp bony R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7241 Impact tooth rem bony w/comp R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7250 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7260 Oral antral fistula closure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D7270 Tooth reimplantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7272 Tooth transplantation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7281 Exposure tooth aid eruption N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7291 Transseptal fiberotomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7420 Lesion > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7430 Exc benign tumor 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7431 Benign tumor exc > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7465 Lesion destruction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7470 Rem exostosis maxilla/mandib I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7480 Partial ostectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7490 Mandible resection I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7560 Maxillary sinusotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7670 Open red simple alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7850 Tmj meniscectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7858 Tmj reconstruction I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7940 Reshaping bone orthognathic R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7942 Bone cutting ramus open I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7950 Mandible graft I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7960 Frenulectomy/frenulotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7990 Emergency tracheotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D7991 Dental coronoidectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D8680 Orthodontic retention N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D8690 Orthodontic treatment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D8999 Orthodontic procedure N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9110 Tx dental pain minor proc R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9215 Local anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9220 General anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D9240 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9310 Dental consultation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9420 Hospital call I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9630 Other drugs/medicaments R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9920 Behavior management N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9930 Treatment of complications R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D9940 Dental occlusal guard R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9950 Occlusion analysis R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D9951 Limited occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D9952 Complete occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 D9970 Enamel microabrasion N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 D9999 Adjunctive procedure I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0001 Drawing blood for specimen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0002 Temporary urinary catheter A 0.50 0.76 2.86 1.29 0.76 0.17 0.61 0.02 3.38 1.81 0.69 1.13 0000.00.00.0020100P0 34.7315 4 G0004 ECG transm phys review & int A 0.52 7.93 7.72 7.88 7.93 7.72 7.88 0.51 8.75 8.91 8.75 8.91 4XXX.00.00.0000000P0 34.7315 4 G0005 ECG 24 hour recording A 0.00 1.28 1.29 1.28 1.28 1.29 1.28 0.07 1.36 1.35 1.36 1.35 3XXX.00.00.0000000P0 34.7315 4 G0006 ECG transmission & analysis A 0.00 6.22 6.24 6.23 6.22 6.24 6.23 0.40 6.64 6.63 6.64 6.63 3XXX.00.00.0000000P0 34.7315 4 G0007 ECG phy review & interpret A 0.52 0.43 0.19 0.37 0.43 0.19 0.37 0.04 0.75 0.93 0.75 0.93 2XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0015 Post symptom ECG tracing A 0.00 6.22 6.24 6.23 6.22 6.24 6.23 0.40 6.64 6.63 6.64 6.63 3XXX.00.00.0000000P0 34.7315 4 G0016 Post symptom ECG md review A 0.52 0.43 0.24 0.38 0.43 0.24 0.38 0.04 0.80 0.94 0.80 0.94 2XXX.00.00.0000000P0 34.7315 4 G0025 Collagen skin test kit A 0.00 1.03 0.00 0.77 1.03 0.00 0.77 0.00 0.00 0.77 0.00 0.77 9XXX.00.00.0099999P0 34.7315 4 G0026 Fecal leukocyte examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0027 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0030 PET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0030TCPET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003026PET imaging prev PET single A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0031 PET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0031TCPET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003126PET imaging prev PET multple A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0032 PET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0032TCPET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003226PET follow SPECT 78464 singl A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0033 PET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0033TCPET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003326PET follow SPECT 78464 mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0034 PET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0034TCPET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003426PET follow SPECT 76865 singl A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0035 PET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0035TCPET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003526PET follow SPECT 78465 mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0036 PET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0036TCPET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003626PET follow cornry angio sing A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0037 PET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0037TCPET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003726PET follow cornry angio mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0038 PET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0038TCPET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003826PET follow myocard perf sing A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0039 PET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0039TCPET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G003926PET follow myocard perf mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0040 PET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0040TCPET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004026PET follow stress echo singl A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0041 PET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0041TCPET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004126PET follow stress echo mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0042 PET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0042TCPET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004226PET follow ventriculogm sing A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0043 PET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0043TCPET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004326PET follow ventriculogm mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0044 PET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0044TCPET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004426PET following rest ECG singl A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0045 PET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0045TCPET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004526PET following rest ECG mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0046 PET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0046TCPET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004626PET follow stress ECG singl A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0047 PET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G0047TCPET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 G004726PET follow stress ECG mult A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0050 Residual urine by ultrasound A 0.00 0.88 0.88 0.88 0.88 0.88 0.88 0.04 0.92 0.92 0.92 0.92 3XXX.00.00.0000000P0 34.7315 4 G0101 CA screen;pelvic/breast exam A 0.45 0.30 0.51 0.35 0.30 0.32 0.31 0.02 0.98 0.82 0.79 0.78 0XXX.00.00.0000000P0 34.7315 4 G0104 CA screen;flexi sigmoidscope A 0.96 1.33 4.27 2.07 0.58 0.44 0.55 0.09 5.32 3.12 1.49 1.60 0000.00.00.0020100P0 34.7315 4 G0105 Colorectal scrn; hi risk ind A 3.70 4.48 5.65 4.77 4.42 1.95 3.80 0.31 9.66 8.78 5.96 7.81 0000.00.00.0020100P1A4550 34.7315 4 G0106 Colon CA screen;barium enema A 0.99 2.80 2.68 2.77 2.80 2.68 2.77 0.16 3.83 3.92 3.83 3.92 1XXX.00.00.0000000P0 34.7315 4 G0106TCColon CA screen;barium enema A 0.00 2.31 2.31 2.31 2.31 2.31 2.31 0.11 2.42 2.42 2.42 2.42 1XXX.00.00.0000000P0 34.7315 4 G010626Colon CA screen;barium enema A 0.99 0.49 0.37 0.46 0.49 0.37 0.46 0.05 1.41 1.50 1.41 1.50 1XXX.00.00.0000000P0 34.7315 4 G0107 CA screen; fecal blood test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0108 Diab manage trn per indiv A 0.00 1.64 1.64 1.64 1.64 1.64 1.64 0.01 1.65 1.65 1.65 1.65 0XXX.00.00.0000000P0 34.7315 4 G0109 Diab manage trn ind/group A 0.00 0.97 0.96 0.97 0.97 0.96 0.97 0.01 0.97 0.98 0.97 0.98 0XXX.00.00.0000000P0 34.7315 4 G0110 Nett pulm-rehab educ; ind R 0.90 0.28 0.70 0.39 0.28 0.34 0.30 0.03 1.63 1.32 1.27 1.23 0XXX.00.00.0000000P0 34.7315 4 G0111 Nett pulm-rehab educ; group R 0.27 0.22 0.26 0.23 0.22 0.10 0.19 0.02 0.55 0.52 0.39 0.48 0XXX.00.00.0000000P0 34.7315 4 G0112 Nett;nutrition guid, initial R 1.72 1.05 1.35 1.13 1.05 0.92 1.02 0.08 3.15 2.93 2.72 2.82 0XXX.00.00.0000000P0 34.7315 4 G0113 Nett;nutrition guid,subseqnt R 1.29 0.84 1.15 0.92 0.84 0.73 0.81 0.07 2.51 2.28 2.09 2.17 0XXX.00.00.0000000P0 34.7315 4 G0114 Nett; psychosocial consult R 1.20 0.38 0.54 0.42 0.38 0.45 0.40 0.09 1.83 1.71 1.74 1.69 0XXX.00.00.0000000P0 34.7315 4 G0115 Nett; psychological testing R 1.20 0.38 0.61 0.44 0.38 0.45 0.40 0.09 1.90 1.73 1.74 1.69 0XXX.00.00.0000000P0 34.7315 4 G0116 Nett; psychosocial counsel R 1.11 0.38 0.67 0.45 0.38 0.60 0.44 0.04 1.82 1.60 1.75 1.59 0XXX.00.00.0000000P0 34.7315 4 G0120 Colon ca scrn; barium enema A 0.99 2.80 2.68 2.77 2.80 2.68 2.77 0.16 3.83 3.92 3.83 3.92 1XXX.00.00.0000000P0 34.7315 4 G0120TCColon ca scrn; barium enema A 0.00 2.31 2.31 2.31 2.31 2.31 2.31 0.11 2.42 2.42 2.42 2.42 1XXX.00.00.0000000P0 34.7315 4 G012026Colon ca scrn; barium enema A 0.99 0.49 0.37 0.46 0.49 0.37 0.46 0.05 1.41 1.50 1.41 1.50 1XXX.00.00.0000000P0 34.7315 4 G0121 Colon ca scrn not hi rsk ind N+ 3.70 4.48 5.65 4.77 4.42 1.95 3.80 0.31 9.66 8.78 5.96 7.81 9XXX.00.00.0099999P9 0.0000 9 G0122 Colon ca scrn; barium enema N+ 0.99 2.80 2.68 2.77 2.80 2.68 2.77 0.16 3.83 3.92 3.83 3.92 1XXX.00.00.0099999P9 0.0000 9 G0122TCColon ca scrn; barium enema N+ 0.00 2.31 2.31 2.31 2.31 2.31 2.31 0.11 2.42 2.42 2.42 2.42 1XXX.00.00.0099999P9 0.0000 9 G012226Colon ca scrn; barium enema N+ 0.99 0.49 0.37 0.46 0.49 0.37 0.46 0.05 1.41 1.50 1.41 1.50 1XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0124 Screen c/v thin layer by MD A 0.42 0.35 0.18 0.31 0.35 0.18 0.31 0.03 0.63 0.76 0.63 0.76 0XXX.00.00.0000000P0 34.7315 4 G012426Screen c/v thin layer by MD H 0.42 0.35 0.18 0.31 0.35 0.18 0.31 0.03 0.63 0.76 0.63 0.76 8XXX.00.00.0000000P0 34.7315 9 G0125 Lung image (PET) A 1.50 56.15 56.15 56.15 56.15 56.15 56.15 2.16 59.81 59.81 59.81 59.81 1XXX.00.00.0000000P0 34.7315 4 G0125TCLung image (PET) A 0.00 55.63 55.63 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 1XXX.00.00.0000000P0 34.7315 4 G012526Lung image (PET) A 1.50 0.52 0.52 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 4 G0126 Lung image (PET) staging A 1.87 56.34 56.33 56.34 56.34 56.33 56.34 2.19 60.39 60.40 60.39 60.40 1XXX.00.00.0000000P0 34.7315 4 G0126TCLung image (PET) staging A 0.00 55.63 55.63 55.63 55.63 55.63 55.63 2.11 57.74 57.74 57.74 57.74 1XXX.00.00.0000000P0 34.7315 4 G012626Lung image (PET) staging A 1.87 0.71 0.70 0.71 0.71 0.70 0.71 0.08 2.65 2.66 2.65 2.66 1XXX.00.00.0000000P0 34.7315 4 G0127 Trim nail(s) R 0.11 0.26 0.41 0.30 0.13 0.04 0.11 0.02 0.54 0.43 0.17 0.24 0000.00.00.0020100P0 34.7315 4 G0128 CORF skilled nursing service R 0.08 0.00 0.18 0.18 0.00 0.08 0.08 0.01 0.27 0.27 0.17 0.17 0XXX.00.00.0000000P0 34.7315 5 G0130 Single energy x-ray study A 0.22 0.89 0.90 0.89 0.89 0.90 0.89 0.06 1.18 1.17 1.18 1.17 1XXX.00.00.0000000P0 34.7315 4 G0130TCSingle energy x-ray study A 0.00 0.78 0.79 0.78 0.78 0.79 0.78 0.04 0.83 0.82 0.83 0.82 1XXX.00.00.0000000P0 34.7315 4 G013026Single energy x-ray study A 0.22 0.11 0.11 0.11 0.11 0.11 0.11 0.02 0.35 0.35 0.35 0.35 1XXX.00.00.0000000P0 34.7315 4 G0131 CT scan, bone density study A 0.25 3.18 3.18 3.18 3.18 3.18 3.18 0.16 3.59 3.59 3.59 3.59 1XXX.00.00.0000000P0 34.7315 4 G0131TCCT scan, bone density study A 0.00 3.05 3.05 3.05 3.05 3.05 3.05 0.14 3.19 3.19 3.19 3.19 1XXX.00.00.0000000P0 34.7315 4 G013126CT scan, bone density study A 0.25 0.13 0.13 0.13 0.13 0.13 0.13 0.02 0.40 0.40 0.40 0.40 1XXX.00.00.0000000P0 34.7315 4 G0132 CT scan, bone density study A 0.22 0.89 0.90 0.89 0.89 0.90 0.89 0.06 1.18 1.17 1.18 1.17 1XXX.00.00.0000000P0 34.7315 4 G0132TCCT scan, bone density study A 0.00 0.78 0.79 0.78 0.78 0.79 0.78 0.04 0.83 0.82 0.83 0.82 1XXX.00.00.0000000P0 34.7315 4 G013226CT scan, bone density study A 0.22 0.11 0.11 0.11 0.11 0.11 0.11 0.02 0.35 0.35 0.35 0.35 1XXX.00.00.0000000P0 34.7315 4 G0133 Echo exam,bone density study D 0.22 0.89 0.89 0.89 0.89 0.89 0.89 0.06 1.17 1.17 1.17 1.17 1XXX.00.00.0000000P0 34.7315 4 G0133TCEcho exam,bone density study D 0.00 0.78 0.78 0.78 0.78 0.78 0.78 0.04 0.82 0.82 0.82 0.82 1XXX.00.00.0000000P0 34.7315 4 G013326Echo exam,bone density study D 0.22 0.11 0.11 0.11 0.11 0.11 0.11 0.02 0.35 0.35 0.35 0.35 1XXX.00.00.0000000P0 34.7315 4 G0141 Scr c/v cyto,autosys and md A 0.42 0.00 0.18 0.18 0.00 0.18 0.18 0.03 0.63 0.63 0.63 0.63 0XXX.00.00.0000000P0 34.7315 5 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 G0160 Cryosurgery, prostate cancer C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.08.83.0920100P0 34.7315 4 G0161 Echo guidence cyrosurgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 G0161TCEcho guidence cyrosurgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 G016126Echo guidence cyrosurgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 G0163 Positron Emission Tomography A 1.50 0.00 56.15 56.15 0.00 56.15 56.15 2.16 59.81 59.81 59.81 59.81 1XXX.00.00.0000000P0 34.7315 5 G0163TCPositron Emission Tomography A 0.00 0.00 55.63 55.63 0.00 55.63 55.63 2.11 57.74 57.74 57.74 57.74 1XXX.00.00.0000000P0 34.7315 5 G016326Positron Emission Tomography A 1.50 0.00 0.52 0.52 0.00 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 5 G0164 Positron Emission Tomography A 1.87 0.00 56.34 56.34 0.00 56.34 56.34 2.19 60.40 60.40 60.40 60.40 1XXX.00.00.0000000P0 34.7315 5 G0164TCPositron Emission Tomography A 0.00 0.00 55.63 55.63 0.00 55.63 55.63 2.11 57.74 57.74 57.74 57.74 1XXX.00.00.0000000P0 34.7315 5 G016426Positron Emission Tomography A 1.87 0.00 0.71 0.71 0.00 0.71 0.71 0.08 2.66 2.66 2.66 2.66 1XXX.00.00.0000000P0 34.7315 5 G0165 Positron Emission Tomography A 1.50 0.00 56.15 56.15 0.00 56.15 56.15 2.16 59.81 59.81 59.81 59.81 1XXX.00.00.0000000P0 34.7315 5 G0165TCPositron Emission Tomography A 0.00 0.00 55.63 55.63 0.00 55.63 55.63 2.11 57.74 57.74 57.74 57.74 1XXX.00.00.0000000P0 34.7315 5 G016526Positron Emission Tomography A 1.50 0.00 0.52 0.52 0.00 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 34.7315 5 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0130 Abciximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0151 Adenosine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0170 Adrenalin epinephrin inject E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0205 Alglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0285 Amphotericin B E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0286 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0340 Nandrolon phenpropionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0390 Chloroquine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0400 Inj trimethaphan camsylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0460 Atropine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0470 Dimecaprol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0500 Dicyclomine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0510 Benzquinamide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0530 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0540 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0550 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0560 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0570 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0580 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0585 Botulinum toxin a per unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0590 Ethylnorepinephrine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0635 Calcitriol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0695 Cefonocid sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0704 Betamethasone sod phosp/4 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0730 Chlorpheniramin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0735 Clonidine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0740 Cidofovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0760 Colchicine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0780 Prochlorperazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0800 Corticotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0810 Cortisone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0835 Inj cosyntropin per 0.25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J0970 Estradiol valerate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1050 Medroxyprogesterone inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1090 Testosterone cypionate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1095 Inj dexamethasone acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1100 Dexamethosone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1160 Digoxin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1170 Hydromorphone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1180 Dyphylline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1230 Methadone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1240 Dimenhydrinate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1245 Dipyridamole injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1260 Dolasetron mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1320 Amitriptyline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1325 Epoprostenol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1362 Erythromycin glucep / 250 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1390 Estradiol valerate 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1440 Filgrastim 300 mcg injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1470 Gamma globulin 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1480 Gamma globulin 3 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1490 Gamma globulin 4 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1500 Gamma globulin 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1510 Gamma globulin 6 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1520 Gamma globulin 7 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1530 Gamma globulin 8 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1540 Gamma globulin 9 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1550 Gamma globulin 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1561 Immune globulin 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1562 Immune globulin 5 gms E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1565 RSV-ivig E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1630 Haloperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1645 Dalteparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1650 Inj enoxaparin sodium 30 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1690 Prednisolone tebutate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1730 Diazoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1739 Hydroxyprogesterone cap 125 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1741 Hydroxyprogesterone cap 250 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1760 Iron dextran 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1770 Iron dextran 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1780 Iron dextran 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1785 Injection imiglucerase /unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1790 Droperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1800 Propranolol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1820 Insulin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1825 Interferon beta-1a E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1910 Kutapressin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1930 Propiomazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1940 Furosemide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1956 Levofloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1970 Methotrimeprazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J1990 Chlordiazepoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2000 Lidocaine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2010 Lincomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2060 Lorazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2150 Mannitol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2240 Metocurine iodide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2260 Inj milrinone lactate / 5 ML E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2321 Nandrolone decanoate 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2322 Nandrolone decanoate 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2330 Thiothixene injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2350 Niacinamide/niacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2355 Oprelvekin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2360 Orphenadrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2460 Oxytetracycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2480 Hydrochlorides of opium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2512 Inj pentagastrin per 2 ML E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2545 Pentamidine isethionte/300mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2590 Oxytocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2640 Prednisolone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2800 Methocarbamol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2820 Sargramostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2860 Secobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2910 Aurothioglucose injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2912 Sodium chloride injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2920 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2930 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2950 Promazine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2970 Methicillin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2994 Reteplase double bolus E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J2996 Alteplase recombinant inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3000 Streptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3070 Pentazocine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3080 Chlorprothixene injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3240 Thyrotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3270 Imipramine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3301 Triamcinolone acetonide inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3310 Perphenazine injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3350 Urea injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3360 Diazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3370 Vancomycin hcl injeciton R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 J3390 Methoxamine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3410 Hydroxyzine hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3450 Mephentermine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J3470 Hyaluronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7051 Sterile saline/water E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7070 D5w infusion E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7190 Factor viii X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7192 Factor viii recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7196 Othr hemophilia clot factors X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7315 Sodium hyaluronate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7320 Hylan G-F 20 injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7500 Azathiop po tab 50mg 100s ea X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7501 Azathioprine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7503 Cyclosporine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7505 Monoclonal antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7506 Prednisone oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7508 Tacrolimus oral per 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7509 Methylprednisolone oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7513 Daclizumab, parenteral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7610 Acetylcysteine 10% injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7615 Acetylcysteine 20% injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7620 Albuterol sulfate .083%/ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7625 Albuterol sulfate .5% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7627 Bitolterolmesylate inhal sol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7630 Cromolyn sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7640 Epinephrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7645 Ipratropium bromide .02%/ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7650 Isoetharine hcl .1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7651 Isoetharine hcl .125% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7652 Isoetharine hcl .167% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7653 Isoetharine hcl .2%/ inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7654 Isoetharine hcl .25% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7655 Isoetharine hcl 1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7660 Isoproterenol hcl .5% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7665 Isoproterenol hcl 1% inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7670 Metaproterenol sulfate .4% E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7672 Metaproterenol sulfate .6% E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J7675 Metaproterenol sulfate 5% E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9000 Doxorubic hcl 10 MG vl chemo E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9015 Aldesleukin/single use vial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9020 Asparaginase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9045 Carboplatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9050 Carmus bischl nitro inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9060 Cisplatin 10 MG injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9062 Cisplatin 50 MG injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9080 Cyclophosphamide 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9090 Cyclophosphamide 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9091 Cyclophosphamide 1.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9092 Cyclophosphamide 2.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9093 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9094 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9095 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9096 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9097 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9110 Cytarabine hcl 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9120 Dactinomycin actinomycin d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9130 Dacarbazine 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9140 Dacarbazine 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9150 Daunorubicin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9151 Daunorubicin citrate liposom E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9165 Diethylstilbestrol injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9170 Docetaxel E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9181 Etoposide 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9182 Etoposide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9190 Fluorouracil injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9200 Floxuridine injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9201 Gemcitabine HCl E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9206 Irinotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9208 Ifosfomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9209 Mesna injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9211 Idarubicin hcl injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9212 Interferon alfacon-1 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9265 Paclitaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9266 Pegaspargase/singl dose vial E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9268 Pentostatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9290 Mitomycin 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9291 Mitomycin 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9310 Rituximab cancer treatment E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9320 Streptozocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9340 Thiotepa injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9350 Topotecan E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9375 Vincristine sulfate 2 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9380 Vincristine sulfate 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9390 Vinorelbine tartrate/10 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9600 Porfimer sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 J9999 Chemotherapy drug E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 M0064 Visit for drug monitoring A 0.37 0.21 0.21 0.21 0.21 0.19 0.21 0.02 0.60 0.60 0.58 0.60 0XXX.00.00.0000000P0 34.7315 4 M0075 Cellular therapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 M0100 Intragastric hypothermia N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 M0101 Foot care hygienic/pm D 0.43 0.38 0.38 0.38 0.19 0.19 0.19 0.02 0.83 0.83 0.64 0.64 9XXX.00.00.0099999P9 34.7315 4 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 M0302 Assessment of cardiac output C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 M0302TCAssessment of cardiac output C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 M030226Assessment of cardiac output C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P2031 Hair analysis N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P2038 Blood mucoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P3001 Screening pap smear by phys A 0.42 0.35 0.18 0.31 0.35 0.18 0.31 0.03 0.63 0.76 0.63 0.76 0XXX.00.00.0000000P0 34.7315 4 P300126Screening pap smear by phys H 0.42 0.35 0.18 0.31 0.35 0.18 0.31 0.03 0.63 0.76 0.63 0.76 8XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9013 Unit/s blood fibrinogen E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9014 Gamma globulin 1 ML D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 P9015 Rh immune globulin 1 ML D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 P9016 Leukocyte poor blood, unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9017 One donor fresh frozn plasma E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9018 Plasma protein fract, unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9019 Platelet concentrate unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 P9610 Urine specimen collect singl D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0034 Admin of influenza vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0035 Cardiokymography A 0.17 0.53 0.46 0.51 0.53 0.46 0.51 0.03 0.66 0.71 0.66 0.71 1XXX.00.00.0000000P0 34.7315 4 Q0035TCCardiokymography A 0.00 0.40 0.40 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 1XXX.00.00.0000000P0 34.7315 4 Q003526Cardiokymography A 0.17 0.13 0.06 0.11 0.13 0.06 0.11 0.01 0.24 0.29 0.24 0.29 1XXX.00.00.0000000P0 34.7315 4 Q0068 Extracorpeal plasmapheresis A 1.67 1.38 4.00 2.04 1.38 0.65 1.20 0.13 5.80 3.84 2.45 3.00 0000.00.00.0000000P0 34.7315 4 Q0091 Obtaining screen pap smear A 0.37 0.30 0.67 0.39 0.30 0.13 0.26 0.02 1.06 0.78 0.52 0.65 0XXX.00.00.0000000P0 34.7315 4 Q0092 Set up port xray equipment A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.01 0.34 0.34 0.34 0.34 3XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0113 Pinworm examinations X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0114 Fern test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0132 Dispensing fee DME neb drug X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0136 Non esrd epoetin alpha inj X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0156 Human albumin 5% X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0157 Human albumin 25% X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0160 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0161 Factor IX recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0165 Prochlorperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0174 Thiethylperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0179 Ondansetron HCl 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0183 Nonmetabolic active tissue E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0184 Metabolically active tissue E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q0185 Metabolic active D/E tissue E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9920 Epoetin with hct <= 20 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9921 Epoetin with hct = 21 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9922 Epoetin with hct = 22 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9923 Epoetin with hct = 23 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9924 Epoetin with hct = 24 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9925 Epoetin with hct = 25 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9926 Epoetin with hct = 26 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9927 Epoetin with hct = 27 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9928 Epoetin with hct = 28 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9929 Epoetin with hct = 29 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9930 Epoetin with hct = 30 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9931 Epoetin with hct = 31 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9932 Epoetin with hct = 32 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9933 Epoetin with hct = 33 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9934 Epoetin with hct = 34 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9935 Epoetin with hct = 35 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9936 Epoetin with hct = 36 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9937 Epoetin with hct = 37 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9938 Epoetin with hct = 38 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9939 Epoetin with hct = 39 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 Q9940 Epoetin with hct >= 40 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2116 Nonaspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2117 Aspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2216 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2217 Lens lenticular aspheric bif X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2316 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2317 Lens lenticular aspheric tri X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2628 Fabrication & fitting X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2700 Balance lens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2740 Rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2741 Non-rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2742 Rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V2743 Non-rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V5008 Hearing screening N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V5020 Conformity evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V5050 Body-worn hearing aid in ear N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V5299 Hearing service R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 V5362 Speech screening R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 V5363 Language screening R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 V5364 Dysphagia screening R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 10040 Acne surgery of skin abscess A 1.18 0.35 1.28 0.58 0.18 0.54 0.27 0.02 2.48 1.78 1.74 1.47 0010.10.80.1020100P0 34.7315 4 10060 Drainage of skin abscess A 1.17 0.48 1.16 0.65 0.24 0.58 0.33 0.03 2.36 1.85 1.78 1.53 0010.10.80.1020100P0 34.7315 4 10061 Drainage of skin abscess A 2.40 0.69 1.79 0.97 0.35 1.07 0.53 0.05 4.24 3.42 3.52 2.98 0010.10.80.1020100P0 34.7315 4 10080 Drainage of pilonidal cyst A 1.17 0.54 1.73 0.84 0.27 0.60 0.35 0.04 2.94 2.05 1.81 1.56 0010.10.80.1020100P0 34.7315 4 10081 Drainage of pilonidal cyst A 2.45 1.20 2.32 1.48 0.60 1.27 0.77 0.13 4.90 4.06 3.85 3.35 0010.10.80.1020100P0 34.7315 4 10120 Remove foreign body A 1.22 0.50 1.56 0.77 0.25 0.60 0.34 0.04 2.82 2.03 1.86 1.60 0010.10.80.1020100P0 34.7315 4 10121 Remove foreign body A 2.69 1.09 2.44 1.43 0.55 1.46 0.78 0.09 5.22 4.21 4.24 3.56 0010.10.80.1020100P0 34.7315 4 10140 Drainage of hematoma/fluid A 1.53 0.52 1.22 0.70 0.26 0.77 0.39 0.04 2.79 2.27 2.34 1.96 0010.10.80.1020100P0 34.7315 4 10160 Puncture drainage of lesion A 1.20 0.41 1.33 0.64 0.21 0.65 0.32 0.04 2.57 1.88 1.89 1.56 0010.10.80.1020100P0 34.7315 4 10180 Complex drainage, wound A 2.25 1.14 1.19 1.15 1.14 1.14 1.14 0.14 3.58 3.54 3.53 3.53 0010.10.80.1020100P0 34.7315 4 11000 Debride infected skin A 0.60 0.43 0.49 0.45 0.22 0.24 0.23 0.03 1.12 1.08 0.87 0.86 0000.00.00.0020100P0 34.7315 4 11001 Debride infect skin add-on A 0.30 0.28 0.26 0.28 0.14 0.12 0.14 0.02 0.58 0.60 0.44 0.46 0ZZZ.00.00.0000100P0 34.7315 4 11010 Debride skin, fx A 4.20 4.30 2.07 3.74 4.30 1.87 3.69 0.51 6.78 8.45 6.58 8.40 0010.10.80.1022100P0 34.7315 4 11011 Debride skin/muscle, fx A 4.95 5.12 3.26 4.66 5.12 2.49 4.46 0.60 8.81 10.21 8.04 10.01 0000.00.00.0022100P0 34.7315 4 11012 Debride skin/muscle/bone, fx A 6.88 7.12 4.66 6.51 7.12 3.92 6.32 0.84 12.38 14.23 11.64 14.04 0000.00.00.0022100P0 34.7315 4 11040 Debride skin partial A 0.50 0.43 0.43 0.43 0.22 0.20 0.22 0.03 0.96 0.96 0.73 0.75 0000.00.00.0020100P0 34.7315 4 11041 Debride skin full A 0.82 0.61 0.59 0.61 0.31 0.32 0.31 0.05 1.46 1.48 1.19 1.18 0000.00.00.0020100P0 34.7315 4 11042 Debride skin/tissue A 1.12 0.71 0.80 0.73 0.36 0.45 0.38 0.06 1.98 1.91 1.63 1.56 0000.00.00.0020100P0 34.7315 4 11043 Debride tissue/muscle A 2.38 1.96 2.02 1.98 1.96 1.27 1.79 0.27 4.67 4.63 3.92 4.44 0010.10.80.1020100P0 34.7315 4 11044 Debride tissue/muscle/bone A 3.06 3.06 2.68 2.97 3.06 1.70 2.72 0.38 6.12 6.41 5.14 6.16 0010.10.80.1020100P0 34.7315 4 11055 Trim skin lesion R 0.27 0.28 0.32 0.29 0.14 0.11 0.13 0.02 0.61 0.58 0.40 0.42 0000.00.00.0020100P0 34.7315 4 11056 Trim 2 to 4 skin lesions R 0.39 0.38 0.36 0.38 0.19 0.15 0.18 0.02 0.77 0.79 0.56 0.59 0000.00.00.0020100P0 34.7315 4 11057 Trim over 4 skin lesions R 0.50 0.30 0.41 0.33 0.15 0.20 0.16 0.02 0.93 0.85 0.72 0.68 0000.00.00.0020100P0 34.7315 4 11100 Biopsy of skin lesion A 0.81 0.55 1.24 0.72 0.28 0.37 0.30 0.03 2.08 1.56 1.21 1.14 0000.00.00.0020100P0 34.7315 4 11101 Biopsy, skin add-on A 0.41 0.31 0.55 0.37 0.16 0.20 0.17 0.02 0.98 0.80 0.63 0.60 0ZZZ.00.00.0000100P0 34.7315 4 11200 Removal of skin tags A 0.77 0.47 0.92 0.58 0.24 0.31 0.26 0.03 1.72 1.38 1.11 1.06 0010.10.80.1020100P0 34.7315 4 11201 Remove skin tags add-on A 0.29 0.18 0.34 0.22 0.09 0.12 0.10 0.02 0.65 0.53 0.43 0.41 0ZZZ.00.00.0000100P0 34.7315 4 11300 Shave skin lesion A 0.51 0.58 0.85 0.65 0.29 0.22 0.27 0.04 1.40 1.20 0.77 0.82 0000.00.00.0020000P0 34.7315 4 11301 Shave skin lesion A 0.85 0.73 0.94 0.78 0.37 0.39 0.38 0.05 1.84 1.68 1.29 1.28 0000.00.00.0020000P0 34.7315 4 11302 Shave skin lesion A 1.05 0.97 1.03 0.99 0.49 0.49 0.49 0.07 2.15 2.11 1.61 1.61 0000.00.00.0020000P0 34.7315 4 11303 Shave skin lesion A 1.24 1.48 1.15 1.40 0.74 0.55 0.69 0.13 2.52 2.77 1.92 2.06 0000.00.00.0020000P0 34.7315 4 11305 Shave skin lesion A 0.67 0.56 0.74 0.61 0.28 0.29 0.28 0.04 1.45 1.32 1.00 0.99 0000.00.00.0020000P0 34.7315 4 11306 Shave skin lesion A 0.99 0.77 0.95 0.82 0.39 0.43 0.40 0.05 1.99 1.86 1.47 1.44 0000.00.00.0020000P0 34.7315 4 11307 Shave skin lesion A 1.14 1.02 1.03 1.02 0.51 0.51 0.51 0.08 2.25 2.24 1.73 1.73 0000.00.00.0020000P0 34.7315 4 11308 Shave skin lesion A 1.41 1.52 1.14 1.43 0.76 0.61 0.72 0.13 2.68 2.97 2.15 2.26 0000.00.00.0020000P0 34.7315 4 11310 Shave skin lesion A 0.73 0.75 0.94 0.80 0.38 0.34 0.37 0.05 1.72 1.58 1.12 1.15 0000.00.00.0020000P0 34.7315 4 11311 Shave skin lesion A 1.05 0.92 1.04 0.95 0.46 0.51 0.47 0.06 2.15 2.06 1.62 1.58 0000.00.00.0020000P0 34.7315 4 11312 Shave skin lesion A 1.20 1.22 1.11 1.19 0.61 0.58 0.60 0.09 2.40 2.48 1.87 1.89 0000.00.00.0020000P0 34.7315 4 11313 Shave skin lesion A 1.62 1.62 1.36 1.56 0.81 0.76 0.80 0.12 3.10 3.30 2.50 2.54 0000.00.00.0020000P0 34.7315 4 11400 Removal of skin lesion A 0.91 0.58 2.00 0.94 0.29 0.64 0.38 0.04 2.95 1.89 1.59 1.33 0010.10.80.1020100P0 34.7315 4 11401 Removal of skin lesion A 1.32 0.73 2.04 1.06 0.37 0.81 0.48 0.05 3.41 2.43 2.18 1.85 0010.10.80.1020100P0 34.7315 4 11402 Removal of skin lesion A 1.61 0.97 2.13 1.26 0.49 0.89 0.59 0.07 3.81 2.94 2.57 2.27 0010.10.80.1020100P0 34.7315 4 11403 Removal of skin lesion A 1.92 1.27 1.92 1.43 0.64 1.01 0.73 0.10 3.94 3.45 3.03 2.75 0010.10.80.1020100P0 34.7315 4 11404 Removal of skin lesion A 2.20 1.50 2.06 1.64 0.75 1.11 0.84 0.13 4.39 3.97 3.44 3.17 0010.10.80.1020100P0 34.7315 4 11406 Removal of skin lesion A 2.76 2.04 2.77 2.22 2.04 1.32 1.86 0.26 5.79 5.24 4.34 4.88 0010.10.80.1020100P0 34.7315 4 11420 Removal of skin lesion A 1.06 0.56 1.71 0.85 0.28 0.71 0.39 0.04 2.81 1.95 1.81 1.49 0010.10.80.1020100P0 34.7315 4 11421 Removal of skin lesion A 1.53 0.77 2.00 1.08 0.39 0.91 0.52 0.05 3.58 2.66 2.49 2.10 0010.10.80.1020100P0 34.7315 4 11422 Removal of skin lesion A 1.76 1.02 2.14 1.30 0.51 0.97 0.63 0.08 3.98 3.14 2.81 2.47 0010.10.80.1020100P0 34.7315 4 11423 Removal of skin lesion A 2.17 1.42 2.06 1.58 0.71 1.16 0.82 0.12 4.35 3.87 3.45 3.11 0010.10.80.1020100P0 34.7315 4 11424 Removal of skin lesion A 2.62 1.51 2.21 1.69 0.76 1.32 0.90 0.13 4.96 4.44 4.07 3.65 0010.10.80.1020100P0 34.7315 4 11426 Removal of skin lesion A 3.78 1.99 3.22 2.30 1.99 1.77 1.94 0.23 7.23 6.31 5.78 5.95 0010.10.80.1020100P0 34.7315 4 11440 Removal of skin lesion A 1.15 0.75 2.10 1.09 0.38 0.86 0.50 0.05 3.30 2.29 2.06 1.70 0010.10.80.1020100P0 34.7315 4 11441 Removal of skin lesion A 1.61 0.92 2.24 1.25 0.46 1.06 0.61 0.06 3.91 2.92 2.73 2.28 0010.10.80.1020100P0 34.7315 4 11442 Removal of skin lesion A 1.87 1.22 2.33 1.50 0.61 1.16 0.75 0.09 4.29 3.46 3.12 2.71 0010.10.80.1020100P0 34.7315 4 11443 Removal of skin lesion A 2.49 1.57 2.78 1.87 0.79 1.47 0.96 0.12 5.39 4.48 4.08 3.57 0010.10.80.1020100P0 34.7315 4 11444 Removal of skin lesion A 3.42 1.60 2.81 1.90 0.80 1.90 1.08 0.11 6.34 5.43 5.43 4.61 0010.10.80.1020100P0 34.7315 4 11446 Removal of skin lesion A 4.49 1.93 3.69 2.37 0.97 2.33 1.31 0.14 8.32 7.00 6.96 5.94 0010.10.80.1020100P0 34.7315 4 11450 Removal, sweat gland lesion A 2.73 2.91 3.44 3.04 2.91 0.89 2.41 0.34 6.51 6.11 3.96 5.48 0090.10.71.1920100P0 34.7315 4 11451 Removal, sweat gland lesion A 3.95 3.15 3.99 3.36 3.15 1.61 2.77 0.36 8.30 7.67 5.92 7.08 0090.10.71.1920000P0 34.7315 4 11462 Removal, sweat gland lesion A 2.51 2.62 3.22 2.77 2.62 0.98 2.21 0.28 6.01 5.56 3.77 5.00 0090.10.71.1920000P0 34.7315 4 11463 Removal, sweat gland lesion A 3.95 2.17 4.63 2.79 2.17 1.60 2.03 0.27 8.85 7.01 5.82 6.25 0090.10.71.1920000P0 34.7315 4 11470 Removal, sweat gland lesion A 3.25 3.02 4.09 3.29 3.02 1.29 2.59 0.35 7.69 6.89 4.89 6.19 0090.10.71.1920100P0 34.7315 4 11471 Removal, sweat gland lesion A 4.41 2.67 4.79 3.20 2.67 1.79 2.45 0.38 9.58 7.99 6.58 7.24 0090.10.71.1920000P0 34.7315 4 11600 Removal of skin lesion A 1.41 1.23 2.17 1.47 0.62 0.89 0.69 0.08 3.66 2.96 2.38 2.18 0010.10.80.1020100P0 34.7315 4 11601 Removal of skin lesion A 1.93 1.51 2.11 1.66 0.76 0.82 0.78 0.09 4.13 3.68 2.84 2.80 0010.10.80.1020100P0 34.7315 4 11602 Removal of skin lesion A 2.09 1.98 2.26 2.05 0.99 1.19 1.04 0.13 4.48 4.27 3.41 3.26 0010.10.80.1020100P0 34.7315 4 11603 Removal of skin lesion A 2.35 2.44 2.10 2.36 1.22 1.27 1.23 0.16 4.61 4.87 3.78 3.74 0010.10.80.1020100P0 34.7315 4 11604 Removal of skin lesion A 2.58 2.81 2.24 2.67 1.41 1.34 1.39 0.20 5.02 5.45 4.12 4.17 0010.10.80.1020100P0 34.7315 4 11606 Removal of skin lesion A 3.43 3.38 3.07 3.30 3.38 1.66 2.95 0.38 6.88 7.11 5.47 6.76 0010.10.80.1020100P0 34.7315 4 11620 Removal of skin lesion A 1.34 1.45 2.12 1.62 0.73 0.90 0.77 0.09 3.55 3.05 2.33 2.20 0010.10.80.1020100P0 34.7315 4 11621 Removal of skin lesion A 1.97 1.90 2.25 1.99 0.95 1.20 1.01 0.13 4.35 4.09 3.30 3.11 0010.10.80.1020100P0 34.7315 4 11622 Removal of skin lesion A 2.34 2.39 2.41 2.40 1.20 1.35 1.24 0.15 4.90 4.89 3.84 3.73 0010.10.80.1020100P0 34.7315 4 11623 Removal of skin lesion A 2.93 2.80 2.39 2.70 1.40 1.60 1.45 0.20 5.52 5.83 4.73 4.58 0010.10.80.1020100P0 34.7315 4 11624 Removal of skin lesion A 3.43 3.48 2.69 3.28 1.74 1.83 1.76 0.25 6.37 6.96 5.51 5.44 0010.10.80.1020100P0 34.7315 4 11626 Removal of skin lesion A 4.30 3.70 3.53 3.66 3.70 2.22 3.33 0.40 8.23 8.36 6.92 8.03 0010.10.80.1020100P0 34.7315 4 11640 Removal of skin lesion A 1.53 1.79 2.18 1.89 0.90 1.05 0.94 0.12 3.83 3.54 2.70 2.59 0010.10.80.1020100P0 34.7315 4 11641 Removal of skin lesion A 2.44 2.27 2.51 2.33 1.14 1.51 1.23 0.14 5.09 4.91 4.09 3.81 0010.10.80.1020100P0 34.7315 4 11642 Removal of skin lesion A 2.93 2.79 2.48 2.71 1.40 1.74 1.49 0.18 5.59 5.82 4.85 4.60 0010.10.80.1020100P0 34.7315 4 11643 Removal of skin lesion A 3.50 3.27 2.79 3.15 1.64 2.01 1.73 0.22 6.51 6.87 5.73 5.45 0010.10.80.1020100P0 34.7315 4 11644 Removal of skin lesion A 4.55 3.81 3.40 3.71 1.91 2.54 2.07 0.26 8.21 8.52 7.35 6.88 0010.10.80.1020100P0 34.7315 4 11646 Removal of skin lesion A 5.95 4.69 4.53 4.65 4.69 3.24 4.33 0.47 10.95 11.07 9.66 10.75 0010.10.80.1020100P0 34.7315 4 11719 Trim nail(s) R 0.11 0.26 0.41 0.30 0.13 0.04 0.11 0.02 0.54 0.43 0.17 0.24 0000.00.00.0020100P0 34.7315 4 11720 Debride nail, 1-5 A 0.32 0.35 0.38 0.36 0.18 0.27 0.20 0.02 0.72 0.70 0.61 0.54 0000.00.00.0000100P0 34.7315 4 11721 Debride nail, 6 or more A 0.54 0.59 0.49 0.57 0.30 0.36 0.32 0.04 1.07 1.15 0.94 0.90 0000.00.00.0000100P0 34.7315 4 11730 Removal of nail plate A 1.13 0.49 0.69 0.54 0.25 0.57 0.33 0.03 1.85 1.70 1.73 1.49 0000.00.00.0020100P0 34.7315 4 11731 Removal of second nail plate D 0.57 0.55 0.55 0.55 0.28 0.28 0.28 0.04 1.16 1.16 0.89 0.89 0ZZZ.00.00.0000100P0 34.7315 4 11732 Remove additional nail plate A 0.57 0.27 0.27 0.27 0.14 0.27 0.17 0.02 0.86 0.86 0.86 0.76 0ZZZ.00.00.0000100P0 34.7315 4 11740 Drain blood from under nail A 0.37 0.42 0.59 0.46 0.21 0.13 0.19 0.03 0.99 0.86 0.53 0.59 0000.00.00.0020100P0 34.7315 4 11750 Removal of nail bed A 1.86 2.28 1.38 2.06 1.14 0.75 1.04 0.15 3.39 4.07 2.76 3.05 0010.10.80.1020100P0 34.7315 4 11752 Remove nail bed/finger tip A 2.67 3.06 1.74 2.73 1.53 1.90 1.62 0.28 4.69 5.68 4.85 4.57 0010.10.80.1020100P0 34.7315 4 11755 Biopsy, nail unit A 1.31 1.07 0.97 1.05 1.07 0.73 0.99 0.09 2.37 2.45 2.13 2.39 0000.00.00.0020000P0 34.7315 4 11760 Reconstruction of nail bed A 1.58 1.01 1.37 1.10 0.51 1.37 0.73 0.07 3.02 2.75 3.02 2.38 0010.10.80.1020100P0 34.7315 4 11762 Reconstruction of nail bed A 2.89 2.79 1.82 2.55 1.40 2.09 1.57 0.19 4.90 5.63 5.17 4.65 0010.10.80.1020100P0 34.7315 4 11765 Excision of nail fold, toe A 0.69 0.55 0.86 0.63 0.28 0.57 0.35 0.04 1.59 1.36 1.30 1.08 0010.10.80.1020100P0 34.7315 4 11770 Removal of pilonidal lesion A 2.61 2.90 2.38 2.77 2.90 1.20 2.48 0.34 5.33 5.72 4.15 5.43 0010.10.80.1020100P0 34.7315 4 11771 Removal of pilonidal lesion A 5.74 4.91 4.66 4.85 4.91 3.48 4.55 0.72 11.12 11.31 9.94 11.01 0090.10.71.1920100P0 34.7315 4 11772 Removal of pilonidal lesion A 6.98 5.23 5.47 5.29 5.23 3.94 4.91 0.79 13.24 13.06 11.71 12.68 0090.10.71.1920100P0 34.7315 4 11900 Injection into skin lesions A 0.52 0.27 0.60 0.35 0.14 0.21 0.16 0.02 1.14 0.89 0.75 0.70 0000.00.00.0020100P0 34.7315 4 11901 Added skin lesions injection A 0.80 0.44 0.72 0.51 0.22 0.33 0.25 0.02 1.54 1.33 1.15 1.07 0000.00.00.0020100P0 34.7315 4 11920 Correct skin color defects R 1.61 1.28 1.81 1.41 1.28 0.84 1.17 0.18 3.60 3.20 2.63 2.96 0000.00.00.0020000P0 34.7315 4 11921 Correct skin color defects R 1.93 1.52 1.99 1.64 1.52 1.02 1.40 0.22 4.14 3.79 3.17 3.55 0000.00.00.0020000P0 34.7315 4 11922 Correct skin color defects R 0.49 0.39 0.32 0.37 0.39 0.26 0.36 0.05 0.86 0.91 0.80 0.90 0ZZZ.00.00.0000000P0 34.7315 4 11950 Therapy for contour defects R 0.84 1.29 0.96 1.21 1.29 0.41 1.07 0.09 1.89 2.14 1.34 2.00 0000.00.00.0020000P0 34.7315 4 11951 Therapy for contour defects R 1.19 1.29 1.38 1.31 1.29 0.50 1.09 0.09 2.66 2.59 1.78 2.37 0000.00.00.0020000P0 34.7315 4 11952 Therapy for contour defects R 1.69 1.29 0.99 1.22 1.29 0.99 1.22 0.09 2.77 3.00 2.77 3.00 0000.00.00.0020000P0 34.7315 4 11954 Therapy for contour defects R 1.85 1.29 1.44 1.33 1.29 0.96 1.21 0.09 3.38 3.27 2.90 3.15 0000.00.00.0020000P0 34.7315 4 11960 Insert tissue expander(s) A 9.08 8.39 8.83 NA 8.50 8.39 8.83 8.50 1.16 19.07 18.74 19.07 18.74 0090.10.71.1920100P0 34.7315 4 11970 Replace tissue expander A 7.06 8.43 4.56 NA 7.46 8.43 4.56 7.46 1.26 12.88 15.78 12.88 15.78 0090.10.71.1920100P0 34.7315 4 11971 Remove tissue expander(s) A 2.13 2.50 4.66 3.04 2.50 2.98 2.62 0.64 7.43 5.81 5.75 5.39 0090.10.71.1920000P0 34.7315 4 11975 Insert contraceptive cap N+ 1.48 1.15 1.25 1.18 1.15 0.56 1.00 0.20 2.93 2.86 2.24 2.68 9XXX.00.00.0099999P9 0.0000 9 11976 Removal of contraceptive cap R 1.78 1.39 1.47 1.41 1.39 0.67 1.21 0.23 3.48 3.42 2.68 3.22 0XXX.00.00.0020000P0 34.7315 4 11977 Removal/reinsert contra cap N+ 3.30 2.56 1.94 2.41 2.56 1.25 2.23 0.43 5.67 6.14 4.98 5.96 9XXX.00.00.0099999P9 0.0000 9 12001 Repair superficial wound(s) A 1.70 0.62 2.01 0.97 0.62 0.69 0.64 0.04 3.75 2.71 2.43 2.38 0010.10.80.1020100P0 34.7315 4 12002 Repair superficial wound(s) A 1.86 0.86 2.10 1.17 0.86 0.73 0.83 0.05 4.01 3.08 2.64 2.74 0010.10.80.1020100P0 34.7315 4 12004 Repair superficial wound(s) A 2.24 1.24 2.24 1.49 1.24 0.85 1.14 0.08 4.56 3.81 3.17 3.46 0010.10.80.1020100P0 34.7315 4 12005 Repair superficial wound(s) A 2.86 1.60 2.62 1.86 1.60 1.07 1.47 0.11 5.59 4.83 4.04 4.44 0010.10.80.1020100P0 34.7315 4 12006 Repair superficial wound(s) A 3.67 1.93 3.56 2.34 1.93 1.54 1.83 0.15 7.38 6.16 5.36 5.65 0010.10.80.1020100P0 34.7315 4 12007 Repair superficial wound(s) A 4.12 1.95 3.99 2.46 1.95 1.90 1.94 0.15 8.26 6.73 6.17 6.21 0010.10.80.1020110P0 34.7315 4 12011 Repair superficial wound(s) A 1.76 0.80 2.09 1.12 0.80 0.69 0.77 0.05 3.90 2.93 2.50 2.58 0010.10.80.1020100P0 34.7315 4 12013 Repair superficial wound(s) A 1.99 1.12 2.21 1.39 1.12 0.74 1.03 0.06 4.26 3.44 2.79 3.08 0010.10.80.1020100P0 34.7315 4 12014 Repair superficial wound(s) A 2.46 1.29 2.50 1.59 1.29 0.92 1.20 0.08 5.04 4.13 3.46 3.74 0010.10.80.1020100P0 34.7315 4 12015 Repair superficial wound(s) A 3.19 1.76 2.88 2.04 1.76 1.12 1.60 0.11 6.18 5.34 4.42 4.90 0010.10.80.1020100P0 34.7315 4 12016 Repair superficial wound(s) A 3.93 2.45 3.10 2.61 2.45 1.37 2.18 0.15 7.18 6.69 5.45 6.26 0010.10.80.1020100P0 34.7315 4 12017 Repair superficial wound(s) A 4.71 3.65 4.57 3.88 3.65 1.86 3.20 0.24 9.52 8.83 6.81 8.15 0010.10.80.1020000P0 34.7315 4 12018 Repair superficial wound(s) A 5.53 5.59 5.38 5.54 5.59 2.50 4.82 0.38 11.29 11.45 8.41 10.73 0010.10.80.1020210P0 34.7315 4 12020 Closure of split wound A 2.62 1.29 2.27 1.54 1.29 1.34 1.30 0.14 5.03 4.30 4.10 4.06 0010.10.80.1020100P0 34.7315 4 12021 Closure of split wound A 1.84 0.67 1.82 0.96 0.34 1.01 0.51 0.09 3.75 2.89 2.94 2.44 0010.10.80.1020100P0 34.7315 4 12031 Layer closure of wound(s) A 2.15 0.78 2.36 1.18 0.39 1.04 0.55 0.05 4.56 3.38 3.24 2.75 0010.10.80.1020100P0 34.7315 4 12032 Layer closure of wound(s) A 2.47 1.14 2.39 1.45 0.57 1.12 0.71 0.08 4.94 4.00 3.67 3.26 0010.10.80.1020100P0 34.7315 4 12034 Layer closure of wound(s) A 2.92 1.60 2.59 1.85 1.60 1.26 1.52 0.12 5.63 4.89 4.30 4.56 0010.10.80.1020100P0 34.7315 4 12035 Layer closure of wound(s) A 3.43 2.08 2.67 2.23 2.08 1.54 1.95 0.18 6.28 5.84 5.15 5.56 0010.10.80.1020100P0 34.7315 4 12036 Layer closure of wound(s) A 4.05 2.52 4.36 2.98 2.52 2.12 2.42 0.29 8.70 7.32 6.46 6.76 0010.10.80.1020100P0 34.7315 4 12037 Layer closure of wound(s) A 4.67 3.35 4.78 3.71 3.35 2.41 3.12 0.38 9.83 8.76 7.46 8.17 0010.10.80.1020010P0 34.7315 4 12041 Layer closure of wound(s) A 2.37 0.91 2.63 1.34 0.46 1.09 0.62 0.06 5.06 3.77 3.52 3.05 0010.10.80.1020100P0 34.7315 4 12042 Layer closure of wound(s) A 2.74 1.27 2.59 1.60 0.64 1.24 0.79 0.09 5.42 4.43 4.07 3.62 0010.10.80.1020100P0 34.7315 4 12044 Layer closure of wound(s) A 3.14 1.76 2.70 2.00 1.76 1.39 1.67 0.13 5.97 5.27 4.66 4.94 0010.10.80.1020100P0 34.7315 4 12045 Layer closure of wound(s) A 3.64 2.31 3.08 2.50 2.31 1.69 2.16 0.18 6.90 6.32 5.51 5.98 0010.10.80.1020100P0 34.7315 4 12046 Layer closure of wound(s) A 4.25 3.06 4.67 3.46 3.06 2.21 2.85 0.29 9.21 8.00 6.75 7.39 0010.10.80.1020000P0 34.7315 4 12047 Layer closure of wound(s) A 4.65 4.36 5.12 4.55 4.36 2.67 3.94 0.44 10.21 9.64 7.76 9.03 0010.10.80.1020210P0 34.7315 4 12051 Layer closure of wound(s) A 2.47 1.10 2.57 1.47 0.55 1.21 0.72 0.08 5.12 4.02 3.76 3.27 0010.10.80.1020100P0 34.7315 4 12052 Layer closure of wound(s) A 2.77 1.60 2.52 1.83 0.80 1.17 0.89 0.11 5.40 4.71 4.05 3.77 0010.10.80.1020100P0 34.7315 4 12053 Layer closure of wound(s) A 3.12 1.91 2.64 2.09 1.91 1.30 1.76 0.13 5.89 5.34 4.55 5.01 0010.10.80.1020100P0 34.7315 4 12054 Layer closure of wound(s) A 3.46 2.82 2.94 2.85 2.82 1.40 2.47 0.20 6.60 6.51 5.06 6.13 0010.10.80.1020100P0 34.7315 4 12055 Layer closure of wound(s) A 4.43 3.52 3.67 3.56 3.52 2.01 3.14 0.29 8.39 8.28 6.73 7.86 0010.10.80.1020100P0 34.7315 4 12056 Layer closure of wound(s) A 5.24 5.14 5.14 5.14 5.14 2.75 4.54 0.41 10.79 10.79 8.40 10.19 0010.10.80.1020000P0 34.7315 4 12057 Layer closure of wound(s) A 5.96 6.04 4.70 5.71 6.04 3.70 5.46 0.38 11.04 12.05 10.04 11.80 0010.10.80.1020210P0 34.7315 4 13100 Repair of wound or lesion A 3.12 1.24 2.93 1.66 0.62 1.68 0.89 0.10 6.15 4.88 4.90 4.11 0010.10.80.1020100P0 34.7315 4 13101 Repair of wound or lesion A 3.92 2.26 3.14 2.48 1.13 2.12 1.38 0.16 7.22 6.56 6.20 5.46 0010.10.80.1020100P0 34.7315 4 13120 Repair of wound or lesion A 3.30 1.47 3.01 1.86 0.74 1.69 0.98 0.13 6.44 5.29 5.12 4.41 0010.10.80.1020100P0 34.7315 4 13121 Repair of wound or lesion A 4.33 2.88 3.34 3.00 1.44 2.18 1.63 0.26 7.93 7.59 6.77 6.22 0010.10.80.1020100P0 34.7315 4 13131 Repair of wound or lesion A 3.79 2.15 3.28 2.43 1.08 2.02 1.32 0.18 7.25 6.40 5.99 5.29 0010.10.80.1020100P0 34.7315 4 13132 Repair of wound or lesion A 5.95 4.96 4.08 4.74 2.48 3.06 2.63 0.34 10.37 11.03 9.35 8.92 0010.10.80.1020100P0 34.7315 4 13150 Repair of wound or lesion A 3.81 1.91 4.38 2.53 1.91 2.38 2.03 0.18 8.37 6.52 6.37 6.02 0010.10.80.1020100P0 34.7315 4 13151 Repair of wound or lesion A 4.45 2.66 4.36 3.09 1.33 2.75 1.69 0.27 9.08 7.81 7.47 6.41 0010.10.80.1020100P0 34.7315 4 13152 Repair of wound or lesion A 6.33 5.57 5.11 5.46 2.79 3.66 3.01 0.53 11.97 12.32 10.52 9.87 0010.10.80.1020100P0 34.7315 4 13160 Late closure of wound A 10.48 3.61 5.81 NA 4.16 3.61 5.81 4.16 0.45 16.74 15.09 16.74 15.09 0090.10.71.1920100P0 34.7315 4 13300 Repair of wound or lesion A 5.27 6.20 3.85 5.61 6.20 2.79 5.35 0.67 9.79 11.55 8.73 11.29 0010.10.80.1020100P0 34.7315 4 14000 Skin tissue rearrangement A 5.89 3.70 6.08 4.30 1.85 3.99 2.39 0.30 12.27 10.49 10.18 8.58 0090.10.71.1920100P0 34.7315 4 14001 Skin tissue rearrangement A 8.47 5.15 7.33 5.70 5.15 5.28 5.18 0.59 16.39 14.76 14.34 14.24 0090.10.71.1920100P0 34.7315 4 14020 Skin tissue rearrangement A 6.59 5.32 6.48 5.61 5.32 4.63 5.15 0.38 13.45 12.58 11.60 12.12 0090.10.71.1920100P0 34.7315 4 14021 Skin tissue rearrangement A 10.06 6.74 7.91 7.03 6.74 6.38 6.65 0.74 18.71 17.83 17.18 17.45 0090.10.71.1920100P0 34.7315 4 14040 Skin tissue rearrangement A 7.87 7.35 6.91 7.24 3.68 5.39 4.11 0.51 15.29 15.62 13.77 12.49 0090.10.71.1920100P0 34.7315 4 14041 Skin tissue rearrangement A 11.49 8.55 8.56 8.55 4.28 7.22 5.02 0.80 20.85 20.84 19.51 17.31 0090.10.71.1920100P0 34.7315 4 14060 Skin tissue rearrangement A 8.50 8.41 7.41 8.16 8.41 6.13 7.84 0.81 16.72 17.47 15.44 17.15 0090.10.71.1920100P0 34.7315 4 14061 Skin tissue rearrangement A 12.29 11.38 9.46 10.90 5.69 7.80 6.22 0.99 22.74 24.18 21.08 19.50 0090.10.71.1920100P0 34.7315 4 14300 Skin tissue rearrangement A 11.76 12.27 8.73 11.39 12.27 7.54 11.09 1.44 21.93 24.59 20.74 24.29 0090.10.71.1920100P0 34.7315 4 14350 Skin tissue rearrangement A 9.61 6.59 5.81 NA 6.40 6.59 5.81 6.40 0.82 16.24 16.83 16.24 16.83 0090.10.71.1920000P0 34.7315 4 15000 Skin graft A 4.00 2.33 2.25 2.31 2.33 1.93 2.23 0.41 6.66 6.72 6.34 6.64 0000.00.00.0000100P0 34.7315 4 15001 Skin graft add-on A 1.00 0.00 0.49 0.49 0.00 0.48 0.48 0.41 1.90 1.90 1.89 1.89 0ZZZ.00.00.0020200P0 34.7315 5 15050 Skin pinch graft A 4.30 1.94 4.24 2.52 1.94 3.33 2.29 0.23 8.77 7.05 7.86 6.82 0090.10.71.1920100P0 34.7315 4 15100 Skin split graft A 9.05 4.93 5.62 5.10 4.93 5.51 5.08 0.70 15.37 14.85 15.26 14.83 0090.10.71.1920100P0 34.7315 4 15101 Skin split graft add-on A 1.72 1.73 1.12 1.58 1.73 0.76 1.49 0.26 3.10 3.56 2.74 3.47 0ZZZ.00.00.0000100P0 34.7315 4 15120 Skin split graft A 9.83 6.57 7.16 6.72 6.57 6.30 6.50 0.74 17.73 17.29 16.87 17.07 0090.10.71.1920100P0 34.7315 4 15121 Skin split graft add-on A 2.67 3.16 1.63 2.78 3.16 1.26 2.69 0.41 4.71 5.86 4.34 5.77 0ZZZ.00.00.0000110P0 34.7315 4 15200 Skin full graft A 8.03 4.48 7.73 5.29 4.48 5.01 4.61 0.54 16.30 13.86 13.58 13.18 0090.10.71.1920100P0 34.7315 4 15201 Skin full graft add-on A 1.32 1.82 0.90 1.59 1.57 0.62 1.33 0.39 2.61 3.30 2.33 3.04 0ZZZ.00.00.0000000P0 34.7315 4 15220 Skin full graft A 7.87 5.25 7.81 5.89 5.25 5.31 5.27 0.66 16.34 14.42 13.84 13.80 0090.10.71.1920100P0 34.7315 4 15221 Skin full graft add-on A 1.19 1.73 0.79 1.50 1.42 0.60 1.22 0.39 2.37 3.08 2.18 2.80 0ZZZ.00.00.0000100P0 34.7315 4 15240 Skin full graft A 9.04 6.62 7.62 6.87 6.62 6.15 6.50 0.81 17.47 16.72 16.00 16.35 0090.10.71.1920100P0 34.7315 4 15241 Skin full graft add-on A 1.86 2.58 1.26 2.25 2.22 0.95 1.90 0.45 3.57 4.56 3.26 4.21 0ZZZ.00.00.0000100P0 34.7315 4 15260 Skin full graft A 10.06 8.10 7.80 8.03 8.10 6.87 7.79 0.77 18.63 18.86 17.70 18.62 0090.10.71.1920100P0 34.7315 4 15261 Skin full graft add-on A 2.23 3.09 1.39 2.67 2.66 1.16 2.29 0.47 4.09 5.37 3.86 4.99 0ZZZ.00.00.0000100P0 34.7315 4 15350 Skin homograft A 4.00 2.33 6.47 3.37 2.33 3.58 2.64 0.33 10.80 7.70 7.91 6.97 0090.10.71.1920100P0 34.7315 4 15351 Skin homograft add-on A 1.00 0.00 0.41 0.41 0.00 0.45 0.45 0.26 1.67 1.67 1.71 1.71 0ZZZ.00.00.0000100P0 34.7315 5 15400 Skin heterograft A 4.00 1.15 3.69 1.79 1.15 4.22 1.92 0.13 7.82 5.92 8.35 6.05 0090.10.71.1920100P0 34.7315 4 15401 Skin heterograft add-on A 1.00 0.00 0.41 0.41 0.00 0.45 0.45 0.26 1.67 1.67 1.71 1.71 0ZZZ.00.00.0000100P0 34.7315 5 15570 Form skin pedicle flap A 9.21 5.97 6.94 6.21 5.97 5.51 5.86 1.63 17.78 17.05 16.35 16.70 0090.10.71.1920100P0 34.7315 4 15572 Form skin pedicle flap A 9.27 5.84 6.82 6.09 5.84 5.19 5.68 1.46 17.55 16.82 15.92 16.41 0090.10.71.1920100P0 34.7315 4 15574 Form skin pedicle flap A 9.88 5.86 7.15 6.18 5.86 6.27 5.96 1.30 18.33 17.36 17.45 17.14 0090.10.71.1920100P0 34.7315 4 15576 Form skin pedicle flap A 8.69 3.39 7.54 4.43 3.39 5.75 3.98 0.47 16.70 13.59 14.91 13.14 0090.10.71.1920100P0 34.7315 4 15580 Attach skin pedicle graft A 9.46 4.68 6.43 NA 5.12 4.68 6.43 5.12 1.02 16.91 15.60 16.91 15.60 0090.10.71.1920000P0 34.7315 4 15600 Skin graft A 1.91 2.72 4.51 3.17 2.28 1.83 2.17 0.69 7.11 5.77 4.43 4.77 0090.10.71.1920000P0 34.7315 4 15610 Skin graft A 2.42 3.06 4.02 3.30 2.89 2.16 2.71 0.63 7.07 6.35 5.21 5.76 0090.10.71.1920000P0 34.7315 4 15620 Skin graft A 2.94 3.73 5.01 4.05 3.51 2.83 3.34 0.67 8.62 7.66 6.44 6.95 0090.10.71.1920100P0 34.7315 4 15625 Skin graft A 1.91 2.28 2.12 NA 2.24 2.28 2.12 2.24 0.61 4.64 4.76 4.64 4.76 0090.10.71.1920000P0 34.7315 4 15630 Skin graft A 3.27 3.91 4.86 4.15 3.91 3.02 3.69 0.70 8.83 8.12 6.99 7.66 0090.10.71.1920100P0 34.7315 4 15650 Transfer skin pedicle flap A 3.97 4.74 4.74 4.74 4.74 3.09 4.33 0.73 9.44 9.44 7.79 9.03 0090.10.71.1920000P0 34.7315 4 15732 Muscle-skin graft, head/neck A 17.84 16.80 10.88 NA15.32 16.80 10.88 15.32 2.71 31.43 35.87 31.43 35.87 0090.10.71.1920210P0 34.7315 4 15734 Muscle-skin graft, trunk A 17.79 20.63 10.40 NA18.07 20.63 10.40 18.07 2.53 30.72 38.39 30.72 38.39 0090.10.71.1920210P0 34.7315 4 15736 Muscle-skin graft, arm A 16.27 17.59 9.84 NA15.65 17.59 9.84 15.65 2.36 28.47 34.28 28.47 34.28 0090.10.71.1920110P0 34.7315 4 15738 Muscle-skin graft, leg A 17.92 13.99 10.40 NA13.09 13.99 10.40 13.09 2.57 30.89 33.58 30.89 33.58 0090.10.71.1920210P0 34.7315 4 15740 Island pedicle flap graft A 10.25 11.28 7.47 10.33 11.28 6.45 10.07 1.27 18.99 21.85 17.97 21.59 0090.10.71.1920100P0 34.7315 4 15750 Neurovascular pedicle graft A 11.41 12.98 7.50 NA11.61 12.98 7.50 11.61 1.59 20.50 24.61 20.50 24.61 0090.10.71.1920200P0 34.7315 4 15756 Free muscle flap, microvasc A 35.23 32.66 20.52 NA29.63 32.66 20.52 29.63 4.17 59.92 69.03 59.92 69.03 0090.10.71.1920220P0 34.7315 4 15757 Free skin flap, microvasc A 35.23 32.66 21.06 NA29.76 32.66 21.06 29.76 4.17 60.46 69.16 60.46 69.16 0090.10.71.1920220P0 34.7315 4 15758 Free fascial flap, microvasc A 35.10 32.66 21.09 NA29.77 32.66 21.09 29.77 4.17 60.36 69.04 60.36 69.04 0090.10.71.1920220P0 34.7315 4 15760 Composite skin graft A 8.74 7.91 7.59 7.83 7.91 6.18 7.48 0.87 17.20 17.44 15.79 17.09 0090.10.71.1920100P0 34.7315 4 15770 Derma-fat-fascia graft A 7.52 8.10 5.57 NA 7.47 8.10 5.57 7.47 0.74 13.83 15.73 13.83 15.73 0090.10.71.1920210P0 34.7315 4 15775 Hair transplant punch grafts R 3.96 3.13 2.60 3.00 3.13 1.51 2.73 0.44 7.00 7.40 5.91 7.13 0000.00.00.0020000P0 34.7315 4 15776 Hair transplant punch grafts R 5.54 4.37 3.34 4.11 4.37 2.89 4.00 0.62 9.50 10.27 9.05 10.16 0000.00.00.0020000P0 34.7315 4 15780 Abrasion treatment of skin A 7.29 1.66 6.19 2.79 0.83 5.89 2.10 0.10 13.58 10.18 13.28 9.49 0090.10.71.1920000P0 34.7315 4 15781 Abrasion treatment of skin A 4.85 4.09 4.19 4.12 2.05 4.22 2.59 0.31 9.35 9.28 9.38 7.75 0090.10.71.1920100P0 34.7315 4 15782 Abrasion treatment of skin A 4.32 1.29 3.59 1.87 0.65 3.20 1.29 0.10 8.01 6.29 7.62 5.71 0090.10.71.1920000P0 34.7315 4 15783 Abrasion treatment of skin A 4.29 2.01 3.79 2.46 1.01 3.68 1.68 0.15 8.23 6.90 8.12 6.12 0090.10.71.1920000P0 34.7315 4 15786 Abrasion, lesion, single A 2.03 0.67 1.48 0.87 0.34 1.23 0.56 0.05 3.56 2.95 3.31 2.64 0010.10.80.1020100P0 34.7315 4 15787 Abrasion, lesions, add-on A 0.33 0.25 0.22 0.24 0.13 0.17 0.14 0.02 0.57 0.59 0.52 0.49 0ZZZ.00.00.0000100P0 34.7315 4 15788 Chemical peel, face, epiderm R 2.09 1.61 2.37 1.80 1.61 0.98 1.45 0.09 4.55 3.98 3.16 3.63 0090.10.71.1920100P0 34.7315 4 15789 Chemical peel, face, dermal R 4.92 1.61 4.99 2.46 1.61 3.25 2.02 0.09 10.00 7.47 8.26 7.03 0090.10.71.1920100P0 34.7315 4 15792 Chemical peel, nonfacial R 1.86 0.54 2.24 0.97 0.54 2.41 1.01 0.04 4.14 2.87 4.31 2.91 0090.10.71.1920000P0 34.7315 4 15793 Chemical peel, nonfacial A 3.74 0.54 2.77 NA 1.10 0.54 2.77 1.10 0.04 6.55 4.88 6.55 4.88 0090.10.71.1920000P0 34.7315 4 15810 Salabrasion A 4.74 4.12 2.47 3.71 4.12 3.93 4.07 0.23 7.44 8.68 8.90 9.04 0090.10.71.1920000P0 34.7315 4 15811 Salabrasion A 5.39 4.06 5.39 4.39 4.06 4.25 4.11 0.57 11.35 10.35 10.21 10.07 0090.10.71.1920000P0 34.7315 4 15819 Plastic surgery, neck A 9.38 8.69 6.38 NA 8.11 8.69 6.38 8.11 0.68 16.44 18.17 16.44 18.17 0090.10.71.1920000P0 34.7315 4 15820 Revision of lower eyelid A 5.15 6.15 8.73 6.80 6.15 6.68 6.28 0.50 14.38 12.45 12.33 11.93 0090.10.71.1921000P0 34.7315 4 15821 Revision of lower eyelid A 5.72 6.83 9.04 7.38 6.83 7.03 6.88 0.53 15.29 13.63 13.28 13.13 0090.10.71.1921000P0 34.7315 4 15822 Revision of upper eyelid A 4.45 5.32 7.87 5.96 5.32 6.23 5.55 0.44 12.76 10.85 11.12 10.44 0090.10.71.1921100P0 34.7315 4 15823 Revision of upper eyelid A 7.05 8.37 9.16 8.57 8.37 7.62 8.18 0.48 16.69 16.10 15.15 15.71 0090.10.71.1921100P0 34.7315 4 15824 Removal of forehead wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000P0 34.7315 9 15825 Removal of neck wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000P0 34.7315 9 15826 Removal of brow wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000P0 34.7315 9 15828 Removal of face wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000P0 34.7315 9 15829 Removal of skin wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0021000P0 34.7315 9 15831 Excise excessive skin tissue A 12.40 10.68 6.98 NA 9.76 10.68 6.98 9.76 1.57 20.95 23.73 20.95 23.73 0090.10.71.1920210P0 34.7315 4 15832 Excise excessive skin tissue A 11.59 9.00 6.58 NA 8.40 9.00 6.58 8.40 1.04 19.21 21.03 19.21 21.03 0090.10.71.1920210P0 34.7315 4 15833 Excise excessive skin tissue A 10.64 6.75 5.81 NA 6.52 6.75 5.81 6.52 0.88 17.33 18.04 17.33 18.04 0090.10.71.1920000P0 34.7315 4 15834 Excise excessive skin tissue A 10.85 7.79 6.71 NA 7.52 7.79 6.71 7.52 0.95 18.51 19.32 18.51 19.32 0090.10.71.1920000P0 34.7315 4 15835 Excise excessive skin tissue A 11.67 7.60 6.41 NA 7.30 7.60 6.41 7.30 0.95 19.03 19.92 19.03 19.92 0090.10.71.1920000P0 34.7315 4 15836 Excise excessive skin tissue A 9.34 6.29 5.39 NA 6.07 6.29 5.39 6.07 0.86 15.59 16.27 15.59 16.27 0090.10.71.1920000P0 34.7315 4 15837 Excise excessive skin tissue A 8.43 6.48 6.21 6.41 6.48 5.69 6.28 0.66 15.30 15.50 14.78 15.37 0090.10.71.1920000P0 34.7315 4 15838 Excise excessive skin tissue A 7.13 6.38 5.38 NA 6.13 6.38 5.38 6.13 0.57 13.08 13.83 13.08 13.83 0090.10.71.1920000P0 34.7315 4 15839 Excise excessive skin tissue A 9.38 2.65 6.65 3.65 2.65 5.50 3.36 0.36 16.39 13.39 15.24 13.10 0090.10.71.1920000P0 34.7315 4 15840 Graft for face nerve palsy A 13.26 15.83 9.12 NA14.15 15.83 9.12 14.15 1.78 24.16 29.19 24.16 29.19 0090.10.71.1920100P0 34.7315 4 15841 Graft for face nerve palsy A 23.26 18.31 14.03 NA17.24 18.31 14.03 17.24 2.16 39.45 42.66 39.45 42.66 0090.10.71.1920210P0 34.7315 4 15842 Graft for face nerve palsy A 37.96 31.47 20.06 NA28.62 31.47 20.06 28.62 2.10 60.12 68.68 60.12 68.68 0090.10.71.1920210P0 34.7315 4 15845 Skin and muscle repair, face A 12.57 15.01 8.19 NA13.31 15.01 8.19 13.31 1.99 22.75 27.87 22.75 27.87 0090.10.71.1920200P0 34.7315 4 15850 Removal of sutures B+ 0.78 0.39 1.16 0.58 0.39 0.31 0.37 0.03 1.97 1.39 1.12 1.18 9XXX.00.00.0099999P9 0.0000 9 15851 Removal of sutures A 0.86 0.33 1.42 0.60 0.17 0.33 0.21 0.02 2.30 1.48 1.21 1.09 0000.00.00.0020100P0 34.7315 4 15852 Dressing change,not for burn A 0.86 0.48 1.37 0.70 0.24 0.37 0.27 0.05 2.28 1.61 1.28 1.18 0000.00.00.0020100P0 34.7315 4 15860 Test for blood flow in graft A 1.95 1.47 1.00 1.35 1.47 0.80 1.30 0.20 3.15 3.50 2.95 3.45 0000.00.00.0020000P0 34.7315 4 15876 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 15877 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 15878 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 15879 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 15920 Removal of tail bone ulcer A 7.95 3.20 4.84 NA 3.61 3.20 4.84 3.61 0.49 13.28 12.05 13.28 12.05 0090.10.71.1920000P0 34.7315 4 15922 Removal of tail bone ulcer A 9.90 6.49 6.48 NA 6.49 6.49 6.48 6.49 0.93 17.31 17.32 17.31 17.32 0090.10.71.1920210P0 34.7315 4 15931 Remove sacrum pressure sore A 9.24 3.18 4.93 NA 3.62 3.18 4.93 3.62 0.43 14.60 13.29 14.60 13.29 0090.10.71.1920100P0 34.7315 4 15933 Remove sacrum pressure sore A 10.85 7.51 7.13 NA 7.42 7.51 7.13 7.42 1.12 19.10 19.39 19.10 19.39 0090.10.71.1920000P0 34.7315 4 15934 Remove sacrum pressure sore A 12.69 8.10 7.56 NA 7.97 8.10 7.56 7.97 1.17 21.42 21.83 21.42 21.83 0090.10.71.1920100P0 34.7315 4 15935 Remove sacrum pressure sore A 14.57 12.20 8.89 NA11.37 12.20 8.89 11.37 1.78 25.24 27.72 25.24 27.72 0090.10.71.1920210P0 34.7315 4 15936 Remove sacrum pressure sore A 12.38 11.15 7.96 NA10.35 11.15 7.96 10.35 1.60 21.94 24.33 21.94 24.33 0090.10.71.1920110P0 34.7315 4 15937 Remove sacrum pressure sore A 14.21 14.62 9.12 NA13.25 14.62 9.12 13.25 2.09 25.42 29.55 25.42 29.55 0090.10.71.1920210P0 34.7315 4 15940 Removal of pressure sore A 9.34 3.85 5.43 NA 4.25 3.85 5.43 4.25 0.57 15.34 14.16 15.34 14.16 0090.10.71.1920100P0 34.7315 4 15941 Removal of pressure sore A 11.43 7.65 8.46 NA 7.85 7.65 8.46 7.85 1.09 20.98 20.37 20.98 20.37 0090.10.71.1920000P0 34.7315 4 15944 Removal of pressure sore A 11.46 10.05 7.60 NA 9.44 10.05 7.60 9.44 1.42 20.48 22.32 20.48 22.32 0090.10.71.1920000P0 34.7315 4 15945 Removal of pressure sore A 12.69 12.09 8.26 NA11.13 12.09 8.26 11.13 1.64 22.59 25.46 22.59 25.46 0090.10.71.1920000P0 34.7315 4 15946 Removal of pressure sore A 21.57 18.03 11.95 NA16.51 18.03 11.95 16.51 2.53 36.05 40.61 36.05 40.61 0090.10.71.1920210P0 34.7315 4 15950 Remove thigh pressure sore A 7.54 3.27 4.30 NA 3.53 3.27 4.30 3.53 0.45 12.29 11.52 12.29 11.52 0090.10.71.1920100P0 34.7315 4 15951 Remove thigh pressure sore A 10.72 8.30 7.22 NA 8.03 8.30 7.22 8.03 1.24 19.18 19.99 19.18 19.99 0090.10.71.1920010P0 34.7315 4 15952 Remove thigh pressure sore A 11.39 7.74 6.72 NA 7.49 7.74 6.72 7.49 1.07 19.18 19.95 19.18 19.95 0090.10.71.1920210P0 34.7315 4 15953 Remove thigh pressure sore A 12.63 9.85 7.63 NA 9.30 9.85 7.63 9.30 1.46 21.72 23.39 21.72 23.39 0090.10.71.1920110P0 34.7315 4 15956 Remove thigh pressure sore A 15.52 18.53 9.45 NA16.26 18.53 9.45 16.26 2.65 27.62 34.43 27.62 34.43 0090.10.71.1920110P0 34.7315 4 15958 Remove thigh pressure sore A 15.48 18.48 9.53 NA16.24 18.48 9.53 16.24 2.94 27.95 34.66 27.95 34.66 0090.10.71.1920210P0 34.7315 4 15999 Removal of pressure sore C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 16000 Initial treatment of burn(s) A 0.89 0.38 0.88 0.51 0.19 0.24 0.20 0.02 1.79 1.42 1.15 1.11 0000.00.00.0020100P0 34.7315 4 16010 Treatment of burn(s) A 0.87 0.35 0.96 0.50 0.18 0.32 0.22 0.02 1.85 1.39 1.21 1.11 0000.00.00.0020100P0 34.7315 4 16015 Treatment of burn(s) A 2.35 2.21 1.32 1.99 2.21 0.88 1.88 0.30 3.97 4.64 3.53 4.53 0000.00.00.0020100P0 34.7315 4 16020 Treatment of burn(s) A 0.80 0.37 0.99 0.53 0.19 0.25 0.21 0.02 1.81 1.35 1.07 1.03 0000.00.00.0020100P0 34.7315 4 16025 Treatment of burn(s) A 1.85 0.49 1.47 0.74 0.25 0.67 0.36 0.04 3.36 2.63 2.56 2.25 0000.00.00.0020100P0 34.7315 4 16030 Treatment of burn(s) A 2.08 0.56 2.34 1.01 0.56 0.89 0.64 0.06 4.48 3.15 3.03 2.78 0000.00.00.0020100P0 34.7315 4 16035 Incision of burn scab A 4.82 2.04 2.74 2.22 2.04 2.01 2.03 0.27 7.83 7.31 7.10 7.12 0090.10.71.1920100P0 34.7315 4 16040 Burn wound excision D 1.02 1.69 1.69 1.69 1.22 1.22 1.22 0.41 3.12 3.12 2.65 2.65 0000.00.00.0020000P0 34.7315 4 16041 Burn wound excision D 2.70 3.22 3.22 3.22 3.22 3.22 3.22 0.41 6.33 6.33 6.33 6.33 0000.00.00.0020000P0 34.7315 4 16042 Burn wound excision D 2.35 2.81 2.81 2.81 2.81 2.81 2.81 0.41 5.57 5.57 5.57 5.57 0000.00.00.0020000P0 34.7315 4 17000 Destroy benign/premal lesion A 0.60 0.46 0.73 0.53 0.23 0.26 0.24 0.02 1.35 1.15 0.88 0.86 0010.10.80.1020100P0 34.7315 4 17003 Destroy 2-14 lesions A 0.15 0.14 0.55 0.24 0.07 0.08 0.07 0.01 0.71 0.40 0.24 0.23 0ZZZ.00.00.0000100P0 34.7315 4 17004 Destroy 15 & more lesions A 2.79 2.44 1.83 2.29 1.22 1.31 1.24 0.16 4.78 5.24 4.26 4.19 0010.10.80.1000100P0 34.7315 4 17106 Destruction of skin lesions A 4.59 2.09 3.40 2.42 1.05 2.63 1.45 0.14 8.13 7.15 7.36 6.18 0090.10.71.1920100P0 34.7315 4 17107 Destruction of skin lesions A 9.16 4.02 5.83 4.47 2.01 4.90 2.73 0.31 15.30 13.94 14.37 12.20 0090.10.71.1920100P0 34.7315 4 17108 Destruction of skin lesions A 13.20 10.11 8.16 9.62 10.11 7.09 9.36 0.54 21.90 23.36 20.83 23.10 0090.10.71.1920000P0 34.7315 4 17110 Destruct lesion, 1-14 A 0.65 0.43 0.87 0.54 0.22 0.26 0.23 0.02 1.54 1.21 0.93 0.90 0010.10.80.1020100P0 34.7315 4 17111 Destruct lesion, 15 or more A 0.92 0.65 1.07 0.76 0.33 0.38 0.34 0.04 2.03 1.72 1.34 1.30 0010.10.80.1020100P0 34.7315 4 17250 Chemical cautery, tissue A 0.50 0.37 0.59 0.43 0.19 0.20 0.19 0.03 1.12 0.96 0.73 0.72 0000.00.00.0020100P0 34.7315 4 17260 Destruction of skin lesions A 0.91 1.23 1.04 1.18 0.62 0.41 0.57 0.08 2.03 2.17 1.40 1.56 0010.10.80.1020100P0 34.7315 4 17261 Destruction of skin lesions A 1.17 1.51 1.15 1.42 0.76 0.54 0.71 0.09 2.41 2.68 1.80 1.97 0010.10.80.1020100P0 34.7315 4 17262 Destruction of skin lesions A 1.58 1.98 1.34 1.82 0.99 0.73 0.93 0.13 3.05 3.53 2.44 2.64 0010.10.80.1020100P0 34.7315 4 17263 Destruction of skin lesions A 1.79 2.44 1.45 2.19 1.22 0.82 1.12 0.16 3.40 4.14 2.77 3.07 0010.10.80.1020100P0 34.7315 4 17264 Destruction of skin lesions A 1.94 2.81 1.52 2.49 1.41 0.87 1.28 0.20 3.66 4.63 3.01 3.42 0010.10.80.1020100P0 34.7315 4 17266 Destruction of skin lesions A 2.34 3.38 1.73 2.97 1.69 0.97 1.51 0.38 4.45 5.69 3.69 4.23 0010.10.80.1020100P0 34.7315 4 17270 Destruction of skin lesions A 1.32 1.45 1.23 1.40 0.73 0.60 0.70 0.09 2.64 2.81 2.01 2.11 0010.10.80.1020100P0 34.7315 4 17271 Destruction of skin lesions A 1.49 1.90 1.30 1.75 0.95 0.69 0.89 0.13 2.92 3.37 2.31 2.51 0010.10.80.1020100P0 34.7315 4 17272 Destruction of skin lesions A 1.77 2.39 1.44 2.15 1.20 0.83 1.11 0.15 3.36 4.07 2.75 3.03 0010.10.80.1020100P0 34.7315 4 17273 Destruction of skin lesions A 2.05 2.80 1.57 2.49 1.40 0.94 1.29 0.20 3.82 4.74 3.19 3.54 0010.10.80.1020100P0 34.7315 4 17274 Destruction of skin lesions A 2.59 3.48 1.84 3.07 1.74 1.17 1.60 0.25 4.68 5.91 4.01 4.44 0010.10.80.1020100P0 34.7315 4 17276 Destruction of skin lesions A 3.20 3.70 2.15 3.31 1.85 1.60 1.79 0.40 5.75 6.91 5.20 5.39 0010.10.80.1020100P0 34.7315 4 17280 Destruction of skin lesions A 1.17 1.79 1.16 1.63 0.90 0.52 0.81 0.12 2.45 2.92 1.81 2.10 0010.10.80.1020100P0 34.7315 4 17281 Destruction of skin lesions A 1.72 2.27 1.42 2.06 1.14 0.81 1.06 0.14 3.28 3.92 2.67 2.92 0010.10.80.1020100P0 34.7315 4 17282 Destruction of skin lesions A 2.04 2.79 1.57 2.49 1.40 0.96 1.29 0.18 3.79 4.71 3.18 3.51 0010.10.80.1020100P0 34.7315 4 17283 Destruction of skin lesions A 2.64 3.27 1.86 2.92 1.64 1.26 1.55 0.22 4.72 5.78 4.12 4.41 0010.10.80.1020100P0 34.7315 4 17284 Destruction of skin lesions A 3.21 3.81 2.14 3.39 1.91 1.53 1.82 0.26 5.61 6.86 5.00 5.29 0010.10.80.1020100P0 34.7315 4 17286 Destruction of skin lesions A 4.44 4.69 2.78 4.21 2.35 2.39 2.36 0.47 7.69 9.12 7.30 7.27 0010.10.80.1020100P0 34.7315 4 17304 Chemosurgery of skin lesion A 7.60 4.36 6.72 4.95 2.18 4.13 2.67 0.24 14.56 12.79 11.97 10.51 0000.00.00.0000100P0 34.7315 4 17305 2nd stage chemosurgery A 2.85 2.45 2.56 2.48 1.23 1.62 1.33 0.13 5.54 5.46 4.60 4.31 0000.00.00.0000100P0 34.7315 4 17306 3rd stage chemosurgery A 2.85 1.52 2.56 1.78 0.76 1.62 0.98 0.09 5.50 4.72 4.56 3.92 0000.00.00.0000100P0 34.7315 4 17307 Followup skin lesion therapy A 2.85 1.60 2.56 1.84 0.80 1.63 1.01 0.09 5.50 4.78 4.57 3.95 0000.00.00.0000100P0 34.7315 4 17310 Extensive skin chemosurgery A 0.95 0.14 1.02 0.36 0.07 0.55 0.19 0.01 1.98 1.32 1.51 1.15 0000.00.00.0000100P0 34.7315 4 17340 Cryotherapy of skin A 0.76 0.30 1.14 0.51 0.15 0.25 0.18 0.02 1.92 1.29 1.03 0.96 0010.10.80.1020100P0 34.7315 4 17360 Skin peel therapy A 1.43 0.29 1.27 0.54 0.15 0.70 0.29 0.02 2.72 1.99 2.15 1.74 0010.10.80.1020100P0 34.7315 4 17380 Hair removal by electrolysis R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 17999 Skin tissue procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 19000 Drainage of breast lesion A 0.84 0.41 1.37 0.65 0.21 0.24 0.22 0.05 2.26 1.54 1.13 1.11 0000.00.00.0021100P0 34.7315 4 19001 Drain breast lesion add-on A 0.42 0.26 1.05 0.46 0.13 0.12 0.13 0.04 1.51 0.92 0.58 0.59 0ZZZ.00.00.0001100P0 34.7315 4 19020 Incision of breast lesion A 3.57 1.52 5.38 2.49 1.52 2.73 1.82 0.22 9.17 6.28 6.52 5.61 0090.10.71.1921100P0 34.7315 4 19030 Injection for breast x-ray A 1.53 0.53 10.31 2.98 0.53 0.41 0.50 0.03 11.87 4.54 1.97 2.06 0000.00.00.0021100P0 34.7315 4 19100 Biopsy of breast A 1.27 0.69 2.88 1.24 0.35 0.81 0.47 0.10 4.25 2.61 2.18 1.84 0000.00.00.0021100P0 34.7315 4 19101 Biopsy of breast A 3.18 2.54 7.34 3.74 2.54 2.67 2.57 0.35 10.87 7.27 6.20 6.10 0010.10.80.1021100P1A4550 34.7315 4 19110 Nipple exploration A 4.30 2.67 6.54 3.64 2.67 3.46 2.87 0.40 11.24 8.34 8.16 7.57 0090.10.71.1921100P0 34.7315 4 19112 Excise breast duct fistula A 3.67 2.54 6.93 3.64 2.54 2.51 2.53 0.27 10.87 7.58 6.45 6.47 0090.10.71.1921000P0 34.7315 4 19120 Removal of breast lesion A 5.56 3.15 3.47 3.23 3.15 3.32 3.19 0.47 9.50 9.26 9.35 9.22 0090.10.71.1921100P1A4550 34.7315 4 19125 Excision, breast lesion A 6.06 3.15 3.80 3.31 3.15 3.76 3.30 0.47 10.33 9.84 10.29 9.83 0090.10.71.1921110P1A4550 34.7315 4 19126 Excision,add’l breast lesion A 2.93 1.57 1.26 NA 1.49 1.57 1.26 1.49 0.24 4.43 4.66 4.43 4.66 0ZZZ.00.00.0000110P1A4550 34.7315 4 19140 Removal of breast tissue A 5.14 4.66 7.16 5.29 4.66 3.13 4.28 0.71 13.01 11.14 8.98 10.13 0090.10.71.1921100P0 34.7315 4 19160 Removal of breast tissue A 5.99 4.48 3.80 NA 4.31 4.48 3.80 4.31 0.69 10.48 10.99 10.48 10.99 0090.10.71.1921000P0 34.7315 4 19162 Remove breast tissue, nodes A 13.53 10.18 7.29 NA 9.46 10.18 7.29 9.46 1.53 22.35 24.52 22.35 24.52 0090.10.71.1921210P0 34.7315 4 19180 Removal of breast A 8.80 6.09 5.31 NA 5.90 6.09 5.31 5.90 0.92 15.03 15.62 15.03 15.62 0090.10.71.1921210P0 34.7315 4 19182 Removal of breast A 7.73 6.59 4.61 NA 6.10 6.59 4.61 6.10 0.99 13.33 14.82 13.33 14.82 0090.10.71.1921210P0 34.7315 4 19200 Removal of breast A 15.49 11.09 8.40 NA10.42 11.09 8.40 10.42 1.68 25.57 27.59 25.57 27.59 0090.10.71.1921210P0 34.7315 4 19220 Removal of breast A 15.72 11.64 8.55 NA10.87 11.64 8.55 10.87 1.86 26.13 28.45 26.13 28.45 0090.10.71.1921210P0 34.7315 4 19240 Removal of breast A 16.00 10.24 8.19 NA 9.73 10.24 8.19 9.73 1.56 25.75 27.29 25.75 27.29 0090.10.71.1921210P0 34.7315 4 19260 Removal of chest wall lesion A 15.44 5.48 11.09 NA 6.88 5.48 11.09 6.88 0.81 27.34 23.13 27.34 23.13 0090.10.71.1920210P0 34.7315 4 19271 Revision of chest wall A 18.90 15.14 13.74 NA14.79 15.14 13.74 14.79 2.17 34.81 35.86 34.81 35.86 0090.10.71.1920210P0 34.7315 4 19272 Extensive chest wall surgery A 21.55 13.67 14.79 NA13.95 13.67 14.79 13.95 2.00 38.34 37.50 38.34 37.50 0090.10.71.1920210P0 34.7315 4 19290 Place needle wire, breast A 1.27 0.48 5.27 1.68 0.48 0.34 0.45 0.05 6.59 3.00 1.66 1.77 0000.00.00.0021100P0 34.7315 4 19291 Place needle wire, breast A 0.63 0.27 1.45 0.57 0.27 0.17 0.25 0.03 2.11 1.23 0.83 0.91 0ZZZ.00.00.0000000P0 34.7315 4 19316 Suspension of breast A 10.69 12.76 6.80 NA11.27 12.76 6.80 11.27 1.90 19.39 23.86 19.39 23.86 0090.10.71.1921210P0 34.7315 4 19318 Reduction of large breast A 15.62 15.39 9.44 NA13.90 15.39 9.44 13.90 2.53 27.59 32.05 27.59 32.05 0090.10.71.1921210P0 34.7315 4 19324 Enlarge breast A 5.85 3.57 3.65 NA 3.59 3.57 3.65 3.59 0.52 10.02 9.96 10.02 9.96 0090.10.71.1921000P0 34.7315 4 19325 Enlarge breast with implant A 8.45 6.37 5.81 NA 6.23 6.37 5.81 6.23 0.88 15.14 15.56 15.14 15.56 0090.10.71.1921000P0 34.7315 4 19328 Removal of breast implant A 5.68 4.08 3.99 NA 4.06 4.08 3.99 4.06 0.57 10.24 10.31 10.24 10.31 0090.10.71.1921100P0 34.7315 4 19330 Removal of implant material A 7.59 4.21 4.71 NA 4.34 4.21 4.71 4.34 0.59 12.89 12.52 12.89 12.52 0090.10.71.1921100P0 34.7315 4 19340 Immediate breast prosthesis A 6.33 7.55 3.25 NA 6.48 7.55 3.25 6.48 1.61 11.19 14.42 11.19 14.42 0ZZZ.00.00.0001110P0 34.7315 4 19342 Delayed breast prosthesis A 11.20 11.73 7.09 NA10.57 11.73 7.09 10.57 1.59 19.88 23.36 19.88 23.36 0090.10.71.1921010P0 34.7315 4 19350 Breast reconstruction A 8.92 7.68 10.84 8.47 7.68 6.01 7.26 1.08 20.84 18.47 16.01 17.26 0090.10.71.1921100P0 34.7315 4 19355 Correct inverted nipple(s) A 7.57 5.35 12.42 7.12 5.35 4.55 5.15 0.78 20.77 15.47 12.90 13.50 0090.10.71.1921000P0 34.7315 4 19357 Breast reconstruction A 18.16 13.19 12.00 NA12.89 13.19 12.00 12.89 1.85 32.01 32.90 32.01 32.90 0090.10.71.1921210P0 34.7315 4 19361 Breast reconstruction A 19.26 21.85 11.15 NA19.18 21.85 11.15 19.18 3.04 33.45 41.48 33.45 41.48 0090.10.71.1921210P0 34.7315 4 19364 Breast reconstruction A 41.00 18.10 23.30 NA19.40 18.10 23.30 19.40 2.80 67.10 63.20 67.10 63.20 0090.10.71.1921210P0 34.7315 4 19366 Breast reconstruction A 21.28 17.80 10.95 NA16.09 17.80 10.95 16.09 2.49 34.72 39.86 34.72 39.86 0090.10.71.1921210P0 34.7315 4 19367 Breast reconstruction A 25.73 21.85 14.33 NA19.97 21.85 14.33 19.97 3.04 43.10 48.74 43.10 48.74 0090.10.71.1921210P0 34.7315 4 19368 Breast reconstruction A 32.42 21.85 18.24 NA20.95 21.85 18.24 20.95 3.04 53.70 56.41 53.70 56.41 0090.10.71.1921210P0 34.7315 4 19369 Breast reconstruction A 29.82 21.85 17.22 NA20.69 21.85 17.22 20.69 3.04 50.08 53.55 50.08 53.55 0090.10.71.1921210P0 34.7315 4 19370 Surgery of breast capsule A 8.05 6.70 5.40 NA 6.38 6.70 5.40 6.38 0.93 14.38 15.36 14.38 15.36 0090.10.71.1921100P0 34.7315 4 19371 Removal of breast capsule A 9.35 8.58 6.35 NA 8.02 8.58 6.35 8.02 1.20 16.90 18.57 16.90 18.57 0090.10.71.1921100P0 34.7315 4 19380 Revise breast reconstruction A 9.14 8.80 6.24 NA 8.16 8.80 6.24 8.16 1.23 16.61 18.53 16.61 18.53 0090.10.71.1921100P0 34.7315 4 19396 Design custom breast implant A 2.17 1.70 3.90 2.25 1.70 0.82 1.48 0.24 6.31 4.66 3.23 3.89 0000.00.00.0021000P0 34.7315 4 19499 Breast surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 20000 Incision of abscess A 2.12 0.92 1.80 1.14 0.46 1.01 0.60 0.06 3.98 3.32 3.19 2.78 0010.10.80.1020100P0 34.7315 4 20005 Incision of deep abscess A 3.42 1.99 2.54 2.13 1.99 1.90 1.97 0.22 6.18 5.77 5.54 5.61 0010.10.80.1020100P0 34.7315 4 20100 Explore wound, neck A 10.08 5.39 5.13 5.33 5.39 4.73 5.23 0.91 16.12 16.32 15.72 16.22 0010.10.80.1021200P0 34.7315 4 20101 Explore wound, chest A 3.22 1.70 2.12 1.81 1.70 1.55 1.66 0.29 5.63 5.32 5.06 5.17 0010.10.80.1020100P0 34.7315 4 20102 Explore wound, abdomen A 3.94 2.08 2.76 2.25 2.08 1.79 2.01 0.35 7.05 6.54 6.08 6.30 0010.10.80.1020200P0 34.7315 4 20103 Explore wound, extremity A 5.30 2.81 3.65 3.02 2.81 2.90 2.83 0.47 9.42 8.79 8.67 8.60 0010.10.80.1020000P0 34.7315 4 20150 Excise epiphyseal bar A 13.69 13.46 7.33 NA11.93 13.46 7.33 11.93 1.59 22.61 27.21 22.61 27.21 0090.10.69.2121210P0 34.7315 4 20200 Muscle biopsy A 1.46 1.22 1.49 1.29 1.22 0.61 1.07 0.14 3.09 2.89 2.21 2.67 0000.00.00.0020100P1A4550 34.7315 4 20205 Deep muscle biopsy A 2.35 2.04 3.61 2.43 2.04 1.13 1.81 0.26 6.22 5.04 3.74 4.42 0000.00.00.0020100P1A4550 34.7315 4 20206 Needle biopsy, muscle A 0.99 1.04 2.74 1.47 1.04 0.98 1.03 0.11 3.84 2.57 2.08 2.13 0000.00.00.0020100P0 34.7315 4 20220 Bone biopsy, trocar/needle A 1.27 1.42 2.93 1.80 1.42 1.82 1.52 0.07 4.27 3.14 3.16 2.86 0000.00.00.0020100P1A4550 34.7315 4 20225 Bone biopsy, trocar/needle A 1.87 2.59 0.64 2.10 2.24 1.90 2.16 0.22 2.73 4.19 3.99 4.25 0000.00.00.0020100P1A4550 34.7315 4 20240 Bone biopsy, excisional A 3.23 2.04 3.12 NA 2.31 2.04 3.12 2.31 0.14 6.49 5.68 6.49 5.68 0010.10.80.1020100P1A4550 34.7315 4 20245 Bone biopsy, excisional A 3.95 3.89 3.98 NA 3.91 3.89 3.98 3.91 0.34 8.27 8.20 8.27 8.20 0010.10.80.1020100P0 34.7315 4 20250 Open bone biopsy A 5.03 5.50 3.83 NA 5.08 5.50 3.83 5.08 0.59 9.45 10.70 9.45 10.70 0010.10.80.1020100P0 34.7315 4 20251 Open bone biopsy A 5.56 6.34 4.59 NA 5.90 6.34 4.59 5.90 0.72 10.87 12.18 10.87 12.18 0010.10.80.1020200P0 34.7315 4 20500 Injection of sinus tract A 1.23 0.39 3.74 1.23 0.20 2.46 0.77 0.03 5.00 2.49 3.72 2.03 0010.10.80.1020100P0 34.7315 4 20501 Inject sinus tract for x-ray A 0.76 0.33 12.00 3.25 0.33 0.21 0.30 0.02 12.78 4.03 0.99 1.08 0000.00.00.0020100P0 34.7315 4 20520 Removal of foreign body A 1.85 0.77 3.63 1.49 0.39 2.36 0.88 0.06 5.54 3.40 4.27 2.79 0010.10.80.1020100P0 34.7315 4 20525 Removal of foreign body A 3.50 2.42 4.56 2.96 2.42 3.34 2.65 0.26 8.32 6.72 7.10 6.41 0010.10.80.1020100P0 34.7315 4 20550 Inj tendon/ligament/cyst A 0.86 0.41 1.48 0.68 0.21 0.18 0.20 0.03 2.37 1.57 1.07 1.09 0000.00.00.0020100P0 34.7315 4 20600 Drain/inject joint/bursa A 0.66 0.51 1.06 0.65 0.26 0.26 0.26 0.04 1.76 1.35 0.96 0.96 0000.00.00.0021100P0 34.7315 4 20605 Drain/inject joint/bursa A 0.68 0.49 1.30 0.69 0.25 0.26 0.25 0.04 2.02 1.41 0.98 0.97 0000.00.00.0021100P0 34.7315 4 20610 Drain/inject joint/bursa A 0.79 0.49 1.61 0.77 0.25 0.44 0.30 0.04 2.44 1.60 1.27 1.13 0000.00.00.0021100P0 34.7315 4 20615 Treatment of bone cyst A 2.28 0.53 3.16 1.19 0.27 2.10 0.73 0.05 5.49 3.52 4.43 3.06 0010.10.80.1020100P0 34.7315 4 20650 Insert and remove bone pin A 2.23 1.17 3.49 1.75 1.17 2.51 1.51 0.11 5.83 4.09 4.85 3.85 0010.10.80.1020110P0 34.7315 4 20660 Apply,remove fixation device A 2.51 1.69 1.39 NA 1.62 1.69 1.39 1.62 0.16 4.06 4.29 4.06 4.29 0000.00.00.0000100P0 34.7315 4 20661 Application of head brace A 4.89 4.15 5.42 NA 4.47 4.15 5.42 4.47 0.51 10.82 9.87 10.82 9.87 0090.10.69.2120100P0 34.7315 4 20662 Application of pelvis brace A 6.07 7.10 4.74 NA 6.51 7.10 4.74 6.51 0.81 11.62 13.39 11.62 13.39 0090.10.69.2120000P0 34.7315 4 20663 Application of thigh brace A 5.43 5.04 3.77 NA 4.72 5.04 3.77 4.72 0.59 9.79 10.74 9.79 10.74 0090.10.69.2120000P0 34.7315 4 20664 Halo brace application A 8.06 4.15 7.10 NA 4.89 4.15 7.10 4.89 0.51 15.67 13.46 15.67 13.46 0090.10.69.2120100P0 34.7315 4 20665 Removal of fixation device A 1.31 0.54 1.77 0.85 0.54 1.13 0.69 0.05 3.13 2.21 2.49 2.05 0010.10.80.1020000P0 34.7315 4 20670 Removal of support implant A 1.74 0.80 4.33 1.68 0.40 2.77 0.99 0.09 6.16 3.51 4.60 2.82 0010.10.80.1020100P0 34.7315 4 20680 Removal of support implant A 3.35 3.61 3.80 3.66 3.61 4.58 3.85 0.40 7.55 7.41 8.33 7.60 0090.10.69.2120000P0 34.7315 4 20690 Apply bone fixation device A 3.52 3.97 1.96 NA 3.47 3.97 1.96 3.47 0.45 5.93 7.44 5.93 7.44 0090.10.69.2100100P0 34.7315 4 20692 Apply bone fixation device A 6.41 5.98 3.65 NA 5.40 5.98 3.65 5.40 0.70 10.76 12.51 10.76 12.51 0090.10.69.2100210P0 34.7315 4 20693 Adjust bone fixation device A 5.86 2.70 9.59 NA 4.42 2.70 9.59 4.42 0.33 15.78 10.61 15.78 10.61 0090.10.69.2120100P0 34.7315 4 20694 Remove bone fixation device A 4.16 2.82 6.67 3.78 2.82 5.01 3.37 0.32 11.15 8.26 9.49 7.85 0090.10.69.2120100P0 34.7315 4 20802 Replantation, arm, complete A 41.15 40.94 24.01 NA36.71 40.94 24.01 36.71 4.83 69.99 82.69 69.99 82.69 0090.10.69.2121210P0 34.7315 4 20805 Replant forearm, complete A 50.00 50.11 39.66 NA47.50 50.11 39.66 47.50 5.91 95.57 103.41 95.57 103.41 0090.10.69.2121210P0 34.7315 4 20808 Replantation, hand, complete A 61.65 62.29 37.79 NA56.17 62.29 37.79 56.17 7.35 106.79 125.17 106.79 125.17 0090.10.69.2121210P0 34.7315 4 20816 Replantation digit, complete A 30.94 30.71 39.65 NA32.95 30.71 39.65 32.95 3.62 74.21 67.51 74.21 67.51 0090.10.69.2120210P0 34.7315 4 20822 Replantation digit, complete A 25.59 25.38 36.62 NA28.19 25.38 36.62 28.19 3.00 65.21 56.78 65.21 56.78 0090.10.69.2120210P0 34.7315 4 20824 Replantation thumb, complete A 30.94 30.71 35.20 NA31.83 30.71 35.20 31.83 3.62 69.76 66.39 69.76 66.39 0090.10.69.2121210P0 34.7315 4 20827 Replantation thumb, complete A 26.41 26.10 36.63 NA28.73 26.10 36.63 28.73 3.08 66.12 58.22 66.12 58.22 0090.10.69.2121210P0 34.7315 4 20838 Replantation, foot, complete A 41.41 40.94 30.75 NA38.39 40.94 30.75 38.39 4.83 76.99 84.63 76.99 84.63 0090.10.69.2121210P0 34.7315 4 20900 Removal of bone for graft A 5.58 3.04 4.88 3.50 3.04 5.21 3.58 0.35 10.81 9.43 11.14 9.51 0090.10.69.2120210P0 34.7315 4 20902 Removal of bone for graft A 7.55 5.37 7.56 NA 5.92 5.37 7.56 5.92 0.63 15.74 14.10 15.74 14.10 0090.10.69.2120210P0 34.7315 4 20910 Remove cartilage for graft A 5.34 0.86 6.31 2.22 0.86 5.29 1.97 0.07 11.72 7.63 10.70 7.38 0090.10.69.2120000P0 34.7315 4 20912 Remove cartilage for graft A 6.35 5.01 5.99 NA 5.26 5.01 5.99 5.26 0.50 12.84 12.11 12.84 12.11 0090.10.69.2120000P0 34.7315 4 20920 Removal of fascia for graft A 5.31 4.27 4.55 NA 4.34 4.27 4.55 4.34 0.39 10.25 10.04 10.25 10.04 0090.10.69.2120110P0 34.7315 4 20922 Removal of fascia for graft A 6.61 4.76 6.80 5.27 4.76 5.58 4.97 0.56 13.97 12.44 12.75 12.14 0090.10.69.2120210P0 34.7315 4 20924 Removal of tendon for graft A 6.48 5.91 5.87 NA 5.90 5.91 5.87 5.90 0.66 13.01 13.04 13.01 13.04 0090.10.69.2120210P0 34.7315 4 20926 Removal of tissue for graft A 5.53 2.81 5.06 NA 3.37 2.81 5.06 3.37 0.31 10.90 9.21 10.90 9.21 0090.10.69.2120100P0 34.7315 4 20930 Spinal bone allograft B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 20931 Spinal bone allograft A 1.81 1.88 1.26 NA 1.73 1.88 1.26 1.73 0.22 3.29 3.76 3.29 3.76 0ZZZ.00.00.0001110P0 34.7315 4 20936 Spinal bone autograft B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 20937 Spinal bone autograft A 2.79 2.89 1.80 NA 2.62 2.89 1.80 2.62 0.34 4.93 5.75 4.93 5.75 0ZZZ.00.00.0001210P0 34.7315 4 20938 Spinal bone autograft A 3.02 3.13 1.90 NA 2.82 3.13 1.90 2.82 0.37 5.29 6.21 5.29 6.21 0ZZZ.00.00.0001210P0 34.7315 4 20950 Record fluid pressure,muscle A 1.26 1.18 1.66 NA 1.30 1.18 1.66 1.30 0.13 3.05 2.69 3.05 2.69 0000.00.00.0020000P0 34.7315 4 20955 Fibula bone graft, microvasc A 39.21 38.90 26.31 NA35.75 38.90 26.31 35.75 4.59 70.11 79.55 70.11 79.55 0090.10.69.2120210P0 34.7315 4 20956 Iliac bone graft, microvasc A 39.27 29.19 26.03 NA28.40 29.19 26.03 28.40 4.12 69.42 71.79 69.42 71.79 0090.10.69.2120210P0 34.7315 4 20957 Mt bone graft, microvasc A 40.65 30.25 19.97 NA27.68 30.25 19.97 27.68 4.26 64.88 72.59 64.88 72.59 0090.10.69.2120210P0 34.7315 4 20962 Other bone graft, microvasc A 39.27 29.19 25.39 NA28.24 29.19 25.39 28.24 4.12 68.78 71.63 68.78 71.63 0090.10.69.2120210P0 34.7315 4 20969 Bone/skin graft, microvasc A 43.92 43.55 28.51 NA39.79 43.55 28.51 39.79 5.14 77.57 88.85 77.57 88.85 0090.10.69.2120210P0 34.7315 4 20970 Bone/skin graft, iliac crest A 43.06 42.66 26.61 NA38.65 42.66 26.61 38.65 5.04 74.71 86.75 74.71 86.75 0090.10.69.2120210P0 34.7315 4 20972 Bone-skin graft, metatarsal A 42.99 42.99 19.85 NA37.21 42.99 19.85 37.21 5.08 67.92 85.28 67.92 85.28 0090.10.69.2120200P0 34.7315 4 20973 Bone-skin graft, great toe A 45.76 45.85 26.28 NA40.96 45.85 26.28 40.96 5.41 77.45 92.13 77.45 92.13 0090.10.69.2120210P0 34.7315 4 20974 Electrical bone stimulation A 0.62 3.71 0.33 2.87 1.86 0.31 1.47 0.41 1.36 3.90 1.34 2.50 0000.00.00.0000100P0 34.7315 4 20975 Electrical bone stimulation A 2.60 3.10 1.36 NA 2.67 3.10 1.36 2.67 0.44 4.40 5.71 4.40 5.71 0000.00.00.0000210P0 34.7315 4 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 21010 Incision of jaw joint A 10.14 11.11 7.73 NA10.27 11.11 7.73 10.27 0.73 18.60 21.14 18.60 21.14 0090.10.69.2121000P0 34.7315 4 21015 Resection of facial tumor A 5.29 6.32 6.95 NA 6.48 6.32 6.95 6.48 0.88 13.12 12.65 13.12 12.65 0090.10.69.2120100P0 34.7315 4 21025 Excision of bone, lower jaw A 10.06 4.49 7.16 5.16 2.25 6.64 3.35 0.30 17.52 15.52 17.00 13.71 0090.10.69.2120100P0 34.7315 4 21026 Excision of facial bone(s) A 4.85 3.41 5.18 3.85 1.71 4.73 2.47 0.22 10.25 8.92 9.80 7.54 0090.10.69.2120100P0 34.7315 4 21029 Contour of face bone lesion A 7.71 9.20 6.96 8.64 4.60 5.73 4.88 0.61 15.28 16.96 14.05 13.20 0090.10.69.2120000P0 34.7315 4 21030 Removal of face bone lesion A 6.46 3.64 5.32 4.06 1.82 4.59 2.51 0.23 12.01 10.75 11.28 9.20 0090.10.69.2120100P0 34.7315 4 21031 Remove exostosis, mandible A 3.24 3.99 3.50 3.87 2.00 2.24 2.06 0.25 6.99 7.36 5.73 5.55 0090.10.69.2120100P0 34.7315 4 21032 Remove exostosis, maxilla A 3.24 4.21 3.49 4.03 2.11 2.36 2.17 0.27 7.00 7.54 5.87 5.68 0090.10.69.2120100P0 34.7315 4 21034 Removal of face bone lesion A 16.17 7.58 9.83 8.14 7.58 10.40 8.29 0.70 26.70 25.01 27.27 25.16 0090.10.69.2120210P0 34.7315 4 21040 Removal of jaw bone lesion A 2.11 3.00 3.19 3.05 1.50 1.96 1.62 0.19 5.49 5.35 4.26 3.92 0090.10.69.2120100P0 34.7315 4 21041 Removal of jaw bone lesion A 6.71 6.25 5.54 6.07 3.13 4.45 3.46 0.39 12.64 13.17 11.55 10.56 0090.10.69.2120100P0 34.7315 4 21044 Removal of jaw bone lesion A 11.86 10.36 8.07 NA 9.79 10.36 8.07 9.79 0.87 20.80 22.52 20.80 22.52 0090.10.69.2120210P0 34.7315 4 21045 Extensive jaw surgery A 16.17 15.01 10.57 NA13.90 15.01 10.57 13.90 1.24 27.98 31.31 27.98 31.31 0090.10.69.2120210P0 34.7315 4 21050 Removal of jaw joint A 10.77 12.86 11.59 NA12.54 12.86 11.59 12.54 0.84 23.20 24.15 23.20 24.15 0090.10.69.2121000P0 34.7315 4 21060 Remove jaw joint cartilage A 10.23 12.21 9.51 NA11.54 12.21 9.51 11.54 0.81 20.55 22.58 20.55 22.58 0090.10.69.2121210P0 34.7315 4 21070 Remove coronoid process A 8.20 7.39 6.24 NA 7.10 7.39 6.24 7.10 0.64 15.08 15.94 15.08 15.94 0090.10.69.2121000P0 34.7315 4 21076 Prepare face/oral prosthesis A 13.42 16.02 9.35 14.35 8.01 7.02 7.76 1.06 23.83 28.83 21.50 22.24 0010.10.80.1020000P0 34.7315 4 21077 Prepare face/oral prosthesis A 33.75 40.30 23.50 36.10 20.15 17.67 19.53 2.65 59.90 72.50 54.07 55.93 0090.10.69.2121000P0 34.7315 4 21079 Prepare face/oral prosthesis A 22.34 30.31 16.61 26.89 15.16 12.22 14.43 1.76 40.71 50.99 36.32 38.53 0090.10.69.2120100P0 34.7315 4 21080 Prepare face/oral prosthesis A 25.10 34.06 18.67 30.21 17.03 13.74 16.21 1.97 45.74 57.28 40.81 43.28 0090.10.69.2120100P0 34.7315 4 21081 Prepare face/oral prosthesis A 22.88 31.03 17.01 27.53 15.52 12.52 14.77 1.80 41.69 52.21 37.20 39.45 0090.10.69.2120000P0 34.7315 4 21082 Prepare face/oral prosthesis A 20.87 24.92 14.53 22.32 12.46 10.93 12.08 1.64 37.04 44.83 33.44 34.59 0090.10.69.2120000P0 34.7315 4 21083 Prepare face/oral prosthesis A 19.30 26.19 14.35 23.23 13.10 10.56 12.47 1.52 35.17 44.05 31.38 33.29 0090.10.69.2120000P0 34.7315 4 21084 Prepare face/oral prosthesis A 22.51 30.54 16.73 27.09 15.27 12.32 14.53 1.78 41.02 51.38 36.61 38.82 0090.10.69.2120000P0 34.7315 4 21085 Prepare face/oral prosthesis A 9.00 10.74 6.27 9.62 5.37 4.71 5.21 0.70 15.97 19.32 14.41 14.91 0010.10.80.1020000P0 34.7315 4 21086 Prepare face/oral prosthesis A 24.92 33.81 18.53 29.99 16.91 13.64 16.09 1.96 45.41 56.87 40.52 42.97 0090.10.69.2121000P0 34.7315 4 21087 Prepare face/oral prosthesis A 24.92 29.75 17.35 26.65 14.88 13.05 14.42 1.96 44.23 53.53 39.93 41.30 0090.10.69.2120000P0 34.7315 4 21088 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100000P0 34.7315 9 21089 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100100P0 34.7315 9 21100 Maxillofacial fixation A 4.22 1.15 6.02 2.37 1.15 3.45 1.73 0.09 10.33 6.68 7.76 6.04 0090.10.69.2120000P0 34.7315 4 21110 Interdental fixation A 5.21 6.00 5.07 5.77 3.00 3.94 3.24 0.36 10.64 11.34 9.51 8.81 0090.10.69.2120100P0 34.7315 4 21116 Injection, jaw joint x-ray A 0.81 0.79 7.55 2.48 0.79 0.25 0.66 0.05 8.41 3.34 1.11 1.52 0000.00.00.0020100P0 34.7315 4 21120 Reconstruction of chin A 4.93 3.90 8.74 5.11 3.90 6.48 4.55 0.33 14.00 10.37 11.74 9.81 0090.10.69.2120110P0 34.7315 4 21121 Reconstruction of chin A 7.64 6.13 7.05 6.36 6.13 6.61 6.25 0.52 15.21 14.52 14.77 14.41 0090.10.69.2120200P0 34.7315 4 21122 Reconstruction of chin A 8.52 6.76 8.32 NA 7.15 6.76 8.32 7.15 0.57 17.41 16.24 17.41 16.24 0090.10.69.2120200P0 34.7315 4 21123 Reconstruction of chin A 11.16 8.83 8.12 NA 8.65 8.83 8.12 8.65 0.74 20.02 20.55 20.02 20.55 0090.10.69.2120210P0 34.7315 4 21125 Augmentation lower jaw bone A 10.62 5.12 9.68 6.26 5.12 8.32 5.92 0.42 20.72 17.30 19.36 16.96 0090.10.69.2120200P0 34.7315 4 21127 Augmentation lower jaw bone A 11.12 8.58 8.72 8.62 8.58 9.39 8.78 0.72 20.56 20.46 21.23 20.62 0090.10.69.2120210P0 34.7315 4 21137 Reduction of forehead A 9.82 7.72 7.43 NA 7.65 7.72 7.43 7.65 0.65 17.90 18.12 17.90 18.12 0090.10.69.2120200P0 34.7315 4 21138 Reduction of forehead A 12.19 9.62 8.65 NA 9.38 9.62 8.65 9.38 0.81 21.65 22.38 21.65 22.38 0090.10.69.2120210P0 34.7315 4 21139 Reduction of forehead A 14.61 11.55 8.03 NA10.67 11.55 8.03 10.67 0.98 23.62 26.26 23.62 26.26 0090.10.69.2120210P0 34.7315 4 21141 Reconstruct midface, lefort A 18.10 15.56 10.91 NA14.40 15.56 10.91 14.40 1.31 30.32 33.81 30.32 33.81 0090.10.69.2120210P0 34.7315 4 21142 Reconstruct midface, lefort A 18.81 16.11 11.59 NA14.98 16.11 11.59 14.98 1.36 31.76 35.15 31.76 35.15 0090.10.69.2120210P0 34.7315 4 21143 Reconstruct midface, lefort A 19.58 16.71 11.93 NA15.52 16.71 11.93 15.52 1.42 32.93 36.52 32.93 36.52 0090.10.69.2120210P0 34.7315 4 21145 Reconstruct midface, lefort A 19.94 15.56 12.39 NA14.77 15.56 12.39 14.77 1.31 33.64 36.02 33.64 36.02 0090.10.69.2120200P0 34.7315 4 21146 Reconstruct midface, lefort A 20.71 16.11 12.87 NA15.30 16.11 12.87 15.30 1.36 34.94 37.37 34.94 37.37 0090.10.69.2120210P0 34.7315 4 21147 Reconstruct midface, lefort A 21.77 16.71 13.52 NA15.91 16.71 13.52 15.91 1.42 36.71 39.10 36.71 39.10 0090.10.69.2120200P0 34.7315 4 21150 Reconstruct midface, lefort A 25.24 20.03 18.20 NA19.57 20.03 18.20 19.57 1.70 45.14 46.51 45.14 46.51 0090.10.69.2120200P0 34.7315 4 21151 Reconstruct midface, lefort A 28.30 22.44 17.38 NA21.18 22.44 17.38 21.18 1.89 47.57 51.37 47.57 51.37 0090.10.69.2120200P0 34.7315 4 21154 Reconstruct midface, lefort A 30.52 24.04 21.32 NA23.36 24.04 21.32 23.36 2.03 53.87 55.91 53.87 55.91 0090.10.69.2120210P0 34.7315 4 21155 Reconstruct midface, lefort A 34.45 27.25 20.56 NA25.58 27.25 20.56 25.58 2.30 57.31 62.33 57.31 62.33 0090.10.69.2120200P0 34.7315 4 21159 Reconstruct midface, lefort A 42.38 33.66 27.20 NA32.05 33.66 27.20 32.05 2.84 72.42 77.27 72.42 77.27 0090.10.69.2120210P0 34.7315 4 21160 Reconstruct midface, lefort A 46.44 36.86 24.27 NA33.71 36.86 24.27 33.71 3.11 73.82 83.26 73.82 83.26 0090.10.69.2120200P0 34.7315 4 21172 Reconstruct orbit/forehead A 27.80 22.03 17.94 NA21.01 22.03 17.94 21.01 1.85 47.59 50.66 47.59 50.66 0090.10.69.2120210P0 34.7315 4 21175 Reconstruct orbit/forehead A 33.17 26.45 23.85 NA25.80 26.45 23.85 25.80 2.23 59.25 61.20 59.25 61.20 0090.10.69.2120200P0 34.7315 4 21179 Reconstruct entire forehead A 22.25 17.62 18.42 NA17.82 17.62 18.42 17.82 1.49 42.16 41.56 42.16 41.56 0090.10.69.2120200P0 34.7315 4 21180 Reconstruct entire forehead A 25.19 20.03 18.29 NA19.60 20.03 18.29 19.60 1.70 45.18 46.49 45.18 46.49 0090.10.69.2120210P0 34.7315 4 21181 Contour cranial bone lesion A 9.90 7.72 7.72 NA 7.72 7.72 7.72 7.72 0.65 18.27 18.27 18.27 18.27 0090.10.69.2120000P0 34.7315 4 21182 Reconstruct cranial bone A 32.19 25.64 26.56 NA25.87 25.64 26.56 25.87 2.17 60.92 60.23 60.92 60.23 0090.10.69.2120210P0 34.7315 4 21183 Reconstruct cranial bone A 35.31 28.05 26.47 NA27.66 28.05 26.47 27.66 2.37 64.15 65.34 64.15 65.34 0090.10.69.2120210P0 34.7315 4 21184 Reconstruct cranial bone A 38.24 30.45 26.95 NA29.58 30.45 26.95 29.58 2.57 67.76 70.39 67.76 70.39 0090.10.69.2120200P0 34.7315 4 21188 Reconstruction of midface A 22.46 17.62 17.19 NA17.51 17.62 17.19 17.51 1.49 41.14 41.46 41.14 41.46 0090.10.69.2120200P0 34.7315 4 21193 Reconstruct lower jaw bone A 17.15 13.36 11.29 NA12.84 13.36 11.29 12.84 1.13 29.57 31.12 29.57 31.12 0090.10.69.2122210P0 34.7315 4 21194 Reconstruct lower jaw bone A 19.84 15.48 14.66 NA15.28 15.48 14.66 15.28 1.31 35.81 36.43 35.81 36.43 0090.10.69.2122200P0 34.7315 4 21195 Reconstruct lower jaw bone A 17.24 13.39 12.83 NA13.25 13.39 12.83 13.25 1.13 31.20 31.62 31.20 31.62 0090.10.69.2122200P0 34.7315 4 21196 Reconstruct lower jaw bone A 18.91 14.77 13.98 NA14.57 14.77 13.98 14.57 1.24 34.13 34.72 34.13 34.72 0090.10.69.2122210P0 34.7315 4 21198 Reconstruct lower jaw bone A 14.16 16.08 11.56 NA14.95 16.08 11.56 14.95 1.36 27.08 30.47 27.08 30.47 0090.10.69.2120210P0 34.7315 4 21206 Reconstruct upper jaw bone A 14.10 11.00 10.81 NA10.95 11.00 10.81 10.95 0.93 25.84 25.98 25.84 25.98 0090.10.69.2120210P0 34.7315 4 21208 Augmentation of facial bones A 10.23 12.21 8.15 11.20 12.21 9.57 11.55 0.84 19.22 22.27 20.64 22.62 0090.10.69.2120000P0 34.7315 4 21209 Reduction of facial bones A 6.72 4.98 6.88 5.46 4.98 6.63 5.39 0.59 14.19 12.77 13.94 12.70 0090.10.69.2120200P0 34.7315 4 21210 Face bone graft A 10.23 12.21 8.14 11.19 6.11 8.41 6.69 1.01 19.38 22.43 19.65 17.93 0090.10.69.2120100P0 34.7315 4 21215 Lower jaw bone graft A 10.77 12.86 8.15 11.68 6.43 7.52 6.70 1.11 20.03 23.56 19.40 18.58 0090.10.69.2120110P0 34.7315 4 21230 Rib cartilage graft A 10.77 11.25 10.22 NA10.99 11.25 10.22 10.99 1.32 22.31 23.08 22.31 23.08 0090.10.69.2120000P0 34.7315 4 21235 Ear cartilage graft A 6.72 8.02 10.30 8.59 8.02 8.47 8.13 0.85 17.87 16.16 16.04 15.70 0090.10.69.2120100P0 34.7315 4 21240 Reconstruction of jaw joint A 14.05 16.78 10.91 NA15.31 16.78 10.91 15.31 1.64 26.60 31.00 26.60 31.00 0090.10.69.2121210P0 34.7315 4 21242 Reconstruction of jaw joint A 12.95 15.46 10.39 NA14.19 15.46 10.39 14.19 1.76 25.10 28.90 25.10 28.90 0090.10.69.2121210P0 34.7315 4 21243 Reconstruction of jaw joint A 20.79 15.63 13.32 NA15.05 15.63 13.32 15.05 1.31 35.42 37.15 35.42 37.15 0090.10.69.2121210P0 34.7315 4 21244 Reconstruction of lower jaw A 11.86 14.16 10.27 NA13.19 14.16 10.27 13.19 1.51 23.64 26.56 23.64 26.56 0090.10.69.2120210P0 34.7315 4 21245 Reconstruction of jaw A 11.86 12.45 10.81 12.04 12.45 11.09 12.11 1.02 23.69 24.92 23.97 24.99 0090.10.69.2120200P0 34.7315 4 21246 Reconstruction of jaw A 12.47 9.58 9.17 9.48 9.58 11.96 10.18 0.81 22.45 22.76 25.24 23.46 0090.10.69.2120200P0 34.7315 4 21247 Reconstruct lower jaw bone A 22.63 27.01 14.83 NA23.97 27.01 14.83 23.97 1.78 39.24 48.38 39.24 48.38 0090.10.69.2120210P0 34.7315 4 21248 Reconstruction of jaw A 11.48 13.71 8.36 12.37 6.86 8.10 7.17 1.37 21.21 25.22 20.95 20.02 0090.10.69.2120100P0 34.7315 4 21249 Reconstruction of jaw A 17.52 20.91 10.77 18.38 10.46 10.71 10.52 2.57 30.86 38.47 30.80 30.61 0090.10.69.2120000P0 34.7315 4 21255 Reconstruct lower jaw bone A 16.72 19.96 13.95 NA18.46 19.96 13.95 18.46 1.31 31.98 36.49 31.98 36.49 0090.10.69.2120210P0 34.7315 4 21256 Reconstruction of orbit A 16.19 19.33 16.94 NA18.73 19.33 16.94 18.73 1.28 34.41 36.20 34.41 36.20 0090.10.69.2120210P0 34.7315 4 21260 Revise eye sockets A 16.52 19.72 14.22 NA18.35 19.72 14.22 18.35 1.30 32.04 36.17 32.04 36.17 0090.10.69.2120210P0 34.7315 4 21261 Revise eye sockets A 31.49 19.30 19.00 NA19.23 19.30 19.00 19.23 1.29 51.78 52.01 51.78 52.01 0090.10.69.2120210P0 34.7315 4 21263 Revise eye sockets A 28.42 33.93 16.29 NA29.52 33.93 16.29 29.52 2.24 46.95 60.18 46.95 60.18 0090.10.69.2120210P0 34.7315 4 21267 Revise eye sockets A 18.90 15.86 21.91 NA17.37 15.86 21.91 17.37 1.67 42.48 37.94 42.48 37.94 0090.10.69.2120210P0 34.7315 4 21268 Revise eye sockets A 24.48 16.66 20.69 NA17.67 16.66 20.69 17.67 2.45 47.62 44.60 47.62 44.60 0090.10.69.2120210P0 34.7315 4 21270 Augmentation cheek bone A 10.23 10.42 8.84 10.03 10.42 9.44 10.18 1.10 20.17 21.36 20.77 21.51 0090.10.69.2120210P0 34.7315 4 21275 Revision orbitofacial bones A 11.24 9.71 14.13 NA10.82 9.71 14.13 10.82 0.99 26.36 23.05 26.36 23.05 0090.10.69.2120210P0 34.7315 4 21280 Revision of eyelid A 6.03 7.20 8.74 NA 7.59 7.20 8.74 7.59 0.48 15.25 14.10 15.25 14.10 0090.10.69.2121000P0 34.7315 4 21282 Revision of eyelid A 3.49 4.17 7.23 NA 4.94 4.17 7.23 4.94 0.62 11.34 9.05 11.34 9.05 0090.10.69.2121100P0 34.7315 4 21295 Revision of jaw muscle/bone A 1.53 1.04 5.02 NA 2.04 1.04 5.02 2.04 0.10 6.65 3.67 6.65 3.67 0090.10.69.2120000P0 34.7315 4 21296 Revision of jaw muscle/bone A 4.25 3.93 5.06 NA 4.21 3.93 5.06 4.21 0.17 9.48 8.63 9.48 8.63 0090.10.69.2120000P0 34.7315 4 21299 Cranio/maxillofacial surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 21300 Treatment of skull fracture A 0.72 1.00 4.17 1.79 0.86 0.24 0.71 0.09 4.98 2.60 1.05 1.52 0000.00.00.0020000P0 34.7315 4 21310 Treatment of nose fracture A 0.58 0.81 3.41 1.46 0.69 0.14 0.55 0.07 4.06 2.11 0.79 1.20 0000.00.00.0020100P0 34.7315 4 21315 Treatment of nose fracture A 1.51 1.96 3.88 2.44 1.80 1.07 1.62 0.16 5.55 4.11 2.74 3.29 0010.10.80.1020100P0 34.7315 4 21320 Treatment of nose fracture A 1.85 2.53 3.95 2.89 2.21 1.78 2.10 0.27 6.07 5.01 3.90 4.22 0010.10.80.1020100P0 34.7315 4 21325 Repair of nose fracture A 3.77 4.44 2.98 NA 4.08 4.44 2.98 4.08 0.41 7.16 8.26 7.16 8.26 0090.10.69.2120000P0 34.7315 4 21330 Repair of nose fracture A 5.38 6.42 7.12 NA 6.60 6.42 7.12 6.60 0.67 13.17 12.65 13.17 12.65 0090.10.69.2120000P0 34.7315 4 21335 Repair of nose fracture A 8.61 10.28 9.18 NA10.01 10.28 9.18 10.01 1.22 19.01 19.84 19.01 19.84 0090.10.69.2120100P0 34.7315 4 21336 Repair nasal septal fracture A 5.72 4.44 6.94 NA 5.07 4.44 6.94 5.07 0.41 13.07 11.20 13.07 11.20 0090.10.69.2120000P0 34.7315 4 21337 Repair nasal septal fracture A 2.70 3.06 5.12 3.58 3.06 2.60 2.95 0.30 8.12 6.58 5.60 5.95 0090.10.69.2120000P0 34.7315 4 21338 Repair nasoethmoid fracture A 6.46 5.44 7.30 NA 5.91 5.44 7.30 5.91 0.52 14.28 12.89 14.28 12.89 0090.10.69.2120000P0 34.7315 4 21339 Repair nasoethmoid fracture A 8.09 7.69 7.83 NA 7.73 7.69 7.83 7.73 0.55 16.47 16.37 16.47 16.37 0090.10.69.2120210P0 34.7315 4 21340 Repair of nose fracture A 10.77 9.67 10.45 NA 9.87 9.67 10.45 9.87 0.81 22.03 21.45 22.03 21.45 0090.10.69.2120000P0 34.7315 4 21343 Repair of sinus fracture A 12.95 9.95 10.46 NA10.08 9.95 10.46 10.08 0.84 24.25 23.87 24.25 23.87 0090.10.69.2120210P0 34.7315 4 21344 Repair of sinus fracture A 19.72 9.95 14.81 NA11.17 9.95 14.81 11.17 0.84 35.37 31.73 35.37 31.73 0090.10.69.2120220P0 34.7315 4 21345 Repair of nose/jaw fracture A 8.16 8.57 10.22 8.98 8.57 8.18 8.47 0.63 19.01 17.77 16.97 17.26 0090.10.69.2120000P0 34.7315 4 21346 Repair of nose/jaw fracture A 10.61 10.20 10.53 NA10.28 10.20 10.53 10.28 0.81 21.95 21.70 21.95 21.70 0090.10.69.2120110P0 34.7315 4 21347 Repair of nose/jaw fracture A 12.69 11.24 10.78 NA11.13 11.24 10.78 11.13 1.06 24.53 24.88 24.53 24.88 0090.10.69.2120210P0 34.7315 4 21348 Repair of nose/jaw fracture A 16.69 12.31 12.32 NA12.31 12.31 12.32 12.31 1.74 30.75 30.74 30.75 30.74 0090.10.69.2120220P0 34.7315 4 21355 Repair cheek bone fracture A 3.77 1.69 5.38 2.61 1.69 1.84 1.73 0.13 9.28 6.51 5.74 5.63 0010.10.80.1020000P0 34.7315 4 21356 Repair cheek bone fracture A 4.15 4.96 5.80 NA 5.17 4.96 5.80 5.17 0.70 10.65 10.02 10.65 10.02 0010.10.80.1020000P0 34.7315 4 21360 Repair cheek bone fracture A 6.46 7.72 7.81 NA 7.74 7.72 7.81 7.74 0.70 14.97 14.90 14.97 14.90 0090.10.69.2120200P0 34.7315 4 21365 Repair cheek bone fracture A 14.95 13.40 12.50 NA13.18 13.40 12.50 13.18 1.28 28.73 29.41 28.73 29.41 0090.10.69.2120210P0 34.7315 4 21366 Repair cheek bone fracture A 17.77 13.11 11.29 NA12.66 13.11 11.29 12.66 1.85 30.91 32.28 30.91 32.28 0090.10.69.2120220P0 34.7315 4 21385 Repair eye socket fracture A 9.16 10.41 8.37 NA 9.90 10.41 8.37 9.90 0.88 18.41 19.94 18.41 19.94 0090.10.69.2120210P0 34.7315 4 21386 Repair eye socket fracture A 9.16 9.84 9.64 NA 9.79 9.84 9.64 9.79 0.98 19.78 19.93 19.78 19.93 0090.10.69.2120200P0 34.7315 4 21387 Repair eye socket fracture A 9.70 8.09 10.07 NA 8.59 8.09 10.07 8.59 0.75 20.52 19.04 20.52 19.04 0090.10.69.2120200P0 34.7315 4 21390 Repair eye socket fracture A 10.13 12.09 11.31 NA11.90 12.09 11.31 11.90 1.07 22.51 23.10 22.51 23.10 0090.10.69.2120210P0 34.7315 4 21395 Repair eye socket fracture A 12.68 10.45 12.11 NA10.87 10.45 12.11 10.87 1.07 25.86 24.62 25.86 24.62 0090.10.69.2120210P0 34.7315 4 21400 Treat eye socket fracture A 1.40 1.81 4.34 2.44 1.67 0.79 1.45 0.13 5.87 3.97 2.32 2.98 0090.10.69.2120000P0 34.7315 4 21401 Repair eye socket fracture A 3.26 2.80 4.21 3.15 2.80 2.30 2.68 0.25 7.72 6.66 5.81 6.19 0090.10.69.2120200P0 34.7315 4 21406 Repair eye socket fracture A 7.01 5.65 7.89 NA 6.21 5.65 7.89 6.21 0.58 15.48 13.80 15.48 13.80 0090.10.69.2120210P0 34.7315 4 21407 Repair eye socket fracture A 8.61 7.69 9.34 NA 8.10 7.69 9.34 8.10 0.61 18.56 17.32 18.56 17.32 0090.10.69.2120210P0 34.7315 4 21408 Repair eye socket fracture A 12.38 9.21 10.69 NA 9.58 9.21 10.69 9.58 0.77 23.84 22.73 23.84 22.73 0090.10.69.2120220P0 34.7315 4 21421 Treat mouth roof fracture A 5.14 6.66 6.64 6.66 6.13 5.88 6.07 0.49 12.27 12.29 11.51 11.70 0090.10.69.2120000P0 34.7315 4 21422 Repair mouth roof fracture A 8.32 9.93 8.21 NA 9.50 9.93 8.21 9.50 0.93 17.46 18.75 17.46 18.75 0090.10.69.2120210P0 34.7315 4 21423 Repair mouth roof fracture A 10.40 10.64 8.72 NA10.16 10.64 8.72 10.16 0.93 20.05 21.49 20.05 21.49 0090.10.69.2120220P0 34.7315 4 21431 Treat craniofacial fracture A 7.05 6.53 7.43 NA 6.76 6.53 7.43 6.76 0.56 15.04 14.37 15.04 14.37 0090.10.69.2120200P0 34.7315 4 21432 Repair craniofacial fracture A 8.61 7.34 6.46 NA 7.12 7.34 6.46 7.12 0.66 15.73 16.39 15.73 16.39 0090.10.69.2120200P0 34.7315 4 21433 Repair craniofacial fracture A 25.35 19.49 19.12 NA19.40 19.49 19.12 19.40 1.64 46.11 46.39 46.11 46.39 0090.10.69.2120210P0 34.7315 4 21435 Repair craniofacial fracture A 17.25 14.38 13.66 NA14.20 14.38 13.66 14.20 1.47 32.38 32.92 32.38 32.92 0090.10.69.2120200P0 34.7315 4 21436 Repair craniofacial fracture A 28.04 15.90 17.80 NA16.38 15.90 17.80 16.38 1.63 47.47 46.05 47.47 46.05 0090.10.69.2120220P0 34.7315 4 21440 Repair dental ridge fracture A 2.70 3.33 4.93 3.73 3.22 4.11 3.44 0.22 7.85 6.65 7.03 6.36 0090.10.69.2120000P0 34.7315 4 21445 Repair dental ridge fracture A 5.38 6.63 6.04 6.48 6.42 5.38 6.16 0.44 11.86 12.30 11.20 11.98 0090.10.69.2120200P0 34.7315 4 21450 Treat lower jaw fracture A 2.97 3.08 4.79 3.51 3.08 4.22 3.37 0.20 7.96 6.68 7.39 6.54 0090.10.69.2120000P0 34.7315 4 21451 Treat lower jaw fracture A 4.87 6.33 5.81 6.20 5.82 5.25 5.68 0.58 11.26 11.65 10.70 11.13 0090.10.69.2120000P0 34.7315 4 21452 Treat lower jaw fracture A 1.98 1.51 7.45 3.00 1.51 4.48 2.25 0.13 9.56 5.11 6.59 4.36 0090.10.69.2120000P0 34.7315 4 21453 Treat lower jaw fracture A 5.54 7.21 6.59 7.06 6.61 6.33 6.54 0.43 12.56 13.03 12.30 12.51 0090.10.69.2120000P0 34.7315 4 21454 Treat lower jaw fracture A 6.46 7.72 6.35 NA 7.38 7.72 6.35 7.38 1.11 13.92 14.95 13.92 14.95 0090.10.69.2120010P0 34.7315 4 21461 Repair lower jaw fracture A 8.09 9.66 7.86 9.21 9.66 8.08 9.27 1.02 16.97 18.32 17.19 18.38 0090.10.69.2120210P0 34.7315 4 21462 Repair lower jaw fracture A 9.79 11.69 9.10 11.04 11.69 8.66 10.93 1.05 19.94 21.88 19.50 21.77 0090.10.69.2120210P0 34.7315 4 21465 Repair lower jaw fracture A 11.91 9.16 8.59 NA 9.02 9.16 8.59 9.02 0.77 21.27 21.70 21.27 21.70 0090.10.69.2120210P0 34.7315 4 21470 Repair lower jaw fracture A 15.34 18.31 10.74 NA16.42 18.31 10.74 16.42 1.36 27.44 33.12 27.44 33.12 0090.10.69.2120210P0 34.7315 4 21480 Reset dislocated jaw A 0.61 0.85 1.99 1.14 0.73 0.18 0.59 0.07 2.67 1.82 0.86 1.27 0000.00.00.0021100P0 34.7315 4 21485 Reset dislocated jaw A 3.99 2.38 3.89 2.76 1.19 2.61 1.55 0.16 8.04 6.91 6.76 5.70 0090.10.69.2121000P0 34.7315 4 21490 Repair dislocated jaw A 11.86 6.85 8.03 NA 7.15 6.85 8.03 7.15 0.41 20.30 19.42 20.30 19.42 0090.10.69.2121210P0 34.7315 4 21493 Treat hyoid bone fracture A 1.27 1.65 0.48 1.36 1.52 2.42 1.75 0.10 1.85 2.73 3.79 3.12 0090.10.69.2120110P0 34.7315 4 21494 Repair hyoid bone fracture A 6.28 8.16 2.38 6.72 8.16 4.31 7.20 0.49 9.15 13.49 11.08 13.97 0090.10.69.2120210P0 34.7315 4 21495 Repair hyoid bone fracture A 5.69 5.23 5.69 NA 5.35 5.23 5.69 5.35 0.40 11.78 11.44 11.78 11.44 0090.10.69.2120200P0 34.7315 4 21497 Interdental wiring A 3.86 4.31 4.51 4.36 4.31 3.89 4.21 0.30 8.67 8.52 8.05 8.37 0090.10.69.2120000P0 34.7315 4 21499 Head surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 21501 Drain neck/chest lesion A 3.81 1.98 3.55 2.37 1.98 2.81 2.19 0.20 7.56 6.38 6.82 6.20 0090.10.69.2120100P0 34.7315 4 21502 Drain chest lesion A 7.12 4.58 11.62 NA 6.34 4.58 11.62 6.34 0.59 19.33 14.05 19.33 14.05 0090.10.69.2120200P0 34.7315 4 21510 Drainage of bone lesion A 5.74 4.15 9.38 NA 5.46 4.15 9.38 5.46 0.39 15.51 11.59 15.51 11.59 0090.10.69.2120000P0 34.7315 4 21550 Biopsy of neck/chest A 2.06 0.92 1.90 1.17 0.46 1.14 0.63 0.09 4.05 3.32 3.29 2.78 0010.10.80.1020100P0 34.7315 4 21555 Remove lesion neck/chest A 4.35 1.74 3.71 2.23 1.74 2.36 1.90 0.20 8.26 6.78 6.91 6.45 0090.10.69.2120100P0 34.7315 4 21556 Remove lesion neck/chest A 5.57 4.12 3.12 NA 3.87 4.12 3.12 3.87 0.50 9.19 9.94 9.19 9.94 0090.10.69.2120100P0 34.7315 4 21557 Remove tumor, neck or chest A 8.88 9.22 11.24 NA 9.73 9.22 11.24 9.73 1.10 21.22 19.71 21.22 19.71 0090.10.69.2120210P0 34.7315 4 21600 Partial removal of rib A 6.89 4.88 9.75 NA 6.10 4.88 9.75 6.10 0.69 17.33 13.68 17.33 13.68 0090.10.69.2120210P0 34.7315 4 21610 Partial removal of rib A 14.61 5.61 10.03 NA 6.72 5.61 10.03 6.72 0.59 25.23 21.92 25.23 21.92 0090.10.69.2120200P0 34.7315 4 21615 Removal of rib A 9.87 10.99 9.09 NA10.52 10.99 9.09 10.52 1.53 20.49 21.92 20.49 21.92 0090.10.69.2121210P0 34.7315 4 21616 Removal of rib and nerves A 12.04 7.88 11.64 NA 8.82 7.88 11.64 8.82 1.17 24.85 22.03 24.85 22.03 0090.10.69.2121200P0 34.7315 4 21620 Partial removal of sternum A 6.79 7.43 8.88 NA 7.79 7.43 8.88 7.79 0.96 16.63 15.54 16.63 15.54 0090.10.69.2120210P0 34.7315 4 21627 Sternal debridement A 6.81 5.46 15.32 NA 7.93 5.46 15.32 7.93 0.70 22.83 15.44 22.83 15.44 0090.10.69.2120200P0 34.7315 4 21630 Extensive sternum surgery A 17.38 13.99 16.91 NA14.72 13.99 16.91 14.72 1.88 36.17 33.98 36.17 33.98 0090.10.69.2120210P0 34.7315 4 21632 Extensive sternum surgery A 18.14 12.52 13.63 NA12.80 12.52 13.63 12.80 1.74 33.51 32.68 33.51 32.68 0090.10.69.2120210P0 34.7315 4 21700 Revision of neck muscle A 6.19 4.51 6.03 4.89 4.51 4.77 4.58 0.39 12.61 11.47 11.35 11.16 0090.10.69.2120200P0 34.7315 4 21705 Revision of neck muscle/rib A 9.60 5.26 12.33 NA 7.03 5.26 12.33 7.03 0.75 22.68 17.38 22.68 17.38 0090.10.69.2120200P0 34.7315 4 21720 Revision of neck muscle A 5.68 4.17 7.10 4.90 4.17 5.36 4.47 0.41 13.19 10.99 11.45 10.56 0090.10.69.2120200P0 34.7315 4 21725 Revision of neck muscle A 6.99 5.25 5.91 NA 5.42 5.25 5.91 5.42 0.58 13.48 12.99 13.48 12.99 0090.10.69.2120210P0 34.7315 4 21740 Reconstruction of sternum A 16.50 9.76 15.12 NA11.10 9.76 15.12 11.10 1.28 32.90 28.88 32.90 28.88 0090.10.69.2120210P0 34.7315 4 21750 Repair of sternum separation A 10.77 7.95 10.71 NA 8.64 7.95 10.71 8.64 1.12 22.60 20.53 22.60 20.53 0090.10.69.2120210P0 34.7315 4 21800 Treatment of rib fracture A 0.96 0.84 1.52 1.01 0.84 0.82 0.84 0.05 2.53 2.02 1.83 1.85 0090.10.69.2120100P0 34.7315 4 21805 Treatment of rib fracture A 2.75 1.47 3.24 NA 1.91 1.47 3.24 1.91 0.13 6.12 4.79 6.12 4.79 0090.10.69.2120000P0 34.7315 4 21810 Treatment of rib fracture(s) A 6.86 7.95 9.28 NA 8.28 7.95 9.28 8.28 0.48 16.62 15.62 16.62 15.62 0090.10.69.2120200P0 34.7315 4 21820 Treat sternum fracture A 1.28 1.48 1.89 1.58 1.48 1.17 1.40 0.13 3.30 2.99 2.58 2.81 0090.10.69.2120100P0 34.7315 4 21825 Repair sternum fracture A 7.41 7.49 8.28 NA 7.69 7.49 8.28 7.69 0.88 16.57 15.98 16.57 15.98 0090.10.69.2120210P0 34.7315 4 21899 Neck/chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 21920 Biopsy soft tissue of back A 2.06 0.86 1.94 1.13 0.43 0.76 0.51 0.09 4.09 3.28 2.91 2.66 0010.10.80.1020100P0 34.7315 4 21925 Biopsy soft tissue of back A 4.49 2.12 8.38 3.69 2.12 3.62 2.50 0.25 13.12 8.43 8.36 7.24 0090.10.69.2120100P0 34.7315 4 21930 Remove lesion, back or flank A 5.00 2.95 3.97 3.21 2.95 2.52 2.84 0.38 9.35 8.59 7.90 8.22 0090.10.69.2120100P0 34.7315 4 21935 Remove tumor of back A 17.96 7.15 11.38 NA 8.21 7.15 11.38 8.21 1.02 30.36 27.19 30.36 27.19 0090.10.69.2120110P0 34.7315 4 22100 Remove part of neck vertebra A 9.73 8.29 7.84 NA 8.18 8.29 7.84 8.18 0.85 18.42 18.76 18.42 18.76 0090.10.69.2120210P0 34.7315 4 22101 Remove part, thorax vertebra A 9.81 8.69 8.00 NA 8.52 8.69 8.00 8.52 1.08 18.89 19.41 18.89 19.41 0090.10.69.2120210P0 34.7315 4 22102 Remove part, lumbar vertebra A 9.81 4.88 7.86 NA 5.63 4.88 7.86 5.63 0.52 18.19 15.96 18.19 15.96 0090.10.69.2120210P0 34.7315 4 22103 Remove extra spine segment A 2.34 2.42 1.43 NA 2.17 2.42 1.43 2.17 0.29 4.06 4.80 4.06 4.80 0ZZZ.00.00.0000210P0 34.7315 4 22110 Remove part of neck vertebra A 12.74 10.55 10.08 NA10.43 10.55 10.08 10.43 1.28 24.10 24.45 24.10 24.45 0090.10.69.2120210P0 34.7315 4 22112 Remove part, thorax vertebra A 12.81 10.74 10.24 NA10.62 10.74 10.24 10.62 1.28 24.33 24.71 24.33 24.71 0090.10.69.2120210P0 34.7315 4 22114 Remove part, lumbar vertebra A 12.81 7.87 11.28 NA 8.72 7.87 11.28 8.72 0.92 25.01 22.45 25.01 22.45 0090.10.69.2120210P0 34.7315 4 22116 Remove extra spine segment A 2.32 2.40 1.40 NA 2.15 2.40 1.40 2.15 0.28 4.00 4.75 4.00 4.75 0ZZZ.00.00.0000210P0 34.7315 4 22210 Revision of neck spine A 23.82 15.01 16.18 NA15.30 15.01 16.18 15.30 1.90 41.90 41.02 41.90 41.02 0090.10.69.2120210P0 34.7315 4 22212 Revision of thorax spine A 19.42 18.76 14.23 NA17.63 18.76 14.23 17.63 2.21 35.86 39.26 35.86 39.26 0090.10.69.2120000P0 34.7315 4 22214 Revision of lumbar spine A 19.45 16.40 14.47 NA15.92 16.40 14.47 15.92 2.10 36.02 37.47 36.02 37.47 0090.10.69.2120210P0 34.7315 4 22216 Revise, extra spine segment A 6.04 5.50 3.34 NA 4.96 5.50 3.34 4.96 0.70 10.08 11.70 10.08 11.70 0ZZZ.00.00.0001210P0 34.7315 4 22220 Revision of neck spine A 21.37 18.06 14.67 NA17.21 18.06 14.67 17.21 2.06 38.10 40.64 38.10 40.64 0090.10.69.2120210P0 34.7315 4 22222 Revision of thorax spine A 21.52 14.77 10.37 NA13.67 14.77 10.37 13.67 1.24 33.13 36.43 33.13 36.43 0090.10.69.2120000P0 34.7315 4 22224 Revision of lumbar spine A 21.52 15.93 15.13 NA15.73 15.93 15.13 15.73 2.08 38.73 39.33 38.73 39.33 0090.10.69.2120210P0 34.7315 4 22226 Revise, extra spine segment A 6.04 5.50 3.38 NA 4.97 5.50 3.38 4.97 0.70 10.12 11.71 10.12 11.71 0ZZZ.00.00.0001210P0 34.7315 4 22305 Treat spine process fracture A 2.05 2.45 2.42 2.44 2.45 1.74 2.27 0.29 4.76 4.78 4.08 4.61 0090.10.69.2120100P0 34.7315 4 22310 Treat spine fracture A 2.61 2.73 3.53 2.93 2.73 3.11 2.83 0.54 6.68 6.08 6.26 5.98 0090.10.69.2120100P0 34.7315 4 22315 Treat spine fracture A 8.84 5.98 8.17 NA 6.53 5.98 8.17 6.53 0.67 17.68 16.04 17.68 16.04 0090.10.69.2120100P0 34.7315 4 22325 Repair of spine fracture A 18.30 9.03 13.51 NA10.15 9.03 13.51 10.15 1.05 32.86 29.50 32.86 29.50 0090.10.69.2120210P0 34.7315 4 22326 Repair neck spine fracture A 19.59 17.29 14.52 NA16.60 17.29 14.52 16.60 2.14 36.25 38.33 36.25 38.33 0090.10.69.2120210P0 34.7315 4 22327 Repair thorax spine fracture A 19.20 17.31 13.99 NA16.48 17.31 13.99 16.48 1.84 35.03 37.52 35.03 37.52 0090.10.69.2120210P0 34.7315 4 22328 Repair each add spine fx A 4.61 4.78 2.55 NA 4.22 4.78 2.55 4.22 0.56 7.72 9.39 7.72 9.39 0ZZZ.00.00.0000210P0 34.7315 4 22505 Manipulation of spine A 1.87 1.42 2.74 1.75 1.42 1.87 1.53 0.13 4.74 3.75 3.87 3.53 0010.10.80.1020100P0 34.7315 4 22548 Neck spine fusion A 25.82 24.68 17.43 NA22.87 24.68 17.43 22.87 2.99 46.24 51.68 46.24 51.68 0090.10.69.2120220P0 34.7315 4 22554 Neck spine fusion A 18.62 21.50 13.12 NA19.41 21.50 13.12 19.41 2.75 34.49 40.78 34.49 40.78 0090.10.69.2120220P0 34.7315 4 22556 Thorax spine fusion A 23.46 23.53 16.06 NA21.66 23.53 16.06 21.66 2.80 42.32 47.92 42.32 47.92 0090.10.69.2120220P0 34.7315 4 22558 Lumbar spine fusion A 22.28 21.89 14.95 NA20.16 21.89 14.95 20.16 2.64 39.87 45.08 39.87 45.08 0090.10.69.2120220P0 34.7315 4 22585 Additional spinal fusion A 5.53 5.86 3.06 NA 5.16 5.86 3.06 5.16 0.73 9.32 11.42 9.32 11.42 0ZZZ.00.00.0000220P0 34.7315 4 22590 Spine & skull spinal fusion A 20.51 23.41 14.63 NA21.22 23.41 14.63 21.22 2.69 37.83 44.42 37.83 44.42 0090.10.69.2120220P0 34.7315 4 22595 Neck spinal fusion A 19.39 23.15 13.80 NA20.81 23.15 13.80 20.81 3.03 36.22 43.23 36.22 43.23 0090.10.69.2120220P0 34.7315 4 22600 Neck spine fusion A 16.14 19.26 12.08 NA17.47 19.26 12.08 17.47 2.60 30.82 36.21 30.82 36.21 0090.10.69.2120220P0 34.7315 4 22610 Thorax spine fusion A 16.02 19.12 12.37 NA17.43 19.12 12.37 17.43 2.15 30.54 35.60 30.54 35.60 0090.10.69.2120220P0 34.7315 4 22612 Lumbar spine fusion A 21.00 22.36 15.04 NA20.53 22.36 15.04 20.53 2.61 38.65 44.14 38.65 44.14 0090.10.69.2120220P0 34.7315 4 22614 Spine fusion, extra segment A 6.44 6.13 3.56 NA 5.49 6.13 3.56 5.49 0.72 10.72 12.65 10.72 12.65 0ZZZ.00.00.0000220P0 34.7315 4 22630 Lumbar spine fusion A 20.84 20.01 15.38 NA18.85 20.01 15.38 18.85 2.46 38.68 42.15 38.68 42.15 0090.10.69.2120220P0 34.7315 4 22632 Spine fusion, extra segment A 5.23 5.42 2.91 NA 4.79 5.42 2.91 4.79 0.64 8.78 10.66 8.78 10.66 0ZZZ.00.00.0000220P0 34.7315 4 22800 Fusion of spine A 18.25 21.79 13.60 NA19.74 21.79 13.60 19.74 2.80 34.65 40.79 34.65 40.79 0090.10.69.2120210P0 34.7315 4 22802 Fusion of spine A 30.88 30.73 20.85 NA28.26 30.73 20.85 28.26 3.61 55.34 62.75 55.34 62.75 0090.10.69.2120210P0 34.7315 4 22804 Fusion of spine A 36.27 30.73 23.60 NA28.95 30.73 23.60 28.95 3.61 63.48 68.83 63.48 68.83 0090.10.69.2120210P0 34.7315 4 22808 Fusion of spine A 26.27 19.98 17.93 NA19.47 19.98 17.93 19.47 2.46 46.66 48.20 46.66 48.20 0090.10.69.2120210P0 34.7315 4 22810 Fusion of spine A 30.27 19.98 19.58 NA19.88 19.98 19.58 19.88 2.46 52.31 52.61 52.31 52.61 0090.10.69.2120210P0 34.7315 4 22812 Fusion of spine A 32.70 28.14 20.64 NA26.27 28.14 20.64 26.27 3.32 56.66 62.29 56.66 62.29 0090.10.69.2120210P0 34.7315 4 22818 Kyphectomy, 1-2 segments A 31.83 30.66 18.54 NA27.63 30.66 18.54 27.63 3.79 54.16 63.25 54.16 63.25 0090.11.76.1320222P0 34.7315 4 22819 Kyphectomy, 3 & more segment A 36.44 30.66 20.66 NA28.16 30.66 20.66 28.16 3.79 60.89 68.39 60.89 68.39 0090.11.76.1320222P0 34.7315 4 22830 Exploration of spinal fusion A 10.85 12.96 9.32 NA12.05 12.96 9.32 12.05 1.71 21.88 24.61 21.88 24.61 0090.10.69.2120210P0 34.7315 4 22840 Insert spine fixation device A 12.54 6.49 7.90 NA 6.84 6.49 7.90 6.84 0.77 21.21 20.15 21.21 20.15 0ZZZ.00.00.0000210P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 22842 Insert spine fixation device A 12.58 7.44 7.19 NA 7.38 7.44 7.19 7.38 0.88 20.65 20.84 20.65 20.84 0ZZZ.00.00.0000220P0 34.7315 4 22843 Insert spine fixation device A 13.46 9.28 8.47 NA 9.08 9.28 8.47 9.08 1.10 23.03 23.64 23.03 23.64 0ZZZ.00.00.0000220P0 34.7315 4 22844 Insert spine fixation device A 16.44 11.34 10.22 NA11.06 11.34 10.22 11.06 1.34 28.00 28.84 28.00 28.84 0ZZZ.00.00.0000220P0 34.7315 4 22845 Insert spine fixation device A 11.96 6.19 7.56 NA 6.53 6.19 7.56 6.53 0.73 20.25 19.22 20.25 19.22 0ZZZ.00.00.0000220P0 34.7315 4 22846 Insert spine fixation device A 12.42 8.57 7.82 NA 8.38 8.57 7.82 8.38 1.01 21.25 21.81 21.25 21.81 0ZZZ.00.00.0000220P0 34.7315 4 22847 Insert spine fixation device A 13.80 9.52 8.53 NA 9.27 9.52 8.53 9.27 1.13 23.46 24.20 23.46 24.20 0ZZZ.00.00.0000220P0 34.7315 4 22848 Insert pelvic fixationdevice A 6.00 6.21 4.58 NA 5.80 6.21 4.58 5.80 0.74 11.32 12.54 11.32 12.54 0ZZZ.00.00.0000220P0 34.7315 4 22849 Reinsert spinal fixation A 18.51 12.76 13.21 NA12.87 12.76 13.21 12.87 1.54 33.26 32.92 33.26 32.92 0090.10.69.2120210P0 34.7315 4 22850 Remove spine fixation device A 9.52 9.95 8.08 NA 9.48 9.95 8.08 9.48 1.17 18.77 20.17 18.77 20.17 0090.10.69.2120210P0 34.7315 4 22851 Apply spine prosth device A 6.71 6.95 4.80 NA 6.41 6.95 4.80 6.41 0.82 12.33 13.94 12.33 13.94 0ZZZ.00.00.0000220P0 34.7315 4 22852 Remove spine fixation device A 9.01 10.64 7.91 NA 9.96 10.64 7.91 9.96 1.23 18.15 20.20 18.15 20.20 0090.10.69.2120210P0 34.7315 4 22855 Remove spine fixation device A 15.13 8.10 10.95 NA 8.81 8.10 10.95 8.81 0.98 27.06 24.92 27.06 24.92 0090.10.69.2120210P0 34.7315 4 22899 Spine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 22900 Remove abdominal wall lesion A 5.80 3.29 4.14 NA 3.50 3.29 4.14 3.50 0.47 10.41 9.77 10.41 9.77 0090.10.69.2120210P0 34.7315 4 22999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 23000 Removal of calcium deposits A 4.36 3.52 6.05 4.15 3.52 5.58 4.04 0.37 10.78 8.88 10.31 8.77 0090.10.69.2120210P0 34.7315 4 23020 Release shoulder joint A 8.93 7.89 8.79 NA 8.12 7.89 8.79 8.12 0.85 18.57 17.90 18.57 17.90 0090.10.69.2121200P0 34.7315 4 23030 Drain shoulder lesion A 3.43 2.34 4.06 2.77 2.34 3.54 2.64 0.27 7.76 6.47 7.24 6.34 0010.10.80.1020100P0 34.7315 4 23031 Drain shoulder bursa A 2.74 0.54 4.07 1.42 0.27 3.40 1.05 0.04 6.85 4.20 6.18 3.83 0010.10.80.1021100P0 34.7315 4 23035 Drain shoulder bone lesion A 8.61 6.75 13.01 NA 8.32 6.75 13.01 8.32 0.81 22.43 17.74 22.43 17.74 0090.10.69.2121200P0 34.7315 4 23040 Exploratory shoulder surgery A 9.20 10.06 10.05 NA10.06 10.06 10.05 10.06 1.15 20.40 20.41 20.40 20.41 0090.10.69.2121210P0 34.7315 4 23044 Exploratory shoulder surgery A 7.12 7.50 8.56 NA 7.77 7.50 8.56 7.77 0.92 16.60 15.81 16.60 15.81 0090.10.69.2121110P0 34.7315 4 23065 Biopsy shoulder tissues A 2.27 0.72 2.19 1.09 0.72 1.26 0.86 0.07 4.53 3.43 3.60 3.20 0010.10.80.1021100P0 34.7315 4 23066 Biopsy shoulder tissues A 4.16 1.28 5.36 2.30 1.28 4.70 2.14 0.08 9.60 6.54 8.94 6.38 0090.10.69.2121100P0 34.7315 4 23075 Removal of shoulder lesion A 2.39 1.82 3.50 2.24 1.82 2.43 1.97 0.23 6.12 4.86 5.05 4.59 0010.10.80.1021100P0 34.7315 4 23076 Removal of shoulder lesion A 7.63 3.84 6.41 NA 4.48 3.84 6.41 4.48 0.51 14.55 12.62 14.55 12.62 0090.10.69.2121100P0 34.7315 4 23077 Remove tumor of shoulder A 16.09 8.01 11.71 NA 8.94 8.01 11.71 8.94 1.08 28.88 26.11 28.88 26.11 0090.10.69.2121210P0 34.7315 4 23100 Biopsy of shoulder joint A 6.03 7.20 7.24 NA 7.21 7.20 7.24 7.21 0.97 14.24 14.21 14.24 14.21 0090.10.69.2121210P0 34.7315 4 23101 Shoulder joint surgery A 5.58 6.66 6.80 NA 6.70 6.66 6.80 6.70 0.95 13.33 13.23 13.33 13.23 0090.10.69.2121110P0 34.7315 4 23105 Remove shoulder joint lining A 8.23 9.82 8.41 NA 9.47 9.82 8.41 9.47 1.35 17.99 19.05 17.99 19.05 0090.10.69.2121210P0 34.7315 4 23106 Incision of collarbone joint A 5.96 5.15 6.80 NA 5.56 5.15 6.80 5.56 0.63 13.39 12.15 13.39 12.15 0090.10.69.2121110P0 34.7315 4 23107 Explore,treat shoulder joint A 8.62 10.29 8.76 NA 9.91 10.29 8.76 9.91 1.25 18.63 19.78 18.63 19.78 0090.10.69.2121210P0 34.7315 4 23120 Partial removal, collar bone A 7.11 5.00 8.06 NA 5.77 5.00 8.06 5.77 0.58 15.75 13.46 15.75 13.46 0090.10.69.2120210P0 34.7315 4 23125 Removal of collarbone A 9.39 9.21 8.62 NA 9.06 9.21 8.62 9.06 0.99 19.00 19.44 19.00 19.44 0090.10.69.2121210P0 34.7315 4 23130 Partial removal,shoulderbone A 7.55 7.65 8.33 NA 7.82 7.65 8.33 7.82 0.89 16.77 16.26 16.77 16.26 0090.10.69.2121110P0 34.7315 4 23140 Removal of bone lesion A 6.89 4.51 6.33 NA 4.97 4.51 6.33 4.97 0.57 13.79 12.43 13.79 12.43 0090.10.69.2121100P0 34.7315 4 23145 Removal of bone lesion A 9.09 8.82 8.90 NA 8.84 8.82 8.90 8.84 1.04 19.03 18.97 19.03 18.97 0090.10.69.2121210P0 34.7315 4 23146 Removal of bone lesion A 7.83 5.68 8.47 NA 6.38 5.68 8.47 6.38 0.79 17.09 15.00 17.09 15.00 0090.10.69.2121000P0 34.7315 4 23150 Removal of humerus lesion A 8.48 7.21 8.07 NA 7.43 7.21 8.07 7.43 0.79 17.34 16.70 17.34 16.70 0090.10.69.2121210P0 34.7315 4 23155 Removal of humerus lesion A 10.35 9.55 9.93 NA 9.65 9.55 9.93 9.65 1.07 21.35 21.07 21.35 21.07 0090.10.69.2121210P0 34.7315 4 23156 Removal of humerus lesion A 8.68 8.29 8.44 NA 8.33 8.29 8.44 8.33 0.98 18.10 17.99 18.10 17.99 0090.10.69.2121200P0 34.7315 4 23170 Remove collarbone lesion A 6.86 5.22 7.89 NA 5.89 5.22 7.89 5.89 0.61 15.36 13.36 15.36 13.36 0090.10.69.2121100P0 34.7315 4 23172 Remove shoulder blade lesion A 6.90 5.60 8.31 NA 6.28 5.60 8.31 6.28 0.57 15.78 13.75 15.78 13.75 0090.10.69.2121200P0 34.7315 4 23174 Remove humerus lesion A 9.51 9.28 10.64 NA 9.62 9.28 10.64 9.62 0.95 21.10 20.08 21.10 20.08 0090.10.69.2121210P0 34.7315 4 23180 Remove collar bone lesion A 8.53 4.67 12.80 NA 6.70 4.67 12.80 6.70 0.52 21.85 15.75 21.85 15.75 0090.10.69.2121110P0 34.7315 4 23182 Remove shoulder blade lesion A 8.15 7.13 12.58 NA 8.49 7.13 12.58 8.49 0.88 21.61 17.52 21.61 17.52 0090.10.69.2121200P0 34.7315 4 23184 Remove humerus lesion A 9.38 9.58 13.68 NA10.61 9.58 13.68 10.61 1.16 24.22 21.15 24.22 21.15 0090.10.69.2121210P0 34.7315 4 23190 Partial removal of scapula A 7.24 6.59 7.06 NA 6.71 6.59 7.06 6.71 0.77 15.07 14.72 15.07 14.72 0090.10.69.2121210P0 34.7315 4 23195 Removal of head of humerus A 9.81 9.67 9.05 NA 9.52 9.67 9.05 9.52 1.13 19.99 20.46 19.99 20.46 0090.10.69.2121210P0 34.7315 4 23200 Removal of collar bone A 12.08 9.95 10.97 NA10.21 9.95 10.97 10.21 0.99 24.04 23.28 24.04 23.28 0090.10.69.2121210P0 34.7315 4 23210 Removal of shoulderblade A 12.49 9.78 11.10 NA10.11 9.78 11.10 10.11 1.10 24.69 23.70 24.69 23.70 0090.10.69.2121210P0 34.7315 4 23220 Partial removal of humerus A 14.56 13.08 12.70 NA12.99 13.08 12.70 12.99 1.59 28.85 29.14 28.85 29.14 0090.10.69.2121210P0 34.7315 4 23221 Partial removal of humerus A 17.74 19.68 12.71 NA17.94 19.68 12.71 17.94 0.93 31.38 36.61 31.38 36.61 0090.10.69.2121200P0 34.7315 4 23222 Partial removal of humerus A 23.92 16.30 18.41 NA16.83 16.30 18.41 16.83 1.80 44.13 42.55 44.13 42.55 0090.10.69.2121210P0 34.7315 4 23330 Remove shoulder foreign body A 1.85 0.60 3.71 1.38 0.30 2.42 0.83 0.05 5.61 3.28 4.32 2.73 0010.10.80.1021000P0 34.7315 4 23331 Remove shoulder foreign body A 7.38 2.45 7.96 NA 3.83 2.45 7.96 3.83 0.30 15.64 11.51 15.64 11.51 0090.10.69.2121000P0 34.7315 4 23332 Remove shoulder foreign body A 11.62 10.55 10.45 NA10.53 10.55 10.45 10.53 1.23 23.30 23.38 23.30 23.38 0090.10.69.2121210P0 34.7315 4 23350 Injection for shoulder x-ray A 1.00 0.56 9.98 2.92 0.56 0.27 0.49 0.04 11.02 3.96 1.31 1.53 0000.00.00.0021100P0 34.7315 4 23395 Muscle transfer,shoulder/arm A 16.85 12.08 12.37 NA12.15 12.08 12.37 12.15 1.44 30.66 30.44 30.66 30.44 0090.10.69.2120210P0 34.7315 4 23397 Muscle transfers A 16.13 15.16 12.64 NA14.53 15.16 12.64 14.53 1.83 30.60 32.49 30.60 32.49 0090.10.69.2120210P0 34.7315 4 23400 Fixation of shoulder blade A 13.54 10.68 10.82 NA10.72 10.68 10.82 10.72 1.31 25.67 25.57 25.67 25.57 0090.10.69.2121210P0 34.7315 4 23405 Incision of tendon & muscle A 8.37 8.13 7.61 NA 8.00 8.13 7.61 8.00 0.77 16.75 17.14 16.75 17.14 0090.10.69.2120210P0 34.7315 4 23406 Incise tendon(s) & muscle(s) A 10.79 10.21 9.77 NA10.10 10.21 9.77 10.10 1.24 21.80 22.13 21.80 22.13 0090.10.69.2120200P0 34.7315 4 23410 Repair of tendon(s) A 12.45 11.87 10.83 NA11.61 11.87 10.83 11.61 1.37 24.65 25.43 24.65 25.43 0090.10.69.2120210P0 34.7315 4 23412 Repair of tendon(s) A 13.31 14.51 11.34 NA13.72 14.51 11.34 13.72 1.69 26.34 28.72 26.34 28.72 0090.10.69.2121210P0 34.7315 4 23415 Release of shoulder ligament A 9.97 5.62 8.69 NA 6.39 5.62 8.69 6.39 0.65 19.31 17.01 19.31 17.01 0090.10.69.2121110P0 34.7315 4 23420 Repair of shoulder A 13.30 15.88 12.04 NA14.92 15.88 12.04 14.92 1.83 27.17 30.05 27.17 30.05 0090.10.69.2121210P0 34.7315 4 23430 Repair biceps tendon A 9.98 7.97 9.47 NA 8.35 7.97 9.47 8.35 0.93 20.38 19.26 20.38 19.26 0090.10.69.2121210P0 34.7315 4 23440 Removal/transplant tendon A 10.48 7.78 9.87 NA 8.30 7.78 9.87 8.30 0.92 21.27 19.70 21.27 19.70 0090.10.69.2121210P0 34.7315 4 23450 Repair shoulder capsule A 13.40 13.84 11.20 NA13.18 13.84 11.20 13.18 1.60 26.20 28.18 26.20 28.18 0090.10.69.2121210P0 34.7315 4 23455 Repair shoulder capsule A 14.37 16.89 11.76 NA15.61 16.89 11.76 15.61 1.96 28.09 31.94 28.09 31.94 0090.10.69.2121210P0 34.7315 4 23460 Repair shoulder capsule A 15.37 15.27 12.34 NA14.54 15.27 12.34 14.54 1.75 29.46 31.66 29.46 31.66 0090.10.69.2121210P0 34.7315 4 23462 Repair shoulder capsule A 15.30 16.42 11.98 NA15.31 16.42 11.98 15.31 1.94 29.22 32.55 29.22 32.55 0090.10.69.2121210P0 34.7315 4 23465 Repair shoulder capsule A 15.85 15.36 12.47 NA14.64 15.36 12.47 14.64 1.78 30.10 32.27 30.10 32.27 0090.10.69.2121210P0 34.7315 4 23466 Repair shoulder capsule A 14.22 16.97 11.63 NA15.64 16.97 11.63 15.64 2.09 27.94 31.95 27.94 31.95 0090.10.69.2121210P0 34.7315 4 23470 Reconstruct shoulder joint A 17.15 18.19 13.45 NA17.01 18.19 13.45 17.01 2.07 32.67 36.23 32.67 36.23 0090.10.69.2121210P0 34.7315 4 23472 Reconstruct shoulder joint A 16.92 20.20 13.29 NA18.47 20.20 13.29 18.47 3.83 34.04 39.22 34.04 39.22 0090.10.69.2121210P0 34.7315 4 23480 Revision of collarbone A 11.18 7.15 9.80 NA 7.81 7.15 9.80 7.81 0.80 21.78 19.79 21.78 19.79 0090.10.69.2121110P0 34.7315 4 23485 Revision of collar bone A 13.43 12.32 11.62 NA12.15 12.32 11.62 12.15 1.46 26.51 27.04 26.51 27.04 0090.10.69.2121210P0 34.7315 4 23490 Reinforce clavicle A 11.86 10.83 10.52 NA10.75 10.83 10.52 10.75 0.63 23.01 23.24 23.01 23.24 0090.10.69.2121200P0 34.7315 4 23491 Reinforce shoulder bones A 14.21 13.78 11.67 NA13.25 13.78 11.67 13.25 1.65 27.53 29.11 27.53 29.11 0090.10.69.2121210P0 34.7315 4 23500 Treat clavicle fracture A 2.08 1.79 2.87 2.06 1.79 1.87 1.81 0.16 5.11 4.30 4.11 4.05 0090.10.69.2121100P0 34.7315 4 23505 Treat clavicle fracture A 3.69 2.79 4.53 3.23 2.79 3.38 2.94 0.30 8.52 7.22 7.37 6.93 0090.10.69.2121100P0 34.7315 4 23515 Repair clavicle fracture A 7.41 7.52 6.86 NA 7.36 7.52 6.86 7.36 0.88 15.15 15.65 15.15 15.65 0090.10.69.2121210P0 34.7315 4 23520 Treat clavicle dislocation A 2.16 1.50 2.83 1.83 1.50 2.17 1.67 0.15 5.14 4.14 4.48 3.98 0090.10.69.2121000P0 34.7315 4 23525 Treat clavicle dislocation A 3.60 2.15 4.61 2.77 2.15 2.64 2.27 0.21 8.42 6.58 6.45 6.08 0090.10.69.2121000P0 34.7315 4 23530 Repair clavicle dislocation A 7.31 7.14 6.28 NA 6.93 7.14 6.28 6.93 0.71 14.30 14.95 14.30 14.95 0090.10.69.2121200P0 34.7315 4 23532 Repair clavicle dislocation A 8.01 7.85 6.85 NA 7.60 7.85 6.85 7.60 0.93 15.79 16.54 15.79 16.54 0090.10.69.2121200P0 34.7315 4 23540 Treat clavicle dislocation A 2.23 1.68 3.31 2.09 1.68 1.74 1.70 0.15 5.69 4.47 4.12 4.08 0090.10.69.2121100P0 34.7315 4 23545 Treat clavicle dislocation A 3.25 2.15 3.75 2.55 2.15 2.74 2.30 0.23 7.23 6.03 6.22 5.78 0090.10.69.2121000P0 34.7315 4 23550 Repair clavicle dislocation A 7.24 8.64 6.76 NA 8.17 8.64 6.76 8.17 1.14 15.14 16.55 15.14 16.55 0090.10.69.2121210P0 34.7315 4 23552 Repair clavicle dislocation A 8.45 7.91 7.45 NA 7.80 7.91 7.45 7.80 0.92 16.82 17.17 16.82 17.17 0090.10.69.2121210P0 34.7315 4 23570 Treat shoulderblade fracture A 2.23 1.84 2.89 2.10 1.84 2.19 1.93 0.20 5.32 4.53 4.62 4.36 0090.10.69.2121100P0 34.7315 4 23575 Treat shoulderblade fracture A 4.06 2.98 4.72 3.42 2.98 3.65 3.15 0.34 9.12 7.82 8.05 7.55 0090.10.69.2121000P0 34.7315 4 23585 Repair scapula fracture A 8.96 8.36 7.94 NA 8.26 8.36 7.94 8.26 1.01 17.91 18.23 17.91 18.23 0090.10.69.2121210P0 34.7315 4 23600 Treat humerus fracture A 2.93 3.15 4.58 3.51 3.15 2.87 3.08 0.34 7.85 6.78 6.14 6.35 0090.10.69.2121100P0 34.7315 4 23605 Treat humerus fracture A 4.87 5.17 6.75 5.57 5.17 5.42 5.23 0.59 12.21 11.03 10.88 10.69 0090.10.69.2121100P0 34.7315 4 23615 Repair humerus fracture A 9.35 11.17 8.68 NA10.55 11.17 8.68 10.55 1.39 19.42 21.29 19.42 21.29 0090.10.69.2121210P0 34.7315 4 23616 Repair humerus fracture A 21.27 24.22 14.66 NA21.83 24.22 14.66 21.83 2.77 38.70 45.87 38.70 45.87 0090.10.69.2121220P0 34.7315 4 23620 Treat humerus fracture A 2.40 3.13 4.30 3.42 1.44 2.55 1.72 0.36 7.06 6.18 5.31 4.48 0090.10.69.2121100P0 34.7315 4 23625 Treat humerus fracture A 3.93 4.15 6.01 4.62 4.15 4.60 4.26 0.47 10.41 9.02 9.00 8.66 