All CPT codes and descriptors Copyright 1995 American Medical Association Copyright 1994 American Dental Association. All rights reserved(D0110 - D9999). "A0021","","G","Outside state ambulance serv","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0030","","X","Air ambulance service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0040","","X","Helicopter ambulance service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0050","","X","Water amb service emergency","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0080","","G","Noninterest escort in non er","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0090","","G","Interest escort in non er","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0100","","G","Nonemergency transport taxi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0110","","G","Nonemergency transport bus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0120","","G","Noner transport mini-bus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0130","","G","Noner transport wheelch van","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0140","","G","Nonemergency transport air","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0160","","G","Noner transport case worker","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0170","","G","Noner transport parking fees","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0180","","G","Noner transport lodgng recip","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0190","","G","Noner transport meals recip","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0200","","G","Noner transport lodgng escrt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0210","","G","Noner transport meals escort","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0225","","X","Neonatal emergency transport","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0300","","X","Ambulance basic non-emer all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0302","","X","Ambulance basic emergeny all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0304","","X","Amb adv non-er no serv all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0306","","X","Amb adv non-er spec serv all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0308","","X","Amb adv er no spec serv all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0310","","X","Amb adv er spec serv all","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0320","","X","Amb basic non-er + supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0322","","X","Amb basic emerg + supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0324","","X","Adv non-er serv sep mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0326","","X","Adv non-er no serv sep mile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0328","","X","Adv er no serv sep mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0330","","X","Adv er spec serv sep mile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0340","","X","Amb basic non-er + mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0342","","X","Ambul basic emer + mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0344","","X","Amb adv non-er no serv +mile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0346","","X","Amb adv non-er serv + mile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0348","","X","Adv emer no spec serv + mile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0350","","X","Adv emer spec serv + mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0360","","X","Basic non-er sep mile & supp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0362","","X","Basic emer sep mile & supply","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0364","","X","Adv non-er no serv sep mi&su","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0366","","X","Adv non-er serv sep mil&supp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0368","","X","Adv er no serv sep mile&supp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0370","","X","Adv er spec serv sep mi&supp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0380","","X","Basic life support mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0382","","X","Basic support routine suppls","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0384","","X","Bls defibrillation supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0390","","X","Advanced life support mileag","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0392","","X","Als defibrillation supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0394","","X","Als IV drug therapy supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0396","","X","Als esophageal intub suppls","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0398","","X","Als routine disposble suppls","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0420","","X","Ambulance waiting 1/2 hr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0422","","X","Ambulance 02 life sustaining","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0424","","X","Extra ambulance attendant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0888","","N","Noncovered ambulance mileage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A0999","","X","Unlisted ambulance service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A2000","","A","Chiropractor manip of spine","", 0.45,"", 0.29, 0.01, 0.75,"XXX","N" "A4190","","P","Transparent film each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4200","","P","Gauze pad medicated/non-med","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4202","","P","Elastic gauze roll","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4203","","P","Non-elastic gauze roll","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4204","","P","Absorptve dressing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4205","","P","Nonabsorptive dressing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4206","","P","1 CC sterile syringe&needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4207","","P","2 CC sterile syringe&needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4208","","P","3 CC sterile syringe&needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4209","","P","5+ CC sterile syringe&needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4210","","N","Nonneedle injection device","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4211","","P","Supp for self-adm injections","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4212","","P","Non coring needle or stylet","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4213","","P","20+ CC syringe only","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4214","","P","30 CC sterile water/saline","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4215","","P","Sterile needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4220","","P","Infusion pump refill kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4230","","N","Infus insulin pump non needl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4231","","N","Infusion insulin pump needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4232","","N","Syringe w/needle insulin 3cc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4244","","P","Alcohol or peroxide per pint","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4245","","P","Alcohol wipes per box","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4246","","P","Betadine/phisohex solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4247","","P","Betadine/iodine swabs/wipes","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4250","","R","Urine reagent strips/tablets","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "A4253","","P","Blood glucose/reagent strips","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4254","","X","Battery for glucose monitor","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4256","","P","Calibrator solution/chips","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4258","","P","Lancet device each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4259","","P","Lancets per box","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4260","","N","Levonorgestrel implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4262","","B","Temporary tear duct plug","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4263","","A","Permanent tear duct plug","", 0.00,"", 0.95, 0.00, 0.95,"XXX","N" "A4265","","P","Paraffin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4270","","B","Disposable endoscope sheath","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4300","","A","Cath impl vasc access portal","", 0.00,"", 0.95, 0.00, 0.95,"XXX","N" "A4301","","P","Implantable access syst perc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4305","","P","Drug delivery system >=50 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4306","","P","Drug delivery system <=5 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4310","","P","Insert tray w/o bag/cath","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4311","","P","Catheter w/o bag 2-way latex","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4312","","P","Cath w/o bag 2-way silicone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4313","","P","Catheter w/bag 3-way","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4314","","P","Cath w/drainage 2-way latex","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4315","","P","Cath w/drainage 2-way silcne","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4316","","P","Cath w/drainage 3-way","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4320","","P","Irrigation tray","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4322","","P","Irrigation syringe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4323","","P","Saline irrigation solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4326","","P","Male external catheter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4327","","P","Fem urinary collect dev cup","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4328","","P","Fem urinary collect pouch","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4329","","P","External catheter start set","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4330","","P","Stool collection pouch","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4335","","P","Incontinence supply","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4338","","P","Indwelling catheter latex","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4340","","P","Indwelling catheter special","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4344","","P","Cath indw foley 2 way silicn","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4346","","P","Cath indw foley 3 way","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4347","","P","Male external catheter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4351","","P","Straight tip urine catheter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4352","","P","Coude tip urinary catheter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4354","","P","Cath insertion tray w/bag","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4355","","P","Bladder irrigation tubing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4356","","P","Ext ureth clmp or compr dvc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4357","","P","Bedside drainage bag","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4358","","P","Urinary leg bag","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4359","","P","Urinary suspensory w/o leg b","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4361","","P","Ostomy face plate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4362","","P","Solid skin barrier","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4363","","P","Liquid skin barrier","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4364","","P","Ostomy/cath adhesive","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4367","","P","Ostomy belt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4397","","P","Irrigation supply sleeve","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4398","","P","Irrigation supply bags","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4399","","P","Irrigation supply cone/cathe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4400","","P","Ostomy irrigation set","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4402","","P","Lubricant per ounce","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4404","","P","Ostomy ring each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4421","","P","Ostomy supply misc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4454","","P","Tape all types all sizes","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4455","","P","Adhesive remover per ounce","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4460","","P","Elastic compression bandage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4465","","P","Non-elastic extremity binder","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4470","","P","Gravlee jet washer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4480","","P","Vabra aspirator","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4490","","N","Above knee surgical stocking","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4495","","N","Thigh length surg stocking","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4500","","N","Below knee surgical stocking","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4510","","N","Full length surg stocking","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4550","","A","Surgical trays","", 0.00,"", 0.95, 0.00, 0.95,"XXX","N" "A4554","","N","Disposable underpads","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4556","","P","Electrodes","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4557","","P","Lead wires","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4558","","P","Conductive paste or gel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4560","","X","Pessary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4565","","X","Slings","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4570","","X","Splint","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4572","","X","Rib belt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4575","","N","Hyperbaric o2 chamber disps","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4580","","X","Cast supplies (plaster)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4581","","X","Risser jacket supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4590","","X","Special casting material","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4595","","X","TENS suppl 2 lead per month","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4610","","X","Med supplies for use in DME","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4611","","X","Heavy duty battery","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4612","","X","Battery cables","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4613","","X","Battery charger","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4615","","X","Cannula nasal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4616","","X","Tubing (oxygen) per foot","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4617","","X","Mouth piece","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4618","","X","Breathing circuits","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4619","","X","Face tent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4620","","X","Variable concentration mask","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4621","","X","Tracheotomy mask or collar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4622","","X","Tracheostomy or larngectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4623","","X","Tracheostomy inner cannula","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4624","","X","Tracheal suction tube","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4625","","X","Trach care kit for new trach","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4626","","X","Tracheostomy cleaning brush","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4627","","X","Spacer bag/reservoir","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4628","","X","Oropharyngeal suction cath","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4629","","X","Tracheostomy care kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4630","","X","Repl bat t.e.n.s. own by pt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4631","","X","Wheelchair battery","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4635","","X","Underarm crutch pad","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4636","","X","Handgrip for cane etc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4637","","X","Repl tip cane/crutch/walker","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4640","","X","Alternating pressure pad","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4641","","E","Diagnostic imaging agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4642","","E","Satumomab pendetide per dose","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4643","","E","High dose contrast MRI","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4644","","E","Contrast 100-199 MGs iodine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4645","","E","Contrast 200-299 MGs iodine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4646","","E","Contrast 300-399 MGs iodine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4647","","B","Supp- paramagnetic contr mat","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4649","","B","Surgical supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4650","","X","Supp esrd centrifuge","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4655","","X","Esrd syringe/needle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4660","","X","Esrd blood pressure device","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4663","","X","Esrd blood pressure cuff","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4670","","N","Auto blood pressure monitor","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4680","","X","Activated carbon filters","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4690","","X","Dialyzers","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4700","","X","Standard dialysate solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4705","","X","Bicarb dialysate solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4712","","X","Sterile water","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4714","","X","Treated water for dialysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4730","","X","Fistula cannulation set dial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4735","","X","Local/topical anesthetics","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4740","","X","Esrd shunt accessory","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4750","","X","Arterial or venous tubing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4755","","X","Arterial and venous tubing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4760","","X","Standard testing solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4765","","X","Dialysate concentrate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4770","","X","Blood testing supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4771","","X","Blood clotting time tube","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4772","","X","Dextrostick/glucose strips","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4773","","X","Hemostix","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4774","","X","Ammonia test paper","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4780","","X","Esrd sterilizing agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4790","","X","Esrd cleansing agents","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4800","","X","Heparin/antidote dialysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4820","","X","Supplies hemodialysis kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4850","","X","Rubber tipped hemostats","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4860","","X","Disposable catheter caps","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4870","","X","Plumbing/electrical work","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4880","","X","Water storage tanks","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4890","","N","Contracts/repair/maintenance","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4900","","X","Capd supply kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4901","","X","Ccpd supply kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4905","","X","Ipd supply kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4910","","X","Esrd nonmedical supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4912","","X","Gomco drain bottle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4913","","X","Esrd supply","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4914","","X","Preparation kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4918","","X","Venous pressure clamp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4919","","X","Supp dialysis dialyzer holde","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4920","","X","Harvard pressure clamp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4921","","X","Measuring cylinder","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A4927","","X","Gloves","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5051","","P","Pouch clsd w barr attached","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5052","","P","Clsd ostomy pouch w/o barr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5053","","P","Clsd ostomy pouch faceplate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5054","","P","Clsd ostomy pouch w/flange","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5055","","P","Stoma cap","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5061","","P","Pouch drainable w barrier at","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5062","","P","Drnble ostomy pouch w/o barr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5063","","P","Drain ostomy pouch w/flange","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5064","","P","Drain ostomy pouch w/fceplte","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5065","","P","Drain ostomy pouch on fcplte","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5071","","P","Urinary pouch w/barrier","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5072","","P","Urinary pouch w/o barrier","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5073","","P","Urinary pouch on barr w/flng","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5074","","P","Urinary pouch w/faceplate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5075","","P","Urinary pouch on faceplate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5081","","P","Continent stoma plug","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5082","","P","Continent stoma catheter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5093","","P","Ostomy accessory convex inse","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5102","","P","Bedside btle rigid/expanable","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5105","","P","Urinary suspensory","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5112","","P","Urinary leg bag","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5113","","P","Latex leg strap","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5114","","P","Foam/fabric leg strap","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5119","","P","Skin barrier wipes box pr 50","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5121","","P","Solid skin barrier 6x6","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5122","","P","Solid skin barrier 8x8","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5123","","P","Skin barrier with flange","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5126","","P","Adhesive disc/foam pad","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5131","","P","Appliance cleaner","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5149","","P","Incontinence/ostomy supply","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5500","","X","Diab shoe for density insert","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5501","","X","Diabetic custom molded shoe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5502","","X","Diabetic shoe density insert","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5503","","X","Diabetic shoe w/roller/rockr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5504","","X","Diabetic shoe with wedge","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5505","","X","Diab shoe w/metatarsal bar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5506","","X","Diabetic shoe w/off set heel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A5507","","X","Modification diabetic shoe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A6020","","P","Collagen dressing cover ea","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9150","","E","Misc/exper non-prescript dru","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9160","","N","Podiatrist non-covered servi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9170","","N","Chiropractor non-covered ser","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9190","","N","Misc/expe personal comfort i","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9270","","N","Non-covered item or service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9300","","N","Exercise equipment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9500","","E","Technetium TC 99m sestamibi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "A9505","","E","Thallous chloride TL 201/mci","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0110","","D","Initial oral examination","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0120","","N","Periodic oral evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0130","","D","Emergency oral examination","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0140","","N","Limit oral eval problm focus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0150","","R","Comprehensve oral evaluation","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0160","","N","Extensv oral eval prob focus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0210","","G","Intraor complete film series","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0220","","G","Intraoral periapical first f","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0230","","G","Intraoral periapical ea add","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0240","","R","Intraoral occlusal film","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0250","","R","Extraoral first film","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0260","","R","Extraoral ea additional film","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0270","","R","Dental bitewing single film","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0272","","R","Dental bitewings two films","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0274","","R","Dental bitewings four films","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0290","","G","Dental film skull/facial bon","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0310","","G","Dental saliography","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0320","","G","Dental tmj arthrogram incl i","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0321","","G","Dental other tmj films","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0322","","G","Dental tomographic survey","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0330","","G","Dental panoramic film","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0340","","G","Dental cephalometric film","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0415","","N","Bacteriologic study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0425","","N","Caries susceptibility test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0460","","R","Pulp vitality test","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0470","","N","Diagnostic casts","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D0471","","R","Diagnostic photographs","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0501","","R","Histopathologic examinations","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0502","","R","Other oral pathology procedu","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D0999","","R","Unspecified diagnostic proce","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D1110","","N","Dental prophylaxis adult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1120","","N","Dental prophylaxis child","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1201","","N","Topical fluor w prophy child","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1203","","N","Topical fluor w/o prophy chi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1204","","N","Topical fluor w/o prophy adu","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1205","","N","Topical fluoride w/ prophy a","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1310","","N","Nutri counsel-control caries","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1320","","N","Tobacco counseling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1330","","N","Oral hygiene instruction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1351","","N","Dental sealant per tooth","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D1510","","R","Space maintainer fxd unilat","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D1515","","R","Fixed bilat space maintainer","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D1520","","R","Remove unilat space maintain","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D1525","","R","Remove bilat space maintain","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D1550","","R","Recement space maintainer","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D2110","","N","Amalgam one surface primary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2120","","N","Amalgam two surfaces primary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2130","","N","Amalgam three surfaces prima","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2131","","N","Amalgam four/more surf prima","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2140","","N","Amalgam one surface permanen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2150","","N","Amalgam two surfaces permane","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2160","","N","Amalgam three surfaces perma","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2161","","N","Amalgam 4 or > surfaces perm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2210","","N","Silcate cement per restorat","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2330","","N","Resin one surface-anterior","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2331","","N","Resin two surfaces-anterior","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2332","","N","Resin three surfaces-anterio","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2335","","N","Resin 4/> surf or w incis an","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2336","","N","Composite resin crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2380","","N","Resin one surf poster primar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2381","","N","Resin two surf poster primar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2382","","N","Resin three/more surf post p","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2385","","N","Resin one surf poster perman","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2386","","N","Resin two surf poster perman","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2387","","N","Resin three/more surf post p","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2410","","N","Dental gold foil one surface","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2420","","N","Dental gold foil two surface","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2430","","N","Dental gold foil three surfa","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2510","","N","Dental inlay metalic 1 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2520","","N","Dental inlay metallic 2 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2530","","N","Dental inlay metl 3/more sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2540","","D","Dental onlay metallic","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D2543","","N","Dental onlay metallic 3 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2544","","N","Dental onlay metl 4/more sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2610","","N","Inlay porcelain/ceramic 1 su","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2620","","N","Inlay porcelain/ceramic 2 su","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2630","","N","Dental onlay porc 3/more sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2640","","D","Onlay w inlay porcelain/cera","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D2642","","N","Dental onlay porcelin 2 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2643","","N","Dental onlay porcelin 3 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2644","","N","Dental onlay porc 4/more sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2650","","N","Inlay composite/resin one su","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2651","","N","Inlay composite/resin two su","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2652","","N","Dental inlay resin 3/mre sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2660","","D","Onlay w inlay composite/resi","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D2662","","N","Dental onlay resin 2 surface","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2663","","N","Dental onlay resin 3 surface","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2664","","N","Dental onlay resin 4/mre sur","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2710","","N","Crown resin laboratory","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2720","","N","Crown resin w/ high noble me","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2721","","N","Crown resin w/ base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2722","","N","Crown resin w/ noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2740","","N","Crown porcelain/ceramic subs","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2750","","N","Crown porcelain w/ h noble m","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2751","","N","Crown porcelain fused base m","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2752","","N","Crown porcelain w/ noble met","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2790","","N","Crown full cast high noble m","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2791","","N","Crown full cast base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2792","","N","Crown full cast noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2810","","N","Crown 3/4 cast metallic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2910","","N","Dental recement inlay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2920","","N","Dental recement crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2930","","N","Prefab stnlss steel crwn pri","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2931","","N","Prefab stnlss steel crown pe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2932","","N","Prefabricated resin crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2933","","N","Prefab stainless steel crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2940","","N","Dental sedative filling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2950","","N","Core build-up incl any pins","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2951","","N","Tooth pin retention","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2952","","N","Post and core cast + crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2954","","N","Prefab post/core + crown","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2955","","N","Post removal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2960","","N","Laminate labial veneer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2961","","N","Lab labial veneer resin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2962","","N","Lab labial veneer porcelain","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2970","","R","Temporary- fractured tooth","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D2980","","N","Crown repair","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D2999","","R","Dental unspec restorative pr","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D3110","","N","Pulp cap direct","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3120","","N","Pulp cap indirect","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3220","","N","Therapeutic pulpotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3230","","N","Pulpal therapy anterior prim","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3240","","N","Pulpal therapy posterior pri","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3310","","N","Anterior","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3320","","N","Root canal therapy 2 canals","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3330","","N","Root canal therapy 3 canals","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3346","","N","Retreat root canal anterior","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3347","","N","Retreat root canal bicuspid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3348","","N","Retreat root canal molar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3351","","N","Apexification/recalc initial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3352","","N","Apexification/recalc interim","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3353","","N","Apexification/recalc final","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3410","","N","Apicoect/perirad surg anter","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3421","","N","Root surgery bicuspid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3425","","N","Root surgery molar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3426","","N","Root surgery ea add root","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3430","","N","Retrograde filling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3450","","N","Root amputation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3460","","R","Endodontic endosseous implan","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D3470","","N","Intentional replantation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3910","","N","Isolation- tooth w rubb dam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3920","","N","Tooth splitting","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3950","","N","Canal prep/fitting of dowel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3960","","N","Bleaching of discolored toot","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D3999","","R","Endodontic procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4210","","G","Gingivectomy/plasty per quad","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4211","","G","Gingivectomy/plasty per toot","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4220","","N","Gingival curettage per quadr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4240","","N","Gingival flap proc w/ planin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4249","","N","Crown lengthen hard tissue","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4250","","R","Mucogingival surg per quadra","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4260","","R","Osseous surgery per quadrant","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D4261","","D","Bone replace graft single si","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D4262","","D","Bone replace graft mult site","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4263","","R","Bone replce graft first site","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4264","","R","Bone replce graft each add","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4266","","N","Guided tiss regen resorble","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4267","","N","Guided tiss regen nonresorb","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4268","","D","Guided tissue regeneration","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4270","","R","Pedicle soft tissue graft pr","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D4271","","R","Free soft tissue graft proc","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D4273","","R","Subepithelial tissue graft","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4274","","N","Distal/proximal wedge proc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4320","","N","Provision splnt intracoronal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4321","","N","Provisional splint extracoro","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4341","","N","Periodontal scaling & root","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4345","","D","Periodontal scaling w/inflam","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4355","","R","Full mouth debridement","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4381","","R","Localized chemo delivery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D4910","","N","Periodontal maint procedures","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4920","","N","Unscheduled dressing change","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D4999","","N","Unspecified periodontal proc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5110","","N","Dentures complete maxillary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5120","","N","Dentures complete mandible","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5130","","N","Dentures immediat maxillary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5140","","N","Dentures immediat mandible","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5211","","N","Dentures maxill part resin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5212","","N","Dentures mand part resin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5213","","N","Dentures maxill part metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5214","","N","Dentures mandibl part metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5281","","N","Removable partial denture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5410","","N","Dentures adjust cmplt maxil","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5411","","N","Dentures adjust cmplt mand","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5421","","N","Dentures adjust part maxill","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5422","","N","Dentures adjust part mandbl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5510","","N","Dentur repr broken compl bas","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5520","","N","Replace denture teeth complt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5610","","N","Dentures repair resin base","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5620","","N","Rep part denture cast frame","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5630","","N","Rep partial denture clasp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5640","","N","Replace part denture teeth","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5650","","N","Add tooth to partial denture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5660","","N","Add clasp to partial denture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5710","","N","Dentures rebase cmplt maxil","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5711","","N","Dentures rebase cmplt mand","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5720","","N","Dentures rebase part maxill","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5721","","N","Dentures rebase part mandbl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5730","","N","Denture reln cmplt maxil ch","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5731","","N","Denture reln cmplt mand chr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5740","","N","Denture reln part maxil chr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5741","","N","Denture reln part mand chr","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5750","","N","Denture reln cmplt max lab","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5751","","N","Denture reln cmplt mand lab","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5760","","N","Denture reln part maxil lab","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5761","","N","Denture reln part mand lab","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5810","","N","Denture interm cmplt maxill","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5811","","N","Denture interm cmplt mandbl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5820","","N","Denture interm part maxill","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5821","","N","Denture interm part mandbl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5850","","N","Denture tiss conditn maxill","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5851","","N","Denture tiss condtin mandbl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5860","","N","Overdenture complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5861","","N","Overdenture partial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5862","","N","Precision attachment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5899","","N","Removable prosthodontic proc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5911","","R","Facial moulage sectional","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5912","","R","Facial moulage complete","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5913","","G","Nasal prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5914","","G","Auricular prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5915","","G","Orbital prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5916","","G","Ocular prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5919","","G","Facial prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5922","","G","Nasal septal prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5923","","G","Ocular prosthesis interim","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5924","","G","Cranial prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5925","","G","Facial augmentation implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5926","","G","Replacement nasal prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5927","","G","Auricular replacement","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5928","","G","Orbital replacement","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5929","","G","Facial replacement","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5931","","G","Surgical obturator","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5932","","G","Postsurgical obturator","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5933","","G","Refitting of obturator","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5934","","G","Mandibular flange prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5935","","G","Mandibular denture prosth","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5936","","G","Temp obturator prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5937","","G","Trismus appliance","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5951","","R","Feeding aid","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5952","","G","Pediatric speech aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5953","","G","Adult speech aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5954","","G","Superimposed prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5955","","G","Palatal lift prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5958","","G","Intraoral con def inter plt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5959","","G","Intraoral con def mod palat","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5960","","G","Modify speech aid prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5982","","G","Surgical stent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5983","","R","Radiation applicator","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5984","","R","Radiation shield","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5985","","R","Radiation cone locator","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5986","","N","Fluoride applicator","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D5987","","R","Commissure splint","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5988","","R","Surgical splint","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D5999","","G","Maxillofacial prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6010","","G","Odontics endosteal implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6020","","G","Odontics abutment placement","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6030","","D","Prosthodont endosseous impl","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D6040","","G","Odontics eposteal implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6050","","G","Odontics transosteal implnt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6055","","G","Implant connecting bar","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6080","","G","Implant maintenance","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6090","","G","Repair implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6095","","G","Odontics repr abutment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6100","","G","Removal of implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6199","","G","Implant procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6210","","N","Prosthodont high noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6211","","N","Bridge base metal cast","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6212","","N","Bridge noble metal cast","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6240","","N","Bridge porcelain high noble","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6241","","N","Bridge porcelain base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6242","","N","Bridge porcelain nobel metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6250","","N","Bridge resin w/high noble","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6251","","N","Bridge resin base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6252","","N","Bridge resin w/noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6520","","N","Dental retainer two surfaces","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6530","","N","Retainer metallic 3+ surface","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6540","","D","Retainer metallic cusps","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D6543","","N","Dental retainr onlay 3 surf","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6544","","N","Dental retainr onlay 4/more","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6545","","N","Dental retainr cast metl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6720","","N","Retain crown resin w hi nble","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6721","","N","Crown resin w/base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6722","","N","Crown resin w/noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6750","","N","Crown porcelain high noble","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6751","","N","Crown porcelain base metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6752","","N","Crown porcelain noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6780","","N","Crown 3/4 high noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6790","","N","Crown full high noble metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6791","","N","Crown full base metal cast","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6792","","N","Crown full noble metal cast","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6920","","R","Dental connector bar","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D6930","","N","Dental recement bridge","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6940","","N","Stress breaker","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6950","","N","Precision attachment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6970","","N","Post & core plus retainer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6971","","N","Cast post bridge retainer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6972","","N","Prefab post & core plus reta","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6973","","N","Core build up for retainer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6975","","N","Coping metal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6980","","N","Bridge repair","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D6999","","N","Fixed prosthodontic proc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7110","","R","Oral surgery single tooth","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7120","","R","Each add tooth extraction","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7130","","R","Tooth root removal","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7210","","R","Rem imp tooth w mucoper flp","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7220","","R","Impact tooth remov soft tiss","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7230","","R","Impact tooth remov part bony","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7240","","R","Impact tooth remov comp bony","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7241","","R","Impact tooth rem bony w/comp","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7250","","R","Tooth root removal","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7260","","R","Oral antral fistula closure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7270","","N","Tooth reimplantation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7271","","D","Tooth implantation","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D7272","","N","Tooth transplantation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7280","","N","Exposure impact tooth orthod","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7281","","N","Exposure tooth aid eruption","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7285","","G","Biopsy of oral tissue hard","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7286","","G","Biopsy of oral tissue soft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7290","","N","Repositioning of teeth","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7291","","R","Transseptal fiberotomy","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D7310","","G","Alveoplasty w/ extraction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7320","","G","Alveoplasty w/o extraction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7340","","G","Vestibuloplasty ridge extens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7350","","G","Vestibuloplasty exten graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7410","","G","Rad exc lesion up to 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7420","","G","Lesion > 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7430","","G","Exc benign tumor to 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7431","","G","Benign tumor exc > 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7440","","G","Malig tumor exc to 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7441","","G","Malig tumor > 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7450","","G","Rem odontogen cyst to 1.25cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7451","","G","Rem odontogen cyst > 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7460","","G","Rem nonodonto cyst to 1.25cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7461","","G","Rem nonodonto cyst > 1.25 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7465","","G","Lesion destruction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7470","","G","Rem exostosis maxilla/mandib","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7480","","G","Partial ostectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7490","","G","Mandible resection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7510","","G","I&d absc intraoral soft tiss","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7520","","G","I&d abscess extraoral","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7530","","G","Removal fb skin/areolar tiss","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7540","","G","Removal of fb reaction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7550","","G","Removal of sloughed off bone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7560","","G","Maxillary sinusotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7610","","G","Maxilla open reduct simple","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7620","","G","Clsd reduct simpl maxilla fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7630","","G","Open red simpl mandible fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7640","","G","Clsd red simpl mandible fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7650","","G","Open red simp malar/zygom fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7660","","G","Clsd red simp malar/zygom fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7670","","G","Open red simple alveolus fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7680","","G","Reduct simple facial bone fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7710","","G","Maxilla open reduct compound","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7720","","G","Clsd reduct compd maxilla fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7730","","G","Open reduct compd mandble fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7740","","G","Clsd reduct compd mandble fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7750","","G","Open red comp malar/zygma fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7760","","G","Clsd red comp malar/zygma fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7770","","G","Open reduc compd alveolus fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7780","","G","Reduct compnd facial bone fx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7810","","G","Tmj open reduct-dislocation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7820","","G","Closed tmp manipulation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7830","","G","Tmj manipulation under anest","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7840","","G","Removal of tmj condyle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7850","","G","Tmj meniscectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7852","","G","Tmj repair of joint disc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7854","","G","Tmj excisn of joint membrane","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7856","","G","Tmj cutting of a muscle","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7858","","G","Tmj reconstruction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7860","","G","Tmj cutting into joint","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7865","","G","Tmj reshaping components","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7870","","G","Tmj aspiration joint fluid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7872","","G","Tmj diagnostic arthroscopy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7873","","G","Tmj arthroscopy lysis adhesn","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7874","","G","Tmj arthroscopy disc reposit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7875","","G","Tmj arthroscopy synovectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7876","","G","Tmj arthroscopy discectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7877","","G","Tmj arthroscopy debridement","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7880","","G","Occlusal orthotic appliance","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7899","","G","Tmj unspecified therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7910","","G","Dent sutur recent wnd to 5cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7911","","G","Dental suture wound to 5 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7912","","G","Suture complicate wnd > 5 cm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7920","","G","Dental skin graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7940","","R","Reshaping bone orthognathic","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "D7941","","G","Bone cutting ramus closed","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7942","","G","Bone cutting ramus open","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7943","","G","Cutting ramus open w/graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7944","","G","Bone cutting segmented","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7945","","G","Bone cutting body mandible","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7946","","G","Reconstruction maxilla total","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7947","","G","Reconstruct maxilla segment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7948","","G","Reconstruct midface no graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7949","","G","Reconstruct midface w/graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7950","","G","Mandible graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7955","","G","Repair maxillofacial defects","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7960","","G","Frenulectomy/frenulotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7970","","G","Excision hyperplastic tissue","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7971","","G","Excision pericoronal gingiva","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7980","","G","Sialolithotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7981","","G","Excision of salivary gland","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7982","","G","Sialodochoplasty","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7983","","G","Closure of salivary fistula","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7990","","G","Emergency tracheotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7991","","G","Dental coronoidectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7993","","D","Implant facial bones","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D7994","","D","Implant chin","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D7995","","G","Synthetic graft facial bones","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7996","","G","Implant mandible for augment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D7999","","G","Oral surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8010","","N","Limited dental tx primary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8020","","N","Limited dental tx transition","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8030","","N","Limited dental tx adolescent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8040","","N","Limited dental tx adult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8050","","N","Intercep dental tx primary","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8060","","N","Intercep dental tx transitn","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8070","","N","Compre dental tx transition","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8080","","N","Compre dental tx adolescent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8090","","N","Compre dental tx adult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8110","","D","Orthodontic rem appliance tx","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8120","","D","Fixed appliance therapy guid","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8210","","N","Orthodontic rem appliance tx","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8220","","N","Fixed appliance therapy habt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8360","","D","Orthodontic rem appliance tx","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8370","","D","Fixed appliance interceptive","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8460","","D","Trans dentit class 1 maloccl","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8470","","D","Class ii malocclusion trnstn","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8480","","D","Class iii malocclusion trnst","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8560","","D","Class i tx atyp/ext skel cas","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8570","","D","Class ii malocclusion perman","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8580","","D","Class iii malocclusion permn","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8650","","D","Tx atypical/extend skel case","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8660","","N","Preorthodontic tx visit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8670","","N","Periodic orthodontc tx visit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8680","","N","Orthodontic retention","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8690","","N","Orthodontic treatment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D8750","","D","Post-treatment stabilization","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D8999","","N","Orthodontic procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9110","","R","Tx dental pain minor proc","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9210","","G","Dent anesthesia w/o surgery","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9211","","G","Regional block anesthesia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9212","","G","Trigeminal block anesthesia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9215","","G","Local anesthesia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9220","","G","General anesthesia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9221","","G","General anesthesia ea ad 15m","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9230","","R","Analgesia","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9240","","G","Intravenous sedation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9310","","G","Dental consultation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9410","","G","Dental house call","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9420","","G","Hospital call","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9430","","G","Office visit during hours","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9440","","G","Office visit after hours","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9610","","G","Dent therapeutic drug inject","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9630","","R","Other drugs/medicaments","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9910","","N","Dent appl desensitizing med","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9920","","N","Behavior management","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9930","","R","Treatment of complications","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9940","","R","Dental occlusal guard","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9941","","N","Fabrication athletic guard","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9950","","R","Occlusion analysis","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9951","","R","Limited occlusal adjustment","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9952","","R","Complete occlusal adjustment","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "D9970","","N","Enamel microabrasion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "D9999","","G","Adjunctive procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0001","","X","Drawing blood for specimen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0002","","A","Temporary urinary catheter","", 0.50,"", 0.70, 0.02, 1.22,"000","S" "G0004","","A","ECG transm phys review & int","", 0.52,"", 7.31, 0.65, 8.48,"XXX","N" "G0005","","A","ECG 24 hour recording","", 0.00,"", 1.18, 0.09, 1.27,"XXX","N" "G0006","","A","ECG transmission & analysis","", 0.00,"", 5.73, 0.51, 6.24,"XXX","N" "G0007","","A","ECG phy review & interpret","", 0.52,"", 0.40, 0.05, 0.97,"XXX","N" "G0008","","X","Admin influenza virus vac","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0009","","X","Admin pneumococcal vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0010","","X","Admin hepatitis b vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0015","","A","Post symptom ECG tracing","", 0.00,"", 5.73, 0.51, 6.24,"XXX","N" "G0016","","A","Post symptom ECG md review","", 0.52,"", 0.40, 0.05, 0.97,"XXX","N" "G0020","","D","Prepare face/oral prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"010","S" "G0021","","D","Prepare orbital prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "G0025","","A","Collagen skin test kit","", 0.00,"", 0.95, 0.00, 0.95,"XXX","N" "G0026","","X","Fecal leukocyte examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0027","","X","Semen analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0030","","C","PET imaging prev PET single","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0030","TC","C","PET imaging prev PET single","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0030","26","A","PET imaging prev PET single","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0031","","C","PET imaging prev PET multple","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0031","TC","C","PET imaging prev PET multple","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0031","26","A","PET imaging prev PET multple","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0032","","C","PET follow SPECT 78464 singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0032","TC","C","PET follow SPECT 78464 singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0032","26","A","PET follow SPECT 78464 singl","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0033","","C","PET follow SPECT 78464 mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0033","TC","C","PET follow SPECT 78464 mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0033","26","A","PET follow SPECT 78464 mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0034","","C","PET follow SPECT 76865 singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0034","TC","C","PET follow SPECT 76865 singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0034","26","A","PET follow SPECT 76865 singl","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0035","","C","PET follow SPECT 78465 mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0035","TC","C","PET follow SPECT 78465 mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0035","26","A","PET follow SPECT 78465 mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0036","","C","PET follow cornry angio sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0036","TC","C","PET follow cornry angio sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0036","26","A","PET follow cornry angio sing","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0037","","C","PET follow cornry angio mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0037","TC","C","PET follow cornry angio mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0037","26","A","PET follow cornry angio mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0038","","C","PET follow myocard perf sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0038","TC","C","PET follow myocard perf sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0038","26","A","PET follow myocard perf sing","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0039","","C","PET follow myocard perf mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0039","TC","C","PET follow myocard perf mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0039","26","A","PET follow myocard perf mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0040","","C","PET follow stress echo singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0040","TC","C","PET follow stress echo singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0040","26","A","PET follow stress echo singl","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0041","","C","PET follow stress echo mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0041","TC","C","PET follow stress echo mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0041","26","A","PET follow stress echo mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0042","","C","PET follow ventriculogm sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0042","TC","C","PET follow ventriculogm sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0042","26","A","PET follow ventriculogm sing","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0043","","C","PET follow ventriculogm mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0043","TC","C","PET follow ventriculogm mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0043","26","A","PET follow ventriculogm mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0044","","C","PET following rest ECG singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0044","TC","C","PET following rest ECG singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0044","26","A","PET following rest ECG singl","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0045","","C","PET following rest ECG mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0045","TC","C","PET following rest ECG mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0045","26","A","PET following rest ECG mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0046","","C","PET follow stress ECG singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0046","TC","C","PET follow stress ECG singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0046","26","A","PET follow stress ECG singl","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "G0047","","C","PET follow stress ECG mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0047","TC","C","PET follow stress ECG mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "G0047","26","A","PET follow stress ECG mult","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "G0050","","A","Residual urine by ultrasound","", 0.00,"", 0.81, 0.05, 0.86,"XXX","N" "G0054","","X","Blood cholesterol test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0055","","X","Glucose post dose measure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0056","","X","Glucose tolerance 3 specimen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0057","","X","Glucose tolerance>3 specimen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0058","","X","Auto multichannel 20 tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0059","","X","Auto multichannel 21 tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0060","","X","Auto multichannel 22 tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "G0061","","N","Lung volume reduction surg","#", 17.62,"", 15.81, 3.01, 36.44,"XXX","0" "H5300","","G","Occupational therapy","#", 0.32,"", 0.24, 0.03, 0.59,"XXX","0" "J0110","","D","Administration injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0120","","E","Tetracyclin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0150","","E","Injection adenosine 6 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0170","","E","Adrenalin epinephrin inject","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0190","","E","Inj biperiden lactate/5 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0205","","E","Alglucerase injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0210","","E","Methyldopate hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0256","","E","Alpha 1-proteinase 500 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0280","","E","Aminophyllin 250 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0290","","E","Ampicillin 500 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0295","","E","Ampicillin sodium per 1.5 gm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0300","","E","Amobarbital 125 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0330","","E","Succinycholine chloride inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0340","","E","Nandrolon phenpropionate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0350","","E","Injection anistreplase 30 u","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0360","","E","Hydralazine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0380","","E","Inj metaraminol bitartrate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0390","","E","Chloroquine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0400","","E","Inj trimethaphan camsylate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0460","","E","Atropine sulfate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0470","","E","Dimecaprol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0475","","E","Baclofen 10 MG injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0500","","E","Dicyclomine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0510","","E","Benzquinamide injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0515","","E","Inj benztropine mesylate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0520","","E","Bethanechol chloride inject","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0530","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0540","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0550","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0560","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0570","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0580","","E","Penicillin g benzathine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0585","","E","Botulinum toxin a per 100 u","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0590","","E","Ethylnorepinephrine hcl inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0600","","E","Edetate calcium disodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0610","","E","Calcium gluconate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0620","","E","Calcium glycer & lact/10 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0630","","E","Calcitonin salmon injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0635","","E","Calcitriol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0640","","E","Leucovorin calcium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0670","","E","Inj mepivacaine HCL/10 ml","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0680","","D","Deslanoside injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0690","","E","Cefazolin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0694","","E","Cefoxitin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0695","","E","Cefonocid sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0696","","E","Ceftriaxone sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0697","","E","Sterile cefuroxime injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0698","","E","Cefotaxime sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0702","","E","Betamethasone acet&sod phosp","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0704","","E","Betamethasone sod phosp/4 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0710","","E","Cephapirin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0713","","E","Inj ceftazidime per 500 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0715","","E","Ceftizoxime sodium / 500 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0720","","E","Chloramphenicol sodium injec","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0725","","E","Chorionic gonadotropin/1000u","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0730","","E","Chlorpheniramin maleate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0743","","E","Cilastatin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0745","","E","Inj codeine phosphate /30 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0760","","E","Colchicine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0770","","E","Colistimethate sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0780","","E","Prochlorperazine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0800","","E","Corticotropin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0810","","E","Cortisone injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0820","","D","Cortigel 40 injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0835","","E","Inj cosyntropin per 0.25 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0850","","E","Cytomegalovirus imm IV /vial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0895","","E","Deferoxamine mesylate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0900","","E","Testosterone enanthate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0945","","E","Brompheniramine maleate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J0970","","E","Estradiol valerate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1000","","E","Depo-estradiol cypionate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1020","","E","Methylprednisolone 20 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1030","","E","Methylprednisolone 40 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1040","","E","Methylprednisolone 80 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1050","","E","Medroxyprogesterone inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1055","","E","Medrxyprogester acetate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1060","","E","Testosterone cypionate 1 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1070","","E","Testosterone cypionat 100 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1080","","E","Testosterone cypionat 200 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1090","","E","Testosterone cypionate 50 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1095","","E","Inj dexamethasone acetate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1100","","E","Dexamethosone sodium phos","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1110","","E","Inj dihydroergotamine mesylt","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1120","","E","Acetazolamid sodium injectio","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1160","","E","Digoxin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1165","","E","Phenytoin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1170","","E","Hydromorphone injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1180","","E","Dyphylline injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1200","","E","Diphenhydramine hcl injectio","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1205","","E","Chlorothiazide sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1212","","E","Dimethyl sulfoxide 50% 50 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1230","","E","Methadone injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1240","","E","Dimenhydrinate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1245","","E","Dipyridamole injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1250","","E","Inj dobutamine HCL/250 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1320","","E","Amitriptyline injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1330","","E","Ergonovine maleate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1340","","D","Aqueous/saline placebo inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1362","","E","Erythromycin glucep / 250 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1364","","E","Erythro lactobionate /500 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1380","","E","Estradiol valerate 10 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1390","","E","Estradiol valerate 20 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1410","","E","Inj estrogen conjugate 25 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1435","","E","Injection estrone per 1 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1436","","E","Etidronate disodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1440","","E","Filgrastim 300 mcg injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1441","","E","Filgrastim 480 mcg injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1455","","E","Foscarnet sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1460","","E","Gamma globulin 1 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1470","","E","Gamma globulin 2 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1480","","E","Gamma globulin 3 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1490","","E","Gamma globulin 4 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1500","","E","Gamma globulin 5 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1510","","E","Gamma globulin 6 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1520","","E","Gamma globulin 7 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1530","","E","Gamma globulin 8 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1540","","E","Gamma globulin 9 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1550","","E","Gamma globulin 10 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1560","","E","Gamma globulin > 10 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1561","","E","Immune globulin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1562","","E","Immune globulin 10% /5 grams","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1570","","E","Ganciclovir sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1580","","E","Garamycin gentamicin inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1600","","E","Gold sodium thiomaleate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1610","","E","Glucagon hydrochloride/1 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1620","","E","Gonadorelin hydroch/ 100 mcg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1625","","E","Granisetron hydrochlor/1 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1630","","E","Haloperidol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1631","","E","Haloperidol decanoate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1642","","E","Inj heparin sodium per 10 u","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1644","","E","Inj heparin sodium per 1000u","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1650","","E","Inj enoxaparin sodium 30 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1660","","D","Histamine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1670","","E","Tetanus immune globulin inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1690","","E","Prednisolone tebutate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1700","","E","Hydrocortisone acetate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1710","","E","Hydrocortisone sodium ph inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1720","","E","Hydrocortisone sodium succ i","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1730","","E","Diazoxide injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1739","","E","Hydroxyprogesterone cap 125","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1741","","E","Hydroxyprogesterone cap 250","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1760","","E","Iron dextran 2 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1770","","E","Iron dextran 5 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1780","","E","Iron dextran 10 CC inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1785","","E","Injection imiglucerase /unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1790","","E","Droperidol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1800","","E","Propranolol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1810","","E","Droperidol/fentanyl inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1820","","E","Insulin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1830","","E","Interferon beta-1b / .25 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1840","","E","Kanamycin sulfate 500 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1850","","E","Kanamycin sulfate 75 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1885","","E","Ketorolac tromethamine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1890","","E","Cephalothin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1910","","E","Kutapressin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1930","","E","Propiomazine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1940","","E","Furosemide injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1950","","E","Leuprolide acetate /3.75 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1955","","E","Inj levocarnitine per 1 gm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1960","","E","Levorphanol tartrate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1970","","E","Methotrimeprazine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1980","","E","Hyoscyamine sulfate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J1990","","E","Chlordiazepoxide injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2000","","E","Lidocaine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2010","","E","Lincomycin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2050","","E","Liver injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2060","","E","Lorazepam injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2100","","D","Luminal sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2150","","E","Mannitol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2175","","E","Meperidine hydrochl /100 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2180","","E","Meperidine/promethazine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" 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0.00, 0.00,"XXX","0" "J2330","","E","Thiothixene injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2350","","E","Niacinamide/niacin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2360","","E","Orphenadrine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2370","","E","Phenylephrine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2400","","E","Chloroprocaine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2405","","E","Ondansetron hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2410","","E","Oxymorphone hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2430","","E","Pamidronate disodium /30 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2440","","E","Papaverin hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2460","","E","Oxytetracycline injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2480","","E","Hydrochlorides of opium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2495","","D","Tridihexethyl chloride inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2510","","E","Penicillin g procaine inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2512","","E","Inj pentagastrin per 2 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2515","","E","Pentobarbital sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2540","","E","Penicillin g potassium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2545","","E","Pentamidine isethionte/300mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2550","","E","Promethazine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2560","","E","Phenobarbital sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2590","","E","Oxytocin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2597","","E","Inj desmopressin acetate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2640","","E","Prednisolone sodium ph inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2650","","E","Prednisolone acetate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2670","","E","Totazoline hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2675","","E","Inj progesterone per 50 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2680","","E","Fluphenazine decanoate 25 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2690","","E","Procainamide hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2700","","E","Oxacillin sodium injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2710","","E","Neostigmine methylslfte inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2720","","E","Inj protamine sulfate/10 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2725","","E","Inj protirelin per 250 mcg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2730","","E","Pralidoxime chloride inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2760","","E","Phentolaine mesylate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2765","","E","Metoclopramide hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2790","","E","Rho d immune globulin inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2800","","E","Methocarbamol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2810","","E","Inj theophylline per 40 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2820","","E","Sargramostim injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2860","","E","Secobarbital sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2910","","E","Aurothioglucose injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2912","","E","Sodium chloride injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2914","","D","Sodium salicylate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2920","","E","Methylprednisolone injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2930","","E","Methylprednisolone injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2950","","E","Promazine hcl injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2970","","E","Methicillin sodium injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2995","","E","Inj streptokinase /250000 IU","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J2996","","E","Alteplase recombinant inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3000","","E","Streptomycin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3005","","E","Strontium-89 chloride /10 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3010","","E","Fentanyl citrate injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3030","","E","Sumatriptan succinate / 6 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3070","","E","Pentazocine hcl injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3080","","E","Chlorprothixene injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3105","","E","Terbutaline sulfate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3120","","E","Testosterone enanthate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3130","","E","Testosterone enanthate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3140","","E","Testosterone suspension inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3150","","E","Testosteron propionate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3230","","E","Chlorpromazine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3240","","E","Thyrotropin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3250","","E","Trimethobenzamide hcl inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3260","","E","Tobramycin sulfate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3265","","E","Injection torsemide 10 mg/ml","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3270","","E","Imipramine hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3280","","E","Thiethylperazine maleate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3301","","E","Triamcinolone acetonide inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3302","","E","Triamcinolone diacetate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3303","","E","Triamcinolone hexacetonl inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3305","","E","Inj trimetrexate glucoronate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3310","","E","Perphenazine injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J3320","","E","Spectinomycn di-hcl 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"J3570","","N","Laetrile amygdalin vit B17","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J6015","","D","Typhus immun/injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7030","","E","Normal saline solution infus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7040","","E","Normal saline solution infus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7042","","E","5% dextrose/normal saline","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7050","","E","Normal saline solution infus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7051","","E","Sterile saline/water","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7060","","E","5% dextrose/water","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7070","","E","D5w infusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7080","","D","5% albumisol infusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7090","","D","25% albumisol infusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7100","","E","Dextran 40 infusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7110","","E","Dextran 75 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0.00, 0.00, 0.00,"XXX","0" "J7501","","X","Azathioprine parenteral","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7502","","X","Cyclosporine oral solution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7503","","X","Cyclosporine parenteral","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7504","","X","Lymphocyte immune globulin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7505","","X","Monoclonal antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7506","","X","Prednisone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7507","","E","Tacrolimus oral per 1 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7508","","E","Tacrolimus oral per 5 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7509","","X","Methylprednisolone oral","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7510","","X","Prednisolone oral per 5 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7599","","X","Immunosuppressive drug noc","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7610","","E","Acetylcysteine 10% injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7615","","E","Acetylcysteine 20% injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7620","","E","Albuterol sulfate .o83% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7625","","E","Albuterol sulfate .5% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7627","","E","Bitolterolmesylate inhal sol","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7630","","E","Cromolyn sodium injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7640","","E","Epinephrine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7645","","E","Ipratropium bromide .02%/ml","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7650","","E","Isoetharine hcl .1% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7651","","E","Isoetharine hcl .125% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7652","","E","Isoetharine hcl .167% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7653","","E","Isoetharine hcl .2%/ inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7654","","E","Isoetharine hcl .25% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7655","","E","Isoetharine hcl 1% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7660","","E","Isoproterenol hcl .5% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7665","","E","Isoproterenol hcl 1% inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7670","","E","Metaproterenol sulfate .4%","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7672","","E","Metaproterenol sulfate .6%","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7675","","E","Metaproterenol sulfate 5%","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7699","","E","Inhalation solution for DME","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J7799","","E","Non-inhalation drug for DME","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8499","","N","Oral prescrip drug non chemo","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8530","","E","Cyclophosphamide oral 25 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8560","","E","Etoposide oral 50 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8600","","E","Melphalan oral 2 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8610","","E","Methotrexate oral 2.5 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J8999","","E","Oral prescription drug chemo","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9000","","E","Doxorubic hcl 10 MG vl chemo","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9010","","E","Doxorubicin hcl 50 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9015","","E","Aldesleukin/single use vial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9020","","E","Asparaginase injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9031","","E","Bcg live intravesical vac","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9040","","E","Bleomycin sulfate injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9045","","E","Carboplatin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9050","","E","Carmus bischl nitro inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9060","","E","Cisplatin 10 MG injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9062","","E","Cisplatin 50 MG injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9065","","E","Inj cladribine per 1 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9070","","E","Cyclophosphamide 100 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9080","","E","Cyclophosphamide 200 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9090","","E","Cyclophosphamide 500 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9091","","E","Cyclophosphamide 1.0 grm inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9092","","E","Cyclophosphamide 2.0 grm inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9093","","E","Cyclophosphamide lyophilized","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9094","","E","Cyclophosphamide lyophilized","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9095","","E","Cyclophosphamide lyophilized","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9096","","E","Cyclophosphamide lyophilized","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9097","","E","Cyclophosphamide lyophilized","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9100","","E","Cytarabine hcl 100 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9110","","E","Cytarabine hcl 500 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9120","","E","Dactinomycin actinomycin d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9130","","E","Dacarbazine 10 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9140","","E","Dacarbazine 200 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9150","","E","Daunorubicin hcl injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9165","","E","Diethylstilbestrol injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9181","","E","Etoposide 10 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9182","","E","Etoposide 100 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9185","","E","Fludarabine phosphate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9190","","E","Fluorouracil injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9200","","E","Floxuridine injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9202","","E","Goserelin acetate implant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9208","","E","Ifosfomide injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9209","","E","Mesna injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9211","","E","Idarubicin hcl injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9213","","E","Interferon alfa-2a inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9214","","E","Interferon alfa-2b inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9215","","E","Interferon alfa-n3 inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9216","","E","Interferon gamma 1-b inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9217","","E","Leuprolide acetate suspnsion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9218","","E","Leuprolide acetate injeciton","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9230","","E","Mechlorethamine hcl inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9245","","E","Inj melphalan hydrochl 50 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9250","","E","Methotrexate sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9260","","E","Methotrexate sodium inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9265","","E","Paclitaxel injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9266","","E","Pegaspargase/singl dose vial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9268","","E","Pentostatin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9270","","E","Plicamycin (mithramycin) inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9280","","E","Mitomycin 5 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9290","","E","Mitomycin 20 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9291","","E","Mitomycin 40 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9293","","E","Mitoxantrone hydrochl / 5 MG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9295","","D","Polyestradiol phosphate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9320","","E","Streptozocin injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9340","","E","Thiotepa injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9360","","E","Vinblastine sulfate inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9370","","E","Vincristine sulfate 1 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9375","","E","Vincristine sulfate 2 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9380","","E","Vincristine sulfate 5 MG inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9390","","E","Vinorelbine tartrate/10 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "J9999","","E","Chemotherapy drug","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0005","","G","Off visit 2/more modalities","#", 0.76,"", 0.31, 0.03, 1.10,"XXX","0" "M0006","","G","One phys therapy modality","#", 0.50,"", 0.15, 0.02, 0.67,"XXX","0" "M0007","","G","Combined phys ther mod & tx","#", 1.01,"", 0.35, 0.04, 1.40,"XXX","0" "M0008","","G","Combined phys ther mod & tx","#", 0.50,"", 0.11, 0.01, 0.62,"XXX","0" "M0064","","A","Visit for drug monitoring","", 0.37,"", 0.19, 0.03, 0.59,"XXX","N" "M0075","","N","Cellular therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0076","","N","Prolotherapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0100","","N","Intragastric hypothermia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0101","","A","Cutting or removal of corns","", 0.37,"", 0.35, 0.03, 0.75,"XXX","S" "M0300","","N","IV chelationtherapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0301","","N","Fabric wrapping of aneurysm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "M0302","","N","Assessment of cardiac output","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P2028","","X","Cephalin floculation test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P2029","","X","Congo red blood test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P2031","","N","Hair analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P2033","","X","Blood thymol turbidity","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P2038","","X","Blood mucoprotein","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P3000","","X","Screen pap by tech w md supv","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P3001","","X","Screening pap smear by phys","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P3001","26","A","Screening pap smear by phys","", 0.42,"", 0.32, 0.04, 0.78,"XXX","N" "P7001","","G","Culture bacterial urine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9010","","E","Whole blood for transfusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9011","","E","Blood split unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9012","","E","Cryoprecipitate each unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9013","","E","Unit/s blood fibrinogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9014","","E","Gamma globulin 1 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9015","","E","Rh immune globulin 1 ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9016","","E","Leukocyte poor blood, unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9017","","E","One donor fresh frozn plasma","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9018","","E","Plasma protein fract, unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9019","","E","Platelet concentrate unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9020","","E","Plaelet rich plasma unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9021","","E","Red blood cells unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9022","","E","Washed red blood cells unit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9603","","X","One-way allow prorated miles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9604","","X","One-way allow prorated trip","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9605","","D","Routine venipuncture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9610","","X","Urine specimen collect singl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "P9615","","X","Urine specimen collect mult","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0034","","X","Admin of influenza vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0035","","A","Cardiokymography","", 0.17,"", 0.49, 0.04, 0.70,"XXX","N" "Q0035","TC","A","Cardiokymography","", 0.00,"", 0.37, 0.03, 0.40,"XXX","N" "Q0035","26","A","Cardiokymography","", 0.17,"", 0.12, 0.01, 0.30,"XXX","N" "Q0068","","A","Extracorpeal plasmapheresis","", 1.67,"", 1.27, 0.16, 3.10,"000","N" "Q0091","","A","Obtaining screen pap smear","", 0.37,"", 0.28, 0.03, 0.68,"XXX","N" "Q0092","","A","Set up port xray equipment","", 0.00,"", 0.30, 0.01, 0.31,"XXX","N" "Q0103","","A","Physical therapy evaluation","", 1.01,"", 0.35, 0.11, 1.47,"XXX","N" "Q0104","","A","Phys therapy re-evaluation","", 0.50,"", 0.04, 0.01, 0.55,"XXX","N" "Q0109","","A","Occupational therapy eval","", 1.01,"", 0.35, 0.11, 1.47,"XXX","N" "Q0110","","A","Occupational therap re-eval","", 0.50,"", 0.04, 0.01, 0.55,"XXX","N" "Q0111","","X","Wet mounts/ w preparations","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0112","","X","Potassium hydroxide preps","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0113","","X","Pinworm examinations","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0114","","X","Fern test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0115","","X","Post-coital mucous exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0116","","X","Hemoglbn sngle analyte exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0132","","X","Dispensing fee DME neb drug","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0136","","X","Non esrd epoetin alpha inj","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0137","","D","Dexamethasone acetate 8MG/ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0138","","D","Dexamethasone acetat 16MG/ML","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0139","","D","Inj desmopressin acetat 4mcg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "Q0140","","D","Inj potassium chloride, 2meg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q0141","","D","Inj magnesum sulfate, 500 mg","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "Q0142","","D","Sup thallous chloride tl 201","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "Q0143","","D","Sup technetium tc sestamibi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9920","","E","Epoetin with hct <= 20","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9921","","E","Epoetin with hct = 21","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9922","","E","Epoetin with hct = 22","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9923","","E","Epoetin with hct = 23","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9924","","E","Epoetin with hct = 24","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9925","","E","Epoetin with hct = 25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9926","","E","Epoetin with hct = 26","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9927","","E","Epoetin with hct = 27","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9928","","E","Epoetin with hct = 28","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9929","","E","Epoetin with hct = 29","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9930","","E","Epoetin with hct = 30","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9931","","E","Epoetin with hct = 31","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9932","","E","Epoetin with hct = 32","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9933","","E","Epoetin with hct = 33","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9934","","E","Epoetin with hct = 34","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9935","","E","Epoetin with hct = 35","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9936","","E","Epoetin with hct = 36","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9937","","E","Epoetin with hct = 37","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9938","","E","Epoetin with hct = 38","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9939","","E","Epoetin with hct = 39","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "Q9940","","E","Epoetin with hct >= 40","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "R0070","","C","Transport portable x-ray","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "R0075","","C","Transport port x-ray multipl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "R0076","","C","Transport portable EKG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "V2020","","X","Vision svcs frames purchases","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2025","","N","Eyeglasses delux frames","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2100","","X","Lens spher single plano 4.00","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2101","","X","Single visn sphere 4.12-7.00","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2102","","X","Singl visn sphere 7.12-20.00","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2103","","X","Spherocylindr 4.00d/12-2.00d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2104","","X","Spherocylindr 4.00d/2.12-4d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2105","","X","Spherocylinder 4.00d/4.25-6d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2106","","X","Spherocylinder 4.00d/>6.00d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2107","","X","Spherocylinder 4.25d/12-2d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2108","","X","Spherocylinder 4.25d/2.12-4d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2109","","X","Spherocylinder 4.25d/4.25-6d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2110","","X","Spherocylinder 4.25d/over 6d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2111","","X","Spherocylindr 7.25d/.25-2.25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2112","","X","Spherocylindr 7.25d/2.25-4d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2113","","X","Spherocylindr 7.25d/4.25-6d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2114","","X","Spherocylinder over 12.00d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2115","","X","Lens lenticular bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2116","","X","Nonaspheric lens bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2117","","X","Aspheric lens bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2118","","X","Lens aniseikonic single","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2199","","X","Lens single vision not oth c","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2200","","X","Lens spher bifoc plano 4.00d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2201","","X","Lens sphere bifocal 4.12-7.0","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2202","","X","Lens sphere bifocal 7.12-20.