[Federal Register: October 31, 1997 (Rules and Regulations)] [Page 59197-59246] From the Federal Register Online via GPO Access [[pp. 59197-59246]] Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule, Other Part B Payment Policies, and Establishment of the Clinical Psychologist Fee Schedule for Calendar Year 1998 [[Continued from page 59196]] [[Page 59197]] 82595... .................. X Assay cryoglobulin...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82600... .................. X Assay cyanide........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82607... .................. X Vitamin B-12............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82608... .................. X B-12 binding capacity... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82615... .................. X Test for urine cystines. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82626... .................. X Dehydroepiandrosterone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82627... .................. X Dehydroepiandrosterone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82633... .................. X Desoxycorticosterone.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82634... .................. X Deoxycortisol........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82638... .................. X Assay dibucaine number.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82646... .................. X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX dihydrocodeinone. 82649... .................. X Assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX dihydromorphinone. 82651... .................. X Dihydrotestosterone 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 82652... .................. X Assay, dihydroxyvitamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D. 82654... .................. X Assay of dimethadione... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82664... .................. X Electrophoretic test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82666... .................. X Epiandrosterone assay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82668... .................. X Erythropoietin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82670... .................. X Estradiol............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82671... .................. X Estrogens assay......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82672... .................. X Estrogen assay.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82677... .................. X Estriol................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82679... .................. X Estrone................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82690... .................. X Ethchlorvynol........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82693... .................. X Ethylene glycol......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82696... .................. X Etiocholanolone......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82705... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 XXX qualitativ. 82710... .................. X Fats/lipids, feces, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quantitati. 82715... .................. X Fecal fat assay......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82725... .................. X Assay blood fatty acids. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82728... .................. X Assay ferritin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82735... .................. X Assay fluoride.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82742... .................. X Assay of flurazepam..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82746... .................. X Blood folic acid serum.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82747... .................. X Folic acid, RBC......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82757... .................. X Assay semen fructose.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82759... .................. X RBC galactokinase assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82760... .................. X Assay galactose......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82775... .................. X Assay galactose 0.00 0.00 0.00 0.00 0.00 0.00 XXX transferase. 82776... .................. X Galactose transferase 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 82784... .................. X Assay gammaglobulin IgM. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82785... .................. X Assay, gammaglobulin IgE 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82787... .................. X IgG1, 2, 3 and 4........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82800... .................. X Blood pH................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82803... .................. X Blood gases: pH, pO2 & 0.00 0.00 0.00 0.00 0.00 0.00 XXX pCO2. 82805... .................. X Blood gases W/02 0.00 0.00 0.00 0.00 0.00 0.00 XXX saturation. 82810... .................. X Blood gases, O2 sat only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82820... .................. X Hemoglobin-oxygen 0.00 0.00 0.00 0.00 0.00 0.00 XXX affinity. 82926... .................. X Assay gastric acid...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82928... .................. X Assay gastric acid...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82938... .................. X Gastrin test............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82941... .................. X Assay of gastrin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82943... .................. X Assay of glucagon....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82946... .................. X Glucagon tolerance test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82947... .................. X Assay quantitative, 0.00 0.00 0.00 0.00 0.00 0.00 XXX glucose. 82948... .................. X Reagent strip/blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX glucose. 82950... .................. X Glucose test............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82951... .................. X Glucose tolerance test 0.00 0.00 0.00 0.00 0.00 0.00 XXX (GTT). 82952... .................. X GTT-added samples....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82953... .................. X Glucose-tolbutamide test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82955... .................. X Assay G6PD enzyme....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82960... .................. X Test for G6PD enzyme.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82962... .................. X Glucose blood test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82963... .................. X Glucosidase assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82965... .................. X Assay GDH enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82975... .................. X Assay glutamine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82977... .................. X Assay of GGT............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82978... .................. X Glutathione assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82979... .................. X Assay RBC glutathione 0.00 0.00 0.00 0.00 0.00 0.00 XXX enzyme. 82980... .................. X Assay of glutethimide... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 82985... .................. X Glycated protein........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83001... .................. X Gonadotropin (FSH)...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83002... .................. X Gonadotropin (LH)....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83003... .................. X Assay growth hormone 0.00 0.00 0.00 0.00 0.00 0.00 XXX (HGH). [[Page 59198]] 83008... .................. X Assay guanosine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83010... .................. X Quant assay haptoglobin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83012... .................. X Assay haptoglobins...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83015... .................. X Heavy metal screen...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83018... .................. X Quantitative screen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX metals. 83019... .................. X Breath isotope test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83020... .................. X Assay hemoglobin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83020... 26 A Assay hemoglobin........ 0.37 0.20 0.20 0.01 0.58 0.58 XXX 83026... .................. X Hemoglobin, copper 0.00 0.00 0.00 0.00 0.00 0.00 XXX sulfate. 83030... .................. X Fetal hemoglobin assay.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83033... .................. X Fetal fecal hemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 83036... .................. X Glycated hemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83045... .................. X Blood methemoglobin test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83050... .................. X Blood methemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 83051... .................. X Assay plasma hemoglobin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83055... .................. X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 83060... .................. X Blood sulfhemoglobin 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 83065... .................. X Hemoglobin heat assay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83068... .................. X Hemoglobin stability 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 83069... .................. X Assay urine hemoglobin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83070... .................. X Qualt assay hemosiderin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83071... .................. X Quant assay of 0.00 0.00 0.00 0.00 0.00 0.00 XXX hemosiderin. 83088... .................. X Assay histamine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83150... .................. X Assay for HVA........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83491... .................. X Assay of corticosteroids 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83497... .................. X Assay 5-HIAA............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83498... .................. X Assay of progesterone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83499... .................. X Assay of progesterone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83500... .................. X Assay free 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydroxyproline. 83505... .................. X Assay total 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydroxyproline. 83516... .................. X Immunoassay, nonantibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83518... .................. X Immunoassay, dipstick... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83519... .................. X Immunoassay nonantibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83520... .................. X Immunoassay, RIA........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83525... .................. X Assay of insulin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83527... .................. X Assay of insulin........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83528... .................. X Assay intrinsic factor.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83540... .................. X Assay iron.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83550... .................. X Iron binding test....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83570... .................. X Assay IDH enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83582... .................. X Assay ketogenic steroids 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83586... .................. X Assay 17-(17- 0.00 0.00 0.00 0.00 0.00 0.00 XXX KS)ketosteroids. 83593... .................. X Fractionation 0.00 0.00 0.00 0.00 0.00 0.00 XXX ketosteroids. 83605... .................. X Lactic acid assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83615... .................. X Lactate (LD) (LDH) 0.00 0.00 0.00 0.00 0.00 0.00 XXX enzyme. 83625... .................. X Assay LDH enzymes....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83632... .................. X Placental lactogen...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83633... .................. X Test urine for lactose.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83634... .................. X Assay urine for lactose. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83655... .................. X Assay for lead.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83661... .................. X Assay L/S ratio......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83662... .................. X L/S ratio, foam 0.00 0.00 0.00 0.00 0.00 0.00 XXX stability. 83670... .................. X Assay LAP enzyme........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83690... .................. X Assay lipase............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83715... .................. X Assay blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83717... .................. X Assay blood lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83718... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83719... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83721... .................. X Blood lipoprotein assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83727... .................. X LRH hormone assay....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83735... .................. X Assay magnesium......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83775... .................. X Assay of md enzyme...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83785... .................. X Assay of manganese...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83805... .................. X Assay of meprobamate.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83825... .................. X Assay mercury........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83835... .................. X Assay metanephrines..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83840... .................. X Assay methadone......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83857... .................. X Assay methemalbumin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83858... .................. X Assay methsuximide...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83864... .................. X Mucopolysaccharides..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83866... .................. X Mucopolysaccharides 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 83872... .................. X Assay synovial fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX mucin. 83873... .................. X Assay, CSF protein...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83874... .................. X Myoglobin............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59199]] 83883... .................. X Nephelometry, not 0.00 0.00 0.00 0.00 0.00 0.00 XXX specified. 83885... .................. X Assay for nickel........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83887... .................. X Assay nicotine.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83890... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83892... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83894... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83896... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83898... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83902... .................. X Molecular diagnostics... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83912... .................. X Genetic examination..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83912... 26 A Genetic examination..... 0.37 0.20 0.20 0.01 0.58 0.58 XXX 83915... .................. X Assay nucleotidase...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83916... .................. X Oligoclonal bands....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83918... .................. X Assay organic acids..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83925... .................. X Opiates................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83930... .................. X Assay blood osmolality.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83935... .................. X Assay urine osmolality.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83937... .................. X Assay for osteocalcin... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83945... .................. X Assay oxalate........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83970... .................. X Assay of parathormone... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83986... .................. X Assay body fluid acidity 0.00 0.00 0.00 0.00 0.00 0.00 XXX 83992... .................. X Assay for phencyclidine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84022... .................. X Assay of phenothiazine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84030... .................. X Assay blood PKU......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84035... .................. X Assay phenylketones..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84060... .................. X Assay acid phosphatase.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84061... .................. X Phosphatase, forensic 0.00 0.00 0.00 0.00 0.00 0.00 XXX exam. 84066... .................. X Assay prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosphatase. 84075... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosphatase. 84078... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosphatase. 84080... .................. X Assay alkaline 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosphatases. 84081... .................. X Amniotic fluid enzyme 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 84085... .................. X Assay RBC PG6D enzyme... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84087... .................. X Assay phosphohexose 0.00 0.00 0.00 0.00 0.00 0.00 XXX enzymes. 84100... .................. X Assay phosphorus........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84105... .................. X Assay urine phosphorus.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84106... .................. X Test for porphobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84110... .................. X Assay porphobilinogen... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84119... .................. X Test urine for 0.00 0.00 0.00 0.00 0.00 0.00 XXX porphyrins. 84120... .................. X Assay urine porphyrins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84126... .................. X Assay feces porphyrins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84127... .................. X Porphyrins, feces....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84132... .................. X Assay serum potassium... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84133... .................. X Assay urine potassium... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84134... .................. X Prealbumin.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84135... .................. X Assay pregnanediol...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84138... .................. X Assay pregnanetriol..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84140... .................. X Assay for pregnenolone.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84143... .................. X Assay/17- 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydroxypregnenolone. 84144... .................. X Assay progesterone...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84146... .................. X Assay for prolactin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84150... .................. X Assay of prostaglandin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84153... .................. X Prostate specific 0.00 0.00 0.00 0.00 0.00 0.00 XXX antigen. 84155... .................. X Assay protein........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84160... .................. X Assay serum protein..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84165... .................. X Assay serum proteins.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84165... 26 A Assay serum proteins.... 0.37 0.20 0.20 0.01 0.58 0.58 XXX 84181... .................. X Western blot test....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84181... 26 A Western blot test....... 0.37 0.20 0.20 0.01 0.58 0.58 XXX 84182... .................. X Protein, western blot 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 84182... 26 A Protein, western blot 0.37 0.20 0.20 0.01 0.58 0.58 XXX test. 84202... .................. X Assay RBC protoporphyrin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84203... .................. X Test RBC protoporphyrin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84206... .................. X Assay of proinsulin..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84207... .................. X Assay vitamin B-6....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84210... .................. X Assay pyruvate.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84220... .................. X Assay pyruvate kinase... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84228... .................. X Assay quinine........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84233... .................. X Assay estrogen.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84234... .................. X Assay progesterone...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84235... .................. X Assay endocrine hormone. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84238... .................. X Assay non-endocrine 0.00 0.00 0.00 0.00 0.00 0.00 XXX receptor. 84244... .................. X Assay of renin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84252... .................. X Assay vitamin B-2....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59200]] 84255... .................. X Assay selenium.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84260... .................. X Assay serotonin......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84270... .................. X Sex hormone globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX (SHBG). 84275... .................. X Assay sialic acid....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84285... .................. X Assay silica............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84295... .................. X Assay serum sodium...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84300... .................. X Assay urine sodium...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84305... .................. X Somatomedin............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84307... .................. X Somatostatin............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84311... .................. X Spectrophotometry....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84315... .................. X Body fluid specific 0.00 0.00 0.00 0.00 0.00 0.00 XXX gravity. 84375... .................. X Chromatogram assay, 0.00 0.00 0.00 0.00 0.00 0.00 XXX sugars. 84392... .................. X Assay urine sulfate..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84402... .................. X Testosterone............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84403... .................. X Assay total testosterone 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84425... .................. X Assay vitamin B-1....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84430... .................. X Assay thiocyanate....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84432... .................. X Thyroglobulin........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84436... .................. X Assay, total thyroxine.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84437... .................. X Assay neonatal thyroxine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84439... .................. X Assay, free thyroxine... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84442... .................. X Thyroid activity (TBG) 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 84443... .................. X Assay thyroid stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX hormone. 84445... .................. X Thyroid immunoglobulins 0.00 0.00 0.00 0.00 0.00 0.00 XXX TSI. 84446... .................. X Assay vitamin E......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84449... .................. X Assay for transcortin... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84450... .................. X Transferase (AST) (SGOT) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84460... .................. X Alanine amino (ALT) 0.00 0.00 0.00 0.00 0.00 0.00 XXX (SGPT). 84466... .................. X Transferrin............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84478... .................. X Assay triglycerides..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84479... .................. X Assay thyroid (t-3 or t- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4). 84480... .................. X Assay triiodothyronine 0.00 0.00 0.00 0.00 0.00 0.00 XXX (t-3). 84481... .................. X Free assay (FT-3)....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84482... .................. X T3 reverse.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84484... .................. X Troponin, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84485... .................. X Assay duodenal fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX trypsin. 84488... .................. X Test feces for trypsin.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84490... .................. X Assay feces for trypsin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84510... .................. X Assay tyrosine.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84512... .................. X Troponin, qual.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84520... .................. X Assay urea nitrogen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84525... .................. X Urea nitrogen semi-quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84540... .................. X Assay urine urea-N...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84545... .................. X Urea-N clearance test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84550... .................. X Assay blood uric acid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84560... .................. X Assay urine uric acid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84577... .................. X Assay feces urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84578... .................. X Test urine urobilinogen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84580... .................. X Assay urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84583... .................. X Assay urine urobilinogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84585... .................. X Assay urine VMA......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84586... .................. X VIP assay............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84588... .................. X Assay vasopressin....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84590... .................. X Assay vitamin-A......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84597... .................. X Assay vitamin-K......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84600... .................. X Assay for volatiles..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84620... .................. X Xylose tolerance test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84630... .................. X Assay zinc.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84681... .................. X Assay C-peptide......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84702... .................. X Chorionic gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 84703... .................. X Chorionic gonadotropin 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 84830... .................. X Ovulation tests......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 84999... .................. X Clinical chemistry test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85002... .................. X Bleeding time test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85007... .................. X Differential WBC count.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85008... .................. X Nondifferential WBC 0.00 0.00 0.00 0.00 0.00 0.00 XXX count. 85009... .................. X Differential WBC count.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85013... .................. X Hematocrit.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85014... .................. X Hematocrit.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85018... .................. X Hemoglobin.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85021... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85022... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85023... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85024... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59201]] 85025... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85027... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85029... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85030... .................. X Automated hemogram...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85031... .................. X Manual hemogram, 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete cbc. 85041... .................. X Red blood cell (RBC) 0.00 0.00 0.00 0.00 0.00 0.00 XXX count. 85044... .................. X Reticulocyte count...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85045... .................. X Reticulocyte count...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85048... .................. X White blood cell (WBC) 0.00 0.00 0.00 0.00 0.00 0.00 XXX count. 85060... .................. A Blood smear 0.45 0.22 0.22 0.02 0.69 0.69 XXX interpretation. 85095... .................. A Bone marrow aspiration.. 1.08 0.67 0.67 0.05 1.80 1.80 XXX 85097... .................. A Bone marrow 0.94 0.48 0.48 0.04 1.46 1.46 XXX interpretation. 85102... .................. A Bone marrow biopsy...... 1.37 0.80 0.80 0.05 2.22 2.22 XXX 85130... .................. X Chromogenic substrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 85170... .................. X Blood clot retraction... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85175... .................. X Blood clot lysis time... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85210... .................. X Blood clot factor II 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85220... .................. X Blood clot factor V test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85230... .................. X Blood clot factor VII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85240... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85244... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85245... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85246... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85247... .................. X Blood clot factor VIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85250... .................. X Blood clot factor IX 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85260... .................. X Blood clot factor X test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85270... .................. X Blood clot factor XI 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85280... .................. X Blood clot factor XII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85290... .................. X Blood clot factor XIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85291... .................. X Blood clot factor XIII 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85292... .................. X Blood clot factor assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85293... .................. X Blood clot factor assay. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85300... .................. X Antithrombin III test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85301... .................. X Antithrombin III test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85302... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX antigen. 85303... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85305... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 85306... .................. X Blood clot inhibitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 85335... .................. X Factor inhibitor test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85337... .................. X Thrombomodulin.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85345... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85347... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85348... .................. X Coagulation time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85360... .................. X Euglobulin lysis........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85362... .................. X Fibrin degradation 0.00 0.00 0.00 0.00 0.00 0.00 XXX products. 85366... .................. X Fibrinogen test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85370... .................. X Fibrinogen test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85378... .................. X Fibrin degradation...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85379... .................. X Fibrin degradation...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85384... .................. X Fibrinogen.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85385... .................. X Fibrinogen.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85390... .................. X Fibrinolysins screen.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85390... 26 A Fibrinolysins screen.... 0.37 0.20 0.20 0.01 0.58 0.58 XXX 85400... .................. X Fibrinolytic plasmin.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85410... .................. X Fibrinolytic antiplasmin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85415... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85420... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85421... .................. X Fibrinolytic plasminogen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85441... .................. X Heinz bodies; direct.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85445... .................. X Heinz bodies; induced... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85460... .................. X Hemoglobin, fetal....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85461... .................. X Hemoglobin, fetal....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85475... .................. X Hemolysin............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85520... .................. X Heparin assay........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85525... .................. X Heparin................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85530... .................. X Heparin-protamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX tolerance. 85535... .................. X Iron stain, blood cells. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85540... .................. X Wbc alkaline phosphatase 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85547... .................. X RBC mechanical fragility 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85549... .................. X Muramidase.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85555... .................. X RBC osmotic fragility... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85557... .................. X RBC osmotic fragility... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85576... .................. X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX aggregation. 85576... 26 A Blood platelet 0.37 0.20 0.20 0.01 0.58 0.58 XXX aggregation. [[Page 59202]] 85585... .................. X Blood platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX estimation. 85590... .................. X Platelet manual count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85595... .................. X Platelet count, 0.00 0.00 0.00 0.00 0.00 0.00 XXX automated. 85597... .................. X Platelet neutralization. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85610... .................. X Prothrombin time........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85611... .................. X Prothrombin test........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85612... .................. X Viper venom prothrombin 0.00 0.00 0.00 0.00 0.00 0.00 XXX time. 85613... .................. X Russell viper venom, 0.00 0.00 0.00 0.00 0.00 0.00 XXX diluted. 85635... .................. X Reptilase test.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85651... .................. X Rbc sed rate, nonauto... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85652... .................. X Rbc sed rate, auto...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85660... .................. X RBC sickle cell test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85670... .................. X Thrombin time, plasma... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85675... .................. X Thrombin time, titer.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 85705... .................. X Thromboplastin 0.00 0.00 0.00 0.00 0.00 0.00 XXX inhibition. 85730... .................. X Thromboplastin time, 0.00 0.00 0.00 0.00 0.00 0.00 XXX partial. 85732... .................. X Thromboplastin time, 0.00 0.00 0.00 0.00 0.00 0.00 XXX partial. 85810... .................. X Blood viscosity 0.00 0.00 0.00 0.00 0.00 0.00 XXX examination. 85999... .................. X Hematology procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86000... .................. X Agglutinins; febrile.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86003... .................. X Allergen specific IgE... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86005... .................. X Allergen specific IgE... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86021... .................. X WBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX identification. 86022... .................. X Platelet antibodies..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86023... .................. X Immunoglobulin assay.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86038... .................. X Antinuclear antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86039... .................. X Antinuclear antibodies 0.00 0.00 0.00 0.00 0.00 0.00 XXX (ANA). 86060... .................. X Antistreptolysin O titer 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86063... .................. X Antistreptolysin O 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 86077... .................. A Physician blood bank 0.94 0.30 0.30 0.02 1.26 1.26 XXX service. 86078... .................. A Physician blood bank 0.94 0.34 0.34 0.02 1.30 1.30 XXX service. 86079... .................. A Physician blood bank 0.94 0.33 0.33 0.02 1.29 1.29 XXX service. 86140... .................. X C-reactive protein...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86147... .................. X Cardiolipin antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86148... .................. X Phospholipid antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86155... .................. X Chemotaxis assay........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86156... .................. X Cold agglutinin screen.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86157... .................. X Cold agglutinin, titer.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86160... .................. X Complement, antigen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86161... .................. X Complement/function 0.00 0.00 0.00 0.00 0.00 0.00 XXX activity. 86162... .................. X Complement, total (CH50) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86171... .................. X Complement fixation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX each. 86185... .................. X Counterimmunoelectrophor 0.00 0.00 0.00 0.00 0.00 0.00 XXX esis. 86215... .................. X Deoxyribonuclease, 0.00 0.00 0.00 0.00 0.00 0.00 XXX antibody. 86225... .................. X DNA antibody............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86226... .................. X DNA antibody, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX strand. 86235... .................. X Nuclear antigen antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86243... .................. X Fc receptor............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86255... .................. X Fluorescent antibody; 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 86255... 26 A Fluorescent antibody; 0.37 0.20 0.20 0.01 0.58 0.58 XXX screen. 86256... .................. X Fluorescent antibody; 0.00 0.00 0.00 0.00 0.00 0.00 XXX titer. 86256... 26 A Fluorescent antibody; 0.37 0.20 0.20 0.01 0.58 0.58 XXX titer. 86277... .................. X Growth hormone antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86280... .................. X Hemagglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX inhibition. 86287... .................. D 12/Hepatitis B (HBsAg).. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86289... .................. D Hepatitis BC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86290... .................. D 12/Hepatitis BC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86291... .................. D Hepatitis BS antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86293... .................. D Hepatitis Be antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86295... .................. D 12/Hepatitis Be antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86296... .................. D Hepatitis A antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86299... .................. D Hepatitis A antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86302... .................. D Hepatitis C antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86303... .................. D Hepatitis C antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86306... .................. D Hepatitis, delta agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86308... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86309... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86310... .................. X Heterophile antibodies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86311... .................. D 12/31/97HIV antigen test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86313... .................. D Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. 86315... .................. D Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. 86316... .................. X Immunoassay, tumor 0.00 0.00 0.00 0.00 0.00 0.00 XXX antigen. 86317... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. 86318... .................. X Immunoassay, infectious 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. [[Page 59203]] 86320... .................. X Serum 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunoelectrophoresis. 86320... 26 A Serum 0.37 0.20 0.20 0.01 0.58 0.58 XXX immunoelectrophoresis. 86325... .................. X Other 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunoelectrophoresis. 86325... 26 A Other 0.37 0.20 0.20 0.01 0.58 0.58 XXX immunoelectrophoresis. 86327... .................. X Immunoelectrophoresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 86327... 26 A Immunoelectrophoresis 0.42 0.20 0.20 0.01 0.63 0.63 XXX assay. 86329... .................. X Immunodiffusion......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86331... .................. X Immunodiffusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX ouchterlony. 86332... .................. X Immune complex assay.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86334... .................. X Immunofixation procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86334... 26 A Immunofixation procedure 0.37 0.20 0.20 0.01 0.58 0.58 XXX 86337... .................. X Insulin antibodies...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86340... .................. X Intrinsic factor 0.00 0.00 0.00 0.00 0.00 0.00 XXX antibody. 86341... .................. X Islet cell antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86343... .................. X Leukocyte histamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX release. 86344... .................. X Leukocyte phagocytosis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86353... .................. X Lymphocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX transformation. 86359... .................. X T cells, total count.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86360... .................. X T cell absolute count/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX ratio. 86361... .................. X T cell absolute count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86376... .................. X Microsomal antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86378... .................. X Migration inhibitory 0.00 0.00 0.00 0.00 0.00 0.00 XXX factor. 86382... .................. X Neutralization test, 0.00 0.00 0.00 0.00 0.00 0.00 XXX viral. 86384... .................. X Nitroblue tetrazolium 0.00 0.00 0.00 0.00 0.00 0.00 XXX dye. 86403... .................. X Particle agglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86406... .................. X Particle agglutination 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86430... .................. X Rheumatoid factor test.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86431... .................. X Rheumatoid factor, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86485... .................. C Skin test, candida...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86490... .................. A Coccidioidomycosis skin 0.00 0.28 0.28 0.02 0.30 0.30 XXX test. 86510... .................. A Histoplasmosis skin test 0.00 0.30 0.30 0.02 0.32 0.32 XXX 86580... .................. A TB intradermal test..... 0.00 0.24 0.24 0.02 0.26 0.26 XXX 86585... .................. A TB tine test............ 0.00 0.19 0.19 0.01 0.20 0.20 XXX 86586... .................. C Skin test, unlisted..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86588... .................. X Streptocollus, direct 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 86590... .................. X Streptokinase, antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86592... .................. X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 XXX qualitative. 86593... .................. X Blood serology, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quantitative. 86602... .................. X Antinomyces antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86603... .................. X Adenovirus, antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86606... .................. X Aspergillus antibody.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86609... .................. X Bacterium, antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86612... .................. X Blastomyces, antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86615... .................. X Bordetella antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86617... .................. X Lyme disease antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86618... .................. X Lyme disease antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86619... .................. X Borrelia antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86622... .................. X Brucella, antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86625... .................. X Campylobacter, antibody. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86628... .................. X Candida, antibody....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86631... .................. X Chlamydia, antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86632... .................. X Chlamydia, IgM, antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86635... .................. X Coccidioides, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86638... .................. X Q fever antibody........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86641... .................. X Cryptococcus antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86644... .................. X CMV antibody............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86645... .................. X CMV antibody, IgM....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86648... .................. X Diphtheria antibody..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86651... .................. X Encephalitis antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86652... .................. X Encephalitis antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86653... .................. X Encephalitis, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86654... .................. X Encephalitis, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86658... .................. X Enterovirus, antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86663... .................. X Epstein-barr antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86664... .................. X Epstein-barr antibody... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86665... .................. X Epstein-barr, antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86668... .................. X Francisella tularensis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86671... .................. X Fungus, antibody........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86674... .................. X Giardia lamblia......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86677... .................. X Helicobacter pylori..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86682... .................. X Helminth, antibody...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86684... .................. X Hemophilus influenza.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86687... .................. X HTLV I.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86688... .................. X HTLV-II................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59204]] 86689... .................. X HTLV/HIV confirmatory 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86692... .................. X Hepatitis, delta agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86694... .................. X Herpes simplex test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86695... .................. X Herpes simplex test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86698... .................. X Histoplasma............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86701... .................. X HIV-1................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86702... .................. X HIV-2................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86703... .................. X HIV-1/HIV-2, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX assay. 86704... .................. X Hep b core ab test, igg 0.00 0.00 0.00 0.00 0.00 0.00 XXX & m. 86705... .................. X Hep b core ab test, igm. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86706... .................. X Hepatitis b surface ab 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86707... .................. X Hepatitis be ab test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86708... .................. X Hep a ab test, igg & m.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86709... .................. X Hep a ab test, igm...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86710... .................. X Influenza virus......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86713... .................. X Legionella.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86717... .................. X Leishmania.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86720... .................. X Leptospira.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86723... .................. X Listeria monocytogenes.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86727... .................. X Lymph choriomeningitis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86729... .................. X Lympho venereum......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86732... .................. X Mucormycosis............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86735... .................. X Mumps................... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86738... .................. X Mycoplasma.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86741... .................. X Neisseria meningitidis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86744... .................. X Nocardia................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86747... .................. X Parvovirus.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86750... .................. X Malaria................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86753... .................. X Protozoa, not elsewhere. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86756... .................. X Respiratory virus....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86759... .................. X Rotavirus............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86762... .................. X Rubella................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86765... .................. X Rubeola................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86768... .................. X Salmonella.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86771... .................. X Shigella................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86774... .................. X Tetanus................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86777... .................. X Toxoplasma.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86778... .................. X Toxoplasma, IgM......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86781... .................. X Treponema pallidum 0.00 0.00 0.00 0.00 0.00 0.00 XXX confirm. 86784... .................. X Trichinella............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86787... .................. X Varicella-zoster........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86790... .................. X Virus, not specified.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86793... .................. X Yersinia................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86800... .................. X Thyroglobulin antibody.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86803... .................. X Hepatitis c ab test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86804... .................. X Hep c ab test, confirm.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86805... .................. X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86806... .................. X Lymphocytotoxicity assay 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86807... .................. X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX screening. 86808... .................. X Cytotoxic antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX screening. 86812... .................. X HLA typing, A, B, or C.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86813... .................. X HLA typing, A, B, or C.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86816... .................. X HLA typing, DR/DQ....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86817... .................. X HLA typing, DR/DQ....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86821... .................. X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX mixed. 86822... .................. X Lymphocyte culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX primed. 86849... .................. X Immunology procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86850... .................. X RBC antibody screen..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86860... .................. X RBC antibody elution.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86870... .................. X RBC antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX identification. 86880... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86885... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86886... .................. X Coombs test............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86890... .................. X Autologous blood process 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86891... .................. X Autologous blood, op 0.00 0.00 0.00 0.00 0.00 0.00 XXX salvage. 86900... .................. X Blood typing, ABO....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86901... .................. X Blood typing, Rh (D).... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86903... .................. X Blood typing, antigen 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 86904... .................. X Blood typing, patient 0.00 0.00 0.00 0.00 0.00 0.00 XXX serum. 86905... .................. X Blood typing, RBC 0.00 0.00 0.00 0.00 0.00 0.00 XXX antigens. 86906... .................. X Blood typing, Rh 0.00 0.00 0.00 0.00 0.00 0.00 XXX phenotype. 86910... .................. N Blood typing, paternity 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 86911... .................. N Blood typing, antigen 0.00 0.00 0.00 0.00 0.00 0.00 XXX system. 86915... .................. X Bone marrow............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59205]] 86920... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86921... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86922... .................. X Compatibility test...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86927... .................. X Plasma, fresh frozen.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86930... .................. X Frozen blood prep....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86931... .................. X Frozen blood thaw....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86932... .................. X Frozen blood, freeze/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX thaw. 86940... .................. X Hemolysins/agglutinins 0.00 0.00 0.00 0.00 0.00 0.00 XXX auto. 86941... .................. X Hemolysins/agglutinins.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86945... .................. X Blood product/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX irradiation. 86950... .................. X Leukacyte transfusion... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86965... .................. X Pooling blood platelets. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86970... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86971... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86972... .................. X RBC pretreatment........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86975... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86976... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86977... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86978... .................. X RBC pretreatment, serum. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86985... .................. X Split blood or products. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86999... .................. X Transfusion procedure... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87001... .................. X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87003... .................. X Small animal inoculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87015... .................. X Specimen concentration.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87040... .................. X Blood culture for 0.00 0.00 0.00 0.00 0.00 0.00 XXX bacteria. 87045... .................. X Stool culture for 0.00 0.00 0.00 0.00 0.00 0.00 XXX bacteria. 87060... .................. X Nose/throat 0.00 0.00 0.00 0.00 0.00 0.00 XXX culture,bacteria. 87070... .................. X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX bacteria. 87072... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. 87075... .................. X Culture specimen, 0.00 0.00 0.00 0.00 0.00 0.00 XXX bacteria. 87076... .................. X Bacteria identification. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87081... .................. X Bacteria culture screen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87082... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. 87083... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. 87084... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. 87085... .................. X Culture of specimen by 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. 87086... .................. X Urine culture, colony 0.00 0.00 0.00 0.00 0.00 0.00 XXX count. 87087... .................. X Urine bacteria culture.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87088... .................. X Urine bacteria culture.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87101... .................. X Skin fungus culture..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87102... .................. X Fungus isolation culture 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87103... .................. X Blood fungus culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87106... .................. X Fungus identification... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87109... .................. X Mycoplasma culture...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87110... .................. X Culture, chlamydia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87116... .................. X Mycobacteria culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87117... .................. X Mycobacteria culture.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87118... .................. X Mycobacteria 0.00 0.00 0.00 0.00 0.00 0.00 XXX identification. 87140... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX fluorescent. 87143... .................. X Culture typing, GLC 0.00 0.00 0.00 0.00 0.00 0.00 XXX method. 87145... .................. X Culture typing, phage 0.00 0.00 0.00 0.00 0.00 0.00 XXX method. 87147... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX serologic. 87151... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX serologic. 87155... .................. X Culture typing, 0.00 0.00 0.00 0.00 0.00 0.00 XXX precipitin. 87158... .................. X Culture typing, added 0.00 0.00 0.00 0.00 0.00 0.00 XXX method. 87163... .................. X Special microbiology 0.00 0.00 0.00 0.00 0.00 0.00 XXX culture. 87164... .................. X Dark field examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87164... 26 A Dark field examination.. 0.37 0.20 0.20 0.01 0.58 0.58 XXX 87166... .................. X Dark field examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87174... .................. X Endotoxin, bacterial.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87175... .................. X Assay, endotoxin, 0.00 0.00 0.00 0.00 0.00 0.00 XXX bacterial. 87176... .................. X Endotoxin, bacterial.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87177... .................. X Ova and parasites smears 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87178... .................. D Microbe identification.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87179... .................. D Microbe identification.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87181... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX each. 87184... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX each. 87186... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX MIC. 87187... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX MBC. 87188... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX each. 87190... .................. X TB antibiotic 0.00 0.00 0.00 0.00 0.00 0.00 XXX sensitivity. 87192... .................. X Antibiotic sensitivity, 0.00 0.00 0.00 0.00 0.00 0.00 XXX each. 87197... .................. X Bactericidal level, 0.00 0.00 0.00 0.00 0.00 0.00 XXX serum. 87205... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59206]] 87206... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87207... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87207... 26 A Smear, stain & interpret 0.37 0.20 0.20 0.01 0.58 0.58 XXX 87208... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87210... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87211... .................. X Smear, stain & interpret 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87220... .................. X Tissue exam for fungi... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87230... .................. X Assay, toxin or 0.00 0.00 0.00 0.00 0.00 0.00 XXX antitoxin. 87250... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 87252... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 87253... .................. X Virus inoculation for 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 87260... .................. X Adenovirus ag, dfa...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87265... .................. X Pertussis ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87270... .................. X Chylmd trach ag, dfa.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87272... .................. X Cryptosporidum ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87274... .................. X Herpes simplex ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87276... .................. X Influenza ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87278... .................. X Legion pneumo ag, dfa... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87280... .................. X Resp syncytial ag, dfa.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87285... .................. X Trepon pallidum ag, dfa. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87290... .................. X Varicella ag, dfa....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87299... .................. X Ag detection nos, dfa... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87301... .................. X Adenovirus ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87320... .................. X Chylmd trach ag, eia.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87324... .................. X Clostridium ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87328... .................. X Cryptospor ag, eia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87332... .................. X Cytomegalovirus ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87335... .................. X E coli 0157 ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87340... .................. X Hepatitis b surface ag, 0.00 0.00 0.00 0.00 0.00 0.00 XXX eia. 87350... .................. X Hepatitis b ag, eia..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87380... .................. X Hepatitis delta ag, eia. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87385... .................. X Histoplasma capsul ag, 0.00 0.00 0.00 0.00 0.00 0.00 XXX eia. 87390... .................. X HIV-1 ag, eia........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87391... .................. X HIV-2 ag, eia........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87420... .................. X Resp syncytial ag, eia.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87425... .................. X Rotavirus ag, eia....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87430... .................. X Strep a ag, eia......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87449... .................. X Ag detect nos, eia, mult 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87450... .................. X Ag detect nos, eia, 0.00 0.00 0.00 0.00 0.00 0.00 XXX single. 87470... .................. X Bartonella, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87471... .................. X Bartonella, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87472... .................. X Bartonella, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87475... .................. X Lyme dis, dna, dir probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87476... .................. X Lyme dis, dna, amp probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87477... .................. X Lyme dis, dna, quant.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87480... .................. X Candida, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87481... .................. X Candida, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87482... .................. X Candida, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87485... .................. X Chylmd pneum, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87486... .................. X Chylmd pneum, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87487... .................. X Chylmd pneum, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87490... .................. X Chylmd trach, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87491... .................. X Chylmd trach, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87492... .................. X Chylmd trach, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87495... .................. X Cytomeg, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87496... .................. X Cytomeg, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87497... .................. X Cytomeg, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87510... .................. X Gardner vag, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87511... .................. X Gardner vag, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87512... .................. X Gardner vag, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87515... .................. X Hepatitis b, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87516... .................. X Hepatitis b, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87517... .................. X Hepatitis b, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87520... .................. X Hepatitis c, rna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87521... .................. X Hepatitis c, rna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87522... .................. X Hepatitis c, rna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87525... .................. X Hepatitis g , dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87526... .................. X Hepatitis g, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87527... .................. X Hepatitis g, dna, quant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87528... .................. X Hsv, dna, dir probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87529... .................. X Hsv, dna, amp probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87530... .................. X Hsv, dna, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87531... .................. X Hhv-6, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87532... .................. X Hhv-6, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59207]] 87533... .................. X Hhv-6, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87534... .................. X Hiv-1, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87535... .................. X Hiv-1, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87536... .................. X Hiv-1, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87537... .................. X Hiv-2, dna, dir probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87538... .................. X Hiv-2, dna, amp probe... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87539... .................. X Hiv-2, dna, quant....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87540... .................. X Legion pneumo, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87541... .................. X Legion pneumo, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87542... .................. X Legion pneumo, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quant. 87550... .................. X Mycobacteria, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87551... .................. X Mycobacteria, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87552... .................. X Mycobacteria, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87555... .................. X M. tuberculo, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87556... .................. X M. tuberculo, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87557... .................. X M. tuberculo, dna, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87560... .................. X M. avium-intra, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87561... .................. X M. avium-intra, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87562... .................. X M. avium-intra, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quant. 87580... .................. X M. pneumon, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87581... .................. X M. pneumon, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX probe. 87582... .................. X M. pneumon, dna, quant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87590... .................. X N. gonorrhoeae, dna, dir 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87591... .................. X N. gonorrhoeae, dna, amp 0.00 0.00 0.00 0.00 0.00 0.00 XXX prob. 87592... .................. X N. gonorrhoeae, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quant. 87620... .................. X Hpv, dna, dir probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87621... .................. X Hpv, dna, amp probe..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87622... .................. X Hpv, dna, quant......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87650... .................. X Strep a, dna, dir probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87651... .................. X Strep a, dna, amp probe. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87652... .................. X Strep a, dna, quant..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87797... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX dir. 87798... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX amp. 87799... .................. X Detect agent nos, dna, 0.00 0.00 0.00 0.00 0.00 0.00 XXX quant. 87810... .................. X Chylmd trach assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX optic. 87850... .................. X N. gonorrhoeae assay w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX optic. 87880... .................. X Strep a assay w/optic... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87899... .................. X Agent nos assay w/optic. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87999... .................. X Microbiology procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88000... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88005... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88007... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88012... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88014... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88016... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX gross. 88020... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. 88025... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. 88027... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. 88028... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. 88029... .................. N Autopsy (necropsy), 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. 88036... .................. N Limited autopsy......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88037... .................. N Limited autopsy......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88040... .................. N Forensic autopsy 0.00 0.00 0.00 0.00 0.00 0.00 XXX (necropsy). 88045... .................. N Coroner's autopsy 0.00 0.00 0.00 0.00 0.00 0.00 XXX (necropsy). 88099... .................. N Necropsy (autopsy) 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 88104... .................. A Cytopathology, fluids... 0.56 0.44 0.44 0.04 1.04 1.04 XXX 88104... TC A Cytopathology, fluids... 0.00 0.21 0.21 0.02 0.23 0.23 XXX 88104... 26 A Cytopathology, fluids... 0.56 0.23 0.23 0.02 0.81 0.81 XXX 88106... .................. A Cytopathology, fluids... 0.56 0.37 0.37 0.03 0.96 0.96 XXX 88106... TC A Cytopathology, fluids... 0.00 0.17 0.17 0.02 0.19 0.19 XXX 88106... 26 A Cytopathology, fluids... 0.56 0.20 0.20 0.01 0.77 0.77 XXX 88107... .................. A Cytopathology, fluids... 0.76 0.47 0.47 0.04 1.27 1.27 XXX 88107... TC A Cytopathology, fluids... 0.00 0.23 0.23 0.02 0.25 0.25 XXX 88107... 26 A Cytopathology, fluids... 0.76 0.24 0.24 0.02 1.02 1.02 XXX 88108... .................. A Cytopath, concentrate 0.56 0.47 0.47 0.04 1.07 1.07 XXX tech. 88108... TC A Cytopath, concentrate 0.00 0.23 0.23 0.02 0.25 0.25 XXX tech. 88108... 26 A Cytopath, concentrate 0.56 0.24 0.24 0.02 0.82 0.82 XXX tech. 88125... .................. A Forensic cytopathology.. 0.26 0.11 0.11 0.00 0.37 0.37 XXX 88125... TC A Forensic cytopathology.. 0.00 0.04 0.04 0.00 0.04 0.04 XXX 88125... 26 A Forensic cytopathology.. 0.26 0.07 0.07 0.00 0.33 0.33 XXX 88130... .................. X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 XXX identification. 88140... .................. X Sex chromatin 0.00 0.00 0.00 0.00 0.00 0.00 XXX identification. 88141... .................. A Cytopath cerv/vag 0.42 0.32 0.32 0.04 0.78 0.78 XXX interpret. 88142... .................. X Cytopath cerv/vag thin 0.00 0.00 0.00 0.00 0.00 0.00 XXX layer. [[Page 59208]] 88150... .................. X Cytopath cerv/vag....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88151... .................. D Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX interpretation. 88151... 26 D Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX interpretation. 88152... .................. X Cytopath cerv/vag auto.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88155... .................. X Cytopath cerv/vag index. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88156... .................. X Cytopath cerv/vag tbs... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88157... .................. D 1TBS smear (bethesda 0.00 0.00 0.00 0.00 0.00 0.00 XXX system). 88157... 26 D 1TBS smear (bethesda 0.00 0.00 0.00 0.00 0.00 0.00 XXX system). 88158... .................. X Cytopath cerv/vag tbs 0.00 0.00 0.00 0.00 0.00 0.00 XXX auto. 88160... .................. A Cytopath smear, other 0.50 0.33 0.33 0.03 0.86 0.86 XXX source. 88160... TC A Cytopath smear, other 0.00 0.16 0.16 0.02 0.18 0.18 XXX source. 88160... 26 A Cytopath smear, other 0.50 0.17 0.17 0.01 0.68 0.68 XXX source. 88161... .................. A Cytopath smear, other 0.50 0.39 0.39 0.03 0.92 0.92 XXX source. 88161... TC A Cytopath smear, other 0.00 0.19 0.19 0.02 0.21 0.21 XXX source. 88161... 26 A Cytopath smear, other 0.50 0.20 0.20 0.01 0.71 0.71 XXX source. 88162... .................. A Cytopath smear, other 0.76 0.79 0.79 0.05 1.60 1.60 XXX source. 88162... TC A Cytopath smear, other 0.00 0.38 0.38 0.02 0.40 0.40 XXX source. 88162... 26 A Cytopath smear, other 0.76 0.41 0.41 0.03 1.20 1.20 XXX source. 88170... .................. A Fine needle aspiration.. 1.27 0.99 0.99 0.09 2.35 2.35 XXX 88170... TC A Fine needle aspiration.. 0.00 0.47 0.47 0.04 0.51 0.51 XXX 88170... 26 A Fine needle aspiration.. 1.27 0.52 0.52 0.05 1.84 1.84 XXX 88171... .................. A Fine needle aspiration.. 1.27 1.35 1.35 0.09 2.71 2.71 XXX 88171... TC A Fine needle aspiration.. 0.00 0.64 0.64 0.04 0.68 0.68 XXX 88171... 26 A Fine needle aspiration.. 1.27 0.71 0.71 0.05 2.03 2.03 XXX 88172... .................. A Evaluation of smear..... 0.60 0.71 0.71 0.05 1.36 1.36 XXX 88172... TC A Evaluation of smear..... 0.00 0.35 0.35 0.02 0.37 0.37 XXX 88172... 26 A Evaluation of smear..... 0.60 0.36 0.36 0.03 0.99 0.99 XXX 88173... .................. A Interpretation of smear. 1.39 0.87 0.87 0.05 2.31 2.31 XXX 88173... TC A Interpretation of smear. 0.00 0.42 0.42 0.02 0.44 0.44 XXX 88173... 26 A Interpretation of smear. 1.39 0.45 0.45 0.03 1.87 1.87 XXX 88180... .................. A Cell marker study....... 0.36 0.33 0.33 0.03 0.72 0.72 XXX 88180... TC A Cell marker study....... 0.00 0.16 0.16 0.02 0.18 0.18 XXX 88180... 26 A Cell marker study....... 0.36 0.17 0.17 0.01 0.54 0.54 XXX 88182... .................. A Cell marker study....... 0.77 0.89 0.89 0.07 1.73 1.73 XXX 88182... TC A Cell marker study....... 0.00 0.44 0.44 0.04 0.48 0.48 XXX 88182... 26 A Cell marker study....... 0.77 0.45 0.45 0.03 1.25 1.25 XXX 88199... .................. C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199... TC C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199... 26 C Cytopathology procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88230... .................. X Tissue culture, 0.00 0.00 0.00 0.00 0.00 0.00 XXX lymphocyte. 88233... .................. X Tissue culture, skin/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX biopsy. 88235... .................. X Tissue culture, placenta 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88237... .................. X Tissue culture, bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX marrow. 88239... .................. X Tissue culture, other... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88245... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88248... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88250... .................. X Chromosome analysis..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88260... .................. X Chromosome analysis: 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX cells. 88261... .................. X Chromosome analysis: 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX cells. 88262... .................. X Chromosome count: 15-20 0.00 0.00 0.00 0.00 0.00 0.00 XXX cells. 88263... .................. X Chromosome analysis: 45 0.00 0.00 0.00 0.00 0.00 0.00 XXX cells. 88267... .................. X Chromosome analysis: 0.00 0.00 0.00 0.00 0.00 0.00 XXX placenta. 88269... .................. X Chromosome analysis: 0.00 0.00 0.00 0.00 0.00 0.00 XXX amniotic. 88280... .................. X Chromosome karyotype 0.00 0.00 0.00 0.00 0.00 0.00 XXX study. 88283... .................. X Chromosome banding study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88285... .................. X Chromosome count: 0.00 0.00 0.00 0.00 0.00 0.00 XXX additional. 88289... .................. X Chromosome study: 0.00 0.00 0.00 0.00 0.00 0.00 XXX additional. 88299... .................. C Cytogenetic study....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300... .................. A Surg path, gross........ 0.08 0.20 0.20 0.01 0.29 0.29 XXX 88300... TC A Surg path, gross........ 0.00 0.10 0.10 0.00 0.10 0.10 XXX 88300... 26 A Surg path, gross........ 0.08 0.10 0.10 0.01 0.19 0.19 XXX 88302... .................. A Tissue exam by 0.13 0.40 0.40 0.04 0.57 0.57 XXX pathologist. 88302... TC A Tissue exam by 0.00 0.23 0.23 0.02 0.25 0.25 XXX pathologist. 88302... 26 A Tissue exam by 0.13 0.17 0.17 0.02 0.32 0.32 XXX pathologist. 88304... .................. A Tissue exam by 0.22 0.57 0.57 0.04 0.83 0.83 XXX pathologist. 88304... TC A Tissue exam by 0.00 0.33 0.33 0.02 0.35 0.35 XXX pathologist. 88304... 26 A Tissue exam by 0.22 #0.24 #0.24 0.02 0.48 0.48 XXX pathologist. 88305... .................. A Tissue exam by 0.75 1.03 1.03 0.08 1.86 1.86 XXX pathologist. 88305... TC A Tissue exam by 0.00 0.50 0.50 0.04 0.54 0.54 XXX pathologist. 88305... 26 A Tissue exam by 0.75 0.53 0.53 0.04 1.32 1.32 XXX pathologist. 88307... .................. A Tissue exam by 1.59 1.52 1.52 0.12 3.23 3.23 XXX pathologist. 88307... TC A Tissue exam by 0.00 0.74 0.74 0.06 0.80 0.80 XXX pathologist. 88307... 26 A Tissue exam by 1.59 0.78 0.78 0.06 2.43 2.43 XXX pathologist. 88309... .................. A Tissue exam by 2.28 1.92 1.92 0.13 4.33 4.33 XXX pathologist. [[Page 59209]] 88309... TC A Tissue exam by 0.00 0.93 0.93 0.06 0.99 0.99 XXX pathologist. 88309... 26 A Tissue exam by 2.28 0.99 0.99 0.07 3.34 3.34 XXX pathologist. 88311... .................. A Decalcify tissue........ 0.24 0.21 0.21 0.01 0.46 0.46 XXX 88311... TC A Decalcify tissue........ 0.00 0.10 0.10 0.00 0.10 0.10 XXX 88311... 26 A Decalcify tissue........ 0.24 0.11 0.11 0.01 0.36 0.36 XXX 88312... .................. A Special stains.......... 0.54 0.26 0.26 0.01 0.81 0.81 XXX 88312... TC A Special stains.......... 0.00 0.12 0.12 0.00 0.12 0.12 XXX 88312... 26 A Special stains.......... 0.54 0.14 0.14 0.01 0.69 0.69 XXX 88313... .................. A Special stains.......... 0.24 0.21 0.21 0.01 0.46 0.46 XXX 88313... TC A Special stains.......... 