0090.10.69.2121100P0 34.7315 4 23630 Repair humerus fracture A 7.35 8.78 6.88 NA 8.31 8.78 6.88 8.31 1.10 15.33 16.76 15.33 16.76 0090.10.69.2121210P0 34.7315 4 23650 Treat shoulder dislocation A 3.39 2.28 4.10 2.74 2.28 2.28 2.28 0.19 7.68 6.32 5.86 5.86 0090.10.69.2121100P0 34.7315 4 23655 Treat shoulder dislocation A 4.57 3.18 3.33 NA 3.22 3.18 3.33 3.22 0.34 8.24 8.13 8.24 8.13 0090.10.69.2121100P0 34.7315 4 23660 Repair shoulder dislocation A 7.49 8.94 6.43 NA 8.31 8.94 6.43 8.31 1.10 15.02 16.90 15.02 16.90 0090.10.69.2121210P0 34.7315 4 23665 Treat dislocation/fracture A 4.47 3.64 6.13 4.26 3.64 4.84 3.94 0.40 11.00 9.13 9.71 8.81 0090.10.69.2121100P0 34.7315 4 23670 Repair dislocation/fracture A 7.90 9.43 7.40 NA 8.92 9.43 7.40 8.92 1.45 16.75 18.27 16.75 18.27 0090.10.69.2121210P0 34.7315 4 23675 Treat dislocation/fracture A 6.05 4.27 6.88 4.92 4.27 5.72 4.63 0.48 13.41 11.45 12.25 11.16 0090.10.69.2121100P0 34.7315 4 23680 Repair dislocation/fracture A 10.06 12.01 8.40 NA11.11 12.01 8.40 11.11 1.67 20.13 22.84 20.13 22.84 0090.10.69.2121210P0 34.7315 4 23700 Fixation of shoulder A 2.52 2.27 2.96 NA 2.44 2.27 2.96 2.44 0.27 5.75 5.23 5.75 5.23 0010.10.80.1020100P0 34.7315 4 23800 Fusion of shoulder joint A 14.16 16.91 12.28 NA15.75 16.91 12.28 15.75 2.06 28.50 31.97 28.50 31.97 0090.10.69.2121210P0 34.7315 4 23802 Fusion of shoulder joint A 16.60 15.27 13.51 NA14.83 15.27 13.51 14.83 1.75 31.86 33.18 31.86 33.18 0090.10.69.2120210P0 34.7315 4 23900 Amputation of arm & girdle A 19.72 13.64 13.16 NA13.52 13.64 13.16 13.52 1.88 34.76 35.12 34.76 35.12 0090.10.69.2120200P0 34.7315 4 23920 Amputation at shoulder joint A 14.61 15.03 11.28 NA14.09 15.03 11.28 14.09 1.99 27.88 30.69 27.88 30.69 0090.10.69.2120210P0 34.7315 4 23921 Amputation follow-up surgery A 5.49 4.63 5.99 4.97 4.63 5.82 4.93 0.58 12.06 11.04 11.89 11.00 0090.10.69.2120100P0 34.7315 4 23929 Shoulder surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 23930 Drainage of arm lesion A 2.94 1.75 4.01 2.32 1.75 2.95 2.05 0.19 7.14 5.45 6.08 5.18 0010.10.80.1021100P0 34.7315 4 23931 Drainage of arm bursa A 1.79 0.81 3.86 1.57 0.41 2.91 1.04 0.09 5.74 3.45 4.79 2.92 0010.10.80.1021100P0 34.7315 4 23935 Drain arm/elbow bone lesion A 6.09 5.09 10.00 NA 6.32 5.09 10.00 6.32 0.61 16.70 13.02 16.70 13.02 0090.10.69.2121000P0 34.7315 4 24000 Exploratory elbow surgery A 5.82 6.95 5.41 NA 6.57 6.95 5.41 6.57 1.13 12.36 13.52 12.36 13.52 0090.10.69.2121010P0 34.7315 4 24006 Release elbow joint A 9.31 7.75 7.25 NA 7.63 7.75 7.25 7.63 0.92 17.48 17.86 17.48 17.86 0090.10.69.2121220P0 34.7315 4 24065 Biopsy arm/elbow soft tissue A 2.08 0.86 3.78 1.59 0.43 2.43 0.93 0.08 5.94 3.75 4.59 3.09 0010.10.80.1021100P0 34.7315 4 24066 Biopsy arm/elbow soft tissue A 5.21 2.94 5.69 3.63 2.94 5.25 3.52 0.32 11.22 9.16 10.78 9.05 0090.10.69.2121100P0 34.7315 4 24075 Remove arm/elbow lesion A 3.92 2.15 5.31 2.94 2.15 4.44 2.72 0.27 9.50 7.13 8.63 6.91 0090.10.69.2121100P0 34.7315 4 24076 Remove arm/elbow lesion A 6.30 3.99 5.62 NA 4.40 3.99 5.62 4.40 0.52 12.44 11.22 12.44 11.22 0090.10.69.2121100P0 34.7315 4 24077 Remove tumor of arm/elbow A 11.76 10.62 10.32 NA10.55 10.62 10.32 10.55 1.46 23.54 23.77 23.54 23.77 0090.10.69.2121210P0 34.7315 4 24100 Biopsy elbow joint lining A 4.93 4.59 4.70 NA 4.62 4.59 4.70 4.62 0.54 10.17 10.09 10.17 10.09 0090.10.69.2121210P0 34.7315 4 24101 Explore/treat elbow joint A 6.13 7.31 5.72 NA 6.91 7.31 5.72 6.91 1.10 12.95 14.14 12.95 14.14 0090.10.69.2121200P0 34.7315 4 24102 Remove elbow joint lining A 8.03 9.58 6.63 NA 8.84 9.58 6.63 8.84 1.42 16.08 18.29 16.08 18.29 0090.10.69.2121210P0 34.7315 4 24105 Removal of elbow bursa A 3.61 4.09 4.10 NA 4.09 4.09 4.10 4.09 0.49 8.20 8.19 8.20 8.19 0090.10.69.2121100P0 34.7315 4 24110 Remove humerus lesion A 7.39 8.35 7.81 NA 8.22 8.35 7.81 8.22 0.95 16.15 16.56 16.15 16.56 0090.10.69.2121110P0 34.7315 4 24115 Remove/graft bone lesion A 9.63 8.33 7.82 NA 8.20 8.33 7.82 8.20 1.04 18.49 18.87 18.49 18.87 0090.10.69.2121210P0 34.7315 4 24116 Remove/graft bone lesion A 11.81 10.55 10.33 NA10.50 10.55 10.33 10.50 1.15 23.29 23.46 23.29 23.46 0090.10.69.2121200P0 34.7315 4 24120 Remove elbow lesion A 6.65 6.53 5.75 NA 6.34 6.53 5.75 6.34 0.77 13.17 13.76 13.17 13.76 0090.10.69.2121000P0 34.7315 4 24125 Remove/graft bone lesion A 7.89 6.28 5.86 NA 6.18 6.28 5.86 6.18 0.48 14.23 14.55 14.23 14.55 0090.10.69.2121210P0 34.7315 4 24126 Remove/graft bone lesion A 8.31 8.03 5.65 NA 7.44 8.03 5.65 7.44 0.95 14.91 16.70 14.91 16.70 0090.10.69.2121200P0 34.7315 4 24130 Removal of head of radius A 6.25 7.29 5.84 NA 6.93 7.29 5.84 6.93 0.84 12.93 14.02 12.93 14.02 0090.10.69.2121110P0 34.7315 4 24134 Removal of arm bone lesion A 9.73 9.43 12.33 NA10.16 9.43 12.33 10.16 0.97 23.03 20.86 23.03 20.86 0090.10.69.2121200P0 34.7315 4 24136 Remove radius bone lesion A 7.99 9.53 5.75 NA 8.59 9.53 5.75 8.59 0.72 14.46 17.30 14.46 17.30 0090.10.69.2121100P0 34.7315 4 24138 Remove elbow bone lesion A 8.05 6.93 6.90 NA 6.92 6.93 6.90 6.92 0.83 15.78 15.80 15.78 15.80 0090.10.69.2121200P0 34.7315 4 24140 Partial removal of arm bone A 9.18 9.52 13.44 NA10.50 9.52 13.44 10.50 1.13 23.75 20.81 23.75 20.81 0090.10.69.2121200P0 34.7315 4 24145 Partial removal of radius A 7.58 6.92 9.67 NA 7.61 6.92 9.67 7.61 0.81 18.06 16.00 18.06 16.00 0090.10.69.2121110P0 34.7315 4 24147 Partial removal of elbow A 7.54 7.17 9.47 NA 7.75 7.17 9.47 7.75 0.84 17.85 16.13 17.85 16.13 0090.10.69.2121110P0 34.7315 4 24149 Radical resection of elbow A 14.20 13.72 9.60 NA12.69 13.72 9.60 12.69 1.62 25.42 28.51 25.42 28.51 0090.10.69.2121210P0 34.7315 4 24150 Extensive humerus surgery A 13.27 15.28 12.31 NA14.54 15.28 12.31 14.54 1.75 27.33 29.56 27.33 29.56 0090.10.69.2121210P0 34.7315 4 24151 Extensive humerus surgery A 15.58 15.01 13.47 NA14.63 15.01 13.47 14.63 1.65 30.70 31.86 30.70 31.86 0090.10.69.2121210P0 34.7315 4 24152 Extensive radius surgery A 10.06 7.38 7.93 NA 7.52 7.38 7.93 7.52 0.91 18.90 18.49 18.90 18.49 0090.10.69.2121210P0 34.7315 4 24153 Extensive radius surgery A 11.54 11.33 6.21 NA10.05 11.33 6.21 10.05 1.34 19.09 22.93 19.09 22.93 0090.10.69.2121000P0 34.7315 4 24155 Removal of elbow joint A 11.73 11.67 8.36 NA10.84 11.67 8.36 10.84 1.35 21.44 23.92 21.44 23.92 0090.10.69.2121210P0 34.7315 4 24160 Remove elbow joint implant A 7.83 5.25 6.70 NA 5.61 5.25 6.70 5.61 0.63 15.16 14.07 15.16 14.07 0090.10.69.2121110P0 34.7315 4 24164 Remove radius head implant A 6.23 6.00 5.70 NA 5.93 6.00 5.70 5.93 0.70 12.63 12.86 12.63 12.86 0090.10.69.2121110P0 34.7315 4 24200 Removal of arm foreign body A 1.76 0.61 3.55 1.35 0.31 2.32 0.81 0.05 5.36 3.16 4.13 2.62 0010.10.80.1021000P0 34.7315 4 24201 Removal of arm foreign body A 4.56 3.32 5.87 3.96 3.32 4.91 3.72 0.38 10.81 8.90 9.85 8.66 0090.10.69.2121100P0 34.7315 4 24220 Injection for elbow x-ray A 1.31 0.55 10.93 3.15 0.55 0.37 0.51 0.04 12.28 4.50 1.72 1.86 0000.00.00.0021000P0 34.7315 4 24301 Muscle/tendon transfer A 10.20 8.57 7.87 NA 8.40 8.57 7.87 8.40 0.96 19.03 19.56 19.03 19.56 0090.10.69.2120210P0 34.7315 4 24305 Arm tendon lengthening A 7.45 3.34 6.43 NA 4.11 3.34 6.43 4.11 0.23 14.11 11.79 14.11 11.79 0090.10.69.2120000P0 34.7315 4 24310 Revision of arm tendon A 5.98 3.20 6.57 NA 4.04 3.20 6.57 4.04 0.38 12.93 10.40 12.93 10.40 0090.10.69.2120000P0 34.7315 4 24320 Repair of arm tendon A 10.56 9.98 9.26 NA 9.80 9.98 9.26 9.80 1.01 20.83 21.37 20.83 21.37 0090.10.69.2120210P0 34.7315 4 24330 Revision of arm muscles A 9.60 9.49 7.53 NA 9.00 9.49 7.53 9.00 1.12 18.25 19.72 18.25 19.72 0090.10.69.2121200P0 34.7315 4 24331 Revision of arm muscles A 10.65 10.44 8.04 NA 9.84 10.44 8.04 9.84 1.23 19.92 21.72 19.92 21.72 0090.10.69.2121200P0 34.7315 4 24340 Repair of biceps tendon A 7.89 7.60 6.75 NA 7.39 7.60 6.75 7.39 0.88 15.52 16.16 15.52 16.16 0090.10.69.2121210P0 34.7315 4 24341 Repair tendon/muscle arm A 7.90 7.59 6.56 NA 7.33 7.59 6.56 7.33 0.89 15.35 16.12 15.35 16.12 0090.10.69.2121210P0 34.7315 4 24342 Repair of ruptured tendon A 10.62 11.26 8.17 NA10.49 11.26 8.17 10.49 1.38 20.17 22.49 20.17 22.49 0090.10.69.2121210P0 34.7315 4 24350 Repair of tennis elbow A 5.25 4.59 5.11 NA 4.72 4.59 5.11 4.72 0.54 10.90 10.51 10.90 10.51 0090.10.69.2121000P0 34.7315 4 24351 Repair of tennis elbow A 5.91 4.96 5.61 NA 5.12 4.96 5.61 5.12 0.57 12.09 11.60 12.09 11.60 0090.10.69.2121000P0 34.7315 4 24352 Repair of tennis elbow A 6.43 6.18 5.96 NA 6.13 6.18 5.96 6.13 0.73 13.12 13.29 13.12 13.29 0090.10.69.2121210P0 34.7315 4 24354 Repair of tennis elbow A 6.48 6.09 5.84 NA 6.03 6.09 5.84 6.03 0.74 13.06 13.25 13.06 13.25 0090.10.69.2121100P0 34.7315 4 24356 Revision of tennis elbow A 6.68 7.90 6.00 NA 7.43 7.90 6.00 7.43 0.92 13.60 15.03 13.60 15.03 0090.10.69.2121000P0 34.7315 4 24360 Reconstruct elbow joint A 12.34 14.73 8.77 NA13.24 14.73 8.77 13.24 1.93 23.04 27.51 23.04 27.51 0090.10.69.2121210P0 34.7315 4 24361 Reconstruct elbow joint A 14.08 14.25 10.16 NA13.23 14.25 10.16 13.23 1.56 25.80 28.87 25.80 28.87 0090.10.69.2121210P0 34.7315 4 24362 Reconstruct elbow joint A 14.99 14.26 8.71 NA12.87 7.13 8.71 7.53 0.63 24.33 28.49 24.33 23.15 0090.10.69.2121200P0 34.7315 4 24363 Replace elbow joint A 18.49 22.07 12.53 NA19.69 22.07 12.53 19.69 3.23 34.25 41.41 34.25 41.41 0090.10.69.2121200P0 34.7315 4 24365 Reconstruct head of radius A 8.39 8.16 6.82 NA 7.83 8.16 6.82 7.83 0.93 16.14 17.15 16.14 17.15 0090.10.69.2121210P0 34.7315 4 24366 Reconstruct head of radius A 9.13 10.90 7.17 NA 9.97 10.90 7.17 9.97 1.41 17.71 20.51 17.71 20.51 0090.10.69.2121210P0 34.7315 4 24400 Revision of humerus A 11.06 9.15 10.53 NA 9.50 9.15 10.53 9.50 1.07 22.66 21.63 22.66 21.63 0090.10.69.2121210P0 34.7315 4 24410 Revision of humerus A 14.82 15.24 11.20 NA14.23 15.24 11.20 14.23 1.61 27.63 30.66 27.63 30.66 0090.10.69.2121210P0 34.7315 4 24420 Revision of humerus A 13.44 13.35 13.56 NA13.40 13.35 13.56 13.40 1.57 28.57 28.41 28.57 28.41 0090.10.69.2121210P0 34.7315 4 24430 Repair of humerus A 12.81 15.29 11.12 NA14.25 15.29 11.12 14.25 1.83 25.76 28.89 25.76 28.89 0090.10.69.2121210P0 34.7315 4 24435 Repair humerus with graft A 13.17 15.73 11.92 NA14.78 15.73 11.92 14.78 2.22 27.31 30.17 27.31 30.17 0090.10.69.2121210P0 34.7315 4 24470 Revision of elbow joint A 8.74 8.60 5.34 NA 7.79 8.60 5.34 7.79 1.02 15.10 17.55 15.10 17.55 0090.10.69.2121200P0 34.7315 4 24495 Decompression of forearm A 8.12 6.24 8.36 NA 6.77 6.24 8.36 6.77 0.86 17.34 15.75 17.34 15.75 0090.10.69.2121000P0 34.7315 4 24498 Reinforce humerus A 11.92 11.25 10.64 NA11.10 11.25 10.64 11.10 1.27 23.83 24.29 23.83 24.29 0090.10.69.2121210P0 34.7315 4 24500 Treat humerus fracture A 3.21 2.76 6.26 3.64 2.76 2.52 2.70 0.28 9.75 7.13 6.01 6.19 0090.10.69.2121100P0 34.7315 4 24505 Treat humerus fracture A 5.17 4.88 9.29 5.98 4.88 5.65 5.07 0.56 15.02 11.71 11.38 10.80 0090.10.69.2121100P0 34.7315 4 24515 Repair humerus fracture A 11.65 10.47 9.50 NA10.23 10.47 9.50 10.23 1.20 22.35 23.08 22.35 23.08 0090.10.69.2121210P0 34.7315 4 24516 Repair humerus fracture A 11.65 10.47 10.27 NA10.42 10.47 10.27 10.42 1.20 23.12 23.27 23.12 23.27 0090.10.69.2121220P0 34.7315 4 24530 Treat humerus fracture A 3.50 2.96 7.13 4.00 2.96 3.70 3.15 0.33 10.96 7.83 7.53 6.98 0090.10.69.2121100P0 34.7315 4 24535 Treat humerus fracture A 6.87 5.26 9.49 6.32 5.26 5.80 5.40 0.61 16.97 13.80 13.28 12.88 0090.10.69.2121100P0 34.7315 4 24538 Treat humerus fracture A 9.43 8.66 8.99 NA 8.74 8.66 8.99 8.74 0.99 19.41 19.16 19.41 19.16 0090.10.69.2121100P0 34.7315 4 24545 Repair humerus fracture A 10.46 10.82 8.83 NA10.32 10.82 8.83 10.32 1.24 20.53 22.02 20.53 22.02 0090.10.69.2121210P0 34.7315 4 24546 Repair humerus fracture A 15.69 10.82 11.84 NA11.08 10.82 11.84 11.08 1.24 28.77 28.01 28.77 28.01 0090.10.69.2121220P0 34.7315 4 24560 Treat humerus fracture A 2.80 2.34 5.94 3.24 2.34 2.17 2.30 0.23 8.97 6.27 5.20 5.33 0090.10.69.2121100P0 34.7315 4 24565 Treat humerus fracture A 5.56 3.74 8.64 4.97 3.74 5.02 4.06 0.42 14.62 10.95 11.00 10.04 0090.10.69.2121100P0 34.7315 4 24566 Treat humerus fracture A 7.79 6.58 7.89 NA 6.91 6.58 7.89 6.91 0.75 16.43 15.45 16.43 15.45 0090.10.69.2121100P0 34.7315 4 24575 Repair humerus fracture A 10.66 8.45 7.69 NA 8.26 8.45 7.69 8.26 0.97 19.32 19.89 19.32 19.89 0090.10.69.2121210P0 34.7315 4 24576 Treat humerus fracture A 2.86 2.34 5.92 3.24 2.34 2.60 2.41 0.26 9.04 6.36 5.72 5.53 0090.10.69.2121100P0 34.7315 4 24577 Treat humerus fracture A 5.79 4.34 8.85 5.47 4.34 5.26 4.57 0.48 15.12 11.74 11.53 10.84 0090.10.69.2121100P0 34.7315 4 24579 Repair humerus fracture A 11.60 9.08 9.73 NA 9.24 9.08 9.73 9.24 1.06 22.39 21.90 22.39 21.90 0090.10.69.2121210P0 34.7315 4 24582 Treat humerus fracture A 8.55 7.18 8.79 NA 7.58 7.18 8.79 7.58 0.83 18.17 16.96 18.17 16.96 0090.10.69.2121100P0 34.7315 4 24586 Repair elbow fracture A 15.21 15.98 9.95 NA14.47 15.98 9.95 14.47 1.85 27.01 31.53 27.01 31.53 0090.10.69.2121210P0 34.7315 4 24587 Repair elbow fracture A 15.16 14.89 9.75 NA13.61 14.89 9.75 13.61 1.70 26.61 30.47 26.61 30.47 0090.10.69.2121210P0 34.7315 4 24600 Treat elbow dislocation A 4.23 2.12 7.43 3.45 2.12 3.53 2.47 0.20 11.86 7.88 7.96 6.90 0090.10.69.2121100P0 34.7315 4 24605 Treat elbow dislocation A 5.42 2.49 4.28 NA 2.94 2.49 4.28 2.94 0.29 9.99 8.65 9.99 8.65 0090.10.69.2121100P0 34.7315 4 24615 Repair elbow dislocation A 9.42 10.08 7.03 NA 9.32 10.08 7.03 9.32 1.16 17.61 19.90 17.61 19.90 0090.10.69.2121210P0 34.7315 4 24620 Treat elbow fracture A 6.98 4.10 5.67 NA 4.49 4.10 5.67 4.49 0.45 13.10 11.92 13.10 11.92 0090.10.69.2121000P0 34.7315 4 24635 Repair elbow fracture A 13.19 12.00 19.21 NA13.80 12.00 19.21 13.80 1.39 33.79 28.38 33.79 28.38 0090.10.69.2121210P0 34.7315 4 24640 Treat elbow dislocation A 1.20 1.10 4.66 1.99 1.10 1.02 1.08 0.06 5.92 3.25 2.28 2.34 0010.10.80.1021000P0 34.7315 4 24650 Treat radius fracture A 2.16 2.44 5.75 3.27 1.22 1.97 1.41 0.26 8.17 5.69 4.39 3.83 0090.10.69.2121100P0 34.7315 4 24655 Treat radius fracture A 4.40 3.27 8.08 4.47 3.27 4.34 3.54 0.35 12.83 9.22 9.09 8.29 0090.10.69.2121100P0 34.7315 4 24665 Repair radius fracture A 8.14 7.74 7.82 NA 7.76 7.74 7.82 7.76 0.89 16.85 16.79 16.85 16.79 0090.10.69.2121210P0 34.7315 4 24666 Repair radius fracture A 9.49 11.15 8.66 NA10.53 11.15 8.66 10.53 1.25 19.40 21.27 19.40 21.27 0090.10.69.2121210P0 34.7315 4 24670 Treatment of ulna fracture A 2.54 2.12 5.74 3.03 2.12 2.30 2.17 0.21 8.49 5.78 5.05 4.92 0090.10.69.2121100P0 34.7315 4 24675 Treatment of ulna fracture A 4.72 3.81 8.23 4.92 3.81 4.58 4.00 0.42 13.37 10.06 9.72 9.14 0090.10.69.2121100P0 34.7315 4 24685 Repair ulna fracture A 8.80 9.12 8.15 NA 8.88 9.12 8.15 8.88 1.05 18.00 18.73 18.00 18.73 0090.10.69.2121210P0 34.7315 4 24800 Fusion of elbow joint A 11.20 11.49 8.36 NA10.71 11.49 8.36 10.71 1.21 20.77 23.12 20.77 23.12 0090.10.69.2121210P0 34.7315 4 24802 Fusion/graft of elbow joint A 13.69 13.22 9.40 NA12.27 13.22 9.40 12.27 1.56 24.65 27.52 24.65 27.52 0090.10.69.2121200P0 34.7315 4 24900 Amputation of upper arm A 9.60 8.33 8.60 NA 8.40 8.33 8.60 8.40 1.09 19.29 19.09 19.29 19.09 0090.10.69.2121210P0 34.7315 4 24920 Amputation of upper arm A 9.54 7.36 9.66 NA 7.94 7.36 9.66 7.94 0.93 20.13 18.41 20.13 18.41 0090.10.69.2121210P0 34.7315 4 24925 Amputation follow-up surgery A 7.07 6.80 7.20 NA 6.90 6.80 7.20 6.90 0.59 14.86 14.56 14.86 14.56 0090.10.69.2121200P0 34.7315 4 24930 Amputation follow-up surgery A 10.25 8.86 10.46 NA 9.26 8.86 10.46 9.26 0.92 21.63 20.43 21.63 20.43 0090.10.69.2121200P0 34.7315 4 24931 Amputate upper arm & implant A 12.72 12.12 9.13 NA11.37 12.12 9.13 11.37 1.44 23.29 25.53 23.29 25.53 0090.10.69.2121200P0 34.7315 4 24935 Revision of amputation A 15.56 14.87 11.33 NA13.99 14.87 11.33 13.99 1.75 28.64 31.30 28.64 31.30 0090.10.69.2121000P0 34.7315 4 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2121200P0 34.7315 9 24999 Upper arm/elbow surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 25000 Incision of tendon sheath A 3.38 4.04 5.98 NA 4.53 4.04 5.98 4.53 0.49 9.85 8.40 9.85 8.40 0090.10.69.2121100P0 34.7315 4 25020 Decompression of forearm A 5.92 4.72 8.99 NA 5.79 4.72 8.99 5.79 0.60 15.51 12.31 15.51 12.31 0090.10.69.2121100P0 34.7315 4 25023 Decompression of forearm A 12.96 5.90 14.71 NA 8.10 5.90 14.71 8.10 0.74 28.41 21.80 28.41 21.80 0090.10.69.2121000P0 34.7315 4 25028 Drainage of forearm lesion A 5.25 2.24 7.94 NA 3.67 2.24 7.94 3.67 0.28 13.47 9.20 13.47 9.20 0090.10.69.2121100P0 34.7315 4 25031 Drainage of forearm bursa A 4.14 0.72 7.61 NA 2.44 0.72 7.61 2.44 0.07 11.82 6.65 11.82 6.65 0090.10.69.2121000P0 34.7315 4 25035 Treat forearm bone lesion A 7.36 6.84 13.18 NA 8.43 6.84 13.18 8.43 0.79 21.33 16.58 21.33 16.58 0090.10.69.2121000P0 34.7315 4 25040 Explore/treat wrist joint A 7.18 6.18 8.00 NA 6.64 6.18 8.00 6.64 0.70 15.88 14.52 15.88 14.52 0090.10.69.2121000P0 34.7315 4 25065 Biopsy forearm soft tissues A 1.99 0.81 2.04 1.12 0.41 2.87 1.03 0.07 4.10 3.18 4.93 3.09 0010.10.80.1021100P0 34.7315 4 25066 Biopsy forearm soft tissues A 4.13 1.67 6.85 NA 2.97 1.67 6.85 2.97 0.17 11.15 7.27 11.15 7.27 0090.10.69.2121100P0 34.7315 4 25075 Removal of forearm lesion A 3.74 2.38 6.01 NA 3.29 2.38 6.01 3.29 0.29 10.04 7.32 10.04 7.32 0090.10.69.2121100P0 34.7315 4 25076 Removal of forearm lesion A 4.92 4.09 9.78 NA 5.51 4.09 9.78 5.51 0.52 15.22 10.95 15.22 10.95 0090.10.69.2121100P0 34.7315 4 25077 Remove tumor, forearm/wrist A 9.76 9.20 12.65 NA10.06 9.20 12.65 10.06 1.31 23.72 21.13 23.72 21.13 0090.10.69.2121100P0 34.7315 4 25085 Incision of wrist capsule A 5.50 5.01 9.42 NA 6.11 5.01 9.42 6.11 0.56 15.48 12.17 15.48 12.17 0090.10.69.2121200P0 34.7315 4 25100 Biopsy of wrist joint A 3.90 4.66 6.11 NA 5.02 4.66 6.11 5.02 0.62 10.63 9.54 10.63 9.54 0090.10.69.2121000P0 34.7315 4 25101 Explore/treat wrist joint A 4.69 5.60 6.43 NA 5.81 5.60 6.43 5.81 0.77 11.89 11.27 11.89 11.27 0090.10.69.2121000P0 34.7315 4 25105 Remove wrist joint lining A 5.85 6.99 8.63 NA 7.40 6.99 8.63 7.40 0.93 15.41 14.18 15.41 14.18 0090.10.69.2121010P0 34.7315 4 25107 Remove wrist joint cartilage A 6.43 5.73 9.15 NA 6.59 5.73 9.15 6.59 0.70 16.28 13.72 16.28 13.72 0090.10.69.2121210P0 34.7315 4 25110 Remove wrist tendon lesion A 3.92 3.04 6.67 NA 3.95 3.04 6.67 3.95 0.36 10.95 8.23 10.95 8.23 0090.10.69.2121100P0 34.7315 4 25111 Remove wrist tendon lesion A 3.39 3.49 5.20 NA 3.92 3.49 5.20 3.92 0.43 9.02 7.74 9.02 7.74 0090.10.69.2121100P1A4550 34.7315 4 25112 Reremove wrist tendon lesion A 4.53 4.04 6.02 NA 4.54 4.04 6.02 4.54 0.52 11.07 9.59 11.07 9.59 0090.10.69.2121100P0 34.7315 4 25115 Remove wrist/forearm lesion A 8.82 7.75 13.40 NA 9.16 7.75 13.40 9.16 0.96 23.18 18.94 23.18 18.94 0090.10.69.2121100P0 34.7315 4 25116 Remove wrist/forearm lesion A 7.11 8.49 12.47 NA 9.49 8.49 12.47 9.49 1.08 20.66 17.68 20.66 17.68 0090.10.69.2121010P0 34.7315 4 25118 Excise wrist tendon sheath A 4.37 5.22 6.53 NA 5.55 5.22 6.53 5.55 0.80 11.70 10.72 11.70 10.72 0090.10.69.2121100P0 34.7315 4 25119 Partial removal of ulna A 6.04 7.21 9.59 NA 7.81 7.21 9.59 7.81 1.03 16.66 14.88 16.66 14.88 0090.10.69.2121210P0 34.7315 4 25120 Removal of forearm lesion A 6.10 7.09 11.58 NA 8.21 7.09 11.58 8.21 0.89 18.57 15.20 18.57 15.20 0090.10.69.2121010P0 34.7315 4 25125 Remove/graft forearm lesion A 7.48 7.42 13.58 NA 8.96 7.42 13.58 8.96 0.81 21.87 17.25 21.87 17.25 0090.10.69.2121000P0 34.7315 4 25126 Remove/graft forearm lesion A 7.55 7.38 15.59 NA 9.43 7.38 15.59 9.43 0.88 24.02 17.86 24.02 17.86 0090.10.69.2121200P0 34.7315 4 25130 Removal of wrist lesion A 5.26 4.57 6.95 NA 5.17 4.57 6.95 5.17 0.52 12.73 10.95 12.73 10.95 0090.10.69.2121000P0 34.7315 4 25135 Remove & graft wrist lesion A 6.89 5.93 7.82 NA 6.40 5.93 7.82 6.40 0.76 15.47 14.05 15.47 14.05 0090.10.69.2121210P0 34.7315 4 25136 Remove & graft wrist lesion A 5.97 5.14 6.55 NA 5.49 5.14 6.55 5.49 0.66 13.18 12.12 13.18 12.12 0090.10.69.2121210P0 34.7315 4 25145 Remove forearm bone lesion A 6.37 6.46 13.63 NA 8.25 6.46 13.63 8.25 0.59 20.59 15.21 20.59 15.21 0090.10.69.2121200P0 34.7315 4 25150 Partial removal of ulna A 7.09 7.24 9.81 NA 7.88 7.24 9.81 7.88 0.88 17.78 15.85 17.78 15.85 0090.10.69.2121110P0 34.7315 4 25151 Partial removal of radius A 7.39 6.24 12.82 NA 7.89 6.24 12.82 7.89 0.80 21.01 16.08 21.01 16.08 0090.10.69.2121210P0 34.7315 4 25170 Extensive forearm surgery A 11.09 10.62 14.29 NA11.54 10.62 14.29 11.54 1.18 26.56 23.81 26.56 23.81 0090.10.69.2121210P0 34.7315 4 25210 Removal of wrist bone A 5.95 5.30 7.27 NA 5.79 5.30 7.27 5.79 0.63 13.85 12.37 13.85 12.37 0090.10.69.2120010P0 34.7315 4 25215 Removal of wrist bones A 7.89 9.42 10.43 NA 9.67 9.42 10.43 9.67 1.11 19.43 18.67 19.43 18.67 0090.10.69.2120210P0 34.7315 4 25230 Partial removal of radius A 5.23 6.04 6.89 NA 6.25 6.04 6.89 6.25 0.66 12.78 12.14 12.78 12.14 0090.10.69.2121110P0 34.7315 4 25240 Partial removal of ulna A 5.17 5.75 8.88 NA 6.53 5.75 8.88 6.53 0.67 14.72 12.37 14.72 12.37 0090.10.69.2121010P0 34.7315 4 25246 Injection for wrist x-ray A 1.45 0.54 10.02 2.91 0.54 0.39 0.50 0.04 11.51 4.40 1.88 1.99 0000.00.00.0021100P0 34.7315 4 25248 Remove forearm foreign body A 5.14 2.37 8.22 NA 3.83 2.37 8.22 3.83 0.29 13.65 9.26 13.65 9.26 0090.10.69.2121100P0 34.7315 4 25250 Removal of wrist prosthesis A 6.60 6.11 8.19 NA 6.63 6.11 8.19 6.63 0.71 15.50 13.94 15.50 13.94 0090.10.69.2121200P0 34.7315 4 25251 Removal of wrist prosthesis A 9.57 8.95 12.11 NA 9.74 8.95 12.11 9.74 1.09 22.77 20.40 22.77 20.40 0090.10.69.2120200P0 34.7315 4 25260 Repair forearm tendon/muscle A 7.80 5.00 13.20 NA 7.05 5.00 13.20 7.05 0.61 21.61 15.46 21.61 15.46 0090.10.69.2120100P0 34.7315 4 25263 Repair forearm tendon/muscle A 7.82 6.26 13.27 NA 8.01 6.26 13.27 8.01 0.81 21.90 16.64 21.90 16.64 0090.10.69.2120200P0 34.7315 4 25265 Repair forearm tendon/muscle A 9.88 8.61 16.34 NA10.54 8.61 16.34 10.54 1.10 27.32 21.52 27.32 21.52 0090.10.69.2120200P0 34.7315 4 25270 Repair forearm tendon/muscle A 6.00 3.65 12.21 NA 5.79 3.65 12.21 5.79 0.43 18.64 12.22 18.64 12.22 0090.10.69.2120000P0 34.7315 4 25272 Repair forearm tendon/muscle A 7.04 3.73 12.66 NA 5.96 3.73 12.66 5.96 0.42 20.12 13.42 20.12 13.42 0090.10.69.2120000P0 34.7315 4 25274 Repair forearm tendon/muscle A 8.75 7.18 13.41 NA 8.74 7.18 13.41 8.74 0.88 23.04 18.37 23.04 18.37 0090.10.69.2120010P0 34.7315 4 25280 Revise wrist/forearm tendon A 7.22 4.58 12.47 NA 6.55 4.58 12.47 6.55 0.54 20.23 14.31 20.23 14.31 0090.10.69.2120010P0 34.7315 4 25290 Incise wrist/forearm tendon A 5.29 2.68 14.15 NA 5.55 2.68 14.15 5.55 0.32 19.76 11.16 19.76 11.16 0090.10.69.2120100P0 34.7315 4 25295 Release wrist/forearm tendon A 6.55 3.31 11.96 NA 5.47 3.31 11.96 5.47 0.41 18.92 12.43 18.92 12.43 0090.10.69.2120100P0 34.7315 4 25300 Fusion of tendons at wrist A 8.80 7.99 9.96 NA 8.48 7.99 9.96 8.48 0.93 19.69 18.21 19.69 18.21 0090.10.69.2121200P0 34.7315 4 25301 Fusion of tendons at wrist A 8.40 7.35 8.26 NA 7.58 7.35 8.26 7.58 0.92 17.58 16.90 17.58 16.90 0090.10.69.2121200P0 34.7315 4 25310 Transplant forearm tendon A 8.14 7.75 13.69 NA 9.24 7.75 13.69 9.24 0.92 22.75 18.30 22.75 18.30 0090.10.69.2120210P0 34.7315 4 25312 Transplant forearm tendon A 9.57 8.28 14.86 NA 9.93 8.28 14.86 9.93 1.02 25.45 20.52 25.45 20.52 0090.10.69.2120210P0 34.7315 4 25315 Revise palsy hand tendon(s) A 10.20 8.75 14.68 NA10.23 8.75 14.68 10.23 1.05 25.93 21.48 25.93 21.48 0090.10.69.2121200P0 34.7315 4 25316 Revise palsy hand tendon(s) A 12.33 11.48 20.03 NA13.62 11.48 20.03 13.62 1.39 33.75 27.34 33.75 27.34 0090.10.69.2121200P0 34.7315 4 25320 Repair/revise wrist joint A 10.77 9.33 10.33 NA 9.58 9.33 10.33 9.58 1.13 22.23 21.48 22.23 21.48 0090.10.69.2121200P0 34.7315 4 25332 Revise wrist joint A 11.41 10.83 10.58 NA10.77 10.83 10.58 10.77 1.26 23.25 23.44 23.25 23.44 0090.10.69.2121200P0 34.7315 4 25335 Realignment of hand A 12.88 12.38 12.64 NA12.45 12.38 12.64 12.45 1.22 26.74 26.55 26.74 26.55 0090.10.69.2121200P0 34.7315 4 25337 Reconstruct ulna/radioulnar A 10.17 9.33 11.58 NA 9.89 9.33 11.58 9.89 1.13 22.88 21.19 22.88 21.19 0090.10.69.2121100P0 34.7315 4 25350 Revision of radius A 8.78 8.26 13.82 NA 9.65 8.26 13.82 9.65 0.99 23.59 19.42 23.59 19.42 0090.10.69.2121200P0 34.7315 4 25355 Revision of radius A 10.17 9.90 12.08 NA10.45 9.90 12.08 10.45 1.17 23.42 21.79 23.42 21.79 0090.10.69.2121200P0 34.7315 4 25360 Revision of ulna A 8.43 6.96 13.46 NA 8.59 6.96 13.46 8.59 0.77 22.66 17.79 22.66 17.79 0090.10.69.2121210P0 34.7315 4 25365 Revise radius & ulna A 12.40 11.19 14.45 NA12.01 11.19 14.45 12.01 1.23 28.08 25.64 28.08 25.64 0090.10.69.2121200P0 34.7315 4 25370 Revise radius or ulna A 13.36 12.76 10.94 NA12.31 12.76 10.94 12.31 1.50 25.80 27.17 25.80 27.17 0090.10.69.2121200P0 34.7315 4 25375 Revise radius & ulna A 13.04 14.52 10.82 NA13.60 14.52 10.82 13.60 0.68 24.54 27.32 24.54 27.32 0090.10.69.2121210P0 34.7315 4 25390 Shorten radius/ulna A 10.40 9.57 13.94 NA10.66 9.57 13.94 10.66 1.17 25.51 22.23 25.51 22.23 0090.10.69.2121210P0 34.7315 4 25391 Lengthen radius/ulna A 13.65 12.21 14.98 NA12.90 12.21 14.98 12.90 1.51 30.14 28.06 30.14 28.06 0090.10.69.2121210P0 34.7315 4 25392 Shorten radius & ulna A 13.95 13.50 14.22 NA13.68 13.50 14.22 13.68 1.60 29.77 29.23 29.77 29.23 0090.10.69.2121200P0 34.7315 4 25393 Lengthen radius & ulna A 15.87 15.42 13.27 NA14.88 15.42 13.27 14.88 1.82 30.96 32.57 30.96 32.57 0090.10.69.2121200P0 34.7315 4 25400 Repair radius or ulna A 10.92 11.70 15.31 NA12.60 11.70 15.31 12.60 1.37 27.60 24.89 27.60 24.89 0090.10.69.2121210P0 34.7315 4 25405 Repair/graft radius or ulna A 14.38 13.48 17.08 NA14.38 13.48 17.08 14.38 1.58 33.04 30.34 33.04 30.34 0090.10.69.2121210P0 34.7315 4 25415 Repair radius & ulna A 13.35 12.39 15.32 NA13.12 12.39 15.32 13.12 1.50 30.17 27.97 30.17 27.97 0090.10.69.2121210P0 34.7315 4 25420 Repair/graft radius & ulna A 16.33 15.95 18.05 NA16.48 15.95 18.05 16.48 1.78 36.16 34.59 36.16 34.59 0090.10.69.2121210P0 34.7315 4 25425 Repair/graft radius or ulna A 13.21 13.04 28.77 NA16.97 13.04 28.77 16.97 1.46 43.44 31.64 43.44 31.64 0090.10.69.2121210P0 34.7315 4 25426 Repair/graft radius & ulna A 15.82 12.72 18.19 NA14.09 12.72 18.19 14.09 1.67 35.68 31.58 35.68 31.58 0090.10.69.2121210P0 34.7315 4 25440 Repair/graft wrist bone A 10.44 9.82 9.97 NA 9.86 9.82 9.97 9.86 1.17 21.58 21.47 21.58 21.47 0090.10.69.2121210P0 34.7315 4 25441 Reconstruct wrist joint A 12.90 12.33 10.96 NA11.99 12.33 10.96 11.99 1.48 25.34 26.37 25.34 26.37 0090.10.69.2121210P0 34.7315 4 25442 Reconstruct wrist joint A 10.85 7.66 9.76 NA 8.19 7.66 9.76 8.19 0.95 21.56 19.99 21.56 19.99 0090.10.69.2121210P0 34.7315 4 25443 Reconstruct wrist joint A 10.39 10.18 11.34 NA10.47 10.18 11.34 10.47 1.19 22.92 22.05 22.92 22.05 0090.10.69.2121210P0 34.7315 4 25444 Reconstruct wrist joint A 11.15 11.00 11.78 NA11.20 11.00 11.78 11.20 1.30 24.23 23.65 24.23 23.65 0090.10.69.2121200P0 34.7315 4 25445 Reconstruct wrist joint A 9.69 11.24 11.19 NA11.23 11.24 11.19 11.23 1.35 22.23 22.27 22.23 22.27 0090.10.69.2121110P0 34.7315 4 25446 Wrist replacement A 16.55 19.76 13.39 NA18.17 19.76 13.39 18.17 2.73 32.67 37.45 32.67 37.45 0090.10.69.2121210P0 34.7315 4 25447 Repair wrist joint(s) A 10.37 10.47 10.12 NA10.38 10.47 10.12 10.38 1.22 21.71 21.97 21.71 21.97 0090.10.69.2121210P0 34.7315 4 25449 Remove wrist joint implant A 14.49 8.51 14.08 NA 9.90 8.51 14.08 9.90 0.91 29.48 25.30 29.48 25.30 0090.10.69.2121210P0 34.7315 4 25450 Revision of wrist joint A 7.87 7.93 5.35 NA 7.29 7.93 5.35 7.29 0.93 14.15 16.09 14.15 16.09 0090.10.69.2121100P0 34.7315 4 25455 Revision of wrist joint A 9.49 9.45 9.84 NA 9.55 9.45 9.84 9.55 1.11 20.44 20.15 20.44 20.15 0090.10.69.2121100P0 34.7315 4 25490 Reinforce radius A 9.54 9.43 13.64 NA10.48 9.43 13.64 10.48 1.11 24.29 21.13 24.29 21.13 0090.10.69.2121200P0 34.7315 4 25491 Reinforce ulna A 9.96 9.88 13.41 NA10.76 9.88 13.41 10.76 1.17 24.54 21.89 24.54 21.89 0090.10.69.2121200P0 34.7315 4 25492 Reinforce radius and ulna A 12.33 12.15 15.43 NA12.97 12.15 15.43 12.97 1.44 29.20 26.74 29.20 26.74 0090.10.69.2121200P0 34.7315 4 25500 Treat fracture of radius A 2.45 2.53 5.36 3.24 1.27 2.01 1.46 0.23 8.04 5.92 4.69 4.14 0090.10.69.2121100P0 34.7315 4 25505 Treat fracture of radius A 5.21 3.87 8.36 4.99 3.87 4.74 4.09 0.40 13.97 10.60 10.35 9.70 0090.10.69.2121100P0 34.7315 4 25515 Repair fracture of radius A 9.18 8.28 7.29 NA 8.03 8.28 7.29 8.03 0.95 17.42 18.16 17.42 18.16 0090.10.69.2121210P0 34.7315 4 25520 Repair fracture of radius A 6.26 6.23 8.56 6.81 6.23 5.27 5.99 0.74 15.56 13.81 12.27 12.99 0090.10.69.2121100P0 34.7315 4 25525 Repair fracture of radius A 12.24 12.10 9.92 NA11.56 12.10 9.92 11.56 1.43 23.59 25.23 23.59 25.23 0090.10.69.2121220P0 34.7315 4 25526 Repair fracture of radius A 12.98 12.86 15.57 NA13.54 12.86 15.57 13.54 1.52 30.07 28.04 30.07 28.04 0090.10.69.2121220P0 34.7315 4 25530 Treat fracture of ulna A 2.09 2.65 5.44 3.35 1.25 2.12 1.47 0.27 7.80 5.71 4.48 3.83 0090.10.69.2121100P0 34.7315 4 25535 Treat fracture of ulna A 5.14 3.87 7.95 4.89 3.87 4.79 4.10 0.42 13.51 10.45 10.35 9.66 0090.10.69.2121100P0 34.7315 4 25545 Repair fracture of ulna A 8.90 8.23 8.20 NA 8.22 8.23 8.20 8.22 0.94 18.04 18.06 18.04 18.06 0090.10.69.2121210P0 34.7315 4 25560 Treat fracture radius & ulna A 2.44 2.46 5.40 3.20 2.46 1.85 2.31 0.21 8.05 5.85 4.50 4.96 0090.10.69.2121100P0 34.7315 4 25565 Treat fracture radius & ulna A 5.63 5.06 8.60 5.95 5.06 4.92 5.03 0.55 14.78 12.13 11.10 11.21 0090.10.69.2121100P0 34.7315 4 25574 Treat fracture radius & ulna A 7.01 8.37 7.10 NA 8.05 8.37 7.10 8.05 1.35 15.46 16.41 15.46 16.41 0090.10.69.2121220P0 34.7315 4 25575 Repair fracture radius/ulna A 10.45 11.61 8.95 NA10.95 11.61 8.95 10.95 1.35 20.75 22.75 20.75 22.75 0090.10.69.2121210P0 34.7315 4 25600 Treat fracture radius/ulna A 2.63 3.08 5.78 3.76 1.54 2.22 1.71 0.33 8.74 6.72 5.18 4.67 0090.10.69.2121100P0 34.7315 4 25605 Treat fracture radius/ulna A 5.81 4.29 8.90 5.44 4.29 5.18 4.51 0.48 15.19 11.73 11.47 10.80 0090.10.69.2121100P0 34.7315 4 25611 Repair fracture radius/ulna A 7.77 6.52 8.01 NA 6.89 6.52 8.01 6.89 0.76 16.54 15.42 16.54 15.42 0090.10.69.2121100P0 34.7315 4 25620 Repair fracture radius/ulna A 8.55 7.74 8.02 NA 7.81 7.74 8.02 7.81 0.89 17.46 17.25 17.46 17.25 0090.10.69.2121200P0 34.7315 4 25622 Treat wrist bone fracture A 2.61 2.47 5.75 3.29 1.24 2.15 1.47 0.26 8.62 6.16 5.02 4.34 0090.10.69.2121100P0 34.7315 4 25624 Treat wrist bone fracture A 4.53 3.98 8.08 5.01 1.99 4.41 2.60 0.45 13.06 9.99 9.39 7.58 0090.10.69.2121000P0 34.7315 4 25628 Repair wrist bone fracture A 8.43 7.74 7.95 NA 7.79 7.74 7.95 7.79 0.91 17.29 17.13 17.29 17.13 0090.10.69.2121200P0 34.7315 4 25630 Treat wrist bone fracture A 2.88 2.38 5.86 3.25 1.19 2.21 1.45 0.23 8.97 6.36 5.32 4.56 0090.10.69.2121100P0 34.7315 4 25635 Treat wrist bone fracture A 4.39 3.65 8.04 4.75 1.83 4.35 2.46 0.39 12.82 9.53 9.13 7.24 0090.10.69.2121000P0 34.7315 4 25645 Repair wrist bone fracture A 7.25 7.25 7.48 NA 7.31 7.25 7.48 7.31 0.74 15.47 15.30 15.47 15.30 0090.10.69.2121200P0 34.7315 4 25650 Repair wrist bone fracture A 3.05 2.89 5.72 3.60 1.45 2.25 1.65 0.28 9.05 6.93 5.58 4.98 0090.10.69.2121100P0 34.7315 4 25660 Treat wrist dislocation A 4.76 1.98 3.99 NA 2.48 1.98 3.99 2.48 0.20 8.95 7.44 8.95 7.44 0090.10.69.2121000P0 34.7315 4 25670 Repair wrist dislocation A 7.92 7.68 7.62 NA 7.67 7.68 7.62 7.67 0.88 16.42 16.47 16.42 16.47 0090.10.69.2121210P0 34.7315 4 25675 Treat wrist dislocation A 4.67 2.47 7.79 3.80 2.47 3.98 2.85 0.27 12.73 8.74 8.92 7.79 0090.10.69.2121000P0 34.7315 4 25676 Repair wrist dislocation A 8.04 7.94 7.82 NA 7.91 7.94 7.82 7.91 0.87 16.73 16.82 16.73 16.82 0090.10.69.2121200P0 34.7315 4 25680 Treat wrist fracture A 5.99 2.65 5.25 NA 3.30 2.65 5.25 3.30 0.28 11.52 9.57 11.52 9.57 0090.10.69.2121000P0 34.7315 4 25685 Repair wrist fracture A 9.78 9.54 8.42 NA 9.26 9.54 8.42 9.26 1.13 19.33 20.17 19.33 20.17 0090.10.69.2121200P0 34.7315 4 25690 Treat wrist dislocation A 5.50 5.31 5.75 NA 5.42 5.31 5.75 5.42 0.57 11.82 11.49 11.82 11.49 0090.10.69.2121000P0 34.7315 4 25695 Repair wrist dislocation A 8.34 7.64 7.73 NA 7.66 7.64 7.73 7.66 0.92 16.99 16.92 16.99 16.92 0090.10.69.2121210P0 34.7315 4 25800 Fusion of wrist joint A 9.76 11.66 9.64 NA11.16 11.66 9.64 11.16 1.41 20.81 22.33 20.81 22.33 0090.10.69.2121210P0 34.7315 4 25805 Fusion/graft of wrist joint A 11.28 13.47 10.59 NA12.75 13.47 10.59 12.75 1.64 23.51 25.67 23.51 25.67 0090.10.69.2121210P0 34.7315 4 25810 Fusion/graft of wrist joint A 10.57 12.62 10.13 NA12.00 12.62 10.13 12.00 1.61 22.31 24.18 22.31 24.18 0090.10.69.2121210P0 34.7315 4 25820 Fusion of hand bones A 7.45 8.90 8.66 NA 8.84 8.90 8.66 8.84 1.16 17.27 17.45 17.27 17.45 0090.10.69.2121210P0 34.7315 4 25825 Fusion hand bones with graft A 9.27 11.07 9.80 NA10.75 11.07 9.80 10.75 1.56 20.63 21.58 20.63 21.58 0090.10.69.2121210P0 34.7315 4 25830 Fusion radioulnar jnt/ulna A 10.06 9.33 14.42 NA10.60 9.33 14.42 10.60 1.13 25.61 21.79 25.61 21.79 0090.10.69.2121210P0 34.7315 4 25900 Amputation of forearm A 9.01 7.68 11.63 NA 8.67 7.68 11.63 8.67 1.02 21.66 18.70 21.66 18.70 0090.10.69.2121000P0 34.7315 4 25905 Amputation of forearm A 9.12 7.72 13.20 NA 9.09 7.72 13.20 9.09 0.90 23.22 19.11 23.22 19.11 0090.10.69.2121200P0 34.7315 4 25907 Amputation follow-up surgery A 7.80 6.23 11.35 NA 7.51 6.23 11.35 7.51 0.78 19.93 16.09 19.93 16.09 0090.10.69.2121200P0 34.7315 4 25909 Amputation follow-up surgery A 8.96 6.02 11.90 NA 7.49 6.02 11.90 7.49 0.83 21.69 17.28 21.69 17.28 0090.10.69.2121200P0 34.7315 4 25915 Amputation of forearm A 17.08 17.18 16.20 NA16.94 17.18 16.20 16.94 2.03 35.31 36.05 35.31 36.05 0090.10.69.2121200P0 34.7315 4 25920 Amputate hand at wrist A 8.68 7.60 8.22 NA 7.76 7.60 8.22 7.76 0.94 17.84 17.38 17.84 17.38 0090.10.69.2121000P0 34.7315 4 25922 Amputate hand at wrist A 7.42 6.02 7.52 NA 6.40 6.02 7.52 6.40 0.80 15.74 14.62 15.74 14.62 0090.10.69.2121200P0 34.7315 4 25924 Amputation follow-up surgery A 8.46 8.14 7.32 NA 7.94 8.14 7.32 7.94 0.95 16.73 17.35 16.73 17.35 0090.10.69.2121200P0 34.7315 4 25927 Amputation of hand A 8.80 6.83 11.16 NA 7.91 6.83 11.16 7.91 0.95 20.91 17.66 20.91 17.66 0090.10.69.2121000P0 34.7315 4 25929 Amputation follow-up surgery A 7.59 5.14 5.65 NA 5.27 5.14 5.65 5.27 0.75 13.99 13.61 13.99 13.61 0090.10.69.2121200P0 34.7315 4 25931 Amputation follow-up surgery A 7.81 4.93 14.97 NA 7.44 4.93 14.97 7.44 0.70 23.48 15.95 23.48 15.95 0090.10.69.2121100P0 34.7315 4 25999 Forearm or wrist surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 26010 Drainage of finger abscess A 1.54 0.52 3.90 1.37 0.26 2.91 0.92 0.04 5.48 2.95 4.49 2.50 0010.10.80.1020100P0 34.7315 4 26011 Drainage of finger abscess A 2.19 1.67 5.41 2.61 1.67 5.06 2.52 0.19 7.79 4.99 7.44 4.90 0010.10.80.1020100P0 34.7315 4 26020 Drain hand tendon sheath A 4.67 4.04 10.46 NA 5.65 4.04 10.46 5.65 0.49 15.62 10.81 15.62 10.81 0090.10.69.2120100P0 34.7315 4 26025 Drainage of palm bursa A 4.82 4.89 10.14 NA 6.20 4.89 10.14 6.20 0.59 15.55 11.61 15.55 11.61 0090.10.69.2120000P0 34.7315 4 26030 Drainage of palm bursa(s) A 5.93 6.22 10.98 NA 7.41 6.22 10.98 7.41 0.77 17.68 14.11 17.68 14.11 0090.10.69.2120000P0 34.7315 4 26034 Treat hand bone lesion A 6.23 4.59 12.12 NA 6.47 4.59 12.12 6.47 0.56 18.91 13.26 18.91 13.26 0090.10.69.2120100P0 34.7315 4 26035 Decompress fingers/hand A 9.51 5.61 13.85 NA 7.67 5.61 13.85 7.67 0.67 24.03 17.85 24.03 17.85 0090.10.69.2120000P0 34.7315 4 26037 Decompress fingers/hand A 7.25 6.91 10.45 NA 7.80 6.91 10.45 7.80 0.82 18.52 15.87 18.52 15.87 0090.10.69.2120000P0 34.7315 4 26040 Release palm contracture A 3.33 3.10 9.32 NA 4.66 3.10 9.32 4.66 0.38 13.03 8.37 13.03 8.37 0090.10.69.2121100P0 34.7315 4 26045 Release palm contracture A 5.56 5.24 10.57 NA 6.57 5.24 10.57 6.57 0.63 16.76 12.76 16.76 12.76 0090.10.69.2121100P0 34.7315 4 26055 Incise finger tendon sheath A 2.69 3.56 6.00 4.17 3.56 5.93 4.15 0.44 9.13 7.30 9.06 7.28 0090.10.69.2120100P0 34.7315 4 26060 Incision of finger tendon A 2.81 1.23 6.47 NA 2.54 1.23 6.47 2.54 0.13 9.41 5.48 9.41 5.48 0090.10.69.2120000P0 34.7315 4 26070 Explore/treat hand joint A 3.69 3.00 8.76 NA 4.44 1.50 8.76 3.32 0.33 12.78 8.46 12.78 7.34 0090.10.69.2121100P0 34.7315 4 26075 Explore/treat finger joint A 3.79 4.10 9.67 NA 5.49 4.10 9.67 5.49 0.49 13.95 9.77 13.95 9.77 0090.10.69.2121100P0 34.7315 4 26080 Explore/treat finger joint A 4.24 3.41 10.20 NA 5.11 3.41 10.20 5.11 0.40 14.84 9.75 14.84 9.75 0090.10.69.2120100P0 34.7315 4 26100 Biopsy hand joint lining A 3.67 3.24 6.53 NA 4.06 3.24 6.53 4.06 0.35 10.55 8.08 10.55 8.08 0090.10.69.2121000P0 34.7315 4 26105 Biopsy finger joint lining A 3.71 4.53 9.97 NA 5.89 4.53 9.97 5.89 0.52 14.20 10.12 14.20 10.12 0090.10.69.2121000P0 34.7315 4 26110 Biopsy finger joint lining A 3.53 3.18 9.00 NA 4.64 3.18 9.00 4.64 0.39 12.92 8.56 12.92 8.56 0090.10.69.2120100P0 34.7315 4 26115 Removal of hand lesion A 3.86 2.18 5.88 3.11 2.18 6.56 3.28 0.27 10.01 7.24 10.69 7.41 0090.10.69.2120100P0 34.7315 4 26116 Removal of hand lesion A 5.53 4.03 10.38 NA 5.62 4.03 10.38 5.62 0.49 16.40 11.64 16.40 11.64 0090.10.69.2120100P0 34.7315 4 26117 Remove tumor, hand/finger A 8.55 5.50 11.88 NA 7.10 5.50 11.88 7.10 0.71 21.14 16.36 21.14 16.36 0090.10.69.2120100P0 34.7315 4 26121 Release palm contracture A 7.54 9.00 12.16 NA 9.79 9.00 12.16 9.79 1.26 20.96 18.59 20.96 18.59 0090.10.69.2121100P0 34.7315 4 26123 Release palm contracture A 9.29 9.88 13.12 NA10.69 9.88 13.12 10.69 1.20 23.61 21.18 23.61 21.18 0090.10.69.2121100P0 34.7315 4 26125 Release palm contracture A 4.61 2.84 2.73 NA 2.81 2.84 2.73 2.81 0.35 7.69 7.77 7.69 7.77 0ZZZ.00.00.0000100P0 34.7315 4 26130 Remove wrist joint lining A 5.42 5.44 11.96 NA 7.07 5.44 11.96 7.07 0.67 18.05 13.16 18.05 13.16 0090.10.69.2121100P0 34.7315 4 26135 Revise finger joint, each A 6.96 5.27 13.15 NA 7.24 5.27 13.15 7.24 0.64 20.75 14.84 20.75 14.84 0090.10.69.2120000P0 34.7315 4 26140 Revise finger joint, each A 6.17 4.78 12.44 NA 6.70 4.78 12.44 6.70 0.59 19.20 13.46 19.20 13.46 0090.10.69.2120100P0 34.7315 4 26145 Tendon excision, palm/finger A 6.32 5.11 12.53 NA 6.97 5.11 12.53 6.97 0.63 19.48 13.92 19.48 13.92 0090.10.69.2120100P0 34.7315 4 26160 Remove tendon sheath lesion A 3.15 2.52 5.66 3.31 2.52 6.15 3.43 0.31 9.12 6.77 9.61 6.89 0090.10.69.2120100P0 34.7315 4 26170 Removal of palm tendon, each A 4.77 3.07 7.11 NA 4.08 3.07 7.11 4.08 0.35 12.23 9.20 12.23 9.20 0090.10.69.2120000P0 34.7315 4 26180 Removal of finger tendon A 5.18 4.35 7.22 NA 5.07 4.35 7.22 5.07 0.56 12.96 10.81 12.96 10.81 0090.10.69.2120000P0 34.7315 4 26185 Remove finger bone A 5.25 4.60 7.07 NA 5.22 4.60 7.07 5.22 0.32 12.64 10.79 12.64 10.79 0090.10.69.2121210P0 34.7315 4 26200 Remove hand bone lesion A 5.51 4.86 10.67 NA 6.31 4.86 10.67 6.31 0.56 16.74 12.38 16.74 12.38 0090.10.69.2120000P0 34.7315 4 26205 Remove/graft bone lesion A 7.70 6.95 12.22 NA 8.27 6.95 12.22 8.27 0.81 20.73 16.78 20.73 16.78 0090.10.69.2120100P0 34.7315 4 26210 Removal of finger lesion A 5.15 4.23 10.69 NA 5.85 4.23 10.69 5.85 0.50 16.34 11.50 16.34 11.50 0090.10.69.2120100P0 34.7315 4 26215 Remove/graft finger lesion A 7.10 6.02 11.27 NA 7.33 6.02 11.27 7.33 0.74 19.11 15.17 19.11 15.17 0090.10.69.2120100P0 34.7315 4 26230 Partial removal of hand bone A 6.33 4.62 10.30 NA 6.04 4.62 10.30 6.04 0.54 17.17 12.91 17.17 12.91 0090.10.69.2120000P0 34.7315 4 26235 Partial removal, finger bone A 6.19 4.53 10.18 NA 5.94 4.53 10.18 5.94 0.56 16.93 12.69 16.93 12.69 0090.10.69.2120000P0 34.7315 4 26236 Partial removal, finger bone A 5.32 4.19 10.06 NA 5.66 4.19 10.06 5.66 0.52 15.90 11.50 15.90 11.50 0090.10.69.2120100P0 34.7315 4 26250 Extensive hand surgery A 7.55 6.51 11.44 NA 7.74 6.51 11.44 7.74 0.84 19.83 16.13 19.83 16.13 0090.10.69.2120000P0 34.7315 4 26255 Extensive hand surgery A 12.43 9.70 14.81 NA10.98 9.70 14.81 10.98 1.20 28.44 24.61 28.44 24.61 0090.10.69.2120210P0 34.7315 4 26260 Extensive finger surgery A 7.03 6.22 12.94 NA 7.90 6.22 12.94 7.90 0.76 20.73 15.69 20.73 15.69 0090.10.69.2120200P0 34.7315 4 26261 Extensive finger surgery A 9.09 8.36 7.85 NA 8.23 8.36 7.85 8.23 1.02 17.96 18.34 17.96 18.34 0090.10.69.2120200P0 34.7315 4 26262 Partial removal of finger A 5.67 5.15 10.91 NA 6.59 5.15 10.91 6.59 0.59 17.17 12.85 17.17 12.85 0090.10.69.2120200P0 34.7315 4 26320 Removal of implant from hand A 3.98 3.84 10.11 NA 5.41 3.84 10.11 5.41 0.45 14.54 9.84 14.54 9.84 0090.10.69.2120100P0 34.7315 4 26350 Repair finger/hand tendon A 5.99 6.23 14.59 NA 8.32 6.23 14.59 8.32 0.77 21.35 15.08 21.35 15.08 0090.10.69.2120100P0 34.7315 4 26352 Repair/graft hand tendon A 7.68 7.16 14.85 NA 9.08 7.16 14.85 9.08 0.86 23.39 17.62 23.39 17.62 0090.10.69.2120210P0 34.7315 4 26356 Repair finger/hand tendon A 8.07 7.82 16.05 NA 9.88 7.82 16.05 9.88 0.97 25.09 18.92 25.09 18.92 0090.10.69.2120100P0 34.7315 4 26357 Repair finger/hand tendon A 8.58 7.14 16.47 NA 9.47 7.14 16.47 9.47 0.93 25.98 18.98 25.98 18.98 0090.10.69.2120200P0 34.7315 4 26358 Repair/graft hand tendon A 9.14 8.03 16.24 NA10.08 8.03 16.24 10.08 0.99 26.37 20.21 26.37 20.21 0090.10.69.2120200P0 34.7315 4 26370 Repair finger/hand tendon A 7.11 7.28 15.75 NA 9.40 7.28 15.75 9.40 0.88 23.74 17.39 23.74 17.39 0090.10.69.2120000P0 34.7315 4 26372 Repair/graft hand tendon A 8.76 6.93 16.88 NA 9.42 6.93 16.88 9.42 0.90 26.54 19.08 26.54 19.08 0090.10.69.2120200P0 34.7315 4 26373 Repair finger/hand tendon A 8.16 7.43 17.96 NA10.06 7.43 17.96 10.06 0.87 26.99 19.09 26.99 19.09 0090.10.69.2120200P0 34.7315 4 26390 Revise hand/finger tendon A 9.19 8.63 13.45 NA 9.84 8.63 13.45 9.84 0.96 23.60 19.99 23.60 19.99 0090.10.69.2120210P0 34.7315 4 26392 Repair/graft hand tendon A 10.26 9.34 17.11 NA11.28 9.34 17.11 11.28 0.99 28.36 22.53 28.36 22.53 0090.10.69.2120210P0 34.7315 4 26410 Repair hand tendon A 4.63 3.57 12.06 NA 5.69 3.57 12.06 5.69 0.40 17.09 10.72 17.09 10.72 0090.10.69.2120100P0 34.7315 4 26412 Repair/graft hand tendon A 6.31 6.52 13.26 NA 8.21 6.52 13.26 8.21 0.76 20.33 15.28 20.33 15.28 0090.10.69.2120000P0 34.7315 4 26415 Excision, hand/finger tendon A 8.34 7.33 11.82 NA 8.45 7.33 11.82 8.45 0.70 20.86 17.49 20.86 17.49 0090.10.69.2120000P0 34.7315 4 26416 Graft hand or finger tendon A 9.37 9.38 14.21 NA10.59 9.38 14.21 10.59 1.10 24.68 21.06 24.68 21.06 0090.10.69.2120100P0 34.7315 4 26418 Repair finger tendon A 4.25 3.89 11.69 NA 5.84 3.89 11.69 5.84 0.46 16.40 10.55 16.40 10.55 0090.10.69.2120100P0 34.7315 4 26420 Repair/graft finger tendon A 6.77 6.16 13.24 NA 7.93 6.16 13.24 7.93 0.75 20.76 15.45 20.76 15.45 0090.10.69.2120200P0 34.7315 4 26426 Repair finger/hand tendon A 6.15 6.85 12.82 NA 8.34 6.85 12.82 8.34 0.84 19.81 15.33 19.81 15.33 0090.10.69.2120100P0 34.7315 4 26428 Repair/graft finger tendon A 7.21 5.97 13.72 NA 7.91 5.97 13.72 7.91 0.78 21.71 15.90 21.71 15.90 0090.10.69.2120000P0 34.7315 4 26432 Repair finger tendon A 4.02 3.42 10.02 NA 5.07 1.71 10.02 3.79 0.40 14.44 9.49 14.44 8.21 0090.10.69.2120100P0 34.7315 4 26433 Repair finger tendon A 4.56 4.28 10.54 NA 5.85 4.28 10.54 5.85 0.52 15.62 10.93 15.62 10.93 0090.10.69.2120100P0 34.7315 4 26434 Repair/graft finger tendon A 6.09 5.37 14.12 NA 7.56 5.37 14.12 7.56 0.66 20.87 14.31 20.87 14.31 0090.10.69.2120200P0 34.7315 4 26437 Realignment of tendons A 5.82 4.40 10.95 NA 6.04 4.40 10.95 6.04 0.53 17.30 12.39 17.30 12.39 0090.10.69.2120100P0 34.7315 4 26440 Release palm/finger tendon A 5.02 3.87 13.66 NA 6.32 3.87 13.66 6.32 0.46 19.14 11.80 19.14 11.80 0090.10.69.2120100P0 34.7315 4 26442 Release palm & finger tendon A 8.16 3.66 15.21 NA 6.55 3.66 15.21 6.55 0.46 23.83 15.17 23.83 15.17 0090.10.69.2120100P0 34.7315 4 26445 Release hand/finger tendon A 4.31 3.53 13.47 NA 6.02 3.53 13.47 6.02 0.42 18.20 10.75 18.20 10.75 0090.10.69.2120100P0 34.7315 4 26449 Release forearm/hand tendon A 7.00 6.04 15.48 NA 8.40 6.04 15.48 8.40 0.75 23.23 16.15 23.23 16.15 0090.10.69.2120000P0 34.7315 4 26450 Incision of palm tendon A 3.67 2.47 6.92 NA 3.58 2.47 6.92 3.58 0.28 10.87 7.53 10.87 7.53 0090.10.69.2120000P0 34.7315 4 26455 Incision of finger tendon A 3.64 2.05 6.67 NA 3.21 2.05 6.67 3.21 0.26 10.57 7.11 10.57 7.11 0090.10.69.2120000P0 34.7315 4 26460 Incise hand/finger tendon A 3.46 1.87 6.56 NA 3.04 1.87 6.56 3.04 0.23 10.25 6.73 10.25 6.73 0090.10.69.2120100P0 34.7315 4 26471 Fusion of finger tendons A 5.73 4.50 10.69 NA 6.05 4.50 10.69 6.05 0.52 16.94 12.30 16.94 12.30 0090.10.69.2120000P0 34.7315 4 26474 Fusion of finger tendons A 5.32 5.00 11.05 NA 6.51 5.00 11.05 6.51 0.59 16.96 12.42 16.96 12.42 0090.10.69.2120200P0 34.7315 4 26476 Tendon lengthening A 5.18 3.14 11.49 NA 5.23 3.14 11.49 5.23 0.21 16.88 10.62 16.88 10.62 0090.10.69.2120100P0 34.7315 4 26477 Tendon shortening A 5.15 4.33 10.37 NA 5.84 4.33 10.37 5.84 0.57 16.09 11.56 16.09 11.56 0090.10.69.2120110P0 34.7315 4 26478 Lengthening of hand tendon A 5.80 4.67 11.23 NA 6.31 4.67 11.23 6.31 0.56 17.59 12.67 17.59 12.67 0090.10.69.2120000P0 34.7315 4 26479 Shortening of hand tendon A 5.74 5.74 11.16 NA 7.10 5.74 11.16 7.10 0.67 17.57 13.51 17.57 13.51 0090.10.69.2120200P0 34.7315 4 26480 Transplant hand tendon A 6.69 7.09 14.92 NA 9.05 7.09 14.92 9.05 0.87 22.48 16.61 22.48 16.61 0090.10.69.2120000P0 34.7315 4 26483 Transplant/graft hand tendon A 8.29 9.22 15.45 NA10.78 9.22 15.45 10.78 1.10 24.84 20.17 24.84 20.17 0090.10.69.2120210P0 34.7315 4 26485 Transplant palm tendon A 7.70 7.05 16.42 NA 9.39 7.05 16.42 9.39 0.84 24.96 17.93 24.96 17.93 0090.10.69.2120210P0 34.7315 4 26489 Transplant/graft palm tendon A 9.55 3.69 12.90 NA 5.99 3.69 12.90 5.99 0.40 22.85 15.94 22.85 15.94 0090.10.69.2120000P0 34.7315 4 26490 Revise thumb tendon A 8.41 8.47 12.38 NA 9.45 8.47 12.38 9.45 1.00 21.79 18.86 21.79 18.86 0090.10.69.2120000P0 34.7315 4 26492 Tendon transfer with graft A 9.62 9.50 14.10 NA10.65 9.50 14.10 10.65 0.95 24.67 21.22 24.67 21.22 0090.10.69.2120210P0 34.7315 4 26494 Hand tendon/muscle transfer A 8.47 7.90 12.74 NA 9.11 7.90 12.74 9.11 0.96 22.17 18.54 22.17 18.54 0090.10.69.2120210P0 34.7315 4 26496 Revise thumb tendon A 9.59 9.47 12.45 NA10.22 9.47 12.45 10.22 1.20 23.24 21.01 23.24 21.01 0090.10.69.2120000P0 34.7315 4 26497 Finger tendon transfer A 9.57 8.70 14.97 NA10.27 8.70 14.97 10.27 1.08 25.62 20.92 25.62 20.92 0090.10.69.2120200P0 34.7315 4 26498 Finger tendon transfer A 14.00 12.78 17.41 NA13.94 12.78 17.41 13.94 1.60 33.01 29.54 33.01 29.54 0090.10.69.2120210P0 34.7315 4 26499 Revision of finger A 8.98 8.41 12.96 NA 9.55 8.41 12.96 9.55 0.98 22.92 19.51 22.92 19.51 0090.10.69.2120210P0 34.7315 4 26500 Hand tendon reconstruction A 5.96 3.79 11.47 NA 5.71 3.79 11.47 5.71 0.47 17.90 12.14 17.90 12.14 0090.10.69.2120000P0 34.7315 4 26502 Hand tendon reconstruction A 7.14 5.72 12.48 NA 7.41 5.72 12.48 7.41 0.74 20.36 15.29 20.36 15.29 0090.10.69.2120200P0 34.7315 4 26504 Hand tendon reconstruction A 7.47 7.29 15.79 NA 9.42 7.29 15.79 9.42 0.87 24.13 17.76 24.13 17.76 0090.10.69.2120200P0 34.7315 4 26508 Release thumb contracture A 6.01 4.50 10.98 NA 6.12 4.50 10.98 6.12 0.56 17.55 12.69 17.55 12.69 0090.10.69.2120000P0 34.7315 4 26510 Thumb tendon transfer A 5.43 4.50 11.36 NA 6.22 4.50 11.36 6.22 0.53 17.32 12.18 17.32 12.18 0090.10.69.2120000P0 34.7315 4 26516 Fusion of knuckle joint A 7.15 4.51 11.65 NA 6.30 4.51 11.65 6.30 0.52 19.32 13.97 19.32 13.97 0090.10.69.2120000P0 34.7315 4 26517 Fusion of knuckle joints A 8.83 7.67 15.19 NA 9.55 7.67 15.19 9.55 0.96 24.98 19.34 24.98 19.34 0090.10.69.2120200P0 34.7315 4 26518 Fusion of knuckle joints A 9.02 7.07 12.57 NA 8.45 7.07 12.57 8.45 0.95 22.54 18.42 22.54 18.42 0090.10.69.2120210P0 34.7315 4 26520 Release knuckle contracture A 5.30 4.86 13.68 NA 7.07 4.86 13.68 7.07 0.56 19.54 12.93 19.54 12.93 0090.10.69.2120100P0 34.7315 4 26525 Release finger contracture A 5.33 3.95 13.78 NA 6.41 3.95 13.78 6.41 0.49 19.60 12.23 19.60 12.23 0090.10.69.2120110P0 34.7315 4 26530 Revise knuckle joint A 6.69 5.60 14.50 NA 7.83 5.60 14.50 7.83 0.66 21.85 15.18 21.85 15.18 0090.10.69.2120200P0 34.7315 4 26531 Revise knuckle with implant A 7.91 7.22 16.19 NA 9.46 7.22 16.19 9.46 0.87 24.97 18.24 24.97 18.24 0090.10.69.2120210P0 34.7315 4 26535 Revise finger joint A 5.24 5.25 8.09 NA 5.96 5.25 8.09 5.96 0.45 13.78 11.65 13.78 11.65 0090.10.69.2120100P0 34.7315 4 26536 Revise/implant finger joint A 6.37 7.61 13.88 NA 9.18 7.61 13.88 9.18 0.93 21.18 16.48 21.18 16.48 0090.10.69.2120000P0 34.7315 4 26540 Repair hand joint A 6.43 7.21 11.45 NA 8.27 7.21 11.45 8.27 0.88 18.76 15.58 18.76 15.58 0090.10.69.2120010P0 34.7315 4 26541 Repair hand joint with graft A 8.62 9.70 13.06 NA10.54 9.70 13.06 10.54 1.15 22.83 20.31 22.83 20.31 0090.10.69.2120210P0 34.7315 4 26542 Repair hand joint with graft A 6.78 6.15 11.51 NA 7.49 6.15 11.51 7.49 0.76 19.05 15.03 19.05 15.03 0090.10.69.2120000P0 34.7315 4 26545 Reconstruct finger joint A 6.92 5.72 11.83 NA 7.25 5.72 11.83 7.25 0.74 19.49 14.91 19.49 14.91 0090.10.69.2120000P0 34.7315 4 26546 Repair non-union hand A 8.92 8.80 13.37 NA 9.94 8.80 13.37 9.94 1.04 23.33 19.90 23.33 19.90 0090.10.69.2121200P0 34.7315 4 26548 Reconstruct finger joint A 8.03 6.28 12.54 NA 7.85 6.28 12.54 7.85 0.78 21.35 16.66 21.35 16.66 0090.10.69.2120000P0 34.7315 4 26550 Construct thumb replacement A 21.24 21.50 24.06 NA22.14 21.50 24.06 22.14 2.53 47.83 45.91 47.83 45.91 0090.10.69.2120200P0 34.7315 4 26551 Great toe-hand transfer A 46.58 45.85 34.04 NA42.90 45.85 34.04 42.90 5.41 86.03 94.89 86.03 94.89 0090.10.69.2120200P0 34.7315 4 26553 Single toe-hand transfer A 46.27 45.54 25.35 NA40.49 45.54 25.35 40.49 5.37 76.99 92.13 76.99 92.13 0090.10.69.2120210P0 34.7315 4 26554 Double toe-hand transfer A 54.95 54.33 34.94 NA49.48 54.33 34.94 49.48 6.42 96.31 110.85 96.31 110.85 0090.10.69.2120210P0 34.7315 4 26555 Positional change of finger A 16.63 16.72 17.60 NA16.94 16.72 17.60 16.94 1.97 36.20 35.54 36.20 35.54 0090.10.69.2120200P0 34.7315 4 26556 Toe joint transfer A 47.26 46.31 25.72 NA41.16 46.31 25.72 41.16 5.47 78.45 93.89 78.45 93.89 0090.10.69.2120210P0 34.7315 4 26560 Repair of web finger A 5.38 5.05 11.15 NA 6.58 5.05 11.15 6.58 0.52 17.05 12.48 17.05 12.48 0090.10.69.2120200P0 34.7315 4 26561 Repair of web finger A 10.92 9.65 15.44 NA11.10 9.65 15.44 11.10 1.22 27.58 23.24 27.58 23.24 0090.10.69.2120210P0 34.7315 4 26562 Repair of web finger A 9.68 11.56 13.13 NA11.95 11.56 13.13 11.95 0.64 23.45 22.27 23.45 22.27 0090.10.69.2120200P0 34.7315 4 26565 Correct metacarpal flaw A 6.74 6.32 12.11 NA 7.77 6.32 12.11 7.77 0.66 19.51 15.17 19.51 15.17 0090.10.69.2120200P0 34.7315 4 26567 Correct finger deformity A 6.82 4.64 11.51 NA 6.36 4.64 11.51 6.36 0.52 18.85 13.70 18.85 13.70 0090.10.69.2120000P0 34.7315 4 26568 Lengthen metacarpal/finger A 9.08 9.17 13.54 NA10.26 9.17 13.54 10.26 0.83 23.45 20.17 23.45 20.17 0090.10.69.2120200P0 34.7315 4 26580 Repair hand deformity A 18.18 18.33 13.76 NA17.19 18.33 13.76 17.19 2.16 34.10 37.53 34.10 37.53 0090.10.69.2120200P0 34.7315 4 26585 Repair finger deformity A 14.05 14.05 12.08 NA13.56 14.05 12.08 13.56 1.66 27.79 29.27 27.79 29.27 0090.10.69.2120200P0 34.7315 4 26587 Reconstruct extra finger C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120200P0 34.7315 9 26590 Repair finger deformity A 17.96 18.05 11.39 NA16.39 18.05 11.39 16.39 2.13 31.48 36.48 31.48 36.48 0090.10.69.2120200P0 34.7315 4 26591 Repair muscles of hand A 3.25 2.49 10.36 NA 4.46 2.49 10.36 4.46 0.31 13.92 8.02 13.92 8.02 0090.10.69.2120000P0 34.7315 4 26593 Release muscles of hand A 5.31 4.47 10.46 NA 5.97 4.47 10.46 5.97 0.55 16.32 11.83 16.32 11.83 0090.10.69.2120100P0 34.7315 4 26596 Excision constricting tissue A 8.95 8.94 8.72 NA 8.89 8.94 8.72 8.89 1.06 18.73 18.90 18.73 18.90 0090.10.69.2120200P0 34.7315 4 26597 Release of scar contracture A 9.82 8.70 13.35 NA 9.86 8.70 13.35 9.86 1.07 24.24 20.75 24.24 20.75 0090.10.69.2120000P0 34.7315 4 26600 Treat metacarpal fracture A 1.96 1.67 5.39 2.60 0.84 1.91 1.11 0.17 7.52 4.73 4.04 3.24 0090.10.69.2120100P0 34.7315 4 26605 Treat metacarpal fracture A 2.85 2.49 6.87 3.59 1.25 3.40 1.79 0.28 10.00 6.72 6.53 4.92 0090.10.69.2120100P0 34.7315 4 26607 Treat metacarpal fracture A 5.36 3.85 7.07 NA 4.66 3.85 7.07 4.66 0.45 12.88 10.47 12.88 10.47 0090.10.69.2120000P0 34.7315 4 26608 Treat metacarpal fracture A 5.36 3.85 6.74 NA 4.57 3.85 6.74 4.57 0.45 12.55 10.38 12.55 10.38 0090.10.69.2120000P0 34.7315 4 26615 Repair metacarpal fracture A 5.33 5.29 6.19 NA 5.52 5.29 6.19 5.52 0.63 12.15 11.48 12.15 11.48 0090.10.69.2120100P0 34.7315 4 26641 Treat thumb dislocation A 3.94 1.20 7.05 2.66 1.20 3.25 1.71 0.11 11.10 6.71 7.30 5.76 0090.10.69.2120000P0 34.7315 4 26645 Treat thumb fracture A 4.41 2.39 7.65 3.71 2.39 4.08 2.81 0.26 12.32 8.38 8.75 7.48 0090.10.69.2120000P0 34.7315 4 26650 Repair thumb fracture A 5.72 4.35 6.85 NA 4.98 4.35 6.85 4.98 0.50 13.07 11.20 13.07 11.20 0090.10.69.2120100P0 34.7315 4 26665 Repair thumb fracture A 7.60 6.93 7.37 NA 7.04 6.93 7.37 7.04 0.85 15.82 15.49 15.82 15.49 0090.10.69.2120110P0 34.7315 4 26670 Treat hand dislocation A 3.69 1.04 7.02 2.54 1.04 3.04 1.54 0.08 10.79 6.31 6.81 5.31 0090.10.69.2120000P0 34.7315 4 26675 Treat hand dislocation A 4.64 4.71 6.66 5.20 4.71 3.25 4.35 0.47 11.77 10.31 8.36 9.46 0090.10.69.2120000P0 34.7315 4 26676 Pin hand dislocation A 5.52 5.27 6.94 NA 5.69 5.27 6.94 5.69 0.52 12.98 11.73 12.98 11.73 0090.10.69.2120100P0 34.7315 4 26685 Repair hand dislocation A 6.98 6.25 7.61 NA 6.59 6.25 7.61 6.59 0.71 15.30 14.28 15.30 14.28 0090.10.69.2120110P0 34.7315 4 26686 Repair hand dislocation A 7.94 6.85 7.43 NA 7.00 6.85 7.43 7.00 0.81 16.18 15.75 16.18 15.75 0090.10.69.2120200P0 34.7315 4 26700 Treat knuckle dislocation A 3.69 0.96 3.74 1.66 0.96 2.08 1.24 0.08 7.51 5.43 5.85 5.01 0090.10.69.2120100P0 34.7315 4 26705 Treat knuckle dislocation A 4.19 1.93 6.78 3.14 1.93 3.42 2.30 0.21 11.18 7.54 7.82 6.70 0090.10.69.2120000P0 34.7315 4 26706 Pin knuckle dislocation A 5.12 5.08 4.91 NA 5.04 5.08 4.91 5.04 0.59 10.62 10.75 10.62 10.75 0090.10.69.2120100P0 34.7315 4 26715 Repair knuckle dislocation A 5.74 4.48 6.47 NA 4.98 4.48 6.47 4.98 0.52 12.73 11.24 12.73 11.24 0090.10.69.2120000P0 34.7315 4 26720 Treat finger fracture, each A 1.66 1.19 2.26 1.46 0.60 1.31 0.78 0.12 4.04 3.24 3.09 2.56 0090.10.69.2120100P0 34.7315 4 26725 Treat finger fracture, each A 3.33 1.67 4.02 2.26 0.84 2.75 1.32 0.18 7.53 5.77 6.26 4.83 0090.10.69.2120100P0 34.7315 4 26727 Treat finger fracture, each A 5.23 2.66 6.71 NA 3.67 2.66 6.71 3.67 0.30 12.24 9.20 12.24 9.20 0090.10.69.2120100P0 34.7315 4 26735 Repair finger fracture, each A 5.98 4.05 6.33 NA 4.62 4.05 6.33 4.62 0.48 12.79 11.08 12.79 11.08 0090.10.69.2120100P0 34.7315 4 26740 Treat finger fracture, each A 1.94 1.26 2.78 1.64 0.63 2.14 1.01 0.13 4.85 3.71 4.21 3.08 0090.10.69.2120100P0 34.7315 4 26742 Treat finger fracture, each A 3.85 2.15 7.66 3.53 2.15 4.09 2.64 0.25 11.76 7.63 8.19 6.74 0090.10.69.2120100P0 34.7315 4 26746 Repair finger fracture, each A 5.81 5.15 6.56 NA 5.50 5.15 6.56 5.50 0.63 13.00 11.94 13.00 11.94 0090.10.69.2120100P0 34.7315 4 26750 Treat finger fracture, each A 1.70 0.90 2.60 1.33 0.90 1.57 1.07 0.08 4.38 3.11 3.35 2.85 0090.10.69.2120100P0 34.7315 4 26755 Treat finger fracture, each A 3.10 1.17 3.83 1.84 1.17 2.41 1.48 0.12 7.05 5.06 5.63 4.70 0090.10.69.2120100P0 34.7315 4 26756 Pin finger fracture, each A 4.39 2.06 6.26 NA 3.11 2.06 6.26 3.11 0.26 10.91 7.76 10.91 7.76 0090.10.69.2120000P0 34.7315 4 26765 Repair finger fracture, each A 4.17 2.89 5.47 NA 3.54 2.89 5.47 3.54 0.35 9.99 8.06 9.99 8.06 0090.10.69.2120100P0 34.7315 4 26770 Treat finger dislocation A 3.02 0.82 3.51 1.49 0.82 1.77 1.06 0.06 6.59 4.57 4.85 4.14 0090.10.69.2120100P0 34.7315 4 26775 Treat finger dislocation A 3.71 1.23 6.32 2.50 1.23 2.98 1.67 0.13 10.16 6.34 6.82 5.51 0090.10.69.2120100P0 34.7315 4 26776 Pin finger dislocation A 4.80 2.26 6.51 NA 3.32 2.26 6.51 3.32 0.27 11.58 8.39 11.58 8.39 0090.10.69.2120100P0 34.7315 4 26785 Repair finger dislocation A 4.21 3.22 5.54 NA 3.80 3.22 5.54 3.80 0.38 10.13 8.39 10.13 8.39 0090.10.69.2120100P0 34.7315 4 26820 Thumb fusion with graft A 8.26 7.22 12.88 NA 8.64 7.22 12.88 8.64 0.82 21.96 17.72 21.96 17.72 0090.10.69.2120210P0 34.7315 4 26841 Fusion of thumb A 7.13 6.70 11.95 NA 8.01 6.70 11.95 8.01 0.78 19.86 15.92 19.86 15.92 0090.10.69.2120010P0 34.7315 4 26842 Thumb fusion with graft A 8.24 9.31 13.18 NA10.28 9.31 13.18 10.28 1.07 22.49 19.59 22.49 19.59 0090.10.69.2120210P0 34.7315 4 26843 Fusion of hand joint A 7.61 6.91 12.82 NA 8.39 6.91 12.82 8.39 0.86 21.29 16.86 21.29 16.86 0090.10.69.2120210P0 34.7315 4 26844 Fusion/graft of hand joint A 8.73 7.98 13.84 NA 9.45 7.98 13.84 9.45 0.93 23.50 19.11 23.50 19.11 0090.10.69.2120210P0 34.7315 4 26850 Fusion of knuckle A 6.97 5.02 11.54 NA 6.65 5.02 11.54 6.65 0.59 19.10 14.21 19.10 14.21 0090.10.69.2120000P0 34.7315 4 26852 Fusion of knuckle with graft A 8.46 6.21 12.65 NA 7.82 6.21 12.65 7.82 0.78 21.89 17.06 21.89 17.06 0090.10.69.2120210P0 34.7315 4 26860 Fusion of finger joint A 4.69 4.67 10.29 NA 6.08 4.67 10.29 6.08 0.53 15.51 11.30 15.51 11.30 0090.10.69.2120100P0 34.7315 4 26861 Fusion of finger joint,added A 1.74 2.07 1.20 NA 1.85 2.07 1.20 1.85 0.34 3.28 3.93 3.28 3.93 0ZZZ.00.00.0000100P0 34.7315 4 26862 Fusion/graft of finger joint A 7.37 5.60 11.97 NA 7.19 5.60 11.97 7.19 0.66 20.00 15.22 20.00 15.22 0090.10.69.2120210P0 34.7315 4 26863 Fuse/graft added joint A 3.90 3.66 2.40 NA 3.35 3.66 2.40 3.35 0.45 6.75 7.70 6.75 7.70 0ZZZ.00.00.0000200P0 34.7315 4 26910 Amputate metacarpal bone A 7.60 5.60 10.72 NA 6.88 5.60 10.72 6.88 0.73 19.05 15.21 19.05 15.21 0090.10.69.2120100P0 34.7315 4 26951 Amputation of finger/thumb A 4.59 3.11 9.67 NA 4.75 3.11 9.67 4.75 0.38 14.64 9.72 14.64 9.72 0090.10.69.2120100P0 34.7315 4 26952 Amputation of finger/thumb A 6.31 4.34 11.03 NA 6.01 4.34 11.03 6.01 0.54 17.88 12.86 17.88 12.86 0090.10.69.2120100P0 34.7315 4 26989 Hand/finger surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020101P0 34.7315 9 26990 Drainage of pelvis lesion A 7.48 3.36 13.33 NA 5.85 3.36 13.33 5.85 0.40 21.21 13.73 21.21 13.73 0090.10.69.2120100P0 34.7315 4 26991 Drainage of pelvis bursa A 6.68 1.96 8.19 3.52 1.96 7.33 3.30 0.23 15.10 10.43 14.24 10.21 0090.10.69.2120000P0 34.7315 4 26992 Drainage of bone lesion A 13.02 6.92 17.47 NA 9.56 6.92 17.47 9.56 0.82 31.31 23.40 31.31 23.40 0090.10.69.2120000P0 34.7315 4 27000 Incision of hip tendon A 5.62 2.01 6.14 NA 3.04 2.01 6.14 3.04 0.19 11.95 8.85 11.95 8.85 0090.10.69.2121110P0 34.7315 4 27001 Incision of hip tendon A 6.94 2.54 6.93 NA 3.64 2.54 6.93 3.64 0.30 14.17 10.88 14.17 10.88 0090.10.69.2121210P0 34.7315 4 27003 Incision of hip tendon A 7.34 7.35 7.90 NA 7.49 7.35 7.90 7.49 0.84 16.08 15.67 16.08 15.67 0090.10.69.2121210P0 34.7315 4 27005 Incision of hip tendon A 9.66 3.66 9.12 NA 5.03 3.66 9.12 5.03 0.42 19.20 15.11 19.20 15.11 0090.10.69.2121210P0 34.7315 4 27006 Incision of hip tendons A 9.68 5.04 8.96 NA 6.02 5.04 8.96 6.02 0.60 19.24 16.30 19.24 16.30 0090.10.69.2121210P0 34.7315 4 27025 Incision of hip/thigh fascia A 11.16 6.64 8.88 NA 7.20 6.64 8.88 7.20 0.80 20.84 19.16 20.84 19.16 0090.10.69.2121010P0 34.7315 4 27030 Drainage of hip joint A 13.01 12.39 11.00 NA12.04 12.39 11.00 12.04 1.46 25.47 26.51 25.47 26.51 0090.10.69.2121210P0 34.7315 4 27033 Exploration of hip joint A 13.39 12.50 10.92 NA12.11 12.50 10.92 12.11 1.45 25.76 26.95 25.76 26.95 0090.10.69.2121210P0 34.7315 4 27035 Denervation of hip joint A 16.69 12.87 13.42 NA13.01 12.87 13.42 13.01 1.73 31.84 31.43 31.84 31.43 0090.10.69.2121210P0 34.7315 4 27036 Excision of hip joint/muscle A 12.88 12.42 11.41 NA12.17 12.42 11.41 12.17 1.46 25.75 26.51 25.75 26.51 0090.10.69.2121210P0 34.7315 4 27040 Biopsy of soft tissues A 2.87 0.78 4.17 1.63 0.78 2.99 1.33 0.09 7.13 4.59 5.95 4.29 0010.10.80.1021100P0 34.7315 4 27041 Biopsy of soft tissues A 9.89 2.90 6.91 NA 3.90 2.90 6.91 3.90 0.34 17.14 14.13 17.14 14.13 0090.10.69.2121100P0 34.7315 4 27047 Remove hip/pelvis lesion A 7.45 2.05 6.86 3.25 2.05 5.74 2.97 0.25 14.56 10.95 13.44 10.67 0090.10.69.2121100P0 34.7315 4 27048 Remove hip/pelvis lesion A 6.25 4.70 6.02 NA 5.03 4.70 6.02 5.03 0.64 12.91 11.92 12.91 11.92 0090.10.69.2121210P0 34.7315 4 27049 Remove tumor, hip/pelvis A 13.66 11.00 10.62 NA10.91 11.00 10.62 10.91 1.46 25.74 26.03 25.74 26.03 0090.10.69.2121210P0 34.7315 4 27050 Biopsy of sacroiliac joint A 4.36 5.19 5.58 NA 5.29 5.19 5.58 5.29 0.70 10.64 10.35 10.64 10.35 0090.10.69.2121010P0 34.7315 4 27052 Biopsy of hip joint A 6.23 7.43 7.41 NA 7.43 7.43 7.41 7.43 1.24 14.88 14.90 14.88 14.90 0090.10.69.2121210P0 34.7315 4 27054 Removal of hip joint lining A 8.54 10.19 9.01 NA 9.90 10.19 9.01 9.90 1.77 19.32 20.21 19.32 20.21 0090.10.69.2121210P0 34.7315 4 27060 Removal of ischial bursa A 5.43 4.27 5.71 NA 4.63 4.27 5.71 4.63 0.53 11.67 10.59 11.67 10.59 0090.10.69.2121100P0 34.7315 4 27062 Remove femur lesion/bursa A 5.37 4.59 6.04 NA 4.95 4.59 6.04 4.95 0.55 11.96 10.87 11.96 10.87 0090.10.69.2121110P0 34.7315 4 27065 Removal of hip bone lesion A 5.90 6.07 7.14 NA 6.34 6.07 7.14 6.34 0.70 13.74 12.94 13.74 12.94 0090.10.69.2121210P0 34.7315 4 27066 Removal of hip bone lesion A 10.33 8.57 10.53 NA 9.06 8.57 10.53 9.06 1.02 21.88 20.41 21.88 20.41 0090.10.69.2121210P0 34.7315 4 27067 Remove/graft hip bone lesion A 13.83 12.62 12.72 NA12.65 12.62 12.72 12.65 1.51 28.06 27.99 28.06 27.99 0090.10.69.2121200P0 34.7315 4 27070 Partial removal of hip bone A 10.72 8.04 16.32 NA10.11 8.04 16.32 10.11 0.95 27.99 21.78 27.99 21.78 0090.10.69.2121210P0 34.7315 4 27071 Partial removal of hip bone A 11.46 9.22 16.83 NA11.12 9.22 16.83 11.12 1.13 29.42 23.71 29.42 23.71 0090.10.69.2121210P0 34.7315 4 27075 Extensive hip surgery A 17.23 14.69 13.68 NA14.44 14.69 13.68 14.44 1.82 32.73 33.49 32.73 33.49 0090.10.69.2120210P0 34.7315 4 27076 Extensive hip surgery A 22.12 17.77 17.52 NA17.71 17.77 17.52 17.71 2.04 41.68 41.87 41.68 41.87 0090.10.69.2120210P0 34.7315 4 27077 Extensive hip surgery A 23.13 20.60 16.76 NA19.64 20.60 16.76 19.64 2.53 42.42 45.30 42.42 45.30 0090.10.69.2120210P0 34.7315 4 27078 Extensive hip surgery A 13.44 9.98 12.57 NA10.63 9.98 12.57 10.63 1.31 27.32 25.38 27.32 25.38 0090.10.69.2120210P0 34.7315 4 27079 Extensive hip surgery A 13.75 9.38 11.30 NA 9.86 9.38 11.30 9.86 1.30 26.35 24.91 26.35 24.91 0090.10.69.2120210P0 34.7315 4 27080 Removal of tail bone A 6.39 5.19 5.83 NA 5.35 5.19 5.83 5.35 0.68 12.90 12.42 12.90 12.42 0090.10.69.2120210P0 34.7315 4 27086 Remove hip foreign body A 1.87 0.63 3.83 1.43 0.32 2.96 0.98 0.05 5.75 3.35 4.88 2.90 0010.10.80.1021000P0 34.7315 4 27087 Remove hip foreign body A 8.54 3.93 7.62 NA 4.85 3.93 7.62 4.85 0.47 16.63 13.86 16.63 13.86 0090.10.69.2121210P0 34.7315 4 27090 Removal of hip prosthesis A 11.15 9.86 10.08 NA 9.92 9.86 10.08 9.92 1.14 22.37 22.21 22.37 22.21 0090.10.69.2121210P0 34.7315 4 27091 Removal of hip prosthesis A 22.14 21.50 15.01 NA19.88 21.50 15.01 19.88 2.47 39.62 44.49 39.62 44.49 0090.10.69.2121210P0 34.7315 4 27093 Injection for hip x-ray A 1.30 0.89 10.85 3.38 0.89 0.41 0.77 0.09 12.24 4.77 1.80 2.16 0000.00.00.0021100P0 34.7315 4 27095 Injection for hip x-ray A 1.50 1.01 11.00 3.51 1.01 0.46 0.87 0.10 12.60 5.11 2.06 2.47 0000.00.00.0021100P0 34.7315 4 27097 Revision of hip tendon A 8.80 8.37 8.09 NA 8.30 8.37 8.09 8.30 0.99 17.88 18.09 17.88 18.09 0090.10.69.2121200P0 34.7315 4 27098 Transfer tendon to pelvis A 8.83 8.37 8.24 NA 8.34 8.37 8.24 8.34 0.99 18.06 18.16 18.06 18.16 0090.10.69.2121200P0 34.7315 4 27100 Transfer of abdominal muscle A 11.08 8.33 10.70 NA 8.92 8.33 10.70 8.92 1.11 22.89 21.11 22.89 21.11 0090.10.69.2121210P0 34.7315 4 27105 Transfer of spinal muscle A 11.77 6.39 10.29 NA 7.37 6.39 10.29 7.37 1.06 23.12 20.20 23.12 20.20 0090.10.69.2121200P0 34.7315 4 27110 Transfer of iliopsoas muscle A 13.26 11.51 11.68 NA11.55 11.51 11.68 11.55 1.46 26.40 26.27 26.40 26.27 0090.10.69.2121210P0 34.7315 4 27111 Transfer of iliopsoas muscle A 12.15 12.62 10.62 NA12.12 12.62 10.62 12.12 1.29 24.06 25.56 24.06 25.56 0090.10.69.2121210P0 34.7315 4 27120 Reconstruction of hip socket A 18.01 19.64 13.17 NA18.02 19.64 13.17 18.02 2.31 33.49 38.34 33.49 38.34 0090.10.69.2121210P0 34.7315 4 27122 Reconstruction of hip socket A 14.98 17.89 12.65 NA16.58 17.89 12.65 16.58 2.30 29.93 33.86 29.93 33.86 0090.10.69.2121210P0 34.7315 4 27125 Partial hip replacement A 14.69 17.54 12.23 NA16.21 17.54 12.23 16.21 2.35 29.27 33.25 29.27 33.25 0090.10.69.2121210P0 34.7315 4 27130 Total hip replacement A 20.12 24.02 15.48 NA21.89 24.02 15.48 21.89 3.58 39.18 45.59 39.18 45.59 0090.10.69.2121210P0 34.7315 4 27132 Total hip replacement A 23.30 27.82 17.20 NA25.17 27.82 17.20 25.17 3.98 44.48 52.45 44.48 52.45 0090.10.69.2121210P0 34.7315 4 27134 Revise hip joint replacement A 28.52 34.04 19.89 NA30.50 34.04 19.89 30.50 4.66 53.07 63.68 53.07 63.68 0090.10.69.2121210P0 34.7315 4 27137 Revise hip joint replacement A 21.17 25.28 16.18 NA23.01 25.28 16.18 23.01 3.77 41.12 47.95 41.12 47.95 0090.10.69.2121210P0 34.7315 4 27138 Revise hip joint replacement A 22.17 26.30 16.62 NA23.88 26.30 16.62 23.88 3.58 42.37 49.63 42.37 49.63 0090.10.69.2121210P0 34.7315 4 27140 Transplant of femur ridge A 12.24 11.99 10.52 NA11.62 11.99 10.52 11.62 1.34 24.10 25.20 24.10 25.20 0090.10.69.2121210P0 34.7315 4 27146 Incision of hip bone A 17.43 11.81 14.42 NA12.46 11.81 14.42 12.46 1.06 32.91 30.95 32.91 30.95 0090.10.69.2121210P0 34.7315 4 27147 Revision of hip bone A 20.58 18.42 14.91 NA17.54 18.42 14.91 17.54 2.16 37.65 40.28 37.65 40.28 0090.10.69.2121210P0 34.7315 4 27151 Incision of hip bones A 22.51 19.22 16.63 NA18.57 19.22 16.63 18.57 2.27 41.41 43.35 41.41 43.35 0090.10.69.2121210P0 34.7315 4 27156 Revision of hip bones A 24.63 19.88 17.77 NA19.35 19.88 17.77 19.35 2.41 44.81 46.39 44.81 46.39 0090.10.69.2121210P0 34.7315 4 27158 Revision of pelvis A 19.74 15.65 15.76 NA15.68 15.65 15.76 15.68 2.07 37.57 37.49 37.57 37.49 0090.10.69.2122200P0 34.7315 4 27161 Incision of neck of femur A 16.71 15.53 13.50 NA15.02 15.53 13.50 15.02 1.81 32.02 33.54 32.02 33.54 0090.10.69.2121210P0 34.7315 4 27165 Incision/fixation of femur A 17.91 18.19 13.51 NA17.02 18.19 13.51 17.02 2.06 33.48 36.99 33.48 36.99 0090.10.69.2120210P0 34.7315 4 27170 Repair/graft femur head/neck A 16.07 17.81 12.78 NA16.55 17.81 12.78 16.55 2.07 30.92 34.69 30.92 34.69 0090.10.69.2121210P0 34.7315 4 27175 Treat slipped epiphysis A 8.46 1.28 6.97 NA 2.70 1.28 6.97 2.70 0.14 15.57 11.30 15.57 11.30 0090.10.69.2121000P0 34.7315 4 27176 Treat slipped epiphysis A 12.05 11.28 8.65 NA10.62 11.28 8.65 10.62 1.33 22.03 24.00 22.03 24.00 0090.10.69.2121210P0 34.7315 4 27177 Repair slipped epiphysis A 15.08 13.45 10.52 NA12.72 13.45 10.52 12.72 1.60 27.20 29.40 27.20 29.40 0090.10.69.2121210P0 34.7315 4 27178 Repair slipped epiphysis A 11.99 11.35 7.05 NA10.28 11.35 7.05 10.28 1.21 20.25 23.48 20.25 23.48 0090.10.69.2121210P0 34.7315 4 27179 Revise head/neck of femur A 12.98 12.10 9.31 NA11.40 12.10 9.31 11.40 1.43 23.72 25.81 23.72 25.81 0090.10.69.2121200P0 34.7315 4 27181 Repair slipped epiphysis A 14.68 14.26 9.94 NA13.18 14.26 9.94 13.18 1.69 26.31 29.55 26.31 29.55 0090.10.69.2121200P0 34.7315 4 27185 Revision of femur epiphysis A 9.18 3.01 8.33 NA 4.34 3.01 8.33 4.34 0.68 18.19 14.20 18.19 14.20 0090.10.69.2121110P0 34.7315 4 27187 Reinforce hip bones A 13.54 16.16 11.68 NA15.04 16.16 11.68 15.04 2.16 27.38 30.74 27.38 30.74 0090.10.69.2121210P0 34.7315 4 27193 Treat pelvic ring fracture A 5.56 2.62 5.89 3.44 2.62 4.77 3.16 0.31 11.76 9.31 10.64 9.03 0090.10.69.2121100P0 34.7315 4 27194 Treat pelvic ring fracture A 9.65 4.23 7.91 5.15 4.23 7.06 4.94 0.39 17.95 15.19 17.10 14.98 0090.10.69.2120020P0 34.7315 4 27200 Treat tail bone fracture A 1.84 1.62 2.31 1.79 1.62 1.45 1.58 0.13 4.28 3.76 3.42 3.55 0090.10.69.2120100P0 34.7315 4 27202 Repair tail bone fracture A 7.04 6.67 20.72 NA10.18 6.67 20.72 10.18 0.70 28.46 17.92 28.46 17.92 0090.10.69.2120200P0 34.7315 4 27215 Pelvic fracture(s) treatment A 10.05 12.00 7.93 NA10.98 12.00 7.93 10.98 1.82 19.80 22.85 19.80 22.85 0090.10.69.2120220P0 34.7315 4 27216 Treat pelvic ring fracture A 15.19 4.67 13.11 NA 6.78 4.67 13.11 6.78 0.52 28.82 22.49 28.82 22.49 0090.10.69.2120220P0 34.7315 4 27217 Treat pelvic ring fracture A 14.11 15.79 11.19 NA14.64 15.79 11.19 14.64 1.82 27.12 30.57 27.12 30.57 0090.10.69.2120220P0 34.7315 4 27218 Treat pelvic ring fracture A 20.15 15.79 13.82 NA15.30 15.79 13.82 15.30 1.82 35.79 37.27 35.79 37.27 0090.10.69.2120220P0 34.7315 4 27220 Treat hip socket fracture A 6.18 4.62 6.22 5.02 4.62 5.13 4.75 0.50 12.90 11.70 11.81 11.43 0090.10.69.2121100P0 34.7315 4 27222 Treat hip socket fracture A 12.70 6.91 9.72 NA 7.61 6.91 9.72 7.61 0.81 23.23 21.12 23.23 21.12 0090.10.69.2121100P0 34.7315 4 27226 Treat hip wall fracture A 14.91 17.13 7.08 NA14.62 17.13 7.08 14.62 1.97 23.96 31.50 23.96 31.50 0090.10.69.2121220P0 34.7315 4 27227 Treat hip fracture(s) A 23.45 21.38 15.57 NA19.93 21.38 15.57 19.93 2.50 41.52 45.88 41.52 45.88 0090.10.69.2121220P0 34.7315 4 27228 Treat hip fracture(s) A 27.16 21.65 18.13 NA20.77 21.65 18.13 20.77 2.50 47.79 50.43 47.79 50.43 0090.10.69.2121220P0 34.7315 4 27230 Treat fracture of thigh A 5.50 3.58 6.03 4.19 3.58 5.06 3.95 0.32 11.85 10.01 10.88 9.77 0090.10.69.2121100P0 34.7315 4 27232 Treat fracture of thigh A 10.68 9.75 9.18 NA 9.61 9.75 9.18 9.61 1.14 21.00 21.43 21.00 21.43 0090.10.69.2121100P0 34.7315 4 27235 Repair of thigh fracture A 12.16 14.52 10.96 NA13.63 14.52 10.96 13.63 2.03 25.15 27.82 25.15 27.82 0090.10.69.2121110P0 34.7315 4 27236 Repair of thigh fracture A 15.60 18.35 12.82 NA16.97 18.35 12.82 16.97 2.12 30.54 34.69 30.54 34.69 0090.10.69.2121210P0 34.7315 4 27238 Treatment of thigh fracture A 5.52 5.33 5.36 NA 5.34 5.33 5.36 5.34 0.56 11.44 11.42 11.44 11.42 0090.10.69.2121100P0 34.7315 4 27240 Treatment of thigh fracture A 12.50 10.53 10.56 NA10.54 10.53 10.56 10.54 1.20 24.26 24.24 24.26 24.24 0090.10.69.2121100P0 34.7315 4 27244 Repair of thigh fracture A 15.94 17.69 12.95 NA16.51 17.69 12.95 16.51 2.05 30.94 34.50 30.94 34.50 0090.10.69.2121210P0 34.7315 4 27245 Repair of thigh fracture A 20.31 17.69 15.41 NA17.12 17.69 15.41 17.12 2.05 37.77 39.48 37.77 39.48 0090.10.69.2121220P0 34.7315 4 27246 Treatment of thigh fracture A 4.71 4.20 5.78 4.60 4.20 5.18 4.45 0.47 10.96 9.78 10.36 9.63 0090.10.69.2121100P0 34.7315 4 27248 Repair of thigh fracture A 10.45 12.48 9.93 NA11.84 12.48 9.93 11.84 1.65 22.03 23.94 22.03 23.94 0090.10.69.2121210P0 34.7315 4 27250 Treat hip dislocation A 6.95 3.46 4.49 NA 3.72 3.46 4.49 3.72 0.35 11.79 11.02 11.79 11.02 0090.10.69.2121100P0 34.7315 4 27252 Treat hip dislocation A 10.39 4.71 7.38 NA 5.38 4.71 7.38 5.38 0.53 18.30 16.30 18.30 16.30 0090.10.69.2121100P0 34.7315 4 27253 Repair of hip dislocation A 12.92 14.26 9.84 NA13.16 14.26 9.84 13.16 1.65 24.41 27.73 24.41 27.73 0090.10.69.2121210P0 34.7315 4 27254 Repair of hip dislocation A 18.26 14.62 12.56 NA14.11 14.62 12.56 14.11 1.78 32.60 34.15 32.60 34.15 0090.10.69.2121210P0 34.7315 4 27256 Treatment of hip dislocation A 4.12 2.04 3.30 NA 2.36 2.04 3.30 2.36 0.24 7.66 6.72 7.66 6.72 0010.10.80.1021000P0 34.7315 4 27257 Treatment of hip dislocation A 5.22 5.01 3.70 NA 4.68 5.01 3.70 4.68 0.57 9.49 10.47 9.49 10.47 0010.10.80.1021000P0 34.7315 4 27258 Repair of hip dislocation A 15.43 14.90 12.56 NA14.32 14.90 12.56 14.32 1.76 29.75 31.51 29.75 31.51 0090.10.69.2121210P0 34.7315 4 27259 Repair of hip dislocation A 21.55 18.67 13.24 NA17.31 18.67 13.24 17.31 2.21 37.00 41.07 37.00 41.07 0090.10.69.2121200P0 34.7315 4 27265 Treatment of hip dislocation A 5.05 3.75 4.89 NA 4.04 3.75 4.89 4.04 0.42 10.36 9.51 10.36 9.51 0090.10.69.2121100P0 34.7315 4 27266 Treatment of hip dislocation A 7.49 4.83 6.49 NA 5.25 4.83 6.49 5.25 0.56 14.54 13.30 14.54 13.30 0090.10.69.2121100P0 34.7315 4 27275 Manipulation of hip joint A 2.27 2.04 2.93 NA 2.26 2.04 2.93 2.26 0.23 5.43 4.76 5.43 4.76 0010.10.80.1020100P0 34.7315 4 27280 Fusion of sacroiliac joint A 13.39 10.92 12.87 NA11.41 10.92 12.87 11.41 1.38 27.64 26.18 27.64 26.18 0090.10.69.2121210P0 34.7315 4 27282 Fusion of pubic bones A 11.34 9.78 10.13 NA 9.87 9.78 10.13 9.87 1.32 22.79 22.53 22.79 22.53 0090.10.69.2120210P0 34.7315 4 27284 Fusion of hip joint A 16.76 15.74 14.10 NA15.33 15.74 14.10 15.33 1.88 32.74 33.97 32.74 33.97 0090.10.69.2121210P0 34.7315 4 27286 Fusion of hip joint A 16.79 16.50 13.42 NA15.73 16.50 13.42 15.73 1.77 31.98 34.29 31.98 34.29 0090.10.69.2121210P0 34.7315 4 27290 Amputation of leg at hip A 23.28 27.57 14.86 NA24.39 27.57 14.86 24.39 3.68 41.82 51.35 41.82 51.35 0090.10.69.2120210P0 34.7315 4 27295 Amputation of leg at hip A 18.65 17.95 12.59 NA16.61 17.95 12.59 16.61 2.31 33.55 37.57 33.55 37.57 0090.10.69.2120210P0 34.7315 4 27299 Pelvis/hip joint surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211P0 34.7315 9 27301 Drain thigh/knee lesion A 6.49 2.67 10.28 4.57 2.67 9.49 4.38 0.31 17.08 11.37 16.29 11.18 0090.10.69.2121100P0 34.7315 4 27303 Drainage of bone lesion A 8.28 6.36 11.94 NA 7.76 6.36 11.94 7.76 0.75 20.97 16.79 20.97 16.79 0090.10.69.2121210P0 34.7315 4 27305 Incise thigh tendon & fascia A 5.92 4.12 7.10 NA 4.87 4.12 7.10 4.87 0.53 13.55 11.32 13.55 11.32 0090.10.69.2121210P0 34.7315 4 27306 Incision of thigh tendon A 4.62 2.16 5.84 NA 3.08 2.16 5.84 3.08 0.25 10.71 7.95 10.71 7.95 0090.10.69.2121200P0 34.7315 4 27307 Incision of thigh tendons A 5.80 3.27 6.43 NA 4.06 3.27 6.43 4.06 0.38 12.61 10.24 12.61 10.24 0090.10.69.2121010P0 34.7315 4 27310 Exploration of knee joint A 9.27 10.42 9.11 NA10.09 10.42 9.11 10.09 1.18 19.56 20.54 19.56 20.54 0090.10.69.2121210P0 34.7315 4 27315 Partial removal, thigh nerve A 6.97 5.84 4.51 NA 5.51 5.84 4.51 5.51 0.75 12.23 13.23 12.23 13.23 0090.10.69.2121200P0 34.7315 4 27320 Partial removal, thigh nerve A 6.30 5.62 4.14 NA 5.25 5.62 4.14 5.25 0.57 11.01 12.12 11.01 12.12 0090.10.69.2121210P0 34.7315 4 27323 Biopsy thigh soft tissues A 2.28 0.99 3.93 1.73 0.50 2.64 1.04 0.10 6.31 4.11 5.02 3.42 0010.10.80.1021100P0 34.7315 4 27324 Biopsy thigh soft tissues A 4.90 2.85 5.29 NA 3.46 2.85 5.29 3.46 0.35 10.54 8.71 10.54 8.71 0090.10.69.2121100P0 34.7315 4 27327 Removal of thigh lesion A 4.47 2.49 5.57 3.26 2.49 4.74 3.05 0.31 10.35 8.04 9.52 7.83 0090.10.69.2121100P0 34.7315 4 27328 Removal of thigh lesion A 5.57 4.42 5.50 NA 4.69 4.42 5.50 4.69 0.57 11.64 10.83 11.64 10.83 0090.10.69.2121100P0 34.7315 4 27329 Remove tumor, thigh/knee A 14.14 12.69 11.60 NA12.42 12.69 11.60 12.42 1.67 27.41 28.23 27.41 28.23 0090.10.69.2121210P0 34.7315 4 27330 Biopsy knee joint lining A 4.97 5.94 5.40 NA 5.81 5.94 5.40 5.81 0.93 11.30 11.71 11.30 11.71 0090.10.69.2121110P0 34.7315 4 27331 Explore/treat knee joint A 5.88 7.02 6.48 NA 6.89 7.02 6.48 6.89 1.17 13.53 13.94 13.53 13.94 0090.10.69.2121210P0 34.7315 4 27332 Removal of knee cartilage A 8.27 9.88 7.44 NA 9.27 9.88 7.44 9.27 1.35 17.06 18.89 17.06 18.89 0090.10.69.2121210P0 34.7315 4 27333 Removal of knee cartilage A 7.30 8.71 7.27 NA 8.35 8.71 7.27 8.35 1.97 16.54 17.62 16.54 17.62 0090.10.69.2121210P0 34.7315 4 27334 Remove knee joint lining A 8.70 10.39 8.45 NA 9.91 10.39 8.45 9.91 1.38 18.53 19.99 18.53 19.99 0090.10.69.2121210P0 34.7315 4 27335 Remove knee joint lining A 10.00 11.94 9.39 NA11.30 11.94 9.39 11.30 1.60 20.99 22.90 20.99 22.90 0090.10.69.2121210P0 34.7315 4 27340 Removal of kneecap bursa A 4.18 4.18 4.89 NA 4.36 4.18 4.89 4.36 0.49 9.56 9.03 9.56 9.03 0090.10.69.2121100P0 34.7315 4 27345 Removal of knee cyst A 5.92 6.11 6.35 NA 6.17 6.11 6.35 6.17 0.74 13.01 12.83 13.01 12.83 0090.10.69.2121210P0 34.7315 4 27347 Remove knee cyst A 5.78 0.00 2.44 2.44 0.00 2.83 2.83 0.74 8.96 8.96 9.35 9.35 0090.10.69.2121210P0 34.7315 5 27350 Removal of kneecap A 8.17 9.76 7.83 NA 9.28 9.76 7.83 9.28 1.20 17.20 18.65 17.20 18.65 0090.10.69.2121210P0 34.7315 4 27355 Remove femur lesion A 7.65 8.23 8.52 NA 8.30 8.23 8.52 8.30 0.96 17.13 16.91 17.13 16.91 0090.10.69.2121210P0 34.7315 4 27356 Remove femur lesion/graft A 9.48 8.90 9.78 NA 9.12 8.90 9.78 9.12 1.05 20.31 19.65 20.31 19.65 0090.10.69.2121210P0 34.7315 4 27357 Remove femur lesion/graft A 10.53 9.55 9.99 NA 9.66 9.55 9.99 9.66 1.12 21.64 21.31 21.64 21.31 0090.10.69.2121210P0 34.7315 4 27358 Remove femur lesion/fixation A 4.74 4.94 2.77 NA 4.40 4.94 2.77 4.40 0.56 8.07 9.70 8.07 9.70 0ZZZ.00.00.0001200P0 34.7315 4 27360 Partial removal leg bone(s) A 10.50 9.29 16.51 NA11.10 9.29 16.51 11.10 1.10 28.11 22.70 28.11 22.70 0090.10.69.2121210P0 34.7315 4 27365 Extensive leg surgery A 16.27 15.13 12.75 NA14.54 15.13 12.75 14.54 1.90 30.92 32.71 30.92 32.71 0090.10.69.2121210P0 34.7315 4 27370 Injection for knee x-ray A 0.96 0.65 10.43 3.10 0.65 0.26 0.55 0.04 11.43 4.10 1.26 1.55 0000.00.00.0021100P0 34.7315 4 27372 Removal of foreign body A 5.07 3.71 5.81 4.24 3.71 5.24 4.09 0.42 11.30 9.73 10.73 9.58 0090.10.69.2121000P0 34.7315 4 27380 Repair of kneecap tendon A 7.16 8.55 7.59 NA 8.31 8.55 7.59 8.31 1.01 15.76 16.48 15.76 16.48 0090.10.69.2121210P0 34.7315 4 27381 Repair/graft kneecap tendon A 10.34 12.23 9.16 NA11.46 12.23 9.16 11.46 1.42 20.92 23.22 20.92 23.22 0090.10.69.2121210P0 34.7315 4 27385 Repair of thigh muscle A 7.76 9.27 7.95 NA 8.94 9.27 7.95 8.94 1.11 16.82 17.81 16.82 17.81 0090.10.69.2121210P0 34.7315 4 27386 Repair/graft of thigh muscle A 10.56 12.61 9.80 NA11.91 12.61 9.80 11.91 1.58 21.94 24.05 21.94 24.05 0090.10.69.2121210P0 34.7315 4 27390 Incision of thigh tendon A 5.33 4.73 6.35 NA 5.14 4.73 6.35 5.14 0.56 12.24 11.03 12.24 11.03 0090.10.69.2120200P0 34.7315 4 27391 Incision of thigh tendons A 7.20 5.88 7.44 NA 6.27 5.88 7.44 6.27 0.70 15.34 14.17 15.34 14.17 0090.10.69.2120010P0 34.7315 4 27392 Incision of thigh tendons A 9.20 8.32 9.16 NA 8.53 8.32 9.16 8.53 1.00 19.36 18.73 19.36 18.73 0090.10.69.2122210P0 34.7315 4 27393 Lengthening of thigh tendon A 6.39 6.15 7.35 NA 6.45 6.15 7.35 6.45 0.73 14.47 13.57 14.47 13.57 0090.10.69.2120210P0 34.7315 4 27394 Lengthening of thigh tendons A 8.50 6.22 8.79 NA 6.86 6.22 8.79 6.86 0.74 18.03 16.10 18.03 16.10 0090.10.69.2120200P0 34.7315 4 27395 Lengthening of thigh tendons A 11.73 11.37 11.28 NA11.35 11.37 11.28 11.35 1.29 24.30 24.37 24.30 24.37 0090.10.69.2122210P0 34.7315 4 27396 Transplant of thigh tendon A 7.86 7.66 8.63 NA 7.90 7.66 8.63 7.90 0.87 17.36 16.63 17.36 16.63 0090.10.69.2120210P0 34.7315 4 27397 Transplants of thigh tendons A 11.28 9.64 10.10 NA 9.76 9.64 10.10 9.76 1.13 22.51 22.17 22.51 22.17 0090.10.69.2120200P0 34.7315 4 27400 Revise thigh muscles/tendons A 9.02 8.56 8.46 NA 8.54 8.56 8.46 8.54 0.97 18.45 18.53 18.45 18.53 0090.10.69.2121210P0 34.7315 4 27403 Repair of knee cartilage A 8.33 9.54 7.70 NA 9.08 9.54 7.70 9.08 1.13 17.16 18.54 17.16 18.54 0090.10.69.2121210P0 34.7315 4 27405 Repair of knee ligament A 8.65 10.33 8.35 NA 9.84 10.33 8.35 9.84 1.31 18.31 19.80 18.31 19.80 0090.10.69.2121210P0 34.7315 4 27407 Repair of knee ligament A 10.28 9.63 8.91 NA 9.45 9.63 8.91 9.45 1.11 20.30 20.84 20.30 20.84 0090.10.69.2121210P0 34.7315 4 27409 Repair of knee ligaments A 12.90 15.40 10.97 NA14.29 15.40 10.97 14.29 1.94 25.81 29.13 25.81 29.13 0090.10.69.2121210P0 34.7315 4 27418 Repair degenerated kneecap A 10.85 12.96 9.80 NA12.17 12.96 9.80 12.17 1.45 22.10 24.47 22.10 24.47 0090.10.69.2121210P0 34.7315 4 27420 Revision of unstable kneecap A 9.83 11.73 8.80 NA11.00 11.73 8.80 11.00 1.36 19.99 22.19 19.99 22.19 0090.10.69.2121210P0 34.7315 4 27422 Revision of unstable kneecap A 9.78 11.68 8.72 NA10.94 11.68 8.72 10.94 1.43 19.93 22.15 19.93 22.15 0090.10.69.2121210P0 34.7315 4 27424 Revision/removal of kneecap A 9.81 11.71 8.60 NA10.93 11.71 8.60 10.93 1.48 19.89 22.22 19.89 22.22 0090.10.69.2121210P0 34.7315 4 27425 Lateral retinacular release A 5.22 6.23 6.12 NA 6.20 6.23 6.12 6.20 0.84 12.18 12.26 12.18 12.26 0090.10.69.2121110P0 34.7315 4 27427 Reconstruction, knee A 9.36 11.18 8.22 NA10.44 11.18 8.22 10.44 1.76 19.34 21.56 19.34 21.56 0090.10.69.2121210P0 34.7315 4 27428 Reconstruction, knee A 14.00 14.84 11.53 NA14.01 14.84 11.53 14.01 2.12 27.65 30.13 27.65 30.13 0090.10.69.2121210P0 34.7315 4 27429 Reconstruction, knee A 15.52 12.23 11.85 NA12.14 12.23 11.85 12.14 1.43 28.80 29.09 28.80 29.09 0090.10.69.2121210P0 34.7315 4 27430 Revision of thigh muscles A 9.67 10.16 8.49 NA 9.74 10.16 8.49 9.74 1.17 19.33 20.58 19.33 20.58 0090.10.69.2121210P0 34.7315 4 27435 Incision of knee joint A 9.49 7.63 8.33 NA 7.81 7.63 8.33 7.81 0.88 18.70 18.18 18.70 18.18 0090.10.69.2121210P0 34.7315 4 27437 Revise kneecap A 8.46 10.10 8.87 NA 9.79 10.10 8.87 9.79 1.21 18.54 19.46 18.54 19.46 0090.10.69.2121110P0 34.7315 4 27438 Revise kneecap with implant A 11.23 13.40 9.79 NA12.50 13.40 9.79 12.50 1.67 22.69 25.40 22.69 25.40 0090.10.69.2121210P0 34.7315 4 27440 Revision of knee joint A 10.43 12.45 5.22 NA10.64 12.45 5.22 10.64 1.64 17.29 22.71 17.29 22.71 0090.10.69.2121210P0 34.7315 4 27441 Revision of knee joint A 10.82 9.92 5.83 NA 8.90 9.92 5.83 8.90 1.18 17.83 20.90 17.83 20.90 0090.10.69.2121210P0 34.7315 4 27442 Revision of knee joint A 11.89 14.20 10.21 NA13.20 14.20 10.21 13.20 2.39 24.49 27.48 24.49 27.48 0090.10.69.2121210P0 34.7315 4 27443 Revision of knee joint A 10.93 13.04 10.10 NA12.31 13.04 10.10 12.31 2.61 23.64 25.85 23.64 25.85 0090.10.69.2121210P0 34.7315 4 27445 Revision of knee joint A 17.68 21.11 13.37 NA19.18 21.11 13.37 19.18 3.29 34.34 40.15 34.34 40.15 0090.10.69.2121210P0 34.7315 4 27446 Revision of knee joint A 15.84 18.91 12.92 NA17.41 18.91 12.92 17.41 3.03 31.79 36.28 31.79 36.28 0090.10.69.2121210P0 34.7315 4 27447 Total knee replacement A 21.48 25.64 15.61 NA23.13 25.64 15.61 23.13 3.87 40.96 48.48 40.96 48.48 0090.10.69.2121210P0 34.7315 4 27448 Incision of thigh A 11.06 13.21 10.50 NA12.53 13.21 10.50 12.53 1.64 23.20 25.23 23.20 25.23 0090.10.69.2121210P0 34.7315 4 27450 Incision of thigh A 13.98 16.11 12.19 NA15.13 16.11 12.19 15.13 1.85 28.02 30.96 28.02 30.96 0090.10.69.2121210P0 34.7315 4 27454 Realignment of thigh bone A 17.56 17.04 14.11 NA16.31 17.04 14.11 16.31 2.21 33.88 36.08 33.88 36.08 0090.10.69.2121210P0 34.7315 4 27455 Realignment of knee A 12.82 13.03 11.31 NA12.60 13.03 11.31 12.60 1.53 25.66 26.95 25.66 26.95 0090.10.69.2121210P0 34.7315 4 27457 Realignment of knee A 13.45 14.43 10.45 NA13.44 14.43 10.45 13.44 1.67 25.57 28.56 25.57 28.56 0090.10.69.2121210P0 34.7315 4 27465 Shortening of thigh bone A 13.87 13.28 11.89 NA12.93 13.28 11.89 12.93 1.56 27.32 28.36 27.32 28.36 0090.10.69.2121210P0 34.7315 4 27466 Lengthening of thigh bone A 16.33 14.58 14.07 NA14.45 14.58 14.07 14.45 1.78 32.18 32.56 32.18 32.56 0090.10.69.2121210P0 34.7315 4 27468 Shorten/lengthen thighs A 18.97 18.28 12.46 NA16.83 18.28 12.46 16.83 2.15 33.58 37.95 33.58 37.95 0090.10.69.2121210P0 34.7315 4 27470 Repair of thigh A 16.07 18.09 13.96 NA17.06 18.09 13.96 17.06 2.03 32.06 35.16 32.06 35.16 0090.10.69.2121210P0 34.7315 4 27472 Repair/graft of thigh A 17.72 21.15 14.75 NA19.55 21.15 14.75 19.55 2.47 34.94 39.74 34.94 39.74 0090.10.69.2121210P0 34.7315 4 27475 Surgery to stop leg growth A 8.64 8.40 7.55 NA 8.19 8.40 7.55 8.19 0.99 17.18 17.82 17.18 17.82 0090.10.69.2121110P0 34.7315 4 27477 Surgery to stop leg growth A 9.85 11.76 8.67 NA10.99 11.76 8.67 10.99 2.01 20.53 22.85 20.53 22.85 0090.10.69.2121110P0 34.7315 4 27479 Surgery to stop leg growth A 12.80 12.62 9.88 NA11.94 12.62 9.88 11.94 1.48 24.16 26.22 24.16 26.22 0090.10.69.2121200P0 34.7315 4 27485 Surgery to stop leg growth A 8.84 8.58 8.49 NA 8.56 8.58 8.49 8.56 1.02 18.35 18.42 18.35 18.42 0090.10.69.2121100P0 34.7315 4 27486 Revise knee joint replace A 19.27 23.01 14.51 NA20.89 23.01 14.51 20.89 3.33 37.11 43.49 37.11 43.49 0090.10.69.2121210P0 34.7315 4 27487 Revise knee joint replace A 25.27 30.13 17.47 NA26.97 30.13 17.47 26.97 4.67 47.41 56.91 47.41 56.91 0090.10.69.2121210P0 34.7315 4 27488 Removal of knee prosthesis A 15.74 17.54 12.76 NA16.35 17.54 12.76 16.35 2.02 30.52 34.11 30.52 34.11 0090.10.69.2121210P0 34.7315 4 27495 Reinforce thigh A 15.55 18.57 13.56 NA17.32 18.57 13.56 17.32 2.21 31.32 35.08 31.32 35.08 0090.10.69.2121210P0 34.7315 4 27496 Decompression of thigh/knee A 6.11 4.92 6.26 NA 5.26 4.92 6.26 5.26 0.58 12.95 11.95 12.95 11.95 0090.10.69.2121100P0 34.7315 4 27497 Decompression of thigh/knee A 7.17 6.02 6.24 NA 6.08 6.02 6.24 6.08 0.71 14.12 13.96 14.12 13.96 0090.10.69.2121020P0 34.7315 4 27498 Decompression of thigh/knee A 7.99 6.86 7.17 NA 6.94 6.86 7.17 6.94 0.81 15.97 15.74 15.97 15.74 0090.10.69.2121220P0 34.7315 4 27499 Decompression of thigh/knee A 9.00 7.90 7.55 NA 7.81 7.90 7.55 7.81 0.93 17.48 17.74 17.48 17.74 0090.10.69.2121220P0 34.7315 4 27500 Treatment of thigh fracture A 5.92 5.87 12.43 7.51 5.87 5.75 5.84 0.64 18.99 14.07 12.31 12.40 0090.10.69.2121100P0 34.7315 4 27501 Treatment of thigh fracture A 5.92 5.87 13.42 7.76 5.87 6.95 6.14 0.64 19.98 14.32 13.51 12.70 0090.10.69.2121000P0 34.7315 4 27502 Treatment of thigh fracture A 10.58 8.32 9.54 NA 8.63 8.32 9.54 8.63 0.95 21.07 20.16 21.07 20.16 0090.10.69.2121100P0 34.7315 4 27503 Treatment of thigh fracture A 10.58 8.32 9.59 NA 8.64 8.32 9.59 8.64 0.95 21.12 20.17 21.12 20.17 0090.10.69.2121000P0 34.7315 4 27506 Repair of thigh fracture A 17.45 17.39 12.93 NA16.28 17.39 12.93 16.28 2.00 32.38 35.73 32.38 35.73 0090.10.69.2121210P0 34.7315 4 27507 Treatment of thigh fracture A 13.99 16.70 11.12 NA15.31 16.70 11.12 15.31 2.00 27.11 31.30 27.11 31.30 0090.10.69.2121220P0 34.7315 4 27508 Treatment of thigh fracture A 5.83 4.58 8.20 5.49 4.58 4.78 4.63 0.51 14.54 11.83 11.12 10.97 0090.10.69.2121100P0 34.7315 4 27509 Treatment of thigh fracture A 7.71 4.58 8.20 NA 5.49 4.58 8.20 5.49 0.51 16.42 13.71 16.42 13.71 0090.10.69.2121000P0 34.7315 4 27510 Treatment of thigh fracture A 9.13 7.40 6.63 NA 7.21 7.40 6.63 7.21 0.85 16.61 17.19 16.61 17.19 0090.10.69.2121100P0 34.7315 4 27511 Treatment of thigh fracture A 13.64 16.28 12.23 NA15.27 16.28 12.23 15.27 2.00 27.87 30.91 27.87 30.91 0090.10.69.2121220P0 34.7315 4 27513 Treatment of thigh fracture A 17.92 17.39 14.47 NA16.66 17.39 14.47 16.66 2.00 34.39 36.58 34.39 36.58 0090.10.69.2121220P0 34.7315 4 27514 Repair of thigh fracture A 17.30 17.10 13.59 NA16.22 17.10 13.59 16.22 1.98 32.87 35.50 32.87 35.50 0090.10.69.2121210P0 34.7315 4 27516 Repair of thigh growth plate A 5.37 5.23 8.60 6.07 5.23 4.75 5.11 0.56 14.53 12.00 10.68 11.04 0090.10.69.2121100P0 34.7315 4 27517 Repair of thigh growth plate A 8.78 8.49 9.73 8.80 8.49 7.00 8.12 1.00 19.51 18.58 16.78 17.90 0090.10.69.2121000P0 34.7315 4 27519 Repair of thigh growth plate A 15.02 13.76 12.62 NA13.48 13.76 12.62 13.48 1.60 29.24 30.10 29.24 30.10 0090.10.69.2121210P0 34.7315 4 27520 Treat kneecap fracture A 2.86 3.30 6.57 4.12 1.65 2.84 1.95 0.35 9.78 7.33 6.05 5.16 0090.10.69.2121100P0 34.7315 4 27524 Repair of kneecap fracture A 10.00 11.22 8.06 NA10.43 11.22 8.06 10.43 1.29 19.35 21.72 19.35 21.72 0090.10.69.2121210P0 34.7315 4 27530 Treatment of knee fracture A 3.78 3.69 7.08 4.54 3.69 3.55 3.66 0.40 11.26 8.72 7.73 7.84 0090.10.69.2121100P0 34.7315 4 27532 Treatment of knee fracture A 7.30 6.16 6.38 6.22 6.16 5.74 6.06 0.71 14.39 14.23 13.75 14.07 0090.10.69.2121100P0 34.7315 4 27535 Treatment of knee fracture A 11.50 12.69 11.18 NA12.31 12.69 11.18 12.31 1.47 24.15 25.28 24.15 25.28 0090.10.69.2121220P0 34.7315 4 27536 Repair of knee fracture A 15.65 12.69 11.14 NA12.30 12.69 11.14 12.30 1.47 28.26 29.42 28.26 29.42 0090.10.69.2121210P0 34.7315 4 27538 Treat knee fracture(s) A 4.87 3.66 8.39 4.84 3.66 4.73 3.93 0.40 13.66 10.11 10.00 9.20 0090.10.69.2121000P0 34.7315 4 27540 Repair of knee fracture A 13.10 11.88 9.52 NA11.29 11.88 9.52 11.29 1.36 23.98 25.75 23.98 25.75 0090.10.69.2121210P0 34.7315 4 27550 Treat knee dislocation A 5.76 2.79 8.04 4.10 2.79 4.57 3.24 0.28 14.08 10.14 10.61 9.28 0090.10.69.2121000P0 34.7315 4 27552 Treat knee dislocation A 7.90 3.72 6.85 NA 4.50 3.72 6.85 4.50 0.41 15.16 12.81 15.16 12.81 0090.10.69.2121000P0 34.7315 4 27556 Repair of knee dislocation A 14.41 13.54 12.95 NA13.39 13.54 12.95 13.39 1.53 28.89 29.33 28.89 29.33 0090.10.69.2121210P0 34.7315 4 27557 Repair of knee dislocation A 16.77 15.84 14.65 NA15.54 15.84 14.65 15.54 1.90 33.32 34.21 33.32 34.21 0090.10.69.2121210P0 34.7315 4 27558 Repair of knee dislocation A 17.72 15.84 14.31 NA15.46 15.84 14.31 15.46 1.90 33.93 35.08 33.93 35.08 0090.10.69.2121220P0 34.7315 4 27560 Treat kneecap dislocation A 3.82 1.55 6.83 2.87 1.55 2.60 1.81 0.13 10.78 6.82 6.55 5.76 0090.10.69.2121100P0 34.7315 4 27562 Treat kneecap dislocation A 5.79 5.62 4.56 NA 5.36 5.62 4.56 5.36 0.59 10.94 11.74 10.94 11.74 0090.10.69.2121000P0 34.7315 4 27566 Repair kneecap dislocation A 12.23 11.48 9.28 NA10.93 11.48 9.28 10.93 1.31 22.82 24.47 22.82 24.47 0090.10.69.2121210P0 34.7315 4 27570 Fixation of knee joint A 1.74 1.87 2.69 NA 2.08 1.87 2.69 2.08 0.22 4.65 4.04 4.65 4.04 0010.10.80.1020100P0 34.7315 4 27580 Fusion of knee A 19.37 17.04 15.67 NA16.70 17.04 15.67 16.70 2.00 37.04 38.07 37.04 38.07 0090.10.69.2121210P0 34.7315 4 27590 Amputate leg at thigh A 12.03 9.89 9.09 NA 9.69 9.89 9.09 9.69 1.41 22.53 23.13 22.53 23.13 0090.10.69.2121210P0 34.7315 4 27591 Amputate leg at thigh A 12.68 12.77 11.47 NA12.45 12.77 11.47 12.45 1.65 25.80 26.78 25.80 26.78 0090.10.69.2121210P0 34.7315 4 27592 Amputate leg at thigh A 10.02 8.80 8.69 NA 8.77 8.80 8.69 8.77 1.26 19.97 20.05 19.97 20.05 0090.10.69.2121210P0 34.7315 4 27594 Amputation follow-up surgery A 6.92 3.96 6.28 NA 4.54 3.96 6.28 4.54 0.53 13.73 11.99 13.73 11.99 0090.10.69.2121100P0 34.7315 4 27596 Amputation follow-up surgery A 10.60 8.00 8.98 NA 8.25 8.00 8.98 8.25 1.11 20.69 19.96 20.69 19.96 0090.10.69.2121110P0 34.7315 4 27598 Amputate lower leg at knee A 10.53 10.90 8.79 NA10.37 10.90 8.79 10.37 1.39 20.71 22.29 20.71 22.29 0090.10.69.2121210P0 34.7315 4 27599 Leg surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211P0 34.7315 9 27600 Decompression of lower leg A 5.65 3.68 5.19 NA 4.06 3.68 5.19 4.06 0.50 11.34 10.21 11.34 10.21 0090.10.69.2121110P0 34.7315 4 27601 Decompression of lower leg A 5.64 3.67 5.29 NA 4.08 3.67 5.29 4.08 0.52 11.45 10.24 11.45 10.24 0090.10.69.2121100P0 34.7315 4 27602 Decompression of lower leg A 7.35 4.40 5.72 NA 4.73 4.40 5.72 4.73 0.60 13.67 12.68 13.67 12.68 0090.10.69.2121210P0 34.7315 4 27603 Drain lower leg lesion A 4.94 2.58 10.70 4.61 2.58 6.81 3.64 0.32 15.96 9.87 12.07 8.90 0090.10.69.2121100P0 34.7315 4 27604 Drain lower leg bursa A 4.47 1.11 8.47 2.95 0.56 5.83 1.88 0.11 13.05 7.53 10.41 6.46 0090.10.69.2121000P0 34.7315 4 27605 Incision of achilles tendon A 2.87 1.28 9.45 3.32 1.28 3.25 1.77 0.11 12.43 6.30 6.23 4.75 0010.10.80.1021000P0 34.7315 4 27606 Incision of achilles tendon A 4.14 2.30 8.73 3.91 2.30 4.28 2.80 0.27 13.14 8.32 8.69 7.21 0010.10.80.1021110P0 34.7315 4 27607 Treat lower leg bone lesion A 7.97 6.52 11.67 NA 7.81 6.52 11.67 7.81 0.77 20.41 16.55 20.41 16.55 0090.10.69.2121100P0 34.7315 4 27610 Explore/treat ankle joint A 8.34 8.06 8.85 NA 8.26 8.06 8.85 8.26 0.88 18.07 17.48 18.07 17.48 0090.10.69.2121100P0 34.7315 4 27612 Exploration of ankle joint A 7.33 8.65 6.97 NA 8.23 8.65 6.97 8.23 1.02 15.32 16.58 15.32 16.58 0090.10.69.2121210P0 34.7315 4 27613 Biopsy lower leg soft tissue A 2.17 0.73 4.11 1.58 0.37 2.33 0.86 0.08 6.36 3.83 4.58 3.11 0010.10.80.1021100P0 34.7315 4 27614 Biopsy lower leg soft tissue A 5.66 2.45 8.12 3.87 2.45 5.47 3.21 0.30 14.08 9.83 11.43 9.17 0090.10.69.2121100P0 34.7315 4 27615 Remove tumor, lower leg A 12.56 8.93 12.42 NA 9.80 8.93 12.42 9.80 1.11 26.09 23.47 26.09 23.47 0090.10.69.2121010P0 34.7315 4 27618 Remove lower leg lesion A 5.09 2.28 8.29 3.78 2.28 5.08 2.98 0.25 13.63 9.12 10.42 8.32 0090.10.69.2121100P0 34.7315 4 27619 Remove lower leg lesion A 8.40 4.48 9.49 5.73 4.48 7.12 5.14 0.52 18.41 14.65 16.04 14.06 0090.10.69.2121100P0 34.7315 4 27620 Explore, treat ankle joint A 5.98 6.54 6.60 NA 6.56 6.54 6.60 6.56 0.75 13.33 13.29 13.33 13.29 0090.10.69.2121210P0 34.7315 4 27625 Remove ankle joint lining A 8.30 9.45 8.16 NA 9.13 9.45 8.16 9.13 0.99 17.45 18.42 17.45 18.42 0090.10.69.2121210P0 34.7315 4 27626 Remove ankle joint lining A 8.91 10.64 8.76 NA10.17 10.64 8.76 10.17 0.98 18.65 20.06 18.65 20.06 0090.10.69.2121200P0 34.7315 4 27630 Removal of tendon lesion A 4.80 3.36 7.76 4.46 3.36 5.36 3.86 0.36 12.92 9.62 10.52 9.02 0090.10.69.2121100P0 34.7315 4 27635 Remove lower leg bone lesion A 7.78 8.73 8.87 NA 8.77 8.73 8.87 8.77 0.99 17.64 17.54 17.64 17.54 0090.10.69.2121110P0 34.7315 4 27637 Remove/graft leg bone lesion A 9.85 9.19 10.44 NA 9.50 9.19 10.44 9.50 1.10 21.39 20.45 21.39 20.45 0090.10.69.2121210P0 34.7315 4 27638 Remove/graft leg bone lesion A 10.57 9.93 10.99 NA10.20 9.93 10.99 10.20 1.19 22.75 21.96 22.75 21.96 0090.10.69.2121210P0 34.7315 4 27640 Partial removal of tibia A 11.37 10.65 14.52 NA11.62 10.65 14.52 11.62 1.23 27.12 24.22 27.12 24.22 0090.10.69.2121110P0 34.7315 4 27641 Partial removal of fibula A 9.24 7.74 13.14 NA 9.09 7.74 13.14 9.09 0.92 23.30 19.25 23.30 19.25 0090.10.69.2121110P0 34.7315 4 27645 Extensive lower leg surgery A 14.17 12.63 14.45 NA13.09 12.63 14.45 13.09 1.55 30.17 28.81 30.17 28.81 0090.10.69.2121210P0 34.7315 4 27646 Extensive lower leg surgery A 12.66 11.67 12.12 NA11.78 11.67 12.12 11.78 1.34 26.12 25.78 26.12 25.78 0090.10.69.2121210P0 34.7315 4 27647 Extensive ankle/heel surgery A 12.24 10.80 9.32 NA10.43 10.80 9.32 10.43 1.06 22.62 23.73 22.62 23.73 0090.10.69.2121200P0 34.7315 4 27648 Injection for ankle x-ray A 0.96 0.56 9.58 2.82 0.56 0.28 0.49 0.04 10.58 3.82 1.28 1.49 0000.00.00.0021000P0 34.7315 4 27650 Repair achilles tendon A 9.69 9.75 8.27 NA 9.38 9.75 8.27 9.38 1.10 19.06 20.17 19.06 20.17 0090.10.69.2121210P0 34.7315 4 27652 Repair/graft achilles tendon A 10.33 11.30 8.31 NA10.55 11.30 8.31 10.55 1.22 19.86 22.10 19.86 22.10 0090.10.69.2121110P0 34.7315 4 27654 Repair of achilles tendon A 10.02 11.86 8.57 NA11.04 11.86 8.57 11.04 1.29 19.88 22.35 19.88 22.35 0090.10.69.2121210P0 34.7315 4 27656 Repair leg fascia defect A 4.57 3.45 9.41 4.94 3.45 4.74 3.77 0.42 14.40 9.93 9.73 8.76 0090.10.69.2121200P0 34.7315 4 27658 Repair of leg tendon, each A 4.98 4.36 7.19 5.07 4.36 7.16 5.06 0.47 12.64 10.52 12.61 10.51 0090.10.69.2120210P0 34.7315 4 27659 Repair of leg tendon, each A 6.81 6.37 6.63 6.44 6.37 7.58 6.67 0.67 14.11 13.92 15.06 14.15 0090.10.69.2120210P0 34.7315 4 27664 Repair of leg tendon, each A 4.59 3.70 10.36 5.37 3.70 7.02 4.53 0.41 15.36 10.37 12.02 9.53 0090.10.69.2120000P0 34.7315 4 27665 Repair of leg tendon, each A 5.40 5.37 9.70 6.45 5.37 7.47 5.90 0.59 15.69 12.44 13.46 11.89 0090.10.69.2120210P0 34.7315 4 27675 Repair lower leg tendons A 7.18 6.95 7.32 NA 7.04 6.95 7.32 7.04 0.74 15.24 14.96 15.24 14.96 0090.10.69.2121210P0 34.7315 4 27676 Repair lower leg tendons A 8.42 8.20 7.21 NA 7.95 8.20 7.21 7.95 0.89 16.52 17.26 16.52 17.26 0090.10.69.2121200P0 34.7315 4 27680 Release of lower leg tendon A 5.74 4.47 6.29 NA 4.93 4.47 6.29 4.93 0.48 12.51 11.15 12.51 11.15 0090.10.69.2120110P0 34.7315 4 27681 Release of lower leg tendons A 6.82 6.48 7.17 NA 6.65 6.48 7.17 6.65 0.67 14.66 14.14 14.66 14.14 0090.10.69.2120110P0 34.7315 4 27685 Revision of lower leg tendon A 6.50 4.16 6.81 4.82 4.16 6.83 4.83 0.32 13.63 11.64 13.65 11.65 0090.10.69.2120210P0 34.7315 4 27686 Revise lower leg tendons A 7.46 7.12 7.55 7.23 7.12 8.12 7.37 0.70 15.71 15.39 16.28 15.53 0090.10.69.2120110P0 34.7315 4 27687 Revision of calf tendon A 6.24 5.91 6.66 NA 6.10 5.91 6.66 6.10 0.59 13.49 12.93 13.49 12.93 0090.10.69.2121210P0 34.7315 4 27690 Revise lower leg tendon A 8.71 7.31 7.82 NA 7.44 7.31 7.82 7.44 0.69 17.22 16.84 17.22 16.84 0090.10.69.2121210P0 34.7315 4 27691 Revise lower leg tendon A 9.96 8.56 9.34 NA 8.76 8.56 9.34 8.76 0.96 20.26 19.68 20.26 19.68 0090.10.69.2121210P0 34.7315 4 27692 Revise additional leg tendon A 1.87 2.20 1.22 NA 1.96 2.20 1.22 1.96 0.23 3.32 4.06 3.32 4.06 0ZZZ.00.00.0001210P0 34.7315 4 27695 Repair of ankle ligament A 6.51 7.77 7.52 NA 7.71 7.77 7.52 7.71 1.03 15.06 15.25 15.06 15.25 0090.10.69.2121110P0 34.7315 4 27696 Repair of ankle ligaments A 8.27 7.66 7.83 NA 7.70 7.66 7.83 7.70 0.91 17.01 16.88 17.01 16.88 0090.10.69.2121110P0 34.7315 4 27698 Repair of ankle ligament A 9.36 11.18 7.94 NA10.37 11.18 7.94 10.37 1.46 18.76 21.19 18.76 21.19 0090.10.69.2121210P0 34.7315 4 27700 Revision of ankle joint A 9.29 11.09 6.33 NA 9.90 11.09 6.33 9.90 1.18 16.80 20.37 16.80 20.37 0090.10.69.2121210P0 34.7315 4 27702 Reconstruct ankle joint A 13.67 16.32 11.50 NA15.12 16.32 11.50 15.12 3.12 28.29 31.91 28.29 31.91 0090.10.69.2121210P0 34.7315 4 27703 Reconstruction, ankle joint A 15.87 15.00 10.05 NA13.76 15.00 10.05 13.76 1.76 27.68 31.39 27.68 31.39 0090.10.69.2121200P0 34.7315 4 27704 Removal of ankle implant A 7.62 6.34 6.46 NA 6.37 6.34 6.46 6.37 0.77 14.85 14.76 14.85 14.76 0090.10.69.2121110P0 34.7315 4 27705 Incision of tibia A 10.38 11.66 9.67 NA11.16 11.66 9.67 11.16 1.38 21.43 22.92 21.43 22.92 0090.10.69.2121210P0 34.7315 4 27707 Incision of fibula A 4.37 5.15 6.50 NA 5.49 5.15 6.50 5.49 0.62 11.49 10.48 11.49 10.48 0090.10.69.2121110P0 34.7315 4 27709 Incision of tibia & fibula A 9.95 11.88 9.77 NA11.35 11.88 9.77 11.35 1.67 21.39 22.97 21.39 22.97 0090.10.69.2121210P0 34.7315 4 27712 Realignment of lower leg A 14.25 11.93 11.69 NA11.87 11.93 11.69 11.87 1.28 27.22 27.40 27.22 27.40 0090.10.69.2121210P0 34.7315 4 27715 Revision of lower leg A 14.39 13.69 12.93 NA13.50 13.69 12.93 13.50 1.47 28.79 29.36 28.79 29.36 0090.10.69.2121210P0 34.7315 4 27720 Repair of tibia A 11.79 14.08 11.52 NA13.44 14.08 11.52 13.44 1.76 25.07 26.99 25.07 26.99 0090.10.69.2121210P0 34.7315 4 27722 Repair/graft of tibia A 11.82 11.40 11.46 NA11.42 11.40 11.46 11.42 1.28 24.56 24.52 24.56 24.52 0090.10.69.2121210P0 34.7315 4 27724 Repair/graft of tibia A 14.99 16.82 13.17 NA15.91 16.82 13.17 15.91 2.25 30.41 33.15 30.41 33.15 0090.10.69.2121210P0 34.7315 4 27725 Repair of lower leg A 15.59 11.32 12.85 NA11.70 11.32 12.85 11.70 1.20 29.64 28.49 29.64 28.49 0090.10.69.2121210P0 34.7315 4 27727 Repair of lower leg A 14.01 10.18 9.84 NA10.10 10.18 9.84 10.10 1.44 25.29 25.55 25.29 25.55 0090.10.69.2121210P0 34.7315 4 27730 Repair of tibia epiphysis A 7.41 3.90 15.01 6.68 3.90 7.94 4.91 0.66 23.08 14.75 16.01 12.98 0090.10.69.2121110P0 34.7315 4 27732 Repair of fibula epiphysis A 5.32 5.25 10.07 6.46 5.25 5.87 5.41 0.62 16.01 12.40 11.81 11.35 0090.10.69.2121100P0 34.7315 4 27734 Repair lower leg epiphyses A 8.48 8.18 7.54 NA 8.02 8.18 7.54 8.02 0.96 16.98 17.46 16.98 17.46 0090.10.69.2121100P0 34.7315 4 27740 Repair of leg epiphyses A 9.30 9.07 3.51 7.68 9.07 9.33 9.14 1.06 13.87 18.04 19.69 19.50 0090.10.69.2121200P0 34.7315 4 27742 Repair of leg epiphyses A 10.30 10.08 11.95 10.55 10.08 8.53 9.69 1.19 23.44 22.04 20.02 21.18 0090.10.69.2121210P0 34.7315 4 27745 Reinforce tibia A 10.07 9.73 9.87 NA 9.77 9.73 9.87 9.77 1.09 21.03 20.93 21.03 20.93 0090.10.69.2121210P0 34.7315 4 27750 Treatment of tibia fracture A 3.19 3.74 6.70 4.48 3.74 3.18 3.60 0.39 10.28 8.06 6.76 7.18 0090.10.69.2121100P0 34.7315 4 27752 Treatment of tibia fracture A 5.84 5.52 8.91 6.37 5.52 5.35 5.48 0.63 15.38 12.84 11.82 11.95 0090.10.69.2121100P0 34.7315 4 27756 Repair of tibia fracture A 6.78 8.10 8.70 NA 8.25 8.10 8.70 8.25 1.33 16.81 16.36 16.81 16.36 0090.10.69.2121210P0 34.7315 4 27758 Repair of tibia fracture A 11.67 13.93 10.42 NA13.05 13.93 10.42 13.05 1.74 23.83 26.46 23.83 26.46 0090.10.69.2121210P0 34.7315 4 27759 Repair of tibia fracture A 13.76 14.91 11.63 NA14.09 14.91 11.63 14.09 1.74 27.13 29.59 27.13 29.59 0090.10.69.2121220P0 34.7315 4 27760 Treatment of ankle fracture A 3.01 2.80 6.40 3.70 1.40 2.78 1.75 0.29 9.70 7.00 6.08 5.05 0090.10.69.2121100P0 34.7315 4 27762 Treatment of ankle fracture A 5.25 3.65 8.31 4.82 3.65 4.75 3.93 0.39 13.95 10.46 10.39 9.57 0090.10.69.2121100P0 34.7315 4 27766 Repair of ankle fracture A 8.36 8.54 7.32 NA 8.24 8.54 7.32 8.24 0.99 16.67 17.59 16.67 17.59 0090.10.69.2121110P0 34.7315 4 27780 Treatment of fibula fracture A 2.65 2.14 4.20 2.66 1.07 2.63 1.46 0.20 7.05 5.51 5.48 4.31 0090.10.69.2121100P0 34.7315 4 27781 Treatment of fibula fracture A 4.40 3.57 7.51 4.56 3.57 3.76 3.62 0.38 12.29 9.34 8.54 8.40 0090.10.69.2121100P0 34.7315 4 27784 Repair of fibula fracture A 7.11 6.07 7.21 NA 6.36 6.07 7.21 6.36 0.68 15.00 14.15 15.00 14.15 0090.10.69.2121110P0 34.7315 4 27786 Treatment of ankle fracture A 2.84 2.73 6.41 3.65 1.37 2.73 1.71 0.30 9.55 6.79 5.87 4.85 0090.10.69.2121100P0 34.7315 4 27788 Treatment of ankle fracture A 4.45 3.55 7.49 4.54 1.78 3.90 2.31 0.39 12.33 9.38 8.74 7.15 0090.10.69.2121100P0 34.7315 4 27792 Repair of ankle fracture A 7.66 8.01 6.94 NA 7.74 8.01 6.94 7.74 0.92 15.52 16.32 15.52 16.32 0090.10.69.2121110P0 34.7315 4 27808 Treatment of ankle fracture A 2.83 3.03 7.20 4.07 3.03 3.34 3.11 0.31 10.34 7.21 6.48 6.25 0090.10.69.2121100P0 34.7315 4 27810 Treatment of ankle fracture A 5.13 5.48 8.45 6.22 5.48 4.84 5.32 0.63 14.21 11.98 10.60 11.08 0090.10.69.2121100P0 34.7315 4 27814 Repair of ankle fracture A 10.68 10.85 9.37 NA10.48 10.85 9.37 10.48 1.25 21.30 22.41 21.30 22.41 0090.10.69.2121210P0 34.7315 4 27816 Treatment of ankle fracture A 2.89 3.77 6.88 4.55 3.45 3.28 3.41 0.43 10.20 7.87 6.60 6.73 0090.10.69.2121100P0 34.7315 4 27818 Treatment of ankle fracture A 5.50 6.57 8.63 7.09 6.57 4.95 6.17 0.83 14.96 13.42 11.28 12.50 0090.10.69.2121100P0 34.7315 4 27822 Repair of ankle fracture A 9.20 10.98 33.28 NA16.56 10.98 33.28 16.56 1.47 43.95 27.23 43.95 27.23 0090.10.69.2121210P0 34.7315 4 27823 Repair of ankle fracture A 11.80 13.88 34.09 NA18.93 13.88 34.09 18.93 1.60 47.49 32.33 47.49 32.33 0090.10.69.2121210P0 34.7315 4 27824 Treat lower leg fracture A 2.89 3.77 7.02 4.58 3.45 3.50 3.46 0.43 10.34 7.90 6.82 6.78 0090.10.69.2121100P0 34.7315 4 27825 Treat lower leg fracture A 6.19 7.07 9.15 7.59 7.07 5.55 6.69 0.83 16.17 14.61 12.57 13.71 0090.10.69.2121000P0 34.7315 4 27826 Treat lower leg fracture A 8.54 10.19 31.88 NA15.61 10.19 31.88 15.61 1.47 41.89 25.62 41.89 25.62 0090.10.69.2121220P0 34.7315 4 27827 Treat lower leg fracture A 14.06 12.71 36.80 NA18.73 12.71 36.80 18.73 1.47 52.33 34.26 52.33 34.26 0090.10.69.2121220P0 34.7315 4 27828 Treat lower leg fracture A 16.23 13.88 36.64 NA19.57 13.88 36.64 19.57 1.60 54.47 37.40 54.47 37.40 0090.10.69.2121220P0 34.7315 4 27829 Treat lower leg joint A 5.49 6.55 24.64 NA11.07 6.55 24.64 11.07 1.07 31.20 17.63 31.20 17.63 0090.10.69.2121220P0 34.7315 4 27830 Treat lower leg dislocation A 3.79 3.53 6.35 4.24 3.53 3.50 3.52 0.36 10.50 8.39 7.65 7.67 0090.10.69.2121000P0 34.7315 4 27831 Treat lower leg dislocation A 4.56 4.32 4.39 NA 4.34 4.32 4.39 4.34 0.46 9.41 9.36 9.41 9.36 0090.10.69.2121000P0 34.7315 4 27832 Repair lower leg dislocation A 6.49 6.19 6.85 NA 6.36 6.19 6.85 6.36 0.70 14.04 13.55 14.04 13.55 0090.10.69.2121210P0 34.7315 4 27840 Treat ankle dislocation A 4.58 2.03 3.63 NA 2.43 2.03 3.63 2.43 0.16 8.37 7.17 8.37 7.17 0090.10.69.2121100P0 34.7315 4 27842 Treat ankle dislocation A 6.21 2.41 4.30 NA 2.88 2.41 4.30 2.88 0.27 10.78 9.36 10.78 9.36 0090.10.69.2121100P0 34.7315 4 27846 Repair ankle dislocation A 9.79 9.32 8.18 NA 9.04 9.32 8.18 9.04 1.07 19.04 19.90 19.04 19.90 0090.10.69.2121210P0 34.7315 4 27848 Repair ankle dislocation A 11.20 9.07 27.30 NA13.63 9.07 27.30 13.63 1.03 39.53 25.86 39.53 25.86 0090.10.69.2121210P0 34.7315 4 27860 Fixation of ankle joint A 2.34 1.51 2.70 NA 1.81 1.51 2.70 1.81 0.18 5.22 4.33 5.22 4.33 0010.10.80.1020000P0 34.7315 4 27870 Fusion of ankle joint A 13.91 14.48 11.97 NA13.85 14.48 11.97 13.85 1.74 27.62 29.50 27.62 29.50 0090.10.69.2121210P0 34.7315 4 27871 Fusion of tibiofibular joint A 9.17 8.45 9.14 NA 8.62 8.45 9.14 8.62 0.95 19.26 18.74 19.26 18.74 0090.10.69.2121210P0 34.7315 4 27880 Amputation of lower leg A 11.85 9.07 8.85 NA 9.02 9.07 8.85 9.02 1.25 21.95 22.12 21.95 22.12 0090.10.69.2121210P0 34.7315 4 27881 Amputation of lower leg A 12.34 11.74 10.83 NA11.51 11.74 10.83 11.51 1.46 24.63 25.31 24.63 25.31 0090.10.69.2121210P0 34.7315 4 27882 Amputation of lower leg A 8.94 7.99 8.84 NA 8.20 7.99 8.84 8.20 1.11 18.89 18.25 18.89 18.25 0090.10.69.2121010P0 34.7315 4 27884 Amputation follow-up surgery A 8.21 3.66 7.48 NA 4.62 3.66 7.48 4.62 0.48 16.17 13.31 16.17 13.31 0090.10.69.2121100P0 34.7315 4 27886 Amputation follow-up surgery A 9.32 7.78 8.16 NA 7.88 7.78 8.16 7.88 1.05 18.53 18.25 18.53 18.25 0090.10.69.2121110P0 34.7315 4 27888 Amputation of foot at ankle A 9.67 10.30 8.95 NA 9.96 10.30 8.95 9.96 1.29 19.91 20.92 19.91 20.92 0090.10.69.2121210P0 34.7315 4 27889 Amputation of foot at ankle A 9.98 9.15 7.66 NA 8.78 9.15 7.66 8.78 1.21 18.85 19.97 18.85 19.97 0090.10.69.2121110P0 34.7315 4 27892 Decompression of leg A 7.39 3.68 6.01 NA 4.26 3.68 6.01 4.26 0.50 13.90 12.15 13.90 12.15 0090.10.69.2121000P0 34.7315 4 27893 Decompression of leg A 7.35 3.67 5.50 NA 4.13 3.67 5.50 4.13 0.52 13.37 12.00 13.37 12.00 0090.10.69.2121000P0 34.7315 4 27894 Decompression of leg A 10.49 4.40 7.38 NA 5.15 4.40 7.38 5.15 0.60 18.47 16.24 18.47 16.24 0090.10.69.2121200P0 34.7315 4 27899 Leg/ankle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 28001 Drainage of bursa of foot A 2.73 0.56 3.92 1.40 0.28 2.64 0.87 0.04 6.69 4.17 5.41 3.64 0010.10.80.1020100P0 34.7315 4 28002 Treatment of foot infection A 4.62 2.44 4.84 3.04 2.44 3.94 2.82 0.26 9.72 7.92 8.82 7.70 0010.10.80.1020100P0 34.7315 4 28003 Treatment of foot infection A 8.41 3.80 7.92 4.83 1.90 8.29 3.50 0.46 16.79 13.70 17.16 12.37 0090.10.69.2120100P0 34.7315 4 28005 Treat foot bone lesion A 8.68 4.43 8.45 NA 5.44 4.43 8.45 5.44 0.48 17.61 14.60 17.61 14.60 0090.10.69.2120100P0 34.7315 4 28008 Incision of foot fascia A 4.45 2.91 5.56 3.57 2.91 4.45 3.30 0.23 10.24 8.25 9.13 7.98 0090.10.69.2120100P0 34.7315 4 28010 Incision of toe tendon A 2.84 3.93 4.91 4.18 1.97 3.69 2.40 0.26 8.01 7.28 6.79 5.50 0090.10.69.2120100P0 34.7315 4 28011 Incision of toe tendons A 4.14 1.92 6.32 3.02 0.96 5.28 2.04 0.15 10.61 7.31 9.57 6.33 0090.10.69.2120100P0 34.7315 4 28020 Exploration of a foot joint A 5.01 4.78 7.08 5.36 4.78 5.28 4.91 0.44 12.53 10.81 10.73 10.36 0090.10.69.2120110P0 34.7315 4 28022 Exploration of a foot joint A 4.67 2.97 5.37 3.57 1.49 4.79 2.32 0.24 10.28 8.48 9.70 7.23 0090.10.69.2120100P0 34.7315 4 28024 Exploration of a toe joint A 4.38 2.59 5.65 3.36 1.30 4.96 2.22 0.19 10.22 7.93 9.53 6.79 0090.10.69.2120100P0 34.7315 4 28030 Removal of foot nerve A 6.15 4.27 3.28 NA 4.02 4.27 3.28 4.02 0.33 9.76 10.50 9.76 10.50 0090.10.69.2120000P0 34.7315 4 28035 Decompression of tibia nerve A 5.09 6.71 6.01 6.54 6.08 4.60 5.71 0.70 11.80 12.33 10.39 11.50 0090.10.69.2120110P0 34.7315 4 28043 Excision of foot lesion A 3.54 1.88 5.15 2.70 1.88 4.06 2.43 0.16 8.85 6.40 7.76 6.13 0090.10.69.2121100P0 34.7315 4 28045 Excision of foot lesion A 4.72 4.33 5.65 4.66 4.33 4.57 4.39 0.36 10.73 9.74 9.65 9.47 0090.10.69.2121000P0 34.7315 4 28046 Resection of tumor, foot A 10.18 5.81 8.83 6.57 5.81 8.23 6.42 0.62 19.63 17.37 19.03 17.22 0090.10.69.2121110P0 34.7315 4 28050 Biopsy of foot joint lining A 4.25 4.17 6.15 4.67 4.17 4.50 4.25 0.41 10.81 9.33 9.16 8.91 0090.10.69.2121110P0 34.7315 4 28052 Biopsy of foot joint lining A 3.94 4.15 5.26 4.43 2.08 4.82 2.77 0.34 9.54 8.71 9.10 7.05 0090.10.69.2121110P0 34.7315 4 28054 Biopsy of toe joint lining A 3.45 2.43 5.51 3.20 2.43 4.72 3.00 0.22 9.18 6.87 8.39 6.67 0090.10.69.2121000P0 34.7315 4 28060 Partial removal foot fascia A 5.23 4.58 5.93 4.92 4.58 4.97 4.68 0.41 11.57 10.56 10.61 10.32 0090.10.69.2121100P0 34.7315 4 28062 Removal of foot fascia A 6.52 7.66 6.47 7.36 7.66 4.92 6.98 0.67 13.66 14.55 12.11 14.17 0090.10.69.2120110P0 34.7315 4 28070 Removal of foot joint lining A 5.10 4.86 5.33 4.98 4.86 4.77 4.84 0.38 10.81 10.46 10.25 10.32 0090.10.69.2120100P0 34.7315 4 28072 Removal of foot joint lining A 4.58 3.48 5.42 3.97 3.48 5.37 3.95 0.33 10.33 8.88 10.28 8.86 0090.10.69.2120100P0 34.7315 4 28080 Removal of foot lesion A 3.58 4.42 5.25 4.63 4.42 4.20 4.37 0.35 9.18 8.56 8.13 8.30 0090.10.69.2120000P0 34.7315 4 28086 Excise foot tendon sheath A 4.78 3.39 6.61 4.20 3.39 6.19 4.09 0.36 11.75 9.34 11.33 9.23 0090.10.69.2121210P0 34.7315 4 28088 Excise foot tendon sheath A 3.86 3.93 6.58 4.59 3.93 5.24 4.26 0.31 10.75 8.76 9.41 8.43 0090.10.69.2121000P0 34.7315 4 28090 Removal of foot lesion A 4.41 3.28 5.51 3.84 3.28 4.39 3.56 0.23 10.15 8.48 9.03 8.20 0090.10.69.2121100P0 34.7315 4 28092 Removal of toe lesions A 3.64 2.20 5.69 3.07 2.20 4.47 2.77 0.20 9.53 6.91 8.31 6.61 0090.10.69.2120100P0 34.7315 4 28100 Removal of ankle/heel lesion A 5.66 4.97 8.02 5.73 4.97 6.17 5.27 0.44 14.12 11.83 12.27 11.37 0090.10.69.2121210P0 34.7315 4 28102 Remove/graft foot lesion A 7.73 7.42 7.76 NA 7.51 7.42 7.76 7.51 0.66 16.15 15.90 16.15 15.90 0090.10.69.2121200P0 34.7315 4 28103 Remove/graft foot lesion A 6.50 6.09 7.16 6.36 6.09 6.38 6.16 0.54 14.20 13.40 13.42 13.20 0090.10.69.2121200P0 34.7315 4 28104 Removal of foot lesion A 5.12 4.70 5.98 5.02 4.70 5.37 4.87 0.38 11.48 10.52 10.87 10.37 0090.10.69.2120210P0 34.7315 4 28106 Remove/graft foot lesion A 7.16 6.97 5.70 NA 6.65 6.97 5.70 6.65 0.62 13.48 14.43 13.48 14.43 0090.10.69.2120210P0 34.7315 4 28107 Remove/graft foot lesion A 5.56 5.27 5.78 5.40 5.27 5.06 5.22 0.38 11.72 11.34 11.00 11.16 0090.10.69.2120200P0 34.7315 4 28108 Removal of toe lesions A 4.16 4.56 5.05 4.68 2.28 4.12 2.74 0.30 9.51 9.14 8.58 7.20 0090.10.69.2120100P0 34.7315 4 28110 Part removal of metatarsal A 4.08 3.78 5.88 4.31 3.78 5.26 4.15 0.31 10.27 8.70 9.65 8.54 0090.10.69.2121110P0 34.7315 4 28111 Part removal of metatarsal A 5.01 5.47 6.43 5.71 5.47 5.69 5.53 0.51 11.95 11.23 11.21 11.05 0090.10.69.2121110P0 34.7315 4 28112 Part removal of metatarsal A 4.49 4.30 6.29 4.80 4.30 5.73 4.66 0.35 11.13 9.64 10.57 9.50 0090.10.69.2121110P0 34.7315 4 28113 Part removal of metatarsal A 4.79 4.82 6.22 5.17 4.82 5.37 4.96 0.38 11.39 10.34 10.54 10.13 0090.10.69.2121000P0 34.7315 4 28114 Removal of metatarsal heads A 9.79 9.95 9.62 9.87 9.95 9.04 9.72 1.11 20.52 20.77 19.94 20.62 0090.10.69.2121210P0 34.7315 4 28116 Revision of foot A 7.75 5.95 6.36 6.05 5.95 5.73 5.90 0.45 14.56 14.25 13.93 14.10 0090.10.69.2121100P0 34.7315 4 28118 Removal of heel bone A 5.96 6.20 6.36 6.24 6.20 5.71 6.08 0.52 12.84 12.72 12.19 12.56 0090.10.69.2121210P0 34.7315 4 28119 Removal of heel spur A 5.39 5.90 5.94 5.91 5.90 4.82 5.63 0.45 11.78 11.75 10.66 11.47 0090.10.69.2121110P0 34.7315 4 28120 Part removal of ankle/heel A 5.40 5.47 8.32 6.18 5.47 7.53 5.99 0.52 14.24 12.10 13.45 11.91 0090.10.69.2121110P0 34.7315 4 28122 Partial removal of foot bone A 7.29 4.86 7.79 5.59 4.86 7.68 5.57 0.42 15.50 13.30 15.39 13.28 0090.10.69.2121210P0 34.7315 4 28124 Partial removal of toe A 4.81 4.46 6.43 4.95 2.23 6.04 3.18 0.29 11.53 10.05 11.14 8.28 0090.10.69.2121100P0 34.7315 4 28126 Partial removal of toe A 3.52 4.32 5.52 4.62 2.16 5.02 2.88 0.28 9.32 8.42 8.82 6.68 0090.10.69.2120100P0 34.7315 4 28130 Removal of ankle bone A 8.11 7.63 7.66 NA 7.64 7.63 7.66 7.64 0.69 16.46 16.44 16.46 16.44 0090.10.69.2121210P0 34.7315 4 28140 Removal of metatarsal A 6.91 5.35 7.29 5.84 5.35 6.06 5.53 0.49 14.69 13.24 13.46 12.93 0090.10.69.2120110P0 34.7315 4 28150 Removal of toe A 4.09 3.57 5.96 4.17 3.57 5.32 4.01 0.30 10.35 8.56 9.71 8.40 0090.10.69.2120100P0 34.7315 4 28153 Partial removal of toe A 3.66 4.33 5.47 4.62 2.17 4.10 2.65 0.28 9.41 8.56 8.04 6.59 0090.10.69.2120100P0 34.7315 4 28160 Partial removal of toe A 3.74 4.47 5.66 4.77 2.24 5.46 3.05 0.30 9.70 8.81 9.50 7.09 0090.10.69.2120100P0 34.7315 4 28171 Extensive foot surgery A 9.60 8.67 6.58 NA 8.15 8.67 6.58 8.15 0.69 16.87 18.44 16.87 18.44 0090.10.69.2120200P0 34.7315 4 28173 Extensive foot surgery A 8.80 6.23 7.42 6.53 6.23 6.90 6.40 0.58 16.80 15.91 16.28 15.78 0090.10.69.2120110P0 34.7315 4 28175 Extensive foot surgery A 6.05 5.84 7.03 6.14 5.84 5.06 5.65 0.45 13.53 12.64 11.56 12.15 0090.10.69.2120110P0 34.7315 4 28190 Removal of foot foreign body A 1.96 0.56 4.50 1.55 0.28 2.08 0.73 0.04 6.50 3.55 4.08 2.73 0010.10.80.1021100P0 34.7315 4 28192 Removal of foot foreign body A 4.64 2.12 5.91 3.07 2.12 4.27 2.66 0.19 10.74 7.90 9.10 7.49 0090.10.69.2121100P0 34.7315 4 28193 Removal of foot foreign body A 5.73 2.58 6.57 3.58 2.58 5.21 3.24 0.23 12.53 9.54 11.17 9.20 0090.10.69.2121100P0 34.7315 4 28200 Repair of foot tendon A 4.60 5.49 5.64 5.53 5.49 5.12 5.40 0.39 10.63 10.52 10.11 10.39 0090.10.69.2120110P0 34.7315 4 28202 Repair/graft of foot tendon A 6.84 6.32 6.28 6.31 6.32 26.55 11.38 0.60 13.72 13.75 33.99 18.82 0090.10.69.2120210P0 34.7315 4 28208 Repair of foot tendon A 4.37 3.05 5.40 3.64 3.05 4.56 3.43 0.22 9.99 8.23 9.15 8.02 0090.10.69.2120110P0 34.7315 4 28210 Repair/graft of foot tendon A 6.35 6.08 6.43 6.17 6.08 5.30 5.89 0.47 13.25 12.99 12.12 12.71 0090.10.69.2120200P0 34.7315 4 28220 Release of foot tendon A 4.53 4.20 5.47 4.52 2.10 4.43 2.68 0.34 10.34 9.39 9.30 7.55 0090.10.69.2120100P0 34.7315 4 28222 Release of foot tendons A 5.62 6.95 5.91 6.69 3.48 5.30 3.94 0.49 12.02 12.80 11.41 10.05 0090.10.69.2120100P0 34.7315 4 28225 Release of foot tendon A 3.66 2.57 5.18 3.22 2.57 4.20 2.98 0.20 9.04 7.08 8.06 6.84 0090.10.69.2120110P0 34.7315 4 28226 Release of foot tendons A 4.53 3.67 5.71 4.18 3.67 4.77 3.95 0.31 10.55 9.02 9.61 8.79 0090.10.69.2120100P0 34.7315 4 28230 Incision of foot tendon(s) A 4.24 2.64 5.44 3.34 1.32 5.20 2.29 0.17 9.85 7.75 9.61 6.70 0090.10.69.2120100P0 34.7315 4 28232 Incision of toe tendon A 3.39 1.74 5.34 2.64 0.87 4.86 1.87 0.12 8.85 6.15 8.37 5.38 0090.10.69.2120100P0 34.7315 4 28234 Incision of foot tendon A 3.37 1.66 5.51 2.62 0.83 4.62 1.78 0.11 8.99 6.10 8.10 5.26 0090.10.69.2120100P0 34.7315 4 28238 Revision of foot tendon A 7.73 7.85 7.17 7.68 7.85 6.13 7.42 0.66 15.56 16.07 14.52 15.81 0090.10.69.2121210P0 34.7315 4 28240 Release of big toe A 4.36 2.31 5.58 3.13 2.31 5.03 2.99 0.18 10.12 7.67 9.57 7.53 0090.10.69.2121100P0 34.7315 4 28250 Revision of foot fascia A 5.92 4.84 6.05 5.14 4.84 5.10 4.91 0.39 12.36 11.45 11.41 11.22 0090.10.69.2121210P0 34.7315 4 28260 Release of midfoot joint A 7.96 4.81 6.71 5.29 4.81 6.17 5.15 0.38 15.05 13.63 14.51 13.49 0090.10.69.2121210P0 34.7315 4 28261 Revision of foot tendon A 11.73 6.41 8.35 6.90 6.41 8.09 6.83 0.45 20.53 19.08 20.27 19.01 0090.10.69.2121000P0 34.7315 4 28262 Revision of foot and ankle A 15.83 12.93 10.15 12.24 12.93 13.25 13.01 1.13 27.11 29.20 30.21 29.97 0090.10.69.2121210P0 34.7315 4 28264 Release of midfoot joint A 10.35 10.38 8.03 9.79 10.38 9.80 10.24 0.92 19.30 21.06 21.07 21.51 0090.10.69.2121200P0 34.7315 4 28270 Release of foot contracture A 4.76 2.85 5.94 3.62 1.43 5.39 2.42 0.18 10.88 8.56 10.33 7.36 0090.10.69.2121100P0 34.7315 4 28272 Release of toe joint, each A 3.80 2.21 5.11 2.94 1.11 4.30 1.91 0.14 9.05 6.88 8.24 5.85 0090.10.69.2121100P0 34.7315 4 28280 Fusion of toes A 5.19 2.41 6.64 3.47 2.41 5.60 3.21 0.23 12.06 8.89 11.02 8.63 0090.10.69.2121000P0 34.7315 4 28285 Repair of hammertoe A 4.59 4.74 5.90 5.03 4.74 5.14 4.84 0.31 10.80 9.93 10.04 9.74 0090.10.69.2120110P0 34.7315 4 28286 Repair of hammertoe A 4.56 3.89 5.83 4.38 3.89 4.97 4.16 0.30 10.69 9.24 9.83 9.02 0090.10.69.2120100P0 34.7315 4 28288 Partial removal of foot bone A 4.74 4.07 6.09 4.58 4.07 6.33 4.64 0.34 11.17 9.66 11.41 9.72 0090.10.69.2120100P0 34.7315 4 28289 Repair hallux rigidus A 7.04 0.00 2.78 2.78 0.00 3.12 3.12 0.42 10.24 10.24 10.58 10.58 0090.10.69.2121210P0 34.7315 5 28290 Correction of bunion A 5.66 5.82 6.67 6.03 5.82 6.80 6.07 0.49 12.82 12.18 12.95 12.22 0090.10.69.2121100P1A4550 34.7315 4 28292 Correction of bunion A 7.04 7.65 6.87 7.46 7.65 6.40 7.34 0.58 14.49 15.08 14.02 14.96 0090.10.69.2121210P1A4550 34.7315 4 28293 Correction of bunion A 9.15 10.36 7.81 9.72 10.36 6.51 9.40 0.77 17.73 19.64 16.43 19.32 0090.10.69.2121210P1A4550 34.7315 4 28294 Correction of bunion A 8.56 9.94 7.72 9.39 9.94 6.03 8.96 0.67 16.95 18.62 15.26 18.19 0090.10.69.2121210P1A4550 34.7315 4 28296 Correction of bunion A 9.18 9.56 7.79 9.12 9.56 7.06 8.94 0.77 17.74 19.07 17.01 18.89 0090.10.69.2121210P1A4550 34.7315 4 28297 Correction of bunion A 9.18 9.79 7.56 9.23 9.79 8.47 9.46 0.82 17.56 19.23 18.47 19.46 0090.10.69.2121210P1A4550 34.7315 4 28298 Correction of bunion A 7.94 9.47 7.17 8.90 9.47 6.44 8.71 0.62 15.73 17.46 15.00 17.27 0090.10.69.2121210P1A4550 34.7315 4 28299 Correction of bunion A 8.88 10.60 7.50 9.83 10.60 6.68 9.62 0.84 17.22 19.55 16.40 19.34 0090.10.69.2121210P1A4550 34.7315 4 28300 Incision of heel bone A 9.54 7.08 12.26 8.38 7.08 8.16 7.35 0.62 22.42 18.54 18.32 17.51 0090.10.69.2121210P0 34.7315 4 28302 Incision of ankle bone A 9.55 9.65 7.07 9.01 9.65 8.74 9.42 0.88 17.50 19.44 19.17 19.85 0090.10.69.2121210P0 34.7315 4 28304 Incision of midfoot bones A 9.16 6.99 8.21 7.30 6.99 6.84 6.95 0.55 17.92 17.01 16.55 16.66 0090.10.69.2120210P0 34.7315 4 28305 Incise/graft midfoot bones A 10.50 10.69 15.62 11.92 10.69 9.81 10.47 0.81 26.93 23.23 21.12 21.78 0090.10.69.2120210P0 34.7315 4 28306 Incision of metatarsal A 5.86 4.96 5.98 5.22 4.96 5.12 5.00 0.37 12.21 11.45 11.35 11.23 0090.10.69.2120210P0 34.7315 4 28307 Incision of metatarsal A 6.33 6.37 5.71 6.21 6.37 6.71 6.46 0.59 12.63 13.13 13.63 13.38 0090.10.69.2120000P0 34.7315 4 28308 Incision of metatarsal A 5.29 6.20 5.46 6.02 6.20 4.21 5.70 0.39 11.14 11.70 9.89 11.38 0090.10.69.2120210P0 34.7315 4 28309 Incision of metatarsals A 12.78 7.46 8.50 NA 7.72 7.46 8.50 7.72 0.78 22.06 21.28 22.06 21.28 0090.10.69.2120000P0 34.7315 4 28310 Revision of big toe A 5.43 4.53 6.16 4.94 4.53 5.31 4.73 0.33 11.92 10.70 11.07 10.49 0090.10.69.2120110P0 34.7315 4 28312 Revision of toe A 4.55 4.95 5.94 5.20 4.95 5.64 5.12 0.35 10.84 10.10 10.54 10.02 0090.10.69.2120110P0 34.7315 4 28313 Repair deformity of toe A 5.01 2.79 6.49 3.72 1.40 7.51 2.93 0.24 11.74 8.97 12.76 8.18 0090.10.69.2120100P0 34.7315 4 28315 Removal of sesamoid bone A 4.86 4.60 5.45 4.81 4.60 4.41 4.55 0.32 10.63 9.99 9.59 9.73 0090.10.69.2121110P0 34.7315 4 28320 Repair of foot bones A 9.18 9.43 7.69 NA 9.00 9.43 7.69 9.00 0.81 17.68 18.99 17.68 18.99 0090.10.69.2120210P0 34.7315 4 28322 Repair of metatarsals A 8.34 5.07 8.67 5.97 5.07 7.13 5.59 0.41 17.42 14.72 15.88 14.34 0090.10.69.2120210P0 34.7315 4 28340 Resect enlarged toe tissue A 6.98 6.88 6.33 6.74 6.88 5.98 6.66 0.71 14.02 14.43 13.67 14.35 0090.10.69.2120100P0 34.7315 4 28341 Resect enlarged toe A 8.41 8.31 6.89 7.96 8.31 5.89 7.71 0.75 16.05 17.12 15.05 16.87 0090.10.69.2120100P0 34.7315 4 28344 Repair extra toe(s) A 4.26 4.02 10.04 5.53 4.02 5.07 4.28 0.47 14.77 10.26 9.80 9.01 0090.10.69.2120110P0 34.7315 4 28345 Repair webbed toe(s) A 5.92 5.80 6.31 5.93 5.80 5.91 5.83 0.57 12.80 12.42 12.40 12.32 0090.10.69.2120000P0 34.7315 4 28360 Reconstruct cleft foot A 13.34 12.93 11.87 NA12.67 12.93 11.87 12.67 1.53 26.74 27.54 26.74 27.54 0090.10.69.2120200P0 34.7315 4 28400 Treatment of heel fracture A 2.16 2.79 6.46 3.71 1.40 3.39 1.90 0.31 8.93 6.18 5.86 4.37 0090.10.69.2121100P0 34.7315 4 28405 Treatment of heel fracture A 4.57 4.23 7.28 4.99 4.23 4.95 4.41 0.45 12.30 10.01 9.97 9.43 0090.10.69.2121000P0 34.7315 4 28406 Treatment of heel fracture A 6.31 6.61 7.63 NA 6.87 6.61 7.63 6.87 0.73 14.67 13.91 14.67 13.91 0090.10.69.2121000P0 34.7315 4 28415 Repair of heel fracture A 15.97 9.79 34.85 NA16.06 9.79 34.85 16.06 1.09 51.91 33.12 51.91 33.12 0090.10.69.2121210P0 34.7315 4 28420 Repair/graft heel fracture A 16.64 11.82 36.71 NA18.04 11.82 36.71 18.04 1.28 54.63 35.96 54.63 35.96 0090.10.69.2121210P0 34.7315 4 28430 Treatment of ankle fracture A 2.09 2.66 5.91 3.47 1.33 2.78 1.69 0.27 8.27 5.83 5.14 4.05 0090.10.69.2121100P0 34.7315 4 28435 Treatment of ankle fracture A 3.40 3.65 5.43 4.10 3.65 3.82 3.69 0.39 9.22 7.89 7.61 7.48 0090.10.69.2121000P0 34.7315 4 28436 Treatment of ankle fracture A 4.71 4.55 6.44 NA 5.02 4.55 6.44 5.02 0.53 11.68 10.26 11.68 10.26 0090.10.69.2121100P0 34.7315 4 28445 Repair of ankle fracture A 9.33 9.55 8.84 NA 9.37 9.55 8.84 9.37 1.10 19.27 19.80 19.27 19.80 0090.10.69.2121210P0 34.7315 4 28450 Treat midfoot fracture, each A 1.90 2.03 5.72 2.95 1.02 2.67 1.43 0.20 7.82 5.05 4.77 3.53 0090.10.69.2120100P0 34.7315 4 28455 Treat midfoot fracture, each A 3.09 2.76 5.05 3.33 1.38 3.95 2.02 0.27 8.41 6.69 7.31 5.38 0090.10.69.2120000P0 34.7315 4 28456 Repair midfoot fracture A 2.68 2.46 4.89 NA 3.07 2.46 4.89 3.07 0.30 7.87 6.05 7.87 6.05 0090.10.69.2120100P0 34.7315 4 28465 Repair midfoot fracture,each A 7.01 6.01 19.62 NA 9.41 6.01 19.62 9.41 0.63 27.26 17.05 27.26 17.05 0090.10.69.2120100P0 34.7315 4 28470 Treat metatarsal fracture A 1.99 1.95 5.32 2.79 0.98 2.29 1.31 0.18 7.49 4.96 4.46 3.48 0090.10.69.2120100P0 34.7315 4 28475 Treat metatarsal fracture A 2.97 2.54 5.30 3.23 1.27 3.54 1.84 0.23 8.50 6.43 6.74 5.04 0090.10.69.2120100P0 34.7315 4 28476 Repair metatarsal fracture A 3.38 3.66 5.34 NA 4.08 3.66 5.34 4.08 0.35 9.07 7.81 9.07 7.81 0090.10.69.2120000P0 34.7315 4 28485 Repair metatarsal fracture A 5.71 5.08 19.59 NA 8.71 5.08 19.59 8.71 0.47 25.77 14.89 25.77 14.89 0090.10.69.2120110P0 34.7315 4 28490 Treat big toe fracture A 1.09 0.98 1.87 1.20 0.49 1.38 0.71 0.08 3.04 2.37 2.55 1.88 0090.10.69.2120100P0 34.7315 4 28495 Treat big toe fracture A 1.58 1.22 2.13 1.45 0.61 1.75 0.90 0.10 3.81 3.13 3.43 2.58 0090.10.69.2120100P0 34.7315 4 28496 Repair big toe fracture A 2.33 2.25 6.62 3.34 2.25 4.32 2.77 0.24 9.19 5.91 6.89 5.34 0090.10.69.2120100P0 34.7315 4 28505 Repair big toe fracture A 3.81 3.24 16.01 6.43 3.24 17.95 6.92 0.34 20.16 10.58 22.10 11.07 0090.10.69.2120100P0 34.7315 4 28510 Treatment of toe fracture A 1.09 0.97 1.68 1.15 0.49 1.30 0.69 0.07 2.84 2.31 2.46 1.85 0090.10.69.2120100P0 34.7315 4 28515 Treatment of toe fracture A 1.46 1.22 1.89 1.39 0.61 1.59 0.86 0.09 3.44 2.94 3.14 2.41 0090.10.69.2120100P0 34.7315 4 28525 Repair of toe fracture A 3.32 2.24 16.00 5.68 2.24 17.66 6.10 0.23 19.55 9.23 21.21 9.65 0090.10.69.2120000P0 34.7315 4 28530 Treat sesamoid bone fracture A 1.06 1.09 3.08 1.59 0.55 1.77 0.86 0.08 4.22 2.73 2.91 2.00 0090.10.69.2120000P0 34.7315 4 28531 Treat sesamoid bone fracture A 2.35 2.07 56.77 15.75 2.07 15.27 5.37 0.25 59.37 18.35 17.87 7.97 0090.10.69.2120120P0 34.7315 4 28540 Treat foot dislocation A 2.04 0.65 3.68 1.41 0.33 2.57 0.89 0.05 5.77 3.50 4.66 2.98 0090.10.69.2120000P0 34.7315 4 28545 Treat foot dislocation A 2.45 1.42 3.09 1.84 1.42 3.79 2.01 0.11 5.65 4.40 6.35 4.57 0090.10.69.2120000P0 34.7315 4 28546 Treat foot dislocation A 3.20 2.97 8.16 4.27 2.97 4.64 3.39 0.35 11.71 7.82 8.19 6.94 0090.10.69.2120000P0 34.7315 4 28555 Repair foot dislocation A 6.30 6.06 18.70 9.22 6.06 26.95 11.28 0.57 25.57 16.09 33.82 18.15 0090.10.69.2120210P0 34.7315 4 28570 Treat foot dislocation A 1.66 1.73 4.93 2.53 0.87 2.77 1.35 0.13 6.72 4.32 4.56 3.14 0090.10.69.2120000P0 34.7315 4 28575 Treat foot dislocation A 3.31 3.01 4.04 3.27 3.01 4.60 3.41 0.33 7.68 6.91 8.24 7.05 0090.10.69.2120000P0 34.7315 4 28576 Treat foot dislocation A 4.17 3.01 5.61 3.66 3.01 5.38 3.60 0.33 10.11 8.16 9.88 8.10 0090.10.69.2120000P0 34.7315 4 28585 Repair foot dislocation A 7.99 5.38 12.66 7.20 5.38 22.70 9.71 0.43 21.08 15.62 31.12 18.13 0090.10.69.2120210P0 34.7315 4 28600 Treat foot dislocation A 1.89 0.74 4.67 1.72 0.37 2.87 1.00 0.06 6.62 3.67 4.82 2.95 0090.10.69.2120000P0 34.7315 4 28605 Treat foot dislocation A 2.71 2.45 5.32 3.17 2.45 4.13 2.87 0.27 8.30 6.15 7.11 5.85 0090.10.69.2120000P0 34.7315 4 28606 Treat foot dislocation A 4.90 3.79 10.92 5.57 3.79 5.91 4.32 0.43 16.25 10.90 11.24 9.65 0090.10.69.2120100P0 34.7315 4 28615 Repair foot dislocation A 7.77 5.38 23.15 NA 9.82 5.38 23.15 9.82 0.61 31.53 18.20 31.53 18.20 0090.10.69.2120210P0 34.7315 4 28630 Treat toe dislocation A 1.70 1.12 1.87 1.31 0.56 1.49 0.79 0.09 3.66 3.10 3.28 2.58 0010.10.80.1020000P0 34.7315 4 28635 Treat toe dislocation A 1.91 1.57 2.95 1.92 0.79 2.22 1.15 0.14 5.00 3.97 4.27 3.20 0010.10.80.1020000P0 34.7315 4 28636 Treat toe dislocation A 2.77 2.78 3.36 2.93 2.78 2.74 2.77 0.33 6.46 6.03 5.84 5.87 0010.10.80.1020120P0 34.7315 4 28645 Repair toe dislocation A 4.22 3.52 6.94 4.38 3.52 8.40 4.74 0.30 11.46 8.90 12.92 9.26 0090.10.69.2120110P0 34.7315 4 28660 Treat toe dislocation A 1.23 0.68 2.98 1.26 0.68 1.44 0.87 0.05 4.26 2.54 2.72 2.15 0010.10.80.1020100P0 34.7315 4 28665 Treat toe dislocation A 1.92 1.06 2.67 1.46 0.53 2.32 0.98 0.09 4.68 3.47 4.33 2.99 0010.10.80.1020000P0 34.7315 4 28666 Treat toe dislocation A 2.66 2.65 3.32 2.82 2.65 3.04 2.75 0.31 6.29 5.79 6.01 5.72 0010.10.80.1020120P0 34.7315 4 28675 Repair of toe dislocation A 2.92 3.26 10.94 5.18 3.26 13.11 5.72 0.32 14.18 8.42 16.35 8.96 0090.10.69.2120100P0 34.7315 4 28705 Fusion of foot bones A 15.21 16.40 11.50 NA15.18 16.40 11.50 15.18 1.84 28.55 32.23 28.55 32.23 0090.10.69.2120210P0 34.7315 4 28715 Fusion of foot bones A 13.10 13.38 11.10 NA12.81 13.38 11.10 12.81 1.48 25.68 27.39 25.68 27.39 0090.10.69.2120210P0 34.7315 4 28725 Fusion of foot bones A 11.61 10.24 9.42 NA10.04 10.24 9.42 10.04 1.13 22.16 22.78 22.16 22.78 0090.10.69.2120210P0 34.7315 4 28730 Fusion of foot bones A 10.76 9.77 9.49 NA 9.70 9.77 9.49 9.70 1.04 21.29 21.50 21.29 21.50 0090.10.69.2120210P0 34.7315 4 28735 Fusion of foot bones A 10.85 10.59 8.94 NA10.18 10.59 8.94 10.18 1.07 20.86 22.10 20.86 22.10 0090.10.69.2120210P0 34.7315 4 28737 Revision of foot bones A 9.64 9.63 8.63 NA 9.38 9.63 8.63 9.38 0.88 19.15 19.90 19.15 19.90 0090.10.69.2120210P0 34.7315 4 28740 Fusion of foot bones A 8.02 5.58 8.60 6.34 5.58 7.49 6.06 0.56 17.18 14.92 16.07 14.64 0090.10.69.2120210P0 34.7315 4 28750 Fusion of big toe joint A 7.30 5.77 9.01 6.58 5.77 7.60 6.23 0.64 16.95 14.52 15.54 14.17 0090.10.69.2121000P0 34.7315 4 28755 Fusion of big toe joint A 4.74 4.00 5.87 4.47 4.00 5.27 4.32 0.35 10.96 9.56 10.36 9.41 0090.10.69.2121110P0 34.7315 4 28760 Fusion of big toe joint A 7.75 5.86 7.11 6.17 5.86 6.36 5.99 0.51 15.37 14.43 14.62 14.25 0090.10.69.2121210P0 34.7315 4 28800 Amputation of midfoot A 8.21 7.22 7.08 NA 7.19 7.22 7.08 7.19 0.93 16.22 16.33 16.22 16.33 0090.10.69.2121210P0 34.7315 4 28805 Amputation thru metatarsal A 8.39 6.86 6.63 NA 6.80 6.86 6.63 6.80 0.95 15.97 16.14 15.97 16.14 0090.10.69.2121000P0 34.7315 4 28810 Amputation toe & metatarsal A 6.21 4.24 5.69 NA 4.60 4.24 5.69 4.60 0.59 12.49 11.40 12.49 11.40 0090.10.69.2120000P0 34.7315 4 28820 Amputation of toe A 4.41 2.80 7.22 3.91 2.80 5.14 3.39 0.36 11.99 8.68 9.91 8.16 0090.10.69.2120100P0 34.7315 4 28825 Partial amputation of toe A 3.59 2.60 6.80 3.65 2.60 4.67 3.12 0.32 10.71 7.56 8.58 7.03 0090.10.69.2120100P0 34.7315 4 28899 Foot/toes surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 29000 Application of body cast A 2.25 2.01 8.77 3.70 2.01 1.25 1.82 0.16 11.18 6.11 3.66 4.23 0000.00.00.0020000P0 34.7315 4 29010 Application of body cast A 2.06 2.53 10.72 4.58 2.46 1.21 2.15 0.27 13.05 6.91 3.54 4.48 0000.00.00.0020000P0 34.7315 4 29015 Application of body cast A 2.41 2.53 5.50 3.27 1.27 0.86 1.17 0.26 8.17 5.94 3.53 3.84 0000.00.00.0020000P0 34.7315 4 29020 Application of body cast A 2.11 1.98 8.56 3.63 0.99 0.88 0.96 0.18 10.85 5.92 3.17 3.25 0000.00.00.0020000P0 34.7315 4 29025 Application of body cast A 2.40 0.81 10.74 3.29 0.41 1.39 0.66 0.11 13.25 5.80 3.90 3.17 0000.00.00.0020000P0 34.7315 4 29035 Application of body cast A 1.77 2.12 12.00 4.59 1.06 1.02 1.05 0.25 14.02 6.61 3.04 3.07 0000.00.00.0020000P0 34.7315 4 29040 Application of body cast A 2.22 2.19 6.65 3.31 2.19 0.97 1.89 0.23 9.10 5.76 3.42 4.34 0000.00.00.0020000P0 34.7315 4 29044 Application of body cast A 2.12 2.27 15.67 5.62 2.27 1.22 2.01 0.27 18.06 8.01 3.61 4.40 0000.00.00.0020000P0 34.7315 4 29046 Application of body cast A 2.41 2.42 9.50 4.19 2.42 1.37 2.16 0.28 12.19 6.88 4.06 4.85 0000.00.00.0020000P0 34.7315 4 29049 Application of figure eight A 0.89 0.46 6.07 1.86 0.23 0.43 0.28 0.05 7.01 2.80 1.37 1.22 0000.00.00.0020000P0 34.7315 4 29055 Application of shoulder cast A 1.78 1.30 9.74 3.41 1.30 1.02 1.23 0.13 11.65 5.32 2.93 3.14 0000.00.00.0020000P0 34.7315 4 29058 Application of shoulder cast A 1.31 0.71 6.62 2.19 0.71 0.61 0.69 0.07 8.00 3.57 1.99 2.07 0000.00.00.0020000P0 34.7315 4 29065 Application of long arm cast A 0.87 0.87 4.33 1.74 0.44 0.50 0.46 0.10 5.30 2.71 1.47 1.43 0000.00.00.0021100P0 34.7315 4 29075 Application of forearm cast A 0.77 0.66 3.89 1.47 0.33 0.43 0.36 0.08 4.74 2.32 1.28 1.21 0000.00.00.0021100P0 34.7315 4 29085 Apply hand/wrist cast A 0.87 0.54 3.78 1.35 0.27 0.42 0.31 0.06 4.71 2.28 1.35 1.24 0000.00.00.0021100P0 34.7315 4 29105 Apply long arm splint A 0.87 0.54 2.95 1.14 0.27 0.34 0.29 0.06 3.88 2.07 1.27 1.22 0000.00.00.0021100P0 34.7315 4 29125 Apply forearm splint A 0.59 0.40 2.42 0.91 0.20 0.22 0.21 0.04 3.05 1.54 0.85 0.84 0000.00.00.0021100P0 34.7315 4 29126 Apply forearm splint A 0.77 0.43 3.19 1.12 0.22 0.37 0.26 0.05 4.01 1.94 1.19 1.08 0000.00.00.0021100P0 34.7315 4 29130 Application of finger splint A 0.50 0.18 0.68 0.31 0.09 0.19 0.12 0.02 1.20 0.83 0.71 0.64 0000.00.00.0021100P0 34.7315 4 29131 Application of finger splint A 0.55 0.42 1.08 0.59 0.21 0.26 0.22 0.05 1.68 1.19 0.86 0.82 0000.00.00.0021100P0 34.7315 4 29200 Strapping of chest A 0.65 0.29 0.92 0.45 0.15 0.21 0.17 0.02 1.59 1.12 0.88 0.84 0000.00.00.0020100P0 34.7315 4 29220 Strapping of low back A 0.64 0.41 0.91 0.54 0.21 0.29 0.23 0.04 1.59 1.22 0.97 0.91 0000.00.00.0020100P0 34.7315 4 29240 Strapping of shoulder A 0.71 0.29 1.01 0.47 0.29 0.24 0.28 0.02 1.74 1.20 0.97 1.01 0000.00.00.0020100P0 34.7315 4 29260 Strapping of elbow or wrist A 0.55 0.25 0.85 0.40 0.13 0.20 0.15 0.02 1.42 0.97 0.77 0.72 0000.00.00.0021100P0 34.7315 4 29280 Strapping of hand or finger A 0.51 0.23 0.85 0.39 0.12 0.19 0.14 0.02 1.38 0.92 0.72 0.67 0000.00.00.0021100P0 34.7315 4 29305 Application of hip cast A 2.03 2.04 12.33 4.61 2.04 1.19 1.83 0.24 14.60 6.88 3.46 4.10 0000.00.00.0020000P0 34.7315 4 29325 Application of hip casts A 2.32 2.11 12.57 4.73 2.11 1.35 1.92 0.22 15.11 7.27 3.89 4.46 0000.00.00.0020000P0 34.7315 4 29345 Application of long leg cast A 1.40 1.11 5.38 2.18 0.56 0.79 0.62 0.13 6.91 3.71 2.32 2.15 0000.00.00.0021100P0 34.7315 4 29355 Application of long leg cast A 1.53 1.19 5.81 2.35 0.60 0.86 0.67 0.13 7.47 4.01 2.52 2.33 0000.00.00.0021100P0 34.7315 4 29358 Apply long leg cast brace A 1.43 1.70 6.48 2.90 0.85 0.84 0.85 0.26 8.17 4.59 2.53 2.54 0000.00.00.0021100P0 34.7315 4 29365 Application of long leg cast A 1.18 0.93 4.72 1.88 0.47 0.67 0.52 0.11 6.01 3.17 1.96 1.81 0000.00.00.0021100P0 34.7315 4 29405 Apply short leg cast A 0.86 0.86 4.01 1.65 0.43 0.48 0.44 0.09 4.96 2.60 1.43 1.39 0000.00.00.0021100P0 34.7315 4 29425 Apply short leg cast A 1.01 1.05 3.84 1.75 0.53 0.54 0.53 0.11 4.96 2.87 1.66 1.65 0000.00.00.0021100P0 34.7315 4 29435 Apply short leg cast A 1.18 1.28 6.51 2.59 0.64 0.72 0.66 0.14 7.83 3.91 2.04 1.98 0000.00.00.0021100P0 34.7315 4 29440 Addition of walker to cast A 0.57 0.25 2.08 0.71 0.13 0.29 0.17 0.02 2.67 1.30 0.88 0.76 0000.00.00.0021100P0 34.7315 4 29445 Apply rigid leg cast A 1.78 1.84 6.21 2.93 1.84 0.86 1.60 0.22 8.21 4.93 2.86 3.60 0000.00.00.0021100P0 34.7315 4 29450 Application of leg cast A 1.02 0.42 3.45 1.18 0.21 0.52 0.29 0.03 4.50 2.23 1.57 1.34 0000.00.00.0021100P0 34.7315 4 29505 Application long leg splint A 0.69 0.62 3.39 1.31 0.62 0.30 0.54 0.05 4.13 2.05 1.04 1.28 0000.00.00.0021100P0 34.7315 4 29515 Application lower leg splint A 0.73 0.51 2.49 1.01 0.26 0.30 0.27 0.05 3.27 1.79 1.08 1.05 0000.00.00.0021100P0 34.7315 4 29520 Strapping of hip A 0.54 0.39 0.90 0.52 0.20 0.32 0.23 0.02 1.46 1.08 0.88 0.79 0000.00.00.0020000P0 34.7315 4 29530 Strapping of knee A 0.57 0.38 0.82 0.49 0.38 0.20 0.34 0.04 1.43 1.10 0.81 0.95 0000.00.00.0020100P0 34.7315 4 29540 Strapping of ankle A 0.51 0.33 0.45 0.36 0.17 0.20 0.18 0.02 0.98 0.89 0.73 0.71 0000.00.00.0020100P0 34.7315 4 29550 Strapping of toes A 0.47 0.30 0.41 0.33 0.15 0.21 0.17 0.02 0.90 0.82 0.70 0.66 0000.00.00.0020100P0 34.7315 4 29580 Application of paste boot A 0.57 0.86 0.75 0.83 0.19 0.27 0.21 0.03 1.35 1.43 0.87 0.81 0000.00.00.0021100P0 34.7315 4 29590 Application of foot splint A 0.76 0.30 0.63 0.38 0.15 0.32 0.19 0.02 1.41 1.16 1.10 0.97 0000.00.00.0020100P0 34.7315 4 29700 Removal/revision of cast A 0.57 0.35 0.59 0.41 0.18 0.28 0.21 0.04 1.20 1.02 0.89 0.82 0000.00.00.0020100P0 34.7315 4 29705 Removal/revision of cast A 0.76 0.38 0.81 0.49 0.19 0.36 0.23 0.04 1.61 1.29 1.16 1.03 0000.00.00.0021100P0 34.7315 4 29710 Removal/revision of cast A 1.34 0.49 1.40 0.72 0.25 0.76 0.38 0.05 2.79 2.11 2.15 1.77 0000.00.00.0021000P0 34.7315 4 29715 Removal/revision of cast A 0.94 0.93 6.51 2.33 0.47 0.46 0.47 0.09 7.54 3.36 1.49 1.50 0000.00.00.0020000P0 34.7315 4 29720 Repair of body cast A 0.68 0.25 3.99 1.19 0.13 0.44 0.21 0.03 4.70 1.90 1.15 0.92 0000.00.00.0020100P0 34.7315 4 29730 Windowing of cast A 0.75 0.28 0.77 0.40 0.14 0.36 0.20 0.03 1.55 1.18 1.14 0.98 0000.00.00.0020100P0 34.7315 4 29740 Wedging of cast A 1.12 0.41 2.82 1.01 0.21 0.53 0.29 0.05 3.99 2.18 1.70 1.46 0000.00.00.0020100P0 34.7315 4 29750 Wedging of clubfoot cast A 1.26 0.54 2.86 1.12 0.27 0.61 0.36 0.05 4.17 2.43 1.92 1.67 0000.00.00.0021000P0 34.7315 4 29799 Casting/strapping procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 29800 Jaw arthroscopy/surgery A 6.43 4.35 8.50 NA 5.39 4.35 8.50 5.39 0.36 15.29 12.18 15.29 12.18 0090.10.69.2121000P0 34.7315 4 29804 Jaw arthroscopy/surgery A 8.14 9.71 8.47 NA 9.40 9.71 8.47 9.40 1.14 17.75 18.68 17.75 18.68 0090.10.69.2121210P0 34.7315 4 29815 Shoulder arthroscopy A 5.89 5.25 6.21 NA 5.49 5.25 6.21 5.49 0.59 12.69 11.97 12.69 11.97 0090.10.69.2121110P0 34.7315 4 29819 Shoulder arthroscopy/surgery A 7.62 9.09 8.17 NA 8.86 9.09 8.17 8.86 1.35 17.14 17.83 17.14 17.83 0090.10.69.2131110P0 29815 34.7315 4 29820 Shoulder arthroscopy/surgery A 7.07 8.44 7.96 NA 8.32 8.44 7.96 8.32 1.35 16.38 16.74 16.38 16.74 0090.10.69.2131210P0 29815 34.7315 4 29821 Shoulder arthroscopy/surgery A 7.72 9.21 8.41 NA 9.01 9.21 8.41 9.01 1.67 17.80 18.40 17.80 18.40 0090.10.69.2131210P0 29815 34.7315 4 29822 Shoulder arthroscopy/surgery A 7.43 8.87 8.16 NA 8.69 8.87 8.16 8.69 1.36 16.95 17.48 16.95 17.48 0090.10.69.2131200P0 29815 34.7315 4 29823 Shoulder arthroscopy/surgery A 8.17 9.76 8.39 NA 9.42 9.76 8.39 9.42 1.82 18.38 19.41 18.38 19.41 0090.10.69.2131210P0 29815 34.7315 4 29825 Shoulder arthroscopy/surgery A 7.62 9.09 8.11 NA 8.85 9.09 8.11 8.85 1.60 17.33 18.07 17.33 18.07 0090.10.69.2131210P0 29815 34.7315 4 29826 Shoulder arthroscopy/surgery A 8.99 10.73 8.94 NA10.28 10.73 8.94 10.28 1.81 19.74 21.08 19.74 21.08 0090.10.69.2131210P0 29815 34.7315 4 29830 Elbow arthroscopy A 5.76 5.77 5.17 NA 5.62 5.77 5.17 5.62 0.65 11.58 12.03 11.58 12.03 0090.10.69.2121100P0 34.7315 4 29834 Elbow arthroscopy/surgery A 6.28 6.34 5.91 NA 6.23 6.34 5.91 6.23 0.75 12.94 13.26 12.94 13.26 0090.10.69.2131210P0 29830 34.7315 4 29835 Elbow arthroscopy/surgery A 6.48 6.54 5.90 NA 6.38 6.54 5.90 6.38 0.77 13.15 13.63 13.15 13.63 0090.10.69.2131210P0 29830 34.7315 4 29836 Elbow arthroscopy/surgery A 7.55 7.63 6.76 NA 7.41 7.63 6.76 7.41 0.90 15.21 15.86 15.21 15.86 0090.10.69.2131210P0 29830 34.7315 4 29837 Elbow arthroscopy/surgery A 6.87 6.95 6.33 NA 6.80 6.95 6.33 6.80 0.83 14.03 14.50 14.03 14.50 0090.10.69.2131210P0 29830 34.7315 4 29838 Elbow arthroscopy/surgery A 7.71 7.65 6.56 NA 7.38 7.65 6.56 7.38 0.89 15.16 15.98 15.16 15.98 0090.10.69.2131000P0 29830 34.7315 4 29840 Wrist arthroscopy A 5.54 3.57 7.07 NA 4.45 3.57 7.07 4.45 0.42 13.03 10.41 13.03 10.41 0090.10.69.2121000P0 34.7315 4 29843 Wrist arthroscopy/surgery A 6.01 6.08 7.33 NA 6.39 6.08 7.33 6.39 0.71 14.05 13.11 14.05 13.11 0090.10.69.2131210P0 29840 34.7315 4 29844 Wrist arthroscopy/surgery A 6.37 6.07 7.68 NA 6.47 6.07 7.68 6.47 0.74 14.79 13.58 14.79 13.58 0090.10.69.2131200P0 29840 34.7315 4 29845 Wrist arthroscopy/surgery A 7.52 7.60 9.12 NA 7.98 7.60 9.12 7.98 0.90 17.54 16.40 17.54 16.40 