HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 2000 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 9XXX.00.00.0099999P9 38.2581 9 A0030 Air ambulance service I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0040 Helicopter ambulance service I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0050 Water amb service emergency I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A0225 Neonatal emergency transport D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0300 Ambulance basic non-emer all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0302 Ambulance basic emergeny all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0304 Amb adv non-er no serv all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0306 Amb adv non-er spec serv all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0308 Amb adv er no spec serv all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0310 Amb adv er spec serv all I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0320 Amb basic non-er + supplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0322 Amb basic emerg + supplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0324 Adv non-er serv sep mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0326 Adv non-er no serv sep mile I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0328 Adv er no serv sep mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0330 Adv er spec serv sep mile I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0340 Amb basic non-er + mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0342 Ambul basic emer + mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0344 Amb adv non-er no serv +mile I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0346 Amb adv non-er serv + mile I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0348 Adv emer no spec serv + mile I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0350 Adv emer spec serv + mileage I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0360 Basic non-er sep mile & supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0362 Basic emer sep mile & supply I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0364 Adv non-er no serv sep mi&su I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0366 Adv non-er serv sep mil&supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0368 Adv er no serv sep mile&supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A0370 Adv er spec serv sep mi&supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A0425 Ground mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0426 Als 1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0427 ALS1-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0428 bls X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0429 BLS-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0430 Fixed wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0431 Rotary wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0432 PI volunteer ambulance co X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0433 als 2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0434 Specialty care transport X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0435 Fixed wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A0436 Rotary wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4206 1 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4207 2 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4208 3 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4209 5+ CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4213 20+ CC syringe only I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4215 Sterile needle I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4230 Infus insulin pump non needl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4231 Infusion insulin pump needle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4232 Syringe w/needle insulin 3cc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4244 Alcohol or peroxide per pint I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4245 Alcohol wipes per box I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4246 Betadine/phisohex solution I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4247 Betadine/iodine swabs/wipes I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4263 Permanent tear duct plug A 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 9XXX.00.00.0099999P9 38.2581 4 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4280 Brst prsths adhsv attchmnt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4290 Sacral nerve stim test lead X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4300 Cath impl vasc access portal A 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4319 Sterile H2O irrigation solut X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4324 Male ext cath w/adh coating X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4325 Male ext cath w/adh strip X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4331 Extension drainage tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4332 Lubricant for cath insertion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4333 Urinary cath anchor device X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4334 Urinary cath leg strap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4348 Male ext cath extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4364 Liq adhes for facial prosth P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4365 Adhesive remover wipes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4369 Skin barrier liquid per oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4370 Skin barrier paste per oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4371 Skin barrier powder per oz X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4372 Skin barrier solid 4x4 equiv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4373 Skin barrier with flange X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4374 Skin barrier extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4375 Drainable plastic pch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4376 Drainable rubber pch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4377 Drainable plstic pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4378 Drainable rubber pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4379 Urinary plastic pouch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4380 Urinary rubber pouch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4381 Urinary plastic pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4382 Urinary hvy plstc pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4383 Urinary rubber pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4384 Ostomy faceplt/silicone ring X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4385 Ost skn barrier sld ext wear X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4386 Ost skn barrier w flng ex wr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4387 Ost clsd pouch w att st barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4388 Drainable pch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4389 Drainable pch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4390 Drainable pch ex wear convex X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4391 Urinary pouch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4392 Urinary pouch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4393 Urine pch w ex wear bar conv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4394 Ostomy pouch liq deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4395 Ostomy pouch solid deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4396 Peristomal hernia supprt blt X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4464 Joint support device/garment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4550 Surgical trays A 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4556 Electrodes, pair P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4557 Lead wires, pair P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4560 Pessary D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4561 Pessary rubber, any type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4562 Pessary, non rubber,any type X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 A4570 Splint X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4608 Transtracheal oxygen cath X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4690 Dialyzers X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4773 Hemostix X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A4927 Gloves X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A5065 Drain ostomy pouch on fcplte D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A5126 Disk/foam pad +or- adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A5149 Incontinence/ostomy supply D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A5508 Diabetic deluxe shoe X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A6021 Collagen dressing <=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A6022 Collagen drsg>6<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A6023 Collagen dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A6024 Collagen dsg wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A6231 Hydrogel dsg<=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A6232 Hydrogel dsg>16<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A6233 Hydrogel dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A7000 Disposable canister for pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7001 Nondisposable pump canister X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7002 Tubing used w suction pump X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7003 Nebulizer administration set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7004 Disposable nebulizer sml vol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7005 Nondisposable nebulizer set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7006 Filtered nebulizer admin set X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7007 Lg vol nebulizer disposable X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7008 Disposable nebulizer prefill X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7009 Nebulizer reservoir bottle X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7010 Disposable corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7011 Nondispos corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7012 Nebulizer water collec devic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7013 Disposable compressor filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7014 Compressor nondispos filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7015 Aerosol mask used w nebulize X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7016 Nebulizer dome & mouthpiece X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7017 Nebulizer not used w oxygen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7018 Water distilled w/nebulizer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7019 Saline solution dispenser X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7020 Sterile H2O or NSS w lgv neb X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7501 Tracheostoma valve w diaphra X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7502 Replacement diaphragm/fplate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7503 HMES filter holder or cap X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7504 Tracheostoma HMES filter X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7505 HMES or trach valve housing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7506 HMES/trachvalve adhesivedisk X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7507 Integrated filter & holder X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7508 Housing & Integrated Adhesiv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A7509 Heat & moisture exchange sys X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A9504 Technetium tc 99m apcitide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A9508 Iobenguane sulfate I-131 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A9510 Technetium TC99m Disofenin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 A9700 Echocardiography Contrast X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A9900 Supply/accessory/service X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 A9901 Delivery/set up/dispensing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D0170 Re-eval,est pt,problem focus N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 9 D0277 Vert bitewings-sev to eight R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D0350 Oral/facial images I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D0472 Gross exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D0473 Micro exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D0474 Micro w exam of surg margins R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D0480 Cytopath smear prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2337 Compo resin crown ant-perm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2388 Resin four/more, post perm N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2542 Dental onlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2780 Crown 3/4 cast hi noble met N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D2781 Crown 3/4 cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D2782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D2783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2799 Provisional crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2953 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D2957 Each addtnl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D3221 Gross pulpal debridement N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D3310 Anterior N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D3331 Non-surg tx root canal obs N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D3332 Incomplete endodontic tx N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D3333 Internal root repair N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D4245 Apically positioned flap N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D4268 Surgical revision procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D5867 Replacement of precision att N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D5875 Prosthesis modification N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6056 Prefabricated abutment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6057 Custom abutment N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6058 Abutment supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6059 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6060 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6061 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6062 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6063 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6064 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6065 Implant supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6066 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6067 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6068 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6069 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6070 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6071 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6072 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6073 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6074 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6075 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6076 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6077 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6078 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6079 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6245 Bridge porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6519 Inlay/onlay porce/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6548 Porcelain/ceramic retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6740 Crown porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6781 Crown 3/4 cast based metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D6976 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D6977 Each addtl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7471 Rem exostosis any site I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7670 Closd rductn splint alveolus I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7871 Lysis + lavage w catheters N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D7997 Appliance removal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D8691 Repair ortho appliance N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D8692 Replacement retainer N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000P0 38.2581 9 D9241 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D9242 IV sedation ea ad 30 m I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D9248 Sedation (non-iv) R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D9911 Appl desensitizing resin N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 0YYY.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 D9971 Odontoplasty 1-2 teeth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D9972 Extrnl bleaching per arch N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D9973 Extrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 D9974 Intrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 G0002 Temporary urinary catheter A 0.50 3.00 2.44 0.17 0.32 0.03 3.53 2.97 0.70 0.85 0000.00.00.0020100P0 38.2581 4 G0004 ECG transm phys review & int A 0.52 7.41 7.54 7.41 7.54 0.45 8.38 8.51 8.38 8.51 4XXX.00.00.0000000P0 38.2581 4 G0005 ECG 24 hour recording A 0.00 1.23 1.24 1.23 1.24 0.07 1.30 1.31 1.30 1.31 3XXX.00.00.0000000P0 38.2581 4 G0006 ECG transmission & analysis A 0.00 5.97 6.03 5.97 6.03 0.36 6.33 6.39 6.33 6.39 3XXX.00.00.0000000P0 38.2581 4 G0007 ECG phy review & interpret A 0.52 0.21 0.27 0.21 0.27 0.02 0.75 0.81 0.75 0.81 2XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 G0015 Post symptom ECG tracing A 0.00 5.97 6.03 5.97 6.03 0.36 6.33 6.39 6.33 6.39 3XXX.00.00.0000000P0 38.2581 4 G0016 Post symptom ECG md review A 0.52 0.23 0.28 0.23 0.28 0.02 0.77 0.82 0.77 0.82 2XXX.00.00.0000000P0 38.2581 4 G0025 Collagen skin test kit A 0.00 0.00 0.26 0.00 0.26 0.00 0.00 0.26 0.00 0.26 9XXX.00.00.0099999P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003026PET imaging prev PET single A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003126PET imaging prev PET multple A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003226PET follow SPECT 78464 singl A 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003326PET follow SPECT 78464 mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003426PET follow SPECT 76865 singl A 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003526PET follow SPECT 78465 mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003626PET follow cornry angio sing A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003726PET follow cornry angio mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003826PET follow myocard perf sing A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G003926PET follow myocard perf mult A 1.87 0.70 0.70 0.70 0.70 0.07 2.64 2.64 2.64 2.64 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004026PET follow stress echo singl A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004126PET follow stress echo mult A 1.87 0.70 0.70 0.70 0.70 0.05 2.62 2.62 2.62 2.62 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004226PET follow ventriculogm sing A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004326PET follow ventriculogm mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004426PET following rest ECG singl A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004526PET following rest ECG mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004626PET follow stress ECG singl A 1.50 0.52 0.52 0.52 0.52 0.04 2.06 2.06 2.06 2.06 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 G004726PET follow stress ECG mult A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 4 G0050 Residual urine by ultrasound A 0.00 0.85 0.86 0.85 0.86 0.04 0.89 0.90 0.89 0.90 3XXX.00.00.0000000P0 38.2581 4 G0101 CA screen;pelvic/breast exam A 0.45 0.66 0.57 0.17 0.20 0.01 1.12 1.03 0.63 0.66 0XXX.00.00.0000000P0 38.2581 4 G0102 Prostate ca screening; dre A 0.17 0.37 0.34 0.06 0.07 0.01 0.55 0.52 0.24 0.25 0XXX.00.00.009999999 38.2581 4 G0103 Psa, total screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0104 CA screen;flexi sigmoidscope A 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 0000.00.00.0020100P0 38.2581 4 G0105 Colorectal scrn; hi risk ind A 3.68 6.60 6.07 1.70 2.38 0.20 10.48 9.95 5.58 6.26 0000.00.00.0020100P1A4550 38.2581 4 G0106 Colon CA screen;barium enema A 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 1XXX.00.00.0000000P0 38.2581 4 G0106TCColon CA screen;barium enema A 0.00 2.22 2.24 2.22 2.24 0.11 2.33 2.35 2.33 2.35 1XXX.00.00.0000000P0 38.2581 4 G010626Colon CA screen;barium enema A 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 G0108 Diab manage trn per indiv A 0.00 1.64 1.64 1.64 1.64 0.01 1.65 1.65 1.65 1.65 0XXX.00.00.0000000P0 38.2581 4 G0109 Diab manage trn ind/group A 0.00 0.96 0.96 0.96 0.96 0.01 0.97 0.97 0.97 0.97 0XXX.00.00.0000000P0 38.2581 4 G0110 Nett pulm-rehab educ; ind R 0.90 0.74 0.63 0.36 0.34 0.03 1.67 1.56 1.29 1.27 0XXX.00.00.0000000P0 38.2581 4 G0111 Nett pulm-rehab educ; group R 0.27 0.30 0.28 0.11 0.14 0.01 0.58 0.56 0.39 0.42 0XXX.00.00.0000000P0 38.2581 4 G0112 Nett;nutrition guid, initial R 1.72 1.44 1.34 0.69 0.78 0.05 3.21 3.11 2.46 2.55 0XXX.00.00.0000000P0 38.2581 4 G0113 Nett;nutrition guid,subseqnt R 1.29 1.11 1.04 0.52 0.60 0.04 2.44 2.37 1.85 1.93 0XXX.00.00.0000000P0 38.2581 4 G0114 Nett; psychosocial consult R 1.20 0.49 0.46 0.48 0.46 0.03 1.72 1.69 1.71 1.69 0XXX.00.00.0000000P0 38.2581 4 G0115 Nett; psychological testing R 1.20 0.67 0.60 0.38 0.38 0.04 1.91 1.84 1.62 1.62 0XXX.00.00.0000000P0 38.2581 4 G0116 Nett; psychosocial counsel R 1.11 1.20 1.00 0.44 0.43 0.04 2.35 2.15 1.59 1.58 0XXX.00.00.0000000P0 38.2581 4 G0120 Colon ca scrn; barium enema A 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 1XXX.00.00.0000000P0 38.2581 4 G0120TCColon ca scrn; barium enema A 0.00 2.22 2.24 2.22 2.24 0.11 2.33 2.35 2.33 2.35 1XXX.00.00.0000000P0 38.2581 4 G012026Colon ca scrn; barium enema A 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 1XXX.00.00.0000000P0 38.2581 4 G0121 Colon ca scrn not hi rsk ind N+ 3.70 6.51 6.00 1.48 2.22 0.14 10.35 9.84 5.32 6.06 9XXX.00.00.0099999P9 38.2581 9 G0122 Colon ca scrn; barium enema N+ 0.99 2.62 2.66 2.62 2.66 0.15 3.76 3.80 3.76 3.80 1XXX.00.00.0099999P9 38.2581 9 G0122TCColon ca scrn; barium enema N+ 0.00 2.22 2.24 2.22 2.24 0.11 2.33 2.35 2.33 2.35 1XXX.00.00.0099999P9 38.2581 9 G012226Colon ca scrn; barium enema N+ 0.99 0.40 0.42 0.40 0.42 0.04 1.43 1.45 1.43 1.45 1XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 G0124 Screen c/v thin layer by MD A 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 0XXX.00.00.0000000P0 38.2581 4 G0125 Lung image (PET) A 1.50 56.10 56.11 56.10 56.11 2.00 59.60 59.61 59.60 59.61 1XXX.00.00.0000000P0 38.2581 4 G0125TCLung image (PET) A 0.00 55.58 55.59 55.58 55.59 1.95 57.53 57.54 57.53 57.54 1XXX.00.00.0000000P0 38.2581 4 G012526Lung image (PET) A 1.50 0.52 0.52 0.52 0.52 0.05 2.07 2.07 2.07 2.07 1XXX.00.00.0000000P0 38.2581 4 G0126 Lung image (PET) staging A 1.87 56.28 56.29 56.28 56.29 2.01 60.16 60.17 60.16 60.17 1XXX.00.00.0000000P0 38.2581 4 G0126TCLung image (PET) staging A 0.00 55.58 55.59 55.58 55.59 1.95 57.53 57.54 57.53 57.54 1XXX.00.00.0000000P0 38.2581 4 G012626Lung image (PET) staging A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 4 G0127 Trim nail(s) R 0.11 0.49 0.43 0.04 0.06 0.01 0.61 0.55 0.16 0.18 0000.00.00.0020100P0 38.2581 4 G0128 CORF skilled nursing service R 0.08 0.03 0.03 0.03 0.03 0.01 0.12 0.12 0.12 0.12 0XXX.00.00.0000000P0 38.2581 5 G0130 Single energy x-ray study A 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 1XXX.00.00.0000000P0 38.2581 4 G0130TCSingle energy x-ray study A 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 1XXX.00.00.0000000P0 38.2581 4 G013026Single energy x-ray study A 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 1XXX.00.00.0000000P0 38.2581 4 G0131 CT scan, bone density study A 0.25 3.18 3.18 3.18 3.18 0.14 3.57 3.57 3.57 3.57 1XXX.00.00.0000000P0 38.2581 4 G0131TCCT scan, bone density study A 0.00 3.05 3.05 3.05 3.05 0.13 3.18 3.18 3.18 3.18 1XXX.00.00.0000000P0 38.2581 4 G013126CT scan, bone density study A 0.25 0.13 0.13 0.13 0.13 0.01 0.39 0.39 0.39 0.39 1XXX.00.00.0000000P0 38.2581 4 G0132 CT scan, bone density study A 0.22 0.90 0.90 0.90 0.90 0.05 1.17 1.17 1.17 1.17 1XXX.00.00.0000000P0 38.2581 4 G0132TCCT scan, bone density study A 0.00 0.79 0.79 0.79 0.79 0.04 0.83 0.83 0.83 0.83 1XXX.00.00.0000000P0 38.2581 4 G013226CT scan, bone density study A 0.22 0.11 0.11 0.11 0.11 0.01 0.34 0.34 0.34 0.34 1XXX.00.00.0000000P0 38.2581 4 G0141 Scr c/v cyto,autosys and md A 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 0XXX.00.00.0000000P0 38.2581 4 G0143 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 G0159 Perc declot dialysis graft D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.000000090 38.2581 9 G0160 Cryo. ablation, prostate D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0090.08.83.0920100P0 38.2581 9 G0161 Echo guide for cryo probes D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 G0161TCEcho guide for cryo probes D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 G016126Echo guide for cryo probes D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 G0163 Pet for rec of colorectal ca A 1.50 56.15 56.15 56.15 56.15 2.00 59.65 59.65 59.65 59.65 1XXX.00.00.0000000P0 38.2581 5 G0163TCPet for rec of colorectal ca A 0.00 55.58 55.58 55.58 55.58 1.95 57.53 57.53 57.53 57.53 1XXX.00.00.0000000P0 38.2581 5 G016326Pet for rec of colorectal ca A 1.50 0.57 0.57 0.57 0.57 0.05 2.12 2.12 2.12 2.12 1XXX.00.00.0000000P0 38.2581 5 G0164 Pet for lymphoma staging A 1.87 56.28 56.28 56.28 56.28 2.01 60.16 60.16 60.16 60.16 1XXX.00.00.0000000P0 38.2581 5 G0164TCPet for lymphoma staging A 0.00 55.58 55.58 55.58 55.58 1.95 57.53 57.53 57.53 57.53 1XXX.00.00.0000000P0 38.2581 5 G016426Pet for lymphoma staging A 1.87 0.70 0.70 0.70 0.70 0.06 2.63 2.63 2.63 2.63 1XXX.00.00.0000000P0 38.2581 5 G0165 Pet,rec of melanoma/met ca A 1.50 56.17 56.17 56.17 56.17 2.00 59.67 59.67 59.67 59.67 1XXX.00.00.0000000P0 38.2581 5 G0165TCPet,rec of melanoma/met ca A 0.00 55.58 55.58 55.58 55.58 1.95 57.53 57.53 57.53 57.53 1XXX.00.00.0000000P0 38.2581 5 G016526Pet,rec of melanoma/met ca A 1.50 0.59 0.59 0.59 0.59 0.05 2.14 2.14 2.14 2.14 1XXX.00.00.0000000P0 38.2581 5 G0166 Extrnl counterpulse, per tx A 0.07 3.68 3.68 0.03 0.03 0.01 3.76 3.76 0.11 0.11 0XXX.00.00.009999999 38.2581 5 G0167 Hyperbaric oz tx;no md reqrd C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.009999999 38.2581 9 G0168 Wound closure by adhesive A 0.45 1.79 1.79 0.25 0.25 0.01 2.25 2.25 0.71 0.71 0000.00.00.002010090 38.2581 5 G0169 Removal tissue; no anesthsia D 0.50 0.59 0.59 0.20 0.20 0.03 1.12 1.12 0.73 0.73 0XXX.00.00.009999999 38.2581 5 G0170 Skin biograft D 1.50 2.40 2.40 0.98 0.98 0.16 4.06 4.06 2.64 2.64 0010.10.80.100010090 38.2581 5 G0171 Skin biograft add-on D 0.38 0.33 0.33 0.15 0.15 0.04 0.75 0.75 0.57 0.57 0ZZZ.00.00.000020090 38.2581 5 G0173 Stereo radoisurgery,complete X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0174 Intensitymodulatedradiation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0175 OPPS Service,sched team conf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0176 OPPS/PHP;activity therapy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0177 OPPS/PHP; train & educ serv X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0178 Intensitymodulatedradiation X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0179 MD recertification HHA patient A 0.45 1.09 1.09 0.18 0.18 0.06 1.60 1.60 0.69 0.69 0XXX.00.00.009999999 38.2581 5 G0180 MD certification HHA patient A 0.67 1.18 1.18 0.27 0.27 0.06 1.91 1.91 1.00 1.00 0XXX.00.00.000000090 38.2581 5 G0181 Home health care supervision A 1.73 1.40 1.40 0.63 0.63 0.06 3.19 3.19 2.42 2.42 0XXX.00.00.000000090 38.2581 5 G0182 Hospice care supervision A 1.73 1.73 1.73 0.60 0.60 0.06 3.52 3.52 2.39 2.39 0XXX.00.00.000000090 38.2581 5 G0183 Ocular photodynamic therapy X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0184 Ocular photodynamic tx, 2nd eye A 0.47 0.23 0.23 0.23 0.23 0.50 1.20 1.20 1.20 1.20 0ZZZ.00.00.002010090 38.2581 5 G0185 Transpuppillary thermotx C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002101190 38.2581 9 G0186 Dstry eye lesn,fdr vssl tech C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002101190 38.2581 9 G0187 Dstry mclr drusen,photocoag C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002101190 38.2581 9 G0188 Xray lwr extrmty-full lngth C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 G0188TCXray lwr extrmty-full lngth C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 G018826Xray lwr extrmty-full lngth C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 G0190 Immunization administration X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0191 Immunization admin,each add X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0192 Immunization oral/intranasal N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G0193 Endoscopicstudyswallowfunctn C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.000000090 38.2581 9 G0194 Sensorytestingendoscopicstud C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.000000090 38.2581 9 G0195 Clinicalevalswallowingfunct A 1.50 1.81 1.64 0.77 0.86 0.07 3.38 3.21 2.34 2.43 0XXX.00.00.000000090 38.2581 9 G0196 Evalofswallowingwithradioopa A 1.50 1.81 1.64 0.77 0.86 0.07 3.38 3.21 2.34 2.43 0XXX.00.00.000000090 38.2581 9 G0197 Evalofptforprescipspeechdevi A 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 0XXX.00.00.000000090 38.2581 5 G0198 Patientadapation&trainforspe A 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 0XXX.00.00.000000090 38.2581 5 G0199 Reevaluationofpatientusespec A 1.01 1.72 1.72 0.58 0.58 0.03 2.76 2.76 1.62 1.62 0XXX.00.00.000000090 38.2581 5 G0200 Evalofpatientprescipofvoicep A 1.35 1.91 1.91 0.77 0.77 0.04 3.30 3.30 2.16 2.16 0XXX.00.00.000000090 38.2581 5 G0201 Modifortraininginusevoicepro A 0.99 1.05 1.05 0.57 0.57 0.03 2.07 2.07 1.59 1.59 0XXX.00.00.000000090 38.2581 5 G0202 Screen Mammogram, digital X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 G0203 Scr Mamm, film to digital X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 G0204 Diag Mamm, digital, bilat A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G0204TCDiag Mamm, digital, bilat A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G020426Diag Mamm, digital, bilat A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G0205 Diag Mamm, film/digit/bil A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G0205TCDiag Mamm, film/digit/bil A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G020526Diag Mamm, film/digit/bil A 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0002000P0 38.2581 4 G0206 Diag Mamm, digital, uni A 0.58 1.26 1.25 1.26 1.25 0.08 1.92 1.91 1.92 1.91 1XXX.00.00.0000000P0 38.2581 4 G0206TCDiag Mamm, digital, uni A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 G020626Diag Mamm, digital, uni A 0.58 0.21 0.19 0.21 0.19 0.03 0.82 0.80 0.82 0.80 1XXX.00.00.0000000P0 38.2581 4 G0207 Diag Mamm, film/digit/uni A 0.58 1.26 1.25 1.26 1.25 0.08 1.92 1.91 1.92 1.91 1XXX.00.00.0000000P0 38.2581 4 G0207TCDiag Mamm, film/digit/uni A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 G020726Diag Mamm, film/digit/uni A 0.58 0.21 0.19 0.21 0.19 0.03 0.82 0.80 0.82 0.80 1XXX.00.00.0000000P0 38.2581 4 G9001 MCCD, initial rate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9002 MCCD,maintenance rate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9003 MCCD, risk adj hi, initial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9004 MCCD, risk adj lo, initial X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9005 MCCD, risk adj, maintenance X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9006 MCCD, Home monitoring X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9007 MCCD, sch team conf X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9008 Mccd,phys coor-care ovrsght X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 G9016 Demo-smoking cessation coun N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0001 Alcohol and/or drug assess I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0002 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0003 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0004 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0005 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0006 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0007 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0008 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0009 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0010 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0011 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0012 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0013 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0014 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0015 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0016 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0017 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0018 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0019 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0020 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0021 Alcohol and/or drug training I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0022 Alcohol and/or drug interven I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0023 Alcohol and/or drug outreach I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0024 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0025 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0026 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0027 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0028 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0029 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 H0030 Alcohol and/or drug hotline I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J0200 Alatrofloxacin mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J0282 Amiodarone HCl E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J0456 Azithromycin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1100 Dexamethasone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1327 Eptifibatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1438 Etanercept injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1450 Fluconazole E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J1452 Intraocular Fomivirsen na E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1562 Immune globulin 5 gms D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J1563 IV immune globulin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1650 Inj enoxaparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J1745 Infliximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J1750 Iron dextran E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2352 Octreotide acetate injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2500 Paricalcitol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2543 Piperacillin/tazobactam E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2770 Quinupristin/dalfopristin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J2780 Ranitidine hydrochloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2795 Ropivacaine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2915 NA Ferric Gluconate Complex E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2993 Reteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J2994 Reteplase double bolus D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J2996 Alteplase recombinant inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J2997 Alteplase recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J3245 Tirofiban hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J3485 Zidovudine E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J7198 Anti-inhibitor E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7199 Hemophilia clot factor noc E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J7330 Cultured chondrocytes implnt E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7500 Azathioprine oral 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J7502 Cyclosporine oral 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J7515 Cyclosporine oral 25 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7516 Cyclosporin parenteral 250mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7517 Mycophenolate mofetil oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7520 Sirolimus, oral E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7525 Tacrolimus injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J7608 Acetylcysteine inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7610 Acetylcysteine 10% injection D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7615 Acetylcysteine 20% injection D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7618 Albuterol inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7619 Albuterol inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7620 Albuterol sulfate .083%/ml D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7625 Albuterol sulfate .5% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7627 Bitolterolmesylate inhal sol D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7628 Bitolterol mes inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7629 Bitolterol mes inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7630 Cromolyn sodium injeciton D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7631 Cromolyn sodium inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7635 Atropine inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7636 Atropine inhal sol unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7637 Dexamethasone inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7638 Dexamethasone inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7639 Dornase alpha inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7640 Epinephrine injection D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7642 Glycopyrrolate inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7643 Glycopyrrolate inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7644 Ipratropium brom inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7645 Ipratropium bromide .02%/ml D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7648 Isoetharine hcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7649 Isoetharine hcl inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7650 Isoetharine hcl .1% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7651 Isoetharine hcl .125% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7652 Isoetharine hcl .167% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7653 Isoetharine hcl .2%/ inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7654 Isoetharine hcl .25% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7655 Isoetharine hcl 1% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7658 Isoproterenolhcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7659 Isoproterenol hcl inh sol ud E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7660 Isoproterenol hcl .5% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7665 Isoproterenol hcl 1% inj D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7668 Metaproterenol inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7669 Metaproterenol inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7670 Metaproterenol sulfate .4% D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7672 Metaproterenol sulfate .6% D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7675 Metaproterenol sulfate 5% D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J7680 Terbutaline so4 inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7681 Terbutaline so4 inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7682 Tobramycin inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7683 Triamcinolone inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J7684 Triamcinolone inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J8510 Oral busulfan E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J8520 Capecitabine, oral, 150 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J8521 Capecitabine, oral, 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J8700 Temozolmide E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9001 Doxorubicin hcl liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9150 Daunorubicin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9160 Denileukin diftitox, 300 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9170 Docetaxel E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J9180 Epirubicin HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9219 Leuprolide acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 J9350 Topotecan E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 J9355 Trastuzumab E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 J9357 Valrubicin, 200 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 M0064 Visit for drug monitoring A 0.37 0.26 0.25 0.12 0.14 0.01 0.64 0.63 0.50 0.52 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 M0302 Assessment of cardiac output A 0.17 0.88 0.88 0.88 0.88 0.02 1.07 1.07 1.07 1.07 1XXX.00.00.0000000P0 38.2581 5 M0302TCAssessment of cardiac output A 0.00 0.80 0.80 0.80 0.80 0.01 0.81 0.81 0.81 0.81 1XXX.00.00.0000000P0 38.2581 5 M030226Assessment of cardiac output A 0.17 0.08 0.08 0.08 0.08 0.01 0.26 0.26 0.26 0.26 1XXX.00.00.0000000P0 38.2581 5 P2028 Cephalin floculation test X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 P3001 Screening pap smear by phys A 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 0XXX.00.00.0000000P0 38.2581 4 P7001 Culture bacterial urine I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 P9013 Unit/s blood fibrinogen D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 P9016 RBC leukocytes reduced E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 P9018 Plasma protein fract, unit D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 P9019 Platelets, each unit E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 P9023 Frozen plasma, pooled, sd X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9031 Platelets leukocytes reduced X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9032 Platelets, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9033 Platelets leukoreduced irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9034 Platelets, pheresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9035 Platelet pheres leukoreduced X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9036 Platelet pheresis irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9037 Plate pheres leukoredu irrad X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9038 RBC irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9039 RBC deglycerolized X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9040 RBC leukoreduced irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9041 Albumin(human), 5% X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9042 Albumin (human), 25% X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9043 Plasma protein fraction X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 P9044 Cryoprecipitatereducedplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 Q0034 Admin of influenza vaccine D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 Q0035 Cardiokymography A 0.17 0.45 0.48 0.45 0.48 0.03 0.65 0.68 0.65 0.68 1XXX.00.00.0000000P0 38.2581 4 Q0035TCCardiokymography A 0.00 0.38 0.39 0.38 0.39 0.02 0.40 0.41 0.40 0.41 1XXX.00.00.0000000P0 38.2581 4 Q003526Cardiokymography A 0.17 0.07 0.09 0.07 0.09 0.01 0.25 0.27 0.25 0.27 1XXX.00.00.0000000P0 38.2581 4 Q0091 Obtaining screen pap smear A 0.37 0.72 0.62 0.14 0.18 0.01 1.10 1.00 0.52 0.56 0XXX.00.00.0000000P0 38.2581 4 Q0092 Set up port xray equipment A 0.00 0.32 0.32 0.32 0.32 0.01 0.33 0.33 0.33 0.33 3XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 Q0156 Human albumin 5% D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 Q0157 Human albumin 25% D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 Q0183 Nonmetabolic active tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 Q0184 Metabolically active tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 Q0185 Metabolic active D/E tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 Q0186 Paramedic intercept, rural I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q0187 Factor viia recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q1001 Ntiol category 1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q1002 Ntiol category 2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q1003 Ntiol category 3 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q1004 Ntiol category 4 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q1005 Ntiol category 5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2001 Oral cabergoline 0.5 mg N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2002 Elliotts b solution per ml E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2003 Aprotinin, 10,000 kiu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2004 Bladder calculi irrig sol E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2005 Corticorelin ovine triflutat E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2006 Digoxin immune fab (ovine) E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2007 Ethanolamine oleate 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2008 Fomepizole, 1.5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2009 Fosphenytoin, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2010 Glatiramer acetate, per dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2011 Hemin, per 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2012 Pegademase bovine, 25 iu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2013 Pentastarch 10% solution E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2014 Sermorelin acetate, 0.5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2015 Somatrem, 5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2016 Somatropin, 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2017 Teniposide, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2018 Urofollitropin, 75 iu E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2019 Basiliximab E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2020 Histrelin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2021 Lepirudin E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q2022 VonWillebrandFactrCmplxperIU E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3001 Brachytherapy Radioelements E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3002 Gallium ga 67 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3003 Technetium tc99m bicisate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3004 Xenon xe 133 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3005 Technetium tc99m mertiatide E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3006 Technetium tc99m glucepatate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3007 Sodium phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3008 Indium 111-in pentetreotide E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3009 Technetium tc99m oxidronate E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3010 Technetium tc99mlabeledrbcs E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3011 Chromic phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3012 Cyanocobalamin cobalt co57 E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 Q3013 Injection, verteporfin, 15mg E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 3XXX.00.00.0000000P0 38.2581 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 3XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 S0009 Injection, butorphanol tartr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0010 Injection, somatrem, 5 mg D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0011 Injection, somatropin, 5 mg D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0012 Butorphanol tartrate, nasal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0014 Tacrine hydrochloride, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0016 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0017 Injection, aminocaproic acid I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0020 Injection, bupivicaine hydro I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0021 Injection, cefoperazone sod I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0023 Injection, cimetidine hydroc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0024 Injection, ciprofloxacin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0028 Injection, famotidine, 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0029 Injection, fluconazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0030 Injection, metronidazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0032 Injection, nafcillin sodium I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0034 Injection, ofloxacin, 400 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0039 Injection, sulfamethoxazole I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0040 Injection, ticarcillin disod I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0071 Injection, acyclovir sodium I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0072 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0073 Injection, aztreonam, 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0074 Injection, cefotetan disodiu I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0077 Injection, clindamycin phosp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0078 Injection, fosphenytoin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0080 Injection, pentamidine iseth I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0081 Injection, piperacillin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0085 injection, gatifloxacin I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0086 Injection, verteporfin, 15mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0090 Sildenafil citrate, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0096 Injection, itraconazole, 200 I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0097 Injection, ibutilide fumarat D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0098 Injection, sodium ferric glu D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0156 Exemestane, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0157 Becaplermin gel 1%, 0.5 gm I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0220 Medical conference by physic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0221 Medical conference, 60 min I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0601 Screening proctoscopy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0605 Digital rectal examination, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0610 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0612 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0620 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0621 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0630 Removal of sutures I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0800 Laser in situ keratomileusis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0810 Photorefractive keratectomy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0820 Computerized corneal topogra I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S0830 Ultrasound pachymetry I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S1015 IV tubing extension set I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S1016 Non-pvc intravenous administ I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2050 Donor enterectomy, with prep D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2052 Transplantation of small int I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2053 Transplantation of small int I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2054 Transplantation of multivisc I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2055 Harvesting of donor multivis I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2060 Lobar lung transplantation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2061 Donor lobectomy (lung) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2102 Islet cell tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2103 Adrenal tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2109 Autologous chondrocyte trans D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2120 Low density lipoprotein(LDL) I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2140 Cord blood harvesting I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2142 Cord blood-derived stem-cell I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2180 Donor leukocyte infusion I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2190 Subcutaneous implantation of D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2202 Echosclerotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2204 Transmyocardial laser revasc D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2205 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2206 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2207 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2208 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2209 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2210 Cryosurgical ablation (in si I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2220 Thrombectomy, coronary I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2300 Arthroscopy, shoulder, surgi I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2340 Chemodenervation of abductor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2350 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2351 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2370 Intradiscal electrothermal I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S2371 Each additional interspace I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3620 Newborn metabolic screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3645 HIV-1 antibody testing of or I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3650 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3652 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3700 Bladder tumor-associated I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3708 Gastrointestinal fat absorpt I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3902 Ballistocardiogram I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3904 Masters two step I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S3906 Transfusion, direct, blood I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5000 Prescription drug, generic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5001 Prescription drug,brand name I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5002 Fat emulsion 10% in 250 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5003 Fat emulsion 20% in 250 ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5010 5% dextrose and 45% saline I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5011 5% dextrose in lactated ring I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5012 5% dextrose with potassium I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5013 5% dextrose/45%saline,1000ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5014 5% dextrose/45%saline,1500ml I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5016 Antibiotic admin supplies w/ I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5017 Antibiotic adminsupplies w/o I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5018 Pain therapy admin supplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5019 Chemotherapy admin supplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5020 Chemotherapy admin supplies I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5021 Hydration therapy admin supp I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5022 Growth hormone therapy I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5025 Infusion pump rental,perdiem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S5503 Maintenance of implanted vas I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8001 Radiofrequency stimulation I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8035 Magnetic source imaging I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8040 Topographic brain mapping I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8048 Isolated limb perfusion D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8049 Intraoperative radiation the I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8060 Supply of contrast material D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8080 Scintimammography I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8085 Fluorine-18 fluorodeoxygluco I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8092 Electron beam computed tomog I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8095 Wig (for medically-induced h I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8096 Portable peak flow meter I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8105 Oximeter for measuring blood I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8110 Peak expiratory flow rate (p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8200 Chest compression vest I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8205 Chest compression system gen I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8210 Mucus trap I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8260 Oral orthotic for treatment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8300 Sacral nerve stimulation tes D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8400 Incontinence pants, each I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8402 Diapers, each I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8405 Incontinence liners, each I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8950 Complex lymphedema therapy, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S8999 Resuscitation bag I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9001 Home uterine monitor with or I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9007 Ultrafiltration monitor I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9015 Automated EEG monitoring I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9022 Digital subtraction angiogra I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9023 Xenon regional cerebral bloo I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9024 Paranasal sinus ultrasound I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9025 Omnicardiogram/cardiointegra I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9033 Gait analysis D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9035 Medical equipment or supplie I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9055 Procuren or other growth fac I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9056 Coma stimulation per diem I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9061 Medical supplies and equipme I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9075 Smoking cessation treatment I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9085 Meniscal allograft transplan I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9088 Services provided in urgent I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9090 Vertebral axial decompressio I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9122 Home health aide or certifie I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9123 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9124 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9125 Respite care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9126 Hospice care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9127 Social work visit, in the ho I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9128 Speech therapy, in the home, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9129 Occupational therapy, in the I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9140 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9141 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9200 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9210 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9220 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9225 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9230 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9300 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9308 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9310 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9395 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9420 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9423 Nursing services, patient as I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9425 Nursing services and all nec I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9435 Medical foods for inborn err I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9455 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9460 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9465 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9470 Nutritional counseling, diet I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9472 Cardiac rehabilitation progr I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9473 Pulmonary rehabilitation pro I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9474 Enterostomal therapy by a re I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9475 Ambulatory setting substance I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9480 Intensive outpatient psychia I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9485 Crisis intervention mental h I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9524 Nursing services related to I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9526 Skilled nursing visits for I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9527 Insertion of a peripherally I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9528 Insertion of midline central I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9533 Pain management, intravenous I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9535 Administration of hematopoie I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9539 Administration of antibiotic I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9543 Administration of medication I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9545 Administration of immune glo I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9550 Home IV therapy, hydration I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9555 Additional home infusion I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9990 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9991 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9992 Transportation costs to and I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9994 Lodging costs (e.g. hotel ch I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9996 Meals for clinical trial par I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 S9999 Sales tax I 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 V2790 Amniotic membrane X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 V5050 Hearing aid monaural in ear N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 10040 Acne surgery of skin abscess A 1.18 1.58 1.27 0.52 0.44 0.05 2.81 2.50 1.75 1.67 0010.10.80.1020100P0 38.2581 4 10060 Drainage of skin abscess A 1.17 1.29 1.09 0.65 0.55 0.08 2.54 2.34 1.90 1.80 0010.10.80.1020100P0 38.2581 4 10061 Drainage of skin abscess A 2.40 1.99 1.67 1.15 0.95 0.17 4.56 4.24 3.72 3.52 0010.10.80.1020100P0 38.2581 4 10080 Drainage of pilonidal cyst A 1.17 2.01 1.64 0.69 0.59 0.09 3.27 2.90 1.95 1.85 0010.10.80.1020100P0 38.2581 4 10081 Drainage of pilonidal cyst A 2.45 2.77 2.38 1.60 1.35 0.19 5.41 5.02 4.24 3.99 0010.10.80.1020100P0 38.2581 4 10120 Remove foreign body A 1.22 1.75 1.44 0.71 0.60 0.10 3.07 2.76 2.03 1.92 0010.10.80.1020100P0 38.2581 4 10121 Remove foreign body A 2.69 2.71 2.31 1.80 1.49 0.25 5.65 5.25 4.74 4.43 0010.10.80.1020100P0 38.2581 4 10140 Drainage of hematoma/fluid A 1.53 1.37 1.16 0.86 0.71 0.15 3.05 2.84 2.54 2.39 0010.10.80.1020100P0 38.2581 4 10160 Puncture drainage of lesion A 1.20 1.48 1.21 0.76 0.62 0.11 2.79 2.52 2.07 1.93 0010.10.80.1020100P0 38.2581 4 10180 Complex drainage, wound A 2.25 1.46 1.38 1.26 1.23 0.25 3.96 3.88 3.76 3.73 0010.10.80.1020100P0 38.2581 4 11000 Debride infected skin A 0.60 0.55 0.52 0.24 0.24 0.05 1.20 1.17 0.89 0.89 0000.00.00.0020100P0 38.2581 4 11001 Debride infected skin add-on A 0.30 0.31 0.30 0.11 0.12 0.02 0.63 0.62 0.43 0.44 0ZZZ.00.00.0000100P0 38.2581 4 11010 Debride skin, fx A 4.20 2.45 2.91 2.01 2.58 0.45 7.10 7.56 6.66 7.23 0010.10.80.1022100P0 38.2581 4 11011 Debride skin/muscle, fx A 4.95 3.89 4.20 2.66 3.28 0.53 9.37 9.68 8.14 8.76 0000.00.00.0022100P0 38.2581 4 11012 Debride skin/muscle/bone, fx A 6.88 5.69 6.05 4.22 4.95 0.89 13.46 13.82 11.99 12.72 0000.00.00.0022100P0 38.2581 4 11040 Debride skin, partial A 0.50 0.47 0.46 0.21 0.21 0.05 1.02 1.01 0.76 0.76 0000.00.00.0020100P0 38.2581 4 11041 Debride skin, full A 0.82 0.64 0.63 0.34 0.33 0.08 1.54 1.53 1.24 1.23 0000.00.00.0020100P0 38.2581 4 11042 Debride skin/tissue A 1.12 0.90 0.85 0.47 0.44 0.11 2.13 2.08 1.70 1.67 0000.00.00.0020100P0 38.2581 4 11043 Debride tissue/muscle A 2.38 2.60 2.44 1.41 1.55 0.24 5.22 5.06 4.03 4.17 0010.10.80.1020100P0 38.2581 4 11044 Debride tissue/muscle/bone A 3.06 3.11 3.10 1.83 2.14 0.34 6.51 6.50 5.23 5.54 0010.10.80.1020100P0 38.2581 4 11055 Trim skin lesion R 0.27 0.35 0.33 0.12 0.13 0.02 0.64 0.62 0.41 0.42 0000.00.00.0020100P0 38.2581 4 11056 Trim skin lesions, 2 to 4 R 0.39 0.39 0.39 0.17 0.18 0.03 0.81 0.81 0.59 0.60 0000.00.00.0020100P0 38.2581 4 11057 Trim skin lesions, over 4 R 0.50 0.44 0.41 0.21 0.20 0.04 0.98 0.95 0.75 0.74 0000.00.00.0020100P0 38.2581 4 11100 Biopsy of skin lesion A 0.81 1.53 1.29 0.38 0.36 0.04 2.38 2.14 1.23 1.21 0000.00.00.0020100P0 38.2581 4 11101 Biopsy, skin add-on A 0.41 0.74 0.63 0.20 0.19 0.02 1.17 1.06 0.63 0.62 0ZZZ.00.00.0000100P0 38.2581 4 11200 Removal of skin tags A 0.77 1.10 0.94 0.31 0.29 0.04 1.91 1.75 1.12 1.10 0010.10.80.1020100P0 38.2581 4 11201 Remove skin tags add-on A 0.29 0.47 0.40 0.12 0.11 0.02 0.78 0.71 0.43 0.42 0ZZZ.00.00.0000100P0 38.2581 4 11300 Shave skin lesion A 0.51 1.04 0.93 0.23 0.25 0.03 1.58 1.47 0.77 0.79 0000.00.00.0020000P0 38.2581 4 11301 Shave skin lesion A 0.85 1.13 1.03 0.39 0.39 0.04 2.02 1.92 1.28 1.28 0000.00.00.0020000P0 38.2581 4 11302 Shave skin lesion A 1.05 1.23 1.17 0.49 0.49 0.05 2.33 2.27 1.59 1.59 0000.00.00.0020000P0 38.2581 4 11303 Shave skin lesion A 1.24 1.36 1.39 0.55 0.60 0.06 2.66 2.69 1.85 1.90 0000.00.00.0020000P0 38.2581 4 11305 Shave skin lesion A 0.67 0.81 0.75 0.30 0.30 0.04 1.52 1.46 1.01 1.01 0000.00.00.0020000P0 38.2581 4 11306 Shave skin lesion A 0.99 1.08 1.00 0.44 0.43 0.05 2.12 2.04 1.48 1.47 0000.00.00.0020000P0 38.2581 4 11307 Shave skin lesion A 1.14 1.20 1.16 0.51 0.51 0.05 2.39 2.35 1.70 1.70 0000.00.00.0020000P0 38.2581 4 11308 Shave skin lesion A 1.41 1.28 1.34 0.64 0.67 0.07 2.76 2.82 2.12 2.15 0000.00.00.0020000P0 38.2581 4 11310 Shave skin lesion A 0.73 1.14 1.04 0.34 0.35 0.04 1.91 1.81 1.11 1.12 0000.00.00.0020000P0 38.2581 4 11311 Shave skin lesion A 1.05 1.25 1.17 0.51 0.50 0.05 2.35 2.27 1.61 1.60 0000.00.00.0020000P0 38.2581 4 11312 Shave skin lesion A 1.20 1.33 1.30 0.58 0.59 0.06 2.59 2.56 1.84 1.85 0000.00.00.0020000P0 38.2581 4 11313 Shave skin lesion A 1.62 1.60 1.61 0.76 0.77 0.09 3.31 3.32 2.47 2.48 0000.00.00.0020000P0 38.2581 4 11400 Removal of skin lesion A 0.91 2.41 1.95 0.73 0.62 0.06 3.38 2.92 1.70 1.59 0010.10.80.1020100P0 38.2581 4 11401 Removal of skin lesion A 1.32 2.43 2.01 0.89 0.76 0.09 3.84 3.42 2.30 2.17 0010.10.80.1020100P0 38.2581 4 11402 Removal of skin lesion A 1.61 2.51 2.13 0.97 0.85 0.12 4.24 3.86 2.70 2.58 0010.10.80.1020100P0 38.2581 4 11403 Removal of skin lesion A 1.92 2.76 2.39 1.10 0.99 0.16 4.84 4.47 3.18 3.07 0010.10.80.1020100P0 38.2581 4 11404 Removal of skin lesion A 2.20 2.91 2.56 1.20 1.09 0.18 5.29 4.94 3.58 3.47 0010.10.80.1020100P0 38.2581 4 11406 Removal of skin lesion A 2.76 3.19 2.90 1.42 1.58 0.25 6.20 5.91 4.43 4.59 0010.10.80.1020100P0 38.2581 4 11420 Removal of skin lesion A 1.06 2.02 1.66 0.77 0.65 0.08 3.16 2.80 1.91 1.79 0010.10.80.1020100P0 38.2581 4 11421 Removal of skin lesion A 1.53 2.35 1.96 1.00 0.85 0.11 3.99 3.60 2.64 2.49 0010.10.80.1020100P0 38.2581 4 11422 Removal of skin lesion A 1.76 2.50 2.13 1.07 0.93 0.14 4.40 4.03 2.97 2.83 0010.10.80.1020100P0 38.2581 4 11423 Removal of skin lesion A 2.17 2.93 2.55 1.24 1.11 0.17 5.27 4.89 3.58 3.45 0010.10.80.1020100P0 38.2581 4 11424 Removal of skin lesion A 2.62 3.09 2.70 1.44 1.27 0.21 5.92 5.53 4.27 4.10 0010.10.80.1020100P0 38.2581 4 11426 Removal of skin lesion A 3.78 3.73 3.30 1.90 1.92 0.34 7.85 7.42 6.02 6.04 0010.10.80.1020100P0 38.2581 4 11440 Removal of skin lesion A 1.15 2.57 2.12 0.93 0.79 0.08 3.80 3.35 2.16 2.02 0010.10.80.1020100P0 38.2581 4 11441 Removal of skin lesion A 1.61 2.72 2.27 1.17 0.99 0.11 4.44 3.99 2.89 2.71 0010.10.80.1020100P0 38.2581 4 11442 Removal of skin lesion A 1.87 2.79 2.40 1.27 1.11 0.14 4.80 4.41 3.28 3.12 0010.10.80.1020100P0 38.2581 4 11443 Removal of skin lesion A 2.49 3.34 2.90 1.61 1.41 0.18 6.01 5.57 4.28 4.08 0010.10.80.1020100P0 38.2581 4 11444 Removal of skin lesion A 3.42 3.77 3.23 2.03 1.72 0.25 7.44 6.90 5.70 5.39 0010.10.80.1020100P0 38.2581 4 11446 Removal of skin lesion A 4.49 4.23 3.66 2.53 2.14 0.30 9.02 8.45 7.32 6.93 0010.10.80.1020100P0 38.2581 4 11450 Removal, sweat gland lesion A 2.73 3.99 3.72 1.10 1.55 0.26 6.98 6.71 4.09 4.54 0090.10.71.1920100P0 38.2581 4 11451 Removal, sweat gland lesion A 3.95 4.90 4.46 1.66 2.03 0.39 9.24 8.80 6.00 6.37 0090.10.71.1920000P0 38.2581 4 11462 Removal, sweat gland lesion A 2.51 4.08 3.72 1.02 1.42 0.23 6.82 6.46 3.76 4.16 0090.10.71.1920000P0 38.2581 4 11463 Removal, sweat gland lesion A 3.95 5.57 4.72 1.69 1.81 0.40 9.92 9.07 6.04 6.16 0090.10.71.1920000P0 38.2581 4 11470 Removal, sweat gland lesion A 3.25 4.40 4.06 1.33 1.75 0.30 7.95 7.61 4.88 5.30 0090.10.71.1920100P0 38.2581 4 11471 Removal, sweat gland lesion A 4.41 5.41 4.73 1.84 2.05 0.40 10.22 9.54 6.65 6.86 0090.10.71.1920000P0 38.2581 4 11600 Removal of skin lesion A 1.41 2.58 2.24 0.95 0.87 0.09 4.08 3.74 2.45 2.37 0010.10.80.1020100P0 38.2581 4 11601 Removal of skin lesion A 1.93 2.66 2.37 1.10 1.02 0.12 4.71 4.42 3.15 3.07 0010.10.80.1020100P0 38.2581 4 11602 Removal of skin lesion A 2.09 2.72 2.54 1.34 1.25 0.13 4.94 4.76 3.56 3.47 0010.10.80.1020100P0 38.2581 4 11603 Removal of skin lesion A 2.35 2.90 2.79 1.41 1.36 0.16 5.41 5.30 3.92 3.87 0010.10.80.1020100P0 38.2581 4 11604 Removal of skin lesion A 2.58 3.09 3.02 1.49 1.47 0.18 5.85 5.78 4.25 4.23 0010.10.80.1020100P0 38.2581 4 11606 Removal of skin lesion A 3.43 3.65 3.58 1.80 2.20 0.28 7.36 7.29 5.51 5.91 0010.10.80.1020100P0 38.2581 4 11620 Removal of skin lesion A 1.34 2.53 2.26 0.89 0.85 0.09 3.96 3.69 2.32 2.28 0010.10.80.1020100P0 38.2581 4 11621 Removal of skin lesion A 1.97 2.70 2.50 1.36 1.26 0.12 4.79 4.59 3.45 3.35 0010.10.80.1020100P0 38.2581 4 11622 Removal of skin lesion A 2.34 2.87 2.75 1.52 1.44 0.15 5.36 5.24 4.01 3.93 0010.10.80.1020100P0 38.2581 4 11623 Removal of skin lesion A 2.93 2.82 2.82 1.74 1.66 0.20 5.95 5.95 4.87 4.79 0010.10.80.1020100P0 38.2581 4 11624 Removal of skin lesion A 3.43 3.19 3.26 1.95 1.90 0.25 6.87 6.94 5.63 5.58 0010.10.80.1020100P0 38.2581 4 11626 Removal of skin lesion A 4.30 4.20 4.08 2.38 2.71 0.35 8.85 8.73 7.03 7.36 0010.10.80.1020100P0 38.2581 4 11640 Removal of skin lesion A 1.53 2.64 2.43 1.11 1.06 0.10 4.27 4.06 2.74 2.69 0010.10.80.1020100P0 38.2581 4 11641 Removal of skin lesion A 2.44 3.00 2.82 1.67 1.54 0.15 5.59 5.41 4.26 4.13 0010.10.80.1020100P0 38.2581 4 11642 Removal of skin lesion A 2.93 2.92 2.89 1.90 1.78 0.18 6.03 6.00 5.01 4.89 0010.10.80.1020100P0 38.2581 4 11643 Removal of skin lesion A 3.50 3.29 3.29 2.19 2.05 0.24 7.03 7.03 5.93 5.79 0010.10.80.1020100P0 38.2581 4 11644 Removal of skin lesion A 4.55 3.94 3.91 2.72 2.52 0.33 8.82 8.79 7.60 7.40 0010.10.80.1020100P0 38.2581 4 11646 Removal of skin lesion A 5.95 5.22 5.09 3.43 3.75 0.46 11.63 11.50 9.84 10.16 0010.10.80.1020100P0 38.2581 4 11719 Trim nail(s) R 0.11 0.49 0.43 0.04 0.06 0.01 0.61 0.55 0.16 0.18 0000.00.00.0020100P0 38.2581 4 11720 Debride nail, 1-5 A 0.32 0.42 0.40 0.13 0.14 0.02 0.76 0.74 0.47 0.48 0000.00.00.0000100P0 38.2581 4 11721 Debride nail, 6 or more A 0.54 0.53 0.55 0.22 0.24 0.04 1.11 1.13 0.80 0.82 0000.00.00.0000100P0 38.2581 4 11730 Removal of nail plate A 1.13 0.74 0.68 0.46 0.41 0.09 1.96 1.90 1.68 1.63 0000.00.00.0020100P0 38.2581 4 11732 Remove nail plate, add-on A 0.57 0.29 0.29 0.23 0.21 0.05 0.91 0.91 0.85 0.83 0ZZZ.00.00.0000100P0 38.2581 4 11740 Drain blood from under nail A 0.37 0.64 0.59 0.14 0.16 0.03 1.04 0.99 0.54 0.56 0000.00.00.0020100P0 38.2581 4 11750 Removal of nail bed A 1.86 1.53 1.72 0.79 0.88 0.16 3.55 3.74 2.81 2.90 0010.10.80.1020100P0 38.2581 4 11752 Remove nail bed/finger tip A 2.67 1.97 2.24 1.73 1.68 0.33 4.97 5.24 4.73 4.68 0010.10.80.1020100P0 38.2581 4 11755 Biopsy, nail unit A 1.31 1.04 1.05 0.59 0.71 0.06 2.41 2.42 1.96 2.08 0000.00.00.0020000P0 38.2581 4 11760 Repair of nail bed A 1.58 1.68 1.51 1.17 1.01 0.17 3.43 3.26 2.92 2.76 0010.10.80.1020100P0 38.2581 4 11762 Reconstruction of nail bed A 2.89 2.13 2.30 1.84 1.73 0.32 5.34 5.51 5.05 4.94 0010.10.80.1020100P0 38.2581 4 11765 Excision of nail fold, toe A 0.69 0.95 0.85 0.44 0.40 0.05 1.69 1.59 1.18 1.14 0010.10.80.1020100P0 38.2581 4 11770 Removal of pilonidal lesion A 2.61 2.95 2.94 1.30 1.70 0.24 5.80 5.79 4.15 4.55 0010.10.80.1020100P0 38.2581 4 11771 Removal of pilonidal lesion A 5.74 5.30 5.20 3.99 4.22 0.56 11.60 11.50 10.29 10.52 0090.10.71.1920100P0 38.2581 4 11772 Removal of pilonidal lesion A 6.98 6.06 5.85 4.43 4.63 0.68 13.72 13.51 12.09 12.29 0090.10.71.1920100P0 38.2581 4 11900 Injection into skin lesions A 0.52 0.73 0.62 0.23 0.21 0.02 1.27 1.16 0.77 0.75 0000.00.00.0020100P0 38.2581 4 11901 Added skin lesions injection A 0.80 0.85 0.75 0.37 0.33 0.03 1.68 1.58 1.20 1.16 0000.00.00.0020100P0 38.2581 4 11920 Correct skin color defects R 1.61 2.16 1.94 0.85 0.96 0.17 3.94 3.72 2.63 2.74 0000.00.00.0020000P0 38.2581 4 11921 Correct skin color defects R 1.93 2.53 2.28 1.05 1.17 0.21 4.67 4.42 3.19 3.31 0000.00.00.0020000P0 38.2581 4 11922 Correct skin color defects R 0.49 0.38 0.38 0.26 0.29 0.05 0.92 0.92 0.80 0.83 0ZZZ.00.00.0000000P0 38.2581 4 11950 Therapy for contour defects R 0.84 1.27 1.28 0.47 0.68 0.06 2.17 2.18 1.37 1.58 0000.00.00.0020000P0 38.2581 4 11951 Therapy for contour defects R 1.19 1.69 1.59 0.51 0.71 0.10 2.98 2.88 1.80 2.00 0000.00.00.0020000P0 38.2581 4 11952 Therapy for contour defects R 1.69 2.09 1.89 0.90 1.00 0.17 3.95 3.75 2.76 2.86 0000.00.00.0020000P0 38.2581 4 11954 Therapy for contour defects R 1.85 2.76 2.39 0.96 1.04 0.19 4.80 4.43 3.00 3.08 0000.00.00.0020000P0 38.2581 4 11960 Insert tissue expander(s) A 9.08 10.49 NA 9.97 10.49 9.97 0.88 20.45 19.93 20.45 19.93 0090.10.71.1920100P0 38.2581 4 11970 Replace tissue expander A 7.06 5.06 NA 5.90 5.06 5.90 0.77 12.89 13.73 12.89 13.73 0090.10.71.1920100P0 38.2581 4 11971 Remove tissue expander(s) A 2.13 6.02 5.14 3.81 3.48 0.21 8.36 7.48 6.15 5.82 0090.10.71.1920000P0 38.2581 4 11975 Insert contraceptive cap N+ 1.48 1.56 1.46 0.59 0.73 0.14 3.18 3.08 2.21 2.35 9XXX.00.00.0099999P9 38.2581 9 11976 Removal of contraceptive cap R 1.78 1.55 1.51 0.72 0.89 0.17 3.50 3.46 2.67 2.84 0XXX.00.00.0020000P0 38.2581 4 11977 Removal/reinsert contra cap N+ 3.30 2.28 2.35 1.32 1.63 0.31 5.89 5.96 4.93 5.24 9XXX.00.00.0099999P9 38.2581 9 11980 Implant hormone pellet(s) A 1.48 1.14 1.14 0.63 0.63 0.10 2.72 2.72 2.21 2.21 0000.00.00.002010090 38.2581 5 12001 Repair superficial wound(s) A 1.70 2.31 1.89 0.84 0.79 0.13 4.14 3.72 2.67 2.62 0010.10.80.1020100P0 38.2581 4 12002 Repair superficial wound(s) A 1.86 2.41 2.02 0.87 0.87 0.15 4.42 4.03 2.88 2.88 0010.10.80.1020100P0 38.2581 4 12004 Repair superficial wound(s) A 2.24 2.60 2.26 0.99 1.05 0.17 5.01 4.67 3.40 3.46 0010.10.80.1020100P0 38.2581 4 12005 Repair superficial wound(s) A 2.86 3.07 2.70 1.25 1.34 0.23 6.16 5.79 4.34 4.43 0010.10.80.1020100P0 38.2581 4 12006 Repair superficial wound(s) A 3.67 4.17 3.61 1.95 1.95 0.31 8.15 7.59 5.93 5.93 0010.10.80.1020100P0 38.2581 4 12007 Repair superficial wound(s) A 4.12 4.62 3.95 2.28 2.20 0.37 9.11 8.44 6.77 6.69 0010.10.80.1020110P0 38.2581 4 12011 Repair superficial wound(s) A 1.76 2.39 1.99 0.85 0.84 0.14 4.29 3.89 2.75 2.74 0010.10.80.1020100P0 38.2581 4 12013 Repair superficial wound(s) A 1.99 2.55 2.19 0.90 0.96 0.16 4.70 4.34 3.05 3.11 0010.10.80.1020100P0 38.2581 4 12014 Repair superficial wound(s) A 2.46 2.86 2.47 1.08 1.13 0.18 5.50 5.11 3.72 3.77 0010.10.80.1020100P0 38.2581 4 12015 Repair superficial wound(s) A 3.19 3.31 2.92 1.28 1.40 0.24 6.74 6.35 4.71 4.83 0010.10.80.1020100P0 38.2581 4 12016 Repair superficial wound(s) A 3.93 3.83 3.49 1.51 1.75 0.32 8.08 7.74 5.76 6.00 0010.10.80.1020100P0 38.2581 4 12017 Repair superficial wound(s) A 4.71 5.35 4.93 2.46 2.76 0.39 10.45 10.03 7.56 7.86 0010.10.80.1020000P0 38.2581 4 12018 Repair superficial wound(s) A 5.53 6.32 6.14 2.75 3.46 0.46 12.31 12.13 8.74 9.45 0010.10.80.1020210P0 38.2581 4 12020 Closure of split wound A 2.62 2.62 2.29 1.49 1.44 0.24 5.48 5.15 4.35 4.30 0010.10.80.1020100P0 38.2581 4 12021 Closure of split wound A 1.84 2.10 1.74 1.15 0.95 0.19 4.13 3.77 3.18 2.98 0010.10.80.1020100P0 38.2581 4 12031 Layer closure of wound(s) A 2.15 2.76 2.27 1.20 1.00 0.15 5.06 4.57 3.50 3.30 0010.10.80.1020100P0 38.2581 4 12032 Layer closure of wound(s) A 2.47 2.84 2.42 1.29 1.11 0.15 5.46 5.04 3.91 3.73 0010.10.80.1020100P0 38.2581 4 12034 Layer closure of wound(s) A 2.92 3.12 2.74 1.46 1.50 0.21 6.25 5.87 4.59 4.63 0010.10.80.1020100P0 38.2581 4 12035 Layer closure of wound(s) A 3.43 3.05 2.81 1.68 1.78 0.30 6.78 6.54 5.41 5.51 0010.10.80.1020100P0 38.2581 4 12036 Layer closure of wound(s) A 4.05 5.22 4.55 2.52 2.52 0.41 9.68 9.01 6.98 6.98 0010.10.80.1020100P0 38.2581 4 12037 Layer closure of wound(s) A 4.67 5.56 5.01 2.88 3.00 0.49 10.72 10.17 8.04 8.16 0010.10.80.1020010P0 38.2581 4 12041 Layer closure of wound(s) A 2.37 3.06 2.52 1.27 1.07 0.17 5.60 5.06 3.81 3.61 0010.10.80.1020100P0 38.2581 4 12042 Layer closure of wound(s) A 2.74 3.05 2.61 1.42 1.23 0.17 5.96 5.52 4.33 4.14 0010.10.80.1020100P0 38.2581 4 12044 Layer closure of wound(s) A 3.14 3.20 2.84 1.62 1.66 0.24 6.58 6.22 5.00 5.04 0010.10.80.1020100P0 38.2581 4 12045 Layer closure of wound(s) A 3.64 3.58 3.26 1.86 1.97 0.34 7.56 7.24 5.84 5.95 0010.10.80.1020100P0 38.2581 4 12046 Layer closure of wound(s) A 4.25 5.24 4.70 2.59 2.71 0.40 9.89 9.35 7.24 7.36 0010.10.80.1020000P0 38.2581 4 12047 Layer closure of wound(s) A 4.65 5.96 5.56 2.92 3.28 0.41 11.02 10.62 7.98 8.34 0010.10.80.1020210P0 38.2581 4 12051 Layer closure of wound(s) A 2.47 3.03 2.55 1.42 1.20 0.16 5.66 5.18 4.05 3.83 0010.10.80.1020100P0 38.2581 4 12052 Layer closure of wound(s) A 2.77 3.01 2.66 1.38 1.24 0.17 5.95 5.60 4.32 4.18 0010.10.80.1020100P0 38.2581 4 12053 Layer closure of wound(s) A 3.12 3.16 2.85 1.52 1.62 0.20 6.48 6.17 4.84 4.94 0010.10.80.1020100P0 38.2581 4 12054 Layer closure of wound(s) A 3.46 3.48 3.32 1.65 1.94 0.25 7.19 7.03 5.36 5.65 0010.10.80.1020100P0 38.2581 4 12055 Layer closure of wound(s) A 4.43 4.67 4.38 2.16 2.50 0.35 9.45 9.16 6.94 7.28 0010.10.80.1020100P0 38.2581 4 12056 Layer closure of wound(s) A 5.24 6.70 6.31 2.89 3.45 0.43 12.37 11.98 8.56 9.12 0010.10.80.1020000P0 38.2581 4 12057 Layer closure of wound(s) A 5.96 6.55 6.42 3.87 4.41 0.50 13.01 12.88 10.33 10.87 0010.10.80.1020210P0 38.2581 4 13100 Repair of wound or lesion A 3.12 3.41 2.87 1.88 1.57 0.21 6.74 6.20 5.21 4.90 0010.10.80.1020100P0 38.2581 4 13101 Repair of wound or lesion A 3.92 3.66 3.31 2.35 2.05 0.22 7.80 7.45 6.49 6.19 0010.10.80.1020100P0 38.2581 4 13102 Repair wound/lesion add-on A 1.24 0.74 0.74 0.59 0.59 0.10 2.08 2.08 1.93 1.93 0ZZZ.00.00.000010090 38.2581 5 13120 Repair of wound or lesion A 3.30 3.52 3.01 1.94 1.64 0.23 7.05 6.54 5.47 5.17 0010.10.80.1020100P0 38.2581 4 13121 Repair of wound or lesion A 4.33 3.88 3.63 2.42 2.18 0.25 8.46 8.21 7.00 6.76 0010.10.80.1020100P0 38.2581 4 13122 Repair wound/lesion add-on A 1.44 0.87 0.87 0.69 0.69 0.12 2.43 2.43 2.25 2.25 0ZZZ.00.00.000010090 38.2581 5 13131 Repair of wound or lesion A 3.79 3.76 3.36 2.24 1.95 0.25 7.80 7.40 6.28 5.99 0010.10.80.1020100P0 38.2581 4 13132 Repair of wound or lesion A 5.95 4.61 4.70 3.31 3.10 0.32 10.88 10.97 9.58 9.37 0010.10.80.1020100P0 38.2581 4 13133 Repair wound/lesion add-on A 2.19 1.22 1.22 1.04 1.04 0.17 3.58 3.58 3.40 3.40 0ZZZ.00.00.000010090 38.2581 5 13150 Repair of wound or lesion A 3.81 5.24 4.41 2.68 2.49 0.29 9.34 8.51 6.78 6.59 0010.10.80.1020100P0 38.2581 4 13151 Repair of wound or lesion A 4.45 5.19 4.56 3.13 2.68 0.28 9.92 9.29 7.86 7.41 0010.10.80.1020100P0 38.2581 4 13152 Repair of wound or lesion A 6.33 5.91 5.83 4.04 3.73 0.38 12.62 12.54 10.75 10.44 0010.10.80.1020100P0 38.2581 4 13153 Repair wound/lesion add-on A 2.38 1.35 1.35 1.13 1.13 0.18 3.91 3.91 3.69 3.69 0ZZZ.00.00.000010090 38.2581 5 13160 Late closure of wound A 10.48 6.41 NA 5.71 6.41 5.71 1.19 18.08 17.38 18.08 17.38 0090.10.71.1920100P0 38.2581 4 14000 Skin tissue rearrangement A 5.89 7.49 6.54 4.63 3.94 0.46 13.84 12.89 10.98 10.29 0090.10.71.1920100P0 38.2581 4 14001 Skin tissue rearrangement A 8.47 8.96 8.01 6.01 5.80 0.65 18.08 17.13 15.13 14.92 0090.10.71.1920100P0 38.2581 4 14020 Skin tissue rearrangement A 6.59 8.11 7.41 5.32 5.32 0.50 15.20 14.50 12.41 12.41 0090.10.71.1920100P0 38.2581 4 14021 Skin tissue rearrangement A 10.06 9.44 8.77 7.16 7.06 0.69 20.19 19.52 17.91 17.81 0090.10.71.1920100P0 38.2581 4 14040 Skin tissue rearrangement A 7.87 8.37 8.12 6.08 5.48 0.53 16.77 16.52 14.48 13.88 0090.10.71.1920100P0 38.2581 4 14041 Skin tissue rearrangement A 11.49 10.20 9.79 7.97 7.05 0.68 22.37 21.96 20.14 19.22 0090.10.71.1920100P0 38.2581 4 14060 Skin tissue rearrangement A 8.50 8.86 8.75 6.95 7.32 0.59 17.95 17.84 16.04 16.41 0090.10.71.1920100P0 38.2581 4 14061 Skin tissue rearrangement A 12.29 11.08 11.16 8.92 8.11 0.75 24.12 24.20 21.96 21.15 0090.10.71.1920100P0 38.2581 4 14300 Skin tissue rearrangement A 11.76 10.43 10.89 8.48 9.43 0.88 23.07 23.53 21.12 22.07 0090.10.71.1920100P0 38.2581 4 14350 Skin tissue rearrangement A 9.61 6.38 NA 6.43 6.38 6.43 1.09 17.08 17.13 17.08 17.13 0090.10.71.1920000P0 38.2581 4 15000 Skin graft A 4.00 2.51 2.47 1.97 2.06 0.37 6.88 6.84 6.34 6.43 0000.00.00.0000100P0 38.2581 4 15001 Skin graft add-on A 1.00 0.57 0.57 0.44 0.44 0.11 1.68 1.68 1.55 1.55 0ZZZ.00.00.0000200P0 38.2581 5 15050 Skin pinch graft A 4.30 4.88 4.15 3.95 3.45 0.46 9.64 8.91 8.71 8.21 0090.10.71.1920100P0 38.2581 4 15100 Skin split graft A 9.05 6.28 5.94 6.19 5.88 0.94 16.27 15.93 16.18 15.87 0090.10.71.1920100P0 38.2581 4 15101 Skin split graft add-on A 1.72 1.20 1.33 0.78 1.02 0.18 3.10 3.23 2.68 2.92 0ZZZ.00.00.0000100P0 38.2581 4 15120 Skin split graft A 9.83 8.99 8.39 6.68 6.65 0.87 19.69 19.09 17.38 17.35 0090.10.71.1920100P0 38.2581 4 15121 Skin split graft add-on A 2.67 1.58 1.98 1.28 1.75 0.27 4.52 4.92 4.22 4.69 0ZZZ.00.00.0000110P0 38.2581 4 15200 Skin full graft A 8.03 9.61 8.33 5.66 5.37 0.73 18.37 17.09 14.42 14.13 0090.10.71.1920100P0 38.2581 4 15201 Skin full graft add-on A 1.32 1.00 1.21 0.67 0.90 0.14 2.46 2.67 2.13 2.36 0ZZZ.00.00.0000000P0 38.2581 4 15220 Skin full graft A 7.87 9.69 8.58 6.21 5.97 0.68 18.24 17.13 14.76 14.52 0090.10.71.1920100P0 38.2581 4 15221 Skin full graft add-on A 1.19 0.98 1.17 0.59 0.80 0.12 2.29 2.48 1.90 2.11 0ZZZ.00.00.0000100P0 38.2581 4 15240 Skin full graft A 9.04 9.30 8.63 7.08 6.97 0.77 19.11 18.44 16.89 16.78 0090.10.71.1920100P0 38.2581 4 15241 Skin full graft add-on A 1.86 1.52 1.79 0.97 1.28 0.17 3.55 3.82 3.00 3.31 0ZZZ.00.00.0000100P0 38.2581 4 15260 Skin full graft A 10.06 9.24 8.96 7.59 7.72 0.63 19.93 19.65 18.28 18.41 0090.10.71.1920100P0 38.2581 4 15261 Skin full graft add-on A 2.23 1.63 2.00 1.18 1.55 0.17 4.03 4.40 3.58 3.95 0ZZZ.00.00.0000100P0 38.2581 4 15342 Cultured skin graft, 25 cm A 1.00 2.20 2.20 0.78 0.78 0.39 3.59 3.59 2.17 2.17 0010.10.80.102010090 38.2581 5 15343 Culture skn graft addl 25 cm A 0.25 0.28 0.28 0.10 0.10 0.09 0.62 0.62 0.44 0.44 0ZZZ.00.00.000010090 38.2581 5 15350 Skin homograft A 4.00 7.22 6.00 4.35 3.85 0.42 11.64 10.42 8.77 8.27 0090.10.71.1920100P0 38.2581 4 15351 Skin homograft add-on A 1.00 0.94 0.94 0.43 0.43 0.11 2.05 2.05 1.54 1.54 0ZZZ.00.00.0000100P0 38.2581 5 15400 Skin heterograft A 4.00 5.14 4.14 5.14 4.14 0.40 9.54 8.54 9.54 8.54 0090.10.71.1920100P0 38.2581 4 15401 Skin heterograft add-on A 1.00 1.15 1.15 0.48 0.48 0.11 2.26 2.26 1.59 1.59 0ZZZ.00.00.0000100P0 38.2581 5 15570 Form skin pedicle flap A 9.21 8.44 7.82 6.41 6.30 0.96 18.61 17.99 16.58 16.47 0090.10.71.1920100P0 38.2581 4 15572 Form skin pedicle flap A 9.27 7.54 7.12 6.21 6.12 0.93 17.74 17.32 16.41 16.32 0090.10.71.1920100P0 38.2581 4 15574 Form skin pedicle flap A 9.88 8.53 7.86 6.93 6.66 0.92 19.33 18.66 17.73 17.46 0090.10.71.1920100P0 38.2581 4 15576 Form skin pedicle flap A 8.69 8.97 7.58 6.38 5.63 0.72 18.38 16.99 15.79 15.04 0090.10.71.1920100P0 38.2581 4 15600 Skin graft A 1.91 6.42 5.50 2.31 2.30 0.19 8.52 7.60 4.41 4.40 0090.10.71.1920000P0 38.2581 4 15610 Skin graft A 2.42 4.49 4.13 2.63 2.70 0.25 7.16 6.80 5.30 5.37 0090.10.71.1920000P0 38.2581 4 15620 Skin graft A 2.94 6.76 6.00 3.24 3.31 0.28 9.98 9.22 6.46 6.53 0090.10.71.1920100P0 38.2581 4 15630 Skin graft A 3.27 6.12 5.57 3.67 3.73 0.28 9.67 9.12 7.22 7.28 0090.10.71.1920100P0 38.2581 4 15650 Transfer skin pedicle flap A 3.97 6.18 5.82 3.81 4.04 0.36 10.51 10.15 8.14 8.37 0090.10.71.1920000P0 38.2581 4 15732 Muscle-skin graft, head/neck A 17.84 11.53 NA12.85 11.53 12.85 1.50 30.87 32.19 30.87 32.19 0090.10.71.1920210P0 38.2581 4 15734 Muscle-skin graft, trunk A 17.79 11.45 NA13.75 11.45 13.75 1.91 31.15 33.45 31.15 33.45 0090.10.71.1920210P0 38.2581 4 15736 Muscle-skin graft, arm A 16.27 10.80 NA12.50 10.80 12.50 1.78 28.85 30.55 28.85 30.55 0090.10.71.1920110P0 38.2581 4 15738 Muscle-skin graft, leg A 17.92 11.35 NA12.01 11.35 12.01 1.95 31.22 31.88 31.22 31.88 0090.10.71.1920210P0 38.2581 4 15740 Island pedicle flap graft A 10.25 8.98 9.56 7.14 8.18 0.62 19.85 20.43 18.01 19.05 0090.10.71.1920100P0 38.2581 4 15750 Neurovascular pedicle graft A 11.41 8.14 NA 9.35 8.14 9.35 1.12 20.67 21.88 20.67 21.88 0090.10.71.1920200P0 38.2581 4 15756 Free muscle flap, microvasc A 35.23 18.83 NA22.29 18.83 22.29 3.11 57.17 60.63 57.17 60.63 0090.10.71.1920220P0 38.2581 4 15757 Free skin flap, microvasc A 35.23 22.18 NA24.80 22.18 24.80 3.37 60.78 63.40 60.78 63.40 0090.10.71.1920220P0 38.2581 4 15758 Free fascial flap, microvasc A 35.10 22.50 NA25.04 22.50 25.04 3.52 61.12 63.66 61.12 63.66 0090.10.71.1920220P0 38.2581 4 15760 Composite skin graft A 8.74 9.29 8.95 6.80 7.08 0.72 18.75 18.41 16.26 16.54 0090.10.71.1920100P0 38.2581 4 15770 Derma-fat-fascia graft A 7.52 6.08 NA 6.59 6.08 6.59 0.78 14.38 14.89 14.38 14.89 0090.10.71.1920210P0 38.2581 4 15775 Hair transplant punch grafts R 3.96 3.08 3.09 1.60 1.98 0.43 7.47 7.48 5.99 6.37 0000.00.00.0020000P0 38.2581 4 15776 Hair transplant punch grafts R 5.54 3.93 4.04 2.99 3.34 0.60 10.07 10.18 9.13 9.48 0000.00.00.0020000P0 38.2581 4 15780 Abrasion treatment of skin A 7.29 6.36 5.19 6.36 4.98 0.41 14.06 12.89 14.06 12.68 0090.10.71.1920000P0 38.2581 4 15781 Abrasion treatment of skin A 4.85 4.83 4.65 4.83 4.14 0.27 9.95 9.77 9.95 9.26 0090.10.71.1920100P0 38.2581 4 15782 Abrasion treatment of skin A 4.32 4.14 3.43 4.14 3.27 0.21 8.67 7.96 8.67 7.80 0090.10.71.1920000P0 38.2581 4 15783 Abrasion treatment of skin A 4.29 4.49 3.87 3.48 2.86 0.26 9.04 8.42 8.03 7.41 0090.10.71.1920000P0 38.2581 4 15786 Abrasion, lesion, single A 2.03 1.71 1.45 1.29 1.05 0.11 3.85 3.59 3.43 3.19 0010.10.80.1020100P0 38.2581 4 15787 Abrasion, lesions, add-on A 0.33 0.38 0.35 0.17 0.16 0.02 0.73 0.70 0.52 0.51 0ZZZ.00.00.0000100P0 38.2581 4 15788 Chemical peel, face, epiderm R 2.09 3.08 2.71 1.05 1.19 0.11 5.28 4.91 3.25 3.39 0090.10.71.1920100P0 38.2581 4 15789 Chemical peel, face, dermal R 4.92 5.68 4.66 3.69 3.17 0.27 10.87 9.85 8.88 8.36 0090.10.71.1920100P0 38.2581 4 15792 Chemical peel, nonfacial R 1.86 2.84 2.27 1.83 1.51 0.10 4.80 4.23 3.79 3.47 0090.10.71.1920000P0 38.2581 4 15793 Chemical peel, nonfacial A 3.74 3.38 NA 2.67 3.38 2.67 0.17 7.29 6.58 7.29 6.58 0090.10.71.1920000P0 38.2581 4 15810 Salabrasion A 4.74 3.80 3.88 3.80 3.88 0.42 8.96 9.04 8.96 9.04 0090.10.71.1920000P0 38.2581 4 15811 Salabrasion A 5.39 4.07 4.07 4.07 4.07 0.52 9.98 9.98 9.98 9.98 0090.10.71.1920000P0 38.2581 4 15819 Plastic surgery, neck A 9.38 6.87 NA 7.33 6.87 7.33 0.77 17.02 17.48 17.02 17.48 0090.10.71.1920000P0 38.2581 4 15820 Revision of lower eyelid A 5.15 10.70 9.56 6.60 6.49 0.30 16.15 15.01 12.05 11.94 0090.10.71.1921000P0 38.2581 4 15821 Revision of lower eyelid A 5.72 11.31 10.19 6.77 6.79 0.31 17.34 16.22 12.80 12.82 0090.10.71.1921000P0 38.2581 4 15822 Revision of upper eyelid A 4.45 8.92 8.02 5.99 5.82 0.22 13.59 12.69 10.66 10.49 0090.10.71.1921100P0 38.2581 4 15823 Revision of upper eyelid A 7.05 10.19 9.74 7.17 7.47 0.32 17.56 17.11 14.54 14.84 0090.10.71.1921100P0 38.2581 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 0XXX.00.00.0021000P0 38.2581 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 0XXX.00.00.0021000P0 38.2581 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 0XXX.00.00.0021000P0 38.2581 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 0XXX.00.00.0021000P0 38.2581 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 0XXX.00.00.0021000P0 38.2581 9 15831 Excise excessive skin tissue A 12.40 8.18 NA 8.81 8.18 8.81 1.30 21.88 22.51 21.88 22.51 0090.10.71.1920210P0 38.2581 4 15832 Excise excessive skin tissue A 11.59 7.82 NA 8.12 7.82 8.12 1.21 20.62 20.92 20.62 20.92 0090.10.71.1920210P0 38.2581 4 15833 Excise excessive skin tissue A 10.64 7.50 NA 7.31 7.50 7.31 1.17 19.31 19.12 19.31 19.12 0090.10.71.1920000P0 38.2581 4 15834 Excise excessive skin tissue A 10.85 6.14 NA 6.55 6.14 6.55 1.18 18.17 18.58 18.17 18.58 0090.10.71.1920000P0 38.2581 4 15835 Excise excessive skin tissue A 11.67 5.73 NA 6.20 5.73 6.20 1.13 18.53 19.00 18.53 19.00 0090.10.71.1920000P0 38.2581 4 15836 Excise excessive skin tissue A 9.34 6.18 NA 6.21 6.18 6.21 0.95 16.47 16.50 16.47 16.50 0090.10.71.1920000P0 38.2581 4 15837 Excise excessive skin tissue A 8.43 7.85 7.51 6.11 6.20 0.78 17.06 16.72 15.32 15.41 0090.10.71.1920000P0 38.2581 4 15838 Excise excessive skin tissue A 7.13 5.70 NA 5.87 5.70 5.87 0.58 13.41 13.58 13.41 13.58 0090.10.71.1920000P0 38.2581 4 15839 Excise excessive skin tissue A 9.38 7.60 6.36 6.06 5.21 0.88 17.86 16.62 16.32 15.47 0090.10.71.1920000P0 38.2581 4 15840 Graft for face nerve palsy A 13.26 9.85 NA11.35 9.85 11.35 1.15 24.26 25.76 24.26 25.76 0090.10.71.1920100P0 38.2581 4 15841 Graft for face nerve palsy A 23.26 15.30 NA16.05 15.30 16.05 2.65 41.21 41.96 41.21 41.96 0090.10.71.1920210P0 38.2581 4 15842 Flap for face nerve palsy A 37.96 21.94 NA24.32 21.94 24.32 3.99 63.89 66.27 63.89 66.27 0090.10.71.1920210P0 38.2581 4 15845 Skin and muscle repair, face A 12.57 8.97 NA10.48 8.97 10.48 0.80 22.34 23.85 22.34 23.85 0090.10.71.1920200P0 38.2581 4 15850 Removal of sutures B+ 0.78 1.38 1.13 0.31 0.33 0.04 2.20 1.95 1.13 1.15 9XXX.00.00.0099999P9 38.2581 9 15851 Removal of sutures A 0.86 1.56 1.25 0.35 0.31 0.05 2.47 2.16 1.26 1.22 0000.00.00.0020100P0 38.2581 4 15852 Dressing change,not for burn A 0.86 1.75 1.43 0.37 0.34 0.07 2.68 2.36 1.30 1.27 0000.00.00.0020100P0 38.2581 4 15860 Test for blood flow in graft A 1.95 1.36 1.39 0.83 0.99 0.13 3.44 3.47 2.91 3.07 0000.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 9 15920 Removal of tail bone ulcer A 7.95 5.53 NA 4.95 5.53 4.95 0.83 14.31 13.73 14.31 13.73 0090.10.71.1920000P0 38.2581 4 15922 Removal of tail bone ulcer A 9.90 7.27 NA 7.08 7.27 7.08 1.06 18.23 18.04 18.23 18.04 0090.10.71.1920210P0 38.2581 4 15931 Remove sacrum pressure sore A 9.24 5.71 NA 5.08 5.71 5.08 0.95 15.90 15.27 15.90 15.27 0090.10.71.1920100P0 38.2581 4 15933 Remove sacrum pressure sore A 10.85 7.78 NA 7.71 7.78 7.71 1.14 19.77 19.70 19.77 19.70 0090.10.71.1920000P0 38.2581 4 15934 Remove sacrum pressure sore A 12.69 8.45 NA 8.36 8.45 8.36 1.35 22.49 22.40 22.49 22.40 0090.10.71.1920100P0 38.2581 4 15935 Remove sacrum pressure sore A 14.57 10.35 NA10.81 10.35 10.81 1.56 26.48 26.94 26.48 26.94 0090.10.71.1920210P0 38.2581 4 15936 Remove sacrum pressure sore A 12.38 9.01 NA 9.55 9.01 9.55 1.32 22.71 23.25 22.71 23.25 0090.10.71.1920110P0 38.2581 4 15937 Remove sacrum pressure sore A 14.21 10.43 NA11.48 10.43 11.48 1.51 26.15 27.20 26.15 27.20 0090.10.71.1920210P0 38.2581 4 15940 Remove hip pressure sore A 9.34 6.02 NA 5.48 6.02 5.48 0.98 16.34 15.80 16.34 15.80 0090.10.71.1920100P0 38.2581 4 15941 Remove hip pressure sore A 11.43 9.75 NA 9.23 9.75 9.23 1.23 22.41 21.89 22.41 21.89 0090.10.71.1920000P0 38.2581 4 15944 Remove hip pressure sore A 11.46 8.66 NA 9.01 8.66 9.01 1.21 21.33 21.68 21.33 21.68 0090.10.71.1920000P0 38.2581 4 15945 Remove hip pressure sore A 12.69 9.77 NA10.35 9.77 10.35 1.38 23.84 24.42 23.84 24.42 0090.10.71.1920000P0 38.2581 4 15946 Remove hip pressure sore A 21.57 14.60 NA15.46 14.60 15.46 2.32 38.49 39.35 38.49 39.35 0090.10.71.1920210P0 38.2581 4 15950 Remove thigh pressure sore A 7.54 5.24 NA 4.75 5.24 4.75 0.80 13.58 13.09 13.58 13.09 0090.10.71.1920100P0 38.2581 4 15951 Remove thigh pressure sore A 10.72 7.72 NA 7.87 7.72 7.87 1.14 19.58 19.73 19.58 19.73 0090.10.71.1920010P0 38.2581 4 15952 Remove thigh pressure sore A 11.39 7.44 NA 7.52 7.44 7.52 1.19 20.02 20.10 20.02 20.10 0090.10.71.1920210P0 38.2581 4 15953 Remove thigh pressure sore A 12.63 8.94 NA 9.17 8.94 9.17 1.38 22.95 23.18 22.95 23.18 0090.10.71.1920110P0 38.2581 4 15956 Remove thigh pressure sore A 15.52 10.66 NA12.63 10.66 12.63 1.64 27.82 29.79 27.82 29.79 0090.10.71.1920110P0 38.2581 4 15958 Remove thigh pressure sore A 15.48 10.97 NA12.85 10.97 12.85 1.66 28.11 29.99 28.11 29.99 0090.10.71.1920210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 16000 Initial treatment of burn(s) A 0.89 0.99 0.84 0.27 0.25 0.06 1.94 1.79 1.22 1.20 0000.00.00.0020100P0 38.2581 4 16010 Treatment of burn(s) A 0.87 1.08 0.90 0.38 0.33 0.07 2.02 1.84 1.32 1.27 0000.00.00.0020100P0 38.2581 4 16015 Treatment of burn(s) A 2.35 1.79 1.90 1.00 1.30 0.22 4.36 4.47 3.57 3.87 0000.00.00.0020100P0 38.2581 4 16020 Treatment of burn(s) A 0.80 1.09 0.91 0.26 0.24 0.06 1.95 1.77 1.12 1.10 0000.00.00.0020100P0 38.2581 4 16025 Treatment of burn(s) A 1.85 1.74 1.43 0.69 0.58 0.16 3.75 3.44 2.70 2.59 0000.00.00.0020100P0 38.2581 4 16030 Treatment of burn(s) A 2.08 2.98 2.38 0.95 0.85 0.18 5.24 4.64 3.21 3.11 0000.00.00.0020100P0 38.2581 4 16035 Incision of burn scab, initi A 3.75 1.59 NA 1.70 1.59 1.70 0.36 5.70 5.81 5.70 5.81 0090.10.71.1920100P0 38.2581 4 16036 Incise burn scab, addl incis A 1.50 0.64 NA 0.64 0.64 0.64 0.18 2.32 2.32 2.32 2.32 0ZZZ.00.00.000010090 38.2581 5 17000 Destroy benign/premal lesion A 0.60 1.04 0.90 0.27 0.26 0.03 1.67 1.53 0.90 0.89 0010.10.80.1020100P0 38.2581 4 17003 Destroy lesions, 2-14 A 0.15 0.23 0.21 0.07 0.07 0.01 0.39 0.37 0.23 0.23 0ZZZ.00.00.0000100P0 38.2581 4 17004 Destroy lesions, 15 or more A 2.79 2.46 2.46 1.29 1.27 0.12 5.37 5.37 4.20 4.18 0010.10.80.1000100P0 38.2581 4 17106 Destruction of skin lesions A 4.59 4.45 3.86 2.64 2.24 0.28 9.32 8.73 7.51 7.11 0090.10.71.1920100P0 38.2581 4 17107 Destruction of skin lesions A 9.16 6.54 5.91 4.73 4.05 0.53 16.23 15.60 14.42 13.74 0090.10.71.1920100P0 38.2581 4 17108 Destruction of skin lesions A 13.20 8.64 9.01 7.26 7.97 0.89 22.73 23.10 21.35 22.06 0090.10.71.1920000P0 38.2581 4 17110 Destruct lesion, 1-14 A 0.65 1.00 0.86 0.26 0.25 0.04 1.69 1.55 0.95 0.94 0010.10.80.1020100P0 38.2581 4 17111 Destruct lesion, 15 or more A 0.92 1.15 1.03 0.40 0.38 0.04 2.11 1.99 1.36 1.34 0010.10.80.1020100P0 38.2581 4 17250 Chemical cautery, tissue A 0.50 0.66 0.59 0.21 0.21 0.04 1.20 1.13 0.75 0.75 0000.00.00.0020100P0 38.2581 4 17260 Destruction of skin lesions A 0.91 1.29 1.28 0.42 0.47 0.04 2.24 2.23 1.37 1.42 0010.10.80.1020100P0 38.2581 4 17261 Destruction of skin lesions A 1.17 1.41 1.44 0.55 0.60 0.05 2.63 2.66 1.77 1.82 0010.10.80.1020100P0 38.2581 4 17262 Destruction of skin lesions A 1.58 1.61 1.70 0.75 0.81 0.07 3.26 3.35 2.40 2.46 0010.10.80.1020100P0 38.2581 4 17263 Destruction of skin lesions A 1.79 1.72 1.90 0.83 0.93 0.08 3.59 3.77 2.70 2.80 0010.10.80.1020100P0 38.2581 4 17264 Destruction of skin lesions A 1.94 1.80 2.05 0.85 0.99 0.08 3.82 4.07 2.87 3.01 0010.10.80.1020100P0 38.2581 4 17266 Destruction of skin lesions A 2.34 2.00 2.35 0.97 1.15 0.11 4.45 4.80 3.42 3.60 0010.10.80.1020100P0 38.2581 4 17270 Destruction of skin lesions A 1.32 1.49 1.48 0.62 0.65 0.06 2.87 2.86 2.00 2.03 0010.10.80.1020100P0 38.2581 4 17271 Destruction of skin lesions A 1.49 1.57 1.65 0.72 0.78 0.06 3.12 3.20 2.27 2.33 0010.10.80.1020100P0 38.2581 4 17272 Destruction of skin lesions A 1.77 1.71 1.88 0.85 0.94 0.07 3.55 3.72 2.69 2.78 0010.10.80.1020100P0 38.2581 4 17273 Destruction of skin lesions A 2.05 1.86 2.10 0.98 1.09 0.09 4.00 4.24 3.12 3.23 0010.10.80.1020100P0 38.2581 4 17274 Destruction of skin lesions A 2.59 2.12 2.46 1.19 1.33 0.11 4.82 5.16 3.89 4.03 0010.10.80.1020100P0 38.2581 4 17276 Destruction of skin lesions A 3.20 2.42 2.74 1.70 1.74 0.15 5.77 6.09 5.05 5.09 0010.10.80.1020100P0 38.2581 4 17280 Destruction of skin lesions A 1.17 1.33 1.45 0.54 0.63 0.05 2.55 2.67 1.76 1.85 0010.10.80.1020100P0 38.2581 4 17281 Destruction of skin lesions A 1.72 1.69 1.84 0.83 0.91 0.07 3.48 3.63 2.62 2.70 0010.10.80.1020100P0 38.2581 4 17282 Destruction of skin lesions A 2.04 1.85 2.09 0.99 1.09 0.09 3.98 4.22 3.12 3.22 0010.10.80.1020100P0 38.2581 4 17283 Destruction of skin lesions A 2.64 2.15 2.43 1.25 1.35 0.11 4.90 5.18 4.00 4.10 0010.10.80.1020100P0 38.2581 4 17284 Destruction of skin lesions A 3.21 2.44 2.78 1.51 1.61 0.14 5.79 6.13 4.86 4.96 0010.10.80.1020100P0 38.2581 4 17286 Destruction of skin lesions A 4.44 3.06 3.47 2.46 2.43 0.22 7.72 8.13 7.12 7.09 0010.10.80.1020100P0 38.2581 4 17304 Chemosurgery of skin lesion A 7.60 7.71 6.87 3.67 3.30 0.31 15.62 14.78 11.58 11.21 0000.00.00.0000100P0 38.2581 4 17305 2nd stage chemosurgery A 2.85 3.58 3.30 1.38 1.34 0.12 6.55 6.27 4.35 4.31 0000.00.00.0000100P0 38.2581 4 17306 3rd stage chemosurgery A 2.85 3.62 3.10 1.39 1.23 0.12 6.59 6.07 4.36 4.20 0000.00.00.0000100P0 38.2581 4 17307 Followup skin lesion therapy A 2.85 3.17 2.78 1.40 1.25 0.12 6.14 5.75 4.37 4.22 0000.00.00.0000100P0 38.2581 4 17310 Extensive skin chemosurgery A 0.95 1.49 1.15 0.48 0.38 0.05 2.49 2.15 1.48 1.38 0000.00.00.0000100P0 38.2581 4 17340 Cryotherapy of skin A 0.76 1.35 1.09 0.27 0.24 0.04 2.15 1.89 1.07 1.04 0010.10.80.1020100P0 38.2581 4 17360 Skin peel therapy A 1.43 1.51 1.21 0.69 0.56 0.06 3.00 2.70 2.18 2.05 0010.10.80.1020100P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 19000 Drainage of breast lesion A 0.84 1.18 0.99 0.30 0.28 0.07 2.09 1.90 1.21 1.19 0000.00.00.0021100P0 38.2581 4 19001 Drain breast lesion add-on A 0.42 0.79 0.66 0.15 0.15 0.03 1.24 1.11 0.60 0.60 0ZZZ.00.00.0001100P0 38.2581 4 19020 Incision of breast lesion A 3.57 6.66 5.38 3.38 2.92 0.35 10.58 9.30 7.30 6.84 0090.10.71.1921100P0 38.2581 4 19030 Injection for breast x-ray A 1.53 10.60 8.08 0.54 0.54 0.07 12.20 9.68 2.14 2.14 0000.00.00.0021100P0 38.2581 4 19100 Bx breast percut w/o image A 1.27 3.33 2.67 0.46 0.43 0.10 4.70 4.04 1.83 1.80 0000.00.00.0021100P0 38.2581 4 19101 Biopsy of breast, open A 3.18 9.82 8.00 2.97 2.86 0.20 13.20 11.38 6.35 6.24 0010.10.80.1021100P1A4550 38.2581 4 19102 Bx breast percut w/image A 2.00 4.58 4.58 0.73 0.73 0.08 6.66 6.66 2.81 2.81 0000.00.00.002110090 38.2581 5 19103 Bx breast percut w/device A 2.37 10.83 10.83 0.86 0.86 0.08 13.28 13.28 3.31 3.31 0000.00.00.002110090 38.2581 5 19110 Nipple exploration A 4.30 8.03 6.69 4.42 3.98 0.44 12.77 11.43 9.16 8.72 0090.10.71.1921100P0 38.2581 4 19112 Excise breast duct fistula A 3.67 6.84 5.77 3.08 2.95 0.38 10.89 9.82 7.13 7.00 0090.10.71.1921000P0 38.2581 4 19120 Removal of breast lesion A 5.56 4.41 4.10 3.62 3.50 0.56 10.53 10.22 9.74 9.62 0090.10.71.1921100P1A4550 38.2581 4 19125 Excision, breast lesion A 6.06 5.04 4.57 3.78 3.62 0.61 11.71 11.24 10.45 10.29 0090.10.71.1921110P1A4550 38.2581 4 19126 Excision, addl breast lesion A 2.93 1.11 NA 1.23 1.11 1.23 0.30 4.34 4.46 4.34 4.46 0ZZZ.00.00.0000110P1A4550 38.2581 4 19140 Removal of breast tissue A 5.14 8.71 7.70 3.76 3.99 0.52 14.37 13.36 9.42 9.65 0090.10.71.1921100P0 38.2581 4 19160 Removal of breast tissue A 5.99 4.56 NA 4.54 4.56 4.54 0.61 11.16 11.14 11.16 11.14 0090.10.71.1921000P0 38.2581 4 19162 Remove breast tissue, nodes A 13.53 8.08 NA 8.61 8.08 8.61 1.38 22.99 23.52 22.99 23.52 0090.10.71.1921210P0 38.2581 4 19180 Removal of breast A 8.80 6.01 NA 6.03 6.01 6.03 0.88 15.69 15.71 15.69 15.71 0090.10.71.1921210P0 38.2581 4 19182 Removal of breast A 7.73 5.06 NA 5.44 5.06 5.44 0.79 13.58 13.96 13.58 13.96 0090.10.71.1921210P0 38.2581 4 19200 Removal of breast A 15.49 9.47 NA 9.88 9.47 9.88 1.51 26.47 26.88 26.47 26.88 0090.10.71.1921210P0 38.2581 4 19220 Removal of breast A 15.72 9.40 NA 9.96 9.40 9.96 1.56 26.68 27.24 26.68 27.24 0090.10.71.1921210P0 38.2581 4 19240 Removal of breast A 16.00 9.00 NA 9.31 9.00 9.31 1.62 26.62 26.93 26.62 26.93 0090.10.71.1921210P0 38.2581 4 19260 Removal of chest wall lesion A 15.44 10.55 NA 9.28 10.55 9.28 1.64 27.63 26.36 27.63 26.36 0090.10.71.1920210P0 38.2581 4 19271 Revision of chest wall A 18.90 13.98 NA14.27 13.98 14.27 2.27 35.15 35.44 35.15 35.44 0090.10.71.1920210P0 38.2581 4 19272 Extensive chest wall surgery A 21.55 15.55 NA15.08 15.55 15.08 2.54 39.64 39.17 39.64 39.17 0090.10.71.1920210P0 38.2581 4 19290 Place needle wire, breast A 1.27 4.85 3.76 0.45 0.46 0.06 6.18 5.09 1.78 1.79 0000.00.00.0021100P0 38.2581 4 19291 Place needle wire, breast A 0.63 1.65 1.31 0.22 0.23 0.03 2.31 1.97 0.88 0.89 0ZZZ.00.00.0000000P0 38.2581 4 19295 Place breast clip, percut A 0.00 2.61 2.61 0.94 0.94 0.01 2.62 2.62 0.95 0.95 9ZZZ.00.00.000000090 38.2581 5 19316 Suspension of breast A 10.69 7.63 NA 8.91 7.63 8.91 1.15 19.47 20.75 19.47 20.75 0090.10.71.1921210P0 38.2581 4 19318 Reduction of large breast A 15.62 10.48 NA11.71 10.48 11.71 1.69 27.79 29.02 27.79 29.02 0090.10.71.1921210P0 38.2581 4 19324 Enlarge breast A 5.85 4.62 NA 4.36 4.62 4.36 0.63 11.10 10.84 11.10 10.84 0090.10.71.1921000P0 38.2581 4 19325 Enlarge breast with implant A 8.45 6.75 NA 6.66 6.75 6.66 0.90 16.10 16.01 16.10 16.01 0090.10.71.1921000P0 38.2581 4 19328 Removal of breast implant A 5.68 4.60 NA 4.47 4.60 4.47 0.61 10.89 10.76 10.89 10.76 0090.10.71.1921100P0 38.2581 4 19330 Removal of implant material A 7.59 5.33 NA 5.05 5.33 5.05 0.81 13.73 13.45 13.73 13.45 0090.10.71.1921100P0 38.2581 4 19340 Immediate breast prosthesis A 6.33 3.32 NA 4.38 3.32 4.38 0.68 10.33 11.39 10.33 11.39 0ZZZ.00.00.0001110P0 38.2581 4 19342 Delayed breast prosthesis A 11.20 7.96 NA 8.90 7.96 8.90 1.21 20.37 21.31 20.37 21.31 0090.10.71.1921010P0 38.2581 4 19350 Breast reconstruction A 8.92 13.94 12.38 6.87 7.07 0.95 23.81 22.25 16.74 16.94 0090.10.71.1921100P0 38.2581 4 19355 Correct inverted nipple(s) A 7.57 11.53 9.99 5.94 5.79 0.80 19.90 18.36 14.31 14.16 0090.10.71.1921000P0 38.2581 4 19357 Breast reconstruction A 18.16 13.92 NA13.74 13.92 13.74 1.96 34.04 33.86 34.04 33.86 0090.10.71.1921210P0 38.2581 4 19361 Breast reconstruction A 19.26 12.29 NA14.68 12.29 14.68 2.08 33.63 36.02 33.63 36.02 0090.10.71.1921210P0 38.2581 4 19364 Breast reconstruction A 41.00 22.88 NA21.69 22.88 21.69 3.91 67.79 66.60 67.79 66.60 0090.10.71.1921210P0 38.2581 4 19366 Breast reconstruction A 21.28 12.38 NA13.74 12.38 13.74 2.27 35.93 37.29 35.93 37.29 0090.10.71.1921210P0 38.2581 4 19367 Breast reconstruction A 25.73 15.65 NA17.20 15.65 17.20 2.78 44.16 45.71 44.16 45.71 0090.10.71.1921210P0 38.2581 4 19368 Breast reconstruction A 32.42 19.45 NA20.05 19.45 20.05 3.51 55.38 55.98 55.38 55.98 0090.10.71.1921210P0 38.2581 4 19369 Breast reconstruction A 29.82 18.59 NA19.41 18.59 19.41 3.24 51.65 52.47 51.65 52.47 0090.10.71.1921210P0 38.2581 4 19370 Surgery of breast capsule A 8.05 6.16 NA 6.30 6.16 6.30 0.86 15.07 15.21 15.07 15.21 0090.10.71.1921100P0 38.2581 4 19371 Removal of breast capsule A 9.35 7.26 NA 7.59 7.26 7.59 1.01 17.62 17.95 17.62 17.95 0090.10.71.1921100P0 38.2581 4 19380 Revise breast reconstruction A 9.14 7.15 NA 7.56 7.15 7.56 0.98 17.27 17.68 17.27 17.68 0090.10.71.1921100P0 38.2581 4 19396 Design custom breast implant A 2.17 4.99 4.17 0.80 1.03 0.23 7.39 6.57 3.20 3.43 0000.00.00.0021000P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 20000 Incision of abscess A 2.12 1.94 1.69 1.18 1.00 0.17 4.23 3.98 3.47 3.29 0010.10.80.1020100P0 38.2581 4 20005 Incision of deep abscess A 3.42 2.81 2.61 2.22 2.16 0.34 6.57 6.37 5.98 5.92 0010.10.80.1020100P0 38.2581 4 20100 Explore wound, neck A 10.08 6.00 5.85 4.65 4.84 0.99 17.07 16.92 15.72 15.91 0010.10.80.1021200P0 38.2581 4 20101 Explore wound, chest A 3.22 3.04 2.71 1.36 1.45 0.24 6.50 6.17 4.82 4.91 0010.10.80.1020100P0 38.2581 4 20102 Explore wound, abdomen A 3.94 3.36 3.04 1.71 1.80 0.35 7.65 7.33 6.00 6.09 0010.10.80.1020200P0 38.2581 4 20103 Explore wound, extremity A 5.30 4.12 3.79 3.02 2.97 0.57 9.99 9.66 8.89 8.84 0010.10.80.1020000P0 38.2581 4 20150 Excise epiphyseal bar A 13.69 7.66 NA 9.11 7.66 9.11 0.96 22.31 23.76 22.31 23.76 0090.10.69.2121210P0 38.2581 4 20200 Muscle biopsy A 1.46 1.70 1.58 0.64 0.79 0.17 3.33 3.21 2.27 2.42 0000.00.00.0020100P1A4550 38.2581 4 20205 Deep muscle biopsy A 2.35 3.53 3.16 1.00 1.26 0.23 6.11 5.74 3.58 3.84 0000.00.00.0020100P1A4550 38.2581 4 20206 Needle biopsy, muscle A 0.99 3.02 2.53 0.36 0.53 0.06 4.07 3.58 1.41 1.58 0000.00.00.0020100P0 38.2581 4 20220 Bone biopsy, trocar/needle A 1.27 4.78 3.94 2.87 2.51 0.06 6.11 5.27 4.20 3.84 0000.00.00.0020100P1A4550 38.2581 4 20225 Bone biopsy, trocar/needle A 1.87 4.28 3.86 2.85 2.70 0.11 6.26 5.84 4.83 4.68 0000.00.00.0020100P1A4550 38.2581 4 20240 Bone biopsy, excisional A 3.23 4.11 NA 3.59 4.11 3.59 0.33 7.67 7.15 7.67 7.15 0010.10.80.1020100P1A4550 38.2581 4 20245 Bone biopsy, excisional A 3.95 4.69 NA 4.49 4.69 4.49 0.44 9.08 8.88 9.08 8.88 0010.10.80.1020100P0 38.2581 4 20250 Open bone biopsy A 5.03 4.29 NA 4.59 4.29 4.59 0.50 9.82 10.12 9.82 10.12 0010.10.80.1020100P0 38.2581 4 20251 Open bone biopsy A 5.56 4.72 NA 5.13 4.72 5.13 0.79 11.07 11.48 11.07 11.48 0010.10.80.1020200P0 38.2581 4 20500 Injection of sinus tract A 1.23 5.19 3.99 3.76 2.87 0.10 6.52 5.32 5.09 4.20 0010.10.80.1020100P0 38.2581 4 20501 Inject sinus tract for x-ray A 0.76 12.72 9.62 0.27 0.29 0.03 13.51 10.41 1.06 1.08 0000.00.00.0020100P0 38.2581 4 20520 Removal of foreign body A 1.85 5.22 4.11 3.33 2.60 0.17 7.24 6.13 5.35 4.62 0010.10.80.1020100P0 38.2581 4 20525 Removal of foreign body A 3.50 6.39 5.40 4.14 3.71 0.40 10.29 9.30 8.04 7.61 0010.10.80.1020100P0 38.2581 4 20550 Inject tendon/ligament/cyst A 0.86 1.96 1.57 0.22 0.22 0.06 2.88 2.49 1.14 1.14 0000.00.00.0020100P0 38.2581 4 20600 Drain/inject, joint/bursa A 0.66 1.35 1.14 0.27 0.27 0.06 2.07 1.86 0.99 0.99 0000.00.00.0021100P0 38.2581 4 20605 Drain/inject, joint/bursa A 0.68 1.68 1.38 0.27 0.27 0.06 2.42 2.12 1.01 1.01 0000.00.00.0021100P0 38.2581 4 20610 Drain/inject, joint/bursa A 0.79 2.08 1.68 0.55 0.48 0.08 2.95 2.55 1.42 1.35 0000.00.00.0021100P0 38.2581 4 20615 Treatment of bone cyst A 2.28 4.45 3.47 2.46 1.91 0.19 6.92 5.94 4.93 4.38 0010.10.80.1020100P0 38.2581 4 20650 Insert and remove bone pin A 2.23 4.30 3.52 2.88 2.45 0.28 6.81 6.03 5.39 4.96 0010.10.80.1020110P0 38.2581 4 20660 Apply,remove fixation device A 2.51 1.47 NA 1.53 1.47 1.53 0.48 4.46 4.52 4.46 4.52 0000.00.00.0000100P0 38.2581 4 20661 Application of head brace A 4.89 6.52 NA 5.93 6.52 5.93 0.92 12.33 11.74 12.33 11.74 0090.10.69.2120100P0 38.2581 4 20662 Application of pelvis brace A 6.07 5.11 NA 5.61 5.11 5.61 0.81 11.99 12.49 11.99 12.49 0090.10.69.2120000P0 38.2581 4 20663 Application of thigh brace A 5.43 4.75 NA 4.82 4.75 4.82 0.77 10.95 11.02 10.95 11.02 0090.10.69.2120000P0 38.2581 4 20664 Halo brace application A 8.06 8.25 NA 7.23 8.25 7.23 1.49 17.80 16.78 17.80 16.78 0090.10.69.2120100P0 38.2581 4 20665 Removal of fixation device A 1.31 2.20 1.79 1.23 1.06 0.17 3.68 3.27 2.71 2.54 0010.10.80.1020000P0 38.2581 4 20670 Removal of support implant A 1.74 5.50 4.33 3.43 2.67 0.23 7.47 6.30 5.40 4.64 0010.10.80.1020100P0 38.2581 4 20680 Removal of support implant A 3.35 5.02 4.67 5.02 4.67 0.46 8.83 8.48 8.83 8.48 0090.10.69.2120000P0 38.2581 4 20690 Apply bone fixation device A 3.52 1.88 NA 2.40 1.88 2.40 0.47 5.87 6.39 5.87 6.39 0090.10.69.2120100P0 38.2581 4 20692 Apply bone fixation device A 6.41 2.49 NA 3.36 2.49 3.36 0.60 9.50 10.37 9.50 10.37 0090.10.69.2120210P0 38.2581 4 20693 Adjust bone fixation device A 5.86 11.60 NA 9.38 11.60 9.38 0.85 18.31 16.09 18.31 16.09 0090.10.69.2120100P0 38.2581 4 20694 Remove bone fixation device A 4.16 8.17 6.83 5.77 5.03 0.57 12.90 11.56 10.50 9.76 0090.10.69.2120100P0 38.2581 4 20802 Replantation, arm, complete A 41.15 27.94 NA31.19 27.94 31.19 5.81 74.90 78.15 74.90 78.15 0090.10.69.2121210P0 38.2581 4 20805 Replant, forearm, complete A 50.00 50.26 NA50.22 50.26 50.22 3.95 104.21 104.17 104.21 104.17 0090.10.69.2121210P0 38.2581 4 20808 Replantation hand, complete A 61.65 43.46 NA48.17 43.46 48.17 6.49 111.60 116.31 111.60 116.31 0090.10.69.2121210P0 38.2581 4 20816 Replantation digit, complete A 30.94 42.68 NA39.69 42.68 39.69 3.01 76.63 73.64 76.63 73.64 0090.10.69.2120210P0 38.2581 4 20822 Replantation digit, complete A 25.59 39.15 NA35.71 39.15 35.71 3.07 67.81 64.37 67.81 64.37 0090.10.69.2120210P0 38.2581 4 20824 Replantation thumb, complete A 30.94 36.49 NA35.05 36.49 35.05 3.48 70.91 69.47 70.91 69.47 0090.10.69.2121210P0 38.2581 4 20827 Replantation thumb, complete A 26.41 45.63 NA40.75 45.63 40.75 3.21 75.25 70.37 75.25 70.37 0090.10.69.2121210P0 38.2581 4 20838 Replantation foot, complete A 41.41 28.37 NA31.51 28.37 31.51 5.85 75.63 78.77 75.63 78.77 0090.10.69.2121210P0 38.2581 4 20900 Removal of bone for graft A 5.58 6.70 5.79 5.81 5.12 0.77 13.05 12.14 12.16 11.47 0090.10.69.2120210P0 38.2581 4 20902 Removal of bone for graft A 7.55 8.28 NA 7.55 8.28 7.55 1.06 16.89 16.16 16.89 16.16 0090.10.69.2120210P0 38.2581 4 20910 Remove cartilage for graft A 5.34 8.05 6.25 6.51 5.10 0.50 13.89 12.09 12.35 10.94 0090.10.69.2120000P0 38.2581 4 20912 Remove cartilage for graft A 6.35 7.26 NA 6.70 7.26 6.70 0.55 14.16 13.60 14.16 13.60 0090.10.69.2120000P0 38.2581 4 20920 Removal of fascia for graft A 5.31 5.42 NA 5.13 5.42 5.13 0.54 11.27 10.98 11.27 10.98 0090.10.69.2120110P0 38.2581 4 20922 Removal of fascia for graft A 6.61 8.54 7.60 6.14 5.80 0.88 16.03 15.09 13.63 13.29 0090.10.69.2120210P0 38.2581 4 20924 Removal of tendon for graft A 6.48 6.62 NA 6.44 6.62 6.44 0.82 13.92 13.74 13.92 13.74 0090.10.69.2120210P0 38.2581 4 20926 Removal of tissue for graft A 5.53 6.15 NA 5.32 6.15 5.32 0.73 12.41 11.58 12.41 11.58 0090.10.69.2120100P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 20931 Spinal bone allograft A 1.81 0.96 NA 1.19 0.96 1.19 0.34 3.11 3.34 3.11 3.34 0ZZZ.00.00.0001110P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 20937 Spinal bone autograft A 2.79 1.52 NA 1.86 1.52 1.86 0.43 4.74 5.08 4.74 5.08 0ZZZ.00.00.0001210P0 38.2581 4 20938 Spinal bone autograft A 3.02 1.62 NA 2.00 1.62 2.00 0.52 5.16 5.54 5.16 5.54 0ZZZ.00.00.0001210P0 38.2581 4 20950 Fluid pressure, muscle A 1.26 2.08 NA 1.86 2.08 1.86 0.16 3.50 3.28 3.50 3.28 0000.00.00.0020000P0 38.2581 4 20955 Fibula bone graft, microvasc A 39.21 29.43 NA31.80 29.43 31.80 4.35 72.99 75.36 72.99 75.36 0090.10.69.2120210P0 38.2581 4 20956 Iliac bone graft, microvasc A 39.27 28.36 NA28.57 28.36 28.57 5.77 73.40 73.61 73.40 73.61 0090.10.69.2120210P0 38.2581 4 20957 Mt bone graft, microvasc A 40.65 24.17 NA25.69 24.17 25.69 5.74 70.56 72.08 70.56 72.08 0090.10.69.2120210P0 38.2581 4 20962 Other bone graft, microvasc A 39.27 28.68 NA28.81 28.68 28.81 5.19 73.14 73.27 73.14 73.27 0090.10.69.2120210P0 38.2581 4 20969 Bone/skin graft, microvasc A 43.92 32.20 NA35.04 32.20 35.04 4.34 80.46 83.30 80.46 83.30 0090.10.69.2120210P0 38.2581 4 20970 Bone/skin graft, iliac crest A 43.06 29.96 NA33.14 29.96 33.14 4.64 77.66 80.84 77.66 80.84 0090.10.69.2120210P0 38.2581 4 20972 Bone/skin graft, metatarsal A 42.99 18.72 NA24.79 18.72 24.79 6.07 67.78 73.85 67.78 73.85 0090.10.69.2120200P0 38.2581 4 20973 Bone/skin graft, great toe A 45.76 22.14 NA28.07 22.14 28.07 4.65 72.55 78.48 72.55 78.48 0090.10.69.2120210P0 38.2581 4 20974 Electrical bone stimulation A 0.62 0.38 1.21 0.34 0.72 0.09 1.09 1.92 1.05 1.43 0000.00.00.0000100P0 38.2581 4 20975 Electrical bone stimulation A 2.60 1.41 NA 1.83 1.41 1.83 0.42 4.43 4.85 4.43 4.85 0000.00.00.0000210P0 38.2581 4 20979 Us bone stimulation A 0.62 0.57 0.57 0.25 0.25 0.04 1.23 1.23 0.91 0.91 0000.00.00.000010090 38.2581 5 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011P0 38.2581 9 21010 Incision of jaw joint A 10.14 6.96 NA 8.00 6.96 8.00 0.54 17.64 18.68 17.64 18.68 0090.10.69.2121000P0 38.2581 4 21015 Resection of facial tumor A 5.29 6.95 NA 6.79 6.95 6.79 0.52 12.76 12.60 12.76 12.60 0090.10.69.2120100P0 38.2581 4 21025 Excision of bone, lower jaw A 10.06 7.37 6.65 6.86 5.71 0.79 18.22 17.50 17.71 16.56 0090.10.69.2120100P0 38.2581 4 21026 Excision of facial bone(s) A 4.85 5.45 4.94 4.79 4.02 0.40 10.70 10.19 10.04 9.27 0090.10.69.2120100P0 38.2581 4 21029 Contour of face bone lesion A 7.71 6.81 7.41 6.04 5.68 0.74 15.26 15.86 14.49 14.13 0090.10.69.2120000P0 38.2581 4 21030 Removal of face bone lesion A 6.46 5.37 4.94 4.87 4.11 0.60 12.43 12.00 11.93 11.17 0090.10.69.2120100P0 38.2581 4 21031 Remove exostosis, mandible A 3.24 3.33 3.50 2.11 2.08 0.28 6.85 7.02 5.63 5.60 0090.10.69.2120100P0 38.2581 4 21032 Remove exostosis, maxilla A 3.24 3.29 3.52 2.16 2.15 0.27 6.80 7.03 5.67 5.66 0090.10.69.2120100P0 38.2581 4 21034 Removal of face bone lesion A 16.17 11.88 10.81 10.61 9.85 1.37 29.42 28.35 28.15 27.39 0090.10.69.2120210P0 38.2581 4 21040 Removal of jaw bone lesion A 2.11 2.97 2.98 1.86 1.77 0.19 5.27 5.28 4.16 4.07 0090.10.69.2120100P0 38.2581 4 21041 Removal of jaw bone lesion A 6.71 5.59 5.76 4.35 4.05 0.56 12.86 13.03 11.62 11.32 0090.10.69.2120100P0 38.2581 4 21044 Removal of jaw bone lesion A 11.86 7.90 NA 8.52 7.90 8.52 0.87 20.63 21.25 20.63 21.25 0090.10.69.2120210P0 38.2581 4 21045 Extensive jaw surgery A 16.17 10.26 NA11.45 10.26 11.45 1.20 27.63 28.82 27.63 28.82 0090.10.69.2120210P0 38.2581 4 21050 Removal of jaw joint A 10.77 11.22 NA11.63 11.22 11.63 0.84 22.83 23.24 22.83 23.24 0090.10.69.2121000P0 38.2581 4 21060 Remove jaw joint cartilage A 10.23 10.06 NA10.60 10.06 10.60 1.16 21.45 21.99 21.45 21.99 0090.10.69.2121210P0 38.2581 4 21070 Remove coronoid process A 8.20 6.07 NA 6.40 6.07 6.40 0.67 14.94 15.27 14.94 15.27 0090.10.69.2121000P0 38.2581 4 21076 Prepare face/oral prosthesis A 13.42 9.75 11.32 7.34 7.51 1.36 24.53 26.10 22.12 22.29 0010.10.80.1020000P0 38.2581 4 21077 Prepare face/oral prosthesis A 33.75 24.53 28.47 18.46 18.88 3.43 61.71 65.65 55.64 56.06 0090.10.69.2121000P0 38.2581 4 21079 Prepare face/oral prosthesis A 22.34 17.32 20.57 12.77 13.37 1.59 41.25 44.50 36.70 37.30 0090.10.69.2120100P0 38.2581 4 21080 Prepare face/oral prosthesis A 25.10 19.47 23.12 14.35 15.02 2.55 47.12 50.77 42.00 42.67 0090.10.69.2120100P0 38.2581 4 21081 Prepare face/oral prosthesis A 22.88 17.74 21.06 13.08 13.69 1.87 42.49 45.81 37.83 38.44 0090.10.69.2120000P0 38.2581 4 21082 Prepare face/oral prosthesis A 20.87 15.17 17.61 11.42 11.68 1.46 37.50 39.94 33.75 34.01 0090.10.69.2120000P0 38.2581 4 21083 Prepare face/oral prosthesis A 19.30 14.97 17.78 11.03 11.55 1.96 36.23 39.04 32.29 32.81 0090.10.69.2120000P0 38.2581 4 21084 Prepare face/oral prosthesis A 22.51 17.45 20.72 12.87 13.47 1.57 41.53 44.80 36.95 37.55 0090.10.69.2120000P0 38.2581 4 21085 Prepare face/oral prosthesis A 9.00 6.53 7.58 4.93 5.04 0.65 16.18 17.23 14.58 14.69 0010.10.80.1020000P0 38.2581 4 21086 Prepare face/oral prosthesis A 24.92 19.33 22.95 14.25 14.92 1.86 46.11 49.73 41.03 41.70 0090.10.69.2121000P0 38.2581 4 21087 Prepare face/oral prosthesis A 24.92 18.10 21.01 13.64 13.95 2.22 45.24 48.15 40.78 41.09 0090.10.69.2120000P0 38.2581 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 0090.10.69.2100000P0 38.2581 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 0090.10.69.2100100P0 38.2581 9 21100 Maxillofacial fixation A 4.22 5.87 4.69 4.00 3.29 0.18 10.27 9.09 8.40 7.69 0090.10.69.2120000P0 38.2581 4 21110 Interdental fixation A 5.21 5.21 5.41 4.54 4.16 0.28 10.70 10.90 10.03 9.65 0090.10.69.2120100P0 38.2581 4 21116 Injection, jaw joint x-ray A 0.81 7.87 6.10 0.31 0.43 0.05 8.73 6.96 1.17 1.29 0000.00.00.0020100P0 38.2581 4 21120 Reconstruction of chin A 4.93 10.28 8.69 6.23 5.65 0.29 15.50 13.91 11.45 10.87 0090.10.69.2120110P0 38.2581 4 21121 Reconstruction of chin A 7.64 8.07 7.59 5.81 5.89 0.56 16.27 15.79 14.01 14.09 0090.10.69.2120200P0 38.2581 4 21122 Reconstruction of chin A 8.52 7.37 NA 7.22 7.37 7.22 0.59 16.48 16.33 16.48 16.33 0090.10.69.2120200P0 38.2581 4 21123 Reconstruction of chin A 11.16 8.46 NA 8.55 8.46 8.55 1.16 20.78 20.87 20.78 20.87 0090.10.69.2120210P0 38.2581 4 21125 Augmentation, lower jaw bone A 10.62 9.06 8.08 8.64 7.76 0.72 20.40 19.42 19.98 19.10 0090.10.69.2120200P0 38.2581 4 21127 Augmentation, lower jaw bone A 11.12 9.54 9.30 6.73 7.19 0.76 21.42 21.18 18.61 19.07 0090.10.69.2120210P0 38.2581 4 21137 Reduction of forehead A 9.82 7.11 NA 7.26 7.11 7.26 0.53 17.46 17.61 17.46 17.61 0090.10.69.2120200P0 38.2581 4 21138 Reduction of forehead A 12.19 9.81 NA 9.76 9.81 9.76 1.47 23.47 23.42 23.47 23.42 0090.10.69.2120210P0 38.2581 4 21139 Reduction of forehead A 14.61 9.37 NA 9.92 9.37 9.92 1.02 25.00 25.55 25.00 25.55 0090.10.69.2120210P0 38.2581 4 21141 Reconstruct midface, lefort A 18.10 11.10 NA12.22 11.10 12.22 1.63 30.83 31.95 30.83 31.95 0090.10.69.2120210P0 38.2581 4 21142 Reconstruct midface, lefort A 18.81 11.26 NA12.47 11.26 12.47 1.16 31.23 32.44 31.23 32.44 0090.10.69.2120210P0 38.2581 4 21143 Reconstruct midface, lefort A 19.58 11.26 NA12.62 11.26 12.62 0.90 31.74 33.10 31.74 33.10 0090.10.69.2120210P0 38.2581 4 21145 Reconstruct midface, lefort A 19.94 11.47 NA12.49 11.47 12.49 2.09 33.50 34.52 33.50 34.52 0090.10.69.2120200P0 38.2581 4 21146 Reconstruct midface, lefort A 20.71 12.11 NA13.11 12.11 13.11 2.13 34.95 35.95 34.95 35.95 0090.10.69.2120210P0 38.2581 4 21147 Reconstruct midface, lefort A 21.77 13.29 NA14.15 13.29 14.15 1.52 36.58 37.44 36.58 37.44 0090.10.69.2120200P0 38.2581 4 21150 Reconstruct midface, lefort A 25.24 14.79 NA16.10 14.79 16.10 1.09 41.12 42.43 41.12 42.43 0090.10.69.2120200P0 38.2581 4 21151 Reconstruct midface, lefort A 28.30 18.36 NA19.38 18.36 19.38 1.98 48.64 49.66 48.64 49.66 0090.10.69.2120200P0 38.2581 4 21154 Reconstruct midface, lefort A 30.52 18.36 NA19.78 18.36 19.78 4.86 53.74 55.16 53.74 55.16 0090.10.69.2120210P0 38.2581 4 21155 Reconstruct midface, lefort A 34.45 18.36 NA20.58 18.36 20.58 5.48 58.29 60.51 58.29 60.51 0090.10.69.2120200P0 38.2581 4 21159 Reconstruct midface, lefort A 42.38 21.53 NA24.56 21.53 24.56 6.74 70.65 73.68 70.65 73.68 0090.10.69.2120210P0 38.2581 4 21160 Reconstruct midface, lefort A 46.44 24.59 NA27.66 24.59 27.66 4.39 75.42 78.49 75.42 78.49 0090.10.69.2120200P0 38.2581 4 21172 Reconstruct orbit/forehead A 27.80 18.52 NA19.40 18.52 19.40 1.91 48.23 49.11 48.23 49.11 0090.10.69.2120210P0 38.2581 4 21175 Reconstruct orbit/forehead A 33.17 18.89 NA20.78 18.89 20.78 5.16 57.22 59.11 57.22 59.11 0090.10.69.2120200P0 38.2581 4 21179 Reconstruct entire forehead A 22.25 18.57 NA18.33 18.57 18.33 2.48 43.30 43.06 43.30 43.06 0090.10.69.2120200P0 38.2581 4 21180 Reconstruct entire forehead A 25.19 18.88 NA19.17 18.88 19.17 2.15 46.22 46.51 46.22 46.51 0090.10.69.2120210P0 38.2581 4 21181 Contour cranial bone lesion A 9.90 8.73 NA 8.48 8.73 8.48 0.97 19.60 19.35 19.60 19.35 0090.10.69.2120000P0 38.2581 4 21182 Reconstruct cranial bone A 32.19 22.46 NA23.26 22.46 23.26 2.53 57.18 57.98 57.18 57.98 0090.10.69.2120210P0 38.2581 4 21183 Reconstruct cranial bone A 35.31 23.72 NA24.80 23.72 24.80 2.75 61.78 62.86 61.78 62.86 0090.10.69.2120210P0 38.2581 4 21184 Reconstruct cranial bone A 38.24 21.55 NA23.78 21.55 23.78 4.12 63.91 66.14 63.91 66.14 0090.10.69.2120200P0 38.2581 4 21188 Reconstruction of midface A 22.46 15.60 NA16.11 15.60 16.11 1.85 39.91 40.42 39.91 40.42 0090.10.69.2120200P0 38.2581 4 21193 Reconst lwr jaw w/o graft A 17.15 10.99 NA11.58 10.99 11.58 1.53 29.67 30.26 29.67 30.26 0090.10.69.2122210P0 38.2581 4 21194 Reconst lwr jaw w/graft A 19.84 12.06 NA12.92 12.06 12.92 1.39 33.29 34.15 33.29 34.15 0090.10.69.2122200P0 38.2581 4 21195 Reconst lwr jaw w/o fixation A 17.24 12.93 NA13.05 12.93 13.05 1.20 31.37 31.49 31.37 31.49 0090.10.69.2122200P0 38.2581 4 21196 Reconst lwr jaw w/fixation A 18.91 12.84 NA13.32 12.84 13.32 1.62 33.37 33.85 33.37 33.85 0090.10.69.2122210P0 38.2581 4 21198 Reconstr lwr jaw segment A 14.16 11.81 NA12.88 11.81 12.88 1.05 27.02 28.09 27.02 28.09 0090.10.69.2120210P0 38.2581 4 21199 Reconstr lwr jaw w/advance A 16.00 10.53 NA10.53 10.53 10.53 1.00 27.53 27.53 27.53 27.53 0090.10.69.212021090 38.2581 5 21206 Reconstruct upper jaw bone A 14.10 10.08 NA10.31 10.08 10.31 1.01 25.19 25.42 25.19 25.42 0090.10.69.2120210P0 38.2581 4 21208 Augmentation of facial bones A 10.23 9.92 10.49 8.37 9.33 0.92 21.07 21.64 19.52 20.48 0090.10.69.2120000P0 38.2581 4 21209 Reduction of facial bones A 6.72 8.72 7.79 5.68 5.51 0.60 16.04 15.11 13.00 12.83 0090.10.69.2120200P0 38.2581 4 21210 Face bone graft A 10.23 8.85 9.69 7.95 7.49 0.88 19.96 20.80 19.06 18.60 0090.10.69.2120100P0 38.2581 4 21215 Lower jaw bone graft A 10.77 8.66 9.71 6.88 6.77 1.04 20.47 21.52 18.69 18.58 0090.10.69.2120110P0 38.2581 4 21230 Rib cartilage graft A 10.77 10.09 NA10.38 10.09 10.38 0.96 21.82 22.11 21.82 22.11 0090.10.69.2120000P0 38.2581 4 21235 Ear cartilage graft A 6.72 11.59 10.70 7.92 7.95 0.52 18.83 17.94 15.16 15.19 0090.10.69.2120100P0 38.2581 4 21240 Reconstruction of jaw joint A 14.05 11.45 NA12.78 11.45 12.78 1.15 26.65 27.98 26.65 27.98 0090.10.69.2121210P0 38.2581 4 21242 Reconstruction of jaw joint A 12.95 11.47 NA12.47 11.47 12.47 1.40 25.82 26.82 25.82 26.82 0090.10.69.2121210P0 38.2581 4 21243 Reconstruction of jaw joint A 20.79 14.68 NA14.92 14.68 14.92 1.85 37.32 37.56 37.32 37.56 0090.10.69.2121210P0 38.2581 4 21244 Reconstruction of lower jaw A 11.86 9.00 NA10.29 9.00 10.29 0.95 21.81 23.10 21.81 23.10 0090.10.69.2120210P0 38.2581 4 21245 Reconstruction of jaw A 11.86 16.50 15.49 10.10 10.69 0.88 29.24 28.23 22.84 23.43 0090.10.69.2120200P0 38.2581 4 21246 Reconstruction of jaw A 12.47 12.41 11.70 10.75 10.46 1.21 26.09 25.38 24.43 24.14 0090.10.69.2120200P0 38.2581 4 21247 Reconstruct lower jaw bone A 22.63 18.73 NA20.80 18.73 20.80 2.21 43.57 45.64 43.57 45.64 0090.10.69.2120210P0 38.2581 4 21248 Reconstruction of jaw A 11.48 8.79 10.02 7.96 7.69 1.01 21.28 22.51 20.45 20.18 0090.10.69.2120100P0 38.2581 4 21249 Reconstruction of jaw A 17.52 11.31 13.71 10.15 10.23 1.39 30.22 32.62 29.06 29.14 0090.10.69.2120000P0 38.2581 4 21255 Reconstruct lower jaw bone A 16.72 10.92 NA13.18 10.92 13.18 1.13 28.77 31.03 28.77 31.03 0090.10.69.2120210P0 38.2581 4 21256 Reconstruction of orbit A 16.19 13.34 NA14.84 13.34 14.84 1.04 30.57 32.07 30.57 32.07 0090.10.69.2120210P0 38.2581 4 21260 Revise eye sockets A 16.52 11.45 NA13.52 11.45 13.52 1.25 29.22 31.29 29.22 31.29 0090.10.69.2120210P0 38.2581 4 21261 Revise eye sockets A 31.49 19.08 NA19.14 19.08 19.14 2.20 52.77 52.83 52.77 52.83 0090.10.69.2120210P0 38.2581 4 21263 Revise eye sockets A 28.42 14.95 NA19.70 14.95 19.70 2.16 45.53 50.28 45.53 50.28 0090.10.69.2120210P0 38.2581 4 21267 Revise eye sockets A 18.90 14.53 NA14.86 14.53 14.86 1.35 34.78 35.11 34.78 35.11 0090.10.69.2120210P0 38.2581 4 21268 Revise eye sockets A 24.48 12.60 NA13.62 12.60 13.62 0.79 37.87 38.89 37.87 38.89 0090.10.69.2120210P0 38.2581 4 21270 Augmentation, cheek bone A 10.23 10.37 10.38 9.16 9.48 0.73 21.33 21.34 20.12 20.44 0090.10.69.2120210P0 38.2581 4 21275 Revision, orbitofacial bones A 11.24 11.10 NA10.75 11.10 10.75 1.03 23.37 23.02 23.37 23.02 0090.10.69.2120210P0 38.2581 4 21280 Revision of eyelid A 6.03 6.22 NA 6.47 6.22 6.47 0.27 12.52 12.77 12.52 12.77 0090.10.69.2121000P0 38.2581 4 21282 Revision of eyelid A 3.49 5.20 NA 4.94 5.20 4.94 0.21 8.90 8.64 8.90 8.64 0090.10.69.2121100P0 38.2581 4 21295 Revision of jaw muscle/bone A 1.53 3.62 NA 2.98 3.62 2.98 0.13 5.28 4.64 5.28 4.64 0090.10.69.2120000P0 38.2581 4 21296 Revision of jaw muscle/bone A 4.25 5.20 NA 4.88 5.20 4.88 0.30 9.75 9.43 9.75 9.43 0090.10.69.2120000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 21300 Treatment of skull fracture A 0.72 2.34 2.01 0.27 0.42 0.09 3.15 2.82 1.08 1.23 0000.00.00.0020000P0 38.2581 4 21310 Treatment of nose fracture A 0.58 2.54 2.11 0.15 0.29 0.05 3.17 2.74 0.78 0.92 0000.00.00.0020100P0 38.2581 4 21315 Treatment of nose fracture A 1.51 3.29 2.96 1.24 1.38 0.12 4.92 4.59 2.87 3.01 0010.10.80.1020100P0 38.2581 4 21320 Treatment of nose fracture A 1.85 4.82 4.25 1.98 2.04 0.15 6.82 6.25 3.98 4.04 0010.10.80.1020100P0 38.2581 4 21325 Treatment of nose fracture A 3.77 3.66 NA 3.86 3.66 3.86 0.31 7.74 7.94 7.74 7.94 0090.10.69.2120000P0 38.2581 4 21330 Treatment of nose fracture A 5.38 5.41 NA 5.66 5.41 5.66 0.48 11.27 11.52 11.27 11.52 0090.10.69.2120000P0 38.2581 4 21335 Treatment of nose fracture A 8.61 7.04 NA 7.85 7.04 7.85 0.64 16.29 17.10 16.29 17.10 0090.10.69.2120100P0 38.2581 4 21336 Treat nasal septal fracture A 5.72 5.44 NA 5.19 5.44 5.19 0.45 11.61 11.36 11.61 11.36 0090.10.69.2120000P0 38.2581 4 21337 Treat nasal septal fracture A 2.70 4.98 4.50 3.12 3.11 0.22 7.90 7.42 6.04 6.03 0090.10.69.2120000P0 38.2581 4 21338 Treat nasoethmoid fracture A 6.46 5.88 NA 5.77 5.88 5.77 0.53 12.87 12.76 12.87 12.76 0090.10.69.2120000P0 38.2581 4 21339 Treat nasoethmoid fracture A 8.09 6.85 NA 7.06 6.85 7.06 0.76 15.70 15.91 15.70 15.91 0090.10.69.2120210P0 38.2581 4 21340 Treatment of nose fracture A 10.77 9.26 NA 9.36 9.26 9.36 0.85 20.88 20.98 20.88 20.98 0090.10.69.2120000P0 38.2581 4 21343 Treatment of sinus fracture A 12.95 9.93 NA 9.94 9.93 9.94 1.06 23.94 23.95 23.94 23.95 0090.10.69.2120210P0 38.2581 4 21344 Treatment of sinus fracture A 19.72 13.34 NA12.49 13.34 12.49 1.72 34.78 33.93 34.78 33.93 0090.10.69.2120220P0 38.2581 4 21345 Treat nose/jaw fracture A 8.16 8.74 8.70 7.41 7.70 0.60 17.50 17.46 16.17 16.46 0090.10.69.2120000P0 38.2581 4 21346 Treat nose/jaw fracture A 10.61 10.26 NA10.25 10.26 10.25 0.85 21.72 21.71 21.72 21.71 0090.10.69.2120110P0 38.2581 4 21347 Treat nose/jaw fracture A 12.69 9.31 NA 9.79 9.31 9.79 1.14 23.14 23.62 23.14 23.62 0090.10.69.2120210P0 38.2581 4 21348 Treat nose/jaw fracture A 16.69 10.25 NA10.77 10.25 10.77 1.50 28.44 28.96 28.44 28.96 0090.10.69.2120220P0 38.2581 4 21355 Treat cheek bone fracture A 3.77 4.79 4.02 2.40 2.22 0.29 8.85 8.08 6.46 6.28 0010.10.80.1020000P0 38.2581 4 21356 Treat cheek bone fracture A 4.15 3.22 NA 3.66 3.22 3.66 0.36 7.73 8.17 7.73 8.17 0010.10.80.1020000P0 38.2581 4 21360 Treat cheek bone fracture A 6.46 5.72 NA 6.22 5.72 6.22 0.52 12.70 13.20 12.70 13.20 0090.10.69.2120200P0 38.2581 4 21365 Treat cheek bone fracture A 14.95 11.28 NA11.81 11.28 11.81 1.30 27.53 28.06 27.53 28.06 0090.10.69.2120210P0 38.2581 4 21366 Treat cheek bone fracture A 17.77 12.09 NA12.35 12.09 12.35 1.41 31.27 31.53 31.27 31.53 0090.10.69.2120220P0 38.2581 4 21385 Treat eye socket fracture A 9.16 7.68 NA 8.36 7.68 8.36 0.64 17.48 18.16 17.48 18.16 0090.10.69.2120210P0 38.2581 4 21386 Treat eye socket fracture A 9.16 7.98 NA 8.45 7.98 8.45 0.76 17.90 18.37 17.90 18.37 0090.10.69.2120200P0 38.2581 4 21387 Treat eye socket fracture A 9.70 8.14 NA 8.13 8.14 8.13 0.78 18.62 18.61 18.62 18.61 0090.10.69.2120200P0 38.2581 4 21390 Treat eye socket fracture A 10.13 8.49 NA 9.39 8.49 9.39 0.70 19.32 20.22 19.32 20.22 0090.10.69.2120210P0 38.2581 4 21395 Treat eye socket fracture A 12.68 9.99 NA10.11 9.99 10.11 1.09 23.76 23.88 23.76 23.88 0090.10.69.2120210P0 38.2581 4 21400 Treat eye socket fracture A 1.40 2.92 2.64 1.08 1.23 0.12 4.44 4.16 2.60 2.75 0090.10.69.2120000P0 38.2581 4 21401 Treat eye socket fracture A 3.26 5.56 4.87 3.19 3.09 0.34 9.16 8.47 6.79 6.69 0090.10.69.2120200P0 38.2581 4 21406 Treat eye socket fracture A 7.01 6.51 NA 6.30 6.51 6.30 0.59 14.11 13.90 14.11 13.90 0090.10.69.2120210P0 38.2581 4 21407 Treat eye socket fracture A 8.61 7.74 NA 7.73 7.74 7.73 0.67 17.02 17.01 17.02 17.01 0090.10.69.2120210P0 38.2581 4 21408 Treat eye socket fracture A 12.38 9.63 NA 9.53 9.63 9.53 1.24 23.25 23.15 23.25 23.15 0090.10.69.2120220P0 38.2581 4 21421 Treat mouth roof