[Federal Register Volume 66, Number 149 (Thursday, August 2, 2001)]
[Proposed Rules]
[Pages 40372-40566]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-18951]



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Part III





Department of Health and Human Services





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Center for Medicare & Medicaid Services



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42 CFR Parts 405 et al.



Medicare Programs; Revisions to Payment Policies Under the Physician 
Fee Schedule for Calendar Year 2002; Proposed Rule

  Federal Register / Vol. 66, No. 149 / Thursday, August 2, 2001 / 
Proposed Rules  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 410, 411, 414, and 415

[CMS-1169-P]
RIN 0938-AK57


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2002

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule.

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SUMMARY: This proposed rule would refine the resource-based practice 
expense relative value units and make several changes to Medicare Part 
B payment. The policy changes concern services and supplies incident to 
a physician's professional service; anesthesia base unit variations; 
recognition of CPT tracking codes; and nurse practitioners, physician 
assistants, and clinical nurse specialists performing screening 
sigmoidoscopies. We are proposing these refinements and changes to 
ensure that our payment systems are updated to reflect changes in 
medical practice and the relative value of services. We are soliciting 
comments on the proposed policy changes as well as comments on the 
payment policy for CPT modifier 62 that is used to report the work of 
co-surgeons.
    The Medicare, Medicaid, and SCHIP Benefits Improvement and 
Protection Act of 2000 modernizes the mammography screening benefit and 
authorizes payment under the physician fee schedule effective January 
1, 2002; provides for biennial screening pelvic examinations for 
certain beneficiaries effective July 1, 2001; provides for annual 
glaucoma screenings for high-risk beneficiaries effective January 1, 
2002; expands coverage for screening colonoscopies to all beneficiaries 
effective July 1, 2001; establishes coverage for medical nutrition 
therapy services for certain beneficiaries effective January 1, 2002; 
expands payment for telehealth services effective October 1, 2001; 
requires certain Indian Health Service providers to be paid for some 
services under the physician fee schedule effective July 1, 2001; and 
revises the payment for certain physician pathology services effective 
January 1, 2001. This proposed rule would conform our regulations to 
reflect the statutory provisions.

DATES: We will consider comments if we receive them at the appropriate 
address, as provided below, no later than 5 p.m. on October 1, 2001.

ADDRESSES: Mail written comments (1 original and 3 copies) to the 
following address:
    Centers for Medicare & Medicaid Services, Department of Health and 
Human Services, Attention: CMS-1169-P, P.O. Box 8013, Baltimore, MD 
21244-8013.
    To insure that mailed comments are received in time for us to 
consider them, please allow for possible delays in delivering them. If 
you prefer, you may deliver your written comments (1 original and 3 
copies) to one of the following addresses: Room C5-14-03, 7500 Security 
Boulevard, Baltimore, MD 21244-8013.
    Comments mailed to the above addresses may be delayed and received 
too late for us to consider them.
    Because of staff and resource limitations, we cannot accept 
comments by facsimile (FAX) transmission. In commenting, please refer 
to file code CMS-1169-P.
    For information on viewing public comments, please see the 
beginning of the Supplementary Information section.

FOR FURTHER INFORMATION CONTACT: Carolyn Mullen, (410) 786-4589 or Marc 
Hartstein, (410) 786-4539 (for issues related to resource-based 
practice expense relative value units).
    Carlos Cano, (410) 786-0245 (for issues related to screenings for 
sigmoidoscopies).
    Paul W. Kim, (410) 786-7410 (for issues related to incident to 
services).
    Rick Ensor, (410) 786-5617 (for issues related to mammography 
screenings).
    Bill Larson, (410) 786-4639 (for issues related to screening pelvic 
examinations, screenings for glaucoma, and coverage for screening 
colonoscopies).
    Bob Ulikowski, (410) 786-5721 (for issues related to the payment 
for screening colonoscopies).
    Mary Stojak, (410) 786-6939 (for issues related to medical 
nutrition therapy).
    Joan Mitchell, (410) 786-4508 (for issues related to the payment 
for medical nutrition therapy).
    Craig Dobyski, (410) 786-4584 (for issues related to telehealth).
    Terri Harris, (410) 786-6830 (for issues related to Indian Health 
Service providers).
    Jim Menas, (410) 786-4507 (for issues related to anesthesia and 
pathology services).
    Diane Milstead, (410) 786-3355 (for all other issues).

SUPPLEMENTARY INFORMATION:
    Inspection of Public Comments: Comments received timely will be 
available for public inspection as they are received, generally 
beginning approximately 3 weeks after publication of a document, at 
7500 Security Blvd, Baltimore, Maryland 21244, Monday through Friday of 
each week from 8:30 a.m. to 5 p.m. Please call (410) 786-7197 to make 
an appointment to view the public comments.
    Copies: To order copies of the Federal Register containing this 
document, send your request to: New Orders, Superintendent of 
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date 
of the issue requested and enclose a check or money order payable to 
the Superintendent of Documents, or enclose your Visa or Master Card 
number and expiration date. Credit card orders can also be placed by 
calling the order desk at (202) 512-1800 or by faxing to (202) 512-
2250. The cost for each copy is $9. As an alternative, you can view and 
photocopy the Federal Register document at most libraries designated as 
Federal Depository Libraries and at many other public and academic 
libraries throughout the country that receive the Federal Register.
    This Federal Register document is also available from the Federal 
Register online database through GPO Access, a service of the U.S. 
Government Printing Office. The Website address is: http://www.access.gpo.gov/nara/index.html.
    Information on the physician fee schedule can be found on our 
homepage. You can access this data by using the following directions:
    1. Go to the CMS homepage (http://www.cms.hhs.gov).
    2. Click on ``Medicare.''
    3. Click on ``Professional/Technical Information.''
    4. Select Medicare Payment Systems.
    5. Select Physician Fee Schedule.

Or, you can go directly to the Physician Fee Schedule page by typing 
the following: http://www.cms.hhs.gov/medicare/pfsmain.htm.
    To assist readers in referencing sections contained in this 
preamble, we are providing the following table of contents. Some of the 
issues discussed in this preamble affect the payment policies but do 
not require changes to the regulations in the Code of Federal 
Regulations. Information on the regulation's impact appears throughout 
the preamble and is not exclusively in section VI.

Table of Contents

I. Background

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    A. Legislative History
    B. Published Changes to the Fee Schedule
II. Specific Proposals for Calendar Year 2002
    A. Resource-Based Practice Expense Relative Value Units
    B. Nurse Practitioners, Physician Assistants, and Clinical Nurse 
Specialists Performing Screening Sigmoidoscopies
    C. Services and Supplies Incident to a Physician's Professional 
Services: Conditions
    D. Anesthesia Services
    E. Performance Measurement and Emerging Technology Codes
    F. Payment Policy for CPT Modifier 62 (Co-Surgery)
III. Implementation of Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000
    A. Screening Mammography
    B. Screening Pelvic Examinations
    C. Screening for Glaucoma
    D. Screening Colonoscopy
    E. Medical Nutrition Therapy
    F. Telehealth Services
    G. Indian Health Service
    H. Pathology Services
IV. Collection of Information Requirements
V.Response to Comments
VI. Regulatory Impact Analysis
Addendum A--Explanation and Use of Addendum B
Addendum B--2002 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2002

    In addition, because of the many organizations and terms to which 
we refer by acronym in this proposed rule, we are listing these 
acronyms and their corresponding terms in alphabetical order below:

AMA  American Medical Association
BBA  Balanced Budget Act of 1997
BBRA  Balanced Budget Refinement Act of 1999
CF  Conversion factor
CFR  Code of Federal Regulations
CPT  [Physicians'] Current Procedural Terminology [4th Edition, 
1997, copyrighted by the American Medical Association]
CPEP  Clinical Practice Expert Panel
CRNA  Certified Registered Nurse Anesthetist
E/M  Evaluation and management
EB  Electrical bioimpedance
FMR  Fair market rental
GAF  Geographic adjustment factor
GPCI  Geographic practice cost index
CMS  Centers for Medicare & Medicaid Services
HCPCS  Healthcare Common Procedure Coding System
HHA  Home health agency
HHS  [Department of] Health and Human Services
IDTFs  Independent Diagnostic Testing Facilities
MCM  Medicare Carrier Manual
MedPAC  Medicare Payment Advisory Commission
MEI  Medicare Economic Index
MGMA  Medical Group Management Association
MSA  Metropolitan Statistical Area
NAMCS  National Ambulatory Medical Care Survey
PC  Professional component
PEAC  Practice Expense Advisory Committee
PPAC  Practicing Physicians Advisory Council
PPS  Prospective payment system
RUC  [AMA's Specialty Society] Relative [Value] Update Committee
RVU  Relative value unit
SGR  Sustainable growth rate
SMS  [AMA's] Socioeconomic Monitoring System
TC  Technical component

I. Background

A. Legislative History

    Since January 1, 1992, Medicare has paid for physicians' services 
under section 1848 of the Social Security Act (the Act), ``Payment for 
Physicians'' Services.'' This section provides for three major 
elements: (1) A fee schedule for the payment of physicians' services; 
(2) a sustainable growth rate for the rates of increase in Medicare 
expenditures for physicians' services; and (3) limits on the amounts 
that nonparticipating physicians can charge beneficiaries. The Act 
requires that payments under the fee schedule be based on national 
uniform relative value units (RVUs) based on the resources used in 
furnishing a service. Section 1848(c) of the Act requires that national 
RVUs be established for physician work, practice expense, and 
malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides 
that adjustments in RVUs may not cause total physician fee schedule 
payments to differ by more than $20 million from what they would have 
been had the adjustments not been made. If adjustments to RVUs cause 
expenditures to change by more than $20 million, we must make 
adjustments to preserve budget neutrality.

B. Published Changes to the Fee Schedule

    In the July 2000 proposed rule (65 FR 44177), we listed all of the 
final rules published through November 1999, relating to the updates to 
the RVUs and revisions to payment policies under the physician fee 
schedule.
    In the November 2000 final rule with comment period (65 FR 65376), 
we revised the policy for resource-based practice expense relative 
value units (RVUs); the geographic practice cost indices; resource-
based malpractice RVUs; critical care RVUs; care plan oversight, 
physician certification and recertification for home health services; 
observation care codes; ocular photodynamic therapy and other 
ophthalmologic treatments; electrical bioimpedance; antigen supply, and 
the implantation of ventricular assist devices. This rule also 
addressed the comments received on the May 3, 2000 interim final rule 
(65 FR 25664) on the supplemental survey criteria and made 
modifications to the criteria for data submitted in 2001. Based on 
public comments, we withdrew our proposals related to the global period 
for insertion, removal, and replacement of pacemakers and cardioverter 
defibrillators, and to the removal of RVUs for low intensity 
ultrasound. The November 2000 final rule also discussed or clarified 
the payment policy for incomplete medical direction, pulse oximetry 
services, outpatient therapy supervision, outpatient therapy caps, 
HCPCS ``G'' Codes, and the second 5-year refinement of work RVUs for 
services furnished beginning January 1, 2002. In addition, we finalized 
the calendar year (CY) 2000 interim physician work RVUs and issued 
interim RVUs for new and revised codes for CY 2001. We made these 
changes to ensure that our payment systems are updated to reflect 
changes in medical practice and the relative value of services. This 
final rule also announced the CY 2001 Medicare physician fee schedule 
conversion factor under the Medicare Supplementary Medical Insurance 
(Part B) program as required by section 1848(d) of the Act. The 2001 
Medicare physician fee schedule conversion factor was $38.2581.

II. Specific Proposals for Calendar Year 2002

    This proposed rule would affect the regulations set forth at Part 
405, Federal health insurance for the aged and disabled, Part 410, 
Supplementary medical insurance (SMI) benefits; Part 411, Exclusions 
from Medicare and limitations on Medicare payment; Part 414, Payment 
for Part B medical and other health services; and Part 415, Services 
furnished by physicians in providers, supervising physicians in 
teaching settings, and residents in certain settings.

A. Resource-Based Practice Expense Relative Value Units

1. Resource-Based Practice Expense Legislation
    Section 121 of the Social Security Act Amendments of 1994 (Public 
Law 103-432), enacted on October 31, 1994, required us to develop a 
methodology for a resource-based system for determining practice 
expense RVUs for each physician's service beginning in

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1998. In developing the methodology, we were to consider the staff, 
equipment, and supplies used in providing medical and surgical services 
in various settings. The legislation specifically required that, in 
implementing the new system of practice expense RVUs, we apply the same 
budget-neutrality provisions that we apply to other adjustments under 
the physician fee schedule.
    Section 4505(a) of the BBA amended section 1848(c)(2)(ii) of the 
Act and delayed the effective date of the resource-based practice 
expense RVU system until January 1, 1999. In addition, section 4505(b) 
of the BBA provided for a 4-year transition period from charge-based 
practice expense RVUs to resource-based RVUs. The practice expense RVUs 
for CY 1999 were the product of 75 percent of charge-based RVUs and 25 
percent of the resource-based RVUs. For CY 2000, the RVUs were 50 
percent charge-based RVUs and 50 percent resource-based RVUs. For CY 
2001, the RVUs are 25 percent charge-based and 75 percent resource-
based. After CY 2001, the RVUs will be totally resource-based.
    Section 4505(e) of the BBA amended section 1848(c)(2) of the Act by 
providing that 1998 practice expense RVUs be adjusted for certain 
services in anticipation of implementation of resource-based practice 
expenses beginning in 1999. As a result, the statute required us to 
increase practice expense RVUs for office visits. For other services in 
which practice expense RVUs exceeded 110 percent of the work RVUs and 
were furnished less than 75 percent of the time in an office setting, 
the statute required us to reduce the 1998 practice expense RVUs to a 
number equal to 110 percent of the work RVUs. This reduction did not 
apply to services that had proposed resource-based practice expense 
RVUs that increased from their 1997 practice expense RVUs as reflected 
in the June 18, 1997 proposed rule (62 FR 33196). The services affected 
and the final RVUs for 1998 were published in the October 1997 final 
rule (62 FR 59103).
    Further legislation affecting resource-based practice expense RVUs 
was included in the Balanced Budget Refinement Act of 1999 (BBRA) 
(Public Law 106-113). Section 212 of the BBRA amended section 
1848(c)(2)(ii) of the Act by directing us to establish a process under 
which we accept and use, to the maximum extent practicable and 
consistent with sound data practices, data collected or developed by 
entities and organizations. These data would supplement the data we 
normally collect in determining the practice expense component of the 
physician fee schedule for payments in CY 2001 and CY 2002.
2. Current Methodology for Computing the Practice Expense Relative 
Value Unit System
    Effective with services furnished on or after January 1, 1999, we 
established a new methodology for computing resource-based practice 
expense RVUs that used the two significant sources of actual practice 
expense data we have available--the Clinical Practice Expert Panel 
(CPEP) data and the American Medical Association's (AMA) Socioeconomic 
Monitoring System (SMS) data. The methodology was based on an 
assumption that current aggregate specialty practice costs are a 
reasonable way to establish initial estimates of relative resource 
costs for physicians' services across specialties. The methodology 
allocated these aggregate specialty practice costs to specific 
procedures and, thus, can be seen as a ``top-down'' approach. 
Discussion of the various elements of the methodology and their 
application follow.
    a. Practice Expense Cost Pools. We used actual practice expense 
data by specialty, derived from the 1995 through 1998 SMS survey data, 
to create six cost pools--administrative labor, clinical labor, medical 
supplies, medical equipment, office supplies, and all other expenses. 
There were three steps in the creation of the cost pools. (Please note 
that use of the 1998 data was incorporated for CY 2001.)
     Step (1) We used the AMA's SMS survey of actual cost data 
to determine practice expenses per hour by cost category. The practice 
expenses per hour for each physician respondent's practice was 
calculated as the practice expenses for the practice divided by the 
total number of hours spent in patient care activities. The practice 
expenses per hour for the specialty were an average of the practice 
expenses per hour for the respondent physicians in that specialty. For 
the CY 2000 physician fee schedule, we also used data from a survey 
submitted by the Society of Thoracic Surgeons (STS) in calculating 
thoracic and cardiac surgeons' practice expense per hour. (Please see 
the November 1999 final rule (64 FR 59391) for additional information 
concerning acceptance of these data.) For CY 2001 we used these STS 
data, as well as survey data submitted by the American Society of 
Vascular Surgery and the Society of Vascular Surgery. (Please see the 
November 2000 final rule (65 FR 65385) for additional information on 
acceptance of these data.)
     Step (2) We determined the total number of physician hours 
(by specialty) spent treating Medicare patients. This was calculated 
from physician time data for each procedure code and from Medicare 
claims data.
     Step (3) We calculated the practice expense pools by 
specialty and by cost category by multiplying the specialty practice 
expenses per hour for each category by the total physician hours.
    For services with work RVUs equal to zero (including the technical 
component (TC) of services with a TC and professional component (PC)), 
we created a separate practice expense pool using the average clinical 
staff time from the CPEP data (since these codes by definition do not 
have physician time) and the ``all physicians'' practice expense per 
hour.
    b. Cost Allocation Methodology. For each specialty, we divided the 
six practice expense pools into two groups, based on whether direct or 
indirect costs were involved, and used a different allocation basis for 
each group. The first group included clinical labor, medical supplies, 
and medical equipment. The second group included administrative labor, 
office expenses, and all other expenses.
    (i) Direct Costs. For direct costs (including clinical labor, 
medical supplies, and medical equipment), we used the CPEP data as the 
allocation basis. The CPEP data for clinical labor, medical supplies, 
and medical equipment were used to allocate the costs for each of the 
respective cost pools.
    For the separate practice expense pool for services with work RVUs 
equal to zero, we used adjusted 1998 practice expense RVUs as an 
interim measure to allocate the direct cost pools. (Please see the 
November 1998 final rule (63 FR 58891) for further information related 
to this adjustment.) Also, for all radiology services that are assigned 
work RVUs, we used the adjusted 1998 practice expense RVUs for 
radiology services as an interim measure to allocate the direct 
practice expense cost pool for radiology. For all other specialties 
that perform radiology services, we used the CPEP data for radiology 
services in the allocation of that specialty's direct practice expense 
cost pools.
    (ii) Indirect Costs. To allocate the cost pools for indirect costs, 
including administrative labor, office expenses, and all other 
expenses, we used the total direct costs, as described above, in 
combination with the physician fee schedule work RVUs. We converted the 
work RVUs to dollars using the Medicare CF (expressed in 1995 dollars

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for consistency with the SMS survey years).
    The SMS pool was divided by the CPEP pool for each specialty to 
produce a scaling factor that was applied to the CPEP direct cost 
inputs. This was intended to match costs counted as practice expenses 
in the SMS survey with items counted as practice expenses in the CPEP 
process. When the specialty-specific scaling factor exceeded the 
average scaling factor by more than 3 standard deviations, we used the 
average scaling factor. (Please see the November 1999 final rule (64 FR 
59390) for further discussion of this issue.)
    For procedures performed by more than one specialty, the final 
procedure code allocation was a weighted average of allocations for the 
specialties that perform the procedure, with the weights being the 
frequency with which each specialty performs the procedure on Medicare 
patients.
    c. Other Methodological Issues. (i) Global Practice Expense 
Relative Value Units. For services with the PC and TC paid under the 
physician fee schedule, the global practice expense RVUs were set equal 
to the sum of the PC and TC.
    (ii) Practice Expenses per Hour Adjustments and Specialty 
Crosswalks. Since many specialties identified in our claims data did 
not correspond exactly to the specialties included in the practice 
expense tables from the SMS survey data, it was necessary to crosswalk 
these specialties to the most appropriate SMS specialty category. We 
also made the following adjustments to the practice expense per hour 
data. (For the rationale for these adjustments to the practice expense 
per hour, see the November 1998 final rule (63 FR 58841).)
     We set the medical materials and supplies practice 
expenses per hour for the specialty of ``oncology'' equal to the ``all 
physician'' medical materials and supplies practice expenses per hour.
     We based the administrative payroll, office, and other 
practice expenses per hour for the specialties of ``physical therapy'' 
and ``occupational therapy'' on data used to develop the salary 
equivalency guidelines for these specialties. We set the remaining 
practice expense per hour categories equal to the ``all physician'' 
practice expenses per hour from the SMS survey data. (Note that in the 
November 2000 final rule (65 FR 65403), we increased the space 
allotment for therapy services to 750 square feet.)
     Due to uncertainty concerning the appropriate crosswalk 
and time data for the nonphysician specialty ``audiologist,'' we 
derived the resource-based practice expense RVUs for codes performed by 
audiologists from the practice expenses per hour of the other 
specialties that perform these services.
     For the specialty of ``emergency medicine,'' we used the 
``all physician'' practice expense per hour to create practice expense 
cost pools for the categories ``clerical payroll'' and ``other 
expenses.''
     For the specialty of ``podiatry,'' we used the ``all 
physician'' practice expense per hour to create the practice expense 
pool.
     For the specialty of ``pathology,'' we removed the 
supervision and autopsy hours reimbursed through Part A of the Medicare 
program from the practice expense per hour calculation.
     For the specialty ``maxillofacial prosthetics,'' we used 
the ``all physician'' practice expense per hour to create practice 
expense cost pools and, as an interim measure, allocated these pools 
using the adjusted 1998 practice expense RVUs.
     We split the practice expenses per hour for the specialty 
``radiology'' into ``radiation oncology'' and ``radiology other than 
radiation oncology'' and used this split practice expense per hour to 
create practice expense cost pools for these specialties.
    (iii) Time Associated with the Work RVUs. The time data resulting 
from the refinement of the work RVUs have been, on average, 25 percent 
greater than the time data obtained by the Harvard study for the same 
services. We increased the Harvard study's time data to ensure 
consistency between these data sources.
    For services with no assigned physician time, such as dialysis, 
physical therapy, psychology, and many radiology and other diagnostic 
services, we calculated estimated total physician time based on work 
RVUs, maximum clinical staff time for each service as shown in the CPEP 
data, or the judgment of our clinical staff.
    We calculated the time for CPT codes (hereafter referred to as 
``codes'') 00100 through 01996 using the base and time units from the 
anesthesia fee schedule and the Medicare allowed claims data.
3. Refinement
    a. Background. Section 4505(d)(1)(C) of the BBA amended section 
1848(c)(2)(C)(ii) of the Act by directing us to develop a refinement 
process to be used during each of the 4 years of the transition period. 
We did not propose a specific long-term refinement process in the June 
1998 proposed rule (63 FR 30835). Rather, we set out the parameters for 
an acceptable refinement process for practice expense RVUs and 
solicited comments on our proposal. We received a variety of comments 
about broad methodology issues, practice expense per-hour data, and 
detailed code-level data. We made adjustments to our proposal based on 
comments we received. We also indicated that we would consider other 
comments for possible refinement and that the RVUs for all codes would 
be considered interim for 1999 and for future years during the 
transition period.
    We outlined in the November 1998 final rule (63 FR 58832) the steps 
we were undertaking as part of the initial refinement process. These 
steps included the following:
     Establishment of a mechanism to receive independent advice 
for dealing with broad practice expense RVU technical and 
methodological issues.
     Evaluation of any additional recommendations from the 
General Accounting Office, the Medicare Payment Advisory Commission 
(MedPAC), and the Practicing Physicians Advisory Council (PPAC).
     Consultation with physician and other groups about these 
issues.
    We also discussed a proposal submitted by the AMA's Specialty 
Society Relative Value Update Committee (RUC) for development of a new 
advisory committee, the Practice Expense Advisory Committee (PEAC), to 
review comments and recommendations on the code-specific CPEP data 
during the refinement period. In addition, we solicited comments and 
suggestions about our practice expense methodology from organizations 
that have a broad range of interests and expertise in practice expense 
and survey issues.
    b. Current Status of Refinement Activities. In the 1999 and 2000 
proposed and final rules, we provided further information on refinement 
activities underway, including the AMA's formation of the PEAC and the 
support contract that we awarded to the Lewin Group to focus on 
methodologic issues. In addition, in these rules we announced actions 
taken and decisions made in response to the hundreds of comments 
received on our resource-based physician practice expense initiative. 
Because the transition will be completed in CY 2002 and the practice 
expense RVUs will then be totally resource-based, it is appropriate to 
recap the specific achievements reached and decisions implemented 
during this refinement effort to date.
    (i) Use of the Top-Down Approach. Most of the physician 
organizations commenting agreed that this methodology was preferred for 
computing resource-based practice expense RVUs and that it was in 
accordance with the requirements of the

[[Page 40376]]

BBA. KPMG Peat Marwick, under contract to us, reviewed the top-down 
methodology in which aggregate specialty costs are applied to specific 
procedures and concluded that it followed reasonable cost accounting 
principles. A 1999 GAO report concludes, ``HCFA's new approach 
represents a reasonable starting point for creating resource-based 
practice expense RVUs. It uses the best available data for this purpose 
and explicitly recognizes specialty differences in practice expense.'' 
Based on these comments and assessments, we made the decision to 
continue to use the top-down methodology to calculate the resource-
based practice expense RVUs.
    (ii) Use of the SMS Survey. The supplemental non-SMS survey data 
submitted by several specialties in response to the 1998 proposed rule, 
with the exception of the survey data from the thoracic surgeons, were 
not compatible with the format or methodology of the SMS. We awarded a 
contract to the Lewin Group to recommend criteria for the acceptance of 
specialty-specific practice expense data so that we could supplement 
the SMS data as appropriate. These recommended criteria are contained 
in the final report, ``An Evaluation of the Health Care Financing 
Administration's Resource-Based Practice Expense Methodology.'' This 
report is available on our web page under the same title. (Access to 
our web site is discussed under the SUPPLEMENTARY INFORMATION section 
above.)
    The report also contains recommendations for revisions to the SMS 
or other surveys to efficiently meet the needs of our practice expense 
methodology. We augmented these recommendations and forwarded our 
suggestions for revisions to any future surveys to the AMA. For 
example, we developed supplementary survey questions that would allow 
us to distinguish both costs and direct patient care hours for all 
midlevel practitioners. We also suggested revisions that would capture 
the necessary information on separately billable supplies and services 
so that we could eliminate these costs from the specialty-specific 
practice expense per-hour calculations.
    To obtain supplementary specialty-specific practice expense data 
that could be used in computing practice expense RVUs beginning January 
1, 2001, we published an interim final rule on May 3, 2000 (65 FR 
25664) that set forth the criteria applicable to supplemental survey 
data submitted to us by August 1, 2000.
    We also provided a 60-day period for submission of public comments 
on our criteria for survey data submitted between August 2, 2000 and 
August 1, 2001 for use in computing the practice expense RVUs for the 
CY 2002 physician fee schedule.
    In the November 1, 2000 final rule (65 FR 65385), we responded to 
comments received on the interim final rule and made modifications to 
the criteria for supplemental survey data that will be considered in 
computing practice expense RVUs for the CY 2002 physician fee schedule. 
These data can then be used to supplement the SMS survey data currently 
used to estimate each specialty's aggregate practice costs or to 
replace the crosswalks used for specialties not represented in the SMS.
    In our November 1999 final rule, we accepted supplementary data 
submitted by the thoracic surgeons and, in our November 2000 rule, we 
accepted survey data from the vascular surgeons that replaced the 
previously crosswalked practice expense per hour data for that 
specialty. If we receive additional specialty-specific survey data 
before August 1, 2001 that meets the criteria outlined in the November 
1, 2000 final rule, we will use this supplementary data in calculating 
the CY 2002 practice expense RVUs.
    We accepted our contractor's recommendation to incorporate the 
latest SMS data into our practice-expense-per-hour calculations. For CY 
2001, we incorporated the 1998 SMS data into a 4-year average and are 
proposing to incorporate the 1999 SMS data into a 5-year average to 
calculate the CY 2002 practice expense RVUs.
    We also accepted the contractor's recommendation to standardize the 
survey practice expense data to a common year. We adjusted the data to 
reflect a 1995 cost year.
    We received comments that urged us to use the median SMS specialty-
specific data instead of the mean, as well as comments supporting our 
use of the mean values. We made a decision to continue to use the mean 
in calculating the specialty-specific practice expense per hour. We 
believe that, in a small sample, using the median could eliminate 
outlying data from the calculation that represent real costs and thus 
should be considered.
    (iii) CPEP Data. The AMA has formed a multispecialty sub-committee 
of their Relative Value Update Committee (RUC), the Practice Expense 
Advisory Committee (PEAC), to review the CPEP clinical staff, 
equipment, and supply data for all physician services. This 
multispecialty committee, which includes representatives from all major 
specialty societies, would then make recommendations on suggested 
refinements to this data. We indicated in our November 1998 final rule 
(63 FR 58833) that we would work with the PEAC and RUC to refine the 
practice expense direct cost inputs. This refinement process was 
supported in comments we received from almost every major physician 
specialty society.
    In our 1999 physician fee schedule final rule, we implemented most 
CPEP refinements recommended by the RUC. For the 2000 final rule, the 
RUC forwarded to us significant additional refinement recommendations 
that reflected multispecialty agreement on the typical resources for 
many important services, including visit codes, that account for 
approximately 24 percent of Medicare spending for physician services. 
Again we received and accepted almost all of these RUC recommendations. 
In addition, at its October 2000, February 2001, and April 2001 
meetings, the PEAC focused on high-volume services and on standardizing 
inputs across wide ranges of services. We, therefore, anticipate that 
the pace of refinement of the CPEP inputs will continue to accelerate.
    In addition to implementing most of the RUC-recommended 
refinements, we responded to comments on errors and anomalies in the 
CPEP data in both the November 1999 and November 2000 final rules. For 
example, we removed separately billable casting supplies and drugs from 
all services, we adjusted the prices of certain supplies that were 
clearly in error, we removed duplicated equipment from the direct 
inputs of the nuclear medicine codes, we added clearly essential 
equipment that was missing from the lithotripsy and photochemotherapy 
codes, we corrected anomalies in inputs within several families of 
codes, and we changed the crosswalks for the CPEP inputs of several 
codes not valued by the CPEP panels when a commenter suggested more 
appropriate crosswalks.
    We simplified the refinement of equipment inputs by combining both 
the procedure-specific and overhead equipment into a single equipment 
category. We also deleted stand-by equipment and equipment used for 
multiple services at one time from the direct cost inputs because of 
the difficulty of allocating these costs at the code-specific level.
    We are resolving issues related to averaging input costs for codes 
that were valued by more than one CPEP panel. While we have received 
comments agreeing and disagreeing with our use of mean costs, the issue 
is moot because we are substituting refined data for the data 
previously produced by multiple CPEPs.

[[Page 40377]]

    (iv) Physician Time Data. In the November 1999 rule (64 FR 59404), 
we stated that, in general, requests for revisions for the procedure-
specific physician times should be deferred to either the RUC process 
or the 5-year review process. However, we did adopt the newer data to 
correct the physician time for the pediatric surgery codes and made the 
requested revisions to correct anomalies in the times of certain 
psychotherapy codes.
    In response to comments on the times associated with physical and 
occupational therapy services, we added preservice and postservice 
times to all of these codes.
    (v) Crosswalk Issues. In response to concerns expressed by 
specialty societies representing emergency medicine that the SMS data 
did not capture the costs of uncompensated care, we crosswalked 
emergency medicine's administrative labor and other expenses cost pools 
to the practice expense per hour for ``all physicians.''
    We resolved issues related to the specialty crosswalk for nursing 
specialties by eliminating the separate practice expense pools for 
midlevel practitioners.
    (vi) Calculation of Practice Expense Pools--Other Issues. We 
addressed concerns that potential errors in our specialty utilization 
data will have an effect on the calculation of practice expense RVUs. 
In the July 2000 proposed rule (65 FR 44178), we discussed our 
simulations that demonstrated that the small percentage of potential 
errors in our very large database have no adverse effect on specialty-
specific practice expense RVUs.
    We have created the zero-work pool for services with no physician 
work to ensure that these services are not inappropriately 
disadvantaged by our methodology. We have also agreed with the request 
of all the specialty societies that commented that their services 
should be moved out of the zero-work pool and into the specialty-
specific pool. The specialties whose services remain in the zero-work 
pool have indicated that they wish their services to remain there. We 
plan to eliminate this separate pool for services with no physician 
work only when we have determined what revisions to our methodology are 
required so that we can value these services appropriately outside of 
the zero-work pool.
    (vii) Calculation of Indirect Cost. We requested that our 
contractor evaluate various options for calculating indirect costs. The 
final report, referenced above, contains an analysis of the impacts of 
six alternative allocation methodologies. In confirming the suitability 
of our allocation methodology, the report concludes that ``HCFA's 
approach is broadly consistent with most of the alternative methods. 
This consistency suggests that, from a broad perspective, no other 
allocation methodology offers a compelling reason to abandon the 
current HCFA approach.''
    (viii) Site-of-Service. The practice expense RVUs would be expected 
to be higher in the non-facility setting, where the practitioner bears 
the costs of the necessary staff, supplies, and equipment, than in the 
facility setting. To prevent potential anomalies in our calculations 
due to the different mix of specialties performing a given service in 
different settings, we capped the facility practice expense RVUs at the 
non-facility level for each specific service.
    In the November 1999 final rule (64 FR 59407), in response to a 
comment from the Renal Physicians Association, we agreed that the 
monthly capitated service codes should always be reported using the 
non-facility designation. The site of service designations are not 
meaningful for a monthly service that may be provided in different 
settings for the same patient during a given month.
    Although we need to do additional work to complete the refinement 
of all practice expense RVUs, we believe that the above description of 
our actions to date shows that much has been accomplished. We also 
believe that it demonstrates that we have been responsive to comments 
from the medical community and have established a process that enables 
this community to participate fully in the refinement of both the 
specialty-specific practice expense per hour and the CPEP code-specific 
inputs.

Practice Expense Proposals for Calendar Year 2002

(1) Use of 1999 SMS Survey Data
    We are currently using data from the 1995 through the 1998 SMS 
surveys (1994 through 1997 practice expense data) in order to calculate 
the specialty-specific practice expense per hour. The 1999 SMS survey 
data is now available. Because we want to incorporate the most recent 
survey data into our methodology during the transition period, we are 
proposing to add this 1999 data to the 4 years of data we are currently 
using.
    We are proposing to use these 5 years of data in addition to any 
supplemental specialty-specific data that meet our criteria as the 
basis of the practice expense per hour calculations until the first 5-
year review of practice expense RVUs in 2007. At that time, we 
anticipate that newer practice expense survey data might be available.
    The proposed specialty-specific practice-expense per hour 
calculations are shown in Table 1. The specialty level impact of using 
the additional SMS data is shown in Table 5 of the regulatory impact 
statement. As indicated, Table 5 shows the impact of this change only 
relative to the current estimated fully-implemented practice expense 
RVUs.

                       Table 1.--Specialty-Specific Practice Expense Per Hour Calculations
----------------------------------------------------------------------------------------------------------------
                               Clinical    Clerical     Office     Supplies    Equipment     Other       Total
          Specialty             payroll     payroll     expense     expense     expense     expense     expense
                               per hour    per hour    per hour    per hour    per hour    per hour    per hour
----------------------------------------------------------------------------------------------------------------
ALL PHYSICIANS..............        12.3        15.4        19.4         7.4         3.2        11.5          69
GENERAL/FAMILY PRACTICE.....        14.8        14.9        17.7         7.9         3.1         8.8        67.1
GENERAL INTERNAL MEDICINE...         9.4        14.4        17.9         6.1         2.1         6.6        56.5
CARDIOVASCULAR DISEASE......        15.8        15.2        20.7         6.2         5.9        17.8        81.6
GASTROENTEROLOGY............         8.9          17          18         3.6         2.1        12.3        61.8
ALLERGY/IMMUNOLOGY..........        36.3        25.3        31.4          16           2        15.8       128.8
PULMONARY DISEASE...........         6.9        12.4        15.7         2.6         1.6         6.9        46.1
ONCOLOGY (with supplies             27.4        24.1        26.5         7.4         4.6         9.3        99.3
 adjustment)................
GENERAL SURGERY.............         7.2        15.6        16.8         3.4           2         9.9        54.9
OTOLARYNGOLOGY..............        17.2        25.2        32.9         7.5         5.6        17.2       105.7
ORTHOPEDIC SURGERY..........        16.6        28.5        29.7        10.3         3.8        19.1         108
OPHTHALMOLOGY...............        25.1        25.8        34.1        10.8         8.4        21.1       125.3
UROLOGICAL SURGERY..........        12.4        18.5        23.2        25.5         5.3        11.3        96.2
PLASTIC SURGERY.............          15        20.3        32.4        18.5         5.7        25.2       117.2
NEUROLOGICAL SURGERY........         8.6        25.6        28.6         1.8         1.4        16.1        82.2
CARDIAC/THORACIC SURGERY....        18.1        16.8        16.8         1.8         2.2        13.1        68.8

[[Page 40378]]

 
PEDIATRICS..................        12.4        12.9        18.9        10.2         1.7         8.6        64.8
OBSTETRICS/GYNECOLOGY.......        16.4        18.8        24.7         7.3         3.2        11.2        81.7
RADIATION ONCOLOGY..........          14         9.2        12.1         5.4         9.7        16.4        66.8
RADIOLOGY...................         9.3        10.8        14.8         4.8         7.4        20.9          68
PSYCHIATRY..................         1.7         5.1        10.5         0.4         0.4         7.2        25.3
ANESTHESIOLOGY..............        11.3         3.7         5.9         0.4         0.4         5.9        27.6
PATHOLOGY (adjusted to              11.2          14        11.9         6.8           2          21        66.9
 remove Part A Hrs).........
DERMATOLOGY.................        22.5        28.4        33.4        12.6         5.4        17.2       119.4
EMERGENCY MEDICINE (adjusted         3.3        15.4           2         0.7         0.1        11.5          33
 for admin/other)...........
NEUROLOGY...................         8.3          23        19.5         5.2         4.4         9.3        69.7
PHYS MED/RHEUMATOLOGY.......        14.9        23.7        30.7         6.5         6.2        12.2        94.2
OTHER SPECIALTY.............         9.3          13        19.3         4.9         1.9         8.8        57.3
VASCULAR SURGERY                    20.2        18.1        17.7         3.2         4.5        11.4        75.1
 (supplemental data)........
PHYSICAL AND OCCUPATIONAL           12.3         5.9         7.5         7.4         3.2         4.4       40.7
 THERAPY (see...............
----------------------------------------------------------------------------------------------------------------
* Total expenses exclude professional liability insurance premiums and employee physician payroll.
Notes:
--Only self-employed non-federal non-resident patient care physicians who responded to all relevant expense
  questions are included. Self-employed physician respondents with no practice expenses for the year are
  excluded.
--Physicians whose typical number of hours worked in patient care activities per week is missing, less than 20,
  or equal to 168 are excluded. Physicians whose number of weeks worked the previous year is missing or less
  than 26 are excluded.
--For each respondent, total practice expense and expense components per hour are calculated as (4)/(5) below.
--Expenses adjusted for practice size = self-employed respondent expenses X # physician owners
--Hours adjusted for practice size =(respondent hours * # physician owners) + (employee physician hours (see (6)
  below) * # employee physicians)
--The typical number of hours worked in patient care activities for the employee physician(s) of a self-employed
  physician's practice is not known.
Mean hours worked in patient care activities for employee physicians of each specialty are used as an estimate
  of employee physician hours.
--As described earlier in this proposed rule, the practice expense per hour shown above reflect:
--the ``All Physician'' supplies expense per hour for Oncology
--use of supplemental SMS practice expense data for Cardiac and Thoracic Surgery in addition to regular SMS data
  collection.
--removal of hours spent in Part A activities for Pathology.
--Using the ``All Physician'' administration and other practice expense data for Emergency Medicine.
--Vascular Surgery data is based on supplemental survey not the SMS.
--Physical and occupational therapy data is based on ``All Physician'' for clinical, staff, supplies and
  equipment.
It is based on salary equivalency guidelines assuming 750 square feet of office space for clerical, office and
  other.

Supplemental Practice Expense Survey Data

    To ensure the maximum opportunity for specialties to submit 
supplementary practice expense data, we are proposing to accept survey 
data that meets the criteria set forth in the November 2000 final rule 
for an additional 2 years. The deadlines for submission of such 
supplemental data to be considered in CY 2003 and CY 2004 are August 1, 
2002 and August 1, 2003, respectively.

Repricing of CPEP Inputs

    The cost of the original CPEP inputs for staff, supplies, and 
equipment were assigned by our contractor, Abt Associates, based 
primarily on 1994 and 1995 pricing data. In addition, for many items on 
the equipment and supply list, the associated costs were based on the 
recommendation of a CPEP panel member, rather than on actual catalog 
prices. Several equipment and supply items and clinical staff types 
also have been added subsequent to the CPEP panels. In general, the 
costs of these inputs have been provided by the relevant specialty 
society, with and without documentation of the costs.
    We are proposing to revise the salary and cost estimates by using 
the most current pricing data available. We contracted with a 
consultant to help us in this endeavor and the contractor also 
solicited advice and information from the major medical specialty 
societies. We appreciate the time and effort given to this project by 
the staff of many of the specialty societies. We have at this time 
completed our proposals for the update of clinical staff salary data 
and discuss these proposals below. However, we have not yet completed 
the pricing update for all of the hundreds of supplies and pieces of 
equipment that are in our CPEP database. We have had difficulty in 
identifying some of these inputs because many of the original 
descriptions are too general to price (for example, ``laser'' or 
``antibody'') or because the item cannot be found in any supplier's 
catalog. In addition, several of the pieces of equipment are now 
obsolete and we need input regarding the appropriate equipment to 
price. Therefore, we need to work closely with the specialty societies 
in the coming months so that we can propose accurate prices for all the 
supply and equipment inputs in next year's proposed rule.

Staff Types and Wages

    For the original CPEP wage data, Abt Associates used three primary 
external data sets: The Bureau of Labor Statistics' (BLS) Occupation 
Compensation Survey, 1993; The University of Texas Medical Branch 
(UTMB) Survey of Hospital and Medical School Salaries, 1994; and the 
Current Population Survey, 1993. Abt's report on the CPEP cost 
estimation stated that, ``* * * the BLS data were considered to be the 
preferred data set. The BLS' reputation for publishing valid estimates 
that are nationally representative led to the choice of the BLS data as 
the main source. If more than one data set provided an exact mapping 
for a receptionist, then the BLS wage was chosen over any other 
mapping.''
    We agreed with this assessment and directed our current contractor 
to use the most current BLS survey (1999) as the main source of wage 
data. The two other data sets used by Abt were not useful in this 
pricing update. The UTMB survey has apparently not been repeated and 
the Current Population Survey was used mainly for administrative staff 
types that are no longer treated as a direct cost.
    It should also be noted that the BLS discontinued the Occupational 
Compensation Survey used in 1995 and now conducts the National 
Compensation Survey that has a different breakdown of staff types than 
the earlier survey. This survey also does not cover all the staff types 
contained in the CPEP data. Therefore, it has been necessary for us to 
crosswalk or extrapolate the wages for several staff types using 
supplementary data sources for verification whenever possible.
    We used three other data sources to price wages of staff types that 
were not referenced in the BLS data--the American Society of Clinical

[[Page 40379]]

Pathologists' survey of laboratory staff salaries (found at 
www.ascp.org); the survey done by the American Academy of Health 
Physics and the American Board of Health Physics (found at 
www.hps1.org); and national salary data from the Salary Expert, an 
Internet site that develops national and local salary ranges and 
averages for thousands of job titles using mainly government sources. 
(A detailed explanation of the methodology used to determine the 
specific job salaries can be found at www.salaryexpert.com.)
    We welcome comments and input on both our proposed wage rates and 
our proposed crosswalks. We are particularly seeking any additional 
sources of reliable national pricing for the wages of staff types not 
included in the BLS. Anecdotal information regarding individual pay 
scales will not be particularly helpful for setting national rates, 
though such information could help with verification of other data. For 
those staff types that are included in the BLS, we would require data 
that is equally representative and valid in order to consider revising 
our proposed salaries.
    The table below lists the clinical staff types whose input has been 
priced, the source for the data, the staff type crosswalk used, the 
proposed annual salary in 2001 dollars (using the Medicare Economic 
Index to convert 1999 salaries to 2001 dollars), the proposed cost per 
minute (including benefits) and the current cost per minute (including 
benefits) for comparison purposes. The proposed cost per minute was 
derived by dividing the annual salary by 2080 to arrive at the hourly 
wage rate and then again by 60 to arrive at the per minute cost. To 
account for the employers' cost of providing fringe benefits, such as 
sick leave, we used the same benefits multiplier of 1.366 used by Abt. 
The last column in the table refers to the numbered notes following the 
table that contain proposals regarding the pricing of the staff types 
and additional information as needed.

                                               Table 2.--Proposed Wage Rates for CPEP Clinical Staff Types
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                            Mean yrly     Proposed   Current per
               Description                               Source                        Crosswalk               2001      per minute     minute    Note #
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physical Therapy Aide....................  BLS..............................  Physical Therapist Aides...    21,077.36        0.226        0.232
Medical Assistant........................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.162       1
Technical Aide...........................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.225       1
Medical Technician.......................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.225       1
EKG Technician...........................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.204       1
Anesthesia Technician....................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.225       1
Technician...............................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.225       1
Cast Technician..........................  BLS..............................  Medical Assistants.........    23,680.67        0.254        0.177       1
LPN......................................  BLS..............................  Licensed Practical Nurses..    30,340.53        0.325        0.267
RN.......................................  BLS..............................  Registered Nurses..........    46,493.56        0.498        0.422
RN Cardiology............................  BLS..............................  Registered Nurses..........    46,493.56        0.498        0.574       2
RN Oncology..............................  BLS..............................  Registered Nurses plus         54,862.40        0.587        0.497       2
                                                                               adjustment.
Surgery Assistant........................  BLS..............................  Surgical Technologists.....    28,814.09        0.308        0.326       3
Certified Surgical Technician............  BLS..............................  Surgical Technologists.....    28,814.09        0.308        0.262
Lab Technician...........................  BLS..............................  Medical and Clinical           29,723.68        0.318        0.288
                                                                               Laboratory Technicians.
Histotechnician..........................  ASCP.............................  Histologic Technologist....    33,924.51        0.363        0.306       4
Electron Microscopy Technician...........  ASCP.............................  Histologic Technologist....    33,924.51        0.363        0.312       5
Cytotechnologist.........................  BLS..............................  Medical and Clinical           41,098.76        0.440        0.415
                                                                               Laboratory Technologists.
EEG Technician...........................  Salary Expert....................  Electroencephalographic        29,150.74        0.312        0.283       6
                                                                               Technician.
Electrodiagnostic Technologist...........  BLS..............................  Electroneurodiagnostic         33,529.31        0.359        0.302       6
                                                                               Technologists.
Registered EEG Technologist..............  Current Rate.....................  Registered EEG Technologist    37,645.00        0.403        0.403       6
Vascular Technician......................  BLS..............................  Cardiovascular                 34,794.37        0.372        0.351       7
                                                                               Technologists and
                                                                               Technicians.
Cardiovascular Technician................  BLS..............................  Cardiovascular                 34,794.37        0.372        0.351
                                                                               Technologists and
                                                                               Technicians.
Radiation Technologist...................  BLS..............................  Radiologic Technologists       37,125.85        0.397        0.319       8
                                                                               and Technicians.
X-Ray Technologist.......................  BLS..............................  Radiologic Technologists       37,125.85        0.397        0.319       8
                                                                               and Technicians.
Angiographic Technician..................  BLS..............................  Radiologic Technologists       37,125.85        0.397        0.351       9
                                                                               and Technicians.
CAT Scan Technician......................  BLS..............................  Radiologic Technologists       37,125.85        0.397        0.319       9
                                                                               and Technicians.
MRI Technician...........................  BLS..............................  Radiologic Technologists       37,125.85        0.397        0.319       9
                                                                               and Technicians.
Nuclear Medicine Technician..............  BLS..............................  Nuclear Medicine               44,360.73        0.475        0.392
                                                                               Technologists.
Nuclear Cardiology Technician............  BLS..............................  Nuclear Medicine               44,360.73        0.475        0.392      10
                                                                               Technologists.
Ultrasound Technician....................  BLS..............................  Diagnostic Medical             45,751.26        0.490        0.389      11
                                                                               Sonographers.
Sonographer..............................  BLS..............................  Diagnostic Medical             45,751.26        0.490        0.389      11
                                                                               Sonographers.
Cardiac Sonographer......................  BLS..............................  Diagnostic Medical             45,751.26        0.490        0.389      11
                                                                               Sonographers.
Radiation Technical Therapist............  BLS..............................  Radiation Therapists.......    45,333.05        0.485        0.404
Dosimetrist..............................  BLS..............................  Radiation Therapists.......    45,333.05        0.485        0.500
Physicist................................  AAHP.............................  Certified Health Physicists    84,495.54        0.905        0.968      12
COT......................................  X-WALK...........................  Lab Technician.............    29,723.68        0.318        0.256      13
COMT.....................................  X-WALK...........................  Histotechnician............    33,924.51        0.363        0.278      13
Optician.................................  BLS..............................  Opticians, Dispensing......    26,336.25        0.282        0.278

[[Page 40380]]

 
Certified Retinal Angiographer...........  Salary Expert....................  Ophthalmic Photographer....    35,453.04        0.380        0.351      14
Orthoptist...............................  X-WALK...........................  COMT.......................    33,924.51        0.363        0.315      15
Respiratory Therapist....................  BLS..............................  Respiratory Therapists.....    38,537.28        0.413        0.421
Speech Pathologist.......................  BLS..............................  Speech-Language                49,996.00        0.535        0.419
                                                                               Pathologists.
Audiologist..............................  BLS..............................  Audiologists...............    47,748.17        0.511        0.411
Registered Dietician.....................  BLS..............................  Dieticians and                 39,049.57        0.418        0.365
                                                                               Nutritionists.
Counselor................................  BLS..............................  Mental Health Counselors...    30,769.18        0.329        0.422
--------------------------------------------------------------------------------------------------------------------------------------------------------

    (1) We are proposing to collapse the medical assistant, technical 
aide, medical technician, EKG technician, anesthesia technician, 
technician, and cast technician staff types into a new staff type 
called, ``medical or technical assistant'' that will be priced at the 
medical assistant proposed wage rate per minute. This will represent an 
increased per minute rate for all the bundled staff types.
    (2) We are proposing to bundle the staff type ``RN-cardiology'' 
into the staff type ``RN.'' RN-cardiology is used as the staff type for 
the pre- and post-service time of only three percutaneous valvuloplasty 
services, codes 92986, 92987 and 92990. We were unable to find any 
national salary data for the oncology certified nurse (OCN). In the 
absence of other information, we are adjusting the proposed wage rate 
to be 18 percent higher than the RN; this is the same differential that 
currently exists between these two staff types.
    (3) We are proposing to bundle the staff type ``surgery 
assistant'', which is assigned to only 19 surgical services, into the 
staff type ``certified surgical technologist (CST)'', which is assigned 
to 133 services. It also appears that Abt mapped the averaged costs 
from a first assistant and certified scrub technician to the surgery 
assistant staff type, which does not appear to be the most appropriate 
crosswalk for the office setting.
    (4) We used the average hourly rate for histologic technologists 
from the 1998 American Society of Clinical Pathologists' survey to 
propose a wage for the histotechnician staff type. This survey's 
average hourly rate of $12.90 for laboratory technician generally 
corresponds to our proposed rate of $13.67 and its average hourly rate 
of $19.00 for cytotechnologists almost matches our proposed rate of 
$18.90. Therefore, we believe that the $15.60 hourly rate we are 
proposing for the histotechnician maintains the current relativity 
between these laboratory staff types.
    (5) We were unable to find any national salary data for the 
electron microscopy technician and, in the absence of such data, are 
crosswalking the salary from the wage rate for the histotechnician. 
This does represent an increase in the per minute cost for this staff 
type. However, we would welcome reliable national survey data from the 
specialty that we could use in pricing this staff type.
    (6) We were only able to find direct BLS salary data for the 
electroneurodiagnostic technologist staff type. This information was 
contained in the BLS Occupational Outlook Handbook rather than in the 
listing of Occupational Employment Statistics where we found all other 
BLS data. We are proposing to crosswalk the corresponding salary from 
the Handbook to the electrodiagnostic technologist staff type. Data for 
the EEG technician came from the Salary Expert. We were unable to find 
any national salary data for registered EEG technologist (REEGT) and 
are proposing to maintain the current rate, since the speciality 
society recently recommended this rate of pay. However, we would also 
welcome reliable national survey data from the specialty that we could 
use in pricing these three levels of neurodiagnostic staff.
    (7) We are proposing to bundle the vascular technician in with the 
cardiovascular technology staff type. Currently both are priced at the 
same rate.
    (8) We are proposing to merge the x-ray technician and radiation 
technologist staff types, which are currently priced at the same rate, 
into a staff type called ``Radiologic Technologist.''
    (9) Because we were unable to find any national survey data 
regarding the salaries for CAT scan technician, MRI technician, or 
angiographic technician, we are proposing to crosswalk these staff 
types to the BLS radiologic technologist pay scale. If there is a 
generally applied differential for these specialized radiologic 
technologists, we would welcome any reliable national survey data that 
would allow us to separately price these staff types.
    (10) We are proposing to merge the nuclear cardiology technician in 
with the nuclear medicine technician staff type. Currently, both are 
priced at the same rate.
    (11) We are proposing to merge the cardiac sonographer and the 
ultrasound technician into the sonographer staff type. Currently, all 
three are priced at the same rate.
    (12) We are proposing to use the average salary data for all 
certified health physicists from the 1999 survey done by the American 
Academy of Health Physics and the American Board of Health Physics.
    (13) We were unable to find representative national salary data for 
either the certified ophthalmic technician (COT) or the certified 
ophthalmic medical technologist (COMT). Until we can obtain such data, 
we are proposing to crosswalk the COT and COMT to the lab technician 
and histotechnician, respectively, since we believe that the skill and 
responsibility of these staff types would generally correspond. Again, 
we would welcome reliable and representative national salary data for 
these staff types.
    (14) Data for our proposed salary for the certified retinal 
angiographer came from the Salary Expert. The position description for 
the ophthalmic photographer appeared to match the duties of a retinal 
angiographer: ``Photographs medical phenomena of eye to document 
diseases, surgeries, treatment and congenital problems * * * Injects 
contrast medium into vein of patient and photographs fluorescent dye as 
it flows through retina or iris vessels to obtain angiogram of eye * * 
*''
    (15) In the absence of any national salary data for the orthoptist, 
we crosswalked the salary from that of the COMT, the highest level of 
ophthalmic medical personnel.
    We are also proposing to delete those clinical staff that can bill 
separately from the list of CPEP staff types. We believe that these 
staff types are used as physician extenders and thus their salaries 
should not be considered as

[[Page 40381]]

practice expense. Therefore, we are proposing to substitute physical 
therapy aide for physical therapist, registered nurse for physician 
assistant, nurse practitioner and psychologist, and counselor for 
social worker. We are also proposing to delete as redundant the 
ophthalmic medical personnel (OMP) staff type and are substituting the 
COMT/COT/RN/CST blend that was suggested by the American Academy of 
Ophthalmology and recommended by the AMA's Relative Value Update 
Committee.
    The CPEP clinical staff inputs also include blends of staff types 
that are used for those services where more than one type of clinical 
staff may be used in the performance of the service. We are proposing 
to establish the payment rates for these blends by calculating a simple 
average of the wage rates of the staff types included. The table below 
shows the blended staff types, the proposed cost per minute and the 
current cost per minute.

                       Table 3.--Proposed Wage Rates for CPEP Blended Clinical Staff Types
----------------------------------------------------------------------------------------------------------------
                                                                                          Proposed   Current per
              Current description                        Proposed description            per minute     minute
----------------------------------------------------------------------------------------------------------------
COMT/COT/RN/CST...............................  Same..................................        0.372        0.307
EKG Tech/MA...................................  Medical or Technical Assistant (MTA)..        0.254        0.183
EKG Tech/Med Tech.............................  Medical or Technical Assistant (MTA)..        0.254        0.214
Lab Tech/Histotech............................  Same..................................        0.341        0.297
Lab Tech/Med Tech.............................  Lab Tech/MTA..........................        0.286        0.257
Optician/COMT.................................  Same..................................        0.323        0.278
RN/LPN........................................  Same..................................        0.412        0.389
RN/LPN/MA.....................................  RN/LPN/MTA............................        0.359        0.317
RN/LPN/MA/Tech................................  RN/LPN/MTA............................        0.359        0.269
RN/Med Tech/MA................................  RN/LPN/MTA............................        0.359        0.269
RN/OCN........................................  Same..................................        0.543        0.497
RN/PA/Cast Tech...............................  RN/LPN/MTA............................        0.359        0.402
RN/Respiratory Therapist......................  Same..................................        0.456        0.421
RN/Tech.......................................  RN/LPN/MTA............................        0.359        0.323
RN/Ultrasound Tech............................  RN/Sonographer........................        0.494        0.405
RN//MA........................................  RN/LPN/MTA............................        0.359       0.326
----------------------------------------------------------------------------------------------------------------
Note: The proposed descriptions are based on our proposals on staff types from the previous table. We have
  eliminated the staff types we have proposed deleting from the above blends. We are also proposing to add LPN
  to the blend of an RN and a medical or technical assistant because we believe that if an RN and an assistant
  can perform a service, it is reasonable to assume that an LPN could as well.

Revision of the Ophthalmology Visit Supply Package

    In its May 2000 submission to us, the RUC recommended the use of an 
ophthalmology visit supply package that would contain the routine 
supplies typically used in each 90-day global postsurgical visit for 
ophthalmology services. We accepted this recommendation. However, upon 
further review, we noted that two of the supplies--rev eyes and post 
myd spectacles--were not used in many of the postsurgical office 
visits. Therefore, after consulting with the ophthalmology specialty 
society, we are proposing to remove these two items from the 
ophthalmology visit package. Instead, we propose to include these items 
as appropriate on a code-by-code basis.

Deletion of Contrast Agents From the Practice Expense Inputs

    Section 430(b) of BIPA amends section 1861(t)(1) of the Act to 
include contrast agents in the definition of drugs and biologicals. 
Previously, contrast agents were defined as supplies and were included 
in the list of CPEP supplies for the appropriate services. Therefore, 
we are proposing to delete the costs of the following contrast agents 
from our CPEP data--hypaque, methylene blue, high density barium, 
polibar, telopaque tablets, barium paste contrast, effervescent 
sparkies (fizzies) and renographin-60 iodinated contrast.

Physician Time

RUC Time Database
    The primary sources for the physician time data used in creating 
the specialty-specific practice expense pools are the surveys performed 
for the initial establishment of the work RVUs and the surveys 
submitted to the AMA RUC. The AMA informed us that some of the times 
used for the November 1998 final rule (63 FR 58823) differed from the 
official RUC database, and we agreed to use the RUC-verified physician 
time database when we received it from the AMA. Subsequently, the AMA 
notified us that there were gaps in its own database for certain global 
surgery codes and that a revised time database would be sent to us once 
all the times were verified. We have now received this revised database 
and are proposing to use it in the calculation of the specialty-
specific practice expense pools. It should be noted that the RUC 
database reflects the proposed physician times for those codes that 
were surveyed as part of the 5-year review of physician work.
    c. Site-of-Service: Comments on Site of Service. In the November 2, 
1998 final rule (63 FR 58830) and the November 2, 1999 final rule (64 
FR 59407), we indicated the circumstances under which either the 
facility or the non-facility RVUs are used to calculate payment for a 
service. Specifically, we indicated that the lower facility practice 
expense RVUs apply when the service is performed in an Ambulatory 
Service Center (ASC) and the procedure is on the ASC-approved 
procedures list. The higher non-facility practice expense RVUs apply to 
procedures performed in an ASC that are not on the ASC-approved list 
because there will be no separate facility payment for these services. 
We have recently received a number of inquiries asking about the place-
of-service that should be used on the Medicare claim when a service not 
on the ASC-approved procedures list is provided in an ASC. In these 
circumstances, physicians should indicate ASC as the place-of-service 
on the Medicare claim. Other questions have arisen as to whether a 
beneficiary can be billed the ASC facility fee when Medicare does not 
pay a facility fee because a procedure not on the ASC list is performed 
in a certified ASC. In this situation, Medicare pays the higher non-
facility practice expense RVUs because the ASC is effectively serving 
as a physician's office, and Medicare's payment for the physician's 
service

[[Page 40382]]

includes payment for all practice expenses incurred in furnishing the 
service. The ASC benefit does not apply since the services do not meet 
the provisions of section 1833(i) of the Act. The services are covered 
as physicians' services and paid under the physician fee schedule. 
Therefore, payment to the physician reflects payment for the whole 
service, and the beneficiary cannot be charged in excess of the 
limiting charge for the physician fee schedule service.

B. Nurse Practitioners, Physician Assistants, and Clinical Nurse 
Specialists Performing Screening Sigmoidoscopies

    On January 1, 1998, we implemented regulations at Sec. 410.37(d) 
(Conditions for coverage of screening flexible sigmoidoscopies) 
requiring that screening flexible sigmoidoscopies be performed by a 
doctor of medicine or osteopathy (as defined in section 1861(r)(1) of 
the Act). Based on our review of current medical literature, we believe 
that there are other practitioners whose services are covered under 
Medicare who have been trained and are qualified to perform these 
procedures safely and accurately, such as nurse practitioners, clinical 
nurse specialists, and physician assistants.
    A growing body of literature has shown that certain non-physician 
health care professionals can carry out screening by flexible 
sigmoidoscopy as accurately and safely as physicians when properly 
trained. This procedure requires fewer supervised examinations to 
attain objective measures of technical competency than other endoscopic 
procedures, does not require sedation, and has a low rate of related 
complications. In the studies reviewed, physician and non-physician 
endoscopists achieved similar polyp detection rates and depth of 
insertion in screenings performed independently. No significant 
complications from sigmoidoscopy were reported in any of these studies. 
The level of satisfaction with the procedure was similar for all 
practitioners.
    Therefore, we are proposing to revise Sec. 410.37(d) to provide 
that, in addition to medical doctors and doctors of osteopathy, 
physician assistants, nurse practitioners, and clinical nurse 
specialists also be allowed to perform screening flexible 
sigmoidoscopies for beneficiaries if they meet the applicable Medicare 
qualification requirements in Secs. 410.74, 410.75, and 410.76, and if 
they are authorized to perform these services under State law.

C. Services and Supplies Incident to a Physician's Professional 
Services: Conditions

    Section 1861(s)(2)(A) of the Act authorizes coverage of services 
and supplies (including drugs and biologicals that cannot, as 
determined in accordance with regulations, be self-administered) 
furnished as an incident to a physician's service, of kinds which are 
commonly furnished in physicians' offices and are commonly either 
furnished without charge or included in the physician's bills. This 
statutory ``incident to'' benefit differs from the ``incident to'' 
benefit in the hospital setting as set forth in section 1861(s)(2)(B) 
of the Act, which authorizes coverage of hospital services (including 
drugs and biologicals which cannot, as determined in accordance with 
regulations, be self-administered) incident to a physician's service 
furnished to outpatients and partial hospitalization services furnished 
to outpatients incident to a physician's service. This proposal only 
addresses the ``incident to'' benefit set forth in section 
1861(s)(2)(A) of the Act.
    In addition, the statute provides Medicare coverage of services 
incident to practitioners other than physicians. For example, section 
1861(s)(2)(K) of the Act authorizes Medicare to pay for services 
incident to a service of a nurse practitioner or a physician assistant.
    Section 2050 of the Medicare Carriers Manual (the manual) clarifies 
the coverage of services ``incident to'' physician services as 
described in section 1861(s)(2)(A) of the Act. Specifically, services 
incident to a physician service may be furnished by an employee of the 
physician. Alternatively, both the physician and the individual 
furnishing the ``incident to'' service must be employed by a common 
employer. Furthermore, the individual furnishing the ``incident to'' 
service may be any staff member working with the physician and not just 
one of the non-physician practitioners listed in section 1842(b)(18)(C) 
of the Act. We shall refer to these staff members as auxiliary 
personnel, a term which includes registered nurses and medical 
assistants.
    Currently, our manual requires that the physician be either the 
employer of the auxiliary personnel or be an employee of the same 
entity that employs the auxiliary personnel. We note that, under our 
manual, auxiliary personnel may be either employees, leased employees, 
or independent contractors. An independent contractor relationship 
appears to be common current practice because it affords the auxiliary 
personnel the flexibility to work with various physicians or 
practitioners on a part-time basis. We do not believe that the nature 
of the employment relationship is critical for purposes of payment for 
services incident to the services of physicians and practitioners, so 
long as the auxiliary personnel reports to a physician or practitioner 
under the required level of supervision. We see no clinical reason to 
exclude independent contractor physicians and practitioners from the 
class of practitioners who can receive Medicare payment for services 
incident to their own services based solely on their status as 
independent contractors. Accordingly, we propose to allow auxiliary 
personnel to provide services incident to the services of physicians or 
practitioners who supervise them, regardless of the employment 
relationship. Thus, auxiliary personnel may be employees, leased 
employees, or independent contractors, and may provide services 
incident to the services of physicians and practitioners who employ or 
contract with them or who are employees or independent contractors of 
the same entity, provided that the other requirements for payment for 
``incident to'' services are met. We note, however, that the employment 
relationship remains relevant under our rules prohibiting reassignment 
of Medicare benefits. (Secs. 424.73 and 424.80) We also propose to 
codify the following definitions:
     Auxiliary personnel means any individual who is acting 
under the supervision of a physician, regardless of whether the 
individual is an employee, leased employee, or independent contractor 
of the physician (or other practitioner) or of the same entity that 
employs or contracts with the physician (or other practitioner).
     Direct supervision means the level of supervision by the 
physician (or other practitioner) of auxiliary personnel as defined in 
Sec. 410.32(b)(3)(ii).
     Independent contractor means an individual who performs 
part-time or full-time work for which the individual receives an IRS-
1099 form.
     Leased employment means an employment relationship that is 
recognized by applicable State law and that is established by two 
employers by a contract such that one employer hires the services of an 
employee of the other employer.
     Noninstitutional setting means all settings other than a 
hospital or skilled nursing facility.
     Practitioner means a non-physician practitioner who is 
authorized by the

[[Page 40383]]

Act to receive payment for services incident to his or her own 
services.
     Services and supplies means any service or supply 
(including any drug and biological that cannot be self-administered) 
that is included in section 1861(s)(2)(A) of the Act and is not 
specifically listed in the Act as a separate benefit included in the 
Medicare program.
    We also propose to codify the provisions in section 2050 of the 
manual by revising Sec. 410.26 to clarify the requirements for 
``incident to'' services. Section 410.26 would be revised as follows:
     Services and supplies must be furnished in a 
noninstitutional setting to noninstitutional patients.
     Services and supplies must be an integral, although 
incidental, part of the service of a physician (or other practitioner) 
in the course of diagnosis or treatment of an injury or illness.
     Services and supplies must be commonly furnished without 
charge or included in the bill of a physician (or other practitioner).
     Services and supplies must be of a type that are commonly 
furnished in the office or clinic of a physician (or other 
practitioner).
     Services and supplies must be furnished under the direct 
supervision of the physician (or other practitioner).
     Services and supplies must be furnished by the physician, 
practitioner with an incident to benefit, or by auxiliary personnel.
     A physician (or other practitioner) may be an employee or 
an independent contractor.
     Drugs and biologicals are also subject to the limitations 
specified in Sec. 410.29.

D. Anesthesia Services

    Section 4048(b) of the Omnibus Budget Reconciliation Act of 1987 
amended section 1842(b) of the Act and required us to establish a 
uniform relative value guide for use in all carrier localities in 
determining payment for anesthesia services furnished by physicians 
under Medicare Part B. In accordance with the law, the uniform relative 
value guide was designed so that Medicare payment for anesthesia 
services would not exceed the amount that would have occurred under the 
then-existing system of payment.
    We implemented the uniform relative value guide in March 1989 and 
selected the 1988 American Society of Anesthesiologists' (ASA) Relative 
Value Guide as the basis for the uniform relative value guide. (For a 
discussion of this issue, please see the August 7, 1990 final rule (55 
FR 32078).)
    To determine base unit values, we used the 1988 ASA base unit 
values for each anesthesia code, except for codes 00142 (lens surgery) 
and 00147 (iridectomy). The base unit values for each of these codes 
were set at 4 units instead of the ASA values of 6 and 5 units, 
respectively.
    The ASA has requested that we ensure that the anesthesia base units 
under our uniform relative value guide are the same as those listed in 
the ASA's most current guide. Standardization of base units between 
Medicare and the ASA guide will simplify billing by anesthesiologists. 
The ASA's base unit values for the following 8 codes are different than 
CMS's values:

------------------------------------------------------------------------
                           Code                              CMS    ASA
------------------------------------------------------------------------
0081......................................................      6      5
00902.....................................................      4      5
01150.....................................................      8     10
01214.....................................................     10      8
01432.....................................................      5      6
01440.....................................................      5      8
01770.....................................................      8      6
01921.....................................................      7      8
------------------------------------------------------------------------

    We are proposing to use the ASA base unit values from the 1999 
guide beginning in CY 2002 for the above codes. However, the base unit 
values for codes 00142 and 00147 would remain at 4 units. The values 
for these codes were established by us under the ``inherent 
reasonableness'' process in 1987.
    We would make an adjustment to the anesthesia conversion factor in 
2001 so that payments would not exceed payments that would have been 
made using the current values. We currently estimate that this 
adjustment will be less than 0.5 percent.

E. Performance Measurement and Emerging Technology Codes

    In modernizing the CPT, the AMA has developed two new categories of 
codes. In addition to the traditional codes for physicians' and other 
practitioners' services, referred to as Category I CPT codes, which are 
coded by five digit numbers, the new codes describe Performance 
Measures and Emerging Technologies and are coded with four digits 
followed by a letter.
    The Performance Measure codes, referred to as Category II CPT 
codes, are intended to facilitate data collection. These codes are 
designed to decrease the need for review of medical records to document 
when services were performed. They allow practitioners to indicate in 
their billing records that the visit addressed issues that need to be 
tracked for quality and outcome measurement. For example, there is 
likely to be a code to indicate that a diabetic patient received a 
retinal examination. The visit that contained that specific service 
might have been reported with an evaluation and management code or with 
a more general ophthalmological service code and paid for based on the 
code selected. Thus, the performance measurement code is used only to 
assist the practitioner to specify that the performance measurement 
service was furnished. The syntax of this code will be four digits 
followed by the letter ``F.'' We are proposing that no values are 
placed on the Performance Measure codes and no additional payment is 
made for the use of these codes. Practitioners will, however, be able 
to list them on their Medicare bills, to facilitate the tracking of 
these services.
    The Emerging Technology codes, referred to as Category III CPT 
codes, are intended to track new and emerging technologies. These codes 
were developed to facilitate data collection on and assessment of new 
services and procedures. These data could be used to document the use 
of services and procedures in the Food and Drug Administration approval 
process or while the efficacy of a procedure is being demonstrated. The 
syntax of these codes is four digits followed by the letter ``T.'' In 
general, these codes represent services that are still experimental or 
have unverified effectiveness and would not be covered services. 
Although we were concerned that codes with a ``T'' designation might be 
needed for use by some Medicaid programs, we now believe that we would 
be able to process claims with the ``T'' in the fifth digit. However, 
we propose not to provide payment for all of the Emerging Technology 
Codes. Rather, we would provide payment on a case-by-case basis only in 
specific situations when we determine that the codes represent services 
that are not, in fact, experimental, but have been shown to be safe and 
effective. If the coverage policy is not consistent with the existing 
tracking codes, a Medicare-specific code may need to be developed to 
allow payment for the service. Thus, we propose that only specific 
emerging technology codes will be recognized for Medicare payment.

F. Payment Policy for CPT Modifier 62 (Co-Surgery)

    The CPT modifier code 62 is used to report the work of co-surgeons. 
Currently, if we pay for co-surgery, we pay a total of 125 percent of 
the fee schedule amount to the co-surgeons who each receive half of 
this total payment. This policy was established at the beginning of the 
fee schedule and

[[Page 40384]]

the level of payment reflected the predominant payment rate used by 
Medicare carriers at that time. Unlike other components of the fee 
schedule, this payment policy was not based on an analysis of the 
relative physician work effort for surgical services involving co-
surgeons.
    In addition, surgical practice has changed significantly over the 
past 10 years. For example, there is increasing use of noninvasive, 
minimally invasive, percutaneous, and endoscopic approaches to 
performing surgical procedures that were formerly performed as open 
procedures. Therefore, we are reviewing our payment policies for co-
surgery to consider possible ways to ensure that they reflect current 
clinical practices and properly reflect the relative resources and work 
effort required to perform these services.
    Among the issues we are considering are:
    (1) Whether it would be possible to establish criteria for 
distinguishing the roles of a co-surgeon (when both surgeons are paid 
at 125 percent of the surgery amount) and assistant at surgery (when 
the total payment is 116 percent of the surgery amount);
    (2) Whether any such criteria should vary by type of procedure 
(that is, open surgical, minimally invasive (including interventional 
procedures), and endoscopic procedures);
    (3) Which procedures require a co-surgeon and under what 
circumstances should documentation be required for payment; and
    (4) How to value the work performed by a co-surgeon.
    While we are not making a specific proposal at this time, we will 
consider any information we receive to assist us in deciding whether to 
make a future proposal affecting payments for co-surgery.

III. Implementation of Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000

    The Medicare, Medicaid, and SCHIP Benefits Improvement and 
Protection Act of 2000 (BIPA) (Public Law 106-554), enacted on December 
21, 2000, provides for revisions to policies applicable to the 
physician fee schedule. These revisions are presented below.

A. Screening Mammography

    Medicare has paid for screening mammography since January 1, 1991. 
Section 1834(c) of the Act governing these screenings did not include 
screening mammography under the physician fee schedule and required 
payment using a different methodology. As stated in Sec. 405.534, 
Medicare payment for screening mammography currently equals the lesser 
of the following: the actual charge for the service; the applicable 
amount under the physician fee schedule in an area for a bilateral 
diagnostic mammogram; or $55, a figure specified in section 1834(c)(3) 
of the Act, updated since 1991 by the Medicare Economic Index (MEI). In 
2001, the statutory payment limit for screening mammography is $69.23. 
In most cases, payment for screening mammography is made at the 
national limit with no differences among geographical areas.
    Section 104 of the Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000 (BIPA) amends section 1848(j)(3) 
of the Act to include screening mammography as a physician service for 
which payment is made under the physician fee schedule beginning 
January 1, 2002. We are proposing to amend Secs. 405.534 and 405.535 to 
reflect the inclusion of screening mammography as a physician service 
which will be payable under the physician fee schedule. In addition, we 
are amending Sec. 414.2 to include screening mammography under the 
definition for physicians' services. In accordance with part 414, 
payments for screening mammography will be resource-based and will have 
geographic adjustments that reflect cost differences among areas as do 
all other services under the physician fee schedule, including 
diagnostic mammography. The following is a discussion of our proposed 
RVUs for the professional and technical components (PC and TC) of a 
screening mammography, code 76092, under the physician fee schedule.
Professional Component
    We are proposing to establish physician work RVUs=0.70. This value 
is equal to the proposed work RVUs from the 5-year review of physician 
work for code 76090, unilateral diagnostic mammogram. Due to the 
comparable number of views taken in both a unilateral diagnostic 
mammography and a screening mammography, we believe the physician work 
associated with the performance of screening mammography is similar to 
the physician work associated with unilateral diagnostic mammography.
    We note that in the June 8, 2001 proposed notice on the 5-year 
review of work RVUs (66 FR 31028), we proposed to increase the work 
RVUs for unilateral diagnostic mammography from 0.58 to 0.70 RVUs, an 
increase of 21 percent. Additionally, we are proposing to increase the 
work RVUs for bilateral diagnostic mammography from 0.69 to 0.87 RVUs, 
an increase of 26 percent. Both of these increases would be effective 
for services performed on or after January 1, 2002. Our proposal to 
establish physician work RVUs for screening mammography equal to the 
physician work RVUs for unilateral diagnostic mammography, since both 
involve a four view film study, incorporates the increases we have 
proposed in the June 8, 2001 proposed notice.
    We also believe that the practice expense and malpractice expense 
for the professional component of screening mammography is similar to 
the professional component of unilateral diagnostic mammography. As a 
result, we are proposing 0.25 practice expense RVUs and 0.03 
malpractice RVUs for the PC of screening mammography. These proposed 
RVUs reflect changes to the practice expense RVUs for code 76090.
Technical Component
    We propose valuing the technical component of screening mammography 
using a methodology that updates the original statutory limit for the 
technical component of screening mammography of $37.40, by the 
cumulative increase in physician fee schedule rates between 1992 and 
2001. While screening mammography payments increased through 
application of the MEI between 1992 and 2001, resulting in a cumulative 
increase of 25.9 percent, physician fee schedule payments increased by 
35.6 percent during this period. As a result, increasing payment for 
screening mammography by the statutory limit led to lower payment than 
if payment for the procedure had increased at the same rate as 
physician fee schedule services.
    We propose updating the technical component of the initial 
screening mammography statutory limit of $37.40 by the same update 
factor that would have applied if screening mammography had received 
the same increases as physician fee schedule services. Currently, 
payment for the technical component of a screening mammography is equal 
to 68 percent of the statutory payment limit. To update the current 
value, we took 68 percent of the original $55 payment limit and 
increased it by 35.6 percent ($55  x  0.68  x  1.356 = $50.70). We 
divided this figure by the 2001 physician fee schedule CF of $38.2581 
to determine total RVUs of 1.33. Since the TC is comprised only of 
practice and malpractice RVUs, we then used the

[[Page 40385]]

practice expense and malpractice expense percentages for the TC of 
unilateral diagnostic mammography (95.3 and 4.7 percent, respectively) 
to determine the practice expense and malpractice RVUs for the 
technical component of screening mammography. We multiplied the total 
RVUs of 1.33 by 0.953 to determine the proposed practice expense RVUs 
of 1.27 and by 0.047 to determine the proposed malpractice expense RVUs 
of 0.06.
    Overall, the proposed total RVUs associated with the combined PC 
and TC of code 76092 are 2.31 (0.70 work RVUs, 1.52 practice expense 
RVUs, and 0.09 malpractice expense RVUs). These proposed RVUs would 
result in a payment for CY 2002 of approximately $88.50, before 
application of any geographic adjustments.
New Technology Mammography
    The BIPA requires us to determine whether the assignment of new 
HCPCS codes is appropriate for both screening and diagnostic 
mammography using new technologies. If new codes are appropriate, the 
provision requires us to provide for their use beginning January 1, 
2002. The provision defines new technology mammography to be an advance 
in technology with respect to the test or equipment that results in: 
(a) A significant increase or decrease in the resources used in the 
test or in the manufacture of the equipment; (b) a significant 
improvement in the performance of the test or equipment; or (c) a 
significant advance in medical technology that is expected to 
significantly improve the treatment of Medicare beneficiaries.
    Before January 1, 2002, the BIPA provides for temporary payment 
amounts during the period April 1, 2001 to December 31, 2001 for two 
types of new technology mammography used in both diagnostic and 
screening procedures. The BIPA specifies that payment for technologies 
that directly take digital images would equal 150 percent of the amount 
that would otherwise be paid for bilateral diagnostic mammography. The 
BIPA also specifies that for technologies that convert standard film to 
a digital form which is then analyzed, payment would be equal to the 
statutory screening mammography limit for CY 2001, plus an additional 
payment of $15.00. Moreover, the BIPA specifies that the same payment 
amount be used for a screening or diagnostic procedure for each of the 
new technologies. We have implemented the temporary payment provisions 
via a Program Memorandum sent to Medicare carriers on February 1, 2000.
    We believe that new HCPCS codes are appropriate for new technology 
mammography beginning with January 1, 2002 and propose codes to be used 
with the associated RVUs described below. We propose to establish three 
separate codes for directly taking a digital image (one for screening 
and one each for unilateral and bilateral diagnostic). Our approach 
would establish a single add-on code for computer-aided diagnosis with 
conversion of standard film images to digital images. At the present 
time, the FDA has approved computer-aided diagnosis only for use in 
conjunction with standard film screening mammography. Thus, at the 
present time, our proposal would only allow Gxxx4 to be billed as an 
add-on to 76090 if medically necessary. In the section that follows, we 
discuss the proposed coding and payment methodologies for new 
technology mammography.
    Screening mammography, direct digital image (Gxxx1). We propose to 
use HCPCS code Gxxx1 to report screening mammography performed using 
direct digital images as opposed to mammography that is performed using 
the standard film images associated with code 76092, or conversion of a 
standard film image to a digital image. (Note: Gxxx is used as a 
placeholder; the actual ``G'' code designation for payment will be 
included in the final rule.)
    We believe that the physician work and malpractice expense 
associated with both the PC and TC of HCPCS code Gxxx1 are analogous to 
the professional and technical components of CPT code 76092. (Note: 
Proposed work RVUs for code 76092, discussed above, are being increased 
to 0.70.) However, because the equipment involved with direct digital 
images is different from the equipment involved with standard film 
images, we believe that the practice expense RVUs are different than 
the practice expense RVUs for code 76092. Thus, we are proposing to 
value the practice expense for the PC of this service using the 
methodology for determining resource-based practice expense RVUs. We 
are proposing to value the practice expense RVUs for the TC of the 
service using the practice expense methodology for the ``zero work 
pool.'' (For more information about the practice expense methodology 
for PC and TC services, see the November 2, 1998 final rule (63 FR 
58817).
    For the PC of HCPCS code Gxxx1, we propose 0.70 work RVUs, 0.28 
practice expense RVUs, and 0.03 malpractice expense RVUs. For the TC of 
HCPCS code Gxxx1, for which there is no physician work associated, we 
propose 2.50 practice expense RVUs and 0.06 malpractice RVUs. Please 
see Table 4 below for a summary of all component RVUs associated with 
this and other mammography services.
    Diagnostic mammography, unilateral, direct digital image (Gxxx2). 
We propose to use HCPCS code Gxxx2 to report unilateral diagnostic 
mammography performed using direct digital images as opposed to 
mammography performed using the standard film images associated with 
code 76090, or conversion of a standard film image to a digital image.
    We believe that the physician work and malpractice expense 
associated with both the PC and TC of HCPCS code Gxxx2 are analogous to 
the PC and TC of code 76090. (Note: Proposed work RVUs for code 76090, 
discussed above, are being increased to 0.70). However, because the 
equipment involved with direct digital images is different from the 
equipment involved with standard film images, we believe that the 
practice expense RVUs are different than those for code 76090. Thus, we 
are proposing to value the practice expense for the PC of this service 
using the methodology for determining resource-based practice expense 
RVUs. We are proposing to value the practice expense RVUs for the TC of 
the service using the practice expense methodology for the ``zero work 
pool.''
    For the professional component of HCPCS code Gxxx2, we propose 0.70 
work RVUs, 0.28 practice expense RVUs, and 0.03 malpractice expense 
RVUs. For the TC of HCPCS code Gxxx2, for which there is no physician 
work associated, we propose 1.99 practice expense RVUs and 0.05 
malpractice expense RVUs. Please see Table 4 below for a summary of all 
component RVUs associated with this and other mammography services.
    Diagnostic mammography, bilateral, direct digital image (Gxxx3). We 
propose to use HCPCS code Gxxx3 to report bilateral diagnostic 
mammography that is performed using direct digital images as opposed to 
mammography performed using the standard film images associated with 
code 76091, or conversion of a standard film image to a digital image.
    We believe that the physician work and malpractice expenses 
associated with both the PC and TC of HCPCS code Gxxx3 are analogous to 
the PC and TC of code 76091. (Note: Proposed work RVUs for code 76091, 
discussed above, are being increased to 0.87). However, because the 
equipment involved with direct digital images is different from the 
equipment involved with standard

[[Page 40386]]

film images, we believe that the practice expense RVUs are different 
than those for code 76091. Thus, we are proposing to value the practice 
expense for the PC of this service using the methodology for 
determining resource-based practice expense RVUs. The practice expense 
RVUs for the TC of the service are being valued using the practice 
expense methodology for the ``zero work pool.''
    For the PC of HCPCS code Gxxx3, we propose 0.87 work RVUs, 0.34 
practice expense RVUs, and 0.03 malpractice expense RVUs. For the TC of 
HCPCS code Gxxx3, with which there is no physician work associated, we 
propose 2.47 practice expense RVUs and 0.06 malpractice expense RVUs. 
Please see Table 4 below for a summary of all component relative values 
associated with this and other mammography services.
    Computer-aided detection, conversion of standard film images to 
digital images (HCPCS Code Gxxx4). We propose to use HCPCS code Gxxx4 
to report conversion of standard film images to digital images when 
used in conjunction with computer-aided diagnosis software.
    We propose establishing HCPCS code Gxxx4 as an add-on code that can 
be billed only in conjunction with the primary service, code 76092. At 
this time, we understand that the only FDA-approved use of the 
computer-aided diagnosis mammography software is with screening film 
images. If there are other FDA-approved uses of computer-aided 
diagnosis, we allow for use of Gxxx4 as an add-on to other mammography 
services. We believe that the physician work associated with CPT code 
76375, Coronal, sagittal, multiplanar, oblique, 3-dimensional and/or 
holographic reconstruction of computerized tomography, magnetic 
resonance imaging, or other tomographic modality, is comparable, per 
unit of time, to the physician work of Gxxx4. We have determined that 
the physician time associated with HCPCS code Gxxx4 is approximately 1/
3 of the physician time associated with CPT code 76375. Using this 
relationship, we propose 0.06 work relative value units for HCPCS code 
Gxxx4. Additionally, we believe the malpractice expense RVUs for HCPCS 
code Gxxx4 are analogous to a level two established office visit, CPT 
code 99212. However, we believe that the practice expense RVUs for 
HCPCS code Gxxx4 are markedly different from either of the two 
aforementioned services; therefore, we are valuing the PC of this 
service using the methodology for determining resource-based practice 
expense RVUs. The TC of the service is being valued using the practice 
expense methodology for the ``zero work pool.''
    For the PC of code Gxxx4, we propose 0.06 work RVUs, 0.02 practice 
expense RVUs, and 0.01 malpractice expense RVUs. For the TC of HCPCS 
code Gxxx4, with which there is no physician work associated, we 
propose 0.41 practice expense RVUs and 0.01 malpractice expense RVUs. 
Table 4 below summarizes all component RVUs associated with this and 
other mammography services.