0090.10.69.2131210P0 29840 34.7315 4 29846 Wrist arthroscopy/surgery A 6.75 8.06 9.59 NA 8.44 8.06 9.59 8.44 1.72 18.06 16.91 18.06 16.91 0090.10.69.2131000P0 29840 34.7315 4 29847 Wrist arthroscopy/surgery A 7.08 7.36 9.93 NA 8.00 7.36 9.93 8.00 0.76 17.77 15.84 17.77 15.84 0090.10.69.2131200P0 29840 34.7315 4 29848 Wrist endoscopy/surgery A 5.44 4.18 7.06 NA 4.90 4.18 7.06 4.90 0.49 12.99 10.83 12.99 10.83 0090.10.69.2121100P0 34.7315 4 29850 Knee arthroscopy/surgery A 8.19 9.78 6.15 NA 8.87 4.89 6.15 5.21 1.36 15.70 18.42 15.70 14.76 0090.10.69.2121020P0 34.7315 4 29851 Knee arthroscopy/surgery A 13.10 11.88 10.20 NA11.46 11.88 10.20 11.46 1.36 24.66 25.92 24.66 25.92 0090.10.69.2121220P0 34.7315 4 29855 Tibial arthroscopy/surgery A 10.62 12.68 9.17 NA11.80 12.68 9.17 11.80 1.47 21.26 23.89 21.26 23.89 0090.10.69.2121220P0 34.7315 4 29856 Tibial arthroscopy/surgery A 14.14 12.69 10.89 NA12.24 12.69 10.89 12.24 1.47 26.50 27.85 26.50 27.85 0090.10.69.2121220P0 34.7315 4 29860 Hip arthroscopy, dx A 8.05 5.25 6.74 NA 5.62 5.25 6.74 5.62 0.59 15.38 14.26 15.38 14.26 0090.10.69.2121210P0 34.7315 4 29861 Hip arthroscopy/surgery A 9.15 10.18 7.71 NA 9.56 10.18 7.71 9.56 1.35 18.21 20.06 18.21 20.06 0090.10.69.2131210P0 29860 34.7315 4 29862 Hip arthroscopy/surgery A 9.90 10.93 8.09 NA10.22 10.93 8.09 10.22 1.82 19.81 21.94 19.81 21.94 0090.10.69.2131210P0 29860 34.7315 4 29863 Hip arthroscopy/surgery A 9.90 9.46 8.49 NA 9.22 9.46 8.49 9.22 1.35 19.74 20.47 19.74 20.47 0090.10.69.2131210P0 29860 34.7315 4 29870 Knee arthroscopy, diagnostic A 5.07 4.36 5.28 NA 4.59 4.36 5.28 4.59 0.50 10.85 10.16 10.85 10.16 0090.10.69.2121110P0 34.7315 4 29871 Knee arthroscopy/drainage A 6.55 7.35 6.71 NA 7.19 7.35 6.71 7.19 0.75 14.01 14.49 14.01 14.49 0090.10.69.2131100P0 29870 34.7315 4 29874 Knee arthroscopy/surgery A 7.05 8.42 6.68 NA 7.99 8.42 6.68 7.99 1.19 14.92 16.23 14.92 16.23 0090.10.69.2131000P0 29870 34.7315 4 29875 Knee arthroscopy/surgery A 6.31 7.53 6.41 NA 7.25 7.53 6.41 7.25 1.26 13.98 14.82 13.98 14.82 0090.10.69.2131000P0 29870 34.7315 4 29876 Knee arthroscopy/surgery A 7.92 9.45 7.64 NA 9.00 9.45 7.64 9.00 1.53 17.09 18.45 17.09 18.45 0090.10.69.2131100P0 29870 34.7315 4 29877 Knee arthroscopy/surgery A 7.35 8.78 6.99 NA 8.33 8.78 6.99 8.33 1.42 15.76 17.10 15.76 17.10 0090.10.69.2131000P0 29870 34.7315 4 29879 Knee arthroscopy/surgery A 8.04 9.59 7.33 NA 9.03 9.59 7.33 9.03 1.71 17.08 18.78 17.08 18.78 0090.10.69.2131000P0 29870 34.7315 4 29880 Knee arthroscopy/surgery A 8.50 10.15 7.60 NA 9.51 10.15 7.60 9.51 1.74 17.84 19.75 17.84 19.75 0090.10.69.2131010P0 29870 34.7315 4 29881 Knee arthroscopy/surgery A 7.76 9.27 7.20 NA 8.75 9.27 7.20 8.75 1.42 16.38 17.93 16.38 17.93 0090.10.69.2131000P0 29870 34.7315 4 29882 Knee arthroscopy/surgery A 8.65 10.33 7.64 NA 9.66 10.33 7.64 9.66 1.49 17.78 19.80 17.78 19.80 0090.10.69.2131100P0 29870 34.7315 4 29883 Knee arthroscopy/surgery A 9.46 11.30 8.09 NA10.50 11.30 8.09 10.50 2.19 19.74 22.15 19.74 22.15 0090.10.69.2131000P0 29870 34.7315 4 29884 Knee arthroscopy/surgery A 7.33 8.75 7.46 NA 8.43 8.75 7.46 8.43 1.22 16.01 16.98 16.01 16.98 0090.10.69.2131210P0 29870 34.7315 4 29885 Knee arthroscopy/surgery A 9.09 8.93 8.32 NA 8.78 8.93 8.32 8.78 1.06 18.47 18.93 18.47 18.93 0090.10.69.2131210P0 29870 34.7315 4 29886 Knee arthroscopy/surgery A 7.54 7.38 7.46 NA 7.40 7.38 7.46 7.40 0.88 15.88 15.82 15.88 15.82 0090.10.69.2131100P0 29870 34.7315 4 29887 Knee arthroscopy/surgery A 9.04 10.79 8.32 NA10.17 10.79 8.32 10.17 1.34 18.70 20.55 18.70 20.55 0090.10.69.2131210P0 29870 34.7315 4 29888 Knee arthroscopy/surgery A 13.90 16.59 11.05 NA15.21 16.59 11.05 15.21 2.49 27.44 31.60 27.44 31.60 0090.10.69.2121210P0 34.7315 4 29889 Knee arthroscopy/surgery A 15.13 11.13 11.37 NA11.19 11.13 11.37 11.19 1.31 27.81 27.63 27.81 27.63 0090.10.69.2121210P0 34.7315 4 29891 Ankle arthroscopy/surgery A 8.40 9.62 7.72 NA 9.15 9.62 7.72 9.15 1.38 17.50 18.93 17.50 18.93 0090.10.69.2121200P0 34.7315 4 29892 Ankle arthroscopy/surgery A 9.00 9.62 7.96 NA 9.21 9.62 7.96 9.21 1.38 18.34 19.59 18.34 19.59 0090.10.69.2121200P0 34.7315 4 29893 Scope, plantar fasciotomy A 5.22 5.64 4.65 NA 5.39 5.64 4.65 5.39 0.36 10.23 10.97 10.23 10.97 0090.10.69.2121210P0 34.7315 4 29894 Ankle arthroscopy/surgery A 7.21 8.61 6.96 NA 8.20 8.61 6.96 8.20 1.15 15.32 16.56 15.32 16.56 0090.10.69.2121210P0 34.7315 4 29895 Ankle arthroscopy/surgery A 6.99 8.35 6.83 NA 7.97 8.35 6.83 7.97 1.18 15.00 16.14 15.00 16.14 0090.10.69.2121210P0 34.7315 4 29897 Ankle arthroscopy/surgery A 7.18 8.57 7.29 NA 8.25 8.57 7.29 8.25 1.38 15.85 16.81 15.85 16.81 0090.10.69.2121200P0 34.7315 4 29898 Ankle arthroscopy/surgery A 8.32 9.93 7.24 NA 9.26 9.93 7.24 9.26 1.49 17.05 19.07 17.05 19.07 0090.10.69.2121210P0 34.7315 4 29909 Arthroscopy of joint C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021111P0 34.7315 9 30000 Drainage of nose lesion A 1.43 0.63 2.06 0.99 0.32 1.58 0.64 0.04 3.53 2.46 3.05 2.11 0010.10.80.1020000P0 34.7315 4 30020 Drainage of nose lesion A 1.43 0.65 2.26 1.05 0.33 1.69 0.67 0.05 3.74 2.53 3.17 2.15 0010.10.80.1020100P0 34.7315 4 30100 Intranasal biopsy A 0.94 0.75 1.07 0.83 0.38 0.53 0.42 0.06 2.07 1.83 1.53 1.42 0000.00.00.0020100P0 34.7315 4 30110 Removal of nose polyp(s) A 1.63 1.40 2.20 1.60 0.70 0.90 0.75 0.11 3.94 3.34 2.64 2.49 0010.10.80.1021100P0 34.7315 4 30115 Removal of nose polyp(s) A 4.35 3.05 4.71 NA 3.47 3.05 4.71 3.47 0.23 9.29 8.05 9.29 8.05 0090.10.76.1421100P0 34.7315 4 30117 Removal of intranasal lesion A 3.16 3.08 3.70 3.24 3.08 3.15 3.10 0.24 7.10 6.64 6.55 6.50 0090.10.76.1420100P0 34.7315 4 30118 Removal of intranasal lesion A 9.69 8.69 8.21 NA 8.57 8.69 8.21 8.57 0.72 18.62 18.98 18.62 18.98 0090.10.76.1420210P0 34.7315 4 30120 Revision of nose A 5.27 6.29 4.71 5.90 6.29 5.61 6.12 0.78 10.76 11.95 11.66 12.17 0090.10.76.1420100P0 34.7315 4 30124 Removal of nose lesion A 3.10 1.45 3.49 NA 1.96 0.73 3.49 1.42 0.13 6.72 5.19 6.72 4.65 0090.10.76.1420100P0 34.7315 4 30125 Removal of nose lesion A 7.16 6.02 6.76 NA 6.21 6.02 6.76 6.21 0.57 14.49 13.94 14.49 13.94 0090.10.76.1420200P0 34.7315 4 30130 Removal of turbinate bones A 3.38 1.81 4.26 NA 2.42 1.81 4.26 2.42 0.13 7.77 5.93 7.77 5.93 0090.10.76.1421100P0 34.7315 4 30140 Removal of turbinate bones A 3.43 3.30 4.63 NA 3.63 3.30 4.63 3.63 0.27 8.33 7.33 8.33 7.33 0090.10.76.1421100P0 34.7315 4 30150 Partial removal of nose A 9.14 8.60 7.94 NA 8.44 8.60 7.94 8.44 0.84 17.92 18.42 17.92 18.42 0090.10.76.1420110P0 34.7315 4 30160 Removal of nose A 9.58 11.44 8.02 NA10.59 11.44 8.02 10.59 1.35 18.95 21.52 18.95 21.52 0090.10.76.1420210P0 34.7315 4 30200 Injection treatment of nose A 0.78 0.40 1.08 0.57 0.20 0.44 0.26 0.03 1.89 1.38 1.25 1.07 0000.00.00.0020100P0 34.7315 4 30210 Nasal sinus therapy A 1.08 0.28 1.70 0.64 0.14 0.60 0.26 0.02 2.80 1.74 1.70 1.36 0010.10.80.1020100P0 34.7315 4 30220 Insert nasal septal button A 1.54 1.64 2.04 1.74 0.82 0.88 0.84 0.13 3.71 3.41 2.55 2.51 0010.10.80.1020100P0 34.7315 4 30300 Remove nasal foreign body A 1.04 0.50 1.99 0.87 0.25 0.38 0.28 0.04 3.07 1.95 1.46 1.36 0010.10.80.1020100P0 34.7315 4 30310 Remove nasal foreign body A 1.96 1.76 2.06 NA 1.84 1.76 2.06 1.84 0.14 4.16 3.94 4.16 3.94 0010.10.80.1020000P0 34.7315 4 30320 Remove nasal foreign body A 4.52 4.66 5.01 NA 4.75 4.66 5.01 4.75 0.34 9.87 9.61 9.87 9.61 0090.10.76.1420000P0 34.7315 4 30400 Reconstruction of nose R 9.83 10.82 8.39 NA10.21 10.82 8.39 10.21 1.06 19.28 21.10 19.28 21.10 0090.10.76.1420000P0 34.7315 4 30410 Reconstruction of nose R 12.98 15.50 10.08 NA14.15 15.50 10.08 14.15 1.57 24.63 28.70 24.63 28.70 0090.10.76.1420200P0 34.7315 4 30420 Reconstruction of nose R 15.88 18.96 11.88 NA17.19 18.96 11.88 17.19 1.74 29.50 34.81 29.50 34.81 0090.10.76.1420100P0 34.7315 4 30430 Revision of nose R 7.21 6.61 6.95 NA 6.70 6.61 6.95 6.70 0.52 14.68 14.43 14.68 14.43 0090.10.76.1420200P0 34.7315 4 30435 Revision of nose R 11.71 11.04 9.51 NA10.66 11.04 9.51 10.66 0.86 22.08 23.23 22.08 23.23 0090.10.76.1420200P0 34.7315 4 30450 Revision of nose R 18.65 12.20 13.23 NA12.46 12.20 13.23 12.46 0.71 32.59 31.82 32.59 31.82 0090.10.76.1420200P0 34.7315 4 30460 Revision of nose A 9.96 9.31 8.49 NA 9.11 9.31 8.49 9.11 0.73 19.18 19.80 19.18 19.80 0090.10.76.1420220P0 34.7315 4 30462 Revision of nose A 19.57 18.62 13.40 NA17.32 18.62 13.40 17.32 1.46 34.43 38.35 34.43 38.35 0090.10.76.1420220P0 34.7315 4 30520 Repair of nasal septum A 5.70 6.80 5.80 NA 6.55 6.80 5.80 6.55 0.75 12.25 13.00 12.25 13.00 0090.10.76.1420100P0 34.7315 4 30540 Repair nasal defect A 7.75 7.20 6.47 NA 7.02 7.20 6.47 7.02 0.55 14.77 15.32 14.77 15.32 0090.10.76.1420200P0 34.7315 4 30545 Repair nasal defect A 11.38 11.75 9.03 NA11.07 11.75 9.03 11.07 0.73 21.14 23.18 21.14 23.18 0090.10.76.1420200P0 34.7315 4 30560 Release of nasal adhesions A 1.26 0.60 1.87 0.92 0.30 1.64 0.64 0.05 3.18 2.23 2.95 1.95 0010.10.80.1020100P0 34.7315 4 30580 Repair upper jaw fistula A 6.69 6.77 4.21 6.13 3.39 5.45 3.91 0.45 11.35 13.27 12.59 11.05 0090.10.76.1420100P0 34.7315 4 30600 Repair mouth/nose fistula A 6.02 4.09 4.06 4.08 4.09 5.06 4.33 0.28 10.36 10.38 11.36 10.63 0090.10.76.1420000P0 34.7315 4 30620 Intranasal reconstruction A 5.97 7.13 6.18 NA 6.89 7.13 6.18 6.89 0.86 13.01 13.72 13.01 13.72 0090.10.76.1420100P0 34.7315 4 30630 Repair nasal septum defect A 7.12 6.77 6.84 NA 6.79 6.77 6.84 6.79 0.56 14.52 14.47 14.52 14.47 0090.10.76.1420000P0 34.7315 4 30801 Cauterization inner nose A 1.09 0.51 2.01 0.89 0.26 2.49 0.82 0.04 3.14 2.02 3.62 1.95 0010.10.80.1022100P0 34.7315 4 30802 Cauterization inner nose A 2.03 1.02 2.54 1.40 1.02 3.14 1.55 0.09 4.66 3.52 5.26 3.67 0010.10.80.1022100P0 34.7315 4 30901 Control of nosebleed A 1.21 0.61 1.80 0.91 0.31 0.59 0.38 0.05 3.06 2.17 1.85 1.64 0000.00.00.0021100P0 34.7315 4 30903 Control of nosebleed A 1.54 0.92 2.13 1.22 0.92 0.91 0.92 0.06 3.73 2.82 2.51 2.52 0000.00.00.0021100P0 34.7315 4 30905 Control of nosebleed A 1.97 1.94 3.72 2.39 1.94 1.39 1.80 0.13 5.82 4.49 3.49 3.90 0000.00.00.0022100P0 34.7315 4 30906 Repeat control of nosebleed A 2.45 1.17 3.96 1.87 1.17 1.93 1.36 0.09 6.50 4.41 4.47 3.90 0000.00.00.0022100P0 34.7315 4 30915 Ligation nasal sinus artery A 7.20 5.37 6.93 NA 5.76 5.37 6.93 5.76 0.41 14.54 13.37 14.54 13.37 0090.10.76.1420100P0 34.7315 4 30920 Ligation upper jaw artery A 9.83 10.35 8.44 NA 9.87 10.35 8.44 9.87 1.03 19.30 20.73 19.30 20.73 0090.10.76.1420100P0 34.7315 4 30930 Therapy fracture of nose A 1.26 0.77 2.55 NA 1.22 0.77 2.55 1.22 0.06 3.87 2.54 3.87 2.54 0010.10.80.1020100P0 34.7315 4 30999 Nasal surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 31000 Irrigation maxillary sinus A 1.15 0.47 1.89 0.83 0.24 0.66 0.35 0.04 3.08 2.02 1.85 1.54 0010.10.80.1021100P0 34.7315 4 31002 Irrigation sphenoid sinus A 1.91 0.50 2.58 NA 1.02 0.25 2.58 0.83 0.04 4.53 2.97 4.53 2.78 0010.10.80.1021000P0 34.7315 4 31020 Exploration maxillary sinus A 2.94 2.89 3.51 3.05 2.89 3.52 3.05 0.23 6.68 6.22 6.69 6.22 0090.10.76.1421100P0 34.7315 4 31030 Exploration maxillary sinus A 5.92 7.07 3.85 6.27 7.07 4.87 6.52 0.67 10.44 12.86 11.46 13.11 0090.10.76.1421100P0 34.7315 4 31032 Explore sinus,remove polyps A 6.57 7.85 6.16 NA 7.43 7.85 6.16 7.43 0.77 13.50 14.77 13.50 14.77 0090.10.76.1421100P0 34.7315 4 31040 Exploration behind upper jaw A 9.42 8.66 6.65 NA 8.16 8.66 6.65 8.16 0.67 16.74 18.25 16.74 18.25 0090.10.76.1420110P0 34.7315 4 31050 Exploration sphenoid sinus A 5.28 6.31 5.15 NA 6.02 6.31 5.15 6.02 0.50 10.93 11.80 10.93 11.80 0090.10.76.1421100P0 34.7315 4 31051 Sphenoid sinus surgery A 7.11 8.49 6.49 NA 7.99 8.49 6.49 7.99 0.66 14.26 15.76 14.26 15.76 0090.10.76.1421100P0 34.7315 4 31070 Exploration of frontal sinus A 4.28 5.09 4.97 NA 5.06 5.09 4.97 5.06 0.39 9.64 9.73 9.64 9.73 0090.10.76.1421100P0 34.7315 4 31075 Exploration of frontal sinus A 9.16 10.94 8.07 NA10.22 10.94 8.07 10.22 0.86 18.09 20.24 18.09 20.24 0090.10.76.1421210P0 34.7315 4 31080 Removal of frontal sinus A 11.42 10.00 8.73 NA 9.68 10.00 8.73 9.68 0.88 21.03 21.98 21.03 21.98 0090.10.76.1421200P0 34.7315 4 31081 Removal of frontal sinus A 12.75 11.20 9.76 NA10.84 11.20 9.76 10.84 1.02 23.53 24.61 23.53 24.61 0090.10.76.1421210P0 34.7315 4 31084 Removal of frontal sinus A 13.51 16.05 10.46 NA14.65 16.05 10.46 14.65 1.27 25.24 29.43 25.24 29.43 0090.10.76.1421210P0 34.7315 4 31085 Removal of frontal sinus A 14.20 16.95 10.44 NA15.32 16.95 10.44 15.32 1.38 26.02 30.90 26.02 30.90 0090.10.76.1421210P0 34.7315 4 31086 Removal of frontal sinus A 12.86 11.80 10.33 NA11.43 11.80 10.33 11.43 0.90 24.09 25.19 24.09 25.19 0090.10.76.1421200P0 34.7315 4 31087 Removal of frontal sinus A 13.10 11.28 10.33 NA11.04 11.28 10.33 11.04 1.04 24.47 25.18 24.47 25.18 0090.10.76.1421210P0 34.7315 4 31090 Exploration of sinuses A 9.53 11.37 8.59 NA10.68 11.37 8.59 10.68 1.66 19.78 21.87 19.78 21.87 0090.10.76.1421100P0 34.7315 4 31200 Removal of ethmoid sinus A 4.97 5.01 6.20 NA 5.31 5.01 6.20 5.31 0.38 11.55 10.66 11.55 10.66 0090.10.76.1421100P0 34.7315 4 31201 Removal of ethmoid sinus A 8.37 7.61 7.60 NA 7.61 7.61 7.60 7.61 0.59 16.56 16.57 16.56 16.57 0090.10.76.1421100P0 34.7315 4 31205 Removal of ethmoid sinus A 10.24 8.71 8.88 NA 8.75 8.71 8.88 8.75 0.63 19.75 19.62 19.75 19.62 0090.10.76.1421210P0 34.7315 4 31225 Removal of upper jaw A 19.23 21.10 16.76 NA20.02 21.10 16.76 20.02 1.85 37.84 41.10 37.84 41.10 0090.10.76.1421210P0 34.7315 4 31230 Removal of upper jaw A 21.94 23.59 19.67 NA22.61 23.59 19.67 22.61 1.94 43.55 46.49 43.55 46.49 0090.10.76.1421210P0 34.7315 4 31231 Nasal endoscopy, dx A 1.10 1.49 1.62 1.52 1.49 0.61 1.27 0.12 2.84 2.74 1.83 2.49 0000.00.00.0022100P0 34.7315 4 31233 Nasal/sinus endoscopy, dx A 2.18 3.03 2.25 2.84 1.52 1.23 1.45 0.24 4.67 5.26 3.65 3.87 0000.00.00.0021100P0 34.7315 4 31235 Nasal/sinus endoscopy, dx A 2.64 2.59 2.53 2.58 1.30 1.45 1.34 0.20 5.37 5.42 4.29 4.18 0000.00.00.0021100P0 34.7315 4 31237 Nasal/sinus endoscopy, surg A 2.98 3.56 2.77 3.36 1.78 1.67 1.75 0.29 6.04 6.63 4.94 5.02 0000.00.00.0021100P0 34.7315 4 31238 Nasal/sinus endoscopy, surg A 3.26 3.90 3.13 3.71 1.95 1.89 1.94 0.35 6.74 7.32 5.50 5.55 0000.00.00.0021000P0 34.7315 4 31239 Nasal/sinus endoscopy, surg A 8.70 10.39 6.85 NA 9.51 10.39 6.85 9.51 0.92 16.47 19.13 16.47 19.13 0010.10.80.1021000P0 34.7315 4 31240 Nasal/sinus endoscopy, surg A 2.61 3.11 1.99 NA 2.83 3.11 1.99 2.83 0.29 4.89 5.73 4.89 5.73 0000.00.00.0021000P0 34.7315 4 31254 Revision of ethmoid sinus A 4.65 5.56 3.21 NA 4.97 5.56 3.21 4.97 0.54 8.40 10.16 8.40 10.16 0000.00.00.0021100P0 34.7315 4 31255 Removal of ethmoid sinus A 6.96 8.31 4.72 NA 7.41 8.31 4.72 7.41 0.89 12.57 15.26 12.57 15.26 0000.00.00.0021100P0 34.7315 4 31256 Exploration maxillary sinus A 3.29 3.93 2.39 NA 3.55 3.93 2.39 3.55 0.32 6.00 7.16 6.00 7.16 0000.00.00.0021100P0 34.7315 4 31267 Endoscopy, maxillary sinus A 5.46 5.68 3.61 NA 5.16 5.68 3.61 5.16 0.63 9.70 11.25 9.70 11.25 0000.00.00.0021100P0 34.7315 4 31276 Sinus surgical endoscopy A 8.85 7.29 5.69 NA 6.89 7.29 5.69 6.89 0.57 15.11 16.31 15.11 16.31 0000.00.00.0021100P0 34.7315 4 31287 Nasal/sinus endoscopy, surg A 3.92 4.68 2.75 NA 4.20 4.68 2.75 4.20 0.51 7.18 8.63 7.18 8.63 0000.00.00.0021000P0 34.7315 4 31288 Nasal/sinus endoscopy, surg A 4.58 5.47 3.10 NA 4.88 5.47 3.10 4.88 0.61 8.29 10.07 8.29 10.07 0000.00.00.0021000P0 34.7315 4 31290 Nasal/sinus endoscopy, surg A 17.24 17.87 12.01 NA16.41 17.87 12.01 16.41 1.41 30.66 35.06 30.66 35.06 0010.10.80.1021000P0 34.7315 4 31291 Nasal/sinus endoscopy, surg A 18.19 18.79 12.28 NA17.16 18.79 12.28 17.16 1.47 31.94 36.82 31.94 36.82 0010.10.80.1021000P0 34.7315 4 31292 Nasal/sinus endoscopy, surg A 14.76 14.52 10.55 NA13.53 14.52 10.55 13.53 1.13 26.44 29.42 26.44 29.42 0010.10.80.1021000P0 34.7315 4 31293 Nasal/sinus endoscopy, surg A 16.21 15.89 11.77 NA14.86 15.89 11.77 14.86 1.24 29.22 32.31 29.22 32.31 0010.10.80.1021000P0 34.7315 4 31294 Nasal/sinus endoscopy, surg A 19.06 18.15 12.77 NA16.81 18.15 12.77 16.81 1.43 33.26 37.30 33.26 37.30 0010.10.80.1021000P0 34.7315 4 31299 Sinus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 31300 Removal of larynx lesion A 14.29 12.57 17.31 NA13.76 12.57 17.31 13.76 1.00 32.60 29.05 32.60 29.05 0090.10.76.1420210P0 34.7315 4 31320 Diagnostic incision larynx A 5.26 4.20 11.84 NA 6.11 4.20 11.84 6.11 0.38 17.48 11.75 17.48 11.75 0090.10.76.1420000P0 34.7315 4 31360 Removal of larynx A 17.08 20.39 20.26 NA20.36 20.39 20.26 20.36 1.71 39.05 39.15 39.05 39.15 0090.10.76.1420210P0 34.7315 4 31365 Removal of larynx A 24.16 28.85 24.46 NA27.75 28.85 24.46 27.75 2.43 51.05 54.34 51.05 54.34 0090.10.76.1420210P0 34.7315 4 31367 Partial removal of larynx A 21.86 18.69 24.25 NA20.08 18.69 24.25 20.08 1.47 47.58 43.41 47.58 43.41 0090.10.76.1420210P0 34.7315 4 31368 Partial removal of larynx A 27.09 29.04 29.93 NA29.26 29.04 29.93 29.26 2.39 59.41 58.74 59.41 58.74 0090.10.76.1420210P0 34.7315 4 31370 Partial removal of larynx A 21.38 18.64 23.21 NA19.78 18.64 23.21 19.78 1.47 46.06 42.63 46.06 42.63 0090.10.76.1420210P0 34.7315 4 31375 Partial removal of larynx A 20.21 16.11 23.45 NA17.95 16.11 23.45 17.95 1.22 44.88 39.38 44.88 39.38 0090.10.76.1420210P0 34.7315 4 31380 Partial removal of larynx A 20.21 18.74 22.70 NA19.73 18.74 22.70 19.73 1.47 44.38 41.41 44.38 41.41 0090.10.76.1420210P0 34.7315 4 31382 Partial removal of larynx A 20.52 17.43 22.80 NA18.77 17.43 22.80 18.77 1.39 44.71 40.68 44.71 40.68 0090.10.76.1420210P0 34.7315 4 31390 Removal of larynx & pharynx A 27.53 29.39 29.71 NA29.47 29.39 29.71 29.47 3.17 60.41 60.17 60.41 60.17 0090.10.76.1420210P0 34.7315 4 31395 Reconstruct larynx & pharynx A 31.09 36.38 35.01 NA36.04 36.38 35.01 36.04 3.46 69.56 70.59 69.56 70.59 0090.10.76.1420210P0 34.7315 4 31400 Revision of larynx A 10.31 8.48 15.83 NA10.32 8.48 15.83 10.32 0.71 26.85 21.34 26.85 21.34 0090.10.76.1420200P0 34.7315 4 31420 Removal of epiglottis A 10.22 8.77 14.89 NA10.30 8.77 14.89 10.30 0.66 25.77 21.18 25.77 21.18 0090.10.76.1420210P0 34.7315 4 31500 Insert emergency airway A 2.33 1.24 0.69 NA 1.10 1.24 0.69 1.10 0.11 3.13 3.54 3.13 3.54 0000.00.00.0000100P0 34.7315 4 31502 Change of windpipe airway A 0.65 0.63 1.45 0.84 0.63 0.26 0.54 0.05 2.15 1.54 0.96 1.24 0000.00.00.0020100P0 34.7315 4 31505 Diagnostic laryngoscopy A 0.61 0.47 1.44 0.71 0.24 0.43 0.29 0.04 2.09 1.36 1.08 0.94 0000.00.00.0020100P0 34.7315 4 31510 Laryngoscopy with biopsy A 1.92 0.60 2.24 1.01 0.60 0.98 0.70 0.05 4.21 2.98 2.95 2.67 0000.00.00.0030000P0 31505 34.7315 4 31511 Remove foreign body, larynx A 2.16 1.04 2.48 1.40 1.04 0.73 0.96 0.08 4.72 3.64 2.97 3.20 0000.00.00.0030100P0 31505 34.7315 4 31512 Removal of larynx lesion A 2.07 1.94 2.44 2.07 1.94 1.11 1.73 0.16 4.67 4.30 3.34 3.96 0000.00.00.0030000P0 31505 34.7315 4 31513 Injection into vocal cord A 2.10 2.51 1.58 NA 2.28 2.51 1.58 2.28 0.30 3.98 4.68 3.98 4.68 0000.00.00.0030000P0 31505 34.7315 4 31515 Laryngoscopy for aspiration A 1.80 1.23 2.90 1.65 1.23 1.04 1.18 0.11 4.81 3.56 2.95 3.09 0000.00.00.0020100P0 34.7315 4 31520 Diagnostic laryngoscopy A 2.56 1.78 1.60 NA 1.74 1.78 1.60 1.74 0.14 4.30 4.44 4.30 4.44 0000.00.00.0020000P0 34.7315 4 31525 Diagnostic laryngoscopy A 2.63 2.39 2.50 2.42 1.20 1.70 1.33 0.18 5.31 5.23 4.51 4.14 0000.00.00.0020100P0 34.7315 4 31526 Diagnostic laryngoscopy A 2.57 3.07 1.87 NA 2.77 3.07 1.87 2.77 0.30 4.74 5.64 4.74 5.64 0000.00.00.0020100P0 34.7315 4 31527 Laryngoscopy for treatment A 3.27 3.24 2.12 NA 2.96 3.24 2.12 2.96 0.23 5.62 6.46 5.62 6.46 0000.00.00.0030000P0 31525 34.7315 4 31528 Laryngoscopy and dilatation A 2.37 2.83 1.64 NA 2.53 2.83 1.64 2.53 0.23 4.24 5.13 4.24 5.13 0000.00.00.0030000P0 31525 34.7315 4 31529 Laryngoscopy and dilatation A 2.68 2.67 1.90 NA 2.48 2.67 1.90 2.48 0.20 4.78 5.36 4.78 5.36 0000.00.00.0030000P0 31525 34.7315 4 31530 Operative laryngoscopy A 3.39 3.94 1.96 NA 3.45 3.94 1.96 3.45 0.31 5.66 7.15 5.66 7.15 0000.00.00.0030100P0 31525 34.7315 4 31531 Operative laryngoscopy A 3.59 4.29 2.52 NA 3.85 4.29 2.52 3.85 0.47 6.58 7.91 6.58 7.91 0000.00.00.0030000P0 31526 34.7315 4 31535 Operative laryngoscopy A 3.16 3.78 2.09 NA 3.36 3.78 2.09 3.36 0.35 5.60 6.87 5.60 6.87 0000.00.00.0030100P0 31525 34.7315 4 31536 Operative laryngoscopy A 3.56 4.25 2.50 NA 3.81 4.25 2.50 3.81 0.46 6.52 7.83 6.52 7.83 0000.00.00.0030100P0 31526 34.7315 4 31540 Operative laryngoscopy A 4.13 4.93 2.80 NA 4.40 4.93 2.80 4.40 0.48 7.41 9.01 7.41 9.01 0000.00.00.0030100P0 31525 34.7315 4 31541 Operative laryngoscopy A 4.53 4.95 3.08 NA 4.48 4.95 3.08 4.48 0.59 8.20 9.60 8.20 9.60 0000.00.00.0030100P0 31526 34.7315 4 31560 Operative laryngoscopy A 5.46 5.42 3.64 NA 4.98 5.42 3.64 4.98 0.40 9.50 10.84 9.50 10.84 0000.00.00.0030000P0 31525 34.7315 4 31561 Operative laryngoscopy A 6.00 6.80 4.09 NA 6.12 6.80 4.09 6.12 0.84 10.93 12.96 10.93 12.96 0000.00.00.0030000P0 31526 34.7315 4 31570 Laryngoscopy with injection A 3.87 4.62 3.48 4.34 2.31 2.59 2.38 0.47 7.82 8.68 6.93 6.72 0000.00.00.0030100P0 31525 34.7315 4 31571 Laryngoscopy with injection A 4.27 4.89 2.90 NA 4.39 4.89 2.90 4.39 0.54 7.71 9.20 7.71 9.20 0000.00.00.0030100P0 31526 34.7315 4 31575 Diagnostic laryngoscopy A 1.10 1.69 1.79 1.72 0.85 0.61 0.79 0.13 3.02 2.95 1.84 2.02 0000.00.00.0020100P0 34.7315 4 31576 Laryngoscopy with biopsy A 1.97 2.36 1.82 2.23 2.36 1.03 2.03 0.26 4.05 4.46 3.26 4.26 0000.00.00.0030100P0 31575 34.7315 4 31577 Remove foreign body, larynx A 2.47 2.95 2.18 2.76 2.95 1.21 2.52 0.29 4.94 5.52 3.97 5.28 0000.00.00.0030000P0 31575 34.7315 4 31578 Removal of larynx lesion A 2.84 3.39 2.41 3.15 3.39 1.61 2.95 0.38 5.63 6.37 4.83 6.17 0000.00.00.0030000P0 31575 34.7315 4 31579 Diagnostic laryngoscopy A 2.26 2.53 2.45 2.51 1.27 1.20 1.25 0.20 4.91 4.97 3.66 3.71 0000.00.00.0030100P0 31575 34.7315 4 31580 Revision of larynx A 12.38 14.78 17.38 NA15.43 14.78 17.38 15.43 1.28 31.04 29.09 31.04 29.09 0090.10.76.1420210P0 34.7315 4 31582 Revision of larynx A 21.62 19.39 22.26 NA20.11 19.39 22.26 20.11 1.52 45.40 43.25 45.40 43.25 0090.10.76.1420110P0 34.7315 4 31584 Repair of larynx fracture A 19.64 13.80 18.70 NA15.03 13.80 18.70 15.03 1.05 39.39 35.72 39.39 35.72 0090.10.76.1420210P0 34.7315 4 31585 Repair of larynx fracture A 4.64 4.09 8.68 NA 5.24 4.09 8.68 5.24 0.31 13.63 10.19 13.63 10.19 0090.10.76.1420000P0 34.7315 4 31586 Repair of larynx fracture A 8.03 7.11 11.46 NA 8.20 7.11 11.46 8.20 0.56 20.05 16.79 20.05 16.79 0090.10.76.1420000P0 34.7315 4 31587 Revision of larynx A 11.99 7.82 15.94 NA 9.85 7.82 15.94 9.85 0.62 28.55 22.46 28.55 22.46 0090.10.76.1420210P0 34.7315 4 31588 Revision of larynx A 13.11 11.61 17.94 NA13.19 11.61 17.94 13.19 0.91 31.96 27.21 31.96 27.21 0090.10.76.1420200P0 34.7315 4 31590 Reinnervate larynx A 6.97 6.25 11.96 NA 7.68 6.25 11.96 7.68 0.49 19.42 15.14 19.42 15.14 0090.10.76.1420210P0 34.7315 4 31595 Larynx nerve surgery A 8.34 7.42 13.65 NA 8.98 7.42 13.65 8.98 0.58 22.57 17.90 22.57 17.90 0090.10.76.1420210P0 34.7315 4 31599 Larynx surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 31600 Incision of windpipe A 3.62 4.32 2.28 NA 3.81 4.32 2.28 3.81 0.51 6.41 7.94 6.41 7.94 0000.00.00.0020100P0 34.7315 4 31601 Incision of windpipe A 4.45 5.32 3.28 NA 4.81 5.32 3.28 4.81 0.52 8.25 9.78 8.25 9.78 0000.00.00.0020210P0 34.7315 4 31603 Incision of windpipe A 4.15 4.59 2.56 NA 4.08 4.59 2.56 4.08 0.52 7.23 8.75 7.23 8.75 0000.00.00.0020100P0 34.7315 4 31605 Incision of windpipe A 3.58 4.28 1.84 NA 3.67 4.28 1.84 3.67 0.39 5.81 7.64 5.81 7.64 0000.00.00.0020100P0 34.7315 4 31610 Incision of windpipe A 8.76 7.24 10.57 NA 8.07 7.24 10.57 8.07 0.72 20.05 17.55 20.05 17.55 0090.10.76.1420100P0 34.7315 4 31611 Surgery/speech prosthesis A 5.64 7.00 10.06 NA 7.77 7.00 10.06 7.77 0.81 16.51 14.22 16.51 14.22 0090.10.76.1420210P0 34.7315 4 31612 Puncture/clear windpipe A 0.91 1.27 1.43 1.31 1.09 0.46 0.93 0.09 2.43 2.31 1.46 1.93 0000.00.00.0020000P0 34.7315 4 31613 Repair windpipe opening A 4.59 2.40 8.23 NA 3.86 2.40 8.23 3.86 0.22 13.04 8.67 13.04 8.67 0090.10.76.1420100P0 34.7315 4 31614 Repair windpipe opening A 7.12 7.31 11.69 NA 8.41 7.31 11.69 8.41 0.57 19.38 16.10 19.38 16.10 0090.10.76.1420100P0 34.7315 4 31615 Visualization of windpipe A 2.09 2.12 3.33 2.42 2.12 1.25 1.90 0.17 5.59 4.68 3.51 4.16 0000.00.00.0020100P0 34.7315 4 31622 Dx bronchoscope/wash A 2.78 3.34 3.18 3.30 3.34 1.12 2.79 0.27 6.23 6.35 4.17 5.84 0000.00.00.0020100P0 34.7315 4 31623 Dx bronchoscope/brush A 2.88 3.34 3.33 3.34 3.34 1.25 2.82 0.27 6.48 6.49 4.40 5.97 0000.00.00.0020100P0 34.7315 4 31624 Dx bronchoscope/lavage A 2.88 3.34 3.35 3.34 3.34 1.26 2.82 0.27 6.50 6.49 4.41 5.97 0000.00.00.0020100P0 34.7315 4 31625 Bronchoscopy with biopsy A 3.37 4.03 3.38 3.87 4.03 1.30 3.35 0.27 7.02 7.51 4.94 6.99 0000.00.00.0030100P0 31622 34.7315 4 31628 Bronchoscopy with biopsy A 3.81 4.55 3.24 4.22 4.55 1.40 3.76 0.30 7.35 8.33 5.51 7.87 0000.00.00.0030100P0 31622 34.7315 4 31629 Bronchoscopy with biopsy A 3.37 4.03 1.29 NA 3.35 4.03 1.29 3.35 0.27 4.93 6.99 4.93 6.99 0000.00.00.0030100P0 31622 34.7315 4 31630 Bronchoscopy with repair A 3.82 4.04 2.00 NA 3.53 4.04 2.00 3.53 0.39 6.21 7.74 6.21 7.74 0000.00.00.0030100P0 31622 34.7315 4 31631 Bronchoscopy with dilation A 4.37 4.28 2.04 NA 3.72 4.28 2.04 3.72 0.38 6.79 8.47 6.79 8.47 0000.00.00.0030100P0 31622 34.7315 4 31635 Remove foreign body, airway A 3.68 4.40 1.73 NA 3.73 4.40 1.73 3.73 0.41 5.82 7.82 5.82 7.82 0000.00.00.0030100P0 31622 34.7315 4 31640 Bronchoscopy & remove lesion A 4.94 5.45 2.45 NA 4.70 5.45 2.45 4.70 0.52 7.91 10.16 7.91 10.16 0000.00.00.0030100P0 31622 34.7315 4 31641 Bronchoscopy, treat blockage A 5.03 6.00 2.15 NA 5.04 6.00 2.15 5.04 0.66 7.84 10.73 7.84 10.73 0000.00.00.0030100P0 31622 34.7315 4 31643 Dx bronchoscope/catheter A 3.50 3.34 1.73 2.94 3.34 1.23 2.81 0.66 5.89 7.10 5.39 6.97 0000.00.00.0020100P0 34.7315 4 31645 Bronchoscopy, clear airways A 3.16 3.78 1.30 NA 3.16 3.78 1.30 3.16 0.23 4.69 6.55 4.69 6.55 0000.00.00.0030100P0 31622 34.7315 4 31646 Bronchoscopy,reclear airways A 2.72 3.24 1.19 NA 2.73 3.24 1.19 2.73 0.21 4.12 5.66 4.12 5.66 0000.00.00.0020100P0 34.7315 4 31656 Bronchoscopy,inject for xray A 2.17 2.59 0.93 NA 2.18 2.59 0.93 2.18 0.24 3.34 4.59 3.34 4.59 0000.00.00.0020000P0 34.7315 4 31700 Insertion of airway catheter A 1.34 1.50 2.42 1.73 1.50 0.68 1.30 0.13 3.89 3.20 2.15 2.77 0000.00.00.0020000P0 34.7315 4 31708 Instill airway contrast dye A 1.41 0.84 0.72 NA 0.81 0.84 0.72 0.81 0.07 2.20 2.29 2.20 2.29 0000.00.00.0021000P0 34.7315 4 31710 Insertion of airway catheter A 1.30 0.98 0.72 NA 0.92 0.98 0.72 0.92 0.09 2.11 2.31 2.11 2.31 0000.00.00.0021000P0 34.7315 4 31715 Injection for bronchus x-ray A 1.11 0.52 0.62 NA 0.55 0.52 0.62 0.55 0.03 1.76 1.69 1.76 1.69 0000.00.00.0021000P0 34.7315 4 31717 Bronchial brush biopsy A 2.12 0.79 4.60 1.74 0.79 0.92 0.82 0.05 6.77 3.91 3.09 2.99 0000.00.00.0020100P0 34.7315 4 31720 Clearance of airways A 1.06 0.80 2.01 1.10 0.80 0.56 0.74 0.07 3.14 2.23 1.69 1.87 0000.00.00.0020100P0 34.7315 4 31725 Clearance of airways A 1.96 1.53 0.84 NA 1.36 1.53 0.84 1.36 0.12 2.92 3.44 2.92 3.44 0000.00.00.0020100P0 34.7315 4 31730 Intro windpipe wire/tube A 2.85 2.68 2.02 2.52 2.68 1.03 2.27 0.18 5.05 5.55 4.06 5.30 0000.00.00.0020100P0 34.7315 4 31750 Repair of windpipe A 13.02 9.64 16.32 NA11.31 9.64 16.32 11.31 0.85 30.19 25.18 30.19 25.18 0090.10.76.1420210P0 34.7315 4 31755 Repair of windpipe A 15.93 14.43 19.27 NA15.64 14.43 19.27 15.64 1.13 36.33 32.70 36.33 32.70 0090.10.76.1420210P0 34.7315 4 31760 Repair of windpipe A 22.35 11.85 17.20 NA13.19 11.85 17.20 13.19 1.99 41.54 37.53 41.54 37.53 0090.10.76.1420210P0 34.7315 4 31766 Reconstruction of windpipe A 30.43 19.97 20.55 NA20.12 19.97 20.55 20.12 0.88 51.86 51.43 51.86 51.43 0090.10.76.1420210P0 34.7315 4 31770 Repair/graft of bronchus A 22.51 16.35 18.02 NA16.77 16.35 18.02 16.77 1.63 42.16 40.91 42.16 40.91 0090.10.76.1420210P0 34.7315 4 31775 Reconstruct bronchus A 23.54 17.77 18.92 NA18.06 17.77 18.92 18.06 1.50 43.96 43.10 43.96 43.10 0090.10.76.1420200P0 34.7315 4 31780 Reconstruct windpipe A 17.72 18.81 16.68 NA18.28 18.81 16.68 18.28 1.63 36.03 37.63 36.03 37.63 0090.10.76.1420210P0 34.7315 4 31781 Reconstruct windpipe A 23.53 18.30 23.29 NA19.55 18.30 23.29 19.55 1.53 48.35 44.61 48.35 44.61 0090.10.76.1420210P0 34.7315 4 31785 Remove windpipe lesion A 17.23 9.68 18.82 NA11.97 9.68 18.82 11.97 0.92 36.97 30.12 36.97 30.12 0090.10.76.1420210P0 34.7315 4 31786 Remove windpipe lesion A 23.98 14.43 24.59 NA16.97 14.43 24.59 16.97 1.75 50.32 42.70 50.32 42.70 0090.10.76.1420210P0 34.7315 4 31800 Repair of windpipe injury A 7.43 5.32 10.65 NA 6.65 5.32 10.65 6.65 0.59 18.67 14.67 18.67 14.67 0090.10.76.1420000P0 34.7315 4 31805 Repair of windpipe injury A 13.13 10.66 12.39 NA11.09 10.66 12.39 11.09 1.10 26.62 25.32 26.62 25.32 0090.10.76.1420210P0 34.7315 4 31820 Closure of windpipe lesion A 4.49 3.89 7.02 4.67 3.89 8.01 4.92 0.36 11.87 9.52 12.86 9.77 0090.10.76.1420000P0 34.7315 4 31825 Repair of windpipe defect A 6.81 5.43 9.82 6.53 5.43 11.15 6.86 0.45 17.08 13.79 18.41 14.12 0090.10.76.1420000P0 34.7315 4 31830 Revise windpipe scar A 4.50 3.97 6.85 4.69 3.97 8.11 5.01 0.33 11.68 9.52 12.94 9.84 0090.10.76.1420000P0 34.7315 4 31899 Airways surgical procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 32000 Drainage of chest A 1.54 0.98 3.47 1.60 0.98 0.67 0.90 0.06 5.07 3.20 2.27 2.50 0000.00.00.0000100P1A4550 34.7315 4 32001 Total lung lavage A 6.00 0.00 2.11 2.11 0.00 2.17 2.17 0.27 8.38 8.38 8.44 8.44 0000.00.00.0020100P0 34.7315 5 32002 Treatment of collapsed lung A 2.19 1.45 0.90 NA 1.31 1.45 0.90 1.31 0.17 3.26 3.67 3.26 3.67 0000.00.00.0000110P0 34.7315 4 32005 Treat lung lining chemically A 2.19 1.18 0.95 NA 1.12 1.18 0.95 1.12 0.12 3.26 3.43 3.26 3.43 0000.00.00.0020100P0 34.7315 4 32020 Insertion of chest tube A 3.98 2.85 1.58 NA 2.53 2.85 1.58 2.53 0.34 5.90 6.85 5.90 6.85 0000.00.00.0000100P0 34.7315 4 32035 Exploration of chest A 8.67 7.34 9.34 NA 7.84 7.34 9.34 7.84 0.98 18.99 17.49 18.99 17.49 0090.10.76.1420210P0 34.7315 4 32036 Exploration of chest A 9.68 7.74 10.12 NA 8.34 7.74 10.12 8.34 1.03 20.83 19.05 20.83 19.05 0090.10.76.1420210P0 34.7315 4 32095 Biopsy through chest wall A 8.36 8.95 9.21 NA 9.02 8.95 9.21 9.02 1.13 18.70 18.51 18.70 18.51 0090.10.76.1420210P0 34.7315 4 32100 Exploration/biopsy of chest A 11.84 12.20 10.84 NA11.86 12.20 10.84 11.86 1.64 24.32 25.34 24.32 25.34 0090.10.76.1420210P0 34.7315 4 32110 Explore/repair chest A 13.62 12.49 13.71 NA12.80 12.49 13.71 12.80 1.57 28.90 27.99 28.90 27.99 0090.10.76.1420210P0 34.7315 4 32120 Re-exploration of chest A 11.54 10.26 10.85 NA10.41 10.26 10.85 10.41 1.35 23.74 23.30 23.74 23.30 0090.10.76.1420210P0 34.7315 4 32124 Explore chest,free adhesions A 12.72 11.87 10.90 NA11.63 11.87 10.90 11.63 1.73 25.35 26.08 25.35 26.08 0090.10.76.1420210P0 34.7315 4 32140 Removal of lung lesion(s) A 13.93 13.42 11.48 NA12.94 13.42 11.48 12.94 1.89 27.30 28.76 27.30 28.76 0090.10.76.1420210P0 34.7315 4 32141 Remove/treat lung lesions A 14.00 14.56 14.10 NA14.45 14.56 14.10 14.45 1.98 30.08 30.43 30.08 30.43 0090.10.76.1420210P0 34.7315 4 32150 Removal of lung lesion(s) A 14.15 11.22 11.67 NA11.33 11.22 11.67 11.33 1.57 27.39 27.05 27.39 27.05 0090.10.76.1420210P0 34.7315 4 32151 Remove lung foreign body A 14.21 9.93 11.71 NA10.38 9.93 11.71 10.38 1.07 26.99 25.66 26.99 25.66 0090.10.76.1420210P0 34.7315 4 32160 Open chest heart massage A 9.30 9.91 9.73 NA 9.87 9.91 9.73 9.87 1.19 20.22 20.36 20.22 20.36 0090.10.76.1420210P0 34.7315 4 32200 Open drainage, lung lesion A 15.29 7.48 14.35 NA 9.20 7.48 14.35 9.20 0.73 30.37 25.22 30.37 25.22 0090.10.76.1420210P0 34.7315 4 32201 Percut drainage, lung lesion A 4.00 3.29 10.61 NA 5.12 3.29 10.61 5.12 0.27 14.88 9.39 14.88 9.39 0000.00.00.0020200P0 34.7315 4 32215 Treat chest lining A 11.33 8.27 10.00 NA 8.70 8.27 10.00 8.70 1.00 22.33 21.03 22.33 21.03 0090.10.76.1420210P0 34.7315 4 32220 Release of lung A 19.27 17.16 15.70 NA16.80 17.16 15.70 16.80 2.35 37.32 38.42 37.32 38.42 0090.10.76.1420210P0 34.7315 4 32225 Partial release of lung A 13.96 12.85 14.31 NA13.22 12.85 14.31 13.22 1.78 30.05 28.96 30.05 28.96 0090.10.76.1420210P0 34.7315 4 32310 Removal of chest lining A 13.44 12.63 13.18 NA12.77 12.63 13.18 12.77 1.64 28.26 27.85 28.26 27.85 0090.10.76.1420210P0 34.7315 4 32320 Free/remove chest lining A 20.54 19.64 16.05 NA18.74 19.64 16.05 18.74 2.66 39.25 41.94 39.25 41.94 0090.10.76.1420210P0 34.7315 4 32400 Needle biopsy chest lining A 1.76 1.61 1.44 1.57 1.61 1.01 1.46 0.09 3.29 3.42 2.86 3.31 0000.00.00.0020100P0 34.7315 4 32402 Open biopsy chest lining A 7.56 8.23 7.65 NA 8.09 8.23 7.65 8.09 1.05 16.26 16.70 16.26 16.70 0090.10.76.1420210P0 34.7315 4 32405 Biopsy, lung or mediastinum A 1.93 2.30 1.81 2.18 2.30 1.21 2.03 0.14 3.88 4.25 3.28 4.10 0000.00.00.0020100P0 34.7315 4 32420 Puncture/clear lung A 2.18 1.63 0.89 NA 1.45 1.63 0.89 1.45 0.10 3.17 3.73 3.17 3.73 0000.00.00.0020100P0 34.7315 4 32440 Removal of lung A 21.02 20.14 15.92 NA19.09 20.14 15.92 19.09 2.78 39.72 42.89 39.72 42.89 0090.10.76.1420210P0 34.7315 4 32442 Sleeve pneumonectomy A 26.24 19.47 19.71 NA19.53 19.47 19.71 19.53 2.74 48.69 48.51 48.69 48.51 0090.10.76.1420210P0 34.7315 4 32445 Removal of lung A 25.09 22.20 18.72 NA21.33 22.20 18.72 21.33 3.04 46.85 49.46 46.85 49.46 0090.10.76.1420210P0 34.7315 4 32480 Partial removal of lung A 18.32 18.61 12.09 NA16.98 18.61 12.09 16.98 2.53 32.94 37.83 32.94 37.83 0090.10.76.1420210P0 34.7315 4 32482 Bilobectomy A 19.71 18.61 13.86 NA17.42 18.61 13.86 17.42 2.53 36.10 39.66 36.10 39.66 0090.10.76.1420210P0 34.7315 4 32484 Segmentectomy A 20.69 18.61 14.37 NA17.55 18.61 14.37 17.55 2.53 37.59 40.77 37.59 40.77 0090.10.76.1420210P0 34.7315 4 32486 Sleeve lobectomy A 23.92 17.95 17.44 NA17.82 17.95 17.44 17.82 2.53 43.89 44.27 43.89 44.27 0090.10.76.1420210P0 34.7315 4 32488 Completion pneumonectomy A 25.71 19.25 18.37 NA19.03 19.25 18.37 19.03 2.71 46.79 47.45 46.79 47.45 0090.10.76.1420210P0 34.7315 4 32491 Lung volume reduction R 21.25 16.77 16.71 NA16.76 16.77 16.71 16.76 2.36 40.32 40.37 40.32 40.37 0090.10.76.1421210P0 34.7315 4 32500 Partial removal of lung A 14.30 14.62 11.82 NA13.92 14.62 11.82 13.92 2.00 28.12 30.22 28.12 30.22 0090.10.76.1420210P0 34.7315 4 32501 Repair bronchus (add-on) A 4.69 4.68 1.75 NA 3.95 4.68 1.75 3.95 0.55 6.99 9.19 6.99 9.19 0ZZZ.00.00.0001210P0 34.7315 4 32520 Remove lung & revise chest A 21.68 22.43 15.60 NA20.72 22.43 15.60 20.72 3.07 40.35 45.47 40.35 45.47 0090.10.76.1420210P0 34.7315 4 32522 Remove lung & revise chest A 24.20 23.77 17.57 NA22.22 23.77 17.57 22.22 3.28 45.05 49.70 45.05 49.70 0090.10.76.1420210P0 34.7315 4 32525 Remove lung & revise chest A 26.50 25.50 18.39 NA23.72 25.50 18.39 23.72 3.61 48.50 53.83 48.50 53.83 0090.10.76.1420210P0 34.7315 4 32540 Removal of lung lesion A 14.64 12.66 14.12 NA13.03 12.66 14.12 13.03 1.60 30.36 29.27 30.36 29.27 0090.10.76.1420210P0 34.7315 4 32601 Thoracoscopy, diagnostic A 5.46 3.77 4.67 NA 4.00 3.77 4.67 4.00 0.45 10.58 9.91 10.58 9.91 0000.00.00.0020000P0 34.7315 4 32602 Thoracoscopy, diagnostic A 5.96 4.20 4.89 NA 4.37 4.20 4.89 4.37 0.50 11.35 10.83 11.35 10.83 0000.00.00.0020000P0 34.7315 4 32603 Thoracoscopy, diagnostic A 7.81 3.77 5.15 NA 4.12 3.77 5.15 4.12 0.45 13.41 12.38 13.41 12.38 0000.00.00.0020000P0 34.7315 4 32604 Thoracoscopy, diagnostic A 8.78 4.20 5.96 NA 4.64 4.20 5.96 4.64 0.50 15.24 13.92 15.24 13.92 0000.00.00.0020000P0 34.7315 4 32605 Thoracoscopy, diagnostic A 6.93 3.77 5.59 NA 4.23 3.77 5.59 4.23 0.45 12.97 11.61 12.97 11.61 0000.00.00.0020000P0 34.7315 4 32606 Thoracoscopy, diagnostic A 8.40 4.20 5.91 NA 4.63 4.20 5.91 4.63 0.50 14.81 13.53 14.81 13.53 0000.00.00.0020000P0 34.7315 4 32650 Thoracoscopy, surgical A 10.75 8.27 10.14 NA 8.74 8.27 10.14 8.74 1.00 21.89 20.49 21.89 20.49 0090.10.76.1420210P0 34.7315 4 32651 Thoracoscopy, surgical A 12.91 12.85 11.12 NA12.42 12.85 11.12 12.42 1.78 25.81 27.11 25.81 27.11 0090.10.76.1420210P0 34.7315 4 32652 Thoracoscopy, surgical A 18.66 17.16 14.64 NA16.53 17.16 14.64 16.53 2.35 35.65 37.54 35.65 37.54 0090.10.76.1420210P0 34.7315 4 32653 Thoracoscopy, surgical A 12.87 11.22 11.77 NA11.36 11.22 11.77 11.36 1.57 26.21 25.80 26.21 25.80 0090.10.76.1420210P0 34.7315 4 32654 Thoracoscopy, surgical A 12.44 12.49 12.58 NA12.51 12.49 12.58 12.51 1.57 26.59 26.52 26.59 26.52 0090.10.76.1420210P0 34.7315 4 32655 Thoracoscopy, surgical A 13.10 14.56 12.70 NA14.10 14.56 12.70 14.10 1.98 27.78 29.18 27.78 29.18 0090.10.76.1420210P0 34.7315 4 32656 Thoracoscopy, surgical A 12.91 14.50 10.91 NA13.60 14.50 10.91 13.60 1.85 25.67 28.36 25.67 28.36 0090.10.76.1420210P0 34.7315 4 32657 Thoracoscopy, surgical A 13.65 14.62 11.32 NA13.80 14.62 11.32 13.80 2.00 26.97 29.45 26.97 29.45 0090.10.76.1420210P0 34.7315 4 32658 Thoracoscopy, surgical A 11.63 13.88 10.14 NA12.95 13.88 10.14 12.95 1.97 23.74 26.55 23.74 26.55 0090.09.84.0720210P0 34.7315 4 32659 Thoracoscopy, surgical A 11.59 13.84 10.53 NA13.01 13.84 10.53 13.01 2.04 24.16 26.64 24.16 26.64 0090.09.84.0720210P0 34.7315 4 32660 Thoracoscopy, surgical A 17.43 20.80 14.29 NA19.17 20.80 14.29 19.17 2.79 34.51 39.39 34.51 39.39 0090.09.84.0720210P0 34.7315 4 32661 Thoracoscopy, surgical A 13.25 10.04 11.80 NA10.48 10.04 11.80 10.48 1.15 26.20 24.88 26.20 24.88 0090.09.84.0720210P0 34.7315 4 32662 Thoracoscopy, surgical A 16.44 15.79 11.96 NA14.83 15.79 11.96 14.83 2.14 30.54 33.41 30.54 33.41 0090.09.84.0720210P0 34.7315 4 32663 Thoracoscopy, surgical A 18.47 18.61 13.75 NA17.40 18.61 13.75 17.40 2.53 34.75 38.40 34.75 38.40 0090.09.84.0720210P0 34.7315 4 32664 Thoracoscopy, surgical A 14.20 11.45 10.72 NA11.27 11.45 10.72 11.27 1.60 26.52 27.07 26.52 27.07 0090.09.84.0721210P0 34.7315 4 32665 Thoracoscopy, surgical A 15.54 15.55 11.61 NA14.57 15.55 11.61 14.57 2.07 29.22 32.18 29.22 32.18 0090.09.81.1020210P0 34.7315 4 32800 Repair lung hernia A 13.69 8.99 11.19 NA 9.54 8.99 11.19 9.54 1.24 26.12 24.47 26.12 24.47 0090.10.76.1420210P0 34.7315 4 32810 Close chest after drainage A 13.05 7.05 11.44 NA 8.15 7.05 11.44 8.15 0.93 25.42 22.13 25.42 22.13 0090.10.76.1420200P0 34.7315 4 32815 Close bronchial fistula A 23.15 16.52 17.61 NA16.79 16.52 17.61 16.79 2.05 42.81 41.99 42.81 41.99 0090.10.76.1420210P0 34.7315 4 32820 Reconstruct injured chest A 21.48 20.63 17.24 NA19.78 20.63 17.24 19.78 2.53 41.25 43.79 41.25 43.79 0090.10.76.1420210P0 34.7315 4 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 32851 Lung transplant, single A 38.63 27.73 22.26 NA26.36 27.73 22.26 26.36 3.90 64.79 68.89 64.79 68.89 0090.10.76.1420212P0 34.7315 4 32852 Lung transplant w/bypass A 41.80 30.07 24.29 NA28.63 30.07 24.29 28.63 4.23 70.32 74.66 70.32 74.66 0090.10.76.1420212P0 34.7315 4 32853 Lung transplant, double A 47.81 34.66 28.14 NA33.03 34.66 28.14 33.03 4.88 80.83 85.72 80.83 85.72 0090.10.76.1422212P0 34.7315 4 32854 Lung transplant w/bypass A 50.98 37.01 29.25 NA35.07 37.01 29.25 35.07 5.22 85.45 91.27 85.45 91.27 0090.10.76.1422212P0 34.7315 4 32900 Removal of rib(s) A 20.27 9.19 14.15 NA10.43 9.19 14.15 10.43 1.28 35.70 31.98 35.70 31.98 0090.10.76.1420210P0 34.7315 4 32905 Revise & repair chest wall A 20.75 13.83 15.30 NA14.20 13.83 15.30 14.20 2.03 38.08 36.98 38.08 36.98 0090.10.76.1420210P0 34.7315 4 32906 Revise & repair chest wall A 26.77 16.73 18.92 NA17.28 16.73 18.92 17.28 2.28 47.97 46.33 47.97 46.33 0090.10.76.1420210P0 34.7315 4 32940 Revision of lung A 19.43 12.34 13.13 NA12.54 12.34 13.13 12.54 1.37 33.93 33.34 33.93 33.34 0090.10.76.1420210P0 34.7315 4 32960 Therapeutic pneumothorax A 1.84 1.01 1.83 1.22 1.01 0.56 0.90 0.10 3.77 3.16 2.50 2.84 0000.00.00.0020100P0 34.7315 4 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 33010 Drainage of heart sac A 2.24 1.67 0.97 NA 1.50 1.67 0.97 1.50 0.11 3.32 3.85 3.32 3.85 0000.00.00.0020100P0 34.7315 4 33011 Repeat drainage of heart sac A 2.24 1.20 1.12 NA 1.18 0.60 1.12 0.73 0.09 3.45 3.51 3.45 3.06 0000.00.00.0020000P0 34.7315 4 33015 Incision of heart sac A 6.80 4.62 3.97 NA 4.46 4.62 3.97 4.46 0.49 11.26 11.75 11.26 11.75 0090.09.84.0720100P0 34.7315 4 33020 Incision of heart sac A 12.61 14.39 7.73 NA12.73 14.39 7.73 12.73 1.97 22.31 27.31 22.31 27.31 0090.09.84.0720210P0 34.7315 4 33025 Incision of heart sac A 12.09 14.43 7.46 NA12.69 14.43 7.46 12.69 2.04 21.59 26.82 21.59 26.82 0090.09.84.0720210P0 34.7315 4 33030 Partial removal of heart sac A 18.71 22.33 15.56 NA20.64 22.33 15.56 20.64 3.07 37.34 42.42 37.34 42.42 0090.09.84.0720210P0 34.7315 4 33031 Partial removal of heart sac A 21.79 14.38 20.72 NA15.97 14.38 20.72 15.97 1.96 44.47 39.72 44.47 39.72 0090.09.84.0720210P0 34.7315 4 33050 Removal of heart sac lesion A 14.36 10.04 11.63 NA10.44 10.04 11.63 10.44 1.15 27.14 25.95 27.14 25.95 0090.09.84.0720210P0 34.7315 4 33120 Removal of heart lesion A 24.56 29.32 24.92 NA28.22 29.32 24.92 28.22 4.04 53.52 56.82 53.52 56.82 0090.09.84.0720210P0 34.7315 4 33130 Removal of heart lesion A 21.39 14.65 16.40 NA15.09 14.65 16.40 15.09 1.74 39.53 38.22 39.53 38.22 0090.09.84.0720210P0 34.7315 4 33200 Insertion of heart pacemaker A 12.48 13.32 9.02 NA12.25 13.32 9.02 12.25 1.49 22.99 26.22 22.99 26.22 0090.09.84.0720100P0 34.7315 4 33201 Insertion of heart pacemaker A 10.18 12.14 8.00 NA11.11 12.14 8.00 11.11 1.31 19.49 22.60 19.49 22.60 0090.09.84.0720100P0 34.7315 4 33206 Insertion of heart pacemaker A 6.67 7.97 5.29 NA 7.30 7.97 5.29 7.30 1.05 13.01 15.02 13.01 15.02 0090.09.84.0720120P0 34.7315 4 33207 Insertion of heart pacemaker A 8.04 9.59 5.90 NA 8.67 9.59 5.90 8.67 1.04 14.98 17.75 14.98 17.75 0090.09.84.0720120P0 34.7315 4 33208 Insertion of heart pacemaker A 8.13 9.70 6.17 NA 8.82 9.70 6.17 8.82 1.20 15.50 18.15 15.50 18.15 0090.09.84.0720120P0 34.7315 4 33210 Insertion of heart electrode A 3.30 3.58 1.60 NA 3.09 3.58 1.60 3.09 0.21 5.11 6.60 5.11 6.60 0000.00.00.0020100P0 34.7315 4 33211 Insertion of heart electrode A 3.40 3.58 1.93 NA 3.17 3.58 1.93 3.17 0.21 5.54 6.78 5.54 6.78 0000.00.00.0020100P0 34.7315 4 33212 Insertion of pulse generator A 5.52 5.84 4.18 NA 5.43 5.84 4.18 5.43 0.69 10.39 11.64 10.39 11.64 0090.09.84.0720100P0 34.7315 4 33213 Insertion of pulse generator A 6.37 5.84 4.69 NA 5.55 5.84 4.69 5.55 0.69 11.75 12.61 11.75 12.61 0090.09.84.0720100P0 34.7315 4 33214 Upgrade of pacemaker system A 7.75 5.86 5.80 NA 5.85 5.86 5.80 5.85 0.83 14.38 14.43 14.38 14.43 0090.09.84.0720020P0 34.7315 4 33216 Revision implanted electrode A 5.39 5.45 4.53 NA 5.22 5.45 4.53 5.22 0.43 10.35 11.04 10.35 11.04 0090.09.84.0720100P0 34.7315 4 33217 Insert/revise electrode A 5.75 5.45 5.15 NA 5.38 5.45 5.15 5.38 0.43 11.33 11.56 11.33 11.56 0090.09.84.0720100P0 34.7315 4 33218 Repair pacemaker electrodes A 5.44 4.98 4.21 NA 4.79 4.98 4.21 4.79 0.49 10.14 10.72 10.14 10.72 0090.09.84.0720100P0 34.7315 4 33220 Repair pacemaker electrode A 5.52 4.98 4.58 NA 4.88 4.98 4.58 4.88 0.49 10.59 10.89 10.59 10.89 0090.09.84.0720100P0 34.7315 4 33222 Pacemaker aicd pocket A 4.96 5.93 3.94 NA 5.43 5.93 3.94 5.43 0.79 9.69 11.18 9.69 11.18 0090.09.84.0720100P0 34.7315 4 33223 Pacemaker aicd pocket A 6.46 6.19 5.54 NA 6.03 6.19 5.54 6.03 0.79 12.79 13.28 12.79 13.28 0090.09.84.0720000P0 34.7315 4 33233 Removal of pacemaker system A 3.29 2.87 3.40 NA 3.00 2.87 3.40 3.00 0.04 6.73 6.33 6.73 6.33 0090.09.84.0720100P0 34.7315 4 33234 Removal of pacemaker system A 7.82 3.08 5.42 NA 3.67 3.08 5.42 3.67 0.18 13.42 11.67 13.42 11.67 0090.09.84.0720100P0 34.7315 4 33235 Removal pacemaker electrode A 9.40 3.41 6.09 NA 4.08 3.41 6.09 4.08 0.26 15.75 13.74 15.75 13.74 0090.09.84.0720100P0 34.7315 4 33236 Remove electrode/thoracotomy A 12.60 4.32 9.34 NA 5.58 4.32 9.34 5.58 0.49 22.43 18.67 22.43 18.67 0090.09.84.0720020P0 34.7315 4 33237 Remove electrode/thoracotomy A 13.71 10.42 10.04 NA10.33 10.42 10.04 10.33 0.88 24.63 24.92 24.63 24.92 0090.09.84.0720020P0 34.7315 4 33238 Remove electrode/thoracotomy A 15.22 11.17 10.73 NA11.06 11.17 10.73 11.06 1.57 27.52 27.85 27.52 27.85 0090.09.84.0720020P0 34.7315 4 33240 Insert/replace pulse gener A 7.60 5.84 5.77 NA 5.82 5.84 5.77 5.82 0.69 14.06 14.11 14.06 14.11 0090.09.84.0720100P0 34.7315 4 33241 Remove pulse generator only A 3.24 2.34 3.62 NA 2.66 2.34 3.62 2.66 0.34 7.20 6.24 7.20 6.24 0090.09.84.0720010P0 34.7315 4 33242 Repair pulse generator/leads A 6.17 7.37 5.95 NA 7.02 7.37 5.95 7.02 1.20 13.32 14.39 13.32 14.39 0090.09.84.0720010P0 34.7315 4 33243 Remove generator/thoracotomy A 22.64 9.79 12.97 NA10.59 9.79 12.97 10.59 1.20 36.81 34.43 36.81 34.43 0090.09.84.0720210P0 34.7315 4 33244 Remove generator A 8.97 9.79 6.28 NA 8.91 9.79 6.28 8.91 1.20 16.45 19.08 16.45 19.08 0090.09.84.0720110P0 34.7315 4 33245 Implant heart defibrillator A 14.30 17.07 12.25 NA15.87 17.07 12.25 15.87 1.85 28.40 32.02 28.40 32.02 0090.09.84.0720210P0 34.7315 4 33246 Implant heart defibrillator A 20.71 22.56 14.15 NA20.46 22.56 14.15 20.46 2.50 37.36 43.67 37.36 43.67 0090.09.84.0720210P0 34.7315 4 33247 Insert/replace leads A 10.21 12.19 7.42 NA11.00 12.19 7.42 11.00 1.85 19.48 23.06 19.48 23.06 0090.09.84.0720110P0 34.7315 4 33249 Insert/replace leads/gener A 13.28 15.86 9.33 NA14.23 15.86 9.33 14.23 2.50 25.11 30.01 25.11 30.01 0090.09.84.0720110P0 34.7315 4 33250 Ablate heart dysrhythm focus A 21.85 12.55 22.63 NA15.07 12.55 22.63 15.07 0.67 45.15 37.59 45.15 37.59 0090.09.84.0720210P0 34.7315 4 33251 Ablate heart dysrhythm focus A 24.88 17.81 21.83 NA18.82 17.81 21.83 18.82 2.51 49.22 46.21 49.22 46.21 0090.09.84.0720210P0 34.7315 4 33253 Reconstruct atria A 31.06 23.67 24.67 NA23.92 23.67 24.67 23.92 3.33 59.06 58.31 59.06 58.31 0090.09.84.0720210P0 34.7315 4 33261 Ablate heart dysrhythm focus A 24.88 15.15 25.92 NA17.84 15.15 25.92 17.84 2.14 52.94 44.86 52.94 44.86 0090.09.84.0720210P0 34.7315 4 33300 Repair of heart wound A 17.92 15.58 15.05 NA15.45 15.58 15.05 15.45 2.03 35.00 35.40 35.00 35.40 0090.09.84.0720210P0 34.7315 4 33305 Repair of heart wound A 21.44 18.88 19.86 NA19.13 18.88 19.86 19.13 2.40 43.70 42.97 43.70 42.97 0090.09.84.0720210P0 34.7315 4 33310 Exploratory heart surgery A 18.51 12.24 14.53 NA12.81 12.24 14.53 12.81 1.51 34.55 32.83 34.55 32.83 0090.09.84.0720210P0 34.7315 4 33315 Exploratory heart surgery A 22.37 15.71 19.79 NA16.73 15.71 19.79 16.73 2.01 44.17 41.11 44.17 41.11 0090.09.84.0720210P0 34.7315 4 33320 Repair major blood vessel(s) A 16.79 15.35 15.36 NA15.35 15.35 15.36 15.35 1.96 34.11 34.10 34.11 34.10 0090.09.84.0720210P0 34.7315 4 33321 Repair major vessel A 20.20 23.60 13.90 NA21.18 23.60 13.90 21.18 2.82 36.92 44.20 36.92 44.20 0090.09.84.0720210P0 34.7315 4 33322 Repair major blood vessel(s) A 20.62 23.60 20.60 NA22.85 23.60 20.60 22.85 2.82 44.04 46.29 44.04 46.29 0090.09.84.0720210P0 34.7315 4 33330 Insert major vessel graft A 21.43 13.75 18.85 NA15.03 13.75 18.85 15.03 1.51 41.79 37.97 41.79 37.97 0090.09.84.0720210P0 34.7315 4 33332 Insert major vessel graft A 23.96 16.35 18.80 NA16.96 16.35 18.80 16.96 1.87 44.63 42.79 44.63 42.79 0090.09.84.0720210P0 34.7315 4 33335 Insert major vessel graft A 30.01 16.35 25.29 NA18.59 16.35 25.29 18.59 1.87 57.17 50.47 57.17 50.47 0090.09.84.0720210P0 34.7315 4 33400 Repair of aortic valve A 25.34 28.44 21.95 NA26.82 28.44 21.95 26.82 2.21 49.50 54.37 49.50 54.37 0090.09.84.0720210P0 34.7315 4 33401 Valvuloplasty, open A 23.91 28.44 17.93 NA25.81 28.44 17.93 25.81 2.21 44.05 51.93 44.05 51.93 0090.09.84.0720210P0 34.7315 4 33403 Valvuloplasty, w/cp bypass A 24.89 28.44 22.74 NA27.02 28.44 22.74 27.02 2.21 49.84 54.12 49.84 54.12 0090.09.84.0720210P0 34.7315 4 33404 Prepare heart-aorta conduit A 28.54 33.91 24.84 NA31.64 33.91 24.84 31.64 4.37 57.75 64.55 57.75 64.55 0090.09.84.0720210P0 34.7315 4 33405 Replacement of aortic valve A 30.61 33.08 25.45 NA31.17 33.08 25.45 31.17 4.17 60.23 65.95 60.23 65.95 0090.09.84.0720210P0 34.7315 4 33406 Replacement, aortic valve A 32.30 38.56 26.83 NA35.63 38.56 26.83 35.63 5.83 64.96 73.76 64.96 73.76 0090.09.84.0720210P0 34.7315 4 33411 Replacement of aortic valve A 32.47 38.77 27.33 NA35.91 38.77 27.33 35.91 5.83 65.63 74.21 65.63 74.21 0090.09.84.0720200P0 34.7315 4 33412 Replacement of aortic valve A 34.79 41.53 26.29 NA37.72 41.53 26.29 37.72 5.83 66.91 78.34 66.91 78.34 0090.09.84.0720210P0 34.7315 4 33413 Replacement, aortic valve A 35.24 42.06 31.45 NA39.41 42.06 31.45 39.41 5.66 72.35 80.31 72.35 80.31 0090.09.84.0720210P0 34.7315 4 33414 Repair, aortic valve A 30.35 36.24 25.61 NA33.58 36.24 25.61 33.58 5.83 61.79 69.76 61.79 69.76 0090.09.84.0720210P0 34.7315 4 33415 Revision, subvalvular tissue A 27.15 32.42 21.18 NA29.61 32.42 21.18 29.61 4.17 52.50 60.93 52.50 60.93 0090.09.84.0720210P0 34.7315 4 33416 Revise ventricle muscle A 30.35 30.54 25.18 NA29.20 30.54 25.18 29.20 3.90 59.43 63.45 59.43 63.45 0090.09.84.0720210P0 34.7315 4 33417 Repair of aortic valve A 28.53 34.06 23.87 NA31.51 34.06 23.87 31.51 4.83 57.23 64.87 57.23 64.87 0090.09.84.0720210P0 34.7315 4 33420 Revision of mitral valve A 22.70 21.51 14.92 NA19.86 21.51 14.92 19.86 1.92 39.54 44.48 39.54 44.48 0090.09.84.0720110P0 34.7315 4 33422 Revision of mitral valve A 25.94 30.96 21.78 NA28.67 30.96 21.78 28.67 5.05 52.77 59.66 52.77 59.66 0090.09.84.0720210P0 34.7315 4 33425 Repair of mitral valve A 27.00 32.23 23.75 NA30.11 32.23 23.75 30.11 4.24 54.99 61.35 54.99 61.35 0090.09.84.0720210P0 34.7315 4 33426 Repair of mitral valve A 31.03 34.68 26.57 NA32.65 34.68 26.57 32.65 4.54 62.14 68.22 62.14 68.22 0090.09.84.0720210P0 34.7315 4 33427 Repair of mitral valve A 33.72 37.67 29.05 NA35.52 37.67 29.05 35.52 4.93 67.70 74.17 67.70 74.17 0090.09.84.0720210P0 34.7315 4 33430 Replacement of mitral valve A 31.43 37.52 27.45 NA35.00 37.52 27.45 35.00 4.78 63.66 71.21 63.66 71.21 0090.09.84.0720210P0 34.7315 4 33460 Revision of tricuspid valve A 23.60 28.17 22.29 NA26.70 28.17 22.29 26.70 3.70 49.59 54.00 49.59 54.00 0090.09.84.0720210P0 34.7315 4 33463 Valvuloplasty, tricuspid A 25.62 30.58 22.25 NA28.50 30.58 22.25 28.50 4.65 52.52 58.77 52.52 58.77 0090.09.84.0720210P0 34.7315 4 33464 Valvuloplasty, tricuspid A 27.33 32.62 23.56 NA30.36 32.62 23.56 30.36 4.65 55.54 62.34 55.54 62.34 0090.09.84.0720210P0 34.7315 4 33465 Replace tricuspid valve A 28.79 34.37 24.44 NA31.89 34.37 24.44 31.89 4.65 57.88 65.33 57.88 65.33 0090.09.84.0720210P0 34.7315 4 33468 Revision of tricuspid valve A 30.12 35.95 25.53 NA33.35 35.95 25.53 33.35 4.93 60.58 68.40 60.58 68.40 0090.09.84.0720210P0 34.7315 4 33470 Revision of pulmonary valve A 20.81 21.51 23.93 NA22.12 21.51 23.93 22.12 1.92 46.66 44.85 46.66 44.85 0090.09.84.0720200P0 34.7315 4 33471 Valvotomy, pulmonary valve A 22.25 26.57 16.89 NA24.15 26.57 16.89 24.15 2.21 41.35 48.61 41.35 48.61 0090.09.84.0720210P0 34.7315 4 33472 Revision of pulmonary valve A 22.25 26.57 17.45 NA24.29 26.57 17.45 24.29 2.21 41.91 48.75 41.91 48.75 0090.09.84.0720200P0 34.7315 4 33474 Revision of pulmonary valve A 23.04 27.50 18.61 NA25.28 27.50 18.61 25.28 2.21 43.86 50.53 43.86 50.53 0090.09.84.0720210P0 34.7315 4 33475 Replacement, pulmonary valve A 28.41 33.91 23.36 NA31.27 33.91 23.36 31.27 4.78 56.55 64.46 56.55 64.46 0090.09.84.0720210P0 34.7315 4 33476 Revision of heart chamber A 25.77 30.54 22.56 NA28.55 30.54 22.56 28.55 3.90 52.23 58.22 52.23 58.22 0090.09.84.0720210P0 34.7315 4 33478 Revision of heart chamber A 26.74 31.92 20.18 NA28.99 31.92 20.18 28.99 4.24 51.16 59.97 51.16 59.97 0090.09.84.0720210P0 34.7315 4 33496 Repair, prosth valve clot A 27.25 32.54 22.97 NA30.15 32.54 22.97 30.15 4.17 54.39 61.57 54.39 61.57 0090.09.84.0720210P0 34.7315 4 33500 Repair heart vessel fistula A 25.55 30.51 19.26 NA27.70 30.51 19.26 27.70 4.07 48.88 57.32 48.88 57.32 0090.09.84.0720210P0 34.7315 4 33501 Repair heart vessel fistula A 17.78 15.35 14.30 NA15.09 15.35 14.30 15.09 1.96 34.04 34.83 34.04 34.83 0090.09.84.0720220P0 34.7315 4 33502 Coronary artery correction A 21.04 15.35 17.62 NA15.92 15.35 17.62 15.92 1.96 40.62 38.92 40.62 38.92 0090.09.84.0720210P0 34.7315 4 33503 Coronary artery graft A 21.78 26.00 17.96 NA23.99 26.00 17.96 23.99 4.07 43.81 49.84 43.81 49.84 0090.09.84.0720010P0 34.7315 4 33504 Coronary artery graft A 24.66 29.44 25.14 NA28.37 29.44 25.14 28.37 4.07 53.87 57.10 53.87 57.10 0090.09.84.0720210P0 34.7315 4 33505 Repair artery w/tunnel A 26.84 32.04 26.41 NA30.63 32.04 26.41 30.63 4.72 57.97 62.19 57.97 62.19 0090.09.84.0720210P0 34.7315 4 33506 Repair artery, translocation A 26.71 31.88 26.11 NA30.44 31.88 26.11 30.44 4.72 57.54 61.87 57.54 61.87 0090.09.84.0720210P0 34.7315 4 33510 CABG, vein, single A 25.12 29.99 21.80 NA27.94 29.99 21.80 27.94 4.07 50.99 57.13 50.99 57.13 0090.09.84.0720200P0 34.7315 4 33511 CABG, vein, two A 27.40 32.71 23.48 NA30.40 32.71 23.48 30.40 4.47 55.35 62.27 55.35 62.27 0090.09.84.0720200P0 34.7315 4 33512 CABG, vein, three A 29.67 35.42 25.13 NA32.85 35.42 25.13 32.85 4.87 59.67 67.39 59.67 67.39 0090.09.84.0720200P0 34.7315 4 33513 CABG, vein, four A 31.95 38.15 27.06 NA35.38 38.15 27.06 35.38 5.27 64.28 72.60 64.28 72.60 0090.09.84.0720200P0 34.7315 4 33514 CABG, vein, five A 35.00 41.78 30.27 NA38.90 41.78 30.27 38.90 5.66 70.93 79.56 70.93 79.56 0090.09.84.0720200P0 34.7315 4 33516 CABG, vein, six+ A 37.40 44.65 31.61 NA41.39 44.65 31.61 41.39 6.06 75.07 84.85 75.07 84.85 0090.09.84.0720200P0 34.7315 4 33517 CABG, artery-vein, single A 2.57 3.07 2.17 NA 2.85 3.07 2.17 2.85 0.39 5.13 5.81 5.13 5.81 0ZZZ.00.00.0000200P0 34.7315 4 33518 CABG, artery-vein, two A 4.85 5.80 3.83 NA 5.31 5.80 3.83 5.31 0.80 9.48 10.96 9.48 10.96 0ZZZ.00.00.0000200P0 34.7315 4 33519 CABG, artery-vein, three A 7.12 8.50 5.51 NA 7.75 8.50 5.51 7.75 1.19 13.82 16.06 13.82 16.06 0ZZZ.00.00.0000200P0 34.7315 4 33521 CABG, artery-vein, four A 9.40 11.22 7.23 NA10.22 11.22 7.23 10.22 1.59 18.22 21.21 18.22 21.21 0ZZZ.00.00.0000200P0 34.7315 4 33522 CABG, artery-vein, five A 11.67 13.93 8.96 NA12.69 13.93 8.96 12.69 1.99 22.62 26.35 22.62 26.35 0ZZZ.00.00.0000200P0 34.7315 4 33523 CABG, artery-vein, six+ A 13.95 16.66 10.61 NA15.15 16.66 10.61 15.15 2.39 26.95 31.49 26.95 31.49 0ZZZ.00.00.0000200P0 34.7315 4 33530 Coronary artery, bypass/reop A 5.86 7.00 16.38 NA 9.35 7.00 16.38 9.35 1.71 23.95 16.92 23.95 16.92 0ZZZ.00.00.0000200P0 34.7315 4 33533 CABG, arterial, single A 25.83 30.83 22.94 NA28.86 30.83 22.94 28.86 4.19 52.96 58.88 52.96 58.88 0090.09.82.0920200P0 34.7315 4 33534 CABG, arterial, two A 28.82 34.40 25.78 NA32.25 34.40 25.78 32.25 4.72 59.32 65.79 59.32 65.79 0090.09.82.0920200P0 34.7315 4 33535 CABG, arterial, three A 31.81 37.97 25.01 NA34.73 37.97 25.01 34.73 5.24 62.06 71.78 62.06 71.78 0090.09.82.0920200P0 34.7315 4 33536 CABG, arterial, four+ A 34.79 41.53 30.41 NA38.75 41.53 30.41 38.75 5.77 70.97 79.31 70.97 79.31 0090.09.82.0920200P0 34.7315 4 33542 Removal of heart lesion A 28.85 33.35 26.82 NA31.72 33.35 26.82 31.72 4.33 60.00 64.90 60.00 64.90 0090.09.84.0720210P0 34.7315 4 33545 Repair of heart damage A 36.78 37.90 32.81 NA36.63 37.90 32.81 36.63 4.91 74.50 78.32 74.50 78.32 0090.09.84.0720210P0 34.7315 4 33572 Open coronary endarterectomy A 4.45 3.51 2.19 NA 3.18 3.51 2.19 3.18 0.49 7.13 8.12 7.13 8.12 0ZZZ.00.00.0000200P0 34.7315 4 33600 Closure of valve A 29.51 35.23 20.67 NA31.59 35.23 20.67 31.59 4.78 54.96 65.88 54.96 65.88 0090.09.84.0720210P0 34.7315 4 33602 Closure of valve A 28.54 33.08 22.20 NA30.36 33.08 22.20 30.36 4.17 54.91 63.07 54.91 63.07 0090.09.84.0720210P0 34.7315 4 33606 Anastomosis/artery-aorta A 30.74 36.69 26.48 NA34.14 36.69 26.48 34.14 5.83 63.05 70.71 63.05 70.71 0090.09.84.0720210P0 34.7315 4 33608 Repair anomaly w/conduit A 31.09 37.12 24.77 NA34.03 37.12 24.77 34.03 5.83 61.69 70.95 61.69 70.95 0090.09.84.0720210P0 34.7315 4 33610 Repair by enlargement A 30.61 36.54 21.21 NA32.71 36.54 21.21 32.71 5.83 57.65 69.15 57.65 69.15 0090.09.84.0720210P0 34.7315 4 33611 Repair double ventricle A 32.30 38.56 24.23 NA34.98 38.56 24.23 34.98 5.83 62.36 73.11 62.36 73.11 0090.09.84.0720210P0 34.7315 4 33612 Repair double ventricle A 33.26 39.71 25.90 NA36.26 39.71 25.90 36.26 5.83 64.99 75.35 64.99 75.35 0090.09.84.0720210P0 34.7315 4 33615 Repair (simple fontan) A 32.06 38.28 25.66 NA35.13 38.28 25.66 35.13 5.83 63.55 73.02 63.55 73.02 0090.09.84.0720210P0 34.7315 4 33617 Repair by modified fontan A 34.03 40.62 26.83 NA37.17 40.62 26.83 37.17 5.83 66.69 77.03 66.69 77.03 0090.09.84.0720210P0 34.7315 4 33619 Repair single ventricle A 37.57 44.85 35.42 NA42.49 44.85 35.42 42.49 6.29 79.28 86.35 79.28 86.35 0090.09.84.0720210P0 34.7315 4 33641 Repair heart septum defect A 21.39 25.54 18.96 NA23.90 25.54 18.96 23.90 3.81 44.16 49.10 44.16 49.10 0090.09.84.0720210P0 34.7315 4 33645 Revision of heart veins A 24.82 29.63 20.15 NA27.26 29.63 20.15 27.26 3.81 48.78 55.89 48.78 55.89 0090.09.84.0720210P0 34.7315 4 33647 Repair heart septum defects A 28.73 34.29 24.03 NA31.73 34.29 24.03 31.73 4.91 57.67 65.37 57.67 65.37 0090.09.84.0720210P0 34.7315 4 33660 Repair of heart defects A 25.54 30.48 21.71 NA28.29 30.48 21.71 28.29 4.24 51.49 58.07 51.49 58.07 0090.09.84.0720210P0 34.7315 4 33665 Repair of heart defects A 28.60 33.94 22.68 NA31.13 33.94 22.68 31.13 4.24 55.52 63.97 55.52 63.97 0090.09.84.0720210P0 34.7315 4 33670 Repair of heart chambers A 32.73 39.07 23.56 NA35.19 39.07 23.56 35.19 5.83 62.12 73.75 62.12 73.75 0090.09.84.0720210P0 34.7315 4 33681 Repair heart septum defect A 27.67 33.04 22.97 NA30.52 33.04 22.97 30.52 4.91 55.55 63.10 55.55 63.10 0090.09.84.0720210P0 34.7315 4 33684 Repair heart septum defect A 29.65 35.40 21.43 NA31.91 35.40 21.43 31.91 4.91 55.99 66.47 55.99 66.47 0090.09.84.0720210P0 34.7315 4 33688 Repair heart septum defect A 30.62 36.55 25.61 NA33.82 36.55 25.61 33.82 4.91 61.14 69.35 61.14 69.35 0090.09.84.0720210P0 34.7315 4 33690 Reinforce pulmonary artery A 19.55 23.34 17.23 NA21.81 23.34 17.23 21.81 3.36 40.14 44.72 40.14 44.72 0090.09.84.0720210P0 34.7315 4 33692 Repair of heart defects A 30.75 36.71 23.67 NA33.45 36.71 23.67 33.45 5.83 60.25 70.03 60.25 70.03 0090.09.84.0720210P0 34.7315 4 33694 Repair of heart defects A 31.73 37.88 27.81 NA35.36 37.88 27.81 35.36 5.83 65.37 72.92 65.37 72.92 0090.09.84.0720210P0 34.7315 4 33697 Repair of heart defects A 33.71 40.24 26.78 NA36.88 40.24 26.78 36.88 5.83 66.32 76.42 66.32 76.42 0090.09.84.0720210P0 34.7315 4 33702 Repair of heart defects A 26.54 31.68 23.06 NA29.53 31.68 23.06 29.53 4.17 53.77 60.24 53.77 60.24 0090.09.84.0720210P0 34.7315 4 33710 Repair of heart defects A 29.71 35.47 24.92 NA32.83 35.47 24.92 32.83 4.91 59.54 67.45 59.54 67.45 0090.09.84.0720200P0 34.7315 4 33720 Repair of heart defect A 26.56 31.71 20.47 NA28.90 31.71 20.47 28.90 4.17 51.20 59.63 51.20 59.63 0090.09.84.0720210P0 34.7315 4 33722 Repair of heart defect A 28.41 33.08 21.37 NA30.15 33.08 21.37 30.15 4.17 53.95 62.73 53.95 62.73 0090.09.84.0720210P0 34.7315 4 33730 Repair heart-vein defect(s) A 31.67 37.81 23.84 NA34.32 37.81 23.84 34.32 5.83 61.34 71.82 61.34 71.82 0090.09.84.0720210P0 34.7315 4 33732 Repair heart-vein defect A 28.16 33.62 22.28 NA30.79 33.62 22.28 30.79 4.24 54.68 63.19 54.68 63.19 0090.09.84.0720210P0 34.7315 4 33735 Revision of heart chamber A 21.39 27.88 15.72 NA24.84 27.88 15.72 24.84 3.81 40.92 50.04 40.92 50.04 0090.09.84.0720200P0 34.7315 4 33736 Revision of heart chamber A 23.52 27.88 22.66 NA26.58 27.88 22.66 26.58 3.81 49.99 53.91 49.99 53.91 0090.09.84.0720210P0 34.7315 4 33737 Revision of heart chamber A 21.76 25.98 15.09 NA23.26 25.98 15.09 23.26 3.81 40.66 48.83 40.66 48.83 0090.09.84.0720210P0 34.7315 4 33750 Major vessel shunt A 21.41 23.98 18.33 NA22.57 23.98 18.33 22.57 3.36 43.10 47.34 43.10 47.34 0090.09.84.0720210P0 34.7315 4 33755 Major vessel shunt A 21.79 23.98 13.44 NA21.35 23.98 13.44 21.35 3.36 38.59 46.50 38.59 46.50 0090.09.84.0720210P0 34.7315 4 33762 Major vessel shunt A 21.79 23.98 16.99 NA22.23 23.98 16.99 22.23 3.36 42.14 47.38 42.14 47.38 0090.09.84.0720210P0 34.7315 4 33764 Major vessel shunt & graft A 21.79 23.98 14.40 NA21.59 23.98 14.40 21.59 3.36 39.55 46.74 39.55 46.74 0090.09.84.0720210P0 34.7315 4 33766 Major vessel shunt A 22.76 23.98 15.77 NA21.93 23.98 15.77 21.93 3.36 41.89 48.05 41.89 48.05 0090.09.84.0720210P0 34.7315 4 33767 Major vessel shunt A 24.50 27.88 22.55 NA26.55 27.88 22.55 26.55 3.81 50.86 54.86 50.86 54.86 0090.09.84.0720210P0 34.7315 4 33770 Repair great vessels defect A 33.29 39.74 22.23 NA35.36 39.74 22.23 35.36 5.83 61.35 74.48 61.35 74.48 0090.09.84.0720210P0 34.7315 4 33771 Repair great vessels defect A 34.65 41.37 28.32 NA38.11 41.37 28.32 38.11 5.83 68.80 78.59 68.80 78.59 0090.09.84.0720210P0 34.7315 4 33774 Repair great vessels defect A 30.98 33.94 30.25 NA33.02 33.94 30.25 33.02 4.24 65.47 68.24 65.47 68.24 0090.09.84.0720210P0 34.7315 4 33775 Repair great vessels defect A 32.20 33.94 27.01 NA32.21 33.94 27.01 32.21 4.24 63.45 68.65 63.45 68.65 0090.09.84.0720200P0 34.7315 4 33776 Repair great vessels defect A 34.04 37.90 28.13 NA35.46 37.90 28.13 35.46 4.91 67.08 74.41 67.08 74.41 0090.09.84.0720210P0 34.7315 4 33777 Repair great vessels defect A 33.46 33.94 27.91 NA32.43 33.94 27.91 32.43 4.24 65.61 70.13 65.61 70.13 0090.09.84.0720200P0 34.7315 4 33778 Repair great vessels defect A 35.82 42.76 29.64 NA39.48 42.76 29.64 39.48 5.77 71.23 81.07 71.23 81.07 0090.09.84.0720210P0 34.7315 4 33779 Repair great vessels defect A 36.21 43.23 35.24 NA41.23 43.23 35.24 41.23 5.77 77.22 83.21 77.22 83.21 0090.09.84.0720210P0 34.7315 4 33780 Repair great vessels defect A 36.94 44.09 29.28 NA40.39 44.09 29.28 40.39 5.77 71.99 83.10 71.99 83.10 0090.09.84.0720210P0 34.7315 4 33781 Repair great vessels defect A 36.45 43.52 29.95 NA40.13 43.52 29.95 40.13 5.77 72.17 82.35 72.17 82.35 0090.09.84.0720200P0 34.7315 4 33786 Repair arterial trunk A 34.84 41.59 28.46 NA38.31 41.59 28.46 38.31 5.83 69.13 78.98 69.13 78.98 0090.09.84.0720210P0 34.7315 4 33788 Revision of pulmonary artery A 26.62 31.78 22.31 NA29.41 31.78 22.31 29.41 4.07 53.00 60.10 53.00 60.10 0090.09.84.0720210P0 34.7315 4 33800 Aortic suspension A 16.24 15.35 13.00 NA14.76 15.35 13.00 14.76 1.96 31.20 32.96 31.20 32.96 0090.09.84.0720220P0 34.7315 4 33802 Repair vessel defect A 17.66 21.09 13.19 NA19.12 21.09 13.19 19.12 3.36 34.21 40.14 34.21 40.14 0090.09.84.0720210P0 34.7315 4 33803 Repair vessel defect A 19.60 23.40 13.25 NA20.86 23.40 13.25 20.86 3.36 36.21 43.82 36.21 43.82 0090.09.84.0720210P0 34.7315 4 33813 Repair septal defect A 20.65 23.98 14.59 NA21.63 23.98 14.59 21.63 3.36 38.60 45.64 38.60 45.64 0090.09.84.0720210P0 34.7315 4 33814 Repair septal defect A 25.77 30.77 21.63 NA28.49 30.77 21.63 28.49 4.17 51.57 58.43 51.57 58.43 0090.09.84.0720210P0 34.7315 4 33820 Revise major vessel A 16.29 19.45 11.28 NA17.41 19.45 11.28 17.41 3.36 30.93 37.06 30.93 37.06 0090.09.84.0720200P0 34.7315 4 33822 Revise major vessel A 17.32 20.67 12.13 NA18.54 20.67 12.13 18.54 3.36 32.81 39.22 32.81 39.22 0090.09.84.0720210P0 34.7315 4 33824 Revise major vessel A 19.52 23.30 16.92 NA21.71 23.30 16.92 21.71 3.36 39.80 44.59 39.80 44.59 0090.09.84.0720210P0 34.7315 4 33840 Remove aorta constriction A 20.63 24.62 15.23 NA22.27 24.62 15.23 22.27 4.37 40.23 47.27 40.23 47.27 0090.09.84.0720210P0 34.7315 4 33845 Remove aorta constriction A 22.12 26.40 15.28 NA23.62 26.40 15.28 23.62 4.37 41.77 50.11 41.77 50.11 0090.09.84.0720210P0 34.7315 4 33851 Remove aorta constriction A 21.27 25.40 14.96 NA22.79 25.40 14.96 22.79 4.37 40.60 48.43 40.60 48.43 0090.09.84.0720210P0 34.7315 4 33852 Repair septal defect A 23.71 28.30 20.38 NA26.32 28.30 20.38 26.32 4.37 48.46 54.40 48.46 54.40 0090.09.84.0720200P0 34.7315 4 33853 Repair septal defect A 31.72 37.86 27.83 NA35.35 37.86 27.83 35.35 5.83 65.38 72.90 65.38 72.90 0090.09.84.0720210P0 34.7315 4 33860 Ascending aorta graft A 33.96 37.67 27.94 NA35.24 37.67 27.94 35.24 4.83 66.73 74.03 66.73 74.03 0090.09.84.0720210P0 34.7315 4 33861 Ascending aorta graft A 34.52 37.67 28.87 NA35.47 37.67 28.87 35.47 4.83 68.22 74.82 68.22 74.82 0090.09.84.0720210P0 34.7315 4 33863 Ascending aorta graft A 36.47 37.67 30.38 NA35.85 37.67 30.38 35.85 4.83 71.68 77.15 71.68 77.15 0090.09.84.0720210P0 34.7315 4 33870 Transverse aortic arch graft A 40.31 48.08 31.36 NA43.90 48.08 31.36 43.90 6.29 77.96 90.50 77.96 90.50 0090.09.84.0720210P0 34.7315 4 33875 Thoracic aorta graft A 33.06 33.91 26.84 NA32.14 33.91 26.84 32.14 4.37 64.27 69.57 64.27 69.57 0090.09.84.0720210P0 34.7315 4 33877 Thoracoabdominal graft A 42.60 47.87 36.40 NA45.00 47.87 36.40 45.00 6.56 85.56 94.16 85.56 94.16 0090.09.84.0720210P0 34.7315 4 33910 Remove lung artery emboli A 24.59 15.90 22.35 NA17.51 15.90 22.35 17.51 2.17 49.11 44.27 49.11 44.27 0090.09.84.0720210P0 34.7315 4 33915 Remove lung artery emboli A 21.02 13.04 16.68 NA13.95 13.04 16.68 13.95 1.74 39.44 36.71 39.44 36.71 0090.09.84.0720210P0 34.7315 4 33916 Surgery of great vessel A 25.83 19.07 24.27 NA20.37 19.07 24.27 20.37 2.68 52.78 48.88 52.78 48.88 0090.09.84.0720210P0 34.7315 4 33917 Repair pulmonary artery A 24.50 29.25 19.60 NA26.84 29.25 19.60 26.84 4.93 49.03 56.27 49.03 56.27 0090.09.84.0720210P0 34.7315 4 33918 Repair pulmonary atresia A 26.45 31.58 18.89 NA28.41 31.58 18.89 28.41 4.07 49.41 58.93 49.41 58.93 0090.09.84.0720210P0 34.7315 4 33919 Repair pulmonary atresia A 32.67 39.00 31.29 NA37.07 39.00 31.29 37.07 5.83 69.79 75.57 69.79 75.57 0090.09.84.0720210P0 34.7315 4 33920 Repair pulmonary atresia A 31.95 38.15 27.31 NA35.44 38.15 27.31 35.44 5.83 65.09 73.22 65.09 73.22 0090.09.84.0720210P0 34.7315 4 33922 Transect pulmonary artery A 23.52 28.08 22.35 NA26.65 28.08 22.35 26.65 2.21 48.08 52.38 48.08 52.38 0090.09.84.0720210P0 34.7315 4 33924 Remove pulmonary shunt A 5.50 4.34 2.57 NA 3.90 4.34 2.57 3.90 0.61 8.68 10.01 8.68 10.01 0ZZZ.00.00.0000210P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 33935 Transplantation, heart/lung R 60.96 72.78 33.35 NA62.92 72.78 33.35 62.92 10.59 104.90 134.47 104.90 134.47 0090.09.84.0720212P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 33945 Transplantation of heart R 42.10 50.26 24.41 NA43.80 50.26 24.41 43.80 8.64 75.15 94.54 75.15 94.54 0090.09.84.0720212P0 34.7315 4 33960 External circulation assist A 19.36 7.61 10.08 NA 8.23 7.61 10.08 8.23 0.74 30.18 28.33 30.18 28.33 0XXX.00.00.0000210P0 34.7315 4 33961 External circulation assist A 10.93 7.61 9.50 NA 8.08 7.61 9.50 8.08 0.74 21.17 19.75 21.17 19.75 0ZZZ.00.00.0000210P0 34.7315 4 33970 Aortic circulation assist A 6.75 8.06 6.63 NA 7.70 8.06 6.63 7.70 0.78 14.16 15.23 14.16 15.23 0000.00.00.0020210P0 34.7315 4 33971 Aortic circulation assist A 9.69 5.60 9.96 NA 6.69 5.60 9.96 6.69 0.71 20.36 17.09 20.36 17.09 0090.09.84.0720100P0 34.7315 4 33973 Insert balloon device A 9.76 8.18 4.53 NA 7.27 8.18 4.53 7.27 0.78 15.07 17.81 15.07 17.81 0000.00.00.0020210P0 34.7315 4 33974 Remove intra-aortic balloon A 14.41 6.03 13.40 NA 7.87 6.03 13.40 7.87 0.71 28.52 22.99 28.52 22.99 0090.09.84.0720100P0 34.7315 4 33975 Implant ventricular device A 39.00 15.40 31.35 NA19.39 15.40 31.35 19.39 2.17 72.52 60.56 72.52 60.56 0010.10.80.1020200P0 34.7315 4 33976 Implant ventricular device A 43.00 20.98 33.03 NA23.99 20.98 33.03 23.99 2.96 78.99 69.95 78.99 69.95 0010.10.80.1022200P0 34.7315 4 33977 Remove ventricular device A 19.29 13.47 16.97 NA14.35 13.47 16.97 14.35 1.90 38.16 35.54 38.16 35.54 0090.09.84.0720200P0 34.7315 4 33978 Remove ventricular device A 21.73 15.40 17.27 NA15.87 15.40 17.27 15.87 2.17 41.17 39.77 41.17 39.77 0090.09.84.0722200P0 34.7315 4 33999 Cardiac surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 34001 Removal of artery clot A 12.91 10.40 6.77 NA 9.49 10.40 6.77 9.49 1.46 21.14 23.86 21.14 23.86 0090.09.84.0721210P0 34.7315 4 34051 Removal of artery clot A 15.21 9.56 8.48 NA 9.29 9.56 8.48 9.29 1.24 24.93 25.74 24.93 25.74 0090.09.84.0721210P0 34.7315 4 34101 Removal of artery clot A 9.97 9.05 5.17 NA 8.08 9.05 5.17 8.08 1.34 16.48 19.39 16.48 19.39 0090.09.84.0721210P0 34.7315 4 34111 Removal of arm artery clot A 8.07 8.24 4.35 NA 7.27 8.24 4.35 7.27 1.24 13.66 16.58 13.66 16.58 0090.09.84.0721210P0 34.7315 4 34151 Removal of artery clot A 16.86 12.98 9.10 NA12.01 12.98 9.10 12.01 1.87 27.83 30.74 27.83 30.74 0090.09.84.0721210P0 34.7315 4 34201 Removal of artery clot A 9.13 9.66 5.24 NA 8.56 9.66 5.24 8.56 1.39 15.76 19.08 15.76 19.08 0090.09.84.0721210P0 34.7315 4 34203 Removal of leg artery clot A 12.21 9.37 6.69 NA 8.70 9.37 6.69 8.70 1.35 20.25 22.26 20.25 22.26 0090.09.84.0721210P0 34.7315 4 34401 Removal of vein clot A 12.86 8.76 7.28 NA 8.39 8.76 7.28 8.39 1.09 21.23 22.34 21.23 22.34 0090.09.84.0721210P0 34.7315 4 34421 Removal of vein clot A 9.93 8.09 5.72 NA 7.50 8.09 5.72 7.50 1.18 16.83 18.61 16.83 18.61 0090.09.84.0721210P0 34.7315 4 34451 Removal of vein clot A 14.44 11.60 7.71 NA10.63 11.60 7.71 10.63 1.67 23.82 26.74 23.82 26.74 0090.09.84.0721210P0 34.7315 4 34471 Removal of vein clot A 10.18 3.81 5.76 NA 4.30 3.81 5.76 4.30 0.43 16.37 14.91 16.37 14.91 0090.09.84.0721110P0 34.7315 4 34490 Removal of vein clot A 7.60 7.89 4.53 NA 7.05 7.89 4.53 7.05 1.20 13.33 15.85 13.33 15.85 0090.09.84.0721100P0 34.7315 4 34501 Repair valve, femoral vein A 10.93 7.98 7.08 NA 7.76 7.98 7.08 7.76 0.67 18.68 19.36 18.68 19.36 0090.09.84.0721210P0 34.7315 4 34502 Reconstruct, vena cava A 26.95 20.24 13.40 NA18.53 20.24 13.40 18.53 2.85 43.20 48.33 43.20 48.33 0090.09.84.0720200P0 34.7315 4 34510 Transposition of vein valve A 13.25 9.65 8.19 NA 9.29 9.65 8.19 9.29 0.81 22.25 23.35 22.25 23.35 0090.09.84.0721210P0 34.7315 4 34520 Cross-over vein graft A 13.74 10.13 8.50 NA 9.72 10.13 8.50 9.72 0.85 23.09 24.31 23.09 24.31 0090.09.84.0721210P0 34.7315 4 34530 Leg vein fusion A 17.61 13.40 9.15 NA12.34 13.40 9.15 12.34 1.13 27.89 31.08 27.89 31.08 0090.09.84.0721210P0 34.7315 4 35001 Repair defect of artery A 19.64 17.26 9.73 NA15.38 17.26 9.73 15.38 2.49 31.86 37.51 31.86 37.51 0090.09.84.0721210P0 34.7315 4 35002 Repair artery rupture, neck A 21.00 13.72 10.41 NA12.89 13.72 10.41 12.89 1.89 33.30 35.78 33.30 35.78 0090.09.84.0721210P0 34.7315 4 35005 Repair defect of artery A 18.12 11.16 8.47 NA10.49 11.16 8.47 10.49 1.71 28.30 30.32 28.30 30.32 0090.09.84.0721210P0 34.7315 4 35011 Repair defect of artery A 11.65 13.91 6.02 NA11.94 13.91 6.02 11.94 2.16 19.83 25.75 19.83 25.75 0090.09.84.0721210P0 34.7315 4 35013 Repair artery rupture, arm A 17.40 15.95 8.32 NA14.04 15.95 8.32 14.04 2.37 28.09 33.81 28.09 33.81 0090.09.84.0721210P0 34.7315 4 35021 Repair defect of artery A 19.65 19.68 10.92 NA17.49 19.68 10.92 17.49 2.39 32.96 39.53 32.96 39.53 0090.09.84.0721210P0 34.7315 4 35022 Repair artery rupture, chest A 23.18 16.04 12.71 NA15.21 16.04 12.71 15.21 2.19 38.08 40.58 38.08 40.58 0090.09.84.0721210P0 34.7315 4 35045 Repair defect of arm artery A 11.26 13.40 6.20 NA11.60 13.40 6.20 11.60 1.96 19.42 24.82 19.42 24.82 0090.09.84.0721210P0 34.7315 4 35081 Repair defect of artery A 28.01 23.28 13.75 NA20.90 23.28 13.75 20.90 3.27 45.03 52.18 45.03 52.18 0090.09.84.0720210P0 34.7315 4 35082 Repair artery rupture, aorta A 36.35 24.86 16.88 NA22.87 24.86 16.88 22.87 3.59 56.82 62.81 56.82 62.81 0090.09.84.0720210P0 34.7315 4 35091 Repair defect of artery A 35.40 24.60 17.11 NA22.73 24.60 17.11 22.73 3.32 55.83 61.45 55.83 61.45 0090.09.84.0721210P0 34.7315 4 35092 Repair artery rupture, aorta A 38.39 28.51 18.58 NA26.03 28.51 18.58 26.03 4.08 61.05 68.50 61.05 68.50 0090.09.84.0721210P0 34.7315 4 35102 Repair defect of artery A 30.76 24.04 14.96 NA21.77 24.04 14.96 21.77 3.38 49.10 55.91 49.10 55.91 0090.09.84.0721210P0 34.7315 4 35103 Repair artery rupture, groin A 33.57 28.39 16.07 NA25.31 28.39 16.07 25.31 4.08 53.72 62.96 53.72 62.96 0090.09.84.0721210P0 34.7315 4 35111 Repair defect of artery A 16.43 19.10 9.10 NA16.60 19.10 9.10 16.60 2.89 28.42 35.92 28.42 35.92 0090.09.84.0721210P0 34.7315 4 35112 Repair artery rupture,spleen A 18.69 11.34 9.87 NA10.97 11.34 9.87 10.97 1.74 30.30 31.40 30.30 31.40 0090.09.84.0721210P0 34.7315 4 35121 Repair defect of artery A 25.99 20.75 12.98 NA18.81 20.75 12.98 18.81 2.86 41.83 47.66 41.83 47.66 0090.09.84.0721200P0 34.7315 4 35122 Repair artery rupture, belly A 33.45 19.45 15.62 NA18.49 19.45 15.62 18.49 3.10 52.17 55.04 52.17 55.04 0090.09.84.0721210P0 34.7315 4 35131 Repair defect of artery A 18.55 17.23 10.21 NA15.48 17.23 10.21 15.48 2.46 31.22 36.49 31.22 36.49 0090.09.84.0721210P0 34.7315 4 35132 Repair artery rupture, groin A 21.95 20.27 11.52 NA18.08 20.27 11.52 18.08 2.80 36.27 42.83 36.27 42.83 0090.09.84.0721210P0 34.7315 4 35141 Repair defect of artery A 14.46 15.95 8.03 NA13.97 15.95 8.03 13.97 2.25 24.74 30.68 24.74 30.68 0090.09.84.0721210P0 34.7315 4 35142 Repair artery rupture, thigh A 15.86 17.47 8.41 NA15.21 17.47 8.41 15.21 2.53 26.80 33.60 26.80 33.60 0090.09.84.0721210P0 34.7315 4 35151 Repair defect of artery A 17.00 16.67 9.61 NA14.91 16.67 9.61 14.91 2.30 28.91 34.21 28.91 34.21 0090.09.84.0721210P0 34.7315 4 35152 Repair artery rupture, knee A 16.70 10.06 9.89 NA10.02 10.06 9.89 10.02 1.53 28.12 28.25 28.12 28.25 0090.09.84.0721210P0 34.7315 4 35161 Repair defect of artery A 18.76 17.23 10.46 NA15.54 17.23 10.46 15.54 2.46 31.68 36.76 31.68 36.76 0090.09.84.0721210P0 34.7315 4 35162 Repair artery rupture A 19.78 20.27 10.77 NA17.90 20.27 10.77 17.90 2.80 33.35 40.48 33.35 40.48 0090.09.84.0721210P0 34.7315 4 35180 Repair blood vessel lesion A 13.62 8.00 7.33 NA 7.83 8.00 7.33 7.83 1.16 22.11 22.61 22.11 22.61 0090.09.84.0720210P0 34.7315 4 35182 Repair blood vessel lesion A 17.74 11.56 9.79 NA11.12 11.56 9.79 11.12 1.26 28.79 30.12 28.79 30.12 0090.09.84.0720210P0 34.7315 4 35184 Repair blood vessel lesion A 12.25 10.56 6.95 NA 9.66 10.56 6.95 9.66 1.53 20.73 23.44 20.73 23.44 0090.09.84.0720210P0 34.7315 4 35188 Repair blood vessel lesion A 14.28 8.80 8.22 NA 8.66 8.80 8.22 8.66 1.24 23.74 24.18 23.74 24.18 0090.09.84.0720210P0 34.7315 4 35189 Repair blood vessel lesion A 18.43 12.30 9.79 NA11.67 12.30 9.79 11.67 1.73 29.95 31.83 29.95 31.83 0090.09.84.0720210P0 34.7315 4 35190 Repair blood vessel lesion A 12.75 11.22 7.19 NA10.21 11.22 7.19 10.21 1.67 21.61 24.63 21.61 24.63 0090.09.84.0720210P0 34.7315 4 35201 Repair blood vessel lesion A 9.99 10.93 5.64 NA 9.61 10.93 5.64 9.61 1.52 17.15 21.12 17.15 21.12 0090.09.84.0721210P0 34.7315 4 35206 Repair blood vessel lesion A 9.25 11.02 5.77 NA 9.71 11.02 5.77 9.71 1.59 16.61 20.55 16.61 20.55 0090.09.84.0721210P0 34.7315 4 35207 Repair blood vessel lesion A 10.15 11.72 8.88 NA11.01 11.72 8.88 11.01 1.51 20.54 22.67 20.54 22.67 0090.09.84.0721110P0 34.7315 4 35211 Repair blood vessel lesion A 22.12 14.52 20.99 NA16.14 14.52 20.99 16.14 2.03 45.14 40.29 45.14 40.29 0090.09.84.0721210P0 34.7315 4 35216 Repair blood vessel lesion A 18.75 11.59 19.38 NA13.54 11.59 19.38 13.54 1.63 39.76 33.92 39.76 33.92 0090.09.84.0721210P0 34.7315 4 35221 Repair blood vessel lesion A 16.42 12.04 8.70 NA11.21 12.04 8.70 11.21 1.72 26.84 29.35 26.84 29.35 0090.09.84.0721210P0 34.7315 4 35226 Repair blood vessel lesion A 9.06 10.82 6.36 NA 9.71 10.82 6.36 9.71 1.53 16.95 20.30 16.95 20.30 0090.09.84.0721210P0 34.7315 4 35231 Repair blood vessel lesion A 12.00 14.33 7.01 NA12.50 14.33 7.01 12.50 2.28 21.29 26.78 21.29 26.78 0090.09.84.0721210P0 34.7315 4 35236 Repair blood vessel lesion A 10.54 12.58 6.44 NA11.05 12.58 6.44 11.05 2.00 18.98 23.59 18.98 23.59 0090.09.84.0721210P0 34.7315 4 35241 Repair blood vessel lesion A 23.12 14.64 27.25 NA17.79 14.64 27.25 17.79 2.03 52.40 42.94 52.40 42.94 0090.09.84.0721210P0 34.7315 4 35246 Repair blood vessel lesion A 19.84 18.40 20.74 NA18.99 18.40 20.74 18.99 1.68 42.26 40.51 42.26 40.51 0090.09.84.0721210P0 34.7315 4 35251 Repair blood vessel lesion A 17.49 10.41 9.22 NA10.11 10.41 9.22 10.11 1.47 28.18 29.07 28.18 29.07 0090.09.84.0721210P0 34.7315 4 35256 Repair blood vessel lesion A 11.38 13.46 6.95 NA11.83 13.46 6.95 11.83 1.87 20.20 25.08 20.20 25.08 0090.09.84.0721210P0 34.7315 4 35261 Repair blood vessel lesion A 11.63 13.88 6.31 NA11.99 13.88 6.31 11.99 2.08 20.02 25.70 20.02 25.70 0090.09.84.0721210P0 34.7315 4 35266 Repair blood vessel lesion A 10.30 12.30 6.03 NA10.73 12.30 6.03 10.73 1.89 18.22 22.92 18.22 22.92 0090.09.84.0721210P0 34.7315 4 35271 Repair blood vessel lesion A 22.12 13.60 21.83 NA15.66 13.60 21.83 15.66 2.00 45.95 39.78 45.95 39.78 0090.09.84.0721210P0 34.7315 4 35276 Repair blood vessel lesion A 18.75 11.78 19.53 NA13.72 11.78 19.53 13.72 1.77 40.05 34.24 40.05 34.24 0090.09.84.0721210P0 34.7315 4 35281 Repair blood vessel lesion A 16.48 18.75 9.03 NA16.32 18.75 9.03 16.32 2.64 28.15 35.44 28.15 35.44 0090.09.84.0721210P0 34.7315 4 35286 Repair blood vessel lesion A 11.87 12.71 7.21 NA11.34 12.71 7.21 11.34 1.82 20.90 25.03 20.90 25.03 0090.09.84.0721210P0 34.7315 4 35301 Rechanneling of artery A 18.70 15.69 9.79 NA14.22 15.69 9.79 14.22 2.20 30.69 35.12 30.69 35.12 0090.09.84.0721210P0 34.7315 4 35311 Rechanneling of artery A 23.85 23.94 12.20 NA21.01 23.94 12.20 21.01 3.61 39.66 48.47 39.66 48.47 0090.09.84.0721210P0 34.7315 4 35321 Rechanneling of artery A 11.97 14.06 5.90 NA12.02 14.06 5.90 12.02 2.10 19.97 26.09 19.97 26.09 0090.09.84.0721210P0 34.7315 4 35331 Rechanneling of artery A 23.52 14.48 12.03 NA13.87 14.48 12.03 13.87 2.08 37.63 39.47 37.63 39.47 0090.09.84.0721210P0 34.7315 4 35341 Rechanneling of artery A 25.11 18.85 13.11 NA17.42 18.85 13.11 17.42 2.76 40.98 45.29 40.98 45.29 0090.09.84.0721210P0 34.7315 4 35351 Rechanneling of artery A 20.11 16.22 10.75 NA14.85 16.22 10.75 14.85 2.32 33.18 37.28 33.18 37.28 0090.09.84.0721210P0 34.7315 4 35355 Rechanneling of artery A 16.09 16.73 9.15 NA14.84 16.73 9.15 14.84 2.34 27.58 33.27 27.58 33.27 0090.09.84.0721210P0 34.7315 4 35361 Rechanneling of artery A 23.59 21.02 11.93 NA18.75 21.02 11.93 18.75 3.04 38.56 45.38 38.56 45.38 0090.09.84.0721210P0 34.7315 4 35363 Rechanneling of artery A 24.66 24.71 12.62 NA21.69 24.71 12.62 21.69 3.44 40.72 49.79 40.72 49.79 0090.09.84.0721210P0 34.7315 4 35371 Rechanneling of artery A 11.64 13.58 6.67 NA11.85 13.58 6.67 11.85 1.96 20.27 25.45 20.27 25.45 0090.09.84.0721210P0 34.7315 4 35372 Rechanneling of artery A 13.56 12.15 7.25 NA10.93 12.15 7.25 10.93 1.78 22.59 26.27 22.59 26.27 0090.09.84.0721210P0 34.7315 4 35381 Rechanneling of artery A 15.81 14.84 8.11 NA13.16 14.84 8.11 13.16 2.12 26.04 31.09 26.04 31.09 0090.09.84.0721210P0 34.7315 4 35390 Reoperation, carotid add-on A 3.19 1.81 1.45 NA 1.72 1.81 1.45 1.72 0.31 4.95 5.22 4.95 5.22 0ZZZ.00.00.0001210P0 34.7315 4 35400 Angioscopy A 3.00 2.46 1.42 NA 2.20 2.46 1.42 2.20 0.21 4.63 5.41 4.63 5.41 0ZZZ.00.00.0000010P0 34.7315 4 35450 Repair arterial blockage A 10.07 12.02 5.31 NA10.34 12.02 5.31 10.34 1.08 16.46 21.49 16.46 21.49 0000.00.00.0021210P0 34.7315 4 35452 Repair arterial blockage A 6.91 4.72 3.94 NA 4.53 4.72 3.94 4.53 0.48 11.33 11.92 11.33 11.92 0000.00.00.0021210P0 34.7315 4 35454 Repair arterial blockage A 6.04 7.21 3.36 NA 6.25 7.21 3.36 6.25 1.20 10.60 13.49 10.60 13.49 0000.00.00.0021210P0 34.7315 4 35456 Repair arterial blockage A 7.35 8.78 3.96 NA 7.58 8.78 3.96 7.58 1.32 12.63 16.25 12.63 16.25 0000.00.00.0021210P0 34.7315 4 35458 Repair arterial blockage A 9.49 10.99 4.80 NA 9.44 10.99 4.80 9.44 1.43 15.72 20.36 15.72 20.36 0000.00.00.0021210P0 34.7315 4 35459 Repair arterial blockage A 8.63 10.30 4.42 NA 8.83 10.30 4.42 8.83 1.32 14.37 18.78 14.37 18.78 0000.00.00.0021210P0 34.7315 4 35460 Repair venous blockage A 6.04 3.43 3.12 NA 3.35 3.43 3.12 3.35 0.58 9.74 9.97 9.74 9.97 0000.00.00.0021110P0 34.7315 4 35470 Repair arterial blockage A 8.63 10.30 4.82 NA 8.93 10.30 4.82 8.93 1.32 14.77 18.88 14.77 18.88 0000.00.00.0021100P0 34.7315 4 35471 Repair arterial blockage A 10.07 12.02 5.45 NA10.38 12.02 5.45 10.38 1.08 16.60 21.53 16.60 21.53 0000.00.00.0021100P0 34.7315 4 35472 Repair arterial blockage A 6.91 3.92 4.12 NA 3.97 3.92 4.12 3.97 0.66 11.69 11.54 11.69 11.54 0000.00.00.0021010P0 34.7315 4 35473 Repair arterial blockage A 6.04 7.21 3.72 NA 6.34 7.21 3.72 6.34 1.20 10.96 13.58 10.96 13.58 0000.00.00.0021100P0 34.7315 4 35474 Repair arterial blockage A 7.36 8.79 4.09 NA 7.62 8.79 4.09 7.62 1.32 12.77 16.30 12.77 16.30 0000.00.00.0021100P0 34.7315 4 35475 Repair arterial blockage R 9.49 10.99 4.79 NA 9.44 10.99 4.79 9.44 1.43 15.71 20.36 15.71 20.36 0000.00.00.0021100P0 34.7315 4 35476 Repair venous blockage A 6.04 3.43 3.54 NA 3.46 3.43 3.54 3.46 0.58 10.16 10.08 10.16 10.08 0000.00.00.0021100P0 34.7315 4 35480 Atherectomy, open A 11.08 13.23 5.63 NA11.33 13.23 5.63 11.33 1.08 17.79 23.49 17.79 23.49 0000.00.00.0020220P0 34.7315 4 35481 Atherectomy, open A 7.61 4.72 4.01 NA 4.54 4.72 4.01 4.54 0.48 12.10 12.63 12.10 12.63 0000.00.00.0020220P0 34.7315 4 35482 Atherectomy, open A 6.65 7.94 3.67 NA 6.87 7.94 3.67 6.87 1.20 11.52 14.72 11.52 14.72 0000.00.00.0020220P0 34.7315 4 35483 Atherectomy, open A 8.10 9.67 4.38 NA 8.35 9.67 4.38 8.35 1.32 13.80 17.77 13.80 17.77 0000.00.00.0020220P0 34.7315 4 35484 Atherectomy, open A 10.44 10.99 4.94 NA 9.48 10.99 4.94 9.48 1.43 16.81 21.35 16.81 21.35 0000.00.00.0020220P0 34.7315 4 35485 Atherectomy, open A 9.49 4.91 4.93 NA 4.92 4.91 4.93 4.92 0.83 15.25 15.24 15.25 15.24 0000.00.00.0020220P0 34.7315 4 35490 Atherectomy, percutaneous A 11.08 13.23 5.92 NA11.40 13.23 5.92 11.40 1.08 18.08 23.56 18.08 23.56 0000.00.00.0020200P0 34.7315 4 35491 Atherectomy, percutaneous A 7.61 4.72 3.81 NA 4.49 4.72 3.81 4.49 0.48 11.90 12.58 11.90 12.58 0000.00.00.0020200P0 34.7315 4 35492 Atherectomy, percutaneous A 6.65 7.94 4.09 NA 6.98 7.94 4.09 6.98 1.20 11.94 14.83 11.94 14.83 0000.00.00.0020200P0 34.7315 4 35493 Atherectomy, percutaneous A 8.10 9.67 4.98 NA 8.50 9.67 4.98 8.50 1.32 14.40 17.92 14.40 17.92 0000.00.00.0020100P0 34.7315 4 35494 Atherectomy, percutaneous A 10.44 10.99 4.98 NA 9.49 10.99 4.98 9.49 1.43 16.85 21.36 16.85 21.36 0000.00.00.0020100P0 34.7315 4 35495 Atherectomy, percutaneous A 9.49 4.91 5.65 NA 5.10 4.91 5.65 5.10 0.83 15.97 15.42 15.97 15.42 0000.00.00.0020000P0 34.7315 4 35500 Harvest vein for bypass C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001210P0 34.7315 9 35501 Artery bypass graft A 19.19 21.00 9.34 NA18.09 21.00 9.34 18.09 2.73 31.26 40.01 31.26 40.01 0090.09.84.0721210P0 34.7315 4 35506 Artery bypass graft A 19.67 20.80 9.66 NA18.02 20.80 9.66 18.02 2.85 32.18 40.54 32.18 40.54 0090.09.84.0721210P0 34.7315 4 35507 Artery bypass graft A 19.67 19.45 9.94 NA17.07 19.45 9.94 17.07 2.82 32.43 39.56 32.43 39.56 0090.09.84.0721210P0 34.7315 4 35508 Artery bypass graft A 18.65 19.65 9.64 NA17.15 19.65 9.64 17.15 2.68 30.97 38.48 30.97 38.48 0090.09.84.0721210P0 34.7315 4 35509 Artery bypass graft A 18.07 20.51 9.06 NA17.65 20.51 9.06 17.65 3.07 30.20 38.79 30.20 38.79 0090.09.84.0721210P0 34.7315 4 35511 Artery bypass graft A 16.83 11.29 8.83 NA10.68 11.29 8.83 10.68 1.50 27.16 29.01 27.16 29.01 0090.09.84.0721210P0 34.7315 4 35515 Artery bypass graft A 18.65 12.21 10.09 NA11.68 12.21 10.09 11.68 1.57 30.31 31.90 30.31 31.90 0090.09.84.0721210P0 34.7315 4 35516 Artery bypass graft A 16.32 18.85 8.23 NA16.20 18.85 8.23 16.20 2.77 27.32 35.29 27.32 35.29 0090.09.84.0721210P0 34.7315 4 35518 Artery bypass graft A 15.42 18.41 7.41 NA15.66 18.41 7.41 15.66 2.64 25.47 33.72 25.47 33.72 0090.09.84.0721210P0 34.7315 4 35521 Artery bypass graft A 16.17 19.02 8.77 NA16.46 19.02 8.77 16.46 2.61 27.55 35.24 27.55 35.24 0090.09.84.0721210P0 34.7315 4 35526 Artery bypass graft A 20.00 14.05 10.74 NA13.22 14.05 10.74 13.22 1.91 32.65 35.13 32.65 35.13 0090.09.84.0721210P0 34.7315 4 35531 Artery bypass graft A 25.61 21.98 12.63 NA19.64 21.98 12.63 19.64 3.05 41.29 48.30 41.29 48.30 0090.09.84.0721210P0 34.7315 4 35533 Artery bypass graft A 20.52 22.83 10.50 NA19.75 22.83 10.50 19.75 3.47 34.49 43.74 34.49 43.74 0090.09.84.0721210P0 34.7315 4 35536 Artery bypass graft A 23.11 23.19 11.73 NA20.33 23.19 11.73 20.33 3.26 38.10 46.70 38.10 46.70 0090.09.84.0721210P0 34.7315 4 35541 Artery bypass graft A 25.80 21.22 13.63 NA19.32 21.22 13.63 19.32 2.86 42.29 47.98 42.29 47.98 0090.09.84.0720210P0 34.7315 4 35546 Artery bypass graft A 25.54 23.21 13.18 NA20.70 23.21 13.18 20.70 3.33 42.05 49.57 42.05 49.57 0090.09.84.0721210P0 34.7315 4 35548 Artery bypass graft A 21.57 21.22 10.79 NA18.61 21.22 10.79 18.61 2.86 35.22 43.04 35.22 43.04 0090.09.84.0720210P0 34.7315 4 35549 Artery bypass graft A 23.35 23.21 12.14 NA20.44 23.21 12.14 20.44 3.33 38.82 47.12 38.82 47.12 0090.09.84.0722210P0 34.7315 4 35551 Artery bypass graft A 26.67 20.89 13.89 NA19.14 20.89 13.89 19.14 3.03 43.59 48.84 43.59 48.84 0090.09.84.0721210P0 34.7315 4 35556 Artery bypass graft A 21.76 20.31 11.09 NA18.01 20.31 11.09 18.01 2.90 35.75 42.67 35.75 42.67 0090.09.84.0721210P0 34.7315 4 35558 Artery bypass graft A 14.04 16.76 7.56 NA14.46 16.76 7.56 14.46 2.53 24.13 31.03 24.13 31.03 0090.09.84.0721210P0 34.7315 4 35560 Artery bypass graft A 23.56 21.94 12.13 NA19.49 21.94 12.13 19.49 3.07 38.76 46.12 38.76 46.12 0090.09.84.0721210P0 34.7315 4 35563 Artery bypass graft A 15.14 9.03 8.23 NA 8.83 9.03 8.23 8.83 1.33 24.70 25.30 24.70 25.30 0090.09.84.0721210P0 34.7315 4 35565 Artery bypass graft A 15.14 18.07 8.40 NA15.65 18.07 8.40 15.65 2.75 26.29 33.54 26.29 33.54 0090.09.84.0721210P0 34.7315 4 35566 Artery bypass graft A 26.92 22.38 15.28 NA20.61 22.38 15.28 20.61 3.19 45.39 50.72 45.39 50.72 0090.09.84.0721210P0 34.7315 4 35571 Artery bypass graft A 18.58 21.01 11.24 NA18.57 21.01 11.24 18.57 3.03 32.85 40.18 32.85 40.18 0090.09.84.0721210P0 34.7315 4 35582 Vein bypass graft A 27.13 25.76 13.49 NA22.69 25.76 13.49 22.69 3.83 44.45 53.65 44.45 53.65 0090.09.84.0721210P0 34.7315 4 35583 Vein bypass graft A 22.37 22.18 12.08 NA19.66 22.18 12.08 19.66 3.23 37.68 45.26 37.68 45.26 0090.09.84.0721210P0 34.7315 4 35585 Vein bypass graft A 28.39 24.91 15.09 NA22.46 24.91 15.09 22.46 3.62 47.10 54.47 47.10 54.47 0090.09.84.0721210P0 34.7315 4 35587 Vein bypass graft A 19.05 22.75 11.72 NA19.99 22.75 11.72 19.99 3.23 34.00 42.27 34.00 42.27 0090.09.84.0721210P0 34.7315 4 35601 Artery bypass graft A 17.50 20.44 8.64 NA17.49 20.44 8.64 17.49 2.61 28.75 37.60 28.75 37.60 0090.09.84.0721210P0 34.7315 4 35606 Artery bypass graft A 18.71 19.05 9.17 NA16.58 19.05 9.17 16.58 2.75 30.63 38.04 30.63 38.04 0090.09.84.0721210P0 34.7315 4 35612 Artery bypass graft A 15.76 18.18 8.44 NA15.75 18.18 8.44 15.75 2.58 26.78 34.09 26.78 34.09 0090.09.84.0721210P0 34.7315 4 35616 Artery bypass graft A 15.70 18.22 7.84 NA15.63 18.22 7.84 15.63 2.68 26.22 34.01 26.22 34.01 0090.09.84.0721210P0 34.7315 4 35621 Artery bypass graft A 14.54 17.35 7.80 NA14.96 17.35 7.80 14.96 2.97 25.31 32.47 25.31 32.47 0090.09.84.0721210P0 34.7315 4 35623 Bypass graft, not vein A 16.62 8.75 8.82 NA 8.77 8.75 8.82 8.77 1.47 26.91 26.86 26.91 26.86 0090.09.84.0721210P0 34.7315 4 35626 Artery bypass graft A 23.63 22.26 12.53 NA19.83 22.26 12.53 19.83 3.19 39.35 46.65 39.35 46.65 0090.09.84.0721210P0 34.7315 4 35631 Artery bypass graft A 24.60 19.39 12.57 NA17.69 19.39 12.57 17.69 2.79 39.96 45.08 39.96 45.08 0090.09.84.0721210P0 34.7315 4 35636 Artery bypass graft A 22.46 14.65 11.61 NA13.89 14.65 11.61 13.89 1.92 35.99 38.27 35.99 38.27 0090.09.84.0721210P0 34.7315 4 35641 Artery bypass graft A 24.57 22.31 12.74 NA19.92 22.31 12.74 19.92 3.19 40.50 47.68 40.50 47.68 0090.09.84.0720210P0 34.7315 4 35642 Artery bypass graft A 17.98 11.21 9.17 NA10.70 11.21 9.17 10.70 1.72 28.87 30.40 28.87 30.40 0090.09.84.0721210P0 34.7315 4 35645 Artery bypass graft A 17.47 12.10 8.22 NA11.13 12.10 8.22 11.13 1.60 27.29 30.20 27.29 30.20 0090.09.84.0721210P0 34.7315 4 35646 Artery bypass graft A 25.81 25.81 13.23 NA22.67 25.81 13.23 22.67 3.70 42.74 52.18 42.74 52.18 0090.09.84.0721210P0 34.7315 4 35650 Artery bypass graft A 14.36 17.15 7.40 NA14.71 17.15 7.40 14.71 2.79 24.55 31.86 24.55 31.86 0090.09.84.0721210P0 34.7315 4 35651 Artery bypass graft A 25.04 26.14 13.43 NA22.96 26.14 13.43 22.96 3.67 42.14 51.67 42.14 51.67 0090.09.84.0721210P0 34.7315 4 35654 Artery bypass graft A 18.61 22.22 9.77 NA19.11 22.22 9.77 19.11 3.46 31.84 41.18 31.84 41.18 0090.09.84.0721210P0 34.7315 4 35656 Artery bypass graft A 19.53 19.24 9.56 NA16.82 19.24 9.56 16.82 2.82 31.91 39.17 31.91 39.17 0090.09.84.0721210P0 34.7315 4 35661 Artery bypass graft A 13.18 15.74 6.97 NA13.55 15.74 6.97 13.55 2.58 22.73 29.31 22.73 29.31 0090.09.84.0721210P0 34.7315 4 35663 Artery bypass graft A 14.17 16.92 8.13 NA14.72 16.92 8.13 14.72 2.97 25.27 31.86 25.27 31.86 0090.09.84.0721210P0 34.7315 4 35665 Artery bypass graft A 15.40 18.38 8.67 NA15.95 18.38 8.67 15.95 2.79 26.86 34.14 26.86 34.14 0090.09.84.0721210P0 34.7315 4 35666 Artery bypass graft A 19.19 21.77 11.88 NA19.30 21.77 11.88 19.30 3.13 34.20 41.62 34.20 41.62 0090.09.84.0721210P0 34.7315 4 35671 Artery bypass graft A 14.80 16.93 9.70 NA15.12 16.93 9.70 15.12 3.19 27.69 33.11 27.69 33.11 0090.09.84.0721210P0 34.7315 4 35681 Composite bypass graft A 1.60 9.62 2.05 NA 7.73 9.62 2.05 7.73 2.75 6.40 12.08 6.40 12.08 0ZZZ.00.00.0001210P0 34.7315 4 35682 Composite bypass graft A 7.20 9.62 2.81 7.92 9.62 2.74 7.90 2.75 12.76 17.87 12.69 17.85 0ZZZ.00.00.0000010P0 34.7315 4 35683 Composite bypass graft A 8.50 9.62 3.32 8.05 9.62 3.22 8.02 2.75 14.57 19.30 14.47 19.27 0ZZZ.00.00.0000010P0 34.7315 4 35691 Arterial transposition A 18.05 21.29 8.79 NA18.17 21.29 8.79 18.17 2.98 29.82 39.20 29.82 39.20 0090.09.84.0721210P0 34.7315 4 35693 Arterial transposition A 15.36 10.20 7.47 NA 9.52 10.20 7.47 9.52 1.49 24.32 26.37 24.32 26.37 0090.09.84.0721210P0 34.7315 4 35694 Arterial transposition A 19.16 10.13 9.12 NA 9.88 10.13 9.12 9.88 1.70 29.98 30.74 29.98 30.74 0090.09.84.0721210P0 34.7315 4 35695 Arterial transposition A 19.16 10.13 9.04 NA 9.86 10.13 9.04 9.86 1.70 29.90 30.72 29.90 30.72 0090.09.84.0721210P0 34.7315 4 35700 Reoperation, bypass graft A 3.08 1.75 2.78 NA 2.01 1.75 2.78 2.01 0.30 6.16 5.39 6.16 5.39 0ZZZ.00.00.0001210P0 34.7315 4 35701 Exploration, carotid artery A 5.55 6.32 4.13 NA 5.77 6.32 4.13 5.77 0.98 10.66 12.30 10.66 12.30 0090.09.84.0721210P0 34.7315 4 35721 Exploration, femoral artery A 5.28 6.03 3.78 NA 5.47 6.03 3.78 5.47 0.87 9.93 11.62 9.93 11.62 0090.09.84.0721210P0 34.7315 4 35741 Exploration popliteal artery A 5.37 6.22 3.96 NA 5.66 6.22 3.96 5.66 0.90 10.23 11.93 10.23 11.93 0090.09.84.0721210P0 34.7315 4 35761 Exploration of artery/vein A 5.37 6.31 3.99 NA 5.73 6.31 3.99 5.73 0.89 10.25 11.99 10.25 11.99 0090.09.84.0721210P0 34.7315 4 35800 Explore neck vessels A 7.02 5.73 4.24 NA 5.36 5.73 4.24 5.36 0.76 12.02 13.14 12.02 13.14 0090.09.84.0720210P0 34.7315 4 35820 Explore chest vessels A 12.88 8.60 9.83 NA 8.91 8.60 9.83 8.91 1.12 23.83 22.91 23.83 22.91 0090.09.84.0720210P0 34.7315 4 35840 Explore abdominal vessels A 9.77 7.85 6.39 NA 7.49 7.85 6.39 7.49 1.13 17.29 18.39 17.29 18.39 0090.09.84.0720210P0 34.7315 4 35860 Explore limb vessels A 5.55 6.31 3.88 NA 5.70 6.31 3.88 5.70 0.90 10.33 12.15 10.33 12.15 0090.09.84.0720210P0 34.7315 4 35870 Repair vessel graft defect A 22.17 11.55 12.48 NA11.78 11.55 12.48 11.78 1.93 36.58 35.88 36.58 35.88 0090.09.84.0720210P0 34.7315 4 35875 Removal of clot in graft A 10.13 8.91 5.87 NA 8.15 8.91 5.87 8.15 1.29 17.29 19.57 17.29 19.57 0090.09.84.0720110P0 34.7315 4 35876 Removal of clot in graft A 17.00 8.91 8.90 NA 8.91 8.91 8.90 8.91 1.29 27.19 27.20 27.19 27.20 0090.09.84.0720210P0 34.7315 4 35901 Excision, graft, neck A 8.19 7.79 5.87 NA 7.31 7.79 5.87 7.31 1.14 15.20 16.64 15.20 16.64 0090.09.84.0720210P0 34.7315 4 35903 Excision, graft, extremity A 9.39 7.79 7.77 NA 7.79 7.79 7.77 7.79 1.14 18.30 18.32 18.30 18.32 0090.09.84.0720210P0 34.7315 4 35905 Excision, graft, thorax A 18.19 7.79 20.33 NA10.93 7.79 20.33 10.93 1.14 39.66 30.26 39.66 30.26 0090.09.84.0720210P0 34.7315 4 35907 Excision, graft, abdomen A 19.24 7.79 12.34 NA 8.93 7.79 12.34 8.93 1.14 32.72 29.31 32.72 29.31 0090.09.84.0720210P0 34.7315 4 36000 Place needle in vein A 0.18 0.26 0.43 0.30 0.11 0.05 0.10 0.03 0.64 0.51 0.26 0.31 0XXX.00.00.0021100P0 34.7315 4 36005 Injection, venography A 0.95 0.51 16.56 4.52 0.51 0.26 0.45 0.03 17.54 5.50 1.24 1.43 0000.00.00.0020000P0 34.7315 4 36010 Place catheter in vein A 2.43 2.29 1.54 NA 2.10 2.29 1.54 2.10 0.24 4.21 4.77 4.21 4.77 0XXX.00.00.0021100P0 34.7315 4 36011 Place catheter in vein A 3.14 2.06 1.84 NA 2.01 2.06 1.84 2.01 0.17 5.15 5.32 5.15 5.32 0XXX.00.00.0021100P0 34.7315 4 36012 Place catheter in vein A 3.52 2.90 2.23 NA 2.73 2.90 2.23 2.73 0.25 6.00 6.50 6.00 6.50 0XXX.00.00.0021100P0 34.7315 4 36013 Place catheter in artery A 2.52 2.29 1.40 NA 2.07 2.29 1.40 2.07 0.24 4.16 4.83 4.16 4.83 0XXX.00.00.0020100P0 34.7315 4 36014 Place catheter in artery A 3.02 2.47 1.87 NA 2.32 2.47 1.87 2.32 0.21 5.10 5.55 5.10 5.55 0XXX.00.00.0021100P0 34.7315 4 36015 Place catheter in artery A 3.52 2.90 1.99 NA 2.67 2.90 1.99 2.67 0.25 5.76 6.44 5.76 6.44 0XXX.00.00.0021100P0 34.7315 4 36100 Establish access to artery A 3.02 2.81 2.08 NA 2.63 2.81 2.08 2.63 0.25 5.35 5.90 5.35 5.90 0XXX.00.00.0021100P0 34.7315 4 36120 Establish access to artery A 2.01 2.40 1.47 NA 2.17 2.40 1.47 2.17 0.23 3.71 4.41 3.71 4.41 0XXX.00.00.0020100P0 34.7315 4 36140 Establish access to artery A 2.01 1.53 1.48 NA 1.52 1.53 1.48 1.52 0.19 3.68 3.72 3.68 3.72 0XXX.00.00.0020100P0 34.7315 4 36145 Artery to vein shunt A 2.01 2.40 1.57 NA 2.19 2.40 1.57 2.19 0.38 3.96 4.58 3.96 4.58 0XXX.00.00.0020100P0 34.7315 4 36160 Establish access to aorta A 2.52 2.52 1.73 NA 2.32 2.52 1.73 2.32 0.27 4.52 5.11 4.52 5.11 0XXX.00.00.0020100P0 34.7315 4 36200 Place catheter in aorta A 3.02 2.96 0.87 NA 2.44 2.96 0.87 2.44 0.22 4.11 5.68 4.11 5.68 0XXX.00.00.0021100P0 34.7315 4 36215 Place catheter in artery A 4.68 3.02 2.45 NA 2.88 3.02 2.45 2.88 0.18 7.31 7.74 7.31 7.74 0XXX.00.00.0021100P0 34.7315 4 36216 Place catheter in artery A 5.28 3.57 2.78 NA 3.37 3.57 2.78 3.37 0.21 8.27 8.86 8.27 8.86 0XXX.00.00.0021100P0 34.7315 4 36217 Place catheter in artery A 6.30 4.25 3.13 NA 3.97 4.25 3.13 3.97 0.25 9.68 10.52 9.68 10.52 0XXX.00.00.0021100P0 34.7315 4 36218 Place catheter in artery A 1.01 0.67 1.58 NA 0.90 0.67 1.58 0.90 0.04 2.63 1.95 2.63 1.95 0ZZZ.00.00.0000100P0 34.7315 4 36245 Place catheter in artery A 4.68 3.42 2.53 NA 3.20 3.42 2.53 3.20 0.20 7.41 8.08 7.41 8.08 0XXX.00.00.0021100P0 34.7315 4 36246 Place catheter in artery A 5.28 3.57 2.85 NA 3.39 3.57 2.85 3.39 0.21 8.34 8.88 8.34 8.88 0XXX.00.00.0021100P0 34.7315 4 36247 Place catheter in artery A 6.30 4.25 3.08 NA 3.96 4.25 3.08 3.96 0.25 9.63 10.51 9.63 10.51 0XXX.00.00.0021100P0 34.7315 4 36248 Place catheter in artery A 1.01 0.67 1.58 NA 0.90 0.67 1.58 0.90 0.04 2.63 1.95 2.63 1.95 0ZZZ.00.00.0000100P0 34.7315 4 36260 Insertion of infusion pump A 9.71 7.31 5.68 NA 6.90 7.31 5.68 6.90 1.10 16.49 17.71 16.49 17.71 0090.09.84.0720100P0 34.7315 4 36261 Revision of infusion pump A 5.45 2.42 3.71 NA 2.74 2.42 3.71 2.74 0.33 9.49 8.52 9.49 8.52 0090.09.84.0720200P0 34.7315 4 36262 Removal of infusion pump A 4.02 2.09 3.02 NA 2.32 2.09 3.02 2.32 0.31 7.35 6.65 7.35 6.65 0090.09.84.0720100P0 34.7315 4 36299 Vessel injection procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 36400 Drawing blood A 0.18 0.10 0.50 0.20 0.05 0.04 0.05 0.01 0.69 0.39 0.23 0.24 0XXX.00.00.0020100P0 34.7315 4 36405 Drawing blood A 0.18 0.49 0.36 0.46 0.25 0.04 0.20 0.02 0.56 0.66 0.24 0.40 0XXX.00.00.0020100P0 34.7315 4 36406 Drawing blood A 0.18 0.17 0.36 0.22 0.09 0.04 0.08 0.01 0.55 0.41 0.23 0.27 0XXX.00.00.0020100P0 34.7315 4 36410 Drawing blood A 0.18 0.24 0.37 0.27 0.11 0.04 0.09 0.02 0.57 0.47 0.24 0.29 0XXX.00.00.0020100P0 34.7315 4 36415 Drawing blood I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 36420 Establish access to vein A 1.01 0.55 0.38 NA 0.51 0.55 0.38 0.51 0.04 1.43 1.56 1.43 1.56 0XXX.00.00.0020000P0 34.7315 4 36425 Establish access to vein A 0.76 0.09 2.51 0.70 0.09 0.32 0.15 0.01 3.28 1.47 1.09 0.92 0XXX.00.00.0020100P0 34.7315 4 36430 Blood transfusion service A 0.00 1.04 1.04 1.04 0.52 0.53 0.52 0.05 1.09 1.09 0.58 0.57 5XXX.00.00.0000100P0 34.7315 4 36440 Blood transfusion service A 1.03 1.02 0.44 NA 0.88 1.02 0.44 0.88 0.05 1.52 1.96 1.52 1.96 0XXX.00.00.0020000P0 34.7315 4 36450 Exchange transfusion service A 2.23 2.04 0.89 NA 1.75 1.02 0.89 0.99 0.14 3.26 4.12 3.26 3.36 0XXX.00.00.0020000P0 34.7315 4 36455 Exchange transfusion service A 2.43 2.46 0.92 NA 2.08 2.46 0.92 2.08 0.17 3.52 4.68 3.52 4.68 0XXX.00.00.0020100P0 34.7315 4 36460 Transfusion service, fetal A 6.59 5.11 2.43 NA 4.44 5.11 2.43 4.44 0.85 9.87 11.88 9.87 11.88 0XXX.00.00.0020200P0 34.7315 4 36468 Injection(s); spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 36469 Injection(s); spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 36470 Injection therapy of vein A 1.09 0.29 2.31 0.80 0.15 0.40 0.21 0.03 3.43 1.92 1.52 1.33 0010.10.80.1020100P0 34.7315 4 36471 Injection therapy of veins A 1.57 0.42 2.59 0.96 0.21 0.58 0.30 0.04 4.20 2.57 2.19 1.91 0010.10.80.1020100P0 34.7315 4 36481 Insertion of catheter, vein A 6.99 5.75 2.34 NA 4.90 5.75 2.34 4.90 0.48 9.81 12.37 9.81 12.37 0000.00.00.0020100P0 34.7315 4 36488 Insertion of catheter, vein A 1.35 1.05 0.54 NA 0.92 1.05 0.54 0.92 0.11 2.00 2.38 2.00 2.38 0000.00.00.0000100P0 34.7315 4 36489 Insertion of catheter, vein A 1.22 1.22 3.45 1.78 1.22 0.46 1.03 0.13 4.80 3.13 1.81 2.38 0000.00.00.0000100P0 34.7315 4 36490 Insertion of catheter, vein A 1.67 1.50 0.56 NA 1.27 1.50 0.56 1.27 0.16 2.39 3.10 2.39 3.10 0000.00.00.0000100P0 34.7315 4 36491 Insertion of catheter, vein A 1.43 1.70 0.58 NA 1.42 1.70 0.58 1.42 0.25 2.26 3.10 2.26 3.10 0000.00.00.0000100P0 34.7315 4 36493 Repositioning of cvc A 1.21 0.68 0.57 NA 0.65 0.68 0.57 0.65 0.13 1.91 1.99 1.91 1.99 0000.00.00.0020100P0 34.7315 4 36500 Insertion of catheter, vein A 3.52 0.09 1.86 NA 0.53 0.09 1.86 0.53 0.01 5.39 4.06 5.39 4.06 0000.00.00.0020100P0 34.7315 4 36510 Insertion of catheter, vein A 1.09 0.37 0.71 NA 0.46 0.19 0.71 0.32 0.02 1.82 1.57 1.82 1.43 0000.00.00.0020000P0 34.7315 4 36520 Plasma and/or cell exchange A 1.74 2.07 0.88 NA 1.77 2.07 0.88 1.77 0.09 2.71 3.60 2.71 3.60 0000.00.00.0020100P0 34.7315 4 36522 Photopheresis A 1.67 2.69 7.87 3.99 2.00 1.00 1.75 0.29 9.83 5.95 2.96 3.71 0000.00.00.0020100P0 34.7315 4 36530 Insertion of infusion pump R 6.20 5.23 3.47 NA 4.79 5.23 3.47 4.79 0.80 10.47 11.79 10.47 11.79 0010.10.80.1020000P0 34.7315 4 36531 Revision of infusion pump R 4.87 4.74 3.13 NA 4.34 4.74 3.13 4.34 0.21 8.21 9.42 8.21 9.42 0010.10.80.1020000P0 34.7315 4 36532 Removal of infusion pump R 3.30 1.92 1.68 NA 1.86 1.92 1.68 1.86 0.29 5.27 5.45 5.27 5.45 0010.10.80.1020000P0 34.7315 4 36533 Insertion of access port A 5.32 4.66 3.20 4.30 4.66 3.11 4.27 0.66 9.18 10.28 9.09 10.25 0010.10.80.1020000P1A4300 34.7315 4 36534 Revision of access port A 2.80 3.34 1.54 NA 2.89 3.34 1.54 2.89 0.16 4.50 5.85 4.50 5.85 0010.10.80.1020000P0 34.7315 4 36535 Removal of access port A 2.27 1.96 2.16 2.01 1.96 2.21 2.02 0.30 4.73 4.58 4.78 4.59 0010.10.80.1020000P0 34.7315 4 36600 Withdrawal of arterial blood A 0.32 0.30 0.30 0.30 0.30 0.08 0.25 0.02 0.64 0.64 0.42 0.59 0XXX.00.00.0020100P0 34.7315 4 36620 Insertion catheter, artery A 1.15 0.72 0.38 NA 0.64 0.72 0.38 0.64 0.11 1.64 1.90 1.64 1.90 0000.00.00.0000100P0 34.7315 4 36625 Insertion catheter, artery A 2.11 0.93 0.60 NA 0.85 0.93 0.60 0.85 0.14 2.85 3.10 2.85 3.10 0000.00.00.0000100P0 34.7315 4 36640 Insertion catheter, artery A 2.10 2.51 1.09 NA 2.16 2.51 1.09 2.16 0.31 3.50 4.57 3.50 4.57 0000.00.00.0020100P0 34.7315 4 36660 Insertion catheter, artery A 1.40 0.53 0.76 NA 0.59 0.53 0.76 0.59 0.03 2.19 2.02 2.19 2.02 0000.00.00.0000000P0 34.7315 4 36680 Insert needle, bone cavity A 1.20 1.35 0.54 NA 1.15 1.35 0.54 1.15 0.08 1.82 2.43 1.82 2.43 0000.00.00.0020000P0 34.7315 4 36800 Insertion of cannula A 2.43 2.41 1.57 NA 2.20 2.41 1.57 2.20 0.22 4.22 4.85 4.22 4.85 0000.00.00.0020100P0 34.7315 4 36810 Insertion of cannula A 3.97 4.74 2.44 NA 4.17 4.74 2.44 4.17 0.58 6.99 8.72 6.99 8.72 0000.00.00.0020100P0 34.7315 4 36815 Insertion of cannula A 2.62 3.13 1.83 NA 2.81 3.13 1.83 2.81 0.55 5.00 5.98 5.00 5.98 0000.00.00.0020100P0 34.7315 4 36821 Artery-vein fusion A 8.93 7.86 4.87 NA 7.11 7.86 4.87 7.11 1.14 14.94 17.18 14.94 17.18 0090.09.84.0720210P0 34.7315 4 36822 Insertion of cannula(s) A 5.42 6.08 7.64 NA 6.47 6.08 7.64 6.47 0.60 13.66 12.49 13.66 12.49 0090.09.84.0720100P0 34.7315 4 36823 Insertion cannula(s) C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 36825 Artery-vein graft A 9.84 11.74 5.49 NA10.18 11.74 5.49 10.18 1.73 17.06 21.75 17.06 21.75 0090.09.84.0720210P0 34.7315 4 36830 Artery-vein graft A 12.00 10.81 6.14 NA 9.64 10.81 6.14 9.64 1.85 19.99 23.49 19.99 23.49 0090.09.84.0720210P0 34.7315 4 36831 Av fistula excision A 8.00 0.00 2.38 2.38 0.00 2.98 2.98 1.29 11.67 11.67 12.27 12.27 0090.09.84.0720210P0 34.7315 5 36832 Av fistula revision A 10.50 7.71 5.56 NA 7.17 7.71 5.56 7.17 1.86 17.92 19.53 17.92 19.53 0090.09.84.0720210P0 34.7315 4 36833 Av fistula revision A 11.95 0.00 4.52 4.52 0.00 4.49 4.49 1.29 17.76 17.76 17.73 17.73 0090.09.84.0720210P0 34.7315 5 36834 Repair A-V aneurysm A 9.93 8.47 5.04 NA 7.61 8.47 5.04 7.61 1.30 16.27 18.84 16.27 18.84 0090.09.84.0720210P0 34.7315 4 36835 Artery to vein shunt A 7.15 3.71 4.13 NA 3.82 3.71 4.13 3.82 0.62 11.90 11.59 11.90 11.59 0090.09.84.0720100P0 34.7315 4 36860 External cannula declotting A 2.01 2.79 2.62 2.75 2.40 2.04 2.31 0.34 4.97 5.10 4.39 4.66 0000.00.00.0020100P0 34.7315 4 36861 Cannula declotting A 2.52 3.01 1.63 NA 2.67 3.01 1.63 2.67 0.79 4.94 5.98 4.94 5.98 0000.00.00.0020100P0 34.7315 4 37140 Revision of circulation A 23.60 17.68 10.54 NA15.90 17.68 10.54 15.90 2.61 36.75 42.11 36.75 42.11 0090.09.84.0720110P0 34.7315 4 37145 Revision of circulation A 24.61 18.59 13.08 NA17.21 18.59 13.08 17.21 1.35 39.04 43.17 39.04 43.17 0090.09.84.0720200P0 34.7315 4 37160 Revision of circulation A 21.60 19.25 10.53 NA17.07 19.25 10.53 17.07 2.97 35.10 41.64 35.10 41.64 0090.09.84.0720210P0 34.7315 4 37180 Revision of circulation A 24.61 15.40 11.26 NA14.37 15.40 11.26 14.37 2.16 38.03 41.14 38.03 41.14 0090.09.84.0720210P0 34.7315 4 37181 Splice spleen/kidney veins A 26.68 17.81 12.02 NA16.36 17.81 12.02 16.36 2.75 41.45 45.79 41.45 45.79 0090.09.84.0720210P0 34.7315 4 37195 Thrombolytic therapy, stroke A 0.00 8.33 8.37 8.34 8.33 8.37 8.34 0.42 8.79 8.76 8.79 8.76 5XXX.00.00.0000000P0 34.7315 4 37200 Transcatheter biopsy A 4.56 1.73 3.32 NA 2.13 1.73 3.32 2.13 0.10 7.98 6.79 7.98 6.79 0000.00.00.0020100P0 34.7315 4 37201 Transcatheter therapy infuse A 5.00 5.97 2.90 NA 5.20 5.97 2.90 5.20 0.50 8.40 10.70 8.40 10.70 0000.00.00.0020100P0 34.7315 4 37202 Transcatheter therapy infuse A 5.68 4.67 3.87 NA 4.47 4.67 3.87 4.47 0.39 9.94 10.54 9.94 10.54 0000.00.00.0020100P0 34.7315 4 37203 Transcatheter retrieval A 5.03 4.15 2.87 NA 3.83 4.15 2.87 3.83 0.35 8.25 9.21 8.25 9.21 0000.00.00.0020100P0 34.7315 4 37204 Transcatheter occlusion A 18.14 14.93 7.41 NA13.05 14.93 7.41 13.05 1.25 26.80 32.44 26.80 32.44 0000.00.00.0020100P0 34.7315 4 37205 Transcatheter stent A 8.28 5.60 4.61 NA 5.35 5.60 4.61 5.35 0.33 13.22 13.96 13.22 13.96 0000.00.00.0020000P0 34.7315 4 37206 Transcatheter stent add-on A 4.13 2.80 2.36 NA 2.69 2.80 2.36 2.69 0.16 6.65 6.98 6.65 6.98 0ZZZ.00.00.0000000P0 34.7315 4 37207 Transcatheter stent A 8.28 5.60 4.31 NA 5.28 5.60 4.31 5.28 0.33 12.92 13.89 12.92 13.89 0000.00.00.0021220P0 34.7315 4 37208 Transcatheter stent add-on A 4.13 2.80 1.91 NA 2.58 2.80 1.91 2.58 0.16 6.20 6.87 6.20 6.87 0ZZZ.00.00.0000220P0 34.7315 4 37209 Exchange arterial catheter A 2.27 1.53 1.64 NA 1.56 1.53 1.64 1.56 0.09 4.00 3.92 4.00 3.92 0000.00.00.0020100P0 34.7315 4 37250 Intravascular us A 2.10 1.24 1.74 NA 1.37 1.24 1.74 1.37 0.10 3.94 3.57 3.94 3.57 0ZZZ.00.00.0000010P0 34.7315 4 37251 Intravascular us A 1.60 0.94 1.50 NA 1.08 0.94 1.50 1.08 0.08 3.18 2.76 3.18 2.76 0ZZZ.00.00.0000010P0 34.7315 4 37565 Ligation of neck vein A 4.44 4.11 2.81 NA 3.79 4.11 2.81 3.79 0.58 7.83 8.81 7.83 8.81 0090.09.84.0720010P0 34.7315 4 37600 Ligation of neck artery A 4.57 5.40 4.03 NA 5.06 5.40 4.03 5.06 0.63 9.23 10.26 9.23 10.26 0090.09.84.0720210P0 34.7315 4 37605 Ligation of neck artery A 6.19 6.03 4.35 NA 5.61 6.03 4.35 5.61 0.81 11.35 12.61 11.35 12.61 0090.09.84.0720210P0 34.7315 4 37606 Ligation of neck artery A 6.28 6.42 5.02 NA 6.07 6.42 5.02 6.07 0.56 11.86 12.91 11.86 12.91 0090.09.84.0720200P0 34.7315 4 37607 Ligation of fistula A 6.16 3.32 3.30 NA 3.32 3.32 3.30 3.32 0.56 10.02 10.04 10.02 10.04 0090.09.84.0720110P0 34.7315 4 37609 Temporal artery procedure A 2.30 2.41 5.03 3.07 2.41 2.10 2.33 0.30 7.63 5.67 4.70 4.93 0010.10.80.1020100P1A4550 34.7315 4 37615 Ligation of neck artery A 5.73 6.10 4.28 NA 5.65 6.10 4.28 5.65 0.87 10.88 12.25 10.88 12.25 0090.09.84.0720210P0 34.7315 4 37616 Ligation of chest artery A 16.49 4.57 15.97 NA 7.42 4.57 15.97 7.42 0.65 33.11 24.56 33.11 24.56 0090.09.84.0720210P0 34.7315 4 37617 Ligation of abdomen artery A 15.95 8.68 9.15 NA 8.80 8.68 9.15 8.80 1.20 26.30 25.95 26.30 25.95 0090.09.84.0720210P0 34.7315 4 37618 Ligation of extremity artery A 4.84 5.40 3.47 NA 4.92 5.40 3.47 4.92 0.83 9.14 10.59 9.14 10.59 0090.09.84.0720210P0 34.7315 4 37620 Revision of major vein A 10.56 9.56 5.72 NA 8.60 9.56 5.72 8.60 1.16 17.44 20.32 17.44 20.32 0090.09.84.0720110P0 34.7315 4 37650 Revision of major vein A 5.13 4.36 3.50 NA 4.15 4.36 3.50 4.15 0.41 9.04 9.69 9.04 9.69 0090.09.84.0721110P0 34.7315 4 37660 Revision of major vein A 10.61 6.24 6.52 NA 6.31 6.24 6.52 6.31 0.84 17.97 17.76 17.97 17.76 0090.09.84.0720210P0 34.7315 4 37700 Revise leg vein A 3.73 3.95 2.60 NA 3.61 3.95 2.60 3.61 0.57 6.90 7.91 6.90 7.91 0090.09.84.0721100P0 34.7315 4 37720 Removal of leg vein A 5.66 5.55 3.35 NA 5.00 5.55 3.35 5.00 0.81 9.82 11.47 9.82 11.47 0090.09.84.0721110P0 34.7315 4 37730 Removal of leg veins A 7.33 7.54 4.38 NA 6.75 7.54 4.38 6.75 1.10 12.81 15.18 12.81 15.18 0090.09.84.0721110P0 34.7315 4 37735 Removal of leg veins/lesion A 10.53 9.05 6.31 NA 8.37 9.05 6.31 8.37 1.31 18.15 20.21 18.15 20.21 0090.09.84.0721210P0 34.7315 4 37760 Revision of leg veins A 10.47 8.12 6.50 NA 7.72 8.12 6.50 7.72 1.19 18.16 19.38 18.16 19.38 0090.09.84.0720210P0 34.7315 4 37780 Revision of leg vein A 3.84 2.05 2.64 NA 2.20 2.05 2.64 2.20 0.27 6.75 6.31 6.75 6.31 0090.09.84.0721110P0 34.7315 4 37785 Revise secondary varicosity A 3.88 1.06 5.46 2.16 1.06 3.16 1.59 0.14 9.48 6.18 7.18 5.61 0090.09.84.0721100P0 34.7315 4 37788 Revascularization, penis A 22.01 16.43 11.46 NA15.19 16.43 11.46 15.19 1.16 34.63 38.36 34.63 38.36 0090.09.84.0720210P0 34.7315 4 37790 Penile venous occlusion A 8.34 6.19 6.24 NA 6.20 6.19 6.24 6.20 0.43 15.01 14.97 15.01 14.97 0090.08.83.0920000P0 34.7315 4 37799 Vascular surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 38100 Removal of spleen, total A 13.01 9.28 6.56 NA 8.60 9.28 6.56 8.60 1.42 20.99 23.03 20.99 23.03 0090.11.73.1620210P0 34.7315 4 38101 Removal of spleen, partial A 13.74 7.59 7.24 NA 7.50 7.59 7.24 7.50 1.18 22.16 22.42 22.16 22.42 0090.11.73.1620210P0 34.7315 4 38102 Removal of spleen, total A 4.80 2.72 1.99 NA 2.54 2.72 1.99 2.54 0.45 7.24 7.79 7.24 7.79 0ZZZ.00.00.0000210P0 34.7315 4 38115 Repair of ruptured spleen A 14.19 8.29 7.02 NA 7.97 8.29 7.02 7.97 1.17 22.38 23.33 22.38 23.33 0090.11.73.1620210P0 34.7315 4 38200 Injection for spleen x-ray A 2.64 1.86 0.73 NA 1.58 1.86 0.73 1.58 0.12 3.49 4.34 3.49 4.34 0000.00.00.0020000P0 34.7315 4 38230 Bone marrow collection R 4.54 3.02 2.49 NA 2.89 3.02 2.49 2.89 0.16 7.19 7.59 7.19 7.59 0010.10.80.1020000P0 34.7315 4 38231 Stem cell collection R 1.50 1.49 0.56 NA 1.26 1.49 0.56 1.26 0.06 2.12 2.82 2.12 2.82 0000.00.00.0020000P0 34.7315 4 38240 Bone marrow/stem transplant R 2.24 2.26 1.55 NA 2.08 2.26 1.55 2.08 0.11 3.90 4.43 3.90 4.43 0XXX.00.00.0020000P0 34.7315 4 38241 Bone marrow/stem transplant R 2.24 2.21 1.51 NA 2.04 2.21 1.51 2.04 0.10 3.85 4.38 3.85 4.38 0XXX.00.00.0020000P0 34.7315 4 38300 Drainage lymph node lesion A 1.53 0.63 3.23 1.28 0.32 1.80 0.69 0.08 4.84 2.89 3.41 2.30 0010.10.80.1020100P0 34.7315 4 38305 Drainage lymph node lesion A 4.61 2.13 8.60 3.75 2.13 4.65 2.76 0.28 13.49 8.64 9.54 7.65 0090.11.73.1620100P0 34.7315 4 38308 Incision of lymph channels A 4.95 3.66 4.22 NA 3.80 3.66 4.22 3.80 0.35 9.52 9.10 9.52 9.10 0090.11.73.1620210P0 34.7315 4 38380 Thoracic duct procedure A 7.46 4.82 6.18 NA 5.16 4.82 6.18 5.16 0.59 14.23 13.21 14.23 13.21 0090.11.73.1620210P0 34.7315 4 38381 Thoracic duct procedure A 12.88 8.20 11.13 NA 8.93 8.20 11.13 8.93 1.17 25.18 22.98 25.18 22.98 0090.11.73.1620210P0 34.7315 4 38382 Thoracic duct procedure A 10.08 5.25 10.39 NA 6.54 5.25 10.39 6.54 0.88 21.35 17.50 21.35 17.50 0090.11.73.1620210P0 34.7315 4 38500 Biopsy/removal,lymph node(s) A 2.88 1.73 2.22 1.85 1.73 2.07 1.82 0.24 5.34 4.97 5.19 4.94 0010.10.80.1021100P1A4550 34.7315 4 38505 Needle biopsy, lymph node(s) A 1.14 1.22 2.59 1.56 0.61 1.14 0.74 0.13 3.86 2.83 2.41 2.01 0000.00.00.0021100P0 34.7315 4 38510 Biopsy/removal,lymph node(s) A 4.14 2.76 3.74 NA 3.01 2.76 3.74 3.01 0.35 8.23 7.50 8.23 7.50 0090.11.73.1621100P0 34.7315 4 38520 Biopsy/removal,lymph node(s) A 5.12 3.24 3.84 NA 3.39 3.24 3.84 3.39 0.44 9.40 8.95 9.40 8.95 0090.11.73.1621100P0 34.7315 4 38525 Biopsy/removal,lymph node(s) A 4.66 2.81 3.15 NA 2.90 2.81 3.15 2.90 0.41 8.22 7.97 8.22 7.97 0090.11.73.1621100P0 34.7315 4 38530 Biopsy/removal,lymph node(s) A 6.13 3.44 4.55 NA 3.72 3.44 4.55 3.72 0.51 11.19 10.36 11.19 10.36 0090.11.73.1621210P0 34.7315 4 38542 Explore deep node(s), neck A 5.91 4.62 5.58 NA 4.86 4.62 5.58 4.86 0.46 11.95 11.23 11.95 11.23 0090.11.73.1621210P0 34.7315 4 38550 Removal neck/armpit lesion A 6.73 3.51 3.46 NA 3.50 3.51 3.46 3.50 0.49 10.68 10.72 10.68 10.72 0090.11.73.1620000P0 34.7315 4 38555 Removal neck/armpit lesion A 14.27 7.89 9.24 NA 8.23 7.89 9.24 8.23 1.08 24.59 23.58 24.59 23.58 0090.11.73.1620210P0 34.7315 4 38562 Removal, pelvic lymph nodes A 10.49 7.47 6.76 NA 7.29 7.47 6.76 7.29 0.94 18.19 18.72 18.19 18.72 0090.11.73.1622210P0 34.7315 4 38564 Removal, abdomen lymph nodes A 10.83 8.02 6.37 NA 7.61 8.02 6.37 7.61 1.18 18.38 19.62 18.38 19.62 0090.11.73.1620210P0 34.7315 4 38700 Removal of lymph nodes, neck A 8.24 9.83 13.53 NA10.76 9.83 13.53 10.76 1.02 22.79 20.02 22.79 20.02 0090.11.73.1621210P0 34.7315 4 38720 Removal of lymph nodes, neck A 13.61 16.25 16.66 NA16.35 16.25 16.66 16.35 1.60 31.87 31.56 31.87 31.56 0090.11.73.1621210P0 34.7315 4 38724 Removal of lymph nodes, neck A 14.54 15.58 17.00 NA15.94 15.58 17.00 15.94 1.56 33.10 32.04 33.10 32.04 0090.11.73.1621210P0 34.7315 4 38740 Remove armpit lymph nodes A 6.77 5.12 4.03 NA 4.85 5.12 4.03 4.85 0.78 11.58 12.40 11.58 12.40 0090.11.73.1620210P0 34.7315 4 38745 Remove armpits lymph nodes A 8.84 8.99 5.74 NA 8.18 8.99 5.74 8.18 1.38 15.96 18.40 15.96 18.40 0090.11.73.1620210P0 34.7315 4 38746 Remove thoracic lymph nodes A 4.39 2.49 2.31 NA 2.45 2.49 2.31 2.45 0.41 7.11 7.25 7.11 7.25 0ZZZ.00.00.0000210P0 34.7315 4 38747 Remove abdominal lymph nodes A 4.89 2.78 2.23 NA 2.64 2.78 2.23 2.64 0.46 7.58 7.99 7.58 7.99 0ZZZ.00.00.0000210P0 34.7315 4 38760 Remove groin lymph nodes A 8.74 7.20 5.05 NA 6.66 7.20 5.05 6.66 1.06 14.85 16.46 14.85 16.46 0090.11.73.1621210P0 34.7315 4 38765 Remove groin lymph nodes A 16.06 13.75 10.02 NA12.82 13.75 10.02 12.82 1.89 27.97 30.77 27.97 30.77 0090.11.73.1621210P0 34.7315 4 38770 Remove pelvis lymph nodes A 13.23 15.79 7.53 NA13.73 15.79 7.53 13.73 1.35 22.11 28.31 22.11 28.31 0090.11.73.1621210P0 34.7315 4 38780 Remove abdomen lymph nodes A 16.59 17.43 10.37 NA15.67 17.43 10.37 15.67 2.45 29.41 34.71 29.41 34.71 0090.11.73.1620210P0 34.7315 4 38790 Injection for lymphatic xray A 1.29 1.78 32.83 9.54 1.54 0.42 1.26 0.15 34.27 10.98 1.86 2.70 0000.00.00.0021100P0 34.7315 4 38792 Identify sentinel node C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021100P0 34.7315 9 38794 Access thoracic lymph duct A 4.45 3.08 1.30 NA 2.64 3.08 1.30 2.64 0.30 6.05 7.39 6.05 7.39 0090.11.73.1620000P0 34.7315 4 38999 Blood/lymph system procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 39000 Exploration of chest A 6.10 6.57 8.80 NA 7.13 6.57 8.80 7.13 0.84 15.74 14.07 15.74 14.07 0090.09.84.0720210P0 34.7315 4 39010 Exploration of chest A 11.79 12.44 11.53 NA12.21 12.44 11.53 12.21 1.63 24.95 25.63 24.95 25.63 0090.09.84.0720210P0 34.7315 4 39200 Removal chest lesion A 13.62 12.57 10.83 NA12.14 12.57 10.83 12.14 1.67 26.12 27.43 26.12 27.43 0090.09.84.0720210P0 34.7315 4 39220 Removal chest lesion A 17.42 16.21 12.44 NA15.27 16.21 12.44 15.27 2.21 32.07 34.90 32.07 34.90 0090.09.84.0720210P0 34.7315 4 39400 Visualization of chest A 5.61 5.56 6.38 NA 5.77 5.56 6.38 5.77 0.74 12.73 12.12 12.73 12.12 0010.10.80.1020100P0 34.7315 4 39499 Chest procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 39501 Repair diaphragm laceration A 13.19 11.57 8.94 NA10.91 11.57 8.94 10.91 1.64 23.77 25.74 23.77 25.74 0090.09.84.0720210P0 34.7315 4 39502 Repair paraesophageal hernia A 16.33 12.95 9.73 NA12.15 12.95 9.73 12.15 1.92 27.98 30.40 27.98 30.40 0090.09.84.0720210P0 34.7315 4 39503 Repair of diaphragm hernia A 34.85 27.33 15.89 NA24.47 27.33 15.89 24.47 2.30 53.04 61.62 53.04 61.62 0090.09.84.0720210P0 34.7315 4 39520 Repair of diaphragm hernia A 16.10 13.60 10.62 NA12.86 13.60 10.62 12.86 1.92 28.64 30.88 28.64 30.88 0090.09.84.0720210P0 34.7315 4 39530 Repair of diaphragm hernia A 15.41 15.26 10.14 NA13.98 15.26 10.14 13.98 2.12 27.67 31.51 27.67 31.51 0090.09.84.0720210P0 34.7315 4 39531 Repair of diaphragm hernia A 16.42 10.85 10.21 NA10.69 10.85 10.21 10.69 1.41 28.04 28.52 28.04 28.52 0090.09.84.0720210P0 34.7315 4 39540 Repair of diaphragm hernia A 13.32 13.00 9.08 NA12.02 13.00 9.08 12.02 1.96 24.36 27.30 24.36 27.30 0090.09.84.0720210P0 34.7315 4 39541 Repair of diaphragm hernia A 14.41 13.20 9.13 NA12.18 13.20 9.13 12.18 1.85 25.39 28.44 25.39 28.44 0090.09.84.0720210P0 34.7315 4 39545 Revision of diaphragm A 13.37 8.57 9.70 NA 8.85 8.57 9.70 8.85 1.02 24.09 23.24 24.09 23.24 0090.09.84.0720210P0 34.7315 4 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 40490 Biopsy of lip A 1.22 0.80 1.32 0.93 0.40 0.62 0.46 0.05 2.59 2.20 1.89 1.73 0000.00.00.0020100P0 34.7315 4 40500 Partial excision of lip A 4.28 5.11 4.34 4.92 5.11 5.17 5.13 0.74 9.36 9.94 10.19 10.15 0090.09.81.1020100P0 34.7315 4 40510 Partial excision of lip A 4.70 5.61 5.14 5.49 5.61 5.81 5.66 0.65 10.49 10.84 11.16 11.01 0090.09.81.1020100P0 34.7315 4 40520 Partial excision of lip A 4.67 4.88 5.64 5.07 4.88 5.91 5.14 0.53 10.84 10.27 11.11 10.34 0090.09.81.1020100P0 34.7315 4 40525 Reconstruct lip with flap A 7.55 9.02 7.70 NA 8.69 9.02 7.70 8.69 1.12 16.37 17.36 16.37 17.36 0090.09.81.1020100P0 34.7315 4 40527 Reconstruct lip with flap A 9.13 10.90 8.73 NA10.36 10.90 8.73 10.36 1.29 19.15 20.78 19.15 20.78 0090.09.81.1020000P0 34.7315 4 40530 Partial removal of lip A 5.40 5.53 4.77 5.34 5.53 5.51 5.53 0.58 10.75 11.32 11.49 11.51 0090.09.81.1020100P0 34.7315 4 40650 Repair lip A 3.64 4.34 3.88 4.23 4.34 3.58 4.15 0.51 8.03 8.38 7.73 8.30 0090.09.81.1020000P0 34.7315 4 40652 Repair lip A 4.26 5.09 5.04 5.08 5.09 5.35 5.16 0.62 9.92 9.96 10.23 10.04 0090.09.81.1020000P0 34.7315 4 40654 Repair lip A 5.31 6.34 5.65 6.17 6.34 6.25 6.32 0.78 11.74 12.26 12.34 12.41 0090.09.81.1020100P0 34.7315 4 40700 Repair cleft lip/nasal A 12.79 9.18 9.72 NA 9.32 9.18 9.72 9.32 1.00 23.51 23.11 23.51 23.11 0090.09.81.1020000P0 34.7315 4 40701 Repair cleft lip/nasal A 15.85 20.98 10.34 NA18.32 20.98 10.34 18.32 1.27 27.46 35.44 27.46 35.44 0090.09.81.1022200P0 34.7315 4 40702 Repair cleft lip/nasal A 13.04 10.17 9.18 NA 9.92 10.17 9.18 9.92 0.86 23.08 23.82 23.08 23.82 0090.09.81.1022200P0 34.7315 4 40720 Repair cleft lip/nasal A 13.55 10.41 10.66 NA10.47 10.41 10.66 10.47 1.40 25.61 25.42 25.61 25.42 0090.09.81.1021000P0 34.7315 4 40761 Repair cleft lip/nasal A 14.72 11.76 12.39 NA11.92 11.76 12.39 11.92 1.36 28.47 28.00 28.47 28.00 0090.09.81.1020100P0 34.7315 4 40799 Lip surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 40800 Drainage of mouth lesion A 1.17 0.80 1.55 0.99 0.40 0.48 0.42 0.05 2.77 2.21 1.70 1.64 0010.10.80.1020100P0 34.7315 4 40801 Drainage of mouth lesion A 2.53 1.84 2.06 1.90 0.92 2.14 1.23 0.13 4.72 4.56 4.80 3.89 0010.10.80.1020100P0 34.7315 4 40804 Removal foreign body, mouth A 1.24 0.63 1.98 0.97 0.32 2.19 0.79 0.05 3.27 2.26 3.48 2.08 0010.10.80.1020000P0 34.7315 4 40805 Removal foreign body, mouth A 2.69 2.71 2.58 2.68 2.71 3.22 2.84 0.23 5.50 5.60 6.14 5.76 0010.10.80.1020000P0 34.7315 4 40806 Incision of lip fold A 0.31 0.39 0.72 0.47 0.39 0.93 0.53 0.02 1.05 0.80 1.26 0.86 0000.00.00.0020000P0 34.7315 4 40808 Biopsy of mouth lesion A 0.96 0.82 1.60 1.02 0.41 2.12 0.84 0.06 2.62 2.04 3.14 1.86 0010.10.80.1020100P0 34.7315 4 40810 Excision of mouth lesion A 1.31 1.28 2.13 1.49 0.64 2.40 1.08 0.09 3.53 2.89 3.80 2.48 0010.10.80.1020100P0 34.7315 4 40812 Excise/repair mouth lesion A 2.31 1.63 2.38 1.82 0.82 2.96 1.36 0.11 4.80 4.24 5.38 3.78 0010.10.80.1020100P0 34.7315 4 40814 Excise/repair mouth lesion A 3.42 3.51 3.32 3.46 1.76 4.37 2.41 0.25 6.99 7.13 8.04 6.08 0090.09.81.1020100P0 34.7315 4 40816 Excision of mouth lesion A 3.67 3.49 3.59 3.52 1.75 4.67 2.48 0.26 7.52 7.45 8.60 6.41 0090.09.81.1020100P0 34.7315 4 40818 Excise oral mucosa for graft A 2.41 2.44 3.22 2.64 2.44 4.77 3.02 0.16 5.79 5.21 7.34 5.59 0090.09.81.1020000P0 34.7315 4 40819 Excise lip or cheek fold A 2.41 1.33 2.85 1.71 0.67 3.33 1.34 0.11 5.37 4.23 5.85 3.86 0090.09.81.1020000P0 34.7315 4 40820 Treatment of mouth lesion A 1.28 0.58 1.86 0.90 0.29 2.30 0.79 0.05 3.19 2.23 3.63 2.12 0010.10.80.1020100P0 34.7315 4 40830 Repair mouth laceration A 1.76 0.73 1.94 1.03 0.73 1.91 1.03 0.05 3.75 2.84 3.72 2.84 0010.10.80.1020000P0 34.7315 4 40831 Repair mouth laceration A 2.46 2.11 2.29 2.16 2.11 2.72 2.26 0.16 4.91 4.78 5.34 4.88 0010.10.80.1020000P0 34.7315 4 40840 Reconstruction of mouth R 8.73 6.82 5.50 6.49 6.82 7.28 6.94 0.57 14.80 15.79 16.58 16.24 0090.09.81.1020200P0 34.7315 4 40842 Reconstruction of mouth R 8.73 6.82 5.49 6.49 6.82 6.54 6.75 0.57 14.79 15.79 15.84 16.05 0090.09.81.1020000P0 34.7315 4 40843 Reconstruction of mouth R 12.10 9.55 6.56 8.80 9.55 7.73 9.10 0.81 19.47 21.71 20.64 22.01 0090.09.81.1022200P0 34.7315 4 40844 Reconstruction of mouth R 16.01 12.62 8.09 11.49 12.62 8.65 11.63 1.06 25.16 28.56 25.72 28.70 0090.09.81.1020200P0 34.7315 4 40845 Reconstruction of mouth R 18.58 22.18 9.83 19.09 22.18 11.31 19.46 1.51 29.92 39.18 31.40 39.55 0090.09.81.1020000P0 34.7315 4 40899 Mouth surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 41000 Drainage of mouth lesion A 1.30 0.82 1.83 1.07 0.41 1.63 0.72 0.06 3.19 2.43 2.99 2.08 0010.10.80.1020100P0 34.7315 4 41005 Drainage of mouth lesion A 1.26 0.67 1.76 0.94 0.67 1.80 0.95 0.05 3.07 2.25 3.11 2.26 0010.10.80.1020000P0 34.7315 4 41006 Drainage of mouth lesion A 3.24 1.10 3.10 1.60 1.10 3.34 1.66 0.09 6.43 4.93 6.67 4.99 0090.09.81.1020000P0 34.7315 4 41007 Drainage of mouth lesion A 3.10 3.15 2.92 3.09 3.15 3.01 3.12 0.23 6.25 6.42 6.34 6.45 0090.09.81.1020000P0 34.7315 4 41008 Drainage of mouth lesion A 3.37 1.15 3.01 1.62 0.58 3.27 1.25 0.09 6.47 5.08 6.73 4.71 0090.09.81.1020000P0 34.7315 4 41009 Drainage of mouth lesion A 3.59 3.59 2.99 3.44 3.59 3.32 3.52 0.27 6.85 7.30 7.18 7.38 0090.09.81.1020000P0 34.7315 4 41010 Incision of tongue fold A 1.06 0.40 2.27 0.87 0.40 3.23 1.11 0.03 3.36 1.96 4.32 2.20 0010.10.80.1020000P0 34.7315 4 41015 Drainage of mouth lesion A 3.96 0.94 3.32 1.54 0.94 3.18 1.50 0.08 7.36 5.58 7.22 5.54 0090.09.81.1020000P0 34.7315 4 41016 Drainage of mouth lesion A 4.07 4.00 3.34 3.84 4.00 3.32 3.83 0.30 7.71 8.21 7.69 8.20 0090.09.81.1020000P0 34.7315 4 41017 Drainage of mouth lesion A 4.07 1.52 3.33 1.97 1.52 3.28 1.96 0.11 7.51 6.15 7.46 6.14 0090.09.81.1020000P0 34.7315 4 41018 Drainage of mouth lesion A 5.10 4.27 3.76 4.14 4.27 3.40 4.05 0.30 9.16 9.54 8.80 9.45 0090.09.81.1020000P0 34.7315 4 41100 Biopsy of tongue A 1.63 0.87 2.11 1.18 0.44 2.56 0.97 0.06 3.80 2.87 4.25 2.66 0010.10.80.1020100P0 34.7315 4 41105 Biopsy of tongue A 1.42 1.12 1.96 1.33 0.56 2.51 1.05 0.09 3.47 2.84 4.02 2.56 0010.10.80.1020100P0 34.7315 4 41108 Biopsy of floor of mouth A 1.05 0.92 1.81 1.14 0.46 2.25 0.91 0.07 2.93 2.26 3.37 2.03 0010.10.80.1020100P0 34.7315 4 41110 Excision of tongue lesion A 1.51 1.41 2.43 1.67 0.71 2.59 1.18 0.12 4.06 3.30 4.22 2.81 0010.10.80.1020100P0 34.7315 4 41112 Excision of tongue lesion A 2.73 2.59 2.87 2.66 1.30 3.54 1.86 0.18 5.78 5.57 6.45 4.77 0090.09.81.1020100P0 34.7315 4 41113 Excision of tongue lesion A 3.19 3.70 2.89 3.50 1.85 4.27 2.46 0.29 6.37 6.98 7.75 5.94 0090.09.81.1020100P0 34.7315 4 41114 Excision of tongue lesion A 8.47 6.93 6.27 NA 6.77 6.93 6.27 6.77 0.57 15.31 15.81 15.31 15.81 0090.09.81.1020000P0 34.7315 4 41115 Excision of tongue fold A 1.74 1.93 2.20 2.00 1.93 2.41 2.05 0.13 4.07 3.87 4.28 3.92 0010.10.80.1020000P0 34.7315 4 41116 Excision of mouth lesion A 2.44 2.70 2.71 2.70 2.70 3.42 2.88 0.21 5.36 5.35 6.07 5.53 0090.09.81.1020100P0 34.7315 4 41120 Partial removal of tongue A 9.77 7.90 8.52 NA 8.06 7.90 8.52 8.06 0.69 18.98 18.52 18.98 18.52 0090.09.81.1020210P0 34.7315 4 41130 Partial removal of tongue A 11.15 9.83 9.46 NA 9.74 9.83 9.46 9.74 0.89 21.50 21.78 21.50 21.78 0090.09.81.1020210P0 34.7315 4 41135 Tongue and neck surgery A 23.09 19.86 16.51 NA19.02 19.86 16.51 19.02 2.07 41.67 44.18 41.67 44.18 0090.09.81.1020210P0 34.7315 4 41140 Removal of tongue A 25.50 20.50 18.24 NA19.94 20.50 18.24 19.94 1.92 45.66 47.36 45.66 47.36 0090.09.81.1020210P0 34.7315 4 41145 Tongue removal; neck surgery A 30.06 24.73 22.58 NA24.19 24.73 22.58 24.19 2.31 54.95 56.56 54.95 56.56 0090.09.81.1020210P0 34.7315 4 41150 Tongue, mouth, jaw surgery A 23.04 20.58 17.19 NA19.73 20.58 17.19 19.73 1.92 42.15 44.69 42.15 44.69 0090.09.81.1020210P0 34.7315 4 41153 Tongue, mouth, neck surgery A 23.77 27.13 17.95 NA24.84 27.13 17.95 24.84 2.37 44.09 50.98 44.09 50.98 0090.09.81.1020210P0 34.7315 4 41155 Tongue, jaw, & neck surgery A 27.72 32.50 20.54 NA29.51 32.50 20.54 29.51 2.93 51.19 60.16 51.19 60.16 0090.09.81.1020210P0 34.7315 4 41250 Repair tongue laceration A 1.91 1.16 2.14 1.41 1.16 1.73 1.30 0.09 4.14 3.41 3.73 3.30 0010.10.80.1020000P0 34.7315 4 41251 Repair tongue laceration A 2.27 2.25 1.97 2.18 2.25 2.17 2.23 0.16 4.40 4.61 4.60 4.66 0010.10.80.1020000P0 34.7315 4 41252 Repair tongue laceration A 2.97 2.55 2.87 2.63 2.55 2.67 2.58 0.20 6.04 5.80 5.84 5.75 0010.10.80.1020000P0 34.7315 4 41500 Fixation of tongue A 3.71 3.57 3.46 NA 3.54 3.57 3.46 3.54 0.20 7.37 7.45 7.37 7.45 0090.09.81.1020000P0 34.7315 4 41510 Tongue to lip surgery A 3.42 2.75 4.21 NA 3.12 2.75 4.21 3.12 0.35 7.98 6.89 7.98 6.89 0090.09.81.1020000P0 34.7315 4 41520 Reconstruction, tongue fold A 2.73 3.13 2.38 2.94 3.13 3.37 3.19 0.22 5.33 5.89 6.32 6.14 0090.09.81.1020000P0 34.7315 4 41599 Tongue and mouth surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 41800 Drainage of gum lesion A 1.17 0.75 1.52 0.94 0.38 1.36 0.63 0.05 2.74 2.16 2.58 1.85 0010.10.80.1020100P0 34.7315 4 41805 Removal foreign body, gum A 1.24 0.91 1.50 1.06 0.91 1.89 1.16 0.06 2.80 2.36 3.19 2.46 0010.10.80.1020000P0 34.7315 4 41806 Removal foreign body,jawbone A 2.69 1.78 2.09 1.86 0.89 2.67 1.34 0.12 4.90 4.67 5.48 4.15 0010.10.80.1020000P0 34.7315 4 41820 Excision, gum, each quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 41822 Excision of gum lesion R 2.31 3.29 2.24 3.03 3.29 0.97 2.71 0.20 4.75 5.54 3.48 5.22 0010.10.80.1020000P0 34.7315 4 41823 Excision of gum lesion R 3.30 3.94 2.91 3.68 3.94 3.00 3.71 0.27 6.48 7.25 6.57 7.28 0090.09.81.1020000P0 34.7315 4 41825 Excision of gum lesion A 1.31 1.62 1.89 1.69 0.81 2.34 1.19 0.11 3.31 3.11 3.76 2.61 0010.10.80.1020100P0 34.7315 4 41826 Excision of gum lesion A 2.31 2.25 2.20 2.24 1.13 2.52 1.48 0.14 4.65 4.69 4.97 3.93 0010.10.80.1020100P0 34.7315 4 41827 Excision of gum lesion A 3.42 4.08 2.95 3.80 2.04 3.77 2.47 0.30 6.67 7.52 7.49 6.19 0090.09.81.1020100P0 34.7315 4 41828 Excision of gum lesion R 3.09 4.42 2.56 3.96 4.42 2.48 3.94 0.26 5.91 7.31 5.83 7.29 0010.10.80.1020000P0 34.7315 4 41830 Removal of gum tissue R 3.35 4.00 2.70 3.68 4.00 2.94 3.74 0.28 6.33 7.31 6.57 7.37 0010.10.80.1020000P0 34.7315 4 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 41870 Gum graft R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0020000P0 34.7315 9 41872 Repair gum R 2.59 3.09 2.31 2.90 3.09 3.42 3.17 0.21 5.11 5.70 6.22 5.97 0090.09.81.1020000P0 34.7315 4 41874 Repair tooth socket R 3.09 3.69 2.40 3.37 3.69 2.46 3.38 0.25 5.74 6.71 5.80 6.72 0090.09.81.1020000P0 34.7315 4 41899 Dental surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 42000 Drainage mouth roof lesion A 1.23 0.67 1.88 0.97 0.34 1.69 0.68 0.05 3.16 2.25 2.97 1.96 0010.10.80.1020000P0 34.7315 4 42100 Biopsy roof of mouth A 1.31 0.86 1.93 1.13 0.43 2.41 0.93 0.06 3.30 2.50 3.78 2.30 0010.10.80.1020100P0 34.7315 4 42104 Excision lesion, mouth roof A 1.64 1.76 2.00 1.82 0.88 2.64 1.32 0.13 3.77 3.59 4.41 3.09 0010.10.80.1020100P0 34.7315 4 42106 Excision lesion, mouth roof A 2.10 2.41 2.16 2.35 1.21 2.84 1.62 0.16 4.42 4.61 5.10 3.88 0010.10.80.1020100P0 34.7315 4 42107 Excision lesion, mouth roof A 4.44 5.30 3.45 4.84 2.65 4.43 3.10 0.39 8.28 9.67 9.26 7.93 0090.09.81.1020100P0 34.7315 4 42120 Remove palate/lesion A 6.17 7.37 5.93 NA 7.01 7.37 5.93 7.01 0.79 12.89 13.97 12.89 13.97 0090.09.81.1020210P0 34.7315 4 42140 Excision of uvula A 1.62 1.47 2.86 1.82 1.47 3.17 1.90 0.12 4.60 3.56 4.91 3.64 0090.09.81.1020100P0 34.7315 4 42145 Repair, palate,pharynx/uvula A 8.05 9.62 7.37 NA 9.06 9.62 7.37 9.06 1.13 16.55 18.24 16.55 18.24 0090.09.81.1020100P0 34.7315 4 42160 Treatment mouth roof lesion A 1.80 1.66 2.26 1.81 0.83 2.70 1.30 0.13 4.19 3.74 4.63 3.23 0010.10.80.1020000P0 34.7315 4 42180 Repair palate A 2.50 2.43 2.49 2.45 2.43 2.46 2.44 0.20 5.19 5.15 5.16 5.14 0010.10.80.1020000P0 34.7315 4 42182 Repair palate A 3.83 3.77 2.64 3.49 3.77 3.42 3.68 0.30 6.77 7.62 7.55 7.81 0010.10.80.1020000P0 34.7315 4 42200 Reconstruct cleft palate A 12.00 7.80 10.23 NA 8.41 7.80 10.23 8.41 0.66 22.89 21.07 22.89 21.07 0090.09.81.1020200P0 34.7315 4 42205 Reconstruct cleft palate A 9.59 11.45 6.44 NA10.20 11.45 6.44 10.20 0.62 16.65 20.41 16.65 20.41 0090.09.81.1020200P0 34.7315 4 42210 Reconstruct cleft palate A 14.50 13.58 9.41 NA12.54 13.58 9.41 12.54 0.74 24.65 27.78 24.65 27.78 0090.09.81.1020200P0 34.7315 4 42215 Reconstruct cleft palate A 8.82 8.33 8.12 NA 8.28 8.33 8.12 8.28 0.67 17.61 17.77 17.61 17.77 0090.09.81.1020200P0 34.7315 4 42220 Reconstruct cleft palate A 7.02 5.86 5.97 NA 5.89 5.86 5.97 5.89 0.63 13.62 13.54 13.62 13.54 0090.09.81.1020200P0 34.7315 4 42225 Reconstruct cleft palate A 9.54 7.49 8.58 NA 7.76 7.49 8.58 7.76 0.84 18.96 18.14 18.96 18.14 0090.09.81.1020200P0 34.7315 4 42226 Lengthening of palate A 10.01 8.56 9.18 NA 8.72 8.56 9.18 8.72 0.67 19.86 19.40 19.86 19.40 0090.09.81.1020200P0 34.7315 4 42227 Lengthening of palate A 9.52 8.04 7.65 NA 7.94 8.04 7.65 7.94 0.30 17.47 17.76 17.47 17.76 0090.09.81.1020200P0 34.7315 4 42235 Repair palate A 7.87 6.02 6.28 NA 6.09 6.02 6.28 6.09 0.38 14.53 14.34 14.53 14.34 0090.09.81.1020200P0 34.7315 4 42260 Repair nose to lip fistula A 9.80 4.32 6.11 4.77 4.32 6.34 4.83 0.34 16.25 14.91 16.48 14.97 0090.09.81.1020200P0 34.7315 4 42280 Preparation, palate mold A 1.54 2.16 1.19 1.92 2.16 0.79 1.82 0.13 2.86 3.59 2.46 3.49 0010.10.80.1020000P0 34.7315 4 42281 Insertion, palate prosthesis A 1.93 1.60 1.34 1.54 1.60 0.98 1.45 0.12 3.39 3.59 3.03 3.50 0010.10.80.1020000P0 34.7315 4 42299 Palate/uvula surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 42300 Drainage of salivary gland A 1.93 1.04 2.20 1.33 0.52 2.77 1.08 0.09 4.22 3.35 4.79 3.10 0010.10.80.1020100P0 34.7315 4 42305 Drainage of salivary gland A 6.07 2.37 5.83 NA 3.24 2.37 5.83 3.24 0.21 12.11 9.52 12.11 9.52 0090.09.81.1020000P0 34.7315 4 42310 Drainage of salivary gland A 1.56 1.12 1.78 1.29 0.56 2.40 1.02 0.09 3.43 2.94 4.05 2.67 0010.10.80.1020000P0 34.7315 4 42320 Drainage of salivary gland A 2.35 1.99 2.21 2.05 1.99 2.95 2.23 0.17 4.73 4.57 5.47 4.75 0010.10.80.1020000P0 34.7315 4 42325 Create salivary cyst drain A 2.75 2.30 2.28 2.30 2.30 1.24 2.04 0.16 5.19 5.21 4.15 4.95 0090.09.81.1020200P0 34.7315 4 42326 Create salivary cyst drain A 3.78 4.51 3.46 4.25 4.51 2.23 3.94 0.26 7.50 8.29 6.27 7.98 0090.09.81.1020200P0 34.7315 4 42330 Removal of salivary stone A 2.21 1.19 2.30 1.47 0.60 0.87 0.67 0.09 4.60 3.77 3.17 2.97 0010.10.80.1020100P0 34.7315 4 42335 Removal of salivary stone A 3.31 2.68 3.06 2.78 1.34 4.40 2.11 0.21 6.58 6.30 7.92 5.63 0090.09.81.1020100P0 34.7315 4 42340 Removal of salivary stone A 4.60 4.61 3.92 4.44 2.31 5.61 3.14 0.35 8.87 9.39 10.56 8.09 0090.09.81.1020000P0 34.7315 4 42400 Biopsy of salivary gland A 0.78 0.86 2.21 1.20 0.43 0.90 0.55 0.08 3.07 2.06 1.76 1.41 0000.00.00.0020100P0 34.7315 4 42405 Biopsy of salivary gland A 3.29 1.67 2.89 1.98 0.84 3.87 1.60 0.15 6.33 5.42 7.31 5.04 0010.10.80.1020100P0 34.7315 4 42408 Excision of salivary cyst A 4.54 3.52 3.79 3.59 3.52 5.11 3.92 0.30 8.63 8.43 9.95 8.76 0090.09.81.1020000P0 34.7315 4 42409 Drainage of salivary cyst A 2.81 3.05 2.74 2.97 3.05 4.16 3.33 0.23 5.78 6.01 7.20 6.37 0090.09.81.1020200P0 34.7315 4 42410 Excise parotid gland/lesion A 9.34 6.45 8.14 NA 6.87 6.45 8.14 6.87 0.72 18.20 16.93 18.20 16.93 0090.09.81.1020210P0 34.7315 4 42415 Excise parotid gland/lesion A 16.89 13.76 13.08 NA13.59 13.76 13.08 13.59 1.31 31.28 31.79 31.28 31.79 0090.09.81.1020210P0 34.7315 4 42420 Excise parotid gland/lesion A 19.59 16.08 14.84 NA15.77 16.08 14.84 15.77 1.46 35.89 36.82 35.89 36.82 0090.09.81.1020210P0 34.7315 4 42425 Excise parotid gland/lesion A 13.02 12.05 10.88 NA11.76 12.05 10.88 11.76 1.12 25.02 25.90 25.02 25.90 0090.09.81.1020210P0 34.7315 4 42426 Excise parotid gland/lesion A 21.26 25.38 15.86 NA23.00 25.38 15.86 23.00 2.51 39.63 46.77 39.63 46.77 0090.09.81.1020210P0 34.7315 4 42440 Excision submaxillary gland A 6.97 8.32 6.40 NA 7.84 8.32 6.40 7.84 0.77 14.14 15.58 14.14 15.58 0090.09.81.1020210P0 34.7315 4 42450 Excision sublingual gland A 4.62 3.71 3.99 3.78 3.71 5.25 4.10 0.27 8.88 8.67 10.14 8.99 0090.09.81.1020000P0 34.7315 4 42500 Repair salivary duct A 4.30 5.00 4.02 4.76 5.00 5.33 5.08 0.39 8.71 9.45 10.02 9.77 0090.09.81.1020000P0 34.7315 4 42505 Repair salivary duct A 6.18 7.38 4.78 6.73 7.38 6.21 7.09 0.67 11.63 13.58 13.06 13.94 0090.09.81.1020100P0 34.7315 4 42507 Parotid duct diversion A 6.11 5.05 6.29 NA 5.36 5.05 6.29 5.36 0.52 12.92 11.99 12.92 11.99 0090.09.81.1022200P0 34.7315 4 42508 Parotid duct diversion A 9.10 8.26 7.95 NA 8.18 8.26 7.95 8.18 0.74 17.79 18.02 17.79 18.02 0090.09.81.1022200P0 34.7315 4 42509 Parotid duct diversion A 11.54 7.93 9.43 NA 8.31 7.93 9.43 8.31 0.96 21.93 20.81 21.93 20.81 0090.09.81.1022000P0 34.7315 4 42510 Parotid duct diversion A 8.15 8.30 5.40 NA 7.58 8.30 5.40 7.58 0.66 14.21 16.39 14.21 16.39 0090.09.81.1022210P0 34.7315 4 42550 Injection for salivary x-ray A 1.25 0.48 11.75 3.30 0.48 0.34 0.45 0.03 13.03 4.58 1.62 1.73 0000.00.00.0020100P0 34.7315 4 42600 Closure of salivary fistula A 4.82 4.22 4.97 4.41 4.22 5.78 4.61 0.36 10.15 9.59 10.96 9.79 0090.09.81.1020000P0 34.7315 4 42650 Dilation of salivary duct A 0.77 0.42 0.89 0.54 0.21 0.40 0.26 0.03 1.69 1.34 1.20 1.06 0000.00.00.0020100P0 34.7315 4 42660 Dilation of salivary duct A 1.13 0.54 1.01 0.66 0.27 2.02 0.71 0.05 2.19 1.84 3.20 1.89 0000.00.00.0020000P0 34.7315 4 42665 Ligation of salivary duct A 2.53 2.21 3.02 2.41 2.21 4.21 2.71 0.20 5.75 5.14 6.94 5.44 0090.09.81.1020000P0 34.7315 4 42699 Salivary surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 42700 Drainage of tonsil abscess A 1.62 0.92 2.46 1.31 0.46 2.17 0.89 0.08 4.16 3.01 3.87 2.59 0010.10.80.1020100P0 34.7315 4 42720 Drainage of throat abscess A 5.42 2.05 4.29 2.61 2.05 4.78 2.73 0.17 9.88 8.20 10.37 8.32 0010.10.80.1020000P0 34.7315 4 42725 Drainage of throat abscess A 10.72 4.83 8.24 NA 5.68 4.83 8.24 5.68 0.41 19.37 16.81 19.37 16.81 0090.09.81.1020210P0 34.7315 4 42800 Biopsy of throat A 1.39 0.80 2.30 1.18 0.40 2.53 0.93 0.06 3.75 2.63 3.98 2.38 0010.10.80.1020100P0 34.7315 4 42802 Biopsy of throat A 1.54 1.11 2.40 1.43 1.11 2.59 1.48 0.09 4.03 3.06 4.22 3.11 0010.10.80.1020100P0 34.7315 4 42804 Biopsy of upper nose/throat A 1.24 1.18 2.23 1.44 1.18 2.50 1.51 0.10 3.57 2.78 3.84 2.85 0010.10.80.1020100P0 34.7315 4 42806 Biopsy of upper nose/throat A 1.58 1.52 2.60 1.79 1.52 2.82 1.85 0.13 4.31 3.50 4.53 3.56 0010.10.80.1020100P0 34.7315 4 42808 Excise pharynx lesion A 2.30 2.73 3.53 2.93 2.73 3.24 2.86 0.23 6.06 5.46 5.77 5.39 0010.10.80.1020100P0 34.7315 4 42809 Remove pharynx foreign body A 1.81 0.89 2.68 1.34 0.89 1.83 1.13 0.06 4.55 3.21 3.70 3.00 0010.10.80.1020100P0 34.7315 4 42810 Excision of neck cyst A 3.33 3.41 4.16 3.60 3.41 4.09 3.58 0.37 7.86 7.30 7.79 7.28 0090.09.81.1020200P0 34.7315 4 42815 Excision of neck cyst A 7.23 8.63 6.59 NA 8.12 8.63 6.59 8.12 0.88 14.70 16.23 14.70 16.23 0090.09.81.1020210P0 34.7315 4 42820 Remove tonsils and adenoids A 3.91 3.42 2.45 NA 3.18 3.42 2.45 3.18 0.25 6.61 7.34 6.61 7.34 0090.09.81.1020000P0 34.7315 4 42821 Remove tonsils and adenoids A 4.29 4.27 4.28 NA 4.27 4.27 4.28 4.27 0.36 8.93 8.92 8.93 8.92 0090.09.81.1020000P0 34.7315 4 42825 Removal of tonsils A 3.42 2.87 3.70 NA 3.08 2.87 3.70 3.08 0.26 7.38 6.76 7.38 6.76 0090.09.81.1020000P0 34.7315 4 42826 Removal of tonsils A 3.38 4.04 3.79 NA 3.98 4.04 3.79 3.98 0.34 7.51 7.70 7.51 7.70 0090.09.81.1020100P0 34.7315 4 42830 Removal of adenoids A 2.57 2.02 2.77 NA 2.21 2.02 2.77 2.21 0.21 5.55 4.99 5.55 4.99 0090.09.81.1020000P0 34.7315 4 42831 Removal of adenoids A 2.71 2.56 2.89 NA 2.64 2.56 2.89 2.64 0.20 5.80 5.55 5.80 5.55 0090.09.81.1020000P0 34.7315 4 42835 Removal of adenoids A 2.30 2.02 2.80 NA 2.22 2.02 2.80 2.22 0.08 5.18 4.60 5.18 4.60 0090.09.81.1020000P0 34.7315 4 42836 Removal of adenoids A 3.18 3.03 3.66 NA 3.19 3.03 3.66 3.19 0.24 7.08 6.61 7.08 6.61 0090.09.81.1020000P0 34.7315 4 42842 Extensive surgery of throat A 8.76 7.26 7.80 NA 7.40 7.26 7.80 7.40 0.57 17.13 16.73 17.13 16.73 0090.09.81.1020000P0 34.7315 4 42844 Extensive surgery of throat A 14.31 11.78 11.09 NA11.61 11.78 11.09 11.61 0.99 26.39 26.91 26.39 26.91 0090.09.81.1020210P0 34.7315 4 42845 Extensive surgery of throat A 24.29 20.21 17.79 NA19.61 20.21 17.79 19.61 1.74 43.82 45.64 43.82 45.64 0090.09.81.1020210P0 34.7315 4 42860 Excision of tonsil tags A 2.22 2.05 2.99 NA 2.29 2.05 2.99 2.29 0.16 5.37 4.67 5.37 4.67 0090.09.81.1020000P0 34.7315 4 42870 Excision of lingual tonsil A 5.40 2.52 6.04 NA 3.40 2.52 6.04 3.40 0.20 11.64 9.00 11.64 9.00 0090.09.81.1020000P0 34.7315 4 42890 Partial removal of pharynx A 12.94 9.76 11.14 NA10.11 9.76 11.14 10.11 0.81 24.89 23.86 24.89 23.86 0090.09.81.1020210P0 34.7315 4 42892 Revision of pharyngeal walls A 15.83 11.85 12.53 NA12.02 11.85 12.53 12.02 0.99 29.35 28.84 29.35 28.84 0090.09.81.1020210P0 34.7315 4 42894 Revision of pharyngeal walls A 22.88 17.43 17.04 NA17.33 17.43 17.04 17.33 1.43 41.35 41.64 41.35 41.64 0090.09.81.1020210P0 34.7315 4 42900 Repair throat wound A 5.25 4.62 4.48 NA 4.59 4.62 4.48 4.59 0.38 10.11 10.22 10.11 10.22 0010.10.80.1020000P0 34.7315 4 42950 Reconstruction of throat A 8.10 9.67 7.48 NA 9.12 9.67 7.48 9.12 0.86 16.44 18.08 16.44 18.08 0090.09.81.1020210P0 34.7315 4 42953 Repair throat, esophagus A 8.96 6.88 8.75 NA 7.35 6.88 8.75 7.35 0.73 18.44 17.04 18.44 17.04 0090.09.81.1020200P0 34.7315 4 42955 Surgical opening of throat A 7.39 3.60 6.62 NA 4.36 3.60 6.62 4.36 0.34 14.35 12.09 14.35 12.09 0090.09.81.1020200P0 34.7315 4 42960 Control throat bleeding A 2.33 1.17 2.49 NA 1.50 1.17 2.49 1.50 0.09 4.91 3.92 4.91 3.92 0010.10.80.1020000P0 34.7315 4 42961 Control throat bleeding A 5.59 1.90 5.14 NA 2.71 1.90 5.14 2.71 0.15 10.88 8.45 10.88 8.45 0090.09.81.1020200P0 34.7315 4 42962 Control throat bleeding A 7.14 6.49 6.14 NA 6.40 6.49 6.14 6.40 