0.00 0.10 0.10 0.00 0.10 0.10 XXX 88313... 26 A Special stains.......... 0.24 0.11 0.11 0.01 0.36 0.36 XXX 88314... .................. A Histochemical stain..... 0.45 0.62 0.62 0.04 1.11 1.11 XXX 88314... TC A Histochemical stain..... 0.00 0.27 0.27 0.02 0.29 0.29 XXX 88314... 26 A Histochemical stain..... 0.45 0.35 0.35 0.02 0.82 0.82 XXX 88318... .................. A Chemical histochemistry. 0.42 0.24 0.24 0.01 0.67 0.67 XXX 88318... TC A Chemical histochemistry. 0.00 0.12 0.12 0.00 0.12 0.12 XXX 88318... 26 A Chemical histochemistry. 0.42 0.12 0.12 0.01 0.55 0.55 XXX 88319... .................. A Enzyme histochemistry... 0.53 0.49 0.49 0.04 1.06 1.06 XXX 88319... TC A Enzyme histochemistry... 0.00 0.23 0.23 0.02 0.25 0.25 XXX 88319... 26 A Enzyme histochemistry... 0.53 0.26 0.26 0.02 0.81 0.81 XXX 88321... .................. A Microslide consultation. 1.30 0.41 0.41 0.03 1.74 1.74 XXX 88323... .................. A Microslide consultation. 1.35 0.72 0.72 0.05 2.12 2.12 XXX 88323... TC A Microslide consultation. 0.00 0.33 0.33 0.02 0.35 0.35 XXX 88323... 26 A Microslide consultation. 1.35 0.39 0.39 0.03 1.77 1.77 XXX 88325... .................. A Comprehensive review of 2.22 0.47 0.47 0.04 2.73 2.73 XXX data. 88329... .................. A Pathology consult in 0.67 0.37 0.37 0.03 1.07 1.07 XXX surgery. 88331... .................. A Pathology consult in 1.19 1.10 1.10 0.08 2.37 2.37 XXX surgery. 88331... TC A Pathology consult in 0.00 0.54 0.54 0.04 0.58 0.58 XXX surgery. 88331... 26 A Pathology consult in 1.19 0.56 0.56 0.04 1.79 1.79 XXX surgery. 88332... .................. A Pathology consult in 0.59 0.56 0.56 0.04 1.19 1.19 XXX surgery. 88332... TC A Pathology consult in 0.00 0.27 0.27 0.02 0.29 0.29 XXX surgery. 88332... 26 A Pathology consult in 0.59 0.29 0.29 0.02 0.90 0.90 XXX surgery. 88342... .................. A Immunocytochemistry..... 0.85 0.64 0.64 0.04 1.53 1.53 XXX 88342... TC A Immunocytochemistry..... 0.00 0.31 0.31 0.02 0.33 0.33 XXX 88342... 26 A Immunocytochemistry..... 0.85 0.33 0.33 0.02 1.20 1.20 XXX 88346... .................. A Immunofluorescent study. 0.86 0.58 0.58 0.04 1.48 1.48 XXX 88346... TC A Immunofluorescent study. 0.00 0.27 0.27 0.02 0.29 0.29 XXX 88346... 26 A Immunofluorescent study. 0.86 0.31 0.31 0.02 1.19 1.19 XXX 88347... .................. A Immunofluorescent study. 0.86 0.42 0.42 0.04 1.32 1.32 XXX 88347... TC A Immunofluorescent study. 0.00 0.27 0.27 0.02 0.29 0.29 XXX 88347... 26 A Immunofluorescent study. 0.86 0.15 0.15 0.02 1.03 1.03 XXX 88348... .................. A Electron microscopy..... 1.51 2.28 2.28 0.16 3.95 3.95 XXX 88348... TC A Electron microscopy..... 0.00 1.09 1.09 0.08 1.17 1.17 XXX 88348... 26 A Electron microscopy..... 1.51 1.19 1.19 0.08 2.78 2.78 XXX 88349... .................. A Scanning electron 0.76 1.55 1.55 0.12 2.43 2.43 XXX microscopy. 88349... TC A Scanning electron 0.00 0.76 0.76 0.06 0.82 0.82 XXX microscopy. 88349... 26 A Scanning electron 0.76 0.79 0.79 0.06 1.61 1.61 XXX microscopy. 88355... .................. A Analysis, skeletal 1.85 1.74 1.74 0.13 3.72 3.72 XXX muscle. 88355... TC A Analysis, skeletal 0.00 0.82 0.82 0.06 0.88 0.88 XXX muscle. 88355... 26 A Analysis, skeletal 1.85 0.92 0.92 0.07 2.84 2.84 XXX muscle. 88356... .................. A Analysis, nerve......... 3.02 2.66 2.66 0.18 5.86 5.86 XXX 88356... TC A Analysis, nerve......... 0.00 1.27 1.27 0.08 1.35 1.35 XXX 88356... 26 A Analysis, nerve......... 3.02 1.39 1.39 0.10 4.51 4.51 XXX 88358... .................. A Analysis, tumor......... 2.82 2.32 2.32 0.16 5.30 5.30 XXX 88358... TC A Analysis, tumor......... 0.00 1.16 1.16 0.08 1.24 1.24 XXX 88358... 26 A Analysis, tumor......... 2.82 1.16 1.16 0.08 4.06 4.06 XXX 88362... .................. A Nerve teasing 2.17 1.97 1.97 0.13 4.27 4.27 XXX preparations. 88362... TC A Nerve teasing 0.00 0.97 0.97 0.06 1.03 1.03 XXX preparations. 88362... 26 A Nerve teasing 2.17 1.00 1.00 0.07 3.24 3.24 XXX preparations. 88365... .................. A Tissue hybridization.... 0.93 0.75 0.75 0.05 1.73 1.73 XXX 88365... TC A Tissue hybridization.... 0.00 0.37 0.37 0.02 0.39 0.39 XXX 88365... 26 A Tissue hybridization.... 0.93 0.38 0.38 0.03 1.34 1.34 XXX 88371... .................. X Protein, western blot 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. 88371... 26 A Protein, western blot 0.37 0.20 0.20 0.01 0.58 0.58 XXX tissue. 88372... .................. X Protein analysis w/probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88372... 26 A Protein analysis w/probe 0.37 0.20 0.20 0.01 0.58 0.58 XXX 88399... .................. C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 88399... TC C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 88399... 26 C Surgical pathology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 89050... .................. X Body fluid cell count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89051... .................. X Body fluid cell count... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89060... .................. X Exam, synovial fluid 0.00 0.00 0.00 0.00 0.00 0.00 XXX crystals. 89060... 26 A Exam, synovial fluid 0.37 0.20 0.20 0.01 0.58 0.58 XXX crystals. 89100... .................. A Sample intestinal 0.60 0.42 0.42 0.03 1.05 1.05 XXX contents. [[Page 59210]] 89105... .................. A Sample intestinal 0.50 0.39 0.39 0.03 0.92 0.92 XXX contents. 89125... .................. X Specimen fat stain...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89130... .................. A Sample stomach contents. 0.45 0.41 0.41 0.03 0.89 0.89 XXX 89132... .................. A Sample stomach contents. 0.19 0.19 0.19 0.02 0.40 0.40 XXX 89135... .................. A Sample stomach contents. 0.79 0.58 0.58 0.04 1.41 1.41 XXX 89136... .................. A Sample stomach contents. 0.21 0.22 0.22 0.02 0.45 0.45 XXX 89140... .................. A Sample stomach contents. 0.94 0.81 0.81 0.07 1.82 1.82 XXX 89141... .................. A Sample stomach contents. 0.85 0.73 0.73 0.06 1.64 1.64 XXX 89160... .................. X Exam feces for meat 0.00 0.00 0.00 0.00 0.00 0.00 XXX fibers. 89190... .................. X Nasal smear for 0.00 0.00 0.00 0.00 0.00 0.00 XXX eosinophils. 89250... .................. X Fertilization of oocyte. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89251... .................. X Culture oocyte w/embryos 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89252... .................. X Assist oocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX fertilization. 89253... .................. X Embryo hatching......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89254... .................. X Oocyte identification... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89255... .................. X Prepare embryo for 0.00 0.00 0.00 0.00 0.00 0.00 XXX transfer. 89256... .................. X Prepare cryopreserved 0.00 0.00 0.00 0.00 0.00 0.00 XXX embryo. 89257... .................. X Sperm identification.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89258... .................. X Cryopreservation, embryo 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89259... .................. X Cryopreservation, sperm. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89260... .................. X Sperm isolation, simple. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89261... .................. X Sperm isolation, complex 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89300... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89310... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89320... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89325... .................. X Sperm antibody test..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89329... .................. X Sperm evaluation test... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89330... .................. X Evaluation, cervical 0.00 0.00 0.00 0.00 0.00 0.00 XXX mucus. 89350... .................. A Sputum specimen 0.00 0.39 0.39 0.03 0.42 0.42 XXX collection. 89355... .................. X Exam feces for starch... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89360... .................. A Collect sweat for test.. 0.00 0.43 0.43 0.03 0.46 0.46 XXX 89365... .................. X Water load test......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399... .................. C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399... TC C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89399... 26 C Pathology lab procedure. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90700... .................. E DTaP immunization....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90701... .................. E DTP immunization........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90702... .................. E DT immunization......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90703... .................. E Tetanus immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90704... .................. E Mumps immunization...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90705... .................. E Measles immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90706... .................. E Rubella immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90707... .................. E MMR virus immunization.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90708... .................. E Measles-rubella 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90709... .................. E Rubella & mumps 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90710... .................. E Combined vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90711... .................. E Combined vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90712... .................. E Oral poliovirus 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90713... .................. E Poliomyelitis 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90714... .................. E Typhoid immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90716... .................. E Chicken pox vaccine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90717... .................. E Yellow fever 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90718... .................. E Td immunization......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90719... .................. E Diphtheria immunization. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90720... .................. E DTP/HIB vaccine......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90721... .................. E Dtap/hib vaccine........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90724... .................. X Influenza immunization.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90725... .................. E Cholera immunization.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90726... .................. E Rabies immunization..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90727... .................. E Plague immunization..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90728... .................. E BCG immunization........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90730... .................. E Hepatitis A vaccine..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90732... .................. X Pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90733... .................. E Meningococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90735... .................. E Encephalitis virus 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. 90737... .................. E Influenza B immunization 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90741... .................. E Passive immunization, 0.00 0.00 0.00 0.00 0.00 0.00 XXX ISG. 90742... .................. E Special passive 0.00 0.00 0.00 0.00 0.00 0.00 XXX immunization. 90744... .................. X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX under 11. 90745... .................. X Hepatitis B vaccine, 11- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 19. 90746... .................. X Hepatitis B vaccine, 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 20. 90747... .................. X Hepatitis B vaccine, ill 0.00 0.00 0.00 0.00 0.00 0.00 XXX pat. 90748... .................. X Hepatitis b/hib vaccine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90749... .................. C Immunization procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59211]] 90780... .................. A IV infusion therapy, 1 0.00 1.06 1.06 0.08 1.14 1.14 XXX hour. 90781... .................. A IV infusion, additional 0.00 0.53 0.53 0.04 0.57 0.57 XXX hour. 90782... .................. T Injection (SC)/(IM)..... 0.00 0.10 0.10 0.01 0.11 0.11 XXX 90783... .................. T Injection (IA).......... 0.00 0.39 0.39 0.03 0.42 0.42 XXX 90784... .................. T Injection (IV).......... 0.00 0.45 0.45 0.04 0.49 0.49 XXX 90788... .................. T Injection of antibiotic. 0.00 0.11 0.11 0.01 0.12 0.12 XXX 90799... .................. C Therapeutic/diag 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. 90801... .................. A Psy dx interview........ 2.80 0.67 0.67 0.09 3.56 3.56 XXX 90802... .................. A Intac psy dx interview.. 3.01 0.38 0.38 0.05 3.44 3.44 XXX 90804... .................. A Psytx, office (20-30)... 1.11 0.35 0.35 0.05 1.51 1.51 XXX 90805... .................. A Psytx, office (20-30) w/ 1.47 0.35 0.35 0.05 1.87 1.87 XXX e&m. 90806... .................. A Psytx, office (45-50)... 1.73 0.54 0.54 0.08 2.35 2.35 XXX 90807... .................. A Psytx, office (45-50) w/ 2.00 0.54 0.54 0.08 2.62 2.62 XXX e&m. 90808... .................. A Psytx, office (75-80)... 2.76 1.05 1.05 0.15 3.96 3.96 XXX 90809... .................. A Psytx, office (75-80) w/ 3.15 1.05 1.05 0.15 4.35 4.35 XXX e&m. 90810... .................. A Intac psytx, office (20- 1.19 0.59 0.59 0.09 1.87 1.87 XXX 30). 90811... .................. A Intac psytx, off 20-30 w/ 1.58 0.59 0.59 0.09 2.26 2.26 XXX e&m. 90812... .................. A Intac psytx, office (45- 1.86 0.59 0.59 0.09 2.54 2.54 XXX 50). 90813... .................. A Intac psytx, off 45-50 w/ 2.15 0.59 0.59 0.09 2.83 2.83 XXX e&m. 90814... .................. A Intac psytx, office (75- 2.97 0.59 0.59 0.09 3.65 3.65 XXX 80). 90815... .................. A Intac psytx, off 75-80 w/ 3.39 0.59 0.59 0.09 4.07 4.07 XXX e&m. 90816... .................. A Psytx, hosp (20-30)..... 1.24 0.35 0.35 0.05 1.64 1.64 XXX 90817... .................. A Psytx, hosp (20-30) w/ 1.65 0.35 0.35 0.05 2.05 2.05 XXX e&m. 90818... .................. A Psytx, hosp (45-50)..... 1.94 0.54 0.54 0.08 2.56 2.56 XXX 90819... .................. A Psytx, hosp (45-50) w/ 2.24 0.54 0.54 0.08 2.86 2.86 XXX e&m. 90820... .................. D Diagnostic interview.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90821... .................. A Psytx, hosp (75-80)..... 3.09 1.05 1.05 0.15 4.29 4.29 XXX 90822... .................. A Psytx, hosp (75-80) w/ 3.53 1.05 1.05 0.15 4.73 4.73 XXX e&m. 90823... .................. A Intac psytx, hosp (20- 1.33 0.59 0.59 0.09 2.01 2.01 XXX 30). 90824... .................. A Intac psytx, hsp 20-30 w/ 1.77 0.59 0.59 0.09 2.45 2.45 XXX e&m. 90825... .................. D 1Evaluation of tests/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX records. 90826... .................. A Intac psytx, hosp (45- 2.08 0.59 0.59 0.09 2.76 2.76 XXX 50). 90827... .................. A Intac psytx, hsp 45-50 w/ 2.41 0.59 0.59 0.09 3.09 3.09 XXX e&m. 90828... .................. A Intac psytx, hosp (75- 3.32 0.59 0.59 0.09 4.00 4.00 XXX 80). 90829... .................. A Intac psytx, hsp 75-80 w/ 3.80 0.59 0.59 0.09 4.48 4.48 XXX e&m. 90835... .................. D Special interview....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90841... .................. D Psychotherapy........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90842... .................. D Psychotherapy, 75-80 0.00 0.00 0.00 0.00 0.00 0.00 XXX min.. 90843... .................. D Psychotherapy, 20-30 0.00 0.00 0.00 0.00 0.00 0.00 XXX min.. 90844... .................. D Psychotherapy, 45-50 0.00 0.00 0.00 0.00 0.00 0.00 XXX min.. 90845... .................. A Psychoanalysis.......... 1.79 0.41 0.41 0.05 2.25 2.25 XXX 90846... .................. R Family psytx w/o patient 1.83 0.62 0.62 0.08 2.53 2.53 XXX 90847... .................. R Family psytx w/patient.. 2.21 0.58 0.58 0.08 2.87 2.87 XXX 90849... .................. R Multiple family group 0.59 0.26 0.26 0.03 0.88 0.88 XXX psytx. 90853... .................. A Group psychotherapy..... 0.59 0.26 0.26 0.03 0.88 0.88 XXX 90855... .................. D 12/3 Individual 0.00 0.00 0.00 0.00 0.00 0.00 XXX psychotherapy. 90857... .................. A Intac group psytx....... 0.63 0.15 0.15 0.02 0.80 0.80 XXX 90862... .................. A Medication management... 0.95 0.37 0.37 0.05 1.37 1.37 XXX 90865... .................. A Narcosynthesis.......... 2.84 0.50 0.50 0.07 3.41 3.41 XXX 90870... .................. A Electroconvulsive 1.88 0.55 0.55 0.08 2.51 2.51 000 therapy. 90871... .................. A Electroconvulsive 2.72 0.83 0.83 0.13 3.68 3.68 000 therapy. 90875... .................. N Psychophysiological 1.20 0.00 0.00 0.00 1.20 1.20 XXX therapy. 90876... .................. N Psychophysiological 1.90 0.00 0.00 0.00 1.90 1.90 XXX therapy. 90880... .................. A Hypnotherapy............ 2.19 0.64 0.64 0.07 2.90 2.90 XXX 90882... .................. N Environmental 0.00 0.00 0.00 0.00 0.00 0.00 XXX manipulation. 90885... .................. B Psy evaluation of +0.97 0.31 0.31 0.04 1.32 1.32 XXX records. 90887... .................. B Consultation with family +1.48 0.33 0.33 0.04 1.85 1.85 XXX 90889... .................. B Preparation of report... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90899... .................. C Psychiatric service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX therapy. 90901... .................. A Biofeedback, any method. 0.41 0.97 0.97 0.07 1.45 1.45 000 90911... .................. A Biofeedback peri/uro/ 0.89 1.13 1.13 0.27 2.29 2.29 000 rectal. 90918... .................. A ESRD related services, 11.18 2.19 2.19 0.14 13.51 13.51 XXX month. 90919... .................. A ESRD related services, 8.54 2.19 2.19 0.14 10.87 10.87 XXX month. 90920... .................. A ESRD related services, 7.27 2.19 2.19 0.14 9.60 9.60 XXX month. 90921... .................. A ESRD related services, 4.47 2.19 2.19 0.14 6.80 6.80 XXX month. 90922... .................. A ESRD related services, 0.37 0.07 0.07 0.01 0.45 0.45 XXX day. 90923... .................. A Esrd related services, 0.28 0.07 0.07 0.01 0.36 0.36 XXX day. 90924... .................. A Esrd related services, 0.24 0.07 0.07 0.01 0.32 0.32 XXX day. 90925... .................. A Esrd related services, 0.15 0.07 0.07 0.01 0.23 0.23 XXX day. 90935... .................. A Hemodialysis, one 1.22 #1.34 #1.34 0.10 2.66 2.66 000 evaluation. 90937... .................. A Hemodialysis, repeated 2.11 #2.32 #2.32 0.18 4.61 4.61 000 eval.. 90945... .................. A Dialysis, one evaluation 1.28 1.27 1.27 0.08 2.63 2.63 000 90947... .................. A Dialysis, repeated eval. 2.16 2.09 2.09 0.14 4.39 4.39 000 90989... .................. X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX complete. [[Page 59212]] 90993... .................. X Dialysis training/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX incomplete. 90997... .................. A Hemoperfusion........... 1.84 #2.02 #2.02 0.16 4.02 4.02 000 90999... .................. C Dialysis procedure...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91000... .................. A Esophageal intubation... 0.73 0.66 0.66 0.06 1.45 1.45 000 91000... TC A Esophageal intubation... 0.00 0.07 0.07 0.01 0.08 0.08 000 91000... 26 A Esophageal intubation... 0.73 0.59 0.59 0.05 1.37 1.37 000 91010... .................. A Esophagus motility study 1.25 2.16 2.16 0.17 3.58 3.58 000 91010... TC A Esophagus motility study 0.00 0.78 0.78 0.06 0.84 0.84 000 91010... 26 A Esophagus motility study 1.25 #1.38 #1.38 0.11 2.74 2.74 000 91011... .................. A Esophagus motility study 1.50 2.63 2.63 0.18 4.31 4.31 000 91011... TC A Esophagus motility study 0.00 0.98 0.98 0.07 1.05 1.05 000 91011... 26 A Esophagus motility study 1.50 #1.65 #1.65 0.11 3.26 3.26 000 91012... .................. A Esophagus motility study 1.46 2.71 2.71 0.23 4.40 4.40 000 91012... TC A Esophagus motility study 0.00 1.10 1.10 0.08 1.18 1.18 000 91012... 26 A Esophagus motility study 1.46 #1.61 #1.61 0.15 3.22 3.22 000 91020... .................. A Gastric motility........ 1.44 2.31 2.31 0.18 3.93 3.93 000 91020... TC A Gastric motility........ 0.00 0.73 0.73 0.06 0.79 0.79 000 91020... 26 A Gastric motility........ 1.44 #1.58 #1.58 0.12 3.14 3.14 000 91030... .................. A Acid perfusion of 0.91 0.56 0.56 0.05 1.52 1.52 000 esophagus. 91030... TC A Acid perfusion of 0.00 0.21 0.21 0.02 0.23 0.23 000 esophagus. 91030... 26 A Acid perfusion of 0.91 0.35 0.35 0.03 1.29 1.29 000 esophagus. 91032... .................. A Esophagus, acid reflux 1.21 1.96 1.96 0.16 3.33 3.33 000 test. 91032... TC A Esophagus, acid reflux 0.00 0.71 0.71 0.06 0.77 0.77 000 test. 91032... 26 A Esophagus, acid reflux 1.21 1.25 1.25 0.10 2.56 2.56 000 test. 91033... .................. A Prolonged acid reflux 1.30 2.71 2.71 0.25 4.26 4.26 000 test. 91033... TC A Prolonged acid reflux 0.00 1.28 1.28 0.11 1.39 1.39 000 test. 91033... 26 A Prolonged acid reflux 1.30 #1.43 #1.43 0.14 2.87 2.87 000 test. 91052... .................. A Gastric analysis test... 0.79 0.82 0.82 0.07 1.68 1.68 000 91052... TC A Gastric analysis test... 0.00 0.32 0.32 0.03 0.35 0.35 000 91052... 26 A Gastric analysis test... 0.79 0.50 0.50 0.04 1.33 1.33 000 91055... .................. A Gastric intubation for 0.94 0.80 0.80 0.06 1.80 1.80 000 smear. 91055... TC A Gastric intubation for 0.00 0.29 0.29 0.02 0.31 0.31 000 smear. 91055... 26 A Gastric intubation for 0.94 0.51 0.51 0.04 1.49 1.49 000 smear. 91060... .................. A Gastric saline load test 0.45 0.71 0.71 0.06 1.22 1.22 000 91060... TC A Gastric saline load test 0.00 0.21 0.21 0.02 0.23 0.23 000 91060... 26 A Gastric saline load test 0.45 0.50 0.50 0.04 0.99 0.99 000 91065... .................. A Breath hydrogen test.... 0.20 0.56 0.56 0.05 0.81 0.81 000 91065... TC A Breath hydrogen test.... 0.00 0.34 0.34 0.02 0.36 0.36 000 91065... 26 A Breath hydrogen test.... 0.20 #0.22 #0.22 0.03 0.45 0.45 000 91100... .................. A Pass intestine bleeding 1.08 0.56 0.56 0.05 1.69 1.69 000 tube. 91105... .................. A Gastric intubation 0.37 #0.41 #0.41 0.04 0.82 0.82 000 treatment. 91122... .................. A Anal pressure record.... 1.77 1.73 1.73 0.22 3.72 3.72 000 91122... TC A Anal pressure record.... 0.00 0.67 0.67 0.09 0.76 0.76 000 91122... 26 A Anal pressure record.... 1.77 1.06 1.06 0.13 2.96 2.96 000 91299... .................. C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 91299... TC C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 91299... 26 C Gastroenterology 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 92002... .................. A Eye exam, new patient... 0.88 0.49 0.49 0.02 1.39 1.39 XXX 92004... .................. A Eye exam, new patient... 1.67 0.57 0.57 0.02 2.26 2.26 XXX 92012... .................. A Eye exam established pt. 0.67 0.44 0.44 0.02 1.13 1.13 XXX 92014... .................. A Eye exam & treatment.... 1.10 0.54 0.54 0.02 1.66 1.66 XXX 92015... .................. N Refraction.............. +0.38 0.32 0.32 0.02 0.72 0.72 XXX 92018... .................. A New eye exam & treatment 1.51 0.47 0.47 0.03 2.01 2.01 XXX 92019... .................. A Eye exam & treatment.... 1.31 0.47 0.47 0.03 1.81 1.81 XXX 92020... .................. A Special eye evaluation.. 0.37 0.29 0.29 0.01 0.67 0.67 XXX 92060... .................. A Special eye evaluation.. 0.69 0.39 0.39 0.02 1.10 1.10 XXX 92060... TC A Special eye evaluation.. 0.00 0.18 0.18 0.01 0.19 0.19 XXX 92060... 26 A Special eye evaluation.. 0.69 0.21 0.21 0.01 0.91 0.91 XXX 92065... .................. A Orthoptic/pleoptic 0.37 0.36 0.36 0.01 0.74 0.74 XXX training. 92065... TC A Orthoptic/pleoptic 0.00 0.16 0.16 0.00 0.16 0.16 XXX training. 92065... 26 A Orthoptic/pleoptic 0.37 0.20 0.20 0.01 0.58 0.58 XXX training. 92070... .................. A Fitting of contact lens. 0.70 1.20 1.20 0.06 1.96 1.96 XXX 92081... .................. A Visual field 0.36 0.32 0.32 0.01 0.69 0.69 XXX examination(s). 92081... TC A Visual field 0.00 0.15 0.15 0.00 0.15 0.15 XXX examination(s). 92081... 26 A Visual field 0.36 0.17 0.17 0.01 0.54 0.54 XXX examination(s). 92082... .................. A Visual field 0.44 0.49 0.49 0.02 0.95 0.95 XXX examination(s). 92082... TC A Visual field 0.00 0.19 0.19 0.01 0.20 0.20 XXX examination(s). 92082... 26 A Visual field 0.44 0.30 0.30 0.01 0.75 0.75 XXX examination(s). 92083... .................. A Visual field 0.50 0.83 0.83 0.04 1.37 1.37 XXX examination(s). 92083... TC A Visual field 0.00 0.28 0.28 0.01 0.29 0.29 XXX examination(s). 92083... 26 A Visual field 0.50 0.55 0.55 0.03 1.08 1.08 XXX examination(s). 92100... .................. A Serial tonometry exam(s) 0.92 0.25 0.25 0.01 1.18 1.18 XXX 92120... .................. A Tonography & eye 0.81 0.31 0.31 0.02 1.14 1.14 XXX evaluation. 92130... .................. A Water provocation 0.81 0.49 0.49 0.02 1.32 1.32 XXX tonography. [[Page 59213]] 92140... .................. A Glaucoma provocative 0.50 0.30 0.30 0.01 0.81 0.81 XXX tests. 92225... .................. A Special eye exam, 0.38 0.45 0.45 0.02 0.85 0.85 XXX initial. 92226... .................. A Special eye exam, 0.33 0.40 0.40 0.02 0.75 0.75 XXX subsequent. 92230... .................. A Eye exam with photos.... 0.60 0.69 0.69 0.04 1.33 1.33 XXX 92235... .................. A Eye exam with photos.... 0.81 1.58 1.58 0.09 2.48 2.48 XXX 92235... TC A Eye exam with photos.... 0.00 0.99 0.99 0.06 1.05 1.05 XXX 92235... 26 A Eye exam with photos.... 0.81 0.59 0.59 0.03 1.43 1.43 XXX 92240... .................. A Icg angiography......... 1.10 1.58 1.58 0.09 2.77 2.77 XXX 92240... TC A Icg angiography......... 0.00 0.99 0.99 0.06 1.05 1.05 XXX 92240... 26 A Icg angiography......... 1.10 0.59 0.59 0.03 1.72 1.72 XXX 92250... .................. A Eye exam with photos.... 0.44 0.42 0.42 0.02 0.88 0.88 XXX 92250... TC A Eye exam with photos.... 0.00 0.17 0.17 0.01 0.18 0.18 XXX 92250... 26 A Eye exam with photos.... 0.44 0.25 0.25 0.01 0.70 0.70 XXX 92260... .................. A Ophthalmoscopy/ 0.20 0.54 0.54 0.03 0.77 0.77 XXX dynamometry. 92265... .................. A Eye muscle evaluation... 0.81 0.29 0.29 0.02 1.12 1.12 XXX 92265... TC A Eye muscle evaluation... 0.00 0.22 0.22 0.02 0.24 0.24 XXX 92265... 26 A Eye muscle evaluation... 0.81 0.07 0.07 0.00 0.88 0.88 XXX 92270... .................. A Electro-oculography..... 0.81 0.67 0.67 0.05 1.53 1.53 XXX 92270... TC A Electro-oculography..... 0.00 0.30 0.30 0.02 0.32 0.32 XXX 92270... 26 A Electro-oculography..... 0.81 0.37 0.37 0.03 1.21 1.21 XXX 92275... .................. A Electroretinography..... 1.01 0.90 0.90 0.05 1.96 1.96 XXX 92275... TC A Electroretinography..... 0.00 0.39 0.39 0.02 0.41 0.41 XXX 92275... 26 A Electroretinography..... 1.01 0.51 0.51 0.03 1.55 1.55 XXX 92283... .................. A Color vision examination 0.17 0.29 0.29 0.01 0.47 0.47 XXX 92283... TC A Color vision examination 0.00 0.12 0.12 0.00 0.12 0.12 XXX 92283... 26 A Color vision examination 0.17 0.17 0.17 0.01 0.35 0.35 XXX 92284... .................. A Dark adaptation eye exam 0.24 0.45 0.45 0.02 0.71 0.71 XXX 92284... TC A Dark adaptation eye exam 0.00 0.17 0.17 0.01 0.18 0.18 XXX 92284... 26 A Dark adaptation eye exam 0.24 0.28 0.28 0.01 0.53 0.53 XXX 92285... .................. A Eye photography......... 0.20 0.29 0.29 0.01 0.50 0.50 XXX 92285... TC A Eye photography......... 0.00 0.11 0.11 0.00 0.11 0.11 XXX 92285... 26 A Eye photography......... 0.20 0.18 0.18 0.01 0.39 0.39 XXX 92286... .................. A Internal eye photography 0.66 1.22 1.22 0.07 1.95 1.95 XXX 92286... TC A Internal eye photography 0.00 0.39 0.39 0.02 0.41 0.41 XXX 92286... 26 A Internal eye photography 0.66 0.83 0.83 0.05 1.54 1.54 XXX 92287... .................. A Internal eye photography 0.81 1.52 1.52 0.08 2.41 2.41 XXX 92310... .................. N Contact lens fitting.... +1.17 #1.29 #1.29 0.00 2.46 2.46 XXX 92311... .................. A Contact lens fitting.... 1.08 0.90 0.90 0.03 2.01 2.01 XXX 92312... .................. A Contact lens fitting.... 1.26 1.16 1.16 0.03 2.45 2.45 XXX 92313... .................. A Contact lens fitting.... 0.92 0.88 0.88 0.03 1.83 1.83 XXX 92314... .................. N Prescription of contact +0.69 #0.76 #0.76 0.00 1.45 1.45 XXX lens. 92315... .................. A Prescription of contact 0.45 0.66 0.66 0.03 1.14 1.14 XXX lens. 92316... .................. A Prescription of contact 0.68 0.95 0.95 0.04 1.67 1.67 XXX lens. 92317... .................. A Prescription of contact 0.45 0.39 0.39 0.02 0.86 0.86 XXX lens. 92325... .................. A Modification of contact 0.00 0.38 0.38 0.01 0.39 0.39 XXX lens. 92326... .................. A Replacement of contact 0.00 1.56 1.56 0.06 1.62 1.62 XXX lens. 92330... .................. A Fitting of artificial 1.08 1.13 1.13 0.09 2.30 2.30 XXX eye. 92335... .................. A Fitting of artificial 0.45 1.97 1.97 0.11 2.53 2.53 XXX eye. 92340... .................. N Fitting of spectacles... +0.37 0.42 #0.41 0.00 0.79 0.78 XXX 92341... .................. N Fitting of spectacles... +0.47 0.53 #0.52 0.00 1.00 0.99 XXX 92342... .................. N Fitting of spectacles... +0.53 0.60 #0.58 0.00 1.13 1.11 XXX 92352... .................. B Special spectacles +0.37 0.30 0.30 0.01 0.68 0.68 XXX fitting. 92353... .................. B Special spectacles +0.50 0.40 0.40 0.01 0.91 0.91 XXX fitting. 92354... .................. B Special spectacles +0.00 8.44 8.44 0.10 8.54 8.54 XXX fitting. 92355... .................. B Special spectacles +0.00 4.13 4.13 0.01 4.14 4.14 XXX fitting. 92358... .................. B Eye prosthesis service.. +0.00 0.92 0.92 0.05 0.97 0.97 XXX 92370... .................. N Repair & adjust +0.32 0.36 #0.35 0.00 0.68 0.67 XXX spectacles. 92371... .................. B Repair & adjust +0.00 0.59 0.59 0.02 0.61 0.61 XXX spectacles. 92390... .................. N Supply of spectacles.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92391... .................. N Supply of contact lenses 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92392... .................. I Supply of low vision +0.00 3.85 3.85 0.02 3.87 3.87 XXX aids. 92393... .................. I Supply of artificial eye +0.00 11.96 11.96 0.67 12.63 12.63 XXX 92395... .................. I Supply of spectacles.... +0.00 1.31 1.31 0.10 1.41 1.41 XXX 92396... .................. I Supply of contact lenses +0.00 2.19 2.19 0.08 2.27 2.27 XXX 92499... .................. C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499... TC C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92499... 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92502... .................. A Ear and throat 1.51 1.12 1.12 0.12 2.75 2.75 000 examination. 92504... .................. A Ear microscopy 0.18 0.26 0.26 0.02 0.46 0.46 XXX examination. 92506... .................. A Speech & hearing 0.86 0.52 0.52 0.05 1.43 1.43 XXX evaluation. 92507... .................. A Speech/hearing therapy.. 0.52 0.33 0.33 0.03 0.88 0.88 XXX 92508... .................. A Speech/hearing therapy.. 0.26 0.18 0.18 0.02 0.46 0.46 XXX 92510... .................. A Rehab for ear implant... 1.50 1.36 1.36 0.15 3.01 3.01 XXX 92511... .................. A Nasopharyngoscopy....... 0.84 0.85 0.85 0.09 1.78 1.78 000 [[Page 59214]] 92512... .................. A Nasal function studies.. 0.55 0.47 0.47 0.05 1.07 1.07 XXX 92516... .................. A Facial nerve function 0.43 0.39 0.39 0.04 0.86 0.86 XXX test. 92520... .................. A Laryngeal function 0.76 0.53 0.53 0.05 1.34 1.34 XXX studies. 92525... .................. A Oral function evaluation 1.50 1.02 1.02 0.11 2.63 2.63 XXX 92526... .................. A Oral function therapy... 0.55 0.47 0.47 0.05 1.07 1.07 XXX 92531... .................. B Spontaneous nystagmus 0.00 0.00 0.00 0.00 0.00 0.00 XXX study. 92532... .................. B Positional nystagmus 0.00 0.00 0.00 0.00 0.00 0.00 XXX study. 92533... .................. B Caloric vestibular test. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92534... .................. B Optokinetic nystagmus... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92541... .................. A Spontaneous nystagmus 0.40 0.67 0.67 0.07 1.14 1.14 XXX test. 92541... TC A Spontaneous nystagmus 0.00 0.22 0.22 0.02 0.24 0.24 XXX test. 92541... 26 A Spontaneous nystagmus 0.40 0.45 0.45 0.05 0.90 0.90 XXX test. 92542... .................. A Positional nystagmus 0.33 0.61 0.61 0.07 1.01 1.01 XXX test. 92542... TC A Positional nystagmus 0.00 0.25 0.25 0.03 0.28 0.28 XXX test. 92542... 26 A Positional nystagmus 0.33 0.36 0.36 0.04 0.73 0.73 XXX test. 92543... .................. A Caloric vestibular test. 0.38 0.82 0.82 0.09 1.29 1.29 XXX 92543... TC A Caloric vestibular test. 0.00 0.40 0.40 0.04 0.44 0.44 XXX 92543... 26 A Caloric vestibular test. 0.38 0.42 0.42 0.05 0.85 0.85 XXX 92544... .................. A Optokinetic nystagmus 0.26 0.47 0.47 0.05 0.78 0.78 XXX test. 92544... TC A Optokinetic nystagmus 0.00 0.20 0.20 0.02 0.22 0.22 XXX test. 92544... 26 A Optokinetic nystagmus 0.26 0.27 0.27 0.03 0.56 0.56 XXX test. 92545... .................. A Oscillating tracking 0.23 0.40 0.40 0.04 0.67 0.67 XXX test. 92545... TC A Oscillating tracking 0.00 0.20 0.20 0.02 0.22 0.22 XXX test. 92545... 26 A Oscillating tracking 0.23 0.20 0.20 0.02 0.45 0.45 XXX test. 92546... .................. A Sinusoidal rotational 0.29 0.53 0.53 0.05 0.87 0.87 XXX test. 92546... TC A Sinusoidal rotational 0.00 0.23 0.23 0.02 0.25 0.25 XXX test. 92546... 26 A Sinusoidal rotational 0.29 0.30 0.30 0.03 0.62 0.62 XXX test. 92547... .................. A Supplemental electrical 0.00 0.53 0.53 0.06 0.59 0.59 XXX test. 92548... .................. A Posturography........... 0.50 1.85 1.85 0.19 2.54 2.54 XXX 92548... TC A Posturography........... 0.00 1.40 1.40 0.14 1.54 1.54 XXX 92548... 26 A Posturography........... 0.50 0.45 0.45 0.05 1.00 1.00 XXX 92551... .................. N Pure tone hearing test, 0.00 0.00 0.00 0.00 0.00 0.00 XXX air. 92552... .................. A Pure tone audiometry, 0.00 0.42 0.42 0.04 0.46 0.46 XXX air. 92553... .................. A Audiometry, air & bone.. 0.00 0.63 0.63 0.07 0.70 0.70 XXX 92555... .................. A Speech threshold 0.00 0.36 0.36 0.04 0.40 0.40 XXX audiometry. 92556... .................. A Speech audiometry, 0.00 0.54 0.54 0.06 0.60 0.60 XXX complete. 92557... .................. A Comprehensive hearing 0.00 1.13 1.13 0.13 1.26 1.26 XXX test. 92559... .................. N Group audiometric 0.00 0.00 0.00 0.00 0.00 0.00 XXX testing. 92560... .................. N Bekesy audiometry, 0.00 0.00 0.00 0.00 0.00 0.00 XXX screen. 92561... .................. A Bekesy audiometry, 0.00 0.68 0.68 0.07 0.75 0.75 XXX diagnosis. 92562... .................. A Loudness balance test... 0.00 0.39 0.39 0.04 0.43 0.43 XXX 92563... .................. A Tone decay hearing test. 0.00 0.36 0.36 0.04 0.40 0.40 XXX 92564... .................. A Sisi hearing test....... 0.00 0.45 0.45 0.05 0.50 0.50 XXX 92565... .................. A Stenger test, pure tone. 0.00 0.38 0.38 0.04 0.42 0.42 XXX 92567... .................. A Tympanometry............ 0.00 0.50 0.50 0.06 0.56 0.56 XXX 92568... .................. A Acoustic reflex testing. 0.00 0.36 0.36 0.04 0.40 0.40 XXX 92569... .................. A Acoustic reflex decay 0.00 0.39 0.39 0.04 0.43 0.43 XXX test. 92571... .................. A Filtered speech hearing 0.00 0.37 0.37 0.04 0.41 0.41 XXX test. 92572... .................. A Staggered spondaic word 0.00 0.08 0.08 0.01 0.09 0.09 XXX test. 92573... .................. A Lombard test............ 0.00 0.33 0.33 0.04 0.37 0.37 XXX 92575... .................. A Sensorineural acuity 0.00 0.29 0.29 0.03 0.32 0.32 XXX test. 92576... .................. A Synthetic sentence test. 0.00 0.42 0.42 0.05 0.47 0.47 XXX 92577... .................. A Stenger test, speech.... 0.00 0.68 0.68 0.08 0.76 0.76 XXX 92579... .................. A Visual audiometry (vra). 0.00 0.69 0.69 0.07 0.76 0.76 XXX 92582... .................. A Conditioning play 0.00 0.69 0.69 0.07 0.76 0.76 XXX audiometry. 92583... .................. A Select picture 0.00 0.85 0.85 0.09 0.94 0.94 XXX audiometry. 92584... .................. A Electrocochleography.... 0.00 2.36 2.36 0.25 2.61 2.61 XXX 92585... .................. A Auditory evoked 0.50 3.25 3.25 0.31 4.06 4.06 XXX potential. 92585... TC A Auditory evoked 0.00 1.76 1.76 0.17 1.93 1.93 XXX potential. 92585... 26 A Auditory evoked 0.50 1.49 1.49 0.14 2.13 2.13 XXX potential. 92587... .................. A Evoked auditory test.... 0.13 1.35 1.35 0.13 1.61 1.61 XXX 92587... TC A Evoked auditory test.... 0.00 1.24 1.24 0.12 1.36 1.36 XXX 92587... 26 A Evoked auditory test.... 0.13 0.11 0.11 0.01 0.25 0.25 XXX 92588... .................. A Evoked auditory test.... 0.36 1.70 1.70 0.16 2.22 2.22 XXX 92588... TC A Evoked auditory test.... 0.00 1.40 1.40 0.14 1.54 1.54 XXX 92588... 26 A Evoked auditory test.... 0.36 0.30 0.30 0.02 0.68 0.68 XXX 92589... .................. A Auditory function 0.00 0.51 0.51 0.06 0.57 0.57 XXX test(s). 92590... .................. N Hearing aid exam, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX ear. 92591... .................. N Hearing aid exam, both 0.00 0.00 0.00 0.00 0.00 0.00 XXX ears. 92592... .................. N Hearing aid check, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX ear. 92593... .................. N Hearing aid check, both 0.00 0.00 0.00 0.00 0.00 0.00 XXX ears. 92594... .................. N Electro hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX test, one. 92595... .................. N Electro hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX test, both. 92596... .................. A Ear protector evaluation 0.00 0.56 0.56 0.06 0.62 0.62 XXX [[Page 59215]] 92597... .................. A Oral speech device eval. 1.35 1.01 1.01 0.11 2.47 2.47 XXX 92598... .................. A Modify oral speech 0.99 0.66 0.66 0.07 1.72 1.72 XXX device. 92599... .................. C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92599... TC C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92599... 26 C ENT procedure/service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92950... .................. A Heart/lung resuscitation 3.80 2.27 2.27 0.17 6.24 6.24 000 (CPR). 92953... .................. A Temporary external 0.23 #0.25 #0.25 0.15 0.63 0.63 000 pacing. 92960... .................. A Heart electroconversion. 2.25 1.88 1.88 0.16 4.29 4.29 000 92970... .................. A Cardioassist, internal.. 3.52 3.47 3.47 0.41 7.40 7.40 000 92971... .................. A Cardioassist, external.. 1.77 1.11 1.11 0.08 2.96 2.96 000 92975... .................. A Dissolve clot, heart 7.25 5.71 5.71 0.42 13.38 13.38 000 vessel. 92977... .................. A Dissolve clot, heart 0.00 7.68 7.68 0.54 8.22 8.22 XXX vessel. 92978... .................. A Intravas us, heart (add- 1.80 5.41 5.41 0.36 7.57 7.57 ZZZ on). 92978... TC A Intravas us, heart (add- 0.00 4.35 4.35 0.28 4.63 4.63 ZZZ on). 92978... 26 A Intravas us, heart (add- 1.80 1.06 1.06 0.08 2.94 2.94 ZZZ on). 92979... .................. A Intravas us, heart (add- 1.44 3.03 3.03 0.20 4.67 4.67 ZZZ on). 92979... TC A Intravas us, heart (add- 0.00 2.18 2.18 0.14 2.32 2.32 ZZZ on). 92979... 26 A Intravas us, heart (add- 1.44 0.85 0.85 0.06 2.35 2.35 ZZZ on). 92980... .................. A Insert intracoronary 14.84 #16.32 #16.32 1.22 32.38 32.38 000 stent. 92981... .................. A Insert intracoronary 4.17 #4.59 #4.59 0.44 9.20 9.20 ZZZ stent. 92982... .................. A Coronary artery dilation 10.98 #12.08 #12.08 1.22 24.28 24.28 000 92984... .................. A Coronary artery dilation 2.97 #3.27 #3.27 0.44 6.68 6.68 ZZZ 92986... .................. A Revision of aortic valve *21.80 12.04 12.04 0.90 34.74 34.74 090 92987... .................. A Revision of mitral valve *22.70 12.20 12.20 0.91 35.81 35.81 090 92990... .................. A Revision of pulmonary *17.34 9.59 9.59 0.71 27.64 27.64 090 valve. 92992... .................. C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090 chamber. 92993... .................. C Revision of heart 0.00 0.00 0.00 0.00 0.00 0.00 090 chamber. 92995... .................. A Coronary atherectomy.... 12.09 #13.30 #13.30 1.22 26.61 26.61 000 92996... .................. A Coronary atherectomy.... 3.26 #3.59 #3.59 0.44 7.29 7.29 ZZZ 92997... .................. A Pul art balloon repair, 12.00 #13.20 #13.20 1.22 26.42 26.42 000 perc. 92998... .................. A Pul art balloon repair, 6.00 3.80 3.80 0.44 10.24 10.24 ZZZ perc. 93000... .................. A Electrocardiogram, 0.17 0.59 0.59 0.04 0.80 0.80 XXX complete. 93005... .................. A Electrocardiogram, 0.00 0.43 0.43 0.03 0.46 0.46 XXX tracing. 93010... .................. A Electrocardiogram report 0.17 0.16 0.16 0.01 0.34 0.34 XXX 93012... .................. A Transmission of ecg..... 0.00 2.25 2.25 0.22 2.47 2.47 XXX 93014... .................. A Report on transmitted 0.52 0.40 0.40 0.05 0.97 0.97 XXX ecg. 93015... .................. A Cardiovascular stress 0.75 2.32 2.32 0.18 3.25 3.25 XXX test. 93016... .................. A Cardiovascular stress 0.45 0.39 0.39 0.03 0.87 0.87 XXX test. 93017... .................. A Cardiovascular stress 0.00 1.60 1.60 0.12 1.72 1.72 XXX test. 93018... .................. A Cardiovascular stress 0.30 #0.33 #0.33 0.03 0.66 0.66 XXX test. 93024... .................. A Cardiac drug stress test 1.17 2.36 2.36 0.23 3.76 3.76 XXX 93024... TC A Cardiac drug stress test 0.00 1.07 1.07 0.09 1.16 1.16 XXX 93024... 26 A Cardiac drug stress test 1.17 #1.29 #1.29 0.14 2.60 2.60 XXX 93040... .................. A Rhythm ECG with report.. 0.16 0.26 0.26 0.02 0.44 0.44 XXX 93041... .................. A Rhythm ECG, tracing..... 0.00 0.14 0.14 0.01 0.15 0.15 XXX 93042... .................. A Rhythm ECG, report...... 0.16 0.12 0.12 0.01 0.29 0.29 XXX 93224... .................. A ECG monitor/report, 24 0.52 3.83 3.83 0.31 4.66 4.66 XXX hrs. 93225... .................. A ECG monitor/record, 24 0.00 1.18 1.18 0.09 1.27 1.27 XXX hrs. 93226... .................. A ECG monitor/report, 24 0.00 2.08 2.08 0.16 2.24 2.24 XXX hrs. 93227... .................. A ECG monitor/review, 24 0.52 #0.57 #0.57 0.06 1.15 1.15 XXX hrs. 93230... .................. A ECG monitor/report, 24 0.52 4.09 4.09 0.34 4.95 4.95 XXX hrs. 93231... .................. A ECG monitor/record, 24 0.00 1.45 1.45 0.11 1.56 1.56 XXX hrs. 93232... .................. A ECG monitor/report, 24 0.00 2.07 2.07 0.15 2.22 2.22 XXX hrs. 93233... .................. A ECG monitor/review, 24 0.52 #0.57 #0.57 0.08 1.17 1.17 XXX hrs. 93235... .................. A ECG monitor/report, 24 0.45 3.00 3.00 0.23 3.68 3.68 XXX hrs. 93236... .................. A ECG monitor/report, 24 0.00 2.50 2.50 0.17 2.67 2.67 XXX hrs. 93237... .................. A ECG monitor/review, 24 0.45 #0.50 #0.50 0.06 1.01 1.01 XXX hrs. 93268... .................. A ECG record/review....... 