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2203","","X","Lens sphcyl bifocal 4.00d/.1","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2204","","X","Lens sphcy bifocal 4.00d/2.1","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2205","","X","Lens sphcy bifocal 4.00d/4.2","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2206","","X","Lens sphcy bifocal 4.00d/ove","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2207","","X","Lens sphcy bifocal 4.25-7d/.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2208","","X","Lens sphcy bifocal 4.25-7/2.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2209","","X","Lens sphcy bifocal 4.25-7/4.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2210","","X","Lens sphcy bifocal 4.25-7/ov","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2211","","X","Lens sphcy bifo 7.25-12/.25-","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2212","","X","Lens sphcyl bifo 7.25-12/2.2","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2213","","X","Lens sphcyl bifo 7.25-12/4.2","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2214","","X","Lens sphcyl bifocal over 12.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2215","","X","Lens lenticular bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2216","","X","Lens lenticular nonaspheric","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2217","","X","Lens lenticular aspheric bif","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2218","","X","Lens aniseikonic bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2219","","X","Lens bifocal seg width over","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2220","","X","Lens bifocal add over 3.25d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2299","","X","Lens bifocal speciality","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2300","","X","Lens sphere trifocal 4.00d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2301","","X","Lens sphere trifocal 4.12-7.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2302","","X","Lens sphere trifocal 7.12-20","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2303","","X","Lens sphcy trifocal 4.0/.12-","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2304","","X","Lens sphcy trifocal 4.0/2.25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2305","","X","Lens sphcy trifocal 4.0/4.25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2306","","X","Lens sphcyl trifocal 4.00/>6","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2307","","X","Lens sphcy trifocal 4.25-7/.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2308","","X","Lens sphc trifocal 4.25-7/2.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2309","","X","Lens sphc trifocal 4.25-7/4.","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2310","","X","Lens sphc trifocal 4.25-7/>6","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2311","","X","Lens sphc trifo 7.25-12/.25-","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2312","","X","Lens sphc trifo 7.25-12/2.25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2313","","X","Lens sphc trifo 7.25-12/4.25","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2314","","X","Lens sphcyl trifocal over 12","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2315","","X","Lens lenticular trifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2316","","X","Lens lenticular nonaspheric","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2317","","X","Lens lenticular aspheric tri","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2318","","X","Lens aniseikonic trifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2319","","X","Lens trifocal seg width > 28","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2320","","X","Lens trifocal add over 3.25d","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2399","","X","Lens trifocal speciality","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2410","","X","Lens variab asphericity sing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2430","","X","Lens variable asphericity bi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2499","","X","Variable asphericity lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2500","","X","Contact lens pmma spherical","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2501","","X","Cntct lens pmma-toric/prism","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2502","","X","Contact lens pmma bifocal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2503","","X","Cntct lens pmma color vision","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2510","","X","Cntct gas permeable sphericl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2511","","X","Cntct toric prism ballast","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2512","","X","Cntct lens gas permbl bifocl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2513","","X","Contact lens extended wear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2520","","P","Contact lens hydrophilic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2521","","X","Cntct lens hydrophilic toric","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2522","","X","Cntct lens hydrophil bifocl","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2523","","X","Cntct lens hydrophil extend","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2530","","X","Contact lens gas impermeable","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2531","","X","Contact lens gas permeable","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2599","","X","Contact lens/es other type","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2600","","X","Hand held low vision aids","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2610","","X","Single lens spectacle mount","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2615","","X","Telescop/othr compound lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2623","","X","Plastic eye prosth custom","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2624","","X","Polishing artifical eye","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2625","","X","Enlargemnt of eye prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2626","","X","Reduction of eye prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2627","","X","Scleral cover shell","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2628","","X","Fabrication & fitting","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2629","","X","Prosthetic eye other type","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2630","","X","Anter chamber intraocul lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2631","","X","Iris support intraoclr lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2632","","X","Post chmbr intraocular lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2700","","X","Balance lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2710","","X","Glass/plastic slab off prism","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2715","","X","Prism lens/es","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2718","","X","Fresnell prism press-on lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2730","","X","Special base curve","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2740","","X","Rose tint plastic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2741","","X","Non-rose tint plastic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2742","","X","Rose tint glass","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2743","","X","Non-rose tint glass","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2744","","X","Tint photochromatic lens/es","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2750","","X","Anti-reflective coating","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2755","","X","UV lens/es","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2760","","X","Scratch resistant coating","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2770","","X","Occluder lens/es","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2780","","X","Oversize lens/es","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2781","","X","Progressive lens per lens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2785","","X","Corneal tissue processing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V2799","","X","Miscellaneous vision service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5008","","N","Hearing screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5010","","N","Assessment for hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5011","","N","Hearing aid fitting/checking","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5014","","N","Hearing aid repair/modifying","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5020","","N","Conformity evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5030","","N","Body-worn hearing aid air","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5040","","N","Body-worn hearing aid bone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5050","","N","Body-worn hearing aid in ear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5060","","N","Behind ear hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5070","","N","Glasses air conduction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5080","","N","Glasses bone conduction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5090","","N","Hearing aid dispensing fee","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5100","","N","Body-worn bilat hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5110","","N","Hearing aid dispensing fee","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5120","","N","Body-worn binaur hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5130","","N","In ear binaural hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5140","","N","Behind ear binaur hearing ai","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5150","","N","Glasses binaural hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5160","","N","Dispensing fee binaural","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5170","","N","Within ear cros hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5180","","N","Behind ear cros hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5190","","N","Glasses cros hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5200","","N","Cros hearing aid dispens fee","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5210","","N","In ear bicros hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5220","","N","Behind ear bicros hearing ai","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5230","","N","Glasses bicros hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5240","","N","Dispensing fee bicros","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5299","","R","Hearing service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "V5336","","N","Repair communication device","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "V5362","","R","Speech screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "V5363","","R","Language screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "V5364","","R","Dysphagia screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "10040","","A","Acne surgery of skin abscess","", 1.34,"", 0.32, 0.03, 1.69,"010","S" "10060","","A","Drainage of skin abscess","", 1.12,"", 0.44, 0.04, 1.60,"010","S" "10061","","A","Drainage of skin abscess","", 2.48,"", 0.64, 0.06, 3.18,"010","S" "10080","","A","Drainage of pilonidal cyst","", 1.62,"", 0.50, 0.05, 2.17,"010","N" "10081","","A","Drainage of pilonidal cyst","", 2.40,"", 1.11, 0.16, 3.67,"010","S" "10120","","A","Remove foreign body","", 1.19,"", 0.46, 0.05, 1.70,"010","S" "10121","","A","Remove foreign body","", 2.64,"", 1.00, 0.12, 3.76,"010","S" "10140","","A","Drainage of hematoma/fluid","", 1.48,"", 0.48, 0.05, 2.01,"010","S" "10160","","A","Puncture drainage of lesion","", 1.15,"", 0.38, 0.05, 1.58,"010","S" "10180","","A","Complex drainage, wound","", 2.20,"", 1.05, 0.18, 3.43,"010","S" "11000","","A","Surgical cleansing of skin","", 0.91,"", 0.40, 0.04, 1.35,"000","S" "11001","","A","Additional cleansing of skin","", 0.45,"", 0.26, 0.02, 0.73,"ZZZ","S" "11040","","A","Surgical cleansing, abrasion","", 0.50,"", 0.40, 0.04, 0.94,"000","S" "11041","","A","Surgical cleansing of skin","", 0.82,"", 0.56, 0.06, 1.44,"000","S" "11042","","A","Cleansing of skin/tissue","", 1.12,"", 0.65, 0.08, 1.85,"000","S" "11043","","A","Cleansing of tissue/muscle","", 1.83,"", 1.81, 0.34, 3.98,"010","S" "11044","","A","Cleansing tissue/muscle/bone","", 2.28,"", 2.82, 0.49, 5.59,"010","S" "11050","","A","Trim skin lesion","", 0.43,"", 0.37, 0.03, 0.83,"000","S" "11051","","A","Trim 2 to 4 skin lesions","", 0.66,"", 0.50, 0.05, 1.21,"000","S" "11052","","A","Trim over 4 skin lesions","", 0.86,"", 0.41, 0.04, 1.31,"000","S" "11100","","A","Biopsy of skin lesion","", 0.81,"", 0.51, 0.04, 1.36,"000","S" "11101","","A","Biopsy, each added lesion","", 0.41,"", 0.29, 0.02, 0.72,"ZZZ","S" "11200","","A","Removal of skin tags","", 0.69,"", 0.43, 0.04, 1.16,"010","S" "11201","","A","Removal of added skin tags","", 0.26,"", 0.17, 0.02, 0.45,"ZZZ","S" "11300","","A","Shave skin lesion","", 0.51,"", 0.53, 0.05, 1.09,"000","S" "11301","","A","Shave skin lesion","", 0.85,"", 0.67, 0.06, 1.58,"000","S" "11302","","A","Shave skin lesion","", 1.05,"", 0.89, 0.09, 2.03,"000","S" "11303","","A","Shave skin lesion","", 1.24,"", 1.36, 0.17, 2.77,"000","S" "11305","","A","Shave skin lesion","", 0.67,"", 0.52, 0.05, 1.24,"000","S" "11306","","A","Shave skin lesion","", 0.99,"", 0.71, 0.07, 1.77,"000","S" "11307","","A","Shave skin lesion","", 1.14,"", 0.94, 0.10, 2.18,"000","S" "11308","","A","Shave skin lesion","", 1.41,"", 1.40, 0.17, 2.98,"000","S" "11310","","A","Shave skin lesion","", 0.73,"", 0.69, 0.06, 1.48,"000","S" "11311","","A","Shave skin lesion","", 1.05,"", 0.85, 0.08, 1.98,"000","S" "11312","","A","Shave skin lesion","", 1.20,"", 1.12, 0.11, 2.43,"000","S" "11313","","A","Shave skin lesion","", 1.62,"", 1.49, 0.15, 3.26,"000","S" "11400","","A","Removal of skin lesion","", 0.86,"", 0.53, 0.05, 1.44,"010","S" "11401","","A","Removal of skin lesion","", 1.27,"", 0.67, 0.06, 2.00,"010","S" "11402","","A","Removal of skin lesion","", 1.56,"", 0.89, 0.09, 2.54,"010","S" "11403","","A","Removal of skin lesion","", 1.87,"", 1.17, 0.13, 3.17,"010","S" "11404","","A","Removal of skin lesion","", 2.15,"", 1.38, 0.17, 3.70,"010","S" "11406","","A","Removal of skin lesion","", 2.71,"", 1.88, 0.33, 4.92,"010","S" "11420","","A","Removal of skin lesion","", 1.01,"", 0.52, 0.05, 1.58,"010","S" "11421","","A","Removal of skin lesion","", 1.48,"", 0.71, 0.07, 2.26,"010","S" "11422","","A","Removal of skin lesion","", 1.71,"", 0.94, 0.10, 2.75,"010","S" "11423","","A","Removal of skin lesion","", 2.12,"", 1.31, 0.15, 3.58,"010","S" "11424","","A","Removal of skin lesion","", 2.57,"", 1.39, 0.16, 4.12,"010","S" "11426","","A","Removal of skin lesion","", 3.73,"", 1.83, 0.29, 5.85,"010","S" "11440","","A","Removal of skin lesion","", 1.10,"", 0.69, 0.06, 1.85,"010","S" "11441","","A","Removal of skin lesion","", 1.56,"", 0.85, 0.08, 2.49,"010","S" "11442","","A","Removal of skin lesion","", 1.82,"", 1.12, 0.11, 3.05,"010","S" "11443","","A","Removal of skin lesion","", 2.44,"", 1.45, 0.15, 4.04,"010","S" "11444","","A","Removal of skin lesion","", 3.37,"", 1.47, 0.14, 4.98,"010","S" "11446","","A","Removal of skin lesion","", 4.44,"", 1.78, 0.18, 6.40,"010","S" "11450","","A","Removal, sweat gland lesion","", 2.58,"", 2.68, 0.44, 5.70,"090","S" "11451","","A","Removal, sweat gland lesion","", 3.80,"", 2.90, 0.46, 7.16,"090","S" "11462","","A","Removal, sweat gland lesion","", 2.36,"", 2.41, 0.36, 5.13,"090","S" "11463","","A","Removal, sweat gland lesion","", 3.80,"", 2.00, 0.34, 6.14,"090","S" "11470","","A","Removal, sweat gland lesion","", 3.10,"", 2.78, 0.45, 6.33,"090","S" "11471","","A","Removal, sweat gland lesion","", 4.26,"", 2.46, 0.48, 7.20,"090","S" "11600","","A","Removal of skin lesion","", 1.36,"", 1.13, 0.10, 2.59,"010","S" "11601","","A","Removal of skin lesion","", 1.88,"", 1.39, 0.12, 3.39,"010","S" "11602","","A","Removal of skin lesion","", 2.04,"", 1.82, 0.16, 4.02,"010","S" "11603","","A","Removal of skin lesion","", 2.30,"", 2.25, 0.21, 4.76,"010","S" "11604","","A","Removal of skin lesion","", 2.53,"", 2.59, 0.26, 5.38,"010","S" "11606","","A","Removal of skin lesion","", 3.38,"", 3.11, 0.49, 6.98,"010","S" "11620","","A","Removal of skin lesion","", 1.29,"", 1.34, 0.12, 2.75,"010","S" "11621","","A","Removal of skin lesion","", 1.92,"", 1.75, 0.16, 3.83,"010","S" "11622","","A","Removal of skin lesion","", 2.29,"", 2.20, 0.19, 4.68,"010","S" "11623","","A","Removal of skin lesion","", 2.88,"", 2.58, 0.25, 5.71,"010","S" "11624","","A","Removal of skin lesion","", 3.38,"", 3.21, 0.32, 6.91,"010","S" "11626","","A","Removal of skin lesion","", 4.20,"", 3.41, 0.51, 8.12,"010","S" "11640","","A","Removal of skin lesion","", 1.48,"", 1.65, 0.15, 3.28,"010","S" "11641","","A","Removal of skin lesion","", 2.39,"", 2.09, 0.18, 4.66,"010","S" "11642","","A","Removal of skin lesion","", 2.88,"", 2.57, 0.23, 5.68,"010","S" "11643","","A","Removal of skin lesion","", 3.45,"", 3.01, 0.28, 6.74,"010","S" "11644","","A","Removal of skin lesion","", 4.50,"", 3.51, 0.33, 8.34,"010","S" "11646","","A","Removal of skin lesion","", 5.85,"", 4.32, 0.60, 10.77,"010","S" "11700","","A","Scraping of 1-5 nails","", 0.32,"", 0.32, 0.03, 0.67,"000","S" "11701","","A","Scraping of additional nails","", 0.23,"", 0.23, 0.02, 0.48,"ZZZ","S" "11710","","A","Scraping of 1-5 nails","", 0.32,"", 0.32, 0.03, 0.67,"000","S" "11711","","A","Scraping of additional nails","", 0.20,"", 0.19, 0.02, 0.41,"ZZZ","S" "11730","","A","Removal of nail plate","", 1.13,"", 0.45, 0.04, 1.62,"000","S" "11731","","A","Removal of second nail plate","", 0.55,"", 0.51, 0.05, 1.11,"ZZZ","S" "11732","","A","Remove additional nail plate","", 0.38,"", 0.25, 0.02, 0.65,"ZZZ","S" "11740","","A","Drain blood from under nail","", 0.37,"", 0.39, 0.04, 0.80,"000","S" "11750","","A","Removal of nail bed","", 1.66,"", 2.10, 0.19, 3.95,"010","S" "11752","","A","Remove nail bed/finger tip","", 2.37,"", 2.82, 0.36, 5.55,"010","S" "11755","","A","Biopsy, nail unit","", 1.31,"", 0.99, 0.12, 2.42,"000","S" "11760","","A","Reconstruction of nail bed","", 1.53,"", 0.93, 0.09, 2.55,"010","S" "11762","","A","Reconstruction of nail bed","", 2.84,"", 2.57, 0.24, 5.65,"010","S" "11765","","A","Excision of nail fold, toe","", 0.64,"", 0.51, 0.05, 1.20,"010","S" "11770","","A","Removal of pilonidal lesion","", 2.56,"", 2.67, 0.44, 5.67,"010","S" "11771","","A","Removal of pilonidal lesion","", 5.15,"", 4.52, 0.92, 10.59,"090","S" "11772","","A","Removal of pilonidal lesion","", 6.36,"", 4.82, 1.01, 12.19,"090","S" "11900","","A","Injection into skin lesions","", 0.52,"", 0.25, 0.02, 0.79,"000","S" "11901","","A","Added skin lesions injection","", 0.80,"", 0.41, 0.03, 1.24,"000","S" "11920","","R","Correct skin color defects","", 1.61,"", 1.18, 0.23, 3.02,"000","S" "11921","","R","Correct skin color defects","", 1.93,"", 1.40, 0.28, 3.61,"000","S" "11922","","R","Correct skin color defects","", 0.49,"", 0.36, 0.07, 0.92,"ZZZ","S" "11950","","R","Therapy for contour defects","", 0.84,"", 1.19, 0.11, 2.14,"000","S" "11951","","R","Therapy for contour defects","", 1.19,"", 1.19, 0.11, 2.49,"000","S" "11952","","R","Therapy for contour defects","", 1.69,"", 1.19, 0.11, 2.99,"000","S" "11954","","R","Therapy for contour defects","", 1.85,"", 1.19, 0.11, 3.15,"000","S" "11960","","A","Insert tissue expander(s)","", 6.04,"*", 7.73, 1.48, 15.25,"090","S" "11970","","A","Replace tissue expander","", 6.65,"*", 8.51, 1.61, 16.77,"090","S" "11971","","A","Remove tissue expander(s)","", 1.51,"*", 2.30, 0.82, 4.63,"090","S" "11975","","N","Insert contraceptive cap","#", 1.48,"", 1.06, 0.25, 2.79,"XXX","0" "11976","","R","Removal of contraceptive cap","", 1.78,"", 1.28, 0.30, 3.36,"XXX","N" "11977","","N","Removal/reinsert contra cap","#", 3.30,"", 2.36, 0.55, 6.21,"XXX","0" "12001","","A","Repair superficial wound(s)","", 1.65,"", 0.57, 0.05, 2.27,"010","N" "12002","","A","Repair superficial wound(s)","", 1.81,"", 0.79, 0.07, 2.67,"010","N" "12004","","A","Repair superficial wound(s)","", 2.19,"", 1.14, 0.10, 3.43,"010","N" "12005","","A","Repair superficial wound(s)","", 2.81,"", 1.47, 0.14, 4.42,"010","N" "12006","","A","Repair superficial wound(s)","", 3.62,"", 1.78, 0.19, 5.59,"010","N" "12007","","A","Repair superficial wound(s)","", 4.07,"", 1.80, 0.19, 6.06,"010","S" "12011","","A","Repair superficial wound(s)","", 1.71,"", 0.74, 0.06, 2.51,"010","N" "12013","","A","Repair superficial wound(s)","", 1.94,"", 1.03, 0.08, 3.05,"010","N" "12014","","A","Repair superficial wound(s)","", 2.41,"", 1.19, 0.10, 3.70,"010","N" "12015","","A","Repair superficial wound(s)","", 3.14,"", 1.62, 0.14, 4.90,"010","N" "12016","","A","Repair superficial wound(s)","", 3.88,"", 2.26, 0.19, 6.33,"010","N" "12017","","A","Repair superficial wound(s)","", 4.66,"", 3.36, 0.31, 8.33,"010","N" "12018","","A","Repair superficial wound(s)","", 5.48,"", 5.15, 0.48, 11.11,"010","S" "12020","","A","Closure of split wound","", 2.57,"", 1.19, 0.18, 3.94,"010","S" "12021","","A","Closure of split wound","", 1.79,"", 0.62, 0.11, 2.52,"010","S" "12031","","A","Layer closure of wound(s)","", 2.10,"", 0.72, 0.07, 2.89,"010","S" "12032","","A","Layer closure of wound(s)","", 2.42,"", 1.05, 0.10, 3.57,"010","S" "12034","","A","Layer closure of wound(s)","", 2.87,"", 1.47, 0.15, 4.49,"010","S" "12035","","A","Layer closure of wound(s)","", 3.38,"", 1.92, 0.23, 5.53,"010","S" "12036","","A","Layer closure of wound(s)","", 4.00,"", 2.32, 0.37, 6.69,"010","S" "12037","","A","Layer closure of wound(s)","", 4.62,"", 3.09, 0.48, 8.19,"010","S" "12041","","A","Layer closure of wound(s)","", 2.32,"", 0.84, 0.08, 3.24,"010","N" "12042","","A","Layer closure of wound(s)","", 2.69,"", 1.17, 0.12, 3.98,"010","N" "12044","","A","Layer closure of wound(s)","", 3.09,"", 1.62, 0.17, 4.88,"010","N" "12045","","A","Layer closure of wound(s)","", 3.59,"", 2.13, 0.23, 5.95,"010","N" "12046","","A","Layer closure of wound(s)","", 4.20,"", 2.82, 0.37, 7.39,"010","S" "12047","","A","Layer closure of wound(s)","", 4.60,"", 4.02, 0.56, 9.18,"010","N" "12051","","A","Layer closure of wound(s)","", 2.42,"", 1.01, 0.10, 3.53,"010","S" "12052","","A","Layer closure of wound(s)","", 2.72,"", 1.47, 0.14, 4.33,"010","S" "12053","","A","Layer closure of wound(s)","", 3.07,"", 1.76, 0.17, 5.00,"010","S" "12054","","A","Layer closure of wound(s)","", 3.41,"", 2.60, 0.25, 6.26,"010","S" "12055","","A","Layer closure of wound(s)","", 4.38,"", 3.24, 0.37, 7.99,"010","S" "12056","","A","Layer closure of wound(s)","", 5.19,"", 4.74, 0.52, 10.45,"010","S" "12057","","A","Layer closure of wound(s)","", 5.91,"", 5.57, 0.48, 11.96,"010","S" "13100","","A","Repair of wound or lesion","", 3.07,"", 1.14, 0.13, 4.34,"010","S" "13101","","A","Repair of wound or lesion","", 3.87,"", 2.08, 0.21, 6.16,"010","S" "13120","","A","Repair of wound or lesion","", 3.25,"", 1.35, 0.17, 4.77,"010","S" "13121","","A","Repair of wound or lesion","", 4.28,"", 2.65, 0.33, 7.26,"010","S" "13131","","A","Repair of wound or lesion","", 3.74,"", 1.98, 0.23, 5.95,"010","S" "13132","","A","Repair of wound or lesion","", 4.21,"", 4.57, 0.44, 9.22,"010","S" "13150","","A","Repair of wound or lesion","", 3.76,"", 1.76, 0.23, 5.75,"010","S" "13151","","A","Repair of wound or lesion","", 4.40,"", 2.45, 0.35, 7.20,"010","S" "13152","","A","Repair of wound or lesion","", 6.28,"", 5.13, 0.68, 12.09,"010","S" "13160","","A","Late closure of wound","", 9.53,"", 3.33, 0.58, 13.44,"090","S" "13300","","A","Repair of wound or lesion","", 5.11,"", 5.71, 0.86, 11.68,"010","S" "14000","","A","Skin tissue rearrangement","", 5.43,"", 3.41, 0.38, 9.22,"090","S" "14001","","A","Skin tissue rearrangement","", 7.78,"", 4.75, 0.76, 13.29,"090","S" "14020","","A","Skin tissue rearrangement","", 6.08,"", 4.90, 0.49, 11.47,"090","S" "14021","","A","Skin tissue rearrangement","", 9.37,"", 6.21, 0.94, 16.52,"090","S" "14040","","A","Skin tissue rearrangement","", 7.18,"", 6.77, 0.65, 14.60,"090","S" "14041","","A","Skin tissue rearrangement","", 10.74,"", 7.88, 1.02, 19.64,"090","S" "14060","","A","Skin tissue rearrangement","", 8.05,"", 7.75, 1.04, 16.84,"090","S" "14061","","A","Skin tissue rearrangement","", 11.42,"", 10.49, 1.27, 23.18,"090","S" "14300","","A","Skin tissue rearrangement","", 10.76,"", 11.31, 1.84, 23.91,"090","S" "14350","","A","Skin tissue rearrangement","", 9.05,"", 6.07, 1.05, 16.17,"090","S" "15000","","A","Skin graft procedure","", 1.95,"*", 2.49, 0.53, 4.97,"ZZZ","S" "15050","","A","Skin pinch graft procedure","", 3.90,"", 1.79, 0.30, 5.99,"090","S" "15100","","A","Skin split graft procedure","", 8.05,"", 4.54, 0.89, 13.48,"090","S" "15101","","A","Skin split graft procedure","", 1.72,"", 1.59, 0.33, 3.64,"ZZZ","S" "15120","","A","Skin split graft procedure","", 9.14,"", 6.05, 0.94, 16.13,"090","S" "15121","","A","Skin split graft procedure","", 2.67,"", 2.91, 0.53, 6.11,"ZZZ","S" "15200","","A","Skin full graft procedure","", 7.46,"", 4.13, 0.69, 12.28,"090","S" "15201","","A","Skin full graft procedure","", 1.32,"*", 1.68, 0.50, 3.50,"ZZZ","S" "15220","","A","Skin full graft procedure","", 7.42,"", 4.84, 0.85, 13.11,"090","S" "15221","","A","Skin full graft procedure","", 1.19,"*", 1.59, 0.50, 3.28,"ZZZ","S" "15240","","A","Skin full graft procedure","", 8.30,"", 6.10, 1.03, 15.43,"090","S" "15241","","A","Skin full graft procedure","", 1.86,"*", 2.38, 0.58, 4.82,"ZZZ","S" "15260","","A","Skin full graft procedure","", 9.56,"", 7.46, 0.99, 18.01,"090","S" "15261","","A","Skin full graft procedure","", 2.23,"*", 2.85, 0.60, 5.68,"ZZZ","S" "15350","","A","Skin homograft procedure","", 3.89,"", 2.15, 0.42, 6.46,"090","S" "15400","","A","Skin heterograft procedure","", 4.91,"", 1.06, 0.17, 6.14,"090","S" "15570","","A","Form skin pedicle flap","", 3.75,"*", 5.50, 2.08, 11.33,"090","S" "15572","","A","Form skin pedicle flap","", 3.80,"*", 5.38, 1.86, 11.04,"090","S" "15574","","A","Form skin pedicle flap","", 3.85,"*", 5.40, 1.66, 10.91,"090","S" "15576","","A","Form skin pedicle flap","", 4.27,"", 3.12, 0.60, 7.99,"090","S" "15580","","A","Attach skin pedicle graft","", 3.30,"*", 4.31, 1.30, 8.91,"090","S" "15600","","A","Skin graft procedure","", 1.70,"*", 2.51, 0.88, 5.09,"090","S" "15610","","A","Skin graft procedure","", 2.21,"*", 2.82, 0.80, 5.83,"090","S" "15620","","A","Skin graft procedure","", 2.69,"*", 3.44, 0.86, 6.99,"090","S" "15625","","A","Skin graft procedure","", 1.81,"*", 2.41, 0.78, 5.00,"090","S" "15630","","A","Skin graft procedure","", 3.02,"*", 3.86, 0.90, 7.78,"090","S" "15650","","A","Transfer skin pedicle flap","", 3.61,"*", 4.62, 0.93, 9.16,"090","S" "15732","","A","Muscle-skin graft, head/neck","", 12.10,"*", 15.48, 3.46, 31.04,"090","S" "15734","","A","Muscle-skin graft, trunk","", 16.52,"", 19.01, 3.24, 38.77,"090","S" "15736","","A","Muscle-skin graft, arm","", 15.26,"", 16.21, 3.02, 34.49,"090","S" "15738","","A","Muscle-skin graft, leg","", 10.07,"*", 12.89, 3.29, 26.25,"090","S" "15740","","A","Island pedicle flap graft","", 9.45,"", 10.39, 1.62, 21.46,"090","S" "15750","","A","Neurovascular pedicle graft","", 10.61,"", 11.96, 2.03, 24.60,"090","S" "15755","","A","Microvascular flap graft","", 28.33,"", 30.09, 5.33, 63.75,"090","S" "15760","","A","Composite skin graft","", 8.28,"", 7.29, 1.11, 16.68,"090","S" "15770","","A","Derma-fat-fascia graft","", 6.85,"", 7.46, 0.95, 15.26,"090","S" "15775","","R","Hair transplant punch grafts","", 3.96,"", 2.88, 0.56, 7.40,"000","S" "15776","","R","Hair transplant punch grafts","", 5.54,"", 4.03, 0.79, 10.36,"000","S" "15780","","A","Abrasion treatment of skin","", 6.73,"", 1.53, 0.13, 8.39,"090","S" "15781","","A","Abrasion treatment of skin","", 4.67,"", 3.77, 0.39, 8.83,"090","S" "15782","","A","Abrasion treatment of skin","", 4.19,"", 1.19, 0.13, 5.51,"090","S" "15783","","A","Abrasion treatment of skin","", 4.16,"", 1.85, 0.19, 6.20,"090","S" "15786","","A","Abrasion treatment of lesion","", 1.98,"", 0.62, 0.06, 2.66,"010","S" "15787","","A","Abrasion, added skin lesions","", 0.33,"", 0.23, 0.03, 0.59,"ZZZ","S" "15788","","R","Chemical peel, face, epiderm","", 1.96,"", 1.48, 0.12, 3.56,"090","S" "15789","","R","Chemical peel, face, dermal","", 4.69,"", 1.48, 0.12, 6.29,"090","S" "15792","","R","Chemical peel, nonfacial","", 1.73,"", 0.50, 0.05, 2.28,"090","S" "15793","","A","Chemical peel, nonfacial","", 3.51,"", 0.50, 0.05, 4.06,"090","S" "15810","","A","Salabrasion","", 4.49,"", 3.80, 0.29, 8.58,"090","S" "15811","","A","Salabrasion","", 5.14,"", 3.74, 0.73, 9.61,"090","S" "15819","","A","Plastic surgery, neck","", 8.87,"", 8.01, 0.87, 17.75,"090","S" "15820","","A","Revision of lower eyelid","", 4.80,"*", 6.14, 0.64, 11.58,"090","S" "15821","","A","Revision of lower eyelid","", 5.37,"*", 6.87, 0.68, 12.92,"090","S" "15822","","A","Revision of upper eyelid","", 4.27,"*", 5.47, 0.56, 10.30,"090","S" "15823","","A","Revision of upper eyelid","", 6.65,"", 7.71, 0.61, 14.97,"090","S" "15824","","R","Removal of forehead wrinkles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15825","","R","Removal of neck wrinkles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15826","","R","Removal of brow wrinkles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15828","","R","Removal of face wrinkles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15829","","R","Removal of skin wrinkles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15831","","A","Excise excessive skin tissue","", 11.66,"", 9.84, 2.01, 23.51,"090","S" "15832","","A","Excise excessive skin tissue","", 10.97,"", 8.29, 1.33, 20.59,"090","S" "15833","","A","Excise excessive skin tissue","", 10.02,"", 6.22, 1.12, 17.36,"090","S" "15834","","A","Excise excessive skin tissue","", 10.16,"", 7.18, 1.22, 18.56,"090","S" "15835","","A","Excise excessive skin tissue","", 10.98,"", 7.00, 1.22, 19.20,"090","S" "15836","","A","Excise excessive skin tissue","", 8.83,"", 5.80, 1.10, 15.73,"090","S" "15837","","A","Excise excessive skin tissue","", 8.08,"", 5.97, 0.85, 14.90,"090","S" "15838","","A","Excise excessive skin tissue","", 6.78,"", 5.88, 0.73, 13.39,"090","S" "15839","","A","Excise excessive skin tissue","", 8.92,"", 2.44, 0.46, 11.82,"090","S" "15840","","A","Graft for face nerve palsy","", 12.26,"", 15.54, 2.28, 30.08,"090","S" "15841","","A","Graft for face nerve palsy","", 21.53,"", 16.87, 2.76, 41.16,"090","S" "15842","","A","Graft for face nerve palsy","", 35.98,"", 29.00, 2.68, 67.66,"090","S" "15845","","A","Skin and muscle repair, face","", 11.80,"*", 15.10, 2.54, 29.44,"090","S" "15850","","B","Removal of sutures","#", 0.78,"", 0.36, 0.04, 1.18,"XXX","0" "15851","","A","Removal of sutures","", 0.86,"", 0.30, 0.03, 1.19,"000","N" "15852","","A","Dressing change,not for burn","", 0.86,"", 0.44, 0.07, 1.37,"000","N" "15860","","A","Test for blood flow in graft","", 1.95,"", 1.35, 0.25, 3.55,"000","S" "15876","","R","Suction assisted lipectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15877","","R","Suction assisted lipectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15878","","R","Suction assisted lipectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15879","","R","Suction assisted lipectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "15920","","A","Removal of tail bone ulcer","", 7.37,"", 2.95, 0.63, 10.95,"090","S" "15922","","A","Removal of tail bone ulcer","", 9.17,"", 5.98, 1.19, 16.34,"090","S" "15931","","A","Remove sacrum pressure sore","", 8.13,"", 2.93, 0.55, 11.61,"090","S" "15933","","A","Remove sacrum pressure sore","", 9.64,"", 6.92, 1.43, 17.99,"090","S" "15934","","A","Remove sacrum pressure sore","", 11.40,"", 7.46, 1.50, 20.36,"090","S" "15935","","A","Remove sacrum pressure sore","", 13.05,"", 11.24, 2.27, 26.56,"090","S" "15936","","A","Remove sacrum pressure sore","", 11.31,"", 10.27, 2.05, 23.63,"090","S" "15937","","A","Remove sacrum pressure sore","", 12.98,"", 13.47, 2.67, 29.12,"090","S" "15940","","A","Removal of pressure sore","", 8.19,"", 3.55, 0.73, 12.47,"090","S" "15941","","A","Removal of pressure sore","", 10.15,"", 7.05, 1.39, 18.59,"090","S" "15944","","A","Removal of pressure sore","", 10.18,"", 9.26, 1.82, 21.26,"090","S" "15945","","A","Removal of pressure sore","", 11.32,"", 11.14, 2.09, 24.55,"090","S" "15946","","A","Removal of pressure sore","", 19.81,"", 16.61, 3.24, 39.66,"090","S" "15950","","A","Remove thigh pressure sore","", 6.79,"", 3.01, 0.58, 10.38,"090","S" "15951","","A","Remove thigh pressure sore","", 9.57,"", 7.65, 1.58, 18.80,"090","S" "15952","","A","Remove thigh pressure sore","", 10.18,"", 7.13, 1.37, 18.68,"090","S" "15953","","A","Remove thigh pressure sore","", 11.39,"", 9.08, 1.87, 22.34,"090","S" "15956","","A","Remove thigh pressure sore","", 13.93,"", 17.17, 3.39, 34.49,"090","S" "15958","","A","Remove thigh pressure sore","", 13.89,"*", 17.77, 3.76, 35.42,"090","S" "15999","","C","Removal of pressure sore","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "16000","","A","Initial treatment of burn(s)","", 0.89,"", 0.35, 0.03, 1.27,"000","N" "16010","","A","Treatment of burn(s)","", 0.87,"", 0.32, 0.03, 1.22,"000","N" "16015","","A","Treatment of burn(s)","", 2.35,"", 2.04, 0.38, 4.77,"000","S" "16020","","A","Treatment of burn(s)","", 0.80,"", 0.34, 0.03, 1.17,"000","N" "16025","","A","Treatment of burn(s)","", 1.85,"", 0.45, 0.05, 2.35,"000","S" "16030","","A","Treatment of burn(s)","", 2.08,"", 0.52, 0.08, 2.68,"000","S" "16035","","A","Incision of burn scab","", 4.53,"", 1.88, 0.34, 6.75,"090","S" "16040","","A","Burn wound excision","", 1.02,"*", 1.56, 0.53, 3.11,"000","S" "16041","","A","Burn wound excision","", 2.70,"", 3.16, 0.53, 6.39,"000","S" "16042","","A","Burn wound excision","", 2.35,"*", 3.02, 0.53, 5.90,"000","S" "17000","","A","Destroy benign/premal lesion","", 0.64,"", 0.42, 0.03, 1.09,"010","S" "17001","","A","Destruction of add'l lesions","", 0.19,"", 0.19, 0.02, 0.40,"ZZZ","S" "17002","","A","Destruction of add'l lesions","", 0.19,"", 0.10, 0.01, 0.30,"ZZZ","S" "17010","","A","Destruction skin lesion(s)","", 1.01,"", 0.48, 0.04, 1.53,"010","S" "17100","","A","Destruction of skin lesion","", 0.53,"", 0.37, 0.03, 0.93,"010","S" "17101","","A","Destruction of 2nd lesion","", 0.11,"", 0.18, 0.02, 0.31,"ZZZ","S" "17102","","A","Destruction of add'l lesions","", 0.11,"", 0.08, 0.01, 0.20,"ZZZ","S" "17104","","A","Destruction of skin lesions","", 2.01,"", 0.07, 0.01, 2.09,"010","S" "17105","","A","Destruction of skin lesions","", 0.76,"", 0.31, 0.03, 1.10,"010","S" "17106","","A","Destruction of skin lesions","", 4.54,"", 1.93, 0.18, 6.65,"090","S" "17107","","A","Destruction of skin lesions","", 9.06,"", 3.70, 0.39, 13.15,"090","S" "17108","","A","Destruction of skin lesions","", 13.10,"", 9.32, 0.69, 23.11,"090","S" "17110","","A","Destruction of skin lesions","", 0.55,"", 0.40, 0.03, 0.98,"010","S" "17200","","A","Electrocautery of skin tags","", 0.59,"", 0.41, 0.04, 1.04,"010","S" "17201","","A","Electrocautery added lesions","", 0.38,"", 0.15, 0.01, 0.54,"ZZZ","S" "17250","","A","Chemical cautery, tissue","", 0.50,"", 0.34, 0.04, 0.88,"000","S" "17260","","A","Destruction of skin lesions","", 0.86,"", 1.13, 0.10, 2.09,"010","S" "17261","","A","Destruction of skin lesions","", 1.12,"", 1.39, 0.12, 2.63,"010","S" "17262","","A","Destruction of skin lesions","", 1.53,"", 1.82, 0.16, 3.51,"010","S" "17263","","A","Destruction of skin lesions","", 1.74,"", 2.25, 0.21, 4.20,"010","S" "17264","","A","Destruction of skin lesions","", 1.89,"", 2.59, 0.26, 4.74,"010","S" "17266","","A","Destruction of skin lesions","", 2.29,"", 3.11, 0.49, 5.89,"010","S" "17270","","A","Destruction of skin lesions","", 1.27,"", 1.34, 0.12, 2.73,"010","S" "17271","","A","Destruction of skin lesions","", 1.44,"", 1.75, 0.16, 3.35,"010","S" "17272","","A","Destruction of skin lesions","", 1.72,"", 2.20, 0.19, 4.11,"010","S" "17273","","A","Destruction of skin lesions","", 2.00,"", 2.58, 0.25, 4.83,"010","S" "17274","","A","Destruction of skin lesions","", 2.54,"", 3.21, 0.32, 6.07,"010","S" "17276","","A","Destruction of skin lesions","", 3.15,"", 3.41, 0.51, 7.07,"010","S" "17280","","A","Destruction of skin lesions","", 1.12,"", 1.65, 0.15, 2.92,"010","S" "17281","","A","Destruction of skin lesions","", 1.67,"", 2.09, 0.18, 3.94,"010","S" "17282","","A","Destruction of skin lesions","", 1.99,"", 2.57, 0.23, 4.79,"010","S" "17283","","A","Destruction of skin lesions","", 2.59,"", 3.01, 0.28, 5.88,"010","S" "17284","","A","Destruction of skin lesions","", 3.16,"", 3.51, 0.33, 7.00,"010","S" "17286","","A","Destruction of skin lesions","", 4.39,"", 4.32, 0.60, 9.31,"010","S" "17304","","A","Chemosurgery of skin lesion","", 7.60,"", 4.02, 0.31, 11.93,"000","S" "17305","","A","2nd stage chemosurgery","", 2.85,"", 2.26, 0.17, 5.28,"000","S" "17306","","A","3rd stage chemosurgery","", 2.85,"", 1.40, 0.11, 4.36,"000","S" "17307","","A","Followup skin lesion therapy","", 2.85,"", 1.47, 0.12, 4.44,"000","S" "17310","","A","Extensive skin chemosurgery","", 0.95,"", 0.13, 0.01, 1.09,"000","S" "17340","","A","Cryotherapy of skin","", 0.73,"", 0.28, 0.02, 1.03,"010","S" "17360","","A","Skin peel therapy","", 1.40,"", 0.27, 0.02, 1.69,"010","S" "17380","","R","Hair removal by electrolysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "17999","","C","Skin tissue procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "19000","","A","Drainage of breast lesion","", 0.84,"", 0.38, 0.07, 1.29,"000","S" "19001","","A","Drain added breast lesion","", 0.42,"", 0.24, 0.05, 0.71,"ZZZ","S" "19020","","A","Incision of breast lesion","", 3.37,"", 1.40, 0.28, 5.05,"090","S" "19030","","A","Injection for breast x-ray","", 1.53,"", 0.49, 0.04, 2.06,"000","N" "19100","","A","Biopsy of breast","", 1.27,"", 0.64, 0.13, 2.04,"000","S" "19101","","A","Biopsy of breast","", 3.13,"", 2.34, 0.45, 5.92,"010","S" "19110","","A","Nipple exploration","", 4.15,"", 2.46, 0.51, 7.12,"090","S" "19112","","A","Excise breast duct fistula","", 3.52,"", 2.34, 0.35, 6.21,"090","S" "19120","","A","Removal of breast lesion","", 4.84,"", 2.90, 0.60, 8.34,"090","S" "19125","","A","Excision, breast lesion","", 5.85,"", 2.90, 0.60, 9.35,"090","S" "19126","","A","Excision,add'l breast lesion","", 2.93,"", 1.45, 0.31, 4.69,"ZZZ","S" "19140","","A","Removal of breast tissue","", 4.90,"", 4.29, 0.91, 10.10,"090","S" "19160","","A","Removal of breast tissue","", 6.65,"", 4.13, 0.88, 11.66,"090","S" "19162","","A","Remove breast tissue, nodes","", 12.81,"", 9.38, 1.96, 24.15,"090","S" "19180","","A","Removal of breast","", 8.15,"", 5.61, 1.17, 14.93,"090","S" "19182","","A","Removal of breast","", 7.28,"", 6.07, 1.27, 14.62,"090","S" "19200","","A","Removal of breast","", 14.23,"", 10.22, 2.15, 26.60,"090","S" "19220","","A","Removal of breast","", 14.23,"", 10.73, 2.38, 27.34,"090","S" "19240","","A","Removal of breast","", 14.71,"", 9.44, 1.99, 26.14,"090","S" "19260","","A","Removal of chest wall lesion","", 13.91,"", 5.05, 1.04, 20.00,"090","S" "19271","","A","Revision of chest wall","", 17.07,"", 13.95, 2.77, 33.79,"090","S" "19272","","A","Extensive chest wall surgery","", 19.47,"", 12.60, 2.56, 34.63,"090","S" "19290","","A","Place needle wire, breast","", 1.27,"", 0.44, 0.07, 1.78,"000","S" "19291","","A","Place needle wire, breast","", 0.63,"", 0.25, 0.04, 0.92,"ZZZ","S" "19316","","A","Suspension of breast","", 10.07,"", 12.84, 2.43, 25.34,"090","S" "19318","","A","Reduction of large breast","", 11.08,"*", 14.18, 3.23, 28.49,"090","S" "19324","","A","Enlarge breast","", 5.55,"", 3.29, 0.67, 9.51,"090","S" "19325","","A","Enlarge breast with implant","", 8.05,"", 5.87, 1.13, 15.05,"090","S" "19328","","A","Removal of breast implant","", 5.32,"", 3.76, 0.73, 9.81,"090","S" "19330","","A","Removal of implant material","", 7.18,"", 3.88, 0.75, 11.81,"090","S" "19340","","A","Immediate breast prosthesis","", 6.33,"*", 8.10, 2.06, 16.49,"ZZZ","S" "19342","","A","Delayed breast prosthesis","", 10.64,"", 10.81, 2.03, 23.48,"090","S" "19350","","A","Breast reconstruction","", 8.21,"", 7.08, 1.38, 16.67,"090","S" "19355","","A","Correct inverted nipple(s)","", 7.27,"", 4.93, 1.00, 13.20,"090","S" "19357","","A","Breast reconstruction","", 16.72,"", 12.15, 2.37, 31.24,"090","S" "19361","","A","Breast reconstruction","", 17.82,"", 20.13, 3.88, 41.83,"090","S" "19364","","A","Breast reconstruction","", 27.60,"", 16.68, 3.58, 47.86,"090","S" "19366","","A","Breast reconstruction","", 19.84,"", 16.40, 3.18, 39.42,"090","S" "19367","","A","Breast reconstruction","", 24.73,"", 20.13, 3.88, 48.74,"090","S" "19368","","A","Breast reconstruction","", 31.15,"", 20.13, 3.88, 55.16,"090","S" "19369","","A","Breast reconstruction","", 28.68,"", 20.13, 3.88, 52.69,"090","S" "19370","","A","Surgery of breast capsule","", 7.59,"", 6.17, 1.19, 14.95,"090","S" "19371","","A","Removal of breast capsule","", 8.84,"", 7.91, 1.54, 18.29,"090","S" "19380","","A","Revise breast reconstruction","", 8.63,"", 8.11, 1.57, 18.31,"090","S" "19396","","A","Design custom breast implant","", 2.17,"", 1.57, 0.31, 4.05,"000","S" "19499","","C","Breast surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "20000","","A","Incision of abscess","", 1.85,"", 0.85, 0.08, 2.78,"010","S" "20005","","A","Incision of deep abscess","", 3.02,"", 1.83, 0.28, 5.13,"010","S" "20100","","A","Explore wound, neck","", 9.50,"", 4.97, 1.16, 15.63,"010","S" "20101","","A","Explore wound, chest","", 3.00,"", 1.57, 0.37, 4.94,"010","S" "20102","","A","Explore wound, abdomen","", 3.68,"", 1.92, 0.45, 6.05,"010","S" "20103","","A","Explore wound, extremity","", 4.95,"", 2.59, 0.60, 8.14,"010","S" "20200","","A","Muscle biopsy","", 1.46,"", 1.12, 0.18, 2.76,"000","S" "20205","","A","Deep muscle biopsy","", 2.35,"", 1.88, 0.33, 4.56,"000","S" "20206","","A","Needle biopsy, muscle","", 0.99,"", 0.96, 0.14, 2.09,"000","S" "20220","","A","Bone biopsy, trocar/needle","", 1.27,"", 1.31, 0.09, 2.67,"000","N" "20225","","A","Bone biopsy, trocar/needle","", 1.87,"*", 2.39, 0.28, 4.54,"000","N" "20240","","A","Bone biopsy, excisional","", 3.07,"", 1.88, 0.18, 5.13,"010","S" "20245","","A","Bone biopsy, excisional","", 3.68,"", 3.58, 0.44, 7.70,"010","S" "20250","","A","Open bone biopsy","", 4.63,"", 5.07, 0.76, 10.46,"010","S" "20251","","A","Open bone biopsy","", 5.16,"", 5.84, 0.92, 11.92,"010","S" "20500","","A","Injection of sinus tract","", 1.18,"", 0.36, 0.04, 1.58,"010","N" "20501","","A","Inject sinus tract for x-ray","", 0.76,"", 0.30, 0.02, 1.08,"000","N" "20520","","A","Removal of foreign body","", 1.80,"", 0.71, 0.08, 2.59,"010","S" "20525","","A","Removal of foreign body","", 3.23,"", 2.23, 0.33, 5.79,"010","S" "20550","","A","Inj tendon/ligament/cyst","", 0.86,"", 0.38, 0.04, 1.28,"000","N" "20600","","A","Drain/inject joint/bursa","", 0.66,"", 0.47, 0.05, 1.18,"000","S" "20605","","A","Drain/inject joint/bursa","", 0.68,"", 0.45, 0.05, 1.18,"000","S" "20610","","A","Drain/inject joint/bursa","", 0.79,"", 0.45, 0.05, 1.29,"000","N" "20615","","A","Treatment of bone cyst","", 2.23,"", 0.49, 0.06, 2.78,"010","N" "20650","","A","Insert and remove bone pin","", 2.07,"", 1.08, 0.14, 3.29,"010","S" "20660","","A","Apply,remove fixation device","", 2.51,"", 1.56, 0.21, 4.28,"000","S" "20661","","A","Application of head brace","", 4.27,"", 3.82, 0.65, 8.74,"090","S" "20662","","A","Application of pelvis brace","", 5.52,"", 6.54, 1.03, 13.09,"090","S" "20663","","A","Application of thigh brace","", 4.88,"", 4.64, 0.76, 10.28,"090","S" "20665","","A","Removal of fixation device","", 1.26,"", 0.50, 0.07, 1.83,"010","S" "20670","","A","Removal of support implant","", 1.69,"", 0.74, 0.11, 2.54,"010","S" "20680","","A","Removal of support implant","", 3.25,"", 3.33, 0.51, 7.09,"090","S" "20690","","A","Apply bone fixation device","", 3.52,"", 3.66, 0.58, 7.76,"ZZZ","S" "20692","","A","Apply bone fixation device","", 6.41,"", 5.51, 0.89, 12.81,"ZZZ","S" "20693","","A","Adjust bone fixation device","", 5.42,"", 2.49, 0.42, 8.33,"090","S" "20694","","A","Remove bone fixation device","", 3.81,"", 2.60, 0.41, 6.82,"090","S" "20802","","A","Replantation, arm, complete","", 39.56,"", 37.72, 6.17, 83.45,"090","S" "20804","","D","Replantation, arm, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20805","","A","Replant forearm, complete","", 48.41,"", 46.17, 7.56,102.14,"090","S" "20806","","D","Replantation,forearm,partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20808","","A","Replantation, hand, complete","", 60.19,"", 57.40, 9.40,126.99,"090","S" "20812","","D","Replantation, hand, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20816","","A","Replantation digit, complete","", 29.67,"", 28.30, 4.63, 62.60,"090","S" "20820","","D","Replantation, digit, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20822","","A","Replantation digit, complete","", 24.53,"", 23.39, 3.83, 51.75,"090","S" "20823","","D","Replantation, digit, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20824","","A","Replantation thumb, complete","", 29.67,"", 28.30, 4.63, 62.60,"090","S" "20826","","D","Replantation, thumb, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20827","","A","Replantation thumb, complete","", 25.22,"", 24.05, 3.94, 53.21,"090","S" "20828","","D","Replantation, thumb, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20832","","D","Replantation, leg, complete","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20834","","D","Replantation, leg, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20838","","A","Replantation, foot, complete","", 39.56,"", 37.72, 6.17, 83.45,"090","S" "20840","","D","Replantation, foot, partial","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20900","","A","Removal of bone for graft","", 5.03,"", 2.80, 0.45, 8.28,"090","S" "20902","","A","Removal of bone for graft","", 6.74,"", 4.95, 0.80, 12.49,"090","S" "20910","","A","Remove cartilage for graft","", 5.03,"", 0.79, 0.09, 5.91,"090","S" "20912","","A","Remove cartilage for graft","", 6.04,"", 4.62, 0.64, 11.30,"090","S" "20920","","A","Removal of fascia for graft","", 4.87,"", 3.93, 0.50, 9.30,"090","S" "20922","","A","Removal of fascia for graft","", 6.04,"", 4.39, 0.71, 11.14,"090","S" "20924","","A","Removal of tendon for graft","", 6.04,"", 5.45, 0.85, 12.34,"090","S" "20926","","A","Removal of tissue for graft","", 5.03,"", 2.59, 0.39, 8.01,"090","S" "20930","","B","Spinal bone allograft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "20931","","A","Spinal bone allograft","", 1.81,"", 1.73, 0.28, 3.82,"ZZZ","S" "20936","","B","Spinal bone autograft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "20937","","A","Spinal bone autograft","", 2.79,"", 2.66, 0.44, 5.89,"ZZZ","S" "20938","","A","Spinal bone autograft","", 3.02,"", 2.88, 0.47, 6.37,"ZZZ","S" "20950","","A","Record fluid pressure,muscle","", 1.26,"", 1.09, 0.17, 2.52,"000","S" "20955","","A","Microvascular fibula graft","", 37.58,"", 35.84, 5.87, 79.29,"090","S" "20960","","C","Microvascular rib graft","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20962","","C","Microvascular bone graft","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20969","","A","Bone-skin graft","", 42.08,"", 40.13, 6.57, 88.78,"090","S" "20970","","A","Bone-skin graft, pelvis","", 41.22,"", 39.31, 6.44, 86.97,"090","S" "20971","","C","Bone-skin graft, rib","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "20972","","A","Bone-skin graft, metatarsal","", 41.54,"", 39.61, 6.49, 87.64,"090","S" "20973","","A","Bone-skin graft, great toe","", 44.31,"", 42.25, 6.91, 93.47,"090","S" "20974","","A","Electrical bone stimulation","", 0.62,"", 3.42, 0.53, 4.57,"ZZZ","S" "20975","","A","Electrical bone stimulation","", 2.60,"*", 3.33, 0.56, 6.49,"ZZZ","S" "20999","","C","Musculoskeletal surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "21010","","A","Incision of jaw joint","", 9.06,"", 10.24, 0.93, 20.23,"090","S" "21015","","A","Resection of facial tumor","", 4.94,"*", 6.32, 1.13, 12.39,"090","S" "21025","","A","Excision of bone, lower jaw","", 5.03,"", 4.14, 0.38, 9.55,"090","S" "21026","","A","Excision of facial bone(s)","", 4.53,"", 3.14, 0.28, 7.95,"090","S" "21029","","A","Contour of face bone lesion","", 7.21,"*", 9.23, 0.78, 17.22,"090","S" "21030","","A","Removal of face bone lesion","", 7.05,"", 3.35, 0.29, 10.69,"090","S" "21031","","A","Remove exostosis, mandible","", 2.01,"", 3.68, 0.32, 6.01,"090","S" "21032","","A","Remove exostosis, maxilla","", 4.27,"", 3.88, 0.35, 8.50,"090","S" "21034","","A","Removal of face bone lesion","", 15.11,"", 6.98, 0.89, 22.98,"090","S" "21040","","A","Removal of jaw bone lesion","", 2.01,"", 2.76, 0.24, 5.01,"090","S" "21041","","A","Removal of jaw bone lesion","", 5.03,"", 5.76, 0.50, 11.29,"090","S" "21044","","A","Removal of jaw bone lesion","", 11.08,"", 9.55, 1.11, 21.74,"090","S" "21045","","A","Extensive jaw surgery","", 15.11,"", 13.83, 1.58, 30.52,"090","S" "21050","","A","Removal of jaw joint","", 10.07,"", 12.33, 1.08, 23.48,"090","S" "21060","","A","Remove jaw joint cartilage","", 9.56,"", 11.59, 1.04, 22.19,"090","S" "21070","","A","Remove coronoid process","", 7.66,"", 6.81, 0.82, 15.29,"090","S" "21076","","A","Prepare face/oral prosthesis","", 12.54,"", 16.77, 1.35, 30.66,"010","S" "21077","","A","Prepare face/oral prosthesis","", 31.54,"", 42.18, 3.39, 77.11,"090","S" "21079","","A","Prepare face/oral prosthesis","", 20.88,"", 27.93, 2.25, 51.06,"090","S" "21080","","A","Prepare face/oral prosthesis","", 23.46,"", 31.38, 2.52, 57.36,"090","S" "21081","","A","Prepare face/oral prosthesis","", 21.38,"", 28.59, 2.30, 52.27,"090","S" "21082","","A","Prepare face/oral prosthesis","", 19.50,"", 26.08, 2.10, 47.68,"090","S" "21083","","A","Prepare face/oral prosthesis","", 18.04,"", 24.13, 1.94, 44.11,"090","S" "21084","","A","Prepare face/oral prosthesis","", 21.04,"", 28.14, 2.28, 51.46,"090","S" "21085","","A","Prepare face/oral prosthesis","", 8.41,"", 11.25, 0.90, 20.56,"010","S" "21086","","A","Prepare face/oral prosthesis","", 23.29,"", 31.15, 2.51, 56.95,"090","S" "21087","","A","Prepare face/oral prosthesis","", 23.29,"", 31.15, 2.51, 56.95,"090","S" "21088","","C","Prepare face/oral prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "21089","","C","Prepare face/oral prosthesis","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "21100","","A","Maxillofacial fixation","", 4.04,"", 1.06, 0.11, 5.21,"090","S" "21110","","A","Interdental fixation","", 5.03,"", 5.53, 0.46, 11.02,"090","S" "21116","","A","Injection, jaw joint x-ray","", 0.81,"", 0.73, 0.06, 1.60,"000","S" "21120","","A","Reconstruction of chin","", 4.75,"", 3.59, 0.42, 8.76,"090","S" "21121","","A","Reconstruction of chin","", 7.46,"", 5.65, 0.66, 13.77,"090","S" "21122","","A","Reconstruction of chin","", 8.21,"", 6.23, 0.73, 15.17,"090","S" "21123","","A","Reconstruction of chin","", 10.74,"", 8.14, 0.95, 19.83,"090","S" "21125","","A","Augmentation lower jaw bone","", 6.22,"", 4.72, 0.54, 11.48,"090","S" "21127","","A","Augmentation lower jaw bone","", 10.43,"", 7.91, 0.92, 19.26,"090","S" "21137","","A","Reduction of forehead","", 9.40,"", 7.11, 0.83, 17.34,"090","S" "21138","","A","Reduction of forehead","", 11.72,"", 8.86, 1.04, 21.62,"090","S" "21139","","A","Reduction of forehead","", 14.06,"", 10.64, 1.25, 25.95,"090","S" "21141","","A","Reconstruct midface, lefort","", 16.92,"", 14.34, 1.68, 32.94,"090","S" "21142","","A","Reconstruct midface, lefort","", 17.58,"", 14.84, 1.74, 34.16,"090","S" "21143","","A","Reconstruct midface, lefort","", 18.30,"", 15.40, 1.81, 35.51,"090","S" "21144","","D","Reconstruct midface, lefort","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "21145","","A","Reconstruct midface, lefort","", 18.92,"", 14.34, 1.68, 34.94,"090","S" "21146","","A","Reconstruct midface, lefort","", 19.58,"", 14.84, 1.74, 36.16,"090","S" "21147","","A","Reconstruct midface, lefort","", 20.30,"", 15.40, 1.81, 37.51,"090","S" "21150","","A","Reconstruct midface, lefort","", 24.41,"", 18.46, 2.17, 45.04,"090","S" "21151","","A","Reconstruct midface, lefort","", 27.34,"", 20.68, 2.42, 50.44,"090","S" "21154","","A","Reconstruct midface, lefort","", 29.28,"", 22.15, 2.59, 54.02,"090","S" "21155","","A","Reconstruct midface, lefort","", 33.19,"", 25.11, 2.94, 61.24,"090","S" "21159","","A","Reconstruct midface, lefort","", 40.99,"", 31.02, 3.63, 75.64,"090","S" "21160","","A","Reconstruct midface, lefort","", 44.90,"", 33.96, 3.98, 82.84,"090","S" "21172","","A","Reconstruct orbit/forehead","", 26.84,"", 20.30, 2.37, 49.51,"090","S" "21175","","A","Reconstruct orbit/forehead","", 32.21,"", 24.37, 2.85, 59.43,"090","S" "21179","","A","Reconstruct entire forehead","", 21.47,"", 16.24, 1.90, 39.61,"090","S" "21180","","A","Reconstruct entire forehead","", 24.41,"", 18.46, 2.17, 45.04,"090","S" "21181","","A","Contour cranial bone lesion","", 9.40,"", 7.11, 0.83, 17.34,"090","S" "21182","","A","Reconstruct cranial bone","", 31.23,"", 23.63, 2.77, 57.63,"090","S" "21183","","A","Reconstruct cranial bone","", 34.17,"", 25.85, 3.03, 63.05,"090","S" "21184","","A","Reconstruct cranial bone","", 37.10,"", 28.06, 3.28, 68.44,"090","S" "21188","","A","Reconstruction of midface","", 21.47,"", 16.24, 1.90, 39.61,"090","S" "21193","","A","Reconstruct lower jaw bone","", 16.23,"", 12.31, 1.44, 29.98,"090","S" "21194","","A","Reconstruct lower jaw bone","", 18.81,"", 14.26, 1.67, 34.74,"090","S" "21195","","A","Reconstruct lower jaw bone","", 16.27,"", 12.34, 1.44, 30.05,"090","S" "21196","","A","Reconstruct lower jaw bone","", 17.94,"", 13.61, 1.58, 33.13,"090","S" "21198","","A","Reconstruct lower jaw bone","", 13.36,"", 14.82, 1.74, 29.92,"090","S" "21206","","A","Reconstruct upper jaw bone","", 13.36,"", 10.14, 1.19, 24.69,"090","S" "21208","","A","Augmentation of facial bones","", 9.56,"", 11.26, 1.07, 21.89,"090","S" "21209","","A","Reduction of facial bones","", 6.28,"", 4.59, 0.76, 11.63,"090","S" "21210","","A","Face bone graft","", 9.56,"*", 12.24, 1.29, 23.09,"090","S" "21215","","A","Lower jaw bone graft","", 10.07,"*", 12.89, 1.42, 24.38,"090","S" "21230","","A","Rib cartilage graft","", 10.07,"", 10.37, 1.69, 22.13,"090","S" "21235","","A","Ear cartilage graft","", 6.28,"*", 8.04, 1.09, 15.41,"090","S" "21240","","A","Reconstruction of jaw joint","", 13.10,"*", 16.77, 2.09, 31.96,"090","S" "21242","","A","Reconstruction of jaw joint","", 12.10,"*", 15.55, 2.25, 29.90,"090","S" "21243","","A","Reconstruction of jaw joint","", 18.98,"", 14.40, 1.68, 35.06,"090","S" "21244","","A","Reconstruction of lower jaw","", 11.08,"*", 14.18, 1.93, 27.19,"090","S" "21245","","A","Reconstruction of jaw","", 11.08,"", 11.47, 1.31, 23.86,"090","S" "21246","","A","Reconstruction of jaw","", 11.65,"", 8.83, 1.04, 21.52,"090","S" "21247","","A","Reconstruct lower jaw bone","", 21.15,"*", 27.08, 2.27, 50.50,"090","S" "21248","","A","Reconstruction of jaw","", 11.08,"*", 14.18, 1.75, 27.01,"090","S" "21249","","A","Reconstruction of jaw","", 17.12,"*", 23.10, 3.29, 43.51,"090","S" "21255","","A","Reconstruct lower jaw bone","", 15.63,"*", 20.00, 1.68, 37.31,"090","S" "21256","","A","Reconstruction of orbit","", 15.13,"*", 19.36, 1.63, 36.12,"090","S" "21260","","A","Revise eye sockets","", 15.44,"*", 19.76, 1.66, 36.86,"090","S" "21261","","A","Revise eye sockets","", 29.43,"", 17.78, 1.65, 48.86,"090","S" "21263","","A","Revise eye sockets","", 26.56,"*", 34.00, 2.86, 63.42,"090","S" "21267","","A","Revise eye sockets","", 17.66,"", 14.61, 2.13, 34.40,"090","S" "21268","","A","Revise eye sockets","", 22.88,"", 15.35, 3.13, 41.36,"090","S" "21270","","A","Augmentation cheek bone","", 12.10,"", 9.60, 1.41, 23.11,"090","S" "21275","","A","Revision orbitofacial bones","", 10.50,"", 8.95, 1.26, 20.71,"090","S" "21280","","A","Revision of eyelid","", 5.64,"", 7.19, 0.61, 13.44,"090","S" "21282","","A","Revision of eyelid","", 3.26,"*", 4.52, 0.79, 8.57,"090","S" "21295","","A","Revision of jaw muscle/bone","", 1.43,"", 0.96, 0.13, 2.52,"090","S" "21296","","A","Revision of jaw muscle/bone","", 3.97,"", 3.62, 0.22, 7.81,"090","S" "21299","","C","Cranio/maxillofacial surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "21300","","A","Treatment of skull fracture","", 0.72,"*", 0.92, 0.11, 1.75,"000","S" "21310","","A","Treatment of nose fracture","", 0.58,"*", 0.75, 0.09, 1.42,"000","N" "21315","","A","Treatment of nose fracture","", 1.41,"", 1.81, 0.21, 3.43,"010","S" "21320","","A","Treatment of nose fracture","", 1.82,"*", 2.33, 0.34, 4.49,"010","S" "21325","","A","Repair of nose fracture","", 3.52,"", 4.09, 0.52, 8.13,"090","S" "21330","","A","Repair of nose fracture","", 5.03,"*", 6.45, 0.86, 12.34,"090","S" "21335","","A","Repair of nose fracture","", 8.05,"*", 10.31, 1.56, 19.92,"090","S" "21336","","A","Repair nasal septal fracture","", 5.35,"", 4.09, 0.52, 9.96,"090","S" "21337","","A","Repair nasal septal fracture","", 2.52,"", 2.82, 0.38, 5.72,"090","S" "21338","","A","Repair nasoethmoid fracture","", 6.04,"", 5.01, 0.66, 11.71,"090","S" "21339","","A","Repair nasoethmoid fracture","", 7.56,"", 7.09, 0.70, 15.35,"090","S" "21340","","A","Repair of nose fracture","", 10.07,"", 8.91, 1.04, 20.02,"090","S" "21343","","A","Repair of sinus fracture","", 12.10,"", 9.17, 1.08, 22.35,"090","S" "21344","","A","Repair of sinus fracture","", 18.43,"", 9.17, 1.08, 28.68,"090","S" "21345","","A","Repair of nose/jaw fracture","", 7.63,"", 7.90, 0.81, 16.34,"090","S" "21346","","A","Repair of nose/jaw fracture","", 9.92,"", 9.40, 1.04, 20.36,"090","S" "21347","","A","Repair of nose/jaw fracture","", 11.86,"", 10.36, 1.36, 23.58,"090","S" "21348","","A","Repair of nose/jaw fracture","", 15.60,"", 11.34, 2.22, 29.16,"090","S" "21355","","A","Repair cheek bone fracture","", 3.52,"", 1.56, 0.17, 5.25,"010","S" "21356","","A","Repair cheek bone fracture","", 3.88,"*", 4.96, 0.89, 9.73,"010","S" "21360","","A","Repair cheek bone fracture","", 6.04,"", 7.28, 0.89, 14.21,"090","S" "21365","","A","Repair cheek bone fracture","", 13.97,"", 12.35, 1.63, 27.95,"090","S" "21366","","A","Repair cheek bone fracture","", 16.61,"", 12.08, 2.36, 31.05,"090","S" "21385","","A","Repair eye socket fracture","", 8.56,"", 9.59, 1.13, 19.28,"090","S" "21386","","A","Repair eye socket fracture","", 8.56,"", 9.07, 1.25, 18.88,"090","S" "21387","","A","Repair eye socket fracture","", 9.07,"", 7.45, 0.96, 17.48,"090","S" "21390","","A","Repair eye socket fracture","", 9.47,"", 11.89, 1.37, 22.73,"090","S" "21395","","A","Repair eye socket fracture","", 11.85,"", 9.63, 1.37, 22.85,"090","S" "21400","","A","Treat eye socket fracture","", 1.31,"*", 1.67, 0.17, 3.15,"090","N" "21401","","A","Repair eye socket fracture","", 3.05,"", 2.58, 0.32, 5.95,"090","S" "21406","","A","Repair eye socket fracture","", 6.55,"", 5.21, 0.74, 12.50,"090","S" "21407","","A","Repair eye socket fracture","", 8.05,"", 7.09, 0.78, 15.92,"090","S" "21408","","A","Repair eye socket fracture","", 11.57,"", 8.49, 0.99, 21.05,"090","S" "21421","","A","Treat mouth roof fracture","", 4.80,"*", 6.14, 0.62, 11.56,"090","S" "21422","","A","Repair mouth roof fracture","", 7.78,"", 9.80, 1.19, 18.77,"090","S" "21423","","A","Repair mouth roof fracture","", 9.72,"", 9.80, 1.19, 20.71,"090","S" "21431","","A","Treat craniofacial fracture","", 6.59,"", 6.02, 0.71, 13.32,"090","S" "21432","","A","Repair craniofacial fracture","", 8.05,"", 6.76, 0.84, 15.65,"090","S" "21433","","A","Repair craniofacial fracture","", 23.69,"", 17.96, 2.10, 43.75,"090","S" "21435","","A","Repair craniofacial fracture","", 16.12,"", 13.25, 1.88, 31.25,"090","S" "21436","","A","Repair craniofacial fracture","", 26.21,"", 14.65, 2.08, 42.94,"090","S" "21440","","A","Repair dental ridge fracture","", 2.52,"", 3.07, 0.28, 5.87,"090","S" "21445","","A","Repair dental ridge fracture","", 5.03,"", 6.11, 0.56, 11.70,"090","S" "21450","","A","Treat lower jaw fracture","", 2.78,"", 2.84, 0.26, 5.88,"090","S" "21451","","A","Treat lower jaw fracture","", 4.55,"*", 5.83, 0.74, 11.12,"090","S" "21452","","A","Treat lower jaw fracture","", 1.85,"", 1.39, 0.17, 3.41,"090","S" "21453","","A","Treat lower jaw fracture","", 5.18,"*", 6.64, 0.55, 12.37,"090","S" "21454","","A","Treat lower jaw fracture","", 6.04,"*", 8.19, 1.42, 15.65,"090","S" "21461","","A","Repair lower jaw fracture","", 7.56,"*", 9.67, 1.30, 18.53,"090","S" "21462","","A","Repair lower jaw fracture","", 9.15,"*", 11.71, 1.34, 22.20,"090","S" "21465","","A","Repair lower jaw fracture","", 11.13,"", 8.44, 0.99, 20.56,"090","S" "21470","","A","Repair lower jaw fracture","", 14.19,"", 17.13, 1.74, 33.06,"090","S" "21480","","A","Reset dislocated jaw","", 0.61,"*", 0.78, 0.09, 1.48,"000","S" "21485","","A","Reset dislocated jaw","", 3.73,"", 2.19, 0.20, 6.12,"090","S" "21490","","A","Repair dislocated jaw","", 11.08,"", 6.31, 0.52, 17.91,"090","S" "21493","","A","Treat hyoid bone fracture","", 1.19,"*", 1.52, 0.13, 2.84,"090","S" "21494","","A","Repair hyoid bone fracture","", 5.87,"*", 7.52, 0.63, 14.02,"090","S" "21495","","A","Repair hyoid bone fracture","", 5.32,"", 4.82, 0.51, 10.65,"090","S" "21497","","A","Interdental wiring","", 3.61,"", 3.97, 0.38, 7.96,"090","S" "21499","","C","Head surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "21501","","A","Drain neck/chest lesion","", 3.52,"", 1.82, 0.26, 5.60,"090","S" "21502","","A","Drain chest lesion","", 6.44,"", 4.22, 0.75, 11.41,"090","S" "21510","","A","Drainage of bone lesion","", 5.03,"", 3.82, 0.50, 9.35,"090","S" "21550","","A","Biopsy of neck/chest","", 2.01,"", 0.85, 0.12, 2.98,"010","S" "21555","","A","Remove lesion neck/chest","", 4.09,"", 1.60, 0.25, 5.94,"090","S" "21556","","A","Remove lesion neck/chest","", 5.28,"", 3.80, 0.64, 9.72,"090","S" "21557","","A","Remove tumor, neck or chest","", 8.56,"", 8.50, 1.41, 18.47,"090","S" "21600","","A","Partial removal of rib","", 6.27,"", 4.50, 0.88, 11.65,"090","S" "21610","","A","Partial removal of rib","", 8.54,"", 5.17, 0.76, 14.47,"090","S" "21615","","A","Removal of rib","", 9.03,"", 10.13, 1.96, 21.12,"090","S" "21616","","A","Removal of rib and nerves","", 11.11,"", 7.26, 1.50, 19.87,"090","S" "21620","","A","Partial removal of sternum","", 6.04,"", 6.85, 1.23, 14.12,"090","S" "21627","","A","Sternal debridement","", 6.06,"", 5.03, 0.90, 11.99,"090","S" "21630","","A","Extensive sternum surgery","", 15.77,"", 12.89, 2.40, 31.06,"090","S" "21632","","A","Extensive sternum surgery","", 16.62,"", 11.54, 2.22, 30.38,"090","S" "21700","","A","Revision of neck muscle","", 5.84,"", 4.16, 0.50, 10.50,"090","S" "21705","","A","Revision of neck muscle/rib","", 9.03,"", 4.85, 0.96, 14.84,"090","S" "21720","","A","Revision of neck muscle","", 5.44,"", 3.84, 0.52, 9.80,"090","S" "21725","","A","Revision of neck muscle","", 6.55,"", 4.84, 0.74, 12.13,"090","S" "21740","","A","Reconstruction of sternum","", 15.42,"", 8.99, 1.64, 26.05,"090","S" "21750","","A","Repair of sternum separation","", 10.07,"", 7.33, 1.43, 18.83,"090","S" "21800","","A","Treatment of rib fracture","", 0.91,"", 0.77, 0.07, 1.75,"090","N" "21805","","A","Treatment of rib fracture","", 2.62,"", 1.35, 0.17, 4.14,"090","S" "21810","","A","Treatment of rib fracture(s)","", 6.68,"", 7.33, 0.61, 14.62,"090","N" "21820","","A","Treat sternum fracture","", 1.20,"", 1.36, 0.17, 2.73,"090","S" "21825","","A","Repair sternum fracture","", 6.82,"", 6.90, 1.12, 14.84,"090","S" "21899","","C","Neck/chest surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "21920","","A","Biopsy soft tissue of back","", 2.01,"", 0.79, 0.11, 2.91,"010","S" "21925","","A","Biopsy soft tissue of back","", 4.23,"", 1.95, 0.32, 6.50,"090","S" "21930","","A","Remove lesion, back or flank","", 6.55,"", 2.72, 0.49, 9.76,"090","S" "21935","","A","Remove tumor of back","", 17.12,"", 6.59, 1.30, 25.01,"090","S" "22100","","A","Remove part of neck vertebra","", 9.05,"", 7.64, 1.09, 17.78,"090","S" "22101","","A","Remove part, thorax vertebra","", 9.00,"", 8.01, 1.38, 18.39,"090","S" "22102","","A","Remove part, lumbar vertebra","", 9.00,"", 4.50, 0.67, 14.17,"090","S" "22103","","A","Remove extra spine segment","", 2.34,"", 2.23, 0.37, 4.94,"ZZZ","S" "22105","","D","Remove part of neck vertebra","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22106","","D","Remove part, thorax vertebra","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22107","","D","Remove part, lumbar vertebra","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22110","","A","Remove part of neck vertebra","", 11.59,"", 9.72, 1.64, 22.95,"090","S" "22112","","A","Remove part, thorax vertebra","", 11.59,"", 9.90, 1.63, 23.12,"090","S" "22114","","A","Remove part, lumbar vertebra","", 11.59,"", 7.25, 1.17, 20.01,"090","S" "22116","","A","Remove extra spine segment","", 2.32,"", 2.21, 0.36, 4.89,"ZZZ","S" "22140","","D","Reconstruct neck spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22141","","D","Reconstruct thorax spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22142","","D","Reconstruct lumbar spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22145","","D","Reconstruct vertebra(e)","", 0.00,"", 0.00, 0.00, 0.00,"ZZZ","S" "22148","","D","Harvesting bone graft","", 0.00,"", 0.00, 0.00, 0.00,"ZZZ","S" "22150","","D","Reconstruct neck spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22151","","D","Reconstruct thorax spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22152","","D","Reconstruct lumbar spine","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22210","","A","Revision of neck spine","", 22.51,"", 13.83, 2.43, 38.77,"090","S" "22212","","A","Revision of thorax spine","", 18.14,"", 17.29, 2.83, 38.26,"090","S" "22214","","A","Revision of lumbar spine","", 18.14,"", 15.11, 2.68, 35.93,"090","S" "22216","","A","Revise, extra spine segment","", 6.04,"", 5.07, 0.89, 12.00,"ZZZ","S" "22220","","A","Revision of neck spine","", 20.15,"", 16.64, 2.63, 39.42,"090","S" "22222","","A","Revision of thorax spine","", 20.15,"", 13.61, 1.58, 35.34,"090","S" "22224","","A","Revision of lumbar spine","", 20.15,"", 14.68, 2.66, 37.49,"090","S" "22226","","A","Revise, extra spine segment","", 6.04,"", 5.07, 0.89, 12.00,"ZZZ","S" "22230","","D","Additional revision of spine","", 0.00,"", 0.00, 0.00, 0.00,"ZZZ","S" "22305","","A","Treat spine process fracture","", 1.86,"*", 2.38, 0.37, 4.61,"090","S" "22310","","A","Treat spine fracture","", 1.86,"*", 2.52, 0.69, 5.07,"090","S" "22315","","A","Treat spine fracture","", 8.36,"", 5.51, 0.86, 14.73,"090","S" "22325","","A","Repair of spine fracture","", 17.19,"", 8.32, 1.34, 26.85,"090","S" "22326","","A","Repair neck spine fracture","", 18.43,"", 15.93, 2.74, 37.10,"090","S" "22327","","A","Repair thorax spine fracture","", 17.56,"", 15.95, 2.35, 35.86,"090","S" "22328","","A","Repair each add spine fx","", 4.61,"", 4.40, 0.72, 9.73,"ZZZ","S" "22505","","A","Manipulation of spine","", 1.77,"", 1.31, 0.17, 3.25,"010","N" "22548","","A","Neck spine fusion","", 24.08,"", 22.74, 3.82, 50.64,"090","S" "22554","","A","Neck spine fusion","", 17.24,"", 19.81, 3.52, 40.57,"090","S" "22556","","A","Thorax spine fusion","", 22.27,"", 21.68, 3.58, 47.53,"090","S" "22558","","A","Lumbar spine fusion","", 21.22,"", 20.17, 3.38, 44.77,"090","S" "22585","","A","Additional spinal fusion","", 5.53,"", 5.40, 0.93, 11.86,"ZZZ","S" "22590","","A","Spine & skull spinal fusion","", 19.50,"", 21.57, 3.44, 44.51,"090","S" "22595","","A","Neck spinal fusion","", 18.19,"", 22.46, 3.87, 44.52,"090","S" "22600","","A","Neck spine fusion","", 14.74,"", 19.36, 3.32, 37.42,"090","S" "22610","","A","Thorax spine fusion","", 14.62,"", 17.87, 2.75, 35.24,"090","S" "22612","","A","Lumbar spine fusion","", 20.19,"", 20.60, 3.33, 44.12,"090","S" "22614","","A","Spine fusion, extra segment","", 6.44,"", 5.65, 0.92, 13.01,"ZZZ","S" "22625","","D","Lumbar spine fusion","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "22630","","A","Lumbar spine fusion","", 20.03,"", 18.44, 3.15, 41.62,"090","S" "22632","","A","Spine fusion, extra segment","", 5.23,"", 4.99, 0.82, 11.04,"ZZZ","S" "22650","","D","Additional spinal fusion","", 0.00,"", 0.00, 0.00, 0.00,"ZZZ","S" "22800","","A","Fusion of spine","", 16.92,"*", 21.66, 3.58, 42.16,"090","S" "22802","","A","Fusion of spine","", 29.74,"", 28.32, 4.61, 62.67,"090","S" "22804","","A","Fusion of spine","", 35.00,"", 28.32, 4.61, 67.93,"090","S" "22808","","A","Fusion of spine","", 25.00,"", 18.41, 3.15, 46.56,"090","S" "22810","","A","Fusion of spine","", 29.00,"", 18.41, 3.15, 50.56,"090","S" "22812","","A","Fusion of spine","", 31.00,"", 25.93, 4.24, 61.17,"090","S" "22820","","D","Harvesting of bone","", 0.00,"", 0.00, 0.00, 0.00,"ZZZ","S" "22830","","A","Exploration of spinal fusion","", 10.22,"*", 13.07, 2.18, 25.47,"090","S" "22840","","A","Insert spine fixation device","", 6.27,"", 5.98, 0.98, 13.23,"ZZZ","S" "22841","","B","Insert spine fixation device","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "22842","","A","Insert spine fixation device","", 7.19,"", 6.86, 1.12, 15.17,"ZZZ","S" "22843","","A","Insert spine fixation device","", 8.97,"", 8.55, 1.40, 18.92,"ZZZ","S" "22844","","A","Insert spine fixation device","", 10.96,"", 10.45, 1.71, 23.12,"ZZZ","S" "22845","","A","Insert spine fixation device","", 5.98,"", 5.70, 0.93, 12.61,"ZZZ","S" "22846","","A","Insert spine fixation device","", 8.28,"", 7.90, 1.29, 17.47,"ZZZ","S" "22847","","A","Insert spine fixation device","", 9.20,"", 8.77, 1.44, 19.41,"ZZZ","S" "22848","","A","Insert pelvic fixationdevice","", 6.00,"", 5.72, 0.94, 12.66,"ZZZ","S" "22849","","A","Reinsert spinal fixation","", 12.86,"", 11.76, 1.97, 26.59,"090","S" "22850","","A","Remove spine fixation device","", 8.98,"", 9.17, 1.50, 19.65,"090","S" "22851","","A","Apply spine prosth device","", 6.71,"", 6.40, 1.05, 14.16,"ZZZ","S" "22852","","A","Remove spine fixation device","", 8.40,"", 9.80, 1.57, 19.77,"090","S" "22855","","A","Remove spine fixation device","", 9.10,"", 7.46, 1.25, 17.81,"090","S" "22899","","C","Spine surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "22900","","A","Remove abdominal wall lesion","", 6.56,"", 3.03, 0.60, 10.19,"090","S" "22999","","C","Abdomen surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "23000","","A","Removal of calcium deposits","", 4.12,"", 3.24, 0.47, 7.83,"090","S" "23020","","A","Release shoulder joint","", 8.25,"", 7.27, 1.09, 16.61,"090","S" "23030","","A","Drain shoulder lesion","", 3.16,"", 2.16, 0.35, 5.67,"010","S" "23031","","A","Drain shoulder bursa","", 2.69,"", 0.50, 0.05, 3.24,"010","S" "23035","","A","Drain shoulder bone lesion","", 7.80,"", 6.22, 1.04, 15.06,"090","S" "23040","","A","Exploratory shoulder surgery","", 8.39,"", 9.27, 1.47, 19.13,"090","S" "23044","","A","Exploratory shoulder surgery","", 6.40,"", 6.91, 1.18, 14.49,"090","S" "23065","","A","Biopsy shoulder tissues","", 2.24,"", 0.66, 0.09, 2.99,"010","S" "23066","","A","Biopsy shoulder tissues","", 4.01,"", 1.18, 0.10, 5.29,"090","S" "23075","","A","Removal of shoulder lesion","", 2.34,"", 1.68, 0.29, 4.31,"010","S" "23076","","A","Removal of shoulder lesion","", 7.12,"", 3.54, 0.65, 11.31,"090","S" "23077","","A","Remove tumor of shoulder","", 14.65,"", 7.38, 1.38, 23.41,"090","S" "23100","","A","Biopsy of shoulder joint","", 5.63,"*", 7.20, 1.24, 14.07,"090","S" "23101","","A","Shoulder joint surgery","", 5.21,"*", 6.68, 1.21, 13.10,"090","S" "23105","","A","Remove shoulder joint lining","", 7.74,"*", 9.91, 1.73, 19.38,"090","S" "23106","","A","Incision of collarbone joint","", 5.56,"", 4.75, 0.80, 11.11,"090","S" "23107","","A","Explore,treat shoulder joint","", 8.13,"", 9.59, 1.60, 19.32,"090","S" "23120","","A","Partial removal, collar bone","", 6.65,"", 4.61, 0.74, 12.00,"090","S" "23125","","A","Removal of collarbone","", 8.90,"", 8.49, 1.27, 18.66,"090","S" "23130","","A","Partial removal,shoulderbone","", 7.10,"", 7.05, 1.14, 15.29,"090","S" "23140","","A","Removal of bone lesion","", 6.43,"", 4.16, 0.73, 11.32,"090","S" "23145","","A","Removal of bone lesion","", 8.54,"", 8.13, 1.33, 18.00,"090","S" "23146","","A","Removal of bone lesion","", 7.34,"", 5.23, 1.01, 13.58,"090","S" "23150","","A","Removal of humerus lesion","", 7.80,"", 6.64, 1.01, 15.45,"090","S" "23155","","A","Removal of humerus lesion","", 9.58,"", 8.80, 1.37, 19.75,"090","S" "23156","","A","Removal of humerus lesion","", 8.00,"", 7.64, 1.25, 16.89,"090","S" "23170","","A","Remove collarbone lesion","", 6.27,"", 4.81, 0.78, 11.86,"090","S" "23172","","A","Remove shoulder blade lesion","", 6.24,"", 5.16, 0.73, 12.13,"090","S" "23174","","A","Remove humerus lesion","", 8.71,"", 8.55, 1.21, 18.47,"090","S" "23180","","A","Remove collar bone lesion","", 7.82,"", 4.30, 0.67, 12.79,"090","S" "23182","","A","Remove shoulder blade lesion","", 7.44,"", 6.57, 1.13, 15.14,"090","S" "23184","","A","Remove humerus lesion","", 8.61,"", 8.83, 1.48, 18.92,"090","S" "23190","","A","Partial removal of scapula","", 6.78,"", 6.07, 0.98, 13.83,"090","S" "23195","","A","Removal of head of humerus","", 9.00,"", 8.91, 1.45, 19.36,"090","S" "23200","","A","Removal of collar bone","", 11.05,"", 9.17, 1.26, 21.48,"090","S" "23210","","A","Removal of shoulderblade","", 11.39,"", 9.01, 1.41, 21.81,"090","S" "23220","","A","Partial removal of humerus","", 13.31,"", 12.05, 2.03, 27.39,"090","S" "23221","","A","Partial removal of humerus","", 16.62,"", 18.13, 1.19, 35.94,"090","S" "23222","","A","Partial removal of humerus","", 16.64,"", 15.02, 2.30, 33.96,"090","S" "23330","","A","Remove shoulder foreign body","", 1.80,"", 0.55, 0.07, 2.42,"010","S" "23331","","A","Remove shoulder foreign body","", 6.89,"", 2.26, 0.38, 9.53,"090","S" "23332","","A","Remove shoulder foreign body","", 10.59,"", 9.72, 1.57, 21.88,"090","S" "23350","","A","Injection for shoulder x-ray","", 1.00,"", 0.52, 0.05, 1.57,"000","N" "23395","","A","Muscle transfer,shoulder/arm","", 12.42,"", 11.13, 1.84, 25.39,"090","S" "23397","","A","Muscle transfers","", 15.23,"", 13.97, 2.34, 31.54,"090","S" "23400","","A","Fixation of shoulder blade","", 12.96,"", 9.84, 1.68, 24.48,"090","S" "23405","","A","Incision of tendon & muscle","", 7.97,"", 7.49, 0.99, 16.45,"090","S" "23406","","A","Incise tendon(s) & muscle(s)","", 10.33,"", 9.41, 1.58, 21.32,"090","S" "23410","","A","Repair of tendon(s)","", 11.90,"", 10.94, 1.75, 24.59,"090","S" "23412","","A","Repair of tendon(s)","", 12.69,"", 13.37, 2.16, 28.22,"090","S" "23415","","A","Release of shoulder ligament","", 9.51,"", 5.18, 0.83, 15.52,"090","S" "23420","","A","Repair of shoulder","", 12.60,"", 14.68, 2.34, 29.62,"090","S" "23430","","A","Repair biceps tendon","", 9.56,"", 7.34, 1.19, 18.09,"090","S" "23440","","A","Removal/transplant tendon","", 10.08,"", 7.17, 1.17, 18.42,"090","S" "23450","","A","Repair shoulder capsule","", 12.85,"", 12.75, 2.04, 27.64,"090","S" "23455","","A","Repair shoulder capsule","", 13.82,"", 15.56, 2.50, 31.88,"090","S" "23460","","A","Repair shoulder capsule","", 14.66,"", 14.07, 2.24, 30.97,"090","S" "23462","","A","Repair shoulder capsule","", 14.62,"", 15.13, 2.48, 32.23,"090","S" "23465","","A","Repair shoulder capsule","", 15.14,"", 14.15, 2.27, 31.56,"090","S" "23466","","A","Repair shoulder capsule","", 13.65,"", 16.53, 2.67, 32.85,"090","S" "23470","","A","Reconstruct shoulder joint","", 16.12,"", 16.76, 2.65, 35.53,"090","S" "23472","","A","Reconstruct shoulder joint","", 16.09,"*", 20.60, 4.89, 41.58,"090","S" "23480","","A","Revision of collarbone","", 10.56,"", 6.59, 1.02, 18.17,"090","S" "23485","","A","Revision of collar bone","", 12.68,"", 11.35, 1.87, 25.90,"090","S" "23490","","A","Reinforce clavicle","", 11.31,"", 9.98, 0.80, 22.09,"090","S" "23491","","A","Reinforce shoulder bones","", 13.63,"", 12.70, 2.11, 28.44,"090","S" "23500","","A","Treat clavicle fracture","", 1.95,"", 1.65, 0.21, 3.81,"090","S" "23505","","A","Treat clavicle fracture","", 3.54,"", 2.57, 0.38, 6.49,"090","S" "23515","","A","Repair clavicle fracture","", 7.01,"", 6.93, 1.12, 15.06,"090","S" "23520","","A","Treat clavicle dislocation","", 2.03,"", 1.38, 0.19, 3.60,"090","S" "23525","","A","Treat clavicle dislocation","", 3.40,"", 1.98, 0.27, 5.65,"090","S" "23530","","A","Repair clavicle dislocation","", 7.02,"", 6.58, 0.91, 14.51,"090","S" "23532","","A","Repair clavicle dislocation","", 7.59,"", 7.23, 1.19, 16.01,"090","S" "23540","","A","Treat clavicle dislocation","", 2.10,"", 1.55, 0.19, 3.84,"090","S" "23545","","A","Treat clavicle dislocation","", 3.07,"", 1.98, 0.29, 5.34,"090","S" "23550","","A","Repair clavicle dislocation","", 6.65,"*", 8.51, 1.46, 16.62,"090","S" "23552","","A","Repair clavicle dislocation","", 7.83,"", 7.29, 1.17, 16.29,"090","S" "23570","","A","Treat shoulderblade fracture","", 2.10,"", 1.70, 0.25, 4.05,"090","S" "23575","","A","Treat shoulderblade fracture","", 3.88,"", 2.75, 0.43, 7.06,"090","S" "23585","","A","Repair scapula fracture","", 8.41,"", 7.70, 1.29, 17.40,"090","S" "23600","","A","Treat humerus fracture","", 2.75,"", 2.90, 0.43, 6.08,"090","S" "23605","","A","Treat humerus fracture","", 4.56,"", 4.76, 0.76, 10.08,"090","S" "23615","","A","Repair humerus fracture","", 8.38,"*", 10.72, 1.78, 20.88,"090","S" "23616","","A","Repair humerus fracture","", 19.88,"", 22.32, 3.54, 45.74,"090","S" "23620","","A","Treat humerus fracture","", 2.25,"*", 2.88, 0.46, 5.59,"090","S" "23625","","A","Treat humerus fracture","", 3.64,"", 3.82, 0.60, 8.06,"090","S" "23630","","A","Repair humerus fracture","", 6.89,"", 8.82, 1.40, 17.11,"090","S" "23650","","A","Treat shoulder dislocation","", 3.24,"", 2.10, 0.24, 5.58,"090","S" "23655","","A","Treat shoulder dislocation","", 4.26,"", 2.93, 0.44, 7.63,"090","S" "23660","","A","Repair shoulder dislocation","", 7.09,"", 9.07, 1.40, 17.56,"090","S" "23665","","A","Treat dislocation/fracture","", 4.16,"", 3.35, 0.51, 8.02,"090","S" "23670","","A","Repair dislocation/fracture","", 7.44,"*", 9.52, 1.85, 18.81,"090","S" "23675","","A","Treat dislocation/fracture","", 5.60,"", 3.93, 0.61, 10.14,"090","S" "23680","","A","Repair dislocation/fracture","", 9.44,"*", 12.09, 2.13, 23.66,"090","S" "23700","","A","Fixation of shoulder","", 2.47,"", 2.09, 0.34, 4.90,"010","S" "23800","","A","Fusion of shoulder joint","", 13.32,"", 16.35, 2.63, 32.30,"090","S" "23802","","A","Fusion of shoulder joint","", 14.67,"", 14.07, 2.24, 30.98,"090","S" "23900","","A","Amputation of arm & girdle","", 18.40,"", 12.57, 2.40, 33.37,"090","S" "23920","","A","Amputation at shoulder joint","", 13.60,"", 13.85, 2.54, 29.99,"090","S" "23921","","A","Amputation follow-up surgery","", 5.03,"", 4.27, 0.74, 10.04,"090","S" "23929","","C","Shoulder surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "23930","","A","Drainage of arm lesion","", 2.78,"", 1.61, 0.24, 4.63,"010","S" "23931","","A","Drainage of arm bursa","", 1.63,"", 0.75, 0.11, 2.49,"010","S" "23935","","A","Drain arm/elbow bone lesion","", 5.56,"", 4.69, 0.78, 11.03,"090","S" "24000","","A","Exploratory elbow surgery","", 5.32,"*", 6.81, 1.44, 13.57,"090","S" "24006","","A","Release elbow joint","", 8.70,"", 7.14, 1.17, 17.01,"090","S" "24065","","A","Biopsy arm/elbow soft tissue","", 2.03,"", 0.79, 0.10, 2.92,"010","S" "24066","","A","Biopsy arm/elbow soft tissue","", 4.95,"", 2.71, 0.41, 8.07,"090","S" "24075","","A","Remove arm/elbow lesion","", 3.79,"", 1.98, 0.35, 6.12,"090","S" "24076","","A","Remove arm/elbow lesion","", 6.01,"", 3.68, 0.67, 10.36,"090","S" "24077","","A","Remove tumor of arm/elbow","", 11.18,"", 9.79, 1.87, 22.84,"090","S" "24100","","A","Biopsy elbow joint lining","", 4.67,"", 4.23, 0.69, 9.59,"090","S" "24101","","A","Explore/treat elbow joint","", 5.84,"*", 7.47, 1.41, 14.72,"090","S" "24102","","A","Remove elbow joint lining","", 7.57,"*", 9.68, 1.81, 19.06,"090","S" "24105","","A","Removal of elbow bursa","", 3.43,"", 3.77, 0.63, 7.83,"090","S" "24110","","A","Remove humerus lesion","", 7.08,"", 7.69, 1.22, 15.99,"090","S" "24115","","A","Remove/graft bone lesion","", 8.88,"", 7.68, 1.33, 17.89,"090","S" "24116","","A","Remove/graft bone lesion","", 11.13,"", 9.72, 1.47, 22.32,"090","S" "24120","","A","Remove elbow lesion","", 6.36,"", 6.02, 0.98, 13.36,"090","S" "24125","","A","Remove/graft bone lesion","", 7.40,"", 5.79, 0.61, 13.80,"090","S" "24126","","A","Remove/graft bone lesion","", 7.76,"", 7.40, 1.21, 16.37,"090","S" "24130","","A","Removal of head of radius","", 5.96,"", 6.72, 1.08, 13.76,"090","S" "24134","","A","Removal of arm bone lesion","", 8.98,"", 8.69, 1.24, 18.91,"090","S" "24136","","A","Remove radius bone lesion","", 7.33,"", 8.78, 0.92, 17.03,"090","S" "24138","","A","Remove elbow bone lesion","", 7.36,"", 6.39, 1.06, 14.81,"090","S" "24140","","A","Partial removal of arm bone","", 8.56,"", 8.77, 1.45, 18.78,"090","S" "24145","","A","Partial removal of radius","", 7.12,"", 6.38, 1.03, 14.53,"090","S" "24147","","A","Partial removal of elbow","", 7.00,"", 6.61, 1.08, 14.69,"090","S" "24150","","A","Extensive humerus surgery","", 12.43,"", 14.08, 2.24, 28.75,"090","S" "24151","","A","Extensive humerus surgery","", 14.65,"", 13.83, 2.11, 30.59,"090","S" "24152","","A","Extensive radius surgery","", 9.51,"", 6.80, 1.16, 17.47,"090","S" "24153","","A","Extensive radius surgery","", 10.96,"", 10.44, 1.71, 23.11,"090","S" "24155","","A","Removal of elbow joint","", 11.11,"", 10.75, 1.72, 23.58,"090","S" "24160","","A","Remove elbow joint implant","", 7.43,"", 4.84, 0.80, 13.07,"090","S" "24164","","A","Remove radius head implant","", 5.79,"", 5.53, 0.90, 12.22,"090","S" "24200","","A","Removal of arm foreign body","", 1.71,"", 0.56, 0.06, 2.33,"010","N" "24201","","A","Removal of arm foreign body","", 4.30,"", 3.06, 0.49, 7.85,"090","S" "24220","","A","Injection for elbow x-ray","", 1.31,"", 0.51, 0.05, 1.87,"000","N" "24301","","A","Muscle/tendon transfer","", 9.78,"", 7.90, 1.23, 18.91,"090","S" "24305","","A","Arm tendon lengthening","", 7.16,"", 3.08, 0.29, 10.53,"090","S" "24310","","A","Revision of arm tendon","", 5.72,"", 2.95, 0.48, 9.15,"090","S" "24320","","A","Repair of arm tendon","", 10.01,"", 9.20, 1.29, 20.50,"090","S" "24330","","A","Revision of arm muscles","", 9.18,"", 8.74, 1.43, 19.35,"090","S" "24331","","A","Revision of arm muscles","", 10.10,"", 9.62, 1.57, 21.29,"090","S" "24340","","A","Repair of biceps tendon","", 7.58,"", 7.00, 1.13, 15.71,"090","S" "24342","","A","Repair of ruptured tendon","", 10.13,"", 10.38, 1.76, 22.27,"090","S" "24350","","A","Repair of tennis elbow","", 5.05,"", 4.23, 0.69, 9.97,"090","S" "24351","","A","Repair of tennis elbow","", 5.73,"", 4.57, 0.73, 11.03,"090","S" "24352","","A","Repair of tennis elbow","", 6.14,"", 5.69, 0.93, 12.76,"090","S" "24354","","A","Repair of tennis elbow","", 6.19,"", 5.61, 0.94, 12.74,"090","S" "24356","","A","Revision of tennis elbow","", 6.39,"", 7.28, 1.18, 14.85,"090","S" "24360","","A","Reconstruct elbow joint","", 11.76,"*", 15.05, 2.47, 29.28,"090","S" "24361","","A","Reconstruct elbow joint","", 13.50,"", 13.13, 2.00, 28.63,"090","S" "24362","","A","Reconstruct elbow joint","", 14.41,"", 13.14, 0.80, 28.35,"090","S" "24363","","A","Replace elbow joint","", 17.66,"*", 22.61, 4.13, 44.40,"090","S" "24365","","A","Reconstruct head of radius","", 7.93,"", 7.52, 1.19, 16.64,"090","S" "24366","","A","Reconstruct head of radius","", 8.67,"", 11.05, 1.80, 21.52,"090","S" "24400","","A","Revision of humerus","", 10.55,"", 8.43, 1.37, 20.35,"090","S" "24410","","A","Revision of humerus","", 14.28,"", 14.04, 2.06, 30.38,"090","S" "24420","","A","Revision of humerus","", 12.90,"", 12.30, 2.01, 27.21,"090","S" "24430","","A","Repair of humerus","", 12.26,"", 14.66, 2.34, 29.26,"090","S" "24435","","A","Repair humerus with graft","", 12.19,"*", 15.61, 2.84, 30.64,"090","S" "24470","","A","Revision of elbow joint","", 8.32,"", 7.92, 1.30, 17.54,"090","S" "24495","","A","Decompression of forearm","", 7.59,"", 5.75, 1.10, 14.44,"090","S" "24498","","A","Reinforce humerus","", 11.30,"", 10.37, 1.62, 23.29,"090","S" "24500","","A","Treat humerus fracture","", 3.01,"", 2.54, 0.36, 5.91,"090","S" "24505","","A","Treat humerus fracture","", 4.83,"", 4.50, 0.71, 10.04,"090","S" "24515","","A","Repair humerus fracture","", 10.92,"", 9.65, 1.54, 22.11,"090","S" "24516","","A","Repair humerus fracture","", 10.92,"", 9.65, 1.54, 22.11,"090","S" "24530","","A","Treat humerus fracture","", 3.30,"", 2.73, 0.42, 6.45,"090","S" "24535","","A","Treat humerus fracture","", 6.51,"", 4.85, 0.78, 12.14,"090","S" "24538","","A","Treat humerus fracture","", 8.85,"", 7.98, 1.26, 18.09,"090","S" "24545","","A","Repair humerus fracture","", 9.65,"", 9.97, 1.59, 21.21,"090","S" "24546","","A","Repair humerus fracture","", 14.66,"", 9.97, 1.59, 26.22,"090","S" "24560","","A","Treat humerus fracture","", 2.62,"", 2.16, 0.30, 5.08,"090","S" "24565","","A","Treat humerus fracture","", 5.22,"", 3.45, 0.54, 9.21,"090","S" "24566","","A","Treat humerus fracture","", 7.17,"", 6.06, 0.96, 14.19,"090","S" "24575","","A","Repair humerus fracture","", 9.91,"", 7.79, 1.24, 18.94,"090","S" "24576","","A","Treat humerus fracture","", 2.66,"", 2.16, 0.33, 5.15,"090","S" "24577","","A","Treat humerus fracture","", 5.45,"", 4.00, 0.61, 10.06,"090","S" "24579","","A","Repair humerus fracture","", 10.85,"", 8.37, 1.35, 20.57,"090","S" "24582","","A","Treat humerus fracture","", 7.83,"", 6.62, 1.06, 15.51,"090","S" "24586","","A","Repair elbow fracture","", 14.37,"", 14.72, 2.36, 31.45,"090","S" "24587","","A","Repair elbow fracture","", 14.26,"", 13.72, 2.17, 30.15,"090","S" "24600","","A","Treat elbow dislocation","", 4.08,"", 1.95, 0.26, 6.29,"090","S" "24605","","A","Treat elbow dislocation","", 5.08,"", 2.29, 0.37, 7.74,"090","S" "24615","","A","Repair elbow dislocation","", 8.76,"", 9.29, 1.48, 19.53,"090","S" "24620","","A","Treat elbow fracture","", 6.62,"", 3.78, 0.57, 10.97,"090","S" "24635","","A","Repair elbow fracture","", 12.42,"", 11.06, 1.78, 25.26,"090","S" "24640","","A","Treat elbow dislocation","", 1.15,"", 1.01, 0.08, 2.24,"010","N" "24650","","A","Treat radius fracture","", 2.01,"", 2.25, 0.33, 4.59,"090","S" "24655","","A","Treat radius fracture","", 4.17,"", 3.01, 0.45, 7.63,"090","S" "24665","","A","Repair radius fracture","", 7.69,"", 7.13, 1.14, 15.96,"090","S" "24666","","A","Repair radius fracture","", 8.87,"", 10.27, 1.60, 20.74,"090","S" "24670","","A","Treatment of ulna fracture","", 2.39,"", 1.95, 0.27, 4.61,"090","S" "24675","","A","Treatment of ulna fracture","", 4.52,"", 3.51, 0.54, 8.57,"090","S" "24685","","A","Repair ulna fracture","", 8.34,"", 8.40, 1.34, 18.08,"090","S" "24800","","A","Fusion of elbow joint","", 10.75,"", 10.59, 1.55, 22.89,"090","S" "24802","","A","Fusion/graft of elbow joint","", 12.79,"", 12.18, 1.99, 26.96,"090","S" "24900","","A","Amputation of upper arm","", 8.76,"", 7.68, 1.39, 17.83,"090","S" "24920","","A","Amputation of upper arm","", 8.69,"", 6.78, 1.19, 16.66,"090","S" "24925","","A","Amputation follow-up surgery","", 6.61,"", 6.27, 0.75, 13.63,"090","S" "24930","","A","Amputation follow-up surgery","", 9.40,"", 8.16, 1.17, 18.73,"090","S" "24931","","A","Amputate upper arm & implant","", 11.71,"", 11.17, 1.84, 24.72,"090","S" "24935","","A","Revision of amputation","", 14.37,"", 13.70, 2.24, 30.31,"090","S" "24940","","C","Revision of upper arm","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "24999","","C","Upper arm/elbow surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "25000","","A","Incision of tendon sheath","", 3.20,"", 3.94, 0.62, 7.76,"090","S" "25020","","A","Decompression of forearm","", 5.55,"", 4.35, 0.77, 10.67,"090","S" "25023","","A","Decompression of forearm","", 11.80,"", 5.44, 0.94, 18.18,"090","S" "25028","","A","Drainage of forearm lesion","", 4.88,"", 2.06, 0.36, 7.30,"090","S" "25031","","A","Drainage of forearm bursa","", 3.90,"", 0.66, 0.09, 4.65,"090","S" "25035","","A","Treat forearm bone lesion","", 6.83,"", 6.30, 1.01, 14.14,"090","S" "25040","","A","Explore/treat wrist joint","", 6.61,"", 5.69, 0.90, 13.20,"090","S" "25065","","A","Biopsy forearm soft tissues","", 2.39,"", 0.75, 0.09, 3.23,"010","S" "25066","","A","Biopsy forearm soft tissues","", 3.87,"", 1.54, 0.22, 5.63,"090","S" "25075","","A","Removal of forearm lesion","", 3.61,"", 2.19, 0.37, 6.17,"090","S" "25076","","A","Removal of forearm lesion","", 4.77,"", 3.77, 0.67, 9.21,"090","S" "25077","","A","Remove tumor, forearm/wrist","", 9.25,"", 8.48, 1.67, 19.40,"090","S" "25085","","A","Incision of wrist capsule","", 5.13,"", 4.62, 0.71, 10.46,"090","S" "25100","","A","Biopsy of wrist joint","", 3.66,"*", 4.69, 0.79, 9.14,"090","S" "25101","","A","Explore/treat wrist joint","", 4.43,"", 5.61, 0.98, 11.02,"090","S" "25105","","A","Remove wrist joint lining","", 5.56,"*", 7.11, 1.19, 13.86,"090","S" "25107","","A","Remove wrist joint cartilage","", 5.89,"", 5.28, 0.89, 12.06,"090","S" "25110","","A","Remove wrist tendon lesion","", 3.79,"", 2.80, 0.46, 7.05,"090","S" "25111","","A","Remove wrist tendon lesion","", 3.24,"", 3.22, 0.55, 7.01,"090","S" "25112","","A","Reremove wrist tendon lesion","", 4.38,"", 3.72, 0.66, 8.76,"090","S" "25115","","A","Remove wrist/forearm lesion","", 6.26,"", 7.14, 1.23, 14.63,"090","S" "25116","","A","Remove wrist/forearm lesion","", 6.44,"", 8.17, 1.38, 15.99,"090","S" "25118","","A","Excise wrist tendon sheath","", 4.11,"*", 5.26, 1.02, 10.39,"090","S" "25119","","A","Partial removal of ulna","", 5.64,"*", 7.22, 1.32, 14.18,"090","S" "25120","","A","Removal of forearm lesion","", 5.70,"", 6.53, 1.14, 13.37,"090","S" "25125","","A","Remove/graft forearm lesion","", 7.06,"", 6.84, 1.04, 14.94,"090","S" "25126","","A","Remove/graft forearm lesion","", 7.13,"", 6.80, 1.12, 15.05,"090","S" "25130","","A","Removal of wrist lesion","", 5.08,"", 4.21, 0.67, 9.96,"090","S" "25135","","A","Remove & graft wrist lesion","", 6.58,"", 5.46, 0.97, 13.01,"090","S" "25136","","A","Remove & graft wrist lesion","", 5.68,"", 4.74, 0.85, 11.27,"090","S" "25145","","A","Remove forearm bone lesion","", 5.97,"", 5.95, 0.75, 12.67,"090","S" "25150","","A","Partial removal of ulna","", 6.56,"", 6.67, 1.12, 14.35,"090","S" "25151","","A","Partial removal of radius","", 6.86,"", 5.75, 1.02, 13.63,"090","S" "25170","","A","Extensive forearm surgery","", 10.45,"", 9.79, 1.51, 21.75,"090","S" "25210","","A","Removal of wrist bone","", 5.55,"", 4.88, 0.80, 11.23,"090","S" "25215","","A","Removal of wrist bones","", 7.40,"", 8.68, 1.42, 17.50,"090","S" "25230","","A","Partial removal of radius","", 4.86,"", 5.57, 0.85, 11.28,"090","S" "25240","","A","Partial removal of ulna","", 4.91,"", 5.30, 0.86, 11.07,"090","S" "25246","","A","Injection for wrist x-ray","", 1.45,"", 0.50, 0.05, 2.00,"000","N" "25248","","A","Remove forearm foreign body","", 4.96,"", 2.18, 0.37, 7.51,"090","S" "25250","","A","Removal of wrist prosthesis","", 6.31,"", 5.63, 0.91, 12.85,"090","S" "25251","","A","Removal of wrist prosthesis","", 9.08,"", 8.25, 1.39, 18.72,"090","S" "25260","","A","Repair forearm tendon/muscle","", 7.33,"", 4.61, 0.78, 12.72,"090","S" "25263","","A","Repair forearm tendon/muscle","", 7.37,"", 5.77, 1.03, 14.17,"090","S" "25265","","A","Repair forearm tendon/muscle","", 9.54,"", 7.93, 1.41, 18.88,"090","S" "25270","","A","Repair forearm tendon/muscle","", 5.71,"", 3.36, 0.55, 9.62,"090","S" "25272","","A","Repair forearm tendon/muscle","", 6.75,"", 3.44, 0.54, 10.73,"090","S" "25274","","A","Repair forearm tendon/muscle","", 8.44,"", 6.62, 1.13, 16.19,"090","S" "25280","","A","Revise wrist/forearm tendon","", 6.82,"", 4.22, 0.69, 11.73,"090","S" "25290","","A","Incise wrist/forearm tendon","", 