0.53 13.81 14.07 13.81 14.07 0090.09.81.1020200P0 34.7315 4 42970 Control nose/throat bleeding A 5.43 1.12 3.85 NA 1.80 1.12 3.85 1.80 0.08 9.36 7.31 9.36 7.31 0090.09.81.1020100P0 34.7315 4 42971 Control nose/throat bleeding A 6.21 3.15 5.84 NA 3.82 3.15 5.84 3.82 0.27 12.32 10.30 12.32 10.30 0090.09.81.1020200P0 34.7315 4 42972 Control nose/throat bleeding A 7.20 4.94 5.83 NA 5.16 4.94 5.83 5.16 0.57 13.60 12.93 13.60 12.93 0090.09.81.1020200P0 34.7315 4 42999 Throat surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 43020 Incision of esophagus A 8.09 7.14 5.91 NA 6.83 7.14 5.91 6.83 0.56 14.56 15.48 14.56 15.48 0090.09.81.1020210P0 34.7315 4 43030 Throat muscle surgery A 7.69 9.18 6.80 NA 8.59 9.18 6.80 8.59 0.95 15.44 17.23 15.44 17.23 0090.09.81.1020210P0 34.7315 4 43045 Incision of esophagus A 20.12 13.51 12.93 NA13.37 13.51 12.93 13.37 1.85 34.90 35.34 34.90 35.34 0090.09.81.1020210P0 34.7315 4 43100 Excision of esophagus lesion A 9.19 6.72 9.37 NA 7.38 6.72 9.37 7.38 0.74 19.30 17.31 19.30 17.31 0090.09.81.1020210P0 34.7315 4 43101 Excision of esophagus lesion A 16.24 10.29 10.21 NA10.27 10.29 10.21 10.27 1.47 27.92 27.98 27.92 27.98 0090.09.81.1020210P0 34.7315 4 43107 Removal of esophagus A 28.79 24.42 17.20 NA22.62 24.42 17.20 22.62 3.46 49.45 54.87 49.45 54.87 0090.09.81.1020210P0 34.7315 4 43108 Removal of esophagus A 34.19 27.42 19.05 NA25.33 27.42 19.05 25.33 3.73 56.97 63.25 56.97 63.25 0090.09.81.1020210P0 34.7315 4 43112 Removal of esophagus A 31.22 23.50 18.65 NA22.29 23.50 18.65 22.29 3.30 53.17 56.81 53.17 56.81 0090.09.81.1020220P0 34.7315 4 43113 Removal of esophagus A 35.27 27.42 20.03 NA25.57 27.42 20.03 25.57 3.73 59.03 64.57 59.03 64.57 0090.09.81.1020220P0 34.7315 4 43116 Partial removal of esophagus A 31.22 27.42 24.37 NA26.66 27.42 24.37 26.66 3.73 59.32 61.61 59.32 61.61 0090.09.81.1020210P0 34.7315 4 43117 Partial removal of esophagus A 30.02 27.42 17.96 NA25.06 27.42 17.96 25.06 3.73 51.71 58.81 51.71 58.81 0090.09.81.1020220P0 34.7315 4 43118 Partial removal of esophagus A 33.20 27.42 18.17 NA25.11 27.42 18.17 25.11 3.73 55.10 62.04 55.10 62.04 0090.09.81.1020220P0 34.7315 4 43121 Partial removal of esophagus A 29.19 23.18 17.30 NA21.71 23.18 17.30 21.71 3.28 49.77 54.18 49.77 54.18 0090.09.81.1020220P0 34.7315 4 43122 Parital removal of esophagus A 29.11 23.18 16.62 NA21.54 23.18 16.62 21.54 3.28 49.01 53.93 49.01 53.93 0090.09.81.1020210P0 34.7315 4 43123 Partial removal of esophagus A 33.20 27.42 18.33 NA25.15 27.42 18.33 25.15 3.73 55.26 62.08 55.26 62.08 0090.09.81.1020210P0 34.7315 4 43124 Removal of esophagus A 27.32 24.42 17.45 NA22.68 24.42 17.45 22.68 3.46 48.23 53.46 48.23 53.46 0090.09.81.1020210P0 34.7315 4 43130 Removal of esophagus pouch A 11.75 11.41 10.67 NA11.23 11.41 10.67 11.23 1.25 23.67 24.23 23.67 24.23 0090.09.81.1020210P0 34.7315 4 43135 Removal of esophagus pouch A 16.10 12.72 11.10 NA12.32 12.72 11.10 12.32 1.70 28.90 30.12 28.90 30.12 0090.09.81.1020210P0 34.7315 4 43200 Esophagus endoscopy A 1.59 2.21 5.41 3.01 1.90 1.02 1.68 0.20 7.20 4.80 2.81 3.47 0000.00.00.0020100P1A4550 34.7315 4 43202 Esophagus endoscopy, biopsy A 1.89 2.62 4.50 3.09 2.26 0.95 1.93 0.24 6.63 5.22 3.08 4.06 0000.00.00.0030100P1A455043200 34.7315 4 43204 Esophagus endoscopy & inject A 3.77 4.50 1.44 NA 3.74 4.50 1.44 3.74 0.28 5.49 7.79 5.49 7.79 0000.00.00.0030100P0 43200 34.7315 4 43205 Esophagus endoscopy/ligation A 3.79 2.93 1.47 NA 2.57 2.93 1.47 2.57 0.14 5.40 6.50 5.40 6.50 0000.00.00.0030000P0 43200 34.7315 4 43215 Esophagus endoscopy A 2.60 3.10 1.13 NA 2.61 3.10 1.13 2.61 0.36 4.09 5.57 4.09 5.57 0000.00.00.0030100P0 43200 34.7315 4 43216 Esophagus endoscopy/lesion A 2.40 2.87 1.02 NA 2.41 2.87 1.02 2.41 0.29 3.71 5.10 3.71 5.10 0000.00.00.0030000P0 43200 34.7315 4 43217 Esophagus endoscopy A 2.90 3.46 1.16 NA 2.89 3.46 1.16 2.89 0.29 4.35 6.08 4.35 6.08 0000.00.00.0030100P0 43200 34.7315 4 43219 Esophagus endoscopy A 2.80 3.34 1.20 NA 2.81 3.34 1.20 2.81 0.27 4.27 5.88 4.27 5.88 0000.00.00.0030100P0 43200 34.7315 4 43220 Esophagus endoscopy,dilation A 2.10 2.51 0.92 NA 2.11 2.51 0.92 2.11 0.21 3.23 4.42 3.23 4.42 0000.00.00.0030100P1A455043200 34.7315 4 43226 Esophagus endoscopy,dilation A 2.34 2.79 0.96 NA 2.33 2.79 0.96 2.33 0.20 3.50 4.87 3.50 4.87 0000.00.00.0030100P1A455043200 34.7315 4 43227 Esophagus endoscopy, repair A 3.60 4.30 1.38 NA 3.57 4.30 1.38 3.57 0.27 5.25 7.44 5.25 7.44 0000.00.00.0030100P0 43200 34.7315 4 43228 Esophagus endoscopy,ablation A 3.77 4.50 1.49 NA 3.75 4.50 1.49 3.75 0.30 5.56 7.82 5.56 7.82 0000.00.00.0030100P0 43200 34.7315 4 43234 Upper GI endoscopy, exam A 2.01 2.79 2.62 2.75 2.40 0.87 2.02 0.23 4.86 4.99 3.11 4.26 0000.00.00.0020100P1A4550 34.7315 4 43235 Upper gi endoscopy,diagnosis A 2.39 3.33 4.46 3.61 2.85 0.98 2.38 0.23 7.08 6.23 3.60 5.00 0000.00.00.0020100P1A4550 34.7315 4 43239 Upper GI endoscopy, biopsy A 2.69 3.73 4.49 3.92 3.21 1.08 2.68 0.26 7.44 6.87 4.03 5.63 0000.00.00.0030100P1A455043235 34.7315 4 43241 Upper GI endoscopy with tube A 2.59 3.09 1.03 NA 2.58 3.09 1.03 2.58 0.30 3.92 5.47 3.92 5.47 0000.00.00.0030100P0 43235 34.7315 4 43243 Upper GI endoscopy & inject. A 4.57 5.46 1.70 NA 4.52 5.46 1.70 4.52 0.31 6.58 9.40 6.58 9.40 0000.00.00.0030100P0 43235 34.7315 4 43244 Upper GI endoscopy/ligation A 4.59 3.77 1.71 NA 3.26 3.77 1.71 3.26 0.32 6.62 8.17 6.62 8.17 0000.00.00.0030000P0 43235 34.7315 4 43245 Operative upper GI endoscopy A 3.39 4.05 1.31 NA 3.37 4.05 1.31 3.37 0.31 5.01 7.07 5.01 7.07 0000.00.00.0030100P1A455043235 34.7315 4 43246 Place gastrostomy tube A 4.33 5.17 1.61 NA 4.28 5.17 1.61 4.28 0.40 6.34 9.01 6.34 9.01 0000.00.00.0030020P0 43235 34.7315 4 43247 Operative upper GI endoscopy A 3.39 4.05 1.31 NA 3.37 4.05 1.31 3.37 0.30 5.00 7.06 5.00 7.06 0000.00.00.0030100P1A455043235 34.7315 4 43248 Upper GI endoscopy/guidewire A 3.15 3.77 1.23 NA 3.14 3.77 1.23 3.14 0.27 4.65 6.56 4.65 6.56 0000.00.00.0020100P0 34.7315 4 43249 Esophagus endoscopy,dilation A 2.90 3.46 1.15 NA 2.88 3.46 1.15 2.88 0.23 4.28 6.01 4.28 6.01 0000.00.00.0030100P1A455043235 34.7315 4 43250 Upper GI endoscopy/tumor A 3.20 3.82 1.25 NA 3.18 3.82 1.25 3.18 0.34 4.79 6.72 4.79 6.72 0000.00.00.0030100P1A455043235 34.7315 4 43251 Operative upper GI endoscopy A 3.70 4.42 1.42 NA 3.67 4.42 1.42 3.67 0.34 5.46 7.71 5.46 7.71 0000.00.00.0030100P1A455043235 34.7315 4 43255 Operative upper GI endoscopy A 4.40 5.25 1.59 NA 4.34 5.25 1.59 4.34 0.30 6.29 9.04 6.29 9.04 0000.00.00.0030100P0 43235 34.7315 4 43258 Operative upper GI endoscopy A 4.55 5.44 1.70 NA 4.51 5.44 1.70 4.51 0.30 6.55 9.36 6.55 9.36 0000.00.00.0030100P0 43235 34.7315 4 43259 Endoscopic ultrasound exam A 4.89 4.36 1.85 NA 3.73 4.36 1.85 3.73 0.27 7.01 8.89 7.01 8.89 0000.00.00.0030000P0 43235 34.7315 4 43260 Endoscopy,bile duct/pancreas A 5.96 6.49 2.17 NA 5.41 6.49 2.17 5.41 0.31 8.44 11.68 8.44 11.68 0000.00.00.0020100P0 34.7315 4 43261 Endoscopy,bile duct/pancreas A 6.27 6.49 2.28 NA 5.44 6.49 2.28 5.44 0.31 8.86 12.02 8.86 12.02 0000.00.00.0030100P0 43260 34.7315 4 43262 Endoscopy,bile duct/pancreas A 7.39 8.82 2.67 NA 7.28 8.82 2.67 7.28 0.45 10.51 15.12 10.51 15.12 0000.00.00.0030100P0 43260 34.7315 4 43263 Endoscopy,bile duct/pancreas A 6.19 6.33 2.25 NA 5.31 6.33 2.25 5.31 0.30 8.74 11.80 8.74 11.80 0000.00.00.0030100P0 43260 34.7315 4 43264 Endoscopy,bile duct/pancreas A 8.90 9.68 3.17 NA 8.05 9.68 3.17 8.05 0.48 12.55 17.43 12.55 17.43 0000.00.00.0030100P0 43260 34.7315 4 43265 Endoscopy,bile duct/pancreas A 8.90 7.40 3.17 NA 6.34 7.40 3.17 6.34 0.38 12.45 15.62 12.45 15.62 0000.00.00.0030100P0 43260 34.7315 4 43267 Endoscopy,bile duct/pancreas A 7.39 8.04 2.65 NA 6.69 8.04 2.65 6.69 0.38 10.42 14.46 10.42 14.46 0000.00.00.0030100P0 43260 34.7315 4 43268 Endoscopy,bile duct/pancreas A 7.39 8.82 2.67 NA 7.28 8.82 2.67 7.28 0.44 10.50 15.11 10.50 15.11 0000.00.00.0030100P0 43260 34.7315 4 43269 Endoscopy,bile duct/pancreas A 6.04 7.21 2.20 NA 5.96 7.21 2.20 5.96 0.40 8.64 12.40 8.64 12.40 0000.00.00.0030100P0 43260 34.7315 4 43271 Endoscopy,bile duct/pancreas A 7.39 8.28 2.65 NA 6.87 8.28 2.65 6.87 0.39 10.43 14.65 10.43 14.65 0000.00.00.0030100P0 43260 34.7315 4 43272 Endoscopy,bile duct/pancreas A 7.39 6.08 2.63 NA 5.22 6.08 2.63 5.22 0.33 10.35 12.94 10.35 12.94 0000.00.00.0030000P0 43260 34.7315 4 43300 Repair of esophagus A 9.14 10.91 7.11 NA 9.96 10.91 7.11 9.96 1.33 17.58 20.43 17.58 20.43 0090.09.81.1020210P0 34.7315 4 43305 Repair esophagus and fistula A 17.15 14.88 17.58 NA15.56 14.88 17.58 15.56 1.39 36.12 34.10 36.12 34.10 0090.09.81.1020210P0 34.7315 4 43310 Repair of esophagus A 25.39 18.44 16.86 NA18.05 18.44 16.86 18.05 2.53 44.78 45.97 44.78 45.97 0090.09.81.1020210P0 34.7315 4 43312 Repair esophagus and fistula A 28.42 14.89 22.45 NA16.78 14.89 22.45 16.78 1.80 52.67 47.00 52.67 47.00 0090.09.81.1020210P0 34.7315 4 43320 Fuse esophagus & stomach A 16.07 12.68 10.73 NA12.19 12.68 10.73 12.19 1.60 28.40 29.86 28.40 29.86 0090.09.81.1020210P0 34.7315 4 43324 Revise esophagus & stomach A 16.58 12.89 9.71 NA12.10 12.89 9.71 12.10 1.98 28.27 30.66 28.27 30.66 0090.09.81.1020210P0 34.7315 4 43325 Revise esophagus & stomach A 16.17 12.60 10.67 NA12.12 12.60 10.67 12.12 1.79 28.63 30.08 28.63 30.08 0090.09.81.1020210P0 34.7315 4 43326 Revise esophagus & stomach A 15.91 8.16 11.16 NA 8.91 8.16 11.16 8.91 1.37 28.44 26.19 28.44 26.19 0090.09.81.1020210P0 34.7315 4 43330 Repair of esophagus A 15.94 12.33 10.38 NA11.84 12.33 10.38 11.84 1.87 28.19 29.65 28.19 29.65 0090.09.81.1020210P0 34.7315 4 43331 Repair of esophagus A 16.23 15.55 11.04 NA14.42 15.55 11.04 14.42 2.07 29.34 32.72 29.34 32.72 0090.09.81.1020210P0 34.7315 4 43340 Fuse esophagus & intestine A 15.81 13.50 11.35 NA12.96 13.50 11.35 12.96 1.97 29.13 30.74 29.13 30.74 0090.09.81.1020210P0 34.7315 4 43341 Fuse esophagus & intestine A 16.81 10.74 12.92 NA11.29 10.74 12.92 11.29 1.22 30.95 29.32 30.95 29.32 0090.09.81.1020210P0 34.7315 4 43350 Surgical opening, esophagus A 12.72 8.55 9.75 NA 8.85 8.55 9.75 8.85 0.90 23.37 22.47 23.37 22.47 0090.09.81.1020210P0 34.7315 4 43351 Surgical opening, esophagus A 14.79 9.52 10.46 NA 9.76 9.52 10.46 9.76 1.20 26.45 25.75 26.45 25.75 0090.09.81.1020210P0 34.7315 4 43352 Surgical opening, esophagus A 12.30 9.62 9.80 NA 9.67 9.62 9.80 9.67 1.15 23.25 23.12 23.25 23.12 0090.09.81.1020210P0 34.7315 4 43360 Gastrointestinal repair A 28.78 23.18 15.74 NA21.32 23.18 15.74 21.32 3.28 47.80 53.38 47.80 53.38 0090.09.81.1020210P0 34.7315 4 43361 Gastrointestinal repair A 32.65 27.42 17.78 NA25.01 27.42 17.78 25.01 3.73 54.16 61.39 54.16 61.39 0090.09.81.1020210P0 34.7315 4 43400 Ligate esophagus veins A 17.09 11.74 10.64 NA11.47 11.74 10.64 11.47 1.28 29.01 29.84 29.01 29.84 0090.09.81.1020210P0 34.7315 4 43401 Esophagus surgery for veins A 17.81 10.41 11.89 NA10.78 10.41 11.89 10.78 1.51 31.21 30.10 31.21 30.10 0090.09.81.1020210P0 34.7315 4 43405 Ligate/staple esophagus A 16.13 15.55 10.57 NA14.31 15.55 10.57 14.31 2.07 28.77 32.51 28.77 32.51 0090.09.81.1020210P0 34.7315 4 43410 Repair esophagus wound A 10.86 9.66 8.87 NA 9.46 9.66 8.87 9.46 1.20 20.93 21.52 20.93 21.52 0090.09.81.1020210P0 34.7315 4 43415 Repair esophagus wound A 17.06 13.83 11.09 NA13.15 13.83 11.09 13.15 1.97 30.12 32.18 30.12 32.18 0090.09.81.1020210P0 34.7315 4 43420 Repair esophagus opening A 11.57 6.38 9.21 NA 7.09 6.38 9.21 7.09 0.61 21.39 19.27 21.39 19.27 0090.09.81.1020010P0 34.7315 4 43425 Repair esophagus opening A 16.95 10.79 10.58 NA10.74 10.79 10.58 10.74 1.34 28.87 29.03 28.87 29.03 0090.09.81.1020210P0 34.7315 4 43450 Dilate esophagus A 1.38 0.74 0.99 0.80 0.74 0.54 0.69 0.04 2.41 2.22 1.96 2.11 0000.00.00.0020100P0 34.7315 4 43453 Dilate esophagus A 1.51 1.64 0.58 NA 1.38 1.64 0.58 1.38 0.09 2.18 2.98 2.18 2.98 0000.00.00.0020100P0 34.7315 4 43456 Dilate esophagus A 2.57 2.68 0.95 NA 2.25 2.68 0.95 2.25 0.19 3.71 5.01 3.71 5.01 0000.00.00.0020100P0 34.7315 4 43458 Dilation of esophagus A 3.06 1.65 1.12 NA 1.52 1.65 1.12 1.52 0.21 4.39 4.79 4.39 4.79 0000.00.00.0020100P1A4550 34.7315 4 43460 Pressure treatment esophagus A 3.80 1.81 1.81 NA 1.81 1.81 1.81 1.81 0.12 5.73 5.73 5.73 5.73 0000.00.00.0020100P0 34.7315 4 43496 Free jejunum flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210P0 34.7315 9 43499 Esophagus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 43500 Surgical opening of stomach A 8.44 6.65 4.55 NA 6.13 6.65 4.55 6.13 0.94 13.93 15.51 13.93 15.51 0090.09.81.1020210P0 34.7315 4 43501 Surgical repair of stomach A 15.31 9.31 7.60 NA 8.88 9.31 7.60 8.88 1.43 24.34 25.62 24.34 25.62 0090.09.81.1020210P0 34.7315 4 43502 Surgical repair of stomach A 17.67 9.31 8.48 NA 9.10 9.31 8.48 9.10 1.43 27.58 28.20 27.58 28.20 0090.09.81.1020210P0 34.7315 4 43510 Surgical opening of stomach A 9.99 9.00 6.18 NA 8.30 9.00 6.18 8.30 0.74 16.91 19.03 16.91 19.03 0090.09.81.1020210P0 34.7315 4 43520 Incision of pyloric muscle A 7.63 4.86 4.71 NA 4.82 4.86 4.71 4.82 0.68 13.02 13.13 13.02 13.13 0090.09.81.1020210P0 34.7315 4 43600 Biopsy of stomach A 1.91 0.54 0.81 NA 0.61 0.54 0.81 0.61 0.04 2.76 2.56 2.76 2.56 0000.00.00.0020100P0 34.7315 4 43605 Biopsy of stomach A 9.15 6.41 4.80 NA 6.01 6.41 4.80 6.01 1.01 14.96 16.17 14.96 16.17 0090.09.81.1020210P0 34.7315 4 43610 Excision of stomach lesion A 11.15 8.87 6.08 NA 8.17 8.87 6.08 8.17 1.34 18.57 20.66 18.57 20.66 0090.09.81.1020210P0 34.7315 4 43611 Excision of stomach lesion A 13.63 8.87 7.03 NA 8.41 8.87 7.03 8.41 1.34 22.00 23.38 22.00 23.38 0090.09.81.1020210P0 34.7315 4 43620 Removal of stomach A 22.54 16.69 11.36 NA15.36 16.69 11.36 15.36 2.50 36.40 40.40 36.40 40.40 0090.09.81.1020210P0 34.7315 4 43621 Removal of stomach A 23.06 16.69 11.54 NA15.40 16.69 11.54 15.40 2.50 37.10 40.96 37.10 40.96 0090.09.81.1020210P0 34.7315 4 43622 Removal of stomach A 24.41 16.69 12.14 NA15.55 16.69 12.14 15.55 2.50 39.05 42.46 39.05 42.46 0090.09.81.1020210P0 34.7315 4 43631 Removal of stomach, partial A 19.66 13.48 9.60 NA12.51 13.48 9.60 12.51 2.08 31.34 34.25 31.34 34.25 0090.09.81.1020210P0 34.7315 4 43632 Removal stomach, partial A 19.66 13.48 9.64 NA12.52 13.48 9.64 12.52 2.08 31.38 34.26 31.38 34.26 0090.09.81.1020210P0 34.7315 4 43633 Removal stomach, partial A 20.10 13.48 10.01 NA12.61 13.48 10.01 12.61 2.08 32.19 34.79 32.19 34.79 0090.09.81.1020210P0 34.7315 4 43634 Removal stomach, partial A 21.86 22.61 10.89 NA19.68 22.61 10.89 19.68 3.58 36.33 45.12 36.33 45.12 0090.09.81.1020210P0 34.7315 4 43635 Partial removal of stomach A 2.06 1.17 0.88 NA 1.10 1.17 0.88 1.10 0.20 3.14 3.36 3.14 3.36 0ZZZ.00.00.0000210P0 34.7315 4 43638 Partial removal of stomach A 21.76 13.84 10.40 NA12.98 13.84 10.40 12.98 2.14 34.30 36.88 34.30 36.88 0090.09.81.1020210P0 34.7315 4 43639 Removal stomach, partial A 22.25 13.84 10.74 NA13.07 13.84 10.74 13.07 2.14 35.13 37.46 35.13 37.46 0090.09.81.1020210P0 34.7315 4 43640 Vagotomy & pylorus repair A 14.81 11.22 7.46 NA10.28 11.22 7.46 10.28 1.71 23.98 26.80 23.98 26.80 0090.09.81.1020210P0 34.7315 4 43641 Vagotomy & pylorus repair A 15.03 11.22 7.48 NA10.29 11.22 7.48 10.29 1.71 24.22 27.03 24.22 27.03 0090.09.81.1020210P0 34.7315 4 43750 Place gastrostomy tube A 4.49 4.72 2.41 NA 4.14 4.72 2.41 4.14 0.44 7.34 9.07 7.34 9.07 0010.10.80.1020100P0 34.7315 4 43760 Change gastrostomy tube A 1.10 0.75 0.97 0.81 0.75 0.54 0.70 0.07 2.14 1.98 1.71 1.87 0000.00.00.0020100P0 34.7315 4 43761 Reposition gastrostomy tube A 2.01 1.15 0.64 NA 1.02 1.15 0.64 1.02 0.20 2.85 3.23 2.85 3.23 0000.00.00.0020100P0 34.7315 4 43800 Reconstruction of pylorus A 10.46 7.43 5.69 NA 7.00 7.43 5.69 7.00 1.15 17.30 18.61 17.30 18.61 0090.09.81.1020210P0 34.7315 4 43810 Fusion of stomach and bowel A 11.19 8.29 6.12 NA 7.75 8.29 6.12 7.75 1.20 18.51 20.14 18.51 20.14 0090.09.81.1020210P0 34.7315 4 43820 Fusion of stomach and bowel A 11.74 9.00 6.21 NA 8.30 9.00 6.21 8.30 1.37 19.32 21.41 19.32 21.41 0090.09.81.1020210P0 34.7315 4 43825 Fusion of stomach and bowel A 14.68 12.02 7.42 NA10.87 12.02 7.42 10.87 1.80 23.90 27.35 23.90 27.35 0090.09.81.1020210P0 34.7315 4 43830 Place gastrostomy tube A 7.28 6.72 4.36 NA 6.13 6.72 4.36 6.13 0.93 12.57 14.34 12.57 14.34 0090.09.81.1020210P0 34.7315 4 43831 Place gastrostomy tube A 7.33 5.64 4.21 NA 5.28 5.64 4.21 5.28 0.73 12.27 13.34 12.27 13.34 0090.09.81.1020210P0 34.7315 4 43832 Place gastrostomy tube A 11.92 8.63 6.51 NA 8.10 8.63 6.51 8.10 1.06 19.49 21.08 19.49 21.08 0090.09.81.1020210P0 34.7315 4 43840 Repair of stomach lesion A 11.89 8.51 6.20 NA 7.93 8.51 6.20 7.93 1.30 19.39 21.12 19.39 21.12 0090.09.81.1020210P0 34.7315 4 43842 Gastroplasty for obesity A 14.71 14.89 8.86 NA13.38 14.89 8.86 13.38 2.29 25.86 30.38 25.86 30.38 0090.09.81.1020220P0 34.7315 4 43843 Gastroplasty for obesity A 14.85 14.89 8.53 NA13.30 14.89 8.53 13.30 2.29 25.67 30.44 25.67 30.44 0090.09.81.1020220P0 34.7315 4 43846 Gastric bypass for obesity A 19.15 16.06 10.88 NA14.77 16.06 10.88 14.77 2.58 32.61 36.50 32.61 36.50 0090.09.81.1020210P0 34.7315 4 43847 Gastric bypass for obesity A 21.44 16.06 13.09 NA15.32 16.06 13.09 15.32 2.58 37.11 39.34 37.11 39.34 0090.09.81.1020210P0 34.7315 4 43848 Revision gastroplasty A 23.41 16.06 13.37 NA15.39 16.06 13.37 15.39 2.58 39.36 41.38 39.36 41.38 0090.09.81.1020210P0 34.7315 4 43850 Revise stomach-bowel fusion A 19.69 12.63 9.33 NA11.81 12.63 9.33 11.81 1.76 30.78 33.26 30.78 33.26 0090.09.81.1020210P0 34.7315 4 43855 Revise stomach-bowel fusion A 20.83 11.33 10.46 NA11.11 11.33 10.46 11.11 1.78 33.07 33.72 33.07 33.72 0090.09.81.1020210P0 34.7315 4 43860 Revise stomach-bowel fusion A 19.91 12.44 9.60 NA11.73 12.44 9.60 11.73 1.96 31.47 33.60 31.47 33.60 0090.09.81.1020210P0 34.7315 4 43865 Revise stomach-bowel fusion A 21.12 14.53 10.15 NA13.44 14.53 10.15 13.44 2.33 33.60 36.89 33.60 36.89 0090.09.81.1020210P0 34.7315 4 43870 Repair stomach opening A 7.40 6.26 4.35 NA 5.78 6.26 4.35 5.78 0.89 12.64 14.07 12.64 14.07 0090.09.81.1020210P0 34.7315 4 43880 Repair stomach-bowel fistula A 19.63 8.95 10.10 NA 9.24 8.95 10.10 9.24 1.38 31.11 30.25 31.11 30.25 0090.09.81.1020210P0 34.7315 4 43999 Stomach surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 44005 Freeing of bowel adhesion A 13.84 8.99 7.01 NA 8.50 8.99 7.01 8.50 1.37 22.22 23.71 22.22 23.71 0090.09.81.1020210P0 34.7315 4 44010 Incision of small bowel A 10.68 7.50 6.17 NA 7.17 7.50 6.17 7.17 1.11 17.96 18.96 17.96 18.96 0090.09.81.1020210P0 34.7315 4 44015 Insert needle catheter,bowel A 2.62 3.13 1.06 NA 2.61 3.13 1.06 2.61 0.35 4.03 5.58 4.03 5.58 0ZZZ.00.00.0000210P0 34.7315 4 44020 Exploration of small bowel A 11.93 8.48 6.24 NA 7.92 8.48 6.24 7.92 1.29 19.46 21.14 19.46 21.14 0090.09.81.1020210P0 34.7315 4 44021 Decompress small bowel A 12.01 7.60 6.59 NA 7.35 7.60 6.59 7.35 1.16 19.76 20.52 19.76 20.52 0090.09.81.1020210P0 34.7315 4 44025 Incision of large bowel A 12.18 8.40 6.19 NA 7.85 8.40 6.19 7.85 1.26 19.63 21.29 19.63 21.29 0090.09.81.1020210P0 34.7315 4 44050 Reduce bowel obstruction A 11.40 8.43 6.01 NA 7.83 8.43 6.01 7.83 1.28 18.69 20.51 18.69 20.51 0090.09.81.1020210P0 34.7315 4 44055 Correct malrotation of bowel A 13.14 8.31 6.76 NA 7.92 8.31 6.76 7.92 1.25 21.15 22.31 21.15 22.31 0090.09.81.1020210P0 34.7315 4 44100 Biopsy of bowel A 2.01 1.50 0.88 NA 1.35 1.50 0.88 1.35 0.10 2.99 3.46 2.99 3.46 0000.00.00.0020100P0 34.7315 4 44110 Excision of bowel lesion(s) A 10.07 8.32 5.64 NA 7.65 8.32 5.64 7.65 1.24 16.95 18.96 16.95 18.96 0090.09.81.1020210P0 34.7315 4 44111 Excision of bowel lesion(s) A 12.19 10.49 7.00 NA 9.62 10.49 7.00 9.62 1.67 20.86 23.48 20.86 23.48 0090.09.81.1020210P0 34.7315 4 44120 Removal of small intestine A 14.50 10.27 7.31 NA 9.53 10.27 7.31 9.53 1.58 23.39 25.61 23.39 25.61 0090.09.81.1020210P0 34.7315 4 44121 Removal of small intestine A 4.45 2.52 1.96 NA 2.38 2.52 1.96 2.38 0.42 6.83 7.25 6.83 7.25 0ZZZ.00.00.0000210P0 34.7315 4 44125 Removal of small intestine A 14.96 11.67 7.52 NA10.63 11.67 7.52 10.63 1.78 24.26 27.37 24.26 27.37 0090.09.81.1020210P0 34.7315 4 44130 Bowel to bowel fusion A 12.36 9.41 6.50 NA 8.68 9.41 6.50 8.68 1.46 20.32 22.50 20.32 22.50 0090.09.81.1020210P0 34.7315 4 44139 Mobilization of colon A 2.23 1.27 0.97 NA 1.20 1.27 0.97 1.20 0.21 3.41 3.64 3.41 3.64 0ZZZ.00.00.0000210P0 34.7315 4 44140 Partial removal of colon A 18.35 12.34 9.05 NA11.52 12.34 9.05 11.52 1.88 29.28 31.75 29.28 31.75 0090.09.81.1020210P0 34.7315 4 44141 Partial removal of colon A 19.51 12.87 12.26 NA12.72 12.87 12.26 12.72 1.99 33.76 34.22 33.76 34.22 0090.09.81.1020210P0 34.7315 4 44143 Partial removal of colon A 20.17 13.31 12.64 NA13.14 13.31 12.64 13.14 2.05 34.86 35.36 34.86 35.36 0090.09.81.1020210P0 34.7315 4 44144 Partial removal of colon A 18.89 13.09 11.38 NA12.66 13.09 11.38 12.66 1.98 32.25 33.53 32.25 33.53 0090.09.81.1020210P0 34.7315 4 44145 Partial removal of colon A 23.18 14.38 11.60 NA13.69 14.38 11.60 13.69 2.17 36.95 39.04 36.95 39.04 0090.09.81.1020210P0 34.7315 4 44146 Partial removal of colon A 24.16 16.26 14.25 NA15.76 16.26 14.25 15.76 2.46 40.87 42.38 40.87 42.38 0090.09.81.1020210P0 34.7315 4 44147 Partial removal of colon A 18.17 16.65 9.82 NA14.94 16.65 9.82 14.94 2.58 30.57 35.69 30.57 35.69 0090.09.81.1020210P0 34.7315 4 44150 Removal of colon A 21.01 16.11 12.97 NA15.33 16.11 12.97 15.33 2.48 36.46 38.82 36.46 38.82 0090.09.81.1020210P0 34.7315 4 44151 Removal of colon/ileostomy A 20.04 11.08 13.40 NA11.66 11.08 13.40 11.66 1.74 35.18 33.44 35.18 33.44 0090.09.81.1020210P0 34.7315 4 44152 Removal of colon/ileostomy A 24.41 16.76 16.00 NA16.57 16.76 16.00 16.57 2.63 43.04 43.61 43.04 43.61 0090.09.81.1020210P0 34.7315 4 44153 Removal of colon/ileostomy A 26.83 21.00 15.96 NA19.74 21.00 15.96 19.74 2.84 45.63 49.41 45.63 49.41 0090.09.81.1020210P0 34.7315 4 44155 Removal of colon A 24.44 18.07 14.25 NA17.12 18.07 14.25 17.12 2.74 41.43 44.30 41.43 44.30 0090.09.81.1020210P0 34.7315 4 44156 Removal of colon/ileostomy A 23.01 12.37 14.57 NA12.92 12.37 14.57 12.92 1.97 39.55 37.90 39.55 37.90 0090.09.81.1020210P0 34.7315 4 44160 Removal of colon A 15.88 13.50 8.08 NA12.15 13.50 8.08 12.15 2.10 26.06 30.13 26.06 30.13 0090.09.81.1020210P0 34.7315 4 44300 Open bowel to skin A 8.88 6.54 5.71 NA 6.33 6.54 5.71 6.33 1.01 15.60 16.22 15.60 16.22 0090.09.81.1020210P0 34.7315 4 44310 Ileostomy/jejunostomy A 11.70 8.55 8.35 NA 8.50 8.55 8.35 8.50 1.30 21.35 21.50 21.35 21.50 0090.09.81.1020210P0 34.7315 4 44312 Revision of ileostomy A 5.88 3.34 4.39 NA 3.60 3.34 4.39 3.60 0.35 10.62 9.83 10.62 9.83 0090.09.81.1020000P0 34.7315 4 44314 Revision of ileostomy A 11.04 7.25 8.68 NA 7.61 7.25 8.68 7.61 0.95 20.67 19.60 20.67 19.60 0090.09.81.1020210P0 34.7315 4 44316 Devise bowel pouch A 15.47 10.46 12.02 NA10.85 10.46 12.02 10.85 1.12 28.61 27.44 28.61 27.44 0090.09.81.1020210P0 34.7315 4 44320 Colostomy A 12.94 8.10 9.79 NA 8.52 8.10 9.79 8.52 1.23 23.96 22.69 23.96 22.69 0090.09.81.1020210P0 34.7315 4 44322 Colostomy with biopsies A 11.98 9.84 9.82 NA 9.84 9.84 9.82 9.84 1.47 23.27 23.29 23.27 23.29 0090.09.81.1020210P0 34.7315 4 44340 Revision of colostomy A 5.66 1.82 4.07 NA 2.38 1.82 4.07 2.38 0.27 10.00 8.31 10.00 8.31 0090.09.81.1020110P0 34.7315 4 44345 Revision of colostomy A 11.32 5.25 7.28 NA 5.76 5.25 7.28 5.76 0.81 19.41 17.89 19.41 17.89 0090.09.81.1020210P0 34.7315 4 44346 Revision of colostomy A 12.46 7.22 7.79 NA 7.36 7.22 7.79 7.36 1.08 21.33 20.90 21.33 20.90 0090.09.81.1020210P0 34.7315 4 44360 Small bowel endoscopy A 2.92 3.48 1.20 NA 2.91 3.48 1.20 2.91 0.25 4.37 6.08 4.37 6.08 0000.00.00.0020100P0 34.7315 4 44361 Small bowel endoscopy,biopsy A 3.23 3.85 1.29 NA 3.21 3.85 1.29 3.21 0.27 4.79 6.71 4.79 6.71 0000.00.00.0030100P0 44360 34.7315 4 44363 Small bowel endoscopy A 3.94 3.24 1.52 NA 2.81 3.24 1.52 2.81 0.28 5.74 7.03 5.74 7.03 0000.00.00.0030000P0 44360 34.7315 4 44364 Small bowel endoscopy A 4.22 5.04 1.66 NA 4.20 5.04 1.66 4.20 0.56 6.44 8.98 6.44 8.98 0000.00.00.0030000P0 44360 34.7315 4 44365 Small bowel endoscopy A 3.73 4.45 1.50 NA 3.71 4.45 1.50 3.71 0.56 5.79 8.00 5.79 8.00 0000.00.00.0030000P0 44360 34.7315 4 44366 Small bowel endoscopy A 4.97 5.94 1.89 NA 4.93 5.94 1.89 4.93 0.35 7.21 10.25 7.21 10.25 0000.00.00.0030100P0 44360 34.7315 4 44369 Small bowel endoscopy A 5.09 6.08 1.94 NA 5.05 6.08 1.94 5.05 0.39 7.42 10.53 7.42 10.53 0000.00.00.0030000P0 44360 34.7315 4 44372 Small bowel endoscopy A 4.97 5.94 1.93 NA 4.94 5.94 1.93 4.94 0.52 7.42 10.43 7.42 10.43 0000.00.00.0030100P0 44360 34.7315 4 44373 Small bowel endoscopy A 3.94 4.70 1.55 NA 3.91 4.70 1.55 3.91 0.39 5.88 8.24 5.88 8.24 0000.00.00.0030100P0 44360 34.7315 4 44376 Small bowel endoscopy A 5.69 4.40 2.15 NA 3.84 4.40 2.15 3.84 0.20 8.04 9.73 8.04 9.73 0000.00.00.0020000P0 34.7315 4 44377 Small bowel endoscopy A 5.98 4.62 2.24 NA 4.03 4.62 2.24 4.03 0.22 8.44 10.23 8.44 10.23 0000.00.00.0030000P0 44376 34.7315 4 44378 Small bowel endoscopy A 7.71 5.72 2.85 NA 5.00 5.72 2.85 5.00 0.27 10.83 12.98 10.83 12.98 0000.00.00.0030000P0 44376 34.7315 4 44380 Small bowel endoscopy A 1.51 1.80 0.71 NA 1.53 1.80 0.71 1.53 0.17 2.39 3.21 2.39 3.21 0000.00.00.0020100P0 34.7315 4 44382 Small bowel endoscopy A 1.82 2.17 0.83 NA 1.84 2.17 0.83 1.84 0.23 2.88 3.89 2.88 3.89 0000.00.00.0020100P0 34.7315 4 44385 Endoscopy of bowel pouch A 1.82 2.53 3.13 2.68 2.17 0.92 1.86 0.27 5.22 4.77 3.01 3.95 0000.00.00.0020100P0 34.7315 4 44386 Endoscopy,bowel pouch,biopsy A 2.12 1.67 4.46 2.37 1.67 1.03 1.51 0.12 6.70 4.61 3.27 3.75 0000.00.00.0020000P0 34.7315 4 44388 Colon endoscopy A 2.82 3.92 4.16 3.98 3.36 1.33 2.85 0.39 7.37 7.19 4.54 6.06 0000.00.00.0020100P0 34.7315 4 44389 Colonoscopy with biopsy A 3.13 4.34 4.59 4.40 3.73 1.45 3.16 0.35 8.07 7.88 4.93 6.64 0000.00.00.0030100P0 44388 34.7315 4 44390 Colonoscopy for foreign body A 3.83 2.85 3.62 3.04 2.85 1.69 2.56 0.22 7.67 7.09 5.74 6.61 0000.00.00.0030000P0 44388 34.7315 4 44391 Colonoscopy for bleeding A 4.32 5.71 3.01 5.04 5.15 1.83 4.32 0.41 7.74 9.77 6.56 9.05 0000.00.00.0030000P0 44388 34.7315 4 44392 Colonoscopy & polypectomy A 3.82 5.60 4.83 5.41 4.56 1.69 3.84 0.55 9.20 9.78 6.06 8.21 0000.00.00.0030100P0 44388 34.7315 4 44393 Colonoscopy, lesion removal A 4.84 5.87 4.73 5.59 5.77 2.04 4.84 0.55 10.12 10.98 7.43 10.23 0000.00.00.0030100P0 44388 34.7315 4 44394 Colonoscopy w/snare A 4.43 5.60 4.97 5.44 5.29 1.92 4.45 0.55 9.95 10.42 6.90 9.43 0000.00.00.0030100P0 44388 34.7315 4 44500 Intro, gastrointestinal tube A 0.49 0.39 0.25 NA 0.36 0.39 0.25 0.36 0.02 0.76 0.87 0.76 0.87 0000.00.00.0000000P0 34.7315 4 44602 Suture, small intestine A 10.61 8.30 5.88 NA 7.70 8.30 5.88 7.70 1.27 17.76 19.58 17.76 19.58 0090.09.81.1020210P0 34.7315 4 44603 Suture, small intestine A 14.00 9.86 7.44 NA 9.26 9.86 7.44 9.26 1.53 22.97 24.79 22.97 24.79 0090.09.81.1020210P0 34.7315 4 44604 Suture, large intestine A 14.28 8.54 7.56 NA 8.30 8.54 7.56 8.30 1.31 23.15 23.89 23.15 23.89 0090.09.81.1020210P0 34.7315 4 44605 Repair of bowel lesion A 15.37 10.17 8.19 NA 9.68 10.17 8.19 9.68 1.58 25.14 26.63 25.14 26.63 0090.09.81.1020210P0 34.7315 4 44615 Intestinal stricturoplasty A 14.19 7.31 7.54 NA 7.37 7.31 7.54 7.37 1.23 22.96 22.79 22.96 22.79 0090.09.81.1020210P0 34.7315 4 44620 Repair bowel opening A 10.87 6.48 5.85 NA 6.32 6.48 5.85 6.32 0.99 17.71 18.18 17.71 18.18 0090.09.81.1020210P0 34.7315 4 44625 Repair bowel opening A 13.41 10.40 6.89 NA 9.52 10.40 6.89 9.52 1.59 21.89 24.52 21.89 24.52 0090.09.81.1020210P0 34.7315 4 44626 Repair bowel opening A 22.59 12.34 10.31 NA11.83 12.34 10.31 11.83 1.88 34.78 36.30 34.78 36.30 0090.09.81.1020210P0 34.7315 4 44640 Repair bowel-skin fistula A 14.83 7.10 8.14 NA 7.36 7.10 8.14 7.36 1.06 24.03 23.25 24.03 23.25 0090.09.81.1020210P0 34.7315 4 44650 Repair bowel fistula A 15.25 7.95 8.36 NA 8.05 7.95 8.36 8.05 1.14 24.75 24.44 24.75 24.44 0090.09.81.1020210P0 34.7315 4 44660 Repair bowel-bladder fistula A 14.63 9.05 7.99 NA 8.79 9.05 7.99 8.79 0.95 23.57 24.37 23.57 24.37 0090.09.81.1020210P0 34.7315 4 44661 Repair bowel-bladder fistula A 16.99 15.13 8.86 NA13.56 15.13 8.86 13.56 1.97 27.82 32.52 27.82 32.52 0090.09.81.1020210P0 34.7315 4 44680 Surgical revision, intestine A 13.72 10.54 7.68 NA 9.83 10.54 7.68 9.83 1.67 23.07 25.22 23.07 25.22 0090.09.81.1020210P0 34.7315 4 44700 Suspend bowel w/prosthesis A 14.35 12.34 7.99 NA11.25 12.34 7.99 11.25 1.88 24.22 27.48 24.22 27.48 0090.09.81.1020210P0 34.7315 4 44799 Intestine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 44800 Excision of bowel pouch A 11.23 5.69 5.86 NA 5.73 5.69 5.86 5.73 0.84 17.93 17.80 17.93 17.80 0090.09.81.1020210P0 34.7315 4 44820 Excision of mesentery lesion A 10.31 6.29 5.57 NA 6.11 6.29 5.57 6.11 0.95 16.83 17.37 16.83 17.37 0090.09.81.1020210P0 34.7315 4 44850 Repair of mesentery A 9.57 6.08 5.45 NA 5.92 6.08 5.45 5.92 0.92 15.94 16.41 15.94 16.41 0090.09.81.1020210P0 34.7315 4 44899 Bowel surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 44900 Drain, app abscess, open A 8.82 4.64 5.44 NA 4.84 4.64 5.44 4.84 0.69 14.95 14.35 14.95 14.35 0090.09.81.1020210P0 34.7315 4 44901 Drain, app abscess, perc A 3.38 2.78 3.46 NA 2.95 2.78 3.46 2.95 0.23 7.07 6.56 7.07 6.56 0000.00.00.0020200P0 34.7315 4 44950 Appendectomy A 8.70 5.31 4.61 NA 5.14 5.31 4.61 5.14 0.79 14.10 14.63 14.10 14.63 0090.09.81.1020210P0 34.7315 4 44955 Appendectomy add-on A 1.53 1.82 0.67 NA 1.53 1.82 0.67 1.53 0.47 2.67 3.53 2.67 3.53 0ZZZ.00.00.0000210P0 34.7315 4 44960 Appendectomy A 10.74 6.39 5.95 NA 6.28 6.39 5.95 6.28 0.97 17.66 17.99 17.66 17.99 0090.09.81.1020210P0 34.7315 4 45000 Drainage of pelvic abscess A 4.52 1.73 3.52 NA 2.18 1.73 3.52 2.18 0.19 8.23 6.89 8.23 6.89 0090.09.81.1020100P0 34.7315 4 45005 Drainage of rectal abscess A 1.99 1.40 3.51 1.93 1.40 1.36 1.39 0.16 5.66 4.08 3.51 3.54 0010.10.80.1020100P0 34.7315 4 45020 Drainage of rectal abscess A 4.72 2.83 3.37 NA 2.97 2.83 3.37 2.97 0.40 8.49 8.09 8.49 8.09 0090.09.81.1020100P0 34.7315 4 45100 Biopsy of rectum A 3.68 2.04 3.95 2.52 2.04 1.95 2.02 0.27 7.90 6.47 5.90 5.97 0090.09.81.1020100P0 34.7315 4 45108 Removal of anorectal lesion A 4.76 2.89 5.06 3.43 2.89 2.65 2.83 0.41 10.23 8.60 7.82 8.00 0090.09.81.1020110P0 34.7315 4 45110 Removal of rectum A 23.80 17.71 11.99 NA16.28 17.71 11.99 16.28 2.68 38.47 42.76 38.47 42.76 0090.09.81.1020210P0 34.7315 4 45111 Partial removal of rectum A 16.48 12.77 9.18 NA11.87 12.77 9.18 11.87 1.95 27.61 30.30 27.61 30.30 0090.09.81.1020210P0 34.7315 4 45112 Removal of rectum A 25.96 17.43 12.74 NA16.26 17.43 12.74 16.26 2.63 41.33 44.85 41.33 44.85 0090.09.81.1020210P0 34.7315 4 45113 Partial proctectomy A 25.99 17.43 12.23 NA16.13 17.43 12.23 16.13 2.63 40.85 44.75 40.85 44.75 0090.09.81.1020210P0 34.7315 4 45114 Partial removal of rectum A 23.22 16.70 11.81 NA15.48 16.70 11.81 15.48 2.53 37.56 41.23 37.56 41.23 0090.09.81.1020210P0 34.7315 4 45116 Partial removal of rectum A 20.89 11.69 10.32 NA11.35 11.69 10.32 11.35 1.83 33.04 34.07 33.04 34.07 0090.09.81.1020210P0 34.7315 4 45119 Remove, rectum w/reservoir A 26.21 17.43 12.83 NA16.28 17.43 12.83 16.28 2.63 41.67 45.12 41.67 45.12 0090.09.81.1020210P0 34.7315 4 45120 Removal of rectum A 24.60 17.79 12.33 NA16.43 17.79 12.33 16.43 2.77 39.70 43.80 39.70 43.80 0090.09.81.1020210P0 34.7315 4 45121 Removal of rectum and colon A 27.04 11.71 13.46 NA12.15 11.71 13.46 12.15 1.57 42.07 40.76 42.07 40.76 0090.09.81.1020210P0 34.7315 4 45123 Partial proctectomy A 14.20 12.77 7.75 NA11.52 12.77 7.75 11.52 1.95 23.90 27.67 23.90 27.67 0090.09.81.1020210P0 34.7315 4 45126 Pelvic exenteration A 38.39 0.00 13.90 13.90 0.00 13.63 13.63 4.81 57.10 57.10 56.83 56.83 0090.12.74.1420210P0 34.7315 5 45130 Excision of rectal prolapse A 13.97 9.68 7.09 NA 9.03 9.68 7.09 9.03 1.40 22.46 24.40 22.46 24.40 0090.09.81.1020210P0 34.7315 4 45135 Excision of rectal prolapse A 16.39 17.31 8.42 NA15.09 17.31 8.42 15.09 2.74 27.55 34.22 27.55 34.22 0090.09.81.1020210P0 34.7315 4 45150 Excision of rectal stricture A 5.67 3.67 4.49 3.88 3.67 2.88 3.47 0.49 10.65 10.04 9.04 9.63 0090.09.81.1020000P0 34.7315 4 45160 Excision of rectal lesion A 13.02 8.10 6.77 NA 7.77 8.10 6.77 7.77 1.22 21.01 22.01 21.01 22.01 0090.09.81.1020210P0 34.7315 4 45170 Excision of rectal lesion A 9.77 5.01 4.95 NA 5.00 5.01 4.95 5.00 0.75 15.47 15.52 15.47 15.52 0090.09.81.1020210P0 34.7315 4 45190 Destruction, rectal tumor A 8.28 5.52 4.33 NA 5.22 5.52 4.33 5.22 0.83 13.44 14.33 13.44 14.33 0090.09.81.1020210P0 34.7315 4 45300 Proctosigmoidoscopy A 0.70 0.60 3.32 1.28 0.30 0.30 0.30 0.05 4.07 2.03 1.05 1.05 0000.00.00.0020100P0 34.7315 4 45303 Proctosigmoidoscopy A 0.80 0.69 4.30 1.59 0.35 0.34 0.35 0.09 5.19 2.48 1.23 1.24 0000.00.00.0030100P0 45300 34.7315 4 45305 Proctosigmoidoscopy; biopsy A 1.01 0.91 3.21 1.49 0.46 0.41 0.45 0.11 4.33 2.61 1.53 1.57 0000.00.00.0030100P0 45300 34.7315 4 45307 Proctosigmoidoscopy A 1.71 1.38 5.02 2.29 1.38 0.65 1.20 0.14 6.87 4.14 2.50 3.05 0000.00.00.0030000P0 45300 34.7315 4 45308 Proctosigmoidoscopy A 1.51 1.23 2.51 1.55 0.62 0.60 0.62 0.16 4.18 3.22 2.27 2.29 0000.00.00.0030100P0 45300 34.7315 4 45309 Proctosigmoidoscopy A 2.01 1.23 3.63 1.83 0.62 0.77 0.66 0.16 5.80 4.00 2.94 2.83 0000.00.00.0030100P0 45300 34.7315 4 45315 Proctosigmoidoscopy A 2.54 1.29 4.34 2.05 1.29 0.97 1.21 0.14 7.02 4.73 3.65 3.89 0000.00.00.0030100P0 45300 34.7315 4 45317 Proctosigmoidoscopy A 2.73 1.37 2.99 1.78 1.37 1.03 1.29 0.15 5.87 4.66 3.91 4.17 0000.00.00.0030100P0 45300 34.7315 4 45320 Proctosigmoidoscopy A 2.88 2.03 3.23 2.33 2.03 1.08 1.79 0.27 6.38 5.48 4.23 4.94 0000.00.00.0030100P0 45300 34.7315 4 45321 Proctosigmoidoscopy A 2.12 1.60 0.82 NA 1.41 1.60 0.82 1.41 0.21 3.15 3.74 3.15 3.74 0000.00.00.0030100P0 45300 34.7315 4 45330 Sigmoidoscopy, diagnostic A 0.96 1.33 4.27 2.07 0.58 0.38 0.53 0.09 5.32 3.12 1.43 1.58 0000.00.00.0020100P0 34.7315 4 45331 Sigmoidoscopy and biopsy A 1.26 1.75 4.28 2.38 1.51 0.49 1.26 0.12 5.66 3.76 1.87 2.64 0000.00.00.0030100P0 45330 34.7315 4 45332 Sigmoidoscopy A 1.96 1.91 5.54 2.82 1.91 0.73 1.62 0.13 7.63 4.91 2.82 3.71 0000.00.00.0030100P0 45330 34.7315 4 45333 Sigmoidoscopy & polypectomy A 1.96 2.43 4.51 2.95 2.34 0.73 1.94 0.20 6.67 5.11 2.89 4.10 0000.00.00.0030100P0 45330 34.7315 4 45334 Sigmoidoscopy for bleeding A 2.99 2.94 1.08 NA 2.48 2.94 1.08 2.48 0.18 4.25 5.65 4.25 5.65 0000.00.00.0030100P0 45330 34.7315 4 45337 Sigmoidoscopy, decompression A 2.36 2.82 0.88 NA 2.34 2.82 0.88 2.34 0.30 3.54 5.00 3.54 5.00 0000.00.00.0030100P0 45330 34.7315 4 45338 Sigmoidoscopy A 2.57 2.43 5.07 3.09 2.43 0.95 2.06 0.20 7.84 5.86 3.72 4.83 0000.00.00.0030100P0 45330 34.7315 4 45339 Sigmoidoscopy A 3.14 3.52 4.17 3.68 3.52 1.14 2.93 0.24 7.55 7.06 4.52 6.31 0000.00.00.0030100P0 45330 34.7315 4 45355 Surgical colonoscopy A 3.52 1.27 1.73 NA 1.39 1.27 1.73 1.39 0.08 5.33 4.99 5.33 4.99 0000.00.00.0020100P0 34.7315 4 45378 Diagnostic colonoscopy A 3.70 4.48 4.99 4.61 4.42 1.69 3.74 0.31 9.00 8.62 5.70 7.75 0000.00.00.0020100P1A4550 34.7315 4 4537853Diagnostic colonoscopy A 0.96 1.33 0.79 1.20 1.15 0.62 1.02 0.09 1.84 2.25 1.67 2.07 0000.00.00.0020100P1A4550 34.7315 4 45379 Colonoscopy A 4.72 5.78 5.37 5.68 5.63 2.08 4.74 0.35 10.44 10.75 7.15 9.81 0000.00.00.0030100P1A455045378 34.7315 4 45380 Colonoscopy and biopsy A 4.01 5.20 4.96 5.14 4.79 1.76 4.03 0.31 9.28 9.46 6.08 8.35 0000.00.00.0030100P1A455045378 34.7315 4 45382 Colonoscopy,control bleeding A 5.73 6.37 5.78 6.22 6.37 2.33 5.36 0.32 11.83 12.27 8.38 11.41 0000.00.00.0030100P1A455045378 34.7315 4 45383 Colonoscopy, lesion removal A 5.87 6.42 5.86 6.28 6.42 2.43 5.42 0.39 12.12 12.54 8.69 11.68 0000.00.00.0030100P1A455045378 34.7315 4 45384 Colonoscopy A 4.70 5.61 5.31 5.54 5.61 2.04 4.72 0.45 10.46 10.69 7.19 9.87 0000.00.00.0030100P1A455045378 34.7315 4 45385 Colonoscopy, lesion removal A 5.31 7.22 5.52 6.80 6.34 2.23 5.31 0.45 11.28 12.56 7.99 11.07 0000.00.00.0030100P1A455045378 34.7315 4 45500 Repair of rectum A 7.29 6.46 4.11 NA 5.87 6.46 4.11 5.87 0.95 12.35 14.11 12.35 14.11 0090.09.81.1020000P0 34.7315 4 45505 Repair of rectum A 6.02 6.83 3.11 NA 5.90 6.83 3.11 5.90 0.96 10.09 12.88 10.09 12.88 0090.09.81.1020100P0 34.7315 4 45520 Treatment of rectal prolapse A 0.55 0.66 0.52 0.63 0.33 0.19 0.30 0.08 1.15 1.26 0.82 0.93 0000.00.00.0020100P0 34.7315 4 45540 Correct rectal prolapse A 12.92 10.73 6.93 NA 9.78 10.73 6.93 9.78 1.64 21.49 24.34 21.49 24.34 0090.09.81.1020210P0 34.7315 4 45541 Correct rectal prolapse A 10.64 11.04 5.75 NA 9.72 11.04 5.75 9.72 1.60 17.99 21.96 17.99 21.96 0090.09.81.1020210P0 34.7315 4 45550 Repair rectum;remove sigmoid A 18.26 12.47 9.07 NA11.62 12.47 9.07 11.62 1.86 29.19 31.74 29.19 31.74 0090.09.81.1020210P0 34.7315 4 45560 Repair of rectocele A 8.40 5.20 4.90 NA 5.13 5.20 4.90 5.13 0.77 14.07 14.30 14.07 14.30 0090.09.81.1020210P0 34.7315 4 45562 Exploration/repair of rectum A 12.21 8.78 6.17 NA 8.13 8.78 6.17 8.13 1.24 19.62 21.58 19.62 21.58 0090.09.81.1020210P0 34.7315 4 45563 Exploration/repair of rectum A 18.63 13.86 9.49 NA12.77 13.86 9.49 12.77 1.95 30.07 33.35 30.07 33.35 0090.09.81.1020210P0 34.7315 4 45800 Repair rectumbladder fistula A 14.11 10.66 7.12 NA 9.78 10.66 7.12 9.78 1.13 22.36 25.02 22.36 25.02 0090.09.81.1020210P0 34.7315 4 45805 Repair fistula; colostomy A 16.50 13.37 8.71 NA12.21 13.37 8.71 12.21 1.87 27.08 30.58 27.08 30.58 0090.09.81.1020210P0 34.7315 4 45820 Repair rectourethral fistula A 14.67 9.75 6.93 NA 9.05 9.75 6.93 9.05 0.96 22.56 24.68 22.56 24.68 0090.09.81.1020210P0 34.7315 4 45825 Repair fistula; colostomy A 16.87 10.71 9.42 NA10.39 10.71 9.42 10.39 1.30 27.59 28.56 27.59 28.56 0090.09.81.1020210P0 34.7315 4 45900 Reduction of rectal prolapse A 1.83 0.63 1.04 NA 0.73 0.63 1.04 0.73 0.09 2.96 2.65 2.96 2.65 0010.10.80.1020000P0 34.7315 4 45905 Dilation of anal sphincter A 1.61 0.77 2.18 1.12 0.77 0.79 0.78 0.09 3.88 2.82 2.49 2.48 0010.10.80.1020100P0 34.7315 4 45910 Dilation of rectal narrowing A 1.96 0.94 2.74 1.39 0.94 0.94 0.94 0.10 4.80 3.45 3.00 3.00 0010.10.80.1020100P0 34.7315 4 45915 Remove rectal obstruction A 2.20 0.85 3.22 1.44 0.85 1.09 0.91 0.07 5.49 3.71 3.36 3.18 0010.10.80.1020100P0 34.7315 4 45999 Rectum surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 46030 Removal of rectal marker A 1.23 0.43 1.85 0.79 0.43 1.06 0.59 0.05 3.13 2.07 2.34 1.87 0010.10.80.1020000P0 34.7315 4 46040 Incision of rectal abscess A 4.96 1.83 4.11 2.40 1.83 2.74 2.06 0.27 9.34 7.63 7.97 7.29 0090.09.81.1020100P0 34.7315 4 46045 Incision of rectal abscess A 4.32 2.01 2.47 NA 2.13 2.01 2.47 2.13 0.30 7.09 6.75 7.09 6.75 0090.09.81.1020100P0 34.7315 4 46050 Incision of anal abscess A 1.19 0.65 2.53 1.12 0.33 1.06 0.51 0.09 3.81 2.40 2.34 1.79 0010.10.80.1020100P0 34.7315 4 46060 Incision of rectal abscess A 5.69 5.81 3.24 NA 5.17 5.81 3.24 5.17 0.88 9.81 11.74 9.81 11.74 0090.09.81.1020100P0 34.7315 4 46070 Incision of anal septum A 2.71 1.49 2.41 NA 1.72 1.49 2.41 1.72 0.26 5.38 4.69 5.38 4.69 0090.09.81.1020000P0 34.7315 4 46080 Incision of anal sphincter A 2.49 2.31 2.40 2.33 2.31 1.52 2.11 0.34 5.23 5.16 4.35 4.94 0010.10.80.1020100P0 34.7315 4 46083 Incise external hemorrhoid A 1.40 0.68 3.59 1.41 0.34 1.13 0.54 0.06 5.05 2.87 2.59 2.00 0010.10.80.1020100P0 34.7315 4 46200 Removal of anal fissure A 3.42 3.57 2.77 3.37 3.57 2.09 3.20 0.52 6.71 7.31 6.03 7.14 0090.09.81.1020100P0 34.7315 4 46210 Removal of anal crypt A 2.67 0.84 3.88 1.60 0.84 1.89 1.10 0.11 6.66 4.38 4.67 3.88 0090.09.81.1020000P0 34.7315 4 46211 Removal of anal crypts A 4.25 2.06 4.42 2.65 2.06 2.85 2.26 0.30 8.97 7.20 7.40 6.81 0090.09.81.1020000P0 34.7315 4 46220 Removal of anal tab A 1.56 0.68 1.09 0.78 0.68 0.58 0.66 0.09 2.74 2.43 2.23 2.31 0010.10.80.1020100P0 34.7315 4 46221 Ligation of hemorrhoid(s) A 1.43 0.72 2.10 1.07 0.36 0.53 0.40 0.11 3.64 2.61 2.07 1.94 0010.10.80.1020100P0 34.7315 4 46230 Removal of anal tabs A 2.57 0.90 3.33 1.51 0.45 1.57 0.73 0.09 5.99 4.17 4.23 3.39 0010.10.80.1020100P0 34.7315 4 46250 Hemorrhoidectomy A 4.53 3.08 4.25 3.37 3.08 2.59 2.96 0.41 9.19 8.31 7.53 7.90 0090.09.81.1020100P0 34.7315 4 46255 Hemorrhoidectomy A 5.36 5.12 4.51 4.97 5.12 2.93 4.57 0.66 10.53 10.99 8.95 10.59 0090.09.81.1020100P0 34.7315 4 46257 Remove hemorrhoids & fissure A 6.28 5.68 3.24 NA 5.07 5.68 3.24 5.07 0.84 10.36 12.19 10.36 12.19 0090.09.81.1020100P0 34.7315 4 46258 Remove hemorrhoids & fistula A 6.67 6.37 3.45 NA 5.64 6.37 3.45 5.64 0.95 11.07 13.26 11.07 13.26 0090.09.81.1020000P0 34.7315 4 46260 Hemorrhoidectomy A 7.42 6.59 3.89 NA 5.92 6.59 3.89 5.92 0.98 12.29 14.32 12.29 14.32 0090.09.81.1020100P0 34.7315 4 46261 Remove hemorrhoids & fissure A 8.24 7.18 4.13 NA 6.42 7.18 4.13 6.42 1.05 13.42 15.71 13.42 15.71 0090.09.81.1020100P0 34.7315 4 46262 Remove hemorrhoids & fistula A 8.73 7.29 4.44 NA 6.58 7.29 4.44 6.58 1.09 14.26 16.40 14.26 16.40 0090.09.81.1020100P0 34.7315 4 46270 Removal of anal fistula A 3.72 2.03 3.75 2.46 2.03 2.25 2.09 0.29 7.76 6.47 6.26 6.10 0090.09.81.1020100P0 34.7315 4 46275 Removal of anal fistula A 4.56 5.45 3.66 5.00 5.45 2.53 4.72 0.88 9.10 10.44 7.97 10.16 0090.09.81.1020100P0 34.7315 4 46280 Removal of anal fistula A 5.98 6.60 3.35 NA 5.79 6.60 3.35 5.79 0.97 10.30 12.74 10.30 12.74 0090.09.81.1020100P0 34.7315 4 46285 Removal of anal fistula A 4.09 2.47 3.16 2.64 2.47 2.32 2.43 0.34 7.59 7.07 6.75 6.86 0090.09.81.1020100P0 34.7315 4 46288 Repair anal fistula A 7.13 3.87 3.87 NA 3.87 3.87 3.87 3.87 0.65 11.65 11.65 11.65 11.65 0090.09.81.1020100P0 34.7315 4 46320 Removal of hemorrhoid clot A 1.61 0.76 2.87 1.29 0.38 1.19 0.58 0.09 4.57 2.99 2.89 2.28 0010.10.80.1020100P0 34.7315 4 46500 Injection into hemorrhoids A 1.61 0.35 1.81 0.72 0.18 0.58 0.28 0.05 3.47 2.38 2.24 1.94 0010.10.80.1020100P0 34.7315 4 46600 Diagnostic anoscopy A 0.50 0.30 0.66 0.39 0.15 0.14 0.15 0.02 1.18 0.91 0.66 0.67 0000.00.00.0020100P0 34.7315 4 46604 Anoscopy and dilation A 1.31 0.41 0.82 0.51 0.21 0.48 0.28 0.05 2.18 1.87 1.84 1.64 0000.00.00.0030100P0 46600 34.7315 4 46606 Anoscopy and biopsy A 0.81 0.39 0.73 0.48 0.20 0.30 0.23 0.05 1.59 1.34 1.16 1.09 0000.00.00.0030100P0 46600 34.7315 4 46608 Anoscopy;remove foreign body A 1.51 1.16 1.56 1.26 1.16 0.46 0.99 0.09 3.16 2.86 2.06 2.59 0000.00.00.0030000P0 46600 34.7315 4 46610 Anoscopy; remove lesion A 1.32 0.92 1.27 1.01 0.92 0.49 0.81 0.12 2.71 2.45 1.93 2.25 0000.00.00.0030100P0 46600 34.7315 4 46611 Anoscopy A 1.81 0.92 1.63 1.10 0.46 0.66 0.51 0.12 3.56 3.03 2.59 2.44 0000.00.00.0030000P0 46600 34.7315 4 46612 Anoscopy; remove lesions A 2.34 1.51 1.78 1.58 1.51 0.85 1.35 0.16 4.28 4.08 3.35 3.85 0000.00.00.0030000P0 46600 34.7315 4 46614 Anoscopy; control bleeding A 2.01 1.68 1.38 1.61 0.84 0.70 0.81 0.20 3.59 3.82 2.91 3.02 0000.00.00.0030100P0 46600 34.7315 4 46615 Anoscopy A 2.68 1.68 1.67 1.68 0.84 0.99 0.88 0.20 4.55 4.56 3.87 3.76 0000.00.00.0030000P0 46600 34.7315 4 46700 Repair of anal stricture A 7.25 6.66 3.78 NA 5.94 6.66 3.78 5.94 0.97 12.00 14.16 12.00 14.16 0090.09.81.1020100P0 34.7315 4 46705 Repair of anal stricture A 7.17 3.91 4.80 NA 4.13 3.91 4.80 4.13 0.60 12.57 11.90 12.57 11.90 0090.09.81.1020210P0 34.7315 4 46715 Repair of anovaginal fistula A 7.46 3.81 4.42 NA 3.96 3.81 4.42 3.96 0.64 12.52 12.06 12.52 12.06 0090.09.81.1020200P0 34.7315 4 46716 Repair of anovaginal fistula A 12.15 6.57 6.61 NA 6.58 6.57 6.61 6.58 1.10 19.86 19.83 19.86 19.83 0090.09.81.1020210P0 34.7315 4 46730 Construction of absent anus A 21.57 11.66 11.22 NA11.55 11.66 11.22 11.55 1.96 34.75 35.08 34.75 35.08 0090.09.81.1020210P0 34.7315 4 46735 Construction of absent anus A 25.94 14.15 14.58 NA14.26 14.15 14.58 14.26 2.38 42.90 42.58 42.90 42.58 0090.09.81.1020210P0 34.7315 4 46740 Construction of absent anus A 23.11 12.53 11.06 NA12.16 12.53 11.06 12.16 2.10 36.27 37.37 36.27 37.37 0090.09.81.1020210P0 34.7315 4 46742 Repair, imperforated anus A 29.67 21.43 16.14 NA20.11 21.43 16.14 20.11 1.51 47.32 51.29 47.32 51.29 0090.09.81.1020210P0 34.7315 4 46744 Repair, cloacal anomaly A 33.21 24.06 17.84 NA22.51 24.06 17.84 22.51 1.70 52.75 57.42 52.75 57.42 0090.09.81.1020210P0 34.7315 4 46746 Repair, cloacal anomaly A 36.74 26.33 18.80 NA24.45 26.33 18.80 24.45 1.85 57.39 63.04 57.39 63.04 0090.09.81.1020210P0 34.7315 4 46748 Repair, cloacal anomaly A 40.52 29.33 19.20 NA26.80 29.33 19.20 26.80 2.07 61.79 69.39 61.79 69.39 0090.09.81.1020210P0 34.7315 4 46750 Repair of anal sphincter A 8.14 6.51 4.71 NA 6.06 6.51 4.71 6.06 0.95 13.80 15.15 13.80 15.15 0090.09.81.1020210P0 34.7315 4 46751 Repair of anal sphincter A 8.56 4.42 5.51 NA 4.69 4.42 5.51 4.69 0.74 14.81 13.99 14.81 13.99 0090.09.81.1020210P0 34.7315 4 46753 Reconstruction of anus A 6.58 5.31 3.32 NA 4.81 5.31 3.32 4.81 0.80 10.70 12.19 10.70 12.19 0090.09.81.1020100P0 34.7315 4 46754 Removal of suture from anus A 1.54 1.61 3.77 2.15 1.61 1.03 1.47 0.23 5.54 3.92 2.80 3.24 0010.10.80.1020000P0 34.7315 4 46760 Repair of anal sphincter A 11.46 7.38 6.57 NA 7.18 7.38 6.57 7.18 1.10 19.13 19.74 19.13 19.74 0090.09.81.1020210P0 34.7315 4 46761 Repair of anal sphincter A 10.99 7.41 5.64 NA 6.97 7.41 5.64 6.97 1.06 17.69 19.02 17.69 19.02 0090.09.81.1020210P0 34.7315 4 46762 Implant artificial sphincter A 10.09 6.21 5.02 NA 5.91 6.21 5.02 5.91 0.95 16.06 16.95 16.06 16.95 0090.09.81.1020210P0 34.7315 4 46900 Destruction, anal lesion(s) A 1.91 0.42 2.55 0.95 0.21 0.77 0.35 0.05 4.51 2.91 2.73 2.31 0010.10.80.1020100P0 34.7315 4 46910 Destruction, anal lesion(s) A 1.86 0.69 2.61 1.17 0.35 1.36 0.60 0.06 4.53 3.09 3.28 2.52 0010.10.80.1020100P0 34.7315 4 46916 Cryosurgery, anal lesion(s) A 1.86 0.73 2.48 1.17 0.37 1.48 0.65 0.05 4.39 3.08 3.39 2.56 0010.10.80.1020100P0 34.7315 4 46917 Laser surgery,anal lesion(s) A 1.86 2.11 3.32 2.41 1.06 1.40 1.15 0.24 5.42 4.51 3.50 3.25 0010.10.80.1020100P0 34.7315 4 46922 Excision of anal lesion(s) A 1.86 1.39 2.88 1.76 1.39 1.38 1.39 0.18 4.92 3.80 3.42 3.43 0010.10.80.1020100P0 34.7315 4 46924 Destruction, anal lesion(s) A 2.76 2.78 3.78 3.03 2.78 1.76 2.53 0.36 6.90 6.15 4.88 5.65 0010.10.80.1020100P0 34.7315 4 46934 Destruction of hemorrhoids A 4.08 1.29 4.14 2.00 0.65 2.81 1.19 0.13 8.35 6.21 7.02 5.40 0090.09.81.1020100P0 34.7315 4 46935 Destruction of hemorrhoids A 2.43 1.76 2.99 2.07 0.88 0.88 0.88 0.17 5.59 4.67 3.48 3.48 0010.10.80.1020100P0 34.7315 4 46936 Destruction of hemorrhoids A 4.30 2.49 3.77 2.81 1.25 2.81 1.64 0.19 8.26 7.30 7.30 6.13 0090.09.81.1020100P0 34.7315 4 46937 Cryotherapy of rectal lesion A 2.69 2.55 3.14 2.70 2.55 1.56 2.30 0.35 6.18 5.74 4.60 5.34 0010.10.80.1020000P0 34.7315 4 46938 Cryotherapy of rectal lesion A 4.66 2.71 3.24 2.84 2.71 2.92 2.76 0.41 8.31 7.91 7.99 7.83 0090.09.81.1020000P0 34.7315 4 46940 Treatment of anal fissure A 2.32 0.55 2.23 0.97 0.28 0.84 0.42 0.07 4.62 3.36 3.23 2.81 0010.10.80.1020100P0 34.7315 4 46942 Treatment of anal fissure A 2.04 0.50 1.82 0.83 0.25 0.71 0.37 0.06 3.92 2.93 2.81 2.47 0010.10.80.1020000P0 34.7315 4 46945 Ligation of hemorrhoids A 2.14 0.68 2.91 1.24 0.34 1.70 0.68 0.09 5.14 3.47 3.93 2.91 0090.09.81.1020100P0 34.7315 4 46946 Ligation of hemorrhoids A 3.00 1.02 3.46 1.63 0.51 2.06 0.90 0.13 6.59 4.76 5.19 4.03 0090.09.81.1020100P0 34.7315 4 46999 Anus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 47000 Needle biopsy of liver A 1.90 1.52 7.16 2.93 1.52 1.15 1.43 0.10 9.16 4.93 3.15 3.43 0000.00.00.0020100P0 34.7315 4 47001 Needle biopsy, liver add-on A 1.90 1.52 0.82 NA 1.35 1.52 0.82 1.35 0.10 2.82 3.35 2.82 3.35 0ZZZ.00.00.0000110P0 34.7315 4 47010 Open drainage, liver lesion A 10.28 7.33 7.89 NA 7.47 7.33 7.89 7.47 0.88 19.05 18.63 19.05 18.63 0090.09.81.1020210P0 34.7315 4 47011 Percut drain, liver lesion A 3.70 3.04 5.97 NA 3.77 3.04 5.97 3.77 0.26 9.93 7.73 9.93 7.73 0000.00.00.0020200P0 34.7315 4 47015 Inject/aspirate liver cyst A 9.70 7.33 6.35 NA 7.09 7.33 6.35 7.09 0.88 16.93 17.67 16.93 17.67 0090.09.81.1020210P0 34.7315 4 47100 Wedge biopsy of liver A 7.49 3.57 4.89 NA 3.90 3.57 4.89 3.90 0.52 12.90 11.91 12.90 11.91 0090.09.81.1020210P0 34.7315 4 47120 Partial removal of liver A 22.79 13.02 12.75 NA12.95 13.02 12.75 12.95 1.94 37.48 37.68 37.48 37.68 0090.09.81.1020210P0 34.7315 4 47122 Extensive removal of liver A 35.39 19.08 18.93 NA19.04 19.08 18.93 19.04 2.81 57.13 57.24 57.13 57.24 0090.09.81.1020210P0 34.7315 4 47125 Partial removal of liver A 31.58 18.92 16.71 NA18.37 18.92 16.71 18.37 2.82 51.11 52.77 51.11 52.77 0090.09.81.1020210P0 34.7315 4 47130 Partial removal of liver A 34.25 20.83 17.67 NA20.04 20.83 17.67 20.04 3.04 54.96 57.33 54.96 57.33 0090.09.81.1020210P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 47134 Partial removal, donor liver R 39.15 22.23 17.41 NA21.03 22.23 17.41 21.03 3.73 60.29 63.91 60.29 63.91 0XXX.00.00.0020212P0 34.7315 4 47135 Transplantation of liver R 81.52 59.12 43.66 NA55.26 59.12 43.66 55.26 6.64 131.82 143.42 131.82 143.42 0090.09.81.1020212P0 34.7315 4 47136 Transplantation of liver R 68.60 36.36 46.15 NA38.81 36.36 46.15 38.81 6.09 120.84 113.50 120.84 113.50 0090.09.81.1020212P0 34.7315 4 47300 Surgery for liver lesion A 9.68 8.32 6.27 NA 7.81 8.32 6.27 7.81 1.24 17.19 18.73 17.19 18.73 0090.09.81.1020210P0 34.7315 4 47350 Repair liver wound A 12.56 8.10 7.03 NA 7.83 8.10 7.03 7.83 1.17 20.76 21.56 20.76 21.56 0090.09.81.1020210P0 34.7315 4 47360 Repair liver wound A 17.28 11.86 10.08 NA11.42 11.86 10.08 11.42 1.71 29.07 30.41 29.07 30.41 0090.09.81.1020210P0 34.7315 4 47361 Repair liver wound A 30.25 15.89 14.91 NA15.65 15.89 14.91 15.65 2.67 47.83 48.57 47.83 48.57 0090.09.81.1020210P0 34.7315 4 47362 Repair liver wound A 11.88 5.68 7.82 NA 6.22 5.68 7.82 6.22 0.95 20.65 19.05 20.65 19.05 0090.09.81.1020210P0 34.7315 4 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 47400 Incision of liver duct A 20.86 9.26 11.63 NA 9.85 9.26 11.63 9.85 1.06 33.55 31.77 33.55 31.77 0090.09.81.1020210P0 34.7315 4 47420 Incision of bile duct A 16.72 10.29 8.89 NA 9.94 10.29 8.89 9.94 1.56 27.17 28.22 27.17 28.22 0090.09.81.1020210P0 34.7315 4 47425 Incision of bile duct A 16.68 12.71 9.38 NA11.88 12.71 9.38 11.88 1.92 27.98 30.48 27.98 30.48 0090.09.81.1020210P0 34.7315 4 47460 Incise bile duct sphincter A 15.17 16.86 8.50 NA14.77 16.86 8.50 14.77 1.42 25.09 31.36 25.09 31.36 0090.09.81.1020210P0 34.7315 4 47480 Incision of gallbladder A 9.10 8.25 6.30 NA 7.76 8.25 6.30 7.76 1.24 16.64 18.10 16.64 18.10 0090.09.81.1020210P0 34.7315 4 47490 Incision of gallbladder A 7.23 3.87 7.09 NA 4.68 3.87 7.09 4.68 0.30 14.62 12.21 14.62 12.21 0090.09.81.1020100P0 34.7315 4 47500 Injection for liver x-rays A 1.96 1.64 0.53 NA 1.36 1.64 0.53 1.36 0.11 2.60 3.43 2.60 3.43 0000.00.00.0020100P0 34.7315 4 47505 Injection for liver x-rays A 0.76 1.06 13.85 4.26 0.91 0.21 0.74 0.11 14.72 5.13 1.08 1.61 0000.00.00.0020000P0 34.7315 4 47510 Insert catheter, bile duct A 7.83 3.11 27.01 NA 9.09 3.11 27.01 9.09 0.20 35.04 17.12 35.04 17.12 0090.09.81.1020100P0 34.7315 4 47511 Insert bile duct drain A 10.50 3.11 28.03 NA 9.34 3.11 28.03 9.34 0.20 38.73 20.04 38.73 20.04 0090.09.81.1021100P0 34.7315 4 47525 Change bile duct catheter A 5.55 1.73 3.10 NA 2.07 1.73 3.10 2.07 0.13 8.78 7.75 8.78 7.75 0010.10.80.1020100P0 34.7315 4 47530 Revise, reinsert bile tube A 5.85 1.64 4.78 NA 2.43 1.64 4.78 2.43 0.15 10.78 8.43 10.78 8.43 0090.09.81.1020100P0 34.7315 4 47550 Bile duct endoscopy add-on A 3.02 1.69 1.23 NA 1.58 1.69 1.23 1.58 0.27 4.52 4.87 4.52 4.87 0ZZZ.00.00.0000210P0 34.7315 4 47552 Biliary endoscopy, thru skin A 6.04 1.48 2.22 NA 1.67 1.48 2.22 1.67 0.16 8.42 7.87 8.42 7.87 0000.00.00.0020110P0 34.7315 4 47553 Biliary endoscopy, thru skin A 6.35 4.12 2.00 NA 3.59 4.12 2.00 3.59 0.49 8.84 10.43 8.84 10.43 0000.00.00.0030100P0 47552 34.7315 4 47554 Biliary endoscopy, thru skin A 9.06 4.27 3.27 NA 4.02 4.27 3.27 4.02 0.52 12.85 13.60 12.85 13.60 0000.00.00.0030110P0 47552 34.7315 4 47555 Biliary endoscopy, thru skin A 7.56 2.85 2.30 NA 2.71 2.85 2.30 2.71 0.23 10.09 10.50 10.09 10.50 0000.00.00.0030100P0 47552 34.7315 4 47556 Biliary endoscopy, thru skin A 8.56 2.85 2.57 NA 2.78 2.85 2.57 2.78 0.23 11.36 11.57 11.36 11.57 0000.00.00.0030100P0 47552 34.7315 4 47600 Removal of gallbladder A 11.42 8.17 6.25 NA 7.69 8.17 6.25 7.69 1.24 18.91 20.35 18.91 20.35 0090.09.81.1020210P0 34.7315 4 47605 Removal of gallbladder A 12.36 8.83 6.65 NA 8.29 8.83 6.65 8.29 1.37 20.38 22.02 20.38 22.02 0090.09.81.1020210P0 34.7315 4 47610 Removal of gallbladder A 15.83 10.17 8.36 NA 9.72 10.17 8.36 9.72 1.56 25.75 27.11 25.75 27.11 0090.09.81.1020210P0 34.7315 4 47612 Removal of gallbladder A 15.80 15.44 8.46 NA13.70 15.44 8.46 13.70 2.39 26.65 31.89 26.65 31.89 0090.09.81.1020210P0 34.7315 4 47620 Removal of gallbladder A 17.36 12.19 9.21 NA11.45 12.19 9.21 11.45 1.85 28.42 30.66 28.42 30.66 0090.09.81.1020210P0 34.7315 4 47630 Remove bile duct stone A 9.11 4.07 2.88 NA 3.77 4.07 2.88 3.77 0.31 12.30 13.19 12.30 13.19 0090.09.81.1020110P0 34.7315 4 47700 Exploration of bile ducts A 14.93 8.28 8.53 NA 8.34 8.28 8.53 8.34 1.24 24.70 24.51 24.70 24.51 0090.09.81.1020210P0 34.7315 4 47701 Bile duct revision A 27.81 8.91 16.73 NA10.87 8.91 16.73 10.87 1.49 46.03 40.17 46.03 40.17 0090.09.81.1020000P0 34.7315 4 47711 Excision of bile duct tumor A 19.37 13.09 10.47 NA12.44 13.09 10.47 12.44 1.92 31.76 33.73 31.76 33.73 0090.09.81.1020210P0 34.7315 4 47712 Excision of bile duct tumor A 25.44 13.09 13.53 NA13.20 13.09 13.53 13.20 1.92 40.89 40.56 40.89 40.56 0090.09.81.1020210P0 34.7315 4 47715 Excision of bile duct cyst A 15.81 8.92 8.89 NA 8.91 8.92 8.89 8.91 1.34 26.04 26.06 26.04 26.06 0090.09.81.1020210P0 34.7315 4 47716 Fusion of bile duct cyst A 13.83 7.12 8.10 NA 7.37 7.12 8.10 7.37 1.20 23.13 22.40 23.13 22.40 0090.09.81.1020210P0 34.7315 4 47720 Fuse gallbladder & bowel A 13.38 9.94 7.69 NA 9.38 9.94 7.69 9.38 1.51 22.58 24.27 22.58 24.27 0090.09.81.1020210P0 34.7315 4 47721 Fuse upper gi structures A 16.08 12.39 8.88 NA11.51 12.39 8.88 11.51 1.93 26.89 29.52 26.89 29.52 0090.09.81.1020210P0 34.7315 4 47740 Fuse gallbladder & bowel A 15.54 11.08 8.67 NA10.48 11.08 8.67 10.48 1.67 25.88 27.69 25.88 27.69 0090.09.81.1020210P0 34.7315 4 47741 Fuse gallbladder & bowel A 17.95 15.57 9.83 NA14.14 15.57 9.83 14.14 2.36 30.14 34.45 30.14 34.45 0090.09.81.1020210P0 34.7315 4 47760 Fuse bile ducts and bowel A 21.74 12.60 11.04 NA12.21 12.60 11.04 12.21 1.98 34.76 35.93 34.76 35.93 0090.09.81.1020210P0 34.7315 4 47765 Fuse liver ducts & bowel A 20.93 15.86 11.94 NA14.88 15.86 11.94 14.88 2.32 35.19 38.13 35.19 38.13 0090.09.81.1020210P0 34.7315 4 47780 Fuse bile ducts and bowel A 22.29 14.18 11.57 NA13.53 14.18 11.57 13.53 2.14 36.00 37.96 36.00 37.96 0090.09.81.1020210P0 34.7315 4 47785 Fuse bile ducts and bowel A 26.23 14.18 14.21 NA14.19 14.18 14.21 14.19 2.14 42.58 42.56 42.58 42.56 0090.09.81.1020210P0 34.7315 4 47800 Reconstruction of bile ducts A 19.60 14.35 10.44 NA13.37 14.35 10.44 13.37 1.90 31.94 34.87 31.94 34.87 0090.09.81.1020210P0 34.7315 4 47801 Placement, bile duct support A 12.76 5.95 8.19 NA 6.51 5.95 8.19 6.51 0.63 21.58 19.90 21.58 19.90 0090.09.81.1020210P0 34.7315 4 47802 Fuse liver duct & intestine A 18.13 11.15 10.75 NA11.05 11.15 10.75 11.05 1.37 30.25 30.55 30.25 30.55 0090.09.81.1020210P0 34.7315 4 47900 Suture bile duct injury A 16.74 14.35 9.00 NA13.01 14.35 9.00 13.01 1.90 27.64 31.65 27.64 31.65 0090.09.81.1020210P0 34.7315 4 47999 Bile tract surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 48000 Drainage of abdomen A 14.91 7.65 9.56 NA 8.13 7.65 9.56 8.13 1.10 25.57 24.14 25.57 24.14 0090.09.81.1020210P0 34.7315 4 48001 Placement of drain, pancreas A 18.83 8.82 10.89 NA 9.34 8.82 10.89 9.34 1.48 31.20 29.65 31.20 29.65 0090.09.81.1020210P0 34.7315 4 48005 Resect/debride pancreas A 22.40 9.97 11.80 NA10.43 9.97 11.80 10.43 1.67 35.87 34.50 35.87 34.50 0090.09.81.1020210P0 34.7315 4 48020 Removal of pancreatic stone A 14.22 7.36 8.12 NA 7.55 7.36 8.12 7.55 1.23 23.57 23.00 23.57 23.00 0090.09.81.1020210P0 34.7315 4 48100 Biopsy of pancreas A 11.08 4.57 6.33 NA 5.01 4.57 6.33 5.01 0.62 18.03 16.71 18.03 16.71 0090.09.81.1020210P0 34.7315 4 48102 Needle biopsy, pancreas A 4.68 2.62 6.69 3.64 2.62 2.68 2.64 0.20 11.57 8.52 7.56 7.52 0010.10.80.1020100P0 34.7315 4 48120 Removal of pancreas lesion A 14.36 10.55 7.63 NA 9.82 10.55 7.63 9.82 1.62 23.61 25.80 23.61 25.80 0090.09.81.1020210P0 34.7315 4 48140 Partial removal of pancreas A 20.78 14.42 10.53 NA13.45 14.42 10.53 13.45 2.21 33.52 36.44 33.52 36.44 0090.09.81.1020210P0 34.7315 4 48145 Partial removal of pancreas A 21.76 17.05 11.17 NA15.58 17.05 11.17 15.58 2.47 35.40 39.81 35.40 39.81 0090.09.81.1020210P0 34.7315 4 48146 Pancreatectomy A 23.91 17.90 13.50 NA16.80 17.90 13.50 16.80 1.50 38.91 42.21 38.91 42.21 0090.09.81.1020210P0 34.7315 4 48148 Removal of pancreatic duct A 15.71 8.93 8.65 NA 8.86 8.93 8.65 8.86 1.31 25.67 25.88 25.67 25.88 0090.09.81.1020210P0 34.7315 4 48150 Partial removal of pancreas A 43.48 24.46 22.33 NA23.93 24.46 22.33 23.93 3.72 69.53 71.13 69.53 71.13 0090.09.81.1020210P0 34.7315 4 48152 Pancreatectomy A 39.63 24.46 22.14 NA23.88 24.46 22.14 23.88 3.72 65.49 67.23 65.49 67.23 0090.09.81.1020210P0 34.7315 4 48153 Pancreatectomy A 43.38 24.46 22.20 NA23.90 24.46 22.20 23.90 3.72 69.30 71.00 69.30 71.00 0090.09.81.1020210P0 34.7315 4 48154 Pancreatectomy A 39.95 24.46 20.87 NA23.56 24.46 20.87 23.56 3.72 64.54 67.23 64.54 67.23 0090.09.81.1020210P0 34.7315 4 48155 Removal of pancreas A 22.32 22.14 14.07 NA20.12 22.14 14.07 20.12 3.33 39.72 45.77 39.72 45.77 0090.09.81.1020210P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 48180 Fuse pancreas and bowel A 22.39 13.67 11.53 NA13.14 13.67 11.53 13.14 2.06 35.98 37.59 35.98 37.59 0090.09.81.1020210P0 34.7315 4 48400 Injection, intraop add-on A 1.95 1.12 0.70 NA 1.02 1.12 0.70 1.02 0.19 2.84 3.16 2.84 3.16 0ZZZ.00.00.0000000P0 34.7315 4 48500 Surgery of pancreas cyst A 13.84 9.26 7.66 NA 8.86 9.26 7.66 8.86 1.30 22.80 24.00 22.80 24.00 0090.09.81.1020210P0 34.7315 4 48510 Drain pancreatic pseudocyst A 12.96 8.18 7.56 NA 8.03 8.18 7.56 8.03 1.13 21.65 22.12 21.65 22.12 0090.09.81.1020210P0 34.7315 4 48511 Drain pancreatic pseudocyst A 4.00 3.29 4.68 NA 3.64 3.29 4.68 3.64 0.27 8.95 7.91 8.95 7.91 0000.00.00.0020200P0 34.7315 4 48520 Fuse pancreas cyst and bowel A 14.12 12.26 7.54 NA11.08 12.26 7.54 11.08 1.90 23.56 27.10 23.56 27.10 0090.09.81.1020210P0 34.7315 4 48540 Fuse pancreas cyst and bowel A 17.86 13.74 9.01 NA12.56 13.74 9.01 12.56 2.07 28.94 32.49 28.94 32.49 0090.09.81.1020210P0 34.7315 4 48545 Pancreatorrhaphy A 16.47 8.31 8.90 NA 8.46 8.31 8.90 8.46 1.40 26.77 26.33 26.77 26.33 0090.09.81.1020210P0 34.7315 4 48547 Duodenal exclusion A 23.40 12.02 11.51 NA11.89 12.02 11.51 11.89 2.02 36.93 37.31 36.93 37.31 0090.09.81.1020210P0 34.7315 4 48550 Donor pancreatectomy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 48554 Transplantallograft pancreas R 34.17 19.39 17.42 NA18.90 19.39 17.42 18.90 3.25 54.84 56.32 54.84 56.32 0090.09.81.1000000P0 34.7315 9 48556 Removal, allograft pancreas A 15.71 7.88 9.52 NA 8.29 7.88 9.52 8.29 1.32 26.55 25.32 26.55 25.32 0090.09.81.1020210P0 34.7315 4 48999 Pancreas surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 49000 Exploration of abdomen A 11.68 7.37 6.00 NA 7.03 7.37 6.00 7.03 1.10 18.78 19.81 18.78 19.81 0090.09.81.1020210P0 34.7315 4 49002 Reopening of abdomen A 10.49 6.57 6.14 NA 6.46 6.57 6.14 6.46 0.95 17.58 17.90 17.58 17.90 0090.09.81.1020210P0 34.7315 4 49010 Exploration behind abdomen A 12.28 7.54 6.66 NA 7.32 7.54 6.66 7.32 1.02 19.96 20.62 19.96 20.62 0090.09.81.1020210P0 34.7315 4 49020 Drain abdominal abscess A 16.79 5.23 9.54 NA 6.31 5.23 9.54 6.31 0.71 27.04 23.81 27.04 23.81 0090.09.81.1020200P0 34.7315 4 49021 Drain abdominal abscess A 3.38 4.04 5.58 NA 4.43 4.04 5.58 4.43 0.71 9.67 8.52 9.67 8.52 0000.00.00.0020100P0 34.7315 4 49040 Open drainage abdom abscess A 9.94 7.10 7.39 NA 7.17 7.10 7.39 7.17 0.99 18.32 18.10 18.32 18.10 0090.09.81.1020210P0 34.7315 4 49041 Percut drain abdom abscess A 4.00 3.29 5.50 NA 3.84 3.29 5.50 3.84 0.27 9.77 8.11 9.77 8.11 0000.00.00.0020200P0 34.7315 4 49060 Open drain retroper abscess A 11.66 6.01 7.89 NA 6.48 6.01 7.89 6.48 0.79 20.34 18.93 20.34 18.93 0090.09.81.1020110P0 34.7315 4 49061 Percutdrain retroper abscess A 3.70 3.04 5.53 NA 3.66 3.04 5.53 3.66 0.26 9.49 7.62 9.49 7.62 0000.00.00.0020200P0 34.7315 4 49062 Drain to peritoneal cavity A 11.36 8.76 6.90 NA 8.30 8.76 6.90 8.30 0.62 18.88 20.28 18.88 20.28 0090.09.81.1020210P0 34.7315 4 49080 Puncture, peritoneal cavity A 1.35 0.94 2.96 1.45 0.94 0.66 0.87 0.06 4.37 2.86 2.07 2.28 0000.00.00.0020100P1A4550 34.7315 4 49081 Removal of abdominal fluid A 1.26 0.81 3.15 1.40 0.81 0.62 0.76 0.05 4.46 2.71 1.93 2.07 0000.00.00.0020100P1A4550 34.7315 4 49085 Remove abdomen foreign body A 8.93 3.75 5.22 NA 4.12 3.75 5.22 4.12 0.52 14.67 13.57 14.67 13.57 0090.09.81.1020110P0 34.7315 4 49180 Biopsy, abdominal mass A 1.73 1.98 5.68 2.91 1.98 1.36 1.83 0.16 7.57 4.80 3.25 3.72 0000.00.00.0020100P0 34.7315 4 49200 Removal of abdominal lesion A 10.25 9.09 6.25 NA 8.38 9.09 6.25 8.38 1.33 17.83 19.96 17.83 19.96 0090.09.81.1020210P0 34.7315 4 49201 Removal of abdominal lesion A 14.84 13.13 9.04 NA12.11 13.13 9.04 12.11 1.96 25.84 28.91 25.84 28.91 0090.09.81.1020210P0 34.7315 4 49215 Excise sacral spine tumor A 22.36 9.22 11.04 NA 9.68 9.22 11.04 9.68 1.24 34.64 33.28 34.64 33.28 0090.09.81.1020210P0 34.7315 4 49220 Multiple surgery, abdomen A 14.88 13.35 8.02 NA12.02 13.35 8.02 12.02 1.98 24.88 28.88 24.88 28.88 0090.09.81.1020210P0 34.7315 4 49250 Excision of umbilicus A 8.35 4.91 4.65 NA 4.85 4.91 4.65 4.85 0.75 13.75 13.95 13.75 13.95 0090.09.81.1020110P0 34.7315 4 49255 Removal of omentum A 11.14 5.60 6.64 NA 5.86 5.60 6.64 5.86 0.90 18.68 17.90 18.68 17.90 0090.09.81.1020210P0 34.7315 4 49400 Air injection into abdomen A 1.88 1.22 0.83 NA 1.12 1.22 0.83 1.12 0.13 2.84 3.13 2.84 3.13 0000.00.00.0020100P0 34.7315 4 49420 Insert abdominal drain A 2.22 1.71 1.23 NA 1.59 1.71 1.23 1.59 0.16 3.61 3.97 3.61 3.97 0000.00.00.0020100P0 34.7315 4 49421 Insert abdominal drain A 5.54 4.49 3.72 NA 4.30 4.49 3.72 4.30 0.63 9.89 10.47 9.89 10.47 0090.09.81.1020100P0 34.7315 4 49422 Remove perm cannula/catheter A 6.25 4.49 3.06 NA 4.13 4.49 3.06 4.13 0.63 9.94 11.01 9.94 11.01 0010.10.80.1020100P0 34.7315 4 49423 Exchange drainage cath A 1.46 1.19 0.79 NA 1.09 1.19 0.79 1.09 0.10 2.35 2.65 2.35 2.65 0000.00.00.0020000P0 34.7315 4 49424 Assess cyst, contrast inj A 0.76 0.62 0.52 NA 0.60 0.62 0.52 0.60 0.05 1.33 1.41 1.33 1.41 0000.00.00.0020000P0 34.7315 4 49425 Insert abdomen-venous drain A 11.37 9.20 6.27 NA 8.47 9.20 6.27 8.47 1.39 19.03 21.23 19.03 21.23 0090.09.81.1020210P0 34.7315 4 49426 Revise abdomen-venous shunt A 9.63 5.85 5.64 NA 5.80 5.85 5.64 5.80 0.84 16.11 16.27 16.11 16.27 0090.09.81.1020100P0 34.7315 4 49427 Injection, abdominal shunt A 0.89 0.53 0.57 NA 0.54 0.53 0.57 0.54 0.02 1.48 1.45 1.48 1.45 0000.00.00.0020000P0 34.7315 4 49428 Ligation of shunt A 2.38 1.13 1.47 NA 1.22 1.13 1.47 1.22 0.19 4.04 3.79 4.04 3.79 0010.10.80.1020100P0 34.7315 4 49429 Removal of shunt A 7.40 3.60 4.21 NA 3.75 3.60 4.21 3.75 0.60 12.21 11.75 12.21 11.75 0010.10.80.1020100P0 34.7315 4 49495 Repair inguinal hernia, init A 5.89 5.40 3.20 NA 4.85 5.40 3.20 4.85 0.74 9.83 11.48 9.83 11.48 0090.09.81.1021210P0 34.7315 4 49496 Repair inguinal hernia, init A 8.79 5.47 5.66 NA 5.52 5.47 5.66 5.52 0.84 15.29 15.15 15.29 15.15 0090.09.81.1021210P0 34.7315 4 49500 Repair inguinal hernia A 4.68 5.40 2.81 NA 4.75 5.40 2.81 4.75 0.74 8.23 10.17 8.23 10.17 0090.09.81.1021210P0 34.7315 4 49501 Repair inguinal hernia, init A 7.58 5.47 3.93 NA 5.09 5.47 3.93 5.09 0.84 12.35 13.51 12.35 13.51 0090.09.81.1021210P0 34.7315 4 49505 Repair inguinal hernia A 6.49 4.89 3.43 4.53 4.89 3.46 4.53 0.74 10.66 11.76 10.69 11.76 0090.09.81.1021210P0 34.7315 4 49507 Repair, inguinal hernia A 8.17 5.47 5.09 NA 5.38 5.47 5.09 5.38 0.84 14.10 14.39 14.10 14.39 0090.09.81.1021210P0 34.7315 4 49520 Rerepair inguinal hernia A 8.22 5.67 4.59 NA 5.40 5.67 4.59 5.40 0.87 13.68 14.49 13.68 14.49 0090.09.81.1021210P0 34.7315 4 49521 Repair inguinal hernia, rec A 10.22 5.47 5.26 NA 5.42 5.47 5.26 5.42 0.84 16.32 16.48 16.32 16.48 0090.09.81.1021210P0 34.7315 4 49525 Repair inguinal hernia A 7.32 6.02 4.10 NA 5.54 6.02 4.10 5.54 0.91 12.33 13.77 12.33 13.77 0090.09.81.1021210P0 34.7315 4 49540 Repair lumbar hernia A 8.87 5.64 4.80 NA 5.43 5.64 4.80 5.43 0.88 14.55 15.18 14.55 15.18 0090.09.81.1021210P0 34.7315 4 49550 Repair femoral hernia A 7.37 5.00 3.81 NA 4.70 5.00 3.81 4.70 0.76 11.94 12.83 11.94 12.83 0090.09.81.1021210P0 34.7315 4 49553 Repair femoral hernia, init A 8.06 5.00 4.47 NA 4.87 5.00 4.47 4.87 0.76 13.29 13.69 13.29 13.69 0090.09.81.1021210P0 34.7315 4 49555 Repair femoral hernia A 7.71 6.59 4.44 NA 6.05 6.59 4.44 6.05 0.99 13.14 14.75 13.14 14.75 0090.09.81.1021210P0 34.7315 4 49557 Repair femoral hernia, recur A 9.52 6.59 4.99 NA 6.19 6.59 4.99 6.19 0.99 15.50 16.70 15.50 16.70 0090.09.81.1021210P0 34.7315 4 49560 Repair abdominal hernia A 9.88 6.13 5.22 NA 5.90 6.13 5.22 5.90 0.93 16.03 16.71 16.03 16.71 0090.09.81.1021210P0 34.7315 4 49561 Repair incisional hernia A 12.17 6.13 6.07 NA 6.12 6.13 6.07 6.12 0.93 19.17 19.22 19.17 19.22 0090.09.81.1021210P0 34.7315 4 49565 Rerepair abdominal hernia A 9.88 6.96 5.53 NA 6.60 6.96 5.53 6.60 1.06 16.47 17.54 16.47 17.54 0090.09.81.1021210P0 34.7315 4 49566 Repair incisional hernia A 12.30 6.96 6.17 NA 6.76 6.96 6.17 6.76 1.06 19.53 20.12 19.53 20.12 0090.09.81.1021210P0 34.7315 4 49568 Hernia repair w/mesh A 4.89 2.78 2.04 NA 2.60 2.78 2.04 2.60 0.46 7.39 7.95 7.39 7.95 0ZZZ.00.00.0001210P0 34.7315 4 49570 Repair epigastric hernia A 4.86 4.75 2.91 NA 4.29 4.75 2.91 4.29 0.71 8.48 9.86 8.48 9.86 0090.09.81.1021210P0 34.7315 4 49572 Repair, epigastric hernia A 5.75 6.08 3.65 NA 5.47 6.08 3.65 5.47 0.92 10.32 12.14 10.32 12.14 0090.09.81.1021210P0 34.7315 4 49580 Repair umbilical hernia A 3.51 4.19 2.44 NA 3.75 4.19 2.44 3.75 0.74 6.69 8.00 6.69 8.00 0090.09.81.1020210P0 34.7315 4 49582 Repair umbilical hernia A 5.68 5.00 3.85 NA 4.71 5.00 3.85 4.71 0.74 10.27 11.13 10.27 11.13 0090.09.81.1020210P0 34.7315 4 49585 Repair umbilical hernia A 5.32 4.79 3.33 NA 4.43 4.79 3.33 4.43 0.71 9.36 10.46 9.36 10.46 0090.09.81.1020210P0 34.7315 4 49587 Repair umbilical hernia A 6.46 4.79 3.82 NA 4.55 4.79 3.82 4.55 0.71 10.99 11.72 10.99 11.72 0090.09.81.1020210P0 34.7315 4 49590 Repair abdominal hernia A 7.29 6.11 4.05 NA 5.60 6.11 4.05 5.60 0.95 12.29 13.84 12.29 13.84 0090.09.81.1021210P0 34.7315 4 49600 Repair umbilical lesion A 10.35 5.71 5.43 NA 5.64 5.71 5.43 5.64 0.60 16.38 16.59 16.38 16.59 0090.09.81.1020210P0 34.7315 4 49605 Repair umbilical lesion A 22.66 9.30 11.51 NA 9.85 9.30 11.51 9.85 1.38 35.55 33.89 35.55 33.89 0090.09.81.1020210P0 34.7315 4 49606 Repair umbilical lesion A 18.60 9.02 10.33 NA 9.35 9.02 10.33 9.35 0.75 29.68 28.70 29.68 28.70 0090.09.81.1020210P0 34.7315 4 49610 Repair umbilical lesion A 10.50 5.95 7.86 NA 6.43 5.95 7.86 6.43 0.99 19.35 17.92 19.35 17.92 0090.09.81.1020210P0 34.7315 4 49611 Repair umbilical lesion A 8.92 9.77 7.99 NA 9.33 9.77 7.99 9.33 0.45 17.36 18.70 17.36 18.70 0090.09.81.1020210P0 34.7315 4 49900 Repair of abdominal wall A 12.28 3.97 6.82 NA 4.68 3.97 6.82 4.68 0.59 19.69 17.55 19.69 17.55 0090.09.81.1020210P0 34.7315 4 49905 Omental flap A 6.55 3.71 3.03 NA 3.54 3.71 3.03 3.54 0.63 10.21 10.72 10.21 10.72 0ZZZ.00.00.0000220P0 34.7315 4 49906 Free omental flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020110P0 34.7315 9 49999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 50010 Exploration of kidney A 10.98 10.36 6.17 NA 9.31 10.36 6.17 9.31 0.88 18.03 21.17 18.03 21.17 0090.08.83.0920210P0 34.7315 4 50020 Open drain renal abscess A 14.66 7.38 10.41 NA 8.14 7.38 10.41 8.14 0.66 25.73 23.46 25.73 23.46 0090.08.83.0920110P0 34.7315 4 50021 Percut drain renal abscess A 3.38 2.78 7.22 NA 3.89 2.78 7.22 3.89 0.23 10.83 7.50 10.83 7.50 0000.00.00.0020200P0 34.7315 4 50040 Drainage of kidney A 14.94 7.79 9.67 NA 8.26 7.79 9.67 8.26 0.49 25.10 23.69 25.10 23.69 0090.08.83.0920110P0 34.7315 4 50045 Exploration of kidney A 15.46 10.65 7.66 NA 9.90 10.65 7.66 9.90 0.70 23.82 26.06 23.82 26.06 0090.08.83.0920210P0 34.7315 4 50060 Removal of kidney stone A 19.30 13.29 8.94 NA12.20 13.29 8.94 12.20 0.95 29.19 32.45 29.19 32.45 0090.08.83.0920210P0 34.7315 4 50065 Incision of kidney A 20.79 15.12 9.90 NA13.82 15.12 9.90 13.82 1.06 31.75 35.67 31.75 35.67 0090.08.83.0920200P0 34.7315 4 50070 Incision of kidney A 20.32 13.97 9.42 NA12.83 13.97 9.42 12.83 1.06 30.80 34.21 30.80 34.21 0090.08.83.0920210P0 34.7315 4 50075 Removal of kidney stone A 25.34 18.31 11.33 NA16.57 18.31 11.33 16.57 1.27 37.94 43.18 37.94 43.18 0090.08.83.0920210P0 34.7315 4 50080 Removal of kidney stone A 14.71 13.24 9.38 NA12.28 13.24 9.38 12.28 0.90 24.99 27.89 24.99 27.89 0090.08.83.0920100P0 34.7315 4 50081 Removal of kidney stone A 21.80 16.24 11.72 NA15.11 16.24 11.72 15.11 1.13 34.65 38.04 34.65 38.04 0090.08.83.0920210P0 34.7315 4 50100 Revise kidney blood vessels A 16.09 11.22 9.14 NA10.70 11.22 9.14 10.70 1.06 26.29 27.85 26.29 27.85 0090.08.83.0920210P0 34.7315 4 50120 Exploration of kidney A 15.91 11.84 7.89 NA10.85 11.84 7.89 10.85 0.97 24.77 27.73 24.77 27.73 0090.08.83.0920210P0 34.7315 4 50125 Explore and drain kidney A 16.52 11.88 8.05 NA10.92 11.88 8.05 10.92 0.83 25.40 28.27 25.40 28.27 0090.08.83.0920210P0 34.7315 4 50130 Removal of kidney stone A 17.29 13.89 8.31 NA12.50 13.89 8.31 12.50 0.99 26.59 30.78 26.59 30.78 0090.08.83.0920210P0 34.7315 4 50135 Exploration of kidney A 19.18 18.50 9.07 NA16.14 18.50 9.07 16.14 1.28 29.53 36.60 29.53 36.60 0090.08.83.0920210P0 34.7315 4 50200 Biopsy of kidney A 2.63 2.83 1.24 NA 2.43 2.83 1.24 2.43 0.17 4.04 5.23 4.04 5.23 0000.00.00.0020100P0 34.7315 4 50205 Biopsy of kidney A 11.31 6.12 5.98 NA 6.09 6.12 5.98 6.09 0.54 17.83 17.94 17.83 17.94 0090.08.83.0920210P0 34.7315 4 50220 Removal of kidney A 17.15 14.44 8.34 NA12.92 14.44 8.34 12.92 1.12 26.61 31.19 26.61 31.19 0090.08.83.0920210P0 34.7315 4 50225 Removal of kidney A 20.23 17.93 9.35 NA15.79 17.93 9.35 15.79 1.33 30.91 37.35 30.91 37.35 0090.08.83.0920210P0 34.7315 4 50230 Removal of kidney A 22.07 19.97 9.96 NA17.47 19.97 9.96 17.47 1.44 33.47 40.98 33.47 40.98 0090.08.83.0920220P0 34.7315 4 50234 Removal of kidney & ureter A 22.40 18.07 10.09 NA16.08 18.07 10.09 16.08 1.29 33.78 39.77 33.78 39.77 0090.08.83.0920210P0 34.7315 4 50236 Removal of kidney & ureter A 24.86 19.25 12.73 NA17.62 19.25 12.73 17.62 1.36 38.95 43.84 38.95 43.84 0090.08.83.0920210P0 34.7315 4 50240 Partial removal of kidney A 22.00 17.36 11.77 NA15.96 17.36 11.77 15.96 1.33 35.10 39.29 35.10 39.29 0090.08.83.0920210P0 34.7315 4 50280 Removal of kidney lesion A 15.67 11.79 7.82 NA10.80 11.79 7.82 10.80 0.91 24.40 27.38 24.40 27.38 0090.08.83.0920210P0 34.7315 4 50290 Removal of kidney lesion A 14.73 9.63 7.35 NA 9.06 9.63 7.35 9.06 0.93 23.01 24.72 23.01 24.72 0090.08.83.0920210P0 34.7315 4 50300 Removal of donor kidney X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 50320 Removal of donor kidney A 22.21 17.90 9.48 NA15.80 17.90 9.48 15.80 1.88 33.57 39.89 33.57 39.89 0090.08.83.0921210P0 34.7315 4 50340 Removal of kidney A 12.15 13.55 8.31 NA12.24 13.55 8.31 12.24 1.75 22.21 26.14 22.21 26.14 0090.08.83.0921210P0 34.7315 4 50360 Transplantation of kidney A 31.53 26.53 17.38 NA24.24 26.53 17.38 24.24 3.32 52.23 59.09 52.23 59.09 0090.08.83.0920222P0 34.7315 4 50365 Transplantation of kidney A 36.81 33.33 21.04 NA30.26 33.33 21.04 30.26 3.04 60.89 70.11 60.89 70.11 0090.08.83.0921222P0 34.7315 4 50370 Remove transplanted kidney A 13.72 12.02 8.35 NA11.10 12.02 8.35 11.10 1.50 23.57 26.32 23.57 26.32 0090.08.83.0920210P0 34.7315 4 50380 Reimplantation of kidney A 20.76 10.98 12.20 NA11.29 10.98 12.20 11.29 1.34 34.30 33.39 34.30 33.39 0090.08.83.0920210P0 34.7315 4 50390 Drainage of kidney lesion A 1.96 1.83 1.15 NA 1.66 1.83 1.15 1.66 0.12 3.23 3.74 3.23 3.74 0000.00.00.0021100P0 34.7315 4 50392 Insert kidney drain A 3.38 2.56 1.53 NA 2.30 2.56 1.53 2.30 0.16 5.07 5.84 5.07 5.84 0000.00.00.0021100P0 34.7315 4 50393 Insert ureteral tube A 4.16 3.27 1.73 NA 2.89 3.27 1.73 2.89 0.20 6.09 7.25 6.09 7.25 0000.00.00.0021100P0 34.7315 4 50394 Injection for kidney x-ray A 0.76 0.60 14.48 4.07 0.60 0.21 0.50 0.04 15.28 4.87 1.01 1.30 0000.00.00.0021100P0 34.7315 4 50395 Create passage to kidney A 3.38 3.61 1.52 NA 3.09 3.61 1.52 3.09 0.23 5.13 6.70 5.13 6.70 0000.00.00.0021100P0 34.7315 4 50396 Measure kidney pressure A 2.09 0.54 0.67 NA 0.57 0.54 0.67 0.57 0.04 2.80 2.70 2.80 2.70 0000.00.00.0021000P0 34.7315 4 50398 Change kidney tube A 1.46 0.58 0.80 0.64 0.58 1.06 0.70 0.04 2.30 2.14 2.56 2.20 0000.00.00.0021100P0 34.7315 4 50400 Revision of kidney/ureter A 19.50 14.82 9.05 NA13.38 14.82 9.05 13.38 1.06 29.61 33.94 29.61 33.94 0090.08.83.0920210P0 34.7315 4 50405 Revision of kidney/ureter A 23.93 18.76 12.03 NA17.08 18.76 12.03 17.08 1.36 37.32 42.37 37.32 42.37 0090.08.83.0920210P0 34.7315 4 50500 Repair of kidney wound A 19.57 13.52 10.21 NA12.69 13.52 10.21 12.69 1.28 31.06 33.54 31.06 33.54 0090.08.83.0920210P0 34.7315 4 50520 Close kidney-skin fistula A 17.23 11.22 9.60 NA10.82 11.22 9.60 10.82 1.17 28.00 29.22 28.00 29.22 0090.08.83.0920210P0 34.7315 4 50525 Repair renal-abdomen fistula A 22.27 13.69 11.38 NA13.11 13.69 11.38 13.11 1.56 35.21 36.94 35.21 36.94 0090.08.83.0920210P0 34.7315 4 50526 Repair renal-abdomen fistula A 24.02 8.02 12.20 NA 9.07 8.02 12.20 9.07 1.82 38.04 34.91 38.04 34.91 0090.08.83.0920200P0 34.7315 4 50540 Revision of horseshoe kidney A 19.93 14.55 9.24 NA13.22 14.55 9.24 13.22 1.20 30.37 34.35 30.37 34.35 0090.08.83.0922210P0 34.7315 4 50551 Kidney endoscopy A 5.60 2.38 4.19 2.83 2.38 2.14 2.32 0.16 9.95 8.59 7.90 8.08 0000.00.00.0021000P0 34.7315 4 50553 Kidney endoscopy A 5.99 1.80 16.08 5.37 1.80 2.28 1.92 0.13 22.20 11.49 8.40 8.04 0000.00.00.0021100P0 34.7315 4 50555 Kidney endoscopy & biopsy A 6.53 5.10 67.72 20.76 5.10 2.44 4.44 0.35 74.60 27.64 9.32 11.32 0000.00.00.0031000P0 50551 34.7315 4 50557 Kidney endoscopy & treatment A 6.62 5.11 10.19 6.38 5.11 2.46 4.45 0.38 17.19 13.38 9.46 11.45 0000.00.00.0031000P0 50551 34.7315 4 50559 Renal endoscopy; radiotracer A 6.78 1.45 2.55 NA 1.73 1.45 2.55 1.73 0.11 9.44 8.62 9.44 8.62 0000.00.00.0031000P0 50551 34.7315 4 50561 Kidney endoscopy & treatment A 7.59 5.56 13.85 7.63 5.56 2.77 4.86 0.38 21.82 15.60 10.74 12.83 0000.00.00.0031000P0 50551 34.7315 4 50570 Kidney endoscopy A 9.54 1.57 3.44 NA 2.04 1.57 3.44 2.04 0.11 13.09 11.69 13.09 11.69 0000.00.00.0021000P0 34.7315 4 50572 Kidney endoscopy A 10.35 7.87 3.65 NA 6.82 7.87 3.65 6.82 0.59 14.59 17.76 14.59 17.76 0000.00.00.0031000P0 50570 34.7315 4 50574 Kidney endoscopy & biopsy A 11.02 7.68 3.94 NA 6.75 7.68 3.94 6.75 0.50 15.46 18.27 15.46 18.27 0000.00.00.0031000P0 50570 34.7315 4 50575 Kidney endoscopy A 13.98 10.78 4.92 NA 9.32 10.78 4.92 9.32 0.76 19.66 24.06 19.66 24.06 0000.00.00.0031100P0 50570 34.7315 4 50576 Kidney endoscopy & treatment A 10.99 9.43 3.97 NA 8.07 9.43 3.97 8.07 0.60 15.56 19.66 15.56 19.66 0000.00.00.0031000P0 50570 34.7315 4 50578 Renal endoscopy; radiotracer A 11.35 4.11 4.11 NA 4.11 4.11 4.11 4.11 0.93 16.39 16.39 16.39 16.39 0000.00.00.0031000P0 50570 34.7315 4 50580 Kidney endoscopy & treatment A 11.86 3.89 4.19 NA 3.97 3.89 4.19 3.97 0.27 16.32 16.10 16.32 16.10 0000.00.00.0031000P0 50570 34.7315 4 50590 Fragmenting of kidney stone A 9.09 10.85 5.08 9.41 10.85 4.67 9.31 0.76 14.93 19.26 14.52 19.16 0090.08.83.0921100P0 34.7315 4 50600 Exploration of ureter A 15.84 10.52 7.83 NA 9.85 10.52 7.83 9.85 0.79 24.46 26.48 24.46 26.48 0090.08.83.0921210P0 34.7315 4 50605 Insert ureteral support A 15.46 6.63 7.72 NA 6.90 6.63 7.72 6.90 0.47 23.65 22.83 23.65 22.83 0090.08.83.0921210P0 34.7315 4 50610 Removal of ureter stone A 15.92 12.77 8.02 NA11.58 12.77 8.02 11.58 0.92 24.86 28.42 24.86 28.42 0090.08.83.0921210P0 34.7315 4 50620 Removal of ureter stone A 15.16 12.47 7.53 NA11.24 12.47 7.53 11.24 0.91 23.60 27.31 23.60 27.31 0090.08.83.0921210P0 34.7315 4 50630 Removal of ureter stone A 14.94 13.79 7.50 NA12.22 13.79 7.50 12.22 0.98 23.42 28.14 23.42 28.14 0090.08.83.0921210P0 34.7315 4 50650 Removal of ureter A 17.41 13.10 8.58 NA11.97 13.10 8.58 11.97 0.95 26.94 30.33 26.94 30.33 0090.08.83.0920210P0 34.7315 4 50660 Removal of ureter A 19.55 13.55 9.32 NA12.49 13.55 9.32 12.49 1.20 30.07 33.24 30.07 33.24 0090.08.83.0920210P0 34.7315 4 50684 Injection for ureter x-ray A 0.76 0.53 14.98 4.14 0.53 0.24 0.46 0.04 15.78 4.94 1.04 1.26 0000.00.00.0021100P0 34.7315 4 50686 Measure ureter pressure A 1.51 0.40 4.20 1.35 0.40 0.53 0.43 0.03 5.74 2.89 2.07 1.97 0000.00.00.0020000P0 34.7315 4 50688 Change of ureter tube A 1.17 0.42 1.74 NA 0.75 0.42 1.74 0.75 0.03 2.94 1.95 2.94 1.95 0010.10.80.1020100P0 34.7315 4 50690 Injection for ureter x-ray A 1.16 0.35 15.63 4.17 0.35 0.33 0.35 0.02 16.81 5.35 1.51 1.53 0000.00.00.0020100P0 34.7315 4 50700 Revision of ureter A 15.21 13.64 7.75 NA12.17 13.64 7.75 12.17 1.01 23.97 28.39 23.97 28.39 0090.08.83.0920210P0 34.7315 4 50715 Release of ureter A 18.90 12.20 10.36 NA11.74 12.20 10.36 11.74 1.17 30.43 31.81 30.43 31.81 0090.08.83.0921210P0 34.7315 4 50722 Release of ureter A 16.35 11.20 8.76 NA10.59 11.20 8.76 10.59 1.54 26.65 28.48 26.65 28.48 0090.08.83.0920210P0 34.7315 4 50725 Release/revise ureter A 18.49 13.08 9.72 NA12.24 13.08 9.72 12.24 1.37 29.58 32.10 29.58 32.10 0090.08.83.0920210P0 34.7315 4 50727 Revise ureter A 8.18 5.83 5.59 NA 5.77 5.83 5.59 5.77 0.40 14.17 14.35 14.17 14.35 0090.08.83.0920220P0 34.7315 4 50728 Revise ureter A 12.02 8.57 6.95 NA 8.17 8.57 6.95 8.17 0.60 19.57 20.79 19.57 20.79 0090.08.83.0920220P0 34.7315 4 50740 Fusion of ureter & kidney A 18.42 14.14 8.66 NA12.77 14.14 8.66 12.77 1.47 28.55 32.66 28.55 32.66 0090.08.83.0920210P0 34.7315 4 50750 Fusion of ureter & kidney A 19.51 15.24 9.97 NA13.92 15.24 9.97 13.92 0.99 30.47 34.42 30.47 34.42 0090.08.83.0920200P0 34.7315 4 50760 Fusion of ureters A 18.42 14.62 8.93 NA13.20 14.62 8.93 13.20 1.16 28.51 32.78 28.51 32.78 0090.08.83.0920210P0 34.7315 4 50770 Splicing of ureters A 19.51 16.53 9.43 NA14.76 16.53 9.43 14.76 1.20 30.14 35.47 30.14 35.47 0090.08.83.0920210P0 34.7315 4 50780 Reimplant ureter in bladder A 18.36 14.95 8.89 NA13.44 14.95 8.89 13.44 1.14 28.39 32.94 28.39 32.94 0090.08.83.0921210P0 34.7315 4 50782 Reimplant ureter in bladder A 19.54 14.95 9.75 NA13.65 14.95 9.75 13.65 1.14 30.43 34.33 30.43 34.33 0090.08.83.0921220P0 34.7315 4 50783 Reimplant ureter in bladder A 20.55 14.95 9.83 NA13.67 14.95 9.83 13.67 1.14 31.52 35.36 31.52 35.36 0090.08.83.0921220P0 34.7315 4 50785 Reimplant ureter in bladder A 20.52 16.73 9.68 NA14.97 16.73 9.68 14.97 1.41 31.61 36.90 31.61 36.90 0090.08.83.0921210P0 34.7315 4 50800 Implant ureter in bowel A 14.52 15.92 8.40 NA14.04 15.92 8.40 14.04 1.18 24.10 29.74 24.10 29.74 0090.08.83.0921210P0 34.7315 4 50810 Fusion of ureter & bowel A 20.05 13.64 10.84 NA12.94 13.64 10.84 12.94 1.37 32.26 34.36 32.26 34.36 0090.08.83.0920210P0 34.7315 4 50815 Urine shunt to bowel A 19.93 21.44 10.35 NA18.67 21.44 10.35 18.67 2.15 32.43 40.75 32.43 40.75 0090.08.83.0921210P0 34.7315 4 50820 Construct bowel bladder A 21.89 20.59 10.89 NA18.17 20.59 10.89 18.17 1.96 34.74 42.02 34.74 42.02 0090.08.83.0921210P0 34.7315 4 50825 Construct bowel bladder A 28.18 33.14 13.42 NA28.21 33.14 13.42 28.21 2.61 44.21 59.00 44.21 59.00 0090.08.83.0920210P0 34.7315 4 50830 Revise urine flow A 31.28 22.71 14.44 NA20.64 22.71 14.44 20.64 1.78 47.50 53.70 47.50 53.70 0090.08.83.0920210P0 34.7315 4 50840 Replace ureter by bowel A 20.00 14.46 10.28 NA13.42 14.46 10.28 13.42 1.06 31.34 34.48 31.34 34.48 0090.08.83.0921210P0 34.7315 4 50845 Appendico-vesicostomy A 20.89 15.05 10.57 NA13.93 15.05 10.57 13.93 1.06 32.52 35.88 32.52 35.88 0090.08.83.0920210P0 34.7315 4 50860 Transplant ureter to skin A 15.36 11.85 7.83 NA10.85 11.85 7.83 10.85 0.91 24.10 27.12 24.10 27.12 0090.08.83.0921210P0 34.7315 4 50900 Repair of ureter A 13.62 10.83 7.07 NA 9.89 10.83 7.07 9.89 0.90 21.59 24.41 21.59 24.41 0090.08.83.0920210P0 34.7315 4 50920 Closure ureter/skin fistula A 14.33 10.33 7.29 NA 9.57 10.33 7.29 9.57 0.77 22.39 24.67 22.39 24.67 0090.08.83.0920210P0 34.7315 4 50930 Closure ureter/bowel fistula A 18.72 13.57 8.83 NA12.39 13.57 8.83 12.39 0.95 28.50 32.06 28.50 32.06 0090.08.83.0920210P0 34.7315 4 50940 Release of ureter A 14.51 10.74 7.38 NA 9.90 10.74 7.38 9.90 0.74 22.63 25.15 22.63 25.15 0090.08.83.0921210P0 34.7315 4 50951 Endoscopy of ureter A 5.84 1.81 4.47 2.48 1.81 2.21 1.91 0.13 10.44 8.45 8.18 7.88 0000.00.00.0021000P0 34.7315 4 50953 Endoscopy of ureter A 6.24 1.80 15.75 5.29 1.80 2.36 1.94 0.13 22.12 11.66 8.73 8.31 0000.00.00.0031000P0 50951 34.7315 4 50955 Ureter endoscopy & biopsy A 6.75 2.77 13.99 5.58 2.77 2.51 2.71 0.20 20.94 12.53 9.46 9.66 0000.00.00.0031000P0 50951 34.7315 4 50957 Ureter endoscopy & treatment A 6.79 2.71 8.12 4.06 2.71 2.52 2.66 0.20 15.11 11.05 9.51 9.65 0000.00.00.0031000P0 50951 34.7315 4 50959 Ureter endoscopy & tracer A 4.40 3.67 1.78 NA 3.20 3.67 1.78 3.20 0.23 6.41 7.83 6.41 7.83 0000.00.00.0031000P0 50951 34.7315 4 50961 Ureter endoscopy & treatment A 6.05 2.84 21.03 7.39 2.84 2.28 2.70 0.20 27.28 13.64 8.53 8.95 0000.00.00.0031000P0 50951 34.7315 4 50970 Ureter endoscopy A 7.14 5.61 2.63 NA 4.87 5.61 2.63 4.87 0.41 10.18 12.42 10.18 12.42 0000.00.00.0021000P0 34.7315 4 50972 Ureter endoscopy & catheter A 6.89 1.67 2.58 NA 1.90 1.67 2.58 1.90 0.13 9.60 8.92 9.60 8.92 0000.00.00.0021000P0 34.7315 4 50974 Ureter endoscopy & biopsy A 9.17 7.61 3.31 NA 6.54 7.61 3.31 6.54 0.51 12.99 16.22 12.99 16.22 0000.00.00.0031000P0 50970 34.7315 4 50976 Ureter endoscopy & treatment A 9.04 6.96 3.27 NA 6.04 6.96 3.27 6.04 0.49 12.80 15.57 12.80 15.57 0000.00.00.0031000P0 50970 34.7315 4 50978 Ureter endoscopy & tracer A 5.10 4.40 2.26 NA 3.87 4.40 2.26 3.87 0.38 7.74 9.35 7.74 9.35 0000.00.00.0021000P0 34.7315 4 50980 Ureter endoscopy & treatment A 6.85 3.40 2.55 NA 3.19 3.40 2.55 3.19 0.23 9.63 10.27 9.63 10.27 0000.00.00.0021000P0 34.7315 4 51000 Drainage of bladder A 0.78 0.52 1.51 0.77 0.52 0.59 0.54 0.04 2.33 1.59 1.41 1.36 0000.00.00.0020100P0 34.7315 4 51005 Drainage of bladder A 1.02 0.50 2.50 1.00 0.50 0.66 0.54 0.03 3.55 2.05 1.71 1.59 0000.00.00.0020100P0 34.7315 4 51010 Drainage of bladder A 3.53 1.05 6.04 2.30 1.05 1.98 1.28 0.09 9.66 5.92 5.60 4.90 0010.10.80.1020100P0 34.7315 4 51020 Incise & treat bladder A 6.71 7.43 4.80 NA 6.77 7.43 4.80 6.77 0.56 12.07 14.04 12.07 14.04 0090.08.83.0920210P0 34.7315 4 51030 Incise & treat bladder A 6.77 4.92 4.75 NA 4.88 4.92 4.75 4.88 0.34 11.86 11.99 11.86 11.99 0090.08.83.0920000P0 34.7315 4 51040 Incise & drain bladder A 4.40 5.25 3.67 NA 4.86 5.25 3.67 4.86 0.59 8.66 9.85 8.66 9.85 0090.08.83.0920210P0 34.7315 4 51045 Incise bladder, drain ureter A 6.77 5.38 4.82 NA 5.24 5.38 4.82 5.24 0.39 11.98 12.40 11.98 12.40 0090.08.83.0920200P0 34.7315 4 51050 Removal of bladder stone A 6.92 7.73 4.49 NA 6.92 7.73 4.49 6.92 0.55 11.96 14.39 11.96 14.39 0090.08.83.0920210P0 34.7315 4 51060 Removal of ureter stone A 8.85 10.57 5.42 NA 9.28 10.57 5.42 9.28 0.93 15.20 19.06 15.20 19.06 0090.08.83.0920210P0 34.7315 4 51065 Removal of ureter stone A 8.85 7.68 5.42 NA 7.12 7.68 5.42 7.12 0.56 14.83 16.53 14.83 16.53 0090.08.83.0920000P0 34.7315 4 51080 Drainage of bladder abscess A 5.96 5.62 4.41 NA 5.32 5.62 4.41 5.32 0.45 10.82 11.73 10.82 11.73 0090.08.83.0920210P0 34.7315 4 51500 Removal of bladder cyst A 10.14 7.44 5.59 NA 6.98 7.44 5.59 6.98 0.95 16.68 18.07 16.68 18.07 0090.08.83.0920210P0 34.7315 4 51520 Removal of bladder lesion A 9.29 9.26 5.68 NA 8.37 9.26 5.68 8.37 0.68 15.65 18.34 15.65 18.34 0090.08.83.0920210P0 34.7315 4 51525 Removal of bladder lesion A 13.97 11.58 7.15 NA10.47 11.58 7.15 10.47 0.83 21.95 25.27 21.95 25.27 0090.08.83.0920210P0 34.7315 4 51530 Removal of bladder lesion A 12.38 10.04 6.65 NA 9.19 10.04 6.65 9.19 0.80 19.83 22.37 19.83 22.37 0090.08.83.0920210P0 34.7315 4 51535 Repair of ureter lesion A 12.57 8.33 7.12 NA 8.03 8.33 7.12 8.03 0.89 20.58 21.49 20.58 21.49 0090.08.83.0921210P0 34.7315 4 51550 Partial removal of bladder A 15.66 11.62 7.72 NA10.65 11.62 7.72 10.65 0.92 24.30 27.23 24.30 27.23 0090.08.83.0920210P0 34.7315 4 51555 Partial removal of bladder A 21.23 13.31 9.84 NA12.44 13.31 9.84 12.44 1.02 32.09 34.69 32.09 34.69 0090.08.83.0920210P0 34.7315 4 51565 Revise bladder & ureter(s) A 21.62 17.19 10.30 NA15.47 17.19 10.30 15.47 1.31 33.23 38.40 33.23 38.40 0090.08.83.0920210P0 34.7315 4 51570 Removal of bladder A 24.24 17.00 11.37 NA15.59 17.00 11.37 15.59 1.27 36.88 41.10 36.88 41.10 0090.08.83.0920210P0 34.7315 4 51575 Removal of bladder & nodes A 30.45 24.82 13.86 NA22.08 24.82 13.86 22.08 1.76 46.07 54.29 46.07 54.29 0090.08.83.0922210P0 34.7315 4 51580 Remove bladder; revise tract A 31.08 21.65 14.34 NA19.82 21.65 14.34 19.82 1.60 47.02 52.50 47.02 52.50 0090.08.83.0920210P0 34.7315 4 51585 Removal of bladder & nodes A 35.23 27.26 15.93 NA24.43 27.26 15.93 24.43 1.89 53.05 61.55 53.05 61.55 0090.08.83.0922210P0 34.7315 4 51590 Remove bladder; revise tract A 32.66 26.61 14.57 NA23.60 26.61 14.57 23.60 2.00 49.23 58.26 49.23 58.26 0090.08.83.0920210P0 34.7315 4 51595 Remove bladder; revise tract A 37.14 36.68 16.03 NA31.52 36.68 16.03 31.52 2.61 55.78 71.27 55.78 71.27 0090.08.83.0922210P0 34.7315 4 51596 Remove bladder, create pouch A 39.52 37.86 17.18 NA32.69 37.86 17.18 32.69 2.70 59.40 74.91 59.40 74.91 0090.08.83.0920210P0 34.7315 4 51597 Removal of pelvic structures A 38.35 33.24 16.88 NA29.15 33.24 16.88 29.15 3.37 58.60 70.87 58.60 70.87 0090.08.83.0920210P0 34.7315 4 51600 Injection for bladder x-ray A 0.88 0.30 15.72 4.16 0.30 0.25 0.29 0.02 16.62 5.06 1.15 1.19 0000.00.00.0020100P0 34.7315 4 51605 Preparation for bladder xray A 0.64 0.33 15.52 4.13 0.33 0.20 0.30 0.02 16.18 4.79 0.86 0.96 0000.00.00.0020100P0 34.7315 4 51610 Injection for bladder x-ray A 1.05 0.29 29.00 7.47 0.29 0.31 0.30 0.02 30.07 8.54 1.38 1.37 0000.00.00.0020100P0 34.7315 4 51700 Irrigation of bladder A 0.88 0.24 3.35 1.02 0.12 0.31 0.17 0.02 4.25 1.92 1.21 1.07 0000.00.00.0020100P0 34.7315 4 51705 Change of bladder tube A 1.02 0.41 2.18 0.85 0.21 1.33 0.49 0.03 3.23 1.90 2.38 1.54 0010.10.80.1020100P0 34.7315 4 51710 Change of bladder tube A 1.49 0.62 4.19 1.51 0.31 1.55 0.62 0.05 5.73 3.05 3.09 2.16 0010.10.80.1020100P0 34.7315 4 51715 Endoscopic injection/implant A 3.74 2.88 3.61 3.06 2.88 1.52 2.54 0.21 7.56 7.01 5.47 6.49 0000.00.00.0020000P0 34.7315 4 51720 Treatment of bladder lesion A 1.96 0.49 3.48 1.24 0.25 0.98 0.43 0.04 5.48 3.24 2.98 2.43 0000.00.00.0020100P0 34.7315 4 51725 Simple cystometrogram A 1.51 1.09 0.93 1.05 1.09 0.93 1.05 0.08 2.52 2.64 2.52 2.64 1000.00.00.0020000P0 34.7315 4 51725TCSimple cystometrogram A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.03 0.44 0.44 0.44 0.44 1000.00.00.0000000P0 34.7315 4 5172526Simple cystometrogram A 1.51 0.68 0.52 0.64 0.68 0.52 0.64 0.05 2.08 2.20 2.08 2.20 1000.00.00.0020000P0 34.7315 4 51726 Complex cystometrogram A 1.71 1.40 1.10 1.33 1.40 1.10 1.33 0.10 2.91 3.14 2.91 3.14 1000.00.00.0020100P0 34.7315 4 51726TCComplex cystometrogram A 0.00 0.52 0.52 0.52 0.52 0.52 0.52 0.04 0.56 0.56 0.56 0.56 1000.00.00.0000100P0 34.7315 4 5172626Complex cystometrogram A 1.71 0.88 0.58 0.81 0.88 0.58 0.81 0.06 2.35 2.58 2.35 2.58 1000.00.00.0020100P0 34.7315 4 51736 Urine flow measurement A 0.61 0.44 0.36 0.42 0.44 0.36 0.42 0.03 1.00 1.06 1.00 1.06 1000.00.00.0020000P0 34.7315 4 51736TCUrine flow measurement A 0.00 0.16 0.15 0.16 0.16 0.15 0.16 0.01 0.16 0.17 0.16 0.17 1000.00.00.0000000P0 34.7315 4 5173626Urine flow measurement A 0.61 0.28 0.21 0.26 0.28 0.21 0.26 0.02 0.84 0.89 0.84 0.89 1000.00.00.0020000P0 34.7315 4 51741 Electro-uroflowmetry, first A 1.14 0.61 0.61 0.61 0.61 0.61 0.61 0.05 1.80 1.80 1.80 1.80 1000.00.00.0020100P0 34.7315 4 51741TCElectro-uroflowmetry, first A 0.00 0.23 0.23 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1000.00.00.0000100P0 34.7315 4 5174126Electro-uroflowmetry, first A 1.14 0.38 0.38 0.38 0.38 0.38 0.38 0.03 1.55 1.55 1.55 1.55 1000.00.00.0020100P0 34.7315 4 51772 Urethra pressure profile A 1.61 1.02 1.01 1.02 1.02 1.01 1.02 0.09 2.71 2.72 2.71 2.72 1000.00.00.0020000P0 34.7315 4 51772TCUrethra pressure profile A 0.00 0.46 0.45 0.46 0.46 0.45 0.46 0.04 0.49 0.50 0.49 0.50 1000.00.00.0000000P0 34.7315 4 5177226Urethra pressure profile A 1.61 0.56 0.56 0.56 0.56 0.56 0.56 0.05 2.22 2.22 2.22 2.22 1000.00.00.0020000P0 34.7315 4 51784 Anal/urinary muscle study A 1.53 1.13 0.95 1.08 1.13 0.95 1.08 0.08 2.56 2.69 2.56 2.69 1000.00.00.0020100P0 34.7315 4 51784TCAnal/urinary muscle study A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.03 0.46 0.45 0.46 0.45 1000.00.00.0000100P0 34.7315 4 5178426Anal/urinary muscle study A 1.53 0.71 0.52 0.66 0.71 0.52 0.66 0.05 2.10 2.24 2.10 2.24 1000.00.00.0020100P0 34.7315 4 51785 Anal/urinary muscle study A 1.53 1.13 0.95 1.08 1.13 0.95 1.08 0.08 2.56 2.69 2.56 2.69 1000.00.00.0020000P0 34.7315 4 51785TCAnal/urinary muscle study A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.03 0.46 0.45 0.46 0.45 1000.00.00.0000000P0 34.7315 4 5178526Anal/urinary muscle study A 1.53 0.71 0.52 0.66 0.71 0.52 0.66 0.05 2.10 2.24 2.10 2.24 1000.00.00.0020000P0 34.7315 4 51792 Urinary reflex study A 1.10 2.09 1.87 2.03 2.09 1.87 2.03 0.16 3.13 3.29 3.13 3.29 1000.00.00.0020000P0 34.7315 4 51792TCUrinary reflex study A 0.00 1.45 1.46 1.45 1.45 1.46 1.45 0.11 1.57 1.56 1.57 1.56 1000.00.00.0000000P0 34.7315 4 5179226Urinary reflex study A 1.10 0.64 0.41 0.58 0.64 0.41 0.58 0.05 1.56 1.73 1.56 1.73 1000.00.00.0020000P0 34.7315 4 51795 Urine voiding pressure study A 1.53 1.56 1.47 1.54 1.56 1.47 1.54 0.13 3.13 3.20 3.13 3.20 1000.00.00.0020000P0 34.7315 4 51795TCUrine voiding pressure study A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.08 1.03 1.02 1.03 1.02 1000.00.00.0000000P0 34.7315 4 5179526Urine voiding pressure study A 1.53 0.62 0.52 0.60 0.62 0.52 0.60 0.05 2.10 2.18 2.10 2.18 1000.00.00.0020000P0 34.7315 4 51797 Intraabdominal pressure test A 1.60 1.04 1.04 1.04 1.04 1.04 1.04 0.08 2.72 2.72 2.72 2.72 1000.00.00.0020000P0 34.7315 4 51797TCIntraabdominal pressure test A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.04 0.53 0.53 0.53 0.53 1000.00.00.0000000P0 34.7315 4 5179726Intraabdominal pressure test A 1.60 0.55 0.55 0.55 0.55 0.55 0.55 0.04 2.19 2.19 2.19 2.19 1000.00.00.0020000P0 34.7315 4 51800 Revision of bladder/urethra A 17.42 13.04 8.47 NA11.90 13.04 8.47 11.90 1.15 27.04 30.47 27.04 30.47 0090.08.83.0920210P0 34.7315 4 51820 Revision of urinary tract A 17.89 8.02 9.66 NA 8.43 8.02 9.66 8.43 1.03 28.58 27.35 28.58 27.35 0090.08.83.0922210P0 34.7315 4 51840 Attach bladder/urethra A 10.71 10.01 6.04 NA 9.02 10.01 6.04 9.02 0.99 17.74 20.72 17.74 20.72 0090.08.83.0920210P0 34.7315 4 51841 Attach bladder/urethra A 13.03 11.95 7.32 NA10.79 11.95 7.32 10.79 1.16 21.51 24.98 21.51 24.98 0090.08.83.0920210P0 34.7315 4 51845 Repair bladder neck A 9.73 11.61 5.84 NA10.17 11.61 5.84 10.17 0.85 16.42 20.75 16.42 20.75 0090.08.83.0920210P0 34.7315 4 51860 Repair of bladder wound A 12.02 8.27 6.71 NA 7.88 8.27 6.71 7.88 0.71 19.44 20.61 19.44 20.61 0090.08.83.0920210P0 34.7315 4 51865 Repair of bladder wound A 15.04 11.89 7.85 NA10.88 11.89 7.85 10.88 0.99 23.88 26.91 23.88 26.91 0090.08.83.0920210P0 34.7315 4 51880 Repair of bladder opening A 7.66 5.38 4.84 NA 5.25 5.38 4.84 5.25 0.41 12.91 13.32 12.91 13.32 0090.08.83.0920210P0 34.7315 4 51900 Repair bladder/vagina lesion A 12.97 12.64 7.37 NA11.32 12.64 7.37 11.32 1.10 21.44 25.39 21.44 25.39 0090.08.83.0920210P0 34.7315 4 51920 Close bladder-uterus fistula A 11.81 8.15 6.29 NA 7.69 8.15 6.29 7.69 0.57 18.67 20.07 18.67 20.07 0090.08.83.0920210P0 34.7315 4 51925 Hysterectomy/bladder repair A 15.58 10.93 8.71 NA10.38 10.93 8.71 10.38 1.82 26.11 27.78 26.11 27.78 0090.08.83.0920210P0 34.7315 4 51940 Correction of bladder defect A 26.81 20.57 14.16 NA18.97 20.57 14.16 18.97 1.74 42.71 47.52 42.71 47.52 0090.08.83.0920210P0 34.7315 4 51960 Revision of bladder & bowel A 23.01 23.22 11.62 NA20.32 23.22 11.62 20.32 1.78 36.41 45.11 36.41 45.11 0090.08.83.0920210P0 34.7315 4 51980 Construct bladder opening A 11.36 8.10 6.38 NA 7.67 8.10 6.38 7.67 0.59 18.33 19.62 18.33 19.62 0090.08.83.0920210P0 34.7315 4 52000 Cystoscopy A 2.01 1.44 2.78 1.78 0.72 0.93 0.77 0.11 4.90 3.90 3.05 2.89 0000.00.00.0020100P0 34.7315 4 52005 Cystoscopy & ureter catheter A 2.37 2.39 4.39 2.89 2.39 1.04 2.05 0.17 6.93 5.43 3.58 4.59 0000.00.00.0020100P1A4550 34.7315 4 52007 Cystoscopy and biopsy A 3.02 3.06 1.26 NA 2.61 3.06 1.26 2.61 0.22 4.50 5.85 4.50 5.85 0000.00.00.0031100P1A455052000 34.7315 4 52010 Cystoscopy & duct catheter A 3.02 2.06 4.67 2.71 1.03 1.29 1.10 0.16 7.85 5.89 4.47 4.28 0000.00.00.0030100P1A455052000 34.7315 4 52204 Cystoscopy A 2.37 2.58 5.09 3.21 2.58 1.04 2.20 0.19 7.65 5.77 3.60 4.76 0000.00.00.0030100P1A455052000 34.7315 4 52214 Cystoscopy and treatment A 3.71 3.04 5.46 3.65 3.04 1.49 2.65 0.22 9.39 7.58 5.42 6.58 0000.00.00.0030100P1A455052000 34.7315 4 52224 Cystoscopy and treatment A 3.14 3.15 5.33 3.70 3.15 1.30 2.69 0.23 8.70 7.07 4.67 6.06 0000.00.00.0030100P1A455052000 34.7315 4 52234 Cystoscopy and treatment A 4.63 5.11 6.16 5.37 5.11 1.80 4.28 0.35 11.14 10.35 6.78 9.26 0000.00.00.0020100P1A4550 34.7315 4 52235 Cystoscopy and treatment A 5.45 6.51 6.43 6.49 6.51 2.07 5.40 0.63 12.51 12.57 8.15 11.48 0000.00.00.0020100P1A4550 34.7315 4 52240 Cystoscopy and treatment A 9.72 11.56 7.85 10.63 11.56 3.49 9.54 0.81 18.38 21.16 14.02 20.07 0000.00.00.0020100P1A4550 34.7315 4 52250 Cystoscopy & radiotracer A 4.50 3.10 1.76 NA 2.77 3.10 1.76 2.77 0.23 6.49 7.50 6.49 7.50 0000.00.00.0030100P1A455052000 34.7315 4 52260 Cystoscopy & treatment A 3.92 2.29 1.64 NA 2.13 2.29 1.64 2.13 0.17 5.73 6.22 5.73 6.22 0000.00.00.0030100P1A455052000 34.7315 4 52265 Cystoscopy & treatment A 2.94 1.47 3.15 1.89 0.74 1.24 0.87 0.11 6.20 4.94 4.29 3.92 0000.00.00.0030100P0 52000 34.7315 4 52270 Cystoscopy & revise urethra A 3.37 3.77 5.66 4.24 3.77 1.42 3.18 0.27 9.30 7.88 5.06 6.82 0000.00.00.0030100P1A455052000 34.7315 4 52275 Cystoscopy & revise urethra A 4.70 3.71 6.26 4.35 3.71 1.86 3.25 0.27 11.23 9.32 6.83 8.22 0000.00.00.0030100P1A455052000 34.7315 4 52276 Cystoscopy and treatment A 5.00 4.97 6.37 5.32 4.97 1.96 4.22 0.35 11.72 10.67 7.31 9.57 0000.00.00.0030100P1A455052000 34.7315 4 52277 Cystoscopy and treatment A 6.17 5.23 2.33 NA 4.51 5.23 2.33 4.51 0.37 8.87 11.05 8.87 11.05 0000.00.00.0030000P1A455052000 34.7315 4 52281 Cystoscopy and treatment A 2.80 2.51 3.14 2.67 1.26 1.19 1.24 0.18 6.12 5.65 4.17 4.22 0000.00.00.0030100P0 52000 34.7315 4 52282 Cystoscopy, implant stent A 6.40 4.97 6.62 5.38 4.97 2.39 4.33 0.35 13.37 12.13 9.14 11.08 0000.00.00.0030100P1A455052000 34.7315 4 52283 Cystoscopy and treatment A 3.74 1.64 5.70 2.66 1.64 1.51 1.61 0.12 9.56 6.52 5.37 5.47 0000.00.00.0030100P1A455052000 34.7315 4 52285 Cystoscopy and treatment A 3.61 3.19 5.89 3.87 1.60 1.46 1.57 0.23 9.73 7.71 5.30 5.41 0000.00.00.0030100P0 52000 34.7315 4 52290 Cystoscopy and treatment A 4.59 2.54 1.79 NA 2.35 2.54 1.79 2.35 0.19 6.57 7.13 6.57 7.13 0000.00.00.0032100P1A455052000 34.7315 4 52300 Cystoscopy and treatment A 5.31 3.77 2.02 NA 3.33 3.77 2.02 3.33 0.28 7.61 8.92 7.61 8.92 0000.00.00.0032000P1A455052000 34.7315 4 52301 Cystoscopy and treatment A 5.51 3.77 2.15 NA 3.37 3.77 2.15 3.37 0.28 7.94 9.16 7.94 9.16 0000.00.00.0032000P1A455052000 34.7315 4 52305 Cystoscopy and treatment A 5.31 3.80 2.02 NA 3.36 3.80 2.02 3.36 0.27 7.60 8.94 7.60 8.94 0000.00.00.0030100P1A455052000 34.7315 4 52310 Cystoscopy and treatment A 2.81 3.24 13.05 5.69 3.24 1.19 2.73 0.23 16.09 8.73 4.23 5.77 0000.00.00.0030100P1A455052000 34.7315 4 52315 Cystoscopy and treatment A 5.21 4.42 14.01 6.82 4.42 1.99 3.81 0.31 19.53 12.34 7.51 9.33 0000.00.00.0030100P1A455052000 34.7315 4 52317 Remove bladder stone A 6.72 6.72 20.54 10.18 6.72 2.50 5.67 0.46 27.72 17.36 9.68 12.85 0000.00.00.0030100P0 52000 34.7315 4 52318 Remove bladder stone A 9.19 8.55 3.32 NA 7.24 8.55 3.32 7.24 0.60 13.11 17.03 13.11 17.03 0000.00.00.0030100P0 52000 34.7315 4 52320 Cystoscopy and treatment A 4.70 5.27 1.80 NA 4.40 5.27 1.80 4.40 0.37 6.87 9.47 6.87 9.47 0000.00.00.0031100P0 52005 34.7315 4 52325 Cystoscopy, stone removal A 6.16 7.36 2.30 NA 6.10 7.36 2.30 6.10 0.53 8.99 12.79 8.99 12.79 0000.00.00.0031100P0 52005 34.7315 4 52327 Cystoscopy, inject material A 5.19 4.00 1.98 NA 3.50 4.00 1.98 3.50 0.28 7.45 8.97 7.45 8.97 0000.00.00.0030100P0 52005 34.7315 4 52330 Cystoscopy and treatment A 5.04 3.77 17.57 7.22 3.77 1.93 3.31 0.27 22.88 12.53 7.24 8.62 0000.00.00.0031100P0 52005 34.7315 4 52332 Cystoscopy and treatment A 2.83 3.48 25.55 9.00 3.38 1.20 2.84 0.25 28.63 12.08 4.28 5.92 0000.00.00.0031100P0 52005 34.7315 4 52334 Create passage to kidney A 4.83 3.61 1.87 NA 3.18 3.61 1.87 3.18 0.27 6.97 8.28 6.97 8.28 0000.00.00.0031100P0 52005 34.7315 4 52335 Endoscopy of urinary tract A 5.86 5.09 2.21 NA 4.37 5.09 2.21 4.37 0.35 8.42 10.58 8.42 10.58 0000.00.00.0020100P0 34.7315 4 52336 Cystoscopy, stone removal A 6.88 8.22 2.55 NA 6.80 8.22 2.55 6.80 0.77 10.20 14.45 10.20 14.45 0000.00.00.0030100P0 52335 34.7315 4 52337 Cystoscopy, stone removal A 7.97 9.52 2.91 NA 7.87 9.52 2.91 7.87 0.84 11.72 16.68 11.72 16.68 0000.00.00.0031100P0 52335 34.7315 4 52338 Cystoscopy and treatment A 7.34 6.42 2.70 NA 5.49 6.42 2.70 5.49 0.45 10.49 13.28 10.49 13.28 0000.00.00.0031100P0 52335 34.7315 4 52339 Cystoscopy and treatment A 8.82 6.42 3.17 NA 5.61 6.42 3.17 5.61 0.45 12.44 14.88 12.44 14.88 0000.00.00.0030000P0 52335 34.7315 4 52340 Cystoscopy and treatment A 9.68 5.59 5.03 NA 5.45 5.59 5.03 5.45 0.39 15.10 15.52 15.10 15.52 0090.08.83.0920100P0 34.7315 4 52450 Incision of prostate A 7.64 5.42 5.64 NA 5.48 5.42 5.64 5.48 0.38 13.66 13.50 13.66 13.50 0090.08.83.0920100P0 34.7315 4 52500 Revision of bladder neck A 8.47 8.07 5.92 NA 7.53 8.07 5.92 7.53 0.56 14.95 16.56 14.95 16.56 0090.08.83.0920100P0 34.7315 4 52510 Dilation prostatic urethra A 6.72 8.02 5.03 NA 7.27 8.02 5.03 7.27 0.58 12.33 14.57 12.33 14.57 0090.08.83.0920100P0 34.7315 4 52601 Prostatectomy (TURP) A 12.37 12.88 7.21 NA11.46 12.88 7.21 11.46 0.91 20.49 24.74 20.49 24.74 0090.08.83.0920100P0 34.7315 4 52606 Control postop bleeding A 8.13 3.60 5.17 NA 3.99 3.60 5.17 3.99 0.26 13.56 12.38 13.56 12.38 0090.08.83.0920100P0 34.7315 4 52612 Prostatectomy, first stage A 7.98 9.53 5.53 NA 8.53 9.53 5.53 8.53 0.77 14.28 17.28 14.28 17.28 0090.08.83.0920100P0 34.7315 4 52614 Prostatectomy, second stage A 6.84 7.69 5.38 NA 7.11 7.69 5.38 7.11 0.53 12.75 14.48 12.75 14.48 0090.08.83.0920100P0 34.7315 4 52620 Remove residual prostate A 6.61 5.78 5.30 NA 5.66 5.78 5.30 5.66 0.40 12.31 12.67 12.31 12.67 0090.08.83.0920100P0 34.7315 4 52630 Remove prostate regrowth A 7.26 8.67 5.52 NA 7.88 8.67 5.52 7.88 0.88 13.66 16.02 13.66 16.02 0090.08.83.0920100P0 34.7315 4 52640 Relieve bladder contracture A 6.62 6.98 4.99 NA 6.48 6.98 4.99 6.48 0.49 12.10 13.59 12.10 13.59 0090.08.83.0920100P0 34.7315 4 52647 Laser surgery of prostate A 10.36 12.37 6.56 NA10.92 12.37 6.56 10.92 0.91 17.83 22.19 17.83 22.19 0090.08.83.0920100P0 34.7315 4 52648 Laser surgery of prostate A 11.21 12.88 6.82 NA11.37 12.88 6.82 11.37 0.91 18.94 23.49 18.94 23.49 0090.08.83.0920100P0 34.7315 4 52700 Drainage of prostate abscess A 6.80 3.58 5.36 NA 4.03 3.58 5.36 4.03 0.27 12.43 11.10 12.43 11.10 0090.08.83.0920000P0 34.7315 4 53000 Incision of urethra A 2.28 1.91 5.71 2.86 1.91 2.22 1.99 0.13 8.12 5.27 4.63 4.40 0010.10.80.1020100P0 34.7315 4 53010 Incision of urethra A 3.64 3.82 3.53 NA 3.75 3.82 3.53 3.75 0.29 7.46 7.68 7.46 7.68 0090.08.83.0920100P0 34.7315 4 53020 Incision of urethra A 1.77 0.89 3.59 1.57 0.89 0.63 0.83 0.07 5.43 3.41 2.47 2.67 0000.00.00.0020100P0 34.7315 4 53025 Incision of urethra A 1.13 0.87 2.67 1.32 0.87 0.41 0.76 0.06 3.86 2.51 1.60 1.95 0000.00.00.0020000P0 34.7315 4 53040 Drainage of urethra abscess A 6.40 2.01 7.88 3.48 2.01 9.73 3.94 0.15 14.43 10.03 16.28 10.49 0090.08.83.0920000P0 34.7315 4 53060 Drainage of urethra abscess A 2.63 0.55 5.39 1.76 0.55 2.21 0.97 0.05 8.07 4.44 4.89 3.65 0010.10.80.1020100P0 34.7315 4 53080 Drainage of urinary leakage A 6.29 4.32 7.30 NA 5.07 4.32 7.30 5.07 0.35 13.94 11.71 13.94 11.71 0090.08.83.0920100P0 34.7315 4 53085 Drainage of urinary leakage A 10.27 7.33 8.50 NA 7.62 7.33 8.50 7.62 0.55 19.32 18.44 19.32 18.44 0090.08.83.0920210P0 34.7315 4 53200 Biopsy of urethra A 2.59 1.19 4.53 2.03 1.19 0.91 1.12 0.09 7.21 4.71 3.59 3.80 0000.00.00.0020100P0 34.7315 4 53210 Removal of urethra A 12.57 7.21 7.09 NA 7.18 7.21 7.09 7.18 0.52 20.18 20.27 20.18 20.27 0090.08.83.0920210P0 34.7315 4 53215 Removal of urethra A 15.58 10.85 7.81 NA10.09 10.85 7.81 10.09 0.75 24.14 26.42 24.14 26.42 0090.08.83.0920210P0 34.7315 4 53220 Treatment of urethra lesion A 7.00 5.18 4.70 NA 5.06 5.18 4.70 5.06 0.38 12.08 12.44 12.08 12.44 0090.08.83.0920000P0 34.7315 4 53230 Removal of urethra lesion A 9.58 8.61 5.57 NA 7.85 8.61 5.57 7.85 0.62 15.77 18.05 15.77 18.05 0090.08.83.0920210P0 34.7315 4 53235 Removal of urethra lesion A 10.14 5.45 5.77 NA 5.53 5.45 5.77 5.53 0.38 16.29 16.05 16.29 16.05 0090.08.83.0920210P0 34.7315 4 53240 Surgery for urethra pouch A 6.45 4.70 4.52 NA 4.66 4.70 4.52 4.66 0.35 11.32 11.46 11.32 11.46 0090.08.83.0920100P0 34.7315 4 53250 Removal of urethra gland A 5.89 4.40 3.87 NA 4.27 4.40 3.87 4.27 0.31 10.07 10.47 10.07 10.47 0090.08.83.0920100P0 34.7315 4 53260 Treatment of urethra lesion A 2.98 1.22 5.01 2.17 1.22 2.00 1.42 0.13 8.12 5.28 5.11 4.53 0010.10.80.1020100P0 34.7315 4 53265 Treatment of urethra lesion A 3.12 2.04 5.43 2.89 2.04 1.99 2.03 0.17 8.72 6.18 5.28 5.32 0010.10.80.1020100P0 34.7315 4 53270 Removal of urethra gland A 3.09 0.91 5.15 1.97 0.46 2.12 0.88 0.14 8.38 5.20 5.35 4.11 0010.10.80.1020100P0 34.7315 4 53275 Repair of urethra defect A 4.53 2.57 3.12 NA 2.71 2.57 3.12 2.71 0.20 7.85 7.44 7.85 7.44 0010.10.80.1020100P0 34.7315 4 53400 Revise urethra, 1st stage A 12.77 8.11 6.86 NA 7.80 8.11 6.86 7.80 0.59 20.22 21.16 20.22 21.16 0090.08.83.0920210P0 34.7315 4 53405 Revise urethra, 2nd stage A 14.48 11.26 7.27 NA10.26 11.26 7.27 10.26 0.95 22.70 25.69 22.70 25.69 0090.08.83.0920210P0 34.7315 4 53410 Reconstruction of urethra A 16.44 9.29 8.13 NA 9.00 9.29 8.13 9.00 0.66 25.23 26.10 25.23 26.10 0090.08.83.0920210P0 34.7315 4 53415 Reconstruction of urethra A 19.41 12.88 6.89 NA11.38 12.88 6.89 11.38 0.90 27.20 31.69 27.20 31.69 0090.08.83.0920210P0 34.7315 4 53420 Reconstruct urethra, stage 1 A 14.08 11.81 7.47 NA10.73 11.81 7.47 10.73 0.82 22.37 25.63 22.37 25.63 0090.08.83.0920110P0 34.7315 4 53425 Reconstruct urethra, stage 2 A 15.98 10.04 8.06 NA 9.55 10.04 8.06 9.55 0.69 24.73 26.22 24.73 26.22 0090.08.83.0920210P0 34.7315 4 53430 Reconstruction of urethra A 16.34 7.77 8.21 NA 7.88 7.77 8.21 7.88 0.59 25.14 24.81 25.14 24.81 0090.08.83.0920210P0 34.7315 4 53440 Correct bladder function A 12.34 14.26 6.91 NA12.42 14.26 6.91 12.42 1.09 20.34 25.85 20.34 25.85 0090.08.83.0920210P0 34.7315 4 53442 Remove perineal prosthesis A 8.27 6.34 5.09 NA 6.03 6.34 5.09 6.03 0.52 13.88 14.82 13.88 14.82 0090.08.83.0920200P0 34.7315 4 53443 Reconstruction of urethra A 19.89 10.89 9.02 NA10.42 10.89 9.02 10.42 0.84 29.75 31.15 29.75 31.15 0090.08.83.0920210P0 34.7315 4 53445 Correct urine flow control A 14.06 16.79 7.53 NA14.48 16.79 7.53 14.48 1.59 23.18 30.13 23.18 30.13 0090.08.83.0920210P0 34.7315 4 53447 Remove artificial sphincter A 13.17 9.94 6.99 NA 9.20 9.94 6.99 9.20 0.70 20.86 23.07 20.86 23.07 0090.08.83.0920210P0 34.7315 4 53449 Correct artificial sphincter A 9.70 9.13 5.72 NA 8.28 9.13 5.72 8.28 0.64 16.06 18.62 16.06 18.62 0090.08.83.0920210P0 34.7315 4 53450 Revision of urethra A 6.14 2.97 4.27 NA 3.30 2.97 4.27 3.30 0.21 10.62 9.65 10.62 9.65 0090.08.83.0920100P0 34.7315 4 53460 Revision of urethra A 7.12 2.65 4.68 NA 3.16 2.65 4.68 3.16 0.20 12.00 10.48 12.00 10.48 0090.08.83.0920000P0 34.7315 4 53502 Repair of urethra injury A 7.63 5.39 5.02 NA 5.30 5.39 5.02 5.30 0.44 13.09 13.37 13.09 13.37 0090.08.83.0920100P0 34.7315 4 53505 Repair of urethra injury A 7.63 5.62 4.82 NA 5.42 5.62 4.82 5.42 0.40 12.85 13.45 12.85 13.45 0090.08.83.0920200P0 34.7315 4 53510 Repair of urethra injury A 10.11 7.58 6.00 NA 7.19 7.58 6.00 7.19 0.52 16.63 17.82 16.63 17.82 0090.08.83.0920210P0 34.7315 4 53515 Repair of urethra injury A 13.31 9.80 6.79 NA 9.05 9.80 6.79 9.05 0.69 20.79 23.05 20.79 23.05 0090.08.83.0920210P0 34.7315 4 53520 Repair of urethra defect A 8.68 6.39 5.20 NA 6.09 6.39 5.20 6.09 0.44 14.32 15.21 14.32 15.21 0090.08.83.0920100P0 34.7315 4 53600 Dilate urethra stricture A 1.21 0.36 3.52 1.15 0.18 0.46 0.25 0.02 4.75 2.38 1.69 1.48 0000.00.00.0020100P0 34.7315 4 53601 Dilate urethra stricture A 0.98 0.31 3.45 1.10 0.16 0.39 0.22 0.02 4.45 2.10 1.39 1.22 0000.00.00.0020100P0 34.7315 4 53605 Dilate urethra stricture A 1.28 0.50 0.68 NA 0.55 0.50 0.68 0.55 0.04 2.00 1.87 2.00 1.87 0000.00.00.0020100P0 34.7315 4 53620 Dilate urethra stricture A 1.62 0.51 5.24 1.69 0.26 0.80 0.40 0.04 6.90 3.35 2.46 2.06 0000.00.00.0020100P0 34.7315 4 53621 Dilate urethra stricture A 1.35 0.41 5.22 1.61 0.21 0.70 0.33 0.03 6.60 2.99 2.08 1.71 0000.00.00.0020100P0 34.7315 4 53660 Dilation of urethra A 0.71 0.30 3.27 1.04 0.15 0.30 0.19 0.02 4.00 1.77 1.03 0.92 0000.00.00.0020100P0 34.7315 4 53661 Dilation of urethra A 0.72 0.27 3.35 1.04 0.14 0.24 0.17 0.02 4.09 1.78 0.98 0.91 0000.00.00.0020100P0 34.7315 4 53665 Dilation of urethra A 0.76 0.39 0.58 NA 0.44 0.39 0.58 0.44 0.03 1.37 1.23 1.37 1.23 0000.00.00.0020100P0 34.7315 4 53670 Insert urinary catheter A 0.50 0.24 3.17 0.97 0.12 0.17 0.13 0.02 3.69 1.49 0.69 0.65 0000.00.00.0020100P0 34.7315 4 53675 Insert urinary catheter A 1.47 0.51 4.22 1.44 0.51 0.74 0.57 0.04 5.73 2.95 2.25 2.08 0000.00.00.0020100P0 34.7315 4 53850 Prostatic microwave thermotx A 9.45 7.28 6.24 NA 7.02 7.28 6.24 7.02 0.52 16.21 16.99 16.21 16.99 0090.08.83.0920100P0 34.7315 4 53852 Prostatic rf thermotx A 9.88 7.61 6.38 NA 7.30 7.61 6.38 7.30 0.54 16.80 17.72 16.80 17.72 0090.08.83.0920100P0 34.7315 4 53899 Urology surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 54000 Slitting of prepuce A 1.54 0.68 4.81 1.71 0.68 1.30 0.84 0.05 6.40 3.30 2.89 2.43 0010.10.80.1020000P0 34.7315 4 54001 Slitting of prepuce A 2.19 0.91 5.19 1.98 0.91 1.79 1.13 0.07 7.45 4.24 4.05 3.39 0010.10.80.1020100P0 34.7315 4 54015 Drain penis lesion A 5.32 0.90 6.07 2.19 0.90 2.88 1.40 0.07 11.46 7.58 8.27 6.79 0010.10.80.1020000P0 34.7315 4 54050 Destruction, penis lesion(s) A 1.24 0.41 1.90 0.78 0.21 0.52 0.29 0.02 3.16 2.04 1.78 1.55 0010.10.80.1020100P0 34.7315 4 54055 Destruction, penis lesion(s) A 1.22 0.66 5.08 1.77 0.33 1.22 0.55 0.05 6.35 3.04 2.49 1.82 0010.10.80.1020100P0 34.7315 4 54056 Cryosurgery, penis lesion(s) A 1.24 0.58 2.17 0.98 0.29 0.54 0.35 0.03 3.44 2.25 1.81 1.62 0010.10.80.1020100P0 34.7315 4 54057 Laser surg, penis lesion(s) A 1.24 1.65 2.01 1.74 1.48 1.21 1.41 0.16 3.41 3.14 2.61 2.81 0010.10.80.1020100P0 34.7315 4 54060 Excision of penis lesion(s) A 1.93 1.27 4.30 2.03 1.27 1.44 1.31 0.09 6.32 4.05 3.46 3.33 0010.10.80.1020100P0 34.7315 4 54065 Destruction, penis lesion(s) A 2.42 2.68 4.28 3.08 1.34 1.85 1.47 0.20 6.90 5.70 4.47 4.09 0010.10.80.1020100P0 34.7315 4 54100 Biopsy of penis A 1.90 0.71 2.91 1.26 0.71 0.70 0.71 0.05 4.86 3.21 2.65 2.66 0000.00.00.0020100P0 34.7315 4 54105 Biopsy of penis A 3.50 1.10 5.42 2.18 1.10 1.97 1.32 0.09 9.01 5.77 5.56 4.91 0010.10.80.1020100P0 34.7315 4 54110 Treatment of penis lesion A 10.13 6.54 7.21 NA 6.71 6.54 7.21 6.71 0.48 17.82 17.32 17.82 17.32 0090.10.80.1020200P0 34.7315 4 54111 Treat penis lesion, graft A 13.57 9.96 8.40 NA 9.57 9.96 8.40 9.57 0.76 22.73 23.90 22.73 23.90 0090.10.80.1020210P0 34.7315 4 54112 Treat penis lesion, graft A 15.86 11.76 9.47 NA11.19 11.76 9.47 11.19 0.89 26.22 27.94 26.22 27.94 0090.10.80.1020210P0 34.7315 4 54115 Treatment of penis lesion A 6.15 4.54 9.67 5.82 4.54 5.96 4.90 0.34 16.16 12.31 12.45 11.39 0090.10.80.1020200P0 34.7315 4 54120 Partial removal of penis A 9.97 7.02 7.27 NA 7.08 7.02 7.27 7.08 0.49 17.73 17.54 17.73 17.54 0090.10.80.1020210P0 34.7315 4 54125 Removal of penis A 13.53 12.55 8.39 NA11.51 12.55 8.39 11.51 0.92 22.84 25.96 22.84 25.96 0090.10.80.1020210P0 34.7315 4 54130 Remove penis & nodes A 20.14 15.91 10.86 NA14.65 15.91 10.86 14.65 1.03 32.03 35.82 32.03 35.82 0090.10.80.1022210P0 34.7315 4 54135 Remove penis & nodes A 26.36 19.26 12.95 NA17.68 19.26 12.95 17.68 1.36 40.67 45.40 40.67 45.40 0090.10.80.1022200P0 34.7315 4 54150 Circumcision A 1.81 0.59 4.62 1.60 0.59 1.62 0.85 0.04 6.47 3.45 3.47 2.70 0010.10.80.1020000P0 34.7315 4 54152 Circumcision A 2.31 1.98 1.55 NA 1.87 1.98 1.55 1.87 0.16 4.02 4.34 4.02 4.34 0010.10.80.1020100P0 34.7315 4 54160 Circumcision A 2.48 1.80 4.45 2.46 1.80 1.62 1.76 0.16 7.09 5.10 4.26 4.40 0010.10.80.1020100P0 34.7315 4 54161 Circumcision A 3.27 2.36 1.88 NA 2.24 2.36 1.88 2.24 0.18 5.33 5.69 5.33 5.69 0010.10.80.1020100P0 34.7315 4 54200 Treatment of penis lesion A 1.06 0.35 2.09 0.79 0.18 0.37 0.23 0.02 3.17 1.87 1.45 1.31 0010.10.80.1020100P0 34.7315 4 54205 Treatment of penis lesion A 7.93 5.55 6.08 NA 5.68 5.55 6.08 5.68 0.39 14.40 14.00 14.40 14.00 0090.10.80.1020200P0 34.7315 4 54220 Treatment of penis lesion A 2.42 1.71 1.81 1.74 1.71 0.93 1.52 0.13 4.36 4.29 3.48 4.07 0000.00.00.0020100P0 34.7315 4 54230 Prepare penis study A 1.34 1.45 0.44 NA 1.20 0.73 0.44 0.66 0.10 1.88 2.64 1.88 2.10 0000.00.00.0020100P0 34.7315 4 54231 Dynamic cavernosometry A 2.04 1.56 1.68 1.59 1.56 0.75 1.36 0.11 3.83 3.74 2.90 3.51 0000.00.00.0020100P0 34.7315 4 54235 Penile injection A 1.19 0.47 0.91 0.58 0.24 0.39 0.28 0.03 2.13 1.80 1.61 1.50 0000.00.00.0020100P0 34.7315 4 54240 Penis study A 1.31 1.07 0.96 1.04 1.07 0.96 1.04 0.10 2.37 2.45 2.37 2.45 1000.00.00.0020000P0 34.7315 4 54240TCPenis study A 0.00 0.52 0.52 0.52 0.52 0.52 0.52 0.05 0.57 0.57 0.57 0.57 1000.00.00.0000000P0 34.7315 4 5424026Penis study A 1.31 0.55 0.44 0.52 0.55 0.44 0.52 0.05 1.80 1.88 1.80 1.88 1000.00.00.0020000P0 34.7315 4 54250 Penis study A 2.22 0.87 1.06 0.92 0.87 1.06 0.92 0.06 3.34 3.20 3.34 3.20 1000.00.00.0020000P0 34.7315 4 54250TCPenis study A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 1000.00.00.0000000P0 34.7315 4 5425026Penis study A 2.22 0.54 0.73 0.59 0.54 0.73 0.59 0.04 2.99 2.85 2.99 2.85 1000.00.00.0020000P0 34.7315 4 54300 Revision of penis A 10.41 7.47 7.73 NA 7.54 7.47 7.73 7.54 0.68 18.82 18.63 18.82 18.63 0090.10.80.1020210P0 34.7315 4 54304 Revision of penis A 12.49 9.40 8.90 NA 9.28 9.40 8.90 9.28 0.70 22.09 22.47 22.09 22.47 0090.10.80.1020200P0 34.7315 4 54308 Reconstruction of urethra A 11.83 6.34 10.63 NA 7.41 6.34 10.63 7.41 0.58 23.04 19.82 23.04 19.82 0090.10.80.1020210P0 34.7315 4 54312 Reconstruction of urethra A 13.57 10.17 10.63 NA10.29 10.17 10.63 10.29 0.71 24.91 24.57 24.91 24.57 0090.10.80.1020210P0 34.7315 4 54316 Reconstruction of urethra A 16.82 12.31 10.51 NA11.86 12.31 10.51 11.86 0.88 28.21 29.56 28.21 29.56 0090.10.80.1020210P0 34.7315 4 54318 Reconstruction of urethra A 11.25 8.17 8.40 NA 8.23 8.17 8.40 8.23 0.87 20.52 20.35 20.52 20.35 0090.10.80.1020210P0 34.7315 4 54322 Reconstruction of urethra A 13.01 8.26 8.21 NA 8.25 8.26 8.21 8.25 0.58 21.80 21.84 21.80 21.84 0090.10.80.1020200P0 34.7315 4 54324 Reconstruction of urethra A 16.31 11.92 10.50 NA11.57 11.92 10.50 11.57 0.84 27.65 28.72 27.65 28.72 0090.10.80.1020210P0 34.7315 4 54326 Reconstruction of urethra A 15.72 11.41 10.51 NA11.19 11.41 10.51 11.19 0.81 27.04 27.72 27.04 27.72 0090.10.80.1020210P0 34.7315 4 54328 Revise penis, urethra A 15.65 11.63 9.82 NA11.18 11.63 9.82 11.18 0.97 26.44 27.80 26.44 27.80 0090.10.80.1020210P0 34.7315 4 54332 Revise penis, urethra A 17.08 13.59 10.14 NA12.73 13.59 10.14 12.73 0.88 28.10 30.69 28.10 30.69 0090.10.80.1020210P0 34.7315 4 54336 Revise penis, urethra A 20.04 20.39 13.09 NA18.57 20.39 13.09 18.57 1.10 34.23 39.71 34.23 39.71 0090.10.80.1020210P0 34.7315 4 54340 Secondary urethral surgery A 8.91 6.59 6.69 NA 6.62 6.59 6.69 6.62 0.46 16.06 15.99 16.06 15.99 0090.10.80.1020210P0 34.7315 4 54344 Secondary urethral surgery A 15.94 18.03 10.28 NA16.09 18.03 10.28 16.09 0.86 27.08 32.89 27.08 32.89 0090.10.80.1020210P0 34.7315 4 54348 Secondary urethral surgery A 17.15 12.61 11.15 NA12.25 12.61 11.15 12.25 0.89 29.19 30.29 29.19 30.29 0090.10.80.1020210P0 34.7315 4 54352 Reconstruct urethra, penis A 24.74 17.56 13.38 NA16.52 17.56 13.38 16.52 1.17 39.29 42.43 39.29 42.43 0090.10.80.1020210P0 34.7315 4 54360 Penis plastic surgery A 11.93 7.62 7.99 NA 7.71 7.62 7.99 7.71 0.57 20.49 20.21 20.49 20.21 0090.10.80.1020210P0 34.7315 4 54380 Repair penis A 13.18 10.22 8.17 NA 9.71 10.22 8.17 9.71 0.59 21.94 23.48 21.94 23.48 0090.10.80.1020210P0 34.7315 4 54385 Repair penis A 15.39 11.35 9.08 NA10.78 11.35 9.08 10.78 0.70 25.17 26.87 25.17 26.87 0090.10.80.1020210P0 34.7315 4 54390 Repair penis and bladder A 21.61 14.73 12.31 NA14.13 14.73 12.31 14.13 1.24 35.16 36.98 35.16 36.98 0090.10.80.1020210P0 34.7315 4 54400 Insert semi-rigid prosthesis A 8.99 10.73 5.66 NA 9.46 10.73 5.66 9.46 0.99 15.64 19.44 15.64 19.44 0090.10.80.1020110P0 34.7315 4 54401 Insert self-contd prosthesis A 10.28 12.27 6.30 NA10.78 12.27 6.30 10.78 1.35 17.93 22.41 17.93 22.41 0090.10.80.1020110P0 34.7315 4 54402 Remove penis prosthesis A 9.21 6.51 5.61 NA 6.29 6.51 5.61 6.29 0.45 15.27 15.95 15.27 15.95 0090.10.80.1020210P0 34.7315 4 54405 Insert multi-comp prosthesis A 13.43 16.03 7.29 NA13.85 16.03 7.29 13.85 1.64 22.36 28.92 22.36 28.92 0090.10.80.1020210P0 34.7315 4 54407 Remove multi-comp prosthesis A 13.34 12.18 7.01 NA10.89 12.18 7.01 10.89 0.86 21.21 25.09 21.21 25.09 0090.10.80.1020210P0 34.7315 4 54409 Revise penis prosthesis A 12.20 9.73 6.59 NA 8.95 9.73 6.59 8.95 0.68 19.47 21.83 19.47 21.83 0090.10.80.1020210P0 34.7315 4 54420 Revision of penis A 11.42 8.40 7.68 NA 8.22 8.40 7.68 8.22 0.68 19.78 20.32 19.78 20.32 0090.10.80.1020200P0 34.7315 4 54430 Revision of penis A 10.15 7.59 7.22 NA 7.50 7.59 7.22 7.50 0.54 17.91 18.19 17.91 18.19 0090.10.80.1022200P0 34.7315 4 54435 Revision of penis A 6.12 4.50 5.59 NA 4.77 4.50 5.59 4.77 0.31 12.02 11.20 12.02 11.20 0090.10.80.1020100P0 34.7315 4 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.80.1020210P0 34.7315 9 54450 Preputial stretching A 1.12 0.74 0.91 0.78 0.74 0.43 0.66 0.05 2.08 1.95 1.60 1.83 0000.00.00.0020100P0 34.7315 4 54500 Biopsy of testis A 1.31 0.48 5.40 1.71 0.48 0.73 0.54 0.04 6.75 3.06 2.08 1.89 0000.00.00.0021000P0 34.7315 4 54505 Biopsy of testis A 3.46 2.02 2.44 NA 2.13 2.02 2.44 2.13 0.17 6.07 5.76 6.07 5.76 0010.10.80.1021000P0 34.7315 4 54510 Removal of testis lesion A 5.45 3.29 3.24 NA 3.28 3.29 3.24 3.28 0.30 8.99 9.03 8.99 9.03 0090.10.80.1021000P0 34.7315 4 54520 Removal of testis A 5.23 5.76 3.33 NA 5.15 5.76 3.33 5.15 0.41 8.97 10.79 8.97 10.79 0090.10.80.1021100P0 34.7315 4 54530 Removal of testis A 8.58 7.94 4.86 NA 7.17 7.94 4.86 7.17 0.60 14.04 16.35 14.04 16.35 0090.10.80.1021210P0 34.7315 4 54535 Extensive testis surgery A 12.16 9.27 6.43 NA 8.56 9.27 6.43 8.56 0.80 19.39 21.52 19.39 21.52 0090.10.80.1021200P0 34.7315 4 54550 Exploration for testis A 7.78 5.70 4.45 NA 5.39 5.70 4.45 5.39 0.48 12.71 13.65 12.71 13.65 0090.10.80.1021200P0 34.7315 4 54560 Exploration for testis A 11.13 7.85 6.04 NA 7.40 7.85 6.04 7.40 0.63 17.80 19.16 17.80 19.16 0090.10.80.1021210P0 34.7315 4 54600 Reduce testis torsion A 7.01 5.01 3.98 NA 4.75 5.01 3.98 4.75 0.38 11.37 12.14 11.37 12.14 0090.10.80.1021100P0 34.7315 4 54620 Suspension of testis A 4.90 3.60 2.93 NA 3.43 3.60 2.93 3.43 0.26 8.09 8.59 8.09 8.59 0010.10.80.1021100P0 34.7315 4 54640 Suspension of testis A 6.90 8.24 3.98 NA 7.18 8.24 3.98 7.18 0.71 11.59 14.79 11.59 14.79 0090.10.80.1021100P0 34.7315 4 54650 Orchiopexy (Fowler-Stephens) A 11.45 8.49 6.31 NA 7.95 8.49 6.31 7.95 0.71 18.47 20.11 18.47 20.11 0090.10.80.1021200P0 34.7315 4 54660 Revision of testis A 5.11 3.69 3.16 NA 3.56 3.69 3.16 3.56 0.27 8.54 8.94 8.54 8.94 0090.10.80.1021000P0 34.7315 4 54670 Repair testis injury A 6.41 4.67 3.98 NA 4.50 4.67 3.98 4.50 0.34 10.73 11.25 10.73 11.25 0090.10.80.1021000P0 34.7315 4 54680 Relocation of testis(es) A 12.65 8.89 6.47 NA 8.29 8.89 6.47 8.29 0.63 19.75 21.57 19.75 21.57 0090.10.80.1021210P0 34.7315 4 54700 Drainage of scrotum A 3.43 0.98 7.68 2.66 0.98 3.08 1.51 0.09 11.20 6.18 6.60 5.03 0010.10.80.1020100P0 34.7315 4 54800 Biopsy of epididymis A 2.33 2.14 4.45 2.72 2.14 1.03 1.86 0.15 6.93 5.20 3.51 4.34 0000.00.00.0020000P0 34.7315 4 54820 Exploration of epididymis A 5.14 2.84 3.30 NA 2.96 2.84 3.30 2.96 0.23 8.67 8.33 8.67 8.33 0090.10.80.1020000P0 34.7315 4 54830 Remove epididymis lesion A 5.38 3.81 3.40 NA 3.71 3.81 3.40 3.71 0.31 9.09 9.40 9.09 9.40 0090.10.80.1020000P0 34.7315 4 54840 Remove epididymis lesion A 5.20 5.25 3.39 NA 4.79 5.25 3.39 4.79 0.38 8.97 10.37 8.97 10.37 0090.10.80.1020100P0 34.7315 4 54860 Removal of epididymis A 6.32 5.61 3.90 NA 5.18 5.61 3.90 5.18 0.39 10.61 11.89 10.61 11.89 0090.10.80.1020100P0 34.7315 4 54861 Removal of epididymis A 8.90 7.92 4.83 NA 7.15 7.92 4.83 7.15 0.56 14.29 16.61 14.29 16.61 0090.10.80.1020000P0 34.7315 4 54900 Fusion of spermatic ducts A 13.20 9.71 6.55 NA 8.92 9.71 6.55 8.92 0.68 20.43 22.80 20.43 22.80 0090.10.80.1020000P0 34.7315 4 54901 Fusion of spermatic ducts A 17.94 13.34 8.73 NA12.19 13.34 8.73 12.19 0.94 27.61 31.07 27.61 31.07 0090.10.80.1022000P0 34.7315 4 55000 Drainage of hydrocele A 1.43 0.43 1.52 0.70 0.22 0.76 0.36 0.03 2.98 2.16 2.22 1.82 0000.00.00.0020100P0 34.7315 4 55040 Removal of hydrocele A 5.36 5.30 3.22 NA 4.78 5.30 3.22 4.78 0.43 9.01 10.57 9.01 10.57 0090.10.80.1020100P0 34.7315 4 55041 Removal of hydroceles A 7.74 8.11 4.27 NA 7.15 8.11 4.27 7.15 0.63 12.64 15.52 12.64 15.52 0090.10.80.1022100P0 34.7315 4 55060 Repair of hydrocele A 5.52 4.48 3.28 NA 4.18 4.48 3.28 4.18 0.39 9.19 10.09 9.19 10.09 0090.10.80.1021000P0 34.7315 4 55100 Drainage of scrotum abscess A 2.13 0.68 8.96 2.75 0.68 3.16 1.30 0.05 11.14 4.93 5.34 3.48 0010.10.80.1020100P0 34.7315 4 55110 Explore scrotum A 5.70 3.78 3.37 NA 3.68 3.78 3.37 3.68 0.29 9.36 9.67 9.36 9.67 0090.10.80.1020100P0 34.7315 4 55120 Removal of scrotum lesion A 5.09 1.94 3.17 NA 2.25 1.94 3.17 2.25 0.16 8.42 7.50 8.42 7.50 0090.10.80.1020000P0 34.7315 4 55150 Removal of scrotum A 7.22 5.91 4.28 NA 5.50 5.91 4.28 5.50 0.45 11.95 13.17 11.95 13.17 0090.10.80.1020210P0 34.7315 4 55175 Revision of scrotum A 5.24 4.87 3.40 NA 4.50 4.87 3.40 4.50 0.38 9.02 10.12 9.02 10.12 0090.10.80.1020000P0 34.7315 4 55180 Revision of scrotum A 10.72 7.41 6.09 NA 7.08 7.41 6.09 7.08 0.64 17.45 18.44 17.45 18.44 0090.10.80.1020000P0 34.7315 4 55200 Incision of sperm duct A 4.24 2.14 2.87 NA 2.32 2.14 2.87 2.32 0.16 7.27 6.72 7.27 6.72 0090.10.80.1022000P0 34.7315 4 55250 Removal of sperm duct(s) A 3.29 2.85 8.19 4.19 1.43 2.78 1.77 0.22 11.70 7.70 6.29 5.28 0090.10.80.1022100P0 34.7315 4 55300 Preparation,sperm duct x-ray A 3.51 2.94 1.54 NA 2.59 2.94 1.54 2.59 0.21 5.26 6.31 5.26 6.31 0000.00.00.0022000P0 34.7315 4 55400 Repair of sperm duct A 8.49 7.12 5.45 NA 6.70 7.12 5.45 6.70 0.49 14.43 15.68 14.43 15.68 0090.10.80.1021210P0 34.7315 4 55450 Ligation of sperm duct A 4.12 2.83 3.97 3.12 2.83 2.29 2.70 0.25 8.34 7.49 6.66 7.07 0010.10.80.1022000P0 34.7315 4 55500 Removal of hydrocele A 5.59 4.69 3.38 NA 4.36 4.69 3.38 4.36 0.39 9.36 10.34 9.36 10.34 0090.10.80.1020000P0 34.7315 4 55520 Removal of sperm cord lesion A 6.03 3.39 3.38 NA 3.39 3.39 3.38 3.39 0.40 9.81 9.82 9.81 9.82 0090.10.80.1020210P0 34.7315 4 55530 Revise spermatic cord veins A 5.66 5.64 3.49 NA 5.10 5.64 3.49 5.10 0.47 9.62 11.23 9.62 11.23 0090.10.80.1020110P0 34.7315 4 55535 Revise spermatic cord veins A 6.56 4.78 4.00 NA 4.59 4.78 4.00 4.59 0.35 10.91 11.50 10.91 11.50 0090.10.80.1020210P0 34.7315 4 55540 Revise hernia & sperm veins A 7.67 4.93 4.01 NA 4.70 4.93 4.01 4.70 0.71 12.39 13.08 12.39 13.08 0090.10.80.1020210P0 34.7315 4 55600 Incise sperm duct pouch A 6.38 4.68 4.03 NA 4.52 4.68 4.03 4.52 0.43 10.84 11.33 10.84 11.33 0090.10.80.1021000P0 34.7315 4 55605 Incise sperm duct pouch A 7.96 6.08 4.80 NA 5.76 6.08 4.80 5.76 0.46 13.22 14.18 13.22 14.18 0090.10.80.1021000P0 34.7315 4 55650 Remove sperm duct pouch A 11.80 7.84 5.99 NA 7.38 7.84 5.99 7.38 0.59 18.38 19.77 18.38 19.77 0090.10.80.1021210P0 34.7315 4 55680 Remove sperm pouch lesion A 5.19 4.81 3.43 NA 4.47 4.81 3.43 4.47 0.30 8.92 9.96 8.92 9.96 0090.10.80.1020000P0 34.7315 4 55700 Biopsy of prostate A 1.57 1.63 3.15 2.01 0.82 0.81 0.82 0.12 4.84 3.70 2.50 2.51 0000.00.00.0020100P0 34.7315 4 55705 Biopsy of prostate A 4.57 3.66 3.34 NA 3.58 3.66 3.34 3.58 0.27 8.18 8.42 8.18 8.42 0010.10.80.1020110P0 34.7315 4 55720 Drainage of prostate abscess A 7.64 3.81 5.06 NA 4.12 3.81 5.06 4.12 0.29 12.99 12.05 12.99 12.05 0090.10.80.1020210P0 34.7315 4 55725 Drainage of prostate abscess A 8.68 6.10 5.47 NA 5.94 6.10 5.47 5.94 0.42 14.57 15.04 14.57 15.04 0090.10.80.1020210P0 34.7315 4 55801 Removal of prostate A 17.80 13.85 8.59 NA12.54 13.85 8.59 12.54 1.13 27.52 31.47 27.52 31.47 0090.10.80.1020210P0 34.7315 4 55810 Extensive prostate surgery A 22.58 19.40 10.56 NA17.19 19.40 10.56 17.19 1.38 34.52 41.15 34.52 41.15 0090.10.80.1020210P0 34.7315 4 55812 Extensive prostate surgery A 27.51 19.19 12.44 NA17.50 19.19 12.44 17.50 1.52 41.47 46.53 41.47 46.53 0090.10.80.1020210P0 34.7315 4 55815 Extensive prostate surgery A 30.46 27.35 13.50 NA23.89 27.35 13.50 23.89 1.89 45.85 56.24 45.85 56.24 0090.10.80.1022210P0 34.7315 4 55821 Removal of prostate A 14.25 14.75 7.25 NA12.88 14.75 7.25 12.88 1.06 22.56 28.19 22.56 28.19 0090.10.80.1020210P0 34.7315 4 55831 Removal of prostate A 15.62 15.80 7.72 NA13.78 15.80 7.72 13.78 1.13 24.47 30.53 24.47 30.53 0090.10.80.1020210P0 34.7315 4 55840 Extensive prostate surgery A 22.69 18.02 11.05 NA16.28 18.02 11.05 16.28 1.26 35.00 40.23 35.00 40.23 0090.10.80.1020210P0 34.7315 4 55842 Extensive prostate surgery A 24.38 20.79 11.67 NA18.51 20.79 11.67 18.51 1.47 37.52 44.36 37.52 44.36 0090.10.80.1020210P0 34.7315 4 55845 Extensive prostate surgery A 28.55 27.24 12.88 NA23.65 27.24 12.88 23.65 1.91 43.34 54.11 43.34 54.11 0090.10.80.1022210P0 34.7315 4 55859 Percut/needle insert, pros A 12.52 6.39 7.39 NA 6.64 6.39 7.39 6.64 0.45 20.36 19.61 20.36 19.61 0090.10.80.1020000P0 34.7315 4 55860 Surgical exposure, prostate A 14.45 7.74 7.54 NA 7.69 7.74 7.54 7.69 0.55 22.54 22.69 22.54 22.69 0090.10.80.1020110P0 34.7315 4 55862 Extensive prostate surgery A 18.39 12.69 8.71 NA11.70 12.69 8.71 11.70 0.94 28.04 31.03 28.04 31.03 0090.10.80.1020210P0 34.7315 4 55865 Extensive prostate surgery A 22.87 26.61 10.34 NA22.54 26.61 10.34 22.54 1.87 35.08 47.28 35.08 47.28 0090.10.80.1022210P0 34.7315 4 55870 Electroejaculation A 2.58 1.99 1.61 1.90 1.99 0.93 1.73 0.14 4.33 4.62 3.65 4.45 0000.00.00.0020110P0 34.7315 4 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 56300 Laparoscopy; diagnostic A 5.10 4.83 2.93 NA 4.36 4.83 2.93 4.36 0.73 8.76 10.19 8.76 10.19 0010.10.80.1020200P0 34.7315 4 56301 Laparoscopy; tubal cautery A 5.60 5.11 3.53 NA 4.72 5.11 3.53 4.72 1.00 10.13 11.32 10.13 11.32 0010.10.80.1030120P0 56300 34.7315 4 56302 Laparoscopy; tubal block A 5.60 5.71 3.54 NA 5.17 5.71 3.54 5.17 1.03 10.17 11.80 10.17 11.80 0010.10.80.1030120P0 56300 34.7315 4 56303 Laparoscopy; excise lesions A 11.79 6.00 5.45 NA 5.86 6.00 5.45 5.86 0.91 18.15 18.56 18.15 18.56 0090.09.84.0730220P0 56300 34.7315 4 56304 Laparoscopy; lysis A 11.29 6.08 5.24 NA 5.87 6.08 5.24 5.87 0.94 17.47 18.10 17.47 18.10 0090.09.84.0730220P0 56300 34.7315 4 56305 Laparoscopy; biopsy A 5.40 5.32 2.93 NA 4.72 5.32 2.93 4.72 0.62 8.95 10.74 8.95 10.74 0010.10.80.1030220P0 56300 34.7315 4 56306 Laparoscopy; aspiration A 5.70 5.29 3.34 NA 4.80 5.29 3.34 4.80 0.92 9.96 11.42 9.96 11.42 0010.10.80.1030220P0 56300 34.7315 4 56307 Laparoscopy; remove adnexa A 11.05 7.77 4.91 NA 7.06 7.77 4.91 7.06 1.25 17.21 19.36 17.21 19.36 0010.10.80.1030220P0 56300 34.7315 4 56308 Laparoscopy; hysterectomy A 14.19 10.19 6.31 NA 9.22 10.19 6.31 9.22 1.62 22.12 25.03 22.12 25.03 0010.10.80.1030220P0 56300 34.7315 4 56309 Laparoscopy; remove myoma A 14.21 5.17 6.30 NA 5.45 5.17 6.30 5.45 0.81 21.32 20.47 21.32 20.47 0010.10.80.1030220P0 56300 34.7315 4 56310 Laparoscopic enterolysis A 14.44 8.99 7.24 NA 8.55 8.99 7.24 8.55 1.37 23.05 24.36 23.05 24.36 0090.09.81.1020210P0 34.7315 4 56311 Laparoscopic lymph node biop A 9.25 6.92 4.65 NA 6.35 6.92 4.65 6.35 1.15 15.05 16.75 15.05 16.75 0010.10.80.1030220P0 56300 34.7315 4 56312 Laparoscopic lymphadenectomy A 12.38 9.29 5.73 NA 8.40 9.29 5.73 8.40 0.66 18.77 21.44 18.77 21.44 0010.10.80.1022220P0 34.7315 4 56313 Laparoscopic lymphadenectomy A 14.32 10.86 6.97 NA 9.89 10.86 6.97 9.89 1.81 23.10 26.02 23.10 26.02 0010.10.80.1022220P0 34.7315 4 56314 Lapar; drain lymphocele A 9.48 7.30 4.76 NA 6.67 7.30 4.76 6.67 0.52 14.76 16.67 14.76 16.67 0090.10.80.1030220P0 56300 34.7315 4 56315 Laparoscopic appendectomy A 8.70 5.31 4.36 NA 5.07 5.31 4.36 5.07 0.79 13.85 14.56 13.85 14.56 0090.09.81.1020220P0 34.7315 4 56316 Laparoscopic hernia repair A 6.27 4.89 3.35 NA 4.51 4.89 3.35 4.51 0.74 10.36 11.52 10.36 11.52 0090.09.81.1021210P0 34.7315 4 56317 Laparoscopic hernia repair A 8.24 5.67 4.37 NA 5.35 5.67 4.37 5.35 0.87 13.48 14.46 13.48 14.46 0090.09.81.1021210P0 34.7315 4 56318 Laparoscopic orchiectomy A 10.96 7.85 6.38 NA 7.48 7.85 6.38 7.48 0.63 17.97 19.07 17.97 19.07 0090.10.80.1021210P0 34.7315 4 56320 Laparoscopy, spermatic veins A 6.57 4.78 3.37 NA 4.43 4.78 3.37 4.43 0.35 10.29 11.35 10.29 11.35 0090.10.80.1021210P0 34.7315 4 56321 Laparoscopy; adrenalectomy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 34.7315 9 56322 Laparoscopy, vagus nerves A 10.15 5.50 4.97 NA 5.37 5.50 4.97 5.37 0.92 16.04 16.44 16.04 16.44 0090.11.76.1320210P0 34.7315 4 56323 Laparoscopy, vagus nerves A 12.15 6.61 6.57 NA 6.60 6.61 6.57 6.60 1.10 19.82 19.85 19.82 19.85 0090.11.76.1320210P0 34.7315 4 56324 Laparoscopy, cholecystoenter A 12.58 9.94 6.40 NA 9.06 9.94 6.40 9.06 1.51 20.49 23.15 20.49 23.15 0090.09.81.1020210P0 34.7315 4 56340 Laparoscopic cholecystectomy A 11.09 8.67 5.33 NA 7.84 8.67 5.33 7.84 1.36 17.78 20.29 17.78 20.29 0090.09.81.1020210P0 34.7315 4 56341 Laparoscopic cholecystectomy A 11.94 9.15 5.78 NA 8.31 9.15 5.78 8.31 1.44 19.16 21.69 19.16 21.69 0090.09.81.1020210P0 34.7315 4 56342 Laparoscopic cholecystectomy A 14.23 10.17 7.21 NA 9.43 10.17 7.21 9.43 1.56 23.00 25.22 23.00 25.22 0090.09.81.1020210P0 34.7315 4 56343 Laparoscopic salpingostomy A 13.74 5.73 6.53 NA 5.93 5.73 6.53 5.93 0.87 21.14 20.54 21.14 20.54 0090.10.80.1031200P0 56300 34.7315 4 56344 Laparoscopic fimbrioplasty A 12.88 5.55 6.16 NA 5.70 5.55 6.16 5.70 0.93 19.97 19.51 19.97 19.51 0090.10.80.1031200P0 56300 34.7315 4 56345 Laparoscopic splenectomy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 56346 Laparoscopic gastrostomy A 7.73 6.72 4.52 NA 6.17 6.72 4.52 6.17 0.93 13.18 14.83 13.18 14.83 0090.09.81.1020210P0 34.7315 4 56347 Laparoscopic jejunostomy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 56348 Laparo; resect intestine A 22.04 14.38 10.41 NA13.39 14.38 10.41 13.39 2.17 34.62 37.60 34.62 37.60 0090.09.81.1020210P0 34.7315 4 56349 Laparoscopy; fundoplasty A 17.25 12.89 9.96 NA12.16 12.89 9.96 12.16 1.98 29.19 31.39 29.19 31.39 0090.09.81.1020210P0 34.7315 4 56350 Hysteroscopy; diagnostic A 3.33 2.16 2.76 2.31 2.16 1.34 1.96 0.34 6.43 5.98 5.01 5.63 0000.00.00.0020020P0 34.7315 4 56351 Hysteroscopy; biopsy A 4.75 2.16 3.30 2.45 2.16 1.88 2.09 0.34 8.39 7.54 6.97 7.18 0000.00.00.0030120P0 56350 34.7315 4 56352 Hysteroscopy; lysis A 6.17 4.09 2.41 NA 3.67 4.09 2.41 3.67 0.66 9.24 10.50 9.24 10.50 0000.00.00.0030120P0 56350 34.7315 4 56353 Hysteroscopy; resect septum A 7.00 4.09 2.74 NA 3.75 4.09 2.74 3.75 0.66 10.40 11.41 10.40 11.41 0000.00.00.0030220P0 56350 34.7315 4 56354 Hysteroscopy; remove myoma A 10.00 5.35 3.88 NA 4.98 5.35 3.88 4.98 1.02 14.90 16.00 14.90 16.00 0000.00.00.0030020P0 56350 34.7315 4 56355 Hysteroscopy; remove impact A 5.21 2.16 2.01 NA 2.12 2.16 2.01 2.12 0.34 7.56 7.67 7.56 7.67 0000.00.00.0030120P0 56350 34.7315 4 56356 Hysteroscopy; ablation A 6.17 4.76 2.43 NA 4.18 4.76 2.43 4.18 1.17 9.77 11.52 9.77 11.52 0000.00.00.0030020P0 56350 34.7315 4 56362 Laparoscopy w/cholangio A 4.89 3.01 2.32 NA 2.84 3.01 2.32 2.84 0.15 7.36 7.88 7.36 7.88 0000.00.00.0020000P0 34.7315 4 56363 Laparoscopy w/biopsy A 5.18 4.27 2.65 NA 3.87 4.27 2.65 3.87 0.35 8.18 9.40 8.18 9.40 0000.00.00.0020000P0 34.7315 4 56399 Laparoscopy procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200P0 34.7315 9 56405 I & D of vulva/perineum A 1.44 0.82 2.14 1.15 0.41 1.14 0.59 0.12 3.70 2.71 2.70 2.15 0010.10.80.1020120P0 34.7315 4 56420 Drainage of gland abscess A 1.39 0.87 2.12 1.18 0.44 1.05 0.59 0.10 3.61 2.67 2.54 2.08 0010.10.80.1020100P0 34.7315 4 56440 Surgery for vulva lesion A 2.84 2.85 3.22 2.94 2.85 2.15 2.68 0.41 6.47 6.19 5.40 5.93 0010.10.80.1020100P0 34.7315 4 56441 Lysis of labial lesion(s) A 1.97 1.79 2.40 1.94 1.79 1.96 1.83 0.23 4.60 4.14 4.16 4.03 0010.10.80.1020000P0 34.7315 4 56501 Destruction, vulva lesion(s) A 1.53 0.59 2.10 0.97 0.30 1.28 0.55 0.09 3.72 2.59 2.90 2.17 0010.10.80.1020100P0 34.7315 4 56515 Destruction, vulva lesion(s) A 1.88 2.56 2.44 2.53 2.25 1.76 2.13 0.52 4.84 4.93 4.16 4.53 0010.10.80.1020100P0 34.7315 4 56605 Biopsy of vulva/perineum A 1.10 0.74 1.63 0.96 0.37 0.44 0.39 0.12 2.85 2.18 1.66 1.61 0000.00.00.0020120P0 34.7315 4 56606 Biopsy of vulva/perineum A 0.55 0.38 1.43 0.64 0.19 0.24 0.20 0.06 2.04 1.25 0.85 0.81 0ZZZ.00.00.0000120P0 34.7315 4 56620 Partial removal of vulva A 7.47 7.02 4.51 NA 6.39 7.02 4.51 6.39 1.10 13.08 14.96 13.08 14.96 0090.12.74.1420210P0 34.7315 4 56625 Complete removal of vulva A 8.40 10.03 5.37 NA 8.87 10.03 5.37 8.87 1.67 15.44 18.94 15.44 18.94 0090.12.74.1420210P0 34.7315 4 56630 Extensive vulva surgery A 12.36 14.61 7.15 NA12.75 14.61 7.15 12.75 2.57 22.08 27.68 22.08 27.68 0090.12.74.1420210P0 34.7315 4 56631 Extensive vulva surgery A 16.20 19.34 9.56 NA16.90 19.34 9.56 16.90 3.53 29.29 36.63 29.29 36.63 0090.12.74.1420220P0 34.7315 4 56632 Extensive vulva surgery A 20.29 23.14 11.12 NA20.14 23.14 11.12 20.14 3.53 34.94 43.96 34.94 43.96 0090.12.74.1422220P0 34.7315 4 56633 Extensive vulva surgery A 16.47 17.33 8.73 NA15.18 17.33 8.73 15.18 2.57 27.77 34.22 27.77 34.22 0090.12.74.1420220P0 34.7315 4 56634 Extensive vulva surgery A 17.88 21.35 10.26 NA18.58 21.35 10.26 18.58 3.53 31.67 39.99 31.67 39.99 0090.12.74.1420220P0 34.7315 4 56637 Extensive vulva surgery A 21.97 23.25 11.69 NA20.36 23.25 11.69 20.36 3.53 37.19 45.86 37.19 45.86 0090.12.74.1420220P0 34.7315 4 56640 Extensive vulva surgery A 22.17 21.65 11.28 NA19.06 21.65 11.28 19.06 3.41 36.86 44.64 36.86 44.64 0090.12.74.1421210P0 34.7315 4 56700 Partial removal of hymen A 2.52 1.98 2.73 2.17 1.98 1.98 1.98 0.27 5.52 4.96 4.77 4.77 0010.10.80.1020210P0 34.7315 4 56720 Incision of hymen A 0.68 0.52 1.49 0.76 0.52 0.67 0.56 0.09 2.26 1.53 1.44 1.33 0000.00.00.0020000P0 34.7315 4 56740 Remove vagina gland lesion A 3.76 3.11 3.05 3.10 3.11 2.45 2.95 0.43 7.24 7.29 6.64 7.14 0010.10.80.1020100P0 34.7315 4 56800 Repair of vagina A 3.89 3.17 2.68 NA 3.05 3.17 2.68 3.05 0.45 7.02 7.39 7.02 7.39 0010.10.80.1020210P0 34.7315 4 56805 Repair clitoris A 18.86 12.75 8.24 NA11.62 12.75 8.24 11.62 1.07 28.17 31.55 28.17 31.55 0090.12.74.1420210P0 34.7315 4 56810 Repair of perineum A 4.13 2.84 2.62 NA 2.79 2.84 2.62 2.79 0.40 7.15 7.32 7.15 7.32 0010.10.80.1020220P0 34.7315 4 57000 Exploration of vagina A 2.97 2.20 2.26 NA 2.22 2.20 2.26 2.22 0.27 5.50 5.46 5.50 5.46 0010.10.80.1020000P0 34.7315 4 57010 Drainage of pelvic abscess A 6.03 2.88 3.59 NA 3.06 2.88 3.59 3.06 0.40 10.02 9.49 10.02 9.49 0090.12.74.1420000P0 34.7315 4 57020 Drainage of pelvic fluid A 1.50 0.71 1.42 0.89 0.71 0.57 0.68 0.11 3.03 2.50 2.18 2.29 0000.00.00.0020000P0 34.7315 4 57061 Destruction vagina lesion(s) A 1.25 0.89 2.04 1.18 0.45 1.18 0.63 0.13 3.42 2.56 2.56 2.01 0010.10.80.1020100P0 34.7315 4 57065 Destruction vagina lesion(s) A 2.61 3.11 2.64 2.99 3.11 2.16 2.87 0.58 5.83 6.18 5.35 6.06 0010.10.80.1020100P0 34.7315 4 57100 Biopsy of vagina A 0.97 0.67 1.31 0.83 0.34 0.38 0.35 0.10 2.38 1.90 1.45 1.42 0000.00.00.0020100P0 34.7315 4 57105 Biopsy of vagina A 1.69 1.70 2.27 1.84 1.70 1.78 1.72 0.26 4.22 3.79 3.73 3.67 0010.10.80.1020100P0 34.7315 4 57106 Remove vagina wall, partial A 6.36 0.00 2.45 2.45 0.00 2.37 2.37 0.86 9.67 9.67 9.59 9.59 0090.12.74.1420210P0 34.7315 5 57107 Remove vagina tissue/partial A 23.00 0.00 8.71 8.71 0.00 8.53 8.53 0.86 32.57 32.57 32.39 32.39 0090.12.74.1420210P0 34.7315 5 57108 Partial removal of vagina D 6.36 5.73 5.73 5.73 5.73 5.73 5.73 0.86 12.95 12.95 12.95 12.95 0090.12.74.1420210P0 34.7315 4 57109 Vaginectomy partial w/nodes A 27.00 0.00 9.80 9.80 0.00 9.36 9.36 3.03 39.83 39.83 39.39 39.39 0090.12.74.1422210P0 34.7315 5 57110 Remove vagina wall, complete A 14.29 8.55 6.81 NA 8.12 8.55 6.81 8.12 1.38 22.48 23.79 22.48 23.79 0090.12.74.1420210P0 34.7315 4 57111 Remove vagina tissue/compl A 27.00 0.00 9.43 9.43 0.00 10.12 10.12 3.03 39.46 39.46 40.15 40.15 0090.12.74.1422210P0 34.7315 5 57112 Vaginectomy complete w/nodes A 29.00 0.00 10.00 10.00 0.00 9.96 9.96 3.03 42.03 42.03 41.99 41.99 0090.12.74.1422210P0 34.7315 5 57120 Closure of vagina A 7.41 7.59 4.42 NA 6.80 7.59 4.42 6.80 1.18 13.01 15.39 13.01 15.39 0090.12.74.1420210P0 34.7315 4 57130 Remove vagina lesion A 2.43 2.84 2.00 NA 2.63 2.84 2.00 2.63 0.43 4.86 5.49 4.86 5.49 0010.10.80.1020210P0 34.7315 4 57135 Remove vagina lesion A 2.67 2.09 2.62 2.22 2.09 2.10 2.09 0.30 5.59 5.19 5.07 5.06 0010.10.80.1020100P0 34.7315 4 57150 Treat vagina infection A 0.55 0.21 0.92 0.39 0.11 0.21 0.14 0.03 1.50 0.97 0.79 0.72 0000.00.00.0020100P0 34.7315 4 57160 Insertion of pessary/device A 0.89 0.27 1.20 0.50 0.14 0.33 0.19 0.04 2.13 1.43 1.26 1.12 0000.00.00.0020100P0 34.7315 4 57170 Fitting of diaphragm/cap A 0.91 0.35 1.21 0.57 0.18 0.32 0.22 0.05 2.17 1.53 1.28 1.18 0000.00.00.0020000P0 34.7315 4 57180 Treat vaginal bleeding A 1.58 0.60 2.04 0.96 0.30 1.32 0.56 0.09 3.71 2.63 2.99 2.23 0010.10.80.1020100P0 34.7315 4 57200 Repair of vagina A 3.94 2.94 2.82 NA 2.91 2.94 2.82 2.91 0.47 7.23 7.32 7.23 7.32 0090.12.74.1420210P0 34.7315 4 57210 Repair vagina/perineum A 5.17 3.55 3.28 NA 3.48 3.55 3.28 3.48 0.51 8.96 9.16 8.96 9.16 0090.12.74.1420210P0 34.7315 4 57220 Revision of urethra A 4.31 4.82 3.25 NA 4.43 4.82 3.25 4.43 0.63 8.19 9.37 8.19 9.37 0090.12.74.1420210P0 34.7315 4 57230 Repair of urethral lesion A 5.64 4.17 3.83 NA 4.09 4.17 3.83 4.09 0.50 9.97 10.23 9.97 10.23 0090.12.74.1420210P0 34.7315 4 57240 Repair bladder & vagina A 6.07 7.25 4.08 NA 6.46 7.25 4.08 6.46 1.25 11.40 13.78 11.40 13.78 0090.12.74.1420210P0 34.7315 4 57250 Repair rectum & vagina A 5.53 6.60 3.66 NA 5.87 6.60 3.66 5.87 1.32 10.51 12.72 10.51 12.72 0090.12.74.1420210P0 34.7315 4 57260 Repair of vagina A 8.27 9.39 4.69 NA 8.22 9.39 4.69 8.22 1.47 14.43 17.96 14.43 17.96 0090.12.74.1420210P0 34.7315 4 57265 Extensive repair of vagina A 11.34 10.22 6.32 NA 9.25 10.22 6.32 9.25 1.65 19.31 22.24 19.31 22.24 0090.12.74.1420210P0 34.7315 4 57268 Repair of bowel bulge A 6.76 7.62 4.10 NA 6.74 7.62 4.10 6.74 1.17 12.03 14.67 12.03 14.67 0090.12.74.1420210P0 34.7315 4 57270 Repair of bowel pouch A 12.11 7.41 5.99 NA 7.06 7.41 5.99 7.06 1.13 19.23 20.30 19.23 20.30 0090.12.74.1420210P0 34.7315 4 57280 Suspension of vagina A 15.04 9.26 7.10 NA 8.72 9.26 7.10 8.72 1.45 23.59 25.21 23.59 25.21 0090.12.74.1420210P0 34.7315 4 57282 Repair of vaginal prolapse A 8.86 9.46 4.94 NA 8.33 9.46 4.94 8.33 1.48 15.28 18.67 15.28 18.67 0090.12.74.1420210P0 34.7315 4 57284 Repair paravaginal defect A 12.70 9.32 6.62 NA 8.65 9.32 6.62 8.65 0.66 19.98 22.01 19.98 