0.52 3.83 3.83 0.36 4.71 4.71 XXX 93270... .................. A ECG recording........... 0.00 1.18 1.18 0.09 1.27 1.27 XXX 93271... .................. A ECG/monitoring and 0.00 2.25 2.25 0.22 2.47 2.47 XXX anaylsis. 93272... .................. A ECG/review, interpret 0.52 0.40 0.40 0.05 0.97 0.97 XXX only. 93278... .................. A ECG/signal-averaged..... 0.25 1.38 1.38 0.18 1.81 1.81 XXX 93278... TC A ECG/signal-averaged..... 0.00 1.10 1.10 0.12 1.22 1.22 XXX 93278... 26 A ECG/signal-averaged..... 0.25 #0.28 #0.28 0.06 0.59 0.59 XXX 93303... .................. A Echo transthoracic...... 1.30 4.68 4.68 0.36 6.34 6.34 XXX 93303... TC A Echo transthoracic...... 0.00 3.68 3.68 0.27 3.95 3.95 XXX 93303... 26 A Echo transthoracic...... 1.30 1.00 1.00 0.09 2.39 2.39 XXX 93304... .................. A Echo transthoracic...... 0.75 2.53 2.53 0.19 3.47 3.47 XXX 93304... TC A Echo transthoracic...... 0.00 1.85 1.85 0.14 1.99 1.99 XXX 93304... 26 A Echo transthoracic...... 0.75 0.68 0.68 0.05 1.48 1.48 XXX 93307... .................. A Echo exam of heart...... 0.92 4.68 4.68 0.36 5.96 5.96 XXX 93307... TC A Echo exam of heart...... 0.00 3.68 3.68 0.27 3.95 3.95 XXX 93307... 26 A Echo exam of heart...... 0.92 1.00 1.00 0.09 2.01 2.01 XXX 93308... .................. A Echo exam of heart...... 0.53 2.43 2.43 0.19 3.15 3.15 XXX [[Page 59216]] 93308... TC A Echo exam of heart...... 0.00 1.85 1.85 0.14 1.99 1.99 XXX 93308... 26 A Echo exam of heart...... 0.53 #0.58 #0.58 0.05 1.16 1.16 XXX 93312... .................. A Echo transesophageal.... 2.20 4.95 4.95 0.45 7.60 7.60 XXX 93312... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX 93312... 26 A Echo transesophageal.... 2.20 1.35 1.35 0.12 3.67 3.67 XXX 93313... .................. A Echo transesophageal.... 0.95 0.67 0.67 0.06 1.68 1.68 XXX 93314... .................. A Echo transesophageal.... 1.25 4.27 4.27 0.39 5.91 5.91 XXX 93314... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX 93314... 26 A Echo transesophageal.... 1.25 0.67 0.67 0.06 1.98 1.98 XXX 93315... .................. A Echo transesophageal.... 2.78 4.95 4.95 0.45 8.18 8.18 XXX 93315... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX 93315... 26 A Echo transesophageal.... 2.78 1.35 1.35 0.12 4.25 4.25 XXX 93316... .................. A Echo transesophageal.... 0.95 0.67 0.67 0.06 1.68 1.68 XXX 93317... .................. A Echo transesophageal.... 1.83 4.27 4.27 0.39 6.49 6.49 XXX 93317... TC A Echo transesophageal.... 0.00 3.60 3.60 0.33 3.93 3.93 XXX 93317... 26 A Echo transesophageal.... 1.83 0.67 0.67 0.06 2.56 2.56 XXX 93320... .................. A Doppler echo exam, heart 0.38 2.05 2.05 0.18 2.61 2.61 ZZZ 93320... TC A Doppler echo exam, heart 0.00 1.63 1.63 0.13 1.76 1.76 ZZZ 93320... 26 A Doppler echo exam, heart 0.38 #0.42 #0.42 0.05 0.85 0.85 ZZZ 93321... .................. A Doppler echo exam, heart 0.15 1.23 1.23 0.11 1.49 1.49 ZZZ 93321... TC A Doppler echo exam, heart 0.00 1.06 1.06 0.09 1.15 1.15 ZZZ 93321... 26 A Doppler echo exam, heart 0.15 #0.17 #0.17 0.02 0.34 0.34 ZZZ 93325... .................. A Doppler color flow...... 0.07 2.80 2.80 0.25 3.12 3.12 ZZZ 93325... TC A Doppler color flow...... 0.00 2.76 2.76 0.24 3.00 3.00 ZZZ 93325... 26 A Doppler color flow...... 0.07 0.04 0.04 0.01 0.12 0.12 ZZZ 93350... .................. A Echo transthoracic...... 0.78 2.54 2.54 0.24 3.56 3.56 XXX 93350... TC A Echo transthoracic...... 0.00 1.68 1.68 0.14 1.82 1.82 XXX 93350... 26 A Echo transthoracic...... 0.78 #0.86 #0.86 0.10 1.74 1.74 XXX 93501... .................. A Right heart 3.02 19.43 19.43 1.54 23.99 23.99 000 catheterization. 93501... TC A Right heart 0.00 16.11 16.11 1.20 17.31 17.31 000 catheterization. 93501... 26 A Right heart 3.02 #3.32 #3.32 0.34 6.68 6.68 000 catheterization. 93503... .................. A Insert/place heart 2.91 2.37 2.37 0.36 5.64 5.64 000 catheter. 93505... .................. A Biopsy of heart lining.. 4.38 4.92 4.92 0.46 9.76 9.76 000 93505... TC A Biopsy of heart lining.. 0.00 1.89 1.89 0.18 2.07 2.07 000 93505... 26 A Biopsy of heart lining.. 4.38 3.03 3.03 0.28 7.69 7.69 000 93508... .................. A Cath placement, 4.10 14.79 14.79 0.98 19.87 19.87 000 angiography. 93508... TC A Cath placement, 0.00 12.01 12.01 0.75 12.76 12.76 000 angiography. 93508... 26 A Cath placement, 4.10 2.78 2.78 0.23 7.11 7.11 000 angiography. 93510... .................. A Left heart 4.33 38.28 38.28 2.86 45.47 45.47 000 catheterization. 93510... TC A Left heart 0.00 35.22 35.22 2.63 37.85 37.85 000 catheterization. 93510... 26 A Left heart 4.33 3.06 3.06 0.23 7.62 7.62 000 catheterization. 93511... .................. A Left heart 5.03 36.91 36.91 2.76 44.70 44.70 000 catheterization. 93511... TC A Left heart 0.00 34.29 34.29 2.56 36.85 36.85 000 catheterization. 93511... 26 A Left heart 5.03 2.62 2.62 0.20 7.85 7.85 000 catheterization. 93514... .................. A Left heart 7.05 38.84 38.84 2.94 48.83 48.83 000 catheterization. 93514... TC A Left heart 0.00 34.29 34.29 2.56 36.85 36.85 000 catheterization. 93514... 26 A Left heart 7.05 4.55 4.55 0.38 11.98 11.98 000 catheterization. 93524... .................. A Left heart 6.95 49.45 49.45 3.69 60.09 60.09 000 catheterization. 93524... TC A Left heart 0.00 44.80 44.80 3.35 48.15 48.15 000 catheterization. 93524... 26 A Left heart 6.95 4.65 4.65 0.34 11.94 11.94 000 catheterization. 93526... .................. A Rt & Lt heart catheters. 5.99 51.48 51.48 3.83 61.30 61.30 000 93526... TC A Rt & Lt heart catheters. 0.00 46.03 46.03 3.44 49.47 49.47 000 93526... 26 A Rt & Lt heart catheters. 5.99 5.45 5.45 0.39 11.83 11.83 000 93527... .................. A Rt & Lt heart catheters. 7.28 51.94 51.94 3.85 63.07 63.07 000 93527... TC A Rt & Lt heart catheters. 0.00 44.80 44.80 3.35 48.15 48.15 000 93527... 26 A Rt & Lt heart catheters. 7.28 7.14 7.14 0.50 14.92 14.92 000 93528... .................. A Rt & Lt heart catheters. 9.00 49.23 49.23 3.68 61.91 61.91 000 93528... TC A Rt & Lt heart catheters. 0.00 44.80 44.80 3.35 48.15 48.15 000 93528... 26 A Rt & Lt heart catheters. 9.00 4.43 4.43 0.33 13.76 13.76 000 93529... .................. A Rt, Lt heart 4.80 47.73 47.73 3.57 56.10 56.10 000 catheterization. 93529... TC A Rt, Lt heart 0.00 44.80 44.80 3.35 48.15 48.15 000 catheterization. 93529... 26 A Rt, Lt heart 4.80 2.93 2.93 0.22 7.95 7.95 000 catheterization. 93530... .................. A Rt heart cath, 4.23 19.72 19.72 1.54 25.49 25.49 000 congenital. 93530... TC A Rt heart cath, 0.00 16.11 16.11 1.20 17.31 17.31 000 congenital. 93530... 26 A Rt heart cath, 4.23 3.61 3.61 0.34 8.18 8.18 000 congenital. 93531... .................. A R & l heart cath, 8.35 51.48 51.48 3.83 63.66 63.66 000 congenital. 93531... TC A R & l heart cath, 0.00 46.03 46.03 3.44 49.47 49.47 000 congenital. 93531... 26 A R & l heart cath, 8.35 5.45 5.45 0.39 14.19 14.19 000 congenital. 93532... .................. A R & l heart cath, 10.00 51.94 51.94 3.85 65.79 65.79 000 congenital. 93532... TC A R & l heart cath, 0.00 44.80 44.80 3.35 48.15 48.15 000 congenital. 93532... 26 A R & l heart cath, 10.00 7.14 7.14 0.50 17.64 17.64 000 congenital. 93533... .................. A R & l heart cath, 6.70 47.73 47.73 3.57 58.00 58.00 000 congenital. 93533... TC A R & l heart cath, 0.00 44.80 44.80 3.35 48.15 48.15 000 congenital. 93533... 26 A R & l heart cath, 6.70 2.93 2.93 0.22 9.85 9.85 000 congenital. [[Page 59217]] 93536... .................. A Insert circulation assi. 4.85 #5.34 #5.34 0.71 10.90 10.90 000 93539... .................. A Injection, cardiac cath. 0.40 0.88 #0.44 0.20 1.48 1.04 000 93540... .................. A Injection, cardiac cath. 0.43 0.88 #0.47 0.20 1.51 1.10 000 93541... .................. A Injection for lung 0.29 #0.32 #0.32 0.16 0.77 0.77 000 angiogram. 93542... .................. A Injection for heart x- 0.29 #0.32 #0.32 0.16 0.77 0.77 000 rays. 93543... .................. A Injection for heart x- 0.29 0.57 #0.32 0.11 0.97 0.72 000 rays. 93544... .................. A Injection for 0.25 0.57 #0.28 0.11 0.93 0.64 000 aortography. 93545... .................. A Injection for coronary x- 0.40 #0.44 #0.44 0.24 1.08 1.08 000 rays. 93555... .................. A Imaging, cardiac cath... 0.81 6.25 6.25 0.42 7.48 7.48 XXX 93555... TC A Imaging, cardiac cath... 0.00 5.98 5.98 0.38 6.36 6.36 XXX 93555... 26 A Imaging, cardiac cath... 0.81 0.27 0.27 0.04 1.12 1.12 XXX 93556... .................. A Imaging, cardiac cath... 0.83 9.88 9.88 0.65 11.36 11.36 XXX 93556... TC A Imaging, cardiac cath... 0.00 9.43 9.43 0.58 10.01 10.01 XXX 93556... 26 A Imaging, cardiac cath... 0.83 0.45 0.45 0.07 1.35 1.35 XXX 93561... .................. A Cardiac output 0.50 1.05 1.05 0.16 1.71 1.71 000 measurement. 93561... TC A Cardiac output 0.00 0.50 0.50 0.07 0.57 0.57 000 measurement. 93561... 26 A Cardiac output 0.50 #0.55 #0.55 0.09 1.14 1.14 000 measurement. 93562... .................. A Cardiac output 0.16 0.48 0.48 0.10 0.74 0.74 000 measurement. 93562... TC A Cardiac output 0.00 0.30 0.30 0.04 0.34 0.34 000 measurement. 93562... 26 A Cardiac output 0.16 #0.18 #0.18 0.06 0.40 0.40 000 measurement. 93600... .................. A Bundle of His recording. 2.12 4.19 4.19 0.38 6.69 6.69 000 93600... TC A Bundle of His recording. 0.00 1.86 1.86 0.14 2.00 2.00 000 93600... 26 A Bundle of His recording. 2.12 #2.33 #2.33 0.24 4.69 4.69 000 93602... .................. A Intra-atrial recording.. 2.12 2.83 2.83 0.22 5.17 5.17 000 93602... TC A Intra-atrial recording.. 0.00 1.06 1.06 0.08 1.14 1.14 000 93602... 26 A Intra-atrial recording.. 2.12 1.77 1.77 0.14 4.03 4.03 000 93603... .................. A Right ventricular 2.12 3.79 3.79 0.28 6.19 6.19 000 recording. 93603... TC A Right ventricular 0.00 1.60 1.60 0.12 1.72 1.72 000 recording. 93603... 26 A Right ventricular 2.12 2.19 2.19 0.16 4.47 4.47 000 recording. 93607... .................. A Right ventricular 3.26 3.63 3.63 0.28 7.17 7.17 000 recording. 93607... TC A Right ventricular 0.00 1.42 1.42 0.11 1.53 1.53 000 recording. 93607... 26 A Right ventricular 3.26 2.21 2.21 0.17 5.64 5.64 000 recording. 93609... .................. A Mapping of tachycardia.. 10.07 6.43 6.43 0.47 16.97 16.97 000 93609... TC A Mapping of tachycardia.. 0.00 2.59 2.59 0.19 2.78 2.78 000 93609... 26 A Mapping of tachycardia.. 10.07 3.84 3.84 0.28 14.19 14.19 000 93610... .................. A Intra-atrial pacing..... 3.02 3.60 3.60 0.27 6.89 6.89 000 93610... TC A Intra-atrial pacing..... 0.00 1.29 1.29 0.10 1.39 1.39 000 93610... 26 A Intra-atrial pacing..... 3.02 2.31 2.31 0.17 5.50 5.50 000 93612... .................. A Intraventricular pacing. 3.02 3.88 3.88 0.29 7.19 7.19 000 93612... TC A Intraventricular pacing. 0.00 1.54 1.54 0.12 1.66 1.66 000 93612... 26 A Intraventricular pacing. 3.02 2.34 2.34 0.17 5.53 5.53 000 93615... .................. A Esophageal recording.... 0.99 0.65 0.65 0.04 1.68 1.68 000 93615... TC A Esophageal recording.... 0.00 0.30 0.30 0.02 0.32 0.32 000 93615... 26 A Esophageal recording.... 0.99 0.35 0.35 0.02 1.36 1.36 000 93616... .................. A Esophageal recording.... 1.49 1.66 1.66 0.10 3.25 3.25 000 93616... TC A Esophageal recording.... 0.00 0.30 0.30 0.02 0.32 0.32 000 93616... 26 A Esophageal recording.... 1.49 1.36 1.36 0.08 2.93 2.93 000 93618... .................. A Heart rhythm pacing..... 4.26 8.47 8.47 0.72 13.45 13.45 000 93618... TC A Heart rhythm pacing..... 0.00 3.78 3.78 0.28 4.06 4.06 000 93618... 26 A Heart rhythm pacing..... 4.26 #4.69 #4.69 0.44 9.39 9.39 000 93619... .................. A Electrophysiology 7.32 15.39 15.39 1.40 24.11 24.11 000 evaluation. 93619... TC A Electrophysiology 0.00 7.34 7.34 0.54 7.88 7.88 000 evaluation. 93619... 26 A Electrophysiology 7.32 #8.05 #8.05 0.86 16.23 16.23 000 evaluation. 93620... .................. A Electrophysiology 11.59 21.29 21.29 1.55 34.43 34.43 000 evaluation. 93620... TC A Electrophysiology 0.00 8.54 8.54 0.60 9.14 9.14 000 evaluation. 93620... 26 A Electrophysiology 11.59 #12.75 #12.75 0.95 25.29 25.29 000 evaluation. 93621... .................. C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000 evaluation. 93621... TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000 evaluation. 93621... 26 A Electrophysiology 12.66 #13.93 #13.93 1.11 27.70 27.70 000 evaluation. 93622... .................. C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000 evaluation. 93622... TC C Electrophysiology 0.00 0.00 0.00 0.00 0.00 0.00 000 evaluation. 93622... 26 A Electrophysiology 12.74 #14.01 #14.01 1.07 27.82 27.82 000 evaluation. 93623... .................. C Stimulation, pacing 0.00 0.00 0.00 0.00 0.00 0.00 000 heart. 93623... TC C Stimulation, pacing 0.00 0.00 0.00 0.00 0.00 0.00 000 heart. 93623... 26 A Stimulation, pacing 2.85 2.78 2.78 0.20 5.83 5.83 000 heart. 93624... .................. A Electrophysiologic study 4.81 4.88 4.88 0.35 10.04 10.04 000 93624... TC A Electrophysiologic study 0.00 1.89 1.89 0.14 2.03 2.03 000 93624... 26 A Electrophysiologic study 4.81 2.99 2.99 0.21 8.01 8.01 000 93631... .................. A Heart pacing, mapping... 7.60 11.62 11.62 1.37 20.59 20.59 000 93631... TC A Heart pacing, mapping... 0.00 5.86 5.86 0.70 6.56 6.56 000 93631... 26 A Heart pacing, mapping... 7.60 5.76 5.76 0.67 14.03 14.03 000 93640... .................. A Evaluation heart device. 3.52 10.71 10.71 1.09 15.32 15.32 000 93640... TC A Evaluation heart device. 0.00 6.84 6.84 0.48 7.32 7.32 000 93640... 26 A Evaluation heart device. 3.52 #3.87 #3.87 0.61 8.00 8.00 000 [[Page 59218]] 93641... .................. A Electrophysiology 5.93 13.36 13.36 1.09 20.38 20.38 000 evaluation. 93641... TC A Electrophysiology 0.00 6.84 6.84 0.48 7.32 7.32 000 evaluation. 93641... 26 A Electrophysiology 5.93 #6.52 #6.52 0.61 13.06 13.06 000 evaluation. 93642... .................. A Electrophysiology 4.89 12.22 12.22 1.09 18.20 18.20 000 evaluation. 93642... TC A Electrophysiology 0.00 6.84 6.84 0.48 7.32 7.32 000 evaluation. 93642... 26 A Electrophysiology 4.89 #5.38 #5.38 0.61 10.88 10.88 000 evaluation. 93650... .................. A Ablate heart dysrhythm 10.51 #11.56 #11.56 1.34 23.41 23.41 000 focus. 93651... .................. A Ablate heart dysrhythm 16.25 17.83 17.83 1.34 35.42 35.42 000 focus. 93652... .................. A Ablate heart dysrhythm 17.68 17.83 17.83 1.34 36.85 36.85 000 focus. 93660... .................. C Tilt table evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 000 93660... TC C Tilt table evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 000 93660... 26 A Tilt table evaluation... 1.89 1.44 1.44 0.17 3.50 3.50 000 93720... .................. A Total body 0.17 0.89 0.86 0.10 1.16 1.13 XXX plethysmography. 93721... .................. A Plethysmography tracing. 0.00 0.67 0.67 0.07 0.74 0.74 XXX 93722... .................. A Plethysmography report.. 0.17 0.22 #0.19 0.03 0.42 0.39 XXX 93724... .................. A Analyze pacemaker system 4.89 6.66 6.66 0.50 12.05 12.05 000 93724... TC A Analyze pacemaker system 0.00 3.78 3.78 0.28 4.06 4.06 000 93724... 26 A Analyze pacemaker system 4.89 2.88 2.88 0.22 7.99 7.99 000 93731... .................. A Analyze pacemaker system 0.45 0.79 0.79 0.07 1.31 1.31 XXX 93731... TC A Analyze pacemaker system 0.00 0.47 0.47 0.04 0.51 0.51 XXX 93731... 26 A Analyze pacemaker system 0.45 0.32 0.32 0.03 0.80 0.80 XXX 93732... .................. A Analyze pacemaker system 0.92 0.91 0.91 0.08 1.91 1.91 XXX 93732... TC A Analyze pacemaker system 0.00 0.49 0.49 0.04 0.53 0.53 XXX 93732... 26 A Analyze pacemaker system 0.92 0.42 0.42 0.04 1.38 1.38 XXX 93733... .................. A Telephone analysis, 0.17 0.88 0.88 0.08 1.13 1.13 XXX pacemaker. 93733... TC A Telephone analysis, 0.00 0.69 0.69 0.06 0.75 0.75 XXX pacemaker. 93733... 26 A Telephone analysis, 0.17 #0.19 #0.19 0.02 0.38 0.38 XXX pacemaker. 93734... .................. A Analyze pacemaker system 0.38 0.64 0.64 0.06 1.08 1.08 XXX 93734... TC A Analyze pacemaker system 0.00 0.33 0.33 0.03 0.36 0.36 XXX 93734... 26 A Analyze pacemaker system 0.38 0.31 0.31 0.03 0.72 0.72 XXX 93735... .................. A Analyze pacemaker system 0.74 0.85 0.85 0.08 1.67 1.67 XXX 93735... TC A Analyze pacemaker system 0.00 0.42 0.42 0.04 0.46 0.46 XXX 93735... 26 A Analyze pacemaker system 0.74 0.43 0.43 0.04 1.21 1.21 XXX 93736... .................. A Telephone analysis, 0.15 0.77 0.77 0.09 1.01 1.01 XXX pacemaker. 93736... TC A Telephone analysis, 0.00 0.60 0.60 0.06 0.66 0.66 XXX pacemaker. 93736... 26 A Telephone analysis, 0.15 #0.17 #0.17 0.03 0.35 0.35 XXX pacemaker. 93737... .................. A Analyze cardio/ 0.45 0.74 0.74 0.06 1.25 1.25 XXX defibrillator. 93737... TC A Analyze cardio/ 0.00 0.47 0.47 0.04 0.51 0.51 XXX defibrillator. 93737... 26 A Analyze cardio/ 0.45 0.27 0.27 0.02 0.74 0.74 XXX defibrillator. 93738... .................. A Analyze cardio/ 0.92 0.88 0.88 0.07 1.87 1.87 XXX defibrillator. 93738... TC................ A Analyze cardio/ 0.00 0.49 0.49 0.04 0.53 0.53 XXX defibrillator. 93738... 26 A Analyze cardio/ 0.92 0.39 0.39 0.03 1.34 1.34 XXX defibrillator. 93740... .................. A Temperature gradient 0.16 0.45 0.45 0.04 0.65 0.65 XXX studies. 93740... TC A Temperature gradient 0.00 0.15 0.15 0.01 0.16 0.16 XXX studies. 93740... 26 A Temperature gradient 0.16 0.30 0.30 0.03 0.49 0.49 XXX studies. 93760... .................. N Cephalic thermogram..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93762... .................. N Peripheral thermogram... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93770... .................. A Measure venous pressure. 0.16 0.20 0.20 0.02 0.38 0.38 XXX 93770... TC A Measure venous pressure. 0.00 0.03 0.03 0.00 0.03 0.03 XXX 93770... 26 A Measure venous pressure. 0.16 0.17 0.17 0.02 0.35 0.35 XXX 93784... .................. N Ambulatory BP monitoring 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93786... .................. N Ambulatory BP recording. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93788... .................. N Ambulatory BP analysis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93790... .................. N Review/report BP 0.00 0.00 0.00 0.00 0.00 0.00 XXX recording. 93797... .................. A Cardiac rehab........... 0.18 #0.20 #0.20 0.02 0.40 0.40 000 93798... .................. A Cardiac rehab/monitor... 0.28 0.47 0.47 0.04 0.79 0.79 000 93799... .................. C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799... TC C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93799... 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93875... .................. A Extracranial study...... 0.22 1.29 1.29 0.18 1.69 1.69 XXX 93875... TC A Extracranial study...... 0.00 1.05 1.05 0.12 1.17 1.17 XXX 93875... 26 A Extracranial study...... 0.22 #0.24 #0.24 0.06 0.52 0.52 XXX 93880... .................. A Extracranial study...... 0.60 3.94 3.94 0.44 4.98 4.98 XXX 93880... TC A Extracranial study...... 0.00 3.55 3.55 0.40 3.95 3.95 XXX 93880... 26 A Extracranial study...... 0.60 0.39 0.39 0.04 1.03 1.03 XXX 93882... .................. A Extracranial study...... 0.40 2.62 2.62 0.29 3.31 3.31 XXX 93882... TC A Extracranial study...... 0.00 2.36 2.36 0.26 2.62 2.62 XXX 93882... 26 A Extracranial study...... 0.40 0.26 0.26 0.03 0.69 0.69 XXX 93886... .................. A Intracranial study...... 0.94 4.44 4.44 0.50 5.88 5.88 XXX 93886... TC A Intracranial study...... 0.00 4.02 4.02 0.45 4.47 4.47 XXX 93886... 26 A Intracranial study...... 0.94 0.42 0.42 0.05 1.41 1.41 XXX 93888... .................. A Intracranial study...... 0.62 2.96 2.96 0.34 3.92 3.92 XXX 93888... TC A Intracranial study...... 0.00 2.68 2.68 0.31 2.99 2.99 XXX 93888... 26 A Intracranial study...... 0.62 0.28 0.28 0.03 0.93 0.93 XXX [[Page 59219]] 93922... .................. A Extremity study......... 0.25 1.38 1.38 0.19 1.82 1.82 XXX 93922... TC A Extremity study......... 0.00 1.10 1.10 0.14 1.24 1.24 XXX 93922... 26 A Extremity study......... 0.25 0.28 0.28 0.05 0.58 0.58 XXX 93923... .................. A Extremity study......... 0.45 2.58 2.58 0.35 3.38 3.38 XXX 93923... TC A Extremity study......... 0.00 2.08 2.08 0.26 2.34 2.34 XXX 93923... 26 A Extremity study......... 0.45 #0.50 #0.50 0.09 1.04 1.04 XXX 93924... .................. A Extremity study......... 0.50 2.81 2.81 0.39 3.70 3.70 XXX 93924... TC A Extremity study......... 0.00 2.26 2.26 0.29 2.55 2.55 XXX 93924... 26 A Extremity study......... 0.50 #0.55 #0.55 0.10 1.15 1.15 XXX 93925... .................. A Lower extremity study... 0.58 3.96 3.96 0.44 4.98 4.98 XXX 93925... TC A Lower extremity study... 0.00 3.57 3.57 0.40 3.97 3.97 XXX 93925... 26 A Lower extremity study... 0.58 0.39 0.39 0.04 1.01 1.01 XXX 93926... .................. A Lower extremity study... 0.39 2.64 2.64 0.30 3.33 3.33 XXX 93926... TC A Lower extremity study... 0.00 2.38 2.38 0.27 2.65 2.65 XXX 93926... 26 A Lower extremity study... 0.39 0.26 0.26 0.03 0.68 0.68 XXX 93930... .................. A Upper extremity study... 0.46 4.18 4.18 0.47 5.11 5.11 XXX 93930... TC A Upper extremity study... 0.00 3.79 3.79 0.42 4.21 4.21 XXX 93930... 26 A Upper extremity study... 0.46 0.39 0.39 0.05 0.90 0.90 XXX 93931... .................. A Upper extremity study... 0.31 2.78 2.78 0.31 3.40 3.40 XXX 93931... TC A Upper extremity study... 0.00 2.52 2.52 0.28 2.80 2.80 XXX 93931... 26 A Upper extremity study... 0.31 0.26 0.26 0.03 0.60 0.60 XXX 93965... .................. A Extremity study......... 0.35 1.43 1.43 0.19 1.97 1.97 XXX 93965... TC A Extremity study......... 0.00 1.04 1.04 0.13 1.17 1.17 XXX 93965... 26 A Extremity study......... 0.35 #0.39 #0.39 0.06 0.80 0.80 XXX 93970... .................. A Extremity study......... 0.68 4.33 4.33 0.51 5.52 5.52 XXX 93970... TC A Extremity study......... 0.00 3.93 3.93 0.46 4.39 4.39 XXX 93970... 26 A Extremity study......... 0.68 0.40 0.40 0.05 1.13 1.13 XXX 93971... .................. A Extremity study......... 0.45 2.89 2.89 0.34 3.68 3.68 XXX 93971... TC A Extremity study......... 0.00 2.62 2.62 0.31 2.93 2.93 XXX 93971... 26 A Extremity study......... 0.45 0.27 0.27 0.03 0.75 0.75 XXX 93975... .................. A Vascular study.......... 1.80 4.90 4.90 0.55 7.25 7.25 XXX 93975... TC A Vascular study.......... 0.00 4.48 4.48 0.50 4.98 4.98 XXX 93975... 26 A Vascular study.......... 1.80 0.42 0.42 0.05 2.27 2.27 XXX 93976... .................. A Vascular study.......... 1.21 3.27 3.27 0.37 4.85 4.85 XXX 93976... TC A Vascular study.......... 0.00 2.99 2.99 0.34 3.33 3.33 XXX 93976... 26 A Vascular study.......... 1.21 0.28 0.28 0.03 1.52 1.52 XXX 93978... .................. A Vascular study.......... 0.65 4.06 4.06 0.47 5.18 5.18 XXX 93978... TC A Vascular study.......... 0.00 3.67 3.67 0.42 4.09 4.09 XXX 93978... 26 A Vascular study.......... 0.65 0.39 0.39 0.05 1.09 1.09 XXX 93979... .................. A Vascular study.......... 0.44 2.70 2.70 0.31 3.45 3.45 XXX 93979... TC A Vascular study.......... 0.00 2.44 2.44 0.28 2.72 2.72 XXX 93979... 26 A Vascular study.......... 0.44 0.26 0.26 0.03 0.73 0.73 XXX 93980... .................. A Penile vascular study... 1.25 4.15 4.15 0.45 5.85 5.85 XXX 93980... TC A Penile vascular study... 0.00 3.33 3.33 0.38 3.71 3.71 XXX 93980... 26 A Penile vascular study... 1.25 0.82 0.82 0.07 2.14 2.14 XXX 93981... .................. A Penile vascular study... 0.44 3.47 3.47 0.39 4.30 4.30 XXX 93981... TC A Penile vascular study... 0.00 3.07 3.07 0.36 3.43 3.43 XXX 93981... 26 A Penile vascular study... 0.44 0.40 0.40 0.03 0.87 0.87 XXX 93990... .................. A Doppler flow testing.... 0.25 2.57 2.57 0.29 3.11 3.11 XXX 93990... TC A Doppler flow testing.... 0.00 2.38 2.38 0.27 2.65 2.65 XXX 93990... 26 A Doppler flow testing.... 0.25 0.19 0.19 0.02 0.46 0.46 XXX 94010... .................. A Breathing capacity test. 0.17 0.68 0.68 0.05 0.90 0.90 XXX 94010... TC A Breathing capacity test. 0.00 0.40 0.40 0.03 0.43 0.43 XXX 94010... 26 A Breathing capacity test. 0.17 0.28 0.28 0.02 0.47 0.47 XXX 94060... .................. A Evaluation of wheezing.. 0.31 1.23 1.23 0.09 1.63 1.63 XXX 94060... TC A Evaluation of wheezing.. 0.00 0.89 0.89 0.06 0.95 0.95 XXX 94060... 26 A Evaluation of wheezing.. 0.31 #0.34 #0.34 0.03 0.68 0.68 XXX 94070... .................. A Evaluation of wheezing.. 0.60 1.77 1.77 0.13 2.50 2.50 XXX 94070... TC A Evaluation of wheezing.. 0.00 1.39 1.39 0.10 1.49 1.49 XXX 94070... 26 A Evaluation of wheezing.. 0.60 0.38 0.38 0.03 1.01 1.01 XXX 94150... .................. B Vital capacity test..... +0.07 0.16 0.16 0.02 0.25 0.25 XXX 94150... TC B Vital capacity test..... +0.00 0.08 0.08 0.01 0.09 0.09 XXX 94150... 26 B Vital capacity test..... +0.07 #0.08 #0.08 0.01 0.16 0.16 XXX 94200... .................. A Lung function test (MBC/ 0.11 0.36 0.36 0.03 0.50 0.50 XXX MVV). 94200... TC A Lung function test (MBC/ 0.00 0.24 0.24 0.02 0.26 0.26 XXX MVV). 94200... 26 A Lung function test (MBC/ 0.11 #0.12 #0.12 0.01 0.24 0.24 XXX MVV). 94240... .................. A Residual lung capacity.. 0.26 0.88 0.88 0.07 1.21 1.21 XXX 94240... TC A Residual lung capacity.. 0.00 0.65 0.65 0.05 0.70 0.70 XXX 94240... 26 A Residual lung capacity.. 0.26 0.23 0.23 0.02 0.51 0.51 XXX 94250... .................. A Expired gas collection.. 0.11 0.25 0.25 0.02 0.38 0.38 XXX 94250... TC A Expired gas collection.. 0.00 0.13 0.13 0.01 0.14 0.14 XXX 94250... 26 A Expired gas collection.. 0.11 #0.12 #0.12 0.01 0.24 0.24 XXX 94260... .................. A Thoracic gas volume..... 0.13 0.66 0.66 0.06 0.85 0.85 XXX 94260... TC A Thoracic gas volume..... 0.00 0.52 0.52 0.04 0.56 0.56 XXX [[Page 59220]] 94260... 26 A Thoracic gas volume..... 0.13 #0.14 #0.14 0.02 0.29 0.29 XXX 94350... .................. A Lung nitrogen washout 0.26 0.73 0.73 0.05 1.04 1.04 XXX curve. 94350... TC A Lung nitrogen washout 0.00 0.52 0.52 0.04 0.56 0.56 XXX curve. 94350... 26 A Lung nitrogen washout 0.26 0.21 0.21 0.01 0.48 0.48 XXX curve. 94360... .................. A Measure airflow 0.26 1.11 1.11 0.07 1.44 1.44 XXX resistance. 94360... TC A Measure airflow 0.00 0.92 0.92 0.06 0.98 0.98 XXX resistance. 94360... 26 A Measure airflow 0.26 0.19 0.19 0.01 0.46 0.46 XXX resistance. 94370... .................. A Breath airway closing 0.26 0.40 0.40 0.03 0.69 0.69 XXX volume. 94370... TC A Breath airway closing 0.00 0.26 0.26 0.02 0.28 0.28 XXX volume. 94370... 26 A Breath airway closing 0.26 0.14 0.14 0.01 0.41 0.41 XXX volume. 94375... .................. A Respiratory flow volume 0.31 0.67 0.67 0.04 1.02 1.02 XXX loop. 94375... TC A Respiratory flow volume 0.00 0.46 0.46 0.03 0.49 0.49 XXX loop. 94375... 26 A Respiratory flow volume 0.31 0.21 0.21 0.01 0.53 0.53 XXX loop. 94400... .................. A CO2 breathing response 0.40 0.77 0.77 0.19 1.36 1.36 XXX curve. 94400... TC A CO2 breathing response 0.00 0.30 0.30 0.06 0.36 0.36 XXX curve. 94400... 26 A CO2 breathing response 0.40 0.47 0.47 0.13 1.00 1.00 XXX curve. 94450... .................. A Hypoxia response curve.. 0.40 0.61 0.61 0.05 1.06 1.06 XXX 94450... TC A Hypoxia response curve.. 0.00 0.37 0.37 0.03 0.40 0.40 XXX 94450... 26 A Hypoxia response curve.. 0.40 0.24 0.24 0.02 0.66 0.66 XXX 94620... .................. A Pulmonary stress testing 0.88 2.05 2.05 0.15 3.08 3.08 XXX 94620... TC A Pulmonary stress testing 0.00 1.35 1.35 0.10 1.45 1.45 XXX 94620... 26 A Pulmonary stress testing 0.88 0.70 0.70 0.05 1.63 1.63 XXX 94640... .................. A Airway inhalation 0.00 0.39 0.39 0.03 0.42 0.42 XXX treatment. 94642... .................. C Aerosol inhalation 0.00 0.00 0.00 0.00 0.00 0.00 XXX treatment. 94650... .................. A Pressure breathing 0.00 0.37 0.37 0.03 0.40 0.40 XXX (IPPB). 94651... .................. A Pressure breathing 0.00 0.36 0.36 0.03 0.39 0.39 XXX (IPPB). 94652... .................. A Pressure breathing 0.00 0.41 0.41 0.08 0.49 0.49 XXX (IPPB). 94656... .................. A Initial ventilator mgmt. 1.22 1.13 1.13 0.12 2.47 2.47 XXX 94657... .................. A Cont. ventilator........ 0.83 0.62 0.62 0.05 1.50 1.50 XXX 94660... .................. A Pos airway pressure, 0.76 0.71 0.71 0.06 1.53 1.53 XXX CPAP. 94662... .................. A Neg pressure 0.76 0.30 0.30 0.02 1.08 1.08 XXX ventilation, cnp. 94664... .................. A Aerosol or vapor 0.00 0.50 0.50 0.04 0.54 0.54 XXX inhalations. 94665... .................. A Aerosol or vapor 0.00 0.46 0.46 0.05 0.51 0.51 XXX inhalations. 94667... .................. A Chest wall manipulation. 0.00 0.55 0.55 0.05 0.60 0.60 XXX 94668... .................. A Chest wall manipulation. 0.00 0.34 0.34 0.03 0.37 0.37 XXX 94680... .................. A Exhaled air analysis: O2 0.26 0.78 0.78 0.10 1.14 1.14 XXX 94680... TC A Exhaled air analysis: O2 0.00 0.49 0.49 0.07 0.56 0.56 XXX 94680... 26 A Exhaled air analysis: O2 0.26 #0.29 #0.29 0.03 0.58 0.58 XXX 94681... .................. A Exhaled air analysis: 0.20 1.54 1.54 0.17 1.91 1.91 XXX O2, CO2. 94681... TC A Exhaled air analysis: 0.00 1.32 1.32 0.13 1.45 1.45 XXX O2, CO2. 94681... 26 A Exhaled air analysis: 0.20 #0.22 #0.22 0.04 0.46 0.46 XXX O2, CO2. 94690... .................. A Exhaled air analysis.... 0.07 0.56 0.56 0.04 0.67 0.67 XXX 94690... TC A Exhaled air analysis.... 0.00 0.51 0.51 0.04 0.55 0.55 XXX 94690... 26 A Exhaled air analysis.... 0.07 0.05 0.05 0.00 0.12 0.12 XXX 94720... .................. A Monoxide diffusing 0.26 1.03 1.03 0.08 1.37 1.37 XXX capacity. 94720... TC A Monoxide diffusing 0.00 0.80 0.80 0.06 0.86 0.86 XXX capacity. 94720... 26 A Monoxide diffusing 0.26 0.23 0.23 0.02 0.51 0.51 XXX capacity. 94725... .................. A Membrane diffusion 0.26 1.84 1.84 0.14 2.24 2.24 XXX capacity. 94725... TC A Membrane diffusion 0.00 1.66 1.66 0.13 1.79 1.79 XXX capacity. 94725... 26 A Membrane diffusion 0.26 0.18 0.18 0.01 0.45 0.45 XXX capacity. 94750... .................. A Pulmonary compliance 0.23 0.80 0.80 0.06 1.09 1.09 XXX study. 94750... TC A Pulmonary compliance 0.00 0.55 0.55 0.04 0.59 0.59 XXX study. 94750... 26 A Pulmonary compliance 0.23 #0.25 #0.25 0.02 0.50 0.50 XXX study. 94760... .................. A Measure blood oxygen 0.00 0.25 0.25 0.02 0.27 0.27 XXX level. 94761... .................. A Measure blood oxygen 0.00 0.64 0.64 0.06 0.70 0.70 XXX level. 94762... .................. A Measure blood oxygen 0.00 1.08 1.08 0.10 1.18 1.18 XXX level. 94770... .................. A Exhaled carbon dioxide 0.15 0.40 0.40 0.11 0.66 0.66 XXX test. 94770... TC A Exhaled carbon dioxide 0.00 0.29 0.29 0.08 0.37 0.37 XXX test. 94770... 26 A Exhaled carbon dioxide 0.15 0.11 0.11 0.03 0.29 0.29 XXX test. 94772... .................. C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772... TC C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94772... 26 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94799... .................. C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 94799... TC C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 94799... 26 C Pulmonary service/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 95004... .................. A Allergy skin tests...... 0.00 0.09 0.09 0.01 0.10 0.10 XXX 95010... .................. A Sensitivity skin tests.. 0.15 0.11 0.11 0.01 0.27 0.27 XXX 95015... .................. A Sensitivity skin tests.. 0.15 0.11 0.11 0.01 0.27 0.27 XXX 95024... .................. A Allergy skin tests...... 0.00 0.14 0.14 0.01 0.15 0.15 XXX 95027... .................. A Skin end point titration 0.00 0.14 0.14 0.01 0.15 0.15 XXX 95028... .................. A Allergy skin tests...... 0.00 0.22 0.22 0.01 0.23 0.23 XXX 95044... .................. A Allergy patch tests..... 0.00 0.19 0.19 0.01 0.20 0.20 XXX 95052... .................. A Photo patch test........ 0.00 0.24 0.24 0.01 0.25 0.25 XXX 95056... .................. A Photosensitivity tests.. 0.00 0.17 0.17 0.01 0.18 0.18 XXX [[Page 59221]] 95060... .................. A Eye allergy tests....... 0.00 0.33 0.33 0.02 0.35 0.35 XXX 95065... .................. A Nose allergy test....... 0.00 0.19 0.19 0.01 0.20 0.20 XXX 95070... .................. A Bronchial allergy tests. 0.00 2.17 2.17 0.02 2.19 2.19 XXX 95071... .................. A Bronchial allergy tests. 0.00 2.78 2.78 0.02 2.80 2.80 XXX 95075... .................. A Ingestion challenge test 0.95 1.97 1.97 0.02 2.94 2.94 XXX 95078... .................. A Provocative testing..... 0.00 0.24 0.24 0.02 0.26 0.26 XXX 95115... .................. A Immunotherapy, one 0.00 0.37 0.37 0.02 0.39 0.39 000 injection. 95117... .................. A Immunotherapy injections 0.00 0.48 0.48 0.02 0.50 0.50 000 95120... .................. I Immunotherapy, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. 95125... .................. I Immunotherapy, many 0.00 0.00 0.00 0.00 0.00 0.00 XXX antigens. 95130... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX venom. 95131... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX venoms. 95132... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX venoms. 95133... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX venoms. 95134... .................. I Immunotherapy, insect 0.00 0.00 0.00 0.00 0.00 0.00 XXX venoms. 95144... .................. A Antigen therapy services 0.06 0.13 0.13 0.01 0.20 0.20 000 95145... .................. A Antigen therapy services 0.06 0.34 0.34 0.03 0.43 0.43 000 95146... .................. A Antigen therapy services 0.06 0.61 0.61 0.03 0.70 0.70 000 95147... .................. A Antigen therapy services 0.06 0.91 0.91 0.03 1.00 1.00 000 95148... .................. A Antigen therapy services 0.06 0.91 0.91 0.03 1.00 1.00 000 95149... .................. A Antigen therapy services 0.06 1.14 1.14 0.03 1.23 1.23 000 95165... .................. A Antigen therapy services 0.06 0.10 0.10 0.01 0.17 0.17 000 95170... .................. A Antigen therapy services 0.06 0.35 0.35 0.03 0.44 0.44 000 95180... .................. A Rapid desensitization... 2.01 0.14 0.14 0.01 2.16 2.16 000 95199... .................. C Allergy immunology 0.00 0.00 0.00 0.00 0.00 0.00 000 services. 95805... .................. A Multiple sleep latency 1.88 5.51 5.51 0.45 7.84 7.84 XXX test. 95805... TC A Multiple sleep latency 0.00 4.95 4.95 0.38 5.33 5.33 XXX test. 95805... 26 A Multiple sleep latency 1.88 0.56 0.56 0.07 2.51 2.51 XXX test. 95806... .................. A Sleep study, unattended. 1.66 7.18 6.56 0.55 9.39 8.77 XXX 95806... TC A Sleep study, unattended. 0.00 4.73 4.73 0.36 5.09 5.09 XXX 95806... 26 A Sleep study, unattended. 1.66 2.45 #1.83 0.19 4.30 3.68 XXX 95807... .................. A Sleep study, attended... 1.66 8.13 8.13 0.67 10.46 10.46 XXX 95807... TC A Sleep study, attended... 0.00 6.30 6.30 0.48 6.78 6.78 XXX 95807... 26 A Sleep study, attended... 1.66 #1.83 #1.83 0.19 3.68 3.68 XXX 95808... .................. A Polysomnography, 1-3.... 2.65 8.75 8.75 0.67 12.07 12.07 XXX 95808... TC A Polysomnography, 1-3.... 0.00 6.30 6.30 0.48 6.78 6.78 XXX 95808... 26 A Polysomnography, 1-3.... 2.65 2.45 2.45 0.19 5.29 5.29 XXX 95810... .................. A Polysomnography, 4 or 3.53 8.75 8.75 0.67 12.95 12.95 XXX more. 95810... TC A Polysomnography, 4 or 0.00 6.30 6.30 0.48 6.78 6.78 XXX more. 95810... 26 A Polysomnography, 4 or 3.53 2.45 2.45 0.19 6.17 6.17 XXX more. 95811... .................. A Polysomnography w/cpap.. 3.80 9.19 9.19 0.70 13.69 13.69 XXX 95811... TC A Polysomnography w/cpap.. 0.00 6.62 6.62 0.50 7.12 7.12 XXX 95811... 26 A Polysomnography w/cpap.. 3.80 2.57 2.57 0.20 6.57 6.57 XXX 95812... .................. A Electroencephalogram 1.08 1.85 1.85 0.15 3.08 3.08 XXX (EEG). 95812... TC A Electroencephalogram 0.00 1.35 1.35 0.11 1.46 1.46 XXX (EEG). 95812... 26 A Electroencephalogram 1.08 0.50 0.50 0.04 1.62 1.62 XXX (EEG). 95813... .................. A Electroencephalogram 1.73 1.85 1.85 0.15 3.73 3.73 XXX (EEG). 95813... TC A Electroencephalogram 0.00 1.35 1.35 0.11 1.46 1.46 XXX (EEG). 95813... 26 A Electroencephalogram 1.73 0.50 0.50 0.04 2.27 2.27 XXX (EEG). 95816... .................. A Electroencephalogram 1.08 1.54 1.54 0.13 2.75 2.75 XXX (EEG). 95816... TC A Electroencephalogram 0.00 1.26 1.26 0.10 1.36 1.36 XXX (EEG). 95816... 26 A Electroencephalogram 1.08 0.28 0.28 0.03 1.39 1.39 XXX (EEG). 95819... .................. A Electroencephalogram 1.08 1.80 1.80 0.14 3.02 3.02 XXX (EEG). 95819... TC A Electroencephalogram 0.00 1.30 1.30 0.10 1.40 1.40 XXX (EEG). 95819... 26 A Electroencephalogram 1.08 0.50 0.50 0.04 1.62 1.62 XXX (EEG). 95822... .................. A Sleep 1.08 2.28 2.28 0.18 3.54 3.54 XXX electroencephalogram. 95822... TC A Sleep 0.00 1.72 1.72 0.14 1.86 1.86 XXX electroencephalogram. 95822... 26 A Sleep 1.08 0.56 0.56 0.04 1.68 1.68 XXX electroencephalogram. 95824... .................. A Electroencephalography.. 0.74 0.98 0.98 0.07 1.79 1.79 XXX 95824... TC A Electroencephalography.. 0.00 0.40 0.40 0.03 0.43 0.43 XXX 95824... 26 A Electroencephalography.. 0.74 0.58 0.58 0.04 1.36 1.36 XXX 95827... .................. A Night 1.08 3.06 3.06 0.24 4.38 4.38 XXX electroencephalogram. 95827... TC A Night 0.00 2.18 2.18 0.17 2.35 2.35 XXX electroencephalogram. 95827... 26 A Night 1.08 0.88 0.88 0.07 2.03 2.03 XXX electroencephalogram. 95829... .................. A Surgery 6.21 0.59 0.59 0.05 6.85 6.85 XXX electrocorticogram. 95829... TC A Surgery 0.00 0.14 0.14 0.02 0.16 0.16 XXX electrocorticogram. 95829... 26 A Surgery 6.21 0.45 0.45 0.03 6.69 6.69 XXX electrocorticogram. 95830... .................. A Insert electrodes for 1.70 0.78 0.78 0.07 2.55 2.55 XXX EEG. 95831... .................. A Limb muscle testing, 0.28 0.29 0.29 0.03 0.60 0.60 XXX manual. 95832... .................. A Hand muscle testing, 0.29 0.25 0.25 0.02 0.56 0.56 XXX manual. 95833... .................. A Body muscle testing, 0.47 0.38 0.38 0.05 0.90 0.90 XXX manual. 95834... .................. A Body muscle testing, 0.60 0.61 0.61 0.06 1.27 1.27 XXX manual. 95851... .................. A Range of motion 0.16 0.24 0.24 0.02 0.42 0.42 XXX measurements. 95852... .................. A Range of motion 0.11 0.15 0.15 0.02 0.28 0.28 XXX measurements. [[Page 59222]] 95857... .................. A Tensilon test........... 0.53 0.50 0.50 0.04 1.07 1.07 XXX 95858... .................. A Tensilon test & myogram. 1.56 1.02 1.02 0.09 2.67 2.67 XXX 95858... TC A Tensilon test & myogram. 0.00 0.38 0.38 0.04 0.42 0.42 XXX 95858... 26 A Tensilon test & myogram. 1.56 0.64 0.64 0.05 2.25 2.25 XXX 95860... .................. A Muscle test, one limb... 0.96 1.09 1.09 0.09 2.14 2.14 XXX 95860... TC A Muscle test, one limb... 0.00 0.36 0.36 0.03 0.39 0.39 XXX 95860... 26 A Muscle test, one limb... 0.96 0.73 0.73 0.06 1.75 1.75 XXX 95861... .................. A Muscle test, two limbs.. 1.54 1.97 1.97 0.16 3.67 3.67 XXX 95861... TC A Muscle test, two limbs.. 0.00 0.70 0.70 0.06 0.76 0.76 XXX 95861... 26 A Muscle test, two limbs.. 1.54 1.27 1.27 0.10 2.91 2.91 XXX 95863... .................. A Muscle test, 3 limbs.... 1.87 2.30 2.30 0.18 4.35 4.35 XXX 95863... TC A Muscle test, 3 limbs.... 0.00 0.89 0.89 0.07 0.96 0.96 XXX 95863... 26 A Muscle test, 3 limbs.... 1.87 1.41 1.41 0.11 3.39 3.39 XXX 95864... .................. A Muscle test, 4 limbs.... 1.99 3.45 3.45 0.27 5.71 5.71 XXX 95864... TC A Muscle test, 4 limbs.... 0.00 1.70 1.70 0.13 1.83 1.83 XXX 95864... 26 A Muscle test, 4 limbs.... 1.99 1.75 1.75 0.14 3.88 3.88 XXX 95867... .................. A Muscle test, head or 0.79 1.13 1.13 0.09 2.01 2.01 XXX neck. 95867... TC A Muscle test, head or 0.00 0.55 0.55 0.04 0.59 0.59 XXX neck. 95867... 26 A Muscle test, head or 0.79 0.58 0.58 0.05 1.42 1.42 XXX neck. 95868... .................. A Muscle test, head or 1.18 1.92 1.92 0.15 3.25 3.25 XXX neck. 95868... TC A Muscle test, head or 0.00 0.66 0.66 0.05 0.71 0.71 XXX neck. 95868... 26 A Muscle test, head or 1.18 1.26 1.26 0.10 2.54 2.54 XXX neck. 95869... .................. A Muscle test, thor 0.37 0.53 0.53 0.05 0.95 0.95 XXX paraspinal. 95869... TC A Muscle test, thor 0.00 0.20 0.20 0.02 0.22 0.22 XXX paraspinal. 95869... 26 A Muscle test, thor 0.37 0.33 0.33 0.03 0.73 0.73 XXX paraspinal. 95870... .................. A Muscle test, non- 0.37 0.53 0.53 0.05 0.95 0.95 XXX paraspinal. 95870... TC A Muscle test, non- 0.00 0.20 0.20 0.02 0.22 0.22 XXX paraspinal. 95870... 26 A Muscle test, non- 0.37 0.33 0.33 0.03 0.73 0.73 XXX paraspinal. 95872... .................. A Muscle test, one fiber.. 1.50 1.25 1.25 0.11 2.86 2.86 XXX 95872... TC A Muscle test, one fiber.. 0.00 0.57 0.57 0.05 0.62 0.62 XXX 95872... 26 A Muscle test, one fiber.. 1.50 0.68 0.68 0.06 2.24 2.24 XXX 95875... .................. A Limb exercise test...... 1.34 0.60 0.60 0.10 2.04 2.04 XXX 95875... TC A Limb exercise test...... 0.00 0.38 0.38 0.06 0.44 0.44 XXX 95875... 26 A Limb exercise test...... 1.34 0.22 0.22 0.04 1.60 1.60 XXX 95900... .................. A Motor nerve conduction 0.42 0.62 0.62 0.05 1.09 1.09 XXX test. 95900... TC A Motor nerve conduction 0.00 0.27 0.27 0.02 0.29 0.29 XXX test. 95900... 26 A Motor nerve conduction 0.42 0.35 0.35 0.03 0.80 0.80 XXX test. 95903... .................. A Motor nerve conduction 0.60 0.59 0.59 0.05 1.24 1.24 XXX test. 95903... TC A Motor nerve conduction 0.00 0.24 0.24 0.02 0.26 0.26 XXX test. 95903... 26 A Motor nerve conduction 0.60 0.35 0.35 0.03 0.98 0.98 XXX test. 95904... .................. A Sense nerve conduction 0.34 0.55 0.55 0.05 0.94 0.94 XXX test. 95904... TC A Sense nerve conduction 0.00 0.21 0.21 0.02 0.23 0.23 XXX test. 95904... 26 A Sense nerve conduction 0.34 0.34 0.34 0.03 0.71 0.71 XXX test. 95920... .................. A Intraoperative nerve 2.11 2.67 2.67 0.20 4.98 4.98 XXX testing. 95920... TC A Intraoperative nerve 0.00 1.24 1.24 0.08 1.32 1.32 XXX testing. 95920... 26 A Intraoperative nerve 2.11 1.43 1.43 0.12 3.66 3.66 XXX testing. 95921... .................. A Autonomic nervous func 0.90 0.68 0.68 0.05 1.63 1.63 XXX test. 95921... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX test. 95921... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX test. 95922... .................. A Autonomic nervous func 0.96 0.70 0.70 0.06 1.72 1.72 XXX test. 95922... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX test. 95922... 26 A Autonomic nervous func 0.96 0.34 0.34 0.03 1.33 1.33 XXX test. 95923... .................. A Autonomic nervous func 0.90 0.68 0.68 0.05 1.63 1.63 XXX test. 95923... TC A Autonomic nervous func 0.00 0.36 0.36 0.03 0.39 0.39 XXX test. 95923... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX test. 95925... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX 95925... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX 95925... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX 95926... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX 95926... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX 95926... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX 95927... .................. A Somatosensory testing... 0.54 1.51 1.51 0.12 2.17 2.17 XXX 95927... TC A Somatosensory testing... 0.00 0.87 0.87 0.07 0.94 0.94 XXX 95927... 26 A Somatosensory testing... 0.54 0.64 0.64 0.05 1.23 1.23 XXX 95930... .................. A Visual evoked potential 0.35 0.83 0.83 0.05 1.23 1.23 XXX test. 95930... TC A Visual evoked potential 0.00 0.25 0.25 0.01 0.26 0.26 XXX test. 95930... 