                                Table 4.--Proposed RVUs for Mammography Services
----------------------------------------------------------------------------------------------------------------
                                                                             Practice
                 Code                         Modifier            Work       expense    Malpractice     Total
----------------------------------------------------------------------------------------------------------------
76090................................  .....................         0.70         1.28         0.08         2.06
76090................................  26                            0.70         0.24         0.03         0.97
76090................................  TC                            0.00         1.04         0.05         1.09
76091................................  .....................         0.87         1.59         0.09         2.55
76091................................  26                            0.87         0.30         0.03         1.20
76091................................  TC                            0.00         1.29         0.06         1.35
76092................................  .....................         0.70         1.52         0.09         2.31
76092................................  26                            0.70         0.25         0.03         0.98
76092................................  TC                            0.00         1.27         0.06         1.33
Gxxx1................................  .....................         0.70         2.78         0.09         3.57
Gxxx1................................  26                            0.70         0.28         0.03         1.01
Gxxx1................................  TC                            0.00         2.50         0.06         2.56
Gxxx2................................  .....................         0.70         2.27         0.08         3.05
Gxxx2................................  26                            0.70         0.28         0.03         1.01
Gxxx2................................  TC                            0.00         1.99         0.05         2.04
Gxxx3................................  .....................         0.87         2.81         0.09         3.77
Gxxx3................................  26                            0.87         0.34         0.03         1.24
Gxxx3................................  TC                            0.00         2.47         0.06         2.53
Gxxx4................................  .....................         0.06         0.43         0.02         0.51
Gxxx4................................  26                            0.06         0.02         0.01         0.09
Gxxx4................................  TC                            0.00         0.41         0.01         0.42
----------------------------------------------------------------------------------------------------------------

B. Screening Pelvic Examinations

    Before the enactment of the BIPA, section 1861(nn)(2) of the Act 
authorized Medicare coverage for a screening pelvic examination 
(including a clinical breast examination) furnished to a woman for the 
purpose of early detection of cervical or vaginal cancer once every 3 
years, or once every year for a woman who is at high risk for one of 
these conditions, or who is of childbearing age and meets certain other 
requirements.
    Section 101 of the BIPA amends section 1861(nn)(2) of the Act 
(effective July 1, 2001) to provide that a woman who does not qualify 
for annual coverage of a screening pelvic examination under one of the 
statutory exceptions, qualifies for coverage of a screening pelvic 
examination (including a clinical breast examination) once every 2 
years rather than once every 3 years.
    We are conforming Sec. 410.56 (Screening Pelvic Examinations) of 
the regulations to the new statutory provision that has been 
implemented through sections 4603, 3628.1 and 4731 of the Medicare 
Carrier Manual, the Medicare Intermediary Manual, and the Medicare 
Hospital Manual, respectively.

C. Screening for Glaucoma

    Section 102 of BIPA provides for Medicare coverage under Part B for 
screening for glaucoma for individuals with diabetes, a family history 
of glaucoma, or others determined to be at ``high risk'' for glaucoma 
effective for services furnished on or after January 1,

[[Page 40387]]

2002. The statute provides for coverage of glaucoma screening, 
including (1) a dilated eye examination with an intraocular pressure 
measurement, and (2) a direct ophthalmoscopy or a slit-lamp 
biomicroscopic examination, subject to certain frequency and other 
limitations.
    Currently, Medicare coverage policy allows for payment for 
examinations to diagnose glaucoma and related medically necessary 
services that are furnished to beneficiaries. Under this policy, 
diagnostic glaucoma tests are covered if they are medically necessary 
to evaluate a specific complaint or symptom that might indicate 
glaucoma or to monitor an existing medical condition of an individual 
who has had a history of elevated intraocular pressure or other signs 
of possible glaucoma. This coverage is based on sections 1861(s)(1) and 
(s)(3) of the Act. Section 1861(s)(1) of the Act provides for general 
Medicare coverage of physicians' services, including a physician's 
interpretation of the results of tests performed. Section 1861(s)(3) of 
the Act provides for general Medicare coverage of diagnostic x-ray, 
clinical laboratory, and other diagnostic tests. Before the enactment 
of the BIPA, screening for glaucoma was excluded from coverage based on 
Sec. 411.15 (Particular services excluded from coverage), paragraphs 
(a) and (k).
    To conform our regulations to the statutory requirements of the 
BIPA, we are specifying an exception to the list of examples of routine 
physical checkups excluded from coverage in Secs. 411.15(a)(1) and 
411.15(k)(9) for glaucoma screening examinations that meet the 
frequency limitation and the conditions for coverage that we are 
specifying under new Sec. 410.23 (Screening for Glaucoma: Conditions 
for and Limitations on Coverage). Coverage of glaucoma screening is 
provided under Medicare Part B only. As provided in the statute, this 
new coverage allows payment for one glaucoma screening examination 
every year. We are proposing to add new Sec. 410.23 (Screening for 
Glaucoma: Conditions for and Limitations on Coverage), to provide for 
coverage of the various types of glaucoma screening examinations 
specified in the statute. We are proposing several definitions of terms 
that would be included to implement the statutory provisions and to 
help the reader in understanding the provisions of the regulation. 
These include definitions of the following terms: (1) Screening for 
glaucoma, (2) eligible beneficiaries, and (3) direct supervision.
    Section 102(b) of the BIPA defines the term ``screening for 
glaucoma'' to mean a dilated eye examination with an intraocular 
pressure measurement and a direct ophthalmoscopy or a slit-lamp 
biomicroscopic examination for the early detection of glaucoma. This 
section also provides that the screening examinations that are to be 
covered under Medicare are to be furnished by or under the direct 
supervision of an optometrist or ophthalmologist who is legally 
authorized to furnish these services under State law (or the State 
regulatory mechanism provided by State law) of the State in which the 
services are furnished. These are services that would otherwise be 
covered if furnished by a physician or as incident to a physician's 
professional service.
    Section 102(a) of BIPA also provides that coverage of screening for 
glaucoma services will be available only for individuals determined to 
be at high risk for glaucoma, individuals with a family history of 
glaucoma and individuals with diabetes. Based on our review of the 
medical literature, and consultation with staff of the National Eye 
Institute and representatives of the American Academy of Ophthalmology 
and the American Optometric Association, we are proposing to interpret 
the statutory language, ``individuals determined to be at high risk for 
glaucoma'' to include Medicare beneficiaries who are African-Americans 
age 50 and over. While the National Eye Institute and others have 
provided us with information indicating that age and other factors may 
place a Medicare beneficiary at increased risk for glaucoma, we believe 
that the medical evidence available at this time is only sufficient to 
support inclusion of African-Americans age 50 and over in the statutory 
``high risk'' category, in addition to individuals with diabetes and 
those with a family history of glaucoma who are covered separately 
under the new screening benefit. Studies have shown that the prevalence 
of glaucoma increases with age and is four to five times more likely to 
occur in African-Americans than in Caucasians. (Tielsch et al. JAMA 
1991; Quigley. NEJM 1997) For African-Americans, the evidence indicates 
that the onset of the disease comes at an earlier age, and that the 
damage is more severe at the time of diagnosis. In view of the 
possibility that it may be appropriate to include other individuals in 
the statutory definition of those at ``high risk'' for glaucoma, 
however, we are requesting public comments on this issue. Specifically, 
we ask that anyone providing us with specific recommendations on this 
issue should provide documentation in support of them from the medical 
literature. In addition, we are proposing to use the term ``eligible 
beneficiaries'' to indicate who may qualify for the new screening 
glaucoma benefit, and we are proposing to define that term to include: 
(1) Individuals with diabetes mellitus, (2) individuals with a family 
history of glaucoma, and (3) African-Americans age 50 and over.
    Section 102(b) of the BIPA also provides that the glaucoma 
screening examination is to be furnished by or under the direct 
supervision of an ophthalmologist or optometrist who is legally 
authorized to furnish such services under State law or regulation in 
which the services are furnished. We are proposing to define the term 
``direct supervision'' as that term is defined in Sec. 410.32(b)(3)(ii) 
for purposes of the oversight of covered diagnostic laboratory services 
as they are performed in the office setting. Specifically, we are 
proposing that the term ``direct supervision'' be defined to mean that 
the ophthalmologist or optometrist must be present in the office suite 
and immediately available to furnish assistance and direction 
throughout the performance of the procedure. The proposed definition 
states that the term ``direct supervision'' does not mean the physician 
must be present in the room when the procedure is performed.
Payment for Glaucoma Screening
    We believe that services provided as part of glaucoma screening 
will often overlap other services a physician provides during a patient 
encounter as part of basic ophthalmological services and will result in 
no additional work or practice expense. Therefore, we propose bundling 
payment for glaucoma screening when it is provided on the same day as 
an evaluation and management (E/M) service, or when it is provided as 
part of any ophthalmology service. When glaucoma screening is the only 
service provided, or when it is provided as part of an otherwise 
noncovered service (for example, CPT 99397, preventive services visit), 
we propose to establish the following HCPCS codes and payments:

Gxxx5, Glaucoma Screening Furnished by a Physician for High Risk 
Patients

    For physician work and for malpractice, we propose crosswalking 
this new HCPCS code to a level II E/M code, CPT 99212, which we believe 
represents a comparable level of work. The proposed work and 
malpractice RVUs are 0.45 and 0.02, respectively.


[[Page 40388]]


Gxxx6, Glaucoma Screening Furnished Under the Direct Supervision of a 
Physician for High Risk Patients

    For physician work and for malpractice, we propose crosswalking 
this new HCPCS code to the lowest level E/M code, CPT 99211, which we 
believe represents a comparable level of work. The proposed work and 
malpractice RVUs are 0.17 and 0.01, respectively.
    For non-facility settings, we propose the following practice 
expense inputs for both of the above HCPCS Codes:

clinical staff time-certified ophthalmic medical technologist/certified 
ophthalmic technician/registered
nurse: five minutes;
equipment: screening lane; and
supplies: ophthalmology visit supply package.

D. Screening Colonoscopy

    Before the enactment of the BIPA, sections 1861(pp)(1)(C) and 
1834(d)(3)(E) of the Act authorized Medicare coverage of screening 
colonoscopies once every 2 years for individuals at high risk for 
colorectal cancer. Individuals not at high risk for colorectal cancer 
did not qualify for coverage of screening colonoscopies under the 
colorectal cancer screening benefit, but they did qualify for coverage 
of other colorectal cancer screening examinations specified in the 
statute. These other examinations that were covered for individuals not 
at high risk for colorectal cancer included screening fecal-occult 
blood tests, screening flexible sigmoidoscopies, and screening barium 
enema examinations at certain frequency intervals specified in the 
statute and the regulations at Sec. 410.37 (Colorectal cancer screening 
tests).
    Section 103 of the BIPA amended sections 1861(pp)(1)(C), 
1834(d)(2)(E)(ii), and 1834(d)(3)(F) of the Act to add coverage of 
screening colonoscopies once every 10 years for individuals not at high 
risk for colorectal cancer. However, in the case of an individual who 
is not at high risk for colorectal cancer, but who has had a screening 
flexible sigmoidoscopy within the last 4 years, the statute provides 
that payment may be made for a screening colonoscopy only after at 
least 47 months have passed following the month in which the last 
screening flexible sigmoidoscopy was performed. In addition, the 
statute provides that in the case of an individual who is not at high 
risk for colorectal cancer but who does have a screening colonoscopy 
performed on or after July 1, 2001, payment may be made for a screening 
flexible sigmoidoscopy only after at least 119 months have passed 
following the month in which the last screening colonoscopy was 
performed.
    In view of the statutory changes, we are conforming Secs. 410.37(e) 
and 410.37(g) (related to limitations on coverage of screening 
colonoscopies and screening flexible sigmoidoscopies) to make them 
consistent with the new provisions of the statute that have been 
implemented through manual provisions of the Medicare Carriers Manual, 
the Medicare Intermediary Manual Part III, and the Medicare Hospital 
Manual in transmittal numbers 6097, 1824, and 7069, respectively, in 
February 2001.
Payment for Screening Colonoscopy
    Payment for screening colonoscopy will be made under HCPCS code 
G0121: colorectal screening; colonoscopy for an individual not meeting 
criteria for high risk. As with current code G0105, screening 
colonoscopy for an individual at high risk, payment will be made at the 
level for a diagnostic colonoscopy, CPT code 45378, because the work is 
the same whether a procedure is screening or diagnostic. As the statute 
requires for both individuals who are or are not at high risk, if, 
during the course of the screening colonoscopy, a lesion or growth is 
detected that results in a biopsy or removal of the growth, the 
appropriate diagnostic procedure classified as colonoscopy with biopsy 
or removal should be billed and paid rather than HCPCS code G0105 or 
G0121.

E. Medical Nutrition Therapy

1. Legislation
    Section 105 of the BIPA amended section 1861(s)(2) of the Act to 
authorize Medicare Part B coverage under Part B of medical nutrition 
therapy (MNT) for beneficiaries who have diabetes or renal disease, 
effective for services furnished on or after January 1, 2002. The 
legislation also:
     Authorizes dietitians and nutritionists who meet certain 
qualifications to be reimbursed directly by Medicare.
     Excludes from coverage beneficiaries who are receiving 
maintenance dialysis for which payment is made under section 1881 of 
the Act.
     Requires coordination of medical nutrition therapy 
benefits with the existing benefit for diabetes outpatient self-
management training services.
     Defines a registered dietitian or other nutrition 
professional, and grandfathers dietitians or nutrition professionals 
who were licensed or certified in their States as of December 21, 2000, 
but would not otherwise meet the new requirements.
     Specifies that Medicare payment for MNT services must 
equal 80 percent of the lesser of the actual charge for the services or 
85 percent of the amount determined under the physician fee schedule 
for the same services if furnished by a physician.
     Requires that we submit a report to the Congress by July 
1, 2003, that contains recommendations with respect to expansion of the 
MNT benefit for other medical conditions.
    This new benefit, while related, differs from the diabetes 
outpatient self-management training (DSMT) benefit, which was 
established by the BBA in section 1861(s)(2)(S) of the Act and 
described at section 1861(qq). The DSMT benefit is a comprehensive 
diabetes training program, of which nutrition training is only one 
component. Most of the available research (Diabetes Control and 
Complication Trial Research Group, 1993; UK Prospective Diabetes Study 
Group, 1995; and UK Prospective Diabetes Study Group, 1998) supports 
the use of a multi-disciplinary approach to diabetes, which includes 
nutrition training. As a result, nutrition training is considered to be 
an essential element of the DSMT benefit. Section 1861(qq) of the Act 
mandates the use of quality standards for DSMT and allows certified 
individuals or entities designated by the Secretary that meet such 
standards to receive Medicare payment for the service, provided that 
the physician managing the patient certified that DSMT is needed.
    The approach in the BIPA with regard to MNT is different. The 
statute mandates specific qualifications regarding who may provide MNT 
services, but does not require that we establish quality standards. We 
are also instructed by the Congress to establish criteria for 
recognition of individuals in States that do not have licensure or 
certification requirements for registered dietitians or nutrition 
professionals.
    We set specific duration and frequency limits for DSMT, consistent 
with the statutory authority granted by the BBA. In accordance with our 
regulations in Sec. 410.141(c), all beneficiaries receiving the DSMT 
benefit may have up to 10 hours of initial training within a continuous 
12-month period. For most beneficiaries, 9 of these 10 hours of 
training must be in a group setting. One hour of training may be on an 
individual basis for purposes of conducting an individual assessment 
and providing specialized training. Once a beneficiary has completed 
the 10 hours of initial

[[Page 40389]]

training, the benefit provides for up to 2 hours of follow-up training 
each subsequent year. As with the DSMT benefit the duration and 
frequency of the MNT benefit was not prescribed by the Congress. 
However, since the Congress has indicated that beneficiaries who have 
received DSMT within a designated time period (to be specified by the 
Secretary) are not eligible for MNT, the two benefits must be 
coordinated.
2. Proposed Policy
    Consistent with section 105(a)(3) of the BIPA, we considered the 
protocols of the American Dietetic Association and the National Kidney 
Foundation regarding nutrition training for both diabetes and renal 
disease. Because the protocols were inconclusive with respect to the 
duration and frequency issues, we are proposing to determine the 
duration and frequency of the benefit through the National Coverage 
Determination (NCD) process rather than through the rulemaking process. 
We will solicit the opinions of all interested parties as a part of the 
NCD process.
    We propose to set forth the provisions regarding medical nutrition 
therapy at Part 410, subpart G and at Sec. 414.64. The MNT provisions 
of the proposed rule are as follows:
    Definitions (Sec. 410.130). We propose to define ``renal disease'' 
for the purpose of this benefit as only chronic renal insufficiency and 
post-transplant care provided after discharge from the hospital. The 
exclusion of patients receiving maintenance dialysis under section 1881 
of the Act is consistent with section 1861(s)(2) of the Act, as amended 
by section 105(a)(3) of the BIPA. We propose to limit post-transplant 
care to care furnished within 6 months after discharge from the 
hospital, if the transplant is viable and effective, because under such 
conditions we believe the beneficiary would no longer have renal 
disease and would not be eligible to receive the benefit under the 
statutory provision. We propose a 6-month time period based on expert 
opinions. We specifically request comments on this proposed time period 
and request that commenters submit articles from clinical journals to 
support their comments. We do not make separate payments for MNT while 
the beneficiary is an inpatient in the hospital because the statute 
only authorizes payment for this service under Part B. We are proposing 
definitions of ``diabetes'' and ``chronic renal insufficiency'' for the 
purpose of this benefit using definitions from the Institute of 
Medicine report, ``The Role of Nutrition in Maintaining Health in the 
Nation's Elderly,'' published in 2000.
    We propose to define ``episode of care'' as a time period that may 
not exceed 12 months, starting with the assessment (based on a referral 
from a physician), and including all covered interventions. The number 
of episodes of care covered during the lifetime of an individual 
beneficiary is unlimited. We chose a 12-month period to allow for the 
coordination of the MNT and DSMT benefits, as authorized by section 
105(a)(3) of the BIPA.
    Finally, in accordance with the statute, we define MNT services as 
nutritional diagnostic, therapy, and counseling services provided by a 
registered dietitian or nutrition professional for the purpose of 
managing disease. This definition tracks the language of the statute.
    Medical Nutrition Therapy (Sec. 410.132). 
    At proposed Sec. 410.132(a), we set forth conditions for coverage 
of MNT services. Specifically, we provide that Medicare Part B pays for 
MNT services furnished by a registered dietitian or nutrition 
professional as defined in Sec. 410.134 when the beneficiary is 
referred for the service by the beneficiary's treating physician. We 
limit the definition of physician to ``treating physician'' to ensure 
that the physician establishing the need for MNT is actually treating 
the beneficiary for the chronic disease and the therapy is coordinated 
with the care being provided by the treating physician. Referrals by a 
non-treating physician might also be interpreted as an indication that 
a fraudulent situation exists.
    We are proposing that the services covered will consist of 
nutritional assessment, interventions, reassessment, and follow-up 
interventions. We chose not to define the specific components of the 
benefit in more detail because we anticipate that registered dietitians 
and nutritionists will use nationally recognized protocols, such as 
those developed by the American Dietetic Association (ADA) as they 
normally would in their business practice. We also chose not to specify 
the number of hours of MNT that will be covered. Rather, we will 
develop these frequency limits using the NCD process. After we complete 
a literature review, we will solicit input from interested parties as 
part of the NCD process.
    At Sec. 410.132(b), we set forth proposed coverage limitations for 
MNT services. In accordance with section 1861(s)(2)(V)(ii) of the Act, 
we would provide that MNT services are not covered for beneficiaries on 
dialysis for end-stage renal disease. We do not exclude all 
beneficiaries who are diagnosed with end-stage renal disease because a 
few individuals with end-stage renal disease do not receive maintenance 
dialysis and the statute specifically excludes beneficiaries receiving 
maintenance dialysis under section 1881 of the Act. The other 
provisions of this section would coordinate the referrals for MNT for 
diabetes and renal disease, and coordinate MNT services with DSMT 
services as follows:
     If a beneficiary has both diabetes and a renal disease as 
defined in this subpart, the beneficiary may receive both MNT and DSMT, 
but coverage in any 12-month period would be limited to the number of 
hours the beneficiary would receive under either the MNT benefit or the 
DSMT benefit for that period, whichever is greater.
     MNT would only be covered if the beneficiary had not 
started initial training under the diabetes self-management training 
benefit (as described in Sec. 410.141) within the past 12 months, 
unless: (1) the need for a reassessment had been documented by the 
referring physician; or (2) the beneficiary had been diagnosed with 
both diabetes and renal disease.
     If a beneficiary diagnosed with diabetes was referred for 
both follow-up DSMT services and MNT, the beneficiary would only 
receive the total amount of hours covered under either follow-up DSMT 
services or MNT, whichever was greater.
    If DSMT and MNT benefits overlapped, we would not allow the number 
of hours covered under the MNT benefit to exceed the hours Medicare 
would cover if the beneficiary was only receiving DSMT, except if a 
beneficiary receiving initial DSMT subsequently was diagnosed with 
renal disease or if there was a change in diagnosis or medical 
condition that occurred during an episode of care. We would allow 
additional hours of coverage for patients with renal disease and 
diabetes because MNT for renal disease is more complex than MNT for 
diabetes alone.
    Eligibility for MNT services would be dependent upon diagnoses and 
referrals made by the treating physician. At proposed Sec. 410.132(c), 
we provide that referral may only be made by the treating physician 
when the beneficiary has been diagnosed with diabetes or renal disease, 
with documentation maintained by the referring physician in the 
beneficiary's medical record. Referrals must be made for each episode 
of care. We note that the statute

[[Page 40390]]

specifies that a physician, as defined in section 1861(r)(1) of the 
Act, must refer the beneficiary in order for the therapy to be covered. 
We are proposing to limit referrals to those made by the treating 
physician as noted earlier.
    At proposed Sec. 410.132(d), we set forth requirements regarding 
reassessment and follow-up interventions. Specifically, we provide that 
reassessments and follow-up interventions would only be covered when 
the referring physician determines that there was a change of diagnosis 
or medical condition within an episode of care that made a change in 
diet necessary.
    Provider Qualifications (Sec. 410.134). BIPA specifies how we must 
define ``registered dietitian or nutrition professional'' for the 
purposes of this benefit and allows for the grandfathering of nutrition 
professionals licensed or certified by States at the time of BIPA's 
enactment. Pursuant to BIPA, a registered dietitian or nutrition 
professional means an individual who meets the following criteria:
     Holds a bachelor's or higher degree granted by a 
regionally accredited ollege or university in the United States (or an 
equivalent foreign degree) with completion of the academic requirements 
of a program in nutrition or dietetics, as accredited by an appropriate 
national accreditation organization we have recognized for this 
purpose.
     Has completed at least 900 hours of supervised dietetics 
practice under the supervision of a registered dietitian or nutrition 
professional.
     Is licensed or certified as a dietitian or nutrition 
professional by the State in which the services are performed, or, if a 
State does not provide for licensure or certification, meets other 
criteria established by the Secretary.
    We propose to exercise our statutory discretion, with respect to 
such alternative criteria, by providing that in States that do not 
provide licensure or certification requirements, we would use the 
designation of ``registered dietitian'' as certified by the Commission 
on Dietetic Registration, the credentialing agency for the American 
Dietetic Association; or require compliance with the statutory 
educational and experience requirements alone. The Commission on 
Dietetic Registration is currently considered to be the recognized 
standard in certification programs for registered dietitians. If an 
individual can supply documentation to us that he/she is a ``registered 
dietitian,'' we would not require that individual to also supply 
documentation that he/she meets the minimum statutory educational and 
experience requirements, because these latter requirements are also 
requirements an individual must currently meet to become a ``registered 
dietitian.'' Likewise, if an individual supplies documentation to us 
that he/she meets the minimum statutory educational and experience 
requirements, that individual would not need to supply documentation to 
us that he/she is a ``registered dietitian.''
    The statute also requires that an individual who, as of December 
21, 2000 (BIPA's date of enactment), is licensed or certified under the 
law of the State in which the services are performed as a dietitian or 
nutrition professional, qualifies as a ``registered dietitian or 
nutrition professional'' even if he or she does not meet the other 
education and experience requirements. There is no provision in the law 
to allow grandfathering of dietitian or nutrition professionals in 
States with no licensure or certification requirements, or of 
individuals who did not choose to be licensed or credentialed as of the 
date of enactment of section 1861(vv)(3) of the Act. Therefore, we only 
provide for ``grandfathering'' of individuals who do meet the specific 
criteria of section 1861(vv)(3) of the Act.
    Payment for Medical Nutrition Therapy (Sec. 414.64). Section 105(c) 
of the BIPA requires that we pay for medical nutrition therapy services 
at 80 percent of the lesser of the actual charge for the services or 85 
percent of the amount determined under the physician fee schedule for 
the same services if such services had been furnished by a physician. 
Section 1848 of the Act requires that payments under the physician fee 
schedule be established on national uniform RVUs based on the resources 
used in furnishing a service. We have consulted with the ADA to assess 
the types of resource inputs that are used to furnish a 15-minute 
medical nutrition therapy session by a Registered Dietitian or 
Professional Nutritionist.
    As stated above, these services would be paid under the physician 
fee schedule. Malpractice RVUs for medical nutrition therapy services 
have been extrapolated based on analogous service procedures. The 
statute specifically provides that medical nutrition therapy services 
may only be provided by registered dietitians or nutrition 
professionals. We do not believe that physicians will be able to 
satisfy the qualification requirements and therefore will not be able 
to provide this service themselves. Therefore, we are not establishing 
physician work RVUs for this service. We interpret section 105(c)(2) of 
BIPA to mean that if a physician were to furnish this service, that the 
service was performed ``incident to'' the physicians treatment plan and 
provided by a registered dietitian or nutrition professional. Since we 
are not proposing work RVUs for medical nutrition therapy, we propose 
to determine practice expense RVUs using the practice expense 
methodology for the ``zero work pool.'' (For more information about the 
practice expense methodology for services that have no physician work, 
see the November 2, 1998 final rule (63 FR 58814)). The proposed RVUs 
for individuals and individuals in a group are found in Table 5 as 
follows:

                            Table 5.--RVUs for Individuals and Individuals in a Group
----------------------------------------------------------------------------------------------------------------
                                                                             Practice
            Code                        Description            Work RVUs     expense    Malpractice     Total
                                                                               RVUs         RVUs
----------------------------------------------------------------------------------------------------------------
97802.......................  Medical nutrition, individual,         0.00         0.47         0.01         0.48
                               initial.
97803.......................  Medical nutrition, individual,         0.00         0.34         0.01         0.35
                               subseq.
97804.......................  Medical nutrition, group......         0.00         0.14         0.01         0.15
----------------------------------------------------------------------------------------------------------------

    Much like diabetes education, the number of MNT beneficiaries 
attending a group session would vary. As defined in the CPT's Physical 
Medicine Rehabilitation codes, a group is considered to be two or more 
individuals.
    We would refine the medical nutritional therapy services payment 
amounts in the future by including the services into the refinement 
process

[[Page 40391]]

used for other Medicare services payable under the physician fee 
schedule.
    Medicare co-payments and deductibles would apply for medical 
nutritional therapy services. We are proposing to pay for this service 
under the physician fee schedule using the following codes:

CPT 97802--Medical nutrition therapy; initial assessment and 
intervention, individual, face-to-face with the patient, each 15 
minutes.
CPT 97803--reassessments and intervention, individual, face-to-face 
with the patient, each 15 minutes.
CPT 97804--Group, 2 or more individuals, each 30 minutes.

    Since payment for MNT will be included in our payment for facility 
services, separate payment will not be made for hospital inpatients or 
skilled nursing facility patients. Section 105(c) of BIPA amends 
section 1833(a)(1) to add subparagraph (T), requiring Medicare payment 
to equal 80 percent of the of the lesser of the actual charge for the 
service or 85 percent of the amount determined under the physician fee 
schedule. Thus, we will make payment in the hospital outpatient 
department, Federally Qualified Health Centers and Rural Health Clinics 
at the lesser of 80 percent of the actual charge or 85 percent of the 
physician fee schedule amount. The RVUs shown above do not reflect this 
85 percent adjustment. To determine payment, the RVUs shown above will 
need to be multiplied by the physician fee schedule conversion factor 
and 0.85. We expect to provide the Medicare carriers with a payment 
file that includes this 85 percent adjustment. That is, we expect to 
determine the payment amount using the RVUs shown and apply the 85 
percent adjustment to the product of the geographically adjusted RVUs 
and conversion factor. The Medicare carriers will not need to make any 
additional adjustment to the payments we provide.

F. Telehealth Services

1. Background
    a. History. Before January 1, 1999, payment for services delivered 
via a telecommunications system was limited to services that do not 
require a face-to-face, ``hands-on'' encounter under the traditional 
delivery of medical care. Examples of these services include 
interpretation of an x-ray, electrocardiogram and electroencephalogram 
tracings, and cardiac pacemaker analysis.
    The BBA provided for coverage of and payment for consultation 
services delivered via a telecommunications system to Medicare 
beneficiaries residing in rural health professional shortage areas 
(HPSA) as defined by section 332(a)(1)(A) of the Public Health Services 
Act. Additionally, a Medicare practitioner was required to be with the 
patient at the time of a teleconsultation.
    The BBA specified that payment for a teleconsultation had to be 
shared between the consulting physician or practitioner and the 
referring physician or practitioner and could not exceed the fee 
schedule payment which would have been made to the consultant for the 
service provided. The BBA prohibited payment for any line charges or 
facility fees associated with the teleconsultation and clarified that 
the beneficiary may not be billed for these charges or fees.
    These provisions became effective January 1, 1999. The November 2, 
1998 final rule on ``Revisions to Payment Policies Under the Physicians 
Fee Schedule for Calendar Year 1999'' (63 FR 58879) implemented these 
provisions.
    b. Legislative Summary. In section 223 of the BIPA, the Congress 
provided for a ``Revision of Medicare Reimbursement for Telehealth 
Services'' and specified a ``sunset'' date for the current statutory 
teleconsultation provisions. The current teleconsultation provisions 
contained in section 4206(a) and (b) of the BBA and implemented in 
Secs. 410.78 and 414.65 apply only to teleconsultations provided on or 
after January 1, 1999 and before October 1, 2001.
    Beginning October 1, 2001, the BIPA amends section 1834 of the Act 
to provide for a new subsection (m) ``Payment for Telehealth 
Services.'' This amendment provides for an expansion of Medicare 
payment for telehealth services. A summary of the expansion appears 
below.
    The BIPA specifies that we pay for telehealth services that are 
furnished via a telecommunications system by a physician (as defined in 
section 1861(r) of the Act) or a practitioner (described in section 
1842(b)(18)(C) of the Act). Telehealth services may be provided only to 
an eligible telehealth individual enrolled under Medicare, 
notwithstanding the fact that the individual physician or practitioner 
providing the telehealth service is not at the same location as the 
beneficiary.
    The BIPA defines Medicare telehealth services as professional 
consultations, office or other outpatient visits, and office psychiatry 
services identified as of July 1, 2000, by CPT codes 99241 through 
99275; 99201 through 99215, 90804 through 90809 and 90862 (and as we 
may subsequently modify) and any additional service we specify.
    The statute requires us to establish a process that provides, on an 
annual basis, for the addition or deletion of services (and HCPCS 
codes) as appropriate, to the services specified above, for authorized 
payment under Medicare.
    Section 1834(m)(4)(B) of the Act, as added by the BIPA, specifies 
that an eligible telehealth individual means an individual enrolled 
under Part B who receives a telehealth service furnished at an 
originating site. Originating sites are defined only as specified 
medical facilities located in specific geographic areas. Section 
1834(m)(4)(C) of the Act, as added by the BIPA, limits originating 
sites to the following types of facilities:
     The office of a physician or practitioner.
     A critical access hospital (as defined in section 
1861(mm)(1) of the Act).
     A rural health clinic (as defined in section 1861(aa)(s) 
of the Act).
     A Federally qualified health center (as defined in section 
1861(aa)(4) of the Act).
     A hospital (as defined in section 1861(e) of the Act).
    The BIPA specifies that the originating site must be located in one 
of the following geographic areas:
     In an area that is designated as a rural health 
professional shortage area under section 332(a)(1)(A) of the Public 
Health Service Act.
     In a county that is not included in a Metropolitan 
Statistical Area.
     From an entity that participates in a Federal telemedicine 
demonstration project that has been approved by (or receives funding 
from) the Secretary of Health and Human Services as of December 31, 
2000.
    The BIPA relaxes some of the conditions for payment imposed by the 
BBA. Section 1834(m)(2)(C) of the Act, as added by the BIPA, specifies 
that a telepresenter is not required and specifically states that 
nothing in section 1834(m)(2)(C) of the Act shall be construed as 
requiring an eligible telehealth beneficiary to be presented by a 
physician or practitioner at the originating site for the furnishing of 
a service via a telecommunications system, unless it is medically 
necessary (as determined by the physician or practitioner at the 
distant site).
    Additionally, section 1834(m)(1) of the Act, as added by the BIPA, 
specifies that, for purposes of defining a telecommunications system, 
in the case of any Federal telemedicine demonstration program conducted 
in Alaska or Hawaii, the term ``telecommunications system'' includes 
store and forward technologies that

[[Page 40392]]

provide for the asynchronous transmission of health care information in 
single or multimedia formats.
    Section 1834(m)(2) of the Act, as added by the BIPA, states that we 
pay a physician or practitioner located at a distant site that 
furnishes a telehealth service to an eligible telehealth beneficiary an 
amount equal to the amount that the physician or practitioner would 
have been paid under Medicare had the service been furnished without 
the use of a telecommunications system.
    This section also provides for a facility fee payment to the 
originating site. It specifies that for the period beginning October 1, 
2001 through December 31, 2002, the originating site facility fee is 
equal to $20. For each subsequent year, the facility fee for the 
preceding year is increased by the percentage increase in the MEI as 
defined in section 1842(i)(3) of the Act.
    The BIPA amended section 1833(a)(1) of the Act by adding 
subparagraph (U), specifying that with respect to the originating site 
facility fees, the amount paid is 80 percent of the lesser of the 
actual charge or the amounts specified in new section 1834(m)(2) of the 
Act.
    Section 1834(m)(3) of the Act requires that the provisions of 
sections 1848(g) and 1842(b)(18)(A) and (B) of the Act apply to 
physicians and practitioners. The provisions of section 1842(b)(18) of 
the Act apply to originating sites receiving a facility payment as the 
provisions apply to practitioners under section 1834(m) of the Act.
    Section 1848(g) of the Act provides a limitation of charges to 
beneficiaries and provides sanctions if a physician, supplier, or other 
person knowingly and willfully bills or collects for services in 
violation of the limitation. It also provides for sanctions if a 
physician, supplier, or other person fails--(1) to timely correct 
excess charges by reducing the actual charge billed for the service to 
an amount that does not exceed the limiting charge for the service, or 
(2) to timely refund excess collections. In addition, it requires that 
physicians and suppliers submit claims for services they furnished to a 
beneficiary to a carrier on behalf of the beneficiary using a standard 
Medicare claim form. The statute imposes a penalty for failure to 
submit the claim. In addition, section 1848(g) of the Act prohibits 
imposing any charge relating to completing and submitting the claim. 
Section 1842(b)(18) of the Act provides that services furnished by a 
physician assistant, nurse practitioner, clinical nurse specialist, 
certified registered nurse anesthetist, anesthesiologist's assistant, 
certified nurse-midwife, clinical social worker, or clinical 
psychologist for which payment may be made on a reasonable charge or 
fee schedule basis may be made only on an assignment-related basis. It 
also limits the beneficiary's liability to any applicable deductible 
and coinsurance amounts. It further provides for sanctions against a 
practitioner who knowingly and willfully bills (or collects an amount) 
in violation of the limitation.
    c. Implementation. Section 223 of the BIPA limits the application 
of the existing telehealth provision to services furnished before 
October 1, 2001 and mandates that the expanded benefit be effective for 
services furnished on or after October 1, 2001. Therefore, this benefit 
expansion is being implemented via program memorandum. The program 
memorandum is effective October 1, 2001 when the telehealth benefit 
supercedes the teleconsultation benefit authorized by section 4206 of 
the BBA and existing regulations at Sec. 410.78 and Sec. 414.65. Any 
regulatory changes resulting from this rulemaking process will be 
effective January 1, 2002.
    d. Proposed Policies. This rule proposes to establish policies for 
implementing the provisions of section 1834(m) of the Act, as added by 
the BIPA, that change Medicare payment for telehealth services.
    (i) Scope of telehealth benefit. Section 1834(m)(4)(B) of the Act, 
as added by the BIPA, defines an eligible telehealth individual as a 
Medicare beneficiary who receives a telehealth service furnished at an 
originating site. As discussed earlier, originating sites are limited 
to certain facilities within specifically identified geographic areas.
    We would revise Sec. 410.78 to specify that Medicare beneficiaries 
are eligible for telehealth services only if they receive services from 
an originating site located in either a rural HPSA as defined by 
section 332(a)(1)(A) of the Public Health Services Act or in a county 
outside of a MSA as defined by section 1886(d)(2)(D) of the Act. 
Additionally, we would provide for an exception if an entity 
participates in a Federal telemedicine demonstration project that has 
been approved by, or receives funding from, us as of December 31, 2000. 
That entity would not be required to be in a rural HPSA or non-MSA as 
described above.
    We would also specify that, providing the geographic criteria are 
met, the following sites qualify as originating sites under this 
provision:
     The office of a physician or practitioner.
     A hospital as defined in section 1861(e) of the Act.
     A critical access hospital as defined in section 
1861(mm)(1).
     A rural health clinic as defined in section 1861(aa)(2) of 
the Act.
     A Federally qualified health center as defined in section 
1861(aa)(4) of the Act.
    Covered Services. Section 1834(m)(4)(F) of the Act, as added by the 
BIPA, defines telehealth services as professional consultations, office 
and other outpatient visits, individual psychotherapy, pharmacologic 
management and any additional service we specify. Additionally, this 
provision identifies covered services by HCPCS codes identified as of 
July 1, 2000. We propose to revise Sec. 410.78 to implement this 
coverage expansion. The services and corresponding CPT codes are listed 
below:
     Consultations (codes 99241 through 99275).
     Office and other outpatient visits (codes 99201 through 
99215).
     Individual Psychotherapy (codes 90804 through 90809).
     Pharmacologic management (code 90862).
    The BIPA provision is effective for services beginning on October 
1, 2001. Payment for the statutorily specified codes, as listed above, 
will be implemented beginning with that date. We propose to make any 
additions or deletions to the services defined as telehealth effective 
on a January 1st basis. We plan to use the annual physician fee 
schedule proposed rule published in the summer and the final rule 
(published by November 1) each year as the vehicle to make these 
changes. Since the statutory provision will be implemented on October 
1, 2001, and there is limited published data on telehealth in clinical 
settings, we will not make any recommendations on additional services 
until we have had time to ensure we have a process for redefining 
covered services in place.
    We are soliciting suggestions and comments from the public 
regarding the guidelines that we should use to make additions or 
deletions of services. We also solicit suggestions and comments about 
specific services that may be appropriate to be covered under the 
Medicare telehealth benefit. Once we complete our review of these 
suggestions and comments, we will propose a more detailed approach as 
to how we would make modifications to the existing telehealth benefit.
    (ii) Conditions of Payment: Technology. The Congress defines the 
term ``telecommunications system'' with respect to demonstration 
projects conducted in Alaska or Hawaii; however, the BIPA does not 
define a

[[Page 40393]]

telecommunications system in any other case. In a non-telehealth 
setting, Medicare pays for these codes only if there is a face-to-face 
encounter between the patient and attending physician or practitioner. 
We believe that the patient's presence and use of an interactive audio 
and video telecommunications system permitting the distant site 
practitioner to interact with the patient provides a reasonable 
substitute for a face-to-face encounter.
    Limited exception to the interactive telecommunications 
requirement. For purposes of defining a telecommunications system, 
section 1834(m)(1) of the Act includes the use of store and forward 
technology in very limited circumstances. This provision specifies 
that, in the case of a Federal telemedicine demonstration program 
conducted in Alaska or Hawaii, Medicare payment is permitted when 
asynchronous, store and forward technologies, in single or multimedia 
formats is used to deliver the service.
    Store and forward technology substitutes for an interactive, 
patient-present encounter in these limited circumstances. The patient 
is not present or available to interact with the distant site physician 
or practitioner in real-time.
    We believe that when store and forward technologies are used to 
substitute for an interactive patient encounter, the technology must 
permit the distant site practitioner adequate medical information for 
recommending or confirming a diagnosis or treatment plan. A patient's 
medical information may typically include various combinations of the 
following items--video clips, still images, x-rays, magnetic resonance 
images, electrocardiogram and electroencephalogram tracings, tissue 
samples, laboratory results, and audio clips of heart or lungs.
    We propose to specify at Sec. 410.78 that, except for the statutory 
provision noted above, an interactive telecommunications system must be 
used and that the medical examination of the patient is at the control 
of the physician or practitioner at the distant site. We would define 
interactive telecommunications system as multimedia communications 
equipment that includes, at a minimum, audio and video equipment 
permitting two-way, real-time interactive communication between the 
patient and physician or practitioner at the distant site. We would 
also specify that telephones, facsimile machines, and electronic mail 
systems do not meet the definition of an interactive telecommunications 
system.
    Additionally, we would provide an exception to the interactive 
requirements where the patient must be present for a Federal 
telemedicine demonstration program conducted in Alaska or Hawaii. We 
would specify that for Federal telemedicine demonstration programs 
conducted in Alaska or Hawaii, Medicare payment is permitted for 
telehealth when asynchronous store and forward technologies, in single 
or multimedia formats, are used as a substitute for an interactive 
telecommunications system. Additionally, we would specify that the 
physician or practitioner at the distant site must be affiliated with 
the demonstration program.
    This exception would be permitted for Federal telemedicine 
demonstration projects conducted in Alaska or Hawaii only. Interactive 
telecommunications system with the real-time presence of the patient is 
required as a condition of payment in all other circumstances.
    We would define asynchronous, store and forward technologies, as 
the transmission of the patient's medical information from an 
originating site to the physician or practitioner at the distant site. 
The physician or practitioner at the distant site can review the 
medical case without the patient being present. Asynchronous 
telecommunications system in single media format does not include 
telephone calls, images transmitted via facsimile machines, and text 
messages without visualization of the patient (electronic mail). 
Photographs must be specific to the patient's medical condition and 
adequate for rendering or confirming a diagnosis or treatment plan. 
Dermatological photographs, for example, a photograph of a skin lesion 
may be considered to meet the requirement of a single media format 
under this provision.
    Additionally, we would define the originating site as the location 
of an eligible Medicare beneficiary at the time the service being 
furnished via a telecommunications system occurs. For asynchronous, 
store and forward telecommunications technologies, an originating site 
is a Federal telemedicine demonstration program conducted in Alaska or 
Hawaii.
    Telepresenter. As mentioned earlier, the BIPA changed the 
telepresenter requirements. In accordance with section 1834(m)(2)(C) of 
the Act, a telepresenter is not required to be present. Therefore, we 
would not require a telepresenter as a condition of Medicare payment.
    Practitioners eligible to receive payment for Medicare Telehealth 
Services. Section 1834(m)(1) of the Act requires that Medicare make 
payments for telehealth services furnished via a telecommunications 
system by a physician or a practitioner (described in section 
1842(b)(18)(C) of the Act). Non-physician practitioners described in 
this section of the Act include nurse practitioners, physician 
assistants, clinical nurse specialists, certified nurse midwives, 
clinical psychologists, clinical social workers, and certified 
registered nurse anesthetists or anesthesiologists' assistants. Section 
1834(m)(2) of the Act specifies that the payment amount to the 
physician or practitioner at the distant site who furnishes a 
telehealth service be equal to the amount that the physician or 
practitioner would have been paid under Medicare had the service been 
furnished without the use of a telecommunications system.
    As discussed earlier in this document, covered telehealth services 
include office visits (codes 99201 through 99215), consultation (codes 
99241 through 99275), individual psychotherapy (codes 90804 through 
90809), and pharmacologic management (code 90862). If a physician, 
clinical nurse specialist, nurse practitioner, physician assistant, 
nurse midwife, clinical psychologist, or clinical social worker is 
licensed under State law to provide a service listed above, then these 
practitioners may bill for and receive payment for this service when 
delivered via a telecommunications system.
    Clinical psychologists and clinical social workers cannot bill or 
receive payment for psychotherapy involving evaluation and management 
services under Medicare when the service is delivered face-to-face 
(that is, without the use of a telecommunications system). Therefore, 
clinical psychologists and clinical social workers cannot receive 
payment for these services under the telehealth benefit.
    Certified registered nurse anesthetists and anesthesiologists' 
assistants are not eligible. Certified registered nurse anesthetists 
and anesthesiologists' assistants would not be permitted to bill for 
and receive payment for a telehealth service under this provision. 
Section 1861(bb) of the Act defines services provided by these 
practitioners as anesthesia services and related care only. Under the 
Medicare program, these practitioners do not receive payment for office 
visits, consultation, individual psychotherapy, or pharmacologic 
management when these services are furnished without the use of a 
telecommunications system. Section 1834(m)(2) of the Act specifies that 
the

[[Page 40394]]

payment amount made to the distant site physician or practitioner must 
be equal to what would have been paid for the service without the use 
of a telecommunications system. Therefore, certified registered nurse 
anesthetists and anesthesiologists' assistants would not receive 
payment for telehealth services.
    Proposed regulatory provisions. Based on the law, we would state at 
Sec. 410.78 that, as a condition of Part B payment for telehealth 
services, the physician or practitioner at the distant site must be 
licensed to provide the service under State law. When the physician or 
practitioner at the distant site is licensed under State law to provide 
a covered telehealth service (that is, professional consultations, 
office and other outpatient visits, individual psychotherapy, and 
pharmacologic management), then he or she may bill for and receive 
payment for this service when delivered via a telecommunications 
system.
    We would specify that the physician or practitioner at the distant 
site may be any of the following (provided that the physician or 
practitioner is licensed to bill for the service being furnished via a 
telecommunications system):
     A physician as described in Sec. 410.20.
     A physician assistant as defined in Sec. 410.74.
     A nurse practitioner as defined in Sec. 410.75.
     A clinical nurse specialist as described in Sec. 410.76.
     A nurse midwife as defined in Sec. 410.77.
     A clinical psychologist as described in Sec. 410.71.
     A clinical social worker as defined in Sec. 410.73.
    However, we would further specify that a clinical psychologist and 
clinical social worker may bill for individual psychotherapy furnished 
via a telecommunications system, but may not seek payment for medical 
evaluation and management services.
    Documentation. Documentation requirements as specified in our most 
recent documentation guidelines are applicable to services delivered 
via a telecommunications system. At this time, we will not require 
additional documentation under this provision beyond what is already 
required for medical services delivered without the use of a 
telecommunications system. Medicare documentation guidelines are 
available from our web site. You may access our documentation 
guidelines by using the following directions:

1. Go to the CMS Homepage (http://www.cms.gov).
2. Click on ``Medicare'' (Top left hand column).
3. Click on ``Professional/Technical Information''
4. Click on ``Documentation Guidelines for Evaluation and Management 
Services:''
5. You may choose the 1995 version or the 1997 version whichever best 
fits your needs.

    (iii) Payment provisions. Professional Services: General--Section 
1834(m)(2)(A) of the Act, specifies that the payment amount for the 
professional service is equal to the amount that would have been paid 
without the use of a telecommunications system. Medicare payment for 
physicians' services is generally based, under section 1848 of the Act, 
on the resource-based physician fee schedule. Payment to other health 
care practitioners listed earlier, authorized under section 1833 of the 
Act, is based on a percentage of the physician fee schedule payment 
amount. Therefore, we would pay for office or other outpatient visits, 
consultation, individual psychotherapy, and pharmacologic management 
services furnished by physicians at 80 percent of the lower of the 
actual charge or the fee schedule amount for physicians' services. We 
would also pay for services furnished by other practitioners at 80 
percent of the lower of the actual charge or that practitioner's 
respective percentage of the physician fee schedule (for example, the 
fee schedule amount for clinical psychologists would be 100 percent of 
the physician fee schedule; for clinical social workers, the payment 
would be made at 75 percent of the clinical psychologist fee schedule; 
for certified nurse midwives, the payment would be made at 65 percent 
of the physicians fee schedule; and for all other eligible health care 
practitioners, payment would be made at 85 percent of the physician fee 
schedule). Assuming the beneficiary has met his or her Part B 
deductible, the beneficiary would be responsible for 20 percent of the 
appropriate payment amount.
    Payment for Telepresenter. Section 1834(m)(2) of the Act, provides 
for a professional fee for the physician or practitioner at the distant 
site (equal to the applicable Part B fee schedule amount) and a $20 
facility fee for the originating site. Telepresenters are not required, 
unless one is deemed medically necessary by the physician or 
practitioner at the distant site. BIPA does not address the issue of 
payment for the telepresenter. The Office of the Inspector General has 
advised us that permitting the physician or practitioner at the distant 
site to pay the telepresenter creates a significant risk under the 
anti-kickback statute and may also violate many State fee-splitting 
laws. Therefore, we would propose in Sec. 414.65 that payments made to 
the distant site physician or practitioner for professional fees, 
including deductible and coinsurance (for the professional service), 
are not to be shared with the referring practitioner or telepresenter.
    However, the telepresenter could bill and receive payment for 
services that are not telehealth services that a telepresenter would 
otherwise be allowed to provide under the Medicare statute, including 
services furnished on the same day as the telehealth service.
    Facility Fee for the Originating Site. The BBA prohibited any 
payment for line charges or facility fees associated with a 
professional consultation via a telecommunications system. Section 
1834(m)(2)(B) of the Act, as added by the BIPA, provides for a facility 
fee payment to the originating site, specifying that the amount of 
payment is 80 percent of the lesser of the actual charge or a facility 
fee of $20.00. The BIPA further specifies that, beginning January 1, 
2003, the originating facility fee be increased annually by the 
Medicare Economic Index (MEI) as defined in section 1842(i)(3) of the 
Act. Additionally, we clarify that the Geographic Practice Cost Index 
(GPCI) would not apply to the facility fee for the originating site. 
This fee is statutorily set and is not subject to the geographic 
payment adjustments authorized under the physician's fee schedule. The 
beneficiary is responsible for any unmet deductible amount and Medicare 
coinsurance. We would revise Sec. 414.65 to provide for payment of a 
facility fee to the originating site.
    Coding. For office and other outpatient visits, consultation, 
individual psychotherapy, and pharmacologic management delivered via a 
telecommunications system, we would use modifiers in conjunction with 
existing CPT codes to indicate the use of a telecommunications system 
in delivering the service.
    A new HCPCS code for the facility fee for the originating site will 
be used to identify this fee. Since this is a new occasion of payment 
under Medicare, a separate and distinct code for the facility fee is 
necessary for contractors to make the appropriate payment.

G. Indian Health Service

    The Indian health care system provides primary health care to many 
American Indian and Alaska Native Medicare beneficiaries. This system 
consists of programs operated by a

[[Page 40395]]

Federal agency, the Indian Health Service (IHS), and Federally funded 
programs operated by Indian tribes, tribal organizations, and urban 
Indian organizations (as those terms are defined in section 4 of the 
Indian Health Care Improvement Act). These programs deliver a range of 
clinical and preventive health services to their beneficiaries through 
a network of facilities including hospitals and outpatient clinics. 
Programs operated in IHS-owned or leased facilities, by IHS or by 
tribes or tribal organizations, are considered ``Federal providers'' by 
Medicare. Sections 1814(c) and 1835(d) of the Act generally prohibit 
payment to Federal providers, subject to exceptions contained in 
section 1880 of the Act for these IHS facilities. Prior to enactment of 
the BIPA, the exception in section 1880 of the Act was applicable only 
to IHS hospitals including provider-based clinics (IHS hospital 
outpatient clinics) and skilled nursing facilities. The exception did 
not permit Medicare to pay for services furnished by IHS free-standing 
outpatient clinics or to pay any IHS facilities for services by 
physicians and other practitioners paid under a fee schedule.
    Effective July 1, 2001, section 432 of the BIPA extends the 
exception in section 1880 of the Act to permit Medicare payments to 
hospitals and outpatient clinics (provider-based or free-standing), 
operated by the IHS or by a tribe or tribal organization, for services 
furnished by physicians and specified non-physician practitioners in or 
at the direction of an IHS hospital or outpatient clinic. Payments for 
these services are made to the IHS or tribal hospital or outpatient 
clinic, not to the physician or other practitioner. These payments are 
subject to the same situations, terms, and conditions as would apply if 
the services were furnished in or at the direction of a hospital or 
outpatient clinic that is not operated by the IHS or by a tribe or 
tribal organization. The payments include incentive payments for 
physicians furnishing covered physicians' services in rural or urban 
HPSAs if the usual HPSA criteria are met. (For further information see 
section 1833 of the Act and Sec. 414.42 of our regulations.) Payments 
will not be made under these provisions to the extent that Medicare is 
otherwise paying for the same services under other provisions (for 
example, as part of a bundled payment, or if a tribal hospital 
outpatient clinic continues to bill as a Federally qualified health 
center (FQHC)).
    We are adding a new Sec. 410.46 to our regulations to reflect this 
new statutory provision. Due to the statutory effective date of July 1, 
2001, we will implement this BIPA provision through program memorandum 
instructions.

H. Pathology Services

Background
    The November 2, 1999 final rule (64 FR 59380) provided that, for 
services furnished on or after January, 1, 2001, carriers would no 
longer pay claims to independent laboratories under the physician fee 
schedule for the technical component (TC) of physician pathology 
services for hospital inpatients. Before this rule, independent 
laboratories could bill the carrier under the physician fee schedule 
for the TC of a physician pathology service furnished to a hospital 
inpatient. Under the rule, independent labs would still have been able 
to bill and receive payment for TC physician pathology services 
furnished to patients who are not hospital inpatients. (The TC of 
physicians' pathology services includes the TC of cytopathology and 
surgical pathology physicians' services as described in the Medicare 
Carrier Manual, section 15020 B and C.) This change was to take effect 
for services furnished on or after January 1, 2001. The delay between 
publication and effective date was intended to allow independent 
laboratories and hospitals sufficient time to negotiate new 
arrangements, if necessary.
BIPA Provision
    Section 542 of the BIPA requires the Medicare carrier to continue 
to pay for the TC of physician pathology services when an independent 
laboratory furnishes these services to an inpatient or outpatient of a 
covered hospital. The BIPA provisions apply to TC services furnished 
during the 2-year period beginning January 1, 2001 and continuing 
through December 31, 2002. We informed the carriers and the 
intermediaries of this provision through program memorandum AB-01-47 
which was issued in March 2001. This program memorandum requested the 
carriers to notify independent laboratories of this provision in their 
next regularly scheduled bulletin and to place this bulletin on their 
Internet web site.
    In the absence of further legislation, the policy of the November 
1999 final rule will take effect for the TC of physician pathology 
services furnished to hospital patients after December 31, 2002.
Definitions
    For this provision, ``covered hospital'' means a hospital that had 
an arrangement with an independent laboratory that was in effect as of 
July 22, 1999, under which a laboratory furnished the TC of physician 
pathology services to fee-for-service Medicare beneficiaries who were 
hospital inpatients or outpatients and submitted claims for payment for 
the TC to a carrier. The TC could have been submitted separately or 
combined with the professional component and reported as a combined 
service.
    The term ``fee-for-service Medicare beneficiary'' means an 
individual who--(1) Is entitled to benefits under Part A or enrolled 
under Part B of Title XVIII or both, and; (2) Is not enrolled in any of 
the following:
     A Medicare+Choice plan under Part C of that title.
     A plan offered by an eligible organization under section 
1876 of the Act.
     A program of all-inclusive care for the elderly (PACE) 
under section 1894 of the Act.
     A social health maintenance organization (SHMO) 
demonstration project established under section 4018(b) of the Omnibus 
Budget Reconciliation Act of 1987.

V. Collection of Information Requirements

    Under the Paperwork Reduction Act (PRA) of 1995, we are required to 
provide 60-day notice in the Federal Register and solicit public 
comment before a collection of information requirement is submitted to 
the Office of Management and Budget (OMB) for review and approval. In 
order to fairly evaluate whether an information collection should be 
approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act 
of 1995 requires that we solicit comment on the following issues:
     The need for the information collection and its usefulness 
in carrying out the proper functions of our agency.
     The accuracy of our estimate of the information collection 
burden.
     The quality, utility, and clarity of the information to be 
collected.
     Recommendations to minimize the information collection 
burden on the affected public, including automated collection 
techniques.
    We are soliciting public comment on each of these issues for the 
following sections of this document that contain information collection 
requirements:

Sec. 410.132--Medical Nutrition Therapy

    Paragraph (c) of this section requires a referring physician or 
practitioner to

[[Page 40396]]

maintain referral documentation in the beneficiary's medical record for 
each referral. Paragraph (b)(3)(i) requires that the referring 
physician or qualified non-physician practitioner document a 
reassessment in the beneficiary's medical record. Paragraph (e) of this 
section requires the medical nutrition therapy care plan to be sent to 
the referring physician initially and each time the medical nutrition 
therapy care plan is updated. If the physician makes recommendations 
regarding the medical nutrition therapy care plan, the registered 
dietitian or nutrition professional must integrate the requirements 
into the medical nutrition therapy care plan.
    We believe the burden associated with these provisions is exempt in 
accordance with 5 CFR 1320.3(b)(2) because the time, effort, and 
financial resources necessary to comply with these requirements would 
be incurred by certified providers in the normal course of business 
activities.
    If you comment on these information collection and recordkeeping 
requirements, please mail copies directly to the following:

Health Care Financing Administration, Office of Information Services, 
Information Technology Investment Management Group, Attn.: John Burke, 
CMS-1169-P, Room N2-14-26, 7500 Security Boulevard, Baltimore, MD 
21244-1850.
Office of Information and Regulatory Affairs, Office of Management and 
Budget, Room 10235, New Executive Office Building, Washington, DC 
20503, Attn: Allison Eydt, CMS Desk Officer.

VI. Response to Comments

    Because of the large number of items of correspondence we normally 
receive on Federal Register documents published for comment, we are not 
able to acknowledge or respond to them individually. We will consider 
all comments we receive by the date and time specified in the ``DATES'' 
section of this preamble, and, if we proceed with a subsequent 
document, we will respond to the major comments in the preamble to that 
document.

VII. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive 
Order 12866 (September 1993, Regulatory Planning and Review) and the 
Regulatory Flexibility Act (RFA) (Public Law 96-354). Executive Order 
12866 directs agencies to assess all costs and benefits of available 
regulatory alternatives and, when regulation is necessary, to select 
regulatory approaches that maximize net benefits (including potential 
economic, environmental, public health and safety effects, distributive 
impacts, and equity). A regulatory impact analysis must be prepared for 
proposed rules with economically significant effects (that is, a 
proposed rule that would have an annual effect on the economy of $100 
million or more or would adversely affect in a material way the 
economy, a sector of the economy, productivity, competition, jobs, the 
environment, public health or safety, or State, local, or tribal 
governments or communities). We estimate the changes to the practice 
expense RVUs (not including earlier proposed changes to the work RVUs) 
may result in a redistribution of payments among physician specialties 
of approximately $100 million. We estimate the benefit changes in this 
proposed rule resulting from the BIPA will likely result in additional 
Medicare expenditures of $210 to $360 million or more for any single FY 
through FY 2006. Therefore, this proposed rule is considered 
economically significant, and, thus, we have prepared a regulatory 
impact analysis.
    The RFA requires agencies to analyze options for regulatory relief 
of small businesses. For purposes of the RFA, small entities include 
small businesses, nonprofit organizations and government agencies. Most 
hospitals, and most other providers, physicians, and health care 
suppliers are small entities, either by nonprofit status or by having 
revenues of $7.5 million or less annually for physicians and $5 million 
or less for other practitioners. For purposes of the RFA and based on 
small business administration data for 1997, we estimate that there are 
162,000 physician organizations that meet the definition of a small 
entity. There are about 700,000 physicians and other practitioners who 
receive Medicare payment under the physician fee schedule. Individuals 
and States are not included in the definition of a small entity.
    Section 1102(b) of the Social Security Act requires us to prepare a 
regulatory impact analysis for any proposed rule that may have a 
significant impact on the operations of a substantial number of small 
rural hospitals. This analysis must conform to the provisions of 
section 603 of the RFA. For purposes of section 1102(b) of the Act, we 
define a small rural hospital as a hospital that is located outside a 
Metropolitan Statistical Area and has fewer than 100 beds.
    Section 202 of the Unfunded Mandates Reform Act of 1995 also 
requires that agencies assess anticipated costs and benefits before 
issuing any rule that may result in expenditure in any one year by 
State, local, or tribal governments, in the aggregate, or by the 
private sector, of $110 million. We have determined that this proposed 
rule will have no consequential effect on State, local, or tribal 
governments. We believe the private sector cost of this rule falls 
below the above-stated threshold as well.
    Thus, we have prepared the following analysis, which together with 
the rest of this preamble, meets all assessment requirements. It 
explains the rationale for, and purposes of, the rule, details the 
costs and benefits of the rule, analyzes alternatives, and presents the 
measures we propose to use to minimize the burden on small entities.

A. Resource-Based Practice Expense Relative Value Units and 5-Year 
Review Changes

    Under section 1848(c)(2) of the Act, adjustments to relative value 
units may not cause the amount of expenditures to differ by more than 
$20 million from the amount expenditures would have been without such 
adjustments. We are proposing several changes that would result in a 
change of expenditures exceeding $20 million without offsetting 
adjustments to either the conversion factor or relative value units. In 
the June 8, 2001 Five-Year Review of Relative Value Units Under the 
Physician Fee Schedule, (66 FR 31028), we described the specialty level 
impact on payments of proposed changes in work RVUs. We estimated that 
the increase in physician work RVUs would increase expenditures by more 
than $20 million without an offsetting adjustment to either the 
relative value units or conversion factor. We proposed to meet the 
budget neutrality requirements in the statute by reducing the physician 
fee schedule conversion factor by an estimated 0.3 percent. Since the 
changes to the physician work RVUs included in our earlier proposed 
notice will affect payments in 2002, we are repeating those impacts in 
Table 6. In addition, we are also showing the impact of proposed 
changes that will affect the practice expense relative value units.
    With respect to practice expense, our policy has been to meet the 
budget neutrality requirements in the statute by incorporating a 
rescaling adjustment in the practice expense methodology. That is, we 
determined the aggregate number of practice expense relative values 
that will be paid under current and proposed policy in 2002. We apply a 
uniform adjustment factor to all proposed practice expense relative 
value units to make them equal to the aggregate

[[Page 40397]]

number of practice expense relative values that we estimate will be 
paid under current policy. Table 6 shows the specialty level impact on 
payment of changes being proposed for 2002.
    The three columns under the label ``5-Year Review of Work'' show 
the estimated change in payments that will result from our earlier 
notice on the 5-Year Review of Work Relative Value Units. The column 
labeled ``Work'' shows the impact on total payments that will result 
from increases in physician work relative value units. Since the 
practice expense relative value units are based, in part, on the 
physician work, the 5-year review will also result in a change to the 
practice expense relative value units. The column labeled ``Practice 
Expense'' shows this impact and includes the effect of the rescaling 
adjustment discussed above to make the practice expense relative value 
units budget neutral. The column labeled ``Total'' reflects the total 
impact on payments resulting from proposed changes in work and practice 
expense from the 5-year review of physician work. This column includes 
the effect of a 0.3 percent reduction to the physician fee schedule 
conversion factor to meet the budget neutrality requirements in the 
statute.
    The column labeled ``New Time'' reflects the estimated specialty 
level impact on payments that will result from using new physician 
times in the practice expense methodology. As described earlier in 
section II.A., physician time is used in conjunction with information 
on practice expense per hour and Medicare utilization to create 
specialty practice expense pools that are used to allocate practice 
expenses to different services. The RUC earlier indicated to us that 
some of the times we were using in the practice expense methodology 
differed from the times included in the RUC database. We understand 
that the RUC has made substantial efforts to validate the time in its 
database with physician specialty societies and to supply us with times 
that were missing for some services. The RUC recently forwarded the 
results of this effort to us and is recommending that we use the new 
times in the practice expense methodology. In addition, several 
physician specialty societies obtained new and more recent survey times 
as a result of the five-year review of physician work. The RUC has 
reviewed and forwarded these times to us as well and is also 
recommending that we use them in the practice expense methodology. We 
believe the times supplied to us by the RUC are more likely to be 
reflective of the actual time it takes to perform a procedure. For this 
reason, we are proposing to use these new times in the practice expense 
methodology. As indicated in our June 8, 2001 proposed notice, our 
expectation was that the substitution of new times would reduce 
payments to cardiac and thoracic surgeons because the new times for 
many heart and chest procedures are shorter than those we have been 
using in the practice expense methodology. We estimate that 
substitution of new physician times will reduce payments to cardiac and 
thoracic surgeons by an estimated 5 and 4 percent, respectively. 
Combining this reduction with the change in work relative value units 
will result in a total estimated increase in payments from between 0 
and 1 percent for cardiac and thoracic surgeons. We estimate change in 
payments to other specialties from using new time data will be one 
percent or less.
    The column labeled ``New SMS'' refers to our proposal to 
recalculate the practice expense per hour data based on the 1995 
through 1999 SMS. (We refer to the SMS based on its publication year. 
The practice expense data is actually from surveys performed the year 
prior to publication. For example, the 1998 SMS includes 1997 cost 
data.) The proposed changes in practice expense per hour from 
incorporating the latest SMS data are modest. Payments to pathologists 
are estimated to increase by 2 percent. Specialty 69--Independent 
Laboratory, the largest specialty included in the supplier category, 
bills for many of the same services as pathologists, producing our 
estimated 2 percent increase in Medicare payments to suppliers.
    The column labeled ``Clinical Labor Repricing'' reflects our 
proposal to use 1999 information from the Bureau of Labor Statistics to 
update the wage rate information that is used to price clinical labor 
inputs in the practice expense methodology. We estimate that this 
proposal will result in less than a 1 percent change in payments to any 
physician specialty.
    The column labeled ``Other'' refers to our proposal to make minor 
modifications to the specialty utilization. As discussed earlier, we 
are proposing to recode the specialty for several very low volume 
physician specialties that likely have practice expenses that are 
similar to other larger physician specialties. In addition, this policy 
reflects our proposal to drop the utilization for a number of 
specialties from the practice expense methodology because a very small 
percentage (one percent or less) of their allowed charges are from 
physician fee schedule services. The modifications to the utilization 
data that we are proposing have virtually no specialty level impact on 
any specialty.

                            Table 6.--Impact of Proposed Work and Practice Expense Changes Total Allowed Charges by Specialty
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                Allowed     5 year review of work practice                             Clinical
                  Specialty                   charges  $ ------------------------------------  New time     New SMS      labor       Other       Total
                                               Billions      Work       Expense      Total                             repricing
--------------------------------------------------------------------------------------------------------------------------------------------------------
ANESTHESIOLOGY..............................         1.5          1%          0%          1%          0%          0%          0%          0%          1%
CARDIAC SURGERY.............................         0.3          5%          1%          6%          5%          0%          0%          0%          0%
CARDIOLOGY..................................         4.2          0%          0%          0%          0%          0%          0%          0%          0%
CHIROPRACTOR................................         0.4          0%          0%          0%          0%          0%          0%          0%          0%
CLINICS.....................................         1.6          0%          0%          0%          0%          0%          0%          0%          0%
DERMATOLOGY.................................         1.4          0%          0%          0%          0%          1%          0%          0%          1%
EMERGENCY MEDICINE..........................         1.0          0%          0%          0%          0%          0%          0%          0%          0%
FAMILY PRACTICE.............................         3.3          0%          0%          0%          0%          0%          0%          0%          0%
GASTROENTEROLOGY............................         1.2          0%          0%          0%          1%          0%          0%          0%          1%
GENERAL PRACTICE............................         1.0          0%          0%          0%          0%          0%          0%          0%          0%
GENERAL SURGERY.............................         2.0          3%          1%          4%          0%          0%          0%          0%          4%
HEMATOLOGY ONCOLOGY.........................         0.6          0%         -1%         -1%          0%          0%          0%          0%          0%
INTERNAL MEDICINE...........................         7.1          0%          0%          0%          0%          0%          0%          0%          0%
NEPHROLOGY..................................         1.0          0%          0%          0%          0%          0%          0%          0%          0%
NEUROLOGY...................................         0.9          0%          0%          0%          0%          0%          0%          0%          0%
NEUROSURGERY................................         0.4          0%          0%          0%          0%          0%          0%          0%          0%
NONPHYSICIAN PRACTITIONER...................         1.2          0%          0%          0%          0%          0%          0%          0%          0%
OBSTETRICS/GYNECOLOGY.......................         0.4          0%          0%          1%          0%          1%          0%          0%          1%
OPHTHALMOLOGY...............................         3.9          0%          0%          0%          0%         -1%          0%          0%         -1%
OPTOMETRIST.................................         0.5          0%          0%          0%          0%         -1%          1%          0%          0%

[[Page 40398]]

 
ORTHOPEDIC SURGERY..........................         2.3          0%          0%          0%          0%          0%          0%          0%          0%
OTHER PHYSICIAN.............................         1.6          0%          0%          0%          0%          0%          0%          0%          1%
OTOLARYNGOLOGY..............................         0.6          0%          0%          0%          1%          0%          0%          0%          0%
PATHOLOGY...................................         0.6          0%          0%          0%          0%          2%          0%          0%          3%
PLASTIC SURGERY.............................         0.2          0%          0%          0%          0%          0%          0%          0%          0%
PODIATRY....................................         1.1          0%          0%          0%          1%          0%          0%          0%          1%
PSYCHIATRY..................................         1.1          0%          0%          0%          0%          0%          0%          0%          0%
PULMONARY...................................         1.1          0%          0%          0%          0%          0%          0%          0%          0%
RADIATION ONCOLOGY..........................         0.7          0%         -1%         -1%          0%          0%          0%          0%          0%
RADIOLOGY...................................         3.3          0%         -1%          0%          0%          0%          0%          0%          0%
RHEUMATOLOGY................................         0.3          0%          0%          0%          0%          0%          0%          0%          0%
SUPPLIERS...................................         0.5          0%         -1%         -1%         -1%          2%          0%          1%          2%
THORACIC SURGERY............................         0.5          4%          1%          5%         -4%          0%          0%          0%          1%
UROLOGY.....................................         1.3          0%          0%          0%          0%          0%          0%          0%          1%
VASCULAR SURGERY............................         0.3          2%          0%          2%         -1%          0%          0%          0%          2%
--------------------------------------------------------------------------------------------------------------------------------------------------------

    Table 7 shows the impact on payments for selected high volume 
procedures of all of the changes previously discussed. This table shows 
the combined impact of the change in physician work and the fully 
implemented practice expense relative value units on total payment for 
the procedure. There are separate columns that show the change in the 
old and new facility rates and the old and new nonfacility rates. The 
table does not show the actual change in payments from 2001 to 2002 for 
the procedures because the ``old'' payments do not take into account 
that the practice expense relative value units in 2001 are a blend of 
the old charge-based relative value units and the new resource-based 
practice expense relative value determined under current policy. We 
show the amounts in this way to isolate the impact of new proposals on 
the change in payment without including the effect of continuing to 
transition resource-based practice expense relative value units that 
will occur regardless of whether we publish this proposed rule. For an 
explanation of facility and non-facility practice expense refer to 
Sec. 414.22(b)(5)(i).

                             Table 7.--Impact of 5 Year Review and Proposed Rule on Medicare Payment for Selected Procedures
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Old non-    New  non-    Percent       Old         New       Percent
          HCPCS                       MOD                        Desc              facility    facility     change     facility    facility     change
--------------------------------------------------------------------------------------------------------------------------------------------------------
11721....................  ........................  Debride nail, 6 or more....      $42.47      $42.47          0%      $30.61      $30.61          0%
17000....................  ........................  Destroy benign/premal            $63.89      $65.80          3%      $34.43      $34.43          0%
                                                      lesion.
27130....................  ........................  Total hip replacement......          NA          NA          NA   $1,499.72   $1,502.40          0%
27236....................  ........................  Treat thigh fracture.......          NA          NA          NA   $1,150.80   $1,152.72          0%
27244....................  ........................  Treat thigh fracture.......          NA          NA          NA   $1,174.91   $1,177.20          0%
27447....................  ........................  Total knee replacement.....          NA          NA          NA   $1,567.43   $1,570.50          0%
33533....................  ........................  CABG, arterial, single.....          NA          NA          NA   $1,855.90   $1,900.28          2%
35301....................  ........................  Rechanneling of artery.....          NA          NA          NA   $1,170.32   $1,141.24         -2%
43239....................  ........................  Upper GI endoscopy, biopsy.     $298.03     $318.31          7%     $157.24     $158.39          1%
45385....................  ........................  Lesion removal colonoscopy.     $501.95     $534.47          6%     $299.56     $303.00          1%
66821....................  ........................  After cataract laser            $229.93     $228.02         -1%     $215.01     $212.72         -1%
                                                      surgery.
66984....................  ........................  Cataract surg w/iol, i               NA          NA          NA     $697.83     $691.71         -1%
                                                      stage.
67210....................  ........................  Treatment of retinal lesion     $627.82     $620.55         -1%     $575.40     $569.66         -1%
71010....................  26                        Chest x-ray................       $9.56       $9.56          0%       $9.56       $9.56          0%
71020....................  26                        Chest x-ray................      $11.86      $11.86          0%      $11.86      $11.86          0%
77427....................  ........................  Radiation tx management, x5     $176.75     $177.52          0%     $176.75     $177.52          0%
78465....................  26                        Heart image (3d), multiple.      $79.58      $78.81         -1%      $79.58      $78.81         -1%
88305....................  26                        Tissue exam by pathologist.      $42.08      $42.85          2%      $42.08      $42.85          2%
90801....................  ........................  Psy dx interview...........     $153.80     $152.65         -1%     $145.00     $144.62          0%
90806....................  ........................  Psytx, off, 45-50 min......     $102.15     $101.38         -1%      $96.41      $96.41          0%
90807....................  ........................  Psytx, off, 45-50 min w/e&m     $109.80     $109.42          0%     $104.44     $104.44          0%
90862....................  ........................  Medication management......      $53.94      $53.94          0%      $48.97      $48.97          0%
90921....................  ........................  ESRD related services,          $278.90     $279.28          0%     $278.90     $279.28          0%
                                                      month.
90935....................  ........................  Hemodialysis, one                    NA          NA          NA      $77.66      $78.05          1%
                                                      evaluation.
92004....................  ........................  Eye exam, new patient......     $131.23     $130.84          0%      $92.58      $92.20          0%
92012....................  ........................  Eye exam established pat...      $66.19      $65.80         -1%      $37.88      $37.49         -1%
92014....................  ........................  Eye exam & treatment.......      $94.88      $94.50          0%      $62.36      $61.60         -1%
92980....................  ........................  Insert intracoronary stent.          NA          NA          NA     $845.12     $832.88          1%
92982....................  ........................  Coronary artery dilation...          NA          NA          NA     $625.90     $616.34         -2%
93000....................  ........................  Electrocardiogram, complete      $27.55      $27.16         -1%          NA          NA          NA
93010....................  ........................  Electrocardiogram report...       $9.56       $9.18         -4%       $9.56       $9.18         -4%
93015....................  ........................  Cardiovascular stress test.     $108.65     $107.51         -1%          NA          NA          NA
93307....................  26                        Echo exam of heart.........      $51.27      $50.50         -2%      $51.27      $50.50         -2%
93510....................  26                        Left heart catheterization.     $246.00     $242.17         -2%     $246.00     $242.17         -2%
98941....................  ........................  Chiropractic manipulation..      $37.49      $37.49          0%      $32.52      $32.52          0%
99202....................  ........................  Office/outpatient visit,         $63.89      $63.89          0%      $48.21      $48.21          0%
                                                      new.
                  99203..  ........................  Office/outpatient visit,         $95.65      $95.26          0%      $73.46      $73.46          0%
                                                      new.
99204....................  ........................  Office/outpatient visit,        $137.73     $136.96         -1%     $108.65     $108.65          0%
                                                      new.
99205....................  ........................  Office/outpatient visit,        $174.46     $174.46          0%     $143.85     $143.47          0%
                                                      new.
99211....................  ........................  Office/outpatient visit,         $21.04      $21.04          0%       $9.18       $9.18          0%
                                                      est.
99212....................  ........................  Office/outpatient visit,         $37.49      $37.49          0%      $24.49      $24.49          0%
                                                      est.