22.01 0090.08.83.0920220P0 34.7315 4 57288 Repair bladder defect A 13.02 11.63 6.58 NA10.37 11.63 6.58 10.37 1.06 20.66 24.45 20.66 24.45 0090.12.74.1420210P0 34.7315 4 57289 Repair bladder & vagina A 11.58 8.89 6.23 NA 8.23 8.89 6.23 8.23 0.88 18.69 20.69 18.69 20.69 0090.12.74.1420210P0 34.7315 4 57291 Construction of vagina A 7.95 5.81 4.88 NA 5.58 5.81 4.88 5.58 0.93 13.76 14.46 13.76 14.46 0090.12.74.1420200P0 34.7315 4 57292 Construct vagina with graft A 13.09 7.11 6.96 NA 7.07 7.11 6.96 7.07 1.08 21.13 21.24 21.13 21.24 0090.12.74.1420210P0 34.7315 4 57300 Repair rectum-vagina fistula A 7.61 8.58 4.46 NA 7.55 8.58 4.46 7.55 1.30 13.37 16.46 13.37 16.46 0090.12.74.1420210P0 34.7315 4 57305 Repair rectum-vagina fistula A 13.77 8.19 7.23 NA 7.95 8.19 7.23 7.95 1.22 22.22 22.94 22.22 22.94 0090.12.74.1420210P0 34.7315 4 57307 Fistula repair & colostomy A 15.93 6.63 8.27 NA 7.04 6.63 8.27 7.04 1.00 25.20 23.97 25.20 23.97 0090.12.74.1420210P0 34.7315 4 57308 Fistula repair, transperine A 9.94 7.85 4.56 NA 7.03 7.85 4.56 7.03 1.10 15.60 18.07 15.60 18.07 0090.12.74.1420210P0 34.7315 4 57310 Repair urethrovaginal lesion A 6.78 4.69 4.38 NA 4.61 4.69 4.38 4.61 0.38 11.54 11.77 11.54 11.77 0090.12.74.1420210P0 34.7315 4 57311 Repair urethrovaginal lesion A 7.98 6.06 4.64 NA 5.71 6.06 4.64 5.71 0.32 12.94 14.01 12.94 14.01 0090.12.74.1420210P0 34.7315 4 57320 Repair bladder-vagina lesion A 8.01 9.56 4.88 NA 8.39 9.56 4.88 8.39 1.06 13.95 17.46 13.95 17.46 0090.12.74.1420210P0 34.7315 4 57330 Repair bladder-vagina lesion A 12.35 9.00 6.52 NA 8.38 9.00 6.52 8.38 0.63 19.50 21.36 19.50 21.36 0090.12.74.1420210P0 34.7315 4 57335 Repair vagina A 18.73 7.50 8.75 NA 7.81 7.50 8.75 7.81 0.63 28.11 27.17 28.11 27.17 0090.12.74.1420210P0 34.7315 4 57400 Dilation of vagina A 2.27 0.36 1.44 NA 0.63 0.36 1.44 0.63 0.05 3.76 2.95 3.76 2.95 0000.00.00.0020000P0 34.7315 4 57410 Pelvic examination A 1.75 0.39 2.40 0.89 0.39 1.13 0.58 0.04 4.19 2.68 2.92 2.37 0000.00.00.0020100P0 34.7315 4 57415 Removal vaginal foreign body A 2.17 0.39 3.13 1.08 0.39 1.95 0.78 0.04 5.34 3.29 4.16 2.99 0010.10.80.1020000P0 34.7315 4 57452 Examination of vagina A 0.99 0.71 1.51 0.91 0.36 0.35 0.36 0.11 2.61 2.01 1.45 1.46 0000.00.00.0020100P0 34.7315 4 57454 Vagina examination & biopsy A 1.27 1.31 1.59 1.38 0.66 0.46 0.61 0.20 3.06 2.85 1.93 2.08 0000.00.00.0030100P0 57452 34.7315 4 57460 Cervix excision A 2.83 2.19 1.88 2.11 1.10 1.06 1.09 0.36 5.07 5.30 4.25 4.28 0000.00.00.0030100P0 57452 34.7315 4 57500 Biopsy of cervix A 0.97 0.62 1.31 0.79 0.31 0.39 0.33 0.09 2.37 1.85 1.45 1.39 0000.00.00.0020100P0 34.7315 4 57505 Endocervical curettage A 1.14 0.68 1.76 0.95 0.34 1.19 0.55 0.10 3.00 2.19 2.43 1.79 0010.10.80.1020100P0 34.7315 4 57510 Cauterization of cervix A 1.90 0.56 2.78 1.12 0.28 1.48 0.58 0.07 4.75 3.09 3.45 2.55 0010.10.80.1020100P0 34.7315 4 57511 Cryocautery of cervix A 1.90 0.92 2.19 1.24 0.46 0.70 0.52 0.13 4.22 3.27 2.73 2.55 0010.10.80.1020100P0 34.7315 4 57513 Laser surgery of cervix A 1.90 2.27 2.32 2.28 2.27 1.43 2.06 0.52 4.74 4.70 3.85 4.48 0010.10.80.1020100P0 34.7315 4 57520 Conization of cervix A 4.04 3.74 3.80 3.76 3.74 2.65 3.47 0.57 8.41 8.37 7.26 8.08 0090.12.74.1420100P1A4550 34.7315 4 57522 Conization of cervix A 3.36 3.74 3.45 3.67 3.74 2.40 3.41 0.57 7.38 7.60 6.33 7.34 0090.12.74.1420100P1A4550 34.7315 4 57530 Removal of cervix A 4.79 3.92 3.38 NA 3.79 3.92 3.38 3.79 0.61 8.78 9.19 8.78 9.19 0090.12.74.1420210P0 34.7315 4 57531 Removal of cervix, radical A 28.00 19.29 12.15 NA17.51 19.29 12.15 17.51 3.03 43.18 48.54 43.18 48.54 0090.12.74.1422210P0 34.7315 4 57540 Removal of residual cervix A 12.22 7.31 5.88 NA 6.95 7.31 5.88 6.95 1.18 19.28 20.35 19.28 20.35 0090.12.74.1420210P0 34.7315 4 57545 Remove cervix, repair pelvis A 13.03 4.97 6.31 NA 5.31 4.97 6.31 5.31 0.81 20.15 19.15 20.15 19.15 0090.12.74.1420210P0 34.7315 4 57550 Removal of residual cervix A 5.53 6.60 3.65 NA 5.86 6.60 3.65 5.86 1.20 10.38 12.59 10.38 12.59 0090.12.74.1420210P0 34.7315 4 57555 Remove cervix, repair vagina A 8.95 10.69 5.15 NA 9.31 10.69 5.15 9.31 1.70 15.80 19.96 15.80 19.96 0090.12.74.1420210P0 34.7315 4 57556 Remove cervix, repair bowel A 8.37 10.00 4.70 NA 8.68 10.00 4.70 8.68 1.50 14.57 18.55 14.57 18.55 0090.12.74.1420210P0 34.7315 4 57700 Revision of cervix A 3.55 2.59 2.44 NA 2.55 2.59 2.44 2.55 0.27 6.26 6.37 6.26 6.37 0090.12.74.1420000P0 34.7315 4 57720 Revision of cervix A 4.13 3.00 3.15 NA 3.04 3.00 3.15 3.04 0.39 7.67 7.56 7.67 7.56 0090.12.74.1420200P0 34.7315 4 57800 Dilation of cervical canal A 0.77 0.52 1.11 0.67 0.26 0.31 0.27 0.08 1.96 1.52 1.16 1.12 0000.00.00.0020100P0 34.7315 4 57820 D&c of residual cervix A 1.67 2.26 2.21 2.25 2.26 2.11 2.22 0.36 4.24 4.28 4.14 4.25 0010.10.80.1020100P0 34.7315 4 58100 Biopsy of uterus lining A 0.71 0.72 1.04 0.80 0.36 0.27 0.34 0.11 1.86 1.62 1.09 1.16 0000.00.00.0020100P0 34.7315 4 58120 Dilation and curettage (D&C) A 3.27 2.93 3.41 3.05 2.93 2.31 2.78 0.44 7.12 6.76 6.02 6.49 0010.10.80.1020100P1A4550 34.7315 4 58140 Removal of uterus lesion A 14.60 9.04 6.70 NA 8.46 9.04 6.70 8.46 1.34 22.64 24.40 22.64 24.40 0090.12.74.1420210P0 34.7315 4 58145 Removal of uterus lesion A 8.04 8.94 4.66 NA 7.87 8.94 4.66 7.87 1.20 13.90 17.11 13.90 17.11 0090.12.74.1420210P0 34.7315 4 58150 Total hysterectomy A 15.24 10.39 7.16 NA 9.58 10.39 7.16 9.58 1.63 24.03 26.45 24.03 26.45 0090.12.74.1420210P0 34.7315 4 58152 Total hysterectomy A 15.09 13.01 7.13 NA11.54 13.01 7.13 11.54 2.03 24.25 28.66 24.25 28.66 0090.12.74.1420210P0 34.7315 4 58180 Partial hysterectomy A 15.29 10.59 7.12 NA 9.72 10.59 7.12 9.72 1.65 24.06 26.66 24.06 26.66 0090.12.74.1420210P0 34.7315 4 58200 Extensive hysterectomy A 21.59 14.09 10.61 NA13.22 14.09 10.61 13.22 2.19 34.39 37.00 34.39 37.00 0090.12.74.1420210P0 34.7315 4 58210 Extensive hysterectomy A 28.85 19.29 13.35 NA17.81 19.29 13.35 17.81 3.03 45.23 49.69 45.23 49.69 0090.12.74.1422210P0 34.7315 4 58240 Removal of pelvis contents A 38.39 31.18 17.62 NA27.79 31.18 17.62 27.79 4.81 60.82 70.99 60.82 70.99 0090.12.74.1420210P0 34.7315 4 58260 Vaginal hysterectomy A 12.20 10.19 5.66 NA 9.06 10.19 5.66 9.06 1.62 19.48 22.88 19.48 22.88 0090.12.74.1420210P0 34.7315 4 58262 Vaginal hysterectomy A 13.99 10.19 6.35 NA 9.23 10.19 6.35 9.23 1.62 21.96 24.84 21.96 24.84 0090.12.74.1420220P0 34.7315 4 58263 Vaginal hysterectomy A 15.28 11.20 6.84 NA10.11 11.20 6.84 10.11 1.74 23.86 27.13 23.86 27.13 0090.12.74.1420220P0 34.7315 4 58267 Hysterectomy & vagina repair A 15.00 12.51 6.72 NA11.06 12.51 6.72 11.06 1.92 23.64 27.98 23.64 27.98 0090.12.74.1420210P0 34.7315 4 58270 Hysterectomy & vagina repair A 13.48 11.20 6.15 NA 9.94 11.20 6.15 9.94 1.74 21.37 25.16 21.37 25.16 0090.12.74.1420210P0 34.7315 4 58275 Hysterectomy, revise vagina A 14.98 11.96 6.64 NA10.63 11.96 6.64 10.63 1.82 23.44 27.43 23.44 27.43 0090.12.74.1420210P0 34.7315 4 58280 Hysterectomy, revise vagina A 15.41 11.40 6.82 NA10.26 11.40 6.82 10.26 1.80 24.03 27.47 24.03 27.47 0090.12.74.1420210P0 34.7315 4 58285 Extensive hysterectomy A 18.57 12.59 9.45 NA11.81 12.59 9.45 11.81 2.11 30.13 32.49 30.13 32.49 0090.12.74.1420210P0 34.7315 4 58300 Insert intrauterine device N+ 1.01 0.84 1.09 0.90 0.84 0.38 0.73 0.10 2.20 2.01 1.49 1.84 9XXX.00.00.0099999P9 0.0000 9 58301 Remove intrauterine device A 1.27 0.49 1.34 0.70 0.25 0.46 0.30 0.06 2.67 2.03 1.79 1.63 0000.00.00.0020000P0 34.7315 4 58321 Artificial insemination A 0.92 0.77 0.89 0.80 0.77 0.35 0.67 0.12 1.93 1.84 1.39 1.71 0000.00.00.0020000P0 34.7315 4 58322 Artificial insemination A 1.10 0.77 0.97 0.82 0.77 0.41 0.68 0.12 2.19 2.04 1.63 1.90 0000.00.00.0020000P0 34.7315 4 58323 Sperm washing A 0.23 0.17 0.43 0.24 0.17 0.09 0.15 0.03 0.69 0.50 0.35 0.41 0000.00.00.0020000P0 34.7315 4 58340 Catheter for hysterography A 0.88 0.62 13.60 3.87 0.62 0.27 0.53 0.06 14.54 4.81 1.21 1.47 0000.00.00.0020100P0 34.7315 4 58345 Reopen fallopian tube A 4.66 3.79 1.49 NA 3.22 3.79 1.49 3.22 0.32 6.47 8.20 6.47 8.20 0010.10.80.1021220P0 34.7315 4 58350 Reopen fallopian tube A 1.01 0.75 1.79 1.01 0.75 1.06 0.83 0.13 2.93 2.15 2.20 1.97 0010.10.80.1020100P0 34.7315 4 58400 Suspension of uterus A 6.36 6.12 3.80 NA 5.54 6.12 3.80 5.54 0.91 11.07 12.81 11.07 12.81 0090.12.74.1420210P0 34.7315 4 58410 Suspension of uterus A 12.73 6.00 5.83 NA 5.96 6.00 5.83 5.96 0.66 19.22 19.35 19.22 19.35 0090.12.74.1420210P0 34.7315 4 58520 Repair of ruptured uterus A 11.92 4.60 5.80 NA 4.90 4.60 5.80 4.90 0.77 18.49 17.59 18.49 17.59 0090.12.74.1420210P0 34.7315 4 58540 Revision of uterus A 14.64 6.65 7.03 NA 6.75 6.65 7.03 6.75 1.11 22.78 22.50 22.78 22.50 0090.12.74.1420200P0 34.7315 4 58600 Division of fallopian tube A 3.84 4.58 2.52 NA 4.07 4.58 2.52 4.07 1.08 7.44 8.99 7.44 8.99 0090.12.74.1422210P0 34.7315 4 58605 Division of fallopian tube A 3.34 3.98 2.38 NA 3.58 3.98 2.38 3.58 0.79 6.51 7.71 6.51 7.71 0090.12.74.1422200P0 34.7315 4 58611 Ligate oviduct(s) add-on A 0.63 0.51 0.41 NA 0.49 0.51 0.41 0.49 0.08 1.12 1.20 1.12 1.20 0ZZZ.00.00.0000200P0 34.7315 4 58615 Occlude fallopian tube(s) A 3.90 3.16 2.50 NA 3.00 3.16 2.50 3.00 0.27 6.67 7.17 6.67 7.17 0010.10.80.1020200P0 34.7315 4 58700 Removal of fallopian tube A 6.49 6.87 3.50 NA 6.03 6.87 3.50 6.03 1.02 11.01 13.54 11.01 13.54 0090.12.74.1422210P0 34.7315 4 58720 Removal of ovary/tube(s) A 11.36 8.14 5.55 NA 7.49 8.14 5.55 7.49 1.28 18.19 20.13 18.19 20.13 0090.12.74.1422210P0 34.7315 4 58740 Revise fallopian tube(s) A 5.83 6.96 3.56 NA 6.11 6.96 3.56 6.11 1.47 10.86 13.41 10.86 13.41 0090.12.74.1420210P0 34.7315 4 58750 Repair oviduct A 14.84 6.85 7.27 NA 6.96 6.85 7.27 6.96 1.14 23.25 22.94 23.25 22.94 0090.12.74.1420210P0 34.7315 4 58752 Revise ovarian tube(s) A 14.84 7.31 7.02 NA 7.24 7.31 7.02 7.24 0.73 22.59 22.81 22.59 22.81 0090.12.74.1420200P0 34.7315 4 58760 Remove tubal obstruction A 13.13 5.55 6.43 NA 5.77 5.55 6.43 5.77 0.93 20.49 19.83 20.49 19.83 0090.12.74.1421210P0 34.7315 4 58770 Create new tubal opening A 13.97 5.73 6.61 NA 5.95 5.73 6.61 5.95 0.87 21.45 20.79 21.45 20.79 0090.12.74.1421200P0 34.7315 4 58800 Drainage of ovarian cyst(s) A 4.14 2.91 3.81 3.14 2.91 3.58 3.08 0.41 8.36 7.69 8.13 7.63 0090.12.74.1422100P0 34.7315 4 58805 Drainage of ovarian cyst(s) A 5.88 6.92 3.26 NA 6.01 6.92 3.26 6.01 1.06 10.20 12.95 10.20 12.95 0090.12.74.1422210P0 34.7315 4 58820 Open drain ovary abscess A 4.22 3.00 2.95 NA 2.99 3.00 2.95 2.99 0.38 7.55 7.59 7.55 7.59 0090.12.74.1420200P0 34.7315 4 58822 Percut drain ovary abscess A 10.13 3.85 4.60 NA 4.04 3.85 4.60 4.04 0.63 15.36 14.80 15.36 14.80 0090.12.74.1420210P0 34.7315 4 58823 Percut drain pelvic abscess A 3.38 2.78 2.52 NA 2.72 2.78 2.52 2.72 0.23 6.13 6.33 6.13 6.33 0000.00.00.0020200P0 34.7315 4 58825 Transposition, ovary(s) A 6.13 4.37 3.62 NA 4.18 4.37 3.62 4.18 0.73 10.48 11.04 10.48 11.04 0090.12.74.1420210P0 34.7315 4 58900 Biopsy of ovary(s) A 5.99 5.63 3.39 NA 5.07 5.63 3.39 5.07 0.84 10.22 11.90 10.22 11.90 0090.12.74.1422210P0 34.7315 4 58920 Partial removal of ovary(s) A 6.78 7.36 3.85 NA 6.48 7.36 3.85 6.48 1.10 11.73 14.36 11.73 14.36 0090.12.74.1422210P0 34.7315 4 58925 Removal of ovarian cyst(s) A 11.36 7.12 5.42 NA 6.70 7.12 5.42 6.70 1.08 17.86 19.14 17.86 19.14 0090.12.74.1422210P0 34.7315 4 58940 Removal of ovary(s) A 7.29 7.04 3.83 NA 6.24 7.04 3.83 6.24 1.04 12.16 14.57 12.16 14.57 0090.12.74.1422210P0 34.7315 4 58943 Removal of ovary(s) A 18.43 13.14 9.13 NA12.14 13.14 9.13 12.14 2.06 29.62 32.63 29.62 32.63 0090.12.74.1420210P0 34.7315 4 58950 Resect ovarian malignancy A 15.27 12.20 8.05 NA11.16 12.20 8.05 11.16 1.86 25.18 28.29 25.18 28.29 0090.12.74.1422210P0 34.7315 4 58951 Resect ovarian malignancy A 21.81 19.90 10.60 NA17.58 19.90 10.60 17.58 3.07 35.48 42.46 35.48 42.46 0090.12.74.1422210P0 34.7315 4 58952 Resect ovarian malignancy A 25.01 19.65 11.84 NA17.70 19.65 11.84 17.70 3.07 39.92 45.78 39.92 45.78 0090.12.74.1422210P0 34.7315 4 58960 Exploration of abdomen A 14.65 14.09 7.80 NA12.52 14.09 7.80 12.52 2.31 24.76 29.48 24.76 29.48 0090.12.74.1420210P0 34.7315 4 58970 Retrieval of oocyte A 3.53 2.73 6.95 3.79 2.73 1.30 2.37 0.45 10.93 7.77 5.28 6.35 0000.00.00.0020000P0 34.7315 4 58974 Transfer of embryo C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020210P0 34.7315 9 58976 Transfer of embryo A 3.83 2.96 2.02 2.73 2.96 1.86 2.69 0.49 6.34 7.05 6.18 7.01 0000.00.00.0020210P0 34.7315 4 58999 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 59000 Amniocentesis A 1.30 1.05 1.51 1.17 1.05 0.49 0.91 0.14 2.95 2.61 1.93 2.35 0000.00.00.0020100P0 34.7315 4 59012 Fetal cord puncture,prenatal A 3.45 2.84 1.50 NA 2.51 2.84 1.50 2.51 0.24 5.19 6.20 5.19 6.20 0000.00.00.0020000P0 34.7315 4 59015 Chorion biopsy A 2.20 1.30 1.24 1.29 1.30 0.84 1.19 0.08 3.52 3.57 3.12 3.47 0000.00.00.0020000P0 34.7315 4 59020 Fetal contract stress test A 0.66 1.33 0.80 1.20 1.33 0.80 1.20 0.23 1.69 2.09 1.69 2.09 1000.00.00.0020000P0 34.7315 4 59020TCFetal contract stress test A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.08 0.63 0.62 0.63 0.62 1000.00.00.0000000P0 34.7315 4 5902026Fetal contract stress test A 0.66 0.79 0.25 NA 0.66 0.79 0.25 0.66 0.15 1.06 1.47 1.06 1.47 1000.00.00.0020000P0 34.7315 4 59025 Fetal non-stress test A 0.53 0.66 0.44 0.61 0.66 0.44 0.61 0.09 1.06 1.23 1.06 1.23 1000.00.00.0020000P0 34.7315 4 59025TCFetal non-stress test A 0.00 0.24 0.24 0.24 0.24 0.24 0.24 0.03 0.27 0.27 0.27 0.27 1000.00.00.0000000P0 34.7315 4 5902526Fetal non-stress test A 0.53 0.42 0.20 NA 0.37 0.42 0.20 0.37 0.06 0.79 0.96 0.79 0.96 1000.00.00.0020000P0 34.7315 4 59030 Fetal scalp blood sample A 1.99 1.71 0.93 NA 1.52 1.71 0.93 1.52 0.16 3.08 3.67 3.08 3.67 0000.00.00.0020000P0 34.7315 4 59050 Fetal monitor w/report A 0.89 0.88 0.33 NA 0.74 0.88 0.33 0.74 0.12 1.34 1.75 1.34 1.75 0XXX.00.00.0000000P0 34.7315 4 59051 Fetal monitor/interpret only A 0.74 0.88 0.28 NA 0.73 0.88 0.28 0.73 0.12 1.14 1.59 1.14 1.59 0XXX.00.00.0000000P0 34.7315 4 59100 Remove uterus lesion A 12.35 4.49 5.87 NA 4.84 4.49 5.87 4.84 0.75 18.97 17.94 18.97 17.94 0090.17.60.2320210P0 34.7315 4 59120 Treat ectopic pregnancy A 11.49 8.53 5.70 NA 7.82 8.53 5.70 7.82 1.17 18.36 20.48 18.36 20.48 0090.17.60.2320210P0 34.7315 4 59121 Treat ectopic pregnancy A 11.67 5.84 5.88 NA 5.85 5.84 5.88 5.85 0.84 18.39 18.36 18.39 18.36 0090.17.60.2320210P0 34.7315 4 59130 Treat ectopic pregnancy A 14.22 6.47 5.01 NA 6.11 6.47 5.01 6.11 0.55 19.78 20.88 19.78 20.88 0090.17.60.2320000P0 34.7315 4 59135 Treat ectopic pregnancy A 13.88 10.69 6.45 NA 9.63 10.69 6.45 9.63 0.90 21.23 24.41 21.23 24.41 0090.17.60.2320000P0 34.7315 4 59136 Treat ectopic pregnancy A 13.18 6.75 6.18 NA 6.61 6.75 6.18 6.61 1.13 20.49 20.92 20.49 20.92 0090.17.60.2320200P0 34.7315 4 59140 Treat ectopic pregnancy A 5.46 5.06 3.23 NA 4.60 5.06 3.23 4.60 0.23 8.92 10.29 8.92 10.29 0090.17.60.2320200P0 34.7315 4 59150 Treat ectopic pregnancy A 6.89 4.92 4.48 NA 4.81 4.92 4.48 4.81 0.82 12.19 12.52 12.19 12.52 0090.17.60.2320200P0 34.7315 4 59151 Treat ectopic pregnancy A 7.86 9.34 4.02 NA 8.01 9.34 4.02 8.01 0.50 12.38 16.37 12.38 16.37 0090.17.60.2320200P0 34.7315 4 59160 D&C after delivery A 2.71 3.18 3.09 3.16 3.18 2.11 2.91 0.41 6.21 6.28 5.23 6.03 0010.10.80.1020000P0 34.7315 4 59200 Insert cervical dilator A 0.79 0.59 1.17 0.74 0.30 0.28 0.30 0.09 2.05 1.62 1.16 1.18 0000.00.00.0020100P0 34.7315 4 59300 Episiotomy or vaginal repair A 2.41 1.07 1.66 1.22 0.54 0.90 0.63 0.08 4.15 3.71 3.39 3.12 0000.00.00.0020000P0 34.7315 4 59320 Revision of cervix A 2.48 1.93 1.35 NA 1.79 1.93 1.35 1.79 0.32 4.15 4.59 4.15 4.59 0000.00.00.0020000P0 34.7315 4 59325 Revision of cervix A 4.07 3.14 2.31 NA 2.93 3.14 2.31 2.93 0.23 6.61 7.23 6.61 7.23 0000.00.00.0020000P0 34.7315 4 59350 Repair of uterus A 4.95 3.84 1.83 NA 3.34 3.84 1.83 3.34 0.64 7.42 8.93 7.42 8.93 0000.00.00.0020200P0 34.7315 4 59400 Obstetrical care A 23.06 16.27 13.04 NA15.46 16.27 13.04 15.46 2.71 38.81 41.23 38.81 41.23 0MMM.00.00.0020100P0 34.7315 4 59409 Obstetrical care A 13.50 10.29 5.09 NA 8.99 10.29 5.09 8.99 1.72 20.31 24.21 20.31 24.21 0MMM.00.00.0020000P0 34.7315 4 59410 Obstetrical care A 14.78 11.19 6.28 NA 9.96 11.19 6.28 9.96 1.87 22.93 26.61 22.93 26.61 0MMM.00.00.0020100P0 34.7315 4 59412 Antepartum manipulation A 1.71 1.32 1.32 1.32 1.32 0.66 1.16 0.23 3.26 3.26 2.60 3.10 0MMM.00.00.0000000P0 34.7315 4 59414 Deliver placenta A 1.61 1.25 1.09 NA 1.21 1.25 1.09 1.21 0.21 2.91 3.03 2.91 3.03 0MMM.00.00.0020000P0 34.7315 4 59425 Antepartum care only A 4.81 3.13 4.36 3.44 1.57 4.33 2.26 0.52 9.69 8.77 9.66 7.59 0MMM.00.00.0000000P0 34.7315 4 59426 Antepartum care only A 8.28 5.36 7.43 5.88 2.68 7.49 3.88 0.89 16.60 15.05 16.66 13.05 0MMM.00.00.0000000P0 34.7315 4 59430 Care after delivery A 2.13 0.41 1.09 0.58 0.21 1.12 0.44 0.05 3.27 2.76 3.30 2.62 0MMM.00.00.0020100P0 34.7315 4 59510 Cesarean delivery A 26.22 18.34 15.01 NA17.51 18.34 15.01 17.51 3.07 44.30 46.80 44.30 46.80 0MMM.00.00.0020100P0 34.7315 4 59514 Cesarean delivery only A 15.97 11.93 5.98 NA10.44 11.93 5.98 10.44 1.99 23.94 28.40 23.94 28.40 0MMM.00.00.0020210P0 34.7315 4 59515 Cesarean delivery A 17.37 12.83 7.58 NA11.52 12.83 7.58 11.52 2.14 27.09 31.03 27.09 31.03 0MMM.00.00.0020100P0 34.7315 4 59525 Remove uterus after cesarean A 8.54 4.13 3.38 NA 3.94 4.13 3.38 3.94 0.69 12.61 13.17 12.61 13.17 0ZZZ.00.00.0000210P0 34.7315 4 59610 Vbac delivery A 24.62 16.27 9.16 NA14.49 16.27 9.16 14.49 2.71 36.49 41.82 36.49 41.82 0MMM.00.00.0020000P0 34.7315 4 59612 Vbac delivery only A 15.06 10.29 5.68 NA 9.14 10.29 5.68 9.14 1.72 22.46 25.92 22.46 25.92 0MMM.00.00.0020000P0 34.7315 4 59614 Vbac care after delivery A 16.34 11.19 6.13 NA 9.93 11.19 6.13 9.93 1.87 24.34 28.14 24.34 28.14 0MMM.00.00.0020000P0 34.7315 4 59618 Attempted vbac delivery A 27.78 18.34 10.57 NA16.40 18.34 10.57 16.40 3.07 41.42 47.25 41.42 47.25 0MMM.00.00.0020200P0 34.7315 4 59620 Attempted vbac delivery only A 17.53 11.93 6.57 NA10.59 11.93 6.57 10.59 1.99 26.09 30.11 26.09 30.11 0MMM.00.00.0020200P0 34.7315 4 59622 Attempted vbac after care A 18.93 12.83 7.23 NA11.43 12.83 7.23 11.43 2.14 28.30 32.50 28.30 32.50 0MMM.00.00.0020200P0 34.7315 4 59812 Treatment of miscarriage A 3.25 3.92 4.12 3.97 3.89 2.28 3.49 0.60 7.97 7.82 6.13 7.34 0090.17.60.2320100P0 34.7315 4 59820 Care of miscarriage A 4.01 4.07 4.41 4.16 4.07 2.54 3.69 0.60 9.02 8.77 7.15 8.30 0090.17.60.2320100P0 34.7315 4 59821 Treatment of miscarriage A 4.47 2.95 4.59 3.36 2.95 2.72 2.89 0.49 9.55 8.32 7.68 7.85 0090.17.60.2320000P0 34.7315 4 59830 Treat uterus infection A 6.11 4.92 3.67 NA 4.61 4.92 3.67 4.61 0.41 10.19 11.13 10.19 11.13 0090.17.60.2320000P0 34.7315 4 59840 Abortion R 3.01 3.49 4.50 3.74 3.49 2.16 3.16 0.54 8.05 7.29 5.71 6.71 0010.10.80.1020000P0 34.7315 4 59841 Abortion R 5.24 4.07 5.89 4.53 4.07 3.37 3.90 0.59 11.72 10.36 9.20 9.73 0010.10.80.1020000P0 34.7315 4 59850 Abortion R 5.91 4.34 2.65 NA 3.92 4.34 2.65 3.92 0.66 9.22 10.49 9.22 10.49 0090.17.60.2320000P0 34.7315 4 59851 Abortion R 5.93 4.64 3.02 NA 4.24 4.64 3.02 4.24 0.69 9.64 10.86 9.64 10.86 0090.17.60.2320000P0 34.7315 4 59852 Abortion R 8.24 5.98 4.25 NA 5.55 5.98 4.25 5.55 0.99 13.48 14.78 13.48 14.78 0090.17.60.2320000P0 34.7315 4 59855 Abortion R 6.12 4.49 3.01 NA 4.12 4.49 3.01 4.12 0.75 9.88 10.99 9.88 10.99 0090.17.60.2320000P0 34.7315 4 59856 Abortion R 7.48 5.55 3.64 NA 5.07 5.55 3.64 5.07 0.93 12.05 13.48 12.05 13.48 0090.17.60.2320000P0 34.7315 4 59857 Abortion R 9.29 6.75 4.16 NA 6.10 6.75 4.16 6.10 1.13 14.58 16.52 14.58 16.52 0090.17.60.2320000P0 34.7315 4 59866 Abortion R 4.00 3.10 1.85 NA 2.79 3.10 1.85 2.79 0.52 6.37 7.31 6.37 7.31 0000.00.00.0020210P0 34.7315 4 59870 Evacuate mole of uterus A 4.28 3.16 3.04 NA 3.13 3.16 3.04 3.13 0.52 7.84 7.93 7.84 7.93 0090.17.60.2320200P0 34.7315 4 59871 Remove cerclage suture A 2.13 1.93 1.66 1.86 1.93 0.83 1.66 0.32 4.11 4.31 3.28 4.11 0000.00.00.0020000P0 34.7315 4 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 60000 Drain thyroid/tongue cyst A 1.76 0.65 1.95 0.98 0.33 1.94 0.73 0.07 3.78 2.81 3.77 2.56 0010.10.80.1020000P0 34.7315 4 60001 Aspirate/inject thyriod cyst A 0.97 1.14 1.84 1.32 1.14 0.32 0.94 0.09 2.90 2.38 1.38 2.00 0000.00.00.0020100P0 34.7315 4 60100 Biopsy of thyroid A 0.97 1.14 2.29 1.43 0.57 0.75 0.62 0.09 3.35 2.49 1.81 1.68 0000.00.00.0020100P0 34.7315 4 60200 Remove thyroid lesion A 9.55 6.53 6.58 NA 6.54 6.53 6.58 6.54 0.81 16.94 16.90 16.94 16.90 0090.09.82.0920210P0 34.7315 4 60210 Partial excision thyroid A 10.88 9.42 6.62 NA 8.72 9.42 6.62 8.72 1.29 18.79 20.89 18.79 20.89 0090.09.82.0920210P0 34.7315 4 60212 Parital thyroid excision A 16.03 9.81 8.41 NA 9.46 9.81 8.41 9.46 1.36 25.80 26.85 25.80 26.85 0090.09.82.0920210P0 34.7315 4 60220 Partial removal of thyroid A 10.53 9.27 6.66 NA 8.62 9.27 6.66 8.62 1.26 18.45 20.41 18.45 20.41 0090.09.82.0920210P0 34.7315 4 60225 Partial removal of thyroid A 14.19 11.38 8.36 NA10.63 11.38 8.36 10.63 1.50 24.05 26.32 24.05 26.32 0090.09.82.0920210P0 34.7315 4 60240 Removal of thyroid A 16.06 11.48 9.51 NA10.99 11.48 9.51 10.99 1.53 27.10 28.58 27.10 28.58 0090.09.82.0920210P0 34.7315 4 60252 Removal of thyroid A 18.20 14.81 11.10 NA13.88 14.81 11.10 13.88 1.99 31.29 34.07 31.29 34.07 0090.09.82.0920210P0 34.7315 4 60254 Extensive thyroid surgery A 23.88 20.85 15.46 NA19.50 20.85 15.46 19.50 2.41 41.75 45.79 41.75 45.79 0090.09.82.0920210P0 34.7315 4 60260 Repeat thyroid surgery A 15.46 3.41 9.87 NA 5.03 3.41 9.87 5.03 0.27 25.60 20.76 25.60 20.76 0090.09.82.0922210P0 34.7315 4 60270 Removal of thyroid A 17.94 15.16 11.23 NA14.18 15.16 11.23 14.18 1.99 31.16 34.11 31.16 34.11 0090.09.82.0920210P0 34.7315 4 60271 Removal of thyroid A 14.89 13.18 9.35 NA12.22 13.18 9.35 12.22 1.76 26.00 28.87 26.00 28.87 0090.09.82.0920210P0 34.7315 4 60280 Remove thyroid duct lesion A 6.08 7.26 5.57 NA 6.84 7.26 5.57 6.84 0.87 12.52 13.79 12.52 13.79 0090.09.82.0920210P0 34.7315 4 60281 Remove thyroid duct lesion A 8.53 5.47 5.86 NA 5.57 5.47 5.86 5.57 0.74 15.13 14.84 15.13 14.84 0090.09.82.0920210P0 34.7315 4 60500 Explore parathyroid glands A 16.23 12.33 8.35 NA11.34 12.33 8.35 11.34 1.81 26.39 29.38 26.39 29.38 0090.09.82.0920210P0 34.7315 4 60502 Re-explore parathyroids A 20.35 12.36 10.28 NA11.84 12.36 10.28 11.84 1.82 32.45 34.01 32.45 34.01 0090.09.82.0920210P0 34.7315 4 60505 Explore parathyroid glands A 21.49 14.26 12.45 NA13.81 14.26 12.45 13.81 2.00 35.94 37.30 35.94 37.30 0090.09.82.0920210P0 34.7315 4 60512 Autotransplant, parathyroid A 4.45 2.52 1.94 NA 2.38 2.52 1.94 2.38 0.42 6.81 7.25 6.81 7.25 0ZZZ.00.00.0000210P0 34.7315 4 60520 Removal of thymus gland A 16.81 14.69 9.53 NA13.40 14.69 9.53 13.40 1.92 28.26 32.13 28.26 32.13 0090.09.82.0920210P0 34.7315 4 60521 Removal thymus gland A 18.87 14.69 11.83 NA13.98 14.69 11.83 13.98 1.92 32.62 34.77 32.62 34.77 0090.09.82.0920210P0 34.7315 4 60522 Removal of thymus gland A 23.09 14.69 13.42 NA14.37 14.69 13.42 14.37 1.92 38.43 39.38 38.43 39.38 0090.09.82.0920210P0 34.7315 4 60540 Explore adrenal gland A 17.03 13.08 8.46 NA11.93 13.08 8.46 11.93 1.63 27.12 30.59 27.12 30.59 0090.09.82.0921210P0 34.7315 4 60545 Explore adrenal gland A 19.88 15.49 9.98 NA14.11 15.49 9.98 14.11 1.83 31.69 35.82 31.69 35.82 0090.09.82.0920210P0 34.7315 4 60600 Remove carotid body lesion A 17.93 12.44 13.08 NA12.60 12.44 13.08 12.60 1.47 32.48 32.00 32.48 32.00 0090.09.82.0920210P0 34.7315 4 60605 Remove carotid body lesion A 20.24 11.62 18.35 NA13.30 11.62 18.35 13.30 1.73 40.32 35.27 40.32 35.27 0090.09.82.0920210P0 34.7315 4 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 34.7315 9 61000 Remove cranial cavity fluid A 1.58 1.16 1.38 1.22 1.16 1.34 1.21 0.13 3.09 2.93 3.05 2.92 0000.00.00.0022100P0 34.7315 4 61001 Remove cranial cavity fluid A 1.49 0.96 1.32 1.05 0.48 1.23 0.67 0.13 2.94 2.67 2.85 2.29 0000.00.00.0022100P0 34.7315 4 61020 Remove brain cavity fluid A 1.51 1.37 1.70 1.45 1.37 1.33 1.36 0.16 3.37 3.12 3.00 3.03 0000.00.00.0020100P0 34.7315 4 61026 Injection into brain canal A 1.69 2.02 1.85 1.98 2.02 1.42 1.87 0.17 3.71 3.84 3.28 3.73 0000.00.00.0020100P0 34.7315 4 61050 Remove brain canal fluid A 1.51 1.33 1.37 NA 1.34 1.33 1.37 1.34 0.12 3.00 2.97 3.00 2.97 0000.00.00.0020000P0 34.7315 4 61055 Injection into brain canal A 2.10 2.04 1.51 NA 1.91 2.04 1.51 1.91 0.15 3.76 4.16 3.76 4.16 0000.00.00.0000100P0 34.7315 4 61070 Brain canal shunt procedure A 0.89 0.53 6.41 2.00 0.27 0.94 0.44 0.02 7.32 2.91 1.85 1.35 0000.00.00.0020100P0 34.7315 4 61105 Twist drill hole A 5.14 6.13 3.65 NA 5.51 6.13 3.65 5.51 0.97 9.76 11.62 9.76 11.62 0090.11.76.1320000P0 34.7315 4 61106 Drill skull for exam/surgery D 4.62 5.51 5.51 5.51 5.51 5.51 5.51 0.90 11.03 11.03 11.03 11.03 0ZZZ.00.00.0000100P0 34.7315 4 61107 Drill skull for implantation A 5.00 5.97 3.17 NA 5.27 5.97 3.17 5.27 0.99 9.16 11.26 9.16 11.26 0000.00.00.0000100P0 34.7315 4 61108 Drill skull for drainage A 10.19 12.17 6.98 NA10.87 12.17 6.98 10.87 1.74 18.91 22.80 18.91 22.80 0090.11.76.1320100P0 34.7315 4 61120 Burr hole for puncture A 8.76 6.46 5.85 NA 6.31 6.46 5.85 6.31 0.84 15.45 15.91 15.45 15.91 0090.11.76.1320000P0 34.7315 4 61130 Pierce skull, exam/surgery D 6.37 5.37 5.37 5.37 5.37 5.37 5.37 0.75 12.49 12.49 12.49 12.49 0ZZZ.00.00.0000110P0 34.7315 4 61140 Pierce skull for biopsy A 15.90 15.33 10.30 NA14.07 15.33 10.30 14.07 2.00 28.20 31.97 28.20 31.97 0090.11.76.1320200P0 34.7315 4 61150 Pierce skull for drainage A 17.57 15.90 11.03 NA14.68 15.90 11.03 14.68 2.06 30.66 34.31 30.66 34.31 0090.11.76.1320110P0 34.7315 4 61151 Pierce skull for drainage A 12.42 2.31 8.14 NA 3.77 2.31 8.14 3.77 0.29 20.85 16.48 20.85 16.48 0090.11.76.1320100P0 34.7315 4 61154 Pierce skull, remove clot A 14.99 17.90 9.69 NA15.85 17.90 9.69 15.85 2.56 27.24 33.40 27.24 33.40 0090.11.76.1321210P0 34.7315 4 61156 Pierce skull for drainage A 16.32 17.57 10.43 NA15.79 17.57 10.43 15.79 2.39 29.14 34.50 29.14 34.50 0090.11.76.1320210P0 34.7315 4 61210 Pierce skull; implant device A 5.84 6.55 3.72 NA 5.84 6.55 3.72 5.84 1.20 10.76 12.88 10.76 12.88 0000.00.00.0000100P0 34.7315 4 61215 Insert brain-fluid device A 4.89 5.84 4.19 NA 5.43 5.84 4.19 5.43 1.28 10.36 11.60 10.36 11.60 0090.11.76.1320110P0 34.7315 4 61250 Pierce skull & explore A 10.42 8.71 6.80 NA 8.23 8.71 6.80 8.23 1.13 18.35 19.78 18.35 19.78 0090.11.76.1321210P0 34.7315 4 61253 Pierce skull & explore A 12.36 10.44 8.37 NA 9.92 10.44 8.37 9.92 1.32 22.05 23.60 22.05 23.60 0090.11.76.1322200P0 34.7315 4 61304 Open skull for exploration A 21.96 26.22 13.54 NA23.05 26.22 13.54 23.05 3.74 39.24 48.75 39.24 48.75 0090.11.76.1320210P0 34.7315 4 61305 Open skull for exploration A 26.61 31.59 15.84 NA27.65 31.59 15.84 27.65 3.95 46.40 58.21 46.40 58.21 0090.11.76.1320210P0 34.7315 4 61312 Open skull for drainage A 24.57 26.19 14.94 NA23.38 26.19 14.94 23.38 3.49 43.00 51.44 43.00 51.44 0090.11.76.1320210P0 34.7315 4 61313 Open skull for drainage A 24.93 26.09 15.59 NA23.47 26.09 15.59 23.47 3.43 43.95 51.83 43.95 51.83 0090.11.76.1320210P0 34.7315 4 61314 Open skull for drainage A 24.23 27.80 15.10 NA24.63 27.80 15.10 24.63 3.66 42.99 52.52 42.99 52.52 0090.11.76.1320210P0 34.7315 4 61315 Open skull for drainage A 27.68 26.49 17.24 NA24.18 26.49 17.24 24.18 3.50 48.42 55.36 48.42 55.36 0090.11.76.1320210P0 34.7315 4 61320 Open skull for drainage A 25.62 20.29 16.02 NA19.22 20.29 16.02 19.22 2.67 44.31 47.51 44.31 47.51 0090.11.76.1320210P0 34.7315 4 61321 Open skull for drainage A 28.50 21.52 16.94 NA20.38 21.52 16.94 20.38 2.77 48.21 51.65 48.21 51.65 0090.11.76.1320210P0 34.7315 4 61330 Decompress eye socket A 23.32 14.08 19.60 NA15.46 14.08 19.60 15.46 0.95 43.87 39.73 43.87 39.73 0090.11.76.1321210P0 34.7315 4 61332 Explore/biopsy eye socket A 27.28 22.49 20.38 NA21.96 22.49 20.38 21.96 2.16 49.82 51.40 49.82 51.40 0090.11.76.1320210P0 34.7315 4 61333 Explore orbit; remove lesion A 27.95 22.20 19.33 NA21.48 22.20 19.33 21.48 2.55 49.83 51.98 49.83 51.98 0090.11.76.1320210P0 34.7315 4 61334 Explore orbit; remove object A 18.27 15.90 12.02 NA14.93 15.90 12.02 14.93 1.42 31.71 34.62 31.71 34.62 0090.11.76.1320210P0 34.7315 4 61340 Relieve cranial pressure A 18.66 16.06 11.82 NA15.00 16.06 11.82 15.00 1.99 32.47 35.65 32.47 35.65 0090.11.76.1321210P0 34.7315 4 61343 Incise skull,pressure relief A 29.77 32.61 19.06 NA29.22 32.61 19.06 29.22 4.13 52.96 63.12 52.96 63.12 0090.11.76.1320210P0 34.7315 4 61345 Relieve cranial pressure A 27.20 20.82 17.13 NA19.90 20.82 17.13 19.90 2.70 47.03 49.80 47.03 49.80 0090.11.76.1320210P0 34.7315 4 61440 Incise skull for surgery A 26.63 22.52 15.09 NA20.66 22.52 15.09 20.66 2.35 44.07 49.64 44.07 49.64 0090.11.76.1320210P0 34.7315 4 61450 Incise skull for surgery A 25.95 22.17 16.19 NA20.68 22.17 16.19 20.68 2.68 44.82 49.31 44.82 49.31 0090.11.76.1320210P0 34.7315 4 61458 Incise skull for brain wound A 27.29 29.61 17.00 NA26.46 29.61 17.00 26.46 3.81 48.10 57.56 48.10 57.56 0090.11.76.1320210P0 34.7315 4 61460 Incise skull for surgery A 28.39 27.19 18.40 NA24.99 27.19 18.40 24.99 3.11 49.90 56.49 49.90 56.49 0090.11.76.1320220P0 34.7315 4 61470 Incise skull for surgery A 26.06 15.04 15.21 NA15.08 15.04 15.21 15.08 1.98 43.25 43.12 43.25 43.12 0090.11.76.1320210P0 34.7315 4 61480 Incise skull for surgery A 26.49 16.35 12.67 NA15.43 16.35 12.67 15.43 1.39 40.55 43.31 40.55 43.31 0090.11.76.1320210P0 34.7315 4 61490 Incise skull for surgery A 25.66 12.72 15.32 NA13.37 12.72 15.32 13.37 1.69 42.67 40.72 42.67 40.72 0090.11.76.1321210P0 34.7315 4 61500 Removal of skull lesion A 17.92 21.39 11.84 NA19.00 21.39 11.84 19.00 2.80 32.56 39.72 32.56 39.72 0090.11.76.1320210P0 34.7315 4 61501 Remove infected skull bone A 14.84 17.71 10.15 NA15.82 17.71 10.15 15.82 2.61 27.60 33.27 27.60 33.27 0090.11.76.1320210P0 34.7315 4 61510 Removal of brain lesion A 28.45 29.35 17.77 NA26.46 29.35 17.77 26.46 3.83 50.05 58.74 50.05 58.74 0090.11.76.1320210P0 34.7315 4 61512 Remove brain lining lesion A 35.09 31.49 21.50 NA28.99 31.49 21.50 28.99 4.13 60.72 68.21 60.72 68.21 0090.11.76.1320210P0 34.7315 4 61514 Removal of brain abscess A 25.26 27.70 15.51 NA24.65 27.70 15.51 24.65 3.71 44.48 53.62 44.48 53.62 0090.11.76.1320210P0 34.7315 4 61516 Removal of brain lesion A 24.61 28.74 15.50 NA25.43 28.74 15.50 25.43 3.58 43.69 53.62 43.69 53.62 0090.11.76.1320210P0 34.7315 4 61518 Removal of brain lesion A 37.32 32.58 23.55 NA30.32 32.58 23.55 30.32 4.27 65.14 71.91 65.14 71.91 0090.11.76.1320210P0 34.7315 4 61519 Remove brain lining lesion A 41.39 33.88 25.69 NA31.83 33.88 25.69 31.83 4.51 71.59 77.73 71.59 77.73 0090.11.76.1320210P0 34.7315 4 61520 Removal of brain lesion A 54.84 36.74 33.91 NA36.03 36.74 33.91 36.03 4.61 93.36 95.48 93.36 95.48 0090.11.76.1320220P0 34.7315 4 61521 Removal of brain lesion A 44.48 35.78 27.36 NA33.68 35.78 27.36 33.68 4.58 76.42 82.74 76.42 82.74 0090.11.76.1320210P0 34.7315 4 61522 Removal of brain abscess A 29.45 21.66 18.45 NA20.86 21.66 18.45 20.86 2.97 50.87 53.28 50.87 53.28 0090.11.76.1320210P0 34.7315 4 61524 Removal of brain lesion A 27.86 29.79 17.42 NA26.70 29.79 17.42 26.70 4.03 49.31 58.59 49.31 58.59 0090.11.76.1320210P0 34.7315 4 61526 Removal of brain lesion A 52.17 36.91 33.53 NA36.07 36.91 33.53 36.07 3.75 89.45 91.99 89.45 91.99 0090.11.76.1320120P0 34.7315 4 61530 Removal of brain lesion A 43.86 36.91 29.79 NA35.13 36.91 29.79 35.13 3.75 77.40 82.74 77.40 82.74 0090.11.76.1320120P0 34.7315 4 61531 Implant brain electrodes A 14.63 16.26 9.79 NA14.64 16.26 9.79 14.64 1.37 25.79 30.64 25.79 30.64 0090.11.76.1320220P0 34.7315 4 61533 Implant brain electrodes A 19.71 18.47 12.89 NA17.08 18.47 12.89 17.08 2.61 35.21 39.40 35.21 39.40 0090.11.76.1320210P0 34.7315 4 61534 Removal of brain lesion A 20.97 6.92 13.36 NA 8.53 6.92 13.36 8.53 1.57 35.90 31.07 35.90 31.07 0090.11.76.1320210P0 34.7315 4 61535 Remove brain electrodes A 11.63 8.31 8.35 NA 8.32 8.31 8.35 8.32 0.98 20.96 20.93 20.96 20.93 0090.11.76.1320210P0 34.7315 4 61536 Removal of brain lesion A 35.52 23.83 22.56 NA23.51 23.83 22.56 23.51 3.12 61.20 62.15 61.20 62.15 0090.11.76.1320210P0 34.7315 4 61538 Removal of brain tissue A 26.81 31.56 17.53 NA28.05 31.56 17.53 28.05 3.89 48.23 58.75 48.23 58.75 0090.11.76.1320210P0 34.7315 4 61539 Removal of brain tissue A 32.08 24.92 19.96 NA23.68 24.92 19.96 23.68 3.18 55.22 58.94 55.22 58.94 0090.11.76.1320210P0 34.7315 4 61541 Incision of brain tissue A 28.85 21.49 17.84 NA20.58 21.49 17.84 20.58 2.96 49.65 52.39 49.65 52.39 0090.11.76.1320210P0 34.7315 4 61542 Removal of brain tissue A 31.02 21.61 17.79 NA20.66 21.61 17.79 20.66 3.05 51.86 54.73 51.86 54.73 0090.11.76.1320210P0 34.7315 4 61543 Removal of brain tissue A 29.22 18.71 18.12 NA18.56 18.71 18.12 18.56 1.95 49.29 49.73 49.29 49.73 0090.11.76.1320210P0 34.7315 4 61544 Remove & treat brain lesion A 25.50 30.44 13.55 NA26.22 30.44 13.55 26.22 1.65 40.70 53.37 40.70 53.37 0090.11.76.1320200P0 34.7315 4 61545 Excision of brain tumor A 43.80 27.85 26.42 NA27.49 27.85 26.42 27.49 3.76 73.98 75.05 73.98 75.05 0090.11.76.1320210P0 34.7315 4 61546 Removal of pituitary gland A 31.30 29.31 19.80 NA26.93 29.31 19.80 26.93 3.74 54.84 61.97 54.84 61.97 0090.11.76.1320210P0 34.7315 4 61548 Removal of pituitary gland A 21.53 25.70 14.66 NA22.94 25.70 14.66 22.94 3.15 39.34 47.62 39.34 47.62 0090.11.76.1320220P0 34.7315 4 61550 Release of skull seams A 14.65 12.82 7.24 NA11.43 12.82 7.24 11.43 0.87 22.76 26.95 22.76 26.95 0090.11.76.1320210P0 34.7315 4 61552 Release of skull seams A 19.56 15.01 9.57 NA13.65 15.01 9.57 13.65 2.11 31.24 35.32 31.24 35.32 0090.11.76.1320210P0 34.7315 4 61556 Incise skull/sutures A 22.26 16.85 12.74 NA15.82 16.85 12.74 15.82 2.38 37.38 40.46 37.38 40.46 0090.11.76.1320200P0 34.7315 4 61557 Incise skull/sutures A 22.38 16.95 14.68 NA16.38 16.95 14.68 16.38 2.39 39.45 41.15 39.45 41.15 0090.11.76.1320200P0 34.7315 4 61558 Excision of skull/sutures A 25.58 19.25 15.20 NA18.24 19.25 15.20 18.24 2.71 43.49 46.53 43.49 46.53 0090.11.76.1320200P0 34.7315 4 61559 Excision of skull/sutures A 32.79 24.97 18.50 NA23.35 24.97 18.50 23.35 3.52 54.81 59.66 54.81 59.66 0090.11.76.1320210P0 34.7315 4 61563 Excision of skull tumor A 26.83 20.41 17.01 NA19.56 20.41 17.01 19.56 2.88 46.72 49.27 46.72 49.27 0090.11.76.1320210P0 34.7315 4 61564 Excision of skull tumor A 33.83 25.75 21.48 NA24.68 25.75 21.48 24.68 3.63 58.94 62.14 58.94 62.14 0090.11.76.1320210P0 34.7315 4 61570 Remove brain foreign body A 24.60 17.90 14.80 NA17.13 17.90 14.80 17.13 2.39 41.79 44.12 41.79 44.12 0090.11.76.1320210P0 34.7315 4 61571 Incise skull for brain wound A 26.39 19.88 16.14 NA18.95 19.88 16.14 18.95 2.51 45.04 47.85 45.04 47.85 0090.11.76.1320210P0 34.7315 4 61575 Skull base/brainstem surgery A 34.36 35.80 23.10 NA32.63 35.80 23.10 32.63 3.95 61.41 70.94 61.41 70.94 0090.11.76.1320210P0 34.7315 4 61576 Skull base/brainstem surgery A 52.43 30.64 33.10 NA31.26 30.64 33.10 31.26 3.06 88.59 86.75 88.59 86.75 0090.11.76.1320210P0 34.7315 4 61580 Craniofacial approach, skull A 30.35 22.80 19.75 NA22.04 22.80 19.75 22.04 3.21 53.31 55.60 53.31 55.60 0090.11.76.1321212P0 34.7315 4 61581 Craniofacial approach, skull A 34.60 25.87 11.52 NA22.28 25.87 11.52 22.28 3.65 49.77 60.53 49.77 60.53 0090.11.76.1321122P0 34.7315 4 61582 Craniofacial approach, skull A 31.66 23.50 19.85 NA22.59 23.50 19.85 22.59 3.30 54.81 57.55 54.81 57.55 0090.11.76.1320212P0 34.7315 4 61583 Craniofacial approach, skull A 36.21 26.81 22.91 NA25.84 26.81 22.91 25.84 3.78 62.90 65.83 62.90 65.83 0090.11.76.1320212P0 34.7315 4 61584 Orbitocranial approach/skull A 34.65 25.95 21.33 NA24.80 25.95 21.33 24.80 3.66 59.64 63.11 59.64 63.11 0090.11.76.1321212P0 34.7315 4 61585 Orbitocranial approach/skull A 38.61 29.03 23.04 NA27.53 29.03 23.04 27.53 4.09 65.74 70.23 65.74 70.23 0090.11.76.1321212P0 34.7315 4 61586 Resect nasopharynx, skull A 25.10 23.20 17.75 NA21.84 23.20 17.75 21.84 1.82 44.67 48.76 44.67 48.76 0090.11.76.1320212P0 34.7315 4 61590 Infratemporal approach/skull A 41.78 31.58 27.88 NA30.66 31.58 27.88 30.66 4.44 74.10 76.88 74.10 76.88 0090.11.76.1321212P0 34.7315 4 61591 Infratemporal approach/skull A 43.68 33.12 27.07 NA31.61 33.12 27.07 31.61 4.66 75.41 79.95 75.41 79.95 0090.11.76.1321212P0 34.7315 4 61592 Orbitocranial approach/skull A 39.64 30.04 24.95 NA28.77 30.04 24.95 28.77 4.23 68.82 72.64 68.82 72.64 0090.11.76.1321212P0 34.7315 4 61595 Transtemporal approach/skull A 29.57 22.18 21.09 NA21.91 22.18 21.09 21.91 3.13 53.79 54.61 53.79 54.61 0090.11.76.1321212P0 34.7315 4 61596 Transcochlear approach/skull A 35.63 26.96 24.64 NA26.38 26.96 24.64 26.38 3.80 64.07 65.81 64.07 65.81 0090.11.76.1321212P0 34.7315 4 61597 Transcondylar approach/skull A 37.96 28.50 19.09 NA26.15 28.50 19.09 26.15 4.01 61.06 68.12 61.06 68.12 0090.11.76.1321212P0 34.7315 4 61598 Transpetrosal approach/skull A 33.41 25.10 22.29 NA24.40 25.10 22.29 24.40 3.54 59.24 61.35 59.24 61.35 0090.11.76.1320212P0 34.7315 4 61600 Resect/excise cranial lesion A 25.85 19.25 17.12 NA18.72 19.25 17.12 18.72 2.71 45.68 47.28 45.68 47.28 0090.11.76.1320212P0 34.7315 4 61601 Resect/excise cranial lesion A 27.89 20.65 17.75 NA19.93 20.65 17.75 19.93 2.91 48.55 50.73 48.55 50.73 0090.11.76.1320212P0 34.7315 4 61605 Resect/excise cranial lesion A 29.33 21.80 19.46 NA21.22 21.80 19.46 21.22 3.07 51.86 53.62 51.86 53.62 0090.11.76.1320212P0 34.7315 4 61606 Resect/excise cranial lesion A 38.83 29.19 23.73 NA27.83 29.19 23.73 27.83 4.11 66.67 70.77 66.67 70.77 0090.11.76.1320212P0 34.7315 4 61607 Resect/excise cranial lesion A 36.27 27.27 23.09 NA26.23 27.27 23.09 26.23 3.84 63.20 66.34 63.20 66.34 0090.11.76.1320212P0 34.7315 4 61608 Resect/excise cranial lesion A 42.10 31.73 25.46 NA30.16 31.73 25.46 30.16 4.47 72.03 76.73 72.03 76.73 0090.11.76.1320212P0 34.7315 4 61609 Transect, artery, sinus A 9.89 7.80 5.55 NA 7.24 7.80 5.55 7.24 1.10 16.54 18.23 16.54 18.23 0ZZZ.00.00.0001212P0 34.7315 4 61610 Transect, artery, sinus A 29.67 23.41 12.97 NA20.80 23.41 12.97 20.80 3.29 45.93 53.76 45.93 53.76 0ZZZ.00.00.0001212P0 34.7315 4 61611 Transect, artery, sinus A 7.42 5.85 3.47 NA 5.26 5.85 3.47 5.26 0.83 11.72 13.51 11.72 13.51 0ZZZ.00.00.0001212P0 34.7315 4 61612 Transect, artery, sinus A 27.88 22.00 13.09 NA19.77 22.00 13.09 19.77 3.10 44.07 50.75 44.07 50.75 0ZZZ.00.00.0001212P0 34.7315 4 61613 Remove aneurysm, sinus A 40.86 31.11 24.94 NA29.57 31.11 24.94 29.57 4.39 70.19 74.82 70.19 74.82 0090.11.76.1321212P0 34.7315 4 61615 Resect/excise lesion, skull A 32.07 23.95 22.03 NA23.47 23.95 22.03 23.47 3.37 57.47 58.91 57.47 58.91 0090.11.76.1320212P0 34.7315 4 61616 Resect/excise lesion, skull A 43.33 32.59 27.31 NA31.27 32.59 27.31 31.27 4.58 75.22 79.18 75.22 79.18 0090.11.76.1320212P0 34.7315 4 61618 Repair dura A 16.99 12.32 11.89 NA12.21 12.32 11.89 12.21 1.74 30.62 30.94 30.62 30.94 0090.11.76.1320212P0 34.7315 4 61619 Repair dura A 20.71 15.40 13.91 NA15.03 15.40 13.91 15.03 2.17 36.79 37.91 36.79 37.91 0090.11.76.1320212P0 34.7315 4 61624 Occlusion/embolization cath A 20.15 16.58 12.02 NA15.44 16.58 12.02 15.44 1.40 33.57 36.99 33.57 36.99 0000.00.00.0020100P0 34.7315 4 61626 Occlusion/embolization cath A 16.62 13.67 9.21 NA12.56 13.67 9.21 12.56 1.15 26.98 30.33 26.98 30.33 0000.00.00.0020100P0 34.7315 4 61680 Intracranial vessel surgery A 30.71 33.71 19.04 NA30.04 33.71 19.04 30.04 4.53 54.28 65.28 54.28 65.28 0090.11.76.1320210P0 34.7315 4 61682 Intracranial vessel surgery A 61.57 38.32 35.60 NA37.64 38.32 35.60 37.64 4.98 102.15 104.19 102.15 104.19 0090.11.76.1320210P0 34.7315 4 61684 Intracranial vessel surgery A 39.81 32.30 24.60 NA30.38 32.30 24.60 30.38 2.71 67.12 72.90 67.12 72.90 0090.11.76.1320210P0 34.7315 4 61686 Intracranial vessel surgery A 64.49 39.05 37.57 NA38.68 39.05 37.57 38.68 3.29 105.35 106.46 105.35 106.46 0090.11.76.1320210P0 34.7315 4 61690 Intracranial vessel surgery A 29.31 29.80 18.30 NA26.93 29.80 18.30 26.93 3.20 50.81 59.44 50.81 59.44 0090.11.76.1320210P0 34.7315 4 61692 Intracranial vessel surgery A 51.87 31.24 28.56 NA30.57 31.24 28.56 30.57 2.63 83.06 85.07 83.06 85.07 0090.11.76.1320210P0 34.7315 4 61700 Inner skull vessel surgery A 50.52 34.39 29.26 NA33.11 34.39 29.26 33.11 4.44 84.22 88.07 84.22 88.07 0090.11.76.1320210P0 34.7315 4 61702 Inner skull vessel surgery A 48.41 39.41 28.28 NA36.63 39.41 28.28 36.63 5.17 81.86 90.21 81.86 90.21 0090.11.76.1320210P0 34.7315 4 61703 Clamp neck artery A 17.47 13.25 11.21 NA12.74 13.25 11.21 12.74 1.75 30.43 31.96 30.43 31.96 0090.11.76.1320210P0 34.7315 4 61705 Revise circulation to head A 36.20 33.00 20.37 NA29.84 33.00 20.37 29.84 4.11 60.68 70.15 60.68 70.15 0090.11.76.1320210P0 34.7315 4 61708 Revise circulation to head A 35.30 27.35 15.31 NA24.34 27.35 15.31 24.34 1.82 52.43 61.46 52.43 61.46 0090.11.76.1320200P0 34.7315 4 61710 Revise circulation to head A 29.67 18.05 15.02 NA17.29 18.05 15.02 17.29 1.37 46.06 48.33 46.06 48.33 0090.11.76.1320000P0 34.7315 4 61711 Fusion of skull arteries A 36.33 35.86 21.93 NA32.38 35.86 21.93 32.38 4.85 63.11 73.56 63.11 73.56 0090.11.76.1320210P0 34.7315 4 61712 Skull or spine microsurgery D 3.49 4.17 4.17 4.17 4.17 4.17 4.17 0.73 8.39 8.39 8.39 8.39 0ZZZ.00.00.0000210P0 34.7315 4 61720 Incise skull/brain surgery A 16.77 20.02 10.93 NA17.75 20.02 10.93 17.75 3.17 30.87 37.69 30.87 37.69 0090.11.76.1320100P0 34.7315 4 61735 Incise skull/brain surgery A 20.43 14.06 13.16 NA13.84 14.06 13.16 13.84 1.18 34.77 35.45 34.77 35.45 0090.11.76.1320110P0 34.7315 4 61750 Incise skull; brain biopsy A 18.20 14.69 11.59 NA13.92 14.69 11.59 13.92 3.37 33.16 35.49 33.16 35.49 0090.11.76.1320110P0 34.7315 4 61751 Brain biopsy with cat scan A 17.62 21.03 10.98 NA18.52 21.03 10.98 18.52 3.47 32.07 39.61 32.07 39.61 0090.11.76.1320110P0 34.7315 4 61760 Implant brain electrodes A 22.27 16.26 13.48 NA15.57 16.26 13.48 15.57 1.37 37.12 39.21 37.12 39.21 0090.11.76.1320120P0 34.7315 4 61770 Incise skull for treatment A 21.44 21.03 13.24 NA19.08 21.03 13.24 19.08 2.68 37.36 43.20 37.36 43.20 0090.11.76.1320110P0 34.7315 4 61790 Treat trigeminal nerve A 10.86 12.97 5.81 NA11.18 12.97 5.81 11.18 2.37 19.04 24.41 19.04 24.41 0090.11.76.1320100P0 34.7315 4 61791 Treat trigeminal tract A 14.61 10.60 9.61 NA10.35 10.60 9.61 10.35 2.47 26.69 27.43 26.69 27.43 0090.11.76.1320000P0 34.7315 4 61793 Focus radiation beam A 17.24 20.58 11.70 NA18.36 20.58 11.70 18.36 1.53 30.47 37.13 30.47 37.13 0090.11.76.1320100P0 34.7315 4 61795 Brain surgery using computer A 4.04 4.82 2.71 NA 4.29 4.82 2.71 4.29 1.21 7.96 9.54 7.96 9.54 0ZZZ.00.00.0000100P0 34.7315 4 61850 Implant neuroelectrodes A 12.39 12.62 8.28 NA11.54 12.62 8.28 11.54 1.77 22.44 25.70 22.44 25.70 0090.11.76.1320200P0 34.7315 4 61855 Implant neuroelectrodes A 13.39 11.28 9.32 NA10.79 11.28 9.32 10.79 1.15 23.86 25.33 23.86 25.33 0090.11.76.1320100P0 34.7315 4 61860 Implant neuroelectrodes A 20.87 8.83 12.89 NA 9.85 8.83 12.89 9.85 1.24 35.00 31.96 35.00 31.96 0090.11.76.1320200P0 34.7315 4 61865 Implant neuroelectrodes A 22.97 17.13 14.16 NA16.39 17.13 14.16 16.39 2.42 39.55 41.78 39.55 41.78 0090.11.76.1320210P0 34.7315 4 61870 Implant neuroelectrodes A 14.94 4.55 9.37 NA 5.76 4.55 9.37 5.76 0.64 24.95 21.34 24.95 21.34 0090.11.76.1320210P0 34.7315 4 61875 Implant neuroelectrodes A 15.06 7.26 8.34 NA 7.53 7.26 8.34 7.53 1.02 24.42 23.61 24.42 23.61 0090.11.76.1320200P0 34.7315 4 61880 Revise/remove neuroelectrode A 6.29 5.20 5.14 NA 5.19 5.20 5.14 5.19 0.52 11.95 12.00 11.95 12.00 0090.11.76.1320210P0 34.7315 4 61885 Implant neuroreceiver A 5.85 2.13 4.74 NA 2.78 2.13 4.74 2.78 0.23 10.82 8.86 10.82 8.86 0090.11.76.1320000P0 34.7315 4 61888 Revise/remove neuroreceiver A 5.07 2.44 3.83 NA 2.79 2.44 3.83 2.79 0.34 9.24 8.20 9.24 8.20 0010.10.80.1020100P0 34.7315 4 62000 Repair of skull fracture A 12.53 6.22 5.81 NA 6.12 6.22 5.81 6.12 0.74 19.08 19.39 19.08 19.39 0090.11.76.1320100P0 34.7315 4 62005 Repair of skull fracture A 16.17 12.02 9.77 NA11.46 12.02 9.77 11.46 1.54 27.48 29.17 27.48 29.17 0090.11.76.1320210P0 34.7315 4 62010 Treatment of head injury A 19.81 20.84 12.53 NA18.76 20.84 12.53 18.76 2.65 34.99 41.22 34.99 41.22 0090.11.76.1320210P0 34.7315 4 62100 Repair brain fluid leakage A 22.03 23.46 14.59 NA21.24 23.46 14.59 21.24 2.91 39.53 46.18 39.53 46.18 0090.11.76.1320210P0 34.7315 4 62115 Reduction of skull defect A 21.66 16.83 13.47 NA15.99 16.83 13.47 15.99 1.42 36.55 39.07 36.55 39.07 0090.11.76.1320210P0 34.7315 4 62116 Reduction of skull defect A 23.59 18.43 14.69 NA17.50 18.43 14.69 17.50 1.56 39.84 42.65 39.84 42.65 0090.11.76.1320200P0 34.7315 4 62117 Reduction of skull defect A 26.60 20.84 15.94 NA19.62 20.84 15.94 19.62 1.76 44.30 47.98 44.30 47.98 0090.11.76.1320210P0 34.7315 4 62120 Repair skull cavity lesion A 23.35 18.34 15.51 NA17.63 18.34 15.51 17.63 1.55 40.41 42.53 40.41 42.53 0090.11.76.1320210P0 34.7315 4 62121 Incise skull repair A 21.58 19.00 14.70 NA17.93 19.00 14.70 17.93 2.67 38.95 42.18 38.95 42.18 0090.11.76.1320200P0 34.7315 4 62140 Repair of skull defect A 13.51 14.58 9.26 NA13.25 14.58 9.26 13.25 1.87 24.64 28.63 24.64 28.63 0090.11.76.1320210P0 34.7315 4 62141 Repair of skull defect A 14.91 17.80 10.19 NA15.90 17.80 10.19 15.90 2.57 27.67 33.38 27.67 33.38 0090.11.76.1320210P0 34.7315 4 62142 Remove skull plate/flap A 10.79 12.88 7.51 NA11.54 12.88 7.51 11.54 2.07 20.37 24.40 20.37 24.40 0090.11.76.1320200P0 34.7315 4 62143 Replace skull plate/flap A 13.05 9.95 8.85 NA 9.68 9.95 8.85 9.68 1.29 23.19 24.02 23.19 24.02 0090.11.76.1320210P0 34.7315 4 62145 Repair of skull & brain A 18.82 14.28 12.57 NA13.85 14.28 12.57 13.85 1.79 33.18 34.46 33.18 34.46 0090.11.76.1320210P0 34.7315 4 62146 Repair of skull with graft A 16.12 11.93 10.68 NA11.62 11.93 10.68 11.62 1.68 28.48 29.42 28.48 29.42 0090.11.76.1320210P0 34.7315 4 62147 Repair of skull with graft A 19.34 14.29 12.77 NA13.91 14.29 12.77 13.91 2.01 34.12 35.26 34.12 35.26 0090.11.76.1320210P0 34.7315 4 62180 Establish brain cavity shunt A 21.06 15.42 13.61 NA14.97 15.42 13.61 14.97 2.11 36.78 38.14 36.78 38.14 0090.11.76.1320200P0 34.7315 4 62190 Establish brain cavity shunt A 11.07 13.22 8.13 NA11.95 13.22 8.13 11.95 2.51 21.71 25.53 21.71 25.53 0090.11.76.1320110P0 34.7315 4 62192 Establish brain cavity shunt A 12.25 14.63 8.53 NA13.11 14.63 8.53 13.11 2.14 22.92 27.50 22.92 27.50 0090.11.76.1320210P0 34.7315 4 62194 Replace/irrigate catheter A 5.03 2.04 2.53 NA 2.16 2.04 2.53 2.16 0.23 7.79 7.42 7.79 7.42 0010.10.80.1020000P0 34.7315 4 62200 Establish brain cavity shunt A 18.32 18.40 12.21 NA16.85 18.40 12.21 16.85 2.42 32.95 37.59 32.95 37.59 0090.11.76.1320210P0 34.7315 4 62201 Establish brain cavity shunt A 14.86 9.53 10.05 NA 9.66 9.53 10.05 9.66 1.35 26.26 25.87 26.26 25.87 0090.11.76.1320100P0 34.7315 4 62220 Establish brain cavity shunt A 13.00 15.52 8.55 NA13.78 15.52 8.55 13.78 2.44 23.99 29.22 23.99 29.22 0090.11.76.1320210P0 34.7315 4 62223 Establish brain cavity shunt A 12.87 15.37 8.63 NA13.69 15.37 8.63 13.69 2.36 23.86 28.92 23.86 28.92 0090.11.76.1320210P0 34.7315 4 62225 Replace/irrigate catheter A 5.41 5.21 4.12 NA 4.94 5.21 4.12 4.94 0.45 9.98 10.80 9.98 10.80 0090.11.76.1320100P0 34.7315 4 62230 Replace/revise brain shunt A 10.54 10.67 7.03 NA 9.76 10.67 7.03 9.76 1.42 18.99 21.72 18.99 21.72 0090.11.76.1320210P0 34.7315 4 62256 Remove brain cavity shunt A 6.60 6.92 5.19 NA 6.49 6.92 5.19 6.49 0.92 12.71 14.01 12.71 14.01 0090.11.76.1320200P0 34.7315 4 62258 Replace brain cavity shunt A 14.54 16.04 9.35 NA14.37 16.04 9.35 14.37 1.99 25.88 30.90 25.88 30.90 0090.11.76.1320210P0 34.7315 4 62268 Drain spinal cord cyst A 4.74 3.23 2.80 NA 3.12 3.23 2.80 3.12 0.28 7.82 8.14 7.82 8.14 0000.00.00.0020100P0 34.7315 4 62269 Needle biopsy spinal cord A 5.02 1.90 2.28 NA 2.00 1.90 2.28 2.00 0.22 7.52 7.24 7.52 7.24 0000.00.00.0020000P0 34.7315 4 62270 Spinal fluid tap, diagnostic A 1.13 0.77 0.67 0.75 0.77 0.39 0.68 0.05 1.85 1.93 1.57 1.86 0000.00.00.0020100P1A4550 34.7315 4 62272 Drain spinal fluid A 1.35 1.10 0.81 1.03 1.10 0.56 0.97 0.09 2.25 2.47 2.00 2.41 0000.00.00.0020100P0 34.7315 4 62273 Treat lumbar spine lesion A 2.15 1.22 1.24 1.23 1.22 0.89 1.14 0.20 3.59 3.58 3.24 3.49 0000.00.00.0020100P0 34.7315 4 62274 Inject spinal anesthetic A 1.78 0.80 2.73 1.28 0.80 1.33 0.93 0.13 4.64 3.19 3.24 2.84 0000.00.00.0020100P0 34.7315 4 62275 Inject spinal anesthetic A 1.79 0.64 2.42 1.09 0.64 1.33 0.81 0.15 4.36 3.03 3.27 2.75 0000.00.00.0020100P0 34.7315 4 62276 Inject spinal anesthetic A 2.04 1.33 2.65 1.66 1.33 1.56 1.39 0.18 4.87 3.88 3.78 3.61 0000.00.00.0020100P0 34.7315 4 62277 Inject spinal anesthetic A 2.15 0.91 3.00 1.43 0.91 1.33 1.02 0.18 5.33 3.76 3.66 3.35 0000.00.00.0020100P0 34.7315 4 62278 Inject spinal anesthetic A 1.51 1.06 1.74 1.23 1.06 1.36 1.14 0.20 3.45 2.94 3.07 2.85 0000.00.00.0020100P0 34.7315 4 62279 Inject spinal anesthetic A 1.58 0.89 1.90 1.14 0.89 1.23 0.98 0.19 3.67 2.91 3.00 2.75 0000.00.00.0020100P0 34.7315 4 62280 Treat spinal cord lesion A 2.63 0.77 3.62 1.48 0.77 1.65 0.99 0.11 6.36 4.22 4.39 3.73 0010.10.80.1020100P0 34.7315 4 62281 Treat spinal cord lesion A 2.66 0.94 2.69 1.38 0.94 1.45 1.07 0.22 5.57 4.26 4.33 3.95 0010.10.80.1020100P0 34.7315 4 62282 Treat spinal canal lesion A 2.33 1.84 4.09 2.40 1.84 1.52 1.76 0.31 6.73 5.04 4.16 4.40 0010.10.80.1020100P0 34.7315 4 62284 Injection for myelogram A 1.54 2.15 3.42 2.47 1.83 0.72 1.55 0.27 5.23 4.28 2.53 3.36 0000.00.00.0000100P0 34.7315 4 62287 Percutaneous diskectomy A 8.08 7.55 4.83 NA 6.87 7.55 4.83 6.87 2.07 14.98 17.02 14.98 17.02 0090.11.76.1320100P0 34.7315 4 62288 Injection into spinal canal A 1.74 1.22 2.87 1.63 1.22 1.47 1.28 0.19 4.80 3.56 3.40 3.21 0000.00.00.0020100P0 34.7315 4 62289 Injection into spinal canal A 1.64 1.16 2.82 1.58 1.16 1.29 1.19 0.23 4.69 3.45 3.16 3.06 0000.00.00.0020100P0 34.7315 4 62290 Inject for spine disk x-ray A 3.00 2.02 3.79 2.46 2.02 1.42 1.87 0.19 6.98 5.65 4.61 5.06 0000.00.00.0020100P0 34.7315 4 62291 Inject for spine disk x-ray A 2.91 1.93 3.82 2.40 1.93 1.19 1.75 0.31 7.04 5.62 4.41 4.97 0000.00.00.0020100P0 34.7315 4 62292 Injection into disk lesion A 7.86 9.39 4.69 NA 8.22 9.39 4.69 8.22 1.67 14.22 17.75 14.22 17.75 0090.11.76.1320000P0 34.7315 4 62294 Injection into spinal artery A 11.83 6.34 6.19 NA 6.30 6.34 6.19 6.30 0.53 18.55 18.66 18.55 18.66 0090.11.76.1320100P0 34.7315 4 62298 Injection into spinal canal A 2.20 1.13 2.50 1.47 1.13 1.33 1.18 0.10 4.80 3.77 3.63 3.48 0000.00.00.0020100P0 34.7315 4 62350 Implant spinal catheter A 6.87 3.79 3.58 NA 3.74 3.79 3.58 3.74 0.80 11.25 11.41 11.25 11.41 0090.11.76.1320110P0 34.7315 4 62351 Implant spinal catheter A 10.00 5.60 6.90 NA 5.93 5.60 6.90 5.93 1.17 18.07 17.10 18.07 17.10 0090.11.76.1320220P0 34.7315 4 62355 Remove spinal canal catheter A 5.45 3.79 2.33 NA 3.43 3.79 2.33 3.43 0.53 8.31 9.41 8.31 9.41 0090.11.76.1320000P0 34.7315 4 62360 Insert spine infusion device A 2.62 1.22 2.27 NA 1.48 1.22 2.27 1.48 0.26 5.15 4.36 5.15 4.36 0090.11.76.1320010P0 34.7315 4 62361 Implant spine infusion pump A 5.42 2.91 3.11 NA 2.96 2.91 3.11 2.96 0.61 9.14 8.99 9.14 8.99 0090.11.76.1320010P0 34.7315 4 62362 Implant spine infusion pump A 7.04 3.81 4.17 NA 3.90 3.81 4.17 3.90 0.80 12.01 11.74 12.01 11.74 0090.11.76.1320010P0 34.7315 4 62365 Remove spine infusion device A 5.42 3.77 3.03 NA 3.59 3.77 3.03 3.59 0.53 8.98 9.54 8.98 9.54 0090.11.76.1320000P0 34.7315 4 62367 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 62367TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 6236726Analyze spine infusion pump A 0.48 0.38 0.12 0.32 0.38 0.12 0.32 0.05 0.65 0.85 0.65 0.85 1XXX.00.00.0000000P0 34.7315 4 62368 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 62368TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 6236826Analyze spine infusion pump A 0.75 0.60 0.17 0.49 0.60 0.17 0.49 0.09 1.01 1.33 1.01 1.33 1XXX.00.00.0000000P0 34.7315 4 63001 Removal of spinal lamina A 15.82 18.88 10.65 NA16.82 18.88 10.65 16.82 2.68 29.15 35.32 29.15 35.32 0090.11.76.1320220P0 34.7315 4 63003 Removal of spinal lamina A 15.95 19.05 11.35 NA17.13 19.05 11.35 17.13 2.53 29.83 35.61 29.83 35.61 0090.11.76.1320220P0 34.7315 4 63005 Removal of spinal lamina A 14.92 17.81 10.90 NA16.08 17.81 10.90 16.08 2.43 28.25 33.43 28.25 33.43 0090.11.76.1320220P0 34.7315 4 63011 Removal of spinal lamina A 14.52 10.84 7.74 NA10.07 10.84 7.74 10.07 1.46 23.72 26.05 23.72 26.05 0090.11.76.1320220P0 34.7315 4 63012 Removal of spinal lamina A 15.40 18.38 10.76 NA16.48 18.38 10.76 16.48 2.46 28.62 34.34 28.62 34.34 0090.11.76.1320220P0 34.7315 4 63015 Removal of spinal lamina A 19.35 23.04 13.10 NA20.56 23.04 13.10 20.56 3.27 35.72 43.18 35.72 43.18 0090.11.76.1320220P0 34.7315 4 63016 Removal of spinal lamina A 19.20 22.92 13.16 NA20.48 22.92 13.16 20.48 3.22 35.58 42.90 35.58 42.90 0090.11.76.1320220P0 34.7315 4 63017 Removal of spinal lamina A 15.94 19.02 11.37 NA17.11 19.02 11.37 17.11 3.13 30.44 36.18 30.44 36.18 0090.11.76.1320220P0 34.7315 4 63020 Neck spine disk surgery A 14.81 17.41 10.67 NA15.73 17.41 10.67 15.73 2.64 28.12 33.18 28.12 33.18 0090.11.76.1321220P0 34.7315 4 63030 Low back disk surgery A 12.00 14.33 9.18 NA13.04 14.33 9.18 13.04 2.20 23.38 27.24 23.38 27.24 0090.11.76.1321220P0 34.7315 4 63035 Spinal disk surgery add-on A 3.15 3.77 2.16 NA 3.37 3.77 2.16 3.37 0.59 5.90 7.11 5.90 7.11 0ZZZ.00.00.0001220P0 34.7315 4 63040 Neck spine disk surgery A 18.81 22.45 12.84 NA20.05 22.45 12.84 20.05 3.36 35.01 42.22 35.01 42.22 0090.11.76.1321220P0 34.7315 4 63042 Low back disk surgery A 17.47 20.86 12.34 NA18.73 20.86 12.34 18.73 3.43 33.24 39.63 33.24 39.63 0090.11.76.1321220P0 34.7315 4 63045 Removal of spinal lamina A 16.50 19.70 11.59 NA17.67 19.70 11.59 17.67 3.43 31.52 37.60 31.52 37.60 0090.11.76.1322220P0 34.7315 4 63046 Removal of spinal lamina A 15.80 18.86 11.25 NA16.96 18.86 11.25 16.96 3.58 30.63 36.34 30.63 36.34 0090.11.76.1322220P0 34.7315 4 63047 Removal of spinal lamina A 14.61 17.44 10.82 NA15.79 17.44 10.82 15.79 3.50 28.93 33.90 28.93 33.90 0090.11.76.1322220P0 34.7315 4 63048 Remove spinal lamina add-on A 3.26 3.90 2.26 NA 3.49 3.90 2.26 3.49 0.81 6.33 7.56 6.33 7.56 0ZZZ.00.00.0002220P0 34.7315 4 63055 Decompress spinal cord A 21.99 25.75 14.88 NA23.03 25.75 14.88 23.03 3.27 40.14 48.29 40.14 48.29 0090.11.76.1320210P0 34.7315 4 63056 Decompress spinal cord A 20.36 23.70 13.97 NA21.27 23.70 13.97 21.27 2.94 37.27 44.57 37.27 44.57 0090.11.76.1320210P0 34.7315 4 63057 Decompress spine cord add-on A 5.26 4.17 3.27 NA 3.95 4.17 3.27 3.95 0.66 9.19 9.87 9.19 9.87 0ZZZ.00.00.0000210P0 34.7315 4 63064 Decompress spinal cord A 24.61 25.86 16.46 NA23.51 25.86 16.46 23.51 3.20 44.27 51.32 44.27 51.32 0090.11.76.1320210P0 34.7315 4 63066 Decompress spine cord add-on A 3.26 2.69 2.28 NA 2.59 2.69 2.28 2.59 0.35 5.89 6.20 5.89 6.20 0ZZZ.00.00.0000210P0 34.7315 4 63075 Neck spine disk surgery A 19.41 19.07 13.21 NA17.61 19.07 13.21 17.61 2.51 35.13 39.53 35.13 39.53 0090.11.76.1320220P0 34.7315 4 63076 Neck spine disk surgery A 4.05 4.84 2.80 NA 4.33 4.84 2.80 4.33 0.76 7.61 9.14 7.61 9.14 0ZZZ.00.00.0000220P0 34.7315 4 63077 Spine disk surgery, thorax A 21.44 19.99 14.75 NA18.68 19.99 14.75 18.68 2.48 38.67 42.60 38.67 42.60 0090.11.76.1320220P0 34.7315 4 63078 Spine disk surgery, thorax A 3.28 2.83 2.25 NA 2.69 2.83 2.25 2.69 0.35 5.88 6.32 5.88 6.32 0ZZZ.00.00.0000220P0 34.7315 4 63081 Removal of vertebral body A 23.73 28.33 16.08 NA25.27 28.33 16.08 25.27 3.52 43.33 52.52 43.33 52.52 0090.11.76.1320212P0 34.7315 4 63082 Remove vertebral body add-on A 4.37 5.22 2.99 NA 4.66 5.22 2.99 4.66 0.95 8.31 9.98 8.31 9.98 0ZZZ.00.00.0000212P0 34.7315 4 63085 Removal of vertebral body A 26.92 29.73 17.73 NA26.73 29.73 17.73 26.73 3.67 48.32 57.32 48.32 57.32 0090.11.76.1320222P0 34.7315 4 63086 Remove vertebral body add-on A 3.19 3.81 2.21 NA 3.41 3.81 2.21 3.41 0.84 6.24 7.44 6.24 7.44 0ZZZ.00.00.0000222P0 34.7315 4 63087 Removal of vertebral body A 35.57 30.66 19.95 NA27.98 30.66 19.95 27.98 3.79 59.31 67.34 59.31 67.34 0090.11.76.1320222P0 34.7315 4 63088 Remove vertebral body add-on A 4.33 5.17 2.91 NA 4.61 5.17 2.91 4.61 0.92 8.16 9.86 8.16 9.86 0ZZZ.00.00.0000222P0 34.7315 4 63090 Removal of vertebral body A 28.16 31.71 18.18 NA28.33 31.71 18.18 28.33 3.85 50.19 60.34 50.19 60.34 0090.11.76.1320222P0 34.7315 4 63091 Remove vertebral body add-on A 3.03 2.96 2.06 NA 2.74 2.96 2.06 2.74 0.36 5.45 6.13 5.45 6.13 0ZZZ.00.00.0000222P0 34.7315 4 63170 Incise spinal cord tract(s) A 19.83 20.49 13.58 NA18.76 20.49 13.58 18.76 2.57 35.98 41.16 35.98 41.16 0090.11.76.1320210P0 34.7315 4 63172 Drainage of spinal cyst A 17.66 21.09 12.70 NA18.99 21.09 12.70 18.99 3.33 33.69 39.98 33.69 39.98 0090.11.76.1320210P0 34.7315 4 63173 Drainage of spinal cyst A 21.99 16.79 14.94 NA16.33 16.79 14.94 16.33 1.42 38.35 39.74 38.35 39.74 0090.11.76.1320210P0 34.7315 4 63180 Revise spinal cord ligaments A 18.27 12.60 11.01 NA12.20 12.60 11.01 12.20 1.60 30.88 32.07 30.88 32.07 0090.11.76.1320210P0 34.7315 4 63182 Revise spinal cord ligaments A 20.50 17.84 12.30 NA16.46 17.84 12.30 16.46 1.73 34.53 38.69 34.53 38.69 0090.11.76.1320210P0 34.7315 4 63185 Incise spinal column/nerves A 15.04 16.88 9.85 NA15.12 16.88 9.85 15.12 2.29 27.18 32.45 27.18 32.45 0090.11.76.1320210P0 34.7315 4 63190 Incise spinal column/nerves A 17.45 20.84 11.81 NA18.58 20.84 11.81 18.58 3.06 32.32 39.09 32.32 39.09 0090.11.76.1320210P0 34.7315 4 63191 Incise spinal column/nerves A 17.54 14.15 11.52 NA13.49 14.15 11.52 13.49 1.73 30.79 32.76 30.79 32.76 0090.11.76.1321210P0 34.7315 4 63194 Incise spinal column & cord A 19.19 14.13 11.95 NA13.59 14.13 11.95 13.59 1.82 32.96 34.60 32.96 34.60 0090.11.76.1320210P0 34.7315 4 63195 Incise spinal column & cord A 18.84 15.04 12.29 NA14.35 15.04 12.29 14.35 1.65 32.78 34.84 32.78 34.84 0090.11.76.1320210P0 34.7315 4 63196 Incise spinal column & cord A 22.30 16.92 11.57 NA15.58 16.92 11.57 15.58 1.43 35.30 39.31 35.30 39.31 0090.11.76.1320210P0 34.7315 4 63197 Incise spinal column & cord A 21.11 15.58 13.83 NA15.14 15.58 13.83 15.14 2.05 36.99 38.30 36.99 38.30 0090.11.76.1320210P0 34.7315 4 63198 Incise spinal column & cord A 25.38 17.71 13.15 NA16.57 17.71 13.15 16.57 2.50 41.03 44.45 41.03 44.45 0090.11.76.1320210P0 34.7315 4 63199 Incise spinal column & cord A 26.89 23.22 15.39 NA21.26 23.22 15.39 21.26 2.04 44.32 50.19 44.32 50.19 0090.11.76.1320210P0 34.7315 4 63200 Release of spinal cord A 19.18 13.55 12.25 NA13.23 13.55 12.25 13.23 1.43 32.86 33.84 32.86 33.84 0090.11.76.1320200P0 34.7315 4 63250 Revise spinal cord vessels A 40.76 30.38 18.89 NA27.51 30.38 18.89 27.51 4.08 63.73 72.35 63.73 72.35 0090.11.76.1320210P0 34.7315 4 63251 Revise spinal cord vessels A 41.20 24.68 24.40 NA24.61 24.68 24.40 24.61 3.38 68.98 69.19 68.98 69.19 0090.11.76.1320210P0 34.7315 4 63252 Revise spinal cord vessels A 41.19 30.66 24.70 NA29.17 30.66 24.70 29.17 4.32 70.21 74.68 70.21 74.68 0090.11.76.1320210P0 34.7315 4 63265 Excise intraspinal lesion A 21.56 23.89 14.22 NA21.47 23.89 14.22 21.47 3.05 38.83 46.08 38.83 46.08 0090.11.76.1320210P0 34.7315 4 63266 Excise intraspinal lesion A 22.30 26.62 14.63 NA23.62 26.62 14.63 23.62 3.47 40.40 49.39 40.40 49.39 0090.11.76.1320210P0 34.7315 4 63267 Excise intraspinal lesion A 17.95 21.43 12.22 NA19.13 21.43 12.22 19.13 3.29 33.46 40.37 33.46 40.37 0090.11.76.1320210P0 34.7315 4 63268 Excise intraspinal lesion A 18.52 13.63 11.98 NA13.22 13.63 11.98 13.22 1.92 32.42 33.66 32.42 33.66 0090.11.76.1320210P0 34.7315 4 63270 Excise intraspinal lesion A 26.80 19.69 17.16 NA19.06 19.69 17.16 19.06 2.68 46.64 48.54 46.64 48.54 0090.11.76.1320210P0 34.7315 4 63271 Excise intraspinal lesion A 26.92 28.87 17.35 NA25.99 28.87 17.35 25.99 3.75 48.02 56.66 48.02 56.66 0090.11.76.1320210P0 34.7315 4 63272 Excise intraspinal lesion A 25.32 25.12 16.20 NA22.89 25.12 16.20 22.89 3.33 44.85 51.54 44.85 51.54 0090.11.76.1320210P0 34.7315 4 63273 Excise intraspinal lesion A 24.29 19.06 15.38 NA18.14 19.06 15.38 18.14 2.44 42.11 44.87 42.11 44.87 0090.11.76.1320200P0 34.7315 4 63275 Biopsy/excise spinal tumor A 23.68 28.27 15.10 NA24.98 28.27 15.10 24.98 3.98 42.76 52.64 42.76 52.64 0090.11.76.1320210P0 34.7315 4 63276 Biopsy/excise spinal tumor A 23.45 27.47 14.95 NA24.34 27.47 14.95 24.34 3.61 42.01 51.40 42.01 51.40 0090.11.76.1320210P0 34.7315 4 63277 Biopsy/excise spinal tumor A 20.83 24.86 13.65 NA22.06 24.86 13.65 22.06 3.32 37.80 46.21 37.80 46.21 0090.11.76.1320210P0 34.7315 4 63278 Biopsy/excise spinal tumor A 20.56 24.55 13.48 NA21.78 24.55 13.48 21.78 3.38 37.42 45.72 37.42 45.72 0090.11.76.1320210P0 34.7315 4 63280 Biopsy/excise spinal tumor A 28.35 30.47 18.06 NA27.37 30.47 18.06 27.37 3.90 50.31 59.62 50.31 59.62 0090.11.76.1320210P0 34.7315 4 63281 Biopsy/excise spinal tumor A 28.05 30.03 17.98 NA27.02 30.03 17.98 27.02 3.88 49.91 58.95 49.91 58.95 0090.11.76.1320210P0 34.7315 4 63282 Biopsy/excise spinal tumor A 26.39 26.17 16.77 NA23.82 26.17 16.77 23.82 3.47 46.63 53.68 46.63 53.68 0090.11.76.1320210P0 34.7315 4 63283 Biopsy/excise spinal tumor A 25.00 20.37 16.39 NA19.38 20.37 16.39 19.38 2.69 44.08 47.07 44.08 47.07 0090.11.76.1320210P0 34.7315 4 63285 Biopsy/excise spinal tumor A 36.00 26.58 22.00 NA25.44 26.58 22.00 25.44 3.51 61.51 64.95 61.51 64.95 0090.11.76.1320210P0 34.7315 4 63286 Biopsy/excise spinal tumor A 35.63 31.21 22.34 NA28.99 31.21 22.34 28.99 3.85 61.82 68.47 61.82 68.47 0090.11.76.1320210P0 34.7315 4 63287 Biopsy/excise spinal tumor A 36.70 27.91 22.57 NA26.58 27.91 22.57 26.58 3.54 62.81 66.82 62.81 66.82 0090.11.76.1320210P0 34.7315 4 63290 Biopsy/excise spinal tumor A 37.38 29.48 22.00 NA27.61 29.48 22.00 27.61 3.64 63.02 68.63 63.02 68.63 0090.11.76.1320210P0 34.7315 4 63300 Removal of vertebral body A 24.43 18.74 15.69 NA17.98 18.74 15.69 17.98 1.58 41.70 43.99 41.70 43.99 0090.11.76.1320210P0 34.7315 4 63301 Removal of vertebral body A 27.60 20.02 17.35 NA19.35 20.02 17.35 19.35 2.80 47.75 49.75 47.75 49.75 0090.11.76.1320210P0 34.7315 4 63302 Removal of vertebral body A 27.81 23.18 17.15 NA21.67 23.18 17.15 21.67 2.36 47.32 51.84 47.32 51.84 0090.11.76.1320210P0 34.7315 4 63303 Removal of vertebral body A 30.50 20.08 18.59 NA19.71 20.08 18.59 19.71 2.65 51.74 52.86 51.74 52.86 0090.11.76.1320210P0 34.7315 4 63304 Removal of vertebral body A 30.33 23.13 18.74 NA22.03 23.13 18.74 22.03 1.95 51.02 54.31 51.02 54.31 0090.11.76.1320200P0 34.7315 4 63305 Removal of vertebral body A 32.03 24.41 19.52 NA23.19 24.41 19.52 23.19 2.93 54.48 58.15 54.48 58.15 0090.11.76.1320210P0 34.7315 4 63306 Removal of vertebral body A 32.22 24.70 19.04 NA23.29 24.70 19.04 23.29 2.07 53.33 57.58 53.33 57.58 0090.11.76.1320210P0 34.7315 4 63307 Removal of vertebral body A 31.63 26.50 17.92 NA24.36 26.50 17.92 24.36 2.33 51.88 58.32 51.88 58.32 0090.11.76.1320210P0 34.7315 4 63308 Remove vertebral body add-on A 5.25 4.40 3.08 NA 4.07 4.40 3.08 4.07 0.57 8.90 9.89 8.90 9.89 0ZZZ.00.00.0000200P0 34.7315 4 63600 Remove spinal cord lesion A 14.02 11.61 6.05 NA10.22 11.61 6.05 10.22 2.06 22.13 26.30 22.13 26.30 0090.11.76.1320000P0 34.7315 4 63610 Stimulation of spinal cord A 8.73 7.30 3.13 NA 6.26 7.30 3.13 6.26 1.61 13.47 16.60 13.47 16.60 0000.00.00.0020000P0 34.7315 4 63615 Remove lesion of spinal cord A 16.28 12.53 10.91 NA12.13 12.53 10.91 12.13 1.59 28.78 30.00 28.78 30.00 0090.11.76.1320110P0 34.7315 4 63650 Implant neuroelectrodes A 6.74 8.04 2.56 NA 6.67 8.04 2.56 6.67 1.67 10.97 15.08 10.97 15.08 0090.11.76.1320100P0 34.7315 4 63655 Implant neuroelectrodes A 10.29 12.29 7.62 NA11.12 12.29 7.62 11.12 2.85 20.76 24.26 20.76 24.26 0090.11.76.1320210P0 34.7315 4 63660 Revise/remove neuroelectrode A 6.16 7.36 3.36 NA 6.36 7.36 3.36 6.36 1.22 10.74 13.74 10.74 13.74 0090.11.76.1320110P0 34.7315 4 63685 Implant neuroreceiver A 7.04 8.03 3.98 NA 7.02 8.03 3.98 7.02 1.14 12.16 15.20 12.16 15.20 0090.11.76.1320210P0 34.7315 4 63688 Revise/remove neuroreceiver A 5.39 6.44 3.39 NA 5.68 6.44 3.39 5.68 0.99 9.77 12.06 9.77 12.06 0090.11.76.1320100P0 34.7315 4 63690 Analysis of neuroreceiver D 0.45 0.63 0.63 0.63 0.27 0.27 0.27 0.09 1.17 1.17 0.81 0.81 0XXX.00.00.0000000P0 34.7315 4 63691 Analysis of neuroreceiver D 0.65 0.44 0.44 0.44 0.22 0.22 0.22 0.09 1.18 1.18 0.96 0.96 0XXX.00.00.0020100P0 34.7315 4 63700 Repair of spinal herniation A 16.53 12.32 10.97 NA11.98 12.32 10.97 11.98 1.74 29.24 30.25 29.24 30.25 0090.11.76.1320210P0 34.7315 4 63702 Repair of spinal herniation A 18.48 13.87 12.49 NA13.53 13.87 12.49 13.53 1.95 32.92 33.96 32.92 33.96 0090.11.76.1320210P0 34.7315 4 63704 Repair of spinal herniation A 21.18 15.40 13.69 NA14.97 15.40 13.69 14.97 2.17 37.04 38.32 37.04 38.32 0090.11.76.1320210P0 34.7315 4 63706 Repair of spinal herniation A 24.11 17.72 11.41 NA16.14 17.72 11.41 16.14 2.49 38.01 42.74 38.01 42.74 0090.11.76.1320210P0 34.7315 4 63707 Repair spinal fluid leakage A 11.26 13.45 8.18 NA12.13 13.45 8.18 12.13 2.00 21.44 25.39 21.44 25.39 0090.11.76.1320210P0 34.7315 4 63709 Repair spinal fluid leakage A 14.32 17.09 10.32 NA15.40 17.09 10.32 15.40 2.58 27.22 32.30 27.22 32.30 0090.11.76.1320210P0 34.7315 4 63710 Graft repair of spine defect A 14.07 10.58 9.97 NA10.43 10.58 9.97 10.43 1.24 25.28 25.74 25.28 25.74 0090.11.76.1320210P0 34.7315 4 63740 Install spinal shunt A 11.36 13.57 8.36 NA12.27 13.57 8.36 12.27 2.34 22.06 25.97 22.06 25.97 0090.11.76.1320210P0 34.7315 4 63741 Install spinal shunt A 8.25 9.85 5.50 NA 8.76 9.85 5.50 8.76 1.87 15.62 18.88 15.62 18.88 0090.11.76.1320210P0 34.7315 4 63744 Revision of spinal shunt A 8.10 8.84 5.36 NA 7.97 8.84 5.36 7.97 1.31 14.77 17.38 14.77 17.38 0090.11.76.1320210P0 34.7315 4 63746 Removal of spinal shunt A 6.43 5.99 3.21 NA 5.30 5.99 3.21 5.30 0.84 10.48 12.57 10.48 12.57 0090.11.76.1320000P0 34.7315 4 64400 Injection for nerve block A 1.11 0.52 1.63 0.80 0.26 1.16 0.49 0.04 2.78 1.95 2.31 1.64 0000.00.00.0020100P0 34.7315 4 64402 Injection for nerve block A 1.25 0.67 3.53 1.39 0.67 1.36 0.84 0.07 4.85 2.71 2.68 2.16 0000.00.00.0020100P0 34.7315 4 64405 Injection for nerve block A 1.32 0.69 1.71 0.95 0.35 1.06 0.53 0.05 3.08 2.32 2.43 1.90 0000.00.00.0020100P0 34.7315 4 64408 Injection for nerve block A 1.41 1.13 2.12 1.38 0.57 1.54 0.81 0.09 3.62 2.88 3.04 2.31 0000.00.00.0020000P0 34.7315 4 64410 Injection for nerve block A 1.43 0.77 1.91 1.06 0.77 1.28 0.90 0.12 3.46 2.61 2.83 2.45 0000.00.00.0020000P0 34.7315 4 64412 Injection for nerve block A 1.18 0.67 1.90 0.98 0.34 1.11 0.53 0.06 3.14 2.22 2.35 1.77 0000.00.00.0020100P0 34.7315 4 64413 Injection for nerve block A 1.40 0.80 2.01 1.10 0.40 1.31 0.63 0.06 3.47 2.56 2.77 2.09 0000.00.00.0020100P0 34.7315 4 64415 Injection for nerve block A 1.48 0.28 1.88 0.68 0.28 1.24 0.52 0.05 3.41 2.21 2.77 2.05 0000.00.00.0020100P0 34.7315 4 64417 Injection for nerve block A 1.44 0.68 1.97 1.00 0.68 1.13 0.79 0.12 3.53 2.56 2.69 2.35 0000.00.00.0020100P0 34.7315 4 64418 Injection for nerve block A 1.32 0.92 1.64 1.10 0.46 1.06 0.61 0.08 3.04 2.50 2.46 2.01 0000.00.00.0020100P0 34.7315 4 64420 Injection for nerve block A 1.18 0.69 1.64 0.93 0.69 1.05 0.78 0.05 2.87 2.16 2.28 2.01 0000.00.00.0020100P0 34.7315 4 64421 Injection for nerve block A 1.68 0.90 1.82 1.13 0.90 1.25 0.99 0.13 3.63 2.94 3.06 2.80 0000.00.00.0020100P0 34.7315 4 64425 Injection for nerve block A 1.75 0.62 1.56 0.86 0.62 1.15 0.75 0.08 3.39 2.69 2.98 2.58 0000.00.00.0020100P0 34.7315 4 64430 Injection for nerve block A 1.46 0.76 2.29 1.14 0.76 1.21 0.87 0.09 3.84 2.69 2.76 2.42 0000.00.00.0020100P0 34.7315 4 64435 Injection for nerve block A 1.45 0.51 2.62 1.04 0.26 1.73 0.63 0.07 4.14 2.56 3.25 2.15 0000.00.00.0020100P0 34.7315 4 64440 Injection for nerve block A 1.34 0.86 2.51 1.27 0.43 1.34 0.66 0.07 3.92 2.68 2.75 2.07 0000.00.00.0020100P0 34.7315 4 64441 Injection for nerve block A 1.79 1.10 2.77 1.52 0.55 1.38 0.76 0.09 4.65 3.40 3.26 2.64 0000.00.00.0020100P0 34.7315 4 64442 Injection for nerve block A 1.41 1.29 2.76 1.66 1.29 1.43 1.33 0.13 4.30 3.20 2.97 2.87 0000.00.00.0020100P0 34.7315 4 64443 Inject, nerve block add-on A 0.98 0.68 2.50 1.14 0.68 1.48 0.88 0.09 3.57 2.21 2.55 1.95 0ZZZ.00.00.0000100P0 34.7315 4 64445 Injection for nerve block A 1.48 0.53 2.34 0.98 0.27 1.33 0.54 0.05 3.87 2.51 2.86 2.07 0000.00.00.0020100P0 34.7315 4 64450 Injection for nerve block A 1.27 0.58 1.31 0.76 0.29 1.16 0.51 0.04 2.62 2.07 2.47 1.82 0000.00.00.0020100P0 34.7315 4 64505 Injection for nerve block A 1.36 0.67 1.82 0.96 0.34 1.28 0.58 0.05 3.23 2.37 2.69 1.99 0000.00.00.0020100P0 34.7315 4 64508 Injection for nerve block A 1.12 1.13 1.47 1.22 0.57 1.46 0.79 0.06 2.65 2.40 2.64 1.97 0000.00.00.0020000P0 34.7315 4 64510 Injection for nerve block A 1.22 0.77 1.59 0.98 0.77 1.16 0.87 0.14 2.95 2.34 2.52 2.23 0000.00.00.0020100P0 34.7315 4 64520 Injection for nerve block A 1.35 0.78 2.78 1.28 0.78 1.21 0.89 0.13 4.26 2.76 2.69 2.37 0000.00.00.0020100P0 34.7315 4 64530 Injection for nerve block A 1.58 1.27 2.40 1.55 1.27 1.42 1.31 0.22 4.20 3.35 3.22 3.11 0000.00.00.0020100P0 34.7315 4 64550 Apply neurostimulator A 0.18 0.48 0.32 0.44 0.24 0.05 0.19 0.03 0.53 0.65 0.26 0.40 0000.00.00.0000100P0 34.7315 4 64553 Implant neuroelectrodes A 2.31 1.11 1.34 1.17 0.56 1.36 0.76 0.08 3.73 3.56 3.75 3.15 0010.10.80.1020000P0 34.7315 4 64555 Implant neuroelectrodes A 2.27 0.46 1.86 0.81 0.23 0.45 0.29 0.08 4.21 3.16 2.80 2.64 0010.10.80.1020100P0 34.7315 4 64560 Implant neuroelectrodes A 2.36 1.57 1.87 1.65 0.79 0.48 0.71 0.19 4.42 4.20 3.03 3.26 0010.10.80.1020000P0 34.7315 4 64565 Implant neuroelectrodes A 1.76 0.82 2.09 1.14 0.41 0.71 0.49 0.06 3.91 2.96 2.53 2.31 0010.10.80.1020100P0 34.7315 4 64573 Implant neuroelectrodes A 4.43 3.43 3.65 NA 3.49 3.43 3.65 3.49 0.48 8.56 8.40 8.56 8.40 0090.11.76.1320000P0 34.7315 4 64575 Implant neuroelectrodes A 4.35 3.33 3.56 NA 3.39 3.33 3.56 3.39 0.31 8.22 8.05 8.22 8.05 0090.11.76.1320100P0 34.7315 4 64577 Implant neuroelectrodes A 4.62 3.00 3.31 NA 3.08 3.00 3.31 3.08 0.35 8.28 8.05 8.28 8.05 0090.11.76.1320100P0 34.7315 4 64580 Implant neuroelectrodes A 4.12 3.16 2.76 NA 3.06 3.16 2.76 3.06 0.16 7.04 7.34 7.04 7.34 0090.11.76.1320200P0 34.7315 4 64585 Revise/remove neuroelectrode A 2.06 1.05 1.36 1.13 1.05 1.77 1.23 0.07 3.49 3.26 3.90 3.36 0010.10.80.1020200P0 34.7315 4 64590 Implant neuroreceiver A 2.40 2.00 2.33 NA 2.08 2.00 2.33 2.08 0.27 5.00 4.75 5.00 4.75 0010.10.80.1020210P0 34.7315 4 64595 Revise/remove neuroreceiver A 1.73 1.22 1.36 NA 1.26 1.22 1.36 1.26 0.16 3.25 3.15 3.25 3.15 0010.10.80.1020100P0 34.7315 4 64600 Injection treatment of nerve A 3.45 1.83 2.29 1.95 1.83 1.80 1.82 0.13 5.87 5.53 5.38 5.40 0010.10.80.1022100P0 34.7315 4 64605 Injection treatment of nerve A 5.61 1.69 2.45 1.88 1.69 2.10 1.79 0.26 8.32 7.75 7.97 7.66 0010.10.80.1020000P0 34.7315 4 64610 Injection treatment of nerve A 7.16 7.88 4.50 NA 7.04 7.88 4.50 7.04 1.06 12.72 15.26 12.72 15.26 0010.10.80.1020100P0 34.7315 4 64612 Destroy nerve, face muscle A 1.96 1.57 2.51 1.81 0.79 2.14 1.13 0.13 4.60 3.90 4.23 3.22 0010.10.80.1021100P0 34.7315 4 64613 Destroy nerve, spine muscle A 1.96 1.57 1.28 1.50 0.79 1.29 0.92 0.13 3.37 3.59 3.38 3.01 0010.10.80.1020100P0 34.7315 4 64620 Injection treatment of nerve A 2.84 1.09 2.02 1.32 1.09 1.57 1.21 0.15 5.01 4.31 4.56 4.20 0010.10.80.1020100P0 34.7315 4 64622 Injection treatment of nerve A 3.00 1.98 2.91 2.21 1.98 1.65 1.90 0.27 6.18 5.48 4.92 5.17 0010.10.80.1020100P0 34.7315 4 64623 Inject, tx of nerve add-on A 0.99 0.92 2.02 1.20 0.92 1.27 1.01 0.13 3.14 2.32 2.39 2.13 0ZZZ.00.00.0000100P0 34.7315 4 64630 Injection treatment of nerve A 3.00 1.89 2.73 2.10 1.89 1.61 1.82 0.30 6.03 5.40 4.91 5.12 0010.10.80.1020000P0 34.7315 4 64640 Injection treatment of nerve A 2.76 1.00 3.08 1.52 1.00 2.27 1.32 0.07 5.91 4.35 5.10 4.15 0010.10.80.1020100P0 34.7315 4 64680 Injection treatment of nerve A 2.62 1.68 2.00 1.76 1.68 1.79 1.71 0.32 4.94 4.70 4.73 4.65 0010.10.80.1020100P0 34.7315 4 64702 Revise finger/toe nerve A 4.23 4.58 3.66 NA 4.35 4.58 3.66 4.35 0.55 8.44 9.13 8.44 9.13 0090.11.76.1320100P0 34.7315 4 64704 Revise hand/foot nerve A 4.57 5.46 3.03 NA 4.85 5.46 3.03 4.85 0.58 8.18 10.00 8.18 10.00 0090.11.76.1320210P0 34.7315 4 64708 Revise arm/leg nerve A 6.12 7.30 4.87 NA 6.69 7.30 4.87 6.69 0.99 11.98 13.80 11.98 13.80 0090.11.76.1320210P0 34.7315 4 64712 Revision of sciatic nerve A 7.75 9.26 4.52 NA 8.08 9.26 4.52 8.08 1.31 13.58 17.14 13.58 17.14 0090.11.76.1320210P0 34.7315 4 64713 Revision of arm nerve(s) A 11.00 10.20 5.72 NA 9.08 10.20 5.72 9.08 1.35 18.07 21.43 18.07 21.43 0090.11.76.1320210P0 34.7315 4 64714 Revise low back nerve(s) A 10.33 6.65 4.03 NA 6.00 6.65 4.03 6.00 1.10 15.46 17.43 15.46 17.43 0090.11.76.1320210P0 34.7315 4 64716 Revision of cranial nerve A 6.31 5.24 5.10 NA 5.21 5.24 5.10 5.21 0.52 11.93 12.04 11.93 12.04 0090.11.76.1320210P0 34.7315 4 64718 Revise ulnar nerve at elbow A 5.99 7.15 5.01 NA 6.62 7.15 5.01 6.62 0.88 11.88 13.49 11.88 13.49 0090.11.76.1320000P0 34.7315 4 64719 Revise ulnar nerve at wrist A 4.85 5.37 4.33 NA 5.11 5.37 4.33 5.11 0.66 9.84 10.62 9.84 10.62 0090.11.76.1320100P0 34.7315 4 64721 Carpal tunnel surgery A 4.29 5.12 5.14 5.13 5.12 5.12 5.12 0.65 10.08 10.07 10.06 10.06 0090.11.76.1321100P0 34.7315 4 64722 Relieve pressure on nerve(s) A 4.70 5.61 2.83 NA 4.92 5.61 2.83 4.92 0.87 8.40 10.49 8.40 10.49 0090.11.76.1320210P0 34.7315 4 64726 Release foot/toe nerve A 4.18 0.78 2.44 NA 1.20 0.78 2.44 1.20 0.05 6.67 5.43 6.67 5.43 0090.11.76.1320100P0 34.7315 4 64727 Internal nerve revision A 3.10 3.52 1.83 NA 3.10 3.52 1.83 3.10 0.43 5.36 6.63 5.36 6.63 0ZZZ.00.00.0000100P0 34.7315 4 64732 Incision of brow nerve A 4.41 4.68 3.19 NA 4.31 4.68 3.19 4.31 0.56 8.16 9.28 8.16 9.28 0090.11.76.1320200P0 34.7315 4 64734 Incision of cheek nerve A 4.92 5.00 3.44 NA 4.61 5.00 3.44 4.61 0.52 8.88 10.05 8.88 10.05 0090.11.76.1320000P0 34.7315 4 64736 Incision of chin nerve A 4.60 4.84 2.71 NA 4.31 4.84 2.71 4.31 0.33 7.64 9.24 7.64 9.24 0090.11.76.1320200P0 34.7315 4 64738 Incision of jaw nerve A 5.73 5.50 3.48 NA 5.00 5.50 3.48 5.00 0.48 9.69 11.21 9.69 11.21 0090.11.76.1320200P0 34.7315 4 64740 Incision of tongue nerve A 5.59 5.62 3.39 NA 5.06 5.62 3.39 5.06 0.49 9.47 11.14 9.47 11.14 0090.11.76.1320200P0 34.7315 4 64742 Incision of facial nerve A 6.22 5.43 4.77 NA 5.27 5.43 4.77 5.27 0.34 11.33 11.83 11.33 11.83 0090.11.76.1320200P0 34.7315 4 64744 Incise nerve, back of head A 5.24 6.25 3.70 NA 5.61 6.25 3.70 5.61 0.86 9.80 11.71 9.80 11.71 0090.11.76.1321000P0 34.7315 4 64746 Incise diaphragm nerve A 5.93 4.09 3.81 NA 4.02 4.09 3.81 4.02 0.60 10.34 10.55 10.34 10.55 0090.11.76.1320210P0 34.7315 4 64752 Incision of vagus nerve A 7.06 4.27 4.39 NA 4.30 4.27 4.39 4.30 0.66 12.11 12.02 12.11 12.02 0090.11.76.1320210P0 34.7315 4 64755 Incision of stomach nerves A 13.52 11.36 6.64 NA10.18 11.36 6.64 10.18 1.78 21.94 25.48 21.94 25.48 0090.11.76.1320210P0 34.7315 4 64760 Incision of vagus nerve A 6.96 7.22 4.00 NA 6.42 7.22 4.00 6.42 1.17 12.13 14.55 12.13 14.55 0090.11.76.1320210P0 34.7315 4 64761 Incision of pelvis nerve A 6.41 5.06 3.57 NA 4.69 5.06 3.57 4.69 0.39 10.37 11.49 10.37 11.49 0090.11.76.1321200P0 34.7315 4 64763 Incise hip/thigh nerve A 6.93 5.21 6.31 NA 5.49 5.21 6.31 5.49 0.72 13.96 13.14 13.96 13.14 0090.11.76.1321210P0 34.7315 4 64766 Incise hip/thigh nerve A 8.67 7.24 6.22 NA 6.99 7.24 6.22 6.99 0.94 15.83 16.60 15.83 16.60 0090.11.76.1321200P0 34.7315 4 64771 Sever cranial nerve A 7.35 6.97 5.71 NA 6.66 6.97 5.71 6.66 0.57 13.63 14.58 13.63 14.58 0090.11.76.1320200P0 34.7315 4 64772 Incision of spinal nerve A 7.21 7.35 4.61 NA 6.67 7.35 4.61 6.67 1.02 12.84 14.90 12.84 14.90 0090.11.76.1320210P0 34.7315 4 64774 Remove skin nerve lesion A 5.17 2.97 3.38 NA 3.07 2.97 3.38 3.07 0.35 8.90 8.59 8.90 8.59 0090.11.76.1320100P0 34.7315 4 64776 Remove digit nerve lesion A 5.12 3.02 3.21 NA 3.07 3.02 3.21 3.07 0.32 8.65 8.51 8.65 8.51 0090.11.76.1320000P0 34.7315 4 64778 Digit nerve surgery add-on A 3.11 2.96 1.77 NA 2.66 2.96 1.77 2.66 0.34 5.22 6.11 5.22 6.11 0ZZZ.00.00.0000100P0 34.7315 4 64782 Remove limb nerve lesion A 6.23 5.10 3.55 NA 4.71 5.10 3.55 4.71 0.36 10.14 11.30 10.14 11.30 0090.11.76.1320110P0 34.7315 4 64783 Limb nerve surgery add-on A 3.72 3.54 2.23 NA 3.21 3.54 2.23 3.21 0.37 6.32 7.30 6.32 7.30 0ZZZ.00.00.0000100P0 34.7315 4 64784 Remove nerve lesion A 9.82 6.12 6.43 NA 6.20 6.12 6.43 6.20 0.75 17.00 16.77 17.00 16.77 0090.11.76.1320000P0 34.7315 4 64786 Remove sciatic nerve lesion A 15.46 13.74 10.07 NA12.82 13.74 10.07 12.82 1.67 27.20 29.95 27.20 29.95 0090.11.76.1320200P0 34.7315 4 64787 Implant nerve end A 4.30 3.77 2.24 NA 3.39 3.77 2.24 3.39 0.47 7.01 8.16 7.01 8.16 0ZZZ.00.00.0000000P0 34.7315 4 64788 Remove skin nerve lesion A 4.61 3.94 3.41 NA 3.81 3.94 3.41 3.81 0.39 8.41 8.81 8.41 8.81 0090.11.76.1320100P0 34.7315 4 64790 Removal of nerve lesion A 11.31 7.72 7.60 NA 7.69 7.72 7.60 7.69 0.95 19.86 19.95 19.86 19.95 0090.11.76.1320010P0 34.7315 4 64792 Removal of nerve lesion A 14.92 9.76 9.40 NA 9.67 9.76 9.40 9.67 1.30 25.62 25.89 25.62 25.89 0090.11.76.1320210P0 34.7315 4 64795 Biopsy of nerve A 3.01 2.58 1.74 NA 2.37 2.58 1.74 2.37 0.31 5.06 5.69 5.06 5.69 0000.00.00.0020100P0 34.7315 4 64802 Remove sympathetic nerves A 9.15 5.86 4.90 NA 5.62 5.86 4.90 5.62 0.86 14.91 15.63 14.91 15.63 0090.11.76.1321210P0 34.7315 4 64804 Remove sympathetic nerves A 14.64 13.86 7.44 NA12.26 13.86 7.44 12.26 1.91 23.99 28.81 23.99 28.81 0090.11.76.1321210P0 34.7315 4 64809 Remove sympathetic nerves A 13.67 11.45 6.63 NA10.25 11.45 6.63 10.25 1.60 21.90 25.52 21.90 25.52 0090.11.76.1321210P0 34.7315 4 64818 Remove sympathetic nerves A 10.30 9.30 5.68 NA 8.40 9.30 5.68 8.40 1.35 17.33 20.05 17.33 20.05 0090.11.76.1321210P0 34.7315 4 64820 Remove sympathetic nerves A 10.37 7.89 7.65 NA 7.83 7.89 7.65 7.83 1.11 19.13 19.31 19.13 19.31 0090.11.76.1320100P0 34.7315 4 64830 Microrepair of nerve D 3.10 2.18 2.18 2.18 2.18 2.18 2.18 0.30 5.58 5.58 5.58 5.58 0ZZZ.00.00.0000100P0 34.7315 4 64831 Repair of digit nerve A 9.44 3.67 6.84 NA 4.46 3.67 6.84 4.46 0.44 16.72 14.34 16.72 14.34 0090.11.76.1320100P0 34.7315 4 64832 Repair nerve add-on A 5.66 1.52 3.38 NA 1.99 1.52 3.38 1.99 0.19 9.23 7.84 9.23 7.84 0ZZZ.00.00.0000000P0 34.7315 4 64834 Repair of hand or foot nerve A 10.19 3.80 6.86 NA 4.57 3.80 6.86 4.57 0.44 17.49 15.20 17.49 15.20 0090.11.76.1320000P0 34.7315 4 64835 Repair of hand or foot nerve A 10.94 6.47 7.49 NA 6.73 6.47 7.49 6.73 0.81 19.24 18.48 19.24 18.48 0090.11.76.1320200P0 34.7315 4 64836 Repair of hand or foot nerve A 10.94 7.27 7.70 NA 7.38 7.27 7.70 7.38 0.95 19.59 19.27 19.59 19.27 0090.11.76.1320200P0 34.7315 4 64837 Repair nerve add-on A 6.26 4.83 3.69 NA 4.55 4.83 3.69 4.55 0.66 10.61 11.47 10.61 11.47 0ZZZ.00.00.0000200P0 34.7315 4 64840 Repair of leg nerve A 13.02 11.23 8.57 NA10.57 11.23 8.57 10.57 0.41 22.00 24.00 22.00 24.00 0090.11.76.1320200P0 34.7315 4 64856 Repair/transpose nerve A 13.80 8.91 9.61 NA 9.09 8.91 9.61 9.09 1.14 24.55 24.03 24.55 24.03 0090.11.76.1320110P0 34.7315 4 64857 Repair arm/leg nerve A 14.49 10.34 10.11 NA10.28 10.34 10.11 10.28 1.20 25.80 25.97 25.80 25.97 0090.11.76.1320210P0 34.7315 4 64858 Repair sciatic nerve A 16.49 11.92 10.79 NA11.64 11.92 10.79 11.64 1.65 28.93 29.78 28.93 29.78 0090.11.76.1320210P0 34.7315 4 64859 Nerve surgery A 4.26 3.80 2.60 NA 3.50 3.80 2.60 3.50 0.45 7.31 8.21 7.31 8.21 0ZZZ.00.00.0000210P0 34.7315 4 64861 Repair of arm nerves A 19.24 14.56 12.54 NA14.06 14.56 12.54 14.06 1.08 32.86 34.38 32.86 34.38 0090.11.76.1320210P0 34.7315 4 64862 Repair of low back nerves A 19.44 23.40 12.38 NA20.65 23.40 12.38 20.65 1.26 33.08 41.35 33.08 41.35 0090.11.76.1320200P0 34.7315 4 64864 Repair of facial nerve A 12.55 8.53 8.86 NA 8.61 8.53 8.86 8.61 0.91 22.32 22.07 22.32 22.07 0090.11.76.1320210P0 34.7315 4 64865 Repair of facial nerve A 15.24 13.39 10.37 NA12.64 13.39 10.37 12.64 1.17 26.78 29.05 26.78 29.05 0090.11.76.1320210P0 34.7315 4 64866 Fusion of facial/other nerve A 15.74 12.14 10.67 NA11.77 12.14 10.67 11.77 1.44 27.85 28.95 27.85 28.95 0090.11.76.1320210P0 34.7315 4 64868 Fusion of facial/other nerve A 14.04 12.14 9.40 NA11.46 12.14 9.40 11.46 1.15 24.59 26.65 24.59 26.65 0090.11.76.1320210P0 34.7315 4 64870 Fusion of facial/other nerve A 15.99 15.10 9.61 NA13.73 15.10 9.61 13.73 1.33 26.93 31.05 26.93 31.05 0090.11.76.1320210P0 34.7315 4 64872 Subsequent repair of nerve A 1.99 1.56 1.22 NA 1.48 1.56 1.22 1.48 0.23 3.44 3.70 3.44 3.70 0ZZZ.00.00.0000210P0 34.7315 4 64874 Repair & revise nerve add-on A 2.98 2.36 1.73 NA 2.20 2.36 1.73 2.20 0.34 5.05 5.52 5.05 5.52 0ZZZ.00.00.0000210P0 34.7315 4 64876 Repair nerve; shorten bone A 3.38 2.67 1.56 NA 2.39 2.67 1.56 2.39 0.38 5.32 6.15 5.32 6.15 0ZZZ.00.00.0000210P0 34.7315 4 64885 Nerve graft, head or neck A 17.53 13.77 11.98 NA13.32 13.77 11.98 13.32 1.16 30.67 32.01 30.67 32.01 0090.11.76.1320210P0 34.7315 4 64886 Nerve graft, head or neck A 20.75 16.42 13.99 NA15.81 16.42 13.99 15.81 1.38 36.12 37.94 36.12 37.94 0090.11.76.1320210P0 34.7315 4 64890 Nerve graft, hand or foot A 15.15 13.31 10.72 NA12.66 13.31 10.72 12.66 1.66 27.53 29.47 27.53 29.47 0090.11.76.1320200P0 34.7315 4 64891 Nerve graft, hand or foot A 16.14 11.31 7.96 NA10.47 11.31 7.96 10.47 1.35 25.45 27.96 25.45 27.96 0090.11.76.1320200P0 34.7315 4 64892 Nerve graft, arm or leg A 14.65 11.98 9.53 NA11.37 11.98 9.53 11.37 1.32 25.50 27.34 25.50 27.34 0090.11.76.1320210P0 34.7315 4 64893 Nerve graft, arm or leg A 15.60 15.12 8.85 NA13.55 15.12 8.85 13.55 1.78 26.23 30.93 26.23 30.93 0090.11.76.1320200P0 34.7315 4 64895 Nerve graft, hand or foot A 19.25 14.28 11.23 NA13.52 14.28 11.23 13.52 1.99 32.47 34.76 32.47 34.76 0090.11.76.1320210P0 34.7315 4 64896 Nerve graft, hand or foot A 20.49 19.02 13.14 NA17.55 19.02 13.14 17.55 1.49 35.12 39.53 35.12 39.53 0090.11.76.1320210P0 34.7315 4 64897 Nerve graft, arm or leg A 18.24 13.71 11.58 NA13.18 13.71 11.58 13.18 1.93 31.75 33.35 31.75 33.35 0090.11.76.1320200P0 34.7315 4 64898 Nerve graft, arm or leg A 19.50 15.63 13.38 NA15.07 15.63 13.38 15.07 1.84 34.72 36.41 34.72 36.41 0090.11.76.1320210P0 34.7315 4 64901 Nerve graft add-on A 10.22 11.03 6.12 NA 9.80 11.03 6.12 9.80 0.68 17.02 20.70 17.02 20.70 0ZZZ.00.00.0000210P0 34.7315 4 64902 Nerve graft add-on A 11.83 12.94 7.54 NA11.59 12.94 7.54 11.59 0.77 20.14 24.19 20.14 24.19 0ZZZ.00.00.0000200P0 34.7315 4 64905 Nerve pedicle transfer A 14.02 10.20 7.99 NA 9.65 10.20 7.99 9.65 0.55 22.56 24.22 22.56 24.22 0090.11.76.1320210P0 34.7315 4 64907 Nerve pedicle transfer A 18.83 14.13 11.95 NA13.59 14.13 11.95 13.59 1.99 32.77 34.41 32.77 34.41 0090.11.76.1320210P0 34.7315 4 64999 Nervous system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 65091 Revise eye A 6.46 7.72 8.81 NA 7.99 7.72 8.81 7.99 0.35 15.62 14.80 15.62 14.80 0090.10.70.2021010P0 34.7315 4 65093 Revise eye with implant A 6.87 8.20 9.70 NA 8.58 8.20 9.70 8.58 0.41 16.98 15.86 16.98 15.86 0090.10.70.2021110P0 34.7315 4 65101 Removal of eye A 7.03 8.39 9.81 NA 8.75 8.39 9.81 8.75 0.37 17.21 16.15 17.21 16.15 0090.10.70.2021100P0 34.7315 4 65103 Remove eye/insert implant A 7.57 9.04 10.02 NA 9.29 9.04 10.02 9.29 0.39 17.98 17.25 17.98 17.25 0090.10.70.2021110P0 34.7315 4 65105 Remove eye/attach implant A 8.49 10.14 10.77 NA10.30 10.14 10.77 10.30 0.43 19.69 19.22 19.69 19.22 0090.10.70.2021210P0 34.7315 4 65110 Removal of eye A 13.95 16.66 14.00 NA16.00 16.66 14.00 16.00 0.89 28.84 30.84 28.84 30.84 0090.10.70.2021210P0 34.7315 4 65112 Remove eye, revise socket A 16.38 13.20 16.60 NA14.05 13.20 16.60 14.05 0.85 33.83 31.28 33.83 31.28 0090.10.70.2021210P0 34.7315 4 65114 Remove eye, revise socket A 17.53 14.18 16.53 NA14.77 14.18 16.53 14.77 1.29 35.35 33.59 35.35 33.59 0090.10.70.2021210P0 34.7315 4 65125 Revise ocular implant A 3.12 2.68 4.11 3.04 2.68 1.57 2.40 0.10 7.33 6.26 4.79 5.62 0090.10.70.2021110P0 34.7315 4 65130 Insert ocular implant A 7.15 8.54 9.42 NA 8.76 8.54 9.42 8.76 0.39 16.96 16.30 16.96 16.30 0090.10.70.2021110P0 34.7315 4 65135 Insert ocular implant A 7.33 5.88 9.64 NA 6.82 5.88 9.64 6.82 0.27 17.24 14.42 17.24 14.42 0090.10.70.2021100P0 34.7315 4 65140 Attach ocular implant A 8.02 6.75 9.87 NA 7.53 6.75 9.87 7.53 0.26 18.15 15.81 18.15 15.81 0090.10.70.2021100P0 34.7315 4 65150 Revise ocular implant A 6.26 7.48 8.87 NA 7.83 7.48 8.87 7.83 0.44 15.57 14.53 15.57 14.53 0090.10.70.2021000P0 34.7315 4 65155 Reinsert ocular implant A 8.66 10.34 10.55 NA10.39 10.34 10.55 10.39 0.70 19.91 19.75 19.91 19.75 0090.10.70.2021100P0 34.7315 4 65175 Removal of ocular implant A 6.28 7.50 8.72 NA 7.81 7.50 8.72 7.81 0.31 15.31 14.40 15.31 14.40 0090.10.70.2021110P0 34.7315 4 65205 Remove foreign body from eye A 0.71 0.40 3.70 1.23 0.20 0.29 0.22 0.02 4.43 1.96 1.02 0.95 0000.00.00.0021100P0 34.7315 4 65210 Remove foreign body from eye A 0.84 0.50 3.65 1.29 0.25 0.29 0.26 0.02 4.51 2.15 1.15 1.12 0000.00.00.0021100P0 34.7315 4 65220 Remove foreign body from eye A 0.71 0.56 5.70 1.85 0.28 0.27 0.28 0.03 6.44 2.59 1.01 1.02 0000.00.00.0021100P0 34.7315 4 65222 Remove foreign body from eye A 0.93 0.62 3.64 1.38 0.31 0.28 0.30 0.02 4.59 2.33 1.23 1.25 0000.00.00.0021100P0 34.7315 4 65235 Remove foreign body from eye A 7.57 6.09 7.11 NA 6.35 6.09 7.11 6.35 0.23 14.91 14.15 14.91 14.15 0090.10.70.2021000P0 34.7315 4 65260 Remove foreign body from eye A 10.96 9.37 11.67 NA 9.95 9.37 11.67 9.95 0.35 22.98 21.26 22.98 21.26 0090.10.70.2021200P0 34.7315 4 65265 Remove foreign body from eye A 12.59 10.90 13.22 NA11.48 10.90 13.22 11.48 0.40 26.21 24.47 26.21 24.47 0090.10.70.2021210P0 34.7315 4 65270 Repair of eye wound A 1.90 1.27 3.06 1.72 1.27 2.38 1.55 0.05 5.01 3.67 4.33 3.50 0010.10.80.1021000P0 34.7315 4 65272 Repair of eye wound A 3.82 1.78 4.34 2.42 1.78 4.17 2.38 0.08 8.24 6.32 8.07 6.28 0090.10.70.2021100P0 34.7315 4 65273 Repair of eye wound A 4.36 3.49 4.39 NA 3.72 3.49 4.39 3.72 0.16 8.91 8.24 8.91 8.24 0090.10.70.2021110P0 34.7315 4 65275 Repair of eye wound A 5.34 0.72 4.51 1.67 0.72 4.69 1.71 0.03 9.88 7.04 10.06 7.08 0090.10.70.2021000P0 34.7315 4 65280 Repair of eye wound A 7.66 9.15 8.22 NA 8.92 9.15 8.22 8.92 0.38 16.26 16.96 16.26 16.96 0090.10.70.2021000P0 34.7315 4 65285 Repair of eye wound A 12.90 13.31 14.26 NA13.55 13.31 14.26 13.55 0.50 27.66 26.95 27.66 26.95 0090.10.70.2021200P0 34.7315 4 65286 Repair of eye wound A 5.51 5.20 6.82 5.61 2.60 6.46 3.57 0.20 12.53 11.32 12.17 9.28 0090.10.70.2021100P0 34.7315 4 65290 Repair of eye socket wound A 5.41 6.46 6.82 NA 6.55 6.46 6.82 6.55 0.29 12.52 12.25 12.52 12.25 0090.10.70.2021110P0 34.7315 4 65400 Removal of eye lesion A 6.06 7.01 7.66 7.17 7.01 7.19 7.06 0.27 13.99 13.50 13.52 13.39 0090.10.70.2021100P0 34.7315 4 65410 Biopsy of cornea A 1.47 1.73 1.54 1.68 1.73 1.18 1.59 0.09 3.10 3.24 2.74 3.15 0000.00.00.0021000P0 34.7315 4 65420 Removal of eye lesion A 4.17 4.64 6.04 4.99 4.64 5.77 4.92 0.18 10.39 9.34 10.12 9.27 0090.10.70.2021100P0 34.7315 4 65426 Removal of eye lesion A 5.25 6.27 7.12 6.48 6.27 6.77 6.40 0.30 12.67 12.03 12.32 11.95 0090.10.70.2021100P0 34.7315 4 65430 Corneal smear A 1.47 0.59 4.09 1.47 0.30 0.96 0.47 0.02 5.58 2.96 2.45 1.96 0000.00.00.0021100P0 34.7315 4 65435 Curette/treat cornea A 0.92 0.84 1.19 0.93 0.42 0.43 0.42 0.03 2.14 1.88 1.38 1.37 0000.00.00.0021100P0 34.7315 4 65436 Curette/treat cornea A 4.19 1.66 4.60 2.40 0.83 4.29 1.70 0.06 8.85 6.65 8.54 5.95 0090.10.70.2021100P0 34.7315 4 65450 Treatment of corneal lesion A 3.27 3.56 5.68 4.09 3.56 5.33 4.00 0.13 9.08 7.49 8.73 7.40 0090.10.70.2021100P0 34.7315 4 65600 Revision of cornea A 3.40 2.84 4.17 3.17 1.42 1.42 1.42 0.11 7.68 6.68 4.93 4.93 0090.10.70.2021100P0 34.7315 4 65710 Corneal transplant A 12.35 13.50 13.68 NA13.55 13.50 13.68 13.55 0.88 26.91 26.78 26.91 26.78 0090.10.70.2021210P0 34.7315 4 65730 Corneal transplant A 14.25 16.43 14.34 NA15.91 16.43 14.34 15.91 1.01 29.60 31.17 29.60 31.17 0090.10.70.2021210P0 34.7315 4 65750 Corneal transplant A 15.00 17.47 14.91 NA16.83 17.47 14.91 16.83 1.04 30.95 32.87 30.95 32.87 0090.10.70.2021210P0 34.7315 4 65755 Corneal transplant A 14.89 17.47 14.68 NA16.77 17.47 14.68 16.77 1.09 30.66 32.75 30.66 32.75 0090.10.70.2021210P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 65770 Revise cornea with implant A 17.56 14.99 16.57 NA15.39 14.99 16.57 15.39 0.56 34.69 33.51 34.69 33.51 0090.10.70.2021200P0 34.7315 4 65771 Radial keratotomy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 65772 Correction of astigmatism A 4.29 5.12 5.42 5.20 2.56 5.11 3.20 0.24 9.95 9.73 9.64 7.73 0090.10.70.2021100P0 34.7315 4 65775 Correction of astigmatism A 5.79 6.91 8.14 NA 7.22 6.91 8.14 7.22 0.39 14.32 13.40 14.32 13.40 0090.10.70.2021100P0 34.7315 4 65800 Drainage of eye A 1.91 1.87 1.99 1.90 1.87 1.69 1.83 0.08 3.98 3.89 3.68 3.82 0000.00.00.0021100P0 34.7315 4 65805 Drainage of eye A 1.91 1.96 2.00 1.97 0.98 1.69 1.16 0.08 3.99 3.96 3.68 3.15 0000.00.00.0021100P0 34.7315 4 65810 Drainage of eye A 4.87 5.82 6.89 NA 6.09 5.82 6.89 6.09 0.23 11.99 11.19 11.99 11.19 0090.10.70.2021100P0 34.7315 4 65815 Drainage of eye A 5.05 4.87 6.96 5.39 4.87 6.58 5.30 0.19 12.20 10.63 11.82 10.54 0090.10.70.2021100P0 34.7315 4 65820 Relieve inner eye pressure A 8.13 10.35 9.06 NA10.03 10.35 9.06 10.03 0.40 17.59 18.56 17.59 18.56 0090.10.70.2021000P0 34.7315 4 65850 Incision of eye A 10.52 12.56 10.14 NA11.96 12.56 10.14 11.96 0.54 21.20 23.02 21.20 23.02 0090.10.70.2021110P0 34.7315 4 65855 Laser surgery of eye A 4.30 6.52 4.67 6.06 3.26 3.82 3.40 0.41 9.38 10.77 8.53 8.11 0090.10.70.2021100P0 34.7315 4 65860 Incise inner eye adhesions A 3.55 4.24 3.56 4.07 2.12 2.82 2.30 0.29 7.40 7.91 6.66 6.14 0090.10.70.2021000P0 34.7315 4 65865 Incise inner eye adhesions A 5.60 6.69 6.84 NA 6.73 6.69 6.84 6.73 0.32 12.76 12.65 12.76 12.65 0090.10.70.2021110P0 34.7315 4 65870 Incise inner eye adhesions A 6.27 6.36 7.17 NA 6.56 6.36 7.17 6.56 0.24 13.68 13.07 13.68 13.07 0090.10.70.2021110P0 34.7315 4 65875 Incise inner eye adhesions A 6.54 6.82 7.30 NA 6.94 6.82 7.30 6.94 0.27 14.11 13.75 14.11 13.75 0090.10.70.2021110P0 34.7315 4 65880 Incise inner eye adhesions A 7.09 7.43 7.64 NA 7.48 7.43 7.64 7.48 0.29 15.02 14.86 15.02 14.86 0090.10.70.2021100P0 34.7315 4 65900 Remove eye lesion A 10.93 8.58 12.69 NA 9.61 8.58 12.69 9.61 0.72 24.34 21.26 24.34 21.26 0090.10.70.2021200P0 34.7315 4 65920 Remove implant from eye A 8.40 9.07 8.41 NA 8.91 9.07 8.41 8.91 0.34 17.15 17.65 17.15 17.65 0090.10.70.2021110P0 34.7315 4 65930 Remove blood clot from eye A 7.44 8.33 8.59 NA 8.40 8.33 8.59 8.40 0.32 16.35 16.16 16.35 16.16 0090.10.70.2021110P0 34.7315 4 66020 Injection treatment of eye A 1.59 1.90 2.04 1.94 1.90 1.74 1.86 0.11 3.74 3.64 3.44 3.56 0010.10.80.1021100P0 34.7315 4 66030 Injection treatment of eye A 1.25 0.59 1.85 0.91 0.30 1.54 0.61 0.02 3.12 2.18 2.81 1.88 0010.10.80.1021100P0 34.7315 4 66130 Remove eye lesion A 7.69 5.73 6.34 5.88 5.73 6.01 5.80 0.22 14.25 13.79 13.92 13.71 0090.10.70.2021000P0 34.7315 4 66150 Glaucoma surgery A 8.30 9.91 9.18 NA 9.73 9.91 9.18 9.73 0.46 17.94 18.49 17.94 18.49 0090.10.70.2021110P0 34.7315 4 66155 Glaucoma surgery A 8.29 9.90 9.06 NA 9.69 9.90 9.06 9.69 0.39 17.74 18.37 17.74 18.37 0090.10.70.2021100P0 34.7315 4 66160 Glaucoma surgery A 10.17 11.69 10.01 NA11.27 11.69 10.01 11.27 0.43 20.61 21.87 20.61 21.87 0090.10.70.2021110P0 34.7315 4 66165 Glaucoma surgery A 8.01 9.56 9.01 NA 9.42 9.56 9.01 9.42 0.45 17.47 17.88 17.47 17.88 0090.10.70.2021200P0 34.7315 4 66170 Glaucoma surgery A 12.16 13.19 10.71 12.57 13.19 11.10 12.67 0.49 23.36 25.22 23.75 25.32 0090.10.70.2021210P0 34.7315 4 66172 Incision of eye A 15.04 13.19 12.62 NA13.05 13.19 12.62 13.05 0.49 28.15 28.58 28.15 28.58 0090.10.70.2021210P0 34.7315 4 66180 Implant eye shunt A 14.55 17.37 12.79 NA16.23 17.37 12.79 16.23 0.81 28.15 31.59 28.15 31.59 0090.10.70.2021210P0 34.7315 4 66185 Revise eye shunt A 8.14 9.71 9.15 NA 9.57 9.71 9.15 9.57 0.45 17.74 18.16 17.74 18.16 0090.10.70.2021200P0 34.7315 4 66220 Repair eye lesion A 7.77 6.46 9.49 NA 7.22 6.46 9.49 7.22 0.27 17.53 15.26 17.53 15.26 0090.10.70.2021210P0 34.7315 4 66225 Repair/graft eye lesion A 11.05 13.20 10.37 NA12.49 13.20 10.37 12.49 0.67 22.09 24.21 22.09 24.21 0090.10.70.2021210P0 34.7315 4 66250 Follow-up surgery of eye A 5.98 7.14 7.64 7.27 7.14 7.14 7.14 0.30 13.92 13.55 13.42 13.42 0090.10.70.2021100P0 34.7315 4 66500 Incision of iris A 3.71 4.43 4.08 NA 4.34 4.43 4.08 4.34 0.21 8.00 8.26 8.00 8.26 0090.10.70.2021110P0 34.7315 4 66505 Incision of iris A 4.08 3.55 4.16 NA 3.70 3.55 4.16 3.70 0.13 8.37 7.91 8.37 7.91 0090.10.70.2021100P0 34.7315 4 66600 Remove iris and lesion A 8.68 10.16 8.78 NA 9.82 10.16 8.78 9.82 0.40 17.86 18.90 17.86 18.90 0090.10.70.2021100P0 34.7315 4 66605 Removal of iris A 12.79 12.88 13.64 NA13.07 12.88 13.64 13.07 0.52 26.95 26.38 26.95 26.38 0090.10.70.2021100P0 34.7315 4 66625 Removal of iris A 5.13 6.12 6.95 6.33 6.12 6.62 6.25 0.38 12.46 11.84 12.13 11.76 0090.10.70.2021100P0 34.7315 4 66630 Removal of iris A 6.16 7.36 7.54 NA 7.41 7.36 7.54 7.41 0.35 14.05 13.92 14.05 13.92 0090.10.70.2021100P0 34.7315 4 66635 Removal of iris A 6.25 7.47 7.20 NA 7.40 7.47 7.20 7.40 0.38 13.83 14.03 13.83 14.03 0090.10.70.2021100P0 34.7315 4 66680 Repair iris & ciliary body A 5.44 6.49 6.87 NA 6.59 6.49 6.87 6.59 0.27 12.58 12.30 12.58 12.30 0090.10.70.2021110P0 34.7315 4 66682 Repair iris and ciliary body A 6.21 7.41 7.59 NA 7.46 7.41 7.59 7.46 0.30 14.10 13.97 14.10 13.97 0090.10.70.2021100P0 34.7315 4 66700 Destruction, ciliary body A 4.78 5.71 6.76 5.97 5.71 6.09 5.81 0.27 11.81 11.02 11.14 10.86 0090.10.70.2021000P0 34.7315 4 66710 Destruction, ciliary body A 4.78 5.71 6.64 5.94 5.71 6.08 5.80 0.32 11.74 11.04 11.18 10.90 0090.10.70.2021100P0 34.7315 4 66720 Destruction, ciliary body A 4.78 5.71 6.35 5.87 5.71 6.03 5.79 0.30 11.43 10.95 11.11 10.87 0090.10.70.2021100P0 34.7315 4 66740 Destruction, ciliary body A 4.78 5.71 6.61 NA 5.94 5.71 6.61 5.94 0.31 11.70 11.03 11.70 11.03 0090.10.70.2021100P0 34.7315 4 66761 Revision of iris A 4.07 4.86 3.80 4.60 2.43 3.07 2.59 0.37 8.24 9.04 7.51 7.03 0090.10.70.2021100P0 34.7315 4 66762 Revision of iris A 4.58 5.47 4.05 5.12 2.74 3.30 2.88 0.43 9.06 10.13 8.31 7.89 0090.10.70.2021100P0 34.7315 4 66770 Removal of inner eye lesion A 5.18 6.19 4.29 5.72 3.10 3.57 3.22 0.35 9.82 11.25 9.10 8.75 0090.10.70.2021100P0 34.7315 4 66820 Incision, secondary cataract A 3.89 4.64 6.38 NA 5.08 4.64 6.38 5.08 0.23 10.50 9.20 10.50 9.20 0090.10.70.2021100P0 34.7315 4 66821 After cataract laser surgery A 2.35 2.81 2.87 2.83 2.81 2.59 2.76 0.29 5.51 5.47 5.23 5.40 0090.10.70.2021100P0 34.7315 4 66825 Reposition intraocular lens A 8.23 7.95 8.56 NA 8.10 7.95 8.56 8.10 0.30 17.09 16.63 17.09 16.63 0090.10.70.2021000P0 34.7315 4 66830 Removal of lens lesion A 8.20 8.32 8.77 8.43 8.32 9.02 8.50 0.31 17.28 16.94 17.53 17.01 0090.10.70.2021100P0 34.7315 4 66840 Removal of lens material A 7.91 9.44 8.03 NA 9.09 9.44 8.03 9.09 0.42 16.36 17.42 16.36 17.42 0090.10.70.2021100P0 34.7315 4 66850 Removal of lens material A 9.11 10.87 8.51 NA10.28 10.87 8.51 10.28 0.55 18.17 19.94 18.17 19.94 0090.10.70.2021100P0 34.7315 4 66852 Removal of lens material A 9.97 11.91 9.07 NA11.20 11.91 9.07 11.20 0.70 19.74 21.87 19.74 21.87 0090.10.70.2021010P0 34.7315 4 66920 Extraction of lens A 8.86 10.58 8.41 NA10.04 10.58 8.41 10.04 0.47 17.74 19.37 17.74 19.37 0090.10.70.2021010P0 34.7315 4 66930 Extraction of lens A 10.18 11.38 9.06 NA10.80 11.38 9.06 10.80 0.45 19.69 21.43 19.69 21.43 0090.10.70.2021000P0 34.7315 4 66940 Extraction of lens A 8.93 10.66 8.43 NA10.10 10.66 8.43 10.10 0.49 17.85 19.52 17.85 19.52 0090.10.70.2021010P0 34.7315 4 66983 Remove cataract, insert lens A 8.99 10.73 5.67 NA 9.47 10.73 5.67 9.47 0.74 15.40 19.20 15.40 19.20 0090.10.70.2021100P0 34.7315 4 66984 Remove cataract, insert lens A 10.28 12.27 8.09 NA11.23 12.27 8.09 11.23 0.74 19.11 22.25 19.11 22.25 0090.10.70.2021100P0 34.7315 4 66985 Insert lens prosthesis A 8.39 10.02 7.03 NA 9.27 10.02 7.03 9.27 0.49 15.91 18.15 15.91 18.15 0090.10.70.2021110P0 34.7315 4 66986 Exchange lens prosthesis A 12.28 13.24 10.16 NA12.47 13.24 10.16 12.47 0.49 22.93 25.24 22.93 25.24 0090.10.70.2021110P0 34.7315 4 66999 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 67005 Partial removal of eye fluid A 5.70 6.80 3.05 NA 5.86 6.80 3.05 5.86 0.88 9.63 12.44 9.63 12.44 0090.10.70.2021110P0 34.7315 4 67010 Partial removal of eye fluid A 6.87 8.20 3.94 NA 7.14 8.20 3.94 7.14 0.81 11.62 14.82 11.62 14.82 0090.10.70.2021210P0 34.7315 4 67015 Release of eye fluid A 6.92 7.00 7.63 NA 7.16 7.00 7.63 7.16 0.27 14.82 14.35 14.82 14.35 0090.10.70.2021110P0 34.7315 4 67025 Replace eye fluid A 6.84 7.33 11.53 8.38 7.33 7.02 7.25 0.28 18.65 15.50 14.14 14.37 0090.10.70.2021110P0 34.7315 4 67027 Implant eye drug system A 10.85 9.81 12.98 10.60 9.81 6.40 8.96 0.37 24.20 21.82 17.62 20.18 0090.10.70.2021210P0 34.7315 4 67028 Injection eye drug A 2.52 3.49 5.78 4.06 3.01 1.56 2.65 0.14 8.44 6.72 4.22 5.31 0000.00.00.0021100P0 34.7315 4 67030 Incise inner eye strands A 4.84 5.77 6.18 NA 5.87 5.77 6.18 5.87 0.39 11.41 11.10 11.41 11.10 0090.10.70.2021210P0 34.7315 4 67031 Laser surgery, eye strands A 3.67 4.38 3.63 4.19 2.19 2.87 2.36 0.59 7.89 8.45 7.13 6.62 0090.10.70.2021100P0 34.7315 4 67036 Removal of inner eye fluid A 11.89 14.20 9.57 NA13.04 14.20 9.57 13.04 1.17 22.63 26.10 22.63 26.10 0090.10.70.2021210P0 34.7315 4 67038 Strip retinal membrane A 21.24 25.35 16.94 NA23.25 25.35 16.94 23.25 1.41 39.59 45.90 39.59 45.90 0090.10.70.2021210P0 34.7315 4 67039 Laser treatment of retina A 14.52 17.33 12.23 NA16.06 17.33 12.23 16.06 1.31 28.06 31.89 28.06 31.89 0090.10.70.2021210P0 34.7315 4 67040 Laser treatment of retina A 17.23 20.57 14.16 NA18.97 20.57 14.16 18.97 1.37 32.76 37.57 32.76 37.57 0090.10.70.2021210P0 34.7315 4 67101 Repair, detached retina A 7.53 8.99 9.44 9.10 4.50 8.89 5.60 0.52 17.49 17.15 16.94 13.65 0090.10.70.2021100P0 34.7315 4 67105 Repair, detached retina A 7.41 9.92 7.12 9.22 4.96 5.37 5.06 0.63 15.16 17.26 13.41 13.10 0090.10.70.2021100P0 34.7315 4 67107 Repair detached retina A 14.84 17.71 13.42 NA16.64 17.71 13.42 16.64 0.86 29.12 32.34 29.12 32.34 0090.10.70.2021210P0 34.7315 4 67108 Repair detached retina A 20.82 24.85 18.21 NA23.19 24.85 18.21 23.19 1.38 40.41 45.39 40.41 45.39 0090.10.70.2021210P0 34.7315 4 67110 Repair detached retina A 8.81 10.52 14.64 11.55 10.52 10.14 10.43 0.76 24.21 21.12 19.71 20.00 0090.10.70.2021100P0 34.7315 4 67112 Re-repair detached retina A 16.86 17.92 15.58 NA17.34 17.92 15.58 17.34 0.67 33.11 34.87 33.11 34.87 0090.10.70.2021210P0 34.7315 4 67115 Release, encircling material A 4.99 5.96 6.15 NA 6.01 5.96 6.15 6.01 0.34 11.48 11.34 11.48 11.34 0090.10.70.2021100P0 34.7315 4 67120 Remove eye implant material A 5.98 7.14 11.00 8.11 7.14 6.62 7.01 0.30 17.28 14.39 12.90 13.29 0090.10.70.2021110P0 34.7315 4 67121 Remove eye implant material A 10.67 10.22 11.62 NA10.57 10.22 11.62 10.57 0.38 22.67 21.62 22.67 21.62 0090.10.70.2021210P0 34.7315 4 67141 Treatment of retina A 5.20 6.21 6.68 6.33 3.11 6.34 3.92 0.38 12.26 11.91 11.92 9.50 0090.10.70.2021100P0 34.7315 4 67145 Treatment of retina A 5.37 7.05 4.95 6.53 3.53 4.00 3.65 0.38 10.70 12.28 9.75 9.40 0090.10.70.2021100P0 34.7315 4 67208 Treatment of retinal lesion A 6.70 8.00 7.17 7.79 4.00 6.81 4.70 0.41 14.28 14.90 13.92 11.81 0090.10.70.2021100P0 34.7315 4 67210 Treatment of retinal lesion A 8.82 9.79 7.03 9.10 4.90 5.69 5.10 0.37 16.22 18.29 14.88 14.29 0090.10.70.2021100P0 34.7315 4 67218 Treatment of retinal lesion A 13.52 14.44 13.49 NA14.20 14.44 13.49 14.20 0.55 27.56 28.27 27.56 28.27 0090.10.70.2021100P0 34.7315 4 67220 Treat choroid lesion A 13.13 0.00 6.61 6.61 0.00 6.54 6.54 0.37 20.11 20.11 20.04 20.04 0090.10.70.2021100P0 34.7315 5 67227 Treatment of retinal lesion A 6.58 7.86 7.44 7.76 7.86 7.01 7.65 0.40 14.42 14.74 13.99 14.63 0090.10.70.2021100P0 34.7315 4 67228 Treatment of retinal lesion A 12.74 10.19 9.58 10.04 5.10 7.39 5.67 0.38 22.70 23.16 20.51 18.79 0090.10.70.2021100P0 34.7315 4 67250 Reinforce eye wall A 8.66 7.59 10.20 NA 8.24 7.59 10.20 8.24 0.31 19.17 17.21 19.17 17.21 0090.10.70.2021110P0 34.7315 4 67255 Reinforce/graft eye wall A 8.90 10.62 10.20 NA10.52 10.62 10.20 10.52 0.68 19.78 20.10 19.78 20.10 0090.10.70.2021210P0 34.7315 4 67299 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011P0 34.7315 9 67311 Revise eye muscle A 6.65 7.94 7.05 NA 7.72 7.94 7.05 7.72 0.37 14.07 14.74 14.07 14.74 0090.10.70.2021100P0 34.7315 4 67312 Revise two eye muscles A 8.54 10.19 8.22 NA 9.70 10.19 8.22 9.70 0.41 17.17 18.65 17.17 18.65 0090.10.70.2021110P0 34.7315 4 67314 Revise eye muscle A 7.52 8.98 7.48 NA 8.61 8.98 7.48 8.61 0.45 15.45 16.58 15.45 16.58 0090.10.70.2021100P0 34.7315 4 67316 Revise two eye muscles A 9.66 11.15 8.69 NA10.54 11.15 8.69 10.54 0.52 18.87 20.72 18.87 20.72 0090.10.70.2021000P0 34.7315 4 67318 Revise eye muscle(s) A 7.85 6.74 7.97 NA 7.05 6.74 7.97 7.05 0.26 16.08 15.16 16.08 15.16 0090.10.70.2021110P0 34.7315 4 67320 Revise eye muscle(s) add-on A 4.33 10.34 7.49 NA 9.63 10.34 7.49 9.63 0.28 12.10 14.24 12.10 14.24 0ZZZ.00.00.0001100P0 34.7315 4 67331 Eye surgery follow-up add-on A 4.06 9.69 5.90 NA 8.74 9.69 5.90 8.74 0.22 10.18 13.02 10.18 13.02 0ZZZ.00.00.0001110P0 34.7315 4 67332 Rerevise eye muscles add-on A 4.49 10.73 6.95 NA 9.79 10.73 6.95 9.79 0.24 11.68 14.52 11.68 14.52 0ZZZ.00.00.0001210P0 34.7315 4 67334 Revise eye muscle w/suture A 3.98 6.84 6.07 NA 6.65 6.84 6.07 6.65 0.13 10.18 10.76 10.18 10.76 0ZZZ.00.00.0001110P0 34.7315 4 67335 Eye suture during surgery A 2.49 2.97 3.39 NA 3.08 2.97 3.39 3.08 0.34 6.22 5.91 6.22 5.91 0ZZZ.00.00.0001110P0 34.7315 4 67340 Revise eye muscle add-on A 4.93 8.55 7.64 NA 8.32 8.55 7.64 8.32 0.16 12.73 13.41 12.73 13.41 0ZZZ.00.00.0001200P0 34.7315 4 67343 Release eye tissue A 7.35 6.33 7.84 NA 6.71 6.33 7.84 6.71 0.24 15.43 14.30 15.43 14.30 0090.10.70.2021210P0 34.7315 4 67345 Destroy nerve of eye muscle A 2.96 2.41 3.36 2.65 1.21 1.44 1.27 0.20 6.52 5.81 4.60 4.43 0010.10.80.1021100P0 34.7315 4 67350 Biopsy eye muscle A 2.87 2.59 3.31 NA 2.77 2.59 3.31 2.77 0.10 6.28 5.74 6.28 5.74 0000.00.00.0021000P0 34.7315 4 67399 Eye muscle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211P0 34.7315 9 67400 Explore/biopsy eye socket A 9.76 11.66 11.16 NA11.54 11.66 11.16 11.54 0.49 21.41 21.79 21.41 21.79 0090.10.70.2021210P0 34.7315 4 67405 Explore/drain eye socket A 7.93 9.46 10.58 NA 9.74 9.46 10.58 9.74 0.52 19.03 18.19 19.03 18.19 0090.10.70.2021200P0 34.7315 4 67412 Explore/treat eye socket A 9.50 11.34 13.22 NA11.81 11.34 13.22 11.81 0.52 23.24 21.83 23.24 21.83 0090.10.70.2021210P0 34.7315 4 67413 Explore/treat eye socket A 10.00 8.78 11.78 NA 9.53 8.78 11.78 9.53 0.45 22.23 19.98 22.23 19.98 0090.10.70.2021200P0 34.7315 4 67414 Explore/decompress eye socke A 11.13 9.11 14.33 NA10.42 9.11 14.33 10.42 0.34 25.80 21.89 25.80 21.89 0090.10.70.2021210P0 34.7315 4 67415 Aspiration orbital contents A 1.76 2.11 1.48 NA 1.95 2.11 1.48 1.95 0.09 3.33 3.80 3.33 3.80 0000.00.00.0021000P0 34.7315 4 67420 Explore/treat eye socket A 20.06 18.21 19.32 NA18.49 18.21 19.32 18.49 0.87 40.25 39.42 40.25 39.42 0090.10.70.2021210P0 34.7315 4 67430 Explore/treat eye socket A 13.39 11.56 14.75 NA12.36 11.56 14.75 12.36 0.42 28.56 26.17 28.56 26.17 0090.10.70.2021200P0 34.7315 4 67440 Explore/drain eye socket A 13.09 15.63 14.78 NA15.42 15.63 14.78 15.42 0.76 28.63 29.27 28.63 29.27 0090.10.70.2021210P0 34.7315 4 67445 Explore/decompress eye socke A 14.42 12.08 15.95 NA13.05 12.08 15.95 13.05 0.45 30.82 27.92 30.82 27.92 0090.10.70.2021210P0 34.7315 4 67450 Explore/biopsy eye socket A 13.51 16.13 15.43 NA15.96 16.13 15.43 15.96 0.68 29.62 30.15 29.62 30.15 0090.10.70.2021210P0 34.7315 4 67500 Inject/treat eye socket A 0.79 0.79 13.67 4.01 0.79 0.96 0.83 0.05 14.51 4.85 1.80 1.67 0000.00.00.0021100P0 34.7315 4 67505 Inject/treat eye socket A 0.82 1.13 3.70 1.77 0.49 0.35 0.46 0.05 4.57 2.64 1.22 1.33 0000.00.00.0021100P0 34.7315 4 67515 Inject/treat eye socket A 0.61 0.61 3.54 1.34 0.31 0.55 0.37 0.02 4.17 1.97 1.18 1.00 0000.00.00.0021100P0 34.7315 4 67550 Insert eye socket implant A 10.19 10.44 11.15 NA10.62 10.44 11.15 10.62 0.55 21.89 21.36 21.89 21.36 0090.10.70.2021110P0 34.7315 4 67560 Revise eye socket implant A 10.60 9.01 10.98 NA 9.50 9.01 10.98 9.50 0.38 21.96 20.48 21.96 20.48 0090.10.70.2021000P0 34.7315 4 67570 Decompress optic nerve A 13.58 8.20 15.30 NA 9.98 8.20 15.30 9.98 0.31 29.19 23.87 29.19 23.87 0090.10.70.2021210P0 34.7315 4 67599 Orbit surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211P0 34.7315 9 67700 Drainage of eyelid abscess A 1.35 0.53 5.00 1.65 0.27 0.60 0.35 0.02 6.37 3.02 1.97 1.72 0010.10.80.1021100P0 34.7315 4 67710 Incision of eyelid A 1.02 1.10 5.03 2.08 0.55 1.70 0.84 0.05 6.10 3.15 2.77 1.91 0010.10.80.1021100P0 34.7315 4 67715 Incision of eyelid fold A 1.22 1.45 1.85 NA 1.55 1.45 1.85 1.55 0.07 3.14 2.84 3.14 2.84 0010.10.80.1021100P0 34.7315 4 67800 Remove eyelid lesion A 1.38 1.02 5.12 2.05 0.51 0.69 0.56 0.04 6.54 3.47 2.11 1.98 0010.10.80.1020100P0 34.7315 4 67801 Remove eyelid lesions A 1.88 1.51 3.15 1.92 0.76 2.38 1.17 0.06 5.09 3.86 4.32 3.11 0010.10.80.1020100P0 34.7315 4 67805 Remove eyelid lesions A 2.22 1.50 7.03 2.88 0.75 2.69 1.24 0.06 9.31 5.16 4.97 3.52 0010.10.80.1020100P0 34.7315 4 67808 Remove eyelid lesion(s) A 3.80 2.31 4.21 NA 2.79 2.31 4.21 2.79 0.10 8.11 6.69 8.11 6.69 0090.10.70.2020100P0 34.7315 4 67810 Biopsy of eyelid A 1.48 0.88 4.57 1.80 0.44 0.73 0.51 0.04 6.09 3.32 2.25 2.03 0000.00.00.0020100P0 34.7315 4 67820 Revise eyelashes A 0.89 0.41 3.73 1.24 0.21 0.40 0.26 0.02 4.64 2.15 1.31 1.17 0000.00.00.0020100P0 34.7315 4 67825 Revise eyelashes A 1.38 0.98 4.98 1.98 0.49 1.85 0.83 0.04 6.40 3.40 3.27 2.25 0010.10.80.1020100P0 34.7315 4 67830 Revise eyelashes A 1.70 2.30 5.96 3.22 2.03 2.24 2.08 0.13 7.79 5.05 4.07 3.91 0010.10.80.1020100P0 34.7315 4 67835 Revise eyelashes A 5.56 6.64 5.06 NA 6.25 6.64 5.06 6.25 0.35 10.97 12.16 10.97 12.16 0090.10.70.2020000P0 34.7315 4 67840 Remove eyelid lesion A 2.04 1.32 6.66 2.66 0.66 2.99 1.24 0.05 8.75 4.75 5.08 3.33 0010.10.80.1020100P0 34.7315 4 67850 Treat eyelid lesion A 1.69 0.89 5.43 2.03 0.45 2.20 0.89 0.04 7.16 3.76 3.93 2.62 0010.10.80.1020100P0 34.7315 4 67875 Closure of eyelid by suture A 1.35 1.87 6.52 3.03 1.62 2.76 1.91 0.10 7.97 4.48 4.21 3.36 0000.00.00.0020100P0 34.7315 4 67880 Revision of eyelid A 3.80 4.28 7.72 5.14 4.28 3.89 4.18 0.18 11.70 9.12 7.87 8.16 0090.10.70.2020100P0 34.7315 4 67882 Revision of eyelid A 5.07 6.06 9.38 6.89 6.06 4.82 5.75 0.29 14.74 12.25 10.18 11.11 0090.10.70.2020100P0 34.7315 4 67900 Repair brow defect A 6.14 4.10 8.75 5.26 4.10 6.98 4.82 0.16 15.05 11.56 13.28 11.12 0090.10.70.2020100P0 34.7315 4 67901 Repair eyelid defect A 6.97 8.32 7.24 NA 8.05 8.32 7.24 8.05 0.50 14.71 15.52 14.71 15.52 0090.10.70.2021100P0 34.7315 4 67902 Repair eyelid defect A 7.03 8.39 7.49 NA 8.17 8.39 7.49 8.17 0.56 15.08 15.76 15.08 15.76 0090.10.70.2021110P0 34.7315 4 67903 Repair eyelid defect A 6.37 7.61 10.25 8.27 7.61 7.15 7.50 0.57 17.19 15.21 14.09 14.44 0090.10.70.2021110P0 34.7315 4 67904 Repair eyelid defect A 6.26 7.48 11.03 8.37 7.48 8.11 7.64 0.56 17.85 15.19 14.93 14.46 0090.10.70.2021110P0 34.7315 4 67906 Repair eyelid defect A 6.79 5.93 8.22 6.50 5.93 6.99 6.20 0.28 15.29 13.57 14.06 13.27 0090.10.70.2021100P0 34.7315 4 67908 Repair eyelid defect A 5.13 6.12 7.74 6.53 6.12 6.47 6.21 0.42 13.29 12.08 12.02 11.76 0090.10.70.2021100P0 34.7315 4 67909 Revise eyelid defect A 5.40 6.45 7.99 6.84 6.45 6.69 6.51 0.38 13.77 12.62 12.47 12.29 0090.10.70.2021100P0 34.7315 4 67911 Revise eyelid defect A 5.27 6.29 6.76 NA 6.41 6.29 6.76 6.41 0.62 12.65 12.30 12.65 12.30 0090.10.70.2021100P0 34.7315 4 67914 Repair eyelid defect A 3.68 4.40 8.07 5.32 4.40 4.18 4.35 0.31 12.06 9.31 8.17 8.34 0090.10.70.2021100P0 34.7315 4 67915 Repair eyelid defect A 3.18 1.36 6.31 2.60 0.68 1.60 0.91 0.05 9.54 5.83 4.83 4.14 0090.10.70.2021100P0 34.7315 4 67916 Repair eyelid defect A 5.31 6.34 9.94 7.24 6.34 5.32 6.09 0.30 15.55 12.85 10.93 11.70 0090.10.70.2021100P0 34.7315 4 67917 Repair eyelid defect A 6.02 7.18 8.50 7.51 7.18 7.12 7.17 0.37 14.89 13.90 13.51 13.56 0090.10.70.2021100P0 34.7315 4 67921 Repair eyelid defect A 3.40 4.06 7.77 4.99 4.06 3.97 4.04 0.16 11.33 8.55 7.53 7.60 0090.10.70.2021100P0 34.7315 4 67922 Repair eyelid defect A 3.06 1.29 6.29 2.54 0.65 3.09 1.26 0.05 9.40 5.65 6.20 4.37 0090.10.70.2021100P0 34.7315 4 67923 Repair eyelid defect A 5.88 7.02 10.06 7.78 7.02 5.59 6.66 0.30 16.24 13.96 11.77 12.84 0090.10.70.2021100P0 34.7315 4 67924 Repair eyelid defect A 5.79 6.91 8.06 7.20 6.91 6.63 6.84 0.34 14.19 13.33 12.76 12.97 0090.10.70.2021100P0 34.7315 4 67930 Repair eyelid wound A 3.61 1.38 8.06 3.05 0.69 3.78 1.46 0.06 11.73 6.72 7.45 5.13 0010.10.80.1020100P0 34.7315 4 67935 Repair eyelid wound A 6.22 4.11 10.08 5.60 4.11 5.47 4.45 0.19 16.49 12.01 11.88 10.86 0090.10.70.2020100P0 34.7315 4 67938 Remove eyelid foreign body A 1.33 0.56 4.86 1.64 0.28 0.52 0.34 0.02 6.21 2.99 1.87 1.69 0010.10.80.1020100P0 34.7315 4 67950 Revision of eyelid A 5.82 6.95 6.77 6.91 6.95 7.13 7.00 0.35 12.94 13.08 13.30 13.17 0090.10.70.2020110P0 34.7315 4 67961 Revision of eyelid A 5.69 6.79 6.62 6.75 6.79 6.49 6.72 0.39 12.70 12.83 12.57 12.80 0090.10.70.2020000P0 34.7315 4 67966 Revision of eyelid A 6.57 7.85 7.06 7.65 7.85 6.53 7.52 0.52 14.15 14.74 13.62 14.61 0090.10.70.2020100P0 34.7315 4 67971 Reconstruction of eyelid A 9.79 11.59 8.79 NA10.89 11.59 8.79 10.89 0.50 19.08 21.18 19.08 21.18 0090.10.70.2020210P0 34.7315 4 67973 Reconstruction of eyelid A 12.87 14.69 10.52 NA13.65 14.69 10.52 13.65 0.71 24.10 27.23 24.10 27.23 0090.10.70.2020210P0 34.7315 4 67974 Reconstruction of eyelid A 12.84 15.27 10.27 NA14.02 15.27 10.27 14.02 0.68 23.79 27.54 23.79 27.54 0090.10.70.2020210P0 34.7315 4 67975 Reconstruction of eyelid A 9.13 4.50 8.22 NA 5.43 4.50 8.22 5.43 0.19 17.54 14.75 17.54 14.75 0090.10.70.2020100P0 34.7315 4 67999 Revision of eyelid C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 68020 Incise/drain eyelid lining A 1.37 0.55 5.01 1.67 0.28 0.67 0.38 0.02 6.40 3.06 2.06 1.77 0010.10.80.1020100P0 34.7315 4 68040 Treatment of eyelid lesions A 0.85 0.49 4.02 1.37 0.25 0.40 0.29 0.02 4.89 2.24 1.27 1.16 0000.00.00.0020100P0 34.7315 4 68100 Biopsy of eyelid lining A 1.35 1.07 4.69 1.98 0.54 1.05 0.67 0.05 6.09 3.38 2.45 2.07 0000.00.00.0020100P0 34.7315 4 68110 Remove eyelid lining lesion A 1.77 1.35 5.33 2.35 0.68 2.06 1.03 0.05 7.15 4.17 3.88 2.85 0010.10.80.1020100P0 34.7315 4 68115 Remove eyelid lining lesion A 2.36 2.09 6.30 3.14 2.09 2.56 2.21 0.09 8.75 5.59 5.01 4.66 0010.10.80.1020100P0 34.7315 4 68130 Remove eyelid lining lesion A 4.93 4.44 5.90 NA 4.81 4.44 5.90 4.81 0.17 11.00 9.91 11.00 9.91 0090.10.70.2020100P0 34.7315 4 68135 Remove eyelid lining lesion A 1.84 0.80 5.32 1.93 0.40 2.09 0.82 0.03 7.19 3.80 3.96 2.69 0010.10.80.1020100P0 34.7315 4 68200 Treat eyelid by injection A 0.49 0.56 3.49 1.29 0.28 0.49 0.33 0.02 4.00 1.80 1.00 0.84 0000.00.00.0021100P0 34.7315 4 68320 Revise/graft eyelid lining A 5.37 6.41 4.82 6.01 6.41 5.90 6.28 0.33 10.52 11.71 11.60 11.98 0090.10.70.2020110P0 34.7315 4 68325 Revise/graft eyelid lining A 7.36 8.79 6.89 NA 8.32 8.79 6.89 8.32 0.49 14.74 16.17 14.74 16.17 0090.10.70.2020110P0 34.7315 4 68326 Revise/graft eyelid lining A 7.15 8.54 6.85 NA 8.12 8.54 6.85 8.12 0.38 14.38 15.65 14.38 15.65 0090.10.70.2020100P0 34.7315 4 68328 Revise/graft eyelid lining A 8.18 9.77 7.32 NA 9.16 9.77 7.32 9.16 0.64 16.14 17.98 16.14 17.98 0090.10.70.2020000P0 34.7315 4 68330 Revise eyelid lining A 4.83 5.76 6.36 5.91 5.76 5.89 5.79 0.27 11.46 11.01 10.99 10.89 0090.10.70.2020000P0 34.7315 4 68335 Revise/graft eyelid lining A 7.19 8.58 5.44 NA 7.80 8.58 5.44 7.80 0.53 13.16 15.52 13.16 15.52 0090.10.70.2020110P0 34.7315 4 68340 Separate eyelid adhesions A 4.17 3.41 8.81 4.76 3.41 4.36 3.65 0.13 13.11 9.06 8.66 7.95 0090.10.70.2020000P0 34.7315 4 68360 Revise eyelid lining A 4.37 5.22 6.04 5.43 5.22 5.57 5.31 0.26 10.67 10.06 10.20 9.94 0090.10.70.2020100P0 34.7315 4 68362 Revise eyelid lining A 7.34 8.69 7.89 NA 8.49 8.69 7.89 8.49 0.33 15.56 16.16 15.56 16.16 0090.10.70.2020110P0 34.7315 4 68399 Eyelid lining surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 68400 Incise/drain tear gland A 1.69 1.09 6.71 2.50 0.55 2.75 1.10 0.05 8.45 4.24 4.49 2.84 0010.10.80.1020100P0 34.7315 4 68420 Incise/drain tear sac A 2.30 1.11 7.07 2.60 0.56 3.14 1.21 0.05 9.42 4.95 5.49 3.56 0010.10.80.1020100P0 34.7315 4 68440 Incise tear duct opening A 0.94 0.82 4.95 1.85 0.41 1.64 0.72 0.03 5.92 2.82 2.61 1.69 0010.10.80.1020100P0 34.7315 4 68500 Removal of tear gland A 11.02 8.26 9.74 NA 8.63 8.26 9.74 8.63 0.59 21.35 20.24 21.35 20.24 0090.10.70.2020100P0 34.7315 4 68505 Partial removal tear gland A 10.94 9.43 10.66 NA 9.74 9.43 10.66 9.74 0.38 21.98 21.06 21.98 21.06 0090.10.70.2020100P0 34.7315 4 68510 Biopsy of tear gland A 4.61 4.00 7.45 4.86 4.00 3.12 3.78 0.22 12.28 9.69 7.95 8.61 0000.00.00.0020000P0 34.7315 4 68520 Removal of tear sac A 7.51 8.96 7.45 NA 8.58 8.96 7.45 8.58 0.40 15.36 16.49 15.36 16.49 0090.10.70.2020000P0 34.7315 4 68525 Biopsy of tear sac A 4.43 3.99 3.05 NA 3.76 3.99 3.05 3.76 0.18 7.66 8.37 7.66 8.37 0000.00.00.0020110P0 34.7315 4 68530 Clearance of tear duct A 3.66 3.09 8.10 4.34 1.55 3.40 2.01 0.13 11.89 8.13 7.19 5.80 0010.10.80.1020100P0 34.7315 4 68540 Remove tear gland lesion A 10.60 9.02 9.54 NA 9.15 9.02 9.54 9.15 0.39 20.53 20.14 20.53 20.14 0090.10.70.2020110P0 34.7315 4 68550 Remove tear gland lesion A 13.26 12.31 10.83 NA11.94 12.31 10.83 11.94 0.58 24.67 25.78 24.67 25.78 0090.10.70.2020100P0 34.7315 4 68700 Repair tear ducts A 6.60 2.92 6.87 NA 3.91 2.92 6.87 3.91 0.12 13.59 10.63 13.59 10.63 0090.10.70.2020100P0 34.7315 4 68705 Revise tear duct opening A 2.06 1.11 5.55 2.22 0.56 2.21 0.97 0.04 7.65 4.32 4.31 3.07 0010.10.80.1020100P0 34.7315 4 68720 Create tear sac drain A 8.96 10.68 8.40 NA10.11 10.68 8.40 10.11 0.58 17.94 19.65 17.94 19.65 0090.10.70.2020210P0 34.7315 4 68745 Create tear duct drain A 8.63 7.12 8.00 NA 7.34 7.12 8.00 7.34 0.35 16.98 16.32 16.98 16.32 0090.10.70.2020210P0 34.7315 4 68750 Create tear duct drain A 8.66 10.34 8.49 NA 9.88 10.34 8.49 9.88 0.65 17.80 19.19 17.80 19.19 0090.10.70.2020210P0 34.7315 4 68760 Close tear duct opening A 1.73 1.00 5.22 2.06 0.50 0.87 0.59 0.03 6.98 3.82 2.63 2.35 0010.10.80.1021100P0 34.7315 4 68761 Close tear duct opening A 1.36 1.00 3.74 1.69 0.50 0.61 0.53 0.03 5.13 3.08 2.00 1.92 0010.10.80.1021000P1A4263 34.7315 4 68770 Close tear system fistula A 7.02 4.60 10.67 6.12 2.30 6.07 3.24 0.18 17.87 13.32 13.27 10.44 0090.10.70.2020000P0 34.7315 4 68801 Dilate tear duct opening A 0.94 0.46 4.56 1.49 0.23 0.45 0.29 0.02 5.52 2.45 1.41 1.25 0010.10.80.1021100P0 34.7315 4 68810 Probe nasolacrimal duct A 1.90 0.60 6.03 1.96 0.30 2.27 0.79 0.02 7.95 3.88 4.19 2.71 0010.10.80.1021100P0 34.7315 4 68811 Probe nasolacrimal duct A 2.35 1.62 2.56 NA 1.86 1.62 2.56 1.86 0.07 4.98 4.28 4.98 4.28 0010.10.80.1021100P0 34.7315 4 68815 Probe nasolacrimal duct A 3.20 2.09 6.30 3.14 1.05 3.19 1.59 0.08 9.58 6.42 6.47 4.87 0010.10.80.1021100P0 34.7315 4 68840 Explore/irrigate tear ducts A 1.25 0.53 5.03 1.66 0.27 0.61 0.36 0.02 6.30 2.93 1.88 1.63 0010.10.80.1020100P0 34.7315 4 68850 Injection for tear sac x-ray A 0.80 0.55 11.05 3.18 0.55 0.28 0.48 0.03 11.88 4.01 1.11 1.31 0000.00.00.0020100P0 34.7315 4 68899 Tear duct system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 69000 Drain external ear lesion A 1.45 0.38 1.59 0.68 0.19 0.55 0.28 0.02 3.06 2.15 2.02 1.75 0010.10.80.1020100P0 34.7315 4 69005 Drain external ear lesion A 2.11 1.26 2.05 1.46 0.63 1.40 0.82 0.10 4.26 3.67 3.61 3.03 0010.10.80.1020100P0 34.7315 4 69020 Drain outer ear canal lesion A 1.48 0.49 1.71 0.80 0.25 0.70 0.36 0.03 3.22 2.31 2.21 1.87 0010.10.80.1020100P0 34.7315 4 69090 Pierce earlobes N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 69100 Biopsy of external ear A 0.81 0.72 1.21 0.84 0.36 0.40 0.37 0.05 2.07 1.70 1.26 1.23 0000.00.00.0020100P0 34.7315 4 69105 Biopsy of external ear canal A 0.85 0.87 1.15 0.94 0.44 0.80 0.53 0.07 2.07 1.86 1.72 1.45 0000.00.00.0020100P0 34.7315 4 69110 Partial removal external ear A 3.44 2.85 2.83 2.85 2.85 2.36 2.73 0.29 6.56 6.58 6.09 6.46 0090.07.79.1420100P0 34.7315 4 69120 Removal of external ear A 4.05 0.85 5.28 NA 1.96 0.85 5.28 1.96 0.05 9.38 6.06 9.38 6.06 0090.07.79.1420100P0 34.7315 4 69140 Remove ear canal lesion(s) A 7.97 8.68 8.60 NA 8.66 8.68 8.60 8.66 0.69 17.26 17.32 17.26 17.32 0090.07.79.1420000P0 34.7315 4 69145 Remove ear canal lesion(s) A 2.62 2.72 2.75 2.73 2.72 2.11 2.57 0.22 5.59 5.57 4.95 5.41 0090.07.79.1420100P0 34.7315 4 69150 Extensive ear canal surgery A 13.43 11.35 11.86 NA11.48 11.35 11.86 11.48 0.98 26.27 25.89 26.27 25.89 0090.07.79.1420110P0 34.7315 4 69155 Extensive ear/neck surgery A 20.80 17.28 15.46 NA16.83 17.28 15.46 16.83 1.26 37.52 38.89 37.52 38.89 0090.07.79.1420210P0 34.7315 4 69200 Clear outer ear canal A 0.77 0.46 1.08 0.62 0.23 0.43 0.28 0.03 1.88 1.42 1.23 1.08 0000.00.00.0020100P0 34.7315 4 69205 Clear outer ear canal A 1.20 1.16 1.17 NA 1.16 1.16 1.17 1.16 0.09 2.46 2.45 2.46 2.45 0010.10.80.1020100P0 34.7315 4 69210 Remove impacted ear wax A 0.61 0.25 0.96 0.43 0.13 0.24 0.16 0.02 1.59 1.06 0.87 0.79 0000.00.00.0022100P0 34.7315 4 69220 Clean out mastoid cavity A 0.83 0.54 1.16 0.70 0.27 0.48 0.32 0.04 2.03 1.57 1.35 1.19 0000.00.00.0021100P0 34.7315 4 69222 Clean out mastoid cavity A 1.40 0.80 1.73 1.03 0.40 1.33 0.63 0.06 3.19 2.49 2.79 2.09 0010.10.80.1021100P0 34.7315 4 69300 Revise external ear R 6.36 5.75 5.95 NA 5.80 5.75 5.95 5.80 0.22 12.53 12.38 12.53 12.38 0YYY.00.00.0000000P0 34.7315 4 69310 Rebuild outer ear canal A 10.79 10.68 10.47 NA10.63 10.68 10.47 10.63 0.84 22.10 22.26 22.10 22.26 0090.07.79.1420100P0 34.7315 4 69320 Rebuild outer ear canal A 16.96 15.90 14.47 NA15.54 15.90 14.47 15.54 1.30 32.73 33.80 32.73 33.80 0090.07.79.1420200P0 34.7315 4 69399 Outer ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 69400 Inflate middle ear canal A 0.83 0.49 1.16 0.66 0.25 0.28 0.26 0.04 2.03 1.53 1.15 1.13 0000.00.00.0020100P0 34.7315 4 69401 Inflate middle ear canal A 0.63 0.27 1.05 0.47 0.14 0.37 0.20 0.02 1.70 1.12 1.02 0.85 0000.00.00.0020100P0 34.7315 4 69405 Catheterize middle ear canal A 2.63 0.52 2.51 1.02 0.26 1.55 0.58 0.03 5.17 3.68 4.21 3.24 0010.10.80.1020000P0 34.7315 4 69410 Inset middle ear baffle A 0.33 0.65 0.93 0.72 0.33 0.18 0.29 0.05 1.31 1.10 0.56 0.67 0000.00.00.0020000P0 34.7315 4 69420 Incision of eardrum A 1.33 0.75 1.75 1.00 0.38 0.72 0.47 0.06 3.14 2.39 2.11 1.86 0010.10.80.1021100P0 34.7315 4 69421 Incision of eardrum A 1.73 1.24 1.96 1.42 1.24 1.53 1.31 0.10 3.79 3.25 3.36 3.14 0010.10.80.1021100P0 34.7315 4 69424 Remove ventilating tube A 0.85 0.65 1.24 0.80 0.33 0.67 0.42 0.05 2.14 1.70 1.57 1.32 0000.00.00.0021100P0 34.7315 4 69433 Create eardrum opening A 1.52 1.44 1.80 1.53 0.72 0.87 0.76 0.12 3.44 3.17 2.51 2.40 0010.10.80.1021100P0 34.7315 4 69436 Create eardrum opening A 1.96 2.31 1.67 NA 2.15 2.31 1.67 2.15 0.18 3.81 4.29 3.81 4.29 0010.10.80.1021100P0 34.7315 4 69440 Exploration of middle ear A 7.57 9.04 8.24 NA 8.84 9.04 8.24 8.84 0.73 16.54 17.14 16.54 17.14 0090.07.79.1420100P0 34.7315 4 69450 Eardrum revision A 5.57 6.65 7.02 NA 6.74 6.65 7.02 6.74 0.90 13.49 13.21 13.49 13.21 0090.07.79.1420000P0 34.7315 4 69501 Mastoidectomy A 9.07 10.83 8.98 NA10.37 10.83 8.98 10.37 0.92 18.97 20.36 18.97 20.36 0090.07.79.1420100P0 34.7315 4 69502 Mastoidectomy A 12.38 14.50 11.39 NA13.72 14.50 11.39 13.72 1.13 24.90 27.23 24.90 27.23 0090.07.79.1420000P0 34.7315 4 69505 Remove mastoid structures A 12.99 15.51 11.72 NA14.56 15.51 11.72 14.56 1.40 26.11 28.95 26.11 28.95 0090.07.79.1420000P0 34.7315 4 69511 Extensive mastoid surgery A 13.52 16.14 11.99 NA15.10 16.14 11.99 15.10 1.44 26.95 30.06 26.95 30.06 0090.07.79.1420000P0 34.7315 4 69530 Extensive mastoid surgery A 19.19 18.13 15.01 NA17.35 18.13 15.01 17.35 1.35 35.55 37.89 35.55 37.89 0090.07.79.1420200P0 34.7315 4 69535 Remove part of temporal bone A 36.14 27.42 24.97 NA26.81 27.42 24.97 26.81 2.23 63.34 65.18 63.34 65.18 0090.07.79.1420110P0 34.7315 4 69540 Remove ear lesion A 1.20 1.38 1.66 1.45 0.69 1.19 0.82 0.11 2.97 2.76 2.50 2.13 0010.10.80.1020100P0 34.7315 4 69550 Remove ear lesion A 10.99 13.12 10.37 NA12.43 13.12 10.37 12.43 1.56 22.92 24.98 22.92 24.98 0090.07.79.1420200P0 34.7315 4 69552 Remove ear lesion A 19.46 18.16 14.49 NA17.24 18.16 14.49 17.24 1.46 35.41 38.16 35.41 38.16 0090.07.79.1420200P0 34.7315 4 69554 Remove ear lesion A 33.16 24.82 21.87 NA24.08 24.82 21.87 24.08 2.06 57.09 59.30 57.09 59.30 0090.07.79.1420210P0 34.7315 4 69601 Mastoid surgery revision A 13.24 15.22 12.38 NA14.51 15.22 12.38 14.51 1.21 26.83 28.96 26.83 28.96 0090.07.79.1420000P0 34.7315 4 69602 Mastoid surgery revision A 13.58 16.21 12.26 NA15.22 16.21 12.26 15.22 1.37 27.21 30.17 27.21 30.17 0090.07.79.1420000P0 34.7315 4 69603 Mastoid surgery revision A 14.02 16.73 12.26 NA15.61 16.73 12.26 15.61 1.47 27.75 31.10 27.75 31.10 0090.07.79.1420000P0 34.7315 4 69604 Mastoid surgery revision A 14.02 16.73 12.41 NA15.65 16.73 12.41 15.65 2.11 28.54 31.78 28.54 31.78 0090.07.79.1420100P0 34.7315 4 69605 Mastoid surgery revision A 18.49 16.22 14.82 NA15.87 16.22 14.82 15.87 1.46 34.77 35.82 34.77 35.82 0090.07.79.1420200P0 34.7315 4 69610 Repair of eardrum A 4.43 1.01 3.62 1.66 0.51 3.07 1.15 0.08 8.13 6.17 7.58 5.66 0010.10.80.1020100P0 34.7315 4 69620 Repair of eardrum A 5.89 7.03 5.63 6.68 7.03 3.43 6.13 0.91 12.43 13.48 10.23 12.93 0090.07.79.1420100P0 34.7315 4 69631 Repair eardrum structures A 9.86 11.78 9.66 NA11.25 11.78 9.66 11.25 1.26 20.78 22.37 20.78 22.37 0090.07.79.1420100P0 34.7315 4 69632 Rebuild eardrum structures A 12.75 15.23 12.07 NA14.44 15.23 12.07 14.44 1.35 26.17 28.54 26.17 28.54 0090.07.79.1420100P0 34.7315 4 69633 Rebuild eardrum structures A 12.10 14.44 11.70 NA13.76 14.44 11.70 13.76 1.39 25.19 27.25 25.19 27.25 0090.07.79.1420100P0 34.7315 4 69635 Repair eardrum structures A 13.33 15.91 12.00 NA14.93 15.91 12.00 14.93 1.49 26.82 29.75 26.82 29.75 0090.07.79.1420100P0 34.7315 4 69636 Rebuild eardrum structures A 15.22 18.17 13.49 NA17.00 18.17 13.49 17.00 1.65 30.36 33.87 30.36 33.87 0090.07.79.1420000P0 34.7315 4 69637 Rebuild eardrum structures A 15.11 18.04 13.46 NA16.90 18.04 13.46 16.90 1.74 30.31 33.75 30.31 33.75 0090.07.79.1420000P0 34.7315 4 69641 Revise middle ear & mastoid A 12.71 15.17 11.67 NA14.30 15.17 11.67 14.30 1.46 25.84 28.47 25.84 28.47 0090.07.79.1420100P0 34.7315 4 69642 Revise middle ear & mastoid A 16.84 20.10 14.38 NA18.67 20.10 14.38 18.67 1.73 32.95 37.24 32.95 37.24 0090.07.79.1420100P0 34.7315 4 69643 Revise middle ear & mastoid A 15.32 18.29 13.52 NA17.10 18.29 13.52 17.10 1.96 30.80 34.38 30.80 34.38 0090.07.79.1420100P0 34.7315 4 69644 Revise middle ear & mastoid A 16.97 20.26 14.55 NA18.83 20.26 14.55 18.83 2.11 33.63 37.91 33.63 37.91 0090.07.79.1420100P0 34.7315 4 69645 Revise middle ear & mastoid A 16.38 19.56 14.17 NA18.21 19.56 14.17 18.21 1.96 32.51 36.55 32.51 36.55 0090.07.79.1420100P0 34.7315 4 69646 Revise middle ear & mastoid A 17.99 21.48 15.05 NA19.87 21.48 15.05 19.87 1.88 34.92 39.74 34.92 39.74 0090.07.79.1420000P0 34.7315 4 69650 Release middle ear bone A 9.66 11.54 9.47 NA11.02 11.54 9.47 11.02 1.04 20.17 21.72 20.17 21.72 0090.07.79.1420100P0 34.7315 4 69660 Revise middle ear bone A 11.90 14.21 10.64 NA13.32 14.21 10.64 13.32 1.42 23.96 26.64 23.96 26.64 0090.07.79.1420100P0 34.7315 4 69661 Revise middle ear bone A 15.74 18.79 13.21 NA17.40 18.79 13.21 17.40 1.51 30.46 34.65 30.46 34.65 0090.07.79.1420000P0 34.7315 4 69662 Revise middle ear bone A 15.44 18.43 13.14 NA17.11 18.43 13.14 17.11 1.52 30.10 34.07 30.10 34.07 0090.07.79.1420100P0 34.7315 4 69666 Repair middle ear structures A 9.75 11.64 9.54 NA11.12 11.64 9.54 11.12 1.38 20.67 22.25 20.67 22.25 0090.07.79.1420000P0 34.7315 4 69667 Repair middle ear structures A 9.76 11.66 9.52 NA11.13 11.66 9.52 11.13 1.30 20.58 22.19 20.58 22.19 0090.07.79.1420000P0 34.7315 4 69670 Remove mastoid air cells A 11.51 11.05 10.98 NA11.03 11.05 10.98 11.03 0.84 23.33 23.38 23.33 23.38 0090.07.79.1420200P0 34.7315 4 69676 Remove middle ear nerve A 9.52 9.26 9.70 NA 9.37 9.26 9.70 9.37 0.67 19.89 19.56 19.89 19.56 0090.07.79.1421100P0 34.7315 4 69700 Close mastoid fistula A 8.23 8.53 5.21 NA 7.70 8.53 5.21 7.70 0.66 14.10 16.59 14.10 16.59 0090.07.79.1420100P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 69711 Remove/repair hearing aid A 10.44 9.16 10.35 NA 9.46 9.16 10.35 9.46 0.34 21.13 20.24 21.13 20.24 0090.07.79.1420200P0 34.7315 4 69720 Release facial nerve A 14.38 17.17 12.79 NA16.08 17.17 12.79 16.08 1.78 28.95 32.24 28.95 32.24 0090.07.79.1420010P0 34.7315 4 69725 Release facial nerve A 25.38 15.90 16.91 NA16.15 15.90 16.91 16.15 1.18 43.47 42.71 43.47 42.71 0090.07.79.1420200P0 34.7315 4 69740 Repair facial nerve A 15.96 12.84 12.38 NA12.73 12.84 12.38 12.73 1.32 29.66 30.01 29.66 30.01 0090.07.79.1420200P0 34.7315 4 69745 Repair facial nerve A 16.69 17.31 12.78 NA16.18 17.31 12.78 16.18 1.20 30.67 34.07 30.67 34.07 0090.07.79.1420200P0 34.7315 4 69799 Middle ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 69801 Incise inner ear A 8.56 10.22 8.76 NA 9.86 10.22 8.76 9.86 1.44 18.76 19.86 18.76 19.86 0090.07.79.1420000P0 34.7315 4 69802 Incise inner ear A 13.10 12.20 11.69 NA12.07 12.20 11.69 12.07 0.95 25.74 26.12 25.74 26.12 0090.07.79.1420200P0 34.7315 4 69805 Explore inner ear A 13.82 14.26 11.91 NA13.67 14.26 11.91 13.67 1.56 27.29 29.05 27.29 29.05 0090.07.79.1420200P0 34.7315 4 69806 Explore inner ear A 12.35 14.75 11.48 NA13.93 14.75 11.48 13.93 1.99 25.82 28.27 25.82 28.27 0090.07.79.1420100P0 34.7315 4 69820 Establish inner ear window A 10.34 9.60 11.20 NA10.00 9.60 11.20 10.00 0.78 22.32 21.12 22.32 21.12 0090.07.79.1420200P0 34.7315 4 69840 Revise inner ear window A 10.26 9.21 12.19 NA 9.96 9.21 12.19 9.96 0.40 22.85 20.62 22.85 20.62 0090.07.79.1420200P0 34.7315 4 69905 Remove inner ear A 11.10 13.25 10.41 NA12.54 13.25 10.41 12.54 1.62 23.13 25.26 23.13 25.26 0090.07.79.1420100P0 34.7315 4 69910 Remove inner ear & mastoid A 13.63 16.27 12.03 NA15.21 16.27 12.03 15.21 1.83 27.49 30.67 27.49 30.67 0090.07.79.1420000P0 34.7315 4 69915 Incise inner ear nerve A 21.23 19.22 16.60 NA18.57 19.22 16.60 18.57 1.58 39.41 41.38 39.41 41.38 0090.07.79.1420210P0 34.7315 4 69930 Implant cochlear device A 16.81 20.07 13.53 NA18.44 20.07 13.53 18.44 2.61 32.95 37.86 32.95 37.86 0090.07.79.1420000P0 34.7315 4 69949 Inner ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 69950 Incise inner ear nerve A 25.64 19.52 17.98 NA19.14 19.52 17.98 19.14 1.81 45.43 46.59 45.43 46.59 0090.07.79.1420210P0 34.7315 4 69955 Release facial nerve A 27.04 22.01 18.88 NA21.23 22.01 18.88 21.23 1.76 47.68 50.03 47.68 50.03 0090.07.79.1420210P0 34.7315 4 69960 Release inner ear canal A 27.04 19.37 18.93 NA19.26 19.37 18.93 19.26 1.51 47.48 47.81 47.48 47.81 0090.07.79.1420210P0 34.7315 4 69970 Remove inner ear lesion A 30.04 21.37 21.07 NA21.30 21.37 21.07 21.30 1.77 52.88 53.11 52.88 53.11 0090.07.79.1420210P0 34.7315 4 69979 Temporal bone surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 34.7315 9 69990 Microsurgery add-on R 3.47 0.00 1.83 1.83 0.00 1.83 1.83 0.73 6.03 6.03 6.03 6.03 0ZZZ.00.00.0000200P0 34.7315 5 70010 Contrast x-ray of brain A 1.19 5.04 4.83 4.99 5.04 4.83 4.99 0.26 6.28 6.44 6.28 6.44 1XXX.00.00.0000000P0 34.7315 4 70010TCContrast x-ray of brain A 0.00 4.48 4.49 4.48 4.48 4.49 4.48 0.20 4.69 4.68 4.69 4.68 1XXX.00.00.0000000P0 34.7315 4 7001026Contrast x-ray of brain A 1.19 0.56 0.34 0.51 0.56 0.34 0.51 0.06 1.59 1.76 1.59 1.76 1XXX.00.00.0000000P0 34.7315 4 70015 Contrast x-ray of brain A 1.19 1.96 1.73 1.90 1.96 1.73 1.90 0.13 3.05 3.22 3.05 3.22 1XXX.00.00.0000000P0 34.7315 4 70015TCContrast x-ray of brain A 0.00 1.40 1.40 1.40 1.40 1.40 1.40 0.07 1.47 1.47 1.47 1.47 1XXX.00.00.0000000P0 34.7315 4 7001526Contrast x-ray of brain A 1.19 0.56 0.33 0.50 0.56 0.33 0.50 0.06 1.58 1.75 1.58 1.75 1XXX.00.00.0000000P0 34.7315 4 70030 X-ray eye for foreign body A 0.17 0.52 0.48 0.51 0.52 0.48 0.51 0.03 0.68 0.71 0.68 0.71 1XXX.00.00.0003000P0 34.7315 4 70030TCX-ray eye for foreign body A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0003000P0 34.7315 4 7003026X-ray eye for foreign body A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 70100 X-ray exam of jaw A 0.18 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.81 0.84 0.81 0.84 1XXX.00.00.0000000P0 34.7315 4 70100TCX-ray exam of jaw A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7010026X-ray exam of jaw A 0.18 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.24 0.28 0.24 0.28 1XXX.00.00.0000000P0 34.7315 4 70110 X-ray exam of jaw A 0.25 0.77 0.70 0.75 0.77 0.70 0.75 0.05 1.00 1.05 1.00 1.05 1XXX.00.00.0000000P0 34.7315 4 70110TCX-ray exam of jaw A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7011026X-ray exam of jaw A 0.25 0.13 0.06 0.11 0.13 0.06 0.11 0.02 0.33 0.38 0.33 0.38 1XXX.00.00.0000000P0 34.7315 4 70120 X-ray exam of mastoids A 0.18 0.74 0.69 0.73 0.74 0.69 0.73 0.04 0.91 0.95 0.91 0.95 1XXX.00.00.0003000P0 34.7315 4 70120TCX-ray exam of mastoids A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0003000P0 34.7315 4 7012026X-ray exam of mastoids A 0.18 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.24 0.28 0.24 0.28 1XXX.00.00.0003000P0 34.7315 4 70130 X-ray exam of mastoids A 0.34 0.98 0.91 0.96 0.98 0.91 0.96 0.06 1.31 1.36 1.31 1.36 1XXX.00.00.0003000P0 34.7315 4 70130TCX-ray exam of mastoids A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0003000P0 34.7315 4 7013026X-ray exam of mastoids A 0.34 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.45 0.51 0.45 0.51 1XXX.00.00.0003000P0 34.7315 4 70134 X-ray exam of middle ear A 0.34 0.93 0.84 0.91 0.93 0.84 0.91 0.06 1.24 1.31 1.24 1.31 1XXX.00.00.0000000P0 34.7315 4 70134TCX-ray exam of middle ear A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7013426X-ray exam of middle ear A 0.34 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.45 0.51 0.45 0.51 1XXX.00.00.0000000P0 34.7315 4 70140 X-ray exam of facial bones A 0.19 0.74 0.69 0.73 0.74 0.69 0.73 0.04 0.92 0.96 0.92 0.96 1XXX.00.00.0000000P0 34.7315 4 70140TCX-ray exam of facial bones A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7014026X-ray exam of facial bones A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 70150 X-ray exam of facial bones A 0.26 0.94 0.89 0.93 0.94 0.89 0.93 0.06 1.21 1.25 1.21 1.25 1XXX.00.00.0000000P0 34.7315 4 70150TCX-ray exam of facial bones A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7015026X-ray exam of facial bones A 0.26 0.13 0.07 0.12 0.13 0.07 0.12 0.02 0.35 0.40 0.35 0.40 1XXX.00.00.0000000P0 34.7315 4 70160 X-ray exam of nasal bones A 0.17 0.63 0.59 0.62 0.63 0.59 0.62 0.03 0.79 0.82 0.79 0.82 1XXX.00.00.0000000P0 34.7315 4 70160TCX-ray exam of nasal bones A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7016026X-ray exam of nasal bones A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 70170 X-ray exam of tear duct A 0.30 1.13 1.06 1.11 1.13 1.06 1.11 0.07 1.43 1.48 1.43 1.48 1XXX.00.00.0000000P0 34.7315 4 70170TCX-ray exam of tear duct A 0.00 0.98 0.98 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 1XXX.00.00.0000000P0 34.7315 4 7017026X-ray exam of tear duct A 0.30 0.15 0.08 0.13 0.15 0.08 0.13 0.02 0.40 0.45 0.40 0.45 1XXX.00.00.0000000P0 34.7315 4 70190 X-ray exam of eye sockets A 0.21 0.75 0.69 0.74 0.75 0.69 0.74 0.04 0.94 0.99 0.94 0.99 1XXX.00.00.0003000P0 34.7315 4 70190TCX-ray exam of eye sockets A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0003000P0 34.7315 4 7019026X-ray exam of eye sockets A 0.21 0.11 0.05 0.10 0.11 0.05 0.10 0.01 0.27 0.32 0.27 0.32 1XXX.00.00.0003000P0 34.7315 4 70200 X-ray exam of eye sockets A 0.28 0.95 0.89 0.93 0.95 0.89 0.93 0.06 1.23 1.27 1.23 1.27 1XXX.00.00.0000000P0 34.7315 4 70200TCX-ray exam of eye sockets A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7020026X-ray exam of eye sockets A 0.28 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.37 0.42 0.37 0.42 1XXX.00.00.0000000P0 34.7315 4 70210 X-ray exam of sinuses A 0.17 0.73 0.68 0.72 0.73 0.68 0.72 0.04 0.89 0.93 0.89 0.93 1XXX.00.00.0000000P0 34.7315 4 70210TCX-ray exam of sinuses A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7021026X-ray exam of sinuses A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 70220 X-ray exam of sinuses A 0.25 0.94 0.88 0.92 0.94 0.88 0.92 0.06 1.19 1.23 1.19 1.23 1XXX.00.00.0000000P0 34.7315 4 70220TCX-ray exam of sinuses A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7022026X-ray exam of sinuses A 0.25 0.13 0.06 0.11 0.13 0.06 0.11 0.02 0.33 0.38 0.33 0.38 1XXX.00.00.0000000P0 34.7315 4 70240 X-ray exam pituitary saddle A 0.19 0.53 0.49 0.52 0.53 0.49 0.52 0.03 0.71 0.74 0.71 0.74 1XXX.00.00.0000000P0 34.7315 4 70240TCX-ray exam pituitary saddle A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7024026X-ray exam pituitary saddle A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 70250 X-ray exam of skull A 0.24 0.76 0.70 0.75 0.76 0.70 0.75 0.05 0.99 1.04 0.99 1.04 1XXX.00.00.0000000P0 34.7315 4 70250TCX-ray exam of skull A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7025026X-ray exam of skull A 0.24 0.12 0.06 0.11 0.12 0.06 0.11 0.02 0.32 0.37 0.32 0.37 1XXX.00.00.0000000P0 34.7315 4 70260 X-ray exam of skull A 0.34 1.09 1.02 1.07 1.09 1.02 1.07 0.07 1.43 1.48 1.43 1.48 1XXX.00.00.0000000P0 34.7315 4 70260TCX-ray exam of skull A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.05 0.98 0.97 0.98 0.97 1XXX.00.00.0000000P0 34.7315 4 7026026X-ray exam of skull A 0.34 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.45 0.51 0.45 0.51 1XXX.00.00.0000000P0 34.7315 4 70300 X-ray exam of teeth A 0.10 0.32 0.30 0.32 0.32 0.30 0.32 0.03 0.43 0.45 0.43 0.45 1XXX.00.00.0000000P0 34.7315 4 70300TCX-ray exam of teeth A 0.00 0.27 0.27 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 1XXX.00.00.0000000P0 34.7315 4 7030026X-ray exam of teeth A 0.10 0.05 0.03 0.05 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 1XXX.00.00.0000000P0 34.7315 4 70310 X-ray exam of teeth A 0.16 0.51 0.49 0.50 0.51 0.49 0.50 0.03 0.68 0.69 0.68 0.69 1XXX.00.00.0000000P0 34.7315 4 70310TCX-ray exam of teeth A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7031026X-ray exam of teeth A 0.16 0.08 0.05 0.07 0.08 0.05 0.07 0.01 0.22 0.24 0.22 0.24 1XXX.00.00.0000000P0 34.7315 4 70320 Full mouth x-ray of teeth A 0.22 0.92 0.88 0.91 0.92 0.88 0.91 0.06 1.16 1.19 1.16 1.19 1XXX.00.00.0000000P0 34.7315 4 70320TCFull mouth x-ray of teeth A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7032026Full mouth x-ray of teeth A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.02 0.30 0.34 0.30 0.34 1XXX.00.00.0000000P0 34.7315 4 70328 X-ray exam of jaw joint A 0.18 0.61 0.56 0.60 0.61 0.56 0.60 0.03 0.77 0.81 0.77 0.81 1XXX.00.00.0000000P0 34.7315 4 70328TCX-ray exam of jaw joint A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0000000P0 34.7315 4 7032826X-ray exam of jaw joint A 0.18 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.24 0.28 0.24 0.28 1XXX.00.00.0000000P0 34.7315 4 70330 X-ray exam of jaw joints A 0.24 0.99 0.93 0.98 0.99 0.93 0.98 0.06 1.23 1.28 1.23 1.28 1XXX.00.00.0002000P0 34.7315 4 70330TCX-ray exam of jaw joints A 0.00 0.87 0.87 0.87 0.87 0.87 0.87 0.04 0.91 0.91 0.91 0.91 1XXX.00.00.0002000P0 34.7315 4 7033026X-ray exam of jaw joints A 0.24 0.12 0.06 0.11 0.12 0.06 0.11 0.02 0.32 0.37 0.32 0.37 1XXX.00.00.0002000P0 34.7315 4 70332 X-ray exam of jaw joint A 0.54 2.44 2.33 2.41 2.44 2.33 2.41 0.13 3.00 3.08 3.00 3.08 1XXX.00.00.0003000P0 34.7315 4 70332TCX-ray exam of jaw joint A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0003000P0 34.7315 4 7033226X-ray exam of jaw joint A 0.54 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.72 0.81 0.72 0.81 1XXX.00.00.0003000P0 34.7315 4 70336 Magnetic image jaw joint A 