26 A Visual evoked potential 0.35 0.58 0.58 0.04 0.97 0.97 XXX test. 95933... .................. A Blink reflex test....... 0.59 1.25 1.25 0.10 1.94 1.94 XXX 95933... TC A Blink reflex test....... 0.00 0.75 0.75 0.06 0.81 0.81 XXX 95933... 26 A Blink reflex test....... 0.59 0.50 0.50 0.04 1.13 1.13 XXX 95934... .................. A h reflex test........... 0.51 0.54 0.54 0.05 1.10 1.10 XXX 95934... TC A h reflex test........... 0.00 0.20 0.20 0.02 0.22 0.22 XXX 95934... 26 A h reflex test........... 0.51 0.34 0.34 0.03 0.88 0.88 XXX 95936... .................. A h reflex test........... 0.55 0.54 0.54 0.05 1.14 1.14 XXX [[Page 59223]] 95936... TC A h reflex test........... 0.00 0.20 0.20 0.02 0.22 0.22 XXX 95936... 26 A h reflex test........... 0.55 0.34 0.34 0.03 0.92 0.92 XXX 95937... .................. A Neuromuscular junction 0.65 0.77 0.77 0.07 1.49 1.49 XXX test. 95937... TC A Neuromuscular junction 0.00 0.32 0.32 0.03 0.35 0.35 XXX test. 95937... 26 A Neuromuscular junction 0.65 0.45 0.45 0.04 1.14 1.14 XXX test. 95950... .................. A Ambulatory eeg 1.51 7.25 7.25 0.60 9.36 9.36 XXX monitoring. 95950... TC A Ambulatory eeg 0.00 6.04 6.04 0.50 6.54 6.54 XXX monitoring. 95950... 26 A Ambulatory eeg 1.51 1.21 1.21 0.10 2.82 2.82 XXX monitoring. 95951... .................. A EEG monitoring/ 6.00 8.83 8.83 0.64 15.47 15.47 XXX videorecord. 95951... TC A EEG monitoring/ 0.00 7.33 7.33 0.53 7.86 7.86 XXX videorecord. 95951... 26 A EEG monitoring/ 6.00 1.50 1.50 0.11 7.61 7.61 XXX videorecord. 95953... .................. A EEG monitoring/computer. 3.08 7.25 7.25 0.60 10.93 10.93 XXX 95953... TC A EEG monitoring/computer. 0.00 6.04 6.04 0.50 6.54 6.54 XXX 95953... 26 A EEG monitoring/computer. 3.08 1.21 1.21 0.10 4.39 4.39 XXX 95954... .................. A EEG monitoring/giving 2.45 2.32 2.32 0.28 5.05 5.05 XXX drugs. 95954... TC A EEG monitoring/giving 0.00 0.45 0.45 0.06 0.51 0.51 XXX drugs. 95954... 26 A EEG monitoring/giving 2.45 1.87 1.87 0.22 4.54 4.54 XXX drugs. 95955... .................. A EEG during surgery...... 1.01 2.90 2.90 0.30 4.21 4.21 XXX 95955... TC A EEG during surgery...... 0.00 1.87 1.87 0.19 2.06 2.06 XXX 95955... 26 A EEG during surgery...... 1.01 1.03 1.03 0.11 2.15 2.15 XXX 95956... .................. A EEG monitoring/cable/ 3.08 7.54 7.54 0.61 11.23 11.23 XXX radio. 95956... TC A EEG monitoring/cable/ 0.00 6.04 6.04 0.50 6.54 6.54 XXX radio. 95956... 26 A EEG monitoring/cable/ 3.08 1.50 1.50 0.11 4.69 4.69 XXX radio. 95957... .................. A EEG digital analysis.... 1.98 2.25 2.25 0.18 4.41 4.41 XXX 95957... TC A EEG digital analysis.... 0.00 1.62 1.62 0.13 1.75 1.75 XXX 95957... 26 A EEG digital analysis.... 1.98 0.63 0.63 0.05 2.66 2.66 XXX 95958... .................. A EEG monitoring/function 4.25 4.89 4.89 0.52 9.66 9.66 XXX test. 95958... TC A EEG monitoring/function 0.00 1.66 1.66 0.14 1.80 1.80 XXX test. 95958... 26 A EEG monitoring/function 4.25 3.23 3.23 0.38 7.86 7.86 XXX test. 95961... .................. A Electrode stimulation, 2.97 2.67 2.67 0.20 5.84 5.84 XXX brain. 95961... TC A Electrode stimulation, 0.00 1.24 1.24 0.08 1.32 1.32 XXX brain. 95961... 26 A Electrode stimulation, 2.97 1.43 1.43 0.12 4.52 4.52 XXX brain. 95962... .................. A Electrode stimulation, 3.21 2.67 2.67 0.20 6.08 6.08 XXX brain. 95962... TC A Electrode stimulation, 0.00 1.24 1.24 0.08 1.32 1.32 XXX brain. 95962... 26 A Electrode stimulation, 3.21 1.43 1.43 0.12 4.76 4.76 XXX brain. 95999... .................. C Neurological procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96100... .................. A Psychological testing... 0.00 1.68 1.68 0.20 1.88 1.88 XXX 96105... .................. A Assessment of aphasia... 0.00 1.68 1.68 0.20 1.88 1.88 XXX 96110... .................. C Developmental test, lim. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96111... .................. A Developmental test, 0.00 1.68 1.68 0.20 1.88 1.88 XXX extend. 96115... .................. A Neurobehavior status 0.00 1.68 1.68 0.20 1.88 1.88 XXX exam. 96117... .................. A Neuropsych test battery. 0.00 1.68 1.68 0.20 1.88 1.88 XXX 96400... .................. A Chemotherapy, (SC)/(IM). 0.00 0.13 0.13 0.01 0.14 0.14 XXX 96405... .................. A Intralesional chemo 0.52 0.38 0.38 0.03 0.93 0.93 000 admin. 96406... .................. A Intralesional chemo 0.80 0.56 0.56 0.04 1.40 1.40 000 admin. 96408... .................. A Chemotherapy, push 0.00 0.92 0.92 0.06 0.98 0.98 XXX technique. 96410... .................. A Chemotherapy, infusion 0.00 1.47 1.47 0.09 1.56 1.56 XXX method. 96412... .................. A Chemotherapy, infusion 0.00 1.10 1.10 0.08 1.18 1.18 XXX method. 96414... .................. A Chemotherapy, infusion 0.00 1.27 1.27 0.09 1.36 1.36 XXX method. 96420... .................. A Chemotherapy, push 0.00 1.19 1.19 0.09 1.28 1.28 XXX technique. 96422... .................. A Chemotherapy, infusion 0.00 1.17 1.17 0.09 1.26 1.26 XXX method. 96423... .................. A Chemotherapy, infusion 0.00 0.46 0.46 0.03 0.49 0.49 XXX method. 96425... .................. A Chemotherapy, infusion 0.00 1.36 1.36 0.09 1.45 1.45 XXX method. 96440... .................. A Chemotherapy, 2.37 0.81 0.81 0.06 3.24 3.24 000 intracavitary. 96445... .................. A Chemotherapy, 2.20 0.98 0.98 0.09 3.27 3.27 000 intracavitary. 96450... .................. A Chemotherapy, into CNS.. 1.89 0.87 0.87 0.06 2.82 2.82 000 96520... .................. A Pump refilling, 0.00 0.85 0.85 0.06 0.91 0.91 XXX maintenance. 96530... .................. A Pump refilling, 0.00 1.01 1.01 0.07 1.08 1.08 XXX maintenance. 96542... .................. A Chemotherapy injection.. 1.42 1.09 1.09 0.13 2.64 2.64 XXX 96545... .................. B Provide chemotherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. 96549... .................. C Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 XXX unspecified. 96900... .................. A Ultraviolet light 0.00 0.38 0.38 0.03 0.41 0.41 XXX therapy. 96902... .................. B Trichogram.............. +0.41 0.29 0.29 0.02 0.72 0.72 XXX 96910... .................. A Photochemotherapy with 0.00 0.55 0.55 0.04 0.59 0.59 XXX UV-B. 96912... .................. A Photochemotherapy with 0.00 0.63 0.63 0.05 0.68 0.68 XXX UV-A. 96913... .................. A Photochemotherapy, UV-A 0.00 1.29 1.29 0.10 1.39 1.39 XXX or B. 96999... .................. C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97001... .................. A Pt evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX 97002... .................. A Pt re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX 97003... .................. A Ot evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX 97004... .................. A Ot re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX 97010... .................. B Hot or cold packs +0.06 0.21 0.21 0.02 0.29 0.29 XXX therapy. 97012... .................. A Mechanical traction 0.25 0.19 0.19 0.02 0.46 0.46 XXX therapy. 97014... .................. A Electric stimulation 0.18 0.20 0.20 0.02 0.40 0.40 XXX therapy. [[Page 59224]] 97016... .................. A Vasopneumatic device 0.18 0.25 0.25 0.02 0.45 0.45 XXX therapy. 97018... .................. A Paraffin bath therapy... 0.06 0.24 0.24 0.03 0.33 0.33 XXX 97020... .................. A Microwave therapy....... 0.06 0.20 0.20 0.02 0.28 0.28 XXX 97022... .................. A Whirlpool therapy....... 0.17 0.19 0.19 0.02 0.38 0.38 XXX 97024... .................. A Diathermy treatment..... 0.06 0.21 0.21 0.02 0.29 0.29 XXX 97026... .................. A Infrared therapy........ 0.06 0.19 0.19 0.02 0.27 0.27 XXX 97028... .................. A Ultraviolet therapy..... 0.08 0.19 0.19 0.01 0.28 0.28 XXX 97032... .................. A Electrical stimulation.. 0.25 0.14 0.14 0.01 0.40 0.40 XXX 97033... .................. A Electric current therapy 0.26 0.14 0.14 0.02 0.42 0.42 XXX 97034... .................. A Contrast bath therapy... 0.21 0.10 0.10 0.01 0.32 0.32 XXX 97035... .................. A Ultrasound therapy...... 0.21 0.11 0.11 0.01 0.33 0.33 XXX 97036... .................. A Hydrotherapy............ 0.28 0.21 0.21 0.02 0.51 0.51 XXX 97039... .................. A Physical therapy 0.20 0.24 0.24 0.03 0.47 0.47 XXX treatment. 97110... .................. A Therapeutic exercises... 0.45 0.13 0.13 0.02 0.60 0.60 XXX 97112... .................. A Neuromuscular 0.45 0.13 0.13 0.01 0.59 0.59 XXX reeducation. 97113... .................. A Aquatic therapy/ 0.44 0.20 0.20 0.02 0.66 0.66 XXX exercises. 97116... .................. A Gait training therapy... 0.40 0.11 0.11 0.01 0.52 0.52 XXX 97122... .................. A Manual traction therapy. 0.42 0.11 0.11 0.01 0.54 0.54 XXX 97124... .................. A Massage therapy......... 0.35 0.11 0.11 0.01 0.47 0.47 XXX 97139... .................. A Physical medicine 0.21 0.16 0.16 0.02 0.39 0.39 XXX procedure. 97150... .................. A Group therapeutic 0.27 0.20 0.20 0.02 0.49 0.49 XXX procedures. 97250... .................. A Myofascial release...... 0.45 0.35 0.35 0.04 0.84 0.84 000 97260... .................. A Regional manipulation... 0.19 0.20 0.20 0.02 0.41 0.41 000 97261... .................. A Supplemental 0.12 0.11 0.11 0.01 0.24 0.24 000 manipulations. 97265... .................. A Joint mobilization...... 0.45 0.35 0.35 0.04 0.84 0.84 XXX 97504... .................. A Orthotic training....... 0.45 0.14 0.14 0.02 0.61 0.61 XXX 97520... .................. A Prosthetic training..... 0.45 0.15 0.15 0.02 0.62 0.62 XXX 97530... .................. A Therapeutic activities.. 0.44 0.17 0.17 0.02 0.63 0.63 XXX 97535... .................. A Self care mngment 0.45 0.17 0.17 0.02 0.64 0.64 XXX training. 97537... .................. A Community/work 0.45 0.17 0.17 0.02 0.64 0.64 XXX reintegration. 97542... .................. A Wheelchair mngement 0.25 0.17 0.17 0.02 0.44 0.44 XXX training. 97545... .................. R Work hardening.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97546... .................. R Work hardening.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97703... .................. A Prosthetic checkout..... 0.25 0.18 0.18 0.03 0.46 0.46 XXX 97750... .................. A Physical performance 0.45 0.24 0.24 0.03 0.72 0.72 XXX test. 97770... .................. A Cognitive skills 0.44 0.28 0.28 0.03 0.75 0.75 XXX development. 97780... .................. N Acupuncture w/o stim.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97781... .................. N Acupuncture w/stim...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97799... .................. C Physical medicine 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 98925... .................. A Osteopathic manipulation 0.45 0.25 0.25 0.02 0.72 0.72 000 98926... .................. A Osteopathic manipulation 0.65 0.40 0.40 0.03 1.08 1.08 000 98927... .................. A Osteopathic manipulation 0.87 0.38 0.38 0.03 1.28 1.28 000 98928... .................. A Osteopathic manipulation 1.03 0.42 0.42 0.04 1.49 1.49 000 98929... .................. A Osteopathic manipulation 1.19 0.39 0.39 0.03 1.61 1.61 000 98940... .................. A Chiropractic 0.45 0.29 0.29 0.01 0.75 0.75 000 manipulation. 98941... .................. A Chiropractic 0.65 0.29 0.29 0.01 0.95 0.95 000 manipulation. 98942... .................. A Chiropractic 0.87 0.29 0.29 0.01 1.17 1.17 000 manipulation. 98943... .................. N Chiropractic +0.40 0.29 0.29 0.01 0.70 0.70 XXX manipulation. 99000... .................. B Specimen handling....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99001... .................. B Specimen handling....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99002... .................. B Device handling......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99024... .................. B Post-op follow-up visit. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99025... .................. B Initial surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX evaluation. 99050... .................. B Medical services after 0.00 0.00 0.00 0.00 0.00 0.00 XXX hrs. 99052... .................. B Medical services at 0.00 0.00 0.00 0.00 0.00 0.00 XXX night. 99054... .................. B Medical services, 0.00 0.00 0.00 0.00 0.00 0.00 XXX unusual hrs. 99056... .................. B Non-office medical 0.00 0.00 0.00 0.00 0.00 0.00 XXX services. 99058... .................. B Office emergency care... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99070... .................. B Special supplies........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99071... .................. B Patient education 0.00 0.00 0.00 0.00 0.00 0.00 XXX materials. 99075... .................. N Medical testimony....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99078... .................. B Group health education.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99080... .................. B Special reports or forms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99082... .................. C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99090... .................. B Computer data analysis.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99100... .................. B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. 99116... .................. B Anesthesia with 0.00 0.00 0.00 0.00 0.00 0.00 XXX hypothermia. 99135... .................. B Special anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedure. 99140... .................. B Emergency anesthesia.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99141... .................. B Sedation, iv/im or +0.80 0.83 0.83 0.05 1.68 1.68 XXX inhalant. 99142... .................. B Sedation, oral/rectal/ +0.60 0.62 0.62 0.04 1.26 1.26 XXX nasal. 99175... .................. A Induction of vomiting... 0.00 1.33 1.33 0.10 1.43 1.43 XXX 99183... .................. A Hyperbaric oxygen 2.34 1.67 1.67 0.11 4.12 4.12 XXX therapy. 99185... .................. A Regional hypothermia.... 0.00 0.61 0.61 0.04 0.65 0.65 XXX [[Page 59225]] 99186... .................. A Total body hypothermia.. 0.00 1.70 1.70 0.52 2.22 2.22 XXX 99190... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99191... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99192... .................. X Special pump services... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99195... .................. A Phlebotomy.............. 0.00 0.42 0.42 0.03 0.45 0.45 XXX 99199... .................. C Special service or 0.00 0.00 0.00 0.00 0.00 0.00 XXX report. 99201... .................. A Office/outpatient visit, 0.45 0.42 0.37 0.04 0.91 0.86 XXX new. 99202... .................. A Office/outpatient visit, 0.88 0.51 0.45 0.05 1.44 1.38 XXX new. 99203... .................. A Office/outpatient visit, 1.34 0.59 0.52 0.06 1.99 1.92 XXX new. 99204... .................. A Office/outpatient visit, 2.00 0.88 0.78 0.08 2.96 2.86 XXX new. 99205... .................. A Office/outpatient visit, 2.67 0.96 0.85 0.09 3.72 3.61 XXX new. 99211... .................. A Office/outpatient visit, 0.17 0.21 0.19 0.02 0.40 0.38 XXX est. 99212... .................. A Office/outpatient visit, 0.45 0.32 0.28 0.02 0.79 0.75 XXX est. 99213... .................. A Office/outpatient visit, 0.67 0.43 0.38 0.03 1.13 1.08 XXX est. 99214... .................. A Office/outpatient visit, 1.10 0.57 0.50 0.04 1.71 1.64 XXX est. 99215... .................. A Office/outpatient visit, 1.77 0.86 0.76 0.07 2.70 2.60 XXX est. 99217... .................. A Observation care 1.28 0.52 0.52 0.04 1.84 1.84 XXX discharge. 99218... .................. A Observation care........ 1.28 0.68 0.68 0.06 2.02 2.02 XXX 99219... .................. A Observation care........ 2.14 1.05 1.05 0.09 3.28 3.28 XXX 99220... .................. A Observation care........ 2.99 1.14 1.14 0.09 4.22 4.22 XXX 99221... .................. A Initial hospital care... 1.28 0.67 0.67 0.06 2.01 2.01 XXX 99222... .................. A Initial hospital care... 2.14 1.04 1.04 0.09 3.27 3.27 XXX 99223... .................. A Initial hospital care... 2.99 1.13 1.13 0.08 4.20 4.20 XXX 99231... .................. A Subsequent hospital care 0.64 0.38 0.38 0.03 1.05 1.05 XXX 99232... .................. A Subsequent hospital care 1.06 0.45 0.45 0.04 1.55 1.55 XXX 99233... .................. A Subsequent hospital care 1.51 0.60 0.60 0.05 2.16 2.16 XXX 99234... .................. A Observ/hosp same date... 2.56 0.68 0.68 0.06 3.30 3.30 XXX 99235... .................. A Observ/hosp same date... 3.42 1.05 1.05 0.09 4.56 4.56 XXX 99236... .................. A Observ/hosp same date... 4.27 1.14 1.14 0.09 5.50 5.50 XXX 99238... .................. A Hospital discharge day.. 1.28 0.51 0.51 0.04 1.83 1.83 XXX 99239... .................. A Hospital discharge day.. 1.75 0.51 0.51 0.04 2.30 2.30 XXX 99241... .................. A Office consultation..... 0.64 0.64 0.64 0.08 1.36 1.36 XXX 99242... .................. A Office consultation..... 1.29 0.77 0.77 0.09 2.15 2.15 XXX 99243... .................. A Office consultation..... 1.72 0.97 0.97 0.10 2.79 2.79 XXX 99244... .................. A Office consultation..... 2.58 1.23 1.23 0.11 3.92 3.92 XXX 99245... .................. A Office consultation..... 3.43 1.69 1.69 0.16 5.28 5.28 XXX 99251... .................. A Initial inpatient 0.66 0.67 0.67 0.08 1.41 1.41 XXX consult. 99252... .................. A Initial inpatient 1.32 0.76 0.76 0.09 2.17 2.17 XXX consult. 99253... .................. A Initial inpatient 1.82 0.95 0.95 0.10 2.87 2.87 XXX consult. 99254... .................. A Initial inpatient 2.64 1.20 1.20 0.11 3.95 3.95 XXX consult. 99255... .................. A Initial inpatient 3.65 1.57 1.57 0.14 5.36 5.36 XXX consult. 99261... .................. A Follow-up inpatient 0.42 0.33 0.33 0.03 0.78 0.78 XXX consult. 99262... .................. A Follow-up inpatient 0.85 0.46 0.46 0.04 1.35 1.35 XXX consult. 99263... .................. A Follow-up inpatient 1.27 0.67 0.67 0.04 1.98 1.98 XXX consult. 99271... .................. A Confirmatory 0.45 0.58 0.58 0.07 1.10 1.10 XXX consultation. 99272... .................. A Confirmatory 0.84 0.71 0.71 0.09 1.64 1.64 XXX consultation. 99273... .................. A Confirmatory 1.19 1.02 1.02 0.11 2.32 2.32 XXX consultation. 99274... .................. A Confirmatory 1.73 1.22 1.22 0.11 3.06 3.06 XXX consultation. 99275... .................. A Confirmatory 2.31 1.74 1.74 0.17 4.22 4.22 XXX consultation. 99281... .................. A Emergency dept visit.... 0.33 0.28 0.28 0.01 0.62 0.62 XXX 99282... .................. A Emergency dept visit.... 0.55 0.38 0.38 0.03 0.96 0.96 XXX 99283... .................. A Emergency dept visit.... 1.24 0.49 0.49 0.04 1.77 1.77 XXX 99284... .................. A Emergency dept visit.... 1.95 0.70 0.70 0.06 2.71 2.71 XXX 99285... .................. A Emergency dept visit.... 3.06 1.13 1.13 0.08 4.27 4.27 XXX 99288... .................. B Direct advanced life 0.00 0.00 0.00 0.00 0.00 0.00 XXX support. 99291... .................. A Critical care, first 4.00 1.43 1.43 0.11 5.54 5.54 XXX hour. 99292... .................. A Critical care, addl 30 2.00 0.63 0.63 0.04 2.67 2.67 XXX min. 99295... .................. A Neonatal critical care.. 16.00 5.08 5.08 1.55 22.63 22.63 XXX 99296... .................. A Neonatal critical care.. 8.00 2.46 2.46 0.77 11.23 11.23 XXX 99297... .................. A Neonatal critical care.. 4.00 1.23 1.23 0.38 5.61 5.61 XXX 99301... .................. A Nursing facility care... 1.20 0.45 0.45 0.03 1.68 1.68 XXX 99302... .................. A Nursing facility care... 1.61 0.50 0.50 0.04 2.15 2.15 XXX 99303... .................. A Nursing facility care... 2.01 0.95 0.95 0.07 3.03 3.03 XXX 99311... .................. A Nursing facility care, 0.60 0.34 0.34 0.03 0.97 0.97 XXX subseq. 99312... .................. A Nursing facility care, 1.00 0.41 0.41 0.03 1.44 1.44 XXX subseq. 99313... .................. A Nursing facility care, 1.42 0.46 0.46 0.04 1.92 1.92 XXX subseq. 99315... .................. A Nursing fac discharge 1.13 0.51 0.51 0.04 1.68 1.68 XXX day. 99316... .................. A Nursing fac discharge 1.50 0.51 0.51 0.04 2.05 2.05 XXX day. 99321... .................. A Rest home visit, new 0.71 0.37 0.37 0.03 1.11 1.11 XXX patient. 99322... .................. A Rest home visit, new 1.01 0.51 0.51 0.05 1.57 1.57 XXX patient. 99323... .................. A Rest home visit, new 1.28 0.73 0.73 0.06 2.07 2.07 XXX patient. 99331... .................. A Rest home visit, estab 0.60 0.28 0.28 0.02 0.90 0.90 XXX pat. 99332... .................. A Rest home visit, estab 0.80 0.36 0.36 0.03 1.19 1.19 XXX pat. 99333... .................. A Rest home visit, estab 1.00 0.44 0.44 0.02 1.46 1.46 XXX pat. [[Page 59226]] 99341... .................. A Home visit, new patient. 1.01 0.53 0.53 0.05 1.59 1.59 XXX 99342... .................. A Home visit, new patient. 1.52 0.60 0.60 0.05 2.17 2.17 XXX 99343... .................. A Home visit, new patient. 2.27 0.77 0.77 0.06 3.10 3.10 XXX 99344... .................. A Home visit, new patient. 3.03 0.85 0.85 0.09 3.97 3.97 XXX 99345... .................. A Home visit, new patient. 3.79 0.85 0.85 0.09 4.73 4.73 XXX 99347... .................. A Home visit, estab 0.76 0.45 0.45 0.04 1.25 1.25 XXX patient. 99348... .................. A Home visit, estab 1.26 0.53 0.53 0.04 1.83 1.83 XXX patient. 99349... .................. A Home visit, estab 2.02 0.61 0.61 0.05 2.68 2.68 XXX patient. 99350... .................. A Home visit, estab 3.03 0.76 0.76 0.07 3.86 3.86 XXX patient. 99351... .................. D Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX patient. 99352... .................. D Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX patient. 99353... .................. D 12/Home visit, estab 0.00 0.00 0.00 0.00 0.00 0.00 XXX patient. 99354... .................. A Prolonged service, 1.77 0.76 0.76 0.07 2.60 2.60 XXX office. 99355... .................. A Prolonged service, 1.77 0.76 0.76 0.07 2.60 2.60 XXX office. 99356... .................. A Prolonged service, 1.71 0.85 0.85 0.08 2.64 2.64 XXX inpatient. 99357... .................. A Prolonged service, 1.71 0.85 0.85 0.08 2.64 2.64 XXX inpatient. 99358... .................. B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX contact. 99359... .................. B Prolonged serv, w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX contact. 99360... .................. X Physician standby 0.00 0.00 0.00 0.00 0.00 0.00 XXX services. 99361... .................. B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 XXX conference. 99362... .................. B Physician/team 0.00 0.00 0.00 0.00 0.00 0.00 XXX conference. 99371... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX consultation. 99372... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX consultation. 99373... .................. B Physician phone 0.00 0.00 0.00 0.00 0.00 0.00 XXX consultation. 99374... .................. B Home health care +1.10 0.51 0.51 0.04 1.65 1.65 XXX supervision. 99375... .................. A Home health care 1.73 0.51 0.51 0.04 2.28 2.28 XXX supervision. 99376... .................. D 1Care plan oversight/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 60. 99377... .................. B Hospice care supervision +1.10 0.51 0.51 0.04 1.65 1.65 XXX 99378... .................. A Hospice care supervision 1.73 0.51 0.51 0.04 2.28 2.28 XXX 99379... .................. B Nursing fac care +1.10 0.51 0.51 0.04 1.65 1.65 XXX supervision. 99380... .................. B Nursing fac care +1.73 0.51 0.51 0.04 2.28 2.28 XXX supervision. 99381... .................. N Preventive visit, new, +1.19 1.23 1.23 0.08 2.50 2.50 XXX infant. 99382... .................. N Preventive visit, new, +1.36 1.41 1.41 0.09 2.86 2.86 XXX age 1-4. 99383... .................. N Preventive visit, new, +1.36 1.41 1.41 0.09 2.86 2.86 XXX age 5-11. 99384... .................. N Preventive visit, new, +1.53 1.59 1.59 0.10 3.22 3.22 XXX 12-17. 99385... .................. N Preventive visit, new, +1.53 1.40 1.40 0.09 3.02 3.02 XXX 18-39. 99386... .................. N Preventive visit, new, +1.88 1.72 1.72 0.10 3.70 3.70 XXX 40-64. 99387... .................. N Preventive visit, new, +2.06 1.88 1.88 0.11 4.05 4.05 XXX 65 & over. 99391... .................. N Preventive visit, est, +1.02 1.06 1.06 0.07 2.15 2.15 XXX infant. 99392... .................. N Preventive visit, est, +1.19 1.23 1.23 0.08 2.50 2.50 XXX age 1-4. 99393... .................. N Preventive visit, est, +1.19 1.23 1.23 0.08 2.50 2.50 XXX age 5-11. 99394... .................. N Preventive visit, est, +1.36 1.41 1.41 0.09 2.86 2.86 XXX 12-17. 99395... .................. N Preventive visit, est, +1.36 1.25 1.25 0.08 2.69 2.69 XXX 18-39. 99396... .................. N Preventive visit, est, +1.53 1.40 1.40 0.09 3.02 3.02 XXX 40-64. 99397... .................. N Preventive visit, est, +1.71 1.56 1.56 0.10 3.37 3.37 XXX 65 & over. 99401... .................. N Preventive counseling, +0.48 0.45 0.45 0.03 0.96 0.96 XXX indiv. 99402... .................. N Preventive counseling, +0.98 0.89 0.89 0.05 1.92 1.92 XXX indiv. 99403... .................. N Preventive counseling, +1.46 1.34 1.34 0.08 2.88 2.88 XXX indiv. 99404... .................. N Preventive counseling, +1.95 1.78 1.78 0.11 3.84 3.84 XXX indiv. 99411... .................. N Preventive counseling, +0.15 0.14 0.14 0.01 0.30 0.30 XXX group. 99412... .................. N Preventive counseling, +0.25 0.23 0.23 0.01 0.49 0.49 XXX group. 99420... .................. N Health risk assessment 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. 99429... .................. N Unlisted preventive 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. 99431... .................. A Initial care, normal 1.17 1.21 1.21 0.08 2.46 2.46 XXX newborn. 99432... .................. A Newborn care not in 1.26 1.31 1.31 0.08 2.65 2.65 XXX hospital. 99433... .................. A Normal newborn care, 0.62 0.64 0.64 0.04 1.30 1.30 XXX hospital. 99435... .................. A Hospital NB discharge 1.50 1.55 1.55 0.10 3.15 3.15 XXX day. 99436... .................. A Attendance, birth....... 1.50 1.55 1.55 0.10 3.15 3.15 XXX 99440... .................. A Newborn resuscitation... 2.93 3.04 3.04 0.19 6.16 6.16 XXX 99450... .................. N Life/disability 0.00 0.00 0.00 0.00 0.00 0.00 XXX evaluation. 99455... .................. R Disability examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99456... .................. R Disability examination.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99499... .................. C Unlisted E/M service.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0021... .................. I Outside state ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX serv. A0030... .................. X Air ambulance service... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0040... .................. X Helicopter ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. A0050... .................. X Water amb service 0.00 0.00 0.00 0.00 0.00 0.00 XXX emergency. A0080... .................. I Noninterest escort in 0.00 0.00 0.00 0.00 0.00 0.00 XXX non er. A0090... .................. I Interest escort in non 0.00 0.00 0.00 0.00 0.00 0.00 XXX er. A0100... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX taxi. A0110... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX bus. A0120... .................. I Noner transport mini-bus 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0130... .................. I Noner transport wheelch 0.00 0.00 0.00 0.00 0.00 0.00 XXX van. A0140... .................. I Nonemergency transport 0.00 0.00 0.00 0.00 0.00 0.00 XXX air. [[Page 59227]] A0160... .................. I Noner transport case 0.00 0.00 0.00 0.00 0.00 0.00 XXX worker. A0170... .................. I Noner transport parking 0.00 0.00 0.00 0.00 0.00 0.00 XXX fees. A0180... .................. I Noner transport lodgng 0.00 0.00 0.00 0.00 0.00 0.00 XXX recip. A0190... .................. I Noner transport meals 0.00 0.00 0.00 0.00 0.00 0.00 XXX recip. A0200... .................. I Noner transport lodgng 0.00 0.00 0.00 0.00 0.00 0.00 XXX escrt. A0210... .................. I Noner transport meals 0.00 0.00 0.00 0.00 0.00 0.00 XXX escort. A0225... .................. X Neonatal emergency 0.00 0.00 0.00 0.00 0.00 0.00 XXX transport. A0300... .................. X Ambulance basic non-emer 0.00 0.00 0.00 0.00 0.00 0.00 XXX all. A0302... .................. X Ambulance basic emergeny 0.00 0.00 0.00 0.00 0.00 0.00 XXX all. A0304... .................. X Amb adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX all. A0306... .................. X Amb adv non-er spec serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX all. A0308... .................. X Amb adv er no spec serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX all. A0310... .................. X Amb adv er spec serv all 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0320... .................. X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A0322... .................. X Amb basic emerg + 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A0324... .................. X Adv non-er serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0326... .................. X Adv non-er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX mile. A0328... .................. X Adv er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0330... .................. X Adv er spec serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX mile. A0340... .................. X Amb basic non-er + 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0342... .................. X Ambul basic emer + 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0344... .................. X Amb adv non-er no serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX +mile. A0346... .................. X Amb adv non-er serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX mile. A0348... .................. X Adv emer no spec serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX mile. A0350... .................. X Adv emer spec serv + 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0360... .................. X Basic non-er sep mile & 0.00 0.00 0.00 0.00 0.00 0.00 XXX supp. A0362... .................. X Basic emer sep mile & 0.00 0.00 0.00 0.00 0.00 0.00 XXX supply. A0364... .................. X Adv non-er no serv sep 0.00 0.00 0.00 0.00 0.00 0.00 XXX mi & su. A0366... .................. X Adv non-er serv sep mil 0.00 0.00 0.00 0.00 0.00 0.00 XXX & supp. A0368... .................. X Adv er no serv sep mile 0.00 0.00 0.00 0.00 0.00 0.00 XXX & supp. A0370... .................. X Adv er spec serv sep mi 0.00 0.00 0.00 0.00 0.00 0.00 XXX & supp. A0380... .................. X Basic life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0382... .................. X Basic support routine 0.00 0.00 0.00 0.00 0.00 0.00 XXX suppls. A0384... .................. X Bls defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A0390... .................. X Advanced life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileag. A0392... .................. X Als defibrillation 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A0394... .................. X Als IV drug therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A0396... .................. X Als esophageal intub 0.00 0.00 0.00 0.00 0.00 0.00 XXX suppls. A0398... .................. X Als routine disposble 0.00 0.00 0.00 0.00 0.00 0.00 XXX suppls. A0420... .................. X Ambulance waiting 1/2 hr 0.00 0.00 0.00 0.00 0.00 0.00 XXX A0422... .................. X Ambulance 02 life 0.00 0.00 0.00 0.00 0.00 0.00 XXX sustaining. A0424... .................. X Extra ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX attendant. A0888... .................. N Noncovered ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX mileage. A0999... .................. X Unlisted ambulance 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. A2000... .................. D Chiropractor manip of 0.00 0.00 0.00 0.00 0.00 0.00 XXX spine. A4206... .................. P 1 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4207... .................. P 2 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4208... .................. P 3 CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4209... .................. P 5+ CC sterile syringe & 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4210... .................. N Nonneedle injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX device. A4211... .................. P Supp for self-adm 0.00 0.00 0.00 0.00 0.00 0.00 XXX injections. A4212... .................. P Non coring needle or 0.00 0.00 0.00 0.00 0.00 0.00 XXX stylet. A4213... .................. P 20+ CC syringe only..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4214... .................. P 30 CC sterile water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX saline. A4215... .................. P Sterile needle.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4220... .................. P Infusion pump refill kit 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4221... .................. X Maint drug infus cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX per wk. A4222... .................. X Drug infusion pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX supplies. A4230... .................. N Infus insulin pump non 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4231... .................. N Infusion insulin pump 0.00 0.00 0.00 0.00 0.00 0.00 XXX needle. A4232... .................. N Syringe w/needle insulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3cc. A4244... .................. P Alcohol or peroxide per 0.00 0.00 0.00 0.00 0.00 0.00 XXX pint. A4245... .................. P Alcohol wipes per box... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4246... .................. P Betadine/phisohex 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. A4247... .................. P Betadine/iodine swabs/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX wipes. A4250... .................. N Urine reagent strips/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX tablets. A4253... .................. P Blood glucose/reagent 0.00 0.00 0.00 0.00 0.00 0.00 XXX strips. A4254... .................. X Battery for glucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX monitor. A4255... .................. X Glucose monitor 0.00 0.00 0.00 0.00 0.00 0.00 XXX platforms. A4256... .................. P Calibrator solution/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX chips. A4258... .................. P Lancet device each...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4259... .................. P Lancets per box......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4260... .................. N Levonorgestrel implant.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4262... .................. B Temporary tear duct plug 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59228]] A4263... .................. A Permanent tear duct plug 0.00 0.95 0.95 0.00 0.95 0.95 XXX A4265... .................. P Paraffin................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4270... .................. B Disposable endoscope 0.00 0.00 0.00 0.00 0.00 0.00 XXX sheath. A4300... .................. A Cath impl vasc access 0.00 0.95 0.95 0.00 0.95 0.95 XXX portal. A4301... .................. P Implantable access syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX perc. A4305... .................. P Drug delivery system 0.00 0.00 0.00 0.00 0.00 0.00 XXX >=50 ML. A4306... .................. P Drug delivery system <=5 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. A4310... .................. P Insert tray w/o bag/cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4311... .................. P Catheter w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX latex. A4312... .................. P Cath w/o bag 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX silicone. A4313... .................. P Catheter w/bag 3-way.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4314... .................. P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX latex. A4315... .................. P Cath w/drainage 2-way 0.00 0.00 0.00 0.00 0.00 0.00 XXX silcne. A4316... .................. P Cath w/drainage 3-way... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4320... .................. P Irrigation tray......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4321... .................. X Cath therapeutic irrig 0.00 0.00 0.00 0.00 0.00 0.00 XXX agent. A4322... .................. P Irrigation syringe...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4323... .................. P Saline irrigation 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. A4326... .................. P Male external catheter.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4327... .................. P Fem urinary collect dev 0.00 0.00 0.00 0.00 0.00 0.00 XXX cup. A4328... .................. P Fem urinary collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX pouch. A4329... .................. P External catheter start 0.00 0.00 0.00 0.00 0.00 0.00 XXX set. A4330... .................. P Stool collection pouch.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4335... .................. P Incontinence supply..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4338... .................. P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX latex. A4340... .................. P Indwelling catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX special. A4344... .................. P Cath indw foley 2 way 0.00 0.00 0.00 0.00 0.00 0.00 XXX silicn. A4346... .................. P Cath indw foley 3 way... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4347... .................. P Male external catheter.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4351... .................. P Straight tip urine 0.00 0.00 0.00 0.00 0.00 0.00 XXX catheter. A4352... .................. P Coude tip urinary 0.00 0.00 0.00 0.00 0.00 0.00 XXX catheter. A4353... .................. X Intermittent urinary 0.00 0.00 0.00 0.00 0.00 0.00 XXX cath. A4354... .................. P Cath insertion tray w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bag. A4355... .................. P Bladder irrigation 0.00 0.00 0.00 0.00 0.00 0.00 XXX tubing. A4356... .................. P Ext ureth clmp or compr 0.00 0.00 0.00 0.00 0.00 0.00 XXX dvc. A4357... .................. P Bedside drainage bag.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4358... .................. P Urinary leg bag......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4359... .................. P Urinary suspensory w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX leg b. A4361... .................. P Ostomy face plate....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4362... .................. P Solid skin barrier...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4363... .................. P Liquid skin barrier..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4364... .................. P Ostomy/cath adhesive.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4365... .................. X Ostomy adhesive remover 0.00 0.00 0.00 0.00 0.00 0.00 XXX wipe. A4367... .................. P Ostomy belt............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4368... .................. X Ostomy filter........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4397... .................. P Irrigation supply sleeve 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4398... .................. P Ostomy irrigation bag... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4399... .................. P Ostomy irrig cone/cath w 0.00 0.00 0.00 0.00 0.00 0.00 XXX brs. A4400... .................. P Ostomy irrigation set... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4402... .................. P Lubricant per ounce..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4404... .................. P Ostomy ring each........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4421... .................. P Ostomy supply misc...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4454... .................. P Tape all types all sizes 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4455... .................. P Adhesive remover per 0.00 0.00 0.00 0.00 0.00 0.00 XXX ounce. A4460... .................. P Elastic compression 0.00 0.00 0.00 0.00 0.00 0.00 XXX bandage. A4462... .................. X Abdmnl drssng holder/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX binder. A4465... .................. P Non-elastic extremity 0.00 0.00 0.00 0.00 0.00 0.00 XXX binder. A4470... .................. P Gravlee jet washer...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4480... .................. P Vabra aspirator......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4481... .................. X Tracheostoma filter..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4490... .................. N Above knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX stocking. A4495... .................. N Thigh length surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX stocking. A4500... .................. N Below knee surgical 0.00 0.00 0.00 0.00 0.00 0.00 XXX stocking. A4510... .................. N Full length surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX stocking. A4550... .................. A Surgical trays.......... 0.00 0.95 0.95 0.00 0.95 0.95 XXX A4554... .................. N Disposable underpads.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4556... .................. P Electrodes.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4557... .................. P Lead wires.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4558... .................. P Conductive paste or gel. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4560... .................. X Pessary................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4565... .................. X Slings.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4570... .................. X Splint.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4572... .................. X Rib belt................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4575... .................. N Hyperbaric o2 chamber 0.00 0.00 0.00 0.00 0.00 0.00 XXX disps. [[Page 59229]] A4580... .................. X Cast supplies (plaster). 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4590... .................. X Special casting material 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4595... .................. X TENS suppl 2 lead per 0.00 0.00 0.00 0.00 0.00 0.00 XXX month. A4611... .................. X Heavy duty battery...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4612... .................. X Battery cables.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4613... .................. X Battery charger......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4615... .................. X Cannula nasal........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4616... .................. X Tubing (oxygen) per foot 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4617... .................. X Mouth piece............