fracture A 5.14 7.37 7.19 6.29 6.25 0.42 12.93 12.75 11.85 11.81 0090.10.69.2120000P0 38.2581 4 21422 Treat mouth roof fracture A 8.32 7.13 NA 7.83 7.13 7.83 0.69 16.14 16.84 16.14 16.84 0090.10.69.2120210P0 38.2581 4 21423 Treat mouth roof fracture A 10.40 8.10 NA 8.74 8.10 8.74 0.95 19.45 20.09 19.45 20.09 0090.10.69.2120220P0 38.2581 4 21431 Treat craniofacial fracture A 7.05 5.28 NA 5.59 5.28 5.59 0.58 12.91 13.22 12.91 13.22 0090.10.69.2120200P0 38.2581 4 21432 Treat craniofacial fracture A 8.61 7.28 NA 7.30 7.28 7.30 0.55 16.44 16.46 16.44 16.46 0090.10.69.2120200P0 38.2581 4 21433 Treat craniofacial fracture A 25.35 17.70 NA18.15 17.70 18.15 2.46 45.51 45.96 45.51 45.96 0090.10.69.2120210P0 38.2581 4 21435 Treat craniofacial fracture A 17.25 11.67 NA12.35 11.67 12.35 1.66 30.58 31.26 30.58 31.26 0090.10.69.2120200P0 38.2581 4 21436 Treat craniofacial fracture A 28.04 18.85 NA18.11 18.85 18.11 2.32 49.21 48.47 49.21 48.47 0090.10.69.2120220P0 38.2581 4 21440 Treat dental ridge fracture A 2.70 5.34 4.84 3.37 3.33 0.22 8.26 7.76 6.29 6.25 0090.10.69.2120000P0 38.2581 4 21445 Treat dental ridge fracture A 5.38 6.92 6.85 5.27 5.56 0.55 12.85 12.78 11.20 11.49 0090.10.69.2120200P0 38.2581 4 21450 Treat lower jaw fracture A 2.97 6.53 5.67 2.67 2.77 0.23 9.73 8.87 5.87 5.97 0090.10.69.2120000P0 38.2581 4 21451 Treat lower jaw fracture A 4.87 6.51 6.47 5.49 5.57 0.39 11.77 11.73 10.75 10.83 0090.10.69.2120000P0 38.2581 4 21452 Treat lower jaw fracture A 1.98 8.85 7.02 3.80 3.23 0.14 10.97 9.14 5.92 5.35 0090.10.69.2120000P0 38.2581 4 21453 Treat lower jaw fracture A 5.54 7.43 7.38 6.20 6.30 0.49 13.46 13.41 12.23 12.33 0090.10.69.2120000P0 38.2581 4 21454 Treat lower jaw fracture A 6.46 5.93 NA 6.38 5.93 6.38 0.55 12.94 13.39 12.94 13.39 0090.10.69.2120010P0 38.2581 4 21461 Treat lower jaw fracture A 8.09 9.57 9.59 7.73 8.21 0.73 18.39 18.41 16.55 17.03 0090.10.69.2120210P0 38.2581 4 21462 Treat lower jaw fracture A 9.79 10.92 11.11 7.87 8.83 0.80 21.51 21.70 18.46 19.42 0090.10.69.2120210P0 38.2581 4 21465 Treat lower jaw fracture A 11.91 7.39 NA 7.83 7.39 7.83 0.84 20.14 20.58 20.14 20.58 0090.10.69.2120210P0 38.2581 4 21470 Treat lower jaw fracture A 15.34 9.78 NA11.91 9.78 11.91 1.36 26.48 28.61 26.48 28.61 0090.10.69.2120210P0 38.2581 4 21480 Reset dislocated jaw A 0.61 1.58 1.40 0.18 0.32 0.05 2.24 2.06 0.84 0.98 0000.00.00.0021100P0 38.2581 4 21485 Reset dislocated jaw A 3.99 3.80 3.45 3.49 2.92 0.31 8.10 7.75 7.79 7.22 0090.10.69.2121000P0 38.2581 4 21490 Repair dislocated jaw A 11.86 7.45 NA 7.30 7.45 7.30 1.31 20.62 20.47 20.62 20.47 0090.10.69.2121210P0 38.2581 4 21493 Treat hyoid bone fracture A 1.27 3.05 NA 2.70 3.05 2.67 0.10 4.42 4.07 4.42 4.04 0090.10.69.2120110P0 38.2581 4 21494 Treat hyoid bone fracture A 6.28 5.24 NA 5.97 5.24 5.97 0.44 11.96 12.69 11.96 12.69 0090.10.69.2120210P0 38.2581 4 21495 Treat hyoid bone fracture A 5.69 4.80 NA 4.91 4.80 4.91 0.41 10.90 11.01 10.90 11.01 0090.10.69.2120200P0 38.2581 4 21497 Interdental wiring A 3.86 4.72 4.62 3.78 3.91 0.31 8.89 8.79 7.95 8.08 0090.10.69.2120000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 21501 Drain neck/chest lesion A 3.81 4.15 3.61 3.64 3.23 0.36 8.32 7.78 7.81 7.40 0090.10.69.2120100P0 38.2581 4 21502 Drain chest lesion A 7.12 8.58 NA 7.58 8.58 7.58 0.79 16.49 15.49 16.49 15.49 0090.10.69.2120200P0 38.2581 4 21510 Drainage of bone lesion A 5.74 8.10 NA 7.11 8.10 7.11 0.67 14.51 13.52 14.51 13.52 0090.10.69.2120000P0 38.2581 4 21550 Biopsy of neck/chest A 2.06 2.27 1.93 1.24 1.05 0.13 4.46 4.12 3.43 3.24 0010.10.80.1020100P0 38.2581 4 21555 Remove lesion, neck/chest A 4.35 4.17 3.56 2.54 2.34 0.41 8.93 8.32 7.30 7.10 0090.10.69.2120100P0 38.2581 4 21556 Remove lesion, neck/chest A 5.57 3.31 NA 3.51 3.31 3.51 0.51 9.39 9.59 9.39 9.59 0090.10.69.2120100P0 38.2581 4 21557 Remove tumor, neck/chest A 8.88 8.03 NA 8.33 8.03 8.33 0.85 17.76 18.06 17.76 18.06 0090.10.69.2120210P0 38.2581 4 21600 Partial removal of rib A 6.89 8.77 NA 7.80 8.77 7.80 0.81 16.47 15.50 16.47 15.50 0090.10.69.2120210P0 38.2581 4 21610 Partial removal of rib A 14.61 10.79 NA 9.50 10.79 9.50 1.85 27.25 25.96 27.25 25.96 0090.10.69.2120200P0 38.2581 4 21615 Removal of rib A 9.87 9.65 NA 9.99 9.65 9.99 1.20 20.72 21.06 20.72 21.06 0090.10.69.2121210P0 38.2581 4 21616 Removal of rib and nerves A 12.04 9.02 NA 8.74 9.02 8.74 1.31 22.37 22.09 22.37 22.09 0090.10.69.2121200P0 38.2581 4 21620 Partial removal of sternum A 6.79 8.89 NA 8.53 8.89 8.53 0.77 16.45 16.09 16.45 16.09 0090.10.69.2120210P0 38.2581 4 21627 Sternal debridement A 6.81 15.57 NA13.04 15.57 13.04 0.82 23.20 20.67 23.20 20.67 0090.10.69.2120200P0 38.2581 4 21630 Extensive sternum surgery A 17.38 14.42 NA14.31 14.42 14.31 1.95 33.75 33.64 33.75 33.64 0090.10.69.2120210P0 38.2581 4 21632 Extensive sternum surgery A 18.14 15.62 NA14.85 15.62 14.85 2.16 35.92 35.15 35.92 35.15 0090.10.69.2120210P0 38.2581 4 21700 Revision of neck muscle A 6.19 8.78 7.71 7.38 6.66 0.31 15.28 14.21 13.88 13.16 0090.10.69.2120200P0 38.2581 4 21705 Revision of neck muscle/rib A 9.60 7.70 NA 7.09 7.70 7.09 0.92 18.22 17.61 18.22 17.61 0090.10.69.2120200P0 38.2581 4 21720 Revision of neck muscle A 5.68 7.31 6.53 7.27 6.50 0.80 13.79 13.01 13.75 12.98 0090.10.69.2120200P0 38.2581 4 21725 Revision of neck muscle A 6.99 6.85 NA 6.45 6.85 6.45 0.90 14.74 14.34 14.74 14.34 0090.10.69.2120210P0 38.2581 4 21740 Reconstruction of sternum A 16.80 15.71 NA14.22 15.71 14.22 2.03 34.54 33.05 34.54 33.05 0090.10.69.2120210P0 38.2581 4 21750 Repair of sternum separation A 10.77 13.10 NA11.81 13.10 11.81 1.35 25.22 23.93 25.22 23.93 0090.10.69.2120210P0 38.2581 4 21800 Treatment of rib fracture A 0.96 2.17 1.84 1.00 0.96 0.09 3.22 2.89 2.05 2.01 0090.10.69.2120100P0 38.2581 4 21805 Treatment of rib fracture A 2.75 4.14 NA 3.47 4.14 3.47 0.29 7.18 6.51 7.18 6.51 0090.10.69.2120000P0 38.2581 4 21810 Treatment of rib fracture(s) A 6.86 7.05 NA 7.28 7.05 7.28 0.60 14.51 14.74 14.51 14.74 0090.10.69.2120200P0 38.2581 4 21820 Treat sternum fracture A 1.28 2.59 2.31 1.47 1.47 0.15 4.02 3.74 2.90 2.90 0090.10.69.2120100P0 38.2581 4 21825 Treat sternum fracture A 7.41 11.82 NA10.74 11.82 10.74 0.84 20.07 18.99 20.07 18.99 0090.10.69.2120210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 21920 Biopsy soft tissue of back A 2.06 2.35 1.98 0.79 0.70 0.12 4.53 4.16 2.97 2.88 0010.10.80.1020100P0 38.2581 4 21925 Biopsy soft tissue of back A 4.49 10.52 8.42 4.40 3.83 0.44 15.45 13.35 9.33 8.76 0090.10.69.2120100P0 38.2581 4 21930 Remove lesion, back or flank A 5.00 4.59 4.18 2.72 2.78 0.49 10.08 9.67 8.21 8.27 0090.10.69.2120100P0 38.2581 4 21935 Remove tumor, back A 17.96 13.07 NA11.59 13.07 11.59 1.87 32.90 31.42 32.90 31.42 0090.10.69.2120110P0 38.2581 4 22100 Remove part of neck vertebra A 9.73 8.60 NA 8.52 8.60 8.52 1.55 19.88 19.80 19.88 19.80 0090.10.69.2120210P0 38.2581 4 22101 Remove part, thorax vertebra A 9.81 8.47 NA 8.53 8.47 8.53 1.51 19.79 19.85 19.79 19.85 0090.10.69.2120210P0 38.2581 4 22102 Remove part, lumbar vertebra A 9.81 8.68 NA 7.73 8.68 7.73 1.46 19.95 19.00 19.95 19.00 0090.10.69.2120210P0 38.2581 4 22103 Remove extra spine segment A 2.34 1.29 NA 1.57 1.29 1.57 0.37 4.00 4.28 4.00 4.28 0ZZZ.00.00.0000210P0 38.2581 4 22110 Remove part of neck vertebra A 12.74 10.49 NA10.51 10.49 10.51 2.20 25.43 25.45 25.43 25.45 0090.10.69.2120210P0 38.2581 4 22112 Remove part, thorax vertebra A 12.81 10.91 NA10.87 10.91 10.87 1.96 25.68 25.64 25.68 25.64 0090.10.69.2120210P0 38.2581 4 22114 Remove part, lumbar vertebra A 12.81 10.36 NA 9.74 10.36 9.74 1.98 25.15 24.53 25.15 24.53 0090.10.69.2120210P0 38.2581 4 22116 Remove extra spine segment A 2.32 1.18 NA 1.49 1.18 1.49 0.40 3.90 4.21 3.90 4.21 0ZZZ.00.00.0000210P0 38.2581 4 22210 Revision of neck spine A 23.82 16.86 NA16.40 16.86 16.40 4.23 44.91 44.45 44.91 44.45 0090.10.69.2120210P0 38.2581 4 22212 Revision of thorax spine A 19.42 14.33 NA15.44 14.33 15.44 2.78 36.53 37.64 36.53 37.64 0090.10.69.2120000P0 38.2581 4 22214 Revision of lumbar spine A 19.45 14.87 NA15.25 14.87 15.25 2.78 37.10 37.48 37.10 37.48 0090.10.69.2120210P0 38.2581 4 22216 Revise, extra spine segment A 6.04 3.27 NA 3.83 3.27 3.83 0.98 10.29 10.85 10.29 10.85 0ZZZ.00.00.0001210P0 38.2581 4 22220 Revision of neck spine A 21.37 15.47 NA16.12 15.47 16.12 3.65 40.49 41.14 40.49 41.14 0090.10.69.2120210P0 38.2581 4 22222 Revision of thorax spine A 21.52 13.59 NA13.89 13.59 13.89 3.08 38.19 38.49 38.19 38.49 0090.10.69.2120000P0 38.2581 4 22224 Revision of lumbar spine A 21.52 15.81 NA15.84 15.81 15.84 3.20 40.53 40.56 40.53 40.56 0090.10.69.2120210P0 38.2581 4 22226 Revise, extra spine segment A 6.04 3.27 NA 3.83 3.27 3.83 1.01 10.32 10.88 10.32 10.88 0ZZZ.00.00.0001210P0 38.2581 4 22305 Treat spine process fracture A 2.05 3.02 2.88 1.86 2.01 0.29 5.36 5.22 4.20 4.35 0090.10.69.2120100P0 38.2581 4 22310 Treat spine fracture A 2.61 4.38 3.97 3.27 3.14 0.37 7.36 6.95 6.25 6.12 0090.10.69.2120100P0 38.2581 4 22315 Treat spine fracture A 8.84 8.89 NA 8.16 8.89 8.16 1.37 19.10 18.37 19.10 18.37 0090.10.69.2120100P0 38.2581 4 22318 Treat odontoid fx w/o graft A 21.50 14.53 NA14.53 14.53 14.53 4.26 40.29 40.29 40.29 40.29 0090.10.69.212022090 38.2581 5 22319 Treat odontoid fx w/graft A 24.00 16.80 NA16.80 16.80 16.80 4.76 45.56 45.56 45.56 45.56 0090.10.69.212022090 38.2581 5 22325 Treat spine fracture A 18.30 14.19 NA12.90 14.19 12.90 2.61 35.10 33.81 35.10 33.81 0090.10.69.2120210P0 38.2581 4 22326 Treat neck spine fracture A 19.59 15.24 NA15.75 15.24 15.75 3.54 38.37 38.88 38.37 38.88 0090.10.69.2120210P0 38.2581 4 22327 Treat thorax spine fracture A 19.20 14.50 NA15.20 14.50 15.20 2.75 36.45 37.15 36.45 37.15 0090.10.69.2120210P0 38.2581 4 22328 Treat each add spine fx A 4.61 2.29 NA 2.91 2.29 2.91 0.66 7.56 8.18 7.56 8.18 0ZZZ.00.00.0000210P0 38.2581 4 22505 Manipulation of spine A 1.87 4.60 3.81 2.97 2.58 0.27 6.74 5.95 5.11 4.72 0010.10.80.1020100P0 38.2581 4 22520 Percut vertebroplasty thor A 8.91 3.95 NA 3.95 3.95 3.95 0.89 13.75 13.75 13.75 13.75 0010.10.80.102010090 38.2581 5 22521 Percut vertebroplasty lumb A 8.34 3.72 NA 3.72 3.72 3.72 0.84 12.90 12.90 12.90 12.90 0010.10.80.102010090 38.2581 5 22522 Percut vertebroplasty addl A 3.00 1.20 NA 1.20 1.20 1.20 0.30 4.50 4.50 4.50 4.50 0ZZZ.00.00.000010090 38.2581 5 22548 Neck spine fusion A 25.82 17.66 NA19.42 17.66 19.42 4.98 48.46 50.22 48.46 50.22 0090.10.69.2120220P0 38.2581 4 22554 Neck spine fusion A 18.62 13.60 NA15.58 13.60 15.58 3.51 35.73 37.71 35.73 37.71 0090.10.69.2120220P0 38.2581 4 22556 Thorax spine fusion A 23.46 16.73 NA18.43 16.73 18.43 3.78 43.97 45.67 43.97 45.67 0090.10.69.2120220P0 38.2581 4 22558 Lumbar spine fusion A 22.28 14.49 NA16.34 14.49 16.34 3.18 39.95 41.80 39.95 41.80 0090.10.69.2120220P0 38.2581 4 22585 Additional spinal fusion A 5.53 2.90 NA 3.64 2.90 3.64 0.98 9.41 10.15 9.41 10.15 0ZZZ.00.00.0000220P0 38.2581 4 22590 Spine & skull spinal fusion A 20.51 15.27 NA17.31 15.27 17.31 3.81 39.59 41.63 39.59 41.63 0090.10.69.2120220P0 38.2581 4 22595 Neck spinal fusion A 19.39 14.26 NA16.48 14.26 16.48 3.62 37.27 39.49 37.27 39.49 0090.10.69.2120220P0 38.2581 4 22600 Neck spine fusion A 16.14 12.55 NA14.23 12.55 14.23 2.89 31.58 33.26 31.58 33.26 0090.10.69.2120220P0 38.2581 4 22610 Thorax spine fusion A 16.02 12.52 NA14.17 12.52 14.17 2.66 31.20 32.85 31.20 32.85 0090.10.69.2120220P0 38.2581 4 22612 Lumbar spine fusion A 21.00 15.30 NA17.07 15.30 17.07 3.28 39.58 41.35 39.58 41.35 0090.10.69.2120220P0 38.2581 4 22614 Spine fusion, extra segment A 6.44 3.49 NA 4.15 3.49 4.15 1.04 10.97 11.63 10.97 11.63 0ZZZ.00.00.0000220P0 38.2581 4 22630 Lumbar spine fusion A 20.84 15.53 NA16.65 15.53 16.65 3.79 40.16 41.28 40.16 41.28 0090.10.69.2120220P0 38.2581 4 22632 Spine fusion, extra segment A 5.23 2.80 NA 3.46 2.80 3.46 0.90 8.93 9.59 8.93 9.59 0ZZZ.00.00.0000220P0 38.2581 4 22800 Fusion of spine A 18.25 13.59 NA15.64 13.59 15.64 2.71 34.55 36.60 34.55 36.60 0090.10.69.2120210P0 38.2581 4 22802 Fusion of spine A 30.88 21.22 NA23.60 21.22 23.60 4.42 56.52 58.90 56.52 58.90 0090.10.69.2120210P0 38.2581 4 22804 Fusion of spine A 36.27 23.90 NA25.61 23.90 25.61 5.23 65.40 67.11 65.40 67.11 0090.10.69.2120210P0 38.2581 4 22808 Fusion of spine A 26.27 18.27 NA18.70 18.27 18.70 4.36 48.90 49.33 48.90 49.33 0090.10.69.2120210P0 38.2581 4 22810 Fusion of spine A 30.27 19.89 NA19.91 19.89 19.91 4.49 54.65 54.67 54.65 54.67 0090.10.69.2120210P0 38.2581 4 22812 Fusion of spine A 32.70 21.94 NA23.49 21.94 23.49 4.67 59.31 60.86 59.31 60.86 0090.10.69.2120210P0 38.2581 4 22818 Kyphectomy, 1-2 segments A 31.83 20.99 NA23.41 20.99 23.41 5.01 57.83 60.25 57.83 60.25 0090.11.76.1320222P0 38.2581 4 22819 Kyphectomy, 3 or more A 36.44 20.73 NA23.21 20.73 23.21 5.20 62.37 64.85 62.37 64.85 0090.11.76.1320222P0 38.2581 4 22830 Exploration of spinal fusion A 10.85 9.58 NA10.43 9.58 10.43 1.73 22.16 23.01 22.16 23.01 0090.10.69.2120210P0 38.2581 4 22840 Insert spine fixation device A 12.54 8.31 NA 7.86 8.31 7.86 2.03 22.88 22.43 22.88 22.43 0ZZZ.00.00.0000210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 22842 Insert spine fixation device A 12.58 6.79 NA 6.95 6.79 6.95 2.04 21.41 21.57 21.41 21.57 0ZZZ.00.00.0000220P0 38.2581 4 22843 Insert spine fixation device A 13.46 8.80 NA 8.92 8.80 8.92 2.10 24.36 24.48 24.36 24.48 0ZZZ.00.00.0000220P0 38.2581 4 22844 Insert spine fixation device A 16.44 10.46 NA10.68 10.46 10.68 2.42 29.32 29.54 29.32 29.54 0ZZZ.00.00.0000220P0 38.2581 4 22845 Insert spine fixation device A 11.96 7.90 NA 7.47 7.90 7.47 2.22 22.08 21.65 22.08 21.65 0ZZZ.00.00.0000220P0 38.2581 4 22846 Insert spine fixation device A 12.42 8.17 NA 8.27 8.17 8.27 2.26 22.85 22.95 22.85 22.95 0ZZZ.00.00.0000220P0 38.2581 4 22847 Insert spine fixation device A 13.80 8.90 NA 9.06 8.90 9.06 2.36 25.06 25.22 25.06 25.22 0ZZZ.00.00.0000220P0 38.2581 4 22848 Insert pelv fixation device A 6.00 4.74 NA 5.11 4.74 5.11 0.88 11.62 11.99 11.62 11.99 0ZZZ.00.00.0000220P0 38.2581 4 22849 Reinsert spinal fixation A 18.51 13.69 NA13.46 13.69 13.46 2.87 35.07 34.84 35.07 34.84 0090.10.69.2120210P0 38.2581 4 22850 Remove spine fixation device A 9.52 8.41 NA 8.80 8.41 8.80 1.51 19.44 19.83 19.44 19.83 0090.10.69.2120210P0 38.2581 4 22851 Apply spine prosth device A 6.71 5.07 NA 5.54 5.07 5.54 1.11 12.89 13.36 12.89 13.36 0ZZZ.00.00.0000220P0 38.2581 4 22852 Remove spine fixation device A 9.01 8.18 NA 8.80 8.18 8.80 1.40 18.59 19.21 18.59 19.21 0090.10.69.2120210P0 38.2581 4 22855 Remove spine fixation device A 15.13 11.26 NA10.47 11.26 10.47 2.74 29.13 28.34 29.13 28.34 0090.10.69.2120210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 22900 Remove abdominal wall lesion A 5.80 4.37 NA 4.10 4.37 4.10 0.58 10.75 10.48 10.75 10.48 0090.10.69.2120210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 23000 Removal of calcium deposits A 4.36 8.91 7.56 6.62 5.85 0.50 13.77 12.42 11.48 10.71 0090.10.69.2120210P0 38.2581 4 23020 Release shoulder joint A 8.93 9.98 NA 9.46 9.98 9.46 1.23 20.14 19.62 20.14 19.62 0090.10.69.2121200P0 38.2581 4 23030 Drain shoulder lesion A 3.43 5.78 4.92 4.20 3.74 0.42 9.63 8.77 8.05 7.59 0010.10.80.1020100P0 38.2581 4 23031 Drain shoulder bursa A 2.74 5.66 4.38 3.82 2.93 0.33 8.73 7.45 6.89 6.00 0010.10.80.1021100P0 38.2581 4 23035 Drain shoulder bone lesion A 8.61 14.63 NA12.66 14.63 12.66 1.19 24.43 22.46 24.43 22.46 0090.10.69.2121200P0 38.2581 4 23040 Exploratory shoulder surgery A 9.20 10.88 NA10.68 10.88 10.68 1.28 21.36 21.16 21.36 21.16 0090.10.69.2121210P0 38.2581 4 23044 Exploratory shoulder surgery A 7.12 9.95 NA 9.34 9.95 9.34 0.97 18.04 17.43 18.04 17.43 0090.10.69.2121110P0 38.2581 4 23065 Biopsy shoulder tissues A 2.27 2.57 2.11 1.30 1.16 0.14 4.98 4.52 3.71 3.57 0010.10.80.1021100P0 38.2581 4 23066 Biopsy shoulder tissues A 4.16 7.35 5.83 6.09 4.89 0.50 12.01 10.49 10.75 9.55 0090.10.69.2121100P0 38.2581 4 23075 Removal of shoulder lesion A 2.39 5.10 4.28 3.04 2.74 0.25 7.74 6.92 5.68 5.38 0010.10.80.1021100P0 38.2581 4 23076 Removal of shoulder lesion A 7.63 7.98 NA 6.95 7.98 6.95 0.87 16.48 15.45 16.48 15.45 0090.10.69.2121100P0 38.2581 4 23077 Remove tumor of shoulder A 16.09 14.00 NA12.50 14.00 12.50 1.81 31.90 30.40 31.90 30.40 0090.10.69.2121210P0 38.2581 4 23100 Biopsy of shoulder joint A 6.03 8.00 NA 7.80 8.00 7.80 0.81 14.84 14.64 14.84 14.64 0090.10.69.2121210P0 38.2581 4 23101 Shoulder joint surgery A 5.58 8.13 NA 7.76 8.13 7.76 0.77 14.48 14.11 14.48 14.11 0090.10.69.2121110P0 38.2581 4 23105 Remove shoulder joint lining A 8.23 9.59 NA 9.65 9.59 9.65 1.13 18.95 19.01 18.95 19.01 0090.10.69.2121210P0 38.2581 4 23106 Incision of collarbone joint A 5.96 8.53 NA 7.69 8.53 7.69 0.82 15.31 14.47 15.31 14.47 0090.10.69.2121110P0 38.2581 4 23107 Explore treat shoulder joint A 8.62 9.60 NA 9.77 9.60 9.77 1.19 19.41 19.58 19.41 19.58 0090.10.69.2121210P0 38.2581 4 23120 Partial removal, collar bone A 7.11 8.87 NA 7.90 8.87 7.90 0.99 16.97 16.00 16.97 16.00 0090.10.69.2120210P0 38.2581 4 23125 Removal of collar bone A 9.39 10.29 NA10.02 10.29 10.02 1.27 20.95 20.68 20.95 20.68 0090.10.69.2121210P0 38.2581 4 23130 Remove shoulder bone, part A 7.55 9.12 NA 8.75 9.12 8.75 1.06 17.73 17.36 17.73 17.36 0090.10.69.2121110P0 38.2581 4 23140 Removal of bone lesion A 6.89 8.32 NA 7.37 8.32 7.37 0.82 16.03 15.08 16.03 15.08 0090.10.69.2121100P0 38.2581 4 23145 Removal of bone lesion A 9.09 11.32 NA10.70 11.32 10.70 1.24 21.65 21.03 21.65 21.03 0090.10.69.2121210P0 38.2581 4 23146 Removal of bone lesion A 7.83 9.97 NA 8.90 9.97 8.90 1.11 18.91 17.84 18.91 17.84 0090.10.69.2121000P0 38.2581 4 23150 Removal of humerus lesion A 8.48 9.44 NA 8.88 9.44 8.88 1.14 19.06 18.50 19.06 18.50 0090.10.69.2121210P0 38.2581 4 23155 Removal of humerus lesion A 10.35 10.79 NA10.48 10.79 10.48 1.20 22.34 22.03 22.34 22.03 0090.10.69.2121210P0 38.2581 4 23156 Removal of humerus lesion A 8.68 9.69 NA 9.34 9.69 9.34 1.18 19.55 19.20 19.55 19.20 0090.10.69.2121200P0 38.2581 4 23170 Remove collar bone lesion A 6.86 10.75 NA 9.37 10.75 9.37 0.84 18.45 17.07 18.45 17.07 0090.10.69.2121100P0 38.2581 4 23172 Remove shoulder blade lesion A 6.90 10.98 NA 9.64 10.98 9.64 0.95 18.83 17.49 18.83 17.49 0090.10.69.2121200P0 38.2581 4 23174 Remove humerus lesion A 9.51 10.91 NA10.50 10.91 10.50 1.30 21.72 21.31 21.72 21.31 0090.10.69.2121210P0 38.2581 4 23180 Remove collar bone lesion A 8.53 14.81 NA12.28 14.81 12.28 1.18 24.52 21.99 24.52 21.99 0090.10.69.2121110P0 38.2581 4 23182 Remove shoulder blade lesion A 8.15 15.51 NA13.42 15.51 13.42 1.08 24.74 22.65 24.74 22.65 0090.10.69.2121200P0 38.2581 4 23184 Remove humerus lesion A 9.38 14.87 NA13.55 14.87 13.55 1.24 25.49 24.17 25.49 24.17 0090.10.69.2121210P0 38.2581 4 23190 Partial removal of scapula A 7.24 8.00 NA 7.65 8.00 7.65 0.97 16.21 15.86 16.21 15.86 0090.10.69.2121210P0 38.2581 4 23195 Removal of head of humerus A 9.81 10.43 NA10.24 10.43 10.24 1.38 21.62 21.43 21.62 21.43 0090.10.69.2121210P0 38.2581 4 23200 Removal of collar bone A 12.08 13.60 NA12.69 13.60 12.69 1.48 27.16 26.25 27.16 26.25 0090.10.69.2121210P0 38.2581 4 23210 Removal of shoulder blade A 12.49 13.62 NA12.66 13.62 12.66 1.61 27.72 26.76 27.72 26.76 0090.10.69.2121210P0 38.2581 4 23220 Partial removal of humerus A 14.56 14.40 NA14.07 14.40 14.07 2.03 30.99 30.66 30.99 30.66 0090.10.69.2121210P0 38.2581 4 23221 Partial removal of humerus A 17.74 16.08 NA16.98 16.08 16.98 2.51 36.33 37.23 36.33 37.23 0090.10.69.2121200P0 38.2581 4 23222 Partial removal of humerus A 23.92 19.73 NA18.87 19.73 18.87 3.37 47.02 46.16 47.02 46.16 0090.10.69.2121210P0 38.2581 4 23330 Remove shoulder foreign body A 1.85 5.35 4.16 4.63 3.55 0.18 7.38 6.19 6.66 5.58 0010.10.80.1021000P0 38.2581 4 23331 Remove shoulder foreign body A 7.38 8.97 NA 7.34 8.97 7.34 1.02 17.37 15.74 17.37 15.74 0090.10.69.2121000P0 38.2581 4 23332 Remove shoulder foreign body A 11.62 11.33 NA11.14 11.33 11.14 1.62 24.57 24.38 24.57 24.38 0090.10.69.2121210P0 38.2581 4 23350 Injection for shoulder x-ray A 1.00 9.36 7.16 0.36 0.41 0.05 10.41 8.21 1.41 1.46 0000.00.00.0021100P0 38.2581 4 23395 Muscle transfer,shoulder/arm A 16.85 13.44 NA13.10 13.44 13.10 2.29 32.58 32.24 32.58 32.24 0090.10.69.2120210P0 38.2581 4 23397 Muscle transfers A 16.13 13.98 NA14.28 13.98 14.28 2.24 32.35 32.65 32.35 32.65 0090.10.69.2120210P0 38.2581 4 23400 Fixation of shoulder blade A 13.54 12.95 NA12.38 12.95 12.38 1.91 28.40 27.83 28.40 27.83 0090.10.69.2121210P0 38.2581 4 23405 Incision of tendon & muscle A 8.37 8.93 NA 8.73 8.93 8.73 1.12 18.42 18.22 18.42 18.22 0090.10.69.2120210P0 38.2581 4 23406 Incise tendon(s) & muscle(s) A 10.79 10.82 NA10.67 10.82 10.67 1.48 23.09 22.94 23.09 22.94 0090.10.69.2120200P0 38.2581 4 23410 Repair of tendon(s) A 12.45 11.69 NA11.74 11.69 11.74 1.72 25.86 25.91 25.86 25.91 0090.10.69.2120210P0 38.2581 4 23412 Repair of tendon(s) A 13.31 12.27 NA12.83 12.27 12.83 1.86 27.44 28.00 27.44 28.00 0090.10.69.2121210P0 38.2581 4 23415 Release of shoulder ligament A 9.97 9.61 NA 8.61 9.61 8.61 1.39 20.97 19.97 20.97 19.97 0090.10.69.2121110P0 38.2581 4 23420 Repair of shoulder A 13.30 13.09 NA13.79 13.09 13.79 1.86 28.25 28.95 28.25 28.95 0090.10.69.2121210P0 38.2581 4 23430 Repair biceps tendon A 9.98 10.44 NA 9.82 10.44 9.82 1.40 21.82 21.20 21.82 21.20 0090.10.69.2121210P0 38.2581 4 23440 Remove/transplant tendon A 10.48 10.67 NA 9.95 10.67 9.95 1.47 22.62 21.90 22.62 21.90 0090.10.69.2121210P0 38.2581 4 23450 Repair shoulder capsule A 13.40 12.42 NA12.78 12.42 12.78 1.86 27.68 28.04 27.68 28.04 0090.10.69.2121210P0 38.2581 4 23455 Repair shoulder capsule A 14.37 12.88 NA13.88 12.88 13.88 2.01 29.26 30.26 29.26 30.26 0090.10.69.2121210P0 38.2581 4 23460 Repair shoulder capsule A 15.37 13.54 NA13.97 13.54 13.97 2.17 31.08 31.51 31.08 31.51 0090.10.69.2121210P0 38.2581 4 23462 Repair shoulder capsule A 15.30 13.37 NA14.13 13.37 14.13 2.16 30.83 31.59 30.83 31.59 0090.10.69.2121210P0 38.2581 4 23465 Repair shoulder capsule A 15.85 12.30 NA13.07 12.30 13.07 1.61 29.76 30.53 29.76 30.53 0090.10.69.2121210P0 38.2581 4 23466 Repair shoulder capsule A 14.22 12.80 NA13.84 12.80 13.84 2.00 29.02 30.06 29.02 30.06 0090.10.69.2121210P0 38.2581 4 23470 Reconstruct shoulder joint A 17.15 14.38 NA15.33 14.38 15.33 2.40 33.93 34.88 33.93 34.88 0090.10.69.2121210P0 38.2581 4 23472 Reconstruct shoulder joint A 16.92 14.29 NA15.77 14.29 15.77 2.37 33.58 35.06 33.58 35.06 0090.10.69.2121210P0 38.2581 4 23480 Revision of collar bone A 11.18 11.14 NA10.14 11.14 10.14 1.56 23.88 22.88 23.88 22.88 0090.10.69.2121110P0 38.2581 4 23485 Revision of collar bone A 13.43 12.41 NA12.39 12.41 12.39 1.84 27.68 27.66 27.68 27.66 0090.10.69.2121210P0 38.2581 4 23490 Reinforce clavicle A 11.86 10.53 NA10.61 10.53 10.61 1.11 23.50 23.58 23.50 23.58 0090.10.69.2121200P0 38.2581 4 23491 Reinforce shoulder bones A 14.21 12.58 NA12.88 12.58 12.88 2.00 28.79 29.09 28.79 29.09 0090.10.69.2121210P0 38.2581 4 23500 Treat clavicle fracture A 2.08 3.55 3.11 2.37 2.23 0.26 5.89 5.45 4.71 4.57 0090.10.69.2121100P0 38.2581 4 23505 Treat clavicle fracture A 3.69 5.46 4.79 3.77 3.53 0.50 9.65 8.98 7.96 7.72 0090.10.69.2121100P0 38.2581 4 23515 Treat clavicle fracture A 7.41 7.68 NA 7.64 7.68 7.64 1.03 16.12 16.08 16.12 16.08 0090.10.69.2121210P0 38.2581 4 23520 Treat clavicle dislocation A 2.16 3.47 2.98 2.40 2.18 0.26 5.89 5.40 4.82 4.60 0090.10.69.2121000P0 38.2581 4 23525 Treat clavicle dislocation A 3.60 5.33 4.54 3.63 3.26 0.44 9.37 8.58 7.67 7.30 0090.10.69.2121000P0 38.2581 4 23530 Treat clavicle dislocation A 7.31 8.76 NA 8.36 8.76 8.36 0.85 16.92 16.52 16.92 16.52 0090.10.69.2121200P0 38.2581 4 23532 Treat clavicle dislocation A 8.01 8.08 NA 8.02 8.08 8.02 1.13 17.22 17.16 17.22 17.16 0090.10.69.2121200P0 38.2581 4 23540 Treat clavicle dislocation A 2.23 4.11 3.50 2.38 2.21 0.24 6.58 5.97 4.85 4.68 0090.10.69.2121100P0 38.2581 4 23545 Treat clavicle dislocation A 3.25 4.72 4.08 3.44 3.12 0.39 8.36 7.72 7.08 6.76 0090.10.69.2121000P0 38.2581 4 23550 Treat clavicle dislocation A 7.24 7.68 NA 7.92 7.68 7.92 0.94 15.86 16.10 15.86 16.10 0090.10.69.2121210P0 38.2581 4 23552 Treat clavicle dislocation A 8.45 8.29 NA 8.20 8.29 8.20 1.18 17.92 17.83 17.92 17.83 0090.10.69.2121210P0 38.2581 4 23570 Treat shoulder blade fx A 2.23 3.54 3.12 2.49 2.33 0.29 6.06 5.64 5.01 4.85 0090.10.69.2121100P0 38.2581 4 23575 Treat shoulder blade fx A 4.06 5.59 4.94 3.98 3.73 0.53 10.18 9.53 8.57 8.32 0090.10.69.2121000P0 38.2581 4 23585 Treat scapula fracture A 8.96 8.82 NA 8.71 8.82 8.71 1.25 19.03 18.92 19.03 18.92 0090.10.69.2121210P0 38.2581 4 23600 Treat humerus fracture A 2.93 5.41 4.85 3.52 3.43 0.39 8.73 8.17 6.84 6.75 0090.10.69.2121100P0 38.2581 4 23605 Treat humerus fracture A 4.87 8.14 7.40 6.40 6.09 0.67 13.68 12.94 11.94 11.63 0090.10.69.2121100P0 38.2581 4 23615 Treat humerus fracture A 9.35 9.52 NA 9.93 9.52 9.93 1.31 20.18 20.59 20.18 20.59 0090.10.69.2121210P0 38.2581 4 23616 Treat humerus fracture A 21.27 15.55 NA17.72 15.55 17.72 2.98 39.80 41.97 39.80 41.97 0090.10.69.2121220P0 38.2581 4 23620 Treat humerus fracture A 2.40 5.12 4.62 3.26 2.81 0.32 7.84 7.34 5.98 5.53 0090.10.69.2121100P0 38.2581 4 23625 Treat humerus fracture A 3.93 7.07 6.34 5.32 5.03 0.53 11.53 10.80 9.78 9.49 0090.10.69.2121100P0 38.2581 4 23630 Treat humerus fracture A 7.35 7.67 NA 7.95 7.67 7.95 1.03 16.05 16.33 16.05 16.33 0090.10.69.2121210P0 38.2581 4 23650 Treat shoulder dislocation A 3.39 5.17 4.45 3.33 3.07 0.31 8.87 8.15 7.03 6.77 0090.10.69.2121100P0 38.2581 4 23655 Treat shoulder dislocation A 4.57 4.03 NA 3.82 4.03 3.82 0.52 9.12 8.91 9.12 8.91 0090.10.69.2121100P0 38.2581 4 23660 Treat shoulder dislocation A 7.49 7.64 NA 7.97 7.64 7.97 1.01 16.14 16.47 16.14 16.47 0090.10.69.2121210P0 38.2581 4 23665 Treat dislocation/fracture A 4.47 7.39 6.45 5.59 5.10 0.60 12.46 11.52 10.66 10.17 0090.10.69.2121100P0 38.2581 4 23670 Treat dislocation/fracture A 7.90 8.11 NA 8.44 8.11 8.44 1.10 17.11 17.44 17.11 17.44 0090.10.69.2121210P0 38.2581 4 23675 Treat dislocation/fracture A 6.05 8.17 7.20 6.49 5.94 0.83 15.05 14.08 13.37 12.82 0090.10.69.2121100P0 38.2581 4 23680 Treat dislocation/fracture A 10.06 9.31 NA 9.99 9.31 9.99 1.39 20.76 21.44 20.76 21.44 0090.10.69.2121210P0 38.2581 4 23700 Fixation of shoulder A 2.52 3.22 NA 2.98 3.22 2.98 0.35 6.09 5.85 6.09 5.85 0010.10.80.1020100P0 38.2581 4 23800 Fusion of shoulder joint A 14.16 13.53 NA14.38 13.53 14.38 1.97 29.66 30.51 29.66 30.51 0090.10.69.2121210P0 38.2581 4 23802 Fusion of shoulder joint A 16.60 15.01 NA15.08 15.01 15.08 2.34 33.95 34.02 33.95 34.02 0090.10.69.2120210P0 38.2581 4 23900 Amputation of arm & girdle A 19.72 14.73 NA14.46 14.73 14.46 2.47 36.92 36.65 36.92 36.65 0090.10.69.2120200P0 38.2581 4 23920 Amputation at shoulder joint A 14.61 13.74 NA14.06 13.74 14.06 1.92 30.27 30.59 30.27 30.59 0090.10.69.2120210P0 38.2581 4 23921 Amputation follow-up surgery A 5.49 6.55 NA 6.07 6.55 6.07 0.78 12.82 12.34 12.82 12.34 0090.10.69.2120100P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 23930 Drainage of arm lesion A 2.94 5.81 4.80 3.91 3.37 0.32 9.07 8.06 7.17 6.63 0010.10.80.1021100P0 38.2581 4 23931 Drainage of arm bursa A 1.79 5.38 4.24 3.37 2.63 0.21 7.38 6.24 5.37 4.63 0010.10.80.1021100P0 38.2581 4 23935 Drain arm/elbow bone lesion A 6.09 12.01 NA10.28 12.01 10.28 0.84 18.94 17.21 18.94 17.21 0090.10.69.2121000P0 38.2581 4 24000 Exploratory elbow surgery A 5.82 5.68 NA 6.00 5.68 6.00 0.77 12.27 12.59 12.27 12.59 0090.10.69.2121010P0 38.2581 4 24006 Release elbow joint A 9.31 8.12 NA 8.03 8.12 8.03 1.27 18.70 18.61 18.70 18.61 0090.10.69.2121220P0 38.2581 4 24065 Biopsy arm/elbow soft tissue A 2.08 5.40 4.27 3.20 2.51 0.14 7.62 6.49 5.42 4.73 0010.10.80.1021100P0 38.2581 4 24066 Biopsy arm/elbow soft tissue A 5.21 8.49 7.10 6.36 5.51 0.61 14.31 12.92 12.18 11.33 0090.10.69.2121100P0 38.2581 4 24075 Remove arm/elbow lesion A 3.92 7.81 6.40 5.71 4.82 0.43 12.16 10.75 10.06 9.17 0090.10.69.2121100P0 38.2581 4 24076 Remove arm/elbow lesion A 6.30 6.80 NA 6.10 6.80 6.10 0.70 13.80 13.10 13.80 13.10 0090.10.69.2121100P0 38.2581 4 24077 Remove tumor of arm/elbow A 11.76 13.16 NA12.53 13.16 12.53 1.32 26.24 25.61 26.24 25.61 0090.10.69.2121210P0 38.2581 4 24100 Biopsy elbow joint lining A 4.93 5.48 NA 5.26 5.48 5.26 0.62 11.03 10.81 11.03 10.81 0090.10.69.2121210P0 38.2581 4 24101 Explore/treat elbow joint A 6.13 6.32 NA 6.57 6.32 6.57 0.84 13.29 13.54 13.29 13.54 0090.10.69.2121200P0 38.2581 4 24102 Remove elbow joint lining A 8.03 7.40 NA 7.95 7.40 7.95 1.09 16.52 17.07 16.52 17.07 0090.10.69.2121210P0 38.2581 4 24105 Removal of elbow bursa A 3.61 4.83 NA 4.65 4.83 4.65 0.49 8.93 8.75 8.93 8.75 0090.10.69.2121100P0 38.2581 4 24110 Remove humerus lesion A 7.39 9.06 NA 8.88 9.06 8.88 0.99 17.44 17.26 17.44 17.26 0090.10.69.2121110P0 38.2581 4 24115 Remove/graft bone lesion A 9.63 9.34 NA 9.09 9.34 9.09 1.15 20.12 19.87 20.12 19.87 0090.10.69.2121210P0 38.2581 4 24116 Remove/graft bone lesion A 11.81 11.19 NA11.03 11.19 11.03 1.66 24.66 24.50 24.66 24.50 0090.10.69.2121200P0 38.2581 4 24120 Remove elbow lesion A 6.65 6.29 NA 6.35 6.29 6.35 0.87 13.81 13.87 13.81 13.87 0090.10.69.2121000P0 38.2581 4 24125 Remove/graft bone lesion A 7.89 6.54 NA 6.48 6.54 6.48 0.88 15.31 15.25 15.31 15.25 0090.10.69.2121210P0 38.2581 4 24126 Remove/graft bone lesion A 8.31 7.07 NA 7.31 7.07 7.31 0.90 16.28 16.52 16.28 16.52 0090.10.69.2121200P0 38.2581 4 24130 Removal of head of radius A 6.25 6.41 NA 6.63 6.41 6.63 0.87 13.53 13.75 13.53 13.75 0090.10.69.2121110P0 38.2581 4 24134 Removal of arm bone lesion A 9.73 15.37 NA13.89 15.37 13.89 1.31 26.41 24.93 26.41 24.93 0090.10.69.2121200P0 38.2581 4 24136 Remove radius bone lesion A 7.99 6.52 NA 7.27 6.52 7.27 0.85 15.36 16.11 15.36 16.11 0090.10.69.2121100P0 38.2581 4 24138 Remove elbow bone lesion A 8.05 7.33 NA 7.23 7.33 7.23 1.12 16.50 16.40 16.50 16.40 0090.10.69.2121200P0 38.2581 4 24140 Partial removal of arm bone A 9.18 15.69 NA14.15 15.69 14.15 1.23 26.10 24.56 26.10 24.56 0090.10.69.2121200P0 38.2581 4 24145 Partial removal of radius A 7.58 10.25 NA 9.42 10.25 9.42 1.01 18.84 18.01 18.84 18.01 0090.10.69.2121110P0 38.2581 4 24147 Partial removal of elbow A 7.54 10.30 NA 9.52 10.30 9.52 1.04 18.88 18.10 18.88 18.10 0090.10.69.2121110P0 38.2581 4 24149 Radical resection of elbow A 14.20 10.77 NA11.51 10.77 11.51 1.90 26.87 27.61 26.87 27.61 0090.10.69.2121210P0 38.2581 4 24150 Extensive humerus surgery A 13.27 13.78 NA14.16 13.78 14.16 1.81 28.86 29.24 28.86 29.24 0090.10.69.2121210P0 38.2581 4 24151 Extensive humerus surgery A 15.58 15.34 NA15.26 15.34 15.26 2.19 33.11 33.03 33.11 33.03 0090.10.69.2121210P0 38.2581 4 24152 Extensive radius surgery A 10.06 8.92 NA 8.54 8.92 8.54 1.19 20.17 19.79 20.17 19.79 0090.10.69.2121210P0 38.2581 4 24153 Extensive radius surgery A 11.54 7.24 NA 8.26 7.24 8.26 0.64 19.42 20.44 19.42 20.44 0090.10.69.2121000P0 38.2581 4 24155 Removal of elbow joint A 11.73 8.75 NA 9.48 8.75 9.48 1.42 21.90 22.63 21.90 22.63 0090.10.69.2121210P0 38.2581 4 24160 Remove elbow joint implant A 7.83 7.29 NA 6.78 7.29 6.78 1.07 16.19 15.68 16.19 15.68 0090.10.69.2121110P0 38.2581 4 24164 Remove radius head implant A 6.23 6.33 NA 6.25 6.33 6.25 0.84 13.40 13.32 13.40 13.32 0090.10.69.2121110P0 38.2581 4 24200 Removal of arm foreign body A 1.76 5.66 4.40 3.13 2.43 0.15 7.57 6.31 5.04 4.34 0010.10.80.1021000P0 38.2581 4 24201 Removal of arm foreign body A 4.56 8.52 7.22 7.15 6.19 0.56 13.64 12.34 12.27 11.31 0090.10.69.2121100P0 38.2581 4 24220 Injection for elbow x-ray A 1.31 10.24 7.82 0.48 0.50 0.07 11.62 9.20 1.86 1.88 0000.00.00.0021000P0 38.2581 4 24301 Muscle/tendon transfer A 10.20 8.82 NA 8.76 8.82 8.76 1.30 20.32 20.26 20.32 20.26 0090.10.69.2120210P0 38.2581 4 24305 Arm tendon lengthening A 7.45 7.11 NA 6.17 7.11 6.17 0.98 15.54 14.60 15.54 14.60 0090.10.69.2120000P0 38.2581 4 24310 Revision of arm tendon A 5.98 7.62 NA 6.52 7.62 6.52 0.74 14.34 13.24 14.34 13.24 0090.10.69.2120000P0 38.2581 4 24320 Repair of arm tendon A 10.56 9.86 NA 9.89 9.86 9.89 1.00 21.42 21.45 21.42 21.45 0090.10.69.2120210P0 38.2581 4 24330 Revision of arm muscles A 9.60 8.31 NA 8.61 8.31 8.61 1.21 19.12 19.42 19.12 19.42 0090.10.69.2121200P0 38.2581 4 24331 Revision of arm muscles A 10.65 8.75 NA 9.17 8.75 9.17 1.41 20.81 21.23 20.81 21.23 0090.10.69.2121200P0 38.2581 4 24340 Repair of biceps tendon A 7.89 7.19 NA 7.29 7.19 7.29 1.08 16.16 16.26 16.16 16.26 0090.10.69.2121210P0 38.2581 4 24341 Repair arm tendon/muscle A 7.90 7.25 NA 7.34 7.25 7.34 1.08 16.23 16.32 16.23 16.32 0090.10.69.2121210P0 38.2581 4 24342 Repair of ruptured tendon A 10.62 8.86 NA 9.46 8.86 9.46 1.48 20.96 21.56 20.96 21.56 0090.10.69.2121210P0 38.2581 4 24350 Repair of tennis elbow A 5.25 5.88 NA 5.56 5.88 5.56 0.72 11.85 11.53 11.85 11.53 0090.10.69.2121000P0 38.2581 4 24351 Repair of tennis elbow A 5.91 6.31 NA 5.97 6.31 5.97 0.82 13.04 12.70 13.04 12.70 0090.10.69.2121000P0 38.2581 4 24352 Repair of tennis elbow A 6.43 6.58 NA 6.48 6.58 6.48 0.90 13.91 13.81 13.91 13.81 0090.10.69.2121210P0 38.2581 4 24354 Repair of tennis elbow A 6.48 6.53 NA 6.42 6.53 6.42 0.88 13.89 13.78 13.89 13.78 0090.10.69.2121100P0 38.2581 4 24356 Revision of tennis elbow A 6.68 6.70 NA 7.00 6.70 7.00 0.90 14.28 14.58 14.28 14.58 0090.10.69.2121000P0 38.2581 4 24360 Reconstruct elbow joint A 12.34 9.59 NA10.88 9.59 10.88 1.69 23.62 24.91 23.62 24.91 0090.10.69.2121210P0 38.2581 4 24361 Reconstruct elbow joint A 14.08 10.32 NA11.30 10.32 11.30 1.95 26.35 27.33 26.35 27.33 0090.10.69.2121210P0 38.2581 4 24362 Reconstruct elbow joint A 14.99 10.85 NA11.70 10.85 9.92 1.92 27.76 28.61 27.76 26.83 0090.10.69.2121200P0 38.2581 4 24363 Replace elbow joint A 18.49 13.18 NA15.40 13.18 15.40 2.52 34.19 36.41 34.19 36.41 0090.10.69.2121200P0 38.2581 4 24365 Reconstruct head of radius A 8.39 7.59 NA 7.73 7.59 7.73 1.11 17.09 17.23 17.09 17.23 0090.10.69.2121210P0 38.2581 4 24366 Reconstruct head of radius A 9.13 8.00 NA 8.73 8.00 8.73 1.28 18.41 19.14 18.41 19.14 0090.10.69.2121210P0 38.2581 4 24400 Revision of humerus A 11.06 11.87 NA11.19 11.87 11.19 1.53 24.46 23.78 24.46 23.78 0090.10.69.2121210P0 38.2581 4 24410 Revision of humerus A 14.82 13.81 NA14.17 13.81 14.17 1.89 30.52 30.88 30.52 30.88 0090.10.69.2121210P0 38.2581 4 24420 Revision of humerus A 13.44 15.37 NA14.87 15.37 14.87 1.82 30.63 30.13 30.63 30.13 0090.10.69.2121210P0 38.2581 4 24430 Repair of humerus A 12.81 12.12 NA12.91 12.12 12.91 1.80 26.73 27.52 26.73 27.52 0090.10.69.2121210P0 38.2581 4 24435 Repair humerus with graft A 13.17 13.09 NA13.75 13.09 13.75 1.84 28.10 28.76 28.10 28.76 0090.10.69.2121210P0 38.2581 4 24470 Revision of elbow joint A 8.74 7.13 NA 7.50 7.13 7.50 1.23 17.10 17.47 17.10 17.47 0090.10.69.2121200P0 38.2581 4 24495 Decompression of forearm A 8.12 9.57 NA 8.74 9.57 8.74 0.92 18.61 17.78 18.61 17.78 0090.10.69.2121000P0 38.2581 4 24498 Reinforce humerus A 11.92 11.57 NA11.49 11.57 11.49 1.67 25.16 25.08 25.16 25.08 0090.10.69.2121210P0 38.2581 4 24500 Treat humerus fracture A 3.21 4.99 4.43 3.25 3.13 0.41 8.61 8.05 6.87 6.75 0090.10.69.2121100P0 38.2581 4 24505 Treat humerus fracture A 5.17 8.65 7.71 6.67 6.22 0.72 14.54 13.60 12.56 12.11 0090.10.69.2121100P0 38.2581 4 24515 Treat humerus fracture A 11.65 10.75 NA10.68 10.75 10.68 1.63 24.03 23.96 24.03 23.96 0090.10.69.2121210P0 38.2581 4 24516 Treat humerus fracture A 11.65 11.14 NA10.97 11.14 10.97 1.63 24.42 24.25 24.42 24.25 0090.10.69.2121220P0 38.2581 4 24530 Treat humerus fracture A 3.50 6.03 5.26 4.71 4.27 0.47 10.00 9.23 8.68 8.24 0090.10.69.2121100P0 38.2581 4 24535 Treat humerus fracture A 6.87 8.56 7.74 6.60 6.27 0.96 16.39 15.57 14.43 14.10 0090.10.69.2121100P0 38.2581 4 24538 Treat humerus fracture A 9.43 9.73 NA 9.46 9.73 9.46 1.25 20.41 20.14 20.41 20.14 0090.10.69.2121100P0 38.2581 4 24545 Treat humerus fracture A 10.46 9.57 NA 9.88 9.57 9.88 1.47 21.50 21.81 21.50 21.81 0090.10.69.2121210P0 38.2581 4 24546 Treat humerus fracture A 15.69 12.98 NA12.44 12.98 12.44 2.18 30.85 30.31 30.85 30.31 0090.10.69.2121220P0 38.2581 4 24560 Treat humerus fracture A 2.80 4.81 4.19 3.04 2.87 0.35 7.96 7.34 6.19 6.02 0090.10.69.2121100P0 38.2581 4 24565 Treat humerus fracture A 5.56 7.82 6.80 5.85 5.32 0.74 14.12 13.10 12.15 11.62 0090.10.69.2121100P0 38.2581 4 24566 Treat humerus fracture A 7.79 9.23 NA 8.57 9.23 8.57 1.10 18.12 17.46 18.12 17.46 0090.10.69.2121100P0 38.2581 4 24575 Treat humerus fracture A 10.66 7.98 NA 8.10 7.98 8.10 1.44 20.08 20.20 20.08 20.20 0090.10.69.2121210P0 38.2581 4 24576 Treat humerus fracture A 2.86 4.53 3.98 3.15 2.95 0.38 7.77 7.22 6.39 6.19 0090.10.69.2121100P0 38.2581 4 24577 Treat humerus fracture A 5.79 7.93 7.03 5.99 5.58 0.81 14.53 13.63 12.59 12.18 0090.10.69.2121100P0 38.2581 4 24579 Treat humerus fracture A 11.60 10.67 NA10.27 10.67 10.27 1.62 23.89 23.49 23.89 23.49 0090.10.69.2121210P0 38.2581 4 24582 Treat humerus fracture A 8.55 9.71 NA 9.08 9.71 9.08 1.20 19.46 18.83 19.46 18.83 0090.10.69.2121100P0 38.2581 4 24586 Treat elbow fracture A 15.21 10.70 NA12.02 10.70 12.02 2.12 28.03 29.35 28.03 29.35 0090.10.69.2121210P0 38.2581 4 24587 Treat elbow fracture A 15.16 10.48 NA11.58 10.48 11.58 2.14 27.78 28.88 27.78 28.88 0090.10.69.2121210P0 38.2581 4 24600 Treat elbow dislocation A 4.23 6.77 5.61 4.98 4.27 0.49 11.49 10.33 9.70 8.99 0090.10.69.2121100P0 38.2581 4 24605 Treat elbow dislocation A 5.42 4.73 NA 4.17 4.73 4.17 0.72 10.87 10.31 10.87 10.31 0090.10.69.2121100P0 38.2581 4 24615 Treat elbow dislocation A 9.42 7.53 NA 8.17 7.53 8.17 1.31 18.26 18.90 18.26 18.90 0090.10.69.2121210P0 38.2581 4 24620 Treat elbow fracture A 6.98 6.42 NA 5.84 6.42 5.84 0.90 14.30 13.72 14.30 13.72 0090.10.69.2121000P0 38.2581 4 24635 Treat elbow fracture A 13.19 15.05 NA14.29 15.05 14.29 1.84 30.08 29.32 30.08 29.32 0090.10.69.2121210P0 38.2581 4 24640 Treat elbow dislocation A 1.20 3.46 2.87 1.77 1.60 0.11 4.77 4.18 3.08 2.91 0010.10.80.1021000P0 38.2581 4 24650 Treat radius fracture A 2.16 4.45 3.95 2.80 2.41 0.28 6.89 6.39 5.24 4.85 0090.10.69.2121100P0 38.2581 4 24655 Treat radius fracture A 4.40 7.12 6.16 5.15 4.68 0.58 12.10 11.14 10.13 9.66 0090.10.69.2121100P0 38.2581 4 24665 Treat radius fracture A 8.14 8.78 NA 8.52 8.78 8.52 1.13 18.05 17.79 18.05 17.79 0090.10.69.2121210P0 38.2581 4 24666 Treat radius fracture A 9.49 9.51 NA 9.92 9.51 9.92 1.32 20.32 20.73 20.32 20.73 0090.10.69.2121210P0 38.2581 4 24670 Treat ulnar fracture A 2.54 4.38 3.82 3.00 2.78 0.33 7.25 6.69 5.87 5.65 0090.10.69.2121100P0 38.2581 4 24675 Treat ulnar fracture A 4.72 7.27 6.41 5.36 4.97 0.65 12.64 11.78 10.73 10.34 0090.10.69.2121100P0 38.2581 4 24685 Treat ulnar fracture A 8.80 9.13 NA 9.13 9.13 9.13 1.23 19.16 19.16 19.16 19.16 0090.10.69.2121210P0 38.2581 4 24800 Fusion of elbow joint A 11.20 9.41 NA 9.93 9.41 9.93 1.41 22.02 22.54 22.02 22.54 0090.10.69.2121210P0 38.2581 4 24802 Fusion/graft of elbow joint A 13.69 11.10 NA11.63 11.10 11.63 1.89 26.68 27.21 26.68 27.21 0090.10.69.2121200P0 38.2581 4 24900 Amputation of upper arm A 9.60 10.61 NA10.04 10.61 10.04 1.18 21.39 20.82 21.39 20.82 0090.10.69.2121210P0 38.2581 4 24920 Amputation of upper arm A 9.54 11.85 NA10.73 11.85 10.73 1.22 22.61 21.49 22.61 21.49 0090.10.69.2121210P0 38.2581 4 24925 Amputation follow-up surgery A 7.07 8.88 NA 8.36 8.88 8.36 0.95 16.90 16.38 16.90 16.38 0090.10.69.2121200P0 38.2581 4 24930 Amputation follow-up surgery A 10.25 11.00 NA10.47 11.00 10.47 1.23 22.48 21.95 22.48 21.95 0090.10.69.2121200P0 38.2581 4 24931 Amputate upper arm & implant A 12.72 11.26 NA11.48 11.26 11.48 1.56 25.54 25.76 25.54 25.76 0090.10.69.2121200P0 38.2581 4 24935 Revision of amputation A 15.56 11.88 NA12.63 11.88 12.63 1.58 29.02 29.77 29.02 29.77 0090.10.69.2121000P0 38.2581 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 0090.10.69.2121200P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 25000 Incision of tendon sheath A 3.38 6.59 NA 5.95 6.59 5.95 0.45 10.42 9.78 10.42 9.78 0090.10.69.2121100P0 38.2581 4 25020 Decompression of forearm A 5.92 10.29 NA 8.90 10.29 8.90 0.75 16.96 15.57 16.96 15.57 0090.10.69.2121100P0 38.2581 4 25023 Decompression of forearm A 12.96 15.90 NA13.40 15.90 13.40 1.50 30.36 27.86 30.36 27.86 0090.10.69.2121000P0 38.2581 4 25028 Drainage of forearm lesion A 5.25 9.39 NA 7.60 9.39 7.60 0.61 15.25 13.46 15.25 13.46 0090.10.69.2121100P0 38.2581 4 25031 Drainage of forearm bursa A 4.14 9.02 NA 6.95 9.02 6.95 0.50 13.66 11.59 13.66 11.59 0090.10.69.2121000P0 38.2581 4 25035 Treat forearm bone lesion A 7.36 15.16 NA13.08 15.16 13.08 0.98 23.50 21.42 23.50 21.42 0090.10.69.2121000P0 38.2581 4 25040 Explore/treat wrist joint A 7.18 8.56 NA 7.97 8.56 7.97 0.96 16.70 16.11 16.70 16.11 0090.10.69.2121000P0 38.2581 4 25065 Biopsy forearm soft tissues A 1.99 2.45 2.04 2.45 1.94 0.12 4.56 4.15 4.56 4.05 0010.10.80.1021100P0 38.2581 4 25066 Biopsy forearm soft tissues A 4.13 7.36 NA 5.94 7.36 5.94 0.49 11.98 10.56 11.98 10.56 0090.10.69.2121100P0 38.2581 4 25075 Removal of forearm lesion A 3.74 6.81 NA 5.70 6.81 5.70 0.40 10.95 9.84 10.95 9.84 0090.10.69.2121100P0 38.2581 4 25076 Removal of forearm lesion A 4.92 11.51 NA 9.66 11.51 9.66 0.59 17.02 15.17 17.02 15.17 0090.10.69.2121100P0 38.2581 4 25077 Remove tumor, forearm/wrist A 9.76 15.13 NA13.65 15.13 13.65 1.10 25.99 24.51 25.99 24.51 0090.10.69.2121100P0 38.2581 4 25085 Incision of wrist capsule A 5.50 9.88 NA 8.66 9.88 8.66 0.71 16.09 14.87 16.09 14.87 0090.10.69.2121200P0 38.2581 4 25100 Biopsy of wrist joint A 3.90 6.64 NA 6.15 6.64 6.15 0.50 11.04 10.55 11.04 10.55 0090.10.69.2121000P0 38.2581 4 25101 Explore/treat wrist joint A 4.69 7.23 NA 6.82 7.23 6.82 0.60 12.52 12.11 12.52 12.11 0090.10.69.2121000P0 38.2581 4 25105 Remove wrist joint lining A 5.85 10.05 NA 9.29 10.05 9.29 0.77 16.67 15.91 16.67 15.91 0090.10.69.2121010P0 38.2581 4 25107 Remove wrist joint cartilage A 6.43 10.23 NA 9.11 10.23 9.11 0.82 17.48 16.36 17.48 16.36 0090.10.69.2121210P0 38.2581 4 25110 Remove wrist tendon lesion A 3.92 7.72 NA 6.55 7.72 6.55 0.48 12.12 10.95 12.12 10.95 0090.10.69.2121100P0 38.2581 4 25111 Remove wrist tendon lesion A 3.39 6.01 NA 5.38 6.01 5.38 0.42 9.82 9.19 9.82 9.19 0090.10.69.2121100P1A4550 38.2581 4 25112 Reremove wrist tendon lesion A 4.53 6.88 NA 6.17 6.88 6.17 0.54 11.95 11.24 11.95 11.24 0090.10.69.2121100P0 38.2581 4 25115 Remove wrist/forearm lesion A 8.82 15.45 NA13.53 15.45 13.53 1.11 25.38 23.46 25.38 23.46 0090.10.69.2121100P0 38.2581 4 25116 Remove wrist/forearm lesion A 7.11 14.43 NA12.95 14.43 12.95 0.90 22.44 20.96 22.44 20.96 0090.10.69.2121010P0 38.2581 4 25118 Excise wrist tendon sheath A 4.37 7.17 NA 6.68 7.17 6.68 0.55 12.09 11.60 12.09 11.60 0090.10.69.2121100P0 38.2581 4 25119 Partial removal of ulna A 6.04 10.00 NA 9.30 10.00 9.30 0.80 16.84 16.14 16.84 16.14 0090.10.69.2121210P0 38.2581 4 25120 Removal of forearm lesion A 6.10 13.26 NA11.72 13.26 11.72 0.81 20.17 18.63 20.17 18.63 0090.10.69.2121010P0 38.2581 4 25125 Remove/graft forearm lesion A 7.48 14.52 NA12.75 14.52 12.75 1.02 23.02 21.25 23.02 21.25 0090.10.69.2121000P0 38.2581 4 25126 Remove/graft forearm lesion A 7.55 13.95 NA12.31 13.95 12.31 1.00 22.50 20.86 22.50 20.86 0090.10.69.2121200P0 38.2581 4 25130 Removal of wrist lesion A 5.26 7.50 NA 6.77 7.50 6.77 0.66 13.42 12.69 13.42 12.69 0090.10.69.2121000P0 38.2581 4 25135 Remove & graft wrist lesion A 6.89 8.29 NA 7.70 8.29 7.70 0.89 16.07 15.48 16.07 15.48 0090.10.69.2121210P0 38.2581 4 25136 Remove & graft wrist lesion A 5.97 6.38 NA 6.07 6.38 6.07 0.58 12.93 12.62 12.93 12.62 0090.10.69.2121210P0 38.2581 4 25145 Remove forearm bone lesion A 6.37 14.00 NA12.12 14.00 12.12 0.82 21.19 19.31 21.19 19.31 0090.10.69.2121200P0 38.2581 4 25150 Partial removal of ulna A 7.09 10.98 NA10.05 10.98 10.05 0.96 19.03 18.10 19.03 18.10 0090.10.69.2121110P0 38.2581 4 25151 Partial removal of radius A 7.39 13.77 NA11.89 13.77 11.89 0.93 22.09 20.21 22.09 20.21 0090.10.69.2121210P0 38.2581 4 25170 Extensive forearm surgery A 11.09 16.06 NA14.70 16.06 14.70 1.52 28.67 27.31 28.67 27.31 0090.10.69.2121210P0 38.2581 4 25210 Removal of wrist bone A 5.95 8.02 NA 7.34 8.02 7.34 0.73 14.70 14.02 14.70 14.02 0090.10.69.2120010P0 38.2581 4 25215 Removal of wrist bones A 7.89 11.15 NA10.72 11.15 10.72 1.02 20.06 19.63 20.06 19.63 0090.10.69.2120210P0 38.2581 4 25230 Partial removal of radius A 5.23 7.44 NA 7.09 7.44 7.09 0.66 13.33 12.98 13.33 12.98 0090.10.69.2121110P0 38.2581 4 25240 Partial removal of ulna A 5.17 9.61 NA 8.65 9.61 8.65 0.69 15.47 14.51 15.47 14.51 0090.10.69.2121010P0 38.2581 4 25246 Injection for wrist x-ray A 1.45 9.80 7.49 0.52 0.53 0.07 11.32 9.01 2.04 2.05 0000.00.00.0021100P0 38.2581 4 25248 Remove forearm foreign body A 5.14 9.04 NA 7.37 9.04 7.37 0.54 14.72 13.05 14.72 13.05 0090.10.69.2121100P0 38.2581 4 25250 Removal of wrist prosthesis A 6.60 8.15 NA 7.64 8.15 7.64 0.84 15.59 15.08 15.59 15.08 0090.10.69.2121200P0 38.2581 4 25251 Removal of wrist prosthesis A 9.57 11.55 NA10.90 11.55 10.90 1.15 22.27 21.62 22.27 21.62 0090.10.69.2120200P0 38.2581 4 25260 Repair forearm tendon/muscle A 7.80 15.60 NA12.95 15.60 12.95 0.97 24.37 21.72 24.37 21.72 0090.10.69.2120100P0 38.2581 4 25263 Repair forearm tendon/muscle A 7.82 14.95 NA12.78 14.95 12.78 0.94 23.71 21.54 23.71 21.54 0090.10.69.2120200P0 38.2581 4 25265 Repair forearm tendon/muscle A 9.88 15.75 NA13.97 15.75 13.97 1.19 26.82 25.04 26.82 25.04 0090.10.69.2120200P0 38.2581 4 25270 Repair forearm tendon/muscle A 6.00 14.52 NA11.80 14.52 11.80 0.76 21.28 18.56 21.28 18.56 0090.10.69.2120000P0 38.2581 4 25272 Repair forearm tendon/muscle A 7.04 15.17 NA12.31 15.17 12.31 0.89 23.10 20.24 23.10 20.24 0090.10.69.2120000P0 38.2581 4 25274 Repair forearm tendon/muscle A 8.75 14.96 NA13.02 14.96 13.02 1.11 24.82 22.88 24.82 22.88 0090.10.69.2120010P0 38.2581 4 25280 Revise wrist/forearm tendon A 7.22 14.31 NA11.88 14.31 11.88 0.91 22.44 20.01 22.44 20.01 0090.10.69.2120010P0 38.2581 4 25290 Incise wrist/forearm tendon A 5.29 16.18 NA12.81 16.18 12.81 0.66 22.13 18.76 22.13 18.76 0090.10.69.2120100P0 38.2581 4 25295 Release wrist/forearm tendon A 6.55 14.02 NA11.34 14.02 11.34 0.84 21.41 18.73 21.41 18.73 0090.10.69.2120100P0 38.2581 4 25300 Fusion of tendons at wrist A 8.80 9.51 NA 9.13 9.51 9.13 1.07 19.38 19.00 19.38 19.00 0090.10.69.2121200P0 38.2581 4 25301 Fusion of tendons at wrist A 8.40 9.29 NA 8.81 9.29 8.81 1.08 18.77 18.29 18.77 18.29 0090.10.69.2121200P0 38.2581 4 25310 Transplant forearm tendon A 8.14 14.58 NA12.87 14.58 12.87 1.01 23.73 22.02 23.73 22.02 0090.10.69.2120210P0 38.2581 4 25312 Transplant forearm tendon A 9.57 15.53 NA13.72 15.53 13.72 1.22 26.32 24.51 26.32 24.51 0090.10.69.2120210P0 38.2581 4 25315 Revise palsy hand tendon(s) A 10.20 16.30 NA14.41 16.30 14.41 1.26 27.76 25.87 27.76 25.87 0090.10.69.2121200P0 38.2581 4 25316 Revise palsy hand tendon(s) A 12.33 17.13 NA15.72 17.13 15.72 1.74 31.20 29.79 31.20 29.79 0090.10.69.2121200P0 38.2581 4 25320 Repair/revise wrist joint A 10.77 10.68 NA10.34 10.68 10.34 1.32 22.77 22.43 22.77 22.43 0090.10.69.2121200P0 38.2581 4 25332 Revise wrist joint A 11.41 11.17 NA11.09 11.17 11.09 1.46 24.04 23.96 24.04 23.96 0090.10.69.2121200P0 38.2581 4 25335 Realignment of hand A 12.88 13.34 NA13.10 13.34 13.10 1.66 27.88 27.64 27.88 27.64 0090.10.69.2121200P0 38.2581 4 25337 Reconstruct ulna/radioulnar A 10.17 12.37 NA11.61 12.37 11.61 1.31 23.85 23.09 23.85 23.09 0090.10.69.2121100P0 38.2581 4 25350 Revision of radius A 8.78 14.82 NA13.18 14.82 13.18 1.17 24.77 23.13 24.77 23.13 0090.10.69.2121200P0 38.2581 4 25355 Revision of radius A 10.17 15.90 NA14.40 15.90 14.40 1.44 27.51 26.01 27.51 26.01 0090.10.69.2121200P0 38.2581 4 25360 Revision of ulna A 8.43 14.97 NA12.97 14.97 12.97 1.17 24.57 22.57 24.57 22.57 0090.10.69.2121210P0 38.2581 4 25365 Revise radius & ulna A 12.40 16.30 NA15.02 16.30 15.02 1.67 30.37 29.09 30.37 29.09 0090.10.69.2121200P0 38.2581 4 25370 Revise radius or ulna A 13.36 17.80 NA16.54 17.80 16.54 1.88 33.04 31.78 33.04 31.78 0090.10.69.2121200P0 38.2581 4 25375 Revise radius & ulna A 13.04 17.62 NA16.85 17.62 16.85 1.84 32.50 31.73 32.50 31.73 0090.10.69.2121210P0 38.2581 4 25390 Shorten radius or ulna A 10.40 15.88 NA14.30 15.88 14.30 1.38 27.66 26.08 27.66 26.08 0090.10.69.2121210P0 38.2581 4 25391 Lengthen radius or ulna A 13.65 17.19 NA15.95 17.19 15.95 1.73 32.57 31.33 32.57 31.33 0090.10.69.2121210P0 38.2581 4 25392 Shorten radius & ulna A 13.95 16.60 NA15.83 16.60 15.83 1.73 32.28 31.51 32.28 31.51 0090.10.69.2121200P0 38.2581 4 25393 Lengthen radius & ulna A 15.87 16.76 NA16.43 16.76 16.43 1.87 34.50 34.17 34.50 34.17 0090.10.69.2121200P0 38.2581 4 25400 Repair radius or ulna A 10.92 16.07 NA14.98 16.07 14.98 1.50 28.49 27.40 28.49 27.40 0090.10.69.2121210P0 38.2581 4 25405 Repair/graft radius or ulna A 14.38 18.35 NA17.13 18.35 17.13 1.95 34.68 33.46 34.68 33.46 0090.10.69.2121210P0 38.2581 4 25415 Repair radius & ulna A 13.35 17.45 NA16.19 17.45 16.19 1.87 32.67 31.41 32.67 31.41 0090.10.69.2121210P0 38.2581 4 25420 Repair/graft radius & ulna A 16.33 19.23 NA18.41 19.23 18.41 2.20 37.76 36.94 37.76 36.94 0090.10.69.2121210P0 38.2581 4 25425 Repair/graft radius or ulna A 13.21 24.28 NA21.47 24.28 21.47 1.61 39.10 36.29 39.10 36.29 0090.10.69.2121210P0 38.2581 4 25426 Repair/graft radius & ulna A 15.82 19.50 NA17.81 19.50 17.81 2.23 37.55 35.86 37.55 35.86 0090.10.69.2121210P0 38.2581 4 25440 Repair/graft wrist bone A 10.44 10.42 NA10.27 10.42 10.27 1.41 22.27 22.12 22.27 22.12 0090.10.69.2121210P0 38.2581 4 25441 Reconstruct wrist joint A 12.90 11.51 NA11.72 11.51 11.72 1.83 26.24 26.45 26.24 26.45 0090.10.69.2121210P0 38.2581 4 25442 Reconstruct wrist joint A 10.85 10.57 NA 9.84 10.57 9.84 1.24 22.66 21.93 22.66 21.93 0090.10.69.2121210P0 38.2581 4 25443 Reconstruct wrist joint A 10.39 14.29 NA13.26 14.29 13.26 1.30 25.98 24.95 25.98 24.95 0090.10.69.2121210P0 38.2581 4 25444 Reconstruct wrist joint A 11.15 12.32 NA11.99 12.32 11.99 1.43 24.90 24.57 24.90 24.57 0090.10.69.2121200P0 38.2581 4 25445 Reconstruct wrist joint A 9.69 12.33 NA12.06 12.33 12.06 1.26 23.28 23.01 23.28 23.01 0090.10.69.2121110P0 38.2581 4 25446 Wrist replacement A 16.55 13.85 NA15.33 13.85 15.33 2.20 32.60 34.08 32.60 34.08 0090.10.69.2121210P0 38.2581 4 25447 Repair wrist joint(s) A 10.37 10.42 NA10.43 10.42 10.43 1.34 22.13 22.14 22.13 22.14 0090.10.69.2121210P0 38.2581 4 25449 Remove wrist joint implant A 14.49 14.60 NA13.08 14.60 13.08 1.77 30.86 29.34 30.86 29.34 0090.10.69.2121210P0 38.2581 4 25450 Revision of wrist joint A 7.87 11.62 NA10.70 11.62 10.70 0.88 20.37 19.45 20.37 19.45 0090.10.69.2121100P0 38.2581 4 25455 Revision of wrist joint A 9.49 11.16 NA10.73 11.16 10.73 1.07 21.72 21.29 21.72 21.29 0090.10.69.2121100P0 38.2581 4 25490 Reinforce radius A 9.54 14.92 NA13.55 14.92 13.55 1.19 25.65 24.28 25.65 24.28 0090.10.69.2121200P0 38.2581 4 25491 Reinforce ulna A 9.96 15.39 NA14.01 15.39 14.01 1.41 26.76 25.38 26.76 25.38 0090.10.69.2121200P0 38.2581 4 25492 Reinforce radius and ulna A 12.33 14.11 NA13.62 14.11 13.62 1.62 28.06 27.57 28.06 27.57 0090.10.69.2121200P0 38.2581 4 25500 Treat fracture of radius A 2.45 4.18 3.77 2.86 2.46 0.28 6.91 6.50 5.59 5.19 0090.10.69.2121100P0 38.2581 4 25505 Treat fracture of radius A 5.21 7.49 6.59 5.56 5.14 0.69 13.39 12.49 11.46 11.04 0090.10.69.2121100P0 38.2581 4 25515 Treat fracture of radius A 9.18 9.22 NA 8.99 9.22 8.99 1.22 19.62 19.39 19.62 19.39 0090.10.69.2121210P0 38.2581 4 25520 Treat fracture of radius A 6.26 7.81 7.42 6.24 6.24 0.85 14.92 14.53 13.35 13.35 0090.10.69.2121100P0 38.2581 4 25525 Treat fracture of radius A 12.24 10.96 NA11.25 10.96 11.25 1.68 24.88 25.17 24.88 25.17 0090.10.69.2121220P0 38.2581 4 25526 Treat fracture of radius A 12.98 14.15 NA13.83 14.15 13.83 1.80 28.93 28.61 28.93 28.61 0090.10.69.2121220P0 38.2581 4 25530 Treat fracture of ulna A 2.09 4.09 3.73 2.78 2.40 0.27 6.45 6.09 5.14 4.76 0090.10.69.2121100P0 38.2581 4 25535 Treat fracture of ulna A 5.14 7.49 6.59 5.51 5.10 0.68 13.31 12.41 11.33 10.92 0090.10.69.2121100P0 38.2581 4 25545 Treat fracture of ulna A 8.90 9.20 NA 8.96 9.20 8.96 1.23 19.33 19.09 19.33 19.09 0090.10.69.2121210P0 38.2581 4 25560 Treat fracture radius & ulna A 2.44 4.19 3.76 2.85 2.75 0.27 6.90 6.47 5.56 5.46 0090.10.69.2121100P0 38.2581 4 25565 Treat fracture radius & ulna A 5.63 7.76 7.09 5.77 5.59 0.76 14.15 13.48 12.16 11.98 0090.10.69.2121100P0 38.2581 4 25574 Treat fracture radius & ulna A 7.01 8.10 NA 8.17 8.10 8.17 0.96 16.07 16.14 16.07 16.14 0090.10.69.2121220P0 38.2581 4 25575 Treat fracture radius/ulna A 10.45 10.07 NA10.46 10.07 10.46 1.46 21.98 22.37 21.98 22.37 0090.10.69.2121210P0 38.2581 4 25600 Treat fracture radius/ulna A 2.63 4.41 4.08 2.99 2.63 0.34 7.38 7.05 5.96 5.60 0090.10.69.2121100P0 38.2581 4 25605 Treat fracture radius/ulna A 5.81 7.93 7.02 5.96 5.54 0.81 14.55 13.64 12.58 12.16 0090.10.69.2121100P0 38.2581 4 25611 Treat fracture radius/ulna A 7.77 9.26 NA 8.58 9.26 8.58 1.08 18.11 17.43 18.11 17.43 0090.10.69.2121100P0 38.2581 4 25620 Treat fracture radius/ulna A 8.55 9.01 NA 8.69 9.01 8.69 1.17 18.73 18.41 18.73 18.41 0090.10.69.2121200P0 38.2581 4 25622 Treat wrist bone fracture A 2.61 4.38 3.90 2.98 2.55 0.33 7.32 6.84 5.92 5.49 0090.10.69.2121100P0 38.2581 4 25624 Treat wrist bone fracture A 4.53 7.14 6.35 5.22 4.41 0.61 12.28 11.49 10.36 9.55 0090.10.69.2121000P0 38.2581 4 25628 Treat wrist bone fracture A 8.43 9.06 NA 8.73 9.06 8.73 1.14 18.63 18.30 18.63 18.30 0090.10.69.2121200P0 38.2581 4 25630 Treat wrist bone fracture A 2.88 4.53 3.99 3.07 2.60 0.37 7.78 7.24 6.32 5.85 0090.10.69.2121100P0 38.2581 4 25635 Treat wrist bone fracture A 4.39 7.18 6.30 4.16 3.58 0.39 11.96 11.08 8.94 8.36 0090.10.69.2121000P0 38.2581 4 25645 Treat wrist bone fracture A 7.25 8.97 NA 8.54 8.97 8.54 0.93 17.15 16.72 17.15 16.72 0090.10.69.2121200P0 38.2581 4 25650 Treat wrist bone fracture A 3.05 4.62 4.19 3.12 2.70 0.37 8.04 7.61 6.54 6.12 0090.10.69.2121100P0 38.2581 4 25660 Treat wrist dislocation A 4.76 5.36 NA 4.52 5.36 4.52 0.59 10.71 9.87 10.71 9.87 0090.10.69.2121000P0 38.2581 4 25670 Treat wrist dislocation A 7.92 8.85 NA 8.56 8.85 8.56 1.07 17.84 17.55 17.84 17.55 0090.10.69.2121210P0 38.2581 4 25675 Treat wrist dislocation A 4.67 7.16 5.99 5.15 4.48 0.57 12.40 11.23 10.39 9.72 0090.10.69.2121000P0 38.2581 4 25676 Treat wrist dislocation A 8.04 8.91 NA 8.67 8.91 8.67 1.10 18.05 17.81 18.05 17.81 0090.10.69.2121200P0 38.2581 4 25680 Treat wrist fracture A 5.99 6.39 NA 5.46 6.39 5.46 0.61 12.99 12.06 12.99 12.06 0090.10.69.2121000P0 38.2581 4 25685 Treat wrist fracture A 9.78 9.54 NA 9.54 9.54 9.54 1.25 20.57 20.57 20.57 20.57 0090.10.69.2121200P0 38.2581 4 25690 Treat wrist dislocation A 5.50 6.86 NA 6.47 6.86 6.47 0.78 13.14 12.75 13.14 12.75 0090.10.69.2121000P0 38.2581 4 25695 Treat wrist dislocation A 8.34 8.84 NA 8.54 8.84 8.54 1.07 18.25 17.95 18.25 17.95 0090.10.69.2121210P0 38.2581 4 25800 Fusion of wrist joint A 9.76 10.00 NA10.42 10.00 10.42 1.30 21.06 21.48 21.06 21.48 0090.10.69.2121210P0 38.2581 4 25805 Fusion/graft of wrist joint A 11.28 10.95 NA11.58 10.95 11.58 1.51 23.74 24.37 23.74 24.37 0090.10.69.2121210P0 38.2581 4 25810 Fusion/graft of wrist joint A 10.57 10.47 NA11.01 10.47 11.01 1.37 22.41 22.95 22.41 22.95 0090.10.69.2121210P0 38.2581 4 25820 Fusion of hand bones A 7.45 8.81 NA 8.83 8.81 8.83 0.96 17.22 17.24 17.22 17.24 0090.10.69.2121210P0 38.2581 4 25825 Fuse hand bones with graft A 9.27 9.82 NA10.13 9.82 10.13 1.20 20.29 20.60 20.29 20.60 0090.10.69.2121210P0 38.2581 4 25830 Fusion, radioulnar jnt/ulna A 10.06 14.92 NA13.52 14.92 13.52 1.27 26.25 24.85 26.25 24.85 0090.10.69.2121210P0 38.2581 4 25900 Amputation of forearm A 9.01 13.27 NA11.87 13.27 11.87 1.08 23.36 21.96 23.36 21.96 0090.10.69.2121000P0 38.2581 4 25905 Amputation of forearm A 9.12 15.11 NA13.26 15.11 13.26 1.06 25.29 23.44 25.29 23.44 0090.10.69.2121200P0 38.2581 4 25907 Amputation follow-up surgery A 7.80 13.20 NA11.46 13.20 11.46 1.01 22.01 20.27 22.01 20.27 0090.10.69.2121200P0 38.2581 4 25909 Amputation follow-up surgery A 8.96 15.15 NA12.87 15.15 12.87 1.07 25.18 22.90 25.18 22.90 0090.10.69.2121200P0 38.2581 4 25915 Amputation of forearm A 17.08 20.21 NA19.45 20.21 19.45 2.41 39.70 38.94 39.70 38.94 0090.10.69.2121200P0 38.2581 4 25920 Amputate hand at wrist A 8.68 9.28 NA 8.86 9.28 8.86 1.06 19.02 18.60 19.02 18.60 0090.10.69.2121000P0 38.2581 4 25922 Amputate hand at wrist A 7.42 9.14 NA 8.36 9.14 8.36 0.93 17.49 16.71 17.49 16.71 0090.10.69.2121200P0 38.2581 4 25924 Amputation follow-up surgery A 8.46 9.22 NA 8.95 9.22 8.95 1.07 18.75 18.48 18.75 18.48 0090.10.69.2121200P0 38.2581 4 25927 Amputation of hand A 8.80 13.46 NA11.80 13.46 11.80 1.02 23.28 21.62 23.28 21.62 0090.10.69.2121000P0 38.2581 4 25929 Amputation follow-up surgery A 7.59 7.05 NA 6.57 7.05 6.57 0.89 15.53 15.05 15.53 15.05 0090.10.69.2121200P0 38.2581 4 25931 Amputation follow-up surgery A 7.81 13.94 NA11.69 13.94 11.69 0.88 22.63 20.38 22.63 20.38 0090.10.69.2121100P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 26010 Drainage of finger abscess A 1.54 4.86 3.78 3.48 2.68 0.14 6.54 5.46 5.16 4.36 0010.10.80.1020100P0 38.2581 4 26011 Drainage of finger abscess A 2.19 6.80 5.52 5.69 4.69 0.25 9.24 7.96 8.13 7.13 0010.10.80.1020100P0 38.2581 4 26020 Drain hand tendon sheath A 4.67 11.55 NA 9.67 11.55 9.67 0.59 16.81 14.93 16.81 14.93 0090.10.69.2120100P0 38.2581 4 26025 Drainage of palm bursa A 4.82 11.71 NA10.01 11.71 10.01 0.60 17.13 15.43 17.13 15.43 0090.10.69.2120000P0 38.2581 4 26030 Drainage of palm bursa(s) A 5.93 12.14 NA10.66 12.14 10.66 0.72 18.79 17.31 18.79 17.31 0090.10.69.2120000P0 38.2581 4 26034 Treat hand bone lesion A 6.23 13.35 NA11.16 13.35 11.16 0.79 20.37 18.18 20.37 18.18 0090.10.69.2120100P0 38.2581 4 26035 Decompress fingers/hand A 9.51 15.30 NA12.88 15.30 12.88 1.12 25.93 23.51 25.93 23.51 0090.10.69.2120000P0 38.2581 4 26037 Decompress fingers/hand A 7.25 11.76 NA10.55 11.76 10.55 0.87 19.88 18.67 19.88 18.67 0090.10.69.2120000P0 38.2581 4 26040 Release palm contracture A 3.33 11.19 NA 9.17 11.19 9.17 0.45 14.97 12.95 14.97 12.95 0090.10.69.2121100P0 38.2581 4 26045 Release palm contracture A 5.56 12.37 NA10.59 12.37 10.59 0.74 18.67 16.89 18.67 16.89 0090.10.69.2121100P0 38.2581 4 26055 Incise finger tendon sheath A 2.69 7.04 6.17 6.76 5.96 0.36 10.09 9.22 9.81 9.01 0090.10.69.2120100P0 38.2581 4 26060 Incision of finger tendon A 2.81 6.66 NA 5.30 6.66 5.30 0.35 9.82 8.46 9.82 8.46 0090.10.69.2120000P0 38.2581 4 26070 Explore/treat hand joint A 3.69 10.22 NA 8.42 10.22 8.04 0.35 14.26 12.46 14.26 12.08 0090.10.69.2121100P0 38.2581 4 26075 Explore/treat finger joint A 3.79 10.82 NA 9.14 10.82 9.14 0.40 15.01 13.33 15.01 13.33 0090.10.69.2121100P0 38.2581 4 26080 Explore/treat finger joint A 4.24 11.59 NA 9.55 11.59 9.55 0.52 16.35 14.31 16.35 14.31 0090.10.69.2120100P0 38.2581 4 26100 Biopsy hand joint lining A 3.67 7.39 NA 6.35 7.39 6.35 0.45 11.51 10.47 11.51 10.47 0090.10.69.2121000P0 38.2581 4 26105 Biopsy finger joint lining A 3.71 10.68 NA 9.14 10.68 9.14 0.45 14.84 13.30 14.84 13.30 0090.10.69.2121000P0 38.2581 4 26110 Biopsy finger joint lining A 3.53 10.69 NA 8.81 10.69 8.81 0.44 14.66 12.78 14.66 12.78 0090.10.69.2120100P0 38.2581 4 26115 Removal of hand lesion A 3.86 7.21 5.95 7.21 5.95 0.48 11.55 10.29 11.55 10.29 0090.10.69.2120100P0 38.2581 4 26116 Removal of hand lesion A 5.53 12.26 NA10.20 12.26 10.20 0.69 18.48 16.42 18.48 16.42 0090.10.69.2120100P0 38.2581 4 26117 Remove tumor, hand/finger A 8.55 14.41 NA12.18 14.41 12.18 1.01 23.97 21.74 23.97 21.74 0090.10.69.2120100P0 38.2581 4 26121 Release palm contracture A 7.54 14.23 NA12.92 14.23 12.92 0.94 22.71 21.40 22.71 21.40 0090.10.69.2121100P0 38.2581 4 26123 Release palm contracture A 9.29 15.22 NA13.89 15.22 13.89 1.17 25.68 24.35 25.68 24.35 0090.10.69.2121100P0 38.2581 4 26125 Release palm contracture A 4.61 2.57 NA 2.64 2.57 2.64 0.57 7.75 7.82 7.75 7.82 0ZZZ.00.00.0000100P0 38.2581 4 26130 Remove wrist joint lining A 5.42 14.77 NA12.44 14.77 12.44 0.65 20.84 18.51 20.84 18.51 0090.10.69.2121100P0 38.2581 4 26135 Revise finger joint, each A 6.96 15.48 NA12.93 15.48 12.93 0.87 23.31 20.76 23.31 20.76 0090.10.69.2120000P0 38.2581 4 26140 Revise finger joint, each A 6.17 14.41 NA12.00 14.41 12.00 0.76 21.34 18.93 21.34 18.93 0090.10.69.2120100P0 38.2581 4 26145 Tendon excision, palm/finger A 6.32 14.33 NA12.03 14.33 12.03 0.77 21.42 19.12 21.42 19.12 0090.10.69.2120100P0 38.2581 4 26160 Remove tendon sheath lesion A 3.15 7.20 6.03 6.96 5.85 0.39 10.74 9.57 10.50 9.39 0090.10.69.2120100P0 38.2581 4 26170 Removal of palm tendon, each A 4.77 7.97 NA 6.75 7.97 6.75 0.60 13.34 12.12 13.34 12.12 0090.10.69.2120000P0 38.2581 4 26180 Removal of finger tendon A 5.18 7.83 NA 6.96 7.83 6.96 0.64 13.65 12.78 13.65 12.78 0090.10.69.2120000P0 38.2581 4 26185 Remove finger bone A 5.25 8.35 NA 7.41 8.35 7.41 0.67 14.27 13.33 14.27 13.33 0090.10.69.2121210P0 38.2581 4 26200 Remove hand bone lesion A 5.51 12.39 NA10.51 12.39 10.51 0.71 18.61 16.73 18.61 16.73 0090.10.69.2120000P0 38.2581 4 26205 Remove/graft bone lesion A 7.70 14.03 NA12.26 14.03 12.26 0.95 22.68 20.91 22.68 20.91 0090.10.69.2120100P0 38.2581 4 26210 Removal of finger lesion A 5.15 12.94 NA10.76 12.94 10.76 0.64 18.73 16.55 18.73 16.55 0090.10.69.2120100P0 38.2581 4 26215 Remove/graft finger lesion A 7.10 13.35 NA11.52 13.35 11.52 0.77 21.22 19.39 21.22 19.39 0090.10.69.2120100P0 38.2581 4 26230 Partial removal of hand bone A 6.33 11.81 NA10.01 11.81 10.01 0.84 18.98 17.18 18.98 17.18 0090.10.69.2120000P0 38.2581 4 26235 Partial removal, finger bone A 6.19 11.45 NA 9.72 11.45 9.72 0.78 18.42 16.69 18.42 16.69 0090.10.69.2120000P0 38.2581 4 26236 Partial removal, finger bone A 5.32 11.29 NA 9.52 11.29 9.52 0.66 17.27 15.50 17.27 15.50 0090.10.69.2120100P0 38.2581 4 26250 Extensive hand surgery A 7.55 15.93 NA13.58 15.93 13.58 0.92 24.40 22.05 24.40 22.05 0090.10.69.2120000P0 38.2581 4 26255 Extensive hand surgery A 12.43 16.86 NA15.07 16.86 15.07 1.05 30.34 28.55 30.34 28.55 0090.10.69.2120210P0 38.2581 4 26260 Extensive finger surgery A 7.03 15.76 NA13.38 15.76 13.38 0.83 23.62 21.24 23.62 21.24 0090.10.69.2120200P0 38.2581 4 26261 Extensive finger surgery A 9.09 16.90 NA14.77 16.90 14.77 0.84 26.83 24.70 26.83 24.70 0090.10.69.2120200P0 38.2581 4 26262 Partial removal of finger A 5.67 12.80 NA10.89 12.80 10.89 0.70 19.17 17.26 19.17 17.26 0090.10.69.2120200P0 38.2581 4 26320 Removal of implant from hand A 3.98 11.74 NA 9.77 11.74 9.77 0.49 16.21 14.24 16.21 14.24 0090.10.69.2120100P0 38.2581 4 26350 Repair finger/hand tendon A 5.99 18.01 NA15.07 18.01 15.07 0.73 24.73 21.79 24.73 21.79 0090.10.69.2120100P0 38.2581 4 26352 Repair/graft hand tendon A 7.68 17.48 NA14.90 17.48 14.90 0.93 26.09 23.51 26.09 23.51 0090.10.69.2120210P0 38.2581 4 26356 Repair finger/hand tendon A 8.07 19.37 NA16.48 19.37 16.48 0.99 28.43 25.54 28.43 25.54 0090.10.69.2120100P0 38.2581 4 26357 Repair finger/hand tendon A 8.58 18.82 NA15.90 18.82 15.90 1.02 28.42 25.50 28.42 25.50 0090.10.69.2120200P0 38.2581 4 26358 Repair/graft hand tendon A 9.14 18.56 NA15.93 18.56 15.93 1.07 28.77 26.14 28.77 26.14 0090.10.69.2120200P0 38.2581 4 26370 Repair finger/hand tendon A 7.11 18.65 NA15.81 18.65 15.81 0.90 26.66 23.82 26.66 23.82 0090.10.69.2120000P0 38.2581 4 26372 Repair/graft hand tendon A 8.76 18.77 NA15.81 18.77 15.81 1.06 28.59 25.63 28.59 25.63 0090.10.69.2120200P0 38.2581 4 26373 Repair finger/hand tendon A 8.16 21.22 NA17.77 21.22 17.77 0.98 30.36 26.91 30.36 26.91 0090.10.69.2120200P0 38.2581 4 26390 Revise hand/finger tendon A 9.19 14.49 NA13.03 14.49 13.03 1.09 24.77 23.31 24.77 23.31 0090.10.69.2120210P0 38.2581 4 26392 Repair/graft hand tendon A 10.26 19.80 NA17.19 19.80 17.19 1.26 31.32 28.71 31.32 28.71 0090.10.69.2120210P0 38.2581 4 26410 Repair hand tendon A 4.63 14.50 NA11.77 14.50 11.77 0.57 19.70 16.97 19.70 16.97 0090.10.69.2120100P0 38.2581 4 26412 Repair/graft hand tendon A 6.31 14.96 NA12.85 14.96 12.85 0.80 22.07 19.96 22.07 19.96 0090.10.69.2120000P0 38.2581 4 26415 Excision, hand/finger tendon A 8.34 14.51 NA12.72 14.51 12.72 0.77 23.62 21.83 23.62 21.83 0090.10.69.2120000P0 38.2581 4 26416 Graft hand or finger tendon A 9.37 15.87 NA14.25 15.87 14.25 1.20 26.44 24.82 26.44 24.82 0090.10.69.2120100P0 38.2581 4 26418 Repair finger tendon A 4.25 14.16 NA11.59 14.16 11.59 0.50 18.91 16.34 18.91 16.34 0090.10.69.2120100P0 38.2581 4 26420 Repair/graft finger tendon A 6.77 15.68 NA13.30 15.68 13.30 0.83 23.28 20.90 23.28 20.90 0090.10.69.2120200P0 38.2581 4 26426 Repair finger/hand tendon A 6.15 15.05 NA13.00 15.05 13.00 0.77 21.97 19.92 21.97 19.92 0090.10.69.2120100P0 38.2581 4 26428 Repair/graft finger tendon A 7.21 15.60 NA13.19 15.60 13.19 0.84 23.65 21.24 23.65 21.24 0090.10.69.2120000P0 38.2581 4 26432 Repair finger tendon A 4.02 11.01 NA 9.11 11.01 8.69 0.48 15.51 13.61 15.51 13.19 0090.10.69.2120100P0 38.2581 4 26433 Repair finger tendon A 4.56 12.66 NA10.57 12.66 10.57 0.56 17.78 15.69 17.78 15.69 0090.10.69.2120100P0 38.2581 4 26434 Repair/graft finger tendon A 6.09 12.09 NA10.41 12.09 10.41 0.71 18.89 17.21 18.89 17.21 0090.10.69.2120200P0 38.2581 4 26437 Realignment of tendons A 5.82 12.52 NA10.49 12.52 10.49 0.74 19.08 17.05 19.08 17.05 0090.10.69.2120100P0 38.2581 4 26440 Release palm/finger tendon A 5.02 16.09 NA13.04 16.09 13.04 0.62 21.73 18.68 21.73 18.68 0090.10.69.2120100P0 38.2581 4 26442 Release palm & finger tendon A 8.16 18.28 NA14.63 18.28 14.63 0.94 27.38 23.73 27.38 23.73 0090.10.69.2120100P0 38.2581 4 26445 Release hand/finger tendon A 4.31 15.96 NA12.85 15.96 12.85 0.54 20.81 17.70 20.81 17.70 0090.10.69.2120100P0 38.2581 4 26449 Release forearm/hand tendon A 7.00 16.72 NA14.05 16.72 14.05 0.84 24.56 21.89 24.56 21.89 0090.10.69.2120000P0 38.2581 4 26450 Incision of palm tendon A 3.67 7.26 NA 6.06 7.26 6.06 0.46 11.39 10.19 11.39 10.19 0090.10.69.2120000P0 38.2581 4 26455 Incision of finger tendon A 3.64 7.52 NA 6.15 7.52 6.15 0.47 11.63 10.26 11.63 10.26 0090.10.69.2120000P0 38.2581 4 26460 Incise hand/finger tendon A 3.46 7.09 NA 5.79 7.09 5.79 0.44 10.99 9.69 10.99 9.69 0090.10.69.2120100P0 38.2581 4 26471 Fusion of finger tendons A 5.73 12.48 NA10.49 12.48 10.49 0.73 18.94 16.95 18.94 16.95 0090.10.69.2120000P0 38.2581 4 26474 Fusion of finger tendons A 5.32 12.82 NA10.87 12.82 10.87 0.69 18.83 16.88 18.83 16.88 0090.10.69.2120200P0 38.2581 4 26476 Tendon lengthening A 5.18 12.78 NA10.37 12.78 10.37 0.62 18.58 16.17 18.58 16.17 0090.10.69.2120100P0 38.2581 4 26477 Tendon shortening A 5.15 12.24 NA10.26 12.24 10.26 0.60 17.99 16.01 17.99 16.01 0090.10.69.2120110P0 38.2581 4 26478 Lengthening of hand tendon A 5.80 12.59 NA10.61 12.59 10.61 0.77 19.16 17.18 19.16 17.18 0090.10.69.2120000P0 38.2581 4 26479 Shortening of hand tendon A 5.74 12.82 NA11.05 12.82 11.05 0.76 19.32 17.55 19.32 17.55 0090.10.69.2120200P0 38.2581 4 26480 Transplant hand tendon A 6.69 17.21 NA14.68 17.21 14.68 0.84 24.74 22.21 24.74 22.21 0090.10.69.2120000P0 38.2581 4 26483 Transplant/graft hand tendon A 8.29 18.04 NA15.84 18.04 15.84 1.03 27.36 25.16 27.36 25.16 0090.10.69.2120210P0 38.2581 4 26485 Transplant palm tendon A 7.70 17.12 NA14.60 17.12 14.60 0.94 25.76 23.24 25.76 23.24 0090.10.69.2120210P0 38.2581 4 26489 Transplant/graft palm tendon A 9.55 16.57 NA13.35 16.57 13.35 0.98 27.10 23.88 27.10 23.88 0090.10.69.2120000P0 38.2581 4 26490 Revise thumb tendon A 8.41 13.78 NA12.45 13.78 12.45 1.05 23.24 21.91 23.24 21.91 0090.10.69.2120000P0 38.2581 4 26492 Tendon transfer with graft A 9.62 14.89 NA13.54 14.89 13.54 1.19 25.70 24.35 25.70 24.35 0090.10.69.2120210P0 38.2581 4 26494 Hand tendon/muscle transfer A 8.47 14.21 NA12.63 14.21 12.63 1.13 23.81 22.23 23.81 22.23 0090.10.69.2120210P0 38.2581 4 26496 Revise thumb tendon A 9.59 14.17 NA13.00 14.17 13.00 1.17 24.93 23.76 24.93 23.76 0090.10.69.2120000P0 38.2581 4 26497 Finger tendon transfer A 9.57 14.43 NA13.00 14.43 13.00 1.17 25.17 23.74 25.17 23.74 0090.10.69.2120200P0 38.2581 4 26498 Finger tendon transfer A 14.00 16.72 NA15.74 16.72 15.74 1.74 32.46 31.48 32.46 31.48 0090.10.69.2120210P0 38.2581 4 26499 Revision of finger A 8.98 15.73 NA13.90 15.73 13.90 0.94 25.65 23.82 25.65 23.82 0090.10.69.2120210P0 38.2581 4 26500 Hand tendon reconstruction A 5.96 13.22 NA10.86 13.22 10.86 0.66 19.84 17.48 19.84 17.48 0090.10.69.2120000P0 38.2581 4 26502 Hand tendon reconstruction A 7.14 14.34 NA12.19 14.34 12.19 0.87 22.35 20.20 22.35 20.20 0090.10.69.2120200P0 38.2581 4 26504 Hand tendon reconstruction A 7.47 9.92 NA 9.26 9.92 9.26 0.84 18.23 17.57 18.23 17.57 0090.10.69.2120200P0 38.2581 4 26508 Release thumb contracture A 6.01 13.12 NA10.97 13.12 10.97 0.76 19.89 17.74 19.89 17.74 0090.10.69.2120000P0 38.2581 4 26510 Thumb tendon transfer A 5.43 12.52 NA10.52 12.52 10.52 0.71 18.66 16.66 18.66 16.66 0090.10.69.2120000P0 38.2581 4 26516 Fusion of knuckle joint A 7.15 13.26 NA11.07 13.26 11.07 0.90 21.31 19.12 21.31 19.12 0090.10.69.2120000P0 38.2581 4 26517 Fusion of knuckle joints A 8.83 13.63 NA12.14 13.63 12.14 0.96 23.42 21.93 23.42 21.93 0090.10.69.2120200P0 38.2581 4 26518 Fusion of knuckle joints A 9.02 13.33 NA11.77 13.33 11.77 1.13 23.48 21.92 23.48 21.92 0090.10.69.2120210P0 38.2581 4 26520 Release knuckle contracture A 5.30 16.37 NA13.49 16.37 13.49 0.65 22.32 19.44 22.32 19.44 0090.10.69.2120100P0 38.2581 4 26525 Release finger contracture A 5.33 16.76 NA13.56 16.76 13.56 0.66 22.75 19.55 22.75 19.55 0090.10.69.2120110P0 38.2581 4 26530 Revise knuckle joint A 6.69 16.92 NA14.09 16.92 14.09 0.86 24.47 21.64 24.47 21.64 0090.10.69.2120200P0 38.2581 4 26531 Revise knuckle with implant A 7.91 17.34 NA14.81 17.34 14.81 1.01 26.26 23.73 26.26 23.73 0090.10.69.2120210P0 38.2581 4 26535 Revise finger joint A 5.24 9.17 NA 8.19 9.17 8.19 0.66 15.07 14.09 15.07 14.09 0090.10.69.2120100P0 38.2581 4 26536 Revise/implant finger joint A 6.37 16.01 NA13.91 16.01 13.91 0.80 23.18 21.08 23.18 21.08 0090.10.69.2120000P0 38.2581 4 26540 Repair hand joint A 6.43 13.41 NA11.86 13.41 11.86 0.81 20.65 19.10 20.65 19.10 0090.10.69.2120010P0 38.2581 4 26541 Repair hand joint with graft A 8.62 14.78 NA13.51 14.78 13.51 1.12 24.52 23.25 24.52 23.25 0090.10.69.2120210P0 38.2581 4 26542 Repair hand joint with graft A 6.78 12.82 NA11.15 12.82 11.15 0.87 20.47 18.80 20.47 18.80 0090.10.69.2120000P0 38.2581 4 26545 Reconstruct finger joint A 6.92 14.05 NA11.97 14.05 11.97 0.79 21.76 19.68 21.76 19.68 0090.10.69.2120000P0 38.2581 4 26546 Repair nonunion hand A 8.92 14.06 NA12.75 14.06 12.75 1.14 24.12 22.81 24.12 22.81 0090.10.69.2121200P0 38.2581 4 26548 Reconstruct finger joint A 8.03 14.23 NA12.24 14.23 12.24 0.98 23.24 21.25 23.24 21.25 0090.10.69.2120000P0 38.2581 4 26550 Construct thumb replacement A 21.24 19.62 NA20.09 19.62 20.09 1.80 42.66 43.13 42.66 43.13 0090.10.69.2120200P0 38.2581 4 26551 Great toe-hand transfer A 46.58 28.61 NA32.92 28.61 32.92 6.57 81.76 86.07 81.76 86.07 0090.10.69.2120200P0 38.2581 4 26553 Single transfer, toe-hand A 46.27 28.33 NA32.63 28.33 32.63 1.99 76.59 80.89 76.59 80.89 0090.10.69.2120210P0 38.2581 4 26554 Double transfer, toe-hand A 54.95 33.90 NA39.01 33.90 39.01 7.76 96.61 101.72 96.61 101.72 0090.10.69.2120210P0 38.2581 4 26555 Positional change of finger A 16.63 22.41 NA20.99 22.41 20.99 2.13 41.17 39.75 41.17 39.75 0090.10.69.2120200P0 38.2581 4 26556 Toe joint transfer A 47.26 28.88 NA33.24 28.88 33.24 6.67 82.81 87.17 82.81 87.17 0090.10.69.2120210P0 38.2581 4 26560 Repair of web finger A 5.38 13.01 NA11.02 13.01 11.02 0.60 18.99 17.00 18.99 17.00 0090.10.69.2120200P0 38.2581 4 26561 Repair of web finger A 10.92 13.50 NA12.54 13.50 12.54 0.69 25.11 24.15 25.11 24.15 0090.10.69.2120210P0 38.2581 4 26562 Repair of web finger A 9.68 9.60 NA10.09 9.60 10.09 0.98 20.26 20.75 20.26 20.75 0090.10.69.2120200P0 38.2581 4 26565 Correct metacarpal flaw A 6.74 13.16 NA11.45 13.16 11.45 0.84 20.74 19.03 20.74 19.03 0090.10.69.2120200P0 38.2581 4 26567 Correct finger deformity A 6.82 13.05 NA10.95 13.05 10.95 0.84 20.71 18.61 20.71 18.61 0090.10.69.2120000P0 38.2581 4 26568 Lengthen metacarpal/finger A 9.08 17.58 NA15.48 17.58 15.48 1.10 27.76 25.66 27.76 25.66 0090.10.69.2120200P0 38.2581 4 26580 Repair hand deformity A 18.18 16.65 NA17.07 16.65 17.07 1.46 36.29 36.71 36.29 36.71 0090.10.69.2120200P0 38.2581 4 26585 Repair finger deformity A 14.05 14.49 NA14.38 14.49 14.38 1.08 29.62 29.51 29.62 29.51 0090.10.69.2120200P0 38.2581 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 0090.10.69.2120200P0 38.2581 9 26590 Repair finger deformity A 17.96 13.95 NA14.98 13.95 14.98 1.32 33.23 34.26 33.23 34.26 0090.10.69.2120200P0 38.2581 4 26591 Repair muscles of hand A 3.25 12.58 NA10.06 12.58 10.06 0.37 16.20 13.68 16.20 13.68 0090.10.69.2120000P0 38.2581 4 26593 Release muscles of hand A 5.31 11.76 NA 9.94 11.76 9.94 0.64 17.71 15.89 17.71 15.89 0090.10.69.2120100P0 38.2581 4 26596 Excision constricting tissue A 8.95 9.03 NA 9.01 9.03 9.01 0.87 18.85 18.83 18.85 18.83 0090.10.69.2120200P0 38.2581 4 26597 Release of scar contracture A 9.82 15.29 NA13.64 15.29 13.64 1.20 26.31 24.66 26.31 24.66 0090.10.69.2120000P0 38.2581 4 26600 Treat metacarpal fracture A 1.96 4.04 3.45 2.72 2.25 0.25 6.25 5.66 4.93 4.46 0090.10.69.2120100P0 38.2581 4 26605 Treat metacarpal fracture A 2.85 5.80 4.97 4.19 3.46 0.38 9.03 8.20 7.42 6.69 0090.10.69.2120100P0 38.2581 4 26607 Treat metacarpal fracture A 5.36 7.89 NA 6.88 7.89 6.88 0.70 13.95 12.94 13.95 12.94 0090.10.69.2120000P0 38.2581 4 26608 Treat metacarpal fracture A 5.36 8.03 NA 6.99 8.03 6.99 0.73 14.12 13.08 14.12 13.08 0090.10.69.2120000P0 38.2581 4 26615 Treat metacarpal fracture A 5.33 7.66 NA 7.07 7.66 7.07 0.70 13.69 13.10 13.69 13.10 0090.10.69.2120100P0 38.2581 4 26641 Treat thumb dislocation A 3.94 6.59 5.24 4.79 3.89 0.42 10.95 9.60 9.15 8.25 0090.10.69.2120000P0 38.2581 4 26645 Treat thumb fracture A 4.41 6.99 5.84 5.11 4.43 0.54 11.94 10.79 10.06 9.38 0090.10.69.2120000P0 38.2581 4 26650 Treat thumb fracture A 5.72 8.20 NA 7.24 8.20 7.24 0.77 14.69 13.73 14.69 13.73 0090.10.69.2120100P0 38.2581 4 26665 Treat thumb fracture A 7.60 8.62 NA 8.20 8.62 8.20 0.97 17.19 16.77 17.19 16.77 0090.10.69.2120110P0 38.2581 4 26670 Treat hand dislocation A 3.69 6.17 4.89 4.66 3.76 0.36 10.22 8.94 8.71 7.81 0090.10.69.2120000P0 38.2581 4 26675 Treat hand dislocation A 4.64 5.73 5.48 4.42 4.49 0.56 10.93 10.68 9.62 9.69 0090.10.69.2120000P0 38.2581 4 26676 Pin hand dislocation A 5.52 8.10 NA 7.39 8.10 7.39 0.76 14.38 13.67 14.38 13.67 0090.10.69.2120100P0 38.2581 4 26685 Treat hand dislocation A 6.98 8.23 NA 7.74 8.23 7.74 0.95 16.16 15.67 16.16 15.67 0090.10.69.2120110P0 38.2581 4 26686 Treat hand dislocation A 7.94 9.08 NA 8.52 9.08 8.52 1.05 18.07 17.51 18.07 17.51 0090.10.69.2120200P0 38.2581 4 26700 Treat knuckle dislocation A 3.69 4.73 3.79 2.81 2.35 0.35 8.77 7.83 6.85 6.39 0090.10.69.2120100P0 38.2581 4 26705 Treat knuckle dislocation A 4.19 5.90 4.91 4.06 3.53 0.50 10.59 9.60 8.75 8.22 0090.10.69.2120000P0 38.2581 4 26706 Pin knuckle dislocation A 5.12 5.47 NA 5.37 5.47 5.37 0.64 11.23 11.13 11.23 11.13 0090.10.69.2120100P0 38.2581 4 26715 Treat knuckle dislocation A 5.74 7.79 NA 6.96 7.79 6.96 0.75 14.28 13.45 14.28 13.45 0090.10.69.2120000P0 38.2581 4 26720 Treat finger fracture, each A 1.66 2.82 2.41 1.57 1.33 0.20 4.68 4.27 3.43 3.19 0090.10.69.2120100P0 38.2581 4 26725 Treat finger fracture, each A 3.33 4.81 4.03 3.02 2.48 0.43 8.57 7.79 6.78 6.24 0090.10.69.2120100P0 38.2581 4 26727 Treat finger fracture, each A 5.23 8.21 NA 6.82 8.21 6.82 0.69 14.13 12.74 14.13 12.74 0090.10.69.2120100P0 38.2581 4 26735 Treat finger fracture, each A 5.98 8.11 NA 7.10 8.11 7.10 0.77 14.86 13.85 14.86 13.85 0090.10.69.2120100P0 38.2581 4 26740 Treat finger fracture, each A 1.94 3.51 2.95 2.40 1.96 0.24 5.69 5.13 4.58 4.14 0090.10.69.2120100P0 38.2581 4 26742 Treat finger fracture, each A 3.85 7.01 5.80 5.08 4.35 0.49 11.35 10.14 9.42 8.69 0090.10.69.2120100P0 38.2581 4 26746 Treat finger fracture, each A 5.81 8.20 NA 7.44 8.20 7.44 0.74 14.75 13.99 14.75 13.99 0090.10.69.2120100P0 38.2581 4 26750 Treat finger fracture, each A 1.70 3.35 2.74 2.21 1.88 0.19 5.24 4.63 4.10 3.77 0090.10.69.2120100P0 38.2581 4 26755 Treat finger fracture, each A 3.10 4.69 3.81 2.88 2.45 0.37 8.16 7.28 6.35 5.92 0090.10.69.2120100P0 38.2581 4 26756 Pin finger fracture, each A 4.39 8.02 NA 6.53 8.02 6.53 0.56 12.97 11.48 12.97 11.48 0090.10.69.2120000P0 38.2581 4 26765 Treat finger fracture, each A 4.17 7.17 NA 6.10 7.17 6.10 0.51 11.85 10.78 11.85 10.78 0090.10.69.2120100P0 38.2581 4 26770 Treat finger dislocation A 3.02 4.47 3.56 2.54 2.11 0.27 7.76 6.85 5.83 5.40 0090.10.69.2120100P0 38.2581 4 26775 Treat finger dislocation A 3.71 5.76 4.63 3.73 3.11 0.43 9.90 8.77 7.87 7.25 0090.10.69.2120100P0 38.2581 4 26776 Pin finger dislocation A 4.80 8.16 NA 6.69 8.16 6.69 0.63 13.59 12.12 13.59 12.12 0090.10.69.2120100P0 38.2581 4 26785 Treat finger dislocation A 4.21 7.14 NA 6.16 7.14 6.16 0.54 11.89 10.91 11.89 10.91 0090.10.69.2120100P0 38.2581 4 26820 Thumb fusion with graft A 8.26 14.62 NA12.77 14.62 12.77 1.11 23.99 22.14 23.99 22.14 0090.10.69.2120210P0 38.2581 4 26841 Fusion of thumb A 7.13 13.55 NA11.84 13.55 11.84 0.97 21.65 19.94 21.65 19.94 0090.10.69.2120010P0 38.2581 4 26842 Thumb fusion with graft A 8.24 14.30 NA13.05 14.30 13.05 1.10 23.64 22.39 23.64 22.39 0090.10.69.2120210P0 38.2581 4 26843 Fusion of hand joint A 7.61 13.47 NA11.83 13.47 11.83 0.99 22.07 20.43 22.07 20.43 0090.10.69.2120210P0 38.2581 4 26844 Fusion/graft of hand joint A 8.73 13.92 NA12.44 13.92 12.44 1.12 23.77 22.29 23.77 22.29 0090.10.69.2120210P0 38.2581 4 26850 Fusion of knuckle A 6.97 12.95 NA10.97 12.95 10.97 0.89 20.81 18.83 20.81 18.83 0090.10.69.2120000P0 38.2581 4 26852 Fusion of knuckle with graft A 8.46 13.85 NA11.94 13.85 11.94 1.05 23.36 21.45 23.36 21.45 0090.10.69.2120210P0 38.2581 4 26860 Fusion of finger joint A 4.69 11.91 NA10.10 11.91 10.10 0.60 17.20 15.39 17.20 15.39 0090.10.69.2120100P0 38.2581 4 26861 Fusion of finger jnt, add-on A 1.74 0.97 NA 1.25 0.97 1.25 0.22 2.93 3.21 2.93 3.21 0ZZZ.00.00.0000100P0 38.2581 4 26862 Fusion/graft of finger joint A 7.37 13.47 NA11.50 13.47 11.50 0.92 21.76 19.79 21.76 19.79 0090.10.69.2120210P0 38.2581 4 26863 Fuse/graft added joint A 3.90 2.20 NA 2.57 2.20 2.57 0.51 6.61 6.98 6.61 6.98 0ZZZ.00.00.0000200P0 38.2581 4 26910 Amputate metacarpal bone A 7.60 13.09 NA11.22 13.09 11.22 0.90 21.59 19.72 21.59 19.72 0090.10.69.2120100P0 38.2581 4 26951 Amputation of finger/thumb A 4.59 11.69 NA 9.55 11.69 9.55 0.56 16.84 14.70 16.84 14.70 0090.10.69.2120100P0 38.2581 4 26952 Amputation of finger/thumb A 6.31 13.00 NA10.84 13.00 10.84 0.74 20.05 17.89 20.05 17.89 0090.10.69.2120100P0 38.2581 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 0YYY.00.00.0020101P0 38.2581 9 26990 Drainage of pelvis lesion A 7.48 14.64 NA11.82 14.64 11.82 0.92 23.04 20.22 23.04 20.22 0090.10.69.2120100P0 38.2581 4 26991 Drainage of pelvis bursa A 6.68 10.23 8.16 9.12 7.33 0.85 17.76 15.69 16.65 14.86 0090.10.69.2120000P0 38.2581 4 26992 Drainage of bone lesion A 13.02 18.42 NA15.55 18.42 15.55 1.75 33.19 30.32 33.19 30.32 0090.10.69.2120000P0 38.2581 4 27000 Incision of hip tendon A 5.62 6.94 NA 5.71 6.94 5.71 0.76 13.32 12.09 13.32 12.09 0090.10.69.2121110P0 38.2581 4 27001 Incision of hip tendon A 6.94 7.78 NA 6.47 7.78 6.47 0.95 15.67 14.36 15.67 14.36 0090.10.69.2121210P0 38.2581 4 27003 Incision of hip tendon A 7.34 8.47 NA 8.19 8.47 8.19 0.93 16.74 16.46 16.74 16.46 0090.10.69.2121210P0 38.2581 4 27005 Incision of hip tendon A 9.66 9.89 NA 8.33 9.89 8.33 1.36 20.91 19.35 20.91 19.35 0090.10.69.2121210P0 38.2581 4 27006 Incision of hip tendons A 9.68 9.82 NA 8.63 9.82 8.63 1.33 20.83 19.64 20.83 19.64 0090.10.69.2121210P0 38.2581 4 27025 Incision of hip/thigh fascia A 11.16 9.71 NA 8.94 9.71 8.94 1.38 22.25 21.48 22.25 21.48 0090.10.69.2121010P0 38.2581 4 27030 Drainage of hip joint A 13.01 11.74 NA11.90 11.74 11.90 1.81 26.56 26.72 26.56 26.72 0090.10.69.2121210P0 38.2581 4 27033 Exploration of hip joint A 13.39 11.91 NA12.06 11.91 12.06 1.87 27.17 27.32 27.17 27.32 0090.10.69.2121210P0 38.2581 4 27035 Denervation of hip joint A 16.69 15.58 NA14.90 15.58 14.90 1.70 33.97 33.29 33.97 33.29 0090.10.69.2121210P0 38.2581 4 27036 Excision of hip joint/muscle A 12.88 13.11 NA12.94 13.11 12.94 1.80 27.79 27.62 27.79 27.62 0090.10.69.2121210P0 38.2581 4 27040 Biopsy of soft tissues A 2.87 5.79 4.54 3.67 2.95 0.21 8.87 7.62 6.75 6.03 0010.10.80.1021100P0 38.2581 4 27041 Biopsy of soft tissues A 9.89 8.23 NA 6.90 8.23 6.90 1.01 19.13 17.80 19.13 17.80 0090.10.69.2121100P0 38.2581 4 27047 Remove hip/pelvis lesion A 7.45 9.26 7.46 6.90 5.69 0.79 17.50 15.70 15.14 13.93 0090.10.69.2121100P0 38.2581 4 27048 Remove hip/pelvis lesion A 6.25 7.61 NA 6.88 7.61 6.88 0.73 14.59 13.86 14.59 13.86 0090.10.69.2121210P0 38.2581 4 27049 Remove tumor, hip/pelvis A 13.66 12.83 NA12.37 12.83 12.37 1.60 28.09 27.63 28.09 27.63 0090.10.69.2121210P0 38.2581 4 27050 Biopsy of sacroiliac joint A 4.36 6.47 NA 6.15 6.47 6.15 0.53 11.36 11.04 11.36 11.04 0090.10.69.2121010P0 38.2581 4 27052 Biopsy of hip joint A 6.23 7.70 NA 7.63 7.70 7.63 0.85 14.78 14.71 14.78 14.71 0090.10.69.2121210P0 38.2581 4 27054 Removal of hip joint lining A 8.54 10.00 NA10.05 10.00 10.05 1.17 19.71 19.76 19.71 19.76 0090.10.69.2121210P0 38.2581 4 27060 Removal of ischial bursa A 5.43 7.51 NA 6.70 7.51 6.70 0.60 13.54 12.73 13.54 12.73 0090.10.69.2121100P0 38.2581 4 27062 Remove femur lesion/bursa A 5.37 6.76 NA 6.22 6.76 6.22 0.74 12.87 12.33 12.87 12.33 0090.10.69.2121110P0 38.2581 4 27065 Removal of hip bone lesion A 5.90 8.00 NA 7.52 8.00 7.52 0.76 14.66 14.18 14.66 14.18 0090.10.69.2121210P0 38.2581 4 27066 Removal of hip bone lesion A 10.33 11.59 NA10.84 11.59 10.84 1.42 23.34 22.59 23.34 22.59 0090.10.69.2121210P0 38.2581 4 27067 Remove/graft hip bone lesion A 13.83 13.57 NA13.33 13.57 13.33 1.95 29.35 29.11 29.35 29.11 0090.10.69.2121200P0 38.2581 4 27070 Partial removal of hip bone A 10.72 15.98 NA14.00 15.98 14.00 1.36 28.06 26.08 28.06 26.08 0090.10.69.2121210P0 38.2581 4 27071 Partial removal of hip bone A 11.46 17.00 NA15.06 17.00 15.06 1.51 29.97 28.03 29.97 28.03 0090.10.69.2121210P0 38.2581 4 27075 Extensive hip surgery A 17.23 16.36 NA15.94 16.36 15.94 2.22 35.81 35.39 35.81 35.39 0090.10.69.2120210P0 38.2581 4 27076 Extensive hip surgery A 22.12 19.45 NA19.03 19.45 19.03 2.86 44.43 44.01 44.43 44.01 0090.10.69.2120210P0 38.2581 4 27077 Extensive hip surgery A 23.13 18.67 NA19.15 18.67 19.15 3.18 44.98 45.46 44.98 45.46 0090.10.69.2120210P0 38.2581 4 27078 Extensive hip surgery A 13.44 14.31 NA13.23 14.31 13.23 1.67 29.42 28.34 29.42 28.34 0090.10.69.2120210P0 38.2581 4 27079 Extensive hip surgery A 13.75 14.21 NA13.00 14.21 13.00 1.86 29.82 28.61 29.82 28.61 0090.10.69.2120210P0 38.2581 4 27080 Removal of tail bone A 6.39 7.57 NA 6.98 7.57 6.98 0.80 14.76 14.17 14.76 14.17 0090.10.69.2120210P0 38.2581 4 27086 Remove hip foreign body A 1.87 5.06 3.95 3.76 2.90 0.17 7.10 5.99 5.80 4.94 0010.10.80.1021000P0 38.2581 4 27087 Remove hip foreign body A 8.54 8.40 NA 7.28 8.40 7.28 1.09 18.03 16.91 18.03 16.91 0090.10.69.2121210P0 38.2581 4 27090 Removal of hip prosthesis A 11.15 10.64 NA10.45 10.64 10.45 1.55 23.34 23.15 23.34 23.15 0090.10.69.2121210P0 38.2581 4 27091 Removal of hip prosthesis A 22.14 16.74 NA17.93 16.74 17.93 3.11 41.99 43.18 41.99 43.18 0090.10.69.2121210P0 38.2581 4 27093 Injection for hip x-ray A 1.30 11.51 8.86 0.51 0.61 0.09 12.90 10.25 1.90 2.00 0000.00.00.0021100P0 38.2581 4 27095 Injection for hip x-ray A 1.50 9.74 7.56 0.53 0.65 0.10 11.34 9.16 2.13 2.25 0000.00.00.0021100P0 38.2581 4 27096 Inject sacroiliac joint A 1.40 11.08 11.08 0.54 0.54 0.08 12.56 12.56 2.02 2.02 0000.00.00.002110090 38.2581 5 27097 Revision of hip tendon A 8.80 9.29 NA 9.06 9.29 9.06 1.22 19.31 19.08 19.31 19.08 0090.10.69.2121200P0 38.2581 4 27098 Transfer tendon to pelvis A 8.83 9.46 NA 9.19 9.46 9.19 1.24 19.53 19.26 19.53 19.26 0090.10.69.2121200P0 38.2581 4 27100 Transfer of abdominal muscle A 11.08 11.72 NA10.87 11.72 10.87 1.57 24.37 23.52 24.37 23.52 0090.10.69.2121210P0 38.2581 4 27105 Transfer of spinal muscle A 11.77 11.73 NA10.40 11.73 10.40 1.66 25.16 23.83 25.16 23.83 0090.10.69.2121200P0 38.2581 4 27110 Transfer of iliopsoas muscle A 13.26 11.14 NA11.23 11.14 11.23 1.38 25.78 25.87 25.78 25.87 0090.10.69.2121210P0 38.2581 4 27111 Transfer of iliopsoas muscle A 12.15 10.68 NA11.17 10.68 11.17 1.48 24.31 24.80 24.31 24.80 0090.10.69.2121210P0 38.2581 4 27120 Reconstruction of hip socket A 18.01 13.95 NA15.37 13.95 15.37 2.45 34.41 35.83 34.41 35.83 0090.10.69.2121210P0 38.2581 4 27122 Reconstruction of hip socket A 14.98 13.50 NA14.60 13.50 14.60 2.08 30.56 31.66 30.56 31.66 0090.10.69.2121210P0 38.2581 4 27125 Partial hip replacement A 14.69 13.14 NA14.24 13.14 14.24 2.05 29.88 30.98 29.88 30.98 0090.10.69.2121210P0 38.2581 4 27130 Total hip replacement A 20.12 16.26 NA18.20 16.26 18.20 2.82 39.20 41.14 39.20 41.14 0090.10.69.2121210P0 38.2581 4 27132 Total hip replacement A 23.30 18.07 NA20.51 18.07 20.51 3.26 44.63 47.07 44.63 47.07 0090.10.69.2121210P0 38.2581 4 27134 Revise hip joint replacement A 28.52 20.79 NA24.10 20.79 24.10 3.97 53.28 56.59 53.28 56.59 0090.10.69.2121210P0 38.2581 4 27137 Revise hip joint replacement A 21.17 16.92 NA19.01 16.92 19.01 2.97 41.06 43.15 41.06 43.15 0090.10.69.2121210P0 38.2581 4 27138 Revise hip joint replacement A 22.17 17.49 NA19.69 17.49 19.69 3.11 42.77 44.97 42.77 44.97 0090.10.69.2121210P0 38.2581 4 27140 Transplant femur ridge A 12.24 11.32 NA11.49 11.32 11.49 1.67 25.23 25.40 25.23 25.40 0090.10.69.2121210P0 38.2581 4 27146 Incision of hip bone A 17.43 15.05 NA14.24 15.05 14.24 2.27 34.75 33.94 34.75 33.94 0090.10.69.2121210P0 38.2581 4 27147 Revision of hip bone A 20.58 16.98 NA17.34 16.98 17.34 2.61 40.17 40.53 40.17 40.53 0090.10.69.2121210P0 38.2581 4 27151 Incision of hip bones A 22.51 18.71 NA18.84 18.71 18.84 3.12 44.34 44.47 44.34 44.47 0090.10.69.2121210P0 38.2581 4 27156 Revision of hip bones A 24.63 19.63 NA19.69 19.63 19.69 3.48 47.74 47.80 47.74 47.80 0090.10.69.2121210P0 38.2581 4 27158 Revision of pelvis A 19.74 17.11 NA16.75 17.11 16.75 2.60 39.45 39.09 39.45 39.09 0090.10.69.2122200P0 38.2581 4 27161 Incision of neck of femur A 16.71 13.71 NA14.17 13.71 14.17 2.32 32.74 33.20 32.74 33.20 0090.10.69.2121210P0 38.2581 4 27165 Incision/fixation of femur A 17.91 14.27 NA15.25 14.27 15.25 2.51 34.69 35.67 34.69 35.67 0090.10.69.2120210P0 38.2581 4 27170 Repair/graft femur head/neck A 16.07 13.36 NA14.47 13.36 14.47 2.20 31.63 32.74 31.63 32.74 0090.10.69.2121210P0 38.2581 4 27175 Treat slipped epiphysis A 8.46 6.93 NA 5.52 6.93 5.52 1.19 16.58 15.17 16.58 15.17 0090.10.69.2121000P0 38.2581 4 27176 Treat slipped epiphysis A 12.05 9.74 NA10.13 9.74 10.13 1.68 23.47 23.86 23.47 23.86 0090.10.69.2121210P0 38.2581 4 27177 Treat slipped epiphysis A 15.08 11.27 NA11.82 11.27 11.82 2.11 28.46 29.01 28.46 29.01 0090.10.69.2121210P0 38.2581 4 27178 Treat slipped epiphysis A 11.99 9.28 NA 9.80 9.28 9.80 1.68 22.95 23.47 22.95 23.47 0090.10.69.2121210P0 38.2581 4 27179 Revise head/neck of femur A 12.98 9.62 NA10.24 9.62 10.24 1.84 24.44 25.06 24.44 25.06 0090.10.69.2121200P0 38.2581 4 27181 Treat slipped epiphysis A 14.68 10.44 NA11.40 10.44 11.40 1.74 26.86 27.82 26.86 27.82 0090.10.69.2121200P0 38.2581 4 27185 Revision of femur epiphysis A 9.18 9.66 NA 8.00 9.66 8.00 1.29 20.13 18.47 20.13 18.47 0090.10.69.2121110P0 38.2581 4 27187 Reinforce hip bones A 13.54 12.74 NA13.60 12.74 13.60 1.89 28.17 29.03 28.17 29.03 0090.10.69.2121210P0 38.2581 4 27193 Treat pelvic ring fracture A 5.56 6.96 5.88 5.22 4.57 0.77 13.29 12.21 11.55 10.90 0090.10.69.2121100P0 38.2581 4 27194 Treat pelvic ring fracture A 9.65 9.13 7.91 7.47 6.66 1.32 20.10 18.88 18.44 17.63 0090.10.69.2120020P0 38.2581 4 27200 Treat tail bone fracture A 1.84 2.86 2.55 1.70 1.68 0.22 4.92 4.61 3.76 3.74 0090.10.69.2120100P0 38.2581 4 27202 Treat tail bone fracture A 7.04 18.67 NA15.67 18.67 15.67 0.69 26.40 23.40 26.40 23.40 0090.10.69.2120200P0 38.2581 4 27215 Treat pelvic fracture(s) A 10.05 9.86 NA10.40 9.86 10.40 1.37 21.28 21.82 21.28 21.82 0090.10.69.2120220P0 38.2581 4 27216 Treat pelvic ring fracture A 15.19 14.71 NA12.20 14.71 12.20 2.15 32.05 29.54 32.05 29.54 0090.10.69.2120220P0 38.2581 4 27217 Treat pelvic ring fracture A 14.11 12.20 NA13.10 12.20 13.10 1.95 28.26 29.16 28.26 29.16 0090.10.69.2120220P0 38.2581 4 27218 Treat pelvic ring fracture A 20.15 15.73 NA15.75 15.73 15.75 2.85 38.73 38.75 38.73 38.75 0090.10.69.2120220P0 38.2581 4 27220 Treat hip socket fracture A 6.18 7.30 6.63 5.56 5.33 0.85 14.33 13.66 12.59 12.36 0090.10.69.2121100P0 38.2581 4 27222 Treat hip socket fracture A 12.70 9.85 NA 9.12 9.85 9.12 1.77 24.32 23.59 24.32 23.59 0090.10.69.2121100P0 38.2581 4 27226 Treat hip wall fracture A 14.91 12.71 NA13.82 12.71 13.82 2.07 29.69 30.80 29.69 30.80 0090.10.69.2121220P0 38.2581 4 27227 Treat hip fracture(s) A 23.45 16.85 NA17.98 16.85 17.98 3.24 43.54 44.67 43.54 44.67 0090.10.69.2121220P0 38.2581 4 27228 Treat hip fracture(s) A 27.16 19.05 NA19.70 19.05 19.70 3.77 49.98 50.63 49.98 50.63 0090.10.69.2121220P0 38.2581 4 27230 Treat thigh fracture A 5.50 7.28 6.36 5.83 5.27 0.73 13.51 12.59 12.06 11.50 0090.10.69.2121100P0 38.2581 4 27232 Treat thigh fracture A 10.68 8.81 NA 9.05 8.81 9.05 1.45 20.94 21.18 20.94 21.18 0090.10.69.2121100P0 38.2581 4 27235 Treat thigh fracture A 12.16 10.58 NA11.57 10.58 11.57 1.71 24.45 25.44 24.45 25.44 0090.10.69.2121110P0 38.2581 4 27236 Treat thigh fracture A 15.60 12.30 NA13.81 12.30 13.81 2.18 30.08 31.59 30.08 31.59 0090.10.69.2121210P0 38.2581 4 27238 Treat thigh fracture A 5.52 5.91 NA 5.77 5.91 5.77 0.76 12.19 12.05 12.19 12.05 0090.10.69.2121100P0 38.2581 4 27240 Treat thigh fracture A 12.50 9.84 NA10.01 9.84 10.01 1.69 24.03 24.20 24.03 24.20 0090.10.69.2121100P0 38.2581 4 27244 Treat thigh fracture A 15.94 12.54 NA13.83 12.54 13.83 2.23 30.71 32.00 30.71 32.00 0090.10.69.2121210P0 38.2581 4 27245 Treat thigh fracture A 20.31 15.00 NA15.67 15.00 15.67 2.85 38.16 38.83 38.16 38.83 0090.10.69.2121220P0 38.2581 4 27246 Treat thigh fracture A 4.71 6.93 6.25 5.51 5.18 0.66 12.30 11.62 10.88 10.55 0090.10.69.2121100P0 38.2581 4 27248 Treat thigh fracture A 10.45 9.50 NA10.25 9.50 10.25 1.45 21.40 22.15 21.40 22.15 0090.10.69.2121210P0 38.2581 4 27250 Treat hip dislocation A 6.95 6.02 NA 5.38 6.02 5.38 0.68 13.65 13.01 13.65 13.01 0090.10.69.2121100P0 38.2581 4 27252 Treat hip dislocation A 10.39 7.88 NA 7.09 7.88 7.09 1.37 19.64 18.85 19.64 18.85 0090.10.69.2121100P0 38.2581 4 27253 Treat hip dislocation A 12.92 10.50 NA11.44 10.50 11.44 1.81 25.23 26.17 25.23 26.17 0090.10.69.2121210P0 38.2581 4 27254 Treat hip dislocation A 18.26 13.68 NA13.92 13.68 13.92 2.52 34.46 34.70 34.46 34.70 0090.10.69.2121210P0 38.2581 4 27256 Treat hip dislocation A 4.12 4.14 NA 3.62 4.14 3.62 0.49 8.75 8.23 8.75 8.23 0010.10.80.1021000P0 38.2581 4 27257 Treat hip dislocation A 5.22 4.51 NA 4.64 4.51 4.64 0.56 10.29 10.42 10.29 10.42 0010.10.80.1021000P0 38.2581 4 27258 Treat hip dislocation A 15.43 12.99 NA13.47 12.99 13.47 2.06 30.48 30.96 30.48 30.96 0090.10.69.2121210P0 38.2581 4 27259 Treat hip dislocation A 21.55 16.92 NA17.36 16.92 17.36 2.99 41.46 41.90 41.46 41.90 0090.10.69.2121200P0 38.2581 4 27265 Treat hip dislocation A 5.05 5.62 NA 5.15 5.62 5.15 0.65 11.32 10.85 11.32 10.85 0090.10.69.2121100P0 38.2581 4 27266 Treat hip dislocation A 7.49 7.04 NA 6.49 7.04 6.49 1.04 15.57 15.02 15.57 15.02 0090.10.69.2121100P0 38.2581 4 27275 Manipulation of hip joint A 2.27 3.30 NA 2.99 3.30 2.99 0.31 5.88 5.57 5.88 5.57 0010.10.80.1020100P0 38.2581 4 27280 Fusion of sacroiliac joint A 13.39 13.47 NA12.83 13.47 12.83 1.98 28.84 28.20 28.84 28.20 0090.10.69.2121210P0 38.2581 4 27282 Fusion of pubic bones A 11.34 12.18 NA11.58 12.18 11.58 1.14 24.66 24.06 24.66 24.06 0090.10.69.2120210P0 38.2581 4 27284 Fusion of hip joint A 16.76 14.51 NA14.82 14.51 14.82 2.36 33.63 33.94 33.63 33.94 0090.10.69.2121210P0 38.2581 4 27286 Fusion of hip joint A 16.79 14.53 NA15.02 14.53 15.02 2.37 33.69 34.18 33.69 34.18 0090.10.69.2121210P0 38.2581 4 27290 Amputation of leg at hip A 23.28 16.73 NA19.44 16.73 19.44 2.94 42.95 45.66 42.95 45.66 0090.10.69.2120210P0 38.2581 4 27295 Amputation of leg at hip A 18.65 13.87 NA14.89 13.87 14.89 2.35 34.87 35.89 34.87 35.89 0090.10.69.2120210P0 38.2581 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 0YYY.00.00.0021211P0 38.2581 9 27301 Drain thigh/knee lesion A 6.49 15.18 12.05 13.65 10.91 0.80 22.47 19.34 20.94 18.20 0090.10.69.2121100P0 38.2581 4 27303 Drainage of bone lesion A 8.28 13.62 NA11.81 13.62 11.81 1.14 23.04 21.23 23.04 21.23 0090.10.69.2121210P0 38.2581 4 27305 Incise thigh tendon & fascia A 5.92 8.75 NA 7.59 8.75 7.59 0.77 15.44 14.28 15.44 14.28 0090.10.69.2121210P0 38.2581 4 27306 Incision of thigh tendon A 4.62 7.02 NA 5.81 7.02 5.81 0.62 12.26 11.05 12.26 11.05 0090.10.69.2121200P0 38.2581 4 27307 Incision of thigh tendons A 5.80 7.66 NA 6.56 7.66 6.56 0.78 14.24 13.14 14.24 13.14 0090.10.69.2121010P0 38.2581 4 27310 Exploration of knee joint A 9.27 9.47 NA 9.71 9.47 9.71 1.29 20.03 20.27 20.03 20.27 0090.10.69.2121210P0 38.2581 4 27315 Partial removal, thigh nerve A 6.97 4.59 NA 4.90 4.59 4.90 0.79 12.35 12.66 12.35 12.66 0090.10.69.2121200P0 38.2581 4 27320 Partial removal, thigh nerve A 6.30 4.32 NA 4.65 4.32 4.65 0.78 11.40 11.73 11.40 11.73 0090.10.69.2121210P0 38.2581 4 27323 Biopsy, thigh soft tissues A 2.28 5.63 4.47 3.29 2.59 0.17 8.08 6.92 5.74 5.04 0010.10.80.1021100P0 38.2581 4 27324 Biopsy, thigh soft tissues A 4.90 6.48 NA 5.57 6.48 5.57 0.59 11.97 11.06 11.97 11.06 0090.10.69.2121100P0 38.2581 4 27327 Removal of thigh lesion A 4.47 8.14 6.73 6.16 5.24 0.50 13.11 11.70 11.13 10.21 0090.10.69.2121100P0 38.2581 4 27328 Removal of thigh lesion A 5.57 6.74 NA 6.16 6.74 6.16 0.66 12.97 12.39 12.97 12.39 0090.10.69.2121100P0 38.2581 4 27329 Remove tumor, thigh/knee A 14.14 13.75 NA13.49 13.75 13.49 1.68 29.57 29.31 29.57 29.31 0090.10.69.2121210P0 38.2581 4 27330 Biopsy, knee joint lining A 4.97 5.94 NA 5.94 5.94 5.94 0.66 11.57 11.57 11.57 11.57 0090.10.69.2121110P0 38.2581 4 27331 Explore/treat knee joint A 5.88 7.00 NA 7.01 7.00 7.01 0.81 13.69 13.70 13.69 13.70 0090.10.69.2121210P0 38.2581 4 27332 Removal of knee cartilage A 8.27 8.35 NA 8.73 8.35 8.73 1.15 17.77 18.15 17.77 18.15 0090.10.69.2121210P0 38.2581 4 27333 Removal of knee cartilage A 7.30 7.89 NA 8.10 7.89 8.10 1.03 16.22 16.43 16.22 16.43 0090.10.69.2121210P0 38.2581 4 27334 Remove knee joint lining A 8.70 9.15 NA 9.46 9.15 9.46 1.21 19.06 19.37 19.06 19.37 0090.10.69.2121210P0 38.2581 4 27335 Remove knee joint lining A 10.00 9.91 NA10.42 9.91 10.42 1.41 21.32 21.83 21.32 21.83 0090.10.69.2121210P0 38.2581 4 27340 Removal of kneecap bursa A 4.18 5.58 NA 5.23 5.58 5.23 0.58 10.34 9.99 10.34 9.99 0090.10.69.2121100P0 38.2581 4 27345 Removal of knee cyst A 5.92 6.91 NA 6.71 6.91 6.71 0.81 13.64 13.44 13.64 13.44 0090.10.69.2121210P0 38.2581 4 27347 Remove knee cyst A 5.78 2.83 2.83 2.83 2.83 0.76 9.37 9.37 9.37 9.37 0090.10.69.2121210P0 38.2581 5 27350 Removal of kneecap A 8.17 8.35 NA 8.70 8.35 8.70 1.15 17.67 18.02 17.67 18.02 0090.10.69.2121210P0 38.2581 4 27355 Remove femur lesion A 7.65 9.58 NA 9.24 9.58 9.24 1.07 18.30 17.96 18.30 17.96 0090.10.69.2121210P0 38.2581 4 27356 Remove femur lesion/graft A 9.48 10.57 NA10.15 10.57 10.15 1.29 21.34 20.92 21.34 20.92 0090.10.69.2121210P0 38.2581 4 27357 Remove femur lesion/graft A 10.53 11.14 NA10.74 11.14 10.74 1.48 23.15 22.75 23.15 22.75 0090.10.69.2121210P0 38.2581 4 27358 Remove femur lesion/fixation A 4.74 2.64 NA 3.22 2.64 3.22 0.67 8.05 8.63 8.05 8.63 0ZZZ.00.00.0001200P0 38.2581 4 27360 Partial removal, leg bone(s) A 10.50 17.03 NA15.10 17.03 15.10 1.42 28.95 27.02 28.95 27.02 0090.10.69.2121210P0 38.2581 4 27365 Extensive leg surgery A 16.27 13.70 NA14.06 13.70 14.06 2.26 32.23 32.59 32.23 32.59 0090.10.69.2121210P0 38.2581 4 27370 Injection for knee x-ray A 0.96 11.76 8.98 0.35 0.43 0.06 12.78 10.00 1.37 1.45 0000.00.00.0021100P0 38.2581 4 27372 Removal of foreign body A 5.07 8.26 7.12 6.11 5.51 0.62 13.95 12.81 11.80 11.20 0090.10.69.2121000P0 38.2581 4 27380 Repair of kneecap tendon A 7.16 7.84 NA 8.02 7.84 8.02 1.00 16.00 16.18 16.00 16.18 0090.10.69.2121210P0 38.2581 4 27381 Repair/graft kneecap tendon A 10.34 9.61 NA10.27 9.61 10.27 1.44 21.39 22.05 21.39 22.05 0090.10.69.2121210P0 38.2581 4 27385 Repair of thigh muscle A 7.76 8.19 NA 8.46 8.19 8.46 1.09 17.04 17.31 17.04 17.31 0090.10.69.2121210P0 38.2581 4 27386 Repair/graft of thigh muscle A 10.56 10.30 NA10.88 10.30 10.88 1.49 22.35 22.93 22.35 22.93 0090.10.69.2121210P0 38.2581 4 27390 Incision of thigh tendon A 5.33 7.14 NA 6.54 7.14 6.54 0.69 13.16 12.56 13.16 12.56 0090.10.69.2120200P0 38.2581 4 27391 Incision of thigh tendons A 7.20 8.32 NA 7.71 8.32 7.71 0.99 16.51 15.90 16.51 15.90 0090.10.69.2120010P0 38.2581 4 27392 Incision of thigh tendons A 9.20 10.27 NA 9.78 10.27 9.78 1.23 20.70 20.21 20.70 20.21 0090.10.69.2122210P0 38.2581 4 27393 Lengthening of thigh tendon A 6.39 7.78 NA 7.37 7.78 7.37 0.90 15.07 14.66 15.07 14.66 0090.10.69.2120210P0 38.2581 4 27394 Lengthening of thigh tendons A 8.50 10.01 NA 9.06 10.01 9.06 1.17 19.68 18.73 19.68 18.73 0090.10.69.2120200P0 38.2581 4 27395 Lengthening of thigh tendons A 11.73 12.74 NA12.40 12.74 12.40 1.63 26.10 25.76 26.10 25.76 0090.10.69.2122210P0 38.2581 4 27396 Transplant of thigh tendon A 7.86 9.71 NA 9.20 9.71 9.20 1.11 18.68 18.17 18.68 18.17 0090.10.69.2120210P0 38.2581 4 27397 Transplants of thigh tendons A 11.28 11.12 NA10.75 11.12 10.75 1.58 23.98 23.61 23.98 23.61 0090.10.69.2120200P0 38.2581 4 27400 Revise thigh muscles/tendons A 9.02 10.60 NA10.09 10.60 10.09 1.18 20.80 20.29 20.80 20.29 0090.10.69.2121210P0 38.2581 4 27403 Repair of knee cartilage A 8.33 8.40 NA 8.69 8.40 8.69 1.16 17.89 18.18 17.89 18.18 0090.10.69.2121210P0 38.2581 4 27405 Repair of knee ligament A 8.65 9.09 NA 9.40 9.09 9.40 1.21 18.95 19.26 18.95 19.26 0090.10.69.2121210P0 38.2581 4 27407 Repair of knee ligament A 10.28 9.84 NA 9.79 9.84 9.79 1.38 21.50 21.45 21.50 21.45 0090.10.69.2121210P0 38.2581 4 27409 Repair of knee ligaments A 12.90 11.26 NA12.30 11.26 12.30 1.75 25.91 26.95 25.91 26.95 0090.10.69.2121210P0 38.2581 4 27418 Repair degenerated kneecap A 10.85 10.38 NA11.03 10.38 11.03 1.51 22.74 23.39 22.74 23.39 0090.10.69.2121210P0 38.2581 4 27420 Revision of unstable kneecap A 9.83 9.27 NA 9.89 9.27 9.89 1.38 20.48 21.10 20.48 21.10 0090.10.69.2121210P0 38.2581 4 27422 Revision of unstable kneecap A 9.78 9.28 NA 9.88 9.28 9.88 1.37 20.43 21.03 20.43 21.03 0090.10.69.2121210P0 38.2581 4 27424 Revision/removal of kneecap A 9.81 9.26 NA 9.87 9.26 9.87 1.38 20.45 21.06 20.45 21.06 0090.10.69.2121210P0 38.2581 4 27425 Lateral retinacular release A 5.22 6.73 NA 6.61 6.73 6.61 0.73 12.68 12.56 12.68 12.56 0090.10.69.2121110P0 38.2581 4 27427 Reconstruction, knee A 9.36 8.93 NA 9.49 8.93 9.49 1.29 19.58 20.14 19.58 20.14 0090.10.69.2121210P0 38.2581 4 27428 Reconstruction, knee A 14.00 11.90 NA12.64 11.90 12.64 1.95 27.85 28.59 27.85 28.59 0090.10.69.2121210P0 38.2581 4 27429 Reconstruction, knee A 15.52 12.90 NA12.73 12.90 12.73 2.18 30.60 30.43 30.60 30.43 0090.10.69.2121210P0 38.2581 4 27430 Revision of thigh muscles A 9.67 9.28 NA 9.50 9.28 9.50 1.35 20.30 20.52 20.30 20.52 0090.10.69.2121210P0 38.2581 4 27435 Incision of knee joint A 9.49 9.18 NA 8.79 9.18 8.79 1.33 20.00 19.61 20.00 19.61 0090.10.69.2121210P0 38.2581 4 27437 Revise kneecap A 8.46 9.35 NA 9.54 9.35 9.54 1.18 18.99 19.18 18.99 19.18 0090.10.69.2121110P0 38.2581 4 27438 Revise kneecap with implant A 11.23 10.53 NA11.25 10.53 11.25 1.56 23.32 24.04 23.32 24.04 0090.10.69.2121210P0 38.2581 4 27440 Revision of knee joint A 10.43 10.16 NA10.73 10.16 10.73 1.42 22.01 22.58 22.01 22.58 0090.10.69.2121210P0 38.2581 4 27441 Revision of knee joint A 10.82 10.62 NA10.45 10.62 10.45 1.49 22.93 22.76 22.93 22.76 0090.10.69.2121210P0 38.2581 4 27442 Revision of knee joint A 11.89 11.14 NA11.91 11.14 11.91 1.68 24.71 25.48 24.71 25.48 0090.10.69.2121210P0 38.2581 4 27443 Revision of knee joint A 10.93 10.79 NA11.35 10.79 11.35 1.52 23.24 23.80 23.24 23.80 0090.10.69.2121210P0 38.2581 4 27445 Revision of knee joint A 17.68 14.40 NA16.08 14.40 16.08 2.49 34.57 36.25 34.57 36.25 0090.10.69.2121210P0 38.2581 4 27446 Revision of knee joint A 15.84 13.47 NA14.83 13.47 14.83 2.22 31.53 32.89 31.53 32.89 0090.10.69.2121210P0 38.2581 4 27447 Total knee replacement A 21.48 16.49 NA18.78 16.49 18.78 3.00 40.97 43.26 40.97 43.26 0090.10.69.2121210P0 38.2581 4 27448 Incision of thigh A 11.06 11.43 NA11.88 11.43 11.88 1.51 24.00 24.45 24.00 24.45 0090.10.69.2121210P0 38.2581 4 27450 Incision of thigh A 13.98 13.08 NA13.84 13.08 13.84 1.96 29.02 29.78 29.02 29.78 0090.10.69.2121210P0 38.2581 4 27454 Realignment of thigh bone A 17.56 15.09 NA15.58 15.09 15.58 2.46 35.11 35.60 35.11 35.60 0090.10.69.2121210P0 38.2581 4 27455 Realignment of knee A 12.82 11.85 NA12.15 11.85 12.15 1.78 26.45 26.75 26.45 26.75 0090.10.69.2121210P0 38.2581 4 27457 Realignment of knee A 13.45 11.12 NA11.95 11.12 11.95 1.88 26.45 27.28 26.45 27.28 0090.10.69.2121210P0 38.2581 4 27465 Shortening of thigh bone A 13.87 13.46 NA13.42 13.46 13.42 1.86 29.19 29.15 29.19 29.15 0090.10.69.2121210P0 38.2581 4 27466 Lengthening of thigh bone A 16.33 14.73 NA14.69 14.73 14.69 1.92 32.98 32.94 32.98 32.94 0090.10.69.2121210P0 38.2581 4 27468 Shorten/lengthen thighs A 18.97 16.62 NA17.04 16.62 17.04 2.68 38.27 38.69 38.27 38.69 0090.10.69.2121210P0 38.2581 4 27470 Repair of thigh A 16.07 15.06 NA15.82 15.06 15.82 2.24 33.37 34.13 33.37 34.13 0090.10.69.2121210P0 38.2581 4 27472 Repair/graft of thigh A 17.72 15.99 NA17.28 15.99 17.28 2.49 36.20 37.49 36.20 37.49 0090.10.69.2121210P0 38.2581 4 27475 Surgery to stop leg growth A 8.64 9.08 NA 8.91 9.08 8.91 1.13 18.85 18.68 18.85 18.68 0090.10.69.2121110P0 38.2581 4 27477 Surgery to stop leg growth A 9.85 9.19 NA 9.83 9.19 9.83 1.31 20.35 20.99 20.35 20.99 0090.10.69.2121110P0 38.2581 4 27479 Surgery to stop leg growth A 12.80 10.25 NA10.84 10.25 10.84 1.81 24.86 25.45 24.86 25.45 0090.10.69.2121200P0 38.2581 4 27485 Surgery to stop leg growth A 8.84 8.73 NA 8.69 8.73 8.69 1.24 18.81 18.77 18.81 18.77 0090.10.69.2121100P0 38.2581 4 27486 Revise/replace knee joint A 19.27 15.36 NA17.27 15.36 17.27 2.70 37.33 39.24 37.33 39.24 0090.10.69.2121210P0 38.2581 4 27487 Revise/replace knee joint A 25.27 18.66 NA21.53 18.66 21.53 3.54 47.47 50.34 47.47 50.34 0090.10.69.2121210P0 38.2581 4 27488 Removal of knee prosthesis A 15.74 13.48 NA14.50 13.48 14.50 2.21 31.43 32.45 31.43 32.45 0090.10.69.2121210P0 38.2581 4 27495 Reinforce thigh A 15.55 14.84 NA15.77 14.84 15.77 2.18 32.57 33.50 32.57 33.50 0090.10.69.2121210P0 38.2581 4 27496 Decompression of thigh/knee A 6.11 7.19 NA 6.62 7.19 6.62 0.77 14.07 13.50 14.07 13.50 0090.10.69.2121100P0 38.2581 4 27497 Decompression of thigh/knee A 7.17 7.29 NA 6.97 7.29 6.97 0.84 15.30 14.98 15.30 14.98 0090.10.69.2121020P0 38.2581 4 27498 Decompression of thigh/knee A 7.99 9.17 NA 8.59 9.17 8.59 0.97 18.13 17.55 18.13 17.55 0090.10.69.2121220P0 38.2581 4 27499 Decompression of thigh/knee A 9.00 9.05 NA 8.76 9.05 8.76 1.18 19.23 18.94 19.23 18.94 0090.10.69.2121220P0 38.2581 4 27500 Treatment of thigh fracture A 5.92 9.04 8.25 7.02 6.73 0.80 15.76 14.97 13.74 13.45 0090.10.69.2121100P0 38.2581 4 27501 Treatment of thigh fracture A 5.92 10.04 9.00 7.97 7.45 0.83 16.79 15.75 14.72 14.20 0090.10.69.2121000P0 38.2581 4 27502 Treatment of thigh fracture A 10.58 10.58 NA10.02 10.58 10.02 1.49 22.65 22.09 22.65 22.09 0090.10.69.2121100P0 38.2581 4 27503 Treatment of thigh fracture A 10.58 10.57 NA10.01 10.57 10.01 1.49 22.64 22.08 22.64 22.08 0090.10.69.2121000P0 38.2581 4 27506 Treatment of thigh fracture A 17.45 13.47 NA14.45 13.47 14.45 2.33 33.25 34.23 33.25 34.23 0090.10.69.2121210P0 38.2581 4 27507 Treatment of thigh fracture A 13.99 11.88 NA13.09 11.88 13.09 1.95 27.82 29.03 27.82 29.03 0090.10.69.2121220P0 38.2581 4 27508 Treatment of thigh fracture A 5.83 7.00 6.40 5.30 5.12 0.80 13.63 13.03 11.93 11.75 0090.10.69.2121100P0 38.2581 4 27509 Treatment of thigh fracture A 7.71 8.59 NA 7.59 8.59 7.59 1.08 17.38 16.38 17.38 16.38 0090.10.69.2121000P0 38.2581 4 27510 Treatment of thigh fracture A 9.13 7.16 NA 7.22 7.16 7.22 1.26 17.55 17.61 17.55 17.61 0090.10.69.2121100P0 38.2581 4 27511 Treatment of thigh fracture A 13.64 12.39 NA13.36 12.39 13.36 1.91 27.94 28.91 27.94 28.91 0090.10.69.2121220P0 38.2581 4 27513 Treatment of thigh fracture A 17.92 14.77 NA15.43 14.77 15.43 2.51 35.20 35.86 35.20 35.86 0090.10.69.2121220P0 38.2581 4 27514 Treatment of thigh fracture A 17.30 14.24 NA14.96 14.24 14.96 2.41 33.95 34.67 33.95 34.67 0090.10.69.2121210P0 38.2581 4 27516 Treat thigh fx growth plate A 5.37 7.49 6.93 5.77 5.64 0.74 13.60 13.04 11.88 11.75 0090.10.69.2121100P0 38.2581 4 27517 Treat thigh fx growth plate A 8.78 9.64 9.35 7.70 7.90 1.22 19.64 19.35 17.70 17.90 0090.10.69.2121000P0 38.2581 4 27519 Treat thigh fx growth plate A 15.02 12.63 NA12.91 12.63 12.91 2.09 29.74 30.02 29.74 30.02 0090.10.69.2121210P0 38.2581 4 27520 Treat kneecap fracture A 2.86 5.35 4.84 3.71 3.20 0.38 8.59 8.08 6.95 6.44 0090.10.69.2121100P0 38.2581 4 27524 Treat kneecap fracture A 10.00 8.44 NA 9.14 8.44 9.14 1.40 19.84 20.54 19.84 20.54 0090.10.69.2121210P0 38.2581 4 27530 Treat knee fracture A 3.78 5.86 5.32 4.22 4.09 0.51 10.15 9.61 8.51 8.38 0090.10.69.2121100P0 38.2581 4 27532 Treat knee fracture A 7.30 7.46 7.14 5.67 5.79 1.02 15.78 15.46 13.99 14.11 0090.10.69.2121100P0 38.2581 4 27535 Treat knee fracture A 11.50 11.25 NA11.61 11.25 11.61 1.61 24.36 24.72 24.36 24.72 0090.10.69.2121220P0 38.2581 4 27536 Treat knee fracture A 15.65 11.55 NA11.84 11.55 11.84 2.19 29.39 29.68 29.39 29.68 0090.10.69.2121210P0 38.2581 4 27538 Treat knee fracture(s) A 4.87 7.41 6.47 5.38 4.95 0.67 12.95 12.01 10.92 10.49 0090.10.69.2121000P0 38.2581 4 27540 Treat knee fracture A 13.10 9.97 NA10.45 9.97 10.45 1.80 24.87 25.35 24.87 25.35 0090.10.69.2121210P0 38.2581 4 27550 Treat knee dislocation A 5.76 7.36 6.22 5.63 4.92 0.68 13.80 12.66 12.07 11.36 0090.10.69.2121000P0 38.2581 4 27552 Treat knee dislocation A 7.90 7.54 NA 6.59 7.54 6.59 1.10 16.54 15.59 16.54 15.59 0090.10.69.2121000P0 38.2581 4 27556 Treat knee dislocation A 14.41 13.65 NA13.62 13.65 13.62 2.01 30.07 30.04 30.07 30.04 0090.10.69.2121210P0 38.2581 4 27557 Treat knee dislocation A 16.77 14.85 NA15.10 14.85 15.10 2.37 33.99 34.24 33.99 34.24 0090.10.69.2121210P0 38.2581 4 27558 Treat knee dislocation A 17.72 15.08 NA15.27 15.08 15.27 2.51 35.31 35.50 35.31 35.50 0090.10.69.2121220P0 38.2581 4 27560 Treat kneecap dislocation A 3.82 5.86 4.78 3.93 3.34 0.40 10.08 9.00 8.15 7.56 0090.10.69.2121100P0 38.2581 4 27562 Treat kneecap dislocation A 5.79 5.36 NA 5.43 5.36 5.43 0.69 11.84 11.91 11.84 11.91 0090.10.69.2121000P0 38.2581 4 27566 Treat kneecap dislocation A 12.23 9.80 NA10.22 9.80 10.22 1.73 23.76 24.18 23.76 24.18 0090.10.69.2121210P0 38.2581 4 27570 Fixation of knee joint A 1.74 2.98 NA 2.70 2.98 2.70 0.24 4.96 4.68 4.96 4.68 0010.10.80.1020100P0 38.2581 4 27580 Fusion of knee A 19.37 15.72 NA16.05 15.72 16.05 2.70 37.79 38.12 37.79 38.12 0090.10.69.2121210P0 38.2581 4 27590 Amputate leg at thigh A 12.03 12.53 NA11.87 12.53 11.87 1.35 25.91 25.25 25.91 25.25 0090.10.69.2121210P0 38.2581 4 27591 Amputate leg at thigh A 12.68 13.48 NA13.30 13.48 13.30 1.63 27.79 27.61 27.79 27.61 0090.10.69.2121210P0 38.2581 4 27592 Amputate leg at thigh A 10.02 11.99 NA11.19 11.99 11.19 1.17 23.18 22.38 23.18 22.38 0090.10.69.2121210P0 38.2581 4 27594 Amputation follow-up surgery A 6.92 8.93 NA 7.69 8.93 7.69 0.82 16.67 15.43 16.67 15.43 0090.10.69.2121100P0 38.2581 4 27596 Amputation follow-up surgery A 10.60 12.23 NA11.17 12.23 11.17 1.24 24.07 23.01 24.07 23.01 0090.10.69.2121110P0 38.2581 4 27598 Amputate lower leg at knee A 10.53 11.03 NA11.00 11.03 11.00 1.24 22.80 22.77 22.80 22.77 0090.10.69.2121210P0 38.2581 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 0YYY.00.00.0021211P0 38.2581 9 27600 Decompression of lower leg A 5.65 8.30 NA 7.15 8.30 7.15 0.68 14.63 13.48 14.63 13.48 0090.10.69.2121110P0 38.2581 4 27601 Decompression of lower leg A 5.64 7.26 NA 6.36 7.26 6.36 0.69 13.59 12.69 13.59 12.69 0090.10.69.2121100P0 38.2581 4 27602 Decompression of lower leg A 7.35 8.37 NA 7.38 8.37 7.38 0.85 16.57 15.58 16.57 15.58 0090.10.69.2121210P0 38.2581 4 27603 Drain lower leg lesion A 4.94 15.25 12.08 10.14 8.25 0.56 20.75 17.58 15.64 13.75 0090.10.69.2121100P0 38.2581 4 27604 Drain lower leg bursa A 4.47 10.40 8.08 7.72 5.93 0.54 15.41 13.09 12.73 10.94 0090.10.69.2121000P0 38.2581 4 27605 Incision of achilles tendon A 2.87 9.66 7.57 3.62 3.04 0.38 12.91 10.82 6.87 6.29 0010.10.80.1021000P0 38.2581 4 27606 Incision of achilles tendon A 4.14 11.59 9.27 4.73 4.12 0.57 16.30 13.98 9.44 8.83 0010.10.80.1021110P0 38.2581 4 27607 Treat lower leg bone lesion A 7.97 12.76 NA11.20 12.76 11.20 1.08 21.81 20.25 21.81 20.25 0090.10.69.2121100P0 38.2581 4 27610 Explore/treat ankle joint A 8.34 9.82 NA 9.38 9.82 9.38 1.15 19.31 18.87 19.31 18.87 0090.10.69.2121100P0 38.2581 4 27612 Exploration of ankle joint A 7.33 7.55 NA 7.83 7.55 7.83 1.01 15.89 16.17 15.89 16.17 0090.10.69.2121210P0 38.2581 4 27613 Biopsy lower leg soft tissue A 2.17 5.55 4.35 3.04 2.37 0.16 7.88 6.68 5.37 4.70 0010.10.80.1021100P0 38.2581 4 27614 Biopsy lower leg soft tissue A 5.66 11.19 9.01 6.79 5.71 0.62 17.47 15.29 13.07 11.99 0090.10.69.2121100P0 38.2581 4 27615 Remove tumor, lower leg A 12.56 16.21 NA14.39 16.21 14.39 1.39 30.16 28.34 30.16 28.34 0090.10.69.2121010P0 38.2581 4 27618 Remove lower leg lesion A 5.09 10.82 8.69 6.35 5.33 0.54 16.45 14.32 11.98 10.96 0090.10.69.2121100P0 38.2581 4 27619 Remove lower leg lesion A 8.40 13.17 11.00 8.85 7.76 1.01 22.58 20.41 18.26 17.17 0090.10.69.2121100P0 38.2581 4 27620 Explore/treat ankle joint A 5.98 7.30 NA 7.11 7.30 7.11 0.83 14.11 13.92 14.11 13.92 0090.10.69.2121210P0 38.2581 4 27625 Remove ankle joint lining A 8.30 9.11 NA 9.20 9.11 9.20 1.16 18.57 18.66 18.57 18.66 0090.10.69.2121210P0 38.2581 4 27626 Remove ankle joint lining A 8.91 9.78 NA10.00 9.78 10.00 1.23 19.92 20.14 19.92 20.14 0090.10.69.2121200P0 38.2581 4 27630 Removal of tendon lesion A 4.80 11.16 9.21 6.56 5.76 0.60 16.56 14.61 11.96 11.16 0090.10.69.2121100P0 38.2581 4 27635 Remove lower leg bone lesion A 7.78 10.30 NA 9.91 10.30 9.91 1.06 19.14 18.75 19.14 18.75 0090.10.69.2121110P0 38.2581 4 27637 Remove/graft leg bone lesion A 9.85 11.57 NA10.98 11.57 10.98 1.38 22.80 22.21 22.80 22.21 0090.10.69.2121210P0 38.2581 4 27638 Remove/graft leg bone lesion A 10.57 12.06 NA11.53 12.06 11.53 1.47 24.10 23.57 24.10 23.57 0090.10.69.2121210P0 38.2581 4 27640 Partial removal of tibia A 11.37 16.89 NA15.33 16.89 15.33 1.54 29.80 28.24 29.80 28.24 0090.10.69.2121110P0 38.2581 4 27641 Partial removal of fibula A 9.24 14.87 NA13.09 14.87 13.09 1.22 25.33 23.55 25.33 23.55 0090.10.69.2121110P0 38.2581 4 27645 Extensive lower leg surgery A 14.17 16.86 NA15.80 16.86 15.80 1.98 33.01 31.95 33.01 31.95 0090.10.69.2121210P0 38.2581 4 27646 Extensive lower leg surgery A 12.66 15.44 NA14.50 15.44 14.50 1.55 29.65 28.71 29.65 28.71 0090.10.69.2121210P0 38.2581 4 27647 Extensive ankle/heel surgery A 12.24 10.73 NA10.75 10.73 10.75 1.64 24.61 24.63 24.61 24.63 0090.10.69.2121200P0 38.2581 4 27648 Injection for ankle x-ray A 0.96 8.98 6.88 0.35 0.40 0.05 9.99 7.89 1.36 1.41 0000.00.00.0021000P0 38.2581 4 27650 Repair achilles tendon A 9.69 8.93 NA 9.14 8.93 9.14 1.35 19.97 20.18 19.97 20.18 0090.10.69.2121210P0 38.2581 4 27652 Repair/graft achilles tendon A 10.33 9.27 NA 9.78 9.27 9.78 1.45 21.05 21.56 21.05 21.56 0090.10.69.2121110P0 38.2581 4 27654 Repair of achilles tendon A 10.02 9.55 NA10.13 9.55 10.13 1.41 20.98 21.56 20.98 21.56 0090.10.69.2121210P0 38.2581 4 27656 Repair leg fascia defect A 4.57 12.31 10.10 6.00 5.36 0.48 17.36 15.15 11.05 10.41 0090.10.69.2121200P0 38.2581 4 27658 Repair of leg tendon, each A 4.98 14.14 11.70 8.23 7.26 0.68 19.80 17.36 13.89 12.92 0090.10.69.2120210P0 38.2581 4 27659 Repair of leg tendon, each A 6.81 16.73 14.14 9.20 8.49 0.96 24.50 21.91 16.97 16.26 0090.10.69.2120210P0 38.2581 4 27664 Repair of leg tendon, each A 4.59 11.88 9.84 8.14 7.03 0.63 17.10 15.06 13.36 12.25 0090.10.69.2120000P0 38.2581 4 27665 Repair of leg tendon, each A 5.40 13.35 11.36 8.23 7.52 0.75 19.50 17.51 14.38 13.67 0090.10.69.2120210P0 38.2581 4 27675 Repair lower leg tendons A 7.18 7.43 NA 7.31 7.43 7.31 1.01 15.62 15.50 15.62 15.50 0090.10.69.2121210P0 38.2581 4 27676 Repair lower leg tendons A 8.42 8.72 NA 8.59 8.72 8.59 1.15 18.29 18.16 18.29 18.16 0090.10.69.2121200P0 38.2581 4 27680 Release of lower leg tendon A 5.74 7.46 NA 6.71 7.46 6.71 0.80 14.00 13.25 14.00 13.25 0090.10.69.2120110P0 38.2581 4 27681 Release of lower leg tendons A 6.82 7.49 NA 7.24 7.49 7.24 0.92 15.23 14.98 15.23 14.98 0090.10.69.2120110P0 38.2581 4 27685 Revision of lower leg tendon A 6.50 10.15 8.65 7.65 6.78 0.91 17.56 16.06 15.06 14.19 0090.10.69.2120210P0 38.2581 4 27686 Revise lower leg tendons A 7.46 16.51 14.16 9.24 8.71 1.05 25.02 22.67 17.75 17.22 0090.10.69.2120110P0 38.2581 4 27687 Revision of calf tendon A 6.24 7.74 NA 7.28 7.74 7.28 0.88 14.86 14.40 14.86 14.40 0090.10.69.2121210P0 38.2581 4 27690 Revise lower leg tendon A 8.71 8.69 NA 8.35 8.69 8.35 1.22 18.62 18.28 18.62 18.28 0090.10.69.2121210P0 38.2581 4 27691 Revise lower leg tendon A 9.96 10.27 NA 9.84 10.27 9.84 1.40 21.63 21.20 21.63 21.20 0090.10.69.2121210P0 38.2581 4 27692 Revise additional leg tendon A 1.87 0.98 NA 1.29 0.98 1.29 0.26 3.11 3.42 3.11 3.42 0ZZZ.00.00.0001210P0 38.2581 4 27695 Repair of ankle ligament A 6.51 8.47 NA 8.30 8.47 8.30 0.90 15.88 15.71 15.88 15.71 0090.10.69.2121110P0 38.2581 4 27696 Repair of ankle ligaments A 8.27 8.94 NA 8.62 8.94 8.62 1.16 18.37 18.05 18.37 18.05 0090.10.69.2121110P0 38.2581 4 27698 Repair of ankle ligament A 9.36 8.65 NA 9.28 8.65 9.28 1.31 19.32 19.95 19.32 19.95 0090.10.69.2121210P0 38.2581 4 27700 Revision of ankle joint A 9.29 7.33 NA 8.27 7.33 8.27 1.24 17.86 18.80 17.86 18.80 0090.10.69.2121210P0 38.2581 4 27702 Reconstruct ankle joint A 13.67 12.29 NA13.30 12.29 13.30 1.92 27.88 28.89 27.88 28.89 0090.10.69.2121210P0 38.2581 4 27703 Reconstruction, ankle joint A 15.87 13.62 NA13.97 13.62 13.97 2.24 31.73 32.08 31.73 32.08 0090.10.69.2121200P0 38.2581 4 27704 Removal of ankle implant A 7.62 7.29 NA 7.05 7.29 7.05 0.61 15.52 15.28 15.52 15.28 0090.10.69.2121110P0 38.2581 4 27705 Incision of tibia A 10.38 10.87 NA11.07 10.87 11.07 1.44 22.69 22.89 22.69 22.89 0090.10.69.2121210P0 38.2581 4 27707 Incision of fibula A 4.37 7.71 NA 7.07 7.71 7.07 0.60 12.68 12.04 12.68 12.04 0090.10.69.2121110P0 38.2581 4 27709 Incision of tibia & fibula A 9.95 10.78 NA11.06 10.78 11.06 1.39 22.12 22.40 22.12 22.40 0090.10.69.2121210P0 38.2581 4 27712 Realignment of lower leg A 14.25 12.92 NA12.67 12.92 12.67 2.00 29.17 28.92 29.17 28.92 0090.10.69.2121210P0 38.2581 4 27715 Revision of lower leg A 14.39 14.13 NA14.02 14.13 14.02 2.00 30.52 30.41 30.52 30.41 0090.10.69.2121210P0 38.2581 4 27720 Repair of tibia A 11.79 12.73 NA13.07 12.73 13.07 1.66 26.18 26.52 26.18 26.52 0090.10.69.2121210P0 38.2581 4 27722 Repair/graft of tibia A 11.82 12.32 NA12.09 12.32 12.09 1.65 25.79 25.56 25.79 25.56 0090.10.69.2121210P0 38.2581 4 27724 Repair/graft of tibia A 14.99 14.51 NA15.09 14.51 15.09 2.10 31.60 32.18 31.60 32.18 0090.10.69.2121210P0 38.2581 4 27725 Repair of lower leg A 15.59 14.91 NA14.01 14.91 14.01 2.20 32.70 31.80 32.70 31.80 0090.10.69.2121210P0 38.2581 4 27727 Repair of lower leg A 14.01 12.43 NA11.87 12.43 11.87 1.84 28.28 27.72 28.28 27.72 0090.10.69.2121210P0 38.2581 4 27730 Repair of tibia epiphysis A 7.41 14.49 11.84 9.62 8.19 0.75 22.65 20.00 17.78 16.35 0090.10.69.2121110P0 38.2581 4 27732 Repair of fibula epiphysis A 5.32 11.89 10.23 8.26 7.51 0.63 17.84 16.18 14.21 13.46 0090.10.69.2121100P0 38.2581 4 27734 Repair lower leg epiphyses A 8.48 9.04 NA 8.83 9.04 8.83 0.85 18.37 18.16 18.37 18.16 0090.10.69.2121100P0 38.2581 4 27740 Repair of leg epiphyses A 9.30 15.25 13.71 10.51 10.15 1.31 25.86 24.32 21.12 20.76 0090.10.69.2121200P0 38.2581 4 27742 Repair of leg epiphyses A 10.30 15.64 14.25 11.09 10.84 1.55 27.49 26.10 22.94 22.69 0090.10.69.2121210P0 38.2581 4 27745 Reinforce tibia A 10.07 10.84 NA10.56 10.84 10.56 1.38 22.29 22.01 22.29 22.01 0090.10.69.2121210P0 38.2581 4 27750 Treatment of tibia fracture A 3.19 5.51 5.07 3.89 3.85 0.43 9.13 8.69 7.51 7.47 0090.10.69.2121100P0 38.2581 4 27752 Treatment of tibia fracture A 5.84 7.97 7.36 5.99 5.87 0.82 14.63 14.02 12.65 12.53 0090.10.69.2121100P0 38.2581 4 27756 Treatment of tibia fracture A 6.78 9.99 NA 9.52 9.99 9.52 0.94 17.71 17.24 17.71 17.24 0090.10.69.2121210P0 38.2581 4 27758 Treatment of tibia fracture A 11.67 11.09 NA11.80 11.09 11.80 1.52 24.28 24.99 24.28 24.99 0090.10.69.2121210P0 38.2581 4 27759 Treatment of tibia fracture A 13.76 12.66 NA13.22 12.66 13.22 1.93 28.35 28.91 28.35 28.91 0090.10.69.2121220P0 38.2581 4 27760 Treatment of ankle fracture A 3.01 5.29 4.67 3.76 3.17 0.39 8.69 8.07 7.16 6.57 0090.10.69.2121100P0 38.2581 4 27762 Treatment of ankle fracture A 5.25 7.52 6.55 5.57 5.09 0.71 13.48 12.51 11.53 11.05 0090.10.69.2121100P0 38.2581 4 27766 Treatment of ankle fracture A 8.36 8.05 NA 8.17 8.05 8.17 1.17 17.58 17.70 17.58 17.70 0090.10.69.2121110P0 38.2581 4 27780 Treatment of fibula fracture A 2.65 5.23 4.46 3.56 2.94 0.33 8.21 7.44 6.54 5.92 0090.10.69.2121100P0 38.2581 4 27781 Treatment of fibula fracture A 4.40 6.42 5.71 4.48 4.25 0.57 11.39 10.68 9.45 9.22 0090.10.69.2121100P0 38.2581 4 27784 Treatment of fibula fracture A 7.11 7.99 NA 7.51 7.99 7.51 0.98 16.08 15.60 16.08 15.60 0090.10.69.2121110P0 38.2581 4 27786 Treatment of ankle fracture A 2.84 5.26 4.63 3.68 3.10 0.37 8.47 7.84 6.89 6.31 0090.10.69.2121100P0 38.2581 4 27788 Treatment of ankle fracture A 4.45 6.42 5.70 4.52 3.84 0.61 11.48 10.76 9.58 8.90 0090.10.69.2121100P0 38.2581 4 27792 Treatment of ankle fracture A 7.66 7.63 NA 7.73 7.63 7.73 1.07 16.36 16.46 16.36 16.46 0090.10.69.2121110P0 38.2581 4 27808 Treatment of ankle fracture A 2.83 6.23 5.43 4.35 4.02 0.38 9.44 8.64 7.56 7.23 0090.10.69.2121100P0 38.2581 4 27810 Treatment of ankle fracture A 5.13 7.49 6.99 5.55 5.53 0.71 13.33 12.83 11.39 11.37 0090.10.69.2121100P0 38.2581 4 27814 Treatment of ankle fracture A 10.68 10.24 NA10.39 10.24 10.39 1.50 22.42 22.57 22.42 22.57 0090.10.69.2121210P0 38.2581 4 27816 Treatment of ankle fracture A 2.89 5.84 5.32 4.38 4.15 0.37 9.10 8.58 7.64 7.41 0090.10.69.2121100P0 38.2581 4 27818 Treatment of ankle fracture A 5.50 7.69 7.41 5.72 5.93 0.74 13.93 13.65 11.96 12.17 0090.10.69.2121100P0 38.2581 4 27822 Treatment of ankle fracture A 9.20 11.23 NA11.17 11.23 11.17 1.29 21.72 21.66 21.72 21.66 0090.10.69.2121210P0 38.2581 4 27823 Treatment of ankle fracture A 11.80 12.62 NA12.94 12.62 12.94 1.65 26.07 26.39 26.07 26.39 0090.10.69.2121210P0 38.2581 4 27824 Treat lower leg fracture A 2.89 6.25 5.63 4.35 4.13 0.39 9.53 8.91 7.63 7.41 0090.10.69.2121100P0 38.2581 4 27825 Treat lower leg fracture A 6.19 8.07 7.82 6.16 6.39 0.85 15.11 14.86 13.20 13.43 0090.10.69.2121000P0 38.2581 4 27826 Treat lower leg fracture A 8.54 10.87 NA10.70 10.87 10.70 1.19 20.60 20.43 20.60 20.43 0090.10.69.2121220P0 38.2581 4 27827 Treat lower leg fracture A 14.06 13.95 NA13.64 13.95 13.64 1.96 29.97 29.66 29.97 29.66 0090.10.69.2121220P0 38.2581 4 27828 Treat lower leg fracture A 16.23 15.10 NA14.80 15.10 14.80 2.27 33.60 33.30 33.60 33.30 0090.10.69.2121220P0 38.2581 4 27829 Treat lower leg joint A 5.49 7.87 NA 7.54 7.87 7.54 0.77 14.13 13.80 14.13 13.80 0090.10.69.2121220P0 38.2581 4 27830 Treat lower leg dislocation A 3.79 4.80 4.48 4.25 4.07 0.44 9.03 8.71 8.48 8.30 0090.10.69.2121000P0 38.2581 4 27831 Treat lower leg dislocation A 4.56 4.96 NA 4.80 4.96 4.80 0.61 10.13 9.97 10.13 9.97 0090.10.69.2121000P0 38.2581 4 27832 Treat lower leg dislocation A 6.49 7.75 NA 7.36 7.75 7.36 0.91 15.15 14.76 15.15 14.76 0090.10.69.2121210P0 38.2581 4 27840 Treat ankle dislocation A 4.58 5.55 NA 4.67 5.55 4.67 0.47 10.60 9.72 10.60 9.72 0090.10.69.2121100P0 38.2581 4 27842 Treat ankle dislocation A 6.21 4.89 NA 4.27 4.89 4.27 0.76 11.86 11.24 11.86 11.24 0090.10.69.2121100P0 38.2581 4 27846 Treat ankle dislocation A 9.79 9.76 NA 9.65 9.76 9.65 1.36 20.91 20.80 20.91 20.80 0090.10.69.2121210P0 38.2581 4 27848 Treat ankle dislocation A 11.20 10.89 NA10.44 10.89 10.44 1.55 23.64 23.19 23.64 23.19 0090.10.69.2121210P0 38.2581 4 27860 Fixation of ankle joint A 2.34 3.48 NA 2.99 3.48 2.99 0.31 6.13 5.64 6.13 5.64 0010.10.80.1020000P0 38.2581 4 27870 Fusion of ankle joint A 13.91 12.91 NA13.30 12.91 13.30 1.95 28.77 29.16 28.77 29.16 0090.10.69.2121210P0 38.2581 4 27871 Fusion of tibiofibular joint A 9.17 10.24 NA 9.79 10.24 9.79 1.29 20.70 20.25 20.70 20.25 0090.10.69.2121210P0 38.2581 4 27880 Amputation of lower leg A 11.85 11.75 NA11.08 11.75 11.08 1.38 24.98 24.31 24.98 24.31 0090.10.69.2121210P0 38.2581 4 27881 Amputation of lower leg A 12.34 12.81 NA12.54 12.81 12.54 1.59 26.74 26.47 26.74 26.47 0090.10.69.2121210P0 38.2581 4 27882 Amputation of lower leg A 8.94 12.92 NA11.69 12.92 11.69 1.03 22.89 21.66 22.89 21.66 0090.10.69.2121010P0 38.2581 4 27884 Amputation follow-up surgery A 8.21 10.37 NA 8.69 10.37 8.69 0.95 19.53 17.85 19.53 17.85 0090.10.69.2121100P0 38.2581 4 27886 Amputation follow-up surgery A 9.32 10.99 NA10.19 10.99 10.19 1.13 21.44 20.64 21.44 20.64 0090.10.69.2121110P0 38.2581 4 27888 Amputation of foot at ankle A 9.67 10.32 NA10.32 10.32 10.32 1.26 21.25 21.25 21.25 21.25 0090.10.69.2121210P0 38.2581 4 27889 Amputation of foot at ankle A 9.98 10.65 NA10.28 10.65 10.28 1.19 21.82 21.45 21.82 21.45 0090.10.69.2121110P0 38.2581 4 27892 Decompression of leg A 7.39 8.08 NA 6.98 8.08 6.98 0.86 16.33 15.23 16.33 15.23 0090.10.69.2121000P0 38.2581 4 27893 Decompression of leg A 7.35 8.38 NA 7.20 8.38 7.20 0.90 16.63 15.45 16.63 15.45 0090.10.69.2121000P0 38.2581 4 27894 Decompression of leg A 10.49 9.43 NA 8.17 9.43 8.17 1.25 21.17 19.91 21.17 19.91 0090.10.69.2121200P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 28001 Drainage of bursa of foot A 2.73 4.58 3.58 2.84 2.20 0.31 7.62 6.62 5.88 5.24 0010.10.80.1020100P0 38.2581 4 28002 Treatment of foot infection A 4.62 6.18 5.25 4.09 3.68 0.56 11.36 10.43 9.27 8.86 0010.10.80.1020100P0 38.2581 4 28003 Treatment of foot infection A 8.41 9.97 8.43 9.86 7.87 1.03 19.41 17.87 19.30 17.31 0090.10.69.2120100P0 38.2581 4 28005 Treat foot bone lesion A 8.68 9.49 NA 8.23 9.49 8.23 1.14 19.31 18.05 19.31 18.05 0090.10.69.2120100P0 38.2581 4 28008 Incision of foot fascia A 4.45 6.80 5.83 5.72 5.02 0.56 11.81 10.84 10.73 10.03 0090.10.69.2120100P0 38.2581 4 28010 Incision of toe tendon A 2.84 6.20 5.63 4.50 3.87 0.39 9.43 8.86 7.73 7.10 0090.10.69.2120100P0 38.2581 4 28011 Incision of toe tendons A 4.14 8.18 6.62 6.03 4.76 0.58 12.90 11.34 10.75 9.48 0090.10.69.2120100P0 38.2581 4 28020 Exploration of foot joint A 5.01 8.29 7.41 5.73 5.49 0.64 13.94 13.06 11.38 11.14 0090.10.69.2120110P0 38.2581 4 28022 Exploration of foot joint A 4.67 7.49 6.36 5.57 4.55 0.62 12.78 11.65 10.86 9.84 0090.10.69.2120100P0 38.2581 4 28024 Exploration of toe joint A 4.38 7.22 6.06 5.87 4.73 0.50 12.10 10.94 10.75 9.61 0090.10.69.2120100P0 38.2581 4 28030 Removal of foot nerve A 6.15 3.42 NA 3.63 3.42 3.63 0.85 10.42 10.63 10.42 10.63 0090.10.69.2120000P0 38.2581 4 28035 Decompression of tibia nerve A 5.09 8.79 8.27 4.93 5.22 0.71 14.59 14.07 10.73 11.02 0090.10.69.2120110P0 38.2581 4 28043 Excision of foot lesion A 3.54 6.50 5.35 4.60 3.92 0.45 10.49 9.34 8.59 7.91 0090.10.69.2121100P0 38.2581 4 28045 Excision of foot lesion A 4.72 6.87 6.24 5.17 4.96 0.62 12.21 11.58 10.51 10.30 0090.10.69.2121000P0 38.2581 4 28046 Resection of tumor, foot A 10.18 11.78 10.29 10.23 9.13 1.13 23.09 21.60 21.54 20.44 0090.10.69.2121110P0 38.2581 4 28050 Biopsy of foot joint lining A 4.25 5.95 5.51 5.18 4.93 0.55 10.75 10.31 9.98 9.73 0090.10.69.2121110P0 38.2581 4 28052 Biopsy of foot joint lining A 3.94 7.42 6.60 5.25 4.46 0.51 11.87 11.05 9.70 8.91 0090.10.69.2121110P0 38.2581 4 28054 Biopsy of toe joint lining A 3.45 7.01 5.87 4.99 4.35 0.45 10.91 9.77 8.89 8.25 0090.10.69.2121000P0 38.2581 4 28060 Partial removal, foot fascia A 5.23 7.61 6.85 5.82 5.51 0.69 13.53 12.77 11.74 11.43 0090.10.69.2121100P0 38.2581 4 28062 Removal of foot fascia A 6.52 8.52 8.31 5.86 6.31 0.85 15.89 15.68 13.23 13.68 0090.10.69.2120110P0 38.2581 4 28070 Removal of foot joint lining A 5.10 7.75 7.03 5.38 5.25 0.68 13.53 12.81 11.16 11.03 0090.10.69.2120100P0 38.2581 4 28072 Removal of foot joint lining A 4.58 7.27 6.32 6.08 5.43 0.64 12.49 11.54 11.30 10.65 0090.10.69.2120100P0 38.2581 4 28080 Removal of foot lesion A 3.58 6.67 6.11 4.81 4.71 0.50 10.75 10.19 8.89 8.79 0090.10.69.2120000P0 38.2581 4 28086 Excise foot tendon sheath A 4.78 10.76 8.92 6.67 5.85 0.66 16.20 14.36 12.11 11.29 0090.10.69.2121210P0 38.2581 4 28088 Excise foot tendon sheath A 3.86 7.94 6.94 5.80 5.33 0.52 12.32 11.32 10.18 9.71 0090.10.69.2121000P0 38.2581 4 28090 Removal of foot lesion A 4.41 6.96 6.04 5.03 4.59 0.57 11.94 11.02 10.01 9.57 0090.10.69.2121100P0 38.2581 4 28092 Removal of toe lesions A 3.64 7.43 6.12 5.32 4.54 0.46 11.53 10.22 9.42 8.64 0090.10.69.2120100P0 38.2581 4 28100 Removal of ankle/heel lesion A 5.66 10.71 9.28 6.99 6.49 0.76 17.13 15.70 13.41 12.91 0090.10.69.2121210P0 38.2581 4 28102 Remove/graft foot lesion A 7.73 7.90 NA 7.78 7.90 7.78 0.97 16.60 16.48 16.60 16.48 0090.10.69.2121200P0 38.2581 4 28103 Remove/graft foot lesion A 6.50 10.68 9.53 6.98 6.76 0.89 18.07 16.92 14.37 14.15 0090.10.69.2121200P0 38.2581 4 28104 Removal of foot lesion A 5.12 8.02 7.19 6.16 5.80 0.69 13.83 13.00 11.97 11.61 0090.10.69.2120210P0 38.2581 4 28106 Remove/graft foot lesion A 7.16 5.83 NA 6.12 5.83 6.12 1.01 14.00 14.29 14.00 14.29 0090.10.69.2120210P0 38.2581 4 28107 Remove/graft foot lesion A 5.56 8.54 7.72 6.23 5.99 0.74 14.84 14.02 12.53 12.29 0090.10.69.2120200P0 38.2581 4 28108 Removal of toe lesions A 4.16 6.25 5.83 4.74 4.13 0.52 10.93 10.51 9.42 8.81 0090.10.69.2120100P0 38.2581 4 28110 Part removal of metatarsal A 4.08 7.68 6.71 5.99 5.44 0.49 12.25 11.28 10.56 10.01 0090.10.69.2121110P0 38.2581 4 28111 Part removal of metatarsal A 5.01 10.30 9.09 6.96 6.59 0.63 15.94 14.73 12.60 12.23 0090.10.69.2121110P0 38.2581 4 28112 Part removal of metatarsal A 4.49 9.00 7.83 6.61 6.03 0.60 14.09 12.92 11.70 11.12 0090.10.69.2121110P0 38.2581 4 28113 Part removal of metatarsal A 4.79 8.22 7.37 6.35 5.97 0.63 13.64 12.79 11.77 11.39 0090.10.69.2121000P0 38.2581 4 28114 Removal of metatarsal heads A 9.79 14.40 13.29 9.94 9.94 1.36 25.55 24.44 21.09 21.09 0090.10.69.2121210P0 38.2581 4 28116 Revision of foot A 7.75 8.00 7.49 6.35 6.25 1.03 16.78 16.27 15.13 15.03 0090.10.69.2121100P0 38.2581 4 28118 Removal of heel bone A 5.96 9.13 8.40 6.30 6.28 0.79 15.88 15.15 13.05 13.03 0090.10.69.2121210P0 38.2581 4 28119 Removal of heel spur A 5.39 7.33 6.97 5.38 5.51 0.74 13.46 13.10 11.51 11.64 0090.10.69.2121110P0 38.2581 4 28120 Part removal of ankle/heel A 5.40 11.67 10.12 8.70 7.89 0.69 17.76 16.21 14.79 13.98 0090.10.69.2121110P0 38.2581 4 28122 Partial removal of foot bone A 7.29 10.13 8.81 8.40 7.52 0.96 18.38 17.06 16.65 15.77 0090.10.69.2121210P0 38.2581 4 28124 Partial removal of toe A 4.81 7.79 6.96 6.63 5.53 0.65 13.25 12.42 12.09 10.99 0090.10.69.2121100P0 38.2581 4 28126 Partial removal of toe A 3.52 6.68 6.09 6.12 5.13 0.49 10.69 10.10 10.13 9.14 0090.10.69.2120100P0 38.2581 4 28130 Removal of ankle bone A 8.11 7.84 NA 7.79 7.84 7.79 1.11 17.06 17.01 17.06 17.01 0090.10.69.2121210P0 38.2581 4 28140 Removal of metatarsal A 6.91 10.71 9.37 7.47 6.94 0.84 18.46 17.12 15.22 14.69 0090.10.69.2120110P0 38.2581 4 28150 Removal of toe A 4.09 7.74 6.70 6.32 5.63 0.52 12.35 11.31 10.93 10.24 0090.10.69.2120100P0 38.2581 4 28153 Partial removal of toe A 3.66 6.76 6.15 5.22 4.46 0.49 10.91 10.30 9.37 8.61 0090.10.69.2120100P0 38.2581 4 28160 Partial removal of toe A 3.74 7.24 6.55 6.29 5.28 0.51 11.49 10.80 10.54 9.53 0090.10.69.2120100P0 38.2581 4 28171 Extensive foot surgery A 9.60 8.55 NA 8.58 8.55 8.58 1.13 19.28 19.31 19.28 19.31 0090.10.69.2120200P0 38.2581 4 28173 Extensive foot surgery A 8.80 10.93 9.76 7.93 7.51 1.04 20.77 19.60 17.77 17.35 0090.10.69.2120110P0 38.2581 4 28175 Extensive foot surgery A 6.05 7.97 7.44 6.18 6.10 0.75 14.77 14.24 12.98 12.90 0090.10.69.2120110P0 38.2581 4 28190 Removal of foot foreign body A 1.96 5.37 4.17 3.13 2.42 0.16 7.49 6.29 5.25 4.54 0010.10.80.1021100P0 38.2581 4 28192 Removal of foot foreign body A 4.64 6.87 5.68 5.06 4.33 0.52 12.03 10.84 10.22 9.49 0090.10.69.2121100P0 38.2581 4 28193 Removal of foot foreign body A 5.73 7.25 6.08 5.87 5.05 0.63 13.61 12.44 12.23 11.41 0090.10.69.2121100P0 38.2581 4 28200 Repair of foot tendon A 4.60 7.40 6.92 5.45 5.46 0.59 12.59 12.11 10.64 10.65 0090.10.69.2120110P0 38.2581 4 28202 Repair/graft of foot tendon A 6.84 10.71 9.61 6.34 6.34 0.86 18.41 17.31 14.04 14.04 0090.10.69.2120210P0 38.2581 4 28208 Repair of foot tendon A 4.37 7.15 6.13 5.54 4.92 0.59 12.11 11.09 10.50 9.88 0090.10.69.2120110P0 38.2581 4 28210 Repair/graft of foot tendon A 6.35 8.45 7.86 5.70 5.80 0.77 15.57 14.98 12.82 12.92 0090.10.69.2120200P0 38.2581 4 28220 Release of foot tendon A 4.53 6.49 5.92 5.53 4.67 0.63 11.65 11.08 10.69 9.83 0090.10.69.2120100P0 38.2581 4 28222 Release of foot tendons A 5.62 6.97 6.97 6.48 5.73 0.77 13.36 13.36 12.87 12.12 0090.10.69.2120100P0 38.2581 4 28225 Release of foot tendon A 3.66 6.37 5.42 5.05 4.43 0.50 10.53 9.58 9.21 8.59 0090.10.69.2120110P0 38.2581 4 28226 Release of foot tendons A 4.53 6.41 5.73 6.41 5.73 0.62 11.56 10.88 11.56 10.88 0090.10.69.2120100P0 38.2581 4 28230 Incision of foot tendon(s) A 4.24 6.69 5.68 6.17 4.96 0.59 11.52 10.51 11.00 9.79 0090.10.69.2120100P0 38.2581 4 28232 Incision of toe tendon A 3.39 6.66 5.43 5.78 4.55 0.48 10.53 9.30 9.65 8.42 0090.10.69.2120100P0 38.2581 4 28234 Incision of foot tendon A 3.37 6.72 5.46 5.28 4.17 0.46 10.55 9.29 9.11 8.00 0090.10.69.2120100P0 38.2581 4 28238 Revision of foot tendon A 7.73 10.27 9.67 6.87 7.12 1.08 19.08 18.48 15.68 15.93 0090.10.69.2121210P0 38.2581 4 28240 Release of big toe A 4.36 6.66 5.57 5.67 4.83 0.61 11.63 10.54 10.64 9.80 0090.10.69.2121100P0 38.2581 4 28250 Revision of foot fascia A 5.92 8.22 7.38 6.56 6.13 0.81 14.95 14.11 13.29 12.86 0090.10.69.2121210P0 38.2581 4 28260 Release of midfoot joint A 7.96 7.81 7.06 6.77 6.28 1.08 16.85 16.10 15.81 