1.48 12.06 12.02 12.05 12.06 12.02 12.05 0.57 14.07 14.10 14.07 14.10 1XXX.00.00.0003000P0 34.7315 4 70336TCMagnetic image jaw joint A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0003000P0 34.7315 4 7033626Magnetic image jaw joint A 1.48 0.47 0.39 0.45 0.47 0.39 0.45 0.05 1.92 1.98 1.92 1.98 1XXX.00.00.0003000P0 34.7315 4 70350 X-ray head for orthodontia A 0.17 0.48 0.44 0.47 0.48 0.44 0.47 0.03 0.64 0.67 0.64 0.67 1XXX.00.00.0000000P0 34.7315 4 70350TCX-ray head for orthodontia A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 1XXX.00.00.0000000P0 34.7315 4 7035026X-ray head for orthodontia A 0.17 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.23 0.26 0.23 0.26 1XXX.00.00.0000000P0 34.7315 4 70355 Panoramic x-ray of jaws A 0.20 0.69 0.65 0.68 0.69 0.65 0.68 0.04 0.89 0.92 0.89 0.92 1XXX.00.00.0000000P0 34.7315 4 70355TCPanoramic x-ray of jaws A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7035526Panoramic x-ray of jaws A 0.20 0.10 0.06 0.09 0.10 0.06 0.09 0.01 0.27 0.30 0.27 0.30 1XXX.00.00.0000000P0 34.7315 4 70360 X-ray exam of neck A 0.17 0.52 0.48 0.51 0.52 0.48 0.51 0.03 0.68 0.71 0.68 0.71 1XXX.00.00.0000000P0 34.7315 4 70360TCX-ray exam of neck A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7036026X-ray exam of neck A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 70370 Throat x-ray & fluoroscopy A 0.32 1.51 1.42 1.49 1.51 1.42 1.49 0.08 1.82 1.89 1.82 1.89 1XXX.00.00.0000000P0 34.7315 4 70370TCThroat x-ray & fluoroscopy A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7037026Throat x-ray & fluoroscopy A 0.32 0.16 0.08 0.14 0.16 0.08 0.14 0.02 0.42 0.48 0.42 0.48 1XXX.00.00.0000000P0 34.7315 4 70371 Speech evaluation, complex A 0.84 2.58 2.41 2.54 2.58 2.41 2.54 0.15 3.40 3.53 3.40 3.53 1XXX.00.00.0000000P0 34.7315 4 70371TCSpeech evaluation, complex A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0000000P0 34.7315 4 7037126Speech evaluation, complex A 0.84 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.12 1.26 1.12 1.26 1XXX.00.00.0000000P0 34.7315 4 70373 Contrast x-ray of larynx A 0.44 2.06 1.96 2.03 2.06 1.96 2.03 0.11 2.51 2.58 2.51 2.58 1XXX.00.00.0000000P0 34.7315 4 70373TCContrast x-ray of larynx A 0.00 1.84 1.85 1.84 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 1XXX.00.00.0000000P0 34.7315 4 7037326Contrast x-ray of larynx A 0.44 0.22 0.11 0.19 0.22 0.11 0.19 0.02 0.57 0.65 0.57 0.65 1XXX.00.00.0000000P0 34.7315 4 70380 X-ray exam of salivary gland A 0.17 0.78 0.74 0.77 0.78 0.74 0.77 0.04 0.95 0.98 0.95 0.98 1XXX.00.00.0000000P0 34.7315 4 70380TCX-ray exam of salivary gland A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7038026X-ray exam of salivary gland A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 70390 X-ray exam of salivary duct A 0.38 2.02 1.95 2.00 2.02 1.95 2.00 0.11 2.44 2.49 2.44 2.49 1XXX.00.00.0000000P0 34.7315 4 70390TCX-ray exam of salivary duct A 0.00 1.84 1.85 1.84 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 1XXX.00.00.0000000P0 34.7315 4 7039026X-ray exam of salivary duct A 0.38 0.18 0.10 0.16 0.18 0.10 0.16 0.02 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 34.7315 4 70450 CAT scan of head or brain A 0.85 5.29 5.13 5.26 5.29 5.13 5.26 0.28 6.26 6.39 6.26 6.39 1XXX.00.00.0000000P0 34.7315 4 70450TCCAT scan of head or brain A 0.00 4.88 4.90 4.89 4.88 4.90 4.89 0.23 5.13 5.12 5.13 5.12 1XXX.00.00.0000000P0 34.7315 4 7045026CAT scan of head or brain A 0.85 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.13 1.27 1.13 1.27 1XXX.00.00.0000000P0 34.7315 4 70460 Contrast CAT scan of head A 1.13 6.39 6.18 6.34 6.39 6.18 6.34 0.33 7.64 7.80 7.64 7.80 1XXX.00.00.0000000P0 34.7315 4 70460TCContrast CAT scan of head A 0.00 5.85 5.87 5.86 5.85 5.87 5.86 0.27 6.14 6.13 6.14 6.13 1XXX.00.00.0000000P0 34.7315 4 7046026Contrast CAT scan of head A 1.13 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.50 1.67 1.50 1.67 1XXX.00.00.0000000P0 34.7315 4 70470 Contrast CAT scans of head A 1.27 7.92 7.67 7.86 7.92 7.67 7.86 0.41 9.35 9.54 9.35 9.54 1XXX.00.00.0000000P0 34.7315 4 70470TCContrast CAT scans of head A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7047026Contrast CAT scans of head A 1.27 0.61 0.34 0.54 0.61 0.34 0.54 0.07 1.68 1.88 1.68 1.88 1XXX.00.00.0000000P0 34.7315 4 70480 CAT scan of skull A 1.28 5.50 5.24 5.44 5.50 5.24 5.44 0.30 6.82 7.02 6.82 7.02 1XXX.00.00.0000000P0 34.7315 4 70480TCCAT scan of skull A 0.00 4.88 4.90 4.89 4.88 4.90 4.89 0.23 5.13 5.12 5.13 5.12 1XXX.00.00.0000000P0 34.7315 4 7048026CAT scan of skull A 1.28 0.62 0.34 0.55 0.62 0.34 0.55 0.07 1.69 1.90 1.69 1.90 1XXX.00.00.0000000P0 34.7315 4 70481 Contrast CAT scan of skull A 1.38 6.51 6.24 6.45 6.51 6.24 6.45 0.34 7.96 8.17 7.96 8.17 1XXX.00.00.0000000P0 34.7315 4 70481TCContrast CAT scan of skull A 0.00 5.85 5.87 5.86 5.85 5.87 5.86 0.27 6.14 6.13 6.14 6.13 1XXX.00.00.0000000P0 34.7315 4 7048126Contrast CAT scan of skull A 1.38 0.66 0.37 0.59 0.66 0.37 0.59 0.07 1.82 2.04 1.82 2.04 1XXX.00.00.0000000P0 34.7315 4 70482 Contrast CAT scans of skull A 1.45 8.00 7.72 7.94 8.00 7.72 7.94 0.42 9.59 9.81 9.59 9.81 1XXX.00.00.0000000P0 34.7315 4 70482TCContrast CAT scans of skull A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7048226Contrast CAT scans of skull A 1.45 0.69 0.39 0.62 0.69 0.39 0.62 0.08 1.92 2.15 1.92 2.15 1XXX.00.00.0000000P0 34.7315 4 70486 CAT scan of face, jaw A 1.14 5.42 5.20 5.37 5.42 5.20 5.37 0.29 6.63 6.80 6.63 6.80 1XXX.00.00.0000000P0 34.7315 4 70486TCCAT scan of face, jaw A 0.00 4.88 4.90 4.89 4.88 4.90 4.89 0.23 5.13 5.12 5.13 5.12 1XXX.00.00.0000000P0 34.7315 4 7048626CAT scan of face, jaw A 1.14 0.54 0.30 0.48 0.54 0.30 0.48 0.06 1.50 1.68 1.50 1.68 1XXX.00.00.0000000P0 34.7315 4 70487 Contrast CAT scan, face/jaw A 1.30 6.47 6.22 6.41 6.47 6.22 6.41 0.34 7.86 8.05 7.86 8.05 1XXX.00.00.0000000P0 34.7315 4 70487TCContrast CAT scan, face/jaw A 0.00 5.85 5.87 5.86 5.85 5.87 5.86 0.27 6.14 6.13 6.14 6.13 1XXX.00.00.0000000P0 34.7315 4 7048726Contrast CAT scan, face/jaw A 1.30 0.62 0.35 0.55 0.62 0.35 0.55 0.07 1.72 1.92 1.72 1.92 1XXX.00.00.0000000P0 34.7315 4 70488 Contrast CAT scans face/jaw A 1.42 7.99 7.71 7.93 7.99 7.71 7.93 0.42 9.55 9.77 9.55 9.77 1XXX.00.00.0000000P0 34.7315 4 70488TCContrast CAT scans face/jaw A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7048826Contrast CAT scans face/jaw A 1.42 0.68 0.38 0.61 0.68 0.38 0.61 0.08 1.88 2.11 1.88 2.11 1XXX.00.00.0000000P0 34.7315 4 70490 CAT scan of neck tissue A 1.28 5.50 5.24 5.44 5.50 5.24 5.44 0.30 6.82 7.02 6.82 7.02 1XXX.00.00.0000000P0 34.7315 4 70490TCCAT scan of neck tissue A 0.00 4.88 4.90 4.89 4.88 4.90 4.89 0.23 5.13 5.12 5.13 5.12 1XXX.00.00.0000000P0 34.7315 4 7049026CAT scan of neck tissue A 1.28 0.62 0.34 0.55 0.62 0.34 0.55 0.07 1.69 1.90 1.69 1.90 1XXX.00.00.0000000P0 34.7315 4 70491 Contrast CAT of neck tissue A 1.38 6.51 6.24 6.45 6.51 6.24 6.45 0.34 7.96 8.17 7.96 8.17 1XXX.00.00.0000000P0 34.7315 4 70491TCContrast CAT of neck tissue A 0.00 5.85 5.87 5.86 5.85 5.87 5.86 0.27 6.14 6.13 6.14 6.13 1XXX.00.00.0000000P0 34.7315 4 7049126Contrast CAT of neck tissue A 1.38 0.66 0.37 0.59 0.66 0.37 0.59 0.07 1.82 2.04 1.82 2.04 1XXX.00.00.0000000P0 34.7315 4 70492 Contrast CAT of neck tissue A 1.45 8.00 7.71 7.93 8.00 7.71 7.93 0.42 9.58 9.80 9.58 9.80 1XXX.00.00.0000000P0 34.7315 4 70492TCContrast CAT of neck tissue A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7049226Contrast CAT of neck tissue A 1.45 0.69 0.38 0.61 0.69 0.38 0.61 0.08 1.91 2.14 1.91 2.14 1XXX.00.00.0000000P0 34.7315 4 70540 Magnetic image, face, neck A 1.48 12.31 12.02 12.24 12.31 12.02 12.24 0.60 14.10 14.32 14.10 14.32 1XXX.00.00.0000000P0 34.7315 4 70540TCMagnetic image, face, neck A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7054026Magnetic image, face, neck A 1.48 0.72 0.39 0.64 0.72 0.39 0.64 0.08 1.95 2.20 1.95 2.20 1XXX.00.00.0000000P0 34.7315 4 70541 Magnetic image, head (MRA) R 1.81 12.31 12.12 12.26 12.31 12.12 12.26 0.60 14.53 14.67 14.53 14.67 1XXX.00.00.0000000P0 34.7315 4 70541TCMagnetic image, head (MRA) R 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7054126Magnetic image, head (MRA) R 1.81 0.72 0.49 0.66 0.72 0.49 0.66 0.08 2.38 2.55 2.38 2.55 1XXX.00.00.0000000P0 34.7315 4 70551 Magnetic image, brain (MRI) A 1.48 12.31 12.03 12.24 12.31 12.03 12.24 0.60 14.11 14.32 14.11 14.32 1XXX.00.00.0000000P0 34.7315 4 70551TCMagnetic image, brain (MRI) A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7055126Magnetic image, brain (MRI) A 1.48 0.72 0.40 0.64 0.72 0.40 0.64 0.08 1.96 2.20 1.96 2.20 1XXX.00.00.0000000P0 34.7315 4 70552 Magnetic image, brain (MRI) A 1.78 14.77 14.45 14.69 14.77 14.45 14.69 0.72 16.95 17.19 16.95 17.19 1XXX.00.00.0000000P0 34.7315 4 70552TCMagnetic image, brain (MRI) A 0.00 13.90 13.95 13.91 13.90 13.95 13.91 0.63 14.58 14.54 14.58 14.54 1XXX.00.00.0000000P0 34.7315 4 7055226Magnetic image, brain (MRI) A 1.78 0.87 0.50 0.78 0.87 0.50 0.78 0.09 2.37 2.65 2.37 2.65 1XXX.00.00.0000000P0 34.7315 4 70553 Magnetic image, brain A 2.36 26.90 26.46 26.79 26.90 26.46 26.79 1.30 30.12 30.45 30.12 30.45 1XXX.00.00.0000000P0 34.7315 4 70553TCMagnetic image, brain A 0.00 25.74 25.83 25.76 25.74 25.83 25.76 1.17 27.00 26.93 27.00 26.93 1XXX.00.00.0000000P0 34.7315 4 7055326Magnetic image, brain A 2.36 1.16 0.63 1.03 1.16 0.63 1.03 0.13 3.12 3.52 3.12 3.52 1XXX.00.00.0000000P0 34.7315 4 71010 Chest x-ray A 0.18 0.58 0.54 0.57 0.58 0.54 0.57 0.03 0.75 0.78 0.75 0.78 1XXX.00.00.0000000P0 34.7315 4 71010TCChest x-ray A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 1XXX.00.00.0000000P0 34.7315 4 7101026Chest x-ray A 0.18 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.24 0.27 0.24 0.27 1XXX.00.00.0000000P0 34.7315 4 71015 X-ray exam of chest A 0.21 0.65 0.61 0.64 0.65 0.61 0.64 0.03 0.85 0.88 0.85 0.88 1XXX.00.00.0000000P0 34.7315 4 71015TCX-ray exam of chest A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7101526X-ray exam of chest A 0.21 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.28 0.32 0.28 0.32 1XXX.00.00.0000000P0 34.7315 4 71020 Chest x-ray A 0.22 0.75 0.70 0.74 0.75 0.70 0.74 0.04 0.96 1.00 0.96 1.00 1XXX.00.00.0000000P0 34.7315 4 71020TCChest x-ray A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7102026Chest x-ray A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 71021 Chest x-ray A 0.27 0.89 0.82 0.88 0.89 0.82 0.88 0.06 1.15 1.21 1.15 1.21 1XXX.00.00.0000000P0 34.7315 4 71021TCChest x-ray A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7102126Chest x-ray A 0.27 0.13 0.07 0.12 0.13 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 34.7315 4 71022 Chest x-ray A 0.31 0.91 0.83 0.89 0.91 0.83 0.89 0.06 1.20 1.26 1.20 1.26 1XXX.00.00.0000000P0 34.7315 4 71022TCChest x-ray A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7102226Chest x-ray A 0.31 0.15 0.08 0.13 0.15 0.08 0.13 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 71023 Chest x-ray and fluoroscopy A 0.38 0.99 0.94 0.98 0.99 0.94 0.98 0.06 1.38 1.42 1.38 1.42 1XXX.00.00.0000000P0 34.7315 4 71023TCChest x-ray and fluoroscopy A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7102326Chest x-ray and fluoroscopy A 0.38 0.18 0.12 0.17 0.18 0.12 0.17 0.02 0.52 0.57 0.52 0.57 1XXX.00.00.0000000P0 34.7315 4 71030 Chest x-ray A 0.31 0.96 0.90 0.94 0.96 0.90 0.94 0.06 1.27 1.31 1.27 1.31 1XXX.00.00.0000000P0 34.7315 4 71030TCChest x-ray A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7103026Chest x-ray A 0.31 0.15 0.08 0.13 0.15 0.08 0.13 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 71034 Chest x-ray & fluoroscopy A 0.46 1.72 1.63 1.70 1.72 1.63 1.70 0.09 2.18 2.25 2.18 2.25 1XXX.00.00.0000000P0 34.7315 4 71034TCChest x-ray & fluoroscopy A 0.00 1.49 1.49 1.49 1.49 1.49 1.49 0.07 1.56 1.56 1.56 1.56 1XXX.00.00.0000000P0 34.7315 4 7103426Chest x-ray & fluoroscopy A 0.46 0.23 0.14 0.21 0.23 0.14 0.21 0.02 0.62 0.69 0.62 0.69 1XXX.00.00.0000000P0 34.7315 4 71035 Chest x-ray A 0.18 0.63 0.60 0.62 0.63 0.60 0.62 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 34.7315 4 71035TCChest x-ray A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7103526Chest x-ray A 0.18 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.24 0.27 0.24 0.27 1XXX.00.00.0000000P0 34.7315 4 71036 X-ray guidance for biopsy A 0.54 1.90 1.77 1.87 1.90 1.77 1.87 0.11 2.42 2.52 2.42 2.52 1XXX.00.00.0000000P0 34.7315 4 71036TCX-ray guidance for biopsy A 0.00 1.63 1.63 1.63 1.63 1.63 1.63 0.08 1.71 1.71 1.71 1.71 1XXX.00.00.0000000P0 34.7315 4 7103626X-ray guidance for biopsy A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 71038 X-ray guidance for biopsy D 0.54 2.01 2.01 2.01 2.01 2.01 2.01 0.12 2.67 2.67 2.67 2.67 1XXX.00.00.0000000P0 34.7315 4 71038TCX-ray guidance for biopsy D 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 1XXX.00.00.0000000P0 34.7315 4 7103826X-ray guidance for biopsy D 0.54 0.27 0.27 0.27 0.27 0.27 0.27 0.03 0.84 0.84 0.84 0.84 1XXX.00.00.0000000P0 34.7315 4 71040 Contrast x-ray of bronchi A 0.58 1.80 1.67 1.77 1.80 1.67 1.77 0.10 2.35 2.45 2.35 2.45 1XXX.00.00.0000000P0 34.7315 4 71040TCContrast x-ray of bronchi A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.07 1.59 1.58 1.59 1.58 1XXX.00.00.0000000P0 34.7315 4 7104026Contrast x-ray of bronchi A 0.58 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.76 0.87 0.76 0.87 1XXX.00.00.0000000P0 34.7315 4 71060 Contrast x-ray of bronchi A 0.74 2.65 2.48 2.61 2.65 2.48 2.61 0.15 3.37 3.50 3.37 3.50 1XXX.00.00.0002000P0 34.7315 4 71060TCContrast x-ray of bronchi A 0.00 2.28 2.28 2.28 2.28 2.28 2.28 0.11 2.39 2.39 2.39 2.39 1XXX.00.00.0002000P0 34.7315 4 7106026Contrast x-ray of bronchi A 0.74 0.37 0.20 0.33 0.37 0.20 0.33 0.04 0.98 1.11 0.98 1.11 1XXX.00.00.0002000P0 34.7315 4 71090 X-ray & pacemaker insertion A 0.54 2.01 1.96 2.00 2.01 1.96 2.00 0.12 2.62 2.66 2.62 2.66 1XXX.00.00.0000000P0 34.7315 4 71090TCX-ray & pacemaker insertion A 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 1XXX.00.00.0000000P0 34.7315 4 7109026X-ray & pacemaker insertion A 0.54 0.27 0.22 0.26 0.27 0.22 0.26 0.03 0.79 0.83 0.79 0.83 1XXX.00.00.0000000P0 34.7315 4 71100 X-ray exam of ribs A 0.22 0.70 0.65 0.69 0.70 0.65 0.69 0.05 0.92 0.96 0.92 0.96 1XXX.00.00.0000000P0 34.7315 4 71100TCX-ray exam of ribs A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7110026X-ray exam of ribs A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.02 0.30 0.34 0.30 0.34 1XXX.00.00.0000000P0 34.7315 4 71101 X-ray exam of ribs, chest A 0.27 0.83 0.77 0.81 0.83 0.77 0.81 0.05 1.09 1.13 1.09 1.13 1XXX.00.00.0000000P0 34.7315 4 71101TCX-ray exam of ribs, chest A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7110126X-ray exam of ribs, chest A 0.27 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 34.7315 4 71110 X-ray exam of ribs A 0.27 0.95 0.89 0.93 0.95 0.89 0.93 0.06 1.22 1.26 1.22 1.26 1XXX.00.00.0002000P0 34.7315 4 71110TCX-ray exam of ribs A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0002000P0 34.7315 4 7111026X-ray exam of ribs A 0.27 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0002000P0 34.7315 4 71111 X-ray exam of ribs, chest A 0.32 1.08 1.01 1.06 1.08 1.01 1.06 0.07 1.40 1.45 1.40 1.45 1XXX.00.00.0002000P0 34.7315 4 71111TCX-ray exam of ribs, chest A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.05 0.98 0.97 0.98 0.97 1XXX.00.00.0002000P0 34.7315 4 7111126X-ray exam of ribs, chest A 0.32 0.16 0.08 0.14 0.16 0.08 0.14 0.02 0.42 0.48 0.42 0.48 1XXX.00.00.0002000P0 34.7315 4 71120 X-ray exam of breastbone A 0.20 0.77 0.73 0.76 0.77 0.73 0.76 0.04 0.97 1.00 0.97 1.00 1XXX.00.00.0000000P0 34.7315 4 71120TCX-ray exam of breastbone A 0.00 0.67 0.68 0.67 0.67 0.68 0.67 0.03 0.71 0.70 0.71 0.70 1XXX.00.00.0000000P0 34.7315 4 7112026X-ray exam of breastbone A 0.20 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.26 0.30 0.26 0.30 1XXX.00.00.0000000P0 34.7315 4 71130 X-ray exam of breastbone A 0.22 0.84 0.79 0.83 0.84 0.79 0.83 0.04 1.05 1.09 1.05 1.09 1XXX.00.00.0000000P0 34.7315 4 71130TCX-ray exam of breastbone A 0.00 0.73 0.73 0.73 0.73 0.73 0.73 0.03 0.76 0.76 0.76 0.76 1XXX.00.00.0000000P0 34.7315 4 7113026X-ray exam of breastbone A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 71250 Cat scan of chest A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0000000P0 34.7315 4 71250TCCat scan of chest A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7125026Cat scan of chest A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0000000P0 34.7315 4 71260 Contrast CAT scan of chest A 1.24 7.91 7.66 7.85 7.91 7.66 7.85 0.40 9.30 9.49 9.30 9.49 1XXX.00.00.0000000P0 34.7315 4 71260TCContrast CAT scan of chest A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7126026Contrast CAT scan of chest A 1.24 0.60 0.33 0.53 0.60 0.33 0.53 0.06 1.63 1.83 1.63 1.83 1XXX.00.00.0000000P0 34.7315 4 71270 Contrast CAT scans of chest A 1.38 9.81 9.54 9.75 9.81 9.54 9.75 0.48 11.40 11.61 11.40 11.61 1XXX.00.00.0000000P0 34.7315 4 71270TCContrast CAT scans of chest A 0.00 9.15 9.17 9.16 9.15 9.17 9.16 0.41 9.58 9.57 9.58 9.57 1XXX.00.00.0000000P0 34.7315 4 7127026Contrast CAT scans of chest A 1.38 0.66 0.37 0.59 0.66 0.37 0.59 0.07 1.82 2.04 1.82 2.04 1XXX.00.00.0000000P0 34.7315 4 71550 Magnetic image, chest A 1.60 12.37 12.06 12.29 12.37 12.06 12.29 0.61 14.27 14.50 14.27 14.50 1XXX.00.00.0000000P0 34.7315 4 71550TCMagnetic image, chest A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7155026Magnetic image, chest A 1.60 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.12 2.38 2.12 2.38 1XXX.00.00.0000000P0 34.7315 4 71555 Magnetic imaging/chest (MRA) R 1.81 12.37 12.31 12.36 12.37 12.31 12.36 0.61 14.73 14.78 14.73 14.78 1XXX.00.00.0000000P0 34.7315 4 71555TCMagnetic imaging/chest (MRA) R 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7155526Magnetic imaging/chest (MRA) R 1.81 0.78 0.68 0.76 0.78 0.68 0.76 0.09 2.58 2.66 2.58 2.66 1XXX.00.00.0000000P0 34.7315 4 72010 X-ray exam of spine A 0.45 1.28 1.18 1.26 1.28 1.18 1.26 0.07 1.70 1.78 1.70 1.78 1XXX.00.00.0000000P0 34.7315 4 72010TCX-ray exam of spine A 0.00 1.06 1.06 1.06 1.06 1.06 1.06 0.05 1.11 1.11 1.11 1.11 1XXX.00.00.0000000P0 34.7315 4 7201026X-ray exam of spine A 0.45 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 72020 X-ray exam of spine A 0.15 0.51 0.48 0.50 0.51 0.48 0.50 0.03 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 34.7315 4 72020TCX-ray exam of spine A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7202026X-ray exam of spine A 0.15 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.20 0.23 0.20 0.23 1XXX.00.00.0000000P0 34.7315 4 72040 X-ray exam of neck spine A 0.22 0.73 0.68 0.72 0.73 0.68 0.72 0.04 0.94 0.98 0.94 0.98 1XXX.00.00.0000000P0 34.7315 4 72040TCX-ray exam of neck spine A 0.00 0.62 0.62 0.62 0.62 0.62 0.62 0.03 0.65 0.65 0.65 0.65 1XXX.00.00.0000000P0 34.7315 4 7204026X-ray exam of neck spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72050 X-ray exam of neck spine A 0.31 1.07 1.01 1.05 1.07 1.01 1.05 0.07 1.39 1.43 1.39 1.43 1XXX.00.00.0000000P0 34.7315 4 72050TCX-ray exam of neck spine A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.05 0.98 0.97 0.98 0.97 1XXX.00.00.0000000P0 34.7315 4 7205026X-ray exam of neck spine A 0.31 0.15 0.08 0.13 0.15 0.08 0.13 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 72052 X-ray exam of neck spine A 0.36 1.35 1.27 1.33 1.35 1.27 1.33 0.07 1.70 1.76 1.70 1.76 1XXX.00.00.0000000P0 34.7315 4 72052TCX-ray exam of neck spine A 0.00 1.17 1.18 1.17 1.17 1.18 1.17 0.05 1.23 1.22 1.23 1.22 1XXX.00.00.0000000P0 34.7315 4 7205226X-ray exam of neck spine A 0.36 0.18 0.09 0.16 0.18 0.09 0.16 0.02 0.47 0.54 0.47 0.54 1XXX.00.00.0000000P0 34.7315 4 72069 X-ray exam of trunk spine A 0.22 0.62 0.57 0.61 0.62 0.57 0.61 0.03 0.82 0.86 0.82 0.86 1XXX.00.00.0000000P0 34.7315 4 72069TCX-ray exam of trunk spine A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0000000P0 34.7315 4 7206926X-ray exam of trunk spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72070 X-ray exam of thorax spine A 0.22 0.78 0.74 0.77 0.78 0.74 0.77 0.04 1.00 1.03 1.00 1.03 1XXX.00.00.0000000P0 34.7315 4 72070TCX-ray exam of thorax spine A 0.00 0.67 0.68 0.67 0.67 0.68 0.67 0.03 0.71 0.70 0.71 0.70 1XXX.00.00.0000000P0 34.7315 4 7207026X-ray exam of thorax spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72072 X-ray exam of thoracic spine A 0.22 0.87 0.81 0.86 0.87 0.81 0.86 0.05 1.08 1.13 1.08 1.13 1XXX.00.00.0000000P0 34.7315 4 72072TCX-ray exam of thoracic spine A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7207226X-ray exam of thoracic spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72074 X-ray exam of thoracic spine A 0.22 1.05 1.01 1.04 1.05 1.01 1.04 0.06 1.29 1.32 1.29 1.32 1XXX.00.00.0000000P0 34.7315 4 72074TCX-ray exam of thoracic spine A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.05 1.00 0.99 1.00 0.99 1XXX.00.00.0000000P0 34.7315 4 7207426X-ray exam of thoracic spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72080 X-ray exam of trunk spine A 0.22 0.80 0.76 0.79 0.80 0.76 0.79 0.04 1.02 1.05 1.02 1.05 1XXX.00.00.0000000P0 34.7315 4 72080TCX-ray exam of trunk spine A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7208026X-ray exam of trunk spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72090 X-ray exam of trunk spine A 0.28 0.83 0.78 0.82 0.83 0.78 0.82 0.05 1.11 1.15 1.11 1.15 1XXX.00.00.0000000P0 34.7315 4 72090TCX-ray exam of trunk spine A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7209026X-ray exam of trunk spine A 0.28 0.14 0.08 0.13 0.14 0.08 0.13 0.02 0.38 0.43 0.38 0.43 1XXX.00.00.0000000P0 34.7315 4 72100 X-ray exam of lower spine A 0.22 0.80 0.76 0.79 0.80 0.76 0.79 0.04 1.02 1.05 1.02 1.05 1XXX.00.00.0000000P0 34.7315 4 72100TCX-ray exam of lower spine A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7210026X-ray exam of lower spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72110 X-ray exam of lower spine A 0.31 1.09 1.03 1.07 1.09 1.03 1.07 0.07 1.41 1.45 1.41 1.45 1XXX.00.00.0000000P0 34.7315 4 72110TCX-ray exam of lower spine A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.05 1.00 0.99 1.00 0.99 1XXX.00.00.0000000P0 34.7315 4 7211026X-ray exam of lower spine A 0.31 0.15 0.08 0.13 0.15 0.08 0.13 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 72114 X-ray exam of lower spine A 0.36 1.41 1.32 1.39 1.41 1.32 1.39 0.07 1.75 1.82 1.75 1.82 1XXX.00.00.0000000P0 34.7315 4 72114TCX-ray exam of lower spine A 0.00 1.23 1.23 1.23 1.23 1.23 1.23 0.05 1.28 1.28 1.28 1.28 1XXX.00.00.0000000P0 34.7315 4 7211426X-ray exam of lower spine A 0.36 0.18 0.09 0.16 0.18 0.09 0.16 0.02 0.47 0.54 0.47 0.54 1XXX.00.00.0000000P0 34.7315 4 72120 X-ray exam of lower spine A 0.22 1.03 0.99 1.02 1.03 0.99 1.02 0.06 1.27 1.30 1.27 1.30 1XXX.00.00.0000000P0 34.7315 4 72120TCX-ray exam of lower spine A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.05 0.98 0.97 0.98 0.97 1XXX.00.00.0000000P0 34.7315 4 7212026X-ray exam of lower spine A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.29 0.33 0.29 0.33 1XXX.00.00.0000000P0 34.7315 4 72125 CAT scan of neck spine A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0000000P0 34.7315 4 72125TCCAT scan of neck spine A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7212526CAT scan of neck spine A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0000000P0 34.7315 4 72126 Contrast CAT scan of neck A 1.22 7.89 7.65 7.84 7.89 7.65 7.84 0.40 9.27 9.46 9.27 9.46 1XXX.00.00.0000000P0 34.7315 4 72126TCContrast CAT scan of neck A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7212626Contrast CAT scan of neck A 1.22 0.58 0.32 0.52 0.58 0.32 0.52 0.06 1.60 1.80 1.60 1.80 1XXX.00.00.0000000P0 34.7315 4 72127 Contrast CAT scans of neck A 1.27 9.76 9.51 9.70 9.76 9.51 9.70 0.48 11.26 11.45 11.26 11.45 1XXX.00.00.0000000P0 34.7315 4 72127TCContrast CAT scans of neck A 0.00 9.15 9.17 9.16 9.15 9.17 9.16 0.41 9.58 9.57 9.58 9.57 1XXX.00.00.0000000P0 34.7315 4 7212726Contrast CAT scans of neck A 1.27 0.61 0.34 0.54 0.61 0.34 0.54 0.07 1.68 1.88 1.68 1.88 1XXX.00.00.0000000P0 34.7315 4 72128 CAT scan of thorax spine A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0000000P0 34.7315 4 72128TCCAT scan of thorax spine A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7212826CAT scan of thorax spine A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0000000P0 34.7315 4 72129 Contrast CAT scan of thorax A 1.22 7.89 7.65 7.84 7.89 7.65 7.84 0.40 9.27 9.46 9.27 9.46 1XXX.00.00.0000000P0 34.7315 4 72129TCContrast CAT scan of thorax A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7212926Contrast CAT scan of thorax A 1.22 0.58 0.32 0.52 0.58 0.32 0.52 0.06 1.60 1.80 1.60 1.80 1XXX.00.00.0000000P0 34.7315 4 72130 Contrast CAT scans of thorax A 1.27 9.76 9.51 9.70 9.76 9.51 9.70 0.48 11.26 11.45 11.26 11.45 1XXX.00.00.0000000P0 34.7315 4 72130TCContrast CAT scans of thorax A 0.00 9.15 9.17 9.16 9.15 9.17 9.16 0.41 9.58 9.57 9.58 9.57 1XXX.00.00.0000000P0 34.7315 4 7213026Contrast CAT scans of thorax A 1.27 0.61 0.34 0.54 0.61 0.34 0.54 0.07 1.68 1.88 1.68 1.88 1XXX.00.00.0000000P0 34.7315 4 72131 CAT scan of lower spine A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0000000P0 34.7315 4 72131TCCAT scan of lower spine A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7213126CAT scan of lower spine A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0000000P0 34.7315 4 72132 Contrast CAT of lower spine A 1.22 7.89 7.66 7.84 7.89 7.66 7.84 0.40 9.28 9.46 9.28 9.46 1XXX.00.00.0000000P0 34.7315 4 72132TCContrast CAT of lower spine A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7213226Contrast CAT of lower spine A 1.22 0.58 0.33 0.52 0.58 0.33 0.52 0.06 1.61 1.80 1.61 1.80 1XXX.00.00.0000000P0 34.7315 4 72133 Contrast CAT scans,low spine A 1.27 9.76 9.51 9.70 9.76 9.51 9.70 0.48 11.26 11.45 11.26 11.45 1XXX.00.00.0000000P0 34.7315 4 72133TCContrast CAT scans,low spine A 0.00 9.15 9.17 9.16 9.15 9.17 9.16 0.41 9.58 9.57 9.58 9.57 1XXX.00.00.0000000P0 34.7315 4 7213326Contrast CAT scans,low spine A 1.27 0.61 0.34 0.54 0.61 0.34 0.54 0.07 1.68 1.88 1.68 1.88 1XXX.00.00.0000000P0 34.7315 4 72141 Magnetic image, neck spine A 1.60 12.37 12.06 12.29 12.37 12.06 12.29 0.61 14.27 14.50 14.27 14.50 1XXX.00.00.0000000P0 34.7315 4 72141TCMagnetic image, neck spine A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7214126Magnetic image, neck spine A 1.60 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.12 2.38 2.12 2.38 1XXX.00.00.0000000P0 34.7315 4 72142 Magnetic image, neck spine A 1.92 14.83 14.49 14.74 14.83 14.49 14.74 0.73 17.14 17.39 17.14 17.39 1XXX.00.00.0000000P0 34.7315 4 72142TCMagnetic image, neck spine A 0.00 13.90 13.95 13.91 13.90 13.95 13.91 0.63 14.58 14.54 14.58 14.54 1XXX.00.00.0000000P0 34.7315 4 7214226Magnetic image, neck spine A 1.92 0.93 0.54 0.83 0.93 0.54 0.83 0.10 2.56 2.85 2.56 2.85 1XXX.00.00.0000000P0 34.7315 4 72146 Magnetic image, chest spine A 1.60 13.65 13.33 13.57 13.65 13.33 13.57 0.67 15.60 15.84 15.60 15.84 1XXX.00.00.0000000P0 34.7315 4 72146TCMagnetic image, chest spine A 0.00 12.87 12.90 12.88 12.87 12.90 12.88 0.58 13.48 13.46 13.48 13.46 1XXX.00.00.0000000P0 34.7315 4 7214626Magnetic image, chest spine A 1.60 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.12 2.38 2.12 2.38 1XXX.00.00.0000000P0 34.7315 4 72147 Magnetic image, chest spine A 1.92 14.83 14.48 14.74 14.83 14.48 14.74 0.73 17.13 17.39 17.13 17.39 1XXX.00.00.0000000P0 34.7315 4 72147TCMagnetic image, chest spine A 0.00 13.90 13.95 13.91 13.90 13.95 13.91 0.63 14.58 14.54 14.58 14.54 1XXX.00.00.0000000P0 34.7315 4 7214726Magnetic image, chest spine A 1.92 0.93 0.53 0.83 0.93 0.53 0.83 0.10 2.55 2.85 2.55 2.85 1XXX.00.00.0000000P0 34.7315 4 72148 Magnetic image, lumbar spine A 1.48 13.59 13.30 13.52 13.59 13.30 13.52 0.66 15.44 15.66 15.44 15.66 1XXX.00.00.0000000P0 34.7315 4 72148TCMagnetic image, lumbar spine A 0.00 12.87 12.90 12.88 12.87 12.90 12.88 0.58 13.48 13.46 13.48 13.46 1XXX.00.00.0000000P0 34.7315 4 7214826Magnetic image, lumbar spine A 1.48 0.72 0.40 0.64 0.72 0.40 0.64 0.08 1.96 2.20 1.96 2.20 1XXX.00.00.0000000P0 34.7315 4 72149 Magnetic image, lumbar spine A 1.78 14.77 14.44 14.69 14.77 14.44 14.69 0.72 16.94 17.19 16.94 17.19 1XXX.00.00.0000000P0 34.7315 4 72149TCMagnetic image, lumbar spine A 0.00 13.90 13.95 13.91 13.90 13.95 13.91 0.63 14.58 14.54 14.58 14.54 1XXX.00.00.0000000P0 34.7315 4 7214926Magnetic image, lumbar spine A 1.78 0.87 0.49 0.78 0.87 0.49 0.78 0.09 2.36 2.65 2.36 2.65 1XXX.00.00.0000000P0 34.7315 4 72156 Magnetic image, neck spine A 2.57 26.99 26.52 26.87 26.99 26.52 26.87 1.30 30.39 30.74 30.39 30.74 1XXX.00.00.0000000P0 34.7315 4 72156TCMagnetic image, neck spine A 0.00 25.74 25.83 25.76 25.74 25.83 25.76 1.17 27.00 26.93 27.00 26.93 1XXX.00.00.0000000P0 34.7315 4 7215626Magnetic image, neck spine A 2.57 1.25 0.69 1.11 1.25 0.69 1.11 0.13 3.39 3.81 3.39 3.81 1XXX.00.00.0000000P0 34.7315 4 72157 Magnetic image, chest spine A 2.57 26.99 26.52 26.87 26.99 26.52 26.87 1.30 30.39 30.74 30.39 30.74 1XXX.00.00.0000000P0 34.7315 4 72157TCMagnetic image, chest spine A 0.00 25.74 25.83 25.76 25.74 25.83 25.76 1.17 27.00 26.93 27.00 26.93 1XXX.00.00.0000000P0 34.7315 4 7215726Magnetic image, chest spine A 2.57 1.25 0.69 1.11 1.25 0.69 1.11 0.13 3.39 3.81 3.39 3.81 1XXX.00.00.0000000P0 34.7315 4 72158 Magnetic image, lumbar spine A 2.36 26.90 26.46 26.79 26.90 26.46 26.79 1.30 30.12 30.45 30.12 30.45 1XXX.00.00.0000000P0 34.7315 4 72158TCMagnetic image, lumbar spine A 0.00 25.74 25.83 25.76 25.74 25.83 25.76 1.17 27.00 26.93 27.00 26.93 1XXX.00.00.0000000P0 34.7315 4 7215826Magnetic image, lumbar spine A 2.36 1.16 0.63 1.03 1.16 0.63 1.03 0.13 3.12 3.52 3.12 3.52 1XXX.00.00.0000000P0 34.7315 4 72159 Magnetic imaging/spine (MRA) N+ 1.80 13.59 13.58 13.59 13.59 13.58 13.59 0.66 16.04 16.05 16.04 16.05 1XXX.00.00.0099999P9 0.0000 9 72159TCMagnetic imaging/spine (MRA) N+ 0.00 12.87 12.90 12.88 12.87 12.90 12.88 0.58 13.48 13.46 13.48 13.46 1XXX.00.00.0099999P9 0.0000 9 7215926Magnetic imaging/spine (MRA) N+ 1.80 0.72 0.68 0.71 0.72 0.68 0.71 0.08 2.56 2.59 2.56 2.59 1XXX.00.00.0099999P9 0.0000 9 72170 X-ray exam of pelvis A 0.17 0.62 0.59 0.61 0.62 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 34.7315 4 72170TCX-ray exam of pelvis A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7217026X-ray exam of pelvis A 0.17 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.22 0.25 0.22 0.25 1XXX.00.00.0000000P0 34.7315 4 72190 X-ray exam of pelvis A 0.21 0.80 0.76 0.79 0.80 0.76 0.79 0.04 1.01 1.04 1.01 1.04 1XXX.00.00.0000000P0 34.7315 4 72190TCX-ray exam of pelvis A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 7219026X-ray exam of pelvis A 0.21 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.28 0.32 0.28 0.32 1XXX.00.00.0000000P0 34.7315 4 72192 CAT scan of pelvis A 1.09 6.63 6.42 6.58 6.63 6.42 6.58 0.33 7.84 8.00 7.84 8.00 1XXX.00.00.0000000P0 34.7315 4 72192TCCAT scan of pelvis A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7219226CAT scan of pelvis A 1.09 0.52 0.29 0.46 0.52 0.29 0.46 0.05 1.43 1.60 1.43 1.60 1XXX.00.00.0000000P0 34.7315 4 72193 Contrast CAT scan of pelvis A 1.16 7.63 7.41 7.58 7.63 7.41 7.58 0.38 8.95 9.12 8.95 9.12 1XXX.00.00.0000000P0 34.7315 4 72193TCContrast CAT scan of pelvis A 0.00 7.08 7.10 7.09 7.08 7.10 7.09 0.32 7.42 7.41 7.42 7.41 1XXX.00.00.0000000P0 34.7315 4 7219326Contrast CAT scan of pelvis A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0000000P0 34.7315 4 72194 Contrast CAT scans of pelvis A 1.22 9.36 9.12 9.31 9.36 9.12 9.31 0.45 10.79 10.98 10.79 10.98 1XXX.00.00.0000000P0 34.7315 4 72194TCContrast CAT scans of pelvis A 0.00 8.78 8.80 8.79 8.78 8.80 8.79 0.39 9.19 9.18 9.19 9.18 1XXX.00.00.0000000P0 34.7315 4 7219426Contrast CAT scans of pelvis A 1.22 0.58 0.32 0.52 0.58 0.32 0.52 0.06 1.60 1.80 1.60 1.80 1XXX.00.00.0000000P0 34.7315 4 72196 Magnetic image, pelvis A 1.60 12.37 12.05 12.29 12.37 12.05 12.29 0.61 14.26 14.50 14.26 14.50 1XXX.00.00.0000000P0 34.7315 4 72196TCMagnetic image, pelvis A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7219626Magnetic image, pelvis A 1.60 0.78 0.42 0.69 0.78 0.42 0.69 0.09 2.11 2.38 2.11 2.38 1XXX.00.00.0000000P0 34.7315 4 72198 Magnetic imaging/pelvis(MRA) N+ 1.80 12.37 12.31 12.36 12.37 12.31 12.36 0.61 14.72 14.77 14.72 14.77 1XXX.00.00.0099999P9 0.0000 9 72198TCMagnetic imaging/pelvis(MRA) N+ 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0099999P9 0.0000 9 7219826Magnetic imaging/pelvis(MRA) N+ 1.80 0.78 0.68 0.76 0.78 0.68 0.76 0.09 2.57 2.65 2.57 2.65 1XXX.00.00.0099999P9 0.0000 9 72200 X-ray exam sacroiliac joints A 0.17 0.63 0.59 0.62 0.63 0.59 0.62 0.03 0.79 0.82 0.79 0.82 1XXX.00.00.0000000P0 34.7315 4 72200TCX-ray exam sacroiliac joints A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7220026X-ray exam sacroiliac joints A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 72202 X-ray exam sacroiliac joints A 0.19 0.74 0.69 0.73 0.74 0.69 0.73 0.04 0.92 0.96 0.92 0.96 1XXX.00.00.0000000P0 34.7315 4 72202TCX-ray exam sacroiliac joints A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7220226X-ray exam sacroiliac joints A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 72220 X-ray exam of tailbone A 0.17 0.68 0.63 0.67 0.68 0.63 0.67 0.04 0.84 0.88 0.84 0.88 1XXX.00.00.0000000P0 34.7315 4 72220TCX-ray exam of tailbone A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7222026X-ray exam of tailbone A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 72240 Contrast x-ray of neck spine A 0.91 5.35 5.16 5.30 5.35 5.16 5.30 0.28 6.35 6.49 6.35 6.49 1XXX.00.00.0000000P0 34.7315 4 72240TCContrast x-ray of neck spine A 0.00 4.91 4.92 4.91 4.91 4.92 4.91 0.23 5.15 5.14 5.15 5.14 1XXX.00.00.0000000P0 34.7315 4 7224026Contrast x-ray of neck spine A 0.91 0.44 0.24 0.39 0.44 0.24 0.39 0.05 1.20 1.35 1.20 1.35 1XXX.00.00.0000000P0 34.7315 4 72255 Contrast x-ray thorax spine A 0.91 4.92 4.72 4.87 4.92 4.72 4.87 0.25 5.88 6.03 5.88 6.03 1XXX.00.00.0000000P0 34.7315 4 72255TCContrast x-ray thorax spine A 0.00 4.48 4.49 4.48 4.48 4.49 4.48 0.20 4.69 4.68 4.69 4.68 1XXX.00.00.0000000P0 34.7315 4 7225526Contrast x-ray thorax spine A 0.91 0.44 0.23 0.39 0.44 0.23 0.39 0.05 1.19 1.35 1.19 1.35 1XXX.00.00.0000000P0 34.7315 4 72265 Contrast x-ray lower spine A 0.83 4.62 4.43 4.57 4.62 4.43 4.57 0.25 5.51 5.65 5.51 5.65 1XXX.00.00.0000000P0 34.7315 4 72265TCContrast x-ray lower spine A 0.00 4.21 4.22 4.21 4.21 4.22 4.21 0.20 4.42 4.41 4.42 4.41 1XXX.00.00.0000000P0 34.7315 4 7226526Contrast x-ray lower spine A 0.83 0.41 0.21 0.36 0.41 0.21 0.36 0.05 1.09 1.24 1.09 1.24 1XXX.00.00.0000000P0 34.7315 4 72270 Contrast x-ray of spine A 1.33 6.95 6.68 6.89 6.95 6.68 6.89 0.36 8.37 8.58 8.37 8.58 1XXX.00.00.0000000P0 34.7315 4 72270TCContrast x-ray of spine A 0.00 6.31 6.33 6.32 6.31 6.33 6.32 0.29 6.62 6.61 6.62 6.61 1XXX.00.00.0000000P0 34.7315 4 7227026Contrast x-ray of spine A 1.33 0.64 0.35 0.57 0.64 0.35 0.57 0.07 1.75 1.97 1.75 1.97 1XXX.00.00.0000000P0 34.7315 4 72285 X-ray of neck spine disk A 0.83 9.08 8.90 9.04 9.08 8.90 9.04 0.44 10.17 10.31 10.17 10.31 1XXX.00.00.0000000P0 34.7315 4 72285TCX-ray of neck spine disk A 0.00 8.67 8.70 8.68 8.67 8.70 8.68 0.39 9.09 9.07 9.09 9.07 1XXX.00.00.0000000P0 34.7315 4 7228526X-ray of neck spine disk A 0.83 0.41 0.20 0.36 0.41 0.20 0.36 0.05 1.08 1.24 1.08 1.24 1XXX.00.00.0000000P0 34.7315 4 72295 X-ray of lower spine disk A 0.83 8.54 8.39 8.51 8.54 8.39 8.51 0.41 9.63 9.75 9.63 9.75 1XXX.00.00.0000000P0 34.7315 4 72295TCX-ray of lower spine disk A 0.00 8.13 8.16 8.14 8.13 8.16 8.14 0.36 8.52 8.50 8.52 8.50 1XXX.00.00.0000000P0 34.7315 4 7229526X-ray of lower spine disk A 0.83 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.11 1.25 1.11 1.25 1XXX.00.00.0000000P0 34.7315 4 73000 X-ray exam of collarbone A 0.16 0.62 0.59 0.61 0.62 0.59 0.61 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0003000P0 34.7315 4 73000TCX-ray exam of collarbone A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7300026X-ray exam of collarbone A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73010 X-ray exam of shoulder blade A 0.17 0.63 0.59 0.62 0.63 0.59 0.62 0.03 0.79 0.82 0.79 0.82 1XXX.00.00.0003000P0 34.7315 4 73010TCX-ray exam of shoulder blade A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7301026X-ray exam of shoulder blade A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73020 X-ray exam of shoulder A 0.15 0.57 0.53 0.56 0.57 0.53 0.56 0.03 0.71 0.74 0.71 0.74 1XXX.00.00.0003000P0 34.7315 4 73020TCX-ray exam of shoulder A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 1XXX.00.00.0003000P0 34.7315 4 7302026X-ray exam of shoulder A 0.15 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.20 0.23 0.20 0.23 1XXX.00.00.0003000P0 34.7315 4 73030 X-ray exam of shoulder A 0.18 0.68 0.64 0.67 0.68 0.64 0.67 0.04 0.86 0.89 0.86 0.89 1XXX.00.00.0003000P0 34.7315 4 73030TCX-ray exam of shoulder A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0003000P0 34.7315 4 7303026X-ray exam of shoulder A 0.18 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.24 0.27 0.24 0.27 1XXX.00.00.0003000P0 34.7315 4 73040 Contrast x-ray of shoulder A 0.54 2.44 2.32 2.41 2.44 2.32 2.41 0.13 2.99 3.08 2.99 3.08 1XXX.00.00.0003000P0 34.7315 4 73040TCContrast x-ray of shoulder A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0003000P0 34.7315 4 7304026Contrast x-ray of shoulder A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0003000P0 34.7315 4 73050 X-ray exam of shoulders A 0.20 0.79 0.75 0.78 0.79 0.75 0.78 0.04 0.99 1.02 0.99 1.02 1XXX.00.00.0002000P0 34.7315 4 73050TCX-ray exam of shoulders A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0002000P0 34.7315 4 7305026X-ray exam of shoulders A 0.20 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.26 0.30 0.26 0.30 1XXX.00.00.0002000P0 34.7315 4 73060 X-ray exam of humerus A 0.17 0.68 0.63 0.67 0.68 0.63 0.67 0.04 0.84 0.88 0.84 0.88 1XXX.00.00.0003000P0 34.7315 4 73060TCX-ray exam of humerus A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0003000P0 34.7315 4 7306026X-ray exam of humerus A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73070 X-ray exam of elbow A 0.15 0.62 0.59 0.61 0.62 0.59 0.61 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 34.7315 4 73070TCX-ray exam of elbow A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7307026X-ray exam of elbow A 0.15 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.20 0.23 0.20 0.23 1XXX.00.00.0003000P0 34.7315 4 73080 X-ray exam of elbow A 0.17 0.68 0.63 0.67 0.68 0.63 0.67 0.04 0.84 0.88 0.84 0.88 1XXX.00.00.0003000P0 34.7315 4 73080TCX-ray exam of elbow A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0003000P0 34.7315 4 7308026X-ray exam of elbow A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73085 Contrast x-ray of elbow A 0.54 2.44 2.33 2.41 2.44 2.33 2.41 0.13 3.00 3.08 3.00 3.08 1XXX.00.00.0003000P0 34.7315 4 73085TCContrast x-ray of elbow A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0003000P0 34.7315 4 7308526Contrast x-ray of elbow A 0.54 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.72 0.81 0.72 0.81 1XXX.00.00.0003000P0 34.7315 4 73090 X-ray exam of forearm A 0.16 0.62 0.59 0.61 0.62 0.59 0.61 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0003000P0 34.7315 4 73090TCX-ray exam of forearm A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7309026X-ray exam of forearm A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73092 X-ray exam of arm, infant A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73092TCX-ray exam of arm, infant A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7309226X-ray exam of arm, infant A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73100 X-ray exam of wrist A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73100TCX-ray exam of wrist A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7310026X-ray exam of wrist A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73110 X-ray exam of wrist A 0.17 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.80 0.83 0.80 0.83 1XXX.00.00.0003000P0 34.7315 4 73110TCX-ray exam of wrist A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.02 0.58 0.57 0.58 0.57 1XXX.00.00.0003000P0 34.7315 4 7311026X-ray exam of wrist A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73115 Contrast x-ray of wrist A 0.54 1.90 1.78 1.87 1.90 1.78 1.87 0.11 2.43 2.52 2.43 2.52 1XXX.00.00.0003000P0 34.7315 4 73115TCContrast x-ray of wrist A 0.00 1.63 1.63 1.63 1.63 1.63 1.63 0.08 1.71 1.71 1.71 1.71 1XXX.00.00.0003000P0 34.7315 4 7311526Contrast x-ray of wrist A 0.54 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.72 0.81 0.72 0.81 1XXX.00.00.0003000P0 34.7315 4 73120 X-ray exam of hand A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73120TCX-ray exam of hand A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7312026X-ray exam of hand A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73130 X-ray exam of hand A 0.17 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.80 0.83 0.80 0.83 1XXX.00.00.0003000P0 34.7315 4 73130TCX-ray exam of hand A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.02 0.58 0.57 0.58 0.57 1XXX.00.00.0003000P0 34.7315 4 7313026X-ray exam of hand A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73140 X-ray exam of finger(s) A 0.13 0.50 0.47 0.49 0.50 0.47 0.49 0.03 0.63 0.65 0.63 0.65 1XXX.00.00.0003000P0 34.7315 4 73140TCX-ray exam of finger(s) A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0003000P0 34.7315 4 7314026X-ray exam of finger(s) A 0.13 0.07 0.03 0.06 0.07 0.03 0.06 0.01 0.17 0.20 0.17 0.20 1XXX.00.00.0003000P0 34.7315 4 73200 CAT scan of arm A 1.09 5.65 5.44 5.60 5.65 5.44 5.60 0.28 6.81 6.97 6.81 6.97 1XXX.00.00.0003000P0 34.7315 4 73200TCCAT scan of arm A 0.00 5.13 5.15 5.14 5.13 5.15 5.14 0.23 5.38 5.37 5.38 5.37 1XXX.00.00.0003000P0 34.7315 4 7320026CAT scan of arm A 1.09 0.52 0.29 0.46 0.52 0.29 0.46 0.05 1.43 1.60 1.43 1.60 1XXX.00.00.0003000P0 34.7315 4 73201 Contrast CAT scan of arm A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0003000P0 34.7315 4 73201TCContrast CAT scan of arm A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0003000P0 34.7315 4 7320126Contrast CAT scan of arm A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0003000P0 34.7315 4 73202 Contrast CAT scans of arm A 1.22 8.26 8.04 8.21 8.26 8.04 8.21 0.41 9.67 9.84 9.67 9.84 1XXX.00.00.0003000P0 34.7315 4 73202TCContrast CAT scans of arm A 0.00 7.68 7.71 7.69 7.68 7.71 7.69 0.35 8.06 8.04 8.06 8.04 1XXX.00.00.0003000P0 34.7315 4 7320226Contrast CAT scans of arm A 1.22 0.58 0.33 0.52 0.58 0.33 0.52 0.06 1.61 1.80 1.61 1.80 1XXX.00.00.0003000P0 34.7315 4 73220 Magnetic image, arm, hand A 1.48 12.31 12.03 12.24 12.31 12.03 12.24 0.60 14.11 14.32 14.11 14.32 1XXX.00.00.0003000P0 34.7315 4 73220TCMagnetic image, arm, hand A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0003000P0 34.7315 4 7322026Magnetic image, arm, hand A 1.48 0.72 0.40 0.64 0.72 0.40 0.64 0.08 1.96 2.20 1.96 2.20 1XXX.00.00.0003000P0 34.7315 4 73221 Magnetic image, joint of arm A 1.48 12.06 12.03 12.05 12.06 12.03 12.05 0.57 14.08 14.10 14.08 14.10 1XXX.00.00.0003000P0 34.7315 4 73221TCMagnetic image, joint of arm A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0003000P0 34.7315 4 7322126Magnetic image, joint of arm A 1.48 0.47 0.40 0.45 0.47 0.40 0.45 0.05 1.93 1.98 1.93 1.98 1XXX.00.00.0003000P0 34.7315 4 73225 Magnetic imaging/upper (MRA) N+ 1.73 12.31 12.28 12.30 12.31 12.28 12.30 0.60 14.61 14.63 14.61 14.63 1XXX.00.00.0099999P9 0.0000 9 73225TCMagnetic imaging/upper (MRA) N+ 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0099999P9 0.0000 9 7322526Magnetic imaging/upper (MRA) N+ 1.73 0.72 0.65 0.70 0.72 0.65 0.70 0.08 2.46 2.51 2.46 2.51 1XXX.00.00.0099999P9 0.0000 9 73500 X-ray exam of hip A 0.17 0.58 0.53 0.57 0.58 0.53 0.57 0.03 0.73 0.77 0.73 0.77 1XXX.00.00.0000000P0 34.7315 4 73500TCX-ray exam of hip A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 1XXX.00.00.0000000P0 34.7315 4 7350026X-ray exam of hip A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0000000P0 34.7315 4 73510 X-ray exam of hip A 0.21 0.70 0.65 0.69 0.70 0.65 0.69 0.04 0.90 0.94 0.90 0.94 1XXX.00.00.0000000P0 34.7315 4 73510TCX-ray exam of hip A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7351026X-ray exam of hip A 0.21 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.28 0.32 0.28 0.32 1XXX.00.00.0000000P0 34.7315 4 73520 X-ray exam of hips A 0.26 0.82 0.77 0.81 0.82 0.77 0.81 0.05 1.08 1.12 1.08 1.12 1XXX.00.00.0002000P0 34.7315 4 73520TCX-ray exam of hips A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0002000P0 34.7315 4 7352026X-ray exam of hips A 0.26 0.13 0.07 0.12 0.13 0.07 0.12 0.02 0.35 0.40 0.35 0.40 1XXX.00.00.0002000P0 34.7315 4 73525 Contrast x-ray of hip A 0.54 2.44 2.32 2.41 2.44 2.32 2.41 0.13 2.99 3.08 2.99 3.08 1XXX.00.00.0003000P0 34.7315 4 73525TCContrast x-ray of hip A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0003000P0 34.7315 4 7352526Contrast x-ray of hip A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0003000P0 34.7315 4 73530 X-ray exam of hip A 0.29 0.68 0.63 0.67 0.68 0.63 0.67 0.04 0.96 1.00 0.96 1.00 1XXX.00.00.0003000P0 34.7315 4 73530TCX-ray exam of hip A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7353026X-ray exam of hip A 0.29 0.14 0.08 0.13 0.14 0.08 0.13 0.02 0.39 0.44 0.39 0.44 1XXX.00.00.0003000P0 34.7315 4 73540 X-ray exam of pelvis & hips A 0.20 0.70 0.64 0.69 0.70 0.64 0.69 0.04 0.88 0.93 0.88 0.93 1XXX.00.00.0000000P0 34.7315 4 73540TCX-ray exam of pelvis & hips A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7354026X-ray exam of pelvis & hips A 0.20 0.11 0.05 0.10 0.11 0.05 0.10 0.01 0.26 0.31 0.26 0.31 1XXX.00.00.0000000P0 34.7315 4 73550 X-ray exam of thigh A 0.17 0.68 0.63 0.67 0.68 0.63 0.67 0.04 0.84 0.88 0.84 0.88 1XXX.00.00.0003000P0 34.7315 4 73550TCX-ray exam of thigh A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0003000P0 34.7315 4 7355026X-ray exam of thigh A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73560 X-ray exam of knee, 1 or 2 A 0.17 0.62 0.60 0.61 0.62 0.60 0.61 0.03 0.80 0.81 0.80 0.81 1XXX.00.00.0003000P0 34.7315 4 73560TCX-ray exam of knee, 1 or 2 A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7356026X-ray exam of knee, 1 or 2 A 0.17 0.08 0.05 0.07 0.08 0.05 0.07 0.01 0.23 0.25 0.23 0.25 1XXX.00.00.0003000P0 34.7315 4 73562 X-ray exam of knee, 3 A 0.18 0.69 0.64 0.68 0.69 0.64 0.68 0.04 0.86 0.90 0.86 0.90 1XXX.00.00.0003000P0 34.7315 4 73562TCX-ray exam of knee, 3 A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0003000P0 34.7315 4 7356226X-ray exam of knee, 3 A 0.18 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.24 0.28 0.24 0.28 1XXX.00.00.0003000P0 34.7315 4 73564 X-ray exam of knee, 4+ A 0.22 0.75 0.70 0.74 0.75 0.70 0.74 0.05 0.97 1.01 0.97 1.01 1XXX.00.00.0003000P0 34.7315 4 73564TCX-ray exam of knee, 4+ A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0003000P0 34.7315 4 7356426X-ray exam of knee, 4+ A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.02 0.30 0.34 0.30 0.34 1XXX.00.00.0003000P0 34.7315 4 73565 X-ray exam of knee A 0.17 0.59 0.56 0.58 0.59 0.56 0.58 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0002000P0 34.7315 4 73565TCX-ray exam of knee A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0002000P0 34.7315 4 7356526X-ray exam of knee A 0.17 0.08 0.05 0.07 0.08 0.05 0.07 0.01 0.23 0.25 0.23 0.25 1XXX.00.00.0002000P0 34.7315 4 73580 Contrast x-ray of knee joint A 0.54 2.98 2.87 2.96 2.98 2.87 2.96 0.16 3.57 3.66 3.57 3.66 1XXX.00.00.0003000P0 34.7315 4 73580TCContrast x-ray of knee joint A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0003000P0 34.7315 4 7358026Contrast x-ray of knee joint A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0003000P0 34.7315 4 73590 X-ray exam of lower leg A 0.17 0.62 0.59 0.61 0.62 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 34.7315 4 73590TCX-ray exam of lower leg A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0003000P0 34.7315 4 7359026X-ray exam of lower leg A 0.17 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.22 0.25 0.22 0.25 1XXX.00.00.0003000P0 34.7315 4 73592 X-ray exam of leg, infant A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73592TCX-ray exam of leg, infant A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7359226X-ray exam of leg, infant A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73600 X-ray exam of ankle A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73600TCX-ray exam of ankle A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7360026X-ray exam of ankle A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73610 X-ray exam of ankle A 0.17 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.80 0.83 0.80 0.83 1XXX.00.00.0003000P0 34.7315 4 73610TCX-ray exam of ankle A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.02 0.58 0.57 0.58 0.57 1XXX.00.00.0003000P0 34.7315 4 7361026X-ray exam of ankle A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73615 Contrast x-ray of ankle A 0.54 2.44 2.35 2.42 2.44 2.35 2.42 0.13 3.02 3.09 3.02 3.09 1XXX.00.00.0003000P0 34.7315 4 73615TCContrast x-ray of ankle A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0003000P0 34.7315 4 7361526Contrast x-ray of ankle A 0.54 0.27 0.17 0.25 0.27 0.17 0.25 0.03 0.74 0.82 0.74 0.82 1XXX.00.00.0003000P0 34.7315 4 73620 X-ray exam of foot A 0.16 0.59 0.55 0.58 0.59 0.55 0.58 0.03 0.74 0.77 0.74 0.77 1XXX.00.00.0003000P0 34.7315 4 73620TCX-ray exam of foot A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.02 0.53 0.53 0.53 0.53 1XXX.00.00.0003000P0 34.7315 4 7362026X-ray exam of foot A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73630 X-ray exam of foot A 0.17 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.80 0.83 0.80 0.83 1XXX.00.00.0003000P0 34.7315 4 73630TCX-ray exam of foot A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.02 0.58 0.57 0.58 0.57 1XXX.00.00.0003000P0 34.7315 4 7363026X-ray exam of foot A 0.17 0.09 0.04 0.08 0.09 0.04 0.08 0.01 0.22 0.26 0.22 0.26 1XXX.00.00.0003000P0 34.7315 4 73650 X-ray exam of heel A 0.16 0.57 0.53 0.56 0.57 0.53 0.56 0.03 0.72 0.75 0.72 0.75 1XXX.00.00.0003000P0 34.7315 4 73650TCX-ray exam of heel A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.02 0.51 0.51 0.51 0.51 1XXX.00.00.0003000P0 34.7315 4 7365026X-ray exam of heel A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0003000P0 34.7315 4 73660 X-ray exam of toe(s) A 0.13 0.50 0.47 0.49 0.50 0.47 0.49 0.03 0.63 0.65 0.63 0.65 1XXX.00.00.0003000P0 34.7315 4 73660TCX-ray exam of toe(s) A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0003000P0 34.7315 4 7366026X-ray exam of toe(s) A 0.13 0.07 0.03 0.06 0.07 0.03 0.06 0.01 0.17 0.20 0.17 0.20 1XXX.00.00.0003000P0 34.7315 4 73700 CAT scan of leg A 1.09 5.65 5.44 5.60 5.65 5.44 5.60 0.28 6.81 6.97 6.81 6.97 1XXX.00.00.0002000P0 34.7315 4 73700TCCAT scan of leg A 0.00 5.13 5.15 5.14 5.13 5.15 5.14 0.23 5.38 5.37 5.38 5.37 1XXX.00.00.0002000P0 34.7315 4 7370026CAT scan of leg A 1.09 0.52 0.29 0.46 0.52 0.29 0.46 0.05 1.43 1.60 1.43 1.60 1XXX.00.00.0002000P0 34.7315 4 73701 Contrast CAT scan of leg A 1.16 6.66 6.44 6.61 6.66 6.44 6.61 0.34 7.94 8.11 7.94 8.11 1XXX.00.00.0002000P0 34.7315 4 73701TCContrast CAT scan of leg A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0002000P0 34.7315 4 7370126Contrast CAT scan of leg A 1.16 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.53 1.71 1.53 1.71 1XXX.00.00.0002000P0 34.7315 4 73702 Contrast CAT scans of leg A 1.22 8.26 8.04 8.21 8.26 8.04 8.21 0.41 9.67 9.84 9.67 9.84 1XXX.00.00.0002000P0 34.7315 4 73702TCContrast CAT scans of leg A 0.00 7.68 7.71 7.69 7.68 7.71 7.69 0.35 8.06 8.04 8.06 8.04 1XXX.00.00.0002000P0 34.7315 4 7370226Contrast CAT scans of leg A 1.22 0.58 0.33 0.52 0.58 0.33 0.52 0.06 1.61 1.80 1.61 1.80 1XXX.00.00.0002000P0 34.7315 4 73720 Magnetic image, leg, foot A 1.48 12.31 12.02 12.24 12.31 12.02 12.24 0.60 14.10 14.32 14.10 14.32 1XXX.00.00.0002000P0 34.7315 4 73720TCMagnetic image, leg, foot A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0002000P0 34.7315 4 7372026Magnetic image, leg, foot A 1.48 0.72 0.39 0.64 0.72 0.39 0.64 0.08 1.95 2.20 1.95 2.20 1XXX.00.00.0002000P0 34.7315 4 73721 Magnetic image, joint of leg A 1.48 12.06 12.03 12.05 12.06 12.03 12.05 0.57 14.08 14.10 14.08 14.10 1XXX.00.00.0003000P0 34.7315 4 73721TCMagnetic image, joint of leg A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0003000P0 34.7315 4 7372126Magnetic image, joint of leg A 1.48 0.47 0.40 0.45 0.47 0.40 0.45 0.05 1.93 1.98 1.93 1.98 1XXX.00.00.0003000P0 34.7315 4 73725 Magnetic imaging/lower (MRA) R 1.82 12.31 12.12 12.26 12.31 12.12 12.26 0.60 14.54 14.68 14.54 14.68 1XXX.00.00.0002000P0 34.7315 4 73725TCMagnetic imaging/lower (MRA) R 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0002000P0 34.7315 4 7372526Magnetic imaging/lower (MRA) R 1.82 0.72 0.49 0.66 0.72 0.49 0.66 0.08 2.39 2.56 2.39 2.56 1XXX.00.00.0002000P0 34.7315 4 74000 X-ray exam of abdomen A 0.18 0.63 0.60 0.62 0.63 0.60 0.62 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 34.7315 4 74000TCX-ray exam of abdomen A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7400026X-ray exam of abdomen A 0.18 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.24 0.27 0.24 0.27 1XXX.00.00.0000000P0 34.7315 4 74010 X-ray exam of abdomen A 0.23 0.71 0.65 0.70 0.71 0.65 0.70 0.05 0.93 0.98 0.93 0.98 1XXX.00.00.0000000P0 34.7315 4 74010TCX-ray exam of abdomen A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 7401026X-ray exam of abdomen A 0.23 0.12 0.06 0.11 0.12 0.06 0.11 0.02 0.31 0.36 0.31 0.36 1XXX.00.00.0000000P0 34.7315 4 74020 X-ray exam of abdomen A 0.27 0.78 0.71 0.76 0.78 0.71 0.76 0.05 1.03 1.08 1.03 1.08 1XXX.00.00.0000000P0 34.7315 4 74020TCX-ray exam of abdomen A 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.03 0.67 0.67 0.67 0.67 1XXX.00.00.0000000P0 34.7315 4 7402026X-ray exam of abdomen A 0.27 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 34.7315 4 74022 X-ray exam series, abdomen A 0.32 0.92 0.83 0.90 0.92 0.83 0.90 0.06 1.21 1.28 1.21 1.28 1XXX.00.00.0000000P0 34.7315 4 74022TCX-ray exam series, abdomen A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7402226X-ray exam series, abdomen A 0.32 0.16 0.08 0.14 0.16 0.08 0.14 0.02 0.42 0.48 0.42 0.48 1XXX.00.00.0000000P0 34.7315 4 74150 CAT scan of abdomen A 1.19 6.41 6.19 6.36 6.41 6.19 6.36 0.33 7.71 7.88 7.71 7.88 1XXX.00.00.0000000P0 34.7315 4 74150TCCAT scan of abdomen A 0.00 5.85 5.87 5.86 5.85 5.87 5.86 0.27 6.14 6.13 6.14 6.13 1XXX.00.00.0000000P0 34.7315 4 7415026CAT scan of abdomen A 1.19 0.56 0.32 0.50 0.56 0.32 0.50 0.06 1.57 1.75 1.57 1.75 1XXX.00.00.0000000P0 34.7315 4 74160 Contrast CAT scan of abdomen A 1.27 7.69 7.44 7.63 7.69 7.44 7.63 0.39 9.10 9.29 9.10 9.29 1XXX.00.00.0000000P0 34.7315 4 74160TCContrast CAT scan of abdomen A 0.00 7.08 7.10 7.09 7.08 7.10 7.09 0.32 7.42 7.41 7.42 7.41 1XXX.00.00.0000000P0 34.7315 4 7416026Contrast CAT scan of abdomen A 1.27 0.61 0.34 0.54 0.61 0.34 0.54 0.07 1.68 1.88 1.68 1.88 1XXX.00.00.0000000P0 34.7315 4 74170 Contrast CAT scans, abdomen A 1.40 9.45 9.17 9.39 9.45 9.17 9.39 0.47 11.04 11.26 11.04 11.26 1XXX.00.00.0000000P0 34.7315 4 74170TCContrast CAT scans, abdomen A 0.00 8.78 8.80 8.79 8.78 8.80 8.79 0.39 9.19 9.18 9.19 9.18 1XXX.00.00.0000000P0 34.7315 4 7417026Contrast CAT scans, abdomen A 1.40 0.67 0.37 0.60 0.67 0.37 0.60 0.08 1.85 2.08 1.85 2.08 1XXX.00.00.0000000P0 34.7315 4 74181 Magnetic image,abdomen (MRI) A 1.60 12.37 12.06 12.29 12.37 12.06 12.29 0.61 14.27 14.50 14.27 14.50 1XXX.00.00.0000000P0 34.7315 4 74181TCMagnetic image,abdomen (MRI) A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7418126Magnetic image,abdomen (MRI) A 1.60 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.12 2.38 2.12 2.38 1XXX.00.00.0000000P0 34.7315 4 74185 Magnetic image/abdomen (MRA) R 1.80 12.37 12.31 12.36 12.37 12.31 12.36 0.61 14.72 14.77 14.72 14.77 1XXX.00.00.0000000P0 34.7315 4 74185TCMagnetic image/abdomen (MRA) R 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7418526Magnetic image/abdomen (MRA) R 1.80 0.78 0.68 0.76 0.78 0.68 0.76 0.09 2.57 2.65 2.57 2.65 1XXX.00.00.0000000P0 34.7315 4 74190 X-ray exam of peritoneum A 0.48 1.49 1.46 1.49 1.49 1.46 1.49 0.08 2.02 2.05 2.02 2.05 1XXX.00.00.0000000P0 34.7315 4 74190TCX-ray exam of peritoneum A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7419026X-ray exam of peritoneum A 0.48 0.14 0.12 0.14 0.14 0.12 0.14 0.02 0.62 0.64 0.62 0.64 1XXX.00.00.0000000P0 34.7315 4 74210 Contrast xray exam of throat A 0.36 1.40 1.32 1.38 1.40 1.32 1.38 0.07 1.75 1.81 1.75 1.81 1XXX.00.00.0000000P0 34.7315 4 74210TCContrast xray exam of throat A 0.00 1.23 1.23 1.23 1.23 1.23 1.23 0.05 1.28 1.28 1.28 1.28 1XXX.00.00.0000000P0 34.7315 4 7421026Contrast xray exam of throat A 0.36 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.47 0.53 0.47 0.53 1XXX.00.00.0000000P0 34.7315 4 74220 Contrast xray exam,esophagus A 0.46 1.46 1.35 1.43 1.46 1.35 1.43 0.07 1.88 1.96 1.88 1.96 1XXX.00.00.0000000P0 34.7315 4 74220TCContrast xray exam,esophagus A 0.00 1.23 1.23 1.23 1.23 1.23 1.23 0.05 1.28 1.28 1.28 1.28 1XXX.00.00.0000000P0 34.7315 4 7422026Contrast xray exam,esophagus A 0.46 0.23 0.12 0.20 0.23 0.12 0.20 0.02 0.60 0.68 0.60 0.68 1XXX.00.00.0000000P0 34.7315 4 74230 Cinema xray throat/esophagus A 0.53 1.62 1.48 1.59 1.62 1.48 1.59 0.09 2.10 2.21 2.10 2.21 1XXX.00.00.0000000P0 34.7315 4 74230TCCinema xray throat/esophagus A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7423026Cinema xray throat/esophagus A 0.53 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.70 0.80 0.70 0.80 1XXX.00.00.0000000P0 34.7315 4 74235 Remove esophagus obstruction A 1.19 3.27 3.08 3.23 3.27 3.08 3.23 0.19 4.46 4.61 4.46 4.61 1XXX.00.00.0000000P0 34.7315 4 74235TCRemove esophagus obstruction A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7423526Remove esophagus obstruction A 1.19 0.56 0.35 0.51 0.56 0.35 0.51 0.06 1.60 1.76 1.60 1.76 1XXX.00.00.0000000P0 34.7315 4 74240 X-ray exam upper GI tract A 0.69 1.86 1.71 1.82 1.86 1.71 1.82 0.11 2.51 2.62 2.51 2.62 1XXX.00.00.0000000P0 34.7315 4 74240TCX-ray exam upper GI tract A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.07 1.59 1.58 1.59 1.58 1XXX.00.00.0000000P0 34.7315 4 7424026X-ray exam upper GI tract A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 74241 X-ray exam upper GI tract A 0.69 1.89 1.74 1.85 1.89 1.74 1.85 0.11 2.54 2.65 2.54 2.65 1XXX.00.00.0000000P0 34.7315 4 74241TCX-ray exam upper GI tract A 0.00 1.54 1.55 1.54 1.54 1.55 1.54 0.07 1.62 1.61 1.62 1.61 1XXX.00.00.0000000P0 34.7315 4 7424126X-ray exam upper GI tract A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 74245 X-ray exam upper GI tract A 0.91 2.90 2.72 2.86 2.90 2.72 2.86 0.17 3.80 3.94 3.80 3.94 1XXX.00.00.0000000P0 34.7315 4 74245TCX-ray exam upper GI tract A 0.00 2.46 2.48 2.47 2.46 2.48 2.47 0.12 2.60 2.59 2.60 2.59 1XXX.00.00.0000000P0 34.7315 4 7424526X-ray exam upper GI tract A 0.91 0.44 0.24 0.39 0.44 0.24 0.39 0.05 1.20 1.35 1.20 1.35 1XXX.00.00.0000000P0 34.7315 4 74246 Contrast xray upper GI tract A 0.69 2.05 1.89 2.01 2.05 1.89 2.01 0.12 2.70 2.82 2.70 2.82 1XXX.00.00.0000000P0 34.7315 4 74246TCContrast xray upper GI tract A 0.00 1.70 1.70 1.70 1.70 1.70 1.70 0.08 1.78 1.78 1.78 1.78 1XXX.00.00.0000000P0 34.7315 4 7424626Contrast xray upper GI tract A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 74247 Contrast xray upper GI tract A 0.69 2.09 1.93 2.05 2.09 1.93 2.05 0.13 2.75 2.87 2.75 2.87 1XXX.00.00.0000000P0 34.7315 4 74247TCContrast xray upper GI tract A 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 1XXX.00.00.0000000P0 34.7315 4 7424726Contrast xray upper GI tract A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 74249 Contrast xray upper GI tract A 0.91 3.10 2.91 3.05 3.10 2.91 3.05 0.18 4.00 4.14 4.00 4.14 1XXX.00.00.0000000P0 34.7315 4 74249TCContrast xray upper GI tract A 0.00 2.66 2.67 2.66 2.66 2.67 2.66 0.13 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 7424926Contrast xray upper GI tract A 0.91 0.44 0.24 0.39 0.44 0.24 0.39 0.05 1.20 1.35 1.20 1.35 1XXX.00.00.0000000P0 34.7315 4 74250 X-ray exam of small bowel A 0.47 1.58 1.46 1.55 1.58 1.46 1.55 0.08 2.01 2.10 2.01 2.10 1XXX.00.00.0000000P0 34.7315 4 74250TCX-ray exam of small bowel A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7425026X-ray exam of small bowel A 0.47 0.23 0.12 0.20 0.23 0.12 0.20 0.02 0.61 0.69 0.61 0.69 1XXX.00.00.0000000P0 34.7315 4 74251 X-ray exam of small bowel A 0.69 1.58 1.53 1.57 1.58 1.53 1.57 0.08 2.30 2.34 2.30 2.34 1XXX.00.00.0000000P0 34.7315 4 74251TCX-ray exam of small bowel A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7425126X-ray exam of small bowel A 0.69 0.23 0.19 0.22 0.23 0.19 0.22 0.02 0.90 0.93 0.90 0.93 1XXX.00.00.0000000P0 34.7315 4 74260 X-ray exam of small bowel A 0.50 1.79 1.68 1.76 1.79 1.68 1.76 0.09 2.27 2.35 2.27 2.35 1XXX.00.00.0000000P0 34.7315 4 74260TCX-ray exam of small bowel A 0.00 1.54 1.55 1.54 1.54 1.55 1.54 0.07 1.62 1.61 1.62 1.61 1XXX.00.00.0000000P0 34.7315 4 7426026X-ray exam of small bowel A 0.50 0.25 0.13 0.22 0.25 0.13 0.22 0.02 0.65 0.74 0.65 0.74 1XXX.00.00.0000000P0 34.7315 4 74270 Contrast x-ray exam of colon A 0.69 2.11 1.96 2.07 2.11 1.96 2.07 0.13 2.78 2.89 2.78 2.89 1XXX.00.00.0000000P0 34.7315 4 74270TCContrast x-ray exam of colon A 0.00 1.76 1.77 1.76 1.76 1.77 1.76 0.09 1.86 1.85 1.86 1.85 1XXX.00.00.0000000P0 34.7315 4 7427026Contrast x-ray exam of colon A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 74280 Contrast x-ray exam of colon A 0.99 2.80 2.58 2.75 2.80 2.58 2.75 0.16 3.73 3.90 3.73 3.90 1XXX.00.00.0000000P0 34.7315 4 74280TCContrast x-ray exam of colon A 0.00 2.31 2.31 2.31 2.31 2.31 2.31 0.11 2.42 2.42 2.42 2.42 1XXX.00.00.0000000P0 34.7315 4 7428026Contrast x-ray exam of colon A 0.99 0.49 0.27 0.44 0.49 0.27 0.44 0.05 1.31 1.48 1.31 1.48 1XXX.00.00.0000000P0 34.7315 4 74283 Contrast x-ray exam of colon A 2.02 3.63 3.19 3.52 3.63 3.19 3.52 0.24 5.45 5.78 5.45 5.78 1XXX.00.00.0000000P0 34.7315 4 74283TCContrast x-ray exam of colon A 0.00 2.65 2.65 2.65 2.65 2.65 2.65 0.13 2.78 2.78 2.78 2.78 1XXX.00.00.0000000P0 34.7315 4 7428326Contrast x-ray exam of colon A 2.02 0.98 0.54 0.87 0.98 0.54 0.87 0.11 2.67 3.00 2.67 3.00 1XXX.00.00.0000000P0 34.7315 4 74290 Contrast x-ray, gallbladder A 0.32 0.92 0.83 0.90 0.92 0.83 0.90 0.06 1.21 1.28 1.21 1.28 1XXX.00.00.0000000P0 34.7315 4 74290TCContrast x-ray, gallbladder A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7429026Contrast x-ray, gallbladder A 0.32 0.16 0.08 0.14 0.16 0.08 0.14 0.02 0.42 0.48 0.42 0.48 1XXX.00.00.0000000P0 34.7315 4 74291 Contrast x-rays, gallbladder A 0.20 0.53 0.49 0.52 0.53 0.49 0.52 0.03 0.72 0.75 0.72 0.75 1XXX.00.00.0000000P0 34.7315 4 74291TCContrast x-rays, gallbladder A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7429126Contrast x-rays, gallbladder A 0.20 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.26 0.30 0.26 0.30 1XXX.00.00.0000000P0 34.7315 4 74300 X-ray bile ducts, pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 74300TCX-ray bile ducts, pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7430026X-ray bile ducts, pancreas A 0.36 0.18 0.09 0.16 0.18 0.09 0.16 0.02 0.47 0.54 0.47 0.54 1XXX.00.00.0000000P0 34.7315 4 74301 X-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000P0 34.7315 9 74301TCX-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000P0 34.7315 9 7430126X-rays at surgery add-on A 0.21 0.11 0.05 0.10 0.11 0.05 0.10 0.01 0.27 0.32 0.27 0.32 1ZZZ.00.00.0000000P0 34.7315 4 74305 X-ray bile ducts, pancreas A 0.42 1.02 0.93 1.00 1.02 0.93 1.00 0.06 1.41 1.48 1.41 1.48 1XXX.00.00.0000000P0 34.7315 4 74305TCX-ray bile ducts, pancreas A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7430526X-ray bile ducts, pancreas A 0.42 0.21 0.11 0.19 0.21 0.11 0.19 0.02 0.55 0.63 0.55 0.63 1XXX.00.00.0000000P0 34.7315 4 74320 Contrast x-ray of bile ducts A 0.54 3.53 3.40 3.50 3.53 3.40 3.50 0.18 4.12 4.22 4.12 4.22 1XXX.00.00.0000000P0 34.7315 4 74320TCContrast x-ray of bile ducts A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7432026Contrast x-ray of bile ducts A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74327 X-ray for bile stone removal A 0.70 2.17 2.02 2.13 2.17 2.02 2.13 0.13 2.85 2.96 2.85 2.96 1XXX.00.00.0000000P0 34.7315 4 74327TCX-ray for bile stone removal A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.09 1.92 1.91 1.92 1.91 1XXX.00.00.0000000P0 34.7315 4 7432726X-ray for bile stone removal A 0.70 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.93 1.05 0.93 1.05 1XXX.00.00.0000000P0 34.7315 4 74328 Xray for bile duct endoscopy A 0.70 3.61 3.45 3.57 3.61 3.45 3.57 0.19 4.34 4.46 4.34 4.46 1XXX.00.00.0000000P0 34.7315 4 74328TCXray for bile duct endoscopy A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7432826Xray for bile duct endoscopy A 0.70 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.93 1.05 0.93 1.05 1XXX.00.00.0000000P0 34.7315 4 74329 X-ray for pancreas endoscopy A 0.70 3.61 3.45 3.57 3.61 3.45 3.57 0.19 4.34 4.46 4.34 4.46 1XXX.00.00.0000000P0 34.7315 4 74329TCX-ray for pancreas endoscopy A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7432926X-ray for pancreas endoscopy A 0.70 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.93 1.05 0.93 1.05 1XXX.00.00.0000000P0 34.7315 4 74330 Xray,bile/pancreas endoscopy A 0.90 3.61 3.50 3.58 3.61 3.50 3.58 0.19 4.59 4.67 4.59 4.67 1XXX.00.00.0000000P0 34.7315 4 74330TCXray,bile/pancreas endoscopy A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7433026Xray,bile/pancreas endoscopy A 0.90 0.35 0.24 0.32 0.35 0.24 0.32 0.04 1.18 1.26 1.18 1.26 1XXX.00.00.0000000P0 34.7315 4 74340 X-ray guide for GI tube A 0.54 2.98 2.87 2.96 2.98 2.87 2.96 0.16 3.57 3.66 3.57 3.66 1XXX.00.00.0000000P0 34.7315 4 74340TCX-ray guide for GI tube A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7434026X-ray guide for GI tube A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74350 X-ray guide, stomach tube A 0.76 3.64 3.47 3.60 3.64 3.47 3.60 0.19 4.42 4.55 4.42 4.55 1XXX.00.00.0000000P0 34.7315 4 74350TCX-ray guide, stomach tube A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7435026X-ray guide, stomach tube A 0.76 0.38 0.21 0.34 0.38 0.21 0.34 0.04 1.01 1.14 1.01 1.14 1XXX.00.00.0000000P0 34.7315 4 74355 X-ray guide, intestinal tube A 0.76 3.09 2.94 3.06 3.09 2.94 3.06 0.17 3.87 3.99 3.87 3.99 1XXX.00.00.0000000P0 34.7315 4 74355TCX-ray guide, intestinal tube A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7435526X-ray guide, intestinal tube A 0.76 0.38 0.21 0.34 0.38 0.21 0.34 0.04 1.01 1.14 1.01 1.14 1XXX.00.00.0000000P0 34.7315 4 74360 X-ray guide, GI dilation A 0.54 3.53 3.44 3.51 3.53 3.44 3.51 0.18 4.16 4.23 4.16 4.23 1XXX.00.00.0000000P0 34.7315 4 74360TCX-ray guide, GI dilation A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7436026X-ray guide, GI dilation A 0.54 0.27 0.18 0.25 0.27 0.18 0.25 0.03 0.75 0.82 0.75 0.82 1XXX.00.00.0000000P0 34.7315 4 74363 X-ray, bile duct dilation A 0.88 6.74 6.57 6.70 6.74 6.57 6.70 0.34 7.79 7.92 7.79 7.92 1XXX.00.00.0000000P0 34.7315 4 74363TCX-ray, bile duct dilation A 0.00 6.31 6.33 6.32 6.31 6.33 6.32 0.29 6.62 6.61 6.62 6.61 1XXX.00.00.0000000P0 34.7315 4 7436326X-ray, bile duct dilation A 0.88 0.43 0.24 0.38 0.43 0.24 0.38 0.05 1.17 1.31 1.17 1.31 1XXX.00.00.0000000P0 34.7315 4 74400 Contrast x-ray urinary tract A 0.49 1.98 1.87 1.95 1.98 1.87 1.95 0.11 2.47 2.55 2.47 2.55 1XXX.00.00.0000000P0 34.7315 4 74400TCContrast x-ray urinary tract A 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 1XXX.00.00.0000000P0 34.7315 4 7440026Contrast x-ray urinary tract A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 74405 Contrast x-ray urinary tract D 0.49 2.29 2.29 2.29 2.29 2.29 2.29 0.12 2.90 2.90 2.90 2.90 1XXX.00.00.0000000P0 34.7315 4 74405TCContrast x-ray urinary tract D 0.00 2.05 2.05 2.05 2.05 2.05 2.05 0.10 2.15 2.15 2.15 2.15 1XXX.00.00.0000000P0 34.7315 4 7440526Contrast x-ray urinary tract D 0.49 0.24 0.24 0.24 0.24 0.24 0.24 0.02 0.75 0.75 0.75 0.75 1XXX.00.00.0000000P0 34.7315 4 74410 Contrast x-ray urinary tract A 0.49 2.26 2.15 2.23 2.26 2.15 2.23 0.11 2.75 2.83 2.75 2.83 1XXX.00.00.0000000P0 34.7315 4 74410TCContrast x-ray urinary tract A 0.00 2.02 2.02 2.02 2.02 2.02 2.02 0.09 2.11 2.11 2.11 2.11 1XXX.00.00.0000000P0 34.7315 4 7441026Contrast x-ray urinary tract A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 74415 Contrast x-ray urinary tract A 0.49 2.43 2.33 2.40 2.43 2.33 2.40 0.12 2.94 3.01 2.94 3.01 1XXX.00.00.0000000P0 34.7315 4 74415TCContrast x-ray urinary tract A 0.00 2.19 2.20 2.19 2.19 2.20 2.19 0.10 2.30 2.29 2.30 2.29 1XXX.00.00.0000000P0 34.7315 4 7441526Contrast x-ray urinary tract A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 74420 Contrast x-ray urinary tract A 0.36 2.88 2.83 2.87 2.88 2.83 2.87 0.15 3.34 3.38 3.34 3.38 1XXX.00.00.0000000P0 34.7315 4 74420TCContrast x-ray urinary tract A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7442026Contrast x-ray urinary tract A 0.36 0.17 0.10 0.15 0.17 0.10 0.15 0.02 0.48 0.53 0.48 0.53 1XXX.00.00.0000000P0 34.7315 4 74425 Contrast x-ray urinary tract A 0.36 1.52 1.43 1.50 1.52 1.43 1.50 0.08 1.87 1.94 1.87 1.94 1XXX.00.00.0000000P0 34.7315 4 74425TCContrast x-ray urinary tract A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7442526Contrast x-ray urinary tract A 0.36 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.47 0.53 0.47 0.53 1XXX.00.00.0000000P0 34.7315 4 74430 Contrast x-ray of bladder A 0.32 1.25 1.16 1.23 1.25 1.16 1.23 0.07 1.55 1.62 1.55 1.62 1XXX.00.00.0000000P0 34.7315 4 74430TCContrast x-ray of bladder A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7443026Contrast x-ray of bladder A 0.32 0.16 0.08 0.14 0.16 0.08 0.14 0.02 0.42 0.48 0.42 0.48 1XXX.00.00.0000000P0 34.7315 4 74440 Xray exam male genital tract A 0.38 1.35 1.28 1.33 1.35 1.28 1.33 0.07 1.73 1.78 1.73 1.78 1XXX.00.00.0000000P0 34.7315 4 74440TCXray exam male genital tract A 0.00 1.17 1.18 1.17 1.17 1.18 1.17 0.05 1.23 1.22 1.23 1.22 1XXX.00.00.0000000P0 34.7315 4 7444026Xray exam male genital tract A 0.38 0.18 0.10 0.16 0.18 0.10 0.16 0.02 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 34.7315 4 74445 X-ray exam of penis A 1.14 1.71 1.52 1.66 1.71 1.52 1.66 0.11 2.77 2.91 2.77 2.91 1XXX.00.00.0000000P0 34.7315 4 74445TCX-ray exam of penis A 0.00 1.17 1.18 1.17 1.17 1.18 1.17 0.05 1.23 1.22 1.23 1.22 1XXX.00.00.0000000P0 34.7315 4 7444526X-ray exam of penis A 1.14 0.54 0.34 0.49 0.54 0.34 0.49 0.06 1.54 1.69 1.54 1.69 1XXX.00.00.0000000P0 34.7315 4 74450 X-ray exam urethra/bladder A 0.33 1.67 1.61 1.65 1.67 1.61 1.65 0.09 2.03 2.07 2.03 2.07 1XXX.00.00.0000000P0 34.7315 4 74450TCX-ray exam urethra/bladder A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.07 1.59 1.58 1.59 1.58 1XXX.00.00.0000000P0 34.7315 4 7445026X-ray exam urethra/bladder A 0.33 0.16 0.09 0.14 0.16 0.09 0.14 0.02 0.44 0.49 0.44 0.49 1XXX.00.00.0000000P0 34.7315 4 74455 X-ray exam urethra/bladder A 0.33 1.79 1.72 1.77 1.79 1.72 1.77 0.10 2.15 2.20 2.15 2.20 1XXX.00.00.0000000P0 34.7315 4 74455TCX-ray exam urethra/bladder A 0.00 1.63 1.63 1.63 1.63 1.63 1.63 0.08 1.71 1.71 1.71 1.71 1XXX.00.00.0000000P0 34.7315 4 7445526X-ray exam urethra/bladder A 0.33 0.16 0.09 0.14 0.16 0.09 0.14 0.02 0.44 0.49 0.44 0.49 1XXX.00.00.0000000P0 34.7315 4 74470 X-ray exam of kidney lesion A 0.54 1.56 1.44 1.53 1.56 1.44 1.53 0.09 2.07 2.16 2.07 2.16 1XXX.00.00.0000000P0 34.7315 4 74470TCX-ray exam of kidney lesion A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.06 1.36 1.35 1.36 1.35 1XXX.00.00.0000000P0 34.7315 4 7447026X-ray exam of kidney lesion A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74475 Xray control catheter insert A 0.54 4.48 4.36 4.45 4.48 4.36 4.45 0.23 5.13 5.22 5.13 5.22 1XXX.00.00.0000000P0 34.7315 4 74475TCXray control catheter insert A 0.00 4.21 4.22 4.21 4.21 4.22 4.21 0.20 4.42 4.41 4.42 4.41 1XXX.00.00.0000000P0 34.7315 4 7447526Xray control catheter insert A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74480 Xray control catheter insert A 0.54 4.48 4.36 4.45 4.48 4.36 4.45 0.23 5.13 5.22 5.13 5.22 1XXX.00.00.0000000P0 34.7315 4 74480TCXray control catheter insert A 0.00 4.21 4.22 4.21 4.21 4.22 4.21 0.20 4.42 4.41 4.42 4.41 1XXX.00.00.0000000P0 34.7315 4 7448026Xray control catheter insert A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74485 X-ray guide, GU dilation A 0.54 3.53 3.40 3.50 3.53 3.40 3.50 0.18 4.12 4.22 4.12 4.22 1XXX.00.00.0000000P0 34.7315 4 74485TCX-ray guide, GU dilation A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7448526X-ray guide, GU dilation A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 74710 X-ray measurement of pelvis A 0.34 1.26 1.17 1.24 1.26 1.17 1.24 0.07 1.58 1.65 1.58 1.65 1XXX.00.00.0000000P0 34.7315 4 74710TCX-ray measurement of pelvis A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7471026X-ray measurement of pelvis A 0.34 0.17 0.09 0.15 0.17 0.09 0.15 0.02 0.45 0.51 0.45 0.51 1XXX.00.00.0000000P0 34.7315 4 74740 X-ray female genital tract A 0.38 1.53 1.44 1.51 1.53 1.44 1.51 0.08 1.90 1.97 1.90 1.97 1XXX.00.00.0000000P0 34.7315 4 74740TCX-ray female genital tract A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7474026X-ray female genital tract A 0.38 0.18 0.10 0.16 0.18 0.10 0.16 0.02 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 34.7315 4 74742 X-ray fallopian tube A 0.61 3.53 3.43 3.51 3.53 3.43 3.51 0.18 4.22 4.30 4.22 4.30 1XXX.00.00.0000000P0 34.7315 4 74742TCX-ray fallopian tube A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7474226X-ray fallopian tube A 0.61 0.27 0.17 0.25 0.27 0.17 0.25 0.03 0.81 0.89 0.81 0.89 1XXX.00.00.0000000P0 34.7315 4 74775 X-ray exam of perineum A 0.62 1.82 1.70 1.79 1.82 1.70 1.79 0.10 2.42 2.51 2.42 2.51 1XXX.00.00.0000000P0 34.7315 4 74775TCX-ray exam of perineum A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.07 1.59 1.58 1.59 1.58 1XXX.00.00.0000000P0 34.7315 4 7477526X-ray exam of perineum A 0.62 0.31 0.18 0.28 0.31 0.18 0.28 0.03 0.83 0.93 0.83 0.93 1XXX.00.00.0000000P0 34.7315 4 75552 Magnetic image, myocardium A 1.60 12.37 12.07 12.30 12.37 12.07 12.30 0.61 14.28 14.51 14.28 14.51 1XXX.00.00.0000000P0 34.7315 4 75552TCMagnetic image, myocardium A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7555226Magnetic image, myocardium A 1.60 0.78 0.44 0.70 0.78 0.44 0.70 0.09 2.13 2.39 2.13 2.39 1XXX.00.00.0000000P0 34.7315 4 75553 Magnetic image, myocardium A 2.00 12.37 12.16 12.32 12.37 12.16 12.32 0.61 14.77 14.93 14.77 14.93 1XXX.00.00.0000000P0 34.7315 4 75553TCMagnetic image, myocardium A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7555326Magnetic image, myocardium A 2.00 0.78 0.53 0.72 0.78 0.53 0.72 0.09 2.62 2.81 2.62 2.81 1XXX.00.00.0000000P0 34.7315 4 75554 Cardiac MRI/function A 1.83 12.37 12.21 12.33 12.37 12.21 12.33 0.61 14.65 14.77 14.65 14.77 1XXX.00.00.0000000P0 34.7315 4 75554TCCardiac MRI/function A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7555426Cardiac MRI/function A 1.83 0.78 0.58 0.73 0.78 0.58 0.73 0.09 2.50 2.65 2.50 2.65 1XXX.00.00.0000000P0 34.7315 4 75555 Cardiac MRI/limited study A 1.74 12.37 12.28 12.35 12.37 12.28 12.35 0.61 14.63 14.70 14.63 14.70 1XXX.00.00.0000000P0 34.7315 4 75555TCCardiac MRI/limited study A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7555526Cardiac MRI/limited study A 1.74 0.78 0.65 0.75 0.78 0.65 0.75 0.09 2.48 2.58 2.48 2.58 1XXX.00.00.0000000P0 34.7315 4 75556 Cardiac MRI/flow mapping N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 75600 Contrast x-ray exam of aorta A 0.49 13.27 13.28 13.27 13.27 13.28 13.27 0.61 14.38 14.37 14.38 14.37 1XXX.00.00.0000000P0 34.7315 4 75600TCContrast x-ray exam of aorta A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7560026Contrast x-ray exam of aorta A 0.49 0.24 0.20 0.23 0.24 0.20 0.23 0.02 0.71 0.74 0.71 0.74 1XXX.00.00.0000000P0 34.7315 4 75605 Contrast x-ray exam of aorta A 1.14 13.57 13.44 13.54 13.57 13.44 13.54 0.65 15.23 15.33 15.23 15.33 1XXX.00.00.0000000P0 34.7315 4 75605TCContrast x-ray exam of aorta A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7560526Contrast x-ray exam of aorta A 1.14 0.54 0.36 0.50 0.54 0.36 0.50 0.06 1.56 1.70 1.56 1.70 1XXX.00.00.0000000P0 34.7315 4 75625 Contrast x-ray exam of aorta A 1.14 13.57 13.40 13.53 13.57 13.40 13.53 0.65 15.19 15.32 15.19 15.32 1XXX.00.00.0000000P0 34.7315 4 75625TCContrast x-ray exam of aorta A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7562526Contrast x-ray exam of aorta A 1.14 0.54 0.32 0.49 0.54 0.32 0.49 0.06 1.52 1.69 1.52 1.69 1XXX.00.00.0000000P0 34.7315 4 75630 X-ray aorta, leg arteries A 1.79 14.21 14.14 14.20 14.21 14.14 14.20 0.69 16.62 16.68 16.62 16.68 1XXX.00.00.0000000P0 34.7315 4 75630TCX-ray aorta, leg arteries A 0.00 13.58 13.61 13.59 13.58 13.61 13.59 0.62 14.23 14.21 14.23 14.21 1XXX.00.00.0000000P0 34.7315 4 7563026X-ray aorta, leg arteries A 1.79 0.63 0.53 0.61 0.63 0.53 0.61 0.07 2.39 2.47 2.39 2.47 1XXX.00.00.0000000P0 34.7315 4 75650 Artery x-rays, head & neck A 1.49 13.75 13.48 13.68 13.75 13.48 13.68 0.67 15.64 15.84 15.64 15.84 1XXX.00.00.0000000P0 34.7315 4 75650TCArtery x-rays, head & neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7565026Artery x-rays, head & neck A 1.49 0.72 0.40 0.64 0.72 0.40 0.64 0.08 1.97 2.21 1.97 2.21 1XXX.00.00.0000000P0 34.7315 4 75658 X-ray exam of arm arteries A 1.31 13.66 13.56 13.63 13.66 13.56 13.63 0.66 15.53 15.60 15.53 15.60 1XXX.00.00.0000000P0 34.7315 4 75658TCX-ray exam of arm arteries A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7565826X-ray exam of arm arteries A 1.31 0.63 0.48 0.59 0.63 0.48 0.59 0.07 1.86 1.97 1.86 1.97 1XXX.00.00.0000000P0 34.7315 4 75660 Artery x-rays, head & neck A 1.31 13.66 13.46 13.61 13.66 13.46 13.61 0.66 15.43 15.58 15.43 15.58 1XXX.00.00.0000000P0 34.7315 4 75660TCArtery x-rays, head & neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7566026Artery x-rays, head & neck A 1.31 0.63 0.38 0.57 0.63 0.38 0.57 0.07 1.76 1.95 1.76 1.95 1XXX.00.00.0000000P0 34.7315 4 75662 Artery x-rays, head & neck A 1.66 13.83 13.61 13.77 13.83 13.61 13.77 0.68 15.95 16.11 15.95 16.11 1XXX.00.00.0002000P0 34.7315 4 75662TCArtery x-rays, head & neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7566226Artery x-rays, head & neck A 1.66 0.80 0.53 0.73 0.80 0.53 0.73 0.09 2.28 2.48 2.28 2.48 1XXX.00.00.0002000P0 34.7315 4 75665 Artery x-rays, head & neck A 1.31 13.66 13.45 13.61 13.66 13.45 13.61 0.66 15.42 15.58 15.42 15.58 1XXX.00.00.0000000P0 34.7315 4 75665TCArtery x-rays, head & neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7566526Artery x-rays, head & neck A 1.31 0.63 0.37 0.57 0.63 0.37 0.57 0.07 1.75 1.95 1.75 1.95 1XXX.00.00.0000000P0 34.7315 4 75671 Artery x-rays, head & neck A 1.66 13.83 13.53 13.75 13.83 13.53 13.75 0.68 15.87 16.09 15.87 16.09 1XXX.00.00.0002000P0 34.7315 4 75671TCArtery x-rays, head & neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7567126Artery x-rays, head & neck A 1.66 0.80 0.45 0.71 0.80 0.45 0.71 0.09 2.20 2.46 2.20 2.46 1XXX.00.00.0002000P0 34.7315 4 75676 Artery x-rays, neck A 1.31 13.66 13.46 13.61 13.66 13.46 13.61 0.66 15.43 15.58 15.43 15.58 1XXX.00.00.0000000P0 34.7315 4 75676TCArtery x-rays, neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7567626Artery x-rays, neck A 1.31 0.63 0.38 0.57 0.63 0.38 0.57 0.07 1.76 1.95 1.76 1.95 1XXX.00.00.0000000P0 34.7315 4 75680 Artery x-rays, neck A 1.66 13.83 13.53 13.75 13.83 13.53 13.75 0.68 15.87 16.09 15.87 16.09 1XXX.00.00.0002000P0 34.7315 4 75680TCArtery x-rays, neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7568026Artery x-rays, neck A 1.66 0.80 0.45 0.71 0.80 0.45 0.71 0.09 2.20 2.46 2.20 2.46 1XXX.00.00.0002000P0 34.7315 4 75685 Artery x-rays, spine A 1.31 13.66 13.44 13.60 13.66 13.44 13.60 0.66 15.41 15.57 15.41 15.57 1XXX.00.00.0000000P0 34.7315 4 75685TCArtery x-rays, spine A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7568526Artery x-rays, spine A 1.31 0.63 0.36 0.56 0.63 0.36 0.56 0.07 1.74 1.94 1.74 1.94 1XXX.00.00.0000000P0 34.7315 4 75705 Artery x-rays, spine A 2.18 14.09 13.70 13.99 14.09 13.70 13.99 0.71 16.59 16.88 16.59 16.88 1XXX.00.00.0000000P0 34.7315 4 75705TCArtery x-rays, spine A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7570526Artery x-rays, spine A 2.18 1.06 0.62 0.95 1.06 0.62 0.95 0.12 2.92 3.25 2.92 3.25 1XXX.00.00.0000000P0 34.7315 4 75710 Artery x-rays, arm/leg A 1.14 13.57 13.41 13.53 13.57 13.41 13.53 0.65 15.20 15.32 15.20 15.32 1XXX.00.00.0000000P0 34.7315 4 75710TCArtery x-rays, arm/leg A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7571026Artery x-rays, arm/leg A 1.14 0.54 0.33 0.49 0.54 0.33 0.49 0.06 1.53 1.69 1.53 1.69 1XXX.00.00.0000000P0 34.7315 4 75716 Artery x-rays, arms/legs A 1.31 13.66 13.44 13.60 13.66 13.44 13.60 0.66 15.41 15.57 15.41 15.57 1XXX.00.00.0002000P0 34.7315 4 75716TCArtery x-rays, arms/legs A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7571626Artery x-rays, arms/legs A 1.31 0.63 0.36 0.56 0.63 0.36 0.56 0.07 1.74 1.94 1.74 1.94 1XXX.00.00.0002000P0 34.7315 4 75722 Artery x-rays, kidney A 1.14 13.57 13.43 13.53 13.57 13.43 13.53 0.65 15.22 15.32 15.22 15.32 1XXX.00.00.0000000P0 34.7315 4 75722TCArtery x-rays, kidney A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7572226Artery x-rays, kidney A 1.14 0.54 0.35 0.49 0.54 0.35 0.49 0.06 1.55 1.69 1.55 1.69 1XXX.00.00.0000000P0 34.7315 4 75724 Artery x-rays, kidneys A 1.49 13.75 13.62 13.72 13.75 13.62 13.72 0.67 15.78 15.88 15.78 15.88 1XXX.00.00.0002000P0 34.7315 4 75724TCArtery x-rays, kidneys A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7572426Artery x-rays, kidneys A 1.49 0.72 0.54 0.68 0.72 0.54 0.68 0.08 2.11 2.25 2.11 2.25 1XXX.00.00.0002000P0 34.7315 4 75726 Artery x-rays, abdomen A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75726TCArtery x-rays, abdomen A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7572626Artery x-rays, abdomen A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75731 Artery x-rays, adrenal gland A 1.14 13.57 13.38 13.52 13.57 13.38 13.52 0.65 15.17 15.31 15.17 15.31 1XXX.00.00.0000000P0 34.7315 4 75731TCArtery x-rays, adrenal gland A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7573126Artery x-rays, adrenal gland A 1.14 0.54 0.30 0.48 0.54 0.30 0.48 0.06 1.50 1.68 1.50 1.68 1XXX.00.00.0000000P0 34.7315 4 75733 Artery x-rays,adrenal glands A 1.31 13.66 13.44 13.60 13.66 13.44 13.60 0.66 15.41 15.57 15.41 15.57 1XXX.00.00.0002000P0 34.7315 4 75733TCArtery x-rays,adrenal glands A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7573326Artery x-rays,adrenal glands A 1.31 0.63 0.36 0.56 0.63 0.36 0.56 0.07 1.74 1.94 1.74 1.94 1XXX.00.00.0002000P0 34.7315 4 75736 Artery x-rays, pelvis A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75736TCArtery x-rays, pelvis A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7573626Artery x-rays, pelvis A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75741 Artery x-rays, lung A 1.31 13.66 13.44 13.60 13.66 13.44 13.60 0.66 15.41 15.57 15.41 15.57 1XXX.00.00.0000000P0 34.7315 4 75741TCArtery x-rays, lung A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7574126Artery x-rays, lung A 1.31 0.63 0.36 0.56 0.63 0.36 0.56 0.07 1.74 1.94 1.74 1.94 1XXX.00.00.0000000P0 34.7315 4 75743 Artery x-rays, lungs A 1.66 13.83 13.53 13.75 13.83 13.53 13.75 0.68 15.87 16.09 15.87 16.09 1XXX.00.00.0002000P0 34.7315 4 75743TCArtery x-rays, lungs A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7574326Artery x-rays, lungs A 1.66 0.80 0.45 0.71 0.80 0.45 0.71 0.09 2.20 2.46 2.20 2.46 1XXX.00.00.0002000P0 34.7315 4 75746 Artery x-rays, lung A 1.14 13.57 13.41 13.53 13.57 13.41 13.53 0.65 15.20 15.32 15.20 15.32 1XXX.00.00.0000000P0 34.7315 4 75746TCArtery x-rays, lung A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7574626Artery x-rays, lung A 1.14 0.54 0.33 0.49 0.54 0.33 0.49 0.06 1.53 1.69 1.53 1.69 1XXX.00.00.0000000P0 34.7315 4 75756 Artery x-rays, chest A 1.14 13.57 13.56 13.57 13.57 13.56 13.57 0.65 15.35 15.36 15.35 15.36 1XXX.00.00.0000000P0 34.7315 4 75756TCArtery x-rays, chest A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7575626Artery x-rays, chest A 1.14 0.54 0.48 0.53 0.54 0.48 0.53 0.06 1.68 1.73 1.68 1.73 1XXX.00.00.0000000P0 34.7315 4 75774 Artery x-ray, each vessel A 0.36 13.20 13.18 13.19 13.20 13.18 13.19 0.61 14.15 14.16 14.15 14.16 1ZZZ.00.00.0000000P0 34.7315 4 75774TCArtery x-ray, each vessel A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1ZZZ.00.00.0000000P0 34.7315 4 7577426Artery x-ray, each vessel A 0.36 0.17 0.10 0.15 0.17 0.10 0.15 0.02 0.48 0.53 0.48 0.53 1ZZZ.00.00.0000000P0 34.7315 4 75790 Visualize A-V shunt A 1.84 2.30 1.90 2.20 2.30 1.90 2.20 0.16 3.90 4.20 3.90 4.20 1XXX.00.00.0000000P0 34.7315 4 75790TCVisualize A-V shunt A 0.00 1.40 1.40 1.40 1.40 1.40 1.40 0.07 1.47 1.47 1.47 1.47 1XXX.00.00.0000000P0 34.7315 4 7579026Visualize A-V shunt A 1.84 0.90 0.50 0.80 0.90 0.50 0.80 0.09 2.43 2.73 2.43 2.73 1XXX.00.00.0000000P0 34.7315 4 75801 Lymph vessel x-ray, arm/leg A 0.81 6.00 5.85 5.97 6.00 5.85 5.97 0.30 6.96 7.08 6.96 7.08 1XXX.00.00.0000000P0 34.7315 4 75801TCLymph vessel x-ray, arm/leg A 0.00 5.60 5.62 5.61 5.60 5.62 5.61 0.26 5.88 5.87 5.88 5.87 1XXX.00.00.0000000P0 34.7315 4 7580126Lymph vessel x-ray, arm/leg A 0.81 0.40 0.23 0.36 0.40 0.23 0.36 0.04 1.08 1.21 1.08 1.21 1XXX.00.00.0000000P0 34.7315 4 75803 Lymph vessel x-ray,arms/legs A 1.17 6.15 5.93 6.10 6.15 5.93 6.10 0.32 7.42 7.59 7.42 7.59 1XXX.00.00.0002000P0 34.7315 4 75803TCLymph vessel x-ray,arms/legs A 0.00 5.60 5.62 5.61 5.60 5.62 5.61 0.26 5.88 5.87 5.88 5.87 1XXX.00.00.0002000P0 34.7315 4 7580326Lymph vessel x-ray,arms/legs A 1.17 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.54 1.72 1.54 1.72 1XXX.00.00.0002000P0 34.7315 4 75805 Lymph vessel x-ray, trunk A 0.81 6.71 6.55 6.68 6.71 6.55 6.68 0.33 7.69 7.82 7.69 7.82 1XXX.00.00.0000000P0 34.7315 4 75805TCLymph vessel x-ray, trunk A 0.00 6.31 6.33 6.32 6.31 6.33 6.32 0.29 6.62 6.61 6.62 6.61 1XXX.00.00.0000000P0 34.7315 4 7580526Lymph vessel x-ray, trunk A 0.81 0.40 0.22 0.36 0.40 0.22 0.36 0.04 1.07 1.21 1.07 1.21 1XXX.00.00.0000000P0 34.7315 4 75807 Lymph vessel x-ray, trunk A 1.17 6.86 6.64 6.81 6.86 6.64 6.81 0.35 8.16 8.33 8.16 8.33 1XXX.00.00.0002000P0 34.7315 4 75807TCLymph vessel x-ray, trunk A 0.00 6.31 6.33 6.32 6.31 6.33 6.32 0.29 6.62 6.61 6.62 6.61 1XXX.00.00.0002000P0 34.7315 4 7580726Lymph vessel x-ray, trunk A 1.17 0.55 0.31 0.49 0.55 0.31 0.49 0.06 1.54 1.72 1.54 1.72 1XXX.00.00.0002000P0 34.7315 4 75809 Nonvascular shunt, x-ray A 0.47 1.02 0.94 1.00 1.02 0.94 1.00 0.06 1.47 1.53 1.47 1.53 1XXX.00.00.0000000P0 34.7315 4 75809TCNonvascular shunt, x-ray A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7580926Nonvascular shunt, x-ray A 0.47 0.21 0.12 0.19 0.21 0.12 0.19 0.02 0.61 0.68 0.61 0.68 1XXX.00.00.0000000P0 34.7315 4 75810 Vein x-ray, spleen/liver A 1.14 13.57 13.38 13.52 13.57 13.38 13.52 0.65 15.17 15.31 15.17 15.31 1XXX.00.00.0000000P0 34.7315 4 75810TCVein x-ray, spleen/liver A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7581026Vein x-ray, spleen/liver A 1.14 0.54 0.30 0.48 0.54 0.30 0.48 0.06 1.50 1.68 1.50 1.68 1XXX.00.00.0000000P0 34.7315 4 75820 Vein x-ray, arm/leg A 0.70 1.33 1.17 1.29 1.33 1.17 1.29 0.09 1.96 2.08 1.96 2.08 1XXX.00.00.0000000P0 34.7315 4 75820TCVein x-ray, arm/leg A 0.00 0.98 0.98 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 1XXX.00.00.0000000P0 34.7315 4 7582026Vein x-ray, arm/leg A 0.70 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.93 1.05 0.93 1.05 1XXX.00.00.0000000P0 34.7315 4 75822 Vein x-ray, arms/legs A 1.06 2.04 1.83 1.99 2.04 1.83 1.99 0.12 3.01 3.17 3.01 3.17 1XXX.00.00.0002000P0 34.7315 4 75822TCVein x-ray, arms/legs A 0.00 1.53 1.54 1.53 1.53 1.54 1.53 0.07 1.61 1.60 1.61 1.60 1XXX.00.00.0002000P0 34.7315 4 7582226Vein x-ray, arms/legs A 1.06 0.51 0.29 0.46 0.51 0.29 0.46 0.05 1.40 1.57 1.40 1.57 1XXX.00.00.0002000P0 34.7315 4 75825 Vein x-ray, trunk A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75825TCVein x-ray, trunk A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7582526Vein x-ray, trunk A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75827 Vein x-ray, chest A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75827TCVein x-ray, chest A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7582726Vein x-ray, chest A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75831 Vein x-ray, kidney A 1.14 13.57 13.38 13.52 13.57 13.38 13.52 0.65 15.17 15.31 15.17 15.31 1XXX.00.00.0000000P0 34.7315 4 75831TCVein x-ray, kidney A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7583126Vein x-ray, kidney A 1.14 0.54 0.30 0.48 0.54 0.30 0.48 0.06 1.50 1.68 1.50 1.68 1XXX.00.00.0000000P0 34.7315 4 75833 Vein x-ray, kidneys A 1.49 13.75 13.49 13.68 13.75 13.49 13.68 0.67 15.65 15.84 15.65 15.84 1XXX.00.00.0002000P0 34.7315 4 75833TCVein x-ray, kidneys A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7583326Vein x-ray, kidneys A 1.49 0.72 0.41 0.64 0.72 0.41 0.64 0.08 1.98 2.21 1.98 2.21 1XXX.00.00.0002000P0 34.7315 4 75840 Vein x-ray, adrenal gland A 1.14 13.57 13.42 13.53 13.57 13.42 13.53 0.65 15.21 15.32 15.21 15.32 1XXX.00.00.0000000P0 34.7315 4 75840TCVein x-ray, adrenal gland A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7584026Vein x-ray, adrenal gland A 1.14 0.54 0.34 0.49 0.54 0.34 0.49 0.06 1.54 1.69 1.54 1.69 1XXX.00.00.0000000P0 34.7315 4 75842 Vein x-ray, adrenal glands A 1.49 13.75 13.47 13.68 13.75 13.47 13.68 0.67 15.63 15.84 15.63 15.84 1XXX.00.00.0002000P0 34.7315 4 75842TCVein x-ray, adrenal glands A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0002000P0 34.7315 4 7584226Vein x-ray, adrenal glands A 1.49 0.72 0.39 0.64 0.72 0.39 0.64 0.08 1.96 2.21 1.96 2.21 1XXX.00.00.0002000P0 34.7315 4 75860 Vein x-ray, neck A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75860TCVein x-ray, neck A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7586026Vein x-ray, neck A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75870 Vein x-ray, skull A 1.14 13.57 13.40 13.53 13.57 13.40 13.53 0.65 15.19 15.32 15.19 15.32 1XXX.00.00.0000000P0 34.7315 4 75870TCVein x-ray, skull A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7587026Vein x-ray, skull A 1.14 0.54 0.32 0.49 0.54 0.32 0.49 0.06 1.52 1.69 1.52 1.69 1XXX.00.00.0000000P0 34.7315 4 75872 Vein x-ray, skull A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75872TCVein x-ray, skull A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7587226Vein x-ray, skull A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75880 Vein x-ray, eye socket A 0.70 1.33 1.17 1.29 1.33 1.17 1.29 0.09 1.96 2.08 1.96 2.08 1XXX.00.00.0000000P0 34.7315 4 75880TCVein x-ray, eye socket A 0.00 0.98 0.98 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 1XXX.00.00.0000000P0 34.7315 4 7588026Vein x-ray, eye socket A 0.70 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.93 1.05 0.93 1.05 1XXX.00.00.0000000P0 34.7315 4 75885 Vein x-ray, liver A 1.44 13.72 13.46 13.65 13.72 13.46 13.65 0.67 15.57 15.76 15.57 15.76 1XXX.00.00.0000000P0 34.7315 4 75885TCVein x-ray, liver A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7588526Vein x-ray, liver A 1.44 0.69 0.38 0.61 0.69 0.38 0.61 0.08 1.90 2.13 1.90 2.13 1XXX.00.00.0000000P0 34.7315 4 75887 Vein x-ray, liver A 1.44 13.72 13.46 13.65 13.72 13.46 13.65 0.67 15.57 15.76 15.57 15.76 1XXX.00.00.0000000P0 34.7315 4 75887TCVein x-ray, liver A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7588726Vein x-ray, liver A 1.44 0.69 0.38 0.61 0.69 0.38 0.61 0.08 1.90 2.13 1.90 2.13 1XXX.00.00.0000000P0 34.7315 4 75889 Vein x-ray, liver A 1.14 13.57 13.38 13.52 13.57 13.38 13.52 0.65 15.17 15.31 15.17 15.31 1XXX.00.00.0000000P0 34.7315 4 75889TCVein x-ray, liver A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7588926Vein x-ray, liver A 1.14 0.54 0.30 0.48 0.54 0.30 0.48 0.06 1.50 1.68 1.50 1.68 1XXX.00.00.0000000P0 34.7315 4 75891 Vein x-ray, liver A 1.14 13.57 13.39 13.52 13.57 13.39 13.52 0.65 15.18 15.31 15.18 15.31 1XXX.00.00.0000000P0 34.7315 4 75891TCVein x-ray, liver A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7589126Vein x-ray, liver A 1.14 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 75893 Venous sampling by catheter A 0.54 13.30 13.22 13.28 13.30 13.22 13.28 0.62 14.38 14.44 14.38 14.44 1XXX.00.00.0000000P0 34.7315 4 75893TCVenous sampling by catheter A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7589326Venous sampling by catheter A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 75894 Xrays, transcatheter therapy A 1.31 25.59 25.41 25.55 25.59 25.41 25.55 1.20 27.92 28.06 27.92 28.06 1XXX.00.00.0000000P0 34.7315 4 75894TCXrays, transcatheter therapy A 0.00 24.96 25.04 24.98 24.96 25.04 24.98 1.13 26.17 26.11 26.17 26.11 1XXX.00.00.0000000P0 34.7315 4 7589426Xrays, transcatheter therapy A 1.31 0.63 0.37 0.57 0.63 0.37 0.57 0.07 1.75 1.95 1.75 1.95 1XXX.00.00.0000000P0 34.7315 4 75896 Xrays, transcatheter therapy A 1.31 22.34 22.19 22.31 22.34 22.19 22.31 1.05 24.55 24.67 24.55 24.67 1XXX.00.00.0000000P0 34.7315 4 75896TCXrays, transcatheter therapy A 0.00 21.71 21.78 21.73 21.71 21.78 21.73 0.98 22.76 22.71 22.76 22.71 1XXX.00.00.0000000P0 34.7315 4 7589626Xrays, transcatheter therapy A 1.31 0.63 0.41 0.58 0.63 0.41 0.58 0.07 1.79 1.96 1.79 1.96 1XXX.00.00.0000000P0 34.7315 4 75898 Follow-up angiogram A 1.65 1.89 1.56 1.81 1.89 1.56 1.81 0.14 3.35 3.60 3.35 3.60 1XXX.00.00.0000000P0 34.7315 4 75898TCFollow-up angiogram A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7589826Follow-up angiogram A 1.65 0.80 0.48 0.72 0.80 0.48 0.72 0.09 2.22 2.46 2.22 2.46 1XXX.00.00.0000000P0 34.7315 4 75900 Arterial catheter exchange A 0.49 21.94 21.90 21.93 21.94 21.90 21.93 1.01 23.40 23.43 23.40 23.43 1XXX.00.00.0000000P0 34.7315 4 75900TCArterial catheter exchange A 0.00 21.69 21.77 21.71 21.69 21.77 21.71 0.99 22.76 22.70 22.76 22.70 1XXX.00.00.0000000P0 34.7315 4 7590026Arterial catheter exchange A 0.49 0.25 0.13 0.22 0.25 0.13 0.22 0.02 0.64 0.73 0.64 0.73 1XXX.00.00.0000000P0 34.7315 4 75940 X-ray placement, vein filter A 0.54 13.30 13.23 13.28 13.30 13.23 13.28 0.62 14.39 14.44 14.39 14.44 1XXX.00.00.0000000P0 34.7315 4 75940TCX-ray placement, vein filter A 0.00 13.03 13.08 13.04 13.03 13.08 13.04 0.59 13.67 13.63 13.67 13.63 1XXX.00.00.0000000P0 34.7315 4 7594026X-ray placement, vein filter A 0.54 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.72 0.81 0.72 0.81 1XXX.00.00.0000000P0 34.7315 4 75945 Intravascular us A 0.40 4.96 4.87 NA 4.94 4.96 4.87 4.94 0.24 5.51 5.58 5.51 5.58 1XXX.00.00.0000000P0 34.7315 4 75945TCIntravascular us A 0.00 4.72 4.73 NA 4.72 4.72 4.73 4.72 0.22 4.95 4.94 4.95 4.94 1XXX.00.00.0000000P0 34.7315 4 7594526Intravascular us A 0.40 0.24 0.14 NA 0.22 0.24 0.14 0.22 0.02 0.56 0.64 0.56 0.64 1XXX.00.00.0000000P0 34.7315 4 75946 Intravascular us add-on A 0.40 2.61 2.53 NA 2.59 2.61 2.53 2.59 0.13 3.06 3.12 3.06 3.12 1ZZZ.00.00.0000000P0 34.7315 4 75946TCIntravascular us add-on A 0.00 2.37 2.38 NA 2.37 2.37 2.38 2.37 0.11 2.49 2.48 2.49 2.48 1ZZZ.00.00.0000000P0 34.7315 4 7594626Intravascular us add-on A 0.40 0.24 0.15 NA 0.22 0.24 0.15 0.22 0.02 0.57 0.64 0.57 0.64 1ZZZ.00.00.0000000P0 34.7315 4 75960 Transcatheter intro, stent A 0.82 15.81 15.72 15.79 15.81 15.72 15.79 0.74 17.28 17.35 17.28 17.35 1XXX.00.00.0000000P0 34.7315 4 75960TCTranscatheter intro, stent A 0.00 15.41 15.46 15.42 15.41 15.46 15.42 0.69 16.15 16.11 16.15 16.11 1XXX.00.00.0000000P0 34.7315 4 7596026Transcatheter intro, stent A 0.82 0.40 0.26 0.37 0.40 0.26 0.37 0.05 1.13 1.24 1.13 1.24 1XXX.00.00.0000000P0 34.7315 4 75961 Retrieval, broken catheter A 4.25 12.92 12.06 12.71 12.92 12.06 12.71 0.71 17.02 17.67 17.02 17.67 1XXX.00.00.0000000P0 34.7315 4 75961TCRetrieval, broken catheter A 0.00 10.86 10.90 10.87 10.86 10.90 10.87 0.49 11.39 11.36 11.39 11.36 1XXX.00.00.0000000P0 34.7315 4 7596126Retrieval, broken catheter A 4.25 2.06 1.16 1.84 2.06 1.16 1.84 0.22 5.63 6.31 5.63 6.31 1XXX.00.00.0000000P0 34.7315 4 75962 Repair arterial blockage A 0.54 16.55 16.50 16.54 16.55 16.50 16.54 0.77 17.81 17.85 17.81 17.85 1XXX.00.00.0000000P0 34.7315 4 75962TCRepair arterial blockage A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7596226Repair arterial blockage A 0.54 0.27 0.17 0.25 0.27 0.17 0.25 0.03 0.74 0.82 0.74 0.82 1XXX.00.00.0000000P0 34.7315 4 75964 Repair artery blockage, each A 0.36 8.85 8.82 8.85 8.85 8.82 8.85 0.41 9.59 9.62 9.59 9.62 1ZZZ.00.00.0000000P0 34.7315 4 75964TCRepair artery blockage, each A 0.00 8.68 8.71 8.69 8.68 8.71 8.69 0.39 9.10 9.08 9.10 9.08 1ZZZ.00.00.0000000P0 34.7315 4 7596426Repair artery blockage, each A 0.36 0.17 0.11 0.16 0.17 0.11 0.16 0.02 0.49 0.54 0.49 0.54 1ZZZ.00.00.0000000P0 34.7315 4 75966 Repair arterial blockage A 1.31 16.91 16.75 16.87 16.91 16.75 16.87 0.81 18.87 18.99 18.87 18.99 1XXX.00.00.0000000P0 34.7315 4 75966TCRepair arterial blockage A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7596626Repair arterial blockage A 1.31 0.63 0.42 0.58 0.63 0.42 0.58 0.07 1.80 1.96 1.80 1.96 1XXX.00.00.0000000P0 34.7315 4 75968 Repair artery blockage, each A 0.36 8.85 8.82 8.85 8.85 8.82 8.85 0.41 9.59 9.62 9.59 9.62 1ZZZ.00.00.0000000P0 34.7315 4 75968TCRepair artery blockage, each A 0.00 8.68 8.71 8.69 8.68 8.71 8.69 0.39 9.10 9.08 9.10 9.08 1ZZZ.00.00.0000000P0 34.7315 4 7596826Repair artery blockage, each A 0.36 0.17 0.11 0.16 0.17 0.11 0.16 0.02 0.49 0.54 0.49 0.54 1ZZZ.00.00.0000000P0 34.7315 4 75970 Vascular biopsy A 0.83 12.35 12.23 12.32 12.35 12.23 12.32 0.59 13.65 13.74 13.65 13.74 1XXX.00.00.0000000P0 34.7315 4 75970TCVascular biopsy A 0.00 11.94 11.98 11.95 11.94 11.98 11.95 0.54 12.52 12.49 12.52 12.49 1XXX.00.00.0000000P0 34.7315 4 7597026Vascular biopsy A 0.83 0.41 0.25 0.37 0.41 0.25 0.37 0.05 1.13 1.25 1.13 1.25 1XXX.00.00.0000000P0 34.7315 4 75978 Repair venous blockage A 0.54 16.80 16.47 16.72 16.80 16.47 16.72 0.77 17.78 18.03 17.78 18.03 1XXX.00.00.0000000P0 34.7315 4 75978TCRepair venous blockage A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7597826Repair venous blockage A 0.54 0.52 0.14 0.43 0.52 0.14 0.43 0.03 0.71 1.00 0.71 1.00 1XXX.00.00.0000000P0 34.7315 4 75980 Contrast xray exam bile duct A 1.44 6.29 6.00 6.22 6.29 6.00 6.22 0.34 7.78 8.00 7.78 8.00 1XXX.00.00.0000000P0 34.7315 4 75980TCContrast xray exam bile duct A 0.00 5.60 5.62 5.61 5.60 5.62 5.61 0.26 5.88 5.87 5.88 5.87 1XXX.00.00.0000000P0 34.7315 4 7598026Contrast xray exam bile duct A 1.44 0.69 0.38 0.61 0.69 0.38 0.61 0.08 1.90 2.13 1.90 2.13 1XXX.00.00.0000000P0 34.7315 4 75982 Contrast xray exam bile duct A 1.44 7.00 6.71 6.93 7.00 6.71 6.93 0.37 8.52 8.74 8.52 8.74 1XXX.00.00.0000000P0 34.7315 4 75982TCContrast xray exam bile duct A 0.00 6.31 6.33 6.32 6.31 6.33 6.32 0.29 6.62 6.61 6.62 6.61 1XXX.00.00.0000000P0 34.7315 4 7598226Contrast xray exam bile duct A 1.44 0.69 0.38 0.61 0.69 0.38 0.61 0.08 1.90 2.13 1.90 2.13 1XXX.00.00.0000000P0 34.7315 4 75984 Xray control catheter change A 0.72 2.38 2.22 2.34 2.38 2.22 2.34 0.13 3.07 3.19 3.07 3.19 1XXX.00.00.0000000P0 34.7315 4 75984TCXray control catheter change A 0.00 2.02 2.02 2.02 2.02 2.02 2.02 0.09 2.11 2.11 2.11 2.11 1XXX.00.00.0000000P0 34.7315 4 7598426Xray control catheter change A 0.72 0.36 0.20 0.32 0.36 0.20 0.32 0.04 0.96 1.08 0.96 1.08 1XXX.00.00.0000000P0 34.7315 4 75989 Abscess drainage under x-ray A 1.19 3.82 3.58 3.76 3.82 3.58 3.76 0.21 4.98 5.16 4.98 5.16 1XXX.00.00.0000000P0 34.7315 4 75989TCAbscess drainage under x-ray A 0.00 3.26 3.26 3.26 3.26 3.26 3.26 0.15 3.41 3.41 3.41 3.41 1XXX.00.00.0000000P0 34.7315 4 7598926Abscess drainage under x-ray A 1.19 0.56 0.32 0.50 0.56 0.32 0.50 0.06 1.57 1.75 1.57 1.75 1XXX.00.00.0000000P0 34.7315 4 75992 Atherectomy, x-ray exam A 0.54 16.55 16.51 16.54 16.55 16.51 16.54 0.77 17.82 17.85 17.82 17.85 1XXX.00.00.0000000P0 34.7315 4 75992TCAtherectomy, x-ray exam A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7599226Atherectomy, x-ray exam A 0.54 0.27 0.18 0.25 0.27 0.18 0.25 0.03 0.75 0.82 0.75 0.82 1XXX.00.00.0000000P0 34.7315 4 75993 Atherectomy, x-ray exam A 0.36 8.85 8.84 8.85 8.85 8.84 8.85 0.41 9.61 9.62 9.61 9.62 1ZZZ.00.00.0000000P0 34.7315 4 75993TCAtherectomy, x-ray exam A 0.00 8.68 8.71 8.69 8.68 8.71 8.69 0.39 9.10 9.08 9.10 9.08 1ZZZ.00.00.0000000P0 34.7315 4 7599326Atherectomy, x-ray exam A 0.36 0.17 0.13 0.16 0.17 0.13 0.16 0.02 0.51 0.54 0.51 0.54 1ZZZ.00.00.0000000P0 34.7315 4 75994 Atherectomy, x-ray exam A 1.31 16.91 16.77 16.87 16.91 16.77 16.87 0.81 18.89 18.99 18.89 18.99 1XXX.00.00.0000000P0 34.7315 4 75994TCAtherectomy, x-ray exam A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7599426Atherectomy, x-ray exam A 1.31 0.63 0.44 0.58 0.63 0.44 0.58 0.07 1.82 1.96 1.82 1.96 1XXX.00.00.0000000P0 34.7315 4 75995 Atherectomy, x-ray exam A 1.31 16.91 16.85 16.89 16.91 16.85 16.89 0.81 18.97 19.01 18.97 19.01 1XXX.00.00.0000000P0 34.7315 4 75995TCAtherectomy, x-ray exam A 0.00 16.28 16.33 16.29 16.28 16.33 16.29 0.74 17.07 17.03 17.07 17.03 1XXX.00.00.0000000P0 34.7315 4 7599526Atherectomy, x-ray exam A 1.31 0.63 0.52 0.60 0.63 0.52 0.60 0.07 1.90 1.98 1.90 1.98 1XXX.00.00.0000000P0 34.7315 4 75996 Atherectomy, x-ray exam A 0.36 8.85 8.82 8.85 8.85 8.82 8.85 0.41 9.59 9.62 9.59 9.62 1ZZZ.00.00.0000000P0 34.7315 4 75996TCAtherectomy, x-ray exam A 0.00 8.68 8.71 8.69 8.68 8.71 8.69 0.39 9.10 9.08 9.10 9.08 1ZZZ.00.00.0000000P0 34.7315 4 7599626Atherectomy, x-ray exam A 0.36 0.17 0.11 0.16 0.17 0.11 0.16 0.02 0.49 0.54 0.49 0.54 1ZZZ.00.00.0000000P0 34.7315 4 76000 Fluoroscope examination A 0.17 1.43 1.38 1.42 1.43 1.38 1.42 0.07 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 34.7315 4 76000TCFluoroscope examination A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7600026Fluoroscope examination A 0.17 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.22 0.25 0.22 0.25 1XXX.00.00.0000000P0 34.7315 4 76001 Fluoroscope exam, extensive A 0.67 3.05 2.92 3.02 3.05 2.92 3.02 0.17 3.76 3.86 3.76 3.86 1XXX.00.00.0000000P0 34.7315 4 76001TCFluoroscope exam, extensive A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7600126Fluoroscope exam, extensive A 0.67 0.34 0.19 0.30 0.34 0.19 0.30 0.04 0.90 1.01 0.90 1.01 1XXX.00.00.0000000P0 34.7315 4 76003 Needle localization by x-ray A 0.54 1.62 1.48 1.59 1.62 1.48 1.59 0.09 2.11 2.22 2.11 2.22 1XXX.00.00.0000000P0 34.7315 4 76003TCNeedle localization by x-ray A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7600326Needle localization by x-ray A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 76006 X-ray stress view A 0.41 0.00 0.11 0.11 0.00 0.11 0.11 0.03 0.55 0.55 0.55 0.55 4XXX.00.00.0003000P0 34.7315 5 76010 X-ray, nose to rectum A 0.18 0.63 0.60 0.62 0.63 0.60 0.62 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 34.7315 4 76010TCX-ray, nose to rectum A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7601026X-ray, nose to rectum A 0.18 0.09 0.05 0.08 0.09 0.05 0.08 0.01 0.24 0.27 0.24 0.27 1XXX.00.00.0000000P0 34.7315 4 76020 X-rays for bone age A 0.19 0.64 0.60 0.63 0.64 0.60 0.63 0.03 0.82 0.85 0.82 0.85 1XXX.00.00.0000000P0 34.7315 4 76020TCX-rays for bone age A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.02 0.57 0.56 0.57 0.56 1XXX.00.00.0000000P0 34.7315 4 7602026X-rays for bone age A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 76040 X-rays, bone evaluation A 0.27 0.95 0.89 0.93 0.95 0.89 0.93 0.06 1.22 1.26 1.22 1.26 1XXX.00.00.0000000P0 34.7315 4 76040TCX-rays, bone evaluation A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 7604026X-rays, bone evaluation A 0.27 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 34.7315 4 76061 X-rays, bone survey A 0.45 1.25 1.15 1.23 1.25 1.15 1.23 0.07 1.67 1.75 1.67 1.75 1XXX.00.00.0000000P0 34.7315 4 76061TCX-rays, bone survey A 0.00 1.03 1.03 1.03 1.03 1.03 1.03 0.05 1.08 1.08 1.08 1.08 1XXX.00.00.0000000P0 34.7315 4 7606126X-rays, bone survey A 0.45 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 76062 X-rays, bone survey A 0.54 1.76 1.63 1.73 1.76 1.63 1.73 0.10 2.27 2.37 2.27 2.37 1XXX.00.00.0000000P0 34.7315 4 76062TCX-rays, bone survey A 0.00 1.49 1.49 1.49 1.49 1.49 1.49 0.07 1.56 1.56 1.56 1.56 1XXX.00.00.0000000P0 34.7315 4 7606226X-rays, bone survey A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 76065 X-rays, bone evaluation A 0.28 0.90 0.82 0.88 0.90 0.82 0.88 0.06 1.16 1.22 1.16 1.22 1XXX.00.00.0000000P0 34.7315 4 76065TCX-rays, bone evaluation A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 7606526X-rays, bone evaluation A 0.28 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.37 0.42 0.37 0.42 1XXX.00.00.0000000P0 34.7315 4 76066 Joint(s) survey, single film A 0.31 1.30 1.25 1.29 1.30 1.25 1.29 0.07 1.63 1.67 1.63 1.67 1XXX.00.00.0000000P0 34.7315 4 76066TCJoint(s) survey, single film A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.05 1.21 1.20 1.21 1.20 1XXX.00.00.0000000P0 34.7315 4 7606626Joint(s) survey, single film A 0.31 0.15 0.09 0.14 0.15 0.09 0.14 0.02 0.42 0.47 0.42 0.47 1XXX.00.00.0000000P0 34.7315 4 76070 CT scan, bone density study I+ 0.25 3.18 3.15 3.17 3.18 3.15 3.17 0.16 3.56 3.58 3.56 3.58 1XXX.00.00.0099999P9 0.0000 9 76070TCCT scan, bone density study I+ 0.00 3.05 3.06 3.05 3.05 3.06 3.05 0.14 3.20 3.19 3.20 3.19 1XXX.00.00.0099999P9 0.0000 9 7607026CT scan, bone density study I+ 0.25 0.13 0.09 0.12 0.13 0.09 0.12 0.02 0.36 0.39 0.36 0.39 1XXX.00.00.0099999P9 0.0000 9 76075 Dual energy x-ray study A 0.30 3.33 3.30 3.32 3.33 3.30 3.32 0.17 3.77 3.79 3.77 3.79 1XXX.00.00.0000000P0 34.7315 4 76075TCDual energy x-ray study A 0.00 3.20 3.21 3.20 3.20 3.21 3.20 0.15 3.36 3.35 3.36 3.35 1XXX.00.00.0000000P0 34.7315 4 7607526Dual energy x-ray study A 0.30 0.13 0.09 0.12 0.13 0.09 0.12 0.02 0.41 0.44 0.41 0.44 1XXX.00.00.0000000P0 34.7315 4 76076 Dual energy x-ray study A 0.22 0.89 0.87 0.88 0.89 0.87 0.88 0.06 1.15 1.16 1.15 1.16 1XXX.00.00.0000000P0 34.7315 4 76076TCDual energy x-ray study A 0.00 0.78 0.79 0.78 0.78 0.79 0.78 0.04 0.83 0.82 0.83 0.82 1XXX.00.00.0000000P0 34.7315 4 7607626Dual energy x-ray study A 0.22 0.11 0.08 0.10 0.11 0.08 0.10 0.02 0.32 0.34 0.32 0.34 1XXX.00.00.0000000P0 34.7315 4 76078 Photodensitometry A 0.20 0.89 0.86 0.88 0.89 0.86 0.88 0.06 1.12 1.14 1.12 1.14 1XXX.00.00.0000000P0 34.7315 4 76078TCPhotodensitometry A 0.00 0.78 0.79 0.78 0.78 0.79 0.78 0.04 0.83 0.82 0.83 0.82 1XXX.00.00.0000000P0 34.7315 4 7607826Photodensitometry A 0.20 0.11 0.07 0.10 0.11 0.07 0.10 0.02 0.29 0.32 0.29 0.32 1XXX.00.00.0000000P0 34.7315 4 76080 X-ray exam of fistula A 0.54 1.36 1.22 1.33 1.36 1.22 1.33 0.08 1.84 1.95 1.84 1.95 1XXX.00.00.0000000P0 34.7315 4 76080TCX-ray exam of fistula A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7608026X-ray exam of fistula A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0000000P0 34.7315 4 76086 X-ray of mammary duct A 0.36 2.89 2.82 2.88 2.89 2.82 2.88 0.15 3.33 3.39 3.33 3.39 1XXX.00.00.0000000P0 34.7315 4 76086TCX-ray of mammary duct A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7608626X-ray of mammary duct A 0.36 0.18 0.09 0.16 0.18 0.09 0.16 0.02 0.47 0.54 0.47 0.54 1XXX.00.00.0000000P0 34.7315 4 76088 X-ray of mammary ducts A 0.45 4.01 3.92 3.99 4.01 3.92 3.99 0.19 4.56 4.63 4.56 4.63 1XXX.00.00.0000000P0 34.7315 4 76088TCX-ray of mammary ducts A 0.00 3.79 3.80 3.79 3.79 3.80 3.79 0.17 3.97 3.96 3.97 3.96 1XXX.00.00.0000000P0 34.7315 4 7608826X-ray of mammary ducts A 0.45 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 76090 Mammogram, one breast A 0.58 1.22 1.23 1.23 1.22 1.23 1.23 0.07 1.88 1.88 1.88 1.88 1XXX.00.00.0000000P0 34.7315 4 76090TCMammogram, one breast A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7609026Mammogram, one breast A 0.58 0.13 0.15 0.14 0.13 0.15 0.14 0.02 0.75 0.74 0.75 0.74 1XXX.00.00.0000000P0 34.7315 4 76091 Mammogram, both breasts A 0.69 1.55 1.53 1.55 1.55 1.53 1.55 0.08 2.30 2.32 2.30 2.32 1XXX.00.00.0002000P0 34.7315 4 76091TCMammogram, both breasts A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0002000P0 34.7315 4 7609126Mammogram, both breasts A 0.69 0.20 0.19 0.20 0.20 0.19 0.20 0.02 0.90 0.91 0.90 0.91 1XXX.00.00.0002000P0 34.7315 4 76092 Mamm0gram, screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 76093 Magnetic image, breast A 1.63 19.01 18.71 18.93 19.01 18.71 18.93 0.91 21.25 21.47 21.25 21.47 1XXX.00.00.0000000P0 34.7315 4 76093TCMagnetic image, breast A 0.00 18.23 18.28 18.24 18.23 18.28 18.24 0.82 19.10 19.06 19.10 19.06 1XXX.00.00.0000000P0 34.7315 4 7609326Magnetic image, breast A 1.63 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.15 2.41 2.15 2.41 1XXX.00.00.0000000P0 34.7315 4 76094 Magnetic image, both breasts A 1.63 25.51 25.23 25.44 25.51 25.23 25.44 1.20 28.06 28.27 28.06 28.27 1XXX.00.00.0002000P0 34.7315 4 76094TCMagnetic image, both breasts A 0.00 24.73 24.80 24.75 24.73 24.80 24.75 1.11 25.91 25.86 25.91 25.86 1XXX.00.00.0002000P0 34.7315 4 7609426Magnetic image, both breasts A 1.63 0.78 0.43 0.69 0.78 0.43 0.69 0.09 2.15 2.41 2.15 2.41 1XXX.00.00.0002000P0 34.7315 4 76095 Stereotactic breast biopsy A 1.59 8.18 7.89 8.11 8.18 7.89 8.11 0.43 9.91 10.13 9.91 10.13 1XXX.00.00.0000000P0 34.7315 4 76095TCStereotactic breast biopsy A 0.00 7.41 7.44 7.42 7.41 7.44 7.42 0.34 7.78 7.76 7.78 7.76 1XXX.00.00.0000000P0 34.7315 4 7609526Stereotactic breast biopsy A 1.59 0.77 0.45 0.69 0.77 0.45 0.69 0.09 2.13 2.37 2.13 2.37 1XXX.00.00.0000000P0 34.7315 4 76096 X-ray of needle wire, breast A 0.56 1.63 1.48 1.60 1.63 1.48 1.60 0.09 2.13 2.25 2.13 2.25 1XXX.00.00.0000000P0 34.7315 4 76096TCX-ray of needle wire, breast A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7609626X-ray of needle wire, breast A 0.56 0.28 0.14 0.25 0.28 0.14 0.25 0.03 0.73 0.84 0.73 0.84 1XXX.00.00.0000000P0 34.7315 4 76098 X-ray exam, breast specimen A 0.16 0.51 0.48 0.50 0.51 0.48 0.50 0.03 0.67 0.69 0.67 0.69 1XXX.00.00.0000000P0 34.7315 4 76098TCX-ray exam, breast specimen A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 7609826X-ray exam, breast specimen A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0000000P0 34.7315 4 76100 X-ray exam of body section A 0.58 1.58 1.45 1.55 1.58 1.45 1.55 0.09 2.12 2.22 2.12 2.22 1XXX.00.00.0000000P0 34.7315 4 76100TCX-ray exam of body section A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.06 1.36 1.35 1.36 1.35 1XXX.00.00.0000000P0 34.7315 4 7610026X-ray exam of body section A 0.58 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.76 0.87 0.76 0.87 1XXX.00.00.0000000P0 34.7315 4 76101 Complex body section x-ray A 0.58 1.76 1.62 1.73 1.76 1.62 1.73 0.10 2.30 2.41 2.30 2.41 1XXX.00.00.0000000P0 34.7315 4 76101TCComplex body section x-ray A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7610126Complex body section x-ray A 0.58 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.76 0.87 0.76 0.87 1XXX.00.00.0000000P0 34.7315 4 76102 Complex body section x-rays A 0.58 2.08 1.95 2.05 2.08 1.95 2.05 0.12 2.65 2.75 2.65 2.75 1XXX.00.00.0002000P0 34.7315 4 76102TCComplex body section x-rays A 0.00 1.79 1.80 1.79 1.79 1.80 1.79 0.09 1.89 1.88 1.89 1.88 1XXX.00.00.0002000P0 34.7315 4 7610226Complex body section x-rays A 0.58 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.76 0.87 0.76 0.87 1XXX.00.00.0002000P0 34.7315 4 76120 Cinematic x-rays A 0.38 1.27 1.21 1.26 1.27 1.21 1.26 0.07 1.66 1.71 1.66 1.71 1XXX.00.00.0000000P0 34.7315 4 76120TCCinematic x-rays A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7612026Cinematic x-rays A 0.38 0.18 0.13 0.17 0.18 0.13 0.17 0.02 0.53 0.57 0.53 0.57 1XXX.00.00.0000000P0 34.7315 4 76125 Cinematic x-rays add-on A 0.27 0.94 0.90 0.93 0.94 0.90 0.93 0.06 1.23 1.26 1.23 1.26 1ZZZ.00.00.0000000P0 34.7315 4 76125TCCinematic x-rays add-on A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.04 0.86 0.85 0.86 0.85 1ZZZ.00.00.0000000P0 34.7315 4 7612526Cinematic x-rays add-on A 0.27 0.13 0.08 0.12 0.13 0.08 0.12 0.02 0.37 0.41 0.37 0.41 1ZZZ.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 76150 X-ray exam, dry process A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 3XXX.00.00.0000000P0 34.7315 4 76350 Special x-ray contrast study C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 76355 CAT scan for localization A 1.21 9.12 8.89 9.07 9.12 8.89 9.07 0.44 10.54 10.72 10.54 10.72 1XXX.00.00.0000000P0 34.7315 4 76355TCCAT scan for localization A 0.00 8.54 8.56 8.55 8.54 8.56 8.55 0.38 8.94 8.93 8.94 8.93 1XXX.00.00.0000000P0 34.7315 4 7635526CAT scan for localization A 1.21 0.58 0.33 0.52 0.58 0.33 0.52 0.06 1.60 1.79 1.60 1.79 1XXX.00.00.0000000P0 34.7315 4 76360 CAT scan for needle biopsy A 1.16 9.08 8.87 9.03 9.08 8.87 9.03 0.44 10.47 10.63 10.47 10.63 1XXX.00.00.0000000P0 34.7315 4 76360TCCAT scan for needle biopsy A 0.00 8.54 8.56 8.55 8.54 8.56 8.55 0.38 8.94 8.93 8.94 8.93 1XXX.00.00.0000000P0 34.7315 4 7636026CAT scan for needle biopsy A 1.16 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.53 1.70 1.53 1.70 1XXX.00.00.0000000P0 34.7315 4 76365 CAT scan for cyst aspiration A 1.16 9.08 8.87 9.03 9.08 8.87 9.03 0.44 10.47 10.63 10.47 10.63 1XXX.00.00.0000000P0 34.7315 4 76365TCCAT scan for cyst aspiration A 0.00 8.54 8.56 8.55 8.54 8.56 8.55 0.38 8.94 8.93 8.94 8.93 1XXX.00.00.0000000P0 34.7315 4 7636526CAT scan for cyst aspiration A 1.16 0.54 0.31 0.48 0.54 0.31 0.48 0.06 1.53 1.70 1.53 1.70 1XXX.00.00.0000000P0 34.7315 4 76370 CAT scan for therapy guide A 0.85 3.46 3.29 3.42 3.46 3.29 3.42 0.19 4.33 4.46 4.33 4.46 1XXX.00.00.0000000P0 34.7315 4 76370TCCAT scan for therapy guide A 0.00 3.05 3.06 3.05 3.05 3.06 3.05 0.14 3.20 3.19 3.20 3.19 1XXX.00.00.0000000P0 34.7315 4 7637026CAT scan for therapy guide A 0.85 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.13 1.27 1.13 1.27 1XXX.00.00.0000000P0 34.7315 4 76375 3d/holograph reconstr add-on A 0.16 3.74 3.72 3.74 3.74 3.72 3.74 0.17 4.05 4.07 4.05 4.07 1XXX.00.00.0000000P0 34.7315 4 76375TC3d/holograph reconstr add-on A 0.00 3.66 3.68 3.67 3.66 3.68 3.67 0.16 3.84 3.83 3.84 3.83 1XXX.00.00.0000000P0 34.7315 4 76375263d/holograph reconstr add-on A 0.16 0.08 0.04 0.07 0.08 0.04 0.07 0.01 0.21 0.24 0.21 0.24 1XXX.00.00.0000000P0 34.7315 4 76380 CAT scan follow-up study A 0.98 4.10 3.90 4.06 4.10 3.90 4.06 0.21 5.09 5.25 5.09 5.25 1XXX.00.00.0000000P0 34.7315 4 76380TCCAT scan follow-up study A 0.00 3.62 3.64 3.63 3.62 3.64 3.63 0.16 3.80 3.79 3.80 3.79 1XXX.00.00.0000000P0 34.7315 4 7638026CAT scan follow-up study A 0.98 0.48 0.26 0.43 0.48 0.26 0.43 0.05 1.29 1.46 1.29 1.46 1XXX.00.00.0000000P0 34.7315 4 76390 Mr spectroscopy A 1.40 12.31 12.16 12.27 12.31 12.16 12.27 0.60 14.16 14.27 14.16 14.27 1XXX.00.00.0000000P0 34.7315 4 76390TCMr spectroscopy A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7639026Mr spectroscopy A 1.40 0.72 0.53 0.67 0.72 0.53 0.67 0.08 2.01 2.15 2.01 2.15 1XXX.00.00.0000000P0 34.7315 4 76400 Magnetic image, bone marrow A 1.60 12.37 12.05 12.29 12.37 12.05 12.29 0.61 14.26 14.50 14.26 14.50 1XXX.00.00.0000000P0 34.7315 4 76400TCMagnetic image, bone marrow A 0.00 11.59 11.63 11.60 11.59 11.63 11.60 0.52 12.15 12.12 12.15 12.12 1XXX.00.00.0000000P0 34.7315 4 7640026Magnetic image, bone marrow A 1.60 0.78 0.42 0.69 0.78 0.42 0.69 0.09 2.11 2.38 2.11 2.38 1XXX.00.00.0000000P0 34.7315 4 76499 Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 76506 Echo exam of head A 0.63 1.78 1.69 1.76 1.78 1.69 1.76 0.10 2.42 2.49 2.42 2.49 1XXX.00.00.0000000P0 34.7315 4 76506TCEcho exam of head A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7650626Echo exam of head A 0.63 0.31 0.22 0.29 0.31 0.22 0.29 0.03 0.88 0.95 0.88 0.95 1XXX.00.00.0000000P0 34.7315 4 76511 Echo exam of eye A 0.94 1.56 1.70 1.59 1.56 1.70 1.59 0.09 2.73 2.62 2.73 2.62 1XXX.00.00.0003000P0 34.7315 4 76511TCEcho exam of eye A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.06 1.36 1.35 1.36 1.35 1XXX.00.00.0003000P0 34.7315 4 7651126Echo exam of eye A 0.94 0.27 0.40 0.30 0.27 0.40 0.30 0.03 1.37 1.27 1.37 1.27 1XXX.00.00.0003000P0 34.7315 4 76512 Echo exam of eye A 0.66 1.90 1.90 1.90 1.90 1.90 1.90 0.12 2.68 2.68 2.68 2.68 1XXX.00.00.0003000P0 34.7315 4 76512TCEcho exam of eye A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0003000P0 34.7315 4 7651226Echo exam of eye A 0.66 0.33 0.32 0.33 0.33 0.32 0.33 0.04 1.02 1.03 1.02 1.03 1XXX.00.00.0003000P0 34.7315 4 76513 Echo exam of eye, water bath A 0.66 1.90 1.89 1.90 1.90 1.89 1.90 0.12 2.67 2.68 2.67 2.68 1XXX.00.00.0003000P0 34.7315 4 76513TCEcho exam of eye, water bath A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0003000P0 34.7315 4 7651326Echo exam of eye, water bath A 0.66 0.33 0.31 0.33 0.33 0.31 0.33 0.04 1.01 1.03 1.01 1.03 1XXX.00.00.0003000P0 34.7315 4 76516 Echo exam of eye A 0.54 1.56 1.56 1.56 1.56 1.56 1.56 0.09 2.19 2.19 2.19 2.19 1XXX.00.00.0002000P0 34.7315 4 76516TCEcho exam of eye A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.06 1.36 1.35 1.36 1.35 1XXX.00.00.0002000P0 34.7315 4 7651626Echo exam of eye A 0.54 0.27 0.26 0.27 0.27 0.26 0.27 0.03 0.83 0.84 0.83 0.84 1XXX.00.00.0002000P0 34.7315 4 76519 Echo exam of eye A 0.54 1.56 1.57 1.56 1.56 1.57 1.56 0.09 2.20 2.19 2.20 2.19 1XXX.00.00.0002000P0 34.7315 4 76519TCEcho exam of eye A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.06 1.36 1.35 1.36 1.35 1XXX.00.00.0002000P0 34.7315 4 7651926Echo exam of eye A 0.54 0.27 0.27 0.27 0.27 0.27 0.27 0.03 0.84 0.84 0.84 0.84 1XXX.00.00.0003000P0 34.7315 4 76529 Echo exam of eye A 0.57 1.69 1.67 1.68 1.69 1.67 1.68 0.10 2.34 2.35 2.34 2.35 1XXX.00.00.0003000P0 34.7315 4 76529TCEcho exam of eye A 0.00 1.41 1.42 1.41 1.41 1.42 1.41 0.07 1.49 1.48 1.49 1.48 1XXX.00.00.0003000P0 34.7315 4 7652926Echo exam of eye A 0.57 0.28 0.25 0.27 0.28 0.25 0.27 0.03 0.85 0.87 0.85 0.87 1XXX.00.00.0003000P0 34.7315 4 76536 Echo exam of head and neck A 0.56 1.75 1.62 1.72 1.75 1.62 1.72 0.10 2.28 2.38 2.28 2.38 1XXX.00.00.0000000P0 34.7315 4 76536TCEcho exam of head and neck A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7653626Echo exam of head and neck A 0.56 0.28 0.15 0.25 0.28 0.15 0.25 0.03 0.74 0.84 0.74 0.84 1XXX.00.00.0000000P0 34.7315 4 76604 Echo exam of chest A 0.55 1.63 1.49 1.60 1.63 1.49 1.60 0.09 2.13 2.24 2.13 2.24 1XXX.00.00.0000000P0 34.7315 4 76604TCEcho exam of chest A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7660426Echo exam of chest A 0.55 0.28 0.15 0.25 0.28 0.15 0.25 0.03 0.73 0.83 0.73 0.83 1XXX.00.00.0000000P0 34.7315 4 76645 Echo exam of breast A 0.54 1.36 1.22 1.33 1.36 1.22 1.33 0.08 1.84 1.95 1.84 1.95 1XXX.00.00.0002000P0 34.7315 4 76645TCEcho exam of breast A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0002000P0 34.7315 4 7664526Echo exam of breast A 0.54 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.71 0.81 0.71 0.81 1XXX.00.00.0002000P0 34.7315 4 76700 Echo exam of abdomen A 0.81 2.44 2.27 2.40 2.44 2.27 2.40 0.13 3.21 3.34 3.21 3.34 1XXX.00.00.0000000P0 34.7315 4 76700TCEcho exam of abdomen A 0.00 2.04 2.05 2.04 2.04 2.05 2.04 0.09 2.14 2.13 2.14 2.13 1XXX.00.00.0000000P0 34.7315 4 7670026Echo exam of abdomen A 0.81 0.40 0.22 0.36 0.40 0.22 0.36 0.04 1.07 1.21 1.07 1.21 1XXX.00.00.0000000P0 34.7315 4 76705 Echo exam of abdomen A 0.59 1.76 1.62 1.73 1.76 1.62 1.73 0.10 2.31 2.42 2.31 2.42 1XXX.00.00.0000000P0 34.7315 4 76705TCEcho exam of abdomen A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7670526Echo exam of abdomen A 0.59 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.77 0.88 0.77 0.88 1XXX.00.00.0000000P0 34.7315 4 76770 Echo exam abdomen back wall A 0.74 2.41 2.25 2.37 2.41 2.25 2.37 0.13 3.12 3.24 3.12 3.24 1XXX.00.00.0000000P0 34.7315 4 76770TCEcho exam abdomen back wall A 0.00 2.04 2.05 2.04 2.04 2.05 2.04 0.09 2.14 2.13 2.14 2.13 1XXX.00.00.0000000P0 34.7315 4 7677026Echo exam abdomen back wall A 0.74 0.37 0.20 0.33 0.37 0.20 0.33 0.04 0.98 1.11 0.98 1.11 1XXX.00.00.0000000P0 34.7315 4 76775 Echo exam abdomen back wall A 0.58 1.76 1.62 1.73 1.76 1.62 1.73 0.10 2.30 2.41 2.30 2.41 1XXX.00.00.0000000P0 34.7315 4 76775TCEcho exam abdomen back wall A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7677526Echo exam abdomen back wall A 0.58 0.29 0.15 0.26 0.29 0.15 0.26 0.03 0.76 0.87 0.76 0.87 1XXX.00.00.0000000P0 34.7315 4 76778 Echo exam kidney transplant A 0.74 2.41 2.25 2.37 2.41 2.25 2.37 0.13 3.12 3.24 3.12 3.24 1XXX.00.00.0000000P0 34.7315 4 76778TCEcho exam kidney transplant A 0.00 2.04 2.05 2.04 2.04 2.05 2.04 0.09 2.14 2.13 2.14 2.13 1XXX.00.00.0000000P0 34.7315 4 7677826Echo exam kidney transplant A 0.74 0.37 0.20 0.33 0.37 0.20 0.33 0.04 0.98 1.11 0.98 1.11 1XXX.00.00.0000000P0 34.7315 4 76800 Echo exam spinal canal A 1.13 2.01 1.79 1.96 2.01 1.79 1.96 0.13 3.05 3.22 3.05 3.22 1XXX.00.00.0000000P0 34.7315 4 76800TCEcho exam spinal canal A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7680026Echo exam spinal canal A 1.13 0.54 0.32 0.49 0.54 0.32 0.49 0.06 1.51 1.68 1.51 1.68 1XXX.00.00.0000000P0 34.7315 4 76805 Echo exam of pregnant uterus A 0.99 2.66 2.47 2.61 2.66 2.47 2.61 0.15 3.61 3.75 3.61 3.75 1XXX.00.00.0000000P0 34.7315 4 76805TCEcho exam of pregnant uterus A 0.00 2.17 2.18 2.17 2.17 2.18 2.17 0.10 2.28 2.27 2.28 2.27 1XXX.00.00.0000000P0 34.7315 4 7680526Echo exam of pregnant uterus A 0.99 0.49 0.29 0.44 0.49 0.29 0.44 0.05 1.33 1.48 1.33 1.48 1XXX.00.00.0000000P0 34.7315 4 76810 Echo exam of pregnant uterus A 1.97 5.30 4.94 5.21 5.30 4.94 5.21 0.30 7.21 7.48 7.21 7.48 1XXX.00.00.0000000P0 34.7315 4 76810TCEcho exam of pregnant uterus A 0.00 4.34 4.35 4.34 4.34 4.35 4.34 0.20 4.55 4.54 4.55 4.54 1XXX.00.00.0000000P0 34.7315 4 7681026Echo exam of pregnant uterus A 1.97 0.96 0.59 0.87 0.96 0.59 0.87 0.10 2.66 2.94 2.66 2.94 1XXX.00.00.0000000P0 34.7315 4 76815 Echo exam of pregnant uterus A 0.65 1.80 1.67 1.77 1.80 1.67 1.77 0.10 2.42 2.52 2.42 2.52 1XXX.00.00.0000000P0 34.7315 4 76815TCEcho exam of pregnant uterus A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7681526Echo exam of pregnant uterus A 0.65 0.33 0.20 0.30 0.33 0.20 0.30 0.03 0.88 0.98 0.88 0.98 1XXX.00.00.0000000P0 34.7315 4 76816 Echo exam followup or repeat A 0.57 1.43 1.35 1.41 1.43 1.35 1.41 0.08 2.00 2.06 2.00 2.06 1XXX.00.00.0000000P0 34.7315 4 76816TCEcho exam followup or repeat A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.05 1.21 1.20 1.21 1.20 1XXX.00.00.0000000P0 34.7315 4 7681626Echo exam followup or repeat A 0.57 0.28 0.19 0.26 0.28 0.19 0.26 0.03 0.79 0.86 0.79 0.86 1XXX.00.00.0000000P0 34.7315 4 76818 Fetal biophysical profile A 0.77 2.05 1.93 2.02 2.05 1.93 2.02 0.12 2.82 2.91 2.82 2.91 1XXX.00.00.0000000P0 34.7315 4 76818TCFetal biophysical profile A 0.00 1.67 1.67 1.67 1.67 1.67 1.67 0.08 1.75 1.75 1.75 1.75 1XXX.00.00.0000000P0 34.7315 4 7681826Fetal biophysical profile A 0.77 0.38 0.26 0.35 0.38 0.26 0.35 0.04 1.07 1.16 1.07 1.16 1XXX.00.00.0000000P0 34.7315 4 76825 Echo exam of fetal heart A 1.67 2.42 2.64 2.47 2.42 2.64 2.47 0.13 4.44 4.27 4.44 4.27 1XXX.00.00.0000000P0 34.7315 4 76825TCEcho exam of fetal heart A 0.00 2.04 2.05 2.04 2.04 2.05 2.04 0.09 2.14 2.13 2.14 2.13 1XXX.00.00.0000000P0 34.7315 4 7682526Echo exam of fetal heart A 1.67 0.38 0.59 0.43 0.38 0.59 0.43 0.04 2.30 2.14 2.30 2.14 1XXX.00.00.0000000P0 34.7315 4 76826 Echo exam of fetal heart A 0.83 1.47 1.00 1.35 1.47 1.00 1.35 0.08 1.91 2.26 1.91 2.26 1XXX.00.00.0000000P0 34.7315 4 76826TCEcho exam of fetal heart A 0.00 0.73 0.73 0.73 0.73 0.73 0.73 0.04 0.77 0.77 0.77 0.77 1XXX.00.00.0000000P0 34.7315 4 7682626Echo exam of fetal heart A 0.83 0.74 0.27 0.62 0.74 0.27 0.62 0.04 1.14 1.49 1.14 1.49 1XXX.00.00.0000000P0 34.7315 4 76827 Echo exam of fetal heart A 0.58 2.47 2.00 2.35 2.47 2.00 2.35 0.14 2.72 3.07 2.72 3.07 1XXX.00.00.0000000P0 34.7315 4 76827TCEcho exam of fetal heart A 0.00 1.78 1.79 1.78 1.78 1.79 1.78 0.10 1.89 1.88 1.89 1.88 1XXX.00.00.0000000P0 34.7315 4 7682726Echo exam of fetal heart A 0.58 0.69 0.21 0.57 0.69 0.21 0.57 0.04 0.83 1.19 0.83 1.19 1XXX.00.00.0000000P0 34.7315 4 76828 Echo exam of fetal heart A 0.56 1.45 1.37 1.43 1.45 1.37 1.43 0.09 2.02 2.08 2.02 2.08 1XXX.00.00.0000000P0 34.7315 4 76828TCEcho exam of fetal heart A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.07 1.23 1.22 1.23 1.22 1XXX.00.00.0000000P0 34.7315 4 7682826Echo exam of fetal heart A 0.56 0.30 0.21 0.28 0.30 0.21 0.28 0.02 0.79 0.86 0.79 0.86 1XXX.00.00.0000000P0 34.7315 4 76830 Echo exam, transvaginal A 0.69 1.92 1.77 1.88 1.92 1.77 1.88 0.12 2.58 2.69 2.58 2.69 1XXX.00.00.0000000P0 34.7315 4 76830TCEcho exam, transvaginal A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7683026Echo exam, transvaginal A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 76831 Echo exam, uterus A 0.72 1.92 1.78 1.88 1.92 1.78 1.88 0.12 2.62 2.72 2.62 2.72 1XXX.00.00.0000000P0 34.7315 4 76831TCEcho exam, uterus A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7683126Echo exam, uterus A 0.72 0.35 0.20 0.31 0.35 0.20 0.31 0.04 0.96 1.07 0.96 1.07 1XXX.00.00.0000000P0 34.7315 4 76856 Echo exam of pelvis A 0.69 1.92 1.77 1.88 1.92 1.77 1.88 0.12 2.58 2.69 2.58 2.69 1XXX.00.00.0000000P0 34.7315 4 76856TCEcho exam of pelvis A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7685626Echo exam of pelvis A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 76857 Echo exam of pelvis A 0.38 1.27 1.19 1.25 1.27 1.19 1.25 0.07 1.64 1.70 1.64 1.70 1XXX.00.00.0000000P0 34.7315 4 76857TCEcho exam of pelvis A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7685726Echo exam of pelvis A 0.38 0.18 0.11 0.16 0.18 0.11 0.16 0.02 0.51 0.56 0.51 0.56 1XXX.00.00.0000000P0 34.7315 4 76870 Echo exam of scrotum A 0.64 1.88 1.76 1.85 1.88 1.76 1.85 0.11 2.51 2.60 2.51 2.60 1XXX.00.00.0000000P0 34.7315 4 76870TCEcho exam of scrotum A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7687026Echo exam of scrotum A 0.64 0.31 0.18 0.28 0.31 0.18 0.28 0.03 0.85 0.95 0.85 0.95 1XXX.00.00.0000000P0 34.7315 4 76872 Echo exam, transrectal A 0.69 1.92 1.79 1.89 1.92 1.79 1.89 0.12 2.60 2.70 2.60 2.70 1XXX.00.00.0000000P0 34.7315 4 76872TCEcho exam, transrectal A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7687226Echo exam, transrectal A 0.69 0.35 0.21 0.32 0.35 0.21 0.32 0.04 0.94 1.05 0.94 1.05 1XXX.00.00.0000000P0 34.7315 4 76880 Echo exam of extremity A 0.59 1.76 1.64 1.73 1.76 1.64 1.73 0.10 2.33 2.42 2.33 2.42 1XXX.00.00.0000000P0 34.7315 4 76880TCEcho exam of extremity A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7688026Echo exam of extremity A 0.59 0.29 0.17 0.26 0.29 0.17 0.26 0.03 0.79 0.88 0.79 0.88 1XXX.00.00.0000000P0 34.7315 4 76885 Echo exam, infant hips A 0.74 1.92 1.78 1.88 1.92 1.78 1.88 0.12 2.64 2.74 2.64 2.74 1XXX.00.00.0000000P0 34.7315 4 76885TCEcho exam, infant hips A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7688526Echo exam, infant hips A 0.74 0.35 0.20 0.31 0.35 0.20 0.31 0.04 0.98 1.09 0.98 1.09 1XXX.00.00.0000000P0 34.7315 4 76886 Echo exam, infant hips A 0.62 1.76 1.64 1.73 1.76 1.64 1.73 0.10 2.36 2.45 2.36 2.45 1XXX.00.00.0000000P0 34.7315 4 76886TCEcho exam, infant hips A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.07 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 34.7315 4 7688626Echo exam, infant hips A 0.62 0.29 0.17 0.26 0.29 0.17 0.26 0.03 0.82 0.91 0.82 0.91 1XXX.00.00.0000000P0 34.7315 4 76930 Echo guide for heart sac tap A 0.67 1.91 1.83 1.89 1.91 1.83 1.89 0.12 2.62 2.68 2.62 2.68 1XXX.00.00.0000000P0 34.7315 4 76930TCEcho guide for heart sac tap A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7693026Echo guide for heart sac tap A 0.67 0.34 0.25 0.32 0.34 0.25 0.32 0.04 0.96 1.03 0.96 1.03 1XXX.00.00.0000000P0 34.7315 4 76932 Echo guide for heart biopsy A 0.67 1.91 1.84 1.89 1.91 1.84 1.89 0.12 2.63 2.68 2.63 2.68 1XXX.00.00.0000000P0 34.7315 4 76932TCEcho guide for heart biopsy A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7693226Echo guide for heart biopsy A 0.67 0.34 0.26 0.32 0.34 0.26 0.32 0.04 0.97 1.03 0.97 1.03 1XXX.00.00.0000000P0 34.7315 4 76934 Echo guide for chest tap A 0.67 1.91 1.76 1.87 1.91 1.76 1.87 0.12 2.55 2.66 2.55 2.66 1XXX.00.00.0000000P0 34.7315 4 76934TCEcho guide for chest tap A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7693426Echo guide for chest tap A 0.67 0.34 0.18 0.30 0.34 0.18 0.30 0.04 0.89 1.01 0.89 1.01 1XXX.00.00.0000000P0 34.7315 4 76936 Echo guide for artery repair A 1.99 7.86 7.12 7.68 7.86 7.12 7.68 0.38 9.49 10.05 9.49 10.05 1XXX.00.00.0000000P0 34.7315 4 76936TCEcho guide for artery repair A 0.00 6.51 6.53 6.52 6.51 6.53 6.52 0.30 6.83 6.82 6.83 6.82 1XXX.00.00.0000000P0 34.7315 4 7693626Echo guide for artery repair A 1.99 1.35 0.59 1.16 1.35 0.59 1.16 0.08 2.66 3.23 2.66 3.23 1XXX.00.00.0000000P0 34.7315 4 76938 Echo exam for drainage A 0.67 1.91 1.76 1.87 1.91 1.76 1.87 0.12 2.55 2.66 2.55 2.66 1XXX.00.00.0000000P0 34.7315 4 76938TCEcho exam for drainage A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7693826Echo exam for drainage A 0.67 0.34 0.18 0.30 0.34 0.18 0.30 0.04 0.89 1.01 0.89 1.01 1XXX.00.00.0000000P0 34.7315 4 76941 Echo guide for transfusion A 1.34 2.24 1.98 2.17 2.24 1.98 2.17 0.15 3.47 3.66 3.47 3.66 1XXX.00.00.0000000P0 34.7315 4 76941TCEcho guide for transfusion A 0.00 1.58 1.59 1.58 1.58 1.59 1.58 0.07 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7694126Echo guide for transfusion A 1.34 0.66 0.39 0.59 0.66 0.39 0.59 0.08 1.81 2.01 1.81 2.01 1XXX.00.00.0000000P0 34.7315 4 76942 Echo guide for biopsy A 0.67 1.91 1.78 1.88 1.91 1.78 1.88 0.12 2.57 2.67 2.57 2.67 1XXX.00.00.0000000P0 34.7315 4 76942TCEcho guide for biopsy A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7694226Echo guide for biopsy A 0.67 0.34 0.20 0.31 0.34 0.20 0.31 0.04 0.91 1.02 0.91 1.02 1XXX.00.00.0000000P0 34.7315 4 76945 Echo guide, villus sampling A 0.67 2.24 1.78 2.12 2.24 1.78 2.12 0.15 2.60 2.94 2.60 2.94 1XXX.00.00.0000000P0 34.7315 4 76945TCEcho guide, villus sampling A 0.00 1.58 1.59 1.58 1.58 1.59 1.58 0.07 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7694526Echo guide, villus sampling A 0.67 0.66 0.19 0.54 0.66 0.19 0.54 0.08 0.94 1.29 0.94 1.29 1XXX.00.00.0000000P0 34.7315 4 76946 Echo guide for amniocentesis A 0.38 1.75 1.70 1.74 1.75 1.70 1.74 0.10 2.18 2.22 2.18 2.22 1XXX.00.00.0000000P0 34.7315 4 76946TCEcho guide for amniocentesis A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7694626Echo guide for amniocentesis A 0.38 0.18 0.12 0.17 0.18 0.12 0.17 0.02 0.52 0.57 0.52 0.57 1XXX.00.00.0000000P0 34.7315 4 76948 Echo guide, ova aspiration A 0.38 1.75 1.69 1.73 1.75 1.69 1.73 0.10 2.17 2.21 2.17 2.21 1XXX.00.00.0000000P0 34.7315 4 76948TCEcho guide, ova aspiration A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7694826Echo guide, ova aspiration A 0.38 0.18 0.11 0.16 0.18 0.11 0.16 0.02 0.51 0.56 0.51 0.56 1XXX.00.00.0000000P0 34.7315 4 76950 Echo guidance radiotherapy A 0.58 1.64 1.52 1.61 1.64 1.52 1.61 0.09 2.19 2.28 2.19 2.28 1XXX.00.00.0000000P0 34.7315 4 76950TCEcho guidance radiotherapy A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7695026Echo guidance radiotherapy A 0.58 0.29 0.18 0.26 0.29 0.18 0.26 0.03 0.79 0.87 0.79 0.87 1XXX.00.00.0000000P0 34.7315 4 76960 Echo guidance radiotherapy A 0.58 1.64 1.52 1.61 1.64 1.52 1.61 0.09 2.19 2.28 2.19 2.28 1XXX.00.00.0000000P0 34.7315 4 76960TCEcho guidance radiotherapy A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7696026Echo guidance radiotherapy A 0.58 0.29 0.18 0.26 0.29 0.18 0.26 0.03 0.79 0.87 0.79 0.87 1XXX.00.00.0000000P0 34.7315 4 76965 Echo guidance radiotherapy A 1.34 7.36 6.20 7.08 7.36 6.20 7.08 0.41 7.95 8.83 7.95 8.83 1XXX.00.00.0000000P0 34.7315 4 76965TCEcho guidance radiotherapy A 0.00 5.76 5.78 5.77 5.76 5.78 5.77 0.26 6.04 6.03 6.04 6.03 1XXX.00.00.0000000P0 34.7315 4 7696526Echo guidance radiotherapy A 1.34 1.60 0.42 1.31 1.60 0.42 1.31 0.15 1.91 2.80 1.91 2.80 1XXX.00.00.0000000P0 34.7315 4 76970 Ultrasound exam follow-up A 0.40 1.29 1.19 1.27 1.29 1.19 1.27 0.07 1.66 1.74 1.66 1.74 1XXX.00.00.0000000P0 34.7315 4 76970TCUltrasound exam follow-up A 0.00 1.09 1.08 1.09 1.09 1.08 1.09 0.05 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 34.7315 4 7697026Ultrasound exam follow-up A 0.40 0.20 0.11 0.18 0.20 0.11 0.18 0.02 0.53 0.60 0.53 0.60 1XXX.00.00.0000000P0 34.7315 4 76975 GI endoscopic ultrasound A 0.81 1.94 1.84 1.91 1.94 1.84 1.91 0.12 2.77 2.84 2.77 2.84 1XXX.00.00.0000000P0 34.7315 4 76975TCGI endoscopic ultrasound A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.08 1.66 1.65 1.66 1.65 1XXX.00.00.0000000P0 34.7315 4 7697526GI endoscopic ultrasound A 0.81 0.37 0.26 0.34 0.37 0.26 0.34 0.04 1.11 1.19 1.11 1.19 1XXX.00.00.0000000P0 34.7315 4 76977 Us bone density measure A 0.05 0.00 0.94 0.94 0.00 0.94 0.94 0.06 1.05 1.05 1.05 1.05 1XXX.00.00.0000000P0 34.7315 5 76977TCUs bone density measure A 0.00 0.00 0.86 0.86 0.00 0.86 0.86 0.04 0.90 0.90 0.90 0.90 1XXX.00.00.0000000P0 34.7315 5 7697726Us bone density measure A 0.05 0.00 0.08 0.08 0.00 0.08 0.08 0.02 0.15 0.15 0.15 0.15 1XXX.00.00.0000000P0 34.7315 5 76986 Echo exam at surgery A 1.20 3.29 3.09 3.25 3.29 3.09 3.25 0.19 4.48 4.64 4.48 4.64 1XXX.00.00.0000000P0 34.7315 4 76986TCEcho exam at surgery A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7698626Echo exam at surgery A 1.20 0.58 0.36 0.53 0.58 0.36 0.53 0.06 1.62 1.79 1.62 1.79 1XXX.00.00.0000000P0 34.7315 4 76999 Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 76999TCEcho examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77261 Radiation therapy planning A 1.39 0.67 0.45 0.62 0.67 0.45 0.62 0.07 1.91 2.08 1.91 2.08 2XXX.00.00.0000000P0 34.7315 4 77262 Radiation therapy planning A 2.11 1.02 0.68 0.94 1.02 0.68 0.94 0.11 2.90 3.16 2.90 3.16 2XXX.00.00.0000000P0 34.7315 4 77263 Radiation therapy planning A 3.14 1.52 0.99 1.39 1.52 0.99 1.39 0.16 4.29 4.69 4.29 4.69 2XXX.00.00.0000000P0 34.7315 4 77280 Set radiation therapy field A 0.70 3.94 3.81 3.91 3.94 3.81 3.91 0.20 4.71 4.81 4.71 4.81 1XXX.00.00.0000000P0 34.7315 4 77280TCSet radiation therapy field A 0.00 3.59 3.61 3.60 3.59 3.61 3.60 0.16 3.77 3.76 3.77 3.76 1XXX.00.00.0000000P0 34.7315 4 7728026Set radiation therapy field A 0.70 0.35 0.20 0.31 0.35 0.20 0.31 0.04 0.94 1.05 0.94 1.05 1XXX.00.00.0000000P0 34.7315 4 77285 Set radiation therapy field A 1.05 6.26 6.07 6.22 6.26 6.07 6.22 0.32 7.44 7.59 7.44 7.59 1XXX.00.00.0000000P0 34.7315 4 77285TCSet radiation therapy field A 0.00 5.76 5.78 5.77 5.76 5.78 5.77 0.27 6.05 6.04 6.05 6.04 1XXX.00.00.0000000P0 34.7315 4 7728526Set radiation therapy field A 1.05 0.50 0.29 0.45 0.50 0.29 0.45 0.05 1.39 1.55 1.39 1.55 1XXX.00.00.0000000P0 34.7315 4 77290 Set radiation therapy field A 1.56 7.49 7.18 7.42 7.49 7.18 7.42 0.40 9.14 9.38 9.14 9.38 1XXX.00.00.0000000P0 34.7315 4 77290TCSet radiation therapy field A 0.00 6.73 6.75 6.74 6.73 6.75 6.74 0.31 7.06 7.05 7.06 7.05 1XXX.00.00.0000000P0 34.7315 4 7729026Set radiation therapy field A 1.56 0.76 0.43 0.68 0.76 0.43 0.68 0.09 2.08 2.33 2.08 2.33 1XXX.00.00.0000000P0 34.7315 4 77295 Set radiation therapy field A 4.57 31.13 30.25 30.91 31.13 30.25 30.91 1.51 36.33 36.99 36.33 36.99 1XXX.00.00.0000000P0 34.7315 4 77295TCSet radiation therapy field A 0.00 28.89 28.98 28.91 28.89 28.98 28.91 1.33 30.31 30.24 30.31 30.24 1XXX.00.00.0000000P0 34.7315 4 7729526Set radiation therapy field A 4.57 2.24 1.27 2.00 2.24 1.27 2.00 0.18 6.02 6.75 6.02 6.75 1XXX.00.00.0000000P0 34.7315 4 77299 Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77299TCRadiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7729926Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77300 Radiation therapy dose plan A 0.62 1.69 1.57 1.66 1.69 1.57 1.66 0.09 2.28 2.37 2.28 2.37 1XXX.00.00.0000000P0 34.7315 4 77300TCRadiation therapy dose plan A 0.00 1.39 1.39 1.39 1.39 1.39 1.39 0.06 1.45 1.45 1.45 1.45 1XXX.00.00.0000000P0 34.7315 4 7730026Radiation therapy dose plan A 0.62 0.30 0.18 0.27 0.30 0.18 0.27 