[[Page 40399]]

 
99213....................  ........................  Office/outpatient visit,         $52.41      $52.41          0%      $35.96      $35.96          0%
                                                      est.
99214....................  ........................  Office/outpatient visit,         $82.64      $82.64          0%      $58.92      $58.92          0%
                                                      est.
99215....................  ........................  Office/outpatient visit,        $120.90     $121.28          0%      $95.26      $95.26          0%
                                                      est.
99221....................  ........................  Initial hospital care......          NA          NA          NA      $68.86      $68.86          0%
99222....................  ........................  Initial hospital care......          NA          NA          NA     $114.01     $114.01          0%
99223....................  ........................  Initial hospital care......          NA          NA          NA     $159.15     $159.15          0%
99231....................  ........................  Subsequent hospital care...          NA          NA          NA      $34.43      $34.43          0%
99232....................  ........................  Subsequent hospital care...          NA          NA          NA      $56.24      $56.24          0%
99233....................  ........................  Subsequent hospital care...          NA          NA          NA      $80.34      $80.34          0%
99236....................  ........................  Observ/hosp same date......          NA          NA          NA     $225.72     $225.34          0%
99238....................  ........................  Hospital discharge day.....          NA          NA          NA      $67.72      $67.72          0%
99239....................  ........................  Hospital discharge day.....          NA          NA          NA      $92.58      $92.58          0%
99241....................  ........................  Office consultation........      $48.97      $48.97          0%      $34.81      $34.81          0%
99242....................  ........................  Office consultation........      $91.05      $90.67          0%      $71.54      $71.54          0%
99243....................  ........................  Office consultation........     $120.90     $120.51          0%      $95.26      $94.88          0%
99244....................  ........................  Office consultation........     $171.78     $171.78          0%     $140.79     $140.79          0%
99245....................  ........................  Office consultation........     $223.04     $223.43          0%     $186.70     $186.32          0%
99251....................  ........................  Initial inpatient consult..          NA          NA          NA      $38.26      $38.26          0%
99252....................  ........................  Initial inpatient consult..          NA          NA          NA      $75.37      $75.37          0%
                  99253..  ........................  Initial inpatient consult..          NA          NA          NA     $102.15     $102.15          0%
99254....................  ........................  Initial inpatient consult..          NA          NA          NA     $146.15     $146.15          0%
99255....................  ........................  Initial inpatient consult..          NA          NA          NA     $200.47     $200.47          0%
99261....................  ........................  Follow-up inpatient consult          NA          NA          NA      $24.87      $24.87          0%
99262....................  ........................  Follow-up inpatient consult          NA          NA          NA      $47.82      $47.82          0%
99263....................  ........................  Follow-up inpatient consult          NA          NA          NA      $70.01      $70.01          0%
99282....................  ........................  Emergency dept visit.......          NA          NA          NA      $27.93      $27.93          0%
99283....................  ........................  Emergency dept visit.......          NA          NA          NA      $62.74      $62.74          0%
99284....................  ........................  Emergency dept visit.......          NA          NA          NA      $97.94      $98.32          0%
99285....................  ........................  Emergency dept visit.......          NA          NA          NA     $152.65     $153.03          0%
99291....................  ........................  Critical care, first hour..     $218.45     $219.22          0%     $208.89     $209.27          0%
99292....................  ........................  Critical care, addl 30 min.     $111.71     $112.10          0%     $104.06     $104.44          0%
99301....................  ........................  Nursing facility care......          NA          NA          NA      $63.51      $63.51          0%
99302....................  ........................  Nursing facility care......          NA          NA          NA      $84.93      $84.93          0%
99303....................  ........................  Nursing facility care......          NA          NA          NA     $105.59     $105.59          0%
99311....................  ........................  Nursing fac care, subseq...          NA          NA          NA      $31.75      $31.75          0%
99312....................  ........................  Nursing fac care, subseq...          NA          NA          NA      $52.41      $52.41          0%
99313....................  ........................  Nursing fac care, subseq...          NA          NA          NA      $74.60      $74.60          0%
99348....................  ........................  Home visit, est patient....      $77.28      $76.90          0%      $70.01      $70.01          0%
99350....................  ........................  Home visit, est patient....     $176.37     $175.60          0%     $164.13     $164.13          0%
--------------------------------------------------------------------------------------------------------------------------------------------------------

B. Nurse Practitioners, Physician Assistants, and Clinical Nurse 
Specialists Performing Screening Sigmoidoscopies

    As discussed in section II.B. of the preamble, this proposed 
regulation would expand the scope of who is allowed to perform 
screening flexible sigmoidoscopies for Medicare coverage and payment 
purposes to include nurse practitioners, physician assistants, and 
clinical nurse specialists, as long as those practitioners meet 
applicable Medicare qualification requirements, and they are authorized 
to perform those screening services under State law. At present, the 
Medicare condition of coverage for screening flexible sigmoidoscopies 
limits coverage of those services to those that are performed by either 
a doctor of medicine or osteopathy (as defined in section 1861(r)(1) of 
the Act) who is authorized under State law to perform the examination.
    We estimate that this expansion in the scope of who is allowed to 
perform screening flexible sigmoidoscopies will increase beneficiary 
access to these screening services and will result in an increase in 
the number of covered exams that are performed. At the same time, we 
estimate that this proposed rule will result in a decrease in payments 
that are made for certain screening flexible sigmoidoscopies because 
they will be performed by nurse practitioners, physician assistants, 
and clinical nurse specialists who are paid at 85 percent of the amount 
of payment that is made to physicians for the same screening service. 
Taking these factors into account, we estimate that this proposal will 
result in negligible additional Medicare program costs. For a more 
detailed discussion of this provision see section II.B. of this 
preamble.

C. Services and Supplies Incident to a Physician's Professional 
Services--Conditions

    We are proposing to allow auxiliary personnel to provide services 
incident to the services of physicians or practitioners who supervise 
them, regardless of the employment relationship. There are no costs or 
savings to the Medicare program associated with this proposal because 
the same physicians and practitioners would have performed these 
services before publication of this proposed rule. For a more detailed 
discussion of this provision see section II.C. of this preamble.

D. Anesthesia Services--Anesthesia Base Units

    As previously discussed in section II.D. of the preamble, with the 
exception of codes 00142 and 00147, we propose to use the same 
anesthesia base unit per anesthesia code as the ASA provides in its 
uniform relative value guide. There are eight codes for which the base 
unit values would be different under our proposed rule.
    Under this proposal, the estimated total number of base units would 
decrease. This is due primarily to the fact that code 001214 is the 
dominant code in terms of allowed services and the base unit for this 
code would decrease from 10 to 8 units.
    To maintain neutrality in the anesthesia conversion factor, we 
would provide for a slight increase in the

[[Page 40400]]

anesthesia conversion factor, less than 0.5 percent. For a more 
detailed discussion of this provision see section II.D. of this 
preamble.

E. Performance Measurement and Emerging Technology Codes

    As previously discussed in section II.E. of the preamble, the AMA 
has developed two new categories of codes: performance codes and 
emerging technology. Allowing the performance measurement code to be 
referenced on Medicare billing forms will have no budgetary impact 
since we are not proposing payment for these codes. We are proposing to 
allow for carrier pricing of the emerging technology codes.
    We expect that the emerging technology codes will be used 
infrequently and may be used in place of ``unlisted'' procedure codes 
that are also carrier priced. There would be few, if any, no Medicare 
program costs associated with this proposal. For a more detailed 
discussion of this provision see section II.E. of this preamble.

F. BIPA Provisions Included in This Proposed Rule

    The following provisions of the BIPA are discussed in detail in 
section III of this preamble. This proposed rule would conform the 
regulations text to the BIPA provisions. Table 8 provides the estimated 
costs (in millions of dollars) for the Medicare program for these 
provisions for the fiscal years shown:

                           Table 8.--Medicare Cost Estimates for BIPA 2000 Provisions
                                                  [In millions]
----------------------------------------------------------------------------------------------------------------
                     BIPA provisions                        FY 2002    FY 2003    FY 2004    FY 2005    FY 2006
----------------------------------------------------------------------------------------------------------------
Sec. 101 Biennial Pelvic Examinations....................         10         20         20         20         20
Sec. 102 Screening Glaucoma..............................         30         50         50         60         60
Sec. 103 Screening Colonoscopy...........................         40         40         30         10         10
Sec. 104 Screening Mammography...........................         30         40         40         40         50
Sec. 105 Medical Nutrition...............................         20         50         60         70         70
Sec. 223 Telehealth Services.............................         20         30         40         50         60
Sec. 432 Indian Health...................................         60         70         80         80         90
----------------------------------------------------------------------------------------------------------------

1. Screening Mammography
    As discussed in section III.A. of the preamble, the BIPA eliminates 
the statutorily prescribed payment rate for screening mammography and 
specifies that it will be paid under the physician fee schedule 
beginning January 1, 2002. To pay for the professional component of the 
screening mammography, we propose to use the work and malpractice RVUs 
that have been established for unilateral diagnostic mammography. We 
are establishing the practice expense RVUs for the professional 
component under the resource-based methodology. To establish practice 
expense RVUs for the technical component, we propose using the 
statutory payment limit and the applicable physician fee schedule 
update factor used each year. Currently, we pay for screening 
mammography under section 1834(c) of the Act. Payment for screening 
mammography is not subject to the budget neutrality requirements that 
apply to physician fee schedule services under section 
1848(c)(2)(B)(ii)(II) of the Act. Effective January 1, 2002, screening 
mammography will be subject to the budget neutrality requirements that 
apply to physician fee schedule services. We will include the current 
payment amounts for screening mammography in aggregate physician fee 
schedule payments subject to the budget neutrality requirements. As a 
result, the BIPA requirement to pay for screening mammography under the 
physician fee schedule will not result in an increase in Medicare 
program expenditures. However, the increase in payment for screening 
mammography under the physician fee schedule will be included in the 
budget neutrality adjustments that apply to physician fee schedule 
services. The BIPA also establishes a methodology for determining 
payment for certain types of new technology that are used in providing 
both diagnostic and screening mammography services. The statutory 
provisions are in effect from April 1, 2001 to December 31, 2001. The 
statute gives us the authority to determine whether separate codes and 
payment amounts are appropriate for screening and diagnostic 
mammography services that involve use of a new technology on or after 
January 1, 2002. We are proposing several new codes and fee schedule 
amounts for screening and diagnostic mammography services that involve 
use of a new technology. The BIPA provisions related to new technology 
mammography will result in the Medicare program costs shown in Table 8. 
The BIPA makes no changes to provisions for Medicare coverage of 
screening mammography.
2. Screening Pelvic Examinations
    As discussed in section III.B. of the preamble, section 101 of the 
BIPA provides for expanded coverage for screening pelvic examinations 
(including a clinical breast examination) furnished on or after July 1, 
2001. Specifically, the revised benefit will allow for biennial 
coverage of screening pelvic examination for all women who do not 
qualify under the law for annual coverage of such tests. We estimate 
that this change in the frequency of coverage for certain beneficiaries 
will result in an increase in Medicare payments. These payments will be 
made to a large number of physicians and other practitioners who 
provide these tests, any medically necessary follow-up tests, or 
treatment that may be required as a result of the increased frequency 
of coverage of these tests. Medicare program expenditures associated 
with screening pelvic examinations have been included in the budget. 
The impact of this provision is shown in Table 8.
3. Screening for Glaucoma
    As discussed in section III.C. of the preamble, section 102 of the 
BIPA authorizes coverage of glaucoma screening examinations effective 
January 1, 2002, subject to certain frequency and other limitations. We 
believe services provided as part of glaucoma screening will often 
overlap with other services a physician provides during a patient 
encounter that is associated with a higher payment amount. We believe 
that physicians will more commonly provide glaucoma tests in 
conjunction with other services and will rarely provide only glaucoma 
screening to Medicare patients. Based on the projected utilization of 
these screening services and related medically necessary follow-up 
tests and treatment that may be required for the beneficiaries 
screened, we estimate that this new benefit will result in an

[[Page 40401]]

increase in Medicare payments. These payments will be made to 
ophthalmologists or optometrists who will provide these screening tests 
and related follow-up tests and treatment that may be required. 
Medicare program expenditures associated with the BIPA provision that 
establishes coverage for screening glaucoma are shown in Table 8.
4. Screening Colonoscopy
    As discussed in section III.D. of the preamble, section 103 of the 
BIPA amended the Act to add coverage of screening colonoscopies once 
every 10 years for individuals not at high risk for colorectal cancer. 
We estimate that this new benefit will result in an increase in 
Medicare payments. These payments will be made to practitioners who 
will provide these screening tests and related follow-up tests and 
treatment that may be required. The impact of this provision is shown 
in Table 8.
5. Medical Nutrition Therapy
    As discussed in section III.E. of the preamble, section 105 of the 
BIPA amended the Act to authorize Medicare coverage under Part B of 
medical nutrition therapy (MNT) for beneficiaries who have diabetes or 
renal disease, effective for services furnished on or after January 1, 
2002. We propose to implement this provision at part 410, subpart G. 
Specifically, the proposed rule discusses the education, experience, 
and licensing requirements for dietitians or nutritionists furnishing 
the service. In addition, the proposed rule discusses the payment 
provisions, a referral requirement, and the manner by which the medical 
nutrition therapy and diabetes outpatient self-management training 
benefits will be coordinated to avoid duplicate payment. We also 
propose to establish payment amounts for these services under the 
physician fee schedule.
    We estimate that this new benefit will result in an increase in 
Medicare payments. These payments will be made to dietitians and 
nutrition professionals who will provide these diagnostic therapy and 
counseling services. Costs to the Medicare program associated with this 
provision are shown in Table 8.
6. Telehealth
    We estimate that the cost of providing office or other outpatient 
visits, consultation services, individual psychotherapy, and 
pharmacologic management in accordance with section 223 of the BIPA 
will be approximately $20 million in FY 2002 and approximately $60 
million by FY 2006, as indicated above in Table 8.
    This rule does not mandate that entities provide consultation, 
office or other outpatient visits, individual psychotherapy or 
pharmacological management services via a telecommunications system. 
Thus, this rule would not require entities to purchase telehealth 
equipment or to acquire the telecommunications infrastructure necessary 
to deliver these services via a telecommunications system. Therefore, 
this rule does not impose costs associated with starting and operating 
a telehealth network.
7. Indian Health Services
    As discussed in section III.G. of the preamble, in addition to 
payment for Medicare services in hospitals and skilled nursing 
facilities, section 432 of the BIPA authorizes payment under the 
physician fee schedule to physicians and certain practitioners for 
services furnished in a hospital and an ambulatory care clinic, whether 
provider-based or free-standing, of the Indian Health Service effective 
for services furnished on or after July 1, 2001. We propose to add a 
new Sec. 410.46 to conform our regulations to the statute. Costs to the 
Medicare program for this BIPA provision are shown in Table 8.
8. Pathology Services
    As discussed in section III.H. of the preamble, in the November 2, 
1999 physician fee schedule final rule (64 FR 59381), we stated that we 
would implement a policy to pay only hospitals for the TC of physician 
pathology services furnished to hospital inpatients. Before the 
effective date of this proposal, any independent laboratory could bill 
the carrier under the physician fee schedule for the TC of physician 
pathology to a hospital inpatient. The regulation provided that for 
services furnished on or after January 1, 2001, the carriers would no 
longer pay claims to an independent laboratory under the physician fee 
schedule for the TC of physician pathology services furnished for 
hospital inpatients. Similar treatment was provided under the hospital 
outpatient prospective payment system for the TC of physician pathology 
services to hospital outpatients. We delayed implementation of this 
provision for one year; it was to take effect for services furnished on 
or after January 1, 2001. The delay was intended to allow independent 
laboratories and hospitals sufficient time to negotiate arrangements.
    Section 542 of the BIPA requires Medicare to continue to pay for 
the TC of physician pathology services when an independent laboratory 
furnishes this service to an inpatient or outpatient of a covered 
hospital. This provision applies to TC services furnished during the 2-
year period beginning on January 1, 2001.
    In the November 2, 1999 final rule, we estimated that payment under 
the physician fee schedule for TC billings by independent laboratories 
would decrease by $6 million per year if the original proposal had been 
implemented on January 1, 2001. As a result of the BIPA, these savings 
are not realized for two years.

G. Budget Neutrality

    Each year since the fee schedule has been implemented, our 
actuaries have determined any adjustments needed to meet the budget 
neutrality requirement of the statute. A component of the actuarial 
determination of budget-neutrality involves estimating the impact of 
changes in the volume and intensity of physicians' services provided to 
Medicare beneficiaries as a result of the proposed changes. Since the 
November 1998 final rule (63 FR 58891), we have used a model that 
assumes 30 percent of anticipated payment reductions will be offset 
through an increase in the volume and intensity of services. We will 
continue to use the same assumption in this year's final rule.

H. Impact on Beneficiaries

    Although changes in physicians' payments were large when the 
physician fee schedule was implemented in 1992, we detected no problems 
with beneficiary access to care. Furthermore, since beginning our 
transition to a resource-based practice expense system in 1999, we have 
not found that there are problems with beneficiary access to care. In 
addition, the implementation of the BIPA proposals that are contained 
in this rule will improve beneficiary access to health care under the 
Medicare program since certain preventative services, such as screening 
glaucoma, will now be covered for the first time and coverage of 
several existing services is being expanded.

I. Federalism

    We have examined this proposed rule in accordance with Executive 
Order 13132 and have determined that this regulation would not have any 
negative impact on the rights, roles, or responsibilities of State, 
local, or tribal governments.
    In accordance with the provisions of Executive Order 12866, this 
regulation

[[Page 40402]]

was reviewed by the Office of Management and Budget.

List of Subjects

42 CFR Part 405

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping 
requirements, Rural areas, X-rays.

42 CFR Part 410

    Health facilities, Health professions, Kidney diseases, 
Laboratories, Medicare, Rural areas, X-rays.

42 CFR Part 411

    Kidney diseases, Medicare, Reporting and recordkeeping 
requirements.

42 CFR Part 414

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping 
requirements, Rural areas, X-rays.

42 CFR Part 415

    Health facilities, Health professions, Medicare, Reporting and 
recordkeeping requirements.

    For the reasons set forth in the preamble, the Health Care 
Financing Administration proposes to amend 42 CFR chapter IV as 
follows:

PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED

    1. The authority citation for part 405 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. In Sec. 405.534, an introductory paragraph is added to read as 
follows:


Sec. 405.534  Limitation on payment for screening mammography services.

    The provisions in paragraphs (a), (b), and (c) of this section 
apply for services provided from January 1, 1991 until December 31, 
2001. Screening mammography services provided after December 31, 2001 
are paid under the physician fee schedule in accordance with Sec. 414.2 
of this chapter.
* * * * *
    3. In Sec. 405.535, the section heading is revised and the 
introductory text is amended by adding two sentences to the beginning 
to read as follows:


Sec. 405.535  Special rule for nonparticipating physicians and 
suppliers furnishing screening mammography services before January 1, 
2002.

    The provisions in this section apply for screening mammography 
services provided from January 1, 1991 until December 31, 2001. 
Screening mammography services provided after December 31, 2001 are 
paid under the physician fee schedule in accordance with Sec. 414.2 of 
this chapter. * * *
* * * * *

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    1. The authority citation for part 410 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. Section 410.3 is amended by revising paragraph (a)(1) to read as 
follows:


Sec. 410.3  Scope of benefits.

    (a) * * *
    (1) Medical and other health services such as physicians' services, 
outpatient services furnished by a hospital or a CAH, diagnostic tests, 
outpatient physical therapy and speech pathology services, rural health 
clinic services, Federally qualified health center services, IHS, 
Indian tribe, or tribal organization facility services, and outpatient 
renal dialysis services.
* * * * *
    3. Section 410.10 is amended by adding paragraph (x) to read as 
follows:


Sec. 410.10  Medical and other health services: Included services.

* * * * *
    (x) IHS, Indian tribe, or tribal organization facility services.
    4. Section 410.22 is redesignated as Sec. 410.21, Sec. 410.23 is 
redesignated as Sec. 410.22, and a new Sec. 410.23 is added to read as 
follows:


Sec. 410.23  Screening for glaucoma: Conditions for and limitations on 
coverage.

    (a) Definitions: As used in this section, the following definitions 
apply:
    (1) Direct supervision in the office setting means the optometrist 
or the ophthalmologist must be present in the office suite and be 
immediately available to furnish assistance and direction throughout 
the performance of the procedure. It does not mean the physician must 
be present in the room when the procedure is performed.
    (2) Eligible beneficiary means:
    (i) Individual with diabetes mellitus;
    (ii) Individual with a family history of glaucoma; or
    (iii) African-Americans age 50 and over.
    (3) Screening for glaucoma means the following procedures furnished 
to an individual for the early detection of glaucoma:
    (i) A dilated eye examination with an intraocular pressure 
measurement.
    (ii) A direct ophthalmoscopy examination, or a slit-lamp 
biomicroscopic examination.
    (b) Condition for coverage of screening for glaucoma.
    Medicare Part B pays for glaucoma screening examinations provided 
to eligible beneficiaries as described in paragraph (a)(2) of this 
section if they are furnished by or under the direct supervision in the 
office setting of an optometrist or ophthalmologist who is legally 
authorized to perform these services under State law (or the State 
regulatory mechanism provided by State law) of the State in which the 
services are furnished, as would otherwise be covered if furnished by a 
physician or incident to a physician's professional service.
    (c) Limitations on coverage of glaucoma screening examinations.
    (1) Payment may not be made for a glaucoma screening examination 
that is performed for an individual who is not an eligible beneficiary 
as described in paragraph (a)(2) of this section.
    (2) Payment may be made for a glaucoma screening examination that 
is performed on an individual who is an eligible beneficiary as 
described in paragraph (a)(2) of this section, after at least 11 months 
have passed following the month in which the last glaucoma screening 
examination was performed.
    5. In Sec. 410.26, paragraph (b) is redesignated as paragraph (c), 
paragraph (a) is redesignated as paragraph (b) and revised, a new 
paragraph (a) is added, and newly designated paragraph (c) is amended 
by adding a paragraph heading:


Sec. 410.26  Services and supplies incident to a physician's 
professional service: Conditions.

    (a) Definitions. For purposes of this section, the following 
definitions apply:
    (1) Auxiliary personnel means any individual who is acting under 
the supervision of a physician, regardless of whether the individual is 
an employee, leased employee, or independent contractor of the 
physician (or other practitioner) or of the same entity that employs or 
contracts with the physician (or other practitioner).
    (2) Direct supervision means the level of supervision by the 
physician (or other practitioner) of auxiliary personnel as defined in 
Sec. 410.32(b)(3)(ii).
    (3) Independent contractor means an individual who performs part-
time or full-time work for which the individual receives an IRS-1099 
form.
    (4) Leased employment means an employment relationship that is

[[Page 40403]]

recognized by applicable State law and that is established by two 
employers by a contract such that one employer hires the services of an 
employee of the other employer.
    (5) Noninstitutional setting means all settings other than a 
hospital or skilled nursing facility.
    (6) Practitioner means a non-physician practitioner who is 
authorized by the Act to receive payment for services incident to his 
or her own services.
    (7) Services and supplies means any service or supply (including 
any drug or biological that cannot be self-administered) that is 
included in section 1861(s)(2)(A) of the Act and is not specifically 
listed in the Act as a separate benefit included in the Medicare 
program.
    (b) Medicare Part B pays for services and supplies incident to the 
service of a physician (or other practitioner).
    (1) Services and supplies must be furnished in a noninstitutional 
setting to noninstitutional patients.
    (2) Services and supplies must be an integral, though incidental, 
part of the service of a physician (or other practitioner) in the 
course of diagnosis or treatment of an injury or illness.
    (3) Services and supplies must be commonly furnished without charge 
or included in the bill of a physician (or other practitioner).
    (4) Services and supplies must be of a type that are commonly 
furnished in the office or clinic of a physician (or other 
practitioner).
    (5) Services and supplies must be furnished under the supervision 
of the physician (or other practitioner).
    (6) Services and supplies must be furnished by the physician, 
practitioner with an incident to benefit, or auxiliary personnel.
    (7) A physician (or other practitioner) may be an employee or an 
independent contractor.
    (c) Limitation. * * *
    6. In Sec. 410.37, paragraphs (d), (e)(2), and (g) are revised and 
paragraph (e)(3) is added to read as follows:


Sec. 410.37  Colorectal cancer screening tests: Conditions for and 
limitations on coverage.

* * * * *
    (d) Condition for coverage of flexible sigmoidoscopy screening. 
Medicare Part B pays for a flexible sigmoidoscopy screening service if 
it is performed by a doctor of medicine or osteopathy (as defined in 
section 1861(r)(1) of the Act), or by a physician assistant, nurse 
practitioner, or clinical nurse specialist (as defined in section 
1861(aa)(5) of the Act and Secs. 410.74, 410.75, and 410.76) who is 
authorized under State law to perform the examination.
    (e) Limitations on coverage of screening flexible sigmoidoscopies. 
* * *
    (2) For an individual 50 years of age or over, except as described 
in paragraph (e)(3) of this section, payment may be made for screening 
flexible sigmoidoscopy after at least 47 months have passed following 
the month in which the last screening flexible sigmoidoscopy or, as 
provided in paragraphs (h) and (i) of this section, the last screening 
barium enema was performed.
    (3) In the case of an individual who is not at high risk for 
colorectal cancer as described in paragraph (a)(3) of this section but 
who has had a screening colonoscopy performed, payment may be made for 
a screening flexible sigmoidosocopy only after at least 119 months have 
passed following the month in which the last screening colonoscopy was 
performed.
* * * * *
    (g) Limitations on coverage of screening colonoscopies. (1) 
Effective for services furnished on or after January 1, 1998 through 
June 30, 2001, payment may not be made for a screening colonoscopy for 
an individual who is not at high risk for colorectal cancer as 
described in paragraph (a)(3) of this section.
    (2) Effective for services furnished on or after July 1, 2001, 
except as described in paragraph (g)(4) of this section, payment may be 
made for a screening colonoscopy performed for an individual who is not 
at high risk for colorectal cancer as described in paragraph (a)(3) of 
this section, after at least 119 months have passed following the month 
in which the last screening colonoscopy was performed.
    (3) Payment may be made for a screening colonoscopy performed for 
an individual who is at high risk for colorectal cancer as described in 
paragraph (a)(3) of this section, after at least 23 months have passed 
following the month in which the last screening colonoscopy was 
performed, or, as provided in paragraphs (h) and (i) of this section, 
the last screening barium enema was performed.
    (4) In the case of an individual who is not at high risk for 
colorectal cancer as described in paragraph (a)(3) of this section but 
who has had a screening flexible sigmoidoscopy performed, payment may 
be made for a screening colonoscopy only after at least 47 months have 
passed following the month in which the last screening flexible 
sigmoidoscopy was performed.
* * * * *
    7. Section 410.46 is added to read as follows:


Sec. 410.46  Physician and other practitioner services furnished in or 
at the direction of an IHS or Indian tribal hospital or clinic: Scope 
and conditions.

    (a) Medicare Part B pays, in accordance with the physician fee 
schedule, for services furnished in or at the direction of a hospital 
or outpatient clinic (provider-based or free-standing) that is operated 
by the Indian Health Service (IHS) or by an Indian tribe or tribal 
organization (as those terms are defined in section 4 of the Indian 
Health Care Improvement Act). These services are subject to the same 
situations, terms, and conditions that would apply if the services were 
furnished in or at the direction of a hospital or clinic that is not 
operated by IHS or by an Indian tribe or tribal organization. Payments 
include health professional shortage areas incentive payments when the 
requirements for these incentive payments in Sec. 414.42 of this 
chapter are met.
    (b) Payment is not made under this section to the extent that 
Medicare otherwise pays for the same services under other provisions.
    (c) Payment is made under these provisions for the following 
services:
    (1) Services for which payment is made under the physician fee 
schedule in accordance with part 414 of this chapter.
    (2) Services furnished by non-physician practitioners for which 
payment under Part B is made under the physician fee schedule.
    (3) Services furnished by a physical therapist or occupational 
therapist, for which payment under Part B is made under the physician 
fee schedule.
    (d) Payments under these provisions will be paid to the IHS or 
tribal hospital or clinic.
    8. In Sec. 410.56, paragraphs (b)(1), the introductory text of 
(b)(2), and (b)(3) are revised to read as follows:


Sec. 410.56  Screening pelvic examinations.

* * * * *
    (b) * * *
    (1) General rule. Except as specified in paragraphs (b)(2) and 
(b)(3) of this section, payment may be made for a pelvic examination 
performed on an asymptomatic woman only if the individual has not had a 
pelvic examination paid for by Medicare during the preceding 23 months 
following the month in which her last Medicare-covered screening pelvic 
examination was performed.

[[Page 40404]]

    (2) More frequent screening based on high-risk factors. Subject to 
the limitation as specified in paragraph (b)(4) of this section, 
payment may be made for a screening pelvic examination performed more 
frequently than once every 24 months if the test is performed by a 
physician or other practitioner specified in paragraph (a) of this 
section, and there is evidence that the woman is at high risk (on the 
basis of her medical history or other findings) of developing cervical 
cancer or vaginal cancer, as determined in accordance with the 
following risk factors:
* * * * *
    (3) More frequent screening for women of childbearing age. Subject 
to the limitation as specified in paragraph (b)(4) of this section, 
payment may be made for a screening pelvic examination performed more 
frequently than once every 24 months if the test is performed by a 
physician or other practitioner as specified in paragraph (a) of this 
section for a woman of childbearing age who has had an examination that 
indicated the presence of cervical or vaginal cancer or other 
abnormality during any of the preceding 3 years. The term ``woman of 
childbearing age'' means a woman who is premenopausal, and has been 
determined by a physician, or a qualified practitioner, as specified in 
paragraph (a) of this section, to be of childbearing age, based on her 
medical history or other findings.
* * * * *
    9. Section 410.78 is revised to read as follows:


Sec. 410.78  Office and other outpatient visits, consultation, 
individual psychotherapy and pharmacologic management via an 
interactive telecommunications system.

    (a) Definitions. For the purposes of this section the following 
definitions apply:
    (1) Asynchronous store and forward technologies means the 
transmission of a patient's medical information from an originating 
site to the physician or practitioner at the distant site. The 
physician or practitioner at the distant site can review the medical 
case without the patient being present. An asynchronous 
telecommunications system in single media format does not include 
telephone calls, images transmitted via facsimile machines and text 
messages without visualization of the patient (electronic mail). 
Photographs visualized by a telecommunications system must be specific 
to the patient's medical condition and adequate for furnishing or 
confirming a diagnosis and or treatment plan. Dermatological 
photographs, for example, a photograph of a skin lesion, may be 
considered to meet the requirement of a single media format under this 
provision.
    (2) Distant site means the site at which the physician or 
practitioner delivering the service is located at the time the service 
is provided via a telecommunications system.
    (3) Interactive telecommunications system means multimedia 
communications equipment that includes, at a minimum, audio and video 
equipment permitting two-way, real-time interactive communication 
between the patient and distant site physician or practitioner. 
Telephones, facsimile machines, and electronic mail systems do not meet 
the definition of an interactive telecommunications system.
    (4) Originating site means, for purposes of a consultation, office 
or other outpatient visit, individual psychotherapy, or pharmacologic 
management via an interactive telecommunications system, the location 
of an eligible Medicare beneficiary at the time the service being 
furnished via a telecommunications system occurs. For asynchronous 
store and forward telecommunications technologies, the only originating 
sites are Federal telemedicine demonstration programs conducted in 
Alaska or Hawaii.
    (b) General rule. Medicare Part B pays for office and other 
outpatient visits, professional consultation, individual psychotherapy, 
and pharmacologic management furnished by means of an interactive 
telecommunications system if the following conditions are met:
    (1) The physician or practitioner at the distant site must be 
licensed to provide the service under State law. When the physician or 
practitioner at the distant site is licensed under State law to provide 
a covered telehealth service (that is, professional consultations, 
office and other outpatient visits, individual psychotherapy, and 
pharmacologic management), he or she may bill for, and receive payment 
for, this service when delivered via a telecommunications system.
    (2) The practitioner at the distant site is one of the following:
    (i) A physician as described in Sec. 410.20.
    (ii) A physician assistant as described Sec. 410.74.
    (iii) A nurse practitioner as described in Sec. 410.75.
    (iv) A clinical nurse specialist as described in Sec. 410.76.
    (v) A nurse-midwife as described in Sec. 410.77.
    (vi) A clinical psychologist as described in Sec. 410.71.
    (vii) A clinical social worker as described in Sec. 410.73.
    (3) The services are furnished to a beneficiary at an originating 
site, which is one of the following:
    (i) The office of a physician or practitioner.
    (ii) A critical access hospital (as described in section 
1861(mm)(1) of the Act).
    (iii) A rural health clinic (as described in section 1861(aa)(2) of 
the Act).
    (iv) A Federally qualified health center (as defined in section 
1861(aa)(4) of the Act).
    (v) A hospital (as defined in section 1861(e) of the Act).
    (4) Originating sites must be located in either a rural health 
professional shortage area as defined under section 332(a)(1)(A) of the 
Public Health Service Act (42 U.S.C. 254e(a)(1)(A)) or in a county that 
is not included in a Metropolitan Statistical Area as defined in 
section 1886(d)(2)(D) of the Act. Entities participating in a Federal 
telemedicine demonstration project that have been approved by, or 
receive funding from, the Secretary as of December 31, 2000 qualify as 
an eligible originating site regardless of geographic location.
    (5) The medical examination of the patient is under the control of 
the physician or practitioner at the distant site.
    (c) Telepresenter not required. A telepresenter is not required as 
a condition of payment unless a telepresenter is medically necessary as 
determined by the physician or practitioner at the distant site.
    (d) Exception to the interactive telecommunications system 
requirement. For Federal telemedicine demonstration programs conducted 
in Alaska or Hawaii only, Medicare payment is permitted for telehealth 
when asynchronous store and forward technologies, in single or 
multimedia formats, are used as a substitute for an interactive 
telecommunications system.
    (e) Limitation. A clinical psychologist and a clinical social 
worker may bill and receive payment for individual psychotherapy via a 
telecommunications system, but may not seek payment for medical 
evaluation and management services.
    10. A new subpart G is added to read as follows:
Subpart G--Medical Nutrition Therapy
Sec.
410.130   Definitions.
410.132   Medical nutrition therapy.
410.134   Provider qualifications.

[[Page 40405]]

Subpart G--Medical Nutrition Therapy


Sec. 410.130  Definitions.

    For the purposes of this subpart, the following definitions apply:
    Chronic renal insufficiency is defined as the stage of renal 
disease associated with a reduction in renal function not severe enough 
to require dialysis or transplantation (glomerular filtration rate 
[GFR] 13-50 ml/min/1.73m\2\).
    Diabetes is diabetes mellitus consisting of two types. Type 1 is an 
autoimmune disease that destroys the beta cells of the pancreas, 
leading to insulin deficiency. Type 2 is familial hyperglycemia that 
occurs primarily in adults but can also occur in children and 
adolescents. The diagnostic criterion for a diagnosis of diabetes for a 
fasting glucose tolerance test is greater than or equal to 126 mg/dL.
    Episode of care means a time period not exceeding 12 months, 
starting with the assessment and including all covered interventions 
based on a referral from a physician as specified in Sec. 410.132(c).
    Medical nutrition therapy services means nutritional diagnostic, 
therapy, and counseling services provided by a registered dietitian or 
nutrition professional for the purpose of managing diabetes or renal 
disease.
    Physician means a doctor of medicine or osteopathy legally 
authorized to practice medicine and surgery by the State in which he or 
she performs such function or action (including a physician within the 
meaning of section of 1101(a)(7) of the Act).
    Renal disease means chronic renal insufficiency and the medical 
condition of a beneficiary who has been discharged from the hospital 
within the last six months after a successful renal transplant.


Sec. 410.132  Medical nutrition therapy.

    (a) Conditions for coverage of medical nutrition therapy services. 
Medicare Part B pays for medical nutrition therapy services provided by 
a registered dietitian or nutrition professional as defined in 
Sec. 410.134 when the beneficiary is referred for the service by the 
treating physician. Services covered consist of nutritional assessment, 
interventions, and reassessment and follow-up interventions in 
accordance with nationally accepted dietary or nutritional protocols.
    (b) Limitations on coverage of medical nutrition therapy services.
    (1) Medical nutrition therapy services are not covered for 
beneficiaries receiving maintenance dialysis for which payment is made 
under section 1881 of the Act.
    (2) If a beneficiary has both diabetes and renal disease, the 
beneficiary may receive both MNT and DSMT, but coverage is limited to 
the number of hours the beneficiary would receive under either the MNT 
benefit or the DSMT benefit for the episode of care, whichever is 
greater.
    (3) Medical nutrition therapy is only covered if the beneficiary 
has not started initial training under the diabetes self-management 
training benefit as described in Sec. 410.141 within the 12 months 
previous to initial referral for MNT, unless--
    (i) The need for a reassessment and additional therapy has been 
documented by the referring physician as a result of a change in 
diagnosis or medical condition; or
    (ii) The beneficiary is diagnosed with both diabetes and renal 
disease.
    (4) If a beneficiary diagnosed with diabetes has been referred for 
both follow-up diabetes self-management training services and medical 
nutrition therapy, the number of hours the beneficiary may receive is 
limited to the number of hours under either follow-up diabetes self-
management training services or medical nutrition therapy for any 12 
month period.
    (c) Referrals. Referral may only be made by the treating physician 
when the beneficiary has been diagnosed with diabetes or renal disease 
as defined in this subpart with documentation maintained by the 
referring physician in the beneficiary's medical record. Referrals must 
be made for each episode of care and any reassessments or follow-up 
interventions during an episode of care.
    (d) Reassessments and follow-up interventions. Reassessments and 
follow-up interventions are only covered within an episode of care when 
the referring physician determines there is a change of diagnosis or 
medical condition within such episode of care that makes a change in 
diet necessary.


Sec. 410.134  Provider qualifications.

    For Medicare Part B coverage of medical nutrition therapy, only a 
registered dietitian or nutrition professional may provide the 
services. ``Registered dietitian or nutrition professional'' means an 
individual who on or after December 22, 2000--
    (a) Holds a bachelor's or higher degree granted by a regionally 
accredited college or university in the United States (or an equivalent 
foreign degree) with completion of the academic requirements of a 
program in nutrition or dietetics, as accredited by an appropriate 
national accreditation organization recognized for this purpose;
    (b) Has completed at least 900 hours of supervised dietetics 
practice under the supervision of a registered dietitian or nutrition 
professional; and
    (c) Is licensed or certified as a dietitian or nutrition 
professional by the State in which the services are performed. In a 
State that does not provide for licensure or certification, the 
individual will be deemed to have met this requirement if he or she is 
recognized as a ``registered dietitian'' by the Commission on Dietetic 
Registration or its successor organization, or meets the requirements 
of paragraphs (a) and (b) of this section; or a dietitian or 
nutritionist licensed or certified in a State as of December 21, 2000.

PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE 
PAYMENT

    1. The authority citation for part 411 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. In Sec. 411.15, paragraph (a)(1) is revised, and a new paragraph 
(k)(10) is added to read as follows:


Sec. 411.15  Particular services excluded from coverage.

* * * * *
    (a) * * *
    (1) Examinations performed for a purpose other than treatment or 
diagnosis of a specific illness, symptoms, complaint, or injury, except 
for screening mammography, colorectal cancer screening tests, screening 
pelvic examinations, prostate cancer screening tests, or glaucoma 
screening exams that meet the criteria specified in paragraphs (k)(6) 
through (k)(10) of this section.
* * * * *
    (k) * * *
    (10) In the case of screening exams for glaucoma, for the purpose 
of early detection of glaucoma, subject to the conditions and 
limitations specified in Sec. 410.23 of this chapter.
* * * * *

PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

    1. The authority citation for part 414 continues to read as 
follows:

    Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social 
Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).

    2. In 414.2, the definition of ``Physician services'' is amended by

[[Page 40406]]

adding a new paragraph (8) to read as follows:


Sec. 414.2  Definitions.

* * * * *
    Physician Services * * *
    (8) Screening mammography services.
* * * * *
    3. A new Sec. 414.64 is added to read as follows:


Sec. 414.64  Payment for medical nutrition therapy.

    (a) Payment under the physician fee schedule. Medicare payment for 
medical nutrition therapy is made under the physician fee schedule in 
accordance with subpart B of this part.
    (b) To whom payment may be made. Payment may be made to a supplier 
(registered dietitian or nutrition professional) approved by CMS to 
furnish medical nutrition therapy in accordance with part 410, subpart 
G of this chapter.
    (c) Effective date of payment. Medicare pays suppliers of medical 
nutrition therapy on or after the effective date of enrollment of the 
supplier at the carrier.
    (d) Limitation on payment. Payment is made only for nutritional 
therapy sessions actually attended by the beneficiary and documented 
for payment purposes.
    (e) Other conditions for fee-for-service payment. Payment is made 
only if the beneficiary:
    (1) Is not an inpatient of a hospital, SNF, nursing home, or 
hospice.
    (2) Is not receiving services in an RHC, FQHC or ESRD dialysis 
facility.
    4. Section 414.65 is revised to read as follows:


Sec. 414.65  Payment for office or other outpatient visits, 
consultation, individual psychotherapy, and pharmacologic management 
via interactive telecommunications systems.

    (a) Professional service. Medicare payment for the professional 
service via an interactive telecommunications system is made according 
to the following limitations:
    (1) The Medicare payment amount for office or other outpatient 
visits, consultation, individual psychotherapy, and pharmacologic 
management via an interactive telecommunications system is equal to the 
current fee schedule amount applicable to services of the physician or 
practitioner.
    (2) Only the physician or practitioner at the distant site may bill 
and receive payment for the professional service via an interactive 
telecommunications system.
    (3) Payments made to the physician or practitioner at the distant 
site, including deductible and coinsurance, for the professional 
service may not be shared with the referring practitioner or 
telepresenter.
    (b) Originating site facility fee. For office or other outpatient 
visits, consultation, individual psychotherapy, or pharmacologic 
management services delivered via an interactive telecommunications 
system furnished on or after October 1, 2001.
    (1) Payment amount. For services furnished on or after October 1, 
2001 through December 31, 2002, the payment amount to the originating 
site is the lesser of the actual charge or the originating site 
facility fee of $20. For services furnished on or after January 1 of 
each subsequent year, the facility fee for the originating site will be 
updated by the Medicare Economic Index (MEI) as defined in section 
1842(i)(3) of the Act.
    (2) Who may bill for the originating site facility fee. Only the 
originating site may bill for the originating site facility fee and 
only on an assignment-related basis. The distant site physician or 
practitioner may not bill for or receive payment for facility fees 
associated with the professional service furnished via an interactive 
telecommunications system.
    (c) Deductible and coinsurance apply. The payment for the 
professional service and originating site facility fee is subject to 
the coinsurance and deductible requirements of sections 1833(a)(1) and 
(b) of the Act.
    (d) Sanctions. A distant site practitioner or originating site 
facility may be subject to the applicable sanctions provided for in 
chapter IV, part 402 and chapter V, parts 1001, 1002, and 1003 of this 
title if he or she does any of the following:
    (1) Knowingly and willfully bills or collects for services in 
violation of the limitation of this section.
    (2) Fails to timely correct excess charges by reducing the actual 
charge billed for the service in an amount that does not exceed the 
limiting charge for the service or fails to timely refund excess 
collections.
    (3) Fails to submit a claim on a standard form for services 
provided for which payment is made on a fee schedule basis; or
    (4) Imposes a charge for completing and submitting the standard 
claims form.

PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, 
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN 
CERTAIN SETTINGS

    1. The authority citation for part 415 continues to read as 
follows:

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 
U.S.C. 1302 and 1395hh).

    2. Section 415.130 is amended by:
    A. Redesignating paragraphs (a), (b), and (c) as paragraphs (b), 
(c), and (d).
    B. Adding a new paragraph (a).
    C. Amending newly designated paragraph (b)(3) by removing the 
reference ``paragraph (b)'' and adding ``paragraph (c)'' in its place.
    D. Amending newly designated paragraph (b)(4) by removing the 
reference ``paragraphs (b)(1), (b)(3), and (b)(4)'' and adding 
``paragraphs (c)(1), (c)(3), and (c)(4)'' in their place.
    E. Revising newly designated paragraph (d).


Sec. 415.130  Conditions for payment: Physician pathology services.

    (a) Definitions. The following definitions are used in this 
section.
    (1) Covered hospital means, with respect to an inpatient or an 
outpatient, a hospital that had an arrangement with an independent 
laboratory that was in effect as of July 22, 1999, under which a 
laboratory furnished the technical component of physician pathology 
services to fee-for-service Medicare beneficiaries who were hospital 
inpatients or outpatients, and submitted claims for payment for this 
technical component to a Medicare carrier and not to the hospital.
    (2) Fee-for-service Medicare beneficiaries means those 
beneficiaries who are entitled to benefits under Part A or are enrolled 
under Part B of Title XVIII of the Act or both and are not enrolled in 
any of the following:
    (i) A Medicare+Choice plan under Part C of Title XVIII of the Act.
    (ii) A plan offered by an eligible organization under section 1876 
of the Act;
    (iii) A program of all-inclusive care for the elderly (PACE) under 
1894 of the Act; or
    (iv) A social health maintenance organization (SHMO) demonstration 
project established under section 4018(b) of the Omnibus Budget 
Reconciliation Act of 1987.
* * * * *
    (d) Physician pathology services furnished by an independent 
laboratory. The technical component of physician pathology services 
furnished by an independent laboratory to a hospital inpatient or 
outpatient before January 1, 2001 may be paid on a fee schedule basis. 
After December 31, 2001 but before January 1, 2003, if an independent 
laboratory furnishes the technical component of a physician pathology 
service to a fee-for-service Medicare beneficiary who is an

[[Page 40407]]

inpatient or outpatient of a covered hospital, the carrier will treat 
the technical component as a service for which payment will be made to 
the laboratory under the physician fee schedule. The service will not 
be treated as an inpatient hospital service for which payment is made 
to the hospital under section 1886(d) of the Act or as an outpatient 
hospital service for which payment is made to the hospital under 
section 1833(t) of the Act. After December 31, 2002, the technical 
component for physician pathology services furnished by an independent 
laboratory to a hospital inpatient or outpatient is paid only to the 
hospital.

(Catalog of Federal Domestic Assistance Program No. 93.774, 
Medicare--Supplementary Medical Insurance Program)

    Dated: June 19, 2001.
Thomas A. Scully,
Administrator, Health Care Financing Administration.
    Approved: July 12, 2001.
Tommy G. Thompson,
Secretary.

    Note: These addenda will not appear in the Code of Federal 
Regulations.

Addendum A--Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining 
to the Medicare fee schedule for physicians' services furnished in 
2002. Addendum B contains the RVUs for work, non-facility practice 
expense, facility practice expense, and malpractice expense, and other 
information for all services included in the physician fee schedule.

Addendum B--2002 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2002

    This addendum contains the following information for each CPT code 
and alphanumeric HCPCS code, except for alphanumeric codes beginning 
with B (enteral and parenteral therapy), E (durable medical equipment), 
K (temporary codes for nonphysicians' services or items), or L 
(orthotics), and codes for anesthesiology.
    1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for 
the service. Alphanumeric HCPCS codes are included at the end of this 
addendum.
    2. Modifier. A modifier is shown if there is a technical component 
(modifier TC) and a professional component (PC) (modifier -26) for the 
service. If there is a PC and a TC for the service, Addendum B contains 
three entries for the code: One for the global values (both 
professional and technical); one for modifier -26 (PC); and one for 
modifier TC. The global service is not designated by a modifier, and 
physicians must bill using the code without a modifier if the physician 
furnishes both the PC and the TC of the service.
    Modifier -53 is shown for a discontinued procedure. There will be 
RVUs for the code (CPT code 45378) with this modifier.
    3. Status indicator. This indicator shows whether the CPT/HCPCS 
code is in the physician fee schedule and whether it is separately 
payable if the service is covered.
    A = Active code. These codes are separately payable under the fee 
schedule if covered. There will be RVUs for codes with this status. The 
presence of an ``A'' indicator does not mean that Medicare has made a 
national decision regarding the coverage of the service. Carriers 
remain responsible for coverage decisions in the absence of a national 
Medicare policy.
    B = Bundled code. Payment for covered services is always bundled 
into payment for other services not specified. If RVUs are shown, they 
are not used for Medicare payment. If these services are covered, 
payment for them is subsumed by the payment for the services to which 
they are incident. (An example is a telephone call from a hospital 
nurse regarding care of a patient.)
    C = Carrier-priced code. Carriers will establish RVUs and payment 
amounts for these services, generally on a case-by-case basis following 
review of documentation, such as an operative report.
    D = Deleted code. These codes are deleted effective with the 
beginning of the calendar year.
    E = Excluded from physician fee schedule by regulation. These codes 
are for items or services that we chose to exclude from the physician 
fee schedule payment by regulation. No RVUs are shown, and no payment 
may be made under the physician fee schedule for these codes. Payment 
for them, if they are covered, continues under reasonable charge or 
other payment procedures.
    G = Code not valid for Medicare purposes. Medicare does not 
recognize codes assigned this status. Medicare uses another code for 
reporting of, and payment for, these services.
    N = Noncovered service. These codes are noncovered services. 
Medicare payment may not be made for these codes. If RVUs are shown, 
they are not used for Medicare payment.
    P = Bundled or excluded code. There are no RVUs for these services. 
No separate payment should be made for them under the physician fee 
schedule.

--If the item or service is covered as incident to a physician's 
service and is furnished on the same day as a physician's service, 
payment for it is bundled into the payment for the physician's service 
to which it is incident (an example is an elastic bandage furnished by 
a physician incident to a physician's service).
--If the item or service is covered as other than incident to a 
physician's service, it is excluded from the physician fee schedule 
(for example, colostomy supplies) and is paid under the other payment 
provisions of the Act.

    R = Restricted coverage. Special coverage instructions apply. If 
the service is covered and no RVUs are shown, it is carrier-priced.
    T = Injections. There are RVUs for these services, but they are 
only paid if there are no other services payable under the physician 
fee schedule billed on the same date by the same provider. If any other 
services payable under the physician fee schedule are billed on the 
same date by the same provider, these services are bundled into the 
service(s) for which payment is made.
    X = Exclusion by law. These codes represent an item or service that 
is not within the definition of ``physicians'' services'' for physician 
fee schedule payment purposes. No RVUs are shown for these codes, and 
no payment may be made under the physician fee schedule. (Examples are 
ambulance services and clinical diagnostic laboratory services.)
    4. Description of code. This is an abbreviated version of the 
narrative description of the code.
    5. Physician work RVUs. These are the RVUs for the physician work 
for this service in 2000. Codes that are not used for Medicare payment 
are identified with a ``+.''
    6. Facility practice expense RVUs. These are the fully implemented 
resource-based practice expense RVUs for facility settings.
    7. Non-facility practice expense RVUs. These are the fully 
implemented resource-based practice expense RVUs for non-facility 
settings.
    8. Malpractice expense RVUs. These are the RVUs for the malpractice 
expense for the service for 2000.
    9. Facility total. This is the sum of the work, fully implemented 
facility practice expense, and malpractice expense RVUs.
    10. Non-facility total. This is the sum of the work, fully 
implemented non-facility practice expense, and malpractice expense 
RVUs.

[[Page 40408]]

    11. Global period. This indicator shows the number of days in the 
global period for the code (0, 10, or 90 days). An explanation of the 
alpha codes follows:
    MMM = The code describes a service furnished in uncomplicated 
maternity cases including antepartum care, delivery, and postpartum 
care. The usual global surgical concept does not apply. See the 1999 
Physicians' Current Procedural Terminology for specific definitions.
    XXX = The global concept does not apply.
    YYY = The global period is to be set by the carrier (for example, 
unlisted surgery codes).
    ZZZ = The code is part of another service and falls within the 
global period for the other service.

    --------------------
\1\ CPT codes and descriptions only are copyright 2001 American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ Copyright 1994 American Dental Association. All rights reserved.

\3\ + Indicates RVUs are not used for Medicare payments.

\4\ PE RVUs = Practice Expense Relative Value Units.

[[Page 40408]]



                                            Addendum B.--Relative Value Units (RVUs) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                          Non-
                                                                                   Physician  Facility  Facility    Mal-    Facility    Non-
 CPT \1\/HCPCS \2\          MOD              Status             Description           Work        PE        PE    Practice    Total   Facility   Global
                                                                                    RVUs \3\    RVUs      RVUs       RVUs               Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
10040..............  .................  A                 Acne surgery of skin          1.18      0.52      1.63      0.05      1.75      2.86       010
                                                           abscess.
10060..............  .................  A                 Drainage of skin              1.17      0.66      1.35      0.08      1.91      2.60       010
                                                           abscess.
10061..............  .................  A                 Drainage of skin              2.40      1.15      2.07      0.17      3.72      4.64       010
                                                           abscess.
10080..............  .................  A                 Drainage of pilonidal         1.17      0.71      2.11      0.09      1.97      3.37       010
                                                           cyst.
10081..............  .................  A                 Drainage of pilonidal         2.45      1.55      2.89      0.19      4.19      5.53       010
                                                           cyst.
10120..............  .................  A                 Remove foreign body....       1.22      0.73      1.83      0.10      2.05      3.15       010
10121..............  .................  A                 Remove foreign body....       2.69      1.77      2.83      0.25      4.71      5.77       010
10140..............  .................  A                 Drainage of hematoma/         1.53      0.87      1.42      0.15      2.55      3.10       010
                                                           fluid.
10160..............  .................  A                 Puncture drainage of          1.20      0.77      1.56      0.11      2.08      2.87       010
                                                           lesion.
10180..............  .................  A                 Complex drainage, wound       2.25      1.25      1.51      0.25      3.75      4.01       010
11000..............  .................  A                 Debride infected skin..       0.60      0.24      0.58      0.05      0.89      1.23       000
11001..............  .................  A                 Debride infected skin         0.30      0.11      0.34      0.02      0.43      0.66       ZZZ
                                                           add-on.
11010..............  .................  A                 Debride skin, fx.......       4.20      2.00      2.51      0.45      6.65      7.16       010
11011..............  .................  A                 Debride skin/muscle, fx       4.95      2.59      3.87      0.53      8.07      9.35       000
11012..............  .................  A                 Debride skin/muscle/          6.88      4.21      5.67      0.89     11.98     13.44       000
                                                           bone, fx.
11040..............  .................  A                 Debride skin, partial..       0.50      0.21      0.50      0.05      0.76      1.05       000
11041..............  .................  A                 Debride skin, full.....       0.82      0.34      0.67      0.08      1.24      1.57       000
11042..............  .................  A                 Debride skin/tissue....       1.12      0.46      0.95      0.11      1.69      2.18       000
11043..............  .................  A                 Debride tissue/muscle..       2.38      1.38      2.60      0.24      4.00      5.22       010
11044..............  .................  A                 Debride tissue/muscle/        3.06      1.80      3.11      0.34      5.20      6.51       010
                                                           bone.
11055..............  .................  R                 Trim skin lesion.......       0.27      0.12      0.38      0.02      0.41      0.67       000
11056..............  .................  R                 Trim skin lesion, 2 to        0.39      0.17      0.42      0.03      0.59      0.84       000
                                                           4.
11057..............  .................  R                 Trim skin lesions, over       0.50      0.22      0.46      0.04      0.76      1.00       000
                                                           4.
11100..............  .................  A                 Biopsy of skin lesion..       0.81      0.38      1.49      0.04      1.23      2.34       000
11101..............  .................  A                 Biopsy, skin add-on....       0.41      0.20      0.70      0.02      0.63      1.13       ZZZ
11200..............  .................  A                 Removal of skin tags...       0.77      0.31      1.17      0.04      1.12      1.98       010
11201..............  .................  A                 Remove skin tags add-on       0.29      0.12      0.52      0.02      0.43      0.83       ZZZ
11300..............  .................  A                 Shave skin lesion......       0.51      0.22      1.02      0.03      0.76      1.56       000
11301..............  .................  A                 Shave skin lesion......       0.85      0.38      1.11      0.04      1.27      2.00       000
11302..............  .................  A                 Shave skin lesion......       1.05      0.48      1.21      0.05      1.58      2.31       000
11303..............  .................  A                 Shave skin lesion......       1.24      0.54      1.34      0.06      1.84      2.64       000
11305..............  .................  A                 Shave skin lesion......       0.67      0.29      0.81      0.04      1.00      1.52       000
11306..............  .................  A                 Shave skin lesion......       0.99      0.43      1.06      0.05      1.47      2.10       000
11307..............  .................  A                 Shave skin lesion......       1.14      0.51      1.18      0.05      1.70      2.37       000
11308..............  .................  A                 Shave skin lesion......       1.41      0.63      1.27      0.07      2.11      2.75       000
11310..............  .................  A                 Shave skin lesion......       0.73      0.33      1.12      0.04      1.10      1.89       000
11311..............  .................  A                 Shave skin lesion......       1.05      0.50      1.23      0.05      1.60      2.33       000
11312..............  .................  A                 Shave skin lesion......       1.20      0.57      1.30      0.06      1.83      2.56       000
11313..............  .................  A                 Shave skin lesion......       1.62      0.75      1.58      0.09      2.46      3.29       000
11400..............  .................  A                 Removal of skin lesion.       0.91      0.73      2.42      0.06      1.70      3.39       010
11401..............  .................  A                 Removal of skin lesion.       1.32      0.88      2.43      0.09      2.29      3.84       010
11402..............  .................  A                 Removal of skin lesion.       1.61      0.96      2.52      0.12      2.69      4.25       010
11403..............  .................  A                 Removal of skin lesion.       1.92      1.07      2.76      0.16      3.15      4.84       010
11404..............  .................  A                 Removal of skin lesion.       2.20      1.17      2.92      0.18      3.55      5.30       010
11406..............  .................  A                 Removal of skin lesion.       2.76      1.38      3.20      0.25      4.39      6.21       010
11420..............  .................  A                 Removal of skin lesion.       1.06      0.77      2.03      0.08      1.91      3.17       010
11421..............  .................  A                 Removal of skin lesion.       1.53      0.99      2.36      0.11      2.63      4.00       010
11422..............  .................  A                 Removal of skin lesion.       1.76      1.06      2.51      0.14      2.96      4.41       010
11423..............  .................  A                 Removal of skin lesion.       2.17      1.22      2.94      0.17      3.56      5.28       010
11424..............  .................  A                 Removal of skin lesion.       2.62      1.41      3.09      0.21      4.24      5.92       010
11426..............  .................  A                 Removal of skin lesion.       3.78      1.85      3.74      0.34      5.97      7.86       010
11440..............  .................  A                 Removal of skin lesion.       1.15      0.92      2.54      0.08      2.15      3.77       010
11441..............  .................  A                 Removal of skin lesion.       1.61      1.16      2.70      0.11      2.88      4.42       010
11442..............  .................  A                 Removal of skin lesion.       1.87      1.25      2.77      0.14      3.26      4.78       010
11443..............  .................  A                 Removal of skin lesion.       2.49      1.59      3.32      0.18      4.26      5.99       010
11444..............  .................  A                 Removal of skin lesion.       3.42      2.00      3.74      0.25      5.67      7.41       010
11446..............  .................  A                 Removal of skin lesion.       4.49      2.49      4.18      0.30      7.28      8.97       010
11450..............  .................  A                 Removal, sweat gland          2.73      1.05      4.02      0.26      4.04      7.01       090
                                                           lesion.
11451..............  .................  A                 Removal, sweat gland          3.95      1.59      4.83      0.39      5.93      9.17       090
                                                           lesion.
11462..............  .................  A                 Removal, sweat gland          2.51      0.98      4.14      0.23      3.72      6.88       090
                                                           lesion.
11463..............  .................  A                 Removal, sweat gland          3.95      1.62      5.63      0.40      5.97      9.98       090
                                                           lesion.
11470..............  .................  A                 Removal, sweat gland          3.25      1.28      4.41      0.30      4.83      7.96       090
                                                           lesion.
11471..............  .................  A                 Removal, sweat gland          4.41      1.77      5.42      0.40      6.58     10.23       090
                                                           lesion.

[[Page 40409]]

 
11600..............  .................  A                 Removal of skin lesion.       1.41      0.94      2.57      0.09      2.44      4.07       010
11601..............  .................  A                 Removal of skin lesion.       1.93      1.08      2.63      0.12      3.13      4.68       010
11602..............  .................  A                 Removal of skin lesion.       2.09      1.32      2.69      0.13      3.54      4.91       010
11603..............  .................  A                 Removal of skin lesion.       2.35      1.39      2.88      0.16      3.90      5.39       010
11604..............  .................  A                 Removal of skin lesion.       2.58      1.46      3.07      0.18      4.22      5.83       010
11606..............  .................  A                 Removal of skin lesion.       3.43      1.75      3.63      0.28      5.46      7.34       010
11620..............  .................  A                 Removal of skin lesion.       1.34      0.89      2.53      0.09      2.32      3.96       010
11621..............  .................  A                 Removal of skin lesion.       1.97      1.35      2.67      0.12      3.44      4.76       010
11622..............  .................  A                 Removal of skin lesion.       2.34      1.50      2.84      0.15      3.99      5.33       010
11623..............  .................  A                 Removal of skin lesion.       2.93      1.71      2.79      0.20      4.84      5.92       010
11624..............  .................  A                 Removal of skin lesion.       3.43      1.93      3.16      0.25      5.61      6.84       010
11626..............  .................  A                 Removal of skin lesion.       4.30      2.34      4.18      0.35      6.99      8.83       010
11640..............  .................  A                 Removal of skin lesion.       1.53      1.11      2.62      0.10      2.74      4.25       010
11641..............  .................  A                 Removal of skin lesion.       2.44      1.66      2.96      0.15      4.25      5.55       010
11642..............  .................  A                 Removal of skin lesion.       2.93      1.88      2.89      0.18      4.99      6.00       010
11643..............  .................  A                 Removal of skin lesion.       3.50      2.17      3.25      0.24      5.91      6.99       010
11644..............  .................  A                 Removal of skin lesion.       4.55      2.68      3.91      0.33      7.56      8.79       010
11646..............  .................  A                 Removal of skin lesion.       5.95      3.38      5.19      0.46      9.79     11.60       010
11719..............  .................  R                 Trim nail(s)...........       0.11      0.07      0.54      0.01      0.19      0.66       000
11720..............  .................  A                 Debride nail, 1-5......       0.32      0.13      0.42      0.02      0.47      0.76       000
11721..............  .................  A                 Debride nail, 6 or more       0.54      0.22      0.53      0.04      0.80      1.11       000
11730..............  .................  A                 Removal of nail plate..       1.13      0.46      0.74      0.09      1.68      1.96       000
11732..............  .................  A                 Remove nail plate, add-       0.57      0.24      0.29      0.05      0.86      0.91       ZZZ
                                                           on.
11740..............  .................  A                 Drain blood from under        0.37      0.14      0.68      0.03      0.54      1.08       000
                                                           nail.
11750..............  .................  A                 Removal of nail bed....       1.86      0.79      1.55      0.16      2.81      3.57       010
11752..............  .................  A                 Remove nail bed/finger        2.67      1.75      1.99      0.33      4.75      4.99       010
                                                           tip.
11755..............  .................  A                 Biopsy, nail unit......       1.31      0.59      1.03      0.06      1.96      2.40       000
11760..............  .................  A                 Repair of nail bed.....       1.58      1.19      1.70      0.17      2.94      3.45       010
11762..............  .................  A                 Reconstruction of nail        2.89      1.87      2.15      0.32      5.08      5.36       010
                                                           bed.
11765..............  .................  A                 Excision of nail fold,        0.69      0.45      0.97      0.05      1.19      1.71       010
                                                           toe.
11770..............  .................  A                 Removal of pilonidal          2.61      1.26      2.97      0.24      4.11      5.82       010
                                                           lesion.
11771..............  .................  A                 Removal of pilonidal          5.74      3.92      5.34      0.56     10.22     11.64       090
                                                           lesion.
11772..............  .................  A                 Removal of pilonidal          6.98      4.36      6.12      0.68     12.02     13.78       090
                                                           lesion.
11900..............  .................  A                 Injection into skin           0.52      0.23      0.76      0.02      0.77      1.30       000
                                                           lesions.
11901..............  .................  A                 Added skin lesions            0.80      0.37      0.89      0.03      1.20      1.72       000
                                                           injection.
11920..............  .................  R                 Correct skin color            1.61      0.83      2.24      0.17      2.61      4.02       000
                                                           defects.
11921..............  .................  R                 Correct skin color            1.93      1.04      2.63      0.21      3.18      4.77       000
                                                           defects.
11922..............  .................  R                 Correct skin color            0.49      0.26      0.39      0.05      0.80      0.93       ZZZ
                                                           defects.
11950..............  .................  R                 Therapy for contour           0.84      0.47      1.28      0.06      1.37      2.18       000
                                                           defects.
11951..............  .................  R                 Therapy for contour           1.19      0.54      1.71      0.10      1.83      3.00       000
                                                           defects.
11952..............  .................  R                 Therapy for contour           1.69      0.89      2.15      0.17      2.75      4.01       000
                                                           defects.
11954..............  .................  R                 Therapy for contour           1.85      0.94      2.85      0.19      2.98      4.89       000
                                                           defects.
11960..............  .................  A                 Insert tissue                 9.08     10.76        NA      0.88     20.72        NA       090
                                                           expander(s).
11970..............  .................  A                 Replace tissue expander       7.06      5.06        NA      0.77     12.89        NA       090
11971..............  .................  A                 Remove tissue                 2.13      3.86      6.15      0.21      6.20      8.49       090
                                                           expander(s).
11975..............  .................  N                 Insert contraceptive         +1.48      0.59      1.54      0.14      2.21      3.16       XXX
                                                           cap.
11976..............  .................  R                 Removal of                    1.78      0.77      1.58      0.17      2.72      3.53       XXX
                                                           contraceptive cap.
11977..............  .................  N                 Removal/reinsert contra      +3.30      1.30      2.25      0.31      4.91      5.86       XXX
                                                           cap.
11980..............  .................  A                 Implant hormone               1.48      0.63      1.13      0.10      2.21      2.71       000
                                                           pellet(s).
12001..............  .................  A                 Repair superficial            1.70      0.83      2.31      0.13      2.66      4.14       010
                                                           wound(s).
12002..............  .................  A                 Repair superficial            1.86      0.86      2.41      0.15      2.87      4.42       010
                                                           wound(s).
12004..............  .................  A                 Repair superficial            2.24      0.98      2.59      0.17      3.39      5.00       010
                                                           wound(s).
12005..............  .................  A                 Repair superficial            2.86      1.23      3.05      0.23      4.32      6.14       010
                                                           wound(s).
12006..............  .................  A                 Repair superficial            3.67      1.92      4.15      0.31      5.90      8.13       010
                                                           wound(s).
12007..............  .................  A                 Repair superficial            4.12      2.24      4.63      0.37      6.73      9.12       010
                                                           wound(s).
12011..............  .................  A                 Repair superficial            1.76      0.83      2.37      0.14      2.73      4.27       010
                                                           wound(s).
12013..............  .................  A                 Repair superficial            1.99      0.89      2.53      0.16      3.04      4.68       010
                                                           wound(s).
12014..............  .................  A                 Repair superficial            2.46      1.06      2.83      0.18      3.70      5.47       010
                                                           wound(s).
12015..............  .................  A                 Repair superficial            3.19      1.26      3.26      0.24      4.69      6.69       010
                                                           wound(s).
12016..............  .................  A                 Repair superficial            3.93      1.50      3.79      0.32      5.75      8.04       010
                                                           wound(s).
12017..............  .................  A                 Repair superficial            4.71      2.44      5.41      0.39      7.54     10.51       010
                                                           wound(s).
12018..............  .................  A                 Repair superficial            5.53      2.69      6.31      0.46      8.68     12.30       010
                                                           wound(s).
12020..............  .................  A                 Closure of split wound.       2.62      1.45      2.60      0.24      4.31      5.46       010
12021..............  .................  A                 Closure of split wound.       1.84      1.12      2.11      0.19      3.15      4.14       010
12031..............  .................  A                 Layer closure of              2.15      1.19      2.74      0.15      3.49      5.04       010
                                                           wound(s).
12032..............  .................  A                 Layer closure of              2.47      1.27      2.80      0.15      3.89      5.42       010
                                                           wound(s).
12034..............  .................  A                 Layer closure of              2.92      1.44      3.06      0.21      4.57      6.19       010
                                                           wound(s).
12035..............  .................  A                 Layer closure of              3.43      1.65      3.03      0.30      5.38      6.76       010
                                                           wound(s).
12036..............  .................  A                 Layer closure of              4.05      2.47      5.20      0.41      6.93      9.66       010
                                                           wound(s).
12037..............  .................  A                 Layer closure of              4.67      2.82      5.61      0.49      7.98     10.77       010
                                                           wound(s).
12041..............  .................  A                 Layer closure of              2.37      1.26      3.03      0.17      3.80      5.57       010
                                                           wound(s).
12042..............  .................  A                 Layer closure of              2.74      1.41      3.01      0.17      4.32      5.92       010
                                                           wound(s).
12044..............  .................  A                 Layer closure of              3.14      1.61      3.17      0.24      4.99      6.55       010
                                                           wound(s).
12045..............  .................  A                 Layer closure of              3.64      1.84      3.58      0.34      5.82      7.56       010
                                                           wound(s).

[[Page 40410]]

 
12046..............  .................  A                 Layer closure of              4.25      2.53      5.31      0.40      7.18      9.96       010
                                                           wound(s).
12047..............  .................  A                 Layer closure of              4.65      2.90      5.94      0.41      7.96     11.00       010
                                                           wound(s).
12051..............  .................  A                 Layer closure of              2.47      1.41      3.00      0.16      4.04      5.63       010
                                                           wound(s).
12052..............  .................  A                 Layer closure of              2.77      1.37      2.97      0.17      4.31      5.91       010
                                                           wound(s).
12053..............  .................  A                 Layer closure of              3.12      1.51      3.11      0.20      4.83      6.43       010
                                                           wound(s).
12054..............  .................  A                 Layer closure of              3.46      1.63      3.43      0.25      5.34      7.14       010
                                                           wound(s).
12055..............  .................  A                 Layer closure of              4.43      2.14      4.67      0.35      6.92      9.45       010
                                                           wound(s).
12056..............  .................  A                 Layer closure of              5.24      2.86      6.76      0.43      8.53     12.43       010
                                                           wound(s).
12057..............  .................  A                 Layer closure of              5.96      3.88      6.67      0.50     10.34     13.13       010
                                                           wound(s).
13100..............  .................  A                 Repair of wound or            3.12      1.85      3.38      0.21      5.18      6.71       010
                                                           lesion.
13101..............  .................  A                 Repair of wound or            3.92      2.31      3.61      0.22      6.45      7.75       010
                                                           lesion.
13102..............  .................  A                 Repair wound/lesion add-      1.24      0.58      0.74      0.10      1.92      2.08       ZZZ
                                                           on.
13120..............  .................  A                 Repair of wound or            3.30      1.92      3.49      0.23      5.45      7.02       010
                                                           lesion.
13121..............  .................  A                 Repair of wound or            4.33      2.40      3.82      0.25      6.98      8.40       010
                                                           lesion.
13122..............  .................  A                 Repair wound/lesion add-      1.44      0.67      0.86      0.12      2.23      2.42       ZZZ
                                                           on.
13131..............  .................  A                 Repair of wound or            3.79      2.22      3.73      0.25      6.26      7.77       010
                                                           lesion.
13132..............  .................  A                 Repair of wound or            5.95      3.28      4.56      0.32      9.55     10.83       010
                                                           lesion.
13133..............  .................  A                 Repair wound/lesion add-      2.19      1.02      1.21      0.17      3.38      3.57       ZZZ
                                                           on.
13150..............  .................  A                 Repair of wound or            3.81      2.68      5.27      0.29      6.78      9.37       010
                                                           lesion.
13151..............  .................  A                 Repair of wound or            4.45      3.13      5.18      0.28      7.86      9.91       010
                                                           lesion.
13152..............  .................  A                 Repair of wound or            6.33      4.03      5.89      0.38     10.74     12.60       010
                                                           lesion.
13153..............  .................  A                 Repair wound/lesion add-      2.38      1.11      1.34      0.18      3.67      3.90       ZZZ
                                                           on.
13160..............  .................  A                 Late closure of wound..      10.48      6.24        NA      1.19     17.91        NA       090
14000..............  .................  A                 Skin tissue                   5.89      4.63      7.50      0.46     10.98     13.85       090
                                                           rearrangement.
14001..............  .................  A                 Skin tissue                   8.47      5.99      8.93      0.65     15.11     18.05       090
                                                           rearrangement.
14020..............  .................  A                 Skin tissue                   6.59      5.36      8.11      0.50     12.45     15.20       090
                                                           rearrangement.
14021..............  .................  A                 Skin tissue                  10.06      7.16      9.38      0.69     17.91     20.13       090
                                                           rearrangement.
14040..............  .................  A                 Skin tissue                   7.87      6.12      8.33      0.53     14.52     16.73       090
                                                           rearrangement.
14041..............  .................  A                 Skin tissue                  11.49      7.98     10.13      0.68     20.15     22.30       090
                                                           rearrangement.
14060..............  .................  A                 Skin tissue                   8.50      6.97      8.82      0.59     16.06     17.91       090
                                                           rearrangement.
14061..............  .................  A                 Skin tissue                  12.29      8.92     10.97      0.75     21.96     24.01       090
                                                           rearrangement.
14300..............  .................  A                 Skin tissue                  11.76      8.50     10.37      0.88     21.14     23.01       090
                                                           rearrangement.
14350..............  .................  A                 Skin tissue                   9.61      6.41        NA      1.09     17.11        NA       090
                                                           rearrangement.
15000..............  .................  A                 Skin graft.............       4.00      1.92      2.52      0.37      6.29      6.89       000
15001..............  .................  A                 Skin graft add-on......       1.00      0.43      0.56      0.11      1.54      1.67       ZZZ
15050..............  .................  A                 Skin pinch graft.......       4.30      3.94      4.91      0.46      8.70      9.67       090
15100..............  .................  A                 Skin split graft.......       9.05      6.17      6.26      0.94     16.16     16.25       090
15101..............  .................  A                 Skin split graft add-on       1.72      0.75      1.21      0.18      2.65      3.11       ZZZ
15120..............  .................  A                 Skin split graft.......       9.83      6.67      8.99      0.87     17.37     19.69       090
15121..............  .................  A                 Skin split graft add-on       2.67      1.25      1.57      0.27      4.19      4.51       ZZZ
15200..............  .................  A                 Skin full graft........       8.03      5.64      9.59      0.73     14.40     18.35       090
15201..............  .................  A                 Skin full graft add-on.       1.32      0.65      1.00      0.14      2.11      2.46       ZZZ
15220..............  .................  A                 Skin full graft........       7.87      6.23      9.66      0.68     14.78     18.21       090
15221..............  .................  A                 Skin full graft add-on.       1.19      0.58      1.00      0.12      1.89      2.31       ZZZ
15240..............  .................  A                 Skin full graft........       9.04      7.12      9.28      0.77     16.93     19.09       090
15241..............  .................  A                 Skin full graft add-on.       1.86      0.96      1.53      0.17      2.99      3.56       ZZZ
15260..............  .................  A                 Skin full graft........      10.06      7.53      9.16      0.63     18.22     19.85       090
15261..............  .................  A                 Skin full graft add-on.       2.23      1.16      1.63      0.17      3.56      4.03       ZZZ
15342..............  .................  A                 Cultured skin graft, 25       1.00      0.79      2.18      0.39      2.18      3.57       010
                                                           cm.
15343..............  .................  A                 Culture skn graft addl        0.25      0.10      0.27      0.09      0.44      0.61       ZZZ
                                                           25 cm.
15350..............  .................  A                 Skin homograft.........       4.00      4.37      7.37      0.42      8.79     11.79       090
15351..............  .................  A                 Skin homograft add-on..       1.00      0.42      0.94      0.11      1.53      2.05       ZZZ
15400..............  .................  A                 Skin heterograft.......       4.00      4.96      4.96      0.40      9.36      9.36       090
15401..............  .................  A                 Skin heterograft add-on       1.00      0.46      1.14      0.11      1.57      2.25       ZZZ
15570..............  .................  A                 Form skin pedicle flap.       9.21      6.27      8.42      0.96     16.44     18.59       090
15572..............  .................  A                 Form skin pedicle flap.       9.27      6.18      7.54      0.93     16.38     17.74       090
15574..............  .................  A                 Form skin pedicle flap.       9.88      6.94      8.53      0.92     17.74     19.33       090
15576..............  .................  A                 Form skin pedicle flap.       8.69      6.35      8.97      0.72     15.76     18.38       090
15600..............  .................  A                 Skin graft.............       1.91      2.34      6.62      0.19      4.44      8.72       090
15610..............  .................  A                 Skin graft.............       2.42      2.70      4.56      0.25      5.37      7.23       090
15620..............  .................  A                 Skin graft.............       2.94      3.29      6.92      0.28      6.51     10.14       090
15630..............  .................  A                 Skin graft.............       3.27      3.73      6.19      0.28      7.28      9.74       090
15650..............  .................  A                 Transfer skin pedicle         3.97      3.84      6.26      0.36      8.17     10.59       090
                                                           flap.
15732..............  .................  A                 Muscle-skin graft, head/     17.84     11.39        NA      1.50     30.73        NA       090
                                                           neck.
15734..............  .................  A                 Muscle-skin graft,           17.79     11.31        NA      1.91     31.01        NA       090
                                                           trunk.
15736..............  .................  A                 Muscle-skin graft, arm.      16.27     10.77        NA      1.78     28.82        NA       090
15738..............  .................  A                 Muscle-skin graft, leg.      17.92     11.27        NA      1.95     31.14        NA       090
15740..............  .................  A                 Island pedicle flap          10.25      7.12      8.87      0.62     17.99     19.74       090
                                                           graft.
15750..............  .................  A                 Neurovascular pedicle        11.41      8.05        NA      1.12     20.58        NA       090
                                                           graft.
15756..............  .................  A                 Free muscle flap,            35.23     18.80        NA      3.11     57.14        NA       090
                                                           microvasc.
15757..............  .................  A                 Free skin flap,              35.23     22.15        NA      3.37     60.75        NA       090
                                                           microvasc.
15758..............  .................  A                 Free fascial flap,           35.10     22.48        NA      3.52     61.10        NA       090
                                                           microvasc.
15760..............  .................  A                 Composite skin graft...       8.74      6.79      9.31      0.72     16.25     18.77       090
15770..............  .................  A                 Derma-fat-fascia graft.       7.52      6.02        NA      0.78     14.32        NA       090

[[Page 40411]]

 
15775..............  .................  R                 Hair transplant punch         3.96      1.58      3.04      0.43      5.97      7.43       000
                                                           grafts.
15776..............  .................  R                 Hair transplant punch         5.54      2.94      3.88      0.60      9.08     10.02       000
                                                           grafts.
15780..............  .................  A                 Abrasion treatment of         7.29      6.30      6.30      0.41     14.00     14.00       090
                                                           skin.
15781..............  .................  A                 Abrasion treatment of         4.85      4.76      4.76      0.27      9.88      9.88       090
                                                           skin.
15782..............  .................  A                 Abrasion treatment of         4.32      4.10      4.10      0.21      8.63      8.63       090
                                                           skin.
15783..............  .................  A                 Abrasion treatment of         4.29      3.46      4.45      0.26      8.01      9.00       090
                                                           skin.
15786..............  .................  A                 Abrasion, lesion,             2.03      1.27      1.69      0.11      3.41      3.83       010
                                                           single.
15787..............  .................  A                 Abrasion, lesions, add-       0.33      0.17      0.37      0.02      0.52      0.72       ZZZ
                                                           on.
15788..............  .................  R                 Chemical peel, face,          2.09      1.05      3.00      0.11      3.25      5.20       090
                                                           epiderm.
15789..............  .................  R                 Chemical peel, face,          4.92      3.67      5.59      0.27      8.86     10.78       090
                                                           dermal.
15792..............  .................  R                 Chemical peel,                1.86      1.81      2.77      0.10      3.77      4.73       090
                                                           nonfacial.
15793..............  .................  A                 Chemical peel,                3.74      3.34        NA      0.17      7.25        NA       090
                                                           nonfacial.
15810..............  .................  A                 Salabrasion............       4.74      3.85      3.85      0.42      9.01      9.01       090
15811..............  .................  A                 Salabrasion............       5.39      4.03      4.03      0.52      9.94      9.94       090
15819..............  .................  A                 Plastic surgery, neck..       9.38      6.82        NA      0.77     16.97        NA       090
15820..............  .................  A                 Revision of lower             5.15      6.55     10.91      0.30     12.00     16.36       090
                                                           eyelid.
15821..............  .................  A                 Revision of lower             5.72      6.67     11.61      0.31     12.70     17.64       090
                                                           eyelid.
15822..............  .................  A                 Revision of upper             4.45      5.86      8.92      0.22     10.53     13.59       090
                                                           eyelid.
15823..............  .................  A                 Revision of upper             7.05      6.95     10.06      0.32     14.32     17.43       090
                                                           eyelid.
15824..............  .................  R                 Removal of forehead           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wrinkles.
15825..............  .................  R                 Removal of neck               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wrinkles.
15826..............  .................  R                 Removal of brow               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wrinkles.
15828..............  .................  R                 Removal of face               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wrinkles.
15829..............  .................  R                 Removal of skin               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wrinkles.
15831..............  .................  A                 Excise excessive skin        12.40      8.14        NA      1.30     21.84        NA       090
                                                           tissue.
15832..............  .................  A                 Excise excessive skin        11.59      7.81        NA      1.21     20.61        NA       090
                                                           tissue.
15833..............  .................  A                 Excise excessive skin        10.64      7.55        NA      1.17     19.36        NA       090
                                                           tissue.
15834..............  .................  A                 Excise excessive skin        10.85      6.03        NA      1.18     18.06        NA       090
                                                           tissue.
15835..............  .................  A                 Excise excessive skin        11.67      5.70        NA      1.13     18.50        NA       090
                                                           tissue.
15836..............  .................  A                 Excise excessive skin         9.34      6.16        NA      0.95     16.45        NA       090
                                                           tissue.
15837..............  .................  A                 Excise excessive skin         8.43      6.10      7.85      0.78     15.31     17.06       090
                                                           tissue.
15838..............  .................  A                 Excise excessive skin         7.13      5.70        NA      0.58     13.41        NA       090
                                                           tissue.
15839..............  .................  A                 Excise excessive skin         9.38      5.95      7.60      0.88     16.21     17.86       090
                                                           tissue.
15840..............  .................  A                 Graft for face nerve         13.26      9.84        NA      1.15     24.25        NA       090
                                                           palsy.
15841..............  .................  A                 Graft for face nerve         23.26     15.24        NA      2.65     41.15        NA       090
                                                           palsy.
15842..............  .................  A                 Flap for face nerve          37.96     21.68        NA      3.99     63.63        NA       090
                                                           palsy.
15845..............  .................  A                 Skin and muscle repair,      12.57      8.65        NA      0.80     22.02        NA       090
                                                           face.
15850..............  .................  B                 Removal of sutures.....      +0.78      0.31      1.37      0.04      1.13      2.19       XXX
15851..............  .................  A                 Removal of sutures.....       0.86      0.35      1.56      0.05      1.26      2.47       000
15852..............  .................  A                 Dressing change,not for       0.86      0.36      1.76      0.07      1.29      2.69       000
                                                           burn.
15860..............  .................  A                 Test for blood flow in        1.95      0.80      1.31      0.13      2.88      3.39       000
                                                           graft.
15876..............  .................  R                 Suction assisted              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipectomy.
15877..............  .................  R                 Suction assisted              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipectomy.
15878..............  .................  R                 Suction assisted              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipectomy.
15879..............  .................  R                 Suction assisted              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipectomy.
15920..............  .................  A                 Removal of tail bone          7.95      5.38        NA      0.83     14.16        NA       090
                                                           ulcer.
15922..............  .................  A                 Removal of tail bone          9.90      7.27        NA      1.06     18.23        NA       090
                                                           ulcer.
15931..............  .................  A                 Remove sacrum pressure        9.24      5.59        NA      0.95     15.78        NA       090
                                                           sore.
15933..............  .................  A                 Remove sacrum pressure       10.85      7.74        NA      1.14     19.73        NA       090
                                                           sore.
15934..............  .................  A                 Remove sacrum pressure       12.69      8.36        NA      1.35     22.40        NA       090
                                                           sore.
15935..............  .................  A                 Remove sacrum pressure       14.57     10.35        NA      1.56     26.48        NA       090
                                                           sore.
15936..............  .................  A                 Remove sacrum pressure       12.38      8.98        NA      1.32     22.68        NA       090
                                                           sore.
15937..............  .................  A                 Remove sacrum pressure       14.21     10.45        NA      1.51     26.17        NA       090
                                                           sore.
15940..............  .................  A                 Remove hip pressure           9.34      5.94        NA      0.98     16.26        NA       090
                                                           sore.
15941..............  .................  A                 Remove hip pressure          11.43      9.77        NA      1.23     22.43        NA       090
                                                           sore.
15944..............  .................  A                 Remove hip pressure          11.46      8.68        NA      1.21     21.35        NA       090
                                                           sore.
15945..............  .................  A                 Remove hip pressure          12.69      9.83        NA      1.38     23.90        NA       090
                                                           sore.
15946..............  .................  A                 Remove hip pressure          21.57     14.57        NA      2.32     38.46        NA       090
                                                           sore.
15950..............  .................  A                 Remove thigh pressure         7.54      5.17        NA      0.80     13.51        NA       090
                                                           sore.
15951..............  .................  A                 Remove thigh pressure        10.72      7.67        NA      1.14     19.53        NA       090
                                                           sore.
15952..............  .................  A                 Remove thigh pressure        11.39      7.38        NA      1.19     19.96        NA       090
                                                           sore.
15953..............  .................  A                 Remove thigh pressure        12.63      8.89        NA      1.38     22.90        NA       090
                                                           sore.
15956..............  .................  A                 Remove thigh pressure        15.52     10.60        NA      1.64     27.76        NA       090
                                                           sore.
15958..............  .................  A                 Remove thigh pressure        15.48     10.97        NA      1.66     28.11        NA       090
                                                           sore.
15999..............  .................  C                 Removal of pressure           0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           sore.
16000..............  .................  A                 Initial treatment of          0.89      0.27      1.06      0.06      1.22      2.01       000
                                                           burn(s).
16010..............  .................  A                 Treatment of burn(s)...       0.87      0.38      1.17      0.07      1.32      2.11       000
16015..............  .................  A                 Treatment of burn(s)...       2.35      0.97      1.93      0.22      3.54      4.50       000
16020..............  .................  A                 Treatment of burn(s)...       0.80      0.26      1.17      0.06      1.12      2.03       000
16025..............  .................  A                 Treatment of burn(s)...       1.85      0.68      1.87      0.16      2.69      3.88       000
16030..............  .................  A                 Treatment of burn(s)...       2.08      0.93      3.03      0.18      3.19      5.29       000
16035..............  .................  A                 Incision of burn scab,        3.75      1.53        NA      0.36      5.64        NA       090
                                                           initi.
16036..............  .................  A                 Incise burn scab, addl        1.50      0.61        NA      0.18      2.29        NA       ZZZ
                                                           incis.
17000..............  .................  A                 Destroy benign/premal         0.60      0.27      1.09      0.03      0.90      1.72       010
                                                           lesion.