15.32 0090.10.69.2121210P0 38.2581 4 28261 Revision of foot tendon A 11.73 9.61 8.81 8.76 8.17 1.66 23.00 22.20 22.15 21.56 0090.10.69.2121000P0 38.2581 4 28262 Revision of foot and ankle A 15.83 16.96 15.95 14.47 14.09 2.22 35.01 34.00 32.52 32.14 0090.10.69.2121210P0 38.2581 4 28264 Release of midfoot joint A 10.35 10.97 10.82 10.97 10.82 1.46 22.78 22.63 22.78 22.63 0090.10.69.2121200P0 38.2581 4 28270 Release of foot contracture A 4.76 7.16 6.08 6.31 5.09 0.67 12.59 11.51 11.74 10.52 0090.10.69.2121100P0 38.2581 4 28272 Release of toe joint, each A 3.80 6.16 5.17 4.71 3.81 0.52 10.48 9.49 9.03 8.13 0090.10.69.2121100P0 38.2581 4 28280 Fusion of toes A 5.19 8.67 7.11 6.23 5.28 0.72 14.58 13.02 12.14 11.19 0090.10.69.2121000P0 38.2581 4 28285 Repair of hammertoe A 4.59 7.36 6.71 5.78 5.52 0.64 12.59 11.94 11.01 10.75 0090.10.69.2120110P0 38.2581 4 28286 Repair of hammertoe A 4.56 7.03 6.25 5.83 5.35 0.64 12.23 11.45 11.03 10.55 0090.10.69.2120100P0 38.2581 4 28288 Partial removal of foot bone A 4.74 8.06 7.06 7.21 6.43 0.65 13.45 12.45 12.60 11.82 0090.10.69.2120100P0 38.2581 4 28289 Repair hallux rigidus A 7.04 9.49 9.49 7.90 7.90 0.96 17.49 17.49 15.90 15.90 0090.10.69.2121210P0 38.2581 5 28290 Correction of bunion A 5.66 8.97 8.18 7.98 7.44 0.79 15.42 14.63 14.43 13.89 0090.10.69.2121100P1A4550 38.2581 4 28292 Correction of bunion A 7.04 8.66 8.41 6.78 7.00 0.98 16.68 16.43 14.80 15.02 0090.10.69.2121210P1A4550 38.2581 4 28293 Correction of bunion A 9.15 9.77 9.92 7.07 7.89 1.28 20.20 20.35 17.50 18.32 0090.10.69.2121210P1A4550 38.2581 4 28294 Correction of bunion A 8.56 9.11 9.32 7.06 7.78 1.16 18.83 19.04 16.78 17.50 0090.10.69.2121210P1A4550 38.2581 4 28296 Correction of bunion A 9.18 9.80 9.74 7.71 8.17 1.28 20.26 20.20 18.17 18.63 0090.10.69.2121210P1A4550 38.2581 4 28297 Correction of bunion A 9.18 12.14 11.55 9.38 9.48 1.31 22.63 22.04 19.87 19.97 0090.10.69.2121210P1A4550 38.2581 4 28298 Correction of bunion A 7.94 8.69 8.89 7.42 7.93 1.12 17.75 17.95 16.48 16.99 0090.10.69.2121210P1A4550 38.2581 4 28299 Correction of bunion A 8.88 9.63 9.87 7.56 8.32 1.24 19.75 19.99 17.68 18.44 0090.10.69.2121210P1A4550 38.2581 4 28300 Incision of heel bone A 9.54 14.49 12.64 8.89 8.44 1.31 25.34 23.49 19.74 19.29 0090.10.69.2121210P0 38.2581 4 28302 Incision of ankle bone A 9.55 18.57 16.34 8.64 8.89 1.15 29.27 27.04 19.34 19.59 0090.10.69.2121210P0 38.2581 4 28304 Incision of midfoot bones A 9.16 9.14 8.60 7.05 7.04 1.00 19.30 18.76 17.21 17.20 0090.10.69.2120210P0 38.2581 4 28305 Incise/graft midfoot bones A 10.50 14.48 13.53 8.86 9.32 0.55 25.53 24.58 19.91 20.37 0090.10.69.2120210P0 38.2581 4 28306 Incision of metatarsal A 5.86 9.15 8.10 5.74 5.55 0.81 15.82 14.77 12.41 12.22 0090.10.69.2120210P0 38.2581 4 28307 Incision of metatarsal A 6.33 15.34 13.10 7.61 7.30 0.71 22.38 20.14 14.65 14.34 0090.10.69.2120000P0 38.2581 4 28308 Incision of metatarsal A 5.29 6.77 6.63 4.85 5.19 0.74 12.80 12.66 10.88 11.22 0090.10.69.2120210P0 38.2581 4 28309 Incision of metatarsals A 12.78 10.35 NA 9.63 10.35 9.63 1.64 24.77 24.05 24.77 24.05 0090.10.69.2120000P0 38.2581 4 28310 Revision of big toe A 5.43 7.96 7.10 6.04 5.66 0.76 14.15 13.29 12.23 11.85 0090.10.69.2120110P0 38.2581 4 28312 Revision of toe A 4.55 7.58 6.92 6.65 6.23 0.62 12.75 12.09 11.82 11.40 0090.10.69.2120110P0 38.2581 4 28313 Repair deformity of toe A 5.01 7.96 6.67 7.96 6.32 0.68 13.65 12.36 13.65 12.01 0090.10.69.2120100P0 38.2581 4 28315 Removal of sesamoid bone A 4.86 6.62 6.12 4.98 4.89 0.66 12.14 11.64 10.50 10.41 0090.10.69.2121110P0 38.2581 4 28320 Repair of foot bones A 9.18 8.06 NA 8.40 8.06 8.40 1.27 18.51 18.85 18.51 18.85 0090.10.69.2120210P0 38.2581 4 28322 Repair of metatarsals A 8.34 11.48 9.88 8.14 7.37 1.17 20.99 19.39 17.65 16.88 0090.10.69.2120210P0 38.2581 4 28340 Resect enlarged toe tissue A 6.98 8.72 8.26 5.63 5.94 0.98 16.68 16.22 13.59 13.90 0090.10.69.2120100P0 38.2581 4 28341 Resect enlarged toe A 8.41 8.00 8.08 6.47 6.93 1.18 17.59 17.67 16.06 16.52 0090.10.69.2120100P0 38.2581 4 28344 Repair extra toe(s) A 4.26 12.28 10.22 4.98 4.74 0.60 17.14 15.08 9.84 9.60 0090.10.69.2120110P0 38.2581 4 28345 Repair webbed toe(s) A 5.92 8.69 7.97 6.36 6.22 0.84 15.45 14.73 13.12 12.98 0090.10.69.2120000P0 38.2581 4 28360 Reconstruct cleft foot A 13.34 12.16 NA12.35 12.16 12.35 1.88 27.38 27.57 27.38 27.57 0090.10.69.2120200P0 38.2581 4 28400 Treatment of heel fracture A 2.16 5.60 4.90 4.61 3.81 0.29 8.05 7.35 7.06 6.26 0090.10.69.2121100P0 38.2581 4 28405 Treatment of heel fracture A 4.57 6.56 5.98 5.71 5.34 0.63 11.76 11.18 10.91 10.54 0090.10.69.2121000P0 38.2581 4 28406 Treatment of heel fracture A 6.31 8.06 NA 7.70 8.06 7.70 0.87 15.24 14.88 15.24 14.88 0090.10.69.2121000P0 38.2581 4 28415 Treat heel fracture A 15.97 14.47 NA13.30 14.47 13.30 2.24 32.68 31.51 32.68 31.51 0090.10.69.2121210P0 38.2581 4 28420 Treat/graft heel fracture A 16.64 14.54 NA13.86 14.54 13.86 2.29 33.47 32.79 33.47 32.79 0090.10.69.2121210P0 38.2581 4 28430 Treatment of ankle fracture A 2.09 5.19 4.56 4.13 3.43 0.27 7.55 6.92 6.49 5.79 0090.10.69.2121100P0 38.2581 4 28435 Treatment of ankle fracture A 3.40 5.78 5.25 4.59 4.36 0.47 9.65 9.12 8.46 8.23 0090.10.69.2121000P0 38.2581 4 28436 Treatment of ankle fracture A 4.71 7.29 NA 6.61 7.29 6.61 0.66 12.66 11.98 12.66 11.98 0090.10.69.2121100P0 38.2581 4 28445 Treat ankle fracture A 9.33 9.62 NA 9.60 9.62 9.60 1.29 20.24 20.22 20.24 20.22 0090.10.69.2121210P0 38.2581 4 28450 Treat midfoot fracture, each A 1.90 5.06 4.30 3.98 3.24 0.25 7.21 6.45 6.13 5.39 0090.10.69.2120100P0 38.2581 4 28455 Treat midfoot fracture, each A 3.09 5.52 4.83 4.86 3.99 0.43 9.04 8.35 8.38 7.51 0090.10.69.2120000P0 38.2581 4 28456 Treat midfoot fracture A 2.68 5.60 NA 4.82 5.60 4.82 0.36 8.64 7.86 8.64 7.86 0090.10.69.2120100P0 38.2581 4 28465 Treat midfoot fracture, each A 7.01 7.27 NA 6.96 7.27 6.96 0.87 15.15 14.84 15.15 14.84 0090.10.69.2120100P0 38.2581 4 28470 Treat metatarsal fracture A 1.99 4.40 3.79 3.29 2.71 0.26 6.65 6.04 5.54 4.96 0090.10.69.2120100P0 38.2581 4 28475 Treat metatarsal fracture A 2.97 5.06 4.43 4.26 3.51 0.41 8.44 7.81 7.64 6.89 0090.10.69.2120100P0 38.2581 4 28476 Treat metatarsal fracture A 3.38 5.90 NA 5.34 5.90 5.34 0.46 9.74 9.18 9.74 9.18 0090.10.69.2120000P0 38.2581 4 28485 Treat metatarsal fracture A 5.71 7.07 NA 6.57 7.07 6.57 0.80 13.58 13.08 13.58 13.08 0090.10.69.2120110P0 38.2581 4 28490 Treat big toe fracture A 1.09 2.44 2.08 2.00 1.62 0.13 3.66 3.30 3.22 2.84 0090.10.69.2120100P0 38.2581 4 28495 Treat big toe fracture A 1.58 2.56 2.23 2.04 1.68 0.19 4.33 4.00 3.81 3.45 0090.10.69.2120100P0 38.2581 4 28496 Treat big toe fracture A 2.33 9.87 7.97 4.20 3.71 0.32 12.52 10.62 6.85 6.36 0090.10.69.2120100P0 38.2581 4 28505 Treat big toe fracture A 3.81 10.36 8.58 5.93 5.26 0.50 14.67 12.89 10.24 9.57 0090.10.69.2120100P0 38.2581 4 28510 Treatment of toe fracture A 1.09 2.16 1.86 1.97 1.60 0.13 3.38 3.08 3.19 2.82 0090.10.69.2120100P0 38.2581 4 28515 Treatment of toe fracture A 1.46 2.39 2.10 1.99 1.65 0.17 4.02 3.73 3.62 3.28 0090.10.69.2120100P0 38.2581 4 28525 Treat toe fracture A 3.32 9.94 8.02 5.74 4.87 0.44 13.70 11.78 9.50 8.63 0090.10.69.2120000P0 38.2581 4 28530 Treat sesamoid bone fracture A 1.06 2.69 2.29 2.32 1.88 0.13 3.88 3.48 3.51 3.07 0090.10.69.2120000P0 38.2581 4 28531 Treat sesamoid bone fracture A 2.35 11.17 8.90 3.34 3.02 0.33 13.85 11.58 6.02 5.70 0090.10.69.2120120P0 38.2581 4 28540 Treat foot dislocation A 2.04 3.31 2.65 3.31 2.57 0.24 5.59 4.93 5.59 4.85 0090.10.69.2120000P0 38.2581 4 28545 Treat foot dislocation A 2.45 3.58 3.04 3.58 3.04 0.33 6.36 5.82 6.36 5.82 0090.10.69.2120000P0 38.2581 4 28546 Treat foot dislocation A 3.20 5.15 4.61 5.15 4.61 0.46 8.81 8.27 8.81 8.27 0090.10.69.2120000P0 38.2581 4 28555 Repair foot dislocation A 6.30 13.54 11.67 7.83 7.39 0.88 20.72 18.85 15.01 14.57 0090.10.69.2120210P0 38.2581 4 28570 Treat foot dislocation A 1.66 3.60 3.13 3.60 2.92 0.22 5.48 5.01 5.48 4.80 0090.10.69.2120000P0 38.2581 4 28575 Treat foot dislocation A 3.31 6.00 5.25 4.92 4.44 0.45 9.76 9.01 8.68 8.20 0090.10.69.2120000P0 38.2581 4 28576 Treat foot dislocation A 4.17 13.53 10.90 6.03 5.28 0.56 18.26 15.63 10.76 10.01 0090.10.69.2120000P0 38.2581 4 28585 Repair foot dislocation A 7.99 8.46 7.69 7.57 7.02 1.13 17.58 16.81 16.69 16.14 0090.10.69.2120210P0 38.2581 4 28600 Treat foot dislocation A 1.89 4.11 3.27 3.95 3.06 0.24 6.24 5.40 6.08 5.19 0090.10.69.2120000P0 38.2581 4 28605 Treat foot dislocation A 2.71 4.47 3.97 4.47 3.97 0.35 7.53 7.03 7.53 7.03 0090.10.69.2120000P0 38.2581 4 28606 Treat foot dislocation A 4.90 15.49 12.57 6.59 5.89 0.68 21.07 18.15 12.17 11.47 0090.10.69.2120100P0 38.2581 4 28615 Repair foot dislocation A 7.77 8.79 NA 7.94 8.79 7.94 1.09 17.65 16.80 17.65 16.80 0090.10.69.2120210P0 38.2581 4 28630 Treat toe dislocation A 1.70 2.04 1.81 2.04 1.67 0.17 3.91 3.68 3.91 3.54 0010.10.80.1020000P0 38.2581 4 28635 Treat toe dislocation A 1.91 2.40 2.19 2.40 2.00 0.24 4.55 4.34 4.55 4.15 0010.10.80.1020000P0 38.2581 4 28636 Treat toe dislocation A 2.77 6.52 5.59 3.11 3.03 0.39 9.68 8.75 6.27 6.19 0010.10.80.1020120P0 38.2581 4 28645 Repair toe dislocation A 4.22 5.87 5.28 3.96 3.85 0.58 10.67 10.08 8.76 8.65 0090.10.69.2120110P0 38.2581 4 28660 Treat toe dislocation A 1.23 2.87 2.32 2.25 1.86 0.11 4.21 3.66 3.59 3.20 0010.10.80.1020100P0 38.2581 4 28665 Treat toe dislocation A 1.92 2.53 2.16 2.53 2.03 0.24 4.69 4.32 4.69 4.19 0010.10.80.1020000P0 38.2581 4 28666 Treat toe dislocation A 2.66 6.47 5.52 2.29 2.38 0.38 9.51 8.56 5.33 5.42 0010.10.80.1020120P0 38.2581 4 28675 Repair of toe dislocation A 2.92 8.72 7.36 4.46 4.16 0.41 12.05 10.69 7.79 7.49 0090.10.69.2120100P0 38.2581 4 28705 Fusion of foot bones A 15.21 12.61 NA13.56 12.61 13.56 2.13 29.95 30.90 29.95 30.90 0090.10.69.2120210P0 38.2581 4 28715 Fusion of foot bones A 13.10 11.78 NA12.18 11.78 12.18 1.84 26.72 27.12 26.72 27.12 0090.10.69.2120210P0 38.2581 4 28725 Fusion of foot bones A 11.61 10.64 NA10.54 10.64 10.54 1.63 23.88 23.78 23.88 23.78 0090.10.69.2120210P0 38.2581 4 28730 Fusion of foot bones A 10.76 9.92 NA 9.88 9.92 9.88 1.51 22.19 22.15 22.19 22.15 0090.10.69.2120210P0 38.2581 4 28735 Fusion of foot bones A 10.85 10.21 NA10.31 10.21 10.31 1.51 22.57 22.67 22.57 22.67 0090.10.69.2120210P0 38.2581 4 28737 Revision of foot bones A 9.64 8.10 NA 8.48 8.10 8.48 1.36 19.10 19.48 19.10 19.48 0090.10.69.2120210P0 38.2581 4 28740 Fusion of foot bones A 8.02 13.29 11.36 8.26 7.59 1.13 22.44 20.51 17.41 16.74 0090.10.69.2120210P0 38.2581 4 28750 Fusion of big toe joint A 7.30 14.54 12.35 8.49 7.81 1.03 22.87 20.68 16.82 16.14 0090.10.69.2121000P0 38.2581 4 28755 Fusion of big toe joint A 4.74 8.49 7.37 5.92 5.44 0.66 13.89 12.77 11.32 10.84 0090.10.69.2121110P0 38.2581 4 28760 Fusion of big toe joint A 7.75 9.59 8.66 7.00 6.72 1.07 18.41 17.48 15.82 15.54 0090.10.69.2121210P0 38.2581 4 28800 Amputation of midfoot A 8.21 8.64 NA 8.29 8.64 8.29 0.98 17.83 17.48 17.83 17.48 0090.10.69.2121210P0 38.2581 4 28805 Amputation thru metatarsal A 8.39 8.88 NA 8.38 8.88 8.38 0.97 18.24 17.74 18.24 17.74 0090.10.69.2121000P0 38.2581 4 28810 Amputation toe & metatarsal A 6.21 7.69 NA 6.83 7.69 6.83 0.70 14.60 13.74 14.60 13.74 0090.10.69.2120000P0 38.2581 4 28820 Amputation of toe A 4.41 10.94 8.91 6.78 5.79 0.51 15.86 13.83 11.70 10.71 0090.10.69.2120100P0 38.2581 4 28825 Partial amputation of toe A 3.59 10.01 8.16 6.57 5.58 0.43 14.03 12.18 10.59 9.60 0090.10.69.2120100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 29000 Application of body cast A 2.25 2.69 2.52 1.33 1.50 0.30 5.24 5.07 3.88 4.05 0000.00.00.0020000P0 38.2581 4 29010 Application of body cast A 2.06 2.54 2.54 1.26 1.56 0.27 4.87 4.87 3.59 3.89 0000.00.00.0020000P0 38.2581 4 29015 Application of body cast A 2.41 2.54 2.54 1.15 1.18 0.21 5.16 5.16 3.77 3.80 0000.00.00.0020000P0 38.2581 4 29020 Application of body cast A 2.11 2.47 2.35 0.97 0.98 0.16 4.74 4.62 3.24 3.25 0000.00.00.0020000P0 38.2581 4 29025 Application of body cast A 2.40 2.84 2.33 1.44 1.18 0.26 5.50 4.99 4.10 3.84 0000.00.00.0020000P0 38.2581 4 29035 Application of body cast A 1.77 2.50 2.41 1.08 1.08 0.24 4.51 4.42 3.09 3.09 0000.00.00.0020000P0 38.2581 4 29040 Application of body cast A 2.22 1.57 1.73 1.38 1.58 0.35 4.14 4.30 3.95 4.15 0000.00.00.0020000P0 38.2581 4 29044 Application of body cast A 2.12 2.71 2.60 1.31 1.55 0.29 5.12 5.01 3.72 3.96 0000.00.00.0020000P0 38.2581 4 29046 Application of body cast A 2.41 2.86 2.75 1.38 1.64 0.34 5.61 5.50 4.13 4.39 0000.00.00.0020000P0 38.2581 4 29049 Application of figure eight A 0.89 1.54 1.27 0.50 0.43 0.12 2.55 2.28 1.51 1.44 0000.00.00.0020000P0 38.2581 4 29055 Application of shoulder cast A 1.78 2.16 1.95 1.07 1.13 0.24 4.18 3.97 3.09 3.15 0000.00.00.0020000P0 38.2581 4 29058 Application of shoulder cast A 1.31 1.81 1.54 0.63 0.65 0.14 3.26 2.99 2.08 2.10 0000.00.00.0020000P0 38.2581 4 29065 Application of long arm cast A 0.87 1.30 1.19 0.54 0.52 0.12 2.29 2.18 1.53 1.51 0000.00.00.0021100P0 38.2581 4 29075 Application of forearm cast A 0.77 1.24 1.10 0.47 0.44 0.11 2.12 1.98 1.35 1.32 0000.00.00.0021100P0 38.2581 4 29085 Apply hand/wrist cast A 0.87 1.29 1.10 0.47 0.42 0.11 2.27 2.08 1.45 1.40 0000.00.00.0021100P0 38.2581 4 29105 Apply long arm splint A 0.87 1.29 1.10 0.40 0.37 0.11 2.27 2.08 1.38 1.35 0000.00.00.0021100P0 38.2581 4 29125 Apply forearm splint A 0.59 1.14 0.96 0.29 0.27 0.06 1.79 1.61 0.94 0.92 0000.00.00.0021100P0 38.2581 4 29126 Apply forearm splint A 0.77 1.91 1.54 0.44 0.39 0.06 2.74 2.37 1.27 1.22 0000.00.00.0021100P0 38.2581 4 29130 Application of finger splint A 0.50 0.91 0.73 0.27 0.23 0.05 1.46 1.28 0.82 0.78 0000.00.00.0021100P0 38.2581 4 29131 Application of finger splint A 0.55 1.80 1.46 0.38 0.34 0.03 2.38 2.04 0.96 0.92 0000.00.00.0021100P0 38.2581 4 29200 Strapping of chest A 0.65 1.36 1.09 0.29 0.26 0.04 2.05 1.78 0.98 0.95 0000.00.00.0020100P0 38.2581 4 29220 Strapping of low back A 0.64 1.05 0.89 0.33 0.30 0.07 1.76 1.60 1.04 1.01 0000.00.00.0020100P0 38.2581 4 29240 Strapping of shoulder A 0.71 1.43 1.15 0.31 0.31 0.05 2.19 1.91 1.07 1.07 0000.00.00.0020100P0 38.2581 4 29260 Strapping of elbow or wrist A 0.55 1.15 0.93 0.27 0.24 0.04 1.74 1.52 0.86 0.83 0000.00.00.0021100P0 38.2581 4 29280 Strapping of hand or finger A 0.51 1.30 1.03 0.27 0.23 0.04 1.85 1.58 0.82 0.78 0000.00.00.0021100P0 38.2581 4 29305 Application of hip cast A 2.03 2.44 2.34 1.28 1.47 0.29 4.76 4.66 3.60 3.79 0000.00.00.0020000P0 38.2581 4 29325 Application of hip casts A 2.32 2.59 2.47 1.43 1.60 0.31 5.22 5.10 4.06 4.23 0000.00.00.0020000P0 38.2581 4 29345 Application of long leg cast A 1.40 1.68 1.54 0.84 0.77 0.19 3.27 3.13 2.43 2.36 0000.00.00.0021100P0 38.2581 4 29355 Application of long leg cast A 1.53 1.69 1.57 0.87 0.80 0.20 3.42 3.30 2.60 2.53 0000.00.00.0021100P0 38.2581 4 29358 Apply long leg cast brace A 1.43 1.86 1.82 0.93 0.91 0.19 3.48 3.44 2.55 2.53 0000.00.00.0021100P0 38.2581 4 29365 Application of long leg cast A 1.18 1.52 1.37 0.71 0.65 0.17 2.87 2.72 2.06 2.00 0000.00.00.0021100P0 38.2581 4 29405 Apply short leg cast A 0.86 1.20 1.12 0.52 0.50 0.12 2.18 2.10 1.50 1.48 0000.00.00.0021100P0 38.2581 4 29425 Apply short leg cast A 1.01 1.14 1.12 0.56 0.55 0.14 2.29 2.27 1.71 1.70 0000.00.00.0021100P0 38.2581 4 29435 Apply short leg cast A 1.18 1.79 1.66 0.79 0.75 0.17 3.14 3.01 2.14 2.10 0000.00.00.0021100P0 38.2581 4 29440 Addition of walker to cast A 0.57 0.91 0.75 0.32 0.27 0.07 1.55 1.39 0.96 0.91 0000.00.00.0021100P0 38.2581 4 29445 Apply rigid leg cast A 1.78 2.00 1.96 0.86 1.11 0.24 4.02 3.98 2.88 3.13 0000.00.00.0021100P0 38.2581 4 29450 Application of leg cast A 1.02 1.20 1.01 0.57 0.48 0.13 2.35 2.16 1.72 1.63 0000.00.00.0021100P0 38.2581 4 29505 Application, long leg splint A 0.69 1.60 1.36 0.42 0.47 0.06 2.35 2.11 1.17 1.22 0000.00.00.0021100P0 38.2581 4 29515 Application lower leg splint A 0.73 1.15 0.99 0.42 0.38 0.07 1.95 1.79 1.22 1.18 0000.00.00.0021100P0 38.2581 4 29520 Strapping of hip A 0.54 1.54 1.25 0.38 0.34 0.02 2.10 1.81 0.94 0.90 0000.00.00.0020000P0 38.2581 4 29530 Strapping of knee A 0.57 1.22 1.01 0.27 0.30 0.04 1.83 1.62 0.88 0.91 0000.00.00.0020100P0 38.2581 4 29540 Strapping of ankle A 0.51 0.51 0.47 0.26 0.24 0.04 1.06 1.02 0.81 0.79 0000.00.00.0020100P0 38.2581 4 29550 Strapping of toes A 0.47 0.49 0.44 0.23 0.21 0.05 1.01 0.96 0.75 0.73 0000.00.00.0020100P0 38.2581 4 29580 Application of paste boot A 0.57 0.84 0.85 0.31 0.28 0.05 1.46 1.47 0.93 0.90 0000.00.00.0021100P0 38.2581 4 29590 Application of foot splint A 0.76 0.77 0.65 0.41 0.35 0.06 1.59 1.47 1.23 1.17 0000.00.00.0020100P0 38.2581 4 29700 Removal/revision of cast A 0.57 0.81 0.70 0.31 0.28 0.07 1.45 1.34 0.95 0.92 0000.00.00.0020100P0 38.2581 4 29705 Removal/revision of cast A 0.76 0.98 0.83 0.41 0.36 0.10 1.84 1.69 1.27 1.22 0000.00.00.0021100P0 38.2581 4 29710 Removal/revision of cast A 1.34 1.72 1.41 0.85 0.70 0.17 3.23 2.92 2.36 2.21 0000.00.00.0021000P0 38.2581 4 29715 Removal/revision of cast A 0.94 3.64 2.96 0.69 0.64 0.08 4.66 3.98 1.71 1.66 0000.00.00.0020000P0 38.2581 4 29720 Repair of body cast A 0.68 1.46 1.16 0.49 0.40 0.10 2.24 1.94 1.27 1.18 0000.00.00.0020100P0 38.2581 4 29730 Windowing of cast A 0.75 0.93 0.77 0.39 0.33 0.10 1.78 1.62 1.24 1.18 0000.00.00.0020100P0 38.2581 4 29740 Wedging of cast A 1.12 1.36 1.12 0.53 0.45 0.15 2.63 2.39 1.80 1.72 0000.00.00.0020100P0 38.2581 4 29750 Wedging of clubfoot cast A 1.26 1.56 1.31 0.58 0.50 0.16 2.98 2.73 2.00 1.92 0000.00.00.0021000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 29800 Jaw arthroscopy/surgery A 6.43 8.44 NA 7.42 8.44 7.42 0.84 15.71 14.69 15.71 14.69 0090.10.69.2121000P0 38.2581 4 29804 Jaw arthroscopy/surgery A 8.14 8.78 NA 9.01 8.78 9.01 0.66 17.58 17.81 17.58 17.81 0090.10.69.2121210P0 38.2581 4 29815 Shoulder arthroscopy A 5.89 7.32 NA 6.80 7.32 6.80 0.83 14.04 13.52 14.04 13.52 0090.10.69.2121110P0 38.2581 4 29819 Shoulder arthroscopy/surgery A 7.62 9.18 NA 9.16 9.18 9.16 1.07 17.87 17.85 17.87 17.85 0090.10.69.2131110P0 29815 38.2581 4 29820 Shoulder arthroscopy/surgery A 7.07 8.81 NA 8.72 8.81 8.72 0.99 16.87 16.78 16.87 16.78 0090.10.69.2131210P0 29815 38.2581 4 29821 Shoulder arthroscopy/surgery A 7.72 9.18 NA 9.19 9.18 9.19 1.08 17.98 17.99 17.98 17.99 0090.10.69.2131210P0 29815 38.2581 4 29822 Shoulder arthroscopy/surgery A 7.43 9.08 NA 9.03 9.08 9.03 1.04 17.55 17.50 17.55 17.50 0090.10.69.2131200P0 29815 38.2581 4 29823 Shoulder arthroscopy/surgery A 8.17 9.43 NA 9.51 9.43 9.51 1.15 18.75 18.83 18.75 18.83 0090.10.69.2131210P0 29815 38.2581 4 29825 Shoulder arthroscopy/surgery A 7.62 9.19 NA 9.17 9.19 9.17 1.06 17.87 17.85 17.87 17.85 0090.10.69.2131210P0 29815 38.2581 4 29826 Shoulder arthroscopy/surgery A 8.99 9.92 NA10.12 9.92 10.12 1.26 20.17 20.37 20.17 20.37 0090.10.69.2131210P0 29815 38.2581 4 29830 Elbow arthroscopy A 5.76 5.70 NA 5.72 5.70 5.72 0.79 12.25 12.27 12.25 12.27 0090.10.69.2121100P0 38.2581 4 29834 Elbow arthroscopy/surgery A 6.28 6.48 NA 6.45 6.48 6.45 0.86 13.62 13.59 13.62 13.59 0090.10.69.2131210P0 29830 38.2581 4 29835 Elbow arthroscopy/surgery A 6.48 6.47 NA 6.49 6.47 6.49 0.88 13.83 13.85 13.83 13.85 0090.10.69.2131210P0 29830 38.2581 4 29836 Elbow arthroscopy/surgery A 7.55 7.20 NA 7.31 7.20 7.31 1.06 15.81 15.92 15.81 15.92 0090.10.69.2131210P0 29830 38.2581 4 29837 Elbow arthroscopy/surgery A 6.87 6.78 NA 6.82 6.78 6.82 0.96 14.61 14.65 14.61 14.65 0090.10.69.2131210P0 29830 38.2581 4 29838 Elbow arthroscopy/surgery A 7.71 7.28 NA 7.37 7.28 7.37 1.07 16.06 16.15 16.06 16.15 0090.10.69.2131000P0 29830 38.2581 4 29840 Wrist arthroscopy A 5.54 8.18 NA 7.03 8.18 7.03 0.69 14.41 13.26 14.41 13.26 0090.10.69.2121000P0 38.2581 4 29843 Wrist arthroscopy/surgery A 6.01 7.93 NA 7.47 7.93 7.47 0.82 14.76 14.30 14.76 14.30 0090.10.69.2131210P0 29840 38.2581 4 29844 Wrist arthroscopy/surgery A 6.37 8.08 NA 7.58 8.08 7.58 0.86 15.31 14.81 15.31 14.81 0090.10.69.2131200P0 29840 38.2581 4 29845 Wrist arthroscopy/surgery A 7.52 8.52 NA 8.29 8.52 8.29 0.84 16.88 16.65 16.88 16.65 0090.10.69.2131210P0 29840 38.2581 4 29846 Wrist arthroscopy/surgery A 6.75 10.57 NA 9.94 10.57 9.94 0.89 18.21 17.58 18.21 17.58 0090.10.69.2131000P0 29840 38.2581 4 29847 Wrist arthroscopy/surgery A 7.08 10.51 NA 9.72 10.51 9.72 0.91 18.50 17.71 18.50 17.71 0090.10.69.2131200P0 29840 38.2581 4 29848 Wrist endoscopy/surgery A 5.44 7.73 NA 6.84 7.73 6.84 0.72 13.89 13.00 13.89 13.00 0090.10.69.2121100P0 38.2581 4 29850 Knee arthroscopy/surgery A 8.19 6.91 NA 7.63 6.91 6.41 0.74 15.84 16.56 15.84 15.34 0090.10.69.2121020P0 38.2581 4 29851 Knee arthroscopy/surgery A 13.10 11.33 NA11.47 11.33 11.47 1.81 26.24 26.38 26.24 26.38 0090.10.69.2121220P0 38.2581 4 29855 Tibial arthroscopy/surgery A 10.62 9.99 NA10.66 9.99 10.66 1.50 22.11 22.78 22.11 22.78 0090.10.69.2121220P0 38.2581 4 29856 Tibial arthroscopy/surgery A 14.14 11.94 NA12.13 11.94 12.13 2.00 28.08 28.27 28.08 28.27 0090.10.69.2121220P0 38.2581 4 29860 Hip arthroscopy, dx A 8.05 7.60 NA 7.01 7.60 7.01 1.14 16.79 16.20 16.79 16.20 0090.10.69.2121210P0 38.2581 4 29861 Hip arthroscopy/surgery A 9.15 8.74 NA 9.10 8.74 9.10 1.29 19.18 19.54 19.18 19.54 0090.10.69.2131210P0 29860 38.2581 4 29862 Hip arthroscopy/surgery A 9.90 9.07 NA 9.54 9.07 9.54 1.39 20.36 20.83 20.36 20.83 0090.10.69.2131210P0 29860 38.2581 4 29863 Hip arthroscopy/surgery A 9.90 9.71 NA 9.65 9.71 9.65 1.40 21.01 20.95 21.01 20.95 0090.10.69.2131210P0 29860 38.2581 4 29870 Knee arthroscopy, dx A 5.07 5.79 NA 5.43 5.79 5.43 0.67 11.53 11.17 11.53 11.17 0090.10.69.2121110P0 38.2581 4 29871 Knee arthroscopy/drainage A 6.55 7.75 NA 7.65 7.75 7.65 0.88 15.18 15.08 15.18 15.08 0090.10.69.2131100P0 29870 38.2581 4 29874 Knee arthroscopy/surgery A 7.05 7.42 NA 7.67 7.42 7.67 0.87 15.34 15.59 15.34 15.59 0090.10.69.2131000P0 29870 38.2581 4 29875 Knee arthroscopy/surgery A 6.31 7.15 NA 7.25 7.15 7.25 0.88 14.34 14.44 14.34 14.44 0090.10.69.2131000P0 29870 38.2581 4 29876 Knee arthroscopy/surgery A 7.92 8.57 NA 8.79 8.57 8.79 1.11 17.60 17.82 17.60 17.82 0090.10.69.2131100P0 29870 38.2581 4 29877 Knee arthroscopy/surgery A 7.35 7.74 NA 8.00 7.74 8.00 1.03 16.12 16.38 16.12 16.38 0090.10.69.2131000P0 29870 38.2581 4 29879 Knee arthroscopy/surgery A 8.04 8.12 NA 8.49 8.12 8.49 1.13 17.29 17.66 17.29 17.66 0090.10.69.2131000P0 29870 38.2581 4 29880 Knee arthroscopy/surgery A 8.50 8.38 NA 8.82 8.38 8.82 1.19 18.07 18.51 18.07 18.51 0090.10.69.2131010P0 29870 38.2581 4 29881 Knee arthroscopy/surgery A 7.76 7.96 NA 8.29 7.96 8.29 1.09 16.81 17.14 16.81 17.14 0090.10.69.2131000P0 29870 38.2581 4 29882 Knee arthroscopy/surgery A 8.65 7.96 NA 8.55 7.96 8.55 1.09 17.70 18.29 17.70 18.29 0090.10.69.2131100P0 29870 38.2581 4 29883 Knee arthroscopy/surgery A 9.46 8.91 NA 9.51 8.91 9.51 1.33 19.70 20.30 19.70 20.30 0090.10.69.2131000P0 29870 38.2581 4 29884 Knee arthroscopy/surgery A 7.33 8.25 NA 8.38 8.25 8.38 1.03 16.61 16.74 16.61 16.74 0090.10.69.2131210P0 29870 38.2581 4 29885 Knee arthroscopy/surgery A 9.09 9.19 NA 9.13 9.19 9.13 1.27 19.55 19.49 19.55 19.49 0090.10.69.2131210P0 29870 38.2581 4 29886 Knee arthroscopy/surgery A 7.54 8.36 NA 8.12 8.36 8.12 1.06 16.96 16.72 16.96 16.72 0090.10.69.2131100P0 29870 38.2581 4 29887 Knee arthroscopy/surgery A 9.04 9.19 NA 9.59 9.19 9.59 1.27 19.50 19.90 19.50 19.90 0090.10.69.2131210P0 29870 38.2581 4 29888 Knee arthroscopy/surgery A 13.90 11.86 NA13.04 11.86 13.04 1.95 27.71 28.89 27.71 28.89 0090.10.69.2121210P0 38.2581 4 29889 Knee arthroscopy/surgery A 15.13 12.45 NA12.12 12.45 12.12 2.11 29.69 29.36 29.69 29.36 0090.10.69.2121210P0 38.2581 4 29891 Ankle arthroscopy/surgery A 8.40 8.72 NA 8.95 8.72 8.95 1.17 18.29 18.52 18.29 18.52 0090.10.69.2121200P0 38.2581 4 29892 Ankle arthroscopy/surgery A 9.00 8.56 NA 8.83 8.56 8.83 1.26 18.82 19.09 18.82 19.09 0090.10.69.2121200P0 38.2581 4 29893 Scope, plantar fasciotomy A 5.22 4.71 NA 4.94 4.71 4.94 0.74 10.67 10.90 10.67 10.90 0090.10.69.2121210P0 38.2581 4 29894 Ankle arthroscopy/surgery A 7.21 7.36 NA 7.67 7.36 7.67 1.01 15.58 15.89 15.58 15.89 0090.10.69.2121210P0 38.2581 4 29895 Ankle arthroscopy/surgery A 6.99 7.66 NA 7.83 7.66 7.83 0.97 15.62 15.79 15.62 15.79 0090.10.69.2121210P0 38.2581 4 29897 Ankle arthroscopy/surgery A 7.18 8.29 NA 8.36 8.29 8.36 1.01 16.48 16.55 16.48 16.55 0090.10.69.2121200P0 38.2581 4 29898 Ankle arthroscopy/surgery A 8.32 8.12 NA 8.57 8.12 8.57 1.14 17.58 18.03 17.58 18.03 0090.10.69.2121210P0 38.2581 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 0YYY.00.00.0021111P0 38.2581 9 30000 Drainage of nose lesion A 1.43 2.41 1.97 1.46 1.18 0.10 3.94 3.50 2.99 2.71 0010.10.80.1020000P0 38.2581 4 30020 Drainage of nose lesion A 1.43 2.66 2.16 1.53 1.23 0.08 4.17 3.67 3.04 2.74 0010.10.80.1020100P0 38.2581 4 30100 Intranasal biopsy A 0.94 1.29 1.16 0.52 0.49 0.06 2.29 2.16 1.52 1.49 0000.00.00.0020100P0 38.2581 4 30110 Removal of nose polyp(s) A 1.63 2.68 2.36 0.89 0.84 0.12 4.43 4.11 2.64 2.59 0010.10.80.1021100P0 38.2581 4 30115 Removal of nose polyp(s) A 4.35 4.38 NA 4.05 4.38 4.05 0.31 9.04 8.71 9.04 8.71 0090.10.76.1421100P0 38.2581 4 30117 Removal of intranasal lesion A 3.16 4.65 4.26 3.09 3.09 0.22 8.03 7.64 6.47 6.47 0090.10.76.1420100P0 38.2581 4 30118 Removal of intranasal lesion A 9.69 7.44 NA 7.75 7.44 7.75 0.66 17.79 18.10 17.79 18.10 0090.10.76.1420210P0 38.2581 4 30120 Revision of nose A 5.27 5.87 5.98 5.87 5.98 0.41 11.55 11.66 11.55 11.66 0090.10.76.1420100P0 38.2581 4 30124 Removal of nose lesion A 3.10 3.30 NA 2.84 3.30 2.66 0.20 6.60 6.14 6.60 5.96 0090.10.76.1420100P0 38.2581 4 30125 Removal of nose lesion A 7.16 6.31 NA 6.24 6.31 6.24 0.54 14.01 13.94 14.01 13.94 0090.10.76.1420200P0 38.2581 4 30130 Removal of turbinate bones A 3.38 3.87 NA 3.36 3.87 3.36 0.22 7.47 6.96 7.47 6.96 0090.10.76.1421100P0 38.2581 4 30140 Removal of turbinate bones A 3.43 4.42 NA 4.14 4.42 4.14 0.24 8.09 7.81 8.09 7.81 0090.10.76.1421100P0 38.2581 4 30150 Partial removal of nose A 9.14 8.45 NA 8.49 8.45 8.49 0.76 18.35 18.39 18.35 18.39 0090.10.76.1420110P0 38.2581 4 30160 Removal of nose A 9.58 8.31 NA 9.09 8.31 9.09 0.78 18.67 19.45 18.67 19.45 0090.10.76.1420210P0 38.2581 4 30200 Injection treatment of nose A 0.78 1.17 0.98 0.44 0.38 0.06 2.01 1.82 1.28 1.22 0000.00.00.0020100P0 38.2581 4 30210 Nasal sinus therapy A 1.08 2.06 1.62 0.60 0.49 0.08 3.22 2.78 1.76 1.65 0010.10.80.1020100P0 38.2581 4 30220 Insert nasal septal button A 1.54 2.38 2.20 0.86 0.85 0.11 4.03 3.85 2.51 2.50 0010.10.80.1020100P0 38.2581 4 30300 Remove nasal foreign body A 1.04 2.51 2.01 0.38 0.35 0.07 3.62 3.12 1.49 1.46 0010.10.80.1020100P0 38.2581 4 30310 Remove nasal foreign body A 1.96 1.85 NA 1.83 1.85 1.83 0.14 3.95 3.93 3.95 3.93 0010.10.80.1020000P0 38.2581 4 30320 Remove nasal foreign body A 4.52 5.32 NA 5.16 5.32 5.16 0.36 10.20 10.04 10.20 10.04 0090.10.76.1420000P0 38.2581 4 30400 Reconstruction of nose R 9.83 8.59 NA 9.15 8.59 9.15 0.80 19.22 19.78 19.22 19.78 0090.10.76.1420000P0 38.2581 4 30410 Reconstruction of nose R 12.98 10.43 NA11.70 10.43 11.70 1.08 24.49 25.76 24.49 25.76 0090.10.76.1420200P0 38.2581 4 30420 Reconstruction of nose R 15.88 12.14 NA13.85 12.14 13.85 1.24 29.26 30.97 29.26 30.97 0090.10.76.1420100P0 38.2581 4 30430 Revision of nose R 7.21 7.03 NA 6.93 7.03 6.93 0.62 14.86 14.76 14.86 14.76 0090.10.76.1420200P0 38.2581 4 30435 Revision of nose R 11.71 10.27 NA10.46 10.27 10.46 1.10 23.08 23.27 23.08 23.27 0090.10.76.1420200P0 38.2581 4 30450 Revision of nose R 18.65 13.91 NA13.48 13.91 13.48 1.53 34.09 33.66 34.09 33.66 0090.10.76.1420200P0 38.2581 4 30460 Revision of nose A 9.96 9.30 NA 9.30 9.30 9.30 0.85 20.11 20.11 20.11 20.11 0090.10.76.1420220P0 38.2581 4 30462 Revision of nose A 19.57 14.77 NA15.73 14.77 15.73 1.92 36.26 37.22 36.26 37.22 0090.10.76.1420220P0 38.2581 4 30465 Repair nasal stenosis A 11.64 9.12 NA 9.12 9.12 9.12 0.82 21.58 21.58 21.58 21.58 0090.10.76.142000090 38.2581 5 30520 Repair of nasal septum A 5.70 5.71 NA 5.98 5.71 5.98 0.41 11.82 12.09 11.82 12.09 0090.10.76.1420100P0 38.2581 4 30540 Repair nasal defect A 7.75 6.38 NA 6.59 6.38 6.59 0.53 14.66 14.87 14.66 14.87 0090.10.76.1420200P0 38.2581 4 30545 Repair nasal defect A 11.38 8.21 NA 9.10 8.21 9.10 0.80 20.39 21.28 20.39 21.28 0090.10.76.1420200P0 38.2581 4 30560 Release of nasal adhesions A 1.26 2.26 1.85 1.46 1.17 0.09 3.61 3.20 2.81 2.52 0010.10.80.1020100P0 38.2581 4 30580 Repair upper jaw fistula A 6.69 4.95 5.41 4.95 4.56 0.50 12.14 12.60 12.14 11.75 0090.10.76.1420100P0 38.2581 4 30600 Repair mouth/nose fistula A 6.02 5.14 4.88 5.14 4.88 0.70 11.86 11.60 11.86 11.60 0090.10.76.1420000P0 38.2581 4 30620 Intranasal reconstruction A 5.97 6.40 NA 6.58 6.40 6.58 0.45 12.82 13.00 12.82 13.00 0090.10.76.1420100P0 38.2581 4 30630 Repair nasal septum defect A 7.12 6.86 NA 6.84 6.86 6.84 0.51 14.49 14.47 14.49 14.47 0090.10.76.1420000P0 38.2581 4 30801 Cauterization, inner nose A 1.09 2.46 1.97 2.20 1.72 0.08 3.63 3.14 3.37 2.89 0010.10.80.1022100P0 38.2581 4 30802 Cauterization, inner nose A 2.03 3.00 2.51 2.74 2.31 0.15 5.18 4.69 4.92 4.49 0010.10.80.1022100P0 38.2581 4 30901 Control of nosebleed A 1.21 2.05 1.69 0.44 0.41 0.09 3.35 2.99 1.74 1.71 0000.00.00.0021100P0 38.2581 4 30903 Control of nosebleed A 1.54 2.46 2.08 0.62 0.70 0.12 4.12 3.74 2.28 2.36 0000.00.00.0021100P0 38.2581 4 30905 Control of nosebleed A 1.97 4.29 3.70 0.88 1.15 0.15 6.41 5.82 3.00 3.27 0000.00.00.0022100P0 38.2581 4 30906 Repeat control of nosebleed A 2.45 4.52 3.68 1.34 1.30 0.17 7.14 6.30 3.96 3.92 0000.00.00.0022100P0 38.2581 4 30915 Ligation, nasal sinus artery A 7.20 6.86 NA 6.49 6.86 6.49 0.50 14.56 14.19 14.56 14.19 0090.10.76.1420100P0 38.2581 4 30920 Ligation, upper jaw artery A 9.83 8.32 NA 8.83 8.32 8.83 0.69 18.84 19.35 18.84 19.35 0090.10.76.1420100P0 38.2581 4 30930 Therapy, fracture of nose A 1.26 2.09 NA 1.76 2.09 1.76 0.09 3.44 3.11 3.44 3.11 0010.10.80.1021100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 31000 Irrigation, maxillary sinus A 1.15 2.35 1.88 0.63 0.53 0.08 3.58 3.11 1.86 1.76 0010.10.80.1021100P0 38.2581 4 31002 Irrigation, sphenoid sinus A 1.91 1.96 NA 1.60 1.96 1.53 0.14 4.01 3.65 4.01 3.58 0010.10.80.1021000P0 38.2581 4 31020 Exploration, maxillary sinus A 2.94 4.24 3.90 3.54 3.38 0.20 7.38 7.04 6.68 6.52 0090.10.76.1421100P0 38.2581 4 31030 Exploration, maxillary sinus A 5.92 4.79 5.36 4.53 5.17 0.42 11.13 11.70 10.87 11.51 0090.10.76.1421100P0 38.2581 4 31032 Explore sinus,remove polyps A 6.57 5.90 NA 6.39 5.90 6.39 0.47 12.94 13.43 12.94 13.43 0090.10.76.1421100P0 38.2581 4 31040 Exploration behind upper jaw A 9.42 6.74 NA 7.22 6.74 7.22 0.71 16.87 17.35 16.87 17.35 0090.10.76.1420110P0 38.2581 4 31050 Exploration, sphenoid sinus A 5.28 4.93 NA 5.28 4.93 5.28 0.39 10.60 10.95 10.60 10.95 0090.10.76.1421100P0 38.2581 4 31051 Sphenoid sinus surgery A 7.11 6.34 NA 6.88 6.34 6.88 0.55 14.00 14.54 14.00 14.54 0090.10.76.1421100P0 38.2581 4 31070 Exploration of frontal sinus A 4.28 4.86 NA 4.92 4.86 4.92 0.30 9.44 9.50 9.44 9.50 0090.10.76.1421100P0 38.2581 4 31075 Exploration of frontal sinus A 9.16 8.02 NA 8.75 8.02 8.75 0.64 17.82 18.55 17.82 18.55 0090.10.76.1421210P0 38.2581 4 31080 Removal of frontal sinus A 11.42 8.73 NA 9.05 8.73 9.05 0.78 20.93 21.25 20.93 21.25 0090.10.76.1421200P0 38.2581 4 31081 Removal of frontal sinus A 12.75 9.32 NA 9.79 9.32 9.79 1.84 23.91 24.38 23.91 24.38 0090.10.76.1421210P0 38.2581 4 31084 Removal of frontal sinus A 13.51 10.38 NA11.80 10.38 11.80 0.96 24.85 26.27 24.85 26.27 0090.10.76.1421210P0 38.2581 4 31085 Removal of frontal sinus A 14.20 10.62 NA12.20 10.62 12.20 1.18 26.00 27.58 26.00 27.58 0090.10.76.1421210P0 38.2581 4 31086 Removal of frontal sinus A 12.86 9.94 NA10.41 9.94 10.41 0.90 23.70 24.17 23.70 24.17 0090.10.76.1421200P0 38.2581 4 31087 Removal of frontal sinus A 13.10 10.43 NA10.64 10.43 10.64 1.15 24.68 24.89 24.68 24.89 0090.10.76.1421210P0 38.2581 4 31090 Exploration of sinuses A 9.53 8.66 NA 9.34 8.66 9.34 0.66 18.85 19.53 18.85 19.53 0090.10.76.1421100P0 38.2581 4 31200 Removal of ethmoid sinus A 4.97 5.85 NA 5.64 5.85 5.64 0.25 11.07 10.86 11.07 10.86 0090.10.76.1421100P0 38.2581 4 31201 Removal of ethmoid sinus A 8.37 7.60 NA 7.60 7.60 7.60 0.58 16.55 16.55 16.55 16.55 0090.10.76.1421100P0 38.2581 4 31205 Removal of ethmoid sinus A 10.24 8.48 NA 8.54 8.48 8.54 0.58 19.30 19.36 19.30 19.36 0090.10.76.1421210P0 38.2581 4 31225 Removal of upper jaw A 19.23 14.86 NA16.42 14.86 16.42 1.38 35.47 37.03 35.47 37.03 0090.10.76.1421210P0 38.2581 4 31230 Removal of upper jaw A 21.94 16.17 NA18.03 16.17 18.03 1.57 39.68 41.54 39.68 41.54 0090.10.76.1421210P0 38.2581 4 31231 Nasal endoscopy, dx A 1.10 1.90 1.80 0.59 0.82 0.08 3.08 2.98 1.77 2.00 0000.00.00.0022100P0 38.2581 4 31233 Nasal/sinus endoscopy, dx A 2.18 2.53 2.66 1.18 1.27 0.16 4.87 5.00 3.52 3.61 0000.00.00.0021100P0 38.2581 4 31235 Nasal/sinus endoscopy, dx A 2.64 2.80 2.75 1.47 1.43 0.18 5.62 5.57 4.29 4.25 0000.00.00.0021100P0 38.2581 4 31237 Nasal/sinus endoscopy, surg A 2.98 3.07 3.19 1.62 1.66 0.21 6.26 6.38 4.81 4.85 0000.00.00.0021100P0 38.2581 4 31238 Nasal/sinus endoscopy, surg A 3.26 3.58 3.66 1.83 1.86 0.23 7.07 7.15 5.32 5.35 0000.00.00.0021000P0 38.2581 4 31239 Nasal/sinus endoscopy, surg A 8.70 6.54 NA 7.50 6.54 7.50 0.46 15.70 16.66 15.70 16.66 0010.10.80.1021000P0 38.2581 4 31240 Nasal/sinus endoscopy, surg A 2.61 1.57 NA 1.96 1.57 1.96 0.18 4.36 4.75 4.36 4.75 0000.00.00.0021000P0 38.2581 4 31254 Revision of ethmoid sinus A 4.65 2.72 NA 3.43 2.72 3.43 0.32 7.69 8.40 7.69 8.40 0000.00.00.0021100P0 38.2581 4 31255 Removal of ethmoid sinus A 6.96 4.02 NA 5.09 4.02 5.09 0.49 11.47 12.54 11.47 12.54 0000.00.00.0021100P0 38.2581 4 31256 Exploration maxillary sinus A 3.29 1.95 NA 2.45 1.95 2.45 0.23 5.47 5.97 5.47 5.97 0000.00.00.0021100P0 38.2581 4 31267 Endoscopy, maxillary sinus A 5.46 3.18 NA 3.81 3.18 3.81 0.38 9.02 9.65 9.02 9.65 0000.00.00.0021100P0 38.2581 4 31276 Sinus endoscopy, surgical A 8.85 5.09 NA 5.64 5.09 5.64 0.62 14.56 15.11 14.56 15.11 0000.00.00.0021100P0 38.2581 4 31287 Nasal/sinus endoscopy, surg A 3.92 2.31 NA 2.90 2.31 2.90 0.27 6.50 7.09 6.50 7.09 0000.00.00.0021000P0 38.2581 4 31288 Nasal/sinus endoscopy, surg A 4.58 2.68 NA 3.38 2.68 3.38 0.32 7.58 8.28 7.58 8.28 0000.00.00.0021000P0 38.2581 4 31290 Nasal/sinus endoscopy, surg A 17.24 11.57 NA13.15 11.57 13.15 1.20 30.01 31.59 30.01 31.59 0010.10.80.1021000P0 38.2581 4 31291 Nasal/sinus endoscopy, surg A 18.19 11.77 NA13.53 11.77 13.53 1.73 31.69 33.45 31.69 33.45 0010.10.80.1021000P0 38.2581 4 31292 Nasal/sinus endoscopy, surg A 14.76 9.98 NA11.12 9.98 11.12 0.99 25.73 26.87 25.73 26.87 0010.10.80.1021000P0 38.2581 4 31293 Nasal/sinus endoscopy, surg A 16.21 10.77 NA12.05 10.77 12.05 0.97 27.95 29.23 27.95 29.23 0010.10.80.1021000P0 38.2581 4 31294 Nasal/sinus endoscopy, surg A 19.06 11.64 NA13.27 11.64 13.27 1.04 31.74 33.37 31.74 33.37 0010.10.80.1021000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 31300 Removal of larynx lesion A 14.29 16.61 NA15.60 16.61 15.60 0.99 31.89 30.88 31.89 30.88 0090.10.76.1420210P0 38.2581 4 31320 Diagnostic incision, larynx A 5.26 12.92 NA10.74 12.92 10.74 0.40 18.58 16.40 18.58 16.40 0090.10.76.1420000P0 38.2581 4 31360 Removal of larynx A 17.08 18.44 NA18.93 18.44 18.93 1.20 36.72 37.21 36.72 37.21 0090.10.76.1420210P0 38.2581 4 31365 Removal of larynx A 24.16 22.05 NA23.75 22.05 23.75 1.72 47.93 49.63 47.93 49.63 0090.10.76.1420210P0 38.2581 4 31367 Partial removal of larynx A 21.86 22.72 NA21.71 22.72 21.71 1.57 46.15 45.14 46.15 45.14 0090.10.76.1420210P0 38.2581 4 31368 Partial removal of larynx A 27.09 27.49 NA27.88 27.49 27.88 1.90 56.48 56.87 56.48 56.87 0090.10.76.1420210P0 38.2581 4 31370 Partial removal of larynx A 21.38 22.64 NA21.64 22.64 21.64 1.51 45.53 44.53 45.53 44.53 0090.10.76.1420210P0 38.2581 4 31375 Partial removal of larynx A 20.21 20.48 NA19.39 20.48 19.39 1.43 42.12 41.03 42.12 41.03 0090.10.76.1420210P0 38.2581 4 31380 Partial removal of larynx A 20.21 20.06 NA19.73 20.06 19.73 1.40 41.67 41.34 41.67 41.34 0090.10.76.1420210P0 38.2581 4 31382 Partial removal of larynx A 20.52 22.21 NA21.02 22.21 21.02 1.44 44.17 42.98 44.17 42.98 0090.10.76.1420210P0 38.2581 4 31390 Removal of larynx & pharynx A 27.53 27.91 NA28.28 27.91 28.28 1.95 57.39 57.76 57.39 57.76 0090.10.76.1420210P0 38.2581 4 31395 Reconstruct larynx & pharynx A 31.09 32.98 NA33.83 32.98 33.83 2.27 66.34 67.19 66.34 67.19 0090.10.76.1420210P0 38.2581 4 31400 Revision of larynx A 10.31 15.04 NA13.40 15.04 13.40 0.72 26.07 24.43 26.07 24.43 0090.10.76.1420200P0 38.2581 4 31420 Removal of epiglottis A 10.22 14.96 NA13.41 14.96 13.41 0.71 25.89 24.34 25.89 24.34 0090.10.76.1420210P0 38.2581 4 31500 Insert emergency airway A 2.33 0.67 NA 0.81 0.67 0.81 0.15 3.15 3.29 3.15 3.29 0000.00.00.0000100P0 38.2581 4 31502 Change of windpipe airway A 0.65 1.82 1.52 0.26 0.35 0.04 2.51 2.21 0.95 1.04 0000.00.00.0020100P0 38.2581 4 31505 Diagnostic laryngoscopy A 0.61 1.72 1.41 0.34 0.32 0.04 2.37 2.06 0.99 0.97 0000.00.00.0020100P0 38.2581 4 31510 Laryngoscopy with biopsy A 1.92 2.67 2.15 1.01 0.91 0.15 4.74 4.22 3.08 2.98 0000.00.00.0030000P0 31505 38.2581 4 31511 Remove foreign body, larynx A 2.16 2.93 2.46 0.76 0.83 0.16 5.25 4.78 3.08 3.15 0000.00.00.0030100P0 31505 38.2581 4 31512 Removal of larynx lesion A 2.07 2.87 2.64 1.13 1.33 0.16 5.10 4.87 3.36 3.56 0000.00.00.0030000P0 31505 38.2581 4 31513 Injection into vocal cord A 2.10 1.28 NA 1.59 1.28 1.59 0.15 3.53 3.84 3.53 3.84 0000.00.00.0030000P0 31505 38.2581 4 31515 Laryngoscopy for aspiration A 1.80 2.35 2.07 0.84 0.94 0.12 4.27 3.99 2.76 2.86 0000.00.00.0020100P0 38.2581 4 31520 Diagnostic laryngoscopy A 2.56 1.40 NA 1.50 1.40 1.50 0.17 4.13 4.23 4.13 4.23 0000.00.00.0020000P0 38.2581 4 31525 Diagnostic laryngoscopy A 2.63 2.80 2.70 1.49 1.42 0.18 5.61 5.51 4.30 4.23 0000.00.00.0020100P0 38.2581 4 31526 Diagnostic laryngoscopy A 2.57 1.54 NA 1.92 1.54 1.92 0.18 4.29 4.67 4.29 4.67 0000.00.00.0020100P0 38.2581 4 31527 Laryngoscopy for treatment A 3.27 1.69 NA 2.08 1.69 2.08 0.21 5.17 5.56 5.17 5.56 0000.00.00.0030000P0 31525 38.2581 4 31528 Laryngoscopy and dilatation A 2.37 1.30 NA 1.68 1.30 1.68 0.16 3.83 4.21 3.83 4.21 0000.00.00.0030000P0 31525 38.2581 4 31529 Laryngoscopy and dilatation A 2.68 1.58 NA 1.85 1.58 1.85 0.18 4.44 4.71 4.44 4.71 0000.00.00.0030000P0 31525 38.2581 4 31530 Operative laryngoscopy A 3.39 1.81 NA 2.34 1.81 2.34 0.24 5.44 5.97 5.44 5.97 0000.00.00.0030100P0 31525 38.2581 4 31531 Operative laryngoscopy A 3.59 2.13 NA 2.67 2.13 2.67 0.25 5.97 6.51 5.97 6.51 0000.00.00.0030000P0 31526 38.2581 4 31535 Operative laryngoscopy A 3.16 1.84 NA 2.33 1.84 2.33 0.22 5.22 5.71 5.22 5.71 0000.00.00.0030100P0 31525 38.2581 4 31536 Operative laryngoscopy A 3.56 2.10 NA 2.64 2.10 2.64 0.25 5.91 6.45 5.91 6.45 0000.00.00.0030100P0 31526 38.2581 4 31540 Operative laryngoscopy A 4.13 2.41 NA 3.04 2.41 3.04 0.29 6.83 7.46 6.83 7.46 0000.00.00.0030100P0 31525 38.2581 4 31541 Operative laryngoscopy A 4.53 2.65 NA 3.23 2.65 3.23 0.32 7.50 8.08 7.50 8.08 0000.00.00.0030100P0 31526 38.2581 4 31560 Operative laryngoscopy A 5.46 3.02 NA 3.62 3.02 3.62 0.38 8.86 9.46 8.86 9.46 0000.00.00.0030000P0 31525 38.2581 4 31561 Operative laryngoscopy A 6.00 3.48 NA 4.31 3.48 4.31 0.42 9.90 10.73 9.90 10.73 0000.00.00.0030000P0 31526 38.2581 4 31570 Laryngoscopy with injection A 3.87 4.07 4.21 2.25 2.27 0.24 8.18 8.32 6.36 6.38 0000.00.00.0030100P0 31525 38.2581 4 31571 Laryngoscopy with injection A 4.27 2.50 NA 3.10 2.50 3.10 0.30 7.07 7.67 7.07 7.67 0000.00.00.0030100P0 31526 38.2581 4 31575 Diagnostic laryngoscopy A 1.10 2.09 1.99 0.62 0.68 0.08 3.27 3.17 1.80 1.86 0000.00.00.0020100P0 38.2581 4 31576 Laryngoscopy with biopsy A 1.97 2.36 2.36 0.97 1.32 0.13 4.46 4.46 3.07 3.42 0000.00.00.0030100P0 31575 38.2581 4 31577 Remove foreign body, larynx A 2.47 2.79 2.83 1.32 1.73 0.17 5.43 5.47 3.96 4.37 0000.00.00.0030000P0 31575 38.2581 4 31578 Removal of larynx lesion A 2.84 3.01 3.11 1.58 2.03 0.20 6.05 6.15 4.62 5.07 0000.00.00.0030000P0 31575 38.2581 4 31579 Diagnostic laryngoscopy A 2.26 2.83 2.76 1.21 1.23 0.16 5.25 5.18 3.63 3.65 0000.00.00.0030100P0 31575 38.2581 4 31580 Revision of larynx A 12.38 15.79 NA15.54 15.79 15.54 0.87 29.04 28.79 29.04 28.79 0090.10.76.1420210P0 38.2581 4 31582 Revision of larynx A 21.62 21.03 NA20.62 21.03 20.62 1.52 44.17 43.76 44.17 43.76 0090.10.76.1420110P0 38.2581 4 31584 Treat larynx fracture A 19.64 18.35 NA17.21 18.35 17.21 1.42 39.41 38.27 39.41 38.27 0090.10.76.1420210P0 38.2581 4 31585 Treat larynx fracture A 4.64 8.35 NA 7.29 8.35 7.29 0.30 13.29 12.23 13.29 12.23 0090.10.76.1420000P0 38.2581 4 31586 Treat larynx fracture A 8.03 11.96 NA10.75 11.96 10.75 0.56 20.55 19.34 20.55 19.34 0090.10.76.1420000P0 38.2581 4 31587 Revision of larynx A 11.99 13.32 NA11.95 13.32 11.95 0.88 26.19 24.82 26.19 24.82 0090.10.76.1420210P0 38.2581 4 31588 Revision of larynx A 13.11 16.47 NA15.26 16.47 15.26 0.92 30.50 29.29 30.50 29.29 0090.10.76.1420200P0 38.2581 4 31590 Reinnervate larynx A 6.97 11.70 NA10.34 11.70 10.34 0.50 19.17 17.81 19.17 17.81 0090.10.76.1420210P0 38.2581 4 31595 Larynx nerve surgery A 8.34 10.48 NA 9.72 10.48 9.72 0.62 19.44 18.68 19.44 18.68 0090.10.76.1420210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 31600 Incision of windpipe A 3.62 1.63 NA 2.30 1.63 2.30 0.34 5.59 6.26 5.59 6.26 0000.00.00.0020100P0 38.2581 4 31601 Incision of windpipe A 4.45 2.15 NA 2.94 2.15 2.94 0.39 6.99 7.78 6.99 7.78 0000.00.00.0020210P0 38.2581 4 31603 Incision of windpipe A 4.15 1.72 NA 2.44 1.72 2.44 0.35 6.22 6.94 6.22 6.94 0000.00.00.0020100P0 38.2581 4 31605 Incision of windpipe A 3.58 1.30 NA 2.05 1.30 2.05 0.33 5.21 5.96 5.21 5.96 0000.00.00.0020100P0 38.2581 4 31610 Incision of windpipe A 8.76 10.55 NA 9.72 10.55 9.72 0.69 20.00 19.17 20.00 19.17 0090.10.76.1420100P0 38.2581 4 31611 Surgery/speech prosthesis A 5.64 9.78 NA 9.09 9.78 9.09 0.40 15.82 15.13 15.82 15.13 0090.10.76.1420210P0 38.2581 4 31612 Puncture/clear windpipe A 0.91 1.47 1.42 0.43 0.60 0.06 2.44 2.39 1.40 1.57 0000.00.00.0020000P0 38.2581 4 31613 Repair windpipe opening A 4.59 8.74 NA 7.16 8.74 7.16 0.37 13.70 12.12 13.70 12.12 0090.10.76.1420100P0 38.2581 4 31614 Repair windpipe opening A 7.12 11.76 NA10.65 11.76 10.65 0.51 19.39 18.28 19.39 18.28 0090.10.76.1420100P0 38.2581 4 31615 Visualization of windpipe A 2.09 3.49 3.15 1.19 1.42 0.14 5.72 5.38 3.42 3.65 0000.00.00.0020100P0 38.2581 4 31622 Dx bronchoscope/wash A 2.78 3.21 3.24 1.17 1.71 0.14 6.13 6.16 4.09 4.63 0000.00.00.0020100P0 38.2581 4 31623 Dx bronchoscope/brush A 2.88 3.10 3.16 1.17 1.71 0.14 6.12 6.18 4.19 4.73 0000.00.00.0020100P0 38.2581 4 31624 Dx bronchoscope/lavage A 2.88 2.79 2.93 1.16 1.71 0.13 5.80 5.94 4.17 4.72 0000.00.00.0020100P0 38.2581 4 31625 Bronchoscopy with biopsy A 3.37 2.83 3.13 1.31 1.99 0.16 6.36 6.66 4.84 5.52 0000.00.00.0030100P0 31622 38.2581 4 31628 Bronchoscopy with biopsy A 3.81 3.13 3.49 1.37 2.17 0.14 7.08 7.44 5.32 6.12 0000.00.00.0030100P0 31622 38.2581 4 31629 Bronchoscopy with biopsy A 3.37 1.24 NA 1.94 1.24 1.94 0.13 4.74 5.44 4.74 5.44 0000.00.00.0030100P0 31622 38.2581 4 31630 Bronchoscopy with repair A 3.82 2.13 NA 2.61 2.13 2.61 0.30 6.25 6.73 6.25 6.73 0000.00.00.0030100P0 31622 38.2581 4 31631 Bronchoscopy with dilation A 4.37 2.15 NA 2.68 2.15 2.68 0.31 6.83 7.36 6.83 7.36 0000.00.00.0030100P0 31622 38.2581 4 31635 Remove foreign body, airway A 3.68 1.74 NA 2.41 1.74 2.41 0.21 5.63 6.30 5.63 6.30 0000.00.00.0030100P0 31622 38.2581 4 31640 Bronchoscopy & remove lesion A 4.94 2.49 NA 3.23 2.49 3.23 0.37 7.80 8.54 7.80 8.54 0000.00.00.0030100P0 31622 38.2581 4 31641 Bronchoscopy, treat blockage A 5.03 2.23 NA 3.17 2.23 3.17 0.30 7.56 8.50 7.56 8.50 0000.00.00.0030100P0 31622 38.2581 4 31643 Diag bronchoscope/catheter A 3.50 1.16 1.71 1.16 1.71 0.15 4.81 5.36 4.81 5.36 0000.00.00.0020100P0 38.2581 4 31645 Bronchoscopy, clear airways A 3.16 1.21 NA 1.85 1.21 1.85 0.13 4.50 5.14 4.50 5.14 0000.00.00.0030100P0 31622 38.2581 4 31646 Bronchoscopy, reclear airway A 2.72 1.08 NA 1.62 1.08 1.62 0.12 3.92 4.46 3.92 4.46 0000.00.00.0020100P0 38.2581 4 31656 Bronchoscopy, inj for xray A 2.17 0.92 NA 1.34 0.92 1.34 0.10 3.19 3.61 3.19 3.61 0000.00.00.0020000P0 38.2581 4 31700 Insertion of airway catheter A 1.34 2.42 2.19 0.73 0.92 0.07 3.83 3.60 2.14 2.33 0000.00.00.0020000P0 38.2581 4 31708 Instill airway contrast dye A 1.41 0.63 NA 0.68 0.63 0.68 0.06 2.10 2.15 2.10 2.15 0000.00.00.0021000P0 38.2581 4 31710 Insertion of airway catheter A 1.30 0.71 NA 0.78 0.71 0.78 0.06 2.07 2.14 2.07 2.14 0000.00.00.0021000P0 38.2581 4 31715 Injection for bronchus x-ray A 1.11 0.63 NA 0.60 0.63 0.60 0.06 1.80 1.77 1.80 1.77 0000.00.00.0021000P0 38.2581 4 31717 Bronchial brush biopsy A 2.12 2.59 2.14 0.87 0.85 0.09 4.80 4.35 3.08 3.06 0000.00.00.0020100P0 38.2581 4 31720 Clearance of airways A 1.06 1.83 1.57 0.33 0.45 0.06 2.95 2.69 1.45 1.57 0000.00.00.0020100P0 38.2581 4 31725 Clearance of airways A 1.96 0.61 NA 0.84 0.61 0.84 0.10 2.67 2.90 2.67 2.90 0000.00.00.0020100P0 38.2581 4 31730 Intro, windpipe wire/tube A 2.85 2.34 2.43 1.10 1.50 0.15 5.34 5.43 4.10 4.50 0000.00.00.0020100P0 38.2581 4 31750 Repair of windpipe A 13.02 15.81 NA14.27 15.81 14.27 1.02 29.85 28.31 29.85 28.31 0090.10.76.1420210P0 38.2581 4 31755 Repair of windpipe A 15.93 18.41 NA17.42 18.41 17.42 1.15 35.49 34.50 35.49 34.50 0090.10.76.1420210P0 38.2581 4 31760 Repair of windpipe A 22.35 12.68 NA12.47 12.68 12.47 1.48 36.51 36.30 36.51 36.30 0090.10.76.1420210P0 38.2581 4 31766 Reconstruction of windpipe A 30.43 20.27 NA20.20 20.27 20.20 3.16 53.86 53.79 53.86 53.79 0090.10.76.1420210P0 38.2581 4 31770 Repair/graft of bronchus A 22.51 17.92 NA17.53 17.92 17.53 2.27 42.70 42.31 42.70 42.31 0090.10.76.1420210P0 38.2581 4 31775 Reconstruct bronchus A 23.54 16.73 NA16.99 16.73 16.99 2.91 43.18 43.44 43.18 43.44 0090.10.76.1420200P0 38.2581 4 31780 Reconstruct windpipe A 17.72 14.13 NA15.30 14.13 15.30 1.55 33.40 34.57 33.40 34.57 0090.10.76.1420210P0 38.2581 4 31781 Reconstruct windpipe A 23.53 15.44 NA16.16 15.44 16.16 2.04 41.01 41.73 41.01 41.73 0090.10.76.1420210P0 38.2581 4 31785 Remove windpipe lesion A 17.23 13.28 NA12.38 13.28 12.38 1.36 31.87 30.97 31.87 30.97 0090.10.76.1420210P0 38.2581 4 31786 Remove windpipe lesion A 23.98 16.25 NA15.80 16.25 15.80 2.20 42.43 41.98 42.43 41.98 0090.10.76.1420210P0 38.2581 4 31800 Repair of windpipe injury A 7.43 7.82 NA 7.20 7.82 7.20 0.67 15.92 15.30 15.92 15.30 0090.10.76.1420000P0 38.2581 4 31805 Repair of windpipe injury A 13.13 11.99 NA11.66 11.99 11.66 1.45 26.57 26.24 26.57 26.24 0090.10.76.1420210P0 38.2581 4 31820 Closure of windpipe lesion A 4.49 7.65 6.71 7.65 6.71 0.35 12.49 11.55 12.49 11.55 0090.10.76.1420000P0 38.2581 4 31825 Repair of windpipe defect A 6.81 11.20 9.76 10.88 9.52 0.50 18.51 17.07 18.19 16.83 0090.10.76.1420000P0 38.2581 4 31830 Revise windpipe scar A 4.50 7.82 6.86 7.82 6.86 0.36 12.68 11.72 12.68 11.72 0090.10.76.1420000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 32000 Drainage of chest A 1.54 2.95 2.46 0.50 0.62 0.07 4.56 4.07 2.11 2.23 0000.00.00.0000100P1A4550 38.2581 4 32002 Treatment of collapsed lung A 2.19 0.86 NA 1.01 0.86 1.01 0.11 3.16 3.31 3.16 3.31 0000.00.00.0000110P0 38.2581 4 32005 Treat lung lining chemically A 2.19 0.94 NA 1.00 0.94 1.00 0.17 3.30 3.36 3.30 3.36 0000.00.00.0020100P0 38.2581 4 32020 Insertion of chest tube A 3.98 1.60 NA 1.91 1.60 1.91 0.36 5.94 6.25 5.94 6.25 0000.00.00.0000100P0 38.2581 4 32035 Exploration of chest A 8.67 9.68 NA 9.10 9.68 9.10 1.02 19.37 18.79 19.37 18.79 0090.10.76.1420210P0 38.2581 4 32036 Exploration of chest A 9.68 11.37 NA10.46 11.37 10.46 1.20 22.25 21.34 22.25 21.34 0090.10.76.1420210P0 38.2581 4 32095 Biopsy through chest wall A 8.36 10.48 NA10.10 10.48 10.10 0.99 19.83 19.45 19.83 19.45 0090.10.76.1420210P0 38.2581 4 32100 Exploration/biopsy of chest A 11.84 11.72 NA11.84 11.72 11.84 1.45 25.01 25.13 25.01 25.13 0090.10.76.1420210P0 38.2581 4 32110 Explore/repair chest A 13.62 12.70 NA12.65 12.70 12.65 1.63 27.95 27.90 27.95 27.90 0090.10.76.1420210P0 38.2581 4 32120 Re-exploration of chest A 11.54 12.32 NA11.81 12.32 11.81 1.42 25.28 24.77 25.28 24.77 0090.10.76.1420210P0 38.2581 4 32124 Explore chest free adhesions A 12.72 11.69 NA11.74 11.69 11.74 1.51 25.92 25.97 25.92 25.97 0090.10.76.1420210P0 38.2581 4 32140 Removal of lung lesion(s) A 13.93 12.55 NA12.77 12.55 12.77 1.68 28.16 28.38 28.16 28.38 0090.10.76.1420210P0 38.2581 4 32141 Remove/treat lung lesions A 14.00 12.92 NA13.33 12.92 13.33 1.72 28.64 29.05 28.64 29.05 0090.10.76.1420210P0 38.2581 4 32150 Removal of lung lesion(s) A 14.15 11.89 NA11.72 11.89 11.72 1.60 27.64 27.47 27.64 27.47 0090.10.76.1420210P0 38.2581 4 32151 Remove lung foreign body A 14.21 12.91 NA12.17 12.91 12.17 1.49 28.61 27.87 28.61 27.87 0090.10.76.1420210P0 38.2581 4 32160 Open chest heart massage A 9.30 7.41 NA 8.04 7.41 8.04 1.01 17.72 18.35 17.72 18.35 0090.10.76.1420210P0 38.2581 4 32200 Drain, open, lung lesion A 15.29 12.13 NA10.97 12.13 10.97 1.46 28.88 27.72 28.88 27.72 0090.10.76.1420210P0 38.2581 4 32201 Drain, percut, lung lesion A 4.00 6.55 NA 5.74 6.55 5.74 0.18 10.73 9.92 10.73 9.92 0000.00.00.0020200P0 38.2581 4 32215 Treat chest lining A 11.33 12.51 NA11.45 12.51 11.45 1.34 25.18 24.12 25.18 24.12 0090.10.76.1420210P0 38.2581 4 32220 Release of lung A 19.27 15.39 NA15.83 15.39 15.83 2.39 37.05 37.49 37.05 37.49 0090.10.76.1420210P0 38.2581 4 32225 Partial release of lung A 13.96 12.83 NA12.84 12.83 12.84 1.70 28.49 28.50 28.49 28.50 0090.10.76.1420210P0 38.2581 4 32310 Removal of chest lining A 13.44 12.35 NA12.42 12.35 12.42 1.65 27.44 27.51 27.44 27.51 0090.10.76.1420210P0 38.2581 4 32320 Free/remove chest lining A 20.54 14.95 NA16.12 14.95 16.12 2.50 37.99 39.16 37.99 39.16 0090.10.76.1420210P0 38.2581 4 32400 Needle biopsy chest lining A 1.76 1.82 1.77 0.58 0.84 0.07 3.65 3.60 2.41 2.67 0000.00.00.0020100P0 38.2581 4 32402 Open biopsy chest lining A 7.56 10.59 NA10.00 10.59 10.00 0.91 19.06 18.47 19.06 18.47 0090.10.76.1420210P0 38.2581 4 32405 Biopsy, lung or mediastinum A 1.93 2.23 2.25 0.68 1.09 0.09 4.25 4.27 2.70 3.11 0000.00.00.0020100P0 38.2581 4 32420 Puncture/clear lung A 2.18 0.85 NA 1.05 0.85 1.05 0.11 3.14 3.34 3.14 3.34 0000.00.00.0020100P0 38.2581 4 32440 Removal of lung A 21.02 15.56 NA16.71 15.56 16.71 2.56 39.14 40.29 39.14 40.29 0090.10.76.1420210P0 38.2581 4 32442 Sleeve pneumonectomy A 26.24 19.00 NA19.12 19.00 19.12 3.12 48.36 48.48 48.36 48.48 0090.10.76.1420210P0 38.2581 4 32445 Removal of lung A 25.09 16.73 NA18.10 16.73 18.10 3.11 44.93 46.30 44.93 46.30 0090.10.76.1420210P0 38.2581 4 32480 Partial removal of lung A 18.32 13.52 NA14.79 13.52 14.79 2.24 34.08 35.35 34.08 35.35 0090.10.76.1420210P0 38.2581 4 32482 Bilobectomy A 19.71 14.63 NA15.63 14.63 15.63 2.35 36.69 37.69 36.69 37.69 0090.10.76.1420210P0 38.2581 4 32484 Segmentectomy A 20.69 14.88 NA15.81 14.88 15.81 2.54 38.11 39.04 38.11 39.04 0090.10.76.1420210P0 38.2581 4 32486 Sleeve lobectomy A 23.92 16.63 NA16.96 16.63 16.96 3.00 43.55 43.88 43.55 43.88 0090.10.76.1420210P0 38.2581 4 32488 Completion pneumonectomy A 25.71 17.76 NA18.13 17.76 18.13 3.18 46.65 47.02 46.65 47.02 0090.10.76.1420210P0 38.2581 4 32491 Lung volume reduction R 21.25 17.23 NA17.12 17.23 17.12 2.66 41.14 41.03 41.14 41.03 0090.10.76.1421210P0 38.2581 4 32500 Partial removal of lung A 14.30 13.15 NA13.52 13.15 13.52 1.77 29.22 29.59 29.22 29.59 0090.10.76.1420210P0 38.2581 4 32501 Repair bronchus add-on A 4.69 1.89 NA 2.59 1.89 2.59 0.56 7.14 7.84 7.14 7.84 0ZZZ.00.00.0001210P0 38.2581 4 32520 Remove lung & revise chest A 21.68 16.19 NA17.75 16.19 17.75 2.71 40.58 42.14 40.58 42.14 0090.10.76.1420210P0 38.2581 4 32522 Remove lung & revise chest A 24.20 16.48 NA18.30 16.48 18.30 2.84 43.52 45.34 43.52 45.34 0090.10.76.1420210P0 38.2581 4 32525 Remove lung & revise chest A 26.50 17.47 NA19.48 17.47 19.48 3.25 47.22 49.23 47.22 49.23 0090.10.76.1420210P0 38.2581 4 32540 Removal of lung lesion A 14.64 13.36 NA13.19 13.36 13.19 1.84 29.84 29.67 29.84 29.67 0090.10.76.1420210P0 38.2581 4 32601 Thoracoscopy, diagnostic A 5.46 4.57 NA 4.37 4.57 4.37 0.63 10.66 10.46 10.66 10.46 0000.00.00.0020000P0 38.2581 4 32602 Thoracoscopy, diagnostic A 5.96 4.81 NA 4.66 4.81 4.66 0.70 11.47 11.32 11.47 11.32 0000.00.00.0020000P0 38.2581 4 32603 Thoracoscopy, diagnostic A 7.81 5.08 NA 4.75 5.08 4.75 0.76 13.65 13.32 13.65 13.32 0000.00.00.0020000P0 38.2581 4 32604 Thoracoscopy, diagnostic A 8.78 5.98 NA 5.54 5.98 5.54 0.97 15.73 15.29 15.73 15.29 0000.00.00.0020000P0 38.2581 4 32605 Thoracoscopy, diagnostic A 6.93 5.55 NA 5.11 5.55 5.11 0.86 13.34 12.90 13.34 12.90 0000.00.00.0020000P0 38.2581 4 32606 Thoracoscopy, diagnostic A 8.40 5.65 NA 5.29 5.65 5.29 0.99 15.04 14.68 15.04 14.68 0000.00.00.0020000P0 38.2581 4 32650 Thoracoscopy, surgical A 10.75 10.88 NA10.23 10.88 10.23 1.25 22.88 22.23 22.88 22.23 0090.10.76.1420210P0 38.2581 4 32651 Thoracoscopy, surgical A 12.91 10.80 NA11.31 10.80 11.31 1.50 25.21 25.72 25.21 25.72 0090.10.76.1420210P0 38.2581 4 32652 Thoracoscopy, surgical A 18.66 14.50 NA15.17 14.50 15.17 2.30 35.46 36.13 35.46 36.13 0090.10.76.1420210P0 38.2581 4 32653 Thoracoscopy, surgical A 12.87 11.59 NA11.50 11.59 11.50 1.55 26.01 25.92 26.01 25.92 0090.10.76.1420210P0 38.2581 4 32654 Thoracoscopy, surgical A 12.44 9.14 NA 9.98 9.14 9.98 1.51 23.09 23.93 23.09 23.93 0090.10.76.1420210P0 38.2581 4 32655 Thoracoscopy, surgical A 13.10 10.99 NA11.88 10.99 11.88 1.53 25.62 26.51 25.62 26.51 0090.10.76.1420210P0 38.2581 4 32656 Thoracoscopy, surgical A 12.91 12.44 NA12.96 12.44 12.96 1.61 26.96 27.48 26.96 27.48 0090.10.76.1420210P0 38.2581 4 32657 Thoracoscopy, surgical A 13.65 11.81 NA12.51 11.81 12.51 1.64 27.10 27.80 27.10 27.80 0090.10.76.1420210P0 38.2581 4 32658 Thoracoscopy, surgical A 11.63 13.17 NA13.35 13.17 13.35 1.47 26.27 26.45 26.27 26.45 0090.09.84.0720210P0 38.2581 4 32659 Thoracoscopy, surgical A 11.59 11.24 NA11.89 11.24 11.89 1.39 24.22 24.87 24.22 24.87 0090.09.84.0720210P0 38.2581 4 32660 Thoracoscopy, surgical A 17.43 13.34 NA15.21 13.34 15.21 2.09 32.86 34.73 32.86 34.73 0090.09.84.0720210P0 38.2581 4 32661 Thoracoscopy, surgical A 13.25 12.60 NA11.96 12.60 11.96 1.66 27.51 26.87 27.51 26.87 0090.09.84.0720210P0 38.2581 4 32662 Thoracoscopy, surgical A 16.44 13.52 NA14.09 13.52 14.09 2.01 31.97 32.54 31.97 32.54 0090.09.84.0720210P0 38.2581 4 32663 Thoracoscopy, surgical A 18.47 14.39 NA15.45 14.39 15.45 2.28 35.14 36.20 35.14 36.20 0090.09.84.0720210P0 38.2581 4 32664 Thoracoscopy, surgical A 14.20 10.97 NA11.09 10.97 11.09 1.70 26.87 26.99 26.87 26.99 0090.09.84.0721210P0 38.2581 4 32665 Thoracoscopy, surgical A 15.54 11.15 NA12.25 11.15 12.25 1.79 28.48 29.58 28.48 29.58 0090.09.81.1020210P0 38.2581 4 32800 Repair lung hernia A 13.69 11.78 NA11.08 11.78 11.08 1.51 26.98 26.28 26.98 26.28 0090.10.76.1420210P0 38.2581 4 32810 Close chest after drainage A 13.05 11.97 NA10.74 11.97 10.74 1.55 26.57 25.34 26.57 25.34 0090.10.76.1420200P0 38.2581 4 32815 Close bronchial fistula A 23.15 17.03 NA16.90 17.03 16.90 2.84 43.02 42.89 43.02 42.89 0090.10.76.1420210P0 38.2581 4 32820 Reconstruct injured chest A 21.48 15.38 NA16.69 15.38 16.69 2.31 39.17 40.48 39.17 40.48 0090.10.76.1420210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 32851 Lung transplant, single A 38.63 24.78 NA25.52 24.78 25.52 4.90 68.31 69.05 68.31 69.05 0090.10.76.1420212P0 38.2581 4 32852 Lung transplant with bypass A 41.80 27.82 NA28.38 27.82 28.38 5.17 74.79 75.35 74.79 75.35 0090.10.76.1420212P0 38.2581 4 32853 Lung transplant, double A 47.81 29.36 NA30.69 29.36 30.69 6.13 83.30 84.63 83.30 84.63 0090.10.76.1422212P0 38.2581 4 32854 Lung transplant with bypass A 50.98 29.22 NA31.17 29.22 31.17 6.41 86.61 88.56 86.61 88.56 0090.10.76.1422212P0 38.2581 4 32900 Removal of rib(s) A 20.27 14.52 NA13.19 14.52 13.19 2.42 37.21 35.88 37.21 35.88 0090.10.76.1420210P0 38.2581 4 32905 Revise & repair chest wall A 20.75 15.18 NA14.84 15.18 14.84 2.54 38.47 38.13 38.47 38.13 0090.10.76.1420210P0 38.2581 4 32906 Revise & repair chest wall A 26.77 18.98 NA18.42 18.98 18.42 3.30 49.05 48.49 49.05 48.49 0090.10.76.1420210P0 38.2581 4 32940 Revision of lung A 19.43 15.29 NA14.55 15.29 14.55 2.47 37.19 36.45 37.19 36.45 0090.10.76.1420210P0 38.2581 4 32960 Therapeutic pneumothorax A 1.84 1.47 1.36 0.61 0.71 0.12 3.43 3.32 2.57 2.67 0000.00.00.0020100P0 38.2581 4 32997 Total lung lavage A 6.00 2.32 NA 2.32 2.32 2.32 0.55 8.87 8.87 8.87 8.87 0000.00.00.002010090 38.2581 5 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 38.2581 9 33010 Drainage of heart sac A 2.24 1.03 NA 1.19 1.03 1.19 0.13 3.40 3.56 3.40 3.56 0000.00.00.0020100P0 38.2581 4 33011 Repeat drainage of heart sac A 2.24 1.09 NA 1.12 1.09 0.97 0.13 3.46 3.49 3.46 3.34 0000.00.00.0020000P0 38.2581 4 33015 Incision of heart sac A 6.80 5.24 NA 5.09 5.24 5.09 0.64 12.68 12.53 12.68 12.53 0090.09.84.0720100P0 38.2581 4 33020 Incision of heart sac A 12.61 9.90 NA11.02 9.90 11.02 1.50 24.01 25.13 24.01 25.13 0090.09.84.0720210P0 38.2581 4 33025 Incision of heart sac A 12.09 10.17 NA11.24 10.17 11.24 1.50 23.76 24.83 23.76 24.83 0090.09.84.0720210P0 38.2581 4 33030 Partial removal of heart sac A 18.71 16.32 NA17.82 16.32 17.82 2.40 37.43 38.93 37.43 38.93 0090.09.84.0720210P0 38.2581 4 33031 Partial removal of heart sac A 21.79 17.72 NA16.89 17.72 16.89 2.78 42.29 41.46 42.29 41.46 0090.09.84.0720210P0 38.2581 4 33050 Removal of heart sac lesion A 14.36 12.87 NA12.16 12.87 12.16 1.73 28.96 28.25 28.96 28.25 0090.09.84.0720210P0 38.2581 4 33120 Removal of heart lesion A 24.56 20.91 NA23.01 20.91 23.01 3.06 48.53 50.63 48.53 50.63 0090.09.84.0720210P0 38.2581 4 33130 Removal of heart lesion A 21.39 16.53 NA16.06 16.53 16.06 2.51 40.43 39.96 40.43 39.96 0090.09.84.0720210P0 38.2581 4 33140 Heart revascularize (tmr) A 20.00 12.79 NA12.79 12.79 12.79 2.27 35.06 35.06 35.06 35.06 0090.09.84.072020090 38.2581 5 33141 Heart tmr w/other procedure A 4.84 1.97 NA 1.97 1.97 1.97 0.60 7.41 7.41 7.41 7.41 0ZZZ.00.00.000121090 38.2581 5 33200 Insertion of heart pacemaker A 12.48 11.73 NA12.13 11.73 12.13 1.17 25.38 25.78 25.38 25.78 0090.09.84.0720100P0 38.2581 4 33201 Insertion of heart pacemaker A 10.18 12.53 NA12.43 12.53 12.43 1.21 23.92 23.82 23.92 23.82 0090.09.84.0720100P0 38.2581 4 33206 Insertion of heart pacemaker A 6.67 6.17 NA 6.62 6.17 6.62 0.50 13.34 13.79 13.34 13.79 0090.09.84.0720120P0 38.2581 4 33207 Insertion of heart pacemaker A 8.04 6.62 NA 7.36 6.62 7.36 0.57 15.23 15.97 15.23 15.97 0090.09.84.0720120P0 38.2581 4 33208 Insertion of heart pacemaker A 8.13 6.74 NA 7.48 6.74 7.48 0.54 15.41 16.15 15.41 16.15 0090.09.84.0720120P0 38.2581 4 33210 Insertion of heart electrode A 3.30 1.38 NA 1.93 1.38 1.93 0.17 4.85 5.40 4.85 5.40 0000.00.00.0020100P0 38.2581 4 33211 Insertion of heart electrode A 3.40 1.48 NA 2.01 1.48 2.01 0.17 5.05 5.58 5.05 5.58 0000.00.00.0020100P0 38.2581 4 33212 Insertion of pulse generator A 5.52 5.00 NA 5.21 5.00 5.21 0.44 10.96 11.17 10.96 11.17 0090.09.84.0720100P0 38.2581 4 33213 Insertion of pulse generator A 6.37 5.35 NA 5.47 5.35 5.47 0.46 12.18 12.30 12.18 12.30 0090.09.84.0720100P0 38.2581 4 33214 Upgrade of pacemaker system A 7.75 6.50 NA 6.34 6.50 6.34 0.52 14.77 14.61 14.77 14.61 0090.09.84.0720020P0 38.2581 4 33216 Revise eltrd pacing-defib A 5.39 5.39 NA 5.41 5.39 5.41 0.36 11.14 11.16 11.14 11.16 0090.09.84.0720100P0 38.2581 4 33217 Revise eltrd pacing-defib A 5.75 5.73 NA 5.66 5.73 5.66 0.36 11.84 11.77 11.84 11.77 0090.09.84.0720100P0 38.2581 4 33218 Revise eltrd pacing-defib A 5.44 5.03 NA 5.02 5.03 5.02 0.40 10.87 10.86 10.87 10.86 0090.09.84.0720100P0 38.2581 4 33220 Revise eltrd pacing-defib A 5.52 5.09 NA 5.06 5.09 5.06 0.39 11.00 10.97 11.00 10.97 0090.09.84.0720100P0 38.2581 4 33222 Revise pocket, pacemaker A 4.96 4.46 NA 4.83 4.46 4.83 0.39 9.81 10.18 9.81 10.18 0090.09.84.0720100P0 38.2581 4 33223 Revise pocket, pacing-defib A 6.46 5.76 NA 5.87 5.76 5.87 0.44 12.66 12.77 12.66 12.77 0090.09.84.0720000P0 38.2581 4 33233 Removal of pacemaker system A 3.29 4.33 NA 3.97 4.33 3.97 0.22 7.84 7.48 7.84 7.48 0090.09.84.0720100P0 38.2581 4 33234 Removal of pacemaker system A 7.82 6.36 NA 5.54 6.36 5.54 0.56 14.74 13.92 14.74 13.92 0090.09.84.0720100P0 38.2581 4 33235 Removal pacemaker electrode A 9.40 7.15 NA 6.22 7.15 6.22 0.68 17.23 16.30 17.23 16.30 0090.09.84.0720100P0 38.2581 4 33236 Remove electrode/thoracotomy A 12.60 11.65 NA 9.82 11.65 9.82 1.49 25.74 23.91 25.74 23.91 0090.09.84.0720020P0 38.2581 4 33237 Remove electrode/thoracotomy A 13.71 12.58 NA12.04 12.58 12.04 1.57 27.86 27.32 27.86 27.32 0090.09.84.0720020P0 38.2581 4 33238 Remove electrode/thoracotomy A 15.22 12.31 NA12.03 12.31 12.03 1.56 29.09 28.81 29.09 28.81 0090.09.84.0720020P0 38.2581 4 33240 Insert pulse generator A 7.60 6.27 NA 6.16 6.27 6.16 0.53 14.40 14.29 14.40 14.29 0090.09.84.0720100P0 38.2581 4 33241 Remove pulse generator A 3.24 3.92 NA 3.53 3.92 3.53 0.21 7.37 6.98 7.37 6.98 0090.09.84.0720010P0 38.2581 4 33243 Remove eltrd/thoracotomy A 22.64 13.30 NA12.42 13.30 12.42 2.53 38.47 37.59 38.47 37.59 0090.09.84.0720210P0 38.2581 4 33244 Remove eltrd, transven A 13.76 9.41 NA 9.51 9.41 9.51 1.05 24.22 24.32 24.22 24.32 0090.09.84.0720110P0 38.2581 4 33245 Insert epic eltrd pace-defib A 14.30 13.04 NA14.05 13.04 14.05 1.28 28.62 29.63 28.62 29.63 0090.09.84.0720210P0 38.2581 4 33246 Insert epic eltrd/generator A 20.71 17.92 NA19.08 17.92 19.08 2.22 40.85 42.01 40.85 42.01 0090.09.84.0720210P0 38.2581 4 33249 Eltrd/insert pace-defib A 14.23 9.80 NA11.32 9.80 11.32 0.80 24.83 26.35 24.83 26.35 0090.09.84.0720110P0 38.2581 4 33250 Ablate heart dysrhythm focus A 21.85 14.70 NA14.16 14.70 14.16 1.01 37.56 37.02 37.56 37.02 0090.09.84.0720210P0 38.2581 4 33251 Ablate heart dysrhythm focus A 24.88 18.08 NA18.01 18.08 18.01 2.41 45.37 45.30 45.37 45.30 0090.09.84.0720210P0 38.2581 4 33253 Reconstruct atria A 31.06 21.93 NA22.37 21.93 22.37 3.68 56.67 57.11 56.67 57.11 0090.09.84.0720210P0 38.2581 4 33261 Ablate heart dysrhythm focus A 24.88 18.85 NA17.93 18.85 17.93 2.82 46.55 45.63 46.55 45.63 0090.09.84.0720210P0 38.2581 4 33282 Implant pat-active ht record A 4.17 5.53 NA 5.53 5.53 5.53 0.39 10.09 10.09 10.09 10.09 0090.09.84.072010090 38.2581 5 33284 Remove pat-active ht record A 2.50 5.06 NA 5.06 5.06 5.06 0.23 7.79 7.79 7.79 7.79 0090.09.84.072010090 38.2581 5 33300 Repair of heart wound A 17.92 15.10 NA15.22 15.10 15.22 1.91 34.93 35.05 34.93 35.05 0090.09.84.0720210P0 38.2581 4 33305 Repair of heart wound A 21.44 17.60 NA17.92 17.60 17.92 2.68 41.72 42.04 41.72 42.04 0090.09.84.0720210P0 38.2581 4 33310 Exploratory heart surgery A 18.51 16.13 NA15.16 16.13 15.16 2.26 36.90 35.93 36.90 35.93 0090.09.84.0720210P0 38.2581 4 33315 Exploratory heart surgery A 22.37 18.07 NA17.48 18.07 17.48 2.90 43.34 42.75 43.34 42.75 0090.09.84.0720210P0 38.2581 4 33320 Repair major blood vessel(s) A 16.79 13.82 NA14.20 13.82 14.20 1.66 32.27 32.65 32.27 32.65 0090.09.84.0720210P0 38.2581 4 33321 Repair major vessel A 20.20 17.69 NA19.17 17.69 19.17 2.70 40.59 42.07 40.59 42.07 0090.09.84.0720210P0 38.2581 4 33322 Repair major blood vessel(s) A 20.62 17.11 NA18.73 17.11 18.73 2.51 40.24 41.86 40.24 41.86 0090.09.84.0720210P0 38.2581 4 33330 Insert major vessel graft A 21.43 16.59 NA15.88 16.59 15.88 2.49 40.51 39.80 40.51 39.80 0090.09.84.0720210P0 38.2581 4 33332 Insert major vessel graft A 23.96 16.63 NA16.56 16.63 16.56 2.45 43.04 42.97 43.04 42.97 0090.09.84.0720210P0 38.2581 4 33335 Insert major vessel graft A 30.01 20.90 NA19.76 20.90 19.76 3.79 54.70 53.56 54.70 53.56 0090.09.84.0720210P0 38.2581 4 33400 Repair of aortic valve A 25.34 22.51 NA23.99 22.51 23.99 3.09 50.94 52.42 50.94 52.42 0090.09.84.0720210P0 38.2581 4 33401 Valvuloplasty, open A 23.91 20.65 NA22.60 20.65 22.60 2.71 47.27 49.22 47.27 49.22 0090.09.84.0720210P0 38.2581 4 33403 Valvuloplasty, w/cp bypass A 24.89 21.18 NA23.00 21.18 23.00 2.48 48.55 50.37 48.55 50.37 0090.09.84.0720210P0 38.2581 4 33404 Prepare heart-aorta conduit A 28.54 23.41 NA26.04 23.41 26.04 3.31 55.26 57.89 55.26 57.89 0090.09.84.0720210P0 38.2581 4 33405 Replacement of aortic valve A 30.61 21.49 NA24.39 21.49 24.39 3.86 55.96 58.86 55.96 58.86 0090.09.84.0720210P0 38.2581 4 33406 Replacement of aortic valve A 32.30 21.91 NA26.07 21.91 26.07 4.07 58.28 62.44 58.28 62.44 0090.09.84.0720210P0 38.2581 4 33410 Replacement of aortic valve A 32.46 22.25 NA22.25 22.25 22.25 4.11 58.82 58.82 58.82 58.82 0090.09.84.072021090 38.2581 5 33411 Replacement of aortic valve A 32.47 22.58 NA26.63 22.58 26.63 4.16 59.21 63.26 59.21 63.26 0090.09.84.0720200P0 38.2581 4 33412 Replacement of aortic valve A 34.79 28.65 NA31.87 28.65 31.87 4.66 68.10 71.32 68.10 71.32 0090.09.84.0720210P0 38.2581 4 33413 Replacement of aortic valve A 35.24 26.31 NA30.25 26.31 30.25 4.26 65.81 69.75 65.81 69.75 0090.09.84.0720210P0 38.2581 4 33414 Repair of aortic valve A 30.35 25.53 NA28.21 25.53 28.21 3.79 59.67 62.35 59.67 62.35 0090.09.84.0720210P0 38.2581 4 33415 Revision, subvalvular tissue A 27.15 23.86 NA26.00 23.86 26.00 3.25 54.26 56.40 54.26 56.40 0090.09.84.0720210P0 38.2581 4 33416 Revise ventricle muscle A 30.35 21.75 NA23.95 21.75 23.95 3.85 55.95 58.15 55.95 58.15 0090.09.84.0720210P0 38.2581 4 33417 Repair of aortic valve A 28.53 25.27 NA27.47 25.27 27.47 3.58 57.38 59.58 57.38 59.58 0090.09.84.0720210P0 38.2581 4 33420 Revision of mitral valve A 22.70 12.17 NA14.51 12.17 14.51 1.48 36.35 38.69 36.35 38.69 0090.09.84.0720110P0 38.2581 4 33422 Revision of mitral valve A 25.94 19.49 NA22.36 19.49 22.36 3.30 48.73 51.60 48.73 51.60 0090.09.84.0720210P0 38.2581 4 33425 Repair of mitral valve A 27.00 18.50 NA21.93 18.50 21.93 3.00 48.50 51.93 48.50 51.93 0090.09.84.0720210P0 38.2581 4 33426 Repair of mitral valve A 31.03 21.66 NA24.92 21.66 24.92 3.87 56.56 59.82 56.56 59.82 0090.09.84.0720210P0 38.2581 4 33427 Repair of mitral valve A 33.72 22.30 NA26.14 22.30 26.14 4.30 60.32 64.16 60.32 64.16 0090.09.84.0720210P0 38.2581 4 33430 Replacement of mitral valve A 31.43 21.86 NA25.78 21.86 25.78 3.95 57.24 61.16 57.24 61.16 0090.09.84.0720210P0 38.2581 4 33460 Revision of tricuspid valve A 23.60 18.75 NA21.11 18.75 21.11 3.02 45.37 47.73 45.37 47.73 0090.09.84.0720210P0 38.2581 4 33463 Valvuloplasty, tricuspid A 25.62 19.45 NA22.23 19.45 22.23 3.17 48.24 51.02 48.24 51.02 0090.09.84.0720210P0 38.2581 4 33464 Valvuloplasty, tricuspid A 27.33 20.33 NA23.40 20.33 23.40 3.47 51.13 54.20 51.13 54.20 0090.09.84.0720210P0 38.2581 4 33465 Replace tricuspid valve A 28.79 20.51 NA23.98 20.51 23.98 3.61 52.91 56.38 52.91 56.38 0090.09.84.0720210P0 38.2581 4 33468 Revision of tricuspid valve A 30.12 29.92 NA31.43 29.92 31.43 4.00 64.04 65.55 64.04 65.55 0090.09.84.0720210P0 38.2581 4 33470 Revision of pulmonary valve A 20.81 17.43 NA18.45 17.43 18.45 2.81 41.05 42.07 41.05 42.07 0090.09.84.0720200P0 38.2581 4 33471 Valvotomy, pulmonary valve A 22.25 19.39 NA21.19 19.39 21.19 3.00 44.64 46.44 44.64 46.44 0090.09.84.0720210P0 38.2581 4 33472 Revision of pulmonary valve A 22.25 19.97 NA21.62 19.97 21.62 2.92 45.14 46.79 45.14 46.79 0090.09.84.0720200P0 38.2581 4 33474 Revision of pulmonary valve A 23.04 17.05 NA19.66 17.05 19.66 2.84 42.93 45.54 42.93 45.54 0090.09.84.0720210P0 38.2581 4 33475 Replacement, pulmonary valve A 28.41 23.92 NA26.42 23.92 26.42 2.64 54.97 57.47 54.97 57.47 0090.09.84.0720210P0 38.2581 4 33476 Revision of heart chamber A 25.77 19.07 NA21.94 19.07 21.94 2.40 47.24 50.11 47.24 50.11 0090.09.84.0720210P0 38.2581 4 33478 Revision of heart chamber A 26.74 20.54 NA23.39 20.54 23.39 3.56 50.84 53.69 50.84 53.69 0090.09.84.0720210P0 38.2581 4 33496 Repair, prosth valve clot A 27.25 24.25 NA26.32 24.25 26.32 3.44 54.94 57.01 54.94 57.01 0090.09.84.0720210P0 38.2581 4 33500 Repair heart vessel fistula A 25.55 18.73 NA21.68 18.73 21.68 2.80 47.08 50.03 47.08 50.03 0090.09.84.0720210P0 38.2581 4 33501 Repair heart vessel fistula A 17.78 14.21 NA14.50 14.21 14.50 2.05 34.04 34.33 34.04 34.33 0090.09.84.0720220P0 38.2581 4 33502 Coronary artery correction A 21.04 23.73 NA21.64 23.73 21.64 2.51 47.28 45.19 47.28 45.19 0090.09.84.0720210P0 38.2581 4 33503 Coronary artery graft A 21.78 14.77 NA17.58 14.77 17.58 1.42 37.97 40.78 37.97 40.78 0090.09.84.0720010P0 38.2581 4 33504 Coronary artery graft A 24.66 23.74 NA25.17 23.74 25.17 3.04 51.44 52.87 51.44 52.87 0090.09.84.0720210P0 38.2581 4 33505 Repair artery w/tunnel A 26.84 21.54 NA24.17 21.54 24.17 1.52 49.90 52.53 49.90 52.53 0090.09.84.0720210P0 38.2581 4 33506 Repair artery, translocation A 26.71 16.87 NA20.62 16.87 20.62 3.19 46.77 50.52 46.77 50.52 0090.09.84.0720210P0 38.2581 4 33510 CABG, vein, single A 25.12 19.14 NA21.85 19.14 21.85 3.13 47.39 50.10 47.39 50.10 0090.09.84.0720200P0 38.2581 4 33511 CABG, vein, two A 27.40 19.78 NA23.01 19.78 23.01 3.34 50.52 53.75 50.52 53.75 0090.09.84.0720200P0 38.2581 4 33512 CABG, vein, three A 29.67 20.95 NA24.57 20.95 24.57 3.70 54.32 57.94 54.32 57.94 0090.09.84.0720200P0 38.2581 4 33513 CABG, vein, four A 31.95 21.98 NA26.02 21.98 26.02 3.99 57.92 61.96 57.92 61.96 0090.09.84.0720200P0 38.2581 4 33514 CABG, vein, five A 35.00 23.34 NA27.95 23.34 27.95 4.37 62.71 67.32 62.71 67.32 0090.09.84.0720200P0 38.2581 4 33516 Cabg, vein, six or more A 37.40 24.31 NA29.40 24.31 29.40 4.62 66.33 71.42 66.33 71.42 0090.09.84.0720200P0 38.2581 4 33517 CABG, artery-vein, single A 2.57 1.06 NA 1.56 1.06 1.56 0.32 3.95 4.45 3.95 4.45 0ZZZ.00.00.0000200P0 38.2581 4 33518 CABG, artery-vein, two A 4.85 1.99 NA 2.94 1.99 2.94 0.61 7.45 8.40 7.45 8.40 0ZZZ.00.00.0000200P0 38.2581 4 33519 CABG, artery-vein, three A 7.12 2.93 NA 4.32 2.93 4.32 0.89 10.94 12.33 10.94 12.33 0ZZZ.00.00.0000200P0 38.2581 4 33521 CABG, artery-vein, four A 9.40 3.88 NA 5.72 3.88 5.72 1.18 14.46 16.30 14.46 16.30 0ZZZ.00.00.0000200P0 38.2581 4 33522 CABG, artery-vein, five A 11.67 4.83 NA 7.11 4.83 7.11 1.48 17.98 20.26 17.98 20.26 0ZZZ.00.00.0000200P0 38.2581 4 33523 Cabg, art-vein, six or more A 13.95 5.76 NA 8.49 5.76 8.49 1.78 21.49 24.22 21.49 24.22 0ZZZ.00.00.0000200P0 38.2581 4 33530 Coronary artery, bypass/reop A 5.86 2.39 NA 3.54 2.39 3.54 0.73 8.98 10.13 8.98 10.13 0ZZZ.00.00.0000200P0 38.2581 4 33533 CABG, arterial, single A 25.83 19.44 NA22.29 19.44 22.29 3.24 48.51 51.36 48.51 51.36 0090.09.82.0920200P0 38.2581 4 33534 CABG, arterial, two A 28.82 20.12 NA23.69 20.12 23.69 3.63 52.57 56.14 52.57 56.14 0090.09.82.0920200P0 38.2581 4 33535 CABG, arterial, three A 31.81 21.05 NA25.28 21.05 25.28 3.97 56.83 61.06 56.83 61.06 0090.09.82.0920200P0 38.2581 4 33536 Cabg, arterial, four or more A 34.79 18.16 NA24.00 18.16 24.00 3.29 56.24 62.08 56.24 62.08 0090.09.82.0920200P0 38.2581 4 33542 Removal of heart lesion A 28.85 22.87 NA25.49 22.87 25.49 3.61 55.33 57.95 55.33 57.95 0090.09.84.0720210P0 38.2581 4 33545 Repair of heart damage A 36.78 25.64 NA28.71 25.64 28.71 4.40 66.82 69.89 66.82 69.89 0090.09.84.0720210P0 38.2581 4 33572 Open coronary endarterectomy A 4.45 1.83 NA 2.25 1.83 2.25 0.55 6.83 7.25 6.83 7.25 0ZZZ.00.00.0000200P0 38.2581 4 33600 Closure of valve A 29.51 20.22 NA23.97 20.22 23.97 2.30 52.03 55.78 52.03 55.78 0090.09.84.0720210P0 38.2581 4 33602 Closure of valve A 28.54 16.17 NA20.40 16.17 20.40 2.90 47.61 51.84 47.61 51.84 0090.09.84.0720210P0 38.2581 4 33606 Anastomosis/artery-aorta A 30.74 18.74 NA23.23 18.74 23.23 3.59 53.07 57.56 53.07 57.56 0090.09.84.0720210P0 38.2581 4 33608 Repair anomaly w/conduit A 31.09 26.78 NA29.37 26.78 29.37 4.17 62.04 64.63 62.04 64.63 0090.09.84.0720210P0 38.2581 4 33610 Repair by enlargement A 30.61 26.03 NA28.66 26.03 28.66 4.02 60.66 63.29 60.66 63.29 0090.09.84.0720210P0 38.2581 4 33611 Repair double ventricle A 32.30 24.45 NA27.98 24.45 27.98 3.28 60.03 63.56 60.03 63.56 0090.09.84.0720210P0 38.2581 4 33612 Repair double ventricle A 33.26 27.40 NA30.48 27.40 30.48 4.44 65.10 68.18 65.10 68.18 0090.09.84.0720210P0 38.2581 4 33615 Repair, modified fontan A 32.06 28.18 NA30.71 28.18 30.71 3.15 63.39 65.92 63.39 65.92 0090.09.84.0720210P0 38.2581 4 33617 Repair single ventricle A 34.03 26.43 NA29.98 26.43 29.98 4.09 64.55 68.10 64.55 68.10 0090.09.84.0720210P0 38.2581 4 33619 Repair single ventricle A 37.57 32.65 NA35.70 32.65 35.70 4.71 74.93 77.98 74.93 77.98 0090.09.84.0720210P0 38.2581 4 33641 Repair heart septum defect A 21.39 15.59 NA18.08 15.59 18.08 2.67 39.65 42.14 39.65 42.14 0090.09.84.0720210P0 38.2581 4 33645 Revision of heart veins A 24.82 19.83 NA22.28 19.83 22.28 3.27 47.92 50.37 47.92 50.37 0090.09.84.0720210P0 38.2581 4 33647 Repair heart septum defects A 28.73 24.10 NA26.65 24.10 26.65 3.37 56.20 58.75 56.20 58.75 0090.09.84.0720210P0 38.2581 4 33660 Repair of heart defects A 25.54 22.13 NA24.22 22.13 24.22 2.82 50.49 52.58 50.49 52.58 0090.09.84.0720210P0 38.2581 4 33665 Repair of heart defects A 28.60 24.67 NA26.99 24.67 26.99 3.81 57.08 59.40 57.08 59.40 0090.09.84.0720210P0 38.2581 4 33670 Repair of heart chambers A 32.73 17.23 NA22.69 17.23 22.69 2.18 52.14 57.60 52.14 57.60 0090.09.84.0720210P0 38.2581 4 33681 Repair heart septum defect A 27.67 24.25 NA26.45 24.25 26.45 3.53 55.45 57.65 55.45 57.65 0090.09.84.0720210P0 38.2581 4 33684 Repair heart septum defect A 29.65 22.78 NA25.94 22.78 25.94 3.77 56.20 59.36 56.20 59.36 0090.09.84.0720210P0 38.2581 4 33688 Repair heart septum defect A 30.62 17.23 NA22.06 17.23 22.06 3.89 51.74 56.57 51.74 56.57 0090.09.84.0720210P0 38.2581 4 33690 Reinforce pulmonary artery A 19.55 19.36 NA20.36 19.36 20.36 2.56 41.47 42.47 41.47 42.47 0090.09.84.0720210P0 38.2581 4 33692 Repair of heart defects A 30.75 17.94 NA22.63 17.94 22.63 3.77 52.46 57.15 52.46 57.15 0090.09.84.0720210P0 38.2581 4 33694 Repair of heart defects A 31.73 21.86 NA25.87 21.86 25.87 4.27 57.86 61.87 57.86 61.87 0090.09.84.0720210P0 38.2581 4 33697 Repair of heart defects A 33.71 25.47 NA29.16 25.47 29.16 4.54 63.72 67.41 63.72 67.41 0090.09.84.0720210P0 38.2581 4 33702 Repair of heart defects A 26.54 22.29 NA24.64 22.29 24.64 3.45 52.28 54.63 52.28 54.63 0090.09.84.0720210P0 38.2581 4 33710 Repair of heart defects A 29.71 16.87 NA21.52 16.87 21.52 3.85 50.43 55.08 50.43 55.08 0090.09.84.0720200P0 38.2581 4 33720 Repair of heart defect A 26.56 20.97 NA23.66 20.97 23.66 3.21 50.74 53.43 50.74 53.43 0090.09.84.0720210P0 38.2581 4 33722 Repair of heart defect A 28.41 23.23 NA25.69 23.23 25.69 3.80 55.44 57.90 55.44 57.90 0090.09.84.0720210P0 38.2581 4 33730 Repair heart-vein defect(s) A 31.67 19.96 NA24.42 19.96 24.42 2.85 54.48 58.94 54.48 58.94 0090.09.84.0720210P0 38.2581 4 33732 Repair heart-vein defect A 28.16 20.83 NA24.03 20.83 24.03 2.78 51.77 54.97 51.77 54.97 0090.09.84.0720210P0 38.2581 4 33735 Revision of heart chamber A 21.39 14.20 NA17.62 14.20 17.62 1.12 36.71 40.13 36.71 40.13 0090.09.84.0720200P0 38.2581 4 33736 Revision of heart chamber A 23.52 22.09 NA23.54 22.09 23.54 2.70 48.31 49.76 48.31 49.76 0090.09.84.0720210P0 38.2581 4 33737 Revision of heart chamber A 21.76 17.82 NA19.86 17.82 19.86 2.93 42.51 44.55 42.51 44.55 0090.09.84.0720210P0 38.2581 4 33750 Major vessel shunt A 21.41 17.71 NA19.28 17.71 19.28 1.74 40.86 42.43 40.86 42.43 0090.09.84.0720210P0 38.2581 4 33755 Major vessel shunt A 21.79 17.83 NA19.37 17.83 19.37 2.93 42.55 44.09 42.55 44.09 0090.09.84.0720210P0 38.2581 4 33762 Major vessel shunt A 21.79 12.73 NA15.54 12.73 15.54 1.59 36.11 38.92 36.11 38.92 0090.09.84.0720210P0 38.2581 4 33764 Major vessel shunt & graft A 21.79 14.94 NA17.20 14.94 17.20 1.93 38.66 40.92 38.66 40.92 0090.09.84.0720210P0 38.2581 4 33766 Major vessel shunt A 22.76 21.93 NA22.44 21.93 22.44 3.04 47.73 48.24 47.73 48.24 0090.09.84.0720210P0 38.2581 4 33767 Major vessel shunt A 24.50 20.58 NA22.41 20.58 22.41 3.14 48.22 50.05 48.22 50.05 0090.09.84.0720210P0 38.2581 4 33770 Repair great vessels defect A 33.29 22.50 NA26.81 22.50 26.81 4.49 60.28 64.59 60.28 64.59 0090.09.84.0720210P0 38.2581 4 33771 Repair great vessels defect A 34.65 18.84 NA24.47 18.84 24.47 4.67 58.16 63.79 58.16 63.79 0090.09.84.0720210P0 38.2581 4 33774 Repair great vessels defect A 30.98 17.37 NA21.51 17.37 21.51 4.18 52.53 56.67 52.53 56.67 0090.09.84.0720210P0 38.2581 4 33775 Repair great vessels defect A 32.20 17.86 NA21.88 17.86 21.88 4.34 54.40 58.42 54.40 58.42 0090.09.84.0720200P0 38.2581 4 33776 Repair great vessels defect A 34.04 18.60 NA23.43 18.60 23.43 4.58 57.22 62.05 57.22 62.05 0090.09.84.0720210P0 38.2581 4 33777 Repair great vessels defect A 33.46 18.37 NA22.26 18.37 22.26 4.51 56.34 60.23 56.34 60.23 0090.09.84.0720200P0 38.2581 4 33778 Repair great vessels defect A 35.82 19.31 NA25.17 19.31 25.17 4.83 59.96 65.82 59.96 65.82 0090.09.84.0720210P0 38.2581 4 33779 Repair great vessels defect A 36.21 19.97 NA25.79 19.97 25.79 2.40 58.58 64.40 58.58 64.40 0090.09.84.0720210P0 38.2581 4 33780 Repair great vessels defect A 36.94 22.67 NA28.03 22.67 28.03 5.21 64.82 70.18 64.82 70.18 0090.09.84.0720210P0 38.2581 4 33781 Repair great vessels defect A 36.45 19.56 NA25.55 19.56 25.55 4.91 60.92 66.91 60.92 66.91 0090.09.84.0720200P0 38.2581 4 33786 Repair arterial trunk A 34.84 23.12 NA27.74 23.12 27.74 4.69 62.65 67.27 62.65 67.27 0090.09.84.0720210P0 38.2581 4 33788 Revision of pulmonary artery A 26.62 19.10 NA22.27 19.10 22.27 3.32 49.04 52.21 49.04 52.21 0090.09.84.0720210P0 38.2581 4 33800 Aortic suspension A 16.24 12.96 NA13.56 12.96 13.56 1.11 30.31 30.91 30.31 30.91 0090.09.84.0720220P0 38.2581 4 33802 Repair vessel defect A 17.66 10.81 NA13.38 10.81 13.38 1.56 30.03 32.60 30.03 32.60 0090.09.84.0720210P0 38.2581 4 33803 Repair vessel defect A 19.60 18.72 NA19.89 18.72 19.89 2.63 40.95 42.12 40.95 42.12 0090.09.84.0720210P0 38.2581 4 33813 Repair septal defect A 20.65 17.37 NA19.02 17.37 19.02 2.78 40.80 42.45 40.80 42.45 0090.09.84.0720210P0 38.2581 4 33814 Repair septal defect A 25.77 24.70 NA26.22 24.70 26.22 2.52 52.99 54.51 52.99 54.51 0090.09.84.0720210P0 38.2581 4 33820 Revise major vessel A 16.29 16.79 NA17.46 16.79 17.46 2.10 35.18 35.85 35.18 35.85 0090.09.84.0720200P0 38.2581 4 33822 Revise major vessel A 17.32 16.01 NA17.18 16.01 17.18 2.33 35.66 36.83 35.66 36.83 0090.09.84.0720210P0 38.2581 4 33824 Revise major vessel A 19.52 16.13 NA17.92 16.13 17.92 2.61 38.26 40.05 38.26 40.05 0090.09.84.0720210P0 38.2581 4 33840 Remove aorta constriction A 20.63 17.46 NA19.25 17.46 19.25 2.36 40.45 42.24 40.45 42.24 0090.09.84.0720210P0 38.2581 4 33845 Remove aorta constriction A 22.12 20.75 NA22.16 20.75 22.16 2.90 45.77 47.18 45.77 47.18 0090.09.84.0720210P0 38.2581 4 33851 Remove aorta constriction A 21.27 17.62 NA19.57 17.62 19.57 2.86 41.75 43.70 41.75 43.70 0090.09.84.0720210P0 38.2581 4 33852 Repair septal defect A 23.71 19.99 NA22.07 19.99 22.07 3.19 46.89 48.97 46.89 48.97 0090.09.84.0720200P0 38.2581 4 33853 Repair septal defect A 31.72 24.96 NA28.19 24.96 28.19 4.23 60.91 64.14 60.91 64.14 0090.09.84.0720210P0 38.2581 4 33860 Ascending aortic graft A 33.96 22.74 NA26.47 22.74 26.47 4.30 61.00 64.73 61.00 64.73 0090.09.84.0720210P0 38.2581 4 33861 Ascending aortic graft A 34.52 22.77 NA26.50 22.77 26.50 4.24 61.53 65.26 61.53 65.26 0090.09.84.0720210P0 38.2581 4 33863 Ascending aortic graft A 36.47 23.69 NA27.19 23.69 27.19 4.60 64.76 68.26 64.76 68.26 0090.09.84.0720210P0 38.2581 4 33870 Transverse aortic arch graft A 40.31 24.99 NA30.76 24.99 30.76 5.09 70.39 76.16 70.39 76.16 0090.09.84.0720210P0 38.2581 4 33875 Thoracic aortic graft A 33.06 21.74 NA24.78 21.74 24.78 4.08 58.88 61.92 58.88 61.92 0090.09.84.0720210P0 38.2581 4 33877 Thoracoabdominal graft A 42.60 26.54 NA31.87 26.54 31.87 5.07 74.21 79.54 74.21 79.54 0090.09.84.0720210P0 38.2581 4 33910 Remove lung artery emboli A 24.59 18.51 NA17.86 18.51 17.86 3.06 46.16 45.51 46.16 45.51 0090.09.84.0720210P0 38.2581 4 33915 Remove lung artery emboli A 21.02 13.32 NA13.25 13.32 13.25 1.20 35.54 35.47 35.54 35.47 0090.09.84.0720210P0 38.2581 4 33916 Surgery of great vessel A 25.83 16.64 NA17.25 16.64 17.25 3.04 45.51 46.12 45.51 46.12 0090.09.84.0720210P0 38.2581 4 33917 Repair pulmonary artery A 24.50 22.44 NA24.14 22.44 24.14 3.17 50.11 51.81 50.11 51.81 0090.09.84.0720210P0 38.2581 4 33918 Repair pulmonary atresia A 26.45 15.57 NA19.57 15.57 19.57 3.42 45.44 49.44 45.44 49.44 0090.09.84.0720210P0 38.2581 4 33919 Repair pulmonary atresia A 32.67 23.85 NA27.64 23.85 27.64 3.48 60.00 63.79 60.00 63.79 0090.09.84.0720210P0 38.2581 4 33920 Repair pulmonary atresia A 31.95 18.94 NA23.74 18.94 23.74 3.61 54.50 59.30 54.50 59.30 0090.09.84.0720210P0 38.2581 4 33922 Transect pulmonary artery A 23.52 17.86 NA20.42 17.86 20.42 2.30 43.68 46.24 43.68 46.24 0090.09.84.0720210P0 38.2581 4 33924 Remove pulmonary shunt A 5.50 2.22 NA 2.75 2.22 2.75 0.74 8.46 8.99 8.46 8.99 0ZZZ.00.00.0000210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 33935 Transplantation, heart/lung R 60.96 34.74 NA44.25 34.74 44.25 8.15 103.85 113.36 103.85 113.36 0090.09.84.0720212P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 33945 Transplantation of heart R 42.10 27.22 NA32.98 27.22 32.98 5.42 74.74 80.50 74.74 80.50 0090.09.84.0720212P0 38.2581 4 33960 External circulation assist A 19.36 7.48 NA 7.51 7.48 7.51 2.14 28.98 29.01 28.98 29.01 0XXX.00.00.0000210P0 38.2581 4 33961 External circulation assist A 10.93 4.50 NA 5.28 4.50 5.28 1.47 16.90 17.68 16.90 17.68 0ZZZ.00.00.0000210P0 38.2581 4 33968 Remove aortic assist device A 0.64 0.26 NA 0.26 0.26 0.26 0.07 0.97 0.97 0.97 0.97 0000.00.00.000010090 38.2581 5 33970 Aortic circulation assist A 6.75 2.80 NA 4.12 2.80 4.12 0.70 10.25 11.57 10.25 11.57 0000.00.00.0020210P0 38.2581 4 33971 Aortic circulation assist A 9.69 9.88 NA 8.81 9.88 8.81 0.97 20.54 19.47 20.54 19.47 0090.09.84.0720100P0 38.2581 4 33973 Insert balloon device A 9.76 4.01 NA 5.05 4.01 5.05 1.01 14.78 15.82 14.78 15.82 0000.00.00.0020210P0 38.2581 4 33974 Remove intra-aortic balloon A 14.41 13.34 NA11.51 13.34 11.51 1.48 29.23 27.40 29.23 27.40 0090.09.84.0720100P0 38.2581 4 33975 Implant ventricular device A 21.00 6.41 NA 8.66 6.41 8.66 1.72 29.13 31.38 29.13 31.38 0XXX.00.00.0020200P0 38.2581 4 33976 Implant ventricular device A 23.00 9.37 NA12.27 9.37 12.27 2.82 35.19 38.09 35.19 38.09 0XXX.00.00.0022200P0 38.2581 4 33977 Remove ventricular device A 19.29 13.41 NA13.43 13.41 13.43 2.44 35.14 35.16 35.14 35.16 0090.09.84.0720200P0 38.2581 4 33978 Remove ventricular device A 21.73 14.89 NA15.02 14.89 15.02 2.66 39.28 39.41 39.28 39.41 0090.09.84.0722200P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 34001 Removal of artery clot A 12.91 6.28 NA 7.31 6.28 7.31 1.46 20.65 21.68 20.65 21.68 0090.09.84.0721210P0 38.2581 4 34051 Removal of artery clot A 15.21 8.20 NA 8.54 8.20 8.54 1.90 25.31 25.65 25.31 25.65 0090.09.84.0721210P0 38.2581 4 34101 Removal of artery clot A 9.97 5.17 NA 6.14 5.17 6.14 1.11 16.25 17.22 16.25 17.22 0090.09.84.0721210P0 38.2581 4 34111 Removal of arm artery clot A 8.07 4.35 NA 5.32 4.35 5.32 0.85 13.27 14.24 13.27 14.24 0090.09.84.0721210P0 38.2581 4 34151 Removal of artery clot A 16.86 7.88 NA 9.16 7.88 9.16 1.84 26.58 27.86 26.58 27.86 0090.09.84.0721210P0 38.2581 4 34201 Removal of artery clot A 9.13 5.16 NA 6.29 5.16 6.29 1.02 15.31 16.44 15.31 16.44 0090.09.84.0721210P0 38.2581 4 34203 Removal of leg artery clot A 12.21 6.45 NA 7.18 6.45 7.18 1.37 20.03 20.76 20.03 20.76 0090.09.84.0721210P0 38.2581 4 34401 Removal of vein clot A 12.86 6.47 NA 7.04 6.47 7.04 1.20 20.53 21.10 20.53 21.10 0090.09.84.0721210P0 38.2581 4 34421 Removal of vein clot A 9.93 5.53 NA 6.17 5.53 6.17 0.95 16.41 17.05 16.41 17.05 0090.09.84.0721210P0 38.2581 4 34451 Removal of vein clot A 14.44 7.39 NA 8.44 7.39 8.44 1.59 23.42 24.47 23.42 24.47 0090.09.84.0721210P0 38.2581 4 34471 Removal of vein clot A 10.18 5.24 NA 4.88 5.24 4.88 0.90 16.32 15.96 16.32 15.96 0090.09.84.0721110P0 38.2581 4 34490 Removal of vein clot A 7.60 5.67 NA 6.23 5.67 6.23 0.73 14.00 14.56 14.00 14.56 0090.09.84.0721100P0 38.2581 4 34501 Repair valve, femoral vein A 10.93 8.84 NA 8.63 8.84 8.63 1.37 21.14 20.93 21.14 20.93 0090.09.84.0721210P0 38.2581 4 34502 Reconstruct vena cava A 26.95 12.39 NA14.35 12.39 14.35 2.99 42.33 44.29 42.33 44.29 0090.09.84.0720200P0 38.2581 4 34510 Transposition of vein valve A 13.25 9.45 NA 9.50 9.45 9.50 1.60 24.30 24.35 24.30 24.35 0090.09.84.0721210P0 38.2581 4 34520 Cross-over vein graft A 13.74 8.07 NA 8.59 8.07 8.59 1.41 23.22 23.74 23.22 23.74 0090.09.84.0721210P0 38.2581 4 34530 Leg vein fusion A 17.61 9.98 NA10.84 9.98 10.84 2.06 29.65 30.51 29.65 30.51 0090.09.84.0721210P0 38.2581 4 34800 Endovasc abdo repair w/tube A 20.75 9.72 NA 9.72 9.72 9.72 1.49 31.96 31.96 31.96 31.96 0090.09.84.072000090 38.2581 5 34802 Endovasc abdo repr w/device A 23.00 10.62 NA10.62 10.62 10.62 1.65 35.27 35.27 35.27 35.27 0090.09.84.072000090 38.2581 5 34804 Endovasc abdo repr w/device A 23.00 10.62 NA10.62 10.62 10.62 1.65 35.27 35.27 35.27 35.27 0090.09.84.072000090 38.2581 5 34808 Endovasc abdo occlud device A 4.13 1.65 NA 1.65 1.65 1.65 0.29 6.07 6.07 6.07 6.07 0ZZZ.00.00.000000090 38.2581 5 34812 Xpose for endoprosth, aortic A 6.75 2.70 NA 2.70 2.70 2.70 0.49 9.94 9.94 9.94 9.94 0000.00.00.002100090 38.2581 5 34813 Xpose for endoprosth, femorl A 4.80 1.92 NA 1.92 1.92 1.92 0.34 7.06 7.06 7.06 7.06 0ZZZ.00.00.000000090 38.2581 5 34820 Xpose for endoprosth, iliac A 9.75 3.90 NA 3.90 3.90 3.90 0.70 14.35 14.35 14.35 14.35 0000.00.00.002100090 38.2581 5 34825 Endovasc extend prosth, init A 12.00 6.23 NA 6.23 6.23 6.23 0.86 19.09 19.09 19.09 19.09 0090.09.84.072000090 38.2581 5 34826 Endovasc exten prosth, addl A 4.13 1.65 NA 1.65 1.65 1.65 0.29 6.07 6.07 6.07 6.07 0ZZZ.00.00.002000090 38.2581 5 34830 Open aortic tube prosth repr A 32.59 14.81 NA14.81 14.81 14.81 2.34 49.74 49.74 49.74 49.74 0090.09.84.072000090 38.2581 5 34831 Open aortoiliac prosth repr A 35.34 15.90 NA15.90 15.90 15.90 2.53 53.77 53.77 53.77 53.77 0090.09.84.072000090 38.2581 5 34832 Open aortofemor prosth repr A 35.34 15.90 NA15.90 15.90 15.90 2.53 53.77 53.77 53.77 53.77 0090.09.84.072000090 38.2581 5 35001 Repair defect of artery A 19.64 9.28 NA11.28 9.28 11.28 2.44 31.36 33.36 31.36 33.36 0090.09.84.0721210P0 38.2581 4 35002 Repair artery rupture, neck A 21.00 9.94 NA10.89 9.94 10.89 1.82 32.76 33.71 32.76 33.71 0090.09.84.0721210P0 38.2581 4 35005 Repair defect of artery A 18.12 8.71 NA 9.32 8.71 9.32 1.35 28.18 28.79 28.18 28.79 0090.09.84.0721210P0 38.2581 4 35011 Repair defect of artery A 11.65 5.68 NA 7.74 5.68 7.74 1.30 18.63 20.69 18.63 20.69 0090.09.84.0721210P0 38.2581 4 35013 Repair artery rupture, arm A 17.40 7.89 NA 9.91 7.89 9.91 1.91 27.20 29.22 27.20 29.22 0090.09.84.0721210P0 38.2581 4 35021 Repair defect of artery A 19.65 10.22 NA12.59 10.22 12.59 1.93 31.80 34.17 31.80 34.17 0090.09.84.0721210P0 38.2581 4 35022 Repair artery rupture, chest A 23.18 9.89 NA11.43 9.89 11.43 1.99 35.06 36.60 35.06 36.60 0090.09.84.0721210P0 38.2581 4 35045 Repair defect of arm artery A 11.26 7.02 NA 8.62 7.02 8.62 1.25 19.53 21.13 19.53 21.13 0090.09.84.0721210P0 38.2581 4 35081 Repair defect of artery A 28.01 12.75 NA15.38 12.75 15.38 3.20 43.96 46.59 43.96 46.59 0090.09.84.0720210P0 38.2581 4 35082 Repair artery rupture, aorta A 36.35 15.42 NA17.78 15.42 17.78 4.07 55.84 58.20 55.84 58.20 0090.09.84.0720210P0 38.2581 4 35091 Repair defect of artery A 35.40 15.48 NA17.76 15.48 17.76 4.09 54.97 57.25 54.97 57.25 0090.09.84.0721210P0 38.2581 4 35092 Repair artery rupture, aorta A 38.39 16.20 NA19.28 16.20 19.28 4.31 58.90 61.98 58.90 61.98 0090.09.84.0721210P0 38.2581 4 35102 Repair defect of artery A 30.76 13.54 NA16.17 13.54 16.17 3.44 47.74 50.37 47.74 50.37 0090.09.84.0721210P0 38.2581 4 35103 Repair artery rupture, groin A 33.57 14.25 NA17.79 14.25 17.79 3.79 51.61 55.15 51.61 55.15 0090.09.84.0721210P0 38.2581 4 35111 Repair defect of artery A 16.43 7.81 NA10.63 7.81 10.63 1.81 26.05 28.87 26.05 28.87 0090.09.84.0721210P0 38.2581 4 35112 Repair artery rupture,spleen A 18.69 8.42 NA 9.15 8.42 9.15 1.95 29.06 29.79 29.06 29.79 0090.09.84.0721210P0 38.2581 4 35121 Repair defect of artery A 25.99 11.62 NA13.90 11.62 13.90 2.93 40.54 42.82 40.54 42.82 0090.09.84.0721200P0 38.2581 4 35122 Repair artery rupture, belly A 33.45 14.05 NA15.40 14.05 15.40 3.54 51.04 52.39 51.04 52.39 0090.09.84.0721210P0 38.2581 4 35131 Repair defect of artery A 18.55 9.06 NA11.10 9.06 11.10 2.11 29.72 31.76 29.72 31.76 0090.09.84.0721210P0 38.2581 4 35132 Repair artery rupture, groin A 21.95 9.79 NA12.41 9.79 12.41 2.48 34.22 36.84 34.22 36.84 0090.09.84.0721210P0 38.2581 4 35141 Repair defect of artery A 14.46 7.35 NA 9.50 7.35 9.50 1.65 23.46 25.61 23.46 25.61 0090.09.84.0721210P0 38.2581 4 35142 Repair artery rupture, thigh A 15.86 7.62 NA10.08 7.62 10.08 1.75 25.23 27.69 25.23 27.69 0090.09.84.0721210P0 38.2581 4 35151 Repair defect of artery A 17.00 8.27 NA10.37 8.27 10.37 1.93 27.20 29.30 27.20 29.30 0090.09.84.0721210P0 38.2581 4 35152 Repair artery rupture, knee A 16.70 8.25 NA 8.70 8.25 8.70 1.93 26.88 27.33 26.88 27.33 0090.09.84.0721210P0 38.2581 4 35161 Repair defect of artery A 18.76 9.88 NA11.72 9.88 11.72 2.21 30.85 32.69 30.85 32.69 0090.09.84.0721210P0 38.2581 4 35162 Repair artery rupture A 19.78 10.07 NA12.62 10.07 12.62 2.21 32.06 34.61 32.06 34.61 0090.09.84.0721210P0 38.2581 4 35180 Repair blood vessel lesion A 13.62 6.23 NA 6.67 6.23 6.67 1.44 21.29 21.73 21.29 21.73 0090.09.84.0720210P0 38.2581 4 35182 Repair blood vessel lesion A 17.74 9.01 NA 9.65 9.01 9.65 1.88 28.63 29.27 28.63 29.27 0090.09.84.0720210P0 38.2581 4 35184 Repair blood vessel lesion A 12.25 6.25 NA 7.33 6.25 7.33 1.34 19.84 20.92 19.84 20.92 0090.09.84.0720210P0 38.2581 4 35188 Repair blood vessel lesion A 14.28 7.04 NA 7.48 7.04 7.48 1.53 22.85 23.29 22.85 23.29 0090.09.84.0720210P0 38.2581 4 35189 Repair blood vessel lesion A 18.43 9.21 NA 9.98 9.21 9.98 2.12 29.76 30.53 29.76 30.53 0090.09.84.0720210P0 38.2581 4 35190 Repair blood vessel lesion A 12.75 6.16 NA 7.43 6.16 7.43 1.33 20.24 21.51 20.24 21.51 0090.09.84.0720210P0 38.2581 4 35201 Repair blood vessel lesion A 9.99 5.31 NA 6.72 5.31 6.72 1.17 16.47 17.88 16.47 17.88 0090.09.84.0721210P0 38.2581 4 35206 Repair blood vessel lesion A 9.25 6.55 NA 7.67 6.55 7.67 1.04 16.84 17.96 16.84 17.96 0090.09.84.0721210P0 38.2581 4 35207 Repair blood vessel lesion A 10.15 9.28 NA 9.89 9.28 9.89 1.15 20.58 21.19 20.58 21.19 0090.09.84.0721110P0 38.2581 4 35211 Repair blood vessel lesion A 22.12 18.24 NA17.31 18.24 17.31 2.83 43.19 42.26 43.19 42.26 0090.09.84.0721210P0 38.2581 4 35216 Repair blood vessel lesion A 18.75 14.34 NA13.65 14.34 13.65 2.17 35.26 34.57 35.26 34.57 0090.09.84.0721210P0 38.2581 4 35221 Repair blood vessel lesion A 16.42 7.82 NA 8.88 7.82 8.88 1.79 26.03 27.09 26.03 27.09 0090.09.84.0721210P0 38.2581 4 35226 Repair blood vessel lesion A 9.06 7.19 NA 8.10 7.19 8.10 0.84 17.09 18.00 17.09 18.00 0090.09.84.0721210P0 38.2581 4 35231 Repair blood vessel lesion A 12.00 6.52 NA 8.47 6.52 8.47 1.32 19.84 21.79 19.84 21.79 0090.09.84.0721210P0 38.2581 4 35236 Repair blood vessel lesion A 10.54 7.03 NA 8.42 7.03 8.42 1.19 18.76 20.15 18.76 20.15 0090.09.84.0721210P0 38.2581 4 35241 Repair blood vessel lesion A 23.12 19.27 NA18.11 19.27 18.11 2.90 45.29 44.13 45.29 44.13 0090.09.84.0721210P0 38.2581 4 35246 Repair blood vessel lesion A 19.84 14.83 NA15.72 14.83 15.72 2.22 36.89 37.78 36.89 37.78 0090.09.84.0721210P0 38.2581 4 35251 Repair blood vessel lesion A 17.49 8.06 NA 8.65 8.06 8.65 1.87 27.42 28.01 27.42 28.01 0090.09.84.0721210P0 38.2581 4 35256 Repair blood vessel lesion A 11.38 7.60 NA 9.07 7.60 9.07 1.32 20.30 21.77 20.30 21.77 0090.09.84.0721210P0 38.2581 4 35261 Repair blood vessel lesion A 11.63 5.81 NA 7.83 5.81 7.83 1.34 18.78 20.80 18.78 20.80 0090.09.84.0721210P0 38.2581 4 35266 Repair blood vessel lesion A 10.30 7.08 NA 8.39 7.08 8.39 1.16 18.54 19.85 18.54 19.85 0090.09.84.0721210P0 38.2581 4 35271 Repair blood vessel lesion A 22.12 17.24 NA16.33 17.24 16.33 2.77 42.13 41.22 42.13 41.22 0090.09.84.0721210P0 38.2581 4 35276 Repair blood vessel lesion A 18.75 15.47 NA14.55 15.47 14.55 2.37 36.59 35.67 36.59 35.67 0090.09.84.0721210P0 38.2581 4 35281 Repair blood vessel lesion A 16.48 7.90 NA10.61 7.90 10.61 1.82 26.20 28.91 26.20 28.91 0090.09.84.0721210P0 38.2581 4 35286 Repair blood vessel lesion A 11.87 7.81 NA 9.04 7.81 9.04 1.36 21.04 22.27 21.04 22.27 0090.09.84.0721210P0 38.2581 4 35301 Rechanneling of artery A 18.70 9.66 NA11.17 9.66 11.17 2.23 30.59 32.10 30.59 32.10 0090.09.84.0721210P0 38.2581 4 35311 Rechanneling of artery A 23.85 12.08 NA15.05 12.08 15.05 2.75 38.68 41.65 38.68 41.65 0090.09.84.0721210P0 38.2581 4 35321 Rechanneling of artery A 11.97 5.94 NA 7.97 5.94 7.97 1.36 19.27 21.30 19.27 21.30 0090.09.84.0721210P0 38.2581 4 35331 Rechanneling of artery A 23.52 10.93 NA11.82 10.93 11.82 2.71 37.16 38.05 37.16 38.05 0090.09.84.0721210P0 38.2581 4 35341 Rechanneling of artery A 25.11 11.25 NA13.15 11.25 13.15 2.87 39.23 41.13 39.23 41.13 0090.09.84.0721210P0 38.2581 4 35351 Rechanneling of artery A 20.11 9.42 NA11.12 9.42 11.12 2.29 31.82 33.52 31.82 33.52 0090.09.84.0721210P0 38.2581 4 35355 Rechanneling of artery A 16.09 7.88 NA10.09 7.88 10.09 1.80 25.77 27.98 25.77 27.98 0090.09.84.0721210P0 38.2581 4 35361 Rechanneling of artery A 23.59 10.67 NA13.26 10.67 13.26 2.66 36.92 39.51 36.92 39.51 0090.09.84.0721210P0 38.2581 4 35363 Rechanneling of artery A 24.66 11.18 NA14.56 11.18 14.56 2.77 38.61 41.99 38.61 41.99 0090.09.84.0721210P0 38.2581 4 35371 Rechanneling of artery A 11.64 6.01 NA 7.90 6.01 7.90 1.32 18.97 20.86 18.97 20.86 0090.09.84.0721210P0 38.2581 4 35372 Rechanneling of artery A 13.56 6.73 NA 8.09 6.73 8.09 1.53 21.82 23.18 21.82 23.18 0090.09.84.0721210P0 38.2581 4 35381 Rechanneling of artery A 15.81 7.88 NA 9.62 7.88 9.62 1.80 25.49 27.23 25.49 27.23 0090.09.84.0721210P0 38.2581 4 35390 Reoperation, carotid add-on A 3.19 1.22 NA 1.37 1.22 1.37 0.38 4.79 4.94 4.79 4.94 0ZZZ.00.00.0001210P0 38.2581 4 35400 Angioscopy A 3.00 1.10 NA 1.44 1.10 1.44 0.34 4.44 4.78 4.44 4.78 0ZZZ.00.00.0000010P0 38.2581 4 35450 Repair arterial blockage A 10.07 3.91 NA 5.94 3.91 5.94 0.84 14.82 16.85 14.82 16.85 0000.00.00.0021210P0 38.2581 4 35452 Repair arterial blockage A 6.91 3.51 NA 3.81 3.51 3.81 0.76 11.18 11.48 11.18 11.48 0000.00.00.0021210P0 38.2581 4 35454 Repair arterial blockage A 6.04 3.05 NA 4.09 3.05 4.09 0.67 9.76 10.80 9.76 10.80 0000.00.00.0021210P0 38.2581 4 35456 Repair arterial blockage A 7.35 3.56 NA 4.87 3.56 4.87 0.82 11.73 13.04 11.73 13.04 0000.00.00.0021210P0 38.2581 4 35458 Repair arterial blockage A 9.49 4.39 NA 6.04 4.39 6.04 1.09 14.97 16.62 14.97 16.62 0000.00.00.0021210P0 38.2581 4 35459 Repair arterial blockage A 8.63 3.93 NA 5.52 3.93 5.52 0.96 13.52 15.11 13.52 15.11 0000.00.00.0021210P0 38.2581 4 35460 Repair venous blockage A 6.04 2.90 NA 3.03 2.90 3.03 0.66 9.60 9.73 9.60 9.73 0000.00.00.0021110P0 38.2581 4 35470 Repair arterial blockage A 8.63 4.09 NA 5.64 4.09 5.64 0.50 13.22 14.77 13.22 14.77 0000.00.00.0021100P0 38.2581 4 35471 Repair arterial blockage A 10.07 4.78 NA 6.59 4.78 6.59 0.50 15.35 17.16 15.35 17.16 0000.00.00.0021100P0 38.2581 4 35472 Repair arterial blockage A 6.91 3.46 NA 3.58 3.46 3.58 0.39 10.76 10.88 10.76 10.88 0000.00.00.0021010P0 38.2581 4 35473 Repair arterial blockage A 6.04 3.07 NA 4.11 3.07 4.11 0.34 9.45 10.49 9.45 10.49 0000.00.00.0021100P0 38.2581 4 35474 Repair arterial blockage A 7.36 3.60 NA 4.90 3.60 4.90 0.40 11.36 12.66 11.36 12.66 0000.00.00.0021100P0 38.2581 4 35475 Repair arterial blockage R 9.49 4.26 NA 5.94 4.26 5.94 0.47 14.22 15.90 14.22 15.90 0000.00.00.0021100P0 38.2581 4 35476 Repair venous blockage A 6.04 2.94 NA 3.06 2.94 3.06 0.27 9.25 9.37 9.25 9.37 0000.00.00.0021100P0 38.2581 4 35480 Atherectomy, open A 11.08 4.96 NA 7.03 4.96 7.03 1.13 17.17 19.24 17.17 19.24 0000.00.00.0020220P0 38.2581 4 35481 Atherectomy, open A 7.61 3.80 NA 4.03 3.80 4.03 0.84 12.25 12.48 12.25 12.48 0000.00.00.0020220P0 38.2581 4 35482 Atherectomy, open A 6.65 3.28 NA 4.45 3.28 4.45 0.75 10.68 11.85 10.68 11.85 0000.00.00.0020220P0 38.2581 4 35483 Atherectomy, open A 8.10 3.89 NA 5.34 3.89 5.34 0.81 12.80 14.25 12.80 14.25 0000.00.00.0020220P0 38.2581 4 35484 Atherectomy, open A 10.44 4.67 NA 6.25 4.67 6.25 1.13 16.24 17.82 16.24 17.82 0000.00.00.0020220P0 38.2581 4 35485 Atherectomy, open A 9.49 4.40 NA 4.53 4.40 4.53 1.06 14.95 15.08 14.95 15.08 0000.00.00.0020220P0 38.2581 4 35490 Atherectomy, percutaneous A 11.08 5.04 NA 7.09 5.04 7.09 0.55 16.67 18.72 16.67 18.72 0000.00.00.0020200P0 38.2581 4 35491 Atherectomy, percutaneous A 7.61 3.71 NA 3.96 3.71 3.96 0.49 11.81 12.06 11.81 12.06 0000.00.00.0020200P0 38.2581 4 35492 Atherectomy, percutaneous A 6.65 3.36 NA 4.51 3.36 4.51 0.43 10.44 11.59 10.44 11.59 0000.00.00.0020200P0 38.2581 4 35493 Atherectomy, percutaneous A 8.10 4.06 NA 5.46 4.06 5.46 0.47 12.63 14.03 12.63 14.03 0000.00.00.0020100P0 38.2581 4 35494 Atherectomy, percutaneous A 10.44 4.68 NA 6.26 4.68 6.26 0.48 15.60 17.18 15.60 17.18 0000.00.00.0020100P0 38.2581 4 35495 Atherectomy, percutaneous A 9.49 4.79 NA 4.82 4.79 4.82 0.51 14.79 14.82 14.79 14.82 0000.00.00.0020000P0 38.2581 4 35500 Harvest vein for bypass A 6.45 2.12 NA 2.12 2.12 2.12 0.63 9.20 9.20 9.20 9.20 0ZZZ.00.00.0001210P0 38.2581 5 35501 Artery bypass graft A 19.19 9.14 NA12.11 9.14 12.11 2.33 30.66 33.63 30.66 33.63 0090.09.84.0721210P0 38.2581 4 35506 Artery bypass graft A 19.67 9.17 NA12.08 9.17 12.08 2.33 31.17 34.08 31.17 34.08 0090.09.84.0721210P0 38.2581 4 35507 Artery bypass graft A 19.67 9.08 NA11.67 9.08 11.67 2.27 31.02 33.61 31.02 33.61 0090.09.84.0721210P0 38.2581 4 35508 Artery bypass graft A 18.65 8.92 NA11.60 8.92 11.60 2.34 29.91 32.59 29.91 32.59 0090.09.84.0721210P0 38.2581 4 35509 Artery bypass graft A 18.07 8.36 NA11.40 8.36 11.40 2.12 28.55 31.59 28.55 31.59 0090.09.84.0721210P0 38.2581 4 35511 Artery bypass graft A 16.83 7.69 NA 8.59 7.69 8.59 1.74 26.26 27.16 26.26 27.16 0090.09.84.0721210P0 38.2581 4 35515 Artery bypass graft A 18.65 8.95 NA 9.77 8.95 9.77 2.26 29.86 30.68 29.86 30.68 0090.09.84.0721210P0 38.2581 4 35516 Artery bypass graft A 16.32 7.53 NA10.36 7.53 10.36 1.88 25.73 28.56 25.73 28.56 0090.09.84.0721210P0 38.2581 4 35518 Artery bypass graft A 15.42 7.09 NA 9.92 7.09 9.92 1.78 24.29 27.12 24.29 27.12 0090.09.84.0721210P0 38.2581 4 35521 Artery bypass graft A 16.17 7.99 NA10.75 7.99 10.75 1.82 25.98 28.74 25.98 28.74 0090.09.84.0721210P0 38.2581 4 35526 Artery bypass graft A 20.00 9.96 NA10.98 9.96 10.98 2.18 32.14 33.16 32.14 33.16 0090.09.84.0721210P0 38.2581 4 35531 Artery bypass graft A 25.61 11.45 NA14.08 11.45 14.08 2.91 39.97 42.60 39.97 42.60 0090.09.84.0721210P0 38.2581 4 35533 Artery bypass graft A 20.52 9.75 NA13.02 9.75 13.02 2.35 32.62 35.89 32.62 35.89 0090.09.84.0721210P0 38.2581 4 35536 Artery bypass graft A 23.11 10.33 NA13.55 10.33 13.55 2.62 36.06 39.28 36.06 39.28 0090.09.84.0721210P0 38.2581 4 35541 Artery bypass graft A 25.80 11.92 NA14.25 11.92 14.25 2.74 40.46 42.79 40.46 42.79 0090.09.84.0720210P0 38.2581 4 35546 Artery bypass graft A 25.54 11.51 NA14.44 11.51 14.44 2.84 39.89 42.82 39.89 42.82 0090.09.84.0721210P0 38.2581 4 35548 Artery bypass graft A 21.57 9.78 NA12.64 9.78 12.64 2.45 33.80 36.66 33.80 36.66 0090.09.84.0720210P0 38.2581 4 35549 Artery bypass graft A 23.35 11.27 NA14.26 11.27 14.26 2.77 37.39 40.38 37.39 40.38 0090.09.84.0722210P0 38.2581 4 35551 Artery bypass graft A 26.67 12.76 NA14.79 12.76 14.79 3.19 42.62 44.65 42.62 44.65 0090.09.84.0721210P0 38.2581 4 35556 Artery bypass graft A 21.76 10.15 NA12.69 10.15 12.69 2.48 34.39 36.93 34.39 36.93 0090.09.84.0721210P0 38.2581 4 35558 Artery bypass graft A 14.04 7.19 NA 9.58 7.19 9.58 1.58 22.81 25.20 22.81 25.20 0090.09.84.0721210P0 38.2581 4 35560 Artery bypass graft A 23.56 10.94 NA13.69 10.94 13.69 2.73 37.23 39.98 37.23 39.98 0090.09.84.0721210P0 38.2581 4 35563 Artery bypass graft A 15.14 7.31 NA 7.74 7.31 7.74 1.68 24.13 24.56 24.13 24.56 0090.09.84.0721210P0 38.2581 4 35565 Artery bypass graft A 15.14 7.49 NA10.14 7.49 10.14 1.71 24.34 26.99 24.34 26.99 0090.09.84.0721210P0 38.2581 4 35566 Artery bypass graft A 26.92 14.62 NA16.56 14.62 16.56 3.02 44.56 46.50 44.56 46.50 0090.09.84.0721210P0 38.2581 4 35571 Artery bypass graft A 18.58 10.74 NA13.31 10.74 13.31 2.14 31.46 34.03 31.46 34.03 0090.09.84.0721210P0 38.2581 4 35582 Vein bypass graft A 27.13 12.41 NA15.75 12.41 15.75 3.11 42.65 45.99 42.65 45.99 0090.09.84.0721210P0 38.2581 4 35583 Vein bypass graft A 22.37 11.13 NA13.89 11.13 13.89 2.53 36.03 38.79 36.03 38.79 0090.09.84.0721210P0 38.2581 4 35585 Vein bypass graft A 28.39 15.24 NA17.66 15.24 17.66 3.21 46.84 49.26 46.84 49.26 0090.09.84.0721210P0 38.2581 4 35587 Vein bypass graft A 19.05 11.36 NA14.21 11.36 14.21 2.17 32.58 35.43 32.58 35.43 0090.09.84.0721210P0 38.2581 4 35600 Harvest artery for cabg A 4.95 1.98 NA 1.98 1.98 1.98 0.54 7.47 7.47 7.47 7.47 0ZZZ.00.00.000121090 38.2581 5 35601 Artery bypass graft A 17.50 8.11 NA11.19 8.11 11.19 2.08 27.69 30.77 27.69 30.77 0090.09.84.0721210P0 38.2581 4 35606 Artery bypass graft A 18.71 8.65 NA11.25 8.65 11.25 2.17 29.53 32.13 29.53 32.13 0090.09.84.0721210P0 38.2581 4 35612 Artery bypass graft A 15.76 7.45 NA10.13 7.45 10.13 1.72 24.93 27.61 24.93 27.61 0090.09.84.0721210P0 38.2581 4 35616 Artery bypass graft A 15.70 7.74 NA10.36 7.74 10.36 1.84 25.28 27.90 25.28 27.90 0090.09.84.0721210P0 38.2581 4 35621 Artery bypass graft A 14.54 7.50 NA 9.96 7.50 9.96 1.68 23.72 26.18 23.72 26.18 0090.09.84.0721210P0 38.2581 4 35623 Bypass graft, not vein A 16.62 8.24 NA 8.37 8.24 8.37 1.91 26.77 26.90 26.77 26.90 0090.09.84.0721210P0 38.2581 4 35626 Artery bypass graft A 23.63 11.47 NA14.17 11.47 14.17 2.89 37.99 40.69 37.99 40.69 0090.09.84.0721210P0 38.2581 4 35631 Artery bypass graft A 24.60 11.15 NA13.21 11.15 13.21 2.83 38.58 40.64 38.58 40.64 0090.09.84.0721210P0 38.2581 4 35636 Artery bypass graft A 22.46 10.26 NA11.36 10.26 11.36 2.37 35.09 36.19 35.09 36.19 0090.09.84.0721210P0 38.2581 4 35641 Artery bypass graft A 24.57 11.52 NA14.22 11.52 14.22 2.83 38.92 41.62 38.92 41.62 0090.09.84.0720210P0 38.2581 4 35642 Artery bypass graft A 17.98 9.16 NA 9.67 9.16 9.67 1.84 28.98 29.49 28.98 29.49 0090.09.84.0721210P0 38.2581 4 35645 Artery bypass graft A 17.47 8.46 NA 9.37 8.46 9.37 1.91 27.84 28.75 27.84 28.75 0090.09.84.0721210P0 38.2581 4 35646 Artery bypass graft A 25.81 11.87 NA15.36 11.87 15.36 2.98 40.66 44.15 40.66 44.15 0090.09.84.0721210P0 38.2581 4 35650 Artery bypass graft A 14.36 6.70 NA 9.31 6.70 9.31 1.64 22.70 25.31 22.70 25.31 0090.09.84.0721210P0 38.2581 4 35651 Artery bypass graft A 25.04 11.42 NA15.10 11.42 15.10 2.53 38.99 42.67 38.99 42.67 0090.09.84.0721210P0 38.2581 4 35654 Artery bypass graft A 18.61 8.85 NA12.19 8.85 12.19 2.10 29.56 32.90 29.56 32.90 0090.09.84.0721210P0 38.2581 4 35656 Artery bypass graft A 19.53 9.15 NA11.67 9.15 11.67 2.21 30.89 33.41 30.89 33.41 0090.09.84.0721210P0 38.2581 4 35661 Artery bypass graft A 13.18 6.68 NA 8.95 6.68 8.95 1.50 21.36 23.63 21.36 23.63 0090.09.84.0721210P0 38.2581 4 35663 Artery bypass graft A 14.17 7.33 NA 9.73 7.33 9.73 1.55 23.05 25.45 23.05 25.45 0090.09.84.0721210P0 38.2581 4 35665 Artery bypass graft A 15.40 7.63 NA10.32 7.63 10.32 1.76 24.79 27.48 24.79 27.48 0090.09.84.0721210P0 38.2581 4 35666 Artery bypass graft A 19.19 11.57 NA14.12 11.57 14.12 2.19 32.95 35.50 32.95 35.50 0090.09.84.0721210P0 38.2581 4 35671 Artery bypass graft A 14.80 9.48 NA11.34 9.48 11.34 1.68 25.96 27.82 25.96 27.82 0090.09.84.0721210P0 38.2581 4 35681 Composite bypass graft A 1.60 2.44 NA 4.24 2.44 4.24 0.18 4.22 6.02 4.22 6.02 0ZZZ.00.00.0001210P0 38.2581 4 35682 Composite bypass graft A 7.20 2.67 NA 4.41 2.67 4.41 0.83 10.70 12.44 10.70 12.44 0ZZZ.00.00.0000010P0 38.2581 4 35683 Composite bypass graft A 8.50 3.18 NA 4.79 3.18 4.79 0.98 12.66 14.27 12.66 14.27 0ZZZ.00.00.0000010P0 38.2581 4 35691 Arterial transposition A 18.05 8.02 NA11.34 8.02 11.34 2.06 28.13 31.45 28.13 31.45 0090.09.84.0721210P0 38.2581 4 35693 Arterial transposition A 15.36 7.67 NA 8.30 7.67 8.30 1.80 24.83 25.46 24.83 25.46 0090.09.84.0721210P0 38.2581 4 35694 Arterial transposition A 19.16 8.47 NA 8.89 8.47 8.89 2.13 29.76 30.18 29.76 30.18 0090.09.84.0721210P0 38.2581 4 35695 Arterial transposition A 19.16 8.45 NA 8.87 8.45 8.87 2.19 29.80 30.22 29.80 30.22 0090.09.84.0721210P0 38.2581 4 35700 Reoperation, bypass graft A 3.08 3.14 NA 2.79 3.14 2.79 0.36 6.58 6.23 6.58 6.23 0ZZZ.00.00.0001210P0 38.2581 4 35701 Exploration, carotid artery A 5.55 3.65 NA 4.32 3.65 4.32 0.64 9.84 10.51 9.84 10.51 0090.09.84.0721210P0 38.2581 4 35721 Exploration, femoral artery A 5.28 4.88 NA 5.17 4.88 5.17 0.59 10.75 11.04 10.75 11.04 0090.09.84.0721210P0 38.2581 4 35741 Exploration popliteal artery A 5.37 4.72 NA 5.10 4.72 5.10 0.60 10.69 11.07 10.69 11.07 0090.09.84.0721210P0 38.2581 4 35761 Exploration of artery/vein A 5.37 4.66 NA 5.07 4.66 5.07 0.60 10.63 11.04 10.63 11.04 0090.09.84.0721210P0 38.2581 4 35800 Explore neck vessels A 7.02 4.25 NA 4.62 4.25 4.62 0.79 12.06 12.43 12.06 12.43 0090.09.84.0720210P0 38.2581 4 35820 Explore chest vessels A 12.88 5.31 NA 6.13 5.31 6.13 1.61 19.80 20.62 19.80 20.62 0090.09.84.0720210P0 38.2581 4 35840 Explore abdominal vessels A 9.77 5.47 NA 6.07 5.47 6.07 1.06 16.30 16.90 16.30 16.90 0090.09.84.0720210P0 38.2581 4 35860 Explore limb vessels A 5.55 3.80 NA 4.43 3.80 4.43 0.63 9.98 10.61 9.98 10.61 0090.09.84.0720210P0 38.2581 4 35870 Repair vessel graft defect A 22.17 10.80 NA10.99 10.80 10.99 2.47 35.44 35.63 35.44 35.63 0090.09.84.0720210P0 38.2581 4 35875 Removal of clot in graft A 10.13 6.85 NA 7.37 6.85 7.37 0.97 17.95 18.47 17.95 18.47 0090.09.84.0720110P0 38.2581 4 35876 Removal of clot in graft A 17.00 9.51 NA 9.36 9.51 9.36 1.88 28.39 28.24 28.39 28.24 0090.09.84.0720210P0 38.2581 4 35879 Revise graft w/vein A 16.00 8.58 NA 8.58 8.58 8.58 1.35 25.93 25.93 25.93 25.93 0090.09.84.072121090 38.2581 5 35881 Revise graft w/vein A 18.00 9.47 NA 9.47 9.47 9.47 1.44 28.91 28.91 28.91 28.91 0090.09.84.072121090 38.2581 5 35901 Excision, graft, neck A 8.19 5.81 NA 6.31 5.81 6.31 0.90 14.90 15.40 14.90 15.40 0090.09.84.0720210P0 38.2581 4 35903 Excision, graft, extremity A 9.39 8.43 NA 8.27 8.43 8.27 1.03 18.85 18.69 18.85 18.69 0090.09.84.0720210P0 38.2581 4 35905 Excision, graft, thorax A 18.19 12.88 NA11.61 12.88 11.61 2.15 33.22 31.95 33.22 31.95 0090.09.84.0720210P0 38.2581 4 35907 Excision, graft, abdomen A 19.24 9.89 NA 9.37 9.89 9.37 2.17 31.30 30.78 31.30 30.78 0090.09.84.0720210P0 38.2581 4 36000 Place needle in vein A 0.18 0.62 0.53 0.05 0.07 0.01 0.81 0.72 0.24 0.26 0XXX.00.00.0021100P0 38.2581 4 36005 Injection, venography A 0.95 15.38 11.66 0.34 0.38 0.04 16.37 12.65 1.33 1.37 0000.00.00.0020000P0 38.2581 4 36010 Place catheter in vein A 2.43 0.88 NA 1.23 0.88 1.23 0.16 3.47 3.82 3.47 3.82 0XXX.00.00.0021100P0 38.2581 4 36011 Place catheter in vein A 3.14 1.16 NA 1.39 1.16 1.39 0.17 4.47 4.70 4.47 4.70 0XXX.00.00.0021100P0 38.2581 4 36012 Place catheter in vein A 3.52 1.29 NA 1.69 1.29 1.69 0.17 4.98 5.38 4.98 5.38 0XXX.00.00.0021100P0 38.2581 4 36013 Place catheter in artery A 2.52 0.81 NA 1.18 0.81 1.18 0.17 3.50 3.87 3.50 3.87 0XXX.00.00.0020100P0 38.2581 4 36014 Place catheter in artery A 3.02 1.11 NA 1.45 1.11 1.45 0.14 4.27 4.61 4.27 4.61 0XXX.00.00.0021100P0 38.2581 4 36015 Place catheter in artery A 3.52 1.29 NA 1.69 1.29 1.69 0.16 4.97 5.37 4.97 5.37 0XXX.00.00.0021100P0 38.2581 4 36100 Establish access to artery A 3.02 1.26 NA 1.65 1.26 1.65 0.18 4.46 4.85 4.46 4.85 0XXX.00.00.0021100P0 38.2581 4 36120 Establish access to artery A 2.01 0.73 NA 1.15 0.73 1.15 0.11 2.85 3.27 2.85 3.27 0XXX.00.00.0020100P0 38.2581 4 36140 Establish access to artery A 2.01 0.72 NA 0.92 0.72 0.92 0.12 2.85 3.05 2.85 3.05 0XXX.00.00.0020100P0 38.2581 4 36145 Artery to vein shunt A 2.01 0.75 NA 1.16 0.75 1.16 0.10 2.86 3.27 2.86 3.27 0XXX.00.00.0020100P0 38.2581 4 36160 Establish access to aorta A 2.52 0.98 NA 1.37 0.98 1.37 0.20 3.70 4.09 3.70 4.09 0XXX.00.00.0020100P0 38.2581 4 36200 Place catheter in aorta A 3.02 1.11 NA 1.57 1.11 1.57 0.15 4.28 4.74 4.28 4.74 0XXX.00.00.0021100P0 38.2581 4 36215 Place catheter in artery A 4.68 1.72 NA 2.05 1.72 2.05 0.22 6.62 6.95 6.62 6.95 0XXX.00.00.0021100P0 38.2581 4 36216 Place catheter in artery A 5.28 1.95 NA 2.36 1.95 2.36 0.24 7.47 7.88 7.47 7.88 0XXX.00.00.0021100P0 38.2581 4 36217 Place catheter in artery A 6.30 2.36 NA 2.83 2.36 2.83 0.32 8.98 9.45 8.98 9.45 0XXX.00.00.0021100P0 38.2581 4 36218 Place catheter in artery A 1.01 0.41 NA 0.48 0.41 0.48 0.05 1.47 1.54 1.47 1.54 0ZZZ.00.00.0000100P0 38.2581 4 36245 Place catheter in artery A 4.68 1.86 NA 2.25 1.86 2.25 0.23 6.77 7.16 6.77 7.16 0XXX.00.00.0021100P0 38.2581 4 36246 Place catheter in artery A 5.28 1.98 NA 2.38 1.98 2.38 0.26 7.52 7.92 7.52 7.92 0XXX.00.00.0021100P0 38.2581 4 36247 Place catheter in artery A 6.30 2.33 NA 2.81 2.33 2.81 0.32 8.95 9.43 8.95 9.43 0XXX.00.00.0021100P0 38.2581 4 36248 Place catheter in artery A 1.01 0.42 NA 0.48 0.42 0.48 0.06 1.49 1.55 1.49 1.55 0ZZZ.00.00.0000100P0 38.2581 4 36260 Insertion of infusion pump A 9.71 5.71 NA 6.11 5.71 6.11 1.00 16.42 16.82 16.42 16.82 0090.09.84.0720100P0 38.2581 4 36261 Revision of infusion pump A 5.45 3.61 NA 3.31 3.61 3.31 0.50 9.56 9.26 9.56 9.26 0090.09.84.0720200P0 38.2581 4 36262 Removal of infusion pump A 4.02 2.58 NA 2.46 2.58 2.46 0.43 7.03 6.91 7.03 6.91 0090.09.84.0720100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 36400 Drawing blood A 0.18 0.62 0.49 0.05 0.05 0.01 0.81 0.68 0.24 0.24 0XXX.00.00.0020100P0 38.2581 4 36405 Drawing blood A 0.18 0.55 0.54 0.06 0.11 0.01 0.74 0.73 0.25 0.30 0XXX.00.00.0020100P0 38.2581 4 36406 Drawing blood A 0.18 0.76 0.61 0.05 0.06 0.01 0.95 0.80 0.24 0.25 0XXX.00.00.0020100P0 38.2581 4 36410 Drawing blood A 0.18 0.48 0.42 0.05 0.07 0.01 0.67 0.61 0.24 0.26 0XXX.00.00.0020100P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 36420 Establish access to vein A 1.01 0.32 NA 0.38 0.32 0.38 0.09 1.42 1.48 1.42 1.48 0XXX.00.00.0020000P0 38.2581 4 36425 Establish access to vein A 0.76 3.22 2.44 0.17 0.15 0.05 4.03 3.25 0.98 0.96 0XXX.00.00.0020100P0 38.2581 4 36430 Blood transfusion service A 0.00 1.00 1.01 1.00 0.88 0.05 1.05 1.06 1.05 0.93 5XXX.00.00.0000100P0 38.2581 4 36440 Blood transfusion service A 1.03 0.29 NA 0.47 0.29 0.47 0.08 1.40 1.58 1.40 1.58 0XXX.00.00.0020000P0 38.2581 4 36450 Exchange transfusion service A 2.23 0.73 NA 1.06 0.73 0.80 0.16 3.12 3.45 3.12 3.19 0XXX.00.00.0020000P0 38.2581 4 36455 Exchange transfusion service A 2.43 0.97 NA 1.34 0.97 1.34 0.10 3.50 3.87 3.50 3.87 0XXX.00.00.0020100P0 38.2581 4 36460 Transfusion service, fetal A 6.59 2.43 NA 3.10 2.43 3.10 0.56 9.58 10.25 9.58 10.25 0XXX.00.00.0020200P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 9 36470 Injection therapy of vein A 1.09 2.59 2.02 0.41 0.35 0.10 3.78 3.21 1.60 1.54 0010.10.80.1020100P0 38.2581 4 36471 Injection therapy of veins A 1.57 3.23 2.53 0.60 0.50 0.15 4.95 4.25 2.32 2.22 0010.10.80.1020100P0 38.2581 4 36481 Insertion of catheter, vein A 6.99 2.88 NA 3.60 2.88 3.60 0.40 10.27 10.99 10.27 10.99 0000.00.00.0020100P0 38.2581 4 36488 Insertion of catheter, vein A 1.35 0.75 NA 0.83 0.75 0.83 0.09 2.19 2.27 2.19 2.27 0000.00.00.0000100P0 38.2581 4 36489 Insertion of catheter, vein A 1.22 3.30 2.78 0.68 0.82 0.08 4.60 4.08 1.98 2.12 0000.00.00.0000100P0 38.2581 4 36490 Insertion of catheter, vein A 1.67 0.89 NA 1.04 0.89 1.04 0.17 2.73 2.88 2.73 2.88 0000.00.00.0000100P0 38.2581 4 36491 Insertion of catheter, vein A 1.43 0.78 NA 1.01 0.78 1.01 0.13 2.34 2.57 2.34 2.57 0000.00.00.0000100P0 38.2581 4 36493 Repositioning of cvc A 1.21 0.85 NA 0.81 0.85 0.81 0.06 2.12 2.08 2.12 2.08 0000.00.00.0020100P0 38.2581 4 36500 Insertion of catheter, vein A 3.52 1.32 NA 1.01 1.32 1.01 0.14 4.98 4.67 4.98 4.67 0000.00.00.0020100P0 38.2581 4 36510 Insertion of catheter, vein A 1.09 0.61 NA 0.55 0.61 0.51 0.06 1.76 1.70 1.76 1.66 0000.00.00.0020000P0 38.2581 4 36520 Plasma and/or cell exchange A 1.74 0.98 NA 1.25 0.98 1.25 0.06 2.78 3.05 2.78 3.05 0000.00.00.0020100P0 38.2581 4 36521 Apheresis w/ adsorp/reinfuse A 1.74 0.98 NA 0.98 0.98 0.98 0.06 2.78 2.78 2.78 2.78 0000.00.00.002010090 38.2581 5 36522 Photopheresis A 1.67 5.96 5.14 1.12 1.34 0.07 7.70 6.88 2.86 3.08 0000.00.00.0020100P0 38.2581 4 36530 Insertion of infusion pump R 6.20 3.75 NA 4.12 3.75 4.12 0.56 10.51 10.88 10.51 10.88 0010.10.80.1020000P0 38.2581 4 36531 Revision of infusion pump R 4.87 3.28 NA 3.65 3.28 3.65 0.44 8.59 8.96 8.59 8.96 0010.10.80.1020000P0 38.2581 4 36532 Removal of infusion pump R 3.30 1.65 NA 1.72 1.65 1.72 0.34 5.29 5.36 5.29 5.36 0010.10.80.1020000P0 38.2581 4 36533 Insertion of access device A 5.32 4.33 4.41 3.51 3.80 0.49 10.14 10.22 9.32 9.61 0010.10.80.1020000P1A4300 38.2581 4 36534 Revision of access device A 2.80 1.51 NA 1.97 1.51 1.97 0.19 4.50 4.96 4.50 4.96 0010.10.80.1020000P0 38.2581 4 36535 Removal of access device A 2.27 2.91 2.67 1.98 1.98 0.21 5.39 5.15 4.46 4.46 0010.10.80.1020000P0 38.2581 4 36540 Collect blood venous device B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 36550 Declot vascular device A 0.00 0.37 0.37 0.06 0.06 0.31 0.68 0.68 0.37 0.37 9XXX.00.00.000000090 38.2581 5 36600 Withdrawal of arterial blood A 0.32 0.40 0.38 0.09 0.14 0.02 0.74 0.72 0.43 0.48 0XXX.00.00.0020100P0 38.2581 4 36620 Insertion catheter, artery A 1.15 0.25 NA 0.37 0.25 0.37 0.06 1.46 1.58 1.46 1.58 0000.00.00.0000100P0 38.2581 4 36625 Insertion catheter, artery A 2.11 0.61 NA 0.69 0.61 0.69 0.16 2.88 2.96 2.88 2.96 0000.00.00.0000100P0 38.2581 4 36640 Insertion catheter, artery A 2.10 0.78 NA 1.21 0.78 1.21 0.18 3.06 3.49 3.06 3.49 0000.00.00.0020100P0 38.2581 4 36660 Insertion catheter, artery A 1.40 0.46 NA 0.48 0.46 0.48 0.08 1.94 1.96 1.94 1.96 0000.00.00.0000000P0 38.2581 4 36680 Insert needle, bone cavity A 1.20 0.60 NA 0.79 0.60 0.79 0.08 1.88 2.07 1.88 2.07 0000.00.00.0020000P0 38.2581 4 36800 Insertion of cannula A 2.43 1.67 NA 1.86 1.67 1.86 0.17 4.27 4.46 4.27 4.46 0000.00.00.0020100P0 38.2581 4 36810 Insertion of cannula A 3.97 2.49 NA 3.05 2.49 3.05 0.40 6.86 7.42 6.86 7.42 0000.00.00.0020100P0 38.2581 4 36815 Insertion of cannula A 2.62 1.81 NA 2.14 1.81 2.14 0.26 4.69 5.02 4.69 5.02 0000.00.00.0020100P0 38.2581 4 36819 Av fusion by basilic vein A 14.00 6.90 NA 6.90 6.90 6.90 1.53 22.43 22.43 22.43 22.43 0090.09.84.072021090 38.2581 5 36821 Av fusion direct any site A 8.93 5.23 NA 5.89 5.23 5.89 0.97 15.13 15.79 15.13 15.79 0090.09.84.0720210P0 38.2581 4 36822 Insertion of cannula(s) A 5.42 10.02 NA 9.04 10.02 9.04 0.63 16.07 15.09 16.07 15.09 0090.09.84.0720100P0 38.2581 4 36823 Insertion of cannula(s) A 21.00 11.80 NA11.80 11.80 11.80 2.18 34.98 34.98 34.98 34.98 0090.09.84.0720100P0 38.2581 5 36825 Artery-vein graft A 9.84 5.91 NA 7.37 5.91 7.37 1.09 16.84 18.30 16.84 18.30 0090.09.84.0720210P0 38.2581 4 36830 Artery-vein graft A 12.00 6.51 NA 7.59 6.51 7.59 1.32 19.83 20.91 19.83 20.91 0090.09.84.0720210P0 38.2581 4 36831 Av fistula excision, open A 8.00 2.95 2.95 2.95 2.95 0.79 11.74 11.74 11.74 11.74 0090.09.84.0720210P0 38.2581 5 36832 Av fistula revision, open A 10.50 5.90 NA 6.35 5.90 6.35 1.13 17.53 17.98 17.53 17.98 0090.09.84.0720210P0 38.2581 4 36833 Av fistula revision A 11.95 4.49 4.49 4.49 4.49 1.29 17.73 17.73 17.73 17.73 0090.09.84.0720210P0 38.2581 5 36834 Repair A-V aneurysm A 9.93 4.09 NA 5.19 4.09 5.19 1.06 15.08 16.18 15.08 16.18 0090.09.84.0720210P0 38.2581 4 36835 Artery to vein shunt A 7.15 4.90 NA 4.60 4.90 4.60 0.80 12.85 12.55 12.85 12.55 0090.09.84.0720100P0 38.2581 4 36860 External cannula declotting A 2.01 2.31 2.43 1.64 1.83 0.10 4.42 4.54 3.75 3.94 0000.00.00.0020100P0 38.2581 4 36861 Cannula declotting A 2.52 1.80 NA 2.10 1.80 2.10 0.14 4.46 4.76 4.46 4.76 0000.00.00.0020100P0 38.2581 4 36870 Av fistula revision, open A 5.16 30.67 30.67 2.51 2.51 0.40 36.23 36.23 8.07 8.07 0090.09.84.072110090 38.2581 5 37140 Revision of circulation A 23.60 10.58 NA12.36 10.58 12.36 1.21 35.39 37.17 35.39 37.17 0090.09.84.0720110P0 38.2581 4 37145 Revision of circulation A 24.61 11.00 NA12.90 11.00 12.90 2.48 38.09 39.99 38.09 39.99 0090.09.84.0720200P0 38.2581 4 37160 Revision of circulation A 21.60 9.52 NA11.95 9.52 11.95 2.16 33.28 35.71 33.28 35.71 0090.09.84.0720210P0 38.2581 4 37180 Revision of circulation A 24.61 10.97 NA12.08 10.97 12.08 2.63 38.21 39.32 38.21 39.32 0090.09.84.0720210P0 38.2581 4 37181 Splice spleen/kidney veins A 26.68 11.74 NA13.26 11.74 13.26 2.67 41.09 42.61 41.09 42.61 0090.09.84.0720210P0 38.2581 4 37195 Thrombolytic therapy, stroke A 0.00 7.99 8.08 7.99 8.08 0.38 8.37 8.46 8.37 8.46 5XXX.00.00.0000000P0 38.2581 4 37200 Transcatheter biopsy A 4.56 1.65 NA 1.67 1.65 1.67 0.19 6.40 6.42 6.40 6.42 0000.00.00.0020100P0 38.2581 4 37201 Transcatheter therapy infuse A 5.00 2.59 NA 3.44 2.59 3.44 0.24 7.83 8.68 7.83 8.68 0000.00.00.0020100P0 38.2581 4 37202 Transcatheter therapy infuse A 5.68 3.27 NA 3.62 3.27 3.62 0.38 9.33 9.68 9.33 9.68 0000.00.00.0020100P0 38.2581 4 37203 Transcatheter retrieval A 5.03 2.62 NA 3.00 2.62 3.00 0.23 7.88 8.26 7.88 8.26 0000.00.00.0020100P0 38.2581 4 37204 Transcatheter occlusion A 18.14 6.33 NA 8.48 6.33 8.48 0.85 25.32 27.47 25.32 27.47 0000.00.00.0020100P0 38.2581 4 37205 Transcatheter stent A 8.28 3.98 NA 4.39 3.98 4.39 0.43 12.69 13.10 12.69 13.10 0000.00.00.0020000P0 38.2581 4 37206 Transcatheter stent add-on A 4.13 1.62 NA 1.92 1.62 1.92 0.22 5.97 6.27 5.97 6.27 0ZZZ.00.00.0000000P0 38.2581 4 37207 Transcatheter stent A 8.28 3.86 NA 4.30 3.86 4.30 0.89 13.03 13.47 13.03 13.47 0000.00.00.0021220P0 38.2581 4 37208 Transcatheter stent add-on A 4.13 1.56 NA 1.87 1.56 1.87 0.44 6.13 6.44 6.13 6.44 0ZZZ.00.00.0000220P0 38.2581 4 37209 Exchange arterial catheter A 2.27 0.85 NA 1.02 0.85 1.02 0.11 3.23 3.40 3.23 3.40 0000.00.00.0020100P0 38.2581 4 37250 Iv us first vessel add-on A 2.10 0.86 NA 0.96 0.86 0.96 0.17 3.13 3.23 3.13 3.23 0ZZZ.00.00.0000010P0 38.2581 4 37251 Iv us each add vessel add-on A 1.60 0.63 NA 0.71 0.63 0.71 0.14 2.37 2.45 2.37 2.45 0ZZZ.00.00.0000010P0 38.2581 4 37565 Ligation of neck vein A 4.44 2.62 NA 2.99 2.62 2.99 0.45 7.51 7.88 7.51 7.88 0090.09.84.0720010P0 38.2581 4 37600 Ligation of neck artery A 4.57 3.34 NA 3.86 3.34 3.86 0.40 8.31 8.83 8.31 8.83 0090.09.84.0720210P0 38.2581 4 37605 Ligation of neck artery A 6.19 3.89 NA 4.43 3.89 4.43 0.77 10.85 11.39 10.85 11.39 0090.09.84.0720210P0 38.2581 4 37606 Ligation of neck artery A 6.28 3.93 NA 4.55 3.93 4.55 0.79 11.00 11.62 11.00 11.62 0090.09.84.0720200P0 38.2581 4 37607 Ligation of a-v fistula A 6.16 3.84 NA 3.71 3.84 3.71 0.67 10.67 10.54 10.67 10.54 0090.09.84.0720110P0 38.2581 4 37609 Temporal artery procedure A 2.30 6.20 5.25 2.30 2.33 0.21 8.71 7.76 4.81 4.84 0010.10.80.1020100P1A4550 38.2581 4 37615 Ligation of neck artery A 5.73 3.71 NA 4.31 3.71 4.31 0.57 10.01 10.61 10.01 10.61 0090.09.84.0720210P0 38.2581 4 37616 Ligation of chest artery A 16.49 13.33 NA11.14 13.33 11.14 1.93 31.75 29.56 31.75 29.56 0090.09.84.0720210P0 38.2581 4 37617 Ligation of abdomen artery A 15.95 7.59 NA 7.86 7.59 7.86 1.69 25.23 25.50 25.23 25.50 0090.09.84.0720210P0 38.2581 4 37618 Ligation of extremity artery A 4.84 3.64 NA 4.08 3.64 4.08 0.54 9.02 9.46 9.02 9.46 0090.09.84.0720210P0 38.2581 4 37620 Revision of major vein A 10.56 5.60 NA 6.59 5.60 6.59 0.75 16.91 17.90 16.91 17.90 0090.09.84.0720110P0 38.2581 4 37650 Revision of major vein A 5.13 3.96 NA 4.06 3.96 4.06 0.56 9.65 9.75 9.65 9.75 0090.09.84.0721110P0 38.2581 4 37660 Revision of major vein A 10.61 6.14 NA 6.17 6.14 6.17 1.17 17.92 17.95 17.92 17.95 0090.09.84.0720210P0 38.2581 4 37700 Revise leg vein A 3.73 3.23 NA 3.41 3.23 3.41 0.40 7.36 7.54 7.36 7.54 0090.09.84.0721100P0 38.2581 4 37720 Removal of leg vein A 5.66 3.82 NA 4.25 3.82 4.25 0.61 10.09 10.52 10.09 10.52 0090.09.84.0721110P0 38.2581 4 37730 Removal of leg veins A 7.33 4.74 NA 5.44 4.74 5.44 0.77 12.84 13.54 12.84 13.54 0090.09.84.0721110P0 38.2581 4 37735 Removal of leg veins/lesion A 10.53 5.99 NA 6.76 5.99 6.76 1.17 17.69 18.46 17.69 18.46 0090.09.84.0721210P0 38.2581 4 37760 Revision of leg veins A 10.47 6.06 NA 6.58 6.06 6.58 1.11 17.64 18.16 17.64 18.16 0090.09.84.0720210P0 38.2581 4 37780 Revision of leg vein A 3.84 2.97 NA 2.74 2.97 2.74 0.41 7.22 6.99 7.22 6.99 0090.09.84.0721110P0 38.2581 4 37785 Revise secondary varicosity A 3.88 6.89 5.43 2.95 2.48 0.41 11.18 9.72 7.24 6.77 0090.09.84.0721100P0 38.2581 4 37788 Revascularization, penis A 22.01 12.61 NA13.57 12.61 13.57 1.35 35.97 36.93 35.97 36.93 0090.09.84.0720210P0 38.2581 4 37790 Penile venous occlusion A 8.34 7.23 NA 6.97 7.23 6.97 0.63 16.20 15.94 16.20 15.94 0090.08.83.0920000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 38100 Removal of spleen, total A 13.01 6.36 NA 7.09 6.36 7.09 1.30 20.67 21.40 20.67 21.40 0090.11.73.1620210P0 38.2581 4 38101 Removal of spleen, partial A 13.74 6.69 NA 6.92 6.69 6.92 1.38 21.81 22.04 21.81 22.04 0090.11.73.1620210P0 38.2581 4 38102 Removal of spleen, total A 4.80 1.82 NA 2.05 1.82 2.05 0.49 7.11 7.34 7.11 7.34 0ZZZ.00.00.0000210P0 38.2581 4 38115 Repair of ruptured spleen A 14.19 6.81 NA 7.18 6.81 7.18 1.40 22.40 22.77 22.40 22.77 0090.11.73.1620210P0 38.2581 4 38120 Laparoscopy, splenectomy A 17.00 7.79 NA 7.79 7.79 7.79 1.73 26.52 26.52 26.52 26.52 0090.09.84.072021090 38.2581 5 38129 Laparoscope proc, spleen C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002020090 38.2581 9 38200 Injection for spleen x-ray A 2.64 0.98 NA 1.20 0.98 1.20 0.12 3.74 3.96 3.74 3.96 0000.00.00.0020000P0 38.2581 4 38230 Bone marrow collection R 4.54 2.34 NA 2.51 2.34 2.51 0.25 7.13 7.30 7.13 7.30 0010.10.80.1020000P0 38.2581 4 38231 Stem cell collection R 1.50 0.59 NA 0.82 0.59 0.82 0.05 2.14 2.37 2.14 2.37 0000.00.00.0020000P0 38.2581 4 38240 Bone marrow/stem transplant R 2.24 0.85 NA 1.20 0.85 1.20 0.08 3.17 3.52 3.17 3.52 0XXX.00.00.0020000P0 38.2581 4 38241 Bone marrow/stem transplant R 2.24 0.84 NA 1.18 0.84 1.18 0.08 3.16 3.50 3.16 3.50 0XXX.00.00.0020000P0 38.2581 4 38300 Drainage, lymph node lesion A 1.53 4.31 3.39 2.52 1.97 0.15 5.99 5.07 4.20 3.65 0010.10.80.1020100P0 38.2581 4 38305 Drainage, lymph node lesion A 4.61 7.71 6.32 5.74 4.84 0.36 12.68 11.29 10.71 9.81 0090.11.73.1620100P0 38.2581 4 38308 Incision of lymph channels A 4.95 5.10 NA 4.74 5.10 4.74 0.51 10.56 10.20 10.56 10.20 0090.11.73.1620210P0 38.2581 4 38380 Thoracic duct procedure A 7.46 7.45 NA 6.79 7.45 6.79 0.68 15.59 14.93 15.59 14.93 0090.11.73.1620210P0 38.2581 4 38381 Thoracic duct procedure A 12.88 12.22 NA11.22 12.22 11.22 1.58 26.68 25.68 26.68 25.68 0090.11.73.1620210P0 38.2581 4 38382 Thoracic duct procedure A 10.08 10.97 NA 9.54 10.97 9.54 1.08 22.13 20.70 22.13 20.70 0090.11.73.1620210P0 38.2581 4 38500 Biopsy/removal, lymph nodes A 2.88 2.64 2.41 2.30 2.16 0.28 5.80 5.57 5.46 5.32 0010.10.80.1021100P1A4550 38.2581 4 38505 Needle biopsy, lymph nodes A 1.14 2.98 2.54 1.12 0.99 0.09 4.21 3.77 2.35 2.22 0000.00.00.0021100P0 38.2581 4 38510 Biopsy/removal, lymph nodes A 4.14 4.40 NA 3.99 4.40 3.99 0.38 8.92 8.51 8.92 8.51 0090.11.73.1621100P0 38.2581 4 38520 Biopsy/removal, lymph nodes A 5.12 5.25 NA 4.75 5.25 4.75 0.52 10.89 10.39 10.89 10.39 0090.11.73.1621100P0 38.2581 4 38525 Biopsy/removal, lymph nodes A 4.66 3.93 NA 3.65 3.93 3.65 0.48 9.07 8.79 9.07 8.79 0090.11.73.1621100P0 38.2581 4 38530 Biopsy/removal, lymph nodes A 6.13 5.36 NA 4.88 5.36 4.88 0.63 12.12 11.64 12.12 11.64 0090.11.73.1621210P0 38.2581 4 38542 Explore deep node(s), neck A 5.91 5.99 NA 5.65 5.99 5.65 0.50 12.40 12.06 12.40 12.06 0090.11.73.1621210P0 38.2581 4 38550 Removal, neck/armpit lesion A 6.92 4.94 NA 4.58 4.94 4.58 0.69 12.55 12.19 12.55 12.19 0090.11.73.1620000P0 38.2581 4 38555 Removal, neck/armpit lesion A 14.14 11.79 NA10.82 11.79 10.82 1.46 27.39 26.42 27.39 26.42 0090.11.73.1620210P0 38.2581 4 38562 Removal, pelvic lymph nodes A 10.49 6.51 NA 6.75 6.51 6.75 0.97 17.97 18.21 17.97 18.21 0090.11.73.1622210P0 38.2581 4 38564 Removal, abdomen lymph nodes A 10.83 6.51 NA 6.89 6.51 6.89 1.06 18.40 18.78 18.40 18.78 0090.11.73.1620210P0 38.2581 4 38570 Laparoscopy, lymph node biop A 9.25 4.61 NA 5.19 4.61 5.19 0.89 14.75 15.33 14.75 15.33 0010.10.80.103022090 49320 38.2581 4 38571 Laparoscopy, lymphadenectomy A 12.38 5.48 NA 6.43 5.48 6.43 0.80 18.66 19.61 18.66 19.61 0010.10.80.102222090 38.2581 4 38572 Laparoscopy, lymphadenectomy A 14.32 6.43 NA 7.54 6.43 7.54 1.32 22.07 23.18 22.07 23.18 0010.10.80.102222090 38.2581 4 38589 Laparoscope proc, lymphatic C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 38700 Removal of lymph nodes, neck A 8.24 13.23 NA12.38 13.23 12.38 0.60 22.07 21.22 22.07 21.22 0090.11.73.1621210P0 38.2581 4 38720 Removal of lymph nodes, neck A 13.61 15.67 NA15.82 15.67 15.82 1.03 30.31 30.46 30.31 30.46 0090.11.73.1621210P0 38.2581 4 38724 Removal of lymph nodes, neck A 14.54 16.15 NA16.01 16.15 16.01 1.10 31.79 31.65 31.79 31.65 0090.11.73.1621210P0 38.2581 4 38740 Remove armpit lymph nodes A 6.77 4.73 NA 4.83 4.73 4.83 0.69 12.19 12.29 12.19 12.29 0090.11.73.1620210P0 38.2581 4 38745 Remove armpit lymph nodes A 8.84 6.75 NA 7.31 6.75 7.31 0.90 16.49 17.05 16.49 17.05 0090.11.73.1620210P0 38.2581 4 38746 Remove thoracic lymph nodes A 4.39 1.78 NA 1.96 1.78 1.96 0.55 6.72 6.90 6.72 6.90 0ZZZ.00.00.0000210P0 38.2581 4 38747 Remove abdominal lymph nodes A 4.89 1.86 NA 2.09 1.86 2.09 0.50 7.25 7.48 7.25 7.48 0ZZZ.00.00.0000210P0 38.2581 4 38760 Remove groin lymph nodes A 8.74 5.71 NA 6.08 5.71 6.08 0.88 15.33 15.70 15.33 15.70 0090.11.73.1621210P0 38.2581 4 38765 Remove groin lymph nodes A 16.06 10.08 NA11.00 10.08 11.00 1.50 27.64 28.56 27.64 28.56 0090.11.73.1621210P0 38.2581 4 38770 Remove pelvis lymph nodes A 13.23 6.87 NA 9.10 6.87 9.10 0.94 21.04 23.27 21.04 23.27 0090.11.73.1621210P0 38.2581 4 38780 Remove abdomen lymph nodes A 16.59 9.23 NA11.28 9.23 11.28 1.60 27.42 29.47 27.42 29.47 0090.11.73.1620210P0 38.2581 4 38790 Inject for lymphatic x-ray A 1.29 34.73 26.49 0.48 0.75 0.09 36.11 27.87 1.86 2.13 0000.00.00.0021100P0 38.2581 4 38792 Identify sentinel node A 0.52 0.20 NA 0.20 0.20 0.20 0.04 0.76 0.76 0.76 0.76 0000.00.00.0021100P0 38.2581 5 38794 Access thoracic lymph duct A 4.45 1.69 NA 2.04 1.69 2.04 0.17 6.31 6.66 6.31 6.66 0090.11.73.1620000P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 39000 Exploration of chest A 6.10 9.67 NA 8.90 9.67 8.90 0.73 16.50 15.73 16.50 15.73 0090.09.84.0720210P0 38.2581 4 39010 Exploration of chest A 11.79 12.67 NA12.61 12.67 12.61 1.46 25.92 25.86 25.92 25.86 0090.09.84.0720210P0 38.2581 4 39200 Removal chest lesion A 13.62 12.97 NA12.87 12.97 12.87 1.65 28.24 28.14 28.24 28.14 0090.09.84.0720210P0 38.2581 4 39220 Removal chest lesion A 17.42 14.48 NA14.91 14.48 14.91 2.10 34.00 34.43 34.00 34.43 0090.09.84.0720210P0 38.2581 4 39400 Visualization of chest A 5.61 9.43 NA 8.46 9.43 8.46 0.69 15.73 14.76 15.73 14.76 0010.10.80.1020100P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 39501 Repair diaphragm laceration A 13.19 8.44 NA 9.22 8.44 9.22 1.38 23.01 23.79 23.01 23.79 0090.09.84.0720210P0 38.2581 4 39502 Repair paraesophageal hernia A 16.33 8.87 NA 9.89 8.87 9.89 1.68 26.88 27.90 26.88 27.90 0090.09.84.0720210P0 38.2581 4 39503 Repair of diaphragm hernia A 37.54 16.79 NA19.43 16.79 19.43 3.52 57.85 60.49 57.85 60.49 0090.09.84.0720210P0 38.2581 4 39520 Repair of diaphragm hernia A 16.10 11.37 NA11.93 11.37 11.93 1.83 29.30 29.86 29.30 29.86 0090.09.84.0720210P0 38.2581 4 39530 Repair of diaphragm hernia A 15.41 9.56 NA10.99 9.56 10.99 1.66 26.63 28.06 26.63 28.06 0090.09.84.0720210P0 38.2581 4 39531 Repair of diaphragm hernia A 16.42 10.67 NA10.72 10.67 10.72 1.83 28.92 28.97 28.92 28.97 0090.09.84.0720210P0 38.2581 4 39540 Repair of diaphragm hernia A 13.32 8.54 NA 9.66 8.54 9.66 1.38 23.24 24.36 23.24 24.36 0090.09.84.0720210P0 38.2581 4 39541 Repair of diaphragm hernia A 14.41 8.78 NA 9.89 8.78 9.89 1.52 24.71 25.82 24.71 25.82 0090.09.84.0720210P0 38.2581 4 39545 Revision of diaphragm A 13.37 11.72 NA10.93 11.72 10.93 1.55 26.64 25.85 26.64 25.85 0090.09.84.0720210P0 38.2581 4 39560 Resect diaphragm, simple A 12.00 8.97 NA 8.97 8.97 8.97 1.35 22.32 22.32 22.32 22.32 0090.09.84.072021090 38.2581 5 39561 Resect diaphragm, complex A 17.50 11.08 NA11.08 11.08 11.08 1.97 30.55 30.55 30.55 30.55 0090.09.84.072021090 38.2581 5 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 38.2581 9 40490 Biopsy of lip A 1.22 1.63 1.42 0.62 0.57 0.06 2.91 2.70 1.90 1.85 0000.00.00.0020100P0 38.2581 4 40500 Partial excision of lip A 4.28 5.61 5.49 5.49 5.40 0.31 10.20 10.08 10.08 9.99 0090.09.81.1020100P0 38.2581 4 40510 Partial excision of lip A 4.70 6.59 6.35 6.33 6.15 0.38 11.67 11.43 11.41 11.23 0090.09.81.1020100P0 38.2581 4 40520 Partial excision of lip A 4.67 7.58 6.91 6.71 6.25 0.42 12.67 12.00 11.80 11.34 0090.09.81.1020100P0 38.2581 4 40525 Reconstruct lip with flap A 7.55 8.21 NA 8.41 8.21 8.41 0.68 16.44 16.64 16.44 16.64 0090.09.81.1020100P0 38.2581 4 40527 Reconstruct lip with flap A 9.13 9.06 NA 9.52 9.06 9.52 0.82 19.01 19.47 19.01 19.47 0090.09.81.1020000P0 38.2581 4 40530 Partial removal of lip A 5.40 6.38 6.17 6.18 6.02 0.47 12.25 12.04 12.05 11.89 0090.09.81.1020100P0 38.2581 4 40650 Repair lip A 3.64 5.38 5.12 4.52 4.48 0.31 9.33 9.07 8.47 8.43 0090.09.81.1020000P0 38.2581 4 40652 Repair lip A 4.26 6.34 6.03 6.34 6.03 0.39 10.99 10.68 10.99 10.68 0090.09.81.1020000P0 38.2581 4 40654 Repair lip A 5.31 7.61 7.29 7.37 7.11 0.48 13.40 13.08 13.16 12.90 0090.09.81.1020100P0 38.2581 4 40700 Repair cleft lip/nasal A 12.79 10.36 NA10.07 10.36 10.07 0.93 24.08 23.79 24.08 23.79 0090.09.81.1020000P0 38.2581 4 40701 Repair cleft lip/nasal A 15.85 10.09 NA12.81 10.09 12.81 1.36 27.30 30.02 27.30 30.02 0090.09.81.1022200P0 38.2581 4 40702 Repair cleft lip/nasal A 13.04 9.30 NA 9.52 9.30 9.52 1.01 23.35 23.57 23.35 23.57 0090.09.81.1022200P0 38.2581 4 40720 Repair cleft lip/nasal A 13.55 12.39 NA11.90 12.39 11.90 1.31 27.25 26.76 27.25 26.76 0090.09.81.1021000P0 38.2581 4 40761 Repair cleft lip/nasal A 14.72 11.59 NA11.63 11.59 11.63 1.41 27.72 27.76 27.72 27.76 0090.09.81.1020100P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 40800 Drainage of mouth lesion A 1.17 1.91 1.63 0.46 0.45 0.09 3.17 2.89 1.72 1.71 0010.10.80.1020100P0 38.2581 4 40801 Drainage of mouth lesion A 2.53 2.43 2.28 1.90 1.66 0.18 5.14 4.99 4.61 4.37 0010.10.80.1020100P0 38.2581 4 40804 Removal, foreign body, mouth A 1.24 2.56 2.08 2.16 1.70 0.09 3.89 3.41 3.49 3.03 0010.10.80.1020000P0 38.2581 4 40805 Removal, foreign body, mouth A 2.69 3.05 2.97 2.69 2.70 0.17 5.91 5.83 5.55 5.56 0010.10.80.1020000P0 38.2581 4 40806 Incision of lip fold A 0.31 0.85 0.74 0.85 0.74 0.02 1.18 1.07 1.18 1.07 