5.03,"", 2.47, 0.41, 7.91,"090","S" "25295","","A","Release wrist/forearm tendon","", 6.26,"", 3.05, 0.52, 9.83,"090","S" "25300","","A","Fusion of tendons at wrist","", 8.46,"", 7.36, 1.19, 17.01,"090","S" "25301","","A","Fusion of tendons at wrist","", 8.09,"", 6.77, 1.18, 16.04,"090","S" "25310","","A","Transplant forearm tendon","", 7.68,"", 7.14, 1.17, 15.99,"090","S" "25312","","A","Transplant forearm tendon","", 9.08,"", 7.63, 1.31, 18.02,"090","S" "25315","","A","Revise palsy hand tendon(s)","", 9.45,"", 8.06, 1.34, 18.85,"090","S" "25316","","A","Revise palsy hand tendon(s)","", 11.49,"", 10.58, 1.78, 23.85,"090","S" "25320","","A","Repair/revise wrist joint","", 9.89,"", 8.60, 1.45, 19.94,"090","S" "25330","","A","Revise wrist joint","", 10.85,"", 9.23, 1.50, 21.58,"090","S" "25331","","A","Revise wrist joint","", 12.60,"", 14.66, 2.40, 29.66,"090","S" "25332","","A","Revise wrist joint","", 10.83,"", 9.98, 1.61, 22.42,"090","S" "25335","","A","Realignment of hand","", 12.11,"", 11.41, 1.56, 25.08,"090","S" "25337","","A","Reconstruct ulna/radioulnar","", 9.50,"", 8.60, 1.45, 19.55,"090","S" "25350","","A","Revision of radius","", 8.23,"", 7.61, 1.26, 17.10,"090","S" "25355","","A","Revision of radius","", 9.55,"", 9.12, 1.49, 20.16,"090","S" "25360","","A","Revision of ulna","", 7.88,"", 6.41, 0.99, 15.28,"090","S" "25365","","A","Revise radius & ulna","", 11.63,"", 10.31, 1.57, 23.51,"090","S" "25370","","A","Revise radius or ulna","", 12.34,"", 11.76, 1.92, 26.02,"090","S" "25375","","A","Revise radius & ulna","", 12.27,"", 13.38, 0.87, 26.52,"090","S" "25390","","A","Shorten radius/ulna","", 9.85,"", 8.82, 1.50, 20.17,"090","S" "25391","","A","Lengthen radius/ulna","", 12.75,"", 11.25, 1.93, 25.93,"090","S" "25392","","A","Shorten radius & ulna","", 13.05,"", 12.44, 2.04, 27.53,"090","S" "25393","","A","Lengthen radius & ulna","", 14.90,"", 14.21, 2.32, 31.43,"090","S" "25400","","A","Repair radius or ulna","", 10.30,"", 10.78, 1.75, 22.83,"090","S" "25405","","A","Repair/graft radius or ulna","", 13.48,"", 12.42, 2.02, 27.92,"090","S" "25415","","A","Repair radius & ulna","", 12.64,"", 11.42, 1.92, 25.98,"090","S" "25420","","A","Repair/graft radius & ulna","", 15.34,"", 14.70, 2.28, 32.32,"090","S" "25425","","A","Repair/graft radius or ulna","", 12.44,"", 12.02, 1.87, 26.33,"090","S" "25426","","A","Repair/graft radius & ulna","", 14.92,"", 11.72, 2.13, 28.77,"090","S" "25440","","A","Repair/graft wrist bone","", 9.95,"", 9.05, 1.50, 20.50,"090","S" "25441","","A","Reconstruct wrist joint","", 12.26,"", 11.36, 1.89, 25.51,"090","S" "25442","","A","Reconstruct wrist joint","", 10.34,"", 7.06, 1.22, 18.62,"090","S" "25443","","A","Reconstruct wrist joint","", 9.88,"", 9.38, 1.52, 20.78,"090","S" "25444","","A","Reconstruct wrist joint","", 10.64,"", 10.14, 1.66, 22.44,"090","S" "25445","","A","Reconstruct wrist joint","", 9.27,"", 10.36, 1.72, 21.35,"090","S" "25446","","A","Wrist replacement","", 15.52,"*", 19.86, 3.49, 38.87,"090","S" "25447","","A","Repair wrist joint(s)","", 9.86,"", 9.65, 1.56, 21.07,"090","S" "25449","","A","Remove wrist joint implant","", 13.78,"", 7.84, 1.16, 22.78,"090","S" "25450","","A","Revision of wrist joint","", 7.67,"", 7.31, 1.19, 16.17,"090","S" "25455","","A","Revision of wrist joint","", 9.15,"", 8.71, 1.42, 19.28,"090","S" "25490","","A","Reinforce radius","", 9.12,"", 8.69, 1.42, 19.23,"090","S" "25491","","A","Reinforce ulna","", 9.54,"", 9.10, 1.49, 20.13,"090","S" "25492","","A","Reinforce radius and ulna","", 11.75,"", 11.20, 1.84, 24.79,"090","S" "25500","","A","Treat fracture of radius","", 2.30,"", 2.33, 0.29, 4.92,"090","S" "25505","","A","Treat fracture of radius","", 4.96,"", 3.57, 0.51, 9.04,"090","S" "25515","","A","Repair fracture of radius","", 8.63,"", 7.63, 1.22, 17.48,"090","S" "25520","","A","Repair fracture of radius","", 6.01,"", 5.74, 0.94, 12.69,"090","S" "25525","","A","Repair fracture of radius","", 11.69,"", 11.15, 1.83, 24.67,"090","S" "25526","","A","Repair fracture of radius","", 12.43,"", 11.85, 1.94, 26.22,"090","S" "25530","","A","Treat fracture of ulna","", 1.94,"", 2.44, 0.35, 4.73,"090","S" "25535","","A","Treat fracture of ulna","", 4.91,"", 3.57, 0.54, 9.02,"090","S" "25545","","A","Repair fracture of ulna","", 8.35,"", 7.58, 1.20, 17.13,"090","S" "25560","","A","Treat fracture radius & ulna","", 2.29,"", 2.27, 0.27, 4.83,"090","S" "25565","","A","Treat fracture radius & ulna","", 5.29,"", 4.66, 0.70, 10.65,"090","S" "25574","","A","Treat fracture radius & ulna","", 6.03,"*", 7.72, 1.73, 15.48,"090","S" "25575","","A","Repair fracture radius/ulna","", 9.47,"", 10.70, 1.73, 21.90,"090","S" "25600","","A","Treat fracture radius/ulna","", 2.48,"", 2.84, 0.42, 5.74,"090","S" "25605","","A","Treat fracture radius/ulna","", 5.36,"", 3.95, 0.61, 9.92,"090","S" "25611","","A","Repair fracture radius/ulna","", 7.11,"", 6.01, 0.97, 14.09,"090","S" "25620","","A","Repair fracture radius/ulna","", 8.15,"", 7.13, 1.14, 16.42,"090","S" "25622","","A","Treat wrist bone fracture","", 2.43,"", 2.28, 0.33, 5.04,"090","S" "25624","","A","Treat wrist bone fracture","", 4.28,"", 3.67, 0.57, 8.52,"090","S" "25628","","A","Repair wrist bone fracture","", 7.81,"", 7.13, 1.16, 16.10,"090","S" "25630","","A","Treat wrist bone fracture","", 2.73,"", 2.19, 0.30, 5.22,"090","S" "25635","","A","Treat wrist bone fracture","", 4.16,"", 3.36, 0.50, 8.02,"090","S" "25645","","A","Repair wrist bone fracture","", 6.85,"", 6.68, 0.95, 14.48,"090","S" "25650","","A","Repair wrist bone fracture","", 2.87,"", 2.66, 0.36, 5.89,"090","S" "25660","","A","Treat wrist dislocation","", 4.53,"", 1.82, 0.26, 6.61,"090","S" "25670","","A","Repair wrist dislocation","", 7.52,"", 7.08, 1.12, 15.72,"090","S" "25675","","A","Treat wrist dislocation","", 4.44,"", 2.28, 0.34, 7.06,"090","S" "25676","","A","Repair wrist dislocation","", 7.55,"", 7.32, 1.11, 15.98,"090","S" "25680","","A","Treat wrist fracture","", 5.63,"", 2.44, 0.36, 8.43,"090","S" "25685","","A","Repair wrist fracture","", 9.23,"", 8.79, 1.44, 19.46,"090","S" "25690","","A","Treat wrist dislocation","", 5.16,"", 4.89, 0.73, 10.78,"090","S" "25695","","A","Repair wrist dislocation","", 7.94,"", 7.04, 1.17, 16.15,"090","S" "25800","","A","Fusion of wrist joint","", 9.21,"", 10.94, 1.80, 21.95,"090","S" "25805","","A","Fusion/graft of wrist joint","", 10.57,"", 12.85, 2.09, 25.51,"090","S" "25810","","A","Fusion/graft of wrist joint","", 9.79,"*", 12.53, 2.06, 24.38,"090","S" "25820","","A","Fusion of hand bones","", 7.14,"", 8.91, 1.48, 17.53,"090","S" "25825","","A","Fusion hand bones with graft","", 8.60,"*", 11.02, 1.99, 21.61,"090","S" "25830","","A","Fusion radioulnar jnt/ulna","", 9.50,"", 8.60, 1.45, 19.55,"090","S" "25900","","A","Amputation of forearm","", 8.15,"", 7.08, 1.31, 16.54,"090","S" "25905","","A","Amputation of forearm","", 8.40,"", 7.11, 1.15, 16.66,"090","S" "25907","","A","Amputation follow-up surgery","", 7.27,"", 5.74, 1.00, 14.01,"090","S" "25909","","A","Amputation follow-up surgery","", 8.37,"", 5.55, 1.06, 14.98,"090","S" "25915","","A","Amputation of forearm","", 16.61,"", 15.83, 2.59, 35.03,"090","S" "25920","","A","Amputate hand at wrist","", 8.09,"", 7.00, 1.20, 16.29,"090","S" "25922","","A","Amputate hand at wrist","", 6.96,"", 5.55, 1.02, 13.53,"090","S" "25924","","A","Amputation follow-up surgery","", 7.87,"", 7.50, 1.22, 16.59,"090","S" "25927","","A","Amputation of hand","", 8.27,"", 6.29, 1.22, 15.78,"090","S" "25929","","A","Amputation follow-up surgery","", 7.13,"", 4.74, 0.96, 12.83,"090","S" "25931","","A","Amputation follow-up surgery","", 7.35,"", 4.54, 0.90, 12.79,"090","S" "25999","","C","Forearm or wrist surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "26010","","A","Drainage of finger abscess","", 1.49,"", 0.48, 0.05, 2.02,"010","N" "26011","","A","Drainage of finger abscess","", 2.14,"", 1.54, 0.24, 3.92,"010","S" "26020","","A","Drain hand tendon sheath","", 4.01,"", 3.72, 0.63, 8.36,"090","S" "26025","","A","Drainage of palm bursa","", 4.32,"", 4.51, 0.76, 9.59,"090","S" "26030","","A","Drainage of palm bursa(s)","", 5.36,"", 5.73, 0.98, 12.07,"090","S" "26034","","A","Treat hand bone lesion","", 5.59,"", 4.23, 0.71, 10.53,"090","S" "26035","","A","Decompress fingers/hand","", 8.38,"", 5.17, 0.86, 14.41,"090","S" "26037","","A","Decompress fingers/hand","", 6.68,"", 6.37, 1.05, 14.10,"090","S" "26040","","A","Release palm contracture","", 3.09,"", 2.86, 0.49, 6.44,"090","S" "26045","","A","Release palm contracture","", 5.27,"", 4.83, 0.81, 10.91,"090","S" "26055","","A","Incise finger tendon sheath","", 2.56,"*", 3.28, 0.56, 6.40,"090","S" "26060","","A","Incision of finger tendon","", 2.71,"", 1.13, 0.17, 4.01,"090","S" "26070","","A","Explore/treat hand joint","", 3.34,"", 2.76, 0.42, 6.52,"090","S" "26075","","A","Explore/treat finger joint","", 3.44,"", 3.78, 0.62, 7.84,"090","S" "26080","","A","Explore/treat finger joint","", 3.78,"", 3.14, 0.51, 7.43,"090","S" "26100","","A","Biopsy hand joint lining","", 3.54,"", 2.99, 0.45, 6.98,"090","S" "26105","","A","Biopsy finger joint lining","", 3.58,"", 4.17, 0.67, 8.42,"090","S" "26110","","A","Biopsy finger joint lining","", 3.40,"", 2.93, 0.50, 6.83,"090","S" "26115","","A","Removal of hand lesion","", 3.68,"", 2.01, 0.34, 6.03,"090","S" "26116","","A","Removal of hand lesion","", 5.19,"", 3.71, 0.62, 9.52,"090","S" "26117","","A","Remove tumor, hand/finger","", 8.24,"", 5.07, 0.91, 14.22,"090","S" "26121","","A","Release palm contracture","", 7.34,"*", 9.40, 1.61, 18.35,"090","S" "26123","","A","Release palm contracture","", 8.64,"", 9.10, 1.53, 19.27,"090","S" "26125","","A","Release palm contracture","", 4.61,"", 2.62, 0.45, 7.68,"ZZZ","S" "26130","","A","Remove wrist joint lining","", 5.13,"", 5.01, 0.86, 11.00,"090","S" "26135","","A","Revise finger joint, each","", 6.67,"", 4.86, 0.82, 12.35,"090","S" "26140","","A","Revise finger joint, each","", 5.88,"", 4.40, 0.75, 11.03,"090","S" "26145","","A","Tendon excision, palm/finger","", 6.03,"", 4.71, 0.80, 11.54,"090","S" "26160","","A","Remove tendon sheath lesion","", 3.00,"", 2.32, 0.40, 5.72,"090","S" "26170","","A","Removal of palm tendon, each","", 4.62,"", 2.83, 0.45, 7.90,"090","S" "26180","","A","Removal of finger tendon","", 5.00,"", 4.01, 0.71, 9.72,"090","S" "26200","","A","Remove hand bone lesion","", 5.25,"", 4.48, 0.72, 10.45,"090","S" "26205","","A","Remove/graft bone lesion","", 7.24,"", 6.40, 1.03, 14.67,"090","S" "26210","","A","Removal of finger lesion","", 4.97,"", 3.90, 0.64, 9.51,"090","S" "26215","","A","Remove/graft finger lesion","", 6.81,"", 5.55, 0.94, 13.30,"090","S" "26230","","A","Partial removal of hand bone","", 5.96,"", 4.26, 0.69, 10.91,"090","S" "26235","","A","Partial removal, finger bone","", 5.82,"", 4.17, 0.71, 10.70,"090","S" "26236","","A","Partial removal, finger bone","", 4.95,"", 3.86, 0.66, 9.47,"090","S" "26250","","A","Extensive hand surgery","", 7.26,"", 6.00, 1.07, 14.33,"090","S" "26255","","A","Extensive hand surgery","", 11.66,"", 8.94, 1.54, 22.14,"090","S" "26260","","A","Extensive finger surgery","", 6.74,"", 5.73, 0.97, 13.44,"090","S" "26261","","A","Extensive finger surgery","", 8.54,"", 7.70, 1.31, 17.55,"090","S" "26262","","A","Partial removal of finger","", 5.41,"", 4.75, 0.76, 10.92,"090","S" "26320","","A","Removal of implant from hand","", 3.74,"", 3.54, 0.57, 7.85,"090","S" "26350","","A","Repair finger/hand tendon","", 5.76,"", 5.74, 0.99, 12.49,"090","S" "26352","","A","Repair/graft hand tendon","", 7.26,"", 6.60, 1.10, 14.96,"090","S" "26356","","A","Repair finger/hand tendon","", 7.05,"", 7.21, 1.24, 15.50,"090","S" "26357","","A","Repair finger/hand tendon","", 8.16,"", 6.58, 1.19, 15.93,"090","S" "26358","","A","Repair/graft hand tendon","", 8.69,"", 7.40, 1.27, 17.36,"090","S" "26370","","A","Repair finger/hand tendon","", 6.71,"", 6.71, 1.13, 14.55,"090","S" "26372","","A","Repair/graft hand tendon","", 8.27,"", 6.39, 1.15, 15.81,"090","S" "26373","","A","Repair finger/hand tendon","", 7.67,"", 6.85, 1.11, 15.63,"090","S" "26390","","A","Revise hand/finger tendon","", 8.73,"", 7.95, 1.23, 17.91,"090","S" "26392","","A","Repair/graft hand tendon","", 9.77,"", 8.61, 1.26, 19.64,"090","S" "26410","","A","Repair hand tendon","", 4.37,"", 3.29, 0.51, 8.17,"090","S" "26412","","A","Repair/graft hand tendon","", 5.91,"", 6.01, 0.97, 12.89,"090","S" "26415","","A","Excision, hand/finger tendon","", 8.05,"", 6.75, 0.90, 15.70,"090","S" "26416","","A","Graft hand or finger tendon","", 9.06,"", 8.64, 1.41, 19.11,"090","S" "26418","","A","Repair finger tendon","", 4.02,"", 3.58, 0.59, 8.19,"090","S" "26420","","A","Repair/graft finger tendon","", 6.37,"", 5.68, 0.96, 13.01,"090","S" "26426","","A","Repair finger/hand tendon","", 5.86,"", 6.31, 1.07, 13.24,"090","S" "26428","","A","Repair/graft finger tendon","", 6.90,"", 5.50, 1.00, 13.40,"090","S" "26432","","A","Repair finger tendon","", 3.87,"", 3.15, 0.51, 7.53,"090","S" "26433","","A","Repair finger tendon","", 4.41,"", 3.94, 0.66, 9.01,"090","S" "26434","","A","Repair/graft finger tendon","", 5.80,"", 4.95, 0.84, 11.59,"090","S" "26437","","A","Realignment of tendons","", 5.53,"", 4.05, 0.68, 10.26,"090","S" "26440","","A","Release palm/finger tendon","", 4.76,"", 3.57, 0.59, 8.92,"090","S" "26442","","A","Release palm & finger tendon","", 6.10,"", 3.37, 0.59, 10.06,"090","S" "26445","","A","Release hand/finger tendon","", 4.16,"", 3.25, 0.54, 7.95,"090","S" "26449","","A","Release forearm/hand tendon","", 6.39,"", 5.57, 0.96, 12.92,"090","S" "26450","","A","Incision of palm tendon","", 3.54,"", 2.28, 0.36, 6.18,"090","S" "26455","","A","Incision of finger tendon","", 3.51,"", 1.89, 0.33, 5.73,"090","S" "26460","","A","Incise hand/finger tendon","", 3.33,"", 1.72, 0.30, 5.35,"090","S" "26471","","A","Fusion of finger tendons","", 5.55,"", 4.15, 0.67, 10.37,"090","S" "26474","","A","Fusion of finger tendons","", 5.14,"", 4.61, 0.75, 10.50,"090","S" "26476","","A","Tendon lengthening","", 5.00,"", 2.89, 0.27, 8.16,"090","S" "26477","","A","Tendon shortening","", 4.97,"", 3.99, 0.73, 9.69,"090","S" "26478","","A","Lengthening of hand tendon","", 5.62,"", 4.30, 0.72, 10.64,"090","S" "26479","","A","Shortening of hand tendon","", 5.56,"", 5.29, 0.86, 11.71,"090","S" "26480","","A","Transplant hand tendon","", 6.49,"", 6.53, 1.11, 14.13,"090","S" "26483","","A","Transplant/graft hand tendon","", 7.87,"", 8.50, 1.40, 17.77,"090","S" "26485","","A","Transplant palm tendon","", 7.28,"", 6.50, 1.08, 14.86,"090","S" "26489","","A","Transplant/graft palm tendon","", 9.00,"", 3.40, 0.51, 12.91,"090","S" "26490","","A","Revise thumb tendon","", 7.99,"", 7.80, 1.28, 17.07,"090","S" "26492","","A","Tendon transfer with graft","", 9.17,"", 8.75, 1.21, 19.13,"090","S" "26494","","A","Hand tendon/muscle transfer","", 8.05,"", 7.28, 1.23, 16.56,"090","S" "26496","","A","Revise thumb tendon","", 9.17,"", 8.73, 1.53, 19.43,"090","S" "26497","","A","Finger tendon transfer","", 9.15,"", 8.02, 1.38, 18.55,"090","S" "26498","","A","Finger tendon transfer","", 13.55,"", 11.78, 2.04, 27.37,"090","S" "26499","","A","Revision of finger","", 8.56,"", 7.75, 1.25, 17.56,"090","S" "26500","","A","Hand tendon reconstruction","", 5.67,"", 3.49, 0.60, 9.76,"090","S" "26502","","A","Hand tendon reconstruction","", 6.74,"", 5.27, 0.95, 12.96,"090","S" "26504","","A","Hand tendon reconstruction","", 7.05,"", 6.72, 1.11, 14.88,"090","S" "26508","","A","Release thumb contracture","", 5.61,"", 4.15, 0.72, 10.48,"090","S" "26510","","A","Thumb tendon transfer","", 5.03,"", 4.15, 0.68, 9.86,"090","S" "26516","","A","Fusion of knuckle joint","", 6.75,"", 4.16, 0.67, 11.58,"090","S" "26517","","A","Fusion of knuckle joints","", 8.34,"", 7.07, 1.23, 16.64,"090","S" "26518","","A","Fusion of knuckle joints","", 8.53,"", 6.51, 1.22, 16.26,"090","S" "26520","","A","Release knuckle contracture","", 5.01,"", 4.48, 0.71, 10.20,"090","S" "26525","","A","Release finger contracture","", 5.04,"", 3.64, 0.62, 9.30,"090","S" "26530","","A","Revise knuckle joint","", 6.38,"", 5.16, 0.85, 12.39,"090","S" "26531","","A","Revise knuckle with implant","", 7.57,"", 6.65, 1.11, 15.33,"090","S" "26535","","A","Revise finger joint","", 4.95,"", 4.84, 0.58, 10.37,"090","S" "26536","","A","Revise/implant finger joint","", 6.06,"", 7.21, 1.19, 14.46,"090","S" "26540","","A","Repair hand joint","", 6.03,"", 6.64, 1.12, 13.79,"090","S" "26541","","A","Repair hand joint with graft","", 8.20,"", 8.94, 1.47, 18.61,"090","S" "26542","","A","Repair hand joint with graft","", 6.38,"", 5.67, 0.97, 13.02,"090","S" "26545","","A","Reconstruct finger joint","", 6.50,"", 5.27, 0.94, 12.71,"090","S" "26548","","A","Reconstruct finger joint","", 7.61,"", 5.79, 1.00, 14.40,"090","S" "26550","","A","Construct thumb replacement","", 20.77,"", 19.81, 3.24, 43.82,"090","S" "26552","","C","Construct thumb replacement","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "26555","","A","Positional change of finger","", 16.16,"", 15.41, 2.52, 34.09,"090","S" "26557","","C","Construct finger replacement","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "26558","","C","Added finger surgery","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "26559","","C","Added finger surgery","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "26560","","A","Repair of web finger","", 5.23,"", 4.65, 0.66, 10.54,"090","S" "26561","","A","Repair of web finger","", 10.50,"", 8.89, 1.56, 20.95,"090","S" "26562","","A","Repair of web finger","", 9.23,"", 10.97, 0.82, 21.02,"090","S" "26565","","A","Correct metacarpal flaw","", 6.45,"", 5.82, 0.85, 13.12,"090","S" "26567","","A","Correct finger deformity","", 6.53,"", 4.28, 0.67, 11.48,"090","S" "26568","","A","Lengthen metacarpal/finger","", 8.66,"", 8.45, 1.06, 18.17,"090","S" "26580","","A","Repair hand deformity","", 17.71,"", 16.89, 2.76, 37.36,"090","S" "26585","","A","Repair finger deformity","", 13.58,"", 12.95, 2.12, 28.65,"090","S" "26587","","C","Reconstruct extra finger","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "26590","","A","Repair finger deformity","", 17.44,"", 16.63, 2.72, 36.79,"090","S" "26591","","A","Repair muscles of hand","", 2.90,"", 2.29, 0.39, 5.58,"090","S" "26593","","A","Release muscles of hand","", 4.89,"", 4.12, 0.70, 9.71,"090","S" "26596","","A","Excision constricting tissue","", 8.64,"", 8.24, 1.35, 18.23,"090","S" "26597","","A","Release of scar contracture","", 9.37,"", 8.02, 1.37, 18.76,"090","S" "26600","","A","Treat metacarpal fracture","", 1.81,"", 1.54, 0.22, 3.57,"090","S" "26605","","A","Treat metacarpal fracture","", 2.67,"", 2.29, 0.36, 5.32,"090","S" "26607","","A","Treat metacarpal fracture","", 5.12,"", 3.55, 0.57, 9.24,"090","S" "26608","","A","Treat metacarpal fracture","", 5.12,"", 3.55, 0.57, 9.24,"090","S" "26615","","A","Repair metacarpal fracture","", 5.18,"", 4.87, 0.80, 10.85,"090","S" "26641","","A","Treat thumb dislocation","", 3.74,"", 1.11, 0.14, 4.99,"090","S" "26645","","A","Treat thumb fracture","", 4.23,"", 2.20, 0.33, 6.76,"090","S" "26650","","A","Repair thumb fracture","", 5.49,"", 4.01, 0.64, 10.14,"090","S" "26665","","A","Repair thumb fracture","", 7.14,"", 6.39, 1.09, 14.62,"090","S" "26670","","A","Treat hand dislocation","", 3.54,"", 0.96, 0.10, 4.60,"090","S" "26675","","A","Treat hand dislocation","", 4.44,"", 4.34, 0.60, 9.38,"090","S" "26676","","A","Pin hand dislocation","", 5.29,"", 4.86, 0.67, 10.82,"090","S" "26685","","A","Repair hand dislocation","", 6.54,"", 5.76, 0.91, 13.21,"090","S" "26686","","A","Repair hand dislocation","", 7.48,"", 6.31, 1.04, 14.83,"090","S" "26700","","A","Treat knuckle dislocation","", 3.54,"", 0.88, 0.10, 4.52,"090","S" "26705","","A","Treat knuckle dislocation","", 3.99,"", 1.78, 0.27, 6.04,"090","S" "26706","","A","Pin knuckle dislocation","", 4.92,"", 4.68, 0.75, 10.35,"090","S" "26715","","A","Repair knuckle dislocation","", 5.48,"", 4.13, 0.66, 10.27,"090","S" "26720","","A","Treat finger fracture, each","", 1.56,"", 1.10, 0.15, 2.81,"090","S" "26725","","A","Treat finger fracture, each","", 3.18,"", 1.54, 0.23, 4.95,"090","S" "26727","","A","Treat finger fracture, each","", 4.92,"", 2.45, 0.38, 7.75,"090","S" "26735","","A","Repair finger fracture, each","", 5.72,"", 3.73, 0.61, 10.06,"090","S" "26740","","A","Treat finger fracture, each","", 1.81,"", 1.16, 0.16, 3.13,"090","S" "26742","","A","Treat finger fracture, each","", 3.70,"", 1.98, 0.32, 6.00,"090","S" "26746","","A","Repair finger fracture, each","", 5.55,"", 4.75, 0.80, 11.10,"090","S" "26750","","A","Treat finger fracture, each","", 1.60,"", 0.83, 0.10, 2.53,"090","S" "26755","","A","Treat finger fracture, each","", 2.97,"", 1.08, 0.15, 4.20,"090","S" "26756","","A","Pin finger fracture, each","", 4.19,"", 1.90, 0.33, 6.42,"090","S" "26765","","A","Repair finger fracture, each","", 4.04,"", 2.66, 0.45, 7.15,"090","S" "26770","","A","Treat finger dislocation","", 2.89,"", 0.76, 0.08, 3.73,"090","S" "26775","","A","Treat finger dislocation","", 3.51,"", 1.13, 0.17, 4.81,"090","S" "26776","","A","Pin finger dislocation","", 4.60,"", 2.08, 0.35, 7.03,"090","S" "26785","","A","Repair finger dislocation","", 4.08,"", 2.97, 0.48, 7.53,"090","S" "26820","","A","Thumb fusion with graft","", 7.84,"", 6.65, 1.05, 15.54,"090","S" "26841","","A","Fusion of thumb","", 6.79,"", 6.17, 1.00, 13.96,"090","S" "26842","","A","Thumb fusion with graft","", 7.75,"", 8.58, 1.37, 17.70,"090","S" "26843","","A","Fusion of hand joint","", 7.21,"", 6.37, 1.10, 14.68,"090","S" "26844","","A","Fusion/graft of hand joint","", 8.24,"", 7.35, 1.19, 16.78,"090","S" "26850","","A","Fusion of knuckle","", 6.57,"", 4.63, 0.76, 11.96,"090","S" "26852","","A","Fusion of knuckle with graft","", 7.97,"", 5.72, 1.00, 14.69,"090","S" "26860","","A","Fusion of finger joint","", 4.49,"", 4.30, 0.68, 9.47,"090","S" "26861","","A","Fusion of finger joint,added","", 1.74,"*", 2.23, 0.43, 4.40,"ZZZ","S" "26862","","A","Fusion/graft of finger joint","", 7.06,"", 5.16, 0.85, 13.07,"090","S" "26863","","A","Fuse/graft added joint","", 3.90,"", 3.37, 0.57, 7.84,"ZZZ","S" "26910","","A","Amputate metacarpal bone","", 7.18,"", 5.16, 0.93, 13.27,"090","S" "26951","","A","Amputation of finger/thumb","", 4.41,"", 2.87, 0.49, 7.77,"090","S" "26952","","A","Amputation of finger/thumb","", 6.02,"", 4.00, 0.69, 10.71,"090","S" "26989","","C","Hand/finger surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "26990","","A","Drainage of pelvis lesion","", 6.76,"", 3.10, 0.51, 10.37,"090","S" "26991","","A","Drainage of pelvis bursa","", 6.05,"", 1.81, 0.29, 8.15,"090","S" "26992","","A","Drainage of bone lesion","", 13.97,"", 6.38, 1.05, 21.40,"090","S" "27000","","A","Incision of hip tendon","", 5.27,"", 1.85, 0.24, 7.36,"090","S" "27001","","A","Incision of hip tendon","", 7.70,"", 2.34, 0.38, 10.42,"090","S" "27003","","A","Incision of hip tendon","", 6.53,"", 6.77, 1.08, 14.38,"090","S" "27005","","A","Incision of hip tendon","", 9.00,"", 3.37, 0.54, 12.91,"090","S" "27006","","A","Incision of hip tendons","", 9.50,"", 4.64, 0.77, 14.91,"090","S" "27025","","A","Incision of hip/thigh fascia","", 10.16,"", 6.12, 1.02, 17.30,"090","S" "27030","","A","Drainage of hip joint","", 12.09,"", 11.42, 1.86, 25.37,"090","S" "27033","","A","Exploration of hip joint","", 12.38,"", 11.52, 1.85, 25.75,"090","S" "27035","","A","Denervation of hip joint","", 15.72,"", 11.86, 2.21, 29.79,"090","S" "27040","","A","Biopsy of soft tissues","", 3.26,"", 0.72, 0.11, 4.09,"010","N" "27041","","A","Biopsy of soft tissues","", 9.36,"", 2.67, 0.44, 12.47,"090","S" "27047","","A","Remove hip/pelvis lesion","", 7.16,"", 1.89, 0.32, 9.37,"090","S" "27048","","A","Remove hip/pelvis lesion","", 5.70,"", 4.33, 0.82, 10.85,"090","S" "27049","","A","Remove tumor, hip/pelvis","", 12.52,"", 10.14, 1.87, 24.53,"090","S" "27050","","A","Biopsy of sacroiliac joint","", 3.73,"*", 4.78, 0.90, 9.41,"090","S" "27052","","A","Biopsy of hip joint","", 5.45,"*", 6.97, 1.59, 14.01,"090","S" "27054","","A","Removal of hip joint lining","", 7.60,"*", 9.72, 2.26, 19.58,"090","S" "27060","","A","Removal of ischial bursa","", 4.73,"", 3.93, 0.68, 9.34,"090","S" "27062","","A","Remove femur lesion/bursa","", 4.74,"", 4.23, 0.70, 9.67,"090","S" "27065","","A","Removal of hip bone lesion","", 4.98,"", 5.59, 0.90, 11.47,"090","S" "27066","","A","Removal of hip bone lesion","", 9.17,"", 7.90, 1.30, 18.37,"090","S" "27067","","A","Remove/graft hip bone lesion","", 12.64,"", 11.63, 1.93, 26.20,"090","S" "27070","","A","Partial removal of hip bone","", 9.58,"", 7.41, 1.21, 18.20,"090","S" "27071","","A","Partial removal of hip bone","", 10.23,"", 8.50, 1.45, 20.18,"090","S" "27075","","A","Extensive hip surgery","", 15.85,"", 13.54, 2.32, 31.71,"090","S" "27076","","A","Extensive hip surgery","", 17.93,"", 16.37, 2.61, 36.91,"090","S" "27077","","A","Extensive hip surgery","", 21.29,"", 18.98, 3.24, 43.51,"090","S" "27078","","A","Extensive hip surgery","", 11.86,"", 9.20, 1.67, 22.73,"090","S" "27079","","A","Extensive hip surgery","", 12.11,"", 8.64, 1.66, 22.41,"090","S" "27080","","A","Removal of tail bone","", 5.63,"", 4.78, 0.87, 11.28,"090","S" "27086","","A","Remove hip foreign body","", 1.82,"", 0.58, 0.07, 2.47,"010","S" "27087","","A","Remove hip foreign body","", 8.01,"", 3.62, 0.60, 12.23,"090","S" "27090","","A","Removal of hip prosthesis","", 12.00,"", 9.09, 1.46, 22.55,"090","S" "27091","","A","Removal of hip prosthesis","", 20.48,"", 19.81, 3.16, 43.45,"090","S" "27093","","A","Injection for hip x-ray","", 1.30,"", 0.82, 0.11, 2.23,"000","S" "27095","","A","Injection for hip x-ray","", 1.50,"", 0.93, 0.13, 2.56,"000","N" "27097","","A","Revision of hip tendon","", 8.08,"", 7.71, 1.26, 17.05,"090","S" "27098","","A","Transfer tendon to pelvis","", 8.08,"", 7.71, 1.26, 17.05,"090","S" "27100","","A","Transfer of abdominal muscle","", 10.57,"", 7.68, 1.42, 19.67,"090","S" "27105","","A","Transfer of spinal muscle","", 11.26,"", 5.89, 1.36, 18.51,"090","S" "27110","","A","Transfer of iliopsoas muscle","", 12.49,"", 10.61, 1.86, 24.96,"090","S" "27111","","A","Transfer of iliopsoas muscle","", 11.44,"", 11.63, 1.65, 24.72,"090","S" "27120","","A","Reconstruction of hip socket","", 16.43,"", 18.10, 2.95, 37.48,"090","S" "27122","","A","Reconstruction of hip socket","", 13.56,"*", 17.36, 2.94, 33.86,"090","S" "27125","","A","Partial hip replacement","", 13.21,"*", 16.91, 3.01, 33.13,"090","S" "27130","","A","Total hip replacement","", 18.68,"*", 23.91, 4.58, 47.17,"090","S" "27132","","A","Total hip replacement","", 21.44,"*", 27.44, 5.09, 53.97,"090","S" "27134","","A","Revise hip joint replacement","", 24.54,"*", 31.41, 5.96, 61.91,"090","S" "27137","","A","Revise hip joint replacement","", 18.67,"*", 23.90, 4.82, 47.39,"090","S" "27138","","A","Revise hip joint replacement","", 18.93,"*", 24.23, 4.58, 47.74,"090","S" "27140","","A","Transplant of femur ridge","", 11.43,"", 11.05, 1.71, 24.19,"090","S" "27146","","A","Incision of hip bone","", 13.72,"", 10.88, 1.35, 25.95,"090","S" "27147","","A","Revision of hip bone","", 17.58,"", 16.97, 2.76, 37.31,"090","S" "27151","","A","Incision of hip bones","", 18.58,"", 17.71, 2.90, 39.19,"090","S" "27156","","A","Revision of hip bones","", 20.16,"", 18.32, 3.08, 41.56,"090","S" "27158","","A","Revision of pelvis","", 18.10,"", 14.42, 2.64, 35.16,"090","S" "27161","","A","Incision of neck of femur","", 15.20,"", 14.31, 2.31, 31.82,"090","S" "27165","","A","Incision/fixation of femur","", 16.20,"", 16.76, 2.63, 35.59,"090","S" "27170","","A","Repair/graft femur head/neck","", 14.90,"", 16.41, 2.65, 33.96,"090","S" "27175","","A","Treat slipped epiphysis","", 7.24,"", 1.18, 0.18, 8.60,"090","S" "27176","","A","Treat slipped epiphysis","", 10.89,"", 10.39, 1.70, 22.98,"090","S" "27177","","A","Repair slipped epiphysis","", 13.76,"", 12.39, 2.05, 28.20,"090","S" "27178","","A","Repair slipped epiphysis","", 10.76,"", 10.46, 1.55, 22.77,"090","S" "27179","","A","Revise head/neck of femur","", 11.69,"", 11.15, 1.83, 24.67,"090","S" "27181","","A","Repair slipped epiphysis","", 13.80,"", 13.14, 2.16, 29.10,"090","S" "27185","","A","Revision of femur epiphysis","", 8.30,"", 2.77, 0.87, 11.94,"090","S" "27187","","A","Reinforce hip bones","", 12.57,"*", 16.09, 2.76, 31.42,"090","S" "27193","","A","Treat pelvic ring fracture","", 4.64,"", 2.41, 0.39, 7.44,"090","S" "27194","","A","Treat pelvic ring fracture","", 8.73,"", 3.90, 0.50, 13.13,"090","S" "27200","","A","Treat tail bone fracture","", 1.76,"", 1.49, 0.17, 3.42,"090","S" "27202","","A","Repair tail bone fracture","", 6.52,"", 6.15, 0.89, 13.56,"090","S" "27215","","A","Pelvic fracture(s) treatment","", 9.39,"*", 12.02, 2.33, 23.74,"090","S" "27216","","A","Treat pelvic ring fracture","", 14.20,"", 4.30, 0.66, 19.16,"090","S" "27217","","A","Treat pelvic ring fracture","", 13.19,"", 14.55, 2.33, 30.07,"090","S" "27218","","A","Treat pelvic ring fracture","", 18.83,"", 14.55, 2.33, 35.71,"090","S" "27220","","A","Treat hip socket fracture","", 5.26,"", 4.26, 0.64, 10.16,"090","S" "27222","","A","Treat hip socket fracture","", 10.95,"", 6.37, 1.03, 18.35,"090","S" "27226","","A","Treat hip wall fracture","", 13.93,"", 15.78, 2.52, 32.23,"090","S" "27227","","A","Treat hip fracture(s)","", 15.39,"*", 19.70, 3.20, 38.29,"090","S" "27228","","A","Treat hip fracture(s)","", 17.90,"", 19.95, 3.20, 41.05,"090","S" "27230","","A","Treat fracture of thigh","", 4.95,"", 3.30, 0.41, 8.66,"090","S" "27232","","A","Treat fracture of thigh","", 9.32,"", 8.98, 1.46, 19.76,"090","S" "27235","","A","Repair of thigh fracture","", 11.02,"*", 14.10, 2.60, 27.72,"090","S" "27236","","A","Repair of thigh fracture","", 14.14,"", 16.91, 2.71, 33.76,"090","S" "27238","","A","Treatment of thigh fracture","", 5.06,"", 4.91, 0.71, 10.68,"090","S" "27240","","A","Treatment of thigh fracture","", 10.86,"", 9.70, 1.53, 22.09,"090","S" "27244","","A","Repair of thigh fracture","", 14.35,"", 16.30, 2.62, 33.27,"090","S" "27245","","A","Repair of thigh fracture","", 18.72,"", 16.30, 2.62, 37.64,"090","S" "27246","","A","Treatment of thigh fracture","", 4.36,"", 3.87, 0.60, 8.83,"090","S" "27248","","A","Repair of thigh fracture","", 9.73,"*", 12.46, 2.11, 24.30,"090","S" "27250","","A","Treat hip dislocation","", 6.31,"", 3.19, 0.45, 9.95,"090","S" "27252","","A","Treat hip dislocation","", 9.47,"", 4.34, 0.68, 14.49,"090","S" "27253","","A","Repair of hip dislocation","", 11.98,"", 13.14, 2.11, 27.23,"090","S" "27254","","A","Repair of hip dislocation","", 17.29,"", 13.47, 2.27, 33.03,"090","S" "27256","","A","Treatment of hip dislocation","", 3.72,"", 1.88, 0.31, 5.91,"010","S" "27257","","A","Treatment of hip dislocation","", 4.82,"", 4.62, 0.73, 10.17,"010","S" "27258","","A","Repair of hip dislocation","", 14.40,"", 13.73, 2.25, 30.38,"090","S" "27259","","A","Repair of hip dislocation","", 18.03,"", 17.20, 2.82, 38.05,"090","S" "27265","","A","Treatment of hip dislocation","", 5.58,"", 3.46, 0.54, 9.58,"090","S" "27266","","A","Treatment of hip dislocation","", 7.73,"", 4.45, 0.71, 12.89,"090","S" "27275","","A","Manipulation of hip joint","", 2.00,"", 1.88, 0.30, 4.18,"010","S" "27280","","A","Fusion of sacroiliac joint","", 11.81,"", 10.06, 1.77, 23.64,"090","S" "27282","","A","Fusion of pubic bones","", 10.57,"", 9.01, 1.69, 21.27,"090","S" "27284","","A","Fusion of hip joint","", 15.62,"", 14.50, 2.40, 32.52,"090","S" "27286","","A","Fusion of hip joint","", 15.65,"", 15.20, 2.26, 33.11,"090","S" "27290","","A","Amputation of leg at hip","", 21.68,"", 25.40, 4.70, 51.78,"090","S" "27295","","A","Amputation of leg at hip","", 17.32,"", 16.54, 2.95, 36.81,"090","S" "27299","","C","Pelvis/hip joint surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "27301","","A","Drain thigh/knee lesion","", 5.96,"", 2.46, 0.40, 8.82,"090","S" "27303","","A","Drainage of bone lesion","", 7.69,"", 5.86, 0.96, 14.51,"090","S" "27305","","A","Incise thigh tendon & fascia","", 5.42,"", 3.80, 0.68, 9.90,"090","S" "27306","","A","Incision of thigh tendon","", 4.27,"", 1.99, 0.32, 6.58,"090","S" "27307","","A","Incision of thigh tendons","", 5.30,"", 3.01, 0.48, 8.79,"090","S" "27310","","A","Exploration of knee joint","", 8.26,"", 9.60, 1.51, 19.37,"090","S" "27315","","A","Partial removal, thigh nerve","", 6.51,"", 5.38, 0.96, 12.85,"090","S" "27320","","A","Partial removal, thigh nerve","", 5.90,"", 5.18, 0.73, 11.81,"090","S" "27323","","A","Biopsy thigh soft tissues","", 2.67,"", 0.91, 0.13, 3.71,"010","S" "27324","","A","Biopsy thigh soft tissues","", 4.53,"", 2.63, 0.45, 7.61,"090","S" "27327","","A","Removal of thigh lesion","", 4.32,"", 2.29, 0.40, 7.01,"090","S" "27328","","A","Removal of thigh lesion","", 5.31,"", 4.07, 0.73, 10.11,"090","S" "27329","","A","Remove tumor, thigh/knee","", 11.74,"", 11.69, 2.14, 25.57,"090","S" "27330","","A","Biopsy knee joint lining","", 4.71,"*", 6.02, 1.19, 11.92,"090","S" "27331","","A","Explore/treat knee joint","", 5.51,"*", 7.05, 1.49, 14.05,"090","S" "27332","","A","Removal of knee cartilage","", 7.85,"*", 10.05, 1.73, 19.63,"090","S" "27333","","A","Removal of knee cartilage","", 6.81,"*", 9.01, 2.52, 18.34,"090","S" "27334","","A","Remove knee joint lining","", 7.95,"*", 10.18, 1.77, 19.90,"090","S" "27335","","A","Remove knee joint lining","", 9.19,"*", 11.76, 2.05, 23.00,"090","S" "27340","","A","Removal of kneecap bursa","", 3.92,"", 3.85, 0.62, 8.39,"090","S" "27345","","A","Removal of knee cyst","", 5.63,"", 5.63, 0.95, 12.21,"090","S" "27350","","A","Removal of kneecap","", 7.42,"*", 9.49, 1.54, 18.45,"090","S" "27355","","A","Remove femur lesion","", 7.06,"", 7.58, 1.23, 15.87,"090","S" "27356","","A","Remove femur lesion/graft","", 8.60,"", 8.20, 1.34, 18.14,"090","S" "27357","","A","Remove femur lesion/graft","", 9.63,"", 8.80, 1.43, 19.86,"090","S" "27358","","A","Remove femur lesion/fixation","", 4.74,"", 4.55, 0.72, 10.01,"ZZZ","S" "27360","","A","Partial removal leg bone(s)","", 9.23,"", 8.56, 1.40, 19.19,"090","S" "27365","","A","Extensive leg surgery","", 13.84,"", 13.94, 2.43, 30.21,"090","S" "27370","","A","Injection for knee x-ray","", 0.96,"", 0.60, 0.05, 1.61,"000","N" "27372","","A","Removal of foreign body","", 4.81,"", 3.42, 0.54, 8.77,"090","S" "27380","","A","Repair of kneecap tendon","", 6.63,"", 7.94, 1.29, 15.86,"090","S" "27381","","A","Repair/graft kneecap tendon","", 9.66,"", 11.27, 1.82, 22.75,"090","S" "27385","","A","Repair of thigh muscle","", 7.17,"", 8.84, 1.42, 17.43,"090","S" "27386","","A","Repair/graft of thigh muscle","", 9.72,"*", 12.44, 2.02, 24.18,"090","S" "27390","","A","Incision of thigh tendon","", 4.89,"", 4.36, 0.71, 9.96,"090","S" "27391","","A","Incision of thigh tendons","", 6.67,"", 5.42, 0.90, 12.99,"090","S" "27392","","A","Incision of thigh tendons","", 8.52,"", 7.67, 1.28, 17.47,"090","S" "27393","","A","Lengthening of thigh tendon","", 5.95,"", 5.67, 0.93, 12.55,"090","S" "27394","","A","Lengthening of thigh tendons","", 7.97,"", 5.73, 0.94, 14.64,"090","S" "27395","","A","Lengthening of thigh tendons","", 10.96,"", 10.48, 1.65, 23.09,"090","S" "27396","","A","Transplant of thigh tendon","", 7.33,"", 7.06, 1.11, 15.50,"090","S" "27397","","A","Transplants of thigh tendons","", 9.33,"", 8.88, 1.45, 19.66,"090","S" "27400","","A","Revise thigh muscles/tendons","", 8.47,"", 7.89, 1.24, 17.60,"090","S" "27403","","A","Repair of knee cartilage","", 7.80,"", 8.79, 1.44, 18.03,"090","S" "27405","","A","Repair of knee ligament","", 7.97,"", 10.17, 1.67, 19.81,"090","S" "27407","","A","Repair of knee ligament","", 9.44,"", 8.87, 1.42, 19.73,"090","S" "27409","","A","Repair of knee ligaments","", 11.80,"*", 15.10, 2.48, 29.38,"090","S" "27418","","A","Repair degenerated kneecap","", 9.82,"", 12.23, 1.85, 23.90,"090","S" "27420","","A","Revision of unstable kneecap","", 9.15,"", 10.99, 1.74, 21.88,"090","S" "27422","","A","Revision of unstable kneecap","", 9.10,"", 11.45, 1.83, 22.38,"090","S" "27424","","A","Revision/removal of kneecap","", 9.13,"*", 11.68, 1.89, 22.70,"090","S" "27425","","A","Lateral retinacular release","", 5.04,"*", 6.46, 1.08, 12.58,"090","S" "27427","","A","Reconstruction, knee","", 8.68,"*", 11.12, 2.25, 22.05,"090","S" "27428","","A","Reconstruction, knee","", 10.68,"*", 13.67, 2.71, 27.06,"090","S" "27429","","A","Reconstruction, knee","", 11.86,"", 11.27, 1.83, 24.96,"090","S" "27430","","A","Revision of thigh muscles","", 8.92,"", 9.36, 1.50, 19.78,"090","S" "27435","","A","Incision of knee joint","", 8.74,"", 7.03, 1.13, 16.90,"090","S" "27437","","A","Revise kneecap","", 7.74,"*", 9.91, 1.55, 19.20,"090","S" "27438","","A","Revise kneecap with implant","", 10.29,"", 13.13, 2.14, 25.56,"090","S" "27440","","A","Revision of knee joint","", 9.49,"", 11.83, 2.10, 23.42,"090","S" "27441","","A","Revision of knee joint","", 9.81,"", 9.14, 1.51, 20.46,"090","S" "27442","","A","Revision of knee joint","", 11.14,"*", 14.25, 3.05, 28.44,"090","S" "27443","","A","Revision of knee joint","", 10.18,"*", 13.03, 3.34, 26.55,"090","S" "27445","","A","Revision of knee joint","", 16.39,"*", 20.98, 4.21, 41.58,"090","S" "27446","","A","Revision of knee joint","", 15.03,"*", 19.25, 3.87, 38.15,"090","S" "27447","","A","Total knee replacement","", 19.69,"*", 25.20, 4.95, 49.84,"090","S" "27448","","A","Incision of thigh","", 10.25,"", 12.87, 2.09, 25.21,"090","S" "27450","","A","Incision of thigh","", 13.08,"", 14.84, 2.36, 30.28,"090","S" "27454","","A","Realignment of thigh bone","", 12.26,"*", 15.70, 2.82, 30.78,"090","S" "27455","","A","Realignment of knee","", 12.01,"", 12.01, 1.95, 25.97,"090","S" "27457","","A","Realignment of knee","", 12.60,"", 13.30, 2.14, 28.04,"090","S" "27465","","A","Shortening of thigh bone","", 12.84,"", 12.24, 2.00, 27.08,"090","S" "27466","","A","Lengthening of thigh bone","", 15.08,"", 13.43, 2.27, 30.78,"090","S" "27468","","A","Shorten/lengthen thighs","", 17.65,"", 16.84, 2.75, 37.24,"090","S" "27470","","A","Repair of thigh","", 14.82,"", 16.67, 2.60, 34.09,"090","S" "27472","","A","Repair/graft of thigh","", 16.40,"", 19.87, 3.16, 39.43,"090","S" "27475","","A","Surgery to stop leg growth","", 8.11,"", 7.74, 1.27, 17.12,"090","S" "27477","","A","Surgery to stop leg growth","", 9.32,"*", 11.93, 2.57, 23.82,"090","S" "27479","","A","Surgery to stop leg growth","", 12.18,"", 11.63, 1.89, 25.70,"090","S" "27485","","A","Surgery to stop leg growth","", 8.31,"", 7.91, 1.30, 17.52,"090","S" "27486","","A","Revise knee joint replace","", 16.63,"*", 21.28, 4.26, 42.17,"090","S" "27487","","A","Revise knee joint replace","", 21.69,"*", 27.76, 5.97, 55.42,"090","S" "27488","","A","Removal of knee prosthesis","", 14.48,"", 16.16, 2.58, 33.22,"090","S" "27495","","A","Reinforce thigh","", 14.26,"", 17.63, 2.82, 34.71,"090","S" "27496","","A","Decompression of thigh/knee","", 4.75,"", 4.53, 0.74, 10.02,"090","S" "27497","","A","Decompression of thigh/knee","", 5.81,"", 5.55, 0.91, 12.27,"090","S" "27498","","A","Decompression of thigh/knee","", 6.63,"", 6.32, 1.04, 13.99,"090","S" "27499","","A","Decompression of thigh/knee","", 7.64,"", 7.28, 1.19, 16.11,"090","S" "27500","","A","Treatment of thigh fracture","", 5.29,"", 5.41, 0.82, 11.52,"090","S" "27501","","A","Treatment of thigh fracture","", 5.29,"", 5.41, 0.82, 11.52,"090","S" "27502","","A","Treatment of thigh fracture","", 9.51,"", 7.67, 1.21, 18.39,"090","S" "27503","","A","Treatment of thigh fracture","", 9.51,"", 7.67, 1.21, 18.39,"090","S" "27506","","A","Repair of thigh fracture","", 15.93,"", 16.02, 2.56, 34.51,"090","S" "27507","","A","Treatment of thigh fracture","", 12.85,"", 16.02, 2.56, 31.43,"090","S" "27508","","A","Treatment of thigh fracture","", 5.21,"", 4.22, 0.65, 10.08,"090","S" "27509","","A","Treatment of thigh fracture","", 6.77,"", 4.22, 0.65, 11.64,"090","S" "27510","","A","Treatment of thigh fracture","", 8.19,"", 6.82, 1.09, 16.10,"090","S" "27511","","A","Treatment of thigh fracture","", 12.50,"*", 16.00, 2.56, 31.06,"090","S" "27513","","A","Treatment of thigh fracture","", 16.78,"", 16.02, 2.56, 35.36,"090","S" "27514","","A","Repair of thigh fracture","", 15.98,"", 15.76, 2.53, 34.27,"090","S" "27516","","A","Repair of thigh growth plate","", 4.92,"", 4.82, 0.71, 10.45,"090","S" "27517","","A","Repair of thigh growth plate","", 8.20,"", 7.82, 1.28, 17.30,"090","S" "27519","","A","Repair of thigh growth plate","", 13.82,"", 12.68, 2.05, 28.55,"090","S" "27520","","A","Treat kneecap fracture","", 2.68,"", 3.04, 0.45, 6.17,"090","S" "27524","","A","Repair of kneecap fracture","", 9.38,"", 10.34, 1.65, 21.37,"090","S" "27530","","A","Treatment of knee fracture","", 3.23,"", 3.40, 0.51, 7.14,"090","S" "27532","","A","Treatment of knee fracture","", 6.81,"", 5.68, 0.91, 13.40,"090","S" "27535","","A","Treatment of knee fracture","", 10.36,"", 11.69, 1.88, 23.93,"090","S" "27536","","A","Repair of knee fracture","", 14.51,"", 11.69, 1.88, 28.08,"090","S" "27538","","A","Treat knee fracture(s)","", 4.64,"", 3.37, 0.51, 8.52,"090","S" "27540","","A","Repair of knee fracture","", 12.38,"", 10.95, 1.74, 25.07,"090","S" "27550","","A","Treat knee dislocation","", 5.53,"", 2.57, 0.36, 8.46,"090","S" "27552","","A","Treat knee dislocation","", 7.39,"", 3.43, 0.53, 11.35,"090","S" "27556","","A","Repair of knee dislocation","", 13.47,"", 12.48, 1.95, 27.90,"090","S" "27557","","A","Repair of knee dislocation","", 15.80,"", 14.60, 2.43, 32.83,"090","S" "27558","","A","Repair of knee dislocation","", 16.75,"", 14.60, 2.43, 33.78,"090","S" "27560","","A","Treat kneecap dislocation","", 3.64,"", 1.43, 0.16, 5.23,"090","S" "27562","","A","Treat kneecap dislocation","", 5.48,"", 5.18, 0.76, 11.42,"090","S" "27566","","A","Repair kneecap dislocation","", 11.48,"", 10.58, 1.67, 23.73,"090","S" "27570","","A","Fixation of knee joint","", 1.69,"", 1.72, 0.28, 3.69,"010","S" "27580","","A","Fusion of knee","", 12.26,"*", 15.70, 2.56, 30.52,"090","S" "27590","","A","Amputate leg at thigh","", 10.24,"", 9.11, 1.80, 21.15,"090","S" "27591","","A","Amputate leg at thigh","", 11.09,"", 11.77, 2.11, 24.97,"090","S" "27592","","A","Amputate leg at thigh","", 8.75,"", 8.11, 1.61, 18.47,"090","S" "27594","","A","Amputation follow-up surgery","", 6.30,"", 3.65, 0.68, 10.63,"090","S" "27596","","A","Amputation follow-up surgery","", 9.63,"", 7.37, 1.42, 18.42,"090","S" "27598","","A","Amputate lower leg at knee","", 9.56,"", 10.04, 1.78, 21.38,"090","S" "27599","","C","Leg surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "27600","","A","Decompression of lower leg","", 5.02,"", 3.39, 0.64, 9.05,"090","S" "27601","","A","Decompression of lower leg","", 4.98,"", 3.38, 0.67, 9.03,"090","S" "27602","","A","Decompression of lower leg","", 6.63,"", 4.05, 0.77, 11.45,"090","S" "27603","","A","Drain lower leg lesion","", 4.41,"", 2.38, 0.41, 7.20,"090","S" "27604","","A","Drain lower leg bursa","", 4.23,"", 1.02, 0.14, 5.39,"090","S" "27605","","A","Incision of achilles tendon","", 2.82,"", 1.18, 0.14, 4.14,"010","S" "27606","","A","Incision of achilles tendon","", 3.87,"", 2.12, 0.35, 6.34,"010","S" "27607","","A","Treat lower leg bone lesion","", 7.05,"", 6.01, 0.98, 14.04,"090","S" "27610","","A","Explore/treat ankle joint","", 7.27,"", 7.43, 1.13, 15.83,"090","S" "27612","","A","Exploration of ankle joint","", 6.23,"*", 7.97, 1.30, 15.50,"090","S" "27613","","A","Biopsy lower leg soft tissue","", 2.12,"", 0.67, 0.10, 2.89,"010","S" "27614","","A","Biopsy lower leg soft tissue","", 5.29,"", 2.26, 0.38, 7.93,"090","S" "27615","","A","Remove tumor, lower leg","", 11.79,"", 8.23, 1.42, 21.44,"090","S" "27618","","A","Remove lower leg lesion","", 4.94,"", 2.10, 0.32, 7.36,"090","S" "27619","","A","Remove lower leg lesion","", 7.98,"", 4.13, 0.67, 12.78,"090","S" "27620","","A","Explore, treat ankle joint","", 5.69,"", 6.03, 0.96, 12.68,"090","S" "27625","","A","Remove ankle joint lining","", 7.88,"", 8.71, 1.27, 17.86,"090","S" "27626","","A","Remove ankle joint lining","", 8.49,"*", 10.86, 1.25, 20.60,"090","S" "27630","","A","Removal of tendon lesion","", 4.65,"", 3.10, 0.46, 8.21,"090","S" "27635","","A","Remove lower leg bone lesion","", 7.29,"", 8.04, 1.27, 16.60,"090","S" "27637","","A","Remove/graft leg bone lesion","", 9.14,"", 8.47, 1.40, 19.01,"090","S" "27638","","A","Remove/graft leg bone lesion","", 9.89,"", 9.15, 1.52, 20.56,"090","S" "27640","","A","Partial removal of tibia","", 10.21,"", 9.81, 1.57, 21.59,"090","S" "27641","","A","Partial removal of fibula","", 8.36,"", 7.13, 1.18, 16.67,"090","S" "27645","","A","Extensive lower leg surgery","", 13.14,"", 11.64, 1.98, 26.76,"090","S" "27646","","A","Extensive lower leg surgery","", 11.69,"", 10.75, 1.71, 24.15,"090","S" "27647","","A","Extensive ankle/heel surgery","", 11.21,"", 9.95, 1.35, 22.51,"090","S" "27648","","A","Injection for ankle x-ray","", 0.96,"", 0.52, 0.05, 1.53,"000","N" "27650","","A","Repair achilles tendon","", 9.07,"", 8.98, 1.41, 19.46,"090","S" "27652","","A","Repair/graft achilles tendon","", 9.62,"", 10.41, 1.56, 21.59,"090","S" "27654","","A","Repair of achilles tendon","", 9.34,"", 10.93, 1.65, 21.92,"090","S" "27656","","A","Repair leg fascia defect","", 4.31,"", 3.18, 0.54, 8.03,"090","S" "27658","","A","Repair of leg tendon, each","", 4.61,"", 4.02, 0.60, 9.23,"090","S" "27659","","A","Repair of leg tendon, each","", 6.28,"", 5.87, 0.86, 13.01,"090","S" "27664","","A","Repair of leg tendon, each","", 4.33,"", 3.41, 0.52, 8.26,"090","S" "27665","","A","Repair of leg tendon, each","", 5.11,"", 4.95, 0.76, 10.82,"090","S" "27675","","A","Repair lower leg tendons","", 6.78,"", 6.40, 0.94, 14.12,"090","S" "27676","","A","Repair lower leg tendons","", 7.87,"", 7.56, 1.14, 16.57,"090","S" "27680","","A","Release of lower leg tendon","", 5.37,"", 4.12, 0.61, 10.10,"090","S" "27681","","A","Release of lower leg tendons","", 6.36,"", 5.97, 0.86, 13.19,"090","S" "27685","","A","Revision of lower leg tendon","", 6.08,"", 3.83, 0.41, 10.32,"090","S" "27686","","A","Revise lower leg tendons","", 6.93,"", 6.56, 0.90, 14.39,"090","S" "27687","","A","Revision of calf tendon","", 5.84,"", 5.45, 0.76, 12.05,"090","S" "27690","","A","Revise lower leg tendon","", 8.09,"", 6.74, 0.88, 15.71,"090","S" "27691","","A","Revise lower leg tendon","", 9.25,"", 7.89, 1.23, 18.37,"090","S" "27692","","A","Revise additional leg tendon","", 1.87,"", 2.03, 0.29, 4.19,"ZZZ","S" "27695","","A","Repair of ankle ligament","", 6.09,"*", 7.79, 1.32, 15.20,"090","S" "27696","","A","Repair of ankle ligaments","", 7.72,"", 7.06, 1.16, 15.94,"090","S" "27698","","A","Repair of ankle ligament","", 8.87,"*", 11.35, 1.86, 22.08,"090","S" "27700","","A","Revision of ankle joint","", 8.67,"*", 11.11, 1.51, 21.29,"090","S" "27702","","A","Reconstruct ankle joint","", 12.64,"*", 16.18, 3.99, 32.81,"090","S" "27703","","A","Reconstruction, ankle joint","", 14.49,"", 13.82, 2.25, 30.56,"090","S" "27704","","A","Removal of ankle implant","", 7.20,"", 5.84, 0.98, 14.02,"090","S" "27705","","A","Incision of tibia","", 9.63,"", 10.74, 1.76, 22.13,"090","S" "27707","","A","Incision of fibula","", 3.71,"*", 4.75, 0.79, 9.25,"090","S" "27709","","A","Incision of tibia & fibula","", 9.14,"*", 11.70, 2.14, 22.98,"090","S" "27712","","A","Realignment of lower leg","", 11.81,"", 10.99, 1.63, 24.43,"090","S" "27715","","A","Revision of lower leg","", 12.97,"", 12.61, 1.88, 27.46,"090","S" "27720","","A","Repair of tibia","", 10.95,"", 13.97, 2.25, 27.17,"090","S" "27722","","A","Repair/graft of tibia","", 10.92,"", 10.50, 1.64, 23.06,"090","S" "27724","","A","Repair/graft of tibia","", 12.11,"*", 15.50, 2.87, 30.48,"090","S" "27725","","A","Repair of lower leg","", 11.04,"", 10.43, 1.53, 23.00,"090","S" "27727","","A","Repair of lower leg","", 12.89,"", 9.38, 1.84, 24.11,"090","S" "27730","","A","Repair of tibia epiphysis","", 6.88,"", 3.59, 0.84, 11.31,"090","S" "27732","","A","Repair of fibula epiphysis","", 5.06,"", 4.84, 0.79, 10.69,"090","S" "27734","","A","Repair lower leg epiphyses","", 7.89,"", 7.54, 1.23, 16.66,"090","S" "27740","","A","Repair of leg epiphyses","", 8.75,"", 8.36, 1.36, 18.47,"090","S" "27742","","A","Repair of leg epiphyses","", 9.72,"", 9.29, 1.52, 20.53,"090","S" "27745","","A","Reinforce tibia","", 9.39,"", 8.97, 1.39, 19.75,"090","S" "27750","","A","Treatment of tibia fracture","", 2.90,"", 3.45, 0.50, 6.85,"090","S" "27752","","A","Treatment of tibia fracture","", 5.16,"", 5.09, 0.81, 11.06,"090","S" "27756","","A","Repair of tibia fracture","", 5.84,"*", 7.48, 1.70, 15.02,"090","S" "27758","","A","Repair of tibia fracture","", 10.51,"*", 13.46, 2.22, 26.19,"090","S" "27759","","A","Repair of tibia fracture","", 12.60,"", 13.74, 2.22, 28.56,"090","S" "27760","","A","Treatment of ankle fracture","", 2.81,"", 2.58, 0.37, 5.76,"090","S" "27762","","A","Treatment of ankle fracture","", 4.80,"", 3.36, 0.50, 8.66,"090","S" "27766","","A","Repair of ankle fracture","", 7.61,"", 7.87, 1.26, 16.74,"090","S" "27780","","A","Treatment of fibula fracture","", 2.47,"", 1.97, 0.26, 4.70,"090","S" "27781","","A","Treatment of fibula fracture","", 4.20,"", 3.29, 0.49, 7.98,"090","S" "27784","","A","Repair of fibula fracture","", 6.45,"", 5.59, 0.87, 12.91,"090","S" "27786","","A","Treatment of ankle fracture","", 2.66,"", 2.52, 0.38, 5.56,"090","S" "27788","","A","Treatment of ankle fracture","", 4.25,"", 3.27, 0.50, 8.02,"090","S" "27792","","A","Repair of ankle fracture","", 7.04,"", 7.38, 1.17, 15.59,"090","S" "27808","","A","Treatment of ankle fracture","", 2.63,"", 2.79, 0.39, 5.81,"090","S" "27810","","A","Treatment of ankle fracture","", 4.82,"", 5.05, 0.80, 10.67,"090","S" "27814","","A","Repair of ankle fracture","", 9.87,"", 10.00, 1.60, 21.47,"090","S" "27816","","A","Treatment of ankle fracture","", 2.71,"*", 3.47, 0.55, 6.73,"090","S" "27818","","A","Treatment of ankle fracture","", 5.08,"*", 6.51, 1.06, 12.65,"090","S" "27822","","A","Repair of ankle fracture","", 8.39,"*", 10.73, 1.88, 21.00,"090","S" "27823","","A","Repair of ankle fracture","", 10.90,"", 12.79, 2.05, 25.74,"090","S" "27824","","A","Treat lower leg fracture","", 2.71,"*", 3.47, 0.55, 6.73,"090","S" "27825","","A","Treat lower leg fracture","", 5.08,"*", 6.51, 1.06, 12.65,"090","S" "27826","","A","Treat lower leg fracture","", 7.43,"*", 9.50, 1.88, 18.81,"090","S" "27827","","A","Treat lower leg fracture","", 9.90,"", 11.71, 1.88, 23.49,"090","S" "27828","","A","Treat lower leg fracture","", 12.33,"", 12.79, 2.05, 27.17,"090","S" "27829","","A","Treat lower leg joint","", 4.87,"*", 6.23, 1.37, 12.47,"090","S" "27830","","A","Treat lower leg dislocation","", 3.50,"", 3.25, 0.46, 7.21,"090","S" "27831","","A","Treat lower leg dislocation","", 4.27,"", 3.98, 0.59, 8.84,"090","S" "27832","","A","Repair lower leg dislocation","", 5.96,"", 5.70, 0.89, 12.55,"090","S" "27840","","A","Treat ankle dislocation","", 4.27,"", 1.87, 0.21, 6.35,"090","S" "27842","","A","Treat ankle dislocation","", 5.72,"", 2.22, 0.34, 8.28,"090","S" "27846","","A","Repair ankle dislocation","", 9.04,"", 8.59, 1.37, 19.00,"090","S" "27848","","A","Repair ankle dislocation","", 10.45,"", 8.36, 1.32, 20.13,"090","S" "27860","","A","Fixation of ankle joint","", 2.29,"", 1.39, 0.23, 3.91,"010","S" "27870","","A","Fusion of ankle joint","", 10.42,"*", 13.34, 2.22, 25.98,"090","S" "27871","","A","Fusion of tibiofibular joint","", 8.55,"", 7.79, 1.21, 17.55,"090","S" "27880","","A","Amputation of lower leg","", 10.69,"", 8.36, 1.60, 20.65,"090","S" "27881","","A","Amputation of lower leg","", 10.89,"", 10.82, 1.87, 23.58,"090","S" "27882","","A","Amputation of lower leg","", 7.80,"", 7.36, 1.42, 16.58,"090","S" "27884","","A","Amputation follow-up surgery","", 7.40,"", 3.37, 0.61, 11.38,"090","S" "27886","","A","Amputation follow-up surgery","", 8.35,"", 7.17, 1.34, 16.86,"090","S" "27888","","A","Amputation of foot at ankle","", 8.70,"", 9.49, 1.65, 19.84,"090","S" "27889","","A","Amputation of foot at ankle","", 8.82,"", 8.43, 1.55, 18.80,"090","S" "27892","","A","Decompression of leg","", 6.03,"", 3.39, 0.64, 10.06,"090","S" "27893","","A","Decompression of leg","", 5.99,"", 3.38, 0.67, 10.04,"090","S" "27894","","A","Decompression of leg","", 7.64,"", 4.05, 0.77, 12.46,"090","S" "27899","","C","Leg/ankle surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "28001","","A","Drainage of bursa of foot","", 2.68,"", 0.52, 0.05, 3.25,"010","S" "28002","","A","Treatment of foot infection","", 3.76,"", 2.25, 0.33, 6.34,"010","S" "28003","","A","Treatment of foot infection","", 7.49,"", 3.50, 0.59, 11.58,"090","S" "28005","","A","Treat foot bone lesion","", 7.65,"", 4.08, 0.61, 12.34,"090","S" "28008","","A","Incision of foot fascia","", 4.19,"", 2.68, 0.29, 7.16,"090","S" "28010","","A","Incision of toe tendon","", 2.97,"", 3.62, 0.33, 6.92,"090","S" "28011","","A","Incision of toe tendons","", 3.99,"", 1.77, 0.19, 5.95,"090","S" "28020","","A","Exploration of a foot joint","", 4.75,"", 4.40, 0.56, 9.71,"090","S" "28022","","A","Exploration of a foot joint","", 4.41,"", 2.74, 0.31, 7.46,"090","S" "28024","","A","Exploration of a toe joint","", 4.12,"", 2.39, 0.24, 6.75,"090","S" "28030","","A","Removal of foot nerve","", 5.78,"", 3.93, 0.42, 10.13,"090","S" "28035","","A","Decompression of tibia nerve","", 4.83,"*", 6.18, 0.90, 11.91,"090","S" "28043","","A","Excision of foot lesion","", 3.41,"", 1.73, 0.20, 5.34,"090","S" "28045","","A","Excision of foot lesion","", 4.46,"", 3.99, 0.46, 8.91,"090","S" "28046","","A","Resection of tumor, foot","", 9.41,"", 5.35, 0.79, 15.55,"090","S" "28050","","A","Biopsy of foot joint lining","", 3.99,"", 3.84, 0.53, 8.36,"090","S" "28052","","A","Biopsy of foot joint lining","", 3.70,"", 3.82, 0.43, 7.95,"090","S" "28054","","A","Biopsy of toe joint lining","", 3.21,"", 2.24, 0.28, 5.73,"090","S" "28060","","A","Partial removal foot fascia","", 5.05,"", 4.22, 0.53, 9.80,"090","S" "28062","","A","Removal of foot fascia","", 6.23,"", 7.06, 0.86, 14.15,"090","S" "28070","","A","Removal of foot joint lining","", 4.73,"", 4.48, 0.48, 9.69,"090","S" "28072","","A","Removal of foot joint lining","", 4.32,"", 3.21, 0.42, 7.95,"090","S" "28080","","A","Removal of foot lesion","", 3.18,"*", 4.07, 0.45, 7.70,"090","S" "28086","","A","Excise foot tendon sheath","", 4.52,"", 3.12, 0.46, 8.10,"090","S" "28088","","A","Excise foot tendon sheath","", 3.62,"", 3.62, 0.40, 7.64,"090","S" "28090","","A","Removal of foot lesion","", 4.26,"", 3.02, 0.29, 7.57,"090","S" "28092","","A","Removal of toe lesions","", 3.49,"", 2.03, 0.25, 5.77,"090","S" "28100","","A","Removal of ankle/heel lesion","", 5.37,"", 4.58, 0.56, 10.51,"090","S" "28102","","A","Remove/graft foot lesion","", 7.31,"", 6.84, 0.85, 15.00,"090","S" "28103","","A","Remove/graft foot lesion","", 6.10,"", 5.61, 0.69, 12.40,"090","S" "28104","","A","Removal of foot lesion","", 4.86,"", 4.33, 0.49, 9.68,"090","S" "28106","","A","Remove/graft foot lesion","", 6.74,"", 6.42, 0.79, 13.95,"090","S" "28107","","A","Remove/graft foot lesion","", 5.16,"", 4.86, 0.48, 10.50,"090","S" "28108","","A","Removal of toe lesions","", 4.01,"", 4.20, 0.38, 8.59,"090","S" "28110","","A","Part removal of metatarsal","", 3.82,"", 3.48, 0.39, 7.69,"090","S" "28111","","A","Part removal of metatarsal","", 4.64,"", 5.04, 0.65, 10.33,"090","S" "28112","","A","Part removal of metatarsal","", 4.23,"", 3.96, 0.45, 8.64,"090","S" "28113","","A","Part removal of metatarsal","", 4.09,"", 4.44, 0.48, 9.01,"090","S" "28114","","A","Removal of metatarsal heads","", 7.16,"*", 9.17, 1.42, 17.75,"090","S" "28116","","A","Revision of foot","", 6.17,"", 5.48, 0.57, 12.22,"090","S" "28118","","A","Removal of heel bone","", 5.56,"", 5.71, 0.66, 11.93,"090","S" "28119","","A","Removal of heel spur","", 5.10,"", 5.44, 0.57, 11.11,"090","S" "28120","","A","Part removal of ankle/heel","", 4.81,"", 5.04, 0.67, 10.52,"090","S" "28122","","A","Partial removal of foot bone","", 6.62,"", 4.48, 0.54, 11.64,"090","S" "28124","","A","Partial removal of toe","", 4.39,"", 4.11, 0.37, 8.87,"090","S" "28126","","A","Partial removal of toe","", 3.39,"", 3.98, 0.36, 7.73,"090","S" "28130","","A","Removal of ankle bone","", 7.33,"", 7.03, 0.88, 15.24,"090","S" "28140","","A","Removal of metatarsal","", 6.45,"", 4.93, 0.62, 12.00,"090","S" "28150","","A","Removal of toe","", 3.83,"", 3.29, 0.38, 7.50,"090","S" "28153","","A","Partial removal of toe","", 3.40,"", 3.99, 0.36, 7.75,"090","S" "28160","","A","Partial removal of toe","", 3.59,"", 4.12, 0.38, 8.09,"090","S" "28171","","A","Extensive foot surgery","", 8.98,"", 7.99, 0.88, 17.85,"090","S" "28173","","A","Extensive foot surgery","", 8.18,"", 5.74, 0.74, 14.66,"090","S" "28175","","A","Extensive foot surgery","", 5.59,"", 5.38, 0.58, 11.55,"090","S" "28190","","A","Removal of foot foreign body","", 1.91,"", 0.52, 0.05, 2.48,"010","S" "28192","","A","Removal of foot foreign body","", 4.49,"", 1.95, 0.24, 6.68,"090","S" "28193","","A","Removal of foot foreign body","", 5.44,"", 2.38, 0.30, 8.12,"090","S" "28200","","A","Repair of foot tendon","", 4.45,"", 5.06, 0.50, 10.01,"090","S" "28202","","A","Repair/graft of foot tendon","", 6.38,"", 5.82, 0.77, 12.97,"090","S" "28208","","A","Repair of foot tendon","", 4.11,"", 2.81, 0.28, 7.20,"090","S" "28210","","A","Repair/graft of foot tendon","", 5.95,"", 5.60, 0.60, 12.15,"090","S" "28220","","A","Release of foot tendon","", 4.27,"", 3.87, 0.43, 8.57,"090","S" "28222","","A","Release of foot tendons","", 5.36,"", 6.40, 0.63, 12.39,"090","S" "28225","","A","Release of foot tendon","", 3.42,"", 2.37, 0.25, 6.04,"090","S" "28226","","A","Release of foot tendons","", 4.27,"", 3.38, 0.40, 8.05,"090","S" "28230","","A","Incision of foot tendon(s)","", 4.00,"", 2.43, 0.22, 6.65,"090","S" "28232","","A","Incision of toe tendon","", 3.26,"", 1.60, 0.15, 5.01,"090","S" "28234","","A","Incision of foot tendon","", 3.19,"", 1.53, 0.14, 4.86,"090","S" "28236","","D","Transfer of foot tendon","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "28238","","A","Revision of foot tendon","", 7.27,"", 7.23, 0.85, 15.35,"090","S" "28240","","A","Release of big toe","", 4.12,"", 2.13, 0.23, 6.48,"090","S" "28250","","A","Revision of foot fascia","", 5.66,"", 4.46, 0.50, 10.62,"090","S" "28260","","A","Release of midfoot joint","", 7.50,"", 4.43, 0.48, 12.41,"090","S" "28261","","A","Revision of foot tendon","", 8.92,"", 5.91, 0.58, 15.41,"090","S" "28262","","A","Revision of foot and ankle","", 12.19,"", 11.91, 1.44, 25.54,"090","S" "28264","","A","Release of midfoot joint","", 9.80,"", 9.56, 1.17, 20.53,"090","S" "28270","","A","Release of foot contracture","", 4.58,"", 2.63, 0.23, 7.44,"090","S" "28272","","A","Release of toe joint, each","", 3.67,"", 2.04, 0.18, 5.89,"090","S" "28280","","A","Fusion of toes","", 4.93,"", 2.22, 0.30, 7.45,"090","S" "28285","","A","Repair of hammertoe","", 4.41,"", 4.37, 0.39, 9.17,"090","S" "28286","","A","Repair of hammertoe","", 4.41,"", 3.58, 0.38, 8.37,"090","S" "28288","","A","Partial removal of foot bone","", 3.73,"", 3.75, 0.43, 7.91,"090","S" "28290","","A","Correction of bunion","", 5.37,"", 5.36, 0.63, 11.36,"090","S" "28292","","A","Correction of bunion","", 6.24,"", 7.05, 0.74, 14.03,"090","S" "28293","","A","Correction of bunion","", 8.25,"", 9.55, 0.98, 18.78,"090","S" "28294","","A","Correction of bunion","", 8.14,"", 9.16, 0.86, 18.16,"090","S" "28296","","A","Correction of bunion","", 8.69,"", 8.81, 0.98, 18.48,"090","S" "28297","","A","Correction of bunion","", 8.69,"", 9.02, 1.05, 18.76,"090","S" "28298","","A","Correction of bunion","", 7.52,"", 8.89, 0.79, 17.20,"090","S" "28299","","A","Correction of bunion","", 8.46,"", 10.14, 1.08, 19.68,"090","S" "28300","","A","Incision of heel bone","", 9.12,"", 6.52, 0.79, 16.43,"090","S" "28302","","A","Incision of ankle bone","", 9.13,"", 8.89, 1.12, 19.14,"090","S" "28304","","A","Incision of midfoot bones","", 8.67,"", 6.44, 0.70, 15.81,"090","S" "28305","","A","Incise/graft midfoot bones","", 9.99,"", 9.85, 1.03, 20.87,"090","S" "28306","","A","Incision of metatarsal","", 5.71,"", 4.57, 0.47, 10.75,"090","S" "28307","","A","Incision of metatarsal","", 6.04,"", 5.87, 0.76, 12.67,"090","S" "28308","","A","Incision of metatarsal","", 5.09,"", 5.71, 0.50, 11.30,"090","S" "28309","","A","Incision of metatarsals","", 8.83,"", 6.87, 1.00, 16.70,"090","S" "28310","","A","Revision of big toe","", 5.06,"", 4.17, 0.42, 9.65,"090","S" "28312","","A","Revision of toe","", 4.29,"", 4.56, 0.45, 9.30,"090","S" "28313","","A","Repair deformity of toe","", 4.75,"", 2.57, 0.31, 7.63,"090","S" "28315","","A","Removal of sesamoid bone","", 4.60,"", 4.24, 0.41, 9.25,"090","S" "28320","","A","Repair of foot bones","", 8.76,"", 8.69, 1.03, 18.48,"090","S" "28322","","A","Repair of metatarsals","", 8.03,"", 4.67, 0.52, 13.22,"090","S" "28340","","A","Resect enlarged toe tissue","", 6.58,"", 6.34, 0.91, 13.83,"090","S" "28341","","A","Resect enlarged toe","", 7.86,"", 7.66, 0.96, 16.48,"090","S" "28344","","A","Repair extra toe(s)","", 3.89,"", 3.70, 0.60, 8.19,"090","S" "28345","","A","Repair webbed toe(s)","", 5.52,"", 5.34, 0.73, 11.59,"090","S" "28360","","A","Reconstruct cleft foot","", 12.49,"", 11.91, 1.95, 26.35,"090","S" "28400","","A","Treatment of heel fracture","", 2.01,"*", 2.57, 0.40, 4.98,"090","S" "28405","","A","Treatment of heel fracture","", 4.28,"", 3.90, 0.58, 8.76,"090","S" "28406","","A","Treatment of heel fracture","", 5.82,"", 6.09, 0.93, 12.84,"090","S" "28415","","A","Repair of heel fracture","", 13.28,"", 9.02, 1.39, 23.69,"090","S" "28420","","A","Repair/graft heel fracture","", 15.80,"", 10.89, 1.63, 28.32,"090","S" "28430","","A","Treatment of ankle fracture","", 1.96,"", 2.45, 0.35, 4.76,"090","S" "28435","","A","Treatment of ankle fracture","", 3.25,"", 3.36, 0.50, 7.11,"090","S" "28436","","A","Treatment of ankle fracture","", 4.40,"", 4.19, 0.68, 9.27,"090","S" "28445","","A","Repair of ankle fracture","", 8.78,"", 8.80, 1.40, 18.98,"090","S" "28450","","A","Treat midfoot fracture, each","", 1.77,"", 1.87, 0.25, 3.89,"090","S" "28455","","A","Treat midfoot fracture, each","", 2.94,"", 2.54, 0.34, 5.82,"090","S" "28456","","A","Repair midfoot fracture","", 2.39,"", 2.27, 0.38, 5.04,"090","S" "28465","","A","Repair midfoot fracture,each","", 6.55,"", 5.54, 0.81, 12.90,"090","S" "28470","","A","Treat metatarsal fracture","", 1.76,"", 1.80, 0.23, 3.79,"090","S" "28475","","A","Treat metatarsal fracture","", 2.74,"", 2.34, 0.30, 5.38,"090","S" "28476","","A","Repair metatarsal fracture","", 3.15,"", 3.37, 0.45, 6.97,"090","S" "28485","","A","Repair metatarsal fracture","", 5.31,"", 4.68, 0.60, 10.59,"090","S" "28490","","A","Treat big toe fracture","", 1.01,"", 0.90, 0.10, 2.01,"090","S" "28495","","A","Treat big toe fracture","", 1.48,"", 1.12, 0.13, 2.73,"090","S" "28496","","A","Repair big toe fracture","", 2.18,"", 2.07, 0.31, 4.56,"090","S" "28505","","A","Repair big toe fracture","", 3.55,"", 2.99, 0.43, 6.97,"090","S" "28510","","A","Treatment of toe fracture","", 1.01,"", 0.89, 0.09, 1.99,"090","S" "28515","","A","Treatment of toe fracture","", 1.36,"", 1.12, 0.11, 2.59,"090","S" "28525","","A","Repair of toe fracture","", 3.08,"", 2.06, 0.29, 5.43,"090","S" "28530","","A","Treat sesamoid bone fracture","", 1.01,"", 1.00, 0.10, 2.11,"090","S" "28531","","A","Treat sesamoid bone fracture","", 2.01,"", 1.91, 0.32, 4.24,"090","S" "28540","","A","Treat foot dislocation","", 1.89,"", 0.60, 0.06, 2.55,"090","S" "28545","","A","Treat foot dislocation","", 2.19,"", 1.31, 0.14, 3.64,"090","S" "28546","","A","Treat foot dislocation","", 2.89,"", 2.74, 0.45, 6.08,"090","S" "28555","","A","Repair foot dislocation","", 5.84,"", 5.58, 0.73, 12.15,"090","S" "28570","","A","Treat foot dislocation","", 1.56,"", 1.59, 0.17, 3.32,"090","S" "28575","","A","Treat foot dislocation","", 2.91,"", 2.77, 0.42, 6.10,"090","S" "28576","","A","Treat foot dislocation","", 3.75,"", 2.77, 0.42, 6.94,"090","S" "28585","","A","Repair foot dislocation","", 7.46,"", 4.96, 0.55, 12.97,"090","S" "28600","","A","Treat foot dislocation","", 1.76,"", 0.68, 0.08, 2.52,"090","S" "28605","","A","Treat foot dislocation","", 2.42,"", 2.26, 0.34, 5.02,"090","S" "28606","","A","Treat foot dislocation","", 4.48,"", 3.49, 0.55, 8.52,"090","S" "28615","","A","Repair foot dislocation","", 5.12,"", 4.96, 0.78, 10.86,"090","S" "28630","","A","Treat toe dislocation","", 1.65,"", 1.03, 0.11, 2.79,"010","S" "28635","","A","Treat toe dislocation","", 1.86,"", 1.45, 0.18, 3.49,"010","S" "28636","","A","Treat toe dislocation","", 2.67,"", 2.56, 0.42, 5.65,"010","S" "28645","","A","Repair toe dislocation","", 3.96,"", 3.24, 0.38, 7.58,"090","S" "28660","","A","Treat toe dislocation","", 1.18,"", 0.63, 0.06, 1.87,"010","S" "28665","","A","Treat toe dislocation","", 1.87,"", 0.98, 0.11, 2.96,"010","S" "28666","","A","Treat toe dislocation","", 2.56,"", 2.44, 0.40, 5.40,"010","S" "28675","","A","Repair of toe dislocation","", 2.68,"", 3.00, 0.41, 6.09,"090","S" "28705","","A","Fusion of foot bones","", 14.23,"", 15.11, 2.35, 31.69,"090","S" "28715","","A","Fusion of foot bones","", 12.18,"", 12.33, 1.89, 26.40,"090","S" "28725","","A","Fusion of foot bones","", 10.86,"", 9.44, 1.44, 21.74,"090","S" "28730","","A","Fusion of foot bones","", 9.91,"", 9.00, 1.33, 20.24,"090","S" "28735","","A","Fusion of foot bones","", 10.07,"", 9.76, 1.37, 21.20,"090","S" "28737","","A","Revision of foot bones","", 8.89,"", 8.87, 1.13, 18.89,"090","S" "28740","","A","Fusion of foot bones","", 6.20,"", 5.14, 0.72, 12.06,"090","S" "28750","","A","Fusion of big toe joint","", 4.77,"", 5.32, 0.82, 10.91,"090","S" "28755","","A","Fusion of big toe joint","", 4.48,"", 3.69, 0.45, 8.62,"090","S" "28760","","A","Fusion of big toe joint","", 5.47,"", 5.40, 0.65, 11.52,"090","S" "28800","","A","Amputation of midfoot","", 7.37,"", 6.65, 1.19, 15.21,"090","S" "28805","","A","Amputation thru metatarsal","", 7.55,"", 6.32, 1.21, 15.08,"090","S" "28810","","A","Amputation toe & metatarsal","", 5.53,"", 3.91, 0.75, 10.19,"090","S" "28820","","A","Amputation of toe","", 3.56,"", 2.58, 0.46, 6.60,"090","S" "28825","","A","Partial amputation of toe","", 3.13,"", 2.40, 0.41, 5.94,"090","S" "28899","","C","Foot/toes surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "29000","","A","Application of body cast","", 2.25,"", 1.85, 0.21, 4.31,"000","S" "29010","","A","Application of body cast","", 2.06,"", 2.33, 0.34, 4.73,"000","S" "29015","","A","Application of body cast","", 2.41,"", 2.33, 0.33, 5.07,"000","S" "29020","","A","Application of body cast","", 2.11,"", 1.82, 0.23, 4.16,"000","S" "29025","","A","Application of body cast","", 2.40,"", 0.75, 0.14, 3.29,"000","S" "29035","","A","Application of body cast","", 1.77,"", 1.95, 0.32, 4.04,"000","S" "29040","","A","Application of body cast","", 2.22,"", 2.02, 0.30, 4.54,"000","S" "29044","","A","Application of body cast","", 2.12,"", 2.09, 0.34, 4.55,"000","S" "29046","","A","Application of body cast","", 2.41,"", 2.23, 0.36, 5.00,"000","S" "29049","","A","Application of shoulder cast","", 0.89,"", 0.42, 0.06, 1.37,"000","S" "29055","","A","Application of shoulder cast","", 1.78,"", 1.20, 0.17, 3.15,"000","S" "29058","","A","Application of shoulder cast","", 1.31,"", 0.65, 0.09, 2.05,"000","S" "29065","","A","Application of long arm cast","", 0.87,"", 0.80, 0.13, 1.80,"000","S" "29075","","A","Application of forearm cast","", 0.77,"", 0.61, 0.10, 1.48,"000","S" "29085","","A","Apply hand/wrist cast","", 0.87,"", 0.50, 0.08, 1.45,"000","S" "29105","","A","Apply long arm splint","", 0.87,"", 0.50, 0.08, 1.45,"000","S" "29125","","A","Apply forearm splint","", 0.59,"", 0.37, 0.05, 1.01,"000","S" "29126","","A","Apply forearm splint","", 0.77,"", 0.40, 0.06, 1.23,"000","S" "29130","","A","Application of finger splint","", 0.50,"", 0.17, 0.02, 0.69,"000","S" "29131","","A","Application of finger splint","", 0.55,"", 0.39, 0.06, 1.00,"000","S" "29200","","A","Strapping of chest","", 0.65,"", 0.27, 0.03, 0.95,"000","N" "29220","","A","Strapping of low back","", 0.64,"", 0.38, 0.05, 1.07,"000","S" "29240","","A","Strapping of shoulder","", 0.71,"", 0.27, 0.03, 1.01,"000","S" "29260","","A","Strapping of elbow or wrist","", 0.55,"", 0.23, 0.03, 0.81,"000","S" "29280","","A","Strapping of hand or finger","", 0.51,"", 0.21, 0.02, 0.74,"000","S" "29305","","A","Application of hip cast","", 2.03,"", 1.88, 0.31, 4.22,"000","S" "29325","","A","Application of hip casts","", 2.32,"", 1.94, 0.28, 4.54,"000","S" "29345","","A","Application of long leg cast","", 1.40,"", 1.02, 0.16, 2.58,"000","S" "29355","","A","Application of long leg cast","", 1.53,"", 1.10, 0.17, 2.80,"000","S" "29358","","A","Apply long leg cast brace","", 1.43,"*", 1.84, 0.33, 3.60,"000","S" "29365","","A","Application of long leg cast","", 1.18,"", 0.86, 0.14, 2.18,"000","S" "29405","","A","Apply short leg cast","", 0.86,"", 0.79, 0.12, 1.77,"000","S" "29425","","A","Apply short leg cast","", 1.01,"", 0.97, 0.14, 2.12,"000","S" "29435","","A","Apply short leg cast","", 1.18,"", 1.18, 0.18, 2.54,"000","S" "29440","","A","Addition of walker to cast","", 0.57,"", 0.23, 0.03, 0.83,"000","S" "29445","","A","Apply rigid leg cast","", 1.78,"", 1.70, 0.28, 3.76,"000","S" "29450","","A","Application of leg cast","", 1.02,"", 0.39, 0.04, 1.45,"000","S" "29505","","A","Application long leg splint","", 0.69,"", 0.57, 0.07, 1.33,"000","S" "29515","","A","Application lower leg splint","", 0.73,"", 0.47, 0.06, 1.26,"000","S" "29520","","A","Strapping of hip","", 0.54,"", 0.36, 0.03, 0.93,"000","S" "29530","","A","Strapping of knee","", 0.57,"", 0.35, 0.05, 0.97,"000","S" "29540","","A","Strapping of ankle","", 0.51,"", 0.30, 0.03, 0.84,"000","S" "29550","","A","Strapping of toes","", 0.47,"", 0.28, 0.03, 0.78,"000","S" "29580","","A","Application of paste boot","", 0.57,"", 0.79, 0.04, 1.40,"000","S" "29590","","A","Application of foot splint","", 0.76,"", 0.28, 0.03, 1.07,"000","S" "29700","","A","Removal/revision of cast","", 0.88,"", 0.32, 0.05, 1.25,"000","S" "29705","","A","Removal/revision of cast","", 1.12,"", 0.35, 0.05, 1.52,"000","S" "29710","","A","Removal/revision of cast","", 1.34,"", 0.45, 0.07, 1.86,"000","S" "29715","","A","Removal/revision of cast","", 0.94,"", 0.86, 0.12, 1.92,"000","S" "29720","","A","Repair of body cast","", 0.68,"", 0.23, 0.04, 0.95,"000","S" "29730","","A","Windowing of cast","", 0.75,"", 0.26, 0.04, 1.05,"000","S" "29740","","A","Wedging of cast","", 1.12,"", 0.38, 0.06, 1.56,"000","S" "29750","","A","Wedging of clubfoot cast","", 1.26,"", 0.50, 0.07, 1.83,"000","S" "29799","","C","Casting/strapping procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "29800","","A","Jaw arthroscopy/surgery","", 5.28,"", 4.01, 0.46, 9.75,"090","S" "29804","","A","Jaw arthroscopy/surgery","", 7.99,"*", 10.23, 1.46, 19.68,"090","S" "29815","","A","Shoulder arthroscopy","", 5.74,"", 4.84, 0.76, 11.34,"090","S" "29819","","A","Shoulder arthroscopy/surgery","", 7.33,"*", 9.38, 1.73, 18.44,"090","S" "29820","","A","Shoulder arthroscopy/surgery","", 6.81,"*", 8.72, 1.73, 17.26,"090","S" "29821","","A","Shoulder arthroscopy/surgery","", 7.43,"*", 9.50, 2.13, 19.06,"090","S" "29822","","A","Shoulder arthroscopy/surgery","", 7.14,"*", 9.14, 1.74, 18.02,"090","S" "29823","","A","Shoulder arthroscopy/surgery","", 7.86,"*", 10.07, 2.32, 20.25,"090","S" "29825","","A","Shoulder arthroscopy/surgery","", 7.33,"*", 9.38, 2.05, 18.76,"090","S" "29826","","A","Shoulder arthroscopy/surgery","", 8.70,"*", 11.14, 2.31, 22.15,"090","S" "29830","","A","Elbow arthroscopy","", 5.63,"", 5.32, 0.83, 11.78,"090","S" "29834","","A","Elbow arthroscopy/surgery","", 6.13,"", 5.84, 0.96, 12.93,"090","S" "29835","","A","Elbow arthroscopy/surgery","", 6.33,"", 6.03, 0.99, 13.35,"090","S" "29836","","A","Elbow arthroscopy/surgery","", 7.37,"", 7.03, 1.15, 15.55,"090","S" "29837","","A","Elbow arthroscopy/surgery","", 6.72,"", 6.40, 1.06, 14.18,"090","S" "29838","","A","Elbow arthroscopy/surgery","", 7.42,"", 7.05, 1.14, 15.61,"090","S" "29840","","A","Wrist arthroscopy","", 5.39,"", 3.29, 0.54, 9.22,"090","S" "29843","","A","Wrist arthroscopy/surgery","", 5.86,"", 5.60, 0.91, 12.37,"090","S" "29844","","A","Wrist arthroscopy/surgery","", 6.22,"", 5.59, 0.95, 12.76,"090","S" "29845","","A","Wrist arthroscopy/surgery","", 7.34,"", 7.00, 1.15, 15.49,"090","S" "29846","","A","Wrist arthroscopy/surgery","", 6.60,"*", 8.45, 2.20, 17.25,"090","S" "29847","","A","Wrist arthroscopy/surgery","", 6.93,"", 6.78, 0.97, 14.68,"090","S" "29848","","A","Wrist arthroscopy/surgery","", 4.04,"", 3.85, 0.62, 8.51,"090","S" "29850","","A","Knee arthroscopy/surgery","", 7.96,"*", 10.19, 1.74, 19.89,"090","S" "29851","","A","Knee arthroscopy/surgery","", 12.38,"", 10.95, 1.74, 25.07,"090","S" "29855","","A","Tibial arthroscopy/surgery","", 9.48,"", 11.69, 1.88, 23.05,"090","S" "29856","","A","Tibial arthroscopy/surgery","", 13.28,"", 11.69, 1.88, 26.85,"090","S" "29870","","A","Knee arthroscopy, diagnostic","", 4.94,"", 4.02, 0.64, 9.60,"090","S" "29871","","A","Knee arthroscopy/drainage","", 6.29,"", 6.77, 0.96, 14.02,"090","S" "29874","","A","Knee arthroscopy/surgery","", 6.79,"*", 8.69, 1.52, 17.00,"090","S" "29875","","A","Knee arthroscopy/surgery","", 6.16,"*", 7.88, 1.61, 15.65,"090","S" "29876","","A","Knee arthroscopy/surgery","", 7.51,"*", 9.61, 1.95, 19.07,"090","S" "29877","","A","Knee arthroscopy/surgery","", 7.05,"*", 9.03, 1.81, 17.89,"090","S" "29879","","A","Knee arthroscopy/surgery","", 7.63,"*", 9.76, 2.19, 19.58,"090","S" "29880","","A","Knee arthroscopy/surgery","", 8.09,"*", 10.35, 2.22, 20.66,"090","S" "29881","","A","Knee arthroscopy/surgery","", 7.46,"*", 9.54, 1.82, 18.82,"090","S" "29882","","A","Knee arthroscopy/surgery","", 8.24,"*", 10.54, 1.90, 20.68,"090","S" "29883","","A","Knee arthroscopy/surgery","", 9.00,"*", 11.52, 2.80, 23.32,"090","S" "29884","","A","Knee arthroscopy/surgery","", 6.92,"*", 8.86, 1.56, 17.34,"090","S" "29885","","A","Knee arthroscopy/surgery","", 8.63,"", 8.23, 1.35, 18.21,"090","S" "29886","","A","Knee arthroscopy/surgery","", 7.13,"", 6.80, 1.12, 15.05,"090","S" "29887","","A","Knee arthroscopy/surgery","", 8.58,"", 10.52, 1.71, 20.81,"090","S" "29888","","A","Knee arthroscopy/surgery","", 13.28,"*", 17.00, 3.18, 33.46,"090","S" "29889","","A","Knee arthroscopy/surgery","", 10.76,"", 10.26, 1.68, 22.70,"090","S" "29894","","A","Ankle arthroscopy/surgery","", 6.95,"*", 8.90, 1.47, 17.32,"090","S" "29895","","A","Ankle arthroscopy/surgery","", 6.73,"*", 8.60, 1.51, 16.84,"090","S" "29897","","A","Ankle arthroscopy/surgery","", 6.92,"*", 8.86, 1.77, 17.55,"090","S" "29898","","A","Ankle arthroscopy/surgery","", 8.03,"*", 10.28, 1.91, 20.22,"090","S" "29909","","C","Arthroscopy of joint","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "30000","","A","Drainage of nose lesion","", 1.38,"", 0.58, 0.05, 2.01,"010","S" "30020","","A","Drainage of nose lesion","", 1.38,"", 0.60, 0.06, 2.04,"010","S" "30100","","A","Intranasal biopsy","", 0.94,"", 0.69, 0.08, 1.71,"000","S" "30110","","A","Removal of nose polyp(s)","", 1.58,"", 1.29, 0.14, 3.01,"010","S" "30115","","A","Removal of nose polyp(s)","", 4.25,"", 2.81, 0.30, 7.36,"090","S" "30117","","A","Removal of intranasal lesion","", 3.06,"", 2.84, 0.31, 6.21,"090","S" "30118","","A","Removal of intranasal lesion","", 9.23,"", 8.01, 0.92, 18.16,"090","S" "30120","","A","Revision of nose","", 5.14,"*", 6.59, 1.00, 12.73,"090","S" "30124","","A","Removal of nose lesion","", 3.00,"", 1.34, 0.16, 4.50,"090","S" "30125","","A","Removal of nose lesion","", 6.79,"", 5.55, 0.73, 13.07,"090","S" "30130","","A","Removal of turbinate bones","", 3.17,"", 1.67, 0.17, 5.01,"090","S" "30140","","A","Removal of turbinate bones","", 3.28,"", 3.04, 0.34, 6.66,"090","S" "30150","","A","Partial removal of nose","", 8.48,"", 7.92, 1.07, 17.47,"090","S" "30160","","A","Removal of nose","", 8.92,"*", 11.42, 1.73, 22.07,"090","S" "30200","","A","Injection treatment of nose","", 0.78,"", 0.37, 0.04, 1.19,"000","S" "30210","","A","Nasal sinus therapy","", 1.03,"", 0.26, 0.03, 1.32,"010","S" "30220","","A","Insert nasal septal button","", 1.49,"", 1.51, 0.16, 3.16,"010","S" "30300","","A","Remove nasal foreign body","", 0.99,"", 0.46, 0.05, 1.50,"010","S" "30310","","A","Remove nasal foreign body","", 1.91,"", 1.62, 0.18, 3.71,"010","S" "30320","","A","Remove nasal foreign body","", 4.39,"", 4.29, 0.43, 9.11,"090","S" "30400","","R","Reconstruction of nose","", 9.24,"", 9.97, 1.36, 20.57,"090","S" "30410","","R","Reconstruction of nose","", 12.39,"", 14.54, 2.01, 28.94,"090","S" "30420","","R","Reconstruction of nose","", 15.40,"", 17.78, 2.22, 35.40,"090","S" "30430","","R","Revision of nose","", 6.73,"", 6.09, 0.66, 13.48,"090","S" "30435","","R","Revision of nose","", 11.23,"", 10.17, 1.10, 22.50,"090","S" "30450","","R","Revision of nose","", 18.06,"", 11.24, 0.91, 30.21,"090","S" "30460","","A","Revision of nose","", 9.48,"", 8.58, 0.93, 18.99,"090","S" "30462","","A","Revision of nose","", 18.98,"", 17.16, 1.87, 38.01,"090","S" "30520","","A","Repair of nasal septum","", 5.55,"*", 7.10, 0.96, 13.61,"090","S" "30540","","A","Repair nasal defect","", 7.46,"", 6.63, 0.70, 14.79,"090","S" "30545","","A","Repair nasal defect","", 10.89,"", 10.83, 0.93, 22.65,"090","S" "30560","","A","Release of nasal adhesions","", 1.21,"", 0.55, 0.06, 1.82,"010","S" "30580","","A","Repair upper jaw fistula","", 6.49,"", 6.24, 0.57, 13.30,"090","S" "30600","","A","Repair mouth/nose fistula","", 5.87,"", 3.77, 0.36, 10.00,"090","S" "30620","","A","Intranasal reconstruction","", 5.55,"*", 7.10, 1.10, 13.75,"090","S" "30630","","A","Repair nasal septum defect","", 6.83,"", 6.24, 0.71, 13.78,"090","S" "30801","","A","Cauterization inner nose","", 1.02,"", 0.47, 0.05, 1.54,"010","S" "30802","","A","Cauterization inner nose","", 1.98,"", 0.94, 0.11, 3.03,"010","S" "30901","","A","Control of nosebleed","", 1.21,"", 0.56, 0.06, 1.83,"000","S" "30903","","A","Control of nosebleed","", 1.54,"", 0.85, 0.08, 2.47,"000","S" "30905","","A","Control of nosebleed","", 1.97,"", 1.79, 0.17, 3.93,"000","S" "30906","","A","Repeat control of nosebleed","", 2.45,"", 1.08, 0.11, 3.64,"000","S" "30915","","A","Ligation nasal sinus artery","", 6.72,"", 4.95, 0.52, 12.19,"090","S" "30920","","A","Ligation upper jaw artery","", 7.46,"*", 9.54, 1.32, 18.32,"090","S" "30930","","A","Therapy fracture of nose","", 1.21,"", 0.71, 0.08, 2.00,"010","S" "30999","","C","Nasal surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "31000","","A","Irrigation maxillary sinus","", 1.10,"", 0.43, 0.05, 1.58,"010","S" "31002","","A","Irrigation sphenoid sinus","", 1.86,"", 0.46, 0.05, 2.37,"010","S" "31020","","A","Exploration maxillary sinus","", 2.81,"", 2.66, 0.29, 5.76,"090","S" "31030","","A","Exploration maxillary sinus","", 5.60,"*", 7.16, 0.86, 13.62,"090","S" "31032","","A","Explore sinus,remove polyps","", 6.22,"*", 7.96, 0.99, 15.17,"090","S" "31040","","A","Exploration behind upper jaw","", 8.83,"", 7.98, 0.86, 17.67,"090","S" "31050","","A","Exploration sphenoid sinus","", 5.07,"", 5.96, 0.64, 11.67,"090","S" "31051","","A","Sphenoid sinus surgery","", 6.85,"", 8.12, 0.85, 15.82,"090","S" "31070","","A","Exploration of frontal sinus","", 4.04,"", 4.69, 0.50, 9.23,"090","S" "31075","","A","Exploration of frontal sinus","", 8.57,"", 10.51, 1.10, 20.18,"090","S" "31080","","A","Removal of frontal sinus","", 10.73,"", 9.21, 1.12, 21.06,"090","S" "31081","","A","Removal of frontal sinus","", 11.93,"", 10.32, 1.30, 23.55,"090","S" "31084","","A","Removal of frontal sinus","", 12.69,"", 14.79, 1.62, 29.10,"090","S" "31085","","A","Removal of frontal sinus","", 13.38,"", 15.65, 1.76, 30.79,"090","S" "31086","","A","Removal of frontal sinus","", 11.98,"", 10.87, 1.15, 24.00,"090","S" "31087","","A","Removal of frontal sinus","", 12.14,"", 10.39, 1.33, 23.86,"090","S" "31090","","A","Exploration of sinuses","", 8.65,"*", 11.32, 2.12, 22.09,"090","S" "31200","","A","Removal of ethmoid sinus","", 4.68,"", 4.62, 0.48, 9.78,"090","S" "31201","","A","Removal of ethmoid sinus","", 7.91,"", 7.01, 0.75, 15.67,"090","S" "31205","","A","Removal of ethmoid sinus","", 9.65,"", 8.03, 0.81, 18.49,"090","S" "31225","","A","Removal of upper jaw","", 15.19,"*", 19.44, 2.37, 37.00,"090","S" "31230","","A","Removal of upper jaw","", 21.06,"", 21.74, 2.48, 45.28,"090","S" "31231","","A","Nasal endoscopy, dx","", 1.10,"", 1.37, 0.15, 2.62,"000","S" "31233","","A","Nasal/sinus endoscopy, dx","", 2.18,"*", 2.79, 0.31, 5.28,"000","S" "31235","","A","Nasal/sinus endoscopy, dx","", 2.64,"", 2.39, 0.26, 5.29,"000","S" "31237","","A","Nasal/sinus endoscopy, surg","", 2.98,"", 3.37, 0.37, 6.72,"000","S" "31238","","A","Nasal/sinus endoscopy, surg","", 3.26,"*", 4.17, 0.45, 7.88,"000","S" "31239","","A","Nasal/sinus endoscopy, surg","", 8.50,"*", 10.88, 1.18, 20.56,"010","S" "31240","","A","Nasal/sinus endoscopy, surg","", 2.61,"*", 3.34, 0.37, 6.32,"000","S" "31254","","A","Revision of ethmoid sinus","", 4.65,"*", 5.95, 0.69, 11.29,"000","S" "31255","","A","Removal of ethmoid sinus","", 6.96,"*", 8.91, 1.14, 17.01,"000","S" "31256","","A","Exploration maxillary sinus","", 3.29,"", 3.77, 0.41, 7.47,"000","S" "31267","","A","Endoscopy, maxillary sinus","", 5.46,"", 5.23, 0.81, 11.50,"000","S" "31276","","A","Sinus surgical endoscopy","", 8.85,"", 6.72, 0.73, 16.30,"000","S" "31287","","A","Nasal/sinus endoscopy, surg","", 3.92,"*", 5.01, 0.65, 9.58,"000","S" "31288","","A","Nasal/sinus endoscopy, surg","", 4.58,"*", 5.86, 0.78, 11.22,"000","S" "31290","","A","Nasal/sinus endoscopy, surg","", 12.87,"*", 16.47, 1.80, 31.14,"010","S" "31291","","A","Nasal/sinus endoscopy, surg","", 13.52,"*", 17.31, 1.88, 32.71,"010","S" "31292","","A","Nasal/sinus endoscopy, surg","", 10.45,"*", 13.38, 1.45, 25.28,"010","S" "31293","","A","Nasal/sinus endoscopy, surg","", 11.43,"*", 14.64, 1.59, 27.66,"010","S" "31294","","A","Nasal/sinus endoscopy, surg","", 13.06,"*", 16.72, 1.83, 31.61,"010","S" "31299","","C","Sinus surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "31300","","A","Removal of larynx lesion","", 13.28,"", 11.58, 1.28, 26.14,"090","S" "31320","","A","Diagnostic incision larynx","", 4.54,"", 3.87, 0.48, 8.89,"090","S" "31360","","A","Removal of larynx","", 15.19,"", 19.36, 2.19, 36.74,"090","S" "31365","","A","Removal of larynx","", 21.83,"", 27.14, 3.10, 52.07,"090","S" "31367","","A","Partial removal of larynx","", 18.98,"", 17.22, 1.88, 38.08,"090","S" "31368","","A","Partial removal of larynx","", 23.72,"", 26.76, 3.06, 53.54,"090","S" "31370","","A","Partial removal of larynx","", 18.50,"", 17.18, 1.88, 37.56,"090","S" "31375","","A","Partial removal of larynx","", 18.50,"", 14.84, 1.56, 34.90,"090","S" "31380","","A","Partial removal of larynx","", 18.50,"", 17.27, 1.88, 37.65,"090","S" "31382","","A","Partial removal of larynx","", 18.50,"", 16.06, 1.78, 36.34,"090","S" "31390","","A","Removal of larynx & pharynx","", 21.15,"*", 27.08, 4.05, 52.28,"090","S" "31395","","A","Reconstruct larynx & pharynx","", 26.19,"*", 33.52, 4.42, 64.13,"090","S" "31400","","A","Revision of larynx","", 9.06,"", 7.81, 0.91, 17.78,"090","S" "31420","","A","Removal of epiglottis","", 9.06,"", 8.08, 0.84, 17.98,"090","S" "31500","","A","Insert emergency airway","", 2.33,"", 1.14, 0.14, 3.61,"000","N" "31502","","A","Change of windpipe airway","", 0.65,"", 0.58, 0.07, 1.30,"000","S" "31505","","A","Diagnostic laryngoscopy","", 0.61,"", 0.43, 0.05, 1.09,"000","S" "31510","","A","Laryngoscopy with biopsy","", 1.92,"", 0.55, 0.07, 2.54,"000","S" "31511","","A","Remove foreign body, larynx","", 2.16,"", 0.96, 0.10, 3.22,"000","S" "31512","","A","Removal of larynx lesion","", 2.07,"", 1.79, 0.20, 4.06,"000","S" "31513","","A","Injection into vocal cord","", 2.10,"*", 2.68, 0.38, 5.16,"000","S" "31515","","A","Laryngoscopy for aspiration","", 1.80,"", 1.13, 0.14, 3.07,"000","S" "31520","","A","Diagnostic laryngoscopy","", 2.56,"", 1.64, 0.18, 4.38,"000","S" "31525","","A","Diagnostic laryngoscopy","", 2.63,"", 2.20, 0.23, 5.06,"000","S" "31526","","A","Diagnostic laryngoscopy","", 2.57,"*", 3.29, 0.38, 6.24,"000","S" "31527","","A","Laryngoscopy for treatment","", 3.27,"", 2.99, 0.30, 6.56,"000","S" "31528","","A","Laryngoscopy and dilatation","", 2.37,"", 2.66, 0.30, 5.33,"000","S" "31529","","A","Laryngoscopy and dilatation","", 2.68,"", 2.46, 0.25, 5.39,"000","S" "31530","","A","Operative laryngoscopy","", 3.39,"", 3.63, 0.39, 7.41,"000","S" "31531","","A","Operative laryngoscopy","", 3.73,"*", 4.78, 0.60, 9.11,"000","S" "31535","","A","Operative laryngoscopy","", 3.16,"", 4.01, 0.45, 7.62,"000","S" "31536","","A","Operative laryngoscopy","", 3.17,"*", 4.06, 0.59, 7.82,"000","S" "31540","","A","Operative laryngoscopy","", 4.13,"*", 5.29, 0.61, 10.03,"000","S" "31541","","A","Operative laryngoscopy","", 3.56,"*", 4.56, 0.75, 8.87,"000","S" "31560","","A","Operative laryngoscopy","", 5.46,"", 4.99, 0.51, 10.96,"000","S" "31561","","A","Operative laryngoscopy","", 4.90,"*", 6.27, 1.08, 12.25,"000","S" "31570","","A","Laryngoscopy with injection","", 3.87,"*", 4.95, 0.60, 9.42,"000","S" "31571","","A","Laryngoscopy with injection","", 3.52,"*", 4.51, 0.69, 8.72,"000","S" "31575","","A","Diagnostic laryngoscopy","", 1.10,"", 1.56, 0.17, 2.83,"000","S" "31576","","A","Laryngoscopy with biopsy","", 1.97,"*", 2.52, 0.33, 4.82,"000","S" "31577","","A","Remove foreign body, larynx","", 2.47,"*", 3.16, 0.37, 6.00,"000","S" "31578","","A","Removal of larynx lesion","", 2.84,"*", 3.63, 0.48, 6.95,"000","S" "31579","","A","Diagnostic laryngoscopy","", 2.26,"", 2.33, 0.26, 4.85,"000","S" "31580","","A","Revision of larynx","", 11.01,"*", 14.09, 1.63, 26.73,"090","S" "31582","","A","Revision of larynx","", 19.73,"", 17.87, 1.94, 39.54,"090","S" "31584","","A","Repair of larynx fracture","", 18.50,"", 12.72, 1.34, 32.56,"090","S" "31585","","A","Repair of larynx fracture","", 4.40,"", 3.77, 0.40, 8.57,"090","S" "31586","","A","Repair of larynx fracture","", 7.24,"", 6.55, 0.71, 14.50,"090","S" "31587","","A","Revision of larynx","", 7.98,"", 7.21, 0.79, 15.98,"090","S" "31588","","A","Revision of larynx","", 11.82,"", 10.70, 1.16, 23.68,"090","S" "31590","","A","Reinnervate larynx","", 6.36,"", 5.76, 0.62, 12.74,"090","S" "31595","","A","Larynx nerve surgery","", 7.58,"", 6.84, 0.74, 15.16,"090","S" "31599","","C","Larynx surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "31600","","A","Incision of windpipe","", 3.62,"", 4.04, 0.65, 8.31,"000","S" "31601","","A","Incision of windpipe","", 4.45,"", 5.03, 0.66, 10.14,"000","S" "31603","","A","Incision of windpipe","", 4.15,"", 4.23, 0.66, 9.04,"000","S" "31605","","A","Incision of windpipe","", 3.58,"", 4.19, 0.50, 8.27,"000","S" "31610","","A","Incision of windpipe","", 7.87,"", 6.67, 0.92, 15.46,"090","S" "31611","","A","Surgery/speech prosthesis","", 5.03,"*", 6.45, 1.04, 12.52,"090","S" "31612","","A","Puncture/clear windpipe","", 0.91,"", 1.17, 0.12, 2.20,"000","S" "31613","","A","Repair windpipe opening","", 4.24,"", 2.21, 0.28, 6.73,"090","S" "31614","","A","Repair windpipe opening","", 6.11,"", 6.74, 0.73, 13.58,"090","S" "31615","","A","Visualization of windpipe","", 2.09,"", 1.95, 0.22, 4.26,"000","S" "31622","","A","Diagnostic bronchoscopy","", 2.80,"", 3.57, 0.34, 6.71,"000","N" "31625","","A","Bronchoscopy with biopsy","", 3.37,"", 3.83, 0.35, 7.55,"000","N" "31628","","A","Bronchoscopy with biopsy","", 3.81,"*", 4.88, 0.38, 9.07,"000","N" "31629","","A","Bronchoscopy with biopsy","", 3.37,"*", 4.31, 0.34, 8.02,"000","N" "31630","","A","Bronchoscopy with repair","", 3.82,"", 3.72, 0.50, 8.04,"000","S" "31631","","A","Bronchoscopy with dilation","", 4.37,"", 3.94, 0.48, 8.79,"000","N" "31635","","A","Remove foreign body, airway","", 3.68,"", 4.53, 0.53, 8.74,"000","S" "31640","","A","Bronchoscopy & remove lesion","", 4.94,"", 5.02, 0.67, 10.63,"000","S" "31641","","A","Bronchoscopy, treat blockage","", 5.03,"*", 6.45, 0.85, 12.33,"000","N" "31645","","A","Bronchoscopy, clear airways","", 3.16,"", 3.62, 0.30, 7.08,"000","N" "31646","","A","Bronchoscopy,reclear airways","", 2.72,"", 3.06, 0.27, 6.05,"000","N" "31656","","A","Bronchoscopy,inject for xray","", 2.17,"*", 2.77, 0.31, 5.25,"000","N" "31700","","A","Insertion of airway catheter","", 1.34,"", 1.38, 0.17, 2.89,"000","N" "31708","","A","Instill airway contrast dye","", 1.41,"", 0.77, 0.09, 2.27,"000","N" "31710","","A","Insertion of airway catheter","", 1.30,"", 0.90, 0.12, 2.32,"000","N" "31715","","A","Injection for bronchus x-ray","", 1.11,"", 0.48, 0.04, 1.63,"000","N" "31717","","A","Bronchial brush biopsy","", 2.12,"", 0.73, 0.06, 2.91,"000","N" "31720","","A","Clearance of airways","", 1.06,"", 0.74, 0.09, 1.89,"000","N" "31725","","A","Clearance of airways","", 1.96,"", 1.41, 0.15, 3.52,"000","N" "31730","","A","Intro windpipe wire/tube","", 2.85,"", 2.47, 0.23, 5.55,"000","N" "31750","","A","Repair of windpipe","", 9.05,"", 8.88, 1.09, 19.02,"090","S" "31755","","A","Repair of windpipe","", 14.69,"", 13.30, 1.44, 29.43,"090","S" "31760","","A","Repair of windpipe","", 20.89,"", 10.92, 2.55, 34.36,"090","S" "31766","","A","Reconstruction of windpipe","", 28.82,"", 18.40, 1.12, 48.34,"090","S" "31770","","A","Repair/graft of bronchus","", 21.15,"", 15.07, 2.08, 38.30,"090","S" "31775","","A","Reconstruct bronchus","", 22.15,"", 16.37, 1.92, 40.44,"090","S" "31780","","A","Reconstruct windpipe","", 16.14,"", 17.33, 2.08, 35.55,"090","S" "31781","","A","Reconstruct windpipe","", 22.22,"", 16.86, 1.96, 41.04,"090","S" "31785","","A","Remove windpipe lesion","", 16.14,"", 8.92, 1.17, 26.23,"090","S" "31786","","A","Remove windpipe lesion","", 22.54,"", 13.30, 2.24, 38.08,"090","S" "31800","","A","Repair of windpipe injury","", 6.77,"", 4.90, 0.76, 12.43,"090","S" "31805","","A","Repair of windpipe injury","", 12.59,"", 9.82, 1.41, 23.82,"090","S" "31820","","A","Closure of windpipe lesion","", 4.10,"", 3.58, 0.46, 8.14,"090","S" "31825","","A","Repair of windpipe defect","", 6.31,"", 5.00, 0.58, 11.89,"090","S" "31830","","A","Revise windpipe scar","", 4.26,"", 3.66, 0.42, 8.34,"090","S" "31899","","C","Airways surgical procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "32000","","A","Drainage of chest","", 1.54,"", 0.90, 0.08, 2.52,"000","N" "32002","","A","Treatment of collapsed lung","", 2.19,"", 1.34, 0.22, 3.75,"000","N" "32005","","A","Treat lung lining chemically","", 2.19,"", 1.09, 0.15, 3.43,"000","S" "32020","","A","Insertion of chest tube","", 3.98,"", 2.63, 0.43, 7.04,"000","S" "32035","","A","Exploration of chest","", 6.55,"", 6.76, 1.25, 14.56,"090","S" "32036","","A","Exploration of chest","", 7.56,"", 7.13, 1.32, 16.01,"090","S" "32095","","A","Biopsy through chest wall","", 7.13,"", 8.25, 1.45, 16.83,"090","S" "32100","","A","Exploration/biopsy of chest","", 10.07,"", 11.24, 2.10, 23.41,"090","S" "32110","","A","Explore/repair chest","", 11.76,"", 11.51, 2.01, 25.28,"090","S" "32120","","A","Re-exploration of chest","", 9.62,"", 9.45, 1.72, 20.79,"090","S" "32124","","A","Explore chest,free adhesions","", 10.93,"", 10.94, 2.21, 24.08,"090","S" "32140","","A","Removal of lung lesion(s)","", 12.14,"", 12.37, 2.42, 26.93,"090","S" "32141","","A","Remove/treat lung lesions","", 12.14,"", 13.42, 2.53, 28.09,"090","S" "32150","","A","Removal of lung lesion(s)","", 12.42,"", 10.34, 2.01, 24.77,"090","S" "32151","","A","Remove lung foreign body","", 12.42,"", 9.15, 1.37, 22.94,"090","S" "32160","","A","Open chest heart massage","", 7.13,"*", 9.13, 1.52, 17.78,"090","S" "32200","","A","Drainage of lung lesion","", 13.10,"", 6.89, 0.93, 20.92,"090","S" "32215","","A","Treat chest lining","", 10.07,"", 7.62, 1.28, 18.97,"090","S" "32220","","A","Release of lung","", 17.62,"", 15.81, 3.01, 36.44,"090","S" "32225","","A","Partial release of lung","", 12.10,"", 11.84, 2.28, 26.22,"090","S" "32310","","A","Removal of chest lining","", 12.05,"", 11.64, 2.10, 25.79,"090","S" "32320","","A","Free/remove chest lining","", 19.15,"", 18.10, 3.40, 40.65,"090","S" "32400","","A","Needle biopsy chest lining","", 1.76,"", 1.48, 0.12, 3.36,"000","N" "32402","","A","Open biopsy chest lining","", 6.55,"", 7.58, 1.34, 15.47,"090","S" "32405","","A","Biopsy, lung or mediastinum","", 1.93,"", 2.12, 0.18, 4.23,"000","N" "32420","","A","Puncture/clear lung","", 2.18,"", 1.50, 0.13, 3.81,"000","N" "32440","","A","Removal of lung","", 19.15,"", 18.56, 3.55, 41.26,"090","S" "32442","","A","Sleeve pneumonectomy","", 24.68,"", 17.94, 3.50, 46.12,"090","S" "32445","","A","Removal of lung","", 23.37,"", 20.46, 3.88, 47.71,"090","S" "32480","","A","Partial removal of lung","", 16.84,"", 17.15, 3.23, 37.22,"090","S" "32482","","A","Bilobectomy","", 18.54,"", 17.15, 3.23, 38.92,"090","S" "32484","","A","Segmentectomy","", 19.52,"", 17.15, 3.23, 39.90,"090","S" "32485","","D","Partial removal of lung","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "32486","","A","Sleeve lobectomy","", 22.75,"", 16.54, 3.23, 42.52,"090","S" "32488","","A","Completion pneumonectomy","", 24.41,"", 17.74, 3.46, 45.61,"090","S" "32500","","A","Partial removal of lung","", 13.10,"", 13.47, 2.56, 29.13,"090","S" "32501","","A","Repair bronchus (add-on)","", 4.69,"", 4.31, 0.70, 9.70,"ZZZ","S" "32520","","A","Remove lung & revise chest","", 19.42,"", 20.67, 3.93, 44.02,"090","S" "32522","","A","Remove lung & revise chest","", 21.94,"", 21.90, 4.19, 48.03,"090","S" "32525","","A","Remove lung & revise chest","", 24.33,"", 23.50, 4.61, 52.44,"090","S" "32540","","A","Removal of lung lesion","", 13.31,"", 11.67, 2.05, 27.03,"090","S" "32601","","A","Thoracoscopy, diagnostic","", 5.46,"", 3.47, 0.57, 9.50,"000","S" "32602","","A","Thoracoscopy, diagnostic","", 5.96,"", 3.87, 0.64, 10.47,"000","S" "32603","","A","Thoracoscopy, diagnostic","", 7.81,"", 3.47, 0.57, 11.85,"000","S" "32604","","A","Thoracoscopy, diagnostic","", 8.78,"", 3.87, 0.64, 13.29,"000","S" "32605","","A","Thoracoscopy, diagnostic","", 6.93,"", 3.47, 0.57, 10.97,"000","S" "32606","","A","Thoracoscopy, diagnostic","", 8.40,"", 3.87, 0.64, 12.91,"000","S" "32650","","A","Thoracoscopy, surgical","", 10.07,"", 7.62, 1.28, 18.97,"090","S" "32651","","A","Thoracoscopy, surgical","", 12.10,"", 11.84, 2.28, 26.22,"090","S" "32652","","A","Thoracoscopy, surgical","", 17.62,"", 15.81, 3.01, 36.44,"090","S" "32653","","A","Thoracoscopy, surgical","", 12.42,"", 10.34, 2.01, 24.77,"090","S" "32654","","A","Thoracoscopy, surgical","", 11.76,"", 11.51, 2.01, 25.28,"090","S" "32655","","A","Thoracoscopy, surgical","", 12.42,"", 13.42, 2.53, 28.37,"090","S" "32656","","A","Thoracoscopy, surgical","", 12.10,"", 13.36, 2.36, 27.82,"090","S" "32657","","A","Thoracoscopy, surgical","", 13.10,"", 13.47, 2.56, 29.13,"090","S" "32658","","A","Thoracoscopy, surgical","", 11.08,"", 13.26, 2.52, 26.86,"090","S" "32659","","A","Thoracoscopy, surgical","", 10.91,"*", 13.96, 2.61, 27.48,"090","S" "32660","","A","Thoracoscopy, surgical","", 16.62,"", 19.93, 3.56, 40.11,"090","S" "32661","","A","Thoracoscopy, surgical","", 12.70,"", 9.25, 1.47, 23.42,"090","S" "32662","","A","Thoracoscopy, surgical","", 15.76,"", 14.55, 2.74, 33.05,"090","S" "32663","","A","Thoracoscopy, surgical","", 17.43,"", 17.15, 3.23, 37.81,"090","S" "32664","","A","Thoracoscopy, surgical","", 13.65,"", 10.55, 2.04, 26.24,"090","S" "32665","","A","Thoracoscopy, surgical","", 14.73,"", 14.33, 2.64, 31.70,"090","S" "32800","","A","Repair lung hernia","", 12.10,"", 8.28, 1.58, 21.96,"090","S" "32810","","A","Close chest after drainage","", 11.59,"", 6.50, 1.19, 19.28,"090","S" "32815","","A","Close bronchial fistula","", 21.36,"", 15.22, 2.62, 39.20,"090","S" "32820","","A","Reconstruct injured chest","", 19.78,"", 19.01, 3.24, 42.03,"090","S" "32850","","X","Donor pneumonectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "32851","","A","Lung transplant, single","", 35.14,"", 25.55, 4.99, 65.68,"090","S" "32852","","A","Lung transplant w/bypass","", 38.11,"", 27.71, 5.41, 71.23,"090","S" "32853","","A","Lung transplant, double","", 43.93,"", 31.94, 6.24, 82.11,"090","S" "32854","","A","Lung transplant w/bypass","", 46.90,"", 34.10, 6.67, 87.67,"090","S" "32900","","A","Removal of rib(s)","", 18.14,"", 8.47, 1.63, 28.24,"090","S" "32905","","A","Revise & repair chest wall","", 19.15,"", 12.74, 2.60, 34.49,"090","S" "32906","","A","Revise & repair chest wall","", 25.17,"", 15.42, 2.92, 43.51,"090","S" "32940","","A","Revision of lung","", 18.14,"", 11.37, 1.75, 31.26,"090","S" "32960","","A","Therapeutic pneumothorax","", 1.84,"", 0.93, 0.13, 2.90,"000","N" "32999","","C","Chest surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "33010","","A","Drainage of heart sac","", 2.24,"", 1.54, 0.14, 3.92,"000","N" "33011","","A","Repeat drainage of heart sac","", 2.24,"", 1.11, 0.12, 3.47,"000","N" "33015","","A","Incision of heart sac","", 5.64,"", 4.26, 0.62, 10.52,"090","S" "33020","","A","Incision of heart sac","", 11.08,"", 13.26, 2.52, 26.86,"090","S" "33025","","A","Incision of heart sac","", 10.91,"*", 13.96, 2.61, 27.48,"090","S" "33030","","A","Partial removal of heart sac","", 16.62,"", 21.02, 3.92, 41.56,"090","S" "33031","","A","Partial removal of heart sac","", 19.64,"", 13.25, 2.50, 35.39,"090","S" "33050","","A","Removal of heart sac lesion","", 12.70,"", 9.25, 1.47, 23.42,"090","S" "33120","","A","Removal of heart lesion","", 22.57,"*", 28.89, 5.17, 56.63,"090","S" "33130","","A","Removal of heart lesion","", 19.53,"", 13.50, 2.22, 35.25,"090","S" "33200","","A","Insertion of heart pacemaker","", 11.08,"", 12.27, 1.90, 25.25,"090","S" "33201","","A","Insertion of heart pacemaker","", 8.93,"", 11.19, 1.67, 21.79,"090","S" "33206","","A","Insertion of heart pacemaker","", 6.04,"*", 7.73, 1.34, 15.11,"090","S" "33207","","A","Insertion of heart pacemaker","", 7.28,"", 9.01, 1.33, 17.62,"090","S" "33208","","A","Insertion of heart pacemaker","", 7.28,"*", 9.50, 1.54, 18.32,"090","N" "33210","","A","Insertion of heart electrode","", 3.30,"", 3.30, 0.27, 6.87,"000","N" "33211","","A","Insertion of heart electrode","", 3.40,"", 3.30, 0.27, 6.97,"000","N" "33212","","A","Insertion of pulse generator","", 5.21,"", 5.38, 0.88, 11.47,"090","S" "33213","","A","Insertion of pulse generator","", 6.15,"", 5.38, 0.88, 12.41,"090","N" "33214","","A","Upgrade of pacemaker system","", 7.43,"", 5.40, 1.06, 13.89,"090","N" "33216","","A","Revision implanted electrode","", 5.07,"", 5.02, 0.55, 10.64,"090","N" "33217","","A","Insert/revise electrode","", 5.43,"", 5.02, 0.55, 11.00,"090","N" "33218","","A","Repair pacemaker electrodes","", 5.02,"", 4.59, 0.62, 10.23,"090","S" "33220","","A","Repair pacemaker electrode","", 5.10,"", 4.59, 0.62, 10.31,"090","N" "33222","","A","Pacemaker aicd pocket","", 4.59,"", 5.70, 1.01, 11.30,"090","S" "33223","","A","Pacemaker aicd pocket","", 6.14,"", 5.70, 1.01, 12.85,"090","S" "33233","","A","Removal of pacemaker system","", 2.97,"", 2.64, 0.05, 5.66,"090","N" "33234","","A","Removal of pacemaker system","", 8.69,"", 4.74, 0.38, 13.81,"090","S" "33235","","A","Removal pacemaker electrode","", 9.93,"", 5.21, 0.55, 15.69,"090","N" "33236","","A","Remove electrode/thoracotomy","", 11.71,"", 3.98, 0.62, 16.31,"090","S" "33237","","A","Remove electrode/thoracotomy","", 12.69,"", 9.60, 1.13, 23.42,"090","S" "33238","","A","Remove electrode/thoracotomy","", 14.15,"", 10.29, 2.01, 26.45,"090","S" "33240","","A","Insert/replace pulse gener","", 7.20,"", 5.38, 0.88, 13.46,"090","S" "33241","","A","Remove pulse generator only","", 2.97,"", 2.16, 0.43, 5.56,"090","S" "33242","","A","Repair pulse generator/leads","", 5.85,"*", 7.50, 1.54, 14.89,"090","S" "33243","","A","Remove generator/thoracotomy","", 21.47,"", 9.02, 1.54, 32.03,"090","S" "33244","","A","Remove generator","", 8.34,"", 9.02, 1.54, 18.90,"090","S" "33245","","A","Implant heart defibrillator","", 12.57,"*", 16.09, 2.36, 31.02,"090","S" "33246","","A","Implant heart defibrillator","", 19.28,"", 20.79, 3.19, 43.26,"090","S" "33247","","A","Insert/replace leads","", 9.76,"*", 12.49, 2.36, 24.61,"090","N" "33249","","A","Insert/replace leads/gener","", 12.83,"*", 16.42, 3.19, 32.44,"090","S" "33250","","A","Ablate heart dysrhythm focus","", 19.54,"", 11.56, 0.86, 31.96,"090","S" "33251","","A","Ablate heart dysrhythm focus","", 22.57,"", 16.41, 3.21, 42.19,"090","S" "33253","","A","Reconstruct atria","", 30.00,"", 21.81, 4.26, 56.07,"090","S" "33260","","D","Ablate heart dysrhythm focus","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "33261","","A","Ablate heart dysrhythm focus","", 22.57,"", 13.96, 2.73, 39.26,"090","S" "33300","","A","Repair of heart wound","", 16.19,"", 14.36, 2.60, 33.15,"090","S" "33305","","A","Repair of heart wound","", 19.22,"", 17.40, 3.07, 39.69,"090","S" "33310","","A","Exploratory heart surgery","", 17.12,"", 11.28, 1.93, 30.33,"090","S" "33315","","A","Exploratory heart surgery","", 20.15,"", 14.48, 2.57, 37.20,"090","S" "33320","","A","Repair major blood vessel(s)","", 15.39,"", 14.14, 2.51, 32.04,"090","S" "33321","","A","Repair major vessel","", 18.74,"", 21.75, 3.61, 44.10,"090","S" "33322","","A","Repair major blood vessel(s)","", 18.40,"", 21.75, 3.61, 43.76,"090","S" "33330","","A","Insert major vessel graft","", 19.15,"", 12.67, 1.93, 33.75,"090","S" "33332","","A","Insert major vessel graft","", 22.50,"", 15.07, 2.39, 39.96,"090","S" "33335","","A","Insert major vessel graft","", 27.66,"", 15.07, 2.39, 45.12,"090","S" "33350","","D","Repair major blood vessel(s)","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "33400","","A","Repair of aortic valve","", 23.16,"", 26.21, 2.83, 52.20,"090","S" "33401","","A","Valvuloplasty, open","", 22.45,"", 26.21, 2.83, 51.49,"090","S" "33403","","A","Valvuloplasty, w/cp bypass","", 23.43,"", 26.21, 2.83, 52.47,"090","S" "33404","","A","Prepare heart-aorta conduit","", 26.62,"", 31.25, 5.59, 63.46,"090","S" "33405","","A","Replacement of aortic valve","", 28.47,"", 30.48, 5.33, 64.28,"090","S" "33406","","A","Replacement, aortic valve","", 31.23,"", 38.65, 7.45, 77.33,"090","S" "33411","","A","Replacement of aortic valve","", 30.37,"", 38.65, 7.45, 76.47,"090","S" "33412","","A","Replacement of aortic valve","", 32.26,"", 38.65, 7.45, 78.36,"090","S" "33413","","A","Replacement, aortic valve","", 34.17,"", 41.09, 7.23, 82.49,"090","S" "33414","","A","Repair, aortic valve","", 29.28,"", 38.65, 7.45, 75.38,"090","S" "33415","","A","Revision, subvalvular tissue","", 25.02,"", 30.48, 5.33, 60.83,"090","S" "33416","","A","Revise ventricle muscle","", 28.20,"", 28.14, 4.99, 61.33,"090","S" "33417","","A","Repair of aortic valve","", 27.34,"", 34.71, 6.18, 68.23,"090","S" "33420","","A","Revision of mitral valve","", 20.69,"", 19.82, 2.45, 42.96,"090","S" "33422","","A","Revision of mitral valve","", 23.72,"*", 30.35, 6.45, 60.52,"090","S" "33425","","A","Repair of mitral valve","", 25.57,"", 31.27, 5.42, 62.26,"090","S" "33426","","A","Repair of mitral valve","", 26.07,"", 31.96, 5.80, 63.83,"090","S" "33427","","A","Repair of mitral valve","", 32.07,"", 34.71, 6.30, 73.08,"090","S" "33430","","A","Replacement of mitral valve","", 29.42,"", 34.85, 6.11, 70.38,"090","S" "33460","","A","Revision of tricuspid valve","", 21.60,"", 26.07, 4.73, 52.40,"090","S" "33463","","A","Valvuloplasty, tricuspid","", 24.16,"", 32.67, 5.95, 62.78,"090","S" "33464","","A","Valvuloplasty, tricuspid","", 25.87,"", 32.67, 5.95, 64.49,"090","S" "33465","","A","Replace tricuspid valve","", 26.57,"", 32.67, 5.95, 65.19,"090","S" "33468","","A","Revision of tricuspid valve","", 28.20,"", 34.71, 6.30, 69.21,"090","S" "33470","","A","Revision of pulmonary valve","", 19.52,"", 19.82, 2.45, 41.79,"090","S" "33471","","A","Valvotomy, pulmonary valve","", 21.13,"", 26.21, 2.83, 50.17,"090","S" "33472","","A","Revision of pulmonary valve","", 20.91,"*", 28.70, 2.83, 52.44,"090","S" "33474","","A","Revision of pulmonary valve","", 20.91,"*", 28.70, 2.83, 52.44,"090","S" "33475","","A","Replacement, pulmonary valve","", 27.34,"", 34.85, 6.11, 68.30,"090","S" "33476","","A","Revision of heart chamber","", 24.41,"", 28.14, 4.99, 57.54,"090","S" "33478","","A","Revision of heart chamber","", 25.38,"", 31.27, 5.42, 62.07,"090","S" "33500","","A","Repair heart vessel fistula","", 23.91,"", 29.55, 5.20, 58.66,"090","S" "33501","","A","Repair heart vessel fistula","", 16.14,"", 14.14, 2.51, 32.79,"090","S" "33502","","A","Coronary artery correction","", 19.80,"", 14.14, 2.51, 36.45,"090","S" "33503","","A","Coronary artery graft","", 20.15,"", 29.55, 5.20, 54.90,"090","S" "33504","","A","Coronary artery graft","", 23.16,"", 29.55, 5.20, 57.91,"090","S" "33505","","A","Repair artery w/tunnel","", 25.38,"", 34.24, 6.03, 65.65,"090","S" "33506","","A","Repair artery, translocation","", 25.38,"", 34.24, 6.03, 65.65,"090","S" "33510","","A","CABG, vein, single","", 23.29,"", 29.55, 