[[Page 40412]]

 
17003..............  .................  A                 Destroy lesions, 2-14..       0.15      0.07      0.24      0.01      0.23      0.40       ZZZ
17004..............  .................  A                 Destroy lesions, 15 or        2.79      1.29      2.56      0.12      4.20      5.47       010
                                                           more.
17106..............  .................  A                 Destruction of skin           4.59      2.68      4.68      0.28      7.55      9.55       090
                                                           lesions.
17107..............  .................  A                 Destruction of skin           9.16      4.75      6.80      0.53     14.44     16.49       090
                                                           lesions.
17108..............  .................  A                 Destruction of skin          13.20      7.27      8.63      0.89     21.36     22.72       090
                                                           lesions.
17110..............  .................  A                 Destruct lesion, 1-14..       0.65      0.26      1.07      0.04      0.95      1.76       010
17111..............  .................  A                 Destruct lesion, 15 or        0.92      0.40      1.13      0.04      1.36      2.09       010
                                                           more.
17250..............  .................  A                 Chemical cautery,             0.50      0.21      0.71      0.04      0.75      1.25       000
                                                           tissue.
17260..............  .................  A                 Destruction of skin           0.91      0.42      1.37      0.04      1.37      2.32       010
                                                           lesions.
17261..............  .................  A                 Destruction of skin           1.17      0.55      1.48      0.05      1.77      2.70       010
                                                           lesions.
17262..............  .................  A                 Destruction of skin           1.58      0.75      1.68      0.07      2.40      3.33       010
                                                           lesions.
17263..............  .................  A                 Destruction of skin           1.79      0.82      1.79      0.08      2.69      3.66       010
                                                           lesions.
17264..............  .................  A                 Destruction of skin           1.94      0.84      1.87      0.08      2.86      3.89       010
                                                           lesions.
17266..............  .................  A                 Destruction of skin           2.34      0.94      2.08      0.11      3.39      4.53       010
                                                           lesions.
17270..............  .................  A                 Destruction of skin           1.32      0.62      1.57      0.06      2.00      2.95       010
                                                           lesions.
17271..............  .................  A                 Destruction of skin           1.49      0.72      1.64      0.06      2.27      3.19       010
                                                           lesions.
17272..............  .................  A                 Destruction of skin           1.77      0.85      1.78      0.07      2.69      3.62       010
                                                           lesions.
17273..............  .................  A                 Destruction of skin           2.05      0.98      1.93      0.09      3.12      4.07       010
                                                           lesions.
17274..............  .................  A                 Destruction of skin           2.59      1.19      2.19      0.11      3.89      4.89       010
                                                           lesions.
17276..............  .................  A                 Destruction of skin           3.20      1.71      2.50      0.15      5.06      5.85       010
                                                           lesions.
17280..............  .................  A                 Destruction of skin           1.17      0.54      1.40      0.05      1.76      2.62       010
                                                           lesions.
17281..............  .................  A                 Destruction of skin           1.72      0.83      1.76      0.07      2.62      3.55       010
                                                           lesions.
17282..............  .................  A                 Destruction of skin           2.04      0.99      1.92      0.09      3.12      4.05       010
                                                           lesions.
17283..............  .................  A                 Destruction of skin           2.64      1.24      2.23      0.11      3.99      4.98       010
                                                           lesions.
17284..............  .................  A                 Destruction of skin           3.21      1.50      2.52      0.14      4.85      5.87       010
                                                           lesions.
17286..............  .................  A                 Destruction of skin           4.44      2.48      3.15      0.22      7.14      7.81       010
                                                           lesions.
17304..............  .................  A                 Chemosurgery of skin          7.60      3.67      7.75      0.31     11.58     15.66       000
                                                           lesion.
17305..............  .................  A                 2nd stage chemosurgery.       2.85      1.38      3.60      0.12      4.35      6.57       000
17306..............  .................  A                 3rd stage chemosurgery.       2.85      1.39      3.64      0.12      4.36      6.61       000
17307..............  .................  A                 Followup skin lesion          2.85      1.41      3.16      0.12      4.38      6.13       000
                                                           therapy.
17310..............  .................  A                 Extensive skin                0.95      0.48      1.49      0.05      1.48      2.49       000
                                                           chemosurgery.
17340..............  .................  A                 Cryotherapy of skin....       0.76      0.27      1.36      0.04      1.07      2.16       010
17360..............  .................  A                 Skin peel therapy......       1.43      0.70      1.48      0.06      2.19      2.97       010
17380..............  .................  R                 Hair removal by               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           electrolysis.
17999..............  .................  C                 Skin tissue procedure..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
19000..............  .................  A                 Drainage of breast            0.84      0.29      1.23      0.07      1.20      2.14       000
                                                           lesion.
19001..............  .................  A                 Drain breast lesion add-      0.42      0.15      0.83      0.03      0.60      1.28       ZZZ
                                                           on.
19020..............  .................  A                 Incision of breast            3.57      3.41      6.96      0.35      7.33     10.88       090
                                                           lesion.
19030..............  .................  A                 Injection for breast x-       1.53      0.53     11.25      0.07      2.13     12.85       000
                                                           ray.
19100..............  .................  A                 Biopsy of breast.......       1.27      0.45      3.56      0.10      1.82      4.93       000
19101..............  .................  A                 Biopsy of breast, open.       3.18      3.09     10.62      0.20      6.47     14.00       010
19102..............  .................  A                 Bx breast percut w/           2.00      0.71      4.88      0.08      2.79      6.96       000
                                                           image.
19103..............  .................  A                 Bx breast percut w/           2.37      0.84     11.46      0.08      3.29     13.91       000
                                                           device.
19110..............  .................  A                 Nipple exploration.....       4.30      4.40      8.43      0.44      9.14     13.17       090
19112..............  .................  A                 Excise breast duct            3.67      3.09      7.24      0.38      7.14     11.29       090
                                                           fistula.
19120..............  .................  A                 Removal of breast             5.56      3.55      4.41      0.56      9.67     10.53       090
                                                           lesion.
19125..............  .................  A                 Excision, breast lesion       6.06      3.70      5.02      0.61     10.37     11.69       090
19126..............  .................  A                 Excision, addl breast         2.93      1.05        NA      0.30      4.28        NA       ZZZ
                                                           lesion.
19140..............  .................  A                 Removal of breast             5.14      3.72      9.03      0.52      9.38     14.69       090
                                                           tissue.
19160..............  .................  A                 Removal of breast             5.99      4.52        NA      0.61     11.12        NA       090
                                                           tissue.
19162..............  .................  A                 Remove breast tissue,        13.53      7.94        NA      1.38     22.85        NA       090
                                                           nodes.
19180..............  .................  A                 Removal of breast......       8.80      5.97        NA      0.88     15.65        NA       090
19182..............  .................  A                 Removal of breast......       7.73      5.01        NA      0.79     13.53        NA       090
19200..............  .................  A                 Removal of breast......      15.49      9.24        NA      1.51     26.24        NA       090
19220..............  .................  A                 Removal of breast......      15.72      9.22        NA      1.56     26.50        NA       090
19240..............  .................  A                 Removal of breast......      16.00      8.82        NA      1.62     26.44        NA       090
19260..............  .................  A                 Removal of chest wall        15.44      9.35        NA      1.64     26.43        NA       090
                                                           lesion.
19271..............  .................  A                 Revision of chest wall.      18.90     11.61        NA      2.27     32.78        NA       090
19272..............  .................  A                 Extensive chest wall         21.55     12.54        NA      2.54     36.63        NA       090
                                                           surgery.
19290..............  .................  A                 Place needle wire,            1.27      0.44      5.08      0.06      1.77      6.41       000
                                                           breast.
19291..............  .................  A                 Place needle wire,            0.63      0.22      1.72      0.03      0.88      2.38       ZZZ
                                                           breast.
19295..............  .................  A                 Place breast clip,            0.00        NA      2.65      0.01        NA      2.66       ZZZ
                                                           percut.
19316..............  .................  A                 Suspension of breast...      10.69      7.65        NA      1.15     19.49        NA       090
19318..............  .................  A                 Reduction of large           15.62     10.47        NA      1.69     27.78        NA       090
                                                           breast.
19324..............  .................  A                 Enlarge breast.........       5.85      4.64        NA      0.63     11.12        NA       090
19325..............  .................  A                 Enlarge breast with           8.45      6.82        NA      0.90     16.17        NA       090
                                                           implant.
19328..............  .................  A                 Removal of breast             5.68      4.63        NA      0.61     10.92        NA       090
                                                           implant.
19330..............  .................  A                 Removal of implant            7.59      5.35        NA      0.81     13.75        NA       090
                                                           material.
19340..............  .................  A                 Immediate breast              6.33      3.25        NA      0.68     10.26        NA       ZZZ
                                                           prosthesis.
19342..............  .................  A                 Delayed breast               11.20      8.01        NA      1.21     20.42        NA       090
                                                           prosthesis.
19350..............  .................  A                 Breast reconstruction..       8.92      6.92     14.29      0.95     16.79     24.16       090
19355..............  .................  A                 Correct inverted              7.57      6.10     12.05      0.80     14.47     20.42       090
                                                           nipple(s).
19357..............  .................  A                 Breast reconstruction..      18.16     14.04        NA      1.96     34.16        NA       090
19361..............  .................  A                 Breast reconstruction..      19.26     12.20        NA      2.08     33.54        NA       090

[[Page 40413]]

 
19364..............  .................  A                 Breast reconstruction..      41.00     22.78        NA      3.91     67.69        NA       090
19366..............  .................  A                 Breast reconstruction..      21.28     12.20        NA      2.27     35.75        NA       090
19367..............  .................  A                 Breast reconstruction..      25.73     15.53        NA      2.78     44.04        NA       090
19368..............  .................  A                 Breast reconstruction..      32.42     19.28        NA      3.51     55.21        NA       090
19369..............  .................  A                 Breast reconstruction..      29.82     18.49        NA      3.24     51.55        NA       090
19370..............  .................  A                 Surgery of breast             8.05      6.21        NA      0.86     15.12        NA       090
                                                           capsule.
19371..............  .................  A                 Removal of breast             9.35      7.32        NA      1.01     17.68        NA       090
                                                           capsule.
19380..............  .................  A                 Revise breast                 9.14      7.21        NA      0.98     17.33        NA       090
                                                           reconstruction.
19396..............  .................  A                 Design custom breast          2.17      0.80      5.35      0.23      3.20      7.75       000
                                                           implant.
19499..............  .................  C                 Breast surgery                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
20000..............  .................  A                 Incision of abscess....       2.12      1.19      2.01      0.17      3.48      4.30       010
20005..............  .................  A                 Incision of deep              3.42      2.20      2.92      0.34      5.96      6.68       010
                                                           abscess.
20100..............  .................  A                 Explore wound, neck....      10.08      4.47      5.92      0.99     15.54     16.99       010
20101..............  .................  A                 Explore wound, chest...       3.22      1.30      3.00      0.24      4.76      6.46       010
20102..............  .................  A                 Explore wound, abdomen.       3.94      1.67      3.34      0.35      5.96      7.63       010
20103..............  .................  A                 Explore wound,                5.30      2.98      4.10      0.57      8.85      9.97       010
                                                           extremity.
20150..............  .................  A                 Excise epiphyseal bar..      13.69      7.83        NA      0.96     22.48        NA       090
20200..............  .................  A                 Muscle biopsy..........       1.46      0.62      1.72      0.17      2.25      3.35       000
20205..............  .................  A                 Deep muscle biopsy.....       2.35      0.98      3.72      0.23      3.56      6.30       000
20206..............  .................  A                 Needle biopsy, muscle..       0.99      0.36      3.15      0.06      1.41      4.20       000
20220..............  .................  A                 Bone biopsy, trocar/          1.27      3.02      4.98      0.06      4.35      6.31       000
                                                           needle.
20225..............  .................  A                 Bone biopsy, trocar/          1.87      3.03      4.52      0.11      5.01      6.50       000
                                                           needle.
20240..............  .................  A                 Bone biopsy, excisional       3.23      4.07        NA      0.33      7.63        NA       010
20245..............  .................  A                 Bone biopsy, excisional       7.78      6.69        NA      0.44     14.91        NA       010
20250..............  .................  A                 Open bone biopsy.......       5.03      4.30        NA      0.50      9.83        NA       010
20251..............  .................  A                 Open bone biopsy.......       5.56      4.74        NA      0.79     11.09        NA       010
20500..............  .................  A                 Injection of sinus            1.23      4.03      5.37      0.10      5.36      6.70       010
                                                           tract.
20501..............  .................  A                 Inject sinus tract for        0.76      0.26     13.46      0.03      1.05     14.25       000
                                                           x-ray.
20520..............  .................  A                 Removal of foreign body       1.85      3.37      5.40      0.17      5.39      7.42       010
20525..............  .................  A                 Removal of foreign body       3.50      4.15      6.66      0.40      8.05     10.56       010
20550..............  .................  A                 Inject tendon/ligament/       0.86      0.22      2.05      0.06      1.14      2.97       000
                                                           cyst.
20600..............  .................  A                 Drain/inject, joint/          0.66      0.27      1.38      0.06      0.99      2.10       000
                                                           bursa.
20605..............  .................  A                 Drain/inject, joint/          0.68      0.27      1.71      0.06      1.01      2.45       000
                                                           bursa.
20610..............  .................  A                 Drain/inject, joint/          0.79      0.56      2.11      0.08      1.43      2.98       000
                                                           bursa.
20615..............  .................  A                 Treatment of bone cyst.       2.28      2.51      4.52      0.19      4.98      6.99       010
20650..............  .................  A                 Insert and remove bone        2.23      2.90      4.38      0.28      5.41      6.89       010
                                                           pin.
20660..............  .................  A                 Apply,remove fixation         2.51      1.49        NA      0.48      4.48        NA       000
                                                           device.
20661..............  .................  A                 Application of head           4.89      6.47        NA      0.92     12.28        NA       090
                                                           brace.
20662..............  .................  A                 Application of pelvis         6.07      5.15        NA      0.81     12.03        NA       090
                                                           brace.
20663..............  .................  A                 Application of thigh          5.43      4.78        NA      0.77     10.98        NA       090
                                                           brace.
20664..............  .................  A                 Halo brace application.       8.06      8.21        NA      1.49     17.76        NA       090
20665..............  .................  A                 Removal of fixation           1.31      1.23      2.34      0.17      2.71      3.82       010
                                                           device.
20670..............  .................  A                 Removal of support            1.74      3.37      5.51      0.23      5.34      7.48       010
                                                           implant.
20680..............  .................  A                 Removal of support            3.35      4.98      4.98      0.46      8.79      8.79       090
                                                           implant.
20690..............  .................  A                 Apply bone fixation           3.52      1.89        NA      0.47      5.88        NA       090
                                                           device.
20692..............  .................  A                 Apply bone fixation           6.41      2.50        NA      0.60      9.51        NA       090
                                                           device.
20693..............  .................  A                 Adjust bone fixation          5.86     11.53        NA      0.85     18.24        NA       090
                                                           device.
20694..............  .................  A                 Remove bone fixation          4.16      5.77      8.18      0.57     10.50     12.91       090
                                                           device.
20802..............  .................  A                 Replantation, arm,           41.15     31.17        NA      5.81     78.13        NA       090
                                                           complete.
20805..............  .................  A                 Replant, forearm,            50.00     49.91        NA      3.95    103.86        NA       090
                                                           complete.
20808..............  .................  A                 Replantation hand,           61.65     43.88        NA      6.49    112.02        NA       090
                                                           complete.
20816..............  .................  A                 Replantation digit,          30.94     43.13        NA      3.01     77.08        NA       090
                                                           complete.
20822..............  .................  A                 Replantation digit,          25.59     39.51        NA      3.07     68.17        NA       090
                                                           complete.
20824..............  .................  A                 Replantation thumb,          30.94     36.86        NA      3.48     71.28        NA       090
                                                           complete.
20827..............  .................  A                 Replantation thumb,          26.41     45.96        NA      3.21     75.58        NA       090
                                                           complete.
20838..............  .................  A                 Replantation foot,           41.41     28.52        NA      5.85     75.78        NA       090
                                                           complete.
20900..............  .................  A                 Removal of bone for           5.58      5.83      6.77      0.77     12.18     13.12       090
                                                           graft.
20902..............  .................  A                 Removal of bone for           7.55      8.29        NA      1.06     16.90        NA       090
                                                           graft.
20910..............  .................  A                 Remove cartilage for          5.34      6.69      8.21      0.50     12.53     14.05       090
                                                           graft.
20912..............  .................  A                 Remove cartilage for          6.35      7.51        NA      0.55     14.41        NA       090
                                                           graft.
20920..............  .................  A                 Removal of fascia for         5.31      5.57        NA      0.54     11.42        NA       090
                                                           graft.
20922..............  .................  A                 Removal of fascia for         6.61      6.25      8.76      0.88     13.74     16.25       090
                                                           graft.
20924..............  .................  A                 Removal of tendon for         6.48      6.73        NA      0.82     14.03        NA       090
                                                           graft.
20926..............  .................  A                 Removal of tissue for         5.53      6.23        NA      0.73     12.49        NA       090
                                                           graft.
20930..............  .................  B                 Spinal bone allograft..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
20931..............  .................  A                 Spinal bone allograft..       1.81      0.97        NA      0.34      3.12        NA       ZZZ
20936..............  .................  B                 Spinal bone autograft..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
20937..............  .................  A                 Spinal bone autograft..       2.79      1.53        NA      0.43      4.75        NA       ZZZ
20938..............  .................  A                 Spinal bone autograft..       3.02      1.63        NA      0.52      5.17        NA       ZZZ
20950..............  .................  A                 Fluid pressure, muscle.       1.26      2.10        NA      0.16      3.52        NA       000
20955..............  .................  A                 Fibula bone graft,           39.21     30.01        NA      4.35     73.57        NA       090
                                                           microvasc.
20956..............  .................  A                 Iliac bone graft,            39.27     28.48        NA      5.77     73.52        NA       090
                                                           microvasc.
20957..............  .................  A                 Mt bone graft,               40.65     24.37        NA      5.74     70.76        NA       090
                                                           microvasc.
20962..............  .................  A                 Other bone graft,            39.27     28.18        NA      5.19     72.64        NA       090
                                                           microvasc.

[[Page 40414]]

 
20969..............  .................  A                 Bone/skin graft,             43.92     32.94        NA      4.34     81.20        NA       090
                                                           microvasc.
20970..............  .................  A                 Bone/skin graft, iliac       43.06     30.40        NA      4.64     78.10        NA       090
                                                           crest.
20972..............  .................  A                 Bone/skin graft,             42.99     18.86        NA      6.07     67.92        NA       090
                                                           metatarsal.
20973..............  .................  A                 Bone/skin graft, great       45.76     22.15        NA      4.65     72.56        NA       090
                                                           toe.
20974..............  .................  A                 Electrical bone               0.62      0.34      0.39      0.09      1.05      1.10       000
                                                           stimulation.
20975..............  .................  A                 Electrical bone               2.60      1.42        NA      0.42      4.44        NA       000
                                                           stimulation.
20979..............  .................  A                 Us bone stimulation....       0.62      0.25      0.56      0.04      0.91      1.22       000
20999..............  .................  C                 Musculoskeletal surgery       0.00      0.00      0.00      0.00      0.00      0.00       YYY
21010..............  .................  A                 Incision of jaw joint..      10.14      7.05        NA      0.54     17.73        NA       090
21015..............  .................  A                 Resection of facial           5.29      7.20        NA      0.52     13.01        NA       090
                                                           tumor.
21025..............  .................  A                 Excision of bone, lower      10.06      6.86      7.38      0.79     17.71     18.23       090
                                                           jaw.
21026..............  .................  A                 Excision of facial            4.85      4.83      5.49      0.40     10.08     10.74       090
                                                           bone(s).
21029..............  .................  A                 Contour of face bone          7.71      6.11      6.87      0.74     14.56     15.32       090
                                                           lesion.
21030..............  .................  A                 Removal of face bone          6.46      4.88      5.39      0.60     11.94     12.45       090
                                                           lesion.
21031..............  .................  A                 Remove exostosis,             3.24      2.11      3.34      0.28      5.63      6.86       090
                                                           mandible.
21032..............  .................  A                 Remove exostosis,             3.24      2.15      3.30      0.27      5.66      6.81       090
                                                           maxilla.
21034..............  .................  A                 Removal of face bone         16.17     10.67     12.00      1.37     28.21     29.54       090
                                                           lesion.
21040..............  .................  A                 Removal of jaw bone           2.11      1.85      2.98      0.19      4.15      5.28       090
                                                           lesion.
21041..............  .................  A                 Removal of jaw bone           6.71      4.34      5.61      0.56     11.61     12.88       090
                                                           lesion.
21044..............  .................  A                 Removal of jaw bone          11.86      7.92        NA      0.87     20.65        NA       090
                                                           lesion.
21045..............  .................  A                 Extensive jaw surgery..      16.17     10.27        NA      1.20     27.64        NA       090
21050..............  .................  A                 Removal of jaw joint...      10.77     11.32        NA      0.84     22.93        NA       090
21060..............  .................  A                 Remove jaw joint             10.23     10.11        NA      1.16     21.50        NA       090
                                                           cartilage.
21070..............  .................  A                 Remove coronoid process       8.20      6.09        NA      0.67     14.96        NA       090
21076..............  .................  A                 Prepare face/oral            13.42      7.29      9.70      1.36     22.07     24.48       010
                                                           prosthesis.
21077..............  .................  A                 Prepare face/oral            33.75     18.34     24.39      3.43     55.52     61.57       090
                                                           prosthesis.
21079..............  .................  A                 Prepare face/oral            22.34     12.68     17.23      1.59     36.61     41.16       090
                                                           prosthesis.
21080..............  .................  A                 Prepare face/oral            25.10     14.25     19.36      2.55     41.90     47.01       090
                                                           prosthesis.
21081..............  .................  A                 Prepare face/oral            22.88     12.99     17.65      1.87     37.74     42.40       090
                                                           prosthesis.
21082..............  .................  A                 Prepare face/oral            20.87     11.34     15.08      1.46     33.67     37.41       090
                                                           prosthesis.
21083..............  .................  A                 Prepare face/oral            19.30     10.96     14.89      1.96     32.22     36.15       090
                                                           prosthesis.
21084..............  .................  A                 Prepare face/oral            22.51     12.78     17.36      1.57     36.86     41.44       090
                                                           prosthesis.
21085..............  .................  A                 Prepare face/oral             9.00      4.89      6.50      0.65     14.54     16.15       010
                                                           prosthesis.
21086..............  .................  A                 Prepare face/oral            24.92     14.15     19.22      1.86     40.93     46.00       090
                                                           prosthesis.
21087..............  .................  A                 Prepare face/oral            24.92     13.54     18.00      2.22     40.68     45.14       090
                                                           prosthesis.
21088..............  .................  C                 Prepare face/oral             0.00      0.00      0.00      0.00      0.00      0.00       090
                                                           prosthesis.
21089..............  .................  C                 Prepare face/oral             0.00      0.00      0.00      0.00      0.00      0.00       090
                                                           prosthesis.
21100..............  .................  A                 Maxillofacial fixation.       4.22      4.06      5.89      0.18      8.46     10.29       090
21110..............  .................  A                 Interdental fixation...       5.21      4.57      5.23      0.28     10.06     10.72       090
21116..............  .................  A                 Injection, jaw joint x-       0.81      0.30      8.08      0.05      1.16      8.94       000
                                                           ray.
21120..............  .................  A                 Reconstruction of chin.       4.93      6.32     10.45      0.29     11.54     15.67       090
21121..............  .................  A                 Reconstruction of chin.       7.64      5.82      8.09      0.56     14.02     16.29       090
21122..............  .................  A                 Reconstruction of chin.       8.52      7.36        NA      0.59     16.47        NA       090
21123..............  .................  A                 Reconstruction of chin.      11.16      8.54        NA      1.16     20.86        NA       090
21125..............  .................  A                 Augmentation, lower jaw      10.62      8.72      9.17      0.72     20.06     20.51       090
                                                           bone.
21127..............  .................  A                 Augmentation, lower jaw      11.12      6.69      9.64      0.76     18.57     21.52       090
                                                           bone.
21137..............  .................  A                 Reduction of forehead..       9.82      6.95        NA      0.53     17.30        NA       090
21138..............  .................  A                 Reduction of forehead..      12.19      9.93        NA      1.47     23.59        NA       090
21139..............  .................  A                 Reduction of forehead..      14.61      9.39        NA      1.02     25.02        NA       090
21141..............  .................  A                 Reconstruct midface,         18.10     11.14        NA      1.63     30.87        NA       090
                                                           lefort.
21142..............  .................  A                 Reconstruct midface,         18.81     11.26        NA      1.16     31.23        NA       090
                                                           lefort.
21143..............  .................  A                 Reconstruct midface,         19.58     11.74        NA      0.90     32.22        NA       090
                                                           lefort.
21145..............  .................  A                 Reconstruct midface,         19.94     11.43        NA      2.09     33.46        NA       090
                                                           lefort.
21146..............  .................  A                 Reconstruct midface,         20.71     12.11        NA      2.13     34.95        NA       090
                                                           lefort.
21147..............  .................  A                 Reconstruct midface,         21.77     13.27        NA      1.52     36.56        NA       090
                                                           lefort.
21150..............  .................  A                 Reconstruct midface,         25.24     14.91        NA      1.09     41.24        NA       090
                                                           lefort.
21151..............  .................  A                 Reconstruct midface,         28.30     18.38        NA      1.98     48.66        NA       090
                                                           lefort.
21154..............  .................  A                 Reconstruct midface,         30.52     18.49        NA      4.86     53.87        NA       090
                                                           lefort.
21155..............  .................  A                 Reconstruct midface,         34.45     18.24        NA      5.48     58.17        NA       090
                                                           lefort.
21159..............  .................  A                 Reconstruct midface,         42.38     21.37        NA      6.74     70.49        NA       090
                                                           lefort.
21160..............  .................  A                 Reconstruct midface,         46.44     24.49        NA      4.39     75.32        NA       090
                                                           lefort.
21172..............  .................  A                 Reconstruct orbit/           27.80     18.30        NA      1.91     48.01        NA       090
                                                           forehead.
21175..............  .................  A                 Reconstruct orbit/           33.17     18.70        NA      5.16     57.03        NA       090
                                                           forehead.
21179..............  .................  A                 Reconstruct entire           22.25     18.90        NA      2.48     43.63        NA       090
                                                           forehead.
21180..............  .................  A                 Reconstruct entire           25.19     19.28        NA      2.15     46.62        NA       090
                                                           forehead.
21181..............  .................  A                 Contour cranial bone          9.90      8.90        NA      0.97     19.77        NA       090
                                                           lesion.
21182..............  .................  A                 Reconstruct cranial          32.19     22.36        NA      2.53     57.08        NA       090
                                                           bone.
21183..............  .................  A                 Reconstruct cranial          35.31     23.10        NA      2.75     61.16        NA       090
                                                           bone.
21184..............  .................  A                 Reconstruct cranial          38.24     21.38        NA      4.12     63.74        NA       090
                                                           bone.
21188..............  .................  A                 Reconstruction of            22.46     15.78        NA      1.85     40.09        NA       090
                                                           midface.
21193..............  .................  A                 Reconst lwr jaw w/o          17.15     11.03        NA      1.53     29.71        NA       090
                                                           graft.
21194..............  .................  A                 Reconst lwr jaw w/graft      19.84     12.07        NA      1.39     33.30        NA       090
21195..............  .................  A                 Reconst lwr jaw w/o          17.24     12.94        NA      1.20     31.38        NA       090
                                                           fixation.
21196..............  .................  A                 Reconst lwr jaw w/           18.91     12.88        NA      1.62     33.41        NA       090
                                                           fixation.

[[Page 40415]]

 
21198..............  .................  A                 Reconstr lwr jaw             14.16     11.84        NA      1.05     27.05        NA       090
                                                           segment.
21199..............  .................  A                 Reconstr lwr jaw w/          16.00     10.56        NA      1.00     27.56        NA       090
                                                           advance.
21206..............  .................  A                 Reconstruct upper jaw        14.10     10.13        NA      1.01     25.24        NA       090
                                                           bone.
21208..............  .................  A                 Augmentation of facial       10.23      8.46     10.12      0.92     19.61     21.27       090
                                                           bones.
21209..............  .................  A                 Reduction of facial           6.72      5.69      8.96      0.60     13.01     16.28       090
                                                           bones.
21210..............  .................  A                 Face bone graft........      10.23      8.02      8.95      0.88     19.13     20.06       090
21215..............  .................  A                 Lower jaw bone graft...      10.77      6.88      8.75      1.04     18.69     20.56       090
21230..............  .................  A                 Rib cartilage graft....      10.77     10.27        NA      0.96     22.00        NA       090
21235..............  .................  A                 Ear cartilage graft....       6.72      8.03     11.81      0.52     15.27     19.05       090
21240..............  .................  A                 Reconstruction of jaw        14.05     11.49        NA      1.15     26.69        NA       090
                                                           joint.
21242..............  .................  A                 Reconstruction of jaw        12.95     11.53        NA      1.40     25.88        NA       090
                                                           joint.
21243..............  .................  A                 Reconstruction of jaw        20.79     14.75        NA      1.85     37.39        NA       090
                                                           joint.
21244..............  .................  A                 Reconstruction of lower      11.86      9.03        NA      0.95     21.84        NA       090
                                                           jaw.
21245..............  .................  A                 Reconstruction of jaw..      11.86     10.15     16.56      0.88     22.89     29.30       090
21246..............  .................  A                 Reconstruction of jaw..      12.47     10.98     12.51      1.21     24.66     26.19       090
21247..............  .................  A                 Reconstruct lower jaw        22.63     18.84        NA      2.21     43.68        NA       090
                                                           bone.
21248..............  .................  A                 Reconstruction of jaw..      11.48      8.01      8.86      1.01     20.50     21.35       090
21249..............  .................  A                 Reconstruction of jaw..      17.52     10.16     11.38      1.39     29.07     30.29       090
21255..............  .................  A                 Reconstruct lower jaw        16.72     10.96        NA      1.13     28.81        NA       090
                                                           bone.
21256..............  .................  A                 Reconstruction of orbit      16.19     13.20        NA      1.04     30.43        NA       090
21260..............  .................  A                 Revise eye sockets.....      16.52     11.65        NA      1.25     29.42        NA       090
21261..............  .................  A                 Revise eye sockets.....      31.49     19.12        NA      2.20     52.81        NA       090
21263..............  .................  A                 Revise eye sockets.....      28.42     14.84        NA      2.16     45.42        NA       090
21267..............  .................  A                 Revise eye sockets.....      18.90     14.43        NA      1.35     34.68        NA       090
21268..............  .................  A                 Revise eye sockets.....      24.48     11.93        NA      0.79     37.20        NA       090
21270..............  .................  A                 Augmentation, cheek          10.23      9.10     10.49      0.73     20.06     21.45       090
                                                           bone.
21275..............  .................  A                 Revision, orbitofacial       11.24     11.24        NA      1.03     23.51        NA       090
                                                           bones.
21280..............  .................  A                 Revision of eyelid.....       6.03      5.88        NA      0.27     12.18        NA       090
21282..............  .................  A                 Revision of eyelid.....       3.49      5.04        NA      0.21      8.74        NA       090
21295..............  .................  A                 Revision of jaw muscle/       1.53      3.55        NA      0.13      5.21        NA       090
                                                           bone.
21296..............  .................  A                 Revision of jaw muscle/       4.25      5.17        NA      0.30      9.72        NA       090
                                                           bone.
21299..............  .................  C                 Cranio/maxillofacial          0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           surgery.
21300..............  .................  A                 Treatment of skull            0.72      0.27      2.37      0.09      1.08      3.18       000
                                                           fracture.
21310..............  .................  A                 Treatment of nose             0.58      0.15      2.54      0.05      0.78      3.17       000
                                                           fracture.
21315..............  .................  A                 Treatment of nose             1.51      1.24      3.30      0.12      2.87      4.93       010
                                                           fracture.
21320..............  .................  A                 Treatment of nose             1.85      1.99      4.85      0.15      3.99      6.85       010
                                                           fracture.
21325..............  .................  A                 Treatment of nose             3.77      3.71        NA      0.31      7.79        NA       090
                                                           fracture.
21330..............  .................  A                 Treatment of nose             5.38      5.50        NA      0.48     11.36        NA       090
                                                           fracture.
21335..............  .................  A                 Treatment of nose             8.61      7.10        NA      0.64     16.35        NA       090
                                                           fracture.
21336..............  .................  A                 Treat nasal septal            5.72      5.50        NA      0.45     11.67        NA       090
                                                           fracture.
21337..............  .................  A                 Treat nasal septal            2.70      3.17      5.02      0.22      6.09      7.94       090
                                                           fracture.
21338..............  .................  A                 Treat nasoethmoid             6.46      5.94        NA      0.53     12.93        NA       090
                                                           fracture.
21339..............  .................  A                 Treat nasoethmoid             8.09      6.95        NA      0.76     15.80        NA       090
                                                           fracture.
21340..............  .................  A                 Treatment of nose            10.77      9.36        NA      0.85     20.98        NA       090
                                                           fracture.
21343..............  .................  A                 Treatment of sinus           12.95      9.99        NA      1.06     24.00        NA       090
                                                           fracture.
21344..............  .................  A                 Treatment of sinus           19.72     13.42        NA      1.72     34.86        NA       090
                                                           fracture.
21345..............  .................  A                 Treat nose/jaw fracture       8.16      7.44      8.86      0.60     16.20     17.62       090
21346..............  .................  A                 Treat nose/jaw fracture      10.61     10.35        NA      0.85     21.81        NA       090
21347..............  .................  A                 Treat nose/jaw fracture      12.69      9.36        NA      1.14     23.19        NA       090
21348..............  .................  A                 Treat nose/jaw fracture      16.69     10.37        NA      1.50     28.56        NA       090
21355..............  .................  A                 Treat cheek bone              3.77      2.41      4.84      0.29      6.47      8.90       010
                                                           fracture.
21356..............  .................  A                 Treat cheek bone              4.15      3.25        NA      0.36      7.76        NA       010
                                                           fracture.
21360..............  .................  A                 Treat cheek bone              6.46      5.77        NA      0.52     12.75        NA       090
                                                           fracture.
21365..............  .................  A                 Treat cheek bone             14.95     11.37        NA      1.30     27.62        NA       090
                                                           fracture.
21366..............  .................  A                 Treat cheek bone             17.77     12.08        NA      1.41     31.26        NA       090
                                                           fracture.
21385..............  .................  A                 Treat eye socket              9.16      7.63        NA      0.64     17.43        NA       090
                                                           fracture.
21386..............  .................  A                 Treat eye socket              9.16      8.03        NA      0.76     17.95        NA       090
                                                           fracture.
21387..............  .................  A                 Treat eye socket              9.70      8.16        NA      0.78     18.64        NA       090
                                                           fracture.
21390..............  .................  A                 Treat eye socket             10.13      8.38        NA      0.70     19.21        NA       090
                                                           fracture.
21395..............  .................  A                 Treat eye socket             12.68     10.07        NA      1.09     23.84        NA       090
                                                           fracture.
21400..............  .................  A                 Treat eye socket              1.40      1.08      2.93      0.12      2.60      4.45       090
                                                           fracture.
21401..............  .................  A                 Treat eye socket              3.26      3.25      5.59      0.34      6.85      9.19       090
                                                           fracture.
21406..............  .................  A                 Treat eye socket              7.01      6.60        NA      0.59     14.20        NA       090
                                                           fracture.
21407..............  .................  A                 Treat eye socket              8.61      7.71        NA      0.67     16.99        NA       090
                                                           fracture.
21408..............  .................  A                 Treat eye socket             12.38      9.70        NA      1.24     23.32        NA       090
                                                           fracture.
21421..............  .................  A                 Treat mouth roof              5.14      6.35      7.45      0.42     11.91     13.01       090
                                                           fracture.
21422..............  .................  A                 Treat mouth roof              8.32      7.21        NA      0.69     16.22        NA       090
                                                           fracture.
21423..............  .................  A                 Treat mouth roof             10.40      8.19        NA      0.95     19.54        NA       090
                                                           fracture.
21431..............  .................  A                 Treat craniofacial            7.05      5.25        NA      0.58     12.88        NA       090
                                                           fracture.
21432..............  .................  A                 Treat craniofacial            8.61      7.40        NA      0.55     16.56        NA       090
                                                           fracture.
21433..............  .................  A                 Treat craniofacial           25.35     17.86        NA      2.46     45.67        NA       090
                                                           fracture.
21435..............  .................  A                 Treat craniofacial           17.25     11.71        NA      1.66     30.62        NA       090
                                                           fracture.
21436..............  .................  A                 Treat craniofacial           28.04     18.98        NA      2.32     49.34        NA       090
                                                           fracture.
21440..............  .................  A                 Treat dental ridge            2.70      3.38      5.43      0.22      6.30      8.35       090
                                                           fracture.

[[Page 40416]]

 
21445..............  .................  A                 Treat dental ridge            5.38      5.37      7.07      0.55     11.30     13.00       090
                                                           fracture.
21450..............  .................  A                 Treat lower jaw               2.97      2.67      6.70      0.23      5.87      9.90       090
                                                           fracture.
21451..............  .................  A                 Treat lower jaw               4.87      5.49      6.58      0.39     10.75     11.84       090
                                                           fracture.
21452..............  .................  A                 Treat lower jaw               1.98      3.84      9.04      0.14      5.96     11.16       090
                                                           fracture.
21453..............  .................  A                 Treat lower jaw               5.54      6.28      7.56      0.49     12.31     13.59       090
                                                           fracture.
21454..............  .................  A                 Treat lower jaw               6.46      6.01        NA      0.55     13.02        NA       090
                                                           fracture.
21461..............  .................  A                 Treat lower jaw               8.09      7.83      9.74      0.73     16.65     18.56       090
                                                           fracture.
21462..............  .................  A                 Treat lower jaw               9.79      7.91     11.11      0.80     18.50     21.70       090
                                                           fracture.
21465..............  .................  A                 Treat lower jaw              11.91      7.37        NA      0.84     20.12        NA       090
                                                           fracture.
21470..............  .................  A                 Treat lower jaw              15.34      9.83        NA      1.36     26.53        NA       090
                                                           fracture.
21480..............  .................  A                 Reset dislocated jaw...       0.61      0.18      1.59      0.05      0.84      2.25       000
21485..............  .................  A                 Reset dislocated jaw...       3.99      3.49      3.80      0.31      7.79      8.10       090
21490..............  .................  A                 Repair dislocated jaw..      11.86      7.50        NA      1.31     20.67        NA       090
21493..............  .................  A                 Treat hyoid bone              1.27      3.05        NA      0.10      4.42        NA       090
                                                           fracture.
21494..............  .................  A                 Treat hyoid bone              6.28      5.28        NA      0.44     12.00        NA       090
                                                           fracture.
21495..............  .................  A                 Treat hyoid bone              5.69      4.83        NA      0.41     10.93        NA       090
                                                           fracture.
21497..............  .................  A                 Interdental wiring.....       3.86      3.78      4.72      0.31      7.95      8.89       090
21499..............  .................  C                 Head surgery procedure.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
21501..............  .................  A                 Drain neck/chest lesion       3.81      3.57      4.31      0.36      7.74      8.48       090
21502..............  .................  A                 Drain chest lesion.....       7.12      7.71        NA      0.79     15.62        NA       090
21510..............  .................  A                 Drainage of bone lesion       5.74      6.86        NA      0.67     13.27        NA       090
21550..............  .................  A                 Biopsy of neck/chest...       2.06      1.22      2.24      0.13      3.41      4.43       010
21555..............  .................  A                 Remove lesion, neck/          4.35      2.47      4.15      0.41      7.23      8.91       090
                                                           chest.
21556..............  .................  A                 Remove lesion, neck/          5.57      3.24        NA      0.51      9.32        NA       090
                                                           chest.
21557..............  .................  A                 Remove tumor, neck/           8.88      7.74        NA      0.85     17.47        NA       090
                                                           chest.
21600..............  .................  A                 Partial removal of rib.       6.89      7.59        NA      0.81     15.29        NA       090
21610..............  .................  A                 Partial removal of rib.      14.61     10.68        NA      1.85     27.14        NA       090
21615..............  .................  A                 Removal of rib.........       9.87      8.29        NA      1.20     19.36        NA       090
21616..............  .................  A                 Removal of rib and           12.04      8.18        NA      1.31     21.53        NA       090
                                                           nerves.
21620..............  .................  A                 Partial removal of            6.79      8.03        NA      0.77     15.59        NA       090
                                                           sternum.
21627..............  .................  A                 Sternal debridement....       6.81     12.78        NA      0.82     20.41        NA       090
21630..............  .................  A                 Extensive sternum            17.38     13.87        NA      1.95     33.20        NA       090
                                                           surgery.
21632..............  .................  A                 Extensive sternum            18.14     12.62        NA      2.16     32.92        NA       090
                                                           surgery.
21700..............  .................  A                 Revision of neck muscle       6.19      7.11      8.71      0.31     13.61     15.21       090
21705..............  .................  A                 Revision of neck muscle/      9.60      7.18        NA      0.92     17.70        NA       090
                                                           rib.
21720..............  .................  A                 Revision of neck muscle       5.68      7.01      7.61      0.80     13.49     14.09       090
21725..............  .................  A                 Revision of neck muscle       6.99      6.89        NA      0.90     14.78        NA       090
21740..............  .................  A                 Reconstruction of            16.50     12.24        NA      2.03     30.77        NA       090
                                                           sternum.
21750..............  .................  A                 Repair of sternum            10.77      9.98        NA      1.35     22.10        NA       090
                                                           separation.
21800..............  .................  A                 Treatment of rib              0.96      1.01      2.21      0.09      2.06      3.26       090
                                                           fracture.
21805..............  .................  A                 Treatment of rib              2.75      4.06        NA      0.29      7.10        NA       090
                                                           fracture.
21810..............  .................  A                 Treatment of rib              6.86      6.27        NA      0.60     13.73        NA       090
                                                           fracture(s).
21820..............  .................  A                 Treat sternum fracture.       1.28      1.46      2.61      0.15      2.89      4.04       090
21825..............  .................  A                 Treat sternum fracture.       7.41     10.09        NA      0.84     18.34        NA       090
21899..............  .................  C                 Neck/chest surgery            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
21920..............  .................  A                 Biopsy soft tissue of         2.06      0.75      2.32      0.12      2.93      4.50       010
                                                           back.
21925..............  .................  A                 Biopsy soft tissue of         4.49      4.47     10.95      0.44      9.40     15.88       090
                                                           back.
21930..............  .................  A                 Remove lesion, back or        5.00      2.65      4.56      0.49      8.14     10.05       090
                                                           flank.
21935..............  .................  A                 Remove tumor, back.....      17.96     13.26        NA      1.87     33.09        NA       090
22100..............  .................  A                 Remove part of neck           9.73      8.67        NA      1.55     19.95        NA       090
                                                           vertebra.
22101..............  .................  A                 Remove part, thorax           9.81      8.49        NA      1.51     19.81        NA       090
                                                           vertebra.
22102..............  .................  A                 Remove part, lumbar           9.81      8.70        NA      1.46     19.97        NA       090
                                                           vertebra.
22103..............  .................  A                 Remove extra spine            2.34      1.30        NA      0.37      4.01        NA       ZZZ
                                                           segment.
22110..............  .................  A                 Remove part of neck          12.74     10.53        NA      2.20     25.47        NA       090
                                                           vertebra.
22112..............  .................  A                 Remove part, thorax          12.81     10.60        NA      1.96     25.37        NA       090
                                                           vertebra.
22114..............  .................  A                 Remove part, lumbar          12.81     10.34        NA      1.98     25.13        NA       090
                                                           vertebra.
22116..............  .................  A                 Remove extra spine            2.32      1.19        NA      0.40      3.91        NA       ZZZ
                                                           segment.
22210..............  .................  A                 Revision of neck spine.      23.82     16.94        NA      4.23     44.99        NA       090
22212..............  .................  A                 Revision of thorax           19.42     14.35        NA      2.78     36.55        NA       090
                                                           spine.
22214..............  .................  A                 Revision of lumbar           19.45     14.92        NA      2.78     37.15        NA       090
                                                           spine.
22216..............  .................  A                 Revise, extra spine           6.04      3.31        NA      0.98     10.33        NA       ZZZ
                                                           segment.
22220..............  .................  A                 Revision of neck spine.      21.37     15.46        NA      3.65     40.48        NA       090
22222..............  .................  A                 Revision of thorax           21.52     13.62        NA      3.08     38.22        NA       090
                                                           spine.
22224..............  .................  A                 Revision of lumbar           21.52     15.68        NA      3.20     40.40        NA       090
                                                           spine.
22226..............  .................  A                 Revise, extra spine           6.04      3.30        NA      1.01     10.35        NA       ZZZ
                                                           segment.
22305..............  .................  A                 Treat spine process           2.05      1.87      3.03      0.29      4.21      5.37       090
                                                           fracture.
22310..............  .................  A                 Treat spine fracture...       2.61      3.28      4.38      0.37      6.26      7.36       090
22315..............  .................  A                 Treat spine fracture...       8.84      8.89        NA      1.37     19.10        NA       090
22318..............  .................  A                 Treat odontoid fx w/o        21.50     14.60        NA      4.26     40.36        NA       090
                                                           graft.
22319..............  .................  A                 Treat odontoid fx w/         24.00     16.89        NA      4.76     45.65        NA       090
                                                           graft.
22325..............  .................  A                 Treat spine fracture...      18.30     14.45        NA      2.61     35.36        NA       090
22326..............  .................  A                 Treat neck spine             19.59     15.28        NA      3.54     38.41        NA       090
                                                           fracture.
22327..............  .................  A                 Treat thorax spine           19.20     14.83        NA      2.75     36.78        NA       090
                                                           fracture.
22328..............  .................  A                 Treat each add spine fx       4.61      2.30        NA      0.66      7.57        NA       ZZZ

[[Page 40417]]

 
22505..............  .................  A                 Manipulation of spine..       1.87      3.01      4.59      0.27      5.15      6.73       010
22520..............  .................  A                 Percut vertebroplasty         8.91      3.91        NA      0.89     13.71        NA       010
                                                           thor.
22521..............  .................  A                 Percut vertebroplasty         8.34      3.68        NA      0.84     12.86        NA       010
                                                           lumb.
22522..............  .................  A                 Percut vertebroplasty         3.00      1.19        NA      0.30      4.49        NA       ZZZ
                                                           addl.
22548..............  .................  A                 Neck spine fusion......      25.82     17.74        NA      4.98     48.54        NA       090
22554..............  .................  A                 Neck spine fusion......      18.62     13.65        NA      3.51     35.78        NA       090
22556..............  .................  A                 Thorax spine fusion....      23.46     16.42        NA      3.78     43.66        NA       090
22558..............  .................  A                 Lumbar spine fusion....      22.28     14.36        NA      3.18     39.82        NA       090
22585..............  .................  A                 Additional spinal             5.53      2.92        NA      0.98      9.43        NA       ZZZ
                                                           fusion.
22590..............  .................  A                 Spine & skull spinal         20.51     15.33        NA      3.81     39.65        NA       090
                                                           fusion.
22595..............  .................  A                 Neck spinal fusion.....      19.39     14.31        NA      3.62     37.32        NA       090
22600..............  .................  A                 Neck spine fusion......      16.14     12.58        NA      2.89     31.61        NA       090
22610..............  .................  A                 Thorax spine fusion....      16.02     12.54        NA      2.66     31.22        NA       090
22612..............  .................  A                 Lumbar spine fusion....      21.00     15.36        NA      3.28     39.64        NA       090
22614..............  .................  A                 Spine fusion, extra           6.44      3.53        NA      1.04     11.01        NA       ZZZ
                                                           segment.
22630..............  .................  A                 Lumbar spine fusion....      20.84     15.57        NA      3.79     40.20        NA       090
22632..............  .................  A                 Spine fusion, extra           5.23      2.82        NA      0.90      8.95        NA       ZZZ
                                                           segment.
22800..............  .................  A                 Fusion of spine........      18.25     13.64        NA      2.71     34.60        NA       090
22802..............  .................  A                 Fusion of spine........      30.88     21.30        NA      4.42     56.60        NA       090
22804..............  .................  A                 Fusion of spine........      36.27     24.04        NA      5.23     65.54        NA       090
22808..............  .................  A                 Fusion of spine........      26.27     18.18        NA      4.36     48.81        NA       090
22810..............  .................  A                 Fusion of spine........      30.27     19.81        NA      4.49     54.57        NA       090
22812..............  .................  A                 Fusion of spine........      32.70     21.83        NA      4.67     59.20        NA       090
22818..............  .................  A                 Kyphectomy, 1-2              31.83     21.14        NA      5.01     57.98        NA       090
                                                           segments.
22819..............  .................  A                 Kyphectomy, 3 or more..      36.44     20.86        NA      5.20     62.50        NA       090
22830..............  .................  A                 Exploration of spinal        10.85      9.57        NA      1.73     22.15        NA       090
                                                           fusion.
22840..............  .................  A                 Insert spine fixation        12.54      8.37        NA      2.03     22.94        NA       ZZZ
                                                           device.
22841..............  .................  B                 Insert spine fixation         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           device.
22842..............  .................  A                 Insert spine fixation        12.58      6.87        NA      2.04     21.49        NA       ZZZ
                                                           device.
22843..............  .................  A                 Insert spine fixation        13.46      8.86        NA      2.10     24.42        NA       ZZZ
                                                           device.
22844..............  .................  A                 Insert spine fixation        16.44     10.54        NA      2.42     29.40        NA       ZZZ
                                                           device.
22845..............  .................  A                 Insert spine fixation        11.96      7.95        NA      2.22     22.13        NA       ZZZ
                                                           device.
22846..............  .................  A                 Insert spine fixation        12.42      8.21        NA      2.26     22.89        NA       ZZZ
                                                           device.
22847..............  .................  A                 Insert spine fixation        13.80      8.97        NA      2.36     25.13        NA       ZZZ
                                                           device.
22848..............  .................  A                 Insert pelv fixation          6.00      4.75        NA      0.88     11.63        NA       ZZZ
                                                           device.
22849..............  .................  A                 Reinsert spinal              18.51     13.72        NA      2.87     35.10        NA       090
                                                           fixation.
22850..............  .................  A                 Remove spine fixation         9.52      8.41        NA      1.51     19.44        NA       090
                                                           device.
22851..............  .................  A                 Apply spine prosth            6.71      5.08        NA      1.11     12.90        NA       ZZZ
                                                           device.
22852..............  .................  A                 Remove spine fixation         9.01      8.18        NA      1.40     18.59        NA       090
                                                           device.
22855..............  .................  A                 Remove spine fixation        15.13     11.28        NA      2.74     29.15        NA       090
                                                           device.
22899..............  .................  C                 Spine surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
22900..............  .................  A                 Remove abdominal wall         5.80      4.29        NA      0.58     10.67        NA       090
                                                           lesion.
22999..............  .................  C                 Abdomen surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
23000..............  .................  A                 Removal of calcium            4.36      6.59      8.98      0.50     11.45     13.84       090
                                                           deposits.
23020..............  .................  A                 Release shoulder joint.       8.93     10.02        NA      1.23     20.18        NA       090
23030..............  .................  A                 Drain shoulder lesion..       3.43      4.18      5.88      0.42      8.03      9.73       010
23031..............  .................  A                 Drain shoulder bursa...       2.74      3.82      5.81      0.33      6.89      8.88       010
23035..............  .................  A                 Drain shoulder bone           8.61     14.53        NA      1.19     24.33        NA       090
                                                           lesion.
23040..............  .................  A                 Exploratory shoulder          9.20     10.87        NA      1.28     21.35        NA       090
                                                           surgery.
23044..............  .................  A                 Exploratory shoulder          7.12      9.79        NA      0.97     17.88        NA       090
                                                           surgery.
23065..............  .................  A                 Biopsy shoulder tissues       2.27      1.29      2.53      0.14      3.70      4.94       010
23066..............  .................  A                 Biopsy shoulder tissues       4.16      6.04      7.42      0.50     10.70     12.08       090
23075..............  .................  A                 Removal of shoulder           2.39      3.08      5.25      0.25      5.72      7.89       010
                                                           lesion.
23076..............  .................  A                 Removal of shoulder           7.63      8.03        NA      0.87     16.53        NA       090
                                                           lesion.
23077..............  .................  A                 Remove tumor of              16.09     14.40        NA      1.81     32.30        NA       090
                                                           shoulder.
23100..............  .................  A                 Biopsy of shoulder            6.03      8.01        NA      0.81     14.85        NA       090
                                                           joint.
23101..............  .................  A                 Shoulder joint surgery.       5.58      8.10        NA      0.77     14.45        NA       090
23105..............  .................  A                 Remove shoulder joint         8.23      9.64        NA      1.13     19.00        NA       090
                                                           lining.
23106..............  .................  A                 Incision of collarbone        5.96      8.29        NA      0.82     15.07        NA       090
                                                           joint.
23107..............  .................  A                 Explore treat shoulder        8.62      9.61        NA      1.19     19.42        NA       090
                                                           joint.
23120..............  .................  A                 Partial removal, collar       7.11      8.86        NA      0.99     16.96        NA       090
                                                           bone.
23125..............  .................  A                 Removal of collar bone.       9.39     10.24        NA      1.27     20.90        NA       090
23130..............  .................  A                 Remove shoulder bone,         7.55      9.11        NA      1.06     17.72        NA       090
                                                           part.
23140..............  .................  A                 Removal of bone lesion.       6.89      8.21        NA      0.82     15.92        NA       090
23145..............  .................  A                 Removal of bone lesion.       9.09     11.52        NA      1.24     21.85        NA       090
23146..............  .................  A                 Removal of bone lesion.       7.83      9.97        NA      1.11     18.91        NA       090
23150..............  .................  A                 Removal of humerus            8.48      9.44        NA      1.14     19.06        NA       090
                                                           lesion.
23155..............  .................  A                 Removal of humerus           10.35     10.88        NA      1.20     22.43        NA       090
                                                           lesion.
23156..............  .................  A                 Removal of humerus            8.68      9.69        NA      1.18     19.55        NA       090
                                                           lesion.
23170..............  .................  A                 Remove collar bone            6.86     10.32        NA      0.84     18.02        NA       090
                                                           lesion.
23172..............  .................  A                 Remove shoulder blade         6.90     10.73        NA      0.95     18.58        NA       090
                                                           lesion.
23174..............  .................  A                 Remove humerus lesion..       9.51     10.99        NA      1.30     21.80        NA       090
23180..............  .................  A                 Remove collar bone            8.53     14.68        NA      1.18     24.39        NA       090
                                                           lesion.
23182..............  .................  A                 Remove shoulder blade         8.15     15.09        NA      1.08     24.32        NA       090
                                                           lesion.

[[Page 40418]]

 
23184..............  .................  A                 Remove humerus lesion..       9.38     14.91        NA      1.24     25.53        NA       090
23190..............  .................  A                 Partial removal of            7.24      8.12        NA      0.97     16.33        NA       090
                                                           scapula.
23195..............  .................  A                 Removal of head of            9.81     10.47        NA      1.38     21.66        NA       090
                                                           humerus.
23200..............  .................  A                 Removal of collar bone.      12.08     13.34        NA      1.48     26.90        NA       090
23210..............  .................  A                 Removal of shoulder          12.49     13.73        NA      1.61     27.83        NA       090
                                                           blade.
23220..............  .................  A                 Partial removal of           14.56     14.41        NA      2.03     31.00        NA       090
                                                           humerus.
23221..............  .................  A                 Partial removal of           17.74     16.13        NA      2.51     36.38        NA       090
                                                           humerus.
23222..............  .................  A                 Partial removal of           23.92     19.80        NA      3.37     47.09        NA       090
                                                           humerus.
23330..............  .................  A                 Remove shoulder foreign       1.85      4.11      5.58      0.18      6.14      7.61       010
                                                           body.
23331..............  .................  A                 Remove shoulder foreign       7.38      8.97        NA      1.02     17.37        NA       090
                                                           body.
23332..............  .................  A                 Remove shoulder foreign      11.62     11.35        NA      1.62     24.59        NA       090
                                                           body.
23350..............  .................  A                 Injection for shoulder        1.00      0.35      9.72      0.05      1.40     10.77       000
                                                           x-ray.
23395..............  .................  A                 Muscle                       16.85     13.51        NA      2.29     32.65        NA       090
                                                           transfer,shoulder/arm.
23397..............  .................  A                 Muscle transfers.......      16.13     14.01        NA      2.24     32.38        NA       090
23400..............  .................  A                 Fixation of shoulder         13.54     12.98        NA      1.91     28.43        NA       090
                                                           blade.
23405..............  .................  A                 Incision of tendon &          8.37      8.93        NA      1.12     18.42        NA       090
                                                           muscle.
23406..............  .................  A                 Incise tendon(s) &           10.79     10.89        NA      1.48     23.16        NA       090
                                                           muscle(s).
23410..............  .................  A                 Repair of tendon(s)....      12.45     11.71        NA      1.72     25.88        NA       090
23412..............  .................  A                 Repair of tendon(s)....      13.31     12.29        NA      1.86     27.46        NA       090
23415..............  .................  A                 Release of shoulder           9.97      9.62        NA      1.39     20.98        NA       090
                                                           ligament.
23420..............  .................  A                 Repair of shoulder.....      13.30     13.10        NA      1.86     28.26        NA       090
23430..............  .................  A                 Repair biceps tendon...       9.98     10.45        NA      1.40     21.83        NA       090
23440..............  .................  A                 Remove/transplant            10.48     10.69        NA      1.47     22.64        NA       090
                                                           tendon.
23450..............  .................  A                 Repair shoulder capsule      13.40     12.40        NA      1.86     27.66        NA       090
23455..............  .................  A                 Repair shoulder capsule      14.37     12.91        NA      2.01     29.29        NA       090
23460..............  .................  A                 Repair shoulder capsule      15.37     13.57        NA      2.17     31.11        NA       090
23462..............  .................  A                 Repair shoulder capsule      15.30     13.41        NA      2.16     30.87        NA       090
23465..............  .................  A                 Repair shoulder capsule      15.85     12.40        NA      1.61     29.86        NA       090
23466..............  .................  A                 Repair shoulder capsule      14.22     12.83        NA      2.00     29.05        NA       090
23470..............  .................  A                 Reconstruct shoulder         17.15     14.42        NA      2.40     33.97        NA       090
                                                           joint.
23472..............  .................  A                 Reconstruct shoulder         21.10     16.66        NA      2.37     40.13        NA       090
                                                           joint.
23480..............  .................  A                 Revision of collar bone      11.18     11.16        NA      1.56     23.90        NA       090
23485..............  .................  A                 Revision of collar bone      13.43     12.42        NA      1.84     27.69        NA       090
23490..............  .................  A                 Reinforce clavicle.....      11.86     10.64        NA      1.11     23.61        NA       090
23491..............  .................  A                 Reinforce shoulder           14.21     12.60        NA      2.00     28.81        NA       090
                                                           bones.
23500..............  .................  A                 Treat clavicle fracture       2.08      2.38      3.55      0.26      4.72      5.89       090
23505..............  .................  A                 Treat clavicle fracture       3.69      3.78      5.48      0.50      7.97      9.67       090
23515..............  .................  A                 Treat clavicle fracture       7.41      7.70        NA      1.03     16.14        NA       090
23520..............  .................  A                 Treat clavicle                2.16      2.42      3.49      0.26      4.84      5.91       090
                                                           dislocation.
23525..............  .................  A                 Treat clavicle                3.60      3.65      5.36      0.44      7.69      9.40       090
                                                           dislocation.
23530..............  .................  A                 Treat clavicle                7.31      8.24        NA      0.85     16.40        NA       090
                                                           dislocation.
23532..............  .................  A                 Treat clavicle                8.01      8.09        NA      1.13     17.23        NA       090
                                                           dislocation.
23540..............  .................  A                 Treat clavicle                2.23      2.40      4.13      0.24      4.87      6.60       090
                                                           dislocation.
23545..............  .................  A                 Treat clavicle                3.25      3.46      4.74      0.39      7.10      8.38       090
                                                           dislocation.
23550..............  .................  A                 Treat clavicle                7.24      7.74        NA      0.94     15.92        NA       090
                                                           dislocation.
23552..............  .................  A                 Treat clavicle                8.45      8.31        NA      1.18     17.94        NA       090
                                                           dislocation.
23570..............  .................  A                 Treat shoulder blade fx       2.23      2.49      3.53      0.29      5.01      6.05       090
23575..............  .................  A                 Treat shoulder blade fx       4.06      4.00      5.61      0.53      8.59     10.20       090
23585..............  .................  A                 Treat scapula fracture.       8.96      8.85        NA      1.25     19.06        NA       090
23600..............  .................  A                 Treat humerus fracture.       2.93      3.37      5.09      0.39      6.69      8.41       090
23605..............  .................  A                 Treat humerus fracture.       4.87      6.04      7.59      0.67     11.58     13.13       090
23615..............  .................  A                 Treat humerus fracture.       9.35      9.54        NA      1.31     20.20        NA       090
23616..............  .................  A                 Treat humerus fracture.      21.27     15.63        NA      2.98     39.88        NA       090
23620..............  .................  A                 Treat humerus fracture.       2.40      3.11      4.79      0.32      5.83      7.51       090
23625..............  .................  A                 Treat humerus fracture.       3.93      5.07      6.64      0.53      9.53     11.10       090
23630..............  .................  A                 Treat humerus fracture.       7.35      7.69        NA      1.03     16.07        NA       090
23650..............  .................  A                 Treat shoulder                3.39      3.37      5.22      0.31      7.07      8.92       090
                                                           dislocation.
23655..............  .................  A                 Treat shoulder                4.57      4.06        NA      0.52      9.15        NA       090
                                                           dislocation.
23660..............  .................  A                 Treat shoulder                7.49      7.67        NA      1.01     16.17        NA       090
                                                           dislocation.
23665..............  .................  A                 Treat dislocation/            4.47      5.35      6.96      0.60     10.42     12.03       090
                                                           fracture.
23670..............  .................  A                 Treat dislocation/            7.90      8.14        NA      1.10     17.14        NA       090
                                                           fracture.
23675..............  .................  A                 Treat dislocation/            6.05      6.26      7.75      0.83     13.14     14.63       090
                                                           fracture.
23680..............  .................  A                 Treat dislocation/           10.06      9.35        NA      1.39     20.80        NA       090
                                                           fracture.
23700..............  .................  A                 Fixation of shoulder...       2.52      3.22        NA      0.35      6.09        NA       010
23800..............  .................  A                 Fusion of shoulder           14.16     13.57        NA      1.97     29.70        NA       090
                                                           joint.
23802..............  .................  A                 Fusion of shoulder           16.60     15.04        NA      2.34     33.98        NA       090
                                                           joint.
23900..............  .................  A                 Amputation of arm &          19.72     14.75        NA      2.47     36.94        NA       090
                                                           girdle.
23920..............  .................  A                 Amputation at shoulder       14.61     13.93        NA      1.92     30.46        NA       090
                                                           joint.
23921..............  .................  A                 Amputation follow-up          5.49      6.54        NA      0.78     12.81        NA       090
                                                           surgery.
23929..............  .................  C                 Shoulder surgery              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
23930..............  .................  A                 Drainage of arm lesion.       2.94      3.86      5.96      0.32      7.12      9.22       010
23931..............  .................  A                 Drainage of arm bursa..       1.79      3.38      5.50      0.21      5.38      7.50       010
23935..............  .................  A                 Drain arm/elbow bone          6.09     11.98        NA      0.84     18.91        NA       090
                                                           lesion.
24000..............  .................  A                 Exploratory elbow             5.82      5.71        NA      0.77     12.30        NA       090
                                                           surgery.