0000.00.00.0020000P0 38.2581 4 40808 Biopsy of mouth lesion A 0.96 2.05 1.74 2.05 1.64 0.07 3.08 2.77 3.08 2.67 0010.10.80.1020100P0 38.2581 4 40810 Excision of mouth lesion A 1.31 2.66 2.32 2.36 1.93 0.09 4.06 3.72 3.76 3.33 0010.10.80.1020100P0 38.2581 4 40812 Excise/repair mouth lesion A 2.31 2.87 2.56 2.87 2.36 0.17 5.35 5.04 5.35 4.84 0010.10.80.1020100P0 38.2581 4 40814 Excise/repair mouth lesion A 3.42 4.04 3.91 4.04 3.47 0.26 7.72 7.59 7.72 7.15 0090.09.81.1020100P0 38.2581 4 40816 Excision of mouth lesion A 3.67 4.35 4.14 4.35 3.70 0.27 8.29 8.08 8.29 7.64 0090.09.81.1020100P0 38.2581 4 40818 Excise oral mucosa for graft A 2.41 4.02 3.63 4.02 3.63 0.14 6.57 6.18 6.57 6.18 0090.09.81.1020000P0 38.2581 4 40819 Excise lip or cheek fold A 2.41 3.50 2.96 3.50 2.79 0.17 6.08 5.54 6.08 5.37 0090.09.81.1020000P0 38.2581 4 40820 Treatment of mouth lesion A 1.28 2.33 1.89 2.17 1.70 0.08 3.69 3.25 3.53 3.06 0010.10.80.1020100P0 38.2581 4 40830 Repair mouth laceration A 1.76 2.46 2.03 2.41 1.99 0.14 4.36 3.93 4.31 3.89 0010.10.80.1020000P0 38.2581 4 40831 Repair mouth laceration A 2.46 2.78 2.61 2.78 2.61 0.21 5.45 5.28 5.45 5.28 0010.10.80.1020000P0 38.2581 4 40840 Reconstruction of mouth R 8.73 6.16 6.33 6.16 6.33 0.79 15.68 15.85 15.68 15.85 0090.09.81.1020200P0 38.2581 4 40842 Reconstruction of mouth R 8.73 5.98 6.19 5.98 6.19 0.65 15.36 15.57 15.36 15.57 0090.09.81.1020000P0 38.2581 4 40843 Reconstruction of mouth R 12.10 8.47 8.74 8.47 8.74 0.84 21.41 21.68 21.41 21.68 0090.09.81.1022200P0 38.2581 4 40844 Reconstruction of mouth R 16.01 8.95 9.87 8.41 9.46 1.63 26.59 27.51 26.05 27.10 0090.09.81.1020200P0 38.2581 4 40845 Reconstruction of mouth R 18.58 10.53 13.44 10.53 13.44 1.47 30.58 33.49 30.58 33.49 0090.09.81.1020000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 41000 Drainage of mouth lesion A 1.30 2.35 1.97 1.54 1.26 0.09 3.74 3.36 2.93 2.65 0010.10.80.1020100P0 38.2581 4 41005 Drainage of mouth lesion A 1.26 2.09 1.74 1.24 1.10 0.09 3.44 3.09 2.59 2.45 0010.10.80.1020000P0 38.2581 4 41006 Drainage of mouth lesion A 3.24 3.51 2.91 3.41 2.83 0.25 7.00 6.40 6.90 6.32 0090.09.81.1020000P0 38.2581 4 41007 Drainage of mouth lesion A 3.10 3.32 3.28 3.04 3.07 0.22 6.64 6.60 6.36 6.39 0090.09.81.1020000P0 38.2581 4 41008 Drainage of mouth lesion A 3.37 3.57 2.97 3.18 2.53 0.24 7.18 6.58 6.79 6.14 0090.09.81.1020000P0 38.2581 4 41009 Drainage of mouth lesion A 3.59 3.59 3.59 3.19 3.29 0.25 7.43 7.43 7.03 7.13 0090.09.81.1020000P0 38.2581 4 41010 Incision of tongue fold A 1.06 2.90 2.28 2.90 2.28 0.06 4.02 3.40 4.02 3.40 0010.10.80.1020000P0 38.2581 4 41015 Drainage of mouth lesion A 3.96 4.35 3.50 3.21 2.64 0.29 8.60 7.75 7.46 6.89 0090.09.81.1020000P0 38.2581 4 41016 Drainage of mouth lesion A 4.07 4.14 4.11 3.39 3.54 0.28 8.49 8.46 7.74 7.89 0090.09.81.1020000P0 38.2581 4 41017 Drainage of mouth lesion A 4.07 4.02 3.40 3.30 2.86 0.32 8.41 7.79 7.69 7.25 0090.09.81.1020000P0 38.2581 4 41018 Drainage of mouth lesion A 5.10 4.53 4.47 3.89 3.99 0.35 9.98 9.92 9.34 9.44 0090.09.81.1020000P0 38.2581 4 41100 Biopsy of tongue A 1.63 2.59 2.16 2.57 2.04 0.12 4.34 3.91 4.32 3.79 0010.10.80.1020100P0 38.2581 4 41105 Biopsy of tongue A 1.42 2.42 2.10 2.42 1.96 0.10 3.94 3.62 3.94 3.48 0010.10.80.1020100P0 38.2581 4 41108 Biopsy of floor of mouth A 1.05 2.29 1.95 2.23 1.79 0.08 3.42 3.08 3.36 2.92 0010.10.80.1020100P0 38.2581 4 41110 Excision of tongue lesion A 1.51 3.03 2.63 2.49 2.05 0.11 4.65 4.25 4.11 3.67 0010.10.80.1020100P0 38.2581 4 41112 Excision of tongue lesion A 2.73 3.48 3.26 3.48 2.94 0.20 6.41 6.19 6.41 5.87 0090.09.81.1020100P0 38.2581 4 41113 Excision of tongue lesion A 3.19 3.46 3.52 3.46 3.06 0.23 6.88 6.94 6.88 6.48 0090.09.81.1020100P0 38.2581 4 41114 Excision of tongue lesion A 8.47 6.36 NA 6.50 6.36 6.50 0.64 15.47 15.61 15.47 15.61 0090.09.81.1020000P0 38.2581 4 41115 Excision of tongue fold A 1.74 2.31 2.22 2.31 2.22 0.13 4.18 4.09 4.18 4.09 0010.10.80.1020000P0 38.2581 4 41116 Excision of mouth lesion A 2.44 3.36 3.20 3.36 3.20 0.17 5.97 5.81 5.97 5.81 0090.09.81.1020100P0 38.2581 4 41120 Partial removal of tongue A 9.77 8.68 NA 8.49 8.68 8.49 0.70 19.15 18.96 19.15 18.96 0090.09.81.1020210P0 38.2581 4 41130 Partial removal of tongue A 11.15 9.52 NA 9.60 9.52 9.60 0.81 21.48 21.56 21.48 21.56 0090.09.81.1020210P0 38.2581 4 41135 Tongue and neck surgery A 23.09 15.84 NA16.85 15.84 16.85 1.66 40.59 41.60 40.59 41.60 0090.09.81.1020210P0 38.2581 4 41140 Removal of tongue A 25.50 18.03 NA18.65 18.03 18.65 1.85 45.38 46.00 45.38 46.00 0090.09.81.1020210P0 38.2581 4 41145 Tongue removal, neck surgery A 30.06 21.43 NA22.26 21.43 22.26 2.11 53.60 54.43 53.60 54.43 0090.09.81.1020210P0 38.2581 4 41150 Tongue, mouth, jaw surgery A 23.04 17.05 NA17.93 17.05 17.93 1.67 41.76 42.64 41.76 42.64 0090.09.81.1020210P0 38.2581 4 41153 Tongue, mouth, neck surgery A 23.77 17.78 NA20.12 17.78 20.12 1.71 43.26 45.60 43.26 45.60 0090.09.81.1020210P0 38.2581 4 41155 Tongue, jaw, & neck surgery A 27.72 19.81 NA22.98 19.81 22.98 2.02 49.55 52.72 49.55 52.72 0090.09.81.1020210P0 38.2581 4 41250 Repair tongue laceration A 1.91 2.81 2.40 1.65 1.53 0.15 4.87 4.46 3.71 3.59 0010.10.80.1020000P0 38.2581 4 41251 Repair tongue laceration A 2.27 2.73 2.61 2.24 2.24 0.18 5.18 5.06 4.69 4.69 0010.10.80.1020000P0 38.2581 4 41252 Repair tongue laceration A 2.97 3.57 3.32 2.32 2.38 0.23 6.77 6.52 5.52 5.58 0010.10.80.1020000P0 38.2581 4 41500 Fixation of tongue A 3.71 4.28 NA 4.10 4.28 4.10 0.26 8.25 8.07 8.25 8.07 0090.09.81.1020000P0 38.2581 4 41510 Tongue to lip surgery A 3.42 4.47 NA 4.04 4.47 4.04 0.24 8.13 7.70 8.13 7.70 0090.09.81.1020000P0 38.2581 4 41520 Reconstruction, tongue fold A 2.73 3.16 3.15 3.16 3.15 0.19 6.08 6.07 6.08 6.07 0090.09.81.1020000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 41800 Drainage of gum lesion A 1.17 1.88 1.60 1.33 1.09 0.09 3.14 2.86 2.59 2.35 0010.10.80.1020100P0 38.2581 4 41805 Removal foreign body, gum A 1.24 1.90 1.65 1.90 1.65 0.09 3.23 2.98 3.23 2.98 0010.10.80.1020000P0 38.2581 4 41806 Removal foreign body,jawbone A 2.69 2.56 2.37 2.38 2.01 0.22 5.47 5.28 5.29 4.92 0010.10.80.1020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 9 41822 Excision of gum lesion R 2.31 2.84 2.95 0.91 1.51 0.24 5.39 5.50 3.46 4.06 0010.10.80.1020000P0 38.2581 4 41823 Excision of gum lesion R 3.30 3.71 3.77 2.75 3.05 0.29 7.30 7.36 6.34 6.64 0090.09.81.1020000P0 38.2581 4 41825 Excision of gum lesion A 1.31 2.34 2.16 2.27 1.91 0.10 3.75 3.57 3.68 3.32 0010.10.80.1020100P0 38.2581 4 41826 Excision of gum lesion A 2.31 2.60 2.51 2.59 2.23 0.17 5.08 4.99 5.07 4.71 0010.10.80.1020100P0 38.2581 4 41827 Excision of gum lesion A 3.42 3.55 3.68 3.55 3.17 0.25 7.22 7.35 7.22 6.84 0090.09.81.1020100P0 38.2581 4 41828 Excision of gum lesion R 3.09 3.00 3.36 2.30 2.83 0.22 6.31 6.67 5.61 6.14 0010.10.80.1020000P0 38.2581 4 41830 Removal of gum tissue R 3.35 3.15 3.36 3.15 3.36 0.23 6.73 6.94 6.73 6.94 0010.10.80.1020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 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 0XXX.00.00.0020000P0 38.2581 9 41872 Repair gum R 2.59 2.67 2.78 2.67 2.78 0.18 5.44 5.55 5.44 5.55 0090.09.81.1020000P0 38.2581 4 41874 Repair tooth socket R 3.09 2.81 3.03 2.34 2.68 0.23 6.13 6.35 5.66 6.00 0090.09.81.1020000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 42000 Drainage mouth roof lesion A 1.23 2.39 1.96 1.68 1.35 0.10 3.72 3.29 3.01 2.68 0010.10.80.1020000P0 38.2581 4 42100 Biopsy roof of mouth A 1.31 2.36 1.99 2.36 1.88 0.10 3.77 3.40 3.77 3.29 0010.10.80.1020100P0 38.2581 4 42104 Excision lesion, mouth roof A 1.64 2.43 2.26 2.43 2.04 0.12 4.19 4.02 4.19 3.80 0010.10.80.1020100P0 38.2581 4 42106 Excision lesion, mouth roof A 2.10 2.60 2.55 2.60 2.25 0.16 4.86 4.81 4.86 4.51 0010.10.80.1020100P0 38.2581 4 42107 Excision lesion, mouth roof A 4.44 4.02 4.34 4.02 3.68 0.32 8.78 9.10 8.78 8.44 0090.09.81.1020100P0 38.2581 4 42120 Remove palate/lesion A 6.17 6.01 NA 6.35 6.01 6.35 0.44 12.62 12.96 12.62 12.96 0090.09.81.1020210P0 38.2581 4 42140 Excision of uvula A 1.62 3.68 3.13 3.22 2.78 0.12 5.42 4.87 4.96 4.52 0090.09.81.1020100P0 38.2581 4 42145 Repair palate, pharynx/uvula A 8.05 7.30 NA 7.88 7.30 7.88 0.56 15.91 16.49 15.91 16.49 0090.09.81.1020100P0 38.2581 4 42160 Treatment mouth roof lesion A 1.80 3.16 2.79 2.62 2.17 0.13 5.09 4.72 4.55 4.10 0010.10.80.1020000P0 38.2581 4 42180 Repair palate A 2.50 2.74 2.66 2.09 2.18 0.19 5.43 5.35 4.78 4.87 0010.10.80.1020000P0 38.2581 4 42182 Repair palate A 3.83 3.94 3.90 2.98 3.18 0.27 8.04 8.00 7.08 7.28 0010.10.80.1020000P0 38.2581 4 42200 Reconstruct cleft palate A 12.00 9.92 NA 9.39 9.92 9.39 0.97 22.89 22.36 22.89 22.36 0090.09.81.1020200P0 38.2581 4 42205 Reconstruct cleft palate A 9.59 7.65 NA 8.60 7.65 8.60 0.82 18.06 19.01 18.06 19.01 0090.09.81.1020200P0 38.2581 4 42210 Reconstruct cleft palate A 14.50 7.94 NA 9.35 7.94 9.35 1.24 23.68 25.09 23.68 25.09 0090.09.81.1020200P0 38.2581 4 42215 Reconstruct cleft palate A 8.82 7.36 NA 7.60 7.36 7.60 0.96 17.14 17.38 17.14 17.38 0090.09.81.1020200P0 38.2581 4 42220 Reconstruct cleft palate A 7.02 5.69 NA 5.73 5.69 5.73 0.41 13.12 13.16 13.12 13.16 0090.09.81.1020200P0 38.2581 4 42225 Reconstruct cleft palate A 9.54 8.87 NA 8.53 8.87 8.53 0.75 19.16 18.82 19.16 18.82 0090.09.81.1020200P0 38.2581 4 42226 Lengthening of palate A 10.01 9.15 NA 9.00 9.15 9.00 0.73 19.89 19.74 19.89 19.74 0090.09.81.1020200P0 38.2581 4 42227 Lengthening of palate A 9.52 6.69 NA 7.03 6.69 7.03 0.70 16.91 17.25 16.91 17.25 0090.09.81.1020200P0 38.2581 4 42235 Repair palate A 7.87 5.75 NA 5.82 5.75 5.82 0.49 14.11 14.18 14.11 14.18 0090.09.81.1020200P0 38.2581 4 42260 Repair nose to lip fistula A 9.80 7.33 6.58 7.33 6.58 0.85 17.98 17.23 17.98 17.23 0090.09.81.1020200P0 38.2581 4 42280 Preparation, palate mold A 1.54 1.41 1.60 0.81 1.15 0.12 3.07 3.26 2.47 2.81 0010.10.80.1020000P0 38.2581 4 42281 Insertion, palate prosthesis A 1.93 2.01 1.91 1.03 1.17 0.14 4.08 3.98 3.10 3.24 0010.10.80.1020000P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 42300 Drainage of salivary gland A 1.93 2.56 2.18 1.76 1.45 0.15 4.64 4.26 3.84 3.53 0010.10.80.1020100P0 38.2581 4 42305 Drainage of salivary gland A 6.07 5.16 NA 4.46 5.16 4.46 0.46 11.69 10.99 11.69 10.99 0090.09.81.1020000P0 38.2581 4 42310 Drainage of salivary gland A 1.56 2.24 1.96 1.67 1.39 0.11 3.91 3.63 3.34 3.06 0010.10.80.1020000P0 38.2581 4 42320 Drainage of salivary gland A 2.35 2.79 2.59 2.12 2.09 0.17 5.31 5.11 4.64 4.61 0010.10.80.1020000P0 38.2581 4 42325 Create salivary cyst drain A 2.75 3.30 3.05 1.20 1.48 0.17 6.22 5.97 4.12 4.40 0090.09.81.1020200P0 38.2581 4 42326 Create salivary cyst drain A 3.78 3.28 3.59 2.10 2.70 0.34 7.40 7.71 6.22 6.82 0090.09.81.1020200P0 38.2581 4 42330 Removal of salivary stone A 2.21 2.70 2.32 1.20 1.05 0.16 5.07 4.69 3.57 3.42 0010.10.80.1020100P0 38.2581 4 42335 Removal of salivary stone A 3.31 3.57 3.35 3.57 3.01 0.23 7.11 6.89 7.11 6.55 0090.09.81.1020100P0 38.2581 4 42340 Removal of salivary stone A 4.60 4.57 4.58 4.57 4.01 0.34 9.51 9.52 9.51 8.95 0090.09.81.1020000P0 38.2581 4 42400 Biopsy of salivary gland A 0.78 2.34 1.97 0.39 0.40 0.06 3.18 2.81 1.23 1.24 0000.00.00.0020100P0 38.2581 4 42405 Biopsy of salivary gland A 3.29 3.35 2.93 3.28 2.67 0.24 6.88 6.46 6.81 6.20 0010.10.80.1020100P0 38.2581 4 42408 Excision of salivary cyst A 4.54 4.61 4.34 4.61 4.34 0.34 9.49 9.22 9.49 9.22 0090.09.81.1020000P0 38.2581 4 42409 Drainage of salivary cyst A 2.81 3.44 3.34 3.44 3.34 0.20 6.45 6.35 6.45 6.35 0090.09.81.1020200P0 38.2581 4 42410 Excise parotid gland/lesion A 9.34 7.78 NA 7.45 7.78 7.45 0.77 17.89 17.56 17.89 17.56 0090.09.81.1020210P0 38.2581 4 42415 Excise parotid gland/lesion A 16.89 12.40 NA12.74 12.40 12.74 1.26 30.55 30.89 30.55 30.89 0090.09.81.1020210P0 38.2581 4 42420 Excise parotid gland/lesion A 19.59 13.97 NA14.50 13.97 14.50 1.45 35.01 35.54 35.01 35.54 0090.09.81.1020210P0 38.2581 4 42425 Excise parotid gland/lesion A 13.02 10.26 NA10.71 10.26 10.71 0.98 24.26 24.71 24.26 24.71 0090.09.81.1020210P0 38.2581 4 42426 Excise parotid gland/lesion A 21.26 14.79 NA17.44 14.79 17.44 1.57 37.62 40.27 37.62 40.27 0090.09.81.1020210P0 38.2581 4 42440 Excise submaxillary gland A 6.97 5.88 NA 6.49 5.88 6.49 0.51 13.36 13.97 13.36 13.97 0090.09.81.1020210P0 38.2581 4 42450 Excise sublingual gland A 4.62 4.92 4.62 4.91 4.61 0.34 9.88 9.58 9.87 9.57 0090.09.81.1020000P0 38.2581 4 42500 Repair salivary duct A 4.30 4.67 4.75 4.67 4.75 0.30 9.27 9.35 9.27 9.35 0090.09.81.1020000P0 38.2581 4 42505 Repair salivary duct A 6.18 5.33 5.84 5.33 5.84 0.44 11.95 12.46 11.95 12.46 0090.09.81.1020100P0 38.2581 4 42507 Parotid duct diversion A 6.11 5.85 NA 5.65 5.85 5.65 0.66 12.62 12.42 12.62 12.42 0090.09.81.1022200P0 38.2581 4 42508 Parotid duct diversion A 9.10 7.96 NA 8.04 7.96 8.04 0.64 17.70 17.78 17.70 17.78 0090.09.81.1022200P0 38.2581 4 42509 Parotid duct diversion A 11.54 7.66 NA 7.73 7.66 7.73 1.24 20.44 20.51 20.44 20.51 0090.09.81.1022000P0 38.2581 4 42510 Parotid duct diversion A 8.15 7.44 NA 7.66 7.44 7.66 0.57 16.16 16.38 16.16 16.38 0090.09.81.1022210P0 38.2581 4 42550 Injection for salivary x-ray A 1.25 12.21 9.28 0.44 0.45 0.06 13.52 10.59 1.75 1.76 0000.00.00.0020100P0 38.2581 4 42600 Closure of salivary fistula A 4.82 6.02 5.57 5.54 5.21 0.34 11.18 10.73 10.70 10.37 0090.09.81.1020000P0 38.2581 4 42650 Dilation of salivary duct A 0.77 1.06 0.90 0.42 0.37 0.06 1.89 1.73 1.25 1.20 0000.00.00.0020100P0 38.2581 4 42660 Dilation of salivary duct A 1.13 1.15 1.00 1.15 0.93 0.07 2.35 2.20 2.35 2.13 0000.00.00.0020000P0 38.2581 4 42665 Ligation of salivary duct A 2.53 3.73 3.35 3.69 3.32 0.17 6.43 6.05 6.39 6.02 0090.09.81.1020000P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 42700 Drainage of tonsil abscess A 1.62 3.09 2.55 1.80 1.47 0.12 4.83 4.29 3.54 3.21 0010.10.80.1020100P0 38.2581 4 42720 Drainage of throat abscess A 5.42 4.73 4.06 4.67 4.02 0.39 10.54 9.87 10.48 9.83 0010.10.80.1020000P0 38.2581 4 42725 Drainage of throat abscess A 10.72 8.37 NA 7.49 8.37 7.49 0.80 19.89 19.01 19.89 19.01 0090.09.81.1020210P0 38.2581 4 42800 Biopsy of throat A 1.39 2.91 2.38 2.50 1.98 0.10 4.40 3.87 3.99 3.47 0010.10.80.1020100P0 38.2581 4 42802 Biopsy of throat A 1.54 3.01 2.54 2.60 2.23 0.11 4.66 4.19 4.25 3.88 0010.10.80.1020100P0 38.2581 4 42804 Biopsy of upper nose/throat A 1.24 2.87 2.45 2.45 2.13 0.09 4.20 3.78 3.78 3.46 0010.10.80.1020100P0 38.2581 4 42806 Biopsy of upper nose/throat A 1.58 3.29 2.85 2.63 2.35 0.12 4.99 4.55 4.33 4.05 0010.10.80.1020100P0 38.2581 4 42808 Excise pharynx lesion A 2.30 4.66 4.18 3.04 2.96 0.17 7.13 6.65 5.51 5.43 0010.10.80.1020100P0 38.2581 4 42809 Remove pharynx foreign body A 1.81 3.34 2.73 1.67 1.48 0.13 5.28 4.67 3.61 3.42 0010.10.80.1020100P0 38.2581 4 42810 Excision of neck cyst A 3.25 5.28 4.81 4.45 4.19 0.25 8.78 8.31 7.95 7.69 0090.09.81.1020200P0 38.2581 4 42815 Excision of neck cyst A 7.07 6.49 NA 7.03 6.49 7.03 0.53 14.09 14.63 14.09 14.63 0090.09.81.1020210P0 38.2581 4 42820 Remove tonsils and adenoids A 3.91 3.89 NA 3.77 3.89 3.77 0.28 8.08 7.96 8.08 7.96 0090.09.81.1020000P0 38.2581 4 42821 Remove tonsils and adenoids A 4.29 4.13 NA 4.17 4.13 4.17 0.30 8.72 8.76 8.72 8.76 0090.09.81.1020000P0 38.2581 4 42825 Removal of tonsils A 3.42 3.57 NA 3.40 3.57 3.40 0.24 7.23 7.06 7.23 7.06 0090.09.81.1020000P0 38.2581 4 42826 Removal of tonsils A 3.38 3.61 NA 3.72 3.61 3.72 0.23 7.22 7.33 7.22 7.33 0090.09.81.1020100P0 38.2581 4 42830 Removal of adenoids A 2.57 2.26 NA 2.20 2.26 2.20 0.18 5.01 4.95 5.01 4.95 0090.09.81.1020000P0 38.2581 4 42831 Removal of adenoids A 2.71 2.49 NA 2.51 2.49 2.51 0.19 5.39 5.41 5.39 5.41 0090.09.81.1020000P0 38.2581 4 42835 Removal of adenoids A 2.30 2.46 NA 2.35 2.46 2.35 0.17 4.93 4.82 4.93 4.82 0090.09.81.1020000P0 38.2581 4 42836 Removal of adenoids A 3.18 3.58 NA 3.44 3.58 3.44 0.22 6.98 6.84 6.98 6.84 0090.09.81.1020000P0 38.2581 4 42842 Extensive surgery of throat A 8.76 7.71 NA 7.60 7.71 7.60 0.61 17.08 16.97 17.08 16.97 0090.09.81.1020000P0 38.2581 4 42844 Extensive surgery of throat A 14.31 11.31 NA11.43 11.31 11.43 1.04 26.66 26.78 26.66 26.78 0090.09.81.1020210P0 38.2581 4 42845 Extensive surgery of throat A 24.29 17.47 NA18.16 17.47 18.16 1.76 43.52 44.21 43.52 44.21 0090.09.81.1020210P0 38.2581 4 42860 Excision of tonsil tags A 2.22 3.01 NA 2.77 3.01 2.77 0.16 5.39 5.15 5.39 5.15 0090.09.81.1020000P0 38.2581 4 42870 Excision of lingual tonsil A 5.40 5.83 NA 5.00 5.83 5.00 0.38 11.61 10.78 11.61 10.78 0090.09.81.1020000P0 38.2581 4 42890 Partial removal of pharynx A 12.94 10.62 NA10.41 10.62 10.41 0.91 24.47 24.26 24.47 24.26 0090.09.81.1020210P0 38.2581 4 42892 Revision of pharyngeal walls A 15.83 12.15 NA12.08 12.15 12.08 1.14 29.12 29.05 29.12 29.05 0090.09.81.1020210P0 38.2581 4 42894 Revision of pharyngeal walls A 22.88 16.83 NA16.98 16.83 16.98 1.64 41.35 41.50 41.35 41.50 0090.09.81.1020210P0 38.2581 4 42900 Repair throat wound A 5.25 3.73 NA 3.95 3.73 3.95 0.39 9.37 9.59 9.37 9.59 0010.10.80.1020000P0 38.2581 4 42950 Reconstruction of throat A 8.10 7.40 NA 7.97 7.40 7.97 0.58 16.08 16.65 16.08 16.65 0090.09.81.1020210P0 38.2581 4 42953 Repair throat, esophagus A 8.96 8.96 NA 8.44 8.96 8.44 0.73 18.65 18.13 18.65 18.13 0090.09.81.1020200P0 38.2581 4 42955 Surgical opening of throat A 7.39 6.48 NA 5.76 6.48 5.76 0.63 14.50 13.78 14.50 13.78 0090.09.81.1020200P0 38.2581 4 42960 Control throat bleeding A 2.33 2.08 NA 1.85 2.08 1.85 0.17 4.58 4.35 4.58 4.35 0010.10.80.1020000P0 38.2581 4 42961 Control throat bleeding A 5.59 5.22 NA 4.39 5.22 4.39 0.40 11.21 10.38 11.21 10.38 0090.09.81.1020200P0 38.2581 4 42962 Control throat bleeding A 7.14 6.25 NA 6.31 6.25 6.31 0.51 13.90 13.96 13.90 13.96 0090.09.81.1020200P0 38.2581 4 42970 Control nose/throat bleeding A 5.43 3.77 NA 3.11 3.77 3.11 0.37 9.57 8.91 9.57 8.91 0090.09.81.1020100P0 38.2581 4 42971 Control nose/throat bleeding A 6.21 5.69 NA 5.06 5.69 5.06 0.45 12.35 11.72 12.35 11.72 0090.09.81.1020200P0 38.2581 4 42972 Control nose/throat bleeding A 7.20 5.29 NA 5.20 5.29 5.20 0.54 13.03 12.94 13.03 12.94 0090.09.81.1020200P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 43020 Incision of esophagus A 8.09 6.75 NA 6.85 6.75 6.85 0.70 15.54 15.64 15.54 15.64 0090.09.81.1020210P0 38.2581 4 43030 Throat muscle surgery A 7.69 6.94 NA 7.50 6.94 7.50 0.60 15.23 15.79 15.23 15.79 0090.09.81.1020210P0 38.2581 4 43045 Incision of esophagus A 20.12 12.66 NA12.87 12.66 12.87 2.15 34.93 35.14 34.93 35.14 0090.09.81.1020210P0 38.2581 4 43100 Excision of esophagus lesion A 9.19 7.55 NA 7.34 7.55 7.34 0.79 17.53 17.32 17.53 17.32 0090.09.81.1020210P0 38.2581 4 43101 Excision of esophagus lesion A 16.24 9.82 NA 9.94 9.82 9.94 1.81 27.87 27.99 27.87 27.99 0090.09.81.1020210P0 38.2581 4 43107 Removal of esophagus A 28.79 16.92 NA18.80 16.92 18.80 3.29 49.00 50.88 49.00 50.88 0090.09.81.1020210P0 38.2581 4 43108 Removal of esophagus A 34.19 17.66 NA20.10 17.66 20.10 3.78 55.63 58.07 55.63 58.07 0090.09.81.1020210P0 38.2581 4 43112 Removal of esophagus A 31.22 18.18 NA19.51 18.18 19.51 3.67 53.07 54.40 53.07 54.40 0090.09.81.1020220P0 38.2581 4 43113 Removal of esophagus A 35.27 19.43 NA21.43 19.43 21.43 4.33 59.03 61.03 59.03 61.03 0090.09.81.1020220P0 38.2581 4 43116 Partial removal of esophagus A 31.22 20.74 NA22.41 20.74 22.41 2.62 54.58 56.25 54.58 56.25 0090.09.81.1020210P0 38.2581 4 43117 Partial removal of esophagus A 30.02 17.49 NA19.97 17.49 19.97 3.51 51.02 53.50 51.02 53.50 0090.09.81.1020220P0 38.2581 4 43118 Partial removal of esophagus A 33.20 18.27 NA20.56 18.27 20.56 3.56 55.03 57.32 55.03 57.32 0090.09.81.1020220P0 38.2581 4 43121 Partial removal of esophagus A 29.19 17.45 NA18.88 17.45 18.88 3.44 50.08 51.51 50.08 51.51 0090.09.81.1020220P0 38.2581 4 43122 Parital removal of esophagus A 29.11 16.18 NA17.93 16.18 17.93 3.27 48.56 50.31 48.56 50.31 0090.09.81.1020210P0 38.2581 4 43123 Partial removal of esophagus A 33.20 19.65 NA21.59 19.65 21.59 3.96 56.81 58.75 56.81 58.75 0090.09.81.1020210P0 38.2581 4 43124 Removal of esophagus A 27.32 17.52 NA19.25 17.52 19.25 2.95 47.79 49.52 47.79 49.52 0090.09.81.1020210P0 38.2581 4 43130 Removal of esophagus pouch A 11.75 9.45 NA 9.94 9.45 9.94 1.06 22.26 22.75 22.26 22.75 0090.09.81.1020210P0 38.2581 4 43135 Removal of esophagus pouch A 16.10 11.71 NA11.96 11.71 11.96 1.85 29.66 29.91 29.66 29.91 0090.09.81.1020210P0 38.2581 4 43200 Esophagus endoscopy A 1.59 6.74 5.61 1.18 1.36 0.11 8.44 7.31 2.88 3.06 0000.00.00.0020100P1A4550 38.2581 4 43202 Esophagus endoscopy, biopsy A 1.89 5.35 4.67 1.13 1.41 0.12 7.36 6.68 3.14 3.42 0000.00.00.0030100P1A455043200 38.2581 4 43204 Esophagus endoscopy & inject A 3.77 1.64 NA 2.36 1.64 2.36 0.18 5.59 6.31 5.59 6.31 0000.00.00.0030100P0 43200 38.2581 4 43205 Esophagus endoscopy/ligation A 3.79 1.65 NA 1.97 1.65 1.97 0.17 5.61 5.93 5.61 5.93 0000.00.00.0030000P0 43200 38.2581 4 43215 Esophagus endoscopy A 2.60 1.25 NA 1.71 1.25 1.71 0.17 4.02 4.48 4.02 4.48 0000.00.00.0030100P0 43200 38.2581 4 43216 Esophagus endoscopy/lesion A 2.40 1.17 NA 1.60 1.17 1.60 0.15 3.72 4.15 3.72 4.15 0000.00.00.0030000P0 43200 38.2581 4 43217 Esophagus endoscopy A 2.90 1.33 NA 1.86 1.33 1.86 0.17 4.40 4.93 4.40 4.93 0000.00.00.0030100P0 43200 38.2581 4 43219 Esophagus endoscopy A 2.80 1.41 NA 1.89 1.41 1.89 0.16 4.37 4.85 4.37 4.85 0000.00.00.0030100P0 43200 38.2581 4 43220 Esoph endoscopy, dilation A 2.10 1.09 NA 1.45 1.09 1.45 0.12 3.31 3.67 3.31 3.67 0000.00.00.0030100P1A455043200 38.2581 4 43226 Esoph endoscopy, dilation A 2.34 1.16 NA 1.57 1.16 1.57 0.12 3.62 4.03 3.62 4.03 0000.00.00.0030100P1A455043200 38.2581 4 43227 Esoph endoscopy, repair A 3.60 1.59 NA 2.27 1.59 2.27 0.18 5.37 6.05 5.37 6.05 0000.00.00.0030100P0 43200 38.2581 4 43228 Esoph endoscopy, ablation A 3.77 1.77 NA 2.45 1.77 2.45 0.25 5.79 6.47 5.79 6.47 0000.00.00.0030100P0 43200 38.2581 4 43231 Esoph endoscopy w/us exam A 4.09 1.84 NA 1.84 1.84 1.84 0.24 6.17 6.17 6.17 6.17 0000.00.00.003000090 43235 38.2581 5 43232 Esoph endoscopy w/us fn bx A 4.71 2.18 NA 2.18 2.18 2.18 0.28 7.17 7.17 7.17 7.17 0000.00.00.003000090 43235 38.2581 5 43234 Upper GI endoscopy, exam A 2.01 3.65 3.44 1.04 1.38 0.13 5.79 5.58 3.18 3.52 0000.00.00.0020100P1A4550 38.2581 4 43235 Uppr gi endoscopy, diagnosis A 2.39 4.79 4.43 1.17 1.59 0.13 7.31 6.95 3.69 4.11 0000.00.00.0020100P1A4550 38.2581 4 43239 Upper GI endoscopy, biopsy A 2.69 4.96 4.65 1.28 1.76 0.14 7.79 7.48 4.11 4.59 0000.00.00.0030100P1A455043235 38.2581 4 43240 Esoph endoscope w/drain cyst A 7.39 3.05 NA 3.05 3.05 3.05 0.45 10.89 10.89 10.89 10.89 0000.00.00.003010090 43260 38.2581 5 43241 Upper GI endoscopy with tube A 2.59 1.22 NA 1.69 1.22 1.69 0.14 3.95 4.42 3.95 4.42 0000.00.00.0030100P0 43235 38.2581 4 43242 Uppr gi endoscopy w/us fn bx A 5.51 1.98 1.98 1.98 1.98 0.34 7.83 7.83 7.83 7.83 0000.00.00.003000090 43235 38.2581 5 43243 Upper gi endoscopy & inject A 4.57 1.93 NA 2.81 1.93 2.81 0.21 6.71 7.59 6.71 7.59 0000.00.00.0030100P0 43235 38.2581 4 43244 Upper GI endoscopy/ligation A 4.59 1.93 NA 2.39 1.93 2.39 0.21 6.73 7.19 6.73 7.19 0000.00.00.0030000P0 43235 38.2581 4 43245 Operative upper GI endoscopy A 3.39 1.50 NA 2.14 1.50 2.14 0.18 5.07 5.71 5.07 5.71 0000.00.00.0030100P1A455043235 38.2581 4 43246 Place gastrostomy tube A 4.33 1.80 NA 2.64 1.80 2.64 0.24 6.37 7.21 6.37 7.21 0000.00.00.0030020P0 43235 38.2581 4 43247 Operative upper GI endoscopy A 3.39 1.50 NA 2.14 1.50 2.14 0.17 5.06 5.70 5.06 5.70 0000.00.00.0030100P1A455043235 38.2581 4 43248 Uppr gi endoscopy/guide wire A 3.15 1.42 NA 2.01 1.42 2.01 0.15 4.72 5.31 4.72 5.31 0000.00.00.0020100P0 38.2581 4 43249 Esoph endoscopy, dilation A 2.90 1.33 NA 1.86 1.33 1.86 0.15 4.38 4.91 4.38 4.91 0000.00.00.0030100P1A455043235 38.2581 4 43250 Upper GI endoscopy/tumor A 3.20 1.43 NA 2.03 1.43 2.03 0.17 4.80 5.40 4.80 5.40 0000.00.00.0030100P1A455043235 38.2581 4 43251 Operative upper GI endoscopy A 3.70 1.61 NA 2.31 1.61 2.31 0.19 5.50 6.20 5.50 6.20 0000.00.00.0030100P1A455043235 38.2581 4 43255 Operative upper GI endoscopy A 4.40 1.76 NA 2.63 1.76 2.63 0.20 6.36 7.23 6.36 7.23 0000.00.00.0030100P0 43235 38.2581 4 43256 Uppr gi endoscopy w stent A 4.35 1.56 1.56 1.56 1.56 0.26 6.17 6.17 6.17 6.17 0000.00.00.003010090 43235 38.2581 5 43258 Operative upper GI endoscopy A 4.55 1.92 NA 2.80 1.92 2.80 0.22 6.69 7.57 6.69 7.57 0000.00.00.0030100P0 43235 38.2581 4 43259 Endoscopic ultrasound exam A 4.89 2.12 NA 2.68 2.12 2.68 0.22 7.23 7.79 7.23 7.79 0000.00.00.0030000P0 43235 38.2581 4 43260 Endo cholangiopancreatograph A 5.96 2.42 NA 3.44 2.42 3.44 0.27 8.65 9.67 8.65 9.67 0000.00.00.0020100P0 38.2581 4 43261 Endo cholangiopancreatograph A 6.27 2.53 NA 3.52 2.53 3.52 0.29 9.09 10.08 9.09 10.08 0000.00.00.0030100P0 43260 38.2581 4 43262 Endo cholangiopancreatograph A 7.39 2.94 NA 4.41 2.94 4.41 0.34 10.67 12.14 10.67 12.14 0000.00.00.0030100P0 43260 38.2581 4 43263 Endo cholangiopancreatograph A 6.19 2.51 NA 3.47 2.51 3.47 0.28 8.98 9.94 8.98 9.94 0000.00.00.0030100P0 43260 38.2581 4 43264 Endo cholangiopancreatograph A 8.90 3.48 NA 5.03 3.48 5.03 0.41 12.79 14.34 12.79 14.34 0000.00.00.0030100P0 43260 38.2581 4 43265 Endo cholangiopancreatograph A 8.90 3.48 NA 4.46 3.48 4.46 0.42 12.80 13.78 12.80 13.78 0000.00.00.0030100P0 43260 38.2581 4 43267 Endo cholangiopancreatograph A 7.39 2.95 NA 4.22 2.95 4.22 0.34 10.68 11.95 10.68 11.95 0000.00.00.0030100P0 43260 38.2581 4 43268 Endo cholangiopancreatograph A 7.39 2.94 NA 4.41 2.94 4.41 0.34 10.67 12.14 10.67 12.14 0000.00.00.0030100P0 43260 38.2581 4 43269 Endo cholangiopancreatograph A 6.04 2.45 NA 3.64 2.45 3.64 0.28 8.77 9.96 8.77 9.96 0000.00.00.0030100P0 43260 38.2581 4 43271 Endo cholangiopancreatograph A 7.39 2.93 NA 4.27 2.93 4.27 0.34 10.66 12.00 10.66 12.00 0000.00.00.0030100P0 43260 38.2581 4 43272 Endo cholangiopancreatograph A 7.39 2.94 NA 3.73 2.94 3.73 0.34 10.67 11.46 10.67 11.46 0000.00.00.0030000P0 43260 38.2581 4 43280 Laparoscopy, fundoplasty A 17.25 8.77 NA 9.80 8.77 9.80 1.76 27.78 28.81 27.78 28.81 0090.09.81.102021090 38.2581 4 43289 Laparoscope proc, esoph C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 43300 Repair of esophagus A 9.14 7.63 NA 8.45 7.63 8.45 0.85 17.62 18.44 17.62 18.44 0090.09.81.1020210P0 38.2581 4 43305 Repair esophagus and fistula A 17.39 13.14 NA13.58 13.14 13.58 1.36 31.89 32.33 31.89 32.33 0090.09.81.1020210P0 38.2581 4 43310 Repair of esophagus A 27.47 18.38 NA18.40 18.38 18.40 3.18 49.03 49.05 49.03 49.05 0090.09.81.1020210P0 38.2581 4 43312 Repair esophagus and fistula A 30.50 23.31 NA21.21 23.31 21.21 3.38 57.19 55.09 57.19 55.09 0090.09.81.1020210P0 38.2581 4 43320 Fuse esophagus & stomach A 16.07 10.25 NA10.86 10.25 10.86 1.59 27.91 28.52 27.91 28.52 0090.09.81.1020210P0 38.2581 4 43324 Revise esophagus & stomach A 16.58 8.80 NA 9.82 8.80 9.82 1.72 27.10 28.12 27.10 28.12 0090.09.81.1020210P0 38.2581 4 43325 Revise esophagus & stomach A 16.17 9.21 NA10.06 9.21 10.06 1.65 27.03 27.88 27.03 27.88 0090.09.81.1020210P0 38.2581 4 43326 Revise esophagus & stomach A 15.91 10.94 NA10.25 10.94 10.25 1.84 28.69 28.00 28.69 28.00 0090.09.81.1020210P0 38.2581 4 43330 Repair of esophagus A 15.94 8.76 NA 9.65 8.76 9.65 1.52 26.22 27.11 26.22 27.11 0090.09.81.1020210P0 38.2581 4 43331 Repair of esophagus A 16.23 12.23 NA13.06 12.23 13.06 1.93 30.39 31.22 30.39 31.22 0090.09.81.1020210P0 38.2581 4 43340 Fuse esophagus & intestine A 15.81 10.07 NA10.93 10.07 10.93 1.53 27.41 28.27 27.41 28.27 0090.09.81.1020210P0 38.2581 4 43341 Fuse esophagus & intestine A 16.81 15.42 NA14.25 15.42 14.25 2.14 34.37 33.20 34.37 33.20 0090.09.81.1020210P0 38.2581 4 43350 Surgical opening, esophagus A 12.72 10.66 NA10.13 10.66 10.13 1.15 24.53 24.00 24.53 24.00 0090.09.81.1020210P0 38.2581 4 43351 Surgical opening, esophagus A 14.79 9.66 NA 9.63 9.66 9.63 1.51 25.96 25.93 25.96 25.93 0090.09.81.1020210P0 38.2581 4 43352 Surgical opening, esophagus A 12.30 9.53 NA 9.55 9.53 9.55 1.28 23.11 23.13 23.11 23.13 0090.09.81.1020210P0 38.2581 4 43360 Gastrointestinal repair A 28.78 16.55 NA18.21 16.55 18.21 3.00 48.33 49.99 48.33 49.99 0090.09.81.1020210P0 38.2581 4 43361 Gastrointestinal repair A 32.65 18.51 NA20.74 18.51 20.74 3.52 54.68 56.91 54.68 56.91 0090.09.81.1020210P0 38.2581 4 43400 Ligate esophagus veins A 17.09 8.66 NA 9.43 8.66 9.43 0.99 26.74 27.51 26.74 27.51 0090.09.81.1020210P0 38.2581 4 43401 Esophagus surgery for veins A 17.81 8.93 NA 9.30 8.93 9.30 1.73 28.47 28.84 28.47 28.84 0090.09.81.1020210P0 38.2581 4 43405 Ligate/staple esophagus A 16.13 9.39 NA10.93 9.39 10.93 1.63 27.15 28.69 27.15 28.69 0090.09.81.1020210P0 38.2581 4 43410 Repair esophagus wound A 10.86 9.11 NA 9.25 9.11 9.25 1.15 21.12 21.26 21.12 21.26 0090.09.81.1020210P0 38.2581 4 43415 Repair esophagus wound A 17.06 11.23 NA11.88 11.23 11.88 1.92 30.21 30.86 30.21 30.86 0090.09.81.1020210P0 38.2581 4 43420 Repair esophagus opening A 11.57 8.87 NA 8.25 8.87 8.25 0.86 21.30 20.68 21.30 20.68 0090.09.81.1020010P0 38.2581 4 43425 Repair esophagus opening A 16.95 11.97 NA11.68 11.97 11.68 2.03 30.95 30.66 30.95 30.66 0090.09.81.1020210P0 38.2581 4 43450 Dilate esophagus A 1.38 1.26 1.13 0.61 0.64 0.07 2.71 2.58 2.06 2.09 0000.00.00.0020100P0 38.2581 4 43453 Dilate esophagus A 1.51 0.65 NA 0.90 0.65 0.90 0.08 2.24 2.49 2.24 2.49 0000.00.00.0020100P0 38.2581 4 43456 Dilate esophagus A 2.57 1.05 NA 1.46 1.05 1.46 0.14 3.76 4.17 3.76 4.17 0000.00.00.0020100P0 38.2581 4 43458 Dilate esophagus A 3.06 1.24 NA 1.34 1.24 1.34 0.17 4.47 4.57 4.47 4.57 0000.00.00.0020100P1A4550 38.2581 4 43460 Pressure treatment esophagus A 3.80 1.51 NA 1.59 1.51 1.59 0.21 5.52 5.60 5.52 5.60 0000.00.00.0020100P0 38.2581 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 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 43500 Surgical opening of stomach A 8.44 4.38 NA 4.95 4.38 4.95 0.84 13.66 14.23 13.66 14.23 0090.09.81.1020210P0 38.2581 4 43501 Surgical repair of stomach A 15.31 7.32 NA 7.82 7.32 7.82 1.55 24.18 24.68 24.18 24.68 0090.09.81.1020210P0 38.2581 4 43502 Surgical repair of stomach A 17.67 8.36 NA 8.60 8.36 8.60 1.83 27.86 28.10 27.86 28.10 0090.09.81.1020210P0 38.2581 4 43510 Surgical opening of stomach A 9.99 6.56 NA 7.17 6.56 7.17 0.90 17.45 18.06 17.45 18.06 0090.09.81.1020210P0 38.2581 4 43520 Incision of pyloric muscle A 7.63 5.72 NA 5.51 5.72 5.51 0.84 14.19 13.98 14.19 13.98 0090.09.81.1020210P0 38.2581 4 43600 Biopsy of stomach A 1.91 1.00 NA 0.89 1.00 0.89 0.11 3.02 2.91 3.02 2.91 0000.00.00.0020100P0 38.2581 4 43605 Biopsy of stomach A 9.15 4.59 NA 5.05 4.59 5.05 0.93 14.67 15.13 14.67 15.13 0090.09.81.1020210P0 38.2581 4 43610 Excision of stomach lesion A 11.15 5.74 NA 6.52 5.74 6.52 1.14 18.03 18.81 18.03 18.81 0090.09.81.1020210P0 38.2581 4 43611 Excision of stomach lesion A 13.63 6.78 NA 7.30 6.78 7.30 1.38 21.79 22.31 21.79 22.31 0090.09.81.1020210P0 38.2581 4 43620 Removal of stomach A 22.54 10.83 NA12.30 10.83 12.30 2.29 35.66 37.13 35.66 37.13 0090.09.81.1020210P0 38.2581 4 43621 Removal of stomach A 23.06 10.89 NA12.34 10.89 12.34 2.36 36.31 37.76 36.31 37.76 0090.09.81.1020210P0 38.2581 4 43622 Removal of stomach A 24.41 11.37 NA12.70 11.37 12.70 2.48 38.26 39.59 38.26 39.59 0090.09.81.1020210P0 38.2581 4 43631 Removal of stomach, partial A 19.66 8.97 NA10.10 8.97 10.10 1.99 30.62 31.75 30.62 31.75 0090.09.81.1020210P0 38.2581 4 43632 Removal of stomach, partial A 19.66 8.97 NA10.10 8.97 10.10 2.00 30.63 31.76 30.63 31.76 0090.09.81.1020210P0 38.2581 4 43633 Removal of stomach, partial A 20.10 9.15 NA10.23 9.15 10.23 2.05 31.30 32.38 31.30 32.38 0090.09.81.1020210P0 38.2581 4 43634 Removal of stomach, partial A 21.86 9.84 NA13.03 9.84 13.03 2.18 33.88 37.07 33.88 37.07 0090.09.81.1020210P0 38.2581 4 43635 Removal of stomach, partial A 2.06 0.78 NA 0.88 0.78 0.88 0.21 3.05 3.15 3.05 3.15 0ZZZ.00.00.0000210P0 38.2581 4 43638 Removal of stomach, partial A 21.76 9.96 NA10.93 9.96 10.93 2.24 33.96 34.93 33.96 34.93 0090.09.81.1020210P0 38.2581 4 43639 Removal of stomach, partial A 22.25 10.30 NA11.19 10.30 11.19 2.31 34.86 35.75 34.86 35.75 0090.09.81.1020210P0 38.2581 4 43640 Vagotomy & pylorus repair A 14.81 7.14 NA 8.16 7.14 8.16 1.51 23.46 24.48 23.46 24.48 0090.09.81.1020210P0 38.2581 4 43641 Vagotomy & pylorus repair A 15.03 7.24 NA 8.24 7.24 8.24 1.53 23.80 24.80 23.80 24.80 0090.09.81.1020210P0 38.2581 4 43651 Laparoscopy, vagus nerve A 10.15 4.89 NA 5.04 4.89 5.04 1.03 16.07 16.22 16.07 16.22 0090.11.76.132021090 38.2581 4 43652 Laparoscopy, vagus nerve A 12.15 5.65 NA 5.89 5.65 5.89 1.25 19.05 19.29 19.05 19.29 0090.11.76.132021090 38.2581 4 43653 Laparoscopy, gastrostomy A 7.73 4.37 NA 4.96 4.37 4.96 0.78 12.88 13.47 12.88 13.47 0090.09.81.102021090 38.2581 4 43659 Laparoscope proc, stom C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 43750 Place gastrostomy tube A 4.49 2.61 NA 3.14 2.61 3.14 0.33 7.43 7.96 7.43 7.96 0010.10.80.1020100P0 38.2581 4 43752 Nasal/orogastric w/stent B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 43760 Change gastrostomy tube A 1.10 1.34 1.19 0.46 0.53 0.07 2.51 2.36 1.63 1.70 0000.00.00.0020100P0 38.2581 4 43761 Reposition gastrostomy tube A 2.01 0.83 NA 0.91 0.83 0.91 0.10 2.94 3.02 2.94 3.02 0000.00.00.0020100P0 38.2581 4 43800 Reconstruction of pylorus A 10.46 5.64 NA 6.09 5.64 6.09 1.07 17.17 17.62 17.17 17.62 0090.09.81.1020210P0 38.2581 4 43810 Fusion of stomach and bowel A 11.19 5.80 NA 6.42 5.80 6.42 1.10 18.09 18.71 18.09 18.71 0090.09.81.1020210P0 38.2581 4 43820 Fusion of stomach and bowel A 11.74 5.98 NA 6.74 5.98 6.74 1.18 18.90 19.66 18.90 19.66 0090.09.81.1020210P0 38.2581 4 43825 Fusion of stomach and bowel A 14.68 7.02 NA 8.27 7.02 8.27 1.50 23.20 24.45 23.20 24.45 0090.09.81.1020210P0 38.2581 4 43830 Place gastrostomy tube A 7.28 4.25 NA 4.87 4.25 4.87 0.69 12.22 12.84 12.22 12.84 0090.09.81.1020210P0 38.2581 4 43831 Place gastrostomy tube A 7.84 4.41 NA 4.72 4.41 4.72 0.81 13.06 13.37 13.06 13.37 0090.09.81.1020210P0 38.2581 4 43832 Place gastrostomy tube A 11.92 6.37 NA 6.94 6.37 6.94 1.13 19.42 19.99 19.42 19.99 0090.09.81.1020210P0 38.2581 4 43840 Repair of stomach lesion A 11.89 6.02 NA 6.64 6.02 6.64 1.20 19.11 19.73 19.11 19.73 0090.09.81.1020210P0 38.2581 4 43842 Gastroplasty for obesity A 14.71 10.07 NA11.28 10.07 11.28 1.51 26.29 27.50 26.29 27.50 0090.09.81.1020220P0 38.2581 4 43843 Gastroplasty for obesity A 14.85 9.76 NA11.04 9.76 11.04 1.53 26.14 27.42 26.14 27.42 0090.09.81.1020220P0 38.2581 4 43846 Gastric bypass for obesity A 19.15 11.70 NA12.79 11.70 12.79 1.96 32.81 33.90 32.81 33.90 0090.09.81.1020210P0 38.2581 4 43847 Gastric bypass for obesity A 21.44 13.22 NA13.93 13.22 13.93 2.14 36.80 37.51 36.80 37.51 0090.09.81.1020210P0 38.2581 4 43848 Revision gastroplasty A 23.41 14.07 NA14.57 14.07 14.57 2.39 39.87 40.37 39.87 40.37 0090.09.81.1020210P0 38.2581 4 43850 Revise stomach-bowel fusion A 19.69 8.94 NA 9.86 8.94 9.86 1.97 30.60 31.52 30.60 31.52 0090.09.81.1020210P0 38.2581 4 43855 Revise stomach-bowel fusion A 20.83 9.60 NA10.03 9.60 10.03 2.01 32.44 32.87 32.44 32.87 0090.09.81.1020210P0 38.2581 4 43860 Revise stomach-bowel fusion A 19.91 9.09 NA 9.93 9.09 9.93 2.03 31.03 31.87 31.03 31.87 0090.09.81.1020210P0 38.2581 4 43865 Revise stomach-bowel fusion A 21.12 9.57 NA10.81 9.57 10.81 2.15 32.84 34.08 32.84 34.08 0090.09.81.1020210P0 38.2581 4 43870 Repair stomach opening A 7.40 4.37 NA 4.84 4.37 4.84 0.71 12.48 12.95 12.48 12.95 0090.09.81.1020210P0 38.2581 4 43880 Repair stomach-bowel fistula A 19.63 9.42 NA 9.30 9.42 9.30 1.94 30.99 30.87 30.99 30.87 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 44005 Freeing of bowel adhesion A 13.84 6.71 NA 7.28 6.71 7.28 1.39 21.94 22.51 21.94 22.51 0090.09.81.1020210P0 38.2581 4 44010 Incision of small bowel A 10.68 5.93 NA 6.32 5.93 6.32 1.05 17.66 18.05 17.66 18.05 0090.09.81.1020210P0 38.2581 4 44015 Insert needle cath bowel A 2.62 0.99 NA 1.53 0.99 1.53 0.25 3.86 4.40 3.86 4.40 0ZZZ.00.00.0000210P0 38.2581 4 44020 Exploration of small bowel A 11.93 5.97 NA 6.60 5.97 6.60 1.20 19.10 19.73 19.10 19.73 0090.09.81.1020210P0 38.2581 4 44021 Decompress small bowel A 12.01 6.37 NA 6.68 6.37 6.68 1.18 19.56 19.87 19.56 19.87 0090.09.81.1020210P0 38.2581 4 44025 Incision of large bowel A 12.18 6.08 NA 6.66 6.08 6.66 1.21 19.47 20.05 19.47 20.05 0090.09.81.1020210P0 38.2581 4 44050 Reduce bowel obstruction A 11.40 5.77 NA 6.44 5.77 6.44 1.15 18.32 18.99 18.32 18.99 0090.09.81.1020210P0 38.2581 4 44055 Correct malrotation of bowel A 13.14 6.43 NA 6.90 6.43 6.90 1.32 20.89 21.36 20.89 21.36 0090.09.81.1020210P0 38.2581 4 44100 Biopsy of bowel A 2.01 1.04 NA 1.16 1.04 1.16 0.12 3.17 3.29 3.17 3.29 0000.00.00.0020100P0 38.2581 4 44110 Excision of bowel lesion(s) A 10.07 5.29 NA 6.05 5.29 6.05 1.00 16.36 17.12 16.36 17.12 0090.09.81.1020210P0 38.2581 4 44111 Excision of bowel lesion(s) A 12.19 6.62 NA 7.59 6.62 7.59 1.22 20.03 21.00 20.03 21.00 0090.09.81.1020210P0 38.2581 4 44120 Removal of small intestine A 14.50 6.94 NA 7.77 6.94 7.77 1.46 22.90 23.73 22.90 23.73 0090.09.81.1020210P0 38.2581 4 44121 Removal of small intestine A 4.45 1.69 NA 1.90 1.69 1.90 0.45 6.59 6.80 6.59 6.80 0ZZZ.00.00.0000210P0 38.2581 4 44125 Removal of small intestine A 14.96 7.10 NA 8.24 7.10 8.24 1.49 23.55 24.69 23.55 24.69 0090.09.81.1020210P0 38.2581 4 44130 Bowel to bowel fusion A 12.36 6.13 NA 6.95 6.13 6.95 1.23 19.72 20.54 19.72 20.54 0090.09.81.1020210P0 38.2581 4 44132 Enterectomy, cadaver donor E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 44133 Enterectomy, live donor R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 44135 Intestine transplnt, cadaver R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 44136 Intestine transplant, live R 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 44139 Mobilization of colon A 2.23 0.85 NA 0.96 0.85 0.96 0.21 3.29 3.40 3.29 3.40 0ZZZ.00.00.0000210P0 38.2581 4 44140 Partial removal of colon A 18.35 8.82 NA 9.70 8.82 9.70 1.83 29.00 29.88 29.00 29.88 0090.09.81.1020210P0 38.2581 4 44141 Partial removal of colon A 19.51 11.83 NA12.09 11.83 12.09 1.95 33.29 33.55 33.29 33.55 0090.09.81.1020210P0 38.2581 4 44143 Partial removal of colon A 20.17 12.04 NA12.36 12.04 12.36 2.02 34.23 34.55 34.23 34.55 0090.09.81.1020210P0 38.2581 4 44144 Partial removal of colon A 18.89 10.80 NA11.37 10.80 11.37 1.89 31.58 32.15 31.58 32.15 0090.09.81.1020210P0 38.2581 4 44145 Partial removal of colon A 23.18 11.03 NA11.87 11.03 11.87 2.22 36.43 37.27 36.43 37.27 0090.09.81.1020210P0 38.2581 4 44146 Partial removal of colon A 24.16 13.79 NA14.41 13.79 14.41 2.20 40.15 40.77 40.15 40.77 0090.09.81.1020210P0 38.2581 4 44147 Partial removal of colon A 18.17 9.52 NA11.30 9.52 11.30 1.74 29.43 31.21 29.43 31.21 0090.09.81.1020210P0 38.2581 4 44150 Removal of colon A 21.01 12.92 NA13.72 12.92 13.72 2.05 35.98 36.78 35.98 36.78 0090.09.81.1020210P0 38.2581 4 44151 Removal of colon/ileostomy A 20.04 12.35 NA12.03 12.35 12.03 1.97 34.36 34.04 34.36 34.04 0090.09.81.1020210P0 38.2581 4 44152 Removal of colon/ileostomy A 24.41 15.55 NA15.85 15.55 15.85 2.36 42.32 42.62 42.32 42.62 0090.09.81.1020210P0 38.2581 4 44153 Removal of colon/ileostomy A 26.83 15.31 NA16.73 15.31 16.73 2.33 44.47 45.89 44.47 45.89 0090.09.81.1020210P0 38.2581 4 44155 Removal of colon/ileostomy A 24.44 14.08 NA15.08 14.08 15.08 2.26 40.78 41.78 40.78 41.78 0090.09.81.1020210P0 38.2581 4 44156 Removal of colon/ileostomy A 23.01 13.86 NA13.49 13.86 13.49 2.19 39.06 38.69 39.06 38.69 0090.09.81.1020210P0 38.2581 4 44160 Removal of colon A 15.88 7.85 NA 9.26 7.85 9.26 1.55 25.28 26.69 25.28 26.69 0090.09.81.1020210P0 38.2581 4 44200 Laparoscopy, enterolysis A 14.44 6.98 NA 7.48 6.98 7.48 1.46 22.88 23.38 22.88 23.38 0090.09.81.102021090 38.2581 4 44201 Laparoscopy, jejunostomy A 9.78 5.28 NA 5.28 5.28 5.28 0.97 16.03 16.03 16.03 16.03 0090.09.84.072021090 38.2581 5 44202 Laparo, resect intestine A 22.04 10.17 NA11.22 10.17 11.22 2.16 34.37 35.42 34.37 35.42 0090.09.81.102021090 38.2581 4 44209 Laparoscope proc, intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 44300 Open bowel to skin A 8.88 5.58 NA 5.82 5.58 5.82 0.88 15.34 15.58 15.34 15.58 0090.09.81.1020210P0 38.2581 4 44310 Ileostomy/jejunostomy A 11.70 8.79 NA 8.73 8.79 8.73 1.13 21.62 21.56 21.62 21.56 0090.09.81.1020210P0 38.2581 4 44312 Revision of ileostomy A 5.88 4.26 NA 4.03 4.26 4.03 0.54 10.68 10.45 10.68 10.45 0090.09.81.1020000P0 38.2581 4 44314 Revision of ileostomy A 11.04 8.74 NA 8.37 8.74 8.37 0.99 20.77 20.40 20.77 20.40 0090.09.81.1020210P0 38.2581 4 44316 Devise bowel pouch A 15.47 12.23 NA11.79 12.23 11.79 1.41 29.11 28.67 29.11 28.67 0090.09.81.1020210P0 38.2581 4 44320 Colostomy A 12.94 10.11 NA 9.61 10.11 9.61 1.28 24.33 23.83 24.33 23.83 0090.09.81.1020210P0 38.2581 4 44322 Colostomy with biopsies A 11.98 9.84 NA 9.84 9.84 9.84 1.18 23.00 23.00 23.00 23.00 0090.09.81.1020210P0 38.2581 4 44340 Revision of colostomy A 5.66 3.99 NA 3.45 3.99 3.45 0.56 10.21 9.67 10.21 9.67 0090.09.81.1020110P0 38.2581 4 44345 Revision of colostomy A 11.32 6.81 NA 6.42 6.81 6.42 1.11 19.24 18.85 19.24 18.85 0090.09.81.1020210P0 38.2581 4 44346 Revision of colostomy A 12.46 7.25 NA 7.24 7.25 7.24 1.20 20.91 20.90 20.91 20.90 0090.09.81.1020210P0 38.2581 4 44360 Small bowel endoscopy A 2.59 1.31 NA 1.85 1.31 1.85 0.14 4.04 4.58 4.04 4.58 0000.00.00.0020100P0 38.2581 4 44361 Small bowel endoscopy/biopsy A 2.87 1.41 NA 2.02 1.41 2.02 0.15 4.43 5.04 4.43 5.04 0000.00.00.0030100P0 44360 38.2581 4 44363 Small bowel endoscopy A 3.50 1.60 NA 2.01 1.60 2.01 0.19 5.29 5.70 5.29 5.70 0000.00.00.0030000P0 44360 38.2581 4 44364 Small bowel endoscopy A 3.74 1.73 NA 2.56 1.73 2.56 0.21 5.68 6.51 5.68 6.51 0000.00.00.0030000P0 44360 38.2581 4 44365 Small bowel endoscopy A 3.31 1.58 NA 2.30 1.58 2.30 0.18 5.07 5.79 5.07 5.79 0000.00.00.0030000P0 44360 38.2581 4 44366 Small bowel endoscopy A 4.41 1.96 NA 2.96 1.96 2.96 0.22 6.59 7.59 6.59 7.59 0000.00.00.0030100P0 44360 38.2581 4 44369 Small bowel endoscopy A 4.52 1.95 NA 2.98 1.95 2.98 0.23 6.70 7.73 6.70 7.73 0000.00.00.0030000P0 44360 38.2581 4 44370 Small bowel endoscopy/stent A 4.33 1.56 1.56 1.56 1.56 0.26 6.15 6.15 6.15 6.15 0000.00.00.003000090 44360 38.2581 5 44372 Small bowel endoscopy A 4.41 1.99 NA 2.98 1.99 2.98 0.27 6.67 7.66 6.67 7.66 0000.00.00.0030100P0 44360 38.2581 4 44373 Small bowel endoscopy A 3.50 1.70 NA 2.45 1.70 2.45 0.19 5.39 6.14 5.39 6.14 0000.00.00.0030100P0 44360 38.2581 4 44376 Small bowel endoscopy A 5.26 2.28 NA 2.81 2.28 2.81 0.29 7.83 8.36 7.83 8.36 0000.00.00.0020000P0 38.2581 4 44377 Small bowel endoscopy/biopsy A 5.53 2.38 NA 2.94 2.38 2.94 0.28 8.19 8.75 8.19 8.75 0000.00.00.0030000P0 44376 38.2581 4 44378 Small bowel endoscopy A 7.13 2.95 NA 3.64 2.95 3.64 0.37 10.45 11.14 10.45 11.14 0000.00.00.0030000P0 44376 38.2581 4 44379 S bowel endoscope w/stent A 7.07 2.52 2.52 2.52 2.52 0.45 10.04 10.04 10.04 10.04 0000.00.00.003000090 44376 38.2581 5 44380 Small bowel endoscopy A 1.05 0.74 NA 1.01 0.74 1.01 0.08 1.87 2.14 1.87 2.14 0000.00.00.0020100P0 38.2581 4 44382 Small bowel endoscopy A 1.27 0.82 NA 1.16 0.82 1.16 0.09 2.18 2.52 2.18 2.52 0000.00.00.0020100P0 38.2581 4 44383 Ileoscopy w/stent A 2.41 0.87 0.87 0.87 0.87 0.15 3.43 3.43 3.43 3.43 0000.00.00.002010090 38.2581 5 44385 Endoscopy of bowel pouch A 1.82 4.19 3.78 0.94 1.25 0.12 6.13 5.72 2.88 3.19 0000.00.00.0020100P0 38.2581 4 44386 Endoscopy, bowel pouch/biop A 2.12 5.12 4.26 1.09 1.24 0.15 7.39 6.53 3.36 3.51 0000.00.00.0020000P0 38.2581 4 44388 Colon endoscopy A 2.50 5.48 5.09 1.26 1.79 0.18 8.16 7.77 3.94 4.47 0000.00.00.0020100P0 38.2581 4 44389 Colonoscopy with biopsy A 2.77 5.92 5.53 1.37 1.96 0.18 8.87 8.48 4.32 4.91 0000.00.00.0030100P0 44388 38.2581 4 44390 Colonoscopy for foreign body A 3.39 6.56 5.63 1.59 1.91 0.22 10.17 9.24 5.20 5.52 0000.00.00.0030000P0 44388 38.2581 4 44391 Colonoscopy for bleeding A 3.82 5.60 5.63 1.55 2.45 0.23 9.65 9.68 5.60 6.50 0000.00.00.0030000P0 44388 38.2581 4 44392 Colonoscopy & polypectomy A 3.38 6.12 5.99 1.59 2.33 0.23 9.73 9.60 5.20 5.94 0000.00.00.0030100P0 44388 38.2581 4 44393 Colonoscopy, lesion removal A 4.28 6.79 6.56 1.92 2.88 0.27 11.34 11.11 6.47 7.43 0000.00.00.0030100P0 44388 38.2581 4 44394 Colonoscopy w/snare A 3.92 6.54 6.31 1.79 2.67 0.26 10.72 10.49 5.97 6.85 0000.00.00.0030100P0 44388 38.2581 4 44397 Colonoscopy w stent A 4.23 1.90 NA 1.90 1.90 1.90 0.30 6.43 6.43 6.43 6.43 0000.00.00.003010090 44388 38.2581 5 44500 Intro, gastrointestinal tube A 0.49 0.35 NA 0.36 0.35 0.36 0.02 0.86 0.87 0.86 0.87 0000.00.00.0000000P0 38.2581 4 44602 Suture, small intestine A 10.61 5.48 NA 6.19 5.48 6.19 1.07 17.16 17.87 17.16 17.87 0090.09.81.1020210P0 38.2581 4 44603 Suture, small intestine A 14.00 6.74 NA 7.52 6.74 7.52 1.39 22.13 22.91 22.13 22.91 0090.09.81.1020210P0 38.2581 4 44604 Suture, large intestine A 14.28 6.87 NA 7.29 6.87 7.29 1.42 22.57 22.99 22.57 22.99 0090.09.81.1020210P0 38.2581 4 44605 Repair of bowel lesion A 15.37 7.68 NA 8.30 7.68 8.30 1.54 24.59 25.21 24.59 25.21 0090.09.81.1020210P0 38.2581 4 44615 Intestinal stricturoplasty A 14.19 6.80 NA 6.93 6.80 6.93 1.39 22.38 22.51 22.38 22.51 0090.09.81.1020210P0 38.2581 4 44620 Repair bowel opening A 10.87 5.50 NA 5.75 5.50 5.75 1.05 17.42 17.67 17.42 17.67 0090.09.81.1020210P0 38.2581 4 44625 Repair bowel opening A 13.41 6.49 NA 7.47 6.49 7.47 1.30 21.20 22.18 21.20 22.18 0090.09.81.1020210P0 38.2581 4 44626 Repair bowel opening A 22.59 9.92 NA10.53 9.92 10.53 2.19 34.70 35.31 34.70 35.31 0090.09.81.1020210P0 38.2581 4 44640 Repair bowel-skin fistula A 14.83 7.39 NA 7.32 7.39 7.32 1.46 23.68 23.61 23.68 23.61 0090.09.81.1020210P0 38.2581 4 44650 Repair bowel fistula A 15.25 7.55 NA 7.65 7.55 7.65 1.49 24.29 24.39 24.29 24.39 0090.09.81.1020210P0 38.2581 4 44660 Repair bowel-bladder fistula A 14.63 7.18 NA 7.65 7.18 7.65 1.14 22.95 23.42 22.95 23.42 0090.09.81.1020210P0 38.2581 4 44661 Repair bowel-bladder fistula A 16.99 8.03 NA 9.81 8.03 9.81 1.53 26.55 28.33 26.55 28.33 0090.09.81.1020210P0 38.2581 4 44680 Surgical revision, intestine A 13.72 6.99 NA 7.88 6.99 7.88 1.37 22.08 22.97 22.08 22.97 0090.09.81.1020210P0 38.2581 4 44700 Suspend bowel w/prosthesis A 14.35 7.01 NA 8.34 7.01 8.34 1.21 22.57 23.90 22.57 23.90 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 44800 Excision of bowel pouch A 11.23 5.70 NA 5.70 5.70 5.70 1.11 18.04 18.04 18.04 18.04 0090.09.81.1020210P0 38.2581 4 44820 Excision of mesentery lesion A 10.31 5.41 NA 5.63 5.41 5.63 1.03 16.75 16.97 16.75 16.97 0090.09.81.1020210P0 38.2581 4 44850 Repair of mesentery A 9.57 5.49 NA 5.64 5.49 5.64 0.99 16.05 16.20 16.05 16.20 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 44900 Drain app abscess, open A 8.82 5.44 NA 5.24 5.44 5.24 0.84 15.10 14.90 15.10 14.90 0090.09.81.1020210P0 38.2581 4 44901 Drain app abscess, percut A 3.38 4.99 NA 4.44 4.99 4.44 0.17 8.54 7.99 8.54 7.99 0000.00.00.0020200P0 38.2581 4 44950 Appendectomy A 8.70 4.93 NA 5.03 4.93 5.03 0.88 14.51 14.61 14.51 14.61 0090.09.81.1020210P0 38.2581 4 44955 Appendectomy add-on A 1.53 0.58 NA 0.89 0.58 0.89 0.16 2.27 2.58 2.27 2.58 0ZZZ.00.00.0000210P0 38.2581 4 44960 Appendectomy A 10.74 6.01 NA 6.11 6.01 6.11 1.09 17.84 17.94 17.84 17.94 0090.09.81.1020210P0 38.2581 4 44970 Laparoscopy, appendectomy A 8.70 4.31 NA 4.56 4.31 4.56 0.88 13.89 14.14 13.89 14.14 0090.09.81.102022090 38.2581 4 44979 Laparoscope proc, app C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 45000 Drainage of pelvic abscess A 4.52 3.78 NA 3.27 3.78 3.27 0.37 8.67 8.16 8.67 8.16 0090.09.81.1020100P0 38.2581 4 45005 Drainage of rectal abscess A 1.99 4.22 3.52 1.59 1.54 0.18 6.39 5.69 3.76 3.71 0010.10.80.1020100P0 38.2581 4 45020 Drainage of rectal abscess A 4.72 3.83 NA 3.58 3.83 3.58 0.41 8.96 8.71 8.96 8.71 0090.09.81.1020100P0 38.2581 4 45100 Biopsy of rectum A 3.68 4.60 3.96 2.11 2.09 0.33 8.61 7.97 6.12 6.10 0090.09.81.1020100P0 38.2581 4 45108 Removal of anorectal lesion A 4.76 5.65 4.96 3.08 3.03 0.46 10.87 10.18 8.30 8.25 0090.09.81.1020110P0 38.2581 4 45110 Removal of rectum A 23.80 12.01 NA13.44 12.01 13.44 2.26 38.07 39.50 38.07 39.50 0090.09.81.1020210P0 38.2581 4 45111 Partial removal of rectum A 16.48 8.87 NA 9.85 8.87 9.85 1.60 26.95 27.93 26.95 27.93 0090.09.81.1020210P0 38.2581 4 45112 Removal of rectum A 25.96 12.40 NA13.66 12.40 13.66 2.35 40.71 41.97 40.71 41.97 0090.09.81.1020210P0 38.2581 4 45113 Partial proctectomy A 25.99 11.69 NA13.13 11.69 13.13 2.13 39.81 41.25 39.81 41.25 0090.09.81.1020210P0 38.2581 4 45114 Partial removal of rectum A 23.22 11.38 NA12.71 11.38 12.71 2.28 36.88 38.21 36.88 38.21 0090.09.81.1020210P0 38.2581 4 45116 Partial removal of rectum A 20.89 10.20 NA10.57 10.20 10.57 2.00 33.09 33.46 33.09 33.46 0090.09.81.1020210P0 38.2581 4 45119 Remove rectum w/reservoir A 26.21 12.21 NA13.52 12.21 13.52 2.13 40.55 41.86 40.55 41.86 0090.09.81.1020210P0 38.2581 4 45120 Removal of rectum A 25.00 11.96 NA13.42 11.96 13.42 2.28 39.24 40.70 39.24 40.70 0090.09.81.1020210P0 38.2581 4 45121 Removal of rectum and colon A 27.51 12.97 NA12.66 12.97 12.66 2.66 43.14 42.83 43.14 42.83 0090.09.81.1020210P0 38.2581 4 45123 Partial proctectomy A 14.20 6.89 NA 8.36 6.89 8.36 1.04 22.13 23.60 22.13 23.60 0090.09.81.1020210P0 38.2581 4 45126 Pelvic exenteration A 38.39 17.29 NA17.29 17.29 17.29 3.23 58.91 58.91 58.91 58.91 0090.12.74.1420210P0 38.2581 5 45130 Excision of rectal prolapse A 13.97 7.07 NA 7.72 7.07 7.72 1.12 22.16 22.81 22.16 22.81 0090.09.81.1020210P0 38.2581 4 45135 Excision of rectal prolapse A 16.39 8.49 NA10.70 8.49 10.70 1.52 26.40 28.61 26.40 28.61 0090.09.81.1020210P0 38.2581 4 45150 Excision of rectal stricture A 5.67 5.01 4.68 3.16 3.29 0.46 11.14 10.81 9.29 9.42 0090.09.81.1020000P0 38.2581 4 45160 Excision of rectal lesion A 13.02 6.41 NA 6.83 6.41 6.83 1.07 20.50 20.92 20.50 20.92 0090.09.81.1020210P0 38.2581 4 45170 Excision of rectal lesion A 9.77 5.31 NA 5.24 5.31 5.24 0.89 15.97 15.90 15.97 15.90 0090.09.81.1020210P0 38.2581 4 45190 Destruction, rectal tumor A 8.28 4.74 NA 4.94 4.74 4.94 0.76 13.78 13.98 13.78 13.98 0090.09.81.1020210P0 38.2581 4 45300 Proctosigmoidoscopy dx A 0.38 1.24 1.08 0.23 0.25 0.05 1.67 1.51 0.66 0.68 0000.00.00.0020100P0 38.2581 4 45303 Proctosigmoidoscopy dilate A 0.44 1.41 1.23 0.26 0.28 0.06 1.91 1.73 0.76 0.78 0000.00.00.0030100P0 45300 38.2581 4 45305 Protosigmoidoscopy w/bx A 0.56 1.34 1.23 0.30 0.34 0.09 1.99 1.88 0.95 0.99 0000.00.00.0030100P0 45300 38.2581 4 45307 Protosigmoidoscopy fb A 0.94 2.26 2.04 0.44 0.68 0.15 3.35 3.13 1.53 1.77 0000.00.00.0030000P0 45300 38.2581 4 45308 Protosigmoidoscopy removal A 0.83 1.49 1.43 0.40 0.46 0.13 2.45 2.39 1.36 1.42 0000.00.00.0030100P0 45300 38.2581 4 45309 Protosigmoidoscopy removal A 1.11 2.07 1.86 0.50 0.53 0.17 3.35 3.14 1.78 1.81 0000.00.00.0030100P0 45300 38.2581 4 45315 Protosigmoidoscopy removal A 1.40 2.32 2.06 0.62 0.79 0.20 3.92 3.66 2.22 2.39 0000.00.00.0030100P0 45300 38.2581 4 45317 Protosigmoidoscopy bleed A 1.50 1.76 1.66 0.65 0.83 0.20 3.46 3.36 2.35 2.53 0000.00.00.0030100P0 45300 38.2581 4 45320 Protosigmoidoscopy ablate A 1.58 1.71 1.79 0.68 1.02 0.20 3.49 3.57 2.46 2.80 0000.00.00.0030100P0 45300 38.2581 4 45321 Protosigmoidoscopy volvul A 1.17 0.53 NA 0.80 0.53 0.80 0.17 1.87 2.14 1.87 2.14 0000.00.00.0030100P0 45300 38.2581 4 45327 Proctosigmoidoscopy w/stent A 1.46 0.83 NA 0.83 0.83 0.83 0.12 2.41 2.41 2.41 2.41 0000.00.00.003010090 45300 38.2581 5 45330 Diagnostic sigmoidoscopy A 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 0000.00.00.0020100P0 38.2581 4 45331 Sigmoidoscopy and biopsy A 1.15 1.98 1.92 0.52 0.77 0.07 3.20 3.14 1.74 1.99 0000.00.00.0030100P0 45330 38.2581 4 45332 Sigmoidoscopy w/fb removal A 1.79 3.54 3.13 0.75 1.04 0.11 5.44 5.03 2.65 2.94 0000.00.00.0030100P0 45330 38.2581 4 45333 Sigmoidoscopy & polypectomy A 1.79 3.14 2.96 0.75 1.15 0.12 5.05 4.87 2.66 3.06 0000.00.00.0030100P0 45330 38.2581 4 45334 Sigmoidoscopy for bleeding A 2.73 1.09 NA 1.55 1.09 1.55 0.16 3.98 4.44 3.98 4.44 0000.00.00.0030100P0 45330 38.2581 4 45337 Sigmoidoscopy & decompress A 2.15 0.89 NA 1.37 0.89 1.37 0.15 3.19 3.67 3.19 3.67 0000.00.00.0030100P0 45330 38.2581 4 45338 Sigmoidoscpy w/tumr remove A 2.34 3.67 3.36 0.95 1.32 0.15 6.16 5.85 3.44 3.81 0000.00.00.0030100P0 45330 38.2581 4 45339 Sigmoidoscopy w/ablate tumr A 2.86 2.85 3.02 1.14 1.74 0.17 5.88 6.05 4.17 4.77 0000.00.00.0030100P0 45330 38.2581 4 45341 Sigmoidoscopy w/ultrasound A 3.46 1.66 NA 1.66 1.66 1.66 0.24 5.36 5.36 5.36 5.36 0000.00.00.002010090 38.2581 5 45342 Sigmoidoscopy w/us guide bx A 4.08 1.81 NA 1.81 1.81 1.81 0.29 6.18 6.18 6.18 6.18 0000.00.00.002010090 38.2581 5 45345 Sigmodoscopy w/stent A 2.66 1.30 NA 1.30 1.30 1.30 0.18 4.14 4.14 4.14 4.14 0000.00.00.003010090 45330 38.2581 5 45355 Surgical colonoscopy A 3.52 1.29 NA 1.29 1.29 1.29 0.26 5.07 5.07 5.07 5.07 0000.00.00.0020100P0 38.2581 4 45378 Diagnostic colonoscopy A 3.68 6.60 6.07 1.70 2.38 0.20 10.48 9.95 5.58 6.26 0000.00.00.0020100P1A4550 38.2581 4 4537853Diagnostic colonoscopy A 0.88 1.75 1.65 0.42 0.46 0.05 2.68 2.58 1.35 1.39 0000.00.00.0020100P1A4550 38.2581 4 45379 Colonoscopy w/fb removal A 4.69 7.33 6.94 2.05 2.95 0.25 12.27 11.88 6.99 7.89 0000.00.00.0030100P1A455045378 38.2581 4 45380 Colonoscopy and biopsy A 3.98 6.78 6.39 1.81 2.56 0.21 10.97 10.58 6.00 6.75 0000.00.00.0030100P1A455045378 38.2581 4 45382 Colonoscopy/control bleeding A 5.69 7.95 7.56 2.23 3.27 0.27 13.91 13.52 8.19 9.23 0000.00.00.0030100P1A455045378 38.2581 4 45383 Lesion removal colonoscopy A 5.83 7.82 7.47 2.48 3.47 0.32 13.97 13.62 8.63 9.62 0000.00.00.0030100P1A455045378 38.2581 4 45384 Lesion remove colonoscopy A 4.67 7.41 6.96 2.06 2.95 0.24 12.32 11.87 6.97 7.86 0000.00.00.0030100P1A455045378 38.2581 4 45385 Lesion removal colonoscopy A 5.27 7.57 7.48 2.28 3.30 0.28 13.12 13.03 7.83 8.85 0000.00.00.0030100P1A455045378 38.2581 4 45387 Colonoscopy w/stent A 5.62 2.41 NA 2.41 2.41 2.41 0.36 8.39 8.39 8.39 8.39 0000.00.00.003010090 45378 38.2581 5 45500 Repair of rectum A 7.29 4.25 NA 4.80 4.25 4.80 0.56 12.10 12.65 12.10 12.65 0090.09.81.1020000P0 38.2581 4 45505 Repair of rectum A 6.02 3.27 NA 4.16 3.27 4.16 0.50 9.79 10.68 9.79 10.68 0090.09.81.1020100P0 38.2581 4 45520 Treatment of rectal prolapse A 0.55 0.73 0.71 0.19 0.23 0.04 1.32 1.30 0.78 0.82 0000.00.00.0020100P0 38.2581 4 45540 Correct rectal prolapse A 12.92 7.02 NA 7.95 7.02 7.95 1.17 21.11 22.04 21.11 22.04 0090.09.81.1020210P0 38.2581 4 45541 Correct rectal prolapse A 10.64 6.04 NA 7.29 6.04 7.29 0.88 17.56 18.81 17.56 18.81 0090.09.81.1020210P0 38.2581 4 45550 Repair rectum/remove sigmoid A 18.26 8.91 NA 9.80 8.91 9.80 1.58 28.75 29.64 28.75 29.64 0090.09.81.1020210P0 38.2581 4 45560 Repair of rectocele A 8.40 5.04 NA 5.08 5.04 5.08 0.73 14.17 14.21 14.17 14.21 0090.09.81.1020210P0 38.2581 4 45562 Exploration/repair of rectum A 12.21 6.33 NA 6.94 6.33 6.94 1.15 19.69 20.30 19.69 20.30 0090.09.81.1020210P0 38.2581 4 45563 Exploration/repair of rectum A 18.63 9.56 NA10.64 9.56 10.64 1.84 30.03 31.11 30.03 31.11 0090.09.81.1020210P0 38.2581 4 45800 Repair rect/bladder fistula A 14.11 6.91 NA 7.85 6.91 7.85 1.14 22.16 23.10 22.16 23.10 0090.09.81.1020210P0 38.2581 4 45805 Repair fistula w/colostomy A 16.50 8.59 NA 9.79 8.59 9.79 1.47 26.56 27.76 26.56 27.76 0090.09.81.1020210P0 38.2581 4 45820 Repair rectourethral fistula A 14.67 7.24 NA 7.87 7.24 7.87 1.17 23.08 23.71 23.08 23.71 0090.09.81.1020210P0 38.2581 4 45825 Repair fistula w/colostomy A 16.87 8.67 NA 9.18 8.67 9.18 0.97 26.51 27.02 26.51 27.02 0090.09.81.1020210P0 38.2581 4 45900 Reduction of rectal prolapse A 1.83 0.78 NA 0.74 0.78 0.74 0.17 2.78 2.74 2.78 2.74 0010.10.80.1020000P0 38.2581 4 45905 Dilation of anal sphincter A 1.61 3.06 2.49 0.72 0.73 0.14 4.81 4.24 2.47 2.48 0010.10.80.1020100P0 38.2581 4 45910 Dilation of rectal narrowing A 1.96 4.16 3.36 0.85 0.87 0.14 6.26 5.46 2.95 2.97 0010.10.80.1020100P0 38.2581 4 45915 Remove rectal obstruction A 2.20 4.10 3.29 0.84 0.84 0.17 6.47 5.66 3.21 3.21 0010.10.80.1020100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 46030 Removal of rectal marker A 1.23 3.22 2.52 1.21 1.02 0.11 4.56 3.86 2.55 2.36 0010.10.80.1020000P0 38.2581 4 46040 Incision of rectal abscess A 4.96 5.27 4.41 3.09 2.78 0.48 10.71 9.85 8.53 8.22 0090.09.81.1020100P0 38.2581 4 46045 Incision of rectal abscess A 4.32 2.80 NA 2.60 2.80 2.60 0.40 7.52 7.32 7.52 7.32 0090.09.81.1020100P0 38.2581 4 46050 Incision of anal abscess A 1.19 3.38 2.70 1.28 1.04 0.11 4.68 4.00 2.58 2.34 0010.10.80.1020100P0 38.2581 4 46060 Incision of rectal abscess A 5.69 3.80 NA 4.30 3.80 4.30 0.52 10.01 10.51 10.01 10.51 0090.09.81.1020100P0 38.2581 4 46070 Incision of anal septum A 2.71 2.45 NA 2.21 2.45 2.21 0.27 5.43 5.19 5.43 5.19 0090.09.81.1020000P0 38.2581 4 46080 Incision of anal sphincter A 2.49 3.65 3.32 1.62 1.79 0.23 6.37 6.04 4.34 4.51 0010.10.80.1020100P0 38.2581 4 46083 Incise external hemorrhoid A 1.40 4.43 3.49 1.45 1.17 0.12 5.95 5.01 2.97 2.69 0010.10.80.1020100P0 38.2581 4 46200 Removal of anal fissure A 3.42 3.81 3.75 2.38 2.68 0.30 7.53 7.47 6.10 6.40 0090.09.81.1020100P0 38.2581 4 46210 Removal of anal crypt A 2.67 4.82 3.83 2.14 1.82 0.26 7.75 6.76 5.07 4.75 0090.09.81.1020000P0 38.2581 4 46211 Removal of anal crypts A 4.25 5.33 4.51 2.92 2.71 0.37 9.95 9.13 7.54 7.33 0090.09.81.1020000P0 38.2581 4 46220 Removal of anal tab A 1.56 1.25 1.11 0.59 0.61 0.14 2.95 2.81 2.29 2.31 0010.10.80.1020100P0 38.2581 4 46221 Ligation of hemorrhoid(s) A 1.43 3.03 2.45 0.54 0.50 0.12 4.58 4.00 2.09 2.05 0010.10.80.1020100P0 38.2581 4 46230 Removal of anal tabs A 2.57 4.03 3.25 1.69 1.38 0.22 6.82 6.04 4.48 4.17 0010.10.80.1020100P0 38.2581 4 46250 Hemorrhoidectomy A 4.53 5.32 4.76 2.92 2.96 0.43 10.28 9.72 7.88 7.92 0090.09.81.1020100P0 38.2581 4 46255 Hemorrhoidectomy A 5.36 5.97 5.76 3.21 3.69 0.51 11.84 11.63 9.08 9.56 0090.09.81.1020100P0 38.2581 4 46257 Remove hemorrhoids & fissure A 6.28 3.46 NA 4.02 3.46 4.02 0.59 10.33 10.89 10.33 10.89 0090.09.81.1020100P0 38.2581 4 46258 Remove hemorrhoids & fistula A 6.67 3.67 NA 4.35 3.67 4.35 0.64 10.98 11.66 10.98 11.66 0090.09.81.1020000P0 38.2581 4 46260 Hemorrhoidectomy A 7.42 4.41 NA 4.96 4.41 4.96 0.68 12.51 13.06 12.51 13.06 0090.09.81.1020100P0 38.2581 4 46261 Remove hemorrhoids & fissure A 8.24 4.58 NA 5.23 4.58 5.23 0.70 13.52 14.17 13.52 14.17 0090.09.81.1020100P0 38.2581 4 46262 Remove hemorrhoids & fistula A 8.73 4.85 NA 5.46 4.85 5.46 0.76 14.34 14.95 14.34 14.95 0090.09.81.1020100P0 38.2581 4 46270 Removal of anal fistula A 3.72 4.74 4.06 2.56 2.43 0.36 8.82 8.14 6.64 6.51 0090.09.81.1020100P0 38.2581 4 46275 Removal of anal fistula A 4.56 4.61 4.82 2.83 3.49 0.40 9.57 9.78 7.79 8.45 0090.09.81.1020100P0 38.2581 4 46280 Removal of anal fistula A 5.98 3.76 NA 4.47 3.76 4.47 0.50 10.24 10.95 10.24 10.95 0090.09.81.1020100P0 38.2581 4 46285 Removal of anal fistula A 4.09 3.84 3.50 2.64 2.60 0.34 8.27 7.93 7.07 7.03 0090.09.81.1020100P0 38.2581 4 46288 Repair anal fistula A 7.13 4.23 NA 4.14 4.23 4.14 0.60 11.96 11.87 11.96 11.87 0090.09.81.1020100P0 38.2581 4 46320 Removal of hemorrhoid clot A 1.61 3.63 2.91 1.49 1.21 0.14 5.38 4.66 3.24 2.96 0010.10.80.1020100P0 38.2581 4 46500 Injection into hemorrhoids A 1.61 2.55 2.00 0.60 0.50 0.12 4.28 3.73 2.33 2.23 0010.10.80.1020100P0 38.2581 4 46600 Diagnostic anoscopy A 0.50 0.77 0.65 0.15 0.15 0.04 1.31 1.19 0.69 0.69 0000.00.00.0020100P0 38.2581 4 46604 Anoscopy and dilation A 1.31 0.96 0.82 0.49 0.42 0.09 2.36 2.22 1.89 1.82 0000.00.00.0030100P0 46600 38.2581 4 46606 Anoscopy and biopsy A 0.81 0.88 0.76 0.31 0.28 0.07 1.76 1.64 1.19 1.16 0000.00.00.0030100P0 46600 38.2581 4 46608 Anoscopy/ remove for body A 1.51 1.78 1.63 0.47 0.64 0.13 3.42 3.27 2.11 2.28 0000.00.00.0030000P0 46600 38.2581 4 46610 Anoscopy/remove lesion A 1.32 1.41 1.29 0.50 0.61 0.12 2.85 2.73 1.94 2.05 0000.00.00.0030100P0 46600 38.2581 4 46611 Anoscopy A 1.81 1.96 1.70 0.68 0.63 0.15 3.92 3.66 2.64 2.59 0000.00.00.0030000P0 46600 38.2581 4 46612 Anoscopy/ remove lesions A 2.34 2.29 2.10 0.88 1.04 0.18 4.81 4.62 3.40 3.56 0000.00.00.0030000P0 46600 38.2581 4 46614 Anoscopy/control bleeding A 2.01 1.62 1.64 0.74 0.77 0.14 3.77 3.79 2.89 2.92 0000.00.00.0030100P0 46600 38.2581 4 46615 Anoscopy A 2.68 1.75 1.73 1.01 0.97 0.23 4.66 4.64 3.92 3.88 0000.00.00.0030000P0 46600 38.2581 4 46700 Repair of anal stricture A 7.25 4.12 NA 4.76 4.12 4.76 0.56 11.93 12.57 11.93 12.57 0090.09.81.1020100P0 38.2581 4 46705 Repair of anal stricture A 7.17 4.83 NA 4.60 4.83 4.60 0.73 12.73 12.50 12.73 12.50 0090.09.81.1020210P0 38.2581 4 46715 Repair of anovaginal fistula A 7.46 4.63 NA 4.43 4.63 4.43 0.76 12.85 12.65 12.85 12.65 0090.09.81.1020200P0 38.2581 4 46716 Repair of anovaginal fistula A 12.85 7.04 NA 6.92 7.04 6.92 1.30 21.19 21.07 21.19 21.07 0090.09.81.1020210P0 38.2581 4 46730 Construction of absent anus A 22.39 10.92 NA11.11 10.92 11.11 2.03 35.34 35.53 35.34 35.53 0090.09.81.1020210P0 38.2581 4 46735 Construction of absent anus A 27.02 13.19 NA13.43 13.19 13.43 2.64 42.85 43.09 42.85 43.09 0090.09.81.1020210P0 38.2581 4 46740 Construction of absent anus A 24.19 11.01 NA11.39 11.01 11.39 1.99 37.19 37.57 37.19 37.57 0090.09.81.1020210P0 38.2581 4 46742 Repair of imperforated anus A 29.67 15.65 NA17.10 15.65 17.10 2.63 47.95 49.40 47.95 49.40 0090.09.81.1020210P0 38.2581 4 46744 Repair of cloacal anomaly A 33.21 14.55 NA16.93 14.55 16.93 2.27 50.03 52.41 50.03 52.41 0090.09.81.1020210P0 38.2581 4 46746 Repair of cloacal anomaly A 36.74 18.48 NA20.44 18.48 20.44 2.51 57.73 59.69 57.73 59.69 0090.09.81.1020210P0 38.2581 4 46748 Repair of cloacal anomaly A 40.52 19.99 NA22.33 19.99 22.33 2.77 63.28 65.62 63.28 65.62 0090.09.81.1020210P0 38.2581 4 46750 Repair of anal sphincter A 8.14 4.84 NA 5.26 4.84 5.26 0.69 13.67 14.09 13.67 14.09 0090.09.81.1020210P0 38.2581 4 46751 Repair of anal sphincter A 8.77 6.22 NA 5.77 6.22 5.77 0.78 15.77 15.32 15.77 15.32 0090.09.81.1020210P0 38.2581 4 46753 Reconstruction of anus A 6.58 3.53 NA 3.98 3.53 3.98 0.58 10.69 11.14 10.69 11.14 0090.09.81.1020100P0 38.2581 4 46754 Removal of suture from anus A 1.54 4.98 4.14 1.09 1.22 0.12 6.64 5.80 2.75 2.88 0010.10.80.1020000P0 38.2581 4 46760 Repair of anal sphincter A 11.46 5.77 NA 6.17 5.77 6.17 0.86 18.09 18.49 18.09 18.49 0090.09.81.1020210P0 38.2581 4 46761 Repair of anal sphincter A 10.99 5.68 NA 6.11 5.68 6.11 0.84 17.51 17.94 17.51 17.94 0090.09.81.1020210P0 38.2581 4 46762 Implant artificial sphincter A 10.09 4.94 NA 5.26 4.94 5.26 0.71 15.74 16.06 15.74 16.06 0090.09.81.1020210P0 38.2581 4 46900 Destruction, anal lesion(s) A 1.91 3.19 2.50 0.78 0.64 0.13 5.23 4.54 2.82 2.68 0010.10.80.1020100P0 38.2581 4 46910 Destruction, anal lesion(s) A 1.86 3.44 2.75 1.48 1.20 0.14 5.44 4.75 3.48 3.20 0010.10.80.1020100P0 38.2581 4 46916 Cryosurgery, anal lesion(s) A 1.86 3.42 2.75 1.60 1.29 0.09 5.37 4.70 3.55 3.24 0010.10.80.1020100P0 38.2581 4 46917 Laser surgery, anal lesions A 1.86 4.24 3.71 1.54 1.42 0.16 6.26 5.73 3.56 3.44 0010.10.80.1020100P0 38.2581 4 46922 Excision of anal lesion(s) A 1.86 3.68 3.11 1.43 1.42 0.17 5.71 5.14 3.46 3.45 0010.10.80.1020100P0 38.2581 4 46924 Destruction, anal lesion(s) A 2.76 4.91 4.38 1.73 1.99 0.20 7.87 7.34 4.69 4.95 0010.10.80.1020100P0 38.2581 4 46934 Destruction of hemorrhoids A 4.08 5.74 4.63 3.46 2.76 0.26 10.08 8.97 7.80 7.10 0090.09.81.1020100P0 38.2581 4 46935 Destruction of hemorrhoids A 2.43 3.91 3.37 0.90 0.90 0.17 6.51 5.97 3.50 3.50 0010.10.80.1020100P0 38.2581 4 46936 Destruction of hemorrhoids A 4.30 5.58 4.81 3.39 2.86 0.30 10.18 9.41 7.99 7.46 0090.09.81.1020100P0 38.2581 4 46937 Cryotherapy of rectal lesion A 2.69 4.05 3.68 2.40 2.44 0.12 6.86 6.49 5.21 5.25 0010.10.80.1020000P0 38.2581 4 46938 Cryotherapy of rectal lesion A 4.66 3.99 3.67 3.48 3.29 0.40 9.05 8.73 8.54 8.35 0090.09.81.1020000P0 38.2581 4 46940 Treatment of anal fissure A 2.32 2.99 2.38 0.88 0.73 0.17 5.48 4.87 3.37 3.22 0010.10.80.1020100P0 38.2581 4 46942 Treatment of anal fissure A 2.04 3.07 2.43 0.73 0.61 0.14 5.25 4.61 2.91 2.79 0010.10.80.1020000P0 38.2581 4 46945 Ligation of hemorrhoids A 2.14 3.76 2.99 2.12 1.68 0.17 6.07 5.30 4.43 3.99 0090.09.81.1020100P0 38.2581 4 46946 Ligation of hemorrhoids A 3.00 4.99 4.00 2.45 1.97 0.22 8.21 7.22 5.67 5.19 0090.09.81.1020100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 47000 Needle biopsy of liver A 1.90 8.46 6.73 0.68 0.89 0.09 10.45 8.72 2.67 2.88 0000.00.00.0020100P0 38.2581 4 47001 Needle biopsy, liver add-on A 1.90 0.72 NA 0.92 0.72 0.92 0.18 2.80 3.00 2.80 3.00 0ZZZ.00.00.0000110P0 38.2581 4 47010 Open drainage, liver lesion A 10.28 7.49 NA 7.45 7.49 7.45 0.65 18.42 18.38 18.42 18.38 0090.09.81.1020210P0 38.2581 4 47011 Percut drain, liver lesion A 3.70 6.00 NA 5.26 6.00 5.26 0.17 9.87 9.13 9.87 9.13 0000.00.00.0020200P0 38.2581 4 47015 Inject/aspirate liver cyst A 9.70 6.11 NA 6.42 6.11 6.42 0.86 16.67 16.98 16.67 16.98 0090.09.81.1020210P0 38.2581 4 47100 Wedge biopsy of liver A 7.49 4.96 NA 4.61 4.96 4.61 0.75 13.20 12.85 13.20 12.85 0090.09.81.1020210P0 38.2581 4 47120 Partial removal of liver A 22.79 12.56 NA12.68 12.56 12.68 2.29 37.64 37.76 37.64 37.76 0090.09.81.1020210P0 38.2581 4 47122 Extensive removal of liver A 35.39 17.25 NA17.71 17.25 17.71 3.60 56.24 56.70 56.24 56.70 0090.09.81.1020210P0 38.2581 4 47125 Partial removal of liver A 31.58 15.87 NA16.63 15.87 16.63 3.18 50.63 51.39 50.63 51.39 0090.09.81.1020210P0 38.2581 4 47130 Partial removal of liver A 34.25 17.03 NA17.98 17.03 17.98 3.47 54.75 55.70 54.75 55.70 0090.09.81.1020210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 47134 Partial removal, donor liver R 39.15 15.00 NA16.81 15.00 16.81 3.98 58.13 59.94 58.13 59.94 0XXX.00.00.0020212P0 38.2581 4 47135 Transplantation of liver R 81.52 43.43 NA47.35 43.43 47.35 8.13 133.08 137.00 133.08 137.00 0090.09.81.1020212P0 38.2581 4 47136 Transplantation of liver R 68.60 45.80 NA43.44 45.80 43.44 6.93 121.33 118.97 121.33 118.97 0090.09.81.1020212P0 38.2581 4 47300 Surgery for liver lesion A 9.68 5.79 NA 6.42 5.79 6.42 0.97 16.44 17.07 16.44 17.07 0090.09.81.1020210P0 38.2581 4 47350 Repair liver wound A 12.56 7.01 NA 7.28 7.01 7.28 1.25 20.82 21.09 20.82 21.09 0090.09.81.1020210P0 38.2581 4 47360 Repair liver wound A 17.28 9.45 NA10.05 9.45 10.05 1.71 28.44 29.04 28.44 29.04 0090.09.81.1020210P0 38.2581 4 47361 Repair liver wound A 30.25 14.47 NA14.83 14.47 14.83 3.11 47.83 48.19 47.83 48.19 0090.09.81.1020210P0 38.2581 4 47362 Repair liver wound A 11.88 7.81 NA 7.28 7.81 7.28 1.22 20.91 20.38 20.91 20.38 0090.09.81.1020210P0 38.2581 4 47379 Laparoscope procedure, liver C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002020090 38.2581 9 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 38.2581 9 47400 Incision of liver duct A 20.86 10.90 NA10.49 10.90 10.49 1.82 33.58 33.17 33.58 33.17 0090.09.81.1020210P0 38.2581 4 47420 Incision of bile duct A 16.72 8.42 NA 8.89 8.42 8.89 1.70 26.84 27.31 26.84 27.31 0090.09.81.1020210P0 38.2581 4 47425 Incision of bile duct A 16.68 8.62 NA 9.64 8.62 9.64 1.60 26.90 27.92 26.90 27.92 0090.09.81.1020210P0 38.2581 4 47460 Incise bile duct sphincter A 15.17 7.92 NA10.16 7.92 10.16 1.24 24.33 26.57 24.33 26.57 0090.09.81.1020210P0 38.2581 4 47480 Incision of gallbladder A 9.10 5.98 NA 6.55 5.98 6.55 0.85 15.93 16.50 15.93 16.50 0090.09.81.1020210P0 38.2581 4 47490 Incision of gallbladder A 7.23 7.42 NA 6.53 7.42 6.53 0.33 14.98 14.09 14.98 14.09 0090.09.81.1020100P0 38.2581 4 47500 Injection for liver x-rays A 1.96 0.69 NA 0.93 0.69 0.93 0.09 2.74 2.98 2.74 2.98 0000.00.00.0020100P0 38.2581 4 47505 Injection for liver x-rays A 0.76 14.97 11.49 0.27 0.43 0.03 15.76 12.28 1.06 1.22 0000.00.00.0020000P0 38.2581 4 47510 Insert catheter, bile duct A 7.83 8.81 NA 7.39 8.81 7.39 0.36 17.00 15.58 17.00 15.58 0090.09.81.1020100P0 38.2581 4 47511 Insert bile duct drain A 10.50 10.08 NA 8.34 10.08 8.34 0.47 21.05 19.31 21.05 19.31 0090.09.81.1021100P0 38.2581 4 47525 Change bile duct catheter A 5.55 3.30 NA 2.91 3.30 2.91 0.24 9.09 8.70 9.09 8.70 0010.10.80.1020100P0 38.2581 4 47530 Revise/reinsert bile tube A 5.85 4.92 NA 4.10 4.92 4.10 0.29 11.06 10.24 11.06 10.24 0090.09.81.1020100P0 38.2581 4 47550 Bile duct endoscopy add-on A 3.02 1.15 NA 1.29 1.15 1.29 0.30 4.47 4.61 4.47 4.61 0ZZZ.00.00.0000210P0 38.2581 4 47552 Biliary endoscopy thru skin A 6.04 2.56 NA 2.29 2.56 2.29 0.42 9.02 8.75 9.02 8.75 0000.00.00.0020110P0 38.2581 4 47553 Biliary endoscopy thru skin A 6.35 2.73 NA 3.08 2.73 3.08 0.30 9.38 9.73 9.38 9.73 0000.00.00.0030100P0 47552 38.2581 4 47554 Biliary endoscopy thru skin A 9.06 3.66 NA 3.81 3.66 3.81 0.74 13.46 13.61 13.46 13.61 0000.00.00.0030110P0 47552 38.2581 4 47555 Biliary endoscopy thru skin A 7.56 3.17 NA 3.09 3.17 3.09 0.35 11.08 11.00 11.08 11.00 0000.00.00.0030100P0 47552 38.2581 4 47556 Biliary endoscopy thru skin A 8.56 3.51 NA 3.35 3.51 3.35 0.38 12.45 12.29 12.45 12.29 0000.00.00.0030100P0 47552 38.2581 4 47560 Laparoscopy w/cholangio A 4.89 1.98 NA 2.24 1.98 2.24 0.49 7.36 7.62 7.36 7.62 0000.00.00.002000090 38.2581 4 47561 Laparo w/cholangio/biopsy A 5.18 2.26 NA 2.76 2.26 2.76 0.49 7.93 8.43 7.93 8.43 0000.00.00.002000090 38.2581 4 47562 Laparoscopic cholecystectomy A 11.09 5.04 NA 5.95 5.04 5.95 1.13 17.26 18.17 17.26 18.17 0090.09.81.102021090 38.2581 4 47563 Laparo cholecystectomy/graph A 11.94 5.53 NA 6.44 5.53 6.44 1.21 18.68 19.59 18.68 19.59 0090.09.81.102021090 38.2581 4 47564 Laparo cholecystectomy/explr A 14.23 7.17 NA 7.92 7.17 7.92 1.44 22.84 23.59 22.84 23.59 0090.09.81.102021090 38.2581 4 47570 Laparo cholecystoenterostomy A 12.58 6.12 NA 7.08 6.12 7.08 1.28 19.98 20.94 19.98 20.94 0090.09.81.102021090 38.2581 4 47579 Laparoscope proc, biliary C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 47600 Removal of gallbladder A 11.42 6.16 NA 6.66 6.16 6.66 1.16 18.74 19.24 18.74 19.24 0090.09.81.1020210P0 38.2581 4 47605 Removal of gallbladder A 12.36 6.50 NA 7.08 6.50 7.08 1.25 20.11 20.69 20.11 20.69 0090.09.81.1020210P0 38.2581 4 47610 Removal of gallbladder A 15.83 7.94 NA 8.50 7.94 8.50 1.61 25.38 25.94 25.38 25.94 0090.09.81.1020210P0 38.2581 4 47612 Removal of gallbladder A 15.80 7.76 NA 9.68 7.76 9.68 1.60 25.16 27.08 25.16 27.08 0090.09.81.1020210P0 38.2581 4 47620 Removal of gallbladder A 17.36 8.39 NA 9.34 8.39 9.34 1.77 27.52 28.47 27.52 28.47 0090.09.81.1020210P0 38.2581 4 47630 Remove bile duct stone A 9.11 3.25 NA 3.46 3.25 3.46 0.46 12.82 13.03 12.82 13.03 0090.09.81.1020110P0 38.2581 4 47700 Exploration of bile ducts A 15.62 8.92 NA 8.76 8.92 8.76 1.40 25.94 25.78 25.94 25.78 0090.09.81.1020210P0 38.2581 4 47701 Bile duct revision A 29.55 14.49 NA13.10 14.49 13.10 3.00 47.04 45.65 47.04 45.65 0090.09.81.1020000P0 38.2581 4 47711 Excision of bile duct tumor A 19.37 10.19 NA10.92 10.19 10.92 1.98 31.54 32.27 31.54 32.27 0090.09.81.1020210P0 38.2581 4 47712 Excision of bile duct tumor A 25.44 12.89 NA12.94 12.89 12.94 2.67 41.00 41.05 41.00 41.05 0090.09.81.1020210P0 38.2581 4 47715 Excision of bile duct cyst A 15.81 7.97 NA 8.21 7.97 8.21 1.59 25.37 25.61 25.37 25.61 0090.09.81.1020210P0 38.2581 4 47716 Fusion of bile duct cyst A 13.83 8.56 NA 8.20 8.56 8.20 1.41 23.80 23.44 23.80 23.44 0090.09.81.1020210P0 38.2581 4 47720 Fuse gallbladder & bowel A 13.38 7.95 NA 8.45 7.95 8.45 1.37 22.70 23.20 22.70 23.20 0090.09.81.1020210P0 38.2581 4 47721 Fuse upper gi structures A 16.08 8.89 NA 9.77 8.89 9.77 1.63 26.60 27.48 26.60 27.48 0090.09.81.1020210P0 38.2581 4 47740 Fuse gallbladder & bowel A 15.54 8.78 NA 9.36 8.78 9.36 1.59 25.91 26.49 25.91 26.49 0090.09.81.1020210P0 38.2581 4 47741 Fuse gallbladder & bowel A 17.95 9.55 NA11.06 9.55 11.06 1.82 29.32 30.83 29.32 30.83 0090.09.81.1020210P0 38.2581 4 47760 Fuse bile ducts and bowel A 21.74 10.99 NA11.39 10.99 11.39 2.21 34.94 35.34 34.94 35.34 0090.09.81.1020210P0 38.2581 4 47765 Fuse liver ducts & bowel A 20.93 11.63 NA12.69 11.63 12.69 2.18 34.74 35.80 34.74 35.80 0090.09.81.1020210P0 38.2581 4 47780 Fuse bile ducts and bowel A 22.29 11.25 NA11.98 11.25 11.98 2.27 35.81 36.54 35.81 36.54 0090.09.81.1020210P0 38.2581 4 47785 Fuse bile ducts and bowel A 26.23 13.37 NA13.57 13.37 13.57 2.69 42.29 42.49 42.29 42.49 0090.09.81.1020210P0 38.2581 4 47800 Reconstruction of bile ducts A 19.60 10.17 NA11.22 10.17 11.22 1.95 31.72 32.77 31.72 32.77 0090.09.81.1020210P0 38.2581 4 47801 Placement, bile duct support A 12.76 9.34 NA 8.49 9.34 8.49 0.69 22.79 21.94 22.79 21.94 0090.09.81.1020210P0 38.2581 4 47802 Fuse liver duct & intestine A 18.13 10.48 NA10.65 10.48 10.65 1.84 30.45 30.62 30.45 30.62 0090.09.81.1020210P0 38.2581 4 47900 Suture bile duct injury A 16.74 9.16 NA10.46 9.16 10.46 1.65 27.55 28.85 27.55 28.85 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 48000 Drainage of abdomen A 14.91 8.27 NA 8.12 8.27 8.12 1.32 24.50 24.35 24.50 24.35 0090.09.81.1020210P0 38.2581 4 48001 Placement of drain, pancreas A 18.83 9.37 NA 9.23 9.37 9.23 1.90 30.10 29.96 30.10 29.96 0090.09.81.1020210P0 38.2581 4 48005 Resect/debride pancreas A 22.40 10.65 NA10.48 10.65 10.48 2.26 35.31 35.14 35.31 35.14 0090.09.81.1020210P0 38.2581 4 48020 Removal of pancreatic stone A 14.22 7.25 NA 7.28 7.25 7.28 1.36 22.83 22.86 22.83 22.86 0090.09.81.1020210P0 38.2581 4 48100 Biopsy of pancreas A 11.08 6.62 NA 6.11 6.62 6.11 1.08 18.78 18.27 18.78 18.27 0090.09.81.1020210P0 38.2581 4 48102 Needle biopsy, pancreas A 4.68 8.31 6.89 2.41 2.46 0.20 13.19 11.77 7.29 7.34 0010.10.80.1020100P0 38.2581 4 48120 Removal of pancreas lesion A 14.36 7.14 NA 7.99 7.14 7.99 1.35 22.85 23.70 22.85 23.70 0090.09.81.1020210P0 38.2581 4 48140 Partial removal of pancreas A 20.78 10.29 NA11.32 10.29 11.32 2.12 33.19 34.22 33.19 34.22 0090.09.81.1020210P0 38.2581 4 48145 Partial removal of pancreas A 21.76 11.28 NA12.72 11.28 12.72 2.25 35.29 36.73 35.29 36.73 0090.09.81.1020210P0 38.2581 4 48146 Pancreatectomy A 23.91 13.04 NA14.26 13.04 14.26 2.43 39.38 40.60 39.38 40.60 0090.09.81.1020210P0 38.2581 4 48148 Removal of pancreatic duct A 15.71 8.95 NA 8.95 8.95 8.95 1.61 26.27 26.27 26.27 26.27 0090.09.81.1020210P0 38.2581 4 48150 Partial removal of pancreas A 43.48 21.07 NA21.92 21.07 21.92 4.43 68.98 69.83 68.98 69.83 0090.09.81.1020210P0 38.2581 4 48152 Pancreatectomy A 39.63 19.66 NA20.86 19.66 20.86 4.07 63.36 64.56 63.36 64.56 0090.09.81.1020210P0 38.2581 4 48153 Pancreatectomy A 43.38 20.98 NA21.85 20.98 21.85 4.40 68.76 69.63 68.76 69.63 0090.09.81.1020210P0 38.2581 4 48154 Pancreatectomy A 39.95 19.94 NA21.07 19.94 21.07 4.10 63.99 65.12 63.99 65.12 0090.09.81.1020210P0 38.2581 4 48155 Removal of pancreas A 22.32 13.25 NA15.47 13.25 15.47 2.30 37.87 40.09 37.87 40.09 0090.09.81.1020210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 48180 Fuse pancreas and bowel A 22.39 10.69 NA11.44 10.69 11.44 2.24 35.32 36.07 35.32 36.07 0090.09.81.1020210P0 38.2581 4 48400 Injection, intraop add-on A 1.95 0.70 NA 0.81 0.70 0.81 0.10 2.75 2.86 2.75 2.86 0ZZZ.00.00.0000000P0 38.2581 4 48500 Surgery of pancreas cyst A 13.84 7.28 NA 7.78 7.28 7.78 1.35 22.47 22.97 22.47 22.97 0090.09.81.1020210P0 38.2581 4 48510 Drain pancreatic pseudocyst A 12.96 7.12 NA 7.39 7.12 7.39 1.07 21.15 21.42 21.15 21.42 0090.09.81.1020210P0 38.2581 4 48511 Drain pancreatic pseudocyst A 4.00 4.57 NA 4.25 4.57 4.25 0.17 8.74 8.42 8.74 8.42 0000.00.00.0020200P0 38.2581 4 48520 Fuse pancreas cyst and bowel A 14.12 6.98 NA 8.30 6.98 8.30 1.41 22.51 23.83 22.51 23.83 0090.09.81.1020210P0 38.2581 4 48540 Fuse pancreas cyst and bowel A 17.86 8.45 NA 9.77 8.45 9.77 1.82 28.13 29.45 28.13 29.45 0090.09.81.1020210P0 38.2581 4 48545 Pancreatorrhaphy A 16.47 8.34 NA 8.33 8.34 8.33 1.61 26.42 26.41 26.42 26.41 0090.09.81.1020210P0 38.2581 4 48547 Duodenal exclusion A 23.40 10.50 NA10.88 10.50 10.88 2.30 36.20 36.58 36.20 36.58 0090.09.81.1020210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 48554 Transpl allograft pancreas R 34.17 12.84 NA14.48 12.84 14.48 3.30 50.31 51.95 50.31 51.95 0090.09.81.1000000P0 38.2581 4 48556 Removal, allograft pancreas A 15.71 8.75 NA 8.53 8.75 8.53 1.52 25.98 25.76 25.98 25.76 0090.09.81.1020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 49000 Exploration of abdomen A 11.68 6.32 NA 6.58 6.32 6.58 1.17 19.17 19.43 19.17 19.43 0090.09.81.1020210P0 38.2581 4 49002 Reopening of abdomen A 10.49 6.21 NA 6.30 6.21 6.30 1.06 17.76 17.85 17.76 17.85 0090.09.81.1020210P0 38.2581 4 49010 Exploration behind abdomen A 12.28 7.18 NA 7.27 7.18 7.27 1.22 20.68 20.77 20.68 20.77 0090.09.81.1020210P0 38.2581 4 49020 Drain abdominal abscess A 16.79 9.52 NA 8.45 9.52 8.45 1.31 27.62 26.55 27.62 26.55 0090.09.81.1020200P0 38.2581 4 49021 Drain abdominal abscess A 3.38 6.02 NA 5.53 6.02 5.53 0.16 9.56 9.07 9.56 9.07 0000.00.00.0020100P0 38.2581 4 49040 Drain, open, abdom abscess A 9.94 6.81 NA 6.88 6.81 6.88 0.84 17.59 17.66 17.59 17.66 0090.09.81.1020210P0 38.2581 4 49041 Drain, percut, abdom abscess A 4.00 6.23 NA 5.50 6.23 5.50 0.18 10.41 9.68 10.41 9.68 0000.00.00.0020200P0 38.2581 4 49060 Drain, open, retrop abscess A 11.66 8.05 NA 7.54 8.05 7.54 0.77 20.48 19.97 20.48 19.97 0090.09.81.1020110P0 38.2581 4 49061 Drain, percut, retroper absc A 3.70 6.15 NA 5.37 6.15 5.37 0.17 10.02 9.24 10.02 9.24 0000.00.00.0020200P0 38.2581 4 49062 Drain to peritoneal cavity A 11.36 7.40 NA 7.74 7.40 7.74 1.08 19.84 20.18 19.84 20.18 0090.09.81.1020210P0 38.2581 4 49080 Puncture, peritoneal cavity A 1.35 2.93 2.43 0.61 0.69 0.07 4.35 3.85 2.03 2.11 0000.00.00.0020100P1A4550 38.2581 4 49081 Removal of abdominal fluid A 1.26 2.76 2.27 0.58 0.64 0.06 4.08 3.59 1.90 1.96 0000.00.00.0020100P1A4550 38.2581 4 49085 Remove abdomen foreign body A 8.93 5.60 NA 5.14 5.60 5.14 0.88 15.41 14.95 15.41 14.95 0090.09.81.1020110P0 38.2581 4 49180 Biopsy, abdominal mass A 1.73 7.02 5.76 0.61 0.95 0.08 8.83 7.57 2.42 2.76 0000.00.00.0020100P0 38.2581 4 49200 Removal of abdominal lesion A 10.25 6.45 NA 7.11 6.45 7.11 0.89 17.59 18.25 17.59 18.25 0090.09.81.1020210P0 38.2581 4 49201 Removal of abdominal lesion A 14.84 8.70 NA 9.81 8.70 9.81 1.44 24.98 26.09 24.98 26.09 0090.09.81.1020210P0 38.2581 4 49215 Excise sacral spine tumor A 23.20 11.20 NA10.71 11.20 10.71 2.48 36.88 36.39 36.88 36.39 0090.09.81.1020210P0 38.2581 4 49220 Multiple surgery, abdomen A 14.88 7.90 NA 9.26 7.90 9.26 1.51 24.29 25.65 24.29 25.65 0090.09.81.1020210P0 38.2581 4 49250 Excision of umbilicus A 8.35 5.15 NA 5.09 5.15 5.09 0.84 14.34 14.28 14.34 14.28 0090.09.81.1020110P0 38.2581 4 49255 Removal of omentum A 11.14 6.67 NA 6.40 6.67 6.40 1.12 18.93 18.66 18.93 18.66 0090.09.81.1020210P0 38.2581 4 49320 Diag laparo separate proc A 5.10 3.04 NA 3.49 3.04 3.49 0.50 8.64 9.09 8.64 9.09 0010.10.80.102020090 38.2581 4 49321 Laparoscopy, biopsy A 5.40 3.12 NA 3.67 3.12 3.67 0.53 9.05 9.60 9.05 9.60 0010.10.80.103022090 49320 38.2581 4 49322 Laparoscopy, aspiration A 5.70 3.40 NA 3.87 3.40 3.87 0.57 9.67 10.14 9.67 10.14 0010.10.80.103022090 49320 38.2581 4 49323 Laparo drain lymphocele A 9.48 4.14 NA 4.93 4.14 4.93 0.88 14.50 15.29 14.50 15.29 0090.10.80.103022090 49320 38.2581 4 49329 Laparo proc, abdm/per/oment C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 49400 Air injection into abdomen A 1.88 0.83 NA 0.93 0.83 0.93 0.11 2.82 2.92 2.82 2.92 0000.00.00.0020100P0 38.2581 4 49420 Insert abdominal drain A 2.22 0.97 NA 1.16 0.97 1.16 0.13 3.32 3.51 3.32 3.51 0000.00.00.0020100P0 38.2581 4 49421 Insert abdominal drain A 5.54 4.14 NA 4.23 4.14 4.23 0.55 10.23 10.32 10.23 10.32 0090.09.81.1020100P0 38.2581 4 49422 Remove perm cannula/catheter A 6.25 3.06 NA 3.42 3.06 3.42 0.63 9.94 10.30 9.94 10.30 0010.10.80.1020100P0 38.2581 4 49423 Exchange drainage catheter A 1.46 0.69 NA 0.82 0.69 0.82 0.07 2.22 2.35 2.22 2.35 0000.00.00.0020000P0 38.2581 4 49424 Assess cyst, contrast inject A 0.76 0.44 NA 0.49 0.44 0.49 0.03 1.23 1.28 1.23 1.28 0000.00.00.0020000P0 38.2581 4 49425 Insert abdomen-venous drain A 11.37 7.14 NA 7.66 7.14 7.66 1.21 19.72 20.24 19.72 20.24 0090.09.81.1020210P0 38.2581 4 49426 Revise abdomen-venous shunt A 9.63 6.18 NA 6.10 6.18 6.10 0.93 16.74 16.66 16.74 16.66 0090.09.81.1020100P0 38.2581 4 49427 Injection, abdominal shunt A 0.89 0.48 NA 0.49 0.48 0.49 0.05 1.42 1.43 1.42 1.43 0000.00.00.0020000P0 38.2581 4 49428 Ligation of shunt A 2.38 1.78 NA 1.62 1.78 1.62 0.31 4.47 4.31 4.47 4.31 0010.10.80.1020100P0 38.2581 4 49429 Removal of shunt A 7.40 3.70 NA 3.68 3.70 3.68 0.81 11.91 11.89 11.91 11.89 0010.10.80.1020100P0 38.2581 4 49495 Repair inguinal hernia, init A 5.84 3.56 NA 4.02 3.56 4.02 0.55 9.95 10.41 9.95 10.41 0090.09.81.1021210P0 38.2581 4 49496 Repair inguinal hernia, init A 8.79 6.55 NA 6.28 6.55 6.28 0.89 16.23 15.96 16.23 15.96 0090.09.81.1021210P0 38.2581 4 49500 Repair inguinal hernia A 4.68 3.13 NA 3.70 3.13 3.70 0.46 8.27 8.84 8.27 8.84 0090.09.81.1021210P0 38.2581 4 49501 Repair inguinal hernia, init A 7.58 4.18 NA 4.50 4.18 4.50 0.76 12.52 12.84 12.52 12.84 0090.09.81.1021210P0 38.2581 4 49505 Repair inguinal hernia A 6.49 4.17 4.35 3.73 4.02 0.65 11.31 11.49 10.87 11.16 0090.09.81.1021210P0 38.2581 4 49507 Repair inguinal hernia A 8.17 5.59 NA 5.56 5.59 5.56 0.83 14.59 14.56 14.59 14.56 0090.09.81.1021210P0 38.2581 4 49520 Rerepair inguinal hernia A 8.22 4.98 NA 5.15 4.98 5.15 0.84 14.04 14.21 14.04 14.21 0090.09.81.1021210P0 38.2581 4 49521 Repair inguinal hernia, rec A 10.22 5.28 NA 5.33 5.28 5.33 1.04 16.54 16.59 16.54 16.59 0090.09.81.1021210P0 38.2581 4 49525 Repair inguinal hernia A 7.32 4.53 NA 4.90 4.53 4.90 0.74 12.59 12.96 12.59 12.96 0090.09.81.1021210P0 38.2581 4 49540 Repair lumbar hernia A 8.87 5.17 NA 5.29 5.17 5.29 0.90 14.94 15.06 14.94 15.06 0090.09.81.1021210P0 38.2581 4 49550 Repair femoral hernia A 7.37 4.12 NA 4.34 4.12 4.34 0.75 12.24 12.46 12.24 12.46 0090.09.81.1021210P0 38.2581 4 49553 Repair femoral hernia, init A 8.06 4.51 NA 4.63 4.51 4.63 0.83 13.40 13.52 13.40 13.52 0090.09.81.1021210P0 38.2581 4 49555 Repair femoral hernia A 7.71 4.84 NA 5.28 4.84 5.28 0.79 13.34 13.78 13.34 13.78 0090.09.81.1021210P0 38.2581 4 49557 Repair femoral hernia, recur A 9.52 5.04 NA 5.43 5.04 5.43 0.97 15.53 15.92 15.53 15.92 0090.09.81.1021210P0 38.2581 4 49560 Repair abdominal hernia A 9.88 5.54 NA 5.69 5.54 5.69 1.00 16.42 16.57 16.42 16.57 0090.09.81.1021210P0 38.2581 4 49561 Repair incisional hernia A 12.17 6.07 NA 6.09 6.07 6.09 1.23 19.47 19.49 19.47 19.49 0090.09.81.1021210P0 38.2581 4 49565 Rerepair abdominal hernia A 9.88 5.70 NA 6.02 5.70 6.02 1.00 16.58 16.90 16.58 16.90 0090.09.81.1021210P0 38.2581 4 49566 Repair incisional hernia A 12.30 6.11 NA 6.32 6.11 6.32 1.24 19.65 19.86 19.65 19.86 0090.09.81.1021210P0 38.2581 4 49568 Hernia repair w/mesh A 4.89 1.86 NA 2.09 1.86 2.09 0.50 7.25 7.48 7.25 7.48 0ZZZ.00.00.0001210P0 38.2581 4 49570 Repair epigastric hernia A 4.86 3.21 NA 3.60 3.21 3.60 0.50 8.57 8.96 8.57 8.96 0090.09.81.1021210P0 38.2581 4 49572 Repair epigastric hernia A 5.75 3.65 NA 4.26 3.65 4.26 0.58 9.98 10.59 9.98 10.59 0090.09.81.1021210P0 38.2581 4 49580 Repair umbilical hernia A 3.34 2.66 NA 3.04 2.66 3.04 0.34 6.34 6.72 6.34 6.72 0090.09.81.1020210P0 38.2581 4 49582 Repair umbilical hernia A 5.68 4.45 NA 4.59 4.45 4.59 0.57 10.70 10.84 10.70 10.84 0090.09.81.1020210P0 38.2581 4 49585 Repair umbilical hernia A 5.32 3.76 NA 4.02 3.76 4.02 0.53 9.61 9.87 9.61 9.87 0090.09.81.1020210P0 38.2581 4 49587 Repair umbilical hernia A 6.46 3.88 NA 4.11 3.88 4.11 0.65 10.99 11.22 10.99 11.22 0090.09.81.1020210P0 38.2581 4 49590 Repair abdominal hernia A 7.29 4.49 NA 4.90 4.49 4.90 0.74 12.52 12.93 12.52 12.93 0090.09.81.1021210P0 38.2581 4 49600 Repair umbilical lesion A 10.96 6.48 NA 6.29 6.48 6.29 1.13 18.57 18.38 18.57 18.38 0090.09.81.1020210P0 38.2581 4 49605 Repair umbilical lesion A 24.94 12.36 NA11.60 12.36 11.60 2.57 39.87 39.11 39.87 39.11 0090.09.81.1020210P0 38.2581 4 49606 Repair umbilical lesion A 21.31 10.56 NA10.18 10.56 10.18 2.22 34.09 33.71 34.09 33.71 0090.09.81.1020210P0 38.2581 4 49610 Repair umbilical lesion A 10.50 6.60 NA 6.44 6.60 6.44 0.77 17.87 17.71 17.87 17.71 0090.09.81.1020210P0 38.2581 4 49611 Repair umbilical lesion A 8.92 6.46 NA 7.29 6.46 7.29 0.65 16.03 16.86 16.03 16.86 0090.09.81.1020210P0 38.2581 4 49650 Laparo hernia repair initial A 6.27 3.39 NA 3.77 3.39 3.77 0.64 10.30 10.68 10.30 10.68 0090.09.81.102121090 38.2581 4 49651 Laparo hernia repair recur A 8.24 4.48 NA 4.78 4.48 4.78 0.84 13.56 13.86 13.56 13.86 0090.09.81.102121090 38.2581 4 49659 Laparo proc, hernia repair C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 49900 Repair of abdominal wall A 12.28 6.91 NA 6.18 6.91 6.18 1.23 20.42 19.69 20.42 19.69 0090.09.81.1020210P0 38.2581 4 49905 Omental flap A 6.55 2.43 NA 2.75 2.43 2.75 0.61 9.59 9.91 9.59 9.91 0ZZZ.00.00.0000220P0 38.2581 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 0090.09.81.1020110P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 50010 Exploration of kidney A 10.98 6.77 NA 7.67 6.77 7.67 0.79 18.54 19.44 18.54 19.44 0090.08.83.0920210P0 38.2581 4 50020 Renal abscess, open drain A 14.66 13.15 NA11.71 13.15 11.71 0.80 28.61 27.17 28.61 27.17 0090.08.83.0920110P0 38.2581 4 50021 Renal abscess, percut drain A 3.38 11.64 NA 9.43 11.64 9.43 0.15 15.17 12.96 15.17 12.96 0000.00.00.0020200P0 38.2581 4 50040 Drainage of kidney A 14.94 11.09 NA10.27 11.09 10.27 0.82 26.85 26.03 26.85 26.03 0090.08.83.0920110P0 38.2581 4 50045 Exploration of kidney A 15.46 8.14 NA 8.77 8.14 8.77 1.06 24.66 25.29 24.66 25.29 0090.08.83.0920210P0 38.2581 4 50060 Removal of kidney stone A 19.30 9.48 NA10.43 9.48 10.43 1.14 29.92 30.87 29.92 30.87 0090.08.83.0920210P0 38.2581 4 50065 Incision of kidney A 20.79 7.49 NA 9.40 7.49 9.40 1.13 29.41 31.32 29.41 31.32 0090.08.83.0920200P0 38.2581 4 50070 Incision of kidney A 20.32 10.39 NA11.29 10.39 11.29 1.20 31.91 32.81 31.91 32.81 0090.08.83.0920210P0 38.2581 4 50075 Removal of kidney stone A 25.34 12.20 NA13.73 12.20 13.73 1.51 39.05 40.58 39.05 40.58 0090.08.83.0920210P0 38.2581 4 50080 Removal of kidney stone A 14.71 10.36 NA11.08 10.36 11.08 0.86 25.93 26.65 25.93 26.65 0090.08.83.0920100P0 38.2581 4 50081 Removal of kidney stone A 21.80 12.45 NA13.40 12.45 13.40 1.30 35.55 36.50 35.55 36.50 0090.08.83.0920210P0 38.2581 4 50100 Revise kidney blood vessels A 16.09 9.74 NA10.11 9.74 10.11 1.64 27.47 27.84 27.47 27.84 0090.08.83.0920210P0 38.2581 4 50120 Exploration of kidney A 15.91 8.51 NA 9.34 8.51 9.34 1.04 25.46 26.29 25.46 26.29 0090.08.83.0920210P0 38.2581 4 50125 Explore and drain kidney A 16.52 8.64 NA 9.45 8.64 9.45 1.07 26.23 27.04 26.23 27.04 0090.08.83.0920210P0 38.2581 4 50130 Removal of kidney stone A 17.29 8.81 NA10.08 8.81 10.08 1.04 27.14 28.41 27.14 28.41 0090.08.83.0920210P0 38.2581 4 50135 Exploration of kidney A 19.18 9.41 NA11.68 9.41 11.68 1.18 29.77 32.04 29.77 32.04 0090.08.83.0920210P0 38.2581 4 50200 Biopsy of kidney A 2.63 0.94 NA 1.41 0.94 1.41 0.12 3.69 4.16 3.69 4.16 0000.00.00.0020100P0 38.2581 4 50205 Biopsy of kidney A 11.31 6.41 NA 6.34 6.41 6.34 0.94 18.66 18.59 18.66 18.59 0090.08.83.0920210P0 38.2581 4 50220 Removal of kidney A 17.15 8.97 NA10.34 8.97 10.34 1.16 27.28 28.65 27.28 28.65 0090.08.83.0920210P0 38.2581 4 50225 Removal of kidney A 20.23 9.89 NA11.90 9.89 11.90 1.26 31.38 33.39 31.38 33.39 0090.08.83.0920210P0 38.2581 4 50230 Removal of kidney A 22.07 10.47 NA12.85 10.47 12.85 1.35 33.89 36.27 33.89 36.27 0090.08.83.0920220P0 38.2581 4 50234 Removal of kidney & ureter A 22.40 10.54 NA12.42 10.54 12.42 1.37 34.31 36.19 34.31 36.19 0090.08.83.0920210P0 38.2581 4 50236 Removal of kidney & ureter A 24.86 13.52 NA14.95 13.52 14.95 1.50 39.88 41.31 39.88 41.31 0090.08.83.0920210P0 38.2581 4 50240 Partial removal of kidney A 22.00 12.56 NA13.76 12.56 13.76 1.36 35.92 37.12 35.92 37.12 0090.08.83.0920210P0 38.2581 4 50280 Removal of kidney lesion A 15.67 8.32 NA 9.19 8.32 9.19 0.99 24.98 25.85 24.98 25.85 0090.08.83.0920210P0 38.2581 4 50290 Removal of kidney lesion A 14.73 8.19 NA 8.55 8.19 8.55 1.11 24.03 24.39 24.03 24.39 0090.08.83.0920210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 50320 Removal of donor kidney A 22.21 10.49 NA12.34 10.49 12.34 1.78 34.48 36.33 34.48 36.33 0090.08.83.0921210P0 38.2581 4 50340 Removal of kidney A 12.15 8.77 NA 9.97 8.77 9.97 1.15 22.07 23.27 22.07 23.27 0090.08.83.0921210P0 38.2581 4 50360 Transplantation of kidney A 31.53 17.74 NA19.94 17.74 19.94 2.97 52.24 54.44 52.24 54.44 0090.08.83.0920222P0 38.2581 4 50365 Transplantation of kidney A 36.81 21.34 NA24.34 21.34 24.34 3.51 61.66 64.66 61.66 64.66 0090.08.83.0921222P0 38.2581 4 50370 Remove transplanted kidney A 13.72 9.66 NA10.25 9.66 10.25 1.26 24.64 25.23 24.64 25.23 0090.08.83.0920210P0 38.2581 4 50380 Reimplantation of kidney A 20.76 13.88 NA13.16 13.88 13.16 1.80 36.44 35.72 36.44 35.72 0090.08.83.0920210P0 38.2581 4 50390 Drainage of kidney lesion A 1.96 0.69 NA 0.98 0.69 0.98 0.09 2.74 3.03 2.74 3.03 0000.00.00.0021100P0 38.2581 4 50392 Insert kidney drain A 3.38 1.19 NA 1.53 1.19 1.53 0.15 4.72 5.06 4.72 5.06 0000.00.00.0021100P0 38.2581 4 50393 Insert ureteral tube A 4.16 1.46 NA 1.91 1.46 1.91 0.18 5.80 6.25 5.80 6.25 0000.00.00.0021100P0 38.2581 4 50394 Injection for kidney x-ray A 0.76 13.29 10.12 0.27 0.35 0.04 14.09 10.92 1.07 1.15 0000.00.00.0021100P0 38.2581 4 50395 Create passage to kidney A 3.38 1.18 NA 1.79 1.18 1.79 0.16 4.72 5.33 4.72 5.33 0000.00.00.0021100P0 38.2581 4 50396 Measure kidney pressure A 2.09 0.88 NA 0.80 0.88 0.80 0.10 3.07 2.99 3.07 2.99 0000.00.00.0021000P0 38.2581 4 50398 Change kidney tube A 1.46 1.30 1.12 0.51 0.53 0.07 2.83 2.65 2.04 2.06 0000.00.00.0021100P0 38.2581 4 50400 Revision of kidney/ureter A 19.50 9.59 NA10.90 9.59 10.90 1.21 30.30 31.61 30.30 31.61 0090.08.83.0920210P0 38.2581 4 50405 Revision of kidney/ureter A 23.93 12.67 NA14.19 12.67 14.19 1.45 38.05 39.57 38.05 39.57 0090.08.83.0920210P0 38.2581 4 50500 Repair of kidney wound A 19.57 11.12 NA11.72 11.12 11.72 1.45 32.14 32.74 32.14 32.74 0090.08.83.0920210P0 38.2581 4 50520 Close kidney-skin fistula A 17.23 10.45 NA10.64 10.45 10.64 1.26 28.94 29.13 28.94 29.13 0090.08.83.0920210P0 38.2581 4 50525 Repair renal-abdomen fistula A 22.27 12.53 NA12.82 12.53 12.82 1.51 36.31 36.60 36.31 36.60 0090.08.83.0920210P0 38.2581 4 50526 Repair renal-abdomen fistula A 24.02 15.41 NA13.56 15.41 13.56 1.62 41.05 39.20 41.05 39.20 0090.08.83.0920200P0 38.2581 4 50540 Revision of horseshoe kidney A 19.93 11.82 NA12.50 11.82 12.50 1.28 33.03 33.71 33.03 33.71 0090.08.83.0922210P0 38.2581 4 50541 Laparo ablate renal cyst A 16.00 6.61 NA 6.61 6.61 6.61 0.99 23.60 23.60 23.60 23.60 0090.08.83.092021090 38.2581 5 50544 Laparoscopy, pyeloplasty A 22.40 8.78 NA 8.78 8.78 8.78 1.41 32.59 32.59 32.59 32.59 0090.08.83.092021090 38.2581 5 50545 Laparo radical nephrectomy A 24.00 9.41 NA 9.41 9.41 9.41 1.81 35.22 35.22 35.22 35.22 0090.08.83.092121090 38.2581 5 50546 Laparoscopic nephrectomy A 20.48 8.31 NA 8.31 8.31 8.31 1.37 30.16 30.16 30.16 30.16 0090.08.83.092021090 38.2581 5 50547 Laparo removal donor kidney A 25.50 10.99 NA10.99 10.99 10.99 2.04 38.53 38.53 38.53 38.53 0090.08.83.092121090 38.2581 5 50548 Laparo remove k/ureter A 24.40 9.44 NA 9.44 9.44 9.44 1.49 35.33 35.33 35.33 35.33 0090.08.83.092021090 38.2581 5 50549 Laparoscope proc, renal C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 50551 Kidney endoscopy A 5.60 4.54 4.00 1.86 1.99 0.33 10.47 9.93 7.79 7.92 0000.00.00.0021000P0 38.2581 4 50553 Kidney endoscopy A 5.99 15.58 12.14 2.06 2.00 0.35 21.92 18.48 8.40 8.34 0000.00.00.0021100P0 38.2581 4 50555 Kidney endoscopy & biopsy A 6.53 18.16 14.90 2.20 2.93 0.38 25.07 21.81 9.11 9.84 0000.00.00.0031000P0 50551 38.2581 4 50557 Kidney endoscopy & treatment A 6.62 18.28 14.99 2.21 2.94 0.39 25.29 22.00 9.22 9.95 0000.00.00.0031000P0 50551 38.2581 4 50559 Renal endoscopy/radiotracer A 6.78 2.37 NA 2.14 2.37 2.14 0.27 9.42 9.19 9.42 9.19 0000.00.00.0031000P0 50551 38.2581 4 50561 Kidney endoscopy & treatment A 7.59 16.42 13.71 2.55 3.30 0.44 24.45 21.74 10.58 11.33 0000.00.00.0031000P0 50551 38.2581 4 50570 Kidney endoscopy A 9.54 3.19 NA 2.79 3.19 2.79 0.56 13.29 12.89 13.29 12.89 0000.00.00.0021000P0 38.2581 4 50572 Kidney endoscopy A 10.35 3.44 NA 4.55 3.44 4.55 0.64 14.43 15.54 14.43 15.54 0000.00.00.0031000P0 50570 38.2581 4 50574 Kidney endoscopy & biopsy A 11.02 3.67 NA 4.67 3.67 4.67 0.65 15.34 16.34 15.34 16.34 0000.00.00.0031000P0 50570 38.2581 4 50575 Kidney endoscopy A 13.98 4.67 NA 6.20 4.67 6.20 0.84 19.49 21.02 19.49 21.02 0000.00.00.0031100P0 50570 38.2581 4 50576 Kidney endoscopy & treatment A 10.99 3.64 NA 5.09 3.64 5.09 0.66 15.29 16.74 15.29 16.74 0000.00.00.0031000P0 50570 38.2581 4 50578 Renal endoscopy/radiotracer A 11.35 3.78 NA 3.86 3.78 3.86 0.67 15.80 15.88 15.80 15.88 0000.00.00.0031000P0 50570 38.2581 4 50580 Kidney endoscopy & treatment A 11.86 3.97 NA 3.95 3.97 3.95 0.70 16.53 16.51 16.53 16.51 0000.00.00.0031000P0 50570 38.2581 4 50590 Fragmenting of kidney stone A 9.09 10.21 10.37 5.01 6.47 0.54 19.84 20.00 14.64 16.10 0090.08.83.0921100P0 38.2581 4 50600 Exploration of ureter A 15.84 8.38 NA 8.92 8.38 8.92 0.99 25.21 25.75 25.21 25.75 0090.08.83.0921210P0 38.2581 4 50605 Insert ureteral support A 15.46 8.64 NA 8.14 8.64 8.14 1.13 25.23 24.73 25.23 24.73 0090.08.83.0921210P0 38.2581 4 50610 Removal of ureter stone A 15.92 8.87 NA 9.85 8.87 9.85 1.08 25.87 26.85 25.87 26.85 0090.08.83.0921210P0 38.2581 4 50620 Removal of ureter stone A 15.16 8.00 NA 9.12 8.00 9.12 0.91 24.07 25.19 24.07 25.19 0090.08.83.0921210P0 38.2581 4 50630 Removal of ureter stone A 14.94 8.09 NA 9.52 8.09 9.52 0.90 23.93 25.36 23.93 25.36 0090.08.83.0921210P0 38.2581 4 50650 Removal of ureter A 17.41 9.15 NA10.14 9.15 10.14 1.07 27.63 28.62 27.63 28.62 0090.08.83.0920210P0 38.2581 4 50660 Removal of ureter A 19.55 9.93 NA10.84 9.93 10.84 1.19 30.67 31.58 30.67 31.58 0090.08.83.0920210P0 38.2581 4 50684 Injection for ureter x-ray A 0.76 13.74 10.44 0.26 0.33 0.04 14.54 11.24 1.06 1.13 0000.00.00.0021100P0 38.2581 4 50686 Measure ureter pressure A 1.51 4.64 3.58 0.70 0.63 0.09 6.24 5.18 2.30 2.23 0000.00.00.0020000P0 38.2581 4 50688 Change of ureter tube A 1.17 1.71 NA 1.39 1.71 1.39 0.06 2.94 2.62 2.94 2.62 0010.10.80.1020100P0 38.2581 4 50690 Injection for ureter x-ray A 1.16 14.07 10.64 0.40 0.39 0.06 15.29 11.86 1.62 1.61 0000.00.00.0020100P0 38.2581 4 50700 Revision of ureter A 15.21 8.84 NA10.04 8.84 10.04 0.86 24.91 26.11 24.91 26.11 0090.08.83.0920210P0 38.2581 4 50715 Release of ureter A 18.90 11.64 NA11.78 11.64 11.78 1.68 32.22 32.36 32.22 32.36 0090.08.83.0921210P0 38.2581 4 50722 Release of ureter A 16.35 9.16 NA 9.67 9.16 9.67 1.41 26.92 27.43 26.92 27.43 0090.08.83.0920210P0 38.2581 4 50725 Release/revise ureter A 18.49 10.02 NA10.79 10.02 10.79 1.44 29.95 30.72 29.95 30.72 0090.08.83.0920210P0 38.2581 4 50727 Revise ureter A 8.18 6.12 NA 6.05 6.12 6.05 0.51 14.81 14.74 14.81 14.74 0090.08.83.0920220P0 38.2581 4 50728 Revise ureter A 12.02 7.71 NA 7.93 7.71 7.93 0.88 20.61 20.83 20.61 20.83 0090.08.83.0920220P0 38.2581 4 50740 Fusion of ureter & kidney A 18.42 9.42 NA10.60 9.42 10.60 1.49 29.33 30.51 29.33 30.51 0090.08.83.0920210P0 38.2581 4 50750 Fusion of ureter & kidney A 19.51 10.11 NA11.39 10.11 11.39 1.24 30.86 32.14 30.86 32.14 0090.08.83.0920200P0 38.2581 4 50760 Fusion of ureters A 18.42 9.65 NA10.89 9.65 10.89 1.25 29.32 30.56 29.32 30.56 0090.08.83.0920210P0 38.2581 4 50770 Splicing of ureters A 19.51 9.86 NA11.53 9.86 11.53 1.25 30.62 32.29 30.62 32.29 0090.08.83.0920210P0 38.2581 4 50780 Reimplant ureter in bladder A 18.36 9.56 NA10.91 9.56 10.91 1.20 29.12 30.47 29.12 30.47 0090.08.83.0921210P0 38.2581 4 50782 Reimplant ureter in bladder A 19.54 11.02 NA12.00 11.02 12.00 1.13 31.69 32.67 31.69 32.67 0090.08.83.0921220P0 38.2581 4 50783 Reimplant ureter in bladder A 20.55 10.55 NA11.65 10.55 11.65 1.35 32.45 33.55 32.45 33.55 0090.08.83.0921220P0 38.2581 4 50785 Reimplant ureter in bladder A 20.52 10.27 NA11.89 10.27 11.89 1.30 32.09 33.71 32.09 33.71 0090.08.83.0921210P0 38.2581 4 50800 Implant ureter in bowel A 14.52 9.27 NA10.93 9.27 10.93 0.92 24.71 26.37 24.71 26.37 0090.08.83.0921210P0 38.2581 4 50810 Fusion of ureter & bowel A 20.05 12.75 NA12.97 12.75 12.97 1.78 34.58 34.80 34.58 34.80 0090.08.83.0920210P0 38.2581 4 50815 Urine shunt to bowel A 19.93 11.31 NA13.84 11.31 13.84 1.31 32.55 35.08 32.55 35.08 0090.08.83.0921210P0 38.2581 4 50820 Construct bowel bladder A 21.89 11.14 NA13.50 11.14 13.50 1.38 34.41 36.77 34.41 36.77 0090.08.83.0921210P0 38.2581 4 50825 Construct bowel bladder A 28.18 14.53 NA19.18 14.53 19.18 1.81 44.52 49.17 44.52 49.17 0090.08.83.0920210P0 38.2581 4 50830 Revise urine flow A 31.28 15.27 NA17.13 15.27 17.13 2.20 48.75 50.61 48.75 50.61 0090.08.83.0920210P0 38.2581 4 50840 Replace ureter by bowel A 20.00 11.48 NA12.23 11.48 12.23 1.26 32.74 33.49 32.74 33.49 0090.08.83.0921210P0 38.2581 4 50845 Appendico-vesicostomy A 20.89 9.63 NA10.99 9.63 10.99 1.26 31.78 33.14 31.78 33.14 0090.08.83.0920210P0 38.2581 4 50860 Transplant ureter to skin A 15.36 8.56 NA 9.38 8.56 9.38 1.01 24.93 25.75 24.93 25.75 0090.08.83.0921210P0 38.2581 4 50900 Repair of ureter A 13.62 7.81 NA 8.57 7.81 8.57 0.98 22.41 23.17 22.41 23.17 0090.08.83.0920210P0 38.2581 4 50920 Closure ureter/skin fistula A 14.33 8.70 NA 9.11 8.70 9.11 0.84 23.87 24.28 23.87 24.28 0090.08.83.0920210P0 38.2581 4 50930 Closure ureter/bowel fistula A 18.72 9.73 NA10.69 9.73 10.69 1.57 30.02 30.98 30.02 30.98 0090.08.83.0920210P0 38.2581 4 50940 Release of ureter A 14.51 8.08 NA 8.75 8.08 8.75 1.04 23.63 24.30 23.63 24.30 0090.08.83.0921210P0 38.2581 4 50945 Laparoscopy ureterolithotomy A 17.00 7.36 NA 7.36 7.36 7.36 1.15 25.51 25.51 25.51 25.51 0090.08.83.092121090 38.2581 5 50947 Laparo new ureter/bladder A 24.50 11.62 NA11.62 11.62 11.62 1.84 37.96 37.96 37.96 37.96 0090.08.83.092121090 38.2581 5 50948 Laparo new ureter/bladder A 22.50 10.51 NA10.51 10.51 10.51 1.70 34.71 34.71 34.71 34.71 0090.08.83.092121090 38.2581 5 50949 Laparoscope proc, ureter C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002121090 38.2581 9 50951 Endoscopy of ureter A 5.84 4.94 4.16 1.96 1.92 0.35 11.13 10.35 8.15 8.11 0000.00.00.0021000P0 38.2581 4 50953 Endoscopy of ureter A 6.24 17.47 13.55 2.08 2.01 0.37 24.08 20.16 8.69 8.62 0000.00.00.0031000P0 50951 38.2581 4 50955 Ureter endoscopy & biopsy A 6.75 18.19 14.34 2.29 2.41 0.38 25.32 21.47 9.42 9.54 0000.00.00.0031000P0 50951 38.2581 4 50957 Ureter endoscopy & treatment A 6.79 17.76 14.00 2.28 2.39 0.40 24.95 21.19 9.47 9.58 0000.00.00.0031000P0 50951 38.2581 4 50959 Ureter endoscopy & tracer A 4.40 1.55 NA 2.08 1.55 2.08 0.18 6.13 6.66 6.13 6.66 0000.00.00.0031000P0 50951 38.2581 4 50961 Ureter endoscopy & treatment A 6.05 21.84 17.09 2.05 2.25 0.35 28.24 23.49 8.45 8.65 0000.00.00.0031000P0 50951 38.2581 4 50970 Ureter endoscopy A 7.14 2.39 NA 3.20 2.39 3.20 0.43 9.96 10.77 9.96 10.77 0000.00.00.0021000P0 38.2581 4 50972 Ureter endoscopy & catheter A 6.89 2.35 NA 2.18 2.35 2.18 0.39 9.63 9.46 9.63 9.46 0000.00.00.0021000P0 38.2581 4 50974 Ureter endoscopy & biopsy A 9.17 3.01 NA 4.16 3.01 4.16 0.53 12.71 13.86 12.71 13.86 0000.00.00.0031000P0 50970 38.2581 4 50976 Ureter endoscopy & treatment A 9.04 3.01 NA 4.00 3.01 4.00 0.53 12.58 13.57 12.58 13.57 0000.00.00.0031000P0 50970 38.2581 4 50978 Ureter endoscopy & tracer A 5.10 1.75 NA 2.41 1.75 2.41 0.30 7.15 7.81 7.15 7.81 0000.00.00.0021000P0 38.2581 4 50980 Ureter endoscopy & treatment A 6.85 2.30 NA 2.58 2.30 2.58 0.41 9.56 9.84 9.56 9.84 0000.00.00.0021000P0 38.2581 4 51000 Drainage of bladder A 0.78 1.88 1.54 0.25 0.32 0.05 2.71 2.37 1.08 1.15 0000.00.00.0020100P0 38.2581 4 51005 Drainage of bladder A 1.02 3.15 2.49 0.35 0.39 0.08 4.25 3.59 1.45 1.49 0000.00.00.0020100P0 38.2581 4 51010 Drainage of bladder A 3.53 6.75 5.33 1.82 1.63 0.23 10.51 9.09 5.58 5.39 0010.10.80.1020100P0 38.2581 4 51020 Incise & treat bladder A 6.71 5.29 NA 5.83 5.29 5.83 0.42 12.42 12.96 12.42 12.96 0090.08.83.0920210P0 38.2581 4 51030 Incise & treat bladder A 6.77 5.34 NA 5.24 5.34 5.24 0.42 12.53 12.43 12.53 12.43 0090.08.83.0920000P0 38.2581 4 51040 Incise & drain bladder A 4.40 4.11 NA 4.40 4.11 4.40 0.27 8.78 9.07 8.78 9.07 0090.08.83.0920210P0 38.2581 4 51045 Incise bladder/drain ureter A 6.77 5.59 NA 5.54 5.59 5.54 0.47 12.83 12.78 12.83 12.78 0090.08.83.0920200P0 38.2581 4 51050 Removal of bladder stone A 6.92 4.90 NA 5.61 4.90 5.61 0.42 12.24 12.95 12.24 12.95 0090.08.83.0920210P0 38.2581 4 51060 Removal of ureter stone A 8.85 6.04 NA 7.17 6.04 7.17 0.54 15.43 16.56 15.43 16.56 0090.08.83.0920210P0 38.2581 4 51065 Removal of ureter stone A 8.85 5.89 NA 6.34 5.89 6.34 0.53 15.27 15.72 15.27 15.72 0090.08.83.0920000P0 38.2581 4 51080 Drainage of bladder abscess A 5.96 5.32 NA 5.40 5.32 5.40 0.35 11.63 11.71 11.63 11.71 0090.08.83.0920210P0 38.2581 4 51500 Removal of bladder cyst A 10.14 5.95 NA 6.32 5.95 6.32 0.88 16.97 17.34 16.97 17.34 0090.08.83.0920210P0 38.2581 4 51520 Removal of bladder lesion A 9.29 6.08 NA 6.88 6.08 6.88 0.58 15.95 16.75 15.95 16.75 0090.08.83.0920210P0 38.2581 4 51525 Removal of bladder lesion A 13.97 7.68 NA 8.66 7.68 8.66 0.85 22.50 23.48 22.50 23.48 0090.08.83.0920210P0 38.2581 4 51530 Removal of bladder lesion A 12.38 7.26 NA 7.96 7.26 7.96 0.82 20.46 21.16 20.46 21.16 0090.08.83.0920210P0 38.2581 4 51535 Repair of ureter lesion A 12.57 7.57 NA 7.76 7.57 7.76 0.90 21.04 21.23 21.04 21.23 0090.08.83.0921210P0 38.2581 4 51550 Partial removal of bladder A 15.66 8.32 NA 9.15 8.32 9.15 1.05 25.03 25.86 25.03 25.86 0090.08.83.0920210P0 38.2581 4 51555 Partial removal of bladder A 21.23 10.57 NA11.26 10.57 11.26 1.37 33.17 33.86 33.17 33.86 0090.08.83.0920210P0 38.2581 4 51565 Revise bladder & ureter(s) A 21.62 11.06 NA12.59 11.06 12.59 1.40 34.08 35.61 34.08 35.61 0090.08.83.0920210P0 38.2581 4 51570 Removal of bladder A 24.24 12.23 NA13.42 12.23 13.42 1.59 38.06 39.25 38.06 39.25 0090.08.83.0920210P0 38.2581 4 51575 Removal of bladder & nodes A 30.45 14.70 NA17.23 14.70 17.23 1.88 47.03 49.56 47.03 49.56 0090.08.83.0922210P0 38.2581 4 51580 Remove bladder/revise tract A 31.08 15.23 NA16.84 15.23 16.84 1.94 48.25 49.86 48.25 49.86 0090.08.83.0920210P0 38.2581 4 51585 Removal of bladder & nodes A 35.23 16.48 NA19.18 16.48 19.18 2.18 53.89 56.59 53.89 56.59 0090.08.83.0922210P0 38.2581 4 51590 Remove bladder/revise tract A 32.66 15.38 NA18.19 15.38 18.19 2.01 50.05 52.86 50.05 52.86 0090.08.83.0920210P0 38.2581 4 51595 Remove bladder/revise tract A 37.14 16.80 NA21.77 16.80 21.77 2.23 56.17 61.14 56.17 61.14 0090.08.83.0922210P0 38.2581 4 51596 Remove bladder/create pouch A 39.52 18.04 NA23.00 18.04 23.00 2.39 59.95 64.91 59.95 64.91 0090.08.83.0920210P0 38.2581 4 51597 Removal of pelvic structures A 38.35 17.84 NA21.69 17.84 21.69 2.49 58.68 62.53 58.68 62.53 0090.08.83.0920210P0 38.2581 4 51600 Injection for bladder x-ray A 0.88 14.30 10.80 0.31 0.31 0.04 15.22 11.72 1.23 1.23 0000.00.00.0020100P0 38.2581 4 51605 Preparation for bladder xray A 0.64 15.09 11.40 0.22 0.25 0.04 15.77 12.08 0.90 0.93 0000.00.00.0020100P0 38.2581 4 51610 Injection for bladder x-ray A 1.05 14.73 11.12 0.36 0.34 0.05 15.83 12.22 1.46 1.44 0000.00.00.0020100P0 38.2581 4 51700 Irrigation of bladder A 0.88 3.63 2.78 0.33 0.28 0.05 4.56 3.71 1.26 1.21 0000.00.00.0020100P0 38.2581 4 51705 Change of bladder tube A 1.02 2.45 1.94 1.23 0.98 0.06 3.53 3.02 2.31 2.06 0010.10.80.1020100P0 38.2581 4 51710 Change of bladder tube A 1.49 4.60 3.61 1.37 1.11 0.09 6.18 5.19 2.95 2.69 0010.10.80.1020100P0 38.2581 4 51715 Endoscopic injection/implant A 3.74 4.09 3.79 1.27 1.67 0.24 8.07 7.77 5.25 5.65 0000.00.00.0020000P0 38.2581 4 51720 Treatment of bladder lesion A 1.96 3.93 3.07 0.66 0.56 0.12 6.01 5.15 2.74 2.64 0000.00.00.0020100P0 38.2581 4 51725 Simple cystometrogram A 1.51 5.33 4.27 5.33 4.27 0.13 6.97 5.91 6.97 5.91 1000.00.00.0020000P0 38.2581 4 51725TCSimple cystometrogram A 0.00 4.82 3.72 4.82 3.72 0.03 4.85 3.75 4.85 3.75 1000.00.00.0000000P0 38.2581 4 5172526Simple cystometrogram A 1.51 0.51 0.55 0.51 0.55 0.10 2.12 2.16 2.12 2.16 1000.00.00.0020000P0 38.2581 4 51726 Complex cystometrogram A 1.71 4.20 3.51 4.20 3.51 0.15 6.06 5.37 6.06 5.37 1000.00.00.0020100P0 38.2581 4 51726TCComplex cystometrogram A 0.00 3.62 2.85 3.62 2.85 0.04 3.66 2.89 3.66 2.89 1000.00.00.0000100P0 38.2581 4 5172626Complex cystometrogram A 1.71 0.58 0.66 0.58 0.66 0.11 2.40 2.48 2.40 2.48 1000.00.00.0020100P0 38.2581 4 51736 Urine flow measurement A 0.61 0.99 0.86 0.99 0.86 0.05 1.65 1.52 1.65 1.52 1000.00.00.0020000P0 38.2581 4 51736TCUrine flow measurement A 0.00 0.78 0.63 0.78 0.63 0.01 0.79 0.64 0.79 0.64 1000.00.00.0000000P0 38.2581 4 5173626Urine flow measurement A 0.61 0.21 0.23 0.21 0.23 0.04 0.86 0.88 0.86 0.88 1000.00.00.0020000P0 38.2581 4 51741 Electro-uroflowmetry, first A 1.14 1.74 1.46 1.74 1.46 0.09 2.97 2.69 2.97 2.69 1000.00.00.0020100P0 38.2581 4 51741TCElectro-uroflowmetry, first A 0.00 1.35 1.07 1.35 1.07 0.02 1.37 1.09 1.37 1.09 1000.00.00.0000100P0 38.2581 4 5174126Electro-uroflowmetry, first A 1.14 0.39 0.39 0.39 0.39 0.07 1.60 1.60 1.60 1.60 1000.00.00.0020100P0 38.2581 4 51772 Urethra pressure profile A 1.61 4.29 3.48 4.29 3.48 0.16 6.06 5.25 6.06 5.25 1000.00.00.0020000P0 38.2581 4 51772TCUrethra pressure profile A 0.00 3.72 2.91 3.72 2.91 0.04 3.76 2.95 3.76 2.95 1000.00.00.0000000P0 38.2581 4 5177226Urethra pressure profile A 1.61 0.57 0.57 0.57 0.57 0.12 2.30 2.30 2.30 2.30 1000.00.00.0020000P0 38.2581 4 51784 Anal/urinary muscle study A 1.53 3.02 2.55 3.02 2.55 0.13 4.68 4.21 4.68 4.21 1000.00.00.0020100P0 38.2581 4 51784TCAnal/urinary muscle study A 0.00 2.50 1.98 2.50 1.98 0.03 2.53 2.01 2.53 2.01 1000.00.00.0000100P0 38.2581 4 5178426Anal/urinary muscle study A 1.53 0.52 0.57 0.52 0.57 0.10 2.15 2.20 2.15 2.20 1000.00.00.0020100P0 38.2581 4 51785 Anal/urinary muscle study A 1.53 3.06 2.58 3.06 2.58 0.12 4.71 4.23 4.71 4.23 1000.00.00.0020000P0 38.2581 4 51785TCAnal/urinary muscle study A 0.00 2.54 2.01 2.54 2.01 0.03 2.57 2.04 2.57 2.04 1000.00.00.0000000P0 38.2581 4 5178526Anal/urinary muscle study A 1.53 0.52 0.57 0.52 0.57 0.09 2.14 2.19 2.14 2.19 1000.00.00.0020000P0 38.2581 4 51792 Urinary reflex study A 1.10 1.83 1.90 1.83 1.90 0.20 3.13 3.20 3.13 3.20 1000.00.00.0020000P0 38.2581 4 51792TCUrinary reflex study A 0.00 1.39 1.41 1.39 1.41 0.11 1.50 1.52 1.50 1.52 1000.00.00.0000000P0 38.2581 4 5179226Urinary reflex study A 1.10 0.44 0.49 0.44 0.49 0.09 1.63 1.68 1.63 1.68 1000.00.00.0020000P0 38.2581 4 51795 Urine voiding pressure study A 1.53 4.39 3.69 4.39 3.69 0.18 6.10 5.40 6.10 5.40 1000.00.00.0020000P0 38.2581 4 51795TCUrine voiding pressure study A 0.00 3.87 3.14 3.87 3.14 0.08 3.95 3.22 3.95 3.22 1000.00.00.0000000P0 38.2581 4 5179526Urine voiding pressure study A 1.53 0.52 0.55 0.52 0.55 0.10 2.15 2.18 2.15 2.18 1000.00.00.0020000P0 38.2581 4 51797 Intraabdominal pressure test A 1.60 4.38 3.55 4.38 3.55 0.14 6.12 5.29 6.12 5.29 1000.00.00.0020000P0 38.2581 4 51797TCIntraabdominal pressure test A 0.00 3.83 3.00 3.83 3.00 0.04 3.87 3.04 3.87 3.04 1000.00.00.0000000P0 38.2581 4 5179726Intraabdominal pressure test A 1.60 0.55 0.55 0.55 0.55 0.10 2.25 2.25 2.25 2.25 1000.00.00.0020000P0 38.2581 4 51800 Revision of bladder/urethra A 17.42 9.12 NA10.10 9.12 10.10 1.17 27.71 28.69 27.71 28.69 0090.08.83.0920210P0 38.2581 4 51820 Revision of urinary tract A 17.89 10.45 NA 9.84 10.45 9.84 1.45 29.79 29.18 29.79 29.18 0090.08.83.0922210P0 38.2581 4 51840 Attach bladder/urethra A 10.71 6.41 NA 7.31 6.41 7.31 0.87 17.99 18.89 17.99 18.89 0090.08.83.0920210P0 38.2581 4 51841 Attach bladder/urethra A 13.03 8.03 NA 9.01 8.03 9.01 1.04 22.10 23.08 22.10 23.08 0090.08.83.0920210P0 38.2581 4 51845 Repair bladder neck A 9.73 6.40 NA 7.70 6.40 7.70 0.62 16.75 18.05 16.75 18.05 0090.08.83.0920210P0 38.2581 4 51860 Repair of bladder wound A 12.02 7.57 NA 7.75 7.57 7.75 0.89 20.48 20.66 20.48 20.66 0090.08.83.0920210P0 38.2581 4 51865 Repair of bladder wound A 15.04 8.46 NA 9.32 8.46 9.32 1.01 24.51 25.37 24.51 25.37 0090.08.83.0920210P0 38.2581 4 51880 Repair of bladder opening A 7.66 5.43 NA 5.42 5.43 5.42 0.54 13.63 13.62 13.63 13.62 0090.08.83.0920210P0 38.2581 4 51900 Repair bladder/vagina lesion A 12.97 7.81 NA 9.02 7.81 9.02 0.87 21.65 22.86 21.65 22.86 0090.08.83.0920210P0 38.2581 4 51920 Close bladder-uterus fistula A 11.81 7.48 NA 7.65 7.48 7.65 0.86 20.15 20.32 20.15 20.32 0090.08.83.0920210P0 38.2581 4 51925 Hysterectomy/bladder repair A 15.58 8.90 NA 9.41 8.90 9.41 1.48 25.96 26.47 25.96 26.47 0090.08.83.0920210P0 38.2581 4 51940 Correction of bladder defect A 28.43 14.24 NA15.82 14.24 15.82 1.97 44.64 46.22 44.64 46.22 0090.08.83.0920210P0 38.2581 4 51960 Revision of bladder & bowel A 23.01 12.44 NA15.14 12.44 15.14 1.41 36.86 39.56 36.86 39.56 0090.08.83.0920210P0 38.2581 4 51980 Construct bladder opening A 11.36 6.95 NA 7.24 6.95 7.24 0.74 19.05 19.34 19.05 19.34 0090.08.83.0920210P0 38.2581 4 51990 Laparo urethral suspension A 12.50 6.28 NA 6.28 6.28 6.28 1.02 19.80 19.80 19.80 19.80 0090.08.83.092021090 38.2581 5 51992 Laparo sling operation A 14.01 6.39 NA 6.39 6.39 6.39 0.93 21.33 21.33 21.33 21.33 0090.08.83.092021090 38.2581 5 52000 Cystoscopy A 2.01 3.14 2.72 0.67 0.68 0.12 5.27 4.85 2.80 2.81 0000.00.00.0020100P0 38.2581 4 52005 Cystoscopy & ureter catheter A 2.37 4.86 4.24 0.79 1.19 0.15 7.38 6.76 3.31 3.71 0000.00.00.0020100P1A4550 38.2581 4 52007 Cystoscopy and biopsy A 3.02 1.01 NA 1.52 1.01 1.52 0.18 4.21 4.72 4.21 4.72 0000.00.00.0031100P1A455052000 38.2581 4 52010 Cystoscopy & duct catheter A 3.02 5.21 4.42 1.01 1.02 0.18 8.41 7.62 4.21 4.22 0000.00.00.0030100P1A455052000 38.2581 4 52204 Cystoscopy A 2.37 5.57 4.82 0.79 1.24 0.15 8.09 7.34 3.31 3.76 0000.00.00.0030100P1A455052000 38.2581 4 52214 Cystoscopy and treatment A 3.71 5.94 5.22 1.24 1.69 0.22 9.87 9.15 5.17 5.62 0000.00.00.0030100P1A455052000 38.2581 4 52224 Cystoscopy and treatment A 3.14 5.79 5.13 1.05 1.58 0.18 9.11 8.45 4.37 4.90 0000.00.00.0030100P1A455052000 38.2581 4 52234 Cystoscopy and treatment A 4.63 6.70 6.30 1.55 2.44 0.27 11.60 11.20 6.45 7.34 0000.00.00.0020100P1A4550 38.2581 4 52235 Cystoscopy and treatment A 5.45 6.99 6.87 1.82 2.99 0.32 12.76 12.64 7.59 8.76 0000.00.00.0020100P1A4550 38.2581 4 52240 Cystoscopy and treatment A 9.72 8.41 9.20 3.24 5.32 0.58 18.71 19.50 13.54 15.62 0000.00.00.0020100P1A4550 38.2581 4 52250 Cystoscopy and radiotracer A 4.50 1.50 NA 1.90 1.50 1.90 0.27 6.27 6.67 6.27 6.67 0000.00.00.0030100P1A455052000 38.2581 4 52260 Cystoscopy and treatment A 3.92 1.31 NA 1.56 1.31 1.56 0.23 5.46 5.71 5.46 5.71 0000.00.00.0030100P1A455052000 38.2581 4 52265 Cystoscopy and treatment A 2.94 3.55 3.03 0.99 0.93 0.18 6.67 6.15 4.11 4.05 0000.00.00.0030100P0 52000 38.2581 4 52270 Cystoscopy & revise urethra A 3.37 6.32 5.68 1.13 1.79 0.20 9.89 9.25 4.70 5.36 0000.00.00.0030100P1A455052000 38.2581 4 52275 Cystoscopy & revise urethra A 4.70 6.81 6.04 1.56 2.10 0.28 11.79 11.02 6.54 7.08 0000.00.00.0030100P1A455052000 38.2581 4 52276 Cystoscopy and treatment A 5.00 6.92 6.43 1.66 2.49 0.30 12.22 11.73 6.96 7.79 0000.00.00.0030100P1A455052000 38.2581 4 52277 Cystoscopy and treatment A 6.17 2.10 NA 2.88 2.10 2.88 0.38 8.65 9.43 8.65 9.43 0000.00.00.0030000P1A455052000 38.2581 4 52281 Cystoscopy and treatment A 2.80 3.56 3.30 0.93 1.01 0.17 6.53 6.27 3.90 3.98 0000.00.00.0030100P0 52000 38.2581 4 52282 Cystoscopy, implant stent A 6.40 7.07 6.55 2.14 2.85 0.38 13.85 13.33 8.92 9.63 0000.00.00.0030100P1A455052000 38.2581 4 52283 Cystoscopy and treatment A 3.74 6.21 5.07 1.25 1.35 0.22 10.17 9.03 5.21 5.31 0000.00.00.0030100P1A455052000 38.2581 4 52285 Cystoscopy and treatment A 3.61 6.41 5.61 1.21 1.31 0.22 10.24 9.44 5.04 5.14 0000.00.00.0030100P0 52000 38.2581 4 52290 Cystoscopy and treatment A 4.59 1.54 NA 1.79 1.54 1.79 0.27 6.40 6.65 6.40 6.65 0000.00.00.0032100P1A455052000 38.2581 4 52300 Cystoscopy and treatment A 5.31 1.77 NA 2.27 1.77 2.27 0.32 7.40 7.90 7.40 7.90 0000.00.00.0032000P1A455052000 38.2581 4 52301 Cystoscopy and treatment A 5.51 1.78 NA 2.28 1.78 2.28 0.39 7.68 8.18 7.68 8.18 0000.00.00.0032000P1A455052000 38.2581 4 52305 Cystoscopy and treatment A 5.31 1.77 NA 2.28 1.77 2.28 0.31 7.39 7.90 7.39 7.90 0000.00.00.0030100P1A455052000 38.2581 4 52310 Cystoscopy and treatment A 2.81 13.89 11.23 0.94 1.52 0.17 16.87 14.21 3.92 4.50 0000.00.00.0030100P1A455052000 38.2581 4 52315 Cystoscopy and treatment A 5.21 14.86 12.25 1.74 2.41 0.31 20.38 17.77 7.26 7.93 0000.00.00.0030100P1A455052000 38.2581 4 52317 Remove bladder stone A 6.72 25.37 20.71 2.24 3.36 0.40 32.49 27.83 9.36 10.48 0000.00.00.0030100P0 52000 38.2581 4 52318 Remove bladder stone A 9.19 3.07 NA 4.44 3.07 4.44 0.54 12.80 14.17 12.80 14.17 0000.00.00.0030100P0 52000 38.2581 4 52320 Cystoscopy and treatment A 4.70 1.57 NA 2.50 1.57 2.50 0.28 6.55 7.48 6.55 7.48 0000.00.00.0031100P0 52005 38.2581 4 52325 Cystoscopy, stone removal A 6.16 2.05 NA 3.38 2.05 3.38 0.37 8.58 9.91 8.58 9.91 0000.00.00.0031100P0 52005 38.2581 4 52327 Cystoscopy, inject material A 5.19 1.75 NA 2.31 1.75 2.31 0.32 7.26 7.82 7.26 7.82 0000.00.00.0030100P0 52005 38.2581 4 52330 Cystoscopy and treatment A 5.04 18.77 15.02 1.68 2.20 0.30 24.11 20.36 7.02 7.54 0000.00.00.0031100P0 52005 38.2581 4 52332 Cystoscopy and treatment A 2.83 28.13 21.97 0.95 1.56 0.17 31.13 24.97 3.95 4.56 0000.00.00.0031100P0 52005 38.2581 4 52334 Create passage to kidney A 4.83 1.62 NA 2.12 1.62 2.12 0.28 6.73 7.23 6.73 7.23 0000.00.00.0031100P0 52005 38.2581 4 52335 Endoscopy of urinary tract D 5.86 2.34 NA 3.03 2.34 3.03 0.35 8.55 9.24 8.55 9.24 0000.00.00.0020100P0 38.2581 4 52336 Cystoscopy, stone removal D 6.88 2.75 NA 4.12 2.75 4.12 0.41 10.04 11.41 10.04 11.41 0000.00.00.0030100P0 52335 38.2581 4 52337 Cystoscopy, stone removal D 7.97 3.19 NA 4.77 3.19 4.77 0.48 11.64 13.22 11.64 13.22 0000.00.00.0031100P0 52335 38.2581 4 52338 Cystoscopy and treatment D 7.34 2.93 NA 3.80 2.93 3.80 0.44 10.71 11.58 10.71 11.58 0000.00.00.0031100P0 52335 38.2581 4 52339 Cystoscopy and treatment D 8.82 3.52 NA 4.25 3.52 4.25 0.53 12.87 13.60 12.87 13.60 0000.00.00.0030000P0 52335 38.2581 4 52340 Cystoscopy and treatment D 9.68 7.33 NA 6.90 7.33 6.90 0.57 17.58 17.15 17.58 17.15 0090.08.83.0920100P0 38.2581 4 52341 Cysto w/ureter stricture tx A 6.00 2.40 NA 2.40 2.40 2.40 0.34 8.74 8.74 8.74 8.74 0000.00.00.003110090 52005 38.2581 5 52342 Cysto w/up stricture tx A 6.50 2.60 NA 2.60 2.60 2.60 0.36 9.46 9.46 9.46 9.46 0000.00.00.003110090 52005 38.2581 5 52343 Cysto w/renal stricture tx A 7.20 2.88 NA 2.88 2.88 2.88 0.40 10.48 10.48 10.48 10.48 0000.00.00.003110090 52005 38.2581 5 52344 Cysto/uretero, stone remove A 7.70 3.08 NA 3.08 3.08 3.08 0.42 11.20 11.20 11.20 11.20 0000.00.00.003110090 52005 38.2581 5 52345 Cysto/uretero w/up stricture A 8.20 3.28 NA 3.28 3.28 3.28 0.46 11.94 11.94 11.94 11.94 0000.00.00.003000090 52351 38.2581 5 52346 Cystouretero w/renal strict A 9.23 3.69 NA 3.69 3.69 3.69 0.51 13.43 13.43 13.43 13.43 0000.00.00.003000090 52351 38.2581 5 52351 Cystouretro & or pyeloscope A 5.86 1.96 NA 2.74 1.96 2.74 0.32 8.14 8.92 8.14 8.92 0000.00.00.002010090 38.2581 4 52352 Cystouretro w/stone remove A 6.88 2.30 NA 3.78 2.30 3.78 0.38 9.56 11.04 9.56 11.04 0000.00.00.003110090 52351 38.2581 4 52353 Cystouretero w/lithotripsy A 7.97 2.66 NA 4.38 2.66 4.38 0.44 11.07 12.79 11.07 12.79 0000.00.00.003110090 52351 38.2581 4 52354 Cystouretero w/biopsy A 7.34 2.45 NA 3.44 2.45 3.44 0.41 10.20 11.19 10.20 11.19 0000.00.00.003110090 52351 38.2581 4 52355 Cystouretero w/excise tumor A 8.82 2.95 NA 3.82 2.95 3.82 0.50 12.27 13.14 12.27 13.14 0000.00.00.003110090 52351 38.2581 4 52400 Cystouretero w/congen repr A 9.68 5.36 NA 5.42 5.36 5.42 0.53 15.57 15.63 15.57 15.63 0090.08.83.092010090 38.2581 4 52450 Incision of prostate A 7.64 6.05 NA 5.89 6.05 5.89 0.46 14.15 13.99 14.15 13.99 0090.08.83.0920100P0 38.2581 4 52500 Revision of bladder neck A 8.47 6.31 NA 6.75 6.31 6.75 0.50 15.28 15.72 15.28 15.72 0090.08.83.0920100P0 38.2581 4 52510 Dilation prostatic urethra A 6.72 5.39 NA 6.05 5.39 6.05 0.40 12.51 13.17 12.51 13.17 0090.08.83.0920100P0 38.2581 4 52601 Prostatectomy (TURP) A 12.37 7.63 NA 8.94 7.63 8.94 0.74 20.74 22.05 20.74 22.05 0090.08.83.0920100P0 38.2581 4 52606 Control postop bleeding A 8.13 5.82 NA 5.27 5.82 5.27 0.49 14.44 13.89 14.44 13.89 0090.08.83.0920100P0 38.2581 4 52612 Prostatectomy, first stage A 7.98 6.17 NA 7.01 6.17 7.01 0.48 14.63 15.47 14.63 15.47 0090.08.83.0920100P0 38.2581 4 52614 Prostatectomy, second stage A 6.84 5.77 NA 6.25 5.77 6.25 0.41 13.02 13.50 13.02 13.50 0090.08.83.0920100P0 38.2581 4 52620 Remove residual prostate A 6.61 5.71 NA 5.73 5.71 5.73 0.39 12.71 12.73 12.71 12.73 0090.08.83.0920100P0 38.2581 4 52630 Remove prostate regrowth A 7.26 5.93 NA 6.62 5.93 6.62 0.43 13.62 14.31 13.62 14.31 0090.08.83.0920100P0 38.2581 4 52640 Relieve bladder contracture A 6.62 5.29 NA 5.71 5.29 5.71 0.39 12.30 12.72 12.30 12.72 0090.08.83.0920100P0 38.2581 4 52647 Laser surgery of prostate A 10.36 56.13 45.19 5.26 7.04 0.61 67.10 56.16 16.23 18.01 0090.08.83.0920100P0 38.2581 4 52648 Laser surgery of prostate A 11.21 7.26 NA 8.67 7.26 8.67 0.66 19.13 20.54 19.13 20.54 0090.08.83.0920100P0 38.2581 4 52700 Drainage of prostate abscess A 6.80 5.85 NA 5.28 5.85 5.28 0.41 13.06 12.49 13.06 12.49 0090.08.83.0920000P0 38.2581 4 53000 Incision of urethra A 2.28 7.09 5.80 2.42 2.29 0.13 9.50 8.21 4.83 4.70 0010.10.80.1020100P0 38.2581 4 53010 Incision of urethra A 3.64 3.89 NA 3.87 3.89 3.87 0.20 7.73 7.71 7.73 7.71 0090.08.83.0920100P0 38.2581 4 53020 Incision of urethra A 1.77 3.78 3.06 0.65 0.71 0.11 5.66 4.94 2.53 2.59 0000.00.00.0020100P0 38.2581 4 53025 Incision of urethra A 1.13 4.32 3.46 0.43 0.54 0.07 5.52 4.66 1.63 1.74 0000.00.00.0020000P0 38.2581 4 53040 Drainage of urethra abscess A 6.40 12.36 9.77 7.76 6.32 0.41 19.17 16.58 14.57 13.13 0090.08.83.0920000P0 38.2581 4 53060 Drainage of urethra abscess A 2.63 5.98 4.62 2.92 2.33 0.23 8.84 7.48 5.78 5.19 0010.10.80.1020100P0 38.2581 4 53080 Drainage of urinary leakage A 6.29 7.62 NA 6.80 7.62 6.80 0.42 14.33 13.51 14.33 13.51 0090.08.83.0920100P0 38.2581 4 53085 Drainage of urinary leakage A 10.27 9.13 NA 8.68 9.13 8.68 0.67 20.07 19.62 20.07 19.62 0090.08.83.0920210P0 38.2581 4 53200 Biopsy of urethra A 2.59 5.09 4.12 0.95 1.01 0.17 7.85 6.88 3.71 3.77 0000.00.00.0020100P0 38.2581 4 53210 Removal of urethra A 12.57 7.58 NA 7.49 7.58 7.49 0.81 20.96 20.87 20.96 20.87 0090.08.83.0920210P0 38.2581 4 53215 Removal of urethra A 15.58 8.32 NA 8.95 8.32 8.95 0.93 24.83 25.46 24.83 25.46 0090.08.83.0920210P0 38.2581 4 53220 Treatment of urethra lesion A 7.00 5.21 NA 5.20 5.21 5.20 0.44 12.65 12.64 12.65 12.64 0090.08.83.0920000P0 38.2581 4 53230 Removal of urethra lesion A 9.58 5.98 NA 6.64 5.98 6.64 0.60 16.16 16.82 16.16 16.82 0090.08.83.0920210P0 38.2581 4 53235 Removal of urethra lesion A 10.14 6.17 NA 5.99 6.17 5.99 0.60 16.91 16.73 16.91 16.73 0090.08.83.0920210P0 38.2581 4 53240 Surgery for urethra pouch A 6.45 4.83 NA 4.80 4.83 4.80 0.42 11.70 11.67 11.70 11.67 0090.08.83.0920100P0 38.2581 4 53250 Removal of urethra gland A 5.89 4.15 NA 4.21 4.15 4.21 0.35 10.39 10.45 10.39 10.45 0090.08.83.0920100P0 38.2581 4 53260 Treatment of urethra lesion A 2.98 5.60 4.51 2.27 2.01 0.23 8.81 7.72 5.48 5.22 0010.10.80.1020100P0 38.2581 4 53265 Treatment of urethra lesion A 3.12 5.98 5.00 2.24 2.19 0.20 9.30 8.32 5.56 5.51 0010.10.80.1020100P0 38.2581 4 53270 Removal of urethra gland A 3.09 5.40 4.28 2.34 1.87 0.21 8.70 7.58 5.64 5.17 0010.10.80.1020100P0 38.2581 4 53275 Repair of urethra defect A 4.53 3.17 NA 3.02 3.17 3.02 0.28 7.98 7.83 7.98 7.83 0010.10.80.1020100P0 38.2581 4 53400 Revise urethra, stage 1 A 12.77 7.62 NA 7.74 7.62 7.74 0.85 21.24 21.36 21.24 21.36 0090.08.83.0920210P0 38.2581 4 53405 Revise urethra, stage 2 A 14.48 8.03 NA 8.84 8.03 8.84 0.91 23.42 24.23 23.42 24.23 0090.08.83.0920210P0 38.2581 4 53410 Reconstruction of urethra A 16.44 8.61 NA 8.78 8.61 8.78 0.99 26.04 26.21 26.04 26.21 0090.08.83.0920210P0 38.2581 4 53415 Reconstruction of urethra A 19.41 9.51 NA10.35 9.51 10.35 1.16 30.08 30.92 30.08 30.92 0090.08.83.0920210P0 38.2581 4 53420 Reconstruct urethra, stage 1 A 14.08 8.24 NA 9.13 8.24 9.13 0.90 23.22 24.11 23.22 24.11 0090.08.83.0920110P0 38.2581 4 53425 Reconstruct urethra, stage 2 A 15.98 8.71 NA 9.04 8.71 9.04 0.97 25.66 25.99 25.66 25.99 0090.08.83.0920210P0 38.2581 4 53430 Reconstruction of urethra A 16.34 8.72 NA 8.48 8.72 8.48 1.01 26.07 25.83 26.07 25.83 0090.08.83.0920210P0 38.2581 4 53440 Correct bladder function A 12.34 7.55 NA 9.23 7.55 9.23 0.73 20.62 22.30 20.62 22.30 0090.08.83.0920210P0 38.2581 4 53442 Remove perineal prosthesis A 8.27 5.68 NA 5.85 5.68 5.85 0.55 14.50 14.67 14.50 14.67 0090.08.83.0920200P0 38.2581 4 53443 Reconstruction of urethra A 19.89 9.33 NA 9.72 9.33 9.72 1.25 30.47 30.86 30.47 30.86 0090.08.83.0920210P0 38.2581 4 53445 Correct urine flow control A 14.06 8.14 NA10.30 8.14 10.30 0.84 23.04 25.20 23.04 25.20 0090.08.83.0920210P0 38.2581 4 53447 Remove artificial sphincter A 13.17 7.45 NA 8.07 7.45 8.07 0.79 21.41 22.03 21.41 22.03 0090.08.83.0920210P0 38.2581 4 53449 Correct artificial sphincter A 9.70 6.27 NA 6.99 6.27 6.99 0.57 16.54 17.26 16.54 17.26 0090.08.83.0920210P0 38.2581 4 53450 Revision of urethra A 6.14 4.76 NA 4.31 4.76 4.31 0.37 11.27 10.82 11.27 10.82 0090.08.83.0920100P0 38.2581 4 53460 Revision of urethra A 7.12 5.13 NA 4.51 5.13 4.51 0.43 12.68 12.06 12.68 12.06 0090.08.83.0920000P0 38.2581 4 53502 Repair of urethra injury A 7.63 5.31 NA 5.33 5.31 5.33 0.50 13.44 13.46 13.44 13.46 0090.08.83.0920100P0 38.2581 4 53505 Repair of urethra injury A 7.63 5.26 NA 5.35 5.26 5.35 0.46 13.35 13.44 13.35 13.44 0090.08.83.0920200P0 38.2581 4 53510 Repair of urethra injury A 10.11 6.33 NA 6.64 6.33 6.64 0.60 17.04 17.35 17.04 17.35 0090.08.83.0920210P0 38.2581 4 53515 Repair of urethra injury A 13.31 7.24 NA 7.88 7.24 7.88 0.83 21.38 22.02 21.38 22.02 0090.08.83.0920210P0 38.2581 4 53520 Repair of urethra defect A 8.68 5.72 NA 5.89 5.72 5.89 0.53 14.93 15.10 14.93 15.10 0090.08.83.0920100P0 38.2581 4 53600 Dilate urethra stricture A 1.21 3.83 2.96 0.50 0.42 0.07 5.11 4.24 1.78 1.70 0000.00.00.0020100P0 38.2581 4 53601 Dilate urethra stricture A 0.98 3.76 2.90 0.42 0.36 0.06 4.80 3.94 1.46 1.40 0000.00.00.0020100P0 38.2581 4 53605 Dilate urethra stricture A 1.28 0.43 NA 0.45 0.43 0.45 0.08 1.79 1.81 1.79 1.81 0000.00.00.0020100P0 38.2581 4 53620 Dilate urethra stricture A 1.62 5.67 4.38 0.54 0.47 0.10 7.39 6.10 2.26 2.19 0000.00.00.0020100P0 38.2581 4 53621 Dilate urethra stricture A 1.35 5.69 4.37 0.45 0.39 0.08 7.12 5.80 1.88 1.82 0000.00.00.0020100P0 38.2581 4 53660 Dilation of urethra A 0.71 3.61 2.78 0.34 0.29 0.04 4.36 3.53 1.09 1.04 0000.00.00.0020100P0 38.2581 4 53661 Dilation of urethra A 0.72 3.66 2.81 0.24 0.22 0.04 4.42 3.57 1.00 0.98 0000.00.00.0020100P0 38.2581 4 53665 Dilation of urethra A 0.76 0.26 NA 0.29 0.26 0.29 0.05 1.07 1.10 1.07 1.10 0000.00.00.0020100P0 38.2581 4 53670 Insert urinary catheter A 0.50 3.37 2.59 0.21 0.19 0.03 3.90 3.12 0.74 0.72 0000.00.00.0020100P0 38.2581 4 53675 Insert urinary catheter A 1.47 4.57 3.56 0.48 0.49 0.09 6.13 5.12 2.04 2.05 0000.00.00.0020100P0 38.2581 4 53850 Prostatic microwave thermotx A 9.45 80.63 62.29 4.92 5.51 0.56 90.64 72.30 14.93 15.52 0090.08.83.0920100P0 38.2581 4 53852 Prostatic rf thermotx A 9.88 69.08 53.71 5.17 5.78 0.58 79.54 64.17 15.63 16.24 0090.08.83.0920100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 54000 Slitting of prepuce A 1.54 5.25 4.11 1.37 1.20 0.10 6.89 5.75 3.01 2.84 0010.10.80.1020000P0 38.2581 4 54001 Slitting of prepuce A 2.19 5.86 4.62 1.98 1.71 0.14 8.19 6.95 4.31 4.04 0010.10.80.1020100P0 38.2581 4 54015 Drain penis lesion A 5.32 6.68 5.24 3.04 2.51 0.33 12.33 10.89 8.69 8.16 0010.10.80.1020000P0 38.2581 4 54050 Destruction, penis lesion(s) A 1.24 2.62 2.07 0.50 0.43 0.07 3.93 3.38 1.81 1.74 0010.10.80.1020100P0 38.2581 4 54055 Destruction, penis lesion(s) A 1.22 6.32 4.91 1.38 1.12 0.07 7.61 6.20 2.67 2.41 0010.10.80.1020100P0 38.2581 4 54056 Cryosurgery, penis lesion(s) A 1.24 2.95 2.36 0.53 0.47 0.06 4.25 3.66 1.83 1.77 0010.10.80.1020100P0 38.2581 4 54057 Laser surg, penis lesion(s) A 1.24 2.88 2.57 1.28 1.33 0.08 4.20 3.89 2.60 2.65 0010.10.80.1020100P0 38.2581 4 54060 Excision of penis lesion(s) A 1.93 5.24 4.25 1.54 1.47 0.12 7.29 6.30 3.59 3.52 0010.10.80.1020100P0 38.2581 4 54065 Destruction, penis lesion(s) A 2.42 5.25 4.61 2.05 1.87 0.13 7.80 7.16 4.60 4.42 0010.10.80.1020100P0 38.2581 4 54100 Biopsy of penis A 1.90 3.54 2.83 0.74 0.73 0.10 5.54 4.83 2.74 2.73 0000.00.00.0020100P0 38.2581 4 54105 Biopsy of penis A 3.50 6.09 4.84 2.06 1.82 0.21 9.80 8.55 5.77 5.53 0010.10.80.1020100P0 38.2581 4 54110 Treatment of penis lesion A 10.13 7.61 NA 7.34 7.61 7.34 0.60 18.34 18.07 18.34 18.07 0090.10.80.1020200P0 38.2581 4 54111 Treat penis lesion, graft A 13.57 8.67 NA 8.99 8.67 8.99 0.79 23.03 23.35 23.03 23.35 0090.10.80.1020210P0 38.2581 4 54112 Treat penis lesion, graft A 15.86 9.50 NA10.07 9.50 10.07 0.94 26.30 26.87 26.30 26.87 0090.10.80.1020210P0 38.2581 4 54115 Treatment of penis lesion A 6.15 10.02 8.65 6.35 5.90 0.39 16.56 15.19 12.89 12.44 0090.10.80.1020200P0 38.2581 4 54120 Partial removal of penis A 9.97 7.55 NA 7.42 7.55 7.42 0.60 18.12 17.99 18.12 17.99 0090.10.80.1020210P0 38.2581 4 54125 Removal of penis A 13.53 8.71 NA 9.67 8.71 9.67 0.81 23.05 24.01 23.05 24.01 0090.10.80.1020210P0 38.2581 4 54130 Remove penis & nodes A 20.14 11.19 NA12.37 11.19 12.37 1.19 32.52 33.70 32.52 33.70 0090.10.80.1022210P0 38.2581 4 54135 Remove penis & nodes A 26.36 13.34 NA14.82 13.34 14.82 1.58 41.28 42.76 41.28 42.76 0090.10.80.1022200P0 38.2581 4 54150 Circumcision A 1.81 7.59 5.84 1.81 1.51 0.17 9.57 7.82 3.79 3.49 0010.10.80.1020000P0 38.2581 4 54152 Circumcision A 2.31 1.69 NA 1.76 1.69 1.76 0.16 4.16 4.23 4.16 4.23 0010.10.80.1020100P0 38.2581 4 54160 Circumcision A 2.48 5.72 4.74 1.68 1.71 0.16 8.36 7.38 4.32 4.35 0010.10.80.1020100P0 38.2581 4 54161 Circumcision A 3.27 1.97 NA 2.07 1.97 2.07 0.20 5.44 5.54 5.44 5.54 0010.10.80.1020100P0 38.2581 4 54200 Treatment of penis lesion A 1.06 2.56 2.01 0.37 0.32 0.06 3.68 3.13 1.49 1.44 0010.10.80.1020100P0 38.2581 4 54205 Treatment of penis lesion A 7.93 7.03 NA 6.66 7.03 6.66 0.47 15.43 15.06 15.43 15.06 0090.10.80.1020200P0 38.2581 4 54220 Treatment of penis lesion A 2.42 1.91 1.86 0.99 1.17 0.15 4.48 4.43 3.56 3.74 0000.00.00.0020100P0 38.2581 4 54230 Prepare penis study A 1.34 0.45 NA 0.70 0.45 0.52 0.08 1.87 2.12 1.87 1.94 0000.00.00.0020100P0 38.2581 4 54231 Dynamic cavernosometry A 2.04 2.13 1.99 0.79 0.98 0.14 4.31 4.17 2.97 3.16 0000.00.00.0020100P0 38.2581 4 54235 Penile injection A 1.19 1.09 0.94 0.40 0.36 0.07 2.35 2.20 1.66 1.62 0000.00.00.0020100P0 38.2581 4 54240 Penis study A 1.31 1.18 1.16 1.18 1.16 0.13 2.62 2.60 2.62 2.60 1000.00.00.0020000P0 38.2581 4 54240TCPenis study A 0.00 0.73 0.68 0.73 0.68 0.05 0.78 0.73 0.78 0.73 1000.00.00.0000000P0 38.2581 4 5424026Penis study A 1.31 0.45 0.48 0.45 0.48 0.08 1.84 1.87 1.84 1.87 1000.00.00.0020000P0 38.2581 4 54250 Penis study A 2.22 3.51 2.85 3.51 2.85 0.16 5.89 5.23 5.89 5.23 1000.00.00.0020000P0 38.2581 4 54250TCPenis study A 0.00 2.76 2.15 2.76 2.15 0.02 2.78 2.17 2.78 2.17 1000.00.00.0000000P0 38.2581 4 5425026Penis study A 2.22 0.75 0.70 0.75 0.70 0.14 3.11 3.06 3.11 3.06 1000.00.00.0020000P0 38.2581 4 54300 Revision of penis A 10.41 8.26 NA 8.06 8.26 8.06 0.64 19.31 19.11 19.31 19.11 0090.10.80.1020210P0 38.2581 4 54304 Revision of penis A 12.49 9.26 NA 9.30 9.26 9.30 0.74 22.49 22.53 22.49 22.53 0090.10.80.1020200P0 38.2581 4 54308 Reconstruction of urethra A 11.83 8.99 NA 8.33 8.99 8.33 0.70 21.52 20.86 21.52 20.86 0090.10.80.1020210P0 38.2581 4 54312 Reconstruction of urethra A 13.57 10.08 NA10.10 10.08 10.10 0.81 24.46 24.48 24.46 24.48 0090.10.80.1020210P0 38.2581 4 54316 Reconstruction of urethra A 16.82 11.53 NA11.73 11.53 11.73 1.00 29.35 29.55 29.35 29.55 0090.10.80.1020210P0 38.2581 4 54318 Reconstruction of urethra A 11.25 9.09 NA 8.86 9.09 8.86 1.15 21.49 21.26 21.49 21.26 0090.10.80.1020210P0 38.2581 4 54322 Reconstruction of urethra A 13.01 8.60 NA 8.52 8.60 8.52 0.77 22.38 22.30 22.38 22.30 0090.10.80.1020200P0 38.2581 4 54324 Reconstruction of urethra A 16.31 11.30 NA11.46 11.30 11.46 1.03 28.64 28.80 28.64 28.80 0090.10.80.1020210P0 38.2581 4 54326 Reconstruction of urethra A 15.72 9.93 NA10.30 9.93 10.30 0.93 26.58 26.95 26.58 26.95 0090.10.80.1020210P0 38.2581 4 54328 Revise penis/urethra A 15.65 10.26 NA10.60 10.26 10.60 0.92 26.83 27.17 26.83 27.17 0090.10.80.1020210P0 38.2581 4 54332 Revise penis/urethra A 17.08 11.62 NA12.11 11.62 12.11 1.01 29.71 30.20 29.71 30.20 0090.10.80.1020210P0 38.2581 4 54336 Revise penis/urethra A 20.04 16.04 NA17.13 16.04 17.13 1.90 37.98 39.07 37.98 39.07 0090.10.80.1020210P0 38.2581 4 54340 Secondary urethral surgery A 8.91 7.65 NA 7.39 7.65 7.39 0.72 17.28 17.02 17.28 17.02 0090.10.80.1020210P0 38.2581 4 54344 Secondary urethral surgery A 15.94 11.43 NA13.08 11.43 13.08 1.10 28.47 30.12 28.47 30.12 0090.10.80.1020210P0 38.2581 4 54348 Secondary urethral surgery A 17.15 12.49 NA12.52 12.49 12.52 1.02 30.66 30.69 30.66 30.69 0090.10.80.1020210P0 38.2581 4 54352 Reconstruct urethra/penis A 24.74 15.08 NA15.70 15.08 15.70 1.62 41.44 42.06 41.44 42.06 0090.10.80.1020210P0 38.2581 4 54360 Penis plastic surgery A 11.93 8.13 NA 8.00 8.13 8.00 0.72 20.78 20.65 20.78 20.65 0090.10.80.1020210P0 38.2581 4 54380 Repair penis A 13.18 9.10 NA 9.38 9.10 9.38 1.16 23.44 23.72 23.44 23.72 0090.10.80.1020210P0 38.2581 4 54385 Repair penis A 15.39 11.08 NA11.15 11.08 11.15 0.71 27.18 27.25 27.18 27.25 0090.10.80.1020210P0 38.2581 4 54390 Repair penis and bladder A 21.61 13.28 NA13.64 13.28 13.64 1.28 36.17 36.53 36.17 36.53 0090.10.80.1020210P0 38.2581 4 54400 Insert semi-rigid prosthesis A 8.99 6.01 NA 7.19 6.01 7.19 0.53 15.53 16.71 15.53 16.71 0090.10.80.1020110P0 38.2581 4 54401 Insert self-contd prosthesis A 10.28 6.82 NA 8.18 6.82 8.18 0.61 17.71 19.07 17.71 19.07 0090.10.80.1020110P0 38.2581 4 54402 Remove penis prosthesis A 9.21 6.13 NA 6.23 6.13 6.23 0.55 15.89 15.99 15.89 15.99 0090.10.80.1020210P0 38.2581 4 54405 Insert multi-comp prosthesis A 13.43 7.92 NA 9.95 7.92 9.95 0.80 22.15 24.18 22.15 24.18 0090.10.80.1020210P0 38.2581 4 54407 Remove multi-comp prosthesis A 13.34 7.51 NA 8.68 7.51 8.68 0.80 21.65 22.82 21.65 22.82 0090.10.80.1020210P0 38.2581 4 54409 Revise penis prosthesis A 12.20 7.26 NA 7.88 7.26 7.88 0.73 20.19 20.81 20.19 20.81 0090.10.80.1020210P0 38.2581 4 54420 Revision of penis A 11.42 8.04 NA 8.13 8.04 8.13 0.72 20.18 20.27 20.18 20.27 0090.10.80.1020200P0 38.2581 4 54430 Revision of penis A 10.15 7.58 NA 7.58 7.58 7.58 0.60 18.33 18.33 18.33 18.33 0090.10.80.1022200P0 