5.20, 58.04,"090","S" "33511","","A","CABG, vein, two","", 25.57,"", 32.44, 5.71, 63.72,"090","S" "33512","","A","CABG, vein, three","", 27.84,"", 35.33, 6.22, 69.39,"090","S" "33513","","A","CABG, vein, four","", 30.12,"", 38.21, 6.73, 75.06,"090","S" "33514","","A","CABG, vein, five","", 32.39,"", 41.09, 7.23, 80.71,"090","S" "33516","","A","CABG, vein, six+","", 34.66,"", 43.97, 7.74, 86.37,"090","S" "33517","","A","CABG, artery-vein, single","", 2.27,"", 2.89, 0.50, 5.66,"090","S" "33518","","A","CABG, artery-vein, two","", 4.55,"", 5.77, 1.02, 11.34,"090","S" "33519","","A","CABG, artery-vein, three","", 6.82,"", 8.65, 1.52, 16.99,"090","S" "33521","","A","CABG, artery-vein, four","", 9.10,"", 11.54, 2.03, 22.67,"090","S" "33522","","A","CABG, artery-vein, five","", 11.37,"", 14.43, 2.54, 28.34,"090","S" "33523","","A","CABG, artery-vein, six+","", 13.65,"", 17.32, 3.05, 34.02,"090","S" "33530","","A","Coronary artery, bypass/reop","", 5.86,"*", 7.51, 2.18, 15.55,"ZZZ","S" "33533","","A","CABG, arterial, single","", 24.00,"", 30.45, 5.36, 59.81,"090","S" "33534","","A","CABG, arterial, two","", 26.99,"", 34.24, 6.03, 67.26,"090","S" "33535","","A","CABG, arterial, three","", 29.98,"", 38.03, 6.70, 74.71,"090","S" "33536","","A","CABG, arterial, four+","", 32.96,"", 41.82, 7.37, 82.15,"090","S" "33542","","A","Removal of heart lesion","", 26.57,"", 30.73, 5.53, 62.83,"090","S" "33545","","A","Repair of heart damage","", 33.96,"", 34.92, 6.28, 75.16,"090","S" "33572","","A","Open coronary endarterectomy","", 4.45,"", 3.23, 0.63, 8.31,"ZZZ","S" "33600","","A","Closure of valve","", 28.31,"", 34.85, 6.11, 69.27,"090","S" "33602","","A","Closure of valve","", 27.34,"", 30.48, 5.33, 63.15,"090","S" "33606","","A","Anastomosis/artery-aorta","", 29.28,"", 38.65, 7.45, 75.38,"090","S" "33608","","A","Repair anomaly w/conduit","", 30.02,"", 38.65, 7.45, 76.12,"090","S" "33610","","A","Repair by enlargement","", 29.28,"", 38.65, 7.45, 75.38,"090","S" "33611","","A","Repair double ventricle","", 31.23,"", 38.65, 7.45, 77.33,"090","S" "33612","","A","Repair double ventricle","", 32.06,"", 38.65, 7.45, 78.16,"090","S" "33615","","A","Repair (simple fontan)","", 30.50,"", 38.65, 7.45, 76.60,"090","S" "33617","","A","Repair by modified fontan","", 32.21,"", 38.65, 7.45, 78.31,"090","S" "33619","","A","Repair single ventricle","", 35.39,"", 44.30, 8.04, 87.73,"090","S" "33641","","A","Repair heart septum defect","", 19.93,"*", 25.51, 4.87, 50.31,"090","S" "33645","","A","Revision of heart veins","", 22.78,"", 27.61, 4.87, 55.26,"090","S" "33647","","A","Repair heart septum defects","", 27.44,"", 34.92, 6.28, 68.64,"090","S" "33660","","A","Repair of heart defects","", 24.41,"", 31.27, 5.42, 61.10,"090","S" "33665","","A","Repair of heart defects","", 27.34,"", 31.27, 5.42, 64.03,"090","S" "33670","","A","Repair of heart chambers","", 31.23,"", 38.65, 7.45, 77.33,"090","S" "33681","","A","Repair heart septum defect","", 26.36,"", 34.92, 6.28, 67.56,"090","S" "33684","","A","Repair heart septum defect","", 28.31,"", 34.92, 6.28, 69.51,"090","S" "33688","","A","Repair heart septum defect","", 29.28,"", 34.92, 6.28, 70.48,"090","S" "33690","","A","Reinforce pulmonary artery","", 18.31,"", 22.10, 4.29, 44.70,"090","S" "33692","","A","Repair of heart defects","", 29.28,"", 38.65, 7.45, 75.38,"090","S" "33694","","A","Repair of heart defects","", 30.26,"", 38.65, 7.45, 76.36,"090","S" "33696","","D","Repair of heart defects","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "33697","","A","Repair of heart defects","", 32.21,"", 38.65, 7.45, 78.31,"090","S" "33698","","D","Repair of heart defects","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "33702","","A","Repair of heart defects","", 25.38,"", 30.48, 5.33, 61.19,"090","S" "33710","","A","Repair of heart defects","", 28.35,"", 34.92, 6.28, 69.55,"090","S" "33720","","A","Repair of heart defect","", 25.38,"", 30.48, 5.33, 61.19,"090","S" "33722","","A","Repair of heart defect","", 27.34,"", 30.48, 5.33, 63.15,"090","S" "33730","","A","Repair heart-vein defect(s)","", 29.89,"", 38.65, 7.45, 75.99,"090","S" "33732","","A","Repair heart-vein defect","", 27.09,"", 31.27, 5.42, 63.78,"090","S" "33735","","A","Revision of heart chamber","", 19.97,"", 25.69, 4.87, 50.53,"090","S" "33736","","A","Revision of heart chamber","", 22.45,"", 25.69, 4.87, 53.01,"090","S" "33737","","A","Revision of heart chamber","", 20.50,"", 25.69, 4.87, 51.06,"090","S" "33750","","A","Major vessel shunt","", 20.15,"", 22.10, 4.29, 46.54,"090","S" "33755","","A","Major vessel shunt","", 20.50,"", 22.10, 4.29, 46.89,"090","S" "33762","","A","Major vessel shunt","", 20.50,"", 22.10, 4.29, 46.89,"090","S" "33764","","A","Major vessel shunt & graft","", 20.50,"", 22.10, 4.29, 46.89,"090","S" "33766","","A","Major vessel shunt","", 21.47,"", 22.10, 4.29, 47.86,"090","S" "33767","","A","Atrial septectomy/septostomy","", 23.43,"", 25.69, 4.87, 53.99,"090","S" "33770","","A","Repair great vessels defect","", 31.96,"", 38.65, 7.45, 78.06,"090","S" "33771","","A","Repair great vessels defect","", 33.19,"", 38.65, 7.45, 79.29,"090","S" "33774","","A","Repair great vessels defect","", 29.28,"", 31.27, 5.42, 65.97,"090","S" "33775","","A","Repair great vessels defect","", 30.50,"", 31.27, 5.42, 67.19,"090","S" "33776","","A","Repair great vessels defect","", 32.21,"", 34.92, 6.28, 73.41,"090","S" "33777","","A","Repair great vessels defect","", 31.73,"", 31.27, 5.42, 68.42,"090","S" "33778","","A","Repair great vessels defect","", 34.17,"", 41.82, 7.37, 83.36,"090","S" "33779","","A","Repair great vessels defect","", 34.41,"", 41.82, 7.37, 83.60,"090","S" "33780","","A","Repair great vessels defect","", 35.14,"", 41.82, 7.37, 84.33,"090","S" "33781","","A","Repair great vessels defect","", 34.65,"", 41.82, 7.37, 83.84,"090","S" "33786","","A","Repair arterial trunk","", 33.19,"", 38.65, 7.45, 79.29,"090","S" "33788","","A","Revision of pulmonary artery","", 25.38,"", 29.55, 5.20, 60.13,"090","S" "33800","","A","Aortic suspension","", 15.18,"", 14.14, 2.51, 31.83,"090","S" "33802","","A","Repair vessel defect","", 16.60,"", 22.10, 4.29, 42.99,"090","S" "33803","","A","Repair vessel defect","", 18.54,"", 22.10, 4.29, 44.93,"090","S" "33813","","A","Repair septal defect","", 19.52,"", 22.10, 4.29, 45.91,"090","S" "33814","","A","Repair septal defect","", 24.41,"", 30.48, 5.33, 60.22,"090","S" "33820","","A","Revise major vessel","", 15.62,"", 22.10, 4.29, 42.01,"090","S" "33822","","A","Revise major vessel","", 16.60,"", 22.10, 4.29, 42.99,"090","S" "33824","","A","Revise major vessel","", 18.54,"", 22.10, 4.29, 44.93,"090","S" "33840","","A","Remove aorta constriction","", 19.52,"", 31.25, 5.59, 56.36,"090","S" "33845","","A","Remove aorta constriction","", 20.99,"", 31.25, 5.59, 57.83,"090","S" "33851","","A","Remove aorta constriction","", 20.01,"", 31.25, 5.59, 56.85,"090","S" "33852","","A","Repair septal defect","", 22.45,"", 31.25, 5.59, 59.29,"090","S" "33853","","A","Repair septal defect","", 30.26,"", 38.65, 7.45, 76.36,"090","S" "33860","","A","Ascending aorta graft","", 31.23,"", 34.71, 6.18, 72.12,"090","S" "33861","","A","Ascending aorta graft","", 33.19,"", 34.71, 6.18, 74.08,"090","S" "33863","","A","Ascending aorta graft","", 35.14,"", 34.71, 6.18, 76.03,"090","S" "33870","","A","Transverse aortic arch graft","", 37.74,"", 44.30, 8.04, 90.08,"090","S" "33875","","A","Thoracic aorta graft","", 26.94,"", 31.25, 5.59, 63.78,"090","S" "33877","","A","Thoracoabdominal graft","", 40.29,"", 44.11, 8.38, 92.78,"090","S" "33910","","A","Remove lung artery emboli","", 21.86,"", 14.65, 2.77, 39.28,"090","S" "33915","","A","Remove lung artery emboli","", 18.84,"", 12.02, 2.22, 33.08,"090","S" "33916","","A","Surgery of great vessel","", 24.17,"", 17.57, 3.43, 45.17,"090","S" "33917","","A","Repair pulmonary artery","", 23.43,"", 34.71, 6.30, 64.44,"090","S" "33918","","A","Repair pulmonary atresia","", 25.38,"", 29.55, 5.20, 60.13,"090","S" "33919","","A","Repair pulmonary atresia","", 31.11,"", 38.65, 7.45, 77.21,"090","S" "33920","","A","Repair pulmonary atresia","", 30.75,"", 38.65, 7.45, 76.85,"090","S" "33922","","A","Transect pulmonary artery","", 22.45,"", 26.21, 2.83, 51.49,"090","S" "33924","","A","Remove pulmonary shunt","", 5.50,"", 4.00, 0.78, 10.28,"ZZZ","S" "33930","","X","Removal of donor heart/lung","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "33935","","R","Transplantation, heart/lung","", 56.87,"", 77.57, 13.54,147.98,"090","S" "33940","","X","Removal of donor heart","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "33945","","R","Transplantation of heart","", 39.56,"", 64.80, 11.05,115.41,"090","S" "33960","","A","External circulation assist","", 19.36,"", 7.01, 0.94, 27.31,"XXX","S" "33961","","A","External circulation assist","", 10.93,"", 7.01, 0.94, 18.88,"XXX","S" "33970","","A","Aortic circulation assist","", 8.05,"", 7.54, 1.00, 16.59,"000","S" "33971","","A","Aortic circulation assist","", 4.04,"*", 5.16, 0.91, 10.11,"090","S" "33973","","A","Insert balloon device","", 9.76,"", 7.54, 1.00, 18.30,"000","S" "33974","","A","Remove intra-aortic balloon","", 12.69,"", 5.56, 0.91, 19.16,"090","S" "33975","","A","Implant ventricular device","", 19.52,"", 14.19, 2.77, 36.48,"090","S" "33976","","A","Implant ventricular device","", 26.60,"", 19.33, 3.78, 49.71,"090","S" "33977","","A","Remove ventricular device","", 17.08,"", 12.41, 2.43, 31.92,"090","S" "33978","","A","Remove ventricular device","", 19.52,"", 14.19, 2.77, 36.48,"090","S" "33999","","C","Cardiac surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "34001","","A","Removal of artery clot","", 11.69,"", 9.58, 1.87, 23.14,"090","S" "34051","","A","Removal of artery clot","", 13.62,"", 8.81, 1.59, 24.02,"090","S" "34101","","A","Removal of artery clot","", 8.73,"", 8.34, 1.71, 18.78,"090","S" "34111","","A","Removal of arm artery clot","", 7.18,"", 7.59, 1.59, 16.36,"090","S" "34151","","A","Removal of artery clot","", 15.23,"", 11.96, 2.39, 29.58,"090","S" "34201","","A","Removal of artery clot","", 8.04,"", 8.90, 1.78, 18.72,"090","S" "34203","","A","Removal of leg artery clot","", 11.06,"", 8.63, 1.72, 21.41,"090","S" "34401","","A","Removal of vein clot","", 11.64,"", 8.07, 1.39, 21.10,"090","S" "34421","","A","Removal of vein clot","", 8.89,"", 7.45, 1.51, 17.85,"090","S" "34451","","A","Removal of vein clot","", 13.13,"", 10.69, 2.14, 25.96,"090","S" "34471","","A","Removal of vein clot","", 9.12,"", 3.51, 0.55, 13.18,"090","S" "34490","","A","Removal of vein clot","", 6.51,"", 7.27, 1.54, 15.32,"090","S" "34501","","A","Repair valve, femoral vein","", 9.71,"", 7.35, 0.86, 17.92,"090","S" "34502","","A","Reconstruct, vena cava","", 25.65,"", 18.65, 3.64, 47.94,"090","S" "34510","","A","Transposition of vein valve","", 11.75,"", 8.89, 1.04, 21.68,"090","S" "34520","","A","Cross-over vein graft","", 12.33,"", 9.33, 1.09, 22.75,"090","S" "34530","","A","Leg vein fusion","", 16.33,"", 12.35, 1.44, 30.12,"090","S" "35001","","A","Repair defect of artery","", 18.14,"", 15.90, 3.18, 37.22,"090","S" "35002","","A","Repair artery rupture, neck","", 19.43,"", 12.64, 2.41, 34.48,"090","S" "35005","","A","Repair defect of artery","", 16.62,"", 10.28, 2.19, 29.09,"090","S" "35011","","A","Repair defect of artery","", 10.43,"*", 13.35, 2.76, 26.54,"090","S" "35013","","A","Repair artery rupture, arm","", 15.96,"", 14.70, 3.03, 33.69,"090","S" "35021","","A","Repair defect of artery","", 17.62,"", 18.13, 3.06, 38.81,"090","S" "35022","","A","Repair artery rupture, chest","", 21.15,"", 14.78, 2.80, 38.73,"090","S" "35045","","A","Repair defect of arm artery","", 9.98,"", 12.35, 2.50, 24.83,"090","S" "35081","","A","Repair defect of artery","", 22.15,"", 21.45, 4.18, 47.78,"090","S" "35082","","A","Repair artery rupture, aorta","", 28.82,"", 22.91, 4.59, 56.32,"090","S" "35091","","A","Repair defect of artery","", 28.10,"", 22.67, 4.25, 55.02,"090","S" "35092","","A","Repair artery rupture, aorta","", 36.06,"", 26.27, 5.21, 67.54,"090","S" "35102","","A","Repair defect of artery","", 23.44,"", 22.15, 4.32, 49.91,"090","S" "35103","","A","Repair artery rupture, groin","", 31.31,"", 26.16, 5.21, 62.68,"090","S" "35111","","A","Repair defect of artery","", 15.12,"", 17.60, 3.70, 36.42,"090","S" "35112","","A","Repair artery rupture,spleen","", 17.38,"", 10.45, 2.22, 30.05,"090","S" "35121","","A","Repair defect of artery","", 24.68,"", 19.12, 3.66, 47.46,"090","S" "35122","","A","Repair artery rupture, belly","", 32.08,"", 17.92, 3.96, 53.96,"090","S" "35131","","A","Repair defect of artery","", 17.00,"", 15.88, 3.15, 36.03,"090","S" "35132","","A","Repair artery rupture, groin","", 20.40,"", 18.68, 3.58, 42.66,"090","S" "35141","","A","Repair defect of artery","", 13.28,"", 14.70, 2.88, 30.86,"090","S" "35142","","A","Repair artery rupture, thigh","", 14.62,"", 16.10, 3.24, 33.96,"090","S" "35151","","A","Repair defect of artery","", 15.76,"", 15.36, 2.94, 34.06,"090","S" "35152","","A","Repair artery rupture, knee","", 15.46,"", 9.27, 1.95, 26.68,"090","S" "35161","","A","Repair defect of artery","", 17.45,"", 15.88, 3.15, 36.48,"090","S" "35162","","A","Repair artery rupture","", 18.45,"", 18.68, 3.58, 40.71,"090","S" "35180","","A","Repair blood vessel lesion","", 12.16,"", 7.37, 1.48, 21.01,"090","S" "35182","","A","Repair blood vessel lesion","", 16.12,"", 10.65, 1.61, 28.38,"090","S" "35184","","A","Repair blood vessel lesion","", 10.79,"", 9.73, 1.96, 22.48,"090","S" "35188","","A","Repair blood vessel lesion","", 13.10,"", 8.11, 1.59, 22.80,"090","S" "35189","","A","Repair blood vessel lesion","", 17.12,"", 11.33, 2.21, 30.66,"090","S" "35190","","A","Repair blood vessel lesion","", 11.79,"", 10.34, 2.14, 24.27,"090","S" "35201","","A","Repair blood vessel lesion","", 8.90,"", 10.07, 1.94, 20.91,"090","S" "35206","","A","Repair blood vessel lesion","", 8.49,"", 10.15, 2.03, 20.67,"090","S" "35207","","A","Repair blood vessel lesion","", 9.06,"", 10.80, 1.93, 21.79,"090","S" "35211","","A","Repair blood vessel lesion","", 20.15,"", 13.38, 2.59, 36.12,"090","S" "35216","","A","Repair blood vessel lesion","", 17.12,"", 10.68, 2.08, 29.88,"090","S" "35221","","A","Repair blood vessel lesion","", 15.11,"", 11.09, 2.20, 28.40,"090","S" "35226","","A","Repair blood vessel lesion","", 8.17,"", 10.28, 1.95, 20.40,"090","S" "35231","","A","Repair blood vessel lesion","", 10.76,"*", 13.78, 2.91, 27.45,"090","S" "35236","","A","Repair blood vessel lesion","", 9.39,"*", 12.02, 2.56, 23.97,"090","S" "35241","","A","Repair blood vessel lesion","", 21.15,"", 13.49, 2.60, 37.24,"090","S" "35246","","A","Repair blood vessel lesion","", 18.14,"", 16.95, 2.15, 37.24,"090","S" "35251","","A","Repair blood vessel lesion","", 16.12,"", 9.59, 1.88, 27.59,"090","S" "35256","","A","Repair blood vessel lesion","", 10.14,"", 12.40, 2.39, 24.93,"090","S" "35261","","A","Repair blood vessel lesion","", 10.39,"", 13.16, 2.66, 26.21,"090","S" "35266","","A","Repair blood vessel lesion","", 9.06,"*", 11.59, 2.41, 23.06,"090","S" "35271","","A","Repair blood vessel lesion","", 20.15,"", 12.53, 2.56, 35.24,"090","S" "35276","","A","Repair blood vessel lesion","", 17.12,"", 10.85, 2.26, 30.23,"090","S" "35281","","A","Repair blood vessel lesion","", 15.11,"", 17.28, 3.37, 35.76,"090","S" "35286","","A","Repair blood vessel lesion","", 10.78,"", 11.71, 2.33, 24.82,"090","S" "35301","","A","Rechanneling of artery","", 15.95,"", 14.46, 2.81, 33.22,"090","S" "35311","","A","Rechanneling of artery","", 22.61,"", 22.06, 4.61, 49.28,"090","S" "35321","","A","Rechanneling of artery","", 11.08,"", 12.96, 2.69, 26.73,"090","S" "35331","","A","Rechanneling of artery","", 22.15,"", 13.34, 2.66, 38.15,"090","S" "35341","","A","Rechanneling of artery","", 23.67,"", 17.37, 3.53, 44.57,"090","S" "35351","","A","Rechanneling of artery","", 19.15,"", 14.95, 2.97, 37.07,"090","S" "35355","","A","Rechanneling of artery","", 15.11,"", 15.42, 2.99, 33.52,"090","S" "35361","","A","Rechanneling of artery","", 22.15,"", 19.37, 3.88, 45.40,"090","S" "35363","","A","Rechanneling of artery","", 23.16,"", 22.77, 4.40, 50.33,"090","S" "35371","","A","Rechanneling of artery","", 10.49,"", 12.51, 2.50, 25.50,"090","S" "35372","","A","Rechanneling of artery","", 12.28,"", 11.20, 2.28, 25.76,"090","S" "35381","","A","Rechanneling of artery","", 14.50,"", 13.67, 2.71, 30.88,"090","S" "35390","","A","Reoperation, carotid","", 3.19,"", 1.67, 0.39, 5.25,"ZZZ","S" "35450","","A","Repair arterial blockage","", 10.07,"*", 12.89, 1.38, 24.34,"000","N" "35452","","A","Repair arterial blockage","", 6.91,"", 4.35, 0.61, 11.87,"000","S" "35454","","A","Repair arterial blockage","", 6.04,"*", 7.73, 1.53, 15.30,"000","S" "35456","","A","Repair arterial blockage","", 7.35,"*", 9.41, 1.69, 18.45,"000","S" "35458","","A","Repair arterial blockage","", 9.49,"", 10.13, 1.83, 21.45,"000","S" "35459","","A","Repair arterial blockage","", 8.63,"", 10.39, 1.69, 20.71,"000","S" "35460","","A","Repair venous blockage","", 6.04,"", 3.16, 0.74, 9.94,"000","S" "35470","","A","Repair arterial blockage","", 8.63,"", 10.39, 1.69, 20.71,"000","N" "35471","","A","Repair arterial blockage","", 10.07,"*", 12.89, 1.38, 24.34,"000","N" "35472","","A","Repair arterial blockage","", 6.91,"", 3.61, 0.85, 11.37,"000","N" "35473","","A","Repair arterial blockage","", 6.04,"*", 7.73, 1.53, 15.30,"000","N" "35474","","A","Repair arterial blockage","", 7.36,"*", 9.42, 1.69, 18.47,"000","N" "35475","","R","Repair arterial blockage","", 9.49,"", 10.13, 1.83, 21.45,"000","N" "35476","","A","Repair venous blockage","", 6.04,"", 3.16, 0.74, 9.94,"000","N" "35480","","A","Atherectomy, open","", 11.08,"", 13.43, 1.38, 25.89,"000","S" "35481","","A","Atherectomy, open","", 7.61,"", 4.35, 0.61, 12.57,"000","S" "35482","","A","Atherectomy, open","", 6.65,"*", 8.51, 1.53, 16.69,"000","S" "35483","","A","Atherectomy, open","", 8.10,"*", 10.36, 1.69, 20.15,"000","S" "35484","","A","Atherectomy, open","", 10.44,"", 10.13, 1.83, 22.40,"000","S" "35485","","A","Atherectomy, open","", 9.49,"", 4.52, 1.06, 15.07,"000","S" "35490","","A","Atherectomy, percutaneous","", 11.08,"", 13.43, 1.38, 25.89,"000","N" "35491","","A","Atherectomy, percutaneous","", 7.61,"", 4.35, 0.61, 12.57,"000","N" "35492","","A","Atherectomy, percutaneous","", 6.65,"*", 8.51, 1.53, 16.69,"000","N" "35493","","A","Atherectomy, percutaneous","", 8.10,"*", 10.36, 1.69, 20.15,"000","N" "35494","","A","Atherectomy, percutaneous","", 10.44,"", 10.13, 1.83, 22.40,"000","N" "35495","","A","Atherectomy, percutaneous","", 9.49,"", 4.52, 1.06, 15.07,"000","N" "35501","","A","Artery bypass graft","", 18.23,"", 19.35, 3.49, 41.07,"090","S" "35506","","A","Artery bypass graft","", 18.23,"", 19.17, 3.64, 41.04,"090","S" "35507","","A","Artery bypass graft","", 18.23,"", 17.92, 3.61, 39.76,"090","S" "35508","","A","Artery bypass graft","", 17.21,"", 18.11, 3.43, 38.75,"090","S" "35509","","A","Artery bypass graft","", 16.70,"", 18.90, 3.92, 39.52,"090","S" "35511","","A","Artery bypass graft","", 15.39,"", 10.40, 1.92, 27.71,"090","S" "35515","","A","Artery bypass graft","", 17.21,"", 11.25, 2.01, 30.47,"090","S" "35516","","A","Artery bypass graft","", 14.88,"", 17.37, 3.54, 35.79,"090","S" "35518","","A","Artery bypass graft","", 14.05,"", 17.47, 3.38, 34.90,"090","S" "35521","","A","Artery bypass graft","", 14.80,"", 17.53, 3.34, 35.67,"090","S" "35526","","A","Artery bypass graft","", 18.63,"", 12.95, 2.44, 34.02,"090","S" "35531","","A","Artery bypass graft","", 24.17,"", 20.25, 3.90, 48.32,"090","S" "35533","","A","Artery bypass graft","", 19.15,"", 21.04, 4.43, 44.62,"090","S" "35536","","A","Artery bypass graft","", 21.65,"", 21.37, 4.17, 47.19,"090","S" "35541","","A","Artery bypass graft","", 24.17,"", 19.55, 3.65, 47.37,"090","S" "35546","","A","Artery bypass graft","", 24.17,"", 21.39, 4.26, 49.82,"090","S" "35548","","A","Artery bypass graft","", 20.13,"", 19.55, 3.65, 43.33,"090","S" "35549","","A","Artery bypass graft","", 21.91,"", 21.39, 4.26, 47.56,"090","S" "35551","","A","Artery bypass graft","", 25.17,"", 19.25, 3.87, 48.29,"090","S" "35556","","A","Artery bypass graft","", 15.47,"", 18.71, 3.71, 37.89,"090","S" "35558","","A","Artery bypass graft","", 12.82,"*", 16.41, 3.23, 32.46,"090","S" "35560","","A","Artery bypass graft","", 22.12,"", 20.22, 3.93, 46.27,"090","S" "35563","","A","Artery bypass graft","", 13.83,"", 8.32, 1.70, 23.85,"090","S" "35565","","A","Artery bypass graft","", 13.83,"*", 17.69, 3.51, 35.03,"090","S" "35566","","A","Artery bypass graft","", 20.21,"", 20.62, 4.08, 44.91,"090","S" "35571","","A","Artery bypass graft","", 16.66,"", 19.36, 3.87, 39.89,"090","S" "35582","","A","Vein bypass graft","", 25.69,"", 23.74, 4.89, 54.32,"090","S" "35583","","A","Vein bypass graft","", 15.97,"*", 20.44, 4.13, 40.54,"090","S" "35585","","A","Vein bypass graft","", 19.05,"", 22.95, 4.63, 46.63,"090","S" "35587","","A","Vein bypass graft","", 17.07,"", 21.51, 4.13, 42.71,"090","S" "35601","","A","Artery bypass graft","", 16.19,"", 18.83, 3.33, 38.35,"090","S" "35606","","A","Artery bypass graft","", 17.40,"", 17.55, 3.51, 38.46,"090","S" "35612","","A","Artery bypass graft","", 14.39,"", 16.75, 3.30, 34.44,"090","S" "35616","","A","Artery bypass graft","", 14.39,"", 16.79, 3.42, 34.60,"090","S" "35621","","A","Artery bypass graft","", 13.23,"*", 16.94, 3.80, 33.97,"090","S" "35623","","A","Bypass graft, not vein","", 15.42,"", 8.06, 1.88, 25.36,"090","S" "35626","","A","Artery bypass graft","", 22.26,"", 20.51, 4.08, 46.85,"090","S" "35631","","A","Artery bypass graft","", 23.16,"", 17.87, 3.57, 44.60,"090","S" "35636","","A","Artery bypass graft","", 21.15,"", 13.50, 2.45, 37.10,"090","S" "35641","","A","Artery bypass graft","", 22.67,"", 20.56, 4.08, 47.31,"090","S" "35642","","A","Artery bypass graft","", 16.70,"", 10.33, 2.20, 29.23,"090","S" "35645","","A","Artery bypass graft","", 16.19,"", 11.15, 2.05, 29.39,"090","S" "35646","","A","Artery bypass graft","", 24.00,"", 23.78, 4.73, 52.51,"090","S" "35650","","A","Artery bypass graft","", 13.05,"*", 16.71, 3.56, 33.32,"090","S" "35651","","A","Artery bypass graft","", 23.67,"", 24.09, 4.69, 52.45,"090","S" "35654","","A","Artery bypass graft","", 17.62,"", 22.10, 4.42, 44.14,"090","S" "35656","","A","Artery bypass graft","", 13.86,"*", 17.73, 3.60, 35.19,"090","S" "35661","","A","Artery bypass graft","", 11.81,"*", 15.11, 3.30, 30.22,"090","S" "35663","","A","Artery bypass graft","", 12.82,"*", 16.41, 3.80, 33.03,"090","S" "35665","","A","Artery bypass graft","", 14.05,"", 17.79, 3.57, 35.41,"090","S" "35666","","A","Artery bypass graft","", 15.97,"", 20.06, 4.00, 40.03,"090","S" "35671","","A","Artery bypass graft","", 12.18,"*", 15.60, 4.08, 31.86,"090","S" "35681","","A","Artery bypass graft","", 8.05,"*", 10.42, 3.52, 21.99,"ZZZ","S" "35691","","A","Arterial transposition","", 16.70,"", 19.62, 3.81, 40.13,"090","S" "35693","","A","Arterial transposition","", 14.01,"", 9.40, 1.91, 25.32,"090","S" "35694","","A","Arterial transposition","", 17.81,"", 9.33, 2.17, 29.31,"090","S" "35695","","A","Arterial transposition","", 17.81,"", 9.33, 2.17, 29.31,"090","S" "35700","","A","Reoperation, bypass graft","", 3.08,"", 1.61, 0.38, 5.07,"ZZZ","S" "35701","","A","Exploration, carotid artery","", 4.54,"*", 5.82, 1.25, 11.61,"090","S" "35721","","A","Exploration, femoral artery","", 4.54,"", 5.56, 1.11, 11.21,"090","S" "35741","","A","Exploration popliteal artery","", 4.54,"", 5.73, 1.15, 11.42,"090","S" "35761","","A","Exploration of artery/vein","", 4.54,"", 5.81, 1.14, 11.49,"090","S" "35800","","A","Explore neck vessels","", 6.04,"", 5.28, 0.97, 12.29,"090","S" "35820","","A","Explore chest vessels","", 11.64,"", 7.92, 1.43, 20.99,"090","S" "35840","","A","Explore abdominal vessels","", 8.63,"", 7.23, 1.44, 17.30,"090","S" "35860","","A","Explore limb vessels","", 4.54,"", 5.81, 1.15, 11.50,"090","S" "35870","","A","Repair vessel graft defect","", 20.35,"", 10.64, 2.47, 33.46,"090","S" "35875","","A","Removal of clot in graft","", 9.07,"", 8.21, 1.65, 18.93,"090","S" "35876","","A","Removal of clot in graft","", 12.91,"", 8.21, 1.65, 22.77,"090","S" "35901","","A","Excision, graft, neck","", 7.25,"", 7.18, 1.46, 15.89,"090","S" "35903","","A","Excision, graft, extremity","", 8.63,"", 7.18, 1.46, 17.27,"090","S" "35905","","A","Excision, graft, thorax","", 16.89,"", 7.18, 1.46, 25.53,"090","S" "35907","","A","Excision, graft, abdomen","", 17.68,"", 7.18, 1.46, 26.32,"090","S" "36000","","A","Place needle in vein","", 0.18,"*", 0.24, 0.04, 0.46,"XXX","N" "36005","","A","Injection, venography","", 0.95,"", 0.47, 0.04, 1.46,"000","N" "36010","","A","Place catheter in vein","", 2.43,"", 2.11, 0.31, 4.85,"XXX","N" "36011","","A","Place catheter in vein","", 3.14,"", 1.90, 0.22, 5.26,"XXX","N" "36012","","A","Place catheter in vein","", 3.52,"", 2.67, 0.32, 6.51,"XXX","N" "36013","","A","Place catheter in artery","", 2.52,"", 2.11, 0.31, 4.94,"XXX","N" "36014","","A","Place catheter in artery","", 3.02,"", 2.28, 0.27, 5.57,"XXX","N" "36015","","A","Place catheter in artery","", 3.52,"", 2.67, 0.32, 6.51,"XXX","N" "36100","","A","Establish access to artery","", 3.02,"", 2.59, 0.32, 5.93,"XXX","N" "36120","","A","Establish access to artery","", 2.01,"", 2.32, 0.30, 4.63,"XXX","N" "36140","","A","Establish access to artery","", 2.01,"", 1.41, 0.24, 3.66,"XXX","N" "36145","","A","Artery to vein shunt","", 2.01,"*", 2.57, 0.49, 5.07,"XXX","N" "36160","","A","Establish access to aorta","", 2.52,"", 2.32, 0.35, 5.19,"XXX","S" "36200","","A","Place catheter in aorta","", 3.02,"", 2.73, 0.28, 6.03,"XXX","N" "36215","","A","Place catheter in artery","", 4.47,"", 2.78, 0.23, 7.48,"XXX","N" "36216","","A","Place catheter in artery","", 5.28,"", 3.29, 0.27, 8.84,"XXX","N" "36217","","A","Place catheter in artery","", 6.30,"", 3.92, 0.32, 10.54,"XXX","N" "36218","","A","Place catheter in artery","", 1.01,"", 0.62, 0.05, 1.68,"XXX","N" "36245","","A","Place catheter in artery","", 5.07,"", 3.15, 0.26, 8.48,"XXX","N" "36246","","A","Place catheter in artery","", 5.28,"", 3.29, 0.27, 8.84,"XXX","N" "36247","","A","Place catheter in artery","", 6.30,"", 3.92, 0.32, 10.54,"XXX","N" "36248","","A","Place catheter in artery","", 1.01,"", 0.62, 0.05, 1.68,"XXX","N" "36260","","A","Insertion of infusion pump","", 9.27,"", 6.74, 1.41, 17.42,"090","S" "36261","","A","Revision of infusion pump","", 5.04,"", 2.23, 0.42, 7.69,"090","S" "36262","","A","Removal of infusion pump","", 3.70,"", 1.93, 0.40, 6.03,"090","S" "36299","","C","Vessel injection procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "36400","","A","Drawing blood","", 0.18,"", 0.09, 0.01, 0.28,"XXX","N" "36405","","A","Drawing blood","", 0.18,"", 0.45, 0.03, 0.66,"XXX","N" "36406","","A","Drawing blood","", 0.18,"", 0.16, 0.01, 0.35,"XXX","S" "36410","","A","Drawing blood","", 0.18,"", 0.22, 0.02, 0.42,"XXX","N" "36415","","G","Drawing blood","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "36420","","A","Establish access to vein","", 1.01,"", 0.51, 0.05, 1.57,"XXX","N" "36425","","A","Establish access to vein","", 0.76,"", 0.08, 0.01, 0.85,"XXX","N" "36430","","A","Blood transfusion service","", 0.00,"", 0.96, 0.07, 1.03,"XXX","N" "36440","","A","Blood transfusion service","", 1.03,"", 0.94, 0.07, 2.04,"XXX","S" "36450","","A","Exchange transfusion service","", 2.23,"", 1.88, 0.18, 4.29,"XXX","N" "36455","","A","Exchange transfusion service","", 2.43,"", 2.27, 0.22, 4.92,"XXX","N" "36460","","A","Transfusion service, fetal","", 6.59,"", 4.71, 1.09, 12.39,"XXX","N" "36468","","R","Injection(s); spider veins","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "36469","","R","Injection(s); spider veins","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "36470","","A","Injection therapy of vein","", 1.02,"", 0.27, 0.04, 1.33,"010","S" "36471","","A","Injection therapy of veins","", 1.49,"", 0.39, 0.05, 1.93,"010","S" "36481","","A","Insertion of catheter, vein","", 6.99,"", 5.30, 0.61, 12.90,"000","S" "36488","","A","Insertion of catheter, vein","", 1.35,"", 0.97, 0.14, 2.46,"000","N" "36489","","A","Insertion of catheter, vein","", 1.22,"", 1.12, 0.17, 2.51,"000","N" "36490","","A","Insertion of catheter, vein","", 1.67,"", 1.38, 0.20, 3.25,"000","N" "36491","","A","Insertion of catheter, vein","", 1.43,"", 1.71, 0.32, 3.46,"000","N" "36493","","A","Repositioning of cvc","", 1.21,"", 0.63, 0.16, 2.00,"000","N" "36500","","A","Insertion of catheter, vein","", 3.52,"", 0.08, 0.01, 3.61,"000","N" "36510","","A","Insertion of catheter, vein","", 1.09,"", 0.34, 0.02, 1.45,"000","N" "36520","","A","Plasma and/or cell exchange","", 1.74,"", 1.92, 0.12, 3.78,"000","N" "36522","","A","Photopheresis","", 1.67,"*", 2.48, 0.37, 4.52,"000","S" "36530","","R","Insertion of infusion pump","", 4.83,"", 4.82, 1.02, 10.67,"010","S" "36531","","R","Revision of infusion pump","", 4.80,"", 4.37, 0.27, 9.44,"010","S" "36532","","R","Removal of infusion pump","", 3.23,"", 1.77, 0.37, 5.37,"010","S" "36533","","A","Insertion of access port","", 3.82,"", 4.29, 0.85, 8.96,"010","S" "36534","","A","Revision of access port","", 3.79,"", 3.46, 0.21, 7.46,"010","S" "36535","","A","Removal of access port","", 2.22,"", 1.81, 0.38, 4.41,"010","S" "36600","","A","Withdrawal of arterial blood","", 0.32,"", 0.28, 0.02, 0.62,"XXX","N" "36620","","A","Insertion catheter, artery","", 1.15,"", 0.66, 0.14, 1.95,"000","N" "36625","","A","Insertion catheter, artery","", 2.11,"", 0.86, 0.18, 3.15,"000","N" "36640","","A","Insertion catheter, artery","", 2.10,"", 2.32, 0.40, 4.82,"000","N" "36660","","A","Insertion catheter, artery","", 1.40,"", 0.49, 0.04, 1.93,"000","N" "36680","","A","Insert needle, bone cavity","", 1.20,"", 1.24, 0.10, 2.54,"000","N" "36800","","A","Insertion of cannula","", 2.43,"", 2.22, 0.28, 4.93,"000","N" "36810","","A","Insertion of cannula","", 3.97,"", 4.85, 0.74, 9.56,"000","S" "36815","","A","Insertion of cannula","", 2.62,"*", 3.35, 0.70, 6.67,"000","S" "36821","","A","Artery-vein fusion","", 8.39,"", 7.24, 1.46, 17.09,"090","S" "36822","","A","Insertion of cannula(s)","", 5.03,"", 5.60, 0.77, 11.40,"090","S" "36825","","A","Artery-vein graft","", 9.36,"", 11.20, 2.21, 22.77,"090","S" "36830","","A","Artery-vein graft","", 7.78,"*", 9.96, 2.36, 20.10,"090","S" "36832","","A","Revise artery-vein fistula","", 5.84,"*", 7.48, 2.38, 15.70,"090","S" "36834","","A","Repair A-V aneurysm","", 9.32,"", 7.80, 1.66, 18.78,"090","S" "36835","","A","Artery to vein shunt","", 6.54,"", 3.42, 0.79, 10.75,"090","S" "36860","","A","Cannula declotting","", 2.01,"", 2.57, 0.43, 5.01,"000","N" "36861","","A","Cannula declotting","", 2.52,"*", 3.22, 1.01, 6.75,"000","S" "37140","","A","Revision of circulation","", 22.15,"", 16.29, 3.34, 41.78,"090","S" "37145","","A","Revision of circulation","", 23.16,"", 17.13, 1.72, 42.01,"090","S" "37160","","A","Revision of circulation","", 20.15,"", 17.74, 3.79, 41.68,"090","S" "37180","","A","Revision of circulation","", 23.16,"", 14.19, 2.76, 40.11,"090","S" "37181","","A","Splice spleen/kidney veins","", 25.17,"", 16.41, 3.52, 45.10,"090","S" "37200","","A","Transcatheter biopsy","", 4.56,"", 1.59, 0.13, 6.28,"000","N" "37201","","A","Transcatheter therapy infuse","", 7.25,"", 5.50, 0.64, 13.39,"000","N" "37202","","A","Transcatheter therapy infuse","", 5.68,"", 4.30, 0.50, 10.48,"000","N" "37203","","A","Transcatheter retrieval","", 5.03,"", 3.82, 0.45, 9.30,"000","N" "37204","","A","Transcatheter occlusion","", 18.14,"", 13.76, 1.60, 33.50,"000","N" "37205","","A","Transcatheter stent","", 8.28,"", 5.16, 0.42, 13.86,"000","S" "37206","","A","Transcatheter stent","", 4.13,"", 2.58, 0.21, 6.92,"ZZZ","S" "37207","","A","Transcatheter stent","", 8.28,"", 5.16, 0.42, 13.86,"000","S" "37208","","A","Transcatheter stent","", 4.13,"", 2.58, 0.21, 6.92,"ZZZ","S" "37209","","A","Exchange arterial catheter","", 2.27,"", 1.41, 0.11, 3.79,"000","N" "37565","","A","Ligation of neck vein","", 3.90,"", 3.79, 0.74, 8.43,"090","S" "37600","","A","Ligation of neck artery","", 3.90,"*", 4.98, 0.80, 9.68,"090","S" "37605","","A","Ligation of neck artery","", 4.63,"", 5.56, 1.04, 11.23,"090","S" "37606","","A","Ligation of neck artery","", 4.63,"*", 5.92, 0.72, 11.27,"090","S" "37607","","A","Ligation of fistula","", 5.84,"", 3.06, 0.71, 9.61,"090","S" "37609","","A","Temporal artery procedure","", 2.27,"", 2.22, 0.38, 4.87,"010","S" "37615","","A","Ligation of neck artery","", 4.39,"*", 5.62, 1.11, 11.12,"090","S" "37616","","A","Ligation of chest artery","", 14.69,"", 4.21, 0.83, 19.73,"090","S" "37617","","A","Ligation of abdomen artery","", 14.19,"", 8.00, 1.54, 23.73,"090","S" "37618","","A","Ligation of extremity artery","", 3.90,"*", 4.98, 1.06, 9.94,"090","S" "37620","","A","Revision of major vein","", 9.24,"", 8.81, 1.48, 19.53,"090","S" "37650","","A","Revision of major vein","", 4.39,"", 4.02, 0.52, 8.93,"090","S" "37660","","A","Revision of major vein","", 9.65,"", 5.75, 1.07, 16.47,"090","S" "37700","","A","Revise leg vein","", 3.52,"", 3.64, 0.73, 7.89,"090","S" "37720","","A","Removal of leg vein","", 5.22,"", 5.11, 1.04, 11.37,"090","S" "37730","","A","Removal of leg veins","", 6.63,"", 6.95, 1.40, 14.98,"090","S" "37735","","A","Removal of leg veins/lesion","", 9.90,"", 8.34, 1.68, 19.92,"090","S" "37760","","A","Revision of leg veins","", 9.90,"", 7.48, 1.52, 18.90,"090","S" "37780","","A","Revision of leg vein","", 3.52,"", 1.89, 0.35, 5.76,"090","S" "37785","","A","Revise secondary varicosity","", 3.56,"", 0.98, 0.18, 4.72,"090","S" "37788","","A","Revascularization, penis","", 21.33,"", 15.14, 1.48, 37.95,"090","S" "37790","","A","Penile venous occlusion","", 8.02,"", 5.70, 0.55, 14.27,"090","S" "37799","","C","Vascular surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "38100","","A","Removal of spleen, total","", 11.99,"", 8.55, 1.81, 22.35,"090","S" "38101","","A","Removal of spleen, partial","", 12.59,"", 6.99, 1.51, 21.09,"090","S" "38102","","A","Removal of spleen, total","", 4.80,"", 2.51, 0.58, 7.89,"ZZZ","S" "38115","","A","Repair of ruptured spleen","", 12.59,"", 7.64, 1.49, 21.72,"090","S" "38200","","A","Injection for spleen x-ray","", 2.64,"", 1.71, 0.15, 4.50,"000","S" "38230","","A","Bone marrow collection","", 3.16,"", 2.78, 0.21, 6.15,"010","N" "38231","","A","Stem cell collection","", 1.50,"", 1.37, 0.08, 2.95,"000","N" "38240","","A","Bone marrow/stem transplant","", 2.24,"", 2.08, 0.14, 4.46,"XXX","N" "38241","","A","Bone marrow/stem transplant","", 2.24,"", 2.04, 0.13, 4.41,"XXX","N" "38300","","A","Drainage lymph node lesion","", 1.48,"", 0.58, 0.10, 2.16,"010","S" "38305","","A","Drainage lymph node lesion","", 4.24,"", 1.96, 0.36, 6.56,"090","S" "38308","","A","Incision of lymph channels","", 4.55,"", 3.37, 0.45, 8.37,"090","S" "38380","","A","Thoracic duct procedure","", 6.53,"", 4.44, 0.76, 11.73,"090","S" "38381","","A","Thoracic duct procedure","", 12.10,"", 7.56, 1.50, 21.16,"090","S" "38382","","A","Thoracic duct procedure","", 9.24,"", 4.84, 1.13, 15.21,"090","S" "38500","","A","Biopsy/removal,lymph node(s)","", 2.83,"", 1.59, 0.31, 4.73,"010","S" "38505","","A","Needle biopsy, lymph node(s)","", 1.14,"", 1.12, 0.17, 2.43,"000","S" "38510","","A","Biopsy/removal,lymph node(s)","", 3.90,"", 2.54, 0.45, 6.89,"090","S" "38520","","A","Biopsy/removal,lymph node(s)","", 4.86,"", 2.99, 0.56, 8.41,"090","S" "38525","","A","Biopsy/removal,lymph node(s)","", 4.37,"", 2.59, 0.53, 7.49,"090","S" "38530","","A","Biopsy/removal,lymph node(s)","", 5.82,"", 3.17, 0.65, 9.64,"090","S" "38542","","A","Explore deep node(s), neck","", 5.41,"", 4.26, 0.59, 10.26,"090","S" "38550","","A","Removal neck/armpit lesion","", 6.42,"", 3.23, 0.63, 10.28,"090","S" "38555","","A","Removal neck/armpit lesion","", 13.05,"", 7.27, 1.38, 21.70,"090","S" "38562","","A","Removal, pelvic lymph nodes","", 9.65,"", 6.88, 1.20, 17.73,"090","S" "38564","","A","Removal, abdomen lymph nodes","", 10.00,"", 7.39, 1.51, 18.90,"090","S" "38700","","A","Removal of lymph nodes, neck","", 7.56,"", 9.64, 1.31, 18.51,"090","S" "38720","","A","Removal of lymph nodes, neck","", 12.29,"*", 15.73, 2.04, 30.06,"090","S" "38724","","A","Removal of lymph nodes, neck","", 13.22,"", 14.36, 2.00, 29.58,"090","S" "38740","","A","Remove armpit lymph nodes","", 6.28,"", 4.72, 1.00, 12.00,"090","S" "38745","","A","Remove armpits lymph nodes","", 8.08,"", 8.28, 1.76, 18.12,"090","S" "38746","","A","Remove thoracic lymph nodes","", 4.39,"", 2.29, 0.53, 7.21,"ZZZ","S" "38747","","A","Remove abdominal lymph nodes","", 4.89,"", 2.56, 0.59, 8.04,"ZZZ","S" "38760","","A","Remove groin lymph nodes","", 8.19,"", 6.63, 1.35, 16.17,"090","S" "38765","","A","Remove groin lymph nodes","", 14.98,"", 12.67, 2.42, 30.07,"090","S" "38770","","A","Remove pelvis lymph nodes","", 12.10,"", 15.40, 1.73, 29.23,"090","S" "38780","","A","Remove abdomen lymph nodes","", 15.17,"", 16.06, 3.13, 34.36,"090","S" "38790","","A","Injection for lymphatic xray","", 1.29,"*", 1.64, 0.19, 3.12,"000","N" "38794","","A","Access thoracic lymph duct","", 4.05,"", 2.84, 0.38, 7.27,"090","S" "38999","","C","Blood/lymph system procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "39000","","A","Exploration of chest","", 5.03,"", 6.05, 1.08, 12.16,"090","S" "39010","","A","Exploration of chest","", 10.78,"", 11.46, 2.08, 24.32,"090","S" "39200","","A","Removal chest lesion","", 12.40,"", 11.58, 2.14, 26.12,"090","S" "39220","","A","Removal chest lesion","", 16.16,"", 14.94, 2.83, 33.93,"090","S" "39400","","A","Visualization of chest","", 5.11,"", 5.12, 0.95, 11.18,"010","S" "39499","","C","Chest procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "39501","","A","Repair diaphragm laceration","", 12.10,"", 10.66, 2.10, 24.86,"090","S" "39502","","A","Repair paraesophageal hernia","", 15.18,"", 11.93, 2.45, 29.56,"090","S" "39503","","A","Repair of diaphragm hernia","", 33.22,"", 25.18, 2.94, 61.34,"090","S" "39520","","A","Repair of diaphragm hernia","", 15.18,"", 12.53, 2.46, 30.17,"090","S" "39530","","A","Repair of diaphragm hernia","", 14.22,"", 14.06, 2.71, 30.99,"090","S" "39531","","A","Repair of diaphragm hernia","", 15.23,"", 10.00, 1.80, 27.03,"090","S" "39540","","A","Repair of diaphragm hernia","", 12.10,"", 11.98, 2.51, 26.59,"090","S" "39541","","A","Repair of diaphragm hernia","", 13.10,"", 12.16, 2.37, 27.63,"090","S" "39545","","A","Revision of diaphragm","", 12.10,"", 7.90, 1.31, 21.31,"090","S" "39599","","C","Diaphragm surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "40490","","A","Biopsy of lip","", 1.22,"", 0.74, 0.07, 2.03,"000","S" "40500","","A","Partial excision of lip","", 4.08,"*", 5.23, 0.94, 10.25,"090","S" "40510","","A","Partial excision of lip","", 4.57,"*", 5.84, 0.83, 11.24,"090","S" "40520","","A","Partial excision of lip","", 4.54,"", 4.50, 0.68, 9.72,"090","S" "40525","","A","Reconstruct lip with flap","", 7.26,"*", 9.30, 1.43, 17.99,"090","S" "40527","","A","Reconstruct lip with flap","", 8.71,"*", 11.16, 1.65, 21.52,"090","S" "40530","","A","Partial removal of lip","", 5.14,"", 5.10, 0.74, 10.98,"090","S" "40650","","A","Repair lip","", 3.49,"*", 4.47, 0.65, 8.61,"090","S" "40652","","A","Repair lip","", 4.08,"*", 5.23, 0.79, 10.10,"090","S" "40654","","A","Repair lip","", 5.13,"*", 6.57, 1.00, 12.70,"090","S" "40700","","A","Repair cleft lip/nasal","", 12.04,"", 8.46, 1.28, 21.78,"090","S" "40701","","A","Repair cleft lip/nasal","", 15.10,"*", 19.33, 1.62, 36.05,"090","S" "40702","","A","Repair cleft lip/nasal","", 12.34,"", 9.37, 1.10, 22.81,"090","S" "40720","","A","Repair cleft lip/nasal","", 12.91,"", 9.59, 1.79, 24.29,"090","S" "40761","","A","Repair cleft lip/nasal","", 14.00,"", 10.84, 1.74, 26.58,"090","S" "40799","","C","Lip surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "40800","","A","Drainage of mouth lesion","", 1.12,"", 0.74, 0.07, 1.93,"010","S" "40801","","A","Drainage of mouth lesion","", 2.48,"", 1.70, 0.16, 4.34,"010","S" "40804","","A","Removal foreign body, mouth","", 1.19,"", 0.58, 0.06, 1.83,"010","S" "40805","","A","Removal foreign body, mouth","", 2.64,"", 2.50, 0.30, 5.44,"010","S" "40806","","A","Incision of lip fold","", 0.31,"", 0.36, 0.03, 0.70,"000","S" "40808","","A","Biopsy of mouth lesion","", 0.91,"", 0.76, 0.08, 1.75,"010","S" "40810","","A","Excision of mouth lesion","", 1.26,"", 1.18, 0.11, 2.55,"010","S" "40812","","A","Excise/repair mouth lesion","", 2.26,"", 1.50, 0.14, 3.90,"010","S" "40814","","A","Excise/repair mouth lesion","", 3.27,"", 3.23, 0.32, 6.82,"090","S" "40816","","A","Excision of mouth lesion","", 3.52,"", 3.22, 0.33, 7.07,"090","S" "40818","","A","Excise oral mucosa for graft","", 2.26,"", 2.25, 0.20, 4.71,"090","S" "40819","","A","Excise lip or cheek fold","", 2.26,"", 1.23, 0.14, 3.63,"090","S" "40820","","A","Treatment of mouth lesion","", 1.23,"", 0.53, 0.06, 1.82,"010","S" "40830","","A","Repair mouth laceration","", 1.71,"", 0.67, 0.07, 2.45,"010","S" "40831","","A","Repair mouth laceration","", 2.41,"", 1.94, 0.21, 4.56,"010","S" "40840","","R","Reconstruction of mouth","", 8.31,"", 6.28, 0.73, 15.32,"090","S" "40842","","R","Reconstruction of mouth","", 8.31,"", 6.28, 0.73, 15.32,"090","S" "40843","","R","Reconstruction of mouth","", 11.63,"", 8.80, 1.03, 21.46,"090","S" "40844","","R","Reconstruction of mouth","", 15.37,"", 11.63, 1.36, 28.36,"090","S" "40845","","R","Reconstruction of mouth","", 17.94,"", 23.99, 1.93, 43.86,"090","S" "40899","","C","Mouth surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "41000","","A","Drainage of mouth lesion","", 1.25,"", 0.76, 0.08, 2.09,"010","S" "41005","","A","Drainage of mouth lesion","", 1.21,"", 0.62, 0.07, 1.90,"010","S" "41006","","A","Drainage of mouth lesion","", 3.03,"", 1.01, 0.11, 4.15,"090","S" "41007","","A","Drainage of mouth lesion","", 2.89,"", 2.90, 0.30, 6.09,"090","S" "41008","","A","Drainage of mouth lesion","", 3.16,"", 1.06, 0.11, 4.33,"090","S" "41009","","A","Drainage of mouth lesion","", 3.35,"", 3.31, 0.34, 7.00,"090","S" "41010","","A","Incision of tongue fold","", 1.19,"", 0.37, 0.04, 1.60,"010","S" "41015","","A","Drainage of mouth lesion","", 3.72,"", 0.87, 0.10, 4.69,"090","S" "41016","","A","Drainage of mouth lesion","", 3.72,"", 3.69, 0.38, 7.79,"090","S" "41017","","A","Drainage of mouth lesion","", 3.72,"", 1.40, 0.14, 5.26,"090","S" "41018","","A","Drainage of mouth lesion","", 4.75,"", 3.93, 0.38, 9.06,"090","S" "41100","","A","Biopsy of tongue","", 1.58,"", 0.80, 0.08, 2.46,"010","S" "41105","","A","Biopsy of tongue","", 1.37,"", 1.03, 0.12, 2.52,"010","S" "41108","","A","Biopsy of floor of mouth","", 1.00,"", 0.85, 0.09, 1.94,"010","S" "41110","","A","Excision of tongue lesion","", 1.46,"", 1.30, 0.15, 2.91,"010","S" "41112","","A","Excision of tongue lesion","", 2.63,"", 2.39, 0.23, 5.25,"090","S" "41113","","A","Excision of tongue lesion","", 3.09,"", 3.41, 0.37, 6.87,"090","S" "41114","","A","Excision of tongue lesion","", 7.88,"", 6.39, 0.73, 15.00,"090","S" "41115","","A","Excision of tongue fold","", 1.69,"", 1.78, 0.17, 3.64,"010","S" "41116","","A","Excision of mouth lesion","", 2.36,"", 2.49, 0.27, 5.12,"090","S" "41120","","A","Partial removal of tongue","", 8.83,"", 7.28, 0.88, 16.99,"090","S" "41130","","A","Partial removal of tongue","", 10.27,"", 9.06, 1.14, 20.47,"090","S" "41135","","A","Tongue and neck surgery","", 14.29,"*", 18.30, 2.64, 35.23,"090","S" "41140","","A","Removal of tongue","", 23.46,"", 18.89, 2.45, 44.80,"090","S" "41145","","A","Tongue removal; neck surgery","", 27.58,"", 22.79, 2.95, 53.32,"090","S" "41150","","A","Tongue, mouth, jaw surgery","", 19.36,"", 18.96, 2.46, 40.78,"090","S" "41153","","A","Tongue, mouth, neck surgery","", 21.18,"", 25.00, 3.03, 49.21,"090","S" "41155","","A","Tongue, jaw, & neck surgery","", 23.40,"*", 29.95, 3.75, 57.10,"090","S" "41250","","A","Repair tongue laceration","", 1.86,"", 1.07, 0.11, 3.04,"010","S" "41251","","A","Repair tongue laceration","", 2.22,"", 2.07, 0.21, 4.50,"010","S" "41252","","A","Repair tongue laceration","", 2.92,"", 2.35, 0.26, 5.53,"010","S" "41500","","A","Fixation of tongue","", 3.50,"", 3.29, 0.26, 7.05,"090","S" "41510","","A","Tongue to lip surgery","", 3.32,"", 2.53, 0.45, 6.30,"090","S" "41520","","A","Reconstruction, tongue fold","", 2.63,"", 2.88, 0.28, 5.79,"090","S" "41599","","C","Tongue and mouth surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "41800","","A","Drainage of gum lesion","", 1.12,"", 0.69, 0.07, 1.88,"010","S" "41805","","A","Removal foreign body, gum","", 1.19,"", 0.84, 0.08, 2.11,"010","S" "41806","","A","Removal foreign body,jawbone","", 2.64,"", 1.64, 0.15, 4.43,"010","S" "41820","","R","Excision, gum, each quadrant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "41821","","R","Excision of gum flap","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "41822","","R","Excision of gum lesion","", 2.26,"", 3.03, 0.25, 5.54,"010","S" "41823","","R","Excision of gum lesion","", 3.15,"", 4.20, 0.34, 7.69,"090","S" "41825","","A","Excision of gum lesion","", 1.26,"", 1.49, 0.14, 2.89,"010","S" "41826","","A","Excision of gum lesion","", 2.26,"", 2.07, 0.18, 4.51,"010","S" "41827","","A","Excision of gum lesion","", 3.27,"", 3.78, 0.38, 7.43,"090","S" "41828","","R","Excision of gum lesion","", 3.04,"", 4.07, 0.33, 7.44,"010","S" "41830","","R","Removal of gum tissue","", 3.30,"", 4.41, 0.36, 8.07,"010","S" "41850","","R","Treatment of gum lesion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "41870","","R","Gum graft","", 0.00,"", 0.00, 0.00, 0.00,"XXX","S" "41872","","R","Repair gum","", 2.44,"", 3.26, 0.27, 5.97,"090","S" "41874","","R","Repair tooth socket","", 2.94,"", 3.93, 0.32, 7.19,"090","S" "41899","","C","Dental surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "42000","","A","Drainage mouth roof lesion","", 1.18,"", 0.62, 0.06, 1.86,"010","S" "42100","","A","Biopsy roof of mouth","", 1.26,"", 0.79, 0.08, 2.13,"010","S" "42104","","A","Excision lesion, mouth roof","", 1.59,"", 1.62, 0.17, 3.38,"010","S" "42106","","A","Excision lesion, mouth roof","", 2.63,"", 2.22, 0.21, 5.06,"010","S" "42107","","A","Excision lesion, mouth roof","", 4.20,"", 4.91, 0.50, 9.61,"090","S" "42120","","A","Remove palate/lesion","", 5.39,"*", 6.90, 1.01, 13.30,"090","S" "42140","","A","Excision of uvula","", 1.54,"", 1.35, 0.15, 3.04,"090","S" "42145","","A","Repair,palate,pharynx/uvula","", 7.04,"*", 9.01, 1.45, 17.50,"090","S" "42160","","A","Treatment mouth roof lesion","", 1.75,"", 1.53, 0.16, 3.44,"010","S" "42180","","A","Repair palate","", 2.45,"", 2.24, 0.26, 4.95,"010","S" "42182","","A","Repair palate","", 3.78,"", 3.47, 0.38, 7.63,"010","S" "42200","","A","Reconstruct cleft palate","", 9.48,"", 7.19, 0.85, 17.52,"090","S" "42205","","A","Reconstruct cleft palate","", 8.96,"", 10.82, 0.79, 20.57,"090","S" "42210","","A","Reconstruct cleft palate","", 10.02,"", 12.51, 0.95, 23.48,"090","S" "42215","","A","Reconstruct cleft palate","", 8.42,"", 7.68, 0.86, 16.96,"090","S" "42220","","A","Reconstruct cleft palate","", 6.65,"", 5.40, 0.81, 12.86,"090","S" "42225","","A","Reconstruct cleft palate","", 9.08,"", 6.90, 1.08, 17.06,"090","S" "42226","","A","Lengthening of palate","", 9.42,"", 7.89, 0.86, 18.17,"090","S" "42227","","A","Lengthening of palate","", 8.89,"", 7.41, 0.38, 16.68,"090","S" "42235","","A","Repair palate","", 7.50,"", 5.55, 0.49, 13.54,"090","S" "42260","","A","Repair nose to lip fistula","", 4.17,"", 3.98, 0.44, 8.59,"090","S" "42280","","A","Preparation, palate mold","", 1.49,"", 1.99, 0.17, 3.65,"010","S" "42281","","A","Insertion, palate prosthesis","", 1.77,"", 1.47, 0.15, 3.39,"010","S" "42299","","C","Palate/uvula surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "42300","","A","Drainage of salivary gland","", 1.88,"", 0.96, 0.12, 2.96,"010","S" "42305","","A","Drainage of salivary gland","", 5.59,"", 2.18, 0.27, 8.04,"090","S" "42310","","A","Drainage of salivary gland","", 1.51,"", 1.03, 0.12, 2.66,"010","S" "42320","","A","Drainage of salivary gland","", 2.30,"", 1.83, 0.22, 4.35,"010","S" "42325","","A","Create salivary cyst drain","", 2.65,"", 2.12, 0.20, 4.97,"090","S" "42326","","A","Create salivary cyst drain","", 3.65,"", 4.34, 0.33, 8.32,"090","S" "42330","","A","Removal of salivary stone","", 2.16,"", 1.10, 0.12, 3.38,"010","S" "42335","","A","Removal of salivary stone","", 3.21,"", 2.47, 0.27, 5.95,"090","S" "42340","","A","Removal of salivary stone","", 4.47,"", 4.25, 0.45, 9.17,"090","S" "42400","","A","Biopsy of salivary gland","", 0.78,"", 0.79, 0.10, 1.67,"000","S" "42405","","A","Biopsy of salivary gland","", 3.24,"", 1.54, 0.19, 4.97,"010","S" "42408","","A","Excision of salivary cyst","", 4.41,"", 3.24, 0.38, 8.03,"090","S" "42409","","A","Drainage of salivary cyst","", 2.71,"", 2.81, 0.30, 5.82,"090","S" "42410","","A","Excise parotid gland/lesion","", 8.88,"", 5.94, 0.92, 15.74,"090","S" "42415","","A","Excise parotid gland/lesion","", 16.12,"", 12.68, 1.68, 30.48,"090","S" "42420","","A","Excise parotid gland/lesion","", 18.63,"", 14.82, 1.87, 35.32,"090","S" "42425","","A","Excise parotid gland/lesion","", 12.36,"", 11.10, 1.43, 24.89,"090","S" "42426","","A","Excise parotid gland/lesion","", 19.88,"", 24.12, 3.21, 47.21,"090","S" "42440","","A","Excision submaxillary gland","", 6.61,"", 7.98, 0.99, 15.58,"090","S" "42450","","A","Excision sublingual gland","", 4.38,"", 3.42, 0.35, 8.15,"090","S" "42500","","A","Repair salivary duct","", 4.06,"", 4.61, 0.50, 9.17,"090","S" "42505","","A","Repair salivary duct","", 5.92,"", 7.34, 0.86, 14.12,"090","S" "42507","","A","Parotid duct diversion","", 5.96,"", 4.65, 0.67, 11.28,"090","S" "42508","","A","Parotid duct diversion","", 8.64,"", 7.61, 0.94, 17.19,"090","S" "42509","","A","Parotid duct diversion","", 11.08,"", 7.31, 1.23, 19.62,"090","S" "42510","","A","Parotid duct diversion","", 7.71,"", 7.65, 0.84, 16.20,"090","S" "42550","","A","Injection for salivary x-ray","", 1.25,"", 0.44, 0.04, 1.73,"000","N" "42600","","A","Closure of salivary fistula","", 4.58,"", 3.89, 0.46, 8.93,"090","S" "42650","","A","Dilation of salivary duct","", 0.77,"", 0.39, 0.04, 1.20,"000","S" "42660","","A","Dilation of salivary duct","", 1.13,"", 0.50, 0.06, 1.69,"000","S" "42665","","A","Ligation of salivary duct","", 2.43,"", 2.04, 0.25, 4.72,"090","S" "42699","","C","Salivary surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "42700","","A","Drainage of tonsil abscess","", 1.57,"", 0.85, 0.10, 2.52,"010","S" "42720","","A","Drainage of throat abscess","", 2.61,"", 1.89, 0.22, 4.72,"010","S" "42725","","A","Drainage of throat abscess","", 7.60,"", 4.45, 0.53, 12.58,"090","S" "42800","","A","Biopsy of throat","", 1.34,"", 0.74, 0.08, 2.16,"010","S" "42802","","A","Biopsy of throat","", 1.49,"", 1.02, 0.12, 2.63,"010","S" "42804","","A","Biopsy of upper nose/throat","", 1.19,"", 1.09, 0.13, 2.41,"010","S" "42806","","A","Biopsy of upper nose/throat","", 1.53,"", 1.40, 0.16, 3.09,"010","S" "42808","","A","Excise pharynx lesion","", 2.25,"", 2.52, 0.29, 5.06,"010","S" "42809","","A","Remove pharynx foreign body","", 1.76,"", 0.82, 0.08, 2.66,"010","S" "42810","","A","Excision of neck cyst","", 3.20,"", 3.14, 0.47, 6.81,"090","S" "42815","","A","Excision of neck cyst","", 6.75,"", 8.47, 1.12, 16.34,"090","S" "42820","","A","Remove tonsils and adenoids","", 3.59,"", 3.15, 0.32, 7.06,"090","S" "42821","","A","Remove tonsils and adenoids","", 4.10,"", 3.93, 0.46, 8.49,"090","S" "42825","","A","Removal of tonsils","", 3.21,"", 2.64, 0.33, 6.18,"090","S" "42826","","A","Removal of tonsils","", 3.19,"", 3.86, 0.43, 7.48,"090","S" "42830","","A","Removal of adenoids","", 2.49,"", 1.86, 0.27, 4.62,"090","S" "42831","","A","Removal of adenoids","", 2.61,"", 2.36, 0.25, 5.22,"090","S" "42835","","A","Removal of adenoids","", 2.22,"", 1.86, 0.10, 4.18,"090","S" "42836","","A","Removal of adenoids","", 3.10,"", 2.79, 0.31, 6.20,"090","S" "42842","","A","Extensive surgery of throat","", 8.13,"", 6.69, 0.73, 15.55,"090","S" "42844","","A","Extensive surgery of throat","", 12.73,"", 10.85, 1.27, 24.85,"090","S" "42845","","A","Extensive surgery of throat","", 21.88,"", 18.62, 2.22, 42.72,"090","S" "42860","","A","Excision of tonsil tags","", 2.14,"", 1.89, 0.21, 4.24,"090","S" "42870","","A","Excision of lingual tonsil","", 5.16,"", 2.32, 0.26, 7.74,"090","S" "42880","","A","Excise nose/throat lesion","", 6.01,"", 4.62, 0.52, 11.15,"090","S" "42890","","A","Partial removal of pharynx","", 11.67,"", 8.99, 1.03, 21.69,"090","S" "42892","","A","Revision of pharyngeal walls","", 13.94,"", 10.92, 1.27, 26.13,"090","S" "42894","","A","Revision of pharyngeal walls","", 20.68,"", 16.06, 1.83, 38.57,"090","S" "42900","","A","Repair throat wound","", 4.98,"", 4.26, 0.48, 9.72,"010","S" "42950","","A","Reconstruction of throat","", 7.70,"", 9.86, 1.10, 18.66,"090","S" "42953","","A","Repair throat, esophagus","", 8.21,"", 6.34, 0.93, 15.48,"090","S" "42955","","A","Surgical opening of throat","", 6.50,"", 3.32, 0.43, 10.25,"090","S" "42960","","A","Control throat bleeding","", 2.28,"", 1.08, 0.12, 3.48,"010","S" "42961","","A","Control throat bleeding","", 5.18,"", 1.75, 0.19, 7.12,"090","S" "42962","","A","Control throat bleeding","", 6.64,"", 5.98, 0.68, 13.30,"090","S" "42970","","A","Control nose/throat bleeding","", 4.78,"", 1.03, 0.10, 5.91,"090","N" "42971","","A","Control nose/throat bleeding","", 5.56,"", 2.90, 0.34, 8.80,"090","S" "42972","","A","Control nose/throat bleeding","", 6.55,"", 4.55, 0.73, 11.83,"090","S" "42999","","C","Throat surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "43020","","A","Incision of esophagus","", 7.72,"", 6.58, 0.71, 15.01,"090","S" "43030","","A","Throat muscle surgery","", 7.15,"*", 9.15, 1.21, 17.51,"090","S" "43045","","A","Incision of esophagus","", 18.83,"", 12.45, 2.36, 33.64,"090","S" "43100","","A","Excision of esophagus lesion","", 8.47,"", 6.19, 0.95, 15.61,"090","S" "43101","","A","Excision of esophagus lesion","", 15.11,"", 9.48, 1.88, 26.47,"090","S" "43107","","A","Removal of esophagus","", 27.20,"", 22.50, 4.42, 54.12,"090","S" "43108","","A","Removal of esophagus","", 32.64,"", 25.27, 4.77, 62.68,"090","S" "43112","","A","Removal of esophagus","", 29.67,"", 21.65, 4.22, 55.54,"090","S" "43113","","A","Removal of esophagus","", 33.63,"", 25.27, 4.77, 63.67,"090","S" "43116","","A","Partial removal of esophagus","", 29.67,"", 25.27, 4.77, 59.71,"090","S" "43117","","A","Partial removal of esophagus","", 28.47,"", 25.27, 4.77, 58.51,"090","S" "43118","","A","Partial removal of esophagus","", 31.65,"", 25.27, 4.77, 61.69,"090","S" "43121","","A","Partial removal of esophagus","", 27.69,"", 21.36, 4.19, 53.24,"090","S" "43122","","A","Parital removal of esophagus","", 27.69,"", 21.36, 4.19, 53.24,"090","S" "43123","","A","Partial removal of esophagus","", 31.65,"", 25.27, 4.77, 61.69,"090","S" "43124","","A","Removal of esophagus","", 24.73,"", 22.50, 4.42, 51.65,"090","S" "43130","","A","Removal of esophagus pouch","", 10.68,"", 10.51, 1.60, 22.79,"090","S" "43135","","A","Removal of esophagus pouch","", 15.11,"", 11.72, 2.17, 29.00,"090","S" "43200","","A","Esophagus endoscopy","", 1.59,"*", 2.04, 0.26, 3.89,"000","S" "43202","","A","Esophagus endoscopy, biopsy","", 1.89,"*", 2.41, 0.31, 4.61,"000","N" "43204","","A","Esophagus endoscopy & inject","", 3.77,"*", 4.83, 0.36, 8.96,"000","N" "43205","","A","Esophagus endoscopy/ligation","", 3.79,"", 2.70, 0.18, 6.67,"000","N" "43215","","A","Esophagus endoscopy","", 2.60,"*", 3.33, 0.46, 6.39,"000","N" "43216","","A","Esophagus endoscopy/lesion","", 2.40,"*", 3.58, 0.37, 6.35,"000","N" "43217","","A","Esophagus endoscopy","", 2.90,"*", 3.58, 0.37, 6.85,"000","N" "43219","","A","Esophagus endoscopy","", 2.80,"*", 3.58, 0.34, 6.72,"000","N" "43220","","A","Esophagus endoscopy,dilation","", 2.10,"*", 2.68, 0.27, 5.05,"000","N" "43226","","A","Esophagus endoscopy,dilation","", 2.34,"*", 3.00, 0.26, 5.60,"000","N" "43227","","A","Esophagus endoscopy, repair","", 3.60,"*", 4.61, 0.34, 8.55,"000","N" "43228","","A","Esophagus endoscopy,ablation","", 3.77,"", 4.79, 0.38, 8.94,"000","N" "43234","","A","Upper GI endoscopy, exam","", 2.01,"*", 2.57, 0.30, 4.88,"000","N" "43235","","A","Upper gi endoscopy,diagnosis","", 2.39,"*", 3.07, 0.29, 5.75,"000","N" "43239","","A","Upper GI endoscopy, biopsy","", 2.69,"*", 3.44, 0.33, 6.46,"000","N" "43241","","A","Upper GI endoscopy with tube","", 2.59,"*", 3.31, 0.38, 6.28,"000","N" "43243","","A","Upper GI endoscopy & inject.","", 4.57,"", 5.63, 0.39, 10.59,"000","N" "43244","","A","Upper GI endoscopy/ligation","", 4.59,"", 3.47, 0.41, 8.47,"000","N" "43245","","A","Operative upper GI endoscopy","", 3.39,"*", 4.34, 0.40, 8.13,"000","N" "43246","","A","Place gastrostomy tube","", 4.33,"*", 5.55, 0.51, 10.39,"000","N" "43247","","A","Operative upper GI endoscopy","", 3.39,"*", 4.34, 0.38, 8.11,"000","N" "43248","","A","Upper GI endoscopy/guidewire","", 3.15,"*", 4.03, 0.35, 7.53,"000","N" "43249","","A","Esophagus endoscopy,dilation","", 2.90,"", 3.73, 0.30, 6.93,"000","N" "43250","","A","Upper GI endoscopy/tumor","", 3.20,"*", 4.60, 0.43, 8.23,"000","N" "43251","","A","Operative upper GI endoscopy","", 3.70,"*", 4.60, 0.43, 8.73,"000","N" "43255","","A","Operative upper GI endoscopy","", 4.40,"", 5.63, 0.38, 10.41,"000","N" "43258","","A","Operative upper GI endoscopy","", 4.55,"", 5.41, 0.38, 10.34,"000","N" "43259","","A","Endoscopic ultrasound exam","", 4.89,"", 4.02, 0.35, 9.26,"000","N" "43260","","A","Endoscopy,bile duct/pancreas","", 5.96,"", 5.98, 0.39, 12.33,"000","N" "43261","","A","Endoscopy,bile duct/pancreas","", 6.27,"", 5.98, 0.39, 12.64,"000","N" "43262","","A","Endoscopy,bile duct/pancreas","", 7.39,"", 9.00, 0.58, 16.97,"000","N" "43263","","A","Endoscopy,bile duct/pancreas","", 6.19,"", 5.83, 0.38, 12.40,"000","N" "43264","","A","Endoscopy,bile duct/pancreas","", 8.90,"", 8.92, 0.61, 18.43,"000","N" "43265","","A","Endoscopy,bile duct/pancreas","", 8.90,"", 6.82, 0.49, 16.21,"000","N" "43267","","A","Endoscopy,bile duct/pancreas","", 7.39,"", 7.41, 0.48, 15.28,"000","N" "43268","","A","Endoscopy,bile duct/pancreas","", 7.39,"", 8.72, 0.56, 16.67,"000","N" "43269","","A","Endoscopy,bile duct/pancreas","", 6.04,"", 7.35, 0.51, 13.90,"000","N" "43271","","A","Endoscopy,bile duct/pancreas","", 7.39,"", 7.63, 0.50, 15.52,"000","N" "43272","","A","Endoscopy,bile duct/pancreas","", 7.39,"", 5.60, 0.42, 13.41,"000","N" "43300","","A","Repair of esophagus","", 8.72,"*", 11.17, 1.70, 21.59,"090","S" "43305","","A","Repair esophagus and fistula","", 16.14,"", 13.71, 1.78, 31.63,"090","S" "43310","","A","Repair of esophagus","", 24.20,"", 16.99, 3.23, 44.42,"090","S" "43312","","A","Repair esophagus and fistula","", 27.26,"", 13.72, 2.30, 43.28,"090","S" "43320","","A","Fuse esophagus & stomach","", 14.49,"", 11.68, 2.05, 28.22,"090","S" "43324","","A","Revise esophagus & stomach","", 15.18,"", 11.88, 2.53, 29.59,"090","S" "43325","","A","Revise esophagus & stomach","", 14.63,"", 11.61, 2.29, 28.53,"090","S" "43326","","A","Revise esophagus & stomach","", 14.37,"", 7.52, 1.75, 23.64,"090","S" "43330","","A","Repair of esophagus","", 14.27,"", 11.36, 2.39, 28.02,"090","S" "43331","","A","Repair of esophagus","", 14.73,"", 14.33, 2.64, 31.70,"090","S" "43340","","A","Fuse esophagus & intestine","", 14.16,"", 12.44, 2.52, 29.12,"090","S" "43341","","A","Fuse esophagus & intestine","", 15.26,"", 9.90, 1.56, 26.72,"090","S" "43350","","A","Surgical opening, esophagus","", 11.25,"", 7.88, 1.15, 20.28,"090","S" "43351","","A","Surgical opening, esophagus","", 13.42,"", 8.77, 1.53, 23.72,"090","S" "43352","","A","Surgical opening, esophagus","", 10.92,"", 8.86, 1.47, 21.25,"090","S" "43360","","A","Gastrointestinal repair","", 26.06,"", 21.36, 4.19, 51.61,"090","S" "43361","","A","Gastrointestinal repair","", 29.67,"", 25.27, 4.77, 59.71,"090","S" "43400","","A","Ligate esophagus veins","", 15.55,"", 10.82, 1.63, 28.00,"090","S" "43401","","A","Esophagus surgery for veins","", 16.26,"", 9.59, 1.93, 27.78,"090","S" "43405","","A","Ligate/staple esophagus","", 14.84,"", 14.33, 2.64, 31.81,"090","S" "43410","","A","Repair esophagus wound","", 9.61,"", 8.90, 1.54, 20.05,"090","S" "43415","","A","Repair esophagus wound","", 15.86,"", 12.74, 2.52, 31.12,"090","S" "43420","","A","Repair esophagus opening","", 10.19,"", 5.88, 0.78, 16.85,"090","S" "43425","","A","Repair esophagus opening","", 15.58,"", 9.94, 1.71, 27.23,"090","S" "43450","","A","Dilate esophagus","", 1.38,"", 0.68, 0.05, 2.11,"000","N" "43453","","A","Dilate esophagus","", 1.51,"", 1.51, 0.11, 3.13,"000","N" "43456","","A","Dilate esophagus","", 3.52,"", 2.47, 0.24, 6.23,"000","N" "43458","","A","Dilation of esophagus","", 3.06,"*", 1.52, 0.27, 4.85,"000","N" "43460","","A","Pressure treatment esophagus","", 3.80,"", 1.67, 0.15, 5.62,"000","N" "43499","","C","Esophagus surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "43500","","A","Surgical opening of stomach","", 7.60,"", 6.13, 1.20, 14.93,"090","S" "43501","","A","Surgical repair of stomach","", 13.85,"", 8.58, 1.83, 24.26,"090","S" "43502","","A","Surgical repair of stomach","", 15.82,"", 8.58, 1.83, 26.23,"090","S" "43510","","A","Surgical opening of stomach","", 9.27,"", 8.29, 0.94, 18.50,"090","N" "43520","","A","Incision of pyloric muscle","", 7.00,"", 4.48, 0.87, 12.35,"090","S" "43600","","A","Biopsy of stomach","", 1.91,"", 0.50, 0.05, 2.46,"000","N" "43605","","A","Biopsy of stomach","", 8.23,"", 5.91, 1.29, 15.43,"090","S" "43610","","A","Excision of stomach lesion","", 10.11,"", 8.17, 1.71, 19.99,"090","S" "43611","","A","Excision of stomach lesion","", 12.43,"", 8.17, 1.71, 22.31,"090","S" "43620","","A","Removal of stomach","", 21.03,"", 15.38, 3.19, 39.60,"090","S" "43621","","A","Removal of stomach","", 21.47,"", 15.38, 3.19, 40.04,"090","S" "43622","","A","Removal of stomach","", 22.82,"", 15.38, 3.19, 41.39,"090","S" "43631","","A","Removal of stomach, partial","", 18.10,"", 12.42, 2.66, 33.18,"090","S" "43632","","A","Removal stomach, partial","", 18.10,"", 12.42, 2.66, 33.18,"090","S" "43633","","A","Removal stomach, partial","", 18.54,"", 12.42, 2.66, 33.62,"090","S" "43634","","A","Removal stomach, partial","", 19.89,"", 20.83, 4.57, 45.29,"090","S" "43635","","A","Partial removal of stomach","", 2.06,"", 1.08, 0.26, 3.40,"ZZZ","S" "43638","","A","Partial removal of stomach","", 20.15,"", 12.75, 2.73, 35.63,"090","S" "43639","","A","Removal stomach, partial","", 20.64,"", 12.75, 2.73, 36.12,"090","S" "43640","","A","Vagotomy & pylorus repair","", 13.28,"", 10.34, 2.19, 25.81,"090","S" "43641","","A","Vagotomy & pylorus repair","", 13.28,"", 10.34, 2.18, 25.80,"090","S" "43750","","A","Place gastrostomy tube","", 5.71,"", 4.35, 0.56, 10.62,"010","N" "43760","","A","Change gastrostomy tube","", 1.10,"", 0.69, 0.09, 1.88,"000","N" "43761","","A","Reposition gastrostomy tube","", 2.01,"", 1.06, 0.25, 3.32,"000","N" "43800","","A","Reconstruction of pylorus","", 9.41,"", 6.85, 1.47, 17.73,"090","S" "43810","","A","Fusion of stomach and bowel","", 10.08,"", 7.64, 1.53, 19.25,"090","S" "43820","","A","Fusion of stomach and bowel","", 10.43,"", 8.29, 1.75, 20.47,"090","S" "43825","","A","Fusion of stomach and bowel","", 13.28,"", 11.08, 2.30, 26.66,"090","S" "43830","","A","Place gastrostomy tube","", 4.84,"*", 6.19, 1.19, 12.22,"090","S" "43831","","A","Place gastrostomy tube","", 6.41,"", 5.20, 0.93, 12.54,"090","S" "43832","","A","Place gastrostomy tube","", 10.68,"", 7.95, 1.36, 19.99,"090","S" "43840","","A","Repair of stomach lesion","", 10.45,"", 7.84, 1.66, 19.95,"090","S" "43842","","A","Gastroplasty for obesity","", 13.76,"", 13.72, 2.93, 30.41,"090","S" "43843","","A","Gastroplasty for obesity","", 13.76,"", 13.72, 2.93, 30.41,"090","S" "43846","","A","Gastric bypass for obesity","", 17.84,"", 14.80, 3.30, 35.94,"090","S" "43847","","A","Gastric bypass for obesity","", 19.87,"", 14.80, 3.30, 37.97,"090","S" "43848","","A","Revision gastroplasty","", 22.10,"", 14.80, 3.30, 40.20,"090","S" "43850","","A","Revise stomach-bowel fusion","", 18.14,"", 11.64, 2.25, 32.03,"090","S" "43855","","A","Revise stomach-bowel fusion","", 19.15,"", 10.44, 2.28, 31.87,"090","S" "43860","","A","Revise stomach-bowel fusion","", 18.14,"", 11.46, 2.51, 32.11,"090","S" "43865","","A","Revise stomach-bowel fusion","", 19.15,"", 13.39, 2.98, 35.52,"090","S" "43870","","A","Repair stomach opening","", 6.56,"", 5.77, 1.14, 13.47,"090","S" "43880","","A","Repair stomach-bowel fistula","", 18.14,"", 8.25, 1.76, 28.15,"090","S" "43999","","C","Stomach surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "44005","","A","Freeing of bowel adhesion","", 12.52,"", 8.28, 1.75, 22.55,"090","S" "44010","","A","Incision of small bowel","", 9.24,"", 6.91, 1.42, 17.57,"090","S" "44015","","A","Insert needle catheter,bowel","", 2.62,"", 3.22, 0.45, 6.29,"ZZZ","S" "44020","","A","Exploration of small bowel","", 10.69,"", 7.81, 1.65, 20.15,"090","S" "44021","","A","Decompress small bowel","", 10.83,"", 7.00, 1.48, 19.31,"090","S" "44025","","A","Incision of large bowel","", 11.07,"", 7.74, 1.61, 20.42,"090","S" "44050","","A","Reduce bowel obstruction","", 10.05,"", 7.77, 1.64, 19.46,"090","S" "44055","","A","Correct malrotation of bowel","", 11.92,"", 7.66, 1.60, 21.18,"090","S" "44100","","A","Biopsy of bowel","", 2.01,"", 1.38, 0.13, 3.52,"000","N" "44110","","A","Excision of bowel lesion(s)","", 9.01,"", 7.67, 1.58, 18.26,"090","S" "44111","","A","Excision of bowel lesion(s)","", 11.05,"", 9.67, 2.14, 22.86,"090","S" "44120","","A","Removal of small intestine","", 13.15,"", 9.46, 2.02, 24.63,"090","S" "44121","","A","Removal of small intestine","", 4.45,"", 2.32, 0.54, 7.31,"ZZZ","S" "44125","","A","Removal of small intestine","", 13.15,"", 10.75, 2.28, 26.18,"090","S" "44130","","A","Bowel to bowel fusion","", 11.09,"", 8.67, 1.86, 21.62,"090","S" "44139","","A","Mobilization of colon","", 2.23,"", 1.17, 0.27, 3.67,"ZZZ","S" "44140","","A","Partial removal of colon","", 16.97,"", 11.37, 2.40, 30.74,"090","S" "44141","","A","Partial removal of colon","", 17.36,"", 11.86, 2.55, 31.77,"090","S" "44143","","A","Partial removal of colon","", 15.00,"", 12.26, 2.62, 29.88,"090","S" "44144","","A","Partial removal of colon","", 15.00,"", 12.06, 2.53, 29.59,"090","S" "44145","","A","Partial removal of colon","", 21.29,"", 13.25, 2.78, 37.32,"090","S" "44146","","A","Partial removal of colon","", 22.22,"", 14.98, 3.14, 40.34,"090","S" "44147","","A","Partial removal of colon","", 16.23,"", 15.34, 3.30, 34.87,"090","S" "44150","","A","Removal of colon","", 19.04,"", 14.84, 3.17, 37.05,"090","S" "44151","","A","Removal of colon/ileostomy","", 17.95,"", 10.21, 2.22, 30.38,"090","S" "44152","","A","Removal of colon/ileostomy","", 22.98,"", 15.44, 3.36, 41.78,"090","S" "44153","","A","Removal of colon/ileostomy","", 24.69,"", 19.35, 3.63, 47.67,"090","S" "44155","","A","Removal of colon","", 22.09,"", 16.65, 3.50, 42.24,"090","S" "44156","","A","Removal of colon/ileostomy","", 20.48,"", 11.40, 2.52, 34.40,"090","S" "44160","","A","Removal of colon","", 14.09,"", 12.44, 2.68, 29.21,"090","S" "44300","","A","Open bowel to skin","", 7.77,"", 6.03, 1.29, 15.09,"090","S" "44310","","A","Ileostomy/jejunostomy","", 10.07,"", 7.88, 1.66, 19.61,"090","S" "44312","","A","Revision of ileostomy","", 5.34,"", 3.08, 0.45, 8.87,"090","S" "44314","","A","Revision of ileostomy","", 9.77,"", 6.68, 1.21, 17.66,"090","S" "44316","","A","Devise bowel pouch","", 13.59,"", 9.64, 1.43, 24.66,"090","S" "44320","","A","Colostomy","", 11.39,"", 7.46, 1.57, 20.42,"090","S" "44322","","A","Colostomy with biopsies","", 10.31,"", 9.07, 1.88, 21.26,"090","S" "44340","","A","Revision of colostomy","", 4.92,"", 1.68, 0.35, 6.95,"090","S" "44345","","A","Revision of colostomy","", 10.05,"", 4.84, 1.03, 15.92,"090","S" "44346","","A","Revision of colostomy","", 11.13,"", 6.65, 1.38, 19.16,"090","S" "44360","","A","Small bowel endoscopy","", 2.92,"*", 3.74, 0.32, 6.98,"000","N" "44361","","A","Small bowel endoscopy,biopsy","", 3.23,"*", 4.14, 0.34, 7.71,"000","N" "44363","","A","Small bowel endoscopy","", 3.94,"", 2.99, 0.36, 7.29,"000","N" "44364","","A","Small bowel endoscopy","", 4.22,"", 4.73, 0.72, 9.67,"000","N" "44365","","A","Small bowel endoscopy","", 3.73,"", 4.73, 0.72, 9.18,"000","N" "44366","","A","Small bowel endoscopy","", 4.97,"", 5.86, 0.45, 11.28,"000","N" "44369","","A","Small bowel endoscopy","", 5.09,"*", 6.52, 0.50, 12.11,"000","N" "44372","","A","Small bowel endoscopy","", 4.97,"", 5.83, 0.67, 11.47,"000","N" "44373","","A","Small bowel endoscopy","", 3.94,"*", 5.03, 0.50, 9.47,"000","N" "44376","","A","Small bowel endoscopy","", 5.69,"", 4.05, 0.26, 10.00,"000","N" "44377","","A","Small bowel endoscopy","", 5.98,"", 4.26, 0.28, 10.52,"000","N" "44378","","A","Small bowel endoscopy","", 7.71,"", 5.27, 0.35, 13.33,"000","N" "44380","","A","Small bowel endoscopy","", 1.51,"*", 1.94, 0.22, 3.67,"000","N" "44382","","A","Small bowel endoscopy","", 1.82,"*", 2.33, 0.29, 4.44,"000","N" "44385","","A","Endoscopy of bowel pouch","", 1.82,"*", 2.33, 0.34, 4.49,"000","S" "44386","","A","Endoscopy,bowel pouch,biopsy","", 2.12,"", 1.54, 0.15, 3.81,"000","N" "44388","","A","Colon endoscopy","", 2.82,"*", 3.61, 0.50, 6.93,"000","S" "44389","","A","Colonoscopy with biopsy","", 3.13,"*", 4.00, 0.45, 7.58,"000","N" "44390","","A","Colonoscopy for foreign body","", 3.83,"", 2.63, 0.28, 6.74,"000","N" "44391","","A","Colonoscopy for bleeding","", 4.32,"", 5.26, 0.53, 10.11,"000","N" "44392","","A","Colonoscopy & polypectomy","", 3.82,"*", 5.16, 0.70, 9.68,"000","N" "44393","","A","Colonoscopy, lesion removal","", 4.84,"", 5.41, 0.70, 10.95,"000","N" "44394","","A","Colonoscopy w/snare","", 4.43,"*", 5.16, 0.70, 10.29,"000","N" "44500","","A","Intro, gastrointestinal tube","", 0.49,"", 0.36, 0.02, 0.87,"000","N" "44602","","A","Suture, small intestine","", 9.72,"", 7.65, 1.62, 18.99,"090","S" "44603","","A","Suture, small intestine","", 12.94,"", 9.09, 1.96, 23.99,"090","S" "44604","","A","Suture, large intestine","", 12.94,"", 7.87, 1.67, 22.48,"090","S" "44605","","A","Repair of bowel lesion","", 13.91,"", 9.37, 2.02, 25.30,"090","S" "44615","","A","Intestinal stricturoplasty","", 12.89,"", 6.74, 1.57, 21.20,"090","S" "44620","","A","Repair bowel opening","", 9.65,"", 5.97, 1.26, 16.88,"090","S" "44625","","A","Repair bowel opening","", 12.10,"", 9.58, 2.03, 23.71,"090","S" "44640","","A","Repair bowel-skin fistula","", 13.34,"", 6.54, 1.35, 21.23,"090","S" "44650","","A","Repair bowel fistula","", 13.76,"", 7.33, 1.46, 22.55,"090","S" "44660","","A","Repair bowel-bladder fistula","", 13.14,"", 8.34, 1.21, 22.69,"090","S" "44661","","A","Repair bowel-bladder fistula","", 15.44,"", 13.94, 2.52, 31.90,"090","S" "44680","","A","Surgical revision, intestine","", 12.41,"", 9.71, 2.14, 24.26,"090","S" "44799","","C","Intestine surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "44800","","A","Excision of bowel pouch","", 10.12,"", 5.24, 1.08, 16.44,"090","S" "44820","","A","Excision of mesentery lesion","", 9.31,"", 5.80, 1.21, 16.32,"090","S" "44850","","A","Repair of mesentery","", 8.64,"", 5.60, 1.18, 15.42,"090","S" "44899","","C","Bowel surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "44900","","A","Drainage of appendix abscess","", 7.86,"", 4.28, 0.88, 13.02,"090","S" "44950","","A","Appendectomy","", 6.06,"", 4.89, 1.01, 11.96,"090","S" "44955","","A","Appendectomy","", 1.53,"*", 1.96, 0.60, 4.09,"ZZZ","S" "44960","","A","Appendectomy","", 9.78,"", 5.89, 1.24, 16.91,"090","S" "45000","","A","Drainage of pelvic abscess","", 4.28,"", 1.59, 0.24, 6.11,"090","S" "45005","","A","Drainage of rectal abscess","", 1.96,"", 1.29, 0.21, 3.46,"010","S" "45020","","A","Drainage of rectal abscess","", 4.40,"", 2.61, 0.51, 7.52,"090","S" "45100","","A","Biopsy of rectum","", 3.38,"", 1.88, 0.35, 5.61,"090","S" "45108","","A","Removal of anorectal lesion","", 4.28,"", 2.66, 0.53, 7.47,"090","S" "45110","","A","Removal of rectum","", 21.68,"", 16.32, 3.43, 41.43,"090","S" "45111","","A","Partial removal of rectum","", 14.97,"", 11.77, 2.49, 29.23,"090","S" "45112","","A","Removal of rectum","", 24.02,"", 16.06, 3.36, 43.44,"090","S" "45113","","A","Partial proctectomy","", 24.69,"", 16.06, 3.36, 44.11,"090","S" "45114","","A","Partial removal of rectum","", 21.20,"", 15.39, 3.24, 39.83,"090","S" "45116","","A","Partial removal of rectum","", 19.09,"", 10.77, 2.34, 32.20,"090","S" "45120","","A","Removal of rectum","", 22.78,"", 16.39, 3.54, 42.71,"090","S" "45121","","A","Removal of rectum and colon","", 24.96,"", 10.79, 2.01, 37.76,"090","S" "45123","","A","Partial proctectomy","", 13.27,"", 11.77, 2.49, 27.53,"090","S" "45130","","A","Excision of rectal prolapse","", 13.03,"", 8.92, 1.79, 23.74,"090","S" "45135","","A","Excision of rectal prolapse","", 15.36,"", 15.95, 3.50, 34.81,"090","S" "45150","","A","Excision of rectal stricture","", 5.26,"", 3.38, 0.63, 9.27,"090","S" "45160","","A","Excision of rectal lesion","", 12.34,"", 7.46, 1.56, 21.36,"090","S" "45170","","A","Excision of rectal lesion","", 9.40,"", 4.62, 0.96, 14.98,"090","S" "45190","","A","Destruction, rectal tumor","", 7.91,"", 5.09, 1.06, 14.06,"090","S" "45300","","A","Proctosigmoidoscopy","", 0.70,"", 0.55, 0.07, 1.32,"000","S" "45303","","A","Proctosigmoidoscopy","", 0.50,"*", 0.64, 0.12, 1.26,"000","S" "45305","","A","Proctosigmoidoscopy; biopsy","", 1.01,"", 0.84, 0.14, 1.99,"000","S" "45307","","A","Proctosigmoidoscopy","", 1.71,"", 1.27, 0.18, 3.16,"000","S" "45308","","A","Proctosigmoidoscopy","", 1.51,"", 1.13, 0.20, 2.84,"000","S" "45309","","A","Proctosigmoidoscopy","", 2.01,"", 1.13, 0.20, 3.34,"000","S" "45315","","A","Proctosigmoidoscopy","", 2.54,"", 1.19, 0.18, 3.91,"000","S" "45317","","A","Proctosigmoidoscopy","", 2.73,"", 1.26, 0.19, 4.18,"000","S" "45320","","A","Proctosigmoidoscopy","", 2.88,"", 1.87, 0.34, 5.09,"000","S" "45321","","A","Proctosigmoidoscopy","", 2.12,"", 1.47, 0.27, 3.86,"000","S" "45330","","A","Sigmoidoscopy, diagnostic","", 0.96,"*", 1.23, 0.12, 2.31,"000","N" "45331","","A","Sigmoidoscopy and biopsy","", 1.26,"*", 1.61, 0.15, 3.02,"000","N" "45332","","A","Sigmoidoscopy","", 1.96,"", 1.76, 0.16, 3.88,"000","N" "45333","","A","Sigmoidoscopy & polypectomy","", 1.96,"", 2.24, 0.26, 4.46,"000","N" "45334","","A","Sigmoidoscopy for bleeding","", 2.99,"", 2.71, 0.23, 5.93,"000","N" "45337","","A","Sigmoidoscopy, decompression","", 2.36,"*", 3.03, 0.38, 5.77,"000","N" "45338","","A","Sigmoidoscopy","", 2.57,"", 2.24, 0.26, 5.07,"000","N" "45339","","A","Sigmoidoscopy","", 3.14,"", 3.24, 0.31, 6.69,"000","N" "45355","","A","Surgical colonoscopy","", 3.52,"", 1.17, 0.10, 4.79,"000","N" "45378","","A","Diagnostic colonoscopy","", 3.70,"", 4.13, 0.39, 8.22,"000","N" "45379","","A","Colonoscopy","", 4.72,"", 5.33, 0.45, 10.50,"000","N" "45380","","A","Colonoscopy and biopsy","", 4.01,"", 4.79, 0.40, 9.20,"000","N" "45382","","A","Colonoscopy,control bleeding","", 5.73,"", 5.87, 0.41, 12.01,"000","N" "45383","","A","Colonoscopy, lesion removal","", 5.87,"", 5.92, 0.50, 12.29,"000","N" "45384","","A","Colonoscopy","", 4.70,"*", 6.65, 0.58, 11.93,"000","N" "45385","","A","Colonoscopy, lesion removal","", 5.31,"*", 6.65, 0.58, 12.54,"000","N" "45500","","A","Repair of rectum","", 6.59,"", 5.95, 1.21, 13.75,"090","S" "45505","","A","Repair of rectum","", 5.54,"", 6.29, 1.23, 13.06,"090","S" "45520","","A","Treatment of rectal prolapse","", 0.55,"", 0.61, 0.10, 1.26,"000","N" "45540","","A","Correct rectal prolapse","", 11.98,"", 9.89, 2.10, 23.97,"090","S" "45541","","A","Correct rectal prolapse","", 9.79,"", 10.17, 2.04, 22.00,"090","S" "45550","","A","Repair rectum;remove sigmoid","", 13.38,"", 11.49, 2.38, 27.25,"090","S" "45560","","A","Repair of rectocele","", 7.48,"", 4.79, 0.98, 13.25,"090","S" "45562","","A","Exploration/repair of rectum","", 11.13,"", 8.09, 1.58, 20.80,"090","S" "45563","","A","Exploration/repair of rectum","", 17.55,"", 12.77, 2.49, 32.81,"090","S" "45800","","A","Repair rectumbladder fistula","", 12.75,"", 9.82, 1.45, 24.02,"090","S" "45805","","A","Repair fistula; colostomy","", 15.08,"", 12.32, 2.39, 29.79,"090","S" "45820","","A","Repair rectourethral fistula","", 13.31,"", 8.98, 1.23, 23.52,"090","S" "45825","","A","Repair fistula; colostomy","", 15.45,"", 9.87, 1.66, 26.98,"090","S" "45900","","A","Reduction of rectal prolapse","", 1.68,"", 0.58, 0.11, 2.37,"010","S" "45905","","A","Dilation of anal sphincter","", 1.51,"", 0.71, 0.12, 2.34,"010","S" "45910","","A","Dilation of rectal narrowing","", 1.86,"", 0.87, 0.13, 2.86,"010","S" "45915","","A","Remove rectal obstruction","", 2.09,"", 0.78, 0.09, 2.96,"010","N" "45999","","C","Rectum surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "46030","","A","Removal of rectal marker","", 1.20,"", 0.40, 0.07, 1.67,"010","S" "46040","","A","Incision of rectal abscess","", 4.90,"", 1.69, 0.34, 6.93,"090","S" "46045","","A","Incision of rectal abscess","", 3.91,"", 1.85, 0.38, 6.14,"090","S" "46050","","A","Incision of anal abscess","", 1.14,"", 0.60, 0.11, 1.85,"010","S" "46060","","A","Incision of rectal abscess","", 5.03,"", 5.35, 1.12, 11.50,"090","S" "46070","","A","Incision of anal septum","", 2.63,"", 1.37, 0.33, 4.33,"090","S" "46080","","A","Incision of anal sphincter","", 2.35,"", 2.13, 0.43, 4.91,"010","S" "46083","","A","Incise external hemorrhoid","", 1.35,"", 0.63, 0.08, 2.06,"010","N" "46200","","A","Removal of anal fissure","", 3.02,"", 3.29, 0.66, 6.97,"090","S" "46210","","A","Removal of anal crypt","", 2.52,"", 0.77, 0.14, 3.43,"090","S" "46211","","A","Removal of anal crypts","", 4.07,"", 1.90, 0.38, 6.35,"090","S" "46220","","A","Removal of anal tab","", 1.51,"", 0.63, 0.12, 2.26,"010","S" "46221","","A","Ligation of hemorrhoid(s)","", 1.38,"", 0.66, 0.14, 2.18,"010","S" "46230","","A","Removal of anal tabs","", 2.52,"", 0.83, 0.12, 3.47,"010","S" "46250","","A","Hemorrhoidectomy","", 4.29,"", 2.84, 0.52, 7.65,"090","S" "46255","","A","Hemorrhoidectomy","", 4.95,"", 4.72, 0.85, 10.52,"090","S" "46257","","A","Remove hemorrhoids & fissure","", 5.87,"", 5.23, 1.08, 12.18,"090","S" "46258","","A","Remove hemorrhoids & fistula","", 6.26,"", 5.87, 1.22, 13.35,"090","S" "46260","","A","Hemorrhoidectomy","", 6.70,"", 6.07, 1.25, 14.02,"090","S" "46261","","A","Remove hemorrhoids & fissure","", 6.54,"", 6.62, 1.34, 14.50,"090","S" "46262","","A","Remove hemorrhoids & fistula","", 6.77,"", 6.72, 1.39, 14.88,"090","S" "46270","","A","Removal of anal fistula","", 3.51,"", 1.87, 0.37, 5.75,"090","S" "46275","","A","Removal of anal fistula","", 4.35,"", 5.50, 1.13, 10.98,"090","S" "46280","","A","Removal of anal fistula","", 5.63,"", 6.08, 1.24, 12.95,"090","S" "46285","","A","Removal of anal fistula","", 3.88,"", 2.28, 0.43, 6.59,"090","S" "46288","","A","Repair anal fistula","", 6.83,"", 3.57, 0.83, 11.23,"090","S" "46320","","A","Removal of hemorrhoid clot","", 1.58,"", 0.70, 0.11, 2.39,"010","S" "46500","","A","Injection into hemorrhoids","", 1.53,"", 0.32, 0.06, 1.91,"010","S" "46600","","A","Diagnostic anoscopy","", 0.50,"", 0.28, 0.03, 0.81,"000","N" "46604","","A","Anoscopy and dilation","", 1.31,"", 0.38, 0.06, 1.75,"000","S" "46606","","A","Anoscopy and biopsy","", 0.81,"", 0.36, 0.06, 1.23,"000","S" "46608","","A","Anoscopy;remove foreign body","", 1.51,"", 1.07, 0.12, 2.70,"000","N" "46610","","A","Anoscopy; remove lesion","", 1.32,"", 0.85, 0.15, 2.32,"000","S" "46611","","A","Anoscopy","", 1.81,"", 0.85, 0.15, 2.81,"000","S" "46612","","A","Anoscopy; remove lesions","", 2.34,"", 1.39, 0.20, 3.93,"000","S" "46614","","A","Anoscopy; control bleeding","", 2.01,"", 1.55, 0.25, 3.81,"000","S" "46615","","A","Anoscopy","", 2.68,"", 1.55, 0.25, 4.48,"000","S" "46700","","A","Repair of anal stricture","", 6.40,"", 6.14, 1.24, 13.78,"090","S" "46705","","A","Repair of anal stricture","", 6.38,"", 3.60, 0.77, 10.75,"090","S" "46715","","A","Repair of anovaginal fistula","", 6.73,"", 3.51, 0.82, 11.06,"090","S" "46716","","A","Repair of anovaginal fistula","", 11.58,"", 6.05, 1.40, 19.03,"090","S" "46730","","A","Construction of absent anus","", 20.54,"", 10.74, 2.50, 33.78,"090","S" "46735","","A","Construction of absent anus","", 24.91,"", 13.04, 3.04, 40.99,"090","S" "46740","","A","Construction of absent anus","", 22.08,"", 11.55, 2.68, 36.31,"090","S" "46742","","A","Repair, imperforated anus","", 27.82,"", 19.75, 1.93, 49.50,"090","S" "46744","","A","Repair, cloacal anomaly","", 31.23,"", 22.17, 2.17, 55.57,"090","S" "46746","","A","Repair, cloacal anomaly","", 34.17,"", 24.26, 2.37, 60.80,"090","S" "46748","","A","Repair, cloacal anomaly","", 38.07,"", 27.03, 2.64, 67.74,"090","S" "46750","","A","Repair of anal sphincter","", 7.35,"", 6.00, 1.22, 14.57,"090","S" "46751","","A","Repair of anal sphincter","", 7.78,"", 4.07, 0.95, 12.80,"090","S" "46753","","A","Reconstruction of anus","", 6.04,"", 4.89, 1.02, 11.95,"090","S" "46754","","A","Removal of suture from anus","", 1.51,"", 1.48, 0.30, 3.29,"010","S" "46760","","A","Repair of anal sphincter","", 10.61,"", 6.80, 1.41, 18.82,"090","S" "46761","","A","Repair of anal sphincter","", 10.16,"", 6.83, 1.35, 18.34,"090","S" "46762","","A","Implant artificial sphincter","", 9.26,"", 5.72, 1.21, 16.19,"090","S" "46900","","A","Destruction, anal lesion(s)","", 1.81,"", 0.39, 0.06, 2.26,"010","S" "46910","","A","Destruction, anal lesion(s)","", 1.81,"", 0.64, 0.08, 2.53,"010","S" "46916","","A","Cryosurgery, anal lesion(s)","", 1.81,"", 0.67, 0.06, 2.54,"010","S" "46917","","A","Laser surgery,anal lesion(s)","", 1.81,"", 1.94, 0.31, 4.06,"010","S" "46922","","A","Excision of anal lesion(s)","", 1.81,"", 1.28, 0.23, 3.32,"010","S" "46924","","A","Destruction, anal lesion(s)","", 2.71,"", 2.56, 0.46, 5.73,"010","S" "46934","","A","Destruction of hemorrhoids","", 3.84,"", 1.19, 0.17, 5.20,"090","N" "46935","","A","Destruction of hemorrhoids","", 2.40,"", 1.62, 0.22, 4.24,"010","N" "46936","","A","Destruction of hemorrhoids","", 4.17,"", 2.29, 0.24, 6.70,"090","N" "46937","","A","Cryotherapy of rectal lesion","", 2.66,"", 2.35, 0.45, 5.46,"010","S" "46938","","A","Cryotherapy of rectal lesion","", 4.42,"", 2.50, 0.52, 7.44,"090","S" "46940","","A","Treatment of anal fissure","", 2.29,"", 0.51, 0.09, 2.89,"010","S" "46942","","A","Treatment of anal fissure","", 2.01,"", 0.46, 0.08, 2.55,"010","S" "46945","","A","Ligation of hemorrhoids","", 3.06,"", 0.63, 0.12, 3.81,"090","S" "46946","","A","Ligation of hemorrhoids","", 4.04,"", 0.94, 0.17, 5.15,"090","S" "46999","","C","Anus surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "47000","","A","Needle biopsy of liver","", 1.90,"", 1.40, 0.13, 3.43,"000","N" "47001","","A","Needle biopsy, liver","", 1.90,"", 1.40, 0.13, 3.43,"ZZZ","S" "47010","","A","Drainage of liver lesion","", 8.75,"", 6.75, 1.13, 16.63,"090","S" "47015","","A","Inject/aspirate liver cyst","", 8.78,"", 6.75, 1.13, 16.66,"090","S" "47100","","A","Wedge biopsy of liver","", 6.75,"", 3.29, 0.67, 10.71,"090","S" "47120","","A","Partial removal of liver","", 19.99,"", 12.00, 2.48, 34.47,"090","S" "47122","","A","Extensive removal of liver","", 32.54,"", 17.58, 3.59, 53.71,"090","S" "47125","","A","Partial removal of liver","", 28.68,"", 17.43, 3.61, 49.72,"090","S" "47130","","A","Partial removal of liver","", 31.56,"", 19.19, 3.89, 54.64,"090","S" "47133","","X","Removal of donor liver","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "47134","","R","Partial removal, donor liver","", 39.15,"", 20.48, 4.77, 64.40,"XXX","S" "47135","","R","Transplantation of liver","", 77.61,"", 54.48, 8.49,140.58,"090","S" "47136","","R","Transplantation of liver","", 64.04,"", 33.50, 7.79,105.33,"090","S" "47300","","A","Surgery for liver lesion","", 8.75,"", 7.67, 1.59, 18.01,"090","S" "47350","","A","Repair liver wound","", 11.29,"", 7.46, 1.49, 20.24,"090","S" "47355","","D","Repair liver wound","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "47360","","A","Repair liver wound","", 15.34,"", 10.93, 2.18, 28.45,"090","S" "47361","","A","Repair liver wound","", 28.00,"", 14.64, 3.41, 46.05,"090","S" "47362","","A","Repair liver wound","", 10.00,"", 5.23, 1.22, 16.45,"090","S" "47399","","C","Liver surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "47400","","A","Incision of liver duct","", 18.90,"", 8.53, 1.36, 28.79,"090","S" "47420","","A","Incision of bile duct","", 15.31,"", 9.48, 1.99, 26.78,"090","S" "47425","","A","Incision of bile duct","", 14.79,"", 11.71, 2.45, 28.95,"090","S" "47460","","A","Incise bile duct sphincter","", 14.41,"", 15.54, 1.82, 31.77,"090","N" "47480","","A","Incision of gallbladder","", 8.05,"", 7.60, 1.59, 17.24,"090","S" "47490","","A","Incision of gallbladder","", 6.04,"", 3.57, 0.38, 9.99,"090","N" "47500","","A","Injection for liver x-rays","", 1.96,"", 1.51, 0.14, 3.61,"000","N" "47505","","A","Injection for liver x-rays","", 0.76,"*", 0.98, 0.14, 1.88,"000","N" "47510","","A","Insert catheter, bile duct","", 7.39,"", 2.87, 0.25, 10.51,"090","N" "47511","","A","Insert bile duct drain","", 9.91,"", 2.87, 0.25, 13.03,"090","N" "47525","","A","Change bile duct catheter","", 5.41,"", 1.59, 0.16, 7.16,"010","N" "47530","","A","Revise, reinsert bile tube","", 5.41,"", 1.51, 0.19, 7.11,"090","N" "47550","","A","Bile duct endoscopy","", 3.02,"", 1.56, 0.35, 4.93,"000","S" "47552","","A","Biliary endoscopy, thru skin","", 6.04,"", 1.36, 0.21, 7.61,"000","S" "47553","","A","Biliary endoscopy, thru skin","", 6.35,"", 3.80, 0.62, 10.77,"000","N" "47554","","A","Biliary endoscopy, thru skin","", 9.06,"", 3.93, 0.67, 13.66,"000","S" "47555","","A","Biliary endoscopy, thru skin","", 7.56,"", 2.63, 0.30, 10.49,"000","N" "47556","","A","Biliary endoscopy, thru skin","", 8.56,"", 2.63, 0.30, 11.49,"000","N" "47600","","A","Removal of gallbladder","", 10.68,"", 7.53, 1.58, 19.79,"090","S" "47605","","A","Removal of gallbladder","", 11.53,"", 8.14, 1.75, 21.42,"090","S" "47610","","A","Removal of gallbladder","", 13.86,"", 9.37, 2.00, 25.23,"090","S" "47612","","A","Removal of gallbladder","", 14.75,"", 14.23, 3.05, 32.03,"090","S" "47620","","A","Removal of gallbladder","", 15.79,"", 11.23, 2.36, 29.38,"090","S" "47630","","A","Remove bile duct stone","", 8.31,"", 3.75, 0.40, 12.46,"090","N" "47700","","A","Exploration of bile ducts","", 13.75,"", 7.63, 1.58, 22.96,"090","S" "47701","","A","Bile duct revision","", 26.57,"", 8.21, 1.90, 36.68,"090","S" "47711","","A","Excision of bile duct tumor","", 18.16,"", 12.06, 2.46, 32.68,"090","S" "47712","","A","Excision of bile duct tumor","", 23.74,"", 12.06, 2.46, 38.26,"090","S" "47715","","A","Excision of bile duct cyst","", 14.50,"", 8.22, 1.71, 24.43,"090","S" "47716","","A","Fusion of bile duct cyst","", 12.53,"", 6.56, 1.53, 20.62,"090","S" "47720","","A","Fuse gallbladder & bowel","", 11.90,"", 9.16, 1.93, 22.99,"090","S" "47721","","A","Fuse upper gi structures","", 14.41,"", 11.42, 2.47, 28.30,"090","S" "47740","","A","Fuse gallbladder & bowel","", 13.93,"", 10.21, 2.14, 26.28,"090","S" "47741","","A","Fuse gallbladder & bowel","", 16.23,"", 14.35, 3.02, 33.60,"090","S" "47760","","A","Fuse bile ducts and bowel","", 19.93,"", 11.61, 2.53, 34.07,"090","S" "47765","","A","Fuse liver ducts & bowel","", 19.04,"", 14.61, 2.97, 36.62,"090","S" "47780","","A","Fuse bile ducts and bowel","", 20.40,"", 13.07, 2.73, 36.20,"090","S" "47785","","A","Fuse bile ducts and bowel","", 24.41,"", 13.07, 2.73, 40.21,"090","S" "47800","","A","Reconstruction of bile ducts","", 17.71,"", 13.22, 2.43, 33.36,"090","S" "47801","","A","Placement, bile duct support","", 11.28,"", 5.48, 0.81, 17.57,"090","S" "47802","","A","Fuse liver duct & intestine","", 16.01,"", 10.27, 1.75, 28.03,"090","S" "47900","","A","Suture bile duct injury","", 15.63,"", 13.22, 2.43, 31.28,"090","S" "47999","","C","Bile tract surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "48000","","A","Drainage of abdomen","", 13.10,"", 7.05, 1.40, 21.55,"090","S" "48001","","A","Placement of drain, pancreas","", 15.54,"", 8.13, 1.89, 25.56,"090","S" "48005","","A","Resect/debride pancreas","", 17.57,"", 9.19, 2.14, 28.90,"090","S" "48020","","A","Removal of pancreatic stone","", 12.98,"", 6.78, 1.57, 21.33,"090","S" "48100","","A","Biopsy of pancreas","", 10.19,"", 4.21, 0.79, 15.19,"090","S" "48102","","A","Needle biopsy, pancreas","", 4.43,"", 2.41, 0.25, 7.09,"010","N" "48120","","A","Removal of pancreas lesion","", 12.79,"", 9.72, 2.07, 24.58,"090","S" "48140","","A","Partial removal of pancreas","", 18.27,"", 13.29, 2.83, 34.39,"090","S" "48145","","A","Partial removal of pancreas","", 19.09,"", 15.71, 3.16, 37.96,"090","S" "48146","","A","Pancreatectomy","", 21.73,"", 16.49, 1.92, 40.14,"090","S" "48148","","A","Removal of pancreatic duct","", 14.41,"", 8.23, 1.68, 24.32,"090","S" "48150","","A","Partial removal of pancreas","", 40.25,"", 22.54, 4.75, 67.54,"090","S" "48152","","A","Pancreatectomy","", 36.50,"", 22.54, 4.75, 63.79,"090","S" "48153","","A","Pancreatectomy","", 40.25,"", 22.54, 4.75, 67.54,"090","S" "48154","","A","Pancreatectomy","", 36.50,"", 22.54, 4.75, 63.79,"090","S" "48155","","A","Removal of pancreas","", 19.43,"", 20.40, 4.26, 44.09,"090","S" "48160","","N","Pancreas removal, transplant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "48180","","A","Fuse pancreas and bowel","", 20.88,"", 12.60, 2.63, 36.11,"090","S" "48400","","A","Injection, intraoperative","", 1.95,"", 1.03, 0.24, 3.22,"ZZZ","N" "48500","","A","Surgery of pancreas cyst","", 12.04,"", 8.53, 1.66, 22.23,"090","S" "48510","","A","Drain pancreatic pseudocyst","", 11.22,"", 7.54, 1.44, 20.20,"090","S" "48520","","A","Fuse pancreas cyst and bowel","", 12.97,"", 11.30, 2.43, 26.70,"090","S" "48540","","A","Fuse pancreas cyst and bowel","", 15.77,"", 12.66, 2.65, 31.08,"090","S" "48545","","A","Pancreatorrhaphy","", 14.65,"", 7.66, 1.79, 24.10,"090","S" "48547","","A","Duodenal exclusion","", 21.18,"", 11.08, 2.58, 34.84,"090","S" "48550","","N","Donor pancreatectomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "48554","","N","Transplantallograft pancreas","#", 34.17,"", 17.87, 4.16, 56.20,"XXX","0" "48556","","A","Removal, allograft pancreas","", 13.89,"", 7.26, 1.69, 22.84,"090","S" "48999","","C","Pancreas surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "49000","","A","Exploration of abdomen","", 8.99,"", 6.79, 1.40, 17.18,"090","S" "49002","","A","Reopening of abdomen","", 9.40,"", 6.05, 1.21, 16.66,"090","S" "49010","","A","Exploration behind abdomen","", 11.19,"", 6.95, 1.31, 19.45,"090","S" "49020","","A","Drain abdominal abscess","", 9.06,"", 4.82, 0.91, 14.79,"090","S" "49040","","A","Drain abdominal abscess","", 8.74,"", 6.54, 1.27, 16.55,"090","S" "49060","","A","Drain abdominal abscess","", 10.55,"", 5.54, 1.01, 17.10,"090","S" "49080","","A","Puncture, peritoneal cavity","", 1.35,"", 0.87, 0.08, 2.30,"000","N" "49081","","A","Removal of abdominal fluid","", 1.26,"", 0.75, 0.07, 2.08,"000","N" "49085","","A","Remove abdomen foreign body","", 7.91,"", 3.46, 0.67, 12.04,"090","S" "49180","","A","Biopsy, abdominal mass","", 1.49,"", 1.82, 0.20, 3.51,"000","N" "49200","","A","Removal of abdominal lesion","", 9.19,"", 8.38, 1.70, 19.27,"090","S" "49201","","A","Removal of abdominal lesion","", 13.60,"", 12.10, 2.50, 28.20,"090","S" "49215","","A","Excise sacral spine tumor","", 21.05,"", 8.50, 1.59, 31.14,"090","S" "49220","","A","Multiple surgery, abdomen","", 13.66,"", 12.30, 2.53, 28.49,"090","S" "49250","","A","Excision of umbilicus","", 7.42,"", 4.52, 0.96, 12.90,"090","S" "49255","","A","Removal of omentum","", 4.04,"*", 5.16, 1.15, 10.35,"090","S" "49400","","A","Air injection into abdomen","", 1.88,"", 1.12, 0.17, 3.17,"000","S" "49420","","A","Insert abdominal drain","", 2.22,"", 1.58, 0.20, 4.00,"000","S" "49421","","A","Insert abdominal drain","", 4.89,"", 4.14, 0.81, 9.84,"090","S" "49422","","A","Remove perm cannula/catheter","", 5.85,"", 4.14, 0.81, 10.80,"010","S" "49425","","A","Insert abdomen-venous drain","", 10.22,"", 8.48, 1.78, 20.48,"090","S" "49426","","A","Revise abdomen-venous shunt","", 8.57,"", 5.39, 1.07, 15.03,"090","S" "49427","","A","Injection, abdominal shunt","", 0.89,"", 0.49, 0.03, 1.41,"000","N" "49428","","A","Ligation of shunt","", 1.98,"", 1.04, 0.24, 3.26,"010","S" "49429","","A","Removal of shunt","", 6.35,"", 3.32, 0.77, 10.44,"010","S" "49495","","A","Repair inguinal hernia, init","", 5.79,"", 4.98, 0.95, 11.72,"090","S" "49496","","A","Repair inguinal hernia, init","", 8.37,"", 5.04, 1.08, 14.49,"090","S" "49500","","A","Repair inguinal hernia","", 4.41,"", 4.98, 0.95, 10.34,"090","S" "49501","","A","Repair inguinal hernia, init","", 7.26,"", 5.04, 1.08, 13.38,"090","S" "49505","","A","Repair inguinal hernia","", 6.17,"", 4.51, 0.94, 11.62,"090","S" "49507","","A","Repair, inguinal hernia","", 7.40,"", 5.04, 1.08, 13.52,"090","S" "49520","","A","Rerepair inguinal hernia","", 7.87,"", 5.22, 1.11, 14.20,"090","S" "49521","","A","Repair inguinal hernia, rec","", 9.43,"", 5.04, 1.08, 15.55,"090","S" "49525","","A","Repair inguinal hernia","", 6.97,"", 5.55, 1.16, 13.68,"090","S" "49540","","A","Repair lumbar hernia","", 7.91,"", 5.20, 1.12, 14.23,"090","S" "49550","","A","Repair femoral hernia","", 6.97,"", 4.61, 0.97, 12.55,"090","S" "49553","","A","Repair femoral hernia, init","", 7.40,"", 4.61, 0.97, 12.98,"090","S" "49555","","A","Repair femoral hernia","", 7.29,"", 6.07, 1.26, 14.62,"090","S" "49557","","A","Repair femoral hernia, recur","", 8.73,"", 6.07, 1.26, 16.06,"090","S" "49560","","A","Repair abdominal hernia","", 9.48,"", 5.65, 1.19, 16.32,"090","S" "49561","","A","Repair incisional hernia","", 11.38,"", 5.65, 1.19, 18.22,"090","S" "49565","","A","Rerepair abdominal hernia","", 9.48,"", 6.41, 1.35, 17.24,"090","S" "49566","","A","Repair incisional hernia","", 11.38,"", 6.41, 1.35, 19.14,"090","S" "49568","","A","Hernia repair w/mesh","", 4.89,"", 2.56, 0.59, 8.04,"ZZZ","S" "49570","","A","Repair epigastric hernia","", 4.46,"", 4.38, 0.91, 9.75,"090","S" "49572","","A","Repair, epigastric hernia","", 5.35,"", 5.60, 1.18, 12.13,"090","S" "49580","","A","Repair umbilical hernia","", 3.24,"*", 4.15, 0.94, 8.33,"090","S" "49582","","A","Repair umbilical hernia","", 5.13,"", 4.61, 0.94, 10.68,"090","S" "49585","","A","Repair umbilical hernia","", 4.95,"", 4.41, 0.91, 10.27,"090","S" "49587","","A","Repair umbilical hernia","", 5.93,"", 4.41, 0.91, 11.25,"090","S" "49590","","A","Repair abdominal hernia","", 6.55,"", 5.63, 1.22, 13.40,"090","S" "49600","","A","Repair umbilical lesion","", 9.48,"", 5.26, 0.77, 15.51,"090","S" "49605","","A","Repair umbilical lesion","", 21.92,"", 8.57, 1.77, 32.26,"090","S" "49606","","A","Repair umbilical lesion","", 17.93,"", 8.31, 0.96, 27.20,"090","S" "49610","","A","Repair umbilical lesion","", 9.83,"", 5.48, 1.27, 16.58,"090","S" "49611","","A","Repair umbilical lesion","", 8.25,"", 9.00, 0.58, 17.83,"090","S" "49900","","A","Repair of abdominal wall","", 4.54,"", 3.66, 0.75, 8.95,"090","S" "49905","","A","Omental flap","", 6.55,"", 3.42, 0.80, 10.77,"ZZZ","S" "49999","","C","Abdomen surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "50010","","A","Exploration of kidney","", 10.07,"", 9.55, 1.13, 20.75,"090","S" "50020","","A","Drainage of kidney abscess","", 12.41,"", 6.80, 0.85, 20.06,"090","S" "50040","","A","Drainage of kidney","", 13.80,"", 7.18, 0.62, 21.60,"090","N" "50045","","A","Exploration of kidney","", 14.48,"", 9.81, 0.89, 25.18,"090","S" "50060","","A","Removal of kidney stone","", 18.00,"", 12.25, 1.21, 31.46,"090","S" "50065","","A","Incision of kidney","", 19.62,"", 13.93, 1.35, 34.90,"090","S" "50070","","A","Incision of kidney","", 19.15,"", 12.87, 1.35, 33.37,"090","S" "50075","","A","Removal of kidney stone","", 24.05,"", 16.87, 1.62, 42.54,"090","S" "50080","","A","Removal of kidney stone","", 13.98,"", 12.20, 1.15, 27.33,"090","S" "50081","","A","Removal of kidney stone","", 20.58,"", 14.96, 1.44, 36.98,"090","S" "50100","","A","Revise kidney blood vessels","", 15.11,"", 10.34, 1.35, 26.80,"090","S" "50120","","A","Exploration of kidney","", 15.00,"", 10.91, 1.24, 27.15,"090","S" "50125","","A","Explore and drain kidney","", 15.61,"", 10.95, 1.06, 27.62,"090","S" "50130","","A","Removal of kidney stone","", 16.12,"", 12.80, 1.26, 30.18,"090","S" "50135","","A","Exploration of kidney","", 18.14,"", 17.05, 1.63, 36.82,"090","S" "50200","","A","Biopsy of kidney","", 2.63,"", 2.61, 0.22, 5.46,"000","N" "50205","","A","Biopsy of kidney","", 12.69,"", 5.64, 0.69, 19.02,"090","S" "50220","","A","Removal of kidney","", 15.98,"", 13.31, 1.43, 30.72,"090","S" "50225","","A","Removal of kidney","", 18.93,"", 16.52, 1.70, 37.15,"090","S" "50230","","A","Removal of kidney","", 20.56,"", 18.40, 1.84, 40.80,"090","S" "50234","","A","Removal of kidney & ureter","", 21.11,"", 16.65, 1.65, 39.41,"090","S" "50236","","A","Removal of kidney & ureter","", 23.33,"", 17.74, 1.74, 42.81,"090","S" "50240","","A","Partial removal of kidney","", 20.24,"", 16.00, 1.70, 37.94,"090","S" "50280","","A","Removal of kidney lesion","", 14.63,"", 10.86, 1.16, 26.65,"090","S" "50290","","A","Removal of kidney lesion","", 13.69,"", 8.87, 1.19, 23.75,"090","S" "50300","","X","Removal of donor kidney","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "50320","","A","Removal of donor kidney","", 21.22,"", 16.49, 2.40, 40.11,"090","S" "50340","","A","Removal of kidney","", 10.73,"", 12.49, 2.24, 25.46,"090","S" "50360","","A","Transplantation of kidney","", 27.05,"", 24.45, 4.24, 55.74,"090","S" "50365","","A","Transplantation of kidney","", 32.54,"", 30.71, 3.89, 67.14,"090","S" "50370","","A","Remove transplanted kidney","", 11.11,"", 11.08, 1.92, 24.11,"090","S" "50380","","A","Reimplantation of kidney","", 16.49,"", 10.12, 1.71, 28.32,"090","S" "50390","","A","Drainage of kidney lesion","", 3.24,"", 1.69, 0.15, 5.08,"000","N" "50392","","A","Insert kidney drain","", 5.59,"", 2.36, 0.20, 8.15,"000","N" "50393","","A","Insert ureteral tube","", 6.88,"", 3.01, 0.26, 10.15,"000","N" "50394","","A","Injection for kidney x-ray","", 0.76,"", 0.55, 0.05, 1.36,"000","N" "50395","","A","Create passage to kidney","", 5.15,"", 3.33, 0.29, 8.77,"000","N" "50396","","A","Measure kidney pressure","", 2.09,"", 0.50, 0.05, 2.64,"000","N" "50398","","A","Change kidney tube","", 1.46,"", 0.53, 0.05, 2.04,"000","S" "50400","","A","Revision of kidney/ureter","", 18.07,"", 13.66, 1.36, 33.09,"090","S" "50405","","A","Revision of kidney/ureter","", 22.45,"", 17.29, 1.74, 41.48,"090","S" "50500","","A","Repair of kidney wound","", 18.27,"", 12.46, 1.64, 32.37,"090","S" "50520","","A","Close kidney-skin fistula","", 15.93,"", 10.34, 1.50, 27.77,"090","S" "50525","","A","Repair renal-abdomen fistula","", 20.59,"", 12.61, 1.99, 35.19,"090","S" "50526","","A","Repair renal-abdomen fistula","", 22.15,"", 7.39, 2.32, 31.86,"090","S" "50540","","A","Revision of horseshoe kidney","", 19.15,"", 13.41, 1.54, 34.10,"090","S" "50551","","A","Kidney endoscopy","", 5.60,"", 2.19, 0.21, 8.00,"000","S" "50553","","A","Kidney endoscopy","", 5.99,"", 1.66, 0.17, 7.82,"000","S" "50555","","A","Kidney endoscopy & biopsy","", 6.53,"", 4.70, 0.45, 11.68,"000","S" "50557","","A","Kidney endoscopy & treatment","", 6.62,"", 4.71, 0.49, 11.82,"000","S" "50559","","A","Renal endoscopy; radiotracer","", 6.78,"", 1.34, 0.14, 8.26,"000","S" "50561","","A","Kidney endoscopy & treatment","", 7.59,"", 5.12, 0.49, 13.20,"000","S" "50570","","A","Kidney endoscopy","", 9.54,"", 1.45, 0.14, 11.13,"000","S" "50572","","A","Kidney endoscopy","", 10.35,"", 7.25, 0.75, 18.35,"000","S" "50574","","A","Kidney endoscopy & biopsy","", 11.02,"", 7.08, 0.64, 18.74,"000","S" "50575","","A","Kidney endoscopy","", 13.98,"", 9.93, 0.97, 24.88,"000","S" "50576","","A","Kidney endoscopy & treatment","", 10.99,"", 8.69, 0.77, 20.45,"000","S" "50578","","A","Renal endoscopy; radiotracer","", 11.35,"", 3.79, 1.19, 16.33,"000","S" "50580","","A","Kidney endoscopy & treatment","", 11.86,"", 3.58, 0.35, 15.79,"000","S" "50590","","A","Fragmenting of kidney stone","", 9.62,"", 10.11, 0.97, 20.70,"090","S" "50600","","A","Exploration of ureter","", 14.78,"", 9.69, 1.01, 25.48,"090","S" "50605","","A","Insert ureteral support","", 14.40,"", 6.11, 0.60, 21.11,"090","S" "50610","","A","Removal of ureter stone","", 14.86,"", 11.77, 1.17, 27.80,"090","S" "50620","","A","Removal of ureter stone","", 14.17,"", 11.49, 1.16, 26.82,"090","S" "50630","","A","Removal of ureter stone","", 13.95,"", 12.71, 1.25, 27.91,"090","S" "50650","","A","Removal of ureter","", 16.37,"", 12.07, 1.21, 29.65,"090","S" "50660","","A","Removal of ureter","", 18.44,"", 12.49, 1.53, 32.46,"090","S" "50684","","A","Injection for ureter x-ray","", 0.76,"", 0.49, 0.05, 1.30,"000","S" "50686","","A","Measure ureter pressure","", 1.51,"", 0.37, 0.04, 1.92,"000","S" "50688","","A","Change of ureter tube","", 1.14,"", 0.39, 0.04, 1.57,"010","S" "50690","","A","Injection for ureter x-ray","", 1.16,"", 0.32, 0.03, 1.51,"000","S" "50700","","A","Revision of ureter","", 14.10,"", 12.57, 1.29, 27.96,"090","S" "50715","","A","Release of ureter","", 17.60,"", 11.24, 1.49, 30.33,"090","S" "50722","","A","Release of ureter","", 15.11,"", 10.32, 1.97, 27.40,"090","S" "50725","","A","Release/revise ureter","", 17.12,"", 12.05, 1.75, 30.92,"090","S" "50727","","A","Revise ureter","", 7.57,"", 5.37, 0.51, 13.45,"090","S" "50728","","A","Revise ureter","", 11.13,"", 7.90, 0.77, 19.80,"090","S" "50740","","A","Fusion of ureter & kidney","", 17.12,"", 13.03, 1.88, 32.03,"090","S" "50750","","A","Fusion of ureter & kidney","", 18.14,"", 14.04, 1.26, 33.44,"090","S" "50760","","A","Fusion of ureters","", 17.12,"", 13.47, 1.48, 32.07,"090","S" "50770","","A","Splicing of ureters","", 18.14,"", 15.23, 1.53, 34.90,"090","S" "50780","","A","Reimplant ureter in bladder","", 17.12,"", 13.78, 1.46, 32.36,"090","S" "50782","","A","Reimplant ureter in bladder","", 18.23,"", 13.78, 1.46, 33.47,"090","S" "50783","","A","Reimplant ureter in bladder","", 19.17,"", 13.78, 1.46, 34.41,"090","S" "50785","","A","Reimplant ureter in bladder","", 19.15,"", 15.42, 1.80, 36.37,"090","S" "50800","","A","Implant ureter in bowel","", 13.10,"", 14.67, 1.51, 29.28,"090","S" "50810","","A","Fusion of ureter & bowel","", 18.14,"", 12.57, 1.75, 32.46,"090","S" "50815","","A","Urine shunt to bowel","", 18.14,"", 19.76, 2.75, 40.65,"090","S" "50820","","A","Construct bowel bladder","", 20.15,"", 18.97, 2.50, 41.62,"090","S" "50825","","A","Construct bowel bladder","", 26.19,"", 30.54, 3.33, 60.06,"090","S" "50830","","A","Revise urine flow","", 29.29,"", 20.93, 2.27, 52.49,"090","S" "50840","","A","Replace ureter by bowel","", 18.14,"", 13.32, 1.35, 32.81,"090","S" "50845","","A","Appendico-vesicostomy","", 19.52,"", 13.87, 1.35, 34.74,"090","S" "50860","","A","Transplant ureter to skin","", 13.99,"", 10.92, 1.16, 26.07,"090","S" "50900","","A","Repair of ureter","", 12.58,"", 9.98, 1.15, 23.71,"090","S" "50920","","A","Closure ureter/skin fistula","", 13.22,"", 9.52, 0.99, 23.73,"090","S" "50930","","A","Closure ureter/bowel fistula","", 17.61,"", 12.50, 1.22, 31.33,"090","S" "50940","","A","Release of ureter","", 13.47,"", 9.90, 0.95, 24.32,"090","S" "50951","","A","Endoscopy of ureter","", 5.84,"", 1.67, 0.17, 7.68,"000","S" "50953","","A","Endoscopy of ureter","", 6.24,"", 1.66, 0.16, 8.06,"000","S" "50955","","A","Ureter endoscopy & biopsy","", 6.75,"", 2.55, 0.25, 9.55,"000","S" "50957","","A","Ureter endoscopy & treatment","", 6.79,"", 2.50, 0.25, 9.54,"000","S" "50959","","A","Ureter endoscopy & tracer","", 4.40,"", 3.38, 0.29, 8.07,"000","S" "50961","","A","Ureter endoscopy & treatment","", 6.05,"", 2.62, 0.26, 8.93,"000","S" "50970","","A","Ureter endoscopy","", 7.14,"", 5.17, 0.52, 12.83,"000","S" "50972","","A","Ureter endoscopy & catheter","", 6.89,"", 1.54, 0.16, 8.59,"000","S" "50974","","A","Ureter endoscopy & biopsy","", 9.17,"", 7.01, 0.65, 16.83,"000","S" "50976","","A","Ureter endoscopy & treatment","", 9.04,"", 6.41, 0.62, 16.07,"000","S" "50978","","A","Ureter endoscopy & tracer","", 5.10,"", 4.05, 0.48, 9.63,"000","S" "50980","","A","Ureter endoscopy & treatment","", 6.85,"", 3.13, 0.30, 10.28,"000","S" "51000","","A","Drainage of bladder","", 0.78,"", 0.48, 0.05, 1.31,"000","S" "51005","","A","Drainage of bladder","", 1.02,"", 0.46, 0.04, 1.52,"000","S" "51010","","A","Drainage of bladder","", 2.54,"", 0.97, 0.11, 3.62,"010","S" "51020","","A","Incise & treat bladder","", 6.04,"", 6.85, 0.71, 13.60,"090","S" "51030","","A","Incise & treat bladder","", 6.04,"", 4.53, 0.43, 11.00,"090","S" "51040","","A","Incise & drain bladder","", 4.08,"*", 5.23, 0.75, 10.06,"090","S" "51045","","A","Incise bladder, drain ureter","", 6.04,"", 4.96, 0.50, 