[[Page 40419]]

 
24006..............  .................  A                 Release elbow joint....       9.31      8.16        NA      1.27     18.74        NA       090
24065..............  .................  A                 Biopsy arm/elbow soft         2.08      3.25      5.41      0.14      5.47      7.63       010
                                                           tissue.
24066..............  .................  A                 Biopsy arm/elbow soft         5.21      6.39      8.70      0.61     12.21     14.52       090
                                                           tissue.
24075..............  .................  A                 Remove arm/elbow lesion       3.92      5.87      8.10      0.43     10.22     12.45       090
24076..............  .................  A                 Remove arm/elbow lesion       6.30      6.92        NA      0.70     13.92        NA       090
24077..............  .................  A                 Remove tumor of arm/         11.76     13.74        NA      1.32     26.82        NA       090
                                                           elbow.
24100..............  .................  A                 Biopsy elbow joint            4.93      5.51        NA      0.62     11.06        NA       090
                                                           lining.
24101..............  .................  A                 Explore/treat elbow           6.13      6.33        NA      0.84     13.30        NA       090
                                                           joint.
24102..............  .................  A                 Remove elbow joint            8.03      7.45        NA      1.09     16.57        NA       090
                                                           lining.
24105..............  .................  A                 Removal of elbow bursa.       3.61      4.84        NA      0.49      8.94        NA       090
24110..............  .................  A                 Remove humerus lesion..       7.39      9.03        NA      0.99     17.41        NA       090
24115..............  .................  A                 Remove/graft bone             9.63      9.42        NA      1.15     20.20        NA       090
                                                           lesion.
24116..............  .................  A                 Remove/graft bone            11.81     11.23        NA      1.66     24.70        NA       090
                                                           lesion.
24120..............  .................  A                 Remove elbow lesion....       6.65      6.33        NA      0.87     13.85        NA       090
24125..............  .................  A                 Remove/graft bone             7.89      6.60        NA      0.88     15.37        NA       090
                                                           lesion.
24126..............  .................  A                 Remove/graft bone             8.31      7.22        NA      0.90     16.43        NA       090
                                                           lesion.
24130..............  .................  A                 Removal of head of            6.25      6.43        NA      0.87     13.55        NA       090
                                                           radius.
24134..............  .................  A                 Removal of arm bone           9.73     15.45        NA      1.31     26.49        NA       090
                                                           lesion.
24136..............  .................  A                 Remove radius bone            7.99      6.71        NA      0.85     15.55        NA       090
                                                           lesion.
24138..............  .................  A                 Remove elbow bone             8.05      7.37        NA      1.12     16.54        NA       090
                                                           lesion.
24140..............  .................  A                 Partial removal of arm        9.18     15.93        NA      1.23     26.34        NA       090
                                                           bone.
24145..............  .................  A                 Partial removal of            7.58     10.30        NA      1.01     18.89        NA       090
                                                           radius.
24147..............  .................  A                 Partial removal of            7.54     10.34        NA      1.04     18.92        NA       090
                                                           elbow.
24149..............  .................  A                 Radical resection of         14.20     10.85        NA      1.90     26.95        NA       090
                                                           elbow.
24150..............  .................  A                 Extensive humerus            13.27     13.78        NA      1.81     28.86        NA       090
                                                           surgery.
24151..............  .................  A                 Extensive humerus            15.58     15.36        NA      2.19     33.13        NA       090
                                                           surgery.
24152..............  .................  A                 Extensive radius             10.06      8.95        NA      1.19     20.20        NA       090
                                                           surgery.
24153..............  .................  A                 Extensive radius             11.54      7.34        NA      0.64     19.52        NA       090
                                                           surgery.
24155..............  .................  A                 Removal of elbow joint.      11.73      8.81        NA      1.42     21.96        NA       090
24160..............  .................  A                 Remove elbow joint            7.83      7.33        NA      1.07     16.23        NA       090
                                                           implant.
24164..............  .................  A                 Remove radius head            6.23      6.36        NA      0.84     13.43        NA       090
                                                           implant.
24200..............  .................  A                 Removal of arm foreign        1.76      3.16      5.90      0.15      5.07      7.81       010
                                                           body.
24201..............  .................  A                 Removal of arm foreign        4.56      6.75      8.45      0.56     11.87     13.57       090
                                                           body.
24220..............  .................  A                 Injection for elbow x-        1.31      0.47     10.76      0.07      1.85     12.14       000
                                                           ray.
24301..............  .................  A                 Muscle/tendon transfer.      10.20      8.94        NA      1.30     20.44        NA       090
24305..............  .................  A                 Arm tendon lengthening.       7.45      7.15        NA      0.98     15.58        NA       090
24310..............  .................  A                 Revision of arm tendon.       5.98      7.77        NA      0.74     14.49        NA       090
24320..............  .................  A                 Repair of arm tendon...      10.56     10.12        NA      1.00     21.68        NA       090
24330..............  .................  A                 Revision of arm muscles       9.60      8.44        NA      1.21     19.25        NA       090
24331..............  .................  A                 Revision of arm muscles      10.65      8.80        NA      1.41     20.86        NA       090
24340..............  .................  A                 Repair of biceps tendon       7.89      7.23        NA      1.08     16.20        NA       090
24341..............  .................  A                 Repair arm tendon/            7.90      7.30        NA      1.08     16.28        NA       090
                                                           muscle.
24342..............  .................  A                 Repair of ruptured           10.62      8.91        NA      1.48     21.01        NA       090
                                                           tendon.
24350..............  .................  A                 Repair of tennis elbow.       5.25      5.91        NA      0.72     11.88        NA       090
24351..............  .................  A                 Repair of tennis elbow.       5.91      6.34        NA      0.82     13.07        NA       090
24352..............  .................  A                 Repair of tennis elbow.       6.43      6.61        NA      0.90     13.94        NA       090
24354..............  .................  A                 Repair of tennis elbow.       6.48      6.55        NA      0.88     13.91        NA       090
24356..............  .................  A                 Revision of tennis            6.68      6.74        NA      0.90     14.32        NA       090
                                                           elbow.
24360..............  .................  A                 Reconstruct elbow joint      12.34      9.65        NA      1.69     23.68        NA       090
24361..............  .................  A                 Reconstruct elbow joint      14.08     10.36        NA      1.95     26.39        NA       090
24362..............  .................  A                 Reconstruct elbow joint      14.99     10.93        NA      1.92     27.84        NA       090
24363..............  .................  A                 Replace elbow joint....      18.49     13.26        NA      2.52     34.27        NA       090
24365..............  .................  A                 Reconstruct head of           8.39      7.62        NA      1.11     17.12        NA       090
                                                           radius.
24366..............  .................  A                 Reconstruct head of           9.13      8.06        NA      1.28     18.47        NA       090
                                                           radius.
24400..............  .................  A                 Revision of humerus....      11.06     11.89        NA      1.53     24.48        NA       090
24410..............  .................  A                 Revision of humerus....      14.82     13.84        NA      1.89     30.55        NA       090
24420..............  .................  A                 Revision of humerus....      13.44     15.43        NA      1.82     30.69        NA       090
24430..............  .................  A                 Repair of humerus......      12.81     12.15        NA      1.80     26.76        NA       090
24435..............  .................  A                 Repair humerus with          13.17     13.11        NA      1.84     28.12        NA       090
                                                           graft.
24470..............  .................  A                 Revision of elbow joint       8.74      7.17        NA      1.23     17.14        NA       090
24495..............  .................  A                 Decompression of              8.12      9.47        NA      0.92     18.51        NA       090
                                                           forearm.
24498..............  .................  A                 Reinforce humerus......      11.92     11.60        NA      1.67     25.19        NA       090
24500..............  .................  A                 Treat humerus fracture.       3.21      3.11      4.67      0.41      6.73      8.29       090
24505..............  .................  A                 Treat humerus fracture.       5.17      6.31      8.09      0.72     12.20     13.98       090
24515..............  .................  A                 Treat humerus fracture.      11.65     10.79        NA      1.63     24.07        NA       090
24516..............  .................  A                 Treat humerus fracture.      11.65     11.17        NA      1.63     24.45        NA       090
24530..............  .................  A                 Treat humerus fracture.       3.50      4.44      5.64      0.47      8.41      9.61       090
24535..............  .................  A                 Treat humerus fracture.       6.87      6.38      8.13      0.96     14.21     15.96       090
24538..............  .................  A                 Treat humerus fracture.       9.43      9.79        NA      1.25     20.47        NA       090
24545..............  .................  A                 Treat humerus fracture.      10.46      9.60        NA      1.47     21.53        NA       090
24546..............  .................  A                 Treat humerus fracture.      15.69     13.03        NA      2.18     30.90        NA       090
24560..............  .................  A                 Treat humerus fracture.       2.80      2.89      4.48      0.35      6.04      7.63       090
24565..............  .................  A                 Treat humerus fracture.       5.56      5.62      7.40      0.74     11.92     13.70       090
24566..............  .................  A                 Treat humerus fracture.       7.79      9.23        NA      1.10     18.12        NA       090

[[Page 40420]]

 
24575..............  .................  A                 Treat humerus fracture.      10.66      8.03        NA      1.44     20.13        NA       090
24576..............  .................  A                 Treat humerus fracture.       2.86      3.01      4.25      0.38      6.25      7.49       090
24577..............  .................  A                 Treat humerus fracture.       5.79      5.75      7.51      0.81     12.35     14.11       090
24579..............  .................  A                 Treat humerus fracture.      11.60     10.69        NA      1.62     23.91        NA       090
24582..............  .................  A                 Treat humerus fracture.       8.55      9.72        NA      1.20     19.47        NA       090
24586..............  .................  A                 Treat elbow fracture...      15.21     10.77        NA      2.12     28.10        NA       090
24587..............  .................  A                 Treat elbow fracture...      15.16     10.55        NA      2.14     27.85        NA       090
24600..............  .................  A                 Treat elbow dislocation       4.23      4.70      6.32      0.49      9.42     11.04       090
24605..............  .................  A                 Treat elbow dislocation       5.42      4.75        NA      0.72     10.89        NA       090
24615..............  .................  A                 Treat elbow dislocation       9.42      7.58        NA      1.31     18.31        NA       090
24620..............  .................  A                 Treat elbow fracture...       6.98      6.21        NA      0.90     14.09        NA       090
24635..............  .................  A                 Treat elbow fracture...      13.19     15.10        NA      1.84     30.13        NA       090
24640..............  .................  A                 Treat elbow dislocation       1.20      1.70      3.24      0.11      3.01      4.55       010
24650..............  .................  A                 Treat radius fracture..       2.16      2.65      4.13      0.28      5.09      6.57       090
24655..............  .................  A                 Treat radius fracture..       4.40      4.90      6.70      0.58      9.88     11.68       090
24665..............  .................  A                 Treat radius fracture..       8.14      8.79        NA      1.13     18.06        NA       090
24666..............  .................  A                 Treat radius fracture..       9.49      9.53        NA      1.32     20.34        NA       090
24670..............  .................  A                 Treat ulnar fracture...       2.54      2.85      4.10      0.33      5.72      6.97       090
24675..............  .................  A                 Treat ulnar fracture...       4.72      5.12      6.84      0.65     10.49     12.21       090
24685..............  .................  A                 Treat ulnar fracture...       8.80      9.15        NA      1.23     19.18        NA       090
24800..............  .................  A                 Fusion of elbow joint..      11.20      9.43        NA      1.41     22.04        NA       090
24802..............  .................  A                 Fusion/graft of elbow        13.69     11.22        NA      1.89     26.80        NA       090
                                                           joint.
24900..............  .................  A                 Amputation of upper arm       9.60     10.69        NA      1.18     21.47        NA       090
24920..............  .................  A                 Amputation of upper arm       9.54     12.12        NA      1.22     22.88        NA       090
24925..............  .................  A                 Amputation follow-up          7.07      8.94        NA      0.95     16.96        NA       090
                                                           surgery.
24930..............  .................  A                 Amputation follow-up         10.25     11.17        NA      1.23     22.65        NA       090
                                                           surgery.
24931..............  .................  A                 Amputate upper arm &         12.72     11.41        NA      1.56     25.69        NA       090
                                                           implant.
24935..............  .................  A                 Revision of amputation.      15.56     11.97        NA      1.58     29.11        NA       090
24940..............  .................  C                 Revision of upper arm..       0.00      0.00      0.00      0.00      0.00      0.00       090
24999..............  .................  C                 Upper arm/elbow surgery       0.00      0.00      0.00      0.00      0.00      0.00       YYY
25000..............  .................  A                 Incision of tendon            3.38      6.63        NA      0.45     10.46        NA       090
                                                           sheath.
25020..............  .................  A                 Decompression of              5.92     10.41        NA      0.75     17.08        NA       090
                                                           forearm.
25023..............  .................  A                 Decompression of             12.96     16.09        NA      1.50     30.55        NA       090
                                                           forearm.
25028..............  .................  A                 Drainage of forearm           5.25      9.40        NA      0.61     15.26        NA       090
                                                           lesion.
25031..............  .................  A                 Drainage of forearm           4.14      9.13        NA      0.50     13.77        NA       090
                                                           bursa.
25035..............  .................  A                 Treat forearm bone            7.36     15.24        NA      0.98     23.58        NA       090
                                                           lesion.
25040..............  .................  A                 Explore/treat wrist           7.18      8.62        NA      0.96     16.76        NA       090
                                                           joint.
25065..............  .................  A                 Biopsy forearm soft           1.99      2.42      2.42      0.12      4.53      4.53       010
                                                           tissues.
25066..............  .................  A                 Biopsy forearm soft           4.13      7.44        NA      0.49     12.06        NA       090
                                                           tissues.
25075..............  .................  A                 Removal of forearm            3.74      6.93        NA      0.40     11.07        NA       090
                                                           lesion.
25076..............  .................  A                 Removal of forearm            4.92     11.70        NA      0.59     17.21        NA       090
                                                           lesion.
25077..............  .................  A                 Remove tumor, forearm/        9.76     15.47        NA      1.10     26.33        NA       090
                                                           wrist.
25085..............  .................  A                 Incision of wrist             5.50      9.97        NA      0.71     16.18        NA       090
                                                           capsule.
25100..............  .................  A                 Biopsy of wrist joint..       3.90      6.70        NA      0.50     11.10        NA       090
25101..............  .................  A                 Explore/treat wrist           4.69      7.29        NA      0.60     12.58        NA       090
                                                           joint.
25105..............  .................  A                 Remove wrist joint            5.85     10.15        NA      0.77     16.77        NA       090
                                                           lining.
25107..............  .................  A                 Remove wrist joint            6.43     10.29        NA      0.82     17.54        NA       090
                                                           cartilage.
25110..............  .................  A                 Remove wrist tendon           3.92      7.83        NA      0.48     12.23        NA       090
                                                           lesion.
25111..............  .................  A                 Remove wrist tendon           3.39      6.12        NA      0.42      9.93        NA       090
                                                           lesion.
25112..............  .................  A                 Reremove wrist tendon         4.53      7.02        NA      0.54     12.09        NA       090
                                                           lesion.
25115..............  .................  A                 Remove wrist/forearm          8.82     15.64        NA      1.11     25.57        NA       090
                                                           lesion.
25116..............  .................  A                 Remove wrist/forearm          7.11     14.57        NA      0.90     22.58        NA       090
                                                           lesion.
25118..............  .................  A                 Excise wrist tendon           4.37      7.29        NA      0.55     12.21        NA       090
                                                           sheath.
25119..............  .................  A                 Partial removal of ulna       6.04     10.04        NA      0.80     16.88        NA       090
25120..............  .................  A                 Removal of forearm            6.10     13.32        NA      0.81     20.23        NA       090
                                                           lesion.
25125..............  .................  A                 Remove/graft forearm          7.48     14.60        NA      1.02     23.10        NA       090
                                                           lesion.
25126..............  .................  A                 Remove/graft forearm          7.55     13.98        NA      1.00     22.53        NA       090
                                                           lesion.
25130..............  .................  A                 Removal of wrist lesion       5.26      7.58        NA      0.66     13.50        NA       090
25135..............  .................  A                 Remove & graft wrist          6.89      8.35        NA      0.89     16.13        NA       090
                                                           lesion.
25136..............  .................  A                 Remove & graft wrist          5.97      6.45        NA      0.58     13.00        NA       090
                                                           lesion.
25145..............  .................  A                 Remove forearm bone           6.37     14.15        NA      0.82     21.34        NA       090
                                                           lesion.
25150..............  .................  A                 Partial removal of ulna       7.09     11.10        NA      0.96     19.15        NA       090
25151..............  .................  A                 Partial removal of            7.39     13.87        NA      0.93     22.19        NA       090
                                                           radius.
25170..............  .................  A                 Extensive forearm            11.09     16.11        NA      1.52     28.72        NA       090
                                                           surgery.
25210..............  .................  A                 Removal of wrist bone..       5.95      8.13        NA      0.73     14.81        NA       090
25215..............  .................  A                 Removal of wrist bones.       7.89     11.22        NA      1.02     20.13        NA       090
25230..............  .................  A                 Partial removal of            5.23      7.50        NA      0.66     13.39        NA       090
                                                           radius.
25240..............  .................  A                 Partial removal of ulna       5.17      9.65        NA      0.69     15.51        NA       090
25246..............  .................  A                 Injection for wrist x-        1.45      0.51     10.21      0.07      2.03     11.73       000
                                                           ray.
25248..............  .................  A                 Remove forearm foreign        5.14      9.18        NA      0.54     14.86        NA       090
                                                           body.
25250..............  .................  A                 Removal of wrist              6.60      8.22        NA      0.84     15.66        NA       090
                                                           prosthesis.
25251..............  .................  A                 Removal of wrist              9.57     11.59        NA      1.15     22.31        NA       090
                                                           prosthesis.
25260..............  .................  A                 Repair forearm tendon/        7.80     15.87        NA      0.97     24.64        NA       090
                                                           muscle.
25263..............  .................  A                 Repair forearm tendon/        7.82     15.18        NA      0.94     23.94        NA       090
                                                           muscle.

[[Page 40421]]

 
25265..............  .................  A                 Repair forearm tendon/        9.88     15.91        NA      1.19     26.98        NA       090
                                                           muscle.
25270..............  .................  A                 Repair forearm tendon/        6.00     14.75        NA      0.76     21.51        NA       090
                                                           muscle.
25272..............  .................  A                 Repair forearm tendon/        7.04     15.38        NA      0.89     23.31        NA       090
                                                           muscle.
25274..............  .................  A                 Repair forearm tendon/        8.75     15.08        NA      1.11     24.94        NA       090
                                                           muscle.
25280..............  .................  A                 Revise wrist/forearm          7.22     14.41        NA      0.91     22.54        NA       090
                                                           tendon.
25290..............  .................  A                 Incise wrist/forearm          5.29     16.27        NA      0.66     22.22        NA       090
                                                           tendon.
25295..............  .................  A                 Release wrist/forearm         6.55     14.17        NA      0.84     21.56        NA       090
                                                           tendon.
25300..............  .................  A                 Fusion of tendons at          8.80      9.65        NA      1.07     19.52        NA       090
                                                           wrist.
25301..............  .................  A                 Fusion of tendons at          8.40      9.34        NA      1.08     18.82        NA       090
                                                           wrist.
25310..............  .................  A                 Transplant forearm            8.14     14.69        NA      1.01     23.84        NA       090
                                                           tendon.
25312..............  .................  A                 Transplant forearm            9.57     15.68        NA      1.22     26.47        NA       090
                                                           tendon.
25315..............  .................  A                 Revise palsy hand            10.20     16.52        NA      1.26     27.98        NA       090
                                                           tendon(s).
25316..............  .................  A                 Revise palsy hand            12.33     17.21        NA      1.74     31.28        NA       090
                                                           tendon(s).
25320..............  .................  A                 Repair/revise wrist          10.77     10.80        NA      1.32     22.89        NA       090
                                                           joint.
25332..............  .................  A                 Revise wrist joint.....      11.41     11.30        NA      1.46     24.17        NA       090
25335..............  .................  A                 Realignment of hand....      12.88     13.40        NA      1.66     27.94        NA       090
25337..............  .................  A                 Reconstruct ulna/            10.17     12.46        NA      1.31     23.94        NA       090
                                                           radioulnar.
25350..............  .................  A                 Revision of radius.....       8.78     14.90        NA      1.17     24.85        NA       090
25355..............  .................  A                 Revision of radius.....      10.17     15.98        NA      1.44     27.59        NA       090
25360..............  .................  A                 Revision of ulna.......       8.43     15.02        NA      1.17     24.62        NA       090
25365..............  .................  A                 Revise radius & ulna...      12.40     16.38        NA      1.67     30.45        NA       090
25370..............  .................  A                 Revise radius or ulna..      13.36     17.87        NA      1.88     33.11        NA       090
25375..............  .................  A                 Revise radius & ulna...      13.04     17.69        NA      1.84     32.57        NA       090
25390..............  .................  A                 Shorten radius or ulna.      10.40     15.98        NA      1.38     27.76        NA       090
25391..............  .................  A                 Lengthen radius or ulna      13.65     17.30        NA      1.73     32.68        NA       090
25392..............  .................  A                 Shorten radius & ulna..      13.95     16.70        NA      1.73     32.38        NA       090
25393..............  .................  A                 Lengthen radius & ulna.      15.87     16.87        NA      1.87     34.61        NA       090
25400..............  .................  A                 Repair radius or ulna..      10.92     16.14        NA      1.50     28.56        NA       090
25405..............  .................  A                 Repair/graft radius or       14.38     18.44        NA      1.95     34.77        NA       090
                                                           ulna.
25415..............  .................  A                 Repair radius & ulna...      13.35     17.54        NA      1.87     32.76        NA       090
25420..............  .................  A                 Repair/graft radius &        16.33     19.34        NA      2.20     37.87        NA       090
                                                           ulna.
25425..............  .................  A                 Repair/graft radius or       13.21     24.49        NA      1.61     39.31        NA       090
                                                           ulna.
25426..............  .................  A                 Repair/graft radius &        15.82     19.57        NA      2.23     37.62        NA       090
                                                           ulna.
25440..............  .................  A                 Repair/graft wrist bone      10.44     10.49        NA      1.41     22.34        NA       090
25441..............  .................  A                 Reconstruct wrist joint      12.90     11.56        NA      1.83     26.29        NA       090
25442..............  .................  A                 Reconstruct wrist joint      10.85     10.66        NA      1.24     22.75        NA       090
25443..............  .................  A                 Reconstruct wrist joint      10.39     14.76        NA      1.30     26.45        NA       090
25444..............  .................  A                 Reconstruct wrist joint      11.15     12.37        NA      1.43     24.95        NA       090
25445..............  .................  A                 Reconstruct wrist joint       9.69     12.45        NA      1.26     23.40        NA       090
25446..............  .................  A                 Wrist replacement......      16.55     13.94        NA      2.20     32.69        NA       090
25447..............  .................  A                 Repair wrist joint(s)..      10.37     10.50        NA      1.34     22.21        NA       090
25449..............  .................  A                 Remove wrist joint           14.49     14.77        NA      1.77     31.03        NA       090
                                                           implant.
25450..............  .................  A                 Revision of wrist joint       7.87     11.88        NA      0.88     20.63        NA       090
25455..............  .................  A                 Revision of wrist joint       9.49     11.30        NA      1.07     21.86        NA       090
25490..............  .................  A                 Reinforce radius.......       9.54     15.04        NA      1.19     25.77        NA       090
25491..............  .................  A                 Reinforce ulna.........       9.96     15.44        NA      1.41     26.81        NA       090
25492..............  .................  A                 Reinforce radius and         12.33     14.22        NA      1.62     28.17        NA       090
                                                           ulna.
25500..............  .................  A                 Treat fracture of             2.45      2.73      3.94      0.28      5.46      6.67       090
                                                           radius.
25505..............  .................  A                 Treat fracture of             5.21      5.33      7.08      0.69     11.23     12.98       090
                                                           radius.
25515..............  .................  A                 Treat fracture of             9.18      9.26        NA      1.22     19.66        NA       090
                                                           radius.
25520..............  .................  A                 Treat fracture of             6.26      6.01      7.39      0.85     13.12     14.50       090
                                                           radius.
25525..............  .................  A                 Treat fracture of            12.24     11.02        NA      1.68     24.94        NA       090
                                                           radius.
25526..............  .................  A                 Treat fracture of            12.98     14.20        NA      1.80     28.98        NA       090
                                                           radius.
25530..............  .................  A                 Treat fracture of ulna.       2.09      2.64      3.82      0.27      5.00      6.18       090
25535..............  .................  A                 Treat fracture of ulna.       5.14      5.29      7.08      0.68     11.11     12.90       090
25545..............  .................  A                 Treat fracture of ulna.       8.90      9.22        NA      1.23     19.35        NA       090
25560..............  .................  A                 Treat fracture radius &       2.44      2.69      3.94      0.27      5.40      6.65       090
                                                           ulna.
25565..............  .................  A                 Treat fracture radius &       5.63      5.55      7.34      0.76     11.94     13.73       090
                                                           ulna.
25574..............  .................  A                 Treat fracture radius &       7.01      8.12        NA      0.96     16.09        NA       090
                                                           ulna.
25575..............  .................  A                 Treat fracture radius/       10.45     10.09        NA      1.46     22.00        NA       090
                                                           ulna.
25600..............  .................  A                 Treat fracture radius/        2.63      2.85      4.13      0.34      5.82      7.10       090
                                                           ulna.
25605..............  .................  A                 Treat fracture radius/        5.81      5.73      7.51      0.81     12.35     14.13       090
                                                           ulna.
25611..............  .................  A                 Treat fracture radius/        7.77      9.27        NA      1.08     18.12        NA       090
                                                           ulna.
5620...............  .................  A                 Treat fracture radius/        8.55      9.03        NA      1.17     18.75        NA       090
                                                           ulna.
25622..............  .................  A                 Treat wrist bone              2.61      2.83      4.11      0.33      5.77      7.05       090
                                                           fracture.
25624..............  .................  A                 Treat wrist bone              4.53      4.98      6.72      0.61     10.12     11.86       090
                                                           fracture.
25628..............  .................  A                 Treat wrist bone              8.43      9.15        NA      1.14     18.72        NA       090
                                                           fracture.
25630..............  .................  A                 Treat wrist bone              2.88      2.93      4.26      0.37      6.18      7.51       090
                                                           fracture.
25635..............  .................  A                 Treat wrist bone              4.39      4.05      6.78      0.39      8.83     11.56       090
                                                           fracture.
25645..............  .................  A                 Treat wrist bone              7.25      9.29        NA      0.93     17.47        NA       090
                                                           fracture.
25650..............  .................  A                 Treat wrist bone              3.05      2.96      4.36      0.37      6.38      7.78       090
                                                           fracture.
25660..............  .................  A                 Treat wrist dislocation       4.76      5.14        NA      0.59     10.49        NA       090
25670..............  .................  A                 Treat wrist dislocation       7.92      8.94        NA      1.07     17.93        NA       090
25675..............  .................  A                 Treat wrist dislocation       4.67      4.90      6.75      0.57     10.14     11.99       090

[[Page 40422]]

 
25676..............  .................  A                 Treat wrist dislocation       8.04      8.99        NA      1.10     18.13        NA       090
25680..............  .................  A                 Treat wrist fracture...       5.99      6.13        NA      0.61     12.73        NA       090
25685..............  .................  A                 Treat wrist fracture...       9.78      9.62        NA      1.25     20.65        NA       090
25690..............  .................  A                 Treat wrist dislocation       5.50      6.50        NA      0.78     12.78        NA       090
25695..............  .................  A                 Treat wrist dislocation       8.34      8.92        NA      1.07     18.33        NA       090
25800..............  .................  A                 Fusion of wrist joint..       9.76     10.06        NA      1.30     21.12        NA       090
25805..............  .................  A                 Fusion/graft of wrist        11.28     11.01        NA      1.51     23.80        NA       090
                                                           joint.
25810..............  .................  A                 Fusion/graft of wrist        10.57     10.56        NA      1.37     22.50        NA       090
                                                           joint.
25820..............  .................  A                 Fusion of hand bones...       7.45      8.83        NA      0.96     17.24        NA       090
25825..............  .................  A                 Fuse hand bones with          9.27      9.90        NA      1.20     20.37        NA       090
                                                           graft.
25830..............  .................  A                 Fusion, radioulnar jnt/      10.06     15.03        NA      1.27     26.36        NA       090
                                                           ulna.
25900..............  .................  A                 Amputation of forearm..       9.01     13.44        NA      1.08     23.53        NA       090
25905..............  .................  A                 Amputation of forearm..       9.12     15.44        NA      1.06     25.62        NA       090
25907..............  .................  A                 Amputation follow-up          7.80     13.37        NA      1.01     22.18        NA       090
                                                           surgery.
25909..............  .................  A                 Amputation follow-up          8.96     15.46        NA      1.07     25.49        NA       090
                                                           surgery.
25915..............  .................  A                 Amputation of forearm..      17.08     20.29        NA      2.41     39.78        NA       090
25920..............  .................  A                 Amputate hand at wrist.       8.68      9.45        NA      1.06     19.19        NA       090
25922..............  .................  A                 Amputate hand at wrist.       7.42      8.61        NA      0.93     16.96        NA       090
25924..............  .................  A                 Amputation follow-up          8.46      9.25        NA      1.07     18.78        NA       090
                                                           surgery.
25927..............  .................  A                 Amputation of hand.....       8.80     13.77        NA      1.02     23.59        NA       090
25929..............  .................  A                 Amputation follow-up          7.59      6.66        NA      0.89     15.14        NA       090
                                                           surgery.
25931..............  .................  A                 Amputation follow-up          7.81     13.86        NA      0.88     22.55        NA       090
                                                           surgery.
25999..............  .................  C                 Forearm or wrist              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           surgery.
26010..............  .................  A                 Drainage of finger            1.54      3.50      4.85      0.14      5.18      6.53       010
                                                           abscess.
26011..............  .................  A                 Drainage of finger            2.19      5.80      6.86      0.25      8.24      9.30       010
                                                           abscess.
26020..............  .................  A                 Drain hand tendon             4.67     11.73        NA      0.59     16.99        NA       090
                                                           sheath.
26025..............  .................  A                 Drainage of palm bursa.       4.82     11.93        NA      0.60     17.35        NA       090
26030..............  .................  A                 Drainage of palm              5.93     12.37        NA      0.72     19.02        NA       090
                                                           bursa(s).
26034..............  .................  A                 Treat hand bone lesion.       6.23     13.53        NA      0.79     20.55        NA       090
26035..............  .................  A                 Decompress fingers/hand       9.51     15.47        NA      1.12     26.10        NA       090
26037..............  .................  A                 Decompress fingers/hand       7.25     11.90        NA      0.87     20.02        NA       090
26040..............  .................  A                 Release palm                  3.33     11.30        NA      0.45     15.08        NA       090
                                                           contracture.
26045..............  .................  A                 Release palm                  5.56     12.48        NA      0.74     18.78        NA       090
                                                           contracture.
26055..............  .................  A                 Incise finger tendon          2.69      6.82      7.13      0.36      9.87     10.18       090
                                                           sheath.
26060..............  .................  A                 Incision of finger            2.81      6.75        NA      0.35      9.91        NA       090
                                                           tendon.
26070..............  .................  A                 Explore/treat hand            3.69     10.47        NA      0.35     14.51        NA       090
                                                           joint.
26075..............  .................  A                 Explore/treat finger          3.79     11.05        NA      0.40     15.24        NA       090
                                                           joint.
26080..............  .................  A                 Explore/treat finger          4.24     11.75        NA      0.52     16.51        NA       090
                                                           joint.
26100..............  .................  A                 Biopsy hand joint             3.67      7.53        NA      0.45     11.65        NA       090
                                                           lining.
26105..............  .................  A                 Biopsy finger joint           3.71     10.82        NA      0.45     14.98        NA       090
                                                           lining.
26110..............  .................  A                 Biopsy finger joint           3.53     10.83        NA      0.44     14.80        NA       090
                                                           lining.
26115..............  .................  A                 Removal of hand lesion.       3.86      7.37      7.37      0.48     11.71     11.71       090
26116..............  .................  A                 Removal of hand lesion.       5.53     12.40        NA      0.69     18.62        NA       090
26117..............  .................  A                 Remove tumor, hand/           8.55     14.68        NA      1.01     24.24        NA       090
                                                           finger.
26121..............  .................  A                 Release palm                  7.54     14.45        NA      0.94     22.93        NA       090
                                                           contracture.
26123..............  .................  A                 Release palm                  9.29     15.42        NA      1.17     25.88        NA       090
                                                           contracture.
26125..............  .................  A                 Release palm                  4.61      2.58        NA      0.57      7.76        NA       ZZZ
                                                           contracture.
26130..............  .................  A                 Remove wrist joint            5.42     15.08        NA      0.65     21.15        NA       090
                                                           lining.
26135..............  .................  A                 Revise finger joint,          6.96     15.66        NA      0.87     23.49        NA       090
                                                           each.
26140..............  .................  A                 Revise finger joint,          6.17     14.55        NA      0.76     21.48        NA       090
                                                           each.
26145..............  .................  A                 Tendon excision, palm/        6.32     14.53        NA      0.77     21.62        NA       090
                                                           finger.
26160..............  .................  A                 Remove tendon sheath          3.15      7.07      7.42      0.39     10.61     10.96       090
                                                           lesion.
26170..............  .................  A                 Removal of palm tendon,       4.77      8.10        NA      0.60     13.47        NA       090
                                                           each.
26180..............  .................  A                 Removal of finger             5.18      7.90        NA      0.64     13.72        NA       090
                                                           tendon.
26185..............  .................  A                 Remove finger bone.....       5.25      8.47        NA      0.67     14.39        NA       090
26200..............  .................  A                 Remove hand bone lesion       5.51     12.49        NA      0.71     18.71        NA       090
26205..............  .................  A                 Remove/graft bone             7.70     14.21        NA      0.95     22.86        NA       090
                                                           lesion.
26210..............  .................  A                 Removal of finger             5.15     13.15        NA      0.64     18.94        NA       090
                                                           lesion.
26215..............  .................  A                 Remove/graft finger           7.10     13.64        NA      0.77     21.51        NA       090
                                                           lesion.
26230..............  .................  A                 Partial removal of hand       6.33     11.95        NA      0.84     19.12        NA       090
                                                           bone.
26235..............  .................  A                 Partial removal, finger       6.19     11.60        NA      0.78     18.57        NA       090
                                                           bone.
26236..............  .................  A                 Partial removal, finger       5.32     11.50        NA      0.66     17.48        NA       090
                                                           bone.
26250..............  .................  A                 Extensive hand surgery.       7.55     16.17        NA      0.92     24.64        NA       090
26255..............  .................  A                 Extensive hand surgery.      12.43     17.40        NA      1.05     30.88        NA       090
26260..............  .................  A                 Extensive finger              7.03     16.10        NA      0.83     23.96        NA       090
                                                           surgery.
26261..............  .................  A                 Extensive finger              9.09     17.27        NA      0.84     27.20        NA       090
                                                           surgery.
26262..............  .................  A                 Partial removal of            5.67     13.02        NA      0.70     19.39        NA       090
                                                           finger.
26320..............  .................  A                 Removal of implant from       3.98     11.90        NA      0.49     16.37        NA       090
                                                           hand.
26350..............  .................  A                 Repair finger/hand            5.99     18.44        NA      0.73     25.16        NA       090
                                                           tendon.
26352..............  .................  A                 Repair/graft hand             7.68     17.73        NA      0.93     26.34        NA       090
                                                           tendon.
26356..............  .................  A                 Repair finger/hand            8.07     19.76        NA      0.99     28.82        NA       090
                                                           tendon.
26357..............  .................  A                 Repair finger/hand            8.58     19.18        NA      1.02     28.78        NA       090
                                                           tendon.
26358..............  .................  A                 Repair/graft hand             9.14     18.83        NA      1.07     29.04        NA       090
                                                           tendon.
26370..............  .................  A                 Repair finger/hand            7.11     18.97        NA      0.90     26.98        NA       090
                                                           tendon.

[[Page 40423]]

 
26372..............  .................  A                 Repair/graft hand             8.76     19.04        NA      1.06     28.86        NA       090
                                                           tendon.
26373..............  .................  A                 Repair finger/hand            8.16     21.85        NA      0.98     30.99        NA       090
                                                           tendon.
26390..............  .................  A                 Revise hand/finger            9.19     14.73        NA      1.09     25.01        NA       090
                                                           tendon.
26392..............  .................  A                 Repair/graft hand            10.26     20.11        NA      1.26     31.63        NA       090
                                                           tendon.
26410..............  .................  A                 Repair hand tendon.....       4.63     14.73        NA      0.57     19.93        NA       090
26412..............  .................  A                 Repair/graft hand             6.31     15.14        NA      0.80     22.25        NA       090
                                                           tendon.
26415..............  .................  A                 Excision, hand/finger         8.34     14.78        NA      0.77     23.89        NA       090
                                                           tendon.
26416..............  .................  A                 Graft hand or finger          9.37     15.98        NA      1.20     26.55        NA       090
                                                           tendon.
26418..............  .................  A                 Repair finger tendon...       4.25     14.47        NA      0.50     19.22        NA       090
26420..............  .................  A                 Repair/graft finger           6.77     15.94        NA      0.83     23.54        NA       090
                                                           tendon.
26426..............  .................  A                 Repair finger/hand            6.15     15.25        NA      0.77     22.17        NA       090
                                                           tendon.
26428..............  .................  A                 Repair/graft finger           7.21     15.88        NA      0.84     23.93        NA       090
                                                           tendon.
26432..............  .................  A                 Repair finger tendon...       4.02     11.21        NA      0.48     15.71        NA       090
26433..............  .................  A                 Repair finger tendon...       4.56     12.90        NA      0.56     18.02        NA       090
26434..............  .................  A                 Repair/graft finger           6.09     12.26        NA      0.71     19.06        NA       090
                                                           tendon.
26437..............  .................  A                 Realignment of tendons.       5.82     12.65        NA      0.74     19.21        NA       090
26440..............  .................  A                 Release palm/finger           5.02     16.29        NA      0.62     21.93        NA       090
                                                           tendon.
26442..............  .................  A                 Release palm & finger         8.16     18.65        NA      0.94     27.75        NA       090
                                                           tendon.
26445..............  .................  A                 Release hand/finger           4.31     16.15        NA      0.54     21.00        NA       090
                                                           tendon.
26449..............  .................  A                 Release forearm/hand          7.00     16.93        NA      0.84     24.77        NA       090
                                                           tendon.
26450..............  .................  A                 Incision of palm tendon       3.67      7.35        NA      0.46     11.48        NA       090
26455..............  .................  A                 Incision of finger            3.64      7.62        NA      0.47     11.73        NA       090
                                                           tendon.
26460..............  .................  A                 Incise hand/finger            3.46      7.16        NA      0.44     11.06        NA       090
                                                           tendon.
26471..............  .................  A                 Fusion of finger              5.73     12.60        NA      0.73     19.06        NA       090
                                                           tendons.
26474..............  .................  A                 Fusion of finger              5.32     12.98        NA      0.69     18.99        NA       090
                                                           tendons.
26476..............  .................  A                 Tendon lengthening.....       5.18     13.01        NA      0.62     18.81        NA       090
26477..............  .................  A                 Tendon shortening......       5.15     12.42        NA      0.60     18.17        NA       090
26478..............  .................  A                 Lengthening of hand           5.80     12.68        NA      0.77     19.25        NA       090
                                                           tendon.
26479..............  .................  A                 Shortening of hand            5.74     12.93        NA      0.76     19.43        NA       090
                                                           tendon.
26480..............  .................  A                 Transplant hand tendon.       6.69     17.38        NA      0.84     24.91        NA       090
26483..............  .................  A                 Transplant/graft hand         8.29     18.21        NA      1.03     27.53        NA       090
                                                           tendon.
26485..............  .................  A                 Transplant palm tendon.       7.70     17.29        NA      0.94     25.93        NA       090
26489..............  .................  A                 Transplant/graft palm         9.55     16.81        NA      0.98     27.34        NA       090
                                                           tendon.
26490..............  .................  A                 Revise thumb tendon....       8.41     13.89        NA      1.05     23.35        NA       090
26492..............  .................  A                 Tendon transfer with          9.62     15.06        NA      1.19     25.87        NA       090
                                                           graft.
26494..............  .................  A                 Hand tendon/muscle            8.47     14.39        NA      1.13     23.99        NA       090
                                                           transfer.
26496..............  .................  A                 Revise thumb tendon....       9.59     14.31        NA      1.17     25.07        NA       090
26497..............  .................  A                 Finger tendon transfer.       9.57     14.56        NA      1.17     25.30        NA       090
26498..............  .................  A                 Finger tendon transfer.      14.00     16.84        NA      1.74     32.58        NA       090
26499..............  .................  A                 Revision of finger.....       8.98     16.21        NA      0.94     26.13        NA       090
26500..............  .................  A                 Hand tendon                   5.96     13.54        NA      0.66     20.16        NA       090
                                                           reconstruction.
26502..............  .................  A                 Hand tendon                   7.14     14.64        NA      0.87     22.65        NA       090
                                                           reconstruction.
26504..............  .................  A                 Hand tendon                   7.47     10.07        NA      0.84     18.38        NA       090
                                                           reconstruction.
26508..............  .................  A                 Release thumb                 6.01     13.31        NA      0.76     20.08        NA       090
                                                           contracture.
26510..............  .................  A                 Thumb tendon transfer..       5.43     12.63        NA      0.71     18.77        NA       090
26516..............  .................  A                 Fusion of knuckle joint       7.15     13.37        NA      0.90     21.42        NA       090
26517..............  .................  A                 Fusion of knuckle             8.83     13.80        NA      0.96     23.59        NA       090
                                                           joints.
26518..............  .................  A                 Fusion of knuckle             9.02     13.39        NA      1.13     23.54        NA       090
                                                           joints.
26520..............  .................  A                 Release knuckle               5.30     16.60        NA      0.65     22.55        NA       090
                                                           contracture.
26525..............  .................  A                 Release finger                5.33     17.02        NA      0.66     23.01        NA       090
                                                           contracture.
26530..............  .................  A                 Revise knuckle joint...       6.69     17.06        NA      0.86     24.61        NA       090
26531..............  .................  A                 Revise knuckle with           7.91     17.47        NA      1.01     26.39        NA       090
                                                           implant.
26535..............  .................  A                 Revise finger joint....       5.24      9.35        NA      0.66     15.25        NA       090
26536..............  .................  A                 Revise/implant finger         6.37     16.17        NA      0.80     23.34        NA       090
                                                           joint.
26540..............  .................  A                 Repair hand joint......       6.43     13.61        NA      0.81     20.85        NA       090
26541..............  .................  A                 Repair hand joint with        8.62     14.98        NA      1.12     24.72        NA       090
                                                           graft.
26542..............  .................  A                 Repair hand joint with        6.78     12.89        NA      0.87     20.54        NA       090
                                                           graft.
26545..............  .................  A                 Reconstruct finger            6.92     14.40        NA      0.79     22.11        NA       090
                                                           joint.
26546..............  .................  A                 Repair nonunion hand...       8.92     14.17        NA      1.14     24.23        NA       090
26548..............  .................  A                 Reconstruct finger            8.03     14.48        NA      0.98     23.49        NA       090
                                                           joint.
26550..............  .................  A                 Construct thumb              21.24     20.44        NA      1.80     43.48        NA       090
                                                           replacement.
26551..............  .................  A                 Great toe-hand transfer      46.58     28.68        NA      6.57     81.83        NA       090
26553..............  .................  A                 Single transfer, toe-        46.27     29.02        NA      1.99     77.28        NA       090
                                                           hand.
26554..............  .................  A                 Double transfer, toe-        54.95     34.09        NA      7.76     96.80        NA       090
                                                           hand.
26555..............  .................  A                 Positional change of         16.63     22.63        NA      2.13     41.39        NA       090
                                                           finger.
26556..............  .................  A                 Toe joint transfer.....      47.26     28.95        NA      6.67     82.88        NA       090
26560..............  .................  A                 Repair of web finger...       5.38     13.36        NA      0.60     19.34        NA       090
26561..............  .................  A                 Repair of web finger...      10.92     14.12        NA      0.69     25.73        NA       090
26562..............  .................  A                 Repair of web finger...      15.00     10.53        NA      0.98     26.51        NA       090
26565..............  .................  A                 Correct metacarpal flaw       6.74     13.32        NA      0.84     20.90        NA       090
26567..............  .................  A                 Correct finger                6.82     13.21        NA      0.84     20.87        NA       090
                                                           deformity.
26568..............  .................  A                 Lengthen metacarpal/          9.08     17.70        NA      1.10     27.88        NA       090
                                                           finger.
26580..............  .................  A                 Repair hand deformity..      18.18     16.51        NA      1.46     36.15        NA       090
26585..............  .................  A                 Repair finger deformity      14.05     14.32        NA      1.08     29.45        NA       090

[[Page 40424]]

 
26587..............  .................  C                 Reconstruct extra             0.00      0.00      0.00      0.00      0.00      0.00       090
                                                           finger.
26590..............  .................  A                 Repair finger deformity      17.96     14.17        NA      1.32     33.45        NA       090
26591..............  .................  A                 Repair muscles of hand.       3.25     13.02        NA      0.37     16.64        NA       090
26593..............  .................  A                 Release muscles of hand       5.31     11.86        NA      0.64     17.81        NA       090
26596..............  .................  A                 Excision constricting         8.95      9.21        NA      0.87     19.03        NA       090
                                                           tissue.
26597..............  .................  A                 Release of scar               9.82     15.51        NA      1.20     26.53        NA       090
                                                           contracture.
26600..............  .................  A                 Treat metacarpal              1.96      2.58      3.76      0.25      4.79      5.97       090
                                                           fracture.
26605..............  .................  A                 Treat metacarpal              2.85      3.98      5.45      0.38      7.21      8.68       090
                                                           fracture.
26607..............  .................  A                 Treat metacarpal              5.36      7.74        NA      0.70     13.80        NA       090
                                                           fracture.
26608..............  .................  A                 Treat metacarpal              5.36      8.10        NA      0.73     14.19        NA       090
                                                           fracture.
26615..............  .................  A                 Treat metacarpal              5.33      7.86        NA      0.70     13.89        NA       090
                                                           fracture.
26641..............  .................  A                 Treat thumb dislocation       3.94      4.53      6.22      0.42      8.89     10.58       090
26645..............  .................  A                 Treat thumb fracture...       4.41      4.91      6.61      0.54      9.86     11.56       090
26650..............  .................  A                 Treat thumb fracture...       5.72      8.28        NA      0.77     14.77        NA       090
26665..............  .................  A                 Treat thumb fracture...       7.60      8.80        NA      0.97     17.37        NA       090
26670..............  .................  A                 Treat hand dislocation.       3.69      4.38      5.78      0.36      8.43      9.83       090
26675..............  .................  A                 Treat hand dislocation.       4.64      4.49      5.64      0.56      9.69     10.84       090
26676..............  .................  A                 Pin hand dislocation...       5.52      8.12        NA      0.76     14.40        NA       090
26685..............  .................  A                 Treat hand dislocation.       6.98      8.29        NA      0.95     16.22        NA       090
26686..............  .................  A                 Treat hand dislocation.       7.94      9.26        NA      1.05     18.25        NA       090
26700..............  .................  A                 Treat knuckle                 3.69      2.84      4.80      0.35      6.88      8.84       090
                                                           dislocation.
26705..............  .................  A                 Treat knuckle                 4.19      4.12      5.79      0.50      8.81     10.48       090
                                                           dislocation.
26706..............  .................  A                 Pin knuckle dislocation       5.12      5.54        NA      0.64     11.30        NA       090
26715..............  .................  A                 Treat knuckle                 5.74      7.97        NA      0.75     14.46        NA       090
                                                           dislocation.
26720..............  .................  A                 Treat finger fracture,        1.66      1.58      2.83      0.20      3.44      4.69       090
                                                           each.
26725..............  .................  A                 Treat finger fracture,        3.33      3.05      4.83      0.43      6.81      8.59       090
                                                           each.
26727..............  .................  A                 Treat finger fracture,        5.23      8.38        NA      0.69     14.30        NA       090
                                                           each.
26735..............  .................  A                 Treat finger fracture,        5.98      8.36        NA      0.77     15.11        NA       090
                                                           each.
26740..............  .................  A                 Treat finger fracture,        1.94      2.43      3.54      0.24      4.61      5.72       090
                                                           each.
26742..............  .................  A                 Treat finger fracture,        3.85      4.93      6.64      0.49      9.27     10.98       090
                                                           each.
26746..............  .................  A                 Treat finger fracture,        5.81      8.51        NA      0.74     15.06        NA       090
                                                           each.
26750..............  .................  A                 Treat finger fracture,        1.70      2.24      3.37      0.19      4.13      5.26       090
                                                           each.
26755..............  .................  A                 Treat finger fracture,        3.10      2.94      4.75      0.37      6.41      8.22       090
                                                           each.
26756..............  .................  A                 Pin finger fracture,          4.39      8.31        NA      0.56     13.26        NA       090
                                                           each.
26765..............  .................  A                 Treat finger fracture,        4.17      7.47        NA      0.51     12.15        NA       090
                                                           each.
26770..............  .................  A                 Treat finger                  3.02      2.57      4.52      0.27      5.86      7.81       090
                                                           dislocation.
26775..............  .................  A                 Treat finger                  3.71      3.79      5.62      0.43      7.93      9.76       090
                                                           dislocation.
26776..............  .................  A                 Pin finger dislocation.       4.80      8.34        NA      0.63     13.77        NA       090
26785..............  .................  A                 Treat finger                  4.21      7.36        NA      0.54     12.11        NA       090
                                                           dislocation.
26820..............  .................  A                 Thumb fusion with graft       8.26     14.74        NA      1.11     24.11        NA       090
26841..............  .................  A                 Fusion of thumb........       7.13     13.62        NA      0.97     21.72        NA       090
26842..............  .................  A                 Thumb fusion with graft       8.24     14.38        NA      1.10     23.72        NA       090
26843..............  .................  A                 Fusion of hand joint...       7.61     13.54        NA      0.99     22.14        NA       090
26844..............  .................  A                 Fusion/graft of hand          8.73     13.97        NA      1.12     23.82        NA       090
                                                           joint.
26850..............  .................  A                 Fusion of knuckle......       6.97     13.04        NA      0.89     20.90        NA       090
26852..............  .................  A                 Fusion of knuckle with        8.46     13.95        NA      1.05     23.46        NA       090
                                                           graft.
26860..............  .................  A                 Fusion of finger joint.       4.69     12.02        NA      0.60     17.31        NA       090
26861..............  .................  A                 Fusion of finger jnt,         1.74      0.98        NA      0.22      2.94        NA       ZZZ
                                                           add-on.
26862..............  .................  A                 Fusion/graft of finger        7.37     13.58        NA      0.92     21.87        NA       090
                                                           joint.
26863..............  .................  A                 Fuse/graft added joint.       3.90      2.21        NA      0.51      6.62        NA       ZZZ
26910..............  .................  A                 Amputate metacarpal           7.60     13.34        NA      0.90     21.84        NA       090
                                                           bone.
26951..............  .................  A                 Amputation of finger/         4.59     11.90        NA      0.56     17.05        NA       090
                                                           thumb.
26952..............  .................  A                 Amputation of finger/         6.31     13.26        NA      0.74     20.31        NA       090
                                                           thumb.
26989..............  .................  C                 Hand/finger surgery....       0.00      0.00      0.00      0.00      0.00      0.00       YYY
26990..............  .................  A                 Drainage of pelvis            7.48     14.75        NA      0.92     23.15        NA       090
                                                           lesion.
26991..............  .................  A                 Drainage of pelvis            6.68      9.26     10.55      0.85     16.79     18.08       090
                                                           bursa.
26992..............  .................  A                 Drainage of bone lesion      13.02     18.66        NA      1.75     33.43        NA       090
27000..............  .................  A                 Incision of hip tendon.       5.62      6.95        NA      0.76     13.33        NA       090
27001..............  .................  A                 Incision of hip tendon.       6.94      7.86        NA      0.95     15.75        NA       090
27003..............  .................  A                 Incision of hip tendon.       7.34      8.49        NA      0.93     16.76        NA       090
27005..............  .................  A                 Incision of hip tendon.       9.66      9.91        NA      1.36     20.93        NA       090
27006..............  .................  A                 Incision of hip tendons       9.68      9.86        NA      1.33     20.87        NA       090
27025..............  .................  A                 Incision of hip/thigh        11.16      9.72        NA      1.38     22.26        NA       090
                                                           fascia.
27030..............  .................  A                 Drainage of hip joint..      13.01     11.78        NA      1.81     26.60        NA       090
27033..............  .................  A                 Exploration of hip           13.39     11.95        NA      1.87     27.21        NA       090
                                                           joint.
27035..............  .................  A                 Denervation of hip           16.69     16.51        NA      1.70     34.90        NA       090
                                                           joint.
27036..............  .................  A                 Excision of hip joint/       12.88     13.14        NA      1.80     27.82        NA       090
                                                           muscle.
27040..............  .................  A                 Biopsy of soft tissues.       2.87      3.82      5.89      0.21      6.90      8.97       010
27041..............  .................  A                 Biopsy of soft tissues.       9.89      8.34        NA      1.01     19.24        NA       090
27047..............  .................  A                 Remove hip/pelvis             7.45      6.95      9.43      0.79     15.19     17.67       090
                                                           lesion.
27048..............  .................  A                 Remove hip/pelvis             6.25      7.67        NA      0.73     14.65        NA       090
                                                           lesion.
27049..............  .................  A                 Remove tumor, hip/           13.66     12.98        NA      1.60     28.24        NA       090
                                                           pelvis.
27050..............  .................  A                 Biopsy of sacroiliac          4.36      6.53        NA      0.53     11.42        NA       090
                                                           joint.
27052..............  .................  A                 Biopsy of hip joint....       6.23      7.72        NA      0.85     14.80        NA       090

[[Page 40425]]

 
27054..............  .................  A                 Removal of hip joint          8.54     10.02        NA      1.17     19.73        NA       090
                                                           lining.
27060..............  .................  A                 Removal of ischial            5.43      7.97        NA      0.60     14.00        NA       090
                                                           bursa.
27062..............  .................  A                 Remove femur lesion/          5.37      6.79        NA      0.74     12.90        NA       090
                                                           bursa.
27065..............  .................  A                 Removal of hip bone           5.90      8.03        NA      0.76     14.69        NA       090
                                                           lesion.
27066..............  .................  A                 Removal of hip bone          10.33     11.61        NA      1.42     23.36        NA       090
                                                           lesion.
27067..............  .................  A                 Remove/graft hip bone        13.83     13.58        NA      1.95     29.36        NA       090
                                                           lesion.
27070..............  .................  A                 Partial removal of hip       10.72     16.17        NA      1.36     28.25        NA       090
                                                           bone.
27071..............  .................  A                 Partial removal of hip       11.46     17.22        NA      1.51     30.19        NA       090
                                                           bone.
27075..............  .................  A                 Extensive hip surgery..      35.00     25.69        NA      2.22     62.91        NA       090
27076..............  .................  A                 Extensive hip surgery..      22.12     19.75        NA      2.86     44.73        NA       090
27077..............  .................  A                 Extensive hip surgery..      40.00     27.07        NA      3.18     70.25        NA       090
27078..............  .................  A                 Extensive hip surgery..      13.44     14.69        NA      1.67     29.80        NA       090
27079..............  .................  A                 Extensive hip surgery..      13.75     14.34        NA      1.86     29.95        NA       090
27080..............  .................  A                 Removal of tail bone...       6.39      7.60        NA      0.80     14.79        NA       090
27086..............  .................  A                 Remove hip foreign body       1.87      3.74      5.20      0.17      5.78      7.24       010
27087..............  .................  A                 Remove hip foreign body       8.54      8.42        NA      1.09     18.05        NA       090
27090..............  .................  A                 Removal of hip               11.15     10.67        NA      1.55     23.37        NA       090
                                                           prosthesis.
27091..............  .................  A                 Removal of hip               22.14     16.83        NA      3.11     42.08        NA       090
                                                           prosthesis.
27093..............  .................  A                 Injection for hip x-ray       1.30      0.51     12.12      0.09      1.90     13.51       000
27095..............  .................  A                 Injection for hip x-ray       1.50      0.52     10.61      0.10      2.12     12.21       000
27096..............  .................  A                 Inject sacroiliac joint       1.40      0.53     11.75      0.08      2.01     13.23       000
27097..............  .................  A                 Revision of hip tendon.       8.80      9.30        NA      1.22     19.32        NA       090
27098..............  .................  A                 Transfer tendon to            8.83      9.47        NA      1.24     19.54        NA       090
                                                           pelvis.
27100..............  .................  A                 Transfer of abdominal        11.08     11.75        NA      1.57     24.40        NA       090
                                                           muscle.
27105..............  .................  A                 Transfer of spinal           11.77     11.80        NA      1.66     25.23        NA       090
                                                           muscle.
27110..............  .................  A                 Transfer of iliopsoas        13.26     11.37        NA      1.38     26.01        NA       090
                                                           muscle.
27111..............  .................  A                 Transfer of iliopsoas        12.15     10.72        NA      1.48     24.35        NA       090
                                                           muscle.
27120..............  .................  A                 Reconstruction of hip        18.01     13.97        NA      2.45     34.43        NA       090
                                                           socket.
27122..............  .................  A                 Reconstruction of hip        14.98     13.58        NA      2.08     30.64        NA       090
                                                           socket.
27125..............  .................  A                 Partial hip replacement      14.69     13.17        NA      2.05     29.91        NA       090
27130..............  .................  A                 Total hip replacement..      20.12     16.33        NA      2.82     39.27        NA       090
27132..............  .................  A                 Total hip replacement..      23.30     18.15        NA      3.26     44.71        NA       090
27134..............  .................  A                 Revise hip joint             28.52     20.90        NA      3.97     53.39        NA       090
                                                           replacement.
27137..............  .................  A                 Revise hip joint             21.17     17.00        NA      2.97     41.14        NA       090
                                                           replacement.
27138..............  .................  A                 Revise hip joint             22.17     17.56        NA      3.11     42.84        NA       090
                                                           replacement.
27140..............  .................  A                 Transplant femur ridge.      12.24     11.37        NA      1.67     25.28        NA       090
27146..............  .................  A                 Incision of hip bone...      17.43     15.10        NA      2.27     34.80        NA       090
27147..............  .................  A                 Revision of hip bone...      20.58     17.18        NA      2.61     40.37        NA       090
27151..............  .................  A                 Incision of hip bones..      22.51     18.88        NA      3.12     44.51        NA       090
27156..............  .................  A                 Revision of hip bones..      24.63     19.71        NA      3.48     47.82        NA       090
27158..............  .................  A                 Revision of pelvis.....      19.74     17.31        NA      2.60     39.65        NA       090
27161..............  .................  A                 Incision of neck of          16.71     13.78        NA      2.32     32.81        NA       090
                                                           femur.
27165..............  .................  A                 Incision/fixation of         17.91     14.34        NA      2.51     34.76        NA       090
                                                           femur.
27170..............  .................  A                 Repair/graft femur head/     16.07     13.42        NA      2.20     31.69        NA       090
                                                           neck.
27175..............  .................  A                 Treat slipped epiphysis       8.46      6.96        NA      1.19     16.61        NA       090
27176..............  .................  A                 Treat slipped epiphysis      12.05      9.79        NA      1.68     23.52        NA       090
27177..............  .................  A                 Treat slipped epiphysis      15.08     11.34        NA      2.11     28.53        NA       090
27178..............  .................  A                 Treat slipped epiphysis      11.99      9.32        NA      1.68     22.99        NA       090
27179..............  .................  A                 Revise head/neck of          12.98      9.67        NA      1.84     24.49        NA       090
                                                           femur.
27181..............  .................  A                 Treat slipped epiphysis      14.68     10.55        NA      1.74     26.97        NA       090
27185..............  .................  A                 Revision of femur             9.18      9.67        NA      1.29     20.14        NA       090
                                                           epiphysis.
27187..............  .................  A                 Reinforce hip bones....      13.54     12.78        NA      1.89     28.21        NA       090
27193..............  .................  A                 Treat pelvic ring             5.56      5.05      6.60      0.77     11.38     12.93       090
                                                           fracture.
27194..............  .................  A                 Treat pelvic ring             9.65      7.32      8.78      1.32     18.29     19.75       090
                                                           fracture.
27200..............  .................  A                 Treat tail bone               1.84      1.71      2.87      0.22      3.77      4.93       090
                                                           fracture.
27202..............  .................  A                 Treat tail bone               7.04     18.71        NA      0.69     26.44        NA       090
                                                           fracture.
27215..............  .................  A                 Treat pelvic                 10.05      9.89        NA      1.37     21.31        NA       090
                                                           fracture(s).
27216..............  .................  A                 Treat pelvic ring            15.19     14.74        NA      2.15     32.08        NA       090
                                                           fracture.
27217..............  .................  A                 Treat pelvic ring            14.11     12.25        NA      1.95     28.31        NA       090
                                                           fracture.
27218..............  .................  A                 Treat pelvic ring            20.15     15.81        NA      2.85     38.81        NA       090
                                                           fracture.
27220..............  .................  A                 Treat hip socket              6.18      5.40      6.94      0.85     12.43     13.97       090
                                                           fracture.
27222..............  .................  A                 Treat hip socket             12.70      9.90        NA      1.77     24.37        NA       090
                                                           fracture.
27226..............  .................  A                 Treat hip wall fracture      14.91     12.77        NA      2.07     29.75        NA       090
27227..............  .................  A                 Treat hip fracture(s)..      23.45     16.93        NA      3.24     43.62        NA       090
27228..............  .................  A                 Treat hip fracture(s)..      27.16     19.17        NA      3.77     50.10        NA       090
27230..............  .................  A                 Treat thigh fracture...       5.50      5.85      7.09      0.73     12.08     13.32       090
27232..............  .................  A                 Treat thigh fracture...      10.68      8.85        NA      1.45     20.98        NA       090
27235..............  .................  A                 Treat thigh fracture...      12.16     10.62        NA      1.71     24.49        NA       090
27236..............  .................  A                 Treat thigh fracture...      15.60     12.35        NA      2.18     30.13        NA       090
27238..............  .................  A                 Treat thigh fracture...       5.52      5.92        NA      0.76     12.20        NA       090
27240..............  .................  A                 Treat thigh fracture...      12.50      9.90        NA      1.69     24.09        NA       090
27244..............  .................  A                 Treat thigh fracture...      15.94     12.60        NA      2.23     30.77        NA       090
27245..............  .................  A                 Treat thigh fracture...      20.31     15.07        NA      2.85     38.23        NA       090
27246..............  .................  A                 Treat thigh fracture...       4.71      5.51      6.73      0.66     10.88     12.10       090

[[Page 40426]]

 
27248..............  .................  A                 Treat thigh fracture...      10.45      9.54        NA      1.45     21.44        NA       090
27250..............  .................  A                 Treat hip dislocation..       6.95      6.09        NA      0.68     13.72        NA       090
27252..............  .................  A                 Treat hip dislocation..      10.39      7.92        NA      1.37     19.68        NA       090
27253..............  .................  A                 Treat hip dislocation..      12.92     10.54        NA      1.81     25.27        NA       090
27254..............  .................  A                 Treat hip dislocation..      18.26     13.72        NA      2.52     34.50        NA       090
27256..............  .................  A                 Treat hip dislocation..       4.12      4.17        NA      0.49      8.78        NA       010
27257..............  .................  A                 Treat hip dislocation..       5.22      4.55        NA      0.56     10.33        NA       010
27258..............  .................  A                 Treat hip dislocation..      15.43     13.02        NA      2.06     30.51        NA       090
27259..............  .................  A                 Treat hip dislocation..      21.55     16.30        NA      2.99     40.84        NA       090
27265..............  .................  A                 Treat hip dislocation..       5.05      5.64        NA      0.65     11.34        NA       090
27266..............  .................  A                 Treat hip dislocation..       7.49      7.06        NA      1.04     15.59        NA       090
27275..............  .................  A                 Manipulation of hip           2.27      3.29        NA      0.31      5.87        NA       010
                                                           joint.
27280..............  .................  A                 Fusion of sacroiliac         13.39     13.42        NA      1.98     28.79        NA       090
                                                           joint.
27282..............  .................  A                 Fusion of pubic bones..      11.34     12.51        NA      1.14     24.99        NA       090
27284..............  .................  A                 Fusion of hip joint....      23.45     18.36        NA      2.36     44.17        NA       090
27286..............  .................  A                 Fusion of hip joint....      16.79     14.57        NA      2.37     33.73        NA       090
27290..............  .................  A                 Amputation of leg at         23.28     16.85        NA      2.94     43.07        NA       090
                                                           hip.
27295..............  .................  A                 Amputation of leg at         18.65     13.93        NA      2.35     34.93        NA       090
                                                           hip.
27299..............  .................  C                 Pelvis/hip joint              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           surgery.
27301..............  .................  A                 Drain thigh/knee lesion       6.49     13.35     15.31      0.80     20.64     22.60       090
27303..............  .................  A                 Drainage of bone lesion       8.28     13.63        NA      1.14     23.05        NA       090
27305..............  .................  A                 Incise thigh tendon &         5.92      8.77        NA      0.77     15.46        NA       090
                                                           fascia.
27306..............  .................  A                 Incision of thigh             4.62      7.05        NA      0.62     12.29        NA       090
                                                           tendon.
27307..............  .................  A                 Incision of thigh             5.80      7.75        NA      0.78     14.33        NA       090
                                                           tendons.
27310..............  .................  A                 Exploration of knee           9.27      9.49        NA      1.29     20.05        NA       090
                                                           joint.
27315..............  .................  A                 Partial removal, thigh        6.97      4.58        NA      0.79     12.34        NA       090
                                                           nerve.
27320..............  .................  A                 Partial removal, thigh        6.30      4.28        NA      0.78     11.36        NA       090
                                                           nerve.
27323..............  .................  A                 Biopsy, thigh soft            2.28      3.34      5.64      0.17      5.79      8.09       010
                                                           tissues.
27324..............  .................  A                 Biopsy, thigh soft            4.90      6.53        NA      0.59     12.02        NA       090
                                                           tissues.
27327..............  .................  A                 Removal of thigh lesion       4.47      6.19      8.40      0.50     11.16     13.37       090
27328..............  .................  A                 Removal of thigh lesion       5.57      6.79        NA      0.66     13.02        NA       090
27329..............  .................  A                 Remove tumor, thigh/         14.14     13.97        NA      1.68     29.79        NA       090
                                                           knee.
27330..............  .................  A                 Biopsy, knee joint            4.97      5.95        NA      0.66     11.58        NA       090
                                                           lining.
27331..............  .................  A                 Explore/treat knee            5.88      7.00        NA      0.81     13.69        NA       090
                                                           joint.
27332..............  .................  A                 Removal of knee               8.27      8.37        NA      1.15     17.79        NA       090
                                                           cartilage.
27333..............  .................  A                 Removal of knee               7.30      7.88        NA      1.03     16.21        NA       090
                                                           cartilage.
27334..............  .................  A                 Remove knee joint             8.70      9.16        NA      1.21     19.07        NA       090
                                                           lining.
27335..............  .................  A                 Remove knee joint            10.00      9.92        NA      1.41     21.33        NA       090
                                                           lining.
27340..............  .................  A                 Removal of kneecap            4.18      5.59        NA      0.58     10.35        NA       090
                                                           bursa.
27345..............  .................  A                 Removal of knee cyst...       5.92      6.92        NA      0.81     13.65        NA       090
27347..............  .................  A                 Remove knee cyst.......       5.78      2.82      2.82      0.76      9.36      9.36       090
27350..............  .................  A                 Removal of kneecap.....       8.17      8.36        NA      1.15     17.68        NA       090
27355..............  .................  A                 Remove femur lesion....       7.65      9.58        NA      1.07     18.30        NA       090
27356..............  .................  A                 Remove femur lesion/          9.48     10.60        NA      1.29     21.37        NA       090
                                                           graft.
27357..............  .................  A                 Remove femur lesion/         10.53     11.14        NA      1.48     23.15        NA       090
                                                           graft.
27358..............  .................  A                 Remove femur lesion/          4.74      2.67        NA      0.67      8.08        NA       ZZZ
                                                           fixation.
27360..............  .................  A                 Partial removal, leg         10.50     16.98        NA      1.42     28.90        NA       090
                                                           bone(s).
27365..............  .................  A                 Extensive leg surgery..      16.27     13.73        NA      2.26     32.26        NA       090
27370..............  .................  A                 Injection for knee x-         0.96      0.34     12.03      0.06      1.36     13.05       000
                                                           ray.
27372..............  .................  A                 Removal of foreign body       5.07      6.07      8.36      0.62     11.76     14.05       090
27380..............  .................  A                 Repair of kneecap             7.16      7.87        NA      1.00     16.03        NA       090
                                                           tendon.
27381..............  .................  A                 Repair/graft kneecap         10.34      9.66        NA      1.44     21.44        NA       090
                                                           tendon.
27385..............  .................  A                 Repair of thigh muscle.       7.76      8.22        NA      1.09     17.07        NA       090
27386..............  .................  A                 Repair/graft of thigh        10.56     10.34        NA      1.49     22.39        NA       090
                                                           muscle.
27390..............  .................  A                 Incision of thigh             5.33      7.26        NA      0.69     13.28        NA       090
                                                           tendon.
27391..............  .................  A                 Incision of thigh             7.20      8.37        NA      0.99     16.56        NA       090
                                                           tendons.
27392..............  .................  A                 Incision of thigh             9.20     10.37        NA      1.23     20.80        NA       090
                                                           tendons.
27393..............  .................  A                 Lengthening of thigh          6.39      7.77        NA      0.90     15.06        NA       090
                                                           tendon.
27394..............  .................  A                 Lengthening of thigh          8.50     10.05        NA      1.17     19.72        NA       090
                                                           tendons.
27395..............  .................  A                 Lengthening of thigh         11.73     12.75        NA      1.63     26.11        NA       090
                                                           tendons.
27396..............  .................  A                 Transplant of thigh           7.86      9.69        NA      1.11     18.66        NA       090
                                                           tendon.
27397..............  .................  A                 Transplants of thigh         11.28     11.12        NA      1.58     23.98        NA       090
                                                           tendons.
27400..............  .................  A                 Revise thigh muscles/         9.02     10.67        NA      1.18     20.87        NA       090
                                                           tendons.
27403..............  .................  A                 Repair of knee                8.33      8.41        NA      1.16     17.90        NA       090
                                                           cartilage.
27405..............  .................  A                 Repair of knee ligament       8.65      9.10        NA      1.21     18.96        NA       090
27407..............  .................  A                 Repair of knee ligament      10.28      9.88        NA      1.38     21.54        NA       090
27409..............  .................  A                 Repair of knee               12.90     11.31        NA      1.75     25.96        NA       090
                                                           ligaments.
27418..............  .................  A                 Repair degenerated           10.85     10.40        NA      1.51     22.76        NA       090
                                                           kneecap.
27420..............  .................  A                 Revision of unstable          9.83      9.29        NA      1.38     20.50        NA       090
                                                           kneecap.
27422..............  .................  A                 Revision of unstable          9.78      9.30        NA      1.37     20.45        NA       090
                                                           kneecap.
27424..............  .................  A                 Revision/removal of           9.81      9.28        NA      1.38     20.47        NA       090
                                                           kneecap.
27425..............  .................  A                 Lateral retinacular           5.22      6.72        NA      0.73     12.67        NA       090
                                                           release.
27427..............  .................  A                 Reconstruction, knee...       9.36      8.94        NA      1.29     19.59        NA       090
27428..............  .................  A                 Reconstruction, knee...      14.00     11.95        NA      1.95     27.90        NA       090

[[Page 40427]]

 
27429..............  .................  A                 Reconstruction, knee...      15.52     12.95        NA      2.18     30.65        NA       090
27430..............  .................  A                 Revision of thigh             9.67      9.29        NA      1.35     20.31        NA       090
                                                           muscles.
27435..............  .................  A                 Incision of knee joint.       9.49      9.21        NA      1.33     20.03        NA       090
27437..............  .................  A                 Revise kneecap.........       8.46      9.35        NA      1.18     18.99        NA       090
27438..............  .................  A                 Revise kneecap with          11.23     10.55        NA      1.56     23.34        NA       090
                                                           implant.
27440..............  .................  A                 Revision of knee joint.      10.43     10.22        NA      1.42     22.07        NA       090
27441..............  .................  A                 Revision of knee joint.      10.82     10.58        NA      1.49     22.89        NA       090
27442..............  .................  A                 Revision of knee joint.      11.89     11.16        NA      1.68     24.73        NA       090
27443..............  .................  A                 Revision of knee joint.      10.93     10.82        NA      1.52     23.27        NA       090
27445..............  .................  A                 Revision of knee joint.      17.68     14.44        NA      2.49     34.61        NA       090
27446..............  .................  A                 Revision of knee joint.      15.84     13.51        NA      2.22     31.57        NA       090
27447..............  .................  A                 Total knee replacement.      21.48     16.57        NA      3.00     41.05        NA       090
27448..............  .................  A                 Incision of thigh......      11.06     11.43        NA      1.51     24.00        NA       090
27450..............  .................  A                 Incision of thigh......      13.98     13.10        NA      1.96     29.04        NA       090
27454..............  .................  A                 Realignment of thigh         17.56     15.15        NA      2.46     35.17        NA       090
                                                           bone.
27455..............  .................  A                 Realignment of knee....      12.82     11.89        NA      1.78     26.49        NA       090
27457..............  .................  A                 Realignment of knee....      13.45     11.16        NA      1.88     26.49        NA       090
27465..............  .................  A                 Shortening of thigh          13.87     13.49        NA      1.86     29.22        NA       090
                                                           bone.
27466..............  .................  A                 Lengthening of thigh         16.33     14.79        NA      1.92     33.04        NA       090
                                                           bone.
27468..............  .................  A                 Shorten/lengthen thighs      18.97     16.66        NA      2.68     38.31        NA       090
27470..............  .................  A                 Repair of thigh........      16.07     15.10        NA      2.24     33.41        NA       090
27472..............  .................  A                 Repair/graft of thigh..      17.72     16.03        NA      2.49     36.24        NA       090
27475..............  .................  A                 Surgery to stop leg           8.64      9.39        NA      1.13     19.16        NA       090
                                                           growth.
27477..............  .................  A                 Surgery to stop leg           9.85      9.25        NA      1.31     20.41        NA       090
                                                           growth.
27479..............  .................  A                 Surgery to stop leg          12.80     10.30        NA      1.81     24.91        NA       090
                                                           growth.
27485..............  .................  A                 Surgery to stop leg           8.84      8.75        NA      1.24     18.83        NA       090
                                                           growth.
27486..............  .................  A                 Revise/replace knee          19.27     15.41        NA      2.70     37.38        NA       090
                                                           joint.
27487..............  .................  A                 Revise/replace knee          25.27     18.75        NA      3.54     47.56        NA       090
                                                           joint.
27488..............  .................  A                 Removal of knee              15.74     13.51        NA      2.21     31.46        NA       090
                                                           prosthesis.
27495..............  .................  A                 Reinforce thigh........      15.55     14.86        NA      2.18     32.59        NA       090
27496..............  .................  A                 Decompression of thigh/       6.11      7.28        NA      0.77     14.16        NA       090
                                                           knee.
27497..............  .................  A                 Decompression of thigh/       7.17      7.52        NA      0.84     15.53        NA       090
                                                           knee.
27498..............  .................  A                 Decompression of thigh/       7.99      8.72        NA      0.97     17.68        NA       090
                                                           knee.
27499..............  .................  A                 Decompression of thigh/       9.00      9.01        NA      1.18     19.19        NA       090
                                                           knee.
27500..............  .................  A                 Treatment of thigh            5.92      7.03      9.03      0.80     13.75     15.75       090
                                                           fracture.
27501..............  .................  A                 Treatment of thigh            5.92      7.95     10.01      0.83     14.70     16.76       090
                                                           fracture.
27502..............  .................  A                 Treatment of thigh           10.58     10.59        NA      1.49     22.66        NA       090
                                                           fracture.
27503..............  .................  A                 Treatment of thigh           10.58     10.58        NA      1.49     22.65        NA       090
                                                           fracture.
27506..............  .................  A                 Treatment of thigh           17.45     13.54        NA      2.33     33.32        NA       090
                                                           fracture.
27507..............  .................  A                 Treatment of thigh           13.99     11.92        NA      1.95     27.86        NA       090
                                                           fracture.
27508..............  .................  A                 Treatment of thigh            5.83      5.13      6.64      0.80     11.76     13.27       090
                                                           fracture.
27509..............  .................  A                 Treatment of thigh            7.71      8.62        NA      1.08     17.41        NA       090
                                                           fracture.
27510..............  .................  A                 Treatment of thigh            9.13      7.02        NA      1.26     17.41        NA       090
                                                           fracture.
27511..............  .................  A                 Treatment of thigh           13.64     12.45        NA      1.91     28.00        NA       090
                                                           fracture.
27513..............  .................  A                 Treatment of thigh           17.92     14.85        NA      2.51     35.28        NA       090
                                                           fracture.
27514..............  .................  A                 Treatment of thigh           17.30     14.31        NA      2.41     34.02        NA       090
                                                           fracture.
27516..............  .................  A                 Treat thigh fx growth         5.37      5.53      7.10      0.74     11.64     13.21       090
                                                           plate.
27517..............  .................  A                 Treat thigh fx growth         8.78      7.49      9.23      1.22     17.49     19.23       090
                                                           plate.
27519..............  .................  A                 Treat thigh fx growth        15.02     12.72        NA      2.09     29.83        NA       090
                                                           plate.
27520..............  .................  A                 Treat kneecap fracture.       2.86      3.50      4.97      0.38      6.74      8.21       090
27524..............  .................  A                 Treat kneecap fracture.      10.00      8.48        NA      1.40     19.88        NA       090
27530..............  .................  A                 Treat knee fracture....       3.78      4.03      5.49      0.51      8.32      9.78       090
27532..............  .................  A                 Treat knee fracture....       7.30      5.58      7.16      1.02     13.90     15.48       090
27535..............  .................  A                 Treat knee fracture....      11.50     11.30        NA      1.61     24.41        NA       090
27536..............  .................  A                 Treat knee fracture....      15.65     11.62        NA      2.19     29.46        NA       090
27538..............  .................  A                 Treat knee fracture(s).       4.87      5.15      6.98      0.67     10.69     12.52       090
27540..............  .................  A                 Treat knee fracture....      13.10     10.02        NA      1.80     24.92        NA       090
27550..............  .................  A                 Treat knee dislocation.       5.76      5.39      6.99      0.68     11.83     13.43       090
27552..............  .................  A                 Treat knee dislocation.       7.90      7.56        NA      1.10     16.56        NA       090
27556..............  .................  A                 Treat knee dislocation.      14.41     13.70        NA      2.01     30.12        NA       090
27557..............  .................  A                 Treat knee dislocation.      16.77     14.90        NA      2.37     34.04        NA       090
27558..............  .................  A                 Treat knee dislocation.      17.72     15.15        NA      2.51     35.38        NA       090
27560..............  .................  A                 Treat kneecap                 3.82      3.73      5.48      0.40      7.95      9.70       090
                                                           dislocation.
27562..............  .................  A                 Treat kneecap                 5.79      5.40        NA      0.69     11.88        NA       090
                                                           dislocation.
27566..............  .................  A                 Treat kneecap                12.23      9.85        NA      1.73     23.81        NA       090
                                                           dislocation.
27570..............  .................  A                 Fixation of knee joint.       1.74      2.97        NA      0.24      4.95        NA       010
27580..............  .................  A                 Fusion of knee.........      19.37     15.82        NA      2.70     37.89        NA       090
27590..............  .................  A                 Amputate leg at thigh..      12.03     12.40        NA      1.35     25.78        NA       090
27591..............  .................  A                 Amputate leg at thigh..      12.68     13.36        NA      1.63     27.67        NA       090
27592..............  .................  A                 Amputate leg at thigh..      10.02     11.90        NA      1.17     23.09        NA       090
27594..............  .................  A                 Amputation follow-up          6.92      8.82        NA      0.82     16.56        NA       090
                                                           surgery.
27596..............  .................  A                 Amputation follow-up         10.60     12.19        NA      1.24     24.03        NA       090
                                                           surgery.
27598..............  .................  A                 Amputate lower leg at        10.53     10.97        NA      1.24     22.74        NA       090
                                                           knee.
27599..............  .................  C                 Leg surgery procedure..       0.00      0.00      0.00      0.00      0.00      0.00       YYY

[[Page 40428]]

 
27600..............  .................  A                 Decompression of lower        5.65      7.81        NA      0.68     14.14        NA       090
                                                           leg.
27601..............  .................  A                 Decompression of lower        5.64      7.17        NA      0.69     13.50        NA       090
                                                           leg.
27602..............  .................  A                 Decompression of lower        7.35      8.12        NA      0.85     16.32        NA       090
                                                           leg.
27603..............  .................  A                 Drain lower leg lesion.       4.94     10.08     15.62      0.56     15.58     21.12       090
27604..............  .................  A                 Drain lower leg bursa..       4.47      7.81     10.69      0.54     12.82     15.70       090
27605..............  .................  A                 Incision of achilles          2.87      3.67      9.73      0.38      6.92     12.98       010
                                                           tendon.
27606..............  .................  A                 Incision of achilles          4.14      4.76     11.66      0.57      9.47     16.37       010
                                                           tendon.
27607..............  .................  A                 Treat lower leg bone          7.97     12.93        NA      1.08     21.98        NA       090
                                                           lesion.
27610..............  .................  A                 Explore/treat ankle           8.34      9.84        NA      1.15     19.33        NA       090
                                                           joint.
27612..............  .................  A                 Exploration of ankle          7.33      7.59        NA      1.01     15.93        NA       090
                                                           joint.
27613..............  .................  A                 Biopsy lower leg soft         2.17      3.13      5.62      0.16      5.46      7.95       010
                                                           tissue.
27614..............  .................  A                 Biopsy lower leg soft         5.66      6.91     11.43      0.62     13.19     17.71       090
                                                           tissue.
27615..............  .................  A                 Remove tumor, lower leg      12.56     17.04        NA      1.39     30.99        NA       090
27618..............  .................  A                 Remove lower leg lesion       5.09      6.46     11.09      0.54     12.09     16.72       090
27619..............  .................  A                 Remove lower leg lesion       8.40      8.95     13.47      1.01     18.36     22.88       090
27620..............  .................  A                 Explore/treat ankle           5.98      7.31        NA      0.83     14.12        NA       090
                                                           joint.
27625..............  .................  A                 Remove ankle joint            8.30      9.15        NA      1.16     18.61        NA       090
                                                           lining.
27626..............  .................  A                 Remove ankle joint            8.91      9.83        NA      1.23     19.97        NA       090
                                                           lining.
27630..............  .................  A                 Removal of tendon             4.80      6.58     11.43      0.60     11.98     16.83       090
                                                           lesion.
27635..............  .................  A                 Remove lower leg bone         7.78     10.35        NA      1.06     19.19        NA       090
                                                           lesion.
27637..............  .................  A                 Remove/graft leg bone         9.85     11.58        NA      1.38     22.81        NA       090
                                                           lesion.
27638..............  .................  A                 Remove/graft leg bone        10.57     12.14        NA      1.47     24.18        NA       090
                                                           lesion.
27640..............  .................  A                 Partial removal of           11.37     17.11        NA      1.54     30.02        NA       090
                                                           tibia.
27641..............  .................  A                 Partial removal of            9.24     14.98        NA      1.22     25.44        NA       090
                                                           fibula.
27645..............  .................  A                 Extensive lower leg          14.17     16.93        NA      1.98     33.08        NA       090
                                                           surgery.
27646..............  .................  A                 Extensive lower leg          12.66     15.65        NA      1.55     29.86        NA       090
                                                           surgery.
27647..............  .................  A                 Extensive ankle/heel         12.24     10.62        NA      1.64     24.50        NA       090
                                                           surgery.
27648..............  .................  A                 Injection for ankle x-        0.96      0.34      9.37      0.05      1.35     10.38       000
                                                           ray.
27650..............  .................  A                 Repair achilles tendon.       9.69      8.97        NA      1.35     20.01        NA       090
27652..............  .................  A                 Repair/graft achilles        10.33      9.31        NA      1.45     21.09        NA       090
                                                           tendon.
27654..............  .................  A                 Repair of achilles           10.02      9.60        NA      1.41     21.03        NA       090
                                                           tendon.
27656..............  .................  A                 Repair leg fascia             4.57      6.11     12.80      0.48     11.16     17.85       090
                                                           defect.
27658..............  .................  A                 Repair of leg tendon,         4.98      8.27     14.26      0.68     13.93     19.92       090
                                                           each.
27659..............  .................  A                 Repair of leg tendon,         6.81      9.22     16.82      0.96     16.99     24.59       090
                                                           each.
27664..............  .................  A                 Repair of leg tendon,         4.59      8.23     12.05      0.63     13.45     17.27       090
                                                           each.
27665..............  .................  A                 Repair of leg tendon,         5.40      8.39     13.42      0.75     14.54     19.57       090
                                                           each.
27675..............  .................  A                 Repair lower leg              7.18      7.46        NA      1.01     15.65        NA       090
                                                           tendons.
27676..............  .................  A                 Repair lower leg              8.42      8.74        NA      1.15     18.31        NA       090
                                                           tendons.
27680..............  .................  A                 Release of lower leg          5.74      7.47        NA      0.80     14.01        NA       090
                                                           tendon.
27681..............  .................  A                 Release of lower leg          6.82      7.51        NA      0.92     15.25        NA       090
                                                           tendons.
27685..............  .................  A                 Revision of lower leg         6.50      7.69     10.30      0.91     15.10     17.71       090
                                                           tendon.
27686..............  .................  A                 Revise lower leg              7.46      9.22     16.33      1.05     17.73     24.84       090
                                                           tendons.
27687..............  .................  A                 Revision of calf tendon       6.24      7.78        NA      0.88     14.90        NA       090
27690..............  .................  A                 Revise lower leg tendon       8.71      8.75        NA      1.22     18.68        NA       090
27691..............  .................  A                 Revise lower leg tendon       9.96     10.31        NA      1.40     21.67        NA       090
27692..............  .................  A                 Revise additional leg         1.87      0.99        NA      0.26      3.12        NA       ZZZ
                                                           tendon.
27695..............  .................  A                 Repair of ankle               6.51      8.47        NA      0.90     15.88        NA       090
                                                           ligament.
27696..............  .................  A                 Repair of ankle               8.27      8.96        NA      1.16     18.39        NA       090
                                                           ligaments.
27698..............  .................  A                 Repair of ankle               9.36      8.70        NA      1.31     19.37        NA       090
                                                           ligament.
27700..............  .................  A                 Revision of ankle joint       9.29      7.42        NA      1.24     17.95        NA       090
27702..............  .................  A                 Reconstruct ankle joint      13.67     12.31        NA      1.92     27.90        NA       090
27703..............  .................  A                 Reconstruction, ankle        15.87     13.65        NA      2.24     31.76        NA       090
                                                           joint.
27704..............  .................  A                 Removal of ankle              7.62      7.54        NA      0.61     15.77        NA       090
                                                           implant.
27705..............  .................  A                 Incision of tibia......      10.38     10.88        NA      1.44     22.70        NA       090
27707..............  .................  A                 Incision of fibula.....       4.37      7.73        NA      0.60     12.70        NA       090
27709..............  .................  A                 Incision of tibia &           9.95     10.81        NA      1.39     22.15        NA       090
                                                           fibula.
27712..............  .................  A                 Realignment of lower         14.25     12.96        NA      2.00     29.21        NA       090
                                                           leg.
27715..............  .................  A                 Revision of lower leg..      14.39     14.20        NA      2.00     30.59        NA       090
27720..............  .................  A                 Repair of tibia........      11.79     12.75        NA      1.66     26.20        NA       090
27722..............  .................  A                 Repair/graft of tibia..      11.82     12.39        NA      1.65     25.86        NA       090
27724..............  .................  A                 Repair/graft of tibia..      18.20     16.34        NA      2.10     36.64        NA       090
27725..............  .................  A                 Repair of lower leg....      15.59     14.94        NA      2.20     32.73        NA       090
27727..............  .................  A                 Repair of lower leg....      14.01     12.62        NA      1.84     28.47        NA       090
27730..............  .................  A                 Repair of tibia               7.41     10.05     14.78      0.75     18.21     22.94       090
                                                           epiphysis.
27732..............  .................  A                 Repair of fibula              5.32      8.24     11.97      0.63     14.19     17.92       090
                                                           epiphysis.
27734..............  .................  A                 Repair lower leg              8.48      9.20        NA      0.85     18.53        NA       090
                                                           epiphyses.
27740..............  .................  A                 Repair of leg epiphyses       9.30     10.50     15.53      1.31     21.11     26.14       090
27742..............  .................  A                 Repair of leg epiphyses      10.30     11.08     15.92      1.55     22.93     27.77       090
27745..............  .................  A                 Reinforce tibia........      10.07     10.86        NA      1.38     22.31        NA       090
27750..............  .................  A                 Treatment of tibia            3.19      3.69      5.14      0.43      7.31      8.76       090
                                                           fracture.
27752..............  .................  A                 Treatment of tibia            5.84      5.76      7.54      0.82     12.42     14.20       090
                                                           fracture.
27756..............  .................  A                 Treatment of tibia            6.78      9.98        NA      0.94     17.70        NA       090
                                                           fracture.
27758..............  .................  A                 Treatment of tibia           11.67     11.15        NA      1.52     24.34        NA       090
                                                           fracture.
27759..............  .................  A                 Treatment of tibia           13.76     12.70        NA      1.93     28.39        NA       090
                                                           fracture.