38.2581 4 54435 Revision of penis A 6.12 5.67 NA 5.38 5.67 5.38 0.36 12.15 11.86 12.15 11.86 0090.10.80.1020100P0 38.2581 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 0090.10.80.1020210P0 38.2581 9 54450 Preputial stretching A 1.12 0.99 0.93 0.46 0.53 0.07 2.18 2.12 1.65 1.72 0000.00.00.0020100P0 38.2581 4 54500 Biopsy of testis A 1.31 5.92 4.56 0.45 0.46 0.08 7.31 5.95 1.84 1.85 0000.00.00.0021000P0 38.2581 4 54505 Biopsy of testis A 3.46 2.53 NA 2.40 2.53 2.40 0.21 6.20 6.07 6.20 6.07 0010.10.80.1021000P0 38.2581 4 54510 Removal of testis lesion A 5.45 3.38 NA 3.36 3.38 3.36 0.35 9.18 9.16 9.18 9.16 0090.10.80.1021000P0 38.2581 4 54512 Excise lesion testis A 8.58 4.86 NA 4.86 4.86 4.86 0.51 13.95 13.95 13.95 13.95 0090.10.80.102121090 38.2581 5 54520 Removal of testis A 5.23 3.51 NA 4.07 3.51 4.07 0.33 9.07 9.63 9.07 9.63 0090.10.80.1021100P0 38.2581 4 54522 Orchiectomy, partial A 9.50 5.79 NA 5.79 5.79 5.79 0.57 15.86 15.86 15.86 15.86 0090.10.80.102121090 38.2581 5 54530 Removal of testis A 8.58 5.13 NA 5.83 5.13 5.83 0.53 14.24 14.94 14.24 14.94 0090.10.80.1021210P0 38.2581 4 54535 Extensive testis surgery A 12.16 7.00 NA 7.57 7.00 7.57 0.83 19.99 20.56 19.99 20.56 0090.10.80.1021200P0 38.2581 4 54550 Exploration for testis A 7.78 4.64 NA 4.91 4.64 4.91 0.49 12.91 13.18 12.91 13.18 0090.10.80.1021200P0 38.2581 4 54560 Exploration for testis A 11.13 6.75 NA 7.03 6.75 7.03 0.79 18.67 18.95 18.67 18.95 0090.10.80.1021210P0 38.2581 4 54600 Reduce testis torsion A 7.01 4.16 NA 4.37 4.16 4.37 0.45 11.62 11.83 11.62 11.83 0090.10.80.1021100P0 38.2581 4 54620 Suspension of testis A 4.90 3.01 NA 3.16 3.01 3.16 0.31 8.22 8.37 8.22 8.37 0010.10.80.1021100P0 38.2581 4 54640 Suspension of testis A 6.90 4.19 NA 5.20 4.19 5.20 0.49 11.58 12.59 11.58 12.59 0090.10.80.1021100P0 38.2581 4 54650 Orchiopexy (Fowler-Stephens) A 11.45 7.03 NA 7.40 7.03 7.40 0.81 19.29 19.66 19.29 19.66 0090.10.80.1021200P0 38.2581 4 54660 Revision of testis A 5.11 3.22 NA 3.34 3.22 3.34 0.35 8.68 8.80 8.68 8.80 0090.10.80.1021000P0 38.2581 4 54670 Repair testis injury A 6.41 4.09 NA 4.24 4.09 4.24 0.41 10.91 11.06 10.91 11.06 0090.10.80.1021000P0 38.2581 4 54680 Relocation of testis(es) A 12.65 7.37 NA 7.75 7.37 7.75 0.94 20.96 21.34 20.96 21.34 0090.10.80.1021210P0 38.2581 4 54690 Laparoscopy, orchiectomy A 10.96 6.44 NA 6.79 6.44 6.79 0.99 18.39 18.74 18.39 18.74 0090.10.80.102121090 38.2581 4 54692 Laparoscopy, orchiopexy A 12.88 5.68 NA 5.68 5.68 5.68 0.87 19.43 19.43 19.43 19.43 0090.10.80.102110090 38.2581 5 54699 Laparoscope proc, testis C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 54700 Drainage of scrotum A 3.43 7.92 6.19 3.26 2.69 0.23 11.58 9.85 6.92 6.35 0010.10.80.1020100P0 38.2581 4 54800 Biopsy of epididymis A 2.33 6.01 5.04 0.83 1.16 0.14 8.48 7.51 3.30 3.63 0000.00.00.0020000P0 38.2581 4 54820 Exploration of epididymis A 5.14 3.50 NA 3.34 3.50 3.34 0.33 8.97 8.81 8.97 8.81 0090.10.80.1020000P0 38.2581 4 54830 Remove epididymis lesion A 5.38 3.59 NA 3.65 3.59 3.65 0.34 9.31 9.37 9.31 9.37 0090.10.80.1020000P0 38.2581 4 54840 Remove epididymis lesion A 5.20 3.51 NA 3.95 3.51 3.95 0.31 9.02 9.46 9.02 9.46 0090.10.80.1020100P0 38.2581 4 54860 Removal of epididymis A 6.32 4.08 NA 4.46 4.08 4.46 0.38 10.78 11.16 10.78 11.16 0090.10.80.1020100P0 38.2581 4 54861 Removal of epididymis A 8.90 4.95 NA 5.69 4.95 5.69 0.52 14.37 15.11 14.37 15.11 0090.10.80.1020000P0 38.2581 4 54900 Fusion of spermatic ducts A 13.20 7.13 NA 7.78 7.13 7.78 1.34 21.67 22.32 21.67 22.32 0090.10.80.1020000P0 38.2581 4 54901 Fusion of spermatic ducts A 17.94 9.79 NA10.68 9.79 10.68 1.83 29.56 30.45 29.56 30.45 0090.10.80.1022000P0 38.2581 4 55000 Drainage of hydrocele A 1.43 2.06 1.65 0.50 0.43 0.10 3.59 3.18 2.03 1.96 0000.00.00.0020100P0 38.2581 4 55040 Removal of hydrocele A 5.36 3.36 NA 3.85 3.36 3.85 0.35 9.07 9.56 9.07 9.56 0090.10.80.1020100P0 38.2581 4 55041 Removal of hydroceles A 7.74 4.39 NA 5.32 4.39 5.32 0.50 12.63 13.56 12.63 13.56 0090.10.80.1022100P0 38.2581 4 55060 Repair of hydrocele A 5.52 3.41 NA 3.68 3.41 3.68 0.37 9.30 9.57 9.30 9.57 0090.10.80.1021000P0 38.2581 4 55100 Drainage of scrotum abscess A 2.13 9.03 6.94 3.48 2.78 0.15 11.31 9.22 5.76 5.06 0010.10.80.1020100P0 38.2581 4 55110 Explore scrotum A 5.70 3.51 NA 3.58 3.51 3.58 0.36 9.57 9.64 9.57 9.64 0090.10.80.1020100P0 38.2581 4 55120 Removal of scrotum lesion A 5.09 3.28 NA 2.95 3.28 2.95 0.33 8.70 8.37 8.70 8.37 0090.10.80.1020000P0 38.2581 4 55150 Removal of scrotum A 7.22 4.46 NA 4.82 4.46 4.82 0.47 12.15 12.51 12.15 12.51 0090.10.80.1020210P0 38.2581 4 55175 Revision of scrotum A 5.24 3.60 NA 3.92 3.60 3.92 0.33 9.17 9.49 9.17 9.49 0090.10.80.1020000P0 38.2581 4 55180 Revision of scrotum A 10.72 6.28 NA 6.56 6.28 6.56 0.72 17.72 18.00 17.72 18.00 0090.10.80.1020000P0 38.2581 4 55200 Incision of sperm duct A 4.24 3.01 NA 2.79 3.01 2.79 0.25 7.50 7.28 7.50 7.28 0090.10.80.1022000P0 38.2581 4 55250 Removal of sperm duct(s) A 3.29 8.76 7.28 2.95 2.57 0.21 12.26 10.78 6.45 6.07 0090.10.80.1022100P0 38.2581 4 55300 Prepare, sperm duct x-ray A 3.51 1.43 NA 1.81 1.43 1.81 0.20 5.14 5.52 5.14 5.52 0000.00.00.0022000P0 38.2581 4 55400 Repair of sperm duct A 8.49 5.10 NA 5.61 5.10 5.61 0.50 14.09 14.60 14.09 14.60 0090.10.80.1021210P0 38.2581 4 55450 Ligation of sperm duct A 4.12 7.31 6.19 2.39 2.50 0.24 11.67 10.55 6.75 6.86 0010.10.80.1022000P0 38.2581 4 55500 Removal of hydrocele A 5.59 3.59 NA 3.87 3.59 3.87 0.43 9.61 9.89 9.61 9.89 0090.10.80.1020000P0 38.2581 4 55520 Removal of sperm cord lesion A 6.03 3.75 NA 3.66 3.75 3.66 0.56 10.34 10.25 10.34 10.25 0090.10.80.1020210P0 38.2581 4 55530 Revise spermatic cord veins A 5.66 3.69 NA 4.18 3.69 4.18 0.36 9.71 10.20 9.71 10.20 0090.10.80.1020110P0 38.2581 4 55535 Revise spermatic cord veins A 6.56 4.01 NA 4.20 4.01 4.20 0.42 10.99 11.18 10.99 11.18 0090.10.80.1020210P0 38.2581 4 55540 Revise hernia & sperm veins A 7.67 4.36 NA 4.50 4.36 4.50 0.74 12.77 12.91 12.77 12.91 0090.10.80.1020210P0 38.2581 4 55550 Laparo ligate spermatic vein A 6.57 3.36 NA 3.72 3.36 3.72 0.47 10.40 10.76 10.40 10.76 0090.10.80.102121090 38.2581 4 55559 Laparo proc, spermatic cord C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 55600 Incise sperm duct pouch A 6.38 4.12 NA 4.26 4.12 4.26 0.38 10.88 11.02 10.88 11.02 0090.10.80.1021000P0 38.2581 4 55605 Incise sperm duct pouch A 7.96 5.00 NA 5.27 5.00 5.27 0.54 13.50 13.77 13.50 13.77 0090.10.80.1021000P0 38.2581 4 55650 Remove sperm duct pouch A 11.80 6.10 NA 6.54 6.10 6.54 0.72 18.62 19.06 18.62 19.06 0090.10.80.1021210P0 38.2581 4 55680 Remove sperm pouch lesion A 5.19 3.79 NA 4.05 3.79 4.05 0.31 9.29 9.55 9.29 9.55 0090.10.80.1020000P0 38.2581 4 55700 Biopsy of prostate A 1.57 3.66 3.15 0.53 0.60 0.10 5.33 4.82 2.20 2.27 0000.00.00.0020100P0 38.2581 4 55705 Biopsy of prostate A 4.57 3.62 NA 3.63 3.62 3.63 0.26 8.45 8.46 8.45 8.46 0010.10.80.1020110P0 38.2581 4 55720 Drainage of prostate abscess A 7.64 5.76 NA 5.27 5.76 5.27 0.44 13.84 13.35 13.84 13.35 0090.10.80.1020210P0 38.2581 4 55725 Drainage of prostate abscess A 8.68 6.38 NA 6.31 6.38 6.31 0.51 15.57 15.50 15.57 15.50 0090.10.80.1020210P0 38.2581 4 55801 Removal of prostate A 17.80 9.24 NA10.39 9.24 10.39 1.08 28.12 29.27 28.12 29.27 0090.10.80.1020210P0 38.2581 4 55810 Extensive prostate surgery A 22.58 11.24 NA13.28 11.24 13.28 1.35 35.17 37.21 35.17 37.21 0090.10.80.1020210P0 38.2581 4 55812 Extensive prostate surgery A 27.51 13.75 NA15.11 13.75 15.11 1.69 42.95 44.31 42.95 44.31 0090.10.80.1020210P0 38.2581 4 55815 Extensive prostate surgery A 30.46 14.27 NA17.54 14.27 17.54 1.84 46.57 49.84 46.57 49.84 0090.10.80.1022210P0 38.2581 4 55821 Removal of prostate A 14.25 7.74 NA 9.49 7.74 9.49 0.85 22.84 24.59 22.84 24.59 0090.10.80.1020210P0 38.2581 4 55831 Removal of prostate A 15.62 8.22 NA10.12 8.22 10.12 0.94 24.78 26.68 24.78 26.68 0090.10.80.1020210P0 38.2581 4 55840 Extensive prostate surgery A 22.69 11.63 NA13.23 11.63 13.23 1.37 35.69 37.29 35.69 37.29 0090.10.80.1020210P0 38.2581 4 55842 Extensive prostate surgery A 24.38 12.25 NA14.39 12.25 14.39 1.48 38.11 40.25 38.11 40.25 0090.10.80.1020210P0 38.2581 4 55845 Extensive prostate surgery A 28.55 13.57 NA16.99 13.57 16.99 1.71 43.83 47.25 43.83 47.25 0090.10.80.1022210P0 38.2581 4 55859 Percut/needle insert, pros A 12.52 7.27 NA 7.05 7.27 7.05 0.74 20.53 20.31 20.53 20.31 0090.10.80.1020000P0 38.2581 4 55860 Surgical exposure, prostate A 14.45 8.17 NA 8.06 8.17 8.06 0.82 23.44 23.33 23.44 23.33 0090.10.80.1020110P0 38.2581 4 55862 Extensive prostate surgery A 18.39 9.40 NA10.22 9.40 10.22 1.14 28.93 29.75 28.93 29.75 0090.10.80.1020210P0 38.2581 4 55865 Extensive prostate surgery A 22.87 10.96 NA14.87 10.96 14.87 1.37 35.20 39.11 35.20 39.11 0090.10.80.1022210P0 38.2581 4 55870 Electroejaculation A 2.58 1.82 1.86 1.15 1.36 0.14 4.54 4.58 3.87 4.08 0000.00.00.0020110P0 38.2581 4 55873 Cryoablate prostate A 17.80 10.16 NA10.16 10.16 10.16 1.01 28.97 28.97 28.97 28.97 0090.08.83.092010090 38.2581 5 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 56405 I & D of vulva/perineum A 1.44 2.28 1.92 1.24 1.03 0.14 3.86 3.50 2.82 2.61 0010.10.80.1020120P0 38.2581 4 56420 Drainage of gland abscess A 1.39 2.26 1.91 1.20 1.01 0.13 3.78 3.43 2.72 2.53 0010.10.80.1020100P0 38.2581 4 56440 Surgery for vulva lesion A 2.84 3.45 3.30 2.22 2.38 0.28 6.57 6.42 5.34 5.50 0010.10.80.1020100P0 38.2581 4 56441 Lysis of labial lesion(s) A 1.97 2.48 2.31 1.95 1.91 0.17 4.62 4.45 4.09 4.05 0010.10.80.1020000P0 38.2581 4 56501 Destruction, vulva lesion(s) A 1.53 2.23 1.82 1.29 1.04 0.15 3.91 3.50 2.97 2.72 0010.10.80.1020100P0 38.2581 4 56515 Destruction, vulva lesion(s) A 1.88 2.64 2.62 1.90 1.99 0.18 4.70 4.68 3.96 4.05 0010.10.80.1020100P0 38.2581 4 56605 Biopsy of vulva/perineum A 1.10 1.73 1.48 0.48 0.45 0.11 2.94 2.69 1.69 1.66 0000.00.00.0020120P0 38.2581 4 56606 Biopsy of vulva/perineum A 0.55 1.50 1.22 0.22 0.21 0.06 2.11 1.83 0.83 0.82 0ZZZ.00.00.0000120P0 38.2581 4 56620 Partial removal of vulva A 7.47 4.80 NA 5.36 4.80 5.36 0.76 13.03 13.59 13.03 13.59 0090.12.74.1420210P0 38.2581 4 56625 Complete removal of vulva A 8.40 5.69 NA 6.78 5.69 6.78 0.84 14.93 16.02 14.93 16.02 0090.12.74.1420210P0 38.2581 4 56630 Extensive vulva surgery A 12.36 7.56 NA 9.32 7.56 9.32 1.23 21.15 22.91 21.15 22.91 0090.12.74.1420210P0 38.2581 4 56631 Extensive vulva surgery A 16.20 10.15 NA12.45 10.15 12.45 1.63 27.98 30.28 27.98 30.28 0090.12.74.1420220P0 38.2581 4 56632 Extensive vulva surgery A 20.29 11.82 NA14.65 11.82 14.65 2.03 34.14 36.97 34.14 36.97 0090.12.74.1422220P0 38.2581 4 56633 Extensive vulva surgery A 16.47 9.20 NA11.23 9.20 11.23 1.66 27.33 29.36 27.33 29.36 0090.12.74.1420220P0 38.2581 4 56634 Extensive vulva surgery A 17.88 10.82 NA13.45 10.82 13.45 1.78 30.48 33.11 30.48 33.11 0090.12.74.1420220P0 38.2581 4 56637 Extensive vulva surgery A 21.97 12.51 NA15.20 12.51 15.20 2.18 36.66 39.35 36.66 39.35 0090.12.74.1420220P0 38.2581 4 56640 Extensive vulva surgery A 22.17 12.32 NA14.65 12.32 14.65 2.26 36.75 39.08 36.75 39.08 0090.12.74.1421210P0 38.2581 4 56700 Partial removal of hymen A 2.52 2.80 2.60 1.98 1.98 0.24 5.56 5.36 4.74 4.74 0010.10.80.1020210P0 38.2581 4 56720 Incision of hymen A 0.68 1.62 1.35 0.68 0.64 0.07 2.37 2.10 1.43 1.39 0000.00.00.0020000P0 38.2581 4 56740 Remove vagina gland lesion A 3.76 3.52 3.42 2.57 2.71 0.37 7.65 7.55 6.70 6.84 0010.10.80.1020100P0 38.2581 4 56800 Repair of vagina A 3.89 2.63 NA 2.77 2.63 2.77 0.37 6.89 7.03 6.89 7.03 0010.10.80.1020210P0 38.2581 4 56805 Repair clitoris A 18.86 9.29 NA10.16 9.29 10.16 1.82 29.97 30.84 29.97 30.84 0090.12.74.1420210P0 38.2581 4 56810 Repair of perineum A 4.13 2.73 NA 2.76 2.73 2.76 0.41 7.27 7.30 7.27 7.30 0010.10.80.1020220P0 38.2581 4 57000 Exploration of vagina A 2.97 2.27 NA 2.25 2.27 2.25 0.28 5.52 5.50 5.52 5.50 0010.10.80.1020000P0 38.2581 4 57010 Drainage of pelvic abscess A 6.03 3.79 NA 3.56 3.79 3.56 0.57 10.39 10.16 10.39 10.16 0090.12.74.1420000P0 38.2581 4 57020 Drainage of pelvic fluid A 1.50 1.56 1.35 0.63 0.65 0.15 3.21 3.00 2.28 2.30 0000.00.00.0020000P0 38.2581 4 57022 I &d vaginal hematoma, ob A 2.56 1.60 NA 1.60 1.60 1.60 0.14 4.30 4.30 4.30 4.30 0010.10.80.102000090 38.2581 5 57023 I &d vag hematoma, trauma A 2.56 1.60 NA 1.60 1.60 1.60 0.14 4.30 4.30 4.30 4.30 0010.10.80.102000090 38.2581 5 57061 Destruction vagina lesion(s) A 1.25 2.18 1.86 1.19 1.01 0.13 3.56 3.24 2.57 2.39 0010.10.80.1020100P0 38.2581 4 57065 Destruction vagina lesion(s) A 2.61 2.87 2.93 2.23 2.45 0.26 5.74 5.80 5.10 5.32 0010.10.80.1020100P0 38.2581 4 57100 Biopsy of vagina A 0.97 1.42 1.23 0.42 0.40 0.10 2.49 2.30 1.49 1.47 0000.00.00.0020100P0 38.2581 4 57105 Biopsy of vagina A 1.69 2.19 2.07 2.16 2.05 0.17 4.05 3.93 4.02 3.91 0010.10.80.1020100P0 38.2581 4 57106 Remove vagina wall, partial A 6.36 2.48 2.48 2.48 2.48 0.58 9.42 9.42 9.42 9.42 0090.12.74.1420210P0 38.2581 5 57107 Remove vagina tissue, part A 23.00 10.32 NA10.32 10.32 10.32 2.17 35.49 35.49 35.49 35.49 0090.12.74.1420210P0 38.2581 5 57109 Vaginectomy partial w/nodes A 27.00 11.90 NA11.90 11.90 11.90 1.97 40.87 40.87 40.87 40.87 0090.12.74.1422210P0 38.2581 5 57110 Remove vagina wall, complete A 14.29 7.20 NA 7.54 7.20 7.54 1.43 22.92 23.26 22.92 23.26 0090.12.74.1420210P0 38.2581 4 57111 Remove vagina tissue, compl A 27.00 12.17 NA12.17 12.17 12.17 2.71 41.88 41.88 41.88 41.88 0090.12.74.1422210P0 38.2581 5 57112 Vaginectomy w/nodes, compl A 29.00 12.77 NA12.77 12.77 12.77 2.19 43.96 43.96 43.96 43.96 0090.12.74.1422210P0 38.2581 5 57120 Closure of vagina A 7.41 4.54 NA 5.30 4.54 5.30 0.75 12.70 13.46 12.70 13.46 0090.12.74.1420210P0 38.2581 4 57130 Remove vagina lesion A 2.43 2.07 NA 2.26 2.07 2.26 0.23 4.73 4.92 4.73 4.92 0010.10.80.1020210P0 38.2581 4 57135 Remove vagina lesion A 2.67 2.85 2.66 2.17 2.15 0.26 5.78 5.59 5.10 5.08 0010.10.80.1020100P0 38.2581 4 57150 Treat vagina infection A 0.55 0.98 0.79 0.21 0.19 0.06 1.59 1.40 0.82 0.80 0000.00.00.0020100P0 38.2581 4 57160 Insert pessary/other device A 0.89 1.34 1.07 0.35 0.30 0.09 2.32 2.05 1.33 1.28 0000.00.00.0020100P0 38.2581 4 57170 Fitting of diaphragm/cap A 0.91 1.38 1.12 0.33 0.29 0.09 2.38 2.12 1.33 1.29 0000.00.00.0020000P0 38.2581 4 57180 Treat vaginal bleeding A 1.58 2.21 1.81 1.43 1.15 0.16 3.95 3.55 3.17 2.89 0010.10.80.1020100P0 38.2581 4 57200 Repair of vagina A 3.94 2.93 NA 2.93 2.93 2.93 0.38 7.25 7.25 7.25 7.25 0090.12.74.1420210P0 38.2581 4 57210 Repair vagina/perineum A 5.17 3.41 NA 3.45 3.41 3.45 0.50 9.08 9.12 9.08 9.12 0090.12.74.1420210P0 38.2581 4 57220 Revision of urethra A 4.31 3.31 NA 3.69 3.31 3.69 0.42 8.04 8.42 8.04 8.42 0090.12.74.1420210P0 38.2581 4 57230 Repair of urethral lesion A 5.64 4.16 NA 4.16 4.16 4.16 0.50 10.30 10.30 10.30 10.30 0090.12.74.1420210P0 38.2581 4 57240 Repair bladder & vagina A 6.07 4.30 NA 5.04 4.30 5.04 0.53 10.90 11.64 10.90 11.64 0090.12.74.1420210P0 38.2581 4 57250 Repair rectum & vagina A 5.53 3.75 NA 4.46 3.75 4.46 0.54 9.82 10.53 9.82 10.53 0090.12.74.1420210P0 38.2581 4 57260 Repair of vagina A 8.27 4.85 NA 5.99 4.85 5.99 0.83 13.95 15.09 13.95 15.09 0090.12.74.1420210P0 38.2581 4 57265 Extensive repair of vagina A 11.34 6.75 NA 7.62 6.75 7.62 1.14 19.23 20.10 19.23 20.10 0090.12.74.1420210P0 38.2581 4 57268 Repair of bowel bulge A 6.76 4.24 NA 5.09 4.24 5.09 0.66 11.66 12.51 11.66 12.51 0090.12.74.1420210P0 38.2581 4 57270 Repair of bowel pouch A 12.11 6.18 NA 6.49 6.18 6.49 1.17 19.46 19.77 19.46 19.77 0090.12.74.1420210P0 38.2581 4 57280 Suspension of vagina A 15.04 7.31 NA 7.80 7.31 7.80 1.44 23.79 24.28 23.79 24.28 0090.12.74.1420210P0 38.2581 4 57282 Repair of vaginal prolapse A 8.86 5.09 NA 6.18 5.09 6.18 0.86 14.81 15.90 14.81 15.90 0090.12.74.1420210P0 38.2581 4 57284 Repair paravaginal defect A 12.70 6.94 NA 7.54 6.94 7.54 1.17 20.81 21.41 20.81 21.41 0090.08.83.0920220P0 38.2581 4 57287 Revise/remove sling repair A 10.71 7.02 NA 7.02 7.02 7.02 0.64 18.37 18.37 18.37 18.37 0090.12.74.142021090 38.2581 5 57288 Repair bladder defect A 13.02 6.80 NA 8.01 6.80 8.01 0.86 20.68 21.89 20.68 21.89 0090.12.74.1420210P0 38.2581 4 57289 Repair bladder & vagina A 11.58 6.62 NA 7.19 6.62 7.19 0.95 19.15 19.72 19.15 19.72 0090.12.74.1420210P0 38.2581 4 57291 Construction of vagina A 7.95 6.07 NA 6.01 6.07 6.01 0.78 14.80 14.74 14.80 14.74 0090.12.74.1420200P0 38.2581 4 57292 Construct vagina with graft A 13.09 7.25 NA 7.22 7.25 7.22 1.29 21.63 21.60 21.63 21.60 0090.12.74.1420210P0 38.2581 4 57300 Repair rectum-vagina fistula A 7.61 4.70 NA 5.67 4.70 5.67 0.70 13.01 13.98 13.01 13.98 0090.12.74.1420210P0 38.2581 4 57305 Repair rectum-vagina fistula A 13.77 7.10 NA 7.37 7.10 7.37 1.33 22.20 22.47 22.20 22.47 0090.12.74.1420210P0 38.2581 4 57307 Fistula repair & colostomy A 15.93 7.77 NA 7.49 7.77 7.49 1.59 25.29 25.01 25.29 25.01 0090.12.74.1420210P0 38.2581 4 57308 Fistula repair, transperine A 9.94 5.73 NA 6.26 5.73 6.26 0.91 16.58 17.11 16.58 17.11 0090.12.74.1420210P0 38.2581 4 57310 Repair urethrovaginal lesion A 6.78 4.63 NA 4.65 4.63 4.65 0.45 11.86 11.88 11.86 11.88 0090.12.74.1420210P0 38.2581 4 57311 Repair urethrovaginal lesion A 7.98 5.19 NA 5.41 5.19 5.41 0.51 13.68 13.90 13.68 13.90 0090.12.74.1420210P0 38.2581 4 57320 Repair bladder-vagina lesion A 8.01 5.27 NA 6.34 5.27 6.34 0.60 13.88 14.95 13.88 14.95 0090.12.74.1420210P0 38.2581 4 57330 Repair bladder-vagina lesion A 12.35 6.60 NA 7.20 6.60 7.20 0.86 19.81 20.41 19.81 20.41 0090.12.74.1420210P0 38.2581 4 57335 Repair vagina A 18.73 9.15 NA 8.74 9.15 8.74 1.66 29.54 29.13 29.54 29.13 0090.12.74.1420210P0 38.2581 4 57400 Dilation of vagina A 2.27 1.29 NA 1.06 1.29 1.06 0.22 3.78 3.55 3.78 3.55 0000.00.00.0020000P0 38.2581 4 57410 Pelvic examination A 1.75 2.60 2.05 1.07 0.90 0.14 4.49 3.94 2.96 2.79 0000.00.00.0020100P0 38.2581 4 57415 Remove vaginal foreign body A 2.17 3.37 2.63 2.00 1.60 0.19 5.73 4.99 4.36 3.96 0010.10.80.1020000P0 38.2581 4 57452 Examination of vagina A 0.99 1.53 1.33 0.45 0.43 0.10 2.62 2.42 1.54 1.52 0000.00.00.0020100P0 38.2581 4 57454 Vagina examination & biopsy A 1.27 1.71 1.61 0.59 0.61 0.13 3.11 3.01 1.99 2.01 0000.00.00.0030100P0 57452 38.2581 4 57460 Cervix excision A 2.83 2.05 2.09 1.13 1.12 0.28 5.16 5.20 4.24 4.23 0000.00.00.0030100P0 57452 38.2581 4 57500 Biopsy of cervix A 0.97 2.02 1.67 0.47 0.43 0.10 3.09 2.74 1.54 1.50 0000.00.00.0020100P0 38.2581 4 57505 Endocervical curettage A 1.14 1.89 1.59 1.21 0.99 0.12 3.15 2.85 2.47 2.25 0010.10.80.1020100P0 38.2581 4 57510 Cauterization of cervix A 1.90 3.07 2.44 1.52 1.21 0.18 5.15 4.52 3.60 3.29 0010.10.80.1020100P0 38.2581 4 57511 Cryocautery of cervix A 1.90 2.35 1.99 0.74 0.67 0.18 4.43 4.07 2.82 2.75 0010.10.80.1020100P0 38.2581 4 57513 Laser surgery of cervix A 1.90 2.50 2.44 1.49 1.69 0.19 4.59 4.53 3.58 3.78 0010.10.80.1020100P0 38.2581 4 57520 Conization of cervix A 4.04 4.10 4.01 2.74 2.99 0.41 8.55 8.46 7.19 7.44 0090.12.74.1420100P1A4550 38.2581 4 57522 Conization of cervix A 3.36 3.65 3.67 2.47 2.79 0.34 7.35 7.37 6.17 6.49 0090.12.74.1420100P1A4550 38.2581 4 57530 Removal of cervix A 4.79 3.52 NA 3.62 3.52 3.62 0.48 8.79 8.89 8.79 8.89 0090.12.74.1420210P0 38.2581 4 57531 Removal of cervix, radical A 28.00 13.16 NA14.69 13.16 14.69 2.46 43.62 45.15 43.62 45.15 0090.12.74.1422210P0 38.2581 4 57540 Removal of residual cervix A 12.22 6.14 NA 6.43 6.14 6.43 1.21 19.57 19.86 19.57 19.86 0090.12.74.1420210P0 38.2581 4 57545 Remove cervix/repair pelvis A 13.03 6.58 NA 6.18 6.58 6.18 1.30 20.91 20.51 20.91 20.51 0090.12.74.1420210P0 38.2581 4 57550 Removal of residual cervix A 5.53 3.75 NA 4.46 3.75 4.46 0.55 9.83 10.54 9.83 10.54 0090.12.74.1420210P0 38.2581 4 57555 Remove cervix/repair vagina A 8.95 5.48 NA 6.78 5.48 6.78 0.89 15.32 16.62 15.32 16.62 0090.12.74.1420210P0 38.2581 4 57556 Remove cervix, repair bowel A 8.37 4.85 NA 6.14 4.85 6.14 0.80 14.02 15.31 14.02 15.31 0090.12.74.1420210P0 38.2581 4 57700 Revision of cervix A 3.55 2.44 NA 2.48 2.44 2.48 0.33 6.32 6.36 6.32 6.36 0090.12.74.1420000P0 38.2581 4 57720 Revision of cervix A 4.13 3.22 NA 3.17 3.22 3.17 0.41 7.76 7.71 7.76 7.71 0090.12.74.1420200P0 38.2581 4 57800 Dilation of cervical canal A 0.77 1.15 0.99 0.35 0.33 0.08 2.00 1.84 1.20 1.18 0000.00.00.0020100P0 38.2581 4 57820 D & c of residual cervix A 1.67 2.47 2.42 2.16 2.19 0.17 4.31 4.26 4.00 4.03 0010.10.80.1020100P0 38.2581 4 58100 Biopsy of uterus lining A 0.71 1.99 1.67 0.28 0.30 0.07 2.77 2.45 1.06 1.08 0000.00.00.0020100P0 38.2581 4 58120 Dilation and curettage A 3.27 3.72 3.52 2.36 2.50 0.33 7.32 7.12 5.96 6.10 0010.10.80.1020100P1A4550 38.2581 4 58140 Removal of uterus lesion A 14.60 7.06 NA 7.56 7.06 7.56 1.46 23.12 23.62 23.12 23.62 0090.12.74.1420210P0 38.2581 4 58145 Removal of uterus lesion A 8.04 4.78 NA 5.82 4.78 5.82 0.80 13.62 14.66 13.62 14.66 0090.12.74.1420210P0 38.2581 4 58150 Total hysterectomy A 15.24 7.45 NA 8.19 7.45 8.19 1.53 24.22 24.96 24.22 24.96 0090.12.74.1420210P0 38.2581 4 58152 Total hysterectomy A 15.09 7.40 NA 8.80 7.40 8.80 1.52 24.01 25.41 24.01 25.41 0090.12.74.1420210P0 38.2581 4 58180 Partial hysterectomy A 15.29 7.44 NA 8.23 7.44 8.23 1.54 24.27 25.06 24.27 25.06 0090.12.74.1420210P0 38.2581 4 58200 Extensive hysterectomy A 21.59 11.04 NA11.80 11.04 11.80 2.15 34.78 35.54 34.78 35.54 0090.12.74.1420210P0 38.2581 4 58210 Extensive hysterectomy A 28.85 13.89 NA15.24 13.89 15.24 2.91 45.65 47.00 45.65 47.00 0090.12.74.1422210P0 38.2581 4 58240 Removal of pelvis contents A 38.39 18.94 NA22.00 18.94 22.00 3.76 61.09 64.15 61.09 64.15 0090.12.74.1420210P0 38.2581 4 58260 Vaginal hysterectomy A 12.20 5.92 NA 6.99 5.92 6.99 1.23 19.35 20.42 19.35 20.42 0090.12.74.1420210P0 38.2581 4 58262 Vaginal hysterectomy A 13.99 6.65 NA 7.54 6.65 7.54 1.42 22.06 22.95 22.06 22.95 0090.12.74.1420220P0 38.2581 4 58263 Vaginal hysterectomy A 15.28 7.16 NA 8.17 7.16 8.17 1.55 23.99 25.00 23.99 25.00 0090.12.74.1420220P0 38.2581 4 58267 Hysterectomy & vagina repair A 15.00 7.04 NA 8.41 7.04 8.41 1.51 23.55 24.92 23.55 24.92 0090.12.74.1420210P0 38.2581 4 58270 Hysterectomy & vagina repair A 13.48 6.45 NA 7.64 6.45 7.64 1.37 21.30 22.49 21.30 22.49 0090.12.74.1420210P0 38.2581 4 58275 Hysterectomy/revise vagina A 14.98 7.01 NA 8.25 7.01 8.25 1.51 23.50 24.74 23.50 24.74 0090.12.74.1420210P0 38.2581 4 58280 Hysterectomy/revise vagina A 15.41 7.13 NA 8.20 7.13 8.20 1.54 24.08 25.15 24.08 25.15 0090.12.74.1420210P0 38.2581 4 58285 Extensive hysterectomy A 18.57 9.80 NA10.50 9.80 10.50 1.88 30.25 30.95 30.25 30.95 0090.12.74.1420210P0 38.2581 4 58300 Insert intrauterine device N+ 1.01 1.39 1.25 0.40 0.51 0.10 2.50 2.36 1.51 1.62 9XXX.00.00.0099999P9 38.2581 9 58301 Remove intrauterine device A 1.27 1.53 1.27 0.50 0.44 0.13 2.93 2.67 1.90 1.84 0000.00.00.0020000P0 38.2581 4 58321 Artificial insemination A 0.92 0.88 0.85 0.37 0.47 0.10 1.90 1.87 1.39 1.49 0000.00.00.0020000P0 38.2581 4 58322 Artificial insemination A 1.10 1.01 0.95 0.42 0.51 0.11 2.22 2.16 1.63 1.72 0000.00.00.0020000P0 38.2581 4 58323 Sperm washing A 0.23 0.51 0.43 0.09 0.11 0.02 0.76 0.68 0.34 0.36 0000.00.00.0020000P0 38.2581 4 58340 Catheter for hysterography A 0.88 11.40 8.71 0.33 0.40 0.08 12.36 9.67 1.29 1.36 0000.00.00.0020100P0 38.2581 4 58345 Reopen fallopian tube A 4.66 1.80 NA 2.30 1.80 2.30 0.36 6.82 7.32 6.82 7.32 0010.10.80.1021220P0 38.2581 4 58350 Reopen fallopian tube A 1.01 1.98 1.67 1.06 0.98 0.10 3.09 2.78 2.17 2.09 0010.10.80.1020100P0 38.2581 4 58353 Endometr ablate, thermal A 3.56 2.16 NA 2.16 2.16 2.16 0.19 5.91 5.91 5.91 5.91 0010.10.80.102122090 38.2581 5 58400 Suspension of uterus A 6.36 3.94 NA 4.49 3.94 4.49 0.62 10.92 11.47 10.92 11.47 0090.12.74.1420210P0 38.2581 4 58410 Suspension of uterus A 12.73 6.48 NA 6.36 6.48 6.36 1.09 20.30 20.18 20.30 20.18 0090.12.74.1420210P0 38.2581 4 58520 Repair of ruptured uterus A 11.92 5.87 NA 5.55 5.87 5.55 1.17 18.96 18.64 18.96 18.64 0090.12.74.1420210P0 38.2581 4 58540 Revision of uterus A 14.64 7.03 NA 6.94 7.03 6.94 1.28 22.95 22.86 22.95 22.86 0090.12.74.1420200P0 38.2581 4 58550 Laparo-asst vag hysterectomy A 14.19 6.71 NA 7.58 6.71 7.58 1.44 22.34 23.21 22.34 23.21 0010.10.80.103022090 49320 38.2581 4 58551 Laparoscopy, remove myoma A 14.21 6.65 NA 6.28 6.65 6.28 1.45 22.31 21.94 22.31 21.94 0010.10.80.103022090 49320 38.2581 4 58555 Hysteroscopy, dx, sep proc A 3.33 2.78 2.63 1.44 1.62 0.34 6.45 6.30 5.11 5.29 0000.00.00.002002090 38.2581 4 58558 Hysteroscopy, biopsy A 4.75 3.36 3.06 2.02 2.06 0.49 8.60 8.30 7.26 7.30 0000.00.00.003012090 58555 38.2581 4 58559 Hysteroscopy, lysis A 6.17 2.45 2.86 2.45 2.86 0.62 9.24 9.65 9.24 9.65 0000.00.00.003012090 58555 38.2581 4 58560 Hysteroscopy, resect septum A 7.00 2.84 3.15 2.84 3.15 0.71 10.55 10.86 10.55 10.86 0000.00.00.003022090 58555 38.2581 4 58561 Hysteroscopy, remove myoma A 10.00 4.03 4.36 4.03 4.36 1.02 15.05 15.38 15.05 15.38 0000.00.00.003002090 58555 38.2581 4 58562 Hysteroscopy, remove fb A 5.21 2.20 NA 2.19 2.20 2.19 0.52 7.93 7.92 7.93 7.92 0000.00.00.003012090 58555 38.2581 4 58563 Hysteroscopy, ablation A 6.17 2.47 3.04 2.47 3.04 0.62 9.26 9.83 9.26 9.83 0000.00.00.003002090 58555 38.2581 4 58578 Laparo proc, uterus C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 58579 Hysteroscope procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 58600 Division of fallopian tube A 3.84 2.58 NA 3.08 2.58 3.08 0.39 6.81 7.31 6.81 7.31 0090.12.74.1422210P0 38.2581 4 58605 Division of fallopian tube A 3.34 2.40 NA 2.80 2.40 2.80 0.33 6.07 6.47 6.07 6.47 0090.12.74.1422200P0 38.2581 4 58611 Ligate oviduct(s) add-on A 0.63 0.25 NA 0.32 0.25 0.32 0.07 0.95 1.02 0.95 1.02 0ZZZ.00.00.0000200P0 38.2581 4 58615 Occlude fallopian tube(s) A 3.90 2.64 NA 2.77 2.64 2.77 0.40 6.94 7.07 6.94 7.07 0010.10.80.1020200P0 38.2581 4 58660 Laparoscopy, lysis A 11.29 5.46 NA 5.62 5.46 5.62 1.14 17.89 18.05 17.89 18.05 0090.09.84.073022090 49320 38.2581 4 58661 Laparoscopy, remove adnexa A 11.05 5.19 NA 5.84 5.19 5.84 1.12 17.36 18.01 17.36 18.01 0010.10.80.103022090 49320 38.2581 4 58662 Laparoscopy, excise lesions A 11.79 5.45 NA 5.59 5.45 5.59 1.18 18.42 18.56 18.42 18.56 0090.09.84.073022090 49320 38.2581 4 58670 Laparoscopy, tubal cautery A 5.60 3.49 NA 3.90 3.49 3.90 0.55 9.64 10.05 9.64 10.05 0090.10.80.103012090 49320 38.2581 4 58671 Laparoscopy, tubal block A 5.60 3.55 NA 4.09 3.55 4.09 0.56 9.71 10.25 9.71 10.25 0090.10.80.103012090 49320 38.2581 4 58672 Laparoscopy, fimbrioplasty A 12.88 6.13 NA 5.99 6.13 5.99 1.22 20.23 20.09 20.23 20.09 0090.10.80.103120090 49320 38.2581 4 58673 Laparoscopy, salpingostomy A 13.74 6.82 NA 6.55 6.82 6.55 1.40 21.96 21.69 21.96 21.69 0090.10.80.103120090 49320 38.2581 4 58679 Laparo proc, oviduct-ovary C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 58700 Removal of fallopian tube A 6.49 3.82 NA 4.58 3.82 4.58 0.64 10.95 11.71 10.95 11.71 0090.12.74.1422210P0 38.2581 4 58720 Removal of ovary/tube(s) A 11.36 5.77 NA 6.36 5.77 6.36 1.14 18.27 18.86 18.27 18.86 0090.12.74.1422210P0 38.2581 4 58740 Revise fallopian tube(s) A 5.83 3.71 NA 4.52 3.71 4.52 0.59 10.13 10.94 10.13 10.94 0090.12.74.1420210P0 38.2581 4 58750 Repair oviduct A 14.84 7.24 NA 7.14 7.24 7.14 1.52 23.60 23.50 23.60 23.50 0090.12.74.1420210P0 38.2581 4 58752 Revise ovarian tube(s) A 14.84 7.62 NA 7.54 7.62 7.54 1.51 23.97 23.89 23.97 23.89 0090.12.74.1420200P0 38.2581 4 58760 Remove tubal obstruction A 13.13 6.43 NA 6.21 6.43 6.21 1.34 20.90 20.68 20.90 20.68 0090.12.74.1421210P0 38.2581 4 58770 Create new tubal opening A 13.97 6.95 NA 6.65 6.95 6.65 1.42 22.34 22.04 22.34 22.04 0090.12.74.1421200P0 38.2581 4 58800 Drainage of ovarian cyst(s) A 4.14 4.32 3.97 4.16 3.85 0.36 8.82 8.47 8.66 8.35 0090.12.74.1422100P0 38.2581 4 58805 Drainage of ovarian cyst(s) A 5.88 3.52 NA 4.37 3.52 4.37 0.56 9.96 10.81 9.96 10.81 0090.12.74.1422210P0 38.2581 4 58820 Drain ovary abscess, open A 4.22 3.26 NA 3.20 3.26 3.20 0.29 7.77 7.71 7.77 7.71 0090.12.74.1420200P0 38.2581 4 58822 Drain ovary abscess, percut A 10.13 5.15 NA 4.83 5.15 4.83 0.92 16.20 15.88 16.20 15.88 0090.12.74.1420210P0 38.2581 4 58823 Drain pelvic abscess, percut A 3.38 3.14 NA 3.05 3.14 3.05 0.18 6.70 6.61 6.70 6.61 0000.00.00.0020200P0 38.2581 4 58825 Transposition, ovary(s) A 6.13 3.88 NA 4.00 3.88 4.00 0.62 10.63 10.75 10.63 10.75 0090.12.74.1420210P0 38.2581 4 58900 Biopsy of ovary(s) A 5.99 3.59 NA 4.10 3.59 4.10 0.56 10.14 10.65 10.14 10.65 0090.12.74.1422210P0 38.2581 4 58920 Partial removal of ovary(s) A 6.78 3.85 NA 4.73 3.85 4.73 0.68 11.31 12.19 11.31 12.19 0090.12.74.1422210P0 38.2581 4 58925 Removal of ovarian cyst(s) A 11.36 5.66 NA 6.03 5.66 6.03 1.14 18.16 18.53 18.16 18.53 0090.12.74.1422210P0 38.2581 4 58940 Removal of ovary(s) A 7.29 4.05 NA 4.80 4.05 4.80 0.73 12.07 12.82 12.07 12.82 0090.12.74.1422210P0 38.2581 4 58943 Removal of ovary(s) A 18.43 9.53 NA10.43 9.53 10.43 1.86 29.82 30.72 29.82 30.72 0090.12.74.1420210P0 38.2581 4 58950 Resect ovarian malignancy A 15.27 8.36 NA 9.32 8.36 9.32 1.55 25.18 26.14 25.18 26.14 0090.12.74.1422210P0 38.2581 4 58951 Resect ovarian malignancy A 21.81 11.01 NA13.23 11.01 13.23 2.20 35.02 37.24 35.02 37.24 0090.12.74.1422210P0 38.2581 4 58952 Resect ovarian malignancy A 25.01 12.32 NA14.15 12.32 14.15 2.50 39.83 41.66 39.83 41.66 0090.12.74.1422210P0 38.2581 4 58960 Exploration of abdomen A 14.65 8.15 NA 9.64 8.15 9.64 1.47 24.27 25.76 24.27 25.76 0090.12.74.1420210P0 38.2581 4 58970 Retrieval of oocyte A 3.53 8.65 7.17 1.80 2.03 0.36 12.54 11.06 5.69 5.92 0000.00.00.0020000P0 38.2581 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 0000.00.00.0020210P0 38.2581 9 58976 Transfer of embryo A 3.83 2.28 2.45 1.53 1.89 0.39 6.50 6.67 5.75 6.11 0000.00.00.0020210P0 38.2581 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 0YYY.00.00.0020211P0 38.2581 9 59000 Amniocentesis A 1.30 1.86 1.66 0.61 0.72 0.23 3.39 3.19 2.14 2.25 0000.00.00.0020100P0 38.2581 4 59012 Fetal cord puncture,prenatal A 3.45 1.65 NA 1.95 1.65 1.95 0.62 5.72 6.02 5.72 6.02 0000.00.00.0020000P0 38.2581 4 59015 Chorion biopsy A 2.20 1.32 1.32 0.89 0.99 0.40 3.92 3.92 3.49 3.59 0000.00.00.0020000P0 38.2581 4 59020 Fetal contract stress test A 0.66 0.78 0.92 0.78 0.92 0.20 1.64 1.78 1.64 1.78 1000.00.00.0020000P0 38.2581 4 59020TCFetal contract stress test A 0.00 0.52 0.53 0.52 0.53 0.08 0.60 0.61 0.60 0.61 1000.00.00.0000000P0 38.2581 4 5902026Fetal contract stress test A 0.66 0.26 0.39 0.26 0.39 0.12 1.04 1.17 1.04 1.17 1000.00.00.0020000P0 38.2581 4 59025 Fetal non-stress test A 0.53 0.44 0.49 0.44 0.49 0.12 1.09 1.14 1.09 1.14 1000.00.00.0020000P0 38.2581 4 59025TCFetal non-stress test A 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1000.00.00.0000000P0 38.2581 4 5902526Fetal non-stress test A 0.53 0.21 0.26 0.21 0.26 0.10 0.84 0.89 0.84 0.89 1000.00.00.0020000P0 38.2581 4 59030 Fetal scalp blood sample A 1.99 0.93 NA 1.13 0.93 1.13 0.36 3.28 3.48 3.28 3.48 0000.00.00.0020000P0 38.2581 4 59050 Fetal monitor w/report A 0.89 0.35 NA 0.48 0.35 0.48 0.16 1.40 1.53 1.40 1.53 0XXX.00.00.0000000P0 38.2581 4 59051 Fetal monitor/interpret only A 0.74 0.28 NA 0.43 0.28 0.43 0.14 1.16 1.31 1.16 1.31 0XXX.00.00.0000000P0 38.2581 4 59100 Remove uterus lesion A 12.35 6.03 NA 5.65 6.03 5.65 2.21 20.59 20.21 20.59 20.21 0090.17.60.2320210P0 38.2581 4 59120 Treat ectopic pregnancy A 11.49 6.01 NA 6.64 6.01 6.64 2.06 19.56 20.19 19.56 20.19 0090.17.60.2320210P0 38.2581 4 59121 Treat ectopic pregnancy A 11.67 6.04 NA 5.99 6.04 5.99 2.09 19.80 19.75 19.80 19.75 0090.17.60.2320210P0 38.2581 4 59130 Treat ectopic pregnancy A 14.22 7.10 NA 6.94 7.10 6.94 2.54 23.86 23.70 23.86 23.70 0090.17.60.2320000P0 38.2581 4 59135 Treat ectopic pregnancy A 13.88 6.97 NA 7.90 6.97 7.90 2.49 23.34 24.27 23.34 24.27 0090.17.60.2320000P0 38.2581 4 59136 Treat ectopic pregnancy A 13.18 6.71 NA 6.72 6.71 6.72 2.36 22.25 22.26 22.25 22.26 0090.17.60.2320200P0 38.2581 4 59140 Treat ectopic pregnancy A 5.46 3.17 NA 3.64 3.17 3.64 0.98 9.61 10.08 9.61 10.08 0090.17.60.2320200P0 38.2581 4 59150 Treat ectopic pregnancy A 11.20 6.08 NA 5.79 6.08 5.79 1.23 18.51 18.22 18.51 18.22 0090.17.60.2320200P0 38.2581 4 59151 Treat ectopic pregnancy A 11.10 5.59 NA 6.53 5.59 6.53 1.41 18.10 19.04 18.10 19.04 0090.17.60.2320200P0 38.2581 4 59160 D & c after delivery A 2.71 3.47 3.40 2.16 2.42 0.49 6.67 6.60 5.36 5.62 0010.10.80.1020000P0 38.2581 4 59200 Insert cervical dilator A 0.79 1.31 1.13 0.31 0.31 0.15 2.25 2.07 1.25 1.25 0000.00.00.0020100P0 38.2581 4 59300 Episiotomy or vaginal repair A 2.41 2.14 1.87 0.96 0.86 0.43 4.98 4.71 3.80 3.70 0000.00.00.0020000P0 38.2581 4 59320 Revision of cervix A 2.48 1.40 NA 1.53 1.40 1.53 0.45 4.33 4.46 4.33 4.46 0000.00.00.0020000P0 38.2581 4 59325 Revision of cervix A 4.07 2.05 NA 2.32 2.05 2.32 0.73 6.85 7.12 6.85 7.12 0000.00.00.0020000P0 38.2581 4 59350 Repair of uterus A 4.95 1.95 NA 2.42 1.95 2.42 0.88 7.78 8.25 7.78 8.25 0000.00.00.0020200P0 38.2581 4 59400 Obstetrical care A 23.06 14.62 NA15.03 14.62 15.03 4.14 41.82 42.23 41.82 42.23 0MMM.00.00.0020100P0 38.2581 4 59409 Obstetrical care A 13.50 5.29 NA 6.54 5.29 6.54 2.42 21.21 22.46 21.21 22.46 0MMM.00.00.0020000P0 38.2581 4 59410 Obstetrical care A 14.78 6.34 NA 7.55 6.34 7.55 2.65 23.77 24.98 23.77 24.98 0MMM.00.00.0020100P0 38.2581 4 59412 Antepartum manipulation A 1.71 1.28 1.29 0.69 0.85 0.31 3.30 3.31 2.71 2.87 0MMM.00.00.0000000P0 38.2581 4 59414 Deliver placenta A 1.61 1.27 NA 1.27 1.27 1.27 0.29 3.17 3.17 3.17 3.17 0MMM.00.00.0020000P0 38.2581 4 59425 Antepartum care only A 4.81 5.10 4.61 5.02 4.16 0.86 10.77 10.28 10.69 9.83 0MMM.00.00.0000000P0 38.2581 4 59426 Antepartum care only A 8.28 8.72 7.88 8.72 7.21 1.49 18.49 17.65 18.49 16.98 0MMM.00.00.0000000P0 38.2581 4 59430 Care after delivery A 2.13 1.22 1.02 1.21 0.96 0.38 3.73 3.53 3.72 3.47 0MMM.00.00.0020100P0 38.2581 4 59510 Cesarean delivery A 26.22 16.61 NA17.04 16.61 17.04 4.70 47.53 47.96 47.53 47.96 0MMM.00.00.0020100P0 38.2581 4 59514 Cesarean delivery only A 15.97 6.22 NA 7.65 6.22 7.65 2.86 25.05 26.48 25.05 26.48 0MMM.00.00.0020210P0 38.2581 4 59515 Cesarean delivery A 17.37 7.99 NA 9.20 7.99 9.20 3.12 28.48 29.69 28.48 29.69 0MMM.00.00.0020100P0 38.2581 4 59525 Remove uterus after cesarean A 8.54 3.33 NA 3.53 3.33 3.53 1.53 13.40 13.60 13.40 13.60 0ZZZ.00.00.0000210P0 38.2581 4 59610 Vbac delivery A 24.62 15.08 NA15.38 15.08 15.38 4.41 44.11 44.41 44.11 44.41 0MMM.00.00.0020000P0 38.2581 4 59612 Vbac delivery only A 15.06 6.03 NA 7.10 6.03 7.10 2.70 23.79 24.86 23.79 24.86 0MMM.00.00.0020000P0 38.2581 4 59614 Vbac care after delivery A 16.34 7.28 NA 8.26 7.28 8.26 2.93 26.55 27.53 26.55 27.53 0MMM.00.00.0020000P0 38.2581 4 59618 Attempted vbac delivery A 27.78 17.86 NA17.98 17.86 17.98 4.98 50.62 50.74 50.62 50.74 0MMM.00.00.0020200P0 38.2581 4 59620 Attempted vbac delivery only A 17.53 6.68 NA 7.99 6.68 7.99 3.15 27.36 28.67 27.36 28.67 0MMM.00.00.0020200P0 38.2581 4 59622 Attempted vbac after care A 18.93 8.59 NA 9.65 8.59 9.65 3.39 30.91 31.97 30.91 31.97 0MMM.00.00.0020200P0 38.2581 4 59812 Treatment of miscarriage A 3.25 3.27 3.43 2.12 2.56 0.58 7.10 7.26 5.95 6.39 0090.17.60.2320100P0 38.2581 4 59820 Care of miscarriage A 4.01 3.58 3.70 2.63 2.99 0.72 8.31 8.43 7.36 7.72 0090.17.60.2320100P0 38.2581 4 59821 Treatment of miscarriage A 4.47 3.72 3.53 2.82 2.85 0.80 8.99 8.80 8.09 8.12 0090.17.60.2320000P0 38.2581 4 59830 Treat uterus infection A 6.11 3.80 NA 4.08 3.80 4.08 1.10 11.01 11.29 11.01 11.29 0090.17.60.2320000P0 38.2581 4 59840 Abortion R 3.01 3.88 3.78 2.16 2.49 0.54 7.43 7.33 5.71 6.04 0010.10.80.1020000P0 38.2581 4 59841 Abortion R 5.24 5.56 5.19 3.49 3.64 0.94 11.74 11.37 9.67 9.82 0010.10.80.1020000P0 38.2581 4 59850 Abortion R 5.91 2.76 NA 3.16 2.76 3.16 1.06 9.73 10.13 9.73 10.13 0090.17.60.2320000P0 38.2581 4 59851 Abortion R 5.93 3.07 NA 3.46 3.07 3.46 1.06 10.06 10.45 10.06 10.45 0090.17.60.2320000P0 38.2581 4 59852 Abortion R 8.24 4.35 NA 4.76 4.35 4.76 1.48 14.07 14.48 14.07 14.48 0090.17.60.2320000P0 38.2581 4 59855 Abortion R 6.12 3.22 NA 3.54 3.22 3.54 1.10 10.44 10.76 10.44 10.76 0090.17.60.2320000P0 38.2581 4 59856 Abortion R 7.48 3.73 NA 4.19 3.73 4.19 1.34 12.55 13.01 12.55 13.01 0090.17.60.2320000P0 38.2581 4 59857 Abortion R 9.29 4.45 NA 5.03 4.45 5.03 1.66 15.40 15.98 15.40 15.98 0090.17.60.2320000P0 38.2581 4 59866 Abortion (mpr) R 4.00 1.60 NA 1.98 1.60 1.98 0.72 6.32 6.70 6.32 6.70 0000.00.00.0020210P0 38.2581 4 59870 Evacuate mole of uterus A 4.28 3.06 NA 3.09 3.06 3.09 0.77 8.11 8.14 8.11 8.14 0090.17.60.2320200P0 38.2581 4 59871 Remove cerclage suture A 2.13 1.90 1.91 0.87 1.14 0.38 4.41 4.42 3.38 3.65 0000.00.00.0020000P0 38.2581 4 59898 Laparo proc, ob care/deliver C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 38.2581 9 60000 Drain thyroid/tongue cyst A 1.76 2.36 1.93 2.31 1.82 0.14 4.26 3.83 4.21 3.72 0010.10.80.1020000P0 38.2581 4 60001 Aspirate/inject thyriod cyst A 0.97 1.54 1.44 0.37 0.56 0.06 2.57 2.47 1.40 1.59 0000.00.00.0020100P0 38.2581 4 60100 Biopsy of thyroid A 0.97 2.32 2.03 0.35 0.41 0.05 3.34 3.05 1.37 1.43 0000.00.00.0020100P0 38.2581 4 60200 Remove thyroid lesion A 9.55 6.79 NA 6.73 6.79 6.73 0.84 17.18 17.12 17.18 17.12 0090.09.82.0920210P0 38.2581 4 60210 Partial thyroid excision A 10.88 6.69 NA 7.37 6.69 7.37 1.01 18.58 19.26 18.58 19.26 0090.09.82.0920210P0 38.2581 4 60212 Parital thyroid excision A 16.03 8.83 NA 9.08 8.83 9.08 1.51 26.37 26.62 26.37 26.62 0090.09.82.0920210P0 38.2581 4 60220 Partial removal of thyroid A 10.53 6.60 NA 7.27 6.60 7.27 0.97 18.10 18.77 18.10 18.77 0090.09.82.0920210P0 38.2581 4 60225 Partial removal of thyroid A 14.19 8.15 NA 8.96 8.15 8.96 1.31 23.65 24.46 23.65 24.46 0090.09.82.0920210P0 38.2581 4 60240 Removal of thyroid A 16.06 9.33 NA 9.87 9.33 9.87 1.50 26.89 27.43 26.89 27.43 0090.09.82.0920210P0 38.2581 4 60252 Removal of thyroid A 18.20 10.78 NA11.79 10.78 11.79 1.63 30.61 31.62 30.61 31.62 0090.09.82.0920210P0 38.2581 4 60254 Extensive thyroid surgery A 23.88 14.52 NA16.10 14.52 16.10 1.96 40.36 41.94 40.36 41.94 0090.09.82.0920210P0 38.2581 4 60260 Repeat thyroid surgery A 15.46 9.68 NA 8.11 9.68 8.11 1.39 26.53 24.96 26.53 24.96 0090.09.82.0922210P0 38.2581 4 60270 Removal of thyroid A 17.94 12.04 NA12.82 12.04 12.82 1.78 31.76 32.54 31.76 32.54 0090.09.82.0920210P0 38.2581 4 60271 Removal of thyroid A 14.89 9.27 NA10.25 9.27 10.25 1.35 25.51 26.49 25.51 26.49 0090.09.82.0920210P0 38.2581 4 60280 Remove thyroid duct lesion A 5.87 5.11 NA 5.65 5.11 5.65 0.45 11.43 11.97 11.43 11.97 0090.09.82.0920210P0 38.2581 4 60281 Remove thyroid duct lesion A 8.53 6.44 NA 6.20 6.44 6.20 0.67 15.64 15.40 15.64 15.40 0090.09.82.0920210P0 38.2581 4 60500 Explore parathyroid glands A 16.23 8.11 NA 9.17 8.11 9.17 1.61 25.95 27.01 25.95 27.01 0090.09.82.0920210P0 38.2581 4 60502 Re-explore parathyroids A 20.35 9.94 NA10.55 9.94 10.55 2.00 32.29 32.90 32.29 32.90 0090.09.82.0920210P0 38.2581 4 60505 Explore parathyroid glands A 21.49 11.77 NA12.39 11.77 12.39 2.14 35.40 36.02 35.40 36.02 0090.09.82.0920210P0 38.2581 4 60512 Autotransplant parathyroid A 4.45 1.78 NA 1.97 1.78 1.97 0.44 6.67 6.86 6.67 6.86 0ZZZ.00.00.0000210P0 38.2581 4 60520 Removal of thymus gland A 16.81 11.14 NA12.03 11.14 12.03 1.84 29.79 30.68 29.79 30.68 0090.09.82.0920210P0 38.2581 4 60521 Removal of thymus gland A 18.87 14.46 NA14.52 14.46 14.52 2.34 35.67 35.73 35.67 35.73 0090.09.82.0920210P0 38.2581 4 60522 Removal of thymus gland A 23.09 15.89 NA15.59 15.89 15.59 2.83 41.81 41.51 41.81 41.51 0090.09.82.0920210P0 38.2581 4 60540 Explore adrenal gland A 17.03 8.03 NA 9.29 8.03 9.29 1.42 26.48 27.74 26.48 27.74 0090.09.82.0921210P0 38.2581 4 60545 Explore adrenal gland A 19.88 9.84 NA11.25 9.84 11.25 1.75 31.47 32.88 31.47 32.88 0090.09.82.0920210P0 38.2581 4 60600 Remove carotid body lesion A 17.93 14.03 NA13.63 14.03 13.63 1.87 33.83 33.43 33.83 33.43 0090.09.82.0920210P0 38.2581 4 60605 Remove carotid body lesion A 20.24 19.89 NA17.82 19.89 17.82 2.28 42.41 40.34 42.41 40.34 0090.09.82.0920210P0 38.2581 4 60650 Laparoscopy adrenalectomy A 20.00 8.60 NA 8.60 8.60 8.60 1.98 30.58 30.58 30.58 30.58 0090.09.84.072121090 38.2581 5 60659 Laparo proc, endocrine C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.002120090 38.2581 9 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211P0 38.2581 9 61000 Remove cranial cavity fluid A 1.58 1.72 1.58 1.59 1.48 0.13 3.43 3.29 3.30 3.19 0000.00.00.0022100P0 38.2581 4 61001 Remove cranial cavity fluid A 1.49 1.88 1.65 1.38 1.16 0.15 3.52 3.29 3.02 2.80 0000.00.00.0022100P0 38.2581 4 61020 Remove brain cavity fluid A 1.51 2.25 2.03 1.49 1.46 0.26 4.02 3.80 3.26 3.23 0000.00.00.0020100P0 38.2581 4 61026 Injection into brain canal A 1.69 2.11 2.09 1.68 1.77 0.21 4.01 3.99 3.58 3.67 0000.00.00.0020100P0 38.2581 4 61050 Remove brain canal fluid A 1.51 1.54 NA 1.49 1.54 1.49 0.13 3.18 3.13 3.18 3.13 0000.00.00.0020000P0 38.2581 4 61055 Injection into brain canal A 2.10 1.71 NA 1.79 1.71 1.79 0.13 3.94 4.02 3.94 4.02 0000.00.00.0000100P0 38.2581 4 61070 Brain canal shunt procedure A 0.89 6.61 5.09 1.16 0.94 0.09 7.59 6.07 2.14 1.92 0000.00.00.0020100P0 38.2581 4 61105 Twist drill hole A 5.14 3.62 NA 4.25 3.62 4.25 1.05 9.81 10.44 9.81 10.44 0090.11.76.1320000P0 38.2581 4 61107 Drill skull for implantation A 5.00 3.13 NA 3.84 3.13 3.84 1.02 9.15 9.86 9.15 9.86 0000.00.00.0000100P0 38.2581 4 61108 Drill skull for drainage A 10.19 6.93 NA 8.24 6.93 8.24 2.04 19.16 20.47 19.16 20.47 0090.11.76.1320100P0 38.2581 4 61120 Burr hole for puncture A 8.76 5.79 NA 5.96 5.79 5.96 1.81 16.36 16.53 16.36 16.53 0090.11.76.1320000P0 38.2581 4 61140 Pierce skull for biopsy A 15.90 9.85 NA11.22 9.85 11.22 3.15 28.90 30.27 28.90 30.27 0090.11.76.1320200P0 38.2581 4 61150 Pierce skull for drainage A 17.57 10.56 NA11.90 10.56 11.90 3.52 31.65 32.99 31.65 32.99 0090.11.76.1320110P0 38.2581 4 61151 Pierce skull for drainage A 12.42 8.20 NA 6.73 8.20 6.73 2.45 23.07 21.60 23.07 21.60 0090.11.76.1320100P0 38.2581 4 61154 Pierce skull & remove clot A 14.99 9.42 NA11.54 9.42 11.54 3.05 27.46 29.58 27.46 29.58 0090.11.76.1321210P0 38.2581 4 61156 Pierce skull for drainage A 16.32 10.26 NA12.09 10.26 12.09 3.42 30.00 31.83 30.00 31.83 0090.11.76.1320210P0 38.2581 4 61210 Pierce skull, implant device A 5.84 3.50 NA 4.26 3.50 4.26 1.16 10.50 11.26 10.50 11.26 0000.00.00.0000100P0 38.2581 4 61215 Insert brain-fluid device A 4.89 4.19 NA 4.60 4.19 4.60 0.99 10.07 10.48 10.07 10.48 0090.11.76.1320110P0 38.2581 4 61250 Pierce skull & explore A 10.42 6.68 NA 7.19 6.68 7.19 2.02 19.12 19.63 19.12 19.63 0090.11.76.1321210P0 38.2581 4 61253 Pierce skull & explore A 12.36 7.31 NA 8.09 7.31 8.09 2.26 21.93 22.71 21.93 22.71 0090.11.76.1322200P0 38.2581 4 61304 Open skull for exploration A 21.96 12.56 NA15.98 12.56 15.98 4.33 38.85 42.27 38.85 42.27 0090.11.76.1320210P0 38.2581 4 61305 Open skull for exploration A 26.61 14.90 NA19.07 14.90 19.07 5.25 46.76 50.93 46.76 50.93 0090.11.76.1320210P0 38.2581 4 61312 Open skull for drainage A 24.57 14.32 NA17.29 14.32 17.29 4.99 43.88 46.85 43.88 46.85 0090.11.76.1320210P0 38.2581 4 61313 Open skull for drainage A 24.93 14.54 NA17.43 14.54 17.43 5.07 44.54 47.43 44.54 47.43 0090.11.76.1320210P0 38.2581 4 61314 Open skull for drainage A 24.23 12.38 NA16.24 12.38 16.24 4.00 40.61 44.47 40.61 44.47 0090.11.76.1320210P0 38.2581 4 61315 Open skull for drainage A 27.68 15.98 NA18.61 15.98 18.61 5.62 49.28 51.91 49.28 51.91 0090.11.76.1320210P0 38.2581 4 61320 Open skull for drainage A 25.62 14.92 NA16.26 14.92 16.26 5.20 45.74 47.08 45.74 47.08 0090.11.76.1320210P0 38.2581 4 61321 Open skull for drainage A 28.50 15.99 NA17.37 15.99 17.37 5.35 49.84 51.22 49.84 51.22 0090.11.76.1320210P0 38.2581 4 61330 Decompress eye socket A 23.32 17.09 NA16.34 17.09 16.34 2.58 42.99 42.24 42.99 42.24 0090.11.76.1321210P0 38.2581 4 61332 Explore/biopsy eye socket A 27.28 19.47 NA20.23 19.47 20.23 4.15 50.90 51.66 50.90 51.66 0090.11.76.1320210P0 38.2581 4 61333 Explore orbit/remove lesion A 27.95 16.46 NA17.90 16.46 17.90 2.24 46.65 48.09 46.65 48.09 0090.11.76.1320210P0 38.2581 4 61334 Explore orbit/remove object A 18.27 11.80 NA12.83 11.80 12.83 3.02 33.09 34.12 33.09 34.12 0090.11.76.1320210P0 38.2581 4 61340 Relieve cranial pressure A 18.66 11.49 NA12.63 11.49 12.63 3.66 33.81 34.95 33.81 34.95 0090.11.76.1321210P0 38.2581 4 61343 Incise skull (press relief) A 29.77 17.69 NA21.42 17.69 21.42 6.04 53.50 57.23 53.50 57.23 0090.11.76.1320210P0 38.2581 4 61345 Relieve cranial pressure A 27.20 16.30 NA17.43 16.30 17.43 5.23 48.73 49.86 48.73 49.86 0090.11.76.1320210P0 38.2581 4 61440 Incise skull for surgery A 26.63 16.08 NA17.69 16.08 17.69 5.57 48.28 49.89 48.28 49.89 0090.11.76.1320210P0 38.2581 4 61450 Incise skull for surgery A 25.95 14.62 NA16.51 14.62 16.51 5.11 45.68 47.57 45.68 47.57 0090.11.76.1320210P0 38.2581 4 61458 Incise skull for brain wound A 27.29 15.66 NA19.15 15.66 19.15 5.28 48.23 51.72 48.23 51.72 0090.11.76.1320210P0 38.2581 4 61460 Incise skull for surgery A 28.39 16.67 NA19.30 16.67 19.30 5.13 50.19 52.82 50.19 52.82 0090.11.76.1320220P0 38.2581 4 61470 Incise skull for surgery A 26.06 14.09 NA14.33 14.09 14.33 4.65 44.80 45.04 44.80 45.04 0090.11.76.1320210P0 38.2581 4 61480 Incise skull for surgery A 26.49 13.98 NA14.57 13.98 14.57 5.54 46.01 46.60 46.01 46.60 0090.11.76.1320210P0 38.2581 4 61490 Incise skull for surgery A 25.66 14.93 NA14.38 14.93 14.38 5.37 45.96 45.41 45.96 45.41 0090.11.76.1321210P0 38.2581 4 61500 Removal of skull lesion A 17.92 10.93 NA13.55 10.93 13.55 3.26 32.11 34.73 32.11 34.73 0090.11.76.1320210P0 38.2581 4 61501 Remove infected skull bone A 14.84 9.13 NA11.28 9.13 11.28 2.63 26.60 28.75 26.60 28.75 0090.11.76.1320210P0 38.2581 4 61510 Removal of brain lesion A 28.45 16.32 NA19.58 16.32 19.58 5.77 50.54 53.80 50.54 53.80 0090.11.76.1320210P0 38.2581 4 61512 Remove brain lining lesion A 35.09 19.84 NA22.75 19.84 22.75 7.14 62.07 64.98 62.07 64.98 0090.11.76.1320210P0 38.2581 4 61514 Removal of brain abscess A 25.26 14.53 NA17.82 14.53 17.82 5.12 44.91 48.20 44.91 48.20 0090.11.76.1320210P0 38.2581 4 61516 Removal of brain lesion A 24.61 14.70 NA18.21 14.70 18.21 4.94 44.25 47.76 44.25 47.76 0090.11.76.1320210P0 38.2581 4 61518 Removal of brain lesion A 37.32 21.97 NA24.62 21.97 24.62 7.53 66.82 69.47 66.82 69.47 0090.11.76.1320210P0 38.2581 4 61519 Remove brain lining lesion A 41.39 23.83 NA26.34 23.83 26.34 8.15 73.37 75.88 73.37 75.88 0090.11.76.1320210P0 38.2581 4 61520 Removal of brain lesion A 54.84 31.48 NA32.80 31.48 32.80 10.10 96.42 97.74 96.42 97.74 0090.11.76.1320220P0 38.2581 4 61521 Removal of brain lesion A 44.48 25.81 NA28.30 25.81 28.30 8.85 79.14 81.63 79.14 81.63 0090.11.76.1320210P0 38.2581 4 61522 Removal of brain abscess A 29.45 16.95 NA18.13 16.95 18.13 5.30 51.70 52.88 51.70 52.88 0090.11.76.1320210P0 38.2581 4 61524 Removal of brain lesion A 27.86 16.43 NA19.77 16.43 19.77 5.01 49.30 52.64 49.30 52.64 0090.11.76.1320210P0 38.2581 4 61526 Removal of brain lesion A 52.17 30.05 NA31.77 30.05 31.77 6.72 88.94 90.66 88.94 90.66 0090.11.76.1320120P0 38.2581 4 61530 Removal of brain lesion A 43.86 26.95 NA29.44 26.95 29.44 6.17 76.98 79.47 76.98 79.47 0090.11.76.1320120P0 38.2581 4 61531 Implant brain electrodes A 14.63 9.16 NA10.94 9.16 10.94 2.84 26.63 28.41 26.63 28.41 0090.11.76.1320220P0 38.2581 4 61533 Implant brain electrodes A 19.71 11.98 NA13.60 11.98 13.60 3.80 35.49 37.11 35.49 37.11 0090.11.76.1320210P0 38.2581 4 61534 Removal of brain lesion A 20.97 12.97 NA11.46 12.97 11.46 4.15 38.09 36.58 38.09 36.58 0090.11.76.1320210P0 38.2581 4 61535 Remove brain electrodes A 11.63 7.75 NA 7.89 7.75 7.89 2.29 21.67 21.81 21.67 21.81 0090.11.76.1320210P0 38.2581 4 61536 Removal of brain lesion A 35.52 20.35 NA21.22 20.35 21.22 6.68 62.55 63.42 62.55 63.42 0090.11.76.1320210P0 38.2581 4 61538 Removal of brain tissue A 26.81 16.00 NA19.89 16.00 19.89 5.38 48.19 52.08 48.19 52.08 0090.11.76.1320210P0 38.2581 4 61539 Removal of brain tissue A 32.08 18.89 NA20.40 18.89 20.40 6.62 57.59 59.10 57.59 59.10 0090.11.76.1320210P0 38.2581 4 61541 Incision of brain tissue A 28.85 16.34 NA17.63 16.34 17.63 5.50 50.69 51.98 50.69 51.98 0090.11.76.1320210P0 38.2581 4 61542 Removal of brain tissue A 31.02 18.75 NA19.47 18.75 19.47 6.49 56.26 56.98 56.26 56.98 0090.11.76.1320210P0 38.2581 4 61543 Removal of brain tissue A 29.22 17.80 NA18.03 17.80 18.03 6.11 53.13 53.36 53.13 53.36 0090.11.76.1320210P0 38.2581 4 61544 Remove & treat brain lesion A 25.50 12.17 NA16.74 12.17 16.74 4.91 42.58 47.15 42.58 47.15 0090.11.76.1320200P0 38.2581 4 61545 Excision of brain tumor A 43.80 24.52 NA25.35 24.52 25.35 8.88 77.20 78.03 77.20 78.03 0090.11.76.1320210P0 38.2581 4 61546 Removal of pituitary gland A 31.30 18.13 NA20.93 18.13 20.93 6.06 55.49 58.29 55.49 58.29 0090.11.76.1320210P0 38.2581 4 61548 Removal of pituitary gland A 21.53 13.47 NA16.53 13.47 16.53 3.63 38.63 41.69 38.63 41.69 0090.11.76.1320220P0 38.2581 4 61550 Release of skull seams A 14.65 7.52 NA 8.85 7.52 8.85 1.14 23.31 24.64 23.31 24.64 0090.11.76.1320210P0 38.2581 4 61552 Release of skull seams A 19.56 10.70 NA11.78 10.70 11.78 0.88 31.14 32.22 31.14 32.22 0090.11.76.1320210P0 38.2581 4 61556 Incise skull/sutures A 22.26 12.44 NA13.54 12.44 13.54 3.57 38.27 39.37 38.27 39.37 0090.11.76.1320200P0 38.2581 4 61557 Incise skull/sutures A 22.38 12.84 NA13.87 12.84 13.87 4.68 39.90 40.93 39.90 40.93 0090.11.76.1320200P0 38.2581 4 61558 Excision of skull/sutures A 25.58 12.59 NA14.26 12.59 14.26 2.61 40.78 42.45 40.78 42.45 0090.11.76.1320200P0 38.2581 4 61559 Excision of skull/sutures A 32.79 18.98 NA20.48 18.98 20.48 6.86 58.63 60.13 58.63 60.13 0090.11.76.1320210P0 38.2581 4 61563 Excision of skull tumor A 26.83 15.92 NA17.04 15.92 17.04 4.46 47.21 48.33 47.21 48.33 0090.11.76.1320210P0 38.2581 4 61564 Excision of skull tumor A 33.83 19.23 NA20.86 19.23 20.86 7.08 60.14 61.77 60.14 61.77 0090.11.76.1320210P0 38.2581 4 61570 Remove foreign body, brain A 24.60 13.38 NA14.51 13.38 14.51 4.60 42.58 43.71 42.58 43.71 0090.11.76.1320210P0 38.2581 4 61571 Incise skull for brain wound A 26.39 14.97 NA16.20 14.97 16.20 5.23 46.59 47.82 46.59 47.82 0090.11.76.1320210P0 38.2581 4 61575 Skull base/brainstem surgery A 34.36 20.91 NA24.63 20.91 24.63 5.02 60.29 64.01 60.29 64.01 0090.11.76.1320210P0 38.2581 4 61576 Skull base/brainstem surgery A 52.43 29.71 NA29.94 29.71 29.94 4.68 86.82 87.05 86.82 87.05 0090.11.76.1320210P0 38.2581 4 61580 Craniofacial approach, skull A 30.35 19.34 NA20.21 19.34 20.21 2.75 52.44 53.31 52.44 53.31 0090.11.76.1321212P0 38.2581 4 61581 Craniofacial approach, skull A 34.60 21.58 NA22.65 21.58 22.65 3.37 59.55 60.62 59.55 60.62 0090.11.76.1321122P0 38.2581 4 61582 Craniofacial approach, skull A 31.66 19.27 NA20.33 19.27 20.33 6.30 57.23 58.29 57.23 58.29 0090.11.76.1320212P0 38.2581 4 61583 Craniofacial approach, skull A 36.21 22.22 NA23.37 22.22 23.37 6.94 65.37 66.52 65.37 66.52 0090.11.76.1320212P0 38.2581 4 61584 Orbitocranial approach/skull A 34.65 20.79 NA22.08 20.79 22.08 6.53 61.97 63.26 61.97 63.26 0090.11.76.1321212P0 38.2581 4 61585 Orbitocranial approach/skull A 38.61 22.70 NA24.28 22.70 24.28 6.19 67.50 69.08 67.50 69.08 0090.11.76.1321212P0 38.2581 4 61586 Resect nasopharynx, skull A 25.10 15.96 NA17.77 15.96 17.77 3.52 44.58 46.39 44.58 46.39 0090.11.76.1320212P0 38.2581 4 61590 Infratemporal approach/skull A 41.78 25.53 NA27.04 25.53 27.04 4.28 71.59 73.10 71.59 73.10 0090.11.76.1321212P0 38.2581 4 61591 Infratemporal approach/skull A 43.68 26.58 NA28.22 26.58 28.22 5.26 75.52 77.16 75.52 77.16 0090.11.76.1321212P0 38.2581 4 61592 Orbitocranial approach/skull A 39.64 23.29 NA24.98 23.29 24.98 7.55 70.48 72.17 70.48 72.17 0090.11.76.1321212P0 38.2581 4 61595 Transtemporal approach/skull A 29.57 19.23 NA19.97 19.23 19.97 3.05 51.85 52.59 51.85 52.59 0090.11.76.1321212P0 38.2581 4 61596 Transcochlear approach/skull A 35.63 22.03 NA23.26 22.03 23.26 4.25 61.91 63.14 61.91 63.14 0090.11.76.1321212P0 38.2581 4 61597 Transcondylar approach/skull A 37.96 21.88 NA23.54 21.88 23.54 6.65 66.49 68.15 66.49 68.15 0090.11.76.1321212P0 38.2581 4 61598 Transpetrosal approach/skull A 33.41 20.63 NA21.75 20.63 21.75 4.60 58.64 59.76 58.64 59.76 0090.11.76.1320212P0 38.2581 4 61600 Resect/excise cranial lesion A 25.85 16.56 NA17.23 16.56 17.23 3.12 45.53 46.20 45.53 46.20 0090.11.76.1320212P0 38.2581 4 61601 Resect/excise cranial lesion A 27.89 17.07 NA17.97 17.07 17.97 5.29 50.25 51.15 50.25 51.15 0090.11.76.1320212P0 38.2581 4 61605 Resect/excise cranial lesion A 29.33 18.45 NA19.29 18.45 19.29 2.51 50.29 51.13 50.29 51.13 0090.11.76.1320212P0 38.2581 4 61606 Resect/excise cranial lesion A 38.83 23.10 NA24.62 23.10 24.62 6.81 68.74 70.26 68.74 70.26 0090.11.76.1320212P0 38.2581 4 61607 Resect/excise cranial lesion A 36.27 21.76 NA23.14 21.76 23.14 5.69 63.72 65.10 63.72 65.10 0090.11.76.1320212P0 38.2581 4 61608 Resect/excise cranial lesion A 42.10 24.41 NA26.24 24.41 26.24 8.31 74.82 76.65 74.82 76.65 0090.11.76.1320212P0 38.2581 4 61609 Transect artery, sinus A 9.89 4.60 NA 5.40 4.60 5.40 2.07 16.56 17.36 16.56 17.36 0ZZZ.00.00.0001212P0 38.2581 4 61610 Transect artery, sinus A 29.67 12.44 NA15.18 12.44 15.18 3.52 45.63 48.37 45.63 48.37 0ZZZ.00.00.0001212P0 38.2581 4 61611 Transect artery, sinus A 7.42 2.97 NA 3.69 2.97 3.69 1.55 11.94 12.66 11.94 12.66 0ZZZ.00.00.0001212P0 38.2581 4 61612 Transect artery, sinus A 27.88 14.40 NA16.30 14.40 16.30 3.55 45.83 47.73 45.83 47.73 0ZZZ.00.00.0001212P0 38.2581 4 61613 Remove aneurysm, sinus A 40.86 23.85 NA25.67 23.85 25.67 8.32 73.03 74.85 73.03 74.85 0090.11.76.1321212P0 38.2581 4 61615 Resect/excise lesion, skull A 32.07 20.34 NA21.24 20.34 21.24 4.64 57.05 57.95 57.05 57.95 0090.11.76.1320212P0 38.2581 4 61616 Resect/excise lesion, skull A 43.33 26.84 NA28.28 26.84 28.28 7.02 77.19 78.63 77.19 78.63 0090.11.76.1320212P0 38.2581 4 61618 Repair dura A 16.99 11.19 NA11.47 11.19 11.47 2.92 31.10 31.38 31.10 31.38 0090.11.76.1320212P0 38.2581 4 61619 Repair dura A 20.71 13.21 NA13.76 13.21 13.76 3.42 37.34 37.89 37.34 37.89 0090.11.76.1320212P0 38.2581 4 61624 Occlusion/embolization cath A 20.15 7.37 NA 9.67 7.37 9.67 1.15 28.67 30.97 28.67 30.97 0000.00.00.0020100P0 38.2581 4 61626 Occlusion/embolization cath A 16.62 5.97 NA 7.90 5.97 7.90 0.84 23.43 25.36 23.43 25.36 0000.00.00.0020100P0 38.2581 4 61680 Intracranial vessel surgery A 30.71 18.38 NA22.21 18.38 22.21 6.04 55.13 58.96 55.13 58.96 0090.11.76.1320210P0 38.2581 4 61682 Intracranial vessel surgery A 61.57 33.79 NA34.92 33.79 34.92 12.69 108.05 109.18 108.05 109.18 0090.11.76.1320210P0 38.2581 4 61684 Intracranial vessel surgery A 39.81 21.84 NA24.46 21.84 24.46 7.87 69.52 72.14 69.52 72.14 0090.11.76.1320210P0 38.2581 4 61686 Intracranial vessel surgery A 64.49 35.92 NA36.70 35.92 36.70 13.20 113.61 114.39 113.61 114.39 0090.11.76.1320210P0 38.2581 4 61690 Intracranial vessel surgery A 29.31 17.53 NA20.60 17.53 20.60 5.51 52.35 55.42 52.35 55.42 0090.11.76.1320210P0 38.2581 4 61692 Intracranial vessel surgery A 51.87 29.08 NA29.62 29.08 29.62 10.17 91.12 91.66 91.12 91.66 0090.11.76.1320210P0 38.2581 4 61697 Brain aneurysm repr, complx A 50.52 27.76 NA27.76 27.76 27.76 9.57 87.85 87.85 87.85 87.85 0090.11.76.132021090 38.2581 5 61698 Brain aneurysm repr, complx A 48.41 26.87 NA26.87 26.87 26.87 9.28 84.56 84.56 84.56 84.56 0090.11.76.132021090 38.2581 5 61700 Brain aneurysm repr , simple A 50.52 27.76 NA29.42 27.76 29.42 10.18 88.46 90.12 88.46 90.12 0090.11.76.1320210P0 38.2581 4 61702 Inner skull vessel surgery A 48.41 26.87 NA30.01 26.87 30.01 9.75 85.03 88.17 85.03 88.17 0090.11.76.1320210P0 38.2581 4 61703 Clamp neck artery A 17.47 10.99 NA11.56 10.99 11.56 3.62 32.08 32.65 32.08 32.65 0090.11.76.1320210P0 38.2581 4 61705 Revise circulation to head A 36.20 20.20 NA23.40 20.20 23.40 6.67 63.07 66.27 63.07 66.27 0090.11.76.1320210P0 38.2581 4 61708 Revise circulation to head A 35.30 16.08 NA18.90 16.08 18.90 2.18 53.56 56.38 53.56 56.38 0090.11.76.1320200P0 38.2581 4 61710 Revise circulation to head A 29.67 14.40 NA15.31 14.40 15.31 2.42 46.49 47.40 46.49 47.40 0090.11.76.1320000P0 38.2581 4 61711 Fusion of skull arteries A 36.33 20.00 NA23.97 20.00 23.97 7.39 63.72 67.69 63.72 67.69 0090.11.76.1320210P0 38.2581 4 61720 Incise skull/brain surgery A 16.77 10.72 NA13.05 10.72 13.05 3.51 31.00 33.33 31.00 33.33 0090.11.76.1320100P0 38.2581 4 61735 Incise skull/brain surgery A 20.43 12.60 NA12.97 12.60 12.97 4.16 37.19 37.56 37.19 37.56 0090.11.76.1320110P0 38.2581 4 61750 Incise skull/brain biopsy A 18.20 11.02 NA11.94 11.02 11.94 3.71 32.93 33.85 32.93 33.85 0090.11.76.1320110P0 38.2581 4 61751 Brain biopsy w/ ct/mr guide A 17.62 10.75 NA13.32 10.75 13.32 3.57 31.94 34.51 31.94 34.51 0090.11.76.1320110P0 38.2581 4 61760 Implant brain electrodes A 22.27 13.16 NA13.94 13.16 13.94 4.59 40.02 40.80 40.02 40.80 0090.11.76.1320120P0 38.2581 4 61770 Incise skull for treatment A 21.44 12.79 NA14.85 12.79 14.85 4.09 38.32 40.38 38.32 40.38 0090.11.76.1320110P0 38.2581 4 61790 Treat trigeminal nerve A 10.86 6.12 NA 7.83 6.12 7.83 1.82 18.80 20.51 18.80 20.51 0090.11.76.1320100P0 38.2581 4 61791 Treat trigeminal tract A 14.61 9.28 NA 9.61 9.28 9.61 3.03 26.92 27.25 26.92 27.25 0090.11.76.1320000P0 38.2581 4 61793 Focus radiation beam A 17.24 10.87 NA13.30 10.87 13.30 3.51 31.62 34.05 31.62 34.05 0090.11.76.1320100P0 38.2581 4 61795 Brain surgery using computer A 4.04 2.09 NA 2.77 2.09 2.77 0.81 6.94 7.62 6.94 7.62 0ZZZ.00.00.0000100P0 38.2581 4 61850 Implant neuroelectrodes A 12.39 7.94 NA 9.11 7.94 9.11 2.23 22.56 23.73 22.56 23.73 0090.11.76.1320200P0 38.2581 4 61860 Implant neuroelectrodes A 20.87 12.74 NA11.76 12.74 11.76 4.04 37.65 36.67 37.65 36.67 0090.11.76.1320200P0 38.2581 4 61862 Implant neurostimul, subcort A 19.34 11.99 NA11.99 11.99 11.99 3.97 35.30 35.30 35.30 35.30 0090.11.76.132021090 38.2581 5 61870 Implant neuroelectrodes A 14.94 11.36 NA 9.66 11.36 9.66 1.70 28.00 26.30 28.00 26.30 0090.11.76.1320210P0 38.2581 4 61875 Implant neuroelectrodes A 15.06 10.00 NA 9.32 10.00 9.32 2.42 27.48 26.80 27.48 26.80 0090.11.76.1320200P0 38.2581 4 61880 Revise/remove neuroelectrode A 6.29 5.24 NA 5.23 5.24 5.23 1.31 12.84 12.83 12.84 12.83 0090.11.76.1320210P0 38.2581 4 61885 Implant neurostim one array A 5.85 4.29 NA 3.75 4.29 3.75 1.22 11.36 10.82 11.36 10.82 0090.11.76.1320000P0 38.2581 4 61886 Implant neurostim arrays A 8.00 6.09 NA 6.09 6.09 6.09 1.64 15.73 15.73 15.73 15.73 0090.11.76.132000090 38.2581 5 61888 Revise/remove neuroreceiver A 5.07 3.88 NA 3.52 3.88 3.52 1.04 9.99 9.63 9.99 9.63 0010.10.80.1020100P0 38.2581 4 62000 Treat skull fracture A 12.53 5.41 NA 5.61 5.41 5.61 0.87 18.81 19.01 18.81 19.01 0090.11.76.1320100P0 38.2581 4 62005 Treat skull fracture A 16.17 8.93 NA 9.70 8.93 9.70 2.33 27.43 28.20 27.43 28.20 0090.11.76.1320210P0 38.2581 4 62010 Treatment of head injury A 19.81 11.61 NA13.92 11.61 13.92 4.05 35.47 37.78 35.47 37.78 0090.11.76.1320210P0 38.2581 4 62100 Repair brain fluid leakage A 22.03 13.94 NA16.32 13.94 16.32 4.07 40.04 42.42 40.04 42.42 0090.11.76.1320210P0 38.2581 4 62115 Reduction of skull defect A 21.66 10.63 NA12.18 10.63 12.18 4.53 36.82 38.37 36.82 38.37 0090.11.76.1320210P0 38.2581 4 62116 Reduction of skull defect A 23.59 13.78 NA14.94 13.78 14.94 4.85 42.22 43.38 42.22 43.38 0090.11.76.1320200P0 38.2581 4 62117 Reduction of skull defect A 26.60 15.18 NA16.60 15.18 16.60 5.56 47.34 48.76 47.34 48.76 0090.11.76.1320210P0 38.2581 4 62120 Repair skull cavity lesion A 23.35 14.18 NA15.22 14.18 15.22 3.07 40.60 41.64 40.60 41.64 0090.11.76.1320210P0 38.2581 4 62121 Incise skull repair A 21.58 13.78 NA15.09 13.78 15.09 2.47 37.83 39.14 37.83 39.14 0090.11.76.1320200P0 38.2581 4 62140 Repair of skull defect A 13.51 8.54 NA10.05 8.54 10.05 2.60 24.65 26.16 24.65 26.16 0090.11.76.1320210P0 38.2581 4 62141 Repair of skull defect A 14.91 9.70 NA11.73 9.70 11.73 2.85 27.46 29.49 27.46 29.49 0090.11.76.1320210P0 38.2581 4 62142 Remove skull plate/flap A 10.79 7.20 NA 8.62 7.20 8.62 2.10 20.09 21.51 20.09 21.51 0090.11.76.1320200P0 38.2581 4 62143 Replace skull plate/flap A 13.05 8.67 NA 8.99 8.67 8.99 2.55 24.27 24.59 24.27 24.59 0090.11.76.1320210P0 38.2581 4 62145 Repair of skull & brain A 18.82 11.29 NA12.04 11.29 12.04 3.81 33.92 34.67 33.92 34.67 0090.11.76.1320210P0 38.2581 4 62146 Repair of skull with graft A 16.12 10.39 NA10.78 10.39 10.78 2.94 29.45 29.84 29.45 29.84 0090.11.76.1320210P0 38.2581 4 62147 Repair of skull with graft A 19.34 12.21 NA12.73 12.21 12.73 3.64 35.19 35.71 35.19 35.71 0090.11.76.1320210P0 38.2581 4 62180 Establish brain cavity shunt A 21.06 12.86 NA13.50 12.86 13.50 4.32 38.24 38.88 38.24 38.88 0090.11.76.1320200P0 38.2581 4 62190 Establish brain cavity shunt A 11.07 7.65 NA 9.04 7.65 9.04 2.18 20.90 22.29 20.90 22.29 0090.11.76.1320110P0 38.2581 4 62192 Establish brain cavity shunt A 12.25 8.21 NA 9.82 8.21 9.82 2.46 22.92 24.53 22.92 24.53 0090.11.76.1320210P0 38.2581 4 62194 Replace/irrigate catheter A 5.03 2.08 NA 2.07 2.08 2.07 0.50 7.61 7.60 7.61 7.60 0010.10.80.1020000P0 38.2581 4 62200 Establish brain cavity shunt A 18.32 11.41 NA13.16 11.41 13.16 3.70 33.43 35.18 33.43 35.18 0090.11.76.1320210P0 38.2581 4 62201 Establish brain cavity shunt A 14.86 9.18 NA 9.27 9.18 9.27 2.52 26.56 26.65 26.56 26.65 0090.11.76.1320100P0 38.2581 4 62220 Establish brain cavity shunt A 13.00 8.63 NA10.35 8.63 10.35 2.53 24.16 25.88 24.16 25.88 0090.11.76.1320210P0 38.2581 4 62223 Establish brain cavity shunt A 12.87 8.45 NA10.18 8.45 10.18 2.58 23.90 25.63 23.90 25.63 0090.11.76.1320210P0 38.2581 4 62225 Replace/irrigate catheter A 5.41 4.06 NA 4.35 4.06 4.35 1.09 10.56 10.85 10.56 10.85 0090.11.76.1320100P0 38.2581 4 62230 Replace/revise brain shunt A 10.54 6.59 NA 7.61 6.59 7.61 2.10 19.23 20.25 19.23 20.25 0090.11.76.1320210P0 38.2581 4 62252 Csf shunt reprogram A 0.74 1.40 1.40 1.40 1.40 0.04 2.18 2.18 2.18 2.18 1XXX.00.00.000000090 38.2581 5 62252TCCsf shunt reprogram A 0.00 1.10 1.10 1.10 1.10 0.02 1.12 1.12 1.12 1.12 1XXX.00.00.000000090 38.2581 5 6225226Csf shunt reprogram A 0.74 0.30 0.30 0.30 0.30 0.02 1.06 1.06 1.06 1.06 1XXX.00.00.000000090 38.2581 5 62256 Remove brain cavity shunt A 6.60 5.34 NA 5.74 5.34 5.74 1.34 13.28 13.68 13.28 13.68 0090.11.76.1320200P0 38.2581 4 62258 Replace brain cavity shunt A 14.54 8.65 NA10.50 8.65 10.50 2.91 26.10 27.95 26.10 27.95 0090.11.76.1320210P0 38.2581 4 62263 Lysis epidural adhesions A 6.14 5.70 5.70 2.29 2.29 0.42 12.26 12.26 8.85 8.85 0010.10.80.102010090 38.2581 5 62268 Drain spinal cord cyst A 4.74 2.71 NA 2.84 2.71 2.84 0.29 7.74 7.87 7.74 7.87 0000.00.00.0020100P0 38.2581 4 62269 Needle biopsy, spinal cord A 5.02 2.33 NA 2.22 2.33 2.22 0.29 7.64 7.53 7.64 7.53 0000.00.00.0020000P0 38.2581 4 62270 Spinal fluid tap, diagnostic A 1.13 3.49 2.81 0.46 0.54 0.06 4.68 4.00 1.65 1.73 0000.00.00.0020100P1A4550 38.2581 4 62272 Drain spinal fluid A 1.35 3.00 2.53 0.61 0.73 0.13 4.48 4.01 2.09 2.21 0000.00.00.0020100P0 38.2581 4 62273 Treat epidural spine lesion A 2.15 1.31 1.29 1.25 1.24 0.14 3.60 3.58 3.54 3.53 0000.00.00.0020100P0 38.2581 4 62280 Treat spinal cord lesion A 2.63 3.44 2.77 0.70 0.72 0.17 6.24 5.57 3.50 3.52 0010.10.80.1020100P0 38.2581 4 62281 Treat spinal cord lesion A 2.66 3.76 3.06 0.61 0.69 0.16 6.58 5.88 3.43 3.51 0010.10.80.1020100P0 38.2581 4 62282 Treat spinal canal lesion A 2.33 5.24 4.39 0.61 0.92 0.14 7.71 6.86 3.08 3.39 0010.10.80.1020100P0 38.2581 4 62284 Injection for myelogram A 1.54 4.04 3.57 0.70 0.98 0.10 5.68 5.21 2.34 2.62 0000.00.00.0000100P0 38.2581 4 62287 Percutaneous diskectomy A 8.08 4.70 NA 5.41 4.70 5.41 0.66 13.44 14.15 13.44 14.15 0090.11.76.1320100P0 38.2581 4 62290 Inject for spine disk x-ray A 3.00 5.20 4.41 1.27 1.46 0.20 8.40 7.61 4.47 4.66 0000.00.00.0020100P0 38.2581 4 62291 Inject for spine disk x-ray A 2.91 5.29 4.45 1.16 1.35 0.17 8.37 7.53 4.24 4.43 0000.00.00.0020100P0 38.2581 4 62292 Injection into disk lesion A 7.86 4.74 NA 5.90 4.74 5.90 0.65 13.25 14.41 13.25 14.41 0090.11.76.1320000P0 38.2581 4 62294 Injection into spinal artery A 11.83 6.08 NA 6.15 6.08 6.15 0.85 18.76 18.83 18.76 18.83 0090.11.76.1320100P0 38.2581 4 62310 Inject spine c/t A 1.91 3.60 3.60 0.43 0.43 0.11 5.62 5.62 2.45 2.45 0000.00.00.002010090 38.2581 5 62311 Inject spine l/s (cd) A 1.54 3.88 3.88 0.37 0.37 0.09 5.51 5.51 2.00 2.00 0000.00.00.002010090 38.2581 5 62318 Inject spine w/cath, c/t A 2.04 3.66 3.66 0.46 0.46 0.12 5.82 5.82 2.62 2.62 0000.00.00.002010090 38.2581 5 62319 Inject spine w/cath l/s (cd) A 1.87 3.14 3.14 0.39 0.39 0.11 5.12 5.12 2.37 2.37 0000.00.00.002010090 38.2581 5 62350 Implant spinal canal cath A 6.87 3.66 NA 3.69 3.66 3.69 0.64 11.17 11.20 11.17 11.20 0090.11.76.1320110P0 38.2581 4 62351 Implant spinal canal cath A 10.00 6.78 NA 6.49 6.78 6.49 1.79 18.57 18.28 18.57 18.28 0090.11.76.1320220P0 38.2581 4 62355 Remove spinal canal catheter A 5.45 2.77 NA 3.03 2.77 3.03 0.47 8.69 8.95 8.69 8.95 0090.11.76.1320000P0 38.2581 4 62360 Insert spine infusion device A 2.62 2.19 NA 1.95 2.19 1.95 0.21 5.02 4.78 5.02 4.78 0090.11.76.1320010P0 38.2581 4 62361 Implant spine infusion pump A 5.42 3.53 NA 3.38 3.53 3.38 0.50 9.45 9.30 9.45 9.30 0090.11.76.1320010P0 38.2581 4 62362 Implant spine infusion pump A 7.04 4.07 NA 4.01 4.07 4.01 0.86 11.97 11.91 11.97 11.91 0090.11.76.1320010P0 38.2581 4 62365 Remove spine infusion device A 5.42 3.04 NA 3.22 3.04 3.22 0.58 9.04 9.22 9.04 9.22 0090.11.76.1320000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 6236726Analyze spine infusion pump A 0.48 0.14 0.20 0.14 0.20 0.03 0.65 0.71 0.65 0.71 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 6236826Analyze spine infusion pump A 0.75 0.20 0.30 0.20 0.30 0.05 1.00 1.10 1.00 1.10 1XXX.00.00.0000000P0 38.2581 4 63001 Removal of spinal lamina A 15.82 11.50 NA13.35 11.50 13.35 3.03 30.35 32.20 30.35 32.20 0090.11.76.1320220P0 38.2581 4 63003 Removal of spinal lamina A 15.95 11.65 NA13.50 11.65 13.50 2.98 30.58 32.43 30.58 32.43 0090.11.76.1320220P0 38.2581 4 63005 Removal of spinal lamina A 14.92 11.12 NA12.79 11.12 12.79 2.62 28.66 30.33 28.66 30.33 0090.11.76.1320220P0 38.2581 4 63011 Removal of spinal lamina A 14.52 9.27 NA 9.66 9.27 9.66 1.43 25.22 25.61 25.22 25.61 0090.11.76.1320220P0 38.2581 4 63012 Removal of spinal lamina A 15.40 10.09 NA12.16 10.09 12.16 2.71 28.20 30.27 28.20 30.27 0090.11.76.1320220P0 38.2581 4 63015 Removal of spinal lamina A 19.35 13.36 NA15.78 13.36 15.78 3.84 36.55 38.97 36.55 38.97 0090.11.76.1320220P0 38.2581 4 63016 Removal of spinal lamina A 19.20 13.34 NA15.74 13.34 15.74 3.62 36.16 38.56 36.16 38.56 0090.11.76.1320220P0 38.2581 4 63017 Removal of spinal lamina A 15.94 11.64 NA13.49 11.64 13.49 2.91 30.49 32.34 30.49 32.34 0090.11.76.1320220P0 38.2581 4 63020 Neck spine disk surgery A 14.81 11.05 NA12.64 11.05 12.64 2.89 28.75 30.34 28.75 30.34 0090.11.76.1321220P0 38.2581 4 63030 Low back disk surgery A 12.00 9.62 NA10.80 9.62 10.80 2.21 23.83 25.01 23.83 25.01 0090.11.76.1321220P0 38.2581 4 63035 Spinal disk surgery add-on A 3.15 1.64 NA 2.17 1.64 2.17 0.57 5.36 5.89 5.36 5.89 0ZZZ.00.00.0001220P0 38.2581 4 63040 Laminotomy, single cervical A 18.81 12.98 NA15.35 12.98 15.35 3.36 35.15 37.52 35.15 37.52 0090.11.76.1321220P0 38.2581 4 63042 Laminotomy, single lumbar A 17.47 12.60 NA14.67 12.60 14.67 3.11 33.18 35.25 33.18 35.25 0090.11.76.1321220P0 38.2581 4 63043 Laminotomy, addl cervical B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.009999999 38.2581 9 63044 Laminotomy, addl lumbar B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.009999999 38.2581 9 63045 Removal of spinal lamina A 16.50 11.95 NA13.89 11.95 13.89 3.19 31.64 33.58 31.64 33.58 0090.11.76.1322220P0 38.2581 4 63046 Removal of spinal lamina A 15.80 11.60 NA13.42 11.60 13.42 2.89 30.29 32.11 30.29 32.11 0090.11.76.1322220P0 38.2581 4 63047 Removal of spinal lamina A 14.61 11.05 NA12.65 11.05 12.65 2.61 28.27 29.87 28.27 29.87 0090.11.76.1322220P0 38.2581 4 63048 Remove spinal lamina add-on A 3.26 1.73 NA 2.27 1.73 2.27 0.58 5.57 6.11 5.57 6.11 0ZZZ.00.00.0002220P0 38.2581 4 63055 Decompress spinal cord A 21.99 14.74 NA17.49 14.74 17.49 4.09 40.82 43.57 40.82 43.57 0090.11.76.1320210P0 38.2581 4 63056 Decompress spinal cord A 20.36 14.01 NA16.43 14.01 16.43 3.34 37.71 40.13 37.71 40.13 0090.11.76.1320210P0 38.2581 4 63057 Decompress spine cord add-on A 5.26 2.66 NA 3.04 2.66 3.04 0.81 8.73 9.11 8.73 9.11 0ZZZ.00.00.0000210P0 38.2581 4 63064 Decompress spinal cord A 24.61 16.68 NA18.98 16.68 18.98 4.72 46.01 48.31 46.01 48.31 0090.11.76.1320210P0 38.2581 4 63066 Decompress spine cord add-on A 3.26 1.74 NA 1.98 1.74 1.98 0.63 5.63 5.87 5.63 5.87 0ZZZ.00.00.0000210P0 38.2581 4 63075 Neck spine disk surgery A 19.41 13.50 NA14.89 13.50 14.89 3.73 36.64 38.03 36.64 38.03 0090.11.76.1320220P0 38.2581 4 63076 Neck spine disk surgery A 4.05 2.13 NA 2.81 2.13 2.81 0.78 6.96 7.64 6.96 7.64 0ZZZ.00.00.0000220P0 38.2581 4 63077 Spine disk surgery, thorax A 21.44 15.13 NA16.35 15.13 16.35 3.44 40.01 41.23 40.01 41.23 0090.11.76.1320220P0 38.2581 4 63078 Spine disk surgery, thorax A 3.28 1.70 NA 1.98 1.70 1.98 0.50 5.48 5.76 5.48 5.76 0ZZZ.00.00.0000220P0 38.2581 4 63081 Removal of vertebral body A 23.73 16.33 NA19.33 16.33 19.33 4.46 44.52 47.52 44.52 47.52 0090.11.76.1320212P0 38.2581 4 63082 Remove vertebral body add-on A 4.37 2.31 NA 3.04 2.31 3.04 0.82 7.50 8.23 7.50 8.23 0ZZZ.00.00.0000212P0 38.2581 4 63085 Removal of vertebral body A 26.92 18.32 NA21.17 18.32 21.17 4.70 49.94 52.79 49.94 52.79 0090.11.76.1320222P0 38.2581 4 63086 Remove vertebral body add-on A 3.19 1.66 NA 2.20 1.66 2.20 0.55 5.40 5.94 5.40 5.94 0ZZZ.00.00.0000222P0 38.2581 4 63087 Removal of vertebral body A 35.57 22.20 NA24.32 22.20 24.32 5.87 63.64 65.76 63.64 65.76 0090.11.76.1320222P0 38.2581 4 63088 Remove vertebral body add-on A 4.33 2.28 NA 3.00 2.28 3.00 0.77 7.38 8.10 7.38 8.10 0ZZZ.00.00.0000222P0 38.2581 4 63090 Removal of vertebral body A 28.16 18.11 NA21.51 18.11 21.51 4.27 50.54 53.94 50.54 53.94 0090.11.76.1320222P0 38.2581 4 63091 Remove vertebral body add-on A 3.03 1.53 NA 1.89 1.53 1.89 0.45 5.01 5.37 5.01 5.37 0ZZZ.00.00.0000222P0 38.2581 4 63170 Incise spinal cord tract(s) A 19.83 13.58 NA15.31 13.58 15.31 3.89 37.30 39.03 37.30 39.03 0090.11.76.1320210P0 38.2581 4 63172 Drainage of spinal cyst A 17.66 13.03 NA15.05 13.03 15.05 3.46 34.15 36.17 34.15 36.17 0090.11.76.1320210P0 38.2581 4 63173 Drainage of spinal cyst A 21.99 14.78 NA15.28 14.78 15.28 4.14 40.91 41.41 40.91 41.41 0090.11.76.1320210P0 38.2581 4 63180 Revise spinal cord ligaments A 18.27 12.42 NA12.47 12.42 12.47 3.83 34.52 34.57 34.52 34.57 0090.11.76.1320210P0 38.2581 4 63182 Revise spinal cord ligaments A 20.50 12.87 NA14.11 12.87 14.11 3.48 36.85 38.09 36.85 38.09 0090.11.76.1320210P0 38.2581 4 63185 Incise spinal column/nerves A 15.04 9.73 NA11.52 9.73 11.52 2.08 26.85 28.64 26.85 28.64 0090.11.76.1320210P0 38.2581 4 63190 Incise spinal column/nerves A 17.45 12.03 NA14.23 12.03 14.23 2.88 32.36 34.56 32.36 34.56 0090.11.76.1320210P0 38.2581 4 63191 Incise spinal column/nerves A 17.54 12.37 NA12.82 12.37 12.82 3.50 33.41 33.86 33.41 33.86 0090.11.76.1321210P0 38.2581 4 63194 Incise spinal column & cord A 19.19 13.11 NA13.37 13.11 13.37 4.01 36.31 36.57 36.31 36.57 0090.11.76.1320210P0 38.2581 4 63195 Incise spinal column & cord A 18.84 12.13 NA12.86 12.13 12.86 3.44 34.41 35.14 34.41 35.14 0090.11.76.1320210P0 38.2581 4 63196 Incise spinal column & cord A 22.30 12.37 NA13.51 12.37 13.51 4.66 39.33 40.47 39.33 40.47 0090.11.76.1320210P0 38.2581 4 63197 Incise spinal column & cord A 21.11 13.71 NA14.18 13.71 14.18 4.42 39.24 39.71 39.24 39.71 0090.11.76.1320210P0 38.2581 4 63198 Incise spinal column & cord A 25.38 13.60 NA14.63 13.60 14.63 5.31 44.29 45.32 44.29 45.32 0090.11.76.1320210P0 38.2581 4 63199 Incise spinal column & cord A 26.89 14.20 NA16.46 14.20 16.46 5.62 46.71 48.97 46.71 48.97 0090.11.76.1320210P0 38.2581 4 63200 Release of spinal cord A 19.18 13.09 NA13.21 13.09 13.21 3.61 35.88 36.00 35.88 36.00 0090.11.76.1320200P0 38.2581 4 63250 Revise spinal cord vessels A 40.76 20.95 NA23.31 20.95 23.31 7.65 69.36 71.72 69.36 71.72 0090.11.76.1320210P0 38.2581 4 63251 Revise spinal cord vessels A 41.20 23.04 NA23.45 23.04 23.45 7.98 72.22 72.63 72.22 72.63 0090.11.76.1320210P0 38.2581 4 63252 Revise spinal cord vessels A 41.19 22.40 NA24.47 22.40 24.47 7.75 71.34 73.41 71.34 73.41 0090.11.76.1320210P0 38.2581 4 63265 Excise intraspinal lesion A 21.56 13.17 NA15.85 13.17 15.85 4.29 39.02 41.70 39.02 41.70 0090.11.76.1320210P0 38.2581 4 63266 Excise intraspinal lesion A 22.30 13.51 NA16.79 13.51 16.79 4.47 40.28 43.56 40.28 43.56 0090.11.76.1320210P0 38.2581 4 63267 Excise intraspinal lesion A 17.95 11.32 NA13.85 11.32 13.85 3.50 32.77 35.30 32.77 35.30 0090.11.76.1320210P0 38.2581 4 63268 Excise intraspinal lesion A 18.52 10.83 NA11.53 10.83 11.53 3.18 32.53 33.23 32.53 33.23 0090.11.76.1320210P0 38.2581 4 63270 Excise intraspinal lesion A 26.80 15.90 NA16.85 15.90 16.85 5.41 48.11 49.06 48.11 49.06 0090.11.76.1320210P0 38.2581 4 63271 Excise intraspinal lesion A 26.92 16.01 NA19.23 16.01 19.23 5.56 48.49 51.71 48.49 51.71 0090.11.76.1320210P0 38.2581 4 63272 Excise intraspinal lesion A 25.32 15.17 NA17.66 15.17 17.66 5.07 45.56 48.05 45.56 48.05 0090.11.76.1320210P0 38.2581 4 63273 Excise intraspinal lesion A 24.29 14.60 NA15.72 14.60 15.72 5.08 43.97 45.09 43.97 45.09 0090.11.76.1320200P0 38.2581 4 63275 Biopsy/excise spinal tumor A 23.68 14.12 NA17.66 14.12 17.66 4.68 42.48 46.02 42.48 46.02 0090.11.76.1320210P0 38.2581 4 63276 Biopsy/excise spinal tumor A 23.45 14.04 NA17.40 14.04 17.40 4.63 42.12 45.48 42.12 45.48 0090.11.76.1320210P0 38.2581 4 63277 Biopsy/excise spinal tumor A 20.83 12.82 NA15.83 12.82 15.83 4.03 37.68 40.69 37.68 40.69 0090.11.76.1320210P0 38.2581 4 63278 Biopsy/excise spinal tumor A 20.56 12.48 NA15.50 12.48 15.50 4.02 37.06 40.08 37.06 40.08 0090.11.76.1320210P0 38.2581 4 63280 Biopsy/excise spinal tumor A 28.35 16.64 NA20.10 16.64 20.10 5.80 50.79 54.25 50.79 54.25 0090.11.76.1320210P0 38.2581 4 63281 Biopsy/excise spinal tumor A 28.05 16.39 NA19.80 16.39 19.80 5.67 50.11 53.52 50.11 53.52 0090.11.76.1320210P0 38.2581 4 63282 Biopsy/excise spinal tumor A 26.39 15.60 NA18.24 15.60 18.24 5.33 47.32 49.96 47.32 49.96 0090.11.76.1320210P0 38.2581 4 63283 Biopsy/excise spinal tumor A 25.00 14.83 NA16.22 14.83 16.22 5.12 44.95 46.34 44.95 46.34 0090.11.76.1320210P0 38.2581 4 63285 Biopsy/excise spinal tumor A 36.00 20.26 NA21.84 20.26 21.84 7.31 63.57 65.15 63.57 65.15 0090.11.76.1320210P0 38.2581 4 63286 Biopsy/excise spinal tumor A 35.63 20.36 NA23.07 20.36 23.07 7.07 63.06 65.77 63.06 65.77 0090.11.76.1320210P0 38.2581 4 63287 Biopsy/excise spinal tumor A 36.70 20.74 NA22.53 20.74 22.53 7.48 64.92 66.71 64.92 66.71 0090.11.76.1320210P0 38.2581 4 63290 Biopsy/excise spinal tumor A 37.38 21.36 NA23.39 21.36 23.39 7.65 66.39 68.42 66.39 68.42 0090.11.76.1320210P0 38.2581 4 63300 Removal of vertebral body A 24.43 14.84 NA15.82 14.84 15.82 4.78 44.05 45.03 44.05 45.03 0090.11.76.1320210P0 38.2581 4 63301 Removal of vertebral body A 27.60 16.07 NA17.06 16.07 17.06 5.03 48.70 49.69 48.70 49.69 0090.11.76.1320210P0 38.2581 4 63302 Removal of vertebral body A 27.81 16.16 NA17.92 16.16 17.92 5.25 49.22 50.98 49.22 50.98 0090.11.76.1320210P0 38.2581 4 63303 Removal of vertebral body A 30.50 17.50 NA18.15 17.50 18.15 5.21 53.21 53.86 53.21 53.86 0090.11.76.1320210P0 38.2581 4 63304 Removal of vertebral body A 30.33 16.19 NA17.93 16.19 17.93 4.72 51.24 52.98 51.24 52.98 0090.11.76.1320200P0 38.2581 4 63305 Removal of vertebral body A 32.03 19.10 NA20.43 19.10 20.43 5.39 56.52 57.85 56.52 57.85 0090.11.76.1320210P0 38.2581 4 63306 Removal of vertebral body A 32.22 16.63 NA18.65 16.63 18.65 2.39 51.24 53.26 51.24 53.26 0090.11.76.1320210P0 38.2581 4 63307 Removal of vertebral body A 31.63 18.42 NA20.44 18.42 20.44 4.23 54.28 56.30 54.28 56.30 0090.11.76.1320210P0 38.2581 4 63308 Remove vertebral body add-on A 5.25 2.74 NA 3.16 2.74 3.16 1.01 9.00 9.42 9.00 9.42 0ZZZ.00.00.0000200P0 38.2581 4 63600 Remove spinal cord lesion A 14.02 5.90 NA 7.33 5.90 7.33 1.22 21.14 22.57 21.14 22.57 0090.11.76.1320000P0 38.2581 4 63610 Stimulation of spinal cord A 8.73 5.09 NA 5.64 5.09 5.64 0.43 14.25 14.80 14.25 14.80 0000.00.00.0020000P0 38.2581 4 63615 Remove lesion of spinal cord A 16.28 10.42 NA10.95 10.42 10.95 2.85 29.55 30.08 29.55 30.08 0090.11.76.1320110P0 38.2581 4 63650 Implant neuroelectrodes A 6.74 2.99 NA 4.25 2.99 4.25 0.48 10.21 11.47 10.21 11.47 0090.11.76.1320100P0 38.2581 4 63655 Implant neuroelectrodes A 10.29 7.12 NA 8.41 7.12 8.41 1.85 19.26 20.55 19.26 20.55 0090.11.76.1320210P0 38.2581 4 63660 Revise/remove neuroelectrode A 6.16 3.63 NA 4.56 3.63 4.56 0.65 10.44 11.37 10.44 11.37 0090.11.76.1320110P0 38.2581 4 63685 Implant neuroreceiver A 7.04 4.41 NA 5.32 4.41 5.32 0.96 12.41 13.32 12.41 13.32 0090.11.76.1320210P0 38.2581 4 63688 Revise/remove neuroreceiver A 5.39 3.67 NA 4.36 3.67 4.36 0.70 9.76 10.45 9.76 10.45 0090.11.76.1320100P0 38.2581 4 63700 Repair of spinal herniation A 16.53 10.39 NA10.87 10.39 10.87 2.69 29.61 30.09 29.61 30.09 0090.11.76.1320210P0 38.2581 4 63702 Repair of spinal herniation A 18.48 10.46 NA11.31 10.46 11.31 1.36 30.30 31.15 30.30 31.15 0090.11.76.1320210P0 38.2581 4 63704 Repair of spinal herniation A 21.18 12.22 NA13.02 12.22 13.02 3.84 37.24 38.04 37.24 38.04 0090.11.76.1320210P0 38.2581 4 63706 Repair of spinal herniation A 24.11 13.91 NA14.86 13.91 14.86 4.73 42.75 43.70 42.75 43.70 0090.11.76.1320210P0 38.2581 4 63707 Repair spinal fluid leakage A 11.26 7.85 NA 9.25 7.85 9.25 1.96 21.07 22.47 21.07 22.47 0090.11.76.1320210P0 38.2581 4 63709 Repair spinal fluid leakage A 14.32 9.61 NA11.48 9.61 11.48 2.49 26.42 28.29 26.42 28.29 0090.11.76.1320210P0 38.2581 4 63710 Graft repair of spine defect A 14.07 9.34 NA 9.65 9.34 9.65 2.61 26.02 26.33 26.02 26.33 0090.11.76.1320210P0 38.2581 4 63740 Install spinal shunt A 11.36 7.54 NA 9.05 7.54 9.05 2.15 21.05 22.56 21.05 22.56 0090.11.76.1320210P0 38.2581 4 63741 Install spinal shunt A 8.25 4.70 NA 5.99 4.70 5.99 1.05 14.00 15.29 14.00 15.29 0090.11.76.1320210P0 38.2581 4 63744 Revision of spinal shunt A 8.10 5.48 NA 6.32 5.48 6.32 1.51 15.09 15.93 15.09 15.93 0090.11.76.1320210P0 38.2581 4 63746 Removal of spinal shunt A 6.43 4.55 NA 4.91 4.55 4.91 1.15 12.13 12.49 12.13 12.49 0090.11.76.1320000P0 38.2581 4 64400 Injection for nerve block A 1.11 2.71 2.16 0.27 0.27 0.06 3.88 3.33 1.44 1.44 0000.00.00.0020100P0 38.2581 4 64402 Injection for nerve block A 1.25 3.91 3.10 0.45 0.51 0.07 5.23 4.42 1.77 1.83 0000.00.00.0020100P0 38.2581 4 64405 Injection for nerve block A 1.32 2.52 2.06 0.31 0.32 0.08 3.92 3.46 1.71 1.72 0000.00.00.0020100P0 38.2581 4 64408 Injection for nerve block A 1.41 2.94 2.49 0.69 0.66 0.09 4.44 3.99 2.19 2.16 0000.00.00.0020000P0 38.2581 4 64410 Injection for nerve block A 1.43 2.53 2.09 0.30 0.42 0.08 4.04 3.60 1.81 1.93 0000.00.00.0020000P0 38.2581 4 64412 Injection for nerve block A 1.18 2.67 2.17 0.27 0.29 0.08 3.93 3.43 1.53 1.55 0000.00.00.0020100P0 38.2581 4 64413 Injection for nerve block A 1.40 2.85 2.34 0.36 0.37 0.09 4.34 3.83 1.85 1.86 0000.00.00.0020100P0 38.2581 4 64415 Injection for nerve block A 1.48 2.64 2.05 0.31 0.30 0.08 4.20 3.61 1.87 1.86 0000.00.00.0020100P0 38.2581 4 64417 Injection for nerve block A 1.44 2.68 2.18 0.33 0.42 0.09 4.21 3.71 1.86 1.95 0000.00.00.0020100P0 38.2581 4 64418 Injection for nerve block A 1.32 2.46 2.08 0.29 0.33 0.07 3.85 3.47 1.68 1.72 0000.00.00.0020100P0 38.2581 4 64420 Injection for nerve block A 1.18 2.46 2.02 0.27 0.38 0.07 3.71 3.27 1.52 1.63 0000.00.00.0020100P0 38.2581 4 64421 Injection for nerve block A 1.68 2.86 2.37 0.39 0.52 0.10 4.64 4.15 2.17 2.30 0000.00.00.0020100P0 38.2581 4 64425 Injection for nerve block A 1.75 2.40 1.96 0.40 0.46 0.11 4.26 3.82 2.26 2.32 0000.00.00.0020100P0 38.2581 4 64430 Injection for nerve block A 1.46 2.66 2.19 0.43 0.51 0.11 4.23 3.76 2.00 2.08 0000.00.00.0020100P0 38.2581 4 64435 Injection for nerve block A 1.45 2.94 2.33 0.54 0.47 0.15 4.54 3.93 2.14 2.07 0000.00.00.0020100P0 38.2581 4 64445 Injection for nerve block A 1.48 3.41 2.69 0.34 0.32 0.08 4.97 4.25 1.90 1.88 0000.00.00.0020100P0 38.2581 4 64450 Injection for nerve block A 1.27 1.69 1.41 0.33 0.32 0.08 3.04 2.76 1.68 1.67 0000.00.00.0020100P0 38.2581 4 64470 Inj paravertebral c/t A 1.85 3.94 3.94 0.50 0.50 0.12 5.91 5.91 2.47 2.47 0000.00.00.002110090 38.2581 5 64472 Inj paravertebral c/t add-on A 1.29 3.63 3.63 0.35 0.35 0.09 5.01 5.01 1.73 1.73 0ZZZ.00.00.000110090 38.2581 5 64475 Inj paravertebral l/s A 1.41 3.77 3.77 0.38 0.38 0.09 5.27 5.27 1.88 1.88 0000.00.00.002110090 38.2581 5 64476 Inj paravertebral l/s add-on A 0.98 4.16 4.16 0.26 0.26 0.06 5.20 5.20 1.30 1.30 0ZZZ.00.00.000110090 38.2581 5 64479 Inj foramen epidural c/t A 2.20 4.04 4.04 0.62 0.62 0.14 6.38 6.38 2.96 2.96 0000.00.00.002110090 38.2581 5 64480 Inj foramen epidural add-on A 1.54 4.23 4.23 0.43 0.43 0.09 5.86 5.86 2.06 2.06 0ZZZ.00.00.000110090 38.2581 5 64483 Inj foramen epidural l/s A 1.90 3.92 3.92 0.54 0.54 0.12 5.94 5.94 2.56 2.56 0000.00.00.002110090 38.2581 5 64484 Inj foramen epidural add-on A 1.33 4.15 4.15 0.37 0.37 0.08 5.56 5.56 1.78 1.78 0ZZZ.00.00.000110090 38.2581 5 64505 Injection for nerve block A 1.36 2.40 1.97 0.35 0.35 0.08 3.84 3.41 1.79 1.79 0000.00.00.0020100P0 38.2581 4 64508 Injection for nerve block A 1.12 2.94 2.49 0.39 0.44 0.06 4.12 3.67 1.57 1.62 0000.00.00.0020000P0 38.2581 4 64510 Injection for nerve block A 1.22 2.63 2.17 0.26 0.39 0.07 3.92 3.46 1.55 1.68 0000.00.00.0020100P0 38.2581 4 64520 Injection for nerve block A 1.35 3.51 2.83 0.29 0.41 0.08 4.94 4.26 1.72 1.84 0000.00.00.0020100P0 38.2581 4 64530 Injection for nerve block A 1.58 3.23 2.74 0.36 0.59 0.09 4.90 4.41 2.03 2.26 0000.00.00.0020100P0 38.2581 4 64550 Apply neurostimulator A 0.18 0.52 0.51 0.05 0.10 0.01 0.71 0.70 0.24 0.29 0000.00.00.0000100P0 38.2581 4 64553 Implant neuroelectrodes A 2.31 4.85 3.92 1.27 1.09 0.17 7.33 6.40 3.75 3.57 0010.10.80.1020000P0 38.2581 4 64555 Implant neuroelectrodes A 2.27 2.40 1.92 0.71 0.59 0.11 4.78 4.30 3.09 2.97 0010.10.80.1020100P0 38.2581 4 64560 Implant neuroelectrodes A 2.36 2.42 2.21 0.87 0.85 0.17 4.95 4.74 3.40 3.38 0010.10.80.1020000P0 38.2581 4 64565 Implant neuroelectrodes A 1.76 3.06 2.50 0.63 0.58 0.08 4.90 4.34 2.47 2.42 0010.10.80.1020100P0 38.2581 4 64573 Implant neuroelectrodes A 7.50 5.46 NA 4.95 5.46 4.95 1.48 14.44 13.93 14.44 13.93 0090.11.76.1320000P0 38.2581 4 64575 Implant neuroelectrodes A 4.35 3.15 NA 3.20 3.15 3.20 0.37 7.87 7.92 7.87 7.92 0090.11.76.1320100P0 38.2581 4 64577 Implant neuroelectrodes A 4.62 3.56 NA 3.42 3.56 3.42 0.50 8.68 8.54 8.68 8.54 0090.11.76.1320100P0 38.2581 4 64580 Implant neuroelectrodes A 4.12 4.21 NA 3.95 4.21 3.95 0.21 8.54 8.28 8.54 8.28 0090.11.76.1320200P0 38.2581 4 64585 Revise/remove neuroelectrode A 2.06 2.82 2.38 2.18 1.90 0.29 5.17 4.73 4.53 4.25 0010.10.80.1020200P0 38.2581 4 64590 Implant neuroreceiver A 2.40 2.37 NA 2.28 2.37 2.28 0.40 5.17 5.08 5.17 5.08 0010.10.80.1020210P0 38.2581 4 64595 Revise/remove neuroreceiver A 1.73 2.06 NA 1.85 2.06 1.85 0.22 4.01 3.80 4.01 3.80 0010.10.80.1020100P0 38.2581 4 64600 Injection treatment of nerve A 3.45 3.11 2.79 2.05 2.00 0.28 6.84 6.52 5.78 5.73 0010.10.80.1022100P0 38.2581 4 64605 Injection treatment of nerve A 5.61 4.18 3.56 2.78 2.51 0.53 10.32 9.70 8.92 8.65 0010.10.80.1020000P0 38.2581 4 64610 Injection treatment of nerve A 7.16 3.77 NA 4.80 3.77 4.80 1.12 12.05 13.08 12.05 13.08 0010.10.80.1020100P0 38.2581 4 64612 Destroy nerve, face muscle A 1.96 2.95 2.61 1.65 1.44 0.09 5.00 4.66 3.70 3.49 0010.10.80.1021100P0 38.2581 4 64613 Destroy nerve, spine muscle A 1.96 1.61 1.60 1.37 1.23 0.10 3.67 3.66 3.43 3.29 0010.10.80.1020100P0 38.2581 4 64614 Destroy nerve, extrem musc A 2.20 3.37 3.37 0.81 0.81 0.16 5.73 5.73 3.17 3.17 0010.10.80.102110090 38.2581 5 64620 Injection treatment of nerve A 2.84 3.10 2.60 0.70 0.80 0.17 6.11 5.61 3.71 3.81 0010.10.80.1020100P0 38.2581 4 64622 Destr paravertebrl nerve l/s A 3.00 4.47 3.85 0.73 1.04 0.17 7.64 7.02 3.90 4.21 0010.10.80.1021100P0 38.2581 4 64623 Destr paravertebral n add-on A 0.99 3.54 2.89 0.24 0.41 0.06 4.59 3.94 1.29 1.46 0ZZZ.00.00.0001100P0 38.2581 4 64626 Destr paravertebrl nerve c/t A 3.28 3.95 3.95 0.88 0.88 0.22 7.45 7.45 4.38 4.38 0010.10.80.102110090 38.2581 5 64627 Destr paravertebral n add-on A 1.16 3.30 3.30 0.31 0.31 0.08 4.54 4.54 1.55 1.55 0ZZZ.00.00.000110090 38.2581 5 64630 Injection treatment of nerve A 3.00 3.54 3.13 0.81 1.08 0.16 6.70 6.29 3.97 4.24 0010.10.80.1020000P0 38.2581 4 64640 Injection treatment of nerve A 2.76 5.75 4.56 1.02 1.02 0.11 8.62 7.43 3.89 3.89 0010.10.80.1020100P0 38.2581 4 64680 Injection treatment of nerve A 2.62 2.99 2.66 0.66 0.92 0.15 5.76 5.43 3.43 3.69 0010.10.80.1020100P0 38.2581 4 64702 Revise finger/toe nerve A 4.23 3.76 NA 3.97 3.76 3.97 0.51 8.50 8.71 8.50 8.71 0090.11.76.1320100P0 38.2581 4 64704 Revise hand/foot nerve A 4.57 3.13 NA 3.71 3.13 3.71 0.59 8.29 8.87 8.29 8.87 0090.11.76.1320210P0 38.2581 4 64708 Revise arm/leg nerve A 6.12 4.92 NA 5.52 4.92 5.52 0.82 11.86 12.46 11.86 12.46 0090.11.76.1320210P0 38.2581 4 64712 Revision of sciatic nerve A 7.75 4.96 NA 6.04 4.96 6.04 0.54 13.25 14.33 13.25 14.33 0090.11.76.1320210P0 38.2581 4 64713 Revision of arm nerve(s) A 11.00 5.90 NA 6.98 5.90 6.98 1.01 17.91 18.99 17.91 18.99 0090.11.76.1320210P0 38.2581 4 64714 Revise low back nerve(s) A 10.33 3.92 NA 4.60 3.92 4.60 0.64 14.89 15.57 14.89 15.57 0090.11.76.1320210P0 38.2581 4 64716 Revision of cranial nerve A 6.31 5.02 NA 5.08 5.02 5.08 0.59 11.92 11.98 11.92 11.98 0090.11.76.1320210P0 38.2581 4 64718 Revise ulnar nerve at elbow A 5.99 5.01 NA 5.55 5.01 5.55 0.87 11.87 12.41 11.87 12.41 0090.11.76.1320000P0 38.2581 4 64719 Revise ulnar nerve at wrist A 4.85 4.50 NA 4.72 4.50 4.72 0.63 9.98 10.20 9.98 10.20 0090.11.76.1320100P0 38.2581 4 64721 Carpal tunnel surgery A 4.29 5.93 5.73 5.62 5.50 0.59 10.81 10.61 10.50 10.38 0090.11.76.1321100P0 38.2581 4 64722 Relieve pressure on nerve(s) A 4.70 2.97 NA 3.63 2.97 3.63 0.32 7.99 8.65 7.99 8.65 0090.11.76.1320210P0 38.2581 4 64726 Release foot/toe nerve A 4.18 3.03 NA 2.47 3.03 2.47 0.57 7.78 7.22 7.78 7.22 0090.11.76.1320100P0 38.2581 4 64727 Internal nerve revision A 3.10 1.62 NA 2.10 1.62 2.10 0.40 5.12 5.60 5.12 5.60 0ZZZ.00.00.0000100P0 38.2581 4 64732 Incision of brow nerve A 4.41 3.49 NA 3.79 3.49 3.79 0.77 8.67 8.97 8.67 8.97 0090.11.76.1320200P0 38.2581 4 64734 Incision of cheek nerve A 4.92 3.54 NA 3.91 3.54 3.91 0.83 9.29 9.66 9.29 9.66 0090.11.76.1320000P0 38.2581 4 64736 Incision of chin nerve A 4.60 2.99 NA 3.45 2.99 3.45 0.71 8.30 8.76 8.30 8.76 0090.11.76.1320200P0 38.2581 4 64738 Incision of jaw nerve A 5.73 3.64 NA 4.11 3.64 4.11 0.84 10.21 10.68 10.21 10.68 0090.11.76.1320200P0 38.2581 4 64740 Incision of tongue nerve A 5.59 4.09 NA 4.47 4.09 4.47 0.43 10.11 10.49 10.11 10.49 0090.11.76.1320200P0 38.2581 4 64742 Incision of facial nerve A 6.22 4.91 NA 5.04 4.91 5.04 0.69 11.82 11.95 11.82 11.95 0090.11.76.1320200P0 38.2581 4 64744 Incise nerve, back of head A 5.24 3.93 NA 4.51 3.93 4.51 0.98 10.15 10.73 10.15 10.73 0090.11.76.1321000P0 38.2581 4 64746 Incise diaphragm nerve A 5.93 5.78 NA 5.36 5.78 5.36 0.75 12.46 12.04 12.46 12.04 0090.11.76.1320210P0 38.2581 4 64752 Incision of vagus nerve A 7.06 5.34 NA 5.07 5.34 5.07 0.83 13.23 12.96 13.23 12.96 0090.11.76.1320210P0 38.2581 4 64755 Incision of stomach nerves A 13.52 6.35 NA 7.60 6.35 7.60 1.16 21.03 22.28 21.03 22.28 0090.11.76.1320210P0 38.2581 4 64760 Incision of vagus nerve A 6.96 4.04 NA 4.84 4.04 4.84 0.51 11.51 12.31 11.51 12.31 0090.11.76.1320210P0 38.2581 4 64761 Incision of pelvis nerve A 6.41 3.14 NA 3.62 3.14 3.62 0.26 9.81 10.29 9.81 10.29 0090.11.76.1321200P0 38.2581 4 64763 Incise hip/thigh nerve A 6.93 6.23 NA 5.98 6.23 5.98 0.77 13.93 13.68 13.93 13.68 0090.11.76.1321210P0 38.2581 4 64766 Incise hip/thigh nerve A 8.67 6.14 NA 6.42 6.14 6.42 0.99 15.80 16.08 15.80 16.08 0090.11.76.1321200P0 38.2581 4 64771 Sever cranial nerve A 7.35 5.56 NA 5.91 5.56 5.91 1.32 14.23 14.58 14.23 14.58 0090.11.76.1320200P0 38.2581 4 64772 Incision of spinal nerve A 7.21 5.01 NA 5.60 5.01 5.60 1.20 13.42 14.01 13.42 14.01 0090.11.76.1320210P0 38.2581 4 64774 Remove skin nerve lesion A 5.17 3.67 NA 3.50 3.67 3.50 0.60 9.44 9.27 9.44 9.27 0090.11.76.1320100P0 38.2581 4 64776 Remove digit nerve lesion A 5.12 3.78 NA 3.59 3.78 3.59 0.63 9.53 9.34 9.53 9.34 0090.11.76.1320000P0 38.2581 4 64778 Digit nerve surgery add-on A 3.11 1.51 NA 1.87 1.51 1.87 0.38 5.00 5.36 5.00 5.36 0ZZZ.00.00.0000100P0 38.2581 4 64782 Remove limb nerve lesion A 6.23 3.63 NA 4.00 3.63 4.00 0.79 10.65 11.02 10.65 11.02 0090.11.76.1320110P0 38.2581 4 64783 Limb nerve surgery add-on A 3.72 2.02 NA 2.40 2.02 2.40 0.48 6.22 6.60 6.22 6.60 0ZZZ.00.00.0000100P0 38.2581 4 64784 Remove nerve lesion A 9.82 6.40 NA 6.33 6.40 6.33 1.17 17.39 17.32 17.39 17.32 0090.11.76.1320000P0 38.2581 4 64786 Remove sciatic nerve lesion A 15.46 10.34 NA11.19 10.34 11.19 2.22 28.02 28.87 28.02 28.87 0090.11.76.1320200P0 38.2581 4 64787 Implant nerve end A 4.30 2.21 NA 2.60 2.21 2.60 0.56 7.07 7.46 7.07 7.46 0ZZZ.00.00.0000000P0 38.2581 4 64788 Remove skin nerve lesion A 4.61 3.32 NA 3.48 3.32 3.48 0.54 8.47 8.63 8.47 8.63 0090.11.76.1320100P0 38.2581 4 64790 Removal of nerve lesion A 11.31 7.17 NA 7.31 7.17 7.31 1.68 20.16 20.30 20.16 20.30 0090.11.76.1320010P0 38.2581 4 64792 Removal of nerve lesion A 14.92 9.13 NA 9.29 9.13 9.29 1.88 25.93 26.09 25.93 26.09 0090.11.76.1320210P0 38.2581 4 64795 Biopsy of nerve A 3.01 1.86 NA 2.04 1.86 2.04 0.40 5.27 5.45 5.27 5.45 0000.00.00.0020100P0 38.2581 4 64802 Remove sympathetic nerves A 9.15 5.72 NA 5.76 5.72 5.76 0.87 15.74 15.78 15.74 15.78 0090.11.76.1321210P0 38.2581 4 64804 Remove sympathetic nerves A 14.64 8.75 NA10.03 8.75 10.03 1.79 25.18 26.46 25.18 26.46 0090.11.76.1321210P0 38.2581 4 64809 Remove sympathetic nerves A 13.67 5.41 NA 6.92 5.41 6.92 0.96 20.04 21.55 20.04 21.55 0090.11.76.1321210P0 38.2581 4 64818 Remove sympathetic nerves A 10.30 6.28 NA 7.04 6.28 7.04 1.08 17.66 18.42 17.66 18.42 0090.11.76.1321210P0 38.2581 4 64820 Remove sympathetic nerves A 10.37 7.81 NA 7.83 7.81 7.83 1.17 19.35 19.37 19.35 19.37 0090.11.76.1320100P0 38.2581 4 64831 Repair of digit nerve A 9.44 7.11 NA 6.25 7.11 6.25 1.14 17.69 16.83 17.69 16.83 0090.11.76.1320100P0 38.2581 4 64832 Repair nerve add-on A 5.66 3.13 NA 2.73 3.13 2.73 0.68 9.47 9.07 9.47 9.07 0ZZZ.00.00.0000000P0 38.2581 4 64834 Repair of hand or foot nerve A 10.19 7.16 NA 6.32 7.16 6.32 1.23 18.58 17.74 18.58 17.74 0090.11.76.1320000P0 38.2581 4 64835 Repair of hand or foot nerve A 10.94 7.77 NA 7.45 7.77 7.45 1.36 20.07 19.75 20.07 19.75 0090.11.76.1320200P0 38.2581 4 64836 Repair of hand or foot nerve A 10.94 7.67 NA 7.57 7.67 7.57 1.32 19.93 19.83 19.93 19.83 0090.11.76.1320200P0 38.2581 4 64837 Repair nerve add-on A 6.26 3.40 NA 3.76 3.40 3.76 0.80 10.46 10.82 10.46 10.82 0ZZZ.00.00.0000200P0 38.2581 4 64840 Repair of leg nerve A 13.02 9.27 NA 9.76 9.27 9.76 0.86 23.15 23.64 23.15 23.64 0090.11.76.1320200P0 38.2581 4 64856 Repair/transpose nerve A 13.80 9.34 NA 9.23 9.34 9.23 1.71 24.85 24.74 24.85 24.74 0090.11.76.1320110P0 38.2581 4 64857 Repair arm/leg nerve A 14.49 9.71 NA 9.87 9.71 9.87 1.76 25.96 26.12 25.96 26.12 0090.11.76.1320210P0 38.2581 4 64858 Repair sciatic nerve A 16.49 10.28 NA10.69 10.28 10.69 2.78 29.55 29.96 29.55 29.96 0090.11.76.1320210P0 38.2581 4 64859 Nerve surgery A 4.26 2.32 NA 2.69 2.32 2.69 0.50 7.08 7.45 7.08 7.45 0ZZZ.00.00.0000210P0 38.2581 4 64861 Repair of arm nerves A 19.24 13.02 NA13.41 13.02 13.41 2.45 34.71 35.10 34.71 35.10 0090.11.76.1320210P0 38.2581 4 64862 Repair of low back nerves A 19.44 9.71 NA13.13 9.71 13.13 2.47 31.62 35.04 31.62 35.04 0090.11.76.1320200P0 38.2581 4 64864 Repair of facial nerve A 12.55 8.69 NA 8.65 8.69 8.65 1.13 22.37 22.33 22.37 22.33 0090.11.76.1320210P0 38.2581 4 64865 Repair of facial nerve A 15.24 9.97 NA10.83 9.97 10.83 1.37 26.58 27.44 26.58 27.44 0090.11.76.1320210P0 38.2581 4 64866 Fusion of facial/other nerve A 15.74 9.80 NA10.39 9.80 10.39 1.06 26.60 27.19 26.60 27.19 0090.11.76.1320210P0 38.2581 4 64868 Fusion of facial/other nerve A 14.04 9.38 NA10.07 9.38 10.07 1.40 24.82 25.51 24.82 25.51 0090.11.76.1320210P0 38.2581 4 64870 Fusion of facial/other nerve A 15.99 8.04 NA 9.81 8.04 9.81 1.08 25.11 26.88 25.11 26.88 0090.11.76.1320210P0 38.2581 4 64872 Subsequent repair of nerve A 1.99 1.10 NA 1.22 1.10 1.22 0.24 3.33 3.45 3.33 3.45 0ZZZ.00.00.0000210P0 38.2581 4 64874 Repair & revise nerve add-on A 2.98 1.58 NA 1.78 1.58 1.78 0.34 4.90 5.10 4.90 5.10 0ZZZ.00.00.0000210P0 38.2581 4 64876 Repair nerve/shorten bone A 3.38 1.35 NA 1.68 1.35 1.68 0.39 5.12 5.45 5.12 5.45 0ZZZ.00.00.0000210P0 38.2581 4 64885 Nerve graft, head or neck A 17.53 11.18 NA11.83 11.18 11.83 1.51 30.22 30.87 30.22 30.87 0090.11.76.1320210P0 38.2581 4 64886 Nerve graft, head or neck A 20.75 13.03 NA13.88 13.03 13.88 1.73 35.51 36.36 35.51 36.36 0090.11.76.1320210P0 38.2581 4 64890 Nerve graft, hand or foot A 15.15 10.09 NA10.90 10.09 10.90 1.74 26.98 27.79 26.98 27.79 0090.11.76.1320200P0 38.2581 4 64891 Nerve graft, hand or foot A 16.14 7.51 NA 8.46 7.51 8.46 1.38 25.03 25.98 25.03 25.98 0090.11.76.1320200P0 38.2581 4 64892 Nerve graft, arm or leg A 14.65 8.75 NA 9.56 8.75 9.56 1.65 25.05 25.86 25.05 25.86 0090.11.76.1320210P0 38.2581 4 64893 Nerve graft, arm or leg A 15.60 10.29 NA11.50 10.29 11.50 1.77 27.66 28.87 27.66 28.87 0090.11.76.1320200P0 38.2581 4 64895 Nerve graft, hand or foot A 19.25 11.20 NA11.97 11.20 11.97 2.04 32.49 33.26 32.49 33.26 0090.11.76.1320210P0 38.2581 4 64896 Nerve graft, hand or foot A 20.49 9.31 NA11.74 9.31 11.74 1.85 31.65 34.08 31.65 34.08 0090.11.76.1320210P0 38.2581 4 64897 Nerve graft, arm or leg A 18.24 11.13 NA11.78 11.13 11.78 2.64 32.01 32.66 32.01 32.66 0090.11.76.1320200P0 38.2581 4 64898 Nerve graft, arm or leg A 19.50 12.26 NA13.10 12.26 13.10 2.71 34.47 35.31 34.47 35.31 0090.11.76.1320210P0 38.2581 4 64901 Nerve graft add-on A 10.22 5.36 NA 6.78 5.36 6.78 0.99 16.57 17.99 16.57 17.99 0ZZZ.00.00.0000210P0 38.2581 4 64902 Nerve graft add-on A 11.83 5.98 NA 7.72 5.98 7.72 1.10 18.91 20.65 18.91 20.65 0ZZZ.00.00.0000200P0 38.2581 4 64905 Nerve pedicle transfer A 14.02 8.60 NA 9.00 8.60 9.00 1.52 24.14 24.54 24.14 24.54 0090.11.76.1320210P0 38.2581 4 64907 Nerve pedicle transfer A 18.83 11.65 NA12.27 11.65 12.27 1.79 32.27 32.89 32.27 32.89 0090.11.76.1320210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 65091 Revise eye A 6.46 9.55 NA 9.09 9.55 9.09 0.26 16.27 15.81 16.27 15.81 0090.10.70.2021010P0 38.2581 4 65093 Revise eye with implant A 6.87 9.76 NA 9.37 9.76 9.37 0.28 16.91 16.52 16.91 16.52 0090.10.70.2021110P0 38.2581 4 65101 Removal of eye A 7.03 9.61 NA 9.31 9.61 9.31 0.28 16.92 16.62 16.92 16.62 0090.10.70.2021100P0 38.2581 4 65103 Remove eye/insert implant A 7.57 9.97 NA 9.74 9.97 9.74 0.30 17.84 17.61 17.84 17.61 0090.10.70.2021110P0 38.2581 4 65105 Remove eye/attach implant A 8.49 10.51 NA10.42 10.51 10.42 0.34 19.34 19.25 19.34 19.25 0090.10.70.2021210P0 38.2581 4 65110 Removal of eye A 13.95 14.10 NA14.74 14.10 14.74 0.68 28.73 29.37 28.73 29.37 0090.10.70.2021210P0 38.2581 4 65112 Remove eye/revise socket A 16.38 17.24 NA16.23 17.24 16.23 0.96 34.58 33.57 34.58 33.57 0090.10.70.2021210P0 38.2581 4 65114 Remove eye/revise socket A 17.53 16.37 NA15.82 16.37 15.82 0.94 34.84 34.29 34.84 34.29 0090.10.70.2021210P0 38.2581 4 65125 Revise ocular implant A 3.12 4.92 4.36 1.53 1.82 0.15 8.19 7.63 4.80 5.09 0090.10.70.2021110P0 38.2581 4 65130 Insert ocular implant A 7.15 9.68 NA 9.40 9.68 9.40 0.28 17.11 16.83 17.11 16.83 0090.10.70.2021110P0 38.2581 4 65135 Insert ocular implant A 7.33 9.45 NA 8.56 9.45 8.56 0.29 17.07 16.18 17.07 16.18 0090.10.70.2021100P0 38.2581 4 65140 Attach ocular implant A 8.02 9.88 NA 9.10 9.88 9.10 0.31 18.21 17.43 18.21 17.43 0090.10.70.2021100P0 38.2581 4 65150 Revise ocular implant A 6.26 9.12 NA 8.71 9.12 8.71 0.25 15.63 15.22 15.63 15.22 0090.10.70.2021000P0 38.2581 4 65155 Reinsert ocular implant A 8.66 11.19 NA10.98 11.19 10.98 0.40 20.25 20.04 20.25 20.04 0090.10.70.2021100P0 38.2581 4 65175 Removal of ocular implant A 6.28 9.12 NA 8.72 9.12 8.72 0.26 15.66 15.26 15.66 15.26 0090.10.70.2021110P0 38.2581 4 65205 Remove foreign body from eye A 0.71 5.07 3.90 0.20 0.20 0.03 5.81 4.64 0.94 0.94 0000.00.00.0021100P0 38.2581 4 65210 Remove foreign body from eye A 0.84 5.26 4.07 0.31 0.30 0.03 6.13 4.94 1.18 1.17 0000.00.00.0021100P0 38.2581 4 65220 Remove foreign body from eye A 0.71 6.55 5.05 0.19 0.21 0.05 7.31 5.81 0.95 0.97 0000.00.00.0021100P0 38.2581 4 65222 Remove foreign body from eye A 0.93 5.20 4.06 0.28 0.29 0.04 6.17 5.03 1.25 1.26 0000.00.00.0021100P0 38.2581 4 65235 Remove foreign body from eye A 7.57 6.82 NA 6.64 6.82 6.64 0.30 14.69 14.51 14.69 14.51 0090.10.70.2021000P0 38.2581 4 65260 Remove foreign body from eye A 10.96 11.80 NA11.19 11.80 11.19 0.43 23.19 22.58 23.19 22.58 0090.10.70.2021200P0 38.2581 4 65265 Remove foreign body from eye A 12.59 13.36 NA12.75 13.36 12.75 0.50 26.45 25.84 26.45 25.84 0090.10.70.2021210P0 38.2581 4 65270 Repair of eye wound A 1.90 3.60 3.02 2.01 1.83 0.08 5.58 5.00 3.99 3.81 0010.10.80.1021000P0 38.2581 4 65272 Repair of eye wound A 3.82 5.00 4.20 3.86 3.34 0.16 8.98 8.18 7.84 7.32 0090.10.70.2021100P0 38.2581 4 65273 Repair of eye wound A 4.36 4.34 NA 4.13 4.34 4.13 0.17 8.87 8.66 8.87 8.66 0090.10.70.2021110P0 38.2581 4 65275 Repair of eye wound A 5.34 5.04 3.96 4.66 3.68 0.27 10.65 9.57 10.27 9.29 0090.10.70.2021000P0 38.2581 4 65280 Repair of eye wound A 7.66 7.28 NA 7.75 7.28 7.75 0.30 15.24 15.71 15.24 15.71 0090.10.70.2021000P0 38.2581 4 65285 Repair of eye wound A 12.90 13.37 NA13.36 13.37 13.36 0.51 26.78 26.77 26.78 26.77 0090.10.70.2021200P0 38.2581 4 65286 Repair of eye wound A 5.51 7.90 7.23 6.73 5.70 0.21 13.62 12.95 12.45 11.42 0090.10.70.2021100P0 38.2581 4 65290 Repair of eye socket wound A 5.41 6.78 NA 6.70 6.78 6.70 0.26 12.45 12.37 12.45 12.37 0090.10.70.2021110P0 38.2581 4 65400 Removal of eye lesion A 6.06 7.91 7.69 6.51 6.64 0.24 14.21 13.99 12.81 12.94 0090.10.70.2021100P0 38.2581 4 65410 Biopsy of cornea A 1.47 1.69 1.70 0.67 0.94 0.06 3.22 3.23 2.20 2.47 0000.00.00.0021000P0 38.2581 4 65420 Removal of eye lesion A 4.17 7.06 6.46 6.04 5.69 0.17 11.40 10.80 10.38 10.03 0090.10.70.2021100P0 38.2581 4 65426 Removal of eye lesion A 5.25 7.28 7.03 6.11 6.15 0.20 12.73 12.48 11.56 11.60 0090.10.70.2021100P0 38.2581 4 65430 Corneal smear A 1.47 5.79 4.49 0.72 0.62 0.06 7.32 6.02 2.25 2.15 0000.00.00.0021100P0 38.2581 4 65435 Curette/treat cornea A 0.92 1.33 1.21 0.42 0.42 0.04 2.29 2.17 1.38 1.38 0000.00.00.0021100P0 38.2581 4 65436 Curette/treat cornea A 4.19 5.23 4.34 4.32 3.45 0.17 9.59 8.70 8.68 7.81 0090.10.70.2021100P0 38.2581 4 65450 Treatment of corneal lesion A 3.27 6.80 5.99 5.62 5.11 0.13 10.20 9.39 9.02 8.51 0090.10.70.2021100P0 38.2581 4 65600 Revision of cornea A 3.40 4.77 4.29 1.49 1.47 0.14 8.31 7.83 5.03 5.01 0090.10.70.2021100P0 38.2581 4 65710 Corneal transplant A 12.35 12.84 NA13.01 12.84 13.01 0.49 25.68 25.85 25.68 25.85 0090.10.70.2021210P0 38.2581 4 65730 Corneal transplant A 14.25 12.30 NA13.33 12.30 13.33 0.56 27.11 28.14 27.11 28.14 0090.10.70.2021210P0 38.2581 4 65750 Corneal transplant A 15.00 14.14 NA14.97 14.14 14.97 0.59 29.73 30.56 29.73 30.56 0090.10.70.2021210P0 38.2581 4 65755 Corneal transplant A 14.89 14.05 NA14.91 14.05 14.91 0.58 29.52 30.38 29.52 30.38 0090.10.70.2021210P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 65770 Revise cornea with implant A 17.56 15.10 NA15.07 15.10 15.07 0.69 33.35 33.32 33.35 33.32 0090.10.70.2021200P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 65772 Correction of astigmatism A 4.29 6.30 6.01 5.34 4.65 0.17 10.76 10.47 9.80 9.11 0090.10.70.2021100P0 38.2581 4 65775 Correction of astigmatism A 5.79 8.26 NA 7.92 8.26 7.92 0.22 14.27 13.93 14.27 13.93 0090.10.70.2021100P0 38.2581 4 65800 Drainage of eye A 1.91 2.21 2.13 1.40 1.52 0.08 4.20 4.12 3.39 3.51 0000.00.00.0021100P0 38.2581 4 65805 Drainage of eye A 1.91 2.21 2.15 1.41 1.30 0.08 4.20 4.14 3.40 3.29 0000.00.00.0021100P0 38.2581 4 65810 Drainage of eye A 4.87 7.41 NA 7.01 7.41 7.01 0.19 12.47 12.07 12.47 12.07 0090.10.70.2021100P0 38.2581 4 65815 Drainage of eye A 5.05 8.10 7.29 6.94 6.42 0.20 13.35 12.54 12.19 11.67 0090.10.70.2021100P0 38.2581 4 65820 Relieve inner eye pressure A 8.13 9.29 NA 9.56 9.29 9.56 0.32 17.74 18.01 17.74 18.01 0090.10.70.2021000P0 38.2581 4 65850 Incision of eye A 10.52 9.63 NA10.36 9.63 10.36 0.41 20.56 21.29 20.56 21.29 0090.10.70.2021110P0 38.2581 4 65855 Laser surgery of eye A 4.30 5.15 5.49 3.86 3.71 0.17 9.62 9.96 8.33 8.18 0090.10.70.2021100P0 38.2581 4 65860 Incise inner eye adhesions A 3.55 3.80 3.91 3.01 2.79 0.14 7.49 7.60 6.70 6.48 0090.10.70.2021000P0 38.2581 4 65865 Incise inner eye adhesions A 5.60 6.26 NA 6.37 6.26 6.37 0.22 12.08 12.19 12.08 12.19 0090.10.70.2021110P0 38.2581 4 65870 Incise inner eye adhesions A 6.27 6.61 NA 6.55 6.61 6.55 0.24 13.12 13.06 13.12 13.06 0090.10.70.2021110P0 38.2581 4 65875 Incise inner eye adhesions A 6.54 6.73 NA 6.75 6.73 6.75 0.25 13.52 13.54 13.52 13.54 0090.10.70.2021110P0 38.2581 4 65880 Incise inner eye adhesions A 7.09 6.97 NA 7.09 6.97 7.09 0.28 14.34 14.46 14.34 14.46 0090.10.70.2021100P0 38.2581 4 65900 Remove eye lesion A 10.93 12.07 NA11.20 12.07 11.20 0.46 23.46 22.59 23.46 22.59 0090.10.70.2021200P0 38.2581 4 65920 Remove implant from eye A 8.40 7.65 NA 8.01 7.65 8.01 0.33 16.38 16.74 16.38 16.74 0090.10.70.2021110P0 38.2581 4 65930 Remove blood clot from eye A 7.44 8.08 NA 8.14 8.08 8.14 0.29 15.81 15.87 15.81 15.87 0090.10.70.2021110P0 38.2581 4 66020 Injection treatment of eye A 1.59 2.28 2.19 1.49 1.59 0.07 3.94 3.85 3.15 3.25 0010.10.80.1021100P0 38.2581 4 66030 Injection treatment of eye A 1.25 2.12 1.74 1.32 1.07 0.05 3.42 3.04 2.62 2.37 0010.10.80.1021100P0 38.2581 4 66130 Remove eye lesion A 7.69 6.91 6.62 6.05 5.97 0.31 14.91 14.62 14.05 13.97 0090.10.70.2021000P0 38.2581 4 66150 Glaucoma surgery A 8.30 10.25 NA10.17 10.25 10.17 0.33 18.88 18.80 18.88 18.80 0090.10.70.2021110P0 38.2581 4 66155 Glaucoma surgery A 8.29 10.21 NA10.13 10.21 10.13 0.32 18.82 18.74 18.82 18.74 0090.10.70.2021100P0 38.2581 4 66160 Glaucoma surgery A 10.17 11.16 NA11.29 11.16 11.29 0.41 21.74 21.87 21.74 21.87 0090.10.70.2021110P0 38.2581 4 66165 Glaucoma surgery A 8.01 10.18 NA10.03 10.18 10.03 0.31 18.50 18.35 18.50 18.35 0090.10.70.2021200P0 38.2581 4 66170 Glaucoma surgery A 12.16 12.17 NA12.43 12.17 12.43 0.48 24.81 25.07 24.81 25.07 0090.10.70.2021210P0 38.2581 4 66172 Incision of eye A 15.04 15.09 NA14.62 15.09 14.62 0.59 30.72 30.25 30.72 30.25 0090.10.70.2021210P0 38.2581 4 66180 Implant eye shunt A 14.55 12.32 NA13.58 12.32 13.58 0.57 27.44 28.70 27.44 28.70 0090.10.70.2021210P0 38.2581 4 66185 Revise eye shunt A 8.14 8.40 NA 8.73 8.40 8.73 0.32 16.86 17.19 16.86 17.19 0090.10.70.2021200P0 38.2581 4 66220 Repair eye lesion A 7.77 10.01 NA 9.12 10.01 9.12 0.32 18.10 17.21 18.10 17.21 0090.10.70.2021210P0 38.2581 4 66225 Repair/graft eye lesion A 11.05 9.73 NA10.60 9.73 10.60 0.44 21.22 22.09 21.22 22.09 0090.10.70.2021210P0 38.2581 4 66250 Follow-up surgery of eye A 5.98 7.92 7.73 6.47 6.64 0.23 14.13 13.94 12.68 12.85 0090.10.70.2021100P0 38.2581 4 66500 Incision of iris A 3.71 4.08 NA 4.17 4.08 4.17 0.15 7.94 8.03 7.94 8.03 0090.10.70.2021110P0 38.2581 4 66505 Incision of iris A 4.08 4.29 NA 4.11 4.29 4.11 0.17 8.54 8.36 8.54 8.36 0090.10.70.2021100P0 38.2581 4 66600 Remove iris and lesion A 8.68 9.28 NA 9.50 9.28 9.50 0.34 18.30 18.52 18.30 18.52 0090.10.70.2021100P0 38.2581 4 66605 Removal of iris A 12.79 12.61 NA12.68 12.61 12.68 0.61 26.01 26.08 26.01 26.08 0090.10.70.2021100P0 38.2581 4 66625 Removal of iris A 5.13 7.97 7.51 6.99 6.77 0.20 13.30 12.84 12.32 12.10 0090.10.70.2021100P0 38.2581 4 66630 Removal of iris A 6.16 8.04 NA 7.87 8.04 7.87 0.24 14.44 14.27 14.44 14.27 0090.10.70.2021100P0 38.2581 4 66635 Removal of iris A 6.25 6.59 NA 6.81 6.59 6.81 0.24 13.08 13.30 13.08 13.30 0090.10.70.2021100P0 38.2581 4 66680 Repair iris & ciliary body A 5.44 6.18 NA 6.26 6.18 6.26 0.21 11.83 11.91 11.83 11.91 0090.10.70.2021110P0 38.2581 4 66682 Repair iris & ciliary body A 6.21 8.08 NA 7.91 8.08 7.91 0.24 14.53 14.36 14.53 14.36 0090.10.70.2021100P0 38.2581 4 66700 Destruction, ciliary body A 4.78 7.67 7.18 6.35 6.19 0.19 12.64 12.15 11.32 11.16 0090.10.70.2021000P0 38.2581 4 66710 Destruction, ciliary body A 4.78 7.64 7.16 6.37 6.21 0.18 12.60 12.12 11.33 11.17 0090.10.70.2021100P0 38.2581 4 66720 Destruction, ciliary body A 4.78 7.46 7.02 6.32 6.17 0.19 12.43 11.99 11.29 11.14 0090.10.70.2021100P0 38.2581 4 66740 Destruction, ciliary body A 4.78 5.87 NA 5.83 5.87 5.83 0.18 10.83 10.79 10.83 10.79 0090.10.70.2021100P0 38.2581 4 66761 Revision of iris A 4.07 5.23 5.14 4.12 3.70 0.16 9.46 9.37 8.35 7.93 0090.10.70.2021100P0 38.2581 4 66762 Revision of iris A 4.58 5.37 5.40 4.30 3.91 0.18 10.13 10.16 9.06 8.67 0090.10.70.2021100P0 38.2581 4 66770 Removal of inner eye lesion A 5.18 5.68 5.81 4.55 4.19 0.20 11.06 11.19 9.93 9.57 0090.10.70.2021100P0 38.2581 4 66820 Incision, secondary cataract A 3.89 6.97 NA 6.39 6.97 6.39 0.16 11.02 10.44 11.02 10.44 0090.10.70.2021100P0 38.2581 4 66821 After cataract laser surgery A 2.35 3.56 3.37 3.17 3.08 0.10 6.01 5.82 5.62 5.53 0090.10.70.2021100P0 38.2581 4 66825 Reposition intraocular lens A 8.23 9.04 NA 8.77 9.04 8.77 0.32 17.59 17.32 17.59 17.32 0090.10.70.2021000P0 38.2581 4 66830 Removal of lens lesion A 8.20 6.80 NA 7.18 6.80 7.18 0.32 15.32 15.70 15.32 15.70 0090.10.70.2021100P0 38.2581 4 66840 Removal of lens material A 7.91 6.76 NA 7.43 6.76 7.43 0.31 14.98 15.65 14.98 15.65 0090.10.70.2021100P0 38.2581 4 66850 Removal of lens material A 9.11 7.30 NA 8.19 7.30 8.19 0.36 16.77 17.66 16.77 17.66 0090.10.70.2021100P0 38.2581 4 66852 Removal of lens material A 9.97 7.79 NA 8.82 7.79 8.82 0.39 18.15 19.18 18.15 19.18 0090.10.70.2021010P0 38.2581 4 66920 Extraction of lens A 8.86 7.26 NA 8.09 7.26 8.09 0.35 16.47 17.30 16.47 17.30 0090.10.70.2021010P0 38.2581 4 66930 Extraction of lens A 10.18 8.76 NA 9.42 8.76 9.42 0.41 19.35 20.01 19.35 20.01 0090.10.70.2021000P0 38.2581 4 66940 Extraction of lens A 8.93 8.16 NA 8.79 8.16 8.79 0.35 17.44 18.07 17.44 18.07 0090.10.70.2021010P0 38.2581 4 66982 Cataract surgery, complex A 13.50 9.09 NA 9.09 9.09 9.09 0.55 23.14 23.14 23.14 23.14 0090.10.70.202110090 38.2581 5 66983 Cataract surg w/iol, 1 stage A 8.99 5.69 NA 6.95 5.69 6.95 0.37 15.05 16.31 15.05 16.31 0090.10.70.2021100P0 38.2581 4 66984 Cataract surg w/iol, i stage A 10.23 7.60 NA 8.77 7.60 8.77 0.41 18.24 19.41 18.24 19.41 0090.10.70.2021100P0 38.2581 4 66985 Insert lens prosthesis A 8.39 6.75 NA 7.57 6.75 7.57 0.33 15.47 16.29 15.47 16.29 0090.10.70.2021110P0 38.2581 4 66986 Exchange lens prosthesis A 12.28 8.89 NA 9.98 8.89 9.98 0.49 21.66 22.75 21.66 22.75 0090.10.70.2021110P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 67005 Partial removal of eye fluid A 5.70 2.80 NA 3.80 2.80 3.80 0.22 8.72 9.72 8.72 9.72 0090.10.70.2021110P0 38.2581 4 67010 Partial removal of eye fluid A 6.87 3.41 NA 4.61 3.41 4.61 0.27 10.55 11.75 10.55 11.75 0090.10.70.2021210P0 38.2581 4 67015 Release of eye fluid A 6.92 7.78 NA 7.59 7.78 7.59 0.27 14.97 14.78 14.97 14.78 0090.10.70.2021110P0 38.2581 4 67025 Replace eye fluid A 6.84 14.70 12.86 7.25 7.27 0.27 21.81 19.97 14.36 14.38 0090.10.70.2021110P0 38.2581 4 67027 Implant eye drug system A 10.85 16.42 14.77 8.56 8.87 0.46 27.73 26.08 19.87 20.18 0090.10.70.2021210P0 38.2581 4 67028 Injection eye drug A 2.52 8.04 6.90 1.24 1.68 0.11 10.67 9.53 3.87 4.31 0000.00.00.0021100P0 38.2581 4 67030 Incise inner eye strands A 4.84 6.32 NA 6.18 6.32 6.18 0.19 11.35 11.21 11.35 11.21 0090.10.70.2021210P0 38.2581 4 67031 Laser surgery, eye strands A 3.67 3.89 4.01 3.08 2.86 0.15 7.71 7.83 6.90 6.68 0090.10.70.2021100P0 38.2581 4 67036 Removal of inner eye fluid A 11.89 9.05 NA10.34 9.05 10.34 0.47 21.41 22.70 21.41 22.70 0090.10.70.2021210P0 38.2581 4 67038 Strip retinal membrane A 21.24 15.54 NA17.99 15.54 17.99 0.84 37.62 40.07 37.62 40.07 0090.10.70.2021210P0 38.2581 4 67039 Laser treatment of retina A 14.52 12.20 NA13.48 12.20 13.48 0.57 27.29 28.57 27.29 28.57 0090.10.70.2021210P0 38.2581 4 67040 Laser treatment of retina A 17.23 13.57 NA15.32 13.57 15.32 0.68 31.48 33.23 31.48 33.23 0090.10.70.2021210P0 38.2581 4 67101 Repair detached retina A 7.53 10.69 10.27 8.67 7.63 0.29 18.51 18.09 16.49 15.45 0090.10.70.2021100P0 38.2581 4 67105 Repair detached retina A 7.41 7.41 8.04 5.62 5.46 0.29 15.11 15.74 13.32 13.16 0090.10.70.2021100P0 38.2581 4 67107 Repair detached retina A 14.84 13.10 NA14.25 13.10 14.25 0.58 28.52 29.67 28.52 29.67 0090.10.70.2021210P0 38.2581 4 67108 Repair detached retina A 20.82 17.42 NA19.28 17.42 19.28 0.82 39.06 40.92 39.06 40.92 0090.10.70.2021210P0 38.2581 4 67110 Repair detached retina A 8.81 18.19 16.27 10.08 10.19 0.35 27.35 25.43 19.24 19.35 0090.10.70.2021100P0 38.2581 4 67112 Rerepair detached retina A 16.86 15.43 NA16.05 15.43 16.05 0.66 32.95 33.57 32.95 33.57 0090.10.70.2021210P0 38.2581 4 67115 Release encircling material A 4.99 6.42 NA 6.31 6.42 6.31 0.19 11.60 11.49 11.60 11.49 0090.10.70.2021100P0 38.2581 4 67120 Remove eye implant material A 5.98 14.09 12.35 6.82 6.90 0.23 20.30 18.56 13.03 13.11 0090.10.70.2021110P0 38.2581 4 67121 Remove eye implant material A 10.67 11.60 NA11.26 11.60 11.26 0.42 22.69 22.35 22.69 22.35 0090.10.70.2021210P0 38.2581 4 67141 Treatment of retina A 5.20 7.62 7.27 6.58 5.71 0.20 13.02 12.67 11.98 11.11 0090.10.70.2021100P0 38.2581 4 67145 Treatment of retina A 5.37 5.21 5.67 4.21 4.04 0.21 10.79 11.25 9.79 9.62 0090.10.70.2021100P0 38.2581 4 67208 Treatment of retinal lesion A 6.70 8.02 8.02 6.75 6.06 0.26 14.98 14.98 13.71 13.02 0090.10.70.2021100P0 38.2581 4 67210 Treatment of retinal lesion A 8.82 7.24 7.88 5.87 5.63 0.35 16.41 17.05 15.04 14.80 0090.10.70.2021100P0 38.2581 4 67218 Treatment of retinal lesion A 13.52 13.04 NA13.39 13.04 13.39 0.53 27.09 27.44 27.09 27.44 0090.10.70.2021100P0 38.2581 4 67220 Treatment of choroid lesion A 13.13 11.21 11.21 10.05 10.05 0.51 24.85 24.85 23.69 23.69 0090.10.70.2021100P0 38.2581 5 67221 Ocular photodynamic ther A 4.01 4.40 4.40 2.00 2.00 0.50 8.91 8.91 6.51 6.51 0000.00.00.002010090 38.2581 5 67227 Treatment of retinal lesion A 6.58 8.60 8.42 6.87 7.12 0.26 15.44 15.26 13.71 13.96 0090.10.70.2021100P0 38.2581 4 67228 Treatment of retinal lesion A 12.74 9.89 9.97 7.47 6.88 0.50 23.13 23.21 20.71 20.12 0090.10.70.2021100P0 38.2581 4 67250 Reinforce eye wall A 8.66 10.22 NA 9.56 10.22 9.56 0.36 19.24 18.58 19.24 18.58 0090.10.70.2021110P0 38.2581 4 67255 Reinforce/graft eye wall A 8.90 10.31 NA10.39 10.31 10.39 0.35 19.56 19.64 19.56 19.64 0090.10.70.2021210P0 38.2581 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 0YYY.00.00.0021011P0 38.2581 9 67311 Revise eye muscle A 6.65 6.37 NA 6.76 6.37 6.76 0.27 13.29 13.68 13.29 13.68 0090.10.70.2021100P0 38.2581 4 67312 Revise two eye muscles A 8.54 7.38 NA 8.08 7.38 8.08 0.35 16.27 16.97 16.27 16.97 0090.10.70.2021110P0 38.2581 4 67314 Revise eye muscle A 7.52 6.86 NA 7.39 6.86 7.39 0.30 14.68 15.21 14.68 15.21 0090.10.70.2021100P0 38.2581 4 67316 Revise two eye muscles A 9.66 7.88 NA 8.70 7.88 8.70 0.40 17.94 18.76 17.94 18.76 0090.10.70.2021000P0 38.2581 4 67318 Revise eye muscle(s) A 7.85 7.31 NA 7.17 7.31 7.17 0.31 15.47 15.33 15.47 15.33 0090.10.70.2021110P0 38.2581 4 67320 Revise eye muscle(s) add-on A 4.33 6.87 NA 7.74 6.87 7.74 0.17 11.37 12.24 11.37 12.24 0ZZZ.00.00.0001100P0 38.2581 4 67331 Eye surgery follow-up add-on A 4.06 5.26 NA 6.37 5.26 6.37 0.17 9.49 10.60 9.49 10.60 0ZZZ.00.00.0001110P0 38.2581 4 67332 Rerevise eye muscles add-on A 4.49 5.93 NA 7.13 5.93 7.13 0.18 10.60 11.80 10.60 11.80 0ZZZ.00.00.0001210P0 38.2581 4 67334 Revise eye muscle w/suture A 3.98 5.43 NA 5.78 5.43 5.78 0.16 9.57 9.92 9.57 9.92 0ZZZ.00.00.0001110P0 38.2581 4 67335 Eye suture during surgery A 2.49 1.22 NA 1.66 1.22 1.66 0.10 3.81 4.25 3.81 4.25 0ZZZ.00.00.0001110P0 38.2581 4 67340 Revise eye muscle add-on A 4.93 7.20 NA 7.54 7.20 7.54 0.19 12.32 12.66 12.32 12.66 0ZZZ.00.00.0001200P0 38.2581 4 67343 Release eye tissue A 7.35 7.25 NA 7.02 7.25 7.02 0.30 14.90 14.67 14.90 14.67 0090.10.70.2021210P0 38.2581 4 67345 Destroy nerve of eye muscle A 2.96 4.22 3.77 1.43 1.38 0.13 7.31 6.86 4.52 4.47 0010.10.80.1021100P0 38.2581 4 67350 Biopsy eye muscle A 2.87 2.46 NA 2.49 2.46 2.49 0.13 5.46 5.49 5.46 5.49 0000.00.00.0021000P0 38.2581 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 0YYY.00.00.0021211P0 38.2581 9 67400 Explore/biopsy eye socket A 9.76 11.86 NA11.81 11.86 11.81 0.43 22.05 22.00 22.05 22.00 0090.10.70.2021210P0 38.2581 4 67405 Explore/drain eye socket A 7.93 10.65 NA10.35 10.65 10.35 0.36 18.94 18.64 18.94 18.64 0090.10.70.2021200P0 38.2581 4 67412 Explore/treat eye socket A 9.50 13.04 NA12.62 13.04 12.62 0.41 22.95 22.53 22.95 22.53 0090.10.70.2021210P0 38.2581 4 67413 Explore/treat eye socket A 10.00 11.47 NA10.80 11.47 10.80 0.43 21.90 21.23 21.90 21.23 0090.10.70.2021200P0 38.2581 4 67414 Explr/decompress eye socket A 11.13 13.69 NA12.55 13.69 12.55 0.48 25.30 24.16 25.30 24.16 0090.10.70.2021210P0 38.2581 4 67415 Aspiration, orbital contents A 1.76 0.85 NA 1.17 0.85 1.17 0.09 2.70 3.02 2.70 3.02 0000.00.00.0021000P0 38.2581 4 67420 Explore/treat eye socket A 20.06 17.54 NA17.71 17.54 17.71 0.84 38.44 38.61 38.44 38.61 0090.10.70.2021210P0 38.2581 4 67430 Explore/treat eye socket A 13.39 18.61 NA16.85 18.61 16.85 0.97 32.97 31.21 32.97 31.21 0090.10.70.2021200P0 38.2581 4 67440 Explore/drain eye socket A 13.09 14.36 NA14.68 14.36 14.68 0.58 28.03 28.35 28.03 28.35 0090.10.70.2021210P0 38.2581 4 67445 Explr/decompress eye socket A 14.42 15.68 NA14.78 15.68 14.78 0.63 30.73 29.83 30.73 29.83 0090.10.70.2021210P0 38.2581 4 67450 Explore/biopsy eye socket A 13.51 14.19 NA14.68 14.19 14.68 0.56 28.26 28.75 28.26 28.75 0090.10.70.2021210P0 38.2581 4 67500 Inject/treat eye socket A 0.79 2.29 1.92 0.20 0.35 0.04 3.12 2.75 1.03 1.18 0000.00.00.0021100P0 38.2581 4 67505 Inject/treat eye socket A 0.82 0.92 0.97 0.21 0.28 0.04 1.78 1.83 1.07 1.14 0000.00.00.0021100P0 38.2581 4 67515 Inject/treat eye socket A 0.61 0.81 0.76 0.30 0.30 0.02 1.44 1.39 0.93 0.93 0000.00.00.0021100P0 38.2581 4 67550 Insert eye socket implant A 10.19 11.90 NA11.54 11.90 11.54 0.50 22.59 22.23 22.59 22.23 0090.10.70.2021110P0 38.2581 4 67560 Revise eye socket implant A 10.60 11.57 NA10.93 11.57 10.93 0.47 22.64 22.00 22.64 22.00 0090.10.70.2021000P0 38.2581 4 67570 Decompress optic nerve A 13.58 14.86 NA13.20 14.86 13.20 0.69 29.13 27.47 29.13 27.47 0090.10.70.2021210P0 38.2581 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 0YYY.00.00.0021211P0 38.2581 9 67700 Drainage of eyelid abscess A 1.35 5.31 4.12 0.62 0.53 0.06 6.72 5.53 2.03 1.94 0010.10.80.1021100P0 38.2581 4 67710 Incision of eyelid A 1.02 5.48 4.39 0.51 0.52 0.04 6.54 5.45 1.57 1.58 0010.10.80.1021100P0 38.2581 4 67715 Incision of eyelid fold A 1.22 0.61 NA 0.82 0.61 0.82 0.05 1.88 2.09 1.88 2.09 0010.10.80.1021100P0 38.2581 4 67800 Remove eyelid lesion A 1.38 2.26 1.95 0.68 0.64 0.06 3.70 3.39 2.12 2.08 0010.10.80.1020100P0 38.2581 4 67801 Remove eyelid lesions A 1.88 5.70 4.65 0.93 0.89 0.08 7.66 6.61 2.89 2.85 0010.10.80.1020100P0 38.2581 4 67805 Remove eyelid lesions A 2.22 5.90 4.80 1.10 1.01 0.09 8.21 7.11 3.41 3.32 0010.10.80.1020100P0 38.2581 4 67808 Remove eyelid lesion(s) A 3.80 3.86 NA 3.47 3.86 3.47 0.17 7.83 7.44 7.83 7.44 0090.10.70.2020100P0 38.2581 4 67810 Biopsy of eyelid A 1.48 4.41 3.53 0.73 0.66 0.06 5.95 5.07 2.27 2.20 0000.00.00.0020100P0 38.2581 4 67820 Revise eyelashes A 0.89 1.56 1.27 0.38 0.34 0.04 2.49 2.20 1.31 1.27 0000.00.00.0020100P0 38.2581 4 67825 Revise eyelashes A 1.38 6.95 5.46 1.68 1.38 0.06 8.39 6.90 3.12 2.82 0010.10.80.1020100P0 38.2581 4 67830 Revise eyelashes A 1.70 8.17 6.70 1.90 1.93 0.07 9.94 8.47 3.67 3.70 0010.10.80.1020100P0 38.2581 4 67835 Revise eyelashes A 5.56 4.64 NA 5.14 4.64 5.14 0.22 10.42 10.92 10.42 10.92 0090.10.70.2020000P0 38.2581 4 67840 Remove eyelid lesion A 2.04 5.77 4.66 1.01 0.92 0.08 7.89 6.78 3.13 3.04 0010.10.80.1020100P0 38.2581 4 67850 Treat eyelid lesion A 1.69 7.01 5.48 1.78 1.45 0.07 8.77 7.24 3.54 3.21 0010.10.80.1020100P0 38.2581 4 67875 Closure of eyelid by suture A 1.35 8.33 6.72 1.84 1.79 0.06 9.74 8.13 3.25 3.20 0000.00.00.0020100P0 38.2581 4 67880 Revision of eyelid A 3.80 9.26 8.02 2.96 3.29 0.16 13.22 11.98 6.92 7.25 0090.10.70.2020100P0 38.2581 4 67882 Revision of eyelid A 5.07 12.04 10.55 4.44 4.85 0.21 17.32 15.83 9.72 10.13 0090.10.70.2020100P0 38.2581 4 67900 Repair brow defect A 6.14 10.06 8.57 6.31 5.76 0.30 16.50 15.01 12.75 12.20 0090.10.70.2020100P0 38.2581 4 67901 Repair eyelid defect A 6.97 6.55 NA 6.99 6.55 6.99 0.32 13.84 14.28 13.84 14.28 0090.10.70.2021100P0 38.2581 4 67902 Repair eyelid defect A 7.03 6.64 NA 7.08 6.64 7.08 0.34 14.01 14.45 14.01 14.45 0090.10.70.2021110P0 38.2581 4 67903 Repair eyelid defect A 6.37 11.55 10.57 7.12 7.24 0.39 18.31 17.33 13.88 14.00 0090.10.70.2021110P0 38.2581 4 67904 Repair eyelid defect A 6.26 12.65 11.36 7.45 7.46 0.26 19.17 17.88 13.97 13.98 0090.10.70.2021110P0 38.2581 4 67906 Repair eyelid defect A 6.79 7.32 6.97 6.35 6.25 0.42 14.53 14.18 13.56 13.46 0090.10.70.2021100P0 38.2581 4 67908 Repair eyelid defect A 5.13 8.40 7.83 5.93 5.98 0.20 13.73 13.16 11.26 11.31 0090.10.70.2021100P0 38.2581 4 67909 Revise eyelid defect A 5.40 9.39 8.66 6.51 6.50 0.25 15.04 14.31 12.16 12.15 0090.10.70.2021100P0 38.2581 4 67911 Revise eyelid defect A 5.27 6.37 NA 6.35 6.37 6.35 0.23 11.87 11.85 11.87 11.85 0090.10.70.2021100P0 38.2581 4 67914 Repair eyelid defect A 3.68 9.75 8.41 3.36 3.62 0.16 13.59 12.25 7.20 7.46 0090.10.70.2021100P0 38.2581 4 67915 Repair eyelid defect A 3.18 8.51 6.72 1.60 1.37 0.13 11.82 10.03 4.91 4.68 0090.10.70.2021100P0 38.2581 4 67916 Repair eyelid defect A 5.31 13.00 11.34 5.07 5.39 0.22 18.53 16.87 10.60 10.92 0090.10.70.2021100P0 38.2581 4 67917 Repair eyelid defect A 6.02 9.39 8.84 6.44 6.63 0.25 15.66 15.11 12.71 12.90 0090.10.70.2021100P0 38.2581 4 67921 Repair eyelid defect A 3.40 9.40 8.07 3.12 3.36 0.14 12.94 11.61 6.66 6.90 0090.10.70.2021100P0 38.2581 4 67922 Repair eyelid defect A 3.06 8.46 6.67 2.94 2.37 0.13 11.65 9.86 6.13 5.56 0090.10.70.2021100P0 38.2581 4 67923 Repair eyelid defect A 5.88 12.99 11.50 5.24 5.69 0.24 19.11 17.62 11.36 11.81 0090.10.70.2021100P0 38.2581 4 67924 Repair eyelid defect A 5.79 8.77 8.31 5.79 6.07 0.23 14.79 14.33 11.81 12.09 0090.10.70.2021100P0 38.2581 4 67930 Repair eyelid wound A 3.61 9.24 7.28 2.92 2.36 0.17 13.02 11.06 6.70 6.14 0010.10.80.1020100P0 38.2581 4 67935 Repair eyelid wound A 6.22 13.75 11.34 5.23 4.95 0.29 20.26 17.85 11.74 11.46 0090.10.70.2020100P0 38.2581 4 67938 Remove eyelid foreign body A 1.33 6.56 5.06 0.54 0.48 0.06 7.95 6.45 1.93 1.87 0010.10.80.1020100P0 38.2581 4 67950 Revision of eyelid A 5.82 8.38 8.02 7.07 7.04 0.30 14.50 14.14 13.19 13.16 0090.10.70.2020110P0 38.2581 4 67961 Revision of eyelid A 5.69 8.77 8.28 5.99 6.19 0.26 14.72 14.23 11.94 12.14 0090.10.70.2020000P0 38.2581 4 67966 Revision of eyelid A 6.57 8.49 8.33 6.19 6.61 0.33 15.39 15.23 13.09 13.51 0090.10.70.2020100P0 38.2581 4 67971 Reconstruction of eyelid A 9.79 7.91 NA 8.83 7.91 8.83 0.42 18.12 19.04 18.12 19.04 0090.10.70.2020210P0 38.2581 4 67973 Reconstruction of eyelid A 12.87 10.06 NA11.22 10.06 11.22 0.59 23.52 24.68 23.52 24.68 0090.10.70.2020210P0 38.2581 4 67974 Reconstruction of eyelid A 12.84 10.00 NA11.32 10.00 11.32 0.54 23.38 24.70 23.38 24.70 0090.10.70.2020210P0 38.2581 4 67975 Reconstruction of eyelid A 9.13 7.56 NA 6.80 7.56 6.80 0.38 17.07 16.31 17.07 16.31 0090.10.70.2020100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 68020 Incise/drain eyelid lining A 1.37 5.27 4.09 0.68 0.58 0.06 6.70 5.52 2.11 2.01 0010.10.80.1020100P0 38.2581 4 68040 Treatment of eyelid lesions A 0.85 5.14 3.98 0.42 0.38 0.03 6.02 4.86 1.30 1.26 0000.00.00.0020100P0 38.2581 4 68100 Biopsy of eyelid lining A 1.35 5.61 4.48 0.66 0.63 0.06 7.02 5.89 2.07 2.04 0000.00.00.0020100P0 38.2581 4 68110 Remove eyelid lining lesion A 1.77 6.37 5.12 1.39 1.21 0.07 8.21 6.96 3.23 3.05 0010.10.80.1020100P0 38.2581 4 68115 Remove eyelid lining lesion A 2.36 5.93 4.97 1.16 1.39 0.10 8.39 7.43 3.62 3.85 0010.10.80.1020100P0 38.2581 4 68130 Remove eyelid lining lesion A 4.93 2.44 NA 2.94 2.44 2.94 0.19 7.56 8.06 7.56 8.06 0090.10.70.2020100P0 38.2581 4 68135 Remove eyelid lining lesion A 1.84 5.67 4.45 0.91 0.78 0.07 7.58 6.36 2.82 2.69 0010.10.80.1020100P0 38.2581 4 68200 Treat eyelid by injection A 0.49 5.23 4.06 0.24 0.25 0.02 5.74 4.57 0.75 0.76 0000.00.00.0021100P0 38.2581 4 68320 Revise/graft eyelid lining A 5.37 5.30 5.58 5.30 5.58 0.21 10.88 11.16 10.88 11.16 0090.10.70.2020110P0 38.2581 4 68325 Revise/graft eyelid lining A 7.36 6.42 NA 7.01 6.42 7.01 0.30 14.08 14.67 14.08 14.67 0090.10.70.2020110P0 38.2581 4 68326 Revise/graft eyelid lining A 7.15 6.32 NA 6.88 6.32 6.88 0.30 13.77 14.33 13.77 14.33 0090.10.70.2020100P0 38.2581 4 68328 Revise/graft eyelid lining A 8.18 7.06 NA 7.74 7.06 7.74 0.40 15.64 16.32 15.64 16.32 0090.10.70.2020000P0 38.2581 4 68330 Revise eyelid lining A 4.83 6.79 6.53 5.10 5.27 0.19 11.81 11.55 10.12 10.29 0090.10.70.2020000P0 38.2581 4 68335 Revise/graft eyelid lining A 7.19 5.29 NA 6.11 5.29 6.11 0.29 12.77 13.59 12.77 13.59 0090.10.70.2020110P0 38.2581 4 68340 Separate eyelid adhesions A 4.17 11.81 9.71 3.96 3.82 0.17 16.15 14.05 8.30 8.16 0090.10.70.2020000P0 38.2581 4 68360 Revise eyelid lining A 4.37 6.09 5.87 4.87 4.96 0.17 10.63 10.41 9.41 9.50 0090.10.70.2020100P0 38.2581 4 68362 Revise eyelid lining A 7.34 7.58 NA 7.86 7.58 7.86 0.29 15.21 15.49 15.21 15.49 0090.10.70.2020110P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 68400 Incise/drain tear gland A 1.69 8.26 6.47 1.89 1.56 0.07 10.02 8.23 3.65 3.32 0010.10.80.1020100P0 38.2581 4 68420 Incise/drain tear sac A 2.30 8.41 6.59 2.20 1.79 0.10 10.81 8.99 4.60 4.19 0010.10.80.1020100P0 38.2581 4 68440 Incise tear duct opening A 0.94 5.27 4.16 0.47 0.46 0.04 6.25 5.14 1.45 1.44 0010.10.80.1020100P0 38.2581 4 68500 Removal of tear gland A 11.02 10.08 NA 9.63 10.08 9.63 0.60 21.70 21.25 21.70 21.25 0090.10.70.2020100P0 38.2581 4 68505 Partial removal, tear gland A 10.94 10.35 NA10.12 10.35 10.12 0.57 21.86 21.63 21.86 21.63 0090.10.70.2020100P0 38.2581 4 68510 Biopsy of tear gland A 4.61 9.91 8.43 2.24 2.68 0.19 14.71 13.23 7.04 7.48 0000.00.00.0020000P0 38.2581 4 68520 Removal of tear sac A 7.51 6.82 NA 7.36 6.82 7.36 0.33 14.66 15.20 14.66 15.20 0090.10.70.2020000P0 38.2581 4 68525 Biopsy of tear sac A 4.43 2.20 NA 2.65 2.20 2.65 0.18 6.81 7.26 6.81 7.26 0000.00.00.0020110P0 38.2581 4 68530 Clearance of tear duct A 3.66 11.04 9.05 2.83 2.51 0.16 14.86 12.87 6.65 6.33 0010.10.80.1020100P0 38.2581 4 68540 Remove tear gland lesion A 10.60 8.50 NA 8.63 8.50 8.63 0.46 19.56 19.69 19.56 19.69 0090.10.70.2020110P0 38.2581 4 68550 Remove tear gland lesion A 13.26 10.41 NA10.89 10.41 10.89 0.66 24.33 24.81 24.33 24.81 0090.10.70.2020100P0 38.2581 4 68700 Repair tear ducts A 6.60 6.21 NA 5.39 6.21 5.39 0.27 13.08 12.26 13.08 12.26 0090.10.70.2020100P0 38.2581 4 68705 Revise tear duct opening A 2.06 5.92 4.72 1.02 0.91 0.08 8.06 6.86 3.16 3.05 0010.10.80.1020100P0 38.2581 4 68720 Create tear sac drain A 8.96 7.37 NA 8.20 7.37 8.20 0.38 16.71 17.54 16.71 17.54 0090.10.70.2020210P0 38.2581 4 68745 Create tear duct drain A 8.63 7.32 NA 7.27 7.32 7.27 0.38 16.33 16.28 16.33 16.28 0090.10.70.2020210P0 38.2581 4 68750 Create tear duct drain A 8.66 7.79 NA 8.43 7.79 8.43 0.37 16.82 17.46 16.82 17.46 0090.10.70.2020210P0 38.2581 4 68760 Close tear duct opening A 1.73 5.54 4.41 0.85 0.76 0.07 7.34 6.21 2.65 2.56 0010.10.80.1021100P0 38.2581 4 68761 Close tear duct opening A 1.36 6.29 4.97 0.65 0.61 0.06 7.71 6.39 2.07 2.03 0010.10.80.1021000P1A4263 38.2581 4 68770 Close tear system fistula A 7.02 13.61 11.36 5.67 4.83 0.28 20.91 18.66 12.97 12.13 0090.10.70.2020000P0 38.2581 4 68801 Dilate tear duct opening A 0.94 6.39 4.91 0.45 0.40 0.04 7.37 5.89 1.43 1.38 0010.10.80.1021100P0 38.2581 4 68810 Probe nasolacrimal duct A 1.90 8.09 6.22 1.92 1.52 0.08 10.07 8.20 3.90 3.50 0010.10.80.1021100P0 38.2581 4 68811 Probe nasolacrimal duct A 2.35 2.18 NA 2.04 2.18 2.04 0.10 4.63 4.49 4.63 4.49 0010.10.80.1021100P0 38.2581 4 68815 Probe nasolacrimal duct A 3.20 9.94 7.98 2.66 2.26 0.14 13.28 11.32 6.00 5.60 0010.10.80.1021100P0 38.2581 4 68840 Explore/irrigate tear ducts A 1.25 7.01 5.39 0.61 0.53 0.05 8.31 6.69 1.91 1.83 0010.10.80.1020100P0 38.2581 4 68850 Injection for tear sac x-ray A 0.80 12.26 9.33 0.32 0.38 0.03 13.09 10.16 1.15 1.21 0000.00.00.0020100P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 69000 Drain external ear lesion A 1.45 2.04 1.63 0.58 0.48 0.10 3.59 3.18 2.13 2.03 0010.10.80.1020100P0 38.2581 4 69005 Drain external ear lesion A 2.11 2.46 2.16 2.06 1.70 0.16 4.73 4.43 4.33 3.97 0010.10.80.1020100P0 38.2581 4 69020 Drain outer ear canal lesion A 1.48 2.14 1.73 0.74 0.62 0.11 3.73 3.32 2.33 2.21 0010.10.80.1020100P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 69100 Biopsy of external ear A 0.81 1.48 1.29 0.41 0.40 0.04 2.33 2.14 1.26 1.25 0000.00.00.0020100P0 38.2581 4 69105 Biopsy of external ear canal A 0.85 1.46 1.31 0.97 0.84 0.06 2.37 2.22 1.88 1.75 0000.00.00.0020100P0 38.2581 4 69110 Remove external ear, partial A 3.44 3.44 3.29 2.77 2.79 0.24 7.12 6.97 6.45 6.47 0090.07.79.1420100P0 38.2581 4 69120 Removal of external ear A 4.05 4.38 NA 3.50 4.38 3.50 0.31 8.74 7.86 8.74 7.86 0090.07.79.1420100P0 38.2581 4 69140 Remove ear canal lesion(s) A 7.97 7.92 NA 8.11 7.92 8.11 0.56 16.45 16.64 16.45 16.64 0090.07.79.1420000P0 38.2581 4 69145 Remove ear canal lesion(s) A 2.62 3.27 3.13 2.45 2.52 0.18 6.07 5.93 5.25 5.32 0090.07.79.1420100P0 38.2581 4 69150 Extensive ear canal surgery A 13.43 11.09 NA11.16 11.09 11.16 1.07 25.59 25.66 25.59 25.66 0090.07.79.1420110P0 38.2581 4 69155 Extensive ear/neck surgery A 20.80 15.15 NA15.68 15.15 15.68 1.51 37.46 37.99 37.46 37.99 0090.07.79.1420210P0 38.2581 4 69200 Clear outer ear canal A 0.77 1.39 1.16 0.73 0.61 0.05 2.21 1.98 1.55 1.43 0000.00.00.0020100P0 38.2581 4 69205 Clear outer ear canal A 1.20 1.52 NA 1.43 1.52 1.43 0.09 2.81 2.72 2.81 2.72 0010.10.80.1020100P0 38.2581 4 69210 Remove impacted ear wax A 0.61 1.26 1.01 0.24 0.21 0.04 1.91 1.66 0.89 0.86 0000.00.00.0022100P0 38.2581 4 69220 Clean out mastoid cavity A 0.83 1.46 1.23 0.42 0.38 0.06 2.35 2.12 1.31 1.27 0000.00.00.0021100P0 38.2581 4 69222 Clean out mastoid cavity A 1.40 2.14 1.81 1.65 1.34 0.10 3.64 3.31 3.15 2.84 0010.10.80.1021100P0 38.2581 4 69300 Revise external ear R 6.36 4.35 NA 4.70 4.35 4.70 0.43 11.14 11.49 11.14 11.49 0YYY.00.00.0000000P0 38.2581 4 69310 Rebuild outer ear canal A 10.79 9.46 NA 9.77 9.46 9.77 0.77 21.02 21.33 21.02 21.33 0090.07.79.1420100P0 38.2581 4 69320 Rebuild outer ear canal A 16.96 13.64 NA14.21 13.64 14.21 1.17 31.77 32.34 31.77 32.34 0090.07.79.1420200P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 69400 Inflate middle ear canal A 0.83 1.45 1.21 0.45 0.40 0.06 2.34 2.10 1.34 1.29 0000.00.00.0020100P0 38.2581 4 69401 Inflate middle ear canal A 0.63 1.35 1.08 0.36 0.31 0.04 2.02 1.75 1.03 0.98 0000.00.00.0020100P0 38.2581 4 69405 Catheterize middle ear canal A 2.63 2.98 2.37 1.47 1.17 0.18 5.79 5.18 4.28 3.98 0010.10.80.1020000P0 38.2581 4 69410 Inset middle ear (baffle) A 0.33 1.39 1.21 0.16 0.20 0.02 1.74 1.56 0.51 0.55 0000.00.00.0020000P0 38.2581 4 69420 Incision of eardrum A 1.33 2.24 1.87 0.71 0.63 0.10 3.67 3.30 2.14 2.06 0010.10.80.1021100P0 38.2581 4 69421 Incision of eardrum A 1.73 2.50 2.19 1.85 1.70 0.13 4.36 4.05 3.71 3.56 0010.10.80.1021100P0 38.2581 4 69424 Remove ventilating tube A 0.85 1.60 1.36 0.89 0.75 0.06 2.51 2.27 1.80 1.66 0000.00.00.0021100P0 38.2581 4 69433 Create eardrum opening A 1.52 2.22 2.03 0.85 0.82 0.11 3.85 3.66 2.48 2.45 0010.10.80.1021100P0 38.2581 4 69436 Create eardrum opening A 1.96 1.98 NA 2.06 1.98 2.06 0.14 4.08 4.16 4.08 4.16 0010.10.80.1021100P0 38.2581 4 69440 Exploration of middle ear A 7.57 7.12 NA 7.60 7.12 7.60 0.53 15.22 15.70 15.22 15.70 0090.07.79.1420100P0 38.2581 4 69450 Eardrum revision A 5.57 5.93 NA 6.11 5.93 6.11 0.39 11.89 12.07 11.89 12.07 0090.07.79.1420000P0 38.2581 4 69501 Mastoidectomy A 9.07 7.90 NA 8.63 7.90 8.63 0.65 17.62 18.35 17.62 18.35 0090.07.79.1420100P0 38.2581 4 69502 Mastoidectomy A 12.38 10.47 NA11.48 10.47 11.48 0.86 23.71 24.72 23.71 24.72 0090.07.79.1420000P0 38.2581 4 69505 Remove mastoid structures A 12.99 10.64 NA11.86 10.64 11.86 0.92 24.55 25.77 24.55 25.77 0090.07.79.1420000P0 38.2581 4 69511 Extensive mastoid surgery A 13.52 11.02 NA12.30 11.02 12.30 0.96 25.50 26.78 25.50 26.78 0090.07.79.1420000P0 38.2581 4 69530 Extensive mastoid surgery A 19.19 14.59 NA15.48 14.59 15.48 1.32 35.10 35.99 35.10 35.99 0090.07.79.1420200P0 38.2581 4 69535 Remove part of temporal bone A 36.14 24.08 NA24.92 24.08 24.92 2.59 62.81 63.65 62.81 63.65 0090.07.79.1420110P0 38.2581 4 69540 Remove ear lesion A 1.20 2.15 1.96 1.54 1.33 0.09 3.44 3.25 2.83 2.62 0010.10.80.1020100P0 38.2581 4 69550 Remove ear lesion A 10.99 9.68 NA10.54 9.68 10.54 0.80 21.47 22.33 21.47 22.33 0090.07.79.1420200P0 38.2581 4 69552 Remove ear lesion A 19.46 14.24 NA15.22 14.24 15.22 1.36 35.06 36.04 35.06 36.04 0090.07.79.1420200P0 38.2581 4 69554 Remove ear lesion A 33.16 21.65 NA22.44 21.65 22.44 2.32 57.13 57.92 57.13 57.92 0090.07.79.1420210P0 38.2581 4 69601 Mastoid surgery revision A 13.24 11.61 NA12.51 11.61 12.51 0.92 25.77 26.67 25.77 26.67 0090.07.79.1420000P0 38.2581 4 69602 Mastoid surgery revision A 13.58 11.16 NA12.42 11.16 12.42 0.94 25.68 26.94 25.68 26.94 0090.07.79.1420000P0 38.2581 4 69603 Mastoid surgery revision A 14.02 11.44 NA12.76 11.44 12.76 1.00 26.46 27.78 26.46 27.78 0090.07.79.1420000P0 38.2581 4 69604 Mastoid surgery revision A 14.02 11.24 NA12.61 11.24 12.61 0.98 26.24 27.61 26.24 27.61 0090.07.79.1420100P0 38.2581 4 69605 Mastoid surgery revision A 18.49 13.92 NA14.50 13.92 14.50 1.29 33.70 34.28 33.70 34.28 0090.07.79.1420200P0 38.2581 4 69610 Repair of eardrum A 4.43 4.09 3.32 3.37 2.66 0.31 8.83 8.06 8.11 7.40 0010.10.80.1020100P0 38.2581 4 69620 Repair of eardrum A 5.89 6.64 6.74 2.91 3.94 0.40 12.93 13.03 9.20 10.23 0090.07.79.1420100P0 38.2581 4 69631 Repair eardrum structures A 9.86 9.05 NA 9.73 9.05 9.73 0.69 19.60 20.28 19.60 20.28 0090.07.79.1420100P0 38.2581 4 69632 Rebuild eardrum structures A 12.75 