11.50,"090","S" "51050","","A","Removal of bladder stone","", 6.04,"", 7.12, 0.70, 13.86,"090","S" "51060","","A","Removal of ureter stone","", 8.05,"*", 10.31, 1.19, 19.55,"090","S" "51065","","A","Removal of ureter stone","", 8.05,"", 7.08, 0.71, 15.84,"090","S" "51080","","A","Drainage of bladder abscess","", 5.41,"", 5.18, 0.57, 11.16,"090","S" "51500","","A","Removal of bladder cyst","", 9.54,"", 6.86, 1.21, 17.61,"090","S" "51520","","A","Removal of bladder lesion","", 8.69,"", 8.53, 0.87, 18.09,"090","S" "51525","","A","Removal of bladder lesion","", 12.78,"", 10.67, 1.06, 24.51,"090","S" "51530","","A","Removal of bladder lesion","", 11.32,"", 9.25, 1.02, 21.59,"090","S" "51535","","A","Repair of ureter lesion","", 11.51,"", 7.68, 1.14, 20.33,"090","S" "51550","","A","Partial removal of bladder","", 14.34,"", 10.71, 1.17, 26.22,"090","S" "51555","","A","Partial removal of bladder","", 19.60,"", 12.26, 1.31, 33.17,"090","S" "51565","","A","Revise bladder & ureter(s)","", 20.01,"", 15.84, 1.67, 37.52,"090","S" "51570","","A","Removal of bladder","", 22.16,"", 15.66, 1.62, 39.44,"090","S" "51575","","A","Removal of bladder & nodes","", 27.93,"", 22.87, 2.25, 53.05,"090","S" "51580","","A","Remove bladder; revise tract","", 28.20,"", 19.95, 2.04, 50.19,"090","S" "51585","","A","Removal of bladder & nodes","", 32.22,"", 25.12, 2.42, 59.76,"090","S" "51590","","A","Remove bladder; revise tract","", 30.21,"", 24.52, 2.56, 57.29,"090","S" "51595","","A","Remove bladder; revise tract","", 34.25,"", 33.80, 3.34, 71.39,"090","S" "51596","","A","Remove bladder, create pouch","", 36.27,"", 34.89, 3.45, 74.61,"090","S" "51597","","A","Removal of pelvic structures","", 35.27,"", 30.63, 4.31, 70.21,"090","S" "51600","","A","Injection for bladder x-ray","", 0.88,"", 0.28, 0.03, 1.19,"000","S" "51605","","A","Preparation for bladder xray","", 1.13,"", 0.30, 0.03, 1.46,"000","S" "51610","","A","Injection for bladder x-ray","", 1.59,"", 0.27, 0.02, 1.88,"000","S" "51700","","A","Irrigation of bladder","", 0.88,"", 0.22, 0.02, 1.12,"000","S" "51705","","A","Change of bladder tube","", 0.99,"", 0.38, 0.04, 1.41,"010","S" "51710","","A","Change of bladder tube","", 1.46,"", 0.57, 0.06, 2.09,"010","S" "51715","","A","Endoscopic injection/implant","", 3.74,"", 2.65, 0.27, 6.66,"000","S" "51720","","A","Treatment of bladder lesion","", 1.96,"", 0.45, 0.05, 2.46,"000","S" "51725","","A","Simple cystometrogram","", 1.51,"", 1.01, 0.11, 2.63,"000","S" "51725","TC","A","Simple cystometrogram","", 0.00,"", 0.38, 0.04, 0.42,"000","S" "51725","26","A","Simple cystometrogram","", 1.51,"", 0.63, 0.07, 2.21,"000","S" "51726","","A","Complex cystometrogram","", 1.71,"", 1.29, 0.13, 3.13,"000","S" "51726","TC","A","Complex cystometrogram","", 0.00,"", 0.48, 0.05, 0.53,"000","S" "51726","26","A","Complex cystometrogram","", 1.71,"", 0.81, 0.08, 2.60,"000","S" "51736","","A","Urine flow measurement","", 0.84,"", 0.41, 0.04, 1.29,"000","S" "51736","TC","A","Urine flow measurement","", 0.00,"", 0.15, 0.01, 0.16,"000","S" "51736","26","A","Urine flow measurement","", 0.84,"", 0.26, 0.03, 1.13,"000","S" "51741","","A","Electro-uroflowmetry, first","", 1.57,"", 0.56, 0.06, 2.19,"000","S" "51741","TC","A","Electro-uroflowmetry, first","", 0.00,"", 0.21, 0.02, 0.23,"000","S" "51741","26","A","Electro-uroflowmetry, first","", 1.57,"", 0.35, 0.04, 1.96,"000","S" "51772","","A","Urethra pressure profile","", 1.61,"", 0.94, 0.11, 2.66,"000","S" "51772","TC","A","Urethra pressure profile","", 0.00,"", 0.42, 0.05, 0.47,"000","S" "51772","26","A","Urethra pressure profile","", 1.61,"", 0.52, 0.06, 2.19,"000","S" "51784","","A","Anal/urinary muscle study","", 1.53,"", 1.04, 0.11, 2.68,"000","S" "51784","TC","A","Anal/urinary muscle study","", 0.00,"", 0.39, 0.04, 0.43,"000","S" "51784","26","A","Anal/urinary muscle study","", 1.53,"", 0.65, 0.07, 2.25,"000","S" "51785","","A","Anal/urinary muscle study","", 1.53,"", 1.04, 0.11, 2.68,"000","S" "51785","TC","A","Anal/urinary muscle study","", 0.00,"", 0.39, 0.04, 0.43,"000","S" "51785","26","A","Anal/urinary muscle study","", 1.53,"", 0.65, 0.07, 2.25,"000","S" "51792","","A","Urinary reflex study","", 1.10,"", 1.93, 0.20, 3.23,"000","S" "51792","TC","A","Urinary reflex study","", 0.00,"", 1.34, 0.14, 1.48,"000","S" "51792","26","A","Urinary reflex study","", 1.10,"", 0.59, 0.06, 1.75,"000","S" "51795","","A","Urine voiding pressure study","", 1.53,"", 1.44, 0.16, 3.13,"000","S" "51795","TC","A","Urine voiding pressure study","", 0.00,"", 0.87, 0.10, 0.97,"000","S" "51795","26","A","Urine voiding pressure study","", 1.53,"", 0.57, 0.06, 2.16,"000","S" "51797","","A","Intraabdominal pressure test","", 1.60,"", 0.96, 0.10, 2.66,"000","S" "51797","TC","A","Intraabdominal pressure test","", 0.00,"", 0.45, 0.05, 0.50,"000","S" "51797","26","A","Intraabdominal pressure test","", 1.60,"", 0.51, 0.05, 2.16,"000","S" "51800","","A","Revision of bladder/urethra","", 16.31,"", 12.02, 1.47, 29.80,"090","S" "51820","","A","Revision of urinary tract","", 16.67,"", 7.39, 1.32, 25.38,"090","S" "51840","","A","Attach bladder/urethra","", 9.78,"", 9.22, 1.26, 20.26,"090","S" "51841","","A","Attach bladder/urethra","", 12.10,"", 11.01, 1.48, 24.59,"090","S" "51845","","A","Repair bladder neck","", 9.06,"", 10.71, 1.09, 20.86,"090","S" "51860","","A","Repair of bladder wound","", 11.17,"", 7.62, 0.91, 19.70,"090","S" "51865","","A","Repair of bladder wound","", 13.99,"", 10.96, 1.27, 26.22,"090","S" "51880","","A","Repair of bladder opening","", 7.21,"", 4.96, 0.52, 12.69,"090","S" "51900","","A","Repair bladder/vagina lesion","", 11.67,"", 11.65, 1.41, 24.73,"090","S" "51920","","A","Close bladder-uterus fistula","", 10.57,"", 7.51, 0.73, 18.81,"090","S" "51925","","A","Hysterectomy/bladder repair","", 14.10,"", 10.07, 2.33, 26.50,"090","S" "51940","","A","Correction of bladder defect","", 25.00,"", 18.95, 2.22, 46.17,"090","S" "51960","","A","Revision of bladder & bowel","", 21.15,"", 21.40, 2.27, 44.82,"090","S" "51980","","A","Construct bladder opening","", 10.43,"", 7.46, 0.75, 18.64,"090","S" "52000","","A","Cystoscopy","", 2.01,"", 1.33, 0.14, 3.48,"000","S" "52005","","A","Cystoscopy & ureter catheter","", 2.37,"", 2.20, 0.22, 4.79,"000","S" "52007","","A","Cystoscopy and biopsy","", 3.02,"", 2.82, 0.28, 6.12,"000","S" "52010","","A","Cystoscopy & duct catheter","", 3.02,"", 1.90, 0.20, 5.12,"000","S" "52204","","A","Cystoscopy","", 2.37,"", 2.38, 0.24, 4.99,"000","S" "52214","","A","Cystoscopy and treatment","", 3.71,"", 2.80, 0.28, 6.79,"000","S" "52224","","A","Cystoscopy and treatment","", 3.14,"", 2.90, 0.29, 6.33,"000","S" "52234","","A","Cystoscopy and treatment","", 4.63,"", 4.71, 0.45, 9.79,"000","S" "52235","","A","Cystoscopy and treatment","", 5.45,"*", 6.97, 0.81, 13.23,"000","S" "52240","","A","Cystoscopy and treatment","", 9.72,"", 10.65, 1.04, 21.41,"000","S" "52250","","A","Cystoscopy & radiotracer","", 4.50,"", 2.86, 0.29, 7.65,"000","S" "52260","","A","Cystoscopy & treatment","", 3.92,"", 2.11, 0.22, 6.25,"000","S" "52265","","A","Cystoscopy & treatment","", 2.94,"", 1.35, 0.14, 4.43,"000","S" "52270","","A","Cystoscopy & revise urethra","", 3.84,"", 3.47, 0.35, 7.66,"000","S" "52275","","A","Cystoscopy & revise urethra","", 4.70,"", 3.42, 0.34, 8.46,"000","S" "52276","","A","Cystoscopy and treatment","", 3.93,"", 4.58, 0.45, 8.96,"000","S" "52277","","A","Cystoscopy and treatment","", 6.17,"", 4.82, 0.47, 11.46,"000","S" "52281","","A","Cystoscopy and treatment","", 2.80,"", 2.31, 0.23, 5.34,"000","S" "52283","","A","Cystoscopy and treatment","", 3.74,"", 1.51, 0.15, 5.40,"000","S" "52285","","A","Cystoscopy and treatment","", 3.61,"", 2.94, 0.30, 6.85,"000","S" "52290","","A","Cystoscopy and treatment","", 4.59,"", 2.34, 0.24, 7.17,"000","S" "52300","","A","Cystoscopy and treatment","", 5.35,"", 3.47, 0.36, 9.18,"000","S" "52305","","A","Cystoscopy and treatment","", 5.31,"", 3.50, 0.35, 9.16,"000","S" "52310","","A","Cystoscopy and treatment","", 2.81,"", 2.99, 0.30, 6.10,"000","S" "52315","","A","Cystoscopy and treatment","", 5.21,"", 4.07, 0.40, 9.68,"000","S" "52317","","A","Remove bladder stone","", 6.72,"", 6.19, 0.59, 13.50,"000","S" "52318","","A","Remove bladder stone","", 9.19,"", 7.88, 0.77, 17.84,"000","S" "52320","","A","Cystoscopy and treatment","", 4.70,"", 4.86, 0.47, 10.03,"000","S" "52325","","A","Cystoscopy, stone removal","", 6.16,"", 7.01, 0.68, 13.85,"000","S" "52327","","A","Cystoscopy, inject material","", 5.19,"", 3.69, 0.36, 9.24,"000","S" "52330","","A","Cystoscopy and treatment","", 5.04,"", 3.47, 0.35, 8.86,"000","S" "52332","","A","Cystoscopy and treatment","", 2.83,"", 3.21, 0.32, 6.36,"000","S" "52334","","A","Create passage to kidney","", 4.83,"", 3.33, 0.34, 8.50,"000","S" "52335","","A","Endoscopy of urinary tract","", 5.86,"", 4.69, 0.45, 11.00,"000","S" "52336","","A","Cystoscopy, stone removal","", 6.88,"*", 8.81, 0.99, 16.68,"000","S" "52337","","A","Cystoscopy, stone removal","", 7.97,"*", 10.21, 1.08, 19.26,"000","S" "52338","","A","Cystoscopy and treatment","", 7.34,"", 5.92, 0.57, 13.83,"000","S" "52339","","A","Cystoscopy and treatment","", 8.82,"", 5.92, 0.57, 15.31,"000","S" "52340","","A","Cystoscopy and treatment","", 7.76,"", 5.15, 0.50, 13.41,"090","S" "52450","","A","Incision of prostate","", 7.05,"", 4.99, 0.49, 12.53,"090","S" "52500","","A","Revision of bladder neck","", 7.82,"", 7.44, 0.72, 15.98,"090","S" "52510","","A","Dilation prostatic urethra","", 6.04,"", 7.64, 0.74, 14.42,"090","S" "52601","","A","Prostatectomy (TURP)","", 11.51,"", 11.87, 1.16, 24.54,"090","S" "52606","","A","Control postop bleeding","", 7.51,"", 3.32, 0.33, 11.16,"090","S" "52612","","A","Prostatectomy, first stage","", 7.05,"*", 9.03, 0.99, 17.07,"090","S" "52614","","A","Prostatectomy, second stage","", 6.04,"", 7.09, 0.68, 13.81,"090","S" "52620","","A","Remove residual prostate","", 6.04,"", 5.33, 0.51, 11.88,"090","S" "52630","","A","Remove prostate regrowth","", 6.55,"*", 8.38, 1.13, 16.06,"090","S" "52640","","A","Relieve bladder contracture","", 6.04,"", 6.43, 0.62, 13.09,"090","S" "52647","","A","Laser surgery of prostate","", 9.84,"", 11.87, 1.16, 22.87,"090","S" "52648","","A","Laser surgery of prostate","", 10.69,"", 11.87, 1.16, 23.72,"090","S" "52700","","A","Drainage of prostate abscess","", 6.31,"", 3.30, 0.34, 9.95,"090","S" "53000","","A","Incision of urethra","", 2.01,"", 1.76, 0.17, 3.94,"010","S" "53010","","A","Incision of urethra","", 3.02,"", 3.52, 0.37, 6.91,"090","S" "53020","","A","Incision of urethra","", 1.77,"", 0.82, 0.09, 2.68,"000","S" "53025","","A","Incision of urethra","", 1.13,"", 0.80, 0.08, 2.01,"000","S" "53040","","A","Drainage of urethra abscess","", 6.01,"", 1.85, 0.19, 8.05,"090","S" "53060","","A","Drainage of urethra abscess","", 2.58,"", 0.51, 0.07, 3.16,"010","S" "53080","","A","Drainage of urinary leakage","", 5.87,"", 3.98, 0.45, 10.30,"090","S" "53085","","A","Drainage of urinary leakage","", 9.67,"", 6.75, 0.70, 17.12,"090","S" "53200","","A","Biopsy of urethra","", 2.59,"", 1.10, 0.12, 3.81,"000","S" "53210","","A","Removal of urethra","", 11.71,"", 6.64, 0.67, 19.02,"090","S" "53215","","A","Removal of urethra","", 14.59,"", 10.00, 0.96, 25.55,"090","S" "53220","","A","Treatment of urethra lesion","", 6.58,"", 4.77, 0.49, 11.84,"090","S" "53230","","A","Removal of urethra lesion","", 9.04,"", 7.93, 0.79, 17.76,"090","S" "53235","","A","Removal of urethra lesion","", 9.60,"", 5.02, 0.49, 15.11,"090","N" "53240","","A","Surgery for urethra pouch","", 6.03,"", 4.33, 0.45, 10.81,"090","S" "53250","","A","Removal of urethra gland","", 5.69,"", 4.05, 0.40, 10.14,"090","S" "53260","","A","Treatment of urethra lesion","", 2.93,"", 1.12, 0.16, 4.21,"010","S" "53265","","A","Treatment of urethra lesion","", 3.07,"", 1.88, 0.22, 5.17,"010","S" "53270","","A","Removal of urethra gland","", 2.93,"", 0.84, 0.18, 3.95,"010","S" "53275","","A","Repair of urethra defect","", 4.37,"", 2.37, 0.25, 6.99,"010","S" "53400","","A","Revise urethra, 1st stage","", 11.79,"", 7.47, 0.76, 20.02,"090","S" "53405","","A","Revise urethra, 2nd stage","", 13.70,"", 10.38, 1.21, 25.29,"090","S" "53410","","A","Reconstruction of urethra","", 15.59,"", 8.56, 0.84, 24.99,"090","S" "53415","","A","Reconstruction of urethra","", 18.50,"", 11.87, 1.15, 31.52,"090","S" "53420","","A","Reconstruct urethra, stage 1","", 13.28,"", 10.88, 1.05, 25.21,"090","S" "53425","","A","Reconstruct urethra, stage 2","", 15.18,"", 9.25, 0.88, 25.31,"090","S" "53430","","A","Reconstruction of urethra","", 15.54,"", 7.16, 0.76, 23.46,"090","S" "53440","","A","Correct bladder function","", 11.49,"", 13.14, 1.39, 26.02,"090","S" "53442","","A","Remove perineal prosthesis","", 7.67,"", 5.84, 0.67, 14.18,"090","S" "53443","","A","Reconstruction of urethra","", 18.98,"", 10.03, 1.07, 30.08,"090","S" "53445","","A","Correct urine flow control","", 13.15,"*", 16.83, 2.03, 32.01,"090","S" "53447","","A","Remove artificial sphincter","", 12.37,"", 9.16, 0.89, 22.42,"090","S" "53449","","A","Correct artificial sphincter","", 9.16,"", 8.41, 0.82, 18.39,"090","S" "53450","","A","Revision of urethra","", 5.72,"", 2.74, 0.27, 8.73,"090","S" "53460","","A","Revision of urethra","", 6.70,"", 2.44, 0.25, 9.39,"090","S" "53502","","A","Repair of urethra injury","", 7.21,"", 4.97, 0.56, 12.74,"090","S" "53505","","A","Repair of urethra injury","", 7.21,"", 5.18, 0.51, 12.90,"090","S" "53510","","A","Repair of urethra injury","", 9.57,"", 6.98, 0.66, 17.21,"090","S" "53515","","A","Repair of urethra injury","", 12.71,"", 9.03, 0.88, 22.62,"090","S" "53520","","A","Repair of urethra defect","", 8.21,"", 5.89, 0.56, 14.66,"090","S" "53600","","A","Dilate urethra stricture","", 1.21,"", 0.33, 0.03, 1.57,"000","S" "53601","","A","Dilate urethra stricture","", 0.98,"", 0.29, 0.03, 1.30,"000","S" "53605","","A","Dilate urethra stricture","", 1.28,"", 0.46, 0.05, 1.79,"000","S" "53620","","A","Dilate urethra stricture","", 1.62,"", 0.47, 0.05, 2.14,"000","S" "53621","","A","Dilate urethra stricture","", 1.35,"", 0.38, 0.04, 1.77,"000","S" "53640","","A","Relieve bladder retention","", 1.59,"", 0.57, 0.06, 2.22,"000","S" "53660","","A","Dilation of urethra","", 0.71,"", 0.28, 0.03, 1.02,"000","S" "53661","","A","Dilation of urethra","", 0.72,"", 0.25, 0.03, 1.00,"000","S" "53665","","A","Dilation of urethra","", 0.76,"", 0.36, 0.04, 1.16,"000","S" "53670","","A","Insert urinary catheter","", 0.50,"", 0.22, 0.02, 0.74,"000","S" "53675","","A","Insert urinary catheter","", 1.47,"", 0.47, 0.05, 1.99,"000","S" "53899","","C","Urology surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "54000","","A","Slitting of prepuce","", 1.49,"", 0.63, 0.07, 2.19,"010","S" "54001","","A","Slitting of prepuce","", 2.14,"", 0.84, 0.09, 3.07,"010","S" "54015","","A","Drain penis lesion","", 5.16,"", 0.83, 0.09, 6.08,"010","S" "54050","","A","Destruction, penis lesion(s)","", 1.19,"", 0.38, 0.03, 1.60,"010","S" "54055","","A","Destruction, penis lesion(s)","", 1.19,"", 0.61, 0.06, 1.86,"010","S" "54056","","A","Cryosurgery, penis lesion(s)","", 1.19,"", 0.53, 0.04, 1.76,"010","S" "54057","","A","Laser surg, penis lesion(s)","", 1.19,"*", 1.52, 0.21, 2.92,"010","S" "54060","","A","Excision of penis lesion(s)","", 1.88,"", 1.17, 0.12, 3.17,"010","S" "54065","","A","Destruction, penis lesion(s)","", 2.37,"", 2.47, 0.25, 5.09,"010","S" "54100","","A","Biopsy of penis","", 1.90,"", 0.65, 0.07, 2.62,"000","S" "54105","","A","Biopsy of penis","", 3.45,"", 1.01, 0.11, 4.57,"010","S" "54110","","A","Treatment of penis lesion","", 9.66,"", 6.03, 0.61, 16.30,"090","S" "54111","","A","Treat penis lesion, graft","", 13.03,"", 9.18, 0.97, 23.18,"090","S" "54112","","A","Treat penis lesion, graft","", 15.14,"", 10.84, 1.14, 27.12,"090","S" "54115","","A","Treatment of penis lesion","", 5.68,"", 4.18, 0.44, 10.30,"090","S" "54120","","A","Partial removal of penis","", 9.24,"", 6.47, 0.62, 16.33,"090","S" "54125","","A","Removal of penis","", 12.80,"", 11.56, 1.17, 25.53,"090","S" "54130","","A","Remove penis & nodes","", 18.92,"", 14.66, 1.32, 34.90,"090","S" "54135","","A","Remove penis & nodes","", 25.01,"", 17.75, 1.74, 44.50,"090","S" "54150","","A","Circumcision","", 1.78,"", 0.54, 0.05, 2.37,"010","S" "54152","","A","Circumcision","", 2.26,"", 1.82, 0.20, 4.28,"010","S" "54160","","A","Circumcision","", 2.43,"", 1.66, 0.21, 4.30,"010","S" "54161","","A","Circumcision","", 3.22,"", 2.17, 0.23, 5.62,"010","S" "54200","","A","Treatment of penis lesion","", 1.01,"", 0.32, 0.03, 1.36,"010","S" "54205","","A","Treatment of penis lesion","", 7.20,"", 5.11, 0.50, 12.81,"090","S" "54220","","A","Treatment of penis lesion","", 2.42,"", 1.58, 0.17, 4.17,"000","S" "54230","","A","Prepare penis study","", 1.34,"", 1.34, 0.13, 2.81,"000","S" "54231","","A","Dynamic cavernosometry","", 2.04,"", 1.44, 0.14, 3.62,"000","S" "54235","","A","Penile injection","", 1.19,"", 0.43, 0.04, 1.66,"000","S" "54240","","A","Penis study","", 1.31,"", 0.99, 0.12, 2.42,"000","S" "54240","TC","A","Penis study","", 0.00,"", 0.48, 0.06, 0.54,"000","S" "54240","26","A","Penis study","", 1.31,"", 0.51, 0.06, 1.88,"000","S" "54250","","A","Penis study","", 2.22,"", 0.80, 0.08, 3.10,"000","S" "54250","TC","A","Penis study","", 0.00,"", 0.30, 0.03, 0.33,"000","S" "54250","26","A","Penis study","", 2.22,"", 0.50, 0.05, 2.77,"000","S" "54300","","A","Revision of penis","", 10.05,"", 6.88, 0.87, 17.80,"090","S" "54304","","A","Revision of penis","", 12.13,"", 8.66, 0.90, 21.69,"090","S" "54308","","A","Reconstruction of urethra","", 11.58,"", 5.84, 0.74, 18.16,"090","S" "54312","","A","Reconstruction of urethra","", 13.16,"", 9.37, 0.91, 23.44,"090","S" "54316","","A","Reconstruction of urethra","", 15.97,"", 11.34, 1.12, 28.43,"090","S" "54318","","A","Reconstruction of urethra","", 10.47,"", 7.53, 1.11, 19.11,"090","S" "54322","","A","Reconstruction of urethra","", 12.34,"", 7.61, 0.74, 20.69,"090","S" "54324","","A","Reconstruction of urethra","", 15.46,"", 10.98, 1.08, 27.52,"090","S" "54326","","A","Reconstruction of urethra","", 14.81,"", 10.51, 1.03, 26.35,"090","S" "54328","","A","Revise penis, urethra","", 14.80,"", 10.72, 1.24, 26.76,"090","S" "54332","","A","Revise penis, urethra","", 16.17,"", 12.52, 1.13, 29.82,"090","S" "54336","","A","Revise penis, urethra","", 18.95,"", 18.79, 1.40, 39.14,"090","S" "54340","","A","Secondary urethral surgery","", 8.55,"", 6.07, 0.59, 15.21,"090","S" "54344","","A","Secondary urethral surgery","", 15.22,"", 16.61, 1.10, 32.93,"090","S" "54348","","A","Secondary urethral surgery","", 16.37,"", 11.62, 1.14, 29.13,"090","S" "54352","","A","Reconstruct urethra, penis","", 23.84,"", 16.18, 1.49, 41.51,"090","S" "54360","","A","Penis plastic surgery","", 11.39,"", 7.02, 0.73, 19.14,"090","S" "54380","","A","Repair penis","", 12.59,"", 9.42, 0.75, 22.76,"090","S" "54385","","A","Repair penis","", 14.75,"", 10.46, 0.89, 26.10,"090","S" "54390","","A","Repair penis and bladder","", 20.97,"", 13.57, 1.58, 36.12,"090","S" "54400","","A","Insert semi-rigid prosthesis","", 8.58,"*", 10.99, 1.27, 20.84,"090","S" "54401","","A","Insert self-contd prosthesis","", 9.67,"*", 12.38, 1.73, 23.78,"090","S" "54402","","A","Remove penis prosthesis","", 8.67,"", 6.00, 0.58, 15.25,"090","S" "54405","","A","Insert multi-comp prosthesis","", 12.63,"*", 16.17, 2.10, 30.90,"090","S" "54407","","A","Remove multi-comp prosthesis","", 12.61,"", 11.22, 1.10, 24.93,"090","S" "54409","","A","Revise penis prosthesis","", 11.53,"", 8.97, 0.87, 21.37,"090","S" "54420","","A","Revision of penis","", 10.75,"", 7.74, 0.87, 19.36,"090","S" "54430","","A","Revision of penis","", 9.55,"", 6.99, 0.69, 17.23,"090","S" "54435","","A","Revision of penis","", 5.63,"", 4.15, 0.39, 10.17,"090","S" "54440","","C","Repair of penis","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "54450","","A","Preputial stretching","", 1.12,"", 0.68, 0.07, 1.87,"000","S" "54500","","A","Biopsy of testis","", 1.31,"", 0.44, 0.05, 1.80,"000","S" "54505","","A","Biopsy of testis","", 3.41,"", 1.86, 0.22, 5.49,"010","S" "54510","","A","Removal of testis lesion","", 5.24,"", 3.03, 0.38, 8.65,"090","S" "54520","","A","Removal of testis","", 4.93,"", 5.31, 0.52, 10.76,"090","S" "54530","","A","Removal of testis","", 8.04,"", 7.32, 0.77, 16.13,"090","S" "54535","","A","Extensive testis surgery","", 11.43,"", 8.54, 1.02, 20.99,"090","S" "54550","","A","Exploration for testis","", 7.36,"", 5.25, 0.61, 13.22,"090","S" "54560","","A","Exploration for testis","", 10.46,"", 7.23, 0.81, 18.50,"090","S" "54600","","A","Reduce testis torsion","", 6.59,"", 4.62, 0.48, 11.69,"090","S" "54620","","A","Suspension of testis","", 4.69,"", 3.32, 0.33, 8.34,"010","S" "54640","","A","Suspension of testis","", 6.55,"", 7.82, 0.91, 15.28,"090","S" "54650","","A","Orchiopexy (Fowler-Stephens)","", 10.93,"", 7.82, 0.91, 19.66,"090","S" "54660","","A","Revision of testis","", 4.80,"", 3.40, 0.34, 8.54,"090","S" "54670","","A","Repair testis injury","", 6.06,"", 4.30, 0.43, 10.79,"090","S" "54680","","A","Relocation of testis(es)","", 11.53,"", 8.19, 0.80, 20.52,"090","S" "54700","","A","Drainage of scrotum","", 3.38,"", 0.90, 0.11, 4.39,"010","S" "54800","","A","Biopsy of epididymis","", 2.33,"", 1.97, 0.19, 4.49,"000","S" "54820","","A","Exploration of epididymis","", 4.72,"", 2.62, 0.29, 7.63,"090","S" "54830","","A","Remove epididymis lesion","", 5.07,"", 3.51, 0.39, 8.97,"090","S" "54840","","A","Remove epididymis lesion","", 5.01,"", 4.84, 0.48, 10.33,"090","S" "54860","","A","Removal of epididymis","", 6.01,"", 5.17, 0.50, 11.68,"090","S" "54861","","A","Removal of epididymis","", 8.54,"", 7.30, 0.72, 16.56,"090","S" "54900","","A","Fusion of spermatic ducts","", 12.61,"", 8.95, 0.87, 22.43,"090","S" "54901","","A","Fusion of spermatic ducts","", 17.30,"", 12.29, 1.20, 30.79,"090","S" "55000","","A","Drainage of hydrocele","", 1.43,"", 0.40, 0.04, 1.87,"000","S" "55040","","A","Removal of hydrocele","", 5.15,"", 4.88, 0.55, 10.58,"090","S" "55041","","A","Removal of hydroceles","", 7.38,"", 7.47, 0.81, 15.66,"090","S" "55060","","A","Repair of hydrocele","", 5.21,"", 4.13, 0.50, 9.84,"090","S" "55100","","A","Drainage of scrotum abscess","", 2.03,"", 0.63, 0.07, 2.73,"010","S" "55110","","A","Explore scrotum","", 5.28,"", 3.48, 0.37, 9.13,"090","S" "55120","","A","Removal of scrotum lesion","", 4.78,"", 1.79, 0.21, 6.78,"090","S" "55150","","A","Removal of scrotum","", 6.62,"", 5.45, 0.57, 12.64,"090","S" "55175","","A","Revision of scrotum","", 4.93,"", 4.49, 0.48, 9.90,"090","S" "55180","","A","Revision of scrotum","", 10.07,"", 6.83, 0.82, 17.72,"090","S" "55200","","A","Incision of sperm duct","", 4.14,"", 1.97, 0.20, 6.31,"090","S" "55250","","A","Removal of sperm duct(s)","", 3.21,"", 2.63, 0.28, 6.12,"090","S" "55300","","A","Preparation,sperm duct x-ray","", 3.51,"", 2.71, 0.27, 6.49,"000","S" "55400","","A","Repair of sperm duct","", 8.25,"", 6.56, 0.62, 15.43,"090","S" "55450","","A","Ligation of sperm duct","", 3.91,"", 2.61, 0.32, 6.84,"010","S" "55500","","A","Removal of hydrocele","", 5.28,"", 4.32, 0.50, 10.10,"090","S" "55520","","A","Removal of sperm cord lesion","", 5.72,"", 3.12, 0.51, 9.35,"090","S" "55530","","A","Revise spermatic cord veins","", 5.45,"", 5.20, 0.60, 11.25,"090","S" "55535","","A","Revise spermatic cord veins","", 6.25,"", 4.40, 0.45, 11.10,"090","S" "55540","","A","Revise hernia & sperm veins","", 7.25,"", 4.54, 0.91, 12.70,"090","S" "55600","","A","Incise sperm duct pouch","", 6.07,"", 4.31, 0.55, 10.93,"090","S" "55605","","A","Incise sperm duct pouch","", 7.60,"", 5.60, 0.59, 13.79,"090","S" "55650","","A","Remove sperm duct pouch","", 11.26,"", 7.22, 0.76, 19.24,"090","S" "55680","","A","Remove sperm pouch lesion","", 4.82,"", 4.43, 0.38, 9.63,"090","S" "55700","","A","Biopsy of prostate","", 1.57,"", 1.50, 0.15, 3.22,"000","S" "55705","","A","Biopsy of prostate","", 4.41,"", 3.37, 0.34, 8.12,"010","S" "55720","","A","Drainage of prostate abscess","", 7.54,"", 3.51, 0.37, 11.42,"090","S" "55725","","A","Drainage of prostate abscess","", 7.70,"", 5.62, 0.54, 13.86,"090","S" "55801","","A","Removal of prostate","", 16.25,"", 12.76, 1.44, 30.45,"090","S" "55810","","A","Extensive prostate surgery","", 21.21,"", 17.88, 1.77, 40.86,"090","S" "55812","","A","Extensive prostate surgery","", 25.65,"", 17.68, 1.94, 45.27,"090","S" "55815","","A","Extensive prostate surgery","", 28.47,"", 25.20, 2.42, 56.09,"090","S" "55821","","A","Removal of prostate","", 13.00,"", 13.59, 1.35, 27.94,"090","S" "55831","","A","Removal of prostate","", 14.30,"", 14.56, 1.44, 30.30,"090","S" "55840","","A","Extensive prostate surgery","", 21.21,"", 16.60, 1.61, 39.42,"090","S" "55842","","A","Extensive prostate surgery","", 22.70,"", 19.16, 1.88, 43.74,"090","S" "55845","","A","Extensive prostate surgery","", 26.73,"", 25.10, 2.44, 54.27,"090","S" "55859","","A","Percut/needle insert, pros","", 8.29,"", 5.89, 0.58, 14.76,"090","S" "55860","","A","Surgical exposure, prostate","", 13.33,"", 7.13, 0.70, 21.16,"090","S" "55862","","A","Extensive prostate surgery","", 17.09,"", 11.69, 1.20, 29.98,"090","S" "55865","","A","Extensive prostate surgery","", 21.65,"", 24.52, 2.39, 48.56,"090","S" "55870","","A","Electroejaculation","", 2.58,"", 1.83, 0.18, 4.59,"000","N" "55899","","C","Genital surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "55970","","N","Sex transformation, M to F","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "55980","","N","Sex transformation, F to M","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "56300","","A","Pelvis laparoscopy, dx","", 3.58,"*", 4.58, 1.03, 9.19,"010","S" "56301","","A","Laparoscopy; tubal cautery","", 3.68,"*", 4.71, 1.28, 9.67,"010","S" "56302","","A","Laparoscopy; tubal block","", 4.11,"*", 5.26, 1.32, 10.69,"010","S" "56303","","A","Laparoscopy; excise lesions","", 5.69,"", 5.53, 1.16, 12.38,"010","S" "56304","","A","Laparoscopy; lysis","", 4.37,"*", 5.60, 1.20, 11.17,"010","S" "56305","","A","Pelvic laparoscopy; biopsy","", 3.80,"*", 4.87, 0.95, 9.62,"010","S" "56306","","A","Laparoscopy; aspiration","", 3.80,"*", 4.87, 1.18, 9.85,"010","S" "56307","","A","Laparoscopy; remove adnexa","", 5.60,"*", 7.16, 1.60, 14.36,"010","S" "56308","","A","Laparoscopy; hysterectomy","", 13.87,"", 9.39, 2.07, 25.33,"010","S" "56309","","A","Laparoscopy; remove myoma","", 5.60,"", 4.76, 1.03, 11.39,"010","S" "56311","","A","Laparoscopic lymph node biop","", 8.93,"", 6.38, 1.47, 16.78,"010","S" "56312","","A","Laparoscopic lymphadenectomy","", 12.06,"", 8.56, 0.84, 21.46,"010","S" "56313","","A","Laparoscopic lymphadenectomy","", 14.00,"", 10.01, 2.31, 26.32,"010","S" "56315","","A","Laparoscopic appendectomy","", 6.06,"", 4.89, 1.01, 11.96,"090","S" "56316","","A","Laparoscopic hernia repair","", 6.17,"", 4.51, 0.94, 11.62,"090","S" "56317","","A","Laparoscopic hernia repair","", 7.87,"", 5.22, 1.11, 14.20,"090","S" "56320","","A","Laparoscopy, spermatic veins","", 6.25,"", 4.40, 0.45, 11.10,"090","S" "56322","","A","Laparoscopy, vagus nerves","", 9.70,"", 5.07, 1.18, 15.95,"090","S" "56323","","A","Laparoscopy, vagus nerves","", 11.65,"", 6.09, 1.41, 19.15,"090","S" "56324","","A","Laparoscopy, cholecystoenter","", 11.90,"", 9.16, 1.93, 22.99,"090","S" "56340","","A","Laparoscopic cholecystectomy","", 10.68,"", 7.99, 1.74, 20.41,"090","S" "56341","","A","Laparoscopic cholecystectomy","", 11.53,"", 8.43, 1.84, 21.80,"090","S" "56342","","A","Laparoscopic cholecystectomy","", 13.86,"", 9.37, 2.00, 25.23,"090","S" "56343","","A","Laparoscopic salpingostomy","", 6.96,"", 5.28, 1.11, 13.35,"090","S" "56344","","A","Laparoscopic fimbrioplasty","", 7.16,"", 5.11, 1.19, 13.46,"090","S" "56350","","A","Hysteroscopy; diagnostic","", 2.39,"", 1.99, 0.44, 4.82,"000","S" "56351","","A","Hysteroscopy; biopsy","", 2.85,"", 1.99, 0.44, 5.28,"000","S" "56352","","A","Hysteroscopy; lysis","", 3.14,"", 3.77, 0.85, 7.76,"000","S" "56353","","A","Hysteroscopy; resect septum","", 3.51,"", 3.77, 0.85, 8.13,"000","S" "56354","","A","Hysteroscopy; remove myoma","", 3.85,"*", 4.93, 1.30, 10.08,"000","S" "56355","","A","Hysteroscopy; remove impact","", 3.09,"", 1.99, 0.44, 5.52,"000","S" "56356","","A","Hysteroscopy; ablation","", 3.43,"*", 4.39, 1.49, 9.31,"000","S" "56360","","A","Peritoneoscopy","", 4.04,"", 3.80, 0.43, 8.27,"000","S" "56361","","A","Peritoneoscopy w/biopsy","", 4.32,"", 4.93, 0.49, 9.74,"000","S" "56362","","A","Peritoneoscopy w/cholangio","", 4.89,"", 2.77, 0.19, 7.85,"000","S" "56363","","A","Peritoneoscopy w/biopsy","", 5.18,"", 3.93, 0.45, 9.56,"000","S" "56399","","C","Laparoscopy procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "56405","","A","I & D of vulva/perineum","", 1.39,"", 0.76, 0.15, 2.30,"010","S" "56420","","A","Drainage of gland abscess","", 1.34,"", 0.80, 0.13, 2.27,"010","S" "56440","","A","Surgery for vulva lesion","", 2.79,"", 2.63, 0.52, 5.94,"010","S" "56441","","A","Lysis of labial lesion(s)","", 1.92,"", 1.65, 0.30, 3.87,"010","S" "56501","","A","Destruction, vulva lesion(s)","", 1.48,"", 0.54, 0.11, 2.13,"010","S" "56515","","A","Destruction, vulva lesion(s)","", 1.85,"*", 2.36, 0.66, 4.87,"010","S" "56605","","A","Biopsy of vulva/perineum","", 0.86,"", 0.68, 0.15, 1.69,"000","S" "56606","","A","Biopsy of vulva/perineum","", 0.43,"", 0.35, 0.08, 0.86,"000","S" "56620","","A","Partial removal of vulva","", 6.67,"", 6.47, 1.40, 14.54,"090","S" "56625","","A","Complete removal of vulva","", 7.41,"*", 9.52, 2.13, 19.06,"090","S" "56630","","A","Extensive vulva surgery","", 10.47,"*", 13.46, 3.28, 27.21,"090","S" "56631","","A","Extensive vulva surgery","", 14.57,"*", 18.70, 4.51, 37.78,"090","S" "56632","","A","Extensive vulva surgery","", 18.66,"*", 21.32, 4.51, 44.49,"090","S" "56633","","A","Extensive vulva surgery","", 12.15,"*", 15.97, 3.28, 31.40,"090","S" "56634","","A","Extensive vulva surgery","", 16.25,"*", 21.21, 4.51, 41.97,"090","S" "56637","","A","Extensive vulva surgery","", 20.34,"", 21.42, 4.51, 46.27,"090","S" "56640","","A","Extensive vulva surgery","", 20.09,"", 19.95, 4.36, 44.40,"090","S" "56700","","A","Partial removal of hymen","", 2.42,"", 1.82, 0.35, 4.59,"010","S" "56720","","A","Incision of hymen","", 0.68,"", 0.48, 0.11, 1.27,"000","S" "56740","","A","Remove vagina gland lesion","", 3.60,"", 2.87, 0.55, 7.02,"010","S" "56800","","A","Repair of vagina","", 3.73,"", 2.92, 0.57, 7.22,"010","S" "56805","","A","Repair clitoris","", 15.49,"", 11.75, 1.37, 28.61,"090","S" "56810","","A","Repair of perineum","", 3.97,"", 2.62, 0.51, 7.10,"010","S" "57000","","A","Exploration of vagina","", 2.92,"", 2.03, 0.35, 5.30,"010","S" "57010","","A","Drainage of pelvic abscess","", 5.41,"", 2.65, 0.51, 8.57,"090","S" "57020","","A","Drainage of pelvic fluid","", 1.50,"", 0.65, 0.14, 2.29,"000","S" "57061","","A","Destruction vagina lesion(s)","", 1.20,"", 0.82, 0.17, 2.19,"010","S" "57065","","A","Destruction vagina lesion(s)","", 2.56,"*", 3.28, 0.74, 6.58,"010","S" "57100","","A","Biopsy of vagina","", 0.97,"", 0.62, 0.13, 1.72,"000","S" "57105","","A","Biopsy of vagina","", 1.64,"", 1.57, 0.33, 3.54,"010","S" "57108","","A","Partial removal of vagina","", 5.69,"", 5.28, 1.10, 12.07,"090","S" "57110","","A","Removal of vagina","", 13.48,"", 7.88, 1.76, 23.12,"090","S" "57120","","A","Closure of vagina","", 6.73,"", 6.99, 1.51, 15.23,"090","S" "57130","","A","Remove vagina lesion","", 2.40,"", 2.62, 0.55, 5.57,"010","S" "57135","","A","Remove vagina lesion","", 2.64,"", 1.93, 0.38, 4.95,"010","S" "57150","","A","Treat vagina infection","", 0.94,"", 0.19, 0.04, 1.17,"000","S" "57160","","A","Insertion of pessary","", 0.89,"", 0.25, 0.05, 1.19,"000","S" "57170","","A","Fitting of diaphragm/cap","", 0.91,"", 0.32, 0.06, 1.29,"000","S" "57180","","A","Treat vaginal bleeding","", 1.53,"", 0.55, 0.11, 2.19,"010","S" "57200","","A","Repair of vagina","", 3.68,"", 2.71, 0.60, 6.99,"090","S" "57210","","A","Repair vagina/perineum","", 4.73,"", 3.27, 0.65, 8.65,"090","S" "57220","","A","Revision of urethra","", 3.87,"", 4.44, 0.80, 9.11,"090","S" "57230","","A","Repair of urethral lesion","", 5.07,"", 3.84, 0.64, 9.55,"090","S" "57240","","A","Repair bladder & vagina","", 5.39,"*", 6.90, 1.60, 13.89,"090","S" "57250","","A","Repair rectum & vagina","", 4.96,"*", 6.36, 1.69, 13.01,"090","S" "57260","","A","Repair of vagina","", 7.59,"", 8.65, 1.88, 18.12,"090","S" "57265","","A","Extensive repair of vagina","", 7.36,"*", 9.42, 2.11, 18.89,"090","S" "57268","","A","Repair of bowel bulge","", 6.14,"", 7.02, 1.50, 14.66,"090","S" "57270","","A","Repair of bowel pouch","", 7.36,"", 6.83, 1.44, 15.63,"090","S" "57280","","A","Suspension of vagina","", 8.35,"", 8.53, 1.85, 18.73,"090","S" "57282","","A","Repair of vaginal prolapse","", 8.06,"", 8.72, 1.89, 18.67,"090","S" "57284","","A","Repair paravaginal defect","", 12.10,"", 8.59, 0.84, 21.53,"090","S" "57288","","A","Repair bladder defect","", 12.34,"", 10.72, 1.36, 24.42,"090","S" "57289","","A","Repair bladder & vagina","", 6.40,"*", 8.19, 1.13, 15.72,"090","S" "57291","","A","Construction of vagina","", 7.46,"", 5.35, 1.19, 14.00,"090","S" "57292","","A","Construct vagina with graft","", 12.34,"", 6.55, 1.38, 20.27,"090","S" "57300","","A","Repair rectum-vagina fistula","", 6.81,"", 7.91, 1.66, 16.38,"090","S" "57305","","A","Repair rectum-vagina fistula","", 8.69,"", 7.55, 1.56, 17.80,"090","S" "57307","","A","Fistula repair & colostomy","", 10.05,"", 6.11, 1.28, 17.44,"090","S" "57310","","A","Repair urethrovaginal lesion","", 6.10,"", 4.32, 0.48, 10.90,"090","S" "57311","","A","Repair urethrovaginal lesion","", 7.23,"", 5.58, 0.41, 13.22,"090","S" "57320","","A","Repair bladder-vagina lesion","", 7.33,"*", 9.38, 1.35, 18.06,"090","S" "57330","","A","Repair bladder-vagina lesion","", 11.67,"", 8.29, 0.81, 20.77,"090","S" "57335","","A","Repair vagina","", 9.11,"", 6.91, 0.81, 16.83,"090","S" "57400","","A","Dilation of vagina","", 0.83,"", 0.33, 0.06, 1.22,"000","S" "57410","","A","Pelvic examination","", 0.59,"", 0.36, 0.05, 1.00,"000","S" "57415","","A","Removal vaginal foreign body","", 0.91,"", 0.36, 0.05, 1.32,"010","S" "57452","","A","Examination of vagina","", 0.99,"", 0.65, 0.14, 1.78,"000","S" "57454","","A","Vagina examination & biopsy","", 1.27,"", 1.21, 0.26, 2.74,"000","S" "57460","","A","Cervix excision","", 2.83,"", 2.02, 0.46, 5.31,"000","S" "57500","","A","Biopsy of cervix","", 0.97,"", 0.57, 0.12, 1.66,"000","S" "57505","","A","Endocervical curettage","", 1.09,"", 0.63, 0.13, 1.85,"010","S" "57510","","A","Cauterization of cervix","", 1.85,"", 0.52, 0.09, 2.46,"010","S" "57511","","A","Cryocautery of cervix","", 1.85,"", 0.85, 0.17, 2.87,"010","S" "57513","","A","Laser surgery of cervix","", 1.85,"*", 2.36, 0.67, 4.88,"010","S" "57520","","A","Conization of cervix","", 3.96,"", 3.45, 0.73, 8.14,"090","S" "57522","","A","Conization of cervix","", 3.26,"", 3.45, 0.73, 7.44,"090","S" "57530","","A","Removal of cervix","", 4.42,"", 3.61, 0.78, 8.81,"090","S" "57540","","A","Removal of residual cervix","", 6.01,"", 6.74, 1.51, 14.26,"090","S" "57545","","A","Remove cervix, repair pelvis","", 6.63,"", 4.58, 1.03, 12.24,"090","S" "57550","","A","Removal of residual cervix","", 4.91,"*", 6.28, 1.54, 12.73,"090","S" "57555","","A","Remove cervix, repair vagina","", 8.14,"", 10.10, 2.17, 20.41,"090","S" "57556","","A","Remove cervix, repair bowel","", 7.56,"", 9.44, 1.92, 18.92,"090","S" "57700","","A","Revision of cervix","", 3.30,"", 2.39, 0.34, 6.03,"090","S" "57720","","A","Revision of cervix","", 3.87,"", 2.76, 0.50, 7.13,"090","S" "57800","","A","Dilation of cervical canal","", 0.77,"", 0.48, 0.10, 1.35,"000","S" "57820","","A","D&c of residual cervix","", 1.62,"*", 2.08, 0.46, 4.16,"010","S" "58100","","A","Biopsy of uterus lining","", 0.71,"", 0.66, 0.14, 1.51,"000","S" "58120","","A","Dilation and curettage (D&C)","", 2.45,"", 2.70, 0.56, 5.71,"010","S" "58140","","A","Removal of uterus lesion","", 7.61,"", 8.33, 1.71, 17.65,"090","S" "58145","","A","Removal of uterus lesion","", 7.36,"", 8.24, 1.54, 17.14,"090","S" "58150","","A","Total hysterectomy","", 13.00,"", 9.57, 2.08, 24.65,"090","S" "58152","","A","Total hysterectomy","", 14.10,"", 11.99, 2.59, 28.68,"090","S" "58180","","A","Partial hysterectomy","", 9.06,"", 9.76, 2.11, 20.93,"090","S" "58200","","A","Extensive hysterectomy","", 20.34,"", 12.98, 2.80, 36.12,"090","S" "58210","","A","Extensive hysterectomy","", 23.97,"", 17.77, 3.87, 45.61,"090","S" "58240","","A","Removal of pelvis contents","", 28.79,"", 28.73, 6.15, 63.67,"090","S" "58260","","A","Vaginal hysterectomy","", 11.39,"", 9.39, 2.07, 22.85,"090","S" "58262","","A","Vaginal hysterectomy","", 13.06,"", 9.39, 2.07, 24.52,"090","S" "58263","","A","Vaginal hysterectomy","", 14.27,"", 10.32, 2.22, 26.81,"090","S" "58267","","A","Hysterectomy & vagina repair","", 13.94,"", 11.53, 2.46, 27.93,"090","S" "58270","","A","Hysterectomy & vagina repair","", 12.60,"", 10.32, 2.22, 25.14,"090","S" "58275","","A","Hysterectomy, revise vagina","", 13.99,"", 11.02, 2.32, 27.33,"090","S" "58280","","A","Hysterectomy, revise vagina","", 14.35,"", 10.50, 2.30, 27.15,"090","S" "58285","","A","Extensive hysterectomy","", 17.45,"", 11.60, 2.70, 31.75,"090","S" "58300","","N","Insert intrauterine device","#", 1.01,"", 0.77, 0.13, 1.91,"XXX","0" "58301","","A","Remove intrauterine device","", 0.73,"", 0.45, 0.08, 1.26,"000","S" "58321","","A","Artificial insemination","", 0.92,"", 0.71, 0.15, 1.78,"000","S" "58322","","A","Artificial insemination","", 1.10,"", 0.71, 0.15, 1.96,"000","S" "58323","","A","Sperm washing","", 0.23,"", 0.16, 0.04, 0.43,"000","S" "58340","","A","Inject for uterus/tube x-ray","", 0.88,"", 0.57, 0.08, 1.53,"000","S" "58345","","A","Reopen fallopian tube","", 4.61,"", 3.49, 0.41, 8.51,"010","S" "58350","","A","Reopen fallopian tube","", 0.96,"", 0.69, 0.16, 1.81,"010","S" "58400","","A","Suspension of uterus","", 5.66,"", 5.64, 1.16, 12.46,"090","S" "58410","","A","Suspension of uterus","", 6.78,"", 5.53, 0.84, 13.15,"090","S" "58520","","A","Repair of ruptured uterus","", 6.35,"", 4.24, 0.99, 11.58,"090","S" "58540","","A","Revision of uterus","", 8.58,"", 6.13, 1.42, 16.13,"090","S" "58600","","A","Division of fallopian tube","", 3.74,"*", 4.79, 1.38, 9.91,"090","S" "58605","","A","Division of fallopian tube","", 3.29,"*", 4.21, 1.01, 8.51,"090","S" "58611","","A","Ligate oviduct(s)","", 0.63,"", 0.47, 0.10, 1.20,"ZZZ","S" "58615","","A","Occlude fallopian tube(s)","", 3.85,"", 2.91, 0.35, 7.11,"010","S" "58700","","A","Removal of fallopian tube","", 5.92,"", 6.33, 1.31, 13.56,"090","S" "58720","","A","Removal of ovary/tube(s)","", 6.20,"", 7.50, 1.63, 15.33,"090","S" "58740","","A","Revise fallopian tube(s)","", 5.28,"*", 6.76, 1.88, 13.92,"090","S" "58750","","A","Repair oviduct","", 8.82,"", 6.31, 1.46, 16.59,"090","S" "58752","","A","Revise ovarian tube(s)","", 7.94,"", 6.74, 0.93, 15.61,"090","S" "58760","","A","Remove tubal obstruction","", 7.16,"", 5.11, 1.19, 13.46,"090","S" "58770","","A","Create new tubal opening","", 6.96,"", 5.28, 1.11, 13.35,"090","S" "58800","","A","Drainage of ovarian cyst(s)","", 3.77,"", 2.68, 0.53, 6.98,"090","S" "58805","","A","Drainage of ovarian cyst(s)","", 5.44,"", 6.38, 1.36, 13.18,"090","S" "58820","","A","Drainage of ovarian abscess","", 3.96,"", 2.76, 0.49, 7.21,"090","S" "58822","","A","Drainage of ovarian abscess","", 6.18,"", 3.55, 0.81, 10.54,"090","S" "58825","","A","Transposition, ovary(s)","", 5.63,"", 4.03, 0.93, 10.59,"090","S" "58900","","A","Biopsy of ovary(s)","", 5.49,"", 5.19, 1.07, 11.75,"090","S" "58920","","A","Partial removal of ovary(s)","", 6.28,"", 6.78, 1.41, 14.47,"090","S" "58925","","A","Removal of ovarian cyst(s)","", 6.40,"", 6.56, 1.38, 14.34,"090","S" "58940","","A","Removal of ovary(s)","", 6.54,"", 6.49, 1.33, 14.36,"090","S" "58943","","A","Removal of ovary(s)","", 17.49,"", 12.11, 2.63, 32.23,"090","S" "58950","","A","Resect ovarian malignancy","", 14.10,"", 11.24, 2.38, 27.72,"090","S" "58951","","A","Resect ovarian malignancy","", 20.34,"", 18.34, 3.93, 42.61,"090","S" "58952","","A","Resect ovarian malignancy","", 21.35,"", 18.11, 3.92, 43.38,"090","S" "58960","","A","Exploration of abdomen","", 10.14,"*", 12.98, 2.95, 26.07,"090","S" "58970","","A","Retrieval of oocyte","", 3.53,"", 2.52, 0.58, 6.63,"000","N" "58972","","D","Fertilization of oocyte","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "58974","","C","Transfer of embryo","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "58976","","A","Transfer of embryo","", 3.83,"", 2.73, 0.63, 7.19,"000","N" "58999","","C","Genital surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "59000","","A","Amniocentesis","", 1.30,"", 0.97, 0.18, 2.45,"000","S" "59012","","A","Fetal cord puncture,prenatal","", 3.45,"", 2.62, 0.31, 6.38,"000","S" "59015","","A","Chorion biopsy","", 2.20,"", 1.20, 0.10, 3.50,"000","S" "59020","","A","Fetal contract stress test","", 0.66,"*", 1.35, 0.29, 2.30,"000","S" "59020","TC","A","Fetal contract stress test","", 0.00,"", 0.50, 0.10, 0.60,"000","S" "59020","26","A","Fetal contract stress test","", 0.66,"*", 0.85, 0.19, 1.70,"000","S" "59025","","A","Fetal non-stress test","", 0.53,"", 0.61, 0.12, 1.26,"000","S" "59025","TC","A","Fetal non-stress test","", 0.00,"", 0.22, 0.04, 0.26,"000","S" "59025","26","A","Fetal non-stress test","", 0.53,"", 0.39, 0.08, 1.00,"000","S" "59030","","A","Fetal scalp blood sample","", 1.99,"", 1.58, 0.21, 3.78,"000","S" "59050","","A","Fetal monitor w/report","", 0.89,"", 0.81, 0.15, 1.85,"XXX","S" "59051","","A","Fetal monitor/interpret only","", 0.74,"", 0.81, 0.15, 1.70,"XXX","N" "59100","","A","Remove uterus lesion","", 5.96,"", 4.14, 0.96, 11.06,"090","S" "59120","","A","Treat ectopic pregnancy","", 7.11,"", 7.86, 1.50, 16.47,"090","S" "59121","","A","Treat ectopic pregnancy","", 6.99,"", 5.38, 1.07, 13.44,"090","S" "59130","","A","Treat ectopic pregnancy","", 7.88,"", 5.96, 0.70, 14.54,"090","S" "59135","","A","Treat ectopic pregnancy","", 13.00,"", 9.85, 1.15, 24.00,"090","S" "59136","","A","Treat ectopic pregnancy","", 8.69,"", 6.22, 1.44, 16.35,"090","S" "59140","","A","Treat ectopic pregnancy","", 5.09,"", 4.66, 0.29, 10.04,"090","S" "59150","","A","Treat ectopic pregnancy","", 6.34,"", 4.53, 1.05, 11.92,"090","S" "59151","","A","Treat ectopic pregnancy","", 7.24,"", 8.61, 0.64, 16.49,"090","S" "59160","","A","D&C after delivery","", 2.66,"", 2.93, 0.52, 6.11,"010","S" "59200","","A","Insert cervical dilator","", 0.79,"", 0.54, 0.11, 1.44,"000","S" "59300","","A","Episiotomy or vaginal repair","", 2.41,"", 0.99, 0.10, 3.50,"000","S" "59320","","A","Revision of cervix","", 2.48,"", 1.78, 0.41, 4.67,"000","S" "59325","","A","Revision of cervix","", 4.07,"", 2.89, 0.29, 7.25,"000","S" "59350","","A","Repair of uterus","", 4.95,"", 3.54, 0.82, 9.31,"000","S" "59400","","A","Obstetrical care","", 20.99,"", 14.99, 3.47, 39.45,"MMM","S" "59409","","A","Obstetrical care","", 13.28,"", 9.48, 2.20, 24.96,"MMM","S" "59410","","A","Obstetrical care","", 14.44,"", 10.31, 2.39, 27.14,"MMM","S" "59412","","A","Antepartum manipulation","", 1.71,"", 1.22, 0.29, 3.22,"MMM","S" "59414","","A","Deliver placenta","", 1.61,"", 1.15, 0.27, 3.03,"MMM","S" "59425","","A","Antepartum care only","", 4.04,"", 2.88, 0.66, 7.58,"MMM","S" "59426","","A","Antepartum care only","", 6.91,"", 4.94, 1.14, 12.99,"MMM","S" "59430","","A","Care after delivery","", 2.01,"", 0.38, 0.07, 2.46,"MMM","S" "59510","","A","Cesarean delivery","", 23.67,"", 16.90, 3.92, 44.49,"MMM","S" "59514","","A","Cesarean delivery only","", 15.39,"", 10.99, 2.55, 28.93,"MMM","S" "59515","","A","Cesarean delivery","", 16.55,"", 11.82, 2.73, 31.10,"MMM","S" "59525","","A","Remove uterus after cesarean","", 8.54,"", 3.81, 0.88, 13.23,"MMM","S" "59610","","A","Vbac delivery","", 22.55,"", 14.99, 3.47, 41.01,"MMM","S" "59612","","A","Vbac delivery only","", 14.84,"", 9.48, 2.20, 26.52,"MMM","S" "59614","","A","Vbac care after delivery","", 15.96,"", 10.31, 2.39, 28.66,"MMM","S" "59618","","A","Attempted vbac delivery","", 25.23,"", 16.90, 3.92, 46.05,"MMM","S" "59620","","A","Attempted vbac delivery only","", 16.95,"", 10.99, 2.55, 30.49,"MMM","S" "59622","","A","Attempted vbac after care","", 18.11,"", 11.82, 2.73, 32.66,"MMM","S" "59812","","A","Treatment of miscarriage","", 3.10,"", 3.61, 0.77, 7.48,"090","S" "59820","","A","Care of miscarriage","", 3.73,"", 3.75, 0.77, 8.25,"090","S" "59821","","A","Treatment of miscarriage","", 4.26,"", 2.72, 0.62, 7.60,"090","S" "59830","","A","Treat uterus infection","", 5.96,"", 4.53, 0.52, 11.01,"090","S" "59840","","A","Abortion","", 2.91,"", 3.22, 0.69, 6.82,"010","S" "59841","","A","Abortion","", 3.24,"", 3.75, 0.76, 7.75,"010","S" "59850","","A","Abortion","", 5.46,"", 4.00, 0.85, 10.31,"090","S" "59851","","A","Abortion","", 5.62,"", 4.28, 0.88, 10.78,"090","S" "59852","","A","Abortion","", 7.70,"", 5.51, 1.27, 14.48,"090","S" "59855","","A","Abortion","", 5.80,"", 4.14, 0.96, 10.90,"090","S" "59856","","A","Abortion","", 7.16,"", 5.11, 1.19, 13.46,"090","S" "59857","","A","Abortion","", 8.71,"", 6.22, 1.44, 16.37,"090","S" "59870","","A","Evacuate mole of uterus","", 4.08,"", 2.91, 0.67, 7.66,"090","S" "59899","","C","Maternity care procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "60000","","A","Drain thyroid/tongue cyst","", 1.71,"", 0.60, 0.09, 2.40,"010","N" "60001","","A","Aspirate/inject thyriod cyst","", 0.97,"", 1.05, 0.12, 2.14,"000","N" "60100","","A","Biopsy of thyroid","", 0.97,"", 1.05, 0.12, 2.14,"000","N" "60200","","A","Remove thyroid lesion","", 8.83,"", 6.02, 1.04, 15.89,"090","S" "60210","","A","Partial excision thyroid","", 10.51,"", 8.68, 1.65, 20.84,"090","S" "60212","","A","Parital thyroid excision","", 15.48,"", 9.04, 1.74, 26.26,"090","S" "60220","","A","Partial removal of thyroid","", 9.86,"", 8.54, 1.61, 20.01,"090","S" "60225","","A","Partial removal of thyroid","", 11.65,"", 10.49, 1.92, 24.06,"090","S" "60240","","A","Removal of thyroid","", 15.66,"", 10.58, 1.96, 28.20,"090","S" "60252","","A","Removal of thyroid","", 15.40,"", 13.65, 2.55, 31.60,"090","S" "60254","","A","Extensive thyroid surgery","", 16.68,"", 19.21, 3.08, 38.97,"090","S" "60260","","A","Repeat thyroid surgery","", 14.49,"", 3.14, 0.34, 17.97,"090","S" "60270","","A","Removal of thyroid","", 16.44,"", 13.97, 2.54, 32.95,"090","S" "60271","","A","Removal of thyroid","", 14.16,"", 12.14, 2.25, 28.55,"090","S" "60280","","A","Remove thyroid duct lesion","", 5.55,"*", 7.10, 1.11, 13.76,"090","S" "60281","","A","Remove thyroid duct lesion","", 8.00,"", 5.04, 0.95, 13.99,"090","S" "60500","","A","Explore parathyroid glands","", 15.40,"", 11.36, 2.31, 29.07,"090","S" "60502","","A","Re-explore parathyroids","", 19.25,"", 11.39, 2.33, 32.97,"090","S" "60505","","A","Explore parathyroid glands","", 19.93,"", 13.14, 2.56, 35.63,"090","S" "60512","","A","Autotransplant, parathyroid","", 4.45,"", 2.32, 0.54, 7.31,"ZZZ","S" "60520","","A","Removal of thymus gland","", 15.82,"", 13.54, 2.46, 31.82,"090","S" "60521","","A","Removal thymus gland","", 17.80,"", 13.54, 2.46, 33.80,"090","S" "60522","","A","Removal of thymus gland","", 21.76,"", 13.54, 2.46, 37.76,"090","S" "60540","","A","Explore adrenal gland","", 15.72,"", 12.05, 2.08, 29.85,"090","S" "60545","","A","Explore adrenal gland","", 18.51,"", 14.27, 2.34, 35.12,"090","S" "60600","","A","Remove carotid body lesion","", 16.13,"", 11.46, 1.88, 29.47,"090","S" "60605","","A","Remove carotid body lesion","", 18.20,"", 10.71, 2.21, 31.12,"090","S" "60699","","C","Endocrine surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "61000","","A","Remove cranial cavity fluid","", 1.58,"", 1.07, 0.17, 2.82,"000","S" "61001","","A","Remove cranial cavity fluid","", 1.49,"", 0.88, 0.17, 2.54,"000","S" "61020","","A","Remove brain cavity fluid","", 1.51,"", 1.26, 0.20, 2.97,"000","S" "61026","","A","Injection into brain canal","", 1.69,"", 2.03, 0.22, 3.94,"000","N" "61050","","A","Remove brain canal fluid","", 1.51,"", 1.23, 0.15, 2.89,"000","N" "61055","","A","Injection into brain canal","", 2.10,"", 1.88, 0.19, 4.17,"000","N" "61070","","A","Brain canal shunt procedure","", 0.89,"", 0.49, 0.03, 1.41,"000","N" "61105","","A","Drill skull for examination","", 8.19,"", 6.89, 1.24, 16.32,"090","S" "61106","","A","Drill skull for exam/surgery","", 7.35,"", 6.15, 1.15, 14.65,"ZZZ","S" "61107","","A","Drill skull for implantation","", 4.35,"*", 5.57, 1.26, 11.18,"000","S" "61108","","A","Drill skull for drainage","", 10.80,"", 12.05, 2.22, 25.07,"090","S" "61120","","A","Pierce skull for examination","", 9.31,"", 5.95, 1.08, 16.34,"090","S" "61130","","A","Pierce skull, exam/surgery","", 6.37,"", 4.95, 0.96, 12.28,"ZZZ","S" "61140","","A","Pierce skull for biopsy","", 14.84,"", 14.13, 2.56, 31.53,"090","S" "61150","","A","Pierce skull for drainage","", 16.37,"", 14.65, 2.63, 33.65,"090","S" "61151","","A","Pierce skull for drainage","", 11.40,"", 2.13, 0.37, 13.90,"090","S" "61154","","A","Pierce skull, remove clot","", 13.67,"*", 17.50, 3.27, 34.44,"090","S" "61156","","A","Pierce skull for drainage","", 15.23,"", 16.19, 3.05, 34.47,"090","S" "61210","","A","Pierce skull; implant device","", 4.72,"*", 6.04, 1.53, 12.29,"000","S" "61215","","A","Insert brain-fluid device","", 10.05,"", 9.00, 1.63, 20.68,"090","S" "61250","","A","Pierce skull & explore","", 11.03,"", 8.03, 1.44, 20.50,"090","S" "61253","","A","Pierce skull & explore","", 13.00,"", 9.62, 1.69, 24.31,"090","S" "61304","","A","Open skull for exploration","", 20.63,"", 26.03, 4.78, 51.44,"090","S" "61305","","A","Open skull for exploration","", 24.77,"", 29.11, 5.05, 58.93,"090","S" "61312","","A","Open skull for drainage","", 20.54,"", 24.13, 4.46, 49.13,"090","S" "61313","","A","Open skull for drainage","", 20.54,"", 24.04, 4.38, 48.96,"090","S" "61314","","A","Open skull for drainage","", 22.78,"", 25.62, 4.68, 53.08,"090","S" "61315","","A","Open skull for drainage","", 25.91,"", 24.41, 4.47, 54.79,"090","S" "61320","","A","Open skull for drainage","", 23.90,"", 18.70, 3.41, 46.01,"090","S" "61321","","A","Open skull for drainage","", 26.66,"", 19.83, 3.54, 50.03,"090","S" "61330","","A","Decompress eye socket","", 15.65,"", 12.97, 1.22, 29.84,"090","S" "61332","","A","Explore/biopsy eye socket","", 26.08,"", 20.72, 2.76, 49.56,"090","S" "61333","","A","Explore orbit; remove lesion","", 26.75,"", 20.46, 3.26, 50.47,"090","S" "61334","","A","Explore orbit; remove object","", 17.07,"", 14.65, 1.82, 33.54,"090","S" "61340","","A","Relieve cranial pressure","", 11.56,"*", 14.80, 2.54, 28.90,"090","S" "61343","","A","Incise skull,pressure relief","", 27.87,"", 30.05, 5.28, 63.20,"090","S" "61345","","A","Relieve cranial pressure","", 25.36,"", 19.18, 3.45, 47.99,"090","S" "61440","","A","Incise skull for surgery","", 24.79,"", 20.75, 3.00, 48.54,"090","S" "61450","","A","Incise skull for surgery","", 24.29,"", 20.43, 3.43, 48.15,"090","S" "61458","","A","Incise skull for brain wound","", 25.97,"", 27.28, 4.87, 58.12,"090","S" "61460","","A","Incise skull for surgery","", 26.75,"", 25.05, 3.98, 55.78,"090","S" "61470","","A","Incise skull for surgery","", 20.79,"", 13.86, 2.53, 37.18,"090","S" "61480","","A","Incise skull for surgery","", 16.77,"", 15.07, 1.78, 33.62,"090","S" "61490","","A","Incise skull for surgery","", 15.63,"", 11.72, 2.16, 29.51,"090","S" "61500","","A","Removal of skull lesion","", 16.93,"", 20.07, 3.58, 40.58,"090","S" "61501","","A","Remove infected skull bone","", 13.59,"*", 17.40, 3.33, 34.32,"090","S" "61510","","A","Removal of brain lesion","", 23.39,"", 27.04, 4.90, 55.33,"090","S" "61512","","A","Remove brain lining lesion","", 24.26,"", 29.02, 5.28, 58.56,"090","S" "61514","","A","Removal of brain abscess","", 23.49,"", 25.52, 4.74, 53.75,"090","S" "61516","","A","Removal of brain lesion","", 22.84,"", 26.48, 4.57, 53.89,"090","S" "61518","","A","Removal of brain lesion","", 32.27,"", 30.02, 5.46, 67.75,"090","S" "61519","","A","Remove brain lining lesion","", 33.84,"", 31.22, 5.77, 70.83,"090","S" "61520","","A","Removal of brain lesion","", 38.35,"", 33.85, 5.89, 78.09,"090","S" "61521","","A","Removal of brain lesion","", 39.48,"", 32.97, 5.85, 78.30,"090","S" "61522","","A","Removal of brain abscess","", 27.55,"", 19.96, 3.79, 51.30,"090","S" "61524","","A","Removal of brain lesion","", 26.02,"", 27.45, 5.15, 58.62,"090","S" "61526","","A","Removal of brain lesion","", 29.71,"", 34.01, 4.79, 68.51,"090","S" "61530","","A","Removal of brain lesion","", 42.35,"", 34.01, 4.79, 81.15,"090","S" "61531","","A","Implant brain electrodes","", 20.50,"", 14.98, 1.75, 37.23,"090","S" "61533","","A","Implant brain electrodes","", 23.41,"", 17.02, 3.33, 43.76,"090","S" "61534","","A","Removal of brain lesion","", 19.13,"", 6.38, 2.01, 27.52,"090","S" "61535","","A","Remove brain electrodes","", 10.23,"", 7.66, 1.25, 19.14,"090","S" "61536","","A","Removal of brain lesion","", 29.43,"", 21.96, 3.99, 55.38,"090","S" "61538","","A","Removal of brain tissue","", 28.05,"", 29.08, 4.97, 62.10,"090","S" "61539","","A","Removal of brain tissue","", 30.05,"", 22.96, 4.07, 57.08,"090","S" "61541","","A","Incision of brain tissue","", 26.95,"", 19.80, 3.78, 50.53,"090","S" "61542","","A","Removal of brain tissue","", 27.39,"", 19.91, 3.90, 51.20,"090","S" "61543","","A","Removal of brain tissue","", 20.62,"", 17.24, 2.49, 40.35,"090","S" "61544","","A","Remove & treat brain lesion","", 23.71,"", 28.19, 2.11, 54.01,"090","S" "61545","","A","Excision of brain tumor","", 34.50,"", 25.66, 4.80, 64.96,"090","S" "61546","","A","Removal of pituitary gland","", 29.33,"", 27.01, 4.78, 61.12,"090","S" "61548","","A","Removal of pituitary gland","", 20.15,"", 24.78, 4.03, 48.96,"090","S" "61550","","A","Release of skull seams","", 14.24,"", 11.81, 1.11, 27.16,"090","S" "61552","","A","Release of skull seams","", 19.02,"", 13.83, 2.70, 35.55,"090","S" "61556","","A","Incise skull/sutures","", 21.35,"", 15.53, 3.04, 39.92,"090","S" "61557","","A","Incise skull/sutures","", 21.47,"", 15.62, 3.05, 40.14,"090","S" "61558","","A","Excision of skull/sutures","", 24.41,"", 17.74, 3.47, 45.62,"090","S" "61559","","A","Excision of skull/sutures","", 31.65,"", 23.01, 4.50, 59.16,"090","S" "61563","","A","Excision of skull tumor","", 25.87,"", 18.81, 3.68, 48.36,"090","S" "61564","","A","Excision of skull tumor","", 32.64,"", 23.73, 4.64, 61.01,"090","S" "61570","","A","Remove brain foreign body","", 22.89,"", 16.49, 3.06, 42.44,"090","S" "61571","","A","Incise skull for brain wound","", 24.55,"", 18.32, 3.21, 46.08,"090","S" "61575","","A","Skull base/brainstem surgery","", 32.33,"", 32.99, 5.05, 70.37,"090","S" "61576","","A","Skull base/brainstem surgery","", 33.82,"", 28.23, 3.91, 65.96,"090","S" "61580","","A","Craniofacial approach, skull","", 28.90,"", 21.01, 4.10, 54.01,"090","S" "61581","","A","Craniofacial approach, skull","", 32.80,"", 23.84, 4.66, 61.30,"090","S" "61582","","A","Craniofacial approach, skull","", 29.77,"", 21.65, 4.22, 55.64,"090","S" "61583","","A","Craniofacial approach, skull","", 33.97,"", 24.70, 4.83, 63.50,"090","S" "61584","","A","Orbitocranial approach/skull","", 32.89,"", 23.91, 4.68, 61.48,"090","S" "61585","","A","Orbitocranial approach/skull","", 36.80,"", 26.75, 5.23, 68.78,"090","S" "61590","","A","Infratemporal approach/skull","", 40.02,"", 29.10, 5.68, 74.80,"090","S" "61591","","A","Infratemporal approach/skull","", 41.97,"", 30.52, 5.96, 78.45,"090","S" "61592","","A","Orbitocranial approach/skull","", 38.07,"", 27.68, 5.41, 71.16,"090","S" "61595","","A","Transtemporal approach/skull","", 28.12,"", 20.44, 4.00, 52.56,"090","S" "61596","","A","Transcochlear approach/skull","", 34.17,"", 24.84, 4.86, 63.87,"090","S" "61597","","A","Transcondylar approach/skull","", 36.12,"", 26.26, 5.13, 67.51,"090","S" "61598","","A","Transpetrosal approach/skull","", 31.83,"", 23.13, 4.52, 59.48,"090","S" "61600","","A","Resect/excise cranial lesion","", 24.41,"", 17.74, 3.46, 45.61,"090","S" "61601","","A","Resect/excise cranial lesion","", 26.16,"", 19.03, 3.72, 48.91,"090","S" "61605","","A","Resect/excise cranial lesion","", 27.62,"", 20.09, 3.93, 51.64,"090","S" "61606","","A","Resect/excise cranial lesion","", 37.00,"", 26.90, 5.25, 69.15,"090","S" "61607","","A","Resect/excise cranial lesion","", 34.56,"", 25.13, 4.91, 64.60,"090","S" "61608","","A","Resect/excise cranial lesion","", 40.21,"", 29.24, 5.71, 75.16,"090","S" "61609","","A","Transect, artery, sinus","", 9.89,"", 7.19, 1.40, 18.48,"ZZZ","S" "61610","","A","Transect, artery, sinus","", 29.67,"", 21.57, 4.21, 55.45,"ZZZ","S" "61611","","A","Transect, artery, sinus","", 7.42,"", 5.39, 1.06, 13.87,"ZZZ","S" "61612","","A","Transect, artery, sinus","", 27.88,"", 20.27, 3.96, 52.11,"ZZZ","S" "61613","","A","Remove aneurysm, sinus","", 39.43,"", 28.67, 5.61, 73.71,"090","S" "61615","","A","Resect/excise lesion, skull","", 30.36,"", 22.07, 4.31, 56.74,"090","S" "61616","","A","Resect/excise lesion, skull","", 41.29,"", 30.03, 5.86, 77.18,"090","S" "61618","","A","Repair dura","", 15.62,"", 11.35, 2.22, 29.19,"090","S" "61619","","A","Repair dura","", 19.52,"", 14.19, 2.77, 36.48,"090","S" "61624","","A","Occlusion/embolization cath","", 20.15,"", 15.28, 1.79, 37.22,"000","N" "61626","","A","Occlusion/embolization cath","", 16.62,"", 12.60, 1.47, 30.69,"000","N" "61680","","A","Intracranial vessel surgery","", 36.45,"", 31.06, 5.79, 73.30,"090","S" "61682","","A","Intracranial vessel surgery","", 42.21,"", 35.31, 6.36, 83.88,"090","S" "61684","","A","Intracranial vessel surgery","", 39.25,"", 29.76, 3.47, 72.48,"090","S" "61686","","A","Intracranial vessel surgery","", 47.45,"", 35.98, 4.20, 87.63,"090","S" "61690","","A","Intracranial vessel surgery","", 33.82,"", 27.46, 4.09, 65.37,"090","S" "61692","","A","Intracranial vessel surgery","", 37.96,"", 28.79, 3.36, 70.11,"090","S" "61700","","A","Inner skull vessel surgery","", 34.83,"", 31.69, 5.67, 72.19,"090","S" "61702","","A","Inner skull vessel surgery","", 39.20,"", 36.31, 6.61, 82.12,"090","S" "61703","","A","Clamp neck artery","", 16.27,"", 12.21, 2.24, 30.72,"090","S" "61705","","A","Revise circulation to head","", 34.49,"", 30.41, 5.25, 70.15,"090","S" "61708","","A","Revise circulation to head","", 33.59,"", 25.20, 2.32, 61.11,"090","S" "61710","","A","Revise circulation to head","", 28.14,"", 16.63, 1.75, 46.52,"090","S" "61711","","A","Fusion of skull arteries","", 34.62,"", 33.04, 6.20, 73.86,"090","S" "61712","","A","Skull or spine microsurgery","", 3.49,"*", 4.47, 0.93, 8.89,"ZZZ","S" "61720","","A","Incise skull/brain surgery","", 15.85,"*", 20.29, 4.05, 40.19,"090","S" "61735","","A","Incise skull/brain surgery","", 17.08,"", 12.96, 1.51, 31.55,"090","S" "61750","","A","Incise skull; brain biopsy","", 10.03,"*", 13.54, 4.31, 27.88,"090","S" "61751","","A","Brain biopsy with cat scan","", 15.18,"*", 19.43, 4.44, 39.05,"090","S" "61760","","A","Implant brain electrodes","", 24.83,"", 14.98, 1.75, 41.56,"090","S" "61770","","A","Incise skull for treatment","", 15.14,"*", 19.38, 3.43, 37.95,"090","S" "61790","","A","Treat trigeminal nerve","", 10.31,"*", 13.19, 3.03, 26.53,"090","S" "61791","","A","Treat trigeminal tract","", 7.29,"*", 9.77, 3.16, 20.22,"090","S" "61793","","A","Focus radiation beam","", 16.70,"", 21.35, 1.96, 40.01,"090","S" "61795","","A","Brain surgery using computer","", 4.04,"*", 5.24, 1.55, 10.83,"000","S" "61850","","A","Implant neuroelectrodes","", 15.98,"", 11.63, 2.26, 29.87,"090","S" "61855","","A","Implant neuroelectrodes","", 12.94,"", 10.39, 1.47, 24.80,"090","S" "61860","","A","Implant neuroelectrodes","", 11.20,"", 8.14, 1.59, 20.93,"090","S" "61865","","A","Implant neuroelectrodes","", 21.70,"", 15.78, 3.09, 40.57,"090","S" "61870","","A","Implant neuroelectrodes","", 5.77,"", 4.19, 0.82, 10.78,"090","S" "61875","","A","Implant neuroelectrodes","", 9.20,"", 6.69, 1.31, 17.20,"090","S" "61880","","A","Revise/remove neuroelectrode","", 5.72,"", 4.79, 0.66, 11.17,"090","S" "61885","","A","Implant neuroreceiver","", 2.35,"", 1.96, 0.29, 4.60,"090","S" "61888","","A","Revise/remove neuroreceiver","", 3.10,"", 2.25, 0.44, 5.79,"010","S" "62000","","A","Repair of skull fracture","", 11.26,"", 5.73, 0.95, 17.94,"090","S" "62005","","A","Repair of skull fracture","", 14.84,"", 11.08, 1.97, 27.89,"090","S" "62010","","A","Treatment of head injury","", 18.43,"", 19.20, 3.39, 41.02,"090","S" "62100","","A","Repair brain fluid leakage","", 20.78,"", 21.62, 3.72, 46.12,"090","S" "62115","","A","Reduction of skull defect","", 20.50,"", 15.51, 1.82, 37.83,"090","S" "62116","","A","Reduction of skull defect","", 22.45,"", 16.98, 1.99, 41.42,"090","S" "62117","","A","Reduction of skull defect","", 25.38,"", 19.20, 2.25, 46.83,"090","S" "62120","","A","Repair skull cavity lesion","", 22.34,"", 16.90, 1.98, 41.22,"090","S" "62121","","A","Incise skull repair","", 20.25,"", 17.51, 3.41, 41.17,"090","S" "62140","","A","Repair of skull defect","", 12.63,"", 13.43, 2.39, 28.45,"090","S" "62141","","A","Repair of skull defect","", 13.90,"", 17.73, 3.28, 34.91,"090","S" "62142","","A","Remove skull plate/flap","", 9.91,"*", 12.69, 2.64, 25.24,"090","S" "62143","","A","Replace skull plate/flap","", 12.11,"", 9.17, 1.65, 22.93,"090","S" "62145","","A","Repair of skull & brain","", 17.68,"", 13.16, 2.29, 33.13,"090","S" "62146","","A","Repair of skull with graft","", 15.11,"", 10.99, 2.15, 28.25,"090","S" "62147","","A","Repair of skull with graft","", 18.14,"", 13.17, 2.57, 33.88,"090","S" "62180","","A","Establish brain cavity shunt","", 12.72,"", 14.21, 2.70, 29.63,"090","S" "62190","","A","Establish brain cavity shunt","", 10.13,"*", 12.97, 3.21, 26.31,"090","S" "62192","","A","Establish brain cavity shunt","", 11.31,"*", 14.48, 2.74, 28.53,"090","S" "62194","","A","Replace/irrigate catheter","", 2.81,"", 1.88, 0.29, 4.98,"010","N" "62200","","A","Establish brain cavity shunt","", 13.24,"*", 16.95, 3.09, 33.28,"090","S" "62201","","A","Establish brain cavity shunt","", 12.10,"", 8.78, 1.72, 22.60,"090","S" "62220","","A","Establish brain cavity shunt","", 12.06,"*", 15.43, 3.12, 30.61,"090","S" "62223","","A","Establish brain cavity shunt","", 12.81,"*", 16.40, 3.02, 32.23,"090","S" "62225","","A","Replace/irrigate catheter","", 4.71,"", 4.80, 0.58, 10.09,"090","S" "62230","","A","Replace/revise brain shunt","", 9.71,"", 9.83, 1.82, 21.36,"090","S" "62256","","A","Remove brain cavity shunt","", 5.90,"", 6.38, 1.17, 13.45,"090","S" "62258","","A","Replace brain cavity shunt","", 13.60,"", 14.78, 2.55, 30.93,"090","S" "62268","","A","Drain spinal cord cyst","", 3.87,"", 2.98, 0.36, 7.21,"000","N" "62269","","A","Needle biopsy spinal cord","", 4.07,"", 1.75, 0.28, 6.10,"000","N" "62270","","A","Spinal fluid tap, diagnostic","", 1.13,"", 0.71, 0.06, 1.90,"000","N" "62272","","A","Drain spinal fluid","", 1.35,"", 1.01, 0.12, 2.48,"000","N" "62273","","A","Treat lumbar spine lesion","", 2.15,"", 1.12, 0.26, 3.53,"000","N" "62274","","A","Inject spinal anesthetic","", 1.78,"", 0.74, 0.17, 2.69,"000","N" "62275","","A","Inject spinal anesthetic","", 1.79,"", 0.59, 0.19, 2.57,"000","N" "62276","","A","Inject spinal anesthetic","", 2.04,"", 1.23, 0.23, 3.50,"000","N" "62277","","A","Inject spinal anesthetic","", 2.15,"", 0.84, 0.23, 3.22,"000","N" "62278","","A","Inject spinal anesthetic","", 1.51,"", 0.98, 0.26, 2.75,"000","N" "62279","","A","Inject spinal anesthetic","", 1.58,"", 0.82, 0.24, 2.64,"000","N" "62280","","A","Treat spinal cord lesion","", 2.58,"", 0.71, 0.14, 3.43,"010","N" "62281","","A","Treat spinal cord lesion","", 2.61,"", 0.87, 0.28, 3.76,"010","N" "62282","","A","Treat spinal canal lesion","", 2.28,"", 1.70, 0.40, 4.38,"010","N" "62284","","A","Injection for myelogram","", 1.54,"*", 1.98, 0.34, 3.86,"000","S" "62287","","A","Percutaneous diskectomy","", 4.13,"*", 6.96, 2.65, 13.74,"090","S" "62288","","A","Injection into spinal canal","", 1.74,"", 1.12, 0.24, 3.10,"000","N" "62289","","A","Injection into spinal canal","", 1.64,"", 1.07, 0.29, 3.00,"000","N" "62290","","A","Inject for spine disk x-ray","", 3.58,"", 1.86, 0.24, 5.68,"000","N" "62291","","A","Inject for spine disk x-ray","", 2.91,"", 1.78, 0.39, 5.08,"000","N" "62292","","A","Injection into disk lesion","", 7.00,"*", 8.96, 2.13, 18.09,"090","S" "62294","","A","Injection into spinal artery","", 8.05,"", 5.84, 0.68, 14.57,"090","S" "62298","","A","Injection into spinal canal","", 2.20,"", 1.04, 0.13, 3.37,"000","N" "62350","","A","Implant spinal catheter","", 6.25,"", 3.49, 1.02, 10.76,"090","S" "62351","","A","Implant spinal catheter","", 9.25,"", 5.16, 1.50, 15.91,"090","S" "62355","","A","Remove spinal canal catheter","", 4.80,"", 3.49, 0.68, 8.97,"090","S" "62360","","A","Insert spine infusion device","", 2.00,"", 1.12, 0.33, 3.45,"090","S" "62361","","A","Implant spine infusion pump","", 4.80,"", 2.68, 0.78, 8.26,"090","S" "62362","","A","Implant spine infusion pump","", 6.29,"", 3.51, 1.02, 10.82,"090","S" "62365","","A","Remove spine infusion device","", 4.77,"", 3.47, 0.68, 8.92,"090","S" "62367","","C","Analyze spine infusion pump","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "62367","TC","C","Analyze spine infusion pump","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "62367","26","A","Analyze spine infusion pump","", 0.48,"", 0.35, 0.07, 0.90,"XXX","N" "62368","","C","Analyze spine infusion pump","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "62368","TC","C","Analyze spine infusion pump","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "62368","26","A","Analyze spine infusion pump","", 0.75,"", 0.55, 0.11, 1.41,"XXX","N" "63001","","A","Removal of spinal lamina","", 14.50,"*", 18.55, 3.42, 36.47,"090","S" "63003","","A","Removal of spinal lamina","", 14.63,"", 17.93, 3.23, 35.79,"090","S" "63005","","A","Removal of spinal lamina","", 13.53,"*", 17.32, 3.10, 33.95,"090","S" "63011","","A","Removal of spinal lamina","", 11.11,"", 9.99, 1.87, 22.97,"090","S" "63012","","A","Removal of spinal lamina","", 14.21,"", 18.07, 3.15, 35.43,"090","S" "63015","","A","Removal of spinal lamina","", 16.59,"*", 21.23, 4.18, 42.00,"090","S" "63016","","A","Removal of spinal lamina","", 17.43,"*", 22.30, 4.11, 43.84,"090","S" "63017","","A","Removal of spinal lamina","", 15.85,"*", 20.29, 4.00, 40.14,"090","S" "63020","","A","Neck spine disk surgery","", 12.53,"*", 16.04, 3.38, 31.95,"090","S" "63030","","A","Low back disk surgery","", 12.11,"*", 15.50, 2.81, 30.42,"090","S" "63035","","A","Added spinal disk surgery","", 3.15,"*", 4.04, 0.76, 7.95,"ZZZ","S" "63040","","A","Neck spine disk surgery","", 17.56,"*", 22.48, 4.30, 44.34,"090","S" "63042","","A","Low back disk surgery","", 17.27,"*", 22.10, 4.38, 43.75,"090","S" "63045","","A","Removal of spinal lamina","", 15.31,"*", 19.59, 4.38, 39.28,"090","S" "63046","","A","Removal of spinal lamina","", 14.61,"*", 18.70, 4.58, 37.89,"090","S" "63047","","A","Removal of spinal lamina","", 12.76,"*", 16.33, 4.48, 33.57,"090","S" "63048","","A","Removal of spinal lamina","", 3.26,"*", 4.17, 1.03, 8.46,"ZZZ","S" "63055","","A","Decompress spinal cord","", 20.67,"", 23.73, 4.18, 48.58,"090","S" "63056","","A","Decompress spinal cord","", 19.11,"", 21.84, 3.76, 44.71,"090","S" "63057","","A","Decompress spinal cord","", 3.00,"*", 3.84, 0.85, 7.69,"ZZZ","S" "63064","","A","Decompress spinal cord","", 23.23,"", 23.83, 4.09, 51.15,"090","S" "63066","","A","Decompress spinal cord","", 3.26,"", 2.48, 0.45, 6.19,"ZZZ","S" "63075","","A","Neck spine disk surgery","", 19.77,"", 17.57, 3.21, 40.55,"090","S" "63076","","A","Neck spine disk surgery","", 4.05,"*", 5.19, 0.97, 10.21,"ZZZ","S" "63077","","A","Spine disk surgery, thorax","", 20.25,"", 18.42, 3.17, 41.84,"090","S" "63078","","A","Spine disk surgery, thorax","", 3.28,"", 2.61, 0.45, 6.34,"ZZZ","S" "63081","","A","Removal of vertebral body","", 22.08,"", 26.26, 4.50, 52.84,"090","S" "63082","","A","Removal of vertebral body","", 4.37,"*", 5.60, 1.22, 11.19,"ZZZ","S" "63085","","A","Removal of vertebral body","", 25.07,"", 27.39, 4.69, 57.15,"090","S" "63086","","A","Removal of vertebral body","", 3.19,"*", 4.08, 1.07, 8.34,"ZZZ","S" "63087","","A","Removal of vertebral body","", 27.56,"", 28.25, 4.85, 60.66,"090","S" "63088","","A","Removal of vertebral body","", 4.33,"*", 5.55, 1.18, 11.06,"ZZZ","S" "63090","","A","Removal of vertebral body","", 26.20,"", 29.22, 4.92, 60.34,"090","S" "63091","","A","Removal of vertebral body","", 3.03,"", 2.73, 0.46, 6.22,"ZZZ","S" "63170","","A","Incise spinal cord tract(s)","", 18.18,"", 18.88, 3.28, 40.34,"090","S" "63172","","A","Drainage of spinal cyst","", 16.19,"*", 20.72, 4.26, 41.17,"090","S" "63173","","A","Drainage of spinal cyst","", 20.40,"", 15.47, 1.81, 37.68,"090","S" "63180","","A","Revise spinal cord ligaments","", 16.75,"", 11.61, 2.05, 30.41,"090","S" "63182","","A","Revise spinal cord ligaments","", 18.91,"", 16.44, 2.21, 37.56,"090","S" "63185","","A","Incise spinal column/nerves","", 13.85,"", 15.55, 2.93, 32.33,"090","S" "63190","","A","Incise spinal column/nerves","", 16.26,"*", 20.81, 3.91, 40.98,"090","S" "63191","","A","Incise spinal column/nerves","", 16.42,"", 13.04, 2.21, 31.67,"090","S" "63194","","A","Incise spinal column & cord","", 17.53,"", 13.02, 2.33, 32.88,"090","S" "63195","","A","Incise spinal column & cord","", 17.16,"", 13.86, 2.11, 33.13,"090","S" "63196","","A","Incise spinal column & cord","", 20.57,"", 15.59, 1.83, 37.99,"090","S" "63197","","A","Incise spinal column & cord","", 19.38,"", 14.36, 2.62, 36.36,"090","S" "63198","","A","Incise spinal column & cord","", 22.45,"", 16.32, 3.19, 41.96,"090","S" "63199","","A","Incise spinal column & cord","", 23.89,"", 21.40, 2.61, 47.90,"090","S" "63200","","A","Release of spinal cord","", 17.66,"", 12.49, 1.83, 31.98,"090","S" "63250","","A","Revise spinal cord vessels","", 38.67,"", 27.99, 5.22, 71.88,"090","S" "63251","","A","Revise spinal cord vessels","", 38.86,"", 22.74, 4.32, 65.92,"090","S" "63252","","A","Revise spinal cord vessels","", 38.85,"", 28.25, 5.52, 72.62,"090","S" "63265","","A","Excise intraspinal lesion","", 20.04,"", 22.01, 3.90, 45.95,"090","S" "63266","","A","Excise intraspinal lesion","", 20.65,"", 24.76, 4.43, 49.84,"090","S" "63267","","A","Excise intraspinal lesion","", 16.70,"*", 21.38, 4.20, 42.28,"090","S" "63268","","A","Excise intraspinal lesion","", 17.27,"", 12.56, 2.46, 32.29,"090","S" "63270","","A","Excise intraspinal lesion","", 24.84,"", 18.14, 3.42, 46.40,"090","S" "63271","","A","Excise intraspinal lesion","", 24.96,"", 26.60, 4.79, 56.35,"090","S" "63272","","A","Excise intraspinal lesion","", 23.69,"", 23.15, 4.26, 51.10,"090","S" "63273","","A","Excise intraspinal lesion","", 22.66,"", 17.56, 3.12, 43.34,"090","S" "63275","","A","Biopsy/excise spinal tumor","", 22.05,"", 27.82, 5.09, 54.96,"090","S" "63276","","A","Biopsy/excise spinal tumor","", 21.76,"", 25.31, 4.62, 51.69,"090","S" "63277","","A","Biopsy/excise spinal tumor","", 19.51,"", 23.75, 4.25, 47.51,"090","S" "63278","","A","Biopsy/excise spinal tumor","", 19.24,"", 23.34, 4.32, 46.90,"090","S" "63280","","A","Biopsy/excise spinal tumor","", 26.72,"", 28.08, 4.99, 59.79,"090","S" "63281","","A","Biopsy/excise spinal tumor","", 26.42,"", 27.67, 4.96, 59.05,"090","S" "63282","","A","Biopsy/excise spinal tumor","", 24.96,"", 24.11, 4.44, 53.51,"090","S" "63283","","A","Biopsy/excise spinal tumor","", 23.57,"", 18.77, 3.44, 45.78,"090","S" "63285","","A","Biopsy/excise spinal tumor","", 34.24,"", 24.49, 4.49, 63.22,"090","S" "63286","","A","Biopsy/excise spinal tumor","", 33.94,"", 28.76, 4.92, 67.62,"090","S" "63287","","A","Biopsy/excise spinal tumor","", 34.43,"", 25.72, 4.53, 64.68,"090","S" "63290","","A","Biopsy/excise spinal tumor","", 35.04,"", 27.16, 4.65, 66.85,"090","S" "63300","","A","Removal of vertebral body","", 22.78,"", 17.27, 2.02, 42.07,"090","S" "63301","","A","Removal of vertebral body","", 25.08,"", 18.45, 3.58, 47.11,"090","S" "63302","","A","Removal of vertebral body","", 25.60,"", 21.36, 3.02, 49.98,"090","S" "63303","","A","Removal of vertebral body","", 28.47,"", 18.50, 3.39, 50.36,"090","S" "63304","","A","Removal of vertebral body","", 28.10,"", 21.31, 2.49, 51.90,"090","S" "63305","","A","Removal of vertebral body","", 29.42,"", 22.49, 3.75, 55.66,"090","S" "63306","","A","Removal of vertebral body","", 30.01,"", 22.76, 2.65, 55.42,"090","S" "63307","","A","Removal of vertebral body","", 29.42,"", 24.42, 2.98, 56.82,"090","S" "63308","","A","Removal of vertebral body","", 5.25,"", 4.05, 0.73, 10.03,"ZZZ","S" "63600","","A","Remove spinal cord lesion","", 13.08,"", 10.70, 2.63, 26.41,"090","N" "63610","","A","Stimulation of spinal cord","", 8.73,"", 6.73, 2.06, 17.52,"000","N" "63615","","A","Remove lesion of spinal cord","", 15.40,"", 11.55, 2.03, 28.98,"090","S" "63650","","A","Implant neuroelectrodes","", 5.99,"*", 7.67, 2.13, 15.79,"090","S" "63655","","A","Implant neuroelectrodes","", 8.95,"*", 11.93, 3.64, 24.52,"090","S" "63660","","A","Revise/remove neuroelectrode","", 5.54,"*", 7.09, 1.56, 14.19,"090","S" "63685","","A","Implant neuroreceiver","", 6.29,"", 7.40, 1.46, 15.15,"090","S" "63688","","A","Revise/remove neuroreceiver","", 4.77,"*", 6.10, 1.26, 12.13,"090","S" "63690","","A","Analysis of neuroreceiver","", 0.45,"*", 0.58, 0.12, 1.15,"XXX","N" "63691","","A","Analysis of neuroreceiver","", 0.65,"", 0.41, 0.11, 1.17,"XXX","N" "63700","","A","Repair of spinal herniation","", 15.62,"", 11.35, 2.22, 29.19,"090","S" "63702","","A","Repair of spinal herniation","", 17.57,"", 12.78, 2.49, 32.84,"090","S" "63704","","A","Repair of spinal herniation","", 19.52,"", 14.19, 2.77, 36.48,"090","S" "63706","","A","Repair of spinal herniation","", 22.45,"", 16.33, 3.18, 41.96,"090","S" "63707","","A","Repair spinal fluid leakage","", 10.14,"*", 12.98, 2.56, 25.68,"090","S" "63709","","A","Repair spinal fluid leakage","", 13.26,"*", 16.97, 3.30, 33.53,"090","S" "63710","","A","Graft repair of spine defect","", 13.01,"", 9.75, 1.58, 24.34,"090","S" "63740","","A","Install spinal shunt","", 10.43,"*", 13.35, 2.99, 26.77,"090","S" "63741","","A","Install spinal shunt","", 7.13,"*", 9.13, 2.39, 18.65,"090","S" "63744","","A","Revision of spinal shunt","", 6.83,"", 8.15, 1.68, 16.66,"090","S" "63746","","A","Removal of spinal shunt","", 5.60,"", 5.52, 1.08, 12.20,"090","S" "63750","","D","Insert spinal canal catheter","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "63780","","D","Insert spinal canal catheter","", 0.00,"", 0.00, 0.00, 0.00,"090","N" "64400","","A","Injection for nerve block","", 1.11,"", 0.48, 0.05, 1.64,"000","N" "64402","","A","Injection for nerve block","", 1.25,"", 0.62, 0.09, 1.96,"000","S" "64405","","A","Injection for nerve block","", 1.32,"", 0.64, 0.07, 2.03,"000","N" "64408","","A","Injection for nerve block","", 1.41,"", 1.04, 0.11, 2.56,"000","N" "64410","","A","Injection for nerve block","", 1.43,"", 0.71, 0.15, 2.29,"000","N" "64412","","A","Injection for nerve block","", 1.18,"", 0.62, 0.08, 1.88,"000","N" "64413","","A","Injection for nerve block","", 1.40,"", 0.74, 0.08, 2.22,"000","N" "64415","","A","Injection for nerve block","", 1.48,"", 0.26, 0.07, 1.81,"000","N" "64417","","A","Injection for nerve block","", 1.44,"", 0.63, 0.15, 2.22,"000","N" "64418","","A","Injection for nerve block","", 1.32,"", 0.85, 0.10, 2.27,"000","N" "64420","","A","Injection for nerve block","", 1.18,"", 0.64, 0.07, 1.89,"000","N" "64421","","A","Injection for nerve block","", 1.68,"", 0.83, 0.17, 2.68,"000","N" "64425","","A","Injection for nerve block","", 1.75,"", 0.57, 0.10, 2.42,"000","N" "64430","","A","Injection for nerve block","", 1.46,"", 0.70, 0.12, 2.28,"000","S" "64435","","A","Injection for nerve block","", 1.45,"", 0.47, 0.09, 2.01,"000","S" "64440","","A","Injection for nerve block","", 1.34,"", 0.79, 0.09, 2.22,"000","N" "64441","","A","Injection for nerve block","", 1.79,"", 1.01, 0.12, 2.92,"000","N" "64442","","A","Injection for nerve block","", 1.41,"", 1.19, 0.16, 2.76,"000","N" "64443","","A","Injection for nerve block","", 1.35,"", 0.63, 0.12, 2.10,"ZZZ","N" "64445","","A","Injection for nerve block","", 1.48,"", 0.49, 0.06, 2.03,"000","N" "64450","","A","Injection for nerve block","", 1.27,"", 0.53, 0.05, 1.85,"000","S" "64505","","A","Injection for nerve block","", 1.36,"", 0.62, 0.06, 2.04,"000","N" "64508","","A","Injection for nerve block","", 1.12,"", 1.04, 0.08, 2.24,"000","N" "64510","","A","Injection for nerve block","", 1.22,"", 0.71, 0.18, 2.11,"000","N" "64520","","A","Injection for nerve block","", 1.35,"", 0.72, 0.17, 2.24,"000","N" "64530","","A","Injection for nerve block","", 1.58,"", 1.17, 0.28, 3.03,"000","N" "64550","","A","Apply neurostimulator","", 0.18,"", 0.44, 0.04, 0.66,"000","N" "64553","","A","Implant neuroelectrodes","", 2.26,"", 1.02, 0.10, 3.38,"010","N" "64555","","A","Implant neuroelectrodes","", 2.22,"", 0.42, 0.10, 2.74,"010","N" "64560","","A","Implant neuroelectrodes","", 2.31,"", 1.45, 0.24, 4.00,"010","S" "64565","","A","Implant neuroelectrodes","", 1.71,"", 0.76, 0.08, 2.55,"010","N" "64573","","A","Implant neuroelectrodes","", 4.35,"", 3.16, 0.61, 8.12,"090","S" "64575","","A","Implant neuroelectrodes","", 4.27,"", 3.07, 0.40, 7.74,"090","S" "64577","","A","Implant neuroelectrodes","", 4.54,"", 2.76, 0.45, 7.75,"090","S" "64580","","A","Implant neuroelectrodes","", 4.04,"", 2.91, 0.20, 7.15,"090","S" "64585","","A","Revise/remove neuroelectrode","", 2.01,"", 0.97, 0.09, 3.07,"010","S" "64590","","A","Implant neuroreceiver","", 2.35,"", 1.84, 0.35, 4.54,"010","S" "64595","","A","Revise/remove neuroreceiver","", 1.68,"", 1.12, 0.21, 3.01,"010","S" "64600","","A","Injection treatment of nerve","", 3.40,"", 1.69, 0.17, 5.26,"010","N" "64605","","A","Injection treatment of nerve","", 5.56,"", 1.56, 0.33, 7.45,"010","N" "64610","","A","Injection treatment of nerve","", 7.11,"", 7.26, 1.35, 15.72,"010","N" "64612","","A","Destroy nerve, face muscle","", 1.91,"", 1.45, 0.17, 3.53,"010","S" "64613","","A","Destroy nerve, spine muscle","", 1.91,"", 1.45, 0.17, 3.53,"010","S" "64620","","A","Injection treatment of nerve","", 2.79,"", 1.00, 0.19, 3.98,"010","N" "64622","","A","Injection treatment of nerve","", 2.95,"", 1.82, 0.35, 5.12,"010","N" "64623","","A","Injection treatment of nerve","", 0.99,"", 0.85, 0.17, 2.01,"ZZZ","N" "64630","","A","Injection treatment of nerve","", 2.95,"", 1.74, 0.38, 5.07,"010","N" "64640","","A","Injection treatment of nerve","", 2.49,"", 0.92, 0.09, 3.50,"010","N" "64680","","A","Injection treatment of nerve","", 2.57,"", 1.55, 0.41, 4.53,"010","N" "64702","","A","Revise finger/toe nerve","", 4.02,"", 4.22, 0.70, 8.94,"090","S" "64704","","A","Revise hand/foot nerve","", 4.44,"", 5.38, 0.74, 10.56,"090","S" "64708","","A","Revise arm/leg nerve","", 5.71,"*", 7.31, 1.26, 14.28,"090","S" "64712","","A","Revision of sciatic nerve","", 7.18,"*", 9.19, 1.68, 18.05,"090","S" "64713","","A","Revision of arm nerve(s)","", 10.34,"", 9.40, 1.72, 21.46,"090","S" "64714","","A","Revise low back nerve(s)","", 9.87,"", 6.13, 1.41, 17.41,"090","S" "64716","","A","Revision of cranial nerve","", 5.80,"", 4.83, 0.67, 11.30,"090","S" "64718","","A","Revise ulnar nerve at elbow","", 5.48,"", 6.72, 1.13, 13.33,"090","S" "64719","","A","Revise ulnar nerve at wrist","", 4.72,"", 4.95, 0.85, 10.52,"090","S" "64721","","A","Carpal tunnel surgery","", 3.99,"", 4.90, 0.83, 9.72,"090","S" "64722","","A","Relieve pressure on nerve(s)","", 4.46,"*", 5.71, 1.11, 11.28,"090","S" "64726","","A","Release foot/toe nerve","", 3.97,"", 0.72, 0.07, 4.76,"090","S" "64727","","A","Internal nerve revision","", 3.10,"", 3.24, 0.55, 6.89,"ZZZ","S" "64732","","A","Incision of brow nerve","", 4.15,"", 4.31, 0.72, 9.18,"090","S" "64734","","A","Incision of cheek nerve","", 4.62,"", 4.61, 0.67, 9.90,"090","S" "64736","","A","Incision of chin nerve","", 4.40,"", 4.46, 0.42, 9.28,"090","S" "64738","","A","Incision of jaw nerve","", 5.42,"", 5.07, 0.61, 11.10,"090","S" "64740","","A","Incision of tongue nerve","", 5.28,"", 5.18, 0.62, 11.08,"090","S" "64742","","A","Incision of facial nerve","", 5.91,"", 5.00, 0.44, 11.35,"090","S" "64744","","A","Incise nerve, back of head","", 4.87,"", 6.10, 1.10, 12.07,"090","S" "64746","","A","Incise diaphragm nerve","", 5.62,"", 3.77, 0.77, 10.16,"090","S" "64752","","A","Incision of vagus nerve","", 6.64,"", 3.93, 0.85, 11.42,"090","S" "64755","","A","Incision of stomach nerves","", 13.10,"", 10.47, 2.27, 25.84,"090","S" "64760","","A","Incision of vagus nerve","", 6.54,"", 6.65, 1.50, 14.69,"090","S" "64761","","A","Incision of pelvis nerve","", 6.10,"", 4.66, 0.50, 11.26,"090","S" "64763","","A","Incise hip/thigh nerve","", 6.72,"", 4.80, 0.92, 12.44,"090","S" "64766","","A","Incise hip/thigh nerve","", 8.31,"", 6.67, 1.20, 16.18,"090","S" "64771","","A","Sever cranial nerve","", 6.99,"", 6.42, 0.73, 14.14,"090","S" "64772","","A","Incision of spinal nerve","", 6.79,"", 6.77, 1.30, 14.86,"090","S" "64774","","A","Remove skin nerve lesion","", 4.86,"", 2.74, 0.45, 8.05,"090","S" "64776","","A","Remove digit nerve lesion","", 4.86,"", 2.78, 0.41, 8.05,"090","S" "64778","","A","Added digit nerve surgery","", 3.11,"", 2.73, 0.43, 6.27,"ZZZ","S" "64782","","A","Remove limb nerve lesion","", 5.81,"", 4.70, 0.46, 10.97,"090","S" "64783","","A","Added limb nerve surgery","", 3.72,"", 3.26, 0.47, 7.45,"ZZZ","S" "64784","","A","Remove nerve lesion","", 9.46,"", 5.64, 0.96, 16.06,"090","S" "64786","","A","Remove sciatic nerve lesion","", 15.10,"", 12.66, 2.14, 29.90,"090","S" "64787","","A","Implant nerve end","", 4.30,"", 3.47, 0.60, 8.37,"ZZZ","S" "64788","","A","Remove skin nerve lesion","", 4.30,"", 3.63, 0.50, 8.43,"090","S" "64790","","A","Removal of nerve lesion","", 10.95,"", 7.11, 1.22, 19.28,"090","S" "64792","","A","Removal of nerve lesion","", 14.40,"", 8.99, 1.66, 25.05,"090","S" "64795","","A","Biopsy of nerve","", 3.01,"", 2.38, 0.39, 5.78,"000","S" "64802","","A","Remove sympathetic nerves","", 8.22,"", 5.40, 1.10, 14.72,"090","S" "64804","","A","Remove sympathetic nerves","", 13.65,"", 12.77, 2.44, 28.86,"090","S" "64809","","A","Remove sympathetic nerves","", 12.79,"", 10.55, 2.04, 25.38,"090","S" "64818","","A","Remove sympathetic nerves","", 9.42,"", 8.57, 1.72, 19.71,"090","S" "64820","","A","Remove sympathetic nerves","", 10.00,"", 7.27, 1.42, 18.69,"090","S" "64830","","A","Microrepair of nerve","", 3.10,"", 2.01, 0.38, 5.49,"ZZZ","S" "64831","","A","Repair of digit nerve","", 8.84,"", 3.38, 0.56, 12.78,"090","S" "64832","","A","Repair additional nerve","", 5.66,"", 1.40, 0.24, 7.30,"ZZZ","S" "64834","","A","Repair of hand or foot nerve","", 9.77,"", 3.50, 0.56, 13.83,"090","S" "64835","","A","Repair of hand or foot nerve","", 10.47,"", 5.96, 1.03, 17.46,"090","S" "64836","","A","Repair of hand or foot nerve","", 10.47,"", 6.70, 1.22, 18.39,"090","S" "64837","","A","Repair additional nerve","", 6.26,"", 4.45, 0.85, 11.56,"ZZZ","S" "64840","","A","Repair of leg nerve","", 12.43,"", 10.35, 0.53, 23.31,"090","S" "64856","","A","Repair/transpose nerve","", 12.81,"", 8.21, 1.46, 22.48,"090","S" "64857","","A","Repair arm/leg nerve","", 13.43,"", 9.53, 1.54, 24.50,"090","S" "64858","","A","Repair sciatic nerve","", 15.43,"", 10.98, 2.11, 28.52,"090","S" "64859","","A","Additional nerve surgery","", 4.26,"", 3.50, 0.58, 8.34,"ZZZ","S" "64861","","A","Repair of arm nerves","", 17.94,"", 13.42, 1.38, 32.74,"090","S" "64862","","A","Repair of low back nerves","", 18.14,"", 21.56, 1.61, 41.31,"090","S" "64864","","A","Repair of facial nerve","", 11.87,"", 7.86, 1.16, 20.89,"090","S" "64865","","A","Repair of facial nerve","", 14.70,"", 12.34, 1.50, 28.54,"090","S" "64866","","A","Fusion of facial/other nerve","", 14.94,"", 11.19, 1.84, 27.97,"090","S" "64868","","A","Fusion of facial/other nerve","", 13.36,"", 11.19, 1.47, 26.02,"090","S" "64870","","A","Fusion of facial/other nerve","", 15.19,"", 13.91, 1.70, 30.80,"090","S" "64872","","A","Subsequent repair of nerve","", 1.99,"", 1.44, 0.29, 3.72,"ZZZ","S" "64874","","A","Repair & revise nerve","", 2.98,"", 2.17, 0.43, 5.58,"ZZZ","S" "64876","","A","Repair nerve; shorten bone","", 3.38,"", 2.46, 0.48, 6.32,"ZZZ","N" "64885","","A","Nerve graft, head or neck","", 16.73,"", 12.69, 1.48, 30.90,"090","S" "64886","","A","Nerve graft, head or neck","", 19.95,"", 15.13, 1.77, 36.85,"090","S" "64890","","A","Nerve graft, hand or foot","", 14.35,"", 12.26, 2.12, 28.73,"090","S" "64891","","A","Nerve graft, hand or foot","", 15.21,"", 10.42, 1.73, 27.36,"090","S" "64892","","A","Nerve graft, arm or leg","", 13.85,"", 11.04, 1.69, 26.58,"090","S" "64893","","A","Nerve graft, arm or leg","", 14.61,"", 13.93, 2.27, 30.81,"090","S" "64895","","A","Nerve graft, hand or foot","", 18.39,"", 13.16, 2.55, 34.10,"090","S" "64896","","A","Nerve graft, hand or foot","", 19.38,"", 17.53, 1.90, 38.81,"090","S" "64897","","A","Nerve graft, arm or leg","", 17.38,"", 12.63, 2.47, 32.48,"090","S" "64898","","A","Nerve graft, arm or leg","", 18.39,"", 14.40, 2.35, 35.14,"090","S" "64901","","A","Additional nerve graft","", 10.22,"", 10.16, 0.87, 21.25,"ZZZ","S" "64902","","A","Additional nerve graft","", 11.83,"", 11.92, 0.99, 24.74,"ZZZ","S" "64905","","A","Nerve pedicle transfer","", 13.22,"", 9.40, 0.70, 23.32,"090","S" "64907","","A","Nerve pedicle transfer","", 17.90,"", 13.02, 2.55, 33.47,"090","S" "64999","","C","Nervous system surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","N" "65091","","A","Revise eye","", 6.10,"*", 7.81, 0.45, 14.36,"090","S" "65093","","A","Revise eye with implant","", 6.47,"*", 8.28, 0.52, 15.27,"090","S" "65101","","A","Removal of eye","", 6.52,"*", 8.35, 0.47, 15.34,"090","S" "65103","","A","Remove eye/insert implant","", 7.06,"*", 9.04, 0.50, 16.60,"090","S" "65105","","A","Remove eye/attach implant","", 7.82,"*", 10.01, 0.55, 18.38,"090","S" "65110","","A","Removal of eye","", 13.18,"", 15.99, 1.14, 30.31,"090","S" "65112","","A","Remove eye, revise socket","", 15.44,"", 12.16, 1.09, 28.69,"090","S" "65114","","A","Remove eye, revise socket","", 16.59,"", 13.07, 1.65, 31.31,"090","S" "65125","","A","Revise ocular implant","", 2.97,"", 2.47, 0.13, 5.57,"090","S" "65130","","A","Insert ocular implant","", 6.75,"*", 8.64, 0.50, 15.89,"090","S" "65135","","A","Insert ocular implant","", 6.93,"", 5.42, 0.35, 12.70,"090","S" "65140","","A","Attach ocular implant","", 7.46,"", 6.22, 0.33, 14.01,"090","S" "65150","","A","Revise ocular implant","", 5.97,"*", 7.64, 0.56, 14.17,"090","S" "65155","","A","Reinsert ocular implant","", 8.21,"*", 10.50, 0.90, 19.61,"090","S" "65175","","A","Removal of ocular implant","", 5.93,"", 7.49, 0.40, 13.82,"090","S" "65205","","A","Remove foreign body from eye","", 0.78,"", 0.37, 0.02, 1.17,"000","S" "65210","","A","Remove foreign body from eye","", 0.84,"", 0.46, 0.03, 1.33,"000","S" "65220","","A","Remove foreign body from eye","", 0.71,"", 0.52, 0.04, 1.27,"000","N" "65222","","A","Remove foreign body from eye","", 0.93,"", 0.57, 0.03, 1.53,"000","S" "65235","","A","Remove foreign body from eye","", 7.12,"", 5.61, 0.30, 13.03,"090","S" "65260","","A","Remove foreign body from eye","", 10.35,"", 8.63, 0.45, 19.43,"090","S" "65265","","A","Remove foreign body from eye","", 12.04,"", 10.04, 0.51, 22.59,"090","S" "65270","","A","Repair of eye wound","", 1.85,"", 1.17, 0.07, 3.09,"010","S" "65272","","A","Repair of eye wound","", 3.57,"", 1.64, 0.10, 5.31,"090","S" "65273","","A","Repair of eye wound","", 3.89,"", 3.22, 0.21, 7.32,"090","S" "65275","","A","Repair of eye wound","", 5.04,"", 0.66, 0.04, 5.74,"090","S" "65280","","A","Repair of eye wound","", 7.10,"*", 9.09, 0.49, 16.68,"090","S" "65285","","A","Repair of eye wound","", 12.06,"", 12.26, 0.64, 24.96,"090","S" "65286","","A","Repair of eye wound","", 5.16,"", 4.79, 0.25, 10.20,"090","S" "65290","","A","Repair of eye socket wound","", 5.06,"", 6.20, 0.37, 11.63,"090","S" "65400","","A","Removal of eye lesion","", 5.61,"", 6.46, 0.35, 12.42,"090","S" "65410","","A","Biopsy of cornea","", 1.47,"", 1.59, 0.11, 3.17,"000","S" "65420","","A","Removal of eye lesion","", 3.97,"", 4.28, 0.23, 8.48,"090","S" "65426","","A","Removal of eye lesion","", 5.05,"*", 6.47, 0.38, 11.90,"090","S" "65430","","A","Corneal smear","", 0.87,"", 0.54, 0.03, 1.44,"000","S" "65435","","A","Curette/treat cornea","", 0.92,"", 0.77, 0.04, 1.73,"000","S" "65436","","A","Curette/treat cornea","", 3.99,"", 1.53, 0.08, 5.60,"090","S" "65450","","A","Treatment of corneal lesion","", 3.07,"", 3.28, 0.17, 6.52,"090","S" "65600","","A","Revision of cornea","", 3.15,"", 2.62, 0.14, 5.91,"090","S" "65710","","A","Corneal transplant","", 9.52,"*", 12.44, 1.13, 23.09,"090","S" "65730","","A","Corneal transplant","", 11.83,"*", 15.14, 1.29, 28.26,"090","S" "65750","","A","Corneal transplant","", 12.58,"*", 16.10, 1.33, 30.01,"090","S" "65755","","A","Corneal transplant","", 12.58,"*", 16.10, 1.39, 30.07,"090","S" "65760","","N","Revision of cornea","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "65765","","N","Revision of cornea","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "65767","","N","Corneal tissue transplant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "65770","","A","Revise cornea with implant","", 16.56,"", 13.81, 0.71, 31.08,"090","S" "65771","","N","Radial keratotomy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "65772","","A","Correction of astigmatism","", 4.04,"*", 5.16, 0.31, 9.51,"090","S" "65775","","A","Correction of astigmatism","", 5.44,"*", 6.96, 0.50, 12.90,"090","S" "65800","","A","Drainage of eye","", 1.91,"", 1.72, 0.10, 3.73,"000","S" "65805","","A","Drainage of eye","", 1.91,"", 1.81, 0.10, 3.82,"000","S" "65810","","A","Drainage of eye","", 4.57,"", 5.45, 0.30, 10.32,"090","S" "65815","","A","Drainage of eye","", 4.75,"", 4.49, 0.24, 9.48,"090","S" "65820","","A","Relieve inner eye pressure","", 7.60,"", 9.54, 0.51, 17.65,"090","S" "65850","","A","Incision of eye","", 10.18,"*", 13.03, 0.69, 23.90,"090","S" "65855","","A","Laser surgery of eye","", 4.65,"*", 6.01, 0.52, 11.18,"090","S" "65860","","A","Incise inner eye adhesions","", 3.37,"*", 4.31, 0.37, 8.05,"090","S" "65865","","A","Incise inner eye adhesions","", 5.42,"*", 6.93, 0.41, 12.76,"090","S" "65870","","A","Incise inner eye adhesions","", 5.92,"", 5.86, 0.31, 12.09,"090","S" "65875","","A","Incise inner eye adhesions","", 6.14,"", 6.28, 0.34, 12.76,"090","S" "65880","","A","Incise inner eye adhesions","", 6.69,"", 6.85, 0.37, 13.91,"090","S" "65900","","A","Remove eye lesion","", 10.43,"", 7.91, 0.92, 19.26,"090","S" "65920","","A","Remove implant from eye","", 7.90,"", 8.36, 0.44, 16.70,"090","S" "65930","","A","Remove blood clot from eye","", 7.03,"", 7.68, 0.41, 15.12,"090","S" "66020","","A","Injection treatment of eye","", 1.54,"*", 1.98, 0.14, 3.66,"010","S" "66030","","A","Injection treatment of eye","", 1.20,"", 0.54, 0.03, 1.77,"010","S" "66130","","A","Remove eye lesion","", 7.54,"", 5.28, 0.28, 13.10,"090","S" "66150","","A","Glaucoma surgery","", 7.60,"*", 9.72, 0.59, 17.91,"090","S" "66155","","A","Glaucoma surgery","", 7.48,"*", 9.57, 0.50, 17.55,"090","S" "66160","","A","Glaucoma surgery","", 9.47,"", 10.77, 0.55, 20.79,"090","S" "66165","","A","Glaucoma surgery","", 7.31,"*", 9.36, 0.57, 17.24,"090","S" "66170","","A","Glaucoma surgery","", 11.31,"", 12.15, 0.63, 24.09,"090","S" "66172","","A","Incision of eye","", 13.67,"", 12.15, 0.63, 26.45,"090","S" "66180","","A","Implant eye shunt","", 12.63,"*", 16.17, 1.03, 29.83,"090","S" "66185","","A","Revise eye shunt","", 7.69,"*", 9.85, 0.58, 18.12,"090","S" "66220","","A","Repair eye lesion","", 7.32,"", 5.95, 0.34, 13.61,"090","S" "66225","","A","Repair/graft eye lesion","", 10.55,"*", 13.51, 0.86, 24.92,"090","S" "66250","","A","Follow-up surgery of eye","", 5.63,"*", 7.20, 0.38, 13.21,"090","S" "66500","","A","Incision of iris","", 3.58,"*", 4.58, 0.27, 8.43,"090","S" "66505","","A","Incision of iris","", 3.93,"", 3.27, 0.17, 7.37,"090","S" "66600","","A","Remove iris and lesion","", 8.23,"", 9.36, 0.51, 18.10,"090","S" "66605","","A","Removal of iris","", 12.34,"", 11.87, 0.67, 24.88,"090","S" "66625","","A","Removal of iris","", 4.95,"*", 6.33, 0.48, 11.76,"090","S" "66630","","A","Removal of iris","", 5.81,"*", 7.43, 0.45, 13.69,"090","S" "66635","","A","Removal of iris","", 5.90,"*", 7.56, 0.49, 13.95,"090","S" "66680","","A","Repair iris & ciliary body","", 5.14,"", 6.42, 0.35, 11.91,"090","S" "66682","","A","Repair iris and ciliary body","", 5.86,"", 7.33, 0.38, 13.57,"090","S" "66700","","A","Destruction, ciliary body","", 4.55,"*", 5.83, 0.35, 10.73,"090","S" "66710","","A","Destruction, ciliary body","", 4.55,"*", 5.83, 0.41, 10.79,"090","S" "66720","","A","Destruction, ciliary body","", 4.55,"*", 5.83, 0.38, 10.76,"090","S" "66740","","A","Destruction, ciliary body","", 4.55,"*", 5.83, 0.39, 10.77,"090","S" "66761","","A","Revision of iris","", 3.77,"*", 5.10, 0.47, 9.34,"090","S" "66762","","A","Revision of iris","", 4.33,"*", 5.92, 0.55, 10.80,"090","S" "66770","","A","Removal of inner eye lesion","", 4.88,"*", 6.24, 0.45, 11.57,"090","S" "66820","","A","Incision, secondary cataract","", 3.76,"*", 4.81, 0.29, 8.86,"090","S" "66821","","A","After cataract laser surgery","", 2.78,"*", 3.81, 0.37, 6.96,"090","S" "66825","","A","Reposition intraocular lens","", 7.73,"", 7.33, 0.38, 15.44,"090","S" "66830","","A","Removal of lens lesion","", 7.80,"", 7.67, 0.40, 15.87,"090","S" "66840","","A","Removal of lens material","", 7.51,"*", 9.61, 0.54, 17.66,"090","S" "66850","","A","Removal of lens material","", 8.66,"*", 11.09, 0.70, 20.45,"090","S" "66852","","A","Removal of lens material","", 9.52,"*", 12.19, 0.90, 22.61,"090","S" "66920","","A","Extraction of lens","", 8.46,"*", 10.82, 0.60, 19.88,"090","S" "66930","","A","Extraction of lens","", 9.73,"", 10.49, 0.57, 20.79,"090","S" "66940","","A","Extraction of lens","", 8.48,"*", 10.85, 0.62, 19.95,"090","S" "66983","","A","Remove cataract, insert lens","", 8.54,"*", 10.94, 0.95, 20.43,"090","S" "66984","","A","Remove cataract, insert lens","", 9.89,"*", 12.66, 0.94, 23.49,"090","S" "66985","","A","Insert lens prosthesis","", 7.89,"*", 10.10, 0.63, 18.62,"090","S" "66986","","A","Exchange lens prosthesis","", 11.78,"", 12.20, 0.63, 24.61,"090","S" "66999","","C","Eye surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "67005","","A","Partial removal of eye fluid","", 6.63,"*", 10.28, 1.13, 18.04,"090","S" "67010","","A","Partial removal of eye fluid","", 6.67,"*", 9.98, 1.04, 17.69,"090","S" "67015","","A","Release of eye fluid","", 6.69,"", 6.45, 0.35, 13.49,"090","S" "67025","","A","Replace eye fluid","", 6.44,"", 6.75, 0.36, 13.55,"090","S" "67028","","A","Injection eye drug","", 2.52,"*", 3.22, 0.18, 5.92,"000","S" "67030","","A","Incise inner eye strands","", 4.44,"*", 5.75, 0.50, 10.69,"090","S" "67031","","A","Laser surgery, eye strands","", 3.42,"*", 6.15, 0.75, 10.32,"090","S" "67036","","A","Removal of inner eye fluid","", 11.33,"*", 15.67, 1.49, 28.49,"090","S" "67038","","A","Strip retinal membrane","", 20.20,"*", 25.85, 1.80, 47.85,"090","S" "67039","","A","Laser treatment of retina","", 13.60,"*", 18.22, 1.68, 33.50,"090","S" "67040","","A","Laser treatment of retina","", 16.26,"*", 20.81, 1.75, 38.82,"090","S" "67101","","A","Repair, detached retina","", 7.02,"*", 8.99, 0.66, 16.67,"090","S" "67105","","A","Repair, detached retina","", 7.06,"*", 9.14, 0.80, 17.00,"090","S" "67107","","A","Repair detached retina","", 13.99,"*", 17.91, 1.10, 33.00,"090","S" "67108","","A","Repair detached retina","", 19.90,"*", 25.47, 1.76, 47.13,"090","S" "67109","","D","Repair detached retina","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "67110","","A","Repair detached retina","", 8.14,"*", 10.60, 0.97, 19.71,"090","S" "67112","","A","Re-repair detached retina","", 16.15,"", 16.51, 0.86, 33.52,"090","S" "67115","","A","Release, encircling material","", 4.64,"*", 5.93, 0.44, 11.01,"090","S" "67120","","A","Remove eye implant material","", 5.63,"", 7.15, 0.38, 13.16,"090","S" "67121","","A","Remove eye implant material","", 10.17,"", 9.42, 0.49, 20.08,"090","S" "67141","","A","Treatment of retina","", 4.90,"*", 6.27, 0.48, 11.65,"090","S" "67145","","A","Treatment of retina","", 5.07,"*", 6.50, 0.49, 12.06,"090","S" "67208","","A","Treatment of retinal lesion","", 6.40,"*", 8.19, 0.52, 15.11,"090","S" "67210","","A","Treatment of retinal lesion","", 9.48,"", 9.02, 0.47, 18.97,"090","S" "67218","","A","Treatment of retinal lesion","", 12.73,"", 13.31, 0.70, 26.74,"090","S" "67227","","A","Treatment of retinal lesion","", 6.28,"*", 8.04, 0.51, 14.83,"090","S" "67228","","A","Treatment of retinal lesion","", 12.39,"", 9.39, 0.48, 22.26,"090","S" "67250","","A","Reinforce eye wall","", 8.36,"", 6.99, 0.40, 15.75,"090","S" "67255","","A","Reinforce/graft eye wall","", 8.39,"*", 10.73, 0.87, 19.99,"090","S" "67299","","C","Eye surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "67311","","A","Revise eye muscle","", 6.30,"*", 8.06, 0.47, 14.83,"090","S" "67312","","A","Revise two eye muscles","", 7.55,"*", 9.66, 0.53, 17.74,"090","S" "67314","","A","Revise eye muscle","", 7.12,"*", 9.12, 0.58, 16.82,"090","S" "67316","","A","Revise two eye muscles","", 8.02,"*", 10.27, 0.67, 18.96,"090","S" "67318","","A","Revise eye muscle(s)","", 7.45,"", 6.21, 0.33, 13.99,"090","S" "67320","","A","Revise eye muscle(s)","", 8.26,"*", 10.57, 0.69, 19.52,"090","S" "67331","","A","Eye surgery follow-up","", 7.72,"*", 9.89, 0.54, 18.15,"090","S" "67332","","A","Rerevise eye muscles","", 8.59,"*", 11.00, 0.58, 20.17,"090","S" "67334","","A","Revise eye muscle w/suture","", 7.56,"", 6.30, 0.33, 14.19,"090","S" "67335","","A","Eye suture during surgery","", 2.49,"*", 3.89, 0.43, 6.81,"ZZZ","S" "67340","","A","Revise eye muscle","", 9.45,"", 7.88, 0.41, 17.74,"090","S" "67343","","A","Release eye tissue","", 7.00,"", 5.83, 0.31, 13.14,"090","S" "67345","","A","Destroy nerve of eye muscle","", 2.91,"", 2.22, 0.26, 5.39,"010","S" "67350","","A","Biopsy eye muscle","", 2.87,"", 2.39, 0.13, 5.39,"000","S" "67399","","C","Eye muscle surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "67400","","A","Explore/biopsy eye socket","", 9.20,"", 10.91, 0.62, 20.73,"090","S" "67405","","A","Explore/drain eye socket","", 7.42,"*", 9.49, 0.67, 17.58,"090","S" "67412","","A","Explore/treat eye socket","", 9.14,"*", 11.70, 0.67, 21.51,"090","S" "67413","","A","Explore/treat eye socket","", 9.75,"", 8.09, 0.57, 18.41,"090","S" "67414","","A","Explore/decompress eye socke","", 10.07,"", 8.39, 0.44, 18.90,"090","S" "67415","","A","Aspiration orbital contents","", 1.76,"", 2.02, 0.12, 3.90,"000","S" "67420","","A","Explore/treat eye socket","", 13.36,"", 16.78, 1.11, 31.25,"090","S" "67430","","A","Explore/treat eye socket","", 12.79,"", 10.65, 0.54, 23.98,"090","S" "67440","","A","Explore/drain eye socket","", 12.43,"*", 15.91, 0.97, 29.31,"090","S" "67445","","A","Explore/decompress eye socke","", 13.36,"", 11.13, 0.57, 25.06,"090","S" "67450","","A","Explore/biopsy eye socket","", 12.80,"", 15.29, 0.87, 28.96,"090","S" "67500","","A","Inject/treat eye socket","", 0.79,"", 0.73, 0.06, 1.58,"000","S" "67505","","A","Inject/treat eye socket","", 0.82,"", 1.04, 0.06, 1.92,"000","S" "67515","","A","Inject/treat eye socket","", 0.61,"", 0.56, 0.03, 1.20,"000","S" "67550","","A","Insert eye socket implant","", 9.69,"", 9.62, 0.70, 20.01,"090","S" "67560","","A","Revise eye socket implant","", 10.10,"", 8.30, 0.48, 18.88,"090","S" "67570","","A","Decompress optic nerve","", 12.52,"", 7.56, 0.39, 20.47,"090","S" "67599","","C","Orbit surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "67700","","A","Drainage of eyelid abscess","", 1.30,"", 0.49, 0.03, 1.82,"010","S" "67710","","A","Incision of eyelid","", 0.97,"", 1.01, 0.06, 2.04,"010","S" "67715","","A","Incision of eyelid fold","", 1.17,"*", 1.49, 0.09, 2.75,"010","S" "67800","","A","Remove eyelid lesion","", 1.35,"", 0.94, 0.05, 2.34,"010","S" "67801","","A","Remove eyelid lesions","", 1.85,"", 1.39, 0.08, 3.32,"010","S" "67805","","A","Remove eyelid lesions","", 2.17,"", 1.38, 0.08, 3.63,"010","S" "67808","","A","Remove eyelid lesion(s)","", 3.55,"", 2.13, 0.13, 5.81,"090","S" "67810","","A","Biopsy of eyelid","", 1.48,"", 0.81, 0.05, 2.34,"000","S" "67820","","A","Revise eyelashes","", 0.89,"", 0.38, 0.02, 1.29,"000","S" "67825","","A","Revise eyelashes","", 1.33,"", 0.90, 0.05, 2.28,"010","S" "67830","","A","Revise eyelashes","", 1.65,"*", 2.12, 0.17, 3.94,"010","S" "67835","","A","Revise eyelashes","", 5.41,"*", 6.92, 0.45, 12.78,"090","S" "67840","","A","Remove eyelid lesion","", 1.99,"", 1.22, 0.07, 3.28,"010","S" "67850","","A","Treat eyelid lesion","", 1.64,"", 0.82, 0.05, 2.51,"010","S" "67875","","A","Closure of eyelid by suture","", 1.35,"*", 1.72, 0.13, 3.20,"000","S" "67880","","A","Revision of eyelid","", 3.55,"", 3.94, 0.23, 7.72,"090","S" "67882","","A","Revision of eyelid","", 4.77,"*", 6.10, 0.37, 11.24,"090","S" "67900","","A","Repair brow defect","", 4.54,"", 3.78, 0.20, 8.52,"090","S" "67901","","A","Repair eyelid defect","", 6.82,"*", 8.73, 0.64, 16.19,"090","S" "67902","","A","Repair eyelid defect","", 6.88,"*", 8.81, 0.72, 16.41,"090","S" "67903","","A","Repair eyelid defect","", 6.22,"*", 7.96, 0.73, 14.91,"090","S" "67904","","A","Repair eyelid defect","", 5.96,"*", 7.64, 0.71, 14.31,"090","S" "67906","","A","Repair eyelid defect","", 6.64,"", 5.46, 0.36, 12.46,"090","S" "67908","","A","Repair eyelid defect","", 4.95,"*", 6.34, 0.54, 11.83,"090","S" "67909","","A","Revise eyelid defect","", 5.22,"*", 6.69, 0.48, 12.39,"090","S" "67911","","A","Revise eyelid defect","", 5.09,"*", 6.58, 0.79, 12.46,"090","S" "67914","","A","Repair eyelid defect","", 3.60,"*", 4.61, 0.39, 8.60,"090","S" "67915","","A","Repair eyelid defect","", 3.10,"", 1.25, 0.07, 4.42,"090","S" "67916","","A","Repair eyelid defect","", 5.13,"", 6.50, 0.38, 12.01,"090","S" "67917","","A","Repair eyelid defect","", 5.84,"*", 7.48, 0.47, 13.79,"090","S" "67921","","A","Repair eyelid defect","", 3.32,"", 3.82, 0.20, 7.34,"090","S" "67922","","A","Repair eyelid defect","", 2.98,"", 1.19, 0.07, 4.24,"090","S" "67923","","A","Repair eyelid defect","", 5.70,"", 6.88, 0.38, 12.96,"090","S" "67924","","A","Repair eyelid defect","", 5.64,"*", 7.22, 0.43, 13.29,"090","S" "67930","","A","Repair eyelid wound","", 3.56,"", 1.27, 0.08, 4.91,"010","S" "67935","","A","Repair eyelid wound","", 6.07,"", 3.79, 0.24, 10.10,"090","S" "67938","","A","Remove eyelid foreign body","", 1.28,"", 0.52, 0.03, 1.83,"010","S" "67950","","A","Revision of eyelid","", 5.64,"*", 7.22, 0.45, 13.31,"090","S" "67961","","A","Revision of eyelid","", 5.51,"*", 7.05, 0.50, 13.06,"090","S" "67966","","A","Revision of eyelid","", 6.39,"*", 8.18, 0.66, 15.23,"090","S" "67971","","A","Reconstruction of eyelid","", 9.56,"", 10.68, 0.64, 20.88,"090","S" "67973","","A","Reconstruction of eyelid","", 12.59,"", 13.54, 0.91, 27.04,"090","S" "67974","","A","Reconstruction of eyelid","", 12.56,"", 14.07, 0.87, 27.50,"090","S" "67975","","A","Reconstruction of eyelid","", 8.90,"", 4.15, 0.24, 13.29,"090","S" "67999","","C","Revision of eyelid","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "68020","","A","Incise/drain eyelid lining","", 1.32,"", 0.51, 0.03, 1.86,"010","S" "68040","","A","Treatment of eyelid lesions","", 0.85,"", 0.45, 0.02, 1.32,"000","S" "68100","","A","Biopsy of eyelid lining","", 1.35,"", 0.99, 0.06, 2.40,"000","S" "68110","","A","Remove eyelid lining lesion","", 1.72,"", 1.24, 0.07, 3.03,"010","S" "68115","","A","Remove eyelid lining lesion","", 2.31,"", 1.93, 0.11, 4.35,"010","S" "68130","","A","Remove eyelid lining lesion","", 4.75,"", 4.09, 0.22, 9.06,"090","S" "68135","","A","Remove eyelid lining lesion","", 1.79,"", 0.74, 0.04, 2.57,"010","S" "68200","","A","Treat eyelid by injection","", 0.49,"", 0.52, 0.03, 1.04,"000","S" "68320","","A","Revise/graft eyelid lining","", 4.97,"*", 6.37, 0.42, 11.76,"090","S" "68325","","A","Revise/graft eyelid lining","", 6.96,"*", 8.91, 0.62, 16.49,"090","S" "68326","","A","Revise/graft eyelid lining","", 6.75,"", 8.62, 0.49, 15.86,"090","S" "68328","","A","Revise/graft eyelid lining","", 7.78,"*", 9.96, 0.82, 18.56,"090","S" "68330","","A","Revise eyelid lining","", 4.53,"*", 5.80, 0.35, 10.68,"090","S" "68335","","A","Revise/graft eyelid lining","", 6.79,"*", 8.69, 0.68, 16.16,"090","S" "68340","","A","Separate eyelid adhesions","", 3.92,"", 3.14, 0.17, 7.23,"090","S" "68360","","A","Revise eyelid lining","", 4.12,"*", 5.28, 0.33, 9.73,"090","S" "68362","","A","Revise eyelid lining","", 6.94,"", 8.01, 0.42, 15.37,"090","S" "68399","","C","Eyelid lining surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "68400","","A","Incise/drain tear gland","", 