[[Page 40429]]

 
27760..............  .................  A                 Treatment of ankle            3.01      3.54      4.93      0.39      6.94      8.33       090
                                                           fracture.
27762..............  .................  A                 Treatment of ankle            5.25      5.34      7.10      0.71     11.30     13.06       090
                                                           fracture.
27766..............  .................  A                 Treatment of ankle            8.36      8.07        NA      1.17     17.60        NA       090
                                                           fracture.
27780..............  .................  A                 Treatment of fibula           2.65      3.36      4.88      0.33      6.34      7.86       090
                                                           fracture.
27781..............  .................  A                 Treatment of fibula           4.40      4.29      6.07      0.57      9.26     11.04       090
                                                           fracture.
27784..............  .................  A                 Treatment of fibula           7.11      8.00        NA      0.98     16.09        NA       090
                                                           fracture.
27786..............  .................  A                 Treatment of ankle            2.84      3.47      4.90      0.37      6.68      8.11       090
                                                           fracture.
27788..............  .................  A                 Treatment of ankle            4.45      4.34      6.06      0.61      9.40     11.12       090
                                                           fracture.
27792..............  .................  A                 Treatment of ankle            7.66      7.65        NA      1.07     16.38        NA       090
                                                           fracture.
27808..............  .................  A                 Treatment of ankle            2.83      4.08      5.79      0.38      7.29      9.00       090
                                                           fracture.
27810..............  .................  A                 Treatment of ankle            5.13      5.31      7.06      0.71     11.15     12.90       090
                                                           fracture.
27814..............  .................  A                 Treatment of ankle           10.68     10.27        NA      1.50     22.45        NA       090
                                                           fracture.
27816..............  .................  A                 Treatment of ankle            2.89      4.11      5.43      0.37      7.37      8.69       090
                                                           fracture.
27818..............  .................  A                 Treatment of ankle            5.50      5.48      7.27      0.74     11.72     13.51       090
                                                           fracture.
27822..............  .................  A                 Treatment of ankle           11.00     12.26        NA      1.29     24.55        NA       090
                                                           fracture.
27823..............  .................  A                 Treatment of ankle           13.00     13.32        NA      1.65     27.97        NA       090
                                                           fracture.
27824..............  .................  A                 Treat lower leg               2.89      4.09      5.83      0.39      7.37      9.11       090
                                                           fracture.
27825..............  .................  A                 Treat lower leg               6.19      5.94      7.66      0.85     12.98     14.70       090
                                                           fracture.
27826..............  .................  A                 Treat lower leg               8.54     10.89        NA      1.19     20.62        NA       090
                                                           fracture.
27827..............  .................  A                 Treat lower leg              14.06     14.00        NA      1.96     30.02        NA       090
                                                           fracture.
27828..............  .................  A                 Treat lower leg              16.23     15.15        NA      2.27     33.65        NA       090
                                                           fracture.
27829..............  .................  A                 Treat lower leg joint..       5.49      7.89        NA      0.77     14.15        NA       090
27830..............  .................  A                 Treat lower leg               3.79      4.05      4.53      0.44      8.28      8.76       090
                                                           dislocation.
27831..............  .................  A                 Treat lower leg               4.56      4.97        NA      0.61     10.14        NA       090
                                                           dislocation.
27832..............  .................  A                 Treat lower leg               6.49      7.75        NA      0.91     15.15        NA       090
                                                           dislocation.
27840..............  .................  A                 Treat ankle dislocation       4.58      5.60        NA      0.47     10.65        NA       090
27842..............  .................  A                 Treat ankle dislocation       6.21      4.91        NA      0.76     11.88        NA       090
27846..............  .................  A                 Treat ankle dislocation       9.79      9.79        NA      1.36     20.94        NA       090
27848..............  .................  A                 Treat ankle dislocation      11.20     10.93        NA      1.55     23.68        NA       090
27860..............  .................  A                 Fixation of ankle joint       2.34      3.59        NA      0.31      6.24        NA       010
27870..............  .................  A                 Fusion of ankle joint..      13.91     12.94        NA      1.95     28.80        NA       090
27871..............  .................  A                 Fusion of tibiofibular        9.17     10.24        NA      1.29     20.70        NA       090
                                                           joint.
27880..............  .................  A                 Amputation of lower leg      11.85     11.64        NA      1.38     24.87        NA       090
27881..............  .................  A                 Amputation of lower leg      12.34     12.77        NA      1.59     26.70        NA       090
27882..............  .................  A                 Amputation of lower leg       8.94     13.04        NA      1.03     23.01        NA       090
27884..............  .................  A                 Amputation follow-up          8.21     10.30        NA      0.95     19.46        NA       090
                                                           surgery.
27886..............  .................  A                 Amputation follow-up          9.32     11.00        NA      1.13     21.45        NA       090
                                                           surgery.
27888..............  .................  A                 Amputation of foot at         9.67     10.31        NA      1.26     21.24        NA       090
                                                           ankle.
27889..............  .................  A                 Amputation of foot at         9.98     10.64        NA      1.19     21.81        NA       090
                                                           ankle.
27892..............  .................  A                 Decompression of leg...       7.39      8.15        NA      0.86     16.40        NA       090
27893..............  .................  A                 Decompression of leg...       7.35      8.37        NA      0.90     16.62        NA       090
27894..............  .................  A                 Decompression of leg...      10.49      9.47        NA      1.25     21.21        NA       090
27899..............  .................  C                 Leg/ankle surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
28001..............  .................  A                 Drainage of bursa of          2.73      2.87      4.72      0.31      5.91      7.76       010
                                                           foot.
28002..............  .................  A                 Treatment of foot             4.62      4.11      6.34      0.56      9.29     11.52       010
                                                           infection.
28003..............  .................  A                 Treatment of foot             8.41     10.05     10.23      1.03     19.49     19.67       090
                                                           infection.
28005..............  .................  A                 Treat foot bone lesion.       8.68      9.63        NA      1.14     19.45        NA       090
28008..............  .................  A                 Incision of foot fascia       4.45      5.83      7.00      0.56     10.84     12.01       090
28010..............  .................  A                 Incision of toe tendon.       2.84      4.54      6.37      0.39      7.77      9.60       090
28011..............  .................  A                 Incision of toe tendons       4.14      6.04      8.32      0.58     10.76     13.04       090
28020..............  .................  A                 Exploration of foot           5.01      5.81      8.48      0.64     11.46     14.13       090
                                                           joint.
28022..............  .................  A                 Exploration of foot           4.67      5.62      7.68      0.62     10.91     12.97       090
                                                           joint.
28024..............  .................  A                 Exploration of toe            4.38      5.92      7.41      0.50     10.80     12.29       090
                                                           joint.
28030..............  .................  A                 Removal of foot nerve..       6.15      3.44        NA      0.85     10.44        NA       090
28035..............  .................  A                 Decompression of tibia        5.09      4.97      8.95      0.71     10.77     14.75       090
                                                           nerve.
28043..............  .................  A                 Excision of foot lesion       3.54      4.63      6.68      0.45      8.62     10.67       090
28045..............  .................  A                 Excision of foot lesion       4.72      5.24      7.06      0.62     10.58     12.40       090
28046..............  .................  A                 Resection of tumor,          10.18     10.69     12.22      1.13     22.00     23.53       090
                                                           foot.
28050..............  .................  A                 Biopsy of foot joint          4.25      5.23      6.13      0.55     10.03     10.93       090
                                                           lining.
28052..............  .................  A                 Biopsy of foot joint          3.94      5.33      7.61      0.51      9.78     12.06       090
                                                           lining.
28054..............  .................  A                 Biopsy of toe joint           3.45      5.04      7.21      0.45      8.94     11.11       090
                                                           lining.
28060..............  .................  A                 Partial removal, foot         5.23      5.91      7.83      0.69     11.83     13.75       090
                                                           fascia.
28062..............  .................  A                 Removal of foot fascia.       6.52      5.97      8.74      0.85     13.34     16.11       090
28070..............  .................  A                 Removal of foot joint         5.10      5.45      7.97      0.68     11.23     13.75       090
                                                           lining.
28072..............  .................  A                 Removal of foot joint         4.58      6.10      7.45      0.64     11.32     12.67       090
                                                           lining.
28080..............  .................  A                 Removal of foot lesion.       3.58      4.88      6.86      0.50      8.96     10.94       090
28086..............  .................  A                 Excise foot tendon            4.78      6.69     10.90      0.66     12.13     16.34       090
                                                           sheath.
28088..............  .................  A                 Excise foot tendon            3.86      5.84      8.17      0.52     10.22     12.55       090
                                                           sheath.
28090..............  .................  A                 Removal of foot lesion.       4.41      5.10      7.15      0.57     10.08     12.13       090
28092..............  .................  A                 Removal of toe lesions.       3.64      5.38      7.61      0.46      9.48     11.71       090
28100..............  .................  A                 Removal of ankle/heel         5.66      7.00     10.92      0.76     13.42     17.34       090
                                                           lesion.
28102..............  .................  A                 Remove/graft foot             7.73      7.99        NA      0.97     16.69        NA       090
                                                           lesion.
28103..............  .................  A                 Remove/graft foot             6.50      7.04     10.80      0.89     14.43     18.19       090
                                                           lesion.
28104..............  .................  A                 Removal of foot lesion.       5.12      6.22      8.21      0.69     12.03     14.02       090

[[Page 40430]]

 
28106..............  .................  A                 Remove/graft foot             7.16      5.93        NA      1.01     14.10        NA       090
                                                           lesion.
28107..............  .................  A                 Remove/graft foot             5.56      6.31      8.70      0.74     12.61     15.00       090
                                                           lesion.
28108..............  .................  A                 Removal of toe lesions.       4.16      4.80      6.43      0.52      9.48     11.11       090
28110..............  .................  A                 Part removal of               4.08      6.11      7.87      0.49     10.68     12.44       090
                                                           metatarsal.
28111..............  .................  A                 Part removal of               5.01      7.11     10.56      0.63     12.75     16.20       090
                                                           metatarsal.
28112..............  .................  A                 Part removal of               4.49      6.71      9.19      0.60     11.80     14.28       090
                                                           metatarsal.
28113..............  .................  A                 Part removal of               4.79      6.47      8.43      0.63     11.89     13.85       090
                                                           metatarsal.
28114..............  .................  A                 Removal of metatarsal         9.79     10.01     14.52      1.36     21.16     25.67       090
                                                           heads.
28116..............  .................  A                 Revision of foot.......       7.75      6.47      8.21      1.03     15.25     16.99       090
28118..............  .................  A                 Removal of heel bone...       5.96      6.43      9.35      0.79     13.18     16.10       090
28119..............  .................  A                 Removal of heel spur...       5.39      5.47      7.52      0.74     11.60     13.65       090
28120..............  .................  A                 Part removal of ankle/        5.40      8.96     11.93      0.69     15.05     18.02       090
                                                           heel.
28122..............  .................  A                 Partial removal of foot       7.29      8.55     10.38      0.96     16.80     18.63       090
                                                           bone.
28124..............  .................  A                 Partial removal of toe.       4.81      6.76      8.04      0.65     12.22     13.50       090
28126..............  .................  A                 Partial removal of toe.       3.52      6.19      6.89      0.49     10.20     10.90       090
28130..............  .................  A                 Removal of ankle bone..       8.11      7.90        NA      1.11     17.12        NA       090
28140..............  .................  A                 Removal of metatarsal..       6.91      7.63     10.94      0.84     15.38     18.69       090
28150..............  .................  A                 Removal of toe.........       4.09      6.43      7.98      0.52     11.04     12.59       090
28153..............  .................  A                 Partial removal of toe.       3.66      5.33      6.97      0.49      9.48     11.12       090
28160..............  .................  A                 Partial removal of toe.       3.74      6.36      7.45      0.51     10.61     11.70       090
28171..............  .................  A                 Extensive foot surgery.       9.60      8.77        NA      1.13     19.50        NA       090
28173..............  .................  A                 Extensive foot surgery.       8.80      8.07     11.16      1.04     17.91     21.00       090
28175..............  .................  A                 Extensive foot surgery.       6.05      6.25      8.19      0.75     13.05     14.99       090
28190..............  .................  A                 Removal of foot foreign       1.96      3.19      5.55      0.16      5.31      7.67       010
                                                           body.
28192..............  .................  A                 Removal of foot foreign       4.64      5.11      7.06      0.52     10.27     12.22       090
                                                           body.
28193..............  .................  A                 Removal of foot foreign       5.73      5.94      7.46      0.63     12.30     13.82       090
                                                           body.
28200..............  .................  A                 Repair of foot tendon..       4.60      5.54      7.61      0.59     10.73     12.80       090
28202..............  .................  A                 Repair/graft of foot          6.84      6.42     11.03      0.86     14.12     18.73       090
                                                           tendon.
28208..............  .................  A                 Repair of foot tendon..       4.37      5.63      7.34      0.59     10.59     12.30       090
28210..............  .................  A                 Repair/graft of foot          6.35      5.84      8.55      0.77     12.96     15.67       090
                                                           tendon.
28220..............  .................  A                 Release of foot tendon.       4.53      5.56      6.68      0.63     10.72     11.84       090
28222..............  .................  A                 Release of foot tendons       5.62      6.54      7.17      0.77     12.93     13.56       090
28225..............  .................  A                 Release of foot tendon.       3.66      5.11      6.57      0.50      9.27     10.73       090
28226..............  .................  A                 Release of foot tendons       4.53      6.61      6.61      0.62     11.76     11.76       090
28230..............  .................  A                 Incision of foot              4.24      6.20      6.88      0.59     11.03     11.71       090
                                                           tendon(s).
28232..............  .................  A                 Incision of toe tendon.       3.39      5.81      6.84      0.48      9.68     10.71       090
28234..............  .................  A                 Incision of foot tendon       3.37      5.33      6.91      0.46      9.16     10.74       090
28238..............  .................  A                 Revision of foot tendon       7.73      6.95     10.42      1.08     15.76     19.23       090
28240..............  .................  A                 Release of big toe.....       4.36      5.72      6.85      0.61     10.69     11.82       090
28250..............  .................  A                 Revision of foot fascia       5.92      6.62      8.40      0.81     13.35     15.13       090
28260..............  .................  A                 Release of midfoot            7.96      6.88      8.02      1.08     15.92     17.06       090
                                                           joint.
28261..............  .................  A                 Revision of foot tendon      11.73      8.86      9.82      1.66     22.25     23.21       090
28262..............  .................  A                 Revision of foot and         15.83     14.52     17.21      2.22     32.57     35.26       090
                                                           ankle.
28264..............  .................  A                 Release of midfoot           10.35     11.05     11.16      1.46     22.86     22.97       090
                                                           joint.
28270..............  .................  A                 Release of foot               4.76      6.39      7.38      0.67     11.82     12.81       090
                                                           contracture.
28272..............  .................  A                 Release of toe joint,         3.80      4.79      6.35      0.52      9.11     10.67       090
                                                           each.
28280..............  .................  A                 Fusion of toes.........       5.19      6.27      8.82      0.72     12.18     14.73       090
28285..............  .................  A                 Repair of hammertoe....       4.59      5.87      7.57      0.64     11.10     12.80       090
28286..............  .................  A                 Repair of hammertoe....       4.56      5.93      7.24      0.64     11.13     12.44       090
28288..............  .................  A                 Partial removal of foot       4.74      7.27      8.26      0.65     12.66     13.65       090
                                                           bone.
28289..............  .................  A                 Repair hallux rigidus..       7.04      7.97      9.66      0.96     15.97     17.66       090
28290..............  .................  A                 Correction of bunion...       5.66      8.02      9.17      0.79     14.47     15.62       090
28292..............  .................  A                 Correction of bunion...       7.04      6.89      8.87      0.98     14.91     16.89       090
28293..............  .................  A                 Correction of bunion...       9.15      7.21      9.98      1.28     17.64     20.41       090
28294..............  .................  A                 Correction of bunion...       8.56      7.19      9.33      1.16     16.91     19.05       090
28296..............  .................  A                 Correction of bunion...       9.18      7.83     10.01      1.28     18.29     20.47       090
28297..............  .................  A                 Correction of bunion...       9.18      9.47     12.30      1.31     19.96     22.79       090
28298..............  .................  A                 Correction of bunion...       7.94      7.52      8.91      1.12     16.58     17.97       090
28299..............  .................  A                 Correction of bunion...       9.18      7.81      9.97      1.24     18.23     20.39       090
28300..............  .................  A                 Incision of heel bone..       9.54      8.93     14.62      1.31     19.78     25.47       090
28302..............  .................  A                 Incision of ankle bone.       9.55      8.75     18.58      1.15     19.45     29.28       090
28304..............  .................  A                 Incision of midfoot           9.16      7.19      9.35      1.00     17.35     19.51       090
                                                           bones.
28305..............  .................  A                 Incise/graft midfoot         10.50      9.21     14.83      0.55     20.26     25.88       090
                                                           bones.
28306..............  .................  A                 Incision of metatarsal.       5.86      5.80      9.30      0.81     12.47     15.97       090
28307..............  .................  A                 Incision of metatarsal.       6.33      7.76     15.35      0.71     14.80     22.39       090
28308..............  .................  A                 Incision of metatarsal.       5.29      4.92      6.95      0.74     10.95     12.98       090
28309..............  .................  A                 Incision of metatarsals      12.78     10.50        NA      1.64     24.92        NA       090
28310..............  .................  A                 Revision of big toe....       5.43      6.14      8.17      0.76     12.33     14.36       090
28312..............  .................  A                 Revision of toe........       4.55      6.72      7.78      0.62     11.89     12.95       090
28313..............  .................  A                 Repair deformity of toe       5.01      8.16      8.16      0.68     13.85     13.85       090
28315..............  .................  A                 Removal of sesamoid           4.86      5.06      6.81      0.66     10.58     12.33       090
                                                           bone.
28320..............  .................  A                 Repair of foot bones...       9.18      8.11        NA      1.27     18.56        NA       090
28322..............  .................  A                 Repair of metatarsals..       8.34      8.17     11.63      1.17     17.68     21.14       090
28340..............  .................  A                 Resect enlarged toe           6.98      5.73      8.90      0.98     13.69     16.86       090
                                                           tissue.

[[Page 40431]]

 
28341..............  .................  A                 Resect enlarged toe....       8.41      6.57      8.21      1.18     16.16     17.80       090
28344..............  .................  A                 Repair extra toe(s)....       4.26      5.02     12.54      0.60      9.88     17.40       090
28345..............  .................  A                 Repair webbed toe(s)...       5.92      6.43      8.86      0.84     13.19     15.62       090
28360..............  .................  A                 Reconstruct cleft foot.      13.34     12.22        NA      1.88     27.44        NA       090
28400..............  .................  A                 Treatment of heel             2.16      4.28      5.15      0.29      6.73      7.60       090
                                                           fracture.
28405..............  .................  A                 Treatment of heel             4.57      5.42      6.19      0.63     10.62     11.39       090
                                                           fracture.
28406..............  .................  A                 Treatment of heel             6.31      8.08        NA      0.87     15.26        NA       090
                                                           fracture.
28415..............  .................  A                 Treat heel fracture....      15.97     14.55        NA      2.24     32.76        NA       090
28420..............  .................  A                 Treat/graft heel             16.64     14.62        NA      2.29     33.55        NA       090
                                                           fracture.
28430..............  .................  A                 Treatment of ankle            2.09      3.84      4.79      0.27      6.20      7.15       090
                                                           fracture.
28435..............  .................  A                 Treatment of ankle            3.40      4.34      5.43      0.47      8.21      9.30       090
                                                           fracture.
28436..............  .................  A                 Treatment of ankle            4.71      7.27        NA      0.66     12.64        NA       090
                                                           fracture.
28445..............  .................  A                 Treat ankle fracture...      15.62     12.97        NA      1.29     29.88        NA       090
28450..............  .................  A                 Treat midfoot fracture,       1.90      3.69      4.69      0.25      5.84      6.84       090
                                                           each.
28455..............  .................  A                 Treat midfoot fracture,       3.09      4.56      5.17      0.43      8.08      8.69       090
                                                           each.
28456..............  .................  A                 Treat midfoot fracture.       2.68      5.64        NA      0.36      8.68        NA       090
28465..............  .................  A                 Treat midfoot fracture,       7.01      7.32        NA      0.87     15.20        NA       090
                                                           each.
28470..............  .................  A                 Treat metatarsal              1.99      3.08      4.07      0.26      5.33      6.32       090
                                                           fracture.
28475..............  .................  A                 Treat metatarsal              2.97      4.02      4.75      0.41      7.40      8.13       090
                                                           fracture.
28476..............  .................  A                 Treat metatarsal              3.38      5.92        NA      0.46      9.76        NA       090
                                                           fracture.
28485..............  .................  A                 Treat metatarsal              5.71      7.13        NA      0.80     13.64        NA       090
                                                           fracture.
28490..............  .................  A                 Treat big toe fracture.       1.09      2.01      2.46      0.13      3.23      3.68       090
28495..............  .................  A                 Treat big toe fracture.       1.58      2.06      2.59      0.19      3.83      4.36       090
28496..............  .................  A                 Treat big toe fracture.       2.33      4.26     10.08      0.32      6.91     12.73       090
28505..............  .................  A                 Treat big toe fracture.       3.81      5.99     10.51      0.50     10.30     14.82       090
28510..............  .................  A                 Treatment of toe              1.09      1.99      2.20      0.13      3.21      3.42       090
                                                           fracture.
28515..............  .................  A                 Treatment of toe              1.46      2.01      2.43      0.17      3.64      4.06       090
                                                           fracture.
28525..............  .................  A                 Treat toe fracture.....       3.32      5.79     10.05      0.44      9.55     13.81       090
28530..............  .................  A                 Treat sesamoid bone           1.06      2.18      2.52      0.13      3.37      3.71       090
                                                           fracture.
28531..............  .................  A                 Treat sesamoid bone           2.35      3.40     11.43      0.33      6.08     14.11       090
                                                           fracture.
28540..............  .................  A                 Treat foot dislocation.       2.04      3.13      3.13      0.24      5.41      5.41       090
28545..............  .................  A                 Treat foot dislocation.       2.45      3.56      3.56      0.33      6.34      6.34       090
28546..............  .................  A                 Treat foot dislocation.       3.20      5.31      5.31      0.46      8.97      8.97       090
28555..............  .................  A                 Repair foot dislocation       6.30      7.85     13.60      0.88     15.03     20.78       090
28570..............  .................  A                 Treat foot dislocation.       1.66      3.35      3.36      0.22      5.23      5.24       090
28575..............  .................  A                 Treat foot dislocation.       3.31      4.90      5.89      0.45      8.66      9.65       090
28576..............  .................  A                 Treat foot dislocation.       4.17      6.04     13.73      0.56     10.77     18.46       090
28585..............  .................  A                 Repair foot dislocation       7.99      7.63      8.63      1.13     16.75     17.75       090
28600..............  .................  A                 Treat foot dislocation.       1.89      3.67      3.83      0.24      5.80      5.96       090
28605..............  .................  A                 Treat foot dislocation.       2.71      4.42      4.42      0.35      7.48      7.48       090
28606..............  .................  A                 Treat foot dislocation.       4.90      6.59     15.56      0.68     12.17     21.14       090
28615..............  .................  A                 Repair foot dislocation       7.77      8.82        NA      1.09     17.68        NA       090
28630..............  .................  A                 Treat toe dislocation..       1.70      2.09      2.09      0.17      3.96      3.96       010
28635..............  .................  A                 Treat toe dislocation..       1.91      2.32      2.32      0.24      4.47      4.47       010
28636..............  .................  A                 Treat toe dislocation..       2.77      3.12      6.60      0.39      6.28      9.76       010
28645..............  .................  A                 Repair toe dislocation.       4.22      4.01      6.01      0.58      8.81     10.81       090
28660..............  .................  A                 Treat toe dislocation..       1.23      2.27      2.92      0.11      3.61      4.26       010
28665..............  .................  A                 Treat toe dislocation..       1.92      2.44      2.44      0.24      4.60      4.60       010
28666..............  .................  A                 Treat toe dislocation..       2.66      2.31      6.55      0.38      5.35      9.59       010
28675..............  .................  A                 Repair of toe                 2.92      4.47      8.80      0.41      7.80     12.13       090
                                                           dislocation.
28705..............  .................  A                 Fusion of foot bones...      18.80     14.55        NA      2.13     35.48        NA       090
28715..............  .................  A                 Fusion of foot bones...      13.10     11.82        NA      1.84     26.76        NA       090
28725..............  .................  A                 Fusion of foot bones...      11.61     10.68        NA      1.63     23.92        NA       090
28730..............  .................  A                 Fusion of foot bones...      10.76      9.98        NA      1.51     22.25        NA       090
28735..............  .................  A                 Fusion of foot bones...      10.85     10.28        NA      1.51     22.64        NA       090
28737..............  .................  A                 Revision of foot bones.       9.64      8.18        NA      1.36     19.18        NA       090
28740..............  .................  A                 Fusion of foot bones...       8.02      8.30     13.40      1.13     17.45     22.55       090
28750..............  .................  A                 Fusion of big toe joint       7.30      8.51     14.60      1.03     16.84     22.93       090
28755..............  .................  A                 Fusion of big toe joint       4.74      5.98      8.64      0.66     11.38     14.04       090
28760..............  .................  A                 Fusion of big toe joint       7.75      7.09      9.78      1.07     15.91     18.60       090
28800..............  .................  A                 Amputation of midfoot..       8.21      8.68        NA      0.98     17.87        NA       090
28805..............  .................  A                 Amputation thru               8.39      8.86        NA      0.97     18.22        NA       090
                                                           metatarsal.
28810..............  .................  A                 Amputation toe &              6.21      7.75        NA      0.70     14.66        NA       090
                                                           metatarsal.
28820..............  .................  A                 Amputation of toe......       4.41      6.86     11.18      0.51     11.78     16.10       090
28825..............  .................  A                 Partial amputation of         3.59      6.70     10.28      0.43     10.72     14.30       090
                                                           toe.
28899..............  .................  C                 Foot/toes surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
29000..............  .................  A                 Application of body           2.25      1.33      2.75      0.30      3.88      5.30       000
                                                           cast.
29010..............  .................  A                 Application of body           2.06      1.27      2.56      0.27      3.60      4.89       000
                                                           cast.
29015..............  .................  A                 Application of body           2.41      1.17      2.50      0.21      3.79      5.12       000
                                                           cast.
29020..............  .................  A                 Application of body           2.11      0.98      2.48      0.16      3.25      4.75       000
                                                           cast.
29025..............  .................  A                 Application of body           2.40      1.46      2.92      0.26      4.12      5.58       000
                                                           cast.
29035..............  .................  A                 Application of body           1.77      1.09      2.49      0.24      3.10      4.50       000
                                                           cast.
29040..............  .................  A                 Application of body           2.22      1.39      1.60      0.35      3.96      4.17       000
                                                           cast.
29044..............  .................  A                 Application of body           2.12      1.32      2.72      0.29      3.73      5.13       000
                                                           cast.

[[Page 40432]]

 
29046..............  .................  A                 Application of body           2.41      1.38      2.86      0.34      4.13      5.61       000
                                                           cast.
29049..............  .................  A                 Application of figure         0.89      0.51      1.54      0.12      1.52      2.55       000
                                                           eight.
29055..............  .................  A                 Application of shoulder       1.78      1.07      2.16      0.24      3.09      4.18       000
                                                           cast.
29058..............  .................  A                 Application of shoulder       1.31      0.64      1.81      0.14      2.09      3.26       000
                                                           cast.
29065..............  .................  A                 Application of long arm       0.87      0.54      1.27      0.12      1.53      2.26       000
                                                           cast.
29075..............  .................  A                 Application of forearm        0.77      0.47      1.22      0.11      1.35      2.10       000
                                                           cast.
29085..............  .................  A                 Apply hand/wrist cast..       0.87      0.47      1.27      0.11      1.45      2.25       000
29105..............  .................  A                 Apply long arm splint..       0.87      0.40      1.27      0.11      1.38      2.25       000
29125..............  .................  A                 Apply forearm splint...       0.59      0.29      1.13      0.06      0.94      1.78       000
29126..............  .................  A                 Apply forearm splint...       0.77      0.45      1.93      0.06      1.28      2.76       000
29130..............  .................  A                 Application of finger         0.50      0.27      0.92      0.05      0.82      1.47       000
                                                           splint.
29131..............  .................  A                 Application of finger         0.55      0.38      1.82      0.03      0.96      2.40       000
                                                           splint.
29200..............  .................  A                 Strapping of chest.....       0.65      0.30      1.40      0.04      0.99      2.09       000
29220..............  .................  A                 Strapping of low back..       0.64      0.33      1.05      0.07      1.04      1.76       000
29240..............  .................  A                 Strapping of shoulder..       0.71      0.32      1.43      0.05      1.08      2.19       000
29260..............  .................  A                 Strapping of elbow or         0.55      0.27      1.16      0.04      0.86      1.75       000
                                                           wrist.
29280..............  .................  A                 Strapping of hand or          0.51      0.27      1.30      0.04      0.82      1.85       000
                                                           finger.
29305..............  .................  A                 Application of hip cast       2.03      1.28      2.44      0.29      3.60      4.76       000
29325..............  .................  A                 Application of hip            2.32      1.44      2.59      0.31      4.07      5.22       000
                                                           casts.
29345..............  .................  A                 Application of long leg       1.40      0.85      1.65      0.19      2.44      3.24       000
                                                           cast.
29355..............  .................  A                 Application of long leg       1.53      0.87      1.67      0.20      2.60      3.40       000
                                                           cast.
29358..............  .................  A                 Apply long leg cast           1.43      0.93      1.86      0.19      2.55      3.48       000
                                                           brace.
29365..............  .................  A                 Application of long leg       1.18      0.72      1.50      0.17      2.07      2.85       000
                                                           cast.
29405..............  .................  A                 Apply short leg cast...       0.86      0.52      1.18      0.12      1.50      2.16       000
29425..............  .................  A                 Apply short leg cast...       1.01      0.56      1.13      0.14      1.71      2.28       000
29435..............  .................  A                 Apply short leg cast...       1.18      0.79      1.79      0.17      2.14      3.14       000
29440..............  .................  A                 Addition of walker to         0.57      0.32      0.90      0.07      0.96      1.54       000
                                                           cast.
29445..............  .................  A                 Apply rigid leg cast...       1.78      0.86      2.01      0.24      2.88      4.03       000
29450..............  .................  A                 Application of leg cast       2.08      1.01      1.69      0.13      3.22      3.90       000
29505..............  .................  A                 Application, long leg         0.69      0.42      1.61      0.06      1.17      2.36       000
                                                           splint.
29515..............  .................  A                 Application lower leg         0.73      0.43      1.17      0.07      1.23      1.97       000
                                                           splint.
29520..............  .................  A                 Strapping of hip.......       0.54      0.38      1.54      0.02      0.94      2.10       000
29530..............  .................  A                 Strapping of knee......       0.57      0.28      1.22      0.04      0.89      1.83       000
29540..............  .................  A                 Strapping of ankle.....       0.51      0.26      0.51      0.04      0.81      1.06       000
29550..............  .................  A                 Strapping of toes......       0.47      0.24      0.50      0.05      0.76      1.02       000
29580..............  .................  A                 Application of paste          0.57      0.31      0.85      0.05      0.93      1.47       000
                                                           boot.
29590..............  .................  A                 Application of foot           0.76      0.41      0.79      0.06      1.23      1.61       000
                                                           splint.
29700..............  .................  A                 Removal/revision of           0.57      0.31      0.81      0.07      0.95      1.45       000
                                                           cast.
29705..............  .................  A                 Removal/revision of           0.76      0.41      0.97      0.10      1.27      1.83       000
                                                           cast.
29710..............  .................  A                 Removal/revision of           1.34      0.85      1.78      0.17      2.36      3.29       000
                                                           cast.
29715..............  .................  A                 Removal/revision of           0.94      0.72      3.90      0.08      1.74      4.92       000
                                                           cast.
29720..............  .................  A                 Repair of body cast....       0.68      0.50      1.45      0.10      1.28      2.23       000
29730..............  .................  A                 Windowing of cast......       0.75      0.39      0.92      0.10      1.24      1.77       000
29740..............  .................  A                 Wedging of cast........       1.12      0.53      1.35      0.15      1.80      2.62       000
29750..............  .................  A                 Wedging of clubfoot           1.26      0.59      1.58      0.16      2.01      3.00       000
                                                           cast.
29799..............  .................  C                 Casting/strapping             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
29800..............  .................  A                 Jaw arthroscopy/surgery       6.43      8.44        NA      0.84     15.71        NA       090
29804..............  .................  A                 Jaw arthroscopy/surgery       8.14      8.83        NA      0.66     17.63        NA       090
29815..............  .................  A                 Shoulder arthroscopy...       5.89      7.31        NA      0.83     14.03        NA       090
29819..............  .................  A                 Shoulder arthroscopy/         7.62      9.18        NA      1.07     17.87        NA       090
                                                           surgery.
29820..............  .................  A                 Shoulder arthroscopy/         7.07      8.81        NA      0.99     16.87        NA       090
                                                           surgery.
29821..............  .................  A                 Shoulder arthroscopy/         7.72      9.18        NA      1.08     17.98        NA       090
                                                           surgery.
29822..............  .................  A                 Shoulder arthroscopy/         7.43      9.06        NA      1.04     17.53        NA       090
                                                           surgery.
29823..............  .................  A                 Shoulder arthroscopy/         8.17      9.43        NA      1.15     18.75        NA       090
                                                           surgery.
29825..............  .................  A                 Shoulder arthroscopy/         7.62      9.19        NA      1.06     17.87        NA       090
                                                           surgery.
29826..............  .................  A                 Shoulder arthroscopy/         8.99      9.92        NA      1.26     20.17        NA       090
                                                           surgery.
29830..............  .................  A                 Elbow arthroscopy......       5.76      5.72        NA      0.79     12.27        NA       090
29834..............  .................  A                 Elbow arthroscopy/            6.28      6.51        NA      0.86     13.65        NA       090
                                                           surgery.
29835..............  .................  A                 Elbow arthroscopy/            6.48      6.50        NA      0.88     13.86        NA       090
                                                           surgery.
29836..............  .................  A                 Elbow arthroscopy/            7.55      7.24        NA      1.06     15.85        NA       090
                                                           surgery.
29837..............  .................  A                 Elbow arthroscopy/            6.87      6.80        NA      0.96     14.63        NA       090
                                                           surgery.
29838..............  .................  A                 Elbow arthroscopy/            7.71      7.31        NA      1.07     16.09        NA       090
                                                           surgery.
29840..............  .................  A                 Wrist arthroscopy......       5.54      8.36        NA      0.69     14.59        NA       090
29843..............  .................  A                 Wrist arthroscopy/            6.01      7.95        NA      0.82     14.78        NA       090
                                                           surgery.
29844..............  .................  A                 Wrist arthroscopy/            6.37      8.11        NA      0.86     15.34        NA       090
                                                           surgery.
29845..............  .................  A                 Wrist arthroscopy/            7.52      8.57        NA      0.84     16.93        NA       090
                                                           surgery.
29846..............  .................  A                 Wrist arthroscopy/            6.75     10.62        NA      0.89     18.26        NA       090
                                                           surgery.
29847..............  .................  A                 Wrist arthroscopy/            7.08     10.57        NA      0.91     18.56        NA       090
                                                           surgery.
29848..............  .................  A                 Wrist endoscopy/surgery       5.44      7.82        NA      0.72     13.98        NA       090
29850..............  .................  A                 Knee arthroscopy/             8.19      7.05        NA      0.74     15.98        NA       090
                                                           surgery.
29851..............  .................  A                 Knee arthroscopy/            13.10     11.36        NA      1.81     26.27        NA       090
                                                           surgery.
29855..............  .................  A                 Tibial arthroscopy/          10.62     10.01        NA      1.50     22.13        NA       090
                                                           surgery.
29856..............  .................  A                 Tibial arthroscopy/          14.14     11.98        NA      2.00     28.12        NA       090
                                                           surgery.
29860..............  .................  A                 Hip arthroscopy, dx....       8.05      7.61        NA      1.14     16.80        NA       090

[[Page 40433]]

 
29861..............  .................  A                 Hip arthroscopy/surgery       9.15      8.76        NA      1.29     19.20        NA       090
29862..............  .................  A                 Hip arthroscopy/surgery       9.90      9.09        NA      1.39     20.38        NA       090
29863..............  .................  A                 Hip arthroscopy/surgery       9.90      9.71        NA      1.40     21.01        NA       090
29870..............  .................  A                 Knee arthroscopy, dx...       5.07      5.81        NA      0.67     11.55        NA       090
29871..............  .................  A                 Knee arthroscopy/             6.55      7.74        NA      0.88     15.17        NA       090
                                                           drainage.
29874..............  .................  A                 Knee arthroscopy/             7.05      7.42        NA      0.87     15.34        NA       090
                                                           surgery.
29875..............  .................  A                 Knee arthroscopy/             6.31      7.15        NA      0.88     14.34        NA       090
                                                           surgery.
29876..............  .................  A                 Knee arthroscopy/             7.92      8.57        NA      1.11     17.60        NA       090
                                                           surgery.
29877..............  .................  A                 Knee arthroscopy/             7.35      7.74        NA      1.03     16.12        NA       090
                                                           surgery.
29879..............  .................  A                 Knee arthroscopy/             8.04      8.13        NA      1.13     17.30        NA       090
                                                           surgery.
29880..............  .................  A                 Knee arthroscopy/             8.50      8.39        NA      1.19     18.08        NA       090
                                                           surgery.
29881..............  .................  A                 Knee arthroscopy/             7.76      7.97        NA      1.09     16.82        NA       090
                                                           surgery.
29882..............  .................  A                 Knee arthroscopy/             8.65      8.02        NA      1.09     17.76        NA       090
                                                           surgery.
29883..............  .................  A                 Knee arthroscopy/            11.05      9.82        NA      1.33     22.20        NA       090
                                                           surgery.
29884..............  .................  A                 Knee arthroscopy/             7.33      8.25        NA      1.03     16.61        NA       090
                                                           surgery.
29885..............  .................  A                 Knee arthroscopy/             9.09      9.19        NA      1.27     19.55        NA       090
                                                           surgery.
29886..............  .................  A                 Knee arthroscopy/             7.54      8.36        NA      1.06     16.96        NA       090
                                                           surgery.
29887..............  .................  A                 Knee arthroscopy/             9.04      9.19        NA      1.27     19.50        NA       090
                                                           surgery.
29888..............  .................  A                 Knee arthroscopy/            13.90     11.89        NA      1.95     27.74        NA       090
                                                           surgery.
29889..............  .................  A                 Knee arthroscopy/            16.00     12.98        NA      2.11     31.09        NA       090
                                                           surgery.
29891..............  .................  A                 Ankle arthroscopy/            8.40      8.76        NA      1.17     18.33        NA       090
                                                           surgery.
29892..............  .................  A                 Ankle arthroscopy/            9.00      8.60        NA      1.26     18.86        NA       090
                                                           surgery.
29893..............  .................  A                 Scope, plantar                5.22      4.81        NA      0.74     10.77        NA       090
                                                           fasciotomy.
29894..............  .................  A                 Ankle arthroscopy/            7.21      7.40        NA      1.01     15.62        NA       090
                                                           surgery.
29895..............  .................  A                 Ankle arthroscopy/            6.99      7.69        NA      0.97     15.65        NA       090
                                                           surgery.
29897..............  .................  A                 Ankle arthroscopy/            7.18      8.29        NA      1.01     16.48        NA       090
                                                           surgery.
29898..............  .................  A                 Ankle arthroscopy/            8.32      8.15        NA      1.14     17.61        NA       090
                                                           surgery.
29909..............  .................  C                 Arthroscopy of joint...       0.00      0.00      0.00      0.00      0.00      0.00       YYY
30000..............  .................  A                 Drainage of nose lesion       1.43      1.45      2.41      0.10      2.98      3.94       010
30020..............  .................  A                 Drainage of nose lesion       1.43      1.54      2.62      0.08      3.05      4.13       010
30100..............  .................  A                 Intranasal biopsy......       0.94      0.53      1.28      0.06      1.53      2.28       000
30110..............  .................  A                 Removal of nose               1.63      0.90      2.66      0.12      2.65      4.41       010
                                                           polyp(s).
30115..............  .................  A                 Removal of nose               4.35      4.37        NA      0.31      9.03        NA       090
                                                           polyp(s).
30117..............  .................  A                 Removal of intranasal         3.16      3.10      4.66      0.22      6.48      8.04       090
                                                           lesion.
30118..............  .................  A                 Removal of intranasal         9.69      7.48        NA      0.66     17.83        NA       090
                                                           lesion.
30120..............  .................  A                 Revision of nose.......       5.27      5.93      5.93      0.41     11.61     11.61       090
30124..............  .................  A                 Removal of nose lesion.       3.10      3.27        NA      0.20      6.57        NA       090
30125..............  .................  A                 Removal of nose lesion.       7.16      6.29        NA      0.54     13.99        NA       090
30130..............  .................  A                 Removal of turbinate          3.38      3.81        NA      0.22      7.41        NA       090
                                                           bones.
30140..............  .................  A                 Removal of turbinate          3.43      4.40        NA      0.24      8.07        NA       090
                                                           bones.
30150..............  .................  A                 Partial removal of nose       9.14      8.58        NA      0.76     18.48        NA       090
30160..............  .................  A                 Removal of nose........       9.58      8.39        NA      0.78     18.75        NA       090
30200..............  .................  A                 Injection treatment of        0.78      0.45      1.16      0.06      1.29      2.00       000
                                                           nose.
30210..............  .................  A                 Nasal sinus therapy....       1.08      0.61      2.04      0.08      1.77      3.20       010
30220..............  .................  A                 Insert nasal septal           1.54      0.87      2.36      0.11      2.52      4.01       010
                                                           button.
30300..............  .................  A                 Remove nasal foreign          1.04      0.38      2.43      0.07      1.49      3.54       010
                                                           body.
30310..............  .................  A                 Remove nasal foreign          1.96      1.84        NA      0.14      3.94        NA       010
                                                           body.
30320..............  .................  A                 Remove nasal foreign          4.52      5.40        NA      0.36     10.28        NA       090
                                                           body.
30400..............  .................  R                 Reconstruction of nose.       9.83      8.68        NA      0.80     19.31        NA       090
30410..............  .................  R                 Reconstruction of nose.      12.98     10.55        NA      1.08     24.61        NA       090
30420..............  .................  R                 Reconstruction of nose.      15.88     12.25        NA      1.24     29.37        NA       090
30430..............  .................  R                 Revision of nose.......       7.21      7.15        NA      0.62     14.98        NA       090
30435..............  .................  R                 Revision of nose.......      11.71     10.47        NA      1.10     23.28        NA       090
30450..............  .................  R                 Revision of nose.......      18.65     14.05        NA      1.53     34.23        NA       090
30460..............  .................  A                 Revision of nose.......       9.96      9.51        NA      0.85     20.32        NA       090
30462..............  .................  A                 Revision of nose.......      19.57     14.96        NA      1.92     36.45        NA       090
30465..............  .................  A                 Repair nasal stenosis..      11.64      9.21        NA      0.82     21.67        NA       090
30520..............  .................  A                 Repair of nasal septum.       5.70      5.71        NA      0.41     11.82        NA       090
30540..............  .................  A                 Repair nasal defect....       7.75      6.46        NA      0.53     14.74        NA       090
30545..............  .................  A                 Repair nasal defect....      11.38      8.20        NA      0.80     20.38        NA       090
30560..............  .................  A                 Release of nasal              1.26      1.46      2.25      0.09      2.81      3.60       010
                                                           adhesions.
30580..............  .................  A                 Repair upper jaw              6.69      4.94      4.94      0.50     12.13     12.13       090
                                                           fistula.
30600..............  .................  A                 Repair mouth/nose             6.02      5.17      5.17      0.70     11.89     11.89       090
                                                           fistula.
30620..............  .................  A                 Intranasal                    5.97      6.44        NA      0.45     12.86        NA       090
                                                           reconstruction.
30630..............  .................  A                 Repair nasal septum           7.12      6.89        NA      0.51     14.52        NA       090
                                                           defect.
30801..............  .................  A                 Cauterization, inner          1.09      2.17      2.45      0.08      3.34      3.62       010
                                                           nose.
30802..............  .................  A                 Cauterization, inner          2.03      2.72      2.99      0.15      4.90      5.17       010
                                                           nose.
30901..............  .................  A                 Control of nosebleed...       1.21      0.44      2.05      0.09      1.74      3.35       000
30903..............  .................  A                 Control of nosebleed...       1.54      0.63      2.46      0.12      2.29      4.12       000
30905..............  .................  A                 Control of nosebleed...       1.97      0.89      4.32      0.15      3.01      6.44       000
30906..............  .................  A                 Repeat control of             2.45      1.35      4.56      0.17      3.97      7.18       000
                                                           nosebleed.
30915..............  .................  A                 Ligation, nasal sinus         7.20      6.84        NA      0.50     14.54        NA       090
                                                           artery.
30920..............  .................  A                 Ligation, upper jaw           9.83      8.33        NA      0.69     18.85        NA       090
                                                           artery.
30930..............  .................  A                 Therapy, fracture of          1.26      2.05        NA      0.09      3.40        NA       010
                                                           nose.

[[Page 40434]]

 
30999..............  .................  C                 Nasal surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
31000..............  .................  A                 Irrigation, maxillary         1.15      0.64      2.33      0.08      1.87      3.56       010
                                                           sinus.
31002..............  .................  A                 Irrigation, sphenoid          1.91      1.98        NA      0.14      4.03        NA       010
                                                           sinus.
31020..............  .................  A                 Exploration, maxillary        2.94      3.53      4.22      0.20      6.67      7.36       090
                                                           sinus.
31030..............  .................  A                 Exploration, maxillary        5.92      4.54      4.79      0.42     10.88     11.13       090
                                                           sinus.
31032..............  .................  A                 Explore sinus,remove          6.57      5.91        NA      0.47     12.95        NA       090
                                                           polyps.
31040..............  .................  A                 Exploration behind            9.42      6.80        NA      0.71     16.93        NA       090
                                                           upper jaw.
31050..............  .................  A                 Exploration, sphenoid         5.28      4.93        NA      0.39     10.60        NA       090
                                                           sinus.
31051..............  .................  A                 Sphenoid sinus surgery.       7.11      6.35        NA      0.55     14.01        NA       090
31070..............  .................  A                 Exploration of frontal        4.28      4.85        NA      0.30      9.43        NA       090
                                                           sinus.
31075..............  .................  A                 Exploration of frontal        9.16      8.02        NA      0.64     17.82        NA       090
                                                           sinus.
31080..............  .................  A                 Removal of frontal           11.42      8.69        NA      0.78     20.89        NA       090
                                                           sinus.
31081..............  .................  A                 Removal of frontal           12.75      9.38        NA      1.84     23.97        NA       090
                                                           sinus.
31084..............  .................  A                 Removal of frontal           13.51     10.41        NA      0.96     24.88        NA       090
                                                           sinus.
31085..............  .................  A                 Removal of frontal           14.20     10.67        NA      1.18     26.05        NA       090
                                                           sinus.
31086..............  .................  A                 Removal of frontal           12.86      9.97        NA      0.90     23.73        NA       090
                                                           sinus.
31087..............  .................  A                 Removal of frontal           13.10     10.51        NA      1.15     24.76        NA       090
                                                           sinus.
31090..............  .................  A                 Exploration of sinuses.       9.53      8.66        NA      0.66     18.85        NA       090
31200..............  .................  A                 Removal of ethmoid            4.97      5.52        NA      0.25     10.74        NA       090
                                                           sinus.
31201..............  .................  A                 Removal of ethmoid            8.37      7.61        NA      0.58     16.56        NA       090
                                                           sinus.
31205..............  .................  A                 Removal of ethmoid           10.24      8.20        NA      0.58     19.02        NA       090
                                                           sinus.
31225..............  .................  A                 Removal of upper jaw...      19.23     14.89        NA      1.38     35.50        NA       090
31230..............  .................  A                 Removal of upper jaw...      21.94     16.19        NA      1.57     39.70        NA       090
31231..............  .................  A                 Nasal endoscopy, dx....       1.10      0.59      1.91      0.08      1.77      3.09       000
31233..............  .................  A                 Nasal/sinus endoscopy,        2.18      1.19      2.55      0.16      3.53      4.89       000
                                                           dx.
31235..............  .................  A                 Nasal/sinus endoscopy,        2.64      1.49      2.82      0.18      4.31      5.64       000
                                                           dx.
31237..............  .................  A                 Nasal/sinus endoscopy,        2.98      1.65      3.10      0.21      4.84      6.29       000
                                                           surg.
31238..............  .................  A                 Nasal/sinus endoscopy,        3.26      1.86      3.59      0.23      5.35      7.08       000
                                                           surg.
31239..............  .................  A                 Nasal/sinus endoscopy,        8.70      6.37        NA      0.46     15.53        NA       010
                                                           surg.
31240..............  .................  A                 Nasal/sinus endoscopy,        2.61      1.59        NA      0.18      4.38        NA       000
                                                           surg.
31254..............  .................  A                 Revision of ethmoid           4.65      2.75        NA      0.32      7.72        NA       000
                                                           sinus.
31255..............  .................  A                 Removal of ethmoid            6.96      4.07        NA      0.49     11.52        NA       000
                                                           sinus.
31256..............  .................  A                 Exploration maxillary         3.29      1.98        NA      0.23      5.50        NA       000
                                                           sinus.
31267..............  .................  A                 Endoscopy, maxillary          5.46      3.22        NA      0.38      9.06        NA       000
                                                           sinus.
31276..............  .................  A                 Sinus endoscopy,              8.85      5.16        NA      0.62     14.63        NA       000
                                                           surgical.
31287..............  .................  A                 Nasal/sinus endoscopy,        3.92      2.34        NA      0.27      6.53        NA       000
                                                           surg.
31288..............  .................  A                 Nasal/sinus endoscopy,        4.58      2.71        NA      0.32      7.61        NA       000
                                                           surg.
31290..............  .................  A                 Nasal/sinus endoscopy,       17.24     11.70        NA      1.20     30.14        NA       010
                                                           surg.
31291..............  .................  A                 Nasal/sinus endoscopy,       18.19     11.90        NA      1.73     31.82        NA       010
                                                           surg.
31292..............  .................  A                 Nasal/sinus endoscopy,       14.76     10.04        NA      0.99     25.79        NA       010
                                                           surg.
31293..............  .................  A                 Nasal/sinus endoscopy,       16.21     10.71        NA      0.97     27.89        NA       010
                                                           surg.
31294..............  .................  A                 Nasal/sinus endoscopy,       19.06     11.48        NA      1.04     31.58        NA       010
                                                           surg.
31299..............  .................  C                 Sinus surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
31300..............  .................  A                 Removal of larynx            14.29     16.71        NA      0.99     31.99        NA       090
                                                           lesion.
31320..............  .................  A                 Diagnostic incision,          5.26     13.00        NA      0.40     18.66        NA       090
                                                           larynx.
31360..............  .................  A                 Removal of larynx......      17.08     18.54        NA      1.20     36.82        NA       090
31365..............  .................  A                 Removal of larynx......      24.16     22.21        NA      1.72     48.09        NA       090
31367..............  .................  A                 Partial removal of           21.86     22.87        NA      1.57     46.30        NA       090
                                                           larynx.
31368..............  .................  A                 Partial removal of           27.09     27.69        NA      1.90     56.68        NA       090
                                                           larynx.
31370..............  .................  A                 Partial removal of           21.38     22.65        NA      1.51     45.54        NA       090
                                                           larynx.
31375..............  .................  A                 Partial removal of           20.21     20.63        NA      1.43     42.27        NA       090
                                                           larynx.
31380..............  .................  A                 Partial removal of           20.21     20.16        NA      1.40     41.77        NA       090
                                                           larynx.
31382..............  .................  A                 Partial removal of           20.52     22.33        NA      1.44     44.29        NA       090
                                                           larynx.
31390..............  .................  A                 Removal of larynx &          27.53     28.12        NA      1.95     57.60        NA       090
                                                           pharynx.
31395..............  .................  A                 Reconstruct larynx &         31.09     33.15        NA      2.27     66.51        NA       090
                                                           pharynx.
31400..............  .................  A                 Revision of larynx.....      10.31     15.09        NA      0.72     26.12        NA       090
31420..............  .................  A                 Removal of epiglottis..      10.22     14.89        NA      0.71     25.82        NA       090
31500..............  .................  A                 Insert emergency airway       2.33      0.68        NA      0.15      3.16        NA       000
31502..............  .................  A                 Change of windpipe            0.65      0.27      1.85      0.04      0.96      2.54       000
                                                           airway.
31505..............  .................  A                 Diagnostic laryngoscopy       0.61      0.34      1.74      0.04      0.99      2.39       000
31510..............  .................  A                 Laryngoscopy with             1.92      1.01      2.70      0.15      3.08      4.77       000
                                                           biopsy.
31511..............  .................  A                 Remove foreign body,          2.16      0.77      2.94      0.16      3.09      5.26       000
                                                           larynx.
31512..............  .................  A                 Removal of larynx             2.07      1.14      2.89      0.16      3.37      5.12       000
                                                           lesion.
31513..............  .................  A                 Injection into vocal          2.10      1.29        NA      0.15      3.54        NA       000
                                                           cord.
31515..............  .................  A                 Laryngoscopy for              1.80      0.85      2.40      0.12      2.77      4.32       000
                                                           aspiration.
31520..............  .................  A                 Diagnostic laryngoscopy       2.56      1.41        NA      0.17      4.14        NA       000
31525..............  .................  A                 Diagnostic laryngoscopy       2.63      1.50      2.82      0.18      4.31      5.63       000
31526..............  .................  A                 Diagnostic laryngoscopy       2.57      1.56        NA      0.18      4.31        NA       000
31527..............  .................  A                 Laryngoscopy for              3.27      1.72        NA      0.21      5.20        NA       000
                                                           treatment.
31528..............  .................  A                 Laryngoscopy and              2.37      1.31        NA      0.16      3.84        NA       000
                                                           dilatation.
31529..............  .................  A                 Laryngoscopy and              2.68      1.59        NA      0.18      4.45        NA       000
                                                           dilatation.
31530..............  .................  A                 Operative laryngoscopy.       3.39      1.83        NA      0.24      5.46        NA       000
31531..............  .................  A                 Operative laryngoscopy.       3.59      2.15        NA      0.25      5.99        NA       000
31535..............  .................  A                 Operative laryngoscopy.       3.16      1.86        NA      0.22      5.24        NA       000

[[Page 40435]]

 
31536..............  .................  A                 Operative laryngoscopy.       3.56      2.12        NA      0.25      5.93        NA       000
31540..............  .................  A                 Operative laryngoscopy.       4.13      2.43        NA      0.29      6.85        NA       000
31541..............  .................  A                 Operative laryngoscopy.       4.53      2.68        NA      0.32      7.53        NA       000
31560..............  .................  A                 Operative laryngoscopy.       5.46      3.06        NA      0.38      8.90        NA       000
31561..............  .................  A                 Operative laryngoscopy.       6.00      3.53        NA      0.42      9.95        NA       000
31570..............  .................  A                 Laryngoscopy with             3.87      2.28      4.21      0.24      6.39      8.32       000
                                                           injection.
31571..............  .................  A                 Laryngoscopy with             4.27      2.53        NA      0.30      7.10        NA       000
                                                           injection.
31575..............  .................  A                 Diagnostic laryngoscopy       1.10      0.62      2.10      0.08      1.80      3.28       000
31576..............  .................  A                 Laryngoscopy with             1.97      0.98      2.36      0.13      3.08      4.46       000
                                                           biopsy.
31577..............  .................  A                 Remove foreign body,          2.47      1.34      2.79      0.17      3.98      5.43       000
                                                           larynx.
31578..............  .................  A                 Removal of larynx             2.84      1.59      3.00      0.20      4.63      6.04       000
                                                           lesion.
31579..............  .................  A                 Diagnostic laryngoscopy       2.26      1.22      2.84      0.16      3.64      5.26       000
31580..............  .................  A                 Revision of larynx.....      12.38     15.82        NA      0.87     29.07        NA       090
31582..............  .................  A                 Revision of larynx.....      21.62     21.18        NA      1.52     44.32        NA       090
31584..............  .................  A                 Treat larynx fracture..      19.64     18.51        NA      1.42     39.57        NA       090
31585..............  .................  A                 Treat larynx fracture..       4.64      8.67        NA      0.30     13.61        NA       090
31586..............  .................  A                 Treat larynx fracture..       8.03     12.02        NA      0.56     20.61        NA       090
31587..............  .................  A                 Revision of larynx.....      11.99     13.39        NA      0.88     26.26        NA       090
31588..............  .................  A                 Revision of larynx.....      13.11     16.53        NA      0.92     30.56        NA       090
31590..............  .................  A                 Reinnervate larynx.....       6.97     11.67        NA      0.50     19.14        NA       090
31595..............  .................  A                 Larynx nerve surgery...       8.34     10.54        NA      0.62     19.50        NA       090
31599..............  .................  C                 Larynx surgery                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
31600..............  .................  A                 Incision of windpipe...       7.18      3.12        NA      0.34     10.64        NA       000
31601..............  .................  A                 Incision of windpipe...       4.45      2.11        NA      0.39      6.95        NA       000
31603..............  .................  A                 Incision of windpipe...       4.15      1.67        NA      0.35      6.17        NA       000
31605..............  .................  A                 Incision of windpipe...       3.58      1.24        NA      0.33      5.15        NA       000
31610..............  .................  A                 Incision of windpipe...       8.76     10.50        NA      0.69     19.95        NA       090
31611..............  .................  A                 Surgery/speech                5.64      9.78        NA      0.40     15.82        NA       090
                                                           prosthesis.
31612..............  .................  A                 Puncture/clear windpipe       0.91      0.43      1.49      0.06      1.40      2.46       000
31613..............  .................  A                 Repair windpipe opening       4.59      8.57        NA      0.37     13.53        NA       090
31614..............  .................  A                 Repair windpipe opening       7.12     11.72        NA      0.51     19.35        NA       090
31615..............  .................  A                 Visualization of              2.09      1.20      3.54      0.14      3.43      5.77       000
                                                           windpipe.
31622..............  .................  A                 Dx bronchoscope/wash...       2.78      1.19      3.30      0.14      4.11      6.22       000
31623..............  .................  A                 Dx bronchoscope/brush..       2.88      1.20      3.23      0.14      4.22      6.25       000
31624..............  .................  A                 Dx bronchoscope/lavage.       2.88      1.20      2.90      0.13      4.21      5.91       000
31625..............  .................  A                 Bronchoscopy with             3.37      1.34      2.93      0.16      4.87      6.46       000
                                                           biopsy.
31628..............  .................  A                 Bronchoscopy with             3.81      1.45      3.36      0.14      5.40      7.31       000
                                                           biopsy.
31629..............  .................  A                 Bronchoscopy with             3.37      1.32        NA      0.13      4.82        NA       000
                                                           biopsy.
31630..............  .................  A                 Bronchoscopy with             3.82      2.03        NA      0.30      6.15        NA       000
                                                           repair.
31631..............  .................  A                 Bronchoscopy with             4.37      2.06        NA      0.31      6.74        NA       000
                                                           dilation.
31635..............  .................  A                 Remove foreign body,          3.68      1.73        NA      0.21      5.62        NA       000
                                                           airway.
31640..............  .................  A                 Bronchoscopy & remove         4.94      2.37        NA      0.37      7.68        NA       000
                                                           lesion.
31641..............  .................  A                 Bronchoscopy, treat           5.03      2.20        NA      0.30      7.53        NA       000
                                                           blockage.
31643..............  .................  A                 Diag bronchoscope/            3.50      1.17      1.17      0.15      4.82      4.82       000
                                                           catheter.
31645..............  .................  A                 Bronchoscopy, clear           3.16      1.26        NA      0.13      4.55        NA       000
                                                           airways.
31646..............  .................  A                 Bronchoscopy, reclear         2.72      1.12        NA      0.12      3.96        NA       000
                                                           airway.
31656..............  .................  A                 Bronchoscopy, inj for         2.17      0.94        NA      0.10      3.21        NA       000
                                                           xray.
31700..............  .................  A                 Insertion of airway           1.34      0.75      2.53      0.07      2.16      3.94       000
                                                           catheter.
31708..............  .................  A                 Instill airway contrast       1.41      0.63        NA      0.06      2.10        NA       000
                                                           dye.
31710..............  .................  A                 Insertion of airway           1.30      0.74        NA      0.06      2.10        NA       000
                                                           catheter.
31715..............  .................  A                 Injection for bronchus        1.11      0.66        NA      0.06      1.83        NA       000
                                                           x-ray.
31717..............  .................  A                 Bronchial brush biopsy.       2.12      0.92      2.79      0.09      3.13      5.00       000
31720..............  .................  A                 Clearance of airways...       1.06      0.34      1.88      0.06      1.46      3.00       000
31725..............  .................  A                 Clearance of airways...       1.96      0.62        NA      0.10      2.68        NA       000
31730..............  .................  A                 Intro, windpipe wire/         2.85      1.13      2.43      0.15      4.13      5.43       000
                                                           tube.
31750..............  .................  A                 Repair of windpipe.....      13.02     15.46        NA      1.02     29.50        NA       090
31755..............  .................  A                 Repair of windpipe.....      15.93     18.50        NA      1.15     35.58        NA       090
31760..............  .................  A                 Repair of windpipe.....      22.35     11.89        NA      1.48     35.72        NA       090
31766..............  .................  A                 Reconstruction of            30.43     17.60        NA      3.16     51.19        NA       090
                                                           windpipe.
31770..............  .................  A                 Repair/graft of              22.51     14.69        NA      2.27     39.47        NA       090
                                                           bronchus.
31775..............  .................  A                 Reconstruct bronchus...      23.54     14.06        NA      2.91     40.51        NA       090
31780..............  .................  A                 Reconstruct windpipe...      17.72     12.93        NA      1.55     32.20        NA       090
31781..............  .................  A                 Reconstruct windpipe...      23.53     13.82        NA      2.04     39.39        NA       090
31785..............  .................  A                 Remove windpipe lesion.      17.23     12.69        NA      1.36     31.28        NA       090
31786..............  .................  A                 Remove windpipe lesion.      23.98     14.62        NA      2.20     40.80        NA       090
31800..............  .................  A                 Repair of windpipe            7.43      6.95        NA      0.67     15.05        NA       090
                                                           injury.
31805..............  .................  A                 Repair of windpipe           13.13     10.09        NA      1.45     24.67        NA       090
                                                           injury.
31820..............  .................  A                 Closure of windpipe           4.49      7.70      7.74      0.35     12.54     12.58       090
                                                           lesion.
31825..............  .................  A                 Repair of windpipe            6.81     10.92     11.15      0.50     18.23     18.46       090
                                                           defect.
31830..............  .................  A                 Revise windpipe scar...       4.50      7.84      7.84      0.36     12.70     12.70       090
31899..............  .................  C                 Airways surgical              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
32000..............  .................  A                 Drainage of chest......       1.54      0.51      3.04      0.07      2.12      4.65       000
32002..............  .................  A                 Treatment of collapsed        2.19      0.87        NA      0.11      3.17        NA       000
                                                           lung.
32005..............  .................  A                 Treat lung lining             2.19      0.88        NA      0.17      3.24        NA       000
                                                           chemically.

[[Page 40436]]

 
32020..............  .................  A                 Insertion of chest tube       3.98      1.48        NA      0.36      5.82        NA       000
32035..............  .................  A                 Exploration of chest...       8.67      7.78        NA      1.02     17.47        NA       090
32036..............  .................  A                 Exploration of chest...       9.68      8.82        NA      1.20     19.70        NA       090
32095..............  .................  A                 Biopsy through chest          8.36      8.17        NA      0.99     17.52        NA       090
                                                           wall.
32100..............  .................  A                 Exploration/biopsy of        15.24     10.45        NA      1.45     27.14        NA       090
                                                           chest.
32110..............  .................  A                 Explore/repair chest...      23.00     13.15        NA      1.63     37.78        NA       090
32120..............  .................  A                 Re-exploration of chest      11.54      9.57        NA      1.42     22.53        NA       090
32124..............  .................  A                 Explore chest free           12.72      9.38        NA      1.51     23.61        NA       090
                                                           adhesions.
32140..............  .................  A                 Removal of lung              13.93     10.02        NA      1.68     25.63        NA       090
                                                           lesion(s).
32141..............  .................  A                 Remove/treat lung            14.00     10.20        NA      1.72     25.92        NA       090
                                                           lesions.
32150..............  .................  A                 Removal of lung              14.15      9.78        NA      1.60     25.53        NA       090
                                                           lesion(s).
32151..............  .................  A                 Remove lung foreign          14.21     10.46        NA      1.49     26.16        NA       090
                                                           body.
32160..............  .................  A                 Open chest heart              9.30      6.29        NA      1.01     16.60        NA       090
                                                           massage.
32200..............  .................  A                 Drain, open, lung            15.29     10.30        NA      1.46     27.05        NA       090
                                                           lesion.
32201..............  .................  A                 Drain, percut, lung           4.00      6.49        NA      0.18     10.67        NA       000
                                                           lesion.
32215..............  .................  A                 Treat chest lining.....      11.33      9.64        NA      1.34     22.31        NA       090
32220..............  .................  A                 Release of lung........      24.00     13.70        NA      2.39     40.09        NA       090
32225..............  .................  A                 Partial release of lung      13.96     10.10        NA      1.70     25.76        NA       090
32310..............  .................  A                 Removal of chest lining      13.44      9.86        NA      1.65     24.95        NA       090
32320..............  .................  A                 Free/remove chest            24.00     13.32        NA      2.50     39.82        NA       090
                                                           lining.
32400..............  .................  A                 Needle biopsy chest           1.76      0.58      1.94      0.07      2.41      3.77       000
                                                           lining.
32402..............  .................  A                 Open biopsy chest             7.56      8.16        NA      0.91     16.63        NA       090
                                                           lining.
32405..............  .................  A                 Biopsy, lung or               1.93      0.67      2.34      0.09      2.69      4.36       000
                                                           mediastinum.
32420..............  .................  A                 Puncture/clear lung....       2.18      0.86        NA      0.11      3.15        NA       000
32440..............  .................  A                 Removal of lung........      25.00     13.83        NA      2.56     41.39        NA       090
32442..............  .................  A                 Sleeve pneumonectomy...      26.24     15.04        NA      3.12     44.40        NA       090
32445..............  .................  A                 Removal of lung........      25.09     13.71        NA      3.11     41.91        NA       090
32480..............  .................  A                 Partial removal of lung      23.75     12.95        NA      2.24     38.94        NA       090
32482..............  .................  A                 Bilobectomy............      25.00     13.65        NA      2.35     41.00        NA       090
32484..............  .................  A                 Segmentectomy..........      20.69     12.09        NA      2.54     35.32        NA       090
32486..............  .................  A                 Sleeve lobectomy.......      23.92     13.44        NA      3.00     40.36        NA       090
32488..............  .................  A                 Completion                   25.71     14.22        NA      3.18     43.11        NA       090
                                                           pneumonectomy.
32491..............  .................  R                 Lung volume reduction..      21.25     13.52        NA      2.66     37.43        NA       090
32500..............  .................  A                 Partial removal of lung      22.00     12.94        NA      1.77     36.71        NA       090
32501..............  .................  A                 Repair bronchus add-on.       4.69      1.59        NA      0.56      6.84        NA       ZZZ
32520..............  .................  A                 Remove lung & revise         21.68     12.88        NA      2.71     37.27        NA       090
                                                           chest.
32522..............  .................  A                 Remove lung & revise         24.20     13.48        NA      2.84     40.52        NA       090
                                                           chest.
32525..............  .................  A                 Remove lung & revise         26.50     14.29        NA      3.25     44.04        NA       090
                                                           chest.
32540..............  .................  A                 Removal of lung lesion.      14.64     10.51        NA      1.84     26.99        NA       090
32601..............  .................  A                 Thoracoscopy,                 5.46      3.67        NA      0.63      9.76        NA       000
                                                           diagnostic.
32602..............  .................  A                 Thoracoscopy,                 5.96      3.85        NA      0.70     10.51        NA       000
                                                           diagnostic.
32603..............  .................  A                 Thoracoscopy,                 7.81      4.29        NA      0.76     12.86        NA       000
                                                           diagnostic.
32604..............  .................  A                 Thoracoscopy,                 8.78      4.83        NA      0.97     14.58        NA       000
                                                           diagnostic.
32605..............  .................  A                 Thoracoscopy,                 6.93      4.36        NA      0.86     12.15        NA       000
                                                           diagnostic.
32606..............  .................  A                 Thoracoscopy,                 8.40      4.65        NA      0.99     14.04        NA       000
                                                           diagnostic.
32650..............  .................  A                 Thoracoscopy, surgical.      10.75      8.63        NA      1.25     20.63        NA       090
32651..............  .................  A                 Thoracoscopy, surgical.      12.91      8.87        NA      1.50     23.28        NA       090
32652..............  .................  A                 Thoracoscopy, surgical.      18.66     11.51        NA      2.30     32.47        NA       090
32653..............  .................  A                 Thoracoscopy, surgical.      12.87      9.30        NA      1.55     23.72        NA       090
32654..............  .................  A                 Thoracoscopy, surgical.      12.44      7.38        NA      1.51     21.33        NA       090
32655..............  .................  A                 Thoracoscopy, surgical.      13.10      8.99        NA      1.53     23.62        NA       090
32656..............  .................  A                 Thoracoscopy, surgical.      12.91      9.71        NA      1.61     24.23        NA       090
32657..............  .................  A                 Thoracoscopy, surgical.      13.65      9.51        NA      1.64     24.80        NA       090
32658..............  .................  A                 Thoracoscopy, surgical.      11.63      9.85        NA      1.47     22.95        NA       090
32659..............  .................  A                 Thoracoscopy, surgical.      11.59      8.96        NA      1.39     21.94        NA       090
32660..............  .................  A                 Thoracoscopy, surgical.      17.43     10.64        NA      2.09     30.16        NA       090
32661..............  .................  A                 Thoracoscopy, surgical.      13.25      9.75        NA      1.66     24.66        NA       090
32662..............  .................  A                 Thoracoscopy, surgical.      16.44     10.73        NA      2.01     29.18        NA       090
32663..............  .................  A                 Thoracoscopy, surgical.      18.47     11.44        NA      2.28     32.19        NA       090
32664..............  .................  A                 Thoracoscopy, surgical.      14.20      9.22        NA      1.70     25.12        NA       090
32665..............  .................  A                 Thoracoscopy, surgical.      15.54      9.49        NA      1.79     26.82        NA       090
32800..............  .................  A                 Repair lung hernia.....      13.69      9.70        NA      1.51     24.90        NA       090
32810..............  .................  A                 Close chest after            13.05      9.65        NA      1.55     24.25        NA       090
                                                           drainage.
32815..............  .................  A                 Close bronchial fistula      23.15     13.57        NA      2.84     39.56        NA       090
32820..............  .................  A                 Reconstruct injured          21.48     13.85        NA      2.31     37.64        NA       090
                                                           chest.
32850..............  .................  X                 Donor pneumonectomy....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
32851..............  .................  A                 Lung transplant, single      38.63     20.37        NA      4.90     63.90        NA       090
32852..............  .................  A                 Lung transplant with         41.80     22.29        NA      5.17     69.26        NA       090
                                                           bypass.
32853..............  .................  A                 Lung transplant, double      47.81     23.87        NA      6.13     77.81        NA       090
32854..............  .................  A                 Lung transplant with         50.98     24.28        NA      6.41     81.67        NA       090
                                                           bypass.
32900..............  .................  A                 Removal of rib(s)......      20.27     12.21        NA      2.42     34.90        NA       090
32905..............  .................  A                 Revise & repair chest        20.75     12.70        NA      2.54     35.99        NA       090
                                                           wall.
32906..............  .................  A                 Revise & repair chest        26.77     15.56        NA      3.30     45.63        NA       090
                                                           wall.
32940..............  .................  A                 Revision of lung.......      19.43     12.41        NA      2.47     34.31        NA       090

[[Page 40437]]

 
32960..............  .................  A                 Therapeutic                   1.84      0.60      1.58      0.12      2.56      3.54       000
                                                           pneumothorax.
32997..............  .................  A                 Total lung lavage......       6.00      2.12        NA      0.55      8.67        NA       000
32999..............  .................  C                 Chest surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
33010..............  .................  A                 Drainage of heart sac..       2.24      1.00        NA      0.13      3.37        NA       000
33011..............  .................  A                 Repeat drainage of            2.24      1.04        NA      0.13      3.41        NA       000
                                                           heart sac.
33015..............  .................  A                 Incision of heart sac..       6.80      4.48        NA      0.64     11.92        NA       090
33020..............  .................  A                 Incision of heart sac..      12.61      7.93        NA      1.50     22.04        NA       090
33025..............  .................  A                 Incision of heart sac..      12.09      7.94        NA      1.50     21.53        NA       090
33030..............  .................  A                 Partial removal of           18.71     12.50        NA      2.40     33.61        NA       090
                                                           heart sac.
33031..............  .................  A                 Partial removal of           21.79     13.63        NA      2.78     38.20        NA       090
                                                           heart sac.
33050..............  .................  A                 Removal of heart sac         14.36     10.20        NA      1.73     26.29        NA       090
                                                           lesion.
33120..............  .................  A                 Removal of heart lesion      24.56     16.06        NA      3.06     43.68        NA       090
33130..............  .................  A                 Removal of heart lesion      21.39     13.11        NA      2.51     37.01        NA       090
33140..............  .................  A                 Heart revascularize          20.00     10.59        NA      2.27     32.86        NA       090
                                                           (tmr).
33141..............  .................  A                 Heart tmr w/other             4.84      1.69        NA      0.60      7.13        NA       ZZZ
                                                           procedure.
33200..............  .................  A                 Insertion of heart           12.48      9.74        NA      1.17     23.39        NA       090
                                                           pacemaker.
33201..............  .................  A                 Insertion of heart           10.18      9.67        NA      1.21     21.06        NA       090
                                                           pacemaker.
33206..............  .................  A                 Insertion of heart            6.67      5.54        NA      0.50     12.71        NA       090
                                                           pacemaker.
33207..............  .................  A                 Insertion of heart            8.04      6.05        NA      0.57     14.66        NA       090
                                                           pacemaker.
33208..............  .................  A                 Insertion of heart            8.13      6.20        NA      0.54     14.87        NA       090
                                                           pacemaker.
33210..............  .................  A                 Insertion of heart            3.30      1.32        NA      0.17      4.79        NA       000
                                                           electrode.
33211..............  .................  A                 Insertion of heart            3.40      1.39        NA      0.17      4.96        NA       000
                                                           electrode.
33212..............  .................  A                 Insertion of pulse            5.52      4.48        NA      0.44     10.44        NA       090
                                                           generator.
33213..............  .................  A                 Insertion of pulse            6.37      4.86        NA      0.46     11.69        NA       090
                                                           generator.
33214..............  .................  A                 Upgrade of pacemaker          7.75      6.00        NA      0.52     14.27        NA       090
                                                           system.
33216..............  .................  A                 Revise eltrd pacing-          5.39      4.96        NA      0.36     10.71        NA       090
                                                           defib.
33217..............  .................  A                 Revise eltrd pacing-          5.75      5.30        NA      0.36     11.41        NA       090
                                                           defib.
33218..............  .................  A                 Revise eltrd pacing-          5.44      4.53        NA      0.40     10.37        NA       090
                                                           defib.
33220..............  .................  A                 Revise eltrd pacing-          5.52      4.59        NA      0.39     10.50        NA       090
                                                           defib.
33222..............  .................  A                 Revise pocket,                4.96      3.97        NA      0.39      9.32        NA       090
                                                           pacemaker.
33223..............  .................  A                 Revise pocket, pacing-        6.46      5.19        NA      0.44     12.09        NA       090
                                                           defib.
33233..............  .................  A                 Removal of pacemaker          3.29      3.86        NA      0.22      7.37        NA       090
                                                           system.
33234..............  .................  A                 Removal of pacemaker          7.82      5.67        NA      0.56     14.05        NA       090
                                                           system.
33235..............  .................  A                 Removal of pacemaker          9.40      6.33        NA      0.68     16.41        NA       090
                                                           electro.
33236..............  .................  A                 Remove electrode/            12.60      9.27        NA      1.49     23.36        NA       090
                                                           thoracotomy.
33237..............  .................  A                 Remove electrode/            13.71      9.90        NA      1.57     25.18        NA       090
                                                           thoracotomy.
33238..............  .................  A                 Remove electrode/            15.22      9.86        NA      1.56     26.64        NA       090
                                                           thoracotomy.
33240..............  .................  A                 Insert pulse generator.       7.60      5.57        NA      0.53     13.70        NA       090
33241..............  .................  A                 Remove pulse generator.       3.24      3.47        NA      0.21      6.92        NA       090
33243..............  .................  A                 Remove eltrd/                22.64     10.96        NA      2.53     36.13        NA       090
                                                           thoracotomy.
33244..............  .................  A                 Remove eltrd, transven.      13.76      8.29        NA      1.05     23.10        NA       090
33245..............  .................  A                 Insert epic eltrd pace-      14.30     10.98        NA      1.28     26.56        NA       090
                                                           defib.
33246..............  .................  A                 Insert epic eltrd/           20.71     14.37        NA      2.22     37.30        NA       090
                                                           generator.
33249..............  .................  A                 Eltrd/insert pace-defib      14.23      9.00        NA      0.80     24.03        NA       090
33250..............  .................  A                 Ablate heart dysrhythm       21.85     13.79        NA      1.01     36.65        NA       090
                                                           focus.
33251..............  .................  A                 Ablate heart dysrhythm       24.88     14.75        NA      2.41     42.04        NA       090
                                                           focus.
33253..............  .................  A                 Reconstruct atria......      31.06     17.03        NA      3.68     51.77        NA       090
33261..............  .................  A                 Ablate heart dysrhythm       24.88     14.70        NA      2.82     42.40        NA       090
                                                           focus.
33282..............  .................  A                 Implant pat-active ht         4.17      4.64        NA      0.39      9.20        NA       090
                                                           record.
33284..............  .................  A                 Remove pat-active ht          2.50      4.16        NA      0.23      6.89        NA       090
                                                           record.
33300..............  .................  A                 Repair of heart wound..      17.92     12.15        NA      1.91     31.98        NA       090
33305..............  .................  A                 Repair of heart wound..      21.44     13.61        NA      2.68     37.73        NA       090
33310..............  .................  A                 Exploratory heart            18.51     12.35        NA      2.26     33.12        NA       090
                                                           surgery.
33315..............  .................  A                 Exploratory heart            22.37     13.84        NA      2.90     39.11        NA       090
                                                           surgery.
33320..............  .................  A                 Repair major blood           16.79     11.30        NA      1.66     29.75        NA       090
                                                           vessel(s).
33321..............  .................  A                 Repair major vessel....      20.20     13.19        NA      2.70     36.09        NA       090
33322..............  .................  A                 Repair major blood           20.62     13.29        NA      2.51     36.42        NA       090
                                                           vessel(s).
33330..............  .................  A                 Insert major vessel          21.43     13.08        NA      2.49     37.00        NA       090
                                                           graft.
33332..............  .................  A                 Insert major vessel          23.96     13.61        NA      2.45     40.02        NA       090
                                                           graft.
33335..............  .................  A                 Insert major vessel          30.01     16.34        NA      3.79     50.14        NA       090
                                                           graft.
33400..............  .................  A                 Repair of aortic valve.      28.50     17.31        NA      3.09     48.90        NA       090
33401..............  .................  A                 Valvuloplasty, open....      23.91     15.66        NA      2.71     42.28        NA       090
33403..............  .................  A                 Valvuloplasty, w/cp          24.89     15.61        NA      2.48     42.98        NA       090
                                                           bypass.
33404..............  .................  A                 Prepare heart-aorta          28.54     17.27        NA      3.31     49.12        NA       090
                                                           conduit.
33405..............  .................  A                 Replacement of aortic        35.00     18.13        NA      3.86     56.99        NA       090
                                                           valve.
33406..............  .................  A                 Replacement of aortic        37.50     18.83        NA      4.07     60.40        NA       090
                                                           valve.
33410..............  .................  A                 Replacement of aortic        32.46     17.28        NA      4.11     53.85        NA       090
                                                           valve.
33411..............  .................  A                 Replacement of aortic        36.25     18.61        NA      4.16     59.02        NA       090
                                                           valve.
33412..............  .................  A                 Replacement of aortic        42.00     22.33        NA      4.66     68.99        NA       090
                                                           valve.
33413..............  .................  A                 Replacement of aortic        43.50     23.30        NA      4.26     71.06        NA       090
                                                           valve.
33414..............  .................  A                 Repair of aortic valve.      30.35     18.26        NA      3.79     52.40        NA       090
33415..............  .................  A                 Revision, subvalvular        27.15     17.07        NA      3.25     47.47        NA       090
                                                           tissue.
33416..............  .................  A                 Revise ventricle muscle      30.35     16.61        NA      3.85     50.81        NA       090
33417..............  .................  A                 Repair of aortic valve.      28.53     17.74        NA      3.58     49.85        NA       090

[[Page 40438]]

 
33420..............  .................  A                 Revision of mitral           22.70     11.82        NA      1.48     36.00        NA       090
                                                           valve.
33422..............  .................  A                 Revision of mitral           25.94     15.09        NA      3.30     44.33        NA       090
                                                           valve.
33425..............  .................  A                 Repair of mitral valve.      27.00     14.50        NA      3.00     44.50        NA       090
33426..............  .................  A                 Repair of mitral valve.      33.00     17.51        NA      3.87     54.38        NA       090
33427..............  .................  A                 Repair of mitral valve.      40.00     19.71        NA      4.30     64.01        NA       090
33430..............  .................  A                 Replacement of mitral        33.50     17.65        NA      3.95     55.10        NA       090
                                                           valve.
33460..............  .................  A                 Revision of tricuspid        23.60     14.40        NA      3.02     41.02        NA       090
                                                           valve.
33463..............  .................  A                 Valvuloplasty,               25.62     15.07        NA      3.17     43.86        NA       090
                                                           tricuspid.
33464..............  .................  A                 Valvuloplasty,               27.33     15.63        NA      3.47     46.43        NA       090
                                                           tricuspid.
33465..............  .................  A                 Replace tricuspid valve      28.79     15.92        NA      3.61     48.32        NA       090
33468..............  .................  A                 Revision of tricuspid        30.12     20.51        NA      4.00     54.63        NA       090
                                                           valve.
33470..............  .................  A                 Revision of pulmonary        20.81     13.69        NA      2.81     37.31        NA       090
                                                           valve.
33471..............  .................  A                 Valvotomy, pulmonary         22.25     14.65        NA      3.00     39.90        NA       090
                                                           valve.
33472..............  .................  A                 Revision of pulmonary        22.25     14.77        NA      2.92     39.94        NA       090
                                                           valve.
33474..............  .................  A                 Revision of pulmonary        23.04     13.61        NA      2.84     39.49        NA       090
                                                           valve.
33475..............  .................  A                 Replacement, pulmonary       33.00     19.81        NA      2.64     55.45        NA       090
                                                           valve.
33476..............  .................  A                 Revision of heart            25.77     14.43        NA      2.40     42.60        NA       090
                                                           chamber.
33478..............  .................  A                 Revision of heart            26.74     15.00        NA      3.56     45.30        NA       090
                                                           chamber.
33496..............  .................  A                 Repair, prosth valve         27.25     17.25        NA      3.44     47.94        NA       090
                                                           clot.
33500..............  .................  A                 Repair heart vessel          25.55     13.93        NA      2.80     42.28        NA       090
                                                           fistula.
33501..............  .................  A                 Repair heart vessel          17.78     10.63        NA      2.05     30.46        NA       090
                                                           fistula.
33502..............  .................  A                 Coronary artery              21.04     16.64        NA      2.51     40.19        NA       090
                                                           correction.
33503..............  .................  A                 Coronary artery graft..      21.78     12.32        NA      1.42     35.52        NA       090
33504..............  .................  A                 Coronary artery graft..      24.66     17.34        NA      3.04     45.04        NA       090
33505..............  .................  A                 Repair artery w/tunnel.      26.84     18.35        NA      1.52     46.71        NA       090
33506..............  .................  A                 Repair artery,               35.50     19.13        NA      3.19     57.82        NA       090
                                                           translocation.
33510..............  .................  A                 CABG, vein, single.....      29.00     16.12        NA      3.13     48.25        NA       090
33511..............  .................  A                 CABG, vein, two........      30.00     16.25        NA      3.34     49.59        NA       090
33512..............  .................  A                 CABG, vein, three......      31.80     17.01        NA      3.70     52.51        NA       090
33513..............  .................  A                 CABG, vein, four.......      32.00     17.09        NA      3.99     53.08        NA       090
33514..............  .................  A                 CABG, vein, five.......      32.75     17.36        NA      4.37     54.48        NA       090
33516..............  .................  A                 Cabg, vein, six or more      35.00     18.13        NA      4.62     57.75        NA       090
33517..............  .................  A                 CABG, artery-vein,            2.57      0.86        NA      0.32      3.75        NA       ZZZ
                                                           single.
33518..............  .................  A                 CABG, artery-vein, two.       4.85      1.63        NA      0.61      7.09        NA       ZZZ
33519..............  .................  A                 CABG, artery-vein,            7.12      2.39        NA      0.89     10.40        NA       ZZZ
                                                           three.
33521..............  .................  A                 CABG, artery-vein, four       9.40      3.15        NA      1.18     13.73        NA       ZZZ
33522..............  .................  A                 CABG, artery-vein, five      11.67      3.91        NA      1.48     17.06        NA       ZZZ
33523..............  .................  A                 Cabg, art-vein, six or       13.95      4.62        NA      1.78     20.35        NA       ZZZ
                                                           more.
33530..............  .................  A                 Coronary artery, bypass/      5.86      1.95        NA      0.73      8.54        NA       ZZZ
                                                           reop.
33533..............  .................  A                 CABG, arterial, single.      30.00     16.43        NA      3.24     49.67        NA       090
33534..............  .................  A                 CABG, arterial, two....      32.20     16.71        NA      3.63     52.54        NA       090
33535..............  .................  A                 CABG, arterial, three..      34.50     17.46        NA      3.97     55.93        NA       090
33536..............  .................  A                 Cabg, arterial, four or      37.50     15.94        NA      3.29     56.73        NA       090
                                                           more.
33542..............  .................  A                 Removal of heart lesion      28.85     17.56        NA      3.61     50.02        NA       090
33545..............  .................  A                 Repair of heart damage.      36.78     20.21        NA      4.40     61.39        NA       090
33572..............  .................  A                 Open coronary                 4.45      1.50        NA      0.55      6.50        NA       ZZZ
                                                           endarterectomy.
33600..............  .................  A                 Closure of valve.......      29.51     16.62        NA      2.30     48.43        NA       090
33602..............  .................  A                 Closure of valve.......      28.54     14.97        NA      2.90     46.41        NA       090
33606..............  .................  A                 Anastomosis/artery-          30.74     15.77        NA      3.59     50.10        NA       090
                                                           aorta.
33608..............  .................  A                 Repair anomaly w/            31.09     18.69        NA      4.17     53.95        NA       090
                                                           conduit.
33610..............  .................  A                 Repair by enlargement..      30.61     19.41        NA      4.02     54.04        NA       090
33611..............  .................  A                 Repair double ventricle      34.00     18.98        NA      3.28     56.26        NA       090
33612..............  .................  A                 Repair double ventricle      35.00     20.65        NA      4.44     60.09        NA       090
33615..............  .................  A                 Repair, simple fontan..      34.00     21.46        NA      3.15     58.61        NA       090
33617..............  .................  A                 Repair, modified fontan      37.00     21.51        NA      4.09     62.60        NA       090
33619..............  .................  A                 Repair single ventricle      45.00     25.91        NA      4.71     75.62        NA       090
33641..............  .................  A                 Repair heart septum          21.39     12.07        NA      2.67     36.13        NA       090
                                                           defect.
33645..............  .................  A                 Revision of heart veins      24.82     14.37        NA      3.27     42.46        NA       090
33647..............  .................  A                 Repair heart septum          28.73     17.60        NA      3.37     49.70        NA       090
                                                           defects.
33660..............  .................  A                 Repair of heart defects      30.00     17.54        NA      2.82     50.36        NA       090
33665..............  .................  A                 Repair of heart defects      28.60     17.59        NA      3.81     50.00        NA       090
33670..............  .................  A                 Repair of heart              35.00     16.14        NA      2.18     53.32        NA       090
                                                           chambers.
33681..............  .................  A                 Repair heart septum          30.61     18.11        NA      3.53     52.25        NA       090
                                                           defect.
33684..............  .................  A                 Repair heart septum          29.65     17.18        NA      3.77     50.60        NA       090
                                                           defect.
33688..............  .................  A                 Repair heart septum          30.62     16.22        NA      3.89     50.73        NA       090
                                                           defect.
33690..............  .................  A                 Reinforce pulmonary          19.55     14.09        NA      2.56     36.20        NA       090
                                                           artery.
33692..............  .................  A                 Repair of heart defects      30.75     16.68        NA      3.77     51.20        NA       090
33694..............  .................  A                 Repair of heart defects      34.00     18.48        NA      4.27     56.75        NA       090
33697..............  .................  A                 Repair of heart defects      36.00     19.78        NA      4.54     60.32        NA       090
33702..............  .................  A                 Repair of heart defects      26.54     15.95        NA      3.45     45.94        NA       090
33710..............  .................  A                 Repair of heart defects      29.71     15.86        NA      3.85     49.42        NA       090
33720..............  .................  A                 Repair of heart defect.      26.56     16.35        NA      3.21     46.12        NA       090
33722..............  .................  A                 Repair of heart defect.      28.41     17.16        NA      3.80     49.37        NA       090
33730..............  .................  A                 Repair heart-vein            34.25     17.77        NA      2.85     54.87        NA       090
                                                           defect(s).