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4618... .................. X Breathing circuits...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4619... .................. X Face tent............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4620... .................. X Variable concentration 0.00 0.00 0.00 0.00 0.00 0.00 XXX mask. A4621... .................. X Tracheotomy mask or 0.00 0.00 0.00 0.00 0.00 0.00 XXX collar. A4622... .................. X Tracheostomy or 0.00 0.00 0.00 0.00 0.00 0.00 XXX larngectomy. A4623... .................. X Tracheostomy inner 0.00 0.00 0.00 0.00 0.00 0.00 XXX cannula. A4624... .................. X Tracheal suction tube... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4625... .................. X Trach care kit for new 0.00 0.00 0.00 0.00 0.00 0.00 XXX trach. A4626... .................. X Tracheostomy cleaning 0.00 0.00 0.00 0.00 0.00 0.00 XXX brush. A4627... .................. N Spacer bag/reservoir.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4628... .................. X Oropharyngeal suction 0.00 0.00 0.00 0.00 0.00 0.00 XXX cath. A4629... .................. X Tracheostomy care kit... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4630... .................. X Repl bat t.e.n.s. own by 0.00 0.00 0.00 0.00 0.00 0.00 XXX pt. A4631... .................. X Wheelchair battery...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4635... .................. X Underarm crutch pad..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4636... .................. X Handgrip for cane etc... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4637... .................. X Repl tip cane/crutch/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX walker. A4640... .................. X Alternating pressure pad 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4641... .................. E Diagnostic imaging agent 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4642... .................. E Satumomab pendetide per 0.00 0.00 0.00 0.00 0.00 0.00 XXX dose. A4643... .................. E High dose contrast MRI.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4644... .................. E Contrast 100-199 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX iodine. A4645... .................. E Contrast 200-299 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX iodine. A4646... .................. E Contrast 300-399 MGs 0.00 0.00 0.00 0.00 0.00 0.00 XXX iodine. A4647... .................. B Supp- paramagnetic contr 0.00 0.00 0.00 0.00 0.00 0.00 XXX mat. A4649... .................. P Surgical supplies....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4650... .................. X Supp esrd centrifuge.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4655... .................. X Esrd syringe/needle..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4660... .................. X Esrd blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX device. A4663... .................. X Esrd blood pressure cuff 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4670... .................. N Auto blood pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX monitor. A4680... .................. X Activated carbon filters 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4690... .................. X Dialyzers............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4700... .................. X Standard dialysate 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. A4705... .................. X Bicarb dialysate 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. A4712... .................. X Sterile water........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4714... .................. X Treated water for 0.00 0.00 0.00 0.00 0.00 0.00 XXX dialysis. A4730... .................. X Fistula cannulation set 0.00 0.00 0.00 0.00 0.00 0.00 XXX dial. A4735... .................. X Local/topical 0.00 0.00 0.00 0.00 0.00 0.00 XXX anesthetics. A4740... .................. X Esrd shunt accessory.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4750... .................. X Arterial or venous 0.00 0.00 0.00 0.00 0.00 0.00 XXX tubing. A4755... .................. X Arterial and venous 0.00 0.00 0.00 0.00 0.00 0.00 XXX tubing. A4760... .................. X Standard testing 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. A4765... .................. X Dialysate concentrate... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4770... .................. X Blood testing supplies.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4771... .................. X Blood clotting time tube 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4772... .................. X Dextrostick/glucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX strips. A4773... .................. X Hemostix................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4774... .................. X Ammonia test paper...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4780... .................. X Esrd sterilizing agent.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4790... .................. X Esrd cleansing agents... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4800... .................. X Heparin/antidote 0.00 0.00 0.00 0.00 0.00 0.00 XXX dialysis. A4820... .................. X Supplies hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX kit. A4850... .................. X Rubber tipped hemostats. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4860... .................. X Disposable catheter caps 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4870... .................. X Plumbing/electrical work 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4880... .................. X Water storage tanks..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4890... .................. R Contracts/repair/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX maintenance. A4900... .................. X Capd supply kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4901... .................. X Ccpd supply kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4905... .................. X Ipd supply kit.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4910... .................. X Esrd nonmedical supplies 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4912... .................. X Gomco drain bottle...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4913... .................. X Esrd supply............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4914... .................. X Preparation kit......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59230]] A4918... .................. X Venous pressure clamp... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4919... .................. X Supp dialysis dialyzer 0.00 0.00 0.00 0.00 0.00 0.00 XXX holde. A4920... .................. X Harvard pressure clamp.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4921... .................. X Measuring cylinder...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4927... .................. X Gloves.................. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5051... .................. P Pouch clsd w barr 0.00 0.00 0.00 0.00 0.00 0.00 XXX attached. A5052... .................. P Clsd ostomy pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX barr. A5053... .................. P Clsd ostomy pouch 0.00 0.00 0.00 0.00 0.00 0.00 XXX faceplate. A5054... .................. P Clsd ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX flange. A5055... .................. P Stoma cap............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5061... .................. P Pouch drainable w 0.00 0.00 0.00 0.00 0.00 0.00 XXX barrier at. A5062... .................. P Drnble ostomy pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX barr. A5063... .................. P Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX flange. A5064... .................. I Drain ostomy pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX fceplte. A5065... .................. I Drain ostomy pouch on 0.00 0.00 0.00 0.00 0.00 0.00 XXX fcplte. A5071... .................. P Urinary pouch w/barrier. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5072... .................. P Urinary pouch w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX barrier. A5073... .................. P Urinary pouch on barr w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX flng. A5074... .................. I Urinary pouch w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX faceplate. A5075... .................. I Urinary pouch on 0.00 0.00 0.00 0.00 0.00 0.00 XXX faceplate. A5081... .................. P Continent stoma plug.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5082... .................. P Continent stoma catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5093... .................. P Ostomy accessory convex 0.00 0.00 0.00 0.00 0.00 0.00 XXX inse. A5102... .................. P Bedside drain btl w/wo 0.00 0.00 0.00 0.00 0.00 0.00 XXX tube. A5105... .................. P Urinary suspensory...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5112... .................. P Urinary leg bag......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5113... .................. P Latex leg strap......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5114... .................. P Foam/fabric leg strap... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5119... .................. P Skin barrier wipes box 0.00 0.00 0.00 0.00 0.00 0.00 XXX pr 50. A5121... .................. P Solid skin barrier 6x6.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5122... .................. P Solid skin barrier 8x8.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5123... .................. P Skin barrier with flange 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5126... .................. P Adhesive disc/foam pad.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5131... .................. P Appliance cleaner....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5149... .................. P Incontinence/ostomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX supply. A5500... .................. X Diab shoe for density 0.00 0.00 0.00 0.00 0.00 0.00 XXX insert. A5501... .................. X Diabetic custom molded 0.00 0.00 0.00 0.00 0.00 0.00 XXX shoe. A5502... .................. X Diabetic shoe density 0.00 0.00 0.00 0.00 0.00 0.00 XXX insert. A5503... .................. X Diabetic shoe w/roller/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX rockr. A5504... .................. X Diabetic shoe with wedge 0.00 0.00 0.00 0.00 0.00 0.00 XXX A5505... .................. X Diab shoe w/metatarsal 0.00 0.00 0.00 0.00 0.00 0.00 XXX bar. A5506... .................. X Diabetic shoe w/off set 0.00 0.00 0.00 0.00 0.00 0.00 XXX heel. A5507... .................. X Modification diabetic 0.00 0.00 0.00 0.00 0.00 0.00 XXX shoe. A6020... .................. P Collagen dressing cover 0.00 0.00 0.00 0.00 0.00 0.00 XXX ea. A6025... .................. I Silicone gel sheet, each 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6154... .................. P Wound pouch each........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6196... .................. P Alginate dressing <=16 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6197... .................. P Alginate drsg 16 <=48 sq in. A6198... .................. P alginate dressing > 48 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6199... .................. P Alginate drsg wound 0.00 0.00 0.00 0.00 0.00 0.00 XXX filler. A6203... .................. P Composite drsg <=16 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX in. A6204... .................. P Composite drsg >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6205... .................. P Composite drsg >48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6206... .................. P Contact layer <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6207... .................. P Contact layer >16<=48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX in. A6208... .................. P Contact layer >48 sq in. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6209... .................. P Foam drsg <=16 sq in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6210... .................. P Foam drg >16<=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6211... .................. P Foam drg >48 sq in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX brdr. A6212... .................. P Foam drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX border. A6213... .................. P Foam drg >16<=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6214... .................. P Foam drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX border. A6215... .................. P Foam dressing wound 0.00 0.00 0.00 0.00 0.00 0.00 XXX filler. A6216... .................. P Non-sterile gauze <=16 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6217... .................. P Non-sterile gauze 0.00 0.00 0.00 0.00 0.00 0.00 XXX >16<=48 sq. A6218... .................. P Non-sterile gauze >48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX in. A6219... .................. P Gauze <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX border. A6220... .................. P Gauze >16 <=48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bordr. A6221... .................. P Gauze >48 sq in w/border 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6222... .................. P Gauze <=16 in no w/sal w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6223... .................. P Gauze >16 <=48 no w/sal 0.00 0.00 0.00 0.00 0.00 0.00 XXX w/o b. A6224... .................. P Gauze >48 in no w/sal w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6228... .................. P Gauze <=16 sq in water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX sal. A6229... .................. P Gauze >16 <=48 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX watr/sal. [[Page 59231]] A6230... .................. P Gauze >48 sq in water/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX salne. A6234... .................. P Hydrocolld drg <=16 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6235... .................. P Hydrocolld drg >16 <=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX w/o b. A6236... .................. P Hydrocolld drg >48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6237... .................. P Hydrocolld drg <=16 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6238... .................. P Hydrocolld drg >16<=48 w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6239... .................. P Hydrocolld drg >48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6240... .................. P Hydrocolld drg filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX paste. A6241... .................. P Hydrocolloid drg filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX dry. A6242... .................. P Hydrogel drg <=16 in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6243... .................. P Hydrogel drg >16<=48 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6244... .................. P Hydrogel drg >48 in w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6245... .................. P Hydrogel drg <=16 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6246... .................. P Hydrogel drg >16 <=48 in w/b. A6247... .................. P Hydrogel drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX b. A6248... .................. P Hydrogel drsg gel filler 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6250... .................. P Skin seal protect 0.00 0.00 0.00 0.00 0.00 0.00 XXX moisturizr. A6251... .................. P Absorpt drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6252... .................. P Absorpt drg >16 <=48 w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6253... .................. P Absorpt drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX o b. A6254... .................. P Absorpt drg <=16 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6255... .................. P Absorpt drg >16<=48 in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6256... .................. P Absorpt drg >48 sq in w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX bdr. A6257... .................. P Transparent film <= 16 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6258... .................. P Transparent film >16<=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX in. A6259... .................. P Transparent film >48 sq 0.00 0.00 0.00 0.00 0.00 0.00 XXX in. A6260... .................. P Wound cleanser any type/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX size. A6261... .................. P Wound filler gel/paste/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX oz. A6262... .................. P Wound filler dry form/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX gram. A6263... .................. P Non-sterile elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX gauze/yd. A6264... .................. P Non-sterile no elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX gauze. A6265... .................. P Tape per 18 sq inches... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6266... .................. P Impreg gauze no h20/sal/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX yard. A6402... .................. P Sterile gauze <=16 sq in 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6403... .................. P Sterile gauze >16 <=48 0.00 0.00 0.00 0.00 0.00 0.00 XXX sq in. A6404... .................. P Sterile gauze >48 sq in. 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6405... .................. P Sterile elastic gauze/yd 0.00 0.00 0.00 0.00 0.00 0.00 XXX A6406... .................. P Sterile non-elastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX gauze/yd. A9150... .................. E Misc/exper non-prescript 0.00 0.00 0.00 0.00 0.00 0.00 XXX dru. A9160... .................. N Podiatrist non-covered 0.00 0.00 0.00 0.00 0.00 0.00 XXX servi. A9170... .................. N Chiropractor non-covered 0.00 0.00 0.00 0.00 0.00 0.00 XXX ser. A9190... .................. N Misc/expe personal 0.00 0.00 0.00 0.00 0.00 0.00 XXX comfort i. A9270... .................. N Non-covered item or 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. A9300... .................. N Exercise equipment...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX A9500... .................. E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 XXX sestamibi. A9502... .................. X Technetium TC99M 0.00 0.00 0.00 0.00 0.00 0.00 XXX tetrofosmin. A9503... .................. E Technetium TC 99m 0.00 0.00 0.00 0.00 0.00 0.00 XXX medronate. A9505... .................. E Thallous chloride TL 201/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX mci. A9600... .................. X Strontium-89 chloride... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0120... .................. N Periodic oral evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0140... .................. N Limit oral eval problm 0.00 0.00 0.00 0.00 0.00 0.00 XXX focus. D0150... .................. R Comprehensve oral 0.00 0.00 0.00 0.00 0.00 0.00 YYY evaluation. D0160... .................. N Extensv oral eval prob 0.00 0.00 0.00 0.00 0.00 0.00 XXX focus. D0210... .................. I Intraor complete film 0.00 0.00 0.00 0.00 0.00 0.00 XXX series. D0220... .................. I Intraoral periapical 0.00 0.00 0.00 0.00 0.00 0.00 XXX first f. D0230... .................. I Intraoral periapical ea 0.00 0.00 0.00 0.00 0.00 0.00 XXX add. D0240... .................. R Intraoral occlusal film. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0250... .................. R Extraoral first film.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0260... .................. R Extraoral ea additional 0.00 0.00 0.00 0.00 0.00 0.00 YYY film. D0270... .................. R Dental bitewing single 0.00 0.00 0.00 0.00 0.00 0.00 YYY film. D0272... .................. R Dental bitewings two 0.00 0.00 0.00 0.00 0.00 0.00 YYY films. D0274... .................. R Dental bitewings four 0.00 0.00 0.00 0.00 0.00 0.00 YYY films. D0290... .................. I Dental film skull/facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX bon. D0310... .................. I Dental saliography...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0320... .................. I Dental tmj arthrogram 0.00 0.00 0.00 0.00 0.00 0.00 XXX incl i. D0321... .................. I Dental other tmj films.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0322... .................. I Dental tomographic 0.00 0.00 0.00 0.00 0.00 0.00 XXX survey. D0330... .................. I Dental panoramic film... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0340... .................. I Dental cephalometric 0.00 0.00 0.00 0.00 0.00 0.00 XXX film. D0415... .................. N Bacteriologic study..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0425... .................. N Caries susceptibility 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. D0460... .................. R Pulp vitality test...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D0470... .................. N Diagnostic casts........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D0471... .................. R Diagnostic photographs.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY [[Page 59232]] D0501... .................. R Histopathologic 0.00 0.00 0.00 0.00 0.00 0.00 YYY examinations. D0502... .................. R Other oral pathology 0.00 0.00 0.00 0.00 0.00 0.00 YYY procedu. D0999... .................. R Unspecified diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 YYY proce. D1110... .................. N Dental prophylaxis adult 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1120... .................. N Dental prophylaxis child 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1201... .................. N Topical fluor w prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX child. D1203... .................. N Topical fluor w/o prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX chi. D1204... .................. N Topical fluor w/o prophy 0.00 0.00 0.00 0.00 0.00 0.00 XXX adu. D1205... .................. N Topical fluoride w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX prophy a. D1310... .................. N Nutri counsel-control 0.00 0.00 0.00 0.00 0.00 0.00 XXX caries. D1320... .................. N Tobacco counseling...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1330... .................. N Oral hygiene instruction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1351... .................. N Dental sealant per tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX D1510... .................. R Space maintainer fxd 0.00 0.00 0.00 0.00 0.00 0.00 YYY unilat. D1515... .................. R Fixed bilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY maintainer. D1520... .................. R Remove unilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY maintainer. D1525... .................. R Remove bilat space 0.00 0.00 0.00 0.00 0.00 0.00 YYY maintainer. D1550... .................. R Recement space 0.00 0.00 0.00 0.00 0.00 0.00 YYY maintainer. D2110... .................. N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2120... .................. N Amalgam two surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2130... .................. N Amalgam three surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2131... .................. N Amalgam four/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2140... .................. N Amalgam one surface 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2150... .................. N Amalgam two surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2160... .................. N Amalgam three surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2161... .................. N Amalgam 4 or > surfaces 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2210... .................. N Silicate cement per 0.00 0.00 0.00 0.00 0.00 0.00 XXX restorat. D2330... .................. N Resin one surface- 0.00 0.00 0.00 0.00 0.00 0.00 XXX anterior. D2331... .................. N Resin two surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 XXX anterior. D2332... .................. N Resin three surfaces- 0.00 0.00 0.00 0.00 0.00 0.00 XXX anterior. D2335... .................. N Resin 4/> surf or w 0.00 0.00 0.00 0.00 0.00 0.00 XXX incis an. D2336... .................. N Composite resin crown... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2380... .................. N Resin one surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2381... .................. N Resin two surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D2382... .................. N Resin three/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX post p. D2385... .................. N Resin one surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2386... .................. N Resin two surf poster 0.00 0.00 0.00 0.00 0.00 0.00 XXX permanent. D2387... .................. N Resin three/more surf 0.00 0.00 0.00 0.00 0.00 0.00 XXX post p. D2410... .................. N Dental gold foil one 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2420... .................. N Dental gold foil two 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2430... .................. N Dental gold foil three 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2510... .................. N Dental inlay metallic 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX surface. D2520... .................. N Dental inlay metallic 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2530... .................. N Dental inlay metl 3/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2543... .................. N Dental onlay metallic 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX surf. D2544... .................. N Dental onlay metl 4/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2610... .................. N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1 su. D2620... .................. N Inlay porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2 su. D2630... .................. N Dental onlay porc 3/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2642... .................. N Dental onlay porcelin 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX surf. D2643... .................. N Dental onlay porcelin 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX surf. D2644... .................. N Dental onlay porc 4/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2650... .................. N Inlay composite/resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX one su. D2651... .................. N Inlay composite/resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX two su. D2652... .................. N Dental inlay resin 3/mre 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2662... .................. N Dental onlay resin 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2663... .................. N Dental onlay resin 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D2664... .................. N Dental onlay resin 4/mre 0.00 0.00 0.00 0.00 0.00 0.00 XXX sur. D2710... .................. N Crown resin laboratory.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2720... .................. N Crown resin w/high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX me. D2721... .................. N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2722... .................. N Crown resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D2740... .................. N Crown porcelain/ceramic 0.00 0.00 0.00 0.00 0.00 0.00 XXX subs. D2750... .................. N Crown porcelain w/h 0.00 0.00 0.00 0.00 0.00 0.00 XXX noble m. D2751... .................. N Crown porcelain fused 0.00 0.00 0.00 0.00 0.00 0.00 XXX base m. D2752... .................. N Crown porcelain w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX met. D2790... .................. N Crown full cast high 0.00 0.00 0.00 0.00 0.00 0.00 XXX noble m. D2791... .................. N Crown full cast base 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D2792... .................. N Crown full cast noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D2810... .................. N Crown 3/4 cast metallic. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2910... .................. N Dental recement inlay... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2920... .................. N Dental recement crown... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2930... .................. N Prefab stnlss steel crwn 0.00 0.00 0.00 0.00 0.00 0.00 XXX pri. D2931... .................. N Prefab stnlss steel 0.00 0.00 0.00 0.00 0.00 0.00 XXX crown pe. [[Page 59233]] D2932... .................. N Prefabricated resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX crown. D2933... .................. N Prefab stainless steel 0.00 0.00 0.00 0.00 0.00 0.00 XXX crown. D2940... .................. N Dental sedative filling. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2950... .................. N Core build-up incl any 0.00 0.00 0.00 0.00 0.00 0.00 XXX pins. D2951... .................. N Tooth pin retention..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2952... .................. N Post and core cast + 0.00 0.00 0.00 0.00 0.00 0.00 XXX crown. D2954... .................. N Prefab post/core + crown 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2955... .................. N Post removal............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2960... .................. N Laminate labial veneer.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2961... .................. N Lab labial veneer resin. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2962... .................. N Lab labial veneer 0.00 0.00 0.00 0.00 0.00 0.00 XXX porcelain. D2970... .................. R Temporary--fractured 0.00 0.00 0.00 0.00 0.00 0.00 YYY tooth. D2980... .................. N Crown repair............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D2999... .................. R Dental unspec 0.00 0.00 0.00 0.00 0.00 0.00 YYY restorative pr. D3110... .................. N Pulp cap direct......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3120... .................. N Pulp cap indirect....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3220... .................. N Therapeutic pulpotomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3230... .................. N Pulpal therapy anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX prim. D3240... .................. N Pulpal therapy posterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX prim. D3310... .................. N Anterior................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3320... .................. N Root canal therapy 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX canals. D3330... .................. N Root canal therapy 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX canals. D3346... .................. N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 XXX anterior. D3347... .................. N Retreat root canal 0.00 0.00 0.00 0.00 0.00 0.00 XXX bicuspid. D3348... .................. N Retreat root canal molar 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3351... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX initial. D3352... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX interim. D3353... .................. N Apexification/recalc 0.00 0.00 0.00 0.00 0.00 0.00 XXX final. D3410... .................. N Apicoect/perirad surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX anter. D3421... .................. N Root surgery bicuspid... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3425... .................. N Root surgery molar...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3426... .................. N Root surgery ea add root 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3430... .................. N Retrograde filling...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3450... .................. N Root amputation......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3460... .................. R Endodontic endosseous 0.00 0.00 0.00 0.00 0.00 0.00 YYY implant. D3470... .................. N Intentional replantation 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3910... .................. N Isolation-tooth w rubb 0.00 0.00 0.00 0.00 0.00 0.00 XXX dam. D3920... .................. N Tooth splitting......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D3950... .................. N Canal prep/fitting of 0.00 0.00 0.00 0.00 0.00 0.00 XXX dowel. D3960... .................. N Bleaching of discolored 0.00 0.00 0.00 0.00 0.00 0.00 XXX tooth. D3999... .................. R Endodontic procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4210... .................. I Gingivectomy/plasty per 0.00 0.00 0.00 0.00 0.00 0.00 XXX quad. D4211... .................. I Gingivectomy/plasty per 0.00 0.00 0.00 0.00 0.00 0.00 XXX tooth. D4220... .................. N Gingival curettage per 0.00 0.00 0.00 0.00 0.00 0.00 XXX quadr. D4240... .................. N Gingival flap proc w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX planing. D4249... .................. N Crown lengthen hard 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. D4250... .................. R Mucogingival surg per 0.00 0.00 0.00 0.00 0.00 0.00 YYY quadra. D4260... .................. R Osseous surgery per 0.00 0.00 0.00 0.00 0.00 0.00 YYY quadrant. D4263... .................. R Bone replce graft first 0.00 0.00 0.00 0.00 0.00 0.00 YYY site. D4264... .................. R Bone replce graft each 0.00 0.00 0.00 0.00 0.00 0.00 YYY add. D4266... .................. N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 XXX resorble. D4267... .................. N Guided tiss regen 0.00 0.00 0.00 0.00 0.00 0.00 XXX nonresorb. D4270... .................. R Pedicle soft tissue 0.00 0.00 0.00 0.00 0.00 0.00 YYY graft pr. D4271... .................. R Free soft tissue graft 0.00 0.00 0.00 0.00 0.00 0.00 YYY proc. D4273... .................. R Subepithelial tissue 0.00 0.00 0.00 0.00 0.00 0.00 YYY graft. D4274... .................. N Distal/proximal wedge 0.00 0.00 0.00 0.00 0.00 0.00 XXX proc. D4320... .................. N Provision splnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX intracoronal. D4321... .................. N Provisional splint 0.00 0.00 0.00 0.00 0.00 0.00 XXX extracoro. D4341... .................. N Periodontal scaling & 0.00 0.00 0.00 0.00 0.00 0.00 XXX root. D4355... .................. R Full mouth debridement.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4381... .................. R Localized chemo delivery 0.00 0.00 0.00 0.00 0.00 0.00 YYY D4910... .................. N Periodontal maint 0.00 0.00 0.00 0.00 0.00 0.00 XXX procedures. D4920... .................. N Unscheduled dressing 0.00 0.00 0.00 0.00 0.00 0.00 XXX change. D4999... .................. N Unspecified periodontal 0.00 0.00 0.00 0.00 0.00 0.00 XXX proc. D5110... .................. N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxillary. D5120... .................. N Dentures complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandible. D5130... .................. N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxillary. D5140... .................. N Dentures immediat 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandible. D5211... .................. N Dentures maxill part 0.00 0.00 0.00 0.00 0.00 0.00 XXX resin. D5212... .................. N Dentures mand part resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5213... .................. N Dentures maxill part 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D5214... .................. N Dentures mandibl part 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D5281... .................. N Removable partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX denture. D5410... .................. N Dentures adjust cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxil. [[Page 59234]] D5411... .................. N Dentures adjust cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX mand. D5421... .................. N Dentures adjust part 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxill. D5422... .................. N Dentures adjust part 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandbl. D5510... .................. N Dentur repr broken compl 0.00 0.00 0.00 0.00 0.00 0.00 XXX bas. D5520... .................. N Replace denture teeth 0.00 0.00 0.00 0.00 0.00 0.00 XXX complt. D5610... .................. N Dentures repair resin 0.00 0.00 0.00 0.00 0.00 0.00 XXX base. D5620... .................. N Rep part denture cast 0.00 0.00 0.00 0.00 0.00 0.00 XXX frame. D5630... .................. N Rep partial denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX clasp. D5640... .................. N Replace part denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX teeth. D5650... .................. N Add tooth to partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX denture. D5660... .................. N Add clasp to partial 0.00 0.00 0.00 0.00 0.00 0.00 XXX denture. D5710... .................. N Dentures rebase cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxil. D5711... .................. N Dentures rebase cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX mand. D5720... .................. N Dentures rebase part 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxill. D5721... .................. N Dentures rebase part 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandbl. D5730... .................. N Denture reln cmplt maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX ch. D5731... .................. N Denture reln cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX chr. D5740... .................. N Denture reln part maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX chr. D5741... .................. N Denture reln part mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX chr. D5750... .................. N Denture reln cmplt max 0.00 0.00 0.00 0.00 0.00 0.00 XXX lab. D5751... .................. N Denture reln cmplt mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX lab. D5760... .................. N Denture reln part maxil 0.00 0.00 0.00 0.00 0.00 0.00 XXX lab. D5761... .................. N Denture reln part mand 0.00 0.00 0.00 0.00 0.00 0.00 XXX lab. D5810... .................. N Denture interm cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxill. D5811... .................. N Denture interm cmplt 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandbl. D5820... .................. N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxill. D5821... .................. N Denture interm part 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandbl. D5850... .................. N Denture tiss conditn 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxill. D5851... .................. N Denture tiss condtin 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandbl. D5860... .................. N Overdenture complete.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5861... .................. N Overdenture partial..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5862... .................. N Precision attachment.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5899... .................. N Removable prosthodontic 0.00 0.00 0.00 0.00 0.00 0.00 XXX proc. D5911... .................. R Facial moulage sectional 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5912... .................. R Facial moulage complete. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5913... .................. I Nasal prosthesis........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5914... .................. I Auricular prosthesis.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5915... .................. I Orbital prosthesis...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5916... .................. I Ocular prosthesis....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5919... .................. I Facial prosthesis....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5922... .................. I Nasal septal prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5923... .................. I Ocular prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX interim. D5924... .................. I Cranial prosthesis...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5925... .................. I Facial augmentation 0.00 0.00 0.00 0.00 0.00 0.00 XXX implant. D5926... .................. I Replacement nasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. D5927... .................. I Auricular replacement... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5928... .................. I Orbital replacement..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5929... .................. I Facial replacement...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5931... .................. I Surgical obturator...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5932... .................. I Postsurgical obturator.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5933... .................. I Refitting of obturator.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5934... .................. I Mandibular flange 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. D5935... .................. I Mandibular denture 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosth. D5936... .................. I Temp obturator 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. D5937... .................. I Trismus appliance....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5951... .................. R Feeding aid............. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5952... .................. I Pediatric speech aid.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5953... .................. I Adult speech aid........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5954... .................. I Superimposed prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5955... .................. I Palatal lift prosthesis. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5958... .................. I Intraoral con def inter 0.00 0.00 0.00 0.00 0.00 0.00 XXX plt. D5959... .................. I Intraoral con def mod 0.00 0.00 0.00 0.00 0.00 0.00 XXX palat. D5960... .................. I Modify speech aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. D5982... .................. I Surgical stent.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5983... .................. R Radiation applicator.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5984... .................. R Radiation shield........ 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5985... .................. R Radiation cone locator.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5986... .................. N Fluoride applicator..