0.03 0.83 0.92 0.83 0.92 1XXX.00.00.0000000P0 34.7315 4 77305 Radiation therapy dose plan A 0.70 2.27 2.13 2.23 2.27 2.13 2.23 0.13 2.96 3.06 2.96 3.06 1XXX.00.00.0000000P0 34.7315 4 77305TCRadiation therapy dose plan A 0.00 1.92 1.93 1.92 1.92 1.93 1.92 0.09 2.02 2.01 2.02 2.01 1XXX.00.00.0000000P0 34.7315 4 7730526Radiation therapy dose plan A 0.70 0.35 0.20 0.31 0.35 0.20 0.31 0.04 0.94 1.05 0.94 1.05 1XXX.00.00.0000000P0 34.7315 4 77310 Radiation therapy dose plan A 1.05 2.91 2.71 2.86 2.91 2.71 2.86 0.17 3.93 4.08 3.93 4.08 1XXX.00.00.0000000P0 34.7315 4 77310TCRadiation therapy dose plan A 0.00 2.41 2.42 2.41 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 1XXX.00.00.0000000P0 34.7315 4 7731026Radiation therapy dose plan A 1.05 0.50 0.29 0.45 0.50 0.29 0.45 0.05 1.39 1.55 1.39 1.55 1XXX.00.00.0000000P0 34.7315 4 77315 Radiation therapy dose plan A 1.56 3.51 3.19 3.43 3.51 3.19 3.43 0.22 4.97 5.21 4.97 5.21 1XXX.00.00.0000000P0 34.7315 4 77315TCRadiation therapy dose plan A 0.00 2.75 2.76 2.75 2.75 2.76 2.75 0.13 2.89 2.88 2.89 2.88 1XXX.00.00.0000000P0 34.7315 4 7731526Radiation therapy dose plan A 1.56 0.76 0.43 0.68 0.76 0.43 0.68 0.09 2.08 2.33 2.08 2.33 1XXX.00.00.0000000P0 34.7315 4 77321 Radiation therapy port plan A 0.95 4.65 4.46 4.60 4.65 4.46 4.60 0.24 5.65 5.79 5.65 5.79 1XXX.00.00.0000000P0 34.7315 4 77321TCRadiation therapy port plan A 0.00 4.18 4.19 4.18 4.18 4.19 4.18 0.19 4.38 4.37 4.38 4.37 1XXX.00.00.0000000P0 34.7315 4 7732126Radiation therapy port plan A 0.95 0.47 0.27 0.42 0.47 0.27 0.42 0.05 1.27 1.42 1.27 1.42 1XXX.00.00.0000000P0 34.7315 4 77326 Radiation therapy dose plan A 0.93 2.90 2.71 2.85 2.90 2.71 2.85 0.17 3.81 3.95 3.81 3.95 1XXX.00.00.0000000P0 34.7315 4 77326TCRadiation therapy dose plan A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.12 2.57 2.56 2.57 2.56 1XXX.00.00.0000000P0 34.7315 4 7732626Radiation therapy dose plan A 0.93 0.46 0.26 0.41 0.46 0.26 0.41 0.05 1.24 1.39 1.24 1.39 1XXX.00.00.0000000P0 34.7315 4 77327 Radiation therapy dose plan A 1.39 4.26 3.99 4.20 4.26 3.99 4.20 0.23 5.61 5.82 5.61 5.82 1XXX.00.00.0000000P0 34.7315 4 77327TCRadiation therapy dose plan A 0.00 3.59 3.61 3.60 3.59 3.61 3.60 0.16 3.77 3.76 3.77 3.76 1XXX.00.00.0000000P0 34.7315 4 7732726Radiation therapy dose plan A 1.39 0.67 0.38 0.60 0.67 0.38 0.60 0.07 1.84 2.06 1.84 2.06 1XXX.00.00.0000000P0 34.7315 4 77328 Radiation therapy dose plan A 2.09 6.14 5.73 6.04 6.14 5.73 6.04 0.34 8.16 8.47 8.16 8.47 1XXX.00.00.0000000P0 34.7315 4 77328TCRadiation therapy dose plan A 0.00 5.13 5.15 5.14 5.13 5.15 5.14 0.23 5.38 5.37 5.38 5.37 1XXX.00.00.0000000P0 34.7315 4 7732826Radiation therapy dose plan A 2.09 1.01 0.58 0.90 1.01 0.58 0.90 0.11 2.78 3.10 2.78 3.10 1XXX.00.00.0000000P0 34.7315 4 77331 Special radiation dosimetry A 0.87 0.94 0.76 0.90 0.94 0.76 0.90 0.07 1.70 1.84 1.70 1.84 1XXX.00.00.0000000P0 34.7315 4 77331TCSpecial radiation dosimetry A 0.00 0.52 0.52 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 7733126Special radiation dosimetry A 0.87 0.42 0.24 0.38 0.42 0.24 0.38 0.05 1.16 1.30 1.16 1.30 1XXX.00.00.0000000P0 34.7315 4 77332 Radiation treatment aid(s) A 0.54 1.66 1.54 1.63 1.66 1.54 1.63 0.09 2.17 2.26 2.17 2.26 1XXX.00.00.0000000P0 34.7315 4 77332TCRadiation treatment aid(s) A 0.00 1.39 1.39 1.39 1.39 1.39 1.39 0.06 1.45 1.45 1.45 1.45 1XXX.00.00.0000000P0 34.7315 4 7733226Radiation treatment aid(s) A 0.54 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.72 0.81 0.72 0.81 1XXX.00.00.0000000P0 34.7315 4 77333 Radiation treatment aid(s) A 0.84 2.37 2.20 2.33 2.37 2.20 2.33 0.14 3.18 3.31 3.18 3.31 1XXX.00.00.0000000P0 34.7315 4 77333TCRadiation treatment aid(s) A 0.00 1.96 1.96 1.96 1.96 1.96 1.96 0.09 2.05 2.05 2.05 2.05 1XXX.00.00.0000000P0 34.7315 4 7733326Radiation treatment aid(s) A 0.84 0.41 0.24 0.37 0.41 0.24 0.37 0.05 1.13 1.26 1.13 1.26 1XXX.00.00.0000000P0 34.7315 4 77334 Radiation treatment aid(s) A 1.24 3.95 3.72 3.90 3.95 3.72 3.90 0.21 5.17 5.35 5.17 5.35 1XXX.00.00.0000000P0 34.7315 4 77334TCRadiation treatment aid(s) A 0.00 3.36 3.38 3.37 3.36 3.38 3.37 0.15 3.53 3.52 3.53 3.52 1XXX.00.00.0000000P0 34.7315 4 7733426Radiation treatment aid(s) A 1.24 0.59 0.34 0.53 0.59 0.34 0.53 0.06 1.64 1.83 1.64 1.83 1XXX.00.00.0000000P0 34.7315 4 77336 Radiation physics consult A 0.00 3.08 3.10 3.09 3.08 3.10 3.09 0.14 3.24 3.23 3.24 3.23 3XXX.00.00.0000000P0 34.7315 4 77370 Radiation physics consult A 0.00 3.61 3.63 3.62 3.61 3.63 3.62 0.16 3.79 3.78 3.79 3.78 3XXX.00.00.0000000P0 34.7315 4 77380 Proton beam delivery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77380TCProton beam delivery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7738026Proton beam delivery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77381 Proton beam treatment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77381TCProton beam treatment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7738126Proton beam treatment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77399 External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77399TCExternal radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7739926External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77401 Radiation treatment delivery A 0.00 1.83 1.84 1.83 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 3XXX.00.00.0000000P0 34.7315 4 77402 Radiation treatment delivery A 0.00 1.83 1.84 1.83 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 3XXX.00.00.0000000P0 34.7315 4 77403 Radiation treatment delivery A 0.00 1.83 1.84 1.83 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 3XXX.00.00.0000000P0 34.7315 4 77404 Radiation treatment delivery A 0.00 1.83 1.84 1.83 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 3XXX.00.00.0000000P0 34.7315 4 77406 Radiation treatment delivery A 0.00 1.83 1.84 1.83 1.83 1.84 1.83 0.09 1.93 1.92 1.93 1.92 3XXX.00.00.0000000P0 34.7315 4 77407 Radiation treatment delivery A 0.00 2.16 2.17 2.16 2.16 2.17 2.16 0.10 2.27 2.26 2.27 2.26 3XXX.00.00.0000000P0 34.7315 4 77408 Radiation treatment delivery A 0.00 2.16 2.17 2.16 2.16 2.17 2.16 0.10 2.27 2.26 2.27 2.26 3XXX.00.00.0000000P0 34.7315 4 77409 Radiation treatment delivery A 0.00 2.16 2.17 2.16 2.16 2.17 2.16 0.10 2.27 2.26 2.27 2.26 3XXX.00.00.0000000P0 34.7315 4 77411 Radiation treatment delivery A 0.00 2.16 2.17 2.16 2.16 2.17 2.16 0.10 2.27 2.26 2.27 2.26 3XXX.00.00.0000000P0 34.7315 4 77412 Radiation treatment delivery A 0.00 2.41 2.42 2.41 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 3XXX.00.00.0000000P0 34.7315 4 77413 Radiation treatment delivery A 0.00 2.41 2.42 2.41 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 3XXX.00.00.0000000P0 34.7315 4 77414 Radiation treatment delivery A 0.00 2.41 2.42 2.41 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 3XXX.00.00.0000000P0 34.7315 4 77416 Radiation treatment delivery A 0.00 2.41 2.42 2.41 2.41 2.42 2.41 0.12 2.54 2.53 2.54 2.53 3XXX.00.00.0000000P0 34.7315 4 77417 Radiology port film(s) A 0.00 0.61 0.61 0.61 0.61 0.61 0.61 0.03 0.64 0.64 0.64 0.64 3XXX.00.00.0000000P0 34.7315 4 77419 Weekly radiation therapy A 3.60 1.75 1.14 1.60 1.75 1.14 1.60 0.18 4.92 5.38 4.92 5.38 2XXX.00.00.0000000P0 34.7315 4 77420 Weekly radiation therapy A 1.61 0.78 0.54 0.72 0.78 0.54 0.72 0.09 2.24 2.42 2.24 2.42 2XXX.00.00.0000000P0 34.7315 4 77425 Weekly radiation therapy A 2.44 1.19 0.79 1.09 1.19 0.79 1.09 0.13 3.36 3.66 3.36 3.66 2XXX.00.00.0000000P0 34.7315 4 77430 Weekly radiation therapy A 3.60 1.75 1.14 1.60 1.75 1.14 1.60 0.18 4.92 5.38 4.92 5.38 2XXX.00.00.0000000P0 34.7315 4 77431 Radiation therapy management A 1.81 0.88 0.62 0.82 0.88 0.62 0.82 0.09 2.52 2.72 2.52 2.72 2XXX.00.00.0000000P0 34.7315 4 77432 Stereotactic radiation trmt A 7.93 5.36 2.56 4.66 5.36 2.56 4.66 0.31 10.80 12.90 10.80 12.90 2XXX.00.00.0000000P0 34.7315 4 77470 Special radiation treatment A 2.09 12.54 12.14 12.44 12.54 12.14 12.44 0.63 14.86 15.16 14.86 15.16 1XXX.00.00.0000000P0 34.7315 4 77470TCSpecial radiation treatment A 0.00 11.53 11.56 11.54 11.53 11.56 11.54 0.52 12.08 12.06 12.08 12.06 1XXX.00.00.0000000P0 34.7315 4 7747026Special radiation treatment A 2.09 1.01 0.58 0.90 1.01 0.58 0.90 0.11 2.78 3.10 2.78 3.10 1XXX.00.00.0000000P0 34.7315 4 77499 Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77499TCRadiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7749926Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77600 Hyperthermia treatment R 1.56 3.91 3.58 3.83 3.91 3.58 3.83 0.23 5.37 5.62 5.37 5.62 1XXX.00.00.0000000P0 34.7315 4 77600TCHyperthermia treatment R 0.00 3.15 3.15 3.15 3.15 3.15 3.15 0.14 3.29 3.29 3.29 3.29 1XXX.00.00.0000000P0 34.7315 4 7760026Hyperthermia treatment R 1.56 0.76 0.43 0.68 0.76 0.43 0.68 0.09 2.08 2.33 2.08 2.33 1XXX.00.00.0000000P0 34.7315 4 77605 Hyperthermia treatment R 2.09 5.21 4.79 5.10 5.21 4.79 5.10 0.31 7.19 7.50 7.19 7.50 1XXX.00.00.0000000P0 34.7315 4 77605TCHyperthermia treatment R 0.00 4.20 4.21 4.20 4.20 4.21 4.20 0.20 4.41 4.40 4.41 4.40 1XXX.00.00.0000000P0 34.7315 4 7760526Hyperthermia treatment R 2.09 1.01 0.58 0.90 1.01 0.58 0.90 0.11 2.78 3.10 2.78 3.10 1XXX.00.00.0000000P0 34.7315 4 77610 Hyperthermia treatment R 1.56 3.91 3.64 3.84 3.91 3.64 3.84 0.23 5.43 5.63 5.43 5.63 1XXX.00.00.0000000P0 34.7315 4 77610TCHyperthermia treatment R 0.00 3.15 3.15 3.15 3.15 3.15 3.15 0.14 3.29 3.29 3.29 3.29 1XXX.00.00.0000000P0 34.7315 4 7761026Hyperthermia treatment R 1.56 0.76 0.49 0.69 0.76 0.49 0.69 0.09 2.14 2.34 2.14 2.34 1XXX.00.00.0000000P0 34.7315 4 77615 Hyperthermia treatment R 2.09 5.21 4.78 5.10 5.21 4.78 5.10 0.31 7.18 7.50 7.18 7.50 1XXX.00.00.0000000P0 34.7315 4 77615TCHyperthermia treatment R 0.00 4.20 4.21 4.20 4.20 4.21 4.20 0.20 4.41 4.40 4.41 4.40 1XXX.00.00.0000000P0 34.7315 4 7761526Hyperthermia treatment R 2.09 1.01 0.57 0.90 1.01 0.57 0.90 0.11 2.77 3.10 2.77 3.10 1XXX.00.00.0000000P0 34.7315 4 77620 Hyperthermia treatment R 1.56 3.91 3.66 3.85 3.91 3.66 3.85 0.23 5.45 5.64 5.45 5.64 1XXX.00.00.0000000P0 34.7315 4 77620TCHyperthermia treatment R 0.00 3.15 3.15 3.15 3.15 3.15 3.15 0.14 3.29 3.29 3.29 3.29 1XXX.00.00.0000000P0 34.7315 4 7762026Hyperthermia treatment R 1.56 0.76 0.51 0.70 0.76 0.51 0.70 0.09 2.16 2.35 2.16 2.35 1XXX.00.00.0000000P0 34.7315 4 77750 Infuse radioactive materials A 4.91 3.60 2.74 3.39 3.60 2.74 3.39 0.29 7.94 8.59 7.94 8.59 1090.00.00.0000000P0 34.7315 4 77750TCInfuse radioactive materials A 0.00 1.38 1.37 1.38 1.38 1.37 1.38 0.06 1.43 1.44 1.43 1.44 1090.00.00.0000000P0 34.7315 4 7775026Infuse radioactive materials A 4.91 2.22 1.37 2.01 2.22 1.37 2.01 0.23 6.51 7.15 6.51 7.15 1090.00.00.0000000P0 34.7315 4 77761 Radioelement application A 3.81 4.32 3.57 4.13 4.32 3.57 4.13 0.31 7.69 8.25 7.69 8.25 1090.00.00.0000000P0 34.7315 4 77761TCRadioelement application A 0.00 2.59 2.60 2.59 2.59 2.60 2.59 0.13 2.73 2.72 2.73 2.72 1090.00.00.0000000P0 34.7315 4 7776126Radioelement application A 3.81 1.73 0.97 1.54 1.73 0.97 1.54 0.18 4.96 5.53 4.96 5.53 1090.00.00.0000000P0 34.7315 4 77762 Radioelement application A 5.72 6.32 5.30 6.06 6.32 5.30 6.06 0.44 11.46 12.22 11.46 12.22 1090.00.00.0000000P0 34.7315 4 77762TCRadioelement application A 0.00 3.73 3.74 3.73 3.73 3.74 3.73 0.17 3.91 3.90 3.91 3.90 1090.00.00.0000000P0 34.7315 4 7776226Radioelement application A 5.72 2.59 1.56 2.33 2.59 1.56 2.33 0.27 7.55 8.32 7.55 8.32 1090.00.00.0000000P0 34.7315 4 77763 Radioelement application A 8.57 8.53 6.94 8.14 8.53 6.94 8.14 0.60 16.11 17.31 16.11 17.31 1090.00.00.0000000P0 34.7315 4 77763TCRadioelement application A 0.00 4.64 4.66 4.65 4.64 4.66 4.65 0.21 4.87 4.86 4.87 4.86 1090.00.00.0000000P0 34.7315 4 7776326Radioelement application A 8.57 3.89 2.28 3.49 3.89 2.28 3.49 0.39 11.24 12.45 11.24 12.45 1090.00.00.0000000P0 34.7315 4 77776 Radioelement application A 4.66 4.52 3.44 4.25 4.52 3.44 4.25 0.35 8.45 9.26 8.45 9.26 1XXX.00.00.0000000P0 34.7315 4 77776TCRadioelement application A 0.00 2.25 2.25 2.25 2.25 2.25 2.25 0.11 2.36 2.36 2.36 2.36 1XXX.00.00.0000000P0 34.7315 4 7777626Radioelement application A 4.66 2.27 1.19 2.00 2.27 1.19 2.00 0.24 6.09 6.90 6.09 6.90 1XXX.00.00.0000020P0 34.7315 4 77777 Radioelement application A 7.48 7.78 6.61 7.49 7.78 6.61 7.49 0.55 14.64 15.52 14.64 15.52 1090.00.00.0000000P0 34.7315 4 77777TCRadioelement application A 0.00 4.38 4.40 4.39 4.38 4.40 4.39 0.20 4.60 4.59 4.60 4.59 1090.00.00.0000000P0 34.7315 4 7777726Radioelement application A 7.48 3.40 2.21 3.10 3.40 2.21 3.10 0.35 10.04 10.93 10.04 10.93 1090.00.00.0000020P0 34.7315 4 77778 Radioelement application A 11.19 10.40 8.48 9.92 10.40 8.48 9.92 0.76 20.43 21.87 20.43 21.87 1090.00.00.0000000P0 34.7315 4 77778TCRadioelement application A 0.00 5.31 5.32 5.31 5.31 5.32 5.31 0.24 5.56 5.55 5.56 5.55 1090.00.00.0000000P0 34.7315 4 7777826Radioelement application A 11.19 5.09 3.16 4.61 5.09 3.16 4.61 0.52 14.87 16.32 14.87 16.32 1090.00.00.0000020P0 34.7315 4 77781 High intensity brachytherapy A 1.66 21.75 21.55 21.71 21.75 21.55 21.71 1.04 24.25 24.41 24.25 24.41 1090.00.00.0000000P0 34.7315 4 77781TCHigh intensity brachytherapy A 0.00 21.00 21.06 21.02 21.00 21.06 21.02 0.95 22.01 21.97 22.01 21.97 1090.00.00.0000000P0 34.7315 4 7778126High intensity brachytherapy A 1.66 0.75 0.49 0.69 0.75 0.49 0.69 0.09 2.24 2.44 2.24 2.44 1090.00.00.0000000P0 34.7315 4 77782 High intensity brachytherapy A 2.49 22.14 21.76 22.05 22.14 21.76 22.05 1.08 25.33 25.62 25.33 25.62 1090.00.00.0000000P0 34.7315 4 77782TCHigh intensity brachytherapy A 0.00 21.00 21.06 21.02 21.00 21.06 21.02 0.95 22.01 21.97 22.01 21.97 1090.00.00.0000000P0 34.7315 4 7778226High intensity brachytherapy A 2.49 1.14 0.70 1.03 1.14 0.70 1.03 0.13 3.32 3.65 3.32 3.65 1090.00.00.0000000P0 34.7315 4 77783 High intensity brachytherapy A 3.73 22.68 22.09 22.54 22.68 22.09 22.54 1.13 26.95 27.40 26.95 27.40 1090.00.00.0000000P0 34.7315 4 77783TCHigh intensity brachytherapy A 0.00 21.00 21.06 21.02 21.00 21.06 21.02 0.95 22.01 21.97 22.01 21.97 1090.00.00.0000000P0 34.7315 4 7778326High intensity brachytherapy A 3.73 1.68 1.03 1.52 1.68 1.03 1.52 0.18 4.94 5.43 4.94 5.43 1090.00.00.0000000P0 34.7315 4 77784 High intensity brachytherapy A 5.61 23.54 22.63 23.32 23.54 22.63 23.32 1.22 29.46 30.15 29.46 30.15 1090.00.00.0000000P0 34.7315 4 77784TCHigh intensity brachytherapy A 0.00 21.00 21.06 21.02 21.00 21.06 21.02 0.95 22.01 21.97 22.01 21.97 1090.00.00.0000000P0 34.7315 4 7778426High intensity brachytherapy A 5.61 2.54 1.57 2.30 2.54 1.57 2.30 0.27 7.45 8.18 7.45 8.18 1090.00.00.0000000P0 34.7315 4 77789 Radioelement application A 1.12 0.97 0.78 0.93 0.97 0.78 0.93 0.07 1.97 2.12 1.97 2.12 1090.00.00.0000000P0 34.7315 4 77789TCRadioelement application A 0.00 0.47 0.46 0.47 0.47 0.46 0.47 0.02 0.48 0.49 0.48 0.49 1090.00.00.0000000P0 34.7315 4 7778926Radioelement application A 1.12 0.50 0.32 0.46 0.50 0.32 0.46 0.05 1.49 1.63 1.49 1.63 1090.00.00.0000000P0 34.7315 4 77790 Radioelement handling A 1.05 1.02 0.81 0.97 1.02 0.81 0.97 0.07 1.93 2.09 1.93 2.09 1XXX.00.00.0000000P0 34.7315 4 77790TCRadioelement handling A 0.00 0.52 0.52 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 7779026Radioelement handling A 1.05 0.50 0.29 0.45 0.50 0.29 0.45 0.05 1.39 1.55 1.39 1.55 1XXX.00.00.0000000P0 34.7315 4 77799 Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 77799TCRadium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7779926Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78000 Thyroid, single uptake A 0.19 1.10 1.05 1.09 1.10 1.05 1.09 0.06 1.30 1.34 1.30 1.34 1XXX.00.00.0000000P0 34.7315 4 78000TCThyroid, single uptake A 0.00 1.00 1.00 1.00 1.00 1.00 1.00 0.05 1.05 1.05 1.05 1.05 1XXX.00.00.0000000P0 34.7315 4 7800026Thyroid, single uptake A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 78001 Thyroid, multiple uptakes A 0.26 1.48 1.41 1.47 1.48 1.41 1.47 0.08 1.75 1.81 1.75 1.81 1XXX.00.00.0000000P0 34.7315 4 78001TCThyroid, multiple uptakes A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7800126Thyroid, multiple uptakes A 0.26 0.13 0.07 0.12 0.13 0.07 0.12 0.02 0.35 0.40 0.35 0.40 1XXX.00.00.0000000P0 34.7315 4 78003 Thyroid suppress/stimul A 0.33 1.16 1.09 1.14 1.16 1.09 1.14 0.07 1.49 1.54 1.49 1.54 1XXX.00.00.0000000P0 34.7315 4 78003TCThyroid suppress/stimul A 0.00 1.00 1.00 1.00 1.00 1.00 1.00 0.05 1.05 1.05 1.05 1.05 1XXX.00.00.0000000P0 34.7315 4 7800326Thyroid suppress/stimul A 0.33 0.16 0.09 0.14 0.16 0.09 0.14 0.02 0.44 0.49 0.44 0.49 1XXX.00.00.0000000P0 34.7315 4 78006 Thyroid,imaging with uptake A 0.49 2.70 2.61 2.68 2.70 2.61 2.68 0.14 3.24 3.31 3.24 3.31 1XXX.00.00.0000000P0 34.7315 4 78006TCThyroid,imaging with uptake A 0.00 2.46 2.48 2.47 2.46 2.48 2.47 0.12 2.60 2.59 2.60 2.59 1XXX.00.00.0000000P0 34.7315 4 7800626Thyroid,imaging with uptake A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78007 Thyroid, image, mult uptakes A 0.50 2.91 2.80 2.88 2.91 2.80 2.88 0.15 3.45 3.53 3.45 3.53 1XXX.00.00.0000000P0 34.7315 4 78007TCThyroid, image, mult uptakes A 0.00 2.66 2.67 2.66 2.66 2.67 2.66 0.13 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 7800726Thyroid, image, mult uptakes A 0.50 0.25 0.13 0.22 0.25 0.13 0.22 0.02 0.65 0.74 0.65 0.74 1XXX.00.00.0000000P0 34.7315 4 78010 Thyroid imaging A 0.39 2.06 1.99 2.04 2.06 1.99 2.04 0.11 2.49 2.54 2.49 2.54 1XXX.00.00.0000000P0 34.7315 4 78010TCThyroid imaging A 0.00 1.88 1.89 1.88 1.88 1.89 1.88 0.09 1.98 1.97 1.98 1.97 1XXX.00.00.0000000P0 34.7315 4 7801026Thyroid imaging A 0.39 0.18 0.10 0.16 0.18 0.10 0.16 0.02 0.51 0.57 0.51 0.57 1XXX.00.00.0000000P0 34.7315 4 78011 Thyroid imaging with flow A 0.45 2.72 2.62 2.69 2.72 2.62 2.69 0.14 3.21 3.28 3.21 3.28 1XXX.00.00.0000000P0 34.7315 4 78011TCThyroid imaging with flow A 0.00 2.49 2.50 2.49 2.49 2.50 2.49 0.12 2.62 2.61 2.62 2.61 1XXX.00.00.0000000P0 34.7315 4 7801126Thyroid imaging with flow A 0.45 0.23 0.12 0.20 0.23 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 78015 Thyroid met imaging A 0.67 3.00 2.86 2.96 3.00 2.86 2.96 0.17 3.70 3.80 3.70 3.80 1XXX.00.00.0000000P0 34.7315 4 78015TCThyroid met imaging A 0.00 2.66 2.67 2.66 2.66 2.67 2.66 0.13 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 7801526Thyroid met imaging A 0.67 0.34 0.19 0.30 0.34 0.19 0.30 0.04 0.90 1.01 0.90 1.01 1XXX.00.00.0000000P0 34.7315 4 78016 Thyroid met imaging/studies A 0.82 4.01 3.85 3.98 4.01 3.85 3.98 0.21 4.88 5.01 4.88 5.01 1XXX.00.00.0000000P0 34.7315 4 78016TCThyroid met imaging/studies A 0.00 3.60 3.62 3.61 3.60 3.62 3.61 0.16 3.78 3.77 3.78 3.77 1XXX.00.00.0000000P0 34.7315 4 7801626Thyroid met imaging/studies A 0.82 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.10 1.24 1.10 1.24 1XXX.00.00.0000000P0 34.7315 4 78017 Thyroid met imaging, mult D 0.87 4.27 4.27 4.27 4.27 4.27 4.27 0.22 5.36 5.36 5.36 5.36 1XXX.00.00.0000000P0 34.7315 4 78017TCThyroid met imaging, mult D 0.00 3.85 3.85 3.85 3.85 3.85 3.85 0.17 4.02 4.02 4.02 4.02 1XXX.00.00.0000000P0 34.7315 4 7801726Thyroid met imaging, mult D 0.87 0.42 0.42 0.42 0.42 0.42 0.42 0.05 1.34 1.34 1.34 1.34 1XXX.00.00.0000000P0 34.7315 4 78018 Thyroid, met imaging, body A 0.86 6.08 5.88 6.04 6.08 5.88 6.04 0.31 7.05 7.21 7.05 7.21 1XXX.00.00.0000000P0 34.7315 4 78018TCThyroid, met imaging, body A 0.00 5.61 5.63 5.62 5.61 5.63 5.62 0.26 5.89 5.88 5.89 5.88 1XXX.00.00.0000000P0 34.7315 4 7801826Thyroid, met imaging, body A 0.86 0.47 0.25 0.42 0.47 0.25 0.42 0.05 1.16 1.33 1.16 1.33 1XXX.00.00.0000000P0 34.7315 4 78020 Thyroid met uptake A 0.60 0.00 0.17 0.17 0.00 0.17 0.17 0.08 0.85 0.85 0.85 0.85 1ZZZ.00.00.0000000P0 34.7315 5 78020TCThyroid met uptake A 0.00 0.00 0.15 0.15 0.00 0.15 0.15 0.06 0.21 0.21 0.21 0.21 1ZZZ.00.00.0000000P0 34.7315 5 7802026Thyroid met uptake A 0.60 0.00 0.02 0.02 0.00 0.02 0.02 0.02 0.64 0.64 0.64 0.64 1ZZZ.00.00.0000000P0 34.7315 5 78070 Parathyroid nuclear imaging A 0.82 2.13 2.12 2.13 2.13 2.12 2.13 0.12 3.06 3.07 3.06 3.07 1XXX.00.00.0000000P0 34.7315 4 78070TCParathyroid nuclear imaging A 0.00 1.88 1.89 1.88 1.88 1.89 1.88 0.09 1.98 1.97 1.98 1.97 1XXX.00.00.0000000P0 34.7315 4 7807026Parathyroid nuclear imaging A 0.82 0.25 0.23 0.25 0.25 0.23 0.25 0.03 1.08 1.10 1.08 1.10 1XXX.00.00.0000000P0 34.7315 4 78075 Adrenal nuclear imaging A 0.74 5.98 5.84 5.95 5.98 5.84 5.95 0.30 6.88 6.99 6.88 6.99 1XXX.00.00.0000000P0 34.7315 4 78075TCAdrenal nuclear imaging A 0.00 5.61 5.63 5.62 5.61 5.63 5.62 0.26 5.89 5.88 5.89 5.88 1XXX.00.00.0000000P0 34.7315 4 7807526Adrenal nuclear imaging A 0.74 0.37 0.21 0.33 0.37 0.21 0.33 0.04 0.99 1.11 0.99 1.11 1XXX.00.00.0000000P0 34.7315 4 78099 Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78099TCEndocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7809926Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78102 Bone marrow imaging, ltd A 0.55 2.38 2.27 2.35 2.38 2.27 2.35 0.13 2.95 3.03 2.95 3.03 1XXX.00.00.0000000P0 34.7315 4 78102TCBone marrow imaging, ltd A 0.00 2.11 2.12 2.11 2.11 2.12 2.11 0.10 2.22 2.21 2.22 2.21 1XXX.00.00.0000000P0 34.7315 4 7810226Bone marrow imaging, ltd A 0.55 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.73 0.82 0.73 0.82 1XXX.00.00.0000000P0 34.7315 4 78103 Bone marrow imaging, mult A 0.75 3.65 3.49 3.61 3.65 3.49 3.61 0.19 4.43 4.55 4.43 4.55 1XXX.00.00.0000000P0 34.7315 4 78103TCBone marrow imaging, mult A 0.00 3.28 3.28 3.28 3.28 3.28 3.28 0.15 3.43 3.43 3.43 3.43 1XXX.00.00.0000000P0 34.7315 4 7810326Bone marrow imaging, mult A 0.75 0.37 0.21 0.33 0.37 0.21 0.33 0.04 1.00 1.12 1.00 1.12 1XXX.00.00.0000000P0 34.7315 4 78104 Bone marrow imaging, body A 0.80 4.61 4.44 4.57 4.61 4.44 4.57 0.24 5.48 5.61 5.48 5.61 1XXX.00.00.0000000P0 34.7315 4 78104TCBone marrow imaging, body A 0.00 4.21 4.22 4.21 4.21 4.22 4.21 0.20 4.42 4.41 4.42 4.41 1XXX.00.00.0000000P0 34.7315 4 7810426Bone marrow imaging, body A 0.80 0.40 0.22 0.36 0.40 0.22 0.36 0.04 1.06 1.20 1.06 1.20 1XXX.00.00.0000000P0 34.7315 4 78110 Plasma volume, single A 0.19 1.08 1.03 1.07 1.08 1.03 1.07 0.06 1.28 1.32 1.28 1.32 1XXX.00.00.0000000P0 34.7315 4 78110TCPlasma volume, single A 0.00 0.98 0.98 0.98 0.98 0.98 0.98 0.05 1.03 1.03 1.03 1.03 1XXX.00.00.0000000P0 34.7315 4 7811026Plasma volume, single A 0.19 0.10 0.05 0.09 0.10 0.05 0.09 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 34.7315 4 78111 Plasma volume, multiple A 0.22 2.77 2.73 2.76 2.77 2.73 2.76 0.15 3.10 3.13 3.10 3.13 1XXX.00.00.0000000P0 34.7315 4 78111TCPlasma volume, multiple A 0.00 2.66 2.67 2.66 2.66 2.67 2.66 0.13 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 7811126Plasma volume, multiple A 0.22 0.11 0.06 0.10 0.11 0.06 0.10 0.02 0.30 0.34 0.30 0.34 1XXX.00.00.0000000P0 34.7315 4 78120 Red cell mass, single A 0.23 1.91 1.86 1.90 1.91 1.86 1.90 0.11 2.20 2.24 2.20 2.24 1XXX.00.00.0000000P0 34.7315 4 78120TCRed cell mass, single A 0.00 1.79 1.80 1.79 1.79 1.80 1.79 0.09 1.89 1.88 1.89 1.88 1XXX.00.00.0000000P0 34.7315 4 7812026Red cell mass, single A 0.23 0.12 0.06 0.11 0.12 0.06 0.11 0.02 0.31 0.36 0.31 0.36 1XXX.00.00.0000000P0 34.7315 4 78121 Red cell mass, multiple A 0.32 3.17 3.11 3.15 3.17 3.11 3.15 0.15 3.58 3.62 3.58 3.62 1XXX.00.00.0000000P0 34.7315 4 78121TCRed cell mass, multiple A 0.00 3.01 3.02 3.01 3.01 3.02 3.01 0.13 3.15 3.14 3.15 3.14 1XXX.00.00.0000000P0 34.7315 4 7812126Red cell mass, multiple A 0.32 0.16 0.09 0.14 0.16 0.09 0.14 0.02 0.43 0.48 0.43 0.48 1XXX.00.00.0000000P0 34.7315 4 78122 Blood volume A 0.45 4.98 4.90 4.97 4.98 4.90 4.97 0.24 5.59 5.66 5.59 5.66 1XXX.00.00.0000000P0 34.7315 4 78122TCBlood volume A 0.00 4.76 4.78 4.77 4.76 4.78 4.77 0.22 5.00 4.99 5.00 4.99 1XXX.00.00.0000000P0 34.7315 4 7812226Blood volume A 0.45 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 78130 Red cell survival study A 0.61 3.25 3.14 3.22 3.25 3.14 3.22 0.16 3.91 3.99 3.91 3.99 1XXX.00.00.0000000P0 34.7315 4 78130TCRed cell survival study A 0.00 2.95 2.96 2.95 2.95 2.96 2.95 0.13 3.09 3.08 3.09 3.08 1XXX.00.00.0000000P0 34.7315 4 7813026Red cell survival study A 0.61 0.30 0.18 0.27 0.30 0.18 0.27 0.03 0.82 0.91 0.82 0.91 1XXX.00.00.0000000P0 34.7315 4 78135 Red cell survival kinetics A 0.64 5.35 5.23 5.32 5.35 5.23 5.32 0.26 6.13 6.22 6.13 6.22 1XXX.00.00.0000000P0 34.7315 4 78135TCRed cell survival kinetics A 0.00 5.04 5.05 5.04 5.04 5.05 5.04 0.23 5.28 5.27 5.28 5.27 1XXX.00.00.0000000P0 34.7315 4 7813526Red cell survival kinetics A 0.64 0.31 0.18 0.28 0.31 0.18 0.28 0.03 0.85 0.95 0.85 0.95 1XXX.00.00.0000000P0 34.7315 4 78140 Red cell sequestration A 0.61 4.37 4.26 4.34 4.37 4.26 4.34 0.22 5.09 5.17 5.09 5.17 1XXX.00.00.0000000P0 34.7315 4 78140TCRed cell sequestration A 0.00 4.07 4.08 4.07 4.07 4.08 4.07 0.19 4.27 4.26 4.27 4.26 1XXX.00.00.0000000P0 34.7315 4 7814026Red cell sequestration A 0.61 0.30 0.18 0.27 0.30 0.18 0.27 0.03 0.82 0.91 0.82 0.91 1XXX.00.00.0000000P0 34.7315 4 78160 Plasma iron turnover A 0.33 3.95 3.92 3.94 3.95 3.92 3.94 0.19 4.44 4.46 4.44 4.46 1XXX.00.00.0000000P0 34.7315 4 78160TCPlasma iron turnover A 0.00 3.79 3.80 3.79 3.79 3.80 3.79 0.17 3.97 3.96 3.97 3.96 1XXX.00.00.0000000P0 34.7315 4 7816026Plasma iron turnover A 0.33 0.16 0.12 0.15 0.16 0.12 0.15 0.02 0.47 0.50 0.47 0.50 1XXX.00.00.0000000P0 34.7315 4 78162 Iron absorption exam A 0.45 3.53 3.52 3.53 3.53 3.52 3.53 0.17 4.14 4.15 4.14 4.15 1XXX.00.00.0000000P0 34.7315 4 78162TCIron absorption exam A 0.00 3.31 3.33 3.32 3.31 3.33 3.32 0.15 3.48 3.47 3.48 3.47 1XXX.00.00.0000000P0 34.7315 4 7816226Iron absorption exam A 0.45 0.22 0.19 0.21 0.22 0.19 0.21 0.02 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 34.7315 4 78170 Red cell iron utilization A 0.41 5.69 5.62 5.68 5.69 5.62 5.68 0.27 6.30 6.36 6.30 6.36 1XXX.00.00.0000000P0 34.7315 4 78170TCRed cell iron utilization A 0.00 5.49 5.51 5.50 5.49 5.51 5.50 0.25 5.76 5.75 5.76 5.75 1XXX.00.00.0000000P0 34.7315 4 7817026Red cell iron utilization A 0.41 0.20 0.11 0.18 0.20 0.11 0.18 0.02 0.54 0.61 0.54 0.61 1XXX.00.00.0000000P0 34.7315 4 78172 Total body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78172TCTotal body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7817226Total body iron estimation A 0.53 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.71 0.80 0.71 0.80 1XXX.00.00.0000000P0 34.7315 4 78185 Spleen imaging A 0.40 2.64 2.56 2.62 2.64 2.56 2.62 0.14 3.10 3.16 3.10 3.16 1XXX.00.00.0000000P0 34.7315 4 78185TCSpleen imaging A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.12 2.57 2.56 2.57 2.56 1XXX.00.00.0000000P0 34.7315 4 7818526Spleen imaging A 0.40 0.20 0.11 0.18 0.20 0.11 0.18 0.02 0.53 0.60 0.53 0.60 1XXX.00.00.0000000P0 34.7315 4 78190 Platelet survival, kinetics A 1.09 6.43 6.25 6.39 6.43 6.25 6.39 0.32 7.66 7.80 7.66 7.80 1XXX.00.00.0000000P0 34.7315 4 78190TCPlatelet survival, kinetics A 0.00 5.91 5.93 5.92 5.91 5.93 5.92 0.27 6.20 6.19 6.20 6.19 1XXX.00.00.0000000P0 34.7315 4 7819026Platelet survival, kinetics A 1.09 0.52 0.32 0.47 0.52 0.32 0.47 0.05 1.46 1.61 1.46 1.61 1XXX.00.00.0000000P0 34.7315 4 78191 Platelet survival A 0.61 7.89 7.78 7.86 7.89 7.78 7.86 0.37 8.76 8.84 8.76 8.84 1XXX.00.00.0000000P0 34.7315 4 78191TCPlatelet survival A 0.00 7.59 7.60 7.59 7.59 7.60 7.59 0.34 7.94 7.93 7.94 7.93 1XXX.00.00.0000000P0 34.7315 4 7819126Platelet survival A 0.61 0.30 0.18 0.27 0.30 0.18 0.27 0.03 0.82 0.91 0.82 0.91 1XXX.00.00.0000000P0 34.7315 4 78195 Lymph system imaging A 1.20 4.56 4.56 4.56 4.56 4.56 4.56 0.24 6.00 6.00 6.00 6.00 1XXX.00.00.0000000P0 34.7315 4 78195TCLymph system imaging A 0.00 4.21 4.22 4.21 4.21 4.22 4.21 0.20 4.42 4.41 4.42 4.41 1XXX.00.00.0000000P0 34.7315 4 7819526Lymph system imaging A 1.20 0.35 0.34 0.35 0.35 0.34 0.35 0.04 1.58 1.59 1.58 1.59 1XXX.00.00.0000000P0 34.7315 4 78199 Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78199TCBlood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78201 Liver imaging A 0.44 2.65 2.57 2.63 2.65 2.57 2.63 0.14 3.15 3.21 3.15 3.21 1XXX.00.00.0000000P0 34.7315 4 78201TCLiver imaging A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.12 2.57 2.56 2.57 2.56 1XXX.00.00.0000000P0 34.7315 4 7820126Liver imaging A 0.44 0.21 0.12 0.19 0.21 0.12 0.19 0.02 0.58 0.65 0.58 0.65 1XXX.00.00.0000000P0 34.7315 4 78202 Liver imaging with flow A 0.51 3.23 3.13 3.21 3.23 3.13 3.21 0.16 3.80 3.88 3.80 3.88 1XXX.00.00.0000000P0 34.7315 4 78202TCLiver imaging with flow A 0.00 2.98 3.00 2.99 2.98 3.00 2.99 0.13 3.13 3.12 3.13 3.12 1XXX.00.00.0000000P0 34.7315 4 7820226Liver imaging with flow A 0.51 0.25 0.13 0.22 0.25 0.13 0.22 0.03 0.67 0.76 0.67 0.76 1XXX.00.00.0000000P0 34.7315 4 78205 Liver imaging (3D) A 0.71 6.47 6.33 6.44 6.47 6.33 6.44 0.32 7.36 7.47 7.36 7.47 1XXX.00.00.0000000P0 34.7315 4 78205TCLiver imaging (3D) A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7820526Liver imaging (3D) A 0.71 0.36 0.20 0.32 0.36 0.20 0.32 0.04 0.95 1.07 0.95 1.07 1XXX.00.00.0000000P0 34.7315 4 78206 Liver image (3-d) w/flow A 0.96 0.00 6.41 6.41 0.00 6.41 6.41 0.12 7.49 7.49 7.49 7.49 1XXX.00.00.0000000P0 34.7315 5 78206TCLiver image (3-d) w/flow A 0.00 0.00 6.13 6.13 0.00 6.13 6.13 0.09 6.22 6.22 6.22 6.22 1XXX.00.00.0000000P0 34.7315 5 7820626Liver image (3-d) w/flow A 0.96 0.00 0.28 0.28 0.00 0.28 0.28 0.03 1.27 1.27 1.27 1.27 1XXX.00.00.0000000P0 34.7315 5 78215 Liver and spleen imaging A 0.49 3.28 3.18 3.25 3.28 3.18 3.25 0.15 3.82 3.89 3.82 3.89 1XXX.00.00.0000000P0 34.7315 4 78215TCLiver and spleen imaging A 0.00 3.04 3.05 3.04 3.04 3.05 3.04 0.13 3.18 3.17 3.18 3.17 1XXX.00.00.0000000P0 34.7315 4 7821526Liver and spleen imaging A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78216 Liver & spleen image, flow A 0.57 3.88 3.77 3.86 3.88 3.77 3.86 0.19 4.53 4.62 4.53 4.62 1XXX.00.00.0000000P0 34.7315 4 78216TCLiver & spleen image, flow A 0.00 3.60 3.62 3.61 3.60 3.62 3.61 0.16 3.78 3.77 3.78 3.77 1XXX.00.00.0000000P0 34.7315 4 7821626Liver & spleen image, flow A 0.57 0.28 0.15 0.25 0.28 0.15 0.25 0.03 0.75 0.85 0.75 0.85 1XXX.00.00.0000000P0 34.7315 4 78220 Liver function study A 0.49 4.09 3.99 4.06 4.09 3.99 4.06 0.19 4.67 4.74 4.67 4.74 1XXX.00.00.0000000P0 34.7315 4 78220TCLiver function study A 0.00 3.85 3.86 3.85 3.85 3.86 3.85 0.17 4.03 4.02 4.03 4.02 1XXX.00.00.0000000P0 34.7315 4 7822026Liver function study A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78223 Hepatobiliary imaging A 0.84 4.20 4.03 4.16 4.20 4.03 4.16 0.22 5.09 5.22 5.09 5.22 1XXX.00.00.0000000P0 34.7315 4 78223TCHepatobiliary imaging A 0.00 3.79 3.80 3.79 3.79 3.80 3.79 0.17 3.97 3.96 3.97 3.96 1XXX.00.00.0000000P0 34.7315 4 7822326Hepatobiliary imaging A 0.84 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.12 1.26 1.12 1.26 1XXX.00.00.0000000P0 34.7315 4 78230 Salivary gland imaging A 0.45 2.48 2.37 2.45 2.48 2.37 2.45 0.13 2.95 3.03 2.95 3.03 1XXX.00.00.0000000P0 34.7315 4 78230TCSalivary gland imaging A 0.00 2.25 2.25 2.25 2.25 2.25 2.25 0.11 2.36 2.36 2.36 2.36 1XXX.00.00.0000000P0 34.7315 4 7823026Salivary gland imaging A 0.45 0.23 0.12 0.20 0.23 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 78231 Serial salivary imaging A 0.52 3.54 3.42 3.51 3.54 3.42 3.51 0.18 4.12 4.21 4.12 4.21 1XXX.00.00.0000000P0 34.7315 4 78231TCSerial salivary imaging A 0.00 3.28 3.28 3.28 3.28 3.28 3.28 0.15 3.43 3.43 3.43 3.43 1XXX.00.00.0000000P0 34.7315 4 7823126Serial salivary imaging A 0.52 0.26 0.14 0.23 0.26 0.14 0.23 0.03 0.69 0.78 0.69 0.78 1XXX.00.00.0000000P0 34.7315 4 78232 Salivary gland function exam A 0.47 3.90 3.81 3.88 3.90 3.81 3.88 0.18 4.46 4.53 4.46 4.53 1XXX.00.00.0000000P0 34.7315 4 78232TCSalivary gland function exam A 0.00 3.66 3.68 3.67 3.66 3.68 3.67 0.16 3.84 3.83 3.84 3.83 1XXX.00.00.0000000P0 34.7315 4 7823226Salivary gland function exam A 0.47 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.62 0.70 0.62 0.70 1XXX.00.00.0000000P0 34.7315 4 78258 Esophageal motility study A 0.74 3.35 3.21 3.32 3.35 3.21 3.32 0.17 4.12 4.23 4.12 4.23 1XXX.00.00.0000000P0 34.7315 4 78258TCEsophageal motility study A 0.00 2.98 3.00 2.99 2.98 3.00 2.99 0.13 3.13 3.12 3.13 3.12 1XXX.00.00.0000000P0 34.7315 4 7825826Esophageal motility study A 0.74 0.37 0.21 0.33 0.37 0.21 0.33 0.04 0.99 1.11 0.99 1.11 1XXX.00.00.0000000P0 34.7315 4 78261 Gastric mucosa imaging A 0.69 4.59 4.45 4.56 4.59 4.45 4.56 0.24 5.38 5.49 5.38 5.49 1XXX.00.00.0000000P0 34.7315 4 78261TCGastric mucosa imaging A 0.00 4.24 4.26 4.25 4.24 4.26 4.25 0.20 4.46 4.45 4.46 4.45 1XXX.00.00.0000000P0 34.7315 4 7826126Gastric mucosa imaging A 0.69 0.35 0.19 0.31 0.35 0.19 0.31 0.04 0.92 1.04 0.92 1.04 1XXX.00.00.0000000P0 34.7315 4 78262 Gastroesophageal reflux exam A 0.68 4.74 4.61 4.71 4.74 4.61 4.71 0.24 5.53 5.63 5.53 5.63 1XXX.00.00.0000000P0 34.7315 4 78262TCGastroesophageal reflux exam A 0.00 4.40 4.41 4.40 4.40 4.41 4.40 0.20 4.61 4.60 4.61 4.60 1XXX.00.00.0000000P0 34.7315 4 7826226Gastroesophageal reflux exam A 0.68 0.34 0.20 0.31 0.34 0.20 0.31 0.04 0.92 1.03 0.92 1.03 1XXX.00.00.0000000P0 34.7315 4 78264 Gastric emptying study A 0.78 4.66 4.51 4.63 4.66 4.51 4.63 0.24 5.53 5.65 5.53 5.65 1XXX.00.00.0000000P0 34.7315 4 78264TCGastric emptying study A 0.00 4.27 4.29 4.28 4.27 4.29 4.28 0.20 4.49 4.48 4.49 4.48 1XXX.00.00.0000000P0 34.7315 4 7826426Gastric emptying study A 0.78 0.39 0.22 0.35 0.39 0.22 0.35 0.04 1.04 1.17 1.04 1.17 1XXX.00.00.0000000P0 34.7315 4 78270 Vit B-12 absorption exam A 0.20 1.71 1.66 1.70 1.71 1.66 1.70 0.09 1.95 1.99 1.95 1.99 1XXX.00.00.0000000P0 34.7315 4 78270TCVit B-12 absorption exam A 0.00 1.60 1.60 1.60 1.60 1.60 1.60 0.08 1.68 1.68 1.68 1.68 1XXX.00.00.0000000P0 34.7315 4 7827026Vit B-12 absorption exam A 0.20 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.27 0.31 0.27 0.31 1XXX.00.00.0000000P0 34.7315 4 78271 Vit B-12 absorp exam, IF A 0.20 1.81 1.76 1.80 1.81 1.76 1.80 0.09 2.05 2.09 2.05 2.09 1XXX.00.00.0000000P0 34.7315 4 78271TCVit B-12 absorp exam, IF A 0.00 1.70 1.70 1.70 1.70 1.70 1.70 0.08 1.78 1.78 1.78 1.78 1XXX.00.00.0000000P0 34.7315 4 7827126Vit B-12 absorp exam, IF A 0.20 0.11 0.06 0.10 0.11 0.06 0.10 0.01 0.27 0.31 0.27 0.31 1XXX.00.00.0000000P0 34.7315 4 78272 Vit B-12 absorp, combined A 0.27 2.54 2.48 2.52 2.54 2.48 2.52 0.14 2.89 2.93 2.89 2.93 1XXX.00.00.0000000P0 34.7315 4 78272TCVit B-12 absorp, combined A 0.00 2.40 2.41 2.40 2.40 2.41 2.40 0.12 2.53 2.52 2.53 2.52 1XXX.00.00.0000000P0 34.7315 4 7827226Vit B-12 absorp, combined A 0.27 0.14 0.07 0.12 0.14 0.07 0.12 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 34.7315 4 78278 Acute GI blood loss imaging A 0.99 5.53 5.32 5.48 5.53 5.32 5.48 0.28 6.59 6.75 6.59 6.75 1XXX.00.00.0000000P0 34.7315 4 78278TCAcute GI blood loss imaging A 0.00 5.04 5.05 5.04 5.04 5.05 5.04 0.23 5.28 5.27 5.28 5.27 1XXX.00.00.0000000P0 34.7315 4 7827826Acute GI blood loss imaging A 0.99 0.49 0.27 0.44 0.49 0.27 0.44 0.05 1.31 1.48 1.31 1.48 1XXX.00.00.0000000P0 34.7315 4 78282 GI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78282TCGI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7828226GI protein loss exam A 0.38 0.18 0.11 0.16 0.18 0.11 0.16 0.02 0.51 0.56 0.51 0.56 1XXX.00.00.0000000P0 34.7315 4 78290 Meckel’s divert exam A 0.68 3.49 3.34 3.45 3.49 3.34 3.45 0.18 4.20 4.31 4.20 4.31 1XXX.00.00.0000000P0 34.7315 4 78290TCMeckel’s divert exam A 0.00 3.15 3.15 3.15 3.15 3.15 3.15 0.14 3.29 3.29 3.29 3.29 1XXX.00.00.0000000P0 34.7315 4 7829026Meckel’s divert exam A 0.68 0.34 0.19 0.30 0.34 0.19 0.30 0.04 0.91 1.02 0.91 1.02 1XXX.00.00.0000000P0 34.7315 4 78291 Leveen/shunt patency exam A 0.88 3.59 3.41 3.55 3.59 3.41 3.55 0.19 4.48 4.62 4.48 4.62 1XXX.00.00.0000000P0 34.7315 4 78291TCLeveen/shunt patency exam A 0.00 3.17 3.17 3.17 3.17 3.17 3.17 0.14 3.31 3.31 3.31 3.31 1XXX.00.00.0000000P0 34.7315 4 7829126Leveen/shunt patency exam A 0.88 0.42 0.24 0.38 0.42 0.24 0.38 0.05 1.17 1.31 1.17 1.31 1XXX.00.00.0000000P0 34.7315 4 78299 GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78299TCGI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7829926GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78300 Bone imaging, limited area A 0.62 2.88 2.74 2.85 2.88 2.74 2.85 0.16 3.52 3.63 3.52 3.63 1XXX.00.00.0000000P0 34.7315 4 78300TCBone imaging, limited area A 0.00 2.57 2.57 2.57 2.57 2.57 2.57 0.13 2.70 2.70 2.70 2.70 1XXX.00.00.0000000P0 34.7315 4 7830026Bone imaging, limited area A 0.62 0.31 0.17 0.28 0.31 0.17 0.28 0.03 0.82 0.93 0.82 0.93 1XXX.00.00.0000000P0 34.7315 4 78305 Bone imaging, multiple areas A 0.83 4.20 4.03 4.16 4.20 4.03 4.16 0.22 5.08 5.21 5.08 5.21 1XXX.00.00.0000000P0 34.7315 4 78305TCBone imaging, multiple areas A 0.00 3.79 3.80 3.79 3.79 3.80 3.79 0.17 3.97 3.96 3.97 3.96 1XXX.00.00.0000000P0 34.7315 4 7830526Bone imaging, multiple areas A 0.83 0.41 0.23 0.37 0.41 0.23 0.37 0.05 1.11 1.25 1.11 1.25 1XXX.00.00.0000000P0 34.7315 4 78306 Bone imaging, whole body A 0.86 4.84 4.67 4.80 4.84 4.67 4.80 0.25 5.78 5.91 5.78 5.91 1XXX.00.00.0020000P0 34.7315 4 78306TCBone imaging, whole body A 0.00 4.42 4.43 4.42 4.42 4.43 4.42 0.20 4.63 4.62 4.63 4.62 1XXX.00.00.0020000P0 34.7315 4 7830626Bone imaging, whole body A 0.86 0.42 0.24 0.38 0.42 0.24 0.38 0.05 1.15 1.29 1.15 1.29 1XXX.00.00.0020000P0 34.7315 4 78315 Bone imaging, 3 phase A 1.02 5.43 5.23 5.38 5.43 5.23 5.38 0.28 6.53 6.68 6.53 6.68 1XXX.00.00.0000000P0 34.7315 4 78315TCBone imaging, 3 phase A 0.00 4.94 4.95 4.94 4.94 4.95 4.94 0.23 5.18 5.17 5.18 5.17 1XXX.00.00.0000000P0 34.7315 4 7831526Bone imaging, 3 phase A 1.02 0.49 0.28 0.44 0.49 0.28 0.44 0.05 1.35 1.51 1.35 1.51 1XXX.00.00.0000000P0 34.7315 4 78320 Bone imaging (3D) A 1.04 6.61 6.43 6.57 6.61 6.43 6.57 0.33 7.80 7.94 7.80 7.94 1XXX.00.00.0020000P0 34.7315 4 78320TCBone imaging (3D) A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0020000P0 34.7315 4 7832026Bone imaging (3D) A 1.04 0.50 0.30 0.45 0.50 0.30 0.45 0.05 1.39 1.54 1.39 1.54 1XXX.00.00.0020000P0 34.7315 4 78350 Bone mineral, single photon A 0.22 0.89 0.87 0.88 0.89 0.87 0.88 0.06 1.15 1.16 1.15 1.16 1XXX.00.00.0000000P0 34.7315 4 78350TCBone mineral, single photon A 0.00 0.78 0.79 0.78 0.78 0.79 0.78 0.04 0.83 0.82 0.83 0.82 1XXX.00.00.0000000P0 34.7315 4 7835026Bone mineral, single photon A 0.22 0.11 0.08 0.10 0.11 0.08 0.10 0.02 0.32 0.34 0.32 0.34 1XXX.00.00.0000000P0 34.7315 4 78351 Bone mineral, dual photon N+ 0.30 0.21 1.24 0.47 0.21 0.11 0.19 0.02 1.56 0.79 0.43 0.51 9XXX.00.00.0099999P9 0.0000 9 78399 Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78399TCMusculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7839926Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78414 Non-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78414TCNon-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7841426Non-imaging heart function A 0.45 0.22 0.14 0.20 0.22 0.14 0.20 0.02 0.61 0.67 0.61 0.67 1XXX.00.00.0000000P0 34.7315 4 78428 Cardiac shunt imaging A 0.78 2.72 2.61 2.69 2.72 2.61 2.69 0.15 3.54 3.62 3.54 3.62 1XXX.00.00.0000000P0 34.7315 4 78428TCCardiac shunt imaging A 0.00 2.33 2.33 2.33 2.33 2.33 2.33 0.11 2.44 2.44 2.44 2.44 1XXX.00.00.0000000P0 34.7315 4 7842826Cardiac shunt imaging A 0.78 0.39 0.28 0.36 0.39 0.28 0.36 0.04 1.10 1.18 1.10 1.18 1XXX.00.00.0000000P0 34.7315 4 78445 Vascular flow imaging A 0.49 2.18 2.07 2.15 2.18 2.07 2.15 0.12 2.68 2.76 2.68 2.76 1XXX.00.00.0000000P0 34.7315 4 78445TCVascular flow imaging A 0.00 1.92 1.93 1.92 1.92 1.93 1.92 0.09 2.02 2.01 2.02 2.01 1XXX.00.00.0000000P0 34.7315 4 7844526Vascular flow imaging A 0.49 0.26 0.14 0.23 0.26 0.14 0.23 0.03 0.66 0.75 0.66 0.75 1XXX.00.00.0000000P0 34.7315 4 78455 Venous thrombosis study A 0.73 4.48 4.33 4.44 4.48 4.33 4.44 0.23 5.29 5.40 5.29 5.40 1XXX.00.00.0000000P0 34.7315 4 78455TCVenous thrombosis study A 0.00 4.12 4.13 4.12 4.12 4.13 4.12 0.19 4.32 4.31 4.32 4.31 1XXX.00.00.0000000P0 34.7315 4 7845526Venous thrombosis study A 0.73 0.36 0.20 0.32 0.36 0.20 0.32 0.04 0.97 1.09 0.97 1.09 1XXX.00.00.0000000P0 34.7315 4 78457 Venous thrombosis imaging A 0.77 3.13 2.98 3.09 3.13 2.98 3.09 0.17 3.92 4.03 3.92 4.03 1XXX.00.00.0000000P0 34.7315 4 78457TCVenous thrombosis imaging A 0.00 2.75 2.76 2.75 2.75 2.76 2.75 0.13 2.89 2.88 2.89 2.88 1XXX.00.00.0000000P0 34.7315 4 7845726Venous thrombosis imaging A 0.77 0.38 0.22 0.34 0.38 0.22 0.34 0.04 1.03 1.15 1.03 1.15 1XXX.00.00.0000000P0 34.7315 4 78458 Ven thrombosis images, bilat A 0.90 4.59 4.44 4.55 4.59 4.44 4.55 0.24 5.58 5.69 5.58 5.69 1XXX.00.00.0002000P0 34.7315 4 78458TCVen thrombosis images, bilat A 0.00 4.16 4.17 4.16 4.16 4.17 4.16 0.19 4.36 4.35 4.36 4.35 1XXX.00.00.0002000P0 34.7315 4 7845826Ven thrombosis images, bilat A 0.90 0.43 0.27 0.39 0.43 0.27 0.39 0.05 1.22 1.34 1.22 1.34 1XXX.00.00.0002000P0 34.7315 4 78459 Heart muscle imaging (PET) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 78459TCHeart muscle imaging (PET) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 7845926Heart muscle imaging (PET) I+ 1.88 1.45 0.71 1.27 1.45 0.71 1.27 0.08 2.67 3.23 2.67 3.23 1XXX.00.00.0099999P9 0.0000 9 78460 Heart muscle blood single A 0.86 2.86 2.71 2.82 2.86 2.71 2.82 0.17 3.74 3.85 3.74 3.85 1XXX.00.00.0000000P0 34.7315 4 78460TCHeart muscle blood single A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.12 2.57 2.56 2.57 2.56 1XXX.00.00.0000000P0 34.7315 4 7846026Heart muscle blood single A 0.86 0.42 0.26 0.38 0.42 0.26 0.38 0.05 1.17 1.29 1.17 1.29 1XXX.00.00.0000000P0 34.7315 4 78461 Heart muscle blood multiple A 1.23 5.47 5.29 5.43 5.47 5.29 5.43 0.29 6.81 6.95 6.81 6.95 1XXX.00.00.0000000P0 34.7315 4 78461TCHeart muscle blood multiple A 0.00 4.88 4.90 4.89 4.88 4.90 4.89 0.23 5.13 5.12 5.13 5.12 1XXX.00.00.0000000P0 34.7315 4 7846126Heart muscle blood multiple A 1.23 0.59 0.39 0.54 0.59 0.39 0.54 0.06 1.68 1.83 1.68 1.83 1XXX.00.00.0000000P0 34.7315 4 78464 Heart image (3D) single A 1.09 7.83 7.66 7.79 7.83 7.66 7.79 0.39 9.14 9.27 9.14 9.27 1XXX.00.00.0000000P0 34.7315 4 78464TCHeart image (3D) single A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7846426Heart image (3D) single A 1.09 0.52 0.33 0.47 0.52 0.33 0.47 0.05 1.47 1.61 1.47 1.61 1XXX.00.00.0000000P0 34.7315 4 78465 Heart image (3D) multiple A 1.46 12.91 12.72 12.86 12.91 12.72 12.86 0.63 14.81 14.95 14.81 14.95 1XXX.00.00.0000000P0 34.7315 4 78465TCHeart image (3D) multiple A 0.00 12.20 12.24 12.21 12.20 12.24 12.21 0.55 12.79 12.76 12.79 12.76 1XXX.00.00.0000000P0 34.7315 4 7846526Heart image (3D) multiple A 1.46 0.71 0.48 0.65 0.71 0.48 0.65 0.08 2.02 2.19 2.02 2.19 1XXX.00.00.0000000P0 34.7315 4 78466 Heart infarct image A 0.69 3.06 2.93 3.03 3.06 2.93 3.03 0.17 3.79 3.89 3.79 3.89 1XXX.00.00.0000000P0 34.7315 4 78466TCHeart infarct image A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7846626Heart infarct image A 0.69 0.35 0.20 0.31 0.35 0.20 0.31 0.04 0.93 1.04 0.93 1.04 1XXX.00.00.0000000P0 34.7315 4 78468 Heart infarct image, EF A 0.80 4.18 4.04 4.14 4.18 4.04 4.14 0.21 5.05 5.15 5.05 5.15 1XXX.00.00.0000000P0 34.7315 4 78468TCHeart infarct image, EF A 0.00 3.79 3.80 3.79 3.79 3.80 3.79 0.17 3.97 3.96 3.97 3.96 1XXX.00.00.0000000P0 34.7315 4 7846826Heart infarct image, EF A 0.80 0.39 0.24 0.35 0.39 0.24 0.35 0.04 1.08 1.19 1.08 1.19 1XXX.00.00.0000000P0 34.7315 4 78469 Heart infarct image (3D) A 0.92 5.84 5.70 5.81 5.84 5.70 5.81 0.30 6.92 7.03 6.92 7.03 1XXX.00.00.0000000P0 34.7315 4 78469TCHeart infarct image (3D) A 0.00 5.40 5.42 5.41 5.40 5.42 5.41 0.25 5.67 5.66 5.67 5.66 1XXX.00.00.0000000P0 34.7315 4 7846926Heart infarct image (3D) A 0.92 0.44 0.28 0.40 0.44 0.28 0.40 0.05 1.25 1.37 1.25 1.37 1XXX.00.00.0000000P0 34.7315 4 78472 Gated heart, planar single A 0.98 6.18 6.02 6.15 6.18 6.02 6.15 0.32 7.32 7.45 7.32 7.45 1XXX.00.00.0000000P0 34.7315 4 78472TCGated heart, planar single A 0.00 5.70 5.72 5.71 5.70 5.72 5.71 0.27 5.99 5.98 5.99 5.98 1XXX.00.00.0000000P0 34.7315 4 7847226Gated heart, planar single A 0.98 0.48 0.30 0.44 0.48 0.30 0.44 0.05 1.33 1.47 1.33 1.47 1XXX.00.00.0000000P0 34.7315 4 78473 Gated heart, multiple A 1.47 9.25 9.01 9.20 9.25 9.01 9.20 0.46 10.94 11.13 10.94 11.13 1XXX.00.00.0000000P0 34.7315 4 78473TCGated heart, multiple A 0.00 8.54 8.56 8.55 8.54 8.56 8.55 0.38 8.94 8.93 8.94 8.93 1XXX.00.00.0000000P0 34.7315 4 7847326Gated heart, multiple A 1.47 0.71 0.45 0.65 0.71 0.45 0.65 0.08 2.00 2.20 2.00 2.20 1XXX.00.00.0000000P0 34.7315 4 78478 Heart wall motion add-on A 0.62 1.91 1.82 1.89 1.91 1.82 1.89 0.11 2.55 2.62 2.55 2.62 1ZZZ.00.00.0000000P0 34.7315 4 78478TCHeart wall motion add-on A 0.00 1.61 1.61 1.61 1.61 1.61 1.61 0.08 1.69 1.69 1.69 1.69 1ZZZ.00.00.0000000P0 34.7315 4 7847826Heart wall motion add-on A 0.62 0.30 0.21 0.28 0.30 0.21 0.28 0.03 0.86 0.93 0.86 0.93 1ZZZ.00.00.0000000P0 34.7315 4 78480 Heart function add-on A 0.62 1.91 1.82 1.89 1.91 1.82 1.89 0.11 2.55 2.62 2.55 2.62 1ZZZ.00.00.0000000P0 34.7315 4 78480TCHeart function add-on A 0.00 1.61 1.61 1.61 1.61 1.61 1.61 0.08 1.69 1.69 1.69 1.69 1ZZZ.00.00.0000000P0 34.7315 4 7848026Heart function add-on A 0.62 0.30 0.21 0.28 0.30 0.21 0.28 0.03 0.86 0.93 0.86 0.93 1ZZZ.00.00.0000000P0 34.7315 4 78481 Heart first pass single A 0.98 5.88 5.75 5.85 5.88 5.75 5.85 0.30 7.03 7.13 7.03 7.13 1XXX.00.00.0000000P0 34.7315 4 78481TCHeart first pass single A 0.00 5.40 5.42 5.41 5.40 5.42 5.41 0.25 5.67 5.66 5.67 5.66 1XXX.00.00.0000000P0 34.7315 4 7848126Heart first pass single A 0.98 0.48 0.33 0.44 0.48 0.33 0.44 0.05 1.36 1.47 1.36 1.47 1XXX.00.00.0000000P0 34.7315 4 78483 Heart first pass multiple A 1.47 8.85 8.69 8.82 8.85 8.69 8.82 0.45 10.61 10.74 10.61 10.74 1XXX.00.00.0000000P0 34.7315 4 78483TCHeart first pass multiple A 0.00 8.14 8.16 8.15 8.14 8.16 8.15 0.37 8.53 8.52 8.53 8.52 1XXX.00.00.0000000P0 34.7315 4 7848326Heart first pass multiple A 1.47 0.71 0.53 0.67 0.71 0.53 0.67 0.08 2.08 2.22 2.08 2.22 1XXX.00.00.0000000P0 34.7315 4 78491 Heart image (pet) single I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 78491TCHeart image (pet) single I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 7849126Heart image (pet) single I+ 1.50 1.45 0.57 1.23 1.45 0.57 1.23 0.08 2.15 2.81 2.15 2.81 1XXX.00.00.0099999P9 0.0000 9 78492 Heart image (pet) multiple I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 78492TCHeart image (pet) multiple I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 7849226Heart image (pet) multiple I+ 1.87 1.45 0.70 1.26 1.45 0.70 1.26 0.08 2.65 3.21 2.65 3.21 1XXX.00.00.0099999P9 0.0000 9 78494 Heart image, spect A 1.19 0.00 6.07 6.07 0.00 6.07 6.07 0.32 7.58 7.58 7.58 7.58 1XXX.00.00.0000000P0 34.7315 5 78494TCHeart image, spect A 0.00 0.00 5.71 5.71 0.00 5.71 5.71 0.27 5.98 5.98 5.98 5.98 1XXX.00.00.0000000P0 34.7315 5 7849426Heart image, spect A 1.19 0.00 0.36 0.36 0.00 0.36 0.36 0.05 1.60 1.60 1.60 1.60 1XXX.00.00.0000000P0 34.7315 5 78496 Heart first pass add-on A 0.50 0.00 1.80 1.80 0.00 1.80 1.80 0.32 2.62 2.62 2.62 2.62 1ZZZ.00.00.0000000P0 34.7315 5 78496TCHeart first pass add-on A 0.00 0.00 1.61 1.61 0.00 1.61 1.61 0.27 1.88 1.88 1.88 1.88 1ZZZ.00.00.0000000P0 34.7315 5 7849626Heart first pass add-on A 0.50 0.00 0.19 0.19 0.00 0.19 0.19 0.05 0.74 0.74 0.74 0.74 1ZZZ.00.00.0000000P0 34.7315 5 78499 Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78499TCCardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7849926Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78580 Lung perfusion imaging A 0.74 3.92 3.77 3.88 3.92 3.77 3.88 0.20 4.71 4.82 4.71 4.82 1XXX.00.00.0000000P0 34.7315 4 78580TCLung perfusion imaging A 0.00 3.55 3.56 3.55 3.55 3.56 3.55 0.16 3.72 3.71 3.72 3.71 1XXX.00.00.0000000P0 34.7315 4 7858026Lung perfusion imaging A 0.74 0.37 0.21 0.33 0.37 0.21 0.33 0.04 0.99 1.11 0.99 1.11 1XXX.00.00.0000000P0 34.7315 4 78584 Lung V/Q image single breath A 0.99 3.80 3.60 3.76 3.80 3.60 3.76 0.20 4.79 4.95 4.79 4.95 1XXX.00.00.0000000P0 34.7315 4 78584TCLung V/Q image single breath A 0.00 3.31 3.33 3.32 3.31 3.33 3.32 0.15 3.48 3.47 3.48 3.47 1XXX.00.00.0000000P0 34.7315 4 7858426Lung V/Q image single breath A 0.99 0.49 0.27 0.44 0.49 0.27 0.44 0.05 1.31 1.48 1.31 1.48 1XXX.00.00.0000000P0 34.7315 4 78585 Lung V/Q imaging A 1.09 6.35 6.14 6.30 6.35 6.14 6.30 0.32 7.55 7.71 7.55 7.71 1XXX.00.00.0000000P0 34.7315 4 78585TCLung V/Q imaging A 0.00 5.83 5.85 5.84 5.83 5.85 5.84 0.27 6.12 6.11 6.12 6.11 1XXX.00.00.0000000P0 34.7315 4 7858526Lung V/Q imaging A 1.09 0.52 0.29 0.46 0.52 0.29 0.46 0.05 1.43 1.60 1.43 1.60 1XXX.00.00.0000000P0 34.7315 4 78586 Aerosol lung image, single A 0.40 2.88 2.79 2.86 2.88 2.79 2.86 0.15 3.34 3.41 3.34 3.41 1XXX.00.00.0000000P0 34.7315 4 78586TCAerosol lung image, single A 0.00 2.68 2.69 2.68 2.68 2.69 2.68 0.13 2.82 2.81 2.82 2.81 1XXX.00.00.0000000P0 34.7315 4 7858626Aerosol lung image, single A 0.40 0.20 0.10 0.18 0.20 0.10 0.18 0.02 0.52 0.60 0.52 0.60 1XXX.00.00.0000000P0 34.7315 4 78587 Aerosol lung image, multiple A 0.49 3.14 3.03 3.11 3.14 3.03 3.11 0.15 3.67 3.75 3.67 3.75 1XXX.00.00.0000000P0 34.7315 4 78587TCAerosol lung image, multiple A 0.00 2.90 2.90 2.90 2.90 2.90 2.90 0.13 3.03 3.03 3.03 3.03 1XXX.00.00.0000000P0 34.7315 4 7858726Aerosol lung image, multiple A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78588 Perfusion lung image A 1.09 0.00 3.86 3.86 0.00 3.86 3.86 0.20 5.15 5.15 5.15 5.15 1XXX.00.00.0000000P0 34.7315 5 78588TCPerfusion lung image A 0.00 0.00 3.56 3.56 0.00 3.56 3.56 0.16 3.72 3.72 3.72 3.72 1XXX.00.00.0000000P0 34.7315 5 7858826Perfusion lung image A 1.09 0.00 0.30 0.30 0.00 0.30 0.30 0.04 1.43 1.43 1.43 1.43 1XXX.00.00.0000000P0 34.7315 5 78591 Vent image, 1 breath, 1 proj A 0.40 3.15 3.07 3.13 3.15 3.07 3.13 0.15 3.62 3.68 3.62 3.68 1XXX.00.00.0000000P0 34.7315 4 78591TCVent image, 1 breath, 1 proj A 0.00 2.95 2.96 2.95 2.95 2.96 2.95 0.13 3.09 3.08 3.09 3.08 1XXX.00.00.0000000P0 34.7315 4 7859126Vent image, 1 breath, 1 proj A 0.40 0.20 0.11 0.18 0.20 0.11 0.18 0.02 0.53 0.60 0.53 0.60 1XXX.00.00.0000000P0 34.7315 4 78593 Vent image, 1 proj, gas A 0.49 3.81 3.71 3.78 3.81 3.71 3.78 0.18 4.38 4.45 4.38 4.45 1XXX.00.00.0000000P0 34.7315 4 78593TCVent image, 1 proj, gas A 0.00 3.57 3.58 3.57 3.57 3.58 3.57 0.16 3.74 3.73 3.74 3.73 1XXX.00.00.0000000P0 34.7315 4 7859326Vent image, 1 proj, gas A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78594 Vent image, mult proj, gas A 0.53 5.42 5.32 5.40 5.42 5.32 5.40 0.26 6.11 6.19 6.11 6.19 1XXX.00.00.0000000P0 34.7315 4 78594TCVent image, mult proj, gas A 0.00 5.15 5.18 5.16 5.15 5.18 5.16 0.23 5.41 5.39 5.41 5.39 1XXX.00.00.0000000P0 34.7315 4 7859426Vent image, mult proj, gas A 0.53 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.70 0.80 0.70 0.80 1XXX.00.00.0000000P0 34.7315 4 78596 Lung differential function A 1.27 7.92 7.68 7.87 7.92 7.68 7.87 0.41 9.36 9.55 9.36 9.55 1XXX.00.00.0000000P0 34.7315 4 78596TCLung differential function A 0.00 7.31 7.33 7.32 7.31 7.33 7.32 0.34 7.67 7.66 7.67 7.66 1XXX.00.00.0000000P0 34.7315 4 7859626Lung differential function A 1.27 0.61 0.35 0.55 0.61 0.35 0.55 0.07 1.69 1.89 1.69 1.89 1XXX.00.00.0000000P0 34.7315 4 78599 Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78599TCRespiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7859926Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78600 Brain imaging, ltd static A 0.44 3.20 3.12 3.19 3.20 3.12 3.19 0.15 3.71 3.78 3.71 3.78 1XXX.00.00.0000000P0 34.7315 4 78600TCBrain imaging, ltd static A 0.00 2.98 3.00 2.99 2.98 3.00 2.99 0.13 3.13 3.12 3.13 3.12 1XXX.00.00.0000000P0 34.7315 4 7860026Brain imaging, ltd static A 0.44 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.58 0.66 0.58 0.66 1XXX.00.00.0000000P0 34.7315 4 78601 Brain ltd imaging & flow A 0.51 3.78 3.66 3.75 3.78 3.66 3.75 0.19 4.36 4.45 4.36 4.45 1XXX.00.00.0000000P0 34.7315 4 78601TCBrain ltd imaging & flow A 0.00 3.52 3.52 3.52 3.52 3.52 3.52 0.16 3.68 3.68 3.68 3.68 1XXX.00.00.0000000P0 34.7315 4 7860126Brain ltd imaging & flow A 0.51 0.26 0.14 0.23 0.26 0.14 0.23 0.03 0.68 0.77 0.68 0.77 1XXX.00.00.0000000P0 34.7315 4 78605 Brain imaging, complete A 0.53 3.79 3.67 3.76 3.79 3.67 3.76 0.19 4.39 4.48 4.39 4.48 1XXX.00.00.0000000P0 34.7315 4 78605TCBrain imaging, complete A 0.00 3.52 3.52 3.52 3.52 3.52 3.52 0.16 3.68 3.68 3.68 3.68 1XXX.00.00.0000000P0 34.7315 4 7860526Brain imaging, complete A 0.53 0.27 0.15 0.24 0.27 0.15 0.24 0.03 0.71 0.80 0.71 0.80 1XXX.00.00.0000000P0 34.7315 4 78606 Brain imaging comp & flow A 0.64 4.31 4.19 4.28 4.31 4.19 4.28 0.21 5.04 5.13 5.04 5.13 1XXX.00.00.0000000P0 34.7315 4 78606TCBrain imaging comp & flow A 0.00 4.00 4.01 4.00 4.00 4.01 4.00 0.18 4.19 4.18 4.19 4.18 1XXX.00.00.0000000P0 34.7315 4 7860626Brain imaging comp & flow A 0.64 0.31 0.18 0.28 0.31 0.18 0.28 0.03 0.85 0.95 0.85 0.95 1XXX.00.00.0000000P0 34.7315 4 78607 Brain imaging (3D) A 1.23 7.37 7.16 7.32 7.37 7.16 7.32 0.37 8.76 8.92 8.76 8.92 1XXX.00.00.0000000P0 34.7315 4 78607TCBrain imaging (3D) A 0.00 6.78 6.81 6.79 6.78 6.81 6.79 0.31 7.12 7.10 7.12 7.10 1XXX.00.00.0000000P0 34.7315 4 7860726Brain imaging (3D) A 1.23 0.59 0.35 0.53 0.59 0.35 0.53 0.06 1.64 1.82 1.64 1.82 1XXX.00.00.0000000P0 34.7315 4 78608 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 78609 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 78610 Brain flow imaging only A 0.30 1.78 1.72 1.77 1.78 1.72 1.77 0.10 2.12 2.17 2.12 2.17 1XXX.00.00.0000000P0 34.7315 4 78610TCBrain flow imaging only A 0.00 1.63 1.63 1.63 1.63 1.63 1.63 0.08 1.71 1.71 1.71 1.71 1XXX.00.00.0000000P0 34.7315 4 7861026Brain flow imaging only A 0.30 0.15 0.09 0.14 0.15 0.09 0.14 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 78615 Cerebral blood flow imaging A 0.42 4.19 4.13 4.18 4.19 4.13 4.18 0.20 4.75 4.80 4.75 4.80 1XXX.00.00.0000000P0 34.7315 4 78615TCCerebral blood flow imaging A 0.00 3.98 4.00 3.99 3.98 4.00 3.99 0.18 4.18 4.17 4.18 4.17 1XXX.00.00.0000000P0 34.7315 4 7861526Cerebral blood flow imaging A 0.42 0.21 0.13 0.19 0.21 0.13 0.19 0.02 0.57 0.63 0.57 0.63 1XXX.00.00.0000000P0 34.7315 4 78630 Cerebrospinal fluid scan A 0.68 5.55 5.41 5.51 5.55 5.41 5.51 0.28 6.37 6.47 6.37 6.47 1XXX.00.00.0000000P0 34.7315 4 78630TCCerebrospinal fluid scan A 0.00 5.21 5.22 5.21 5.21 5.22 5.21 0.24 5.46 5.45 5.46 5.45 1XXX.00.00.0000000P0 34.7315 4 7863026Cerebrospinal fluid scan A 0.68 0.34 0.19 0.30 0.34 0.19 0.30 0.04 0.91 1.02 0.91 1.02 1XXX.00.00.0000000P0 34.7315 4 78635 CSF ventriculography A 0.61 2.93 2.86 2.91 2.93 2.86 2.91 0.16 3.63 3.68 3.63 3.68 1XXX.00.00.0000000P0 34.7315 4 78635TCCSF ventriculography A 0.00 2.63 2.63 2.63 2.63 2.63 2.63 0.13 2.76 2.76 2.76 2.76 1XXX.00.00.0000000P0 34.7315 4 7863526CSF ventriculography A 0.61 0.30 0.23 0.28 0.30 0.23 0.28 0.03 0.87 0.92 0.87 0.92 1XXX.00.00.0000000P0 34.7315 4 78645 CSF shunt evaluation A 0.57 3.83 3.71 3.80 3.83 3.71 3.80 0.19 4.47 4.56 4.47 4.56 1XXX.00.00.0000000P0 34.7315 4 78645TCCSF shunt evaluation A 0.00 3.55 3.56 3.55 3.55 3.56 3.55 0.16 3.72 3.71 3.72 3.71 1XXX.00.00.0000000P0 34.7315 4 7864526CSF shunt evaluation A 0.57 0.28 0.15 0.25 0.28 0.15 0.25 0.03 0.75 0.85 0.75 0.85 1XXX.00.00.0000000P0 34.7315 4 78647 Cerebrospinal fluid scan A 0.90 6.55 6.39 6.52 6.55 6.39 6.52 0.33 7.62 7.75 7.62 7.75 1XXX.00.00.0000000P0 34.7315 4 78647TCCerebrospinal fluid scan A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7864726Cerebrospinal fluid scan A 0.90 0.44 0.26 0.40 0.44 0.26 0.40 0.05 1.21 1.35 1.21 1.35 1XXX.00.00.0000000P0 34.7315 4 78650 CSF leakage imaging A 0.61 5.10 4.99 5.07 5.10 4.99 5.07 0.25 5.85 5.93 5.85 5.93 1XXX.00.00.0000000P0 34.7315 4 78650TCCSF leakage imaging A 0.00 4.80 4.81 4.80 4.80 4.81 4.80 0.22 5.03 5.02 5.03 5.02 1XXX.00.00.0000000P0 34.7315 4 7865026CSF leakage imaging A 0.61 0.30 0.18 0.27 0.30 0.18 0.27 0.03 0.82 0.91 0.82 0.91 1XXX.00.00.0000000P0 34.7315 4 78660 Nuclear exam of tear flow A 0.53 2.46 2.34 2.43 2.46 2.34 2.43 0.13 3.00 3.09 3.00 3.09 1XXX.00.00.0000000P0 34.7315 4 78660TCNuclear exam of tear flow A 0.00 2.19 2.20 2.19 2.19 2.20 2.19 0.10 2.30 2.29 2.30 2.29 1XXX.00.00.0000000P0 34.7315 4 7866026Nuclear exam of tear flow A 0.53 0.27 0.14 0.24 0.27 0.14 0.24 0.03 0.70 0.80 0.70 0.80 1XXX.00.00.0000000P0 34.7315 4 78699 Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78699TCNervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78700 Kidney imaging, static A 0.45 3.37 3.27 3.35 3.37 3.27 3.35 0.16 3.88 3.96 3.88 3.96 1XXX.00.00.0000000P0 34.7315 4 78700TCKidney imaging, static A 0.00 3.15 3.15 3.15 3.15 3.15 3.15 0.14 3.29 3.29 3.29 3.29 1XXX.00.00.0000000P0 34.7315 4 7870026Kidney imaging, static A 0.45 0.22 0.12 0.20 0.22 0.12 0.20 0.02 0.59 0.67 0.59 0.67 1XXX.00.00.0000000P0 34.7315 4 78701 Kidney imaging with flow A 0.49 3.92 3.83 3.90 3.92 3.83 3.90 0.18 4.50 4.57 4.50 4.57 1XXX.00.00.0000000P0 34.7315 4 78701TCKidney imaging with flow A 0.00 3.68 3.70 3.69 3.68 3.70 3.69 0.16 3.86 3.85 3.86 3.85 1XXX.00.00.0000000P0 34.7315 4 7870126Kidney imaging with flow A 0.49 0.24 0.13 0.21 0.24 0.13 0.21 0.02 0.64 0.72 0.64 0.72 1XXX.00.00.0000000P0 34.7315 4 78704 Imaging renogram A 0.74 4.46 4.30 4.42 4.46 4.30 4.42 0.23 5.27 5.39 5.27 5.39 1XXX.00.00.0000000P0 34.7315 4 78704TCImaging renogram A 0.00 4.09 4.10 4.09 4.09 4.10 4.09 0.19 4.29 4.28 4.29 4.28 1XXX.00.00.0000000P0 34.7315 4 7870426Imaging renogram A 0.74 0.37 0.20 0.33 0.37 0.20 0.33 0.04 0.98 1.11 0.98 1.11 1XXX.00.00.0000000P0 34.7315 4 78707 Kidney flow & function image A 0.96 5.08 4.90 5.04 5.08 4.90 5.04 0.26 6.12 6.26 6.12 6.26 1XXX.00.00.0000000P0 34.7315 4 78707TCKidney flow & function image A 0.00 4.62 4.64 4.63 4.62 4.64 4.63 0.21 4.85 4.84 4.85 4.84 1XXX.00.00.0000000P0 34.7315 4 7870726Kidney flow & function image A 0.96 0.46 0.26 0.41 0.46 0.26 0.41 0.05 1.27 1.42 1.27 1.42 1XXX.00.00.0000000P0 34.7315 4 78708 Kidney flow & function image A 1.21 5.08 4.97 5.06 5.08 4.97 5.06 0.26 6.44 6.53 6.44 6.53 1XXX.00.00.0000000P0 34.7315 4 78708TCKidney flow & function image A 0.00 4.62 4.64 4.63 4.62 4.64 4.63 0.21 4.85 4.84 4.85 4.84 1XXX.00.00.0000000P0 34.7315 4 7870826Kidney flow & function image A 1.21 0.46 0.33 0.43 0.46 0.33 0.43 0.05 1.59 1.69 1.59 1.69 1XXX.00.00.0000000P0 34.7315 4 78709 Kidney flow & function image A 1.41 5.08 5.02 5.07 5.08 5.02 5.07 0.26 6.69 6.74 6.69 6.74 1XXX.00.00.0000000P0 34.7315 4 78709TCKidney flow & function image A 0.00 4.62 4.64 4.63 4.62 4.64 4.63 0.21 4.85 4.84 4.85 4.84 1XXX.00.00.0000000P0 34.7315 4 7870926Kidney flow & function image A 1.41 0.46 0.38 0.44 0.46 0.38 0.44 0.05 1.84 1.90 1.84 1.90 1XXX.00.00.0000000P0 34.7315 4 78710 Kidney imaging (3D) A 0.66 6.44 6.32 6.42 6.44 6.32 6.42 0.32 7.30 7.40 7.30 7.40 1XXX.00.00.0000000P0 34.7315 4 78710TCKidney imaging (3D) A 0.00 6.11 6.13 6.12 6.11 6.13 6.12 0.28 6.41 6.40 6.41 6.40 1XXX.00.00.0000000P0 34.7315 4 7871026Kidney imaging (3D) A 0.66 0.33 0.19 0.30 0.33 0.19 0.30 0.04 0.89 1.00 0.89 1.00 1XXX.00.00.0000000P0 34.7315 4 78715 Renal vascular flow exam A 0.30 1.78 1.72 1.77 1.78 1.72 1.77 0.10 2.12 2.17 2.12 2.17 1XXX.00.00.0000000P0 34.7315 4 78715TCRenal vascular flow exam A 0.00 1.63 1.63 1.63 1.63 1.63 1.63 0.08 1.71 1.71 1.71 1.71 1XXX.00.00.0000000P0 34.7315 4 7871526Renal vascular flow exam A 0.30 0.15 0.09 0.14 0.15 0.09 0.14 0.02 0.41 0.46 0.41 0.46 1XXX.00.00.0000000P0 34.7315 4 78725 Kidney function study A 0.38 2.02 1.95 2.00 2.02 1.95 2.00 0.11 2.44 2.49 2.44 2.49 1XXX.00.00.0000000P0 34.7315 4 78725TCKidney function study A 0.00 1.84 1.85 1.84 1.84 1.85 1.84 0.09 1.94 1.93 1.94 1.93 1XXX.00.00.0000000P0 34.7315 4 7872526Kidney function study A 0.38 0.18 0.10 0.16 0.18 0.10 0.16 0.02 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 34.7315 4 78730 Urinary bladder retention A 0.36 1.68 1.63 1.67 1.68 1.63 1.67 0.09 2.08 2.12 2.08 2.12 1XXX.00.00.0000000P0 34.7315 4 78730TCUrinary bladder retention A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.07 1.59 1.58 1.59 1.58 1XXX.00.00.0000000P0 34.7315 4 7873026Urinary bladder retention A 0.36 0.17 0.11 0.16 0.17 0.11 0.16 0.02 0.49 0.54 0.49 0.54 1XXX.00.00.0000000P0 34.7315 4 78740 Ureteral reflux study A 0.57 2.47 2.35 2.44 2.47 2.35 2.44 0.13 3.05 3.14 3.05 3.14 1XXX.00.00.0000000P0 34.7315 4 78740TCUreteral reflux study A 0.00 2.19 2.20 2.19 2.19 2.20 2.19 0.10 2.30 2.29 2.30 2.29 1XXX.00.00.0000000P0 34.7315 4 7874026Ureteral reflux study A 0.57 0.28 0.15 0.25 0.28 0.15 0.25 0.03 0.75 0.85 0.75 0.85 1XXX.00.00.0000000P0 34.7315 4 78760 Testicular imaging A 0.66 3.10 2.96 3.06 3.10 2.96 3.06 0.16 3.78 3.88 3.78 3.88 1XXX.00.00.0000000P0 34.7315 4 78760TCTesticular imaging A 0.00 2.77 2.78 2.77 2.77 2.78 2.77 0.13 2.91 2.90 2.91 2.90 1XXX.00.00.0000000P0 34.7315 4 7876026Testicular imaging A 0.66 0.33 0.18 0.29 0.33 0.18 0.29 0.03 0.87 0.98 0.87 0.98 1XXX.00.00.0000000P0 34.7315 4 78761 Testicular imaging & flow A 0.71 3.67 3.53 3.64 3.67 3.53 3.64 0.19 4.43 4.54 4.43 4.54 1XXX.00.00.0000000P0 34.7315 4 78761TCTesticular imaging & flow A 0.00 3.31 3.33 3.32 3.31 3.33 3.32 0.15 3.48 3.47 3.48 3.47 1XXX.00.00.0000000P0 34.7315 4 7876126Testicular imaging & flow A 0.71 0.36 0.20 0.32 0.36 0.20 0.32 0.04 0.95 1.07 0.95 1.07 1XXX.00.00.0000000P0 34.7315 4 78799 Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78799TCGenitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7879926Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78800 Tumor imaging, limited area A 0.66 3.85 3.71 3.82 3.85 3.71 3.82 0.19 4.56 4.67 4.56 4.67 1XXX.00.00.0000000P0 34.7315 4 78800TCTumor imaging, limited area A 0.00 3.52 3.52 3.52 3.52 3.52 3.52 0.16 3.68 3.68 3.68 3.68 1XXX.00.00.0000000P0 34.7315 4 7880026Tumor imaging, limited area A 0.66 0.33 0.19 0.30 0.33 0.19 0.30 0.03 0.88 0.99 0.88 0.99 1XXX.00.00.0000000P0 34.7315 4 78801 Tumor imaging, mult areas A 0.79 4.76 4.60 4.72 4.76 4.60 4.72 0.24 5.63 5.75 5.63 5.75 1XXX.00.00.0000000P0 34.7315 4 78801TCTumor imaging, mult areas A 0.00 4.37 4.38 4.37 4.37 4.38 4.37 0.20 4.58 4.57 4.58 4.57 1XXX.00.00.0000000P0 34.7315 4 7880126Tumor imaging, mult areas A 0.79 0.39 0.22 0.35 0.39 0.22 0.35 0.04 1.05 1.18 1.05 1.18 1XXX.00.00.0000000P0 34.7315 4 78802 Tumor imaging, whole body A 0.86 6.14 5.98 6.11 6.14 5.98 6.11 0.32 7.16 7.29 7.16 7.29 1XXX.00.00.0020000P0 34.7315 4 78802TCTumor imaging, whole body A 0.00 5.72 5.74 5.73 5.72 5.74 5.73 0.27 6.01 6.00 6.01 6.00 1XXX.00.00.0020000P0 34.7315 4 7880226Tumor imaging, whole body A 0.86 0.42 0.24 0.38 0.42 0.24 0.38 0.05 1.15 1.29 1.15 1.29 1XXX.00.00.0020000P0 34.7315 4 78803 Tumor imaging (3D) A 1.09 7.30 7.13 7.26 7.30 7.13 7.26 0.36 8.58 8.71 8.58 8.71 1XXX.00.00.0020000P0 34.7315 4 78803TCTumor imaging (3D) A 0.00 6.78 6.81 6.79 6.78 6.81 6.79 0.31 7.12 7.10 7.12 7.10 1XXX.00.00.0020000P0 34.7315 4 7880326Tumor imaging (3D) A 1.09 0.52 0.32 0.47 0.52 0.32 0.47 0.05 1.46 1.61 1.46 1.61 1XXX.00.00.0020000P0 34.7315 4 78805 Abscess imaging, ltd area A 0.73 3.88 3.73 3.84 3.88 3.73 3.84 0.20 4.66 4.77 4.66 4.77 1XXX.00.00.0000000P0 34.7315 4 78805TCAbscess imaging, ltd area A 0.00 3.52 3.52 3.52 3.52 3.52 3.52 0.16 3.68 3.68 3.68 3.68 1XXX.00.00.0000000P0 34.7315 4 7880526Abscess imaging, ltd area A 0.73 0.36 0.21 0.32 0.36 0.21 0.32 0.04 0.98 1.09 0.98 1.09 1XXX.00.00.0000000P0 34.7315 4 78806 Abscess imaging, whole body A 0.86 7.06 6.91 7.03 7.06 6.91 7.03 0.36 8.13 8.25 8.13 8.25 1XXX.00.00.0020000P0 34.7315 4 78806TCAbscess imaging, whole body A 0.00 6.65 6.67 6.66 6.65 6.67 6.66 0.31 6.98 6.97 6.98 6.97 1XXX.00.00.0020000P0 34.7315 4 7880626Abscess imaging, whole body A 0.86 0.41 0.24 0.37 0.41 0.24 0.37 0.05 1.15 1.28 1.15 1.28 1XXX.00.00.0020000P0 34.7315 4 78807 Nuclear localization/abscess A 1.09 7.30 7.12 7.26 7.30 7.12 7.26 0.36 8.57 8.71 8.57 8.71 1XXX.00.00.0020000P0 34.7315 4 78807TCNuclear localization/abscess A 0.00 6.78 6.81 6.79 6.78 6.81 6.79 0.31 7.12 7.10 7.12 7.10 1XXX.00.00.0020000P0 34.7315 4 7880726Nuclear localization/abscess A 1.09 0.52 0.31 0.47 0.52 0.31 0.47 0.05 1.45 1.61 1.45 1.61 1XXX.00.00.0020000P0 34.7315 4 78810 Tumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 78810TCTumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 7881026Tumor imaging (PET) N+ 1.93 1.49 0.73 1.30 1.49 0.73 1.30 0.08 2.74 3.31 2.74 3.31 1XXX.00.00.0099999P9 0.0000 9 78890 Nuclear medicine data proc B+ 0.05 1.37 1.36 1.37 1.37 1.36 1.37 0.06 1.47 1.48 1.47 1.48 1XXX.00.00.0099999P9 0.0000 9 78890TCNuclear medicine data proc B+ 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0099999P9 0.0000 9 7889026Nuclear medicine data proc B+ 0.05 0.02 0.02 0.02 0.02 0.02 0.02 0.00 0.07 0.07 0.07 0.07 1XXX.00.00.0099999P9 0.0000 9 78891 Nuclear med data proc B+ 0.10 2.76 2.77 2.77 2.76 2.77 2.77 0.14 3.01 3.01 3.01 3.01 1XXX.00.00.0099999P9 0.0000 9 78891TCNuclear med data proc B+ 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0099999P9 0.0000 9 7889126Nuclear med data proc B+ 0.10 0.05 0.04 0.05 0.05 0.04 0.05 0.01 0.15 0.16 0.15 0.16 1XXX.00.00.0099999P9 0.0000 9 78990 Provide diag radionuclide(s) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 78999 Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 78999TCNuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7899926Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 79000 Intial hyperthyroid therapy A 1.80 3.59 3.24 3.51 3.59 3.24 3.51 0.22 5.26 5.53 5.26 5.53 1XXX.00.00.0000000P0 34.7315 4 79000TCIntial hyperthyroid therapy A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7900026Intial hyperthyroid therapy A 1.80 0.88 0.51 0.79 0.88 0.51 0.79 0.09 2.40 2.68 2.40 2.68 1XXX.00.00.0000000P0 34.7315 4 79001 Repeat hyperthyroid therapy A 1.05 1.85 1.64 1.80 1.85 1.64 1.80 0.11 2.80 2.96 2.80 2.96 1XXX.00.00.0000000P0 34.7315 4 79001TCRepeat hyperthyroid therapy A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 7900126Repeat hyperthyroid therapy A 1.05 0.50 0.30 0.45 0.50 0.30 0.45 0.05 1.40 1.55 1.40 1.55 1XXX.00.00.0000000P0 34.7315 4 79020 Thyroid ablation A 1.81 3.59 3.22 3.50 3.59 3.22 3.50 0.22 5.25 5.53 5.25 5.53 1XXX.00.00.0000000P0 34.7315 4 79020TCThyroid ablation A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7902026Thyroid ablation A 1.81 0.88 0.49 0.78 0.88 0.49 0.78 0.09 2.39 2.68 2.39 2.68 1XXX.00.00.0000000P0 34.7315 4 79030 Thyroid ablation, carcinoma A 2.10 3.73 3.32 3.63 3.73 3.32 3.63 0.24 5.66 5.97 5.66 5.97 1XXX.00.00.0000000P0 34.7315 4 79030TCThyroid ablation, carcinoma A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7903026Thyroid ablation, carcinoma A 2.10 1.02 0.59 0.91 1.02 0.59 0.91 0.11 2.80 3.12 2.80 3.12 1XXX.00.00.0000000P0 34.7315 4 79035 Thyroid metastatic therapy A 2.52 3.94 3.45 3.82 3.94 3.45 3.82 0.26 6.23 6.60 6.23 6.60 1XXX.00.00.0000000P0 34.7315 4 79035TCThyroid metastatic therapy A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7903526Thyroid metastatic therapy A 2.52 1.23 0.72 1.10 1.23 0.72 1.10 0.13 3.37 3.75 3.37 3.75 1XXX.00.00.0000000P0 34.7315 4 79100 Hematopoetic nuclear therapy A 1.32 3.34 3.11 3.29 3.34 3.11 3.29 0.20 4.63 4.81 4.63 4.81 1XXX.00.00.0000000P0 34.7315 4 79100TCHematopoetic nuclear therapy A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7910026Hematopoetic nuclear therapy A 1.32 0.63 0.38 0.57 0.63 0.38 0.57 0.07 1.77 1.96 1.77 1.96 1XXX.00.00.0000000P0 34.7315 4 79200 Intracavitary nuc treatment A 1.99 3.68 3.33 3.60 3.68 3.33 3.60 0.24 5.56 5.83 5.56 5.83 1XXX.00.00.0000000P0 34.7315 4 79200TCIntracavitary nuc treatment A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7920026Intracavitary nuc treatment A 1.99 0.97 0.60 0.88 0.97 0.60 0.88 0.11 2.70 2.98 2.70 2.98 1XXX.00.00.0000000P0 34.7315 4 79300 Interstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 79300TCInterstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7930026Interstitial nuclear therapy A 1.60 0.77 0.42 0.68 0.77 0.42 0.68 0.09 2.11 2.37 2.11 2.37 1XXX.00.00.0000000P0 34.7315 4 79400 Nonhemato nuclear therapy A 1.96 3.65 3.29 3.57 3.65 3.29 3.57 0.23 5.48 5.76 5.48 5.76 1XXX.00.00.0000000P0 34.7315 4 79400TCNonhemato nuclear therapy A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7940026Nonhemato nuclear therapy A 1.96 0.94 0.56 0.85 0.94 0.56 0.85 0.10 2.62 2.91 2.62 2.91 1XXX.00.00.0000000P0 34.7315 4 79420 Intravascular nuc therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 79420TCIntravascular nuc therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7942026Intravascular nuc therapy A 1.51 0.73 0.41 0.65 0.73 0.41 0.65 0.08 2.00 2.24 2.00 2.24 1XXX.00.00.0000000P0 34.7315 4 79440 Nuclear joint therapy A 1.99 3.68 3.29 3.59 3.68 3.29 3.59 0.24 5.52 5.82 5.52 5.82 1XXX.00.00.0000000P0 34.7315 4 79440TCNuclear joint therapy A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 1XXX.00.00.0000000P0 34.7315 4 7944026Nuclear joint therapy A 1.99 0.97 0.56 0.87 0.97 0.56 0.87 0.11 2.66 2.97 2.66 2.97 1XXX.00.00.0000000P0 34.7315 4 79900 Provide ther radiopharm(s) C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 79999 Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 79999TCNuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 7999926Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 80049 Metabolic panel, basic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80054 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80055 Obstetric panel I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80058 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80059 Hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80072 Arthritis panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80090 Torch antibody panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80091 Thyroid panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80092 Thyroid panel w/TSH X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80100 Drug screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80101 Drug screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80102 Drug confirmation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80156 Assay carbamazepine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80162 Assay for digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80170 Gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80172 Assay for gold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80176 Assay for lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80178 Assay for lithium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80182 Assay for nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80184 Assay for phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80185 Assay for phenytoin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80186 Assay for phenytoin, free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80188 Assay for primidone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80190 Assay for procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80192 Assay for procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80194 Assay for quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80196 Assay for salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80197 Assay for tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80198 Assay for theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80200 Assay for tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80201 Assay for topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80202 Assay for vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80414 Testosterone response X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 80500 Lab pathology consultation A 0.37 0.22 0.20 0.22 0.22 0.15 0.20 0.01 0.58 0.60 0.53 0.58 0XXX.00.00.0000000P0 34.7315 4 80502 Lab pathology consultation A 1.33 0.36 0.58 0.42 0.36 0.55 0.41 0.02 1.93 1.77 1.90 1.76 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82000 Assay blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82003 Assay acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82010 Acetone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82016 Acylcarnitines, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82017 Acylcarnitines, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82024 ACTH X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82030 ADP & AMP X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82040 Assay serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82042 Assay urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82043 Microalbumin, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82044 Microalbumin, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82055 Assay ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82075 Assay breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82088 Aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82108 Assay, aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82130 Amino acids analysis D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82136 Amino acids, 2-5 quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82139 Amino acids, 6+ quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82160 Androsterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82172 Apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82232 Beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82247 Bilirubin total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82248 Bilirubin direct X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82250 Assay bilirubin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 82251 Assay bilirubin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82261 Assay biotinidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82270 Test feces for blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82273 Test for blood, other source X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82300 Assay cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82306 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82307 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82310 Assay calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82330 Assay calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82340 Assay calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82355 Calculus (stone) analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82360 Calculus (stone) assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82365 Calculus (stone) assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82370 X-ray assay,calculus (stone) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82375 Assay blood carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82376 Test for carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82379 Assay carnitine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82380 Assay carotene X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82387 Cathepsin-D X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82390 Assay ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82415 Assay chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82435 Assay blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82436 Assay urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82465 Assay serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82487 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82488 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82491 Chromotography, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82495 Assay chromium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82507 Assay citrate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82520 Assay for cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82525 Assay copper X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82528 Assay corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82530 Cortisol, free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82540 Assay creatine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82544 Column chromotography quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82550 Assay CK (CPK) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82552 Assay CPK in blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82554 Creatine, isoforms X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82565 Assay creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82570 Assay urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82585 Assay cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82595 Assay cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82600 Assay cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82638 Assay dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82651 Dihydrotestosterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82652 Assay, dihydroxyvitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82666 Epiandrosterone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82668 Erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82670 Estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82671 Estrogens assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82672 Estrogen assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82677 Estriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82679 Estrone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82690 Ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82693 Ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82696 Etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82705 Fats/lipids,feces,qualitativ X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82710 Fats/lipids,feces,quantitati X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82715 Fecal fat assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82725 Assay blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82728 Assay ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82731 Fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82735 Assay fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82747 Folic acid, RBC X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82757 Assay semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82759 RBC galactokinase assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82760 Assay galactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82784 Assay gammaglobulin IgM X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82785 Assay, gammaglobulin IgE X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82787 IgG1, 2, 3 and 4 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82800 Blood pH X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82803 Blood gases: pH, pO2 & pCO2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82805 Blood gases W/02 saturation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82926 Assay gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82928 Assay gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82947 Assay quantitative, glucose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82955 Assay G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82963 Glucosidase assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82965 Assay GDH enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82975 Assay glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82978 Glutathione assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82979 Assay RBC glutathione enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 82985 Glycated protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83001 Gonadotropin (FSH) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83002 Gonadotropin (LH) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83008 Assay guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83010 Quant assay haptoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83012 Assay haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83013 H pylori breath test anal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83014 H pylori drug admin/collect X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83019 Breath isotope test D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 83020 Hemoglobin electrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8302026Hemoglobin electrophoresis A 0.37 0.22 0.15 0.20 0.22 0.15 0.20 0.01 0.53 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 83021 Hemoglobin chromotography X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83030 Fetal hemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83033 Fetal fecal hemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83036 Glycated hemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83051 Assay plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83065 Hemoglobin heat assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83069 Assay urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83070 Qualt assay hemosiderin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83071 Quant assay of hemosiderin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83080 B hexosaminidase assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83088 Assay histamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83150 Assay for HVA X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83497 Assay 5-HIAA X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83516 Immunoassay, non antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83518 Immunoassay, dipstick X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83519 Immunoassay nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83520 Immunoassay, RIA X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83528 Assay intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83540 Assay iron X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83570 Assay IDH enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83582 Assay ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83586 Assay 17-(17-KS)ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83593 Fractionation ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83605 Lactic acid assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83625 Assay LDH enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83634 Assay urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83655 Assay for lead X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83661 Assay L/S ratio X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83662 L/S ratio, foam stability X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83670 Assay LAP enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83690 Assay lipase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83715 Assay blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83716 Assay blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83717 Assay blood lipoproteins D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 83718 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83719 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83721 Blood lipoprotein assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83727 LRH hormone assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83735 Assay magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83825 Assay mercury X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83835 Assay metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83840 Assay methadone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83857 Assay methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83858 Assay methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83866 Mucopolysaccharides screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83873 Assay, CSF protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83874 Myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83883 Nephelometry, not specified X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83885 Assay for nickel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83887 Assay nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83890 Molecule isolate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83892 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83896 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83898 Molecule nucleic amp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83901 Molecule nucleic amp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83902 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83912 Genetic examination X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8391226Genetic examination A 0.37 0.22 0.13 0.20 0.22 0.15 0.20 0.01 0.51 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 83915 Assay nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83918 Assay organic acids quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83919 Assay organic acids qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83925 Opiates X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83930 Assay blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83935 Assay urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83937 Assay for osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83945 Assay oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 83986 Assay body fluid acidity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84030 Assay blood PKU X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84035 Assay phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84085 Assay RBC PG6D enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84100 Assay phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84105 Assay urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84110 Assay porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84120 Assay urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84126 Assay feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84127 Porphyrins, feces X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84132 Assay serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84133 Assay urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84134 Prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84135 Assay pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84138 Assay pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84140 Assay for pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84143 Assay/17-hydroxypregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84144 Assay progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84146 Assay for prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84153 Psa total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84154 Psa free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84155 Assay protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84160 Assay serum protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84165 Assay serum proteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8416526Assay serum proteins A 0.37 0.22 0.15 0.20 0.22 0.15 0.20 0.01 0.53 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8418126Western blot test A 0.37 0.22 0.14 0.20 0.22 0.15 0.20 0.01 0.52 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8418226Protein, western blot test A 0.37 0.22 0.14 0.20 0.22 0.15 0.20 0.01 0.52 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84207 Assay vitamin B-6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84210 Assay pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84220 Assay pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84228 Assay quinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84233 Assay estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84234 Assay progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84235 Assay endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84238 Assay non-endocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84252 Assay vitamin B-2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84255 Assay selenium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84260 Assay serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84270 Sex hormone globulin (SHBG) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84275 Assay sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84285 Assay silica X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84295 Assay serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84300 Assay urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84305 Somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84307 Somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84392 Assay urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84402 Testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84403 Assay total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84425 Assay vitamin B-1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84430 Assay thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84432 Thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84436 Assay, total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84437 Assay neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84439 Assay, free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84442 Thyroid activity (TBG) assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84445 Thyroid immunoglobulins TSI X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84446 Assay vitamin E X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84449 Assay for transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84466 Transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84478 Assay triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84479 Assay thyroid (t-3 or t-4) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84480 Assay triiodothyronine (t-3) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84482 T3 reverse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84484 Troponin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84490 Assay feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84510 Assay tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84512 Troponin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84520 Assay urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84540 Assay urine urea-N X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84550 Assay blood uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84560 Assay urine uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84577 Assay feces urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84580 Assay urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84583 Assay urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84585 Assay urine VMA X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84586 VIP assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84588 Assay vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84590 Assay vitamin-A X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84597 Assay vitamin-K X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84600 Assay for volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84630 Assay zinc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84681 Assay C-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 84830 Ovulation tests X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85007 Differential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85008 Nondifferential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85009 Differential WBC count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85013 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85021 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85022 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85023 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85024 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85025 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85027 Automated hemogram X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85029 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 85030 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 85031 Manual hemogram,complete cbc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85041 Red blood cell (RBC) count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85044 Reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85045 Reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85048 White blood cell (WBC) count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85060 Blood smear interpretation A 0.45 0.24 0.67 0.35 0.24 0.19 0.23 0.02 1.14 0.82 0.66 0.70 8XXX.00.00.0000000P0 34.7315 4 85095 Bone marrow aspiration A 1.08 0.73 4.16 1.59 0.73 0.49 0.67 0.04 5.28 2.71 1.61 1.79 0XXX.00.00.0000000P1A4550 34.7315 4 85097 Bone marrow interpretation A 0.94 0.52 2.61 1.04 0.52 0.38 0.49 0.03 3.58 2.01 1.35 1.46 0XXX.00.00.0000000P0 34.7315 4 85102 Bone marrow biopsy A 1.37 0.87 4.28 1.72 0.87 0.60 0.80 0.04 5.69 3.13 2.01 2.21 0XXX.00.00.0000000P1A4550 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85345 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85347 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85348 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85360 Euglobulin lysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85366 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85370 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85378 Fibrin degradation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85379 Fibrin degradation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85390 Fibrinolysins screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8539026Fibrinolysins screen A 0.37 0.22 0.14 0.20 0.22 0.14 0.20 0.01 0.52 0.58 0.52 0.58 6XXX.00.00.0000000P0 34.7315 4 85400 Fibrinolytic plasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85410 Fibrinolytic antiplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85415 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85420 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85421 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85460 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85461 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85520 Heparin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85525 Heparin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85535 Iron stain, blood cells X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8557626Blood platelet aggregation A 0.37 0.22 0.15 0.20 0.22 0.15 0.20 0.01 0.53 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 85585 Blood platelet estimation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85590 Platelet manual count X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85595 Platelet count, automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85597 Platelet neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85610 Prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85611 Prothrombin test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85635 Reptilase test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85651 Rbc sed rate, nonauto X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85652 Rbc sed rate, auto X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85705 Thromboplastin inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 85999 Hematology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86000 Agglutinins; febrile X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86022 Platelet antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86023 Immunoglobulin assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86038 Antinuclear antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86077 Physician blood bank service A 0.94 0.33 0.46 0.36 0.33 0.38 0.34 0.02 1.42 1.32 1.34 1.30 0XXX.00.00.0000000P0 34.7315 4 86078 Physician blood bank service A 0.94 0.37 0.51 0.41 0.37 0.39 0.38 0.02 1.47 1.37 1.35 1.34 0XXX.00.00.0000000P0 34.7315 4 86079 Physician blood bank service A 0.94 0.36 0.50 0.40 0.36 0.39 0.37 0.02 1.46 1.36 1.35 1.33 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86147 Cardiolipin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86148 Phospholipid antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86155 Chemotaxis assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86160 Complement, antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86215 Deoxyribonuclease, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86225 DNA antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86243 Fc receptor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8625526Fluorescent antibody; screen A 0.37 0.22 0.17 0.21 0.22 0.15 0.20 0.01 0.55 0.59 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8625626Fluorescent antibody; titer A 0.37 0.22 0.15 0.20 0.22 0.15 0.20 0.01 0.53 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86280 Hemagglutination inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86308 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86309 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86310 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86316 Immunoassay, tumor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86320 Serum immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8632026Serum immunoelectrophoresis A 0.37 0.22 0.17 0.21 0.22 0.15 0.20 0.01 0.55 0.59 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 86325 Other immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8632526Other immunoelectrophoresis A 0.37 0.22 0.15 0.20 0.22 0.15 0.20 0.01 0.53 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 86327 Immunoelectrophoresis assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8632726Immunoelectrophoresis assay A 0.42 0.22 0.15 0.20 0.22 0.18 0.21 0.01 0.58 0.63 0.61 0.64 6XXX.00.00.0000000P0 34.7315 4 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86331 Immunodiffusion ouchterlony X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86334 Immunofixation procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8633426Immunofixation procedure A 0.37 0.22 0.14 0.20 0.22 0.15 0.20 0.01 0.52 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 86337 Insulin antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86344 Leukocyte phagocytosis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86353 Lymphocyte transformation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86376 Microsomal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 86490 Coccidioidomycosis skin test A 0.00 0.30 0.31 0.30 0.30 0.31 0.30 0.02 0.33 0.32 0.33 0.32 3XXX.00.00.0000000P0 34.7315 4 86510 Histoplasmosis skin test A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 3XXX.00.00.0000000P0 34.7315 4 86580 TB intradermal test A 0.00 0.26 0.26 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 3XXX.00.00.0000000P0 34.7315 4 86585 TB tine test A 0.00 0.21 0.21 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 3XXX.00.00.0000000P0 34.7315 4 86586 Skin test, unlisted C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000P0 34.7315 9 86588 Streptocollus, direct screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86590 Streptokinase, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86592 Blood serology, qualitative X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86593 Blood serology, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86602 Antinomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86603 Adenovirus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86606 Aspergillus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86609 Bacterium, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86612 Blastomyces, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86615 Bordetella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86619 Borrelia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86622 Brucella, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86625 Campylobacter, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86628 Candida, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86631 Chlamydia, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86635 Coccidioides, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86641 Cryptococcus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86644 CMV antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86648 Diphtheria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86651 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86652 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86653 Encephalitis, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86654 Encephalitis, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86658 Enterovirus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86668 Francisella tularensis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86671 Fungus, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86674 Giardia lamblia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86677 Helicobacter pylori X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86682 Helminth, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86684 Hemophilus influenza X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86687 HTLV I X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86688 HTLV-II X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86701 HIV-1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86702 HIV-2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86704 Hep b core ab test, igg & m X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86705 Hep b core ab test, igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86706 Hepatitis b surface ab test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86707 Hepatitis be ab test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86708 Hep a ab test, igg & m X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86709 Hep a ab test, igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86710 Influenza virus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86713 Legionella X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86717 Leishmania X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86720 Leptospira X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86723 Listeria monocytogenes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86727 Lymph choriomeningitis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86729 Lympho venereum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86732 Mucormycosis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86735 Mumps X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86738 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86741 Neisseria meningitidis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86744 Nocardia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86747 Parvovirus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86750 Malaria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86753 Protozoa, not elsewhere X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86756 Respiratory virus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86759 Rotavirus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86762 Rubella X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86765 Rubeola X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86768 Salmonella X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86771 Shigella X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86774 Tetanus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86777 Toxoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86778 Toxoplasma, IgM X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86781 Treponema pallidum confirm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86784 Trichinella X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86787 Varicella-zoster X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86790 Virus, not specified X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86793 Yersinia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86800 Thyroglobulin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86805 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86806 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86849 Immunology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86880 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86885 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86886 Coombs test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86903 Blood typing, antigen screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86915 Bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86920 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86921 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86922 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86941 Hemolysins/agglutinins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86950 Leukacyte transfusion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86970 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86971 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86972 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 86999 Transfusion procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87015 Specimen concentration X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87045 Stool culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87060 Nose/throat culture,bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87070 Culture specimen, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87072 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87075 Culture specimen, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87076 Bacteria identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87081 Bacteria culture screen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87082 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87083 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87085 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87087 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87101 Skin fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87106 Fungus identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87109 Mycoplasma culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87110 Culture, chlamydia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87116 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87117 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87118 Mycobacteria identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87140 Culture typing, fluorescent X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87143 Culture typing, GLC method X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87145 Culture typing, phage method X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87147 Culture typing, serologic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87151 Culture typing, serologic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87155 Culture typing, precipitin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87163 Special microbiology culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8716426Dark field examination A 0.37 0.22 0.11 0.19 0.22 0.14 0.20 0.01 0.49 0.57 0.52 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87174 Endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87175 Assay, endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87176 Endotoxin, bacterial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87181 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87184 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87186 Antibiotic sensitivity, MIC X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87187 Antibiotic sensitivity, MBC X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87188 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87190 TB antibiotic sensitivity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87192 Antibiotic sensitivity, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87205 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87206 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87207 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8720726Smear, stain & interpret A 0.37 0.22 0.17 0.21 0.22 0.15 0.20 0.01 0.55 0.59 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 87208 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87210 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87211 Smear, stain & interpret X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87250 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87252 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87253 Virus inoculation for test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87260 Adenovirus ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87265 Pertussis ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87270 Chylmd trach ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87272 Cryptosporidum ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87274 Herpes simplex ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87276 Influenza ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87278 Legion pneumo ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87280 Resp syncytial ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87285 Trepon pallidum ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87290 Varicella ag, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87299 Ag detection nos, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87328 Cryptospor ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87350 Hepatitis b ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 87999 Microbiology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88036 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88037 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88045 Coroner’s autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88104 Cytopathology, fluids A 0.56 0.48 0.46 0.48 0.48 0.46 0.48 0.04 1.06 1.08 1.06 1.08 1XXX.00.00.0000000P0 34.7315 4 88104TCCytopathology, fluids A 0.00 0.23 0.23 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1XXX.00.00.0000000P0 34.7315 4 8810426Cytopathology, fluids A 0.56 0.25 0.23 0.25 0.25 0.23 0.25 0.02 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 34.7315 4 88106 Cytopathology, fluids A 0.56 0.40 0.43 0.41 0.40 0.43 0.41 0.03 1.02 1.00 1.02 1.00 1XXX.00.00.0000000P0 34.7315 4 88106TCCytopathology, fluids A 0.00 0.18 0.19 0.18 0.18 0.19 0.18 0.02 0.21 0.20 0.21 0.20 1XXX.00.00.0000000P0 34.7315 4 8810626Cytopathology, fluids A 0.56 0.22 0.24 0.23 0.22 0.24 0.23 0.01 0.81 0.80 0.81 0.80 1XXX.00.00.0000000P0 34.7315 4 88107 Cytopathology, fluids A 0.76 0.51 0.57 0.53 0.51 0.57 0.53 0.04 1.37 1.33 1.37 1.33 1XXX.00.00.0000000P0 34.7315 4 88107TCCytopathology, fluids A 0.00 0.25 0.25 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 34.7315 4 8810726Cytopathology, fluids A 0.76 0.26 0.32 0.28 0.26 0.32 0.28 0.02 1.10 1.06 1.10 1.06 1XXX.00.00.0000000P0 34.7315 4 88108 Cytopath, concentrate tech A 0.56 0.51 0.49 0.51 0.51 0.49 0.51 0.04 1.09 1.11 1.09 1.11 1XXX.00.00.0000000P0 34.7315 4 88108TCCytopath, concentrate tech A 0.00 0.25 0.25 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 34.7315 4 8810826Cytopath, concentrate tech A 0.56 0.26 0.24 0.26 0.26 0.24 0.26 0.02 0.82 0.84 0.82 0.84 1XXX.00.00.0000000P0 34.7315 4 88125 Forensic cytopathology A 0.26 0.12 0.14 0.13 0.12 0.14 0.13 0.00 0.40 0.39 0.40 0.39 1XXX.00.00.0000000P0 34.7315 4 88125TCForensic cytopathology A 0.00 0.04 0.04 0.04 0.04 0.04 0.04 0.00 0.04 0.04 0.04 0.04 1XXX.00.00.0000000P0 34.7315 4 8812526Forensic cytopathology A 0.26 0.08 0.10 0.09 0.08 0.10 0.09 0.00 0.36 0.35 0.36 0.35 1XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88141 Cytpath c/vag interpret A 0.42 0.35 0.18 0.31 0.35 0.18 0.31 0.03 0.63 0.76 0.63 0.76 2XXX.00.00.0000000P0 34.7315 4 88142 Cytpath c/vag t/layer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88143 Cytpath c/vag t/layer redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88144 Cytpathc/vagt/layerauto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88145 Cytpath c/vag t/layer select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88147 Cytpath c/vag automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88148 Cytpath c/vag auto rescreen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88150 Cytpath c/vag manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88152 Cytpath c/vag auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88153 Cytpath c/vag redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88154 Cytpath c/vag select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88155 Cytpath c/vag index add-on X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 88156 Cytopath cerv/vag tbs D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 88158 Cytopath cerv/vag tbs auto D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 88160 Cytopath smear, other source A 0.50 0.35 0.38 0.36 0.35 0.38 0.36 0.03 0.91 0.89 0.91 0.89 1XXX.00.00.0000000P0 34.7315 4 88160TCCytopath smear, other source A 0.00 0.17 0.17 0.17 0.17 0.17 0.17 0.02 0.19 0.19 0.19 0.19 1XXX.00.00.0000000P0 34.7315 4 8816026Cytopath smear, other source A 0.50 0.18 0.21 0.19 0.18 0.21 0.19 0.01 0.72 0.70 0.72 0.70 1XXX.00.00.0000000P0 34.7315 4 88161 Cytopath smear, other source A 0.50 0.43 0.42 0.43 0.43 0.42 0.43 0.03 0.95 0.96 0.95 0.96 1XXX.00.00.0000000P0 34.7315 4 88161TCCytopath smear, other source A 0.00 0.21 0.21 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0000000P0 34.7315 4 8816126Cytopath smear, other source A 0.50 0.22 0.21 0.22 0.22 0.21 0.22 0.01 0.72 0.73 0.72 0.73 1XXX.00.00.0000000P0 34.7315 4 88162 Cytopath smear, other source A 0.76 0.85 0.73 0.82 0.85 0.73 0.82 0.04 1.53 1.62 1.53 1.62 1XXX.00.00.0000000P0 34.7315 4 88162TCCytopath smear, other source A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.02 0.43 0.43 0.43 0.43 1XXX.00.00.0000000P0 34.7315 4 8816226Cytopath smear, other source A 0.76 0.44 0.32 0.41 0.44 0.32 0.41 0.02 1.10 1.19 1.10 1.19 1XXX.00.00.0000000P0 34.7315 4 88164 Cytpath tbs c/vag manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88165 Cytpath tbs c/vag redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88166 Cytpath tbs c/vag auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88167 Cytpath tbs c/vag select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88170 Fine needle aspiration A 1.27 1.07 1.03 1.06 1.07 1.03 1.06 0.07 2.37 2.40 2.37 2.40 1XXX.00.00.0000000P0 34.7315 4 88170TCFine needle aspiration A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 8817026Fine needle aspiration A 1.27 0.56 0.52 0.55 0.56 0.52 0.55 0.04 1.83 1.86 1.83 1.86 1XXX.00.00.0000000P0 34.7315 4 88171 Fine needle aspiration A 1.27 1.46 1.13 1.38 1.46 1.13 1.38 0.07 2.47 2.72 2.47 2.72 1XXX.00.00.0000000P0 34.7315 4 88171TCFine needle aspiration A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.03 0.73 0.72 0.73 0.72 1XXX.00.00.0000000P0 34.7315 4 8817126Fine needle aspiration A 1.27 0.77 0.43 0.69 0.77 0.43 0.69 0.04 1.74 2.00 1.74 2.00 1XXX.00.00.0000000P0 34.7315 4 88172 Evaluation of smear A 0.60 0.77 0.63 0.74 0.77 0.63 0.74 0.04 1.27 1.38 1.27 1.38 1XXX.00.00.0000000P0 34.7315 4 88172TCEvaluation of smear A 0.00 0.38 0.38 0.38 0.38 0.38 0.38 0.02 0.40 0.40 0.40 0.40 1XXX.00.00.0000000P0 34.7315 4 8817226Evaluation of smear A 0.60 0.39 0.25 0.36 0.39 0.25 0.36 0.02 0.87 0.98 0.87 0.98 1XXX.00.00.0000000P0 34.7315 4 88173 Interpretation of smear A 1.39 0.95 1.03 0.97 0.95 1.03 0.97 0.04 2.46 2.40 2.46 2.40 1XXX.00.00.0000000P0 34.7315 4 88173TCInterpretation of smear A 0.00 0.46 0.45 0.46 0.46 0.45 0.46 0.02 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 34.7315 4 8817326Interpretation of smear A 1.39 0.49 0.58 0.51 0.49 0.58 0.51 0.02 1.99 1.92 1.99 1.92 1XXX.00.00.0000000P0 34.7315 4 88180 Cell marker study A 0.36 0.35 0.31 0.34 0.35 0.31 0.34 0.03 0.70 0.73 0.70 0.73 1XXX.00.00.0000000P0 34.7315 4 88180TCCell marker study A 0.00 0.17 0.17 0.17 0.17 0.17 0.17 0.02 0.19 0.19 0.19 0.19 1XXX.00.00.0000000P0 34.7315 4 8818026Cell marker study A 0.36 0.18 0.14 0.17 0.18 0.14 0.17 0.01 0.51 0.54 0.51 0.54 1XXX.00.00.0000000P0 34.7315 4 88182 Cell marker study A 0.77 0.97 0.80 0.93 0.97 0.80 0.93 0.05 1.62 1.75 1.62 1.75 1XXX.00.00.0000000P0 34.7315 4 88182TCCell marker study A 0.00 0.48 0.48 0.48 0.48 0.48 0.48 0.03 0.51 0.51 0.51 0.51 1XXX.00.00.0000000P0 34.7315 4 8818226Cell marker study A 0.77 0.49 0.32 0.45 0.49 0.32 0.45 0.02 1.11 1.24 1.11 1.24 1XXX.00.00.0000000P0 34.7315 4 88199 Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88250 Chromosome analysis D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 88260 Chromosome analysis: 5 cells D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88267 Chromosome analysis:placenta X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88269 Chromosome analysis:amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 88291 Cyto/molecular report A 0.52 0.00 0.21 0.21 0.00 0.21 0.21 0.01 0.74 0.74 0.74 0.74 2XXX.00.00.0000000P0 34.7315 5 88299 Cytogenetic study C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 88300 Surg path, gross A 0.08 0.22 0.14 0.20 0.22 0.14 0.20 0.01 0.23 0.29 0.23 0.29 1XXX.00.00.0000000P0 34.7315 4 88300TCSurg path, gross A 0.00 0.11 0.11 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 1XXX.00.00.0000000P0 34.7315 4 8830026Surg path, gross A 0.08 0.11 0.03 0.09 0.11 0.03 0.09 0.01 0.12 0.18 0.12 0.18 1XXX.00.00.0000000P0 34.7315 4 88302 Tissue exam by pathologist A 0.13 0.43 0.30 0.40 0.43 0.30 0.40 0.04 0.47 0.57 0.47 0.57 1XXX.00.00.0000000P0 34.7315 4 88302TCTissue exam by pathologist A 0.00 0.25 0.25 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 34.7315 4 8830226Tissue exam by pathologist A 0.13 0.18 0.05 0.15 0.18 0.05 0.15 0.02 0.20 0.30 0.20 0.30 1XXX.00.00.0000000P0 34.7315 4 88304 Tissue exam by pathologist A 0.22 0.62 0.45 0.58 0.62 0.45 0.58 0.04 0.71 0.84 0.71 0.84 1XXX.00.00.0000000P0 34.7315 4 88304TCTissue exam by pathologist A 0.00 0.36 0.36 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 1XXX.00.00.0000000P0 34.7315 4 8830426Tissue exam by pathologist A 0.22 0.26 0.09 0.22 0.26 0.09 0.22 0.02 0.33 0.46 0.33 0.46 1XXX.00.00.0000000P0 34.7315 4 88305 Tissue exam by pathologist A 0.75 1.12 0.87 1.06 1.12 0.87 1.06 0.06 1.68 1.87 1.68 1.87 1XXX.00.00.0000000P0 34.7315 4 88305TCTissue exam by pathologist A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.03 0.58 0.57 0.58 0.57 1XXX.00.00.0000000P0 34.7315 4 8830526Tissue exam by pathologist A 0.75 0.58 0.32 0.52 0.58 0.32 0.52 0.03 1.10 1.30 1.10 1.30 1XXX.00.00.0000000P0 34.7315 4 88307 Tissue exam by pathologist A 1.59 1.65 1.47 1.60 1.65 1.47 1.60 0.10 3.16 3.29 3.16 3.29 1XXX.00.00.0000000P0 34.7315 4 88307TCTissue exam by pathologist A 0.00 0.80 0.81 0.80 0.80 0.81 0.80 0.05 0.86 0.85 0.86 0.85 1XXX.00.00.0000000P0 34.7315 4 8830726Tissue exam by pathologist A 1.59 0.85 0.66 0.80 0.85 0.66 0.80 0.05 2.30 2.44 2.30 2.44 1XXX.00.00.0000000P0 34.7315 4 88309 Tissue exam by pathologist A 2.28 2.08 1.95 2.05 2.08 1.95 2.05 0.10 4.33 4.43 4.33 4.43 1XXX.00.00.0000000P0 34.7315 4 88309TCTissue exam by pathologist A 0.00 1.01 1.01 1.01 1.01 1.01 1.01 0.05 1.06 1.06 1.06 1.06 1XXX.00.00.0000000P0 34.7315 4 8830926Tissue exam by pathologist A 2.28 1.07 0.94 1.04 1.07 0.94 1.04 0.05 3.27 3.37 3.27 3.37 1XXX.00.00.0000000P0 34.7315 4 88311 Decalcify tissue A 0.24 0.23 0.21 0.23 0.23 0.21 0.23 0.01 0.46 0.48 0.46 0.48 1XXX.00.00.0000000P0 34.7315 4 88311TCDecalcify tissue A 0.00 0.11 0.11 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 1XXX.00.00.0000000P0 34.7315 4 8831126Decalcify tissue A 0.24 0.12 0.10 0.12 0.12 0.10 0.12 0.01 0.35 0.37 0.35 0.37 1XXX.00.00.0000000P0 34.7315 4 88312 Special stains A 0.54 0.28 0.36 0.30 0.28 0.36 0.30 0.01 0.91 0.85 0.91 0.85 1XXX.00.00.0000000P0 34.7315 4 88312TCSpecial stains A 0.00 0.13 0.13 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 1XXX.00.00.0000000P0 34.7315 4 8831226Special stains A 0.54 0.15 0.23 0.17 0.15 0.23 0.17 0.01 0.78 0.72 0.78 0.72 1XXX.00.00.0000000P0 34.7315 4 88313 Special stains A 0.24 0.23 0.21 0.23 0.23 0.21 0.23 0.01 0.46 0.48 0.46 0.48 1XXX.00.00.0000000P0 34.7315 4 88313TCSpecial stains A 0.00 0.11 0.11 0.11 0.11 0.11 0.11 0.00 0.11 0.11 0.11 0.11 1XXX.00.00.0000000P0 34.7315 4 8831326Special stains A 0.24 0.12 0.10 0.12 0.12 0.10 0.12 0.01 0.35 0.37 0.35 0.37 1XXX.00.00.0000000P0 34.7315 4 88314 Histochemical stain A 0.45 0.67 0.48 0.62 0.67 0.48 0.62 0.04 0.97 1.11 0.97 1.11 1XXX.00.00.0000000P0 34.7315 4 88314TCHistochemical stain A 0.00 0.29 0.29 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 1XXX.00.00.0000000P0 34.7315 4 8831426Histochemical stain A 0.45 0.38 0.19 0.33 0.38 0.19 0.33 0.02 0.66 0.80 0.66 0.80 1XXX.00.00.0000000P0 34.7315 4 88318 Chemical histochemistry A 0.42 0.26 0.31 0.27 0.26 0.31 0.27 0.01 0.74 0.70 0.74 0.70 1XXX.00.00.0000000P0 34.7315 4 88318TCChemical histochemistry A 0.00 0.13 0.13 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 1XXX.00.00.0000000P0 34.7315 4 8831826Chemical histochemistry A 0.42 0.13 0.18 0.14 0.13 0.18 0.14 0.01 0.61 0.57 0.61 0.57 1XXX.00.00.0000000P0 34.7315 4 88319 Enzyme histochemistry A 0.53 0.53 0.47 0.52 0.53 0.47 0.52 0.04 1.04 1.09 1.04 1.09 1XXX.00.00.0000000P0 34.7315 4 88319TCEnzyme histochemistry A 0.00 0.25 0.25 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 34.7315 4 8831926Enzyme histochemistry A 0.53 0.28 0.22 0.27 0.28 0.22 0.27 0.02 0.77 0.82 0.77 0.82 1XXX.00.00.0000000P0 34.7315 4 88321 Microslide consultation A 1.30 0.44 0.95 0.57 0.44 0.54 0.47 0.02 2.27 1.89 1.86 1.79 0XXX.00.00.0000000P0 34.7315 4 88323 Microslide consultation A 1.35 0.78 0.93 0.82 0.78 0.93 0.82 0.04 2.32 2.21 2.32 2.21 1XXX.00.00.0000000P0 34.7315 4 88323TCMicroslide consultation A 0.00 0.36 0.36 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 1XXX.00.00.0000000P0 34.7315 4 8832326Microslide consultation A 1.35 0.42 0.57 0.46 0.42 0.57 0.46 0.02 1.94 1.83 1.94 1.83 1XXX.00.00.0000000P0 34.7315 4 88325 Comprehensive review of data A 2.22 0.51 1.21 0.69 0.51 0.91 0.61 0.03 3.46 2.94 3.16 2.86 0XXX.00.00.0000000P0 34.7315 4 88329 Pathology consult in surgery A 0.67 0.40 0.37 0.39 0.40 0.28 0.37 0.02 1.06 1.08 0.97 1.06 0XXX.00.00.0000000P0 34.7315 4 88331 Pathology consult in surgery A 1.19 1.20 1.09 1.17 1.20 1.09 1.17 0.06 2.34 2.42 2.34 2.42 1XXX.00.00.0000000P0 34.7315 4 88331TCPathology consult in surgery A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.03 0.62 0.62 0.62 0.62 1XXX.00.00.0000000P0 34.7315 4 8833126Pathology consult in surgery A 1.19 0.61 0.50 0.58 0.61 0.50 0.58 0.03 1.72 1.80 1.72 1.80 1XXX.00.00.0000000P0 34.7315 4 88332 Pathology consult in surgery A 0.59 0.60 0.54 0.59 0.60 0.54 0.59 0.04 1.17 1.22 1.17 1.22 1XXX.00.00.0000000P0 34.7315 4 88332TCPathology consult in surgery A 0.00 0.29 0.29 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 1XXX.00.00.0000000P0 34.7315 4 8833226Pathology consult in surgery A 0.59 0.31 0.25 0.30 0.31 0.25 0.30 0.02 0.86 0.91 0.86 0.91 1XXX.00.00.0000000P0 34.7315 4 88342 Immunocytochemistry A 0.85 0.70 0.69 0.70 0.70 0.69 0.70 0.04 1.58 1.59 1.58 1.59 1XXX.00.00.0000000P0 34.7315 4 88342TCImmunocytochemistry A 0.00 0.34 0.34 0.34 0.34 0.34 0.34 0.02 0.36 0.36 0.36 0.36 1XXX.00.00.0000000P0 34.7315 4 8834226Immunocytochemistry A 0.85 0.36 0.35 0.36 0.36 0.35 0.36 0.02 1.22 1.23 1.22 1.23 1XXX.00.00.0000000P0 34.7315 4 88346 Immunofluorescent study A 0.86 0.63 0.64 0.63 0.63 0.64 0.63 0.04 1.54 1.53 1.54 1.53 1XXX.00.00.0000000P0 34.7315 4 88346TCImmunofluorescent study A 0.00 0.29 0.29 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 1XXX.00.00.0000000P0 34.7315 4 8834626Immunofluorescent study A 0.86 0.34 0.35 0.34 0.34 0.35 0.34 0.02 1.23 1.22 1.23 1.22 1XXX.00.00.0000000P0 34.7315 4 88347 Immunofluorescent study A 0.86 0.45 0.63 0.50 0.45 0.63 0.50 0.04 1.53 1.40 1.53 1.40 1XXX.00.00.0000000P0 34.7315 4 88347TCImmunofluorescent study A 0.00 0.29 0.29 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 1XXX.00.00.0000000P0 34.7315 4 8834726Immunofluorescent study A 0.86 0.16 0.34 0.21 0.16 0.34 0.21 0.02 1.22 1.09 1.22 1.09 1XXX.00.00.0000000P0 34.7315 4 88348 Electron microscopy A 1.51 2.47 1.81 2.30 2.47 1.81 2.30 0.12 3.44 3.93 3.44 3.93 1XXX.00.00.0000000P0 34.7315 4 88348TCElectron microscopy A 0.00 1.18 1.19 1.18 1.18 1.19 1.18 0.06 1.25 1.24 1.25 1.24 1XXX.00.00.0000000P0 34.7315 4 8834826Electron microscopy A 1.51 1.29 0.62 1.12 1.29 0.62 1.12 0.06 2.19 2.69 2.19 2.69 1XXX.00.00.0000000P0 34.7315 4 88349 Scanning electron microscopy A 0.76 1.68 1.15 1.55 1.68 1.15 1.55 0.10 2.01 2.41 2.01 2.41 1XXX.00.00.0000000P0 34.7315 4 88349TCScanning electron microscopy A 0.00 0.82 0.83 0.82 0.82 0.83 0.82 0.05 0.88 0.87 0.88 0.87 1XXX.00.00.0000000P0 34.7315 4 8834926Scanning electron microscopy A 0.76 0.86 0.32 0.73 0.86 0.32 0.73 0.05 1.13 1.54 1.13 1.54 1XXX.00.00.0000000P0 34.7315 4 88355 Analysis, skeletal muscle A 1.85 1.89 1.62 1.82 1.89 1.62 1.82 0.10 3.57 3.77 3.57 3.77 1XXX.00.00.0000000P0 34.7315 4 88355TCAnalysis, skeletal muscle A 0.00 0.89 0.89 0.89 0.89 0.89 0.89 0.05 0.94 0.94 0.94 0.94 1XXX.00.00.0000000P0 34.7315 4 8835526Analysis, skeletal muscle A 1.85 1.00 0.73 0.93 1.00 0.73 0.93 0.05 2.63 2.83 2.63 2.83 1XXX.00.00.0000000P0 34.7315 4 88356 Analysis, nerve A 3.02 2.89 2.56 2.81 2.89 2.56 2.81 0.14 5.72 5.97 5.72 5.97 1XXX.00.00.0000000P0 34.7315 4 88356TCAnalysis, nerve A 0.00 1.38 1.37 1.38 1.38 1.37 1.38 0.06 1.43 1.44 1.43 1.44 1XXX.00.00.0000000P0 34.7315 4 8835626Analysis, nerve A 3.02 1.51 1.19 1.43 1.51 1.19 1.43 0.08 4.29 4.53 4.29 4.53 1XXX.00.00.0000000P0 34.7315 4 88358 Analysis, tumor A 2.82 2.52 2.43 2.50 2.52 2.43 2.50 0.12 5.37 5.44 5.37 5.44 1XXX.00.00.0000000P0 34.7315 4 88358TCAnalysis, tumor A 0.00 1.26 1.26 1.26 1.26 1.26 1.26 0.06 1.32 1.32 1.32 1.32 1XXX.00.00.0000000P0 34.7315 4 8835826Analysis, tumor A 2.82 1.26 1.17 1.24 1.26 1.17 1.24 0.06 4.05 4.12 4.05 4.12 1XXX.00.00.0000000P0 34.7315 4 88362 Nerve teasing preparations A 2.17 2.14 1.92 2.09 2.14 1.92 2.09 0.10 4.19 4.36 4.19 4.36 1XXX.00.00.0000000P0 34.7315 4 88362TCNerve teasing preparations A 0.00 1.05 1.05 1.05 1.05 1.05 1.05 0.05 1.10 1.10 1.10 1.10 1XXX.00.00.0000000P0 34.7315 4 8836226Nerve teasing preparations A 2.17 1.09 0.87 1.04 1.09 0.87 1.04 0.05 3.09 3.26 3.09 3.26 1XXX.00.00.0000000P0 34.7315 4 88365 Tissue hybridization A 0.93 0.81 0.78 0.80 0.81 0.78 0.80 0.04 1.75 1.77 1.75 1.77 1XXX.00.00.0000000P0 34.7315 4 88365TCTissue hybridization A 0.00 0.40 0.40 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 1XXX.00.00.0000000P0 34.7315 4 8836526Tissue hybridization A 0.93 0.41 0.38 0.40 0.41 0.38 0.40 0.02 1.33 1.35 1.33 1.35 1XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8837126Protein, western blot tissue A 0.37 0.22 0.11 0.19 0.22 0.14 0.20 0.01 0.49 0.57 0.52 0.58 6XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8837226Protein analysis w/probe A 0.37 0.22 0.14 0.20 0.22 0.15 0.20 0.01 0.52 0.58 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 88399 Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 88399TCSurgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 8839926Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 8906026Exam,synovial fluid crystals A 0.37 0.22 0.17 0.21 0.22 0.15 0.20 0.01 0.55 0.59 0.53 0.58 6XXX.00.00.0000000P0 34.7315 4 89100 Sample intestinal contents A 0.60 0.46 0.97 0.59 0.46 0.28 0.42 0.02 1.59 1.21 0.90 1.04 0XXX.00.00.0000000P0 34.7315 4 89105 Sample intestinal contents A 0.50 0.42 2.79 1.01 0.42 0.23 0.37 0.02 3.31 1.53 0.75 0.89 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89130 Sample stomach contents A 0.45 0.44 1.37 0.67 0.44 0.25 0.39 0.02 1.84 1.14 0.72 0.86 0XXX.00.00.0000000P0 34.7315 4 89132 Sample stomach contents A 0.19 0.21 1.43 0.52 0.21 0.12 0.19 0.02 1.64 0.73 0.33 0.40 0XXX.00.00.0000000P0 34.7315 4 89135 Sample stomach contents A 0.79 0.63 0.80 0.67 0.63 0.31 0.55 0.03 1.62 1.49 1.13 1.37 0XXX.00.00.0000000P0 34.7315 4 89136 Sample stomach contents A 0.21 0.24 1.51 0.56 0.24 0.15 0.22 0.02 1.74 0.79 0.38 0.45 0XXX.00.00.0000000P0 34.7315 4 89140 Sample stomach contents A 0.94 0.88 1.32 0.99 0.88 0.37 0.75 0.05 2.31 1.98 1.36 1.74 0XXX.00.00.0000000P0 34.7315 4 89141 Sample stomach contents A 0.85 0.79 1.78 1.04 0.79 0.35 0.68 0.05 2.68 1.94 1.25 1.58 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89250 Fertilization of oocyte X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89251 Culture oocyte w/embryos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89252 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89253 Embryo hatching X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89254 Oocyte identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89256 Prepare cryopreserved embryo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89257 Sperm identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89258 Cryopreservation, embryo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89259 Cryopreservation, sperm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89264 Sperm tissue identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89300 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89310 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89320 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89350 Sputum specimen collection A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.02 0.45 0.44 0.45 0.44 3XXX.00.00.0000000P0 34.7315 4 89355 Exam feces for starch X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89360 Collect sweat for test A 0.00 0.47 0.46 0.47 0.47 0.46 0.47 0.02 0.48 0.49 0.48 0.49 3XXX.00.00.0000000P0 34.7315 4 89365 Water load test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 89399 Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 89399TCPathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 8939926Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90287 Botulinum antitoxin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90296 Diphtheria antitoxin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90371 Hepb ig, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90379 Rsv ig, iv E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90389 Tetanus ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90399 Immune globulin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90471 Immunization admin, single X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90472 Immunization admin, 2+ X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90592 Cholera vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90632 Hepa vaccine adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90633 Hepa vaccine 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90634 Hepa vaccine 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90636 Hepa/hepb vaccine adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90657 Flu vaccine, 6-35 mo, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90658 Flu vaccine, 3 yrs, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90659 Flu vaccine, whole, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90669 Pneumococcal vaccine, ped X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90680 Rotovirus vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90700 Dtap vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90702 Dt vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90709 Rubella & mumps vaccine sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90711 Combined vaccine D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90713 Poliovirus, ipv, sc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90714 Typhoid immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90718 Td vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90724 Influenza immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90726 Rabies immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90728 BCG immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 90730 Hepatitis A vaccine D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 90732 Pneumococcal vaccine, adult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90737 Influenza B immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 90741 Passive immunization, ISG D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 90742 Special passive immunization D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 34.7315 9 90744 Hepb vaccine, ped/adol, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90745 Hepb vaccine, adol/risk, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90746 Hepb vaccine, adult, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90747 Hepb vaccine, ill pat, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90748 Hepb/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90749 Vaccine toxoid E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90780 IV infusion therapy, 1 hour A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.06 1.22 1.21 1.22 1.21 5XXX.00.00.0000000P0 34.7315 4 90781 IV infusion, additional hour A 0.00 0.58 0.58 0.58 0.58 0.58 0.58 0.03 0.61 0.61 0.61 0.61 5ZZZ.00.00.0000000P0 34.7315 4 90782 Injection (SC)/(IM) T 0.00 0.11 0.11 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 5XXX.00.00.0000000P0 34.7315 4 90783 Injection (IA) T 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.02 0.45 0.44 0.45 0.44 5XXX.00.00.0000000P0 34.7315 4 90784 Injection (IV) T 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.03 0.52 0.52 0.52 0.52 5XXX.00.00.0000000P0 34.7315 4 90788 Injection of antibiotic T 0.00 0.12 0.12 0.12 0.12 0.12 0.12 0.01 0.13 0.13 0.13 0.13 5XXX.00.00.0000000P0 34.7315 4 90799 Therapeutic/diag injection C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 90801 Psy dx interview A 2.80 0.73 1.05 0.81 0.73 1.03 0.81 0.07 3.92 3.68 3.90 3.68 0XXX.00.00.0000000P0 34.7315 4 90802 Intac psy dx interview A 3.01 0.41 1.17 0.60 0.41 1.12 0.59 0.04 4.22 3.65 4.17 3.64 0XXX.00.00.0000000P0 34.7315 4 90804 Psytx, office (20-30) A 1.21 0.38 0.50 0.41 0.38 0.45 0.40 0.04 1.75 1.66 1.70 1.65 0XXX.00.00.0000000P0 34.7315 4 90805 Psytx, office (20-30) w/e&m A 1.37 0.38 0.51 0.41 0.38 0.51 0.41 0.04 1.92 1.82 1.92 1.82 0XXX.00.00.0000000P0 34.7315 4 90806 Psytx, office (45-50) A 1.86 0.59 0.75 0.63 0.59 0.70 0.62 0.06 2.67 2.55 2.62 2.54 0XXX.00.00.0000000P0 34.7315 4 90807 Psytx, office (45-50) w/e&m A 2.02 0.59 0.70 0.62 0.59 0.73 0.63 0.06 2.78 2.70 2.81 2.71 0XXX.00.00.0000000P0 34.7315 4 90808 Psytx, office (75-80) A 2.79 1.14 1.09 1.13 1.14 0.99 1.10 0.12 4.00 4.04 3.90 4.01 0XXX.00.00.0000000P0 34.7315 4 90809 Psytx, office (75-80) w/e&m A 2.95 1.14 1.01 1.11 1.14 1.03 1.11 0.12 4.08 4.18 4.10 4.18 0XXX.00.00.0000000P0 34.7315 4 90810 Intac psytx, office (20-30) A 1.32 0.64 0.53 0.61 0.64 0.50 0.61 0.07 1.92 2.00 1.89 2.00 0XXX.00.00.0000000P0 34.7315 4 90811 Intac psytx, off 20-30 w/e&m A 1.48 0.64 0.54 0.62 0.64 0.52 0.61 0.07 2.09 2.17 2.07 2.16 0XXX.00.00.0000000P0 34.7315 4 90812 Intac psytx, office (45-50) A 1.97 0.64 0.83 0.69 0.64 0.71 0.66 0.07 2.87 2.73 2.75 2.70 0XXX.00.00.0000000P0 34.7315 4 90813 Intac psytx, off 45-50 w/e&m A 2.13 0.64 0.74 0.67 0.64 0.73 0.66 0.07 2.94 2.87 2.93 2.86 0XXX.00.00.0000000P0 34.7315 4 90814 Intac psytx, office (75-80) A 2.90 0.64 1.17 0.77 0.64 1.14 0.77 0.07 4.14 3.74 4.11 3.74 0XXX.00.00.0000000P0 34.7315 4 90815 Intac psytx, off 75-80 w/e&m A 3.06 0.64 1.08 0.75 0.64 1.11 0.76 0.07 4.21 3.88 4.24 3.89 0XXX.00.00.0000000P0 34.7315 4 90816 Psytx, hosp (20-30) A 1.25 0.38 0.56 0.43 0.38 0.52 0.42 0.04 1.85 1.72 1.81 1.71 0XXX.00.00.0000000P0 34.7315 4 90817 Psytx, hosp (20-30) w/e&m A 1.41 0.38 0.54 0.42 0.38 0.51 0.41 0.04 1.99 1.87 1.96 1.86 0XXX.00.00.0000000P0 34.7315 4 90818 Psytx, hosp (45-50) A 1.89 0.59 0.79 0.64 0.59 0.73 0.63 0.06 2.74 2.59 2.68 2.58 0XXX.00.00.0000000P0 34.7315 4 90819 Psytx, hosp (45-50) w/e&m A 2.05 0.59 0.77 0.64 0.59 0.69 0.62 0.06 2.88 2.75 2.80 2.73 0XXX.00.00.0000000P0 34.7315 4 90821 Psytx, hosp (75-80) A 2.83 1.14 1.14 1.14 1.14 1.02 1.11 0.12 4.09 4.09 3.97 4.06 0XXX.00.00.0000000P0 34.7315 4 90822 Psytx, hosp (75-80) w/e&m A 2.99 1.14 1.07 1.12 1.14 0.99 1.10 0.12 4.18 4.23 4.10 4.21 0XXX.00.00.0000000P0 34.7315 4 90823 Intac psytx, hosp (20-30) A 1.36 0.64 0.64 0.64 0.64 0.56 0.62 0.07 2.07 2.07 1.99 2.05 0XXX.00.00.0000000P0 34.7315 4 90824 Intac psytx, hsp 20-30 w/e&m A 1.52 0.64 0.59 0.63 0.64 0.56 0.62 0.07 2.18 2.22 2.15 2.21 0XXX.00.00.0000000P0 34.7315 4 90826 Intac psytx, hosp (45-50) A 2.01 0.64 0.88 0.70 0.64 0.80 0.68 0.07 2.96 2.78 2.88 2.76 0XXX.00.00.0000000P0 34.7315 4 90827 Intac psytx, hsp 45-50 w/e&m A 2.16 0.64 0.80 0.68 0.64 0.75 0.67 0.07 3.03 2.91 2.98 2.90 0XXX.00.00.0000000P0 34.7315 4 90828 Intac psytx, hosp (75-80) A 2.94 0.64 1.26 0.80 0.64 1.09 0.75 0.07 4.27 3.81 4.10 3.76 0XXX.00.00.0000000P0 34.7315 4 90829 Intac psytx, hsp 75-80 w/e&m A 3.10 0.64 1.08 0.75 0.64 1.05 0.74 0.07 4.25 3.92 4.22 3.91 0XXX.00.00.0000000P0 34.7315 4 90845 Psychoanalysis A 1.79 0.44 0.64 0.49 0.44 0.58 0.48 0.04 2.47 2.32 2.41 2.31 0XXX.00.00.0000000P0 34.7315 4 90846 Family psytx w/o patient R 1.83 0.67 0.72 0.68 0.67 0.66 0.67 0.06 2.61 2.57 2.55 2.56 0XXX.00.00.0000000P0 34.7315 4 90847 Family psytx w/patient R 2.21 0.63 0.83 0.68 0.63 0.79 0.67 0.06 3.10 2.95 3.06 2.94 0XXX.00.00.0000000P0 34.7315 4 90849 Multiple family group psytx R 0.59 0.28 0.33 0.29 0.28 0.31 0.29 0.02 0.94 0.90 0.92 0.90 0XXX.00.00.0000000P0 34.7315 4 90853 Group psychotherapy A 0.59 0.28 0.31 0.29 0.28 0.29 0.28 0.02 0.92 0.90 0.90 0.89 0XXX.00.00.0000000P0 34.7315 4 90857 Intac group psytx A 0.63 0.16 0.32 0.20 0.16 0.32 0.20 0.02 0.97 0.85 0.97 0.85 0XXX.00.00.0000000P0 34.7315 4 90862 Medication management A 0.95 0.40 0.37 0.39 0.40 0.35 0.39 0.04 1.36 1.38 1.34 1.38 0XXX.00.00.0000000P0 34.7315 4 90865 Narcosynthesis A 2.84 0.54 4.43 1.51 0.54 0.86 0.62 0.05 7.32 4.40 3.75 3.51 0XXX.00.00.0000000P0 34.7315 4 90870 Electroconvulsive therapy A 1.88 0.60 0.65 0.61 0.60 0.64 0.61 0.06 2.59 2.55 2.58 2.55 0000.00.00.0000000P0 34.7315 4 90871 Electroconvulsive therapy A 2.72 0.90 0.90 NA 0.90 0.90 0.90 0.90 0.10 3.72 3.72 3.72 3.72 0000.00.00.0000000P0 34.7315 4 90875 Psychophysiological therapy N+ 1.20 0.00 0.70 0.70 0.00 0.63 0.63 0.04 1.94 1.94 1.87 1.87 9XXX.00.00.0099999P9 0.0000 9 90876 Psychophysiological therapy N+ 1.90 0.00 0.97 0.97 0.00 0.90 0.90 0.06 2.93 2.93 2.86 2.86 9XXX.00.00.0099999P9 0.0000 9 90880 Hypnotherapy A 2.19 0.69 0.84 0.73 0.69 0.73 0.70 0.05 3.08 2.97 2.97 2.94 0XXX.00.00.0000000P0 34.7315 4 90882 Environmental manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90885 Psy evaluation of records B+ 0.97 0.34 0.37 0.35 0.34 0.37 0.35 0.03 1.37 1.35 1.37 1.35 9XXX.00.00.0099999P9 0.0000 9 90887 Consultation with family B+ 1.48 0.36 0.70 0.45 0.36 0.66 0.44 0.03 2.21 1.96 2.17 1.95 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90899 Psychiatric service/therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 90901 Biofeedback, any method A 0.41 1.05 0.63 0.95 1.05 0.65 0.95 0.05 1.09 1.41 1.11 1.41 0000.00.00.0000000P0 34.7315 4 90911 Biofeedback peri/uro/rectal A 0.89 1.23 0.65 1.09 1.23 0.68 1.09 0.21 1.75 2.19 1.78 2.19 0000.00.00.0000000P0 34.7315 4 90918 ESRD related services, month A 11.18 2.38 4.65 2.95 2.38 4.65 2.95 0.11 15.94 14.24 15.94 14.24 0XXX.00.00.0000000P0 34.7315 4 90919 ESRD related services, month A 8.54 2.38 3.69 2.71 2.38 3.69 2.71 0.11 12.34 11.36 12.34 11.36 0XXX.00.00.0000000P0 34.7315 4 90920 ESRD related services, month A 7.27 2.38 3.12 2.57 2.38 3.12 2.57 0.11 10.50 9.95 10.50 9.95 0XXX.00.00.0000000P0 34.7315 4 90921 ESRD related services, month A 4.47 2.38 2.12 2.32 2.38 2.12 2.32 0.11 6.70 6.90 6.70 6.90 0XXX.00.00.0000000P0 34.7315 4 90922 ESRD related services, day A 0.37 0.08 0.13 0.09 0.08 0.13 0.09 0.01 0.51 0.47 0.51 0.47 0XXX.00.00.0000000P0 34.7315 4 90923 Esrd related services, day A 0.28 0.08 0.12 0.09 0.08 0.12 0.09 0.01 0.41 0.38 0.41 0.38 0XXX.00.00.0000000P0 34.7315 4 90924 Esrd related services, day A 0.24 0.08 0.10 0.09 0.08 0.10 0.09 0.01 0.35 0.34 0.35 0.34 0XXX.00.00.0000000P0 34.7315 4 90925 Esrd related services, day A 0.15 0.08 0.07 0.08 0.08 0.07 0.08 0.01 0.23 0.24 0.23 0.24 0XXX.00.00.0000000P0 34.7315 4 90935 Hemodialysis, one evaluation A 1.22 1.45 0.61 NA 1.24 1.45 0.61 1.24 0.08 1.91 2.54 1.91 2.54 0000.00.00.0000000P0 34.7315 4 90937 Hemodialysis, repeated eval. A 2.11 2.52 0.88 NA 2.11 2.52 0.88 2.11 0.14 3.13 4.36 3.13 4.36 0000.00.00.0000000P0 34.7315 4 90945 Dialysis, one evaluation A 1.28 1.38 0.63 NA 1.19 1.38 0.63 1.19 0.06 1.97 2.53 1.97 2.53 0000.00.00.0000000P0 34.7315 4 90947 Dialysis, repeated eval. A 2.16 2.27 0.90 NA 1.93 2.27 0.90 1.93 0.11 3.17 4.20 3.17 4.20 0000.