[[Page 40439]]

 
33732..............  .................  A                 Repair heart-vein            28.16     15.96        NA      2.78     46.90        NA       090
                                                           defect.
33735..............  .................  A                 Revision of heart            21.39     13.10        NA      1.12     35.61        NA       090
                                                           chamber.
33736..............  .................  A                 Revision of heart            23.52     15.44        NA      2.70     41.66        NA       090
                                                           chamber.
33737..............  .................  A                 Revision of heart            21.76     14.04        NA      2.93     38.73        NA       090
                                                           chamber.
33750..............  .................  A                 Major vessel shunt.....      21.41     14.61        NA      1.74     37.76        NA       090
33755..............  .................  A                 Major vessel shunt.....      21.79     14.05        NA      2.93     38.77        NA       090
33762..............  .................  A                 Major vessel shunt.....      21.79     11.09        NA      1.59     34.47        NA       090
33764..............  .................  A                 Major vessel shunt &         21.79     12.21        NA      1.93     35.93        NA       090
                                                           graft.
33766..............  .................  A                 Major vessel shunt.....      22.76     15.50        NA      3.04     41.30        NA       090
33767..............  .................  A                 Major vessel shunt.....      24.50     15.24        NA      3.14     42.88        NA       090
33770..............  .................  A                 Repair great vessels         37.00     19.57        NA      4.49     61.06        NA       090
                                                           defect.
33771..............  .................  A                 Repair great vessels         34.65     17.81        NA      4.67     57.13        NA       090
                                                           defect.
33774..............  .................  A                 Repair great vessels         30.98     16.36        NA      4.18     51.52        NA       090
                                                           defect.
33775..............  .................  A                 Repair great vessels         32.20     16.84        NA      4.34     53.38        NA       090
                                                           defect.
33776..............  .................  A                 Repair great vessels         34.04     17.57        NA      4.58     56.19        NA       090
                                                           defect.
33777..............  .................  A                 Repair great vessels         33.46     17.34        NA      4.51     55.31        NA       090
                                                           defect.
33778..............  .................  A                 Repair great vessels         40.00     19.93        NA      4.83     64.76        NA       090
                                                           defect.
33779..............  .................  A                 Repair great vessels         36.21     18.50        NA      2.40     57.11        NA       090
                                                           defect.
33780..............  .................  A                 Repair great vessels         41.75     24.12        NA      5.21     71.08        NA       090
                                                           defect.
33781..............  .................  A                 Repair great vessels         36.45     18.52        NA      4.91     59.88        NA       090
                                                           defect.
33786..............  .................  A                 Repair arterial trunk..      39.00     20.29        NA      4.69     63.98        NA       090
33788..............  .................  A                 Revision of pulmonary        26.62     15.90        NA      3.32     45.84        NA       090
                                                           artery.
33800..............  .................  A                 Aortic suspension......      16.24     10.41        NA      1.11     27.76        NA       090
33802..............  .................  A                 Repair vessel defect...      17.66      9.73        NA      1.56     28.95        NA       090
33803..............  .................  A                 Repair vessel defect...      19.60     13.91        NA      2.63     36.14        NA       090
33813..............  .................  A                 Repair septal defect...      20.65     13.64        NA      2.78     37.07        NA       090
33814..............  .................  A                 Repair septal defect...      25.77     17.46        NA      2.52     45.75        NA       090
33820..............  .................  A                 Revise major vessel....      16.29     11.56        NA      2.10     29.95        NA       090
33822..............  .................  A                 Revise major vessel....      17.32     13.89        NA      2.33     33.54        NA       090
33824..............  .................  A                 Revise major vessel....      19.52     12.77        NA      2.61     34.90        NA       090
33840..............  .................  A                 Remove aorta                 20.63     12.98        NA      2.36     35.97        NA       090
                                                           constriction.
33845..............  .................  A                 Remove aorta                 22.12     14.93        NA      2.90     39.95        NA       090
                                                           constriction.
33851..............  .................  A                 Remove aorta                 21.27     13.86        NA      2.86     37.99        NA       090
                                                           constriction.
33852..............  .................  A                 Repair septal defect...      23.71     15.17        NA      3.19     42.07        NA       090
33853..............  .................  A                 Repair septal defect...      31.72     18.40        NA      4.23     54.35        NA       090
33860..............  .................  A                 Ascending aortic graft.      38.00     19.11        NA      4.30     61.41        NA       090
33861..............  .................  A                 Ascending aortic graft.      42.00     20.36        NA      4.24     66.60        NA       090
33863..............  .................  A                 Ascending aortic graft.      45.00     21.45        NA      4.60     71.05        NA       090
33870..............  .................  A                 Transverse aortic arch       44.00     21.05        NA      5.09     70.14        NA       090
                                                           graft.
33875..............  .................  A                 Thoracic aortic graft..      33.06     17.33        NA      4.08     54.47        NA       090
33877..............  .................  A                 Thoracoabdominal graft.      42.60     22.98        NA      5.07     70.65        NA       090
33910..............  .................  A                 Remove lung artery           24.59     14.45        NA      3.06     42.10        NA       090
                                                           emboli.
33915..............  .................  A                 Remove lung artery           21.02     12.55        NA      1.20     34.77        NA       090
                                                           emboli.
33916..............  .................  A                 Surgery of great vessel      25.83     14.01        NA      3.04     42.88        NA       090
33917..............  .................  A                 Repair pulmonary artery      24.50     16.12        NA      3.17     43.79        NA       090
33918..............  .................  A                 Repair pulmonary             26.45     14.57        NA      3.42     44.44        NA       090
                                                           atresia.
33919..............  .................  A                 Repair pulmonary             40.00     21.39        NA      3.48     64.87        NA       090
                                                           atresia.
33920..............  .................  A                 Repair pulmonary             31.95     15.83        NA      3.61     51.39        NA       090
                                                           atresia.
33922..............  .................  A                 Transect pulmonary           23.52     14.54        NA      2.30     40.36        NA       090
                                                           artery.
33924..............  .................  A                 Remove pulmonary shunt.       5.50      1.86        NA      0.74      8.10        NA       ZZZ
33930..............  .................  X                 Removal of donor heart/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lung.
33935..............  .................  R                 Transplantation, heart/      60.96     28.42        NA      8.15     97.53        NA       090
                                                           lung.
33940..............  .................  X                 Removal of donor heart.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
33945..............  .................  R                 Transplantation of           42.10     21.97        NA      5.42     69.49        NA       090
                                                           heart.
33960..............  .................  A                 External circulation         19.36      6.32        NA      2.14     27.82        NA       XXX
                                                           assist.
33961..............  .................  A                 External circulation         10.93      3.64        NA      1.47     16.04        NA       ZZZ
                                                           assist.
33968..............  .................  A                 Remove aortic assist          0.64      0.25        NA      0.07      0.96        NA       000
                                                           device.
33970..............  .................  A                 Aortic circulation            6.75      2.36        NA      0.70      9.81        NA       000
                                                           assist.
33971..............  .................  A                 Aortic circulation            9.69      7.99        NA      0.97     18.65        NA       090
                                                           assist.
33973..............  .................  A                 Insert balloon device..       9.76      3.40        NA      1.01     14.17        NA       000
33974..............  .................  A                 Remove intra-aortic          14.41     10.78        NA      1.48     26.67        NA       090
                                                           balloon.
33975..............  .................  A                 Implant ventricular          21.00      5.63        NA      1.72     28.35        NA       XXX
                                                           device.
33976..............  .................  A                 Implant ventricular          23.00      7.71        NA      2.82     33.53        NA       XXX
                                                           device.
33977..............  .................  A                 Remove ventricular           19.29     10.57        NA      2.44     32.30        NA       090
                                                           device.
33978..............  .................  A                 Remove ventricular           21.73     11.51        NA      2.66     35.90        NA       090
                                                           device.
33999..............  .................  C                 Cardiac surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
34001..............  .................  A                 Removal of artery clot.      12.91      5.88        NA      1.46     20.25        NA       090
34051..............  .................  A                 Removal of artery clot.      15.21      7.04        NA      1.90     24.15        NA       090
34101..............  .................  A                 Removal of artery clot.      10.00      4.82        NA      1.11     15.93        NA       090
34111..............  .................  A                 Removal of arm artery        10.00      4.84        NA      0.85     15.69        NA       090
                                                           clot.
34151..............  .................  A                 Removal of artery clot.      25.00     10.43        NA      1.84     37.27        NA       090
34201..............  .................  A                 Removal of artery clot.      10.03      5.12        NA      1.02     16.17        NA       090
34203..............  .................  A                 Removal of leg artery        16.50      7.61        NA      1.37     25.48        NA       090
                                                           clot.
34401..............  .................  A                 Removal of vein clot...      25.00     10.42        NA      1.20     36.62        NA       090

[[Page 40440]]

 
34421..............  .................  A                 Removal of vein clot...      12.00      5.96        NA      0.95     18.91        NA       090
34451..............  .................  A                 Removal of vein clot...      27.00     11.13        NA      1.59     39.72        NA       090
34471..............  .................  A                 Removal of vein clot...      10.18      5.02        NA      0.90     16.10        NA       090
34490..............  .................  A                 Removal of vein clot...       9.86      6.22        NA      0.73     16.81        NA       090
34501..............  .................  A                 Repair valve, femoral        16.00      9.41        NA      1.37     26.78        NA       090
                                                           vein.
34502..............  .................  A                 Reconstruct vena cava..      26.95     11.22        NA      2.99     41.16        NA       090
34510..............  .................  A                 Transposition of vein        18.95     10.16        NA      1.60     30.71        NA       090
                                                           valve.
34520..............  .................  A                 Cross-over vein graft..      17.95      9.27        NA      1.41     28.63        NA       090
34530..............  .................  A                 Leg vein fusion........      16.64      9.12        NA      2.06     27.82        NA       090
34800..............  .................  A                 Endovasc abdo repair w/      20.75      9.65        NA      1.49     31.89        NA       090
                                                           tube.
34802..............  .................  A                 Endovasc abdo repr w/        23.00     10.54        NA      1.65     35.19        NA       090
                                                           device.
34804..............  .................  A                 Endovasc abdo repr w/        23.00     10.54        NA      1.65     35.19        NA       090
                                                           device.
34808..............  .................  A                 Endovasc abdo occlud          4.13      1.63        NA      0.29      6.05        NA       ZZZ
                                                           device.
34812..............  .................  A                 Xpose for endoprosth,         6.75      2.67        NA      0.49      9.91        NA       000
                                                           aortic.
34813..............  .................  A                 Xpose for endoprosth,         4.80      1.90        NA      0.34      7.04        NA       ZZZ
                                                           femorl.
34820..............  .................  A                 Xpose for endoprosth,         9.75      3.85        NA      0.70     14.30        NA       000
                                                           iliac.
34825..............  .................  A                 Endovasc extend prosth,      12.00      6.19        NA      0.86     19.05        NA       090
                                                           init.
34826..............  .................  A                 Endovasc exten prosth,        4.13      1.63        NA      0.29      6.05        NA       ZZZ
                                                           addl.
34830..............  .................  A                 Open aortic tube prosth      32.59     14.68        NA      2.34     49.61        NA       090
                                                           repr.
34831..............  .................  A                 Open aortoiliac prosth       35.34     15.77        NA      2.53     53.64        NA       090
                                                           repr.
34832..............  .................  A                 Open aortofemor prosth       35.34     15.77        NA      2.53     53.64        NA       090
                                                           repr.
35001..............  .................  A                 Repair defect of artery      19.64      8.49        NA      2.44     30.57        NA       090
35002..............  .................  A                 Repair artery rupture,       21.00      9.60        NA      1.82     32.42        NA       090
                                                           neck.
35005..............  .................  A                 Repair defect of artery      18.12      8.12        NA      1.35     27.59        NA       090
35011..............  .................  A                 Repair defect of artery      18.00      7.55        NA      1.30     26.85        NA       090
35013..............  .................  A                 Repair artery rupture,       22.00      8.94        NA      1.91     32.85        NA       090
                                                           arm.
35021..............  .................  A                 Repair defect of artery      19.65      8.91        NA      1.93     30.49        NA       090
35022..............  .................  A                 Repair artery rupture,       23.18      9.48        NA      1.99     34.65        NA       090
                                                           chest.
35045..............  .................  A                 Repair defect of arm         17.57      9.04        NA      1.25     27.86        NA       090
                                                           artery.
35081..............  .................  A                 Repair defect of artery      28.01     11.65        NA      3.20     42.86        NA       090
35082..............  .................  A                 Repair artery rupture,       38.50     15.04        NA      4.07     57.61        NA       090
                                                           aorta.
35091..............  .................  A                 Repair defect of artery      35.40     14.28        NA      4.09     53.77        NA       090
35092..............  .................  A                 Repair artery rupture,       45.00     17.41        NA      4.31     66.72        NA       090
                                                           aorta.
35102..............  .................  A                 Repair defect of artery      30.76     12.58        NA      3.44     46.78        NA       090
35103..............  .................  A                 Repair artery rupture,       40.50     15.75        NA      3.79     60.04        NA       090
                                                           groin.
35111..............  .................  A                 Repair defect of artery      25.00     10.36        NA      1.81     37.17        NA       090
35112..............  .................  A                 Repair artery                30.00     11.97        NA      1.95     43.92        NA       090
                                                           rupture,spleen.
35121..............  .................  A                 Repair defect of artery      30.00     12.29        NA      2.93     45.22        NA       090
35122..............  .................  A                 Repair artery rupture,       35.00     13.81        NA      3.54     52.35        NA       090
                                                           belly.
35131..............  .................  A                 Repair defect of artery      25.00     10.62        NA      2.11     37.73        NA       090
35132..............  .................  A                 Repair artery rupture,       30.00     12.05        NA      2.48     44.53        NA       090
                                                           groin.
35141..............  .................  A                 Repair defect of artery      20.00      8.67        NA      1.65     30.32        NA       090
35142..............  .................  A                 Repair artery rupture,       23.30      9.81        NA      1.75     34.86        NA       090
                                                           thigh.
35151..............  .................  A                 Repair defect of artery      22.64      9.75        NA      1.93     34.32        NA       090
35152..............  .................  A                 Repair artery rupture,       25.62     10.60        NA      1.93     38.15        NA       090
                                                           knee.
35161..............  .................  A                 Repair defect of artery      18.76      8.92        NA      2.21     29.89        NA       090
35162..............  .................  A                 Repair artery rupture..      19.78      9.44        NA      2.21     31.43        NA       090
35180..............  .................  A                 Repair blood vessel          13.62      6.05        NA      1.44     21.11        NA       090
                                                           lesion.
35182..............  .................  A                 Repair blood vessel          30.00     12.49        NA      1.88     44.37        NA       090
                                                           lesion.
35184..............  .................  A                 Repair blood vessel          18.00      7.83        NA      1.34     27.17        NA       090
                                                           lesion.
35188..............  .................  A                 Repair blood vessel          14.28      6.49        NA      1.53     22.30        NA       090
                                                           lesion.
35189..............  .................  A                 Repair blood vessel          28.00     11.66        NA      2.12     41.78        NA       090
                                                           lesion.
35190..............  .................  A                 Repair blood vessel          12.75      5.81        NA      1.33     19.89        NA       090
                                                           lesion.
35201..............  .................  A                 Repair blood vessel          16.14      7.14        NA      1.17     24.45        NA       090
                                                           lesion.
35206..............  .................  A                 Repair blood vessel          13.25      7.64        NA      1.04     21.93        NA       090
                                                           lesion.
35207..............  .................  A                 Repair blood vessel          10.15      9.54        NA      1.15     20.84        NA       090
                                                           lesion.
35211..............  .................  A                 Repair blood vessel          22.12     13.89        NA      2.83     38.84        NA       090
                                                           lesion.
35216..............  .................  A                 Repair blood vessel          18.75     11.66        NA      2.17     32.58        NA       090
                                                           lesion.
35221..............  .................  A                 Repair blood vessel          24.39     10.30        NA      1.79     36.48        NA       090
                                                           lesion.
35226..............  .................  A                 Repair blood vessel          14.50      8.72        NA      0.84     24.06        NA       090
                                                           lesion.
35231..............  .................  A                 Repair blood vessel          20.00      9.35        NA      1.32     30.67        NA       090
                                                           lesion.
35236..............  .................  A                 Repair blood vessel          17.11      9.07        NA      1.19     27.37        NA       090
                                                           lesion.
35241..............  .................  A                 Repair blood vessel          23.12     14.48        NA      2.90     40.50        NA       090
                                                           lesion.
35246..............  .................  A                 Repair blood vessel          26.45     14.54        NA      2.22     43.21        NA       090
                                                           lesion.
35251..............  .................  A                 Repair blood vessel          30.20     12.23        NA      1.87     44.30        NA       090
                                                           lesion.
35256..............  .................  A                 Repair blood vessel          18.36      9.67        NA      1.32     29.35        NA       090
                                                           lesion.
35261..............  .................  A                 Repair blood vessel          17.80      7.57        NA      1.34     26.71        NA       090
                                                           lesion.
35266..............  .................  A                 Repair blood vessel          14.91      8.23        NA      1.16     24.30        NA       090
                                                           lesion.
35271..............  .................  A                 Repair blood vessel          22.12     13.34        NA      2.77     38.23        NA       090
                                                           lesion.
35276..............  .................  A                 Repair blood vessel          24.25     13.98        NA      2.37     40.60        NA       090
                                                           lesion.
35281..............  .................  A                 Repair blood vessel          28.00     11.70        NA      1.82     41.52        NA       090
                                                           lesion.
35286..............  .................  A                 Repair blood vessel          16.16      8.76        NA      1.36     26.28        NA       090
                                                           lesion.
35301..............  .................  A                 Rechanneling of artery.      18.70      8.90        NA      2.23     29.83        NA       090
35311..............  .................  A                 Rechanneling of artery.      27.00     11.11        NA      2.75     40.86        NA       090

[[Page 40441]]

 
35321..............  .................  A                 Rechanneling of artery.      16.00      6.86        NA      1.36     24.22        NA       090
35331..............  .................  A                 Rechanneling of artery.      26.20     11.03        NA      2.71     39.94        NA       090
35341..............  .................  A                 Rechanneling of artery.      25.11     10.64        NA      2.87     38.62        NA       090
35351..............  .................  A                 Rechanneling of artery.      23.00      9.86        NA      2.29     35.15        NA       090
35355..............  .................  A                 Rechanneling of artery.      18.50      8.29        NA      1.80     28.59        NA       090
35361..............  .................  A                 Rechanneling of artery.      28.20     11.63        NA      2.66     42.49        NA       090
35363..............  .................  A                 Rechanneling of artery.      30.20     12.17        NA      2.77     45.14        NA       090
35371..............  .................  A                 Rechanneling of artery.      14.72      6.75        NA      1.32     22.79        NA       090
35372..............  .................  A                 Rechanneling of artery.      18.00      7.91        NA      1.53     27.44        NA       090
35381..............  .................  A                 Rechanneling of artery.      15.81      7.38        NA      1.80     24.99        NA       090
35390..............  .................  A                 Reoperation, carotid          3.19      1.11        NA      0.38      4.68        NA       ZZZ
                                                           add-on.
35400..............  .................  A                 Angioscopy.............       3.00      1.05        NA      0.34      4.39        NA       ZZZ
35450..............  .................  A                 Repair arterial              10.07      3.76        NA      0.84     14.67        NA       000
                                                           blockage.
35452..............  .................  A                 Repair arterial               6.91      3.20        NA      0.76     10.87        NA       000
                                                           blockage.
35454..............  .................  A                 Repair arterial               6.04      2.85        NA      0.67      9.56        NA       000
                                                           blockage.
35456..............  .................  A                 Repair arterial               7.35      3.30        NA      0.82     11.47        NA       000
                                                           blockage.
35458..............  .................  A                 Repair arterial               9.49      4.01        NA      1.09     14.59        NA       000
                                                           blockage.
35459..............  .................  A                 Repair arterial               8.63      3.68        NA      0.96     13.27        NA       000
                                                           blockage.
35460..............  .................  A                 Repair venous blockage.       6.04      2.71        NA      0.66      9.41        NA       000
35470..............  .................  A                 Repair arterial               8.63      4.00        NA      0.50     13.13        NA       000
                                                           blockage.
35471..............  .................  A                 Repair arterial              10.07      4.67        NA      0.50     15.24        NA       000
                                                           blockage.
35472..............  .................  A                 Repair arterial               6.91      3.39        NA      0.39     10.69        NA       000
                                                           blockage.
35473..............  .................  A                 Repair arterial               6.04      3.05        NA      0.34      9.43        NA       000
                                                           blockage.
35474..............  .................  A                 Repair arterial               7.36      3.54        NA      0.40     11.30        NA       000
                                                           blockage.
35475..............  .................  R                 Repair arterial               9.49      4.23        NA      0.47     14.19        NA       000
                                                           blockage.
35476..............  .................  A                 Repair venous blockage.       6.04      2.97        NA      0.27      9.28        NA       000
35480..............  .................  A                 Atherectomy, open......      11.08      4.61        NA      1.13     16.82        NA       000
35481..............  .................  A                 Atherectomy, open......       7.61      3.48        NA      0.84     11.93        NA       000
35482..............  .................  A                 Atherectomy, open......       6.65      3.04        NA      0.75     10.44        NA       000
35483..............  .................  A                 Atherectomy, open......       8.10      3.61        NA      0.81     12.52        NA       000
35484..............  .................  A                 Atherectomy, open......      10.44      4.32        NA      1.13     15.89        NA       000
35485..............  .................  A                 Atherectomy, open......       9.49      4.22        NA      1.06     14.77        NA       000
35490..............  .................  A                 Atherectomy,                 11.08      4.95        NA      0.55     16.58        NA       000
                                                           percutaneous.
35491..............  .................  A                 Atherectomy,                  7.61      3.54        NA      0.49     11.64        NA       000
                                                           percutaneous.
35492..............  .................  A                 Atherectomy,                  6.65      3.30        NA      0.43     10.38        NA       000
                                                           percutaneous.
35493..............  .................  A                 Atherectomy,                  8.10      3.93        NA      0.47     12.50        NA       000
                                                           percutaneous.
35494..............  .................  A                 Atherectomy,                 10.44      4.63        NA      0.48     15.55        NA       000
                                                           percutaneous.
35495..............  .................  A                 Atherectomy,                  9.49      4.58        NA      0.51     14.58        NA       000
                                                           percutaneous.
35500..............  .................  A                 Harvest vein for bypass       6.45      2.03        NA      0.63      9.11        NA       ZZZ
35501..............  .................  A                 Artery bypass graft....      19.19      8.17        NA      2.33     29.69        NA       090
35506..............  .................  A                 Artery bypass graft....      19.67      8.29        NA      2.33     30.29        NA       090
35507..............  .................  A                 Artery bypass graft....      19.67      8.27        NA      2.27     30.21        NA       090
35508..............  .................  A                 Artery bypass graft....      18.65      7.99        NA      2.34     28.98        NA       090
35509..............  .................  A                 Artery bypass graft....      18.07      7.75        NA      2.12     27.94        NA       090
35511..............  .................  A                 Artery bypass graft....      21.20      8.89        NA      1.74     31.83        NA       090
35515..............  .................  A                 Artery bypass graft....      18.65      8.01        NA      2.26     28.92        NA       090
35516..............  .................  A                 Artery bypass graft....      16.32      7.05        NA      1.88     25.25        NA       090
35518..............  .................  A                 Artery bypass graft....      21.20      8.71        NA      1.78     31.69        NA       090
35521..............  .................  A                 Artery bypass graft....      22.20      9.51        NA      1.82     33.53        NA       090
35526..............  .................  A                 Artery bypass graft....      29.95     12.21        NA      2.18     44.34        NA       090
35531..............  .................  A                 Artery bypass graft....      36.20     14.49        NA      2.91     53.60        NA       090
35533..............  .................  A                 Artery bypass graft....      28.00     11.56        NA      2.35     41.91        NA       090
35536..............  .................  A                 Artery bypass graft....      31.70     12.90        NA      2.62     47.22        NA       090
35541..............  .................  A                 Artery bypass graft....      25.80     10.99        NA      2.74     39.53        NA       090
35546..............  .................  A                 Artery bypass graft....      25.54     10.67        NA      2.84     39.05        NA       090
35548..............  .................  A                 Artery bypass graft....      21.57      9.21        NA      2.45     33.23        NA       090
35549..............  .................  A                 Artery bypass graft....      23.35      9.97        NA      2.77     36.09        NA       090
35551..............  .................  A                 Artery bypass graft....      26.67     11.21        NA      3.19     41.07        NA       090
35556..............  .................  A                 Artery bypass graft....      21.76      9.44        NA      2.48     33.68        NA       090
35558..............  .................  A                 Artery bypass graft....      21.20      9.20        NA      1.58     31.98        NA       090
35560..............  .................  A                 Artery bypass graft....      32.00     13.04        NA      2.73     47.77        NA       090
35563..............  .................  A                 Artery bypass graft....      24.20     10.33        NA      1.68     36.21        NA       090
35565..............  .................  A                 Artery bypass graft....      23.20      9.88        NA      1.71     34.79        NA       090
35566..............  .................  A                 Artery bypass graft....      26.92     13.89        NA      3.02     43.83        NA       090
35571..............  .................  A                 Artery bypass graft....      24.06     12.17        NA      2.14     38.37        NA       090
35582..............  .................  A                 Vein bypass graft......      27.13     11.40        NA      3.11     41.64        NA       090
35583..............  .................  A                 Vein bypass graft......      22.37     10.60        NA      2.53     35.50        NA       090
35585..............  .................  A                 Vein bypass graft......      28.39     14.59        NA      3.21     46.19        NA       090
35587..............  .................  A                 Vein bypass graft......      24.75     12.80        NA      2.17     39.72        NA       090
35600..............  .................  A                 Harvest artery for cabg       4.95      1.96        NA      0.54      7.45        NA       ZZZ
35601..............  .................  A                 Artery bypass graft....      17.50      7.50        NA      2.08     27.08        NA       090
35606..............  .................  A                 Artery bypass graft....      18.71      7.91        NA      2.17     28.79        NA       090
35612..............  .................  A                 Artery bypass graft....      15.76      6.84        NA      1.72     24.32        NA       090
35616..............  .................  A                 Artery bypass graft....      15.70      7.02        NA      1.84     24.56        NA       090

[[Page 40442]]

 
35621..............  .................  A                 Artery bypass graft....      20.00      8.87        NA      1.68     30.55        NA       090
35623..............  .................  A                 Bypass graft, not vein.      24.00     10.22        NA      1.91     36.13        NA       090
35626..............  .................  A                 Artery bypass graft....      27.75     11.13        NA      2.89     41.77        NA       090
35631..............  .................  A                 Artery bypass graft....      34.00     13.77        NA      2.83     50.60        NA       090
35636..............  .................  A                 Artery bypass graft....      29.50     12.31        NA      2.37     44.18        NA       090
35641..............  .................  A                 Artery bypass graft....      24.57     10.47        NA      2.83     37.87        NA       090
35642..............  .................  A                 Artery bypass graft....      17.98      8.52        NA      1.84     28.34        NA       090
35645..............  .................  A                 Artery bypass graft....      17.47      7.98        NA      1.91     27.36        NA       090
35646..............  .................  A                 Artery bypass graft....      25.81     10.89        NA      2.98     39.68        NA       090
35650..............  .................  A                 Artery bypass graft....      19.00      7.91        NA      1.64     28.55        NA       090
35651..............  .................  A                 Artery bypass graft....      25.04     10.68        NA      2.53     38.25        NA       090
35654..............  .................  A                 Artery bypass graft....      25.00     10.57        NA      2.10     37.67        NA       090
35656..............  .................  A                 Artery bypass graft....      19.53      8.44        NA      2.21     30.18        NA       090
35661..............  .................  A                 Artery bypass graft....      19.00      8.26        NA      1.50     28.76        NA       090
35663..............  .................  A                 Artery bypass graft....      22.00      9.64        NA      1.55     33.19        NA       090
35665..............  .................  A                 Artery bypass graft....      21.00      9.17        NA      1.76     31.93        NA       090
35666..............  .................  A                 Artery bypass graft....      22.19     11.95        NA      2.19     36.33        NA       090
35671..............  .................  A                 Artery bypass graft....      19.33     10.48        NA      1.68     31.49        NA       090
35681..............  .................  A                 Composite bypass graft.       1.60      2.34        NA      0.18      4.12        NA       ZZZ
35682..............  .................  A                 Composite bypass graft.       7.20      2.51        NA      0.83     10.54        NA       ZZZ
35683..............  .................  A                 Composite bypass graft.       8.50      2.96        NA      0.98     12.44        NA       ZZZ
35691..............  .................  A                 Arterial transposition.      18.05      7.66        NA      2.06     27.77        NA       090
35693..............  .................  A                 Arterial transposition.      15.36      6.82        NA      1.80     23.98        NA       090
35694..............  .................  A                 Arterial transposition.      19.16      8.12        NA      2.13     29.41        NA       090
35695..............  .................  A                 Arterial transposition.      19.16      8.01        NA      2.19     29.36        NA       090
35700..............  .................  A                 Reoperation, bypass           3.08      2.96        NA      0.36      6.40        NA       ZZZ
                                                           graft.
35701..............  .................  A                 Exploration, carotid          8.50      4.61        NA      0.64     13.75        NA       090
                                                           artery.
35721..............  .................  A                 Exploration, femoral          7.18      5.16        NA      0.59     12.93        NA       090
                                                           artery.
35741..............  .................  A                 Exploration popliteal         8.00      5.37        NA      0.60     13.97        NA       090
                                                           artery.
35761..............  .................  A                 Exploration of artery/        5.37      4.46        NA      0.60     10.43        NA       090
                                                           vein.
35800..............  .................  A                 Explore neck vessels...       7.02      3.96        NA      0.79     11.77        NA       090
35820..............  .................  A                 Explore chest vessels..      12.88      4.33        NA      1.61     18.82        NA       090
35840..............  .................  A                 Explore abdominal             9.77      5.19        NA      1.06     16.02        NA       090
                                                           vessels.
35860..............  .................  A                 Explore limb vessels...       5.55      3.59        NA      0.63      9.77        NA       090
35870..............  .................  A                 Repair vessel graft          22.17     10.21        NA      2.47     34.85        NA       090
                                                           defect.
35875..............  .................  A                 Removal of clot in           10.13      6.55        NA      0.97     17.65        NA       090
                                                           graft.
35876..............  .................  A                 Removal of clot in           17.00      9.07        NA      1.88     27.95        NA       090
                                                           graft.
35879..............  .................  A                 Revise graft w/vein....      16.00      8.23        NA      1.35     25.58        NA       090
35881..............  .................  A                 Revise graft w/vein....      18.00      9.21        NA      1.44     28.65        NA       090
35901..............  .................  A                 Excision, graft, neck..       8.19      5.68        NA      0.90     14.77        NA       090
35903..............  .................  A                 Excision, graft,              9.39      8.15        NA      1.03     18.57        NA       090
                                                           extremity.
35905..............  .................  A                 Excision, graft, thorax      31.25     15.71        NA      2.15     49.11        NA       090
35907..............  .................  A                 Excision, graft,             35.00     14.91        NA      2.17     52.08        NA       090
                                                           abdomen.
36000..............  .................  A                 Place needle in vein...       0.18      0.05      0.64      0.01      0.24      0.83       XXX
36005..............  .................  A                 Injection, venography..       0.95      0.33     15.92      0.04      1.32     16.91       000
36010..............  .................  A                 Place catheter in vein.       2.43      0.87        NA      0.16      3.46        NA       XXX
36011..............  .................  A                 Place catheter in vein.       3.14      1.13        NA      0.17      4.44        NA       XXX
36012..............  .................  A                 Place catheter in vein.       3.52      1.26        NA      0.17      4.95        NA       XXX
36013..............  .................  A                 Place catheter in             2.52      0.77        NA      0.17      3.46        NA       XXX
                                                           artery.
36014..............  .................  A                 Place catheter in             3.02      1.09        NA      0.14      4.25        NA       XXX
                                                           artery.
36015..............  .................  A                 Place catheter in             3.52      1.26        NA      0.16      4.94        NA       XXX
                                                           artery.
36100..............  .................  A                 Establish access to           3.02      1.20        NA      0.18      4.40        NA       XXX
                                                           artery.
36120..............  .................  A                 Establish access to           2.01      0.71        NA      0.11      2.83        NA       XXX
                                                           artery.
36140..............  .................  A                 Establish access to           2.01      0.71        NA      0.12      2.84        NA       XXX
                                                           artery.
36145..............  .................  A                 Artery to vein shunt...       2.01      0.73        NA      0.10      2.84        NA       XXX
36160..............  .................  A                 Establish access to           2.52      0.93        NA      0.20      3.65        NA       XXX
                                                           aorta.
36200..............  .................  A                 Place catheter in aorta       3.02      1.08        NA      0.15      4.25        NA       XXX
36215..............  .................  A                 Place catheter in             4.68      1.69        NA      0.22      6.59        NA       XXX
                                                           artery.
36216..............  .................  A                 Place catheter in             5.28      1.90        NA      0.24      7.42        NA       XXX
                                                           artery.
36217..............  .................  A                 Place catheter in             6.30      2.31        NA      0.32      8.93        NA       XXX
                                                           artery.
36218..............  .................  A                 Place catheter in             1.01      0.40        NA      0.05      1.46        NA       ZZZ
                                                           artery.
36245..............  .................  A                 Place catheter in             4.68      1.79        NA      0.23      6.70        NA       XXX
                                                           artery.
36246..............  .................  A                 Place catheter in             5.28      1.92        NA      0.26      7.46        NA       XXX
                                                           artery.
36247..............  .................  A                 Place catheter in             6.30      2.26        NA      0.32      8.88        NA       XXX
                                                           artery.
36248..............  .................  A                 Place catheter in             1.01      0.40        NA      0.06      1.47        NA       ZZZ
                                                           artery.
36260..............  .................  A                 Insertion of infusion         9.71      5.58        NA      1.00     16.29        NA       090
                                                           pump.
36261..............  .................  A                 Revision of infusion          5.45      3.47        NA      0.50      9.42        NA       090
                                                           pump.
36262..............  .................  A                 Removal of infusion           4.02      2.52        NA      0.43      6.97        NA       090
                                                           pump.
36299..............  .................  C                 Vessel injection              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
36400..............  .................  A                 Drawing blood..........       0.18      0.05      0.64      0.01      0.24      0.83       XXX
36405..............  .................  A                 Drawing blood..........       0.18      0.06      0.57      0.01      0.25      0.76       XXX
36406..............  .................  A                 Drawing blood..........       0.18      0.05      0.80      0.01      0.24      0.99       XXX
36410..............  .................  A                 Drawing blood..........       0.18      0.05      0.49      0.01      0.24      0.68       XXX
36415..............  .................  I                 Drawing blood..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40443]]

 
36420..............  .................  A                 Establish access to           1.01      0.31        NA      0.09      1.41        NA       XXX
                                                           vein.
36425..............  .................  A                 Establish access to           0.76      0.17      3.39      0.05      0.98      4.20       XXX
                                                           vein.
36430..............  .................  A                 Blood transfusion             0.00        NA      0.99      0.05        NA      1.04       XXX
                                                           service.
36440..............  .................  A                 Blood transfusion             1.03      0.29        NA      0.08      1.40        NA       XXX
                                                           service.
36450..............  .................  A                 Exchange transfusion          2.23      0.74        NA      0.16      3.13        NA       XXX
                                                           service.
36455..............  .................  A                 Exchange transfusion          2.43      0.96        NA      0.10      3.49        NA       XXX
                                                           service.
36460..............  .................  A                 Transfusion service,          6.59      2.38        NA      0.56      9.53        NA       XXX
                                                           fetal.
36468..............  .................  R                 Injection(s), spider          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           veins.
36469..............  .................  R                 Injection(s), spider          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           veins.
36470..............  .................  A                 Injection therapy of          1.09      0.39      2.64      0.10      1.58      3.83       010
                                                           vein.
36471..............  .................  A                 Injection therapy of          1.57      0.58      3.25      0.15      2.30      4.97       010
                                                           veins.
36481..............  .................  A                 Insertion of catheter,        6.99      2.85        NA      0.40     10.24        NA       000
                                                           vein.
36488..............  .................  A                 Insertion of catheter,        1.35      0.74        NA      0.09      2.18        NA       000
                                                           vein.
36489..............  .................  A                 Insertion of catheter,        2.50      1.06      3.84      0.08      3.64      6.42       000
                                                           vein.
36490..............  .................  A                 Insertion of catheter,        1.67      0.85        NA      0.17      2.69        NA       000
                                                           vein.
36491..............  .................  A                 Insertion of catheter,        1.43      0.76        NA      0.13      2.32        NA       000
                                                           vein.
36493..............  .................  A                 Repositioning of cvc...       1.21      0.87        NA      0.06      2.14        NA       000
36500..............  .................  A                 Insertion of catheter,        3.52      1.30        NA      0.14      4.96        NA       000
                                                           vein.
36510..............  .................  A                 Insertion of catheter,        1.09      0.63        NA      0.06      1.78        NA       000
                                                           vein.
36520..............  .................  A                 Plasma and/or cell            1.74      1.00        NA      0.06      2.80        NA       000
                                                           exchange.
36521..............  .................  A                 Apheresis w/ adsorp/          1.74      1.00        NA      0.06      2.80        NA       000
                                                           reinfuse.
36522..............  .................  A                 Photopheresis..........       1.67      1.13      6.29      0.07      2.87      8.03       000
36530..............  .................  R                 Insertion of infusion         6.20      3.70        NA      0.56     10.46        NA       010
                                                           pump.
36531..............  .................  R                 Revision of infusion          4.87      3.26        NA      0.44      8.57        NA       010
                                                           pump.
36532..............  .................  R                 Removal of infusion           3.30      1.56        NA      0.34      5.20        NA       010
                                                           pump.
36533..............  .................  A                 Insertion of access           5.32      3.45      4.31      0.49      9.26     10.12       010
                                                           device.
36534..............  .................  A                 Revision of access            2.80      1.50        NA      0.19      4.49        NA       010
                                                           device.
36535..............  .................  A                 Removal of access             2.27      1.85      2.84      0.21      4.33      5.32       010
                                                           device.
36540..............  .................  B                 Collect blood venous          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           device.
36550..............  .................  A                 Declot vascular device.       0.00        NA      0.37      0.31        NA      0.68       XXX
36600..............  .................  A                 Withdrawal of arterial        0.32      0.09      0.43      0.02      0.43      0.77       XXX
                                                           blood.
36620..............  .................  A                 Insertion catheter,           1.15      0.25        NA      0.06      1.46        NA       000
                                                           artery.
36625..............  .................  A                 Insertion catheter,           2.11      0.57        NA      0.16      2.84        NA       000
                                                           artery.
36640..............  .................  A                 Insertion catheter,           2.10      0.74        NA      0.18      3.02        NA       000
                                                           artery.
36660..............  .................  A                 Insertion catheter,           1.40      0.47        NA      0.08      1.95        NA       000
                                                           artery.
36680..............  .................  A                 Insert needle, bone           1.20      0.60        NA      0.08      1.88        NA       000
                                                           cavity.
36800..............  .................  A                 Insertion of cannula...       2.43      1.62        NA      0.17      4.22        NA       000
36810..............  .................  A                 Insertion of cannula...       3.97      2.34        NA      0.40      6.71        NA       000
36815..............  .................  A                 Insertion of cannula...       2.62      1.73        NA      0.26      4.61        NA       000
36819..............  .................  A                 Av fusion by basilic         14.00      6.55        NA      1.53     22.08        NA       090
                                                           vein.
36821..............  .................  A                 Av fusion direct any          8.93      5.04        NA      0.97     14.94        NA       090
                                                           site.
36822..............  .................  A                 Insertion of cannula(s)       5.42      6.99        NA      0.63     13.04        NA       090
36823..............  .................  A                 Insertion of cannula(s)      21.00     10.55        NA      2.18     33.73        NA       090
36825..............  .................  A                 Artery-vein graft......       9.84      5.61        NA      1.09     16.54        NA       090
36830..............  .................  A                 Artery-vein graft......      12.00      6.16        NA      1.32     19.48        NA       090
36831..............  .................  A                 Av fistula excision,          8.00      4.02        NA      0.79     12.81        NA       090
                                                           open.
36832..............  .................  A                 Av fistula revision,         10.50      5.62        NA      1.13     17.25        NA       090
                                                           open.
36833..............  .................  A                 Av fistula revision....      11.95      6.10        NA      1.29     19.34        NA       090
36834..............  .................  A                 Repair A-V aneurysm....       9.93      3.84        NA      1.06     14.83        NA       090
36835..............  .................  A                 Artery to vein shunt...       7.15      4.47        NA      0.80     12.42        NA       090
36860..............  .................  A                 External cannula              2.01      1.68      2.36      0.10      3.79      4.47       000
                                                           declotting.
36861..............  .................  A                 Cannula declotting.....       2.52      1.84        NA      0.14      4.50        NA       000
36870..............  .................  A                 Av fistula revision,          5.16      2.49     31.10      0.40      8.05     36.66       090
                                                           open.
37140..............  .................  A                 Revision of circulation      23.60     10.54        NA      1.21     35.35        NA       090
37145..............  .................  A                 Revision of circulation      24.61     10.87        NA      2.48     37.96        NA       090
37160..............  .................  A                 Revision of circulation      21.60      9.42        NA      2.16     33.18        NA       090
37180..............  .................  A                 Revision of circulation      24.61     10.79        NA      2.63     38.03        NA       090
37181..............  .................  A                 Splice spleen/kidney         26.68     11.10        NA      2.67     40.45        NA       090
                                                           veins.
37195..............  .................  A                 Thrombolytic therapy,         0.00        NA      7.93      0.38        NA      8.31       XXX
                                                           stroke.
37200..............  .................  A                 Transcatheter biopsy...       4.56      1.62        NA      0.19      6.37        NA       000
37201..............  .................  A                 Transcatheter therapy         5.00      2.62        NA      0.24      7.86        NA       000
                                                           infuse.
37202..............  .................  A                 Transcatheter therapy         5.68      3.23        NA      0.38      9.29        NA       000
                                                           infuse.
37203..............  .................  A                 Transcatheter retrieval       5.03      2.65        NA      0.23      7.91        NA       000
37204..............  .................  A                 Transcatheter occlusion      18.14      6.20        NA      0.85     25.19        NA       000
37205..............  .................  A                 Transcatheter stent....       8.28      3.92        NA      0.43     12.63        NA       000
37206..............  .................  A                 Transcatheter stent add-      4.13      1.56        NA      0.22      5.91        NA       ZZZ
                                                           on.
37207..............  .................  A                 Transcatheter stent....       8.28      3.62        NA      0.89     12.79        NA       000
37208..............  .................  A                 Transcatheter stent add-      4.13      1.47        NA      0.44      6.04        NA       ZZZ
                                                           on.
37209..............  .................  A                 Exchange arterial             2.27      0.83        NA      0.11      3.21        NA       000
                                                           catheter.
37250..............  .................  A                 Iv us first vessel add-       2.10      0.81        NA      0.17      3.08        NA       ZZZ
                                                           on.
37251..............  .................  A                 Iv us each add vessel         1.60      0.61        NA      0.14      2.35        NA       ZZZ
                                                           add-on.
37565..............  .................  A                 Ligation of neck vein..      10.88      5.13        NA      0.45     16.46        NA       090
37600..............  .................  A                 Ligation of neck artery      11.25      6.41        NA      0.40     18.06        NA       090
37605..............  .................  A                 Ligation of neck artery      13.11      6.61        NA      0.77     20.49        NA       090

[[Page 40444]]

 
37606..............  .................  A                 Ligation of neck artery       6.28      3.72        NA      0.79     10.79        NA       090
37607..............  .................  A                 Ligation of a-v fistula       6.16      3.71        NA      0.67     10.54        NA       090
37609..............  .................  A                 Temporal artery               3.00      2.53      6.59      0.21      5.74      9.80       010
                                                           procedure.
37615..............  .................  A                 Ligation of neck artery       5.73      3.65        NA      0.57      9.95        NA       090
37616..............  .................  A                 Ligation of chest            16.49     10.83        NA      1.93     29.25        NA       090
                                                           artery.
37617..............  .................  A                 Ligation of abdomen          22.06      9.60        NA      1.69     33.35        NA       090
                                                           artery.
37618..............  .................  A                 Ligation of extremity         4.84      3.55        NA      0.54      8.93        NA       090
                                                           artery.
37620..............  .................  A                 Revision of major vein.      10.56      5.50        NA      0.75     16.81        NA       090
37650..............  .................  A                 Revision of major vein.       7.80      4.66        NA      0.56     13.02        NA       090
37660..............  .................  A                 Revision of major vein.      21.00      9.33        NA      1.17     31.50        NA       090
37700..............  .................  A                 Revise leg vein........       3.73      3.20        NA      0.40      7.33        NA       090
37720..............  .................  A                 Removal of leg vein....       5.66      3.71        NA      0.61      9.98        NA       090
37730..............  .................  A                 Removal of leg veins...       7.33      4.59        NA      0.77     12.69        NA       090
37735..............  .................  A                 Removal of leg veins/        10.53      5.84        NA      1.17     17.54        NA       090
                                                           lesion.
37760..............  .................  A                 Revision of leg veins..      10.47      5.79        NA      1.11     17.37        NA       090
37780..............  .................  A                 Revision of leg vein...       3.84      2.93        NA      0.41      7.18        NA       090
37785..............  .................  A                 Revision secondary            3.84      2.89      6.94      0.41      7.14     11.19       090
                                                           varicosit.
37788..............  .................  A                 Revascularization,           22.01     12.79        NA      1.35     36.15        NA       090
                                                           penis.
37790..............  .................  A                 Penile venous occlusion       8.34      7.01        NA      0.63     15.98        NA       090
37799..............  .................  C                 Vascular surgery              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
38100..............  .................  A                 Removal of spleen,           14.50      6.64        NA      1.30     22.44        NA       090
                                                           total.
38101..............  .................  A                 Removal of spleen,           15.31      7.00        NA      1.38     23.69        NA       090
                                                           partial.
38102..............  .................  A                 Removal of spleen,            4.80      1.72        NA      0.49      7.01        NA       ZZZ
                                                           total.
38115..............  .................  A                 Repair of ruptured           15.82      7.14        NA      1.40     24.36        NA       090
                                                           spleen.
38120..............  .................  A                 Laparoscopy,                 17.00      7.48        NA      1.73     26.21        NA       090
                                                           splenectomy.
38129..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           spleen.
38200..............  .................  A                 Injection for spleen x-       2.64      0.96        NA      0.12      3.72        NA       000
                                                           ray.
38230..............  .................  R                 Bone marrow collection.       4.54      2.34        NA      0.25      7.13        NA       010
38231..............  .................  R                 Stem cell collection...       1.50      0.60        NA      0.05      2.15        NA       000
38240..............  .................  R                 Bone marrow/stem              2.24      0.85        NA      0.08      3.17        NA       XXX
                                                           transplant.
38241..............  .................  R                 Bone marrow/stem              2.24      0.84        NA      0.08      3.16        NA       XXX
                                                           transplant.
38300..............  .................  A                 Drainage, lymph node          1.99      2.63      4.62      0.15      4.77      6.76       010
                                                           lesion.
38305..............  .................  A                 Drainage, lymph node          6.00      6.37      8.67      0.36     12.73     15.03       090
                                                           lesion.
38308..............  .................  A                 Incision of lymph             6.45      5.65        NA      0.51     12.61        NA       090
                                                           channels.
38380..............  .................  A                 Thoracic duct procedure       7.46      7.38        NA      0.68     15.52        NA       090
38381..............  .................  A                 Thoracic duct procedure      12.88      9.76        NA      1.58     24.22        NA       090
38382..............  .................  A                 Thoracic duct procedure      10.08      9.46        NA      1.08     20.62        NA       090
38500..............  .................  A                 Biopsy/removal, lymph         3.75      2.57      2.98      0.28      6.60      7.01       010
                                                           nodes.
38505..............  .................  A                 Needle biopsy, lymph          1.14      1.16      3.06      0.09      2.39      4.29       000
                                                           nodes.
38510..............  .................  A                 Biopsy/removal, lymph         6.43      5.38        NA      0.38     12.19        NA       090
                                                           nodes.
38520..............  .................  A                 Biopsy/removal, lymph         6.67      5.56        NA      0.52     12.75        NA       090
                                                           nodes.
38525..............  .................  A                 Biopsy/removal, lymph         6.07      4.44        NA      0.48     10.99        NA       090
                                                           nodes.
38530..............  .................  A                 Biopsy/removal, lymph         7.98      5.69        NA      0.63     14.30        NA       090
                                                           nodes.
38542..............  .................  A                 Explore deep node(s),         5.91      5.90        NA      0.50     12.31        NA       090
                                                           neck.
38550..............  .................  A                 Removal, neck/armpit          6.92      4.92        NA      0.69     12.53        NA       090
                                                           lesion.
38555..............  .................  A                 Removal, neck/armpit         14.14     10.70        NA      1.46     26.30        NA       090
                                                           lesion.
38562..............  .................  A                 Removal, pelvic lymph        10.49      6.59        NA      0.97     18.05        NA       090
                                                           nodes.
38564..............  .................  A                 Removal, abdomen lymph       10.83      6.42        NA      1.06     18.31        NA       090
                                                           nodes.
38570..............  .................  A                 Laparoscopy, lymph node       9.25      4.53        NA      0.89     14.67        NA       010
                                                           biop.
38571..............  .................  A                 Laparoscopy,                 12.38      5.53        NA      0.80     18.71        NA       010
                                                           lymphadenectomy.
38572..............  .................  A                 Laparoscopy,                 16.59      7.58        NA      1.32     25.49        NA       010
                                                           lymphadenectomy.
38589..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           lymphatic.
38700..............  .................  A                 Removal of lymph nodes,       8.24     13.31        NA      0.60     22.15        NA       090
                                                           neck.
38720..............  .................  A                 Removal of lymph nodes,      13.61     15.74        NA      1.03     30.38        NA       090
                                                           neck.
38724..............  .................  A                 Removal of lymph nodes,      14.54     16.21        NA      1.10     31.85        NA       090
                                                           neck.
38740..............  .................  A                 Remove armpit lymph          10.02      5.87        NA      0.69     16.58        NA       090
                                                           nodes.
38745..............  .................  A                 Remove armpit lymph          13.00      8.24        NA      0.90     22.14        NA       090
                                                           nodes.
38746..............  .................  A                 Remove thoracic lymph         4.89      1.65        NA      0.55      7.09        NA       ZZZ
                                                           nodes.
38747..............  .................  A                 Remove abdominal lymph        4.89      1.75        NA      0.50      7.14        NA       ZZZ
                                                           nodes.
38760..............  .................  A                 Remove groin lymph           12.94      7.26        NA      0.88     21.08        NA       090
                                                           nodes.
38765..............  .................  A                 Remove groin lymph           19.98     11.36        NA      1.50     32.84        NA       090
                                                           nodes.
38770..............  .................  A                 Remove pelvis lymph          13.23      6.94        NA      0.94     21.11        NA       090
                                                           nodes.
38780..............  .................  A                 Remove abdomen lymph         16.59      9.49        NA      1.60     27.68        NA       090
                                                           nodes.
38790..............  .................  A                 Inject for lymphatic x-       1.29      0.46     37.13      0.09      1.84     38.51       000
                                                           ray.
38792..............  .................  A                 Identify sentinel node.       0.52      0.19        NA      0.04      0.75        NA       000
38794..............  .................  A                 Access thoracic lymph         4.45      1.67        NA      0.17      6.29        NA       090
                                                           duct.
38999..............  .................  C                 Blood/lymph system            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
39000..............  .................  A                 Exploration of chest...       6.10      7.52        NA      0.73     14.35        NA       090
39010..............  .................  A                 Exploration of chest...      11.79      9.80        NA      1.46     23.05        NA       090
39200..............  .................  A                 Removal chest lesion...      13.62     10.17        NA      1.65     25.44        NA       090
39220..............  .................  A                 Removal chest lesion...      17.42     11.54        NA      2.10     31.06        NA       090
39400..............  .................  A                 Visualization of chest.       5.61      7.22        NA      0.69     13.52        NA       010
39499..............  .................  C                 Chest procedure........       0.00      0.00      0.00      0.00      0.00      0.00       YYY
39501..............  .................  A                 Repair diaphragm             13.19      7.76        NA      1.38     22.33        NA       090
                                                           laceration.

[[Page 40445]]

 
39502..............  .................  A                 Repair paraesophageal        16.33      8.38        NA      1.68     26.39        NA       090
                                                           hernia.
39503..............  .................  A                 Repair of diaphragm          34.85     15.15        NA      3.52     53.52        NA       090
                                                           hernia.
39520..............  .................  A                 Repair of diaphragm          16.10      9.81        NA      1.83     27.74        NA       090
                                                           hernia.
39530..............  .................  A                 Repair of diaphragm          15.41      8.61        NA      1.66     25.68        NA       090
                                                           hernia.
39531..............  .................  A                 Repair of diaphragm          16.42      9.33        NA      1.83     27.58        NA       090
                                                           hernia.
39540..............  .................  A                 Repair of diaphragm          13.32      7.83        NA      1.38     22.53        NA       090
                                                           hernia.
39541..............  .................  A                 Repair of diaphragm          14.41      8.06        NA      1.52     23.99        NA       090
                                                           hernia.
39545..............  .................  A                 Revision of diaphragm..      13.37      9.52        NA      1.55     24.44        NA       090
39560..............  .................  A                 Resect diaphragm,            12.00      7.91        NA      1.35     21.26        NA       090
                                                           simple.
39561..............  .................  A                 Resect diaphragm,            17.50      9.85        NA      1.97     29.32        NA       090
                                                           complex.
39599..............  .................  C                 Diaphragm surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
40490..............  .................  A                 Biopsy of lip..........       1.22      0.62      1.61      0.06      1.90      2.89       000
40500..............  .................  A                 Partial excision of lip       4.28      5.61      5.65      0.31     10.20     10.24       090
40510..............  .................  A                 Partial excision of lip       4.70      6.46      6.70      0.38     11.54     11.78       090
40520..............  .................  A                 Partial excision of lip       4.67      6.93      7.81      0.42     12.02     12.90       090
40525..............  .................  A                 Reconstruct lip with          7.55      8.40        NA      0.68     16.63        NA       090
                                                           flap.
40527..............  .................  A                 Reconstruct lip with          9.13      9.25        NA      0.82     19.20        NA       090
                                                           flap.
40530..............  .................  A                 Partial removal of lip.       5.40      6.34      6.49      0.47     12.21     12.36       090
40650..............  .................  A                 Repair lip.............       3.64      4.55      5.53      0.31      8.50      9.48       090
40652..............  .................  A                 Repair lip.............       4.26      6.53      6.53      0.39     11.18     11.18       090
40654..............  .................  A                 Repair lip.............       5.31      7.67      7.86      0.48     13.46     13.65       090
40700..............  .................  A                 Repair cleft lip/nasal.      12.79     10.51        NA      0.93     24.23        NA       090
40701..............  .................  A                 Repair cleft lip/nasal.      15.85     10.01        NA      1.36     27.22        NA       090
40702..............  .................  A                 Repair cleft lip/nasal.      13.04      9.40        NA      1.01     23.45        NA       090
40720..............  .................  A                 Repair cleft lip/nasal.      13.55     12.69        NA      1.31     27.55        NA       090
40761..............  .................  A                 Repair cleft lip/nasal.      14.72     11.77        NA      1.41     27.90        NA       090
40799..............  .................  C                 Lip surgery procedure..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
40800..............  .................  A                 Drainage of mouth             1.17      0.46      1.93      0.09      1.72      3.19       010
                                                           lesion.
40801..............  .................  A                 Drainage of mouth             2.53      1.90      2.45      0.18      4.61      5.16       010
                                                           lesion.
40804..............  .................  A                 Removal, foreign body,        1.24      2.15      2.58      0.09      3.48      3.91       010
                                                           mouth.
40805..............  .................  A                 Removal, foreign body,        2.69      2.70      3.10      0.17      5.56      5.96       010
                                                           mouth.
40806..............  .................  A                 Incision of lip fold...       0.31      0.88      0.88      0.02      1.21      1.21       000
40808..............  .................  A                 Biopsy of mouth lesion.       0.96      2.05      2.05      0.07      3.08      3.08       010
40810..............  .................  A                 Excision of mouth             1.31      2.34      2.67      0.09      3.74      4.07       010
                                                           lesion.
40812..............  .................  A                 Excise/repair mouth           2.31      2.86      2.89      0.17      5.34      5.37       010
                                                           lesion.
40814..............  .................  A                 Excise/repair mouth           3.42      4.07      4.07      0.26      7.75      7.75       090
                                                           lesion.
40816..............  .................  A                 Excision of mouth             3.67      4.39      4.39      0.27      8.33      8.33       090
                                                           lesion.
40818..............  .................  A                 Excise oral mucosa for        2.41      4.03      4.03      0.14      6.58      6.58       090
                                                           graft.
40819..............  .................  A                 Excise lip or cheek           2.41      3.54      3.54      0.17      6.12      6.12       090
                                                           fold.
40820..............  .................  A                 Treatment of mouth            1.28      2.15      2.33      0.08      3.51      3.69       010
                                                           lesion.
40830..............  .................  A                 Repair mouth laceration       1.76      2.39      2.50      0.14      4.29      4.40       010
40831..............  .................  A                 Repair mouth laceration       2.46      2.84      2.84      0.21      5.51      5.51       010
40840..............  .................  R                 Reconstruction of mouth       8.73      6.22      6.22      0.79     15.74     15.74       090
40842..............  .................  R                 Reconstruction of mouth       8.73      5.98      5.98      0.65     15.36     15.36       090
40843..............  .................  R                 Reconstruction of mouth      12.10      8.48      8.48      0.84     21.42     21.42       090
40844..............  .................  R                 Reconstruction of mouth      16.01      8.37      8.93      1.63     26.01     26.57       090
40845..............  .................  R                 Reconstruction of mouth      18.58     10.56     10.56      1.47     30.61     30.61       090
40899..............  .................  C                 Mouth surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
41000..............  .................  A                 Drainage of mouth             1.30      1.53      2.36      0.09      2.92      3.75       010
                                                           lesion.
41005..............  .................  A                 Drainage of mouth             1.26      1.24      2.11      0.09      2.59      3.46       010
                                                           lesion.
41006..............  .................  A                 Drainage of mouth             3.24      3.40      3.51      0.25      6.89      7.00       090
                                                           lesion.
41007..............  .................  A                 Drainage of mouth             3.10      3.03      3.34      0.22      6.35      6.66       090
                                                           lesion.
41008..............  .................  A                 Drainage of mouth             3.37      3.18      3.59      0.24      6.79      7.20       090
                                                           lesion.
41009..............  .................  A                 Drainage of mouth             3.59      3.19      3.60      0.25      7.03      7.44       090
                                                           lesion.
41010..............  .................  A                 Incision of tongue fold       1.06      2.97      2.97      0.06      4.09      4.09       010
41015..............  .................  A                 Drainage of mouth             3.96      3.17      4.36      0.29      7.42      8.61       090
                                                           lesion.
41016..............  .................  A                 Drainage of mouth             4.07      3.39      4.17      0.28      7.74      8.52       090
                                                           lesion.
41017..............  .................  A                 Drainage of mouth             4.07      3.30      4.04      0.32      7.69      8.43       090
                                                           lesion.
41018..............  .................  A                 Drainage of mouth             5.10      3.88      4.55      0.35      9.33     10.00       090
                                                           lesion.
41100..............  .................  A                 Biopsy of tongue.......       1.63      2.54      2.59      0.12      4.29      4.34       010
41105..............  .................  A                 Biopsy of tongue.......       1.42      2.43      2.43      0.10      3.95      3.95       010
41108..............  .................  A                 Biopsy of floor of            1.05      2.20      2.29      0.08      3.33      3.42       010
                                                           mouth.
41110..............  .................  A                 Excision of tongue            1.51      2.47      3.04      0.11      4.09      4.66       010
                                                           lesion.
41112..............  .................  A                 Excision of tongue            2.73      3.50      3.50      0.20      6.43      6.43       090
                                                           lesion.
41113..............  .................  A                 Excision of tongue            3.19      3.48      3.48      0.23      6.90      6.90       090
                                                           lesion.
41114..............  .................  A                 Excision of tongue            8.47      6.36        NA      0.64     15.47        NA       090
                                                           lesion.
41115..............  .................  A                 Excision of tongue fold       1.74      2.33      2.33      0.13      4.20      4.20       010
41116..............  .................  A                 Excision of mouth             2.44      3.38      3.38      0.17      5.99      5.99       090
                                                           lesion.
41120..............  .................  A                 Partial removal of            9.77      8.68        NA      0.70     19.15        NA       090
                                                           tongue.
41130..............  .................  A                 Partial removal of           11.15      9.53        NA      0.81     21.49        NA       090
                                                           tongue.
41135..............  .................  A                 Tongue and neck surgery      23.09     15.92        NA      1.66     40.67        NA       090
41140..............  .................  A                 Removal of tongue......      25.50     18.11        NA      1.85     45.46        NA       090
41145..............  .................  A                 Tongue removal, neck         30.06     21.54        NA      2.11     53.71        NA       090
                                                           surgery.
41150..............  .................  A                 Tongue, mouth, jaw           23.04     17.08        NA      1.67     41.79        NA       090
                                                           surgery.

[[Page 40446]]

 
41153..............  .................  A                 Tongue, mouth, neck          23.77     17.84        NA      1.71     43.32        NA       090
                                                           surgery.
41155..............  .................  A                 Tongue, jaw, & neck          27.72     19.87        NA      2.02     49.61        NA       090
                                                           surgery.
41250..............  .................  A                 Repair tongue                 1.91      1.63      2.82      0.15      3.69      4.88       010
                                                           laceration.
41251..............  .................  A                 Repair tongue                 2.27      2.27      2.80      0.18      4.72      5.25       010
                                                           laceration.
41252..............  .................  A                 Repair tongue                 2.97      2.32      3.63      0.23      5.52      6.83       010
                                                           laceration.
41500..............  .................  A                 Fixation of tongue.....       3.71      4.25        NA      0.26      8.22        NA       090
41510..............  .................  A                 Tongue to lip surgery..       3.42      4.51        NA      0.24      8.17        NA       090
41520..............  .................  A                 Reconstruction, tongue        2.73      3.17      3.17      0.19      6.09      6.09       090
                                                           fold.
41599..............  .................  C                 Tongue and mouth              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           surgery.
41800..............  .................  A                 Drainage of gum lesion.       1.17      1.31      1.90      0.09      2.57      3.16       010
41805..............  .................  A                 Removal foreign body,         1.24      1.93      1.93      0.09      3.26      3.26       010
                                                           gum.
41806..............  .................  A                 Removal foreign               2.69      2.38      2.58      0.22      5.29      5.49       010
                                                           body,jawbone.
41820..............  .................  R                 Excision, gum, each           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quadrant.
41821..............  .................  R                 Excision of gum flap...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
41822..............  .................  R                 Excision of gum lesion.       2.31      0.89      2.89      0.24      3.44      5.44       010
41823..............  .................  R                 Excision of gum lesion.       3.30      2.75      3.77      0.29      6.34      7.36       090
41825..............  .................  A                 Excision of gum lesion.       1.31      2.25      2.36      0.10      3.66      3.77       010
41826..............  .................  A                 Excision of gum lesion.       2.31      2.57      2.62      0.17      5.05      5.10       010
41827..............  .................  A                 Excision of gum lesion.       3.42      3.58      3.58      0.25      7.25      7.25       090
41828..............  .................  R                 Excision of gum lesion.       3.09      2.29      3.03      0.22      5.60      6.34       010
41830..............  .................  R                 Removal of gum tissue..       3.35      3.14      3.18      0.23      6.72      6.76       010
41850..............  .................  R                 Treatment of gum lesion       0.00      0.00      0.00      0.00      0.00      0.00       XXX
41870..............  .................  R                 Gum graft..............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
41872..............  .................  R                 Repair gum.............       2.59      2.69      2.69      0.18      5.46      5.46       090
41874..............  .................  R                 Repair tooth socket....       3.09      2.33      2.83      0.23      5.65      6.15       090
41899..............  .................  C                 Dental surgery                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
42000..............  .................  A                 Drainage mouth roof           1.23      1.59      2.42      0.10      2.92      3.75       010
                                                           lesion.
42100..............  .................  A                 Biopsy roof of mouth...       1.31      2.36      2.36      0.10      3.77      3.77       010
42104..............  .................  A                 Excision lesion, mouth        1.64      2.44      2.44      0.12      4.20      4.20       010
                                                           roof.
42106..............  .................  A                 Excision lesion, mouth        2.10      2.63      2.63      0.16      4.89      4.89       010
                                                           roof.
42107..............  .................  A                 Excision lesion, mouth        4.44      4.05      4.05      0.32      8.81      8.81       090
                                                           roof.
42120..............  .................  A                 Remove palate/lesion...       6.17      5.99        NA      0.44     12.60        NA       090
42140..............  .................  A                 Excision of uvula......       1.62      3.18      3.65      0.12      4.92      5.39       090
42145..............  .................  A                 Repair palate, pharynx/       8.05      7.31        NA      0.56     15.92        NA       090
                                                           uvula.
42160..............  .................  A                 Treatment mouth roof          1.80      2.60      3.16      0.13      4.53      5.09       010
                                                           lesion.
42180..............  .................  A                 Repair palate..........       2.50      2.10      2.75      0.19      4.79      5.44       010
42182..............  .................  A                 Repair palate..........       3.83      2.99      3.95      0.27      7.09      8.05       010
42200..............  .................  A                 Reconstruct cleft            12.00     10.00        NA      0.97     22.97        NA       090
                                                           palate.
42205..............  .................  A                 Reconstruct cleft            13.29      9.62        NA      0.82     23.73        NA       090
                                                           palate.
42210..............  .................  A                 Reconstruct cleft            14.50      7.95        NA      1.24     23.69        NA       090
                                                           palate.
42215..............  .................  A                 Reconstruct cleft             8.82      7.48        NA      0.96     17.26        NA       090
                                                           palate.
42220..............  .................  A                 Reconstruct cleft             7.02      5.82        NA      0.41     13.25        NA       090
                                                           palate.
42225..............  .................  A                 Reconstruct cleft             9.54      8.92        NA      0.75     19.21        NA       090
                                                           palate.
42226..............  .................  A                 Lengthening of palate..      10.01      9.14        NA      0.73     19.88        NA       090
42227..............  .................  A                 Lengthening of palate..       9.52      6.67        NA      0.70     16.89        NA       090
42235..............  .................  A                 Repair palate..........       7.87      5.92        NA      0.49     14.28        NA       090
42260..............  .................  A                 Repair nose to lip            9.80      7.33      7.33      0.85     17.98     17.98       090
                                                           fistula.
42280..............  .................  A                 Preparation, palate           1.54      0.81      1.41      0.12      2.47      3.07       010
                                                           mold.
42281..............  .................  A                 Insertion, palate             1.93      1.04      2.00      0.14      3.11      4.07       010
                                                           prosthesis.
42299..............  .................  C                 Palate/uvula surgery...       0.00      0.00      0.00      0.00      0.00      0.00       YYY
42300..............  .................  A                 Drainage of salivary          1.93      1.77      2.55      0.15      3.85      4.63       010
                                                           gland.
42305..............  .................  A                 Drainage of salivary          6.07      5.16        NA      0.46     11.69        NA       090
                                                           gland.
42310..............  .................  A                 Drainage of salivary          1.56      1.67      2.25      0.11      3.34      3.92       010
                                                           gland.
42320..............  .................  A                 Drainage of salivary          2.35      2.12      2.79      0.17      4.64      5.31       010
                                                           gland.
42325..............  .................  A                 Create salivary cyst          2.75      1.21      3.32      0.17      4.13      6.24       090
                                                           drain.
42326..............  .................  A                 Create salivary cyst          3.78      2.10      3.29      0.34      6.22      7.41       090
                                                           drain.
42330..............  .................  A                 Removal of salivary           2.21      1.22      2.70      0.16      3.59      5.07       010
                                                           stone.
42335..............  .................  A                 Removal of salivary           3.31      3.56      3.56      0.23      7.10      7.10       090
                                                           stone.
42340..............  .................  A                 Removal of salivary           4.60      4.57      4.57      0.34      9.51      9.51       090
                                                           stone.
42400..............  .................  A                 Biopsy of salivary            0.78      0.40      2.37      0.06      1.24      3.21       000
                                                           gland.
42405..............  .................  A                 Biopsy of salivary            3.29      3.27      3.36      0.24      6.80      6.89       010
                                                           gland.
42408..............  .................  A                 Excision of salivary          4.54      4.62      4.62      0.34      9.50      9.50       090
                                                           cyst.
42409..............  .................  A                 Drainage of salivary          2.81      3.44      3.44      0.20      6.45      6.45       090
                                                           cyst.
42410..............  .................  A                 Excise parotid gland/         9.34      7.76        NA      0.77     17.87        NA       090
                                                           lesion.
42415..............  .................  A                 Excise parotid gland/        16.89     12.43        NA      1.26     30.58        NA       090
                                                           lesion.
42420..............  .................  A                 Excise parotid gland/        19.59     14.02        NA      1.45     35.06        NA       090
                                                           lesion.
42425..............  .................  A                 Excise parotid gland/        13.02     10.29        NA      0.98     24.29        NA       090
                                                           lesion.
42426..............  .................  A                 Excise parotid gland/        21.26     14.84        NA      1.57     37.67        NA       090
                                                           lesion.
42440..............  .................  A                 Excise submaxillary           6.97      5.87        NA      0.51     13.35        NA       090
                                                           gland.
42450..............  .................  A                 Excise sublingual gland       4.62      4.91      4.99      0.34      9.87      9.95       090
42500..............  .................  A                 Repair salivary duct...       4.30      4.69      4.69      0.30      9.29      9.29       090
42505..............  .................  A                 Repair salivary duct...       6.18      5.36      5.36      0.44     11.98     11.98       090
42507..............  .................  A                 Parotid duct diversion.       6.11      5.84        NA      0.66     12.61        NA       090
42508..............  .................  A                 Parotid duct diversion.       9.10      7.95        NA      0.64     17.69        NA       090

[[Page 40447]]

 
42509..............  .................  A                 Parotid duct diversion.      11.54      7.62        NA      1.24     20.40        NA       090
42510..............  .................  A                 Parotid duct diversion.       8.15      7.45        NA      0.57     16.17        NA       090
42550..............  .................  A                 Injection for salivary        1.25      0.44     12.88      0.06      1.75     14.19       000
                                                           x-ray.
42600..............  .................  A                 Closure of salivary           4.82      5.54      6.03      0.34     10.70     11.19       090
                                                           fistula.
42650..............  .................  A                 Dilation of salivary          0.77      0.43      1.06      0.06      1.26      1.89       000
                                                           duct.
42660..............  .................  A                 Dilation of salivary          1.13      1.15      1.15      0.07      2.35      2.35       000
                                                           duct.
42665..............  .................  A                 Ligation of salivary          2.53      3.65      3.72      0.17      6.35      6.42       090
                                                           duct.
42699..............  .................  C                 Salivary surgery              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
42700..............  .................  A                 Drainage of tonsil            1.62      1.79      3.08      0.12      3.53      4.82       010
                                                           abscess.
42720..............  .................  A                 Drainage of throat            5.42      4.66      4.75      0.39     10.47     10.56       010
                                                           abscess.
42725..............  .................  A                 Drainage of throat           10.72      8.30        NA      0.80     19.82        NA       090
                                                           abscess.
42800..............  .................  A                 Biopsy of throat.......       1.39      2.46      2.90      0.10      3.95      4.39       010
42802..............  .................  A                 Biopsy of throat.......       1.54      2.58      3.00      0.11      4.23      4.65       010
42804..............  .................  A                 Biopsy of upper nose/         1.24      2.42      2.85      0.09      3.75      4.18       010
                                                           throat.
42806..............  .................  A                 Biopsy of upper nose/         1.58      2.60      3.27      0.12      4.30      4.97       010
                                                           throat.
42808..............  .................  A                 Excise pharynx lesion..       2.30      3.01      4.67      0.17      5.48      7.14       010
42809..............  .................  A                 Remove pharynx foreign        1.81      1.66      3.33      0.13      3.60      5.27       010
                                                           body.
42810..............  .................  A                 Excision of neck cyst..       3.25      4.42      5.33      0.25      7.92      8.83       090
42815..............  .................  A                 Excision of neck cyst..       7.07      6.44        NA      0.53     14.04        NA       090
42820..............  .................  A                 Remove tonsils and            3.91      3.87        NA      0.28      8.06        NA       090
                                                           adenoids.
42821..............  .................  A                 Remove tonsils and            4.29      4.12        NA      0.30      8.71        NA       090
                                                           adenoids.
42825..............  .................  A                 Removal of tonsils.....       3.42      3.55        NA      0.24      7.21        NA       090
42826..............  .................  A                 Removal of tonsils.....       3.38      3.59        NA      0.23      7.20        NA       090
42830..............  .................  A                 Removal of adenoids....       2.57      2.25        NA      0.18      5.00        NA       090
42831..............  .................  A                 Removal of adenoids....       2.71      2.50        NA      0.19      5.40        NA       090
42835..............  .................  A                 Removal of adenoids....       2.30      2.44        NA      0.17      4.91        NA       090
42836..............  .................  A                 Removal of adenoids....       3.18      3.55        NA      0.22      6.95        NA       090
42842..............  .................  A                 Extensive surgery of          8.76      7.71        NA      0.61     17.08        NA       090
                                                           throat.
42844..............  .................  A                 Extensive surgery of         14.31     11.33        NA      1.04     26.68        NA       090
                                                           throat.
42845..............  .................  A                 Extensive surgery of         24.29     17.53        NA      1.76     43.58        NA       090
                                                           throat.
42860..............  .................  A                 Excision of tonsil tags       2.22      2.98        NA      0.16      5.36        NA       090
42870..............  .................  A                 Excision of lingual           5.40      5.80        NA      0.38     11.58        NA       090
                                                           tonsil.
42890..............  .................  A                 Partial removal of           12.94     10.63        NA      0.91     24.48        NA       090
                                                           pharynx.
42892..............  .................  A                 Revision of pharyngeal       15.83     12.19        NA      1.14     29.16        NA       090
                                                           walls.
42894..............  .................  A                 Revision of pharyngeal       22.88     16.90        NA      1.64     41.42        NA       090
                                                           walls.
42900..............  .................  A                 Repair throat wound....       5.25      3.75        NA      0.39      9.39        NA       010
42950..............  .................  A                 Reconstruction of             8.10      7.42        NA      0.58     16.10        NA       090
                                                           throat.
42953..............  .................  A                 Repair throat,                8.96      8.98        NA      0.73     18.67        NA       090
                                                           esophagus.
42955..............  .................  A                 Surgical opening of           7.39      6.27        NA      0.63     14.29        NA       090
                                                           throat.
42960..............  .................  A                 Control throat bleeding       2.33      2.08        NA      0.17      4.58        NA       010
42961..............  .................  A                 Control throat bleeding       5.59      5.22        NA      0.40     11.21        NA       090
42962..............  .................  A                 Control throat bleeding       7.14      6.27        NA      0.51     13.92        NA       090
42970..............  .................  A                 Control nose/throat           5.43      3.79        NA      0.37      9.59        NA       090
                                                           bleeding.
42971..............  .................  A                 Control nose/throat           6.21      5.70        NA      0.45     12.36        NA       090
                                                           bleeding.
42972..............  .................  A                 Control nose/throat           7.20      5.31        NA      0.54     13.05        NA       090
                                                           bleeding.
42999..............  .................  C                 Throat surgery                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
43020..............  .................  A                 Incision of esophagus..       8.09      6.30        NA      0.70     15.09        NA       090
43030..............  .................  A                 Throat muscle surgery..       7.69      6.79        NA      0.60     15.08        NA       090
43045..............  .................  A                 Incision of esophagus..      20.12     10.99        NA      2.15     33.26        NA       090
43100..............  .................  A                 Excision of esophagus         9.19      7.27        NA      0.79     17.25        NA       090
                                                           lesion.
43101..............  .................  A                 Excision of esophagus        16.24      8.55        NA      1.81     26.60        NA       090
                                                           lesion.
43107..............  .................  A                 Removal of esophagus...      40.00     18.57        NA      3.29     61.86        NA       090
43108..............  .................  A                 Removal of esophagus...      34.19     15.74        NA      3.78     53.71        NA       090
43112..............  .................  A                 Removal of esophagus...      43.50     20.06        NA      3.67     67.23        NA       090
43113..............  .................  A                 Removal of esophagus...      35.27     16.69        NA      4.33     56.29        NA       090
43116..............  .................  A                 Partial removal of           31.22     20.19        NA      2.62     54.03        NA       090
                                                           esophagus.
43117..............  .................  A                 Partial removal of           40.00     18.55        NA      3.51     62.06        NA       090
                                                           esophagus.
43118..............  .................  A                 Partial removal of           33.20     15.82        NA      3.56     52.58        NA       090
                                                           esophagus.
43121..............  .................  A                 Partial removal of           29.19     14.85        NA      3.44     47.48        NA       090
                                                           esophagus.
43122..............  .................  A                 Parital removal of           40.00     18.10        NA      3.27     61.37        NA       090
                                                           esophagus.
43123..............  .................  A                 Partial removal of           33.20     16.59        NA      3.96     53.75        NA       090
                                                           esophagus.
43124..............  .................  A                 Removal of esophagus...      27.32     15.10        NA      2.95     45.37        NA       090
43130..............  .................  A                 Removal of esophagus         11.75      8.80        NA      1.06     21.61        NA       090
                                                           pouch.
43135..............  .................  A                 Removal of esophagus         16.10      9.86        NA      1.85     27.81        NA       090
                                                           pouch.
43200..............  .................  A                 Esophagus endoscopy....       1.59      1.18      6.85      0.11      2.88      8.55       000
43202..............  .................  A                 Esophagus endoscopy,          1.89      1.13      5.67      0.12      3.14      7.68       000
                                                           biopsy.
43204..............  .................  A                 Esophagus endoscopy &         3.77      1.69        NA      0.18      5.64        NA       000
                                                           inject.
43205..............  .................  A                 Esophagus endoscopy/          3.79      1.70        NA      0.17      5.66        NA       000
                                                           ligation.
43215..............  .................  A                 Esophagus endoscopy....       2.60      1.25        NA      0.17      4.02        NA       000
43216..............  .................  A                 Esophagus endoscopy/          2.40      1.19        NA      0.15      3.74        NA       000
                                                           lesion.
43217..............  .................  A                 Esophagus endoscopy....       2.90      1.35        NA      0.17      4.42        NA       000
43219..............  .................  A                 Esophagus endoscopy....       2.80      1.40        NA      0.16      4.36        NA       000
43220..............  .................  A                 Esoph endoscopy,              2.10      1.11        NA      0.12      3.33        NA       000
                                                           dilation.
43226..............  .................  A                 Esoph endoscopy,              2.34      1.18        NA      0.12      3.64        NA       000
                                                           dilation.