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5987... .................. R Commissure splint....... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D5988... .................. I Surgical splint......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D5999... .................. I Maxillofacial prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6010... .................. I Odontics endosteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX implant. D6020... .................. I Odontics abutment 0.00 0.00 0.00 0.00 0.00 0.00 XXX placement. D6040... .................. I Odontics eposteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX implant. [[Page 59235]] D6050... .................. I Odontics transosteal 0.00 0.00 0.00 0.00 0.00 0.00 XXX implnt. D6055... .................. I Implant connecting bar.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6080... .................. I Implant maintenance..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6090... .................. I Repair implant.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6095... .................. I Odontics repr abutment.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6100... .................. I Removal of implant...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6199... .................. I Implant procedure....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6210... .................. N Prosthodont high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6211... .................. N Bridge base metal cast.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6212... .................. N Bridge noble metal cast. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6240... .................. N Bridge porcelain high 0.00 0.00 0.00 0.00 0.00 0.00 XXX noble. D6241... .................. N Bridge porcelain base 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6242... .................. N Bridge porcelain nobel 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6250... .................. N Bridge resin w/high 0.00 0.00 0.00 0.00 0.00 0.00 XXX noble. D6251... .................. N Bridge resin base metal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6252... .................. N Bridge resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6520... .................. N Dental retainer two 0.00 0.00 0.00 0.00 0.00 0.00 XXX surfaces. D6530... .................. N Retainer metallic 3+ 0.00 0.00 0.00 0.00 0.00 0.00 XXX surface. D6543... .................. N Dental retainr onlay 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX surf. D6544... .................. N Dental retainr onlay 4/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX more. D6545... .................. N Dental retainr cast metl 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6720... .................. N Retain crown resin w hi 0.00 0.00 0.00 0.00 0.00 0.00 XXX nble. D6721... .................. N Crown resin w/base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6722... .................. N Crown resin w/noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6750... .................. N Crown porcelain high 0.00 0.00 0.00 0.00 0.00 0.00 XXX noble. D6751... .................. N Crown porcelain base 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6752... .................. N Crown porcelain noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6780... .................. N Crown 3/4 high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6790... .................. N Crown full high noble 0.00 0.00 0.00 0.00 0.00 0.00 XXX metal. D6791... .................. N Crown full base metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX cast. D6792... .................. N Crown full noble metal 0.00 0.00 0.00 0.00 0.00 0.00 XXX cast. D6920... .................. R Dental connector bar.... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D6930... .................. N Dental recement bridge.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6940... .................. N Stress breaker.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6950... .................. N Precision attachment.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6970... .................. N Post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 XXX retainer. D6971... .................. N Cast post bridge 0.00 0.00 0.00 0.00 0.00 0.00 XXX retainer. D6972... .................. N Prefab post & core plus 0.00 0.00 0.00 0.00 0.00 0.00 XXX reta. D6973... .................. N Core build up for 0.00 0.00 0.00 0.00 0.00 0.00 XXX retainer. D6975... .................. N Coping metal............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6980... .................. N Bridge repair........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D6999... .................. N Fixed prosthodontic proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7110... .................. R Oral surgery single 0.00 0.00 0.00 0.00 0.00 0.00 YYY tooth. D7120... .................. R Each add tooth 0.00 0.00 0.00 0.00 0.00 0.00 YYY extraction. D7130... .................. R Tooth root removal...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7210... .................. R Rem imp tooth w mucoper 0.00 0.00 0.00 0.00 0.00 0.00 YYY flp. D7220... .................. R Impact tooth remov soft 0.00 0.00 0.00 0.00 0.00 0.00 YYY tiss. D7230... .................. R Impact tooth remov part 0.00 0.00 0.00 0.00 0.00 0.00 YYY bony. D7240... .................. R Impact tooth remov comp 0.00 0.00 0.00 0.00 0.00 0.00 YYY bony. D7241... .................. R Impact tooth rem bony w/ 0.00 0.00 0.00 0.00 0.00 0.00 YYY comp. D7250... .................. R Tooth root removal...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7260... .................. R Oral antral fistula 0.00 0.00 0.00 0.00 0.00 0.00 YYY closure. D7270... .................. N Tooth reimplantation.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7272... .................. N Tooth transplantation... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7280... .................. N Exposure impact tooth 0.00 0.00 0.00 0.00 0.00 0.00 XXX orthod. D7281... .................. N Exposure tooth aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX eruption. D7285... .................. I Biopsy of oral tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX hard. D7286... .................. I Biopsy of oral tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX soft. D7290... .................. N Repositioning of teeth.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7291... .................. R Transseptal fiberotomy.. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D7310... .................. I Alveoplasty w/extraction 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7320... .................. I Alveoplasty w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX extraction. D7340... .................. I Vestibuloplasty ridge 0.00 0.00 0.00 0.00 0.00 0.00 XXX extens. D7350... .................. I Vestibuloplasty exten 0.00 0.00 0.00 0.00 0.00 0.00 XXX graft. D7410... .................. I Rad exc lesion up to 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1.25 cm. D7420... .................. I Lesion >1.25 cm......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7430... .................. I Exc benign tumor to 1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7431... .................. I Benign tumor exc >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7440... .................. I Malig tumor exc to 1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7441... .................. I Malig tumor >1.25 cm.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7450... .................. I Rem odontogen cyst to 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1.25cm. D7451... .................. I Rem odontogen cyst >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7460... .................. I Rem nonodonto cyst to 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1.25cm. D7461... .................. I Rem nonodonto cyst >1.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. [[Page 59236]] D7465... .................. I Lesion destruction...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7470... .................. I Rem exostosis maxilla/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandib. D7480... .................. I Partial ostectomy....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7490... .................. I Mandible resection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7510... .................. I I&d absc intraoral soft 0.00 0.00 0.00 0.00 0.00 0.00 XXX tiss. D7520... .................. I I&d abscess extraoral... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7530... .................. I Removal fb skin/areolar 0.00 0.00 0.00 0.00 0.00 0.00 XXX tiss. D7540... .................. I Removal of fb reaction.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7550... .................. I Removal of sloughed off 0.00 0.00 0.00 0.00 0.00 0.00 XXX bone. D7560... .................. I Maxillary sinusotomy.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7610... .................. I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 XXX simple. D7620... .................. I Clsd reduct simpl 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxilla fx. D7630... .................. I Open red simpl mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX fx. D7640... .................. I Clsd red simpl mandible 0.00 0.00 0.00 0.00 0.00 0.00 XXX fx. D7650... .................. I Open red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX zygom fx. D7660... .................. I Clsd red simp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX zygom fx. D7670... .................. I Open red simple alveolus 0.00 0.00 0.00 0.00 0.00 0.00 XXX fx. D7680... .................. I Reduct simple facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX bone fx. D7710... .................. I Maxilla open reduct 0.00 0.00 0.00 0.00 0.00 0.00 XXX compound. D7720... .................. I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX maxilla fx. D7730... .................. I Open reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandble fx. D7740... .................. I Clsd reduct compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandble fx. D7750... .................. I Open red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX zygma fx. D7760... .................. I Clsd red comp malar/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX zygma fx. D7770... .................. I Open reduc compd 0.00 0.00 0.00 0.00 0.00 0.00 XXX alveolus fx. D7780... .................. I Reduct compnd facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX bone fx. D7810... .................. I Tmj open reduct- 0.00 0.00 0.00 0.00 0.00 0.00 XXX dislocation. D7820... .................. I Closed tmp manipulation. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7830... .................. I Tmj manipulation under 0.00 0.00 0.00 0.00 0.00 0.00 XXX anest. D7840... .................. I Removal of tmj condyle.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7850... .................. I Tmj meniscectomy........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7852... .................. I Tmj repair of joint disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7854... .................. I Tmj excisn of joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX membrane. D7856... .................. I Tmj cutting of a muscle. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7858... .................. I Tmj reconstruction...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7860... .................. I Tmj cutting into joint.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7865... .................. I Tmj reshaping components 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7870... .................. I Tmj aspiration joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX fluid. D7872... .................. I Tmj diagnostic 0.00 0.00 0.00 0.00 0.00 0.00 XXX arthroscopy. D7873... .................. I Tmj arthroscopy lysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX adhesn. D7874... .................. I Tmj arthroscopy disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX reposit. D7875... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX synovectomy. D7876... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX discectomy. D7877... .................. I Tmj arthroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX debridement. D7880... .................. I Occlusal orthotic 0.00 0.00 0.00 0.00 0.00 0.00 XXX appliance. D7899... .................. I Tmj unspecified therapy. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7910... .................. I Dent sutur recent wnd to 0.00 0.00 0.00 0.00 0.00 0.00 XXX 5cm. D7911... .................. I Dental suture wound to 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7912... .................. I Suture complicate wnd >5 0.00 0.00 0.00 0.00 0.00 0.00 XXX cm. D7920... .................. I Dental skin graft....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7940... .................. R Reshaping bone 0.00 0.00 0.00 0.00 0.00 0.00 YYY orthognathic. D7941... .................. I Bone cutting ramus 0.00 0.00 0.00 0.00 0.00 0.00 XXX closed. D7942... .................. I Bone cutting ramus open. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7943... .................. I Cutting ramus open w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX graft. D7944... .................. I Bone cutting segmented.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7945... .................. I Bone cutting body 0.00 0.00 0.00 0.00 0.00 0.00 XXX mandible. D7946... .................. I Reconstruction maxilla 0.00 0.00 0.00 0.00 0.00 0.00 XXX total. D7947... .................. I Reconstruct maxilla 0.00 0.00 0.00 0.00 0.00 0.00 XXX segment. D7948... .................. I Reconstruct midface no 0.00 0.00 0.00 0.00 0.00 0.00 XXX graft. D7949... .................. I Reconstruct midface w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX graft. D7950... .................. I Mandible graft.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7955... .................. I Repair maxillofacial 0.00 0.00 0.00 0.00 0.00 0.00 XXX defects. D7960... .................. I Frenulectomy/frenulotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7970... .................. I Excision hyperplastic 0.00 0.00 0.00 0.00 0.00 0.00 XXX tissue. D7971... .................. I Excision pericoronal 0.00 0.00 0.00 0.00 0.00 0.00 XXX gingiva. D7980... .................. I Sialolithotomy.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7981... .................. I Excision of salivary 0.00 0.00 0.00 0.00 0.00 0.00 XXX gland. D7982... .................. I Sialodochoplasty........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7983... .................. I Closure of salivary 0.00 0.00 0.00 0.00 0.00 0.00 XXX fistula. D7990... .................. I Emergency tracheotomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7991... .................. I Dental coronoidectomy... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D7995... .................. I Synthetic graft facial 0.00 0.00 0.00 0.00 0.00 0.00 XXX bones. D7996... .................. I Implant mandible for 0.00 0.00 0.00 0.00 0.00 0.00 XXX augment. D7999... .................. I Oral surgery procedure.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59237]] D8010... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D8020... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX transition. D8030... .................. N Limited dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX adolescent. D8040... .................. N Limited dental tx adult. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8050... .................. N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX primary. D8060... .................. N Intercep dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX transitn. D8070... .................. N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX transition. D8080... .................. N Compre dental tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX adolescent. D8090... .................. N Compre dental tx adult.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8210... .................. N Orthodontic rem 0.00 0.00 0.00 0.00 0.00 0.00 XXX appliance tx. D8220... .................. N Fixed appliance therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX habt. D8660... .................. N Preorthodontic tx visit. 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8670... .................. N Periodic orthodontc tx 0.00 0.00 0.00 0.00 0.00 0.00 XXX visit. D8680... .................. N Orthodontic retention... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8690... .................. N Orthodontic treatment... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D8999... .................. N Orthodontic procedure... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9110... .................. R Tx dental pain minor 0.00 0.00 0.00 0.00 0.00 0.00 YYY proc. D9210... .................. I Dent anesthesia w/o 0.00 0.00 0.00 0.00 0.00 0.00 XXX surgery. D9211... .................. I Regional block 0.00 0.00 0.00 0.00 0.00 0.00 XXX anesthesia. D9212... .................. I Trigeminal block 0.00 0.00 0.00 0.00 0.00 0.00 XXX anesthesia. D9215... .................. I Local anesthesia........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9220... .................. I General anesthesia...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9221... .................. I General anesthesia ea ad 0.00 0.00 0.00 0.00 0.00 0.00 XXX 15m. D9230... .................. R Analgesia............... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9240... .................. I Intravenous sedation.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9310... .................. I Dental consultation..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9410... .................. I Dental house call....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9420... .................. I Hospital call........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9430... .................. I Office visit during 0.00 0.00 0.00 0.00 0.00 0.00 XXX hours. D9440... .................. I Office visit after hours 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9610... .................. I Dent therapeutic drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX inject. D9630... .................. R Other drugs/medicaments. 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9910... .................. N Dent appl desensitizing 0.00 0.00 0.00 0.00 0.00 0.00 XXX med. D9920... .................. N Behavior management..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9930... .................. R Treatment of 0.00 0.00 0.00 0.00 0.00 0.00 YYY complications. D9940... .................. R Dental occlusal guard... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9941... .................. N Fabrication athletic 0.00 0.00 0.00 0.00 0.00 0.00 XXX guard. D9950... .................. R Occlusion analysis...... 0.00 0.00 0.00 0.00 0.00 0.00 YYY D9951... .................. R Limited occlusal 0.00 0.00 0.00 0.00 0.00 0.00 YYY adjustment. D9952... .................. R Complete occlusal 0.00 0.00 0.00 0.00 0.00 0.00 YYY adjustment. D9970... .................. N Enamel microabrasion.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX D9999... .................. I Adjunctive procedure.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0001... .................. X Drawing blood for 0.00 0.00 0.00 0.00 0.00 0.00 XXX specimen. G0002... .................. A Temporary urinary 0.50 0.70 0.70 0.02 1.22 1.22 000 catheter. G0004... .................. A ECG transm phys review & 0.52 7.31 7.31 0.65 8.48 8.48 XXX int. G0005... .................. A ECG 24 hour recording... 0.00 1.18 1.18 0.09 1.27 1.27 XXX G0006... .................. A ECG transmission & 0.00 5.73 5.73 0.51 6.24 6.24 XXX analysis. G0007... .................. A ECG phy review & 0.52 0.40 0.40 0.05 0.97 0.97 XXX interpret. G0008... .................. X Admin influenza virus 0.00 0.00 0.00 0.00 0.00 0.00 XXX vac. G0009... .................. X Admin pneumococcal 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. G0010... .................. X Admin hepatitis b 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. G0015... .................. A Post symptom ECG tracing 0.00 5.73 5.73 0.51 6.24 6.24 XXX G0016... .................. A Post symptom ECG md 0.52 0.40 0.40 0.05 0.97 0.97 XXX review. G0025... .................. A Collagen skin test kit.. 0.00 0.95 0.95 0.00 0.95 0.95 XXX G0026... .................. X Fecal leukocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX examination. G0027... .................. X Semen analysis.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0030... .................. C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX single. G0030... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX single. G0030... 26 A PET imaging prev PET 1.50 0.48 0.48 0.07 2.05 2.05 XXX single. G0031... .................. C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX multple. G0031... TC C PET imaging prev PET 0.00 0.00 0.00 0.00 0.00 0.00 XXX multple. G0031... 26 A PET imaging prev PET 1.87 0.65 0.65 0.10 2.62 2.62 XXX multple. G0032... .................. C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0032... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0032... 26 A PET follow SPECT 78464 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0033... .................. C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0033... TC C PET follow SPECT 78464 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0033... 26 A PET follow SPECT 78464 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0034... .................. C PET follow SPECT 76865 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0034... TC C PET follow SPECT 76865 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0034... 26 A PET follow SPECT 76865 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0035... .................. C PET follow SPECT 78465 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0035... TC C PET follow SPECT 78465 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0035... 26 A PET follow SPECT 78465 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. [[Page 59238]] G0036... .................. C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0036... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0036... 26 A PET follow cornry angio 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0037... .................. C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0037... TC C PET follow cornry angio 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0037... 26 A PET follow cornry angio 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0038... .................. C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0038... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0038... 26 A PET follow myocard perf 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0039... .................. C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0039... TC C PET follow myocard perf 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0039... 26 A PET follow myocard perf 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0040... .................. C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0040... TC C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0040... 26 A PET follow stress echo 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0041... .................. C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0041... TC C PET follow stress echo 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0041... 26 A PET follow stress echo 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0042... .................. C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0042... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. G0042... 26 A PET follow ventriculogm 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0043... .................. C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0043... TC C PET follow ventriculogm 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0043... 26 A PET follow ventriculogm 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0044... .................. C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0044... TC C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0044... 26 A PET following rest ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0045... .................. C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0045... TC C PET following rest ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0045... 26 A PET following rest ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0046... .................. C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0046... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. G0046... 26 A PET follow stress ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0047... .................. C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0047... TC C PET follow stress ECG 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. G0047... 26 A PET follow stress ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0050... .................. A Residual urine by 0.00 0.81 0.81 0.05 0.86 0.86 XXX ultrasound. G0051... .................. D Destroy benign/premal *0.00 0.00 0.00 0.00 0.00 0.00 010 lesion. G0052... .................. D Destruction of added 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ lesions. G0053... .................. D Destruction of added *0.00 0.00 0.00 0.00 0.00 0.00 010 lesions. G0058... .................. D Auto multichannel 20 0.00 0.00 0.00 0.00 0.00 0.00 XXX tests. G0059... .................. D Auto multichannel 21 0.00 0.00 0.00 0.00 0.00 0.00 XXX tests. G0060... .................. D Auto multichannel 22 0.00 0.00 0.00 0.00 0.00 0.00 XXX tests. G0062... .................. D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0062... TC D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0062... 26 D peripheral bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0063... .................. D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0063... TC D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0063... 26 D central bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX densitometry. G0064... .................. D care plan oversight, hme 0.00 0.00 0.00 0.00 0.00 0.00 XXX hlth. G0065... .................. D care plan oversight, 0.00 0.00 0.00 0.00 0.00 0.00 XXX hospice. G0066... .................. D care plan oversight nurs 0.00 0.00 0.00 0.00 0.00 0.00 XXX fac. G0071... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0072... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0073... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0074... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0075... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0076... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0077... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0078... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0079... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0080... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0081... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX no E/M. G0082... .................. D Psychotherapy, office, 0.00 0.00 0.00 0.00 0.00 0.00 XXX wth E/M. G0083... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0084... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. G0085... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0086... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. G0087... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0088... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. G0089... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0090... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. G0091... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0092... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. [[Page 59239]] G0093... .................. D Psychotherapy, inpt, no 0.00 0.00 0.00 0.00 0.00 0.00 XXX E/M. G0094... .................. D Psychotherapy, inpt, 0.00 0.00 0.00 0.00 0.00 0.00 XXX with E/M. G0100... .................. D HIV-1, viral load, quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0101... .................. A CA screen; pelvic/breast 0.45 0.28 0.28 0.02 0.75 0.75 XXX exam. G0104... .................. A CA screen; flexi 0.96 1.23 #1.06 0.12 2.31 2.14 000 sigmoidscope. G0105... .................. A Colorectal scrn; hi risk 3.70 4.13 #4.07 0.39 8.22 8.16 000 ind. G0106... .................. A Colon CA screen; barium 0.99 2.58 2.58 0.21 3.78 3.78 XXX enema. G0106... TC A Colon CA screen; barium 0.00 2.13 2.13 0.14 2.27 2.27 XXX enema. G0106... 26 A Colon CA screen; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. G0107... .................. X CA screen; fecal blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. G0110... .................. R Nett pulm-rehab educ; 0.90 0.26 0.26 0.04 1.20 1.20 XXX ind. G0111... .................. R Nett pulm-rehab educ; 0.27 0.20 0.20 0.02 0.49 0.49 XXX group. G0112... .................. R Nett; nutrition guid, 1.72 0.97 0.97 0.10 2.79 2.79 XXX initial. G0113... .................. R Nett; nutrition guid, 1.29 0.77 0.77 0.09 2.15 2.15 XXX subseqnt. G0114... .................. R Nett; psychosocial 1.20 0.35 0.35 0.11 1.66 1.66 XXX consult. G0115... .................. R Nett; psychological 1.20 0.35 0.35 0.11 1.66 1.66 XXX testing. G0116... .................. A Nett; psychosocial 1.11 0.35 0.35 0.05 1.51 1.51 XXX counsel. G0120... .................. A Colon ca scrn; barium 0.99 2.58 2.58 0.21 3.78 3.78 XXX enema. G0120... TC A Colon ca scrn; barium 0.00 2.13 2.13 0.14 2.27 2.27 XXX enema. G0120... 26 A Colon ca scrn; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. G0121... .................. N Colon ca scrn; barium +3.70 4.13 #4.07 0.39 8.22 8.16 XXX enema. G0122... .................. N Colon ca scrn; barium +0.99 2.58 2.58 0.21 3.78 3.78 XXX enema. G0122... TC N Colon ca scrn; barium +0.00 2.13 2.13 0.14 2.27 2.27 XXX enema. G0122... 26 N Colon ca scrn; barium +0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. H5300... .................. D Occupational therapy.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0120... .................. E Tetracyclin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0150... .................. E Injection adenosine 6 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0170... .................. E Adrenalin epinephrin 0.00 0.00 0.00 0.00 0.00 0.00 XXX inject. J0190... .................. E Inj biperiden lactate/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J0205... .................. E Alglucerase injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0207... .................. E Amifostine.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0210... .................. E Methyldopate hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0256... .................. E Alpha 1-proteinase 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J0270... .................. E Alprostadil for 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0280... .................. E Aminophyllin 250 MG inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0290... .................. E Ampicillin 500 MG inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0295... .................. E Ampicillin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1.5 gm. J0300... .................. E Amobarbital 125 MG inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0330... .................. E Succinycholine chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0340... .................. E Nandrolon phenpropionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0350... .................. E Injection anistreplase 0.00 0.00 0.00 0.00 0.00 0.00 XXX 30 u. J0360... .................. E Hydralazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0380... .................. E Inj metaraminol 0.00 0.00 0.00 0.00 0.00 0.00 XXX bitartrate. J0390... .................. E Chloroquine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0400... .................. E Inj trimethaphan 0.00 0.00 0.00 0.00 0.00 0.00 XXX camsylate. J0460... .................. E Atropine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0470... .................. E Dimecaprol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0475... .................. E Baclofen 10 MG injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0500... .................. E Dicyclomine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0510... .................. E Benzquinamide injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0515... .................. E Inj benztropine mesylate 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0520... .................. E Bethanechol chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX inject. J0530... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0540... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0550... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0560... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0570... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0580... .................. E Penicillin g benzathine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0585... .................. E Botulinum toxin a per 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. J0590... .................. E Ethylnorepinephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0600... .................. E Edetate calcium disodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0610... .................. E Calcium gluconate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0620... .................. E Calcium glycer & lact/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. J0630... .................. E Calcitonin salmon 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0635... .................. E Calcitriol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0640... .................. E Leucovorin calcium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0670... .................. E Inj mepivacaine HCL/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX ml. J0690... .................. E Cefazolin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0694... .................. E Cefoxitin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0695... .................. E Cefonocid sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0696... .................. E Ceftriaxone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0697... .................. E Sterile cefuroxime 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0698... .................. E Cefotaxime sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0702... .................. E Betamethasone acet&sod 0.00 0.00 0.00 0.00 0.00 0.00 XXX phosp. [[Page 59240]] J0704... .................. E Betamethasone sod phosp/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4 MG. J0710... .................. E Cephapirin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0713... .................. E Inj ceftazidime per 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J0715... .................. E Ceftizoxime sodium / 500 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J0720... .................. E Chloramphenicol sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injec. J0725... .................. E Chorionic gonadotropin/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1000u. J0730... .................. E Chlorpheniramin maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0735... .................. E Clonidine hydrochloride. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0740... .................. E Cidofovir injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0743... .................. E Cilastatin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0745... .................. E Inj codeine phosphate / 0.00 0.00 0.00 0.00 0.00 0.00 XXX 30 MG. J0760... .................. E Colchicine injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0770... .................. E Colistimethate sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0780... .................. E Prochlorperazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J0800... .................. E Corticotropin injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0810... .................. E Cortisone injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J0835... .................. E Inj cosyntropin per 0.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J0850... .................. E Cytomegalovirus imm IV / 0.00 0.00 0.00 0.00 0.00 0.00 XXX vial. J0895... .................. E Deferoxamine mesylate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0900... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0945... .................. E Brompheniramine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J0970... .................. E Estradiol valerate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1000... .................. E Depo-estradiol cypionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1020... .................. E Methylprednisolone 20 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1030... .................. E Methylprednisolone 40 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1040... .................. E Methylprednisolone 80 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1050... .................. E Medroxyprogesterone inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1055... .................. N Medrxyprogester acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1060... .................. E Testosterone cypionate 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. J1070... .................. E Testosterone cypionat 0.00 0.00 0.00 0.00 0.00 0.00 XXX 100 MG. J1080... .................. E Testosterone cypionat 0.00 0.00 0.00 0.00 0.00 0.00 XXX 200 MG. J1090... .................. E Testosterone cypionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50 MG. J1095... .................. E Inj dexamethasone 0.00 0.00 0.00 0.00 0.00 0.00 XXX acetate. J1100... .................. E Dexamethosone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX phos. J1110... .................. E Inj dihydroergotamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX mesylt. J1120... .................. E Acetazolamid sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injectio. J1160... .................. E Digoxin injection....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1165... .................. E Phenytoin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1170... .................. E Hydromorphone injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1180... .................. E Dyphylline injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1190... .................. E Dexrazoxane HCl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1200... .................. E Diphenhydramine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injectio. J1205... .................. E Chlorothiazide sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1212... .................. E Dimethyl sulfoxide 50% 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50 ML. J1230... .................. E Methadone injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1240... .................. E Dimenhydrinate injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1245... .................. E Dipyridamole injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1250... .................. E Inj dobutamine HCL/250 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J1320... .................. E Amitriptyline injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1325... .................. E Epoprostenol injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1330... .................. E Ergonovine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1362... .................. E Erythromycin glucep / 0.00 0.00 0.00 0.00 0.00 0.00 XXX 250 MG. J1364... .................. E Erythro lactobionate / 0.00 0.00 0.00 0.00 0.00 0.00 XXX 500 MG. J1380... .................. E Estradiol valerate 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1390... .................. E Estradiol valerate 20 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1410... .................. E Inj estrogen conjugate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 25 MG. J1435... .................. E Injection estrone per 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J1436... .................. E Etidronate disodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1440... .................. E Filgrastim 300 mcg 0.00 0.00 0.00 0.00 0.00 0.00 XXX injeciton. J1441... .................. E Filgrastim 480 mcg 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1455... .................. E Foscarnet sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1460... .................. E Gamma globulin 1 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1470... .................. E Gamma globulin 2 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1480... .................. E Gamma globulin 3 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1490... .................. E Gamma globulin 4 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1500... .................. E Gamma globulin 5 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1510... .................. E Gamma globulin 6 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1520... .................. E Gamma globulin 7 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1530... .................. E Gamma globulin 8 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1540... .................. E Gamma globulin 9 CC inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1550... .................. E Gamma globulin 10 CC inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1560... .................. E Gamma globulin >10 CC 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1561... .................. E Immune globulin 500 mg.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1562... .................. E Immune globulin 5 gms... 0.00 0.00 0.00 0.00 0.00 0.00 XXX [[Page 59241]] J1565... .................. E RSV-ivig................ 