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90993 Dialysis training/incomplete X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 90997 Hemoperfusion A 1.84 2.19 0.85 NA 1.86 2.19 0.85 1.86 0.13 2.82 3.83 2.82 3.83 0000.00.00.0000000P0 34.7315 4 90999 Dialysis procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 91000 Esophageal intubation A 0.73 0.72 0.33 0.62 0.72 0.33 0.62 0.05 1.11 1.40 1.11 1.40 1000.00.00.0000000P0 34.7315 4 91000TCEsophageal intubation A 0.00 0.08 0.08 0.08 0.08 0.08 0.08 0.01 0.09 0.09 0.09 0.09 1000.00.00.0000000P0 34.7315 4 9100026Esophageal intubation A 0.73 0.64 0.25 0.54 0.64 0.25 0.54 0.04 1.02 1.31 1.02 1.31 1000.00.00.0000000P0 34.7315 4 91010 Esophagus motility study A 1.25 2.35 1.27 2.08 2.35 1.27 2.08 0.14 2.66 3.47 2.66 3.47 1000.00.00.0000000P0 34.7315 4 91010TCEsophagus motility study A 0.00 0.85 0.85 0.85 0.85 0.85 0.85 0.05 0.90 0.90 0.90 0.90 1000.00.00.0000000P0 34.7315 4 9101026Esophagus motility study A 1.25 1.50 0.42 1.23 1.50 0.42 1.23 0.09 1.76 2.57 1.76 2.57 1000.00.00.0000000P0 34.7315 4 91011 Esophagus motility study A 1.50 2.85 1.58 2.53 2.85 1.58 2.53 0.14 3.22 4.17 3.22 4.17 1000.00.00.0000000P0 34.7315 4 91011TCEsophagus motility study A 0.00 1.06 1.06 1.06 1.06 1.06 1.06 0.05 1.11 1.11 1.11 1.11 1000.00.00.0000000P0 34.7315 4 9101126Esophagus motility study A 1.50 1.79 0.52 1.47 1.79 0.52 1.47 0.09 2.11 3.06 2.11 3.06 1000.00.00.0000000P0 34.7315 4 91012 Esophagus motility study A 1.46 2.94 1.71 2.63 2.94 1.71 2.63 0.18 3.35 4.27 3.35 4.27 1000.00.00.0000000P0 34.7315 4 91012TCEsophagus motility study A 0.00 1.19 1.20 1.19 1.19 1.20 1.19 0.06 1.26 1.25 1.26 1.25 1000.00.00.0000000P0 34.7315 4 9101226Esophagus motility study A 1.46 1.75 0.51 1.44 1.75 0.51 1.44 0.12 2.09 3.02 2.09 3.02 1000.00.00.0000000P0 34.7315 4 91020 Gastric motility A 1.44 2.50 1.28 2.19 2.50 1.28 2.19 0.14 2.86 3.77 2.86 3.77 1000.00.00.0000000P0 34.7315 4 91020TCGastric motility A 0.00 0.79 0.80 0.79 0.79 0.80 0.79 0.05 0.85 0.84 0.85 0.84 1000.00.00.0000000P0 34.7315 4 9102026Gastric motility A 1.44 1.71 0.48 1.40 1.71 0.48 1.40 0.09 2.01 2.93 2.01 2.93 1000.00.00.0000000P0 34.7315 4 91030 Acid perfusion of esophagus A 0.91 0.61 0.54 0.59 0.61 0.54 0.59 0.04 1.49 1.54 1.49 1.54 1000.00.00.0000000P0 34.7315 4 91030TCAcid perfusion of esophagus A 0.00 0.23 0.23 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1000.00.00.0000000P0 34.7315 4 9103026Acid perfusion of esophagus A 0.91 0.38 0.31 0.36 0.38 0.31 0.36 0.02 1.24 1.29 1.24 1.29 1000.00.00.0000000P0 34.7315 4 91032 Esophagus, acid reflux test A 1.21 2.13 1.17 1.89 2.13 1.17 1.89 0.13 2.51 3.23 2.51 3.23 1000.00.00.0000000P0 34.7315 4 91032TCEsophagus, acid reflux test A 0.00 0.77 0.76 0.77 0.77 0.76 0.77 0.05 0.81 0.82 0.81 0.82 1000.00.00.0000000P0 34.7315 4 9103226Esophagus, acid reflux test A 1.21 1.36 0.41 1.12 1.36 0.41 1.12 0.08 1.70 2.41 1.70 2.41 1000.00.00.0000000P0 34.7315 4 91033 Prolonged acid reflux test A 1.30 2.94 1.83 2.66 2.94 1.83 2.66 0.20 3.33 4.16 3.33 4.16 1000.00.00.0000000P0 34.7315 4 91033TCProlonged acid reflux test A 0.00 1.39 1.39 1.39 1.39 1.39 1.39 0.09 1.48 1.48 1.48 1.48 1000.00.00.0000000P0 34.7315 4 9103326Prolonged acid reflux test A 1.30 1.55 0.44 1.27 1.55 0.44 1.27 0.11 1.85 2.68 1.85 2.68 1000.00.00.0000000P0 34.7315 4 91052 Gastric analysis test A 0.79 0.89 0.62 0.82 0.89 0.62 0.82 0.05 1.46 1.66 1.46 1.66 1000.00.00.0000000P0 34.7315 4 91052TCGastric analysis test A 0.00 0.35 0.35 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 1000.00.00.0000000P0 34.7315 4 9105226Gastric analysis test A 0.79 0.54 0.27 0.47 0.54 0.27 0.47 0.03 1.09 1.29 1.09 1.29 1000.00.00.0000000P0 34.7315 4 91055 Gastric intubation for smear A 0.94 0.86 0.59 0.79 0.86 0.59 0.79 0.05 1.58 1.78 1.58 1.78 1000.00.00.0000000P0 34.7315 4 91055TCGastric intubation for smear A 0.00 0.31 0.32 0.31 0.31 0.32 0.31 0.02 0.34 0.33 0.34 0.33 1000.00.00.0000000P0 34.7315 4 9105526Gastric intubation for smear A 0.94 0.55 0.27 0.48 0.55 0.27 0.48 0.03 1.24 1.45 1.24 1.45 1000.00.00.0000000P0 34.7315 4 91060 Gastric saline load test A 0.45 0.77 0.36 0.67 0.77 0.36 0.67 0.05 0.86 1.17 0.86 1.17 1000.00.00.0000000P0 34.7315 4 91060TCGastric saline load test A 0.00 0.23 0.23 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1000.00.00.0000000P0 34.7315 4 9106026Gastric saline load test A 0.45 0.54 0.13 0.44 0.54 0.13 0.44 0.03 0.61 0.92 0.61 0.92 1000.00.00.0000000P0 34.7315 4 91065 Breath hydrogen test A 0.20 0.61 0.44 0.57 0.61 0.44 0.57 0.04 0.68 0.81 0.68 0.81 1000.00.00.0000000P0 34.7315 4 91065TCBreath hydrogen test A 0.00 0.37 0.37 0.37 0.37 0.37 0.37 0.02 0.39 0.39 0.39 0.39 1000.00.00.0000000P0 34.7315 4 9106526Breath hydrogen test A 0.20 0.24 0.07 0.20 0.24 0.07 0.20 0.02 0.29 0.42 0.29 0.42 1000.00.00.0000000P0 34.7315 4 91100 Pass intestine bleeding tube A 1.08 0.61 0.34 NA 0.54 0.61 0.34 0.54 0.04 1.46 1.66 1.46 1.66 0000.00.00.0000000P0 34.7315 4 91105 Gastric intubation treatment A 0.37 0.44 0.13 NA 0.36 0.44 0.13 0.36 0.03 0.53 0.76 0.53 0.76 0000.00.00.0000000P0 34.7315 4 91122 Anal pressure record A 1.77 1.88 1.35 1.75 1.88 1.35 1.75 0.17 3.29 3.69 3.29 3.69 1000.00.00.0000000P0 34.7315 4 91122TCAnal pressure record A 0.00 0.73 0.73 0.73 0.73 0.73 0.73 0.07 0.80 0.80 0.80 0.80 1000.00.00.0000000P0 34.7315 4 9112226Anal pressure record A 1.77 1.15 0.62 1.02 1.15 0.62 1.02 0.10 2.49 2.89 2.49 2.89 1000.00.00.0000000P0 34.7315 4 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 92002 Eye exam, new patient A 0.88 0.53 1.02 0.65 0.27 0.34 0.29 0.02 1.92 1.55 1.24 1.19 0XXX.00.00.0002000P0 34.7315 4 92004 Eye exam, new patient A 1.67 0.62 1.61 0.87 0.31 0.68 0.40 0.02 3.30 2.56 2.37 2.09 0XXX.00.00.0002000P0 34.7315 4 92012 Eye exam established pt A 0.67 0.48 1.38 0.71 0.24 0.30 0.26 0.02 2.07 1.40 0.99 0.95 0XXX.00.00.0002000P0 34.7315 4 92014 Eye exam & treatment A 1.10 0.59 1.28 0.76 0.30 0.49 0.35 0.02 2.40 1.88 1.61 1.47 0XXX.00.00.0002000P0 34.7315 4 92015 Refraction N+ 0.38 0.35 1.23 0.57 0.35 0.14 0.30 0.02 1.63 0.97 0.54 0.70 9XXX.00.00.0099999P9 0.0000 9 92018 New eye exam & treatment A 1.51 0.51 1.11 NA 0.66 0.51 1.11 0.66 0.02 2.64 2.19 2.64 2.19 0XXX.00.00.0000000P0 34.7315 4 92019 Eye exam & treatment A 1.31 0.51 0.86 NA 0.60 0.26 0.86 0.41 0.02 2.19 1.93 2.19 1.74 0XXX.00.00.0000000P0 34.7315 4 92020 Special eye evaluation A 0.37 0.31 0.54 0.37 0.16 0.18 0.17 0.01 0.92 0.75 0.56 0.55 0XXX.00.00.0002000P0 34.7315 4 92060 Special eye evaluation A 0.69 0.43 0.50 0.45 0.43 0.50 0.45 0.02 1.21 1.16 1.21 1.16 1XXX.00.00.0002000P0 34.7315 4 92060TCSpecial eye evaluation A 0.00 0.20 0.20 0.20 0.20 0.20 0.20 0.01 0.21 0.21 0.21 0.21 1XXX.00.00.0002000P0 34.7315 4 9206026Special eye evaluation A 0.69 0.23 0.30 0.25 0.23 0.30 0.25 0.01 1.00 0.95 1.00 0.95 1XXX.00.00.0002000P0 34.7315 4 92065 Orthoptic/pleoptic training A 0.37 0.39 0.36 0.38 0.39 0.36 0.38 0.01 0.74 0.76 0.74 0.76 1XXX.00.00.0002000P0 34.7315 4 92065TCOrthoptic/pleoptic training A 0.00 0.17 0.17 0.17 0.17 0.17 0.17 0.00 0.17 0.17 0.17 0.17 1XXX.00.00.0002000P0 34.7315 4 9206526Orthoptic/pleoptic training A 0.37 0.22 0.19 0.21 0.22 0.19 0.21 0.01 0.57 0.59 0.57 0.59 1XXX.00.00.0002000P0 34.7315 4 92070 Fitting of contact lens A 0.70 1.30 0.90 1.20 0.65 0.35 0.58 0.05 1.65 1.95 1.10 1.33 0XXX.00.00.0003000P0 34.7315 4 92081 Visual field examination(s) A 0.36 0.34 0.32 0.34 0.34 0.32 0.34 0.01 0.69 0.71 0.69 0.71 1XXX.00.00.0002000P0 34.7315 4 92081TCVisual field examination(s) A 0.00 0.16 0.15 0.16 0.16 0.15 0.16 0.00 0.15 0.16 0.15 0.16 1XXX.00.00.0002000P0 34.7315 4 9208126Visual field examination(s) A 0.36 0.18 0.17 0.18 0.18 0.17 0.18 0.01 0.54 0.55 0.54 0.55 1XXX.00.00.0002000P0 34.7315 4 92082 Visual field examination(s) A 0.44 0.54 0.42 0.51 0.54 0.42 0.51 0.02 0.88 0.97 0.88 0.97 1XXX.00.00.0002000P0 34.7315 4 92082TCVisual field examination(s) A 0.00 0.21 0.21 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 1XXX.00.00.0002000P0 34.7315 4 9208226Visual field examination(s) A 0.44 0.33 0.21 0.30 0.33 0.21 0.30 0.01 0.66 0.75 0.66 0.75 1XXX.00.00.0002000P0 34.7315 4 92083 Visual field examination(s) A 0.50 0.90 0.56 0.81 0.90 0.56 0.81 0.03 1.09 1.34 1.09 1.34 1XXX.00.00.0002000P0 34.7315 4 92083TCVisual field examination(s) A 0.00 0.30 0.31 0.30 0.30 0.31 0.30 0.01 0.32 0.31 0.32 0.31 1XXX.00.00.0002000P0 34.7315 4 9208326Visual field examination(s) A 0.50 0.60 0.25 0.51 0.60 0.25 0.51 0.02 0.77 1.03 0.77 1.03 1XXX.00.00.0002000P0 34.7315 4 92100 Serial tonometry exam(s) A 0.92 0.27 0.71 0.38 0.14 0.33 0.19 0.01 1.64 1.31 1.26 1.12 0XXX.00.00.0002000P0 34.7315 4 92120 Tonography & eye evaluation A 0.81 0.34 0.71 0.43 0.17 0.35 0.22 0.02 1.54 1.26 1.18 1.05 0XXX.00.00.0002000P0 34.7315 4 92130 Water provocation tonography A 0.81 0.53 0.81 0.60 0.27 0.41 0.31 0.02 1.64 1.43 1.24 1.14 0XXX.00.00.0002000P0 34.7315 4 92135 Opthalmic dx imaging A 0.35 0.00 0.49 0.49 0.00 0.49 0.49 0.03 0.87 0.87 0.87 0.87 1XXX.00.00.0003100P0 34.7315 5 92135TCOpthalmic dx imaging A 0.00 0.00 0.31 0.31 0.00 0.31 0.31 0.01 0.32 0.32 0.32 0.32 1XXX.00.00.0003100P0 34.7315 5 9213526Opthalmic dx imaging A 0.35 0.00 0.18 0.18 0.00 0.18 0.18 0.02 0.55 0.55 0.55 0.55 1XXX.00.00.0003100P0 34.7315 5 92140 Glaucoma provocative tests A 0.50 0.33 0.81 0.45 0.17 0.24 0.19 0.01 1.32 0.96 0.75 0.70 0XXX.00.00.0002000P0 34.7315 4 92225 Special eye exam, initial A 0.38 0.49 1.12 0.65 0.25 0.15 0.23 0.02 1.52 1.05 0.55 0.63 0XXX.00.00.0003000P0 34.7315 4 92226 Special eye exam, subsequent A 0.33 0.43 1.17 0.62 0.22 0.15 0.20 0.02 1.52 0.97 0.50 0.55 0XXX.00.00.0003000P0 34.7315 4 92230 Eye exam with photos A 0.60 0.75 2.10 1.09 0.38 0.22 0.34 0.03 2.73 1.72 0.85 0.97 0XXX.00.00.0003000P0 34.7315 4 92235 Eye exam with photos A 0.81 1.71 1.47 1.65 1.71 1.47 1.65 0.07 2.35 2.53 2.35 2.53 1XXX.00.00.0003000P0 34.7315 4 92235TCEye exam with photos A 0.00 1.07 1.07 1.07 1.07 1.07 1.07 0.05 1.12 1.12 1.12 1.12 1XXX.00.00.0003000P0 34.7315 4 9223526Eye exam with photos A 0.81 0.64 0.40 0.58 0.64 0.40 0.58 0.02 1.23 1.41 1.23 1.41 1XXX.00.00.0003000P0 34.7315 4 92240 Icg angiography A 1.10 1.71 1.62 1.69 1.71 1.62 1.69 0.07 2.79 2.86 2.79 2.86 1XXX.00.00.0003000P0 34.7315 4 92240TCIcg angiography A 0.00 1.07 1.07 1.07 1.07 1.07 1.07 0.05 1.12 1.12 1.12 1.12 1XXX.00.00.0003000P0 34.7315 4 9224026Icg angiography A 1.10 0.64 0.55 0.62 0.64 0.55 0.62 0.02 1.67 1.74 1.67 1.74 1XXX.00.00.0003000P0 34.7315 4 92250 Eye exam with photos A 0.44 0.45 0.41 0.44 0.45 0.41 0.44 0.02 0.87 0.90 0.87 0.90 1XXX.00.00.0002000P0 34.7315 4 92250TCEye exam with photos A 0.00 0.18 0.19 0.18 0.18 0.19 0.18 0.01 0.20 0.19 0.20 0.19 1XXX.00.00.0002000P0 34.7315 4 9225026Eye exam with photos A 0.44 0.27 0.22 0.26 0.27 0.22 0.26 0.01 0.67 0.71 0.67 0.71 1XXX.00.00.0002000P0 34.7315 4 92260 Ophthalmoscopy/dynamometry A 0.20 0.59 0.19 0.49 0.30 0.08 0.25 0.02 0.41 0.71 0.30 0.47 0XXX.00.00.0002000P0 34.7315 4 92265 Eye muscle evaluation A 0.81 0.32 0.49 0.36 0.32 0.49 0.36 0.02 1.32 1.19 1.32 1.19 1XXX.00.00.0002000P0 34.7315 4 92265TCEye muscle evaluation A 0.00 0.24 0.24 0.24 0.24 0.24 0.24 0.02 0.26 0.26 0.26 0.26 1XXX.00.00.0002000P0 34.7315 4 9226526Eye muscle evaluation A 0.81 0.08 0.25 0.12 0.08 0.25 0.12 0.00 1.06 0.93 1.06 0.93 1XXX.00.00.0002000P0 34.7315 4 92270 Electro-oculography A 0.81 0.73 0.65 0.71 0.73 0.65 0.71 0.04 1.50 1.56 1.50 1.56 1XXX.00.00.0002000P0 34.7315 4 92270TCElectro-oculography A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 1XXX.00.00.0002000P0 34.7315 4 9227026Electro-oculography A 0.81 0.40 0.32 0.38 0.40 0.32 0.38 0.02 1.15 1.21 1.15 1.21 1XXX.00.00.0002000P0 34.7315 4 92275 Electroretinography A 1.01 0.97 0.86 0.94 0.97 0.86 0.94 0.04 1.91 1.99 1.91 1.99 1XXX.00.00.0002000P0 34.7315 4 92275TCElectroretinography A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.02 0.45 0.44 0.45 0.44 1XXX.00.00.0002000P0 34.7315 4 9227526Electroretinography A 1.01 0.55 0.43 0.52 0.55 0.43 0.52 0.02 1.46 1.55 1.46 1.55 1XXX.00.00.0002000P0 34.7315 4 92283 Color vision examination A 0.17 0.31 0.20 0.28 0.31 0.20 0.28 0.01 0.38 0.46 0.38 0.46 1XXX.00.00.0002000P0 34.7315 4 92283TCColor vision examination A 0.00 0.13 0.13 0.13 0.13 0.13 0.13 0.00 0.13 0.13 0.13 0.13 1XXX.00.00.0002000P0 34.7315 4 9228326Color vision examination A 0.17 0.18 0.07 0.15 0.18 0.07 0.15 0.01 0.25 0.33 0.25 0.33 1XXX.00.00.0002000P0 34.7315 4 92284 Dark adaptation eye exam A 0.24 0.48 0.26 0.42 0.48 0.26 0.42 0.02 0.52 0.68 0.52 0.68 1XXX.00.00.0002000P0 34.7315 4 92284TCDark adaptation eye exam A 0.00 0.18 0.19 0.18 0.18 0.19 0.18 0.01 0.20 0.19 0.20 0.19 1XXX.00.00.0002000P0 34.7315 4 9228426Dark adaptation eye exam A 0.24 0.30 0.07 0.24 0.30 0.07 0.24 0.01 0.32 0.49 0.32 0.49 1XXX.00.00.0002000P0 34.7315 4 92285 Eye photography A 0.20 0.32 0.21 0.29 0.32 0.21 0.29 0.01 0.42 0.50 0.42 0.50 1XXX.00.00.0002000P0 34.7315 4 92285TCEye photography A 0.00 0.12 0.12 0.12 0.12 0.12 0.12 0.00 0.12 0.12 0.12 0.12 1XXX.00.00.0002000P0 34.7315 4 9228526Eye photography A 0.20 0.20 0.09 0.17 0.20 0.09 0.17 0.01 0.30 0.38 0.30 0.38 1XXX.00.00.0002000P0 34.7315 4 92286 Internal eye photography A 0.66 1.32 0.74 1.17 1.32 0.74 1.17 0.06 1.46 1.89 1.46 1.89 1XXX.00.00.0002000P0 34.7315 4 92286TCInternal eye photography A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.02 0.45 0.44 0.45 0.44 1XXX.00.00.0002000P0 34.7315 4 9228626Internal eye photography A 0.66 0.90 0.31 0.75 0.90 0.31 0.75 0.04 1.01 1.45 1.01 1.45 1XXX.00.00.0002000P0 34.7315 4 92287 Internal eye photography A 0.81 1.65 3.03 2.00 0.83 0.32 0.70 0.06 3.90 2.87 1.19 1.57 0XXX.00.00.0002000P0 34.7315 4 92310 Contact lens fitting N+ 1.17 1.40 0.86 1.27 1.40 0.44 1.16 0.00 2.03 2.44 1.61 2.33 9XXX.00.00.0099999P9 0.0000 9 92311 Contact lens fitting A 1.08 0.98 0.95 0.97 0.49 0.40 0.47 0.02 2.05 2.07 1.50 1.57 0XXX.00.00.0000000P0 34.7315 4 92312 Contact lens fitting A 1.26 1.26 0.93 1.18 0.63 0.58 0.62 0.02 2.21 2.46 1.86 1.90 0XXX.00.00.0002000P0 34.7315 4 92313 Contact lens fitting A 0.92 0.96 0.85 0.93 0.48 0.27 0.43 0.02 1.79 1.87 1.21 1.37 0XXX.00.00.0000000P0 34.7315 4 92314 Prescription of contact lens N+ 0.69 0.82 0.68 0.79 0.82 0.26 0.68 0.00 1.37 1.48 0.95 1.37 9XXX.00.00.0099999P9 0.0000 9 92315 Prescription of contact lens A 0.45 0.72 0.66 0.71 0.36 0.15 0.31 0.02 1.13 1.18 0.62 0.78 0XXX.00.00.0000000P0 34.7315 4 92316 Prescription of contact lens A 0.68 1.03 0.74 0.96 0.52 0.34 0.48 0.03 1.45 1.67 1.05 1.19 0XXX.00.00.0002000P0 34.7315 4 92317 Prescription of contact lens A 0.45 0.42 0.80 0.52 0.21 0.17 0.20 0.02 1.27 0.99 0.64 0.67 0XXX.00.00.0000000P0 34.7315 4 92325 Modification of contact lens A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.01 0.42 0.42 0.42 0.42 5XXX.00.00.0000000P0 34.7315 4 92326 Replacement of contact lens A 0.00 1.69 1.69 1.69 1.69 1.69 1.69 0.05 1.74 1.74 1.74 1.74 5XXX.00.00.0000000P0 34.7315 4 92330 Fitting of artificial eye A 1.08 1.23 0.82 1.13 0.62 0.37 0.56 0.07 1.97 2.28 1.52 1.71 0XXX.00.00.0000000P0 34.7315 4 92335 Fitting of artificial eye A 0.45 2.14 0.74 1.79 1.07 0.15 0.84 0.09 1.28 2.33 0.69 1.38 0XXX.00.00.0000000P0 34.7315 4 92340 Fitting of spectacles N+ 0.37 0.46 0.50 0.47 0.44 0.14 0.37 0.00 0.87 0.84 0.51 0.74 9XXX.00.00.0099999P9 0.0000 9 92341 Fitting of spectacles N+ 0.47 0.58 0.54 0.57 0.56 0.18 0.47 0.00 1.01 1.04 0.65 0.94 9XXX.00.00.0099999P9 0.0000 9 92342 Fitting of spectacles N+ 0.53 0.65 0.56 0.63 0.63 0.20 0.52 0.00 1.09 1.16 0.73 1.05 9XXX.00.00.0099999P9 0.0000 9 92352 Special spectacles fitting B+ 0.37 0.33 0.50 0.37 0.33 0.14 0.28 0.01 0.88 0.75 0.52 0.66 9XXX.00.00.0099999P9 0.0000 9 92353 Special spectacles fitting B+ 0.50 0.43 0.55 0.46 0.43 0.19 0.37 0.01 1.06 0.97 0.70 0.88 9XXX.00.00.0099999P9 0.0000 9 92354 Special spectacles fitting B+ 0.00 9.16 9.18 9.17 9.16 9.18 9.17 0.08 9.26 9.25 9.26 9.25 9XXX.00.00.0099999P9 0.0000 9 92355 Special spectacles fitting B+ 0.00 4.48 4.49 4.48 4.48 4.49 4.48 0.01 4.50 4.49 4.50 4.49 9XXX.00.00.0099999P9 0.0000 9 92358 Eye prosthesis service B+ 0.00 1.00 1.00 1.00 1.00 1.00 1.00 0.04 1.04 1.04 1.04 1.04 9XXX.00.00.0099999P9 0.0000 9 92370 Repair & adjust spectacles N+ 0.32 0.39 0.37 0.39 0.38 0.12 0.32 0.00 0.69 0.71 0.44 0.64 9XXX.00.00.0099999P9 0.0000 9 92371 Repair & adjust spectacles B+ 0.00 0.64 0.64 0.64 0.64 0.64 0.64 0.02 0.66 0.66 0.66 0.66 9XXX.00.00.0099999P9 0.0000 9 92390 Supply of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92391 Supply of contact lenses N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92392 Supply of low vision aids I+ 0.00 4.18 4.19 4.18 4.18 4.19 4.18 0.02 4.21 4.20 4.21 4.20 9XXX.00.00.0099999P9 0.0000 9 92393 Supply of artificial eye I+ 0.00 12.98 13.02 12.99 12.98 13.02 12.99 0.52 13.54 13.51 13.54 13.51 9XXX.00.00.0099999P9 0.0000 9 92395 Supply of spectacles I+ 0.00 1.42 1.43 1.42 1.42 1.43 1.42 0.08 1.51 1.50 1.51 1.50 9XXX.00.00.0099999P9 0.0000 9 92396 Supply of contact lenses I+ 0.00 2.38 2.39 2.38 2.38 2.39 2.38 0.06 2.45 2.44 2.45 2.44 9XXX.00.00.0099999P9 0.0000 9 92499 Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 92499TCEye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 92502 Ear and throat examination A 1.51 1.22 1.17 NA 1.21 1.22 1.17 1.21 0.09 2.77 2.81 2.77 2.81 0000.00.00.0000000P0 34.7315 4 92504 Ear microscopy examination A 0.18 0.28 0.74 0.40 0.14 0.09 0.13 0.02 0.94 0.60 0.29 0.33 0XXX.00.00.0000000P0 34.7315 4 92506 Speech & hearing evaluation A 0.86 0.56 1.00 0.67 0.28 0.83 0.42 0.04 1.90 1.57 1.73 1.32 0XXX.00.00.0000000P0 34.7315 4 92507 Speech/hearing therapy A 0.52 0.36 0.87 0.49 0.18 0.80 0.34 0.02 1.41 1.03 1.34 0.88 0XXX.00.00.0000000P0 34.7315 4 92508 Speech/hearing therapy A 0.26 0.20 0.62 0.31 0.10 0.85 0.29 0.02 0.90 0.59 1.13 0.57 0XXX.00.00.0000000P0 34.7315 4 92510 Rehab for ear implant A 1.50 1.48 1.49 1.48 0.74 1.51 0.93 0.12 3.11 3.10 3.13 2.55 0XXX.00.00.0000000P0 34.7315 4 92511 Nasopharyngoscopy A 0.84 0.92 0.93 0.92 0.46 0.43 0.45 0.07 1.84 1.83 1.34 1.36 0000.00.00.0000000P0 34.7315 4 92512 Nasal function studies A 0.55 0.51 0.86 0.60 0.26 0.17 0.24 0.04 1.45 1.19 0.76 0.83 0XXX.00.00.0000000P0 34.7315 4 92516 Facial nerve function test A 0.43 0.42 0.69 0.49 0.21 0.20 0.21 0.03 1.15 0.95 0.66 0.67 0XXX.00.00.0000000P0 34.7315 4 92520 Laryngeal function studies A 0.76 0.58 0.54 0.57 0.29 0.48 0.34 0.04 1.34 1.37 1.28 1.14 0XXX.00.00.0000000P0 34.7315 4 92525 Oral function evaluation A 1.50 1.11 1.24 1.14 0.56 1.32 0.75 0.09 2.83 2.73 2.91 2.34 0XXX.00.00.0000000P0 34.7315 4 92526 Oral function therapy A 0.55 0.51 1.01 0.64 0.26 0.69 0.37 0.04 1.60 1.23 1.28 0.96 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92532 Positional nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92534 Optokinetic nystagmus B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92541 Spontaneous nystagmus test A 0.40 0.73 0.43 0.66 0.73 0.43 0.66 0.06 0.89 1.12 0.89 1.12 1XXX.00.00.0000000P0 34.7315 4 92541TCSpontaneous nystagmus test A 0.00 0.24 0.24 0.24 0.24 0.24 0.24 0.02 0.26 0.26 0.26 0.26 1XXX.00.00.0000000P0 34.7315 4 9254126Spontaneous nystagmus test A 0.40 0.49 0.19 0.42 0.49 0.19 0.42 0.04 0.63 0.86 0.63 0.86 1XXX.00.00.0000000P0 34.7315 4 92542 Positional nystagmus test A 0.33 0.66 0.42 0.60 0.66 0.42 0.60 0.05 0.80 0.98 0.80 0.98 1XXX.00.00.0000000P0 34.7315 4 92542TCPositional nystagmus test A 0.00 0.27 0.27 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 1XXX.00.00.0000000P0 34.7315 4 9254226Positional nystagmus test A 0.33 0.39 0.15 0.33 0.39 0.15 0.33 0.03 0.51 0.69 0.51 0.69 1XXX.00.00.0000000P0 34.7315 4 92543 Caloric vestibular test A 0.10 0.23 0.16 0.21 0.23 0.16 0.21 0.02 0.28 0.33 0.28 0.33 1XXX.00.00.0000000P0 34.7315 4 92543TCCaloric vestibular test A 0.00 0.11 0.11 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 1XXX.00.00.0000000P0 34.7315 4 9254326Caloric vestibular test A 0.10 0.12 0.05 0.10 0.12 0.05 0.10 0.01 0.16 0.21 0.16 0.21 1XXX.00.00.0000000P0 34.7315 4 92544 Optokinetic nystagmus test A 0.26 0.51 0.34 0.47 0.51 0.34 0.47 0.04 0.64 0.77 0.64 0.77 1XXX.00.00.0000000P0 34.7315 4 92544TCOptokinetic nystagmus test A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0000000P0 34.7315 4 9254426Optokinetic nystagmus test A 0.26 0.29 0.12 0.25 0.29 0.12 0.25 0.02 0.40 0.53 0.40 0.53 1XXX.00.00.0000000P0 34.7315 4 92545 Oscillating tracking test A 0.23 0.44 0.33 0.41 0.44 0.33 0.41 0.04 0.60 0.68 0.60 0.68 1XXX.00.00.0000000P0 34.7315 4 92545TCOscillating tracking test A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0000000P0 34.7315 4 9254526Oscillating tracking test A 0.23 0.22 0.11 0.19 0.22 0.11 0.19 0.02 0.36 0.44 0.36 0.44 1XXX.00.00.0000000P0 34.7315 4 92546 Sinusoidal rotational test A 0.29 0.58 0.37 0.53 0.58 0.37 0.53 0.04 0.70 0.86 0.70 0.86 1XXX.00.00.0000000P0 34.7315 4 92546TCSinusoidal rotational test A 0.00 0.25 0.25 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 34.7315 4 9254626Sinusoidal rotational test A 0.29 0.33 0.12 0.28 0.33 0.12 0.28 0.02 0.43 0.59 0.43 0.59 1XXX.00.00.0000000P0 34.7315 4 92547 Supplemental electrical test A 0.00 0.58 0.58 0.58 0.58 0.58 0.58 0.05 0.63 0.63 0.63 0.63 3ZZZ.00.00.0000000P0 34.7315 4 92548 Posturography A 0.50 2.01 1.80 1.96 2.01 1.80 1.96 0.15 2.45 2.61 2.45 2.61 1XXX.00.00.0000000P0 34.7315 4 92548TCPosturography A 0.00 1.52 1.53 1.52 1.52 1.53 1.52 0.11 1.64 1.63 1.64 1.63 1XXX.00.00.0000000P0 34.7315 4 9254826Posturography A 0.50 0.49 0.27 0.44 0.49 0.27 0.44 0.04 0.81 0.98 0.81 0.98 1XXX.00.00.0000000P0 34.7315 4 92551 Pure tone hearing test, air N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92552 Pure tone audiometry, air A 0.00 0.46 0.45 0.46 0.46 0.45 0.46 0.03 0.48 0.49 0.48 0.49 3XXX.00.00.0002000P0 34.7315 4 92553 Audiometry, air & bone A 0.00 0.68 0.69 0.68 0.68 0.69 0.68 0.05 0.74 0.73 0.74 0.73 3XXX.00.00.0002000P0 34.7315 4 92555 Speech threshold audiometry A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 3XXX.00.00.0002000P0 34.7315 4 92556 Speech audiometry, complete A 0.00 0.59 0.59 0.59 0.59 0.59 0.59 0.05 0.64 0.64 0.64 0.64 3XXX.00.00.0002000P0 34.7315 4 92557 Comprehensive hearing test A 0.00 1.23 1.23 1.23 1.23 1.23 1.23 0.10 1.33 1.33 1.33 1.33 3XXX.00.00.0002000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92561 Bekesy audiometry, diagnosis A 0.00 0.74 0.74 0.74 0.74 0.74 0.74 0.05 0.79 0.79 0.79 0.79 3XXX.00.00.0002000P0 34.7315 4 92562 Loudness balance test A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.03 0.46 0.45 0.46 0.45 3XXX.00.00.0002000P0 34.7315 4 92563 Tone decay hearing test A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 3XXX.00.00.0002000P0 34.7315 4 92564 Sisi hearing test A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.04 0.53 0.53 0.53 0.53 3XXX.00.00.0002000P0 34.7315 4 92565 Stenger test, pure tone A 0.00 0.41 0.41 0.41 0.21 0.41 0.26 0.03 0.44 0.44 0.44 0.29 3XXX.00.00.0002000P0 34.7315 4 92567 Tympanometry A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.05 0.60 0.59 0.60 0.59 3XXX.00.00.0002000P0 34.7315 4 92568 Acoustic reflex testing A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.03 0.42 0.42 0.42 0.42 3XXX.00.00.0002000P0 34.7315 4 92569 Acoustic reflex decay test A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.03 0.46 0.45 0.46 0.45 3XXX.00.00.0002000P0 34.7315 4 92571 Filtered speech hearing test A 0.00 0.40 0.40 0.40 0.20 0.40 0.25 0.03 0.43 0.43 0.43 0.28 3XXX.00.00.0002000P0 34.7315 4 92572 Staggered spondaic word test A 0.00 0.09 0.09 0.09 0.09 0.09 0.09 0.01 0.10 0.10 0.10 0.10 3XXX.00.00.0002000P0 34.7315 4 92573 Lombard test A 0.00 0.36 0.36 0.36 0.36 0.36 0.36 0.03 0.39 0.39 0.39 0.39 3XXX.00.00.0002000P0 34.7315 4 92575 Sensorineural acuity test A 0.00 0.31 0.32 0.31 0.16 0.32 0.20 0.02 0.34 0.33 0.34 0.22 3XXX.00.00.0002000P0 34.7315 4 92576 Synthetic sentence test A 0.00 0.46 0.45 0.46 0.23 0.45 0.29 0.04 0.49 0.50 0.49 0.33 3XXX.00.00.0002000P0 34.7315 4 92577 Stenger test, speech A 0.00 0.74 0.73 0.74 0.37 0.73 0.46 0.06 0.79 0.80 0.79 0.52 3XXX.00.00.0002000P0 34.7315 4 92579 Visual audiometry (vra) A 0.00 0.75 0.74 0.75 0.75 0.74 0.75 0.05 0.79 0.80 0.79 0.80 3XXX.00.00.0002000P0 34.7315 4 92582 Conditioning play audiometry A 0.00 0.75 0.73 0.75 0.38 0.73 0.47 0.05 0.78 0.80 0.78 0.52 3XXX.00.00.0002000P0 34.7315 4 92583 Select picture audiometry A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.07 1.00 0.99 1.00 0.99 3XXX.00.00.0002000P0 34.7315 4 92584 Electrocochleography A 0.00 2.56 2.56 2.56 2.56 2.56 2.56 0.20 2.76 2.76 2.76 2.76 3XXX.00.00.0002000P0 34.7315 4 92585 Auditory evoked potential A 0.50 3.53 2.13 3.18 3.53 2.13 3.18 0.24 2.87 3.92 2.87 3.92 1XXX.00.00.0002000P0 34.7315 4 92585TCAuditory evoked potential A 0.00 1.91 1.92 1.91 1.91 1.92 1.91 0.13 2.05 2.04 2.05 2.04 1XXX.00.00.0002000P0 34.7315 4 9258526Auditory evoked potential A 0.50 1.62 0.21 1.27 1.62 0.21 1.27 0.11 0.82 1.88 0.82 1.88 1XXX.00.00.0002000P0 34.7315 4 92587 Evoked auditory test A 0.13 1.47 1.41 1.46 1.47 1.41 1.46 0.10 1.64 1.69 1.64 1.69 1XXX.00.00.0002000P0 34.7315 4 92587TCEvoked auditory test A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.09 1.43 1.44 1.43 1.44 1XXX.00.00.0002000P0 34.7315 4 9258726Evoked auditory test A 0.13 0.12 0.07 0.11 0.12 0.07 0.11 0.01 0.21 0.25 0.21 0.25 1XXX.00.00.0002000P0 34.7315 4 92588 Evoked auditory test A 0.36 1.85 1.70 1.81 1.85 1.70 1.81 0.13 2.19 2.30 2.19 2.30 1XXX.00.00.0002000P0 34.7315 4 92588TCEvoked auditory test A 0.00 1.52 1.53 1.52 1.52 1.53 1.52 0.11 1.64 1.63 1.64 1.63 1XXX.00.00.0002000P0 34.7315 4 9258826Evoked auditory test A 0.36 0.33 0.17 0.29 0.33 0.17 0.29 0.02 0.55 0.67 0.55 0.67 1XXX.00.00.0002000P0 34.7315 4 92589 Auditory function test(s) A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.05 0.61 0.60 0.61 0.60 3XXX.00.00.0002000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92594 Electro hearing aid test,one N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92595 Electro hearingaid test,both N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 92596 Ear protector evaluation A 0.00 0.61 0.61 0.61 0.61 0.61 0.61 0.05 0.66 0.66 0.66 0.66 3XXX.00.00.0002000P0 34.7315 4 92597 Oral speech device eval A 1.35 1.10 1.39 1.17 1.10 1.40 1.18 0.09 2.83 2.61 2.84 2.62 0XXX.00.00.0000000P0 34.7315 4 92598 Modify oral speech device A 0.99 0.72 0.97 0.78 0.72 0.56 0.68 0.05 2.01 1.82 1.60 1.72 0XXX.00.00.0000000P0 34.7315 4 92599 ENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 92599TCENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 9259926ENT procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 92950 Heart/lung resuscitation(CPR A 3.80 2.46 1.53 2.23 2.46 1.12 2.13 0.13 5.46 6.16 5.05 6.06 0000.00.00.0000000P0 34.7315 4 92953 Temporary external pacing A 0.23 0.27 0.21 NA 0.26 0.27 0.21 0.26 0.12 0.56 0.61 0.56 0.61 0000.00.00.0000000P0 34.7315 4 92960 Heart electroconversion A 2.25 2.04 1.70 1.96 2.04 1.61 1.93 0.13 4.08 4.34 3.99 4.31 0000.00.00.0000000P0 34.7315 4 92970 Cardioassist, internal A 3.52 3.77 2.90 NA 3.55 3.77 2.90 3.55 0.32 6.74 7.39 6.74 7.39 0000.00.00.0000000P0 34.7315 4 92971 Cardioassist, external A 1.77 1.20 0.94 NA 1.14 1.20 0.94 1.14 0.06 2.77 2.97 2.77 2.97 0000.00.00.0000000P0 34.7315 4 92975 Dissolve clot, heart vessel A 7.25 6.20 8.11 NA 6.68 6.20 8.11 6.68 0.33 15.69 14.26 15.69 14.26 0000.00.00.0020000P0 34.7315 4 92977 Dissolve clot, heart vessel A 0.00 8.33 8.37 NA 8.34 8.33 8.37 8.34 0.42 8.79 8.76 8.79 8.76 5XXX.00.00.0000000P0 34.7315 4 92978 Intravas us, heart add-on A 1.80 5.87 5.48 NA 5.77 5.87 5.48 5.77 0.28 7.56 7.85 7.56 7.85 1ZZZ.00.00.0000000P0 34.7315 4 92978TCIntravas us, heart add-on A 0.00 4.72 4.73 NA 4.72 4.72 4.73 4.72 0.22 4.95 4.94 4.95 4.94 1ZZZ.00.00.0000000P0 34.7315 4 9297826Intravas us, heart add-on A 1.80 1.15 0.75 NA 1.05 1.15 0.75 1.05 0.06 2.61 2.91 2.61 2.91 1ZZZ.00.00.0000000P0 34.7315 4 92979 Intravas us, heart (add-on) A 1.44 3.29 2.99 NA 3.21 3.29 2.99 3.21 0.16 4.59 4.81 4.59 4.81 1ZZZ.00.00.0000000P0 34.7315 4 92979TCIntravas us, heart (add-on) A 0.00 2.37 2.38 NA 2.37 2.37 2.38 2.37 0.11 2.49 2.48 2.49 2.48 1ZZZ.00.00.0000000P0 34.7315 4 9297926Intravas us, heart (add-on) A 1.44 0.92 0.61 NA 0.84 0.92 0.61 0.84 0.05 2.10 2.33 2.10 2.33 1ZZZ.00.00.0000000P0 34.7315 4 92980 Insert intracoronary stent A 14.84 17.71 10.12 NA15.81 17.71 10.12 15.81 0.95 25.91 31.60 25.91 31.60 0000.00.00.0020000P0 34.7315 4 92981 Insert intracoronary stent A 4.17 4.98 1.94 NA 4.22 4.98 1.94 4.22 0.34 6.45 8.73 6.45 8.73 0ZZZ.00.00.0000000P0 34.7315 4 92982 Coronary artery dilation A 10.98 13.11 7.62 NA11.74 13.11 7.62 11.74 0.95 19.55 23.67 19.55 23.67 0000.00.00.0020000P0 34.7315 4 92984 Coronary artery dilation A 2.97 3.55 1.45 NA 3.03 3.55 1.45 3.03 0.34 4.76 6.34 4.76 6.34 0ZZZ.00.00.0000000P0 34.7315 4 92986 Revision of aortic valve A 21.80 13.07 11.28 NA12.62 13.07 11.28 12.62 0.70 33.78 35.12 33.78 35.12 0090.09.84.0720000P0 34.7315 4 92987 Revision of mitral valve A 22.70 13.24 11.59 NA12.83 13.24 11.59 12.83 0.71 35.00 36.24 35.00 36.24 0090.09.84.0720000P0 34.7315 4 92990 Revision of pulmonary valve A 17.34 10.41 9.06 NA10.07 10.41 9.06 10.07 0.56 26.96 27.97 26.96 27.97 0090.09.84.0720000P0 34.7315 4 92992 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200P0 34.7315 9 92993 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200P0 34.7315 9 92995 Coronary atherectomy A 12.09 14.43 8.23 NA12.88 14.43 8.23 12.88 0.95 21.27 25.92 21.27 25.92 0000.00.00.0020000P0 34.7315 4 92996 Coronary atherectomy add-on A 3.26 3.90 1.47 NA 3.29 3.90 1.47 3.29 0.34 5.07 6.89 5.07 6.89 0ZZZ.00.00.0000000P0 34.7315 4 92997 Pul art balloon repair, perc A 12.00 14.33 6.77 NA12.44 14.33 6.77 12.44 0.95 19.72 25.39 19.72 25.39 0000.00.00.0020000P0 34.7315 4 92998 Pul art balloon repair, perc A 6.00 4.12 2.34 NA 3.68 4.12 2.34 3.68 0.34 8.68 10.02 8.68 10.02 0ZZZ.00.00.0000000P0 34.7315 4 93000 Electrocardiogram, complete A 0.17 0.64 0.52 0.61 0.64 0.52 0.61 0.03 0.72 0.81 0.72 0.81 4XXX.00.00.0000000P0 34.7315 4 93005 Electrocardiogram, tracing A 0.00 0.47 0.46 0.47 0.47 0.46 0.47 0.02 0.48 0.49 0.48 0.49 3XXX.00.00.0000000P0 34.7315 4 93010 Electrocardiogram report A 0.17 0.17 0.06 0.14 0.17 0.06 0.14 0.01 0.24 0.32 0.24 0.32 2XXX.00.00.0000000P0 34.7315 4 93012 Transmission of ecg A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.17 2.62 2.61 2.62 2.61 3XXX.00.00.0000000P0 34.7315 4 93014 Report on transmitted ecg A 0.52 0.43 0.20 0.37 0.43 0.20 0.37 0.04 0.76 0.93 0.76 0.93 2XXX.00.00.0000000P0 34.7315 4 93015 Cardiovascular stress test A 0.75 2.52 2.03 2.40 2.52 2.03 2.40 0.13 2.91 3.28 2.91 3.28 4XXX.00.00.0000000P0 34.7315 4 93016 Cardiovascular stress test A 0.45 0.42 0.18 0.36 0.42 0.18 0.36 0.02 0.65 0.83 0.65 0.83 2XXX.00.00.0000000P0 34.7315 4 93017 Cardiovascular stress test A 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 3XXX.00.00.0000000P0 34.7315 4 93018 Cardiovascular stress test A 0.30 0.36 0.11 0.30 0.36 0.11 0.30 0.02 0.43 0.62 0.43 0.62 2XXX.00.00.0000000P0 34.7315 4 93024 Cardiac drug stress test A 1.17 2.56 1.65 2.33 2.56 1.65 2.33 0.18 3.00 3.68 3.00 3.68 1XXX.00.00.0000000P0 34.7315 4 93024TCCardiac drug stress test A 0.00 1.16 1.17 1.16 1.16 1.17 1.16 0.07 1.24 1.23 1.24 1.23 1XXX.00.00.0000000P0 34.7315 4 9302426Cardiac drug stress test A 1.17 1.40 0.48 1.17 1.40 0.48 1.17 0.11 1.76 2.45 1.76 2.45 1XXX.00.00.0000000P0 34.7315 4 93040 Rhythm ECG with report A 0.16 0.28 0.19 0.26 0.28 0.19 0.26 0.02 0.37 0.44 0.37 0.44 4XXX.00.00.0000000P0 34.7315 4 93041 Rhythm ECG, tracing A 0.00 0.15 0.14 0.15 0.15 0.14 0.15 0.01 0.15 0.16 0.15 0.16 3XXX.00.00.0000000P0 34.7315 4 93042 Rhythm ECG, report A 0.16 0.13 0.05 0.11 0.13 0.05 0.11 0.01 0.22 0.28 0.22 0.28 2XXX.00.00.0000000P0 34.7315 4 93224 ECG monitor/report, 24 hrs A 0.52 4.16 3.75 4.06 4.16 3.75 4.06 0.25 4.52 4.83 4.52 4.83 4XXX.00.00.0000000P0 34.7315 4 93225 ECG monitor/record, 24 hrs A 0.00 1.28 1.29 1.28 1.28 1.29 1.28 0.07 1.36 1.35 1.36 1.35 3XXX.00.00.0000000P0 34.7315 4 93226 ECG monitor/report, 24 hrs A 0.00 2.26 2.26 2.26 2.26 2.26 2.26 0.13 2.39 2.39 2.39 2.39 3XXX.00.00.0000000P0 34.7315 4 93227 ECG monitor/review, 24 hrs A 0.52 0.62 0.20 0.52 0.62 0.20 0.52 0.05 0.77 1.09 0.77 1.09 2XXX.00.00.0000000P0 34.7315 4 93230 ECG monitor/report, 24 hrs A 0.52 4.44 4.03 4.34 4.44 4.03 4.34 0.27 4.82 5.13 4.82 5.13 4XXX.00.00.0000000P0 34.7315 4 93231 Ecg monitor/record, 24 hrs A 0.00 1.57 1.58 1.57 1.57 1.58 1.57 0.09 1.67 1.66 1.67 1.66 3XXX.00.00.0000000P0 34.7315 4 93232 ECG monitor/report, 24 hrs A 0.00 2.25 2.25 2.25 2.25 2.25 2.25 0.12 2.37 2.37 2.37 2.37 3XXX.00.00.0000000P0 34.7315 4 93233 ECG monitor/review, 24 hrs A 0.52 0.62 0.20 0.52 0.62 0.20 0.52 0.06 0.78 1.10 0.78 1.10 2XXX.00.00.0000000P0 34.7315 4 93235 ECG monitor/report, 24 hrs A 0.45 3.25 2.91 3.17 3.25 2.91 3.17 0.18 3.54 3.80 3.54 3.80 4XXX.00.00.0000000P0 34.7315 4 93236 ECG monitor/report, 24 hrs A 0.00 2.71 2.73 2.72 2.71 2.73 2.72 0.13 2.86 2.85 2.86 2.85 3XXX.00.00.0000000P0 34.7315 4 93237 ECG monitor/review, 24 hrs A 0.45 0.54 0.18 0.45 0.54 0.18 0.45 0.05 0.68 0.95 0.68 0.95 2XXX.00.00.0000000P0 34.7315 4 93268 ECG record/review A 0.52 4.16 0.70 3.30 4.16 0.70 3.30 0.28 1.50 4.10 1.50 4.10 4XXX.00.00.0000000P0 34.7315 4 93270 ECG recording A 0.00 1.28 1.29 1.28 1.28 1.29 1.28 0.07 1.36 1.35 1.36 1.35 3XXX.00.00.0000000P0 34.7315 4 93271 Ecg/monitoring and anaylysis A 0.00 2.44 2.45 2.44 2.44 2.45 2.44 0.17 2.62 2.61 2.62 2.61 3XXX.00.00.0000000P0 34.7315 4 93272 Ecg/review,interpret only A 0.52 0.43 0.20 0.37 0.43 0.20 0.37 0.04 0.76 0.93 0.76 0.93 2XXX.00.00.0000000P0 34.7315 4 93278 ECG/signal-averaged A 0.25 1.49 1.30 1.44 1.49 1.30 1.44 0.14 1.69 1.83 1.69 1.83 1XXX.00.00.0000000P0 34.7315 4 93278TCECG/signal-averaged A 0.00 1.19 1.20 1.19 1.19 1.20 1.19 0.09 1.29 1.28 1.29 1.28 1XXX.00.00.0000000P0 34.7315 4 9327826ECG/signal-averaged A 0.25 0.30 0.10 0.25 0.30 0.10 0.25 0.05 0.40 0.55 0.40 0.55 1XXX.00.00.0000000P0 34.7315 4 93303 Echo transthoracic A 1.30 5.08 4.53 4.95 5.08 4.53 4.95 0.28 6.11 6.53 6.11 6.53 1XXX.00.00.0000000P0 34.7315 4 93303TCEcho transthoracic A 0.00 3.99 4.01 4.00 3.99 4.01 4.00 0.21 4.22 4.21 4.22 4.21 1XXX.00.00.0000000P0 34.7315 4 9330326Echo transthoracic A 1.30 1.09 0.52 0.95 1.09 0.52 0.95 0.07 1.89 2.32 1.89 2.32 1XXX.00.00.0000000P0 34.7315 4 93304 Echo transthoracic A 0.75 2.75 2.31 2.64 2.75 2.31 2.64 0.15 3.21 3.54 3.21 3.54 1XXX.00.00.0000000P0 34.7315 4 93304TCEcho transthoracic A 0.00 2.01 2.01 2.01 2.01 2.01 2.01 0.11 2.12 2.12 2.12 2.12 1XXX.00.00.0000000P0 34.7315 4 9330426Echo transthoracic A 0.75 0.74 0.30 0.63 0.74 0.30 0.63 0.04 1.09 1.42 1.09 1.42 1XXX.00.00.0000000P0 34.7315 4 93307 Echo exam of heart A 0.92 5.08 4.38 4.91 5.08 4.38 4.91 0.28 5.58 6.11 5.58 6.11 1XXX.00.00.0000000P0 34.7315 4 93307TCEcho exam of heart A 0.00 3.99 4.01 4.00 3.99 4.01 4.00 0.21 4.22 4.21 4.22 4.21 1XXX.00.00.0000000P0 34.7315 4 9330726Echo exam of heart A 0.92 1.09 0.37 0.91 1.09 0.37 0.91 0.07 1.36 1.90 1.36 1.90 1XXX.00.00.0000000P0 34.7315 4 93308 Echo exam of heart A 0.53 2.64 2.22 2.54 2.64 2.22 2.54 0.15 2.90 3.22 2.90 3.22 1XXX.00.00.0000000P0 34.7315 4 93308TCEcho exam of heart A 0.00 2.01 2.01 2.01 2.01 2.01 2.01 0.11 2.12 2.12 2.12 2.12 1XXX.00.00.0000000P0 34.7315 4 9330826Echo exam of heart A 0.53 0.63 0.21 0.53 0.63 0.21 0.53 0.04 0.78 1.10 0.78 1.10 1XXX.00.00.0000000P0 34.7315 4 93312 Echo transesophageal A 2.20 5.38 4.68 5.21 5.38 4.68 5.21 0.35 7.23 7.76 7.23 7.76 1XXX.00.00.0000000P0 34.7315 4 93312TCEcho transesophageal A 0.00 3.91 3.93 3.92 3.91 3.93 3.92 0.26 4.19 4.18 4.19 4.18 1XXX.00.00.0000000P0 34.7315 4 9331226Echo transesophageal A 2.20 1.47 0.75 1.29 1.47 0.75 1.29 0.09 3.04 3.58 3.04 3.58 1XXX.00.00.0000000P0 34.7315 4 93313 Echo transesophageal A 0.95 0.73 5.72 1.98 0.73 0.36 0.64 0.05 6.72 2.98 1.36 1.64 0XXX.00.00.0000000P0 34.7315 4 93314 Echo transesophageal A 1.25 4.64 4.42 4.59 4.64 4.42 4.59 0.31 5.98 6.15 5.98 6.15 1XXX.00.00.0000000P0 34.7315 4 93314TCEcho transesophageal A 0.00 3.91 3.93 3.92 3.91 3.93 3.92 0.26 4.19 4.18 4.19 4.18 1XXX.00.00.0000000P0 34.7315 4 9331426Echo transesophageal A 1.25 0.73 0.49 0.67 0.73 0.49 0.67 0.05 1.79 1.97 1.79 1.97 1XXX.00.00.0000000P0 34.7315 4 93315 Echo transesophageal A 2.78 5.38 4.93 5.27 5.38 4.93 5.27 0.35 8.06 8.40 8.06 8.40 1XXX.00.00.0000000P0 34.7315 4 93315TCEcho transesophageal A 0.00 3.91 3.93 3.92 3.91 3.93 3.92 0.26 4.19 4.18 4.19 4.18 1XXX.00.00.0000000P0 34.7315 4 9331526Echo transesophageal A 2.78 1.47 1.00 1.35 1.47 1.00 1.35 0.09 3.87 4.22 3.87 4.22 1XXX.00.00.0000000P0 34.7315 4 93316 Echo transesophageal A 0.95 0.73 0.94 0.78 0.73 0.35 0.64 0.05 1.94 1.78 1.35 1.64 0XXX.00.00.0000000P0 34.7315 4 93317 Echo transesophageal A 1.83 4.64 4.56 4.63 4.64 4.56 4.63 0.31 6.70 6.77 6.70 6.77 1XXX.00.00.0000000P0 34.7315 4 93317TCEcho transesophageal A 0.00 3.91 3.93 3.92 3.91 3.93 3.92 0.26 4.19 4.18 4.19 4.18 1XXX.00.00.0000000P0 34.7315 4 9331726Echo transesophageal A 1.83 0.73 0.63 0.71 0.73 0.63 0.71 0.05 2.51 2.59 2.51 2.59 1XXX.00.00.0000000P0 34.7315 4 93320 Doppler echo exam, heart A 0.38 2.23 1.93 2.15 2.23 1.93 2.15 0.14 2.45 2.67 2.45 2.67 1ZZZ.00.00.0000000P0 34.7315 4 93320TCDoppler echo exam, heart A 0.00 1.77 1.78 1.77 1.77 1.78 1.77 0.10 1.88 1.87 1.88 1.87 1ZZZ.00.00.0000000P0 34.7315 4 9332026Doppler echo exam, heart A 0.38 0.46 0.15 0.38 0.46 0.15 0.38 0.04 0.57 0.80 0.57 0.80 1ZZZ.00.00.0000000P0 34.7315 4 93321 Doppler echo exam, heart A 0.15 1.33 1.22 1.30 1.33 1.22 1.30 0.09 1.46 1.54 1.46 1.54 1ZZZ.00.00.0000000P0 34.7315 4 93321TCDoppler echo exam, heart A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.07 1.23 1.22 1.23 1.22 1ZZZ.00.00.0000000P0 34.7315 4 9332126Doppler echo exam, heart A 0.15 0.18 0.06 0.15 0.18 0.06 0.15 0.02 0.23 0.32 0.23 0.32 1ZZZ.00.00.0000000P0 34.7315 4 93325 Doppler color flow add-on A 0.07 3.04 3.04 3.04 3.04 3.04 3.04 0.20 3.31 3.31 3.31 3.31 1ZZZ.00.00.0000000P0 34.7315 4 93325TCDoppler color flow add-on A 0.00 3.00 3.01 3.00 3.00 3.01 3.00 0.19 3.20 3.19 3.20 3.19 1ZZZ.00.00.0000000P0 34.7315 4 9332526Doppler color flow add-on A 0.07 0.04 0.03 0.04 0.04 0.03 0.04 0.01 0.11 0.12 0.11 0.12 1ZZZ.00.00.0000000P0 34.7315 4 93350 Echo transthoracic A 0.78 2.75 2.14 2.60 2.75 2.14 2.60 0.19 3.11 3.57 3.11 3.57 1XXX.00.00.0000000P0 34.7315 4 93350TCEcho transthoracic A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.11 1.94 1.93 1.94 1.93 1XXX.00.00.0000000P0 34.7315 4 9335026Echo transthoracic A 0.78 0.93 0.31 0.78 0.93 0.31 0.78 0.08 1.17 1.64 1.17 1.64 1XXX.00.00.0000000P0 34.7315 4 93501 Right heart catheterization A 3.02 21.08 18.30 20.39 21.08 18.30 20.39 1.21 22.53 24.62 22.53 24.62 1000.00.00.0020000P0 34.7315 4 93501TCRight heart catheterization A 0.00 17.48 17.10 17.39 17.48 17.10 17.39 0.94 18.04 18.33 18.04 18.33 1000.00.00.0000000P0 34.7315 4 9350126Right heart catheterization A 3.02 3.60 1.20 3.00 3.60 1.20 3.00 0.27 4.49 6.29 4.49 6.29 1000.00.00.0020000P0 34.7315 4 93503 Insert/place heart catheter A 2.91 2.57 1.06 2.19 2.57 0.67 2.10 0.28 4.25 5.38 3.86 5.29 0000.00.00.0000000P0 34.7315 4 93505 Biopsy of heart lining A 4.38 5.34 3.80 4.96 5.34 3.80 4.96 0.36 8.54 9.70 8.54 9.70 1000.00.00.0020000P0 34.7315 4 93505TCBiopsy of heart lining A 0.00 2.05 2.00 2.04 2.05 2.00 2.04 0.14 2.14 2.18 2.14 2.18 1000.00.00.0000000P0 34.7315 4 9350526Biopsy of heart lining A 4.38 3.29 1.80 2.92 3.29 1.80 2.92 0.22 6.40 7.52 6.40 7.52 1000.00.00.0020000P0 34.7315 4 93508 Cath placement, angiography A 4.10 16.05 14.30 15.61 16.05 14.30 15.61 0.77 19.17 20.48 19.17 20.48 1000.00.00.0020000P0 34.7315 4 93508TCCath placement, angiography A 0.00 13.03 12.75 12.96 13.03 12.75 12.96 0.59 13.34 13.55 13.34 13.55 1000.00.00.0000000P0 34.7315 4 9350826Cath placement, angiography A 4.10 3.02 1.55 2.65 3.02 1.55 2.65 0.18 5.83 6.93 5.83 6.93 1000.00.00.0020000P0 34.7315 4 93510 Left heart catheterization A 4.33 41.54 39.16 40.95 41.54 39.16 40.95 2.24 45.73 47.52 45.73 47.52 1000.00.00.0020000P0 34.7315 4 93510TCLeft heart catheterization A 0.00 38.22 37.36 38.01 38.22 37.36 38.01 2.06 39.42 40.07 39.42 40.07 1000.00.00.0000000P0 34.7315 4 9351026Left heart catheterization A 4.33 3.32 1.80 2.94 3.32 1.80 2.94 0.18 6.31 7.45 6.31 7.45 1000.00.00.0020000P0 34.7315 4 93511 Left heart catheterization A 5.03 40.05 38.46 39.65 40.05 38.46 39.65 2.16 45.65 46.84 45.65 46.84 1000.00.00.0020000P0 34.7315 4 93511TCLeft heart catheterization A 0.00 37.21 36.37 37.00 37.21 36.37 37.00 2.00 38.37 39.00 38.37 39.00 1000.00.00.0000000P0 34.7315 4 9351126Left heart catheterization A 5.03 2.84 2.09 2.65 2.84 2.09 2.65 0.16 7.28 7.84 7.28 7.84 1000.00.00.0020000P0 34.7315 4 93514 Left heart catheterization A 7.05 42.15 39.33 41.45 42.15 39.33 41.45 2.30 48.68 50.80 48.68 50.80 1000.00.00.0020000P0 34.7315 4 93514TCLeft heart catheterization A 0.00 37.21 36.37 37.00 37.21 36.37 37.00 2.00 38.37 39.00 38.37 39.00 1000.00.00.0000000P0 34.7315 4 9351426Left heart catheterization A 7.05 4.94 2.96 4.45 4.94 2.96 4.45 0.30 10.31 11.80 10.31 11.80 1000.00.00.0020000P0 34.7315 4 93524 Left heart catheterization A 6.95 53.67 50.42 52.86 53.67 50.42 52.86 2.89 60.26 62.70 60.26 62.70 1000.00.00.0020000P0 34.7315 4 93524TCLeft heart catheterization A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9352426Left heart catheterization A 6.95 5.05 2.90 4.51 5.05 2.90 4.51 0.27 10.12 11.73 10.12 11.73 1000.00.00.0020000P0 34.7315 4 93526 Rt & Lt heart catheters A 5.99 55.86 51.30 54.72 55.86 51.30 54.72 3.00 60.29 63.71 60.29 63.71 1000.00.00.0020000P0 34.7315 4 93526TCRt & Lt heart catheters A 0.00 49.95 48.83 49.67 49.95 48.83 49.67 2.69 51.52 52.36 51.52 52.36 1000.00.00.0000000P0 34.7315 4 9352626Rt & Lt heart catheters A 5.99 5.91 2.47 5.05 5.91 2.47 5.05 0.31 8.77 11.35 8.77 11.35 1000.00.00.0020000P0 34.7315 4 93527 Rt & Lt heart catheters A 7.28 56.37 50.53 54.92 56.37 50.53 54.92 3.01 60.82 65.21 60.82 65.21 1000.00.00.0020000P0 34.7315 4 93527TCRt & Lt heart catheters A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9352726Rt & Lt heart catheters A 7.28 7.75 3.01 6.57 7.75 3.01 6.57 0.39 10.68 14.24 10.68 14.24 1000.00.00.0020000P0 34.7315 4 93528 Rt & Lt heart catheters A 9.00 53.43 51.28 52.90 53.43 51.28 52.90 2.88 63.16 64.78 63.16 64.78 1000.00.00.0020000P0 34.7315 4 93528TCRt & Lt heart catheters A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9352826Rt & Lt heart catheters A 9.00 4.81 3.76 4.55 4.81 3.76 4.55 0.26 13.02 13.81 13.02 13.81 1000.00.00.0020000P0 34.7315 4 93529 Rt, Lt heart catheterization A 4.80 51.80 49.44 51.22 51.80 49.44 51.22 2.79 57.03 58.81 57.03 58.81 1000.00.00.0020000P0 34.7315 4 93529TCRt, Lt heart catheterization A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9352926Rt, Lt heart catheterization A 4.80 3.18 1.92 2.87 3.18 1.92 2.87 0.17 6.89 7.84 6.89 7.84 1000.00.00.0020000P0 34.7315 4 93530 Rt heart cath, congenital A 4.23 21.40 18.78 20.75 21.40 18.78 20.75 1.21 24.22 26.19 24.22 26.19 1000.00.00.0020000P0 34.7315 4 93530TCRt heart cath, congenital A 0.00 17.48 17.10 17.39 17.48 17.10 17.39 0.94 18.04 18.33 18.04 18.33 1000.00.00.0000000P0 34.7315 4 9353026Rt heart cath, congenital A 4.23 3.92 1.68 3.36 3.92 1.68 3.36 0.27 6.18 7.86 6.18 7.86 1000.00.00.0020000P0 34.7315 4 93531 R & l heart cath, congenital A 8.35 55.86 52.27 54.96 55.86 52.27 54.96 3.00 63.62 66.31 63.62 66.31 1000.00.00.0020000P0 34.7315 4 93531TCR & l heart cath, congenital A 0.00 49.95 48.83 49.67 49.95 48.83 49.67 2.69 51.52 52.36 51.52 52.36 1000.00.00.0000000P0 34.7315 4 9353126R & l heart cath, congenital A 8.35 5.91 3.44 5.29 5.91 3.44 5.29 0.31 12.10 13.95 12.10 13.95 1000.00.00.0020000P0 34.7315 4 93532 R & l heart cath, congenital A 10.00 56.37 51.49 55.16 56.37 51.49 55.16 3.01 64.50 68.17 64.50 68.17 1000.00.00.0020000P0 34.7315 4 93532TCR & l heart cath, congenital A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9353226R & l heart cath, congenital A 10.00 7.75 3.97 6.81 7.75 3.97 6.81 0.39 14.36 17.20 14.36 17.20 1000.00.00.0020000P0 34.7315 4 93533 R & l heart cath, congenital A 6.70 51.80 50.07 51.37 51.80 50.07 51.37 2.79 59.56 60.86 59.56 60.86 1000.00.00.0020000P0 34.7315 4 93533TCR & l heart cath, congenital A 0.00 48.62 47.52 48.35 48.62 47.52 48.35 2.62 50.14 50.97 50.14 50.97 1000.00.00.0000000P0 34.7315 4 9353326R & l heart cath, congenital A 6.70 3.18 2.55 3.02 3.18 2.55 3.02 0.17 9.42 9.89 9.42 9.89 1000.00.00.0020000P0 34.7315 4 93536 Insert circulation assi A 4.85 5.80 3.20 NA 5.15 5.80 3.20 5.15 0.56 8.61 10.56 8.61 10.56 0000.00.00.0020000P0 34.7315 4 93539 Injection, cardiac cath A 0.40 0.96 0.58 0.87 0.48 0.57 0.50 0.16 1.14 1.43 1.13 1.06 0000.00.00.0000000P0 34.7315 4 93540 Injection, cardiac cath A 0.43 0.96 0.59 0.87 0.51 0.59 0.53 0.16 1.18 1.46 1.18 1.12 0000.00.00.0000000P0 34.7315 4 93541 Injection for lung angiogram A 0.29 0.35 0.22 NA 0.32 0.35 0.22 0.32 0.13 0.64 0.74 0.64 0.74 0000.00.00.0000000P0 34.7315 4 93542 Injection for heart x-rays A 0.29 0.35 0.37 NA 0.36 0.35 0.37 0.36 0.13 0.79 0.78 0.79 0.78 0000.00.00.0000000P0 34.7315 4 93543 Injection for heart x-rays A 0.29 0.62 0.38 0.56 0.35 0.37 0.36 0.09 0.76 0.94 0.75 0.74 0000.00.00.0000000P0 34.7315 4 93544 Injection for aortography A 0.25 0.62 0.36 0.56 0.30 0.35 0.31 0.09 0.70 0.90 0.69 0.65 0000.00.00.0000000P0 34.7315 4 93545 Injection for coronary xrays A 0.40 0.48 0.58 0.51 0.48 0.57 0.50 0.19 1.17 1.10 1.16 1.09 0000.00.00.0000000P0 34.7315 4 93555 Imaging, cardiac cath A 0.81 6.78 6.67 6.75 6.78 6.67 6.75 0.33 7.81 7.89 7.81 7.89 1XXX.00.00.0000000P0 34.7315 4 93555TCImaging, cardiac cath A 0.00 6.49 6.34 6.45 6.49 6.34 6.45 0.30 6.64 6.75 6.64 6.75 1XXX.00.00.0000000P0 34.7315 4 9355526Imaging, cardiac cath A 0.81 0.29 0.33 0.30 0.29 0.33 0.30 0.03 1.17 1.14 1.17 1.14 1XXX.00.00.0000000P0 34.7315 4 93556 Imaging, cardiac cath A 0.83 10.72 10.34 10.62 10.72 10.34 10.62 0.50 11.67 11.95 11.67 11.95 1XXX.00.00.0000000P0 34.7315 4 93556TCImaging, cardiac cath A 0.00 10.23 10.00 10.17 10.23 10.00 10.17 0.45 10.45 10.62 10.45 10.62 1XXX.00.00.0000000P0 34.7315 4 9355626Imaging, cardiac cath A 0.83 0.49 0.34 0.45 0.49 0.34 0.45 0.05 1.22 1.33 1.22 1.33 1XXX.00.00.0000000P0 34.7315 4 93561 Cardiac output measurement A 0.50 1.14 0.71 1.03 1.14 0.71 1.03 0.12 1.33 1.65 1.33 1.65 1000.00.00.0000000P0 34.7315 4 93561TCCardiac output measurement A 0.00 0.54 0.54 0.54 0.54 0.54 0.54 0.05 0.59 0.59 0.59 0.59 1000.00.00.0000000P0 34.7315 4 9356126Cardiac output measurement A 0.50 0.60 0.17 0.49 0.60 0.17 0.49 0.07 0.74 1.06 0.74 1.06 1000.00.00.0000000P0 34.7315 4 93562 Cardiac output measurement A 0.16 0.53 0.37 0.49 0.53 0.37 0.49 0.08 0.61 0.73 0.61 0.73 1000.00.00.0000000P0 34.7315 4 93562TCCardiac output measurement A 0.00 0.33 0.32 0.33 0.33 0.32 0.33 0.03 0.35 0.36 0.35 0.36 1000.00.00.0000000P0 34.7315 4 9356226Cardiac output measurement A 0.16 0.20 0.05 0.16 0.20 0.05 0.16 0.05 0.26 0.37 0.26 0.37 1000.00.00.0000000P0 34.7315 4 93571 Heart flow reserve measure A 1.80 0.00 5.41 5.41 0.00 5.41 5.41 0.28 7.49 7.49 7.49 7.49 1ZZZ.00.00.0000000P0 34.7315 5 93571TCHeart flow reserve measure A 0.00 0.00 4.73 4.73 0.00 4.73 4.73 0.22 4.95 4.95 4.95 4.95 1ZZZ.00.00.0000000P0 34.7315 5 9357126Heart flow reserve measure A 1.80 0.00 0.68 0.68 0.00 0.68 0.68 0.06 2.54 2.54 2.54 2.54 1ZZZ.00.00.0000000P0 34.7315 5 93572 Heart flow reserve measure A 1.44 0.00 5.28 5.28 0.00 5.28 5.28 0.16 6.88 6.88 6.88 6.88 1ZZZ.00.00.0000000P0 34.7315 5 93572TCHeart flow reserve measure A 0.00 0.00 4.73 4.73 0.00 4.73 4.73 0.11 4.84 4.84 4.84 4.84 1ZZZ.00.00.0000000P0 34.7315 5 9357226Heart flow reserve measure A 1.44 0.00 0.55 0.55 0.00 0.55 0.55 0.05 2.04 2.04 2.04 2.04 1ZZZ.00.00.0000000P0 34.7315 5 93600 Bundle of His recording A 2.12 4.55 2.90 4.14 4.55 2.90 4.14 0.30 5.32 6.56 5.32 6.56 1000.00.00.0000000P0 34.7315 4 93600TCBundle of His recording A 0.00 2.02 2.02 2.02 2.02 2.02 2.02 0.11 2.13 2.13 2.13 2.13 1000.00.00.0000000P0 34.7315 4 9360026Bundle of His recording A 2.12 2.53 0.88 2.12 2.53 0.88 2.12 0.19 3.19 4.43 3.19 4.43 1000.00.00.0000000P0 34.7315 4 93602 Intra-atrial recording A 2.12 3.07 2.04 2.81 3.07 2.04 2.81 0.17 4.33 5.10 4.33 5.10 1000.00.00.0000000P0 34.7315 4 93602TCIntra-atrial recording A 0.00 1.15 1.16 1.15 1.15 1.16 1.15 0.06 1.22 1.21 1.22 1.21 1000.00.00.0000000P0 34.7315 4 9360226Intra-atrial recording A 2.12 1.92 0.88 1.66 1.92 0.88 1.66 0.11 3.11 3.89 3.11 3.89 1000.00.00.0000000P0 34.7315 4 93603 Right ventricular recording A 2.12 4.12 2.62 3.75 4.12 2.62 3.75 0.22 4.96 6.09 4.96 6.09 1000.00.00.0000000P0 34.7315 4 93603TCRight ventricular recording A 0.00 1.74 1.74 1.74 1.74 1.74 1.74 0.09 1.83 1.83 1.83 1.83 1000.00.00.0000000P0 34.7315 4 9360326Right ventricular recording A 2.12 2.38 0.88 2.01 2.38 0.88 2.01 0.13 3.13 4.26 3.13 4.26 1000.00.00.0000000P0 34.7315 4 93607 Right ventricular recording A 3.26 3.94 2.92 3.68 3.94 2.92 3.68 0.22 6.40 7.16 6.40 7.16 1000.00.00.0000000P0 34.7315 4 93607TCRight ventricular recording A 0.00 1.54 1.55 1.54 1.54 1.55 1.54 0.09 1.64 1.63 1.64 1.63 1000.00.00.0000000P0 34.7315 4 9360726Right ventricular recording A 3.26 2.40 1.37 2.14 2.40 1.37 2.14 0.13 4.76 5.53 4.76 5.53 1000.00.00.0000000P0 34.7315 4 93609 Mapping of tachycardia A 10.07 6.98 6.98 6.98 6.98 6.98 6.98 0.37 17.42 17.42 17.42 17.42 1000.00.00.0000000P0 34.7315 4 93609TCMapping of tachycardia A 0.00 2.81 2.82 2.81 2.81 2.82 2.81 0.15 2.97 2.96 2.97 2.96 1000.00.00.0000000P0 34.7315 4 9360926Mapping of tachycardia A 10.07 4.17 4.16 4.17 4.17 4.16 4.17 0.22 14.45 14.46 14.45 14.46 1000.00.00.0000000P0 34.7315 4 93610 Intra-atrial pacing A 3.02 3.91 2.64 3.59 3.91 2.64 3.59 0.21 5.87 6.82 5.87 6.82 1000.00.00.0000000P0 34.7315 4 93610TCIntra-atrial pacing A 0.00 1.40 1.40 1.40 1.40 1.40 1.40 0.08 1.48 1.48 1.48 1.48 1000.00.00.0000000P0 34.7315 4 9361026Intra-atrial pacing A 3.02 2.51 1.24 2.19 2.51 1.24 2.19 0.13 4.39 5.34 4.39 5.34 1000.00.00.0000000P0 34.7315 4 93612 Intraventricular pacing A 3.02 4.21 2.91 3.89 4.21 2.91 3.89 0.22 6.15 7.13 6.15 7.13 1000.00.00.0000000P0 34.7315 4 93612TCIntraventricular pacing A 0.00 1.67 1.67 1.67 1.67 1.67 1.67 0.09 1.76 1.76 1.76 1.76 1000.00.00.0000000P0 34.7315 4 9361226Intraventricular pacing A 3.02 2.54 1.24 2.22 2.54 1.24 2.22 0.13 4.39 5.37 4.39 5.37 1000.00.00.0000000P0 34.7315 4 93615 Esophageal recording A 0.99 0.71 0.54 0.67 0.71 0.54 0.67 0.04 1.57 1.70 1.57 1.70 1000.00.00.0000000P0 34.7315 4 93615TCEsophageal recording A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 1000.00.00.0000000P0 34.7315 4 9361526Esophageal recording A 0.99 0.38 0.21 0.34 0.38 0.21 0.34 0.02 1.22 1.35 1.22 1.35 1000.00.00.0000000P0 34.7315 4 93616 Esophageal recording A 1.49 1.81 0.72 1.54 1.81 0.72 1.54 0.08 2.29 3.11 2.29 3.11 1000.00.00.0000000P0 34.7315 4 93616TCEsophageal recording A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.02 0.35 0.35 0.35 0.35 1000.00.00.0000000P0 34.7315 4 9361626Esophageal recording A 1.49 1.48 0.39 1.21 1.48 0.39 1.21 0.06 1.94 2.76 1.94 2.76 1000.00.00.0000000P0 34.7315 4 93618 Heart rhythm pacing A 4.26 9.19 5.89 8.36 9.19 5.89 8.36 0.56 10.71 13.18 10.71 13.18 1000.00.00.0000000P0 34.7315 4 93618TCHeart rhythm pacing A 0.00 4.10 4.11 4.10 4.10 4.11 4.10 0.22 4.33 4.32 4.33 4.32 1000.00.00.0000000P0 34.7315 4 9361826Heart rhythm pacing A 4.26 5.09 1.78 4.26 5.09 1.78 4.26 0.34 6.38 8.86 6.38 8.86 1000.00.00.0000000P0 34.7315 4 93619 Electrophysiology evaluation A 7.32 16.71 11.01 15.29 16.71 11.01 15.29 1.09 19.42 23.70 19.42 23.70 1000.00.00.0000000P0 34.7315 4 93619TCElectrophysiology evaluation A 0.00 7.97 7.99 7.98 7.97 7.99 7.98 0.42 8.41 8.40 8.41 8.40 1000.00.00.0000000P0 34.7315 4 9361926Electrophysiology evaluation A 7.32 8.74 3.02 7.31 8.74 3.02 7.31 0.67 11.01 15.30 11.01 15.30 1000.00.00.0000000P0 34.7315 4 93620 Electrophysiology evaluation A 11.59 23.11 14.08 20.86 23.11 14.08 20.86 1.21 26.88 33.66 26.88 33.66 1000.00.00.0000000P0 34.7315 4 93620TCElectrophysiology evaluation A 0.00 9.27 9.30 9.28 9.27 9.30 9.28 0.47 9.77 9.75 9.77 9.75 1000.00.00.0000000P0 34.7315 4 9362026Electrophysiology evaluation A 11.59 13.84 4.78 11.58 13.84 4.78 11.58 0.74 17.11 23.91 17.11 23.91 1000.00.00.0000000P0 34.7315 4 93621 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 9362126Electrophysiology evaluation A 12.66 15.12 5.26 12.66 15.12 5.26 12.66 0.87 18.79 26.19 18.79 26.19 1000.00.00.0000000P0 34.7315 4 93622 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 9362226Electrophysiology evaluation A 12.74 15.20 5.25 12.71 15.20 5.25 12.71 0.84 18.83 26.29 18.83 26.29 1000.00.00.0000000P0 34.7315 4 93623 Stimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000P0 34.7315 9 93623TCStimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000P0 34.7315 9 9362326Stimulation, pacing heart A 2.85 3.02 1.18 2.56 3.02 1.18 2.56 0.16 4.19 5.57 4.19 5.57 1ZZZ.00.00.0000000P0 34.7315 4 93624 Electrophysiologic study A 4.81 5.29 3.99 4.96 5.29 3.99 4.96 0.27 9.07 10.04 9.07 10.04 1000.00.00.0000000P0 34.7315 4 93624TCElectrophysiologic study A 0.00 2.05 2.06 2.05 2.05 2.06 2.05 0.11 2.17 2.16 2.17 2.16 1000.00.00.0000000P0 34.7315 4 9362426Electrophysiologic study A 4.81 3.24 1.93 2.91 3.24 1.93 2.91 0.16 6.90 7.88 6.90 7.88 1000.00.00.0000000P0 34.7315 4 93631 Heart pacing, mapping A 7.60 12.61 9.55 11.84 12.61 9.55 11.84 1.07 18.22 20.51 18.22 20.51 1000.00.00.0000000P0 34.7315 4 93631TCHeart pacing, mapping A 0.00 6.36 6.37 6.36 6.36 6.37 6.36 0.55 6.92 6.91 6.92 6.91 1000.00.00.0000000P0 34.7315 4 9363126Heart pacing, mapping A 7.60 6.25 3.18 5.48 6.25 3.18 5.48 0.52 11.30 13.60 11.30 13.60 1000.00.00.0000000P0 34.7315 4 93640 Evaluation heart device A 3.52 11.62 8.93 10.95 11.62 8.93 10.95 0.86 13.31 15.33 13.31 15.33 1000.00.00.0000000P0 34.7315 4 93640TCEvaluation heart device A 0.00 7.42 7.45 7.43 7.42 7.45 7.43 0.38 7.83 7.81 7.83 7.81 1000.00.00.0000000P0 34.7315 4 9364026Evaluation heart device A 3.52 4.20 1.48 3.52 4.20 1.48 3.52 0.48 5.48 7.52 5.48 7.52 1000.00.00.0000000P0 34.7315 4 93641 Electrophysiology evaluation A 5.93 14.50 9.90 13.35 14.50 9.90 13.35 0.86 16.69 20.14 16.69 20.14 1000.00.00.0000000P0 34.7315 4 93641TCElectrophysiology evaluation A 0.00 7.42 7.45 7.43 7.42 7.45 7.43 0.38 7.83 7.81 7.83 7.81 1000.00.00.0000000P0 34.7315 4 9364126Electrophysiology evaluation A 5.93 7.08 2.45 5.92 7.08 2.45 5.92 0.48 8.86 12.33 8.86 12.33 1000.00.00.0000000P0 34.7315 4 93642 Electrophysiology evaluation A 4.89 13.26 9.47 12.32 13.26 9.47 12.32 0.86 15.22 18.07 15.22 18.07 1000.00.00.0000000P0 34.7315 4 93642TCElectrophysiology evaluation A 0.00 7.42 7.45 7.43 7.42 7.45 7.43 0.38 7.83 7.81 7.83 7.81 1000.00.00.0000000P0 34.7315 4 9364226Electrophysiology evaluation A 4.89 5.84 2.02 4.89 5.84 2.02 4.89 0.48 7.39 10.26 7.39 10.26 1000.00.00.0000000P0 34.7315 4 93650 Ablate heart dysrhythm focus A 10.51 12.55 6.25 NA10.98 12.55 6.25 10.98 1.05 17.81 22.54 17.81 22.54 0000.00.00.0000000P0 34.7315 4 93651 Ablate heart dysrhythm focus A 16.25 19.35 10.57 NA17.16 19.35 10.57 17.16 1.05 27.87 34.46 27.87 34.46 0000.00.00.0000000P0 34.7315 4 93652 Ablate heart dysrhythm focus A 17.68 19.35 11.09 NA17.29 19.35 11.09 17.29 1.05 29.82 36.02 29.82 36.02 0000.00.00.0000000P0 34.7315 4 93660 Tilt table evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 93660TCTilt table evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 34.7315 9 9366026Tilt table evaluation A 1.89 1.56 0.77 1.36 1.56 0.77 1.36 0.13 2.79 3.38 2.79 3.38 1000.00.00.0000000P0 34.7315 4 93720 Total body plethysmography A 0.17 0.97 0.77 0.92 0.58 0.77 0.63 0.07 1.01 1.16 1.01 0.87 4XXX.00.00.0000000P0 34.7315 4 93721 Plethysmography tracing A 0.00 0.73 0.72 0.73 0.37 0.72 0.46 0.05 0.77 0.78 0.77 0.51 3XXX.00.00.0000000P0 34.7315 4 93722 Plethysmography report A 0.17 0.24 0.05 0.19 0.21 0.05 0.17 0.02 0.24 0.38 0.24 0.36 2XXX.00.00.0000000P0 34.7315 4 93724 Analyze pacemaker system A 4.89 7.23 6.15 6.96 7.23 6.15 6.96 0.39 11.43 12.24 11.43 12.24 1000.00.00.0000000P0 34.7315 4 93724TCAnalyze pacemaker system A 0.00 4.10 4.11 4.10 4.10 4.11 4.10 0.22 4.33 4.32 4.33 4.32 1000.00.00.0000000P0 34.7315 4 9372426Analyze pacemaker system A 4.89 3.13 2.04 2.86 3.13 2.04 2.86 0.17 7.10 7.92 7.10 7.92 1000.00.00.0000000P0 34.7315 4 93731 Analyze pacemaker system A 0.45 0.86 0.70 0.82 0.86 0.70 0.82 0.05 1.20 1.32 1.20 1.32 1XXX.00.00.0000000P0 34.7315 4 93731TCAnalyze pacemaker system A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 9373126Analyze pacemaker system A 0.45 0.35 0.19 0.31 0.35 0.19 0.31 0.02 0.66 0.78 0.66 0.78 1XXX.00.00.0000000P0 34.7315 4 93732 Analyze pacemaker system A 0.92 0.99 0.90 0.97 0.99 0.90 0.97 0.06 1.88 1.95 1.88 1.95 1XXX.00.00.0000000P0 34.7315 4 93732TCAnalyze pacemaker system A 0.00 0.53 0.53 0.53 0.53 0.53 0.53 0.03 0.56 0.56 0.56 0.56 1XXX.00.00.0000000P0 34.7315 4 9373226Analyze pacemaker system A 0.92 0.46 0.37 0.44 0.46 0.37 0.44 0.03 1.32 1.39 1.32 1.39 1XXX.00.00.0000000P0 34.7315 4 93733 Telephone analysis,pacemaker A 0.17 0.96 0.81 0.93 0.96 0.81 0.93 0.07 1.05 1.17 1.05 1.17 1XXX.00.00.0000000P0 34.7315 4 93733TCTelephone analysis,pacemaker A 0.00 0.75 0.74 0.75 0.75 0.74 0.75 0.05 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 34.7315 4 9373326Telephone analysis,pacemaker A 0.17 0.21 0.07 0.18 0.21 0.07 0.18 0.02 0.26 0.37 0.26 0.37 1XXX.00.00.0000000P0 34.7315 4 93734 Analyze pacemaker system A 0.38 0.70 0.51 0.65 0.70 0.51 0.65 0.04 0.93 1.07 0.93 1.07 1XXX.00.00.0000000P0 34.7315 4 93734TCAnalyze pacemaker system A 0.00 0.36 0.36 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 1XXX.00.00.0000000P0 34.7315 4 9373426Analyze pacemaker system A 0.38 0.34 0.15 0.29 0.34 0.15 0.29 0.02 0.55 0.69 0.55 0.69 1XXX.00.00.0000000P0 34.7315 4 93735 Analyze pacemaker system A 0.74 0.93 0.75 0.89 0.93 0.75 0.89 0.06 1.55 1.69 1.55 1.69 1XXX.00.00.0000000P0 34.7315 4 93735TCAnalyze pacemaker system A 0.00 0.46 0.45 0.46 0.46 0.45 0.46 0.03 0.48 0.49 0.48 0.49 1XXX.00.00.0000000P0 34.7315 4 9373526Analyze pacemaker system A 0.74 0.47 0.30 0.43 0.47 0.30 0.43 0.03 1.07 1.20 1.07 1.20 1XXX.00.00.0000000P0 34.7315 4 93736 Telephone analysis,pacemaker A 0.15 0.83 0.71 0.80 0.83 0.71 0.80 0.07 0.93 1.02 0.93 1.02 1XXX.00.00.0000000P0 34.7315 4 93736TCTelephone analysis,pacemaker A 0.00 0.65 0.65 0.65 0.65 0.65 0.65 0.05 0.70 0.70 0.70 0.70 1XXX.00.00.0000000P0 34.7315 4 9373626Telephone analysis,pacemaker A 0.15 0.18 0.06 0.15 0.18 0.06 0.15 0.02 0.23 0.32 0.23 0.32 1XXX.00.00.0000000P0 34.7315 4 93737 Analyze cardio/defibrillator A 0.45 0.80 0.70 0.78 0.80 0.70 0.78 0.05 1.20 1.28 1.20 1.28 1XXX.00.00.0000000P0 34.7315 4 93737TCAnalyze cardio/defibrillator A 0.00 0.51 0.51 0.51 0.51 0.51 0.51 0.03 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 9373726Analyze cardio/defibrillator A 0.45 0.29 0.19 0.27 0.29 0.19 0.27 0.02 0.66 0.74 0.66 0.74 1XXX.00.00.0000000P0 34.7315 4 93738 Analyze cardio/defibrillator A 0.92 0.95 0.90 0.94 0.95 0.90 0.94 0.05 1.87 1.91 1.87 1.91 1XXX.00.00.0000000P0 34.7315 4 93738TCAnalyze cardio/defibrillator A 0.00 0.53 0.53 0.53 0.53 0.53 0.53 0.03 0.56 0.56 0.56 0.56 1XXX.00.00.0000000P0 34.7315 4 9373826Analyze cardio/defibrillator A 0.92 0.42 0.37 0.41 0.42 0.37 0.41 0.02 1.31 1.35 1.31 1.35 1XXX.00.00.0000000P0 34.7315 4 93740 Temperature gradient studies A 0.16 0.49 0.19 0.42 0.49 0.19 0.42 0.03 0.38 0.61 0.38 0.61 1XXX.00.00.0000000P0 34.7315 4 93740TCTemperature gradient studies A 0.00 0.16 0.15 0.16 0.16 0.15 0.16 0.01 0.16 0.17 0.16 0.17 1XXX.00.00.0000000P0 34.7315 4 9374026Temperature gradient studies A 0.16 0.33 0.04 0.26 0.33 0.04 0.26 0.02 0.22 0.44 0.22 0.44 1XXX.00.00.0000000P0 34.7315 4 93760 Cephalic thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93762 Peripheral thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93770 Measure venous pressure A 0.16 0.21 0.08 0.18 0.21 0.08 0.18 0.02 0.26 0.36 0.26 0.36 1XXX.00.00.0000000P0 34.7315 4 93770TCMeasure venous pressure A 0.00 0.03 0.03 0.03 0.03 0.03 0.03 0.00 0.03 0.03 0.03 0.03 1XXX.00.00.0000000P0 34.7315 4 9377026Measure venous pressure A 0.16 0.18 0.05 0.15 0.18 0.05 0.15 0.02 0.23 0.33 0.23 0.33 1XXX.00.00.0000000P0 34.7315 4 93784 Ambulatory BP monitoring N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93786 Ambulatory BP recording N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93788 Ambulatory BP analysis N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93790 Review/report BP recording N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 93797 Cardiac rehab A 0.18 0.22 0.30 0.24 0.11 0.07 0.10 0.02 0.50 0.44 0.27 0.30 0000.00.00.0000000P0 34.7315 4 93798 Cardiac rehab/monitor A 0.28 0.51 0.35 0.47 0.26 0.11 0.22 0.03 0.66 0.78 0.42 0.53 0000.00.00.0000000P0 34.7315 4 93799 Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 93875 Extracranial study A 0.22 1.40 1.22 1.35 1.40 1.22 1.35 0.14 1.58 1.71 1.58 1.71 1XXX.00.00.0002000P0 34.7315 4 93875TCExtracranial study A 0.00 1.14 1.15 1.14 1.14 1.15 1.14 0.09 1.24 1.23 1.24 1.23 1XXX.00.00.0002000P0 34.7315 4 9387526Extracranial study A 0.22 0.26 0.07 0.21 0.26 0.07 0.21 0.05 0.34 0.48 0.34 0.48 1XXX.00.00.0002000P0 34.7315 4 93880 Extracranial study A 0.60 4.27 4.05 4.21 4.27 4.05 4.21 0.34 4.99 5.15 4.99 5.15 1XXX.00.00.0002000P0 34.7315 4 93880TCExtracranial study A 0.00 3.85 3.86 3.85 3.85 3.86 3.85 0.31 4.17 4.16 4.17 4.16 1XXX.00.00.0002000P0 34.7315 4 9388026Extracranial study A 0.60 0.42 0.19 0.36 0.42 0.19 0.36 0.03 0.82 0.99 0.82 0.99 1XXX.00.00.0002000P0 34.7315 4 93882 Extracranial study A 0.40 2.84 2.69 2.80 2.84 2.69 2.80 0.22 3.31 3.42 3.31 3.42 1XXX.00.00.0000000P0 34.7315 4 93882TCExtracranial study A 0.00 2.56 2.56 2.56 2.56 2.56 2.56 0.20 2.76 2.76 2.76 2.76 1XXX.00.00.0000000P0 34.7315 4 9388226Extracranial study A 0.40 0.28 0.13 0.24 0.28 0.13 0.24 0.02 0.55 0.66 0.55 0.66 1XXX.00.00.0000000P0 34.7315 4 93886 Intracranial study A 0.94 4.82 4.72 4.79 4.82 4.72 4.79 0.39 6.05 6.12 6.05 6.12 1XXX.00.00.0000000P0 34.7315 4 93886TCIntracranial study A 0.00 4.36 4.37 4.36 4.36 4.37 4.36 0.35 4.72 4.71 4.72 4.71 1XXX.00.00.0000000P0 34.7315 4 9388626Intracranial study A 0.94 0.46 0.35 0.43 0.46 0.35 0.43 0.04 1.33 1.41 1.33 1.41 1XXX.00.00.0000000P0 34.7315 4 93888 Intracranial study A 0.62 3.21 3.14 3.19 3.21 3.14 3.19 0.26 4.02 4.07 4.02 4.07 1XXX.00.00.0000000P0 34.7315 4 93888TCIntracranial study A 0.00 2.91 2.91 2.91 2.91 2.91 2.91 0.24 3.15 3.15 3.15 3.15 1XXX.00.00.0000000P0 34.7315 4 9388826Intracranial study A 0.62 0.30 0.23 0.28 0.30 0.23 0.28 0.02 0.87 0.92 0.87 0.92 1XXX.00.00.0000000P0 34.7315 4 93922 Extremity study A 0.25 1.49 1.29 1.44 1.49 1.29 1.44 0.15 1.69 1.84 1.69 1.84 1XXX.00.00.0002000P0 34.7315 4 93922TCExtremity study A 0.00 1.19 1.20 1.19 1.19 1.20 1.19 0.11 1.31 1.30 1.31 1.30 1XXX.00.00.0002000P0 34.7315 4 9392226Extremity study A 0.25 0.30 0.09 0.25 0.30 0.09 0.25 0.04 0.38 0.54 0.38 0.54 1XXX.00.00.0002000P0 34.7315 4 93923 Extremity study A 0.45 2.80 2.41 2.70 2.80 2.41 2.70 0.27 3.13 3.42 3.13 3.42 1XXX.00.00.0002000P0 34.7315 4 93923TCExtremity study A 0.00 2.26 2.26 2.26 2.26 2.26 2.26 0.20 2.46 2.46 2.46 2.46 1XXX.00.00.0002000P0 34.7315 4 9392326Extremity study A 0.45 0.54 0.15 0.44 0.54 0.15 0.44 0.07 0.67 0.96 0.67 0.96 1XXX.00.00.0002000P0 34.7315 4 93924 Extremity study A 0.50 3.05 2.64 2.95 3.05 2.64 2.95 0.31 3.45 3.76 3.45 3.76 1XXX.00.00.0002000P0 34.7315 4 93924TCExtremity study A 0.00 2.45 2.46 2.45 2.45 2.46 2.45 0.23 2.69 2.68 2.69 2.68 1XXX.00.00.0002000P0 34.7315 4 9392426Extremity study A 0.50 0.60 0.18 0.50 0.60 0.18 0.50 0.08 0.76 1.08 0.76 1.08 1XXX.00.00.0002000P0 34.7315 4 93925 Lower extremity study A 0.58 4.29 4.07 4.23 4.29 4.07 4.23 0.34 4.99 5.15 4.99 5.15 1XXX.00.00.0002000P0 34.7315 4 93925TCLower extremity study A 0.00 3.87 3.88 3.87 3.87 3.88 3.87 0.31 4.19 4.18 4.19 4.18 1XXX.00.00.0002000P0 34.7315 4 9392526Lower extremity study A 0.58 0.42 0.19 0.36 0.42 0.19 0.36 0.03 0.80 0.97 0.80 0.97 1XXX.00.00.0002000P0 34.7315 4 93926 Lower extremity study A 0.39 2.86 2.71 2.82 2.86 2.71 2.82 0.23 3.33 3.44 3.33 3.44 1XXX.00.00.0000000P0 34.7315 4 93926TCLower extremity study A 0.00 2.58 2.59 2.58 2.58 2.59 2.58 0.21 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 9392626Lower extremity study A 0.39 0.28 0.12 0.24 0.28 0.12 0.24 0.02 0.53 0.65 0.53 0.65 1XXX.00.00.0000000P0 34.7315 4 93930 Upper extremity study A 0.46 4.53 4.27 4.46 4.53 4.27 4.46 0.37 5.10 5.29 5.10 5.29 1XXX.00.00.0002000P0 34.7315 4 93930TCUpper extremity study A 0.00 4.11 4.12 4.11 4.11 4.12 4.11 0.33 4.45 4.44 4.45 4.44 1XXX.00.00.0002000P0 34.7315 4 9393026Upper extremity study A 0.46 0.42 0.15 0.35 0.42 0.15 0.35 0.04 0.65 0.85 0.65 0.85 1XXX.00.00.0002000P0 34.7315 4 93931 Upper extremity study A 0.31 3.01 2.85 2.98 3.01 2.85 2.98 0.24 3.40 3.53 3.40 3.53 1XXX.00.00.0000000P0 34.7315 4 93931TCUpper extremity study A 0.00 2.73 2.75 2.74 2.73 2.75 2.74 0.22 2.97 2.96 2.97 2.96 1XXX.00.00.0000000P0 34.7315 4 9393126Upper extremity study A 0.31 0.28 0.10 0.24 0.28 0.10 0.24 0.02 0.43 0.57 0.43 0.57 1XXX.00.00.0000000P0 34.7315 4 93965 Extremity study A 0.35 1.55 1.24 1.47 1.55 1.24 1.47 0.15 1.74 1.97 1.74 1.97 1XXX.00.00.0002000P0 34.7315 4 93965TCExtremity study A 0.00 1.13 1.13 1.13 1.13 1.13 1.13 0.10 1.23 1.23 1.23 1.23 1XXX.00.00.0002000P0 34.7315 4 9396526Extremity study A 0.35 0.42 0.11 0.34 0.42 0.11 0.34 0.05 0.51 0.74 0.51 0.74 1XXX.00.00.0002000P0 34.7315 4 93970 Extremity study A 0.68 4.70 4.51 4.66 4.70 4.51 4.66 0.40 5.59 5.74 5.59 5.74 1XXX.00.00.0002000P0 34.7315 4 93970TCExtremity study A 0.00 4.27 4.29 4.28 4.27 4.29 4.28 0.36 4.65 4.64 4.65 4.64 1XXX.00.00.0002000P0 34.7315 4 9397026Extremity study A 0.68 0.43 0.22 0.38 0.43 0.22 0.38 0.04 0.94 1.10 0.94 1.10 1XXX.00.00.0002000P0 34.7315 4 93971 Extremity study A 0.45 3.13 2.98 3.09 3.13 2.98 3.09 0.26 3.69 3.80 3.69 3.80 1XXX.00.00.0000000P0 34.7315 4 93971TCExtremity study A 0.00 2.84 2.85 2.84 2.84 2.85 2.84 0.24 3.09 3.08 3.09 3.08 1XXX.00.00.0000000P0 34.7315 4 9397126Extremity study A 0.45 0.29 0.13 0.25 0.29 0.13 0.25 0.02 0.60 0.72 0.60 0.72 1XXX.00.00.0000000P0 34.7315 4 93975 Vascular study A 1.80 5.32 5.42 5.35 5.32 5.42 5.35 0.43 7.65 7.58 7.65 7.58 1XXX.00.00.0000000P0 34.7315 4 93975TCVascular study A 0.00 4.86 4.89 4.87 4.86 4.89 4.87 0.39 5.28 5.26 5.28 5.26 1XXX.00.00.0000000P0 34.7315 4 9397526Vascular study A 1.80 0.46 0.53 0.48 0.46 0.53 0.48 0.04 2.37 2.32 2.37 2.32 1XXX.00.00.0000000P0 34.7315 4 93976 Vascular study A 1.21 3.54 3.59 3.55 3.54 3.59 3.55 0.29 5.09 5.05 5.09 5.05 1XXX.00.00.0000000P0 34.7315 4 93976TCVascular study A 0.00 3.24 3.25 3.24 3.24 3.25 3.24 0.27 3.52 3.51 3.52 3.51 1XXX.00.00.0000000P0 34.7315 4 9397626Vascular study A 1.21 0.30 0.34 0.31 0.30 0.34 0.31 0.02 1.57 1.54 1.57 1.54 1XXX.00.00.0000000P0 34.7315 4 93978 Vascular study A 0.65 4.40 4.22 4.36 4.40 4.22 4.36 0.37 5.24 5.38 5.24 5.38 1XXX.00.00.0000000P0 34.7315 4 93978TCVascular study A 0.00 3.98 4.00 3.99 3.98 4.00 3.99 0.33 4.33 4.32 4.33 4.32 1XXX.00.00.0000000P0 34.7315 4 9397826Vascular study A 0.65 0.42 0.22 0.37 0.42 0.22 0.37 0.04 0.91 1.06 0.91 1.06 1XXX.00.00.0000000P0 34.7315 4 93979 Vascular study A 0.44 2.93 2.80 2.90 2.93 2.80 2.90 0.24 3.48 3.58 3.48 3.58 1XXX.00.00.0000000P0 34.7315 4 93979TCVascular study A 0.00 2.65 2.65 2.65 2.65 2.65 2.65 0.22 2.87 2.87 2.87 2.87 1XXX.00.00.0000000P0 34.7315 4 9397926Vascular study A 0.44 0.28 0.15 0.25 0.28 0.15 0.25 0.02 0.61 0.71 0.61 0.71 1XXX.00.00.0000000P0 34.7315 4 93980 Penile vascular study A 1.25 4.50 4.03 4.39 4.50 4.03 4.39 0.35 5.63 5.99 5.63 5.99 1XXX.00.00.0000000P0 34.7315 4 93980TCPenile vascular study A 0.00 3.61 3.63 3.62 3.61 3.63 3.62 0.30 3.93 3.92 3.93 3.92 1XXX.00.00.0000000P0 34.7315 4 9398026Penile vascular study A 1.25 0.89 0.40 0.77 0.89 0.40 0.77 0.05 1.70 2.07 1.70 2.07 1XXX.00.00.0000000P0 34.7315 4 93981 Penile vascular study A 0.44 3.76 3.48 3.70 3.76 3.48 3.70 0.30 4.22 4.44 4.22 4.44 1XXX.00.00.0000000P0 34.7315 4 93981TCPenile vascular study A 0.00 3.33 3.35 3.34 3.33 3.35 3.34 0.28 3.63 3.62 3.63 3.62 1XXX.00.00.0000000P0 34.7315 4 9398126Penile vascular study A 0.44 0.43 0.13 0.36 0.43 0.13 0.36 0.02 0.59 0.82 0.59 0.82 1XXX.00.00.0000000P0 34.7315 4 93990 Doppler flow testing A 0.25 2.79 2.69 2.76 2.79 2.69 2.76 0.23 3.17 3.24 3.17 3.24 1XXX.00.00.0000000P0 34.7315 4 93990TCDoppler flow testing A 0.00 2.58 2.59 2.58 2.58 2.59 2.58 0.21 2.80 2.79 2.80 2.79 1XXX.00.00.0000000P0 34.7315 4 9399026Doppler flow testing A 0.25 0.21 0.10 0.18 0.21 0.10 0.18 0.02 0.37 0.45 0.37 0.45 1XXX.00.00.0000000P0 34.7315 4 94010 Breathing capacity test A 0.17 0.73 0.49 0.67 0.73 0.49 0.67 0.04 0.70 0.88 0.70 0.88 1XXX.00.00.0000000P0 34.7315 4 94010TCBreathing capacity test A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 9401026Breathing capacity test A 0.17 0.30 0.05 0.24 0.30 0.05 0.24 0.02 0.24 0.43 0.24 0.43 1XXX.00.00.0000000P0 34.7315 4 94014 Patient recorded spirometry A 0.52 0.00 0.63 0.63 0.00 0.63 0.63 0.04 1.19 1.19 1.19 1.19 4XXX.00.00.0000000P0 34.7315 5 94014TCPatient recorded spirometry H 0.00 0.00 0.43 0.43 0.00 0.43 0.43 0.02 0.45 0.45 0.45 0.45 1XXX.00.00.0000000P0 34.7315 5 9401426Patient recorded spirometry H 0.52 0.00 0.20 0.20 0.00 0.20 0.20 0.02 0.74 0.74 0.74 0.74 1XXX.00.00.0000000P0 34.7315 5 94015 Patient recorded spirometry A 0.00 0.00 0.43 0.43 0.00 0.43 0.43 0.02 0.45 0.45 0.45 0.45 3XXX.00.00.0000000P0 34.7315 5 94015TCPatient recorded spirometry H 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 9401526Patient recorded spirometry H 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999P9 0.0000 9 94016 Review patient spirometry A 0.52 0.00 0.20 0.20 0.00 0.20 0.20 0.02 0.74 0.74 0.74 0.74 2XXX.00.00.0000000P0 34.7315 5 94060 Evaluation of wheezing A 0.31 1.34 1.06 1.27 1.34 1.06 1.27 0.07 1.44 1.65 1.44 1.65 1XXX.00.00.0000000P0 34.7315 4 94060TCEvaluation of wheezing A 0.00 0.97 0.97 0.97 0.97 0.97 0.97 0.05 1.02 1.02 1.02 1.02 1XXX.00.00.0000000P0 34.7315 4 9406026Evaluation of wheezing A 0.31 0.37 0.09 0.30 0.37 0.09 0.30 0.02 0.42 0.63 0.42 0.63 1XXX.00.00.0000000P0 34.7315 4 94070 Evaluation of wheezing A 0.60 1.92 1.70 1.86 1.92 1.70 1.86 0.10 2.40 2.56 2.40 2.56 1XXX.00.00.0000000P0 34.7315 4 94070TCEvaluation of wheezing A 0.00 1.51 1.52 1.51 1.51 1.52 1.51 0.08 1.60 1.59 1.60 1.59 1XXX.00.00.0000000P0 34.7315 4 9407026Evaluation of wheezing A 0.60 0.41 0.18 0.35 0.41 0.18 0.35 0.02 0.80 0.97 0.80 0.97 1XXX.00.00.0000000P0 34.7315 4 94150 Vital capacity test B+ 0.07 0.18 0.12 0.17 0.18 0.12 0.17 0.02 0.21 0.26 0.21 0.26 1XXX.00.00.0099999P9 0.0000 9 94150TCVital capacity test B+ 0.00 0.09 0.09 0.09 0.09 0.09 0.09 0.01 0.10 0.10 0.10 0.10 1XXX.00.00.0099999P9 0.0000 9 9415026Vital capacity test B+ 0.07 0.09 0.03 0.08 0.09 0.03 0.08 0.01 0.11 0.16 0.11 0.16 1XXX.00.00.0099999P9 0.0000 9 94200 Lung function test (MBC/MVV) A 0.11 0.39 0.29 0.37 0.39 0.29 0.37 0.03 0.43 0.51 0.43 0.51 1XXX.00.00.0000000P0 34.7315 4 94200TCLung function test (MBC/MVV) A 0.00 0.26 0.26 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 1XXX.00.00.0000000P0 34.7315 4 9420026Lung function test (MBC/MVV) A 0.11 0.13 0.03 0.11 0.13 0.03 0.11 0.01 0.15 0.23 0.15 0.23 1XXX.00.00.0000000P0 34.7315 4 94240 Residual lung capacity A 0.26 0.96 0.78 0.92 0.96 0.78 0.92 0.06 1.10 1.24 1.10 1.24 1XXX.00.00.0000000P0 34.7315 4 94240TCResidual lung capacity A 0.00 0.71 0.71 0.71 0.71 0.71 0.71 0.04 0.75 0.75 0.75 0.75 1XXX.00.00.0000000P0 34.7315 4 9424026Residual lung capacity A 0.26 0.25 0.07 0.21 0.25 0.07 0.21 0.02 0.35 0.49 0.35 0.49 1XXX.00.00.0000000P0 34.7315 4 94250 Expired gas collection A 0.11 0.27 0.17 0.25 0.27 0.17 0.25 0.02 0.30 0.38 0.30 0.38 1XXX.00.00.0000000P0 34.7315 4 94250TCExpired gas collection A 0.00 0.14 0.14 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 1XXX.00.00.0000000P0 34.7315 4 9425026Expired gas collection A 0.11 0.13 0.03 0.11 0.13 0.03 0.11 0.01 0.15 0.23 0.15 0.23 1XXX.00.00.0000000P0 34.7315 4 94260 Thoracic gas volume A 0.13 0.71 0.61 0.68 0.71 0.61 0.68 0.05 0.79 0.86 0.79 0.86 1XXX.00.00.0000000P0 34.7315 4 94260TCThoracic gas volume A 0.00 0.56 0.57 0.56 0.56 0.57 0.56 0.03 0.60 0.59 0.60 0.59 1XXX.00.00.0000000P0 34.7315 4 9426026Thoracic gas volume A 0.13 0.15 0.04 0.12 0.15 0.04 0.12 0.02 0.19 0.27 0.19 0.27 1XXX.00.00.0000000P0 34.7315 4 94350 Lung nitrogen washout curve A 0.26 0.79 0.64 0.75 0.79 0.64 0.75 0.04 0.94 1.05 0.94 1.05 1XXX.00.00.0000000P0 34.7315 4 94350TCLung nitrogen washout curve A 0.00 0.56 0.57 0.56 0.56 0.57 0.56 0.03 0.60 0.59 0.60 0.59 1XXX.00.00.0000000P0 34.7315 4 9435026Lung nitrogen washout curve A 0.26 0.23 0.07 0.19 0.23 0.07 0.19 0.01 0.34 0.46 0.34 0.46 1XXX.00.00.0000000P0 34.7315 4 94360 Measure airflow resistance A 0.26 1.21 1.07 1.18 1.21 1.07 1.18 0.06 1.39 1.50 1.39 1.50 1XXX.00.00.0000000P0 34.7315 4 94360TCMeasure airflow resistance A 0.00 1.00 1.00 1.00 1.00 1.00 1.00 0.05 1.05 1.05 1.05 1.05 1XXX.00.00.0000000P0 34.7315 4 9436026Measure airflow resistance A 0.26 0.21 0.07 0.18 0.21 0.07 0.18 0.01 0.34 0.45 0.34 0.45 1XXX.00.00.0000000P0 34.7315 4 94370 Breath airway closing volume A 0.26 0.43 0.35 0.41 0.43 0.35 0.41 0.03 0.64 0.70 0.64 0.70 1XXX.00.00.0000000P0 34.7315 4 94370TCBreath airway closing volume A 0.00 0.28 0.28 0.28 0.28 0.28 0.28 0.02 0.30 0.30 0.30 0.30 1XXX.00.00.0000000P0 34.7315 4 9437026Breath airway closing volume A 0.26 0.15 0.07 0.13 0.15 0.07 0.13 0.01 0.34 0.40 0.34 0.40 1XXX.00.00.0000000P0 34.7315 4 94375 Respiratory flow volume loop A 0.31 0.73 0.59 0.70 0.73 0.59 0.70 0.03 0.93 1.04 0.93 1.04 1XXX.00.00.0000000P0 34.7315 4 94375TCRespiratory flow volume loop A 0.00 0.50 0.50 0.50 0.50 0.50 0.50 0.02 0.52 0.52 0.52 0.52 1XXX.00.00.0000000P0 34.7315 4 9437526Respiratory flow volume loop A 0.31 0.23 0.09 0.20 0.23 0.09 0.20 0.01 0.41 0.52 0.41 0.52 1XXX.00.00.0000000P0 34.7315 4 94400 CO2 breathing response curve A 0.40 0.84 0.44 0.74 0.84 0.44 0.74 0.15 0.99 1.29 0.99 1.29 1XXX.00.00.0000000P0 34.7315 4 94400TCCO2 breathing response curve A 0.00 0.33 0.33 0.33 0.33 0.33 0.33 0.05 0.38 0.38 0.38 0.38 1XXX.00.00.0000000P0 34.7315 4 9440026CO2 breathing response curve A 0.40 0.51 0.11 0.41 0.51 0.11 0.41 0.10 0.61 0.91 0.61 0.91 1XXX.00.00.0000000P0 34.7315 4 94450 Hypoxia response curve A 0.40 0.66 0.52 0.63 0.66 0.52 0.63 0.04 0.96 1.07 0.96 1.07 1XXX.00.00.0000000P0 34.7315 4 94450TCHypoxia response curve A 0.00 0.40 0.40 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 1XXX.00.00.0000000P0 34.7315 4 9445026Hypoxia response curve A 0.40 0.26 0.12 0.23 0.26 0.12 0.23 0.02 0.54 0.65 0.54 0.65 1XXX.00.00.0000000P0 34.7315 4 94620 Pulmonary stress test/simple A 0.64 2.23 1.74 2.11 2.23 1.74 2.11 0.12 2.50 2.87 2.50 2.87 1XXX.00.00.0000000P0 34.7315 4 94620TCPulmonary stress test/simple A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.08 1.55 1.55 1.55 1.55 1XXX.00.00.0000000P0 34.7315 4 9462026Pulmonary stress test/simple A 0.64 0.76 0.27 0.64 0.76 0.27 0.64 0.04 0.95 1.32 0.95 1.32 1XXX.00.00.0000000P0 34.7315 4 94621 Pulm stress test/complex A 1.42 2.23 1.74 2.11 2.23 1.74 2.11 0.12 3.28 3.65 3.28 3.65 1XXX.00.00.0000000P0 34.7315 4 94621TCPulm stress test/complex A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.08 1.55 1.55 1.55 1.55 1XXX.00.00.0000000P0 34.7315 4 9462126Pulm stress test/complex A 1.42 0.76 0.27 0.64 0.76 0.27 0.64 0.04 1.73 2.10 1.73 2.10 1XXX.00.00.0000000P0 34.7315 4 94640 Airway inhalation treatment A 0.00 0.42 0.43 0.42 0.42 0.43 0.42 0.02 0.45 0.44 0.45 0.44 5XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 5XXX.00.00.0000000P0 34.7315 9 94650 Pressure breathing (IPPB) A 0.00 0.40 0.40 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 5XXX.00.00.0000000P0 34.7315 4 94651 Pressure breathing (IPPB) A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 5XXX.00.00.0000000P0 34.7315 4 94652 Pressure breathing (IPPB) A 0.00 0.44 0.44 NA 0.44 0.44 0.44 0.44 0.06 0.50 0.50 0.50 0.50 5XXX.00.00.0000000P0 34.7315 4 94656 Initial ventilator mgmt A 1.22 1.23 0.36 NA 1.01 1.23 0.36 1.01 0.09 1.67 2.32 1.67 2.32 0XXX.00.00.0000000P0 34.7315 4 94657 Cont. ventilator A 0.83 0.67 0.30 NA 0.58 0.67 0.30 0.58 0.04 1.17 1.45 1.17 1.45 0XXX.00.00.0000000P0 34.7315 4 94660 Pos airway pressure, CPAP A 0.76 0.77 0.48 0.70 0.77 0.28 0.65 0.05 1.29 1.51 1.09 1.46 0XXX.00.00.0000000P0 34.7315 4 94662 Neg pressure ventilation,cnp A 0.76 0.33 0.28 NA 0.32 0.33 0.28 0.32 0.02 1.06 1.10 1.06 1.10 0XXX.00.00.0000000P0 34.7315 4 94664 Aerosol or vapor inhalations A 0.00 0.54 0.55 0.54 0.54 0.55 0.54 0.03 0.58 0.57 0.58 0.57 5XXX.00.00.0000000P0 34.7315 4 94665 Aerosol or vapor inhalations A 0.00 0.50 0.50 0.50 0.50 0.50 0.50 0.04 0.54 0.54 0.54 0.54 5XXX.00.00.0000000P0 34.7315 4 94667 Chest wall manipulation A 0.00 0.60 0.60 0.60 0.60 0.60 0.60 0.04 0.64 0.64 0.64 0.64 5XXX.00.00.0000000P0 34.7315 4 94668 Chest wall manipulation A 0.00 0.37 0.37 0.37 0.37 0.37 0.37 0.02 0.39 0.39 0.39 0.39 5XXX.00.00.0000000P0 34.7315 4 94680 Exhaled air analysis: O2 A 0.26 0.84 0.61 0.78 0.84 0.61 0.78 0.07 0.94 1.11 0.94 1.11 1XXX.00.00.0000000P0 34.7315 4 94680TCExhaled air analysis: O2 A 0.00 0.53 0.53 0.53 0.53 0.53 0.53 0.05 0.58 0.58 0.58 0.58 1XXX.00.00.0000000P0 34.7315 4 9468026Exhaled air analysis: O2 A 0.26 0.31 0.08 0.25 0.31 0.08 0.25 0.02 0.36 0.53 0.36 0.53 1XXX.00.00.0000000P0 34.7315 4 94681 Exhaled air analysis: O2,CO2 A 0.20 1.67 1.50 1.63 1.67 1.50 1.63 0.13 1.83 1.96 1.83 1.96 1XXX.00.00.0000000P0 34.7315 4 94681TCExhaled air analysis: O2,CO2 A 0.00 1.43 1.44 1.43 1.43 1.44 1.43 0.10 1.54 1.53 1.54 1.53 1XXX.00.00.0000000P0 34.7315 4 9468126Exhaled air analysis: O2,CO2 A 0.20 0.24 0.06 0.20 0.24 0.06 0.20 0.03 0.29 0.43 0.29 0.43 1XXX.00.00.0000000P0 34.7315 4 94690 Exhaled air analysis A 0.07 0.60 0.58 0.59 0.60 0.58 0.59 0.03 0.68 0.69 0.68 0.69 1XXX.00.00.0000000P0 34.7315 4 94690TCExhaled air analysis A 0.00 0.55 0.56 0.55 0.55 0.56 0.55 0.03 0.59 0.58 0.59 0.58 1XXX.00.00.0000000P0 34.7315 4 9469026Exhaled air analysis A 0.07 0.05 0.02 0.04 0.05 0.02 0.04 0.00 0.09 0.11 0.09 0.11 1XXX.00.00.0000000P0 34.7315 4 94720 Monoxide diffusing capacity A 0.26 1.12 0.94 1.08 1.12 0.94 1.08 0.07 1.27 1.41 1.27 1.41 1XXX.00.00.0000000P0 34.7315 4 94720TCMonoxide diffusing capacity A 0.00 0.87 0.87 0.87 0.87 0.87 0.87 0.05 0.92 0.92 0.92 0.92 1XXX.00.00.0000000P0 34.7315 4 9472026Monoxide diffusing capacity A 0.26 0.25 0.07 0.21 0.25 0.07 0.21 0.02 0.35 0.49 0.35 0.49 1XXX.00.00.0000000P0 34.7315 4 94725 Membrane diffusion capacity A 0.26 2.00 1.89 1.97 2.00 1.89 1.97 0.11 2.26 2.34 2.26 2.34 1XXX.00.00.0000000P0 34.7315 4 94725TCMembrane diffusion capacity A 0.00 1.80 1.81 1.80 1.80 1.81 1.80 0.10 1.91 1.90 1.91 1.90 1XXX.00.00.0000000P0 34.7315 4 9472526Membrane diffusion capacity A 0.26 0.20 0.08 0.17 0.20 0.08 0.17 0.01 0.35 0.44 0.35 0.44 1XXX.00.00.0000000P0 34.7315 4 94750 Pulmonary compliance study A 0.23 0.87 0.67 0.82 0.87 0.67 0.82 0.05 0.95 1.10 0.95 1.10 1XXX.00.00.0000000P0 34.7315 4 94750TCPulmonary compliance study A 0.00 0.60 0.60 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 1XXX.00.00.0000000P0 34.7315 4 9475026Pulmonary compliance study A 0.23 0.27 0.07 0.22 0.27 0.07 0.22 0.02 0.32 0.47 0.32 0.47 1XXX.00.00.0000000P0 34.7315 4 94760 Measure blood oxygen level A 0.00 0.27 0.27 0.27 0.27 0.27 0.27 0.02 0.29 0.29 0.29 0.29 3XXX.00.00.0000000P0 34.7315 4 94761 Measure blood oxygen level A 0.00 0.69 0.70 0.69 0.69 0.70 0.69 0.05 0.75 0.74 0.75 0.74 3XXX.00.00.0000000P0 34.7315 4 94762 Measure blood oxygen level A 0.00 1.17 1.18 1.17 1.17 1.18 1.17 0.08 1.26 1.25 1.26 1.25 3XXX.00.00.0000000P0 34.7315 4 94770 Exhaled carbon dioxide test A 0.15 0.43 0.36 0.41 0.43 0.36 0.41 0.08 0.59 0.64 0.59 0.64 1XXX.00.00.0000000P0 34.7315 4 94770TCExhaled carbon dioxide test A 0.00 0.31 0.32 0.31 0.31 0.32 0.31 0.06 0.38 0.37 0.38 0.37 1XXX.00.00.0000000P0 34.7315 4 9477026Exhaled carbon dioxide test A 0.15 0.12 0.04 0.10 0.12 0.04 0.10 0.02 0.21 0.27 0.21 0.27 1XXX.00.00.0000000P0 34.7315 4 94772 Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 94772TCBreath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 9477226Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 94799 Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 94799TCPulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 9479926Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 34.7315 9 95004 Allergy skin tests A 0.00 0.10 0.10 0.10 0.10 0.10 0.10 0.01 0.11 0.11 0.11 0.11 5XXX.00.00.0000000P0 34.7315 4 95010 Sensitivity skin tests A 0.15 0.12 0.33 0.17 0.06 0.06 0.06 0.01 0.49 0.33 0.22 0.22 0XXX.00.00.0000000P0 34.7315 4 95015 Sensitivity skin tests A 0.15 0.12 0.39 0.19 0.06 0.06 0.06 0.01 0.55 0.35 0.22 0.22 0XXX.00.00.0000000P0 34.7315 4 95024 Allergy skin tests A 0.00 0.15 0.14 0.15 0.15 0.14 0.15 0.01 0.15 0.16 0.15 0.16 5XXX.00.00.0000000P0 34.7315 4 95027 Skin end point titration A 0.00 0.15 0.14 0.15 0.15 0.14 0.15 0.01 0.15 0.16 0.15 0.16 3XXX.00.00.0000000P0 34.7315 4 95028 Allergy skin tests A 0.00 0.24 0.24 0.24 0.24 0.24 0.24 0.01 0.25 0.25 0.25 0.25 3XXX.00.00.0000000P1G0025 34.7315 4 95044 Allergy patch tests A 0.00 0.21 0.21 0.21 0.21 0.21 0.21 0.01 0.22 0.22 0.22 0.22 5XXX.00.00.0000000P0 34.7315 4 95052 Photo patch test A 0.00 0.26 0.26 0.26 0.26 0.26 0.26 0.01 0.27 0.27 0.27 0.27 5XXX.00.00.0000000P0 34.7315 4 95056 Photosensitivity tests A 0.00 0.18 0.19 0.18 0.09 0.10 0.09 0.01 0.20 0.19 0.11 0.10 5XXX.00.00.0000000P0 34.7315 4 95060 Eye allergy tests A 0.00 0.36 0.36 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 3XXX.00.00.0000000P0 34.7315 4 95065 Nose allergy test A 0.00 0.21 0.21 0.21 0.11 0.21 0.14 0.01 0.22 0.22 0.22 0.15 3XXX.00.00.0000000P0 34.7315 4 95070 Bronchial allergy tests A 0.00 2.36 2.37 2.36 2.36 2.37 2.36 0.02 2.39 2.38 2.39 2.38 3XXX.00.00.0000000P0 34.7315 4 95071 Bronchial allergy tests A 0.00 3.02 3.03 3.02 3.02 3.03 3.02 0.02 3.05 3.04 3.05 3.04 3XXX.00.00.0000000P0 34.7315 4 95075 Ingestion challenge test A 0.95 2.14 0.68 1.78 1.07 0.38 0.90 0.02 1.65 2.75 1.35 1.87 0XXX.00.00.0000000P0 34.7315 4 95078 Provocative testing A 0.00 0.26 0.26 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 3XXX.00.00.0000000P0 34.7315 4 95115 Immunotherapy, one injection A 0.00 0.40 0.40 0.40 0.40 0.40 0.40 0.02 0.42 0.42 0.42 0.42 5000.00.00.0000000P0 34.7315 4 95117 Immunotherapy injections A 0.00 0.52 0.52 0.52 0.52 0.52 0.52 0.02 0.54 0.54 0.54 0.54 5000.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 95144 Antigen therapy services A 0.06 0.14 0.23 0.16 0.07 0.02 0.06 0.01 0.30 0.23 0.09 0.13 0000.00.00.0000000P0 34.7315 4 95145 Antigen therapy services A 0.06 0.37 0.40 0.38 0.19 0.02 0.15 0.02 0.48 0.46 0.10 0.23 0000.00.00.0000000P0 34.7315 4 95146 Antigen therapy services A 0.06 0.66 0.27 0.56 0.33 0.02 0.25 0.02 0.35 0.64 0.10 0.33 0000.00.00.0000000P0 34.7315 4 95147 Antigen therapy services A 0.06 0.99 0.30 0.82 0.50 0.02 0.38 0.02 0.38 0.90 0.10 0.46 0000.00.00.0000000P0 34.7315 4 95148 Antigen therapy services A 0.06 0.99 0.33 0.83 0.50 0.02 0.38 0.02 0.41 0.91 0.10 0.46 0000.00.00.0000000P0 34.7315 4 95149 Antigen therapy services A 0.06 1.24 0.48 1.05 0.62 0.02 0.47 0.02 0.56 1.13 0.10 0.55 0000.00.00.0000000P0 34.7315 4 95165 Antigen therapy services A 0.06 0.11 0.22 0.14 0.06 0.02 0.05 0.01 0.29 0.21 0.09 0.12 0000.00.00.0000000P0 34.7315 4 95170 Antigen therapy services A 0.06 0.38 0.23 0.34 0.19 0.02 0.15 0.02 0.31 0.42 0.10 0.23 0000.00.00.0000000P0 34.7315 4 95180 Rapid desensitization A 2.01 0.15 1.51 0.49 0.08 0.83 0.27 0.01 3.53 2.51 2.85 2.29 0000.00.00.0000000P0 34.7315 4 95199 Allergy immunology services C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0000000P0 34.7315 9 95805 Multiple sleep latency test A 1.88 5.98 6.02 6.00 5.98 6.02 6.00 0.35 8.25 8.23 8.25 8.23 1XXX.00.00.0000000P0 34.7315 4 95805TCMultiple sleep latency test A 0.00 5.37 5.39 5.38 5.37 5.39 5.38 0.30 5.69 5.68 5.69 5.68 1XXX.00.00.0000000P0 34.7315 4 9580526Multiple sleep latency test A 1.88 0.61 0.63 0.62 0.61 0.63 0.62 0.05 2.56 2.55 2.56 2.55 1XXX.00.00.0000000P0 34.7315 4 95806 Sleep study, unattended A 1.66 7.79 5.78 7.29 7.12 5.78 6.79 0.43 7.87 9.38 7.87 8.88 1XXX.00.00.0000000P0 34.7315 4 95806TCSleep study, unattended A 0.00 5.13 5.15 5.14 5.13 5.15 5.14 0.28 5.43 5.42 5.43 5.42 1XXX.00.00.0000000P0 34.7315 4 9580626Sleep study, unattended A 1.66 2.66 0.63 2.15 1.99 0.63 1.65 0.15 2.44 3.96 2.44 3.46 1XXX.00.00.0000000P0 34.7315 4 95807 Sleep study, attended A 1.66 8.83 7.37 8.47 8.83 7.37 8.47 0.53 9.56 10.66 9.56 10.66 1XXX.00.00.0000000P0 34.7315 4 95807TCSleep study, attended A 0.00 6.84 6.86 6.85 6.84 6.86 6.85 0.38 7.24 7.23 7.24 7.23 1XXX.00.00.0000000P0 34.7315 4 9580726Sleep study, attended A 1.66 1.99 0.51 1.62 1.99 0.51 1.62 0.15 2.32 3.43 2.32 3.43 1XXX.00.00.0000000P0 34.7315 4 95808 Polysomnography, 1-3 A 2.65 9.50 7.74 9.07 9.50 7.74 9.07 0.53 10.92 12.25 10.92 12.25 1XXX.00.00.0000000P0 34.7315 4 95808TCPolysomnography, 1-3 A 0.00 6.84 6.86 6.85 6.84 6.86 6.85 0.38 7.24 7.23 7.24 7.23 1XXX.00.00.0000000P0 34.7315 4 9580826Polysomnography, 1-3 A 2.65 2.66 0.88 2.22 2.66 0.88 2.22 0.15 3.68 5.02 3.68 5.02 1XXX.00.00.0000000P0 34.7315 4 95810 Polysomnography, 4 or more A 3.53 9.50 8.00 9.13 9.50 8.00 9.13 0.53 12.06 13.19 12.06 13.19 1XXX.00.00.0000000P0 34.7315 4 95810TCPolysomnography, 4 or more A 0.00 6.84 6.86 6.85 6.84 6.86 6.85 0.38 7.24 7.23 7.24 7.23 1XXX.00.00.0000000P0 34.7315 4 9581026Polysomnography, 4 or more A 3.53 2.66 1.14 2.28 2.66 1.14 2.28 0.15 4.82 5.96 4.82 5.96 1XXX.00.00.0000000P0 34.7315 4 95811 Polysomnography w/cpap A 3.80 9.97 8.43 9.59 9.97 8.43 9.59 0.55 12.78 13.94 12.78 13.94 1XXX.00.00.0000000P0 34.7315 4 95811TCPolysomnography w/cpap A 0.00 7.18 7.21 7.19 7.18 7.21 7.19 0.39 7.60 7.58 7.60 7.58 1XXX.00.00.0000000P0 34.7315 4 9581126Polysomnography w/cpap A 3.80 2.79 1.22 2.40 2.79 1.22 2.40 0.16 5.18 6.36 5.18 6.36 1XXX.00.00.0000000P0 34.7315 4 95812 Electroencephalogram (EEG) A 1.08 2.01 1.89 1.98 2.01 1.89 1.98 0.12 3.09 3.18 3.09 3.18 1XXX.00.00.0000000P0 34.7315 4 95812TCElectroencephalogram (EEG) A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.09 1.56 1.56 1.56 1.56 1XXX.00.00.0000000P0 34.7315 4 9581226Electroencephalogram (EEG) A 1.08 0.54 0.42 0.51 0.54 0.42 0.51 0.03 1.53 1.62 1.53 1.62 1XXX.00.00.0000000P0 34.7315 4 95813 Electroencephalogram (EEG) A 1.73 2.01 2.13 2.04 2.01 2.13 2.04 0.12 3.98 3.89 3.98 3.89 1XXX.00.00.0000000P0 34.7315 4 95813TCElectroencephalogram (EEG) A 0.00 1.47 1.47 1.47 1.47 1.47 1.47 0.09 1.56 1.56 1.56 1.56 1XXX.00.00.0000000P0 34.7315 4 9581326Electroencephalogram (EEG) A 1.73 0.54 0.66 0.57 0.54 0.66 0.57 0.03 2.42 2.33 2.42 2.33 1XXX.00.00.0000000P0 34.7315 4 95816 Electroencephalogram (EEG) A 1.08 1.67 1.78 1.70 1.67 1.78 1.70 0.10 2.96 2.88 2.96 2.88 1XXX.00.00.0000000P0 34.7315 4 95816TCElectroencephalogram (EEG) A 0.00 1.37 1.36 1.37 1.37 1.36 1.37 0.08 1.44 1.45 1.44 1.45 1XXX.00.00.0000000P0 34.7315 4 9581626Electroencephalogram (EEG) A 1.08 0.30 0.42 0.33 0.30 0.42 0.33 0.02 1.52 1.43 1.52 1.43 1XXX.00.00.0000000P0 34.7315 4 95819 Electroencephalogram (EEG) A 1.08 1.95 1.84 1.92 1.95 1.84 1.92 0.11 3.03 3.11 3.03 3.11 1XXX.00.00.0000000P0 34.7315 4 95819TCElectroencephalogram (EEG) A 0.00 1.41 1.42 1.41 1.41 1.42 1.41 0.08 1.50 1.49 1.50 1.49 1XXX.00.00.0000000P0 34.7315 4 9581926Electroencephalogram (EEG) A 1.08 0.54 0.42 0.51 0.54 0.42 0.51 0.03 1.53 1.62 1.53 1.62 1XXX.00.00.0000000P0 34.7315 4 95822 Sleep electroencephalogram A 1.08 2.48 2.30 2.43 2.48 2.30 2.43 0.14 3.52 3.65 3.52 3.65 1XXX.00.00.0000000P0 34.7315 4 95822TCSleep electroencephalogram A 0.00 1.87 1.88 1.87 1.87 1.88 1.87 0.11 1.99 1.98 1.99 1.98 1XXX.00.00.0000000P0 34.7315 4 9582226Sleep electroencephalogram A 1.08 0.61 0.42 0.56 0.61 0.42 0.56 0.03 1.53 1.67 1.53 1.67 1XXX.00.00.0000000P0 34.7315 4 95824 Electroencephalography A 0.74 1.06 0.73 0.98 1.06 0.73 0.98 0.05 1.52 1.77 1.52 1.77 1XXX.00.00.0000000P0 34.7315 4 95824TCElectroencephalography A 0.00 0.43 0.44 0.43 0.43 0.44 0.43 0.02 0.46 0.45 0.46 0.45 1XXX.00.00.0000000P0 34.7315 4 9582426Electroencephalography A 0.74 0.63 0.29 0.55 0.63 0.29 0.55 0.03 1.06 1.32 1.06 1.32 1XXX.00.00.0000000P0 34.7315 4 95827 Night electroencephalogram A 1.08 3.33 2.77 3.19 3.33 2.77 3.19 0.18 4.03 4.45 4.03 4.45 1XXX.00.00.0000000P0 34.7315 4 95827TCNight electroencephalogram A 0.00 2.37 2.38 2.37 2.37 2.38 2.37 0.13 2.51 2.50 2.51 2.50 1XXX.00.00.0000000P0 34.7315 4 9582726Night electroencephalogram A 1.08 0.96 0.39 0.82 0.96 0.39 0.82 0.05 1.52 1.95 1.52 1.95 1XXX.00.00.0000000P0 34.7315 4 95829 Surgery electrocorticogram A 6.21 0.64 2.68 1.15 0.64 2.68 1.15 0.04 8.93 7.40 8.93 7.40 1XXX.00.00.0000000P0 34.7315 4 95829TCSurgery electrocorticogram A 0.00 0.15 0.14 0.15 0.15 0.14 0.15 0.02 0.16 0.17 0.16 0.17 1XXX.00.00.0000000P0 34.7315 4 9582926Surgery electrocorticogram A 6.21 0.49 2.54 1.00 0.49 2.54 1.00 0.02 8.77 7.23 8.77 7.23 1XXX.00.00.0000000P0 34.7315 4 95830 Insert electrodes for EEG A 1.70 0.85 2.94 1.37 0.85 0.68 0.81 0.05 4.69 3.12 2.43 2.56 0XXX.00.00.0000000P0 34.7315 4 95831 Limb muscle testing, manual A 0.28 0.31 0.40 0.33 0.16 0.13 0.15 0.02 0.70 0.63 0.43 0.45 0XXX.00.00.0000000P0 34.7315 4 95832 Hand muscle testing, manual A 0.29 0.27 0.30 0.28 0.14 0.12 0.14 0.02 0.61 0.59 0.43 0.45 0XXX.00.00.0000000P0 34.7315 4 95833 Body muscle testing, manual A 0.47 0.41 0.44 0.42 0.21 0.23 0.22 0.04 0.95 0.93 0.74 0.73 0XXX.00.00.0000000P0 34.7315 4 95834 Body muscle testing, manual A 0.60 0.66 0.50 0.62 0.33 0.27 0.32 0.05 1.15 1.27 0.92 0.97 0XXX.00.00.0000000P0 34.7315 4 95851 Range of motion measurements A 0.16 0.26 0.35 0.28 0.13 0.08 0.12 0.02 0.53 0.46 0.26 0.30 0XXX.00.00.0000000P0 34.7315 4 95852 Range of motion measurements A 0.11 0.16 0.30 0.20 0.08 0.05 0.07 0.02 0.43 0.33 0.18 0.20 0XXX.00.00.0000000P0 34.7315 4 95857 Tensilon test A 0.53 0.54 0.54 0.54 0.27 0.22 0.26 0.03 1.10 1.10 0.78 0.82 0XXX.00.00.0000000P0 34.7315 4 95858 Tensilon test & myogram A 1.56 1.10 1.05 1.09 1.10 1.05 1.09 0.07 2.68 2.72 2.68 2.72 1XXX.00.00.0000000P0 34.7315 4 95858TCTensilon test & myogram A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.03 0.44 0.44 0.44 0.44 1XXX.00.00.0000000P0 34.7315 4 9585826Tensilon test & myogram A 1.56 0.69 0.64 0.68 0.69 0.64 0.68 0.04 2.24 2.28 2.24 2.28 1XXX.00.00.0000000P0 34.7315 4 95860 Muscle test, one limb A 0.96 1.18 0.79 1.08 1.18 0.79 1.08 0.07 1.82 2.11 1.82 2.11 1XXX.00.00.0000000P0 34.7315 4 95860TCMuscle test, one limb A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 1XXX.00.00.0000000P0 34.7315 4 9586026Muscle test, one limb A 0.96 0.79 0.40 0.69 0.79 0.40 0.69 0.05 1.41 1.70 1.41 1.70 1XXX.00.00.0000000P0 34.7315 4 95861 Muscle test, two limbs A 1.54 2.14 1.39 1.96 2.14 1.39 1.96 0.13 3.06 3.63 3.06 3.63 1XXX.00.00.0000000P0 34.7315 4 95861TCMuscle test, two limbs A 0.00 0.76 0.75 0.76 0.76 0.75 0.76 0.05 0.80 0.81 0.80 0.81 1XXX.00.00.0000000P0 34.7315 4 9586126Muscle test, two limbs A 1.54 1.38 0.64 1.20 1.38 0.64 1.20 0.08 2.26 2.82 2.26 2.82 1XXX.00.00.0000000P0 34.7315 4 95863 Muscle test, 3 limbs A 1.87 2.50 1.73 2.31 2.50 1.73 2.31 0.14 3.74 4.32 3.74 4.32 1XXX.00.00.0000000P0 34.7315 4 95863TCMuscle test, 3 limbs A 0.00 0.97 0.97 0.97 0.97 0.97 0.97 0.05 1.02 1.02 1.02 1.02 1XXX.00.00.0000000P0 34.7315 4 9586326Muscle test, 3 limbs A 1.87 1.53 0.76 1.34 1.53 0.76 1.34 0.09 2.72 3.30 2.72 3.30 1XXX.00.00.0000000P0 34.7315 4 95864 Muscle test, 4 limbs A 1.99 3.74 2.68 3.47 3.74 2.68 3.47 0.21 4.88 5.67 4.88 5.67 1XXX.00.00.0000000P0 34.7315 4 95864TCMuscle test, 4 limbs A 0.00 1.84 1.85 1.84 1.84 1.85 1.84 0.10 1.95 1.94 1.95 1.94 1XXX.00.00.0000000P0 34.7315 4 9586426Muscle test, 4 limbs A 1.99 1.90 0.83 1.63 1.90 0.83 1.63 0.11 2.93 3.73 2.93 3.73 1XXX.00.00.0000000P0 34.7315 4 95867 Muscle test, head or neck A 0.79 1.23 0.94 1.16 1.23 0.94 1.16 0.07 1.80 2.02 1.80 2.02 1XXX.00.00.0000000P0 34.7315 4 95867TCMuscle test, head or neck A 0.00 0.60 0.60 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 1XXX.00.00.0000000P0 34.7315 4 9586726Muscle test, head or neck A 0.79 0.63 0.34 0.56 0.63 0.34 0.56 0.04 1.17 1.39 1.17 1.39 1XXX.00.00.0000000P0 34.7315 4 95868 Muscle test, head or neck A 1.18 2.09 1.18 1.86 2.09 1.18 1.86 0.12 2.48 3.16 2.48 3.16 1XXX.00.00.0002000P0 34.7315 4 95868TCMuscle test, head or neck A 0.00 0.72 0.72 0.72 0.72 0.72 0.72 0.04 0.76 0.76 0.76 0.76 1XXX.00.00.0002000P0 34.7315 4 9586826Muscle test, head or neck A 1.18 1.37 0.46 1.14 1.37 0.46 1.14 0.08 1.72 2.40 1.72 2.40 1XXX.00.00.0002000P0 34.7315 4 95869 Muscle test, thor paraspinal A 0.37 0.58 0.37 0.53 0.58 0.37 0.53 0.04 0.78 0.94 0.78 0.94 1XXX.00.00.0000000P0 34.7315 4 95869TCMuscle test, thor paraspinal A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0000000P0 34.7315 4 9586926Muscle test, thor paraspinal A 0.37 0.36 0.15 0.31 0.36 0.15 0.31 0.02 0.54 0.70 0.54 0.70 1XXX.00.00.0000000P0 34.7315 4 95870 Muscle test, non-paraspinal A 0.37 0.58 0.36 0.53 0.58 0.36 0.53 0.04 0.77 0.94 0.77 0.94 1XXX.00.00.0000000P0 34.7315 4 95870TCMuscle test, non-paraspinal A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0000000P0 34.7315 4 9587026Muscle test, non-paraspinal A 0.37 0.36 0.14 0.31 0.36 0.14 0.31 0.02 0.53 0.70 0.53 0.70 1XXX.00.00.0000000P0 34.7315 4 95872 Muscle test, one fiber A 1.50 1.36 1.21 1.32 1.36 1.21 1.32 0.09 2.80 2.91 2.80 2.91 1XXX.00.00.0000000P0 34.7315 4 95872TCMuscle test, one fiber A 0.00 0.62 0.62 0.62 0.62 0.62 0.62 0.04 0.66 0.66 0.66 0.66 1XXX.00.00.0000000P0 34.7315 4 9587226Muscle test, one fiber A 1.50 0.74 0.59 0.70 0.74 0.59 0.70 0.05 2.14 2.25 2.14 2.25 1XXX.00.00.0000000P0 34.7315 4 95875 Limb exercise test A 1.34 0.65 0.95 0.73 0.65 0.95 0.73 0.08 2.37 2.15 2.37 2.15 1XXX.00.00.0000000P0 34.7315 4 95875TCLimb exercise test A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.05 0.46 0.46 0.46 0.46 1XXX.00.00.0000000P0 34.7315 4 9587526Limb exercise test A 1.34 0.24 0.54 0.32 0.24 0.54 0.32 0.03 1.91 1.69 1.91 1.69 1XXX.00.00.0000000P0 34.7315 4 95900 Motor nerve conduction test A 0.42 0.67 0.47 0.62 0.67 0.47 0.62 0.04 0.93 1.08 0.93 1.08 1XXX.00.00.0000000P0 34.7315 4 95900TCMotor nerve conduction test A 0.00 0.29 0.29 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 1XXX.00.00.0000000P0 34.7315 4 9590026Motor nerve conduction test A 0.42 0.38 0.18 0.33 0.38 0.18 0.33 0.02 0.62 0.77 0.62 0.77 1XXX.00.00.0000000P0 34.7315 4 95903 Motor nerve conduction test A 0.60 0.64 0.51 0.61 0.64 0.51 0.61 0.04 1.15 1.25 1.15 1.25 1XXX.00.00.0000000P0 34.7315 4 95903TCMotor nerve conduction test A 0.00 0.26 0.26 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 1XXX.00.00.0000000P0 34.7315 4 9590326Motor nerve conduction test A 0.60 0.38 0.25 0.35 0.38 0.25 0.35 0.02 0.87 0.97 0.87 0.97 1XXX.00.00.0000000P0 34.7315 4 95904 Sense nerve conduction test A 0.34 0.60 0.36 0.54 0.60 0.36 0.54 0.04 0.74 0.92 0.74 0.92 1XXX.00.00.0000000P0 34.7315 4 95904TCSense nerve conduction test A 0.00 0.23 0.23 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1XXX.00.00.0000000P0 34.7315 4 9590426Sense nerve conduction test A 0.34 0.37 0.13 0.31 0.37 0.13 0.31 0.02 0.49 0.67 0.49 0.67 1XXX.00.00.0000000P0 34.7315 4 95920 Intraop nerve test add-on A 2.11 2.90 2.24 NA 2.74 2.90 2.24 2.74 0.15 4.50 5.00 4.50 5.00 1ZZZ.00.00.0000000P0 34.7315 4 95920TCIntraop nerve test add-on A 0.00 1.35 1.34 NA 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1ZZZ.00.00.0000000P0 34.7315 4 9592026Intraop nerve test add-on A 2.11 1.55 0.90 NA 1.39 1.55 0.90 1.39 0.09 3.10 3.59 3.10 3.59 1ZZZ.00.00.0000000P0 34.7315 4 95921 Autonomic nervous func test A 0.90 0.74 0.73 0.74 0.74 0.73 0.74 0.04 1.67 1.68 1.67 1.68 1XXX.00.00.0000000P0 34.7315 4 95921TCAutonomic nervous func test A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 1XXX.00.00.0000000P0 34.7315 4 9592126Autonomic nervous func test A 0.90 0.35 0.34 0.35 0.35 0.34 0.35 0.02 1.26 1.27 1.26 1.27 1XXX.00.00.0000000P0 34.7315 4 95922 Autonomic nervous func test A 0.96 0.76 0.77 0.76 0.76 0.77 0.76 0.04 1.77 1.76 1.77 1.76 1XXX.00.00.0000000P0 34.7315 4 95922TCAutonomic nervous func test A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 1XXX.00.00.0000000P0 34.7315 4 9592226Autonomic nervous func test A 0.96 0.37 0.38 0.37 0.37 0.38 0.37 0.02 1.36 1.35 1.36 1.35 1XXX.00.00.0000000P0 34.7315 4 95923 Autonomic nervous func test A 0.90 0.74 0.74 0.74 0.74 0.74 0.74 0.04 1.68 1.68 1.68 1.68 1XXX.00.00.0000000P0 34.7315 4 95923TCAutonomic nervous func test A 0.00 0.39 0.39 0.39 0.39 0.39 0.39 0.02 0.41 0.41 0.41 0.41 1XXX.00.00.0000000P0 34.7315 4 9592326Autonomic nervous func test A 0.90 0.35 0.35 0.35 0.35 0.35 0.35 0.02 1.27 1.27 1.27 1.27 1XXX.00.00.0000000P0 34.7315 4 95925 Somatosensory testing A 0.54 1.63 1.17 1.51 1.63 1.17 1.51 0.09 1.80 2.14 1.80 2.14 1XXX.00.00.0002000P0 34.7315 4 95925TCSomatosensory testing A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.05 1.00 0.99 1.00 0.99 1XXX.00.00.0002000P0 34.7315 4 9592526Somatosensory testing A 0.54 0.69 0.22 0.57 0.69 0.22 0.57 0.04 0.80 1.15 0.80 1.15 1XXX.00.00.0002000P0 34.7315 4 95926 Somatosensory testing A 0.54 1.63 1.18 1.52 1.63 1.18 1.52 0.09 1.81 2.15 1.81 2.15 1XXX.00.00.0002000P0 34.7315 4 95926TCSomatosensory testing A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.05 1.00 0.99 1.00 0.99 1XXX.00.00.0002000P0 34.7315 4 9592626Somatosensory testing A 0.54 0.69 0.23 0.58 0.69 0.23 0.58 0.04 0.81 1.16 0.81 1.16 1XXX.00.00.0002000P0 34.7315 4 95927 Somatosensory testing A 0.54 1.63 1.18 1.52 1.63 1.18 1.52 0.09 1.81 2.15 1.81 2.15 1XXX.00.00.0000000P0 34.7315 4 95927TCSomatosensory testing A 0.00 0.94 0.95 0.94 0.94 0.95 0.94 0.05 1.00 0.99 1.00 0.99 1XXX.00.00.0000000P0 34.7315 4 9592726Somatosensory testing A 0.54 0.69 0.23 0.58 0.69 0.23 0.58 0.04 0.81 1.16 0.81 1.16 1XXX.00.00.0000000P0 34.7315 4 95930 Visual evoked potential test A 0.35 0.90 0.40 0.78 0.90 0.40 0.78 0.04 0.79 1.17 0.79 1.17 1XXX.00.00.0002000P0 34.7315 4 95930TCVisual evoked potential test A 0.00 0.27 0.27 0.27 0.27 0.27 0.27 0.01 0.28 0.28 0.28 0.28 1XXX.00.00.0002000P0 34.7315 4 9593026Visual evoked potential test A 0.35 0.63 0.13 0.51 0.63 0.13 0.51 0.03 0.51 0.89 0.51 0.89 1XXX.00.00.0002000P0 34.7315 4 95933 Blink reflex test A 0.59 1.35 1.05 1.27 1.35 1.05 1.27 0.08 1.72 1.94 1.72 1.94 1XXX.00.00.0000000P0 34.7315 4 95933TCBlink reflex test A 0.00 0.81 0.82 0.81 0.81 0.82 0.81 0.05 0.87 0.86 0.87 0.86 1XXX.00.00.0000000P0 34.7315 4 9593326Blink reflex test A 0.59 0.54 0.23 0.46 0.54 0.23 0.46 0.03 0.85 1.08 0.85 1.08 1XXX.00.00.0000000P0 34.7315 4 95934 ’h’ reflex test A 0.51 0.59 0.44 0.55 0.59 0.44 0.55 0.04 0.99 1.10 0.99 1.10 1XXX.00.00.0001000P0 34.7315 4 95934TC’h’ reflex test A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0001000P0 34.7315 4 9593426’h’ reflex test A 0.51 0.37 0.22 0.33 0.37 0.22 0.33 0.02 0.75 0.86 0.75 0.86 1XXX.00.00.0001000P0 34.7315 4 95936 ’h’ reflex test A 0.55 0.59 0.46 0.56 0.59 0.46 0.56 0.04 1.05 1.15 1.05 1.15 1XXX.00.00.0001000P0 34.7315 4 95936TC’h’ reflex test A 0.00 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1XXX.00.00.0001000P0 34.7315 4 9593626’h’ reflex test A 0.55 0.37 0.24 0.34 0.37 0.24 0.34 0.02 0.81 0.91 0.81 0.91 1XXX.00.00.0001000P0 34.7315 4 95937 Neuromuscular junction test A 0.65 0.84 0.61 0.78 0.84 0.61 0.78 0.05 1.31 1.48 1.31 1.48 1XXX.00.00.0000000P0 34.7315 4 95937TCNeuromuscular junction test A 0.00 0.35 0.35 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 1XXX.00.00.0000000P0 34.7315 4 9593726Neuromuscular junction test A 0.65 0.49 0.26 0.43 0.49 0.26 0.43 0.03 0.94 1.11 0.94 1.11 1XXX.00.00.0000000P0 34.7315 4 95950 Ambulatory eeg monitoring A 1.51 7.86 7.17 7.69 7.86 7.17 7.69 0.47 9.15 9.67 9.15 9.67 1XXX.00.00.0000000P0 34.7315 4 95950TCAmbulatory eeg monitoring A 0.00 6.55 6.58 6.56 6.55 6.58 6.56 0.39 6.97 6.95 6.97 6.95 1XXX.00.00.0000000P0 34.7315 4 9595026Ambulatory eeg monitoring A 1.51 1.31 0.59 1.13 1.31 0.59 1.13 0.08 2.18 2.72 2.18 2.72 1XXX.00.00.0000000P0 34.7315 4 95951 EEG monitoring/videorecord A 6.00 9.58 10.36 9.78 9.58 10.36 9.78 0.50 16.86 16.28 16.86 16.28 1XXX.00.00.0000000P0 34.7315 4 95951TCEEG monitoring/videorecord A 0.00 7.95 7.97 7.96 7.95 7.97 7.96 0.41 8.38 8.37 8.38 8.37 1XXX.00.00.0000000P0 34.7315 4 9595126EEG monitoring/videorecord A 6.00 1.63 2.39 1.82 1.63 2.39 1.82 0.09 8.48 7.91 8.48 7.91 1XXX.00.00.0000000P0 34.7315 4 95953 EEG monitoring/computer A 3.08 7.86 7.79 7.85 7.86 7.79 7.85 0.47 11.34 11.40 11.34 11.40 1XXX.00.00.0000000P0 34.7315 4 95953TCEEG monitoring/computer A 0.00 6.55 6.58 6.56 6.55 6.58 6.56 0.39 6.97 6.95 6.97 6.95 1XXX.00.00.0000000P0 34.7315 4 9595326EEG monitoring/computer A 3.08 1.31 1.21 1.29 1.31 1.21 1.29 0.08 4.37 4.45 4.37 4.45 1XXX.00.00.0000000P0 34.7315 4 95954 EEG monitoring/giving drugs A 2.45 2.52 1.47 2.26 2.52 1.47 2.26 0.22 4.14 4.93 4.14 4.93 1XXX.00.00.0000000P0 34.7315 4 95954TCEEG monitoring/giving drugs A 0.00 0.49 0.49 0.49 0.49 0.49 0.49 0.05 0.54 0.54 0.54 0.54 1XXX.00.00.0000000P0 34.7315 4 9595426EEG monitoring/giving drugs A 2.45 2.03 0.98 1.77 2.03 0.98 1.77 0.17 3.60 4.39 3.60 4.39 1XXX.00.00.0000000P0 34.7315 4 95955 EEG during surgery A 1.01 3.15 2.38 2.96 3.15 2.38 2.96 0.24 3.63 4.21 3.63 4.21 1XXX.00.00.0000000P0 34.7315 4 95955TCEEG during surgery A 0.00 2.03 2.04 2.03 2.03 2.04 2.03 0.15 2.19 2.18 2.19 2.18 1XXX.00.00.0000000P0 34.7315 4 9595526EEG during surgery A 1.01 1.12 0.34 0.93 1.12 0.34 0.93 0.09 1.44 2.03 1.44 2.03 1XXX.00.00.0000000P0 34.7315 4 95956 EEG monitoring/cable/radio A 3.08 8.18 7.81 8.09 8.18 7.81 8.09 0.48 11.37 11.65 11.37 11.65 1XXX.00.00.0000000P0 34.7315 4 95956TCEEG monitoring/cable/radio A 0.00 6.55 6.58 6.56 6.55 6.58 6.56 0.39 6.97 6.95 6.97 6.95 1XXX.00.00.0000000P0 34.7315 4 9595626EEG monitoring/cable/radio A 3.08 1.63 1.23 1.53 1.63 1.23 1.53 0.09 4.40 4.70 4.40 4.70 1XXX.00.00.0000000P0 34.7315 4 95957 EEG digital analysis A 1.98 2.44 2.56 2.47 2.44 2.56 2.47 0.14 4.68 4.59 4.68 4.59 1XXX.00.00.0000000P0 34.7315 4 95957TCEEG digital analysis A 0.00 1.76 1.77 1.76 1.76 1.77 1.76 0.10 1.87 1.86 1.87 1.86 1XXX.00.00.0000000P0 34.7315 4 9595726EEG digital analysis A 1.98 0.68 0.79 0.71 0.68 0.79 0.71 0.04 2.81 2.73 2.81 2.73 1XXX.00.00.0000000P0 34.7315 4 95958 EEG monitoring/function test A 4.25 5.31 3.41 4.83 5.31 3.41 4.83 0.41 8.07 9.49 8.07 9.49 1XXX.00.00.0000000P0 34.7315 4 95958TCEEG monitoring/function test A 0.00 1.80 1.81 1.80 1.80 1.81 1.80 0.11 1.92 1.91 1.92 1.91 1XXX.00.00.0000000P0 34.7315 4 9595826EEG monitoring/function test A 4.25 3.51 1.60 3.03 3.51 1.60 3.03 0.30 6.15 7.58 6.15 7.58 1XXX.00.00.0000000P0 34.7315 4 95961 Electrode stimulation, brain A 2.97 2.90 2.59 2.83 2.90 2.59 2.83 0.15 5.71 5.95 5.71 5.95 1XXX.00.00.0000000P0 34.7315 4 95961TCElectrode stimulation, brain A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 34.7315 4 9596126Electrode stimulation, brain A 2.97 1.55 1.25 1.48 1.55 1.25 1.48 0.09 4.31 4.54 4.31 4.54 1XXX.00.00.0000000P0 34.7315 4 95962 Electrode stimulation, brain A 3.21 2.90 2.66 2.84 2.90 2.66 2.84 0.15 6.02 6.20 6.02 6.20 1ZZZ.00.00.0000000P0 34.7315 4 95962TCElectrode stimulation, brain A 0.00 1.35 1.34 1.35 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1ZZZ.00.00.0000000P0 34.7315 4 9596226Electrode stimulation, brain A 3.21 1.55 1.32 1.49 1.55 1.32 1.49 0.09 4.62 4.79 4.62 4.79 1ZZZ.00.00.0000000P0 34.7315 4 95970 Neurostim analyze,no program A 0.45 0.00 0.12 0.12 0.00 0.10 0.10 0.09 0.66 0.66 0.64 0.64 0XXX.00.00.0000000P0 34.7315 5 95971 Simple neurostim analyze A 0.78 0.00 0.21 0.21 0.00 0.18 0.18 0.09 1.08 1.08 1.05 1.05 0XXX.00.00.0000000P0 34.7315 5 95972 Complex neurostim analyze A 1.50 0.00 0.40 0.40 0.00 0.35 0.35 0.09 1.99 1.99 1.94 1.94 0XXX.00.00.0000000P0 34.7315 5 95973 Complex neurostim analyze A 0.92 0.00 0.25 0.25 0.00 0.22 0.22 0.09 1.26 1.26 1.23 1.23 0ZZZ.00.00.0000000P0 34.7315 5 95974 Complex cranial neurostim A 3.00 0.00 0.96 0.96 0.00 0.74 0.74 0.09 4.05 4.05 3.83 3.83 0XXX.00.00.0000000P0 34.7315 5 95975 Complex cranial neurostim A 1.70 0.00 0.62 0.62 0.00 0.49 0.49 0.09 2.41 2.41 2.28 2.28 0ZZZ.00.00.0000000P0 34.7315 5 95999 Neurological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 96100 Psychological testing A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.16 1.99 1.98 1.99 1.98 0XXX.00.00.0000000P0 34.7315 4 96105 Assessment of aphasia A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.16 1.99 1.98 1.99 1.98 0XXX.00.00.0000000P0 34.7315 4 96110 Developmental test, lim C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 96111 Developmental test, extend A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.16 1.99 1.98 1.99 1.98 0XXX.00.00.0000000P0 34.7315 4 96115 Neurobehavior status exam A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.16 1.99 1.98 1.99 1.98 0XXX.00.00.0000000P0 34.7315 4 96117 Neuropsych test battery A 0.00 1.82 1.83 1.82 1.82 1.83 1.82 0.16 1.99 1.98 1.99 1.98 0XXX.00.00.0000000P0 34.7315 4 96400 Chemotherapy, (SC)/(IM) A 0.00 0.14 0.14 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 5XXX.00.00.0000000P0 34.7315 4 96405 Intralesional chemo admin A 0.52 0.41 1.43 0.67 0.21 0.23 0.22 0.02 1.97 1.21 0.77 0.76 0000.00.00.0020100P0 34.7315 4 96406 Intralesional chemo admin A 0.80 0.61 1.71 0.89 0.31 0.28 0.30 0.03 2.54 1.72 1.11 1.13 0000.00.00.0020100P0 34.7315 4 96408 Chemotherapy, push technique A 0.00 1.00 1.00 1.00 1.00 1.00 1.00 0.05 1.05 1.05 1.05 1.05 5XXX.00.00.0000000P0 34.7315 4 96410 Chemotherapy,infusion method A 0.00 1.60 1.60 1.60 1.60 1.60 1.60 0.07 1.67 1.67 1.67 1.67 5XXX.00.00.0000000P0 34.7315 4 96412 Chemotx infuse method add-on A 0.00 1.19 1.20 1.19 1.19 1.20 1.19 0.06 1.26 1.25 1.26 1.25 5ZZZ.00.00.0000000P0 34.7315 4 96414 Chemotx infuse method add-on A 0.00 1.38 1.37 1.38 1.38 1.37 1.38 0.07 1.44 1.45 1.44 1.45 5XXX.00.00.0000000P0 34.7315 4 96420 Chemotherapy, push technique A 0.00 1.29 1.30 1.29 1.29 1.30 1.29 0.07 1.37 1.36 1.37 1.36 5XXX.00.00.0000000P0 34.7315 4 96422 Chemotherapy,infusion method A 0.00 1.27 1.28 1.27 1.27 1.28 1.27 0.07 1.35 1.34 1.35 1.34 5XXX.00.00.0000000P0 34.7315 4 96423 Chemotx infuse method add-on A 0.00 0.50 0.50 0.50 0.50 0.50 0.50 0.02 0.52 0.52 0.52 0.52 5ZZZ.00.00.0000000P0 34.7315 4 96425 Chemotherapy,infusion method A 0.00 1.48 1.48 1.48 1.48 1.48 1.48 0.07 1.55 1.55 1.55 1.55 5XXX.00.00.0000000P0 34.7315 4 96440 Chemotherapy, intracavitary A 2.37 0.88 6.22 2.22 0.88 1.01 0.91 0.05 8.64 4.64 3.43 3.33 0000.00.00.0000000P1A4550 34.7315 4 96445 Chemotherapy, intracavitary A 2.20 1.06 5.94 2.28 0.53 0.91 0.63 0.07 8.21 4.55 3.18 2.90 0000.00.00.0000000P1A4550 34.7315 4 96450 Chemotherapy, into CNS A 1.89 0.94 4.57 1.85 0.47 0.84 0.56 0.05 6.51 3.79 2.78 2.50 0000.00.00.0000000P1A4550 34.7315 4 96520 Pump refilling, maintenance A 0.00 0.92 0.93 0.92 0.92 0.93 0.92 0.05 0.98 0.97 0.98 0.97 5XXX.00.00.0000000P0 34.7315 4 96530 Pump refilling, maintenance A 0.00 1.10 1.09 1.10 1.10 1.09 1.10 0.05 1.14 1.15 1.14 1.15 5XXX.00.00.0000000P0 34.7315 4 96542 Chemotherapy injection A 1.42 1.18 2.93 1.62 0.59 0.67 0.61 0.10 4.45 3.14 2.19 2.13 0XXX.00.00.0000000P0 34.7315 4 96545 Provide chemotherapy agent B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 96549 Chemotherapy, unspecified C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 96900 Ultraviolet light therapy A 0.00 0.41 0.41 0.41 0.41 0.41 0.41 0.02 0.43 0.43 0.43 0.43 5XXX.00.00.0000000P0 34.7315 4 96902 Trichogram B+ 0.41 0.31 0.22 0.29 0.31 0.15 0.27 0.02 0.65 0.72 0.58 0.70 9XXX.00.00.0099999P9 0.0000 9 96910 Photochemotherapy with UV-B A 0.00 0.60 0.60 0.60 0.60 0.60 0.60 0.03 0.63 0.63 0.63 0.63 5XXX.00.00.0000000P0 34.7315 4 96912 Photochemotherapy with UV-A A 0.00 0.68 0.69 0.68 0.68 0.69 0.68 0.04 0.73 0.72 0.73 0.72 5XXX.00.00.0000000P0 34.7315 4 96913 Photochemotherapy, UV-A or B A 0.00 1.40 1.40 1.40 1.40 1.40 1.40 0.08 1.48 1.48 1.48 1.48 5XXX.00.00.0000000P0 34.7315 4 96999 Dermatological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 97001 Pt evaluation A 1.20 0.38 0.34 0.37 0.38 0.41 0.39 0.09 1.63 1.66 1.70 1.68 7XXX.00.00.0000000P0 34.7315 4 97002 Pt re-evaluation A 0.60 0.04 0.25 0.09 0.04 0.21 0.08 0.01 0.86 0.70 0.82 0.69 7XXX.00.00.0000000P0 34.7315 4 97003 Ot evaluation A 1.20 0.38 0.54 0.42 0.38 0.45 0.40 0.09 1.83 1.71 1.74 1.69 7XXX.00.00.0000000P0 34.7315 4 97004 Ot re-evaluation A 0.60 0.04 0.28 0.10 0.04 0.19 0.08 0.01 0.89 0.71 0.80 0.69 7XXX.00.00.0000000P0 34.7315 4 97010 Hot or cold packs therapy B+ 0.06 0.23 0.12 0.20 0.23 0.01 0.18 0.02 0.20 0.28 0.09 0.26 9XXX.00.00.0099999P9 0.0000 9 97012 Mechanical traction therapy A 0.25 0.21 0.14 0.19 0.21 0.02 0.16 0.02 0.41 0.46 0.29 0.43 7XXX.00.00.0000000P0 34.7315 4 97014 Electric stimulation therapy A 0.18 0.22 0.13 0.20 0.22 0.02 0.17 0.02 0.33 0.40 0.22 0.37 7XXX.00.00.0000000P0 34.7315 4 97016 Vasopneumatic device therapy A 0.18 0.27 0.13 0.24 0.27 0.02 0.21 0.02 0.33 0.44 0.22 0.41 7XXX.00.00.0000000P0 34.7315 4 97018 Paraffin bath therapy A 0.06 0.26 0.11 0.22 0.26 0.01 0.20 0.02 0.19 0.30 0.09 0.28 7XXX.00.00.0000000P0 34.7315 4 97020 Microwave therapy A 0.06 0.22 0.12 0.20 0.22 0.01 0.17 0.02 0.20 0.28 0.09 0.25 7XXX.00.00.0000000P0 34.7315 4 97022 Whirlpool therapy A 0.17 0.21 0.13 0.19 0.21 0.02 0.16 0.02 0.32 0.38 0.21 0.35 7XXX.00.00.0000000P0 34.7315 4 97024 Diathermy treatment A 0.06 0.23 0.12 0.20 0.23 0.01 0.18 0.02 0.20 0.28 0.09 0.26 7XXX.00.00.0000000P0 34.7315 4 97026 Infrared therapy A 0.06 0.21 0.11 0.19 0.21 0.01 0.16 0.02 0.19 0.27 0.09 0.24 7XXX.00.00.0000000P0 34.7315 4 97028 Ultraviolet therapy A 0.08 0.21 0.11 0.19 0.21 0.01 0.16 0.01 0.20 0.28 0.10 0.25 7XXX.00.00.0000000P0 34.7315 4 97032 Electrical stimulation A 0.25 0.15 0.14 0.15 0.15 0.02 0.12 0.01 0.40 0.41 0.28 0.38 7XXX.00.00.0000000P0 34.7315 4 97033 Electric current therapy A 0.26 0.15 0.17 0.16 0.15 0.03 0.12 0.02 0.45 0.44 0.31 0.40 7XXX.00.00.0000000P0 34.7315 4 97034 Contrast bath therapy A 0.21 0.11 0.14 0.12 0.11 0.02 0.09 0.01 0.36 0.34 0.24 0.31 7XXX.00.00.0000000P0 34.7315 4 97035 Ultrasound therapy A 0.21 0.12 0.14 0.13 0.12 0.02 0.10 0.01 0.36 0.35 0.24 0.32 7XXX.00.00.0000000P0 34.7315 4 97036 Hydrotherapy A 0.28 0.23 0.18 0.22 0.23 0.03 0.18 0.02 0.48 0.52 0.33 0.48 7XXX.00.00.0000000P0 34.7315 4 97039 Physical therapy treatment A 0.20 0.26 0.14 0.23 0.26 0.02 0.20 0.02 0.36 0.45 0.24 0.42 7XXX.00.00.0000000P0 34.7315 4 97110 Therapeutic exercises A 0.45 0.14 0.19 0.15 0.14 0.04 0.12 0.02 0.66 0.62 0.51 0.59 7XXX.00.00.0000000P0 34.7315 4 97112 Neuromuscular reeducation A 0.45 0.14 0.15 0.14 0.14 0.04 0.12 0.01 0.61 0.60 0.50 0.58 7XXX.00.00.0000000P0 34.7315 4 97113 Aquatic therapy/exercises A 0.44 0.22 0.17 0.21 0.22 0.04 0.18 0.02 0.63 0.67 0.50 0.64 7XXX.00.00.0000000P0 34.7315 4 97116 Gait training therapy A 0.40 0.12 0.15 0.13 0.12 0.04 0.10 0.01 0.56 0.54 0.45 0.51 7XXX.00.00.0000000P0 34.7315 4 97122 Manual traction therapy D 0.42 0.12 0.12 0.12 0.12 0.12 0.12 0.01 0.55 0.55 0.55 0.55 7XXX.00.00.0000000P0 34.7315 4 97124 Massage therapy A 0.35 0.12 0.14 0.13 0.12 0.03 0.10 0.01 0.50 0.49 0.39 0.46 7XXX.00.00.0000000P0 34.7315 4 97139 Physical medicine procedure A 0.21 0.17 0.13 0.16 0.17 0.02 0.13 0.02 0.36 0.39 0.25 0.36 7XXX.00.00.0000000P0 34.7315 4 97140 Manual therapy A 0.43 0.00 0.18 0.18 0.00 0.04 0.04 0.02 0.63 0.63 0.49 0.49 7XXX.00.00.0000000P0 34.7315 5 97150 Group therapeutic procedures A 0.27 0.22 0.14 0.20 0.22 0.03 0.17 0.02 0.43 0.49 0.32 0.46 7XXX.00.00.0000000P0 34.7315 4 97250 Myofascial release D 0.45 0.38 0.38 0.38 0.38 0.38 0.38 0.03 0.86 0.86 0.86 0.86 7000.00.00.0000000P0 34.7315 4 97260 Regional manipulation D 0.19 0.22 0.22 0.22 0.22 0.22 0.22 0.02 0.43 0.43 0.43 0.43 7000.00.00.0000000P0 34.7315 4 97261 Supplemental manipulations D 0.12 0.12 0.12 0.12 0.12 0.12 0.12 0.01 0.25 0.25 0.25 0.25 7000.00.00.0000000P0 34.7315 4 97265 Joint mobilization D 0.45 0.38 0.38 0.38 0.38 0.38 0.38 0.03 0.86 0.86 0.86 0.86 7XXX.00.00.0000000P0 34.7315 4 97504 Orthotic training A 0.45 0.15 0.13 0.15 0.15 0.04 0.12 0.02 0.60 0.62 0.51 0.59 7XXX.00.00.0000000P0 34.7315 4 97520 Prosthetic training A 0.45 0.16 0.17 0.16 0.16 0.04 0.13 0.02 0.64 0.63 0.51 0.60 7XXX.00.00.0000000P0 34.7315 4 97530 Therapeutic activities A 0.44 0.18 0.15 0.17 0.18 0.04 0.15 0.02 0.61 0.63 0.50 0.61 7XXX.00.00.0000000P0 34.7315 4 97535 Self care mngment training A 0.45 0.18 0.15 0.17 0.18 0.04 0.15 0.02 0.62 0.64 0.51 0.62 7XXX.00.00.0000000P0 34.7315 4 97537 Community/work reintegration A 0.45 0.18 0.15 0.17 0.18 0.04 0.15 0.02 0.62 0.64 0.51 0.62 7XXX.00.00.0000000P0 34.7315 4 97542 Wheelchair mngement training A 0.25 0.18 0.13 0.17 0.18 0.02 0.14 0.02 0.40 0.44 0.29 0.41 7XXX.00.00.0000000P0 34.7315 4 97545 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 7ZZZ.00.00.0000000P0 34.7315 9 97703 Prosthetic checkout A 0.25 0.20 0.06 0.17 0.20 0.02 0.16 0.02 0.33 0.44 0.29 0.43 7XXX.00.00.0000000P0 34.7315 4 97750 Physical performance test A 0.45 0.26 0.15 0.23 0.26 0.04 0.21 0.02 0.62 0.70 0.51 0.68 7XXX.00.00.0000000P0 34.7315 4 97770 Cognitive skills development A 0.44 0.30 0.14 0.26 0.30 0.04 0.24 0.02 0.60 0.72 0.50 0.70 7XXX.00.00.0000000P0 34.7315 4 97780 Acupuncture w/o stim N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 97781 Acupuncture w/stim N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 7XXX.00.00.0000000P0 34.7315 9 98925 Osteopathic manipulation A 0.45 0.27 0.31 0.28 0.27 0.14 0.24 0.02 0.78 0.75 0.61 0.71 0000.00.00.0000000P0 34.7315 4 98926 Osteopathic manipulation A 0.65 0.43 0.40 0.42 0.43 0.27 0.39 0.02 1.07 1.09 0.94 1.06 0000.00.00.0000000P0 34.7315 4 98927 Osteopathic manipulation A 0.87 0.41 0.46 0.42 0.41 0.30 0.38 0.02 1.35 1.31 1.19 1.27 0000.00.00.0000000P0 34.7315 4 98928 Osteopathic manipulation A 1.03 0.46 0.53 0.48 0.46 0.34 0.43 0.03 1.59 1.54 1.40 1.49 0000.00.00.0000000P0 34.7315 4 98929 Osteopathic manipulation A 1.19 0.42 0.60 0.47 0.42 0.37 0.41 0.02 1.81 1.68 1.58 1.62 0000.00.00.0000000P0 34.7315 4 98940 Chiropractic manipulation A 0.45 0.31 0.23 0.29 0.16 0.11 0.15 0.01 0.69 0.75 0.57 0.61 0000.00.00.0000000P0 34.7315 4 98941 Chiropractic manipulation A 0.65 0.31 0.29 0.31 0.16 0.17 0.16 0.01 0.95 0.97 0.83 0.82 0000.00.00.0000000P0 34.7315 4 98942 Chiropractic manipulation A 0.87 0.31 0.34 0.32 0.16 0.23 0.18 0.01 1.22 1.20 1.11 1.06 0000.00.00.0000000P0 34.7315 4 98943 Chiropractic manipulation N+ 0.40 0.31 0.30 0.31 0.31 0.15 0.27 0.01 0.71 0.72 0.56 0.68 9XXX.00.00.0099999P9 0.0000 9 99000 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99001 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99002 Device handling B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99024 Post-op follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99025 Initial surgical evaluation B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99052 Medical services at night B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99054 Medical services,unusual hrs B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99056 Non-office medical services B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99070 Special supplies B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99075 Medical testimony N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99082 Unusual physician travel C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 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 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 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 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 99140 Emergency anesthesia B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 99141 Sedation, iv/im or inhalant B+ 0.80 0.90 1.47 1.04 0.90 0.37 0.77 0.04 2.31 1.88 1.21 1.61 9XXX.00.00.0099999P9 0.0000 9 99142 Sedation, oral/rectal/nasal B+ 0.60 0.67 1.38 0.85 0.67 0.30 0.58 0.03 2.01 1.48 0.93 1.21 9XXX.00.00.0099999P9 0.0000 9 99175 Induction of vomiting A 0.00 1.44 1.45 1.44 1.44 1.45 1.44 0.08 1.53 1.52 1.53 1.52 5XXX.00.00.0000000P0 34.7315 4 99183 Hyperbaric oxygen therapy A 2.34 1.81 0.73 1.54 1.81 0.74 1.54 0.09 3.16 3.97 3.17 3.97 0XXX.00.00.0000000P0 34.7315 4 99185 Regional hypothermia A 0.00 0.66 0.67 NA 0.66 0.66 0.67 0.66 0.03 0.70 0.69 0.70 0.69 5XXX.00.00.0000000P0 34.7315 4 99186 Total body hypothermia A 0.00 1.84 1.85 NA 1.84 1.84 1.85 1.84 0.41 2.26 2.25 2.26 2.25 5XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99195 Phlebotomy A 0.00 0.46 0.45 0.46 0.46 0.45 0.46 0.02 0.47 0.48 0.47 0.48 5XXX.00.00.0000000P0 34.7315 4 99199 Special service or report C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 99201 Office/outpatient visit, new A 0.45 0.46 0.70 0.52 0.20 0.36 0.24 0.03 1.18 1.00 0.84 0.72 0XXX.00.00.0000000P0 34.7315 4 99202 Office/outpatient visit, new A 0.88 0.55 0.95 0.65 0.25 0.54 0.32 0.04 1.87 1.57 1.46 1.24 0XXX.00.00.0000000P0 34.7315 4 99203 Office/outpatient visit, new A 1.34 0.64 1.26 0.80 0.28 0.74 0.40 0.05 2.65 2.19 2.13 1.79 0XXX.00.00.0000000P0 34.7315 4 99204 Office/outpatient visit, new A 2.00 0.96 1.68 1.14 0.43 1.00 0.57 0.06 3.74 3.20 3.06 2.63 0XXX.00.00.0000000P0 34.7315 4 99205 Office/outpatient visit, new A 2.67 1.04 1.90 1.26 0.46 1.23 0.65 0.07 4.64 4.00 3.97 3.39 0XXX.00.00.0000000P0 34.7315 4 99211 Office/outpatient visit, est A 0.17 0.23 0.44 0.28 0.11 0.20 0.13 0.02 0.63 0.47 0.39 0.32 0XXX.00.00.0000000P0 34.7315 4 99212 Office/outpatient visit, est A 0.45 0.35 0.53 0.40 0.15 0.30 0.19 0.02 1.00 0.87 0.77 0.66 0XXX.00.00.0000000P0 34.7315 4 99213 Office/outpatient visit, est A 0.67 0.47 0.63 0.51 0.21 0.36 0.25 0.02 1.32 1.20 1.05 0.94 0XXX.00.00.0000000P0 34.7315 4 99214 Office/outpatient visit, est A 1.10 0.62 0.95 0.70 0.27 0.57 0.35 0.03 2.08 1.83 1.70 1.48 0XXX.00.00.0000000P0 34.7315 4 99215 Office/outpatient visit, est A 1.77 0.93 1.21 1.00 0.41 0.82 0.51 0.05 3.03 2.82 2.64 2.33 0XXX.00.00.0000000P0 34.7315 4 99217 Observation care discharge A 1.28 0.56 0.56 NA 0.56 0.56 0.56 0.56 0.03 1.87 1.87 1.87 1.87 0XXX.00.00.0000000P0 34.7315 4 99218 Observation care A 1.28 0.74 0.64 NA 0.72 0.74 0.64 0.72 0.05 1.97 2.05 1.97 2.05 0XXX.00.00.0000000P0 34.7315 4 99219 Observation care A 2.14 1.14 0.92 NA 1.09 1.14 0.92 1.09 0.07 3.13 3.30 3.13 3.30 0XXX.00.00.0000000P0 34.7315 4 99220 Observation care A 2.99 1.24 1.26 NA 1.25 1.24 1.26 1.25 0.07 4.32 4.31 4.32 4.31 0XXX.00.00.0000000P0 34.7315 4 99221 Initial hospital care A 1.28 0.73 0.65 NA 0.71 0.73 0.65 0.71 0.05 1.98 2.04 1.98 2.04 0XXX.00.00.0000000P0 34.7315 4 99222 Initial hospital care A 2.14 1.13 0.93 NA 1.08 1.13 0.93 1.08 0.07 3.14 3.29 3.14 3.29 0XXX.00.00.0000000P0 34.7315 4 99223 Initial hospital care A 2.99 1.23 1.25 NA 1.24 1.23 1.25 1.24 0.06 4.30 4.29 4.30 4.29 0XXX.00.00.0000000P0 34.7315 4 99231 Subsequent hospital care A 0.64 0.41 0.27 NA 0.38 0.41 0.27 0.38 0.02 0.93 1.04 0.93 1.04 0XXX.00.00.0000000P0 34.7315 4 99232 Subsequent hospital care A 1.06 0.49 0.41 NA 0.47 0.49 0.41 0.47 0.03 1.50 1.56 1.50 1.56 0XXX.00.00.0000000P0 34.7315 4 99233 Subsequent hospital care A 1.51 0.65 0.59 NA 0.64 0.65 0.59 0.64 0.04 2.14 2.19 2.14 2.19 0XXX.00.00.0000000P0 34.7315 4 99234 Observ/hosp same date A 2.56 0.74 1.07 NA 0.82 0.74 1.07 0.82 0.05 3.68 3.43 3.68 3.43 0XXX.00.00.0000000P0 34.7315 4 99235 Observ/hosp same date A 3.42 1.14 1.35 NA 1.19 1.14 1.35 1.19 0.07 4.84 4.68 4.84 4.68 0XXX.00.00.0000000P0 34.7315 4 99236 Observ/hosp same date A 4.27 1.24 1.68 NA 1.35 1.24 1.68 1.35 0.07 6.02 5.69 6.02 5.69 0XXX.00.00.0000000P0 34.7315 4 99238 Hospital discharge day A 1.28 0.55 0.57 NA 0.56 0.55 0.57 0.56 0.03 1.88 1.87 1.88 1.87 0XXX.00.00.0000000P0 34.7315 4 99239 Hospital discharge day A 1.75 0.55 0.72 NA 0.59 0.55 0.72 0.59 0.03 2.50 2.37 2.50 2.37 0XXX.00.00.0000000P0 34.7315 4 99241 Office consultation A 0.64 0.69 0.86 0.73 0.35 0.41 0.37 0.06 1.56 1.43 1.11 1.07 0XXX.00.00.0000000P0 34.7315 4 99242 Office consultation A 1.29 0.84 1.26 0.95 0.42 0.67 0.48 0.07 2.62 2.31 2.03 1.84 0XXX.00.00.0000000P0 34.7315 4 99243 Office consultation A 1.72 1.05 1.53 1.17 0.53 0.89 0.62 0.08 3.33 2.97 2.69 2.42 0XXX.00.00.0000000P0 34.7315 4 99244 Office consultation A 2.58 1.33 1.92 1.48 0.67 1.21 0.81 0.09 4.59 4.15 3.88 3.48 0XXX.00.00.0000000P0 34.7315 4 99245 Office consultation A 3.43 1.83 2.26 1.94 0.92 1.52 1.07 0.13 5.82 5.50 5.08 4.63 0XXX.00.00.0000000P0 34.7315 4 99251 Initial inpatient consult A 0.66 0.73 0.43 NA 0.66 0.73 0.43 0.66 0.06 1.15 1.38 1.15 1.38 0XXX.00.00.0000000P0 34.7315 4 99252 Initial inpatient consult A 1.32 0.82 0.72 NA 0.80 0.82 0.72 0.80 0.07 2.11 2.19 2.11 2.19 0XXX.00.00.0000000P0 34.7315 4 99253 Initial inpatient consult A 1.82 1.03 0.95 NA 1.01 1.03 0.95 1.01 0.08 2.85 2.91 2.85 2.91 0XXX.00.00.0000000P0 34.7315 4 99254 Initial inpatient consult A 2.64 1.30 1.26 NA 1.29 1.30 1.26 1.29 0.09 3.99 4.02 3.99 4.02 0XXX.00.00.0000000P0 34.7315 4 99255 Initial inpatient consult A 3.65 1.70 1.65 NA 1.69 1.70 1.65 1.69 0.11 5.41 5.45 5.41 5.45 0XXX.00.00.0000000P0 34.7315 4 99261 Follow-up inpatient consult A 0.42 0.36 0.33 NA 0.35 0.36 0.33 0.35 0.02 0.77 0.79 0.77 0.79 0XXX.00.00.0000000P0 34.7315 4 99262 Follow-up inpatient consult A 0.85 0.50 0.51 NA 0.50 0.50 0.51 0.50 0.03 1.39 1.38 1.39 1.38 0XXX.00.00.0000000P0 34.7315 4 99263 Follow-up inpatient consult A 1.27 0.73 0.67 NA 0.72 0.73 0.67 0.72 0.03 1.97 2.02 1.97 2.02 0XXX.00.00.0000000P0 34.7315 4 99271 Confirmatory consultation A 0.45 0.63 0.51 0.60 0.32 0.34 0.33 0.05 1.01 1.10 0.84 0.83 0XXX.00.00.0000000P0 34.7315 4 99272 Confirmatory consultation A 0.84 0.77 0.70 0.75 0.39 0.53 0.43 0.07 1.61 1.66 1.44 1.34 0XXX.00.00.0000000P0 34.7315 4 99273 Confirmatory consultation A 1.19 1.11 0.93 1.07 0.56 0.65 0.58 0.09 2.21 2.35 1.93 1.86 0XXX.00.00.0000000P0 34.7315 4 99274 Confirmatory consultation A 1.73 1.32 1.22 1.30 0.66 0.88 0.72 0.09 3.04 3.12 2.70 2.54 0XXX.00.00.0000000P0 34.7315 4 99275 Confirmatory consultation A 2.31 1.89 1.42 1.77 1.89 1.04 1.68 0.13 3.86 4.21 3.48 4.12 0XXX.00.00.0000000P0 34.7315 4 99281 Emergency dept visit A 0.33 0.30 0.12 NA 0.26 0.30 0.12 0.26 0.01 0.46 0.60 0.46 0.60 0XXX.00.00.0000000P0 34.7315 4 99282 Emergency dept visit A 0.55 0.41 0.19 NA 0.36 0.41 0.19 0.36 0.02 0.76 0.93 0.76 0.93 0XXX.00.00.0000000P0 34.7315 4 99283 Emergency dept visit A 1.24 0.53 0.35 NA 0.49 0.53 0.35 0.49 0.03 1.62 1.76 1.62 1.76 0XXX.00.00.0000000P0 34.7315 4 99284 Emergency dept visit A 1.95 0.76 0.52 NA 0.70 0.76 0.52 0.70 0.05 2.52 2.70 2.52 2.70 0XXX.00.00.0000000P0 34.7315 4 99285 Emergency dept visit A 3.06 1.23 0.77 NA 1.12 1.23 0.77 1.12 0.06 3.89 4.24 3.89 4.24 0XXX.00.00.0000000P0 34.7315 4 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99291 Critical care, first hour A 4.00 1.55 1.42 1.52 1.55 1.38 1.51 0.09 5.51 5.61 5.47 5.60 0XXX.00.00.0000000P0 34.7315 4 99292 Critical care, addl 30 min A 2.00 0.68 0.75 0.70 0.68 0.72 0.69 0.03 2.78 2.73 2.75 2.72 0ZZZ.00.00.0000000P0 34.7315 4 99295 Neonatal critical care A 16.00 5.51 5.71 NA 5.56 5.51 5.71 5.56 1.21 22.92 22.77 22.92 22.77 0XXX.00.00.0000000P0 34.7315 4 99296 Neonatal critical care A 8.00 2.67 4.41 NA 3.11 2.67 4.41 3.11 0.60 13.01 11.71 13.01 11.71 0XXX.00.00.0000000P0 34.7315 4 99297 Neonatal critical care A 4.00 1.33 4.25 NA 2.06 1.33 4.25 2.06 0.30 8.55 6.36 8.55 6.36 0XXX.00.00.0000000P0 34.7315 4 99298 Neonatal critical care A 2.75 0.00 0.94 0.94 0.00 0.88 0.88 0.30 3.99 3.99 3.93 3.93 0XXX.00.00.0000000P0 34.7315 5 99301 Nursing facility care A 1.20 0.49 0.57 NA 0.51 0.49 0.57 0.51 0.02 1.79 1.73 1.79 1.73 0XXX.00.00.0000000P0 34.7315 4 99302 Nursing facility care A 1.61 0.54 0.73 NA 0.59 0.54 0.73 0.59 0.03 2.37 2.23 2.37 2.23 0XXX.00.00.0000000P0 34.7315 4 99303 Nursing facility care A 2.01 1.03 0.88 NA 0.99 1.03 0.88 0.99 0.05 2.94 3.05 2.94 3.05 0XXX.00.00.0000000P0 34.7315 4 99311 Nursing facility care,subseq A 0.60 0.37 0.30 NA 0.35 0.37 0.30 0.35 0.02 0.92 0.97 0.92 0.97 0XXX.00.00.0000000P0 34.7315 4 99312 Nursing facility care,subseq A 1.00 0.44 0.43 NA 0.44 0.44 0.43 0.44 0.02 1.45 1.46 1.45 1.46 0XXX.00.00.0000000P0 34.7315 4 99313 Nursing facility care,subseq A 1.42 0.50 0.59 NA 0.52 0.50 0.59 0.52 0.03 2.04 1.97 2.04 1.97 0XXX.00.00.0000000P0 34.7315 4 99315 Nursing fac discharge day A 1.13 0.55 0.58 NA 0.56 0.55 0.58 0.56 0.03 1.74 1.72 1.74 1.72 0XXX.00.00.0000000P0 34.7315 4 99316 Nursing fac discharge day A 1.50 0.55 0.71 NA 0.59 0.55 0.71 0.59 0.03 2.24 2.12 2.24 2.12 0XXX.00.00.0000000P0 34.7315 4 99321 Rest home visit, new patient A 0.71 0.40 0.38 0.40 0.40 0.40 0.40 0.02 1.11 1.13 1.13 1.13 0XXX.00.00.0000000P0 34.7315 4 99322 Rest home visit, new patient A 1.01 0.55 0.59 0.56 0.55 0.58 0.56 0.04 1.64 1.61 1.63 1.61 0XXX.00.00.0000000P0 34.7315 4 99323 Rest home visit, new patient A 1.28 0.79 0.74 0.78 0.79 0.74 0.78 0.05 2.07 2.11 2.07 2.11 0XXX.00.00.0000000P0 34.7315 4 99331 Rest home visit, estab pat A 0.60 0.30 0.38 0.32 0.30 0.39 0.32 0.02 1.00 0.94 1.01 0.94 0XXX.00.00.0000000P0 34.7315 4 99332 Rest home visit, estab pat A 0.80 0.39 0.48 0.41 0.39 0.49 0.42 0.02 1.30 1.23 1.31 1.24 0XXX.00.00.0000000P0 34.7315 4 99333 Rest home visit, estab pat A 1.00 0.48 0.58 0.51 0.48 0.58 0.51 0.02 1.60 1.53 1.60 1.53 0XXX.00.00.0000000P0 34.7315 4 99341 Home visit, new patient A 1.01 0.58 0.49 0.56 0.58 0.51 0.56 0.04 1.54 1.61 1.56 1.61 0XXX.00.00.0000000P0 34.7315 4 99342 Home visit, new patient A 1.52 0.65 0.74 0.67 0.65 0.81 0.69 0.04 2.30 2.23 2.37 2.25 0XXX.00.00.0000000P0 34.7315 4 99343 Home visit, new patient A 2.27 0.84 1.09 0.90 0.84 1.24 0.94 0.05 3.41 3.22 3.56 3.26 0XXX.00.00.0000000P0 34.7315 4 99344 Home visit, new patient A 3.03 0.92 1.35 1.03 0.92 1.51 1.07 0.07 4.45 4.13 4.61 4.17 0XXX.00.00.0000000P0 34.7315 4 99345 Home visit, new patient A 3.79 0.92 1.61 1.09 0.92 1.78 1.14 0.07 5.47 4.95 5.64 5.00 0XXX.00.00.0000000P0 34.7315 4 99347 Home visit, estab patient A 0.76 0.49 0.41 0.47 0.49 0.43 0.48 0.03 1.20 1.26 1.22 1.27 0XXX.00.00.0000000P0 34.7315 4 99348 Home visit, estab patient A 1.26 0.58 0.63 0.59 0.58 0.64 0.60 0.03 1.92 1.88 1.93 1.89 0XXX.00.00.0000000P0 34.7315 4 99349 Home visit, estab patient A 2.02 0.66 0.91 0.72 0.66 0.86 0.71 0.04 2.97 2.78 2.92 2.77 0XXX.00.00.0000000P0 34.7315 4 99350 Home visit, estab patient A 3.03 0.82 1.24 0.93 0.82 1.15 0.90 0.05 4.32 4.01 4.23 3.98 0XXX.00.00.0000000P0 34.7315 4 99354 Prolonged service, office A 1.77 0.82 1.13 0.90 0.41 0.77 0.50 0.05 2.95 2.72 2.59 2.32 0ZZZ.00.00.0000000P0 34.7315 4 99355 Prolonged service, office A 1.77 0.82 0.96 0.86 0.41 0.66 0.47 0.05 2.78 2.68 2.48 2.29 0ZZZ.00.00.0000000P0 34.7315 4 99356 Prolonged service, inpatient A 1.71 0.92 0.61 NA 0.84 0.92 0.61 0.84 0.06 2.38 2.61 2.38 2.61 0ZZZ.00.00.0000000P0 34.7315 4 99357 Prolonged service, inpatient A 1.71 0.92 0.64 NA 0.85 0.92 0.64 0.85 0.06 2.41 2.62 2.41 2.62 0ZZZ.00.00.0000000P0 34.7315 4 99358 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 99359 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999P9 0.0000 9 99360 Physician standby services X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99361 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99362 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99371 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99372 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99373 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99374 Home health care supervision B+ 1.10 0.55 1.03 0.67 0.55 0.80 0.61 0.03 2.16 1.80 1.93 1.74 9XXX.00.00.0099999P9 0.0000 9 99375 Home health care supervision A 1.73 0.55 1.11 0.69 0.55 0.92 0.64 0.03 2.87 2.45 2.68 2.40 0XXX.00.00.0000000P0 34.7315 4 99377 Hospice care supervision B+ 1.10 0.55 1.03 0.67 0.55 0.80 0.61 0.03 2.16 1.80 1.93 1.74 9XXX.00.00.0099999P9 0.0000 9 99378 Hospice care supervision A 1.73 0.55 1.16 0.70 0.55 0.88 0.63 0.03 2.92 2.46 2.64 2.39 0XXX.00.00.0000000P0 34.7315 4 99379 Nursing fac care supervision B+ 1.10 0.55 1.03 0.67 0.55 0.80 0.61 0.03 2.16 1.80 1.93 1.74 9XXX.00.00.0099999P9 0.0000 9 99380 Nursing fac care supervision B+ 1.73 0.55 1.27 0.73 0.55 1.03 0.67 0.03 3.03 2.49 2.79 2.43 9XXX.00.00.0099999P9 0.0000 9 99381 Preventive visit, new,infant N+ 1.19 1.33 1.08 1.27 1.33 0.45 1.11 0.06 2.33 2.52 1.70 2.36 9XXX.00.00.0099999P9 0.0000 9 99382 Preventive visit,new,age 1-4 N+ 1.36 1.53 1.13 1.43 1.53 0.52 1.28 0.07 2.56 2.86 1.95 2.71 9XXX.00.00.0099999P9 0.0000 9 99383 Preventive visit,new,age5-11 N+ 1.36 1.53 1.11 1.43 1.53 0.52 1.28 0.07 2.54 2.86 1.95 2.71 9XXX.00.00.0099999P9 0.0000 9 99384 Preventive visit, new, 12-17 N+ 1.53 1.73 1.18 1.59 1.73 0.58 1.44 0.08 2.79 3.20 2.19 3.05 9XXX.00.00.0099999P9 0.0000 9 99385 Preventive visit, new, 18-39 N+ 1.53 1.52 1.18 1.44 1.52 0.58 1.29 0.07 2.78 3.04 2.18 2.89 9XXX.00.00.0099999P9 0.0000 9 99386 Preventive visit, new, 40-64 N+ 1.88 1.87 1.34 1.74 1.87 0.71 1.58 0.08 3.30 3.70 2.67 3.54 9XXX.00.00.0099999P9 0.0000 9 99387 Preventive visit,new,65&over N+ 2.06 2.04 1.45 1.89 2.04 0.77 1.72 0.09 3.60 4.04 2.92 3.87 9XXX.00.00.0099999P9 0.0000 9 99391 Preventive visit, est,infant N+ 1.02 1.15 0.76 1.05 1.15 0.38 0.96 0.05 1.83 2.12 1.45 2.03 9XXX.00.00.0099999P9 0.0000 9 99392 Preventive visit,est,age 1-4 N+ 1.19 1.33 0.83 1.21 1.33 0.45 1.11 0.06 2.08 2.46 1.70 2.36 9XXX.00.00.0099999P9 0.0000 9 99393 Preventive visit,est,age5-11 N+ 1.19 1.33 0.83 1.21 1.33 0.45 1.11 0.06 2.08 2.46 1.70 2.36 9XXX.00.00.0099999P9 0.0000 9 99394 Preventive visit, est, 12-17 N+ 1.36 1.53 0.90 1.37 1.53 0.52 1.28 0.07 2.33 2.80 1.95 2.71 9XXX.00.00.0099999P9 0.0000 9 99395 Preventive visit, est, 18-39 N+ 1.36 1.36 0.92 1.25 1.36 0.77 1.21 0.06 2.34 2.67 2.19 2.63 9XXX.00.00.0099999P9 0.0000 9 99396 Preventive visit, est, 40-64 N+ 1.53 1.52 1.00 1.39 1.52 0.84 1.35 0.07 2.60 2.99 2.44 2.95 9XXX.00.00.0099999P9 0.0000 9 99397 Preventive visit,est,65&over N+ 1.71 1.69 1.08 1.54 1.69 0.91 1.50 0.08 2.87 3.33 2.70 3.29 9XXX.00.00.0099999P9 0.0000 9 99401 Preventive counseling, indiv N+ 0.48 0.49 0.44 0.48 0.49 0.34 0.45 0.02 0.94 0.98 0.84 0.95 9XXX.00.00.0099999P9 0.0000 9 99402 Preventive counseling, indiv N+ 0.98 0.97 0.66 0.89 0.97 0.54 0.86 0.04 1.68 1.91 1.56 1.88 9XXX.00.00.0099999P9 0.0000 9 99403 Preventive counseling, indiv N+ 1.46 1.45 0.88 1.31 1.45 0.71 1.27 0.06 2.40 2.83 2.23 2.79 9XXX.00.00.0099999P9 0.0000 9 99404 Preventive counseling, indiv N+ 1.95 1.93 1.08 1.72 1.93 0.90 1.67 0.09 3.12 3.76 2.94 3.71 9XXX.00.00.0099999P9 0.0000 9 99411 Preventive counseling, group N+ 0.15 0.15 0.13 0.15 0.15 0.09 0.14 0.01 0.29 0.31 0.25 0.30 9XXX.00.00.0099999P9 0.0000 9 99412 Preventive counseling, group N+ 0.25 0.25 0.19 0.24 0.25 0.13 0.22 0.01 0.45 0.50 0.39 0.48 9XXX.00.00.0099999P9 0.0000 9 99420 Health risk assessment test N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 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 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99431 Initial care, normal newborn A 1.17 1.31 0.57 NA 1.13 1.31 0.57 1.13 0.06 1.80 2.36 1.80 2.36 0XXX.00.00.0000000P0 34.7315 4 99432 Newborn care not in hospital A 1.26 1.42 0.90 1.29 1.42 0.36 1.16 0.06 2.22 2.61 1.68 2.48 0XXX.00.00.0000000P0 34.7315 4 99433 Normal newborn care,hospital A 0.62 0.69 0.23 NA 0.58 0.69 0.23 0.58 0.03 0.88 1.23 0.88 1.23 0XXX.00.00.0000000P0 34.7315 4 99435 Hospital NB discharge day A 1.50 1.68 0.57 NA 1.40 1.68 0.57 1.40 0.08 2.15 2.98 2.15 2.98 0XXX.00.00.0000000P0 34.7315 4 99436 Attendance, birth A 1.50 1.68 0.65 1.42 1.68 3.24 2.07 0.08 2.23 3.00 4.82 3.65 0XXX.00.00.0000000P0 34.7315 4 99440 Newborn resuscitation A 2.93 3.30 3.92 NA 3.46 3.30 3.92 3.46 0.15 7.00 6.54 7.00 6.54 0XXX.00.00.0000000P0 34.7315 4 99450 Life/disability evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 0.0000 9 99455 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 99456 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9 99499 Unlisted E/M service C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 34.7315 9