11.28 NA12.27 11.28 12.27 0.89 24.92 25.91 24.92 25.91 0090.07.79.1420100P0 38.2581 4 69633 Rebuild eardrum structures A 12.10 10.92 NA11.80 10.92 11.80 0.84 23.86 24.74 23.86 24.74 0090.07.79.1420100P0 38.2581 4 69635 Repair eardrum structures A 13.33 9.40 NA11.03 9.40 11.03 0.87 23.60 25.23 23.60 25.23 0090.07.79.1420100P0 38.2581 4 69636 Rebuild eardrum structures A 15.22 12.78 NA14.13 12.78 14.13 1.07 29.07 30.42 29.07 30.42 0090.07.79.1420000P0 38.2581 4 69637 Rebuild eardrum structures A 15.11 12.72 NA14.05 12.72 14.05 1.06 28.89 30.22 28.89 30.22 0090.07.79.1420000P0 38.2581 4 69641 Revise middle ear & mastoid A 12.71 10.62 NA11.76 10.62 11.76 0.89 24.22 25.36 24.22 25.36 0090.07.79.1420100P0 38.2581 4 69642 Revise middle ear & mastoid A 16.84 13.63 NA15.25 13.63 15.25 1.18 31.65 33.27 31.65 33.27 0090.07.79.1420100P0 38.2581 4 69643 Revise middle ear & mastoid A 15.32 12.77 NA14.15 12.77 14.15 1.08 29.17 30.55 29.17 30.55 0090.07.79.1420100P0 38.2581 4 69644 Revise middle ear & mastoid A 16.97 13.71 NA15.35 13.71 15.35 1.19 31.87 33.51 31.87 33.51 0090.07.79.1420100P0 38.2581 4 69645 Revise middle ear & mastoid A 16.38 13.34 NA14.90 13.34 14.90 1.16 30.88 32.44 30.88 32.44 0090.07.79.1420100P0 38.2581 4 69646 Revise middle ear & mastoid A 17.99 14.29 NA16.09 14.29 16.09 1.26 33.54 35.34 33.54 35.34 0090.07.79.1420000P0 38.2581 4 69650 Release middle ear bone A 9.66 8.28 NA 9.10 8.28 9.10 0.68 18.62 19.44 18.62 19.44 0090.07.79.1420100P0 38.2581 4 69660 Revise middle ear bone A 11.90 9.51 NA10.69 9.51 10.69 0.84 22.25 23.43 22.25 23.43 0090.07.79.1420100P0 38.2581 4 69661 Revise middle ear bone A 15.74 12.28 NA13.91 12.28 13.91 1.10 29.12 30.75 29.12 30.75 0090.07.79.1420000P0 38.2581 4 69662 Revise middle ear bone A 15.44 12.14 NA13.71 12.14 13.71 1.08 28.66 30.23 28.66 30.23 0090.07.79.1420100P0 38.2581 4 69666 Repair middle ear structures A 9.75 8.33 NA 9.16 8.33 9.16 0.68 18.76 19.59 18.76 19.59 0090.07.79.1420000P0 38.2581 4 69667 Repair middle ear structures A 9.76 8.28 NA 9.13 8.28 9.13 0.72 18.76 19.61 18.76 19.61 0090.07.79.1420000P0 38.2581 4 69670 Remove mastoid air cells A 11.51 9.93 NA10.21 9.93 10.21 0.78 22.22 22.50 22.22 22.50 0090.07.79.1420200P0 38.2581 4 69676 Remove middle ear nerve A 9.52 8.64 NA 8.80 8.64 8.80 0.69 18.85 19.01 18.85 19.01 0090.07.79.1421100P0 38.2581 4 69700 Close mastoid fistula A 8.23 5.24 NA 6.06 5.24 6.06 0.55 14.02 14.84 14.02 14.84 0090.07.79.1420100P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 69711 Remove/repair hearing aid A 10.44 9.42 NA 9.36 9.42 9.36 0.62 20.48 20.42 20.48 20.42 0090.07.79.1420200P0 38.2581 4 69714 Implant temple bone w/stimul A 14.00 8.71 NA 8.71 8.71 8.71 0.97 23.68 23.68 23.68 23.68 0090.07.79.142010090 38.2581 5 69715 Temple bne implnt w/stimulat A 18.25 10.49 NA10.49 10.49 10.49 1.25 29.99 29.99 29.99 29.99 0090.07.79.142010090 38.2581 5 69717 Temple bone implant revision A 14.98 8.37 NA 8.37 8.37 8.37 1.04 24.39 24.39 24.39 24.39 0090.07.79.142010090 38.2581 5 69718 Revise temple bone implant A 18.50 10.58 NA10.58 10.58 10.58 1.27 30.35 30.35 30.35 30.35 0090.07.79.142010090 38.2581 5 69720 Release facial nerve A 14.38 12.04 NA13.32 12.04 13.32 1.03 27.45 28.73 27.45 28.73 0090.07.79.1420010P0 38.2581 4 69725 Release facial nerve A 25.38 18.07 NA17.53 18.07 17.53 1.78 45.23 44.69 45.23 44.69 0090.07.79.1420200P0 38.2581 4 69740 Repair facial nerve A 15.96 11.48 NA11.82 11.48 11.82 1.13 28.57 28.91 28.57 28.91 0090.07.79.1420200P0 38.2581 4 69745 Repair facial nerve A 16.69 12.11 NA13.41 12.11 13.41 1.00 29.80 31.10 29.80 31.10 0090.07.79.1420200P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 69801 Incise inner ear A 8.56 7.68 NA 8.32 7.68 8.32 0.60 16.84 17.48 16.84 17.48 0090.07.79.1420000P0 38.2581 4 69802 Incise inner ear A 13.10 10.95 NA11.26 10.95 11.26 0.91 24.96 25.27 24.96 25.27 0090.07.79.1420200P0 38.2581 4 69805 Explore inner ear A 13.82 10.69 NA11.58 10.69 11.58 0.97 25.48 26.37 25.48 26.37 0090.07.79.1420200P0 38.2581 4 69806 Explore inner ear A 12.35 10.49 NA11.56 10.49 11.56 0.86 23.70 24.77 23.70 24.77 0090.07.79.1420100P0 38.2581 4 69820 Establish inner ear window A 10.34 9.08 NA 9.21 9.08 9.21 0.66 20.08 20.21 20.08 20.21 0090.07.79.1420200P0 38.2581 4 69840 Revise inner ear window A 10.26 10.00 NA 9.80 10.00 9.80 0.64 20.90 20.70 20.90 20.70 0090.07.79.1420200P0 38.2581 4 69905 Remove inner ear A 11.10 9.33 NA10.31 9.33 10.31 0.77 21.20 22.18 21.20 22.18 0090.07.79.1420100P0 38.2581 4 69910 Remove inner ear & mastoid A 13.63 10.96 NA12.29 10.96 12.29 0.94 25.53 26.86 25.53 26.86 0090.07.79.1420000P0 38.2581 4 69915 Incise inner ear nerve A 21.23 15.22 NA16.22 15.22 16.22 1.54 37.99 38.99 37.99 38.99 0090.07.79.1420210P0 38.2581 4 69930 Implant cochlear device A 16.81 12.44 NA14.35 12.44 14.35 1.19 30.44 32.35 30.44 32.35 0090.07.79.1420000P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 69950 Incise inner ear nerve A 25.64 16.01 NA16.89 16.01 16.89 2.90 44.55 45.43 44.55 45.43 0090.07.79.1420210P0 38.2581 4 69955 Release facial nerve A 27.04 18.34 NA19.26 18.34 19.26 1.89 47.27 48.19 47.27 48.19 0090.07.79.1420210P0 38.2581 4 69960 Release inner ear canal A 27.04 17.85 NA18.23 17.85 18.23 2.43 47.32 47.70 47.32 47.70 0090.07.79.1420210P0 38.2581 4 69970 Remove inner ear lesion A 30.04 19.00 NA19.59 19.00 19.59 2.34 51.38 51.97 51.38 51.97 0090.07.79.1420210P0 38.2581 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 0YYY.00.00.0020011P0 38.2581 9 69990 Microsurgery add-on R 3.47 1.86 NA 1.86 1.86 1.86 0.56 5.89 5.89 5.89 5.89 0ZZZ.00.00.0000200P0 38.2581 5 70010 Contrast x-ray of brain A 1.19 4.73 4.81 4.73 4.81 0.24 6.16 6.24 6.16 6.24 1XXX.00.00.0000000P0 38.2581 4 70010TCContrast x-ray of brain A 0.00 4.30 4.35 4.30 4.35 0.18 4.48 4.53 4.48 4.53 1XXX.00.00.0000000P0 38.2581 4 7001026Contrast x-ray of brain A 1.19 0.43 0.46 0.43 0.46 0.06 1.68 1.71 1.68 1.71 1XXX.00.00.0000000P0 38.2581 4 70015 Contrast x-ray of brain A 1.19 1.79 1.83 1.79 1.83 0.12 3.10 3.14 3.10 3.14 1XXX.00.00.0000000P0 38.2581 4 70015TCContrast x-ray of brain A 0.00 1.35 1.36 1.35 1.36 0.07 1.42 1.43 1.42 1.43 1XXX.00.00.0000000P0 38.2581 4 7001526Contrast x-ray of brain A 1.19 0.44 0.47 0.44 0.47 0.05 1.68 1.71 1.68 1.71 1XXX.00.00.0000000P0 38.2581 4 70030 X-ray eye for foreign body A 0.17 0.47 0.49 0.47 0.49 0.03 0.67 0.69 0.67 0.69 1XXX.00.00.0003000P0 38.2581 4 70030TCX-ray eye for foreign body A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0003000P0 38.2581 4 7003026X-ray eye for foreign body A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 70100 X-ray exam of jaw A 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 70100TCX-ray exam of jaw A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7010026X-ray exam of jaw A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 70110 X-ray exam of jaw A 0.25 0.70 0.72 0.70 0.72 0.04 0.99 1.01 0.99 1.01 1XXX.00.00.0000000P0 38.2581 4 70110TCX-ray exam of jaw A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7011026X-ray exam of jaw A 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000P0 38.2581 4 70120 X-ray exam of mastoids A 0.18 0.67 0.69 0.67 0.69 0.04 0.89 0.91 0.89 0.91 1XXX.00.00.0003000P0 38.2581 4 70120TCX-ray exam of mastoids A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0003000P0 38.2581 4 7012026X-ray exam of mastoids A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0003000P0 38.2581 4 70130 X-ray exam of mastoids A 0.34 0.90 0.92 0.90 0.92 0.05 1.29 1.31 1.29 1.31 1XXX.00.00.0003000P0 38.2581 4 70130TCX-ray exam of mastoids A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0003000P0 38.2581 4 7013026X-ray exam of mastoids A 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 1XXX.00.00.0003000P0 38.2581 4 70134 X-ray exam of middle ear A 0.34 0.85 0.87 0.85 0.87 0.05 1.24 1.26 1.24 1.26 1XXX.00.00.0000000P0 38.2581 4 70134TCX-ray exam of middle ear A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7013426X-ray exam of middle ear A 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 38.2581 4 70140 X-ray exam of facial bones A 0.19 0.68 0.70 0.68 0.70 0.04 0.91 0.93 0.91 0.93 1XXX.00.00.0000000P0 38.2581 4 70140TCX-ray exam of facial bones A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7014026X-ray exam of facial bones A 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 1XXX.00.00.0000000P0 38.2581 4 70150 X-ray exam of facial bones A 0.26 0.87 0.89 0.87 0.89 0.05 1.18 1.20 1.18 1.20 1XXX.00.00.0000000P0 38.2581 4 70150TCX-ray exam of facial bones A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7015026X-ray exam of facial bones A 0.26 0.09 0.10 0.09 0.10 0.01 0.36 0.37 0.36 0.37 1XXX.00.00.0000000P0 38.2581 4 70160 X-ray exam of nasal bones A 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0000000P0 38.2581 4 70160TCX-ray exam of nasal bones A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7016026X-ray exam of nasal bones A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 70170 X-ray exam of tear duct A 0.30 1.05 1.07 1.05 1.07 0.06 1.41 1.43 1.41 1.43 1XXX.00.00.0000000P0 38.2581 4 70170TCX-ray exam of tear duct A 0.00 0.94 0.95 0.94 0.95 0.05 0.99 1.00 0.99 1.00 1XXX.00.00.0000000P0 38.2581 4 7017026X-ray exam of tear duct A 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 1XXX.00.00.0000000P0 38.2581 4 70190 X-ray exam of eye sockets A 0.21 0.68 0.70 0.68 0.70 0.04 0.93 0.95 0.93 0.95 1XXX.00.00.0003000P0 38.2581 4 70190TCX-ray exam of eye sockets A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0003000P0 38.2581 4 7019026X-ray exam of eye sockets A 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 1XXX.00.00.0003000P0 38.2581 4 70200 X-ray exam of eye sockets A 0.28 0.88 0.90 0.88 0.90 0.05 1.21 1.23 1.21 1.23 1XXX.00.00.0000000P0 38.2581 4 70200TCX-ray exam of eye sockets A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7020026X-ray exam of eye sockets A 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 1XXX.00.00.0000000P0 38.2581 4 70210 X-ray exam of sinuses A 0.17 0.67 0.69 0.67 0.69 0.04 0.88 0.90 0.88 0.90 1XXX.00.00.0000000P0 38.2581 4 70210TCX-ray exam of sinuses A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7021026X-ray exam of sinuses A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 70220 X-ray exam of sinuses A 0.25 0.87 0.89 0.87 0.89 0.05 1.17 1.19 1.17 1.19 1XXX.00.00.0000000P0 38.2581 4 70220TCX-ray exam of sinuses A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7022026X-ray exam of sinuses A 0.25 0.09 0.10 0.09 0.10 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000P0 38.2581 4 70240 X-ray exam, pituitary saddle A 0.19 0.48 0.50 0.48 0.50 0.03 0.70 0.72 0.70 0.72 1XXX.00.00.0000000P0 38.2581 4 70240TCX-ray exam, pituitary saddle A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7024026X-ray exam, pituitary saddle A 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 1XXX.00.00.0000000P0 38.2581 4 70250 X-ray exam of skull A 0.24 0.70 0.72 0.70 0.72 0.04 0.98 1.00 0.98 1.00 1XXX.00.00.0000000P0 38.2581 4 70250TCX-ray exam of skull A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7025026X-ray exam of skull A 0.24 0.09 0.10 0.09 0.10 0.01 0.34 0.35 0.34 0.35 1XXX.00.00.0000000P0 38.2581 4 70260 X-ray exam of skull A 0.34 1.00 1.02 1.00 1.02 0.06 1.40 1.42 1.40 1.42 1XXX.00.00.0000000P0 38.2581 4 70260TCX-ray exam of skull A 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 1XXX.00.00.0000000P0 38.2581 4 7026026X-ray exam of skull A 0.34 0.12 0.13 0.12 0.13 0.01 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 38.2581 4 70300 X-ray exam of teeth A 0.10 0.30 0.30 0.30 0.30 0.03 0.43 0.43 0.43 0.43 1XXX.00.00.0000000P0 38.2581 4 70300TCX-ray exam of teeth A 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 1XXX.00.00.0000000P0 38.2581 4 7030026X-ray exam of teeth A 0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 1XXX.00.00.0000000P0 38.2581 4 70310 X-ray exam of teeth A 0.16 0.47 0.49 0.47 0.49 0.03 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 38.2581 4 70310TCX-ray exam of teeth A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7031026X-ray exam of teeth A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0000000P0 38.2581 4 70320 Full mouth x-ray of teeth A 0.22 0.86 0.88 0.86 0.88 0.05 1.13 1.15 1.13 1.15 1XXX.00.00.0000000P0 38.2581 4 70320TCFull mouth x-ray of teeth A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7032026Full mouth x-ray of teeth A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 70328 X-ray exam of jaw joint A 0.18 0.55 0.57 0.55 0.57 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0000000P0 38.2581 4 70328TCX-ray exam of jaw joint A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 7032826X-ray exam of jaw joint A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 70330 X-ray exam of jaw joints A 0.24 0.93 0.95 0.93 0.95 0.05 1.22 1.24 1.22 1.24 1XXX.00.00.0002000P0 38.2581 4 70330TCX-ray exam of jaw joints A 0.00 0.84 0.85 0.84 0.85 0.04 0.88 0.89 0.88 0.89 1XXX.00.00.0002000P0 38.2581 4 7033026X-ray exam of jaw joints A 0.24 0.09 0.10 0.09 0.10 0.01 0.34 0.35 0.34 0.35 1XXX.00.00.0002000P0 38.2581 4 70332 X-ray exam of jaw joint A 0.54 2.28 2.32 2.28 2.32 0.12 2.94 2.98 2.94 2.98 1XXX.00.00.0003000P0 38.2581 4 70332TCX-ray exam of jaw joint A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0003000P0 38.2581 4 7033226X-ray exam of jaw joint A 0.54 0.20 0.22 0.20 0.22 0.02 0.76 0.78 0.76 0.78 1XXX.00.00.0003000P0 38.2581 4 70336 Magnetic image, jaw joint A 1.48 11.66 11.77 11.66 11.77 0.56 13.70 13.81 13.70 13.81 1XXX.00.00.0003000P0 38.2581 4 70336TCMagnetic image, jaw joint A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0003000P0 38.2581 4 7033626Magnetic image, jaw joint A 1.48 0.53 0.52 0.53 0.52 0.07 2.08 2.07 2.08 2.07 1XXX.00.00.0003000P0 38.2581 4 70350 X-ray head for orthodontia A 0.17 0.43 0.45 0.43 0.45 0.03 0.63 0.65 0.63 0.65 1XXX.00.00.0000000P0 38.2581 4 70350TCX-ray head for orthodontia A 0.00 0.37 0.38 0.37 0.38 0.02 0.39 0.40 0.39 0.40 1XXX.00.00.0000000P0 38.2581 4 7035026X-ray head for orthodontia A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 70355 Panoramic x-ray of jaws A 0.20 0.64 0.66 0.64 0.66 0.04 0.88 0.90 0.88 0.90 1XXX.00.00.0000000P0 38.2581 4 70355TCPanoramic x-ray of jaws A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7035526Panoramic x-ray of jaws A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 4 70360 X-ray exam of neck A 0.17 0.47 0.49 0.47 0.49 0.03 0.67 0.69 0.67 0.69 1XXX.00.00.0000000P0 38.2581 4 70360TCX-ray exam of neck A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7036026X-ray exam of neck A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 70370 Throat x-ray & fluoroscopy A 0.32 1.41 1.43 1.41 1.43 0.07 1.80 1.82 1.80 1.82 1XXX.00.00.0000000P0 38.2581 4 70370TCThroat x-ray & fluoroscopy A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7037026Throat x-ray & fluoroscopy A 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 70371 Speech evaluation, complex A 0.84 2.38 2.43 2.38 2.43 0.14 3.36 3.41 3.36 3.41 1XXX.00.00.0000000P0 38.2581 4 70371TCSpeech evaluation, complex A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0000000P0 38.2581 4 7037126Speech evaluation, complex A 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 1XXX.00.00.0000000P0 38.2581 4 70373 Contrast x-ray of larynx A 0.44 1.93 1.97 1.93 1.97 0.11 2.48 2.52 2.48 2.52 1XXX.00.00.0000000P0 38.2581 4 70373TCContrast x-ray of larynx A 0.00 1.77 1.79 1.77 1.79 0.09 1.86 1.88 1.86 1.88 1XXX.00.00.0000000P0 38.2581 4 7037326Contrast x-ray of larynx A 0.44 0.16 0.18 0.16 0.18 0.02 0.62 0.64 0.62 0.64 1XXX.00.00.0000000P0 38.2581 4 70380 X-ray exam of salivary gland A 0.17 0.72 0.74 0.72 0.74 0.04 0.93 0.95 0.93 0.95 1XXX.00.00.0000000P0 38.2581 4 70380TCX-ray exam of salivary gland A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7038026X-ray exam of salivary gland A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 70390 X-ray exam of salivary duct A 0.38 1.90 1.93 1.90 1.93 0.11 2.39 2.42 2.39 2.42 1XXX.00.00.0000000P0 38.2581 4 70390TCX-ray exam of salivary duct A 0.00 1.77 1.79 1.77 1.79 0.09 1.86 1.88 1.86 1.88 1XXX.00.00.0000000P0 38.2581 4 7039026X-ray exam of salivary duct A 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 1XXX.00.00.0000000P0 38.2581 4 70450 Ct head/brain w/o dye A 0.85 4.99 5.07 4.99 5.07 0.25 6.09 6.17 6.09 6.17 1XXX.00.00.0000000P0 38.2581 4 70450TCCt head/brain w/o dye A 0.00 4.69 4.74 4.69 4.74 0.21 4.90 4.95 4.90 4.95 1XXX.00.00.0000000P0 38.2581 4 7045026Ct head/brain w/o dye A 0.85 0.30 0.33 0.30 0.33 0.04 1.19 1.22 1.19 1.22 1XXX.00.00.0000000P0 38.2581 4 70460 Ct head/brain w/dye A 1.13 6.01 6.11 6.01 6.11 0.30 7.44 7.54 7.44 7.54 1XXX.00.00.0000000P0 38.2581 4 70460TCCt head/brain w/dye A 0.00 5.61 5.67 5.61 5.67 0.25 5.86 5.92 5.86 5.92 1XXX.00.00.0000000P0 38.2581 4 7046026Ct head/brain w/dye A 1.13 0.40 0.44 0.40 0.44 0.05 1.58 1.62 1.58 1.62 1XXX.00.00.0000000P0 38.2581 4 70470 Ct head/brain w/o&w dye A 1.27 7.46 7.58 7.46 7.58 0.37 9.10 9.22 9.10 9.22 1XXX.00.00.0000000P0 38.2581 4 70470TCCt head/brain w/o&w dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7047026Ct head/brain w/o&w dye A 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 1XXX.00.00.0000000P0 38.2581 4 70480 Ct orbit/ear/fossa w/o dye A 1.28 5.14 5.23 5.14 5.23 0.27 6.69 6.78 6.69 6.78 1XXX.00.00.0000000P0 38.2581 4 70480TCCt orbit/ear/fossa w/o dye A 0.00 4.69 4.74 4.69 4.74 0.21 4.90 4.95 4.90 4.95 1XXX.00.00.0000000P0 38.2581 4 7048026Ct orbit/ear/fossa w/o dye A 1.28 0.45 0.49 0.45 0.49 0.06 1.79 1.83 1.79 1.83 1XXX.00.00.0000000P0 38.2581 4 70481 Ct orbit/ear/fossa w/dye A 1.38 6.10 6.20 6.10 6.20 0.31 7.79 7.89 7.79 7.89 1XXX.00.00.0000000P0 38.2581 4 70481TCCt orbit/ear/fossa w/dye A 0.00 5.61 5.67 5.61 5.67 0.25 5.86 5.92 5.86 5.92 1XXX.00.00.0000000P0 38.2581 4 7048126Ct orbit/ear/fossa w/dye A 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 1XXX.00.00.0000000P0 38.2581 4 70482 Ct orbit/ear/fossa w/o&w dye A 1.45 7.53 7.65 7.53 7.65 0.37 9.35 9.47 9.35 9.47 1XXX.00.00.0000000P0 38.2581 4 70482TCCt orbit/ear/fossa w/o&w dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7048226Ct orbit/ear/fossa w/o&w dye A 1.45 0.52 0.56 0.52 0.56 0.06 2.03 2.07 2.03 2.07 1XXX.00.00.0000000P0 38.2581 4 70486 Ct maxillofacial w/o dye A 1.14 5.10 5.18 5.10 5.18 0.26 6.50 6.58 6.50 6.58 1XXX.00.00.0000000P0 38.2581 4 70486TCCt maxillofacial w/o dye A 0.00 4.69 4.74 4.69 4.74 0.21 4.90 4.95 4.90 4.95 1XXX.00.00.0000000P0 38.2581 4 7048626Ct maxillofacial w/o dye A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 70487 Ct maxillofacial w/dye A 1.30 6.07 6.17 6.07 6.17 0.31 7.68 7.78 7.68 7.78 1XXX.00.00.0000000P0 38.2581 4 70487TCCt maxillofacial w/dye A 0.00 5.61 5.67 5.61 5.67 0.25 5.86 5.92 5.86 5.92 1XXX.00.00.0000000P0 38.2581 4 7048726Ct maxillofacial w/dye A 1.30 0.46 0.50 0.46 0.50 0.06 1.82 1.86 1.82 1.86 1XXX.00.00.0000000P0 38.2581 4 70488 Ct maxillofacial w/o&w dye A 1.42 7.51 7.64 7.51 7.64 0.37 9.30 9.43 9.30 9.43 1XXX.00.00.0000000P0 38.2581 4 70488TCCt maxillofacial w/o&w dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7048826Ct maxillofacial w/o&w dye A 1.42 0.50 0.55 0.50 0.55 0.06 1.98 2.03 1.98 2.03 1XXX.00.00.0000000P0 38.2581 4 70490 Ct soft tissue neck w/o dye A 1.28 5.14 5.23 5.14 5.23 0.27 6.69 6.78 6.69 6.78 1XXX.00.00.0000000P0 38.2581 4 70490TCCt soft tissue neck w/o dye A 0.00 4.69 4.74 4.69 4.74 0.21 4.90 4.95 4.90 4.95 1XXX.00.00.0000000P0 38.2581 4 7049026Ct soft tissue neck w/o dye A 1.28 0.45 0.49 0.45 0.49 0.06 1.79 1.83 1.79 1.83 1XXX.00.00.0000000P0 38.2581 4 70491 Ct soft tissue neck w/dye A 1.38 6.10 6.20 6.10 6.20 0.31 7.79 7.89 7.79 7.89 1XXX.00.00.0000000P0 38.2581 4 70491TCCt soft tissue neck w/dye A 0.00 5.61 5.67 5.61 5.67 0.25 5.86 5.92 5.86 5.92 1XXX.00.00.0000000P0 38.2581 4 7049126Ct soft tissue neck w/dye A 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 1XXX.00.00.0000000P0 38.2581 4 70492 Ct sft tsue nck w/o & w/dye A 1.45 7.53 7.65 7.53 7.65 0.37 9.35 9.47 9.35 9.47 1XXX.00.00.0000000P0 38.2581 4 70492TCCt sft tsue nck w/o & w/dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7049226Ct sft tsue nck w/o & w/dye A 1.45 0.52 0.56 0.52 0.56 0.06 2.03 2.07 2.03 2.07 1XXX.00.00.0000000P0 38.2581 4 70496 Ct angiography, head A 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 1XXX.00.00.000000090 38.2581 5 70496TCCt angiography, head A 0.00 7.01 7.01 7.01 7.01 0.48 7.49 7.49 7.49 7.49 1XXX.00.00.000000090 38.2581 5 7049626Ct angiography, head A 1.75 0.70 0.70 0.70 0.70 0.06 2.51 2.51 2.51 2.51 1XXX.00.00.000000090 38.2581 5 70498 Ct angiography, neck A 1.75 7.71 7.71 7.71 7.71 0.54 10.00 10.00 10.00 10.00 1XXX.00.00.000000090 38.2581 5 70498TCCt angiography, neck A 0.00 7.01 7.01 7.01 7.01 0.48 7.49 7.49 7.49 7.49 1XXX.00.00.000000090 38.2581 5 7049826Ct angiography, neck A 1.75 0.70 0.70 0.70 0.70 0.06 2.51 2.51 2.51 2.51 1XXX.00.00.000000090 38.2581 5 70540 Mri orbit/face/neck w/o dye A 1.10 11.52 11.72 11.52 11.72 0.36 12.98 13.18 12.98 13.18 1XXX.00.00.0000000P0 38.2581 4 70540TCMri orbit/face/neck w/o dye A 0.00 11.13 11.25 11.13 11.25 0.32 11.45 11.57 11.45 11.57 1XXX.00.00.0000000P0 38.2581 4 7054026Mri orbit/face/neck w/o dye A 1.10 0.39 0.47 0.39 0.47 0.04 1.53 1.61 1.53 1.61 1XXX.00.00.0000000P0 38.2581 4 70541 Magnetic image, head (MRA) D 1.81 26.21 22.74 26.21 22.74 0.57 28.59 25.12 28.59 25.12 1XXX.00.00.0000000P0 38.2581 4 70541TCMagnetic image, head (MRA) D 0.00 25.49 22.02 25.49 22.02 0.49 25.98 22.51 25.98 22.51 1XXX.00.00.0000000P0 38.2581 4 7054126Magnetic image, head (MRA) D 1.81 0.72 0.72 0.72 0.72 0.08 2.61 2.61 2.61 2.61 1XXX.00.00.0000000P0 38.2581 4 70542 Mri orbit/face/neck w/dye A 1.33 13.81 13.81 13.81 13.81 0.43 15.57 15.57 15.57 15.57 1XXX.00.00.000000090 38.2581 5 70542TCMri orbit/face/neck w/dye A 0.00 13.34 13.34 13.34 13.34 0.39 13.73 13.73 13.73 13.73 1XXX.00.00.000000090 38.2581 5 7054226Mri orbit/face/neck w/dye A 1.33 0.47 0.47 0.47 0.47 0.04 1.84 1.84 1.84 1.84 1XXX.00.00.000000090 38.2581 5 70543 Mri orbt/fac/nck w/o&w dye A 1.76 25.34 25.34 25.34 25.34 0.78 27.88 27.88 27.88 27.88 1XXX.00.00.000000090 38.2581 5 70543TCMri orbt/fac/nck w/o&w dye A 0.00 24.71 24.71 24.71 24.71 0.70 25.41 25.41 25.41 25.41 1XXX.00.00.000000090 38.2581 5 7054326Mri orbt/fac/nck w/o&w dye A 1.76 0.63 0.63 0.63 0.63 0.08 2.47 2.47 2.47 2.47 1XXX.00.00.000000090 38.2581 5 70544 Mr angiography head w/o dye A 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 1XXX.00.00.000000090 38.2581 5 70544TCMr angiography head w/o dye A 0.00 11.13 11.13 11.13 11.13 0.49 11.62 11.62 11.62 11.62 1XXX.00.00.000000090 38.2581 5 7054426Mr angiography head w/o dye A 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 1XXX.00.00.000000090 38.2581 5 70545 Mr angiography head w/dye A 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 1XXX.00.00.000000090 38.2581 5 70545TCMr angiography head w/dye A 0.00 11.13 11.13 11.13 11.13 0.49 11.62 11.62 11.62 11.62 1XXX.00.00.000000090 38.2581 5 7054526Mr angiography head w/dye A 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 1XXX.00.00.000000090 38.2581 5 70546 Mr angiograph head w/o&w dye A 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 1XXX.00.00.000000090 38.2581 5 70546TCMr angiograph head w/o&w dye A 0.00 22.25 22.25 22.25 22.25 0.49 22.74 22.74 22.74 22.74 1XXX.00.00.000000090 38.2581 5 7054626Mr angiograph head w/o&w dye A 1.80 0.64 0.64 0.64 0.64 0.07 2.51 2.51 2.51 2.51 1XXX.00.00.000000090 38.2581 5 70547 Mr angiography neck w/o dye A 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 1XXX.00.00.000000090 38.2581 5 70547TCMr angiography neck w/o dye A 0.00 11.13 11.13 11.13 11.13 0.49 11.62 11.62 11.62 11.62 1XXX.00.00.000000090 38.2581 5 7054726Mr angiography neck w/o dye A 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 1XXX.00.00.000000090 38.2581 5 70548 Mr angiography neck w/dye A 1.20 11.56 11.56 11.56 11.56 0.56 13.32 13.32 13.32 13.32 1XXX.00.00.000000090 38.2581 5 70548TCMr angiography neck w/dye A 0.00 11.13 11.13 11.13 11.13 0.49 11.62 11.62 11.62 11.62 1XXX.00.00.000000090 38.2581 5 7054826Mr angiography neck w/dye A 1.20 0.43 0.43 0.43 0.43 0.07 1.70 1.70 1.70 1.70 1XXX.00.00.000000090 38.2581 5 70549 Mr angiograph neck w/o&w dye A 1.80 22.89 22.89 22.89 22.89 0.56 25.25 25.25 25.25 25.25 1XXX.00.00.000000090 38.2581 5 70549TCMr angiograph neck w/o&w dye A 0.00 22.25 22.25 22.25 22.25 0.49 22.74 22.74 22.74 22.74 1XXX.00.00.000000090 38.2581 5 7054926Mr angiograph neck w/o&w dye A 1.80 0.64 0.64 0.64 0.64 0.07 2.51 2.51 2.51 2.51 1XXX.00.00.000000090 38.2581 5 70551 Mri brain w/o dye A 1.48 11.66 11.83 11.66 11.83 0.56 13.70 13.87 13.70 13.87 1XXX.00.00.0000000P0 38.2581 4 70551TCMri brain w/o dye A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7055126Mri brain w/o dye A 1.48 0.53 0.58 0.53 0.58 0.07 2.08 2.13 2.08 2.13 1XXX.00.00.0000000P0 38.2581 4 70552 Mri brain w/dye A 1.78 13.98 14.18 13.98 14.18 0.66 16.42 16.62 16.42 16.62 1XXX.00.00.0000000P0 38.2581 4 70552TCMri brain w/dye A 0.00 13.34 13.48 13.34 13.48 0.58 13.92 14.06 13.92 14.06 1XXX.00.00.0000000P0 38.2581 4 7055226Mri brain w/dye A 1.78 0.64 0.70 0.64 0.70 0.08 2.50 2.56 2.50 2.56 1XXX.00.00.0000000P0 38.2581 4 70553 Mri brain w/o&w dye A 2.36 25.55 25.89 25.55 25.89 1.19 29.10 29.44 29.10 29.44 1XXX.00.00.0000000P0 38.2581 4 70553TCMri brain w/o&w dye A 0.00 24.71 24.97 24.71 24.97 1.09 25.80 26.06 25.80 26.06 1XXX.00.00.0000000P0 38.2581 4 7055326Mri brain w/o&w dye A 2.36 0.84 0.92 0.84 0.92 0.10 3.30 3.38 3.30 3.38 1XXX.00.00.0000000P0 38.2581 4 71010 Chest x-ray A 0.18 0.53 0.55 0.53 0.55 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 4 71010TCChest x-ray A 0.00 0.47 0.48 0.47 0.48 0.02 0.49 0.50 0.49 0.50 1XXX.00.00.0000000P0 38.2581 4 7101026Chest x-ray A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 71015 Chest x-ray A 0.21 0.60 0.62 0.60 0.62 0.03 0.84 0.86 0.84 0.86 1XXX.00.00.0000000P0 38.2581 4 71015TCChest x-ray A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7101526Chest x-ray A 0.21 0.08 0.09 0.08 0.09 0.01 0.30 0.31 0.30 0.31 1XXX.00.00.0000000P0 38.2581 4 71020 Chest x-ray A 0.22 0.69 0.71 0.69 0.71 0.04 0.95 0.97 0.95 0.97 1XXX.00.00.0000000P0 38.2581 4 71020TCChest x-ray A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7102026Chest x-ray A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 71021 Chest x-ray A 0.27 0.83 0.85 0.83 0.85 0.05 1.15 1.17 1.15 1.17 1XXX.00.00.0000000P0 38.2581 4 71021TCChest x-ray A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7102126Chest x-ray A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1XXX.00.00.0000000P0 38.2581 4 71022 Chest x-ray A 0.31 0.84 0.86 0.84 0.86 0.06 1.21 1.23 1.21 1.23 1XXX.00.00.0000000P0 38.2581 4 71022TCChest x-ray A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7102226Chest x-ray A 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 71023 Chest x-ray and fluoroscopy A 0.38 0.92 0.94 0.92 0.94 0.06 1.36 1.38 1.36 1.38 1XXX.00.00.0000000P0 38.2581 4 71023TCChest x-ray and fluoroscopy A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7102326Chest x-ray and fluoroscopy A 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 71030 Chest x-ray A 0.31 0.89 0.91 0.89 0.91 0.05 1.25 1.27 1.25 1.27 1XXX.00.00.0000000P0 38.2581 4 71030TCChest x-ray A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7103026Chest x-ray A 0.31 0.11 0.12 0.11 0.12 0.01 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 71034 Chest x-ray and fluoroscopy A 0.46 1.61 1.64 1.61 1.64 0.09 2.16 2.19 2.16 2.19 1XXX.00.00.0000000P0 38.2581 4 71034TCChest x-ray and fluoroscopy A 0.00 1.43 1.45 1.43 1.45 0.07 1.50 1.52 1.50 1.52 1XXX.00.00.0000000P0 38.2581 4 7103426Chest x-ray and fluoroscopy A 0.46 0.18 0.19 0.18 0.19 0.02 0.66 0.67 0.66 0.67 1XXX.00.00.0000000P0 38.2581 4 71035 Chest x-ray A 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 71035TCChest x-ray A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7103526Chest x-ray A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 71036 X-ray guidance for biopsy D 0.54 1.80 1.82 1.80 1.82 0.10 2.44 2.46 2.44 2.46 1XXX.00.00.0000000P0 38.2581 4 71036TCX-ray guidance for biopsy D 0.00 1.58 1.59 1.58 1.59 0.08 1.66 1.67 1.66 1.67 1XXX.00.00.0000000P0 38.2581 4 7103626X-ray guidance for biopsy D 0.54 0.22 0.23 0.22 0.23 0.02 0.78 0.79 0.78 0.79 1XXX.00.00.0000000P0 38.2581 4 71040 Contrast x-ray of bronchi A 0.58 1.66 1.70 1.66 1.70 0.10 2.34 2.38 2.34 2.38 1XXX.00.00.0000000P0 38.2581 4 71040TCContrast x-ray of bronchi A 0.00 1.45 1.47 1.45 1.47 0.07 1.52 1.54 1.52 1.54 1XXX.00.00.0000000P0 38.2581 4 7104026Contrast x-ray of bronchi A 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 1XXX.00.00.0000000P0 38.2581 4 71060 Contrast x-ray of bronchi A 0.74 2.45 2.50 2.45 2.50 0.14 3.33 3.38 3.33 3.38 1XXX.00.00.0002000P0 38.2581 4 71060TCContrast x-ray of bronchi A 0.00 2.19 2.21 2.19 2.21 0.11 2.30 2.32 2.30 2.32 1XXX.00.00.0002000P0 38.2581 4 7106026Contrast x-ray of bronchi A 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 1XXX.00.00.0002000P0 38.2581 4 71090 X-ray & pacemaker insertion A 0.54 1.90 1.93 1.90 1.93 0.11 2.55 2.58 2.55 2.58 1XXX.00.00.0000000P0 38.2581 4 71090TCX-ray & pacemaker insertion A 0.00 1.67 1.69 1.67 1.69 0.09 1.76 1.78 1.76 1.78 1XXX.00.00.0000000P0 38.2581 4 7109026X-ray & pacemaker insertion A 0.54 0.23 0.24 0.23 0.24 0.02 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 38.2581 4 71100 X-ray exam of ribs A 0.22 0.65 0.67 0.65 0.67 0.04 0.91 0.93 0.91 0.93 1XXX.00.00.0000000P0 38.2581 4 71100TCX-ray exam of ribs A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7110026X-ray exam of ribs A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 71101 X-ray exam of ribs/chest A 0.27 0.76 0.78 0.76 0.78 0.04 1.07 1.09 1.07 1.09 1XXX.00.00.0000000P0 38.2581 4 71101TCX-ray exam of ribs/chest A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7110126X-ray exam of ribs/chest A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1XXX.00.00.0000000P0 38.2581 4 71110 X-ray exam of ribs A 0.27 0.88 0.90 0.88 0.90 0.05 1.20 1.22 1.20 1.22 1XXX.00.00.0002000P0 38.2581 4 71110TCX-ray exam of ribs A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0002000P0 38.2581 4 7111026X-ray exam of ribs A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1XXX.00.00.0002000P0 38.2581 4 71111 X-ray exam of ribs/ chest A 0.32 0.99 1.01 0.99 1.01 0.06 1.37 1.39 1.37 1.39 1XXX.00.00.0002000P0 38.2581 4 71111TCX-ray exam of ribs/ chest A 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 1XXX.00.00.0002000P0 38.2581 4 7111126X-ray exam of ribs/ chest A 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 1XXX.00.00.0002000P0 38.2581 4 71120 X-ray exam of breastbone A 0.20 0.71 0.73 0.71 0.73 0.04 0.95 0.97 0.95 0.97 1XXX.00.00.0000000P0 38.2581 4 71120TCX-ray exam of breastbone A 0.00 0.64 0.65 0.64 0.65 0.03 0.67 0.68 0.67 0.68 1XXX.00.00.0000000P0 38.2581 4 7112026X-ray exam of breastbone A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 4 71130 X-ray exam of breastbone A 0.22 0.78 0.80 0.78 0.80 0.04 1.04 1.06 1.04 1.06 1XXX.00.00.0000000P0 38.2581 4 71130TCX-ray exam of breastbone A 0.00 0.70 0.71 0.70 0.71 0.03 0.73 0.74 0.73 0.74 1XXX.00.00.0000000P0 38.2581 4 7113026X-ray exam of breastbone A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 71250 Ct thorax w/o dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0000000P0 38.2581 4 71250TCCt thorax w/o dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7125026Ct thorax w/o dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 38.2581 4 71260 Ct thorax w/dye A 1.24 7.45 7.57 7.45 7.57 0.36 9.05 9.17 9.05 9.17 1XXX.00.00.0000000P0 38.2581 4 71260TCCt thorax w/dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7126026Ct thorax w/dye A 1.24 0.44 0.48 0.44 0.48 0.05 1.73 1.77 1.73 1.77 1XXX.00.00.0000000P0 38.2581 4 71270 Ct thorax w/o&w dye A 1.38 9.27 9.40 9.27 9.40 0.44 11.09 11.22 11.09 11.22 1XXX.00.00.0000000P0 38.2581 4 71270TCCt thorax w/o&w dye A 0.00 8.78 8.87 8.78 8.87 0.38 9.16 9.25 9.16 9.25 1XXX.00.00.0000000P0 38.2581 4 7127026Ct thorax w/o&w dye A 1.38 0.49 0.53 0.49 0.53 0.06 1.93 1.97 1.93 1.97 1XXX.00.00.0000000P0 38.2581 4 71275 Ct angiography, chest A 1.20 9.26 9.26 9.26 9.26 0.37 10.83 10.83 10.83 10.83 1XXX.00.00.000000090 38.2581 5 71275TCCt angiography, chest A 0.00 8.78 8.78 8.78 8.78 0.32 9.10 9.10 9.10 9.10 1XXX.00.00.000000090 38.2581 5 7127526Ct angiography, chest A 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 1XXX.00.00.000000090 38.2581 5 71550 Mri chest w/o dye A 1.22 11.56 11.77 11.56 11.77 0.41 13.19 13.40 13.19 13.40 1XXX.00.00.0000000P0 38.2581 4 71550TCMri chest w/o dye A 0.00 11.13 11.25 11.13 11.25 0.37 11.50 11.62 11.50 11.62 1XXX.00.00.0000000P0 38.2581 4 7155026Mri chest w/o dye A 1.22 0.43 0.52 0.43 0.52 0.04 1.69 1.78 1.69 1.78 1XXX.00.00.0000000P0 38.2581 4 71551 Mri chest w/dye A 1.44 13.85 13.85 13.85 13.85 0.48 15.77 15.77 15.77 15.77 1XXX.00.00.000000090 38.2581 5 71551TCMri chest w/dye A 0.00 13.34 13.34 13.34 13.34 0.43 13.77 13.77 13.77 13.77 1XXX.00.00.000000090 38.2581 5 7155126Mri chest w/dye A 1.44 0.51 0.51 0.51 0.51 0.05 2.00 2.00 2.00 2.00 1XXX.00.00.000000090 38.2581 5 71552 Mri chest w/o&w dye A 1.89 25.38 25.38 25.38 25.38 0.63 27.90 27.90 27.90 27.90 1XXX.00.00.000000090 38.2581 5 71552TCMri chest w/o&w dye A 0.00 24.71 24.71 24.71 24.71 0.56 25.27 25.27 25.27 25.27 1XXX.00.00.000000090 38.2581 5 7155226Mri chest w/o&w dye A 1.89 0.67 0.67 0.67 0.67 0.07 2.63 2.63 2.63 2.63 1XXX.00.00.000000090 38.2581 5 71555 Mri angio chest w or w/o dye R 1.81 11.78 11.93 11.78 11.93 0.57 14.16 14.31 14.16 14.31 1XXX.00.00.0000000P0 38.2581 4 71555TCMri angio chest w or w/o dye R 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7155526Mri angio chest w or w/o dye R 1.81 0.65 0.68 0.65 0.68 0.08 2.54 2.57 2.54 2.57 1XXX.00.00.0000000P0 38.2581 4 72010 X-ray exam of spine A 0.45 1.18 1.21 1.18 1.21 0.08 1.71 1.74 1.71 1.74 1XXX.00.00.0000000P0 38.2581 4 72010TCX-ray exam of spine A 0.00 1.02 1.03 1.02 1.03 0.05 1.07 1.08 1.07 1.08 1XXX.00.00.0000000P0 38.2581 4 7201026X-ray exam of spine A 0.45 0.16 0.18 0.16 0.18 0.03 0.64 0.66 0.64 0.66 1XXX.00.00.0000000P0 38.2581 4 72020 X-ray exam of spine A 0.15 0.46 0.48 0.46 0.48 0.03 0.64 0.66 0.64 0.66 1XXX.00.00.0000000P0 38.2581 4 72020TCX-ray exam of spine A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7202026X-ray exam of spine A 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 1XXX.00.00.0000000P0 38.2581 4 72040 X-ray exam of neck spine A 0.22 0.68 0.70 0.68 0.70 0.04 0.94 0.96 0.94 0.96 1XXX.00.00.0000000P0 38.2581 4 72040TCX-ray exam of neck spine A 0.00 0.60 0.61 0.60 0.61 0.03 0.63 0.64 0.63 0.64 1XXX.00.00.0000000P0 38.2581 4 7204026X-ray exam of neck spine A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 72050 X-ray exam of neck spine A 0.31 0.99 1.01 0.99 1.01 0.07 1.37 1.39 1.37 1.39 1XXX.00.00.0000000P0 38.2581 4 72050TCX-ray exam of neck spine A 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 1XXX.00.00.0000000P0 38.2581 4 7205026X-ray exam of neck spine A 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 72052 X-ray exam of neck spine A 0.36 1.25 1.27 1.25 1.27 0.07 1.68 1.70 1.68 1.70 1XXX.00.00.0000000P0 38.2581 4 72052TCX-ray exam of neck spine A 0.00 1.12 1.13 1.12 1.13 0.05 1.17 1.18 1.17 1.18 1XXX.00.00.0000000P0 38.2581 4 7205226X-ray exam of neck spine A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 72069 X-ray exam of trunk spine A 0.22 0.57 0.59 0.57 0.59 0.04 0.83 0.85 0.83 0.85 1XXX.00.00.0000000P0 38.2581 4 72069TCX-ray exam of trunk spine A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 7206926X-ray exam of trunk spine A 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 1XXX.00.00.0000000P0 38.2581 4 72070 X-ray exam of thoracic spine A 0.22 0.72 0.74 0.72 0.74 0.04 0.98 1.00 0.98 1.00 1XXX.00.00.0000000P0 38.2581 4 72070TCX-ray exam of thoracic spine A 0.00 0.64 0.65 0.64 0.65 0.03 0.67 0.68 0.67 0.68 1XXX.00.00.0000000P0 38.2581 4 7207026X-ray exam of thoracic spine A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 72072 X-ray exam of thoracic spine A 0.22 0.81 0.83 0.81 0.83 0.05 1.08 1.10 1.08 1.10 1XXX.00.00.0000000P0 38.2581 4 72072TCX-ray exam of thoracic spine A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7207226X-ray exam of thoracic spine A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 72074 X-ray exam of thoracic spine A 0.22 0.98 1.00 0.98 1.00 0.06 1.26 1.28 1.26 1.28 1XXX.00.00.0000000P0 38.2581 4 72074TCX-ray exam of thoracic spine A 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 1XXX.00.00.0000000P0 38.2581 4 7207426X-ray exam of thoracic spine A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 72080 X-ray exam of trunk spine A 0.22 0.74 0.76 0.74 0.76 0.05 1.01 1.03 1.01 1.03 1XXX.00.00.0000000P0 38.2581 4 72080TCX-ray exam of trunk spine A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7208026X-ray exam of trunk spine A 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 1XXX.00.00.0000000P0 38.2581 4 72090 X-ray exam of trunk spine A 0.28 0.76 0.78 0.76 0.78 0.05 1.09 1.11 1.09 1.11 1XXX.00.00.0000000P0 38.2581 4 72090TCX-ray exam of trunk spine A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7209026X-ray exam of trunk spine A 0.28 0.10 0.11 0.10 0.11 0.02 0.40 0.41 0.40 0.41 1XXX.00.00.0000000P0 38.2581 4 72100 X-ray exam of lower spine A 0.22 0.74 0.76 0.74 0.76 0.05 1.01 1.03 1.01 1.03 1XXX.00.00.0000000P0 38.2581 4 72100TCX-ray exam of lower spine A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7210026X-ray exam of lower spine A 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 1XXX.00.00.0000000P0 38.2581 4 72110 X-ray exam of lower spine A 0.31 1.01 1.03 1.01 1.03 0.07 1.39 1.41 1.39 1.41 1XXX.00.00.0000000P0 38.2581 4 72110TCX-ray exam of lower spine A 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 1XXX.00.00.0000000P0 38.2581 4 7211026X-ray exam of lower spine A 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 72114 X-ray exam of lower spine A 0.36 1.31 1.33 1.31 1.33 0.08 1.75 1.77 1.75 1.77 1XXX.00.00.0000000P0 38.2581 4 72114TCX-ray exam of lower spine A 0.00 1.18 1.19 1.18 1.19 0.05 1.23 1.24 1.23 1.24 1XXX.00.00.0000000P0 38.2581 4 7211426X-ray exam of lower spine A 0.36 0.13 0.14 0.13 0.14 0.03 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 72120 X-ray exam of lower spine A 0.22 0.96 0.98 0.96 0.98 0.07 1.25 1.27 1.25 1.27 1XXX.00.00.0000000P0 38.2581 4 72120TCX-ray exam of lower spine A 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 1XXX.00.00.0000000P0 38.2581 4 7212026X-ray exam of lower spine A 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 1XXX.00.00.0000000P0 38.2581 4 72125 Ct neck spine w/o dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0000000P0 38.2581 4 72125TCCt neck spine w/o dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7212526Ct neck spine w/o dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 38.2581 4 72126 Ct neck spine w/dye A 1.22 7.44 7.56 7.44 7.56 0.36 9.02 9.14 9.02 9.14 1XXX.00.00.0000000P0 38.2581 4 72126TCCt neck spine w/dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7212626Ct neck spine w/dye A 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 1XXX.00.00.0000000P0 38.2581 4 72127 Ct neck spine w/o&w dye A 1.27 9.23 9.36 9.23 9.36 0.44 10.94 11.07 10.94 11.07 1XXX.00.00.0000000P0 38.2581 4 72127TCCt neck spine w/o&w dye A 0.00 8.78 8.87 8.78 8.87 0.38 9.16 9.25 9.16 9.25 1XXX.00.00.0000000P0 38.2581 4 7212726Ct neck spine w/o&w dye A 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 1XXX.00.00.0000000P0 38.2581 4 72128 Ct chest spine w/o dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0000000P0 38.2581 4 72128TCCt chest spine w/o dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7212826Ct chest spine w/o dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 38.2581 4 72129 Ct chest spine w/dye A 1.22 7.44 7.56 7.44 7.56 0.36 9.02 9.14 9.02 9.14 1XXX.00.00.0000000P0 38.2581 4 72129TCCt chest spine w/dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7212926Ct chest spine w/dye A 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 1XXX.00.00.0000000P0 38.2581 4 72130 Ct chest spine w/o&w dye A 1.27 9.23 9.36 9.23 9.36 0.44 10.94 11.07 10.94 11.07 1XXX.00.00.0000000P0 38.2581 4 72130TCCt chest spine w/o&w dye A 0.00 8.78 8.87 8.78 8.87 0.38 9.16 9.25 9.16 9.25 1XXX.00.00.0000000P0 38.2581 4 7213026Ct chest spine w/o&w dye A 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 1XXX.00.00.0000000P0 38.2581 4 72131 Ct lumbar spine w/o dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0000000P0 38.2581 4 72131TCCt lumbar spine w/o dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7213126Ct lumbar spine w/o dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 38.2581 4 72132 Ct lumbar spine w/dye A 1.22 7.44 7.56 7.44 7.56 0.37 9.03 9.15 9.03 9.15 1XXX.00.00.0000000P0 38.2581 4 72132TCCt lumbar spine w/dye A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7213226Ct lumbar spine w/dye A 1.22 0.43 0.47 0.43 0.47 0.06 1.71 1.75 1.71 1.75 1XXX.00.00.0000000P0 38.2581 4 72133 Ct lumbar spine w/o&w dye A 1.27 9.24 9.37 9.24 9.37 0.44 10.95 11.08 10.95 11.08 1XXX.00.00.0000000P0 38.2581 4 72133TCCt lumbar spine w/o&w dye A 0.00 8.78 8.87 8.78 8.87 0.38 9.16 9.25 9.16 9.25 1XXX.00.00.0000000P0 38.2581 4 7213326Ct lumbar spine w/o&w dye A 1.27 0.46 0.50 0.46 0.50 0.06 1.79 1.83 1.79 1.83 1XXX.00.00.0000000P0 38.2581 4 72141 Mri neck spine w/o dye A 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 1XXX.00.00.0000000P0 38.2581 4 72141TCMri neck spine w/o dye A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7214126Mri neck spine w/o dye A 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 1XXX.00.00.0000000P0 38.2581 4 72142 Mri neck spine w/dye A 1.92 14.04 14.24 14.04 14.24 0.67 16.63 16.83 16.63 16.83 1XXX.00.00.0000000P0 38.2581 4 72142TCMri neck spine w/dye A 0.00 13.34 13.48 13.34 13.48 0.58 13.92 14.06 13.92 14.06 1XXX.00.00.0000000P0 38.2581 4 7214226Mri neck spine w/dye A 1.92 0.70 0.76 0.70 0.76 0.09 2.71 2.77 2.71 2.77 1XXX.00.00.0000000P0 38.2581 4 72146 Mri chest spine w/o dye A 1.60 12.93 13.11 12.93 13.11 0.60 15.13 15.31 15.13 15.31 1XXX.00.00.0000000P0 38.2581 4 72146TCMri chest spine w/o dye A 0.00 12.36 12.49 12.36 12.49 0.53 12.89 13.02 12.89 13.02 1XXX.00.00.0000000P0 38.2581 4 7214626Mri chest spine w/o dye A 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 1XXX.00.00.0000000P0 38.2581 4 72147 Mri chest spine w/dye A 1.92 14.03 14.23 14.03 14.23 0.67 16.62 16.82 16.62 16.82 1XXX.00.00.0000000P0 38.2581 4 72147TCMri chest spine w/dye A 0.00 13.34 13.48 13.34 13.48 0.58 13.92 14.06 13.92 14.06 1XXX.00.00.0000000P0 38.2581 4 7214726Mri chest spine w/dye A 1.92 0.69 0.75 0.69 0.75 0.09 2.70 2.76 2.70 2.76 1XXX.00.00.0000000P0 38.2581 4 72148 Mri lumbar spine w/o dye A 1.48 12.89 13.07 12.89 13.07 0.60 14.97 15.15 14.97 15.15 1XXX.00.00.0000000P0 38.2581 4 72148TCMri lumbar spine w/o dye A 0.00 12.36 12.49 12.36 12.49 0.53 12.89 13.02 12.89 13.02 1XXX.00.00.0000000P0 38.2581 4 7214826Mri lumbar spine w/o dye A 1.48 0.53 0.58 0.53 0.58 0.07 2.08 2.13 2.08 2.13 1XXX.00.00.0000000P0 38.2581 4 72149 Mri lumbar spine w/dye A 1.78 13.99 14.19 13.99 14.19 0.67 16.44 16.64 16.44 16.64 1XXX.00.00.0000000P0 38.2581 4 72149TCMri lumbar spine w/dye A 0.00 13.34 13.48 13.34 13.48 0.58 13.92 14.06 13.92 14.06 1XXX.00.00.0000000P0 38.2581 4 7214926Mri lumbar spine w/dye A 1.78 0.65 0.71 0.65 0.71 0.09 2.52 2.58 2.52 2.58 1XXX.00.00.0000000P0 38.2581 4 72156 Mri neck spine w/o&w dye A 2.57 25.63 25.97 25.63 25.97 1.20 29.40 29.74 29.40 29.74 1XXX.00.00.0000000P0 38.2581 4 72156TCMri neck spine w/o&w dye A 0.00 24.71 24.97 24.71 24.97 1.09 25.80 26.06 25.80 26.06 1XXX.00.00.0000000P0 38.2581 4 7215626Mri neck spine w/o&w dye A 2.57 0.92 1.00 0.92 1.00 0.11 3.60 3.68 3.60 3.68 1XXX.00.00.0000000P0 38.2581 4 72157 Mri chest spine w/o&w dye A 2.57 25.63 25.97 25.63 25.97 1.20 29.40 29.74 29.40 29.74 1XXX.00.00.0000000P0 38.2581 4 72157TCMri chest spine w/o&w dye A 0.00 24.71 24.97 24.71 24.97 1.09 25.80 26.06 25.80 26.06 1XXX.00.00.0000000P0 38.2581 4 7215726Mri chest spine w/o&w dye A 2.57 0.92 1.00 0.92 1.00 0.11 3.60 3.68 3.60 3.68 1XXX.00.00.0000000P0 38.2581 4 72158 Mri lumbar spine w/o&w dye A 2.36 25.55 25.89 25.55 25.89 1.20 29.11 29.45 29.11 29.45 1XXX.00.00.0000000P0 38.2581 4 72158TCMri lumbar spine w/o&w dye A 0.00 24.71 24.97 24.71 24.97 1.09 25.80 26.06 25.80 26.06 1XXX.00.00.0000000P0 38.2581 4 7215826Mri lumbar spine w/o&w dye A 2.36 0.84 0.92 0.84 0.92 0.11 3.31 3.39 3.31 3.39 1XXX.00.00.0000000P0 38.2581 4 72159 Mr angio spine w/o&w dye N+ 1.80 13.08 13.21 13.08 13.21 0.61 15.49 15.62 15.49 15.62 1XXX.00.00.0099999P9 38.2581 9 72159TCMr angio spine w/o&w dye N+ 0.00 12.36 12.49 12.36 12.49 0.53 12.89 13.02 12.89 13.02 1XXX.00.00.0099999P9 38.2581 9 7215926Mr angio spine w/o&w dye N+ 1.80 0.72 0.72 0.72 0.72 0.08 2.60 2.60 2.60 2.60 1XXX.00.00.0099999P9 38.2581 9 72170 X-ray exam of pelvis A 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0000000P0 38.2581 4 72170TCX-ray exam of pelvis A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7217026X-ray exam of pelvis A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 72190 X-ray exam of pelvis A 0.21 0.74 0.76 0.74 0.76 0.04 0.99 1.01 0.99 1.01 1XXX.00.00.0000000P0 38.2581 4 72190TCX-ray exam of pelvis A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0000000P0 38.2581 4 7219026X-ray exam of pelvis A 0.21 0.08 0.09 0.08 0.09 0.01 0.30 0.31 0.30 0.31 1XXX.00.00.0000000P0 38.2581 4 72191 Ct angiograph pelv w/o&w dye A 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 1XXX.00.00.000000090 38.2581 5 72191TCCt angiograph pelv w/o&w dye A 0.00 8.43 8.43 8.43 8.43 0.32 8.75 8.75 8.75 8.75 1XXX.00.00.000000090 38.2581 5 7219126Ct angiograph pelv w/o&w dye A 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 1XXX.00.00.000000090 38.2581 5 72192 Ct pelvis w/o dye A 1.09 6.25 6.34 6.25 6.34 0.31 7.65 7.74 7.65 7.74 1XXX.00.00.0000000P0 38.2581 4 72192TCCt pelvis w/o dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7219226Ct pelvis w/o dye A 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 1XXX.00.00.0000000P0 38.2581 4 72193 Ct pelvis w/dye A 1.16 7.20 7.31 7.20 7.31 0.35 8.71 8.82 8.71 8.82 1XXX.00.00.0000000P0 38.2581 4 72193TCCt pelvis w/dye A 0.00 6.79 6.86 6.79 6.86 0.30 7.09 7.16 7.09 7.16 1XXX.00.00.0000000P0 38.2581 4 7219326Ct pelvis w/dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0000000P0 38.2581 4 72194 Ct pelvis w/o&w dye A 1.22 8.86 8.99 8.86 8.99 0.41 10.49 10.62 10.49 10.62 1XXX.00.00.0000000P0 38.2581 4 72194TCCt pelvis w/o&w dye A 0.00 8.43 8.52 8.43 8.52 0.36 8.79 8.88 8.79 8.88 1XXX.00.00.0000000P0 38.2581 4 7219426Ct pelvis w/o&w dye A 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 1XXX.00.00.0000000P0 38.2581 4 72195 Mri pelvis w/o dye A 1.22 11.56 11.56 11.56 11.56 0.41 13.19 13.19 13.19 13.19 1XXX.00.00.000000090 38.2581 5 72195TCMri pelvis w/o dye A 0.00 11.13 11.13 11.13 11.13 0.37 11.50 11.50 11.50 11.50 1XXX.00.00.000000090 38.2581 5 7219526Mri pelvis w/o dye A 1.22 0.43 0.43 0.43 0.43 0.04 1.69 1.69 1.69 1.69 1XXX.00.00.000000090 38.2581 5 72196 Mri pelvis w/dye A 1.44 13.85 13.48 13.85 13.48 0.48 15.77 15.40 15.77 15.40 1XXX.00.00.0000000P0 38.2581 4 72196TCMri pelvis w/dye A 0.00 13.34 12.90 13.34 12.90 0.43 13.77 13.33 13.77 13.33 1XXX.00.00.0000000P0 38.2581 4 7219626Mri pelvis w/dye A 1.44 0.51 0.58 0.51 0.58 0.05 2.00 2.07 2.00 2.07 1XXX.00.00.0000000P0 38.2581 4 72197 Mri pelvis w/o & w dye A 1.89 25.38 25.38 25.38 25.38 0.85 28.12 28.12 28.12 28.12 1XXX.00.00.000000090 38.2581 5 72197TCMri pelvis w/o & w dye A 0.00 24.71 24.71 24.71 24.71 0.76 25.47 25.47 25.47 25.47 1XXX.00.00.000000090 38.2581 5 7219726Mri pelvis w/o & w dye A 1.89 0.67 0.67 0.67 0.67 0.09 2.65 2.65 2.65 2.65 1XXX.00.00.000000090 38.2581 5 72198 Mr angio pelvis w/o&w dye N+ 1.80 11.85 11.99 11.85 11.99 0.57 14.22 14.36 14.22 14.36 1XXX.00.00.0099999P9 38.2581 9 72198TCMr angio pelvis w/o&w dye N+ 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0099999P9 38.2581 9 7219826Mr angio pelvis w/o&w dye N+ 1.80 0.72 0.74 0.72 0.74 0.08 2.60 2.62 2.60 2.62 1XXX.00.00.0099999P9 38.2581 9 72200 X-ray exam sacroiliac joints A 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0000000P0 38.2581 4 72200TCX-ray exam sacroiliac joints A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7220026X-ray exam sacroiliac joints A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 72202 X-ray exam sacroiliac joints A 0.19 0.68 0.70 0.68 0.70 0.04 0.91 0.93 0.91 0.93 1XXX.00.00.0000000P0 38.2581 4 72202TCX-ray exam sacroiliac joints A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7220226X-ray exam sacroiliac joints A 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 1XXX.00.00.0000000P0 38.2581 4 72220 X-ray exam of tailbone A 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 1XXX.00.00.0000000P0 38.2581 4 72220TCX-ray exam of tailbone A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7222026X-ray exam of tailbone A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 72240 Contrast x-ray of neck spine A 0.91 5.03 5.11 5.03 5.11 0.25 6.19 6.27 6.19 6.27 1XXX.00.00.0000000P0 38.2581 4 72240TCContrast x-ray of neck spine A 0.00 4.72 4.77 4.72 4.77 0.21 4.93 4.98 4.93 4.98 1XXX.00.00.0000000P0 38.2581 4 7224026Contrast x-ray of neck spine A 0.91 0.31 0.34 0.31 0.34 0.04 1.26 1.29 1.26 1.29 1XXX.00.00.0000000P0 38.2581 4 72255 Contrast x-ray, thorax spine A 0.91 4.59 4.68 4.59 4.68 0.22 5.72 5.81 5.72 5.81 1XXX.00.00.0000000P0 38.2581 4 72255TCContrast x-ray, thorax spine A 0.00 4.30 4.35 4.30 4.35 0.18 4.48 4.53 4.48 4.53 1XXX.00.00.0000000P0 38.2581 4 7225526Contrast x-ray, thorax spine A 0.91 0.29 0.33 0.29 0.33 0.04 1.24 1.28 1.24 1.28 1XXX.00.00.0000000P0 38.2581 4 72265 Contrast x-ray, lower spine A 0.83 4.31 4.39 4.31 4.39 0.22 5.36 5.44 5.36 5.44 1XXX.00.00.0000000P0 38.2581 4 72265TCContrast x-ray, lower spine A 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7226526Contrast x-ray, lower spine A 0.83 0.27 0.31 0.27 0.31 0.04 1.14 1.18 1.14 1.18 1XXX.00.00.0000000P0 38.2581 4 72270 Contrast x-ray of spine A 1.33 6.49 6.61 6.49 6.61 0.34 8.16 8.28 8.16 8.28 1XXX.00.00.0000000P0 38.2581 4 72270TCContrast x-ray of spine A 0.00 6.05 6.12 6.05 6.12 0.27 6.32 6.39 6.32 6.39 1XXX.00.00.0000000P0 38.2581 4 7227026Contrast x-ray of spine A 1.33 0.44 0.49 0.44 0.49 0.07 1.84 1.89 1.84 1.89 1XXX.00.00.0000000P0 38.2581 4 72275 Epidurography A 0.76 2.33 2.33 2.33 2.33 0.21 3.30 3.30 3.30 3.30 1XXX.00.00.009999999 38.2581 5 72275TCEpidurography A 0.00 2.08 2.08 2.08 2.08 0.18 2.26 2.26 2.26 2.26 1XXX.00.00.009999999 38.2581 5 7227526Epidurography A 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 1XXX.00.00.009999999 38.2581 5 72285 X-ray c/t spine disk A 1.16 8.71 8.81 8.71 8.81 0.42 10.29 10.39 10.29 10.39 1XXX.00.00.0000000P0 38.2581 4 72285TCX-ray c/t spine disk A 0.00 8.32 8.41 8.32 8.41 0.36 8.68 8.77 8.68 8.77 1XXX.00.00.0000000P0 38.2581 4 7228526X-ray c/t spine disk A 1.16 0.39 0.40 0.39 0.40 0.06 1.61 1.62 1.61 1.62 1XXX.00.00.0000000P0 38.2581 4 72295 X-ray of lower spine disk A 0.83 8.09 8.20 8.09 8.20 0.37 9.29 9.40 9.29 9.40 1XXX.00.00.0000000P0 38.2581 4 72295TCX-ray of lower spine disk A 0.00 7.80 7.88 7.80 7.88 0.33 8.13 8.21 8.13 8.21 1XXX.00.00.0000000P0 38.2581 4 7229526X-ray of lower spine disk A 0.83 0.29 0.32 0.29 0.32 0.04 1.16 1.19 1.16 1.19 1XXX.00.00.0000000P0 38.2581 4 73000 X-ray exam of collar bone A 0.16 0.58 0.60 0.58 0.60 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 38.2581 4 73000TCX-ray exam of collar bone A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7300026X-ray exam of collar bone A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73010 X-ray exam of shoulder blade A 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0003000P0 38.2581 4 73010TCX-ray exam of shoulder blade A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7301026X-ray exam of shoulder blade A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73020 X-ray exam of shoulder A 0.15 0.52 0.54 0.52 0.54 0.03 0.70 0.72 0.70 0.72 1XXX.00.00.0003000P0 38.2581 4 73020TCX-ray exam of shoulder A 0.00 0.47 0.48 0.47 0.48 0.02 0.49 0.50 0.49 0.50 1XXX.00.00.0003000P0 38.2581 4 7302026X-ray exam of shoulder A 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 1XXX.00.00.0003000P0 38.2581 4 73030 X-ray exam of shoulder A 0.18 0.63 0.65 0.63 0.65 0.04 0.85 0.87 0.85 0.87 1XXX.00.00.0003000P0 38.2581 4 73030TCX-ray exam of shoulder A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0003000P0 38.2581 4 7303026X-ray exam of shoulder A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0003000P0 38.2581 4 73040 Contrast x-ray of shoulder A 0.54 2.27 2.31 2.27 2.31 0.13 2.94 2.98 2.94 2.98 1XXX.00.00.0003000P0 38.2581 4 73040TCContrast x-ray of shoulder A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0003000P0 38.2581 4 7304026Contrast x-ray of shoulder A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0003000P0 38.2581 4 73050 X-ray exam of shoulders A 0.20 0.73 0.75 0.73 0.75 0.05 0.98 1.00 0.98 1.00 1XXX.00.00.0002000P0 38.2581 4 73050TCX-ray exam of shoulders A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0002000P0 38.2581 4 7305026X-ray exam of shoulders A 0.20 0.07 0.08 0.07 0.08 0.02 0.29 0.30 0.29 0.30 1XXX.00.00.0002000P0 38.2581 4 73060 X-ray exam of humerus A 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 1XXX.00.00.0003000P0 38.2581 4 73060TCX-ray exam of humerus A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0003000P0 38.2581 4 7306026X-ray exam of humerus A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73070 X-ray exam of elbow A 0.15 0.57 0.59 0.57 0.59 0.03 0.75 0.77 0.75 0.77 1XXX.00.00.0003000P0 38.2581 4 73070TCX-ray exam of elbow A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7307026X-ray exam of elbow A 0.15 0.05 0.06 0.05 0.06 0.01 0.21 0.22 0.21 0.22 1XXX.00.00.0003000P0 38.2581 4 73080 X-ray exam of elbow A 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 1XXX.00.00.0003000P0 38.2581 4 73080TCX-ray exam of elbow A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0003000P0 38.2581 4 7308026X-ray exam of elbow A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73085 Contrast x-ray of elbow A 0.54 2.28 2.32 2.28 2.32 0.13 2.95 2.99 2.95 2.99 1XXX.00.00.0003000P0 38.2581 4 73085TCContrast x-ray of elbow A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0003000P0 38.2581 4 7308526Contrast x-ray of elbow A 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 38.2581 4 73090 X-ray exam of forearm A 0.16 0.58 0.60 0.58 0.60 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 38.2581 4 73090TCX-ray exam of forearm A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7309026X-ray exam of forearm A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73092 X-ray exam of arm, infant A 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0003000P0 38.2581 4 73092TCX-ray exam of arm, infant A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7309226X-ray exam of arm, infant A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73100 X-ray exam of wrist A 0.16 0.55 0.57 0.55 0.57 0.04 0.75 0.77 0.75 0.77 1XXX.00.00.0003000P0 38.2581 4 73100TCX-ray exam of wrist A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7310026X-ray exam of wrist A 0.16 0.06 0.07 0.06 0.07 0.02 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73110 X-ray exam of wrist A 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 38.2581 4 73110TCX-ray exam of wrist A 0.00 0.53 0.54 0.53 0.54 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0003000P0 38.2581 4 7311026X-ray exam of wrist A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73115 Contrast x-ray of wrist A 0.54 1.77 1.81 1.77 1.81 0.11 2.42 2.46 2.42 2.46 1XXX.00.00.0003000P0 38.2581 4 73115TCContrast x-ray of wrist A 0.00 1.57 1.59 1.57 1.59 0.08 1.65 1.67 1.65 1.67 1XXX.00.00.0003000P0 38.2581 4 7311526Contrast x-ray of wrist A 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 38.2581 4 73120 X-ray exam of hand A 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0003000P0 38.2581 4 73120TCX-ray exam of hand A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7312026X-ray exam of hand A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73130 X-ray exam of hand A 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 38.2581 4 73130TCX-ray exam of hand A 0.00 0.53 0.54 0.53 0.54 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0003000P0 38.2581 4 7313026X-ray exam of hand A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73140 X-ray exam of finger(s) A 0.13 0.46 0.48 0.46 0.48 0.03 0.62 0.64 0.62 0.64 1XXX.00.00.0003000P0 38.2581 4 73140TCX-ray exam of finger(s) A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0003000P0 38.2581 4 7314026X-ray exam of finger(s) A 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 1XXX.00.00.0003000P0 38.2581 4 73200 Ct upper extremity w/o dye A 1.09 5.32 5.40 5.32 5.40 0.26 6.67 6.75 6.67 6.75 1XXX.00.00.0003000P0 38.2581 4 73200TCCt upper extremity w/o dye A 0.00 4.93 4.98 4.93 4.98 0.21 5.14 5.19 5.14 5.19 1XXX.00.00.0003000P0 38.2581 4 7320026Ct upper extremity w/o dye A 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 1XXX.00.00.0003000P0 38.2581 4 73201 Ct upper extremity w/dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0003000P0 38.2581 4 73201TCCt upper extremity w/dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0003000P0 38.2581 4 7320126Ct upper extremity w/dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0003000P0 38.2581 4 73202 Ct uppr extremity w/o&w dye A 1.22 7.81 7.93 7.81 7.93 0.38 9.41 9.53 9.41 9.53 1XXX.00.00.0003000P0 38.2581 4 73202TCCt uppr extremity w/o&w dye A 0.00 7.37 7.45 7.37 7.45 0.32 7.69 7.77 7.69 7.77 1XXX.00.00.0003000P0 38.2581 4 7320226Ct uppr extremity w/o&w dye A 1.22 0.44 0.48 0.44 0.48 0.06 1.72 1.76 1.72 1.76 1XXX.00.00.0003000P0 38.2581 4 73206 Ct angio upr extrm w/o&w dye A 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 1XXX.00.00.000000090 38.2581 5 73206TCCt angio upr extrm w/o&w dye A 0.00 7.37 7.37 7.37 7.37 0.32 7.69 7.69 7.69 7.69 1XXX.00.00.000000090 38.2581 5 7320626Ct angio upr extrm w/o&w dye A 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 1XXX.00.00.000000090 38.2581 5 73218 Mri upper extremity w/o dye A 1.10 11.52 11.52 11.52 11.52 0.36 12.98 12.98 12.98 12.98 1XXX.00.00.000000090 38.2581 5 73218TCMri upper extremity w/o dye A 0.00 11.13 11.13 11.13 11.13 0.32 11.45 11.45 11.45 11.45 1XXX.00.00.000000090 38.2581 5 7321826Mri upper extremity w/o dye A 1.10 0.39 0.39 0.39 0.39 0.04 1.53 1.53 1.53 1.53 1XXX.00.00.000000090 38.2581 5 73219 Mri upper extremity w/dye A 1.33 13.82 13.82 13.82 13.82 0.43 15.58 15.58 15.58 15.58 1XXX.00.00.000000090 38.2581 5 73219TCMri upper extremity w/dye A 0.00 13.34 13.34 13.34 13.34 0.39 13.73 13.73 13.73 13.73 1XXX.00.00.000000090 38.2581 5 7321926Mri upper extremity w/dye A 1.33 0.48 0.48 0.48 0.48 0.04 1.85 1.85 1.85 1.85 1XXX.00.00.000000090 38.2581 5 73220 Mri uppr extremity w/o&w dye A 1.76 25.34 22.08 25.34 22.08 0.78 27.88 24.62 27.88 24.62 1XXX.00.00.0003000P0 38.2581 4 73220TCMri uppr extremity w/o&w dye A 0.00 24.71 21.43 24.71 21.43 0.70 25.41 22.13 25.41 22.13 1XXX.00.00.0003000P0 38.2581 4 7322026Mri uppr extremity w/o&w dye A 1.76 0.63 0.65 0.63 0.65 0.08 2.47 2.49 2.47 2.49 1XXX.00.00.0003000P0 38.2581 4 73221 Mri joint upr extrem w/o dye A 1.10 11.52 11.66 11.52 11.66 0.36 12.98 13.12 12.98 13.12 1XXX.00.00.0003000P0 38.2581 4 73221TCMri joint upr extrem w/o dye A 0.00 11.13 11.25 11.13 11.25 0.32 11.45 11.57 11.45 11.57 1XXX.00.00.0003000P0 38.2581 4 7322126Mri joint upr extrem w/o dye A 1.10 0.39 0.41 0.39 0.41 0.04 1.53 1.55 1.53 1.55 1XXX.00.00.0003000P0 38.2581 4 73222 Mri joint upr extrem w/ dye A 1.33 13.81 13.81 13.81 13.81 0.43 15.57 15.57 15.57 15.57 1XXX.00.00.000000090 38.2581 5 73222TCMri joint upr extrem w/ dye A 0.00 13.34 13.34 13.34 13.34 0.39 13.73 13.73 13.73 13.73 1XXX.00.00.000000090 38.2581 5 7322226Mri joint upr extrem w/ dye A 1.33 0.47 0.47 0.47 0.47 0.04 1.84 1.84 1.84 1.84 1XXX.00.00.000000090 38.2581 5 73223 Mri joint upr extr w/o&w dye A 1.76 25.34 25.34 25.34 25.34 0.78 27.88 27.88 27.88 27.88 1XXX.00.00.000000090 38.2581 5 73223TCMri joint upr extr w/o&w dye A 0.00 24.71 24.71 24.71 24.71 0.70 25.41 25.41 25.41 25.41 1XXX.00.00.000000090 38.2581 5 7322326Mri joint upr extr w/o&w dye A 1.76 0.63 0.63 0.63 0.63 0.08 2.47 2.47 2.47 2.47 1XXX.00.00.000000090 38.2581 5 73225 Mr angio upr extr w/o&w dye N+ 1.73 11.82 11.95 11.82 11.95 0.57 14.12 14.25 14.12 14.25 1XXX.00.00.0099999P9 38.2581 9 73225TCMr angio upr extr w/o&w dye N+ 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0099999P9 38.2581 9 7322526Mr angio upr extr w/o&w dye N+ 1.73 0.69 0.70 0.69 0.70 0.08 2.50 2.51 2.50 2.51 1XXX.00.00.0099999P9 38.2581 9 73500 X-ray exam of hip A 0.17 0.53 0.55 0.53 0.55 0.03 0.73 0.75 0.73 0.75 1XXX.00.00.0000000P0 38.2581 4 73500TCX-ray exam of hip A 0.00 0.47 0.48 0.47 0.48 0.02 0.49 0.50 0.49 0.50 1XXX.00.00.0000000P0 38.2581 4 7350026X-ray exam of hip A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0000000P0 38.2581 4 73510 X-ray exam of hip A 0.21 0.65 0.67 0.65 0.67 0.05 0.91 0.93 0.91 0.93 1XXX.00.00.0000000P0 38.2581 4 73510TCX-ray exam of hip A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7351026X-ray exam of hip A 0.21 0.08 0.09 0.08 0.09 0.02 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 73520 X-ray exam of hips A 0.26 0.75 0.77 0.75 0.77 0.05 1.06 1.08 1.06 1.08 1XXX.00.00.0002000P0 38.2581 4 73520TCX-ray exam of hips A 0.00 0.66 0.67 0.66 0.67 0.03 0.69 0.70 0.69 0.70 1XXX.00.00.0002000P0 38.2581 4 7352026X-ray exam of hips A 0.26 0.09 0.10 0.09 0.10 0.02 0.37 0.38 0.37 0.38 1XXX.00.00.0002000P0 38.2581 4 73525 Contrast x-ray of hip A 0.54 2.27 2.31 2.27 2.31 0.13 2.94 2.98 2.94 2.98 1XXX.00.00.0003000P0 38.2581 4 73525TCContrast x-ray of hip A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0003000P0 38.2581 4 7352526Contrast x-ray of hip A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0003000P0 38.2581 4 73530 X-ray exam of hip A 0.29 0.62 0.64 0.62 0.64 0.03 0.94 0.96 0.94 0.96 1XXX.00.00.0003000P0 38.2581 4 73530TCX-ray exam of hip A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7353026X-ray exam of hip A 0.29 0.10 0.11 0.10 0.11 0.01 0.40 0.41 0.40 0.41 1XXX.00.00.0003000P0 38.2581 4 73540 X-ray exam of pelvis & hips A 0.20 0.64 0.66 0.64 0.66 0.05 0.89 0.91 0.89 0.91 1XXX.00.00.0000000P0 38.2581 4 73540TCX-ray exam of pelvis & hips A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7354026X-ray exam of pelvis & hips A 0.20 0.07 0.08 0.07 0.08 0.02 0.29 0.30 0.29 0.30 1XXX.00.00.0000000P0 38.2581 4 73542 X-ray exam, sacroiliac joint A 0.59 2.29 2.29 2.29 2.29 0.13 3.01 3.01 3.01 3.01 1XXX.00.00.009999999 38.2581 5 73542TCX-ray exam, sacroiliac joint A 0.00 2.08 2.08 2.08 2.08 0.10 2.18 2.18 2.18 2.18 1XXX.00.00.009999999 38.2581 5 7354226X-ray exam, sacroiliac joint A 0.59 0.21 0.21 0.21 0.21 0.03 0.83 0.83 0.83 0.83 1XXX.00.00.009999999 38.2581 5 73550 X-ray exam of thigh A 0.17 0.63 0.65 0.63 0.65 0.04 0.84 0.86 0.84 0.86 1XXX.00.00.0003000P0 38.2581 4 73550TCX-ray exam of thigh A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0003000P0 38.2581 4 7355026X-ray exam of thigh A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73560 X-ray exam of knee, 1 or 2 A 0.17 0.58 0.60 0.58 0.60 0.04 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 38.2581 4 73560TCX-ray exam of knee, 1 or 2 A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7356026X-ray exam of knee, 1 or 2 A 0.17 0.06 0.07 0.06 0.07 0.02 0.25 0.26 0.25 0.26 1XXX.00.00.0003000P0 38.2581 4 73562 X-ray exam of knee, 3 A 0.18 0.64 0.66 0.64 0.66 0.05 0.87 0.89 0.87 0.89 1XXX.00.00.0003000P0 38.2581 4 73562TCX-ray exam of knee, 3 A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0003000P0 38.2581 4 7356226X-ray exam of knee, 3 A 0.18 0.07 0.08 0.07 0.08 0.02 0.27 0.28 0.27 0.28 1XXX.00.00.0003000P0 38.2581 4 73564 X-ray exam, knee, 4 or more A 0.22 0.69 0.71 0.69 0.71 0.05 0.96 0.98 0.96 0.98 1XXX.00.00.0003000P0 38.2581 4 73564TCX-ray exam, knee, 4 or more A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0003000P0 38.2581 4 7356426X-ray exam, knee, 4 or more A 0.22 0.08 0.09 0.08 0.09 0.02 0.32 0.33 0.32 0.33 1XXX.00.00.0003000P0 38.2581 4 73565 X-ray exam of knees A 0.17 0.56 0.57 0.56 0.57 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0002000P0 38.2581 4 73565TCX-ray exam of knees A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0002000P0 38.2581 4 7356526X-ray exam of knees A 0.17 0.07 0.07 0.07 0.07 0.02 0.26 0.26 0.26 0.26 1XXX.00.00.0002000P0 38.2581 4 73580 Contrast x-ray of knee joint A 0.54 2.79 2.84 2.79 2.84 0.15 3.48 3.53 3.48 3.53 1XXX.00.00.0003000P0 38.2581 4 73580TCContrast x-ray of knee joint A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0003000P0 38.2581 4 7358026Contrast x-ray of knee joint A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0003000P0 38.2581 4 73590 X-ray exam of lower leg A 0.17 0.58 0.60 0.58 0.60 0.03 0.78 0.80 0.78 0.80 1XXX.00.00.0003000P0 38.2581 4 73590TCX-ray exam of lower leg A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0003000P0 38.2581 4 7359026X-ray exam of lower leg A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73592 X-ray exam of leg, infant A 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0003000P0 38.2581 4 73592TCX-ray exam of leg, infant A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7359226X-ray exam of leg, infant A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73600 X-ray exam of ankle A 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0003000P0 38.2581 4 73600TCX-ray exam of ankle A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7360026X-ray exam of ankle A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73610 X-ray exam of ankle A 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 38.2581 4 73610TCX-ray exam of ankle A 0.00 0.53 0.54 0.53 0.54 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0003000P0 38.2581 4 7361026X-ray exam of ankle A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73615 Contrast x-ray of ankle A 0.54 2.28 2.32 2.28 2.32 0.13 2.95 2.99 2.95 2.99 1XXX.00.00.0003000P0 38.2581 4 73615TCContrast x-ray of ankle A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0003000P0 38.2581 4 7361526Contrast x-ray of ankle A 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0003000P0 38.2581 4 73620 X-ray exam of foot A 0.16 0.55 0.57 0.55 0.57 0.03 0.74 0.76 0.74 0.76 1XXX.00.00.0003000P0 38.2581 4 73620TCX-ray exam of foot A 0.00 0.49 0.50 0.49 0.50 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0003000P0 38.2581 4 7362026X-ray exam of foot A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73630 X-ray exam of foot A 0.17 0.59 0.61 0.59 0.61 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0003000P0 38.2581 4 73630TCX-ray exam of foot A 0.00 0.53 0.54 0.53 0.54 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0003000P0 38.2581 4 7363026X-ray exam of foot A 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 1XXX.00.00.0003000P0 38.2581 4 73650 X-ray exam of heel A 0.16 0.53 0.55 0.53 0.55 0.03 0.72 0.74 0.72 0.74 1XXX.00.00.0003000P0 38.2581 4 73650TCX-ray exam of heel A 0.00 0.47 0.48 0.47 0.48 0.02 0.49 0.50 0.49 0.50 1XXX.00.00.0003000P0 38.2581 4 7365026X-ray exam of heel A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0003000P0 38.2581 4 73660 X-ray exam of toe(s) A 0.13 0.46 0.48 0.46 0.48 0.03 0.62 0.64 0.62 0.64 1XXX.00.00.0003000P0 38.2581 4 73660TCX-ray exam of toe(s) A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0003000P0 38.2581 4 7366026X-ray exam of toe(s) A 0.13 0.05 0.06 0.05 0.06 0.01 0.19 0.20 0.19 0.20 1XXX.00.00.0003000P0 38.2581 4 73700 Ct lower extremity w/o dye A 1.09 5.32 5.40 5.32 5.40 0.26 6.67 6.75 6.67 6.75 1XXX.00.00.0002000P0 38.2581 4 73700TCCt lower extremity w/o dye A 0.00 4.93 4.98 4.93 4.98 0.21 5.14 5.19 5.14 5.19 1XXX.00.00.0002000P0 38.2581 4 7370026Ct lower extremity w/o dye A 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 1XXX.00.00.0002000P0 38.2581 4 73701 Ct lower extremity w/dye A 1.16 6.27 6.37 6.27 6.37 0.31 7.74 7.84 7.74 7.84 1XXX.00.00.0002000P0 38.2581 4 73701TCCt lower extremity w/dye A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0002000P0 38.2581 4 7370126Ct lower extremity w/dye A 1.16 0.41 0.45 0.41 0.45 0.05 1.62 1.66 1.62 1.66 1XXX.00.00.0002000P0 38.2581 4 73702 Ct lwr extremity w/o&w dye A 1.22 7.80 7.92 7.80 7.92 0.37 9.39 9.51 9.39 9.51 1XXX.00.00.0002000P0 38.2581 4 73702TCCt lwr extremity w/o&w dye A 0.00 7.37 7.45 7.37 7.45 0.32 7.69 7.77 7.69 7.77 1XXX.00.00.0002000P0 38.2581 4 7370226Ct lwr extremity w/o&w dye A 1.22 0.43 0.47 0.43 0.47 0.05 1.70 1.74 1.70 1.74 1XXX.00.00.0002000P0 38.2581 4 73706 Ct angio lwr extr w/o&w dye A 1.20 7.85 7.85 7.85 7.85 0.37 9.42 9.42 9.42 9.42 1XXX.00.00.000000090 38.2581 5 73706TCCt angio lwr extr w/o&w dye A 0.00 7.37 7.37 7.37 7.37 0.32 7.69 7.69 7.69 7.69 1XXX.00.00.000000090 38.2581 5 7370626Ct angio lwr extr w/o&w dye A 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 1XXX.00.00.000000090 38.2581 5 73718 Mri lower extremity w/o dye A 1.10 11.52 11.52 11.52 11.52 0.36 12.98 12.98 12.98 12.98 1XXX.00.00.000000090 38.2581 5 73718TCMri lower extremity w/o dye A 0.00 11.13 11.13 11.13 11.13 0.32 11.45 11.45 11.45 11.45 1XXX.00.00.000000090 38.2581 5 7371826Mri lower extremity w/o dye A 1.10 0.39 0.39 0.39 0.39 0.04 1.53 1.53 1.53 1.53 1XXX.00.00.000000090 38.2581 5 73719 Mri lower extremity w/dye A 1.33 13.81 13.81 13.81 13.81 0.43 15.57 15.57 15.57 15.57 1XXX.00.00.000000090 38.2581 5 73719TCMri lower extremity w/dye A 0.00 13.34 13.34 13.34 13.34 0.39 13.73 13.73 13.73 13.73 1XXX.00.00.000000090 38.2581 5 7371926Mri lower extremity w/dye A 1.33 0.47 0.47 0.47 0.47 0.04 1.84 1.84 1.84 1.84 1XXX.00.00.000000090 38.2581 5 73720 Mri lwr extremity w/o&w dye A 1.76 25.33 22.08 25.33 22.08 0.78 27.87 24.62 27.87 24.62 1XXX.00.00.0002000P0 38.2581 4 73720TCMri lwr extremity w/o&w dye A 0.00 24.71 21.43 24.71 21.43 0.70 25.41 22.13 25.41 22.13 1XXX.00.00.0002000P0 38.2581 4 7372026Mri lwr extremity w/o&w dye A 1.76 0.62 0.65 0.62 0.65 0.08 2.46 2.49 2.46 2.49 1XXX.00.00.0002000P0 38.2581 4 73721 Mri joint of lwr extre w/o d A 1.10 11.52 11.66 11.52 11.66 0.36 12.98 13.12 12.98 13.12 1XXX.00.00.0003000P0 38.2581 4 73721TCMri joint of lwr extre w/o d A 0.00 11.13 11.25 11.13 11.25 0.32 11.45 11.57 11.45 11.57 1XXX.00.00.0003000P0 38.2581 4 7372126Mri joint of lwr extre w/o d A 1.10 0.39 0.41 0.39 0.41 0.04 1.53 1.55 1.53 1.55 1XXX.00.00.0003000P0 38.2581 4 73722 Mri joint of lwr extr w/dye A 1.33 13.82 13.82 13.82 13.82 0.43 15.58 15.58 15.58 15.58 1XXX.00.00.000000090 38.2581 5 73722TCMri joint of lwr extr w/dye A 0.00 13.34 13.34 13.34 13.34 0.39 13.73 13.73 13.73 13.73 1XXX.00.00.000000090 38.2581 5 7372226Mri joint of lwr extr w/dye A 1.33 0.48 0.48 0.48 0.48 0.04 1.85 1.85 1.85 1.85 1XXX.00.00.000000090 38.2581 5 73723 Mri joint lwr extr w/o&w dye A 1.76 25.34 25.34 25.34 25.34 0.78 27.88 27.88 27.88 27.88 1XXX.00.00.000000090 38.2581 5 73723TCMri joint lwr extr w/o&w dye A 0.00 24.71 24.71 24.71 24.71 0.70 25.41 25.41 25.41 25.41 1XXX.00.00.000000090 38.2581 5 7372326Mri joint lwr extr w/o&w dye A 1.76 0.63 0.63 0.63 0.63 0.08 2.47 2.47 2.47 2.47 1XXX.00.00.000000090 38.2581 5 73725 Mr ang lwr ext w or w/o dye R 1.82 11.78 11.92 11.78 11.92 0.57 14.17 14.31 14.17 14.31 1XXX.00.00.0002000P0 38.2581 4 73725TCMr ang lwr ext w or w/o dye R 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0002000P0 38.2581 4 7372526Mr ang lwr ext w or w/o dye R 1.82 0.65 0.67 0.65 0.67 0.08 2.55 2.57 2.55 2.57 1XXX.00.00.0002000P0 38.2581 4 74000 X-ray exam of abdomen A 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 74000TCX-ray exam of abdomen A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7400026X-ray exam of abdomen A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 74010 X-ray exam of abdomen A 0.23 0.65 0.67 0.65 0.67 0.04 0.92 0.94 0.92 0.94 1XXX.00.00.0000000P0 38.2581 4 74010TCX-ray exam of abdomen A 0.00 0.57 0.58 0.57 0.58 0.03 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 7401026X-ray exam of abdomen A 0.23 0.08 0.09 0.08 0.09 0.01 0.32 0.33 0.32 0.33 1XXX.00.00.0000000P0 38.2581 4 74020 X-ray exam of abdomen A 0.27 0.71 0.73 0.71 0.73 0.04 1.02 1.04 1.02 1.04 1XXX.00.00.0000000P0 38.2581 4 74020TCX-ray exam of abdomen A 0.00 0.61 0.62 0.61 0.62 0.03 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 7402026X-ray exam of abdomen A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1XXX.00.00.0000000P0 38.2581 4 74022 X-ray exam series, abdomen A 0.32 0.84 0.86 0.84 0.86 0.05 1.21 1.23 1.21 1.23 1XXX.00.00.0000000P0 38.2581 4 74022TCX-ray exam series, abdomen A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7402226X-ray exam series, abdomen A 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 74150 Ct abdomen w/o dye A 1.19 6.03 6.13 6.03 6.13 0.30 7.52 7.62 7.52 7.62 1XXX.00.00.0000000P0 38.2581 4 74150TCCt abdomen w/o dye A 0.00 5.61 5.67 5.61 5.67 0.25 5.86 5.92 5.86 5.92 1XXX.00.00.0000000P0 38.2581 4 7415026Ct abdomen w/o dye A 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 1XXX.00.00.0000000P0 38.2581 4 74160 Ct abdomen w/dye A 1.27 7.24 7.35 7.24 7.35 0.36 8.87 8.98 8.87 8.98 1XXX.00.00.0000000P0 38.2581 4 74160TCCt abdomen w/dye A 0.00 6.79 6.86 6.79 6.86 0.30 7.09 7.16 7.09 7.16 1XXX.00.00.0000000P0 38.2581 4 7416026Ct abdomen w/dye A 1.27 0.45 0.49 0.45 0.49 0.06 1.78 1.82 1.78 1.82 1XXX.00.00.0000000P0 38.2581 4 74170 Ct abdomen w/o&w dye A 1.40 8.93 9.06 8.93 9.06 0.42 10.75 10.88 10.75 10.88 1XXX.00.00.0000000P0 38.2581 4 74170TCCt abdomen w/o&w dye A 0.00 8.43 8.52 8.43 8.52 0.36 8.79 8.88 8.79 8.88 1XXX.00.00.0000000P0 38.2581 4 7417026Ct abdomen w/o&w dye A 1.40 0.50 0.54 0.50 0.54 0.06 1.96 2.00 1.96 2.00 1XXX.00.00.0000000P0 38.2581 4 74175 Ct angio abdom w/o&w dye A 1.20 8.91 8.91 8.91 8.91 0.37 10.48 10.48 10.48 10.48 1XXX.00.00.000000090 38.2581 5 74175TCCt angio abdom w/o&w dye A 0.00 8.43 8.43 8.43 8.43 0.32 8.75 8.75 8.75 8.75 1XXX.00.00.000000090 38.2581 5 7417526Ct angio abdom w/o&w dye A 1.20 0.48 0.48 0.48 0.48 0.05 1.73 1.73 1.73 1.73 1XXX.00.00.000000090 38.2581 5 74181 Mri abdomen w/o dye A 1.22 11.56 11.77 11.56 11.77 0.41 13.19 13.40 13.19 13.40 1XXX.00.00.0000000P0 38.2581 4 74181TCMri abdomen w/o dye A 0.00 11.13 11.25 11.13 11.25 0.37 11.50 11.62 11.50 11.62 1XXX.00.00.0000000P0 38.2581 4 7418126Mri abdomen w/o dye A 1.22 0.43 0.52 0.43 0.52 0.04 1.69 1.78 1.69 1.78 1XXX.00.00.0000000P0 38.2581 4 74182 Mri abdomen w/dye A 1.44 13.85 13.85 13.85 13.85 0.48 15.77 15.77 15.77 15.77 1XXX.00.00.000000090 38.2581 5 74182TCMri abdomen w/dye A 0.00 13.34 13.34 13.34 13.34 0.43 13.77 13.77 13.77 13.77 1XXX.00.00.000000090 38.2581 5 7418226Mri abdomen w/dye A 1.44 0.51 0.51 0.51 0.51 0.05 2.00 2.00 2.00 2.00 1XXX.00.00.000000090 38.2581 5 74183 Mri abdomen w/o&w dye A 1.89 25.38 25.38 25.38 25.38 0.85 28.12 28.12 28.12 28.12 1XXX.00.00.000000090 38.2581 5 74183TCMri abdomen w/o&w dye A 0.00 24.71 24.71 24.71 24.71 0.76 25.47 25.47 25.47 25.47 1XXX.00.00.000000090 38.2581 5 7418326Mri abdomen w/o&w dye A 1.89 0.67 0.67 0.67 0.67 0.09 2.65 2.65 2.65 2.65 1XXX.00.00.000000090 38.2581 5 74185 Mri angio, abdom w or w/o dy R 1.80 11.77 11.93 11.77 11.93 0.57 14.14 14.30 14.14 14.30 1XXX.00.00.0000000P0 38.2581 4 74185TCMri angio, abdom w or w/o dy R 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7418526Mri angio, abdom w or w/o dy R 1.80 0.64 0.68 0.64 0.68 0.08 2.52 2.56 2.52 2.56 1XXX.00.00.0000000P0 38.2581 4 74190 X-ray exam of peritoneum A 0.48 1.47 1.47 1.47 1.47 0.08 2.03 2.03 2.03 2.03 1XXX.00.00.0000000P0 38.2581 4 74190TCX-ray exam of peritoneum A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7419026X-ray exam of peritoneum A 0.48 0.17 0.16 0.17 0.16 0.02 0.67 0.66 0.67 0.66 1XXX.00.00.0000000P0 38.2581 4 74210 Contrst x-ray exam of throat A 0.36 1.31 1.33 1.31 1.33 0.07 1.74 1.76 1.74 1.76 1XXX.00.00.0000000P0 38.2581 4 74210TCContrst x-ray exam of throat A 0.00 1.18 1.19 1.18 1.19 0.05 1.23 1.24 1.23 1.24 1XXX.00.00.0000000P0 38.2581 4 7421026Contrst x-ray exam of throat A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 74220 Contrast x-ray, esophagus A 0.46 1.34 1.37 1.34 1.37 0.07 1.87 1.90 1.87 1.90 1XXX.00.00.0000000P0 38.2581 4 74220TCContrast x-ray, esophagus A 0.00 1.18 1.19 1.18 1.19 0.05 1.23 1.24 1.23 1.24 1XXX.00.00.0000000P0 38.2581 4 7422026Contrast x-ray, esophagus A 0.46 0.16 0.18 0.16 0.18 0.02 0.64 0.66 0.64 0.66 1XXX.00.00.0000000P0 38.2581 4 74230 Cinema x-ray, throat/esoph A 0.53 1.49 1.52 1.49 1.52 0.08 2.10 2.13 2.10 2.13 1XXX.00.00.0000000P0 38.2581 4 74230TCCinema x-ray, throat/esoph A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7423026Cinema x-ray, throat/esoph A 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 4 74235 Remove esophagus obstruction A 1.19 3.02 3.09 3.02 3.09 0.17 4.38 4.45 4.38 4.45 1XXX.00.00.0000000P0 38.2581 4 74235TCRemove esophagus obstruction A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7423526Remove esophagus obstruction A 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 1XXX.00.00.0000000P0 38.2581 4 74240 X-ray exam, upper gi tract A 0.69 1.69 1.74 1.69 1.74 0.10 2.48 2.53 2.48 2.53 1XXX.00.00.0000000P0 38.2581 4 74240TCX-ray exam, upper gi tract A 0.00 1.45 1.47 1.45 1.47 0.07 1.52 1.54 1.52 1.54 1XXX.00.00.0000000P0 38.2581 4 7424026X-ray exam, upper gi tract A 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 1XXX.00.00.0000000P0 38.2581 4 74241 X-ray exam, upper gi tract A 0.69 1.72 1.77 1.72 1.77 0.10 2.51 2.56 2.51 2.56 1XXX.00.00.0000000P0 38.2581 4 74241TCX-ray exam, upper gi tract A 0.00 1.48 1.50 1.48 1.50 0.07 1.55 1.57 1.55 1.57 1XXX.00.00.0000000P0 38.2581 4 7424126X-ray exam, upper gi tract A 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 1XXX.00.00.0000000P0 38.2581 4 74245 X-ray exam, upper gi tract A 0.91 2.68 2.74 2.68 2.74 0.15 3.74 3.80 3.74 3.80 1XXX.00.00.0000000P0 38.2581 4 74245TCX-ray exam, upper gi tract A 0.00 2.36 2.39 2.36 2.39 0.11 2.47 2.50 2.47 2.50 1XXX.00.00.0000000P0 38.2581 4 7424526X-ray exam, upper gi tract A 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 1XXX.00.00.0000000P0 38.2581 4 74246 Contrst x-ray uppr gi tract A 0.69 1.87 1.92 1.87 1.92 0.11 2.67 2.72 2.67 2.72 1XXX.00.00.0000000P0 38.2581 4 74246TCContrst x-ray uppr gi tract A 0.00 1.63 1.65 1.63 1.65 0.08 1.71 1.73 1.71 1.73 1XXX.00.00.0000000P0 38.2581 4 7424626Contrst x-ray uppr gi tract A 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 1XXX.00.00.0000000P0 38.2581 4 74247 Contrst x-ray uppr gi tract A 0.69 1.92 1.97 1.92 1.97 0.12 2.73 2.78 2.73 2.78 1XXX.00.00.0000000P0 38.2581 4 74247TCContrst x-ray uppr gi tract A 0.00 1.67 1.69 1.67 1.69 0.09 1.76 1.78 1.76 1.78 1XXX.00.00.0000000P0 38.2581 4 7424726Contrst x-ray uppr gi tract A 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 1XXX.00.00.0000000P0 38.2581 4 74249 Contrst x-ray uppr gi tract A 0.91 2.88 2.94 2.88 2.94 0.16 3.95 4.01 3.95 4.01 1XXX.00.00.0000000P0 38.2581 4 74249TCContrst x-ray uppr gi tract A 0.00 2.56 2.59 2.56 2.59 0.12 2.68 2.71 2.68 2.71 1XXX.00.00.0000000P0 38.2581 4 7424926Contrst x-ray uppr gi tract A 0.91 0.32 0.35 0.32 0.35 0.04 1.27 1.30 1.27 1.30 1XXX.00.00.0000000P0 38.2581 4 74250 X-ray exam of small bowel A 0.47 1.47 1.50 1.47 1.50 0.08 2.02 2.05 2.02 2.05 1XXX.00.00.0000000P0 38.2581 4 74250TCX-ray exam of small bowel A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7425026X-ray exam of small bowel A 0.47 0.17 0.19 0.17 0.19 0.02 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 38.2581 4 74251 X-ray exam of small bowel A 0.69 1.54 1.55 1.54 1.55 0.09 2.32 2.33 2.32 2.33 1XXX.00.00.0000000P0 38.2581 4 74251TCX-ray exam of small bowel A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7425126X-ray exam of small bowel A 0.69 0.24 0.24 0.24 0.24 0.03 0.96 0.96 0.96 0.96 1XXX.00.00.0000000P0 38.2581 4 74260 X-ray exam of small bowel A 0.50 1.66 1.70 1.66 1.70 0.09 2.25 2.29 2.25 2.29 1XXX.00.00.0000000P0 38.2581 4 74260TCX-ray exam of small bowel A 0.00 1.48 1.50 1.48 1.50 0.07 1.55 1.57 1.55 1.57 1XXX.00.00.0000000P0 38.2581 4 7426026X-ray exam of small bowel A 0.50 0.18 0.20 0.18 0.20 0.02 0.70 0.72 0.70 0.72 1XXX.00.00.0000000P0 38.2581 4 74270 Contrast x-ray exam of colon A 0.69 1.93 1.98 1.93 1.98 0.12 2.74 2.79 2.74 2.79 1XXX.00.00.0000000P0 38.2581 4 74270TCContrast x-ray exam of colon A 0.00 1.69 1.71 1.69 1.71 0.09 1.78 1.80 1.78 1.80 1XXX.00.00.0000000P0 38.2581 4 7427026Contrast x-ray exam of colon A 0.69 0.24 0.27 0.24 0.27 0.03 0.96 0.99 0.96 0.99 1XXX.00.00.0000000P0 38.2581 4 74280 Contrast x-ray exam of colon A 0.99 2.57 2.63 2.57 2.63 0.15 3.71 3.77 3.71 3.77 1XXX.00.00.0000000P0 38.2581 4 74280TCContrast x-ray exam of colon A 0.00 2.22 2.24 2.22 2.24 0.11 2.33 2.35 2.33 2.35 1XXX.00.00.0000000P0 38.2581 4 7428026Contrast x-ray exam of colon A 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 1XXX.00.00.0000000P0 38.2581 4 74283 Contrast x-ray exam of colon A 2.02 3.27 3.37 3.27 3.37 0.21 5.50 5.60 5.50 5.60 1XXX.00.00.0000000P0 38.2581 4 74283TCContrast x-ray exam of colon A 0.00 2.55 2.58 2.55 2.58 0.12 2.67 2.70 2.67 2.70 1XXX.00.00.0000000P0 38.2581 4 7428326Contrast x-ray exam of colon A 2.02 0.72 0.79 0.72 0.79 0.09 2.83 2.90 2.83 2.90 1XXX.00.00.0000000P0 38.2581 4 74290 Contrast x-ray, gallbladder A 0.32 0.84 0.86 0.84 0.86 0.05 1.21 1.23 1.21 1.23 1XXX.00.00.0000000P0 38.2581 4 74290TCContrast x-ray, gallbladder A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7429026Contrast x-ray, gallbladder A 0.32 0.11 0.12 0.11 0.12 0.01 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 74291 Contrast x-rays, gallbladder A 0.20 0.48 0.50 0.48 0.50 0.03 0.71 0.73 0.71 0.73 1XXX.00.00.0000000P0 38.2581 4 74291TCContrast x-rays, gallbladder A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7429126Contrast x-rays, gallbladder A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 7430026X-ray bile ducts/pancreas A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 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 1ZZZ.00.00.0000000P0 38.2581 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 1ZZZ.00.00.0000000P0 38.2581 9 7430126X-rays at surgery add-on A 0.21 0.07 0.08 0.07 0.08 0.01 0.29 0.30 0.29 0.30 1ZZZ.00.00.0000000P0 38.2581 4 74305 X-ray bile ducts/pancreas A 0.42 0.93 0.96 0.93 0.96 0.06 1.41 1.44 1.41 1.44 1XXX.00.00.0000000P0 38.2581 4 74305TCX-ray bile ducts/pancreas A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7430526X-ray bile ducts/pancreas A 0.42 0.15 0.17 0.15 0.17 0.02 0.59 0.61 0.59 0.61 1XXX.00.00.0000000P0 38.2581 4 74320 Contrast x-ray of bile ducts A 0.54 3.32 3.37 3.32 3.37 0.16 4.02 4.07 4.02 4.07 1XXX.00.00.0000000P0 38.2581 4 74320TCContrast x-ray of bile ducts A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7432026Contrast x-ray of bile ducts A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74327 X-ray bile stone removal A 0.70 2.00 2.05 2.00 2.05 0.12 2.82 2.87 2.82 2.87 1XXX.00.00.0000000P0 38.2581 4 74327TCX-ray bile stone removal A 0.00 1.75 1.77 1.75 1.77 0.09 1.84 1.86 1.84 1.86 1XXX.00.00.0000000P0 38.2581 4 7432726X-ray bile stone removal A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 74328 Xray bile duct endoscopy A 0.70 3.38 3.44 3.38 3.44 0.17 4.25 4.31 4.25 4.31 1XXX.00.00.0000000P0 38.2581 4 74328TCXray bile duct endoscopy A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7432826Xray bile duct endoscopy A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 74329 X-ray for pancreas endoscopy A 0.70 3.38 3.44 3.38 3.44 0.17 4.25 4.31 4.25 4.31 1XXX.00.00.0000000P0 38.2581 4 74329TCX-ray for pancreas endoscopy A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7432926X-ray for pancreas endoscopy A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 74330 X-ray bile/panc endoscopy A 0.90 3.45 3.49 3.45 3.49 0.18 4.53 4.57 4.53 4.57 1XXX.00.00.0000000P0 38.2581 4 74330TCX-ray bile/panc endoscopy A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7433026X-ray bile/panc endoscopy A 0.90 0.32 0.33 0.32 0.33 0.04 1.26 1.27 1.26 1.27 1XXX.00.00.0000000P0 38.2581 4 74340 X-ray guide for GI tube A 0.54 2.79 2.84 2.79 2.84 0.14 3.47 3.52 3.47 3.52 1XXX.00.00.0000000P0 38.2581 4 74340TCX-ray guide for GI tube A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7434026X-ray guide for GI tube A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74350 X-ray guide, stomach tube A 0.76 3.40 3.46 3.40 3.46 0.17 4.33 4.39 4.33 4.39 1XXX.00.00.0000000P0 38.2581 4 74350TCX-ray guide, stomach tube A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7435026X-ray guide, stomach tube A 0.76 0.27 0.30 0.27 0.30 0.03 1.06 1.09 1.06 1.09 1XXX.00.00.0000000P0 38.2581 4 74355 X-ray guide, intestinal tube A 0.76 2.87 2.93 2.87 2.93 0.15 3.78 3.84 3.78 3.84 1XXX.00.00.0000000P0 38.2581 4 74355TCX-ray guide, intestinal tube A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7435526X-ray guide, intestinal tube A 0.76 0.27 0.30 0.27 0.30 0.03 1.06 1.09 1.06 1.09 1XXX.00.00.0000000P0 38.2581 4 74360 X-ray guide, GI dilation A 0.54 3.32 3.37 3.32 3.37 0.16 4.02 4.07 4.02 4.07 1XXX.00.00.0000000P0 38.2581 4 74360TCX-ray guide, GI dilation A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7436026X-ray guide, GI dilation A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74363 X-ray, bile duct dilation A 0.88 6.36 6.46 6.36 6.46 0.31 7.55 7.65 7.55 7.65 1XXX.00.00.0000000P0 38.2581 4 74363TCX-ray, bile duct dilation A 0.00 6.05 6.12 6.05 6.12 0.27 6.32 6.39 6.32 6.39 1XXX.00.00.0000000P0 38.2581 4 7436326X-ray, bile duct dilation A 0.88 0.31 0.34 0.31 0.34 0.04 1.23 1.26 1.23 1.26 1XXX.00.00.0000000P0 38.2581 4 74400 Contrst x-ray, urinary tract A 0.49 1.84 1.88 1.84 1.88 0.11 2.44 2.48 2.44 2.48 1XXX.00.00.0000000P0 38.2581 4 74400TCContrst x-ray, urinary tract A 0.00 1.67 1.69 1.67 1.69 0.09 1.76 1.78 1.76 1.78 1XXX.00.00.0000000P0 38.2581 4 7440026Contrst x-ray, urinary tract A 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 1XXX.00.00.0000000P0 38.2581 4 74410 Contrst x-ray, urinary tract A 0.49 2.11 2.15 2.11 2.15 0.11 2.71 2.75 2.71 2.75 1XXX.00.00.0000000P0 38.2581 4 74410TCContrst x-ray, urinary tract A 0.00 1.94 1.96 1.94 1.96 0.09 2.03 2.05 2.03 2.05 1XXX.00.00.0000000P0 38.2581 4 7441026Contrst x-ray, urinary tract A 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 1XXX.00.00.0000000P0 38.2581 4 74415 Contrst x-ray, urinary tract A 0.49 2.27 2.31 2.27 2.31 0.12 2.88 2.92 2.88 2.92 1XXX.00.00.0000000P0 38.2581 4 74415TCContrst x-ray, urinary tract A 0.00 2.10 2.12 2.10 2.12 0.10 2.20 2.22 2.20 2.22 1XXX.00.00.0000000P0 38.2581 4 7441526Contrst x-ray, urinary tract A 0.49 0.17 0.19 0.17 0.19 0.02 0.68 0.70 0.68 0.70 1XXX.00.00.0000000P0 38.2581 4 74420 Contrst x-ray, urinary tract A 0.36 2.73 2.77 2.73 2.77 0.14 3.23 3.27 3.23 3.27 1XXX.00.00.0000000P0 38.2581 4 74420TCContrst x-ray, urinary tract A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7442026Contrst x-ray, urinary tract A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 74425 Contrst x-ray, urinary tract A 0.36 1.43 1.45 1.43 1.45 0.08 1.87 1.89 1.87 1.89 1XXX.00.00.0000000P0 38.2581 4 74425TCContrst x-ray, urinary tract A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7442526Contrst x-ray, urinary tract A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 74430 Contrast x-ray, bladder A 0.32 1.16 1.18 1.16 1.18 0.07 1.55 1.57 1.55 1.57 1XXX.00.00.0000000P0 38.2581 4 74430TCContrast x-ray, bladder A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7443026Contrast x-ray, bladder A 0.32 0.11 0.12 0.11 0.12 0.02 0.45 0.46 0.45 0.46 1XXX.00.00.0000000P0 38.2581 4 74440 X-ray, male genital tract A 0.38 1.25 1.27 1.25 1.27 0.07 1.70 1.72 1.70 1.72 1XXX.00.00.0000000P0 38.2581 4 74440TCX-ray, male genital tract A 0.00 1.12 1.13 1.12 1.13 0.05 1.17 1.18 1.17 1.18 1XXX.00.00.0000000P0 38.2581 4 7444026X-ray, male genital tract A 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 1XXX.00.00.0000000P0 38.2581 4 74445 X-ray exam of penis A 1.14 1.52 1.57 1.52 1.57 0.10 2.76 2.81 2.76 2.81 1XXX.00.00.0000000P0 38.2581 4 74445TCX-ray exam of penis A 0.00 1.12 1.13 1.12 1.13 0.05 1.17 1.18 1.17 1.18 1XXX.00.00.0000000P0 38.2581 4 7444526X-ray exam of penis A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 74450 X-ray, urethra/bladder A 0.33 1.57 1.60 1.57 1.60 0.09 1.99 2.02 1.99 2.02 1XXX.00.00.0000000P0 38.2581 4 74450TCX-ray, urethra/bladder A 0.00 1.45 1.47 1.45 1.47 0.07 1.52 1.54 1.52 1.54 1XXX.00.00.0000000P0 38.2581 4 7445026X-ray, urethra/bladder A 0.33 0.12 0.13 0.12 0.13 0.02 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 38.2581 4 74455 X-ray, urethra/bladder A 0.33 1.69 1.72 1.69 1.72 0.10 2.12 2.15 2.12 2.15 1XXX.00.00.0000000P0 38.2581 4 74455TCX-ray, urethra/bladder A 0.00 1.57 1.59 1.57 1.59 0.08 1.65 1.67 1.65 1.67 1XXX.00.00.0000000P0 38.2581 4 7445526X-ray, urethra/bladder A 0.33 0.12 0.13 0.12 0.13 0.02 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 38.2581 4 74470 X-ray exam of kidney lesion A 0.54 1.43 1.46 1.43 1.46 0.08 2.05 2.08 2.05 2.08 1XXX.00.00.0000000P0 38.2581 4 74470TCX-ray exam of kidney lesion A 0.00 1.24 1.25 1.24 1.25 0.06 1.30 1.31 1.30 1.31 1XXX.00.00.0000000P0 38.2581 4 7447026X-ray exam of kidney lesion A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74475 X-ray control, cath insert A 0.54 4.23 4.29 4.23 4.29 0.20 4.97 5.03 4.97 5.03 1XXX.00.00.0000000P0 38.2581 4 74475TCX-ray control, cath insert A 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7447526X-ray control, cath insert A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74480 X-ray control, cath insert A 0.54 4.23 4.29 4.23 4.29 0.20 4.97 5.03 4.97 5.03 1XXX.00.00.0000000P0 38.2581 4 74480TCX-ray control, cath insert A 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7448026X-ray control, cath insert A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 74485 X-ray guide, GU dilation A 0.54 3.32 3.37 3.32 3.37 0.17 4.03 4.08 4.03 4.08 1XXX.00.00.0000000P0 38.2581 4 74485TCX-ray guide, GU dilation A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7448526X-ray guide, GU dilation A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0000000P0 38.2581 4 74710 X-ray measurement of pelvis A 0.34 1.17 1.19 1.17 1.19 0.07 1.58 1.60 1.58 1.60 1XXX.00.00.0000000P0 38.2581 4 74710TCX-ray measurement of pelvis A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7471026X-ray measurement of pelvis A 0.34 0.12 0.13 0.12 0.13 0.02 0.48 0.49 0.48 0.49 1XXX.00.00.0000000P0 38.2581 4 74740 X-ray, female genital tract A 0.38 1.44 1.46 1.44 1.46 0.08 1.90 1.92 1.90 1.92 1XXX.00.00.0000000P0 38.2581 4 74740TCX-ray, female genital tract A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7474026X-ray, female genital tract A 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 74742 X-ray, fallopian tube A 0.61 3.36 3.40 3.36 3.40 0.16 4.13 4.17 4.13 4.17 1XXX.00.00.0000000P0 38.2581 4 74742TCX-ray, fallopian tube A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7474226X-ray, fallopian tube A 0.61 0.23 0.24 0.23 0.24 0.02 0.86 0.87 0.86 0.87 1XXX.00.00.0000000P0 38.2581 4 74775 X-ray exam of perineum A 0.62 1.67 1.71 1.67 1.71 0.10 2.39 2.43 2.39 2.43 1XXX.00.00.0000000P0 38.2581 4 74775TCX-ray exam of perineum A 0.00 1.45 1.47 1.45 1.47 0.07 1.52 1.54 1.52 1.54 1XXX.00.00.0000000P0 38.2581 4 7477526X-ray exam of perineum A 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 1XXX.00.00.0000000P0 38.2581 4 75552 Heart mri for morph w/o dye A 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 1XXX.00.00.0000000P0 38.2581 4 75552TCHeart mri for morph w/o dye A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7555226Heart mri for morph w/o dye A 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 1XXX.00.00.0000000P0 38.2581 4 75553 Heart mri for morph w/dye A 2.00 11.84 11.98 11.84 11.98 0.58 14.42 14.56 14.42 14.56 1XXX.00.00.0000000P0 38.2581 4 75553TCHeart mri for morph w/dye A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7555326Heart mri for morph w/dye A 2.00 0.71 0.73 0.71 0.73 0.09 2.80 2.82 2.80 2.82 1XXX.00.00.0000000P0 38.2581 4 75554 Cardiac MRI/function A 1.83 11.84 11.98 11.84 11.98 0.56 14.23 14.37 14.23 14.37 1XXX.00.00.0000000P0 38.2581 4 75554TCCardiac MRI/function A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7555426Cardiac MRI/function A 1.83 0.71 0.73 0.71 0.73 0.07 2.61 2.63 2.61 2.63 1XXX.00.00.0000000P0 38.2581 4 75555 Cardiac MRI/limited study A 1.74 11.82 11.96 11.82 11.96 0.56 14.12 14.26 14.12 14.26 1XXX.00.00.0000000P0 38.2581 4 75555TCCardiac MRI/limited study A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7555526Cardiac MRI/limited study A 1.74 0.69 0.71 0.69 0.71 0.07 2.50 2.52 2.50 2.52 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 75600 Contrast x-ray exam of aorta A 0.49 12.72 12.86 12.72 12.86 0.56 13.77 13.91 13.77 13.91 1XXX.00.00.0000000P0 38.2581 4 75600TCContrast x-ray exam of aorta A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7560026Contrast x-ray exam of aorta A 0.49 0.21 0.22 0.21 0.22 0.02 0.72 0.73 0.72 0.73 1XXX.00.00.0000000P0 38.2581 4 75605 Contrast x-ray exam of aorta A 1.14 12.95 13.11 12.95 13.11 0.59 14.68 14.84 14.68 14.84 1XXX.00.00.0000000P0 38.2581 4 75605TCContrast x-ray exam of aorta A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7560526Contrast x-ray exam of aorta A 1.14 0.44 0.47 0.44 0.47 0.05 1.63 1.66 1.63 1.66 1XXX.00.00.0000000P0 38.2581 4 75625 Contrast x-ray exam of aorta A 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 1XXX.00.00.0000000P0 38.2581 4 75625TCContrast x-ray exam of aorta A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7562526Contrast x-ray exam of aorta A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 75630 X-ray aorta, leg arteries A 1.79 13.72 13.85 13.72 13.85 0.65 16.16 16.29 16.16 16.29 1XXX.00.00.0000000P0 38.2581 4 75630TCX-ray aorta, leg arteries A 0.00 13.04 13.18 13.04 13.18 0.57 13.61 13.75 13.61 13.75 1XXX.00.00.0000000P0 38.2581 4 7563026X-ray aorta, leg arteries A 1.79 0.68 0.67 0.68 0.67 0.08 2.55 2.54 2.55 2.54 1XXX.00.00.0000000P0 38.2581 4 75635 Ct angio abdominal arteries A 1.89 9.19 9.19 9.19 9.19 0.37 11.45 11.45 11.45 11.45 1XXX.00.00.000000090 38.2581 5 75635TCCt angio abdominal arteries A 0.00 8.43 8.43 8.43 8.43 0.32 8.75 8.75 8.75 8.75 1XXX.00.00.000000090 38.2581 5 7563526Ct angio abdominal arteries A 1.89 0.76 0.76 0.76 0.76 0.05 2.70 2.70 2.70 2.70 1XXX.00.00.000000090 38.2581 5 75650 Artery x-rays, head & neck A 1.49 13.04 13.22 13.04 13.22 0.61 15.14 15.32 15.14 15.32 1XXX.00.00.0000000P0 38.2581 4 75650TCArtery x-rays, head & neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7565026Artery x-rays, head & neck A 1.49 0.53 0.58 0.53 0.58 0.07 2.09 2.14 2.09 2.14 1XXX.00.00.0000000P0 38.2581 4 75658 Artery x-rays, arm A 1.31 13.04 13.20 13.04 13.20 0.60 14.95 15.11 14.95 15.11 1XXX.00.00.0000000P0 38.2581 4 75658TCArtery x-rays, arm A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7565826Artery x-rays, arm A 1.31 0.53 0.56 0.53 0.56 0.06 1.90 1.93 1.90 1.93 1XXX.00.00.0000000P0 38.2581 4 75660 Artery x-rays, head & neck A 1.31 13.00 13.17 13.00 13.17 0.60 14.91 15.08 14.91 15.08 1XXX.00.00.0000000P0 38.2581 4 75660TCArtery x-rays, head & neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7566026Artery x-rays, head & neck A 1.31 0.49 0.53 0.49 0.53 0.06 1.86 1.90 1.86 1.90 1XXX.00.00.0000000P0 38.2581 4 75662 Artery x-rays, head & neck A 1.66 13.16 13.33 13.16 13.33 0.62 15.44 15.61 15.44 15.61 1XXX.00.00.0002000P0 38.2581 4 75662TCArtery x-rays, head & neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7566226Artery x-rays, head & neck A 1.66 0.65 0.69 0.65 0.69 0.08 2.39 2.43 2.39 2.43 1XXX.00.00.0002000P0 38.2581 4 75665 Artery x-rays, head & neck A 1.31 12.99 13.16 12.99 13.16 0.61 14.91 15.08 14.91 15.08 1XXX.00.00.0000000P0 38.2581 4 75665TCArtery x-rays, head & neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7566526Artery x-rays, head & neck A 1.31 0.48 0.52 0.48 0.52 0.07 1.86 1.90 1.86 1.90 1XXX.00.00.0000000P0 38.2581 4 75671 Artery x-rays, head & neck A 1.66 13.11 13.29 13.11 13.29 0.62 15.39 15.57 15.39 15.57 1XXX.00.00.0002000P0 38.2581 4 75671TCArtery x-rays, head & neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7567126Artery x-rays, head & neck A 1.66 0.60 0.65 0.60 0.65 0.08 2.34 2.39 2.34 2.39 1XXX.00.00.0002000P0 38.2581 4 75676 Artery x-rays, neck A 1.31 12.99 13.16 12.99 13.16 0.61 14.91 15.08 14.91 15.08 1XXX.00.00.0000000P0 38.2581 4 75676TCArtery x-rays, neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7567626Artery x-rays, neck A 1.31 0.48 0.52 0.48 0.52 0.07 1.86 1.90 1.86 1.90 1XXX.00.00.0000000P0 38.2581 4 75680 Artery x-rays, neck A 1.66 13.11 13.29 13.11 13.29 0.62 15.39 15.57 15.39 15.57 1XXX.00.00.0002000P0 38.2581 4 75680TCArtery x-rays, neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7568026Artery x-rays, neck A 1.66 0.60 0.65 0.60 0.65 0.08 2.34 2.39 2.34 2.39 1XXX.00.00.0002000P0 38.2581 4 75685 Artery x-rays, spine A 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 1XXX.00.00.0000000P0 38.2581 4 75685TCArtery x-rays, spine A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7568526Artery x-rays, spine A 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 1XXX.00.00.0000000P0 38.2581 4 75705 Artery x-rays, spine A 2.18 13.29 13.49 13.29 13.49 0.65 16.12 16.32 16.12 16.32 1XXX.00.00.0000000P0 38.2581 4 75705TCArtery x-rays, spine A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7570526Artery x-rays, spine A 2.18 0.78 0.85 0.78 0.85 0.11 3.07 3.14 3.07 3.14 1XXX.00.00.0000000P0 38.2581 4 75710 Artery x-rays, arm/leg A 1.14 12.93 13.09 12.93 13.09 0.60 14.67 14.83 14.67 14.83 1XXX.00.00.0000000P0 38.2581 4 75710TCArtery x-rays, arm/leg A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7571026Artery x-rays, arm/leg A 1.14 0.42 0.45 0.42 0.45 0.06 1.62 1.65 1.62 1.65 1XXX.00.00.0000000P0 38.2581 4 75716 Artery x-rays, arms/legs A 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 1XXX.00.00.0002000P0 38.2581 4 75716TCArtery x-rays, arms/legs A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7571626Artery x-rays, arms/legs A 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 1XXX.00.00.0002000P0 38.2581 4 75722 Artery x-rays, kidney A 1.14 12.95 13.11 12.95 13.11 0.59 14.68 14.84 14.68 14.84 1XXX.00.00.0000000P0 38.2581 4 75722TCArtery x-rays, kidney A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7572226Artery x-rays, kidney A 1.14 0.44 0.47 0.44 0.47 0.05 1.63 1.66 1.63 1.66 1XXX.00.00.0000000P0 38.2581 4 75724 Artery x-rays, kidneys A 1.49 13.13 13.29 13.13 13.29 0.59 15.21 15.37 15.21 15.37 1XXX.00.00.0002000P0 38.2581 4 75724TCArtery x-rays, kidneys A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7572426Artery x-rays, kidneys A 1.49 0.62 0.65 0.62 0.65 0.05 2.16 2.19 2.16 2.19 1XXX.00.00.0002000P0 38.2581 4 75726 Artery x-rays, abdomen A 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 1XXX.00.00.0000000P0 38.2581 4 75726TCArtery x-rays, abdomen A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7572626Artery x-rays, abdomen A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 75731 Artery x-rays, adrenal gland A 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 1XXX.00.00.0000000P0 38.2581 4 75731TCArtery x-rays, adrenal gland A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7573126Artery x-rays, adrenal gland A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 75733 Artery x-rays, adrenals A 1.31 12.99 13.16 12.99 13.16 0.60 14.90 15.07 14.90 15.07 1XXX.00.00.0002000P0 38.2581 4 75733TCArtery x-rays, adrenals A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7573326Artery x-rays, adrenals A 1.31 0.48 0.52 0.48 0.52 0.06 1.85 1.89 1.85 1.89 1XXX.00.00.0002000P0 38.2581 4 75736 Artery x-rays, pelvis A 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 1XXX.00.00.0000000P0 38.2581 4 75736TCArtery x-rays, pelvis A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7573626Artery x-rays, pelvis A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 75741 Artery x-rays, lung A 1.31 12.98 13.15 12.98 13.15 0.60 14.89 15.06 14.89 15.06 1XXX.00.00.0000000P0 38.2581 4 75741TCArtery x-rays, lung A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7574126Artery x-rays, lung A 1.31 0.47 0.51 0.47 0.51 0.06 1.84 1.88 1.84 1.88 1XXX.00.00.0000000P0 38.2581 4 75743 Artery x-rays, lungs A 1.66 13.10 13.28 13.10 13.28 0.61 15.37 15.55 15.37 15.55 1XXX.00.00.0002000P0 38.2581 4 75743TCArtery x-rays, lungs A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7574326Artery x-rays, lungs A 1.66 0.59 0.64 0.59 0.64 0.07 2.32 2.37 2.32 2.37 1XXX.00.00.0002000P0 38.2581 4 75746 Artery x-rays, lung A 1.14 12.92 13.08 12.92 13.08 0.59 14.65 14.81 14.65 14.81 1XXX.00.00.0000000P0 38.2581 4 75746TCArtery x-rays, lung A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7574626Artery x-rays, lung A 1.14 0.41 0.44 0.41 0.44 0.05 1.60 1.63 1.60 1.63 1XXX.00.00.0000000P0 38.2581 4 75756 Artery x-rays, chest A 1.14 13.00 13.14 13.00 13.14 0.58 14.72 14.86 14.72 14.86 1XXX.00.00.0000000P0 38.2581 4 75756TCArtery x-rays, chest A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7575626Artery x-rays, chest A 1.14 0.49 0.50 0.49 0.50 0.04 1.67 1.68 1.67 1.68 1XXX.00.00.0000000P0 38.2581 4 75774 Artery x-ray, each vessel A 0.36 12.65 12.79 12.65 12.79 0.56 13.57 13.71 13.57 13.71 1ZZZ.00.00.0000000P0 38.2581 4 75774TCArtery x-ray, each vessel A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1ZZZ.00.00.0000000P0 38.2581 4 7577426Artery x-ray, each vessel A 0.36 0.14 0.15 0.14 0.15 0.02 0.52 0.53 0.52 0.53 1ZZZ.00.00.0000000P0 38.2581 4 75790 Visualize A-V shunt A 1.84 2.00 2.07 2.00 2.07 0.16 4.00 4.07 4.00 4.07 1XXX.00.00.0000000P0 38.2581 4 75790TCVisualize A-V shunt A 0.00 1.35 1.36 1.35 1.36 0.07 1.42 1.43 1.42 1.43 1XXX.00.00.0000000P0 38.2581 4 7579026Visualize A-V shunt A 1.84 0.65 0.71 0.65 0.71 0.09 2.58 2.64 2.58 2.64 1XXX.00.00.0000000P0 38.2581 4 75801 Lymph vessel x-ray, arm/leg A 0.81 5.66 5.75 5.66 5.75 0.29 6.76 6.85 6.76 6.85 1XXX.00.00.0000000P0 38.2581 4 75801TCLymph vessel x-ray, arm/leg A 0.00 5.37 5.43 5.37 5.43 0.24 5.61 5.67 5.61 5.67 1XXX.00.00.0000000P0 38.2581 4 7580126Lymph vessel x-ray, arm/leg A 0.81 0.29 0.32 0.29 0.32 0.05 1.15 1.18 1.15 1.18 1XXX.00.00.0000000P0 38.2581 4 75803 Lymph vessel x-ray,arms/legs A 1.17 5.79 5.88 5.79 5.88 0.29 7.25 7.34 7.25 7.34 1XXX.00.00.0002000P0 38.2581 4 75803TCLymph vessel x-ray,arms/legs A 0.00 5.37 5.43 5.37 5.43 0.24 5.61 5.67 5.61 5.67 1XXX.00.00.0002000P0 38.2581 4 7580326Lymph vessel x-ray,arms/legs A 1.17 0.42 0.45 0.42 0.45 0.05 1.64 1.67 1.64 1.67 1XXX.00.00.0002000P0 38.2581 4 75805 Lymph vessel x-ray, trunk A 0.81 6.34 6.44 6.34 6.44 0.31 7.46 7.56 7.46 7.56 1XXX.00.00.0000000P0 38.2581 4 75805TCLymph vessel x-ray, trunk A 0.00 6.05 6.12 6.05 6.12 0.27 6.32 6.39 6.32 6.39 1XXX.00.00.0000000P0 38.2581 4 7580526Lymph vessel x-ray, trunk A 0.81 0.29 0.32 0.29 0.32 0.04 1.14 1.17 1.14 1.17 1XXX.00.00.0000000P0 38.2581 4 75807 Lymph vessel x-ray, trunk A 1.17 6.47 6.57 6.47 6.57 0.32 7.96 8.06 7.96 8.06 1XXX.00.00.0002000P0 38.2581 4 75807TCLymph vessel x-ray, trunk A 0.00 6.05 6.12 6.05 6.12 0.27 6.32 6.39 6.32 6.39 1XXX.00.00.0002000P0 38.2581 4 7580726Lymph vessel x-ray, trunk A 1.17 0.42 0.45 0.42 0.45 0.05 1.64 1.67 1.64 1.67 1XXX.00.00.0002000P0 38.2581 4 75809 Nonvascular shunt, x-ray A 0.47 0.95 0.97 0.95 0.97 0.06 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 75809TCNonvascular shunt, x-ray A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7580926Nonvascular shunt, x-ray A 0.47 0.17 0.18 0.17 0.18 0.02 0.66 0.67 0.66 0.67 1XXX.00.00.0000000P0 38.2581 4 75810 Vein x-ray, spleen/liver A 1.14 12.91 13.08 12.91 13.08 0.60 14.65 14.82 14.65 14.82 1XXX.00.00.0000000P0 38.2581 4 75810TCVein x-ray, spleen/liver A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7581026Vein x-ray, spleen/liver A 1.14 0.40 0.44 0.40 0.44 0.06 1.60 1.64 1.60 1.64 1XXX.00.00.0000000P0 38.2581 4 75820 Vein x-ray, arm/leg A 0.70 1.19 1.23 1.19 1.23 0.08 1.97 2.01 1.97 2.01 1XXX.00.00.0000000P0 38.2581 4 75820TCVein x-ray, arm/leg A 0.00 0.94 0.95 0.94 0.95 0.05 0.99 1.00 0.99 1.00 1XXX.00.00.0000000P0 38.2581 4 7582026Vein x-ray, arm/leg A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 75822 Vein x-ray, arms/legs A 1.06 1.85 1.90 1.85 1.90 0.12 3.03 3.08 3.03 3.08 1XXX.00.00.0002000P0 38.2581 4 75822TCVein x-ray, arms/legs A 0.00 1.47 1.49 1.47 1.49 0.07 1.54 1.56 1.54 1.56 1XXX.00.00.0002000P0 38.2581 4 7582226Vein x-ray, arms/legs A 1.06 0.38 0.41 0.38 0.41 0.05 1.49 1.52 1.49 1.52 1XXX.00.00.0002000P0 38.2581 4 75825 Vein x-ray, trunk A 1.14 12.92 13.08 12.92 13.08 0.60 14.66 14.82 14.66 14.82 1XXX.00.00.0000000P0 38.2581 4 75825TCVein x-ray, trunk A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7582526Vein x-ray, trunk A 1.14 0.41 0.44 0.41 0.44 0.06 1.61 1.64 1.61 1.64 1XXX.00.00.0000000P0 38.2581 4 75827 Vein x-ray, chest A 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 1XXX.00.00.0000000P0 38.2581 4 75827TCVein x-ray, chest A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7582726Vein x-ray, chest A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 75831 Vein x-ray, kidney A 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 1XXX.00.00.0000000P0 38.2581 4 75831TCVein x-ray, kidney A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7583126Vein x-ray, kidney A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 75833 Vein x-ray, kidneys A 1.49 13.04 13.22 13.04 13.22 0.61 15.14 15.32 15.14 15.32 1XXX.00.00.0002000P0 38.2581 4 75833TCVein x-ray, kidneys A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7583326Vein x-ray, kidneys A 1.49 0.53 0.58 0.53 0.58 0.07 2.09 2.14 2.09 2.14 1XXX.00.00.0002000P0 38.2581 4 75840 Vein x-ray, adrenal gland A 1.14 12.92 13.08 12.92 13.08 0.61 14.67 14.83 14.67 14.83 1XXX.00.00.0000000P0 38.2581 4 75840TCVein x-ray, adrenal gland A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7584026Vein x-ray, adrenal gland A 1.14 0.41 0.44 0.41 0.44 0.07 1.62 1.65 1.62 1.65 1XXX.00.00.0000000P0 38.2581 4 75842 Vein x-ray, adrenal glands A 1.49 13.03 13.21 13.03 13.21 0.61 15.13 15.31 15.13 15.31 1XXX.00.00.0002000P0 38.2581 4 75842TCVein x-ray, adrenal glands A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0002000P0 38.2581 4 7584226Vein x-ray, adrenal glands A 1.49 0.52 0.57 0.52 0.57 0.07 2.08 2.13 2.08 2.13 1XXX.00.00.0002000P0 38.2581 4 75860 Vein x-ray, neck A 1.14 12.94 13.10 12.94 13.10 0.60 14.68 14.84 14.68 14.84 1XXX.00.00.0000000P0 38.2581 4 75860TCVein x-ray, neck A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7586026Vein x-ray, neck A 1.14 0.43 0.46 0.43 0.46 0.06 1.63 1.66 1.63 1.66 1XXX.00.00.0000000P0 38.2581 4 75870 Vein x-ray, skull A 1.14 12.93 13.09 12.93 13.09 0.60 14.67 14.83 14.67 14.83 1XXX.00.00.0000000P0 38.2581 4 75870TCVein x-ray, skull A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7587026Vein x-ray, skull A 1.14 0.42 0.45 0.42 0.45 0.06 1.62 1.65 1.62 1.65 1XXX.00.00.0000000P0 38.2581 4 75872 Vein x-ray, skull A 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 1XXX.00.00.0000000P0 38.2581 4 75872TCVein x-ray, skull A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7587226Vein x-ray, skull A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 75880 Vein x-ray, eye socket A 0.70 1.19 1.23 1.19 1.23 0.08 1.97 2.01 1.97 2.01 1XXX.00.00.0000000P0 38.2581 4 75880TCVein x-ray, eye socket A 0.00 0.94 0.95 0.94 0.95 0.05 0.99 1.00 0.99 1.00 1XXX.00.00.0000000P0 38.2581 4 7588026Vein x-ray, eye socket A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 75885 Vein x-ray, liver A 1.44 13.02 13.20 13.02 13.20 0.60 15.06 15.24 15.06 15.24 1XXX.00.00.0000000P0 38.2581 4 75885TCVein x-ray, liver A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7588526Vein x-ray, liver A 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 1XXX.00.00.0000000P0 38.2581 4 75887 Vein x-ray, liver A 1.44 13.02 13.20 13.02 13.20 0.60 15.06 15.24 15.06 15.24 1XXX.00.00.0000000P0 38.2581 4 75887TCVein x-ray, liver A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7588726Vein x-ray, liver A 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 1XXX.00.00.0000000P0 38.2581 4 75889 Vein x-ray, liver A 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 1XXX.00.00.0000000P0 38.2581 4 75889TCVein x-ray, liver A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7588926Vein x-ray, liver A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 75891 Vein x-ray, liver A 1.14 12.91 13.08 12.91 13.08 0.59 14.64 14.81 14.64 14.81 1XXX.00.00.0000000P0 38.2581 4 75891TCVein x-ray, liver A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7589126Vein x-ray, liver A 1.14 0.40 0.44 0.40 0.44 0.05 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 75893 Venous sampling by catheter A 0.54 12.70 12.85 12.70 12.85 0.56 13.80 13.95 13.80 13.95 1XXX.00.00.0000000P0 38.2581 4 75893TCVenous sampling by catheter A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7589326Venous sampling by catheter A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 75894 X-rays, transcath therapy A 1.31 24.43 24.72 24.43 24.72 1.12 26.86 27.15 26.86 27.15 1XXX.00.00.0000000P0 38.2581 4 75894TCX-rays, transcath therapy A 0.00 23.96 24.21 23.96 24.21 1.05 25.01 25.26 25.01 25.26 1XXX.00.00.0000000P0 38.2581 4 7589426X-rays, transcath therapy A 1.31 0.47 0.51 0.47 0.51 0.07 1.85 1.89 1.85 1.89 1XXX.00.00.0000000P0 38.2581 4 75896 X-rays, transcath therapy A 1.31 21.32 21.58 21.32 21.58 0.97 23.60 23.86 23.60 23.86 1XXX.00.00.0000000P0 38.2581 4 75896TCX-rays, transcath therapy A 0.00 20.84 21.06 20.84 21.06 0.91 21.75 21.97 21.75 21.97 1XXX.00.00.0000000P0 38.2581 4 7589626X-rays, transcath therapy A 1.31 0.48 0.52 0.48 0.52 0.06 1.85 1.89 1.85 1.89 1XXX.00.00.0000000P0 38.2581 4 75898 Follow-up angiogram A 1.65 1.65 1.71 1.65 1.71 0.12 3.42 3.48 3.42 3.48 1XXX.00.00.0000000P0 38.2581 4 75898TCFollow-up angiogram A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7589826Follow-up angiogram A 1.65 0.60 0.65 0.60 0.65 0.07 2.32 2.37 2.32 2.37 1XXX.00.00.0000000P0 38.2581 4 75900 Arterial catheter exchange A 0.49 21.00 21.24 21.00 21.24 0.94 22.43 22.67 22.43 22.67 1XXX.00.00.0000000P0 38.2581 4 75900TCArterial catheter exchange A 0.00 20.82 21.04 20.82 21.04 0.92 21.74 21.96 21.74 21.96 1XXX.00.00.0000000P0 38.2581 4 7590026Arterial catheter exchange A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 75940 X-ray placement, vein filter A 0.54 12.70 12.85 12.70 12.85 0.57 13.81 13.96 13.81 13.96 1XXX.00.00.0000000P0 38.2581 4 75940TCX-ray placement, vein filter A 0.00 12.51 12.64 12.51 12.64 0.54 13.05 13.18 13.05 13.18 1XXX.00.00.0000000P0 38.2581 4 7594026X-ray placement, vein filter A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0000000P0 38.2581 4 75945 Intravascular us A 0.40 4.68 4.75 4.68 4.75 0.23 5.31 5.38 5.31 5.38 1XXX.00.00.0000000P0 38.2581 4 75945TCIntravascular us A 0.00 4.53 4.58 4.53 4.58 0.20 4.73 4.78 4.73 4.78 1XXX.00.00.0000000P0 38.2581 4 7594526Intravascular us A 0.40 0.15 0.17 0.15 0.17 0.03 0.58 0.60 0.58 0.60 1XXX.00.00.0000000P0 38.2581 4 75946 Intravascular us add-on A 0.40 2.43 2.47 2.43 2.47 0.14 2.97 3.01 2.97 3.01 1ZZZ.00.00.0000000P0 38.2581 4 75946TCIntravascular us add-on A 0.00 2.28 2.30 2.28 2.30 0.11 2.39 2.41 2.39 2.41 1ZZZ.00.00.0000000P0 38.2581 4 7594626Intravascular us add-on A 0.40 0.15 0.17 0.15 0.17 0.03 0.58 0.60 0.58 0.60 1ZZZ.00.00.0000000P0 38.2581 4 75952 Endovasc repair abdom aorta A 4.00 1.60 1.60 1.60 1.60 0.68 6.28 6.28 6.28 6.28 2XXX.00.00.000000090 38.2581 5 75953 Abdom aneurysm endovas rpr A 1.36 0.54 0.54 0.54 0.54 0.68 2.58 2.58 2.58 2.58 2XXX.00.00.000000090 38.2581 5 75960 Transcatheter intro, stent A 0.82 15.11 15.28 15.11 15.28 0.68 16.61 16.78 16.61 16.78 1XXX.00.00.0000000P0 38.2581 4 75960TCTranscatheter intro, stent A 0.00 14.80 14.95 14.80 14.95 0.64 15.44 15.59 15.44 15.59 1XXX.00.00.0000000P0 38.2581 4 7596026Transcatheter intro, stent A 0.82 0.31 0.33 0.31 0.33 0.04 1.17 1.19 1.17 1.19 1XXX.00.00.0000000P0 38.2581 4 75961 Retrieval, broken catheter A 4.25 11.94 12.19 11.94 12.19 0.64 16.83 17.08 16.83 17.08 1XXX.00.00.0000000P0 38.2581 4 75961TCRetrieval, broken catheter A 0.00 10.42 10.53 10.42 10.53 0.46 10.88 10.99 10.88 10.99 1XXX.00.00.0000000P0 38.2581 4 7596126Retrieval, broken catheter A 4.25 1.52 1.66 1.52 1.66 0.18 5.95 6.09 5.95 6.09 1XXX.00.00.0000000P0 38.2581 4 75962 Repair arterial blockage A 0.54 15.82 16.01 15.82 16.01 0.72 17.08 17.27 17.08 17.27 1XXX.00.00.0000000P0 38.2581 4 75962TCRepair arterial blockage A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7596226Repair arterial blockage A 0.54 0.20 0.22 0.20 0.22 0.03 0.77 0.79 0.77 0.79 1XXX.00.00.0000000P0 38.2581 4 75964 Repair artery blockage, each A 0.36 8.46 8.56 8.46 8.56 0.38 9.20 9.30 9.20 9.30 1ZZZ.00.00.0000000P0 38.2581 4 75964TCRepair artery blockage, each A 0.00 8.33 8.42 8.33 8.42 0.36 8.69 8.78 8.69 8.78 1ZZZ.00.00.0000000P0 38.2581 4 7596426Repair artery blockage, each A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1ZZZ.00.00.0000000P0 38.2581 4 75966 Repair arterial blockage A 1.31 16.13 16.33 16.13 16.33 0.75 18.19 18.39 18.19 18.39 1XXX.00.00.0000000P0 38.2581 4 75966TCRepair arterial blockage A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7596626Repair arterial blockage A 1.31 0.51 0.54 0.51 0.54 0.06 1.88 1.91 1.88 1.91 1XXX.00.00.0000000P0 38.2581 4 75968 Repair artery blockage, each A 0.36 8.47 8.57 8.47 8.57 0.37 9.20 9.30 9.20 9.30 1ZZZ.00.00.0000000P0 38.2581 4 75968TCRepair artery blockage, each A 0.00 8.33 8.42 8.33 8.42 0.36 8.69 8.78 8.69 8.78 1ZZZ.00.00.0000000P0 38.2581 4 7596826Repair artery blockage, each A 0.36 0.14 0.15 0.14 0.15 0.01 0.51 0.52 0.51 0.52 1ZZZ.00.00.0000000P0 38.2581 4 75970 Vascular biopsy A 0.83 11.76 11.91 11.76 11.91 0.54 13.13 13.28 13.13 13.28 1XXX.00.00.0000000P0 38.2581 4 75970TCVascular biopsy A 0.00 11.46 11.58 11.46 11.58 0.50 11.96 12.08 11.96 12.08 1XXX.00.00.0000000P0 38.2581 4 7597026Vascular biopsy A 0.83 0.30 0.33 0.30 0.33 0.04 1.17 1.20 1.17 1.20 1XXX.00.00.0000000P0 38.2581 4 75978 Repair venous blockage A 0.54 15.81 16.06 15.81 16.06 0.71 17.06 17.31 17.06 17.31 1XXX.00.00.0000000P0 38.2581 4 75978TCRepair venous blockage A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7597826Repair venous blockage A 0.54 0.19 0.27 0.19 0.27 0.02 0.75 0.83 0.75 0.83 1XXX.00.00.0000000P0 38.2581 4 75980 Contrast xray exam bile duct A 1.44 5.88 5.99 5.88 5.99 0.30 7.62 7.73 7.62 7.73 1XXX.00.00.0000000P0 38.2581 4 75980TCContrast xray exam bile duct A 0.00 5.37 5.43 5.37 5.43 0.24 5.61 5.67 5.61 5.67 1XXX.00.00.0000000P0 38.2581 4 7598026Contrast xray exam bile duct A 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 1XXX.00.00.0000000P0 38.2581 4 75982 Contrast xray exam bile duct A 1.44 6.56 6.68 6.56 6.68 0.33 8.33 8.45 8.33 8.45 1XXX.00.00.0000000P0 38.2581 4 75982TCContrast xray exam bile duct A 0.00 6.05 6.12 6.05 6.12 0.27 6.32 6.39 6.32 6.39 1XXX.00.00.0000000P0 38.2581 4 7598226Contrast xray exam bile duct A 1.44 0.51 0.56 0.51 0.56 0.06 2.01 2.06 2.01 2.06 1XXX.00.00.0000000P0 38.2581 4 75984 Xray control catheter change A 0.72 2.19 2.24 2.19 2.24 0.12 3.03 3.08 3.03 3.08 1XXX.00.00.0000000P0 38.2581 4 75984TCXray control catheter change A 0.00 1.94 1.96 1.94 1.96 0.09 2.03 2.05 2.03 2.05 1XXX.00.00.0000000P0 38.2581 4 7598426Xray control catheter change A 0.72 0.25 0.28 0.25 0.28 0.03 1.00 1.03 1.00 1.03 1XXX.00.00.0000000P0 38.2581 4 75989 Abscess drainage under x-ray A 1.19 3.55 3.62 3.55 3.62 0.19 4.93 5.00 4.93 5.00 1XXX.00.00.0000000P0 38.2581 4 75989TCAbscess drainage under x-ray A 0.00 3.13 3.16 3.13 3.16 0.14 3.27 3.30 3.27 3.30 1XXX.00.00.0000000P0 38.2581 4 7598926Abscess drainage under x-ray A 1.19 0.42 0.46 0.42 0.46 0.05 1.66 1.70 1.66 1.70 1XXX.00.00.0000000P0 38.2581 4 75992 Atherectomy, x-ray exam A 0.54 15.83 16.02 15.83 16.02 0.71 17.08 17.27 17.08 17.27 1XXX.00.00.0000000P0 38.2581 4 75992TCAtherectomy, x-ray exam A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7599226Atherectomy, x-ray exam A 0.54 0.21 0.23 0.21 0.23 0.02 0.77 0.79 0.77 0.79 1XXX.00.00.0000000P0 38.2581 4 75993 Atherectomy, x-ray exam A 0.36 8.48 8.58 8.48 8.58 0.37 9.21 9.31 9.21 9.31 1ZZZ.00.00.0000000P0 38.2581 4 75993TCAtherectomy, x-ray exam A 0.00 8.33 8.42 8.33 8.42 0.36 8.69 8.78 8.69 8.78 1ZZZ.00.00.0000000P0 38.2581 4 7599326Atherectomy, x-ray exam A 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 1ZZZ.00.00.0000000P0 38.2581 4 75994 Atherectomy, x-ray exam A 1.31 16.13 16.33 16.13 16.33 0.75 18.19 18.39 18.19 18.39 1XXX.00.00.0000000P0 38.2581 4 75994TCAtherectomy, x-ray exam A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7599426Atherectomy, x-ray exam A 1.31 0.51 0.54 0.51 0.54 0.06 1.88 1.91 1.88 1.91 1XXX.00.00.0000000P0 38.2581 4 75995 Atherectomy, x-ray exam A 1.31 16.08 16.29 16.08 16.29 0.75 18.14 18.35 18.14 18.35 1XXX.00.00.0000000P0 38.2581 4 75995TCAtherectomy, x-ray exam A 0.00 15.62 15.79 15.62 15.79 0.69 16.31 16.48 16.31 16.48 1XXX.00.00.0000000P0 38.2581 4 7599526Atherectomy, x-ray exam A 1.31 0.46 0.50 0.46 0.50 0.06 1.83 1.87 1.83 1.87 1XXX.00.00.0000000P0 38.2581 4 75996 Atherectomy, x-ray exam A 0.36 8.47 8.57 8.47 8.57 0.37 9.20 9.30 9.20 9.30 1ZZZ.00.00.0000000P0 38.2581 4 75996TCAtherectomy, x-ray exam A 0.00 8.33 8.42 8.33 8.42 0.36 8.69 8.78 8.69 8.78 1ZZZ.00.00.0000000P0 38.2581 4 7599626Atherectomy, x-ray exam A 0.36 0.14 0.15 0.14 0.15 0.01 0.51 0.52 0.51 0.52 1ZZZ.00.00.0000000P0 38.2581 4 76000 Fluoroscope examination A 0.17 1.35 1.37 1.35 1.37 0.07 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 76000TCFluoroscope examination A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7600026Fluoroscope examination A 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0000000P0 38.2581 4 76001 Fluoroscope exam, extensive A 0.67 2.84 2.90 2.84 2.90 0.15 3.66 3.72 3.66 3.72 1XXX.00.00.0000000P0 38.2581 4 76001TCFluoroscope exam, extensive A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7600126Fluoroscope exam, extensive A 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 1XXX.00.00.0000000P0 38.2581 4 76003 Needle localization by x-ray A 0.54 1.48 1.51 1.48 1.51 0.09 2.11 2.14 2.11 2.14 1XXX.00.00.0000000P0 38.2581 4 76003TCNeedle localization by x-ray A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7600326Needle localization by x-ray A 0.54 0.18 0.20 0.18 0.20 0.03 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 76005 Fluoroguide for spine inject A 0.60 1.49 1.49 1.49 1.49 0.09 2.18 2.18 2.18 2.18 1XXX.00.00.009999999 38.2581 5 76005TCFluoroguide for spine inject A 0.00 1.30 1.30 1.30 1.30 0.06 1.36 1.36 1.36 1.36 1XXX.00.00.009999999 38.2581 5 7600526Fluoroguide for spine inject A 0.60 0.19 0.19 0.19 0.19 0.03 0.82 0.82 0.82 0.82 1XXX.00.00.009999999 38.2581 5 76006 X-ray stress view A 0.41 0.19 0.19 0.19 0.19 0.04 0.64 0.64 0.64 0.64 2XXX.00.00.0003000P0 38.2581 5 76010 X-ray, nose to rectum A 0.18 0.58 0.60 0.58 0.60 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 76010TCX-ray, nose to rectum A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7601026X-ray, nose to rectum A 0.18 0.06 0.07 0.06 0.07 0.01 0.25 0.26 0.25 0.26 1XXX.00.00.0000000P0 38.2581 4 76012 Percut vertebroplasty fluor A 1.31 0.49 0.49 0.49 0.49 0.23 2.03 2.03 2.03 2.03 2XXX.00.00.000000090 38.2581 5 76013 Percut vertebroplasty, ct A 1.38 0.52 0.52 0.52 0.52 0.48 2.38 2.38 2.38 2.38 2XXX.00.00.000000090 38.2581 5 76020 X-rays for bone age A 0.19 0.59 0.61 0.59 0.61 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 38.2581 4 76020TCX-rays for bone age A 0.00 0.52 0.53 0.52 0.53 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 7602026X-rays for bone age A 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 1XXX.00.00.0000000P0 38.2581 4 76040 X-rays, bone evaluation A 0.27 0.88 0.90 0.88 0.90 0.07 1.22 1.24 1.22 1.24 1XXX.00.00.0000000P0 38.2581 4 76040TCX-rays, bone evaluation A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 7604026X-rays, bone evaluation A 0.27 0.10 0.11 0.10 0.11 0.03 0.40 0.41 0.40 0.41 1XXX.00.00.0000000P0 38.2581 4 76061 X-rays, bone survey A 0.45 1.15 1.18 1.15 1.18 0.07 1.67 1.70 1.67 1.70 1XXX.00.00.0000000P0 38.2581 4 76061TCX-rays, bone survey A 0.00 0.99 1.00 0.99 1.00 0.05 1.04 1.05 1.04 1.05 1XXX.00.00.0000000P0 38.2581 4 7606126X-rays, bone survey A 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 1XXX.00.00.0000000P0 38.2581 4 76062 X-rays, bone survey A 0.54 1.62 1.66 1.62 1.66 0.09 2.25 2.29 2.25 2.29 1XXX.00.00.0000000P0 38.2581 4 76062TCX-rays, bone survey A 0.00 1.43 1.45 1.43 1.45 0.07 1.50 1.52 1.50 1.52 1XXX.00.00.0000000P0 38.2581 4 7606226X-rays, bone survey A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 76065 X-rays, bone evaluation A 0.28 0.83 0.85 0.83 0.85 0.05 1.16 1.18 1.16 1.18 1XXX.00.00.0000000P0 38.2581 4 76065TCX-rays, bone evaluation A 0.00 0.73 0.74 0.73 0.74 0.04 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 7606526X-rays, bone evaluation A 0.28 0.10 0.11 0.10 0.11 0.01 0.39 0.40 0.39 0.40 1XXX.00.00.0000000P0 38.2581 4 76066 Joint(s) survey, single film A 0.31 1.21 1.23 1.21 1.23 0.07 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 76066TCJoint(s) survey, single film A 0.00 1.10 1.11 1.10 1.11 0.05 1.15 1.16 1.15 1.16 1XXX.00.00.0000000P0 38.2581 4 7606626Joint(s) survey, single film A 0.31 0.11 0.12 0.11 0.12 0.02 0.44 0.45 0.44 0.45 1XXX.00.00.0000000P0 38.2581 4 76070 CT scan, bone density study I+ 0.25 3.03 3.07 3.03 3.07 0.14 3.42 3.46 3.42 3.46 1XXX.00.00.0099999P9 38.2581 9 76070TCCT scan, bone density study I+ 0.00 2.93 2.96 2.93 2.96 0.13 3.06 3.09 3.06 3.09 1XXX.00.00.0099999P9 38.2581 9 7607026CT scan, bone density study I+ 0.25 0.10 0.11 0.10 0.11 0.01 0.36 0.37 0.36 0.37 1XXX.00.00.0099999P9 38.2581 9 76075 Dual energy x-ray study A 0.30 3.18 3.22 3.18 3.22 0.15 3.63 3.67 3.63 3.67 1XXX.00.00.0000000P0 38.2581 4 76075TCDual energy x-ray study A 0.00 3.07 3.10 3.07 3.10 0.14 3.21 3.24 3.21 3.24 1XXX.00.00.0000000P0 38.2581 4 7607526Dual energy x-ray study A 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 1XXX.00.00.0000000P0 38.2581 4 76076 Dual energy x-ray study A 0.22 0.83 0.85 0.83 0.85 0.05 1.10 1.12 1.10 1.12 1XXX.00.00.0000000P0 38.2581 4 76076TCDual energy x-ray study A 0.00 0.75 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 38.2581 4 7607626Dual energy x-ray study A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 76078 Photodensitometry A 0.20 0.83 0.85 0.83 0.85 0.05 1.08 1.10 1.08 1.10 1XXX.00.00.0000000P0 38.2581 4 76078TCPhotodensitometry A 0.00 0.75 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 38.2581 4 7607826Photodensitometry A 0.20 0.08 0.09 0.08 0.09 0.01 0.29 0.30 0.29 0.30 1XXX.00.00.0000000P0 38.2581 4 76080 X-ray exam of fistula A 0.54 1.24 1.27 1.24 1.27 0.07 1.85 1.88 1.85 1.88 1XXX.00.00.0000000P0 38.2581 4 76080TCX-ray exam of fistula A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7608026X-ray exam of fistula A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 76086 X-ray of mammary duct A 0.36 2.73 2.77 2.73 2.77 0.14 3.23 3.27 3.23 3.27 1XXX.00.00.0000000P0 38.2581 4 76086TCX-ray of mammary duct A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7608626X-ray of mammary duct A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 76088 X-ray of mammary ducts A 0.45 3.80 3.86 3.80 3.86 0.18 4.43 4.49 4.43 4.49 1XXX.00.00.0000000P0 38.2581 4 76088TCX-ray of mammary ducts A 0.00 3.64 3.68 3.64 3.68 0.16 3.80 3.84 3.80 3.84 1XXX.00.00.0000000P0 38.2581 4 7608826X-ray of mammary ducts A 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 1XXX.00.00.0000000P0 38.2581 4 76090 Mammogram, one breast A 0.58 1.26 1.25 1.26 1.25 0.08 1.92 1.91 1.92 1.91 1XXX.00.00.0000000P0 38.2581 4 76090TCMammogram, one breast A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7609026Mammogram, one breast A 0.58 0.21 0.19 0.21 0.19 0.03 0.82 0.80 0.82 0.80 1XXX.00.00.0000000P0 38.2581 4 76091 Mammogram, both breasts A 0.69 1.55 1.55 1.55 1.55 0.09 2.33 2.33 2.33 2.33 1XXX.00.00.0002000P0 38.2581 4 76091TCMammogram, both breasts A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0002000P0 38.2581 4 7609126Mammogram, both breasts A 0.69 0.25 0.24 0.25 0.24 0.03 0.97 0.96 0.97 0.96 1XXX.00.00.0002000P0 38.2581 4 76092 Mammogram, screening X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 76093 Magnetic image, breast A 1.63 18.07 18.31 18.07 18.31 0.83 20.53 20.77 20.53 20.77 1XXX.00.00.0000000P0 38.2581 4 76093TCMagnetic image, breast A 0.00 17.49 17.68 17.49 17.68 0.76 18.25 18.44 18.25 18.44 1XXX.00.00.0000000P0 38.2581 4 7609326Magnetic image, breast A 1.63 0.58 0.63 0.58 0.63 0.07 2.28 2.33 2.28 2.33 1XXX.00.00.0000000P0 38.2581 4 76094 Magnetic image, both breasts A 1.63 24.32 24.62 24.32 24.62 1.10 27.05 27.35 27.05 27.35 1XXX.00.00.0002000P0 38.2581 4 76094TCMagnetic image, both breasts A 0.00 23.74 23.99 23.74 23.99 1.03 24.77 25.02 24.77 25.02 1XXX.00.00.0002000P0 38.2581 4 7609426Magnetic image, both breasts A 1.63 0.58 0.63 0.58 0.63 0.07 2.28 2.33 2.28 2.33 1XXX.00.00.0002000P0 38.2581 4 76095 Stereotactic breast biopsy A 1.59 7.68 7.81 7.68 7.81 0.40 9.67 9.80 9.67 9.80 1XXX.00.00.0000000P0 38.2581 4 76095TCStereotactic breast biopsy A 0.00 7.11 7.19 7.11 7.19 0.31 7.42 7.50 7.42 7.50 1XXX.00.00.0000000P0 38.2581 4 7609526Stereotactic breast biopsy A 1.59 0.57 0.62 0.57 0.62 0.09 2.25 2.30 2.25 2.30 1XXX.00.00.0000000P0 38.2581 4 76096 X-ray of needle wire, breast A 0.56 1.50 1.53 1.50 1.53 0.09 2.15 2.18 2.15 2.18 1XXX.00.00.0000000P0 38.2581 4 76096TCX-ray of needle wire, breast A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7609626X-ray of needle wire, breast A 0.56 0.20 0.22 0.20 0.22 0.03 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 76098 X-ray exam, breast specimen A 0.16 0.47 0.49 0.47 0.49 0.03 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 38.2581 4 76098TCX-ray exam, breast specimen A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 7609826X-ray exam, breast specimen A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0000000P0 38.2581 4 76100 X-ray exam of body section A 0.58 1.45 1.48 1.45 1.48 0.09 2.12 2.15 2.12 2.15 1XXX.00.00.0000000P0 38.2581 4 76100TCX-ray exam of body section A 0.00 1.24 1.25 1.24 1.25 0.06 1.30 1.31 1.30 1.31 1XXX.00.00.0000000P0 38.2581 4 7610026X-ray exam of body section A 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 1XXX.00.00.0000000P0 38.2581 4 76101 Complex body section x-ray A 0.58 1.62 1.66 1.62 1.66 0.10 2.30 2.34 2.30 2.34 1XXX.00.00.0000000P0 38.2581 4 76101TCComplex body section x-ray A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7610126Complex body section x-ray A 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 1XXX.00.00.0000000P0 38.2581 4 76102 Complex body section x-rays A 0.58 1.93 1.97 1.93 1.97 0.12 2.63 2.67 2.63 2.67 1XXX.00.00.0002000P0 38.2581 4 76102TCComplex body section x-rays A 0.00 1.72 1.74 1.72 1.74 0.09 1.81 1.83 1.81 1.83 1XXX.00.00.0002000P0 38.2581 4 7610226Complex body section x-rays A 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 1XXX.00.00.0002000P0 38.2581 4 76120 Cinematic x-rays A 0.38 1.19 1.21 1.19 1.21 0.07 1.64 1.66 1.64 1.66 1XXX.00.00.0000000P0 38.2581 4 76120TCCinematic x-rays A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7612026Cinematic x-rays A 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 76125 Cinematic x-rays add-on A 0.27 0.88 0.90 0.88 0.90 0.05 1.20 1.22 1.20 1.22 1ZZZ.00.00.0000000P0 38.2581 4 76125TCCinematic x-rays add-on A 0.00 0.78 0.79 0.78 0.79 0.04 0.82 0.83 0.82 0.83 1ZZZ.00.00.0000000P0 38.2581 4 7612526Cinematic x-rays add-on A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1ZZZ.