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1570... .................. E Ganciclovir sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1580... .................. E Garamycin gentamicin inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1600... .................. E Gold sodium thiomaleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1610... .................. E Glucagon hydrochloride/1 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J1620... .................. E Gonadorelin hydroch/ 100 0.00 0.00 0.00 0.00 0.00 0.00 XXX mcg. J1625... .................. D Granisetron hydrochlor/1 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J1626... .................. E Granisetron HCl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1630... .................. E Haloperidol injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1631... .................. E Haloperidol decanoate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1642... .................. E Inj heparin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10 u. J1644... .................. E Inj heparin sodium per 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1000u. J1645... .................. E Dalteparin sodium....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1650... .................. E Inj enoxaparin sodium 30 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J1670... .................. E Tetanus immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1690... .................. E Prednisolone tebutate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1700... .................. E Hydrocortisone acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1710... .................. E Hydrocortisone sodium ph 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1720... .................. E Hydrocortisone sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX succ i. J1730... .................. E Diazoxide injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1739... .................. E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 0.00 0.00 XXX 125. J1741... .................. E Hydroxyprogesterone cap 0.00 0.00 0.00 0.00 0.00 0.00 XXX 250. J1742... .................. E Ibutilide fumarate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1760... .................. E Iron dextran 2 CC inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1770... .................. E Iron dextran 5 CC inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1780... .................. E Iron dextran 10 CC inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1785... .................. E Injection imiglucerase / 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. J1790... .................. E Droperidol injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1800... .................. E Propranolol injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1810... .................. E Droperidol/fentanyl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1820... .................. E Insulin injection....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1825... .................. E Interferon beta-1a...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1830... .................. E Interferon beta-1b/.25 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J1840... .................. E Kanamycin sulfate 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1850... .................. E Kanamycin sulfate 75 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1885... .................. E Ketorolac tromethamine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J1890... .................. E Cephalothin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1910... .................. E Kutapressin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1930... .................. E Propiomazine injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1940... .................. E Furosemide injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1950... .................. E Leuprolide acetate/3.75 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J1955... .................. E Inj levocarnitine per 1 0.00 0.00 0.00 0.00 0.00 0.00 XXX gm. J1960... .................. E Levorphanol tartrate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1970... .................. E Methotrimeprazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J1980... .................. E Hyoscyamine sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J1990... .................. E Chlordiazepoxide 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2000... .................. E Lidocaine injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2010... .................. E Lincomycin injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2060... .................. E Lorazepam injection..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2150... .................. E Mannitol injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2175... .................. E Meperidine hydrochl/100 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2180... .................. E Meperidine/promethazine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2210... .................. E Methylergonovin maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2240... .................. E Metocurine iodide 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2250... .................. E Inj midazolam 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydrochloride. J2260... .................. E Inj milrinone lactate/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. J2270... .................. E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2275... .................. E Morphine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2300... .................. E Inj nalbuphine 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydrochloride. J2310... .................. E Inj naloxone 0.00 0.00 0.00 0.00 0.00 0.00 XXX hydrochloride. J2320... .................. E Nandrolone decanoate 50 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2321... .................. E Nandrolone decanoate 100 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2322... .................. E Nandrolone decanoate 200 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2330... .................. E Thiothixene injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2350... .................. E Niacinamide/niacin 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2360... .................. E Orphenadrine injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2370... .................. E Phenylephrine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2400... .................. E Chloroprocaine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2405... .................. E Ondansetron hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2410... .................. E Oxymorphone hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2430... .................. E Pamidronate disodium/30 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2440... .................. E Papaverin hcl injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2460... .................. E Oxytetracycline 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2480... .................. E Hydrochlorides of opium 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. [[Page 59242]] J2510... .................. E Penicillin g procaine 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2512... .................. E Inj pentagastrin per 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. J2515... .................. E Pentobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2540... .................. E Penicillin g potassium 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2545... .................. E Pentamidine isethionte/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 300mg. J2550... .................. E Promethazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2560... .................. E Phenobarbital sodium inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2590... .................. E Oxytocin injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2597... .................. E Inj desmopressin acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2640... .................. E Prednisolone sodium ph 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2650... .................. E Prednisolone acetate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2670... .................. E Totazoline hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2675... .................. E Inj progesterone per 50 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2680... .................. E Fluphenazine decanoate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 25 MG. J2690... .................. E Procainamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2700... .................. E Oxacillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2710... .................. E Neostigmine methylslfte 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2720... .................. E Inj protamine sulfate/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2725... .................. E Inj protirelin per 250 0.00 0.00 0.00 0.00 0.00 0.00 XXX mcg. J2730... .................. E Pralidoxime chloride inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2760... .................. E Phentolaine mesylate inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2765... .................. E Metoclopramide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2790... .................. E Rho d immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J2800... .................. E Methocarbamol injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2810... .................. E Inj theophylline per 40 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J2820... .................. E Sargramostim injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2860... .................. E Secobarbital sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2910... .................. E Aurothioglucose 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2912... .................. E Sodium chloride 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2920... .................. E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2930... .................. E Methylprednisolone 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2950... .................. E Promazine hcl injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J2970... .................. E Methicillin sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J2995... .................. E Inj streptokinase/250000 0.00 0.00 0.00 0.00 0.00 0.00 XXX IU. J2996... .................. E Alteplase recombinant 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3000... .................. E Streptomycin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3005... .................. D Strontium-89 chloride/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX ML. J3010... .................. E Fentanyl citrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3030... .................. E Sumatriptan succinate/6 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J3070... .................. E Pentazocine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injeciton. J3080... .................. E Chlorprothixene 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3105... .................. E Terbutaline sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3120... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3130... .................. E Testosterone enanthate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3140... .................. E Testosterone suspension 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3150... .................. E Testosteron propionate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3230... .................. E Chlorpromazine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3240... .................. E Thyrotropin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3250... .................. E Trimethobenzamide hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3260... .................. E Tobramycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3265... .................. E Injection torsemide 10 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg/ml. J3270... .................. E Imipramine hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3280... .................. E Thiethylperazine maleate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3301... .................. E Triamcinolone acetonide 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3302... .................. E Triamcinolone diacetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3303... .................. E Triamcinolone hexacetonl 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3305... .................. E Inj trimetrexate 0.00 0.00 0.00 0.00 0.00 0.00 XXX glucoronate. J3310... .................. E Perphenazine injeciton.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3320... .................. E Spectinomycn di-hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3350... .................. E Urea injection.......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3360... .................. E Diazepam injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3364... .................. E Urokinase 5000 IU 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3365... .................. E Urokinase 250,000 IU inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3370... .................. R Vancomycin hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3390... .................. E Methoxamine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3400... .................. E Triflupromazine hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3410... .................. E Hydroxyzine hcl 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J3420... .................. E Vitamin b12 injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3430... .................. E Vitamin k phytonadione 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3450... .................. E Mephentermine sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J3470... .................. E Hyaluronidase injection. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3475... .................. E Inj magnesium sulfate... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3480... .................. E Inj potassium chloride.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3490... .................. E Drugs unclassified 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. [[Page 59243]] J3520... .................. N Edetate disodium per 150 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J3530... .................. E Nasal vaccine inhalation 0.00 0.00 0.00 0.00 0.00 0.00 XXX J3535... .................. N Metered dose inhaler 0.00 0.00 0.00 0.00 0.00 0.00 XXX drug. J3570... .................. N Laetrile amygdalin vit 0.00 0.00 0.00 0.00 0.00 0.00 XXX B17. J7030... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX infus. J7040... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX infus. J7042... .................. E 5% dextrose/normal 0.00 0.00 0.00 0.00 0.00 0.00 XXX saline. J7050... .................. E Normal saline solution 0.00 0.00 0.00 0.00 0.00 0.00 XXX infus. J7051... .................. E Sterile saline/water.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7060... .................. E 5% dextrose/water....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7070... .................. E D5w infusion............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7100... .................. E Dextran 40 infusion..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7110... .................. E Dextran 75 infusion..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7120... .................. E Ringers lactate infusion 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7130... .................. E Hypertonic saline 0.00 0.00 0.00 0.00 0.00 0.00 XXX solution. J7190... .................. X Factor viii............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7191... .................. X Factor VIII (porcine)... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7192... .................. X Factor viii recombinant. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7194... .................. X Factor ix complex....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7196... .................. X Othr hemophilia clot 0.00 0.00 0.00 0.00 0.00 0.00 XXX factors. J7197... .................. X Antithrombin iii 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J7300... .................. N Intraut copper 0.00 0.00 0.00 0.00 0.00 0.00 XXX contraceptive. J7310... .................. E Ganciclovir long act 0.00 0.00 0.00 0.00 0.00 0.00 XXX implant. J7500... .................. X Azathiop po tab 50mg 0.00 0.00 0.00 0.00 0.00 0.00 XXX 100s ea. J7501... .................. X Azathioprine parenteral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7503... .................. X Cyclosporine parenteral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7504... .................. X Lymphocyte immune 0.00 0.00 0.00 0.00 0.00 0.00 XXX globulin. J7505... .................. X Monoclonal antibodies... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7506... .................. X Prednisone oral......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7507... .................. E Tacrolimus oral per 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7508... .................. E Tacrolimus oral per 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7509... .................. X Methylprednisolone oral. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7510... .................. X Prednisolone oral per 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J7599... .................. X Immunosuppressive drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX noc. J7610... .................. E Acetylcysteine 10% 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J7615... .................. E Acetylcysteine 20% 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J7620... .................. E Albuterol sulfate .083%/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX ml. J7625... .................. E Albuterol sulfate .5% 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J7627... .................. E Bitolterolmesylate inhal 0.00 0.00 0.00 0.00 0.00 0.00 XXX sol. J7630... .................. E Cromolyn sodium 0.00 0.00 0.00 0.00 0.00 0.00 XXX injeciton. J7640... .................. E Epinephrine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7645... .................. E Ipratropium bromide .02%/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX ml. J7650... .................. E Isoetharine hcl .1% inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7651... .................. E Isoetharine hcl .125% 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J7652... .................. E Isoetharine hcl .167% 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J7653... .................. E Isoetharine hcl .2%/ inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7654... .................. E Isoetharine hcl .25% inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7655... .................. E Isoetharine hcl 1% inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7660... .................. E Isoproterenol hcl .5% 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J7665... .................. E Isoproterenol hcl 1% inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J7670... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX .4%. J7672... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX .6%. J7675... .................. E Metaproterenol sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 5%. J7699... .................. E Inhalation solution for 0.00 0.00 0.00 0.00 0.00 0.00 XXX DME. J7799... .................. E Non-inhalation drug for 0.00 0.00 0.00 0.00 0.00 0.00 XXX DME. J8499... .................. N Oral prescrip drug non 0.00 0.00 0.00 0.00 0.00 0.00 XXX chemo. J8530... .................. E Cyclophosphamide oral 25 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J8560... .................. E Etoposide oral 50 MG.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8600... .................. E Melphalan oral 2 MG..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8610... .................. E Methotrexate oral 2.5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX J8999... .................. E Oral prescription drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX chemo. J9000... .................. E Doxorubic hcl 10 MG vl 0.00 0.00 0.00 0.00 0.00 0.00 XXX chemo. J9015... .................. E Aldesleukin/single use 0.00 0.00 0.00 0.00 0.00 0.00 XXX vial. J9020... .................. E Asparaginase injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9031... .................. E Bcg live intravesical 0.00 0.00 0.00 0.00 0.00 0.00 XXX vac. J9040... .................. E Bleomycin sulfate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J9045... .................. E Carboplatin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9050... .................. E Carmus bischl nitro inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9060... .................. E Cisplatin 10 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J9062... .................. E Cisplatin 50 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J9065... .................. E Inj cladribine per 1 MG. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9070... .................. E Cyclophosphamide 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9080... .................. E Cyclophosphamide 200 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9090... .................. E Cyclophosphamide 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. [[Page 59244]] J9091... .................. E Cyclophosphamide 1.0 grm 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9092... .................. E Cyclophosphamide 2.0 grm 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9093... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX lyophilized. J9094... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX lyophilized. J9095... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX lyophilized. J9096... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX lyophilized. J9097... .................. E Cyclophosphamide 0.00 0.00 0.00 0.00 0.00 0.00 XXX lyophilized. J9100... .................. E Cytarabine hcl 100 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9110... .................. E Cytarabine hcl 500 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9120... .................. E Dactinomycin actinomycin 0.00 0.00 0.00 0.00 0.00 0.00 XXX d. J9130... .................. E Dacarbazine 10 MG inj... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9140... .................. E Dacarbazine 200 MG inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9150... .................. E Daunorubicin............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9165... .................. E Diethylstilbestrol 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J9170... .................. E Docetaxel............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9181... .................. E Etoposide 10 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9182... .................. E Etoposide 100 MG inj.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9185... .................. E Fludarabine phosphate 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9190... .................. E Fluorouracil injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9200... .................. E Floxuridine injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9201... .................. E Gemcitabine HCl......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9202... .................. E Goserelin acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX implant. J9206... .................. E Irinotecan injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9208... .................. E Ifosfomide injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9209... .................. E Mesna injection......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9211... .................. E Idarubicin hcl injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9213... .................. E Interferon alfa-2a inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9214... .................. E Interferon alfa-2b inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9215... .................. E Interferon alfa-n3 inj.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9216... .................. E Interferon gamma 1-b inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9217... .................. E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX suspnsion. J9218... .................. E Leuprolide acetate 0.00 0.00 0.00 0.00 0.00 0.00 XXX injection. J9230... .................. E Mechlorethamine hcl inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9245... .................. E Inj melphalan hydrochl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50 MG. J9250... .................. E Methotrexate sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9260... .................. E Methotrexate sodium inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9265... .................. E Paclitaxel injection.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9266... .................. E Pegaspargase/singl dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX vial. J9268... .................. E Pentostatin injection... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9270... .................. E Plicamycin (mithramycin) 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9280... .................. E Mitomycin 5 MG inj...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9290... .................. E Mitomycin 20 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9291... .................. E Mitomycin 40 MG inj..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9293... .................. E Mitoxantrone hydrochl/5 0.00 0.00 0.00 0.00 0.00 0.00 XXX MG. J9320... .................. E Streptozocin injection.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9340... .................. E Thiotepa injection...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9350... .................. E Topotecan............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9360... .................. E Vinblastine sulfate inj. 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9370... .................. E Vincristine sulfate 1 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9375... .................. E Vincristine sulfate 2 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9380... .................. E Vincristine sulfate 5 MG 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. J9390... .................. E Vinorelbine tartrate/10 0.00 0.00 0.00 0.00 0.00 0.00 XXX mg. J9600... .................. E Porfimer sodium......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX J9999... .................. E Chemotherapy drug....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0005... .................. D Off visit 2/more 0.00 0.00 0.00 0.00 0.00 0.00 XXX modalities. M0006... .................. D One phys therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX modality. M0007... .................. D Combined phys ther mod & 0.00 0.00 0.00 0.00 0.00 0.00 XXX tx. M0008... .................. D Combined phys ther mod & 0.00 0.00 0.00 0.00 0.00 0.00 XXX tx. M0064... .................. A Visit for drug 0.37 0.19 0.19 0.03 0.59 0.59 XXX monitoring. M0075... .................. N Cellular therapy........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0076... .................. N Prolotherapy............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0100... .................. N Intragastric hypothermia 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0101... .................. G Foot care hygienic/pm... 0.43 0.35 0.35 0.03 0.81 0.81 XXX M0300... .................. N IV chelationtherapy..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0301... .................. N Fabric wrapping of 0.00 0.00 0.00 0.00 0.00 0.00 XXX aneurysm. M0302... .................. N Assessment of cardiac 0.00 0.00 0.00 0.00 0.00 0.00 XXX output. P2028... .................. X Cephalin floculation 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. P2029... .................. X Congo red blood test.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2031... .................. N Hair analysis........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2033... .................. X Blood thymol turbidity.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX P2038... .................. X Blood mucoprotein....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX P3000... .................. X Screen pap by tech w md 0.00 0.00 0.00 0.00 0.00 0.00 XXX supv. P3001... .................. X Screening pap smear by 0.00 0.00 0.00 0.00 0.00 0.00 XXX phys. P3001... 26 A Screening pap smear by 0.42 0.32 0.32 0.04 0.78 0.78 XXX phys. [[Page 59245]] P7001... .................. I Culture bacterial urine. 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9010... .................. E Whole blood for 0.00 0.00 0.00 0.00 0.00 0.00 XXX transfusion. P9011... .................. E Blood split unit........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9012... .................. E Cryoprecipitate each 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9013... .................. E Unit/s blood fibrinogen. 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9014... .................. E Gamma globulin 1 ML..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9015... .................. E Rh immune globulin 1 ML. 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9016... .................. E Leukocyte poor blood, 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9017... .................. E One donor fresh frozn 0.00 0.00 0.00 0.00 0.00 0.00 XXX plasma. P9018... .................. E Plasma protein fract, 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9019... .................. E Platelet concentrate 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9020... .................. E Plaelet rich plasma unit 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9021... .................. E Red blood cells unit.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX P9022... .................. E Washed red blood cells 0.00 0.00 0.00 0.00 0.00 0.00 XXX unit. P9603... .................. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 XXX miles. P9604... .................. X One-way allow prorated 0.00 0.00 0.00 0.00 0.00 0.00 XXX trip. P9610... .................. X Urine specimen collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX singl. P9615... .................. X Urine specimen collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX mult. Q0034... .................. X Admin of influenza 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. Q0035... .................. A Cardiokymography........ 0.17 0.49 0.49 0.04 0.70 0.70 XXX Q0035... TC A Cardiokymography........ 0.00 0.37 0.37 0.03 0.40 0.40 XXX Q0035... 26 A Cardiokymography........ 0.17 0.12 0.12 0.01 0.30 0.30 XXX Q0068... .................. A Extracorpeal 1.67 1.27 1.27 0.16 3.10 3.10 000 plasmapheresis. Q0091... .................. A Obtaining screen pap 0.37 0.28 0.28 0.03 0.68 0.68 XXX smear. Q0092... .................. A Set up port x-ray 0.00 0.30 0.30 0.01 0.31 0.31 XXX equipment. Q0103... .................. D Physical therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX evaluation. Q0104... .................. D Phys therapy re- 0.00 0.00 0.00 0.00 0.00 0.00 XXX evaluation. Q0109... .................. D Occupational therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX eval. Q0110... .................. D Occupational therap re- 0.00 0.00 0.00 0.00 0.00 0.00 XXX eval. Q0111... .................. X Wet mounts/w 0.00 0.00 0.00 0.00 0.00 0.00 XXX preparations. Q0112... .................. X Potassium hydroxide 0.00 0.00 0.00 0.00 0.00 0.00 XXX preps. Q0113... .................. X Pinworm examinations.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0114... .................. X Fern test............... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0115... .................. X Post-coital mucous exam. 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0132... .................. X Dispensing fee DME neb 0.00 0.00 0.00 0.00 0.00 0.00 XXX drug. Q0136... .................. X Non esrd epoetin alpha 0.00 0.00 0.00 0.00 0.00 0.00 XXX inj. Q0144... .................. N Azithromycin dihydrate, 0.00 0.00 0.00 0.00 0.00 0.00 XXX oral. Q0156... .................. X Human albumin 5%........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0157... .................. X Human albumin 25%....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q0158... .................. D Combined hib & hep B 0.00 0.00 0.00 0.00 0.00 0.00 XXX vaccine. Q9920... .................. E Epoetin with hct <=20... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9921... .................. E Epoetin with hct =21.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9922... .................. E Epoetin with hct =22.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9923... .................. E Epoetin with hct =23.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9924... .................. E Epoetin with hct =24.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9925... .................. E Epoetin with hct =25.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9926... .................. E Epoetin with hct =26.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9927... .................. E Epoetin with hct =27.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9928... .................. E Epoetin with hct =28.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9929... .................. E Epoetin with hct =29.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9930... .................. E Epoetin with hct =30.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9931... .................. E Epoetin with hct =31.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9932... .................. E Epoetin with hct =32.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9933... .................. E Epoetin with hct =33.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9934... .................. E Epoetin with hct =34.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9935... .................. E Epoetin with hct =35.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9936... .................. E Epoetin with hct =36.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9937... .................. E Epoetin with hct =37.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9938... .................. E Epoetin with hct =38.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9939... .................. E Epoetin with hct =39.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q9940... .................. E Epoetin with hct >=40... 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0070... .................. C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0075... .................. C Transport port x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX multipl. R0076... .................. C Transport portable EKG.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2020... .................. X Vision svcs frames 0.00 0.00 0.00 0.00 0.00 0.00 XXX purchases. V2025... .................. N Eyeglasses delux frames. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2100... .................. X Lens spher single plano 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00. V2101... .................. X Single visn sphere 4.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7.00. V2102... .................. X Singl visn sphere 7.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20.00. V2103... .................. X Spherocylindr 4.00-0.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.00d. V2104... .................. X Spherocylindr 4.00d/2.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4d. V2105... .................. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-6d. V2106... .................. X Spherocylinder 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX >6.00d. V2107... .................. X Spherocylinder 4.25d/12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2d. [[Page 59246]] V2108... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.12-4d. V2109... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25-6d. V2110... .................. X Spherocylinder 4.25d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 6d. V2111... .................. X Spherocylindr 7.25d/.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.25. V2112... .................. X Spherocylindr 7.25d/2.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4d. V2113... .................. X Spherocylindr 7.25d/4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 6d. V2114... .................. X Spherocylinder over 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12.00d. V2115... .................. X Lens lenticular bifocal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2116... .................. X Nonaspheric lens bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2117... .................. X Aspheric lens bifocal... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2118... .................. X Lens aniseikonic single. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2199... .................. X Lens single vision not 0.00 0.00 0.00 0.00 0.00 0.00 XXX oth c. V2200... .................. X Lens spher bifoc plano 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d. V2201... .................. X Lens sphere bifocal 4.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7.0. V2202... .................. X Lens sphere bifocal 7.12- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20.. V2203... .................. X Lens sphcyl bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d/.1. V2204... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.1. V2205... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.2. V2206... .................. X Lens sphcy bifocal 4.00d/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX ove. V2207... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7d/.. V2208... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/2.. V2209... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/4.. V2210... .................. X Lens sphcy bifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/ov. V2211... .................. X Lens sphcy bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX .25-. V2212... .................. X Lens sphcyl bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.2. V2213... .................. X Lens sphcyl bifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.2. V2214... .................. X Lens sphcyl bifocal over 0.00 0.00 0.00 0.00 0.00 0.00 XXX 12.. V2215... .................. X Lens lenticular bifocal. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2216... .................. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 XXX nonaspheric. V2217... .................. X Lens lenticular aspheric 0.00 0.00 0.00 0.00 0.00 0.00 XXX bif. V2218... .................. X Lens aniseikonic bifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2219... .................. X Lens bifocal seg width 0.00 0.00 0.00 0.00 0.00 0.00 XXX over. V2220... .................. X Lens bifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3.25d. V2299... .................. X Lens bifocal speciality. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2300... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00d. V2301... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.12-7.. V2302... .................. X Lens sphere trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7.12-20. V2303... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX .12-. V2304... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.25. V2305... .................. X Lens sphcy trifocal 4.0/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25. V2306... .................. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.00/>6. V2307... .................. X Lens sphcy trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/.. V2308... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/2.. V2309... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/4.. V2310... .................. X Lens sphc trifocal 4.25- 0.00 0.00 0.00 0.00 0.00 0.00 XXX 7/>6. V2311... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX .25-. V2312... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 2.25. V2313... .................. X Lens sphc trifo 7.25-12/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX 4.25. V2314... .................. X Lens sphcyl trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX over 12. V2315... .................. X Lens lenticular trifocal 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2316... .................. X Lens lenticular 0.00 0.00 0.00 0.00 0.00 0.00 XXX nonaspheric. V2317... .................. X Lens lenticular aspheric 0.00 0.00 0.00 0.00 0.00 0.00 XXX tri. V2318... .................. X Lens aniseikonic 0.00 0.00 0.00 0.00 0.00 0.00 XXX trifocal. V2319... .................. X Lens trifocal seg width 0.00 0.00 0.00 0.00 0.00 0.00 XXX >28. V2320... .................. X Lens trifocal add over 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3.25d. V2399... .................. X Lens trifocal speciality 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2410... .................. X Lens variab asphericity 0.00 0.00 0.00 0.00 0.00 0.00 XXX sing. V2430... .................. X Lens variable 0.00 0.00 0.00 0.00 0.00 0.00 XXX asphericity bi. V2499... .................. X Variable asphericity 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2500... .................. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 XXX spherical. V2501... .................. X Cntct lens pmma-toric/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX prism. V2502... .................. X Contact lens pmma 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocal. V2503... .................. X Cntct lens pmma color 0.00 0.00 0.00 0.00 0.00 0.00 XXX vision. V2510... .................. X Cntct gas permeable 0.00 0.00 0.00 0.00 0.00 0.00 XXX sphericl. V2511... .................. X Cntct toric prism 0.00 0.00 0.00 0.00 0.00 0.00 XXX ballast. V2512... .................. X Cntct lens gas permbl 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocl. V2513... .................. X Contact lens extended 0.00 0.00 0.00 0.00 0.00 0.00 XXX wear. V2520... .................. P Contact lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2521... .................. X Cntct lens hydrophilic 0.00 0.00 0.00 0.00 0.00 0.00 XXX toric. V2522... .................. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 XXX bifocl. V2523... .................. X Cntct lens hydrophil 0.00 0.00 0.00 0.00 0.00 0.00 XXX extend. V2530... .................. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX impermeable. V2531... .................. X Contact lens gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX permeable. V2599... .................. X Contact lens/es other 0.00 0.00 0.00 0.00 0.00 0.00 XXX type. [[Continued on page 59247]]