1.64,"", 1.00, 0.06, 2.70,"010","S" "68420","","A","Incise/drain tear sac","", 2.25,"", 1.02, 0.06, 3.33,"010","S" "68440","","A","Incise tear duct opening","", 0.89,"", 0.76, 0.04, 1.69,"010","S" "68500","","A","Removal of tear gland","", 10.47,"", 7.61, 0.75, 18.83,"090","S" "68505","","A","Partial removal tear gland","", 10.39,"", 8.69, 0.49, 19.57,"090","S" "68510","","A","Biopsy of tear gland","", 4.61,"", 3.69, 0.28, 8.58,"000","S" "68520","","A","Removal of tear sac","", 7.11,"*", 9.10, 0.51, 16.72,"090","S" "68525","","A","Biopsy of tear sac","", 4.43,"", 3.68, 0.23, 8.34,"000","S" "68530","","A","Clearance of tear duct","", 3.61,"", 2.85, 0.17, 6.63,"010","S" "68540","","A","Remove tear gland lesion","", 10.10,"", 8.31, 0.50, 18.91,"090","S" "68550","","A","Remove tear gland lesion","", 12.66,"", 11.34, 0.74, 24.74,"090","S" "68700","","A","Repair tear ducts","", 6.20,"", 2.69, 0.15, 9.04,"090","S" "68705","","A","Revise tear duct opening","", 2.01,"", 1.02, 0.05, 3.08,"010","S" "68720","","A","Create tear sac drain","", 7.68,"*", 9.84, 0.74, 18.26,"090","S" "68745","","A","Create tear duct drain","", 8.23,"", 6.56, 0.45, 15.24,"090","S" "68750","","A","Create tear duct drain","", 8.21,"*", 10.50, 0.83, 19.54,"090","S" "68760","","A","Close tear duct opening","", 1.68,"", 0.92, 0.04, 2.64,"010","S" "68761","","A","Close tear duct opening","", 1.31,"", 0.92, 0.04, 2.27,"010","S" "68770","","A","Close tear system fistula","", 6.62,"", 4.24, 0.23, 11.09,"090","S" "68800","","A","Dilate tear duct opening(s)","", 1.11,"", 0.42, 0.02, 1.55,"010","S" "68820","","A","Explore tear duct system","", 1.47,"", 0.55, 0.03, 2.05,"010","S" "68825","","A","Explore tear duct system","", 1.53,"", 1.49, 0.09, 3.11,"010","S" "68830","","A","Reopen tear duct channel","", 2.12,"", 1.93, 0.10, 4.15,"010","S" "68840","","A","Explore/irrigate tear ducts","", 1.22,"", 0.49, 0.03, 1.74,"010","S" "68850","","A","Injection for tear sac x-ray","", 0.80,"", 0.51, 0.04, 1.35,"000","S" "68899","","C","Tear duct system surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "69000","","A","Drain external ear lesion","", 1.40,"", 0.35, 0.03, 1.78,"010","S" "69005","","A","Drain external ear lesion","", 2.06,"", 1.16, 0.13, 3.35,"010","S" "69020","","A","Drain outer ear canal lesion","", 1.43,"", 0.45, 0.04, 1.92,"010","S" "69090","","N","Pierce earlobes","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "69100","","A","Biopsy of external ear","", 0.76,"", 0.66, 0.07, 1.49,"000","S" "69105","","A","Biopsy of external ear canal","", 0.85,"", 0.80, 0.09, 1.74,"000","S" "69110","","A","Partial removal external ear","", 3.34,"", 2.63, 0.37, 6.34,"090","S" "69120","","A","Removal of external ear","", 3.95,"", 0.78, 0.07, 4.80,"090","S" "69140","","A","Remove ear canal lesion(s)","", 7.68,"", 8.00, 0.88, 16.56,"090","S" "69145","","A","Remove ear canal lesion(s)","", 2.54,"", 2.51, 0.28, 5.33,"090","S" "69150","","A","Extensive ear canal surgery","", 13.01,"", 10.46, 1.25, 24.72,"090","S" "69155","","A","Extensive ear/neck surgery","", 17.03,"", 15.92, 1.61, 34.56,"090","S" "69200","","A","Clear outer ear canal","", 0.77,"", 0.42, 0.04, 1.23,"000","N" "69205","","A","Clear outer ear canal","", 1.15,"", 1.07, 0.11, 2.33,"010","S" "69210","","A","Remove impacted ear wax","", 0.61,"", 0.23, 0.02, 0.86,"000","N" "69220","","A","Clean out mastoid cavity","", 0.83,"", 0.50, 0.05, 1.38,"000","S" "69222","","A","Clean out mastoid cavity","", 1.35,"", 0.74, 0.08, 2.17,"010","S" "69300","","R","Revise external ear","", 6.36,"", 5.30, 0.28, 11.94,"YYY","S" "69310","","A","Rebuild outer ear canal","", 10.59,"", 9.84, 1.08, 21.51,"090","S" "69320","","A","Rebuild outer ear canal","", 16.60,"", 14.65, 1.66, 32.91,"090","S" "69399","","C","Outer ear surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "69400","","A","Inflate middle ear canal","", 0.83,"", 0.45, 0.05, 1.33,"000","S" "69401","","A","Inflate middle ear canal","", 0.63,"", 0.25, 0.03, 0.91,"000","S" "69405","","A","Catheterize middle ear canal","", 2.58,"", 0.48, 0.04, 3.10,"010","S" "69410","","A","Inset middle ear baffle","", 0.33,"", 0.60, 0.07, 1.00,"000","S" "69420","","A","Incision of eardrum","", 1.28,"", 0.69, 0.08, 2.05,"010","S" "69421","","A","Incision of eardrum","", 1.68,"", 1.14, 0.13, 2.95,"010","S" "69424","","A","Remove ventilating tube","", 0.85,"", 0.60, 0.06, 1.51,"000","S" "69433","","A","Create eardrum opening","", 1.47,"", 1.33, 0.15, 2.95,"010","S" "69436","","A","Create eardrum opening","", 1.91,"", 2.13, 0.23, 4.27,"010","S" "69440","","A","Exploration of middle ear","", 7.31,"", 8.69, 0.93, 16.93,"090","S" "69450","","A","Eardrum revision","", 5.44,"*", 6.96, 1.15, 13.55,"090","S" "69501","","A","Mastoidectomy","", 8.81,"", 10.90, 1.17, 20.88,"090","S" "69502","","A","Mastoidectomy","", 11.96,"", 13.36, 1.45, 26.77,"090","S" "69505","","A","Remove mastoid structures","", 12.57,"*", 16.09, 1.79, 30.45,"090","S" "69511","","A","Extensive mastoid surgery","", 13.10,"*", 16.77, 1.84, 31.71,"090","S" "69530","","A","Extensive mastoid surgery","", 18.04,"", 16.71, 1.72, 36.47,"090","S" "69535","","A","Remove part of temporal bone","", 34.50,"", 25.27, 2.85, 62.62,"090","S" "69540","","A","Remove ear lesion","", 1.15,"", 1.27, 0.14, 2.56,"010","S" "69550","","A","Remove ear lesion","", 10.70,"*", 13.70, 2.00, 26.40,"090","S" "69552","","A","Remove ear lesion","", 18.84,"", 16.73, 1.86, 37.43,"090","S" "69554","","A","Remove ear lesion","", 25.78,"", 22.87, 2.63, 51.28,"090","S" "69601","","A","Mastoid surgery revision","", 12.79,"", 14.02, 1.55, 28.36,"090","S" "69602","","A","Mastoid surgery revision","", 13.16,"", 16.27, 1.75, 31.18,"090","S" "69603","","A","Mastoid surgery revision","", 13.60,"", 17.34, 1.88, 32.82,"090","S" "69604","","A","Mastoid surgery revision","", 13.60,"*", 17.41, 2.70, 33.71,"090","S" "69605","","A","Mastoid surgery revision","", 18.04,"", 14.95, 1.86, 34.85,"090","S" "69610","","A","Repair of eardrum","", 4.38,"", 0.93, 0.10, 5.41,"010","S" "69620","","A","Repair of eardrum","", 5.74,"*", 7.34, 1.16, 14.24,"090","S" "69631","","A","Repair eardrum structures","", 9.55,"*", 12.22, 1.61, 23.38,"090","S" "69632","","A","Rebuild eardrum structures","", 12.41,"*", 15.88, 1.73, 30.02,"090","S" "69633","","A","Rebuild eardrum structures","", 11.76,"*", 15.05, 1.78, 28.59,"090","S" "69635","","A","Repair eardrum structures","", 13.02,"*", 16.65, 1.91, 31.58,"090","S" "69636","","A","Rebuild eardrum structures","", 14.88,"*", 19.05, 2.11, 36.04,"090","S" "69637","","A","Rebuild eardrum structures","", 14.77,"*", 18.90, 2.22, 35.89,"090","S" "69641","","A","Revise middle ear & mastoid","", 12.29,"*", 15.73, 1.87, 29.89,"090","S" "69642","","A","Revise middle ear & mastoid","", 16.37,"", 20.62, 2.21, 39.20,"090","S" "69643","","A","Revise middle ear & mastoid","", 14.81,"*", 18.95, 2.51, 36.27,"090","S" "69644","","A","Revise middle ear & mastoid","", 16.46,"*", 21.07, 2.70, 40.23,"090","S" "69645","","A","Revise middle ear & mastoid","", 15.80,"*", 20.23, 2.51, 38.54,"090","S" "69646","","A","Revise middle ear & mastoid","", 17.35,"", 21.97, 2.40, 41.72,"090","S" "69650","","A","Release middle ear bone","", 9.40,"*", 12.03, 1.33, 22.76,"090","S" "69660","","A","Revise middle ear bone","", 11.64,"*", 14.90, 1.82, 28.36,"090","S" "69661","","A","Revise middle ear bone","", 15.32,"", 18.44, 1.93, 35.69,"090","S" "69662","","A","Revise middle ear bone","", 15.04,"", 18.02, 1.94, 35.00,"090","S" "69666","","A","Repair middle ear structures","", 9.38,"*", 12.00, 1.77, 23.15,"090","S" "69667","","A","Repair middle ear structures","", 9.39,"*", 12.02, 1.66, 23.07,"090","S" "69670","","A","Remove mastoid air cells","", 11.05,"", 10.18, 1.08, 22.31,"090","S" "69676","","A","Remove middle ear nerve","", 9.23,"", 8.53, 0.86, 18.62,"090","S" "69700","","A","Close mastoid fistula","", 7.97,"", 7.86, 0.84, 16.67,"090","S" "69710","","N","Implant/replace hearing aid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "69711","","A","Remove/repair hearing aid","", 10.13,"", 8.44, 0.44, 19.01,"090","S" "69720","","A","Release facial nerve","", 13.80,"*", 17.66, 2.27, 33.73,"090","S" "69725","","A","Release facial nerve","", 18.98,"", 14.65, 1.51, 35.14,"090","S" "69740","","A","Repair facial nerve","", 15.39,"", 11.83, 1.69, 28.91,"090","S" "69745","","A","Repair facial nerve","", 16.10,"", 15.95, 1.53, 33.58,"090","S" "69799","","C","Middle ear surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "69801","","A","Incise inner ear","", 8.19,"*", 10.48, 1.84, 20.51,"090","S" "69802","","A","Incise inner ear","", 12.44,"", 11.24, 1.22, 24.90,"090","S" "69805","","A","Explore inner ear","", 10.27,"*", 13.14, 2.00, 25.41,"090","S" "69806","","A","Explore inner ear","", 11.82,"*", 15.13, 2.54, 29.49,"090","S" "69820","","A","Establish inner ear window","", 10.14,"", 8.85, 1.00, 19.99,"090","S" "69840","","A","Revise inner ear window","", 10.06,"", 8.49, 0.51, 19.06,"090","S" "69905","","A","Remove inner ear","", 10.70,"*", 13.70, 2.07, 26.47,"090","S" "69910","","A","Remove inner ear & mastoid","", 13.10,"*", 16.77, 2.34, 32.21,"090","S" "69915","","A","Incise inner ear nerve","", 19.89,"", 17.71, 2.02, 39.62,"090","S" "69930","","A","Implant cochlear device","", 14.00,"*", 18.56, 3.34, 35.90,"090","S" "69949","","C","Inner ear surgery procedure","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "69950","","A","Incise inner ear nerve","", 21.15,"", 17.99, 2.31, 41.45,"090","S" "69955","","A","Release facial nerve","", 22.12,"", 20.28, 2.25, 44.65,"090","S" "69960","","A","Release inner ear canal","", 19.75,"", 17.85, 1.93, 39.53,"090","S" "69970","","A","Remove inner ear lesion","", 22.30,"", 19.69, 2.26, 44.25,"090","S" "69979","","C","Temporal bone surgery","", 0.00,"", 0.00, 0.00, 0.00,"YYY","S" "70010","","A","Contrast x-ray of brain","", 1.19,"", 4.65, 0.34, 6.18,"XXX","N" "70010","TC","A","Contrast x-ray of brain","", 0.00,"", 4.13, 0.26, 4.39,"XXX","N" "70010","26","A","Contrast x-ray of brain","", 1.19,"", 0.52, 0.08, 1.79,"XXX","N" "70015","","A","Contrast x-ray of brain","", 1.19,"", 1.81, 0.17, 3.17,"XXX","N" "70015","TC","A","Contrast x-ray of brain","", 0.00,"", 1.29, 0.09, 1.38,"XXX","N" "70015","26","A","Contrast x-ray of brain","", 1.19,"", 0.52, 0.08, 1.79,"XXX","N" "70030","","A","X-ray eye for foreign body","", 0.17,"", 0.48, 0.04, 0.69,"XXX","N" "70030","TC","A","X-ray eye for foreign body","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "70030","26","A","X-ray eye for foreign body","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70100","","A","X-ray exam of jaw","", 0.18,"", 0.59, 0.04, 0.81,"XXX","N" "70100","TC","A","X-ray exam of jaw","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "70100","26","A","X-ray exam of jaw","", 0.18,"", 0.09, 0.01, 0.28,"XXX","N" "70110","","A","X-ray exam of jaw","", 0.25,"", 0.71, 0.06, 1.02,"XXX","N" "70110","TC","A","X-ray exam of jaw","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70110","26","A","X-ray exam of jaw","", 0.25,"", 0.12, 0.02, 0.39,"XXX","N" "70120","","A","X-ray exam of mastoids","", 0.18,"", 0.68, 0.05, 0.91,"XXX","N" "70120","TC","A","X-ray exam of mastoids","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70120","26","A","X-ray exam of mastoids","", 0.18,"", 0.09, 0.01, 0.28,"XXX","N" "70130","","A","X-ray exam of mastoids","", 0.34,"", 0.91, 0.07, 1.32,"XXX","N" "70130","TC","A","X-ray exam of mastoids","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "70130","26","A","X-ray exam of mastoids","", 0.34,"", 0.16, 0.02, 0.52,"XXX","N" "70134","","A","X-ray exam of middle ear","", 0.34,"", 0.86, 0.07, 1.27,"XXX","N" "70134","TC","A","X-ray exam of middle ear","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "70134","26","A","X-ray exam of middle ear","", 0.34,"", 0.16, 0.02, 0.52,"XXX","N" "70140","","A","X-ray exam of facial bones","", 0.19,"", 0.68, 0.05, 0.92,"XXX","N" "70140","TC","A","X-ray exam of facial bones","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70140","26","A","X-ray exam of facial bones","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "70150","","A","X-ray exam of facial bones","", 0.26,"", 0.87, 0.07, 1.20,"XXX","N" "70150","TC","A","X-ray exam of facial bones","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "70150","26","A","X-ray exam of facial bones","", 0.26,"", 0.12, 0.02, 0.40,"XXX","N" "70160","","A","X-ray exam of nasal bones","", 0.17,"", 0.58, 0.04, 0.79,"XXX","N" "70160","TC","A","X-ray exam of nasal bones","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "70160","26","A","X-ray exam of nasal bones","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70170","","A","X-ray exam of tear duct","", 0.30,"", 1.04, 0.08, 1.42,"XXX","N" "70170","TC","A","X-ray exam of tear duct","", 0.00,"", 0.90, 0.06, 0.96,"XXX","N" "70170","26","A","X-ray exam of tear duct","", 0.30,"", 0.14, 0.02, 0.46,"XXX","N" "70190","","A","X-ray exam of eye sockets","", 0.21,"", 0.69, 0.05, 0.95,"XXX","N" "70190","TC","A","X-ray exam of eye sockets","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70190","26","A","X-ray exam of eye sockets","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "70200","","A","X-ray exam of eye sockets","", 0.28,"", 0.88, 0.07, 1.23,"XXX","N" "70200","TC","A","X-ray exam of eye sockets","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "70200","26","A","X-ray exam of eye sockets","", 0.28,"", 0.13, 0.02, 0.43,"XXX","N" "70210","","A","X-ray exam of sinuses","", 0.17,"", 0.67, 0.05, 0.89,"XXX","N" "70210","TC","A","X-ray exam of sinuses","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70210","26","A","X-ray exam of sinuses","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70220","","A","X-ray exam of sinuses","", 0.25,"", 0.87, 0.07, 1.19,"XXX","N" "70220","TC","A","X-ray exam of sinuses","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "70220","26","A","X-ray exam of sinuses","", 0.25,"", 0.12, 0.02, 0.39,"XXX","N" "70240","","A","X-ray exam pituitary saddle","", 0.19,"", 0.49, 0.04, 0.72,"XXX","N" "70240","TC","A","X-ray exam pituitary saddle","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "70240","26","A","X-ray exam pituitary saddle","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "70250","","A","X-ray exam of skull","", 0.24,"", 0.70, 0.06, 1.00,"XXX","N" "70250","TC","A","X-ray exam of skull","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "70250","26","A","X-ray exam of skull","", 0.24,"", 0.11, 0.02, 0.37,"XXX","N" "70260","","A","X-ray exam of skull","", 0.34,"", 1.01, 0.08, 1.43,"XXX","N" "70260","TC","A","X-ray exam of skull","", 0.00,"", 0.85, 0.06, 0.91,"XXX","N" "70260","26","A","X-ray exam of skull","", 0.34,"", 0.16, 0.02, 0.52,"XXX","N" "70300","","A","X-ray exam of teeth","", 0.10,"", 0.30, 0.03, 0.43,"XXX","N" "70300","TC","A","X-ray exam of teeth","", 0.00,"", 0.25, 0.02, 0.27,"XXX","N" "70300","26","A","X-ray exam of teeth","", 0.10,"", 0.05, 0.01, 0.16,"XXX","N" "70310","","A","X-ray exam of teeth","", 0.16,"", 0.47, 0.04, 0.67,"XXX","N" "70310","TC","A","X-ray exam of teeth","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "70310","26","A","X-ray exam of teeth","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "70320","","A","Full mouth x-ray of teeth","", 0.22,"", 0.85, 0.07, 1.14,"XXX","N" "70320","TC","A","Full mouth x-ray of teeth","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "70320","26","A","Full mouth x-ray of teeth","", 0.22,"", 0.10, 0.02, 0.34,"XXX","N" "70328","","A","X-ray exam of jaw joint","", 0.18,"", 0.56, 0.04, 0.78,"XXX","N" "70328","TC","A","X-ray exam of jaw joint","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "70328","26","A","X-ray exam of jaw joint","", 0.18,"", 0.09, 0.01, 0.28,"XXX","N" "70330","","A","X-ray exam of jaw joints","", 0.24,"", 0.91, 0.07, 1.22,"XXX","N" "70330","TC","A","X-ray exam of jaw joints","", 0.00,"", 0.80, 0.05, 0.85,"XXX","N" "70330","26","A","X-ray exam of jaw joints","", 0.24,"", 0.11, 0.02, 0.37,"XXX","N" "70332","","A","X-ray exam of jaw joint","", 0.54,"", 2.25, 0.17, 2.96,"XXX","N" "70332","TC","A","X-ray exam of jaw joint","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "70332","26","A","X-ray exam of jaw joint","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "70336","","A","Magnetic image jaw joint","", 0.95,"", 11.11, 0.73, 12.79,"XXX","N" "70336","TC","A","Magnetic image jaw joint","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "70336","26","A","Magnetic image jaw joint","", 0.95,"", 0.43, 0.06, 1.44,"XXX","N" "70350","","A","X-ray head for orthodontia","", 0.17,"", 0.44, 0.03, 0.64,"XXX","N" "70350","TC","A","X-ray head for orthodontia","", 0.00,"", 0.36, 0.02, 0.38,"XXX","N" "70350","26","A","X-ray head for orthodontia","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70355","","A","Panoramic x-ray of jaws","", 0.20,"", 0.63, 0.05, 0.88,"XXX","N" "70355","TC","A","Panoramic x-ray of jaws","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "70355","26","A","Panoramic x-ray of jaws","", 0.20,"", 0.09, 0.01, 0.30,"XXX","N" "70360","","A","X-ray exam of neck","", 0.17,"", 0.48, 0.04, 0.69,"XXX","N" "70360","TC","A","X-ray exam of neck","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "70360","26","A","X-ray exam of neck","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70370","","A","Throat x-ray & fluoroscopy","", 0.32,"", 1.39, 0.10, 1.81,"XXX","N" "70370","TC","A","Throat x-ray & fluoroscopy","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "70370","26","A","Throat x-ray & fluoroscopy","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "70371","","A","Speech evaluation, complex","", 0.84,"", 2.38, 0.19, 3.41,"XXX","N" "70371","TC","A","Speech evaluation, complex","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "70371","26","A","Speech evaluation, complex","", 0.84,"", 0.38, 0.06, 1.28,"XXX","N" "70373","","A","Contrast x-ray of larynx","", 0.44,"", 1.90, 0.14, 2.48,"XXX","N" "70373","TC","A","Contrast x-ray of larynx","", 0.00,"", 1.70, 0.11, 1.81,"XXX","N" "70373","26","A","Contrast x-ray of larynx","", 0.44,"", 0.20, 0.03, 0.67,"XXX","N" "70380","","A","X-ray exam of salivary gland","", 0.17,"", 0.72, 0.05, 0.94,"XXX","N" "70380","TC","A","X-ray exam of salivary gland","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "70380","26","A","X-ray exam of salivary gland","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "70390","","A","X-ray exam of salivary duct","", 0.38,"", 1.87, 0.14, 2.39,"XXX","N" "70390","TC","A","X-ray exam of salivary duct","", 0.00,"", 1.70, 0.11, 1.81,"XXX","N" "70390","26","A","X-ray exam of salivary duct","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "70450","","A","CAT scan of head or brain","", 0.85,"", 4.88, 0.35, 6.08,"XXX","N" "70450","TC","A","CAT scan of head or brain","", 0.00,"", 4.50, 0.29, 4.79,"XXX","N" "70450","26","A","CAT scan of head or brain","", 0.85,"", 0.38, 0.06, 1.29,"XXX","N" "70460","","A","Contrast CAT scan of head","", 1.13,"", 5.89, 0.43, 7.45,"XXX","N" "70460","TC","A","Contrast CAT scan of head","", 0.00,"", 5.39, 0.35, 5.74,"XXX","N" "70460","26","A","Contrast CAT scan of head","", 1.13,"", 0.50, 0.08, 1.71,"XXX","N" "70470","","A","Contrast CAT scans of head","", 1.27,"", 7.30, 0.52, 9.09,"XXX","N" "70470","TC","A","Contrast CAT scans of head","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "70470","26","A","Contrast CAT scans of head","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "70480","","A","CAT scan of skull","", 1.28,"", 5.07, 0.38, 6.73,"XXX","N" "70480","TC","A","CAT scan of skull","", 0.00,"", 4.50, 0.29, 4.79,"XXX","N" "70480","26","A","CAT scan of skull","", 1.28,"", 0.57, 0.09, 1.94,"XXX","N" "70481","","A","Contrast CAT scan of skull","", 1.38,"", 6.00, 0.44, 7.82,"XXX","N" "70481","TC","A","Contrast CAT scan of skull","", 0.00,"", 5.39, 0.35, 5.74,"XXX","N" "70481","26","A","Contrast CAT scan of skull","", 1.38,"", 0.61, 0.09, 2.08,"XXX","N" "70482","","A","Contrast CAT scans of skull","", 1.45,"", 7.38, 0.53, 9.36,"XXX","N" "70482","TC","A","Contrast CAT scans of skull","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "70482","26","A","Contrast CAT scans of skull","", 1.45,"", 0.64, 0.10, 2.19,"XXX","N" "70486","","A","CAT scan of face, jaw","", 1.14,"", 5.00, 0.37, 6.51,"XXX","N" "70486","TC","A","CAT scan of face, jaw","", 0.00,"", 4.50, 0.29, 4.79,"XXX","N" "70486","26","A","CAT scan of face, jaw","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "70487","","A","Contrast CAT scan, face/jaw","", 1.30,"", 5.96, 0.44, 7.70,"XXX","N" "70487","TC","A","Contrast CAT scan, face/jaw","", 0.00,"", 5.39, 0.35, 5.74,"XXX","N" "70487","26","A","Contrast CAT scan, face/jaw","", 1.30,"", 0.57, 0.09, 1.96,"XXX","N" "70488","","A","Contrast CAT scans face/jaw","", 1.42,"", 7.37, 0.53, 9.32,"XXX","N" "70488","TC","A","Contrast CAT scans face/jaw","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "70488","26","A","Contrast CAT scans face/jaw","", 1.42,"", 0.63, 0.10, 2.15,"XXX","N" "70490","","A","CAT scan of neck tissue","", 1.28,"", 5.07, 0.38, 6.73,"XXX","N" "70490","TC","A","CAT scan of neck tissue","", 0.00,"", 4.50, 0.29, 4.79,"XXX","N" "70490","26","A","CAT scan of neck tissue","", 1.28,"", 0.57, 0.09, 1.94,"XXX","N" "70491","","A","Contrast CAT of neck tissue","", 1.38,"", 6.00, 0.44, 7.82,"XXX","N" "70491","TC","A","Contrast CAT of neck tissue","", 0.00,"", 5.39, 0.35, 5.74,"XXX","N" "70491","26","A","Contrast CAT of neck tissue","", 1.38,"", 0.61, 0.09, 2.08,"XXX","N" "70492","","A","Contrast CAT of neck tissue","", 1.45,"", 7.38, 0.53, 9.36,"XXX","N" "70492","TC","A","Contrast CAT of neck tissue","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "70492","26","A","Contrast CAT of neck tissue","", 1.45,"", 0.64, 0.10, 2.19,"XXX","N" "70540","","A","Magnetic image, face, neck","", 1.48,"", 11.34, 0.77, 13.59,"XXX","N" "70540","TC","A","Magnetic image, face, neck","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "70540","26","A","Magnetic image, face, neck","", 1.48,"", 0.66, 0.10, 2.24,"XXX","N" "70541","","R","Magnetic image, head (MRA)","", 1.81,"", 11.34, 0.77, 13.92,"XXX","N" "70541","TC","R","Magnetic image, head (MRA)","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "70541","26","R","Magnetic image, head (MRA)","", 1.81,"", 0.66, 0.10, 2.57,"XXX","N" "70551","","A","Magnetic image, brain (MRI)","", 1.48,"", 11.34, 0.77, 13.59,"XXX","N" "70551","TC","A","Magnetic image, brain (MRI)","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "70551","26","A","Magnetic image, brain (MRI)","", 1.48,"", 0.66, 0.10, 2.24,"XXX","N" "70552","","A","Magnetic image, brain (MRI)","", 1.78,"", 13.61, 0.93, 16.32,"XXX","N" "70552","TC","A","Magnetic image, brain (MRI)","", 0.00,"", 12.81, 0.81, 13.62,"XXX","N" "70552","26","A","Magnetic image, brain (MRI)","", 1.78,"", 0.80, 0.12, 2.70,"XXX","N" "70553","","A","Magnetic image, brain","", 2.36,"", 24.79, 1.65, 28.80,"XXX","N" "70553","TC","A","Magnetic image, brain","", 0.00,"", 23.72, 1.49, 25.21,"XXX","N" "70553","26","A","Magnetic image, brain","", 2.36,"", 1.07, 0.16, 3.59,"XXX","N" "71010","","A","Chest x-ray","", 0.18,"", 0.53, 0.04, 0.75,"XXX","N" "71010","TC","A","Chest x-ray","", 0.00,"", 0.45, 0.03, 0.48,"XXX","N" "71010","26","A","Chest x-ray","", 0.18,"", 0.08, 0.01, 0.27,"XXX","N" "71015","","A","X-ray exam of chest","", 0.21,"", 0.60, 0.04, 0.85,"XXX","N" "71015","TC","A","X-ray exam of chest","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "71015","26","A","X-ray exam of chest","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "71020","","A","Chest x-ray","", 0.22,"", 0.69, 0.05, 0.96,"XXX","N" "71020","TC","A","Chest x-ray","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "71020","26","A","Chest x-ray","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "71021","","A","Chest x-ray","", 0.27,"", 0.82, 0.07, 1.16,"XXX","N" "71021","TC","A","Chest x-ray","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "71021","26","A","Chest x-ray","", 0.27,"", 0.12, 0.02, 0.41,"XXX","N" "71022","","A","Chest x-ray","", 0.31,"", 0.84, 0.07, 1.22,"XXX","N" "71022","TC","A","Chest x-ray","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "71022","26","A","Chest x-ray","", 0.31,"", 0.14, 0.02, 0.47,"XXX","N" "71023","","A","Chest x-ray and fluoroscopy","", 0.38,"", 0.92, 0.08, 1.38,"XXX","N" "71023","TC","A","Chest x-ray and fluoroscopy","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "71023","26","A","Chest x-ray and fluoroscopy","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "71030","","A","Chest x-ray","", 0.31,"", 0.89, 0.07, 1.27,"XXX","N" "71030","TC","A","Chest x-ray","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "71030","26","A","Chest x-ray","", 0.31,"", 0.14, 0.02, 0.47,"XXX","N" "71034","","A","Chest x-ray & fluoroscopy","", 0.46,"", 1.58, 0.12, 2.16,"XXX","N" "71034","TC","A","Chest x-ray & fluoroscopy","", 0.00,"", 1.37, 0.09, 1.46,"XXX","N" "71034","26","A","Chest x-ray & fluoroscopy","", 0.46,"", 0.21, 0.03, 0.70,"XXX","N" "71035","","A","Chest x-ray","", 0.18,"", 0.58, 0.04, 0.80,"XXX","N" "71035","TC","A","Chest x-ray","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "71035","26","A","Chest x-ray","", 0.18,"", 0.08, 0.01, 0.27,"XXX","N" "71036","","A","X-ray guidance for biopsy","", 0.54,"", 1.75, 0.14, 2.43,"XXX","N" "71036","TC","A","X-ray guidance for biopsy","", 0.00,"", 1.50, 0.10, 1.60,"XXX","N" "71036","26","A","X-ray guidance for biopsy","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "71038","","A","X-ray guidance for biopsy","", 0.54,"", 1.85, 0.15, 2.54,"XXX","N" "71038","TC","A","X-ray guidance for biopsy","", 0.00,"", 1.60, 0.11, 1.71,"XXX","N" "71038","26","A","X-ray guidance for biopsy","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "71040","","A","Contrast x-ray of bronchi","", 0.58,"", 1.66, 0.13, 2.37,"XXX","N" "71040","TC","A","Contrast x-ray of bronchi","", 0.00,"", 1.39, 0.09, 1.48,"XXX","N" "71040","26","A","Contrast x-ray of bronchi","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "71060","","A","Contrast x-ray of bronchi","", 0.74,"", 2.44, 0.19, 3.37,"XXX","N" "71060","TC","A","Contrast x-ray of bronchi","", 0.00,"", 2.10, 0.14, 2.24,"XXX","N" "71060","26","A","Contrast x-ray of bronchi","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "71090","","A","X-ray & pacemaker insertion","", 0.54,"", 1.85, 0.15, 2.54,"XXX","N" "71090","TC","A","X-ray & pacemaker insertion","", 0.00,"", 1.60, 0.11, 1.71,"XXX","N" "71090","26","A","X-ray & pacemaker insertion","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "71100","","A","X-ray exam of ribs","", 0.22,"", 0.64, 0.06, 0.92,"XXX","N" "71100","TC","A","X-ray exam of ribs","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "71100","26","A","X-ray exam of ribs","", 0.22,"", 0.10, 0.02, 0.34,"XXX","N" "71101","","A","X-ray exam of ribs, chest","", 0.27,"", 0.77, 0.06, 1.10,"XXX","N" "71101","TC","A","X-ray exam of ribs, chest","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "71101","26","A","X-ray exam of ribs, chest","", 0.27,"", 0.13, 0.02, 0.42,"XXX","N" "71110","","A","X-ray exam of ribs","", 0.27,"", 0.88, 0.07, 1.22,"XXX","N" "71110","TC","A","X-ray exam of ribs","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "71110","26","A","X-ray exam of ribs","", 0.27,"", 0.13, 0.02, 0.42,"XXX","N" "71111","","A","X-ray exam of ribs, chest","", 0.32,"", 1.00, 0.08, 1.40,"XXX","N" "71111","TC","A","X-ray exam of ribs, chest","", 0.00,"", 0.85, 0.06, 0.91,"XXX","N" "71111","26","A","X-ray exam of ribs, chest","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "71120","","A","X-ray exam of breastbone","", 0.20,"", 0.71, 0.05, 0.96,"XXX","N" "71120","TC","A","X-ray exam of breastbone","", 0.00,"", 0.62, 0.04, 0.66,"XXX","N" "71120","26","A","X-ray exam of breastbone","", 0.20,"", 0.09, 0.01, 0.30,"XXX","N" "71130","","A","X-ray exam of breastbone","", 0.22,"", 0.77, 0.05, 1.04,"XXX","N" "71130","TC","A","X-ray exam of breastbone","", 0.00,"", 0.67, 0.04, 0.71,"XXX","N" "71130","26","A","X-ray exam of breastbone","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "71250","","A","Cat scan of chest","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "71250","TC","A","Cat scan of chest","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "71250","26","A","Cat scan of chest","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "71260","","A","Contrast CAT scan of chest","", 1.24,"", 7.29, 0.51, 9.04,"XXX","N" "71260","TC","A","Contrast CAT scan of chest","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "71260","26","A","Contrast CAT scan of chest","", 1.24,"", 0.55, 0.08, 1.87,"XXX","N" "71270","","A","Contrast CAT scans of chest","", 1.38,"", 9.04, 0.61, 11.03,"XXX","N" "71270","TC","A","Contrast CAT scans of chest","", 0.00,"", 8.43, 0.52, 8.95,"XXX","N" "71270","26","A","Contrast CAT scans of chest","", 1.38,"", 0.61, 0.09, 2.08,"XXX","N" "71550","","A","Magnetic image, chest","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "71550","TC","A","Magnetic image, chest","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "71550","26","A","Magnetic image, chest","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "71555","","N","Magnetic imaging/chest (MRA)","#", 1.81,"", 11.40, 0.78, 13.99,"XXX","0" "71555","TC","N","Magnetic imaging/chest (MRA)","#", 0.00,"", 10.68, 0.67, 11.35,"XXX","0" "71555","26","N","Magnetic imaging/chest (MRA)","#", 1.81,"", 0.72, 0.11, 2.64,"XXX","0" "72010","","A","X-ray exam of spine","", 0.45,"", 1.18, 0.09, 1.72,"XXX","N" "72010","TC","A","X-ray exam of spine","", 0.00,"", 0.98, 0.06, 1.04,"XXX","N" "72010","26","A","X-ray exam of spine","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "72020","","A","X-ray exam of spine","", 0.15,"", 0.47, 0.04, 0.66,"XXX","N" "72020","TC","A","X-ray exam of spine","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "72020","26","A","X-ray exam of spine","", 0.15,"", 0.07, 0.01, 0.23,"XXX","N" "72040","","A","X-ray exam of neck spine","", 0.22,"", 0.67, 0.05, 0.94,"XXX","N" "72040","TC","A","X-ray exam of neck spine","", 0.00,"", 0.57, 0.04, 0.61,"XXX","N" "72040","26","A","X-ray exam of neck spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72050","","A","X-ray exam of neck spine","", 0.31,"", 0.99, 0.08, 1.38,"XXX","N" "72050","TC","A","X-ray exam of neck spine","", 0.00,"", 0.85, 0.06, 0.91,"XXX","N" "72050","26","A","X-ray exam of neck spine","", 0.31,"", 0.14, 0.02, 0.47,"XXX","N" "72052","","A","X-ray exam of neck spine","", 0.36,"", 1.25, 0.09, 1.70,"XXX","N" "72052","TC","A","X-ray exam of neck spine","", 0.00,"", 1.08, 0.07, 1.15,"XXX","N" "72052","26","A","X-ray exam of neck spine","", 0.36,"", 0.17, 0.02, 0.55,"XXX","N" "72069","","A","X-ray exam of trunk spine","", 0.22,"", 0.57, 0.04, 0.83,"XXX","N" "72069","TC","A","X-ray exam of trunk spine","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "72069","26","A","X-ray exam of trunk spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72070","","A","X-ray exam of thorax spine","", 0.22,"", 0.72, 0.05, 0.99,"XXX","N" "72070","TC","A","X-ray exam of thorax spine","", 0.00,"", 0.62, 0.04, 0.66,"XXX","N" "72070","26","A","X-ray exam of thorax spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72072","","A","X-ray exam of thoracic spine","", 0.22,"", 0.80, 0.06, 1.08,"XXX","N" "72072","TC","A","X-ray exam of thoracic spine","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "72072","26","A","X-ray exam of thoracic spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72074","","A","X-ray exam of thoracic spine","", 0.22,"", 0.97, 0.07, 1.26,"XXX","N" "72074","TC","A","X-ray exam of thoracic spine","", 0.00,"", 0.87, 0.06, 0.93,"XXX","N" "72074","26","A","X-ray exam of thoracic spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72080","","A","X-ray exam of trunk spine","", 0.22,"", 0.74, 0.05, 1.01,"XXX","N" "72080","TC","A","X-ray exam of trunk spine","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "72080","26","A","X-ray exam of trunk spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72090","","A","X-ray exam of trunk spine","", 0.28,"", 0.77, 0.06, 1.11,"XXX","N" "72090","TC","A","X-ray exam of trunk spine","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "72090","26","A","X-ray exam of trunk spine","", 0.28,"", 0.13, 0.02, 0.43,"XXX","N" "72100","","A","X-ray exam of lower spine","", 0.22,"", 0.74, 0.05, 1.01,"XXX","N" "72100","TC","A","X-ray exam of lower spine","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "72100","26","A","X-ray exam of lower spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72110","","A","X-ray exam of lower spine","", 0.31,"", 1.01, 0.08, 1.40,"XXX","N" "72110","TC","A","X-ray exam of lower spine","", 0.00,"", 0.87, 0.06, 0.93,"XXX","N" "72110","26","A","X-ray exam of lower spine","", 0.31,"", 0.14, 0.02, 0.47,"XXX","N" "72114","","A","X-ray exam of lower spine","", 0.36,"", 1.30, 0.09, 1.75,"XXX","N" "72114","TC","A","X-ray exam of lower spine","", 0.00,"", 1.13, 0.07, 1.20,"XXX","N" "72114","26","A","X-ray exam of lower spine","", 0.36,"", 0.17, 0.02, 0.55,"XXX","N" "72120","","A","X-ray exam of lower spine","", 0.22,"", 0.95, 0.07, 1.24,"XXX","N" "72120","TC","A","X-ray exam of lower spine","", 0.00,"", 0.85, 0.06, 0.91,"XXX","N" "72120","26","A","X-ray exam of lower spine","", 0.22,"", 0.10, 0.01, 0.33,"XXX","N" "72125","","A","CAT scan of neck spine","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "72125","TC","A","CAT scan of neck spine","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "72125","26","A","CAT scan of neck spine","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "72126","","A","Contrast CAT scan of neck","", 1.22,"", 7.27, 0.51, 9.00,"XXX","N" "72126","TC","A","Contrast CAT scan of neck","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "72126","26","A","Contrast CAT scan of neck","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "72127","","A","Contrast CAT scans of neck","", 1.27,"", 8.99, 0.61, 10.87,"XXX","N" "72127","TC","A","Contrast CAT scans of neck","", 0.00,"", 8.43, 0.52, 8.95,"XXX","N" "72127","26","A","Contrast CAT scans of neck","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "72128","","A","CAT scan of thorax spine","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "72128","TC","A","CAT scan of thorax spine","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "72128","26","A","CAT scan of thorax spine","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "72129","","A","Contrast CAT scan of thorax","", 1.22,"", 7.27, 0.51, 9.00,"XXX","N" "72129","TC","A","Contrast CAT scan of thorax","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "72129","26","A","Contrast CAT scan of thorax","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "72130","","A","Contrast CAT scans of thorax","", 1.27,"", 8.99, 0.61, 10.87,"XXX","N" "72130","TC","A","Contrast CAT scans of thorax","", 0.00,"", 8.43, 0.52, 8.95,"XXX","N" "72130","26","A","Contrast CAT scans of thorax","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "72131","","A","CAT scan of lower spine","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "72131","TC","A","CAT scan of lower spine","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "72131","26","A","CAT scan of lower spine","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "72132","","A","Contrast CAT of lower spine","", 1.22,"", 7.27, 0.51, 9.00,"XXX","N" "72132","TC","A","Contrast CAT of lower spine","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "72132","26","A","Contrast CAT of lower spine","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "72133","","A","Contrast CAT scans,low spine","", 1.27,"", 8.99, 0.61, 10.87,"XXX","N" "72133","TC","A","Contrast CAT scans,low spine","", 0.00,"", 8.43, 0.52, 8.95,"XXX","N" "72133","26","A","Contrast CAT scans,low spine","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "72141","","A","Magnetic image, neck spine","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "72141","TC","A","Magnetic image, neck spine","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "72141","26","A","Magnetic image, neck spine","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "72142","","A","Magnetic image, neck spine","", 1.92,"", 13.67, 0.94, 16.53,"XXX","N" "72142","TC","A","Magnetic image, neck spine","", 0.00,"", 12.81, 0.81, 13.62,"XXX","N" "72142","26","A","Magnetic image, neck spine","", 1.92,"", 0.86, 0.13, 2.91,"XXX","N" "72146","","A","Magnetic image, chest spine","", 1.60,"", 12.58, 0.85, 15.03,"XXX","N" "72146","TC","A","Magnetic image, chest spine","", 0.00,"", 11.86, 0.74, 12.60,"XXX","N" "72146","26","A","Magnetic image, chest spine","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "72147","","A","Magnetic image, chest spine","", 1.92,"", 13.67, 0.94, 16.53,"XXX","N" "72147","TC","A","Magnetic image, chest spine","", 0.00,"", 12.81, 0.81, 13.62,"XXX","N" "72147","26","A","Magnetic image, chest spine","", 1.92,"", 0.86, 0.13, 2.91,"XXX","N" "72148","","A","Magnetic image, lumbar spine","", 1.48,"", 12.52, 0.84, 14.84,"XXX","N" "72148","TC","A","Magnetic image, lumbar spine","", 0.00,"", 11.86, 0.74, 12.60,"XXX","N" "72148","26","A","Magnetic image, lumbar spine","", 1.48,"", 0.66, 0.10, 2.24,"XXX","N" "72149","","A","Magnetic image, lumbar spine","", 1.78,"", 13.61, 0.93, 16.32,"XXX","N" "72149","TC","A","Magnetic image, lumbar spine","", 0.00,"", 12.81, 0.81, 13.62,"XXX","N" "72149","26","A","Magnetic image, lumbar spine","", 1.78,"", 0.80, 0.12, 2.70,"XXX","N" "72156","","A","Magnetic image, neck spine","", 2.57,"", 24.87, 1.66, 29.10,"XXX","N" "72156","TC","A","Magnetic image, neck spine","", 0.00,"", 23.72, 1.49, 25.21,"XXX","N" "72156","26","A","Magnetic image, neck spine","", 2.57,"", 1.15, 0.17, 3.89,"XXX","N" "72157","","A","Magnetic image, chest spine","", 2.57,"", 24.87, 1.66, 29.10,"XXX","N" "72157","TC","A","Magnetic image, chest spine","", 0.00,"", 23.72, 1.49, 25.21,"XXX","N" "72157","26","A","Magnetic image, chest spine","", 2.57,"", 1.15, 0.17, 3.89,"XXX","N" "72158","","A","Magnetic image, lumbar spine","", 2.36,"", 24.79, 1.65, 28.80,"XXX","N" "72158","TC","A","Magnetic image, lumbar spine","", 0.00,"", 23.72, 1.49, 25.21,"XXX","N" "72158","26","A","Magnetic image, lumbar spine","", 2.36,"", 1.07, 0.16, 3.59,"XXX","N" "72159","","N","Magnetic imaging/spine (MRA)","#", 1.80,"", 12.52, 0.84, 15.16,"XXX","0" "72159","TC","N","Magnetic imaging/spine (MRA)","#", 0.00,"", 11.86, 0.74, 12.60,"XXX","0" "72159","26","N","Magnetic imaging/spine (MRA)","#", 1.80,"", 0.66, 0.10, 2.56,"XXX","0" "72170","","A","X-ray exam of pelvis","", 0.17,"", 0.57, 0.04, 0.78,"XXX","N" "72170","TC","A","X-ray exam of pelvis","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "72170","26","A","X-ray exam of pelvis","", 0.17,"", 0.07, 0.01, 0.25,"XXX","N" "72190","","A","X-ray exam of pelvis","", 0.21,"", 0.74, 0.05, 1.00,"XXX","N" "72190","TC","A","X-ray exam of pelvis","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "72190","26","A","X-ray exam of pelvis","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "72192","","A","CAT scan of pelvis","", 1.09,"", 6.11, 0.43, 7.63,"XXX","N" "72192","TC","A","CAT scan of pelvis","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "72192","26","A","CAT scan of pelvis","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "72193","","A","Contrast CAT scan of pelvis","", 1.16,"", 7.03, 0.49, 8.68,"XXX","N" "72193","TC","A","Contrast CAT scan of pelvis","", 0.00,"", 6.52, 0.41, 6.93,"XXX","N" "72193","26","A","Contrast CAT scan of pelvis","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "72194","","A","Contrast CAT scans of pelvis","", 1.22,"", 8.62, 0.58, 10.42,"XXX","N" "72194","TC","A","Contrast CAT scans of pelvis","", 0.00,"", 8.09, 0.50, 8.59,"XXX","N" "72194","26","A","Contrast CAT scans of pelvis","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "72196","","A","Magnetic image, pelvis","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "72196","TC","A","Magnetic image, pelvis","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "72196","26","A","Magnetic image, pelvis","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "72198","","N","Magnetic imaging/pelvis(MRA)","#", 1.80,"", 11.40, 0.78, 13.98,"XXX","0" "72198","TC","N","Magnetic imaging/pelvis(MRA)","#", 0.00,"", 10.68, 0.67, 11.35,"XXX","0" "72198","26","N","Magnetic imaging/pelvis(MRA)","#", 1.80,"", 0.72, 0.11, 2.63,"XXX","0" "72200","","A","X-ray exam sacroiliac joints","", 0.17,"", 0.58, 0.04, 0.79,"XXX","N" "72200","TC","A","X-ray exam sacroiliac joints","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "72200","26","A","X-ray exam sacroiliac joints","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "72202","","A","X-ray exam sacroiliac joints","", 0.19,"", 0.68, 0.05, 0.92,"XXX","N" "72202","TC","A","X-ray exam sacroiliac joints","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "72202","26","A","X-ray exam sacroiliac joints","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "72220","","A","X-ray exam of tailbone","", 0.17,"", 0.62, 0.05, 0.84,"XXX","N" "72220","TC","A","X-ray exam of tailbone","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "72220","26","A","X-ray exam of tailbone","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "72240","","A","Contrast x-ray of neck spine","", 0.91,"", 4.93, 0.35, 6.19,"XXX","N" "72240","TC","A","Contrast x-ray of neck spine","", 0.00,"", 4.52, 0.29, 4.81,"XXX","N" "72240","26","A","Contrast x-ray of neck spine","", 0.91,"", 0.41, 0.06, 1.38,"XXX","N" "72255","","A","Contrast x-ray thorax spine","", 0.91,"", 4.54, 0.32, 5.77,"XXX","N" "72255","TC","A","Contrast x-ray thorax spine","", 0.00,"", 4.13, 0.26, 4.39,"XXX","N" "72255","26","A","Contrast x-ray thorax spine","", 0.91,"", 0.41, 0.06, 1.38,"XXX","N" "72265","","A","Contrast x-ray lower spine","", 0.83,"", 4.26, 0.31, 5.40,"XXX","N" "72265","TC","A","Contrast x-ray lower spine","", 0.00,"", 3.88, 0.25, 4.13,"XXX","N" "72265","26","A","Contrast x-ray lower spine","", 0.83,"", 0.38, 0.06, 1.27,"XXX","N" "72270","","A","Contrast x-ray of spine","", 1.33,"", 6.40, 0.46, 8.19,"XXX","N" "72270","TC","A","Contrast x-ray of spine","", 0.00,"", 5.81, 0.37, 6.18,"XXX","N" "72270","26","A","Contrast x-ray of spine","", 1.33,"", 0.59, 0.09, 2.01,"XXX","N" "72285","","A","X-ray of neck spine disk","", 0.83,"", 8.37, 0.56, 9.76,"XXX","N" "72285","TC","A","X-ray of neck spine disk","", 0.00,"", 7.99, 0.50, 8.49,"XXX","N" "72285","26","A","X-ray of neck spine disk","", 0.83,"", 0.38, 0.06, 1.27,"XXX","N" "72295","","A","X-ray of lower spine disk","", 0.83,"", 7.87, 0.52, 9.22,"XXX","N" "72295","TC","A","X-ray of lower spine disk","", 0.00,"", 7.49, 0.46, 7.95,"XXX","N" "72295","26","A","X-ray of lower spine disk","", 0.83,"", 0.38, 0.06, 1.27,"XXX","N" "73000","","A","X-ray exam of collarbone","", 0.16,"", 0.57, 0.04, 0.77,"XXX","N" "73000","TC","A","X-ray exam of collarbone","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73000","26","A","X-ray exam of collarbone","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73010","","A","X-ray exam of shoulder blade","", 0.17,"", 0.58, 0.04, 0.79,"XXX","N" "73010","TC","A","X-ray exam of shoulder blade","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73010","26","A","X-ray exam of shoulder blade","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73020","","A","X-ray exam of shoulder","", 0.15,"", 0.52, 0.04, 0.71,"XXX","N" "73020","TC","A","X-ray exam of shoulder","", 0.00,"", 0.45, 0.03, 0.48,"XXX","N" "73020","26","A","X-ray exam of shoulder","", 0.15,"", 0.07, 0.01, 0.23,"XXX","N" "73030","","A","X-ray exam of shoulder","", 0.18,"", 0.62, 0.05, 0.85,"XXX","N" "73030","TC","A","X-ray exam of shoulder","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73030","26","A","X-ray exam of shoulder","", 0.18,"", 0.08, 0.01, 0.27,"XXX","N" "73040","","A","Contrast x-ray of shoulder","", 0.54,"", 2.25, 0.17, 2.96,"XXX","N" "73040","TC","A","Contrast x-ray of shoulder","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "73040","26","A","Contrast x-ray of shoulder","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73050","","A","X-ray exam of shoulders","", 0.20,"", 0.73, 0.05, 0.98,"XXX","N" "73050","TC","A","X-ray exam of shoulders","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "73050","26","A","X-ray exam of shoulders","", 0.20,"", 0.09, 0.01, 0.30,"XXX","N" "73060","","A","X-ray exam of humerus","", 0.17,"", 0.62, 0.05, 0.84,"XXX","N" "73060","TC","A","X-ray exam of humerus","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73060","26","A","X-ray exam of humerus","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73070","","A","X-ray exam of elbow","", 0.15,"", 0.57, 0.04, 0.76,"XXX","N" "73070","TC","A","X-ray exam of elbow","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73070","26","A","X-ray exam of elbow","", 0.15,"", 0.07, 0.01, 0.23,"XXX","N" "73080","","A","X-ray exam of elbow","", 0.17,"", 0.62, 0.05, 0.84,"XXX","N" "73080","TC","A","X-ray exam of elbow","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73080","26","A","X-ray exam of elbow","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73085","","A","Contrast x-ray of elbow","", 0.54,"", 2.25, 0.17, 2.96,"XXX","N" "73085","TC","A","Contrast x-ray of elbow","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "73085","26","A","Contrast x-ray of elbow","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73090","","A","X-ray exam of forearm","", 0.16,"", 0.57, 0.04, 0.77,"XXX","N" "73090","TC","A","X-ray exam of forearm","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73090","26","A","X-ray exam of forearm","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73092","","A","X-ray exam of arm, infant","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73092","TC","A","X-ray exam of arm, infant","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73092","26","A","X-ray exam of arm, infant","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73100","","A","X-ray exam of wrist","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73100","TC","A","X-ray exam of wrist","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73100","26","A","X-ray exam of wrist","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73110","","A","X-ray exam of wrist","", 0.17,"", 0.59, 0.04, 0.80,"XXX","N" "73110","TC","A","X-ray exam of wrist","", 0.00,"", 0.51, 0.03, 0.54,"XXX","N" "73110","26","A","X-ray exam of wrist","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73115","","A","Contrast x-ray of wrist","", 0.54,"", 1.75, 0.14, 2.43,"XXX","N" "73115","TC","A","Contrast x-ray of wrist","", 0.00,"", 1.50, 0.10, 1.60,"XXX","N" "73115","26","A","Contrast x-ray of wrist","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73120","","A","X-ray exam of hand","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73120","TC","A","X-ray exam of hand","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73120","26","A","X-ray exam of hand","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73130","","A","X-ray exam of hand","", 0.17,"", 0.59, 0.04, 0.80,"XXX","N" "73130","TC","A","X-ray exam of hand","", 0.00,"", 0.51, 0.03, 0.54,"XXX","N" "73130","26","A","X-ray exam of hand","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73140","","A","X-ray exam of finger(s)","", 0.13,"", 0.46, 0.04, 0.63,"XXX","N" "73140","TC","A","X-ray exam of finger(s)","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "73140","26","A","X-ray exam of finger(s)","", 0.13,"", 0.06, 0.01, 0.20,"XXX","N" "73200","","A","CAT scan of arm","", 1.09,"", 5.21, 0.37, 6.67,"XXX","N" "73200","TC","A","CAT scan of arm","", 0.00,"", 4.73, 0.30, 5.03,"XXX","N" "73200","26","A","CAT scan of arm","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "73201","","A","Contrast CAT scan of arm","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "73201","TC","A","Contrast CAT scan of arm","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "73201","26","A","Contrast CAT scan of arm","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "73202","","A","Contrast CAT scans of arm","", 1.22,"", 7.61, 0.53, 9.36,"XXX","N" "73202","TC","A","Contrast CAT scans of arm","", 0.00,"", 7.08, 0.45, 7.53,"XXX","N" "73202","26","A","Contrast CAT scans of arm","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "73220","","A","Magnetic image, arm, hand","", 1.48,"", 11.34, 0.77, 13.59,"XXX","N" "73220","TC","A","Magnetic image, arm, hand","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "73220","26","A","Magnetic image, arm, hand","", 1.48,"", 0.66, 0.10, 2.24,"XXX","N" "73221","","A","Magnetic image, joint of arm","", 0.95,"", 11.11, 0.73, 12.79,"XXX","N" "73221","TC","A","Magnetic image, joint of arm","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "73221","26","A","Magnetic image, joint of arm","", 0.95,"", 0.43, 0.06, 1.44,"XXX","N" "73225","","N","Magnetic imaging/upper (MRA)","#", 1.73,"", 11.34, 0.77, 13.84,"XXX","0" "73225","TC","N","Magnetic imaging/upper (MRA)","#", 0.00,"", 10.68, 0.67, 11.35,"XXX","0" "73225","26","N","Magnetic imaging/upper (MRA)","#", 1.73,"", 0.66, 0.10, 2.49,"XXX","0" "73500","","A","X-ray exam of hip","", 0.17,"", 0.53, 0.04, 0.74,"XXX","N" "73500","TC","A","X-ray exam of hip","", 0.00,"", 0.45, 0.03, 0.48,"XXX","N" "73500","26","A","X-ray exam of hip","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73510","","A","X-ray exam of hip","", 0.21,"", 0.64, 0.05, 0.90,"XXX","N" "73510","TC","A","X-ray exam of hip","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73510","26","A","X-ray exam of hip","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "73520","","A","X-ray exam of hips","", 0.26,"", 0.76, 0.06, 1.08,"XXX","N" "73520","TC","A","X-ray exam of hips","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "73520","26","A","X-ray exam of hips","", 0.26,"", 0.12, 0.02, 0.40,"XXX","N" "73525","","A","Contrast x-ray of hip","", 0.54,"", 2.25, 0.17, 2.96,"XXX","N" "73525","TC","A","Contrast x-ray of hip","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "73525","26","A","Contrast x-ray of hip","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73530","","A","X-ray exam of hip","", 0.29,"", 0.63, 0.05, 0.97,"XXX","N" "73530","TC","A","X-ray exam of hip","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73530","26","A","X-ray exam of hip","", 0.29,"", 0.13, 0.02, 0.44,"XXX","N" "73540","","A","X-ray exam of pelvis & hips","", 0.20,"", 0.64, 0.05, 0.89,"XXX","N" "73540","TC","A","X-ray exam of pelvis & hips","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73540","26","A","X-ray exam of pelvis & hips","", 0.20,"", 0.10, 0.01, 0.31,"XXX","N" "73550","","A","X-ray exam of thigh","", 0.17,"", 0.62, 0.05, 0.84,"XXX","N" "73550","TC","A","X-ray exam of thigh","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73550","26","A","X-ray exam of thigh","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73560","","A","X-ray exam of knee","", 0.17,"", 0.57, 0.04, 0.78,"XXX","N" "73560","TC","A","X-ray exam of knee","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73560","26","A","X-ray exam of knee","", 0.17,"", 0.07, 0.01, 0.25,"XXX","N" "73562","","A","X-ray exam of knee","", 0.18,"", 0.63, 0.05, 0.86,"XXX","N" "73562","TC","A","X-ray exam of knee","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "73562","26","A","X-ray exam of knee","", 0.18,"", 0.09, 0.01, 0.28,"XXX","N" "73564","","A","X-ray exam of knee","", 0.22,"", 0.69, 0.06, 0.97,"XXX","N" "73564","TC","A","X-ray exam of knee","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "73564","26","A","X-ray exam of knee","", 0.22,"", 0.10, 0.02, 0.34,"XXX","N" "73565","","A","X-ray exam of knee","", 0.17,"", 0.54, 0.04, 0.75,"XXX","N" "73565","TC","A","X-ray exam of knee","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73565","26","A","X-ray exam of knee","", 0.17,"", 0.07, 0.01, 0.25,"XXX","N" "73580","","A","Contrast x-ray of knee joint","", 0.54,"", 2.75, 0.21, 3.50,"XXX","N" "73580","TC","A","Contrast x-ray of knee joint","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "73580","26","A","Contrast x-ray of knee joint","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73590","","A","X-ray exam of lower leg","", 0.17,"", 0.57, 0.04, 0.78,"XXX","N" "73590","TC","A","X-ray exam of lower leg","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "73590","26","A","X-ray exam of lower leg","", 0.17,"", 0.07, 0.01, 0.25,"XXX","N" "73592","","A","X-ray exam of leg, infant","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73592","TC","A","X-ray exam of leg, infant","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73592","26","A","X-ray exam of leg, infant","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73600","","A","X-ray exam of ankle","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73600","TC","A","X-ray exam of ankle","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73600","26","A","X-ray exam of ankle","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73610","","A","X-ray exam of ankle","", 0.17,"", 0.59, 0.04, 0.80,"XXX","N" "73610","TC","A","X-ray exam of ankle","", 0.00,"", 0.51, 0.03, 0.54,"XXX","N" "73610","26","A","X-ray exam of ankle","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73615","","A","Contrast x-ray of ankle","", 0.54,"", 2.25, 0.17, 2.96,"XXX","N" "73615","TC","A","Contrast x-ray of ankle","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "73615","26","A","Contrast x-ray of ankle","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "73620","","A","X-ray exam of foot","", 0.16,"", 0.54, 0.04, 0.74,"XXX","N" "73620","TC","A","X-ray exam of foot","", 0.00,"", 0.47, 0.03, 0.50,"XXX","N" "73620","26","A","X-ray exam of foot","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73630","","A","X-ray exam of foot","", 0.17,"", 0.59, 0.04, 0.80,"XXX","N" "73630","TC","A","X-ray exam of foot","", 0.00,"", 0.51, 0.03, 0.54,"XXX","N" "73630","26","A","X-ray exam of foot","", 0.17,"", 0.08, 0.01, 0.26,"XXX","N" "73650","","A","X-ray exam of heel","", 0.16,"", 0.52, 0.04, 0.72,"XXX","N" "73650","TC","A","X-ray exam of heel","", 0.00,"", 0.45, 0.03, 0.48,"XXX","N" "73650","26","A","X-ray exam of heel","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "73660","","A","X-ray exam of toe(s)","", 0.13,"", 0.46, 0.04, 0.63,"XXX","N" "73660","TC","A","X-ray exam of toe(s)","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "73660","26","A","X-ray exam of toe(s)","", 0.13,"", 0.06, 0.01, 0.20,"XXX","N" "73700","","A","CAT scan of leg","", 1.09,"", 5.21, 0.37, 6.67,"XXX","N" "73700","TC","A","CAT scan of leg","", 0.00,"", 4.73, 0.30, 5.03,"XXX","N" "73700","26","A","CAT scan of leg","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "73701","","A","Contrast CAT scan of leg","", 1.16,"", 6.14, 0.44, 7.74,"XXX","N" "73701","TC","A","Contrast CAT scan of leg","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "73701","26","A","Contrast CAT scan of leg","", 1.16,"", 0.51, 0.08, 1.75,"XXX","N" "73702","","A","Contrast CAT scans of leg","", 1.22,"", 7.61, 0.53, 9.36,"XXX","N" "73702","TC","A","Contrast CAT scans of leg","", 0.00,"", 7.08, 0.45, 7.53,"XXX","N" "73702","26","A","Contrast CAT scans of leg","", 1.22,"", 0.53, 0.08, 1.83,"XXX","N" "73720","","A","Magnetic image, leg, foot","", 1.48,"", 11.34, 0.77, 13.59,"XXX","N" "73720","TC","A","Magnetic image, leg, foot","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "73720","26","A","Magnetic image, leg, foot","", 1.48,"", 0.66, 0.10, 2.24,"XXX","N" "73721","","A","Magnetic image, joint of leg","", 0.95,"", 11.11, 0.73, 12.79,"XXX","N" "73721","TC","A","Magnetic image, joint of leg","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "73721","26","A","Magnetic image, joint of leg","", 0.95,"", 0.43, 0.06, 1.44,"XXX","N" "73725","","N","Magnetic imaging/lower (MRA)","#", 1.82,"", 11.34, 0.77, 13.93,"XXX","0" "73725","TC","N","Magnetic imaging/lower (MRA)","#", 0.00,"", 10.68, 0.67, 11.35,"XXX","0" "73725","26","N","Magnetic imaging/lower (MRA)","#", 1.82,"", 0.66, 0.10, 2.58,"XXX","0" "74000","","A","X-ray exam of abdomen","", 0.18,"", 0.58, 0.04, 0.80,"XXX","N" "74000","TC","A","X-ray exam of abdomen","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "74000","26","A","X-ray exam of abdomen","", 0.18,"", 0.08, 0.01, 0.27,"XXX","N" "74010","","A","X-ray exam of abdomen","", 0.23,"", 0.65, 0.06, 0.94,"XXX","N" "74010","TC","A","X-ray exam of abdomen","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "74010","26","A","X-ray exam of abdomen","", 0.23,"", 0.11, 0.02, 0.36,"XXX","N" "74020","","A","X-ray exam of abdomen","", 0.27,"", 0.72, 0.06, 1.05,"XXX","N" "74020","TC","A","X-ray exam of abdomen","", 0.00,"", 0.59, 0.04, 0.63,"XXX","N" "74020","26","A","X-ray exam of abdomen","", 0.27,"", 0.13, 0.02, 0.42,"XXX","N" "74022","","A","X-ray exam series, abdomen","", 0.32,"", 0.85, 0.07, 1.24,"XXX","N" "74022","TC","A","X-ray exam series, abdomen","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "74022","26","A","X-ray exam series, abdomen","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "74150","","A","CAT scan of abdomen","", 1.19,"", 5.91, 0.43, 7.53,"XXX","N" "74150","TC","A","CAT scan of abdomen","", 0.00,"", 5.39, 0.35, 5.74,"XXX","N" "74150","26","A","CAT scan of abdomen","", 1.19,"", 0.52, 0.08, 1.79,"XXX","N" "74160","","A","Contrast CAT scan of abdomen","", 1.27,"", 7.08, 0.50, 8.85,"XXX","N" "74160","TC","A","Contrast CAT scan of abdomen","", 0.00,"", 6.52, 0.41, 6.93,"XXX","N" "74160","26","A","Contrast CAT scan of abdomen","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "74170","","A","Contrast CAT scans, abdomen","", 1.40,"", 8.71, 0.60, 10.71,"XXX","N" "74170","TC","A","Contrast CAT scans, abdomen","", 0.00,"", 8.09, 0.50, 8.59,"XXX","N" "74170","26","A","Contrast CAT scans, abdomen","", 1.40,"", 0.62, 0.10, 2.12,"XXX","N" "74181","","A","Magnetic image,abdomen (MRI)","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "74181","TC","A","Magnetic image,abdomen (MRI)","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "74181","26","A","Magnetic image,abdomen (MRI)","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "74185","","N","Magnetic image/abdomen (MRA)","#", 1.80,"", 11.40, 0.78, 13.98,"XXX","0" "74185","TC","N","Magnetic image/abdomen (MRA)","#", 0.00,"", 10.68, 0.67, 11.35,"XXX","0" "74185","26","N","Magnetic image/abdomen (MRA)","#", 1.80,"", 0.72, 0.11, 2.63,"XXX","0" "74190","","A","X-ray exam of peritoneum","", 0.48,"", 1.37, 0.10, 1.95,"XXX","N" "74190","TC","A","X-ray exam of peritoneum","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74190","26","A","X-ray exam of peritoneum","", 0.48,"", 0.13, 0.02, 0.63,"XXX","N" "74210","","A","Contrast xray exam of throat","", 0.36,"", 1.29, 0.09, 1.74,"XXX","N" "74210","TC","A","Contrast xray exam of throat","", 0.00,"", 1.13, 0.07, 1.20,"XXX","N" "74210","26","A","Contrast xray exam of throat","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "74220","","A","Contrast xray exam,esophagus","", 0.46,"", 1.34, 0.10, 1.90,"XXX","N" "74220","TC","A","Contrast xray exam,esophagus","", 0.00,"", 1.13, 0.07, 1.20,"XXX","N" "74220","26","A","Contrast xray exam,esophagus","", 0.46,"", 0.21, 0.03, 0.70,"XXX","N" "74230","","A","Cinema xray throat/esophagus","", 0.53,"", 1.49, 0.12, 2.14,"XXX","N" "74230","TC","A","Cinema xray throat/esophagus","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74230","26","A","Cinema xray throat/esophagus","", 0.53,"", 0.25, 0.04, 0.82,"XXX","N" "74235","","A","Remove esophagus obstruction","", 1.19,"", 3.02, 0.25, 4.46,"XXX","N" "74235","TC","A","Remove esophagus obstruction","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "74235","26","A","Remove esophagus obstruction","", 1.19,"", 0.52, 0.08, 1.79,"XXX","N" "74240","","A","X-ray exam upper GI tract","", 0.69,"", 1.71, 0.14, 2.54,"XXX","N" "74240","TC","A","X-ray exam upper GI tract","", 0.00,"", 1.39, 0.09, 1.48,"XXX","N" "74240","26","A","X-ray exam upper GI tract","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "74241","","A","X-ray exam upper GI tract","", 0.69,"", 1.74, 0.14, 2.57,"XXX","N" "74241","TC","A","X-ray exam upper GI tract","", 0.00,"", 1.42, 0.09, 1.51,"XXX","N" "74241","26","A","X-ray exam upper GI tract","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "74245","","A","X-ray exam upper GI tract","", 0.91,"", 2.68, 0.21, 3.80,"XXX","N" "74245","TC","A","X-ray exam upper GI tract","", 0.00,"", 2.27, 0.15, 2.42,"XXX","N" "74245","26","A","X-ray exam upper GI tract","", 0.91,"", 0.41, 0.06, 1.38,"XXX","N" "74246","","A","Contrast xray upper GI tract","", 0.69,"", 1.89, 0.15, 2.73,"XXX","N" "74246","TC","A","Contrast xray upper GI tract","", 0.00,"", 1.57, 0.10, 1.67,"XXX","N" "74246","26","A","Contrast xray upper GI tract","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "74247","","A","Contrast xray upper GI tract","", 0.69,"", 1.92, 0.16, 2.77,"XXX","N" "74247","TC","A","Contrast xray upper GI tract","", 0.00,"", 1.60, 0.11, 1.71,"XXX","N" "74247","26","A","Contrast xray upper GI tract","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "74249","","A","Contrast xray upper GI tract","", 0.91,"", 2.86, 0.22, 3.99,"XXX","N" "74249","TC","A","Contrast xray upper GI tract","", 0.00,"", 2.45, 0.16, 2.61,"XXX","N" "74249","26","A","Contrast xray upper GI tract","", 0.91,"", 0.41, 0.06, 1.38,"XXX","N" "74250","","A","X-ray exam of small bowel","", 0.47,"", 1.45, 0.11, 2.03,"XXX","N" "74250","TC","A","X-ray exam of small bowel","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74250","26","A","X-ray exam of small bowel","", 0.47,"", 0.21, 0.03, 0.71,"XXX","N" "74251","","A","X-ray exam of small bowel","", 0.69,"", 1.45, 0.11, 2.25,"XXX","N" "74251","TC","A","X-ray exam of small bowel","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74251","26","A","X-ray exam of small bowel","", 0.69,"", 0.21, 0.03, 0.93,"XXX","N" "74260","","A","X-ray exam of small bowel","", 0.50,"", 1.65, 0.12, 2.27,"XXX","N" "74260","TC","A","X-ray exam of small bowel","", 0.00,"", 1.42, 0.09, 1.51,"XXX","N" "74260","26","A","X-ray exam of small bowel","", 0.50,"", 0.23, 0.03, 0.76,"XXX","N" "74270","","A","Contrast x-ray exam of colon","", 0.69,"", 1.94, 0.16, 2.79,"XXX","N" "74270","TC","A","Contrast x-ray exam of colon","", 0.00,"", 1.62, 0.11, 1.73,"XXX","N" "74270","26","A","Contrast x-ray exam of colon","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "74280","","A","Contrast x-ray exam of colon","", 0.99,"", 2.58, 0.21, 3.78,"XXX","N" "74280","TC","A","Contrast x-ray exam of colon","", 0.00,"", 2.13, 0.14, 2.27,"XXX","N" "74280","26","A","Contrast x-ray exam of colon","", 0.99,"", 0.45, 0.07, 1.51,"XXX","N" "74283","","A","Contrast x-ray exam of colon","", 2.02,"", 3.34, 0.30, 5.66,"XXX","N" "74283","TC","A","Contrast x-ray exam of colon","", 0.00,"", 2.44, 0.16, 2.60,"XXX","N" "74283","26","A","Contrast x-ray exam of colon","", 2.02,"", 0.90, 0.14, 3.06,"XXX","N" "74290","","A","Contrast x-ray, gallbladder","", 0.32,"", 0.85, 0.07, 1.24,"XXX","N" "74290","TC","A","Contrast x-ray, gallbladder","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "74290","26","A","Contrast x-ray, gallbladder","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "74291","","A","Contrast x-rays, gallbladder","", 0.20,"", 0.49, 0.04, 0.73,"XXX","N" "74291","TC","A","Contrast x-rays, gallbladder","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "74291","26","A","Contrast x-rays, gallbladder","", 0.20,"", 0.09, 0.01, 0.30,"XXX","N" "74300","","C","X-ray bile ducts, pancreas","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "74300","TC","C","X-ray bile ducts, pancreas","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "74300","26","A","X-ray bile ducts, pancreas","", 0.36,"", 0.17, 0.02, 0.55,"XXX","N" "74301","","C","Additional x-rays at surgery","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "74301","TC","C","Additional x-rays at surgery","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "74301","26","A","Additional x-rays at surgery","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "74305","","A","X-ray bile ducts, pancreas","", 0.42,"", 0.94, 0.08, 1.44,"XXX","N" "74305","TC","A","X-ray bile ducts, pancreas","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "74305","26","A","X-ray bile ducts, pancreas","", 0.42,"", 0.19, 0.03, 0.64,"XXX","N" "74320","","A","Contrast x-ray of bile ducts","", 0.54,"", 3.25, 0.23, 4.02,"XXX","N" "74320","TC","A","Contrast x-ray of bile ducts","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74320","26","A","Contrast x-ray of bile ducts","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74327","","A","X-ray for bile stone removal","", 0.70,"", 2.00, 0.16, 2.86,"XXX","N" "74327","TC","A","X-ray for bile stone removal","", 0.00,"", 1.68, 0.11, 1.79,"XXX","N" "74327","26","A","X-ray for bile stone removal","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "74328","","A","Xray for bile duct endoscopy","", 0.70,"", 3.32, 0.24, 4.26,"XXX","N" "74328","TC","A","Xray for bile duct endoscopy","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74328","26","A","Xray for bile duct endoscopy","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "74329","","A","X-ray for pancreas endoscopy","", 0.70,"", 3.32, 0.24, 4.26,"XXX","N" "74329","TC","A","X-ray for pancreas endoscopy","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74329","26","A","X-ray for pancreas endoscopy","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "74330","","A","Xray,bile/pancreas endoscopy","", 0.70,"", 3.32, 0.24, 4.26,"XXX","N" "74330","TC","A","Xray,bile/pancreas endoscopy","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74330","26","A","Xray,bile/pancreas endoscopy","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "74340","","A","X-ray guide for GI tube","", 0.54,"", 2.75, 0.21, 3.50,"XXX","N" "74340","TC","A","X-ray guide for GI tube","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "74340","26","A","X-ray guide for GI tube","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74350","","A","X-ray guide, stomach tube","", 0.76,"", 3.35, 0.24, 4.35,"XXX","N" "74350","TC","A","X-ray guide, stomach tube","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74350","26","A","X-ray guide, stomach tube","", 0.76,"", 0.35, 0.05, 1.16,"XXX","N" "74355","","A","X-ray guide, intestinal tube","", 0.76,"", 2.85, 0.22, 3.83,"XXX","N" "74355","TC","A","X-ray guide, intestinal tube","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "74355","26","A","X-ray guide, intestinal tube","", 0.76,"", 0.35, 0.05, 1.16,"XXX","N" "74360","","A","X-ray guide, GI dilation","", 0.54,"", 3.25, 0.23, 4.02,"XXX","N" "74360","TC","A","X-ray guide, GI dilation","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74360","26","A","X-ray guide, GI dilation","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74363","","A","X-ray, bile duct dilation","", 0.88,"", 6.21, 0.43, 7.52,"XXX","N" "74363","TC","A","X-ray, bile duct dilation","", 0.00,"", 5.81, 0.37, 6.18,"XXX","N" "74363","26","A","X-ray, bile duct dilation","", 0.88,"", 0.40, 0.06, 1.34,"XXX","N" "74400","","A","Contrast x-ray urinary tract","", 0.49,"", 1.82, 0.14, 2.45,"XXX","N" "74400","TC","A","Contrast x-ray urinary tract","", 0.00,"", 1.60, 0.11, 1.71,"XXX","N" "74400","26","A","Contrast x-ray urinary tract","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "74405","","A","Contrast x-ray urinary tract","", 0.49,"", 2.11, 0.16, 2.76,"XXX","N" "74405","TC","A","Contrast x-ray urinary tract","", 0.00,"", 1.89, 0.13, 2.02,"XXX","N" "74405","26","A","Contrast x-ray urinary tract","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "74410","","A","Contrast x-ray urinary tract","", 0.49,"", 2.08, 0.15, 2.72,"XXX","N" "74410","TC","A","Contrast x-ray urinary tract","", 0.00,"", 1.86, 0.12, 1.98,"XXX","N" "74410","26","A","Contrast x-ray urinary tract","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "74415","","A","Contrast x-ray urinary tract","", 0.49,"", 2.24, 0.16, 2.89,"XXX","N" "74415","TC","A","Contrast x-ray urinary tract","", 0.00,"", 2.02, 0.13, 2.15,"XXX","N" "74415","26","A","Contrast x-ray urinary tract","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "74420","","A","Contrast x-ray urinary tract","", 0.36,"", 2.66, 0.19, 3.21,"XXX","N" "74420","TC","A","Contrast x-ray urinary tract","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "74420","26","A","Contrast x-ray urinary tract","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "74425","","A","Contrast x-ray urinary tract","", 0.36,"", 1.40, 0.10, 1.86,"XXX","N" "74425","TC","A","Contrast x-ray urinary tract","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74425","26","A","Contrast x-ray urinary tract","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "74430","","A","Contrast x-ray of bladder","", 0.32,"", 1.15, 0.09, 1.56,"XXX","N" "74430","TC","A","Contrast x-ray of bladder","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "74430","26","A","Contrast x-ray of bladder","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "74440","","A","Xray exam male genital tract","", 0.38,"", 1.25, 0.10, 1.73,"XXX","N" "74440","TC","A","Xray exam male genital tract","", 0.00,"", 1.08, 0.07, 1.15,"XXX","N" "74440","26","A","Xray exam male genital tract","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "74445","","A","X-ray exam of penis","", 1.14,"", 1.58, 0.15, 2.87,"XXX","N" "74445","TC","A","X-ray exam of penis","", 0.00,"", 1.08, 0.07, 1.15,"XXX","N" "74445","26","A","X-ray exam of penis","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "74450","","A","X-ray exam urethra/bladder","", 0.33,"", 1.54, 0.11, 1.98,"XXX","N" "74450","TC","A","X-ray exam urethra/bladder","", 0.00,"", 1.39, 0.09, 1.48,"XXX","N" "74450","26","A","X-ray exam urethra/bladder","", 0.33,"", 0.15, 0.02, 0.50,"XXX","N" "74455","","A","X-ray exam urethra/bladder","", 0.33,"", 1.65, 0.12, 2.10,"XXX","N" "74455","TC","A","X-ray exam urethra/bladder","", 0.00,"", 1.50, 0.10, 1.60,"XXX","N" "74455","26","A","X-ray exam urethra/bladder","", 0.33,"", 0.15, 0.02, 0.50,"XXX","N" "74470","","A","X-ray exam of kidney lesion","", 0.54,"", 1.44, 0.12, 2.10,"XXX","N" "74470","TC","A","X-ray exam of kidney lesion","", 0.00,"", 1.19, 0.08, 1.27,"XXX","N" "74470","26","A","X-ray exam of kidney lesion","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74475","","A","Xray control catheter insert","", 0.54,"", 4.13, 0.29, 4.96,"XXX","N" "74475","TC","A","Xray control catheter insert","", 0.00,"", 3.88, 0.25, 4.13,"XXX","N" "74475","26","A","Xray control catheter insert","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74480","","A","Xray control catheter insert","", 0.54,"", 4.13, 0.29, 4.96,"XXX","N" "74480","TC","A","Xray control catheter insert","", 0.00,"", 3.88, 0.25, 4.13,"XXX","N" "74480","26","A","Xray control catheter insert","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74485","","A","X-ray guide, GU dilation","", 0.54,"", 3.25, 0.23, 4.02,"XXX","N" "74485","TC","A","X-ray guide, GU dilation","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74485","26","A","X-ray guide, GU dilation","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "74710","","A","X-ray measurement of pelvis","", 0.34,"", 1.16, 0.09, 1.59,"XXX","N" "74710","TC","A","X-ray measurement of pelvis","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "74710","26","A","X-ray measurement of pelvis","", 0.34,"", 0.16, 0.02, 0.52,"XXX","N" "74740","","A","X-ray female genital tract","", 0.38,"", 1.41, 0.11, 1.90,"XXX","N" "74740","TC","A","X-ray female genital tract","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "74740","26","A","X-ray female genital tract","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "74742","","A","X-ray fallopian tube","", 0.61,"", 3.25, 0.23, 4.09,"XXX","N" "74742","TC","A","X-ray fallopian tube","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "74742","26","A","X-ray fallopian tube","", 0.61,"", 0.25, 0.04, 0.90,"XXX","N" "74775","","A","X-ray exam of perineum","", 0.62,"", 1.68, 0.13, 2.43,"XXX","N" "74775","TC","A","X-ray exam of perineum","", 0.00,"", 1.39, 0.09, 1.48,"XXX","N" "74775","26","A","X-ray exam of perineum","", 0.62,"", 0.29, 0.04, 0.95,"XXX","N" "75552","","A","Magnetic image, myocardium","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "75552","TC","A","Magnetic image, myocardium","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "75552","26","A","Magnetic image, myocardium","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "75553","","A","Magnetic image, myocardium","", 2.00,"", 11.40, 0.78, 14.18,"XXX","N" "75553","TC","A","Magnetic image, myocardium","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "75553","26","A","Magnetic image, myocardium","", 2.00,"", 0.72, 0.11, 2.83,"XXX","N" "75554","","A","Cardiac MRI/function","", 1.83,"", 11.40, 0.78, 14.01,"XXX","N" "75554","TC","A","Cardiac MRI/function","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "75554","26","A","Cardiac MRI/function","", 1.83,"", 0.72, 0.11, 2.66,"XXX","N" "75555","","A","Cardiac MRI/limited study","", 1.74,"", 11.40, 0.78, 13.92,"XXX","N" "75555","TC","A","Cardiac MRI/limited study","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "75555","26","A","Cardiac MRI/limited study","", 1.74,"", 0.72, 0.11, 2.57,"XXX","N" "75556","","N","Cardiac MRI/flow mapping","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "75600","","A","Contrast x-ray exam of aorta","", 0.49,"", 12.23, 0.78, 13.50,"XXX","N" "75600","TC","A","Contrast x-ray exam of aorta","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75600","26","A","Contrast x-ray exam of aorta","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "75605","","A","Contrast x-ray exam of aorta","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75605","TC","A","Contrast x-ray exam of aorta","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75605","26","A","Contrast x-ray exam of aorta","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75625","","A","Contrast x-ray exam of aorta","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75625","TC","A","Contrast x-ray exam of aorta","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75625","26","A","Contrast x-ray exam of aorta","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75630","","A","X-ray aorta, leg arteries","", 1.31,"", 13.09, 0.88, 15.28,"XXX","N" "75630","TC","A","X-ray aorta, leg arteries","", 0.00,"", 12.51, 0.79, 13.30,"XXX","N" "75630","26","A","X-ray aorta, leg arteries","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75650","","A","Artery x-rays, head & neck","", 1.49,"", 12.67, 0.85, 15.01,"XXX","N" "75650","TC","A","Artery x-rays, head & neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75650","26","A","Artery x-rays, head & neck","", 1.49,"", 0.66, 0.10, 2.25,"XXX","N" "75658","","A","X-ray exam of arm arteries","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75658","TC","A","X-ray exam of arm arteries","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75658","26","A","X-ray exam of arm arteries","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75660","","A","Artery x-rays, head & neck","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75660","TC","A","Artery x-rays, head & neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75660","26","A","Artery x-rays, head & neck","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75662","","A","Artery x-rays, head & neck","", 1.66,"", 12.75, 0.86, 15.27,"XXX","N" "75662","TC","A","Artery x-rays, head & neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75662","26","A","Artery x-rays, head & neck","", 1.66,"", 0.74, 0.11, 2.51,"XXX","N" "75665","","A","Artery x-rays, head & neck","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75665","TC","A","Artery x-rays, head & neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75665","26","A","Artery x-rays, head & neck","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75671","","A","Artery x-rays, head & neck","", 1.66,"", 12.75, 0.86, 15.27,"XXX","N" "75671","TC","A","Artery x-rays, head & neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75671","26","A","Artery x-rays, head & neck","", 1.66,"", 0.74, 0.11, 2.51,"XXX","N" "75676","","A","Artery x-rays, neck","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75676","TC","A","Artery x-rays, neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75676","26","A","Artery x-rays, neck","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75680","","A","Artery x-rays, neck","", 1.66,"", 12.75, 0.86, 15.27,"XXX","N" "75680","TC","A","Artery x-rays, neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75680","26","A","Artery x-rays, neck","", 1.66,"", 0.74, 0.11, 2.51,"XXX","N" "75685","","A","Artery x-rays, spine","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75685","TC","A","Artery x-rays, spine","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75685","26","A","Artery x-rays, spine","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75705","","A","Artery x-rays, spine","", 2.18,"", 12.99, 0.90, 16.07,"XXX","N" "75705","TC","A","Artery x-rays, spine","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75705","26","A","Artery x-rays, spine","", 2.18,"", 0.98, 0.15, 3.31,"XXX","N" "75710","","A","Artery x-rays, arm/leg","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75710","TC","A","Artery x-rays, arm/leg","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75710","26","A","Artery x-rays, arm/leg","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75716","","A","Artery x-rays, arms/legs","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75716","TC","A","Artery x-rays, arms/legs","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75716","26","A","Artery x-rays, arms/legs","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75722","","A","Artery x-rays, kidney","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75722","TC","A","Artery x-rays, kidney","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75722","26","A","Artery x-rays, kidney","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75724","","A","Artery x-rays, kidneys","", 1.49,"", 12.67, 0.85, 15.01,"XXX","N" "75724","TC","A","Artery x-rays, kidneys","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75724","26","A","Artery x-rays, kidneys","", 1.49,"", 0.66, 0.10, 2.25,"XXX","N" "75726","","A","Artery x-rays, abdomen","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75726","TC","A","Artery x-rays, abdomen","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75726","26","A","Artery x-rays, abdomen","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75731","","A","Artery x-rays, adrenal gland","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75731","TC","A","Artery x-rays, adrenal gland","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75731","26","A","Artery x-rays, adrenal gland","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75733","","A","Artery x-rays,adrenal glands","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75733","TC","A","Artery x-rays,adrenal glands","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75733","26","A","Artery x-rays,adrenal glands","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75736","","A","Artery x-rays, pelvis","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75736","TC","A","Artery x-rays, pelvis","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75736","26","A","Artery x-rays, pelvis","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75741","","A","Artery x-rays, lung","", 1.31,"", 12.59, 0.84, 14.74,"XXX","N" "75741","TC","A","Artery x-rays, lung","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75741","26","A","Artery x-rays, lung","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75743","","A","Artery x-rays, lungs","", 1.66,"", 12.75, 0.86, 15.27,"XXX","N" "75743","TC","A","Artery x-rays, lungs","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75743","26","A","Artery x-rays, lungs","", 1.66,"", 0.74, 0.11, 2.51,"XXX","N" "75746","","A","Artery x-rays, lung","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75746","TC","A","Artery x-rays, lung","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75746","26","A","Artery x-rays, lung","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75756","","A","Artery x-rays, chest","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75756","TC","A","Artery x-rays, chest","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75756","26","A","Artery x-rays, chest","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75774","","A","Artery x-ray, each vessel","", 0.36,"", 12.17, 0.77, 13.30,"XXX","N" "75774","TC","A","Artery x-ray, each vessel","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75774","26","A","Artery x-ray, each vessel","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "75790","","A","Visualize A-V shunt","", 1.84,"", 2.12, 0.21, 4.17,"XXX","N" "75790","TC","A","Visualize A-V shunt","", 0.00,"", 1.29, 0.09, 1.38,"XXX","N" "75790","26","A","Visualize A-V shunt","", 1.84,"", 0.83, 0.12, 2.79,"XXX","N" "75801","","A","Lymph vessel x-ray, arm/leg","", 0.81,"", 5.53, 0.38, 6.72,"XXX","N" "75801","TC","A","Lymph vessel x-ray, arm/leg","", 0.00,"", 5.16, 0.33, 5.49,"XXX","N" "75801","26","A","Lymph vessel x-ray, arm/leg","", 0.81,"", 0.37, 0.05, 1.23,"XXX","N" "75803","","A","Lymph vessel x-ray,arms/legs","", 1.17,"", 5.67, 0.41, 7.25,"XXX","N" "75803","TC","A","Lymph vessel x-ray,arms/legs","", 0.00,"", 5.16, 0.33, 5.49,"XXX","N" "75803","26","A","Lymph vessel x-ray,arms/legs","", 1.17,"", 0.51, 0.08, 1.76,"XXX","N" "75805","","A","Lymph vessel x-ray, trunk","", 0.81,"", 6.18, 0.42, 7.41,"XXX","N" "75805","TC","A","Lymph vessel x-ray, trunk","", 0.00,"", 5.81, 0.37, 6.18,"XXX","N" "75805","26","A","Lymph vessel x-ray, trunk","", 0.81,"", 0.37, 0.05, 1.23,"XXX","N" "75807","","A","Lymph vessel x-ray, trunk","", 1.17,"", 6.32, 0.45, 7.94,"XXX","N" "75807","TC","A","Lymph vessel x-ray, trunk","", 0.00,"", 5.81, 0.37, 6.18,"XXX","N" "75807","26","A","Lymph vessel x-ray, trunk","", 1.17,"", 0.51, 0.08, 1.76,"XXX","N" "75809","","A","Nonvascular shunt, x-ray","", 0.47,"", 0.94, 0.08, 1.49,"XXX","N" "75809","TC","A","Nonvascular shunt, x-ray","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "75809","26","A","Nonvascular shunt, x-ray","", 0.47,"", 0.19, 0.03, 0.69,"XXX","N" "75810","","A","Vein x-ray, spleen/liver","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75810","TC","A","Vein x-ray, spleen/liver","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75810","26","A","Vein x-ray, spleen/liver","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75820","","A","Vein x-ray, arm/leg","", 0.70,"", 1.22, 0.11, 2.03,"XXX","N" "75820","TC","A","Vein x-ray, arm/leg","", 0.00,"", 0.90, 0.06, 0.96,"XXX","N" "75820","26","A","Vein x-ray, arm/leg","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "75822","","A","Vein x-ray, arms/legs","", 1.06,"", 1.88, 0.16, 3.10,"XXX","N" "75822","TC","A","Vein x-ray, arms/legs","", 0.00,"", 1.41, 0.09, 1.50,"XXX","N" "75822","26","A","Vein x-ray, arms/legs","", 1.06,"", 0.47, 0.07, 1.60,"XXX","N" "75825","","A","Vein x-ray, trunk","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75825","TC","A","Vein x-ray, trunk","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75825","26","A","Vein x-ray, trunk","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75827","","A","Vein x-ray, chest","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75827","TC","A","Vein x-ray, chest","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75827","26","A","Vein x-ray, chest","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75831","","A","Vein x-ray, kidney","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75831","TC","A","Vein x-ray, kidney","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75831","26","A","Vein x-ray, kidney","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75833","","A","Vein x-ray, kidneys","", 1.49,"", 12.67, 0.85, 15.01,"XXX","N" "75833","TC","A","Vein x-ray, kidneys","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75833","26","A","Vein x-ray, kidneys","", 1.49,"", 0.66, 0.10, 2.25,"XXX","N" "75840","","A","Vein x-ray, adrenal gland","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75840","TC","A","Vein x-ray, adrenal gland","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75840","26","A","Vein x-ray, adrenal gland","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75842","","A","Vein x-ray, adrenal glands","", 1.49,"", 12.67, 0.85, 15.01,"XXX","N" "75842","TC","A","Vein x-ray, adrenal glands","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75842","26","A","Vein x-ray, adrenal glands","", 1.49,"", 0.66, 0.10, 2.25,"XXX","N" "75860","","A","Vein x-ray, neck","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75860","TC","A","Vein x-ray, neck","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75860","26","A","Vein x-ray, neck","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75870","","A","Vein x-ray, skull","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75870","TC","A","Vein x-ray, skull","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75870","26","A","Vein x-ray, skull","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75872","","A","Vein x-ray, skull","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75872","TC","A","Vein x-ray, skull","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75872","26","A","Vein x-ray, skull","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75880","","A","Vein x-ray, eye socket","", 0.70,"", 1.22, 0.11, 2.03,"XXX","N" "75880","TC","A","Vein x-ray, eye socket","", 0.00,"", 0.90, 0.06, 0.96,"XXX","N" "75880","26","A","Vein x-ray, eye socket","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "75885","","A","Vein x-ray, liver","", 1.44,"", 12.65, 0.85, 14.94,"XXX","N" "75885","TC","A","Vein x-ray, liver","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75885","26","A","Vein x-ray, liver","", 1.44,"", 0.64, 0.10, 2.18,"XXX","N" "75887","","A","Vein x-ray, liver","", 1.44,"", 12.65, 0.85, 14.94,"XXX","N" "75887","TC","A","Vein x-ray, liver","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75887","26","A","Vein x-ray, liver","", 1.44,"", 0.64, 0.10, 2.18,"XXX","N" "75889","","A","Vein x-ray, liver","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75889","TC","A","Vein x-ray, liver","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75889","26","A","Vein x-ray, liver","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75891","","A","Vein x-ray, liver","", 1.14,"", 12.51, 0.83, 14.48,"XXX","N" "75891","TC","A","Vein x-ray, liver","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75891","26","A","Vein x-ray, liver","", 1.14,"", 0.50, 0.08, 1.72,"XXX","N" "75893","","A","Venous sampling by catheter","", 0.54,"", 12.26, 0.79, 13.59,"XXX","N" "75893","TC","A","Venous sampling by catheter","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75893","26","A","Venous sampling by catheter","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "75894","","A","Xrays, transcatheter therapy","", 1.31,"", 23.58, 1.53, 26.42,"XXX","N" "75894","TC","A","Xrays, transcatheter therapy","", 0.00,"", 23.00, 1.44, 24.44,"XXX","N" "75894","26","A","Xrays, transcatheter therapy","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75896","","A","Xrays, transcatheter therapy","", 1.31,"", 20.58, 1.34, 23.23,"XXX","N" "75896","TC","A","Xrays, transcatheter therapy","", 0.00,"", 20.00, 1.25, 21.25,"XXX","N" "75896","26","A","Xrays, transcatheter therapy","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75898","","A","Follow-up angiogram","", 1.65,"", 1.74, 0.18, 3.57,"XXX","N" "75898","TC","A","Follow-up angiogram","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "75898","26","A","Follow-up angiogram","", 1.65,"", 0.74, 0.11, 2.50,"XXX","N" "75900","","A","Arterial catheter exchange","", 0.49,"", 20.22, 1.29, 22.00,"XXX","N" "75900","TC","A","Arterial catheter exchange","", 0.00,"", 19.99, 1.26, 21.25,"XXX","N" "75900","26","A","Arterial catheter exchange","", 0.49,"", 0.23, 0.03, 0.75,"XXX","N" "75940","","A","X-ray placement, vein filter","", 0.54,"", 12.26, 0.79, 13.59,"XXX","N" "75940","TC","A","X-ray placement, vein filter","", 0.00,"", 12.01, 0.75, 12.76,"XXX","N" "75940","26","A","X-ray placement, vein filter","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "75960","","A","Transcatheter intro, stent","", 0.82,"", 14.57, 0.94, 16.33,"XXX","N" "75960","TC","A","Transcatheter intro, stent","", 0.00,"", 14.20, 0.88, 15.08,"XXX","N" "75960","26","A","Transcatheter intro, stent","", 0.82,"", 0.37, 0.06, 1.25,"XXX","N" "75961","","A","Retrieval, broken catheter","", 4.25,"", 11.91, 0.90, 17.06,"XXX","N" "75961","TC","A","Retrieval, broken catheter","", 0.00,"", 10.01, 0.62, 10.63,"XXX","N" "75961","26","A","Retrieval, broken catheter","", 4.25,"", 1.90, 0.28, 6.43,"XXX","N" "75962","","A","Repair arterial blockage","", 0.54,"", 15.25, 0.98, 16.77,"XXX","N" "75962","TC","A","Repair arterial blockage","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75962","26","A","Repair arterial blockage","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "75964","","A","Repair artery blockage, each","", 0.36,"", 8.16, 0.52, 9.04,"XXX","N" "75964","TC","A","Repair artery blockage, each","", 0.00,"", 8.00, 0.50, 8.50,"XXX","N" "75964","26","A","Repair artery blockage, each","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "75966","","A","Repair arterial blockage","", 1.31,"", 15.58, 1.03, 17.92,"XXX","N" "75966","TC","A","Repair arterial blockage","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75966","26","A","Repair arterial blockage","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75968","","A","Repair artery blockage, each","", 0.36,"", 8.16, 0.52, 9.04,"XXX","N" "75968","TC","A","Repair artery blockage, each","", 0.00,"", 8.00, 0.50, 8.50,"XXX","N" "75968","26","A","Repair artery blockage, each","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "75970","","A","Vascular biopsy","", 0.83,"", 11.38, 0.75, 12.96,"XXX","N" "75970","TC","A","Vascular biopsy","", 0.00,"", 11.00, 0.69, 11.69,"XXX","N" "75970","26","A","Vascular biopsy","", 0.83,"", 0.38, 0.06, 1.27,"XXX","N" "75978","","A","Repair venous blockage","", 0.54,"", 15.48, 0.98, 17.00,"XXX","N" "75978","TC","A","Repair venous blockage","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75978","26","A","Repair venous blockage","", 0.54,"", 0.48, 0.04, 1.06,"XXX","N" "75980","","A","Contrast xray exam bile duct","", 1.44,"", 5.80, 0.43, 7.67,"XXX","N" "75980","TC","A","Contrast xray exam bile duct","", 0.00,"", 5.16, 0.33, 5.49,"XXX","N" "75980","26","A","Contrast xray exam bile duct","", 1.44,"", 0.64, 0.10, 2.18,"XXX","N" "75982","","A","Contrast xray exam bile duct","", 1.44,"", 6.45, 0.47, 8.36,"XXX","N" "75982","TC","A","Contrast xray exam bile duct","", 0.00,"", 5.81, 0.37, 6.18,"XXX","N" "75982","26","A","Contrast xray exam bile duct","", 1.44,"", 0.64, 0.10, 2.18,"XXX","N" "75984","","A","Xray control catheter change","", 0.72,"", 2.19, 0.17, 3.08,"XXX","N" "75984","TC","A","Xray control catheter change","", 0.00,"", 1.86, 0.12, 1.98,"XXX","N" "75984","26","A","Xray control catheter change","", 0.72,"", 0.33, 0.05, 1.10,"XXX","N" "75989","","A","Abscess drainage under x-ray","", 1.19,"", 3.52, 0.27, 4.98,"XXX","N" "75989","TC","A","Abscess drainage under x-ray","", 0.00,"", 3.00, 0.19, 3.19,"XXX","N" "75989","26","A","Abscess drainage under x-ray","", 1.19,"", 0.52, 0.08, 1.79,"XXX","N" "75992","","A","Atherectomy, x-ray exam","", 0.54,"", 15.25, 0.98, 16.77,"XXX","N" "75992","TC","A","Atherectomy, x-ray exam","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75992","26","A","Atherectomy, x-ray exam","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "75993","","A","Atherectomy, x-ray exam","", 0.36,"", 8.16, 0.52, 9.04,"XXX","N" "75993","TC","A","Atherectomy, x-ray exam","", 0.00,"", 8.00, 0.50, 8.50,"XXX","N" "75993","26","A","Atherectomy, x-ray exam","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "75994","","A","Atherectomy, x-ray exam","", 1.31,"", 15.58, 1.03, 17.92,"XXX","N" "75994","TC","A","Atherectomy, x-ray exam","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75994","26","A","Atherectomy, x-ray exam","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75995","","A","Atherectomy, x-ray exam","", 1.31,"", 15.58, 1.03, 17.92,"XXX","N" "75995","TC","A","Atherectomy, x-ray exam","", 0.00,"", 15.00, 0.94, 15.94,"XXX","N" "75995","26","A","Atherectomy, x-ray exam","", 1.31,"", 0.58, 0.09, 1.98,"XXX","N" "75996","","A","Atherectomy, x-ray exam","", 0.36,"", 8.16, 0.52, 9.04,"XXX","N" "75996","TC","A","Atherectomy, x-ray exam","", 0.00,"", 8.00, 0.50, 8.50,"XXX","N" "75996","26","A","Atherectomy, x-ray exam","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "76000","","A","Fluoroscope examination","", 0.17,"", 1.31, 0.09, 1.57,"XXX","N" "76000","TC","A","Fluoroscope examination","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76000","26","A","Fluoroscope examination","", 0.17,"", 0.07, 0.01, 0.25,"XXX","N" "76001","","A","Fluoroscope exam, extensive","", 0.67,"", 2.81, 0.22, 3.70,"XXX","N" "76001","TC","A","Fluoroscope exam, extensive","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "76001","26","A","Fluoroscope exam, extensive","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76003","","A","Needle localization by x-ray","", 0.54,"", 1.49, 0.12, 2.15,"XXX","N" "76003","TC","A","Needle localization by x-ray","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76003","26","A","Needle localization by x-ray","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76010","","A","X-ray, nose to rectum","", 0.18,"", 0.58, 0.04, 0.80,"XXX","N" "76010","TC","A","X-ray, nose to rectum","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "76010","26","A","X-ray, nose to rectum","", 0.18,"", 0.08, 0.01, 0.27,"XXX","N" "76020","","A","X-rays for bone age","", 0.19,"", 0.59, 0.04, 0.82,"XXX","N" "76020","TC","A","X-rays for bone age","", 0.00,"", 0.50, 0.03, 0.53,"XXX","N" "76020","26","A","X-rays for bone age","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "76040","","A","X-rays, bone evaluation","", 0.27,"", 0.88, 0.07, 1.22,"XXX","N" "76040","TC","A","X-rays, bone evaluation","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "76040","26","A","X-rays, bone evaluation","", 0.27,"", 0.13, 0.02, 0.42,"XXX","N" "76061","","A","X-rays, bone survey","", 0.45,"", 1.15, 0.09, 1.69,"XXX","N" "76061","TC","A","X-rays, bone survey","", 0.00,"", 0.95, 0.06, 1.01,"XXX","N" "76061","26","A","X-rays, bone survey","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "76062","","A","X-rays, bone survey","", 0.54,"", 1.62, 0.13, 2.29,"XXX","N" "76062","TC","A","X-rays, bone survey","", 0.00,"", 1.37, 0.09, 1.46,"XXX","N" "76062","26","A","X-rays, bone survey","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76065","","A","X-rays, bone evaluation","", 0.28,"", 0.83, 0.07, 1.18,"XXX","N" "76065","TC","A","X-rays, bone evaluation","", 0.00,"", 0.70, 0.05, 0.75,"XXX","N" "76065","26","A","X-rays, bone evaluation","", 0.28,"", 0.13, 0.02, 0.43,"XXX","N" "76066","","A","Joint(s) survey, single film","", 0.31,"", 1.20, 0.09, 1.60,"XXX","N" "76066","TC","A","Joint(s) survey, single film","", 0.00,"", 1.06, 0.07, 1.13,"XXX","N" "76066","26","A","Joint(s) survey, single film","", 0.31,"", 0.14, 0.02, 0.47,"XXX","N" "76070","","A","CT scan, bone density study","", 0.25,"", 2.93, 0.20, 3.38,"XXX","N" "76070","TC","A","CT scan, bone density study","", 0.00,"", 2.81, 0.18, 2.99,"XXX","N" "76070","26","A","CT scan, bone density study","", 0.25,"", 0.12, 0.02, 0.39,"XXX","N" "76075","","A","Dual energy x-ray study","", 0.30,"", 3.07, 0.21, 3.58,"XXX","N" "76075","TC","A","Dual energy x-ray study","", 0.00,"", 2.95, 0.19, 3.14,"XXX","N" "76075","26","A","Dual energy x-ray study","", 0.30,"", 0.12, 0.02, 0.44,"XXX","N" "76080","","A","X-ray exam of fistula","", 0.54,"", 1.25, 0.11, 1.90,"XXX","N" "76080","TC","A","X-ray exam of fistula","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76080","26","A","X-ray exam of fistula","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76086","","A","X-ray of mammary duct","", 0.36,"", 2.67, 0.19, 3.22,"XXX","N" "76086","TC","A","X-ray of mammary duct","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "76086","26","A","X-ray of mammary duct","", 0.36,"", 0.17, 0.02, 0.55,"XXX","N" "76088","","A","X-ray of mammary ducts","", 0.45,"", 3.69, 0.25, 4.39,"XXX","N" "76088","TC","A","X-ray of mammary ducts","", 0.00,"", 3.49, 0.22, 3.71,"XXX","N" "76088","26","A","X-ray of mammary ducts","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "76090","","A","Mammogram, one breast","", 0.25,"", 1.12, 0.09, 1.46,"XXX","N" "76090","TC","A","Mammogram, one breast","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76090","26","A","Mammogram, one breast","", 0.25,"", 0.12, 0.02, 0.39,"XXX","N" "76091","","A","Mammogram, both breasts","", 0.41,"", 1.42, 0.11, 1.94,"XXX","N" "76091","TC","A","Mammogram, both breasts","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76091","26","A","Mammogram, both breasts","", 0.41,"", 0.18, 0.03, 0.62,"XXX","N" "76092","","X","Mammogram, screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "76093","","A","Magnetic image, breast","", 1.63,"", 17.52, 1.16, 20.31,"XXX","N" "76093","TC","A","Magnetic image, breast","", 0.00,"", 16.80, 1.05, 17.85,"XXX","N" "76093","26","A","Magnetic image, breast","", 1.63,"", 0.72, 0.11, 2.46,"XXX","N" "76094","","A","Magnetic image, both breasts","", 1.63,"", 23.51, 1.53, 26.67,"XXX","N" "76094","TC","A","Magnetic image, both breasts","", 0.00,"", 22.79, 1.42, 24.21,"XXX","N" "76094","26","A","Magnetic image, both breasts","", 1.63,"", 0.72, 0.11, 2.46,"XXX","N" "76095","","A","Stereotactic breast biopsy","", 1.59,"", 7.54, 0.54, 9.67,"XXX","N" "76095","TC","A","Stereotactic breast biopsy","", 0.00,"", 6.83, 0.43, 7.26,"XXX","N" "76095","26","A","Stereotactic breast biopsy","", 1.59,"", 0.71, 0.11, 2.41,"XXX","N" "76096","","A","X-ray of needle wire, breast","", 0.56,"", 1.50, 0.12, 2.18,"XXX","N" "76096","TC","A","X-ray of needle wire, breast","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76096","26","A","X-ray of needle wire, breast","", 0.56,"", 0.26, 0.04, 0.86,"XXX","N" "76098","","A","X-ray exam, breast specimen","", 0.16,"", 0.47, 0.04, 0.67,"XXX","N" "76098","TC","A","X-ray exam, breast specimen","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "76098","26","A","X-ray exam, breast specimen","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "76100","","A","X-ray exam of body section","", 0.58,"", 1.46, 0.12, 2.16,"XXX","N" "76100","TC","A","X-ray exam of body section","", 0.00,"", 1.19, 0.08, 1.27,"XXX","N" "76100","26","A","X-ray exam of body section","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76101","","A","Complex body section x-ray","", 0.58,"", 1.62, 0.13, 2.33,"XXX","N" "76101","TC","A","Complex body section x-ray","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76101","26","A","Complex body section x-ray","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76102","","A","Complex body section x-rays","", 0.58,"", 1.92, 0.15, 2.65,"XXX","N" "76102","TC","A","Complex body section x-rays","", 0.00,"", 1.65, 0.11, 1.76,"XXX","N" "76102","26","A","Complex body section x-rays","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76120","","A","Cinematic x-rays","", 0.38,"", 1.17, 0.10, 1.65,"XXX","N" "76120","TC","A","Cinematic x-rays","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76120","26","A","Cinematic x-rays","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "76125","","A","Cinematic x-rays","", 0.27,"", 0.87, 0.07, 1.21,"XXX","N" "76125","TC","A","Cinematic x-rays","", 0.00,"", 0.75, 0.05, 0.80,"XXX","N" "76125","26","A","Cinematic x-rays","", 0.27,"", 0.12, 0.02, 0.41,"XXX","N" "76140","","G","X-ray consultation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "76150","","A","X-ray exam, dry process","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "76350","","C","Special x-ray contrast study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76355","","A","CAT scan for localization","", 1.21,"", 8.40, 0.57, 10.18,"XXX","N" "76355","TC","A","CAT scan for localization","", 0.00,"", 7.87, 0.49, 8.36,"XXX","N" "76355","26","A","CAT scan for localization","", 1.21,"", 0.53, 0.08, 1.82,"XXX","N" "76360","","A","CAT scan for needle biopsy","", 1.16,"", 8.37, 0.57, 10.10,"XXX","N" "76360","TC","A","CAT scan for needle biopsy","", 0.00,"", 7.87, 0.49, 8.36,"XXX","N" "76360","26","A","CAT scan for needle biopsy","", 1.16,"", 0.50, 0.08, 1.74,"XXX","N" "76365","","A","CAT scan for cyst aspiration","", 1.16,"", 8.37, 0.57, 10.10,"XXX","N" "76365","TC","A","CAT scan for cyst aspiration","", 0.00,"", 7.87, 0.49, 8.36,"XXX","N" "76365","26","A","CAT scan for cyst aspiration","", 1.16,"", 0.50, 0.08, 1.74,"XXX","N" "76370","","A","CAT scan for therapy guide","", 0.85,"", 3.19, 0.24, 4.28,"XXX","N" "76370","TC","A","CAT scan for therapy guide","", 0.00,"", 2.81, 0.18, 2.99,"XXX","N" "76370","26","A","CAT scan for therapy guide","", 0.85,"", 0.38, 0.06, 1.29,"XXX","N" "76375","","A","CAT scans, other planes","", 0.16,"", 3.44, 0.22, 3.82,"XXX","N" "76375","TC","A","CAT scans, other planes","", 0.00,"", 3.37, 0.21, 3.58,"XXX","N" "76375","26","A","CAT scans, other planes","", 0.16,"", 0.07, 0.01, 0.24,"XXX","N" "76380","","A","CAT scan follow-up study","", 0.98,"", 3.78, 0.28, 5.04,"XXX","N" "76380","TC","A","CAT scan follow-up study","", 0.00,"", 3.34, 0.21, 3.55,"XXX","N" "76380","26","A","CAT scan follow-up study","", 0.98,"", 0.44, 0.07, 1.49,"XXX","N" "76400","","A","Magnetic image, bone marrow","", 1.60,"", 11.40, 0.78, 13.78,"XXX","N" "76400","TC","A","Magnetic image, bone marrow","", 0.00,"", 10.68, 0.67, 11.35,"XXX","N" "76400","26","A","Magnetic image, bone marrow","", 1.60,"", 0.72, 0.11, 2.43,"XXX","N" "76499","","C","Radiographic procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76499","TC","C","Radiographic procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76499","26","C","Radiographic procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76506","","A","Echo exam of head","", 0.63,"", 1.64, 0.13, 2.40,"XXX","N" "76506","TC","A","Echo exam of head","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76506","26","A","Echo exam of head","", 0.63,"", 0.29, 0.04, 0.96,"XXX","N" "76511","","A","Echo exam of eye","", 0.94,"", 1.44, 0.12, 2.50,"XXX","N" "76511","TC","A","Echo exam of eye","", 0.00,"", 1.19, 0.08, 1.27,"XXX","N" "76511","26","A","Echo exam of eye","", 0.94,"", 0.25, 0.04, 1.23,"XXX","N" "76512","","A","Echo exam of eye","", 0.66,"", 1.75, 0.15, 2.56,"XXX","N" "76512","TC","A","Echo exam of eye","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76512","26","A","Echo exam of eye","", 0.66,"", 0.30, 0.05, 1.01,"XXX","N" "76513","","A","Echo exam of eye, water bath","", 0.66,"", 1.75, 0.15, 2.56,"XXX","N" "76513","TC","A","Echo exam of eye, water bath","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76513","26","A","Echo exam of eye, water bath","", 0.66,"", 0.30, 0.05, 1.01,"XXX","N" "76516","","A","Echo exam of eye","", 0.54,"", 1.44, 0.12, 2.10,"XXX","N" "76516","TC","A","Echo exam of eye","", 0.00,"", 1.19, 0.08, 1.27,"XXX","N" "76516","26","A","Echo exam of eye","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76519","","A","Echo exam of eye","", 0.54,"", 1.44, 0.12, 2.10,"XXX","N" "76519","TC","A","Echo exam of eye","", 0.00,"", 1.19, 0.08, 1.27,"XXX","N" "76519","26","A","Echo exam of eye","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76529","","A","Echo exam of eye","", 0.57,"", 1.56, 0.13, 2.26,"XXX","N" "76529","TC","A","Echo exam of eye","", 0.00,"", 1.30, 0.09, 1.39,"XXX","N" "76529","26","A","Echo exam of eye","", 0.57,"", 0.26, 0.04, 0.87,"XXX","N" "76536","","A","Echo exam of head and neck","", 0.56,"", 1.61, 0.13, 2.30,"XXX","N" "76536","TC","A","Echo exam of head and neck","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76536","26","A","Echo exam of head and neck","", 0.56,"", 0.26, 0.04, 0.86,"XXX","N" "76604","","A","Echo exam of chest","", 0.55,"", 1.50, 0.12, 2.17,"XXX","N" "76604","TC","A","Echo exam of chest","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76604","26","A","Echo exam of chest","", 0.55,"", 0.26, 0.04, 0.85,"XXX","N" "76645","","A","Echo exam of breast","", 