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 76150 X-ray exam, dry process A 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 3XXX.00.00.0000000P0 38.2581 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 3XXX.00.00.0000000P0 38.2581 9 76355 CAT scan for localization A 1.21 8.62 8.75 8.62 8.75 0.41 10.24 10.37 10.24 10.37 1XXX.00.00.0000000P0 38.2581 4 76355TCCAT scan for localization A 0.00 8.19 8.28 8.19 8.28 0.35 8.54 8.63 8.54 8.63 1XXX.00.00.0000000P0 38.2581 4 7635526CAT scan for localization A 1.21 0.43 0.47 0.43 0.47 0.06 1.70 1.74 1.70 1.74 1XXX.00.00.0000000P0 38.2581 4 76360 CAT scan for needle biopsy A 1.16 8.60 8.72 8.60 8.72 0.40 10.16 10.28 10.16 10.28 1XXX.00.00.0000000P0 38.2581 4 76360TCCAT scan for needle biopsy A 0.00 8.19 8.28 8.19 8.28 0.35 8.54 8.63 8.54 8.63 1XXX.00.00.0000000P0 38.2581 4 7636026CAT scan for needle biopsy A 1.16 0.41 0.44 0.41 0.44 0.05 1.62 1.65 1.62 1.65 1XXX.00.00.0000000P0 38.2581 4 76365 CAT scan for cyst aspiration D 1.16 7.90 8.20 7.90 8.20 0.40 9.46 9.76 9.46 9.76 1XXX.00.00.0000000P0 38.2581 4 76365TCCAT scan for cyst aspiration D 0.00 7.44 7.72 7.44 7.72 0.35 7.79 8.07 7.79 8.07 1XXX.00.00.0000000P0 38.2581 4 7636526CAT scan for cyst aspiration D 1.16 0.46 0.48 0.46 0.48 0.05 1.67 1.69 1.67 1.69 1XXX.00.00.0000000P0 38.2581 4 76370 CAT scan for therapy guide A 0.85 3.23 3.29 3.23 3.29 0.17 4.25 4.31 4.25 4.31 1XXX.00.00.0000000P0 38.2581 4 76370TCCAT scan for therapy guide A 0.00 2.93 2.96 2.93 2.96 0.13 3.06 3.09 3.06 3.09 1XXX.00.00.0000000P0 38.2581 4 7637026CAT scan for therapy guide A 0.85 0.30 0.33 0.30 0.33 0.04 1.19 1.22 1.19 1.22 1XXX.00.00.0000000P0 38.2581 4 76375 3d/holograph reconstr add-on A 0.16 3.58 3.63 3.58 3.63 0.16 3.90 3.95 3.90 3.95 1XXX.00.00.0000000P0 38.2581 4 76375TC3d/holograph reconstr add-on A 0.00 3.52 3.56 3.52 3.56 0.15 3.67 3.71 3.67 3.71 1XXX.00.00.0000000P0 38.2581 4 76375263d/holograph reconstr add-on A 0.16 0.06 0.07 0.06 0.07 0.01 0.23 0.24 0.23 0.24 1XXX.00.00.0000000P0 38.2581 4 76380 CAT scan follow-up study A 0.98 3.83 3.90 3.83 3.90 0.19 5.00 5.07 5.00 5.07 1XXX.00.00.0000000P0 38.2581 4 76380TCCAT scan follow-up study A 0.00 3.48 3.52 3.48 3.52 0.15 3.63 3.67 3.63 3.67 1XXX.00.00.0000000P0 38.2581 4 7638026CAT scan follow-up study A 0.98 0.35 0.38 0.35 0.38 0.04 1.37 1.40 1.37 1.40 1XXX.00.00.0000000P0 38.2581 4 76390 Mr spectroscopy A 1.40 11.63 11.81 11.63 11.81 0.55 13.58 13.76 13.58 13.76 1XXX.00.00.0000000P0 38.2581 4 76390TCMr spectroscopy A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7639026Mr spectroscopy A 1.40 0.50 0.56 0.50 0.56 0.06 1.96 2.02 1.96 2.02 1XXX.00.00.0000000P0 38.2581 4 76393 Mr guidance for needle place A 1.50 11.66 11.66 11.66 11.66 0.52 13.68 13.68 13.68 13.68 1XXX.00.00.000000090 38.2581 5 76393TCMr guidance for needle place A 0.00 11.13 11.13 11.13 11.13 0.46 11.59 11.59 11.59 11.59 1XXX.00.00.000000090 38.2581 5 7639326Mr guidance for needle place A 1.50 0.53 0.53 0.53 0.53 0.06 2.09 2.09 2.09 2.09 1XXX.00.00.000000090 38.2581 5 76400 Magnetic image, bone marrow A 1.60 11.70 11.87 11.70 11.87 0.56 13.86 14.03 13.86 14.03 1XXX.00.00.0000000P0 38.2581 4 76400TCMagnetic image, bone marrow A 0.00 11.13 11.25 11.13 11.25 0.49 11.62 11.74 11.62 11.74 1XXX.00.00.0000000P0 38.2581 4 7640026Magnetic image, bone marrow A 1.60 0.57 0.62 0.57 0.62 0.07 2.24 2.29 2.24 2.29 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 76506 Echo exam of head A 0.63 1.67 1.70 1.67 1.70 0.10 2.40 2.43 2.40 2.43 1XXX.00.00.0000000P0 38.2581 4 76506TCEcho exam of head A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7650626Echo exam of head A 0.63 0.26 0.27 0.26 0.27 0.03 0.92 0.93 0.92 0.93 1XXX.00.00.0000000P0 38.2581 4 76511 Echo exam of eye A 0.94 1.78 1.73 1.78 1.73 0.08 2.80 2.75 2.80 2.75 1XXX.00.00.0003000P0 38.2581 4 76511TCEcho exam of eye A 0.00 1.34 1.33 1.34 1.33 0.06 1.40 1.39 1.40 1.39 1XXX.00.00.0003000P0 38.2581 4 7651126Echo exam of eye A 0.94 0.44 0.40 0.44 0.40 0.02 1.40 1.36 1.40 1.36 1XXX.00.00.0003000P0 38.2581 4 76512 Echo exam of eye A 0.66 1.86 1.87 1.86 1.87 0.09 2.61 2.62 2.61 2.62 1XXX.00.00.0003000P0 38.2581 4 76512TCEcho exam of eye A 0.00 1.54 1.55 1.54 1.55 0.08 1.62 1.63 1.62 1.63 1XXX.00.00.0003000P0 38.2581 4 7651226Echo exam of eye A 0.66 0.32 0.32 0.32 0.32 0.01 0.99 0.99 0.99 0.99 1XXX.00.00.0003000P0 38.2581 4 76513 Echo exam of eye, water bath A 0.66 2.28 2.19 2.28 2.19 0.09 3.03 2.94 3.03 2.94 1XXX.00.00.0003000P0 38.2581 4 76513TCEcho exam of eye, water bath A 0.00 1.95 1.86 1.95 1.86 0.08 2.03 1.94 2.03 1.94 1XXX.00.00.0003000P0 38.2581 4 7651326Echo exam of eye, water bath A 0.66 0.33 0.33 0.33 0.33 0.01 1.00 1.00 1.00 1.00 1XXX.00.00.0003000P0 38.2581 4 76516 Echo exam of eye A 0.54 1.36 1.41 1.36 1.41 0.07 1.97 2.02 1.97 2.02 1XXX.00.00.0002000P0 38.2581 4 76516TCEcho exam of eye A 0.00 1.09 1.14 1.09 1.14 0.06 1.15 1.20 1.15 1.20 1XXX.00.00.0002000P0 38.2581 4 7651626Echo exam of eye A 0.54 0.27 0.27 0.27 0.27 0.01 0.82 0.82 0.82 0.82 1XXX.00.00.0002000P0 38.2581 4 76519 Echo exam of eye A 0.54 1.51 1.52 1.51 1.52 0.07 2.12 2.13 2.12 2.13 1XXX.00.00.0002000P0 38.2581 4 76519TCEcho exam of eye A 0.00 1.24 1.25 1.24 1.25 0.06 1.30 1.31 1.30 1.31 1XXX.00.00.0002000P0 38.2581 4 7651926Echo exam of eye A 0.54 0.27 0.27 0.27 0.27 0.01 0.82 0.82 0.82 0.82 1XXX.00.00.0003000P0 38.2581 4 76529 Echo exam of eye A 0.57 2.04 1.95 2.04 1.95 0.08 2.69 2.60 2.69 2.60 1XXX.00.00.0003000P0 38.2581 4 76529TCEcho exam of eye A 0.00 1.77 1.68 1.77 1.68 0.07 1.84 1.75 1.84 1.75 1XXX.00.00.0003000P0 38.2581 4 7652926Echo exam of eye A 0.57 0.27 0.27 0.27 0.27 0.01 0.85 0.85 0.85 0.85 1XXX.00.00.0003000P0 38.2581 4 76536 Echo exam of head and neck A 0.56 1.61 1.65 1.61 1.65 0.09 2.26 2.30 2.26 2.30 1XXX.00.00.0000000P0 38.2581 4 76536TCEcho exam of head and neck A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7653626Echo exam of head and neck A 0.56 0.20 0.22 0.20 0.22 0.02 0.78 0.80 0.78 0.80 1XXX.00.00.0000000P0 38.2581 4 76604 Echo exam of chest A 0.55 1.50 1.53 1.50 1.53 0.08 2.13 2.16 2.13 2.16 1XXX.00.00.0000000P0 38.2581 4 76604TCEcho exam of chest A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7660426Echo exam of chest A 0.55 0.20 0.22 0.20 0.22 0.02 0.77 0.79 0.77 0.79 1XXX.00.00.0000000P0 38.2581 4 76645 Echo exam of breast(s) A 0.54 1.24 1.27 1.24 1.27 0.08 1.86 1.89 1.86 1.89 1XXX.00.00.0002000P0 38.2581 4 76645TCEcho exam of breast(s) A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0002000P0 38.2581 4 7664526Echo exam of breast(s) A 0.54 0.19 0.21 0.19 0.21 0.03 0.76 0.78 0.76 0.78 1XXX.00.00.0002000P0 38.2581 4 76700 Echo exam of abdomen A 0.81 2.25 2.30 2.25 2.30 0.13 3.19 3.24 3.19 3.24 1XXX.00.00.0000000P0 38.2581 4 76700TCEcho exam of abdomen A 0.00 1.96 1.98 1.96 1.98 0.09 2.05 2.07 2.05 2.07 1XXX.00.00.0000000P0 38.2581 4 7670026Echo exam of abdomen A 0.81 0.29 0.32 0.29 0.32 0.04 1.14 1.17 1.14 1.17 1XXX.00.00.0000000P0 38.2581 4 76705 Echo exam of abdomen A 0.59 1.62 1.66 1.62 1.66 0.10 2.31 2.35 2.31 2.35 1XXX.00.00.0000000P0 38.2581 4 76705TCEcho exam of abdomen A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7670526Echo exam of abdomen A 0.59 0.21 0.23 0.21 0.23 0.03 0.83 0.85 0.83 0.85 1XXX.00.00.0000000P0 38.2581 4 76770 Echo exam abdomen back wall A 0.74 2.22 2.27 2.22 2.27 0.12 3.08 3.13 3.08 3.13 1XXX.00.00.0000000P0 38.2581 4 76770TCEcho exam abdomen back wall A 0.00 1.96 1.98 1.96 1.98 0.09 2.05 2.07 2.05 2.07 1XXX.00.00.0000000P0 38.2581 4 7677026Echo exam abdomen back wall A 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 1XXX.00.00.0000000P0 38.2581 4 76775 Echo exam abdomen back wall A 0.58 1.62 1.66 1.62 1.66 0.10 2.30 2.34 2.30 2.34 1XXX.00.00.0000000P0 38.2581 4 76775TCEcho exam abdomen back wall A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7677526Echo exam abdomen back wall A 0.58 0.21 0.23 0.21 0.23 0.03 0.82 0.84 0.82 0.84 1XXX.00.00.0000000P0 38.2581 4 76778 Echo exam kidney transplant A 0.74 2.22 2.27 2.22 2.27 0.12 3.08 3.13 3.08 3.13 1XXX.00.00.0000000P0 38.2581 4 76778TCEcho exam kidney transplant A 0.00 1.96 1.98 1.96 1.98 0.09 2.05 2.07 2.05 2.07 1XXX.00.00.0000000P0 38.2581 4 7677826Echo exam kidney transplant A 0.74 0.26 0.29 0.26 0.29 0.03 1.03 1.06 1.03 1.06 1XXX.00.00.0000000P0 38.2581 4 76800 Echo exam spinal canal A 1.13 1.74 1.81 1.74 1.81 0.11 2.98 3.05 2.98 3.05 1XXX.00.00.0000000P0 38.2581 4 76800TCEcho exam spinal canal A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7680026Echo exam spinal canal A 1.13 0.33 0.38 0.33 0.38 0.04 1.50 1.55 1.50 1.55 1XXX.00.00.0000000P0 38.2581 4 76805 Echo exam of pregnant uterus A 0.99 2.44 2.49 2.44 2.49 0.14 3.57 3.62 3.57 3.62 1XXX.00.00.0000000P0 38.2581 4 76805TCEcho exam of pregnant uterus A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 1XXX.00.00.0000000P0 38.2581 4 7680526Echo exam of pregnant uterus A 0.99 0.36 0.39 0.36 0.39 0.04 1.39 1.42 1.39 1.42 1XXX.00.00.0000000P0 38.2581 4 76810 Echo exam of pregnant uterus A 1.97 4.90 5.00 4.90 5.00 0.25 7.12 7.22 7.12 7.22 1XXX.00.00.0000000P0 38.2581 4 76810TCEcho exam of pregnant uterus A 0.00 4.17 4.21 4.17 4.21 0.18 4.35 4.39 4.35 4.39 1XXX.00.00.0000000P0 38.2581 4 7681026Echo exam of pregnant uterus A 1.97 0.73 0.79 0.73 0.79 0.07 2.77 2.83 2.77 2.83 1XXX.00.00.0000000P0 38.2581 4 76815 Echo exam of pregnant uterus A 0.65 1.65 1.69 1.65 1.69 0.09 2.39 2.43 2.39 2.43 1XXX.00.00.0000000P0 38.2581 4 76815TCEcho exam of pregnant uterus A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7681526Echo exam of pregnant uterus A 0.65 0.24 0.26 0.24 0.26 0.02 0.91 0.93 0.91 0.93 1XXX.00.00.0000000P0 38.2581 4 76816 Echo exam follow-up/repeat A 0.57 1.32 1.35 1.32 1.35 0.07 1.96 1.99 1.96 1.99 1XXX.00.00.0000000P0 38.2581 4 76816TCEcho exam follow-up/repeat A 0.00 1.10 1.11 1.10 1.11 0.05 1.15 1.16 1.15 1.16 1XXX.00.00.0000000P0 38.2581 4 7681626Echo exam follow-up/repeat A 0.57 0.22 0.24 0.22 0.24 0.02 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 38.2581 4 76818 Fetl biophys profil w/stress A 0.86 1.93 1.96 1.93 1.96 0.12 2.91 2.94 2.91 2.94 1XXX.00.00.0000000P0 38.2581 4 76818TCFetl biophys profil w/stress A 0.00 1.60 1.62 1.60 1.62 0.08 1.68 1.70 1.68 1.70 1XXX.00.00.0000000P0 38.2581 4 7681826Fetl biophys profil w/stress A 0.86 0.33 0.34 0.33 0.34 0.04 1.23 1.24 1.23 1.24 1XXX.00.00.0000000P0 38.2581 4 76819 Fetl biophys profil w/o strs A 0.63 1.84 1.84 1.84 1.84 0.11 2.58 2.58 2.58 2.58 1XXX.00.00.000000090 38.2581 5 76819TCFetl biophys profil w/o strs A 0.00 1.60 1.60 1.60 1.60 0.08 1.68 1.68 1.68 1.68 1XXX.00.00.000000090 38.2581 5 7681926Fetl biophys profil w/o strs A 0.63 0.24 0.24 0.24 0.24 0.03 0.90 0.90 0.90 0.90 1XXX.00.00.000000090 38.2581 5 76825 Echo exam of fetal heart A 1.67 2.57 2.53 2.57 2.53 0.15 4.39 4.35 4.39 4.35 1XXX.00.00.0000000P0 38.2581 4 76825TCEcho exam of fetal heart A 0.00 1.96 1.98 1.96 1.98 0.09 2.05 2.07 2.05 2.07 1XXX.00.00.0000000P0 38.2581 4 7682526Echo exam of fetal heart A 1.67 0.61 0.55 0.61 0.55 0.06 2.34 2.28 2.34 2.28 1XXX.00.00.0000000P0 38.2581 4 76826 Echo exam of fetal heart A 0.83 1.00 1.12 1.00 1.12 0.07 1.90 2.02 1.90 2.02 1XXX.00.00.0000000P0 38.2581 4 76826TCEcho exam of fetal heart A 0.00 0.70 0.71 0.70 0.71 0.04 0.74 0.75 0.74 0.75 1XXX.00.00.0000000P0 38.2581 4 7682626Echo exam of fetal heart A 0.83 0.30 0.41 0.30 0.41 0.03 1.16 1.27 1.16 1.27 1XXX.00.00.0000000P0 38.2581 4 76827 Echo exam of fetal heart A 0.58 1.93 2.07 1.93 2.07 0.12 2.63 2.77 2.63 2.77 1XXX.00.00.0000000P0 38.2581 4 76827TCEcho exam of fetal heart A 0.00 1.71 1.73 1.71 1.73 0.10 1.81 1.83 1.81 1.83 1XXX.00.00.0000000P0 38.2581 4 7682726Echo exam of fetal heart A 0.58 0.22 0.34 0.22 0.34 0.02 0.82 0.94 0.82 0.94 1XXX.00.00.0000000P0 38.2581 4 76828 Echo exam of fetal heart A 0.56 1.32 1.35 1.32 1.35 0.09 1.97 2.00 1.97 2.00 1XXX.00.00.0000000P0 38.2581 4 76828TCEcho exam of fetal heart A 0.00 1.10 1.11 1.10 1.11 0.07 1.17 1.18 1.17 1.18 1XXX.00.00.0000000P0 38.2581 4 7682826Echo exam of fetal heart A 0.56 0.22 0.24 0.22 0.24 0.02 0.80 0.82 0.80 0.82 1XXX.00.00.0000000P0 38.2581 4 76830 Echo exam, transvaginal A 0.69 1.76 1.81 1.76 1.81 0.11 2.56 2.61 2.56 2.61 1XXX.00.00.0000000P0 38.2581 4 76830TCEcho exam, transvaginal A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7683026Echo exam, transvaginal A 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 1XXX.00.00.0000000P0 38.2581 4 76831 Echo exam, uterus A 0.72 1.78 1.82 1.78 1.82 0.10 2.60 2.64 2.60 2.64 1XXX.00.00.0000000P0 38.2581 4 76831TCEcho exam, uterus A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7683126Echo exam, uterus A 0.72 0.27 0.29 0.27 0.29 0.02 1.01 1.03 1.01 1.03 1XXX.00.00.0000000P0 38.2581 4 76856 Echo exam of pelvis A 0.69 1.76 1.81 1.76 1.81 0.11 2.56 2.61 2.56 2.61 1XXX.00.00.0000000P0 38.2581 4 76856TCEcho exam of pelvis A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7685626Echo exam of pelvis A 0.69 0.25 0.28 0.25 0.28 0.03 0.97 1.00 0.97 1.00 1XXX.00.00.0000000P0 38.2581 4 76857 Echo exam of pelvis A 0.38 1.18 1.20 1.18 1.20 0.07 1.63 1.65 1.63 1.65 1XXX.00.00.0000000P0 38.2581 4 76857TCEcho exam of pelvis A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7685726Echo exam of pelvis A 0.38 0.13 0.14 0.13 0.14 0.02 0.53 0.54 0.53 0.54 1XXX.00.00.0000000P0 38.2581 4 76870 Echo exam of scrotum A 0.64 1.74 1.78 1.74 1.78 0.11 2.49 2.53 2.49 2.53 1XXX.00.00.0000000P0 38.2581 4 76870TCEcho exam of scrotum A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7687026Echo exam of scrotum A 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 1XXX.00.00.0000000P0 38.2581 4 76872 Echo exam, transrectal A 0.69 1.75 1.80 1.75 1.80 0.12 2.56 2.61 2.56 2.61 1XXX.00.00.0000000P0 38.2581 4 76872TCEcho exam, transrectal A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7687226Echo exam, transrectal A 0.69 0.24 0.27 0.24 0.27 0.04 0.97 1.00 0.97 1.00 1XXX.00.00.0000000P0 38.2581 4 76873 Echograp trans r, pros study A 1.55 2.61 2.61 2.61 2.61 0.21 4.37 4.37 4.37 4.37 1XXX.00.00.009999999 38.2581 5 76873TCEchograp trans r, pros study A 0.00 2.08 2.08 2.08 2.08 0.13 2.21 2.21 2.21 2.21 1XXX.00.00.009999999 38.2581 5 7687326Echograp trans r, pros study A 1.55 0.53 0.53 0.53 0.53 0.08 2.16 2.16 2.16 2.16 1XXX.00.00.009999999 38.2581 5 76880 Echo exam of extremity A 0.59 1.62 1.66 1.62 1.66 0.10 2.31 2.35 2.31 2.35 1XXX.00.00.0000000P0 38.2581 4 76880TCEcho exam of extremity A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7688026Echo exam of extremity A 0.59 0.21 0.23 0.21 0.23 0.03 0.83 0.85 0.83 0.85 1XXX.00.00.0000000P0 38.2581 4 76885 Echo exam, infant hips A 0.74 1.77 1.81 1.77 1.81 0.11 2.62 2.66 2.62 2.66 1XXX.00.00.0000000P0 38.2581 4 76885TCEcho exam, infant hips A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7688526Echo exam, infant hips A 0.74 0.26 0.28 0.26 0.28 0.03 1.03 1.05 1.03 1.05 1XXX.00.00.0000000P0 38.2581 4 76886 Echo exam, infant hips A 0.62 1.63 1.67 1.63 1.67 0.10 2.35 2.39 2.35 2.39 1XXX.00.00.0000000P0 38.2581 4 76886TCEcho exam, infant hips A 0.00 1.41 1.43 1.41 1.43 0.07 1.48 1.50 1.48 1.50 1XXX.00.00.0000000P0 38.2581 4 7688626Echo exam, infant hips A 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 1XXX.00.00.0000000P0 38.2581 4 76930 Echo guide, cardiocentesis A 0.67 1.79 1.83 1.79 1.83 0.10 2.56 2.60 2.56 2.60 1XXX.00.00.0000000P0 38.2581 4 76930TCEcho guide, cardiocentesis A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7693026Echo guide, cardiocentesis A 0.67 0.28 0.30 0.28 0.30 0.02 0.97 0.99 0.97 0.99 1XXX.00.00.0000000P0 38.2581 4 76932 Echo guide for heart biopsy A 0.67 1.79 1.83 1.79 1.83 0.10 2.56 2.60 2.56 2.60 1XXX.00.00.0000000P0 38.2581 4 76932TCEcho guide for heart biopsy A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7693226Echo guide for heart biopsy A 0.67 0.28 0.30 0.28 0.30 0.02 0.97 0.99 0.97 0.99 1XXX.00.00.0000000P0 38.2581 4 76934 Echo guide for chest tap D 0.67 1.75 1.80 1.75 1.80 0.11 2.53 2.58 2.53 2.58 1XXX.00.00.0000000P0 38.2581 4 76934TCEcho guide for chest tap D 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7693426Echo guide for chest tap D 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 1XXX.00.00.0000000P0 38.2581 4 76936 Echo guide for artery repair A 1.99 6.96 7.19 6.96 7.19 0.39 9.34 9.57 9.34 9.57 1XXX.00.00.0000000P0 38.2581 4 76936TCEcho guide for artery repair A 0.00 6.24 6.31 6.24 6.31 0.28 6.52 6.59 6.52 6.59 1XXX.00.00.0000000P0 38.2581 4 7693626Echo guide for artery repair A 1.99 0.72 0.88 0.72 0.88 0.11 2.82 2.98 2.82 2.98 1XXX.00.00.0000000P0 38.2581 4 76938 Echo exam for drainage D 0.67 1.75 1.80 1.75 1.80 0.12 2.54 2.59 2.54 2.59 1XXX.00.00.0000000P0 38.2581 4 76938TCEcho exam for drainage D 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7693826Echo exam for drainage D 0.67 0.24 0.27 0.24 0.27 0.04 0.95 0.98 0.95 0.98 1XXX.00.00.0000000P0 38.2581 4 76941 Echo guide for transfusion A 1.34 2.02 2.08 2.02 2.08 0.13 3.49 3.55 3.49 3.55 1XXX.00.00.0000000P0 38.2581 4 76941TCEcho guide for transfusion A 0.00 1.52 1.54 1.52 1.54 0.07 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7694126Echo guide for transfusion A 1.34 0.50 0.54 0.50 0.54 0.06 1.90 1.94 1.90 1.94 1XXX.00.00.0000000P0 38.2581 4 76942 Echo guide for biopsy A 0.67 1.74 1.79 1.74 1.79 0.12 2.53 2.58 2.53 2.58 1XXX.00.00.0000000P0 38.2581 4 76942TCEcho guide for biopsy A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7694226Echo guide for biopsy A 0.67 0.23 0.26 0.23 0.26 0.04 0.94 0.97 0.94 0.97 1XXX.00.00.0000000P0 38.2581 4 76945 Echo guide, villus sampling A 0.67 1.76 1.89 1.76 1.89 0.10 2.53 2.66 2.53 2.66 1XXX.00.00.0000000P0 38.2581 4 76945TCEcho guide, villus sampling A 0.00 1.52 1.54 1.52 1.54 0.07 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7694526Echo guide, villus sampling A 0.67 0.24 0.35 0.24 0.35 0.03 0.94 1.05 0.94 1.05 1XXX.00.00.0000000P0 38.2581 4 76946 Echo guide for amniocentesis A 0.38 1.65 1.68 1.65 1.68 0.09 2.12 2.15 2.12 2.15 1XXX.00.00.0000000P0 38.2581 4 76946TCEcho guide for amniocentesis A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7694626Echo guide for amniocentesis A 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 1XXX.00.00.0000000P0 38.2581 4 76948 Echo guide, ova aspiration A 0.38 1.65 1.68 1.65 1.68 0.10 2.13 2.16 2.13 2.16 1XXX.00.00.0000000P0 38.2581 4 76948TCEcho guide, ova aspiration A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7694826Echo guide, ova aspiration A 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 76950 Echo guidance radiotherapy A 0.58 1.50 1.53 1.50 1.53 0.09 2.17 2.20 2.17 2.20 1XXX.00.00.0000000P0 38.2581 4 76950TCEcho guidance radiotherapy A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7695026Echo guidance radiotherapy A 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 38.2581 4 76960 Echo guidance radiotherapy D 0.58 1.50 1.53 1.50 1.53 0.09 2.17 2.20 2.17 2.20 1XXX.00.00.0000000P0 38.2581 4 76960TCEcho guidance radiotherapy D 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7696026Echo guidance radiotherapy D 0.58 0.20 0.22 0.20 0.22 0.03 0.81 0.83 0.81 0.83 1XXX.00.00.0000000P0 38.2581 4 76965 Echo guidance radiotherapy A 1.34 5.97 6.32 5.97 6.32 0.31 7.62 7.97 7.62 7.97 1XXX.00.00.0000000P0 38.2581 4 76965TCEcho guidance radiotherapy A 0.00 5.52 5.58 5.52 5.58 0.24 5.76 5.82 5.76 5.82 1XXX.00.00.0000000P0 38.2581 4 7696526Echo guidance radiotherapy A 1.34 0.45 0.74 0.45 0.74 0.07 1.86 2.15 1.86 2.15 1XXX.00.00.0000000P0 38.2581 4 76970 Ultrasound exam follow-up A 0.40 1.19 1.22 1.19 1.22 0.07 1.66 1.69 1.66 1.69 1XXX.00.00.0000000P0 38.2581 4 76970TCUltrasound exam follow-up A 0.00 1.05 1.06 1.05 1.06 0.05 1.10 1.11 1.10 1.11 1XXX.00.00.0000000P0 38.2581 4 7697026Ultrasound exam follow-up A 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 1XXX.00.00.0000000P0 38.2581 4 76975 GI endoscopic ultrasound A 0.81 1.80 1.84 1.80 1.84 0.11 2.72 2.76 2.72 2.76 1XXX.00.00.0000000P0 38.2581 4 76975TCGI endoscopic ultrasound A 0.00 1.51 1.53 1.51 1.53 0.08 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 7697526GI endoscopic ultrasound A 0.81 0.29 0.31 0.29 0.31 0.03 1.13 1.15 1.13 1.15 1XXX.00.00.0000000P0 38.2581 4 76977 Us bone density measure A 0.05 1.43 1.43 1.43 1.43 0.05 1.53 1.53 1.53 1.53 1XXX.00.00.0000000P0 38.2581 5 76977TCUs bone density measure A 0.00 1.41 1.41 1.41 1.41 0.04 1.45 1.45 1.45 1.45 1XXX.00.00.0000000P0 38.2581 5 7697726Us bone density measure A 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 1XXX.00.00.0000000P0 38.2581 5 76986 Ultrasound guide intraoper A 1.20 3.03 3.10 3.03 3.10 0.19 4.42 4.49 4.42 4.49 1XXX.00.00.0000000P0 38.2581 4 76986TCUltrasound guide intraoper A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7698626Ultrasound guide intraoper A 1.20 0.43 0.47 0.43 0.47 0.07 1.70 1.74 1.70 1.74 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 77261 Radiation therapy planning A 1.39 0.55 0.58 0.55 0.58 0.06 2.00 2.03 2.00 2.03 2XXX.00.00.0000000P0 38.2581 4 77262 Radiation therapy planning A 2.11 0.82 0.87 0.82 0.87 0.09 3.02 3.07 3.02 3.07 2XXX.00.00.0000000P0 38.2581 4 77263 Radiation therapy planning A 3.14 1.21 1.29 1.21 1.29 0.13 4.48 4.56 4.48 4.56 2XXX.00.00.0000000P0 38.2581 4 77280 Set radiation therapy field A 0.70 3.70 3.77 3.70 3.77 0.18 4.58 4.65 4.58 4.65 1XXX.00.00.0000000P0 38.2581 4 77280TCSet radiation therapy field A 0.00 3.45 3.49 3.45 3.49 0.15 3.60 3.64 3.60 3.64 1XXX.00.00.0000000P0 38.2581 4 7728026Set radiation therapy field A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 77285 Set radiation therapy field A 1.05 5.89 5.98 5.89 5.98 0.29 7.23 7.32 7.23 7.32 1XXX.00.00.0000000P0 38.2581 4 77285TCSet radiation therapy field A 0.00 5.52 5.58 5.52 5.58 0.25 5.77 5.83 5.77 5.83 1XXX.00.00.0000000P0 38.2581 4 7728526Set radiation therapy field A 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 1XXX.00.00.0000000P0 38.2581 4 77290 Set radiation therapy field A 1.56 7.01 7.13 7.01 7.13 0.35 8.92 9.04 8.92 9.04 1XXX.00.00.0000000P0 38.2581 4 77290TCSet radiation therapy field A 0.00 6.46 6.53 6.46 6.53 0.29 6.75 6.82 6.75 6.82 1XXX.00.00.0000000P0 38.2581 4 7729026Set radiation therapy field A 1.56 0.55 0.60 0.55 0.60 0.06 2.17 2.22 2.17 2.22 1XXX.00.00.0000000P0 38.2581 4 77295 Set radiation therapy field A 4.57 29.34 29.79 29.34 29.79 1.41 35.32 35.77 35.32 35.77 1XXX.00.00.0000000P0 38.2581 4 77295TCSet radiation therapy field A 0.00 27.73 28.02 27.73 28.02 1.23 28.96 29.25 28.96 29.25 1XXX.00.00.0000000P0 38.2581 4 7729526Set radiation therapy field A 4.57 1.61 1.77 1.61 1.77 0.18 6.36 6.52 6.36 6.52 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 77300 Radiation therapy dose plan A 0.62 1.56 1.59 1.56 1.59 0.09 2.27 2.30 2.27 2.30 1XXX.00.00.0000000P0 38.2581 4 77300TCRadiation therapy dose plan A 0.00 1.34 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 38.2581 4 7730026Radiation therapy dose plan A 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 1XXX.00.00.0000000P0 38.2581 4 77305 Radiation therapy dose plan A 0.70 2.09 2.14 2.09 2.14 0.12 2.91 2.96 2.91 2.96 1XXX.00.00.0000000P0 38.2581 4 77305TCRadiation therapy dose plan A 0.00 1.84 1.86 1.84 1.86 0.09 1.93 1.95 1.93 1.95 1XXX.00.00.0000000P0 38.2581 4 7730526Radiation therapy dose plan A 0.70 0.25 0.28 0.25 0.28 0.03 0.98 1.01 0.98 1.01 1XXX.00.00.0000000P0 38.2581 4 77310 Radiation therapy dose plan A 1.05 2.69 2.74 2.69 2.74 0.15 3.89 3.94 3.89 3.94 1XXX.00.00.0000000P0 38.2581 4 77310TCRadiation therapy dose plan A 0.00 2.32 2.34 2.32 2.34 0.11 2.43 2.45 2.43 2.45 1XXX.00.00.0000000P0 38.2581 4 7731026Radiation therapy dose plan A 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 1XXX.00.00.0000000P0 38.2581 4 77315 Radiation therapy dose plan A 1.56 3.19 3.27 3.19 3.27 0.18 4.93 5.01 4.93 5.01 1XXX.00.00.0000000P0 38.2581 4 77315TCRadiation therapy dose plan A 0.00 2.64 2.67 2.64 2.67 0.12 2.76 2.79 2.76 2.79 1XXX.00.00.0000000P0 38.2581 4 7731526Radiation therapy dose plan A 1.56 0.55 0.60 0.55 0.60 0.06 2.17 2.22 2.17 2.22 1XXX.00.00.0000000P0 38.2581 4 77321 Radiation therapy port plan A 0.95 4.35 4.43 4.35 4.43 0.21 5.51 5.59 5.51 5.59 1XXX.00.00.0000000P0 38.2581 4 77321TCRadiation therapy port plan A 0.00 4.02 4.06 4.02 4.06 0.17 4.19 4.23 4.19 4.23 1XXX.00.00.0000000P0 38.2581 4 7732126Radiation therapy port plan A 0.95 0.33 0.37 0.33 0.37 0.04 1.32 1.36 1.32 1.36 1XXX.00.00.0000000P0 38.2581 4 77326 Radiation therapy dose plan A 0.93 2.67 2.73 2.67 2.73 0.15 3.75 3.81 3.75 3.81 1XXX.00.00.0000000P0 38.2581 4 77326TCRadiation therapy dose plan A 0.00 2.34 2.37 2.34 2.37 0.11 2.45 2.48 2.45 2.48 1XXX.00.00.0000000P0 38.2581 4 7732626Radiation therapy dose plan A 0.93 0.33 0.36 0.33 0.36 0.04 1.30 1.33 1.30 1.33 1XXX.00.00.0000000P0 38.2581 4 77327 Radiation therapy dose plan A 1.39 3.94 4.03 3.94 4.03 0.21 5.54 5.63 5.54 5.63 1XXX.00.00.0000000P0 38.2581 4 77327TCRadiation therapy dose plan A 0.00 3.45 3.49 3.45 3.49 0.15 3.60 3.64 3.60 3.64 1XXX.00.00.0000000P0 38.2581 4 7732726Radiation therapy dose plan A 1.39 0.49 0.54 0.49 0.54 0.06 1.94 1.99 1.94 1.99 1XXX.00.00.0000000P0 38.2581 4 77328 Radiation therapy dose plan A 2.09 5.67 5.79 5.67 5.79 0.30 8.06 8.18 8.06 8.18 1XXX.00.00.0000000P0 38.2581 4 77328TCRadiation therapy dose plan A 0.00 4.93 4.98 4.93 4.98 0.21 5.14 5.19 5.14 5.19 1XXX.00.00.0000000P0 38.2581 4 7732826Radiation therapy dose plan A 2.09 0.74 0.81 0.74 0.81 0.09 2.92 2.99 2.92 2.99 1XXX.00.00.0000000P0 38.2581 4 77331 Special radiation dosimetry A 0.87 0.81 0.85 0.81 0.85 0.06 1.74 1.78 1.74 1.78 1XXX.00.00.0000000P0 38.2581 4 77331TCSpecial radiation dosimetry A 0.00 0.50 0.51 0.50 0.51 0.02 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 7733126Special radiation dosimetry A 0.87 0.31 0.34 0.31 0.34 0.04 1.22 1.25 1.22 1.25 1XXX.00.00.0000000P0 38.2581 4 77332 Radiation treatment aid(s) A 0.54 1.53 1.56 1.53 1.56 0.08 2.15 2.18 2.15 2.18 1XXX.00.00.0000000P0 38.2581 4 77332TCRadiation treatment aid(s) A 0.00 1.34 1.35 1.34 1.35 0.06 1.40 1.41 1.40 1.41 1XXX.00.00.0000000P0 38.2581 4 7733226Radiation treatment aid(s) A 0.54 0.19 0.21 0.19 0.21 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 77333 Radiation treatment aid(s) A 0.84 2.18 2.23 2.18 2.23 0.13 3.15 3.20 3.15 3.20 1XXX.00.00.0000000P0 38.2581 4 77333TCRadiation treatment aid(s) A 0.00 1.88 1.90 1.88 1.90 0.09 1.97 1.99 1.97 1.99 1XXX.00.00.0000000P0 38.2581 4 7733326Radiation treatment aid(s) A 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 1XXX.00.00.0000000P0 38.2581 4 77334 Radiation treatment aid(s) A 1.24 3.67 3.74 3.67 3.74 0.19 5.10 5.17 5.10 5.17 1XXX.00.00.0000000P0 38.2581 4 77334TCRadiation treatment aid(s) A 0.00 3.23 3.26 3.23 3.26 0.14 3.37 3.40 3.37 3.40 1XXX.00.00.0000000P0 38.2581 4 7733426Radiation treatment aid(s) A 1.24 0.44 0.48 0.44 0.48 0.05 1.73 1.77 1.73 1.77 1XXX.00.00.0000000P0 38.2581 4 77336 Radiation physics consult A 0.00 2.96 2.99 2.96 2.99 0.13 3.09 3.12 3.09 3.12 3XXX.00.00.0000000P0 38.2581 4 77370 Radiation physics consult A 0.00 3.47 3.51 3.47 3.51 0.15 3.62 3.66 3.62 3.66 3XXX.00.00.0000000P0 38.2581 4 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 77401 Radiation treatment delivery A 0.00 1.76 1.78 1.76 1.78 0.09 1.85 1.87 1.85 1.87 3XXX.00.00.0000000P0 38.2581 4 77402 Radiation treatment delivery A 0.00 1.76 1.78 1.76 1.78 0.09 1.85 1.87 1.85 1.87 3XXX.00.00.0000000P0 38.2581 4 77403 Radiation treatment delivery A 0.00 1.76 1.78 1.76 1.78 0.09 1.85 1.87 1.85 1.87 3XXX.00.00.0000000P0 38.2581 4 77404 Radiation treatment delivery A 0.00 1.76 1.78 1.76 1.78 0.09 1.85 1.87 1.85 1.87 3XXX.00.00.0000000P0 38.2581 4 77406 Radiation treatment delivery A 0.00 1.76 1.78 1.76 1.78 0.09 1.85 1.87 1.85 1.87 3XXX.00.00.0000000P0 38.2581 4 77407 Radiation treatment delivery A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 3XXX.00.00.0000000P0 38.2581 4 77408 Radiation treatment delivery A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 3XXX.00.00.0000000P0 38.2581 4 77409 Radiation treatment delivery A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 3XXX.00.00.0000000P0 38.2581 4 77411 Radiation treatment delivery A 0.00 2.08 2.10 2.08 2.10 0.10 2.18 2.20 2.18 2.20 3XXX.00.00.0000000P0 38.2581 4 77412 Radiation treatment delivery A 0.00 2.32 2.34 2.32 2.34 0.11 2.43 2.45 2.43 2.45 3XXX.00.00.0000000P0 38.2581 4 77413 Radiation treatment delivery A 0.00 2.32 2.34 2.32 2.34 0.11 2.43 2.45 2.43 2.45 3XXX.00.00.0000000P0 38.2581 4 77414 Radiation treatment delivery A 0.00 2.32 2.34 2.32 2.34 0.11 2.43 2.45 2.43 2.45 3XXX.00.00.0000000P0 38.2581 4 77416 Radiation treatment delivery A 0.00 2.32 2.34 2.32 2.34 0.11 2.43 2.45 2.43 2.45 3XXX.00.00.0000000P0 38.2581 4 77417 Radiology port film(s) A 0.00 0.59 0.60 0.59 0.60 0.03 0.62 0.63 0.62 0.63 3XXX.00.00.0000000P0 38.2581 4 77427 Radiation tx management, x5 A 3.31 1.17 1.17 1.17 1.17 0.14 4.62 4.62 4.62 4.62 2XXX.00.00.009999999 38.2581 5 77431 Radiation therapy management A 1.81 0.73 0.77 0.73 0.77 0.07 2.61 2.65 2.61 2.65 2XXX.00.00.0000000P0 38.2581 4 77432 Stereotactic radiation trmt A 7.93 3.21 3.75 3.21 3.75 0.33 11.47 12.01 11.47 12.01 2XXX.00.00.0000000P0 38.2581 4 77470 Special radiation treatment A 2.09 11.80 11.99 11.80 11.99 0.58 14.47 14.66 14.47 14.66 1XXX.00.00.0000000P0 38.2581 4 77470TCSpecial radiation treatment A 0.00 11.07 11.19 11.07 11.19 0.49 11.56 11.68 11.56 11.68 1XXX.00.00.0000000P0 38.2581 4 7747026Special radiation treatment A 2.09 0.73 0.80 0.73 0.80 0.09 2.91 2.98 2.91 2.98 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 77520 Proton trmt, simple w/o comp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.009999999 38.2581 9 77522 Proton trmt, simple w/comp C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.009999999 38.2581 9 77523 Proton trmt, intermediate C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.009999999 38.2581 9 77525 Proton treatment, complex C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.009999999 38.2581 9 77600 Hyperthermia treatment R 1.56 3.58 3.66 3.58 3.66 0.21 5.35 5.43 5.35 5.43 1XXX.00.00.0000000P0 38.2581 4 77600TCHyperthermia treatment R 0.00 3.03 3.06 3.03 3.06 0.13 3.16 3.19 3.16 3.19 1XXX.00.00.0000000P0 38.2581 4 7760026Hyperthermia treatment R 1.56 0.55 0.60 0.55 0.60 0.08 2.19 2.24 2.19 2.24 1XXX.00.00.0000000P0 38.2581 4 77605 Hyperthermia treatment R 2.09 4.77 4.88 4.77 4.88 0.31 7.17 7.28 7.17 7.28 1XXX.00.00.0000000P0 38.2581 4 77605TCHyperthermia treatment R 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7760526Hyperthermia treatment R 2.09 0.73 0.80 0.73 0.80 0.13 2.95 3.02 2.95 3.02 1XXX.00.00.0000000P0 38.2581 4 77610 Hyperthermia treatment R 1.56 3.58 3.66 3.58 3.66 0.20 5.34 5.42 5.34 5.42 1XXX.00.00.0000000P0 38.2581 4 77610TCHyperthermia treatment R 0.00 3.03 3.06 3.03 3.06 0.13 3.16 3.19 3.16 3.19 1XXX.00.00.0000000P0 38.2581 4 7761026Hyperthermia treatment R 1.56 0.55 0.60 0.55 0.60 0.07 2.18 2.23 2.18 2.23 1XXX.00.00.0000000P0 38.2581 4 77615 Hyperthermia treatment R 2.09 4.77 4.88 4.77 4.88 0.27 7.13 7.24 7.13 7.24 1XXX.00.00.0000000P0 38.2581 4 77615TCHyperthermia treatment R 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7761526Hyperthermia treatment R 2.09 0.73 0.80 0.73 0.80 0.09 2.91 2.98 2.91 2.98 1XXX.00.00.0000000P0 38.2581 4 77620 Hyperthermia treatment R 1.56 3.60 3.68 3.60 3.68 0.19 5.35 5.43 5.35 5.43 1XXX.00.00.0000000P0 38.2581 4 77620TCHyperthermia treatment R 0.00 3.03 3.06 3.03 3.06 0.13 3.16 3.19 3.16 3.19 1XXX.00.00.0000000P0 38.2581 4 7762026Hyperthermia treatment R 1.56 0.57 0.62 0.57 0.62 0.06 2.19 2.24 2.19 2.24 1XXX.00.00.0000000P0 38.2581 4 77750 Infuse radioactive materials A 4.91 3.06 3.19 3.06 3.19 0.23 8.20 8.33 8.20 8.33 1090.00.00.0000000P0 38.2581 4 77750TCInfuse radioactive materials A 0.00 1.33 1.34 1.33 1.34 0.06 1.39 1.40 1.39 1.40 1090.00.00.0000000P0 38.2581 4 7775026Infuse radioactive materials A 4.91 1.73 1.85 1.73 1.85 0.17 6.81 6.93 6.81 6.93 1090.00.00.0000000P0 38.2581 4 77761 Apply intrcav radiat simple A 3.81 3.74 3.89 3.74 3.89 0.28 7.83 7.98 7.83 7.98 1090.00.00.0000000P0 38.2581 4 77761TCApply intrcav radiat simple A 0.00 2.49 2.52 2.49 2.52 0.12 2.61 2.64 2.61 2.64 1090.00.00.0000000P0 38.2581 4 7776126Apply intrcav radiat simple A 3.81 1.25 1.37 1.25 1.37 0.16 5.22 5.34 5.22 5.34 1090.00.00.0000000P0 38.2581 4 77762 Apply intrcav radiat interm A 5.72 5.62 5.80 5.62 5.80 0.38 11.72 11.90 11.72 11.90 1090.00.00.0000000P0 38.2581 4 77762TCApply intrcav radiat interm A 0.00 3.58 3.62 3.58 3.62 0.16 3.74 3.78 3.74 3.78 1090.00.00.0000000P0 38.2581 4 7776226Apply intrcav radiat interm A 5.72 2.04 2.18 2.04 2.18 0.22 7.98 8.12 7.98 8.12 1090.00.00.0000000P0 38.2581 4 77763 Apply intrcav radiat compl A 8.57 7.49 7.76 7.49 7.76 0.53 16.59 16.86 16.59 16.86 1090.00.00.0000000P0 38.2581 4 77763TCApply intrcav radiat compl A 0.00 4.46 4.51 4.46 4.51 0.19 4.65 4.70 4.65 4.70 1090.00.00.0000000P0 38.2581 4 7776326Apply intrcav radiat compl A 8.57 3.03 3.25 3.03 3.25 0.34 11.94 12.16 11.94 12.16 1090.00.00.0000000P0 38.2581 4 77776 Apply interstit radiat simpl A 4.66 3.30 3.60 3.30 3.60 0.35 8.31 8.61 8.31 8.61 1XXX.00.00.0000000P0 38.2581 4 77776TCApply interstit radiat simpl A 0.00 2.16 2.18 2.16 2.18 0.11 2.27 2.29 2.27 2.29 1XXX.00.00.0000000P0 38.2581 4 7777626Apply interstit radiat simpl A 4.66 1.14 1.42 1.14 1.42 0.24 6.04 6.32 6.04 6.32 1XXX.00.00.0000020P0 38.2581 4 77777 Apply interstit radiat inter A 7.48 6.86 7.09 6.86 7.09 0.50 14.84 15.07 14.84 15.07 1090.00.00.0000000P0 38.2581 4 77777TCApply interstit radiat inter A 0.00 4.21 4.25 4.21 4.25 0.18 4.39 4.43 4.39 4.43 1090.00.00.0000000P0 38.2581 4 7777726Apply interstit radiat inter A 7.48 2.65 2.84 2.65 2.84 0.32 10.45 10.64 10.45 10.64 1090.00.00.0000020P0 38.2581 4 77778 Apply iterstit radiat compl A 11.19 9.01 9.36 9.01 9.36 0.69 20.89 21.24 20.89 21.24 1090.00.00.0000000P0 38.2581 4 77778TCApply iterstit radiat compl A 0.00 5.10 5.15 5.10 5.15 0.22 5.32 5.37 5.32 5.37 1090.00.00.0000000P0 38.2581 4 7777826Apply iterstit radiat compl A 11.19 3.91 4.21 3.91 4.21 0.47 15.57 15.87 15.57 15.87 1090.00.00.0000020P0 38.2581 4 77781 High intensity brachytherapy A 1.66 20.75 21.00 20.75 21.00 0.95 23.36 23.61 23.36 23.61 1090.00.00.0000000P0 38.2581 4 77781TCHigh intensity brachytherapy A 0.00 20.16 20.37 20.16 20.37 0.88 21.04 21.25 21.04 21.25 1090.00.00.0000000P0 38.2581 4 7778126High intensity brachytherapy A 1.66 0.59 0.63 0.59 0.63 0.07 2.32 2.36 2.32 2.36 1090.00.00.0000000P0 38.2581 4 77782 High intensity brachytherapy A 2.49 21.04 21.32 21.04 21.32 0.98 24.51 24.79 24.51 24.79 1090.00.00.0000000P0 38.2581 4 77782TCHigh intensity brachytherapy A 0.00 20.16 20.37 20.16 20.37 0.88 21.04 21.25 21.04 21.25 1090.00.00.0000000P0 38.2581 4 7778226High intensity brachytherapy A 2.49 0.88 0.95 0.88 0.95 0.10 3.47 3.54 3.47 3.54 1090.00.00.0000000P0 38.2581 4 77783 High intensity brachytherapy A 3.73 21.47 21.77 21.47 21.77 1.03 26.23 26.53 26.23 26.53 1090.00.00.0000000P0 38.2581 4 77783TCHigh intensity brachytherapy A 0.00 20.16 20.37 20.16 20.37 0.88 21.04 21.25 21.04 21.25 1090.00.00.0000000P0 38.2581 4 7778326High intensity brachytherapy A 3.73 1.31 1.40 1.31 1.40 0.15 5.19 5.28 5.19 5.28 1090.00.00.0000000P0 38.2581 4 77784 High intensity brachytherapy A 5.61 22.13 22.48 22.13 22.48 1.10 28.84 29.19 28.84 29.19 1090.00.00.0000000P0 38.2581 4 77784TCHigh intensity brachytherapy A 0.00 20.16 20.37 20.16 20.37 0.88 21.04 21.25 21.04 21.25 1090.00.00.0000000P0 38.2581 4 7778426High intensity brachytherapy A 5.61 1.97 2.11 1.97 2.11 0.22 7.80 7.94 7.80 7.94 1090.00.00.0000000P0 38.2581 4 77789 Apply surface radiation A 1.12 0.85 0.89 0.85 0.89 0.05 2.02 2.06 2.02 2.06 1090.00.00.0000000P0 38.2581 4 77789TCApply surface radiation A 0.00 0.45 0.46 0.45 0.46 0.02 0.47 0.48 0.47 0.48 1090.00.00.0000000P0 38.2581 4 7778926Apply surface radiation A 1.12 0.40 0.43 0.40 0.43 0.03 1.55 1.58 1.55 1.58 1090.00.00.0000000P0 38.2581 4 77790 Radiation handling A 1.05 0.87 0.91 0.87 0.91 0.06 1.98 2.02 1.98 2.02 1XXX.00.00.0000000P0 38.2581 4 77790TCRadiation handling A 0.00 0.50 0.51 0.50 0.51 0.02 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 7779026Radiation handling A 1.05 0.37 0.40 0.37 0.40 0.04 1.46 1.49 1.46 1.49 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78000 Thyroid, single uptake A 0.19 1.03 1.05 1.03 1.05 0.06 1.28 1.30 1.28 1.30 1XXX.00.00.0000000P0 38.2581 4 78000TCThyroid, single uptake A 0.00 0.96 0.97 0.96 0.97 0.05 1.01 1.02 1.01 1.02 1XXX.00.00.0000000P0 38.2581 4 7800026Thyroid, single uptake A 0.19 0.07 0.08 0.07 0.08 0.01 0.27 0.28 0.27 0.28 1XXX.00.00.0000000P0 38.2581 4 78001 Thyroid, multiple uptakes A 0.26 1.40 1.42 1.40 1.42 0.07 1.73 1.75 1.73 1.75 1XXX.00.00.0000000P0 38.2581 4 78001TCThyroid, multiple uptakes A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7800126Thyroid, multiple uptakes A 0.26 0.10 0.11 0.10 0.11 0.01 0.37 0.38 0.37 0.38 1XXX.00.00.0000000P0 38.2581 4 78003 Thyroid suppress/stimul A 0.33 1.08 1.10 1.08 1.10 0.06 1.47 1.49 1.47 1.49 1XXX.00.00.0000000P0 38.2581 4 78003TCThyroid suppress/stimul A 0.00 0.96 0.97 0.96 0.97 0.05 1.01 1.02 1.01 1.02 1XXX.00.00.0000000P0 38.2581 4 7800326Thyroid suppress/stimul A 0.33 0.12 0.13 0.12 0.13 0.01 0.46 0.47 0.46 0.47 1XXX.00.00.0000000P0 38.2581 4 78006 Thyroid imaging with uptake A 0.49 2.54 2.59 2.54 2.59 0.13 3.16 3.21 3.16 3.21 1XXX.00.00.0000000P0 38.2581 4 78006TCThyroid imaging with uptake A 0.00 2.36 2.39 2.36 2.39 0.11 2.47 2.50 2.47 2.50 1XXX.00.00.0000000P0 38.2581 4 7800626Thyroid imaging with uptake A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78007 Thyroid image, mult uptakes A 0.50 2.74 2.79 2.74 2.79 0.14 3.38 3.43 3.38 3.43 1XXX.00.00.0000000P0 38.2581 4 78007TCThyroid image, mult uptakes A 0.00 2.56 2.59 2.56 2.59 0.12 2.68 2.71 2.68 2.71 1XXX.00.00.0000000P0 38.2581 4 7800726Thyroid image, mult uptakes A 0.50 0.18 0.20 0.18 0.20 0.02 0.70 0.72 0.70 0.72 1XXX.00.00.0000000P0 38.2581 4 78010 Thyroid imaging A 0.39 1.95 1.98 1.95 1.98 0.11 2.45 2.48 2.45 2.48 1XXX.00.00.0000000P0 38.2581 4 78010TCThyroid imaging A 0.00 1.81 1.83 1.81 1.83 0.09 1.90 1.92 1.90 1.92 1XXX.00.00.0000000P0 38.2581 4 7801026Thyroid imaging A 0.39 0.14 0.15 0.14 0.15 0.02 0.55 0.56 0.55 0.56 1XXX.00.00.0000000P0 38.2581 4 78011 Thyroid imaging with flow A 0.45 2.56 2.61 2.56 2.61 0.13 3.14 3.19 3.14 3.19 1XXX.00.00.0000000P0 38.2581 4 78011TCThyroid imaging with flow A 0.00 2.39 2.42 2.39 2.42 0.11 2.50 2.53 2.50 2.53 1XXX.00.00.0000000P0 38.2581 4 7801126Thyroid imaging with flow A 0.45 0.17 0.19 0.17 0.19 0.02 0.64 0.66 0.64 0.66 1XXX.00.00.0000000P0 38.2581 4 78015 Thyroid met imaging A 0.67 2.80 2.86 2.80 2.86 0.15 3.62 3.68 3.62 3.68 1XXX.00.00.0000000P0 38.2581 4 78015TCThyroid met imaging A 0.00 2.56 2.59 2.56 2.59 0.12 2.68 2.71 2.68 2.71 1XXX.00.00.0000000P0 38.2581 4 7801526Thyroid met imaging A 0.67 0.24 0.27 0.24 0.27 0.03 0.94 0.97 0.94 0.97 1XXX.00.00.0000000P0 38.2581 4 78016 Thyroid met imaging/studies A 0.82 3.77 3.84 3.77 3.84 0.18 4.77 4.84 4.77 4.84 1XXX.00.00.0000000P0 38.2581 4 78016TCThyroid met imaging/studies A 0.00 3.46 3.50 3.46 3.50 0.15 3.61 3.65 3.61 3.65 1XXX.00.00.0000000P0 38.2581 4 7801626Thyroid met imaging/studies A 0.82 0.31 0.34 0.31 0.34 0.03 1.16 1.19 1.16 1.19 1XXX.00.00.0000000P0 38.2581 4 78018 Thyroid met imaging, body A 0.86 5.70 5.80 5.70 5.80 0.27 6.83 6.93 6.83 6.93 1XXX.00.00.0000000P0 38.2581 4 78018TCThyroid met imaging, body A 0.00 5.38 5.44 5.38 5.44 0.24 5.62 5.68 5.62 5.68 1XXX.00.00.0000000P0 38.2581 4 7801826Thyroid met imaging, body A 0.86 0.32 0.36 0.32 0.36 0.03 1.21 1.25 1.21 1.25 1XXX.00.00.0000000P0 38.2581 4 78020 Thyroid met uptake A 0.60 1.53 1.53 1.53 1.53 0.14 2.27 2.27 2.27 2.27 1ZZZ.00.00.0000000P0 38.2581 5 78020TCThyroid met uptake A 0.00 1.30 1.30 1.30 1.30 0.12 1.42 1.42 1.42 1.42 1ZZZ.00.00.0000000P0 38.2581 5 7802026Thyroid met uptake A 0.60 0.23 0.23 0.23 0.23 0.02 0.85 0.85 0.85 0.85 1ZZZ.00.00.0000000P0 38.2581 5 78070 Parathyroid nuclear imaging A 0.82 2.11 2.12 2.11 2.12 0.12 3.05 3.06 3.05 3.06 1XXX.00.00.0000000P0 38.2581 4 78070TCParathyroid nuclear imaging A 0.00 1.81 1.83 1.81 1.83 0.09 1.90 1.92 1.90 1.92 1XXX.00.00.0000000P0 38.2581 4 7807026Parathyroid nuclear imaging A 0.82 0.30 0.29 0.30 0.29 0.03 1.15 1.14 1.15 1.14 1XXX.00.00.0000000P0 38.2581 4 78075 Adrenal nuclear imaging A 0.74 5.66 5.74 5.66 5.74 0.27 6.67 6.75 6.67 6.75 1XXX.00.00.0000000P0 38.2581 4 78075TCAdrenal nuclear imaging A 0.00 5.38 5.44 5.38 5.44 0.24 5.62 5.68 5.62 5.68 1XXX.00.00.0000000P0 38.2581 4 7807526Adrenal nuclear imaging A 0.74 0.28 0.30 0.28 0.30 0.03 1.05 1.07 1.05 1.07 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78102 Bone marrow imaging, ltd A 0.55 2.24 2.28 2.24 2.28 0.12 2.91 2.95 2.91 2.95 1XXX.00.00.0000000P0 38.2581 4 78102TCBone marrow imaging, ltd A 0.00 2.03 2.05 2.03 2.05 0.10 2.13 2.15 2.13 2.15 1XXX.00.00.0000000P0 38.2581 4 7810226Bone marrow imaging, ltd A 0.55 0.21 0.23 0.21 0.23 0.02 0.78 0.80 0.78 0.80 1XXX.00.00.0000000P0 38.2581 4 78103 Bone marrow imaging, mult A 0.75 3.43 3.48 3.43 3.48 0.17 4.35 4.40 4.35 4.40 1XXX.00.00.0000000P0 38.2581 4 78103TCBone marrow imaging, mult A 0.00 3.15 3.18 3.15 3.18 0.14 3.29 3.32 3.29 3.32 1XXX.00.00.0000000P0 38.2581 4 7810326Bone marrow imaging, mult A 0.75 0.28 0.30 0.28 0.30 0.03 1.06 1.08 1.06 1.08 1XXX.00.00.0000000P0 38.2581 4 78104 Bone marrow imaging, body A 0.80 4.33 4.40 4.33 4.40 0.21 5.34 5.41 5.34 5.41 1XXX.00.00.0000000P0 38.2581 4 78104TCBone marrow imaging, body A 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7810426Bone marrow imaging, body A 0.80 0.29 0.32 0.29 0.32 0.03 1.12 1.15 1.12 1.15 1XXX.00.00.0000000P0 38.2581 4 78110 Plasma volume, single A 0.19 1.02 1.04 1.02 1.04 0.06 1.27 1.29 1.27 1.29 1XXX.00.00.0000000P0 38.2581 4 78110TCPlasma volume, single A 0.00 0.94 0.95 0.94 0.95 0.05 0.99 1.00 0.99 1.00 1XXX.00.00.0000000P0 38.2581 4 7811026Plasma volume, single A 0.19 0.08 0.09 0.08 0.09 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 4 78111 Plasma volume, multiple A 0.22 2.64 2.68 2.64 2.68 0.13 2.99 3.03 2.99 3.03 1XXX.00.00.0000000P0 38.2581 4 78111TCPlasma volume, multiple A 0.00 2.56 2.59 2.56 2.59 0.12 2.68 2.71 2.68 2.71 1XXX.00.00.0000000P0 38.2581 4 7811126Plasma volume, multiple A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 78120 Red cell mass, single A 0.23 1.81 1.84 1.81 1.84 0.10 2.14 2.17 2.14 2.17 1XXX.00.00.0000000P0 38.2581 4 78120TCRed cell mass, single A 0.00 1.72 1.74 1.72 1.74 0.09 1.81 1.83 1.81 1.83 1XXX.00.00.0000000P0 38.2581 4 7812026Red cell mass, single A 0.23 0.09 0.10 0.09 0.10 0.01 0.33 0.34 0.33 0.34 1XXX.00.00.0000000P0 38.2581 4 78121 Red cell mass, multiple A 0.32 3.01 3.05 3.01 3.05 0.13 3.46 3.50 3.46 3.50 1XXX.00.00.0000000P0 38.2581 4 78121TCRed cell mass, multiple A 0.00 2.89 2.92 2.89 2.92 0.12 3.01 3.04 3.01 3.04 1XXX.00.00.0000000P0 38.2581 4 7812126Red cell mass, multiple A 0.32 0.12 0.13 0.12 0.13 0.01 0.45 0.46 0.45 0.46 1XXX.00.00.0000000P0 38.2581 4 78122 Blood volume A 0.45 4.74 4.80 4.74 4.80 0.22 5.41 5.47 5.41 5.47 1XXX.00.00.0000000P0 38.2581 4 78122TCBlood volume A 0.00 4.57 4.62 4.57 4.62 0.20 4.77 4.82 4.77 4.82 1XXX.00.00.0000000P0 38.2581 4 7812226Blood volume A 0.45 0.17 0.18 0.17 0.18 0.02 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 78130 Red cell survival study A 0.61 3.06 3.11 3.06 3.11 0.15 3.82 3.87 3.82 3.87 1XXX.00.00.0000000P0 38.2581 4 78130TCRed cell survival study A 0.00 2.83 2.86 2.83 2.86 0.12 2.95 2.98 2.95 2.98 1XXX.00.00.0000000P0 38.2581 4 7813026Red cell survival study A 0.61 0.23 0.25 0.23 0.25 0.03 0.87 0.89 0.87 0.89 1XXX.00.00.0000000P0 38.2581 4 78135 Red cell survival kinetics A 0.64 5.07 5.14 5.07 5.14 0.24 5.95 6.02 5.95 6.02 1XXX.00.00.0000000P0 38.2581 4 78135TCRed cell survival kinetics A 0.00 4.84 4.89 4.84 4.89 0.21 5.05 5.10 5.05 5.10 1XXX.00.00.0000000P0 38.2581 4 7813526Red cell survival kinetics A 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 1XXX.00.00.0000000P0 38.2581 4 78140 Red cell sequestration A 0.61 4.13 4.19 4.13 4.19 0.20 4.94 5.00 4.94 5.00 1XXX.00.00.0000000P0 38.2581 4 78140TCRed cell sequestration A 0.00 3.91 3.95 3.91 3.95 0.17 4.08 4.12 4.08 4.12 1XXX.00.00.0000000P0 38.2581 4 7814026Red cell sequestration A 0.61 0.22 0.24 0.22 0.24 0.03 0.86 0.88 0.86 0.88 1XXX.00.00.0000000P0 38.2581 4 78160 Plasma iron turnover A 0.33 3.79 3.83 3.79 3.83 0.19 4.31 4.35 4.31 4.35 1XXX.00.00.0000000P0 38.2581 4 78160TCPlasma iron turnover A 0.00 3.64 3.68 3.64 3.68 0.16 3.80 3.84 3.80 3.84 1XXX.00.00.0000000P0 38.2581 4 7816026Plasma iron turnover A 0.33 0.15 0.15 0.15 0.15 0.03 0.51 0.51 0.51 0.51 1XXX.00.00.0000000P0 38.2581 4 78162 Iron absorption exam A 0.45 3.36 3.40 3.36 3.40 0.15 3.96 4.00 3.96 4.00 1XXX.00.00.0000000P0 38.2581 4 78162TCIron absorption exam A 0.00 3.18 3.21 3.18 3.21 0.14 3.32 3.35 3.32 3.35 1XXX.00.00.0000000P0 38.2581 4 7816226Iron absorption exam A 0.45 0.18 0.19 0.18 0.19 0.01 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 78170 Red cell iron utilization A 0.41 5.41 5.48 5.41 5.48 0.27 6.09 6.16 6.09 6.16 1XXX.00.00.0000000P0 38.2581 4 78170TCRed cell iron utilization A 0.00 5.26 5.32 5.26 5.32 0.23 5.49 5.55 5.49 5.55 1XXX.00.00.0000000P0 38.2581 4 7817026Red cell iron utilization A 0.41 0.15 0.16 0.15 0.16 0.04 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 7817226Total body iron estimation A 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 4 78185 Spleen imaging A 0.40 2.48 2.53 2.48 2.53 0.13 3.01 3.06 3.01 3.06 1XXX.00.00.0000000P0 38.2581 4 78185TCSpleen imaging A 0.00 2.34 2.37 2.34 2.37 0.11 2.45 2.48 2.45 2.48 1XXX.00.00.0000000P0 38.2581 4 7818526Spleen imaging A 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 1XXX.00.00.0000000P0 38.2581 4 78190 Platelet survival, kinetics A 1.09 6.06 6.15 6.06 6.15 0.31 7.46 7.55 7.46 7.55 1XXX.00.00.0000000P0 38.2581 4 78190TCPlatelet survival, kinetics A 0.00 5.67 5.73 5.67 5.73 0.25 5.92 5.98 5.92 5.98 1XXX.00.00.0000000P0 38.2581 4 7819026Platelet survival, kinetics A 1.09 0.39 0.42 0.39 0.42 0.06 1.54 1.57 1.54 1.57 1XXX.00.00.0000000P0 38.2581 4 78191 Platelet survival A 0.61 7.50 7.60 7.50 7.60 0.34 8.45 8.55 8.45 8.55 1XXX.00.00.0000000P0 38.2581 4 78191TCPlatelet survival A 0.00 7.28 7.36 7.28 7.36 0.31 7.59 7.67 7.59 7.67 1XXX.00.00.0000000P0 38.2581 4 7819126Platelet survival A 0.61 0.22 0.24 0.22 0.24 0.03 0.86 0.88 0.86 0.88 1XXX.00.00.0000000P0 38.2581 4 78195 Lymph system imaging A 1.20 4.48 4.50 4.48 4.50 0.23 5.91 5.93 5.91 5.93 1XXX.00.00.0000000P0 38.2581 4 78195TCLymph system imaging A 0.00 4.04 4.08 4.04 4.08 0.18 4.22 4.26 4.22 4.26 1XXX.00.00.0000000P0 38.2581 4 7819526Lymph system imaging A 1.20 0.44 0.42 0.44 0.42 0.05 1.69 1.67 1.69 1.67 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78201 Liver imaging A 0.44 2.50 2.54 2.50 2.54 0.13 3.07 3.11 3.07 3.11 1XXX.00.00.0000000P0 38.2581 4 78201TCLiver imaging A 0.00 2.34 2.37 2.34 2.37 0.11 2.45 2.48 2.45 2.48 1XXX.00.00.0000000P0 38.2581 4 7820126Liver imaging A 0.44 0.16 0.17 0.16 0.17 0.02 0.62 0.63 0.62 0.63 1XXX.00.00.0000000P0 38.2581 4 78202 Liver imaging with flow A 0.51 3.05 3.10 3.05 3.10 0.14 3.70 3.75 3.70 3.75 1XXX.00.00.0000000P0 38.2581 4 78202TCLiver imaging with flow A 0.00 2.86 2.89 2.86 2.89 0.12 2.98 3.01 2.98 3.01 1XXX.00.00.0000000P0 38.2581 4 7820226Liver imaging with flow A 0.51 0.19 0.21 0.19 0.21 0.02 0.72 0.74 0.72 0.74 1XXX.00.00.0000000P0 38.2581 4 78205 Liver imaging (3D) A 0.71 6.12 6.21 6.12 6.21 0.29 7.12 7.21 7.12 7.21 1XXX.00.00.0000000P0 38.2581 4 78205TCLiver imaging (3D) A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7820526Liver imaging (3D) A 0.71 0.26 0.29 0.26 0.29 0.03 1.00 1.03 1.00 1.03 1XXX.00.00.0000000P0 38.2581 4 78206 Liver image (3d) w/flow A 0.96 6.22 6.22 6.22 6.22 0.13 7.31 7.31 7.31 7.31 1XXX.00.00.0000000P0 38.2581 5 78206TCLiver image (3d) w/flow A 0.00 5.86 5.86 5.86 5.86 0.09 5.95 5.95 5.95 5.95 1XXX.00.00.0000000P0 38.2581 5 7820626Liver image (3d) w/flow A 0.96 0.36 0.36 0.36 0.36 0.04 1.36 1.36 1.36 1.36 1XXX.00.00.0000000P0 38.2581 5 78215 Liver and spleen imaging A 0.49 3.10 3.15 3.10 3.15 0.14 3.73 3.78 3.73 3.78 1XXX.00.00.0000000P0 38.2581 4 78215TCLiver and spleen imaging A 0.00 2.92 2.95 2.92 2.95 0.12 3.04 3.07 3.04 3.07 1XXX.00.00.0000000P0 38.2581 4 7821526Liver and spleen imaging A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78216 Liver & spleen image/flow A 0.57 3.67 3.73 3.67 3.73 0.17 4.41 4.47 4.41 4.47 1XXX.00.00.0000000P0 38.2581 4 78216TCLiver & spleen image/flow A 0.00 3.46 3.50 3.46 3.50 0.15 3.61 3.65 3.61 3.65 1XXX.00.00.0000000P0 38.2581 4 7821626Liver & spleen image/flow A 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 1XXX.00.00.0000000P0 38.2581 4 78220 Liver function study A 0.49 3.88 3.94 3.88 3.94 0.18 4.55 4.61 4.55 4.61 1XXX.00.00.0000000P0 38.2581 4 78220TCLiver function study A 0.00 3.70 3.74 3.70 3.74 0.16 3.86 3.90 3.86 3.90 1XXX.00.00.0000000P0 38.2581 4 7822026Liver function study A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78223 Hepatobiliary imaging A 0.84 3.94 4.01 3.94 4.01 0.20 4.98 5.05 4.98 5.05 1XXX.00.00.0000000P0 38.2581 4 78223TCHepatobiliary imaging A 0.00 3.64 3.68 3.64 3.68 0.16 3.80 3.84 3.80 3.84 1XXX.00.00.0000000P0 38.2581 4 7822326Hepatobiliary imaging A 0.84 0.30 0.33 0.30 0.33 0.04 1.18 1.21 1.18 1.21 1XXX.00.00.0000000P0 38.2581 4 78230 Salivary gland imaging A 0.45 2.32 2.36 2.32 2.36 0.13 2.90 2.94 2.90 2.94 1XXX.00.00.0000000P0 38.2581 4 78230TCSalivary gland imaging A 0.00 2.16 2.18 2.16 2.18 0.11 2.27 2.29 2.27 2.29 1XXX.00.00.0000000P0 38.2581 4 7823026Salivary gland imaging A 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 1XXX.00.00.0000000P0 38.2581 4 78231 Serial salivary imaging A 0.52 3.35 3.40 3.35 3.40 0.16 4.03 4.08 4.03 4.08 1XXX.00.00.0000000P0 38.2581 4 78231TCSerial salivary imaging A 0.00 3.15 3.18 3.15 3.18 0.14 3.29 3.32 3.29 3.32 1XXX.00.00.0000000P0 38.2581 4 7823126Serial salivary imaging A 0.52 0.20 0.22 0.20 0.22 0.02 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 4 78232 Salivary gland function exam A 0.47 3.70 3.76 3.70 3.76 0.16 4.33 4.39 4.33 4.39 1XXX.00.00.0000000P0 38.2581 4 78232TCSalivary gland function exam A 0.00 3.52 3.56 3.52 3.56 0.15 3.67 3.71 3.67 3.71 1XXX.00.00.0000000P0 38.2581 4 7823226Salivary gland function exam A 0.47 0.18 0.20 0.18 0.20 0.01 0.66 0.68 0.66 0.68 1XXX.00.00.0000000P0 38.2581 4 78258 Esophageal motility study A 0.74 3.13 3.19 3.13 3.19 0.15 4.02 4.08 4.02 4.08 1XXX.00.00.0000000P0 38.2581 4 78258TCEsophageal motility study A 0.00 2.86 2.89 2.86 2.89 0.12 2.98 3.01 2.98 3.01 1XXX.00.00.0000000P0 38.2581 4 7825826Esophageal motility study A 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 1XXX.00.00.0000000P0 38.2581 4 78261 Gastric mucosa imaging A 0.69 4.34 4.40 4.34 4.40 0.21 5.24 5.30 5.24 5.30 1XXX.00.00.0000000P0 38.2581 4 78261TCGastric mucosa imaging A 0.00 4.07 4.11 4.07 4.11 0.18 4.25 4.29 4.25 4.29 1XXX.00.00.0000000P0 38.2581 4 7826126Gastric mucosa imaging A 0.69 0.27 0.29 0.27 0.29 0.03 0.99 1.01 0.99 1.01 1XXX.00.00.0000000P0 38.2581 4 78262 Gastroesophageal reflux exam A 0.68 4.49 4.55 4.49 4.55 0.21 5.38 5.44 5.38 5.44 1XXX.00.00.0000000P0 38.2581 4 78262TCGastroesophageal reflux exam A 0.00 4.23 4.27 4.23 4.27 0.18 4.41 4.45 4.41 4.45 1XXX.00.00.0000000P0 38.2581 4 7826226Gastroesophageal reflux exam A 0.68 0.26 0.28 0.26 0.28 0.03 0.97 0.99 0.97 0.99 1XXX.00.00.0000000P0 38.2581 4 78264 Gastric emptying study A 0.78 4.38 4.45 4.38 4.45 0.21 5.37 5.44 5.37 5.44 1XXX.00.00.0000000P0 38.2581 4 78264TCGastric emptying study A 0.00 4.10 4.14 4.10 4.14 0.18 4.28 4.32 4.28 4.32 1XXX.00.00.0000000P0 38.2581 4 7826426Gastric emptying study A 0.78 0.28 0.31 0.28 0.31 0.03 1.09 1.12 1.09 1.12 1XXX.00.00.0000000P0 38.2581 4 78267 Breath tst attain/anal c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 78268 Breath test analysis, c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 78270 Vit B-12 absorption exam A 0.20 1.61 1.64 1.61 1.64 0.09 1.90 1.93 1.90 1.93 1XXX.00.00.0000000P0 38.2581 4 78270TCVit B-12 absorption exam A 0.00 1.54 1.56 1.54 1.56 0.08 1.62 1.64 1.62 1.64 1XXX.00.00.0000000P0 38.2581 4 7827026Vit B-12 absorption exam A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 4 78271 Vit B-12 absorp exam, IF A 0.20 1.70 1.73 1.70 1.73 0.09 1.99 2.02 1.99 2.02 1XXX.00.00.0000000P0 38.2581 4 78271TCVit B-12 absorp exam, IF A 0.00 1.63 1.65 1.63 1.65 0.08 1.71 1.73 1.71 1.73 1XXX.00.00.0000000P0 38.2581 4 7827126Vit B-12 absorp exam, IF A 0.20 0.07 0.08 0.07 0.08 0.01 0.28 0.29 0.28 0.29 1XXX.00.00.0000000P0 38.2581 4 78272 Vit B-12 absorp, combined A 0.27 2.41 2.44 2.41 2.44 0.12 2.80 2.83 2.80 2.83 1XXX.00.00.0000000P0 38.2581 4 78272TCVit B-12 absorp, combined A 0.00 2.31 2.33 2.31 2.33 0.11 2.42 2.44 2.42 2.44 1XXX.00.00.0000000P0 38.2581 4 7827226Vit B-12 absorp, combined A 0.27 0.10 0.11 0.10 0.11 0.01 0.38 0.39 0.38 0.39 1XXX.00.00.0000000P0 38.2581 4 78278 Acute GI blood loss imaging A 0.99 5.20 5.28 5.20 5.28 0.25 6.44 6.52 6.44 6.52 1XXX.00.00.0000000P0 38.2581 4 78278TCAcute GI blood loss imaging A 0.00 4.84 4.89 4.84 4.89 0.21 5.05 5.10 5.05 5.10 1XXX.00.00.0000000P0 38.2581 4 7827826Acute GI blood loss imaging A 0.99 0.36 0.39 0.36 0.39 0.04 1.39 1.42 1.39 1.42 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 7828226GI protein loss exam A 0.38 0.14 0.15 0.14 0.15 0.02 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 78290 Meckel’s divert exam A 0.68 3.27 3.33 3.27 3.33 0.16 4.11 4.17 4.11 4.17 1XXX.00.00.0000000P0 38.2581 4 78290TCMeckel’s divert exam A 0.00 3.03 3.06 3.03 3.06 0.13 3.16 3.19 3.16 3.19 1XXX.00.00.0000000P0 38.2581 4 7829026Meckel’s divert exam A 0.68 0.24 0.27 0.24 0.27 0.03 0.95 0.98 0.95 0.98 1XXX.00.00.0000000P0 38.2581 4 78291 Leveen/shunt patency exam A 0.88 3.37 3.43 3.37 3.43 0.17 4.42 4.48 4.42 4.48 1XXX.00.00.0000000P0 38.2581 4 78291TCLeveen/shunt patency exam A 0.00 3.05 3.08 3.05 3.08 0.13 3.18 3.21 3.18 3.21 1XXX.00.00.0000000P0 38.2581 4 7829126Leveen/shunt patency exam A 0.88 0.32 0.35 0.32 0.35 0.04 1.24 1.27 1.24 1.27 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78300 Bone imaging, limited area A 0.62 2.69 2.74 2.69 2.74 0.15 3.46 3.51 3.46 3.51 1XXX.00.00.0000000P0 38.2581 4 78300TCBone imaging, limited area A 0.00 2.47 2.50 2.47 2.50 0.12 2.59 2.62 2.59 2.62 1XXX.00.00.0000000P0 38.2581 4 7830026Bone imaging, limited area A 0.62 0.22 0.24 0.22 0.24 0.03 0.87 0.89 0.87 0.89 1XXX.00.00.0000000P0 38.2581 4 78305 Bone imaging, multiple areas A 0.83 3.94 4.01 3.94 4.01 0.19 4.96 5.03 4.96 5.03 1XXX.00.00.0000000P0 38.2581 4 78305TCBone imaging, multiple areas A 0.00 3.64 3.68 3.64 3.68 0.16 3.80 3.84 3.80 3.84 1XXX.00.00.0000000P0 38.2581 4 7830526Bone imaging, multiple areas A 0.83 0.30 0.33 0.30 0.33 0.03 1.16 1.19 1.16 1.19 1XXX.00.00.0000000P0 38.2581 4 78306 Bone imaging, whole body A 0.86 4.56 4.63 4.56 4.63 0.22 5.64 5.71 5.64 5.71 1XXX.00.00.0020000P0 38.2581 4 78306TCBone imaging, whole body A 0.00 4.25 4.29 4.25 4.29 0.18 4.43 4.47 4.43 4.47 1XXX.00.00.0020000P0 38.2581 4 7830626Bone imaging, whole body A 0.86 0.31 0.34 0.31 0.34 0.04 1.21 1.24 1.21 1.24 1XXX.00.00.0020000P0 38.2581 4 78315 Bone imaging, 3 phase A 1.02 5.12 5.20 5.12 5.20 0.25 6.39 6.47 6.39 6.47 1XXX.00.00.0000000P0 38.2581 4 78315TCBone imaging, 3 phase A 0.00 4.75 4.80 4.75 4.80 0.21 4.96 5.01 4.96 5.01 1XXX.00.00.0000000P0 38.2581 4 7831526Bone imaging, 3 phase A 1.02 0.37 0.40 0.37 0.40 0.04 1.43 1.46 1.43 1.46 1XXX.00.00.0000000P0 38.2581 4 78320 Bone imaging (3D) A 1.04 6.25 6.34 6.25 6.34 0.30 7.59 7.68 7.59 7.68 1XXX.00.00.0020000P0 38.2581 4 78320TCBone imaging (3D) A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0020000P0 38.2581 4 7832026Bone imaging (3D) A 1.04 0.39 0.42 0.39 0.42 0.04 1.47 1.50 1.47 1.50 1XXX.00.00.0020000P0 38.2581 4 78350 Bone mineral, single photon A 0.22 0.83 0.85 0.83 0.85 0.05 1.10 1.12 1.10 1.12 1XXX.00.00.0000000P0 38.2581 4 78350TCBone mineral, single photon A 0.00 0.75 0.76 0.75 0.76 0.04 0.79 0.80 0.79 0.80 1XXX.00.00.0000000P0 38.2581 4 7835026Bone mineral, single photon A 0.22 0.08 0.09 0.08 0.09 0.01 0.31 0.32 0.31 0.32 1XXX.00.00.0000000P0 38.2581 4 78351 Bone mineral, dual photon N+ 0.30 1.55 1.22 0.12 0.14 0.01 1.86 1.53 0.43 0.45 9XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 7841426Non-imaging heart function A 0.45 0.17 0.18 0.17 0.18 0.02 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 78428 Cardiac shunt imaging A 0.78 2.57 2.61 2.57 2.61 0.14 3.49 3.53 3.49 3.53 1XXX.00.00.0000000P0 38.2581 4 78428TCCardiac shunt imaging A 0.00 2.24 2.26 2.24 2.26 0.11 2.35 2.37 2.35 2.37 1XXX.00.00.0000000P0 38.2581 4 7842826Cardiac shunt imaging A 0.78 0.33 0.35 0.33 0.35 0.03 1.14 1.16 1.14 1.16 1XXX.00.00.0000000P0 38.2581 4 78445 Vascular flow imaging A 0.49 2.02 2.06 2.02 2.06 0.11 2.62 2.66 2.62 2.66 1XXX.00.00.0000000P0 38.2581 4 78445TCVascular flow imaging A 0.00 1.84 1.86 1.84 1.86 0.09 1.93 1.95 1.93 1.95 1XXX.00.00.0000000P0 38.2581 4 7844526Vascular flow imaging A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78455 Venous thrombosis study A 0.73 4.23 4.29 4.23 4.29 0.20 5.16 5.22 5.16 5.22 1XXX.00.00.0000000P0 38.2581 4 78455TCVenous thrombosis study A 0.00 3.96 4.00 3.96 4.00 0.17 4.13 4.17 4.13 4.17 1XXX.00.00.0000000P0 38.2581 4 7845526Venous thrombosis study A 0.73 0.27 0.29 0.27 0.29 0.03 1.03 1.05 1.03 1.05 1XXX.00.00.0000000P0 38.2581 4 78456 Acute venous thrombus image A 1.00 4.33 4.33 4.33 4.33 0.28 5.61 5.61 5.61 5.61 1XXX.00.00.009999999 38.2581 5 78456TCAcute venous thrombus image A 0.00 3.96 3.96 3.96 3.96 0.24 4.20 4.20 4.20 4.20 1XXX.00.00.009999999 38.2581 5 7845626Acute venous thrombus image A 1.00 0.37 0.37 0.37 0.37 0.04 1.41 1.41 1.41 1.41 1XXX.00.00.009999999 38.2581 5 78457 Venous thrombosis imaging A 0.77 2.92 2.98 2.92 2.98 0.15 3.84 3.90 3.84 3.90 1XXX.00.00.0000000P0 38.2581 4 78457TCVenous thrombosis imaging A 0.00 2.64 2.67 2.64 2.67 0.12 2.76 2.79 2.76 2.79 1XXX.00.00.0000000P0 38.2581 4 7845726Venous thrombosis imaging A 0.77 0.28 0.31 0.28 0.31 0.03 1.08 1.11 1.08 1.11 1XXX.00.00.0000000P0 38.2581 4 78458 Ven thrombosis images, bilat A 0.90 4.34 4.40 4.34 4.40 0.20 5.44 5.50 5.44 5.50 1XXX.00.00.0002000P0 38.2581 4 78458TCVen thrombosis images, bilat A 0.00 4.00 4.04 4.00 4.04 0.17 4.17 4.21 4.17 4.21 1XXX.00.00.0002000P0 38.2581 4 7845826Ven thrombosis images, bilat A 0.90 0.34 0.36 0.34 0.36 0.03 1.27 1.29 1.27 1.29 1XXX.00.00.0002000P0 38.2581 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 1XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0099999P9 38.2581 9 7845926Heart muscle imaging (PET) I+ 1.88 0.75 0.93 0.75 0.93 0.08 2.71 2.89 2.71 2.89 1XXX.00.00.0099999P9 38.2581 9 78460 Heart muscle blood, single A 0.86 2.66 2.72 2.66 2.72 0.14 3.66 3.72 3.66 3.72 1XXX.00.00.0000000P0 38.2581 4 78460TCHeart muscle blood, single A 0.00 2.34 2.37 2.34 2.37 0.11 2.45 2.48 2.45 2.48 1XXX.00.00.0000000P0 38.2581 4 7846026Heart muscle blood, single A 0.86 0.32 0.35 0.32 0.35 0.03 1.21 1.24 1.21 1.24 1XXX.00.00.0000000P0 38.2581 4 78461 Heart muscle blood, multiple A 1.23 5.16 5.24 5.16 5.24 0.26 6.65 6.73 6.65 6.73 1XXX.00.00.0000000P0 38.2581 4 78461TCHeart muscle blood, multiple A 0.00 4.69 4.74 4.69 4.74 0.21 4.90 4.95 4.90 4.95 1XXX.00.00.0000000P0 38.2581 4 7846126Heart muscle blood, multiple A 1.23 0.47 0.50 0.47 0.50 0.05 1.75 1.78 1.75 1.78 1XXX.00.00.0000000P0 38.2581 4 78464 Heart image (3d), single A 1.09 7.42 7.53 7.42 7.53 0.35 8.86 8.97 8.86 8.97 1XXX.00.00.0000000P0 38.2581 4 78464TCHeart image (3d), single A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7846426Heart image (3d), single A 1.09 0.41 0.44 0.41 0.44 0.04 1.54 1.57 1.54 1.57 1XXX.00.00.0000000P0 38.2581 4 78465 Heart image (3d), multiple A 1.46 12.28 12.44 12.28 12.44 0.56 14.30 14.46 14.30 14.46 1XXX.00.00.0000000P0 38.2581 4 78465TCHeart image (3d), multiple A 0.00 11.71 11.83 11.71 11.83 0.51 12.22 12.34 12.22 12.34 1XXX.00.00.0000000P0 38.2581 4 7846526Heart image (3d), multiple A 1.46 0.57 0.61 0.57 0.61 0.05 2.08 2.12 2.08 2.12 1XXX.00.00.0000000P0 38.2581 4 78466 Heart infarct image A 0.69 2.87 2.92 2.87 2.92 0.15 3.71 3.76 3.71 3.76 1XXX.00.00.0000000P0 38.2581 4 78466TCHeart infarct image A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7846626Heart infarct image A 0.69 0.27 0.29 0.27 0.29 0.03 0.99 1.01 0.99 1.01 1XXX.00.00.0000000P0 38.2581 4 78468 Heart infarct image (ef) A 0.80 3.94 4.00 3.94 4.00 0.19 4.93 4.99 4.93 4.99 1XXX.00.00.0000000P0 38.2581 4 78468TCHeart infarct image (ef) A 0.00 3.64 3.68 3.64 3.68 0.16 3.80 3.84 3.80 3.84 1XXX.00.00.0000000P0 38.2581 4 7846826Heart infarct image (ef) A 0.80 0.30 0.32 0.30 0.32 0.03 1.13 1.15 1.13 1.15 1XXX.00.00.0000000P0 38.2581 4 78469 Heart infarct image (3D) A 0.92 5.53 5.61 5.53 5.61 0.26 6.71 6.79 6.71 6.79 1XXX.00.00.0000000P0 38.2581 4 78469TCHeart infarct image (3D) A 0.00 5.19 5.24 5.19 5.24 0.23 5.42 5.47 5.42 5.47 1XXX.00.00.0000000P0 38.2581 4 7846926Heart infarct image (3D) A 0.92 0.34 0.37 0.34 0.37 0.03 1.29 1.32 1.29 1.32 1XXX.00.00.0000000P0 38.2581 4 78472 Gated heart, planar, single A 0.98 5.84 5.93 5.84 5.93 0.29 7.11 7.20 7.11 7.20 1XXX.00.00.0000000P0 38.2581 4 78472TCGated heart, planar, single A 0.00 5.47 5.53 5.47 5.53 0.25 5.72 5.78 5.72 5.78 1XXX.00.00.0000000P0 38.2581 4 7847226Gated heart, planar, single A 0.98 0.37 0.40 0.37 0.40 0.04 1.39 1.42 1.39 1.42 1XXX.00.00.0000000P0 38.2581 4 78473 Gated heart, multiple A 1.47 8.75 8.88 8.75 8.88 0.40 10.62 10.75 10.62 10.75 1XXX.00.00.0000000P0 38.2581 4 78473TCGated heart, multiple A 0.00 8.19 8.28 8.19 8.28 0.35 8.54 8.63 8.54 8.63 1XXX.00.00.0000000P0 38.2581 4 7847326Gated heart, multiple A 1.47 0.56 0.60 0.56 0.60 0.05 2.08 2.12 2.08 2.12 1XXX.00.00.0000000P0 38.2581 4 78478 Heart wall motion add-on A 0.62 1.80 1.83 1.80 1.83 0.10 2.52 2.55 2.52 2.55 1ZZZ.00.00.0000000P0 38.2581 4 78478TCHeart wall motion add-on A 0.00 1.55 1.57 1.55 1.57 0.08 1.63 1.65 1.63 1.65 1ZZZ.00.00.0000000P0 38.2581 4 7847826Heart wall motion add-on A 0.62 0.25 0.26 0.25 0.26 0.02 0.89 0.90 0.89 0.90 1ZZZ.00.00.0000000P0 38.2581 4 78480 Heart function add-on A 0.62 1.80 1.83 1.80 1.83 0.10 2.52 2.55 2.52 2.55 1ZZZ.00.00.0000000P0 38.2581 4 78480TCHeart function add-on A 0.00 1.55 1.57 1.55 1.57 0.08 1.63 1.65 1.63 1.65 1ZZZ.00.00.0000000P0 38.2581 4 7848026Heart function add-on A 0.62 0.25 0.26 0.25 0.26 0.02 0.89 0.90 0.89 0.90 1ZZZ.00.00.0000000P0 38.2581 4 78481 Heart first pass, single A 0.98 5.59 5.66 5.59 5.66 0.26 6.83 6.90 6.83 6.90 1XXX.00.00.0000000P0 38.2581 4 78481TCHeart first pass, single A 0.00 5.19 5.24 5.19 5.24 0.23 5.42 5.47 5.42 5.47 1XXX.00.00.0000000P0 38.2581 4 7848126Heart first pass, single A 0.98 0.40 0.42 0.40 0.42 0.03 1.41 1.43 1.41 1.43 1XXX.00.00.0000000P0 38.2581 4 78483 Heart first pass, multiple A 1.47 8.40 8.51 8.40 8.51 0.39 10.26 10.37 10.26 10.37 1XXX.00.00.0000000P0 38.2581 4 78483TCHeart first pass, multiple A 0.00 7.81 7.89 7.81 7.89 0.34 8.15 8.23 8.15 8.23 1XXX.00.00.0000000P0 38.2581 4 7848326Heart first pass, multiple A 1.47 0.59 0.62 0.59 0.62 0.05 2.11 2.14 2.11 2.14 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0099999P9 38.2581 9 7849126Heart image (pet), single I+ 1.50 0.60 0.81 0.60 0.81 0.05 2.15 2.36 2.15 2.36 1XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0099999P9 38.2581 9 7849226Heart image (pet), multiple I+ 1.87 0.75 0.93 0.75 0.93 0.06 2.68 2.86 2.68 2.86 1XXX.00.00.0099999P9 38.2581 9 78494 Heart image, spect A 1.19 7.46 7.46 7.46 7.46 0.29 8.94 8.94 8.94 8.94 1XXX.00.00.0000000P0 38.2581 5 78494TCHeart image, spect A 0.00 7.01 7.01 7.01 7.01 0.25 7.26 7.26 7.26 7.26 1XXX.00.00.0000000P0 38.2581 5 7849426Heart image, spect A 1.19 0.45 0.45 0.45 0.45 0.04 1.68 1.68 1.68 1.68 1XXX.00.00.0000000P0 38.2581 5 78496 Heart first pass add-on A 0.50 7.21 7.21 7.21 7.21 0.27 7.98 7.98 7.98 7.98 1ZZZ.00.00.0000000P0 38.2581 5 78496TCHeart first pass add-on A 0.00 7.01 7.01 7.01 7.01 0.25 7.26 7.26 7.26 7.26 1ZZZ.00.00.0000000P0 38.2581 5 7849626Heart first pass add-on A 0.50 0.20 0.20 0.20 0.20 0.02 0.72 0.72 0.72 0.72 1ZZZ.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78580 Lung perfusion imaging A 0.74 3.68 3.75 3.68 3.75 0.18 4.60 4.67 4.60 4.67 1XXX.00.00.0000000P0 38.2581 4 78580TCLung perfusion imaging A 0.00 3.41 3.45 3.41 3.45 0.15 3.56 3.60 3.56 3.60 1XXX.00.00.0000000P0 38.2581 4 7858026Lung perfusion imaging A 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 1XXX.00.00.0000000P0 38.2581 4 78584 Lung V/Q image single breath A 0.99 3.53 3.60 3.53 3.60 0.18 4.70 4.77 4.70 4.77 1XXX.00.00.0000000P0 38.2581 4 78584TCLung V/Q image single breath A 0.00 3.18 3.21 3.18 3.21 0.14 3.32 3.35 3.32 3.35 1XXX.00.00.0000000P0 38.2581 4 7858426Lung V/Q image single breath A 0.99 0.35 0.39 0.35 0.39 0.04 1.38 1.42 1.38 1.42 1XXX.00.00.0000000P0 38.2581 4 78585 Lung V/Q imaging A 1.09 5.98 6.07 5.98 6.07 0.30 7.37 7.46 7.37 7.46 1XXX.00.00.0000000P0 38.2581 4 78585TCLung V/Q imaging A 0.00 5.59 5.65 5.59 5.65 0.25 5.84 5.90 5.84 5.90 1XXX.00.00.0000000P0 38.2581 4 7858526Lung V/Q imaging A 1.09 0.39 0.42 0.39 0.42 0.05 1.53 1.56 1.53 1.56 1XXX.00.00.0000000P0 38.2581 4 78586 Aerosol lung image, single A 0.40 2.71 2.76 2.71 2.76 0.14 3.25 3.30 3.25 3.30 1XXX.00.00.0000000P0 38.2581 4 78586TCAerosol lung image, single A 0.00 2.57 2.60 2.57 2.60 0.12 2.69 2.72 2.69 2.72 1XXX.00.00.0000000P0 38.2581 4 7858626Aerosol lung image, single A 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 1XXX.00.00.0000000P0 38.2581 4 78587 Aerosol lung image, multiple A 0.49 2.97 3.02 2.97 3.02 0.14 3.60 3.65 3.60 3.65 1XXX.00.00.0000000P0 38.2581 4 78587TCAerosol lung image, multiple A 0.00 2.79 2.82 2.79 2.82 0.12 2.91 2.94 2.91 2.94 1XXX.00.00.0000000P0 38.2581 4 7858726Aerosol lung image, multiple A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78588 Perfusion lung image A 1.09 3.58 3.58 3.58 3.58 0.20 4.87 4.87 4.87 4.87 1XXX.00.00.0000000P0 38.2581 5 78588TCPerfusion lung image A 0.00 3.18 3.18 3.18 3.18 0.15 3.33 3.33 3.33 3.33 1XXX.00.00.0000000P0 38.2581 5 7858826Perfusion lung image A 1.09 0.40 0.40 0.40 0.40 0.05 1.54 1.54 1.54 1.54 1XXX.00.00.0000000P0 38.2581 5 78591 Vent image, 1 breath, 1 proj A 0.40 2.97 3.02 2.97 3.02 0.14 3.51 3.56 3.51 3.56 1XXX.00.00.0000000P0 38.2581 4 78591TCVent image, 1 breath, 1 proj A 0.00 2.83 2.86 2.83 2.86 0.12 2.95 2.98 2.95 2.98 1XXX.00.00.0000000P0 38.2581 4 7859126Vent image, 1 breath, 1 proj A 0.40 0.14 0.16 0.14 0.16 0.02 0.56 0.58 0.56 0.58 1XXX.00.00.0000000P0 38.2581 4 78593 Vent image, 1 proj, gas A 0.49 3.61 3.67 3.61 3.67 0.17 4.27 4.33 4.27 4.33 1XXX.00.00.0000000P0 38.2581 4 78593TCVent image, 1 proj, gas A 0.00 3.43 3.47 3.43 3.47 0.15 3.58 3.62 3.58 3.62 1XXX.00.00.0000000P0 38.2581 4 7859326Vent image, 1 proj, gas A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78594 Vent image, mult proj, gas A 0.53 5.14 5.21 5.14 5.21 0.23 5.90 5.97 5.90 5.97 1XXX.00.00.0000000P0 38.2581 4 78594TCVent image, mult proj, gas A 0.00 4.95 5.00 4.95 5.00 0.21 5.16 5.21 5.16 5.21 1XXX.00.00.0000000P0 38.2581 4 7859426Vent image, mult proj, gas A 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 4 78596 Lung differential function A 1.27 7.47 7.59 7.47 7.59 0.36 9.10 9.22 9.10 9.22 1XXX.00.00.0000000P0 38.2581 4 78596TCLung differential function A 0.00 7.01 7.09 7.01 7.09 0.31 7.32 7.40 7.32 7.40 1XXX.00.00.0000000P0 38.2581 4 7859626Lung differential function A 1.27 0.46 0.50 0.46 0.50 0.05 1.78 1.82 1.78 1.82 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78600 Brain imaging, ltd static A 0.44 3.02 3.07 3.02 3.07 0.14 3.60 3.65 3.60 3.65 1XXX.00.00.0000000P0 38.2581 4 78600TCBrain imaging, ltd static A 0.00 2.86 2.89 2.86 2.89 0.12 2.98 3.01 2.98 3.01 1XXX.00.00.0000000P0 38.2581 4 7860026Brain imaging, ltd static A 0.44 0.16 0.18 0.16 0.18 0.02 0.62 0.64 0.62 0.64 1XXX.00.00.0000000P0 38.2581 4 78601 Brain imaging, ltd w/ flow A 0.51 3.57 3.63 3.57 3.63 0.17 4.25 4.31 4.25 4.31 1XXX.00.00.0000000P0 38.2581 4 78601TCBrain imaging, ltd w/ flow A 0.00 3.38 3.42 3.38 3.42 0.15 3.53 3.57 3.53 3.57 1XXX.00.00.0000000P0 38.2581 4 7860126Brain imaging, ltd w/ flow A 0.51 0.19 0.21 0.19 0.21 0.02 0.72 0.74 0.72 0.74 1XXX.00.00.0000000P0 38.2581 4 78605 Brain imaging, complete A 0.53 3.58 3.64 3.58 3.64 0.17 4.28 4.34 4.28 4.34 1XXX.00.00.0000000P0 38.2581 4 78605TCBrain imaging, complete A 0.00 3.38 3.42 3.38 3.42 0.15 3.53 3.57 3.53 3.57 1XXX.00.00.0000000P0 38.2581 4 7860526Brain imaging, complete A 0.53 0.20 0.22 0.20 0.22 0.02 0.75 0.77 0.75 0.77 1XXX.00.00.0000000P0 38.2581 4 78606 Brain imaging, compl w/flow A 0.64 4.07 4.13 4.07 4.13 0.20 4.91 4.97 4.91 4.97 1XXX.00.00.0000000P0 38.2581 4 78606TCBrain imaging, compl w/flow A 0.00 3.84 3.88 3.84 3.88 0.17 4.01 4.05 4.01 4.05 1XXX.00.00.0000000P0 38.2581 4 7860626Brain imaging, compl w/flow A 0.64 0.23 0.25 0.23 0.25 0.03 0.90 0.92 0.90 0.92 1XXX.00.00.0000000P0 38.2581 4 78607 Brain imaging (3D) A 1.23 6.96 7.06 6.96 7.06 0.34 8.53 8.63 8.53 8.63 1XXX.00.00.0000000P0 38.2581 4 78607TCBrain imaging (3D) A 0.00 6.50 6.57 6.50 6.57 0.29 6.79 6.86 6.79 6.86 1XXX.00.00.0000000P0 38.2581 4 7860726Brain imaging (3D) A 1.23 0.46 0.49 0.46 0.49 0.05 1.74 1.77 1.74 1.77 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 78610 Brain flow imaging only A 0.30 1.68 1.71 1.68 1.71 0.09 2.07 2.10 2.07 2.10 1XXX.00.00.0000000P0 38.2581 4 78610TCBrain flow imaging only A 0.00 1.57 1.59 1.57 1.59 0.08 1.65 1.67 1.65 1.67 1XXX.00.00.0000000P0 38.2581 4 7861026Brain flow imaging only A 0.30 0.11 0.12 0.11 0.12 0.01 0.42 0.43 0.42 0.43 1XXX.00.00.0000000P0 38.2581 4 78615 Cerebral blood flow imaging A 0.42 3.98 4.03 3.98 4.03 0.19 4.59 4.64 4.59 4.64 1XXX.00.00.0000000P0 38.2581 4 78615TCCerebral blood flow imaging A 0.00 3.82 3.86 3.82 3.86 0.17 3.99 4.03 3.99 4.03 1XXX.00.00.0000000P0 38.2581 4 7861526Cerebral blood flow imaging A 0.42 0.16 0.17 0.16 0.17 0.02 0.60 0.61 0.60 0.61 1XXX.00.00.0000000P0 38.2581 4 78630 Cerebrospinal fluid scan A 0.68 5.26 5.33 5.26 5.33 0.25 6.19 6.26 6.19 6.26 1XXX.00.00.0000000P0 38.2581 4 78630TCCerebrospinal fluid scan A 0.00 5.01 5.06 5.01 5.06 0.22 5.23 5.28 5.23 5.28 1XXX.00.00.0000000P0 38.2581 4 7863026Cerebrospinal fluid scan A 0.68 0.25 0.27 0.25 0.27 0.03 0.96 0.98 0.96 0.98 1XXX.00.00.0000000P0 38.2581 4 78635 CSF ventriculography A 0.61 2.78 2.82 2.78 2.82 0.14 3.53 3.57 3.53 3.57 1XXX.00.00.0000000P0 38.2581 4 78635TCCSF ventriculography A 0.00 2.53 2.56 2.53 2.56 0.12 2.65 2.68 2.65 2.68 1XXX.00.00.0000000P0 38.2581 4 7863526CSF ventriculography A 0.61 0.25 0.26 0.25 0.26 0.02 0.88 0.89 0.88 0.89 1XXX.00.00.0000000P0 38.2581 4 78645 CSF shunt evaluation A 0.57 3.62 3.68 3.62 3.68 0.17 4.36 4.42 4.36 4.42 1XXX.00.00.0000000P0 38.2581 4 78645TCCSF shunt evaluation A 0.00 3.41 3.45 3.41 3.45 0.15 3.56 3.60 3.56 3.60 1XXX.00.00.0000000P0 38.2581 4 7864526CSF shunt evaluation A 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 1XXX.00.00.0000000P0 38.2581 4 78647 Cerebrospinal fluid scan A 0.90 6.21 6.29 6.21 6.29 0.29 7.40 7.48 7.40 7.48 1XXX.00.00.0000000P0 38.2581 4 78647TCCerebrospinal fluid scan A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7864726Cerebrospinal fluid scan A 0.90 0.35 0.37 0.35 0.37 0.03 1.28 1.30 1.28 1.30 1XXX.00.00.0000000P0 38.2581 4 78650 CSF leakage imaging A 0.61 4.84 4.91 4.84 4.91 0.22 5.67 5.74 5.67 5.74 1XXX.00.00.0000000P0 38.2581 4 78650TCCSF leakage imaging A 0.00 4.61 4.66 4.61 4.66 0.20 4.81 4.86 4.81 4.86 1XXX.00.00.0000000P0 38.2581 4 7865026CSF leakage imaging A 0.61 0.23 0.25 0.23 0.25 0.02 0.86 0.88 0.86 0.88 1XXX.00.00.0000000P0 38.2581 4 78660 Nuclear exam of tear flow A 0.53 2.29 2.33 2.29 2.33 0.12 2.94 2.98 2.94 2.98 1XXX.00.00.0000000P0 38.2581 4 78660TCNuclear exam of tear flow A 0.00 2.10 2.12 2.10 2.12 0.10 2.20 2.22 2.20 2.22 1XXX.00.00.0000000P0 38.2581 4 7866026Nuclear exam of tear flow A 0.53 0.19 0.21 0.19 0.21 0.02 0.74 0.76 0.74 0.76 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78700 Kidney imaging, static A 0.45 3.19 3.24 3.19 3.24 0.15 3.79 3.84 3.79 3.84 1XXX.00.00.0000000P0 38.2581 4 78700TCKidney imaging, static A 0.00 3.03 3.06 3.03 3.06 0.13 3.16 3.19 3.16 3.19 1XXX.00.00.0000000P0 38.2581 4 7870026Kidney imaging, static A 0.45 0.16 0.18 0.16 0.18 0.02 0.63 0.65 0.63 0.65 1XXX.00.00.0000000P0 38.2581 4 78701 Kidney imaging with flow A 0.49 3.72 3.78 3.72 3.78 0.17 4.38 4.44 4.38 4.44 1XXX.00.00.0000000P0 38.2581 4 78701TCKidney imaging with flow A 0.00 3.54 3.58 3.54 3.58 0.15 3.69 3.73 3.69 3.73 1XXX.00.00.0000000P0 38.2581 4 7870126Kidney imaging with flow A 0.49 0.18 0.20 0.18 0.20 0.02 0.69 0.71 0.69 0.71 1XXX.00.00.0000000P0 38.2581 4 78704 Imaging renogram A 0.74 4.20 4.27 4.20 4.27 0.20 5.14 5.21 5.14 5.21 1XXX.00.00.0000000P0 38.2581 4 78704TCImaging renogram A 0.00 3.93 3.97 3.93 3.97 0.17 4.10 4.14 4.10 4.14 1XXX.00.00.0000000P0 38.2581 4 7870426Imaging renogram A 0.74 0.27 0.30 0.27 0.30 0.03 1.04 1.07 1.04 1.07 1XXX.00.00.0000000P0 38.2581 4 78707 Kidney flow/function image A 0.96 4.79 4.87 4.79 4.87 0.23 5.98 6.06 5.98 6.06 1XXX.00.00.0000000P0 38.2581 4 78707TCKidney flow/function image A 0.00 4.44 4.49 4.44 4.49 0.19 4.63 4.68 4.63 4.68 1XXX.00.00.0000000P0 38.2581 4 7870726Kidney flow/function image A 0.96 0.35 0.38 0.35 0.38 0.04 1.35 1.38 1.35 1.38 1XXX.00.00.0000000P0 38.2581 4 78708 Kidney flow/function image A 1.21 4.88 4.94 4.88 4.94 0.24 6.33 6.39 6.33 6.39 1XXX.00.00.0000000P0 38.2581 4 78708TCKidney flow/function image A 0.00 4.44 4.49 4.44 4.49 0.19 4.63 4.68 4.63 4.68 1XXX.00.00.0000000P0 38.2581 4 7870826Kidney flow/function image A 1.21 0.44 0.45 0.44 0.45 0.05 1.70 1.71 1.70 1.71 1XXX.00.00.0000000P0 38.2581 4 78709 Kidney flow/function image A 1.41 4.95 4.99 4.95 4.99 0.25 6.61 6.65 6.61 6.65 1XXX.00.00.0000000P0 38.2581 4 78709TCKidney flow/function image A 0.00 4.44 4.49 4.44 4.49 0.19 4.63 4.68 4.63 4.68 1XXX.00.00.0000000P0 38.2581 4 7870926Kidney flow/function image A 1.41 0.51 0.50 0.51 0.50 0.06 1.98 1.97 1.98 1.97 1XXX.00.00.0000000P0 38.2581 4 78710 Kidney imaging (3D) A 0.66 6.10 6.18 6.10 6.18 0.29 7.05 7.13 7.05 7.13 1XXX.00.00.0000000P0 38.2581 4 78710TCKidney imaging (3D) A 0.00 5.86 5.92 5.86 5.92 0.26 6.12 6.18 6.12 6.18 1XXX.00.00.0000000P0 38.2581 4 7871026Kidney imaging (3D) A 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 1XXX.00.00.0000000P0 38.2581 4 78715 Renal vascular flow exam A 0.30 1.69 1.72 1.69 1.72 0.09 2.08 2.11 2.08 2.11 1XXX.00.00.0000000P0 38.2581 4 78715TCRenal vascular flow exam A 0.00 1.57 1.59 1.57 1.59 0.08 1.65 1.67 1.65 1.67 1XXX.00.00.0000000P0 38.2581 4 7871526Renal vascular flow exam A 0.30 0.12 0.13 0.12 0.13 0.01 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 4 78725 Kidney function study A 0.38 1.91 1.94 1.91 1.94 0.10 2.39 2.42 2.39 2.42 1XXX.00.00.0000000P0 38.2581 4 78725TCKidney function study A 0.00 1.77 1.79 1.77 1.79 0.09 1.86 1.88 1.86 1.88 1XXX.00.00.0000000P0 38.2581 4 7872526Kidney function study A 0.38 0.14 0.15 0.14 0.15 0.01 0.53 0.54 0.53 0.54 1XXX.00.00.0000000P0 38.2581 4 78730 Urinary bladder retention A 0.36 1.58 1.61 1.58 1.61 0.09 2.03 2.06 2.03 2.06 1XXX.00.00.0000000P0 38.2581 4 78730TCUrinary bladder retention A 0.00 1.45 1.47 1.45 1.47 0.07 1.52 1.54 1.52 1.54 1XXX.00.00.0000000P0 38.2581 4 7873026Urinary bladder retention A 0.36 0.13 0.14 0.13 0.14 0.02 0.51 0.52 0.51 0.52 1XXX.00.00.0000000P0 38.2581 4 78740 Ureteral reflux study A 0.57 2.30 2.34 2.30 2.34 0.12 2.99 3.03 2.99 3.03 1XXX.00.00.0000000P0 38.2581 4 78740TCUreteral reflux study A 0.00 2.10 2.12 2.10 2.12 0.10 2.20 2.22 2.20 2.22 1XXX.00.00.0000000P0 38.2581 4 7874026Ureteral reflux study A 0.57 0.20 0.22 0.20 0.22 0.02 0.79 0.81 0.79 0.81 1XXX.00.00.0000000P0 38.2581 4 78760 Testicular imaging A 0.66 2.90 2.95 2.90 2.95 0.15 3.71 3.76 3.71 3.76 1XXX.00.00.0000000P0 38.2581 4 78760TCTesticular imaging A 0.00 2.66 2.69 2.66 2.69 0.12 2.78 2.81 2.78 2.81 1XXX.00.00.0000000P0 38.2581 4 7876026Testicular imaging A 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 1XXX.00.00.0000000P0 38.2581 4 78761 Testicular imaging/flow A 0.71 3.44 3.50 3.44 3.50 0.17 4.32 4.38 4.32 4.38 1XXX.00.00.0000000P0 38.2581 4 78761TCTesticular imaging/flow A 0.00 3.18 3.21 3.18 3.21 0.14 3.32 3.35 3.32 3.35 1XXX.00.00.0000000P0 38.2581 4 7876126Testicular imaging/flow A 0.71 0.26 0.29 0.26 0.29 0.03 1.00 1.03 1.00 1.03 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 78800 Tumor imaging, limited area A 0.66 3.62 3.68 3.62 3.68 0.18 4.46 4.52 4.46 4.52 1XXX.00.00.0000000P0 38.2581 4 78800TCTumor imaging, limited area A 0.00 3.38 3.42 3.38 3.42 0.15 3.53 3.57 3.53 3.57 1XXX.00.00.0000000P0 38.2581 4 7880026Tumor imaging, limited area A 0.66 0.24 0.26 0.24 0.26 0.03 0.93 0.95 0.93 0.95 1XXX.00.00.0000000P0 38.2581 4 78801 Tumor imaging, mult areas A 0.79 4.49 4.56 4.49 4.56 0.21 5.49 5.56 5.49 5.56 1XXX.00.00.0000000P0 38.2581 4 78801TCTumor imaging, mult areas A 0.00 4.20 4.24 4.20 4.24 0.18 4.38 4.42 4.38 4.42 1XXX.00.00.0000000P0 38.2581 4 7880126Tumor imaging, mult areas A 0.79 0.29 0.32 0.29 0.32 0.03 1.11 1.14 1.11 1.14 1XXX.00.00.0000000P0 38.2581 4 78802 Tumor imaging, whole body A 0.86 5.81 5.90 5.81 5.90 0.28 6.95 7.04 6.95 7.04 1XXX.00.00.0020000P0 38.2581 4 78802TCTumor imaging, whole body A 0.00 5.49 5.55 5.49 5.55 0.25 5.74 5.80 5.74 5.80 1XXX.00.00.0020000P0 38.2581 4 7880226Tumor imaging, whole body A 0.86 0.32 0.35 0.32 0.35 0.03 1.21 1.24 1.21 1.24 1XXX.00.00.0020000P0 38.2581 4 78803 Tumor imaging (3D) A 1.09 6.91 7.01 6.91 7.01 0.33 8.33 8.43 8.33 8.43 1XXX.00.00.0020000P0 38.2581 4 78803TCTumor imaging (3D) A 0.00 6.50 6.57 6.50 6.57 0.29 6.79 6.86 6.79 6.86 1XXX.00.00.0020000P0 38.2581 4 7880326Tumor imaging (3D) A 1.09 0.41 0.44 0.41 0.44 0.04 1.54 1.57 1.54 1.57 1XXX.00.00.0020000P0 38.2581 4 78805 Abscess imaging, ltd area A 0.73 3.65 3.71 3.65 3.71 0.18 4.56 4.62 4.56 4.62 1XXX.00.00.0000000P0 38.2581 4 78805TCAbscess imaging, ltd area A 0.00 3.38 3.42 3.38 3.42 0.15 3.53 3.57 3.53 3.57 1XXX.00.00.0000000P0 38.2581 4 7880526Abscess imaging, ltd area A 0.73 0.27 0.29 0.27 0.29 0.03 1.03 1.05 1.03 1.05 1XXX.00.00.0000000P0 38.2581 4 78806 Abscess imaging, whole body A 0.86 6.70 6.79 6.70 6.79 0.32 7.88 7.97 7.88 7.97 1XXX.00.00.0020000P0 38.2581 4 78806TCAbscess imaging, whole body A 0.00 6.38 6.45 6.38 6.45 0.29 6.67 6.74 6.67 6.74 1XXX.00.00.0020000P0 38.2581 4 7880626Abscess imaging, whole body A 0.86 0.32 0.34 0.32 0.34 0.03 1.21 1.23 1.21 1.23 1XXX.00.00.0020000P0 38.2581 4 78807 Nuclear localization/abscess A 1.09 6.92 7.02 6.92 7.02 0.33 8.34 8.44 8.34 8.44 1XXX.00.00.0020000P0 38.2581 4 78807TCNuclear localization/abscess A 0.00 6.50 6.57 6.50 6.57 0.29 6.79 6.86 6.79 6.86 1XXX.00.00.0020000P0 38.2581 4 7880726Nuclear localization/abscess A 1.09 0.42 0.45 0.42 0.45 0.04 1.55 1.58 1.55 1.58 1XXX.00.00.0020000P0 38.2581 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 1XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0099999P9 38.2581 9 7881026Tumor imaging (PET) N+ 1.93 0.77 0.95 0.77 0.95 0.09 2.79 2.97 2.79 2.97 1XXX.00.00.0099999P9 38.2581 9 78890 Nuclear medicine data proc B+ 0.05 1.32 1.33 1.32 1.33 0.06 1.43 1.44 1.43 1.44 1XXX.00.00.0099999P9 38.2581 9 78890TCNuclear medicine data proc B+ 0.00 1.30 1.31 1.30 1.31 0.05 1.35 1.36 1.35 1.36 1XXX.00.00.0099999P9 38.2581 9 7889026Nuclear medicine data proc B+ 0.05 0.02 0.02 0.02 0.02 0.01 0.08 0.08 0.08 0.08 1XXX.00.00.0099999P9 38.2581 9 78891 Nuclear med data proc B+ 0.10 2.64 2.67 2.64 2.67 0.12 2.86 2.89 2.86 2.89 1XXX.00.00.0099999P9 38.2581 9 78891TCNuclear med data proc B+ 0.00 2.60 2.63 2.60 2.63 0.11 2.71 2.74 2.71 2.74 1XXX.00.00.0099999P9 38.2581 9 7889126Nuclear med data proc B+ 0.10 0.04 0.04 0.04 0.04 0.01 0.15 0.15 0.15 0.15 1XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 79000 Init hyperthyroid therapy A 1.80 3.25 3.34 3.25 3.34 0.19 5.24 5.33 5.24 5.33 1XXX.00.00.0000000P0 38.2581 4 79000TCInit hyperthyroid therapy A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7900026Init hyperthyroid therapy A 1.80 0.65 0.71 0.65 0.71 0.07 2.52 2.58 2.52 2.58 1XXX.00.00.0000000P0 38.2581 4 79001 Repeat hyperthyroid therapy A 1.05 1.68 1.72 1.68 1.72 0.10 2.83 2.87 2.83 2.87 1XXX.00.00.0000000P0 38.2581 4 79001TCRepeat hyperthyroid therapy A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 7900126Repeat hyperthyroid therapy A 1.05 0.38 0.41 0.38 0.41 0.04 1.47 1.50 1.47 1.50 1XXX.00.00.0000000P0 38.2581 4 79020 Thyroid ablation A 1.81 3.24 3.33 3.24 3.33 0.19 5.24 5.33 5.24 5.33 1XXX.00.00.0000000P0 38.2581 4 79020TCThyroid ablation A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7902026Thyroid ablation A 1.81 0.64 0.70 0.64 0.70 0.07 2.52 2.58 2.52 2.58 1XXX.00.00.0000000P0 38.2581 4 79030 Thyroid ablation, carcinoma A 2.10 3.37 3.46 3.37 3.46 0.20 5.67 5.76 5.67 5.76 1XXX.00.00.0000000P0 38.2581 4 79030TCThyroid ablation, carcinoma A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7903026Thyroid ablation, carcinoma A 2.10 0.77 0.83 0.77 0.83 0.08 2.95 3.01 2.95 3.01 1XXX.00.00.0000000P0 38.2581 4 79035 Thyroid metastatic therapy A 2.52 3.54 3.64 3.54 3.64 0.21 6.27 6.37 6.27 6.37 1XXX.00.00.0000000P0 38.2581 4 79035TCThyroid metastatic therapy A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7903526Thyroid metastatic therapy A 2.52 0.94 1.01 0.94 1.01 0.09 3.55 3.62 3.55 3.62 1XXX.00.00.0000000P0 38.2581 4 79100 Hematopoetic nuclear therapy A 1.32 3.09 3.16 3.09 3.16 0.17 4.58 4.65 4.58 4.65 1XXX.00.00.0000000P0 38.2581 4 79100TCHematopoetic nuclear therapy A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7910026Hematopoetic nuclear therapy A 1.32 0.49 0.53 0.49 0.53 0.05 1.86 1.90 1.86 1.90 1XXX.00.00.0000000P0 38.2581 4 79200 Intracavitary nuclear trmt A 1.99 3.35 3.44 3.35 3.44 0.19 5.53 5.62 5.53 5.62 1XXX.00.00.0000000P0 38.2581 4 79200TCIntracavitary nuclear trmt A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7920026Intracavitary nuclear trmt A 1.99 0.75 0.81 0.75 0.81 0.07 2.81 2.87 2.81 2.87 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 7930026Interstitial nuclear therapy A 1.60 0.58 0.63 0.58 0.63 0.07 2.25 2.30 2.25 2.30 1XXX.00.00.0000000P0 38.2581 4 79400 Nonhemato nuclear therapy A 1.96 3.33 3.41 3.33 3.41 0.20 5.49 5.57 5.49 5.57 1XXX.00.00.0000000P0 38.2581 4 79400TCNonhemato nuclear therapy A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7940026Nonhemato nuclear therapy A 1.96 0.73 0.78 0.73 0.78 0.08 2.77 2.82 2.77 2.82 1XXX.00.00.0000000P0 38.2581 4 79420 Intravascular nuclear ther C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 79420TCIntravascular nuclear ther C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 7942026Intravascular nuclear ther A 1.51 0.54 0.59 0.54 0.59 0.06 2.11 2.16 2.11 2.16 1XXX.00.00.0000000P0 38.2581 4 79440 Nuclear joint therapy A 1.99 3.40 3.47 3.40 3.47 0.20 5.59 5.66 5.59 5.66 1XXX.00.00.0000000P0 38.2581 4 79440TCNuclear joint therapy A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 1XXX.00.00.0000000P0 38.2581 4 7944026Nuclear joint therapy A 1.99 0.80 0.84 0.80 0.84 0.08 2.87 2.91 2.87 2.91 1XXX.00.00.0000000P0 38.2581 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 3XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 80048 Basic metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80053 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80069 Renal function panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80074 Acute hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 80076 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80100 Drug screen, qualitate/multi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80101 Drug screen, single X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80156 Assay, carbamazepine, total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80157 Assay, carbamazepine, free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80162 Assay of digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80170 Assay of gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80172 Assay of gold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80173 Assay of haloperidol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80176 Assay of lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80178 Assay of lithium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80182 Assay of nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80184 Assay of phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80185 Assay of phenytoin, total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80186 Assay of phenytoin, free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80188 Assay of primidone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80190 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80192 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80194 Assay of quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80196 Assay of salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80197 Assay of tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80198 Assay of theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80200 Assay of tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80201 Assay of topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 80202 Assay of vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 80500 Lab pathology consultation A 0.37 0.18 0.19 0.16 0.18 0.01 0.56 0.57 0.54 0.56 0XXX.00.00.0000000P0 38.2581 4 80502 Lab pathology consultation A 1.33 0.63 0.56 0.58 0.53 0.05 2.01 1.94 1.96 1.91 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82000 Assay of blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82003 Assay of acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82024 Assay of acth X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82030 Assay of adp & amp X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82040 Assay of serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82042 Assay of urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82055 Assay of ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82075 Assay of breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82088 Assay of aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82108 Assay of aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82120 Amines, vaginal fluid qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82136 Amino acids, quant, 2-5 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82139 Amino acids, quan, 6 or more X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82160 Assay of androsterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82172 Assay of apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82232 Assay of beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82251 Assay of bilirubin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82261 Assay of biotinidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82270 Test for blood, feces X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82300 Assay of cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82310 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82330 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82340 Assay of calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82370 X-ray assay, calculus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82373 Assay, c-d transfer measure X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82379 Assay of carnitine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82380 Assay of carotene X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82387 Assay of cathepsin-d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82390 Assay of ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82415 Assay of chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82435 Assay of blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82436 Assay of urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82465 Assay, bld/serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82491 Chromotography, quant, sing X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82495 Assay of chromium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82507 Assay of citrate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82520 Assay of cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82525 Assay of copper X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82528 Assay of corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82540 Assay of creatine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82544 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82550 Assay of ck (cpk) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82552 Assay of cpk in blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82565 Assay of creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82570 Assay of urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82585 Assay of cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82595 Assay of cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82600 Assay of cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82638 Assay of dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82651 Assay of dihydrotestosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82652 Assay of dihydroxyvitamin d X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82666 Assay of epiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82668 Assay of erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82670 Assay of estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82671 Assay of estrogens X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82672 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82677 Assay of estriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82679 Assay of estrone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82690 Assay of ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82693 Assay of ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82696 Assay of etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82705 Fats/lipids, feces, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82710 Fats/lipids, feces, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82715 Assay of fecal fat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82725 Assay of blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82728 Assay of ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82731 Assay of fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82735 Assay of fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82747 Assay of folic acid, rbc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82757 Assay of semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82759 Assay of rbc galactokinase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82760 Assay of galactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82784 Assay of gammaglobulin igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82785 Assay of gammaglobulin ige X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82787 Igg 1, 2, 3 or 4, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82926 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82928 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82945 Glucose other fluid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82947 Assay, glucose, blood quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82955 Assay of g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82963 Assay of glucosidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82965 Assay of gdh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82975 Assay of glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 82978 Assay of glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 82979 Assay, rbc glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83008 Assay of guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83010 Assay of haptoglobin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83012 Assay of haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83013 H pylori analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8302026Hemoglobin electrophoresis A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83030 Fetal hemoglobin, chemical X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83033 Fetal hemoglobin assay, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83051 Assay of plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83065 Assay of hemoglobin heat X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83069 Assay of urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83070 Assay of hemosiderin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83071 Assay of hemosiderin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83080 Assay of b hexosaminidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83088 Assay of histamine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83090 Assay of homocystine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 83150 Assay of for hva X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83497 Assay of 5-hiaa X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83516 Immunoassay, nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83528 Assay of intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83540 Assay of iron X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83570 Assay of idh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83582 Assay of ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83586 Assay 17- ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83605 Assay of lactic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83625 Assay of ldh enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83634 Assay of urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83655 Assay of lead X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83661 L/s ratio, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83662 Foam stability, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83663 Fluoro polarize, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 83664 Lamellar bdy, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 83670 Assay of lap enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83690 Assay of lipase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83715 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83716 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83718 Assay of lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83719 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83721 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83727 Assay of lrh hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83735 Assay of magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83825 Assay of mercury X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83835 Assay of metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83840 Assay of methadone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83857 Assay of methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83858 Assay of methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83873 Assay of csf protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83874 Assay of myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83883 Assay, nephelometry not spec X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83885 Assay of nickel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83887 Assay of nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83898 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83901 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8391226Genetic examination A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 4 83915 Assay of nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83918 Organic acids, total, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83919 Organic acids, qual, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83921 Organic acid, single, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 83925 Assay of opiates X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83930 Assay of blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83935 Assay of urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83937 Assay of osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 83945 Assay of oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 83986 Assay of body fluid acidity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84030 Assay of blood pku X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84035 Assay of phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84085 Assay of rbc pg6d enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84100 Assay of phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84105 Assay of urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84110 Assay of porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84120 Assay of urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84126 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84127 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84132 Assay of serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84133 Assay of urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84134 Assay of prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84135 Assay of pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84138 Assay of pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84140 Assay of pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84143 Assay of 17-hydroxypregneno X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84144 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84146 Assay of prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84152 Assay of psa, complexed X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 84153 Assay of psa, total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84154 Assay of psa, free X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84155 Assay of protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84160 Assay of serum protein X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84165 Assay of serum proteins X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 8416526Assay of serum proteins A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8418126Western blot test A 0.37 0.14 0.16 0.14 0.16 0.01 0.52 0.54 0.52 0.54 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8418226Protein, western blot test A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84207 Assay of vitamin b-6 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84210 Assay of pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84220 Assay of pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84228 Assay of quinine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84233 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84234 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84235 Assay of endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84238 Assay, nonendocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84252 Assay of vitamin b-2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84255 Assay of selenium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84260 Assay of serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84270 Assay of sex hormone globul X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84275 Assay of sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84285 Assay of silica X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84295 Assay of serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84300 Assay of urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84305 Assay of somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84307 Assay of somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84392 Assay of urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84402 Assay of testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84403 Assay of total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84425 Assay of vitamin b-1 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84430 Assay of thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84432 Assay of thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84436 Assay of total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84437 Assay of neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84439 Assay of free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84442 Assay of thyroid activity X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84445 Assay of tsi X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84446 Assay of vitamin e X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84449 Assay of transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84466 Assay of transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84478 Assay of triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84479 Assay of thyroid (t3 or t4) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84480 Assay, triiodothyronine (t3) X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84484 Assay of troponin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84490 Assay of feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84510 Assay of tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84512 Assay of troponin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84520 Assay of urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84540 Assay of urine/urea-n X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84550 Assay of blood/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84560 Assay of urine/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84577 Assay of feces/urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84580 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84583 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84585 Assay of urine vma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84586 Assay of vip X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84588 Assay of vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84590 Assay of vitamin a X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84591 Assay of nos vitamin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 84597 Assay of vitamin k X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84600 Assay of volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 84630 Assay of zinc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 84681 Assay of c-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85013 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85031 Manual hemogram, cbc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85060 Blood smear interpretation A 0.45 0.19 0.20 0.19 0.20 0.02 0.66 0.67 0.66 0.67 8XXX.00.00.0000000P0 38.2581 4 85095 Bone marrow aspiration A 1.08 4.47 3.54 0.43 0.51 0.03 5.58 4.65 1.54 1.62 0XXX.00.00.0000000P1A4550 38.2581 4 85097 Bone marrow interpretation A 0.94 1.80 1.48 0.40 0.43 0.03 2.77 2.45 1.37 1.40 0XXX.00.00.0000000P0 38.2581 4 85102 Bone marrow biopsy A 1.37 4.59 3.66 0.55 0.63 0.04 6.00 5.07 1.96 2.04 0XXX.00.00.0000000P1A4550 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85307 Assay activated protein c X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8539026Fibrinolysins screen A 0.37 0.13 0.15 0.13 0.15 0.01 0.51 0.53 0.51 0.53 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85525 Heparin X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85536 Iron stain peripheral blood X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8557626Blood platelet aggregation A 0.37 0.16 0.18 0.15 0.17 0.01 0.54 0.56 0.53 0.55 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85590 Platelet count, manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 85651 Rbc sed rate, nonautomated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 85652 Rbc sed rate, automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86001 Allergen specific igg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86077 Physician blood bank service A 0.94 0.48 0.44 0.40 0.38 0.03 1.45 1.41 1.37 1.35 0XXX.00.00.0000000P0 38.2581 4 86078 Physician blood bank service A 0.94 0.50 0.47 0.40 0.39 0.03 1.47 1.44 1.37 1.36 0XXX.00.00.0000000P0 38.2581 4 86079 Physician blood bank service A 0.94 0.50 0.47 0.41 0.40 0.03 1.47 1.44 1.38 1.37 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86146 Glycoprotein antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8625526Fluorescent antibody, screen A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8625626Fluorescent antibody, titer A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86294 Immunoassay, tumor qual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 86300 Immunoassay, tumor ca 15-3 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 86301 Immunoassay, tumor, ca 19-9 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 86304 Immunoassay, tumor ca 125 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86316 Immunoassay, tumor other X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8632026Serum immunoelectrophoresis A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8632526Other immunoelectrophoresis A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8632726Immunoelectrophoresis assay A 0.42 0.18 0.19 0.18 0.19 0.01 0.61 0.62 0.61 0.62 6XXX.00.00.0000000P0 38.2581 4 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8633426Immunofixation procedure A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 3XXX.00.00.0000000P0 38.2581 9 86490 Coccidioidomycosis skin test A 0.00 0.29 0.29 0.29 0.29 0.02 0.31 0.31 0.31 0.31 3XXX.00.00.0000000P0 38.2581 4 86510 Histoplasmosis skin test A 0.00 0.32 0.32 0.32 0.32 0.02 0.34 0.34 0.34 0.34 3XXX.00.00.0000000P0 38.2581 4 86580 TB intradermal test A 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 3XXX.00.00.0000000P0 38.2581 4 86585 TB tine test A 0.00 0.20 0.20 0.20 0.20 0.01 0.21 0.21 0.21 0.21 3XXX.00.00.0000000P0 38.2581 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 3XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86611 Bartonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86666 Ehrlichia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86674 Giardia lamblia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86683 Hemoglobin, fecal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86687 Htlv-i antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86688 Htlv-ii antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86696 Herpes simplex type 2 X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86704 Hep b core antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86705 Hep b core antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86706 Hep b surface antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86707 Hep be antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86708 Hep a antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86709 Hep a antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86710 Influenza virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86713 Legionella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86717 Leishmania antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86720 Leptospira antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86723 Listeria monocytogenes ab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86727 Lymph choriomeningitis ab X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86729 Lympho venereum antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86732 Mucormycosis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86735 Mumps antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86738 Mycoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86744 Nocardia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86747 Parvovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86750 Malaria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86753 Protozoa antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86756 Respiratory virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86757 Rickettsia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 86759 Rotavirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86762 Rubella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86765 Rubeola antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86768 Salmonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86771 Shigella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86774 Tetanus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86777 Toxoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86778 Toxoplasma antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86784 Trichinella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86787 Varicella-zoster antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86790 Virus antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 86793 Yersinia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 86915 Bone marrow/stem cell prep X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87045 Stool culture, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87046 Stool cultr, bacteria, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87060 Nose/throat culture, bact D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87070 Culture, bacteria, other X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87071 Culture bacteri aerobic othr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87072 Culture of specimen by kit D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87073 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87075 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87076 Culture anaerobe ident, each X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87077 Culture aerobic identify X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87081 Culture screen only X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87082 Culture of specimen by kit D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87083 Culture of specimen by kit D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87085 Culture of specimen by kit D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87087 Urine bacteria culture D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87101 Skin fungi culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87106 Fungi identification, yeast X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87107 Fungi identification, mold X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87109 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87110 Chlamydia culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87117 Mycobacteria culture D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87118 Mycobacteric identification X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87140 Cultur type immunofluoresc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87143 Culture typing, glc/hplc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87145 Culture typing, phage method D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87147 Culture type, immunologic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87149 Culture type, nucleic acid X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87151 Culture typing, serologic D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87152 Culture type pulse field gel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87155 Culture typing, precipitin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87163 Special microbiology culture D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8716426Dark field examination A 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87168 Macroscopic exam arthropod X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87169 Macacroscopic exam parasite X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87172 Pinworm exam X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87174 Endotoxin, bacterial D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87175 Assay, endotoxin, bacterial D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87176 Tissue homogenization, cultr X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87181 Microbe susceptible, diffuse X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87184 Microbe susceptible, disk X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87185 Microbe susceptible, enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87186 Microbe susceptible, mic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87187 Microbe susceptible, mlc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87188 Microbe suscept, macrobroth X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87190 Microbe suscept, mycobacteri X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87192 Antibiotic sensitivity, each D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87205 Smear, gram stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87206 Smear, fluorescent/acid stai X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87207 Smear, special stain X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 8720726Smear, special stain A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 4 87208 Smear, stain & interpret D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87210 Smear, wet mount, saline/ink X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87211 Smear, stain & interpret D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87250 Virus inoculate, eggs/animal X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87252 Virus inoculation, tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87253 Virus inoculate tissue, addl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87254 Virus inoculation, shell via X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87260 Adenovirus ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87265 Pertussis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87270 Chlamydia trachomatis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87272 Cryptosporidum/gardia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87273 Herpes simplex 2, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87274 Herpes simplex 1, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87275 Influenza b, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87276 Influenza a, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87277 Legionella micdadei, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87278 Legion pneumophilia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87279 Parainfluenza, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87280 Respiratory syncytial ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87281 Pneumocystis carinii, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87283 Rubeola, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87285 Treponema pallidum, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87290 Varicella zoster, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87299 Antibody detection, nos, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 87300 Ag detection, polyval, if X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87327 Cryptococcus neoform ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87336 Entamoeb hist dispr, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87337 Entamoeb hist group, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87338 Hpylori, stool, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87339 Hpylori ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87341 Hepatitis b surface, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87350 Hepatitis be ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87400 Influenza a/b, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87427 Shiga-like toxin ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87451 Ag detect polyval, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87800 Detect agnt mult, dna, direc X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87801 Detect agnt mult, dna, ampli X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 87901 Genotype, dna, hiv reverse t X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87903 Phenotype, dna hiv w/culture X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 87904 Phenotype, dna hiv w/clt add X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 88104 Cytopathology, fluids A 0.56 0.79 0.71 0.79 0.71 0.04 1.39 1.31 1.39 1.31 1XXX.00.00.0000000P0 38.2581 4 88104TCCytopathology, fluids A 0.00 0.55 0.47 0.55 0.47 0.02 0.57 0.49 0.57 0.49 1XXX.00.00.0000000P0 38.2581 4 8810426Cytopathology, fluids A 0.56 0.24 0.24 0.24 0.24 0.02 0.82 0.82 0.82 0.82 1XXX.00.00.0000000P0 38.2581 4 88106 Cytopathology, fluids A 0.56 0.54 0.51 0.54 0.51 0.04 1.14 1.11 1.14 1.11 1XXX.00.00.0000000P0 38.2581 4 88106TCCytopathology, fluids A 0.00 0.30 0.27 0.30 0.27 0.02 0.32 0.29 0.32 0.29 1XXX.00.00.0000000P0 38.2581 4 8810626Cytopathology, fluids A 0.56 0.24 0.24 0.24 0.24 0.02 0.82 0.82 0.82 0.82 1XXX.00.00.0000000P0 38.2581 4 88107 Cytopathology, fluids A 0.76 0.87 0.78 0.87 0.78 0.05 1.68 1.59 1.68 1.59 1XXX.00.00.0000000P0 38.2581 4 88107TCCytopathology, fluids A 0.00 0.54 0.47 0.54 0.47 0.02 0.56 0.49 0.56 0.49 1XXX.00.00.0000000P0 38.2581 4 8810726Cytopathology, fluids A 0.76 0.33 0.31 0.33 0.31 0.03 1.12 1.10 1.12 1.10 1XXX.00.00.0000000P0 38.2581 4 88108 Cytopath, concentrate tech A 0.56 0.70 0.66 0.70 0.66 0.04 1.30 1.26 1.30 1.26 1XXX.00.00.0000000P0 38.2581 4 88108TCCytopath, concentrate tech A 0.00 0.46 0.41 0.46 0.41 0.02 0.48 0.43 0.48 0.43 1XXX.00.00.0000000P0 38.2581 4 8810826Cytopath, concentrate tech A 0.56 0.24 0.25 0.24 0.25 0.02 0.82 0.83 0.82 0.83 1XXX.00.00.0000000P0 38.2581 4 88125 Forensic cytopathology A 0.26 0.32 0.27 0.32 0.27 0.02 0.60 0.55 0.60 0.55 1XXX.00.00.0000000P0 38.2581 4 88125TCForensic cytopathology A 0.00 0.21 0.17 0.21 0.17 0.01 0.22 0.18 0.22 0.18 1XXX.00.00.0000000P0 38.2581 4 8812526Forensic cytopathology A 0.26 0.11 0.10 0.11 0.10 0.01 0.38 0.37 0.38 0.37 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 88141 Cytopath, c/v, interpret A 0.42 0.18 0.22 0.18 0.22 0.01 0.61 0.65 0.61 0.65 2XXX.00.00.0000000P0 38.2581 4 88142 Cytopath, c/v, thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88143 Cytopath c/v thin layer redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88144 Cytopath, c/v thin lyr redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88145 Cytopath, c/v thin lyr sel X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88147 Cytopath, c/v, automated X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88148 Cytopath, c/v, auto rescreen X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88150 Cytopath, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88152 Cytopath, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88153 Cytopath, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88154 Cytopath, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88155 Cytopath, c/v, index add-on X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88160 Cytopath smear, other source A 0.50 0.98 0.82 0.98 0.82 0.04 1.52 1.36 1.52 1.36 1XXX.00.00.0000000P0 38.2581 4 88160TCCytopath smear, other source A 0.00 0.76 0.61 0.76 0.61 0.02 0.78 0.63 0.78 0.63 1XXX.00.00.0000000P0 38.2581 4 8816026Cytopath smear, other source A 0.50 0.22 0.21 0.22 0.21 0.02 0.74 0.73 0.74 0.73 1XXX.00.00.0000000P0 38.2581 4 88161 Cytopath smear, other source A 0.50 0.97 0.83 0.97 0.83 0.04 1.51 1.37 1.51 1.37 1XXX.00.00.0000000P0 38.2581 4 88161TCCytopath smear, other source A 0.00 0.76 0.62 0.76 0.62 0.02 0.78 0.64 0.78 0.64 1XXX.00.00.0000000P0 38.2581 4 8816126Cytopath smear, other source A 0.50 0.21 0.21 0.21 0.21 0.02 0.73 0.73 0.73 0.73 1XXX.00.00.0000000P0 38.2581 4 88162 Cytopath smear, other source A 0.76 0.84 0.85 0.84 0.85 0.05 1.65 1.66 1.65 1.66 1XXX.00.00.0000000P0 38.2581 4 88162TCCytopath smear, other source A 0.00 0.51 0.49 0.51 0.49 0.02 0.53 0.51 0.53 0.51 1XXX.00.00.0000000P0 38.2581 4 8816226Cytopath smear, other source A 0.76 0.33 0.36 0.33 0.36 0.03 1.12 1.15 1.12 1.15 1XXX.00.00.0000000P0 38.2581 4 88164 Cytopath tbs, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88165 Cytopath tbs, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88166 Cytopath tbs, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88167 Cytopath tbs, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88170 Fine needle aspiration A 1.27 0.86 0.92 0.86 0.92 0.10 2.23 2.29 2.23 2.29 1XXX.00.00.0000000P0 38.2581 4 88170TCFine needle aspiration A 0.00 0.33 0.38 0.33 0.38 0.03 0.36 0.41 0.36 0.41 1XXX.00.00.0000000P0 38.2581 4 8817026Fine needle aspiration A 1.27 0.53 0.54 0.53 0.54 0.07 1.87 1.88 1.87 1.88 1XXX.00.00.0000000P0 38.2581 4 88171 Fine needle aspiration A 1.27 0.72 0.91 0.72 0.91 0.08 2.07 2.26 2.07 2.26 1XXX.00.00.0000000P0 38.2581 4 88171TCFine needle aspiration A 0.00 0.23 0.35 0.23 0.35 0.03 0.26 0.38 0.26 0.38 1XXX.00.00.0000000P0 38.2581 4 8817126Fine needle aspiration A 1.27 0.49 0.56 0.49 0.56 0.05 1.81 1.88 1.81 1.88 1XXX.00.00.0000000P0 38.2581 4 88172 Cytopathology eval of fna A 0.60 1.09 1.01 1.09 1.01 0.04 1.73 1.65 1.73 1.65 1XXX.00.00.0000000P0 38.2581 4 88172TCCytopathology eval of fna A 0.00 0.83 0.72 0.83 0.72 0.02 0.85 0.74 0.85 0.74 1XXX.00.00.0000000P0 38.2581 4 8817226Cytopathology eval of fna A 0.60 0.26 0.29 0.26 0.29 0.02 0.88 0.91 0.88 0.91 1XXX.00.00.0000000P0 38.2581 4 88173 Cytopath eval, fna, report A 1.39 1.31 1.22 1.31 1.22 0.07 2.77 2.68 2.77 2.68 1XXX.00.00.0000000P0 38.2581 4 88173TCCytopath eval, fna, report A 0.00 0.71 0.65 0.71 0.65 0.02 0.73 0.67 0.73 0.67 1XXX.00.00.0000000P0 38.2581 4 8817326Cytopath eval, fna, report A 1.39 0.60 0.57 0.60 0.57 0.05 2.04 2.01 2.04 2.01 1XXX.00.00.0000000P0 38.2581 4 88180 Cell marker study A 0.36 0.65 0.58 0.65 0.58 0.03 1.04 0.97 1.04 0.97 1XXX.00.00.0000000P0 38.2581 4 88180TCCell marker study A 0.00 0.50 0.42 0.50 0.42 0.02 0.52 0.44 0.52 0.44 1XXX.00.00.0000000P0 38.2581 4 8818026Cell marker study A 0.36 0.15 0.16 0.15 0.16 0.01 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 88182 Cell marker study A 0.77 1.69 1.51 1.69 1.51 0.06 2.52 2.34 2.52 2.34 1XXX.00.00.0000000P0 38.2581 4 88182TCCell marker study A 0.00 1.36 1.14 1.36 1.14 0.03 1.39 1.17 1.39 1.17 1XXX.00.00.0000000P0 38.2581 4 8818226Cell marker study A 0.77 0.33 0.37 0.33 0.37 0.03 1.13 1.17 1.13 1.17 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 88267 Chromosome analys, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 88269 Chromosome analys, amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 88291 Cyto/molecular report A 0.52 0.22 0.22 0.22 0.22 0.02 0.76 0.76 0.76 0.76 2XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 88300 Surgical path, gross A 0.08 0.42 0.37 0.42 0.37 0.02 0.52 0.47 0.52 0.47 1XXX.00.00.0000000P0 38.2581 4 88300TCSurgical path, gross A 0.00 0.39 0.32 0.39 0.32 0.01 0.40 0.33 0.40 0.33 1XXX.00.00.0000000P0 38.2581 4 8830026Surgical path, gross A 0.08 0.03 0.05 0.03 0.05 0.01 0.12 0.14 0.12 0.14 1XXX.00.00.0000000P0 38.2581 4 88302 Tissue exam by pathologist A 0.13 1.11 0.94 1.11 0.94 0.03 1.27 1.10 1.27 1.10 1XXX.00.00.0000000P0 38.2581 4 88302TCTissue exam by pathologist A 0.00 1.05 0.85 1.05 0.85 0.02 1.07 0.87 1.07 0.87 1XXX.00.00.0000000P0 38.2581 4 8830226Tissue exam by pathologist A 0.13 0.06 0.09 0.06 0.09 0.01 0.20 0.23 0.20 0.23 1XXX.00.00.0000000P0 38.2581 4 88304 Tissue exam by pathologist A 0.22 0.89 0.82 0.89 0.82 0.03 1.14 1.07 1.14 1.07 1XXX.00.00.0000000P0 38.2581 4 88304TCTissue exam by pathologist A 0.00 0.79 0.68 0.79 0.68 0.02 0.81 0.70 0.81 0.70 1XXX.00.00.0000000P0 38.2581 4 8830426Tissue exam by pathologist A 0.22 0.10 0.14 0.10 0.14 0.01 0.33 0.37 0.33 0.37 1XXX.00.00.0000000P0 38.2581 4 88305 Tissue exam by pathologist A 0.75 1.64 1.51 1.64 1.51 0.05 2.44 2.31 2.44 2.31 1XXX.00.00.0000000P0 38.2581 4 88305TCTissue exam by pathologist A 0.00 1.31 1.12 1.31 1.12 0.03 1.34 1.15 1.34 1.15 1XXX.00.00.0000000P0 38.2581 4 8830526Tissue exam by pathologist A 0.75 0.33 0.39 0.33 0.39 0.02 1.10 1.16 1.10 1.16 1XXX.00.00.0000000P0 38.2581 4 88307 Tissue exam by pathologist A 1.59 2.45 2.25 2.45 2.25 0.11 4.15 3.95 4.15 3.95 1XXX.00.00.0000000P0 38.2581 4 88307TCTissue exam by pathologist A 0.00 1.76 1.52 1.76 1.52 0.05 1.81 1.57 1.81 1.57 1XXX.00.00.0000000P0 38.2581 4 8830726Tissue exam by pathologist A 1.59 0.69 0.73 0.69 0.73 0.06 2.34 2.38 2.34 2.38 1XXX.00.00.0000000P0 38.2581 4 88309 Tissue exam by pathologist A 2.28 3.46 3.12 3.46 3.12 0.13 5.87 5.53 5.87 5.53 1XXX.00.00.0000000P0 38.2581 4 88309TCTissue exam by pathologist A 0.00 2.47 2.11 2.47 2.11 0.05 2.52 2.16 2.52 2.16 1XXX.00.00.0000000P0 38.2581 4 8830926Tissue exam by pathologist A 2.28 0.99 1.01 0.99 1.01 0.08 3.35 3.37 3.35 3.37 1XXX.00.00.0000000P0 38.2581 4 88311 Decalcify tissue A 0.24 0.18 0.20 0.18 0.20 0.02 0.44 0.46 0.44 0.46 1XXX.00.00.0000000P0 38.2581 4 88311TCDecalcify tissue A 0.00 0.08 0.09 0.08 0.09 0.01 0.09 0.10 0.09 0.10 1XXX.00.00.0000000P0 38.2581 4 8831126Decalcify tissue A 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000P0 38.2581 4 88312 Special stains A 0.54 1.59 1.26 1.59 1.26 0.03 2.16 1.83 2.16 1.83 1XXX.00.00.0000000P0 38.2581 4 88312TCSpecial stains A 0.00 1.36 1.05 1.36 1.05 0.01 1.37 1.06 1.37 1.06 1XXX.00.00.0000000P0 38.2581 4 8831226Special stains A 0.54 0.23 0.21 0.23 0.21 0.02 0.79 0.77 0.79 0.77 1XXX.00.00.0000000P0 38.2581 4 88313 Special stains A 0.24 1.10 0.89 1.10 0.89 0.02 1.36 1.15 1.36 1.15 1XXX.00.00.0000000P0 38.2581 4 88313TCSpecial stains A 0.00 1.00 0.78 1.00 0.78 0.01 1.01 0.79 1.01 0.79 1XXX.00.00.0000000P0 38.2581 4 8831326Special stains A 0.24 0.10 0.11 0.10 0.11 0.01 0.35 0.36 0.35 0.36 1XXX.00.00.0000000P0 38.2581 4 88314 Histochemical stain A 0.45 1.04 0.95 1.04 0.95 0.04 1.53 1.44 1.53 1.44 1XXX.00.00.0000000P0 38.2581 4 88314TCHistochemical stain A 0.00 0.85 0.71 0.85 0.71 0.02 0.87 0.73 0.87 0.73 1XXX.00.00.0000000P0 38.2581 4 8831426Histochemical stain A 0.45 0.19 0.24 0.19 0.24 0.02 0.66 0.71 0.66 0.71 1XXX.00.00.0000000P0 38.2581 4 88318 Chemical histochemistry A 0.42 1.72 1.36 1.72 1.36 0.02 2.16 1.80 2.16 1.80 1XXX.00.00.0000000P0 38.2581 4 88318TCChemical histochemistry A 0.00 1.54 1.19 1.54 1.19 0.01 1.55 1.20 1.55 1.20 1XXX.00.00.0000000P0 38.2581 4 8831826Chemical histochemistry A 0.42 0.18 0.17 0.18 0.17 0.01 0.61 0.60 0.61 0.60 1XXX.00.00.0000000P0 38.2581 4 88319 Enzyme histochemistry A 0.53 1.68 1.39 1.68 1.39 0.04 2.25 1.96 2.25 1.96 1XXX.00.00.0000000P0 38.2581 4 88319TCEnzyme histochemistry A 0.00 1.45 1.15 1.45 1.15 0.02 1.47 1.17 1.47 1.17 1XXX.00.00.0000000P0 38.2581 4 8831926Enzyme histochemistry A 0.53 0.23 0.24 0.23 0.24 0.02 0.78 0.79 0.78 0.79 1XXX.00.00.0000000P0 38.2581 4 88321 Microslide consultation A 1.30 0.61 0.57 0.56 0.53 0.04 1.95 1.91 1.90 1.87 0XXX.00.00.0000000P0 38.2581 4 88323 Microslide consultation A 1.35 2.19 1.84 2.19 1.84 0.07 3.61 3.26 3.61 3.26 1XXX.00.00.0000000P0 38.2581 4 88323TCMicroslide consultation A 0.00 1.60 1.29 1.60 1.29 0.02 1.62 1.31 1.62 1.31 1XXX.00.00.0000000P0 38.2581 4 8832326Microslide consultation A 1.35 0.59 0.55 0.59 0.55 0.05 1.99 1.95 1.99 1.95 1XXX.00.00.0000000P0 38.2581 4 88325 Comprehensive review of data A 2.22 0.94 0.83 0.94 0.83 0.08 3.24 3.13 3.24 3.13 0XXX.00.00.0000000P0 38.2581 4 88329 Path consult introp A 0.67 0.39 0.39 0.29 0.32 0.02 1.08 1.08 0.98 1.01 0XXX.00.00.0000000P0 38.2581 4 88331 Path consult intraop, 1 bloc A 1.19 0.81 0.91 0.81 0.91 0.07 2.07 2.17 2.07 2.17 1XXX.00.00.0000000P0 38.2581 4 88331TCPath consult intraop, 1 bloc A 0.00 0.29 0.37 0.29 0.37 0.03 0.32 0.40 0.32 0.40 1XXX.00.00.0000000P0 38.2581 4 8833126Path consult intraop, 1 bloc A 1.19 0.52 0.54 0.52 0.54 0.04 1.75 1.77 1.75 1.77 1XXX.00.00.0000000P0 38.2581 4 88332 Path consult intraop, addl A 0.59 0.44 0.48 0.44 0.48 0.04 1.07 1.11 1.07 1.11 1XXX.00.00.0000000P0 38.2581 4 88332TCPath consult intraop, addl A 0.00 0.18 0.21 0.18 0.21 0.02 0.20 0.23 0.20 0.23 1XXX.00.00.0000000P0 38.2581 4 8833226Path consult intraop, addl A 0.59 0.26 0.27 0.26 0.27 0.02 0.87 0.88 0.87 0.88 1XXX.00.00.0000000P0 38.2581 4 88342 Immunocytochemistry A 0.85 1.31 1.16 1.31 1.16 0.05 2.21 2.06 2.21 2.06 1XXX.00.00.0000000P0 38.2581 4 88342TCImmunocytochemistry A 0.00 0.94 0.79 0.94 0.79 0.02 0.96 0.81 0.96 0.81 1XXX.00.00.0000000P0 38.2581 4 8834226Immunocytochemistry A 0.85 0.37 0.37 0.37 0.37 0.03 1.25 1.25 1.25 1.25 1XXX.00.00.0000000P0 38.2581 4 88346 Immunofluorescent study A 0.86 1.31 1.14 1.31 1.14 0.05 2.22 2.05 2.22 2.05 1XXX.00.00.0000000P0 38.2581 4 88346TCImmunofluorescent study A 0.00 0.94 0.78 0.94 0.78 0.02 0.96 0.80 0.96 0.80 1XXX.00.00.0000000P0 38.2581 4 8834626Immunofluorescent study A 0.86 0.37 0.36 0.37 0.36 0.03 1.26 1.25 1.26 1.25 1XXX.00.00.0000000P0 38.2581 4 88347 Immunofluorescent study A 0.86 1.82 1.48 1.82 1.48 0.05 2.73 2.39 2.73 2.39 1XXX.00.00.0000000P0 38.2581 4 88347TCImmunofluorescent study A 0.00 1.45 1.16 1.45 1.16 0.02 1.47 1.18 1.47 1.18 1XXX.00.00.0000000P0 38.2581 4 8834726Immunofluorescent study A 0.86 0.37 0.32 0.37 0.32 0.03 1.26 1.21 1.26 1.21 1XXX.00.00.0000000P0 38.2581 4 88348 Electron microscopy A 1.51 6.22 5.28 6.22 5.28 0.11 7.84 6.90 7.84 6.90 1XXX.00.00.0000000P0 38.2581 4 88348TCElectron microscopy A 0.00 5.57 4.47 5.57 4.47 0.06 5.63 4.53 5.63 4.53 1XXX.00.00.0000000P0 38.2581 4 8834826Electron microscopy A 1.51 0.65 0.81 0.65 0.81 0.05 2.21 2.37 2.21 2.37 1XXX.00.00.0000000P0 38.2581 4 88349 Scanning electron microscopy A 0.76 7.77 6.25 7.77 6.25 0.08 8.61 7.09 8.61 7.09 1XXX.00.00.0000000P0 38.2581 4 88349TCScanning electron microscopy A 0.00 7.44 5.79 7.44 5.79 0.05 7.49 5.84 7.49 5.84 1XXX.00.00.0000000P0 38.2581 4 8834926Scanning electron microscopy A 0.76 0.33 0.46 0.33 0.46 0.03 1.12 1.25 1.12 1.25 1XXX.00.00.0000000P0 38.2581 4 88355 Analysis, skeletal muscle A 1.85 3.92 3.41 3.92 3.41 0.12 5.89 5.38 5.89 5.38 1XXX.00.00.0000000P0 38.2581 4 88355TCAnalysis, skeletal muscle A 0.00 3.12 2.56 3.12 2.56 0.05 3.17 2.61 3.17 2.61 1XXX.00.00.0000000P0 38.2581 4 8835526Analysis, skeletal muscle A 1.85 0.80 0.85 0.80 0.85 0.07 2.72 2.77 2.72 2.77 1XXX.00.00.0000000P0 38.2581 4 88356 Analysis, nerve A 3.02 4.42 4.04 4.42 4.04 0.16 7.60 7.22 7.60 7.22 1XXX.00.00.0000000P0 38.2581 4 88356TCAnalysis, nerve A 0.00 3.12 2.69 3.12 2.69 0.06 3.18 2.75 3.18 2.75 1XXX.00.00.0000000P0 38.2581 4 8835626Analysis, nerve A 3.02 1.30 1.35 1.30 1.35 0.10 4.42 4.47 4.42 4.47 1XXX.00.00.0000000P0 38.2581 4 88358 Analysis, tumor A 2.82 1.67 1.88 1.67 1.88 0.16 4.65 4.86 4.65 4.86 1XXX.00.00.0000000P0 38.2581 4 88358TCAnalysis, tumor A 0.00 0.45 0.65 0.45 0.65 0.06 0.51 0.71 0.51 0.71 1XXX.00.00.0000000P0 38.2581 4 8835826Analysis, tumor A 2.82 1.22 1.23 1.22 1.23 0.10 4.14 4.15 4.14 4.15 1XXX.00.00.0000000P0 38.2581 4 88362 Nerve teasing preparations A 2.17 2.71 2.57 2.71 2.57 0.12 5.00 4.86 5.00 4.86 1XXX.00.00.0000000P0 38.2581 4 88362TCNerve teasing preparations A 0.00 1.78 1.60 1.78 1.60 0.05 1.83 1.65 1.83 1.65 1XXX.00.00.0000000P0 38.2581 4 8836226Nerve teasing preparations A 2.17 0.93 0.97 0.93 0.97 0.07 3.17 3.21 3.17 3.21 1XXX.00.00.0000000P0 38.2581 4 88365 Tissue hybridization A 0.93 1.60 1.41 1.60 1.41 0.05 2.58 2.39 2.58 2.39 1XXX.00.00.0000000P0 38.2581 4 88365TCTissue hybridization A 0.00 1.21 1.01 1.21 1.01 0.02 1.23 1.03 1.23 1.03 1XXX.00.00.0000000P0 38.2581 4 8836526Tissue hybridization A 0.93 0.39 0.40 0.39 0.40 0.03 1.35 1.36 1.35 1.36 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8837126Protein, western blot tissue A 0.37 0.14 0.16 0.14 0.16 0.01 0.52 0.54 0.52 0.54 6XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8837226Protein analysis w/probe A 0.37 0.15 0.17 0.15 0.17 0.01 0.53 0.55 0.53 0.55 6XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 88400 Bilirubin total transcut X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 8906026Exam,synovial fluid crystals A 0.37 0.17 0.18 0.16 0.18 0.01 0.55 0.56 0.54 0.56 6XXX.00.00.0000000P0 38.2581 4 89100 Sample intestinal contents A 0.60 1.88 1.53 0.22 0.28 0.02 2.50 2.15 0.84 0.90 0XXX.00.00.0000000P0 38.2581 4 89105 Sample intestinal contents A 0.50 2.16 1.73 0.18 0.24 0.02 2.68 2.25 0.70 0.76 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 89130 Sample stomach contents A 0.45 1.72 1.40 0.12 0.20 0.02 2.19 1.87 0.59 0.67 0XXX.00.00.0000000P0 38.2581 4 89132 Sample stomach contents A 0.19 1.79 1.40 0.08 0.11 0.01 1.99 1.60 0.28 0.31 0XXX.00.00.0000000P0 38.2581 4 89135 Sample stomach contents A 0.79 1.83 1.53 0.28 0.37 0.03 2.65 2.35 1.10 1.19 0XXX.00.00.0000000P0 38.2581 4 89136 Sample stomach contents A 0.21 1.38 1.10 0.08 0.12 0.01 1.60 1.32 0.30 0.34 0XXX.00.00.0000000P0 38.2581 4 89140 Sample stomach contents A 0.94 2.20 1.87 0.27 0.42 0.03 3.17 2.84 1.24 1.39 0XXX.00.00.0000000P0 38.2581 4 89141 Sample stomach contents A 0.85 2.67 2.20 0.34 0.45 0.03 3.55 3.08 1.22 1.33 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 89264 Identify sperm tissue X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 89321 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 89350 Sputum specimen collection A 0.00 0.40 0.41 0.40 0.41 0.02 0.42 0.43 0.42 0.43 3XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 89360 Collect sweat for test A 0.00 0.45 0.46 0.45 0.46 0.02 0.47 0.48 0.47 0.48 3XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90371 Hep b ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90378 Rsv ig, im, 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90471 Immunization admin N 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 9XXX.00.00.0099999P9 38.2581 9 90472 Immunization admin, each add N 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90632 Hep a vaccine, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90633 Hep a vacc, ped/adol, 2 dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90634 Hep a vacc, ped/adol, 3 dose E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90636 Hep a/hep b vacc, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90669 Pneumococcal vacc, ped<5 N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90702 Dt vaccine < 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90718 Td vaccine > 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90723 Dtap-hep b-ipv vaccine, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90732 Pneumococcal vacc, adult/ill X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90740 Hepb vacc, ill pat 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 90743 Hep b vacc, adol, 2 dose, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 90744 Hepb vacc ped/adol 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90746 Hep b vaccine, adult, im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90747 Hepb vacc, ill pat 4 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90748 Hep b/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90780 IV infusion therapy, 1 hour A 0.00 1.10 1.11 1.10 1.11 0.06 1.16 1.17 1.16 1.17 5XXX.00.00.0000000P0 38.2581 4 90781 IV infusion, additional hour A 0.00 0.56 0.57 0.56 0.57 0.03 0.59 0.60 0.59 0.60 5ZZZ.00.00.0000000P0 38.2581 4 90782 Injection, sc/im T 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 5XXX.00.00.0000000P0 38.2581 4 90783 Injection, ia T 0.00 0.40 0.41 0.40 0.41 0.02 0.42 0.43 0.42 0.43 5XXX.00.00.0000000P0 38.2581 4 90784 Injection, iv T 0.00 0.47 0.48 0.47 0.48 0.03 0.50 0.51 0.50 0.51 5XXX.00.00.0000000P0 38.2581 4 90788 Injection of antibiotic T 0.00 0.12 0.12 0.12 0.12 0.01 0.13 0.13 0.13 0.13 5XXX.00.00.0000000P0 38.2581 4 90799 Ther/prophylactic/dx inject C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 38.2581 9 90801 Psy dx interview A 2.80 1.16 1.05 0.93 0.88 0.06 4.02 3.91 3.79 3.74 0XXX.00.00.0000000P0 38.2581 4 90802 Intac psy dx interview A 3.01 1.17 0.98 0.99 0.85 0.07 4.25 4.06 4.07 3.93 0XXX.00.00.0000000P0 38.2581 4 90804 Psytx, office, 20-30 min A 1.21 0.54 0.50 0.40 0.40 0.03 1.78 1.74 1.64 1.64 0XXX.00.00.0000000P0 38.2581 4 90805 Psytx, off, 20-30 min w/e&m A 1.37 0.60 0.55 0.44 0.43 0.03 2.00 1.95 1.84 1.83 0XXX.00.00.0000000P0 38.2581 4 90806 Psytx, off, 45-50 min A 1.86 0.77 0.73 0.62 0.61 0.04 2.67 2.63 2.52 2.51 0XXX.00.00.0000000P0 38.2581 4 90807 Psytx, off, 45-50 min w/e&m A 2.02 0.80 0.75 0.66 0.64 0.05 2.87 2.82 2.73 2.71 0XXX.00.00.0000000P0 38.2581 4 90808 Psytx, office, 75-80 min A 2.79 1.09 1.10 0.93 0.98 0.07 3.95 3.96 3.79 3.84 0XXX.00.00.0000000P0 38.2581 4 90809 Psytx, off, 75-80, w/e&m A 2.95 1.13 1.13 0.96 1.01 0.07 4.15 4.15 3.98 4.03 0XXX.00.00.0000000P0 38.2581 4 90810 Intac psytx, off, 20-30 min A 1.32 0.56 0.58 0.44 0.49 0.03 1.91 1.93 1.79 1.84 0XXX.00.00.0000000P0 38.2581 4 90811 Intac psytx, 20-30, w/e&m A 1.48 0.64 0.64 0.48 0.52 0.03 2.15 2.15 1.99 2.03 0XXX.00.00.0000000P0 38.2581 4 90812 Intac psytx, off, 45-50 min A 1.97 0.83 0.78 0.65 0.65 0.05 2.85 2.80 2.67 2.67 0XXX.00.00.0000000P0 38.2581 4 90813 Intac psytx, 45-50 min w/e&m A 2.13 0.87 0.81 0.70 0.69 0.05 3.05 2.99 2.88 2.87 0XXX.00.00.0000000P0 38.2581 4 90814 Intac psytx, off, 75-80 min A 2.90 1.20 1.06 1.14 1.02 0.07 4.17 4.03 4.11 3.99 0XXX.00.00.0000000P0 38.2581 4 90815 Intac psytx, 75-80 w/e&m A 3.06 1.21 1.07 0.98 0.90 0.07 4.34 4.20 4.11 4.03 0XXX.00.00.0000000P0 38.2581 4 90816 Psytx, hosp, 20-30 min A 1.25 0.58 0.53 0.43 0.42 0.03 1.86 1.81 1.71 1.70 0XXX.00.00.0000000P0 38.2581 4 90817 Psytx, hosp, 20-30 min w/e&m A 1.41 0.63 0.57 0.46 0.44 0.03 2.07 2.01 1.90 1.88 0XXX.00.00.0000000P0 38.2581 4 90818 Psytx, hosp, 45-50 min A 1.89 0.82 0.76 0.65 0.64 0.04 2.75 2.69 2.58 2.57 0XXX.00.00.0000000P0 38.2581 4 90819 Psytx, hosp, 45-50 min w/e&m A 2.05 0.83 0.77 0.66 0.64 0.05 2.93 2.87 2.76 2.74 0XXX.00.00.0000000P0 38.2581 4 90821 Psytx, hosp, 75-80 min A 2.83 1.14 1.14 0.97 1.01 0.06 4.03 4.03 3.86 3.90 0XXX.00.00.0000000P0 38.2581 4 90822 Psytx, hosp, 75-80 min w/e&m A 2.99 1.13 1.13 0.97 1.01 0.07 4.19 4.19 4.03 4.07 0XXX.00.00.0000000P0 38.2581 4 90823 Intac psytx, hosp, 20-30 min A 1.36 0.68 0.67 0.45 0.50 0.03 2.07 2.06 1.84 1.89 0XXX.00.00.0000000P0 38.2581 4 90824 Intac psytx, hsp 20-30 w/e&m A 1.52 0.72 0.70 0.49 0.53 0.03 2.27 2.25 2.04 2.08 0XXX.00.00.0000000P0 38.2581 4 90826 Intac psytx, hosp, 45-50 min A 2.01 0.91 0.84 0.69 0.68 0.04 2.96 2.89 2.74 2.73 0XXX.00.00.0000000P0 38.2581 4 90827 Intac psytx, hsp 45-50 w/e&m A 2.16 0.94 0.87 0.69 0.68 0.05 3.15 3.08 2.90 2.89 0XXX.00.00.0000000P0 38.2581 4 90828 Intac psytx, hosp, 75-80 min A 2.94 1.23 1.08 1.02 0.93 0.07 4.24 4.09 4.03 3.94 0XXX.00.00.0000000P0 38.2581 4 90829 Intac psytx, hsp 75-80 w/e&m A 3.10 1.26 1.11 1.00 0.91 0.07 4.43 4.28 4.17 4.08 0XXX.00.00.0000000P0 38.2581 4 90845 Psychoanalysis A 1.79 0.70 0.64 0.59 0.55 0.04 2.53 2.47 2.42 2.38 0XXX.00.00.0000000P0 38.2581 4 90846 Family psytx w/o patient R 1.83 0.74 0.72 0.62 0.63 0.04 2.61 2.59 2.49 2.50 0XXX.00.00.0000000P0 38.2581 4 90847 Family psytx w/patient R 2.21 0.87 0.81 0.75 0.72 0.05 3.13 3.07 3.01 2.98 0XXX.00.00.0000000P0 38.2581 4 90849 Multiple family group psytx R 0.59 0.37 0.35 0.20 0.22 0.01 0.97 0.95 0.80 0.82 0XXX.00.00.0000000P0 38.2581 4 90853 Group psychotherapy A 0.59 0.35 0.33 0.20 0.22 0.01 0.95 0.93 0.80 0.82 0XXX.00.00.0000000P0 38.2581 4 90857 Intac group psytx A 0.63 0.38 0.33 0.23 0.21 0.02 1.03 0.98 0.88 0.86 0XXX.00.00.0000000P0 38.2581 4 90862 Medication management A 0.95 0.44 0.43 0.31 0.33 0.02 1.41 1.40 1.28 1.30 0XXX.00.00.0000000P0 38.2581 4 90865 Narcosynthesis A 2.84 1.63 1.36 0.93 0.83 0.07 4.54 4.27 3.84 3.74 0XXX.00.00.0000000P0 38.2581 4 90870 Electroconvulsive therapy A 1.88 0.75 0.71 0.75 0.71 0.04 2.67 2.63 2.67 2.63 0000.00.00.0000000P0 38.2581 4 90871 Electroconvulsive therapy A 2.72 1.03 NA 1.00 1.03 1.00 0.06 3.81 3.78 3.81 3.78 0000.00.00.0000000P0 38.2581 4 90875 Psychophysiological therapy N+ 1.20 0.88 0.88 0.48 0.48 0.03 2.11 2.11 1.71 1.71 9XXX.00.00.0099999P9 38.2581 9 90876 Psychophysiological therapy N+ 1.90 1.16 1.16 0.76 0.76 0.04 3.10 3.10 2.70 2.70 9XXX.00.00.0099999P9 38.2581 9 90880 Hypnotherapy A 2.19 0.89 0.84 0.71 0.71 0.05 3.13 3.08 2.95 2.95 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90885 Psy evaluation of records B+ 0.97 0.39 0.38 0.39 0.38 0.02 1.38 1.37 1.38 1.37 9XXX.00.00.0099999P9 38.2581 9 90887 Consultation with family B+ 1.48 0.82 0.71 0.59 0.53 0.03 2.33 2.22 2.10 2.04 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 90901 Biofeedback train, any meth A 0.41 0.72 0.80 0.18 0.40 0.02 1.15 1.23 0.61 0.83 0000.00.00.0000000P0 38.2581 4 90911 Biofeedback peri/uro/rectal A 0.89 0.87 0.96 0.37 0.59 0.04 1.80 1.89 1.30 1.52 0000.00.00.0000000P0 38.2581 4 90918 ESRD related services, month A 11.18 5.30 4.57 5.30 4.57 0.30 16.78 16.05 16.78 16.05 0XXX.00.00.0000000P0 38.2581 4 90919 ESRD related services, month A 8.54 4.32 3.84 4.32 3.84 0.24 13.10 12.62 13.10 12.62 0XXX.00.00.0000000P0 38.2581 4 90920 ESRD related services, month A 7.27 3.77 3.42 3.77 3.42 0.19 11.23 10.88 11.23 10.88 0XXX.00.00.0000000P0 38.2581 4 90921 ESRD related services, month A 4.47 2.70 2.62 2.70 2.62 0.12 7.29 7.21 7.29 7.21 0XXX.00.00.0000000P0 38.2581 4 90922 ESRD related services, day A 0.37 0.16 0.14 0.16 0.14 0.01 0.54 0.52 0.54 0.52 0XXX.00.00.0000000P0 38.2581 4 90923 Esrd related services, day A 0.28 0.14 0.13 0.14 0.13 0.01 0.43 0.42 0.43 0.42 0XXX.00.00.0000000P0 38.2581 4 90924 Esrd related services, day A 0.24 0.12 0.11 0.12 0.11 0.01 0.37 0.36 0.37 0.36 0XXX.00.00.0000000P0 38.2581 4 90925 Esrd related services, day A 0.15 0.09 0.09 0.09 0.09 0.01 0.25 0.25 0.25 0.25 0XXX.00.00.0000000P0 38.2581 4 90935 Hemodialysis, one evaluation A 1.22 0.78 NA 0.95 0.78 0.95 0.03 2.03 2.20 2.03 2.20 0000.00.00.0000000P0 38.2581 4 90937 Hemodialysis, repeated eval A 2.11 1.10 NA 1.46 1.10 1.46 0.06 3.27 3.63 3.27 3.63 0000.00.00.0000000P0 38.2581 4 90940 Hemodialysis access study X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 90945 Dialysis, one evaluation A 1.28 0.81 NA 0.95 0.81 0.95 0.04 2.13 2.27 2.13 2.27 0000.00.00.0000000P0 38.2581 4 90947 Dialysis, repeated eval A 2.16 1.12 NA 1.41 1.12 1.41 0.06 3.34 3.63 3.34 3.63 0000.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 90993 Dialysis training, incompl X 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 90997 Hemoperfusion A 1.84 1.01 NA 1.31 1.01 1.31 0.05 2.90 3.20 2.90 3.20 0000.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 91000 Esophageal intubation A 0.73 0.35 0.44 0.35 0.44 0.04 1.12 1.21 1.12 1.21 1000.00.00.0000000P0 38.2581 4 91000TCEsophageal intubation A 0.00 0.08 0.08 0.08 0.08 0.01 0.09 0.09 0.09 0.09 1000.00.00.0000000P0 38.2581 4 9100026Esophageal intubation A 0.73 0.27 0.36 0.27 0.36 0.03 1.03 1.12 1.03 1.12 1000.00.00.0000000P0 38.2581 4 91010 Esophagus motility study A 1.25 1.27 1.54 1.27 1.54 0.10 2.62 2.89 2.62 2.89 1000.00.00.0000000P0 38.2581 4 91010TCEsophagus motility study A 0.00 0.82 0.83 0.82 0.83 0.05 0.87 0.88 0.87 0.88 1000.00.00.0000000P0 38.2581 4 9101026Esophagus motility study A 1.25 0.45 0.71 0.45 0.71 0.05 1.75 2.01 1.75 2.01 1000.00.00.0000000P0 38.2581 4 91011 Esophagus motility study A 1.50 1.57 1.89 1.57 1.89 0.10 3.17 3.49 3.17 3.49 1000.00.00.0000000P0 38.2581 4 91011TCEsophagus motility study A 0.00 1.02 1.03 1.02 1.03 0.05 1.07 1.08 1.07 1.08 1000.00.00.0000000P0 38.2581 4 9101126Esophagus motility study A 1.50 0.55 0.86 0.55 0.86 0.05 2.10 2.41 2.10 2.41 1000.00.00.0000000P0 38.2581 4 91012 Esophagus motility study A 1.46 1.67 1.99 1.67 1.99 0.12 3.25 3.57 3.25 3.57 1000.00.00.0000000P0 38.2581 4 91012TCEsophagus motility study A 0.00 1.14 1.15 1.14 1.15 0.06 1.20 1.21 1.20 1.21 1000.00.00.0000000P0 38.2581 4 9101226Esophagus motility study A 1.46 0.53 0.84 0.53 0.84 0.06 2.05 2.36 2.05 2.36 1000.00.00.0000000P0 38.2581 4 91020 Gastric motility A 1.44 1.26 1.57 1.26 1.57 0.11 2.81 3.12 2.81 3.12 1000.00.00.0000000P0 38.2581 4 91020TCGastric motility A 0.00 0.76 0.77 0.76 0.77 0.05 0.81 0.82 0.81 0.82 1000.00.00.0000000P0 38.2581 4 9102026Gastric motility A 1.44 0.50 0.80 0.50 0.80 0.06 2.00 2.30 2.00 2.30 1000.00.00.0000000P0 38.2581 4 91030 Acid perfusion of esophagus A 0.91 0.55 0.56 0.55 0.56 0.05 1.51 1.52 1.51 1.52 1000.00.00.0000000P0 38.2581 4 91030TCAcid perfusion of esophagus A 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1000.00.00.0000000P0 38.2581 4 9103026Acid perfusion of esophagus A 0.91 0.33 0.34 0.33 0.34 0.03 1.27 1.28 1.27 1.28 1000.00.00.0000000P0 38.2581 4 91032 Esophagus, acid reflux test A 1.21 1.17 1.41 1.17 1.41 0.10 2.48 2.72 2.48 2.72 1000.00.00.0000000P0 38.2581 4 91032TCEsophagus, acid reflux test A 0.00 0.74 0.75 0.74 0.75 0.05 0.79 0.80 0.79 0.80 1000.00.00.0000000P0 38.2581 4 9103226Esophagus, acid reflux test A 1.21 0.43 0.66 0.43 0.66 0.05 1.69 1.92 1.69 1.92 1000.00.00.0000000P0 38.2581 4 91033 Prolonged acid reflux test A 1.30 1.81 2.09 1.81 2.09 0.14 3.25 3.53 3.25 3.53 1000.00.00.0000000P0 38.2581 4 91033TCProlonged acid reflux test A 0.00 1.34 1.35 1.34 1.35 0.09 1.43 1.44 1.43 1.44 1000.00.00.0000000P0 38.2581 4 9103326Prolonged acid reflux test A 1.30 0.47 0.74 0.47 0.74 0.05 1.82 2.09 1.82 2.09 1000.00.00.0000000P0 38.2581 4 91052 Gastric analysis test A 0.79 0.62 0.69 0.62 0.69 0.05 1.46 1.53 1.46 1.53 1000.00.00.0000000P0 38.2581 4 91052TCGastric analysis test A 0.00 0.34 0.34 0.34 0.34 0.02 0.36 0.36 0.36 0.36 1000.00.00.0000000P0 38.2581 4 9105226Gastric analysis test A 0.79 0.28 0.35 0.28 0.35 0.03 1.10 1.17 1.10 1.17 1000.00.00.0000000P0 38.2581 4 91055 Gastric intubation for smear A 0.94 0.58 0.65 0.58 0.65 0.06 1.58 1.65 1.58 1.65 1000.00.00.0000000P0 38.2581 4 91055TCGastric intubation for smear A 0.00 0.30 0.30 0.30 0.30 0.02 0.32 0.32 0.32 0.32 1000.00.00.0000000P0 38.2581 4 9105526Gastric intubation for smear A 0.94 0.28 0.35 0.28 0.35 0.04 1.26 1.33 1.26 1.33 1000.00.00.0000000P0 38.2581 4 91060 Gastric saline load test A 0.45 0.35 0.45 0.35 0.45 0.04 0.84 0.94 0.84 0.94 1000.00.00.0000000P0 38.2581 4 91060TCGastric saline load test A 0.00 0.22 0.22 0.22 0.22 0.02 0.24 0.24 0.24 0.24 1000.00.00.0000000P0 38.2581 4 9106026Gastric saline load test A 0.45 0.13 0.23 0.13 0.23 0.02 0.60 0.70 0.60 0.70 1000.00.00.0000000P0 38.2581 4 91065 Breath hydrogen test A 0.20 0.43 0.47 0.43 0.47 0.03 0.66 0.70 0.66 0.70 1000.00.00.0000000P0 38.2581 4 91065TCBreath hydrogen test A 0.00 0.36 0.36 0.36 0.36 0.02 0.38 0.38 0.38 0.38 1000.00.00.0000000P0 38.2581 4 9106526Breath hydrogen test A 0.20 0.07 0.11 0.07 0.11 0.01 0.28 0.32 0.28 0.32 1000.00.00.0000000P0 38.2581 4 91100 Pass intestine bleeding tube A 1.08 0.46 NA 0.50 0.46 0.50 0.06 1.60 1.64 1.60 1.64 0000.00.00.0000000P0 38.2581 4 91105 Gastric intubation treatment A 0.37 0.20 NA 0.26 0.20 0.26 0.02 0.59 0.65 0.59 0.65 0000.00.00.0000000P0 38.2581 4 91122 Anal pressure record A 1.77 1.35 1.49 1.35 1.49 0.17 3.29 3.43 3.29 3.43 1000.00.00.0000000P0 38.2581 4 91122TCAnal pressure record A 0.00 0.70 0.71 0.70 0.71 0.07 0.77 0.78 0.77 0.78 1000.00.00.0000000P0 38.2581 4 9112226Anal pressure record A 1.77 0.65 0.78 0.65 0.78 0.10 2.52 2.65 2.52 2.65 1000.00.00.0000000P0 38.2581 4 91132 Electrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 91132TCElectrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 9113226Electrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 91133 Electrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 91133TCElectrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 9113326Electrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 92002 Eye exam, new patient A 0.88 1.10 0.96 0.36 0.34 0.02 2.00 1.86 1.26 1.24 0XXX.00.00.0002000P0 38.2581 4 92004 Eye exam, new patient A 1.67 1.73 1.45 0.72 0.62 0.03 3.43 3.15 2.42 2.32 0XXX.00.00.0002000P0 38.2581 4 92012 Eye exam established pat A 0.67 1.05 0.91 0.31 0.29 0.01 1.73 1.59 0.99 0.97 0XXX.00.00.0002000P0 38.2581 4 92014 Eye exam & treatment A 1.10 1.36 1.17 0.51 0.46 0.02 2.48 2.29 1.63 1.58 0XXX.00.00.0002000P0 38.2581 4 92015 Refraction N+ 0.38 1.40 1.14 0.15 0.20 0.01 1.79 1.53 0.54 0.59 9XXX.00.00.0099999P9 38.2581 9 92018 New eye exam & treatment A 1.51 0.72 NA 0.67 0.72 0.67 0.03 2.26 2.21 2.26 2.21 0XXX.00.00.0000000P0 38.2581 4 92019 Eye exam & treatment A 1.31 0.62 NA 0.59 0.62 0.53 0.03 1.96 1.93 1.96 1.87 0XXX.00.00.0000000P0 38.2581 4 92020 Special eye evaluation A 0.37 0.70 0.60 0.17 0.17 0.01 1.08 0.98 0.55 0.55 0XXX.00.00.0002000P0 38.2581 4 92060 Special eye evaluation A 0.69 1.53 1.25 1.53 1.25 0.02 2.24 1.96 2.24 1.96 1XXX.00.00.0002000P0 38.2581 4 92060TCSpecial eye evaluation A 0.00 1.23 0.97 1.23 0.97 0.01 1.24 0.98 1.24 0.98 1XXX.00.00.0002000P0 38.2581 4 9206026Special eye evaluation A 0.69 0.30 0.28 0.30 0.28 0.01 1.00 0.98 1.00 0.98 1XXX.00.00.0002000P0 38.2581 4 92065 Orthoptic/pleoptic training A 0.37 0.80 0.70 0.80 0.70 0.02 1.19 1.09 1.19 1.09 1XXX.00.00.0002000P0 38.2581 4 92065TCOrthoptic/pleoptic training A 0.00 0.64 0.52 0.64 0.52 0.01 0.65 0.53 0.65 0.53 1XXX.00.00.0002000P0 38.2581 4 9206526Orthoptic/pleoptic training A 0.37 0.16 0.18 0.16 0.18 0.01 0.54 0.56 0.54 0.56 1XXX.00.00.0002000P0 38.2581 4 92070 Fitting of contact lens A 0.70 1.03 1.10 0.34 0.42 0.01 1.74 1.81 1.05 1.13 0XXX.00.00.0003000P0 38.2581 4 92081 Visual field examination(s) A 0.36 1.42 1.16 1.42 1.16 0.02 1.80 1.54 1.80 1.54 1XXX.00.00.0002000P0 38.2581 4 92081TCVisual field examination(s) A 0.00 1.26 0.99 1.26 0.99 0.01 1.27 1.00 1.27 1.00 1XXX.00.00.0002000P0 38.2581 4 9208126Visual field examination(s) A 0.36 0.16 0.17 0.16 0.17 0.01 0.53 0.54 0.53 0.54 1XXX.00.00.0002000P0 38.2581 4 92082 Visual field examination(s) A 0.44 1.25 1.07 1.25 1.07 0.02 1.71 1.53 1.71 1.53 1XXX.00.00.0002000P0 38.2581 4 92082TCVisual field examination(s) A 0.00 1.05 0.84 1.05 0.84 0.01 1.06 0.85 1.06 0.85 1XXX.00.00.0002000P0 38.2581 4 9208226Visual field examination(s) A 0.44 0.20 0.23 0.20 0.23 0.01 0.65 0.68 0.65 0.68 1XXX.00.00.0002000P0 38.2581 4 92083 Visual field examination(s) A 0.50 1.23 1.15 1.23 1.15 0.02 1.75 1.67 1.75 1.67 1XXX.00.00.0002000P0 38.2581 4 92083TCVisual field examination(s) A 0.00 1.00 0.83 1.00 0.83 0.01 1.01 0.84 1.01 0.84 1XXX.00.00.0002000P0 38.2581 4 9208326Visual field examination(s) A 0.50 0.23 0.32 0.23 0.32 0.01 0.74 0.83 0.74 0.83 1XXX.00.00.0002000P0 38.2581 4 92100 Serial tonometry exam(s) A 0.92 0.79 0.66 0.40 0.34 0.02 1.73 1.60 1.34 1.28 0XXX.00.00.0002000P0 38.2581 4 92120 Tonography & eye evaluation A 0.81 0.77 0.66 0.32 0.28 0.02 1.60 1.49 1.15 1.11 0XXX.00.00.0002000P0 38.2581 4 92130 Water provocation tonography A 0.81 0.87 0.79 0.40 0.37 0.02 1.70 1.62 1.23 1.20 0XXX.00.00.0002000P0 38.2581 4 92135 Opthalmic dx imaging A 0.35 1.19 1.19 1.19 1.19 0.02 1.56 1.56 1.56 1.56 1XXX.00.00.0003100P0 38.2581 5 92135TCOpthalmic dx imaging A 0.00 1.03 1.03 1.03 1.03 0.01 1.04 1.04 1.04 1.04 1XXX.00.00.0003100P0 38.2581 5 9213526Opthalmic dx imaging A 0.35 0.16 0.16 0.16 0.16 0.01 0.52 0.52 0.52 0.52 1XXX.00.00.0003100P0 38.2581 5 92140 Glaucoma provocative tests A 0.50 0.95 0.80 0.22 0.21 0.01 1.46 1.31 0.73 0.72 0XXX.00.00.0002000P0 38.2581 4 92225 Special eye exam, initial A 0.38 1.64 1.35 0.16 0.18 0.01 2.03 1.74 0.55 0.57 0XXX.00.00.0003000P0 38.2581 4 92226 Special eye exam, subsequent A 0.33 1.73 1.41 0.15 0.17 0.01 2.07 1.75 0.49 0.51 0XXX.00.00.0003000P0 38.2581 4 92230 Eye exam with photos A 0.60 1.28 1.15 0.19 0.24 0.02 1.90 1.77 0.81 0.86 0XXX.00.00.0003000P0 38.2581 4 92235 Eye exam with photos A 0.81 2.31 2.16 2.31 2.16 0.07 3.19 3.04 3.19 3.04 1XXX.00.00.0003000P0 38.2581 4 92235TCEye exam with photos A 0.00 1.91 1.70 1.91 1.70 0.05 1.96 1.75 1.96 1.75 1XXX.00.00.0003000P0 38.2581 4 9223526Eye exam with photos A 0.81 0.40 0.46 0.40 0.46 0.02 1.23 1.29 1.23 1.29 1XXX.00.00.0003000P0 38.2581 4 92240 Icg angiography A 1.10 2.75 2.49 2.75 2.49 0.07 3.92 3.66 3.92 3.66 1XXX.00.00.0003000P0 38.2581 4 92240TCIcg angiography A 0.00 2.22 1.93 2.22 1.93 0.05 2.27 1.98 2.27 1.98 1XXX.00.00.0003000P0 38.2581 4 9224026Icg angiography A 1.10 0.53 0.56 0.53 0.56 0.02 1.65 1.68 1.65 1.68 1XXX.00.00.0003000P0 38.2581 4 92250 Eye exam with photos A 0.44 1.75 1.43 1.75 1.43 0.02 2.21 1.89 2.21 1.89 1XXX.00.00.0002000P0 38.2581 4 92250TCEye exam with photos A 0.00 1.54 1.20 1.54 1.20 0.01 1.55 1.21 1.55 1.21 1XXX.00.00.0002000P0 38.2581 4 9225026Eye exam with photos A 0.44 0.21 0.23 0.21 0.23 0.01 0.66 0.68 0.66 0.68 1XXX.00.00.0002000P0 38.2581 4 92260 Ophthalmoscopy/dynamometry A 0.20 0.22 0.31 0.10 0.15 0.01 0.43 0.52 0.31 0.36 0XXX.00.00.0002000P0 38.2581 4 92265 Eye muscle evaluation A 0.81 1.27 1.04 1.27 1.04 0.04 2.12 1.89 2.12 1.89 1XXX.00.00.0002000P0 38.2581 4 92265TCEye muscle evaluation A 0.00 0.94 0.77 0.94 0.77 0.02 0.96 0.79 0.96 0.79 1XXX.00.00.0002000P0 38.2581 4 9226526Eye muscle evaluation A 0.81 0.33 0.27 0.33 0.27 0.02 1.16 1.10 1.16 1.10 1XXX.00.00.0002000P0 38.2581 4 92270 Electro-oculography A 0.81 1.03 0.95 1.03 0.95 0.05 1.89 1.81 1.89 1.81 1XXX.00.00.0002000P0 38.2581 4 92270TCElectro-oculography A 0.00 0.68 0.59 0.68 0.59 0.02 0.70 0.61 0.70 0.61 1XXX.00.00.0002000P0 38.2581 4 9227026Electro-oculography A 0.81 0.35 0.36 0.35 0.36 0.03 1.19 1.20 1.19 1.20 1XXX.00.00.0002000P0 38.2581 4 92275 Electroretinography A 1.01 1.17 1.13 1.17 1.13 0.04 2.22 2.18 2.22 2.18 1XXX.00.00.0002000P0 38.2581 4 92275TCElectroretinography A 0.00 0.72 0.65 0.72 0.65 0.02 0.74 0.67 0.74 0.67 1XXX.00.00.0002000P0 38.2581 4 9227526Electroretinography A 1.01 0.45 0.48 0.45 0.48 0.02 1.48 1.51 1.48 1.51 1XXX.00.00.0002000P0 38.2581 4 92283 Color vision examination A 0.17 0.65 0.57 0.65 0.57 0.02 0.84 0.76 0.84 0.76 1XXX.00.00.0002000P0 38.2581 4 92283TCColor vision examination A 0.00 0.58 0.47 0.58 0.47 0.01 0.59 0.48 0.59 0.48 1XXX.00.00.0002000P0 38.2581 4 9228326Color vision examination A 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 1XXX.00.00.0002000P0 38.2581 4 92284 Dark adaptation eye exam A 0.24 1.98 1.61 1.98 1.61 0.02 2.24 1.87 2.24 1.87 1XXX.00.00.0002000P0 38.2581 4 92284TCDark adaptation eye exam A 0.00 1.90 1.47 1.90 1.47 0.01 1.91 1.48 1.91 1.48 1XXX.00.00.0002000P0 38.2581 4 9228426Dark adaptation eye exam A 0.24 0.08 0.14 0.08 0.14 0.01 0.33 0.39 0.33 0.39 1XXX.00.00.0002000P0 38.2581 4 92285 Eye photography A 0.20 1.90 1.51 1.90 1.51 0.02 2.12 1.73 2.12 1.73 1XXX.00.00.0002000P0 38.2581 4 92285TCEye photography A 0.00 1.81 1.39 1.81 1.39 0.01 1.82 1.40 1.82 1.40 1XXX.00.00.0002000P0 38.2581 4 9228526Eye photography A 0.20 0.09 0.12 0.09 0.12 0.01 0.30 0.33 0.30 0.33 1XXX.00.00.0002000P0 38.2581 4 92286 Internal eye photography A 0.66 2.07 1.89 2.07 1.89 0.03 2.76 2.58 2.76 2.58 1XXX.00.00.0002000P0 38.2581 4 92286TCInternal eye photography A 0.00 1.75 1.42 1.75 1.42 0.02 1.77 1.44 1.77 1.44 1XXX.00.00.0002000P0 38.2581 4 9228626Internal eye photography A 0.66 0.32 0.47 0.32 0.47 0.01 0.99 1.14 0.99 1.14 1XXX.00.00.0002000P0 38.2581 4 92287 Internal eye photography A 0.81 1.96 1.88 0.30 0.43 0.02 2.79 2.71 1.13 1.26 0XXX.00.00.0002000P0 38.2581 4 92310 Contact lens fitting N+ 1.17 1.08 1.16 0.47 0.70 0.00 2.25 2.33 1.64 1.87 9XXX.00.00.0099999P9 38.2581 9 92311 Contact lens fitting A 1.08 1.05 1.03 0.40 0.42 0.03 2.16 2.14 1.51 1.53 0XXX.00.00.0000000P0 38.2581 4 92312 Contact lens fitting A 1.26 1.03 1.09 0.46 0.50 0.03 2.32 2.38 1.75 1.79 0XXX.00.00.0002000P0 38.2581 4 92313 Contact lens fitting A 0.92 1.06 1.04 0.32 0.36 0.02 2.00 1.98 1.26 1.30 0XXX.00.00.0000000P0 38.2581 4 92314 Prescription of contact lens N+ 0.69 0.88 0.87 0.28 0.42 0.00 1.57 1.56 0.97 1.11 9XXX.00.00.0099999P9 38.2581 9 92315 Prescription of contact lens A 0.45 0.77 0.76 0.18 0.23 0.01 1.23 1.22 0.64 0.69 0XXX.00.00.0000000P0 38.2581 4 92316 Prescription of contact lens A 0.68 0.85 0.90 0.27 0.33 0.01 1.54 1.59 0.96 1.02 0XXX.00.00.0002000P0 38.2581 4 92317 Prescription of contact lens A 0.45 0.93 0.80 0.19 0.20 0.01 1.39 1.26 0.65 0.66 0XXX.00.00.0000000P0 38.2581 4 92325 Modification of contact lens A 0.00 0.39 0.40 0.39 0.40 0.01 0.40 0.41 0.40 0.41 5XXX.00.00.0000000P0 38.2581 4 92326 Replacement of contact lens A 0.00 1.62 1.64 1.62 1.64 0.05 1.67 1.69 1.67 1.69 5XXX.00.00.0000000P0 38.2581 4 92330 Fitting of artificial eye A 1.08 1.02 1.07 0.41 0.46 0.04 2.14 2.19 1.53 1.58 0XXX.00.00.0000000P0 38.2581 4 92335 Fitting of artificial eye A 0.45 0.83 1.16 0.18 0.40 0.01 1.29 1.62 0.64 0.86 0XXX.00.00.0000000P0 38.2581 4 92340 Fitting of spectacles N+ 0.37 0.66 0.61 0.15 0.22 0.00 1.03 0.98 0.52 0.59 9XXX.00.00.0099999P9 38.2581 9 92341 Fitting of spectacles N+ 0.47 0.69 0.66 0.19 0.28 0.00 1.16 1.13 0.66 0.75 9XXX.00.00.0099999P9 38.2581 9 92342 Fitting of spectacles N+ 0.53 0.72 0.70 0.21 0.32 0.00 1.25 1.23 0.74 0.85 9XXX.00.00.0099999P9 38.2581 9 92352 Special spectacles fitting B+ 0.37 0.66 0.58 0.15 0.20 0.01 1.04 0.96 0.53 0.58 9XXX.00.00.0099999P9 38.2581 9 92353 Special spectacles fitting B+ 0.50 0.71 0.64 0.20 0.26 0.02 1.23 1.16 0.72 0.78 9XXX.00.00.0099999P9 38.2581 9 92354 Special spectacles fitting B+ 0.00 8.79 8.88 8.79 8.88 0.08 8.87 8.96 8.87 8.96 9XXX.00.00.0099999P9 38.2581 9 92355 Special spectacles fitting B+ 0.00 4.30 4.35 4.30 4.35 0.01 4.31 4.36 4.31 4.36 9XXX.00.00.0099999P9 38.2581 9 92358 Eye prosthesis service B+ 0.00 0.96 0.97 0.96 0.97 0.04 1.00 1.01 1.00 1.01 9XXX.00.00.0099999P9 38.2581 9 92370 Repair & adjust spectacles N+ 0.32 0.50 0.47 0.13 0.19 0.00 0.82 0.79 0.45 0.51 9XXX.00.00.0099999P9 38.2581 9 92371 Repair & adjust spectacles B+ 0.00 0.61 0.62 0.61 0.62 0.02 0.63 0.64 0.63 0.64 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 92392 Supply of low vision aids I+ 0.00 4.02 4.06 4.02 4.06 0.02 4.04 4.08 4.04 4.08 9XXX.00.00.0099999P9 38.2581 9 92393 Supply of artificial eye I+ 0.00 12.46 12.59 12.46 12.59 0.47 12.93 13.06 12.93 13.06 9XXX.00.00.0099999P9 38.2581 9 92395 Supply of spectacles I+ 0.00 1.36 1.38 1.36 1.38 0.08 1.44 1.46 1.44 1.46 9XXX.00.00.0099999P9 38.2581 9 92396 Supply of contact lenses I+ 0.00 2.29 2.31 2.29 2.31 0.06 2.35 2.37 2.35 2.37 9XXX.00.00.0099999P9 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 92502 Ear and throat examination A 1.51 1.33 NA 1.30 1.33 1.30 0.06 2.90 2.87 2.90 2.87 0000.00.00.0000000P0 38.2581 4 92504 Ear microscopy examination A 0.18 1.04 0.85 0.09 0.10 0.01 1.23 1.04 0.28 0.29 0XXX.00.00.0000000P0 38.2581 4 92506 Speech/hearing evaluation A 0.86 1.47 1.24 0.45 0.41 0.04 2.37 2.14 1.35 1.31 0XXX.00.00.0000000P0 38.2581 4 92507 Speech/hearing therapy A 0.52 1.34 1.10 0.28 0.26 0.02 1.88 1.64 0.82 0.80 0XXX.00.00.0000000P0 38.2581 4 92508 Speech/hearing therapy A 0.26 0.97 0.78 0.15 0.14 0.01 1.24 1.05 0.42 0.41 0XXX.00.00.0000000P0 38.2581 4 92510 Rehab for ear implant A 1.50 1.94 1.83 0.85 0.82 0.06 3.50 3.39 2.41 2.38 0XXX.00.00.0000000P0 38.2581 4 92511 Nasopharyngoscopy A 0.84 1.28 1.19 0.42 0.43 0.03 2.15 2.06 1.29 1.30 0000.00.00.0000000P0 38.2581 4 92512 Nasal function studies A 0.55 1.09 0.95 0.20 0.22 0.02 1.66 1.52 0.77 0.79 0XXX.00.00.0000000P0 38.2581 4 92516 Facial nerve function test A 0.43 0.91 0.79 0.23 0.23 0.02 1.36 1.24 0.68 0.68 0XXX.00.00.0000000P0 38.2581 4 92520 Laryngeal function studies A 0.76 0.56 0.57 0.36 0.34 0.03 1.35 1.36 1.15 1.13 0XXX.00.00.0000000P0 38.2581 4 92525 Oral function evaluation G+ 1.50 1.55 1.44 0.60 0.59 0.07 3.12 3.01 2.17 2.16 9XXX.00.00.0099999P9 38.2581 9 92526 Oral function therapy A 0.55 1.45 1.22 0.25 0.25 0.02 2.02 1.79 0.82 0.82 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 92541 Spontaneous nystagmus test A 0.40 0.43 0.50 0.43 0.50 0.04 0.87 0.94 0.87 0.94 1XXX.00.00.0000000P0 38.2581 4 92541TCSpontaneous nystagmus test A 0.00 0.23 0.23 0.23 0.23 0.02 0.25 0.25 0.25 0.25 1XXX.00.00.0000000P0 38.2581 4 9254126Spontaneous nystagmus test A 0.40 0.20 0.27 0.20 0.27 0.02 0.62 0.69 0.62 0.69 1XXX.00.00.0000000P0 38.2581 4 92542 Positional nystagmus test A 0.33 0.42 0.48 0.42 0.48 0.03 0.78 0.84 0.78 0.84 1XXX.00.00.0000000P0 38.2581 4 92542TCPositional nystagmus test A 0.00 0.26 0.26 0.26 0.26 0.02 0.28 0.28 0.28 0.28 1XXX.00.00.0000000P0 38.2581 4 9254226Positional nystagmus test A 0.33 0.16 0.22 0.16 0.22 0.01 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 38.2581 4 92543 Caloric vestibular test A 0.10 0.16 0.18 0.16 0.18 0.02 0.28 0.30 0.28 0.30 1XXX.00.00.0000000P0 38.2581 4 92543TCCaloric vestibular test A 0.00 0.11 0.11 0.11 0.11 0.01 0.12 0.12 0.12 0.12 1XXX.00.00.0000000P0 38.2581 4 9254326Caloric vestibular test A 0.10 0.05 0.07 0.05 0.07 0.01 0.16 0.18 0.16 0.18 1XXX.00.00.0000000P0 38.2581 4 92544 Optokinetic nystagmus test A 0.26 0.34 0.38 0.34 0.38 0.03 0.63 0.67 0.63 0.67 1XXX.00.00.0000000P0 38.2581 4 92544TCOptokinetic nystagmus test A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0000000P0 38.2581 4 9254426Optokinetic nystagmus test A 0.26 0.13 0.17 0.13 0.17 0.01 0.40 0.44 0.40 0.44 1XXX.00.00.0000000P0 38.2581 4 92545 Oscillating tracking test A 0.23 0.32 0.35 0.32 0.35 0.03 0.58 0.61 0.58 0.61 1XXX.00.00.0000000P0 38.2581 4 92545TCOscillating tracking test A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0000000P0 38.2581 4 9254526Oscillating tracking test A 0.23 0.11 0.14 0.11 0.14 0.01 0.35 0.38 0.35 0.38 1XXX.00.00.0000000P0 38.2581 4 92546 Sinusoidal rotational test A 0.29 0.38 0.43 0.38 0.43 0.03 0.70 0.75 0.70 0.75 1XXX.00.00.0000000P0 38.2581 4 92546TCSinusoidal rotational test A 0.00 0.24 0.24 0.24 0.24 0.02 0.26 0.26 0.26 0.26 1XXX.00.00.0000000P0 38.2581 4 9254626Sinusoidal rotational test A 0.29 0.14 0.19 0.14 0.19 0.01 0.44 0.49 0.44 0.49 1XXX.00.00.0000000P0 38.2581 4 92547 Supplemental electrical test A 0.00 0.56 0.57 0.56 0.57 0.05 0.61 0.62 0.61 0.62 3ZZZ.00.00.0000000P0 38.2581 4 92548 Posturography A 0.50 1.72 1.80 1.72 1.80 0.13 2.35 2.43 2.35 2.43 1XXX.00.00.0000000P0 38.2581 4 92548TCPosturography A 0.00 1.46 1.48 1.46 1.48 0.11 1.57 1.59 1.57 1.59 1XXX.00.00.0000000P0 38.2581 4 9254826Posturography A 0.50 0.26 0.32 0.26 0.32 0.02 0.78 0.84 0.78 0.84 1XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 92552 Pure tone audiometry, air A 0.00 0.44 0.45 0.44 0.45 0.03 0.47 0.48 0.47 0.48 3XXX.00.00.0002000P0 38.2581 4 92553 Audiometry, air & bone A 0.00 0.65 0.66 0.65 0.66 0.05 0.70 0.71 0.70 0.71 3XXX.00.00.0002000P0 38.2581 4 92555 Speech threshold audiometry A 0.00 0.37 0.38 0.37 0.38 0.03 0.40 0.41 0.40 0.41 3XXX.00.00.0002000P0 38.2581 4 92556 Speech audiometry, complete A 0.00 0.57 0.58 0.57 0.58 0.05 0.62 0.63 0.62 0.63 3XXX.00.00.0002000P0 38.2581 4 92557 Comprehensive hearing test A 0.00 1.18 1.19 1.18 1.19 0.10 1.28 1.29 1.28 1.29 3XXX.00.00.0002000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 92561 Bekesy audiometry, diagnosis A 0.00 0.71 0.72 0.71 0.72 0.05 0.76 0.77 0.76 0.77 3XXX.00.00.0002000P0 38.2581 4 92562 Loudness balance test A 0.00 0.40 0.41 0.40 0.41 0.03 0.43 0.44 0.43 0.44 3XXX.00.00.0002000P0 38.2581 4 92563 Tone decay hearing test A 0.00 0.37 0.38 0.37 0.38 0.03 0.40 0.41 0.40 0.41 3XXX.00.00.0002000P0 38.2581 4 92564 Sisi hearing test A 0.00 0.47 0.48 0.47 0.48 0.04 0.51 0.52 0.51 0.52 3XXX.00.00.0002000P0 38.2581 4 92565 Stenger test, pure tone A 0.00 0.39 0.40 0.39 0.35 0.03 0.42 0.43 0.42 0.38 3XXX.00.00.0002000P0 38.2581 4 92567 Tympanometry A 0.00 0.52 0.53 0.52 0.53 0.05 0.57 0.58 0.57 0.58 3XXX.00.00.0002000P0 38.2581 4 92568 Acoustic reflex testing A 0.00 0.37 0.38 0.37 0.38 0.03 0.40 0.41 0.40 0.41 3XXX.00.00.0002000P0 38.2581 4 92569 Acoustic reflex decay test A 0.00 0.40 0.41 0.40 0.41 0.03 0.43 0.44 0.43 0.44 3XXX.00.00.0002000P0 38.2581 4 92571 Filtered speech hearing test A 0.00 0.38 0.39 0.38 0.34 0.03 0.41 0.42 0.41 0.37 3XXX.00.00.0002000P0 38.2581 4 92572 Staggered spondaic word test A 0.00 0.09 0.09 0.09 0.09 0.01 0.10 0.10 0.10 0.10 3XXX.00.00.0002000P0 38.2581 4 92573 Lombard test A 0.00 0.35 0.35 0.35 0.35 0.03 0.38 0.38 0.38 0.38 3XXX.00.00.0002000P0 38.2581 4 92575 Sensorineural acuity test A 0.00 0.30 0.30 0.30 0.27 0.02 0.32 0.32 0.32 0.29 3XXX.00.00.0002000P0 38.2581 4 92576 Synthetic sentence test A 0.00 0.44 0.45 0.44 0.39 0.04 0.48 0.49 0.48 0.43 3XXX.00.00.0002000P0 38.2581 4 92577 Stenger test, speech A 0.00 0.71 0.72 0.71 0.63 0.06 0.77 0.78 0.77 0.69 3XXX.00.00.0002000P0 38.2581 4 92579 Visual audiometry (vra) A 0.00 0.72 0.73 0.72 0.73 0.05 0.77 0.78 0.77 0.78 3XXX.00.00.0002000P0 38.2581 4 92582 Conditioning play audiometry A 0.00 0.72 0.73 0.72 0.64 0.05 0.77 0.78 0.77 0.69 3XXX.00.00.0002000P0 38.2581 4 92583 Select picture audiometry A 0.00 0.88 0.89 0.88 0.89 0.07 0.95 0.96 0.95 0.96 3XXX.00.00.0002000P0 38.2581 4 92584 Electrocochleography A 0.00 2.46 2.49 2.46 2.49 0.17 2.63 2.66 2.63 2.66 3XXX.00.00.0002000P0 38.2581 4 92585 Auditor evoke potent, compre A 0.50 2.06 2.43 2.06 2.43 0.14 2.70 3.07 2.70 3.07 1XXX.00.00.0002000P0 38.2581 4 92585TCAuditor evoke potent, compre A 0.00 1.84 1.86 1.84 1.86 0.12 1.96 1.98 1.96 1.98 1XXX.00.00.0002000P0 38.2581 4 9258526Auditor evoke potent, compre A 0.50 0.22 0.57 0.22 0.57 0.02 0.74 1.09 0.74 1.09 1XXX.00.00.0002000P0 38.2581 4 92586 Auditor evoke potent, limit A 0.00 1.84 1.84 1.84 1.84 0.12 1.96 1.96 1.96 1.96 3XXX.00.00.000200090 38.2581 5 92587 Evoked auditory test A 0.13 1.37 1.39 1.37 1.39 0.10 1.60 1.62 1.60 1.62 1XXX.00.00.0002000P0 38.2581 4 92587TCEvoked auditory test A 0.00 1.30 1.31 1.30 1.31 0.09 1.39 1.40 1.39 1.40 1XXX.00.00.0002000P0 38.2581 4 9258726Evoked auditory test A 0.13 0.07 0.08 0.07 0.08 0.01 0.21 0.22 0.21 0.22 1XXX.00.00.0002000P0 38.2581 4 92588 Evoked auditory test A 0.36 1.63 1.69 1.63 1.69 0.12 2.11 2.17 2.11 2.17 1XXX.00.00.0002000P0 38.2581 4 92588TCEvoked auditory test A 0.00 1.46 1.48 1.46 1.48 0.11 1.57 1.59 1.57 1.59 1XXX.00.00.0002000P0 38.2581 4 9258826Evoked auditory test A 0.36 0.17 0.21 0.17 0.21 0.01 0.54 0.58 0.54 0.58 1XXX.00.00.0002000P0 38.2581 4 92589 Auditory function test(s) A 0.00 0.53 0.54 0.53 0.54 0.05 0.58 0.59 0.58 0.59 3XXX.00.00.0002000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 92594 Electro hearng aid test, one N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 92595 Electro hearng aid tst, both N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 92596 Ear protector evaluation A 0.00 0.59 0.60 0.59 0.60 0.05 0.64 0.65 0.64 0.65 3XXX.00.00.0002000P0 38.2581 4 92597 Oral speech device eval G+ 1.35 1.49 1.39 0.54 0.68 0.05 2.89 2.79 1.94 2.08 9XXX.00.00.0099999P9 38.2581 9 92598 Modify oral speech device G+ 0.99 0.76 0.75 0.40 0.48 0.04 1.79 1.78 1.43 1.51 9XXX.00.00.0099999P9 38.2581 9 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 92950 Heart/lung resuscitation cpr A 3.80 1.38 1.65 1.17 1.49 0.21 5.39 5.66 5.18 5.50 0000.00.00.0000000P0 38.2581 4 92953 Temporary external pacing A 0.23 0.24 NA 0.25 0.24 0.25 0.01 0.48 0.49 0.48 0.49 0000.00.00.0000000P0 38.2581 4 92960 Cardioversion electric, ext A 2.25 2.19 2.15 0.93 1.21 0.08 4.52 4.48 3.26 3.54 0000.00.00.0000000P0 38.2581 4 92961 Cardioversion, electric, int A 4.60 1.96 NA 1.96 1.96 1.96 0.17 6.73 6.73 6.73 6.73 0000.00.00.009999999 38.2581 5 92970 Cardioassist, internal A 3.52 1.06 NA 1.74 1.06 1.74 0.17 4.75 5.43 4.75 5.43 0000.00.00.0000000P0 38.2581 4 92971 Cardioassist, external A 1.77 0.92 NA 0.99 0.92 0.99 0.06 2.75 2.82 2.75 2.82 0000.00.00.0000000P0 38.2581 4 92975 Dissolve clot, heart vessel A 7.25 3.16 NA 3.92 3.16 3.92 0.22 10.63 11.39 10.63 11.39 0000.00.00.0020000P0 38.2581 4 92977 Dissolve clot, heart vessel A 0.00 7.99 8.08 7.99 8.08 0.38 8.37 8.46 8.37 8.46 5XXX.00.00.0000000P0 38.2581 4 92978 Intravasc us, heart add-on A 1.80 5.31 5.45 5.31 5.45 0.26 7.37 7.51 7.37 7.51 1ZZZ.00.00.0000000P0 38.2581 4 92978TCIntravasc us, heart add-on A 0.00 4.53 4.58 4.53 4.58 0.20 4.73 4.78 4.73 4.78 1ZZZ.00.00.0000000P0 38.2581 4 9297826Intravasc us, heart add-on A 1.80 0.78 0.87 0.78 0.87 0.06 2.64 2.73 2.64 2.73 1ZZZ.00.00.0000000P0 38.2581 4 92979 Intravasc us, heart add-on A 1.44 2.91 3.00 2.91 3.00 0.15 4.50 4.59 4.50 4.59 1ZZZ.00.00.0000000P0 38.2581 4 92979TCIntravasc us, heart add-on A 0.00 2.28 2.30 2.28 2.30 0.11 2.39 2.41 2.39 2.41 1ZZZ.00.00.0000000P0 38.2581 4 9297926Intravasc us, heart add-on A 1.44 0.63 0.70 0.63 0.70 0.04 2.11 2.18 2.11 2.18 1ZZZ.00.00.0000000P0 38.2581 4 92980 Insert intracoronary stent A 14.84 6.47 NA 9.28 6.47 9.28 0.78 22.09 24.90 22.09 24.90 0000.00.00.0020000P0 38.2581 4 92981 Insert intracoronary stent A 4.17 1.81 NA 2.60 1.81 2.60 0.21 6.19 6.98 6.19 6.98 0ZZZ.00.00.0000000P0 38.2581 4 92982 Coronary artery dilation A 10.98 4.81 NA 6.89 4.81 6.89 0.57 16.36 18.44 16.36 18.44 0000.00.00.0020000P0 38.2581 4 92984 Coronary artery dilation A 2.97 1.29 NA 1.86 1.29 1.86 0.16 4.42 4.99 4.42 4.99 0ZZZ.00.00.0000000P0 38.2581 4 92986 Revision of aortic valve A 21.80 11.22 NA11.68 11.22 11.68 1.14 34.16 34.62 34.16 34.62 0090.09.84.0720000P0 38.2581 4 92987 Revision of mitral valve A 22.70 11.62 NA12.03 11.62 12.03 1.18 35.50 35.91 35.50 35.91 0090.09.84.0720000P0 38.2581 4 92990 Revision of pulmonary valve A 17.34 9.38 NA 9.64 9.38 9.64 0.90 27.62 27.88 27.62 27.88 0090.09.84.0720000P0 38.2581 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 0090.09.84.0720200P0 38.2581 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 0090.09.84.0720200P0 38.2581 9 92995 Coronary atherectomy A 12.09 5.27 NA 7.56 5.27 7.56 0.63 17.99 20.28 17.99 20.28 0000.00.00.0020000P0 38.2581 4 92996 Coronary atherectomy add-on A 3.26 1.45 NA 2.06 1.45 2.06 0.17 4.88 5.49 4.88 5.49 0ZZZ.00.00.0000000P0 38.2581 4 92997 Pul art balloon repr, percut A 12.00 5.06 NA 7.38 5.06 7.38 0.63 17.69 20.01 17.69 20.01 0000.00.00.0020000P0 38.2581 4 92998 Pul art balloon repr, percut A 6.00 2.45 NA 2.87 2.45 2.87 0.31 8.76 9.18 8.76 9.18 0ZZZ.00.00.0000000P0 38.2581 4 93000 Electrocardiogram, complete A 0.17 0.52 0.56 0.52 0.56 0.03 0.72 0.76 0.72 0.76 4XXX.00.00.0000000P0 38.2581 4 93005 Electrocardiogram, tracing A 0.00 0.45 0.46 0.45 0.46 0.02 0.47 0.48 0.47 0.48 3XXX.00.00.0000000P0 38.2581 4 93010 Electrocardiogram report A 0.17 0.07 0.10 0.07 0.10 0.01 0.25 0.28 0.25 0.28 2XXX.00.00.0000000P0 38.2581 4 93012 Transmission of ecg A 0.00 2.34 2.37 2.34 2.37 0.15 2.49 2.52 2.49 2.52 3XXX.00.00.0000000P0 38.2581 4 93014 Report on transmitted ecg A 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 2XXX.00.00.0000000P0 38.2581 4 93015 Cardiovascular stress test A 0.75 1.98 2.12 1.98 2.12 0.11 2.84 2.98 2.84 2.98 4XXX.00.00.0000000P0 38.2581 4 93016 Cardiovascular stress test A 0.45 0.19 0.25 0.19 0.25 0.01 0.65 0.71 0.65 0.71 2XXX.00.00.0000000P0 38.2581 4 93017 Cardiovascular stress test A 0.00 1.67 1.69 1.67 1.69 0.09 1.76 1.78 1.76 1.78 3XXX.00.00.0000000P0 38.2581 4 93018 Cardiovascular stress test A 0.30 0.12 0.18 0.12 0.18 0.01 0.43 0.49 0.43 0.49 2XXX.00.00.0000000P0 38.2581 4 93024 Cardiac drug stress test A 1.17 1.60 1.84 1.60 1.84 0.11 2.88 3.12 2.88 3.12 1XXX.00.00.0000000P0 38.2581 4 93024TCCardiac drug stress test A 0.00 1.11 1.12 1.11 1.12 0.07 1.18 1.19 1.18 1.19 1XXX.00.00.0000000P0 38.2581 4 9302426Cardiac drug stress test A 1.17 0.49 0.72 0.49 0.72 0.04 1.70 1.93 1.70 1.93 1XXX.00.00.0000000P0 38.2581 4 93040 Rhythm ECG with report A 0.16 0.19 0.21 0.19 0.21 0.02 0.37 0.39 0.37 0.39 4XXX.00.00.0000000P0 38.2581 4 93041 Rhythm ECG, tracing A 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 3XXX.00.00.0000000P0 38.2581 4 93042 Rhythm ECG, report A 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 2XXX.00.00.0000000P0 38.2581 4 93224 ECG monitor/report, 24 hrs A 0.52 3.61 3.74 3.61 3.74 0.21 4.34 4.47 4.34 4.47 4XXX.00.00.0000000P0 38.2581 4 93225 ECG monitor/record, 24 hrs A 0.00 1.23 1.24 1.23 1.24 0.07 1.30 1.31 1.30 1.31 3XXX.00.00.0000000P0 38.2581 4 93226 ECG monitor/report, 24 hrs A 0.00 2.17 2.19 2.17 2.19 0.12 2.29 2.31 2.29 2.31 3XXX.00.00.0000000P0 38.2581 4 93227 ECG monitor/review, 24 hrs A 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 2XXX.00.00.0000000P0 38.2581 4 93230 ECG monitor/report, 24 hrs A 0.52 3.88 4.02 3.88 4.02 0.22 4.62 4.76 4.62 4.76 4XXX.00.00.0000000P0 38.2581 4 93231 Ecg monitor/record, 24 hrs A 0.00 1.51 1.53 1.51 1.53 0.09 1.60 1.62 1.60 1.62 3XXX.00.00.0000000P0 38.2581 4 93232 ECG monitor/report, 24 hrs A 0.00 2.16 2.18 2.16 2.18 0.11 2.27 2.29 2.27 2.29 3XXX.00.00.0000000P0 38.2581 4 93233 ECG monitor/review, 24 hrs A 0.52 0.21 0.31 0.21 0.31 0.02 0.75 0.85 0.75 0.85 2XXX.00.00.0000000P0 38.2581 4 93235 ECG monitor/report, 24 hrs A 0.45 2.78 2.90 2.78 2.90 0.13 3.36 3.48 3.36 3.48 4XXX.00.00.0000000P0 38.2581 4 93236 ECG monitor/report, 24 hrs A 0.00 2.60 2.63 2.60 2.63 0.12 2.72 2.75 2.72 2.75 3XXX.00.00.0000000P0 38.2581 4 93237 ECG monitor/review, 24 hrs A 0.45 0.18 0.27 0.18 0.27 0.01 0.64 0.73 0.64 0.73 2XXX.00.00.0000000P0 38.2581 4 93268 ECG record/review A 0.52 3.77 3.87 3.77 3.87 0.24 4.53 4.63 4.53 4.63 4XXX.00.00.0000000P0 38.2581 4 93270 ECG recording A 0.00 1.23 1.24 1.23 1.24 0.07 1.30 1.31 1.30 1.31 3XXX.00.00.0000000P0 38.2581 4 93271 Ecg/monitoring and analysis A 0.00 2.34 2.37 2.34 2.37 0.15 2.49 2.52 2.49 2.52 3XXX.00.00.0000000P0 38.2581 4 93272 Ecg/review, interpret only A 0.52 0.20 0.26 0.20 0.26 0.02 0.74 0.80 0.74 0.80 2XXX.00.00.0000000P0 38.2581 4 93278 ECG/signal-averaged A 0.25 1.25 1.31 1.25 1.31 0.10 1.60 1.66 1.60 1.66 1XXX.00.00.0000000P0 38.2581 4 93278TCECG/signal-averaged A 0.00 1.14 1.15 1.14 1.15 0.09 1.23 1.24 1.23 1.24 1XXX.00.00.0000000P0 38.2581 4 9327826ECG/signal-averaged A 0.25 0.11 0.16 0.11 0.16 0.01 0.37 0.42 0.37 0.42 1XXX.00.00.0000000P0 38.2581 4 93303 Echo transthoracic A 1.30 4.33 4.52 4.33 4.52 0.23 5.86 6.05 5.86 6.05 1XXX.00.00.0000000P0 38.2581 4 93303TCEcho transthoracic A 0.00 3.83 3.87 3.83 3.87 0.19 4.02 4.06 4.02 4.06 1XXX.00.00.0000000P0 38.2581 4 9330326Echo transthoracic A 1.30 0.50 0.65 0.50 0.65 0.04 1.84 1.99 1.84 1.99 1XXX.00.00.0000000P0 38.2581 4 93304 Echo transthoracic A 0.75 2.24 2.37 2.24 2.37 0.13 3.12 3.25 3.12 3.25 1XXX.00.00.0000000P0 38.2581 4 93304TCEcho transthoracic A 0.00 1.93 1.95 1.93 1.95 0.11 2.04 2.06 2.04 2.06 1XXX.00.00.0000000P0 38.2581 4 9330426Echo transthoracic A 0.75 0.31 0.42 0.31 0.42 0.02 1.08 1.19 1.08 1.19 1XXX.00.00.0000000P0 38.2581 4 93307 Echo exam of heart A 0.92 4.22 4.44 4.22 4.44 0.22 5.36 5.58 5.36 5.58 1XXX.00.00.0000000P0 38.2581 4 93307TCEcho exam of heart A 0.00 3.83 3.87 3.83 3.87 0.19 4.02 4.06 4.02 4.06 1XXX.00.00.0000000P0 38.2581 4 9330726Echo exam of heart A 0.92 0.39 0.57 0.39 0.57 0.03 1.34 1.52 1.34 1.52 1XXX.00.00.0000000P0 38.2581 4 93308 Echo exam of heart A 0.53 2.15 2.27 2.15 2.27 0.13 2.81 2.93 2.81 2.93 1XXX.00.00.0000000P0 38.2581 4 93308TCEcho exam of heart A 0.00 1.93 1.95 1.93 1.95 0.11 2.04 2.06 2.04 2.06 1XXX.00.00.0000000P0 38.2581 4 9330826Echo exam of heart A 0.53 0.22 0.32 0.22 0.32 0.02 0.77 0.87 0.77 0.87 1XXX.00.00.0000000P0 38.2581 4 93312 Echo transesophageal A 2.20 4.65 4.84 4.65 4.84 0.32 7.17 7.36 7.17 7.36 1XXX.00.00.0000000P0 38.2581 4 93312TCEcho transesophageal A 0.00 3.76 3.80 3.76 3.80 0.24 4.00 4.04 4.00 4.04 1XXX.00.00.0000000P0 38.2581 4 9331226Echo transesophageal A 2.20 0.89 1.04 0.89 1.04 0.08 3.17 3.32 3.17 3.32 1XXX.00.00.0000000P0 38.2581 4 93313 Echo transesophageal A 0.95 4.30 3.41 0.22 0.35 0.05 5.30 4.41 1.22 1.35 0XXX.00.00.0000000P0 38.2581 4 93314 Echo transesophageal A 1.25 4.28 4.37 4.28 4.37 0.28 5.81 5.90 5.81 5.90 1XXX.00.00.0000000P0 38.2581 4 93314TCEcho transesophageal A 0.00 3.76 3.80 3.76 3.80 0.24 4.00 4.04 4.00 4.04 1XXX.00.00.0000000P0 38.2581 4 9331426Echo transesophageal A 1.25 0.52 0.57 0.52 0.57 0.04 1.81 1.86 1.81 1.86 1XXX.00.00.0000000P0 38.2581 4 93315 Echo transesophageal A 2.78 4.86 4.99 4.86 4.99 0.34 7.98 8.11 7.98 8.11 1XXX.00.00.0000000P0 38.2581 4 93315TCEcho transesophageal A 0.00 3.76 3.80 3.76 3.80 0.24 4.00 4.04 4.00 4.04 1XXX.00.00.0000000P0 38.2581 4 9331526Echo transesophageal A 2.78 1.10 1.19 1.10 1.19 0.10 3.98 4.07 3.98 4.07 1XXX.00.00.0000000P0 38.2581 4 93316 Echo transesophageal A 0.95 3.09 2.50 0.23 0.36 0.05 4.09 3.50 1.23 1.36 0XXX.00.00.0000000P0 38.2581 4 93317 Echo transesophageal A 1.83 4.52 4.55 4.52 4.55 0.30 6.65 6.68 6.65 6.68 1XXX.00.00.0000000P0 38.2581 4 93317TCEcho transesophageal A 0.00 3.76 3.80 3.76 3.80 0.24 4.00 4.04 4.00 4.04 1XXX.00.00.0000000P0 38.2581 4 9331726Echo transesophageal A 1.83 0.76 0.75 0.76 0.75 0.06 2.65 2.64 2.65 2.64 1XXX.00.00.0000000P0 38.2581 4 93318 Echo transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 93318TCEcho transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 9331826Echo transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.000000090 38.2581 9 93320 Doppler echo exam, heart A 0.38 1.86 1.96 1.86 1.96 0.11 2.35 2.45 2.35 2.45 1ZZZ.00.00.0000000P0 38.2581 4 93320TCDoppler echo exam, heart A 0.00 1.70 1.72 1.70 1.72 0.10 1.80 1.82 1.80 1.82 1ZZZ.00.00.0000000P0 38.2581 4 9332026Doppler echo exam, heart A 0.38 0.16 0.24 0.16 0.24 0.01 0.55 0.63 0.55 0.63 1ZZZ.00.00.0000000P0 38.2581 4 93321 Doppler echo exam, heart A 0.15 1.16 1.20 1.16 1.20 0.08 1.39 1.43 1.39 1.43 1ZZZ.00.00.0000000P0 38.2581 4 93321TCDoppler echo exam, heart A 0.00 1.10 1.11 1.10 1.11 0.07 1.17 1.18 1.17 1.18 1ZZZ.00.00.0000000P0 38.2581 4 9332126Doppler echo exam, heart A 0.15 0.06 0.09 0.06 0.09 0.01 0.22 0.25 0.22 0.25 1ZZZ.00.00.0000000P0 38.2581 4 93325 Doppler color flow add-on A 0.07 2.91 2.94 2.91 2.94 0.18 3.16 3.19 3.16 3.19 1ZZZ.00.00.0000000P0 38.2581 4 93325TCDoppler color flow add-on A 0.00 2.88 2.91 2.88 2.91 0.17 3.05 3.08 3.05 3.08 1ZZZ.00.00.0000000P0 38.2581 4 9332526Doppler color flow add-on A 0.07 0.03 0.03 0.03 0.03 0.01 0.11 0.11 0.11 0.11 1ZZZ.00.00.0000000P0 38.2581 4 93350 Echo transthoracic A 0.78 2.08 2.25 2.08 2.25 0.13 2.99 3.16 2.99 3.16 1XXX.00.00.0000000P0 38.2581 4 93350TCEcho transthoracic A 0.00 1.75 1.77 1.75 1.77 0.11 1.86 1.88 1.86 1.88 1XXX.00.00.0000000P0 38.2581 4 9335026Echo transthoracic A 0.78 0.33 0.48 0.33 0.48 0.02 1.13 1.28 1.13 1.28 1XXX.00.00.0000000P0 38.2581 4 93501 Right heart catheterization A 3.02 17.59 18.46 17.59 18.46 1.03 21.64 22.51 21.64 22.51 1000.00.00.0020000P0 38.2581 4 93501TCRight heart catheterization A 0.00 16.32 16.61 16.32 16.61 0.87 17.19 17.48 17.19 17.48 1000.00.00.0000000P0 38.2581 4 9350126Right heart catheterization A 3.02 1.27 1.85 1.27 1.85 0.16 4.45 5.03 4.45 5.03 1000.00.00.0020000P0 38.2581 4 93503 Insert/place heart catheter A 2.91 0.75 NA 1.21 0.75 1.21 0.16 3.82 4.28 3.82 4.28 0000.00.00.0000000P0 38.2581 4 93505 Biopsy of heart lining A 4.38 3.78 4.18 3.78 4.18 0.36 8.52 8.92 8.52 8.92 1000.00.00.0020000P0 38.2581 4 93505TCBiopsy of heart lining A 0.00 1.91 1.95 1.91 1.95 0.13 2.04 2.08 2.04 2.08 1000.00.00.0000000P0 38.2581 4 9350526Biopsy of heart lining A 4.38 1.87 2.23 1.87 2.23 0.23 6.48 6.84 6.48 6.84 1000.00.00.0020000P0 38.2581 4 93508 Cath placement, angiography A 4.10 13.94 14.47 13.94 14.47 0.75 18.79 19.32 18.79 19.32 1000.00.00.0020000P0 38.2581 4 93508TCCath placement, angiography A 0.00 12.17 12.39 12.17 12.39 0.54 12.71 12.93 12.71 12.93 1000.00.00.0000000P0 38.2581 4 9350826Cath placement, angiography A 4.10 1.77 2.08 1.77 2.08 0.21 6.08 6.39 6.08 6.39 1000.00.00.0020000P0 38.2581 4 93510 Left heart catheterization A 4.33 37.54 38.54 37.54 38.54 2.13 44.00 45.00 44.00 45.00 1000.00.00.0020000P0 38.2581 4 93510TCLeft heart catheterization A 0.00 35.66 36.30 35.66 36.30 1.91 37.57 38.21 37.57 38.21 1000.00.00.0000000P0 38.2581 4 9351026Left heart catheterization A 4.33 1.88 2.24 1.88 2.24 0.22 6.43 6.79 6.43 6.79 1000.00.00.0020000P0 38.2581 4 93511 Left heart catheterization A 5.03 36.89 37.69 36.89 37.69 2.11 44.03 44.83 44.03 44.83 1000.00.00.0020000P0 38.2581 4 93511TCLeft heart catheterization A 0.00 34.71 35.34 34.71 35.34 1.85 36.56 37.19 36.56 37.19 1000.00.00.0000000P0 38.2581 4 9351126Left heart catheterization A 5.03 2.18 2.35 2.18 2.35 0.26 7.47 7.64 7.47 7.64 1000.00.00.0020000P0 38.2581 4 93514 Left heart catheterization A 7.05 37.49 38.66 37.49 38.66 2.22 46.76 47.93 46.76 47.93 1000.00.00.0020000P0 38.2581 4 93514TCLeft heart catheterization A 0.00 34.71 35.34 34.71 35.34 1.85 36.56 37.19 36.56 37.19 1000.00.00.0000000P0 38.2581 4 9351426Left heart catheterization A 7.05 2.78 3.32 2.78 3.32 0.37 10.20 10.74 10.20 10.74 1000.00.00.0020000P0 38.2581 4 93524 Left heart catheterization A 6.95 48.31 49.66 48.31 49.66 2.79 58.05 59.40 58.05 59.40 1000.00.00.0020000P0 38.2581 4 93524TCLeft heart catheterization A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9352426Left heart catheterization A 6.95 2.95 3.48 2.95 3.48 0.36 10.26 10.79 10.26 10.79 1000.00.00.0020000P0 38.2581 4 93526 Rt & Lt heart catheters A 5.99 49.20 50.87 49.20 50.87 2.81 58.00 59.67 58.00 59.67 1000.00.00.0020000P0 38.2581 4 93526TCRt & Lt heart catheters A 0.00 46.61 47.45 46.61 47.45 2.50 49.11 49.95 49.11 49.95 1000.00.00.0000000P0 38.2581 4 9352626Rt & Lt heart catheters A 5.99 2.59 3.42 2.59 3.42 0.31 8.89 9.72 8.89 9.72 1000.00.00.0020000P0 38.2581 4 93527 Rt & Lt heart catheters A 7.28 48.50 50.47 48.50 50.47 2.81 58.59 60.56 58.59 60.56 1000.00.00.0020000P0 38.2581 4 93527TCRt & Lt heart catheters A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9352726Rt & Lt heart catheters A 7.28 3.14 4.29 3.14 4.29 0.38 10.80 11.95 10.80 11.95 1000.00.00.0020000P0 38.2581 4 93528 Rt & Lt heart catheters A 9.00 49.31 50.35 49.31 50.35 2.90 61.21 62.25 61.21 62.25 1000.00.00.0020000P0 38.2581 4 93528TCRt & Lt heart catheters A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9352826Rt & Lt heart catheters A 9.00 3.95 4.17 3.95 4.17 0.47 13.42 13.64 13.42 13.64 1000.00.00.0020000P0 38.2581 4 93529 Rt, Lt heart catheterization A 4.80 47.42 48.52 47.42 48.52 2.68 54.90 56.00 54.90 56.00 1000.00.00.0020000P0 38.2581 4 93529TCRt, Lt heart catheterization A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9352926Rt, Lt heart catheterization A 4.80 2.06 2.34 2.06 2.34 0.25 7.11 7.39 7.11 7.39 1000.00.00.0020000P0 38.2581 4 93530 Rt heart cath, congenital A 4.23 17.91 18.78 17.91 18.78 1.11 23.25 24.12 23.25 24.12 1000.00.00.0020000P0 38.2581 4 93530TCRt heart cath, congenital A 0.00 16.32 16.61 16.32 16.61 0.87 17.19 17.48 17.19 17.48 1000.00.00.0000000P0 38.2581 4 9353026Rt heart cath, congenital A 4.23 1.59 2.17 1.59 2.17 0.24 6.06 6.64 6.06 6.64 1000.00.00.0020000P0 38.2581 4 93531 R & l heart cath, congenital A 8.35 49.98 51.46 49.98 51.46 2.96 61.29 62.77 61.29 62.77 1000.00.00.0020000P0 38.2581 4 93531TCR & l heart cath, congenital A 0.00 46.61 47.45 46.61 47.45 2.50 49.11 49.95 49.11 49.95 1000.00.00.0000000P0 38.2581 4 9353126R & l heart cath, congenital A 8.35 3.37 4.01 3.37 4.01 0.46 12.18 12.82 12.18 12.82 1000.00.00.0020000P0 38.2581 4 93532 R & l heart cath, congenital A 10.00 49.37 51.13 49.37 51.13 2.95 62.32 64.08 62.32 64.08 1000.00.00.0020000P0 38.2581 4 93532TCR & l heart cath, congenital A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9353226R & l heart cath, congenital A 10.00 4.01 4.95 4.01 4.95 0.52 14.53 15.47 14.53 15.47 1000.00.00.0020000P0 38.2581 4 93533 R & l heart cath, congenital A 6.70 47.90 48.88 47.90 48.88 2.86 57.46 58.44 57.46 58.44 1000.00.00.0020000P0 38.2581 4 93533TCR & l heart cath, congenital A 0.00 45.36 46.18 45.36 46.18 2.43 47.79 48.61 47.79 48.61 1000.00.00.0000000P0 38.2581 4 9353326R & l heart cath, congenital A 6.70 2.54 2.70 2.54 2.70 0.43 9.67 9.83 9.67 9.83 1000.00.00.0020000P0 38.2581 4 93536 Insert circulation assi A 4.85 2.12 NA 3.04 2.12 3.04 0.27 7.24 8.16 7.24 8.16 0000.00.00.0020000P0 38.2581 4 93539 Injection, cardiac cath A 0.40 0.83 0.86 0.17 0.25 0.01 1.24 1.27 0.58 0.66 0000.00.00.0000000P0 38.2581 4 93540 Injection, cardiac cath A 0.43 0.84 0.87 0.19 0.27 0.01 1.28 1.31 0.63 0.71 0000.00.00.0000000P0 38.2581 4 93541 Injection for lung angiogram A 0.29 0.13 NA 0.19 0.13 0.19 0.01 0.43 0.49 0.43 0.49 0000.00.00.0000000P0 38.2581 4 93542 Injection for heart x-rays A 0.29 0.12 NA 0.18 0.12 0.18 0.01 0.42 0.48 0.42 0.48 0000.00.00.0000000P0 38.2581 4 93543 Injection for heart x-rays A 0.29 0.53 0.55 0.13 0.19 0.01 0.83 0.85 0.43 0.49 0000.00.00.0000000P0 38.2581 4 93544 Injection for aortography A 0.25 0.52 0.55 0.11 0.16 0.01 0.78 0.81 0.37 0.42 0000.00.00.0000000P0 38.2581 4 93545 Inject for coronary x-rays A 0.40 0.83 0.74 0.17 0.25 0.01 1.24 1.15 0.58 0.66 0000.00.00.0000000P0 38.2581 4 93555 Imaging, cardiac cath A 0.81 6.40 6.50 6.40 6.50 0.31 7.52 7.62 7.52 7.62 1XXX.00.00.0000000P0 38.2581 4 93555TCImaging, cardiac cath A 0.00 6.05 6.16 6.05 6.16 0.28 6.33 6.44 6.33 6.44 1XXX.00.00.0000000P0 38.2581 4 9355526Imaging, cardiac cath A 0.81 0.35 0.34 0.35 0.34 0.03 1.19 1.18 1.19 1.18 1XXX.00.00.0000000P0 38.2581 4 93556 Imaging, cardiac cath A 0.83 9.91 10.11 9.91 10.11 0.45 11.19 11.39 11.19 11.39 1XXX.00.00.0000000P0 38.2581 4 93556TCImaging, cardiac cath A 0.00 9.55 9.72 9.55 9.72 0.42 9.97 10.14 9.97 10.14 1XXX.00.00.0000000P0 38.2581 4 9355626Imaging, cardiac cath A 0.83 0.36 0.39 0.36 0.39 0.03 1.22 1.25 1.22 1.25 1XXX.00.00.0000000P0 38.2581 4 93561 Cardiac output measurement A 0.50 0.69 0.81 0.69 0.81 0.07 1.26 1.38 1.26 1.38 1000.00.00.0000000P0 38.2581 4 93561TCCardiac output measurement A 0.00 0.52 0.53 0.52 0.53 0.05 0.57 0.58 0.57 0.58 1000.00.00.0000000P0 38.2581 4 9356126Cardiac output measurement A 0.50 0.17 0.28 0.17 0.28 0.02 0.69 0.80 0.69 0.80 1000.00.00.0000000P0 38.2581 4 93562 Cardiac output measurement A 0.16 0.35 0.40 0.35 0.40 0.04 0.55 0.60 0.55 0.60 1000.00.00.0000000P0 38.2581 4 93562TCCardiac output measurement A 0.00 0.30 0.31 0.30 0.31 0.03 0.33 0.34 0.33 0.34 1000.00.00.0000000P0 38.2581 4 9356226Cardiac output measurement A 0.16 0.05 0.09 0.05 0.09 0.01 0.22 0.26 0.22 0.26 1000.00.00.0000000P0 38.2581 4 93571 Heart flow reserve measure A 1.80 5.29 5.29 5.29 5.29 0.31 7.40 7.40 7.40 7.40 1ZZZ.00.00.0000000P0 38.2581 5 93571TCHeart flow reserve measure A 0.00 4.53 4.53 4.53 4.53 0.20 4.73 4.73 4.73 4.73 1ZZZ.00.00.0000000P0 38.2581 5 9357126Heart flow reserve measure A 1.80 0.76 0.76 0.76 0.76 0.11 2.67 2.67 2.67 2.67 1ZZZ.00.00.0000000P0 38.2581 5 93572 Heart flow reserve measure A 1.44 2.88 2.88 2.88 2.88 0.28 4.60 4.60 4.60 4.60 1ZZZ.00.00.0000000P0 38.2581 5 93572TCHeart flow reserve measure A 0.00 2.28 2.28 2.28 2.28 0.11 2.39 2.39 2.39 2.39 1ZZZ.00.00.0000000P0 38.2581 5 9357226Heart flow reserve measure A 1.44 0.60 0.60 0.60 0.60 0.17 2.21 2.21 2.21 2.21 1ZZZ.00.00.0000000P0 38.2581 5 93600 Bundle of His recording A 2.12 2.85 3.28 2.85 3.28 0.22 5.19 5.62 5.19 5.62 1000.00.00.0000000P0 38.2581 4 93600TCBundle of His recording A 0.00 1.94 1.96 1.94 1.96 0.11 2.05 2.07 2.05 2.07 1000.00.00.0000000P0 38.2581 4 9360026Bundle of His recording A 2.12 0.91 1.32 0.91 1.32 0.11 3.14 3.55 3.14 3.55 1000.00.00.0000000P0 38.2581 4 93602 Intra-atrial recording A 2.12 2.02 2.28 2.02 2.28 0.18 4.32 4.58 4.32 4.58 1000.00.00.0000000P0 38.2581 4 93602TCIntra-atrial recording A 0.00 1.10 1.11 1.10 1.11 0.06 1.16 1.17 1.16 1.17 1000.00.00.0000000P0 38.2581 4 9360226Intra-atrial recording A 2.12 0.92 1.17 0.92 1.17 0.12 3.16 3.41 3.16 3.41 1000.00.00.0000000P0 38.2581 4 93603 Right ventricular recording A 2.12 2.59 2.98 2.59 2.98 0.20 4.91 5.30 4.91 5.30 1000.00.00.0000000P0 38.2581 4 93603TCRight ventricular recording A 0.00 1.67 1.69 1.67 1.69 0.09 1.76 1.78 1.76 1.78 1000.00.00.0000000P0 38.2581 4 9360326Right ventricular recording A 2.12 0.92 1.29 0.92 1.29 0.11 3.15 3.52 3.15 3.52 1000.00.00.0000000P0 38.2581 4 93607 Left ventricular recording A 3.26 2.91 3.17 2.91 3.17 0.26 6.43 6.69 6.43 6.69 1000.00.00.0000000P0 38.2581 4 93607TCLeft ventricular recording A 0.00 1.48 1.50 1.48 1.50 0.09 1.57 1.59 1.57 1.59 1000.00.00.0000000P0 38.2581 4 9360726Left ventricular recording A 3.26 1.43 1.67 1.43 1.67 0.17 4.86 5.10 4.86 5.10 1000.00.00.0000000P0 38.2581 4 93609 Mapping of tachycardia A 10.07 7.04 7.03 7.04 7.03 0.66 17.77 17.76 17.77 17.76 1000.00.00.0000000P0 38.2581 4 93609TCMapping of tachycardia A 0.00 2.70 2.73 2.70 2.73 0.14 2.84 2.87 2.84 2.87 1000.00.00.0000000P0 38.2581 4 9360926Mapping of tachycardia A 10.07 4.34 4.30 4.34 4.30 0.52 14.93 14.89 14.93 14.89 1000.00.00.0000000P0 38.2581 4 93610 Intra-atrial pacing A 3.02 2.64 2.96 2.64 2.96 0.25 5.91 6.23 5.91 6.23 1000.00.00.0000000P0 38.2581 4 93610TCIntra-atrial pacing A 0.00 1.35 1.36 1.35 1.36 0.08 1.43 1.44 1.43 1.44 1000.00.00.0000000P0 38.2581 4 9361026Intra-atrial pacing A 3.02 1.29 1.60 1.29 1.60 0.17 4.48 4.79 4.48 4.79 1000.00.00.0000000P0 38.2581 4 93612 Intraventricular pacing A 3.02 2.90 3.23 2.90 3.23 0.26 6.18 6.51 6.18 6.51 1000.00.00.0000000P0 38.2581 4 93612TCIntraventricular pacing A 0.00 1.60 1.62 1.60 1.62 0.09 1.69 1.71 1.69 1.71 1000.00.00.0000000P0 38.2581 4 9361226Intraventricular pacing A 3.02 1.30 1.61 1.30 1.61 0.17 4.49 4.80 4.49 4.80 1000.00.00.0000000P0 38.2581 4 93615 Esophageal recording A 0.99 0.72 0.72 0.72 0.72 0.05 1.76 1.76 1.76 1.76 1000.00.00.0000000P0 38.2581 4 93615TCEsophageal recording A 0.00 0.32 0.32 0.32 0.32 0.02 0.34 0.34 0.34 0.34 1000.00.00.0000000P0 38.2581 4 9361526Esophageal recording A 0.99 0.40 0.40 0.40 0.40 0.03 1.42 1.42 1.42 1.42 1000.00.00.0000000P0 38.2581 4 93616 Esophageal recording A 1.49 0.82 1.07 0.82 1.07 0.08 2.39 2.64 2.39 2.64 1000.00.00.0000000P0 38.2581 4 93616TCEsophageal recording A 0.00 0.32 0.32 0.32 0.32 0.02 0.34 0.34 0.34 0.34 1000.00.00.0000000P0 38.2581 4 9361626Esophageal recording A 1.49 0.50 0.75 0.50 0.75 0.06 2.05 2.30 2.05 2.30 1000.00.00.0000000P0 38.2581 4 93618 Heart rhythm pacing A 4.26 5.78 6.63 5.78 6.63 0.42 10.46 11.31 10.46 11.31 1000.00.00.0000000P0 38.2581 4 93618TCHeart rhythm pacing A 0.00 3.94 3.98 3.94 3.98 0.20 4.14 4.18 4.14 4.18 1000.00.00.0000000P0 38.2581 4 9361826Heart rhythm pacing A 4.26 1.84 2.65 1.84 2.65 0.22 6.32 7.13 6.32 7.13 1000.00.00.0000000P0 38.2581 4 93619 Electrophysiology evaluation A 7.32 10.80 12.28 10.80 12.28 0.77 18.89 20.37 18.89 20.37 1000.00.00.0000000P0 38.2581 4 93619TCElectrophysiology evaluation A 0.00 7.65 7.73 7.65 7.73 0.39 8.04 8.12 8.04 8.12 1000.00.00.0000000P0 38.2581 4 9361926Electrophysiology evaluation A 7.32 3.15 4.55 3.15 4.55 0.38 10.85 12.25 10.85 12.25 1000.00.00.0000000P0 38.2581 4 93620 Electrophysiology evaluation A 11.59 13.91 16.21 13.91 16.21 1.04 26.54 28.84 26.54 28.84 1000.00.00.0000000P0 38.2581 4 93620TCElectrophysiology evaluation A 0.00 8.90 8.99 8.90 8.99 0.44 9.34 9.43 9.34 9.43 1000.00.00.0000000P0 38.2581 4 9362026Electrophysiology evaluation A 11.59 5.01 7.22 5.01 7.22 0.60 17.20 19.41 17.20 19.41 1000.00.00.0000000P0 38.2581 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 1000.00.00.0000000P0 38.2581 9 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 38.2581 9 9362126Electrophysiology evaluation A 12.66 5.47 7.88 5.47 7.88 0.66 18.79 21.20 18.79 21.20 1000.00.00.0000000P0 38.2581 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 1000.00.00.0000000P0 38.2581 9 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1000.00.00.0000000P0 38.2581 9 9362226Electrophysiology evaluation A 12.74 5.48 7.91 5.48 7.91 0.67 18.89 21.32 18.89 21.32 1000.00.00.0000000P0 38.2581 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 1ZZZ.00.00.0000000P0 38.2581 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 1ZZZ.00.00.0000000P0 38.2581 9 9362326Stimulation, pacing heart A 2.85 1.23 1.68 1.23 1.68 0.15 4.23 4.68 4.23 4.68 1ZZZ.00.00.0000000P0 38.2581 4 93624 Electrophysiologic study A 4.81 4.03 4.35 4.03 4.35 0.36 9.20 9.52 9.20 9.52 1000.00.00.0000000P0 38.2581 4 93624TCElectrophysiologic study A 0.00 1.97 1.99 1.97 1.99 0.11 2.08 2.10 2.08 2.10 1000.00.00.0000000P0 38.2581 4 9362426Electrophysiologic study A 4.81 2.06 2.36 2.06 2.36 0.25 7.12 7.42 7.12 7.42 1000.00.00.0000000P0 38.2581 4 93631 Heart pacing, mapping A 7.60 9.30 10.13 9.30 10.13 1.17 18.07 18.90 18.07 18.90 1000.00.00.0000000P0 38.2581 4 93631TCHeart pacing, mapping A 0.00 6.10 6.17 6.10 6.17 0.51 6.61 6.68 6.61 6.68 1000.00.00.0000000P0 38.2581 4 9363126Heart pacing, mapping A 7.60 3.20 3.96 3.20 3.96 0.66 11.46 12.22 11.46 12.22 1000.00.00.0000000P0 38.2581 4 93640 Evaluation heart device A 3.52 8.59 9.35 8.59 9.35 0.53 12.64 13.40 12.64 13.40 1000.00.00.0000000P0 38.2581 4 93640TCEvaluation heart device A 0.00 7.12 7.20 7.12 7.20 0.35 7.47 7.55 7.47 7.55 1000.00.00.0000000P0 38.2581 4 9364026Evaluation heart device A 3.52 1.47 2.15 1.47 2.15 0.18 5.17 5.85 5.17 5.85 1000.00.00.0000000P0 38.2581 4 93641 Electrophysiology evaluation A 5.93 9.68 10.89 9.68 10.89 0.66 16.27 17.48 16.27 17.48 1000.00.00.0000000P0 38.2581 4 93641TCElectrophysiology evaluation A 0.00 7.12 7.20 7.12 7.20 0.35 7.47 7.55 7.47 7.55 1000.00.00.0000000P0 38.2581 4 9364126Electrophysiology evaluation A 5.93 2.56 3.69 2.56 3.69 0.31 8.80 9.93 8.80 9.93 1000.00.00.0000000P0 38.2581 4 93642 Electrophysiology evaluation A 4.89 9.17 10.20 9.17 10.20 0.51 14.57 15.60 14.57 15.60 1000.00.00.0000000P0 38.2581 4 93642TCElectrophysiology evaluation A 0.00 7.12 7.20 7.12 7.20 0.35 7.47 7.55 7.47 7.55 1000.00.00.0000000P0 38.2581 4 9364226Electrophysiology evaluation A 4.89 2.05 3.00 2.05 3.00 0.16 7.10 8.05 7.10 8.05 1000.00.00.0000000P0 38.2581 4 93650 Ablate heart dysrhythm focus A 10.51 4.61 NA 6.60 4.61 6.60 0.55 15.67 17.66 15.67 17.66 0000.00.00.0000000P0 38.2581 4 93651 Ablate heart dysrhythm focus A 16.25 7.06 NA10.13 7.06 10.13 0.85 24.16 27.23 24.16 27.23 0000.00.00.0000000P0 38.2581 4 93652 Ablate heart dysrhythm focus A 17.68 7.66 NA10.58 7.66 10.58 0.92 26.26 29.18 26.26 29.18 0000.00.00.0000000P0 38.2581 4 93660 Tilt table evaluation A 1.89 2.49 2.68 2.49 2.68 0.08 4.46 4.65 4.46 4.65 1000.00.00.0000000P0 38.2581 4 93660TCTilt table evaluation A 0.00 1.67 1.67 1.67 1.67 0.02 1.69 1.69 1.69 1.69 1000.00.00.0000000P0 38.2581 5 9366026Tilt table evaluation A 1.89 0.82 1.01 0.82 1.01 0.06 2.77 2.96 2.77 2.96 1000.00.00.0000000P0 38.2581 4 93662 Intracardiac ecg (ice) A 2.80 4.98 4.98 4.98 4.98 0.41 8.19 8.19 8.19 8.19 2ZZZ.00.00.000000090 38.2581 5 93662TCIntracardiac ecg (ice) H 0.00 3.76 3.76 3.76 3.76 0.30 4.06 4.06 4.06 4.06 1ZZZ.00.00.000000090 38.2581 5 9366226Intracardiac ecg (ice) H 2.80 1.22 1.22 1.22 1.22 0.11 4.13 4.13 4.13 4.13 1ZZZ.00.00.000000090 38.2581 5 93668 Peripheral vascular rehab N 0.00 0.00 0.00 0.00 0.00 0.01 0.01 0.01 0.01 0.01 9XXX.00.00.009999999 38.2581 9 93720 Total body plethysmography A 0.17 0.75 0.81 0.75 0.71 0.06 0.98 1.04 0.98 0.94 4XXX.00.00.0000000P0 38.2581 4 93721 Plethysmography tracing A 0.00 0.70 0.71 0.70 0.62 0.05 0.75 0.76 0.75 0.67 3XXX.00.00.0000000P0 38.2581 4 93722 Plethysmography report A 0.17 0.05 0.10 0.05 0.09 0.01 0.23 0.28 0.23 0.27 2XXX.00.00.0000000P0 38.2581 4 93724 Analyze pacemaker system A 4.89 6.08 6.37 6.08 6.37 0.38 11.35 11.64 11.35 11.64 1000.00.00.0000000P0 38.2581 4 93724TCAnalyze pacemaker system A 0.00 3.94 3.98 3.94 3.98 0.20 4.14 4.18 4.14 4.18 1000.00.00.0000000P0 38.2581 4 9372426Analyze pacemaker system A 4.89 2.14 2.39 2.14 2.39 0.18 7.21 7.46 7.21 7.46 1000.00.00.0000000P0 38.2581 4 93727 Analyze ilr system A 0.52 0.22 0.22 0.22 0.22 0.05 0.79 0.79 0.79 0.79 2XXX.00.00.009999999 38.2581 5 93731 Analyze pacemaker system A 0.45 0.68 0.73 0.68 0.73 0.05 1.18 1.23 1.18 1.23 1XXX.00.00.0000000P0 38.2581 4 93731TCAnalyze pacemaker system A 0.00 0.49 0.50 0.49 0.50 0.03 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 9373126Analyze pacemaker system A 0.45 0.19 0.23 0.19 0.23 0.02 0.66 0.70 0.66 0.70 1XXX.00.00.0000000P0 38.2581 4 93732 Analyze pacemaker system A 0.92 0.90 0.93 0.90 0.93 0.06 1.88 1.91 1.88 1.91 1XXX.00.00.0000000P0 38.2581 4 93732TCAnalyze pacemaker system A 0.00 0.51 0.52 0.51 0.52 0.03 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 9373226Analyze pacemaker system A 0.92 0.39 0.41 0.39 0.41 0.03 1.34 1.36 1.34 1.36 1XXX.00.00.0000000P0 38.2581 4 93733 Telephone analy, pacemaker A 0.17 0.79 0.84 0.79 0.84 0.06 1.02 1.07 1.02 1.07 1XXX.00.00.0000000P0 38.2581 4 93733TCTelephone analy, pacemaker A 0.00 0.72 0.73 0.72 0.73 0.05 0.77 0.78 0.77 0.78 1XXX.00.00.0000000P0 38.2581 4 9373326Telephone analy, pacemaker A 0.17 0.07 0.11 0.07 0.11 0.01 0.25 0.29 0.25 0.29 1XXX.00.00.0000000P0 38.2581 4 93734 Analyze pacemaker system A 0.38 0.51 0.56 0.51 0.56 0.03 0.92 0.97 0.92 0.97 1XXX.00.00.0000000P0 38.2581 4 93734TCAnalyze pacemaker system A 0.00 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 1XXX.00.00.0000000P0 38.2581 4 9373426Analyze pacemaker system A 0.38 0.16 0.21 0.16 0.21 0.01 0.55 0.60 0.55 0.60 1XXX.00.00.0000000P0 38.2581 4 93735 Analyze pacemaker system A 0.74 0.76 0.81 0.76 0.81 0.06 1.56 1.61 1.56 1.61 1XXX.00.00.0000000P0 38.2581 4 93735TCAnalyze pacemaker system A 0.00 0.44 0.45 0.44 0.45 0.03 0.47 0.48 0.47 0.48 1XXX.00.00.0000000P0 38.2581 4 9373526Analyze pacemaker system A 0.74 0.32 0.36 0.32 0.36 0.03 1.09 1.13 1.09 1.13 1XXX.00.00.0000000P0 38.2581 4 93736 Telephone analy, pacemaker A 0.15 0.69 0.73 0.69 0.73 0.06 0.90 0.94 0.90 0.94 1XXX.00.00.0000000P0 38.2581 4 93736TCTelephone analy, pacemaker A 0.00 0.62 0.63 0.62 0.63 0.05 0.67 0.68 0.67 0.68 1XXX.00.00.0000000P0 38.2581 4 9373626Telephone analy, pacemaker A 0.15 0.07 0.10 0.07 0.10 0.01 0.23 0.26 0.23 0.26 1XXX.00.00.0000000P0 38.2581 4 93737 Analyze cardio/defibrillator A 0.45 0.68 0.72 0.68 0.72 0.04 1.17 1.21 1.17 1.21 1XXX.00.00.0000000P0 38.2581 4 93737TCAnalyze cardio/defibrillator A 0.00 0.49 0.50 0.49 0.50 0.03 0.52 0.53 0.52 0.53 1XXX.00.00.0000000P0 38.2581 4 9373726Analyze cardio/defibrillator A 0.45 0.19 0.22 0.19 0.22 0.01 0.65 0.68 0.65 0.68 1XXX.00.00.0000000P0 38.2581 4 93738 Analyze cardio/defibrillator A 0.92 0.90 0.92 0.90 0.92 0.06 1.88 1.90 1.88 1.90 1XXX.00.00.0000000P0 38.2581 4 93738TCAnalyze cardio/defibrillator A 0.00 0.51 0.52 0.51 0.52 0.03 0.54 0.55 0.54 0.55 1XXX.00.00.0000000P0 38.2581 4 9373826Analyze cardio/defibrillator A 0.92 0.39 0.40 0.39 0.40 0.03 1.34 1.35 1.34 1.35 1XXX.00.00.0000000P0 38.2581 4 93740 Temperature gradient studies B+ 0.16 0.21 0.28 0.21 0.28 0.02 0.39 0.46 0.39 0.46 1XXX.00.00.0099999P9 38.2581 9 93740TCTemperature gradient studies B+ 0.00 0.15 0.15 0.15 0.15 0.01 0.16 0.16 0.16 0.16 1XXX.00.00.0099999P9 38.2581 9 9374026Temperature gradient studies B+ 0.16 0.06 0.13 0.06 0.13 0.01 0.23 0.30 0.23 0.30 1XXX.00.00.0099999P9 38.2581 9 93741 Analyze ht pace device sngl A 0.80 0.98 0.98 0.98 0.98 0.05 1.83 1.83 1.83 1.83 1XXX.00.00.009999999 38.2581 5 93741TCAnalyze ht pace device sngl A 0.00 0.66 0.66 0.66 0.66 0.03 0.69 0.69 0.69 0.69 1XXX.00.00.009999999 38.2581 5 9374126Analyze ht pace device sngl A 0.80 0.32 0.32 0.32 0.32 0.02 1.14 1.14 1.14 1.14 1XXX.00.00.009999999 38.2581 5 93742 Analyze ht pace device sngl A 0.91 1.02 1.02 1.02 1.02 0.05 1.98 1.98 1.98 1.98 1XXX.00.00.009999999 38.2581 5 93742TCAnalyze ht pace device sngl A 0.00 0.66 0.66 0.66 0.66 0.03 0.69 0.69 0.69 0.69 1XXX.00.00.009999999 38.2581 5 9374226Analyze ht pace device sngl A 0.91 0.36 0.36 0.36 0.36 0.02 1.29 1.29 1.29 1.29 1XXX.00.00.009999999 38.2581 5 93743 Analyze ht pace device dual A 1.03 1.14 1.14 1.14 1.14 0.06 2.23 2.23 2.23 2.23 1XXX.00.00.009999999 38.2581 5 93743TCAnalyze ht pace device dual A 0.00 0.73 0.73 0.73 0.73 0.03 0.76 0.76 0.76 0.76 1XXX.00.00.009999999 38.2581 5 9374326Analyze ht pace device dual A 1.03 0.41 0.41 0.41 0.41 0.03 1.47 1.47 1.47 1.47 1XXX.00.00.009999999 38.2581 5 93744 Analyze ht pace device dual A 1.18 1.13 1.13 1.13 1.13 0.06 2.37 2.37 2.37 2.37 1XXX.00.00.009999999 38.2581 5 93744TCAnalyze ht pace device dual A 0.00 0.66 0.66 0.66 0.66 0.03 0.69 0.69 0.69 0.69 1XXX.00.00.009999999 38.2581 5 9374426Analyze ht pace device dual A 1.18 0.47 0.47 0.47 0.47 0.03 1.68 1.68 1.68 1.68 1XXX.00.00.009999999 38.2581 5 93760 Cephalic thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 93770 Measure venous pressure B+ 0.16 0.09 0.12 0.09 0.12 0.02 0.27 0.30 0.27 0.30 1XXX.00.00.0099999P9 38.2581 9 93770TCMeasure venous pressure B+ 0.00 0.03 0.03 0.03 0.03 0.01 0.04 0.04 0.04 0.04 1XXX.00.00.0099999P9 38.2581 9 9377026Measure venous pressure B+ 0.16 0.06 0.09 0.06 0.09 0.01 0.23 0.26 0.23 0.26 1XXX.00.00.0099999P9 38.2581 9 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 93797 Cardiac rehab A 0.18 0.40 0.36 0.07 0.08 0.01 0.59 0.55 0.26 0.27 0000.00.00.0000000P0 38.2581 4 93798 Cardiac rehab/monitor A 0.28 0.47 0.48 0.12 0.16 0.01 0.76 0.77 0.41 0.45 0000.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000P0 38.2581 9 93875 Extracranial study A 0.22 1.18 1.24 1.18 1.24 0.10 1.50 1.56 1.50 1.56 1XXX.00.00.0002000P0 38.2581 4 93875TCExtracranial study A 0.00 1.10 1.11 1.10 1.11 0.09 1.19 1.20 1.19 1.20 1XXX.00.00.0002000P0 38.2581 4 9387526Extracranial study A 0.22 0.08 0.13 0.08 0.13 0.01 0.31 0.36 0.31 0.36 1XXX.00.00.0002000P0 38.2581 4 93880 Extracranial study A 0.60 3.92 4.01 3.92 4.01 0.33 4.85 4.94 4.85 4.94 1XXX.00.00.0002000P0 38.2581 4 93880TCExtracranial study A 0.00 3.70 3.74 3.70 3.74 0.29 3.99 4.03 3.99 4.03 1XXX.00.00.0002000P0 38.2581 4 9388026Extracranial study A 0.60 0.22 0.27 0.22 0.27 0.04 0.86 0.91 0.86 0.91 1XXX.00.00.0002000P0 38.2581 4 93882 Extracranial study A 0.40 2.61 2.67 2.61 2.67 0.22 3.23 3.29 3.23 3.29 1XXX.00.00.0000000P0 38.2581 4 93882TCExtracranial study A 0.00 2.46 2.49 2.46 2.49 0.18 2.64 2.67 2.64 2.67 1XXX.00.00.0000000P0 38.2581 4 9388226Extracranial study A 0.40 0.15 0.18 0.15 0.18 0.04 0.59 0.62 0.59 0.62 1XXX.00.00.0000000P0 38.2581 4 93886 Intracranial study A 0.94 4.58 4.64 4.58 4.64 0.37 5.89 5.95 5.89 5.95 1XXX.00.00.0000000P0 38.2581 4 93886TCIntracranial study A 0.00 4.19 4.23 4.19 4.23 0.32 4.51 4.55 4.51 4.55 1XXX.00.00.0000000P0 38.2581 4 9388626Intracranial study A 0.94 0.39 0.41 0.39 0.41 0.05 1.38 1.40 1.38 1.40 1XXX.00.00.0000000P0 38.2581 4 93888 Intracranial study A 0.62 3.04 3.09 3.04 3.09 0.26 3.92 3.97 3.92 3.97 1XXX.00.00.0000000P0 38.2581 4 93888TCIntracranial study A 0.00 2.80 2.83 2.80 2.83 0.22 3.02 3.05 3.02 3.05 1XXX.00.00.0000000P0 38.2581 4 9388826Intracranial study A 0.62 0.24 0.26 0.24 0.26 0.04 0.90 0.92 0.90 0.92 1XXX.00.00.0000000P0 38.2581 4 93922 Extremity study A 0.25 1.23 1.29 1.23 1.29 0.13 1.61 1.67 1.61 1.67 1XXX.00.00.0002000P0 38.2581 4 93922TCExtremity study A 0.00 1.14 1.15 1.14 1.15 0.11 1.25 1.26 1.25 1.26 1XXX.00.00.0002000P0 38.2581 4 9392226Extremity study A 0.25 0.09 0.14 0.09 0.14 0.02 0.36 0.41 0.36 0.41 1XXX.00.00.0002000P0 38.2581 4 93923 Extremity study A 0.45 2.34 2.45 2.34 2.45 0.22 3.01 3.12 3.01 3.12 1XXX.00.00.0002000P0 38.2581 4 93923TCExtremity study A 0.00 2.17 2.19 2.17 2.19 0.18 2.35 2.37 2.35 2.37 1XXX.00.00.0002000P0 38.2581 4 9392326Extremity study A 0.45 0.17 0.26 0.17 0.26 0.04 0.66 0.75 0.66 0.75 1XXX.00.00.0002000P0 38.2581 4 93924 Extremity study A 0.50 2.54 2.67 2.54 2.67 0.26 3.30 3.43 3.30 3.43 1XXX.00.00.0002000P0 38.2581 4 93924TCExtremity study A 0.00 2.35 2.38 2.35 2.38 0.21 2.56 2.59 2.56 2.59 1XXX.00.00.0002000P0 38.2581 4 9392426Extremity study A 0.50 0.19 0.29 0.19 0.29 0.05 0.74 0.84 0.74 0.84 1XXX.00.00.0002000P0 38.2581 4 93925 Lower extremity study A 0.58 3.93 4.02 3.93 4.02 0.33 4.84 4.93 4.84 4.93 1XXX.00.00.0002000P0 38.2581 4 93925TCLower extremity study A 0.00 3.72 3.76 3.72 3.76 0.29 4.01 4.05 4.01 4.05 1XXX.00.00.0002000P0 38.2581 4 9392526Lower extremity study A 0.58 0.21 0.26 0.21 0.26 0.04 0.83 0.88 0.83 0.88 1XXX.00.00.0002000P0 38.2581 4 93926 Lower extremity study A 0.39 2.62 2.69 2.62 2.69 0.22 3.23 3.30 3.23 3.30 1XXX.00.00.0000000P0 38.2581 4 93926TCLower extremity study A 0.00 2.48 2.51 2.48 2.51 0.19 2.67 2.70 2.67 2.70 1XXX.00.00.0000000P0 38.2581 4 9392626Lower extremity study A 0.39 0.14 0.18 0.14 0.18 0.03 0.56 0.60 0.56 0.60 1XXX.00.00.0000000P0 38.2581 4 93930 Upper extremity study A 0.46 4.12 4.22 4.12 4.22 0.34 4.92 5.02 4.92 5.02 1XXX.00.00.0002000P0 38.2581 4 93930TCUpper extremity study A 0.00 3.95 3.99 3.95 3.99 0.31 4.26 4.30 4.26 4.30 1XXX.00.00.0002000P0 38.2581 4 9393026Upper extremity study A 0.46 0.17 0.23 0.17 0.23 0.03 0.66 0.72 0.66 0.72 1XXX.00.00.0002000P0 38.2581 4 93931 Upper extremity study A 0.31 2.73 2.80 2.73 2.80 0.22 3.26 3.33 3.26 3.33 1XXX.00.00.0000000P0 38.2581 4 93931TCUpper extremity study A 0.00 2.62 2.65 2.62 2.65 0.20 2.82 2.85 2.82 2.85 1XXX.00.00.0000000P0 38.2581 4 9393126Upper extremity study A 0.31 0.11 0.15 0.11 0.15 0.02 0.44 0.48 0.44 0.48 1XXX.00.00.0000000P0 38.2581 4 93965 Extremity study A 0.35 1.22 1.30 1.22 1.30 0.12 1.69 1.77 1.69 1.77 1XXX.00.00.0002000P0 38.2581 4 93965TCExtremity study A 0.00 1.09 1.10 1.09 1.10 0.10 1.19 1.20 1.19 1.20 1XXX.00.00.0002000P0 38.2581 4 9396526Extremity study A 0.35 0.13 0.20 0.13 0.20 0.02 0.50 0.57 0.50 0.57 1XXX.00.00.0002000P0 38.2581 4 93970 Extremity study A 0.68 4.35 4.44 4.35 4.44 0.38 5.41 5.50 5.41 5.50 1XXX.00.00.0002000P0 38.2581 4 93970TCExtremity study A 0.00 4.10 4.14 4.10 4.14 0.33 4.43 4.47 4.43 4.47 1XXX.00.00.0002000P0 38.2581 4 9397026Extremity study A 0.68 0.25 0.30 0.25 0.30 0.05 0.98 1.03 0.98 1.03 1XXX.00.00.0002000P0 38.2581 4 93971 Extremity study A 0.45 2.89 2.95 2.89 2.95 0.25 3.59 3.65 3.59 3.65 1XXX.00.00.0000000P0 38.2581 4 93971TCExtremity study A 0.00 2.73 2.76 2.73 2.76 0.22 2.95 2.98 2.95 2.98 1XXX.00.00.0000000P0 38.2581 4 9397126Extremity study A 0.45 0.16 0.19 0.16 0.19 0.03 0.64 0.67 0.64 0.67 1XXX.00.00.0000000P0 38.2581 4 93975 Vascular study A 1.80 5.32 5.32 5.32 5.32 0.47 7.59 7.59 7.59 7.59 1XXX.00.00.0000000P0 38.2581 4 93975TCVascular study A 0.00 4.67 4.72 4.67 4.72 0.36 5.03 5.08 5.03 5.08 1XXX.00.00.0000000P0 38.2581 4 9397526Vascular study A 1.80 0.65 0.60 0.65 0.60 0.11 2.56 2.51 2.56 2.51 1XXX.00.00.0000000P0 38.2581 4 93976 Vascular study A 1.21 3.54 3.54 3.54 3.54 0.31 5.06 5.06 5.06 5.06 1XXX.00.00.0000000P0 38.2581 4 93976TCVascular study A 0.00 3.11 3.14 3.11 3.14 0.25 3.36 3.39 3.36 3.39 1XXX.00.00.0000000P0 38.2581 4 9397626Vascular study A 1.21 0.43 0.40 0.43 0.40 0.06 1.70 1.67 1.70 1.67 1XXX.00.00.0000000P0 38.2581 4 93978 Vascular study A 0.65 4.06 4.15 4.06 4.15 0.36 5.07 5.16 5.07 5.16 1XXX.00.00.0000000P0 38.2581 4 93978TCVascular study A 0.00 3.82 3.86 3.82 3.86 0.31 4.13 4.17 4.13 4.17 1XXX.00.00.0000000P0 38.2581 4 9397826Vascular study A 0.65 0.24 0.29 0.24 0.29 0.05 0.94 0.99 0.94 0.99 1XXX.00.00.0000000P0 38.2581 4 93979 Vascular study A 0.44 2.71 2.77 2.71 2.77 0.24 3.39 3.45 3.39 3.45 1XXX.00.00.0000000P0 38.2581 4 93979TCVascular study A 0.00 2.55 2.58 2.55 2.58 0.20 2.75 2.78 2.75 2.78 1XXX.00.00.0000000P0 38.2581 4 9397926Vascular study A 0.44 0.16 0.19 0.16 0.19 0.04 0.64 0.67 0.64 0.67 1XXX.00.00.0000000P0 38.2581 4 93980 Penile vascular study A 1.25 3.92 4.07 3.92 4.07 0.35 5.52 5.67 5.52 5.67 1XXX.00.00.0000000P0 38.2581 4 93980TCPenile vascular study A 0.00 3.47 3.51 3.47 3.51 0.28 3.75 3.79 3.75 3.79 1XXX.00.00.0000000P0 38.2581 4 9398026Penile vascular study A 1.25 0.45 0.56 0.45 0.56 0.07 1.77 1.88 1.77 1.88 1XXX.00.00.0000000P0 38.2581 4 93981 Penile vascular study A 0.44 3.36 3.46 3.36 3.46 0.28 4.08 4.18 4.08 4.18 1XXX.00.00.0000000P0 38.2581 4 93981TCPenile vascular study A 0.00 3.20 3.23 3.20 3.23 0.26 3.46 3.49 3.46 3.49 1XXX.00.00.0000000P0 38.2581 4 9398126Penile vascular study A 0.44 0.16 0.23 0.16 0.23 0.02 0.62 0.69 0.62 0.69 1XXX.00.00.0000000P0 38.2581 4 93990 Doppler flow testing A 0.25 2.58 2.64 2.58 2.64 0.21 3.04 3.10 3.04 3.10 1XXX.00.00.0000000P0 38.2581 4 93990TCDoppler flow testing A 0.00 2.48 2.51 2.48 2.51 0.19 2.67 2.70 2.67 2.70 1XXX.00.00.0000000P0 38.2581 4 9399026Doppler flow testing A 0.25 0.10 0.13 0.10 0.13 0.02 0.37 0.40 0.37 0.40 1XXX.00.00.0000000P0 38.2581 4 94010 Breathing capacity test A 0.17 0.79 0.77 0.79 0.77 0.03 0.99 0.97 0.99 0.97 1XXX.00.00.0000000P0 38.2581 4 94010TCBreathing capacity test A 0.00 0.74 0.66 0.74 0.66 0.02 0.76 0.68 0.76 0.68 1XXX.00.00.0000000P0 38.2581 4 9401026Breathing capacity test A 0.17 0.05 0.11 0.05 0.11 0.01 0.23 0.29 0.23 0.29 1XXX.00.00.0000000P0 38.2581 4 94014 Patient recorded spirometry A 0.52 0.51 0.51 0.51 0.51 0.03 1.06 1.06 1.06 1.06 4XXX.00.00.0000000P0 38.2581 5 94015 Patient recorded spirometry A 0.00 0.34 0.34 0.34 0.34 0.01 0.35 0.35 0.35 0.35 3XXX.00.00.0000000P0 38.2581 5 94016 Review patient spirometry A 0.52 0.17 0.17 0.17 0.17 0.02 0.71 0.71 0.71 0.71 2XXX.00.00.0000000P0 38.2581 5 94060 Evaluation of wheezing A 0.31 1.18 1.22 1.18 1.22 0.06 1.55 1.59 1.55 1.59 1XXX.00.00.0000000P0 38.2581 4 94060TCEvaluation of wheezing A 0.00 1.08 1.05 1.08 1.05 0.05 1.13 1.10 1.13 1.10 1XXX.00.00.0000000P0 38.2581 4 9406026Evaluation of wheezing A 0.31 0.10 0.17 0.10 0.17 0.01 0.42 0.49 0.42 0.49 1XXX.00.00.0000000P0 38.2581 4 94070 Evaluation of wheezing A 0.60 3.75 3.30 3.75 3.30 0.10 4.45 4.00 4.45 4.00 1XXX.00.00.0000000P0 38.2581 4 94070TCEvaluation of wheezing A 0.00 3.57 3.06 3.57 3.06 0.08 3.65 3.14 3.65 3.14 1XXX.00.00.0000000P0 38.2581 4 9407026Evaluation of wheezing A 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 1XXX.00.00.0000000P0 38.2581 4 94150 Vital capacity test B+ 0.07 0.61 0.51 0.61 0.51 0.02 0.70 0.60 0.70 0.60 1XXX.00.00.0099999P9 38.2581 9 94150TCVital capacity test B+ 0.00 0.58 0.46 0.58 0.46 0.01 0.59 0.47 0.59 0.47 1XXX.00.00.0099999P9 38.2581 9 9415026Vital capacity test B+ 0.07 0.03 0.05 0.03 0.05 0.01 0.11 0.13 0.11 0.13 1XXX.00.00.0099999P9 38.2581 9 94200 Lung function test (MBC/MVV) A 0.11 0.31 0.34 0.31 0.34 0.03 0.45 0.48 0.45 0.48 1XXX.00.00.0000000P0 38.2581 4 94200TCLung function test (MBC/MVV) A 0.00 0.28 0.28 0.28 0.28 0.02 0.30 0.30 0.30 0.30 1XXX.00.00.0000000P0 38.2581 4 9420026Lung function test (MBC/MVV) A 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 1XXX.00.00.0000000P0 38.2581 4 94240 Residual lung capacity A 0.26 1.37 1.27 1.37 1.27 0.05 1.68 1.58 1.68 1.58 1XXX.00.00.0000000P0 38.2581 4 94240TCResidual lung capacity A 0.00 1.29 1.15 1.29 1.15 0.04 1.33 1.19 1.33 1.19 1XXX.00.00.0000000P0 38.2581 4 9424026Residual lung capacity A 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 1XXX.00.00.0000000P0 38.2581 4 94250 Expired gas collection A 0.11 0.63 0.55 0.63 0.55 0.02 0.76 0.68 0.76 0.68 1XXX.00.00.0000000P0 38.2581 4 94250TCExpired gas collection A 0.00 0.60 0.49 0.60 0.49 0.01 0.61 0.50 0.61 0.50 1XXX.00.00.0000000P0 38.2581 4 9425026Expired gas collection A 0.11 0.03 0.06 0.03 0.06 0.01 0.15 0.18 0.15 0.18 1XXX.00.00.0000000P0 38.2581 4 94260 Thoracic gas volume A 0.13 0.39 0.47 0.39 0.47 0.04 0.56 0.64 0.56 0.64 1XXX.00.00.0000000P0 38.2581 4 94260TCThoracic gas volume A 0.00 0.35 0.40 0.35 0.40 0.03 0.38 0.43 0.38 0.43 1XXX.00.00.0000000P0 38.2581 4 9426026Thoracic gas volume A 0.13 0.04 0.07 0.04 0.07 0.01 0.18 0.21 0.18 0.21 1XXX.00.00.0000000P0 38.2581 4 94350 Lung nitrogen washout curve A 0.26 1.17 1.08 1.17 1.08 0.04 1.47 1.38 1.47 1.38 1XXX.00.00.0000000P0 38.2581 4 94350TCLung nitrogen washout curve A 0.00 1.09 0.96 1.09 0.96 0.03 1.12 0.99 1.12 0.99 1XXX.00.00.0000000P0 38.2581 4 9435026Lung nitrogen washout curve A 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 1XXX.00.00.0000000P0 38.2581 4 94360 Measure airflow resistance A 0.26 0.64 0.78 0.64 0.78 0.06 0.96 1.10 0.96 1.10 1XXX.00.00.0000000P0 38.2581 4 94360TCMeasure airflow resistance A 0.00 0.56 0.67 0.56 0.67 0.05 0.61 0.72 0.61 0.72 1XXX.00.00.0000000P0 38.2581 4 9436026Measure airflow resistance A 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 1XXX.00.00.0000000P0 38.2581 4 94370 Breath airway closing volume A 0.26 2.48 1.97 2.48 1.97 0.03 2.77 2.26 2.77 2.26 1XXX.00.00.0000000P0 38.2581 4 94370TCBreath airway closing volume A 0.00 2.40 1.87 2.40 1.87 0.02 2.42 1.89 2.42 1.89 1XXX.00.00.0000000P0 38.2581 4 9437026Breath airway closing volume A 0.26 0.08 0.10 0.08 0.10 0.01 0.35 0.37 0.35 0.37 1XXX.00.00.0000000P0 38.2581 4 94375 Respiratory flow volume loop A 0.31 0.45 0.53 0.45 0.53 0.03 0.79 0.87 0.79 0.87 1XXX.00.00.0000000P0 38.2581 4 94375TCRespiratory flow volume loop A 0.00 0.36 0.40 0.36 0.40 0.02 0.38 0.42 0.38 0.42 1XXX.00.00.0000000P0 38.2581 4 9437526Respiratory flow volume loop A 0.31 0.09 0.13 0.09 0.13 0.01 0.41 0.45 0.41 0.45 1XXX.00.00.0000000P0 38.2581 4 94400 CO2 breathing response curve A 0.40 0.84 0.85 0.84 0.85 0.06 1.30 1.31 1.30 1.31 1XXX.00.00.0000000P0 38.2581 4 94400TCCO2 breathing response curve A 0.00 0.71 0.62 0.71 0.62 0.05 0.76 0.67 0.76 0.67 1XXX.00.00.0000000P0 38.2581 4 9440026CO2 breathing response curve A 0.40 0.13 0.23 0.13 0.23 0.01 0.54 0.64 0.54 0.64 1XXX.00.00.0000000P0 38.2581 4 94450 Hypoxia response curve A 0.40 0.81 0.77 0.81 0.77 0.04 1.25 1.21 1.25 1.21 1XXX.00.00.0000000P0 38.2581 4 94450TCHypoxia response curve A 0.00 0.71 0.63 0.71 0.63 0.02 0.73 0.65 0.73 0.65 1XXX.00.00.0000000P0 38.2581 4 9445026Hypoxia response curve A 0.40 0.10 0.14 0.10 0.14 0.02 0.52 0.56 0.52 0.56 1XXX.00.00.0000000P0 38.2581 4 94620 Pulmonary stress test/simple A 0.64 2.29 2.28 2.29 2.28 0.10 3.03 3.02 3.03 3.02 1XXX.00.00.0000000P0 38.2581 4 94620TCPulmonary stress test/simple A 0.00 2.09 1.94 2.09 1.94 0.08 2.17 2.02 2.17 2.02 1XXX.00.00.0000000P0 38.2581 4 9462026Pulmonary stress test/simple A 0.64 0.20 0.34 0.20 0.34 0.02 0.86 1.00 0.86 1.00 1XXX.00.00.0000000P0 38.2581 4 94621 Pulm stress test/complex A 1.42 2.12 2.15 2.12 2.15 0.13 3.67 3.70 3.67 3.70 1XXX.00.00.0000000P0 38.2581 4 94621TCPulm stress test/complex A 0.00 1.68 1.63 1.68 1.63 0.08 1.76 1.71 1.76 1.71 1XXX.00.00.0000000P0 38.2581 4 9462126Pulm stress test/complex A 1.42 0.44 0.52 0.44 0.52 0.05 1.91 1.99 1.91 1.99 1XXX.00.00.0000000P0 38.2581 4 94640 Airway inhalation treatment A 0.00 0.67 0.61 0.22 0.27 0.02 0.69 0.63 0.24 0.29 5XXX.00.00.0000000P0 38.2581 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 5XXX.00.00.0000000P0 38.2581 9 94650 Pressure breathing (IPPB) A 0.00 0.64 0.58 0.20 0.25 0.02 0.66 0.60 0.22 0.27 5XXX.00.00.0000000P0 38.2581 4 94651 Pressure breathing (IPPB) A 0.00 0.59 0.54 0.19 0.24 0.02 0.61 0.56 0.21 0.26 5XXX.00.00.0000000P0 38.2581 4 94652 Pressure breathing (IPPB) A 0.00 0.72 0.65 0.22 0.28 0.06 0.78 0.71 0.28 0.34 5XXX.00.00.0000000P0 38.2581 4 94656 Initial ventilator mgmt A 1.22 0.32 NA 0.55 0.32 0.55 0.06 1.60 1.83 1.60 1.83 0XXX.00.00.0000000P0 38.2581 4 94657 Continued ventilator mgmt A 0.83 0.25 NA 0.36 0.25 0.36 0.03 1.11 1.22 1.11 1.22 0XXX.00.00.0000000P0 38.2581 4 94660 Pos airway pressure, CPAP A 0.76 0.66 0.69 0.23 0.37 0.03 1.45 1.48 1.02 1.16 0XXX.00.00.0000000P0 38.2581 4 94662 Neg press ventilation, cnp A 0.76 0.24 NA 0.26 0.24 0.26 0.02 1.02 1.04 1.02 1.04 0XXX.00.00.0000000P0 38.2581 4 94664 Aerosol or vapor inhalations A 0.00 0.50 0.51 0.16 0.26 0.03 0.53 0.54 0.19 0.29 5XXX.00.00.0000000P0 38.2581 4 94665 Aerosol or vapor inhalations A 0.00 0.51 0.51 0.16 0.25 0.04 0.55 0.55 0.20 0.29 5XXX.00.00.0000000P0 38.2581 4 94667 Chest wall manipulation A 0.00 0.81 0.76 0.26 0.35 0.04 0.85 0.80 0.30 0.39 5XXX.00.00.0000000P0 38.2581 4 94668 Chest wall manipulation A 0.00 0.69 0.61 0.22 0.26 0.02 0.71 0.63 0.24 0.28 5XXX.00.00.0000000P0 38.2581 4 94680 Exhaled air analysis, o2 A 0.26 0.81 0.82 0.81 0.82 0.06 1.13 1.14 1.13 1.14 1XXX.00.00.0000000P0 38.2581 4 94680TCExhaled air analysis, o2 A 0.00 0.72 0.67 0.72 0.67 0.05 0.77 0.72 0.77 0.72 1XXX.00.00.0000000P0 38.2581 4 9468026Exhaled air analysis, o2 A 0.26 0.09 0.15 0.09 0.15 0.01 0.36 0.42 0.36 0.42 1XXX.00.00.0000000P0 38.2581 4 94681 Exhaled air analysis, o2/co2 A 0.20 1.71 1.70 1.71 1.70 0.11 2.02 2.01 2.02 2.01 1XXX.00.00.0000000P0 38.2581 4 94681TCExhaled air analysis, o2/co2 A 0.00 1.64 1.59 1.64 1.59 0.10 1.74 1.69 1.74 1.69 1XXX.00.00.0000000P0 38.2581 4 9468126Exhaled air analysis, o2/co2 A 0.20 0.07 0.11 0.07 0.11 0.01 0.28 0.32 0.28 0.32 1XXX.00.00.0000000P0 38.2581 4 94690 Exhaled air analysis A 0.07 0.56 0.57 0.56 0.57 0.04 0.67 0.68 0.67 0.68 1XXX.00.00.0000000P0 38.2581 4 94690TCExhaled air analysis A 0.00 0.54 0.54 0.54 0.54 0.03 0.57 0.57 0.57 0.57 1XXX.00.00.0000000P0 38.2581 4 9469026Exhaled air analysis A 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 1XXX.00.00.0000000P0 38.2581 4 94720 Monoxide diffusing capacity A 0.26 1.39 1.32 1.39 1.32 0.06 1.71 1.64 1.71 1.64 1XXX.00.00.0000000P0 38.2581 4 94720TCMonoxide diffusing capacity A 0.00 1.31 1.20 1.31 1.20 0.05 1.36 1.25 1.36 1.25 1XXX.00.00.0000000P0 38.2581 4 9472026Monoxide diffusing capacity A 0.26 0.08 0.12 0.08 0.12 0.01 0.35 0.39 0.35 0.39 1XXX.00.00.0000000P0 38.2581 4 94725 Membrane diffusion capacity A 0.26 0.82 1.12 0.82 1.12 0.11 1.19 1.49 1.19 1.49 1XXX.00.00.0000000P0 38.2581 4 94725TCMembrane diffusion capacity A 0.00 0.74 1.01 0.74 1.01 0.10 0.84 1.11 0.84 1.11 1XXX.00.00.0000000P0 38.2581 4 9472526Membrane diffusion capacity A 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 1XXX.00.00.0000000P0 38.2581 4 94750 Pulmonary compliance study A 0.23 3.58 2.90 3.58 2.90 0.04 3.85 3.17 3.85 3.17 1XXX.00.00.0000000P0 38.2581 4 94750TCPulmonary compliance study A 0.00 3.51 2.78 3.51 2.78 0.03 3.54 2.81 3.54 2.81 1XXX.00.00.0000000P0 38.2581 4 9475026Pulmonary compliance study A 0.23 0.07 0.12 0.07 0.12 0.01 0.31 0.36 0.31 0.36 1XXX.00.00.0000000P0 38.2581 4 94760 Measure blood oxygen level T 0.00 0.09 0.14 0.09 0.14 0.02 0.11 0.16 0.11 0.16 3XXX.00.00.0000000P0 38.2581 4 94761 Measure blood oxygen level T 0.00 0.17 0.30 0.17 0.30 0.05 0.22 0.35 0.22 0.35 3XXX.00.00.0000000P0 38.2581 4 94762 Measure blood oxygen level A 0.00 0.11 0.38 0.11 0.38 0.08 0.19 0.46 0.19 0.46 3XXX.00.00.0000000P0 38.2581 4 94770 Exhaled carbon dioxide test A 0.15 0.76 0.68 0.76 0.68 0.07 0.98 0.90 0.98 0.90 1XXX.00.00.0000000P0 38.2581 4 94770TCExhaled carbon dioxide test A 0.00 0.72 0.62 0.72 0.62 0.06 0.78 0.68 0.78 0.68 1XXX.00.00.0000000P0 38.2581 4 9477026Exhaled carbon dioxide test A 0.15 0.04 0.06 0.04 0.06 0.01 0.20 0.22 0.20 0.22 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 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 1XXX.00.00.0000000P0 38.2581 9 95004 Allergy skin tests A 0.00 0.10 0.10 0.10 0.10 0.01 0.11 0.11 0.11 0.11 5XXX.00.00.0000000P0 38.2581 4 95010 Sensitivity skin tests A 0.15 0.45 0.37 0.07 0.07 0.01 0.61 0.53 0.23 0.23 0XXX.00.00.0000000P0 38.2581 4 95015 Sensitivity skin tests A 0.15 0.49 0.40 0.07 0.07 0.01 0.65 0.56 0.23 0.23 0XXX.00.00.0000000P0 38.2581 4 95024 Allergy skin tests A 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 5XXX.00.00.0000000P0 38.2581 4 95027 Skin end point titration A 0.00 0.14 0.14 0.14 0.14 0.01 0.15 0.15 0.15 0.15 3XXX.00.00.0000000P0 38.2581 4 95028 Allergy skin tests A 0.00 0.23 0.23 0.23 0.23 0.01 0.24 0.24 0.24 0.24 3XXX.00.00.0000000P1G0025 38.2581 4 95044 Allergy patch tests A 0.00 0.20 0.20 0.20 0.20 0.01 0.21 0.21 0.21 0.21 5XXX.00.00.0000000P0 38.2581 4 95052 Photo patch test A 0.00 0.25 0.25 0.25 0.25 0.01 0.26 0.26 0.26 0.26 5XXX.00.00.0000000P0 38.2581 4 95056 Photosensitivity tests A 0.00 0.17 0.17 0.17 0.15 0.01 0.18 0.18 0.18 0.16 5XXX.00.00.0000000P0 38.2581 4 95060 Eye allergy tests A 0.00 0.35 0.35 0.35 0.35 0.02 0.37 0.37 0.37 0.37 3XXX.00.00.0000000P0 38.2581 4 95065 Nose allergy test A 0.00 0.20 0.20 0.20 0.18 0.01 0.21 0.21 0.21 0.19 3XXX.00.00.0000000P0 38.2581 4 95070 Bronchial allergy tests A 0.00 2.27 2.29 2.27 2.29 0.02 2.29 2.31 2.29 2.31 3XXX.00.00.0000000P0 38.2581 4 95071 Bronchial allergy tests A 0.00 2.90 2.93 2.90 2.93 0.02 2.92 2.95 2.92 2.95 3XXX.00.00.0000000P0 38.2581 4 95075 Ingestion challenge test A 0.95 0.89 1.20 0.43 0.59 0.03 1.87 2.18 1.41 1.57 0XXX.00.00.0000000P0 38.2581 4 95078 Provocative testing A 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 3XXX.00.00.0000000P0 38.2581 4 95115 Immunotherapy, one injection A 0.00 0.38 0.39 0.38 0.39 0.02 0.40 0.41 0.40 0.41 5000.00.00.0000000P0 38.2581 4 95117 Immunotherapy injections A 0.00 0.50 0.51 0.50 0.51 0.02 0.52 0.53 0.52 0.53 5000.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 95144 Antigen therapy services A 0.06 0.25 0.22 0.03 0.04 0.01 0.32 0.29 0.10 0.11 0000.00.00.0000000P0 38.2581 4 95145 Antigen therapy services A 0.06 0.50 0.47 0.03 0.07 0.01 0.57 0.54 0.10 0.14 0000.00.00.0000000P0 38.2581 4 95146 Antigen therapy services A 0.06 0.60 0.62 0.02 0.10 0.01 0.67 0.69 0.09 0.17 0000.00.00.0000000P0 38.2581 4 95147 Antigen therapy services A 0.06 0.86 0.89 0.02 0.14 0.01 0.93 0.96 0.09 0.21 0000.00.00.0000000P0 38.2581 4 95148 Antigen therapy services A 0.06 0.83 0.87 0.03 0.15 0.01 0.90 0.94 0.10 0.22 0000.00.00.0000000P0 38.2581 4 95149 Antigen therapy services A 0.06 1.03 1.08 0.02 0.17 0.01 1.10 1.15 0.09 0.24 0000.00.00.0000000P0 38.2581 4 95165 Antigen therapy services A 0.06 0.20 0.18 0.02 0.03 0.01 0.27 0.25 0.09 0.10 0000.00.00.0000000P0 38.2581 4 95170 Antigen therapy services A 0.06 0.27 0.30 0.02 0.06 0.01 0.34 0.37 0.09 0.13 0000.00.00.0000000P0 38.2581 4 95180 Rapid desensitization A 2.01 1.71 1.32 0.86 0.67 0.04 3.76 3.37 2.91 2.72 0000.00.00.0000000P0 38.2581 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 0000.00.00.0000000P0 38.2581 9 95805 Multiple sleep latency test A 1.88 7.66 7.25 7.66 7.25 0.34 9.88 9.47 9.88 9.47 1XXX.00.00.0000000P0 38.2581 4 95805TCMultiple sleep latency test A 0.00 6.99 6.59 6.99 6.59 0.28 7.27 6.87 7.27 6.87 1XXX.00.00.0000000P0 38.2581 4 9580526Multiple sleep latency test A 1.88 0.67 0.66 0.67 0.66 0.06 2.61 2.60 2.61 2.60 1XXX.00.00.0000000P0 38.2581 4 95806 Sleep study, unattended A 1.66 1.73 3.25 1.73 3.08 0.32 3.71 5.23 3.71 5.06 1XXX.00.00.0000000P0 38.2581 4 95806TCSleep study, unattended A 0.00 1.19 2.18 1.19 2.18 0.26 1.45 2.44 1.45 2.44 1XXX.00.00.0000000P0 38.2581 4 9580626Sleep study, unattended A 1.66 0.54 1.07 0.54 0.90 0.06 2.26 2.79 2.26 2.62 1XXX.00.00.0000000P0 38.2581 4 95807 Sleep study, attended A 1.66 10.83 10.34 10.83 10.34 0.40 12.89 12.40 12.89 12.40 1XXX.00.00.0000000P0 38.2581 4 95807TCSleep study, attended A 0.00 10.30 9.44 10.30 9.44 0.35 10.65 9.79 10.65 9.79 1XXX.00.00.0000000P0 38.2581 4 9580726Sleep study, attended A 1.66 0.53 0.90 0.53 0.90 0.05 2.24 2.61 2.24 2.61 1XXX.00.00.0000000P0 38.2581 4 95808 Polysomnography, 1-3 A 2.65 17.52 15.51 17.52 15.51 0.44 20.61 18.60 20.61 18.60 1XXX.00.00.0000000P0 38.2581 4 95808TCPolysomnography, 1-3 A 0.00 16.59 14.15 16.59 14.15 0.35 16.94 14.50 16.94 14.50 1XXX.00.00.0000000P0 38.2581 4 9580826Polysomnography, 1-3 A 2.65 0.93 1.36 0.93 1.36 0.09 3.67 4.10 3.67 4.10 1XXX.00.00.0000000P0 38.2581 4 95810 Polysomnography, 4 or more A 3.53 15.27 13.83 15.27 13.83 0.47 19.27 17.83 19.27 17.83 1XXX.00.00.0000000P0 38.2581 4 95810TCPolysomnography, 4 or more A 0.00 14.07 12.26 14.07 12.26 0.35 14.42 12.61 14.42 12.61 1XXX.00.00.0000000P0 38.2581 4 9581026Polysomnography, 4 or more A 3.53 1.20 1.57 1.20 1.57 0.12 4.85 5.22 4.85 5.22 1XXX.00.00.0000000P0 38.2581 4 95811 Polysomnography w/cpap A 3.80 14.06 13.04 14.06 13.04 0.49 18.35 17.33 18.35 17.33 1XXX.00.00.0000000P0 38.2581 4 95811TCPolysomnography w/cpap A 0.00 12.78 11.38 12.78 11.38 0.36 13.14 11.74 13.14 11.74 1XXX.00.00.0000000P0 38.2581 4 9581126Polysomnography w/cpap A 3.80 1.28 1.66 1.28 1.66 0.13 5.21 5.59 5.21 5.59 1XXX.00.00.0000000P0 38.2581 4 95812 Electroencephalogram (EEG) A 1.08 3.39 3.05 3.39 3.05 0.13 4.60 4.26 4.60 4.26 1XXX.00.00.0000000P0 38.2581 4 95812TCElectroencephalogram (EEG) A 0.00 2.93 2.57 2.93 2.57 0.09 3.02 2.66 3.02 2.66 1XXX.00.00.0000000P0 38.2581 4 9581226Electroencephalogram (EEG) A 1.08 0.46 0.48 0.46 0.48 0.04 1.58 1.60 1.58 1.60 1XXX.00.00.0000000P0 38.2581 4 95813 Electroencephalogram (EEG) A 1.73 4.59 3.95 4.59 3.95 0.15 6.47 5.83 6.47 5.83 1XXX.00.00.0000000P0 38.2581 4 95813TCElectroencephalogram (EEG) A 0.00 3.88 3.28 3.88 3.28 0.09 3.97 3.37 3.97 3.37 1XXX.00.00.0000000P0 38.2581 4 9581326Electroencephalogram (EEG) A 1.73 0.71 0.67 0.71 0.67 0.06 2.50 2.46 2.50 2.46 1XXX.00.00.0000000P0 38.2581 4 95816 Electroencephalogram (EEG) A 1.08 3.15 2.78 3.15 2.78 0.12 4.35 3.98 4.35 3.98 1XXX.00.00.0000000P0 38.2581 4 95816TCElectroencephalogram (EEG) A 0.00 2.68 2.35 2.68 2.35 0.08 2.76 2.43 2.76 2.43 1XXX.00.00.0000000P0 38.2581 4 9581626Electroencephalogram (EEG) A 1.08 0.47 0.43 0.47 0.43 0.04 1.59 1.55 1.59 1.55 1XXX.00.00.0000000P0 38.2581 4 95819 Electroencephalogram (EEG) A 1.08 3.63 3.21 3.63 3.21 0.12 4.83 4.41 4.83 4.41 1XXX.00.00.0000000P0 38.2581 4 95819TCElectroencephalogram (EEG) A 0.00 3.16 2.72 3.16 2.72 0.08 3.24 2.80 3.24 2.80 1XXX.00.00.0000000P0 38.2581 4 9581926Electroencephalogram (EEG) A 1.08 0.47 0.49 0.47 0.49 0.04 1.59 1.61 1.59 1.61 1XXX.00.00.0000000P0 38.2581 4 95822 Sleep electroencephalogram A 1.08 2.44 2.46 2.44 2.46 0.15 3.67 3.69 3.67 3.69 1XXX.00.00.0000000P0 38.2581 4 95822TCSleep electroencephalogram A 0.00 1.97 1.95 1.97 1.95 0.11 2.08 2.06 2.08 2.06 1XXX.00.00.0000000P0 38.2581 4 9582226Sleep electroencephalogram A 1.08 0.47 0.51 0.47 0.51 0.04 1.59 1.63 1.59 1.63 1XXX.00.00.0000000P0 38.2581 4 95824 Electroencephalography A 0.74 0.71 0.80 0.71 0.80 0.05 1.50 1.59 1.50 1.59 2XXX.00.00.0000000P0 38.2581 4 95824TCElectroencephalography H 0.00 0.41 0.42 0.41 0.42 0.02 0.43 0.44 0.43 0.44 1XXX.00.00.0000000P0 38.2581 9 9582426Electroencephalography H 0.74 0.30 0.38 0.30 0.38 0.03 1.07 1.15 1.07 1.15 1XXX.00.00.0000000P0 38.2581 9 95827 Night electroencephalogram A 1.08 2.70 2.86 2.70 2.86 0.15 3.93 4.09 3.93 4.09 1XXX.00.00.0000000P0 38.2581 4 95827TCNight electroencephalogram A 0.00 2.28 2.30 2.28 2.30 0.12 2.40 2.42 2.40 2.42 1XXX.00.00.0000000P0 38.2581 4 9582726Night electroencephalogram A 1.08 0.42 0.56 0.42 0.56 0.03 1.53 1.67 1.53 1.67 1XXX.00.00.0000000P0 38.2581 4 95829 Surgery electrocorticogram A 6.21 28.41 21.47 28.41 21.47 0.33 34.95 28.01 34.95 28.01 1XXX.00.00.0000000P0 38.2581 4 95829TCSurgery electrocorticogram A 0.00 26.40 19.84 26.40 19.84 0.02 26.42 19.86 26.42 19.86 1XXX.00.00.0000000P0 38.2581 4 9582926Surgery electrocorticogram A 6.21 2.01 1.63 2.01 1.63 0.31 8.53 8.15 8.53 8.15 1XXX.00.00.0000000P0 38.2581 4 95830 Insert electrodes for EEG A 1.70 3.25 2.65 0.75 0.78 0.07 5.02 4.42 2.52 2.55 0XXX.00.00.0000000P0 38.2581 4 95831 Limb muscle testing, manual A 0.28 0.47 0.43 0.13 0.14 0.01 0.76 0.72 0.42 0.43 0XXX.00.00.0000000P0 38.2581 4 95832 Hand muscle testing, manual A 0.29 0.43 0.39 0.11 0.12 0.01 0.73 0.69 0.41 0.42 0XXX.00.00.0000000P0 38.2581 4 95833 Body muscle testing, manual A 0.47 0.55 0.52 0.24 0.23 0.01 1.03 1.00 0.72 0.71 0XXX.00.00.0000000P0 38.2581 4 95834 Body muscle testing, manual A 0.60 0.62 0.63 0.29 0.30 0.02 1.24 1.25 0.91 0.92 0XXX.00.00.0000000P0 38.2581 4 95851 Range of motion measurements A 0.16 0.52 0.46 0.08 0.09 0.01 0.69 0.63 0.25 0.26 0XXX.00.00.0000000P0 38.2581 4 95852 Range of motion measurements A 0.11 0.42 0.36 0.05 0.06 0.01 0.54 0.48 0.17 0.18 0XXX.00.00.0000000P0 38.2581 4 95857 Tensilon test A 0.53 0.62 0.60 0.24 0.25 0.02 1.17 1.15 0.79 0.80 0XXX.00.00.0000000P0 38.2581 4 95858 Tensilon test & myogram A 1.56 1.10 1.11 1.10 1.11 0.07 2.73 2.74 2.73 2.74 1XXX.00.00.0000000P0 38.2581 4 95858TCTensilon test & myogram A 0.00 0.39 0.40 0.39 0.40 0.03 0.42 0.43 0.42 0.43 1XXX.00.00.0000000P0 38.2581 4 9585826Tensilon test & myogram A 1.56 0.71 0.71 0.71 0.71 0.04 2.31 2.31 2.31 2.31 1XXX.00.00.0000000P0 38.2581 4 95860 Muscle test, one limb A 0.96 1.12 1.14 1.12 1.14 0.05 2.13 2.15 2.13 2.15 1XXX.00.00.0000000P0 38.2581 4 95860TCMuscle test, one limb A 0.00 0.68 0.61 0.68 0.61 0.02 0.70 0.63 0.70 0.63 1XXX.00.00.0000000P0 38.2581 4 9586026Muscle test, one limb A 0.96 0.44 0.53 0.44 0.53 0.03 1.43 1.52 1.43 1.52 1XXX.00.00.0000000P0 38.2581 4 95861 Muscle test, two limbs A 1.54 1.44 1.62 1.44 1.62 0.10 3.08 3.26 3.08 3.26 1XXX.00.00.0000000P0 38.2581 4 95861TCMuscle test, two limbs A 0.00 0.73 0.74 0.73 0.74 0.05 0.78 0.79 0.78 0.79 1XXX.00.00.0000000P0 38.2581 4 9586126Muscle test, two limbs A 1.54 0.71 0.88 0.71 0.88 0.05 2.30 2.47 2.30 2.47 1XXX.00.00.0000000P0 38.2581 4 95863 Muscle test, 3 limbs A 1.87 1.77 1.95 1.77 1.95 0.11 3.75 3.93 3.75 3.93 1XXX.00.00.0000000P0 38.2581 4 95863TCMuscle test, 3 limbs A 0.00 0.93 0.94 0.93 0.94 0.05 0.98 0.99 0.98 0.99 1XXX.00.00.0000000P0 38.2581 4 9586326Muscle test, 3 limbs A 1.87 0.84 1.01 0.84 1.01 0.06 2.77 2.94 2.77 2.94 1XXX.00.00.0000000P0 38.2581 4 95864 Muscle test, 4 limbs A 1.99 2.68 2.95 2.68 2.95 0.16 4.83 5.10 4.83 5.10 1XXX.00.00.0000000P0 38.2581 4 95864TCMuscle test, 4 limbs A 0.00 1.77 1.79 1.77 1.79 0.10 1.87 1.89 1.87 1.89 1XXX.00.00.0000000P0 38.2581 4 9586426Muscle test, 4 limbs A 1.99 0.91 1.16 0.91 1.16 0.06 2.96 3.21 2.96 3.21 1XXX.00.00.0000000P0 38.2581 4 95867 Muscle test, head or neck A 0.79 0.94 1.02 0.94 1.02 0.06 1.79 1.87 1.79 1.87 1XXX.00.00.0000000P0 38.2581 4 95867TCMuscle test, head or neck A 0.00 0.58 0.59 0.58 0.59 0.03 0.61 0.62 0.61 0.62 1XXX.00.00.0000000P0 38.2581 4 9586726Muscle test, head or neck A 0.79 0.36 0.43 0.36 0.43 0.03 1.18 1.25 1.18 1.25 1XXX.00.00.0000000P0 38.2581 4 95868 Muscle test, head or neck A 1.18 1.22 1.44 1.22 1.44 0.08 2.48 2.70 2.48 2.70 1XXX.00.00.0002000P0 38.2581 4 95868TCMuscle test, head or neck A 0.00 0.69 0.70 0.69 0.70 0.04 0.73 0.74 0.73 0.74 1XXX.00.00.0002000P0 38.2581 4 9586826Muscle test, head or neck A 1.18 0.53 0.74 0.53 0.74 0.04 1.75 1.96 1.75 1.96 1XXX.00.00.0002000P0 38.2581 4 95869 Muscle test, thor paraspinal A 0.37 0.38 0.43 0.38 0.43 0.03 0.78 0.83 0.78 0.83 1XXX.00.00.0000000P0 38.2581 4 95869TCMuscle test, thor paraspinal A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0000000P0 38.2581 4 9586926Muscle test, thor paraspinal A 0.37 0.17 0.22 0.17 0.22 0.01 0.55 0.60 0.55 0.60 1XXX.00.00.0000000P0 38.2581 4 95870 Muscle test, nonparaspinal A 0.37 0.37 0.42 0.37 0.42 0.03 0.77 0.82 0.77 0.82 1XXX.00.00.0000000P0 38.2581 4 95870TCMuscle test, nonparaspinal A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0000000P0 38.2581 4 9587026Muscle test, nonparaspinal A 0.37 0.16 0.21 0.16 0.21 0.01 0.54 0.59 0.54 0.59 1XXX.00.00.0000000P0 38.2581 4 95872 Muscle test, one fiber A 1.50 1.26 1.29 1.26 1.29 0.08 2.84 2.87 2.84 2.87 1XXX.00.00.0000000P0 38.2581 4 95872TCMuscle test, one fiber A 0.00 0.60 0.61 0.60 0.61 0.04 0.64 0.65 0.64 0.65 1XXX.00.00.0000000P0 38.2581 4 9587226Muscle test, one fiber A 1.50 0.66 0.68 0.66 0.68 0.04 2.20 2.22 2.20 2.22 1XXX.00.00.0000000P0 38.2581 4 95875 Limb exercise test A 1.34 1.32 1.15 1.32 1.15 0.09 2.75 2.58 2.75 2.58 1XXX.00.00.0000000P0 38.2581 4 95875TCLimb exercise test A 0.00 0.76 0.67 0.76 0.67 0.05 0.81 0.72 0.81 0.72 1XXX.00.00.0000000P0 38.2581 4 9587526Limb exercise test A 1.34 0.56 0.48 0.56 0.48 0.04 1.94 1.86 1.94 1.86 1XXX.00.00.0000000P0 38.2581 4 95900 Motor nerve conduction test A 0.42 0.70 0.70 0.70 0.70 0.03 1.15 1.15 1.15 1.15 1XXX.00.00.0000000P0 38.2581 4 95900TCMotor nerve conduction test A 0.00 0.51 0.46 0.51 0.46 0.02 0.53 0.48 0.53 0.48 1XXX.00.00.0000000P0 38.2581 4 9590026Motor nerve conduction test A 0.42 0.19 0.24 0.19 0.24 0.01 0.62 0.67 0.62 0.67 1XXX.00.00.0000000P0 38.2581 4 95903 Motor nerve conduction test A 0.60 0.52 0.55 0.52 0.55 0.04 1.16 1.19 1.16 1.19 1XXX.00.00.0000000P0 38.2581 4 95903TCMotor nerve conduction test A 0.00 0.25 0.25 0.25 0.25 0.02 0.27 0.27 0.27 0.27 1XXX.00.00.0000000P0 38.2581 4 9590326Motor nerve conduction test A 0.60 0.27 0.30 0.27 0.30 0.02 0.89 0.92 0.89 0.92 1XXX.00.00.0000000P0 38.2581 4 95904 Sense/mixed n conduction tst A 0.34 0.62 0.62 0.62 0.62 0.03 0.99 0.99 0.99 0.99 1XXX.00.00.0000000P0 38.2581 4 95904TCSense/mixed n conduction tst A 0.00 0.47 0.41 0.47 0.41 0.02 0.49 0.43 0.49 0.43 1XXX.00.00.0000000P0 38.2581 4 9590426Sense/mixed n conduction tst A 0.34 0.15 0.21 0.15 0.21 0.01 0.50 0.56 0.50 0.56 1XXX.00.00.0000000P0 38.2581 4 95920 Intraop nerve test add-on A 2.11 2.26 2.42 2.26 2.42 0.20 4.57 4.73 4.57 4.73 1ZZZ.00.00.0000000P0 38.2581 4 95920TCIntraop nerve test add-on A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1ZZZ.00.00.0000000P0 38.2581 4 9592026Intraop nerve test add-on A 2.11 0.96 1.11 0.96 1.11 0.14 3.21 3.36 3.21 3.36 1ZZZ.00.00.0000000P0 38.2581 4 95921 Autonomic nerv function test A 0.90 0.71 0.72 0.71 0.72 0.05 1.66 1.67 1.66 1.67 1XXX.00.00.0000000P0 38.2581 4 95921TCAutonomic nerv function test A 0.00 0.37 0.38 0.37 0.38 0.02 0.39 0.40 0.39 0.40 1XXX.00.00.0000000P0 38.2581 4 9592126Autonomic nerv function test A 0.90 0.34 0.34 0.34 0.34 0.03 1.27 1.27 1.27 1.27 1XXX.00.00.0000000P0 38.2581 4 95922 Autonomic nerv function test A 0.96 0.79 0.79 0.79 0.79 0.05 1.80 1.80 1.80 1.80 1XXX.00.00.0000000P0 38.2581 4 95922TCAutonomic nerv function test A 0.00 0.37 0.38 0.37 0.38 0.02 0.39 0.40 0.39 0.40 1XXX.00.00.0000000P0 38.2581 4 9592226Autonomic nerv function test A 0.96 0.42 0.41 0.42 0.41 0.03 1.41 1.40 1.41 1.40 1XXX.00.00.0000000P0 38.2581 4 95923 Autonomic nerv function test A 0.90 2.60 2.14 2.60 2.14 0.05 3.55 3.09 3.55 3.09 1XXX.00.00.0000000P0 38.2581 4 95923TCAutonomic nerv function test A 0.00 2.21 1.76 2.21 1.76 0.02 2.23 1.78 2.23 1.78 1XXX.00.00.0000000P0 38.2581 4 9592326Autonomic nerv function test A 0.90 0.39 0.38 0.39 0.38 0.03 1.32 1.31 1.32 1.31 1XXX.00.00.0000000P0 38.2581 4 95925 Somatosensory testing A 0.54 1.13 1.26 1.13 1.26 0.07 1.74 1.87 1.74 1.87 1XXX.00.00.0002000P0 38.2581 4 95925TCSomatosensory testing A 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 1XXX.00.00.0002000P0 38.2581 4 9592526Somatosensory testing A 0.54 0.23 0.35 0.23 0.35 0.02 0.79 0.91 0.79 0.91 1XXX.00.00.0002000P0 38.2581 4 95926 Somatosensory testing A 0.54 1.14 1.26 1.14 1.26 0.07 1.75 1.87 1.75 1.87 1XXX.00.00.0002000P0 38.2581 4 95926TCSomatosensory testing A 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 1XXX.00.00.0002000P0 38.2581 4 9592626Somatosensory testing A 0.54 0.24 0.35 0.24 0.35 0.02 0.80 0.91 0.80 0.91 1XXX.00.00.0002000P0 38.2581 4 95927 Somatosensory testing A 0.54 1.16 1.28 1.16 1.28 0.08 1.78 1.90 1.78 1.90 1XXX.00.00.0000000P0 38.2581 4 95927TCSomatosensory testing A 0.00 0.90 0.91 0.90 0.91 0.05 0.95 0.96 0.95 0.96 1XXX.00.00.0000000P0 38.2581 4 9592726Somatosensory testing A 0.54 0.26 0.37 0.26 0.37 0.03 0.83 0.94 0.83 0.94 1XXX.00.00.0000000P0 38.2581 4 95930 Visual evoked potential test A 0.35 0.70 0.75 0.70 0.75 0.02 1.07 1.12 1.07 1.12 1XXX.00.00.0002000P0 38.2581 4 95930TCVisual evoked potential test A 0.00 0.55 0.48 0.55 0.48 0.01 0.56 0.49 0.56 0.49 1XXX.00.00.0002000P0 38.2581 4 9593026Visual evoked potential test A 0.35 0.15 0.27 0.15 0.27 0.01 0.51 0.63 0.51 0.63 1XXX.00.00.0002000P0 38.2581 4 95933 Blink reflex test A 0.59 1.02 1.11 1.02 1.11 0.07 1.68 1.77 1.68 1.77 1XXX.00.00.0000000P0 38.2581 4 95933TCBlink reflex test A 0.00 0.78 0.79 0.78 0.79 0.05 0.83 0.84 0.83 0.84 1XXX.00.00.0000000P0 38.2581 4 9593326Blink reflex test A 0.59 0.24 0.32 0.24 0.32 0.02 0.85 0.93 0.85 0.93 1XXX.00.00.0000000P0 38.2581 4 95934 H-reflex test A 0.51 0.44 0.48 0.44 0.48 0.04 0.99 1.03 0.99 1.03 1XXX.00.00.0001000P0 38.2581 4 95934TCH-reflex test A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0001000P0 38.2581 4 9593426H-reflex test A 0.51 0.23 0.27 0.23 0.27 0.02 0.76 0.80 0.76 0.80 1XXX.00.00.0001000P0 38.2581 4 95936 H-reflex test A 0.55 0.46 0.49 0.46 0.49 0.04 1.05 1.08 1.05 1.08 1XXX.00.00.0001000P0 38.2581 4 95936TCH-reflex test A 0.00 0.21 0.21 0.21 0.21 0.02 0.23 0.23 0.23 0.23 1XXX.00.00.0001000P0 38.2581 4 9593626H-reflex test A 0.55 0.25 0.28 0.25 0.28 0.02 0.82 0.85 0.82 0.85 1XXX.00.00.0001000P0 38.2581 4 95937 Neuromuscular junction test A 0.65 0.62 0.67 0.62 0.67 0.04 1.31 1.36 1.31 1.36 1XXX.00.00.0000000P0 38.2581 4 95937TCNeuromuscular junction test A 0.00 0.34 0.34 0.34 0.34 0.02 0.36 0.36 0.36 0.36 1XXX.00.00.0000000P0 38.2581 4 9593726Neuromuscular junction test A 0.65 0.28 0.33 0.28 0.33 0.02 0.95 1.00 0.95 1.00 1XXX.00.00.0000000P0 38.2581 4 95950 Ambulatory eeg monitoring A 1.51 3.79 4.81 3.79 4.81 0.44 5.74 6.76 5.74 6.76 1XXX.00.00.0000000P0 38.2581 4 95950TCAmbulatory eeg monitoring A 0.00 3.12 3.98 3.12 3.98 0.36 3.48 4.34 3.48 4.34 1XXX.00.00.0000000P0 38.2581 4 9595026Ambulatory eeg monitoring A 1.51 0.67 0.83 0.67 0.83 0.08 2.26 2.42 2.26 2.42 1XXX.00.00.0000000P0 38.2581 4 95951 EEG monitoring/videorecord A 6.00 23.52 20.04 23.52 20.04 0.58 30.10 26.62 30.10 26.62 1XXX.00.00.0000000P0 38.2581 4 95951TCEEG monitoring/videorecord A 0.00 20.91 17.67 20.91 17.67 0.38 21.29 18.05 21.29 18.05 1XXX.00.00.0000000P0 38.2581 4 9595126EEG monitoring/videorecord A 6.00 2.61 2.37 2.61 2.37 0.20 8.81 8.57 8.81 8.57 1XXX.00.00.0000000P0 38.2581 4 95953 EEG monitoring/computer A 3.08 7.61 7.68 7.61 7.68 0.46 11.15 11.22 11.15 11.22 1XXX.00.00.0000000P0 38.2581 4 95953TCEEG monitoring/computer A 0.00 6.28 6.35 6.28 6.35 0.36 6.64 6.71 6.64 6.71 1XXX.00.00.0000000P0 38.2581 4 9595326EEG monitoring/computer A 3.08 1.33 1.33 1.33 1.33 0.10 4.51 4.51 4.51 4.51 1XXX.00.00.0000000P0 38.2581 4 95954 EEG monitoring/giving drugs A 2.45 4.33 3.88 4.33 3.88 0.15 6.93 6.48 6.93 6.48 1XXX.00.00.0000000P0 38.2581 4 95954TCEEG monitoring/giving drugs A 0.00 3.27 2.58 3.27 2.58 0.05 3.32 2.63 3.32 2.63 1XXX.00.00.0000000P0 38.2581 4 9595426EEG monitoring/giving drugs A 2.45 1.06 1.30 1.06 1.30 0.10 3.61 3.85 3.61 3.85 1XXX.00.00.0000000P0 38.2581 4 95955 EEG during surgery A 1.01 2.30 2.51 2.30 2.51 0.19 3.50 3.71 3.50 3.71 1XXX.00.00.0000000P0 38.2581 4 95955TCEEG during surgery A 0.00 1.95 1.97 1.95 1.97 0.14 2.09 2.11 2.09 2.11 1XXX.00.00.0000000P0 38.2581 4 9595526EEG during surgery A 1.01 0.35 0.54 0.35 0.54 0.05 1.41 1.60 1.41 1.60 1XXX.00.00.0000000P0 38.2581 4 95956 Eeg monitoring, cable/radio A 3.08 31.25 25.48 31.25 25.48 0.47 34.80 29.03 34.80 29.03 1XXX.00.00.0000000P0 38.2581 4 95956TCEeg monitoring, cable/radio A 0.00 29.91 24.07 29.91 24.07 0.36 30.27 24.43 30.27 24.43 1XXX.00.00.0000000P0 38.2581 4 9595626Eeg monitoring, cable/radio A 3.08 1.34 1.41 1.34 1.41 0.11 4.53 4.60 4.53 4.60 1XXX.00.00.0000000P0 38.2581 4 95957 EEG digital analysis A 1.98 2.56 2.53 2.56 2.53 0.17 4.71 4.68 4.71 4.68 1XXX.00.00.0000000P0 38.2581 4 95957TCEEG digital analysis A 0.00 1.69 1.71 1.69 1.71 0.10 1.79 1.81 1.79 1.81 1XXX.00.00.0000000P0 38.2581 4 9595726EEG digital analysis A 1.98 0.87 0.82 0.87 0.82 0.07 2.92 2.87 2.92 2.87 1XXX.00.00.0000000P0 38.2581 4 95958 EEG monitoring/function test A 4.25 3.53 3.98 3.53 3.98 0.29 8.07 8.52 8.07 8.52 1XXX.00.00.0000000P0 38.2581 4 95958TCEEG monitoring/function test A 0.00 1.73 1.75 1.73 1.75 0.11 1.84 1.86 1.84 1.86 1XXX.00.00.0000000P0 38.2581 4 9595826EEG monitoring/function test A 4.25 1.80 2.23 1.80 2.23 0.18 6.23 6.66 6.23 6.66 1XXX.00.00.0000000P0 38.2581 4 95961 Electrode stimulation, brain A 2.97 2.63 2.70 2.63 2.70 0.24 5.84 5.91 5.84 5.91 1XXX.00.00.0000000P0 38.2581 4 95961TCElectrode stimulation, brain A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1XXX.00.00.0000000P0 38.2581 4 9596126Electrode stimulation, brain A 2.97 1.33 1.39 1.33 1.39 0.18 4.48 4.54 4.48 4.54 1XXX.00.00.0000000P0 38.2581 4 95962 Electrode stim, brain add-on A 3.21 2.71 2.76 2.71 2.76 0.23 6.15 6.20 6.15 6.20 1ZZZ.00.00.0000000P0 38.2581 4 95962TCElectrode stim, brain add-on A 0.00 1.30 1.31 1.30 1.31 0.06 1.36 1.37 1.36 1.37 1ZZZ.00.00.0000000P0 38.2581 4 9596226Electrode stim, brain add-on A 3.21 1.41 1.45 1.41 1.45 0.17 4.79 4.83 4.79 4.83 1ZZZ.00.00.0000000P0 38.2581 4 95970 Analyze neurostim, no prog A 0.45 0.17 0.17 0.14 0.14 0.03 0.65 0.65 0.62 0.62 0XXX.00.00.0000000P0 38.2581 5 95971 Analyze neurostim, simple A 0.78 0.29 0.29 0.23 0.23 0.06 1.13 1.13 1.07 1.07 0XXX.00.00.0000000P0 38.2581 5 95972 Analyze neurostim, complex A 1.50 0.63 0.63 0.55 0.55 0.17 2.30 2.30 2.22 2.22 0XXX.00.00.0000000P0 38.2581 5 95973 Analyze neurostim, complex A 0.92 0.40 0.40 0.37 0.37 0.07 1.39 1.39 1.36 1.36 0ZZZ.00.00.0000000P0 38.2581 5 95974 Cranial neurostim, complex A 3.00 1.32 1.32 1.32 1.32 0.15 4.47 4.47 4.47 4.47 0XXX.00.00.0000000P0 38.2581 5 95975 Cranial neurostim, complex A 1.70 0.74 0.74 0.73 0.73 0.07 2.51 2.51 2.50 2.50 0ZZZ.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 96100 Psychological testing A 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 0XXX.00.00.0000000P0 38.2581 4 96105 Assessment of aphasia A 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 0XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 96111 Developmental test, extend A 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 0XXX.00.00.0000000P0 38.2581 4 96115 Neurobehavior status exam A 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 0XXX.00.00.0000000P0 38.2581 4 96117 Neuropsych test battery A 0.00 1.75 1.77 1.75 1.77 0.15 1.90 1.92 1.90 1.92 0XXX.00.00.0000000P0 38.2581 4 96400 Chemotherapy, sc/im A 0.00 0.13 0.13 0.13 0.13 0.01 0.14 0.14 0.14 0.14 5XXX.00.00.0000000P0 38.2581 4 96405 Intralesional chemo admin A 0.52 1.82 1.47 0.25 0.24 0.02 2.36 2.01 0.79 0.78 0000.00.00.0020100P0 38.2581 4 96406 Intralesional chemo admin A 0.80 2.53 2.05 0.31 0.31 0.02 3.35 2.87 1.13 1.13 0000.00.00.0020100P0 38.2581 4 96408 Chemotherapy, push technique A 0.00 0.96 0.97 0.96 0.97 0.05 1.01 1.02 1.01 1.02 5XXX.00.00.0000000P0 38.2581 4 96410 Chemotherapy,infusion method A 0.00 1.54 1.56 1.54 1.56 0.07 1.61 1.63 1.61 1.63 5XXX.00.00.0000000P0 38.2581 4 96412 Chemo, infuse method add-on A 0.00 1.14 1.15 1.14 1.15 0.06 1.20 1.21 1.20 1.21 5ZZZ.00.00.0000000P0 38.2581 4 96414 Chemo, infuse method add-on A 0.00 1.33 1.34 1.33 1.34 0.07 1.40 1.41 1.40 1.41 5XXX.00.00.0000000P0 38.2581 4 96420 Chemotherapy, push technique A 0.00 1.24 1.25 1.24 1.25 0.07 1.31 1.32 1.31 1.32 5XXX.00.00.0000000P0 38.2581 4 96422 Chemotherapy,infusion method A 0.00 1.22 1.23 1.22 1.23 0.07 1.29 1.30 1.29 1.30 5XXX.00.00.0000000P0 38.2581 4 96423 Chemo, infuse method add-on A 0.00 0.48 0.49 0.48 0.49 0.02 0.50 0.51 0.50 0.51 5ZZZ.00.00.0000000P0 38.2581 4 96425 Chemotherapy,infusion method A 0.00 1.42 1.44 1.42 1.44 0.07 1.49 1.51 1.49 1.51 5XXX.00.00.0000000P0 38.2581 4 96440 Chemotherapy, intracavitary A 2.37 7.97 6.20 1.12 1.06 0.12 10.46 8.69 3.61 3.55 0000.00.00.0000000P1A4550 38.2581 4 96445 Chemotherapy, intracavitary A 2.20 8.33 6.51 1.04 0.91 0.07 10.60 8.78 3.31 3.18 0000.00.00.0000000P1A4550 38.2581 4 96450 Chemotherapy, into CNS A 1.89 6.73 5.28 0.90 0.79 0.06 8.68 7.23 2.85 2.74 0000.00.00.0000000P1A4550 38.2581 4 96520 Pump refilling, maintenance A 0.00 0.88 0.89 0.88 0.89 0.05 0.93 0.94 0.93 0.94 5XXX.00.00.0000000P0 38.2581 4 96530 Pump refilling, maintenance A 0.00 1.06 1.07 1.06 1.07 0.05 1.11 1.12 1.11 1.12 5XXX.00.00.0000000P0 38.2581 4 96542 Chemotherapy injection A 1.42 4.02 3.31 0.57 0.58 0.05 5.49 4.78 2.04 2.05 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 96570 Photodynamic tx, 30 min A 1.10 0.44 0.44 0.44 0.44 0.04 1.58 1.58 1.58 1.58 0ZZZ.00.00.000010090 38.2581 5 96571 Photodynamic tx, addl 15 min A 0.55 0.22 0.22 0.22 0.22 0.02 0.79 0.79 0.79 0.79 0ZZZ.00.00.000010090 38.2581 5 96900 Ultraviolet light therapy A 0.00 0.39 0.40 0.39 0.40 0.02 0.41 0.42 0.41 0.42 5XXX.00.00.0000000P0 38.2581 4 96902 Trichogram B+ 0.41 0.25 0.27 0.16 0.20 0.01 0.67 0.69 0.58 0.62 9XXX.00.00.0099999P9 38.2581 9 96910 Photochemotherapy with UV-B A 0.00 0.58 0.59 0.58 0.59 0.03 0.61 0.62 0.61 0.62 5XXX.00.00.0000000P0 38.2581 4 96912 Photochemotherapy with UV-A A 0.00 0.65 0.66 0.65 0.66 0.04 0.69 0.70 0.69 0.70 5XXX.00.00.0000000P0 38.2581 4 96913 Photochemotherapy, UV-A or B A 0.00 1.35 1.36 1.35 1.36 0.08 1.43 1.44 1.43 1.44 5XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9 97001 Pt evaluation A 1.20 0.56 0.52 0.48 0.46 0.10 1.86 1.82 1.78 1.76 7XXX.00.00.0000000P0 38.2581 4 97002 Pt re-evaluation A 0.60 0.35 0.27 0.26 0.21 0.04 0.99 0.91 0.90 0.85 7XXX.00.00.0000000P0 38.2581 4 97003 Ot evaluation A 1.20 0.67 0.60 0.32 0.34 0.05 1.92 1.85 1.57 1.59 7XXX.00.00.0000000P0 38.2581 4 97004 Ot re-evaluation A 0.60 0.43 0.33 0.13 0.11 0.02 1.05 0.95 0.75 0.73 7XXX.00.00.0000000P0 38.2581 4 97010 Hot or cold packs therapy B+ 0.06 0.24 0.24 0.01 0.07 0.01 0.31 0.31 0.08 0.14 9XXX.00.00.0099999P9 38.2581 9 97012 Mechanical traction therapy A 0.25 0.27 0.26 0.05 0.09 0.01 0.53 0.52 0.31 0.35 7XXX.00.00.0000000P0 38.2581 4 97014 Electric stimulation therapy A 0.18 0.25 0.24 0.03 0.08 0.01 0.44 0.43 0.22 0.27 7XXX.00.00.0000000P0 38.2581 4 97016 Vasopneumatic device therapy A 0.18 0.25 0.26 0.03 0.09 0.01 0.44 0.45 0.22 0.28 7XXX.00.00.0000000P0 38.2581 4 97018 Paraffin bath therapy A 0.06 0.22 0.23 0.01 0.07 0.01 0.29 0.30 0.08 0.14 7XXX.00.00.0000000P0 38.2581 4 97020 Microwave therapy A 0.06 0.23 0.23 0.01 0.06 0.01 0.30 0.30 0.08 0.13 7XXX.00.00.0000000P0 38.2581 4 97022 Whirlpool therapy A 0.17 0.43 0.38 0.03 0.08 0.01 0.61 0.56 0.21 0.26 7XXX.00.00.0000000P0 38.2581 4 97024 Diathermy treatment A 0.06 0.24 0.24 0.01 0.07 0.01 0.31 0.31 0.08 0.14 7XXX.00.00.0000000P0 38.2581 4 97026 Infrared therapy A 0.06 0.22 0.22 0.01 0.06 0.01 0.29 0.29 0.08 0.13 7XXX.00.00.0000000P0 38.2581 4 97028 Ultraviolet therapy A 0.08 0.22 0.22 0.01 0.06 0.01 0.31 0.31 0.10 0.15 7XXX.00.00.0000000P0 38.2581 4 97032 Electrical stimulation A 0.25 0.28 0.25 0.05 0.08 0.01 0.54 0.51 0.31 0.34 7XXX.00.00.0000000P0 38.2581 4 97033 Electric current therapy A 0.26 0.31 0.27 0.05 0.08 0.02 0.59 0.55 0.33 0.36 7XXX.00.00.0000000P0 38.2581 4 97034 Contrast bath therapy A 0.21 0.27 0.23 0.04 0.06 0.01 0.49 0.45 0.26 0.28 7XXX.00.00.0000000P0 38.2581 4 97035 Ultrasound therapy A 0.21 0.17 0.16 0.04 0.06 0.01 0.39 0.38 0.26 0.28 7XXX.00.00.0000000P0 38.2581 4 97036 Hydrotherapy A 0.28 0.36 0.33 0.05 0.10 0.01 0.65 0.62 0.34 0.39 7XXX.00.00.0000000P0 38.2581 4 97039 Physical therapy treatment A 0.20 0.27 0.27 0.04 0.10 0.01 0.48 0.48 0.25 0.31 7XXX.00.00.0000000P0 38.2581 4 97110 Therapeutic exercises A 0.45 0.19 0.18 0.08 0.10 0.03 0.67 0.66 0.56 0.58 7XXX.00.00.0000000P0 38.2581 4 97112 Neuromuscular reeducation A 0.45 0.30 0.26 0.08 0.10 0.02 0.77 0.73 0.55 0.57 7XXX.00.00.0000000P0 38.2581 4 97113 Aquatic therapy/exercises A 0.44 0.32 0.30 0.08 0.12 0.03 0.79 0.77 0.55 0.59 7XXX.00.00.0000000P0 38.2581 4 97116 Gait training therapy A 0.40 0.30 0.26 0.07 0.08 0.02 0.72 0.68 0.49 0.50 7XXX.00.00.0000000P0 38.2581 4 97124 Massage therapy A 0.35 0.28 0.24 0.06 0.08 0.01 0.64 0.60 0.42 0.44 7XXX.00.00.0000000P0 38.2581 4 97139 Physical medicine procedure A 0.21 0.25 0.23 0.04 0.07 0.01 0.47 0.45 0.26 0.29 7XXX.00.00.0000000P0 38.2581 4 97140 Manual therapy A 0.43 0.31 0.31 0.08 0.08 0.02 0.76 0.76 0.53 0.53 7XXX.00.00.0000000P0 38.2581 5 97150 Group therapeutic procedures A 0.27 0.27 0.26 0.05 0.09 0.02 0.56 0.55 0.34 0.38 7XXX.00.00.0000000P0 38.2581 4 97504 Orthotic training A 0.45 0.30 0.26 0.08 0.10 0.03 0.78 0.74 0.56 0.58 7XXX.00.00.0000000P0 38.2581 4 97520 Prosthetic training A 0.45 0.30 0.27 0.08 0.10 0.02 0.77 0.74 0.55 0.57 7XXX.00.00.0000000P0 38.2581 4 97530 Therapeutic activities A 0.44 0.18 0.18 0.08 0.11 0.02 0.64 0.64 0.54 0.57 7XXX.00.00.0000000P0 38.2581 4 97532 Cognitive skills development A 0.44 0.23 0.23 0.08 0.08 0.01 0.68 0.68 0.53 0.53 7XXX.00.00.000000090 38.2581 5 97533 Sensory integration A 0.44 0.29 0.29 0.08 0.08 0.01 0.74 0.74 0.53 0.53 7XXX.00.00.000000090 38.2581 5 97535 Self care mngment training A 0.45 0.30 0.27 0.08 0.11 0.02 0.77 0.74 0.55 0.58 7XXX.00.00.0000000P0 38.2581 4 97537 Community/work reintegration A 0.45 0.30 0.27 0.08 0.11 0.01 0.76 0.73 0.54 0.57 7XXX.00.00.0000000P0 38.2581 4 97542 Wheelchair mngment training A 0.25 0.26 0.24 0.05 0.08 0.01 0.52 0.50 0.31 0.34 7XXX.00.00.0000000P0 38.2581 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 7XXX.00.00.0000000P0 38.2581 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 7ZZZ.00.00.0000000P0 38.2581 9 97601 Wound care selective A 0.50 0.49 0.49 0.09 0.09 0.04 1.03 1.03 0.63 0.63 0XXX.00.00.009999999 38.2581 5 97602 Wound care non-selective B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 97703 Prosthetic checkout A 0.25 0.15 0.16 0.05 0.09 0.02 0.42 0.43 0.32 0.36 7XXX.00.00.0000000P0 38.2581 4 97750 Physical performance test A 0.45 0.24 0.25 0.08 0.13 0.02 0.71 0.72 0.55 0.60 7XXX.00.00.0000000P0 38.2581 4 97770 Cognitive skills development D 0.44 0.26 0.27 0.08 0.14 0.01 0.71 0.72 0.53 0.59 7XXX.00.00.0000000P0 38.2581 4 97780 Acupuncture w/o stimul N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 9 97781 Acupuncture w/stimul N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 7XXX.00.00.0000000P0 38.2581 9 97802 Medical nutrition, indiv, in N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 97803 Med nutrition, indiv, subseq N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 97804 Medical nutrition, group N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 98925 Osteopathic manipulation A 0.45 0.39 0.36 0.15 0.18 0.01 0.85 0.82 0.61 0.64 0000.00.00.0000000P0 38.2581 4 98926 Osteopathic manipulation A 0.65 0.45 0.45 0.26 0.30 0.02 1.12 1.12 0.93 0.97 0000.00.00.0000000P0 38.2581 4 98927 Osteopathic manipulation A 0.87 0.52 0.49 0.31 0.34 0.03 1.42 1.39 1.21 1.24 0000.00.00.0000000P0 38.2581 4 98928 Osteopathic manipulation A 1.03 0.60 0.57 0.36 0.39 0.03 1.66 1.63 1.42 1.45 0000.00.00.0000000P0 38.2581 4 98929 Osteopathic manipulation A 1.19 0.66 0.60 0.38 0.39 0.04 1.89 1.83 1.61 1.62 0000.00.00.0000000P0 38.2581 4 98940 Chiropractic manipulation A 0.45 0.25 0.27 0.13 0.14 0.01 0.71 0.73 0.59 0.60 0000.00.00.0000000P0 38.2581 4 98941 Chiropractic manipulation A 0.65 0.31 0.31 0.18 0.18 0.02 0.98 0.98 0.85 0.85 0000.00.00.0000000P0 38.2581 4 98942 Chiropractic manipulation A 0.87 0.37 0.36 0.25 0.23 0.03 1.27 1.26 1.15 1.13 0000.00.00.0000000P0 38.2581 4 98943 Chiropractic manipulation N+ 0.40 0.36 0.35 0.16 0.20 0.01 0.77 0.76 0.57 0.61 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99024 Postop follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99054 Medical servcs, unusual hrs B 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 9 99141 Sedation, iv/im or inhalant B+ 0.80 2.00 1.73 0.39 0.52 0.04 2.84 2.57 1.23 1.36 9XXX.00.00.0099999P9 38.2581 9 99142 Sedation, oral/rectal/nasal B+ 0.60 1.17 1.05 0.31 0.40 0.03 1.80 1.68 0.94 1.03 9XXX.00.00.0099999P9 38.2581 9 99170 Anogenital exam, child A 1.75 1.87 1.87 0.70 0.70 0.07 3.69 3.69 2.52 2.52 0000.00.00.002010090 38.2581 5 99172 Ocular function screen N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 99173 Visual acuity screen N 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.009999999 38.2581 9 99175 Induction of vomiting A 0.00 1.38 1.40 1.38 1.40 0.08 1.46 1.48 1.46 1.48 5XXX.00.00.0000000P0 38.2581 4 99183 Hyperbaric oxygen therapy A 2.34 0.76 NA 1.02 0.76 1.02 0.12 3.22 3.48 3.22 3.48 0XXX.00.00.0000000P0 38.2581 4 99185 Regional hypothermia A 0.00 0.63 0.64 0.63 0.64 0.03 0.66 0.67 0.66 0.67 5XXX.00.00.0000000P0 38.2581 4 99186 Total body hypothermia A 0.00 1.77 1.79 1.77 1.79 0.37 2.14 2.16 2.14 2.16 5XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99195 Phlebotomy A 0.00 0.44 0.45 0.44 0.45 0.02 0.46 0.47 0.46 0.47 5XXX.00.00.0000000P0 38.2581 4 99199 Special service/proc/report C 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000P0 38.2581 9 99201 Office/outpatient visit, new A 0.45 0.46 0.46 0.16 0.17 0.02 0.93 0.93 0.63 0.64 0XXX.00.00.0000000P0 38.2581 4 99202 Office/outpatient visit, new A 0.88 0.74 0.69 0.33 0.31 0.05 1.67 1.62 1.26 1.24 0XXX.00.00.0000000P0 38.2581 4 99203 Office/outpatient visit, new A 1.34 1.08 0.97 0.50 0.45 0.08 2.50 2.39 1.92 1.87 0XXX.00.00.0000000P0 38.2581 4 99204 Office/outpatient visit, new A 2.00 1.50 1.37 0.74 0.66 0.10 3.60 3.47 2.84 2.76 0XXX.00.00.0000000P0 38.2581 4 99205 Office/outpatient visit, new A 2.67 1.77 1.59 0.97 0.84 0.12 4.56 4.38 3.76 3.63 0XXX.00.00.0000000P0 38.2581 4 99211 Office/outpatient visit, est A 0.17 0.37 0.34 0.06 0.07 0.01 0.55 0.52 0.24 0.25 0XXX.00.00.0000000P0 38.2581 4 99212 Office/outpatient visit, est A 0.45 0.51 0.47 0.17 0.17 0.02 0.98 0.94 0.64 0.64 0XXX.00.00.0000000P0 38.2581 4 99213 Office/outpatient visit, est A 0.67 0.67 0.62 0.24 0.23 0.03 1.37 1.32 0.94 0.93 0XXX.00.00.0000000P0 38.2581 4 99214 Office/outpatient visit, est A 1.10 1.02 0.92 0.40 0.37 0.04 2.16 2.06 1.54 1.51 0XXX.00.00.0000000P0 38.2581 4 99215 Office/outpatient visit, est A 1.77 1.32 1.22 0.65 0.59 0.07 3.16 3.06 2.49 2.43 0XXX.00.00.0000000P0 38.2581 4 99217 Observation care discharge A 1.28 0.45 NA 0.48 0.45 0.48 0.05 1.78 1.81 1.78 1.81 0XXX.00.00.0000000P0 38.2581 4 99218 Observation care A 1.28 0.45 NA 0.52 0.45 0.52 0.05 1.78 1.85 1.78 1.85 0XXX.00.00.0000000P0 38.2581 4 99219 Observation care A 2.14 0.74 NA 0.84 0.74 0.84 0.08 2.96 3.06 2.96 3.06 0XXX.00.00.0000000P0 38.2581 4 99220 Observation care A 2.99 1.05 NA 1.10 1.05 1.10 0.11 4.15 4.20 4.15 4.20 0XXX.00.00.0000000P0 38.2581 4 99221 Initial hospital care A 1.28 0.47 NA 0.54 0.47 0.54 0.05 1.80 1.87 1.80 1.87 0XXX.00.00.0000000P0 38.2581 4 99222 Initial hospital care A 2.14 0.76 NA 0.85 0.76 0.85 0.08 2.98 3.07 2.98 3.07 0XXX.00.00.0000000P0 38.2581 4 99223 Initial hospital care A 2.99 1.07 NA 1.11 1.07 1.11 0.10 4.16 4.20 4.16 4.20 0XXX.00.00.0000000P0 38.2581 4 99231 Subsequent hospital care A 0.64 0.24 NA 0.28 0.24 0.28 0.02 0.90 0.94 0.90 0.94 0XXX.00.00.0000000P0 38.2581 4 99232 Subsequent hospital care A 1.06 0.38 NA 0.41 0.38 0.41 0.03 1.47 1.50 1.47 1.50 0XXX.00.00.0000000P0 38.2581 4 99233 Subsequent hospital care A 1.51 0.54 NA 0.57 0.54 0.57 0.05 2.10 2.13 2.10 2.13 0XXX.00.00.0000000P0 38.2581 4 99234 Observ/hosp same date A 2.56 0.92 NA 0.88 0.92 0.88 0.11 3.59 3.55 3.59 3.55 0XXX.00.00.0000000P0 38.2581 4 99235 Observ/hosp same date A 3.42 1.20 NA 1.19 1.20 1.19 0.13 4.75 4.74 4.75 4.74 0XXX.00.00.0000000P0 38.2581 4 99236 Observ/hosp same date A 4.27 1.46 NA 1.41 1.46 1.41 0.17 5.90 5.85 5.90 5.85 0XXX.00.00.0000000P0 38.2581 4 99238 Hospital discharge day A 1.28 0.45 NA 0.48 0.45 0.48 0.04 1.77 1.80 1.77 1.80 0XXX.00.00.0000000P0 38.2581 4 99239 Hospital discharge day A 1.75 0.62 NA 0.60 0.62 0.60 0.05 2.42 2.40 2.42 2.40 0XXX.00.00.0000000P0 38.2581 4 99241 Office consultation A 0.64 0.60 0.62 0.23 0.26 0.04 1.28 1.30 0.91 0.94 0XXX.00.00.0000000P0 38.2581 4 99242 Office consultation A 1.29 1.00 0.96 0.49 0.47 0.09 2.38 2.34 1.87 1.85 0XXX.00.00.0000000P0 38.2581 4 99243 Office consultation A 1.72 1.34 1.27 0.67 0.64 0.10 3.16 3.09 2.49 2.46 0XXX.00.00.0000000P0 38.2581 4 99244 Office consultation A 2.58 1.78 1.67 0.97 0.90 0.13 4.49 4.38 3.68 3.61 0XXX.00.00.0000000P0 38.2581 4 99245 Office consultation A 3.43 2.24 2.14 1.29 1.20 0.16 5.83 5.73 4.88 4.79 0XXX.00.00.0000000P0 38.2581 4 99251 Initial inpatient consult A 0.66 0.30 NA 0.41 0.30 0.41 0.04 1.00 1.11 1.00 1.11 0XXX.00.00.0000000P0 38.2581 4 99252 Initial inpatient consult A 1.32 0.57 NA 0.63 0.57 0.63 0.08 1.97 2.03 1.97 2.03 0XXX.00.00.0000000P0 38.2581 4 99253 Initial inpatient consult A 1.82 0.76 NA 0.83 0.76 0.83 0.09 2.67 2.74 2.67 2.74 0XXX.00.00.0000000P0 38.2581 4 99254 Initial inpatient consult A 2.64 1.07 NA 1.13 1.07 1.13 0.11 3.82 3.88 3.82 3.88 0XXX.00.00.0000000P0 38.2581 4 99255 Initial inpatient consult A 3.65 1.44 NA 1.51 1.44 1.51 0.15 5.24 5.31 5.24 5.31 0XXX.00.00.0000000P0 38.2581 4 99261 Follow-up inpatient consult A 0.42 0.21 NA 0.25 0.21 0.25 0.02 0.65 0.69 0.65 0.69 0XXX.00.00.0000000P0 38.2581 4 99262 Follow-up inpatient consult A 0.85 0.37 NA 0.40 0.37 0.40 0.03 1.25 1.28 1.25 1.28 0XXX.00.00.0000000P0 38.2581 4 99263 Follow-up inpatient consult A 1.27 0.52 NA 0.57 0.52 0.57 0.04 1.83 1.88 1.83 1.88 0XXX.00.00.0000000P0 38.2581 4 99271 Confirmatory consultation A 0.45 0.64 0.64 0.21 0.24 0.03 1.12 1.12 0.69 0.72 0XXX.00.00.0000000P0 38.2581 4 99272 Confirmatory consultation A 0.84 0.87 0.85 0.37 0.38 0.06 1.77 1.75 1.27 1.28 0XXX.00.00.0000000P0 38.2581 4 99273 Confirmatory consultation A 1.19 1.09 1.10 0.51 0.52 0.07 2.35 2.36 1.77 1.78 0XXX.00.00.0000000P0 38.2581 4 99274 Confirmatory consultation A 1.73 1.41 1.39 0.73 0.71 0.09 3.23 3.21 2.55 2.53 0XXX.00.00.0000000P0 38.2581 4 99275 Confirmatory consultation A 2.31 1.64 1.70 0.91 1.16 0.10 4.05 4.11 3.32 3.57 0XXX.00.00.0000000P0 38.2581 4 99281 Emergency dept visit A 0.33 0.09 NA 0.14 0.09 0.14 0.02 0.44 0.49 0.44 0.49 0XXX.00.00.0000000P0 38.2581 4 99282 Emergency dept visit A 0.55 0.15 NA 0.22 0.15 0.22 0.03 0.73 0.80 0.73 0.80 0XXX.00.00.0000000P0 38.2581 4 99283 Emergency dept visit A 1.24 0.32 NA 0.37 0.32 0.37 0.08 1.64 1.69 1.64 1.69 0XXX.00.00.0000000P0 38.2581 4 99284 Emergency dept visit A 1.95 0.49 NA 0.56 0.49 0.56 0.12 2.56 2.63 2.56 2.63 0XXX.00.00.0000000P0 38.2581 4 99285 Emergency dept visit A 3.06 0.74 NA 0.86 0.74 0.86 0.19 3.99 4.11 3.99 4.11 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99291 Critical care, first hour A 4.00 1.57 1.57 1.32 1.38 0.14 5.71 5.71 5.46 5.52 0XXX.00.00.0000000P0 38.2581 4 99292 Critical care, addl 30 min A 2.00 0.85 0.81 0.65 0.66 0.07 2.92 2.88 2.72 2.73 0ZZZ.00.00.0000000P0 38.2581 4 99295 Neonatal critical care A 16.00 4.86 NA 5.02 4.86 5.02 0.70 21.56 21.72 21.56 21.72 0XXX.00.00.0000000P0 38.2581 4 99296 Neonatal critical care A 8.00 2.61 NA 2.63 2.61 2.63 0.23 10.84 10.86 10.84 10.86 0XXX.00.00.0000000P0 38.2581 4 99297 Neonatal critical care A 4.00 1.32 NA 1.32 1.32 1.32 0.12 5.44 5.44 5.44 5.44 0XXX.00.00.0000000P0 38.2581 4 99298 Neonatal critical care A 2.75 0.96 NA 0.96 0.96 0.96 0.10 3.81 3.81 3.81 3.81 0XXX.00.00.0000000P0 38.2581 5 99301 Nursing facility care A 1.20 0.42 NA 0.44 0.42 0.44 0.04 1.66 1.68 1.66 1.68 0XXX.00.00.0000000P0 38.2581 4 99302 Nursing facility care A 1.61 0.56 NA 0.56 0.56 0.56 0.05 2.22 2.22 2.22 2.22 0XXX.00.00.0000000P0 38.2581 4 99303 Nursing facility care A 2.01 0.69 NA 0.78 0.69 0.78 0.06 2.76 2.85 2.76 2.85 0XXX.00.00.0000000P0 38.2581 4 99311 Nursing fac care, subseq A 0.60 0.21 NA 0.25 0.21 0.25 0.02 0.83 0.87 0.83 0.87 0XXX.00.00.0000000P0 38.2581 4 99312 Nursing fac care, subseq A 1.00 0.34 NA 0.37 0.34 0.37 0.03 1.37 1.40 1.37 1.40 0XXX.00.00.0000000P0 38.2581 4 99313 Nursing fac care, subseq A 1.42 0.49 NA 0.49 0.49 0.49 0.04 1.95 1.95 1.95 1.95 0XXX.00.00.0000000P0 38.2581 4 99315 Nursing fac discharge day A 1.13 0.39 NA 0.43 0.39 0.43 0.04 1.56 1.60 1.56 1.60 0XXX.00.00.0000000P0 38.2581 4 99316 Nursing fac discharge day A 1.50 0.52 NA 0.53 0.52 0.53 0.05 2.07 2.08 2.07 2.08 0XXX.00.00.0000000P0 38.2581 4 99321 Rest home visit, new patient A 0.71 0.43 0.42 0.35 0.36 0.02 1.16 1.15 1.08 1.09 0XXX.00.00.0000000P0 38.2581 4 99322 Rest home visit, new patient A 1.01 0.68 0.65 0.45 0.48 0.03 1.72 1.69 1.49 1.52 0XXX.00.00.0000000P0 38.2581 4 99323 Rest home visit, new patient A 1.28 0.93 0.90 0.56 0.62 0.04 2.25 2.22 1.88 1.94 0XXX.00.00.0000000P0 38.2581 4 99331 Rest home visit, est pat A 0.60 0.47 0.43 0.31 0.31 0.02 1.09 1.05 0.93 0.93 0XXX.00.00.0000000P0 38.2581 4 99332 Rest home visit, est pat A 0.80 0.59 0.54 0.38 0.38 0.03 1.42 1.37 1.21 1.21 0XXX.00.00.0000000P0 38.2581 4 99333 Rest home visit, est pat A 1.00 0.72 0.66 0.45 0.46 0.03 1.75 1.69 1.48 1.49 0XXX.00.00.0000000P0 38.2581 4 99341 Home visit, new patient A 1.01 0.54 0.55 0.48 0.51 0.05 1.60 1.61 1.54 1.57 0XXX.00.00.0000000P0 38.2581 4 99342 Home visit, new patient A 1.52 0.84 0.79 0.68 0.67 0.05 2.41 2.36 2.25 2.24 0XXX.00.00.0000000P0 38.2581 4 99343 Home visit, new patient A 2.27 1.30 1.19 1.28 1.17 0.07 3.64 3.53 3.62 3.51 0XXX.00.00.0000000P0 38.2581 4 99344 Home visit, new patient A 3.03 1.60 1.43 1.30 1.21 0.10 4.73 4.56 4.43 4.34 0XXX.00.00.0000000P0 38.2581 4 99345 Home visit, new patient A 3.79 1.85 1.62 1.36 1.25 0.12 5.76 5.53 5.27 5.16 0XXX.00.00.0000000P0 38.2581 4 99347 Home visit, est patient A 0.76 0.47 0.48 0.36 0.39 0.03 1.26 1.27 1.15 1.18 0XXX.00.00.0000000P0 38.2581 4 99348 Home visit, est patient A 1.26 0.72 0.69 0.53 0.54 0.04 2.02 1.99 1.83 1.84 0XXX.00.00.0000000P0 38.2581 4 99349 Home visit, est patient A 2.02 1.07 0.97 0.80 0.77 0.06 3.15 3.05 2.88 2.85 0XXX.00.00.0000000P0 38.2581 4 99350 Home visit, est patient A 3.03 1.48 1.32 1.16 1.08 0.10 4.61 4.45 4.29 4.21 0XXX.00.00.0000000P0 38.2581 4 99354 Prolonged service, office A 1.77 1.43 1.28 0.63 0.58 0.06 3.26 3.11 2.46 2.41 0ZZZ.00.00.0000000P0 38.2581 4 99355 Prolonged service, office A 1.77 1.23 1.13 0.62 0.57 0.06 3.06 2.96 2.45 2.40 0ZZZ.00.00.0000000P0 38.2581 4 99356 Prolonged service, inpatient A 1.71 0.60 NA 0.68 0.60 0.68 0.06 2.37 2.45 2.37 2.45 0ZZZ.00.00.0000000P0 38.2581 4 99357 Prolonged service, inpatient A 1.71 0.62 NA 0.70 0.62 0.70 0.06 2.39 2.47 2.39 2.47 0ZZZ.00.00.0000000P0 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 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 9ZZZ.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99374 Home health care supervision B+ 1.10 1.42 1.20 0.44 0.47 0.04 2.56 2.34 1.58 1.61 9XXX.00.00.0099999P9 38.2581 9 99375 Home health care supervision G+ 1.73 1.30 0.14 0.60 0.14 0.06 3.09 1.93 2.39 1.93 9XXX.00.00.0099999P9 38.2581 9 99377 Hospice care supervision B+ 1.10 1.42 1.20 0.44 0.47 0.04 2.56 2.34 1.58 1.61 9XXX.00.00.0099999P9 38.2581 9 99378 Hospice care supervision G+ 1.73 1.50 0.14 0.58 0.14 0.06 3.29 1.93 2.37 1.93 9XXX.00.00.0099999P9 38.2581 9 99379 Nursing fac care supervision B+ 1.10 1.42 1.20 0.44 0.47 0.03 2.55 2.33 1.57 1.60 9XXX.00.00.0099999P9 38.2581 9 99380 Nursing fac care supervision B+ 1.73 1.67 1.39 0.69 0.66 0.05 3.45 3.17 2.47 2.44 9XXX.00.00.0099999P9 38.2581 9 99381 Prev visit, new, infant N+ 1.19 1.46 1.43 0.48 0.69 0.04 2.69 2.66 1.71 1.92 9XXX.00.00.0099999P9 38.2581 9 99382 Prev visit, new, age 1-4 N+ 1.36 1.50 1.51 0.54 0.79 0.04 2.90 2.91 1.94 2.19 9XXX.00.00.0099999P9 38.2581 9 99383 Prev visit, new, age 5-11 N+ 1.36 1.44 1.46 0.54 0.79 0.04 2.84 2.86 1.94 2.19 9XXX.00.00.0099999P9 38.2581 9 99384 Prev visit, new, age 12-17 N+ 1.53 1.52 1.57 0.61 0.89 0.05 3.10 3.15 2.19 2.47 9XXX.00.00.0099999P9 38.2581 9 99385 Prev visit, new, age 18-39 N+ 1.53 1.52 1.52 0.61 0.84 0.05 3.10 3.10 2.19 2.42 9XXX.00.00.0099999P9 38.2581 9 99386 Prev visit, new, age 40-64 N+ 1.88 1.71 1.75 0.75 1.03 0.06 3.65 3.69 2.69 2.97 9XXX.00.00.0099999P9 38.2581 9 99387 Prev visit, new, 65 & over N+ 2.06 1.83 1.88 0.82 1.13 0.06 3.95 4.00 2.94 3.25 9XXX.00.00.0099999P9 38.2581 9 99391 Prev visit, est, infant N+ 1.02 0.99 1.03 0.41 0.60 0.03 2.04 2.08 1.46 1.65 9XXX.00.00.0099999P9 38.2581 9 99392 Prev visit, est, age 1-4 N+ 1.19 1.06 1.13 0.48 0.69 0.04 2.29 2.36 1.71 1.92 9XXX.00.00.0099999P9 38.2581 9 99393 Prev visit, est, age 5-11 N+ 1.19 1.03 1.11 0.48 0.69 0.04 2.26 2.34 1.71 1.92 9XXX.00.00.0099999P9 38.2581 9 99394 Prev visit, est, age 12-17 N+ 1.36 1.11 1.22 0.54 0.79 0.04 2.51 2.62 1.94 2.19 9XXX.00.00.0099999P9 38.2581 9 99395 Prev visit, est, age 18-39 N+ 1.36 1.14 1.20 0.54 0.75 0.04 2.54 2.60 1.94 2.15 9XXX.00.00.0099999P9 38.2581 9 99396 Prev visit, est, age 40-64 N+ 1.53 1.23 1.30 0.61 0.84 0.05 2.81 2.88 2.19 2.42 9XXX.00.00.0099999P9 38.2581 9 99397 Prev visit, est, 65 & over N+ 1.71 1.34 1.43 0.68 0.93 0.05 3.10 3.19 2.44 2.69 9XXX.00.00.0099999P9 38.2581 9 99401 Preventive counseling, indiv N+ 0.48 0.59 0.57 0.19 0.27 0.01 1.08 1.06 0.68 0.76 9XXX.00.00.0099999P9 38.2581 9 99402 Preventive counseling, indiv N+ 0.98 0.84 0.87 0.39 0.54 0.02 1.84 1.87 1.39 1.54 9XXX.00.00.0099999P9 38.2581 9 99403 Preventive counseling, indiv N+ 1.46 1.08 1.17 0.58 0.80 0.03 2.57 2.66 2.07 2.29 9XXX.00.00.0099999P9 38.2581 9 99404 Preventive counseling, indiv N+ 1.95 1.32 1.47 0.78 1.07 0.04 3.31 3.46 2.77 3.06 9XXX.00.00.0099999P9 38.2581 9 99411 Preventive counseling, group N+ 0.15 0.17 0.17 0.06 0.08 0.01 0.33 0.33 0.22 0.24 9XXX.00.00.0099999P9 38.2581 9 99412 Preventive counseling, group N+ 0.25 0.24 0.24 0.10 0.14 0.01 0.50 0.50 0.36 0.40 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 9XXX.00.00.0099999P9 38.2581 9 99431 Initial care, normal newborn A 1.17 0.36 NA 0.60 0.36 0.60 0.04 1.57 1.81 1.57 1.81 0XXX.00.00.0000000P0 38.2581 4 99432 Newborn care, not in hosp A 1.26 1.14 1.21 0.33 0.60 0.06 2.46 2.53 1.65 1.92 0XXX.00.00.0000000P0 38.2581 4 99433 Normal newborn care/hospital A 0.62 0.20 NA 0.32 0.20 0.32 0.02 0.84 0.96 0.84 0.96 0XXX.00.00.0000000P0 38.2581 4 99435 Newborn discharge day hosp A 1.50 0.57 NA 0.85 0.57 0.85 0.05 2.12 2.40 2.12 2.40 0XXX.00.00.0000000P0 38.2581 4 99436 Attendance, birth A 1.50 0.60 0.87 0.46 0.77 0.05 2.15 2.42 2.01 2.32 0XXX.00.00.0000000P0 38.2581 4 99440 Newborn resuscitation A 2.93 0.86 NA 1.47 0.86 1.47 0.11 3.90 4.51 3.90 4.51 0XXX.00.00.0000000P0 38.2581 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 9XXX.00.00.0099999P9 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 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 0XXX.00.00.0000000P0 38.2581 9