0.54,"", 1.25, 0.11, 1.90,"XXX","N" "76645","TC","A","Echo exam of breast","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76645","26","A","Echo exam of breast","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "76700","","A","Echo exam of abdomen","", 0.81,"", 2.25, 0.17, 3.23,"XXX","N" "76700","TC","A","Echo exam of abdomen","", 0.00,"", 1.88, 0.12, 2.00,"XXX","N" "76700","26","A","Echo exam of abdomen","", 0.81,"", 0.37, 0.05, 1.23,"XXX","N" "76705","","A","Echo exam of abdomen","", 0.59,"", 1.62, 0.13, 2.34,"XXX","N" "76705","TC","A","Echo exam of abdomen","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76705","26","A","Echo exam of abdomen","", 0.59,"", 0.27, 0.04, 0.90,"XXX","N" "76770","","A","Echo exam abdomen back wall","", 0.74,"", 2.22, 0.17, 3.13,"XXX","N" "76770","TC","A","Echo exam abdomen back wall","", 0.00,"", 1.88, 0.12, 2.00,"XXX","N" "76770","26","A","Echo exam abdomen back wall","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "76775","","A","Echo exam abdomen back wall","", 0.58,"", 1.62, 0.13, 2.33,"XXX","N" "76775","TC","A","Echo exam abdomen back wall","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76775","26","A","Echo exam abdomen back wall","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76778","","A","Echo exam kidney transplant","", 0.74,"", 2.22, 0.17, 3.13,"XXX","N" "76778","TC","A","Echo exam kidney transplant","", 0.00,"", 1.88, 0.12, 2.00,"XXX","N" "76778","26","A","Echo exam kidney transplant","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "76800","","A","Echo exam spinal canal","", 1.13,"", 1.85, 0.17, 3.15,"XXX","N" "76800","TC","A","Echo exam spinal canal","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76800","26","A","Echo exam spinal canal","", 1.13,"", 0.50, 0.08, 1.71,"XXX","N" "76805","","A","Echo exam of pregnant uterus","", 0.99,"", 2.45, 0.20, 3.64,"XXX","N" "76805","TC","A","Echo exam of pregnant uterus","", 0.00,"", 2.00, 0.13, 2.13,"XXX","N" "76805","26","A","Echo exam of pregnant uterus","", 0.99,"", 0.45, 0.07, 1.51,"XXX","N" "76810","","A","Echo exam of pregnant uterus","", 1.97,"", 4.88, 0.38, 7.23,"XXX","N" "76810","TC","A","Echo exam of pregnant uterus","", 0.00,"", 4.00, 0.25, 4.25,"XXX","N" "76810","26","A","Echo exam of pregnant uterus","", 1.97,"", 0.88, 0.13, 2.98,"XXX","N" "76815","","A","Echo exam of pregnant uterus","", 0.65,"", 1.65, 0.13, 2.43,"XXX","N" "76815","TC","A","Echo exam of pregnant uterus","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76815","26","A","Echo exam of pregnant uterus","", 0.65,"", 0.30, 0.04, 0.99,"XXX","N" "76816","","A","Echo exam followup or repeat","", 0.57,"", 1.32, 0.11, 2.00,"XXX","N" "76816","TC","A","Echo exam followup or repeat","", 0.00,"", 1.06, 0.07, 1.13,"XXX","N" "76816","26","A","Echo exam followup or repeat","", 0.57,"", 0.26, 0.04, 0.87,"XXX","N" "76818","","A","Fetal biophysical profile","", 0.77,"", 1.89, 0.15, 2.81,"XXX","N" "76818","TC","A","Fetal biophysical profile","", 0.00,"", 1.54, 0.10, 1.64,"XXX","N" "76818","26","A","Fetal biophysical profile","", 0.77,"", 0.35, 0.05, 1.17,"XXX","N" "76825","","A","Echo exam of fetal heart","", 0.98,"", 2.23, 0.17, 3.38,"XXX","N" "76825","TC","A","Echo exam of fetal heart","", 0.00,"", 1.88, 0.12, 2.00,"XXX","N" "76825","26","A","Echo exam of fetal heart","", 0.98,"", 0.35, 0.05, 1.38,"XXX","N" "76826","","A","Echo exam of fetal heart","", 0.83,"", 1.35, 0.10, 2.28,"XXX","N" "76826","TC","A","Echo exam of fetal heart","", 0.00,"", 0.67, 0.05, 0.72,"XXX","N" "76826","26","A","Echo exam of fetal heart","", 0.83,"", 0.68, 0.05, 1.56,"XXX","N" "76827","","A","Echo exam of fetal heart","", 0.58,"", 2.33, 0.18, 3.09,"XXX","N" "76827","TC","A","Echo exam of fetal heart","", 0.00,"", 1.64, 0.13, 1.77,"XXX","N" "76827","26","A","Echo exam of fetal heart","", 0.58,"", 0.69, 0.05, 1.32,"XXX","N" "76828","","A","Echo exam of fetal heart","", 0.56,"", 1.34, 0.11, 2.01,"XXX","N" "76828","TC","A","Echo exam of fetal heart","", 0.00,"", 1.06, 0.09, 1.15,"XXX","N" "76828","26","A","Echo exam of fetal heart","", 0.56,"", 0.28, 0.02, 0.86,"XXX","N" "76830","","A","Echo exam, transvaginal","", 0.69,"", 1.77, 0.15, 2.61,"XXX","N" "76830","TC","A","Echo exam, transvaginal","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76830","26","A","Echo exam, transvaginal","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "76856","","A","Echo exam of pelvis","", 0.69,"", 1.77, 0.15, 2.61,"XXX","N" "76856","TC","A","Echo exam of pelvis","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76856","26","A","Echo exam of pelvis","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "76857","","A","Echo exam of pelvis","", 0.38,"", 1.17, 0.10, 1.65,"XXX","N" "76857","TC","A","Echo exam of pelvis","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76857","26","A","Echo exam of pelvis","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "76870","","A","Echo exam of scrotum","", 0.64,"", 1.74, 0.14, 2.52,"XXX","N" "76870","TC","A","Echo exam of scrotum","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76870","26","A","Echo exam of scrotum","", 0.64,"", 0.29, 0.04, 0.97,"XXX","N" "76872","","A","Echo exam, transrectal","", 0.69,"", 1.77, 0.15, 2.61,"XXX","N" "76872","TC","A","Echo exam, transrectal","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76872","26","A","Echo exam, transrectal","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "76880","","A","Echo exam of extremity","", 0.59,"", 1.62, 0.13, 2.34,"XXX","N" "76880","TC","A","Echo exam of extremity","", 0.00,"", 1.35, 0.09, 1.44,"XXX","N" "76880","26","A","Echo exam of extremity","", 0.59,"", 0.27, 0.04, 0.90,"XXX","N" "76930","","A","Echo guide for heart sac tap","", 0.67,"", 1.76, 0.15, 2.58,"XXX","N" "76930","TC","A","Echo guide for heart sac tap","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76930","26","A","Echo guide for heart sac tap","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76932","","A","Echo guide for heart biopsy","", 0.67,"", 1.76, 0.15, 2.58,"XXX","N" "76932","TC","A","Echo guide for heart biopsy","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76932","26","A","Echo guide for heart biopsy","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76934","","A","Echo guide for chest tap","", 0.67,"", 1.76, 0.15, 2.58,"XXX","N" "76934","TC","A","Echo guide for chest tap","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76934","26","A","Echo guide for chest tap","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76936","","A","Echo guide for artery repair","", 1.99,"", 7.24, 0.48, 9.71,"XXX","N" "76936","TC","A","Echo guide for artery repair","", 0.00,"", 6.00, 0.38, 6.38,"XXX","N" "76936","26","A","Echo guide for artery repair","", 1.99,"", 1.24, 0.10, 3.33,"XXX","N" "76938","","A","Echo exam for drainage","", 0.67,"", 1.76, 0.15, 2.58,"XXX","N" "76938","TC","A","Echo exam for drainage","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76938","26","A","Echo exam for drainage","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76941","","A","Echo guide for transfusion","", 1.34,"", 2.07, 0.19, 3.60,"XXX","N" "76941","TC","A","Echo guide for transfusion","", 0.00,"", 1.46, 0.09, 1.55,"XXX","N" "76941","26","A","Echo guide for transfusion","", 1.34,"", 0.61, 0.10, 2.05,"XXX","N" "76942","","A","Echo guide for biopsy","", 0.67,"", 1.76, 0.15, 2.58,"XXX","N" "76942","TC","A","Echo guide for biopsy","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76942","26","A","Echo guide for biopsy","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "76945","","A","Echo guide, villus sampling","", 0.67,"", 2.07, 0.19, 2.93,"XXX","N" "76945","TC","A","Echo guide, villus sampling","", 0.00,"", 1.46, 0.09, 1.55,"XXX","N" "76945","26","A","Echo guide, villus sampling","", 0.67,"", 0.61, 0.10, 1.38,"XXX","N" "76946","","A","Echo guide for amniocentesis","", 0.38,"", 1.62, 0.13, 2.13,"XXX","N" "76946","TC","A","Echo guide for amniocentesis","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76946","26","A","Echo guide for amniocentesis","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "76948","","A","Echo guide, ova aspiration","", 0.38,"", 1.62, 0.13, 2.13,"XXX","N" "76948","TC","A","Echo guide, ova aspiration","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76948","26","A","Echo guide, ova aspiration","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "76950","","A","Echo guidance radiotherapy","", 0.58,"", 1.51, 0.12, 2.21,"XXX","N" "76950","TC","A","Echo guidance radiotherapy","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76950","26","A","Echo guidance radiotherapy","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76960","","A","Echo guidance radiotherapy","", 0.58,"", 1.51, 0.12, 2.21,"XXX","N" "76960","TC","A","Echo guidance radiotherapy","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "76960","26","A","Echo guidance radiotherapy","", 0.58,"", 0.27, 0.04, 0.89,"XXX","N" "76965","","A","Echo guidance radiotherapy","", 1.34,"", 7.38, 0.52, 9.24,"XXX","N" "76965","TC","A","Echo guidance radiotherapy","", 0.00,"", 5.31, 0.33, 5.64,"XXX","N" "76965","26","A","Echo guidance radiotherapy","", 1.34,"", 2.07, 0.19, 3.60,"XXX","N" "76970","","A","Ultrasound exam follow-up","", 0.40,"", 1.18, 0.10, 1.68,"XXX","N" "76970","TC","A","Ultrasound exam follow-up","", 0.00,"", 1.00, 0.07, 1.07,"XXX","N" "76970","26","A","Ultrasound exam follow-up","", 0.40,"", 0.18, 0.03, 0.61,"XXX","N" "76975","","A","GI endoscopic ultrasound","", 0.81,"", 1.79, 0.15, 2.75,"XXX","N" "76975","TC","A","GI endoscopic ultrasound","", 0.00,"", 1.45, 0.10, 1.55,"XXX","N" "76975","26","A","GI endoscopic ultrasound","", 0.81,"", 0.34, 0.05, 1.20,"XXX","N" "76986","","A","Echo exam at surgery","", 1.20,"", 3.03, 0.25, 4.48,"XXX","N" "76986","TC","A","Echo exam at surgery","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "76986","26","A","Echo exam at surgery","", 1.20,"", 0.53, 0.08, 1.81,"XXX","N" "76999","","C","Echo examination procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76999","TC","C","Echo examination procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "76999","26","C","Echo examination procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77261","","A","Radiation therapy planning","", 1.39,"", 0.62, 0.09, 2.10,"XXX","N" "77262","","A","Radiation therapy planning","", 2.11,"", 0.94, 0.14, 3.19,"XXX","N" "77263","","A","Radiation therapy planning","", 3.14,"", 1.40, 0.20, 4.74,"XXX","N" "77280","","A","Set radiation therapy field","", 0.70,"", 3.63, 0.26, 4.59,"XXX","N" "77280","TC","A","Set radiation therapy field","", 0.00,"", 3.31, 0.21, 3.52,"XXX","N" "77280","26","A","Set radiation therapy field","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "77285","","A","Set radiation therapy field","", 1.05,"", 5.77, 0.41, 7.23,"XXX","N" "77285","TC","A","Set radiation therapy field","", 0.00,"", 5.31, 0.34, 5.65,"XXX","N" "77285","26","A","Set radiation therapy field","", 1.05,"", 0.46, 0.07, 1.58,"XXX","N" "77290","","A","Set radiation therapy field","", 1.56,"", 6.90, 0.50, 8.96,"XXX","N" "77290","TC","A","Set radiation therapy field","", 0.00,"", 6.20, 0.39, 6.59,"XXX","N" "77290","26","A","Set radiation therapy field","", 1.56,"", 0.70, 0.11, 2.37,"XXX","N" "77295","","A","Set radiation therapy field","", 4.57,"", 28.68, 1.93, 35.18,"XXX","N" "77295","TC","A","Set radiation therapy field","", 0.00,"", 26.62, 1.70, 28.32,"XXX","N" "77295","26","A","Set radiation therapy field","", 4.57,"", 2.06, 0.23, 6.86,"XXX","N" "77299","","C","Radiation therapy planning","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77299","TC","C","Radiation therapy planning","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77299","26","C","Radiation therapy planning","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77300","","A","Radiation therapy dose plan","", 0.62,"", 1.56, 0.12, 2.30,"XXX","N" "77300","TC","A","Radiation therapy dose plan","", 0.00,"", 1.28, 0.08, 1.36,"XXX","N" "77300","26","A","Radiation therapy dose plan","", 0.62,"", 0.28, 0.04, 0.94,"XXX","N" "77305","","A","Radiation therapy dose plan","", 0.70,"", 2.09, 0.17, 2.96,"XXX","N" "77305","TC","A","Radiation therapy dose plan","", 0.00,"", 1.77, 0.12, 1.89,"XXX","N" "77305","26","A","Radiation therapy dose plan","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "77310","","A","Radiation therapy dose plan","", 1.05,"", 2.68, 0.22, 3.95,"XXX","N" "77310","TC","A","Radiation therapy dose plan","", 0.00,"", 2.22, 0.15, 2.37,"XXX","N" "77310","26","A","Radiation therapy dose plan","", 1.05,"", 0.46, 0.07, 1.58,"XXX","N" "77315","","A","Radiation therapy dose plan","", 1.56,"", 3.23, 0.28, 5.07,"XXX","N" "77315","TC","A","Radiation therapy dose plan","", 0.00,"", 2.53, 0.17, 2.70,"XXX","N" "77315","26","A","Radiation therapy dose plan","", 1.56,"", 0.70, 0.11, 2.37,"XXX","N" "77321","","A","Radiation therapy port plan","", 0.95,"", 4.28, 0.30, 5.53,"XXX","N" "77321","TC","A","Radiation therapy port plan","", 0.00,"", 3.85, 0.24, 4.09,"XXX","N" "77321","26","A","Radiation therapy port plan","", 0.95,"", 0.43, 0.06, 1.44,"XXX","N" "77326","","A","Radiation therapy dose plan","", 0.93,"", 2.67, 0.21, 3.81,"XXX","N" "77326","TC","A","Radiation therapy dose plan","", 0.00,"", 2.25, 0.15, 2.40,"XXX","N" "77326","26","A","Radiation therapy dose plan","", 0.93,"", 0.42, 0.06, 1.41,"XXX","N" "77327","","A","Radiation therapy dose plan","", 1.39,"", 3.93, 0.30, 5.62,"XXX","N" "77327","TC","A","Radiation therapy dose plan","", 0.00,"", 3.31, 0.21, 3.52,"XXX","N" "77327","26","A","Radiation therapy dose plan","", 1.39,"", 0.62, 0.09, 2.10,"XXX","N" "77328","","A","Radiation therapy dose plan","", 2.09,"", 5.66, 0.44, 8.19,"XXX","N" "77328","TC","A","Radiation therapy dose plan","", 0.00,"", 4.73, 0.30, 5.03,"XXX","N" "77328","26","A","Radiation therapy dose plan","", 2.09,"", 0.93, 0.14, 3.16,"XXX","N" "77331","","A","Special radiation dosimetry","", 0.87,"", 0.87, 0.09, 1.83,"XXX","N" "77331","TC","A","Special radiation dosimetry","", 0.00,"", 0.48, 0.03, 0.51,"XXX","N" "77331","26","A","Special radiation dosimetry","", 0.87,"", 0.39, 0.06, 1.32,"XXX","N" "77332","","A","Radiation treatment aid(s)","", 0.54,"", 1.53, 0.12, 2.19,"XXX","N" "77332","TC","A","Radiation treatment aid(s)","", 0.00,"", 1.28, 0.08, 1.36,"XXX","N" "77332","26","A","Radiation treatment aid(s)","", 0.54,"", 0.25, 0.04, 0.83,"XXX","N" "77333","","A","Radiation treatment aid(s)","", 0.84,"", 2.19, 0.18, 3.21,"XXX","N" "77333","TC","A","Radiation treatment aid(s)","", 0.00,"", 1.81, 0.12, 1.93,"XXX","N" "77333","26","A","Radiation treatment aid(s)","", 0.84,"", 0.38, 0.06, 1.28,"XXX","N" "77334","","A","Radiation treatment aid(s)","", 1.24,"", 3.64, 0.27, 5.15,"XXX","N" "77334","TC","A","Radiation treatment aid(s)","", 0.00,"", 3.10, 0.19, 3.29,"XXX","N" "77334","26","A","Radiation treatment aid(s)","", 1.24,"", 0.54, 0.08, 1.86,"XXX","N" "77336","","A","Radiation physics consu","", 0.00,"", 2.84, 0.18, 3.02,"XXX","N" "77370","","A","Radiation physics consult","", 0.00,"", 3.33, 0.21, 3.54,"XXX","N" "77399","","C","External radiation dosimetry","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77399","TC","C","External radiation dosimetry","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77399","26","C","External radiation dosimetry","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77401","","A","Radiation treatment delivery","", 0.00,"", 1.69, 0.11, 1.80,"XXX","N" "77402","","A","Radiation treatment delivery","", 0.00,"", 1.69, 0.11, 1.80,"XXX","N" "77403","","A","Radiation treatment delivery","", 0.00,"", 1.69, 0.11, 1.80,"XXX","N" "77404","","A","Radiation treatment delivery","", 0.00,"", 1.69, 0.11, 1.80,"XXX","N" "77406","","A","Radiation treatment delivery","", 0.00,"", 1.69, 0.11, 1.80,"XXX","N" "77407","","A","Radiation treatment delivery","", 0.00,"", 1.99, 0.13, 2.12,"XXX","N" "77408","","A","Radiation treatment delivery","", 0.00,"", 1.99, 0.13, 2.12,"XXX","N" "77409","","A","Radiation treatment delivery","", 0.00,"", 1.99, 0.13, 2.12,"XXX","N" "77411","","A","Radiation treatment delivery","", 0.00,"", 1.99, 0.13, 2.12,"XXX","N" "77412","","A","Radiation treatment delivery","", 0.00,"", 2.22, 0.15, 2.37,"XXX","N" "77413","","A","Radiation treatment delivery","", 0.00,"", 2.22, 0.15, 2.37,"XXX","N" "77414","","A","Radiation treatment delivery","", 0.00,"", 2.22, 0.15, 2.37,"XXX","N" "77416","","A","Radiation treatment delivery","", 0.00,"", 2.22, 0.15, 2.37,"XXX","N" "77417","","A","Radiology port film(s)","", 0.00,"", 0.56, 0.04, 0.60,"XXX","N" "77419","","A","Weekly radiation therapy","", 3.60,"", 1.61, 0.23, 5.44,"XXX","N" "77420","","A","Weekly radiation therapy","", 1.61,"", 0.72, 0.11, 2.44,"XXX","N" "77425","","A","Weekly radiation therapy","", 2.44,"", 1.10, 0.17, 3.71,"XXX","N" "77430","","A","Weekly radiation therapy","", 3.60,"", 1.61, 0.23, 5.44,"XXX","N" "77431","","A","Radiation therapy management","", 1.81,"", 0.81, 0.12, 2.74,"XXX","N" "77432","","A","Stereotactic radiation trmt","", 7.93,"", 4.94, 0.40, 13.27,"XXX","N" "77470","","A","Special radiation treatment","", 2.09,"", 11.55, 0.80, 14.44,"XXX","N" "77470","TC","A","Special radiation treatment","", 0.00,"", 10.62, 0.66, 11.28,"XXX","N" "77470","26","A","Special radiation treatment","", 2.09,"", 0.93, 0.14, 3.16,"XXX","N" "77499","","C","Radiation therapy management","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77499","TC","C","Radiation therapy management","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77499","26","C","Radiation therapy management","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77600","","A","Hyperthermia treatment","", 1.56,"", 3.60, 0.29, 5.45,"ZZZ","N" "77600","TC","A","Hyperthermia treatment","", 0.00,"", 2.90, 0.18, 3.08,"ZZZ","N" "77600","26","A","Hyperthermia treatment","", 1.56,"", 0.70, 0.11, 2.37,"ZZZ","N" "77605","","A","Hyperthermia treatment","", 2.09,"", 4.80, 0.39, 7.28,"ZZZ","N" "77605","TC","A","Hyperthermia treatment","", 0.00,"", 3.87, 0.25, 4.12,"ZZZ","N" "77605","26","A","Hyperthermia treatment","", 2.09,"", 0.93, 0.14, 3.16,"ZZZ","N" "77610","","A","Hyperthermia treatment","", 1.56,"", 3.60, 0.29, 5.45,"ZZZ","N" "77610","TC","A","Hyperthermia treatment","", 0.00,"", 2.90, 0.18, 3.08,"ZZZ","N" "77610","26","A","Hyperthermia treatment","", 1.56,"", 0.70, 0.11, 2.37,"ZZZ","N" "77615","","A","Hyperthermia treatment","", 2.09,"", 4.80, 0.39, 7.28,"ZZZ","N" "77615","TC","A","Hyperthermia treatment","", 0.00,"", 3.87, 0.25, 4.12,"ZZZ","N" "77615","26","A","Hyperthermia treatment","", 2.09,"", 0.93, 0.14, 3.16,"ZZZ","N" "77620","","A","Hyperthermia treatment","", 1.56,"", 3.60, 0.29, 5.45,"ZZZ","N" "77620","TC","A","Hyperthermia treatment","", 0.00,"", 2.90, 0.18, 3.08,"ZZZ","N" "77620","26","A","Hyperthermia treatment","", 1.56,"", 0.70, 0.11, 2.37,"ZZZ","N" "77750","","A","Infuse radioactive materials","", 4.59,"", 3.32, 0.38, 8.29,"090","N" "77750","TC","A","Infuse radioactive materials","", 0.00,"", 1.27, 0.08, 1.35,"090","N" "77750","26","A","Infuse radioactive materials","", 4.59,"", 2.05, 0.30, 6.94,"090","N" "77761","","A","Radioelement application","", 3.56,"", 3.98, 0.39, 7.93,"090","N" "77761","TC","A","Radioelement application","", 0.00,"", 2.39, 0.16, 2.55,"090","N" "77761","26","A","Radioelement application","", 3.56,"", 1.59, 0.23, 5.38,"090","N" "77762","","A","Radioelement application","", 5.35,"", 5.83, 0.57, 11.75,"090","N" "77762","TC","A","Radioelement application","", 0.00,"", 3.44, 0.22, 3.66,"090","N" "77762","26","A","Radioelement application","", 5.35,"", 2.39, 0.35, 8.09,"090","N" "77763","","A","Radioelement application","", 8.01,"", 7.86, 0.77, 16.64,"090","N" "77763","TC","A","Radioelement application","", 0.00,"", 4.28, 0.27, 4.55,"090","N" "77763","26","A","Radioelement application","", 8.01,"", 3.58, 0.50, 12.09,"090","N" "77776","","A","Radioelement application","", 4.66,"", 4.16, 0.45, 9.27,"XXX","N" "77776","TC","A","Radioelement application","", 0.00,"", 2.07, 0.14, 2.21,"XXX","N" "77776","26","A","Radioelement application","", 4.66,"", 2.09, 0.31, 7.06,"XXX","N" "77777","","A","Radioelement application","", 6.99,"", 7.17, 0.71, 14.87,"090","N" "77777","TC","A","Radioelement application","", 0.00,"", 4.04, 0.26, 4.30,"090","N" "77777","26","A","Radioelement application","", 6.99,"", 3.13, 0.45, 10.57,"090","N" "77778","","A","Radioelement application","", 10.46,"", 9.58, 0.98, 21.02,"090","N" "77778","TC","A","Radioelement application","", 0.00,"", 4.89, 0.31, 5.20,"090","N" "77778","26","A","Radioelement application","", 10.46,"", 4.69, 0.67, 15.82,"090","N" "77781","","A","High intensity brachytherapy","", 1.55,"", 20.04, 1.32, 22.91,"090","N" "77781","TC","A","High intensity brachytherapy","", 0.00,"", 19.35, 1.21, 20.56,"090","N" "77781","26","A","High intensity brachytherapy","", 1.55,"", 0.69, 0.11, 2.35,"090","N" "77782","","A","High intensity brachytherapy","", 2.33,"", 20.40, 1.37, 24.10,"090","N" "77782","TC","A","High intensity brachytherapy","", 0.00,"", 19.35, 1.21, 20.56,"090","N" "77782","26","A","High intensity brachytherapy","", 2.33,"", 1.05, 0.16, 3.54,"090","N" "77783","","A","High intensity brachytherapy","", 3.49,"", 20.90, 1.44, 25.83,"090","N" "77783","TC","A","High intensity brachytherapy","", 0.00,"", 19.35, 1.21, 20.56,"090","N" "77783","26","A","High intensity brachytherapy","", 3.49,"", 1.55, 0.23, 5.27,"090","N" "77784","","A","High intensity brachytherapy","", 5.24,"", 21.69, 1.56, 28.49,"090","N" "77784","TC","A","High intensity brachytherapy","", 0.00,"", 19.35, 1.21, 20.56,"090","N" "77784","26","A","High intensity brachytherapy","", 5.24,"", 2.34, 0.35, 7.93,"090","N" "77789","","A","Radioelement application","", 1.05,"", 0.89, 0.10, 2.04,"090","N" "77789","TC","A","Radioelement application","", 0.00,"", 0.43, 0.03, 0.46,"090","N" "77789","26","A","Radioelement application","", 1.05,"", 0.46, 0.07, 1.58,"090","N" "77790","","A","Radioelement handling","", 1.05,"", 0.94, 0.10, 2.09,"XXX","N" "77790","TC","A","Radioelement handling","", 0.00,"", 0.48, 0.03, 0.51,"XXX","N" "77790","26","A","Radioelement handling","", 1.05,"", 0.46, 0.07, 1.58,"XXX","N" "77799","","C","Radium/radioisotope therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77799","TC","C","Radium/radioisotope therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "77799","26","C","Radium/radioisotope therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78000","","A","Thyroid, single uptake","", 0.19,"", 1.01, 0.07, 1.27,"XXX","N" "78000","TC","A","Thyroid, single uptake","", 0.00,"", 0.92, 0.06, 0.98,"XXX","N" "78000","26","A","Thyroid, single uptake","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "78001","","A","Thyroid, multiple uptakes","", 0.26,"", 1.36, 0.10, 1.72,"XXX","N" "78001","TC","A","Thyroid, multiple uptakes","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "78001","26","A","Thyroid, multiple uptakes","", 0.26,"", 0.12, 0.02, 0.40,"XXX","N" "78003","","A","Thyroid suppress/stimul","", 0.33,"", 1.07, 0.08, 1.48,"XXX","N" "78003","TC","A","Thyroid suppress/stimul","", 0.00,"", 0.92, 0.06, 0.98,"XXX","N" "78003","26","A","Thyroid suppress/stimul","", 0.33,"", 0.15, 0.02, 0.50,"XXX","N" "78006","","A","Thyroid,imaging with uptake","", 0.49,"", 2.49, 0.18, 3.16,"XXX","N" "78006","TC","A","Thyroid,imaging with uptake","", 0.00,"", 2.27, 0.15, 2.42,"XXX","N" "78006","26","A","Thyroid,imaging with uptake","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78007","","A","Thyroid, image, mult uptakes","", 0.50,"", 2.68, 0.19, 3.37,"XXX","N" "78007","TC","A","Thyroid, image, mult uptakes","", 0.00,"", 2.45, 0.16, 2.61,"XXX","N" "78007","26","A","Thyroid, image, mult uptakes","", 0.50,"", 0.23, 0.03, 0.76,"XXX","N" "78010","","A","Thyroid imaging","", 0.39,"", 1.90, 0.14, 2.43,"XXX","N" "78010","TC","A","Thyroid imaging","", 0.00,"", 1.73, 0.11, 1.84,"XXX","N" "78010","26","A","Thyroid imaging","", 0.39,"", 0.17, 0.03, 0.59,"XXX","N" "78011","","A","Thyroid imaging with flow","", 0.45,"", 2.50, 0.18, 3.13,"XXX","N" "78011","TC","A","Thyroid imaging with flow","", 0.00,"", 2.29, 0.15, 2.44,"XXX","N" "78011","26","A","Thyroid imaging with flow","", 0.45,"", 0.21, 0.03, 0.69,"XXX","N" "78015","","A","Thyroid met imaging","", 0.67,"", 2.76, 0.21, 3.64,"XXX","N" "78015","TC","A","Thyroid met imaging","", 0.00,"", 2.45, 0.16, 2.61,"XXX","N" "78015","26","A","Thyroid met imaging","", 0.67,"", 0.31, 0.05, 1.03,"XXX","N" "78016","","A","Thyroid met imaging/studies","", 0.82,"", 3.70, 0.27, 4.79,"XXX","N" "78016","TC","A","Thyroid met imaging/studies","", 0.00,"", 3.32, 0.21, 3.53,"XXX","N" "78016","26","A","Thyroid met imaging/studies","", 0.82,"", 0.38, 0.06, 1.26,"XXX","N" "78017","","A","Thyroid met imaging, mult","", 0.87,"", 3.94, 0.28, 5.09,"XXX","N" "78017","TC","A","Thyroid met imaging, mult","", 0.00,"", 3.55, 0.22, 3.77,"XXX","N" "78017","26","A","Thyroid met imaging, mult","", 0.87,"", 0.39, 0.06, 1.32,"XXX","N" "78018","","A","Thyroid, met imaging, body","", 0.95,"", 5.60, 0.39, 6.94,"XXX","N" "78018","TC","A","Thyroid, met imaging, body","", 0.00,"", 5.17, 0.33, 5.50,"XXX","N" "78018","26","A","Thyroid, met imaging, body","", 0.95,"", 0.43, 0.06, 1.44,"XXX","N" "78070","","A","Parathyroid nuclear imaging","", 0.51,"", 1.96, 0.15, 2.62,"XXX","N" "78070","TC","A","Parathyroid nuclear imaging","", 0.00,"", 1.73, 0.11, 1.84,"XXX","N" "78070","26","A","Parathyroid nuclear imaging","", 0.51,"", 0.23, 0.04, 0.78,"XXX","N" "78075","","A","Adrenal nuclear imaging","", 0.74,"", 5.51, 0.38, 6.63,"XXX","N" "78075","TC","A","Adrenal nuclear imaging","", 0.00,"", 5.17, 0.33, 5.50,"XXX","N" "78075","26","A","Adrenal nuclear imaging","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "78099","","C","Endocrine nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78099","TC","C","Endocrine nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78099","26","C","Endocrine nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78102","","A","Bone marrow imaging, ltd","", 0.55,"", 2.19, 0.17, 2.91,"XXX","N" "78102","TC","A","Bone marrow imaging, ltd","", 0.00,"", 1.94, 0.13, 2.07,"XXX","N" "78102","26","A","Bone marrow imaging, ltd","", 0.55,"", 0.25, 0.04, 0.84,"XXX","N" "78103","","A","Bone marrow imaging, mult","", 0.75,"", 3.36, 0.24, 4.35,"XXX","N" "78103","TC","A","Bone marrow imaging, mult","", 0.00,"", 3.02, 0.19, 3.21,"XXX","N" "78103","26","A","Bone marrow imaging, mult","", 0.75,"", 0.34, 0.05, 1.14,"XXX","N" "78104","","A","Bone marrow imaging, body","", 0.80,"", 4.25, 0.30, 5.35,"XXX","N" "78104","TC","A","Bone marrow imaging, body","", 0.00,"", 3.88, 0.25, 4.13,"XXX","N" "78104","26","A","Bone marrow imaging, body","", 0.80,"", 0.37, 0.05, 1.22,"XXX","N" "78110","","A","Plasma volume, single","", 0.19,"", 0.99, 0.07, 1.25,"XXX","N" "78110","TC","A","Plasma volume, single","", 0.00,"", 0.90, 0.06, 0.96,"XXX","N" "78110","26","A","Plasma volume, single","", 0.19,"", 0.09, 0.01, 0.29,"XXX","N" "78111","","A","Plasma volume, multiple","", 0.22,"", 2.55, 0.18, 2.95,"XXX","N" "78111","TC","A","Plasma volume, multiple","", 0.00,"", 2.45, 0.16, 2.61,"XXX","N" "78111","26","A","Plasma volume, multiple","", 0.22,"", 0.10, 0.02, 0.34,"XXX","N" "78120","","A","Red cell mass, single","", 0.23,"", 1.76, 0.13, 2.12,"XXX","N" "78120","TC","A","Red cell mass, single","", 0.00,"", 1.65, 0.11, 1.76,"XXX","N" "78120","26","A","Red cell mass, single","", 0.23,"", 0.11, 0.02, 0.36,"XXX","N" "78121","","A","Red cell mass, multiple","", 0.32,"", 2.92, 0.19, 3.43,"XXX","N" "78121","TC","A","Red cell mass, multiple","", 0.00,"", 2.77, 0.17, 2.94,"XXX","N" "78121","26","A","Red cell mass, multiple","", 0.32,"", 0.15, 0.02, 0.49,"XXX","N" "78122","","A","Blood volume","", 0.45,"", 4.59, 0.31, 5.35,"XXX","N" "78122","TC","A","Blood volume","", 0.00,"", 4.39, 0.28, 4.67,"XXX","N" "78122","26","A","Blood volume","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "78130","","A","Red cell survival study","", 0.61,"", 3.00, 0.21, 3.82,"XXX","N" "78130","TC","A","Red cell survival study","", 0.00,"", 2.72, 0.17, 2.89,"XXX","N" "78130","26","A","Red cell survival study","", 0.61,"", 0.28, 0.04, 0.93,"XXX","N" "78135","","A","Red cell survival kinetics","", 0.64,"", 4.93, 0.34, 5.91,"XXX","N" "78135","TC","A","Red cell survival kinetics","", 0.00,"", 4.64, 0.30, 4.94,"XXX","N" "78135","26","A","Red cell survival kinetics","", 0.64,"", 0.29, 0.04, 0.97,"XXX","N" "78140","","A","Red cell sequestration","", 0.61,"", 4.03, 0.28, 4.92,"XXX","N" "78140","TC","A","Red cell sequestration","", 0.00,"", 3.75, 0.24, 3.99,"XXX","N" "78140","26","A","Red cell sequestration","", 0.61,"", 0.28, 0.04, 0.93,"XXX","N" "78160","","A","Plasma iron turnover","", 0.33,"", 3.64, 0.24, 4.21,"XXX","N" "78160","TC","A","Plasma iron turnover","", 0.00,"", 3.49, 0.22, 3.71,"XXX","N" "78160","26","A","Plasma iron turnover","", 0.33,"", 0.15, 0.02, 0.50,"XXX","N" "78162","","A","Iron absorption exam","", 0.45,"", 3.25, 0.22, 3.92,"XXX","N" "78162","TC","A","Iron absorption exam","", 0.00,"", 3.05, 0.19, 3.24,"XXX","N" "78162","26","A","Iron absorption exam","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "78170","","A","Red cell iron utilization","", 0.41,"", 5.24, 0.35, 6.00,"XXX","N" "78170","TC","A","Red cell iron utilization","", 0.00,"", 5.06, 0.32, 5.38,"XXX","N" "78170","26","A","Red cell iron utilization","", 0.41,"", 0.18, 0.03, 0.62,"XXX","N" "78172","","C","Total body iron estimation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78172","TC","C","Total body iron estimation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78172","26","A","Total body iron estimation","", 0.53,"", 0.25, 0.04, 0.82,"XXX","N" "78185","","A","Spleen imaging","", 0.40,"", 2.43, 0.18, 3.01,"XXX","N" "78185","TC","A","Spleen imaging","", 0.00,"", 2.25, 0.15, 2.40,"XXX","N" "78185","26","A","Spleen imaging","", 0.40,"", 0.18, 0.03, 0.61,"XXX","N" "78190","","A","Platelet survival, kinetics","", 1.09,"", 5.93, 0.42, 7.44,"XXX","N" "78190","TC","A","Platelet survival, kinetics","", 0.00,"", 5.45, 0.35, 5.80,"XXX","N" "78190","26","A","Platelet survival, kinetics","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "78191","","A","Platelet survival","", 0.61,"", 7.27, 0.48, 8.36,"XXX","N" "78191","TC","A","Platelet survival","", 0.00,"", 6.99, 0.44, 7.43,"XXX","N" "78191","26","A","Platelet survival","", 0.61,"", 0.28, 0.04, 0.93,"XXX","N" "78195","","A","Lymph system imaging","", 0.70,"", 4.20, 0.30, 5.20,"XXX","N" "78195","TC","A","Lymph system imaging","", 0.00,"", 3.88, 0.25, 4.13,"XXX","N" "78195","26","A","Lymph system imaging","", 0.70,"", 0.32, 0.05, 1.07,"XXX","N" "78199","","C","Blood/lymph nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78199","TC","C","Blood/lymph nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78199","26","C","Blood/lymph nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78201","","A","Liver imaging","", 0.44,"", 2.44, 0.18, 3.06,"XXX","N" "78201","TC","A","Liver imaging","", 0.00,"", 2.25, 0.15, 2.40,"XXX","N" "78201","26","A","Liver imaging","", 0.44,"", 0.19, 0.03, 0.66,"XXX","N" "78202","","A","Liver imaging with flow","", 0.51,"", 2.98, 0.21, 3.70,"XXX","N" "78202","TC","A","Liver imaging with flow","", 0.00,"", 2.75, 0.17, 2.92,"XXX","N" "78202","26","A","Liver imaging with flow","", 0.51,"", 0.23, 0.04, 0.78,"XXX","N" "78205","","A","Liver imaging (3D)","", 0.71,"", 5.96, 0.41, 7.08,"XXX","N" "78205","TC","A","Liver imaging (3D)","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "78205","26","A","Liver imaging (3D)","", 0.71,"", 0.33, 0.05, 1.09,"XXX","N" "78215","","A","Liver and spleen imaging","", 0.49,"", 3.02, 0.20, 3.71,"XXX","N" "78215","TC","A","Liver and spleen imaging","", 0.00,"", 2.80, 0.17, 2.97,"XXX","N" "78215","26","A","Liver and spleen imaging","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78216","","A","Liver & spleen image, flow","", 0.57,"", 3.58, 0.25, 4.40,"XXX","N" "78216","TC","A","Liver & spleen image, flow","", 0.00,"", 3.32, 0.21, 3.53,"XXX","N" "78216","26","A","Liver & spleen image, flow","", 0.57,"", 0.26, 0.04, 0.87,"XXX","N" "78220","","A","Liver function study","", 0.49,"", 3.77, 0.25, 4.51,"XXX","N" "78220","TC","A","Liver function study","", 0.00,"", 3.55, 0.22, 3.77,"XXX","N" "78220","26","A","Liver function study","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78223","","A","Hepatobiliary imaging","", 0.84,"", 3.87, 0.28, 4.99,"XXX","N" "78223","TC","A","Hepatobiliary imaging","", 0.00,"", 3.49, 0.22, 3.71,"XXX","N" "78223","26","A","Hepatobiliary imaging","", 0.84,"", 0.38, 0.06, 1.28,"XXX","N" "78230","","A","Salivary gland imaging","", 0.45,"", 2.28, 0.17, 2.90,"XXX","N" "78230","TC","A","Salivary gland imaging","", 0.00,"", 2.07, 0.14, 2.21,"XXX","N" "78230","26","A","Salivary gland imaging","", 0.45,"", 0.21, 0.03, 0.69,"XXX","N" "78231","","A","Serial salivary imaging","", 0.52,"", 3.26, 0.23, 4.01,"XXX","N" "78231","TC","A","Serial salivary imaging","", 0.00,"", 3.02, 0.19, 3.21,"XXX","N" "78231","26","A","Serial salivary imaging","", 0.52,"", 0.24, 0.04, 0.80,"XXX","N" "78232","","A","Salivary gland function exam","", 0.47,"", 3.59, 0.24, 4.30,"XXX","N" "78232","TC","A","Salivary gland function exam","", 0.00,"", 3.37, 0.21, 3.58,"XXX","N" "78232","26","A","Salivary gland function exam","", 0.47,"", 0.22, 0.03, 0.72,"XXX","N" "78258","","A","Esophageal motility study","", 0.74,"", 3.09, 0.22, 4.05,"XXX","N" "78258","TC","A","Esophageal motility study","", 0.00,"", 2.75, 0.17, 2.92,"XXX","N" "78258","26","A","Esophageal motility study","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "78261","","A","Gastric mucosa imaging","", 0.69,"", 4.23, 0.30, 5.22,"XXX","N" "78261","TC","A","Gastric mucosa imaging","", 0.00,"", 3.91, 0.25, 4.16,"XXX","N" "78261","26","A","Gastric mucosa imaging","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "78262","","A","Gastroesophageal reflux exam","", 0.68,"", 4.36, 0.31, 5.35,"XXX","N" "78262","TC","A","Gastroesophageal reflux exam","", 0.00,"", 4.05, 0.26, 4.31,"XXX","N" "78262","26","A","Gastroesophageal reflux exam","", 0.68,"", 0.31, 0.05, 1.04,"XXX","N" "78264","","A","Gastric emptying study","", 0.78,"", 4.29, 0.30, 5.37,"XXX","N" "78264","TC","A","Gastric emptying study","", 0.00,"", 3.93, 0.25, 4.18,"XXX","N" "78264","26","A","Gastric emptying study","", 0.78,"", 0.36, 0.05, 1.19,"XXX","N" "78270","","A","Vit B-12 absorption exam","", 0.20,"", 1.57, 0.11, 1.88,"XXX","N" "78270","TC","A","Vit B-12 absorption exam","", 0.00,"", 1.47, 0.10, 1.57,"XXX","N" "78270","26","A","Vit B-12 absorption exam","", 0.20,"", 0.10, 0.01, 0.31,"XXX","N" "78271","","A","Vit B-12 absorp exam, IF","", 0.20,"", 1.67, 0.11, 1.98,"XXX","N" "78271","TC","A","Vit B-12 absorp exam, IF","", 0.00,"", 1.57, 0.10, 1.67,"XXX","N" "78271","26","A","Vit B-12 absorp exam, IF","", 0.20,"", 0.10, 0.01, 0.31,"XXX","N" "78272","","A","Vit B-12 absorp, combined","", 0.27,"", 2.34, 0.17, 2.78,"XXX","N" "78272","TC","A","Vit B-12 absorp, combined","", 0.00,"", 2.21, 0.15, 2.36,"XXX","N" "78272","26","A","Vit B-12 absorp, combined","", 0.27,"", 0.13, 0.02, 0.42,"XXX","N" "78278","","A","Acute GI blood loss imaging","", 0.99,"", 5.09, 0.37, 6.45,"XXX","N" "78278","TC","A","Acute GI blood loss imaging","", 0.00,"", 4.64, 0.30, 4.94,"XXX","N" "78278","26","A","Acute GI blood loss imaging","", 0.99,"", 0.45, 0.07, 1.51,"XXX","N" "78282","","C","GI protein loss exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78282","TC","C","GI protein loss exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78282","26","A","GI protein loss exam","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "78290","","A","Meckel's divert exam","", 0.68,"", 3.21, 0.23, 4.12,"XXX","N" "78290","TC","A","Meckel's divert exam","", 0.00,"", 2.90, 0.18, 3.08,"XXX","N" "78290","26","A","Meckel's divert exam","", 0.68,"", 0.31, 0.05, 1.04,"XXX","N" "78291","","A","Leveen/shunt patency exam","", 0.88,"", 3.31, 0.24, 4.43,"XXX","N" "78291","TC","A","Leveen/shunt patency exam","", 0.00,"", 2.92, 0.18, 3.10,"XXX","N" "78291","26","A","Leveen/shunt patency exam","", 0.88,"", 0.39, 0.06, 1.33,"XXX","N" "78299","","C","GI nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78299","TC","C","GI nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78299","26","C","GI nuclear procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78300","","A","Bone imaging, limited area","", 0.62,"", 2.66, 0.20, 3.48,"XXX","N" "78300","TC","A","Bone imaging, limited area","", 0.00,"", 2.37, 0.16, 2.53,"XXX","N" "78300","26","A","Bone imaging, limited area","", 0.62,"", 0.29, 0.04, 0.95,"XXX","N" "78305","","A","Bone imaging, multiple areas","", 0.83,"", 3.87, 0.28, 4.98,"XXX","N" "78305","TC","A","Bone imaging, multiple areas","", 0.00,"", 3.49, 0.22, 3.71,"XXX","N" "78305","26","A","Bone imaging, multiple areas","", 0.83,"", 0.38, 0.06, 1.27,"XXX","N" "78306","","A","Bone imaging, whole body","", 0.86,"", 4.46, 0.32, 5.64,"XXX","N" "78306","TC","A","Bone imaging, whole body","", 0.00,"", 4.07, 0.26, 4.33,"XXX","N" "78306","26","A","Bone imaging, whole body","", 0.86,"", 0.39, 0.06, 1.31,"XXX","N" "78315","","A","Bone imaging, 3 phase","", 1.02,"", 5.00, 0.36, 6.38,"XXX","N" "78315","TC","A","Bone imaging, 3 phase","", 0.00,"", 4.55, 0.29, 4.84,"XXX","N" "78315","26","A","Bone imaging, 3 phase","", 1.02,"", 0.45, 0.07, 1.54,"XXX","N" "78320","","A","Bone imaging (3D)","", 1.04,"", 6.09, 0.43, 7.56,"XXX","N" "78320","TC","A","Bone imaging (3D)","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "78320","26","A","Bone imaging (3D)","", 1.04,"", 0.46, 0.07, 1.57,"XXX","N" "78350","","A","Bone mineral, single photon","", 0.22,"", 0.82, 0.07, 1.11,"XXX","N" "78350","TC","A","Bone mineral, single photon","", 0.00,"", 0.72, 0.05, 0.77,"XXX","N" "78350","26","A","Bone mineral, single photon","", 0.22,"", 0.10, 0.02, 0.34,"XXX","N" "78351","","N","Bone mineral, dual photon","#", 0.30,"", 0.19, 0.02, 0.51,"XXX","0" "78399","","C","Musculoskeletal nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78399","TC","C","Musculoskeletal nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78399","26","C","Musculoskeletal nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78414","","C","Non-imaging heart function","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78414","TC","C","Non-imaging heart function","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78414","26","A","Non-imaging heart function","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "78428","","A","Cardiac shunt imaging","", 0.78,"", 2.51, 0.19, 3.48,"XXX","N" "78428","TC","A","Cardiac shunt imaging","", 0.00,"", 2.15, 0.14, 2.29,"XXX","N" "78428","26","A","Cardiac shunt imaging","", 0.78,"", 0.36, 0.05, 1.19,"XXX","N" "78445","","A","Vascular flow imaging","", 0.49,"", 2.01, 0.15, 2.65,"XXX","N" "78445","TC","A","Vascular flow imaging","", 0.00,"", 1.77, 0.11, 1.88,"XXX","N" "78445","26","A","Vascular flow imaging","", 0.49,"", 0.24, 0.04, 0.77,"XXX","N" "78455","","A","Venous thrombosis study","", 0.73,"", 4.13, 0.29, 5.15,"XXX","N" "78455","TC","A","Venous thrombosis study","", 0.00,"", 3.80, 0.24, 4.04,"XXX","N" "78455","26","A","Venous thrombosis study","", 0.73,"", 0.33, 0.05, 1.11,"XXX","N" "78457","","A","Venous thrombosis imaging","", 0.77,"", 2.88, 0.22, 3.87,"XXX","N" "78457","TC","A","Venous thrombosis imaging","", 0.00,"", 2.53, 0.17, 2.70,"XXX","N" "78457","26","A","Venous thrombosis imaging","", 0.77,"", 0.35, 0.05, 1.17,"XXX","N" "78458","","A","Ven thrombosis images, bilat","", 0.90,"", 4.23, 0.30, 5.43,"XXX","N" "78458","TC","A","Ven thrombosis images, bilat","", 0.00,"", 3.83, 0.24, 4.07,"XXX","N" "78458","26","A","Ven thrombosis images, bilat","", 0.90,"", 0.40, 0.06, 1.36,"XXX","N" "78459","","G","Heart muscle imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78459","TC","G","Heart muscle imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78459","26","G","Heart muscle imaging (PET)","#", 1.88,"", 1.34, 0.10, 3.32,"XXX","0" "78460","","A","Heart muscle blood single","", 0.86,"", 2.64, 0.21, 3.71,"XXX","N" "78460","TC","A","Heart muscle blood single","", 0.00,"", 2.25, 0.15, 2.40,"XXX","N" "78460","26","A","Heart muscle blood single","", 0.86,"", 0.39, 0.06, 1.31,"XXX","N" "78461","","A","Heart muscle blood multiple","", 1.23,"", 5.04, 0.37, 6.64,"XXX","N" "78461","TC","A","Heart muscle blood multiple","", 0.00,"", 4.50, 0.29, 4.79,"XXX","N" "78461","26","A","Heart muscle blood multiple","", 1.23,"", 0.54, 0.08, 1.85,"XXX","N" "78464","","A","Heart image (3D) single","", 1.09,"", 7.22, 0.50, 8.81,"XXX","N" "78464","TC","A","Heart image (3D) single","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "78464","26","A","Heart image (3D) single","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "78465","","A","Heart image (3D) multiple","", 1.46,"", 11.89, 0.80, 14.15,"XXX","N" "78465","TC","A","Heart image (3D) multiple","", 0.00,"", 11.24, 0.70, 11.94,"XXX","N" "78465","26","A","Heart image (3D) multiple","", 1.46,"", 0.65, 0.10, 2.21,"XXX","N" "78466","","A","Heart infarct image","", 0.69,"", 2.82, 0.22, 3.73,"XXX","N" "78466","TC","A","Heart infarct image","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "78466","26","A","Heart infarct image","", 0.69,"", 0.32, 0.05, 1.06,"XXX","N" "78468","","A","Heart infarct image, EF","", 0.80,"", 3.85, 0.27, 4.92,"XXX","N" "78468","TC","A","Heart infarct image, EF","", 0.00,"", 3.49, 0.22, 3.71,"XXX","N" "78468","26","A","Heart infarct image, EF","", 0.80,"", 0.36, 0.05, 1.21,"XXX","N" "78469","","A","Heart infarct image (3D)","", 0.92,"", 5.39, 0.38, 6.69,"XXX","N" "78469","TC","A","Heart infarct image (3D)","", 0.00,"", 4.98, 0.32, 5.30,"XXX","N" "78469","26","A","Heart infarct image (3D)","", 0.92,"", 0.41, 0.06, 1.39,"XXX","N" "78472","","A","Gated heart, resting","", 0.98,"", 5.69, 0.41, 7.08,"XXX","N" "78472","TC","A","Gated heart, resting","", 0.00,"", 5.25, 0.34, 5.59,"XXX","N" "78472","26","A","Gated heart, resting","", 0.98,"", 0.44, 0.07, 1.49,"XXX","N" "78473","","A","Gated heart, multiple","", 1.47,"", 8.52, 0.59, 10.58,"XXX","N" "78473","TC","A","Gated heart, multiple","", 0.00,"", 7.87, 0.49, 8.36,"XXX","N" "78473","26","A","Gated heart, multiple","", 1.47,"", 0.65, 0.10, 2.22,"XXX","N" "78478","","A","Heart wall motion (add-on)","", 0.62,"", 1.76, 0.14, 2.52,"XXX","N" "78478","TC","A","Heart wall motion (add-on)","", 0.00,"", 1.48, 0.10, 1.58,"XXX","N" "78478","26","A","Heart wall motion (add-on)","", 0.62,"", 0.28, 0.04, 0.94,"XXX","N" "78480","","A","Heart function, (add-on)","", 0.62,"", 1.76, 0.14, 2.52,"XXX","N" "78480","TC","A","Heart function, (add-on)","", 0.00,"", 1.48, 0.10, 1.58,"XXX","N" "78480","26","A","Heart function, (add-on)","", 0.62,"", 0.28, 0.04, 0.94,"XXX","N" "78481","","A","Heart first pass single","", 0.98,"", 5.42, 0.39, 6.79,"XXX","N" "78481","TC","A","Heart first pass single","", 0.00,"", 4.98, 0.32, 5.30,"XXX","N" "78481","26","A","Heart first pass single","", 0.98,"", 0.44, 0.07, 1.49,"XXX","N" "78483","","A","Heart first pass multiple","", 1.47,"", 8.15, 0.57, 10.19,"XXX","N" "78483","TC","A","Heart first pass multiple","", 0.00,"", 7.50, 0.47, 7.97,"XXX","N" "78483","26","A","Heart first pass multiple","", 1.47,"", 0.65, 0.10, 2.22,"XXX","N" "78499","","C","Cardiovascular nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78499","TC","C","Cardiovascular nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78499","26","C","Cardiovascular nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78580","","A","Lung perfusion imaging","", 0.74,"", 3.61, 0.26, 4.61,"XXX","N" "78580","TC","A","Lung perfusion imaging","", 0.00,"", 3.27, 0.21, 3.48,"XXX","N" "78580","26","A","Lung perfusion imaging","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "78584","","A","Lung V/Q image single breath","", 0.99,"", 3.50, 0.26, 4.75,"XXX","N" "78584","TC","A","Lung V/Q image single breath","", 0.00,"", 3.05, 0.19, 3.24,"XXX","N" "78584","26","A","Lung V/Q image single breath","", 0.99,"", 0.45, 0.07, 1.51,"XXX","N" "78585","","A","Lung V/Q imaging","", 1.09,"", 5.85, 0.41, 7.35,"XXX","N" "78585","TC","A","Lung V/Q imaging","", 0.00,"", 5.37, 0.34, 5.71,"XXX","N" "78585","26","A","Lung V/Q imaging","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "78586","","A","Aerosol lung image, single","", 0.40,"", 2.65, 0.19, 3.24,"XXX","N" "78586","TC","A","Aerosol lung image, single","", 0.00,"", 2.47, 0.16, 2.63,"XXX","N" "78586","26","A","Aerosol lung image, single","", 0.40,"", 0.18, 0.03, 0.61,"XXX","N" "78587","","A","Aerosol lung image, multiple","", 0.49,"", 2.89, 0.20, 3.58,"XXX","N" "78587","TC","A","Aerosol lung image, multiple","", 0.00,"", 2.67, 0.17, 2.84,"XXX","N" "78587","26","A","Aerosol lung image, multiple","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78591","","A","Vent image, 1 breath, 1 proj","", 0.40,"", 2.90, 0.20, 3.50,"XXX","N" "78591","TC","A","Vent image, 1 breath, 1 proj","", 0.00,"", 2.72, 0.17, 2.89,"XXX","N" "78591","26","A","Vent image, 1 breath, 1 proj","", 0.40,"", 0.18, 0.03, 0.61,"XXX","N" "78593","","A","Vent image, 1 proj, gas","", 0.49,"", 3.51, 0.24, 4.24,"XXX","N" "78593","TC","A","Vent image, 1 proj, gas","", 0.00,"", 3.29, 0.21, 3.50,"XXX","N" "78593","26","A","Vent image, 1 proj, gas","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78594","","A","Vent image, mult proj, gas","", 0.53,"", 5.00, 0.34, 5.87,"XXX","N" "78594","TC","A","Vent image, mult proj, gas","", 0.00,"", 4.75, 0.30, 5.05,"XXX","N" "78594","26","A","Vent image, mult proj, gas","", 0.53,"", 0.25, 0.04, 0.82,"XXX","N" "78596","","A","Lung differential function","", 1.27,"", 7.30, 0.52, 9.09,"XXX","N" "78596","TC","A","Lung differential function","", 0.00,"", 6.74, 0.43, 7.17,"XXX","N" "78596","26","A","Lung differential function","", 1.27,"", 0.56, 0.09, 1.92,"XXX","N" "78599","","C","Respiratory nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78599","TC","C","Respiratory nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78599","26","C","Respiratory nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78600","","A","Brain imaging, ltd static","", 0.44,"", 2.95, 0.20, 3.59,"XXX","N" "78600","TC","A","Brain imaging, ltd static","", 0.00,"", 2.75, 0.17, 2.92,"XXX","N" "78600","26","A","Brain imaging, ltd static","", 0.44,"", 0.20, 0.03, 0.67,"XXX","N" "78601","","A","Brain ltd imaging & flow","", 0.51,"", 3.48, 0.24, 4.23,"XXX","N" "78601","TC","A","Brain ltd imaging & flow","", 0.00,"", 3.24, 0.20, 3.44,"XXX","N" "78601","26","A","Brain ltd imaging & flow","", 0.51,"", 0.24, 0.04, 0.79,"XXX","N" "78605","","A","Brain imaging, complete","", 0.53,"", 3.49, 0.24, 4.26,"XXX","N" "78605","TC","A","Brain imaging, complete","", 0.00,"", 3.24, 0.20, 3.44,"XXX","N" "78605","26","A","Brain imaging, complete","", 0.53,"", 0.25, 0.04, 0.82,"XXX","N" "78606","","A","Brain imaging comp & flow","", 0.64,"", 3.98, 0.27, 4.89,"XXX","N" "78606","TC","A","Brain imaging comp & flow","", 0.00,"", 3.69, 0.23, 3.92,"XXX","N" "78606","26","A","Brain imaging comp & flow","", 0.64,"", 0.29, 0.04, 0.97,"XXX","N" "78607","","A","Brain imaging (3D)","", 1.23,"", 6.79, 0.47, 8.49,"XXX","N" "78607","TC","A","Brain imaging (3D)","", 0.00,"", 6.25, 0.39, 6.64,"XXX","N" "78607","26","A","Brain imaging (3D)","", 1.23,"", 0.54, 0.08, 1.85,"XXX","N" "78608","","N","Brain imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78609","","N","Brain imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78610","","A","Brain flow imaging only","", 0.30,"", 1.64, 0.12, 2.06,"XXX","N" "78610","TC","A","Brain flow imaging only","", 0.00,"", 1.50, 0.10, 1.60,"XXX","N" "78610","26","A","Brain flow imaging only","", 0.30,"", 0.14, 0.02, 0.46,"XXX","N" "78615","","A","Cerebral blood flow imaging","", 0.42,"", 3.86, 0.26, 4.54,"XXX","N" "78615","TC","A","Cerebral blood flow imaging","", 0.00,"", 3.67, 0.23, 3.90,"XXX","N" "78615","26","A","Cerebral blood flow imaging","", 0.42,"", 0.19, 0.03, 0.64,"XXX","N" "78630","","A","Cerebrospinal fluid scan","", 0.68,"", 5.11, 0.36, 6.15,"XXX","N" "78630","TC","A","Cerebrospinal fluid scan","", 0.00,"", 4.80, 0.31, 5.11,"XXX","N" "78630","26","A","Cerebrospinal fluid scan","", 0.68,"", 0.31, 0.05, 1.04,"XXX","N" "78635","","A","CSF ventriculography","", 0.61,"", 2.70, 0.20, 3.51,"XXX","N" "78635","TC","A","CSF ventriculography","", 0.00,"", 2.42, 0.16, 2.58,"XXX","N" "78635","26","A","CSF ventriculography","", 0.61,"", 0.28, 0.04, 0.93,"XXX","N" "78645","","A","CSF shunt evaluation","", 0.57,"", 3.53, 0.25, 4.35,"XXX","N" "78645","TC","A","CSF shunt evaluation","", 0.00,"", 3.27, 0.21, 3.48,"XXX","N" "78645","26","A","CSF shunt evaluation","", 0.57,"", 0.26, 0.04, 0.87,"XXX","N" "78647","","A","Cerebrospinal fluid scan","", 0.90,"", 6.04, 0.42, 7.36,"XXX","N" "78647","TC","A","Cerebrospinal fluid scan","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "78647","26","A","Cerebrospinal fluid scan","", 0.90,"", 0.41, 0.06, 1.37,"XXX","N" "78650","","A","CSF leakage imaging","", 0.61,"", 4.70, 0.32, 5.63,"XXX","N" "78650","TC","A","CSF leakage imaging","", 0.00,"", 4.42, 0.28, 4.70,"XXX","N" "78650","26","A","CSF leakage imaging","", 0.61,"", 0.28, 0.04, 0.93,"XXX","N" "78655","","D","Nuclear exam of eye lesion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78655","TC","D","Nuclear exam of eye lesion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78655","26","D","Nuclear exam of eye lesion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78660","","A","Nuclear exam of tear flow","", 0.53,"", 2.27, 0.17, 2.97,"XXX","N" "78660","TC","A","Nuclear exam of tear flow","", 0.00,"", 2.02, 0.13, 2.15,"XXX","N" "78660","26","A","Nuclear exam of tear flow","", 0.53,"", 0.25, 0.04, 0.82,"XXX","N" "78699","","C","Nervous system nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78699","TC","C","Nervous system nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78699","26","C","Nervous system nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78700","","A","Kidney imaging, static","", 0.45,"", 3.10, 0.21, 3.76,"XXX","N" "78700","TC","A","Kidney imaging, static","", 0.00,"", 2.90, 0.18, 3.08,"XXX","N" "78700","26","A","Kidney imaging, static","", 0.45,"", 0.20, 0.03, 0.68,"XXX","N" "78701","","A","Kidney imaging with flow","", 0.49,"", 3.61, 0.24, 4.34,"XXX","N" "78701","TC","A","Kidney imaging with flow","", 0.00,"", 3.39, 0.21, 3.60,"XXX","N" "78701","26","A","Kidney imaging with flow","", 0.49,"", 0.22, 0.03, 0.74,"XXX","N" "78704","","A","Imaging renogram","", 0.74,"", 4.11, 0.29, 5.14,"XXX","N" "78704","TC","A","Imaging renogram","", 0.00,"", 3.77, 0.24, 4.01,"XXX","N" "78704","26","A","Imaging renogram","", 0.74,"", 0.34, 0.05, 1.13,"XXX","N" "78707","","A","Kidney flow & function image","", 0.94,"", 4.68, 0.33, 5.95,"XXX","N" "78707","TC","A","Kidney flow & function image","", 0.00,"", 4.26, 0.27, 4.53,"XXX","N" "78707","26","A","Kidney flow & function image","", 0.94,"", 0.42, 0.06, 1.42,"XXX","N" "78710","","A","Kidney imaging (3D)","", 0.66,"", 5.93, 0.41, 7.00,"XXX","N" "78710","TC","A","Kidney imaging (3D)","", 0.00,"", 5.63, 0.36, 5.99,"XXX","N" "78710","26","A","Kidney imaging (3D)","", 0.66,"", 0.30, 0.05, 1.01,"XXX","N" "78715","","A","Renal vascular flow exam","", 0.30,"", 1.64, 0.12, 2.06,"XXX","N" "78715","TC","A","Renal vascular flow exam","", 0.00,"", 1.50, 0.10, 1.60,"XXX","N" "78715","26","A","Renal vascular flow exam","", 0.30,"", 0.14, 0.02, 0.46,"XXX","N" "78725","","A","Kidney function study","", 0.38,"", 1.87, 0.14, 2.39,"XXX","N" "78725","TC","A","Kidney function study","", 0.00,"", 1.70, 0.11, 1.81,"XXX","N" "78725","26","A","Kidney function study","", 0.38,"", 0.17, 0.03, 0.58,"XXX","N" "78726","","A","Kidney function w/intervent","", 0.87,"", 3.21, 0.24, 4.32,"XXX","N" "78726","TC","A","Kidney function w/intervent","", 0.00,"", 2.82, 0.18, 3.00,"XXX","N" "78726","26","A","Kidney function w/intervent","", 0.87,"", 0.39, 0.06, 1.32,"XXX","N" "78727","","A","Kidney transplant evaluation","", 0.99,"", 4.25, 0.31, 5.55,"XXX","N" "78727","TC","A","Kidney transplant evaluation","", 0.00,"", 3.80, 0.24, 4.04,"XXX","N" "78727","26","A","Kidney transplant evaluation","", 0.99,"", 0.45, 0.07, 1.51,"XXX","N" "78730","","A","Urinary bladder retention","", 0.36,"", 1.55, 0.11, 2.02,"XXX","N" "78730","TC","A","Urinary bladder retention","", 0.00,"", 1.39, 0.09, 1.48,"XXX","N" "78730","26","A","Urinary bladder retention","", 0.36,"", 0.16, 0.02, 0.54,"XXX","N" "78740","","A","Ureteral reflux study","", 0.57,"", 2.28, 0.17, 3.02,"XXX","N" "78740","TC","A","Ureteral reflux study","", 0.00,"", 2.02, 0.13, 2.15,"XXX","N" "78740","26","A","Ureteral reflux study","", 0.57,"", 0.26, 0.04, 0.87,"XXX","N" "78760","","A","Testicular imaging","", 0.66,"", 2.85, 0.21, 3.72,"XXX","N" "78760","TC","A","Testicular imaging","", 0.00,"", 2.55, 0.17, 2.72,"XXX","N" "78760","26","A","Testicular imaging","", 0.66,"", 0.30, 0.04, 1.00,"XXX","N" "78761","","A","Testicular imaging & flow","", 0.71,"", 3.38, 0.24, 4.33,"XXX","N" "78761","TC","A","Testicular imaging & flow","", 0.00,"", 3.05, 0.19, 3.24,"XXX","N" "78761","26","A","Testicular imaging & flow","", 0.71,"", 0.33, 0.05, 1.09,"XXX","N" "78799","","C","Genitourinary nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78799","TC","C","Genitourinary nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78799","26","C","Genitourinary nuclear exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78800","","A","Tumor imaging, limited area","", 0.66,"", 3.54, 0.24, 4.44,"XXX","N" "78800","TC","A","Tumor imaging, limited area","", 0.00,"", 3.24, 0.20, 3.44,"XXX","N" "78800","26","A","Tumor imaging, limited area","", 0.66,"", 0.30, 0.04, 1.00,"XXX","N" "78801","","A","Tumor imaging, mult areas","", 0.79,"", 4.39, 0.31, 5.49,"XXX","N" "78801","TC","A","Tumor imaging, mult areas","", 0.00,"", 4.03, 0.26, 4.29,"XXX","N" "78801","26","A","Tumor imaging, mult areas","", 0.79,"", 0.36, 0.05, 1.20,"XXX","N" "78802","","A","Tumor imaging, whole body","", 0.86,"", 5.66, 0.40, 6.92,"XXX","N" "78802","TC","A","Tumor imaging, whole body","", 0.00,"", 5.27, 0.34, 5.61,"XXX","N" "78802","26","A","Tumor imaging, whole body","", 0.86,"", 0.39, 0.06, 1.31,"XXX","N" "78803","","A","Tumor imaging (3D)","", 1.09,"", 6.73, 0.46, 8.28,"XXX","N" "78803","TC","A","Tumor imaging (3D)","", 0.00,"", 6.25, 0.39, 6.64,"XXX","N" "78803","26","A","Tumor imaging (3D)","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "78805","","A","Abscess imaging, ltd area","", 0.73,"", 3.57, 0.25, 4.55,"XXX","N" "78805","TC","A","Abscess imaging, ltd area","", 0.00,"", 3.24, 0.20, 3.44,"XXX","N" "78805","26","A","Abscess imaging, ltd area","", 0.73,"", 0.33, 0.05, 1.11,"XXX","N" "78806","","A","Abscess imaging, whole body","", 0.86,"", 6.51, 0.45, 7.82,"XXX","N" "78806","TC","A","Abscess imaging, whole body","", 0.00,"", 6.13, 0.39, 6.52,"XXX","N" "78806","26","A","Abscess imaging, whole body","", 0.86,"", 0.38, 0.06, 1.30,"XXX","N" "78807","","A","Nuclear localization/abscess","", 1.09,"", 6.73, 0.46, 8.28,"XXX","N" "78807","TC","A","Nuclear localization/abscess","", 0.00,"", 6.25, 0.39, 6.64,"XXX","N" "78807","26","A","Nuclear localization/abscess","", 1.09,"", 0.48, 0.07, 1.64,"XXX","N" "78810","","N","Tumor imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78810","TC","N","Tumor imaging (PET)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78810","26","N","Tumor imaging (PET)","#", 1.93,"", 1.37, 0.10, 3.40,"XXX","0" "78890","","B","Nuclear medicine data proc","#", 0.05,"", 1.26, 0.08, 1.39,"XXX","0" "78890","TC","B","Nuclear medicine data proc","#", 0.00,"", 1.24, 0.08, 1.32,"XXX","0" "78890","26","B","Nuclear medicine data proc","#", 0.05,"", 0.02, 0.00, 0.07,"XXX","0" "78891","","B","Nuclear med data proc","#", 0.10,"", 2.55, 0.18, 2.83,"XXX","0" "78891","TC","B","Nuclear med data proc","#", 0.00,"", 2.50, 0.17, 2.67,"XXX","0" "78891","26","B","Nuclear med data proc","#", 0.10,"", 0.05, 0.01, 0.16,"XXX","0" "78990","","G","Provide diag radionuclide(s)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "78999","","C","Nuclear diagnostic exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78999","TC","C","Nuclear diagnostic exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "78999","26","C","Nuclear diagnostic exam","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79000","","A","Intial hyperthyroid therapy","", 1.80,"", 3.31, 0.29, 5.40,"XXX","N" "79000","TC","A","Intial hyperthyroid therapy","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79000","26","A","Intial hyperthyroid therapy","", 1.80,"", 0.81, 0.12, 2.73,"XXX","N" "79001","","A","Repeat hyperthyroid therapy","", 1.05,"", 1.70, 0.15, 2.90,"XXX","N" "79001","TC","A","Repeat hyperthyroid therapy","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "79001","26","A","Repeat hyperthyroid therapy","", 1.05,"", 0.46, 0.07, 1.58,"XXX","N" "79020","","A","Thyroid ablation","", 1.81,"", 3.31, 0.29, 5.41,"XXX","N" "79020","TC","A","Thyroid ablation","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79020","26","A","Thyroid ablation","", 1.81,"", 0.81, 0.12, 2.74,"XXX","N" "79030","","A","Thyroid ablation, carcinoma","", 2.10,"", 3.44, 0.31, 5.85,"XXX","N" "79030","TC","A","Thyroid ablation, carcinoma","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79030","26","A","Thyroid ablation, carcinoma","", 2.10,"", 0.94, 0.14, 3.18,"XXX","N" "79035","","A","Thyroid metastatic therapy","", 2.52,"", 3.63, 0.34, 6.49,"XXX","N" "79035","TC","A","Thyroid metastatic therapy","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79035","26","A","Thyroid metastatic therapy","", 2.52,"", 1.13, 0.17, 3.82,"XXX","N" "79100","","A","Hematopoetic nuclear therapy","", 1.32,"", 3.08, 0.26, 4.66,"XXX","N" "79100","TC","A","Hematopoetic nuclear therapy","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79100","26","A","Hematopoetic nuclear therapy","", 1.32,"", 0.58, 0.09, 1.99,"XXX","N" "79200","","A","Intracavitary nuc treatment","", 1.99,"", 3.39, 0.31, 5.69,"XXX","N" "79200","TC","A","Intracavitary nuc treatment","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79200","26","A","Intracavitary nuc treatment","", 1.99,"", 0.89, 0.14, 3.02,"XXX","N" "79300","","C","Interstitial nuclear therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79300","TC","C","Interstitial nuclear therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79300","26","A","Interstitial nuclear therapy","", 1.60,"", 0.71, 0.11, 2.42,"XXX","N" "79400","","A","Nonhemato nuclear therapy","", 1.96,"", 3.37, 0.30, 5.63,"XXX","N" "79400","TC","A","Nonhemato nuclear therapy","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79400","26","A","Nonhemato nuclear therapy","", 1.96,"", 0.87, 0.13, 2.96,"XXX","N" "79420","","C","Intravascular nuc therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79420","TC","C","Intravascular nuc therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79420","26","A","Intravascular nuc therapy","", 1.51,"", 0.67, 0.10, 2.28,"XXX","N" "79440","","A","Nuclear joint therapy","", 1.99,"", 3.39, 0.31, 5.69,"XXX","N" "79440","TC","A","Nuclear joint therapy","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "79440","26","A","Nuclear joint therapy","", 1.99,"", 0.89, 0.14, 3.02,"XXX","N" "79900","","C","Provide ther radiopharm(s)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79999","","C","Nuclear medicine therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79999","TC","C","Nuclear medicine therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "79999","26","C","Nuclear medicine therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "80002","","X","1-2 clinical chem tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80003","","X","3 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80004","","X","4 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80005","","X","5 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80006","","X","6 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80007","","X","7 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80008","","X","8 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80009","","X","9 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80010","","X","10 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80011","","X","11 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80012","","X","12 clinical chemistry tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80016","","X","13-16 blood/urine tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80018","","X","17-18 blood/urine tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80019","","X","19 blood/urine tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80050","","X","General health panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80055","","X","Obstetric panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80058","","X","Hepatic function panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80059","","X","Hepatitis panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80061","","X","Lipid panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80072","","X","Arthritis panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80090","","X","Torch antibody panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80091","","X","Thyroid panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80092","","X","Thyroid panel w/TSH","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80100","","X","Drug screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80101","","X","Drug screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80102","","X","Drug confirmation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80103","","X","Drug analysis, tissue prep","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80150","","X","Assay of amikacin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80152","","X","Assay of amitriptyline","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80154","","X","Assay of benzodiazepines","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80156","","X","Assay carbamazepine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80158","","X","Assay of cyclosporine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80160","","X","Assay of desipramine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80162","","X","Assay for digoxin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80164","","X","Assay, dipropylacetic acid","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80166","","X","Assay of doxepin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80168","","X","Assay of ethosuximide","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80170","","X","Gentamicin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80172","","X","Assay for gold","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80174","","X","Assay of imipramine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80176","","X","Assay for lidocaine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80178","","X","Assay for lithium","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80182","","X","Assay for nortriptyline","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80184","","X","Assay for phenobarbital","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80185","","X","Assay for phenytoin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80186","","X","Assay for phenytoin, free","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80188","","X","Assay for primidone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80190","","X","Assay for procainamide","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80192","","X","Assay for procainamide","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80194","","X","Assay for quinidine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80196","","X","Assay for salicylate","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80198","","X","Assay for theophylline","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80200","","X","Assay for tobramycin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80202","","X","Assay for vancomycin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80299","","X","Quantitative assay, drug","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80400","","X","Acth stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80402","","X","Acth stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80406","","X","Acth stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80408","","X","Aldosterone suppression eval","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80410","","X","Calcitonin stimul panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80412","","X","CRH stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80414","","X","Testosterone response","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80415","","X","Estradiol response panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80416","","X","Renin stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80417","","X","Renin stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80418","","X","Pituitary evaluation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80420","","X","Dexamethasone panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80422","","X","Glucagon tolerance panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80424","","X","Glucagon tolerance panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80426","","X","Gonadotropin hormone panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80428","","X","Growth hormone panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80430","","X","Growth hormone panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80432","","X","Insulin suppression panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80434","","X","Insulin tolerance panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80435","","X","Insulin tolerance panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80436","","X","Metyrapone panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80438","","X","TRH stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80439","","X","TRH stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80440","","X","TRH stimulation panel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "80500","","A","Lab pathology consultation","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "80502","","A","Lab pathology consultation","", 1.33,"", 0.33, 0.02, 1.68,"XXX","N" "81000","","X","Urinalysis, nonauto, w/scope","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81001","","X","Urinalysis, auto, w/scope","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81002","","X","Urinalysis nonauto w/o scope","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81003","","X","Urinalysis, auto, w/o scope","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81005","","X","Urinalysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81007","","X","Urine screen for bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81015","","X","Microscopic exam of urine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81020","","X","Urinalysis, glass test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81025","","X","Urine pregnancy test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81050","","X","Urinalysis, volume measure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "81099","","X","Urinalysis test procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82000","","X","Assay blood acetaldehyde","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82003","","X","Assay acetaminophen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82009","","X","Test for acetone/ketones","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82010","","X","Acetone assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82013","","X","Acetylcholinesterase assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82024","","X","ACTH","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82030","","X","ADP & AMP","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82040","","X","Assay serum albumin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82042","","X","Assay urine albumin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82043","","X","Microalbumin, quantitative","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82044","","X","Microalbumin, semiquant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82055","","X","Assay ethanol","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82075","","X","Assay breath ethanol","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82085","","X","Assay of aldolase","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82088","","X","Aldosterone","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82101","","X","Assay of urine alkaloids","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82103","","X","Alpha-1-antitrypsin, total","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82104","","X","Alpha-1-antitrypsin, pheno","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82105","","X","Alpha-fetoprotein, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82106","","X","Alpha-fetoprotein; amniotic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82108","","X","Assay, aluminum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82128","","X","Test for amino acids","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82130","","X","Amino acids analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "82131","","X","Amino acids","", 0.00,"", 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1.37,"", 0.80, 0.05, 2.22,"XXX","N" "85130","","X","Chromogenic substrate assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85170","","X","Blood clot retraction","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85175","","X","Blood clot lysis time","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85210","","X","Blood clot factor II test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85220","","X","Blood clot factor V test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85230","","X","Blood clot factor VII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85240","","X","Blood clot factor VIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85244","","X","Blood clot factor VIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85245","","X","Blood clot factor VIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85246","","X","Blood clot factor VIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85247","","X","Blood clot factor VIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85250","","X","Blood clot factor IX test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85260","","X","Blood clot factor X test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85270","","X","Blood clot factor XI test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85280","","X","Blood clot factor XII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85290","","X","Blood clot factor XIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85291","","X","Blood clot factor XIII test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85292","","X","Blood clot factor assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85293","","X","Blood clot factor assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85300","","X","Antithrombin III test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85301","","X","Antithrombin III test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85302","","X","Blood clot inhibitor antigen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85303","","X","Blood clot inhibitor test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85305","","X","Blood clot inhibitor assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85306","","X","Blood clot inhibitor test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85335","","X","Factor inhibitor test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85337","","X","Thrombomodulin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85345","","X","Coagulation time","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85347","","X","Coagulation time","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85348","","X","Coagulation time","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85360","","X","Euglobulin lysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85362","","X","Fibrin degradation products","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85366","","X","Fibrinogen test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85370","","X","Fibrinogen test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85378","","X","Fibrin degradation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85379","","X","Fibrin degradation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85384","","X","Fibrinogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85385","","X","Fibrinogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85390","","X","Fibrinolysins screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85390","26","A","Fibrinolysins screen","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "85400","","X","Fibrinolytic plasmin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85410","","X","Fibrinolytic antiplasmin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85415","","X","Fibrinolytic plasminogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85420","","X","Fibrinolytic plasminogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85421","","X","Fibrinolytic plasminogen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85441","","X","Heinz bodies; direct","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85445","","X","Heinz bodies; induced","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85460","","X","Hemoglobin, fetal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85461","","X","Hemoglobin, fetal","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85475","","X","Hemolysin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85520","","X","Heparin assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85525","","X","Heparin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85530","","X","Heparin-protamine tolerance","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85535","","X","Iron stain, blood cells","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85540","","X","Wbc alkaline phosphatase","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85547","","X","RBC mechanical fragility","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85549","","X","Muramidase","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85555","","X","RBC osmotic fragility","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85557","","X","RBC osmotic fragility","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85576","","X","Blood platelet aggregation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85576","26","A","Blood platelet aggregation","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "85585","","X","Blood platelet estimation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85590","","X","Platelet manual 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"85705","","X","Thromboplastin inhibition","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85730","","X","Thromboplastin time, partial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85732","","X","Thromboplastin time, partial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85810","","X","Blood viscosity examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "85999","","X","Hematology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86000","","X","Agglutinins; febrile","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86003","","X","Allergen specific IgE","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86005","","X","Allergen specific IgE","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86021","","X","WBC antibody identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86022","","X","Platelet antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86023","","X","Immunoglobulin assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86038","","X","Antinuclear antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86039","","X","Antinuclear antibodies (ANA)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86060","","X","Antistreptolysin O titer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86063","","X","Antistreptolysin O screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86077","","A","Physician blood bank service","", 0.37,"", 0.30, 0.02, 0.69,"XXX","N" "86078","","A","Physician blood bank service","", 0.94,"", 0.34, 0.02, 1.30,"XXX","N" "86079","","A","Physician blood bank service","", 0.37,"", 0.33, 0.02, 0.72,"XXX","N" "86140","","X","C-reactive protein","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86147","","X","Cardiolipin antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86155","","X","Chemotaxis assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86156","","X","Cold agglutinin screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86157","","X","Cold agglutinin, titer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86160","","X","Complement, antigen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86161","","X","Complement/function activity","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86162","","X","Complement, total (CH50)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86171","","X","Complement fixation, each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86185","","X","Counterimmunoelectrophoresis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86215","","X","Deoxyribonuclease, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86225","","X","DNA antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86226","","X","DNA antibody, single strand","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86235","","X","Nuclear antigen antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86243","","X","Fc receptor","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86255","","X","Fluorescent antibody; screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86255","26","A","Fluorescent antibody; screen","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86256","","X","Fluorescent antibody; titer","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86256","26","A","Fluorescent antibody; titer","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86277","","X","Growth hormone antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86280","","X","Hemagglutination inhibition","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86287","","X","Hepatitis B (HBsAg)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86289","","X","Hepatitis BC antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86290","","X","Hepatitis BC antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86291","","X","Hepatitis BS antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86293","","X","Hepatitis Be antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86295","","X","Hepatitis Be antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86296","","X","Hepatitis A antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86299","","X","Hepatitis A antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86302","","X","Hepatitis C antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86303","","X","Hepatitis C antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86306","","X","Hepatitis, delta agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86308","","X","Heterophile antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86309","","X","Heterophile antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86310","","X","Heterophile antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86311","","X","HIV antigen test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86313","","X","Immunoassay,infectious agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86315","","X","Immunoassay,infectious agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86316","","X","Immunoassay, tumor antigen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86317","","X","Immunoassay,infectious agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86318","","X","Immunoassay,infectious agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86320","","X","Serum immunoelectrophoresis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86320","26","A","Serum immunoelectrophoresis","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86325","","X","Other immunoelectrophoresis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86325","26","A","Other immunoelectrophoresis","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86327","","X","Immunoelectrophoresis assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86327","26","A","Immunoelectrophoresis assay","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86329","","X","Immunodiffusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86331","","X","Immunodiffusion ouchterlony","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86332","","X","Immune complex assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86334","","X","Immunofixation procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86334","26","A","Immunofixation procedure","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "86337","","X","Insulin antibodies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86340","","X","Intrinsic factor antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86341","","X","Islet cell antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86343","","X","Leukocyte histamine release","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86344","","X","Leukocyte phagocytosis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86353","","X","Lymphocyte transformation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86359","","X","T cells, total count","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86360","","X","T cell ratio","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86376","","X","Microsomal antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86378","","X","Migration inhibitory factor","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86382","","X","Neutralization test, viral","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86384","","X","Nitroblue tetrazolium dye","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86403","","X","Particle agglutination test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86406","","X","Particle agglutination test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86430","","X","Rheumatoid 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0.00, 0.00,"XXX","0" "86603","","X","Adenovirus, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86606","","X","Aspergillus antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86609","","X","Bacterium, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86612","","X","Blastomyces, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86615","","X","Bordetella antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86617","","X","Lyme disease antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86618","","X","Lyme disease antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86619","","X","Borrelia antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86622","","X","Brucella, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86625","","X","Campylobacter, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86628","","X","Candida, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86631","","X","Chlamydia, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86632","","X","Chlamydia, IgM, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86635","","X","Coccidioides, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86638","","X","Q fever antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86641","","X","Cryptococcus antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86644","","X","CMV antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86645","","X","CMV antibody, IgM","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86648","","X","Diphtheria antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86651","","X","Encephalitis antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86652","","X","Encephalitis antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86653","","X","Encephalitis, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86654","","X","Encephalitis, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86658","","X","Enterovirus, antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86663","","X","Epstein-barr antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86664","","X","Epstein-barr 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0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86698","","X","Histoplasma","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86701","","X","HIV-1","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86702","","X","HIV-2","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86703","","X","HIV-1/HIV-2, single assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86710","","X","Influenza virus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86713","","X","Legionella","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86717","","X","Leishmania","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86720","","X","Leptospira","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86723","","X","Listeria monocytogenes","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86727","","X","Lymph choriomeningitis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86729","","X","Lympho venereum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86732","","X","Mucormycosis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86735","","X","Mumps","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86738","","X","Mycoplasma","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86741","","X","Neisseria meningitidis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86744","","X","Nocardia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86747","","X","Parvovirus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86750","","X","Malaria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86753","","X","Protozoa, not elsewhere","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86756","","X","Respiratory virus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86759","","X","Rotavirus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86762","","X","Rubella","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86765","","X","Rubeola","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86768","","X","Salmonella","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86771","","X","Shigella","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86774","","X","Tetanus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86777","","X","Toxoplasma","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86778","","X","Toxoplasma, IgM","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86781","","X","Treponema pallidum confirm","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86784","","X","Trichinella","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86787","","X","Varicella-zoster","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86790","","X","Virus, not specified","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86793","","X","Yersinia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86800","","X","Thyroglobulin antibody","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86805","","X","Lymphocytotoxicity assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86806","","X","Lymphocytotoxicity assay","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86807","","X","Cytotoxic antibody screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86808","","X","Cytotoxic antibody screening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86812","","X","HLA typing, A, B, or C","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86813","","X","HLA typing, A, B, or C","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86816","","X","HLA typing, DR/DQ","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86817","","X","HLA typing, DR/DQ","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86821","","X","Lymphocyte culture, mixed","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86822","","X","Lymphocyte culture, primed","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86849","","X","Immunology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86850","","X","RBC antibody screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86860","","X","RBC antibody elution","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86870","","X","RBC antibody identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86880","","X","Coombs test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86885","","X","Coombs test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86886","","X","Coombs test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86890","","X","Autologous blood process","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86891","","X","Autologous blood, op salvage","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86900","","X","Blood typing, ABO","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86901","","X","Blood typing, Rh (D)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86903","","X","Blood typing, antigen screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86904","","X","Blood typing, patient serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86905","","X","Blood typing, RBC antigens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86906","","X","Blood typing, Rh phenotype","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86910","","N","Blood typing, paternity test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86911","","N","Blood typing, antigen system","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86915","","X","Bone marrow","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86920","","X","Compatibility test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86921","","X","Compatibility test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86922","","X","Compatibility test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86927","","X","Plasma, fresh frozen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86930","","X","Frozen blood prep","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86931","","X","Frozen blood thaw","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86932","","X","Frozen blood, freeze/thaw","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86940","","X","Hemolysins/agglutinins auto","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86941","","X","Hemolysins/agglutinins","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86945","","X","Blood product/irradiation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86950","","X","Leukacyte transfusion","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86965","","X","Pooling blood platelets","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86970","","X","RBC pretreatment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86971","","X","RBC pretreatment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86972","","X","RBC pretreatment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86975","","X","RBC pretreatment, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86976","","X","RBC pretreatment, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86977","","X","RBC pretreatment, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86978","","X","RBC pretreatment, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86985","","X","Split blood or products","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "86999","","X","Transfusion procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87001","","X","Small animal inoculation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87003","","X","Small animal inoculation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87015","","X","Specimen concentration","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87040","","X","Blood culture for bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87045","","X","Stool culture for bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87060","","X","Nose/throat culture,bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87070","","X","Culture specimen, bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87072","","X","Culture of specimen by kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87075","","X","Culture specimen, bacteria","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87076","","X","Bacteria identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87081","","X","Bacteria culture screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87082","","X","Culture of specimen by kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87083","","X","Culture of specimen by kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87084","","X","Culture of specimen by kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87085","","X","Culture of specimen by kit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87086","","X","Urine culture, colony count","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87087","","X","Urine bacteria culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87088","","X","Urine bacteria culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87101","","X","Skin fungus culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87102","","X","Fungus isolation culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87103","","X","Blood fungus culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87106","","X","Fungus identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87109","","X","Mycoplasma culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87110","","X","Culture, chlamydia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87116","","X","Mycobacteria culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87117","","X","Mycobacteria culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87118","","X","Mycobacteria identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87140","","X","Culture typing, fluorescent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87143","","X","Culture typing, GLC method","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87145","","X","Culture typing, phage method","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87147","","X","Culture typing, serologic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87151","","X","Culture typing, serologic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87155","","X","Culture typing, precipitin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87158","","X","Culture typing, added method","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87163","","X","Special microbiology culture","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87164","","X","Dark field examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87164","26","A","Dark field examination","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "87166","","X","Dark field examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87174","","X","Endotoxin, bacterial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87175","","X","Assay, endotoxin, bacterial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87176","","X","Endotoxin, bacterial","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87177","","X","Ova and parasites smears","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87178","","X","Microbe identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87179","","X","Microbe identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87181","","X","Antibiotic sensitivity, each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87184","","X","Antibiotic sensitivity, each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87186","","X","Antibiotic sensitivity, MIC","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87187","","X","Antibiotic sensitivity, MBC","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87188","","X","Antibiotic sensitivity, each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87190","","X","TB antibiotic sensitivity","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87192","","X","Antibiotic sensitivity, each","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87197","","X","Bactericidal level, serum","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87205","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87206","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87207","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87207","26","A","Smear, stain & interpret","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "87208","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87210","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87211","","X","Smear, stain & interpret","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87220","","X","Tissue exam for fungi","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87230","","X","Assay, toxin or antitoxin","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87250","","X","Virus inoculation for test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87252","","X","Virus inoculation for test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87253","","X","Virus inoculation for test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "87999","","X","Microbiology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88000","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88005","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88007","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88012","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88014","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88016","","N","Autopsy (necropsy), gross","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88020","","N","Autopsy (necropsy), complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88025","","N","Autopsy (necropsy), complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88027","","N","Autopsy (necropsy), complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88028","","N","Autopsy (necropsy), complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88029","","N","Autopsy (necropsy), complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88036","","N","Limited autopsy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88037","","N","Limited autopsy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88040","","N","Forensic autopsy (necropsy)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88045","","N","Coroner's autopsy (necropsy)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88099","","N","Necropsy (autopsy) procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88104","","A","Microscopic exam of cells","", 0.56,"", 0.44, 0.04, 1.04,"XXX","N" "88104","TC","A","Microscopic exam of cells","", 0.00,"", 0.21, 0.02, 0.23,"XXX","N" "88104","26","A","Microscopic exam of cells","", 0.56,"", 0.23, 0.02, 0.81,"XXX","N" "88106","","A","Microscopic exam of cells","", 0.56,"", 0.37, 0.03, 0.96,"XXX","N" "88106","TC","A","Microscopic exam of cells","", 0.00,"", 0.17, 0.02, 0.19,"XXX","N" "88106","26","A","Microscopic exam of cells","", 0.56,"", 0.20, 0.01, 0.77,"XXX","N" "88107","","A","Microscopic exam of cells","", 0.76,"", 0.47, 0.04, 1.27,"XXX","N" "88107","TC","A","Microscopic exam of cells","", 0.00,"", 0.23, 0.02, 0.25,"XXX","N" "88107","26","A","Microscopic exam of cells","", 0.76,"", 0.24, 0.02, 1.02,"XXX","N" "88108","","A","Cytopathology","", 0.56,"", 0.47, 0.04, 1.07,"XXX","N" "88108","TC","A","Cytopathology","", 0.00,"", 0.23, 0.02, 0.25,"XXX","N" "88108","26","A","Cytopathology","", 0.56,"", 0.24, 0.02, 0.82,"XXX","N" "88125","","A","Forensic cytopathology","", 0.26,"", 0.11, 0.00, 0.37,"XXX","N" "88125","TC","A","Forensic cytopathology","", 0.00,"", 0.04, 0.00, 0.04,"XXX","N" "88125","26","A","Forensic cytopathology","", 0.26,"", 0.07, 0.00, 0.33,"XXX","N" "88130","","X","Sex chromatin identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88140","","X","Sex chromatin identification","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88150","","X","Cytopathology, pap smear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88151","","X","Cytopathology interpretation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88151","26","A","Cytopathology interpretation","", 0.42,"", 0.32, 0.04, 0.78,"XXX","N" "88155","","X","Cytopathology, pap smear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88156","","X","TBS smear (bethesda system)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88157","","X","TBS smear (bethesda system)","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88157","26","A","TBS smear (bethesda system)","", 0.42,"", 0.32, 0.04, 0.78,"XXX","N" "88160","","A","Cytopathology","", 0.50,"", 0.33, 0.03, 0.86,"XXX","N" "88160","TC","A","Cytopathology","", 0.00,"", 0.16, 0.02, 0.18,"XXX","N" "88160","26","A","Cytopathology","", 0.50,"", 0.17, 0.01, 0.68,"XXX","N" "88161","","A","Cytopathology","", 0.50,"", 0.39, 0.03, 0.92,"XXX","N" "88161","TC","A","Cytopathology","", 0.00,"", 0.19, 0.02, 0.21,"XXX","N" "88161","26","A","Cytopathology","", 0.50,"", 0.20, 0.01, 0.71,"XXX","N" "88162","","A","Cytopathology, extensive","", 0.76,"", 0.79, 0.05, 1.60,"XXX","N" "88162","TC","A","Cytopathology, extensive","", 0.00,"", 0.38, 0.02, 0.40,"XXX","N" "88162","26","A","Cytopathology, extensive","", 0.76,"", 0.41, 0.03, 1.20,"XXX","N" "88170","","A","Fine needle aspiration","", 0.50,"", 0.99, 0.09, 1.58,"XXX","N" "88170","TC","A","Fine needle aspiration","", 0.00,"", 0.47, 0.04, 0.51,"XXX","N" "88170","26","A","Fine needle aspiration","", 0.50,"", 0.52, 0.05, 1.07,"XXX","N" "88171","","A","Fine needle aspiration","", 1.05,"", 1.35, 0.09, 2.49,"XXX","N" "88171","TC","A","Fine needle aspiration","", 0.00,"", 0.64, 0.04, 0.68,"XXX","N" "88171","26","A","Fine needle aspiration","", 1.05,"", 0.71, 0.05, 1.81,"XXX","N" "88172","","A","Evaluation of smear","", 0.60,"", 0.71, 0.05, 1.36,"XXX","N" "88172","TC","A","Evaluation of smear","", 0.00,"", 0.35, 0.02, 0.37,"XXX","N" "88172","26","A","Evaluation of smear","", 0.60,"", 0.36, 0.03, 0.99,"XXX","N" "88173","","A","Interpretation of smear","", 1.08,"", 0.87, 0.05, 2.00,"XXX","N" "88173","TC","A","Interpretation of smear","", 0.00,"", 0.42, 0.02, 0.44,"XXX","N" "88173","26","A","Interpretation of smear","", 1.08,"", 0.45, 0.03, 1.56,"XXX","N" "88180","","A","Cell marker study","", 0.36,"", 0.33, 0.03, 0.72,"XXX","N" "88180","TC","A","Cell marker study","", 0.00,"", 0.16, 0.02, 0.18,"XXX","N" "88180","26","A","Cell marker study","", 0.36,"", 0.17, 0.01, 0.54,"XXX","N" "88182","","A","Cell marker study","", 0.77,"", 0.89, 0.07, 1.73,"XXX","N" "88182","TC","A","Cell marker study","", 0.00,"", 0.44, 0.04, 0.48,"XXX","N" "88182","26","A","Cell marker study","", 0.77,"", 0.45, 0.03, 1.25,"XXX","N" "88199","","C","Cytopathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88199","TC","C","Cytopathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88199","26","C","Cytopathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88230","","X","Tissue culture, lymphocyte","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88233","","X","Tissue culture, skin/biopsy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88235","","X","Tissue culture, placenta","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88237","","X","Tissue culture, bone marrow","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88239","","X","Tissue culture, other","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88245","","X","Chromosome analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88248","","X","Chromosome analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88250","","X","Chromosome analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88260","","X","Chromosome analysis: 5 cells","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88261","","X","Chromosome analysis: 5 cells","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88262","","X","Chromosome count:15-20 cells","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88263","","X","Chromosome analysis:45 cells","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88267","","X","Chromosome analysis: placent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88269","","X","Chromosome analysis:amniotic","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88280","","X","Chromosome karyotype study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88283","","X","Chromosome banding study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88285","","X","Chromosome count: additional","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88289","","X","Chromosome study: additional","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88299","","C","Cytogenetic study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88300","","A","Surg path, gross","", 0.08,"*", 0.20, 0.01, 0.29,"XXX","N" "88300","TC","A","Surg path, gross","", 0.00,"", 0.10, 0.00, 0.10,"XXX","N" "88300","26","A","Surg path, gross","", 0.08,"*", 0.10, 0.01, 0.19,"XXX","N" "88302","","A","Tissue exam by pathologist","", 0.13,"*", 0.40, 0.04, 0.57,"XXX","N" "88302","TC","A","Tissue exam by pathologist","", 0.00,"", 0.23, 0.02, 0.25,"XXX","N" "88302","26","A","Tissue exam by pathologist","", 0.13,"*", 0.17, 0.02, 0.32,"XXX","N" "88304","","A","Tissue exam by pathologist","", 0.22,"*", 0.61, 0.04, 0.87,"XXX","N" "88304","TC","A","Tissue exam by pathologist","", 0.00,"", 0.33, 0.02, 0.35,"XXX","N" "88304","26","A","Tissue exam by pathologist","", 0.22,"*", 0.28, 0.02, 0.52,"XXX","N" "88305","","A","Tissue exam by pathologist","", 0.75,"", 1.03, 0.08, 1.86,"XXX","N" "88305","TC","A","Tissue exam by pathologist","", 0.00,"", 0.50, 0.04, 0.54,"XXX","N" "88305","26","A","Tissue exam by pathologist","", 0.75,"", 0.53, 0.04, 1.32,"XXX","N" "88307","","A","Tissue exam by pathologist","", 1.59,"", 1.52, 0.12, 3.23,"XXX","N" "88307","TC","A","Tissue exam by pathologist","", 0.00,"", 0.74, 0.06, 0.80,"XXX","N" "88307","26","A","Tissue exam by pathologist","", 1.59,"", 0.78, 0.06, 2.43,"XXX","N" "88309","","A","Tissue exam by pathologist","", 2.28,"", 1.92, 0.13, 4.33,"XXX","N" "88309","TC","A","Tissue exam by pathologist","", 0.00,"", 0.93, 0.06, 0.99,"XXX","N" "88309","26","A","Tissue exam by pathologist","", 2.28,"", 0.99, 0.07, 3.34,"XXX","N" "88311","","A","Decalcify tissue","", 0.24,"", 0.21, 0.01, 0.46,"XXX","N" "88311","TC","A","Decalcify tissue","", 0.00,"", 0.10, 0.00, 0.10,"XXX","N" "88311","26","A","Decalcify tissue","", 0.24,"", 0.11, 0.01, 0.36,"XXX","N" "88312","","A","Special stains","", 0.54,"", 0.26, 0.01, 0.81,"XXX","N" "88312","TC","A","Special stains","", 0.00,"", 0.12, 0.00, 0.12,"XXX","N" "88312","26","A","Special stains","", 0.54,"", 0.14, 0.01, 0.69,"XXX","N" "88313","","A","Special stains","", 0.24,"", 0.21, 0.01, 0.46,"XXX","N" "88313","TC","A","Special stains","", 0.00,"", 0.10, 0.00, 0.10,"XXX","N" "88313","26","A","Special stains","", 0.24,"", 0.11, 0.01, 0.36,"XXX","N" "88314","","A","Histochemical stain","", 0.45,"", 0.62, 0.04, 1.11,"XXX","N" "88314","TC","A","Histochemical stain","", 0.00,"", 0.27, 0.02, 0.29,"XXX","N" "88314","26","A","Histochemical stain","", 0.45,"", 0.35, 0.02, 0.82,"XXX","N" "88318","","A","Chemical histochemistry","", 0.42,"", 0.24, 0.01, 0.67,"XXX","N" "88318","TC","A","Chemical histochemistry","", 0.00,"", 0.12, 0.00, 0.12,"XXX","N" "88318","26","A","Chemical histochemistry","", 0.42,"", 0.12, 0.01, 0.55,"XXX","N" "88319","","A","Enzyme histochemistry","", 0.53,"", 0.49, 0.04, 1.06,"XXX","N" "88319","TC","A","Enzyme histochemistry","", 0.00,"", 0.23, 0.02, 0.25,"XXX","N" "88319","26","A","Enzyme histochemistry","", 0.53,"", 0.26, 0.02, 0.81,"XXX","N" "88321","","A","Microslide consultation","", 1.30,"", 0.41, 0.03, 1.74,"XXX","N" "88323","","A","Microslide consultation","", 1.35,"", 0.72, 0.05, 2.12,"XXX","N" "88323","TC","A","Microslide consultation","", 0.00,"", 0.33, 0.02, 0.35,"XXX","N" "88323","26","A","Microslide consultation","", 1.35,"", 0.39, 0.03, 1.77,"XXX","N" "88325","","A","Comprehensive review of data","", 2.22,"", 0.47, 0.04, 2.73,"XXX","N" "88329","","A","Pathology consult in surgery","", 0.67,"", 0.37, 0.03, 1.07,"XXX","N" "88331","","A","Pathology consult in surgery","", 1.19,"", 1.10, 0.08, 2.37,"XXX","N" "88331","TC","A","Pathology consult in surgery","", 0.00,"", 0.54, 0.04, 0.58,"XXX","N" "88331","26","A","Pathology consult in surgery","", 1.19,"", 0.56, 0.04, 1.79,"XXX","N" "88332","","A","Pathology consult in surgery","", 0.59,"", 0.56, 0.04, 1.19,"XXX","N" "88332","TC","A","Pathology consult in surgery","", 0.00,"", 0.27, 0.02, 0.29,"XXX","N" "88332","26","A","Pathology consult in surgery","", 0.59,"", 0.29, 0.02, 0.90,"XXX","N" "88342","","A","Immunocytochemistry","", 0.85,"", 0.64, 0.04, 1.53,"XXX","N" "88342","TC","A","Immunocytochemistry","", 0.00,"", 0.31, 0.02, 0.33,"XXX","N" "88342","26","A","Immunocytochemistry","", 0.85,"", 0.33, 0.02, 1.20,"XXX","N" "88346","","A","Immunofluorescent study","", 0.86,"", 0.58, 0.04, 1.48,"XXX","N" "88346","TC","A","Immunofluorescent study","", 0.00,"", 0.27, 0.02, 0.29,"XXX","N" "88346","26","A","Immunofluorescent study","", 0.86,"", 0.31, 0.02, 1.19,"XXX","N" "88347","","A","Immunofluorescent study","", 0.86,"", 0.42, 0.04, 1.32,"XXX","N" "88347","TC","A","Immunofluorescent study","", 0.00,"", 0.27, 0.02, 0.29,"XXX","N" "88347","26","A","Immunofluorescent study","", 0.86,"", 0.15, 0.02, 1.03,"XXX","N" "88348","","A","Electron microscopy","", 1.51,"", 2.28, 0.16, 3.95,"XXX","N" "88348","TC","A","Electron microscopy","", 0.00,"", 1.09, 0.08, 1.17,"XXX","N" "88348","26","A","Electron microscopy","", 1.51,"", 1.19, 0.08, 2.78,"XXX","N" "88349","","A","Scanning electron microscopy","", 0.76,"", 1.55, 0.12, 2.43,"XXX","N" "88349","TC","A","Scanning electron microscopy","", 0.00,"", 0.76, 0.06, 0.82,"XXX","N" "88349","26","A","Scanning electron microscopy","", 0.76,"", 0.79, 0.06, 1.61,"XXX","N" "88355","","A","Analysis, skeletal muscle","", 1.85,"", 1.74, 0.13, 3.72,"XXX","N" "88355","TC","A","Analysis, skeletal muscle","", 0.00,"", 0.82, 0.06, 0.88,"XXX","N" "88355","26","A","Analysis, skeletal muscle","", 1.85,"", 0.92, 0.07, 2.84,"XXX","N" "88356","","A","Analysis, nerve","", 3.02,"", 2.66, 0.18, 5.86,"XXX","N" "88356","TC","A","Analysis, nerve","", 0.00,"", 1.27, 0.08, 1.35,"XXX","N" "88356","26","A","Analysis, nerve","", 3.02,"", 1.39, 0.10, 4.51,"XXX","N" "88358","","A","Analysis, tumor","", 2.82,"", 2.32, 0.16, 5.30,"XXX","N" "88358","TC","A","Analysis, tumor","", 0.00,"", 1.16, 0.08, 1.24,"XXX","N" "88358","26","A","Analysis, tumor","", 2.82,"", 1.16, 0.08, 4.06,"XXX","N" "88362","","A","Nerve teasing preparations","", 2.17,"", 1.97, 0.13, 4.27,"XXX","N" "88362","TC","A","Nerve teasing preparations","", 0.00,"", 0.97, 0.06, 1.03,"XXX","N" "88362","26","A","Nerve teasing preparations","", 2.17,"", 1.00, 0.07, 3.24,"XXX","N" "88365","","A","Tissue hybridization","", 0.93,"", 0.75, 0.05, 1.73,"XXX","N" "88365","TC","A","Tissue hybridization","", 0.00,"", 0.37, 0.02, 0.39,"XXX","N" "88365","26","A","Tissue hybridization","", 0.93,"", 0.38, 0.03, 1.34,"XXX","N" "88371","","X","Protein, western blot tissue","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88371","26","A","Protein, western blot tissue","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "88372","","X","Protein analysis w/probe","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "88372","26","A","Protein analysis w/probe","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "88399","","C","Surgical pathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88399","TC","C","Surgical pathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "88399","26","C","Surgical pathology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "89050","","X","Body fluid cell count","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89051","","X","Body fluid cell count","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89060","","X","Exam,synovial fluid crystals","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89060","26","A","Exam,synovial fluid crystals","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "89100","","A","Sample intestinal contents","", 0.60,"", 0.42, 0.03, 1.05,"XXX","N" "89105","","A","Sample intestinal contents","", 0.50,"", 0.39, 0.03, 0.92,"XXX","N" "89125","","X","Specimen fat stain","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89130","","A","Sample stomach contents","", 0.45,"", 0.41, 0.03, 0.89,"XXX","N" "89132","","A","Sample stomach contents","", 0.19,"", 0.19, 0.02, 0.40,"XXX","N" "89135","","A","Sample stomach contents","", 0.79,"", 0.58, 0.04, 1.41,"XXX","N" "89136","","A","Sample stomach contents","", 0.21,"", 0.22, 0.02, 0.45,"XXX","N" "89140","","A","Sample stomach contents","", 0.94,"", 0.81, 0.07, 1.82,"XXX","N" "89141","","A","Sample stomach contents","", 0.85,"", 0.73, 0.06, 1.64,"XXX","N" "89160","","X","Exam feces for meat fibers","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89190","","X","Nasal smear for eosinophils","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89250","","X","Fertilization of oocyte","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89300","","X","Semen analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89310","","X","Semen analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89320","","X","Semen analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89325","","X","Sperm antibody test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89329","","X","Sperm evaluation test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89330","","X","Evaluation, cervical mucus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89350","","A","Sputum specimen collection","", 0.00,"", 0.39, 0.03, 0.42,"XXX","N" "89355","","X","Exam feces for starch","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89360","","A","Collect sweat for test","", 0.00,"", 0.43, 0.03, 0.46,"XXX","N" "89365","","X","Water load test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "89399","","C","Pathology lab procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "89399","TC","C","Pathology lab procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "89399","26","C","Pathology lab procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "90700","","E","DTaP immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90701","","E","DTP immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90702","","E","DT immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90703","","E","Tetanus immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90704","","E","Mumps immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90705","","E","Measles immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90706","","E","Rubella immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90707","","E","MMR virus immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90708","","E","Measles-rubella immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90709","","E","Rubella & mumps immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90710","","E","Combined vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90711","","E","Combined vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90712","","E","Oral poliovirus immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90713","","E","Poliomyelitis immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90714","","E","Typhoid immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90716","","E","Chicken pox vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90717","","E","Yellow fever immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90718","","E","Td immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90719","","E","Diphtheria immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90720","","E","DTP/HIB vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90721","","E","Dtap/hib vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90724","","X","Influenza immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90725","","E","Cholera immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90726","","E","Rabies immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90727","","E","Plague immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90728","","E","BCG immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90730","","E","Hepatitis A vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90731","","D","Hepatitis B immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90732","","X","Pneumococcal immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90733","","E","Meningococcal immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90735","","E","Encephalitis virus vaccine","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90737","","E","Influenza B immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90741","","E","Passive immunization, ISG","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90742","","E","Special passive immunization","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90744","","X","Hepatitis B vaccine,under 11","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90745","","X","Hepatitis B vaccine, 11-19","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90746","","X","Hepatitis B vaccine, over 20","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90747","","X","Hepatitis B vaccine, ill pat","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90749","","C","Immunization procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "90780","","A","IV infusion therapy, 1 hour","", 0.00,"", 1.06, 0.08, 1.14,"XXX","N" "90781","","A","IV infusion, additional hour","", 0.00,"", 0.53, 0.04, 0.57,"XXX","N" "90782","","T","Injection (SC)/(IM)","", 0.00,"", 0.10, 0.01, 0.11,"XXX","N" "90783","","T","Injection (IA)","", 0.00,"", 0.39, 0.03, 0.42,"XXX","N" "90784","","T","Injection (IV)","", 0.00,"", 0.45, 0.04, 0.49,"XXX","N" "90788","","T","Injection of antibiotic","", 0.00,"", 0.11, 0.01, 0.12,"XXX","N" "90799","","C","Therapeutic/diag injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "90801","","A","Psychiatric interview","", 2.21,"", 0.67, 0.09, 2.97,"XXX","N" "90820","","A","Diagnostic interview","", 2.27,"", 0.38, 0.05, 2.70,"XXX","N" "90825","","B","Evaluation of tests/records","#", 0.97,"", 0.31, 0.04, 1.32,"XXX","0" "90830","","D","Psychological testing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "90835","","A","Special interview","", 2.84,"", 0.50, 0.07, 3.41,"XXX","N" "90841","","G","Psychotherapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90842","","A","Psychotherapy, 75-80 min.","", 2.76,"", 1.05, 0.15, 3.96,"XXX","N" "90843","","A","Psychotherapy, 20-30 min.","", 1.11,"", 0.35, 0.05, 1.51,"XXX","N" "90844","","A","Psychotherapy, 45-50 min.","", 1.73,"", 0.54, 0.08, 2.35,"XXX","N" "90845","","A","Medical psychoanalysis","", 1.79,"", 0.41, 0.05, 2.25,"XXX","N" "90846","","R","Special family therapy","", 1.83,"", 0.62, 0.08, 2.53,"XXX","N" "90847","","R","Special family therapy","", 2.21,"", 0.58, 0.08, 2.87,"XXX","N" "90849","","R","Special family therapy","", 0.59,"", 0.26, 0.03, 0.88,"XXX","N" "90853","","A","Special group therapy","", 0.43,"", 0.26, 0.03, 0.72,"XXX","N" "90855","","A","Individual psychotherapy","", 1.82,"", 0.59, 0.09, 2.50,"XXX","N" "90857","","A","Special group therapy","", 0.43,"", 0.15, 0.02, 0.60,"XXX","N" "90862","","A","Medication management","", 0.95,"", 0.37, 0.05, 1.37,"XXX","N" "90870","","A","Electroconvulsive therapy","", 1.88,"", 0.55, 0.08, 2.51,"000","N" "90871","","A","Electroconvulsive therapy","", 2.72,"", 0.83, 0.13, 3.68,"000","N" "90880","","A","Medical hypnotherapy","", 2.19,"", 0.64, 0.07, 2.90,"XXX","N" "90882","","N","Environmental manipulation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90887","","B","Consultation with family","#", 1.48,"", 0.33, 0.04, 1.85,"XXX","0" "90889","","B","Preparation of report","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90899","","C","Psychiatric service/therapy","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "90900","","A","Biofeedback, electromyogram","", 0.89,"", 0.90, 0.08, 1.87,"000","N" "90902","","A","Biofeedback, nerve impulse","", 0.89,"", 0.63, 0.05, 1.57,"000","N" "90904","","A","Biofeedback, blood pressure","", 0.89,"", 0.35, 0.03, 1.27,"000","N" "90906","","A","Biofeedback, blood flow","", 0.89,"", 1.60, 0.11, 2.60,"000","N" "90908","","A","Biofeedback, brain waves","", 0.89,"", 0.86, 0.06, 1.81,"000","N" "90910","","A","Biofeedback, oculogram","", 0.89,"", 0.67, 0.10, 1.66,"000","N" "90911","","A","Anorectal biofeedback","", 2.15,"", 1.13, 0.27, 3.55,"000","N" "90915","","A","Biofeedback, unspecified","", 0.89,"", 0.76, 0.06, 1.71,"000","N" "90918","","A","ESRD related services, month","", 11.18,"", 2.19, 0.14, 13.51,"XXX","P" "90919","","A","ESRD related services, month","", 8.54,"", 2.19, 0.14, 10.87,"XXX","P" "90920","","A","ESRD related services, month","", 7.27,"", 2.19, 0.14, 9.60,"XXX","P" "90921","","A","ESRD related services, month","", 4.47,"", 2.19, 0.14, 6.80,"XXX","P" "90922","","A","ESRD related services, day","", 0.37,"", 0.07, 0.01, 0.45,"XXX","P" "90923","","A","Esrd related services, day","", 0.28,"", 0.07, 0.01, 0.36,"XXX","P" "90924","","A","Esrd related services, day","", 0.24,"", 0.07, 0.01, 0.32,"XXX","P" "90925","","A","Esrd related services, day","", 0.15,"", 0.07, 0.01, 0.23,"XXX","P" "90935","","A","Hemodialysis, one evaluation","", 1.22,"", 1.49, 0.10, 2.81,"000","N" "90937","","A","Hemodialysis, repeated eval.","", 2.11,"*", 2.65, 0.18, 4.94,"000","N" "90945","","A","Dialysis, one evaluation","", 1.28,"", 1.27, 0.08, 2.63,"000","N" "90947","","A","Dialysis, repeated eval.","", 2.16,"", 2.09, 0.14, 4.39,"000","N" "90989","","X","Dialysis training/complete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90993","","X","Dialysis training/incomplete","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "90997","","A","Hemoperfusion","", 1.84,"*", 2.35, 0.16, 4.35,"000","N" "90999","","C","Dialysis procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "91000","","A","Esophageal intubation","", 0.99,"", 0.66, 0.06, 1.71,"000","N" "91000","TC","A","Esophageal intubation","", 0.00,"", 0.07, 0.01, 0.08,"000","N" "91000","26","A","Esophageal intubation","", 0.99,"", 0.59, 0.05, 1.63,"000","N" "91010","","A","Esophagus motility study","", 1.65,"", 2.28, 0.17, 4.10,"000","N" "91010","TC","A","Esophagus motility study","", 0.00,"", 0.78, 0.06, 0.84,"000","N" "91010","26","A","Esophagus motility study","", 1.65,"", 1.50, 0.11, 3.26,"000","N" "91011","","A","Esophagus motility study","", 1.98,"", 2.66, 0.18, 4.82,"000","N" "91011","TC","A","Esophagus motility study","", 0.00,"", 0.98, 0.07, 1.05,"000","N" "91011","26","A","Esophagus motility study","", 1.98,"", 1.68, 0.11, 3.77,"000","N" "91012","","A","Esophagus motility study","", 1.92,"", 3.12, 0.23, 5.27,"000","N" "91012","TC","A","Esophagus motility study","", 0.00,"", 1.10, 0.08, 1.18,"000","N" "91012","26","A","Esophagus motility study","", 1.92,"", 2.02, 0.15, 4.09,"000","N" "91020","","A","Esophagogastric study","", 1.89,"", 2.50, 0.18, 4.57,"000","N" "91020","TC","A","Esophagogastric study","", 0.00,"", 0.73, 0.06, 0.79,"000","N" "91020","26","A","Esophagogastric study","", 1.89,"", 1.77, 0.12, 3.78,"000","N" "91030","","A","Acid perfusion of esophagus","", 1.20,"", 0.56, 0.05, 1.81,"000","N" "91030","TC","A","Acid perfusion of esophagus","", 0.00,"", 0.21, 0.02, 0.23,"000","N" "91030","26","A","Acid perfusion of esophagus","", 1.20,"", 0.35, 0.03, 1.58,"000","N" "91032","","A","Esophagus, acid reflux test","", 1.59,"", 1.96, 0.16, 3.71,"000","N" "91032","TC","A","Esophagus, acid reflux test","", 0.00,"", 0.71, 0.06, 0.77,"000","N" "91032","26","A","Esophagus, acid reflux test","", 1.59,"", 1.25, 0.10, 2.94,"000","N" "91033","","A","Prolonged acid reflux test","", 1.71,"", 2.97, 0.25, 4.93,"000","N" "91033","TC","A","Prolonged acid reflux test","", 0.00,"", 1.28, 0.11, 1.39,"000","N" "91033","26","A","Prolonged acid reflux test","", 1.71,"", 1.69, 0.14, 3.54,"000","N" "91052","","A","Gastric analysis test","", 1.71,"", 0.82, 0.07, 2.60,"000","N" "91052","TC","A","Gastric analysis test","", 0.00,"", 0.32, 0.03, 0.35,"000","N" "91052","26","A","Gastric analysis test","", 1.71,"", 0.50, 0.04, 2.25,"000","N" "91055","","A","Gastric intubation for smear","", 1.28,"", 0.80, 0.06, 2.14,"000","N" "91055","TC","A","Gastric intubation for smear","", 0.00,"", 0.29, 0.02, 0.31,"000","N" "91055","26","A","Gastric intubation for smear","", 1.28,"", 0.51, 0.04, 1.83,"000","N" "91060","","A","Gastric saline load test","", 0.45,"", 0.71, 0.06, 1.22,"000","N" "91060","TC","A","Gastric saline load test","", 0.00,"", 0.21, 0.02, 0.23,"000","N" "91060","26","A","Gastric saline load test","", 0.45,"", 0.50, 0.04, 0.99,"000","N" "91065","","A","Breath hydrogen test","", 0.45,"", 0.83, 0.05, 1.33,"000","N" "91065","TC","A","Breath hydrogen test","", 0.00,"", 0.34, 0.02, 0.36,"000","N" "91065","26","A","Breath hydrogen test","", 0.45,"", 0.49, 0.03, 0.97,"000","N" "91100","","A","Pass intestine bleeding tube","", 1.08,"", 0.56, 0.05, 1.69,"000","N" "91105","","A","Gastric intubation treatment","", 0.37,"*", 0.46, 0.04, 0.87,"000","N" "91122","","A","Anal pressure record","", 1.77,"", 1.73, 0.22, 3.72,"000","S" "91122","TC","A","Anal pressure record","", 0.00,"", 0.67, 0.09, 0.76,"000","S" "91122","26","A","Anal pressure record","", 1.77,"", 1.06, 0.13, 2.96,"000","S" "91299","","C","Gastroenterology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "91299","TC","C","Gastroenterology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "91299","26","C","Gastroenterology procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92002","","A","Eye exam, new patient","", 1.01,"", 0.49, 0.02, 1.52,"XXX","P" "92004","","A","Eye exam, new patient","", 1.61,"", 0.57, 0.02, 2.20,"XXX","P" "92012","","A","Eye exam established pt","", 0.82,"", 0.44, 0.02, 1.28,"XXX","N" "92014","","A","Eye exam & treatment","", 1.06,"", 0.54, 0.02, 1.62,"XXX","N" "92015","","N","Refraction","#", 0.38,"", 0.32, 0.02, 0.72,"XXX","0" "92018","","A","New eye exam & treatment","", 1.51,"", 0.47, 0.03, 2.01,"XXX","N" "92019","","A","Eye exam & treatment","", 1.31,"", 0.47, 0.03, 1.81,"XXX","N" "92020","","A","Special eye evaluation","", 0.37,"", 0.29, 0.01, 0.67,"XXX","N" "92060","","A","Special eye evaluation","", 0.50,"", 0.39, 0.02, 0.91,"XXX","N" "92060","TC","A","Special eye evaluation","", 0.00,"", 0.18, 0.01, 0.19,"XXX","N" "92060","26","A","Special eye evaluation","", 0.50,"", 0.21, 0.01, 0.72,"XXX","N" "92065","","A","Orthoptic/pleoptic training","", 0.37,"", 0.36, 0.01, 0.74,"XXX","N" "92065","TC","A","Orthoptic/pleoptic training","", 0.00,"", 0.16, 0.00, 0.16,"XXX","N" "92065","26","A","Orthoptic/pleoptic training","", 0.37,"", 0.20, 0.01, 0.58,"XXX","N" "92070","","A","Fitting of contact lens","", 0.70,"", 1.20, 0.06, 1.96,"XXX","N" "92081","","A","Visual field examination(s)","", 0.36,"", 0.32, 0.01, 0.69,"XXX","N" "92081","TC","A","Visual field examination(s)","", 0.00,"", 0.15, 0.00, 0.15,"XXX","N" "92081","26","A","Visual field examination(s)","", 0.36,"", 0.17, 0.01, 0.54,"XXX","N" "92082","","A","Visual field examination(s)","", 0.44,"", 0.49, 0.02, 0.95,"XXX","N" "92082","TC","A","Visual field examination(s)","", 0.00,"", 0.19, 0.01, 0.20,"XXX","N" "92082","26","A","Visual field examination(s)","", 0.44,"", 0.30, 0.01, 0.75,"XXX","N" "92083","","A","Visual field examination(s)","", 0.50,"", 0.83, 0.04, 1.37,"XXX","N" "92083","TC","A","Visual field examination(s)","", 0.00,"", 0.28, 0.01, 0.29,"XXX","N" "92083","26","A","Visual field examination(s)","", 0.50,"", 0.55, 0.03, 1.08,"XXX","N" "92100","","A","Serial tonometry exam(s)","", 0.92,"", 0.25, 0.01, 1.18,"XXX","N" "92120","","A","Tonography & eye evaluation","", 0.81,"", 0.31, 0.02, 1.14,"XXX","N" "92130","","A","Water provocation tonography","", 0.81,"", 0.49, 0.02, 1.32,"XXX","N" "92140","","A","Glaucoma provocative tests","", 0.50,"", 0.30, 0.01, 0.81,"XXX","N" "92225","","A","Special eye exam, initial","", 0.58,"", 0.45, 0.02, 1.05,"XXX","N" "92226","","A","Special eye exam, subsequent","", 0.50,"", 0.40, 0.02, 0.92,"XXX","N" "92230","","A","Eye exam with photos","", 0.60,"", 0.69, 0.04, 1.33,"XXX","N" "92235","","A","Eye exam with photos","", 0.81,"", 1.58, 0.09, 2.48,"XXX","N" "92235","TC","A","Eye exam with photos","", 0.00,"", 0.99, 0.06, 1.05,"XXX","N" "92235","26","A","Eye exam with photos","", 0.81,"", 0.59, 0.03, 1.43,"XXX","N" "92250","","A","Eye exam with photos","", 0.44,"", 0.42, 0.02, 0.88,"XXX","N" "92250","TC","A","Eye exam with photos","", 0.00,"", 0.17, 0.01, 0.18,"XXX","N" "92250","26","A","Eye exam with photos","", 0.44,"", 0.25, 0.01, 0.70,"XXX","N" "92260","","A","Ophthalmoscopy/dynamometry","", 0.50,"", 0.54, 0.03, 1.07,"XXX","N" "92265","","A","Eye muscle evaluation","", 0.81,"", 0.29, 0.02, 1.12,"XXX","N" "92265","TC","A","Eye muscle evaluation","", 0.00,"", 0.22, 0.02, 0.24,"XXX","N" "92265","26","A","Eye muscle evaluation","", 0.81,"", 0.07, 0.00, 0.88,"XXX","N" "92270","","A","Electro-oculography","", 0.81,"", 0.67, 0.05, 1.53,"XXX","N" "92270","TC","A","Electro-oculography","", 0.00,"", 0.30, 0.02, 0.32,"XXX","N" "92270","26","A","Electro-oculography","", 0.81,"", 0.37, 0.03, 1.21,"XXX","N" "92275","","A","Electroretinography","", 1.01,"", 0.90, 0.05, 1.96,"XXX","N" "92275","TC","A","Electroretinography","", 0.00,"", 0.39, 0.02, 0.41,"XXX","N" "92275","26","A","Electroretinography","", 1.01,"", 0.51, 0.03, 1.55,"XXX","N" "92280","","D","Special eye evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92280","TC","D","Special eye evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92280","26","D","Special eye evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92283","","A","Color vision examination","", 0.26,"", 0.29, 0.01, 0.56,"XXX","N" "92283","TC","A","Color vision examination","", 0.00,"", 0.12, 0.00, 0.12,"XXX","N" "92283","26","A","Color vision examination","", 0.26,"", 0.17, 0.01, 0.44,"XXX","N" "92284","","A","Dark adaptation eye exam","", 0.37,"", 0.45, 0.02, 0.84,"XXX","N" "92284","TC","A","Dark adaptation eye exam","", 0.00,"", 0.17, 0.01, 0.18,"XXX","N" "92284","26","A","Dark adaptation eye exam","", 0.37,"", 0.28, 0.01, 0.66,"XXX","N" "92285","","A","Eye photography","", 0.20,"", 0.29, 0.01, 0.50,"XXX","N" "92285","TC","A","Eye photography","", 0.00,"", 0.11, 0.00, 0.11,"XXX","N" "92285","26","A","Eye photography","", 0.20,"", 0.18, 0.01, 0.39,"XXX","N" "92286","","A","Internal eye photography","", 0.66,"", 1.22, 0.07, 1.95,"XXX","N" "92286","TC","A","Internal eye photography","", 0.00,"", 0.39, 0.02, 0.41,"XXX","N" "92286","26","A","Internal eye photography","", 0.66,"", 0.83, 0.05, 1.54,"XXX","N" "92287","","A","Internal eye photography","", 0.81,"", 1.52, 0.08, 2.41,"XXX","N" "92310","","N","Contact lens fitting","#", 1.17,"", 1.32, 0.00, 2.49,"XXX","0" "92311","","A","Contact lens fitting","", 1.08,"", 0.90, 0.03, 2.01,"XXX","N" "92312","","A","Contact lens fitting","", 1.26,"", 1.16, 0.03, 2.45,"XXX","N" "92313","","A","Contact lens fitting","", 0.92,"", 0.88, 0.03, 1.83,"XXX","N" "92314","","N","Prescription of contact lens","#", 0.69,"", 0.78, 0.00, 1.47,"XXX","0" "92315","","A","Prescription of contact lens","", 0.45,"", 0.66, 0.03, 1.14,"XXX","N" "92316","","A","Prescription of contact lens","", 0.68,"", 0.95, 0.04, 1.67,"XXX","N" "92317","","A","Prescription of contact lens","", 0.45,"", 0.39, 0.02, 0.86,"XXX","N" "92325","","A","Modification of contact lens","", 0.00,"", 0.38, 0.01, 0.39,"XXX","N" "92326","","A","Replacement of contact lens","", 0.00,"", 1.56, 0.06, 1.62,"XXX","N" "92330","","A","Fitting of artificial eye","", 1.08,"", 1.13, 0.09, 2.30,"XXX","N" "92335","","A","Fitting of artificial eye","", 0.45,"", 1.97, 0.11, 2.53,"XXX","N" "92340","","N","Fitting of spectacles","#", 0.37,"", 0.42, 0.00, 0.79,"XXX","0" "92341","","N","Fitting of spectacles","#", 0.47,"", 0.53, 0.00, 1.00,"XXX","0" "92342","","N","Fitting of spectacles","#", 0.53,"", 0.60, 0.00, 1.13,"XXX","0" "92352","","B","Special spectacles fitting","#", 0.37,"", 0.30, 0.01, 0.68,"XXX","0" "92353","","B","Special spectacles fitting","#", 0.50,"", 0.40, 0.01, 0.91,"XXX","0" "92354","","B","Special spectacles fitting","#", 0.00,"", 8.44, 0.10, 8.54,"XXX","0" "92355","","B","Special spectacles fitting","#", 0.00,"", 4.13, 0.01, 4.14,"XXX","0" "92358","","B","Eye prosthesis service","#", 0.00,"", 0.92, 0.05, 0.97,"XXX","0" "92370","","N","Repair & adjust spectacles","#", 0.32,"", 0.36, 0.00, 0.68,"XXX","0" "92371","","B","Repair & adjust spectacles","#", 0.00,"", 0.59, 0.02, 0.61,"XXX","0" "92390","","N","Supply of spectacles","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92391","","N","Supply of contact lenses","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92392","","G","Supply of low vision aids","#", 0.00,"", 3.85, 0.02, 3.87,"XXX","0" "92393","","G","Supply of artificial eye","#", 0.00,"", 11.96, 0.67, 12.63,"XXX","0" "92395","","G","Supply of spectacles","#", 0.00,"", 1.31, 0.10, 1.41,"XXX","0" "92396","","G","Supply of contact lenses","#", 0.00,"", 2.19, 0.08, 2.27,"XXX","0" "92499","","C","Eye service or procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92499","TC","C","Eye service or procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92499","26","C","Eye service or procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92502","","A","Ear and throat examination","", 1.51,"", 1.12, 0.12, 2.75,"000","N" "92504","","A","Ear microscopy examination","", 0.18,"", 0.26, 0.02, 0.46,"XXX","N" "92506","","A","Speech & hearing evaluation","", 0.86,"", 0.52, 0.05, 1.43,"XXX","N" "92507","","A","Speech/hearing therapy","", 0.52,"", 0.33, 0.03, 0.88,"XXX","N" "92508","","A","Speech/hearing therapy","", 0.26,"", 0.18, 0.02, 0.46,"XXX","N" "92510","","A","Rehab for ear implant","", 1.50,"", 1.36, 0.15, 3.01,"XXX","N" "92511","","A","Nasopharyngoscopy","", 0.84,"", 0.85, 0.09, 1.78,"000","S" "92512","","A","Nasal function studies","", 0.55,"", 0.47, 0.05, 1.07,"XXX","N" "92516","","A","Facial nerve function test","", 0.43,"", 0.39, 0.04, 0.86,"XXX","N" "92520","","A","Laryngeal function studies","", 0.76,"", 0.53, 0.05, 1.34,"XXX","N" "92525","","A","Oral function evaluation","", 1.13,"", 1.02, 0.11, 2.26,"XXX","N" "92526","","A","Oral function therapy","", 0.52,"", 0.47, 0.05, 1.04,"XXX","N" "92531","","B","Spontaneous nystagmus study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92532","","B","Positional nystagmus study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92533","","B","Caloric vestibular test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92534","","B","Optokinetic nystagmus","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92541","","A","Spontaneous nystagmus test","", 0.40,"", 0.67, 0.07, 1.14,"XXX","N" "92541","TC","A","Spontaneous nystagmus test","", 0.00,"", 0.22, 0.02, 0.24,"XXX","N" "92541","26","A","Spontaneous nystagmus test","", 0.40,"", 0.45, 0.05, 0.90,"XXX","N" "92542","","A","Positional nystagmus test","", 0.33,"", 0.61, 0.07, 1.01,"XXX","N" "92542","TC","A","Positional nystagmus test","", 0.00,"", 0.25, 0.03, 0.28,"XXX","N" "92542","26","A","Positional nystagmus test","", 0.33,"", 0.36, 0.04, 0.73,"XXX","N" "92543","","A","Caloric vestibular test","", 0.38,"", 0.82, 0.09, 1.29,"XXX","N" "92543","TC","A","Caloric vestibular test","", 0.00,"", 0.40, 0.04, 0.44,"XXX","N" "92543","26","A","Caloric vestibular test","", 0.38,"", 0.42, 0.05, 0.85,"XXX","N" "92544","","A","Optokinetic nystagmus test","", 0.26,"", 0.47, 0.05, 0.78,"XXX","N" "92544","TC","A","Optokinetic nystagmus test","", 0.00,"", 0.20, 0.02, 0.22,"XXX","N" "92544","26","A","Optokinetic nystagmus test","", 0.26,"", 0.27, 0.03, 0.56,"XXX","N" "92545","","A","Oscillating tracking test","", 0.23,"", 0.40, 0.04, 0.67,"XXX","N" "92545","TC","A","Oscillating tracking test","", 0.00,"", 0.20, 0.02, 0.22,"XXX","N" "92545","26","A","Oscillating tracking test","", 0.23,"", 0.20, 0.02, 0.45,"XXX","N" "92546","","A","Sinusoidal rotational test","", 0.29,"", 0.53, 0.05, 0.87,"XXX","N" "92546","TC","A","Sinusoidal rotational test","", 0.00,"", 0.23, 0.02, 0.25,"XXX","N" "92546","26","A","Sinusoidal rotational test","", 0.29,"", 0.30, 0.03, 0.62,"XXX","N" "92547","","A","Supplemental electrical test","", 0.00,"", 0.53, 0.06, 0.59,"XXX","N" "92551","","N","Pure tone hearing test, air","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92552","","A","Pure tone audiometry, air","", 0.00,"", 0.42, 0.04, 0.46,"XXX","N" "92553","","A","Audiometry, air & bone","", 0.00,"", 0.63, 0.07, 0.70,"XXX","N" "92555","","A","Speech threshold audiometry","", 0.00,"", 0.36, 0.04, 0.40,"XXX","N" "92556","","A","Speech audiometry, complete","", 0.00,"", 0.54, 0.06, 0.60,"XXX","N" "92557","","A","Comprehensive hearing test","", 0.00,"", 1.13, 0.13, 1.26,"XXX","N" "92559","","N","Group audiometric testing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92560","","N","Bekesy audiometry, screen","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92561","","A","Bekesy audiometry, diagnosis","", 0.00,"", 0.68, 0.07, 0.75,"XXX","N" "92562","","A","Loudness balance test","", 0.00,"", 0.39, 0.04, 0.43,"XXX","N" "92563","","A","Tone decay hearing test","", 0.00,"", 0.36, 0.04, 0.40,"XXX","N" "92564","","A","Sisi hearing test","", 0.00,"", 0.45, 0.05, 0.50,"XXX","N" "92565","","A","Stenger test, pure tone","", 0.00,"", 0.38, 0.04, 0.42,"XXX","N" "92567","","A","Tympanometry","", 0.00,"", 0.50, 0.06, 0.56,"XXX","N" "92568","","A","Acoustic reflex testing","", 0.00,"", 0.36, 0.04, 0.40,"XXX","N" "92569","","A","Acoustic reflex decay test","", 0.00,"", 0.39, 0.04, 0.43,"XXX","N" "92571","","A","Filtered speech hearing test","", 0.00,"", 0.37, 0.04, 0.41,"XXX","N" "92572","","A","Staggered spondaic word test","", 0.00,"", 0.08, 0.01, 0.09,"XXX","N" "92573","","A","Lombard test","", 0.00,"", 0.33, 0.04, 0.37,"XXX","N" "92574","","D","Swinging story test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92575","","A","Sensorineural acuity test","", 0.00,"", 0.29, 0.03, 0.32,"XXX","N" "92576","","A","Synthetic sentence test","", 0.00,"", 0.42, 0.05, 0.47,"XXX","N" "92577","","A","Stenger test, speech","", 0.00,"", 0.68, 0.08, 0.76,"XXX","N" "92578","","D","Delayed auditory feedback","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92579","","A","Visual audiometry (vra)","", 0.00,"", 0.69, 0.07, 0.76,"XXX","N" "92580","","D","Electrodermal audiometry","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92582","","A","Conditioning play audiometry","", 0.00,"", 0.69, 0.07, 0.76,"XXX","N" "92583","","A","Select picture audiometry","", 0.00,"", 0.85, 0.09, 0.94,"XXX","N" "92584","","A","Electrocochleography","", 0.00,"", 2.36, 0.25, 2.61,"XXX","N" "92585","","A","Auditory evoked potential","", 0.50,"", 3.25, 0.31, 4.06,"XXX","N" "92585","TC","A","Auditory evoked potential","", 0.00,"", 1.76, 0.17, 1.93,"XXX","N" "92585","26","A","Auditory evoked potential","", 0.50,"", 1.49, 0.14, 2.13,"XXX","N" "92587","","A","Evoked auditory test","", 0.13,"", 1.35, 0.13, 1.61,"XXX","N" "92587","TC","A","Evoked auditory test","", 0.00,"", 1.24, 0.12, 1.36,"XXX","N" "92587","26","A","Evoked auditory test","", 0.13,"", 0.11, 0.01, 0.25,"XXX","N" "92588","","A","Evoked auditory test","", 0.36,"", 1.70, 0.16, 2.22,"XXX","N" "92588","TC","A","Evoked auditory test","", 0.00,"", 1.40, 0.14, 1.54,"XXX","N" "92588","26","A","Evoked auditory test","", 0.36,"", 0.30, 0.02, 0.68,"XXX","N" "92589","","A","Auditory function test(s)","", 0.00,"", 0.51, 0.06, 0.57,"XXX","N" "92590","","N","Hearing aid exam, one ear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92591","","N","Hearing aid exam, both ears","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92592","","N","Hearing aid check, one ear","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92593","","N","Hearing aid check, both ears","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92594","","N","Electro hearing aid test,one","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92595","","N","Electro hearingaid test,both","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "92596","","A","Ear protector evaluation","", 0.00,"", 0.56, 0.06, 0.62,"XXX","N" "92597","","A","Oral speech device eval","", 1.11,"", 1.01, 0.11, 2.23,"XXX","N" "92598","","A","Modify oral speech device","", 0.73,"", 0.66, 0.07, 1.46,"XXX","N" "92599","","C","ENT procedure/service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92599","TC","C","ENT procedure/service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92599","26","C","ENT procedure/service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "92950","","A","Heart/lung resuscitation(CPR","", 3.80,"", 2.27, 0.17, 6.24,"000","N" "92953","","A","Temporary external pacing","", 0.23,"*", 0.66, 0.15, 1.04,"000","N" "92960","","A","Heart electroconversion","", 2.25,"", 1.88, 0.16, 4.29,"000","N" "92970","","A","Cardioassist, internal","", 3.52,"", 3.47, 0.41, 7.40,"000","N" "92971","","A","Cardioassist, external","", 1.77,"", 1.11, 0.08, 2.96,"000","N" "92975","","A","Dissolve clot, heart vessel","", 7.25,"", 5.71, 0.42, 13.38,"000","N" "92977","","A","Dissolve clot, heart vessel","", 0.00,"", 7.68, 0.54, 8.22,"XXX","N" "92980","","A","Insert intracoronary stent","", 14.84,"", 16.41, 1.22, 32.47,"000","N" "92981","","A","Insert intracoronary stent","", 4.17,"*", 5.42, 0.44, 10.03,"ZZZ","N" "92982","","A","Coronary artery dilation","", 10.98,"*", 14.05, 1.22, 26.25,"000","N" "92984","","A","Coronary artery dilation","", 2.97,"*", 3.80, 0.44, 7.21,"ZZZ","N" "92986","","A","Revision of aortic valve","", 20.34,"", 12.04, 0.90, 33.28,"090","N" "92987","","A","Revision of mitral valve","", 20.69,"", 12.20, 0.91, 33.80,"090","N" "92990","","A","Revision of pulmonary valve","", 16.22,"", 9.59, 0.71, 26.52,"090","N" "92992","","C","Revision of heart chamber","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "92993","","C","Revision of heart chamber","", 0.00,"", 0.00, 0.00, 0.00,"090","S" "92995","","A","Coronary atherectomy","", 12.09,"*", 15.47, 1.22, 28.78,"000","N" "92996","","A","Coronary atherectomy","", 3.26,"*", 4.17, 0.44, 7.87,"ZZZ","N" "93000","","A","Electrocardiogram, complete","", 0.17,"", 0.59, 0.04, 0.80,"XXX","N" "93005","","A","Electrocardiogram, tracing","", 0.00,"", 0.43, 0.03, 0.46,"XXX","N" "93010","","A","Electrocardiogram report","", 0.17,"", 0.16, 0.01, 0.34,"XXX","N" "93012","","A","Transmission of ecg","", 0.00,"", 2.25, 0.22, 2.47,"XXX","N" "93014","","A","Report on transmitted ecg","", 0.52,"", 0.40, 0.05, 0.97,"XXX","N" "93015","","A","Cardiovascular stress test","", 0.75,"", 2.37, 0.18, 3.30,"XXX","N" "93016","","A","Cardiovascular stress test","", 0.45,"", 0.39, 0.03, 0.87,"XXX","N" "93017","","A","Cardiovascular stress test","", 0.00,"", 1.60, 0.12, 1.72,"XXX","N" "93018","","A","Cardiovascular stress test","", 0.30,"", 0.38, 0.03, 0.71,"XXX","N" "93024","","A","Cardiac drug stress test","", 1.17,"*", 2.56, 0.23, 3.96,"XXX","N" "93024","TC","A","Cardiac drug stress test","", 0.00,"", 1.07, 0.09, 1.16,"XXX","N" "93024","26","A","Cardiac drug stress test","", 1.17,"*", 1.49, 0.14, 2.80,"XXX","N" "93040","","A","Rhythm ECG with report","", 0.16,"", 0.26, 0.02, 0.44,"XXX","N" "93041","","A","Rhythm ECG, tracing","", 0.00,"", 0.14, 0.01, 0.15,"XXX","N" "93042","","A","Rhythm ECG, report","", 0.16,"", 0.12, 0.01, 0.29,"XXX","N" "93201","","A","Phonocardiogram & ECG lead","", 0.42,"", 1.03, 0.09, 1.54,"XXX","N" "93202","","A","Phonocardiogram & ECG lead","", 0.00,"", 0.75, 0.07, 0.82,"XXX","N" "93204","","A","Phonocardiogram & ECG lead","", 0.42,"", 0.28, 0.02, 0.72,"XXX","N" "93205","","A","Special phonocardiogram","", 0.46,"", 0.88, 0.07, 1.41,"XXX","N" "93208","","A","Special phonocardiogram","", 0.00,"", 0.33, 0.03, 0.36,"XXX","N" "93209","","A","Special phonocardiogram","", 0.46,"", 0.55, 0.04, 1.05,"XXX","N" "93210","","A","Intracardiac phonocardiogram","", 0.92,"", 1.73, 0.13, 2.78,"XXX","N" "93210","TC","A","Intracardiac phonocardiogram","", 0.00,"", 0.91, 0.07, 0.98,"XXX","N" "93210","26","A","Intracardiac phonocardiogram","", 0.92,"", 0.82, 0.06, 1.80,"XXX","N" "93220","","A","Vectorcardiogram","", 0.26,"*", 0.91, 0.07, 1.24,"XXX","N" "93221","","A","Vectorcardiogram tracing","", 0.00,"", 0.58, 0.04, 0.62,"XXX","N" "93222","","A","Vectorcardiogram report","", 0.26,"*", 0.33, 0.03, 0.62,"XXX","N" "93224","","A","ECG monitor/report, 24 hrs","", 0.52,"*", 3.93, 0.31, 4.76,"XXX","N" "93225","","A","ECG monitor/record, 24 hrs","", 0.00,"", 1.18, 0.09, 1.27,"XXX","N" "93226","","A","ECG monitor/report, 24 hrs","", 0.00,"", 2.08, 0.16, 2.24,"XXX","N" "93227","","A","ECG monitor/review, 24 hrs","", 0.52,"*", 0.67, 0.06, 1.25,"XXX","N" "93230","","A","ECG monitor/report, 24 hrs","", 0.52,"*", 4.19, 0.34, 5.05,"XXX","N" "93231","","A","Ecg monitor/record, 24 hrs","", 0.00,"", 1.45, 0.11, 1.56,"XXX","N" "93232","","A","ECG monitor/report, 24 hrs","", 0.00,"", 2.07, 0.15, 2.22,"XXX","N" "93233","","A","ECG monitor/review, 24 hrs","", 0.52,"*", 0.67, 0.08, 1.27,"XXX","N" "93235","","A","ECG monitor/report, 24 hrs","", 0.45,"*", 3.07, 0.23, 3.75,"XXX","N" "93236","","A","ECG monitor/report, 24 hrs","", 0.00,"", 2.50, 0.17, 2.67,"XXX","N" "93237","","A","ECG monitor/review, 24 hrs","", 0.45,"*", 0.57, 0.06, 1.08,"XXX","N" "93268","","A","ECG record/review","", 0.52,"", 3.83, 0.36, 4.71,"XXX","N" "93270","","A","ECG recording","", 0.00,"", 1.18, 0.09, 1.27,"XXX","N" "93271","","A","Ecg/monitoring and anaylysis","", 0.00,"", 2.25, 0.22, 2.47,"XXX","N" "93272","","A","Ecg/review,interpret only","", 0.52,"", 0.40, 0.05, 0.97,"XXX","N" "93278","","A","ECG/signal-averaged","", 0.35,"*", 1.55, 0.18, 2.08,"XXX","N" "93278","TC","A","ECG/signal-averaged","", 0.00,"", 1.10, 0.12, 1.22,"XXX","N" "93278","26","A","ECG/signal-averaged","", 0.35,"*", 0.45, 0.06, 0.86,"XXX","N" "93307","","A","Echo exam of heart","", 0.78,"*", 4.68, 0.36, 5.82,"XXX","N" "93307","TC","A","Echo exam of heart","", 0.00,"", 3.68, 0.27, 3.95,"XXX","N" "93307","26","A","Echo exam of heart","", 0.78,"*", 1.00, 0.09, 1.87,"XXX","N" "93308","","A","Echo exam of heart","", 0.53,"", 2.53, 0.19, 3.25,"XXX","N" "93308","TC","A","Echo exam of heart","", 0.00,"", 1.85, 0.14, 1.99,"XXX","N" "93308","26","A","Echo exam of heart","", 0.53,"", 0.68, 0.05, 1.26,"XXX","N" "93312","","A","Echo exam of heart","", 1.57,"", 4.95, 0.45, 6.97,"XXX","N" "93312","TC","A","Echo exam of heart","", 0.00,"", 3.60, 0.33, 3.93,"XXX","N" "93312","26","A","Echo exam of heart","", 1.57,"", 1.35, 0.12, 3.04,"XXX","N" "93313","","A","Echo exam of heart","", 0.95,"", 0.67, 0.06, 1.68,"XXX","N" "93314","","A","Echo exam of heart","", 0.95,"", 4.27, 0.39, 5.61,"XXX","N" "93314","TC","A","Echo exam of heart","", 0.00,"", 3.60, 0.33, 3.93,"XXX","N" "93314","26","A","Echo exam of heart","", 0.95,"", 0.67, 0.06, 1.68,"XXX","N" "93320","","A","Doppler echo exam, heart","", 0.38,"*", 2.11, 0.18, 2.67,"XXX","N" "93320","TC","A","Doppler echo exam, heart","", 0.00,"", 1.63, 0.13, 1.76,"XXX","N" "93320","26","A","Doppler echo exam, heart","", 0.38,"*", 0.48, 0.05, 0.91,"XXX","N" "93321","","A","Doppler echo exam, heart","", 0.15,"*", 1.25, 0.11, 1.51,"XXX","N" "93321","TC","A","Doppler echo exam, heart","", 0.00,"", 1.06, 0.09, 1.15,"XXX","N" "93321","26","A","Doppler echo exam, heart","", 0.15,"*", 0.19, 0.02, 0.36,"XXX","N" "93325","","A","Doppler color flow","", 0.07,"", 2.80, 0.25, 3.12,"XXX","N" "93325","TC","A","Doppler color flow","", 0.00,"", 2.76, 0.24, 3.00,"XXX","N" "93325","26","A","Doppler color flow","", 0.07,"", 0.04, 0.01, 0.12,"XXX","N" "93350","","A","Echo exam of heart","", 0.78,"*", 3.63, 0.24, 4.65,"XXX","N" "93350","TC","A","Echo exam of heart","", 0.00,"", 1.68, 0.14, 1.82,"XXX","N" "93350","26","A","Echo exam of heart","", 0.78,"*", 1.95, 0.10, 2.83,"XXX","N" "93501","","A","Right heart catheterization","", 3.02,"", 19.72, 1.54, 24.28,"000","N" "93501","TC","A","Right heart catheterization","", 0.00,"", 16.11, 1.20, 17.31,"000","N" "93501","26","A","Right heart catheterization","", 3.02,"", 3.61, 0.34, 6.97,"000","N" "93503","","A","Insert/place heart catheter","", 2.43,"", 2.37, 0.36, 5.16,"000","N" "93505","","A","Biopsy of heart lining","", 4.56,"", 4.92, 0.46, 9.94,"000","N" "93505","TC","A","Biopsy of heart lining","", 0.00,"", 1.89, 0.18, 2.07,"000","N" "93505","26","A","Biopsy of heart lining","", 4.56,"", 3.03, 0.28, 7.87,"000","N" "93510","","A","Left heart catheterization","", 4.33,"", 38.28, 2.86, 45.47,"000","N" "93510","TC","A","Left heart catheterization","", 0.00,"", 35.22, 2.63, 37.85,"000","N" "93510","26","A","Left heart catheterization","", 4.33,"", 3.06, 0.23, 7.62,"000","N" "93511","","A","Left heart catheterization","", 5.03,"", 36.91, 2.76, 44.70,"000","N" "93511","TC","A","Left heart catheterization","", 0.00,"", 34.29, 2.56, 36.85,"000","N" "93511","26","A","Left heart catheterization","", 5.03,"", 2.62, 0.20, 7.85,"000","N" "93514","","A","Left heart catheterization","", 7.05,"", 38.84, 2.94, 48.83,"000","S" "93514","TC","A","Left heart catheterization","", 0.00,"", 34.29, 2.56, 36.85,"000","S" "93514","26","A","Left heart catheterization","", 7.05,"", 4.55, 0.38, 11.98,"000","S" "93524","","A","Left heart catheterization","", 6.95,"", 49.45, 3.69, 60.09,"000","N" "93524","TC","A","Left heart catheterization","", 0.00,"", 44.80, 3.35, 48.15,"000","N" "93524","26","A","Left heart catheterization","", 6.95,"", 4.65, 0.34, 11.94,"000","N" "93526","","A","Rt & Lt heart catheters","", 5.99,"", 51.48, 3.83, 61.30,"000","N" "93526","TC","A","Rt & Lt heart catheters","", 0.00,"", 46.03, 3.44, 49.47,"000","N" "93526","26","A","Rt & Lt heart catheters","", 5.99,"", 5.45, 0.39, 11.83,"000","N" "93527","","A","Rt & Lt heart catheters","", 7.28,"", 51.94, 3.85, 63.07,"000","N" "93527","TC","A","Rt & Lt heart catheters","", 0.00,"", 44.80, 3.35, 48.15,"000","N" "93527","26","A","Rt & Lt heart catheters","", 7.28,"", 7.14, 0.50, 14.92,"000","N" "93528","","A","Rt & Lt heart catheters","", 9.00,"", 49.23, 3.68, 61.91,"000","N" "93528","TC","A","Rt & Lt heart catheters","", 0.00,"", 44.80, 3.35, 48.15,"000","N" "93528","26","A","Rt & Lt heart catheters","", 9.00,"", 4.43, 0.33, 13.76,"000","N" "93529","","A","Rt, Lt heart catheterization","", 4.80,"", 47.73, 3.57, 56.10,"000","N" "93529","TC","A","Rt, Lt heart catheterization","", 0.00,"", 44.80, 3.35, 48.15,"000","N" "93529","26","A","Rt, Lt heart catheterization","", 4.80,"", 2.93, 0.22, 7.95,"000","N" "93536","","A","Insert circulation assi","", 4.85,"*", 6.20, 0.71, 11.76,"000","N" "93539","","A","Injection, cardiac cath","", 0.29,"*", 0.88, 0.20, 1.37,"000","N" "93540","","A","Injection, cardiac cath","", 0.43,"*", 0.88, 0.20, 1.51,"000","N" "93541","","A","Injection for lung angiogram","", 0.29,"*", 0.73, 0.16, 1.18,"000","N" "93542","","A","Injection for heart x-rays","", 0.29,"*", 0.72, 0.16, 1.17,"000","N" "93543","","A","Injection for heart x-rays","", 0.29,"*", 0.57, 0.11, 0.97,"000","N" "93544","","A","Injection for aortography","", 0.29,"*", 0.57, 0.11, 0.97,"000","N" "93545","","A","Injection for coronary xrays","", 0.29,"*", 1.03, 0.24, 1.56,"000","N" "93555","","A","Imaging, cardiac cath","", 0.81,"", 6.25, 0.42, 7.48,"XXX","N" "93555","TC","A","Imaging, cardiac cath","", 0.00,"", 5.98, 0.38, 6.36,"XXX","N" "93555","26","A","Imaging, cardiac cath","", 0.81,"", 0.27, 0.04, 1.12,"XXX","N" "93556","","A","Imaging, cardiac cath","", 0.83,"", 9.88, 0.65, 11.36,"XXX","N" "93556","TC","A","Imaging, cardiac cath","", 0.00,"", 9.43, 0.58, 10.01,"XXX","N" "93556","26","A","Imaging, cardiac cath","", 0.83,"", 0.45, 0.07, 1.35,"XXX","N" "93561","","A","Cardiac output measurement","", 1.15,"", 1.25, 0.16, 2.56,"000","N" "93561","TC","A","Cardiac output measurement","", 0.00,"", 0.50, 0.07, 0.57,"000","N" "93561","26","A","Cardiac output measurement","", 1.15,"", 0.75, 0.09, 1.99,"000","N" "93562","","A","Cardiac output measurement","", 0.37,"*", 0.76, 0.10, 1.23,"000","N" "93562","TC","A","Cardiac output measurement","", 0.00,"", 0.30, 0.04, 0.34,"000","N" "93562","26","A","Cardiac output measurement","", 0.37,"*", 0.46, 0.06, 0.89,"000","N" "93600","","A","Bundle of His recording","", 2.12,"*", 4.57, 0.38, 7.07,"000","N" "93600","TC","A","Bundle of His recording","", 0.00,"", 1.86, 0.14, 2.00,"000","N" "93600","26","A","Bundle of His recording","", 2.12,"*", 2.71, 0.24, 5.07,"000","N" "93602","","A","Intra-atrial recording","", 2.12,"", 2.83, 0.22, 5.17,"000","N" "93602","TC","A","Intra-atrial recording","", 0.00,"", 1.06, 0.08, 1.14,"000","N" "93602","26","A","Intra-atrial recording","", 2.12,"", 1.77, 0.14, 4.03,"000","N" "93603","","A","Right ventricular recording","", 2.12,"", 3.79, 0.28, 6.19,"000","N" "93603","TC","A","Right ventricular recording","", 0.00,"", 1.60, 0.12, 1.72,"000","N" "93603","26","A","Right ventricular recording","", 2.12,"", 2.19, 0.16, 4.47,"000","N" "93607","","A","Right ventricular recording","", 3.26,"", 3.63, 0.28, 7.17,"000","N" "93607","TC","A","Right ventricular recording","", 0.00,"", 1.42, 0.11, 1.53,"000","N" "93607","26","A","Right ventricular recording","", 3.26,"", 2.21, 0.17, 5.64,"000","N" "93609","","A","Mapping of tachycardia","", 10.07,"", 6.43, 0.47, 16.97,"000","N" "93609","TC","A","Mapping of tachycardia","", 0.00,"", 2.59, 0.19, 2.78,"000","N" "93609","26","A","Mapping of tachycardia","", 10.07,"", 3.84, 0.28, 14.19,"000","N" "93610","","A","Intra-atrial pacing","", 3.02,"", 3.60, 0.27, 6.89,"000","N" "93610","TC","A","Intra-atrial pacing","", 0.00,"", 1.29, 0.10, 1.39,"000","N" "93610","26","A","Intra-atrial pacing","", 3.02,"", 2.31, 0.17, 5.50,"000","N" "93612","","A","Intraventricular pacing","", 3.02,"", 3.88, 0.29, 7.19,"000","N" "93612","TC","A","Intraventricular pacing","", 0.00,"", 1.54, 0.12, 1.66,"000","N" "93612","26","A","Intraventricular pacing","", 3.02,"", 2.34, 0.17, 5.53,"000","N" "93615","","A","Esophageal recording","", 0.99,"", 0.65, 0.04, 1.68,"000","N" "93615","TC","A","Esophageal recording","", 0.00,"", 0.30, 0.02, 0.32,"000","N" "93615","26","A","Esophageal recording","", 0.99,"", 0.35, 0.02, 1.36,"000","N" "93616","","A","Esophageal recording","", 1.49,"", 1.66, 0.10, 3.25,"000","N" "93616","TC","A","Esophageal recording","", 0.00,"", 0.30, 0.02, 0.32,"000","N" "93616","26","A","Esophageal recording","", 1.49,"", 1.36, 0.08, 2.93,"000","N" "93618","","A","Heart rhythm pacing","", 4.26,"*", 9.24, 0.72, 14.22,"000","N" "93618","TC","A","Heart rhythm pacing","", 0.00,"", 3.78, 0.28, 4.06,"000","N" "93618","26","A","Heart rhythm pacing","", 4.26,"*", 5.46, 0.44, 10.16,"000","N" "93619","","A","Electrophysiology evaluation","", 7.32,"*", 16.71, 1.40, 25.43,"000","N" "93619","TC","A","Electrophysiology evaluation","", 0.00,"", 7.34, 0.54, 7.88,"000","N" "93619","26","A","Electrophysiology evaluation","", 7.32,"*", 9.37, 0.86, 17.55,"000","N" "93620","","A","Electrophysiology evaluation","", 11.59,"", 22.07, 1.55, 35.21,"000","N" "93620","TC","A","Electrophysiology evaluation","", 0.00,"", 8.54, 0.60, 9.14,"000","N" "93620","26","A","Electrophysiology evaluation","", 11.59,"", 13.53, 0.95, 26.07,"000","N" "93621","","C","Electrophysiology evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93621","TC","C","Electrophysiology evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93621","26","A","Electrophysiology evaluation","", 12.66,"", 14.94, 1.11, 28.71,"000","N" "93622","","C","Electrophysiology evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93622","TC","C","Electrophysiology evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93622","26","A","Electrophysiology evaluation","", 12.74,"", 14.74, 1.07, 28.55,"000","N" "93623","","C","Stimulation, pacing heart","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93623","TC","C","Stimulation, pacing heart","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93623","26","A","Stimulation, pacing heart","", 2.85,"", 2.78, 0.20, 5.83,"000","N" "93624","","A","Electrophysiologic study","", 4.81,"", 4.88, 0.35, 10.04,"000","N" "93624","TC","A","Electrophysiologic study","", 0.00,"", 1.89, 0.14, 2.03,"000","N" "93624","26","A","Electrophysiologic study","", 4.81,"", 2.99, 0.21, 8.01,"000","N" "93631","","A","Heart pacing, mapping","", 7.60,"", 11.62, 1.37, 20.59,"000","N" "93631","TC","A","Heart pacing, mapping","", 0.00,"", 5.86, 0.70, 6.56,"000","N" "93631","26","A","Heart pacing, mapping","", 7.60,"", 5.76, 0.67, 14.03,"000","N" "93640","","A","Evaluation heart device","", 3.52,"*", 11.51, 1.09, 16.12,"000","N" "93640","TC","A","Evaluation heart device","", 0.00,"", 6.84, 0.48, 7.32,"000","N" "93640","26","A","Evaluation heart device","", 3.52,"*", 4.67, 0.61, 8.80,"000","N" "93641","","A","Electrophysiology evaluation","", 5.93,"*", 13.85, 1.09, 20.87,"000","N" "93641","TC","A","Electrophysiology evaluation","", 0.00,"", 6.84, 0.48, 7.32,"000","N" "93641","26","A","Electrophysiology evaluation","", 5.93,"*", 7.01, 0.61, 13.55,"000","N" "93642","","A","Electrophysiology evaluation","", 4.89,"*", 13.09, 1.09, 19.07,"000","N" "93642","TC","A","Electrophysiology evaluation","", 0.00,"", 6.84, 0.48, 7.32,"000","N" "93642","26","A","Electrophysiology evaluation","", 4.89,"*", 6.25, 0.61, 11.75,"000","N" "93650","","A","Ablate heart dysrhythm focus","", 10.51,"*", 13.46, 1.34, 25.31,"000","N" "93651","","A","Ablate heart dysrhythm focus","", 16.25,"", 17.83, 1.34, 35.42,"000","N" "93652","","A","Ablate heart dysrhythm focus","", 17.68,"", 17.83, 1.34, 36.85,"000","N" "93660","","C","Tilt table evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93660","TC","C","Tilt table evaluation","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "93660","26","A","Tilt table evaluation","", 1.89,"", 1.44, 0.17, 3.50,"000","N" "93720","","A","Total body plethysmography","", 0.17,"*", 0.89, 0.10, 1.16,"XXX","N" "93721","","A","Plethysmography tracing","", 0.00,"", 0.67, 0.07, 0.74,"XXX","N" "93722","","A","Plethysmography report","", 0.17,"*", 0.22, 0.03, 0.42,"XXX","N" "93724","","A","Analyze pacemaker system","", 4.89,"", 6.66, 0.50, 12.05,"000","N" "93724","TC","A","Analyze pacemaker system","", 0.00,"", 3.78, 0.28, 4.06,"000","N" "93724","26","A","Analyze pacemaker system","", 4.89,"", 2.88, 0.22, 7.99,"000","N" "93731","","A","Analyze pacemaker system","", 0.45,"", 0.79, 0.07, 1.31,"XXX","N" "93731","TC","A","Analyze pacemaker system","", 0.00,"", 0.47, 0.04, 0.51,"XXX","N" "93731","26","A","Analyze pacemaker system","", 0.45,"", 0.32, 0.03, 0.80,"XXX","N" "93732","","A","Analyze pacemaker system","", 0.92,"", 0.91, 0.08, 1.91,"XXX","N" "93732","TC","A","Analyze pacemaker system","", 0.00,"", 0.49, 0.04, 0.53,"XXX","N" "93732","26","A","Analyze pacemaker system","", 0.92,"", 0.42, 0.04, 1.38,"XXX","N" "93733","","A","Telephone analysis,pacemaker","", 0.17,"*", 0.91, 0.08, 1.16,"XXX","N" "93733","TC","A","Telephone analysis,pacemaker","", 0.00,"", 0.69, 0.06, 0.75,"XXX","N" "93733","26","A","Telephone analysis,pacemaker","", 0.17,"*", 0.22, 0.02, 0.41,"XXX","N" "93734","","A","Analyze pacemaker system","", 0.38,"", 0.64, 0.06, 1.08,"XXX","N" "93734","TC","A","Analyze pacemaker system","", 0.00,"", 0.33, 0.03, 0.36,"XXX","N" "93734","26","A","Analyze pacemaker system","", 0.38,"", 0.31, 0.03, 0.72,"XXX","N" "93735","","A","Analyze pacemaker system","", 0.74,"", 0.85, 0.08, 1.67,"XXX","N" "93735","TC","A","Analyze pacemaker system","", 0.00,"", 0.42, 0.04, 0.46,"XXX","N" "93735","26","A","Analyze pacemaker system","", 0.74,"", 0.43, 0.04, 1.21,"XXX","N" "93736","","A","Telephone analysis,pacemaker","", 0.15,"*", 0.79, 0.09, 1.03,"XXX","N" "93736","TC","A","Telephone analysis,pacemaker","", 0.00,"", 0.60, 0.06, 0.66,"XXX","N" "93736","26","A","Telephone analysis,pacemaker","", 0.15,"*", 0.19, 0.03, 0.37,"XXX","N" "93737","","A","Analyze cardio/defibrillator","", 0.45,"", 0.74, 0.06, 1.25,"XXX","N" "93737","TC","A","Analyze cardio/defibrillator","", 0.00,"", 0.47, 0.04, 0.51,"XXX","N" "93737","26","A","Analyze cardio/defibrillator","", 0.45,"", 0.27, 0.02, 0.74,"XXX","N" "93738","","A","Analyze cardio/defibrillator","", 0.92,"", 0.88, 0.07, 1.87,"XXX","N" "93738","TC","A","Analyze cardio/defibrillator","", 0.00,"", 0.49, 0.04, 0.53,"XXX","N" "93738","26","A","Analyze cardio/defibrillator","", 0.92,"", 0.39, 0.03, 1.34,"XXX","N" "93740","","A","Temperature gradient studies","", 0.16,"", 0.45, 0.04, 0.65,"XXX","N" "93740","TC","A","Temperature gradient studies","", 0.00,"", 0.15, 0.01, 0.16,"XXX","N" "93740","26","A","Temperature gradient studies","", 0.16,"", 0.30, 0.03, 0.49,"XXX","N" "93760","","N","Cephalic thermogram","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93762","","N","Peripheral thermogram","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93770","","A","Measure venous pressure","", 0.16,"", 0.20, 0.02, 0.38,"XXX","N" "93770","TC","A","Measure venous pressure","", 0.00,"", 0.03, 0.00, 0.03,"XXX","N" "93770","26","A","Measure venous pressure","", 0.16,"", 0.17, 0.02, 0.35,"XXX","N" "93784","","N","Ambulatory BP monitoring","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93786","","N","Ambulatory BP recording","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93788","","N","Ambulatory BP analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93790","","N","Review/report BP recording","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "93797","","A","Cardiac rehab","", 0.18,"", 0.30, 0.02, 0.50,"000","N" "93798","","A","Cardiac rehab/monitor","", 0.28,"", 0.47, 0.04, 0.79,"000","N" "93799","","C","Cardiovascular procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "93799","TC","C","Cardiovascular procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "93799","26","C","Cardiovascular procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "93875","","A","Extracranial study","", 0.22,"*", 1.36, 0.18, 1.76,"XXX","N" "93875","TC","A","Extracranial study","", 0.00,"", 1.05, 0.12, 1.17,"XXX","N" "93875","26","A","Extracranial study","", 0.22,"*", 0.31, 0.06, 0.59,"XXX","N" "93880","","A","Extracranial study","", 0.60,"", 3.94, 0.44, 4.98,"XXX","N" "93880","TC","A","Extracranial study","", 0.00,"", 3.55, 0.40, 3.95,"XXX","N" "93880","26","A","Extracranial study","", 0.60,"", 0.39, 0.04, 1.03,"XXX","N" "93882","","A","Extracranial study","", 0.40,"", 2.62, 0.29, 3.31,"XXX","N" "93882","TC","A","Extracranial study","", 0.00,"", 2.36, 0.26, 2.62,"XXX","N" "93882","26","A","Extracranial study","", 0.40,"", 0.26, 0.03, 0.69,"XXX","N" "93886","","A","Intracranial study","", 0.94,"", 4.44, 0.50, 5.88,"XXX","N" "93886","TC","A","Intracranial study","", 0.00,"", 4.02, 0.45, 4.47,"XXX","N" "93886","26","A","Intracranial study","", 0.94,"", 0.42, 0.05, 1.41,"XXX","N" "93888","","A","Intracranial study","", 0.62,"", 2.96, 0.34, 3.92,"XXX","N" "93888","TC","A","Intracranial study","", 0.00,"", 2.68, 0.31, 2.99,"XXX","N" "93888","26","A","Intracranial study","", 0.62,"", 0.28, 0.03, 0.93,"XXX","N" "93922","","A","Extremity study","", 0.25,"*", 1.38, 0.19, 1.82,"XXX","N" "93922","TC","A","Extremity study","", 0.00,"", 1.10, 0.14, 1.24,"XXX","N" "93922","26","A","Extremity study","", 0.25,"*", 0.28, 0.05, 0.58,"XXX","N" "93923","","A","Extremity study","", 0.45,"*", 2.59, 0.35, 3.39,"XXX","N" "93923","TC","A","Extremity study","", 0.00,"", 2.08, 0.26, 2.34,"XXX","N" "93923","26","A","Extremity study","", 0.45,"*", 0.51, 0.09, 1.05,"XXX","N" "93924","","A","Extremity study","", 0.50,"*", 2.83, 0.39, 3.72,"XXX","N" "93924","TC","A","Extremity study","", 0.00,"", 2.26, 0.29, 2.55,"XXX","N" "93924","26","A","Extremity study","", 0.50,"*", 0.57, 0.10, 1.17,"XXX","N" "93925","","A","Lower extremity study","", 0.58,"", 3.96, 0.44, 4.98,"XXX","N" "93925","TC","A","Lower extremity study","", 0.00,"", 3.57, 0.40, 3.97,"XXX","N" "93925","26","A","Lower extremity study","", 0.58,"", 0.39, 0.04, 1.01,"XXX","N" "93926","","A","Lower extremity study","", 0.39,"", 2.64, 0.30, 3.33,"XXX","N" "93926","TC","A","Lower extremity study","", 0.00,"", 2.38, 0.27, 2.65,"XXX","N" "93926","26","A","Lower extremity study","", 0.39,"", 0.26, 0.03, 0.68,"XXX","N" "93930","","A","Upper extremity study","", 0.46,"", 4.18, 0.47, 5.11,"XXX","N" "93930","TC","A","Upper extremity study","", 0.00,"", 3.79, 0.42, 4.21,"XXX","N" "93930","26","A","Upper extremity study","", 0.46,"", 0.39, 0.05, 0.90,"XXX","N" "93931","","A","Upper extremity study","", 0.31,"", 2.78, 0.31, 3.40,"XXX","N" "93931","TC","A","Upper extremity study","", 0.00,"", 2.52, 0.28, 2.80,"XXX","N" "93931","26","A","Upper extremity study","", 0.31,"", 0.26, 0.03, 0.60,"XXX","N" "93965","","A","Extremity study","", 0.35,"*", 1.49, 0.19, 2.03,"XXX","N" "93965","TC","A","Extremity study","", 0.00,"", 1.04, 0.13, 1.17,"XXX","N" "93965","26","A","Extremity study","", 0.35,"*", 0.45, 0.06, 0.86,"XXX","N" "93970","","A","Extremity study","", 0.68,"", 4.33, 0.51, 5.52,"XXX","N" "93970","TC","A","Extremity study","", 0.00,"", 3.93, 0.46, 4.39,"XXX","N" "93970","26","A","Extremity study","", 0.68,"", 0.40, 0.05, 1.13,"XXX","N" "93971","","A","Extremity study","", 0.45,"", 2.89, 0.34, 3.68,"XXX","N" "93971","TC","A","Extremity study","", 0.00,"", 2.62, 0.31, 2.93,"XXX","N" "93971","26","A","Extremity study","", 0.45,"", 0.27, 0.03, 0.75,"XXX","N" "93975","","A","Vascular study","", 1.80,"", 4.90, 0.55, 7.25,"XXX","N" "93975","TC","A","Vascular study","", 0.00,"", 4.48, 0.50, 4.98,"XXX","N" "93975","26","A","Vascular study","", 1.80,"", 0.42, 0.05, 2.27,"XXX","N" "93976","","A","Vascular study","", 1.21,"", 3.27, 0.37, 4.85,"XXX","N" "93976","TC","A","Vascular study","", 0.00,"", 2.99, 0.34, 3.33,"XXX","N" "93976","26","A","Vascular study","", 1.21,"", 0.28, 0.03, 1.52,"XXX","N" "93978","","A","Vascular study","", 0.65,"", 4.06, 0.47, 5.18,"XXX","N" "93978","TC","A","Vascular study","", 0.00,"", 3.67, 0.42, 4.09,"XXX","N" "93978","26","A","Vascular study","", 0.65,"", 0.39, 0.05, 1.09,"XXX","N" "93979","","A","Vascular study","", 0.44,"", 2.70, 0.31, 3.45,"XXX","N" "93979","TC","A","Vascular study","", 0.00,"", 2.44, 0.28, 2.72,"XXX","N" "93979","26","A","Vascular study","", 0.44,"", 0.26, 0.03, 0.73,"XXX","N" "93980","","A","Penile vascular study","", 1.82,"", 4.15, 0.45, 6.42,"XXX","N" "93980","TC","A","Penile vascular study","", 0.00,"", 3.33, 0.38, 3.71,"XXX","N" "93980","26","A","Penile vascular study","", 1.82,"", 0.82, 0.07, 2.71,"XXX","N" "93981","","A","Penile vascular study","", 0.64,"", 3.47, 0.39, 4.50,"XXX","N" "93981","TC","A","Penile vascular study","", 0.00,"", 3.07, 0.36, 3.43,"XXX","N" "93981","26","A","Penile vascular study","", 0.64,"", 0.40, 0.03, 1.07,"XXX","N" "93990","","A","Doppler flow testing","", 0.25,"", 2.57, 0.29, 3.11,"XXX","N" "93990","TC","A","Doppler flow testing","", 0.00,"", 2.38, 0.27, 2.65,"XXX","N" "93990","26","A","Doppler flow testing","", 0.25,"", 0.19, 0.02, 0.46,"XXX","N" "94010","","A","Breathing capacity test","", 0.17,"", 0.68, 0.05, 0.90,"XXX","N" "94010","TC","A","Breathing capacity test","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "94010","26","A","Breathing capacity test","", 0.17,"", 0.28, 0.02, 0.47,"XXX","N" "94060","","A","Evaluation of wheezing","", 0.31,"", 1.27, 0.09, 1.67,"XXX","N" "94060","TC","A","Evaluation of wheezing","", 0.00,"", 0.89, 0.06, 0.95,"XXX","N" "94060","26","A","Evaluation of wheezing","", 0.31,"", 0.38, 0.03, 0.72,"XXX","N" "94070","","A","Evaluation of wheezing","", 0.60,"", 1.77, 0.13, 2.50,"XXX","N" "94070","TC","A","Evaluation of wheezing","", 0.00,"", 1.39, 0.10, 1.49,"XXX","N" "94070","26","A","Evaluation of wheezing","", 0.60,"", 0.38, 0.03, 1.01,"XXX","N" "94150","","A","Vital capacity test","", 0.11,"", 0.20, 0.02, 0.33,"XXX","N" "94150","TC","A","Vital capacity test","", 0.00,"", 0.08, 0.01, 0.09,"XXX","N" "94150","26","A","Vital capacity test","", 0.11,"", 0.12, 0.01, 0.24,"XXX","N" "94160","","A","Vital capacity screening","", 0.18,"", 0.37, 0.02, 0.57,"XXX","N" "94160","TC","A","Vital capacity screening","", 0.00,"", 0.18, 0.01, 0.19,"XXX","N" "94160","26","A","Vital capacity screening","", 0.18,"", 0.19, 0.01, 0.38,"XXX","N" "94200","","A","Lung function test (MBC/MVV)","", 0.11,"*", 0.38, 0.03, 0.52,"XXX","N" "94200","TC","A","Lung function test (MBC/MVV)","", 0.00,"", 0.24, 0.02, 0.26,"XXX","N" "94200","26","A","Lung function test (MBC/MVV)","", 0.11,"*", 0.14, 0.01, 0.26,"XXX","N" "94240","","A","Residual lung capacity","", 0.26,"", 0.88, 0.07, 1.21,"XXX","N" "94240","TC","A","Residual lung capacity","", 0.00,"", 0.65, 0.05, 0.70,"XXX","N" "94240","26","A","Residual lung capacity","", 0.26,"", 0.23, 0.02, 0.51,"XXX","N" "94250","","A","Expired gas collection","", 0.11,"*", 0.27, 0.02, 0.40,"XXX","N" "94250","TC","A","Expired gas collection","", 0.00,"", 0.13, 0.01, 0.14,"XXX","N" "94250","26","A","Expired gas collection","", 0.11,"*", 0.14, 0.01, 0.26,"XXX","N" "94260","","A","Thoracic gas volume","", 0.13,"*", 0.69, 0.06, 0.88,"XXX","N" "94260","TC","A","Thoracic gas volume","", 0.00,"", 0.52, 0.04, 0.56,"XXX","N" "94260","26","A","Thoracic gas volume","", 0.13,"*", 0.17, 0.02, 0.32,"XXX","N" "94350","","A","Lung nitrogen washout curve","", 0.26,"", 0.73, 0.05, 1.04,"XXX","N" "94350","TC","A","Lung nitrogen washout curve","", 0.00,"", 0.52, 0.04, 0.56,"XXX","N" "94350","26","A","Lung nitrogen washout curve","", 0.26,"", 0.21, 0.01, 0.48,"XXX","N" "94360","","A","Measure airflow resistance","", 0.26,"", 1.11, 0.07, 1.44,"XXX","N" "94360","TC","A","Measure airflow resistance","", 0.00,"", 0.92, 0.06, 0.98,"XXX","N" "94360","26","A","Measure airflow resistance","", 0.26,"", 0.19, 0.01, 0.46,"XXX","N" "94370","","A","Breath airway closing volume","", 0.26,"", 0.40, 0.03, 0.69,"XXX","N" "94370","TC","A","Breath airway closing volume","", 0.00,"", 0.26, 0.02, 0.28,"XXX","N" "94370","26","A","Breath airway closing volume","", 0.26,"", 0.14, 0.01, 0.41,"XXX","N" "94375","","A","Respiratory flow volume loop","", 0.31,"", 0.67, 0.04, 1.02,"XXX","N" "94375","TC","A","Respiratory flow volume loop","", 0.00,"", 0.46, 0.03, 0.49,"XXX","N" "94375","26","A","Respiratory flow volume loop","", 0.31,"", 0.21, 0.01, 0.53,"XXX","N" "94400","","A","CO2 breathing response curve","", 0.40,"", 0.77, 0.19, 1.36,"XXX","N" "94400","TC","A","CO2 breathing response curve","", 0.00,"", 0.30, 0.06, 0.36,"XXX","N" "94400","26","A","CO2 breathing response curve","", 0.40,"", 0.47, 0.13, 1.00,"XXX","N" "94450","","A","Hypoxia response curve","", 0.40,"", 0.61, 0.05, 1.06,"XXX","N" "94450","TC","A","Hypoxia response curve","", 0.00,"", 0.37, 0.03, 0.40,"XXX","N" "94450","26","A","Hypoxia response curve","", 0.40,"", 0.24, 0.02, 0.66,"XXX","N" "94620","","A","Pulmonary stress testing","", 0.88,"", 2.05, 0.15, 3.08,"XXX","N" "94620","TC","A","Pulmonary stress testing","", 0.00,"", 1.35, 0.10, 1.45,"XXX","N" "94620","26","A","Pulmonary stress testing","", 0.88,"", 0.70, 0.05, 1.63,"XXX","N" "94640","","A","Airway inhalation treatment","", 0.00,"", 0.39, 0.03, 0.42,"XXX","N" "94642","","C","Aerosol inhalation treatment","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94650","","A","Pressure breathing (IPPB)","", 0.00,"", 0.37, 0.03, 0.40,"XXX","N" "94651","","A","Pressure breathing (IPPB)","", 0.00,"", 0.36, 0.03, 0.39,"XXX","N" "94652","","A","Pressure breathing (IPPB)","", 0.00,"", 0.41, 0.08, 0.49,"XXX","N" "94656","","A","Initial ventilator mgmt","", 1.22,"", 1.13, 0.12, 2.47,"XXX","N" "94657","","A","Cont. ventilator","", 0.83,"", 0.62, 0.05, 1.50,"XXX","N" "94660","","A","Pos airway pressure, CPAP","", 0.76,"", 0.71, 0.06, 1.53,"XXX","N" "94662","","A","Neg pressure ventilation,cnp","", 0.76,"", 0.30, 0.02, 1.08,"XXX","N" "94664","","A","Aerosol or vapor inhalations","", 0.00,"", 0.50, 0.04, 0.54,"XXX","N" "94665","","A","Aerosol or vapor inhalations","", 0.00,"", 0.46, 0.05, 0.51,"XXX","N" "94667","","A","Chest wall manipulation","", 0.00,"", 0.55, 0.05, 0.60,"XXX","N" "94668","","A","Chest wall manipulation","", 0.00,"", 0.34, 0.03, 0.37,"XXX","N" "94680","","A","Exhaled air analysis: O2","", 0.26,"", 0.82, 0.10, 1.18,"XXX","N" "94680","TC","A","Exhaled air analysis: O2","", 0.00,"", 0.49, 0.07, 0.56,"XXX","N" "94680","26","A","Exhaled air analysis: O2","", 0.26,"", 0.33, 0.03, 0.62,"XXX","N" "94681","","A","Exhaled air analysis: O2,CO2","", 0.20,"*", 1.58, 0.17, 1.95,"XXX","N" "94681","TC","A","Exhaled air analysis: O2,CO2","", 0.00,"", 1.32, 0.13, 1.45,"XXX","N" "94681","26","A","Exhaled air analysis: O2,CO2","", 0.20,"*", 0.26, 0.04, 0.50,"XXX","N" "94690","","A","Exhaled air analysis","", 0.07,"", 0.56, 0.04, 0.67,"XXX","N" "94690","TC","A","Exhaled air analysis","", 0.00,"", 0.51, 0.04, 0.55,"XXX","N" "94690","26","A","Exhaled air analysis","", 0.07,"", 0.05, 0.00, 0.12,"XXX","N" "94720","","A","Monoxide diffusing capacity","", 0.26,"", 1.03, 0.08, 1.37,"XXX","N" "94720","TC","A","Monoxide diffusing capacity","", 0.00,"", 0.80, 0.06, 0.86,"XXX","N" "94720","26","A","Monoxide diffusing capacity","", 0.26,"", 0.23, 0.02, 0.51,"XXX","N" "94725","","A","Membrane diffusion capacity","", 0.26,"", 1.84, 0.14, 2.24,"XXX","N" "94725","TC","A","Membrane diffusion capacity","", 0.00,"", 1.66, 0.13, 1.79,"XXX","N" "94725","26","A","Membrane diffusion capacity","", 0.26,"", 0.18, 0.01, 0.45,"XXX","N" "94750","","A","Pulmonary compliance study","", 0.23,"", 0.83, 0.06, 1.12,"XXX","N" "94750","TC","A","Pulmonary compliance study","", 0.00,"", 0.55, 0.04, 0.59,"XXX","N" "94750","26","A","Pulmonary compliance study","", 0.23,"", 0.28, 0.02, 0.53,"XXX","N" "94760","","A","Measure blood oxygen level","", 0.00,"", 0.25, 0.02, 0.27,"XXX","N" "94761","","A","Measure blood oxygen level","", 0.00,"", 0.64, 0.06, 0.70,"XXX","N" "94762","","A","Measure blood oxygen level","", 0.00,"", 1.08, 0.10, 1.18,"XXX","N" "94770","","A","Exhaled carbon dioxide test","", 0.20,"", 0.40, 0.11, 0.71,"XXX","N" "94770","TC","A","Exhaled carbon dioxide test","", 0.00,"", 0.29, 0.08, 0.37,"XXX","N" "94770","26","A","Exhaled carbon dioxide test","", 0.20,"", 0.11, 0.03, 0.34,"XXX","N" "94772","","C","Breath recording, infant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94772","TC","C","Breath recording, infant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94772","26","C","Breath recording, infant","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94799","","C","Pulmonary service/procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94799","TC","C","Pulmonary service/procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "94799","26","C","Pulmonary service/procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95004","","A","Allergy skin tests","", 0.00,"", 0.09, 0.01, 0.10,"XXX","N" "95010","","A","Sensitivity skin tests","", 0.15,"", 0.11, 0.01, 0.27,"XXX","N" "95015","","A","Sensitivity skin tests","", 0.15,"", 0.11, 0.01, 0.27,"XXX","N" "95024","","A","Allergy skin tests","", 0.00,"", 0.14, 0.01, 0.15,"XXX","N" "95027","","A","Skin end point titration","", 0.00,"", 0.14, 0.01, 0.15,"XXX","N" "95028","","A","Allergy skin tests","", 0.00,"", 0.22, 0.01, 0.23,"XXX","N" "95044","","A","Allergy patch tests","", 0.00,"", 0.19, 0.01, 0.20,"XXX","N" "95052","","A","Photo patch test","", 0.00,"", 0.24, 0.01, 0.25,"XXX","N" "95056","","A","Photosensitivity tests","", 0.00,"", 0.17, 0.01, 0.18,"XXX","N" "95060","","A","Eye allergy tests","", 0.00,"", 0.33, 0.02, 0.35,"XXX","N" "95065","","A","Nose allergy test","", 0.00,"", 0.19, 0.01, 0.20,"XXX","N" "95070","","A","Bronchial allergy tests","", 0.00,"", 2.17, 0.02, 2.19,"XXX","N" "95071","","A","Bronchial allergy tests","", 0.00,"", 2.78, 0.02, 2.80,"XXX","N" "95075","","A","Ingestion challenge test","", 0.95,"", 1.97, 0.02, 2.94,"XXX","N" "95078","","A","Provocative testing","", 0.00,"", 0.24, 0.02, 0.26,"XXX","N" "95115","","A","Immunotherapy, one injection","", 0.00,"", 0.37, 0.02, 0.39,"000","N" "95117","","A","Immunotherapy injections","", 0.00,"", 0.48, 0.02, 0.50,"000","N" "95120","","G","Immunotherapy, one injection","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95125","","G","Immunotherapy, many antigens","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95130","","G","Immunotherapy, insect venom","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95131","","G","Immunotherapy, insect venoms","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95132","","G","Immunotherapy, insect venoms","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95133","","G","Immunotherapy, insect venoms","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95134","","G","Immunotherapy, insect venoms","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "95144","","A","Antigen therapy services","", 0.06,"", 0.13, 0.01, 0.20,"000","N" "95145","","A","Antigen therapy services","", 0.06,"", 0.34, 0.03, 0.43,"000","N" "95146","","A","Antigen therapy services","", 0.06,"", 0.61, 0.03, 0.70,"000","N" "95147","","A","Antigen therapy services","", 0.06,"", 0.91, 0.03, 1.00,"000","N" "95148","","A","Antigen therapy services","", 0.06,"", 0.91, 0.03, 1.00,"000","N" "95149","","A","Antigen therapy services","", 0.06,"", 1.14, 0.03, 1.23,"000","N" "95165","","A","Antigen therapy services","", 0.06,"", 0.10, 0.01, 0.17,"000","N" "95170","","A","Antigen therapy services","", 0.06,"", 0.35, 0.03, 0.44,"000","N" "95180","","A","Rapid desensitization","", 2.01,"", 0.14, 0.01, 2.16,"000","N" "95199","","C","Allergy immunology services","", 0.00,"", 0.00, 0.00, 0.00,"000","N" "95805","","A","Multiple sleep latency test","", 1.88,"", 5.51, 0.45, 7.84,"XXX","N" "95805","TC","A","Multiple sleep latency test","", 0.00,"", 4.95, 0.38, 5.33,"XXX","N" "95805","26","A","Multiple sleep latency test","", 1.88,"", 0.56, 0.07, 2.51,"XXX","N" "95807","","A","Sleep study","", 1.66,"", 8.75, 0.67, 11.08,"XXX","N" "95807","TC","A","Sleep study","", 0.00,"", 6.30, 0.48, 6.78,"XXX","N" "95807","26","A","Sleep study","", 1.66,"", 2.45, 0.19, 4.30,"XXX","N" "95808","","A","Polysomnography, 1-3","", 2.65,"", 8.75, 0.67, 12.07,"XXX","N" "95808","TC","A","Polysomnography, 1-3","", 0.00,"", 6.30, 0.48, 6.78,"XXX","N" "95808","26","A","Polysomnography, 1-3","", 2.65,"", 2.45, 0.19, 5.29,"XXX","N" "95810","","A","Polysomnography, 4 or more","", 3.53,"", 8.75, 0.67, 12.95,"XXX","N" "95810","TC","A","Polysomnography, 4 or more","", 0.00,"", 6.30, 0.48, 6.78,"XXX","N" "95810","26","A","Polysomnography, 4 or more","", 3.53,"", 2.45, 0.19, 6.17,"XXX","N" "95812","","A","Electroencephalogram (EEG)","", 1.08,"", 1.85, 0.15, 3.08,"XXX","N" "95812","TC","A","Electroencephalogram (EEG)","", 0.00,"", 1.35, 0.11, 1.46,"XXX","N" "95812","26","A","Electroencephalogram (EEG)","", 1.08,"", 0.50, 0.04, 1.62,"XXX","N" "95813","","A","Electroencephalogram (EEG)","", 1.73,"", 1.85, 0.15, 3.73,"XXX","N" "95813","TC","A","Electroencephalogram (EEG)","", 0.00,"", 1.35, 0.11, 1.46,"XXX","N" "95813","26","A","Electroencephalogram (EEG)","", 1.73,"", 0.50, 0.04, 2.27,"XXX","N" "95816","","A","Electroencephalogram (EEG)","", 1.08,"", 1.54, 0.13, 2.75,"XXX","N" "95816","TC","A","Electroencephalogram (EEG)","", 0.00,"", 1.26, 0.10, 1.36,"XXX","N" "95816","26","A","Electroencephalogram (EEG)","", 1.08,"", 0.28, 0.03, 1.39,"XXX","N" "95819","","A","Electroencephalogram (EEG)","", 1.08,"", 1.80, 0.14, 3.02,"XXX","N" "95819","TC","A","Electroencephalogram (EEG)","", 0.00,"", 1.30, 0.10, 1.40,"XXX","N" "95819","26","A","Electroencephalogram (EEG)","", 1.08,"", 0.50, 0.04, 1.62,"XXX","N" "95822","","A","Sleep electroencephalogram","", 1.08,"", 2.28, 0.18, 3.54,"XXX","N" "95822","TC","A","Sleep electroencephalogram","", 0.00,"", 1.72, 0.14, 1.86,"XXX","N" "95822","26","A","Sleep electroencephalogram","", 1.08,"", 0.56, 0.04, 1.68,"XXX","N" "95824","","A","Electroencephalography","", 0.74,"", 0.98, 0.07, 1.79,"XXX","N" "95824","TC","A","Electroencephalography","", 0.00,"", 0.40, 0.03, 0.43,"XXX","N" "95824","26","A","Electroencephalography","", 0.74,"", 0.58, 0.04, 1.36,"XXX","N" "95827","","A","Night electroencephalogram","", 1.08,"", 3.06, 0.24, 4.38,"XXX","N" "95827","TC","A","Night electroencephalogram","", 0.00,"", 2.18, 0.17, 2.35,"XXX","N" "95827","26","A","Night electroencephalogram","", 1.08,"", 0.88, 0.07, 2.03,"XXX","N" "95829","","A","Surgery electrocorticogram","", 6.21,"", 0.59, 0.05, 6.85,"XXX","N" "95829","TC","A","Surgery electrocorticogram","", 0.00,"", 0.14, 0.02, 0.16,"XXX","N" "95829","26","A","Surgery electrocorticogram","", 6.21,"", 0.45, 0.03, 6.69,"XXX","N" "95830","","A","Insert electrodes for EEG","", 1.70,"", 0.78, 0.07, 2.55,"XXX","N" "95831","","A","Limb muscle testing, manual","", 0.28,"", 0.29, 0.03, 0.60,"XXX","N" "95832","","A","Hand muscle testing, manual","", 0.29,"", 0.25, 0.02, 0.56,"XXX","N" "95833","","A","Body muscle testing, manual","", 0.47,"", 0.38, 0.05, 0.90,"XXX","N" "95834","","A","Body muscle testing, manual","", 0.60,"", 0.61, 0.06, 1.27,"XXX","N" "95851","","A","Range of motion measurements","", 0.28,"", 0.24, 0.02, 0.54,"XXX","N" "95852","","A","Range of motion measurements","", 0.19,"", 0.15, 0.02, 0.36,"XXX","N" "95857","","A","Tensilon test","", 0.53,"", 0.50, 0.04, 1.07,"XXX","N" "95858","","A","Tensilon test & myogram","", 1.56,"", 1.02, 0.09, 2.67,"XXX","N" "95858","TC","A","Tensilon test & myogram","", 0.00,"", 0.38, 0.04, 0.42,"XXX","N" "95858","26","A","Tensilon test & myogram","", 1.56,"", 0.64, 0.05, 2.25,"XXX","N" "95860","","A","Muscle test, one limb","", 0.96,"", 1.09, 0.09, 2.14,"XXX","N" "95860","TC","A","Muscle test, one limb","", 0.00,"", 0.36, 0.03, 0.39,"XXX","N" "95860","26","A","Muscle test, one limb","", 0.96,"", 0.73, 0.06, 1.75,"XXX","N" "95861","","A","Muscle test, two limbs","", 1.54,"", 1.97, 0.16, 3.67,"XXX","N" "95861","TC","A","Muscle test, two limbs","", 0.00,"", 0.70, 0.06, 0.76,"XXX","N" "95861","26","A","Muscle test, two limbs","", 1.54,"", 1.27, 0.10, 2.91,"XXX","N" "95863","","A","Muscle test, 3 limbs","", 1.87,"", 2.30, 0.18, 4.35,"XXX","N" "95863","TC","A","Muscle test, 3 limbs","", 0.00,"", 0.89, 0.07, 0.96,"XXX","N" "95863","26","A","Muscle test, 3 limbs","", 1.87,"", 1.41, 0.11, 3.39,"XXX","N" "95864","","A","Muscle test, 4 limbs","", 1.99,"", 3.45, 0.27, 5.71,"XXX","N" "95864","TC","A","Muscle test, 4 limbs","", 0.00,"", 1.70, 0.13, 1.83,"XXX","N" "95864","26","A","Muscle test, 4 limbs","", 1.99,"", 1.75, 0.14, 3.88,"XXX","N" "95867","","A","Muscle test, head or neck","", 0.62,"", 1.13, 0.09, 1.84,"XXX","N" "95867","TC","A","Muscle test, head or neck","", 0.00,"", 0.55, 0.04, 0.59,"XXX","N" "95867","26","A","Muscle test, head or neck","", 0.62,"", 0.58, 0.05, 1.25,"XXX","N" "95868","","A","Muscle test, head or neck","", 1.50,"", 1.92, 0.15, 3.57,"XXX","N" "95868","TC","A","Muscle test, head or neck","", 0.00,"", 0.66, 0.05, 0.71,"XXX","N" "95868","26","A","Muscle test, head or neck","", 1.50,"", 1.26, 0.10, 2.86,"XXX","N" "95869","","A","Muscle test, limited","", 0.37,"", 0.53, 0.05, 0.95,"XXX","N" "95869","TC","A","Muscle test, limited","", 0.00,"", 0.20, 0.02, 0.22,"XXX","N" "95869","26","A","Muscle test, limited","", 0.37,"", 0.33, 0.03, 0.73,"XXX","N" "95872","","A","Muscle test, one fiber","", 1.50,"", 1.25, 0.11, 2.86,"XXX","N" "95872","TC","A","Muscle test, one fiber","", 0.00,"", 0.57, 0.05, 0.62,"XXX","N" "95872","26","A","Muscle test, one fiber","", 1.50,"", 0.68, 0.06, 2.24,"XXX","N" "95875","","A","Limb exercise test","", 1.34,"", 0.60, 0.10, 2.04,"XXX","N" "95875","TC","A","Limb exercise test","", 0.00,"", 0.38, 0.06, 0.44,"XXX","N" "95875","26","A","Limb exercise test","", 1.34,"", 0.22, 0.04, 1.60,"XXX","N" "95880","","D","Cerebral aphasia testing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95881","","D","Cerebral developmental test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95882","","D","Cognitive function testing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95883","","D","Neuropsychological testing","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95900","","A","Motor nerve conduction test","", 0.42,"", 0.62, 0.05, 1.09,"XXX","N" "95900","TC","A","Motor nerve conduction test","", 0.00,"", 0.27, 0.02, 0.29,"XXX","N" "95900","26","A","Motor nerve conduction test","", 0.42,"", 0.35, 0.03, 0.80,"XXX","N" "95903","","A","Motor nerve conduction test","", 0.60,"", 0.59, 0.05, 1.24,"XXX","N" "95903","TC","A","Motor nerve conduction test","", 0.00,"", 0.24, 0.02, 0.26,"XXX","N" "95903","26","A","Motor nerve conduction test","", 0.60,"", 0.35, 0.03, 0.98,"XXX","N" "95904","","A","Sense nerve conduction test","", 0.34,"", 0.55, 0.05, 0.94,"XXX","N" "95904","TC","A","Sense nerve conduction test","", 0.00,"", 0.21, 0.02, 0.23,"XXX","N" "95904","26","A","Sense nerve conduction test","", 0.34,"", 0.34, 0.03, 0.71,"XXX","N" "95920","","A","Intraoperative nerve testing","", 2.11,"", 2.67, 0.20, 4.98,"XXX","N" "95920","TC","A","Intraoperative nerve testing","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "95920","26","A","Intraoperative nerve testing","", 2.11,"", 1.43, 0.12, 3.66,"XXX","N" "95925","","A","Somatosensory testing","", 0.54,"", 1.51, 0.12, 2.17,"XXX","N" "95925","TC","A","Somatosensory testing","", 0.00,"", 0.87, 0.07, 0.94,"XXX","N" "95925","26","A","Somatosensory testing","", 0.54,"", 0.64, 0.05, 1.23,"XXX","N" "95926","","A","Somatosensory testing","", 0.54,"", 1.51, 0.12, 2.17,"XXX","N" "95926","TC","A","Somatosensory testing","", 0.00,"", 0.87, 0.07, 0.94,"XXX","N" "95926","26","A","Somatosensory testing","", 0.54,"", 0.64, 0.05, 1.23,"XXX","N" "95927","","A","Somatosensory testing","", 0.54,"", 1.51, 0.12, 2.17,"XXX","N" "95927","TC","A","Somatosensory testing","", 0.00,"", 0.87, 0.07, 0.94,"XXX","N" "95927","26","A","Somatosensory testing","", 0.54,"", 0.64, 0.05, 1.23,"XXX","N" "95930","","A","Visual evoked potential test","", 0.35,"", 0.83, 0.05, 1.23,"XXX","N" "95930","TC","A","Visual evoked potential test","", 0.00,"", 0.25, 0.01, 0.26,"XXX","N" "95930","26","A","Visual evoked potential test","", 0.35,"", 0.58, 0.04, 0.97,"XXX","N" "95933","","A","Blink reflex test","", 0.59,"", 1.25, 0.10, 1.94,"XXX","N" "95933","TC","A","Blink reflex test","", 0.00,"", 0.75, 0.06, 0.81,"XXX","N" "95933","26","A","Blink reflex test","", 0.59,"", 0.50, 0.04, 1.13,"XXX","N" "95934","","A","'H' reflex test","", 0.51,"", 0.54, 0.05, 1.10,"XXX","N" "95934","TC","A","'H' reflex test","", 0.00,"", 0.20, 0.02, 0.22,"XXX","N" "95934","26","A","'H' reflex test","", 0.51,"", 0.34, 0.03, 0.88,"XXX","N" "95935","","D","'H' or 'F' reflex study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95935","TC","D","'H' or 'F' reflex study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95935","26","D","'H' or 'F' reflex study","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "95936","","A","'H' reflex test","", 0.55,"", 0.54, 0.05, 1.14,"XXX","N" "95936","TC","A","'H' reflex test","", 0.00,"", 0.20, 0.02, 0.22,"XXX","N" "95936","26","A","'H' reflex test","", 0.55,"", 0.34, 0.03, 0.92,"XXX","N" "95937","","A","Neuromuscular junction test","", 0.60,"", 0.77, 0.07, 1.44,"XXX","N" "95937","TC","A","Neuromuscular junction test","", 0.00,"", 0.32, 0.03, 0.35,"XXX","N" "95937","26","A","Neuromuscular junction test","", 0.60,"", 0.45, 0.04, 1.09,"XXX","N" "95950","","A","Ambulatory eeg monitoring","", 1.51,"", 7.25, 0.60, 9.36,"XXX","N" "95950","TC","A","Ambulatory eeg monitoring","", 0.00,"", 6.04, 0.50, 6.54,"XXX","N" "95950","26","A","Ambulatory eeg monitoring","", 1.51,"", 1.21, 0.10, 2.82,"XXX","N" "95951","","A","EEG monitoring/videorecord","", 3.80,"", 8.83, 0.64, 13.27,"XXX","N" "95951","TC","A","EEG monitoring/videorecord","", 0.00,"", 7.33, 0.53, 7.86,"XXX","N" "95951","26","A","EEG monitoring/videorecord","", 3.80,"", 1.50, 0.11, 5.41,"XXX","N" "95953","","A","EEG monitoring/computer","", 3.08,"", 7.25, 0.60, 10.93,"XXX","N" "95953","TC","A","EEG monitoring/computer","", 0.00,"", 6.04, 0.50, 6.54,"XXX","N" "95953","26","A","EEG monitoring/computer","", 3.08,"", 1.21, 0.10, 4.39,"XXX","N" "95954","","A","EEG monitoring/giving drugs","", 2.45,"", 2.32, 0.28, 5.05,"XXX","N" "95954","TC","A","EEG monitoring/giving drugs","", 0.00,"", 0.45, 0.06, 0.51,"XXX","N" "95954","26","A","EEG monitoring/giving drugs","", 2.45,"", 1.87, 0.22, 4.54,"XXX","N" "95955","","A","EEG during surgery","", 1.01,"", 2.90, 0.30, 4.21,"XXX","N" "95955","TC","A","EEG during surgery","", 0.00,"", 1.87, 0.19, 2.06,"XXX","N" "95955","26","A","EEG during surgery","", 1.01,"", 1.03, 0.11, 2.15,"XXX","N" "95956","","A","EEG monitoring/cable/radio","", 3.08,"", 7.54, 0.61, 11.23,"XXX","N" "95956","TC","A","EEG monitoring/cable/radio","", 0.00,"", 6.04, 0.50, 6.54,"XXX","N" "95956","26","A","EEG monitoring/cable/radio","", 3.08,"", 1.50, 0.11, 4.69,"XXX","N" "95957","","A","EEG digital analysis","", 1.98,"", 2.25, 0.18, 4.41,"XXX","N" "95957","TC","A","EEG digital analysis","", 0.00,"", 1.62, 0.13, 1.75,"XXX","N" "95957","26","A","EEG digital analysis","", 1.98,"", 0.63, 0.05, 2.66,"XXX","N" "95958","","A","EEG monitoring/function test","", 4.25,"", 4.89, 0.52, 9.66,"XXX","N" "95958","TC","A","EEG monitoring/function test","", 0.00,"", 1.66, 0.14, 1.80,"XXX","N" "95958","26","A","EEG monitoring/function test","", 4.25,"", 3.23, 0.38, 7.86,"XXX","N" "95961","","A","Electrode stimulation, brain","", 2.97,"", 2.67, 0.20, 5.84,"XXX","N" "95961","TC","A","Electrode stimulation, brain","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "95961","26","A","Electrode stimulation, brain","", 2.97,"", 1.43, 0.12, 4.52,"XXX","N" "95962","","A","Electrode stimulation, brain","", 3.21,"", 2.67, 0.20, 6.08,"XXX","N" "95962","TC","A","Electrode stimulation, brain","", 0.00,"", 1.24, 0.08, 1.32,"XXX","N" "95962","26","A","Electrode stimulation, brain","", 3.21,"", 1.43, 0.12, 4.76,"XXX","N" "95999","","C","Neurological procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "96100","","A","Psychological testing","", 0.00,"", 1.68, 0.20, 1.88,"XXX","N" "96105","","A","Assessment of aphasia","", 0.00,"", 1.68, 0.20, 1.88,"XXX","N" "96110","","C","Developmental test, lim","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "96111","","A","Developmental test, extend","", 0.00,"", 1.68, 0.20, 1.88,"XXX","N" "96115","","A","Neurobehavior status exam","", 0.00,"", 1.68, 0.20, 1.88,"XXX","N" "96117","","A","Neuropsych test battery","", 0.00,"", 1.68, 0.20, 1.88,"XXX","N" "96400","","A","Chemotherapy, (SC)/(IM)","", 0.00,"", 0.13, 0.01, 0.14,"XXX","N" "96405","","A","Intralesional chemo admin","", 0.52,"", 0.38, 0.03, 0.93,"000","S" "96406","","A","Intralesional chemo admin","", 0.80,"", 0.56, 0.04, 1.40,"000","S" "96408","","A","Chemotherapy, push technique","", 0.00,"", 0.92, 0.06, 0.98,"XXX","N" "96410","","A","Chemotherapy,infusion method","", 0.00,"", 1.47, 0.09, 1.56,"XXX","N" "96412","","A","Chemotherapy,infusion method","", 0.00,"", 1.10, 0.08, 1.18,"XXX","N" "96414","","A","Chemotherapy,infusion method","", 0.00,"", 1.27, 0.09, 1.36,"XXX","N" "96420","","A","Chemotherapy, push technique","", 0.00,"", 1.19, 0.09, 1.28,"XXX","N" "96422","","A","Chemotherapy,infusion method","", 0.00,"", 1.17, 0.09, 1.26,"XXX","N" "96423","","A","Chemotherapy,infusion method","", 0.00,"", 0.46, 0.03, 0.49,"XXX","N" "96425","","A","Chemotherapy,infusion method","", 0.00,"", 1.36, 0.09, 1.45,"XXX","N" "96440","","A","Chemotherapy, intracavitary","", 2.37,"", 0.81, 0.06, 3.24,"000","N" "96445","","A","Chemotherapy, intracavitary","", 2.20,"", 0.98, 0.09, 3.27,"000","N" "96450","","A","Chemotherapy, into CNS","", 1.89,"", 0.87, 0.06, 2.82,"000","N" "96520","","A","Pump refilling, maintenance","", 0.00,"", 0.85, 0.06, 0.91,"XXX","N" "96530","","A","Pump refilling, maintenance","", 0.00,"", 1.01, 0.07, 1.08,"XXX","N" "96542","","A","Chemotherapy injection","", 1.42,"", 1.09, 0.13, 2.64,"XXX","N" "96545","","B","Provide chemotherapy agent","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "96549","","C","Chemotherapy, unspecified","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "96900","","A","Ultraviolet light therapy","", 0.00,"", 0.38, 0.03, 0.41,"XXX","N" "96910","","A","Photochemotherapy with UV-B","", 0.00,"", 0.55, 0.04, 0.59,"XXX","N" "96912","","A","Photochemotherapy with UV-A","", 0.00,"", 0.63, 0.05, 0.68,"XXX","N" "96913","","A","Photochemotherapy, UV-A or B","", 0.00,"", 1.29, 0.10, 1.39,"XXX","N" "96999","","C","Dermatological procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97010","","A","Hot or cold packs therapy","", 0.11,"", 0.21, 0.02, 0.34,"XXX","N" "97012","","A","Mechanical traction therapy","", 0.25,"", 0.19, 0.02, 0.46,"XXX","N" "97014","","A","Electric stimulation therapy","", 0.18,"", 0.20, 0.02, 0.40,"XXX","N" "97016","","A","Vasopneumatic device therapy","", 0.18,"", 0.25, 0.02, 0.45,"XXX","N" "97018","","A","Paraffin bath therapy","", 0.11,"", 0.24, 0.03, 0.38,"XXX","N" "97020","","A","Microwave therapy","", 0.11,"", 0.20, 0.02, 0.33,"XXX","N" "97022","","A","Whirlpool therapy","", 0.25,"", 0.19, 0.02, 0.46,"XXX","N" "97024","","A","Diathermy treatment","", 0.11,"", 0.21, 0.02, 0.34,"XXX","N" "97026","","A","Infrared therapy","", 0.11,"", 0.19, 0.02, 0.32,"XXX","N" "97028","","A","Ultraviolet therapy","", 0.20,"", 0.19, 0.01, 0.40,"XXX","N" "97032","","A","Electrical stimulation","", 0.25,"", 0.14, 0.01, 0.40,"XXX","N" "97033","","A","Electric current therapy","", 0.26,"", 0.14, 0.02, 0.42,"XXX","N" "97034","","A","Contrast bath therapy","", 0.21,"", 0.10, 0.01, 0.32,"XXX","N" "97035","","A","Ultrasound therapy","", 0.21,"", 0.11, 0.01, 0.33,"XXX","N" "97036","","A","Hydrotherapy","", 0.38,"", 0.21, 0.02, 0.61,"XXX","N" "97039","","A","Physical therapy treatment","", 0.29,"", 0.24, 0.03, 0.56,"XXX","N" "97110","","A","Therapeutic exercises","", 0.45,"", 0.13, 0.02, 0.60,"XXX","N" "97112","","A","Neuromuscular reeducation","", 0.45,"", 0.13, 0.01, 0.59,"XXX","N" "97113","","A","Aquatic therapy/exercises","", 0.44,"", 0.20, 0.02, 0.66,"XXX","N" "97116","","A","Gait training therapy","", 0.40,"", 0.11, 0.01, 0.52,"XXX","N" "97122","","A","Manual traction therapy","", 0.45,"", 0.11, 0.01, 0.57,"XXX","N" "97124","","A","Massage therapy","", 0.35,"", 0.11, 0.01, 0.47,"XXX","N" "97139","","A","Physical medicine procedure","", 0.21,"", 0.16, 0.02, 0.39,"XXX","N" "97150","","A","Group therapeutic procedures","", 0.27,"", 0.20, 0.02, 0.49,"XXX","N" "97250","","A","Myofascial release","", 0.45,"", 0.35, 0.04, 0.84,"000","N" "97260","","A","Regional manipulation","", 0.19,"", 0.20, 0.02, 0.41,"000","N" "97261","","A","Supplemental manipulations","", 0.12,"", 0.11, 0.01, 0.24,"000","N" "97265","","A","Joint mobilization","", 0.45,"", 0.35, 0.04, 0.84,"XXX","N" "97500","","A","Orthotics training","", 0.31,"", 0.27, 0.04, 0.62,"XXX","N" "97501","","A","Supplemental training","", 0.17,"", 0.15, 0.02, 0.34,"XXX","N" "97520","","A","Prosthetic training","", 0.37,"", 0.30, 0.04, 0.71,"XXX","N" "97521","","A","Supplemental training","", 0.22,"", 0.17, 0.02, 0.41,"XXX","N" "97530","","A","Therapeutic activities","", 0.44,"", 0.17, 0.02, 0.63,"XXX","N" "97535","","A","Self care mngment training","", 0.33,"", 0.17, 0.02, 0.52,"XXX","N" "97537","","A","Community/work reintegration","", 0.33,"", 0.17, 0.02, 0.52,"XXX","N" "97540","","D","Training for daily living","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97541","","D","Supplemental training","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97542","","A","Wheelchair mngement training","", 0.25,"", 0.17, 0.02, 0.44,"XXX","N" "97545","","R","Work hardening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97546","","R","Work hardening","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97700","","D","Training checkout","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97701","","D","Supplemental checkout","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "97703","","A","Prosthetic checkout","", 0.25,"", 0.18, 0.03, 0.46,"XXX","N" "97750","","A","Physical performance test","", 0.45,"", 0.24, 0.03, 0.72,"XXX","N" "97770","","A","Cognitive skills development","", 0.44,"", 0.28, 0.03, 0.75,"XXX","N" "97799","","C","Physical medicine procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "98925","","A","Osteopathic manipulation","", 0.45,"", 0.25, 0.02, 0.72,"000","N" "98926","","A","Osteopathic manipulation","", 0.65,"", 0.40, 0.03, 1.08,"000","N" "98927","","A","Osteopathic manipulation","", 0.87,"", 0.38, 0.03, 1.28,"000","N" "98928","","A","Osteopathic manipulation","", 1.03,"", 0.42, 0.04, 1.49,"000","N" "98929","","A","Osteopathic manipulation","", 1.19,"", 0.39, 0.03, 1.61,"000","N" "99000","","B","Specimen handling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99001","","B","Specimen handling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99002","","B","Device handling","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99024","","B","Post-op follow-up visit","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99025","","B","Initial surgical evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99050","","B","Medical services after hrs","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99052","","B","Medical services at night","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99054","","B","Medical services,unusual hrs","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99056","","B","Non-office medical services","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99058","","B","Office emergency care","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99070","","B","Special supplies","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99071","","B","Patient education materials","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99075","","N","Medical testimony","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99078","","B","Group health education","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99080","","B","Special reports or forms","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99082","","C","Unusual physician travel","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "99090","","B","Computer data analysis","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99100","","B","Special anesthesia service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99116","","B","Anesthesia with hypothermia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99135","","B","Special anesthesia procedure","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99140","","B","Emergency anesthesia","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99175","","A","Induction of vomiting","", 0.00,"", 1.33, 0.10, 1.43,"XXX","N" "99178","","D","Development evaluation tests","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "99183","","A","Hyperbaric oxygen therapy","", 2.34,"", 1.67, 0.11, 4.12,"XXX","N" "99185","","A","Regional hypothermia","", 0.00,"", 0.61, 0.04, 0.65,"XXX","N" "99186","","A","Total body hypothermia","", 0.00,"", 1.70, 0.52, 2.22,"XXX","N" "99190","","X","Special pump services","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99191","","X","Special pump services","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99192","","X","Special pump services","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99195","","A","Phlebotomy","", 0.00,"", 0.42, 0.03, 0.45,"XXX","N" "99199","","C","Special service or report","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "99201","","A","Office/outpatient visit, new","", 0.38,"", 0.37, 0.04, 0.79,"XXX","P" "99202","","A","Office/outpatient visit, new","", 0.75,"", 0.45, 0.05, 1.25,"XXX","P" "99203","","A","Office/outpatient visit, new","", 1.14,"", 0.52, 0.06, 1.72,"XXX","P" "99204","","A","Office/outpatient visit, new","", 1.71,"", 0.78, 0.08, 2.57,"XXX","P" "99205","","A","Office/outpatient visit, new","", 2.28,"", 0.85, 0.09, 3.22,"XXX","P" "99211","","A","Office/outpatient visit, est","", 0.17,"", 0.19, 0.02, 0.38,"XXX","P" "99212","","A","Office/outpatient visit, est","", 0.38,"", 0.28, 0.02, 0.68,"XXX","P" "99213","","A","Office/outpatient visit, est","", 0.55,"", 0.38, 0.03, 0.96,"XXX","P" "99214","","A","Office/outpatient visit, est","", 0.94,"", 0.50, 0.04, 1.48,"XXX","P" "99215","","A","Office/outpatient visit, est","", 1.51,"", 0.76, 0.07, 2.34,"XXX","P" "99217","","A","Observation care discharge","", 1.09,"", 0.52, 0.04, 1.65,"XXX","N" "99218","","A","Observation care","", 1.08,"", 0.68, 0.06, 1.82,"XXX","N" "99219","","A","Observation care","", 1.75,"", 1.05, 0.09, 2.89,"XXX","N" "99220","","A","Observation care","", 2.41,"", 1.14, 0.09, 3.64,"XXX","N" "99221","","A","Initial hospital care","", 1.06,"", 0.67, 0.06, 1.79,"XXX","N" "99222","","A","Initial hospital care","", 1.84,"", 1.04, 0.09, 2.97,"XXX","N" "99223","","A","Initial hospital care","", 2.57,"", 1.13, 0.08, 3.78,"XXX","N" "99231","","A","Subsequent hospital care","", 0.51,"", 0.38, 0.03, 0.92,"XXX","N" "99232","","A","Subsequent hospital care","", 0.88,"", 0.45, 0.04, 1.37,"XXX","N" "99233","","A","Subsequent hospital care","", 1.25,"", 0.60, 0.05, 1.90,"XXX","N" "99238","","A","Hospital discharge day","", 1.06,"", 0.51, 0.04, 1.61,"XXX","N" "99239","","A","Hospital discharge day","", 1.75,"", 0.51, 0.04, 2.30,"XXX","N" "99241","","A","Office consultation","", 0.54,"", 0.64, 0.08, 1.26,"XXX","N" "99242","","A","Office consultation","", 1.11,"", 0.77, 0.09, 1.97,"XXX","N" "99243","","A","Office consultation","", 1.47,"", 0.97, 0.10, 2.54,"XXX","N" "99244","","A","Office consultation","", 2.23,"", 1.23, 0.11, 3.57,"XXX","N" "99245","","A","Office consultation","", 2.96,"", 1.69, 0.16, 4.81,"XXX","N" "99251","","A","Initial inpatient consult","", 0.54,"", 0.67, 0.08, 1.29,"XXX","N" "99252","","A","Initial inpatient consult","", 1.13,"", 0.76, 0.09, 1.98,"XXX","N" "99253","","A","Initial inpatient consult","", 1.56,"", 0.95, 0.10, 2.61,"XXX","N" "99254","","A","Initial inpatient consult","", 2.27,"", 1.20, 0.11, 3.58,"XXX","N" "99255","","A","Initial inpatient consult","", 3.14,"", 1.57, 0.14, 4.85,"XXX","N" "99261","","A","Follow-up inpatient consult","", 0.36,"", 0.33, 0.03, 0.72,"XXX","N" "99262","","A","Follow-up inpatient consult","", 0.74,"", 0.46, 0.04, 1.24,"XXX","N" "99263","","A","Follow-up inpatient consult","", 1.16,"", 0.67, 0.04, 1.87,"XXX","N" "99271","","A","Confirmatory consultation","", 0.45,"*", 0.58, 0.07, 1.10,"XXX","N" "99272","","A","Confirmatory consultation","", 0.84,"", 0.71, 0.09, 1.64,"XXX","N" "99273","","A","Confirmatory consultation","", 1.19,"", 1.02, 0.11, 2.32,"XXX","N" "99274","","A","Confirmatory consultation","", 1.73,"", 1.22, 0.11, 3.06,"XXX","N" "99275","","A","Confirmatory consultation","", 2.31,"", 1.74, 0.17, 4.22,"XXX","N" "99281","","A","Emergency dept visit","", 0.28,"", 0.28, 0.01, 0.57,"XXX","P" "99282","","A","Emergency dept visit","", 0.47,"", 0.38, 0.03, 0.88,"XXX","P" "99283","","A","Emergency dept visit","", 1.07,"", 0.49, 0.04, 1.60,"XXX","P" "99284","","A","Emergency dept visit","", 1.68,"", 0.70, 0.06, 2.44,"XXX","P" "99285","","A","Emergency dept visit","", 2.63,"", 1.13, 0.08, 3.84,"XXX","P" "99288","","B","Direct advanced life support","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99291","","A","Critical care, first hour","", 3.64,"", 1.43, 0.11, 5.18,"XXX","N" "99292","","A","Critical care, addl 30 min","", 1.84,"", 0.63, 0.04, 2.51,"XXX","N" "99295","","A","Neonatal critical care","", 16.03,"", 5.08, 1.55, 22.66,"XXX","N" "99296","","A","Neonatal critical care","", 7.40,"", 2.46, 0.77, 10.63,"XXX","N" "99297","","A","Neonatal critical care","", 3.84,"", 1.23, 0.38, 5.45,"XXX","N" "99301","","A","Nursing facility care","", 1.07,"", 0.45, 0.03, 1.55,"XXX","P" "99302","","A","Nursing facility care","", 1.67,"", 0.50, 0.04, 2.21,"XXX","P" "99303","","A","Nursing facility care","", 2.29,"", 0.95, 0.07, 3.31,"XXX","P" "99311","","A","Nursing facility care,subseq","", 0.54,"", 0.34, 0.03, 0.91,"XXX","P" "99312","","A","Nursing facility care,subseq","", 0.89,"", 0.41, 0.03, 1.33,"XXX","P" "99313","","A","Nursing facility care,subseq","", 1.19,"", 0.46, 0.04, 1.69,"XXX","P" "99321","","A","Rest home visit, new patient","", 0.71,"", 0.37, 0.03, 1.11,"XXX","P" "99322","","A","Rest home visit, new patient","", 1.01,"", 0.51, 0.05, 1.57,"XXX","P" "99323","","A","Rest home visit, new patient","", 1.28,"", 0.73, 0.06, 2.07,"XXX","P" "99331","","A","Rest home visit, estab pat","", 0.60,"", 0.28, 0.02, 0.90,"XXX","P" "99332","","A","Rest home visit, estab pat","", 0.80,"", 0.36, 0.03, 1.19,"XXX","P" "99333","","A","Rest home visit, estab pat","", 1.00,"", 0.44, 0.02, 1.46,"XXX","P" "99341","","A","Home visit, new patient","", 1.12,"", 0.53, 0.05, 1.70,"XXX","P" "99342","","A","Home visit, new patient","", 1.58,"", 0.60, 0.05, 2.23,"XXX","P" "99343","","A","Home visit, new patient","", 2.09,"", 0.77, 0.06, 2.92,"XXX","P" "99351","","A","Home visit, estab patient","", 0.83,"", 0.45, 0.04, 1.32,"XXX","P" "99352","","A","Home visit, estab patient","", 1.12,"", 0.53, 0.04, 1.69,"XXX","P" "99353","","A","Home visit, estab patient","", 1.48,"", 0.61, 0.05, 2.14,"XXX","P" "99354","","A","Prolonged service, office","", 1.51,"", 0.76, 0.07, 2.34,"XXX","P" "99355","","A","Prolonged service, office","", 1.51,"", 0.76, 0.07, 2.34,"XXX","P" "99356","","A","Prolonged service, inpatient","", 1.44,"", 0.85, 0.08, 2.37,"XXX","N" "99357","","A","Prolonged service, inpatient","", 1.44,"", 0.85, 0.08, 2.37,"XXX","N" "99358","","B","Prolonged serv, w/o contact","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99359","","B","Prolonged serv, w/o contact","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99360","","X","Physician standby services","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99361","","B","Physician/team conference","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99362","","B","Physician/team conference","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99371","","B","Physician phone consultation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99372","","B","Physician phone consultation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99373","","B","Physician phone consultation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99375","","A","Care plan oversight/30-60","", 1.73,"", 0.51, 0.04, 2.28,"XXX","P" "99376","","B","Care plan oversight/over 60","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99381","","N","Preventive visit,new,infant","#", 1.19,"", 1.23, 0.08, 2.50,"XXX","0" "99382","","N","Preventive visit,new,age 1-4","#", 1.36,"", 1.41, 0.09, 2.86,"XXX","0" "99383","","N","Preventive visit,new,age5-11","#", 1.36,"", 1.41, 0.09, 2.86,"XXX","0" "99384","","N","Preventive visit, new, 12-17","#", 1.53,"", 1.59, 0.10, 3.22,"XXX","0" "99385","","N","Preventive visit, new, 18-39","#", 1.53,"", 1.40, 0.09, 3.02,"XXX","0" "99386","","N","Preventive visit, new, 40-64","#", 1.88,"", 1.72, 0.10, 3.70,"XXX","0" "99387","","N","Preventive visit,new,65&over","#", 2.06,"", 1.88, 0.11, 4.05,"XXX","0" "99391","","N","Preventive visit,est,infant","#", 1.02,"", 1.06, 0.07, 2.15,"XXX","0" "99392","","N","Preventive visit,est,age 1-4","#", 1.19,"", 1.23, 0.08, 2.50,"XXX","0" "99393","","N","Preventive visit,est,age5-11","#", 1.19,"", 1.23, 0.08, 2.50,"XXX","0" "99394","","N","Preventive visit, est, 12-17","#", 1.36,"", 1.41, 0.09, 2.86,"XXX","0" "99395","","N","Preventive visit, est, 18-39","#", 1.36,"", 1.25, 0.08, 2.69,"XXX","0" "99396","","N","Preventive visit, est, 40-64","#", 1.53,"", 1.40, 0.09, 3.02,"XXX","0" "99397","","N","Preventive visit,est,65&over","#", 1.71,"", 1.56, 0.10, 3.37,"XXX","0" "99401","","N","Preventive counseling, indiv","#", 0.48,"", 0.45, 0.03, 0.96,"XXX","0" "99402","","N","Preventive counseling, indiv","#", 0.98,"", 0.89, 0.05, 1.92,"XXX","0" "99403","","N","Preventive counseling, indiv","#", 1.46,"", 1.34, 0.08, 2.88,"XXX","0" "99404","","N","Preventive counseling, indiv","#", 1.95,"", 1.78, 0.11, 3.84,"XXX","0" "99411","","N","Preventive counseling, group","#", 0.15,"", 0.14, 0.01, 0.30,"XXX","0" "99412","","N","Preventive counseling, group","#", 0.25,"", 0.23, 0.01, 0.49,"XXX","0" "99420","","N","Health risk assessment test","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99429","","N","Unlisted preventive service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99431","","A","Initial care, normal newborn","", 1.17,"", 1.21, 0.08, 2.46,"XXX","N" "99432","","A","Newborn care not in hospital","", 1.26,"", 1.31, 0.08, 2.65,"XXX","N" "99433","","A","Normal newborn care,hospital","", 0.62,"", 0.64, 0.04, 1.30,"XXX","N" "99435","","A","Hospital NB discharge day","", 1.50,"", 1.55, 0.10, 3.15,"XXX","P" "99440","","A","Newborn resuscitation","", 2.93,"", 3.04, 0.19, 6.16,"XXX","N" "99450","","N","Life/disability evaluation","", 0.00,"", 0.00, 0.00, 0.00,"XXX","0" "99455","","R","Disability examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "99456","","R","Disability examination","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N" "99499","","C","Unlisted E/M service","", 0.00,"", 0.00, 0.00, 0.00,"XXX","N"