[[Page 40448]]

 
43227..............  .................  A                 Esoph endoscopy, repair       3.60      1.62        NA      0.18      5.40        NA       000
43228..............  .................  A                 Esoph endoscopy,              3.77      1.73        NA      0.25      5.75        NA       000
                                                           ablation.
43231..............  .................  A                 Esoph endoscopy w/us          4.09      1.89        NA      0.24      6.22        NA       000
                                                           exam.
43232..............  .................  A                 Esoph endoscopy w/us fn       4.71      2.22        NA      0.28      7.21        NA       000
                                                           bx.
43234..............  .................  A                 Upper GI endoscopy,           2.01      1.04      3.89      0.13      3.18      6.03       000
                                                           exam.
43235..............  .................  A                 Uppr gi endoscopy,            2.39      1.20      5.27      0.13      3.72      7.79       000
                                                           diagnosis.
43239..............  .................  A                 Upper GI endoscopy,           2.69      1.31      5.49      0.14      4.14      8.32       000
                                                           biopsy.
43240..............  .................  A                 Esoph endoscope w/drain       7.39      3.14        NA      0.45     10.98        NA       000
                                                           cyst.
43241..............  .................  A                 Upper GI endoscopy with       2.59      1.25        NA      0.14      3.98        NA       000
                                                           tube.
43242..............  .................  A                 Uppr gi endoscopy w/us        5.51      2.00      2.00      0.34      7.85      7.85       000
                                                           fn bx.
43243..............  .................  A                 Upper gi endoscopy &          4.57      1.98        NA      0.21      6.76        NA       000
                                                           inject.
43244..............  .................  A                 Upper GI endoscopy/           4.59      1.99        NA      0.21      6.79        NA       000
                                                           ligation.
43245..............  .................  A                 Operative upper GI            3.39      1.53        NA      0.18      5.10        NA       000
                                                           endoscopy.
43246..............  .................  A                 Place gastrostomy tube.       4.33      1.82        NA      0.24      6.39        NA       000
43247..............  .................  A                 Operative upper GI            3.39      1.53        NA      0.17      5.09        NA       000
                                                           endoscopy.
43248..............  .................  A                 Uppr gi endoscopy/guide       3.15      1.46        NA      0.15      4.76        NA       000
                                                           wire.
43249..............  .................  A                 Esoph endoscopy,              2.90      1.36        NA      0.15      4.41        NA       000
                                                           dilation.
43250..............  .................  A                 Upper GI endoscopy/           3.20      1.46        NA      0.17      4.83        NA       000
                                                           tumor.
43251..............  .................  A                 Operative upper GI            3.70      1.65        NA      0.19      5.54        NA       000
                                                           endoscopy.
43255..............  .................  A                 Operative upper GI            4.40      1.80        NA      0.20      6.40        NA       000
                                                           endoscopy.
43256..............  .................  A                 Uppr gi endoscopy w           4.35      1.58      1.58      0.26      6.19      6.19       000
                                                           stent.
43258..............  .................  A                 Operative upper GI            4.55      1.97        NA      0.22      6.74        NA       000
                                                           endoscopy.
43259..............  .................  A                 Endoscopic ultrasound         4.89      2.19        NA      0.22      7.30        NA       000
                                                           exam.
43260..............  .................  A                 Endo                          5.96      2.48        NA      0.27      8.71        NA       000
                                                           cholangiopancreatograp
                                                           h.
43261..............  .................  A                 Endo                          6.27      2.59        NA      0.29      9.15        NA       000
                                                           cholangiopancreatograp
                                                           h.
43262..............  .................  A                 Endo                          7.39      3.01        NA      0.34     10.74        NA       000
                                                           cholangiopancreatograp
                                                           h.
43263..............  .................  A                 Endo                          6.19      2.58        NA      0.28      9.05        NA       000
                                                           cholangiopancreatograp
                                                           h.
43264..............  .................  A                 Endo                          8.90      3.57        NA      0.41     12.88        NA       000
                                                           cholangiopancreatograp
                                                           h.
43265..............  .................  A                 Endo                          8.90      3.56        NA      0.42     12.88        NA       000
                                                           cholangiopancreatograp
                                                           h.
43267..............  .................  A                 Endo                          7.39      3.01        NA      0.34     10.74        NA       000
                                                           cholangiopancreatograp
                                                           h.
43268..............  .................  A                 Endo                          7.39      3.01        NA      0.34     10.74        NA       000
                                                           cholangiopancreatograp
                                                           h.
43269..............  .................  A                 Endo                          6.04      2.51        NA      0.28      8.83        NA       000
                                                           cholangiopancreatograp
                                                           h.
43271..............  .................  A                 Endo                          7.39      3.00        NA      0.34     10.73        NA       000
                                                           cholangiopancreatograp
                                                           h.
43272..............  .................  A                 Endo                          7.39      3.01        NA      0.34     10.74        NA       000
                                                           cholangiopancreatograp
                                                           h.
43280..............  .................  A                 Laparoscopy,                 17.25      8.37        NA      1.76     27.38        NA       090
                                                           fundoplasty.
43289..............  .................  C                 Laparoscope proc, esoph       0.00      0.00      0.00      0.00      0.00      0.00       YYY
43300..............  .................  A                 Repair of esophagus....       9.14      7.43        NA      0.85     17.42        NA       090
43305..............  .................  A                 Repair esophagus and         17.39     12.48        NA      1.36     31.23        NA       090
                                                           fistula.
43310..............  .................  A                 Repair of esophagus....      25.39     14.68        NA      3.18     43.25        NA       090
43312..............  .................  A                 Repair esophagus and         28.42     18.43        NA      3.38     50.23        NA       090
                                                           fistula.
43320..............  .................  A                 Fuse esophagus &             19.93     10.60        NA      1.59     32.12        NA       090
                                                           stomach.
43324..............  .................  A                 Revise esophagus &           20.57      9.71        NA      1.72     32.00        NA       090
                                                           stomach.
43325..............  .................  A                 Revise esophagus &           20.06      9.97        NA      1.65     31.68        NA       090
                                                           stomach.
43326..............  .................  A                 Revise esophagus &           19.74     10.75        NA      1.84     32.33        NA       090
                                                           stomach.
43330..............  .................  A                 Repair of esophagus....      19.77      9.69        NA      1.52     30.98        NA       090
43331..............  .................  A                 Repair of esophagus....      20.13     11.46        NA      1.93     33.52        NA       090
43340..............  .................  A                 Fuse esophagus &             19.61     10.60        NA      1.53     31.74        NA       090
                                                           intestine.
43341..............  .................  A                 Fuse esophagus &             20.85     13.19        NA      2.14     36.18        NA       090
                                                           intestine.
43350..............  .................  A                 Surgical opening,            15.78     10.59        NA      1.15     27.52        NA       090
                                                           esophagus.
43351..............  .................  A                 Surgical opening,            18.35      9.93        NA      1.51     29.79        NA       090
                                                           esophagus.
43352..............  .................  A                 Surgical opening,            15.26      9.64        NA      1.28     26.18        NA       090
                                                           esophagus.
43360..............  .................  A                 Gastrointestinal repair      35.70     16.95        NA      3.00     55.65        NA       090
43361..............  .................  A                 Gastrointestinal repair      40.50     19.13        NA      3.52     63.15        NA       090
43400..............  .................  A                 Ligate esophagus veins.      21.20     10.43        NA      0.99     32.62        NA       090
43401..............  .................  A                 Esophagus surgery for        22.09     10.05        NA      1.73     33.87        NA       090
                                                           veins.
43405..............  .................  A                 Ligate/staple esophagus      20.01      9.83        NA      1.63     31.47        NA       090
43410..............  .................  A                 Repair esophagus wound.      13.47      8.91        NA      1.15     23.53        NA       090
43415..............  .................  A                 Repair esophagus wound.      25.00     12.50        NA      1.92     39.42        NA       090
43420..............  .................  A                 Repair esophagus             14.35      9.56        NA      0.86     24.77        NA       090
                                                           opening.
43425..............  .................  A                 Repair esophagus             21.03     11.55        NA      2.03     34.61        NA       090
                                                           opening.
43450..............  .................  A                 Dilate esophagus.......       1.38      0.62      1.34      0.07      2.07      2.79       000
43453..............  .................  A                 Dilate esophagus.......       1.51      0.67        NA      0.08      2.26        NA       000
43456..............  .................  A                 Dilate esophagus.......       2.57      1.06        NA      0.14      3.77        NA       000
43458..............  .................  A                 Dilate esophagus.......       3.06      1.25        NA      0.17      4.48        NA       000
43460..............  .................  A                 Pressure treatment            3.80      1.53        NA      0.21      5.54        NA       000
                                                           esophagus.
43496..............  .................  C                 Free jejunum flap,            0.00      0.00      0.00      0.00      0.00      0.00       090
                                                           microvasc.
43499..............  .................  C                 Esophagus surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
43500..............  .................  A                 Surgical opening of          11.05      5.16        NA      0.84     17.05        NA       090
                                                           stomach.
43501..............  .................  A                 Surgical repair of           20.04      8.75        NA      1.55     30.34        NA       090
                                                           stomach.
43502..............  .................  A                 Surgical repair of           23.13      9.96        NA      1.83     34.92        NA       090
                                                           stomach.
43510..............  .................  A                 Surgical opening of          13.08      7.42        NA      0.90     21.40        NA       090
                                                           stomach.
43520..............  .................  A                 Incision of pyloric           9.99      5.92        NA      0.84     16.75        NA       090
                                                           muscle.
43600..............  .................  A                 Biopsy of stomach......       1.91      1.02        NA      0.11      3.04        NA       000
43605..............  .................  A                 Biopsy of stomach......      11.98      5.44        NA      0.93     18.35        NA       090

[[Page 40449]]

 
43610..............  .................  A                 Excision of stomach          14.60      6.79        NA      1.14     22.53        NA       090
                                                           lesion.
43611..............  .................  A                 Excision of stomach          17.84      8.06        NA      1.38     27.28        NA       090
                                                           lesion.
43620..............  .................  A                 Removal of stomach.....      30.04     12.99        NA      2.29     45.32        NA       090
43621..............  .................  A                 Removal of stomach.....      30.73     13.14        NA      2.36     46.23        NA       090
43622..............  .................  A                 Removal of stomach.....      32.53     13.74        NA      2.48     48.75        NA       090
43631..............  .................  A                 Removal of stomach,          22.59      9.65        NA      1.99     34.23        NA       090
                                                           partial.
43632..............  .................  A                 Removal of stomach,          22.59      9.65        NA      2.00     34.24        NA       090
                                                           partial.
43633..............  .................  A                 Removal of stomach,          23.10      9.84        NA      2.05     34.99        NA       090
                                                           partial.
43634..............  .................  A                 Removal of stomach,          25.12     10.50        NA      2.18     37.80        NA       090
                                                           partial.
43635..............  .................  A                 Removal of stomach,           2.06      0.74        NA      0.21      3.01        NA       ZZZ
                                                           partial.
43638..............  .................  A                 Removal of stomach,          29.00     12.03        NA      2.24     43.27        NA       090
                                                           partial.
43639..............  .................  A                 Removal of stomach,          29.65     12.28        NA      2.31     44.24        NA       090
                                                           partial.
43640..............  .................  A                 Vagotomy & pylorus           17.02      7.66        NA      1.51     26.19        NA       090
                                                           repair.
43641..............  .................  A                 Vagotomy & pylorus           17.27      7.79        NA      1.53     26.59        NA       090
                                                           repair.
43651..............  .................  A                 Laparoscopy, vagus           10.15      4.72        NA      1.03     15.90        NA       090
                                                           nerve.
43652..............  .................  A                 Laparoscopy, vagus           12.15      5.37        NA      1.25     18.77        NA       090
                                                           nerve.
43653..............  .................  A                 Laparoscopy,                  7.73      4.27        NA      0.78     12.78        NA       090
                                                           gastrostomy.
43659..............  .................  C                 Laparoscope proc, stom.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
43750..............  .................  A                 Place gastrostomy tube.       4.49      2.63        NA      0.33      7.45        NA       010
43752..............  .................  B                 Nasal/orogastric w/           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           stent.
43760..............  .................  A                 Change gastrostomy tube       1.10      0.46      1.41      0.07      1.63      2.58       000
43761..............  .................  A                 Reposition gastrostomy        2.01      0.82        NA      0.10      2.93        NA       000
                                                           tube.
43800..............  .................  A                 Reconstruction of            13.69      6.56        NA      1.07     21.32        NA       090
                                                           pylorus.
43810..............  .................  A                 Fusion of stomach and        14.65      6.86        NA      1.10     22.61        NA       090
                                                           bowel.
43820..............  .................  A                 Fusion of stomach and        15.37      7.07        NA      1.18     23.62        NA       090
                                                           bowel.
43825..............  .................  A                 Fusion of stomach and        19.22      8.39        NA      1.50     29.11        NA       090
                                                           bowel.
43830..............  .................  A                 Place gastrostomy tube.       9.53      4.98        NA      0.69     15.20        NA       090
43831..............  .................  A                 Place gastrostomy tube.       7.84      4.26        NA      0.81     12.91        NA       090
43832..............  .................  A                 Place gastrostomy tube.      15.60      7.56        NA      1.13     24.29        NA       090
43840..............  .................  A                 Repair of stomach            15.56      7.12        NA      1.20     23.88        NA       090
                                                           lesion.
43842..............  .................  A                 Gastroplasty for             18.47     11.14        NA      1.51     31.12        NA       090
                                                           obesity.
43843..............  .................  A                 Gastroplasty for             18.65     11.01        NA      1.53     31.19        NA       090
                                                           obesity.
43846..............  .................  A                 Gastric bypass for           24.05     13.28        NA      1.96     39.29        NA       090
                                                           obesity.
43847..............  .................  A                 Gastric bypass for           26.92     14.88        NA      2.14     43.94        NA       090
                                                           obesity.
43848..............  .................  A                 Revision gastroplasty..      29.39     15.95        NA      2.39     47.73        NA       090
43850..............  .................  A                 Revise stomach-bowel         24.72     10.34        NA      1.97     37.03        NA       090
                                                           fusion.
43855..............  .................  A                 Revise stomach-bowel         26.16     11.24        NA      2.01     39.41        NA       090
                                                           fusion.
43860..............  .................  A                 Revise stomach-bowel         25.00     10.52        NA      2.03     37.55        NA       090
                                                           fusion.
43865..............  .................  A                 Revise stomach-bowel         26.52     11.05        NA      2.15     39.72        NA       090
                                                           fusion.
43870..............  .................  A                 Repair stomach opening.       9.69      5.08        NA      0.71     15.48        NA       090
43880..............  .................  A                 Repair stomach-bowel         24.65     10.86        NA      1.94     37.45        NA       090
                                                           fistula.
43999..............  .................  C                 Stomach surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
44005..............  .................  A                 Freeing of bowel             16.23      7.34        NA      1.39     24.96        NA       090
                                                           adhesion.
44010..............  .................  A                 Incision of small bowel      12.52      6.42        NA      1.05     19.99        NA       090
44015..............  .................  A                 Insert needle cath            2.62      0.93        NA      0.25      3.80        NA       ZZZ
                                                           bowel.
44020..............  .................  A                 Exploration of small         13.99      6.50        NA      1.20     21.69        NA       090
                                                           bowel.
44021..............  .................  A                 Decompress small bowel.      14.08      6.90        NA      1.18     22.16        NA       090
44025..............  .................  A                 Incision of large bowel      14.28      6.61        NA      1.21     22.10        NA       090
44050..............  .................  A                 Reduce bowel                 14.03      6.52        NA      1.15     21.70        NA       090
                                                           obstruction.
44055..............  .................  A                 Correct malrotation of       22.00      9.38        NA      1.32     32.70        NA       090
                                                           bowel.
44100..............  .................  A                 Biopsy of bowel........       2.01      1.07        NA      0.12      3.20        NA       000
44110..............  .................  A                 Excision of bowel            11.81      5.78        NA      1.00     18.59        NA       090
                                                           lesion(s).
44111..............  .................  A                 Excision of bowel            14.29      7.20        NA      1.22     22.71        NA       090
                                                           lesion(s).
44120..............  .................  A                 Removal of small             17.00      7.59        NA      1.46     26.05        NA       090
                                                           intestine.
44121..............  .................  A                 Removal of small              4.45      1.60        NA      0.45      6.50        NA       ZZZ
                                                           intestine.
44125..............  .................  A                 Removal of small             17.54      7.77        NA      1.49     26.80        NA       090
                                                           intestine.
44130..............  .................  A                 Bowel to bowel fusion..      14.49      6.69        NA      1.23     22.41        NA       090
44132..............  .................  R                 Enterectomy, cadaver          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           donor.
44133..............  .................  R                 Enterectomy, live donor       0.00      0.00      0.00      0.00      0.00      0.00       XXX
44135..............  .................  R                 Intestine transplnt,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cadaver.
44136..............  .................  R                 Intestine transplant,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           live.
44139..............  .................  A                 Mobilization of colon..       2.23      0.80        NA      0.21      3.24        NA       ZZZ
44140..............  .................  A                 Partial removal of           21.00      9.46        NA      1.83     32.29        NA       090
                                                           colon.
44141..............  .................  A                 Partial removal of           19.51     11.66        NA      1.95     33.12        NA       090
                                                           colon.
44143..............  .................  A                 Partial removal of           22.99     12.88        NA      2.02     37.89        NA       090
                                                           colon.
44144..............  .................  A                 Partial removal of           21.53     11.57        NA      1.89     34.99        NA       090
                                                           colon.
44145..............  .................  A                 Partial removal of           26.42     11.77        NA      2.22     40.41        NA       090
                                                           colon.
44146..............  .................  A                 Partial removal of           27.54     14.77        NA      2.20     44.51        NA       090
                                                           colon.
44147..............  .................  A                 Partial removal of           20.71     10.09        NA      1.74     32.54        NA       090
                                                           colon.
44150..............  .................  A                 Removal of colon.......      23.95     13.79        NA      2.05     39.79        NA       090
44151..............  .................  A                 Removal of colon/            26.88     14.74        NA      1.97     43.59        NA       090
                                                           ileostomy.
44152..............  .................  A                 Removal of colon/            27.83     16.60        NA      2.36     46.79        NA       090
                                                           ileostomy.
44153..............  .................  A                 Removal of colon/            30.59     16.26        NA      2.33     49.18        NA       090
                                                           ileostomy.
44155..............  .................  A                 Removal of colon/            27.86     15.02        NA      2.26     45.14        NA       090
                                                           ileostomy.

[[Page 40450]]

 
44156..............  .................  A                 Removal of colon/            30.79     16.48        NA      2.19     49.46        NA       090
                                                           ileostomy.
44160..............  .................  A                 Removal of colon.......      18.62      8.56        NA      1.55     28.73        NA       090
44200..............  .................  A                 Laparoscopy,                 14.44      6.78        NA      1.46     22.68        NA       090
                                                           enterolysis.
44201..............  .................  A                 Laparoscopy,                  9.78      5.11        NA      0.97     15.86        NA       090
                                                           jejunostomy.
44202..............  .................  A                 Laparo, resect               22.04      9.78        NA      2.16     33.98        NA       090
                                                           intestine.
44209..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           intestine.
44300..............  .................  A                 Open bowel to skin.....      12.11      6.62        NA      0.88     19.61        NA       090
44310..............  .................  A                 Ileostomy/jejunostomy..      15.95     10.29        NA      1.13     27.37        NA       090
44312..............  .................  A                 Revision of ileostomy..       8.02      5.02        NA      0.54     13.58        NA       090
44314..............  .................  A                 Revision of ileostomy..      15.05     10.19        NA      0.99     26.23        NA       090
44316..............  .................  A                 Devise bowel pouch.....      21.09     14.20        NA      1.41     36.70        NA       090
44320..............  .................  A                 Colostomy..............      17.64     11.80        NA      1.28     30.72        NA       090
44322..............  .................  A                 Colostomy with biopsies      11.98      9.91        NA      1.18     23.07        NA       090
44340..............  .................  A                 Revision of colostomy..       7.72      4.71        NA      0.56     12.99        NA       090
44345..............  .................  A                 Revision of colostomy..      15.43      8.19        NA      1.11     24.73        NA       090
44346..............  .................  A                 Revision of colostomy..      16.99      8.74        NA      1.20     26.93        NA       090
44360..............  .................  A                 Small bowel endoscopy..       2.59      1.36        NA      0.14      4.09        NA       000
44361..............  .................  A                 Small bowel endoscopy/        2.87      1.46        NA      0.15      4.48        NA       000
                                                           biopsy.
44363..............  .................  A                 Small bowel endoscopy..       3.50      1.65        NA      0.19      5.34        NA       000
44364..............  .................  A                 Small bowel endoscopy..       3.74      1.78        NA      0.21      5.73        NA       000
44365..............  .................  A                 Small bowel endoscopy..       3.31      1.63        NA      0.18      5.12        NA       000
44366..............  .................  A                 Small bowel endoscopy..       4.41      2.02        NA      0.22      6.65        NA       000
44369..............  .................  A                 Small bowel endoscopy..       4.52      2.00        NA      0.23      6.75        NA       000
44370..............  .................  A                 Small bowel endoscopy/        4.33      1.59      1.59      0.26      6.18      6.18       000
                                                           stent.
44372..............  .................  A                 Small bowel endoscopy..       4.41      2.02        NA      0.27      6.70        NA       000
44373..............  .................  A                 Small bowel endoscopy..       3.50      1.74        NA      0.19      5.43        NA       000
44376..............  .................  A                 Small bowel endoscopy..       5.26      2.32        NA      0.29      7.87        NA       000
44377..............  .................  A                 Small bowel endoscopy/        5.53      2.45        NA      0.28      8.26        NA       000
                                                           biopsy.
44378..............  .................  A                 Small bowel endoscopy..       7.13      3.02        NA      0.37     10.52        NA       000
44379..............  .................  A                 S bowel endoscope w/          7.07      2.55      2.55      0.45     10.07     10.07       000
                                                           stent.
44380..............  .................  A                 Small bowel endoscopy..       1.05      0.77        NA      0.08      1.90        NA       000
44382..............  .................  A                 Small bowel endoscopy..       1.27      0.86        NA      0.09      2.22        NA       000
44383..............  .................  A                 Ileoscopy w/stent......       2.41      0.87      0.87      0.15      3.43      3.43       000
44385..............  .................  A                 Endoscopy of bowel            1.82      0.94      4.40      0.12      2.88      6.34       000
                                                           pouch.
44386..............  .................  A                 Endoscopy, bowel pouch/       2.12      1.09      5.56      0.15      3.36      7.83       000
                                                           biop.
44388..............  .................  A                 Colon endoscopy........       2.82      1.39      6.06      0.18      4.39      9.06       000
44389..............  .................  A                 Colonoscopy with biopsy       3.13      1.52      6.65      0.18      4.83      9.96       000
44390..............  .................  A                 Colonoscopy for foreign       3.83      1.80      7.38      0.22      5.85     11.43       000
                                                           body.
44391..............  .................  A                 Colonoscopy for               4.32      1.76      6.17      0.23      6.31     10.72       000
                                                           bleeding.
44392..............  .................  A                 Colonoscopy and               3.82      1.76      6.74      0.23      5.81     10.79       000
                                                           polypectomy.
44393..............  .................  A                 Colonoscopy, lesion           4.84      2.15      7.45      0.27      7.26     12.56       000
                                                           removal.
44394..............  .................  A                 Colonoscopy w/snare....       4.43      1.99      7.40      0.26      6.68     12.09       000
44397..............  .................  A                 Colonoscopy w stent....       4.23      1.90        NA      0.30      6.43        NA       000
44500..............  .................  A                 Intro, gastrointestinal       0.49      0.36        NA      0.02      0.87        NA       000
                                                           tube.
44602..............  .................  A                 Suture, small intestine      16.03      7.26        NA      1.07     24.36        NA       090
44603..............  .................  A                 Suture, small intestine      18.66      8.18        NA      1.39     28.23        NA       090
44604..............  .................  A                 Suture, large intestine      16.03      7.26        NA      1.42     24.71        NA       090
44605..............  .................  A                 Repair of bowel lesion.      19.53      8.92        NA      1.54     29.99        NA       090
44615..............  .................  A                 Intestinal                   15.93      7.20        NA      1.39     24.52        NA       090
                                                           stricturoplasty.
44620..............  .................  A                 Repair bowel opening...      12.20      5.79        NA      1.05     19.04        NA       090
44625..............  .................  A                 Repair bowel opening...      15.05      6.83        NA      1.30     23.18        NA       090
44626..............  .................  A                 Repair bowel opening...      25.36     10.52        NA      2.19     38.07        NA       090
44640..............  .................  A                 Repair bowel-skin            21.65      9.57        NA      1.46     32.68        NA       090
                                                           fistula.
44650..............  .................  A                 Repair bowel fistula...      22.57      9.80        NA      1.49     33.86        NA       090
44660..............  .................  A                 Repair bowel-bladder         21.36      9.40        NA      1.14     31.90        NA       090
                                                           fistula.
44661..............  .................  A                 Repair bowel-bladder         24.81     10.56        NA      1.53     36.90        NA       090
                                                           fistula.
44680..............  .................  A                 Surgical revision,           15.40      7.38        NA      1.37     24.15        NA       090
                                                           intestine.
44700..............  .................  A                 Suspend bowel w/             16.11      7.43        NA      1.21     24.75        NA       090
                                                           prosthesis.
44799..............  .................  C                 Intestine surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
44800..............  .................  A                 Excision of bowel pouch      11.23      5.51        NA      1.11     17.85        NA       090
44820..............  .................  A                 Excision of mesentery        12.09      5.89        NA      1.03     19.01        NA       090
                                                           lesion.
44850..............  .................  A                 Repair of mesentery....      10.74      5.55        NA      0.99     17.28        NA       090
44899..............  .................  C                 Bowel surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
44900..............  .................  A                 Drain app abscess, open      10.14      5.83        NA      0.84     16.81        NA       090
44901..............  .................  A                 Drain app abscess,            3.38      5.25        NA      0.17      8.80        NA       000
                                                           percut.
44950..............  .................  A                 Appendectomy...........      10.00      5.25        NA      0.88     16.13        NA       090
44955..............  .................  A                 Appendectomy add-on....       1.53      0.57        NA      0.16      2.26        NA       ZZZ
44960..............  .................  A                 Appendectomy...........      12.34      6.41        NA      1.09     19.84        NA       090
44970..............  .................  A                 Laparoscopy,                  8.70      4.16        NA      0.88     13.74        NA       090
                                                           appendectomy.
44979..............  .................  C                 Laparoscope proc, app..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
45000..............  .................  A                 Drainage of pelvic            4.52      3.86        NA      0.37      8.75        NA       090
                                                           abscess.
45005..............  .................  A                 Drainage of rectal            1.99      1.57      4.41      0.18      3.74      6.58       010
                                                           abscess.
45020..............  .................  A                 Drainage of rectal            4.72      3.89        NA      0.41      9.02        NA       090
                                                           abscess.
45100..............  .................  A                 Biopsy of rectum.......       3.68      2.08      4.75      0.33      6.09      8.76       090

[[Page 40451]]

 
45108..............  .................  A                 Removal of anorectal          4.76      3.06      5.90      0.46      8.28     11.12       090
                                                           lesion.
45110..............  .................  A                 Removal of rectum......      28.00     13.10        NA      2.26     43.36        NA       090
45111..............  .................  A                 Partial removal of           16.48      8.62        NA      1.60     26.70        NA       090
                                                           rectum.
45112..............  .................  A                 Removal of rectum......      30.54     13.57        NA      2.35     46.46        NA       090
45113..............  .................  A                 Partial proctectomy....      30.58     12.85        NA      2.13     45.56        NA       090
45114..............  .................  A                 Partial removal of           27.32     12.41        NA      2.28     42.01        NA       090
                                                           rectum.
45116..............  .................  A                 Partial removal of           24.58     11.19        NA      2.00     37.77        NA       090
                                                           rectum.
45119..............  .................  A                 Remove rectum w/             30.84     13.31        NA      2.13     46.28        NA       090
                                                           reservoir.
45120..............  .................  A                 Removal of rectum......      24.60     11.41        NA      2.28     38.29        NA       090
45121..............  .................  A                 Removal of rectum and        27.04     12.37        NA      2.66     42.07        NA       090
                                                           colon.
45123..............  .................  A                 Partial proctectomy....      16.71      7.62        NA      1.04     25.37        NA       090
45126..............  .................  A                 Pelvic exenteration....      45.16     19.69        NA      3.23     68.08        NA       090
45130..............  .................  A                 Excision of rectal           16.44      7.66        NA      1.12     25.22        NA       090
                                                           prolapse.
45135..............  .................  A                 Excision of rectal           19.28      9.16        NA      1.52     29.96        NA       090
                                                           prolapse.
45150..............  .................  A                 Excision of rectal            5.67      3.08      5.08      0.46      9.21     11.21       090
                                                           stricture.
45160..............  .................  A                 Excision of rectal           15.32      6.97        NA      1.07     23.36        NA       090
                                                           lesion.
45170..............  .................  A                 Excision of rectal           11.49      5.80        NA      0.89     18.18        NA       090
                                                           lesion.
45190..............  .................  A                 Destruction, rectal           9.74      5.19        NA      0.76     15.69        NA       090
                                                           tumor.
45300..............  .................  A                 Proctosigmoidoscopy dx.       0.38      0.23      1.28      0.05      0.66      1.71       000
45303..............  .................  A                 Proctosigmoidoscopy           0.44      0.26      1.47      0.06      0.76      1.97       000
                                                           dilate.
45305..............  .................  A                 Proctosigmoidoscopy &         1.01      0.45      1.55      0.09      1.55      2.65       000
                                                           biopsy.
45307..............  .................  A                 Protosigmoidoscopy fb..       0.94      0.42      2.35      0.15      1.51      3.44       000
45308..............  .................  A                 Protosigmoidoscopy            0.83      0.39      1.53      0.13      1.35      2.49       000
                                                           removal.
45309..............  .................  A                 Proctosigmoidoscopy....       2.01      0.80      2.46      0.17      2.98      4.64       000
45315..............  .................  A                 Protosigmoidoscopy            1.40      0.60      2.42      0.20      2.20      4.02       000
                                                           removal.
45317..............  .................  A                 Protosigmoidoscopy            1.50      0.63      1.79      0.20      2.33      3.49       000
                                                           bleed.
45320..............  .................  A                 Protosigmoidoscopy            1.58      0.67      1.74      0.20      2.45      3.52       000
                                                           ablate.
45321..............  .................  A                 Protosigmoidoscopy            1.17      0.52        NA      0.17      1.86        NA       000
                                                           volvul.
45327..............  .................  A                 Proctosigmoidoscopy w/        1.46      0.81        NA      0.12      2.39        NA       000
                                                           stent.
45330..............  .................  A                 Diagnostic                    0.88      0.45      1.88      0.05      1.38      2.81       000
                                                           sigmoidoscopy.
45331..............  .................  A                 Sigmoidoscopy and             1.15      0.53      2.13      0.07      1.75      3.35       000
                                                           biopsy.
45332..............  .................  A                 Sigmoidoscopy w/fb            1.79      0.76      3.73      0.11      2.66      5.63       000
                                                           removal.
45333..............  .................  A                 Sigmoidoscopy &               1.79      0.76      3.37      0.12      2.67      5.28       000
                                                           polypectomy.
45334..............  .................  A                 Sigmoidoscopy for             2.73      1.11        NA      0.16      4.00        NA       000
                                                           bleeding.
45337..............  .................  A                 Sigmoidoscopy &               2.36      0.97        NA      0.15      3.48        NA       000
                                                           decompress.
45338..............  .................  A                 Sigmoidoscpy w/tumr           2.34      0.96      4.01      0.15      3.45      6.50       000
                                                           remove.
45339..............  .................  A                 Sigmoidoscopy..........       3.14      1.26      3.05      0.17      4.57      6.36       000
45341..............  .................  A                 Sigmoidoscopy w/              3.46      1.68        NA      0.24      5.38        NA       000
                                                           ultrasound.
45342..............  .................  A                 Sigmoidoscopy w/us            4.08      1.83        NA      0.29      6.20        NA       000
                                                           guide bx.
45345..............  .................  A                 Sigmodoscopy w/stent...       2.66      1.32        NA      0.18      4.16        NA       000
45355..............  .................  A                 Surgical colonoscopy...       3.52      1.27        NA      0.26      5.05        NA       000
45378..............  .................  A                 Diagnostic colonoscopy.       3.68      1.74      7.30      0.20      5.62     11.18       000
45378..............  53...............  A                 Diagnostic colonoscopy.       0.88      0.45      1.88      0.05      1.38      2.81       000
45379..............  .................  A                 Colonoscopy w/fb              4.69      2.09      7.87      0.25      7.03     12.81       000
                                                           removal.
45380..............  .................  A                 Colonoscopy and biopsy.       4.01      1.86      7.53      0.21      6.08     11.75       000
45382..............  .................  A                 Colonoscopy/control           5.69      2.28      8.80      0.27      8.24     14.76       000
                                                           bleeding.
45383..............  .................  A                 Lesion removal                5.87      2.52      8.59      0.32      8.71     14.78       000
                                                           colonoscopy.
45384..............  .................  A                 Colonoscopy............       4.70      2.11      8.21      0.24      7.05     13.15       000
45385..............  .................  A                 Lesion removal                5.31      2.33      8.38      0.28      7.92     13.97       000
                                                           colonoscopy.
45387..............  .................  A                 Colonoscopy w/stent....       5.62      2.44        NA      0.36      8.42        NA       000
45500..............  .................  A                 Repair of rectum.......       7.29      4.19        NA      0.56     12.04        NA       090
45505..............  .................  A                 Repair of rectum.......       7.58      3.73        NA      0.50     11.81        NA       090
45520..............  .................  A                 Treatment of rectal           0.55      0.19      0.75      0.04      0.78      1.34       000
                                                           prolapse.
45540..............  .................  A                 Correct rectal prolapse      16.27      7.98        NA      1.17     25.42        NA       090
45541..............  .................  A                 Correct rectal prolapse      13.40      6.83        NA      0.88     21.11        NA       090
45550..............  .................  A                 Repair rectum/remove         23.00     10.25        NA      1.58     34.83        NA       090
                                                           sigmoid.
45560..............  .................  A                 Repair of rectocele....      10.58      5.99        NA      0.73     17.30        NA       090
45562..............  .................  A                 Exploration/repair of        15.38      7.40        NA      1.15     23.93        NA       090
                                                           rectum.
45563..............  .................  A                 Exploration/repair of        23.47     11.08        NA      1.84     36.39        NA       090
                                                           rectum.
45800..............  .................  A                 Repair rect/bladder          17.77      8.10        NA      1.14     27.01        NA       090
                                                           fistula.
45805..............  .................  A                 Repair fistula w/            20.78      9.94        NA      1.47     32.19        NA       090
                                                           colostomy.
45820..............  .................  A                 Repair rectourethral         18.48      8.48        NA      1.17     28.13        NA       090
                                                           fistula.
45825..............  .................  A                 Repair fistula w/            21.25     10.11        NA      0.97     32.33        NA       090
                                                           colostomy.
45900..............  .................  A                 Reduction of rectal           2.61      1.03        NA      0.17      3.81        NA       010
                                                           prolapse.
45905..............  .................  A                 Dilation of anal              2.30      0.95      3.50      0.14      3.39      5.94       010
                                                           sphincter.
45910..............  .................  A                 Dilation of rectal            2.80      1.15      4.78      0.14      4.09      7.72       010
                                                           narrowing.
45915..............  .................  A                 Remove rectal                 3.14      1.11      4.59      0.17      4.42      7.90       010
                                                           obstruction.
45999..............  .................  C                 Rectum surgery                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
46030..............  .................  A                 Removal of rectal             1.23      1.20      3.35      0.11      2.54      4.69       010
                                                           marker.
46040..............  .................  A                 Incision of rectal            4.96      3.06      5.40      0.48      8.50     10.84       090
                                                           abscess.
46045..............  .................  A                 Incision of rectal            4.32      2.77        NA      0.40      7.49        NA       090
                                                           abscess.
46050..............  .................  A                 Incision of anal              1.19      1.30      3.53      0.11      2.60      4.83       010
                                                           abscess.
46060..............  .................  A                 Incision of rectal            5.69      3.75        NA      0.52      9.96        NA       090
                                                           abscess.
46070..............  .................  A                 Incision of anal septum       2.71      2.48        NA      0.27      5.46        NA       090

[[Page 40452]]

 
46080..............  .................  A                 Incision of anal              2.49      1.61      3.81      0.23      4.33      6.53       010
                                                           sphincter.
46083..............  .................  A                 Incise external               1.40      1.47      4.60      0.12      2.99      6.12       010
                                                           hemorrhoid.
46200..............  .................  A                 Removal of anal fissure       3.42      2.35      3.90      0.30      6.07      7.62       090
46210..............  .................  A                 Removal of anal crypt..       2.67      2.15      5.01      0.26      5.08      7.94       090
46211..............  .................  A                 Removal of anal crypts.       4.25      2.94      5.48      0.37      7.56     10.10       090
46220..............  .................  A                 Removal of anal tab....       1.56      0.56      1.24      0.14      2.26      2.94       010
46221..............  .................  A                 Ligation of                   2.04      0.73      3.40      0.12      2.89      5.56       010
                                                           hemorrhoid(s).
46230..............  .................  A                 Removal of anal tabs...       2.57      1.68      4.18      0.22      4.47      6.97       010
46250..............  .................  A                 Hemorrhoidectomy.......       3.89      2.67      5.25      0.43      6.99      9.57       090
46255..............  .................  A                 Hemorrhoidectomy.......       4.60      2.88      5.87      0.51      7.99     10.98       090
46257..............  .................  A                 Remove hemorrhoids &          5.40      3.06        NA      0.59      9.05        NA       090
                                                           fissure.
46258..............  .................  A                 Remove hemorrhoids &          5.73      3.27        NA      0.64      9.64        NA       090
                                                           fistula.
46260..............  .................  A                 Hemorrhoidectomy.......       6.37      3.94        NA      0.68     10.99        NA       090
46261..............  .................  A                 Remove hemorrhoids &          7.08      4.05        NA      0.70     11.83        NA       090
                                                           fissure.
46262..............  .................  A                 Remove hemorrhoids &          7.50      4.31        NA      0.76     12.57        NA       090
                                                           fistula.
46270..............  .................  A                 Removal of anal fistula       3.72      2.55      4.91      0.36      6.63      8.99       090
46275..............  .................  A                 Removal of anal fistula       4.56      2.78      4.70      0.40      7.74      9.66       090
46280..............  .................  A                 Removal of anal fistula       5.98      3.69        NA      0.50     10.17        NA       090
46285..............  .................  A                 Removal of anal fistula       4.09      2.60      3.91      0.34      7.03      8.34       090
46288..............  .................  A                 Repair anal fistula....       7.13      4.16        NA      0.60     11.89        NA       090
46320..............  .................  A                 Removal of hemorrhoid         1.61      1.50      3.79      0.14      3.25      5.54       010
                                                           clot.
46500..............  .................  A                 Injection into                1.61      0.59      2.63      0.12      2.32      4.36       010
                                                           hemorrhoids.
46600..............  .................  A                 Diagnostic anoscopy....       0.50      0.15      0.79      0.04      0.69      1.33       000
46604..............  .................  A                 Anoscopy and dilation..       1.31      0.47      0.95      0.09      1.87      2.35       000
46606..............  .................  A                 Anoscopy and biopsy....       0.81      0.29      0.88      0.07      1.17      1.76       000
46608..............  .................  A                 Anoscopy/ remove for          1.51      0.46      1.82      0.13      2.10      3.46       000
                                                           body.
46610..............  .................  A                 Anoscopy/remove lesion.       1.32      0.48      1.44      0.12      1.92      2.88       000
46611..............  .................  A                 Anoscopy...............       1.81      0.65      2.00      0.15      2.61      3.96       000
46612..............  .................  A                 Anoscopy/ remove              2.34      0.85      2.46      0.18      3.37      4.98       000
                                                           lesions.
46614..............  .................  A                 Anoscopy/control              2.01      0.71      1.68      0.14      2.86      3.83       000
                                                           bleeding.
46615..............  .................  A                 Anoscopy...............       2.68      0.96      1.72      0.23      3.87      4.63       000
46700..............  .................  A                 Repair of anal                9.13      4.68        NA      0.56     14.37        NA       090
                                                           stricture.
46705..............  .................  A                 Repair of anal                6.90      4.73        NA      0.73     12.36        NA       090
                                                           stricture.
46715..............  .................  A                 Repair of anovaginal          7.20      4.50        NA      0.76     12.46        NA       090
                                                           fistula.
46716..............  .................  A                 Repair of anovaginal         15.07      7.81        NA      1.30     24.18        NA       090
                                                           fistula.
46730..............  .................  A                 Construction of absent       26.75     12.10        NA      2.03     40.88        NA       090
                                                           anus.
46735..............  .................  A                 Construction of absent       32.17     14.90        NA      2.64     49.71        NA       090
                                                           anus.
46740..............  .................  A                 Construction of absent       30.00     12.81        NA      1.99     44.80        NA       090
                                                           anus.
46742..............  .................  A                 Repair of imperforated       35.80     17.97        NA      2.63     56.40        NA       090
                                                           anus.
46744..............  .................  A                 Repair of cloacal            52.63     20.67        NA      2.27     75.57        NA       090
                                                           anomaly.
46746..............  .................  A                 Repair of cloacal            58.22     26.84        NA      2.51     87.57        NA       090
                                                           anomaly.
46748..............  .................  A                 Repair of cloacal            64.21     29.21        NA      2.77     96.19        NA       090
                                                           anomaly.
46750..............  .................  A                 Repair of anal               10.25      5.65        NA      0.69     16.59        NA       090
                                                           sphincter.
46751..............  .................  A                 Repair of anal                8.77      6.30        NA      0.78     15.85        NA       090
                                                           sphincter.
46753..............  .................  A                 Reconstruction of anus.       8.29      4.04        NA      0.58     12.91        NA       090
46754..............  .................  A                 Removal of suture from        2.20      1.32      5.40      0.12      3.64      7.72       010
                                                           anus.
46760..............  .................  A                 Repair of anal               14.43      6.74        NA      0.86     22.03        NA       090
                                                           sphincter.
46761..............  .................  A                 Repair of anal               13.84      6.62        NA      0.84     21.30        NA       090
                                                           sphincter.
46762..............  .................  A                 Implant artificial           12.71      5.67        NA      0.71     19.09        NA       090
                                                           sphincter.
46900..............  .................  A                 Destruction, anal             1.91      0.77      3.28      0.13      2.81      5.32       010
                                                           lesion(s).
46910..............  .................  A                 Destruction, anal             1.86      1.49      3.52      0.14      3.49      5.52       010
                                                           lesion(s).
46916..............  .................  A                 Cryosurgery, anal             1.86      1.60      3.44      0.09      3.55      5.39       010
                                                           lesion(s).
46917..............  .................  A                 Laser surgery, anal           1.86      1.57      4.61      0.16      3.59      6.63       010
                                                           lesions.
46922..............  .................  A                 Excision of anal              1.86      1.43      3.81      0.17      3.46      5.84       010
                                                           lesion(s).
46924..............  .................  A                 Destruction, anal             2.76      1.70      5.01      0.20      4.66      7.97       010
                                                           lesion(s).
46934..............  .................  A                 Destruction of                3.51      3.49      5.92      0.26      7.26      9.69       090
                                                           hemorrhoids.
46935..............  .................  A                 Destruction of                2.43      0.87      4.07      0.17      3.47      6.67       010
                                                           hemorrhoids.
46936..............  .................  A                 Destruction of                3.69      3.34      5.73      0.30      7.33      9.72       090
                                                           hemorrhoids.
46937..............  .................  A                 Cryotherapy of rectal         2.69      2.44      4.03      0.12      5.25      6.84       010
                                                           lesion.
46938..............  .................  A                 Cryotherapy of rectal         4.66      3.48      3.99      0.40      8.54      9.05       090
                                                           lesion.
46940..............  .................  A                 Treatment of anal             2.32      0.83      3.08      0.17      3.32      5.57       010
                                                           fissure.
46942..............  .................  A                 Treatment of anal             2.04      0.71      3.21      0.14      2.89      5.39       010
                                                           fissure.
46945..............  .................  A                 Ligation of hemorrhoids       1.84      2.13      3.83      0.17      4.14      5.84       090
46946..............  .................  A                 Ligation of hemorrhoids       2.58      2.44      5.05      0.22      5.24      7.85       090
46999..............  .................  C                 Anus surgery procedure.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
47000..............  .................  A                 Needle biopsy of liver.       1.90      0.67      9.17      0.09      2.66     11.16       000
47001..............  .................  A                 Needle biopsy, liver          1.90      0.68        NA      0.18      2.76        NA       ZZZ
                                                           add-on.
47010..............  .................  A                 Open drainage, liver         16.01      9.58        NA      0.65     26.24        NA       090
                                                           lesion.
47011..............  .................  A                 Percut drain, liver           3.70      6.24        NA      0.17     10.11        NA       000
                                                           lesion.
47015..............  .................  A                 Inject/aspirate liver        15.11      7.96        NA      0.86     23.93        NA       090
                                                           cyst.
47100..............  .................  A                 Wedge biopsy of liver..      11.67      6.37        NA      0.75     18.79        NA       090
47120..............  .................  A                 Partial removal of           35.50     16.79        NA      2.29     54.58        NA       090
                                                           liver.
47122..............  .................  A                 Extensive removal of         55.13     23.83        NA      3.60     82.56        NA       090
                                                           liver.
47125..............  .................  A                 Partial removal of           49.19     21.66        NA      3.18     74.03        NA       090
                                                           liver.

[[Page 40453]]

 
47130..............  .................  A                 Partial removal of           53.35     23.34        NA      3.47     80.16        NA       090
                                                           liver.
47133..............  .................  X                 Removal of donor liver.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
47134..............  .................  R                 Partial removal, donor       39.15     14.22        NA      3.98     57.35        NA       XXX
                                                           liver.
47135..............  .................  R                 Transplantation of           81.52     42.54        NA      8.13    132.19        NA       090
                                                           liver.
47136..............  .................  R                 Transplantation of           68.60     46.19        NA      6.93    121.72        NA       090
                                                           liver.
47300..............  .................  A                 Surgery for liver            15.08      7.62        NA      0.97     23.67        NA       090
                                                           lesion.
47350..............  .................  A                 Repair liver wound.....      19.56      9.32        NA      1.25     30.13        NA       090
47360..............  .................  A                 Repair liver wound.....      26.92     12.57        NA      1.71     41.20        NA       090
47361..............  .................  A                 Repair liver wound.....      47.12     20.03        NA      3.11     70.26        NA       090
47362..............  .................  A                 Repair liver wound.....      18.51     10.17        NA      1.22     29.90        NA       090
47379..............  .................  C                 Laparoscope procedure,        0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           liver.
47399..............  .................  C                 Liver surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
47400..............  .................  A                 Incision of liver duct.      32.49     14.82        NA      1.82     49.13        NA       090
47420..............  .................  A                 Incision of bile duct..      19.88      9.28        NA      1.70     30.86        NA       090
47425..............  .................  A                 Incision of bile duct..      19.83      9.54        NA      1.60     30.97        NA       090
47460..............  .................  A                 Incise bile duct             18.04      8.90        NA      1.24     28.18        NA       090
                                                           sphincter.
47480..............  .................  A                 Incision of gallbladder      10.82      6.52        NA      0.85     18.19        NA       090
47490..............  .................  A                 Incision of gallbladder       7.23      7.60        NA      0.33     15.16        NA       090
47500..............  .................  A                 Injection for liver x-        1.96      0.68        NA      0.09      2.73        NA       000
                                                           rays.
47505..............  .................  A                 Injection for liver x-        0.76      0.26     15.72      0.03      1.05     16.51       000
                                                           rays.
47510..............  .................  A                 Insert catheter, bile         7.83      9.35        NA      0.36     17.54        NA       090
                                                           duct.
47511..............  .................  A                 Insert bile duct drain.      10.50     10.59        NA      0.47     21.56        NA       090
47525..............  .................  A                 Change bile duct              5.55      3.33        NA      0.24      9.12        NA       010
                                                           catheter.
47530..............  .................  A                 Revise/reinsert bile          5.85      5.02        NA      0.29     11.16        NA       090
                                                           tube.
47550..............  .................  A                 Bile duct endoscopy add-      3.02      1.08        NA      0.30      4.40        NA       ZZZ
                                                           on.
47552..............  .................  A                 Biliary endoscopy thru        6.04      2.51        NA      0.42      8.97        NA       000
                                                           skin.
47553..............  .................  A                 Biliary endoscopy thru        6.35      2.70        NA      0.30      9.35        NA       000
                                                           skin.
47554..............  .................  A                 Biliary endoscopy thru        9.06      3.52        NA      0.74     13.32        NA       000
                                                           skin.
47555..............  .................  A                 Biliary endoscopy thru        7.56      3.13        NA      0.35     11.04        NA       000
                                                           skin.
47556..............  .................  A                 Biliary endoscopy thru        8.56      3.48        NA      0.38     12.42        NA       000
                                                           skin.
47560..............  .................  A                 Laparoscopy w/cholangio       4.89      1.90        NA      0.49      7.28        NA       000
47561..............  .................  A                 Laparo w/cholangio/           5.18      2.22        NA      0.49      7.89        NA       000
                                                           biopsy.
47562..............  .................  A                 Laparoscopic                 11.09      4.82        NA      1.13     17.04        NA       090
                                                           cholecystectomy.
47563..............  .................  A                 Laparoscopic                 11.94      5.32        NA      1.21     18.47        NA       090
                                                           cholecystectomy.
47564..............  .................  A                 Laparo cholecystectomy/      14.23      6.94        NA      1.44     22.61        NA       090
                                                           explr.
47570..............  .................  A                 Laparo                       12.58      5.93        NA      1.28     19.79        NA       090
                                                           cholecystoenterostomy.
47579..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           biliary.
47600..............  .................  A                 Removal of gallbladder.      13.58      6.75        NA      1.16     21.49        NA       090
47605..............  .................  A                 Removal of gallbladder.      14.69      7.14        NA      1.25     23.08        NA       090
47610..............  .................  A                 Removal of gallbladder.      18.82      8.75        NA      1.61     29.18        NA       090
47612..............  .................  A                 Removal of gallbladder.      18.78      8.59        NA      1.60     28.97        NA       090
47620..............  .................  A                 Removal of gallbladder.      20.64      9.25        NA      1.77     31.66        NA       090
47630..............  .................  A                 Remove bile duct stone.       9.11      3.17        NA      0.46     12.74        NA       090
47700..............  .................  A                 Exploration of bile          15.62      8.73        NA      1.40     25.75        NA       090
                                                           ducts.
47701..............  .................  A                 Bile duct revision.....      27.81     13.42        NA      3.00     44.23        NA       090
47711..............  .................  A                 Excision of bile duct        23.03     11.21        NA      1.98     36.22        NA       090
                                                           tumor.
47712..............  .................  A                 Excision of bile duct        30.24     14.20        NA      2.67     47.11        NA       090
                                                           tumor.
47715..............  .................  A                 Excision of bile duct        18.80      8.85        NA      1.59     29.24        NA       090
                                                           cyst.
47716..............  .................  A                 Fusion of bile duct          16.44      9.46        NA      1.41     27.31        NA       090
                                                           cyst.
47720..............  .................  A                 Fuse gallbladder &           15.91      8.67        NA      1.37     25.95        NA       090
                                                           bowel.
47721..............  .................  A                 Fuse upper gi                19.12      9.77        NA      1.63     30.52        NA       090
                                                           structures.
47740..............  .................  A                 Fuse gallbladder &           18.48      9.61        NA      1.59     29.68        NA       090
                                                           bowel.
47741..............  .................  A                 Fuse gallbladder &           21.34     10.50        NA      1.82     33.66        NA       090
                                                           bowel.
47760..............  .................  A                 Fuse bile ducts and          25.85     12.12        NA      2.21     40.18        NA       090
                                                           bowel.
47765..............  .................  A                 Fuse liver ducts &           24.88     12.79        NA      2.18     39.85        NA       090
                                                           bowel.
47780..............  .................  A                 Fuse bile ducts and          26.50     12.37        NA      2.27     41.14        NA       090
                                                           bowel.
47785..............  .................  A                 Fuse bile ducts and          31.18     14.72        NA      2.69     48.59        NA       090
                                                           bowel.
47800..............  .................  A                 Reconstruction of bile       23.30     11.22        NA      1.95     36.47        NA       090
                                                           ducts.
47801..............  .................  A                 Placement, bile duct         15.17     10.25        NA      0.69     26.11        NA       090
                                                           support.
47802..............  .................  A                 Fuse liver duct &            21.55     11.28        NA      1.84     34.67        NA       090
                                                           intestine.
47900..............  .................  A                 Suture bile duct injury      19.90     10.04        NA      1.65     31.59        NA       090
47999..............  .................  C                 Bile tract surgery            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
48000..............  .................  A                 Drainage of abdomen....      28.07     12.79        NA      1.32     42.18        NA       090
48001..............  .................  A                 Placement of drain,          35.45     14.98        NA      1.90     52.33        NA       090
                                                           pancreas.
48005..............  .................  A                 Resect/debride pancreas      42.17     17.36        NA      2.26     61.79        NA       090
48020..............  .................  A                 Removal of pancreatic        15.70      7.61        NA      1.36     24.67        NA       090
                                                           stone.
48100..............  .................  A                 Biopsy of pancreas.....      12.23      6.89        NA      1.08     20.20        NA       090
48102..............  .................  A                 Needle biopsy, pancreas       4.68      2.44      8.98      0.20      7.32     13.86       010
48120..............  .................  A                 Removal of pancreas          15.85      7.51        NA      1.35     24.71        NA       090
                                                           lesion.
48140..............  .................  A                 Partial removal of           22.94     10.69        NA      2.12     35.75        NA       090
                                                           pancreas.
48145..............  .................  A                 Partial removal of           24.02     11.58        NA      2.25     37.85        NA       090
                                                           pancreas.
48146..............  .................  A                 Pancreatectomy.........      26.40     13.53        NA      2.43     42.36        NA       090
48148..............  .................  A                 Removal of pancreatic        17.34      9.25        NA      1.61     28.20        NA       090
                                                           duct.
48150..............  .................  A                 Partial removal of           48.00     21.99        NA      4.43     74.42        NA       090
                                                           pancreas.

[[Page 40454]]

 
48152..............  .................  A                 Pancreatectomy.........      43.75     20.61        NA      4.07     68.43        NA       090
48153..............  .................  A                 Pancreatectomy.........      47.89     21.97        NA      4.40     74.26        NA       090
48154..............  .................  A                 Pancreatectomy.........      44.10     20.71        NA      4.10     68.91        NA       090
48155..............  .................  A                 Removal of pancreas....      24.64     13.79        NA      2.30     40.73        NA       090
48160..............  .................  N                 Pancreas removal/             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplant.
48180..............  .................  A                 Fuse pancreas and bowel      24.72     11.10        NA      2.24     38.06        NA       090
48400..............  .................  A                 Injection, intraop add-       1.95      0.68        NA      0.10      2.73        NA       ZZZ
                                                           on.
48500..............  .................  A                 Surgery of pancreas          15.28      7.53        NA      1.35     24.16        NA       090
                                                           cyst.
48510..............  .................  A                 Drain pancreatic             14.31      7.48        NA      1.07     22.86        NA       090
                                                           pseudocyst.
48511..............  .................  A                 Drain pancreatic              4.00      4.71        NA      0.17      8.88        NA       000
                                                           pseudocyst.
48520..............  .................  A                 Fuse pancreas cyst and       15.59      7.29        NA      1.41     24.29        NA       090
                                                           bowel.
48540..............  .................  A                 Fuse pancreas cyst and       19.72      8.81        NA      1.82     30.35        NA       090
                                                           bowel.
48545..............  .................  A                 Pancreatorrhaphy.......      18.18      8.74        NA      1.61     28.53        NA       090
48547..............  .................  A                 Duodenal exclusion.....      25.83     10.89        NA      2.30     39.02        NA       090
48550..............  .................  X                 Donor pancreatectomy...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
48554..............  .................  R                 Transpl allograft            34.17     12.27        NA      3.30     49.74        NA       090
                                                           pancreas.
48556..............  .................  A                 Removal, allograft           15.71      8.56        NA      1.52     25.79        NA       090
                                                           pancreas.
48999..............  .................  C                 Pancreas surgery              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
49000..............  .................  A                 Exploration of abdomen.      11.68      6.14        NA      1.17     18.99        NA       090
49002..............  .................  A                 Reopening of abdomen...      10.49      6.02        NA      1.06     17.57        NA       090
49010..............  .................  A                 Exploration behind           12.28      6.94        NA      1.22     20.44        NA       090
                                                           abdomen.
49020..............  .................  A                 Drain abdominal abscess      22.84     11.55        NA      1.31     35.70        NA       090
49021..............  .................  A                 Drain abdominal abscess       3.38      6.31        NA      0.16      9.85        NA       000
49040..............  .................  A                 Drain, open, abdom           13.52      8.00        NA      0.84     22.36        NA       090
                                                           abscess.
49041..............  .................  A                 Drain, percut, abdom          4.00      6.50        NA      0.18     10.68        NA       000
                                                           abscess.
49060..............  .................  A                 Drain, open, retrop          15.86      9.58        NA      0.77     26.21        NA       090
                                                           abscess.
49061..............  .................  A                 Drain, percut, retroper       3.70      6.44        NA      0.17     10.31        NA       000
                                                           absc.
49062..............  .................  A                 Drain to peritoneal          11.36      7.15        NA      1.08     19.59        NA       090
                                                           cavity.
49080..............  .................  A                 Puncture, peritoneal          1.35      0.62      3.08      0.07      2.04      4.50       000
                                                           cavity.
49081..............  .................  A                 Removal of abdominal          1.26      0.59      2.93      0.06      1.91      4.25       000
                                                           fluid.
49085..............  .................  A                 Remove abdomen foreign       12.14      6.59        NA      0.88     19.61        NA       090
                                                           body.
49180..............  .................  A                 Biopsy, abdominal mass.       1.73      0.60      7.64      0.08      2.41      9.45       000
49200..............  .................  A                 Removal of abdominal         10.25      6.43        NA      0.89     17.57        NA       090
                                                           lesion.
49201..............  .................  A                 Removal of abdominal         14.84      8.71        NA      1.44     24.99        NA       090
                                                           lesion.
49215..............  .................  A                 Excise sacral spine          33.50     14.97        NA      2.48     50.95        NA       090
                                                           tumor.
49220..............  .................  A                 Multiple surgery,            14.88      7.71        NA      1.51     24.10        NA       090
                                                           abdomen.
49250..............  .................  A                 Excision of umbilicus..       8.35      5.10        NA      0.84     14.29        NA       090
49255..............  .................  A                 Removal of omentum.....      11.14      6.63        NA      1.12     18.89        NA       090
49320..............  .................  A                 Diag laparo separate          5.10      3.04        NA      0.50      8.64        NA       010
                                                           proc.
49321..............  .................  A                 Laparoscopy; biopsy....       5.40      3.08        NA      0.53      9.01        NA       010
49322..............  .................  A                 Laparoscopy; aspiration       5.70      3.47        NA      0.57      9.74        NA       010
49323..............  .................  A                 Laparo drain lymphocele       9.48      4.01        NA      0.88     14.37        NA       090
49329..............  .................  C                 Laparo proc, abdm/per/        0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           oment.
49400..............  .................  A                 Air injection into            1.88      0.81        NA      0.11      2.80        NA       000
                                                           abdomen.
49420..............  .................  A                 Insert abdominal drain.       2.22      0.98        NA      0.13      3.33        NA       000
49421..............  .................  A                 Insert abdominal drain.       5.54      4.03        NA      0.55     10.12        NA       090
49422..............  .................  A                 Remove perm cannula/          6.25      2.96        NA      0.63      9.84        NA       010
                                                           catheter.
49423..............  .................  A                 Exchange drainage             1.46      0.69        NA      0.07      2.22        NA       000
                                                           catheter.
49424..............  .................  A                 Assess cyst, contrast         0.76      0.45        NA      0.03      1.24        NA       000
                                                           inject.
49425..............  .................  A                 Insert abdomen-venous        11.37      6.70        NA      1.21     19.28        NA       090
                                                           drain.
49426..............  .................  A                 Revise abdomen-venous         9.63      6.06        NA      0.93     16.62        NA       090
                                                           shunt.
49427..............  .................  A                 Injection, abdominal          0.89      0.49        NA      0.05      1.43        NA       000
                                                           shunt.
49428..............  .................  A                 Ligation of shunt......       6.06      3.22        NA      0.31      9.59        NA       010
49429..............  .................  A                 Removal of shunt.......       7.40      3.49        NA      0.81     11.70        NA       010
49495..............  .................  A                 Repair inguinal hernia,       5.89      3.49        NA      0.55      9.93        NA       090
                                                           init.
49496..............  .................  A                 Repair inguinal hernia,       8.79      6.44        NA      0.89     16.12        NA       090
                                                           init.
49500..............  .................  A                 Repair inguinal hernia.       5.48      3.38        NA      0.46      9.32        NA       090
49501..............  .................  A                 Repair inguinal hernia,       8.88      4.48        NA      0.76     14.12        NA       090
                                                           init.
49505..............  .................  A                 Repair inguinal hernia.       7.60      4.07      4.53      0.65     12.32     12.78       090
49507..............  .................  A                 Repair inguinal hernia.       9.57      6.05        NA      0.83     16.45        NA       090
49520..............  .................  A                 Rerepair inguinal             9.63      5.41        NA      0.84     15.88        NA       090
                                                           hernia.
49521..............  .................  A                 Repair inguinal hernia,      11.97      5.78        NA      1.04     18.79        NA       090
                                                           rec.
49525..............  .................  A                 Repair inguinal hernia.       8.57      4.90        NA      0.74     14.21        NA       090
49540..............  .................  A                 Repair lumbar hernia...      10.39      5.62        NA      0.90     16.91        NA       090
49550..............  .................  A                 Repair femoral hernia..       8.63      4.48        NA      0.75     13.86        NA       090
49553..............  .................  A                 Repair femoral hernia,        9.44      4.91        NA      0.83     15.18        NA       090
                                                           init.
49555..............  .................  A                 Repair femoral hernia..       9.03      5.21        NA      0.79     15.03        NA       090
49557..............  .................  A                 Repair femoral hernia,       11.15      5.51        NA      0.97     17.63        NA       090
                                                           recur.
49560..............  .................  A                 Repair abdominal hernia      11.57      6.03        NA      1.00     18.60        NA       090
49561..............  .................  A                 Repair incisional            14.25      6.64        NA      1.23     22.12        NA       090
                                                           hernia.
49565..............  .................  A                 Rerepair abdominal           11.57      6.21        NA      1.00     18.78        NA       090
                                                           hernia.
49566..............  .................  A                 Repair incisional            14.40      6.69        NA      1.24     22.33        NA       090
                                                           hernia.
49568..............  .................  A                 Hernia repair w/mesh...       4.89      1.76        NA      0.50      7.15        NA       ZZZ
49570..............  .................  A                 Repair epigastric             5.69      3.44        NA      0.50      9.63        NA       090
                                                           hernia.

[[Page 40455]]

 
49572..............  .................  A                 Repair epigastric             6.73      3.95        NA      0.58     11.26        NA       090
                                                           hernia.
49580..............  .................  A                 Repair umbilical hernia       4.11      2.92        NA      0.34      7.37        NA       090
49582..............  .................  A                 Repair umbilical hernia       6.65      4.82        NA      0.57     12.04        NA       090
49585..............  .................  A                 Repair umbilical hernia       6.23      4.07        NA      0.53     10.83        NA       090
49587..............  .................  A                 Repair umbilical hernia       7.56      4.21        NA      0.65     12.42        NA       090
49590..............  .................  A                 Repair abdominal hernia       8.54      4.89        NA      0.74     14.17        NA       090
49600..............  .................  A                 Repair umbilical lesion      10.96      6.30        NA      1.13     18.39        NA       090
49605..............  .................  A                 Repair umbilical lesion      22.66     10.94        NA      2.57     36.17        NA       090
49606..............  .................  A                 Repair umbilical lesion      18.60      9.23        NA      2.22     30.05        NA       090
49610..............  .................  A                 Repair umbilical lesion      10.50      6.73        NA      0.77     18.00        NA       090
49611..............  .................  A                 Repair umbilical lesion       8.92      6.42        NA      0.65     15.99        NA       090
49650..............  .................  A                 Laparo hernia repair          6.27      3.29        NA      0.64     10.20        NA       090
                                                           initial.
49651..............  .................  A                 Laparo hernia repair          8.24      4.34        NA      0.84     13.42        NA       090
                                                           recur.
49659..............  .................  C                 Laparo proc, hernia           0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           repair.
49900..............  .................  A                 Repair of abdominal          12.28      6.72        NA      1.23     20.23        NA       090
                                                           wall.
49905..............  .................  A                 Omental flap...........       6.55      2.30        NA      0.61      9.46        NA       ZZZ
49906..............  .................  C                 Free omental flap,            0.00      0.00      0.00      0.00      0.00      0.00       090
                                                           microvasc.
49999..............  .................  C                 Abdomen surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
50010..............  .................  A                 Exploration of kidney..      10.98      6.80        NA      0.79     18.57        NA       090
50020..............  .................  A                 Renal abscess, open          14.66     13.73        NA      0.80     29.19        NA       090
                                                           drain.
50021..............  .................  A                 Renal abscess, percut         3.38     12.63        NA      0.15     16.16        NA       000
                                                           drain.
50040..............  .................  A                 Drainage of kidney.....      14.94     11.46        NA      0.82     27.22        NA       090
50045..............  .................  A                 Exploration of kidney..      15.46      8.23        NA      1.06     24.75        NA       090
50060..............  .................  A                 Removal of kidney stone      19.30      9.60        NA      1.14     30.04        NA       090
50065..............  .................  A                 Incision of kidney.....      20.79      7.79        NA      1.13     29.71        NA       090
50070..............  .................  A                 Incision of kidney.....      20.32     10.48        NA      1.20     32.00        NA       090
50075..............  .................  A                 Removal of kidney stone      25.34     12.28        NA      1.51     39.13        NA       090
50080..............  .................  A                 Removal of kidney stone      14.71     10.56        NA      0.86     26.13        NA       090
50081..............  .................  A                 Removal of kidney stone      21.80     12.63        NA      1.30     35.73        NA       090
50100..............  .................  A                 Revise kidney blood          16.09      9.39        NA      1.64     27.12        NA       090
                                                           vessels.
50120..............  .................  A                 Exploration of kidney..      15.91      8.65        NA      1.04     25.60        NA       090
50125..............  .................  A                 Explore and drain            16.52      8.73        NA      1.07     26.32        NA       090
                                                           kidney.
50130..............  .................  A                 Removal of kidney stone      17.29      8.89        NA      1.04     27.22        NA       090
50135..............  .................  A                 Exploration of kidney..      19.18      9.49        NA      1.18     29.85        NA       090
50200..............  .................  A                 Biopsy of kidney.......       2.63      0.93        NA      0.12      3.68        NA       000
50205..............  .................  A                 Biopsy of kidney.......      11.31      6.38        NA      0.94     18.63        NA       090
50220..............  .................  A                 Removal of kidney......      17.15      8.98        NA      1.16     27.29        NA       090
50225..............  .................  A                 Removal of kidney......      20.23      9.94        NA      1.26     31.43        NA       090
50230..............  .................  A                 Removal of kidney......      22.07     10.54        NA      1.35     33.96        NA       090
50234..............  .................  A                 Removal of kidney &          22.40     10.62        NA      1.37     34.39        NA       090
                                                           ureter.
50236..............  .................  A                 Removal of kidney &          24.86     13.67        NA      1.50     40.03        NA       090
                                                           ureter.
50240..............  .................  A                 Partial removal of           22.00     12.71        NA      1.36     36.07        NA       090
                                                           kidney.
50280..............  .................  A                 Removal of kidney            15.67      8.38        NA      0.99     25.04        NA       090
                                                           lesion.
50290..............  .................  A                 Removal of kidney            14.73      8.15        NA      1.11     23.99        NA       090
                                                           lesion.
50300..............  .................  X                 Removal of donor kidney       0.00      0.00      0.00      0.00      0.00      0.00       XXX
50320..............  .................  A                 Removal of donor kidney      22.21     10.41        NA      1.78     34.40        NA       090
50340..............  .................  A                 Removal of kidney......      12.15      8.83        NA      1.15     22.13        NA       090
50360..............  .................  A                 Transplantation of           31.53     17.54        NA      2.97     52.04        NA       090
                                                           kidney.
50365..............  .................  A                 Transplantation of           36.81     21.31        NA      3.51     61.63        NA       090
                                                           kidney.
50370..............  .................  A                 Remove transplanted          13.72      9.67        NA      1.26     24.65        NA       090
                                                           kidney.
50380..............  .................  A                 Reimplantation of            20.76     13.56        NA      1.80     36.12        NA       090
                                                           kidney.
50390..............  .................  A                 Drainage of kidney            1.96      0.68        NA      0.09      2.73        NA       000
                                                           lesion.
50392..............  .................  A                 Insert kidney drain....       3.38      1.17        NA      0.15      4.70        NA       000
50393..............  .................  A                 Insert ureteral tube...       4.16      1.44        NA      0.18      5.78        NA       000
50394..............  .................  A                 Injection for kidney x-       0.76      0.26     13.83      0.04      1.06     14.63       000
                                                           ray.
50395..............  .................  A                 Create passage to             3.38      1.16        NA      0.16      4.70        NA       000
                                                           kidney.
50396..............  .................  A                 Measure kidney pressure       2.09      0.88        NA      0.10      3.07        NA       000
50398..............  .................  A                 Change kidney tube.....       1.46      0.50      1.36      0.07      2.03      2.89       000
50400..............  .................  A                 Revision of kidney/          19.50      9.69        NA      1.21     30.40        NA       090
                                                           ureter.
50405..............  .................  A                 Revision of kidney/          23.93     12.83        NA      1.45     38.21        NA       090
                                                           ureter.
50500..............  .................  A                 Repair of kidney wound.      19.57     11.22        NA      1.45     32.24        NA       090
50520..............  .................  A                 Close kidney-skin            17.23     10.54        NA      1.26     29.03        NA       090
                                                           fistula.
50525..............  .................  A                 Repair renal-abdomen         22.27     12.65        NA      1.51     36.43        NA       090
                                                           fistula.
50526..............  .................  A                 Repair renal-abdomen         24.02     15.49        NA      1.62     41.13        NA       090
                                                           fistula.
50540..............  .................  A                 Revision of horseshoe        19.93     10.96        NA      1.28     32.17        NA       090
                                                           kidney.
50541..............  .................  A                 Laparo ablate renal          16.00      6.63        NA      0.99     23.62        NA       090
                                                           cyst.
50544..............  .................  A                 Laparoscopy,                 22.40      8.83        NA      1.41     32.64        NA       090
                                                           pyeloplasty.
50545..............  .................  A                 Laparo radical               24.00      9.44        NA      1.81     35.25        NA       090
                                                           nephrectomy.
50546..............  .................  A                 Laparoscopic                 20.48      8.27        NA      1.37     30.12        NA       090
                                                           nephrectomy.
50547..............  .................  A                 Laparo removal donor         25.50     10.71        NA      2.04     38.25        NA       090
                                                           kidney.
50548..............  .................  A                 Laparo remove k/ureter.      24.40      9.47        NA      1.49     35.36        NA       090
50549..............  .................  C                 Laparoscope proc, renal       0.00      0.00      0.00      0.00      0.00      0.00       YYY
50551..............  .................  A                 Kidney endoscopy.......       5.60      1.87      4.62      0.33      7.80     10.55       000
50553..............  .................  A                 Kidney endoscopy.......       5.99      2.05     16.02      0.35      8.39     22.36       000

[[Page 40456]]

 
50555..............  .................  A                 Kidney endoscopy &            6.53      2.20     18.71      0.38      9.11     25.62       000
                                                           biopsy.
50557..............  .................  A                 Kidney endoscopy &            6.62      2.22     18.82      0.39      9.23     25.83       000
                                                           treatment.
50559..............  .................  A                 Renal endoscopy/              6.78      2.43        NA      0.27      9.48        NA       000
                                                           radiotracer.
50561..............  .................  A                 Kidney endoscopy &            7.59      2.56     16.87      0.44     10.59     24.90       000
                                                           treatment.
50570..............  .................  A                 Kidney endoscopy.......       9.54      3.20        NA      0.56     13.30        NA       000
50572..............  .................  A                 Kidney endoscopy.......      10.35      3.47        NA      0.64     14.46        NA       000
50574..............  .................  A                 Kidney endoscopy &           11.02      3.69        NA      0.65     15.36        NA       000
                                                           biopsy.
50575..............  .................  A                 Kidney endoscopy.......      13.98      4.69        NA      0.84     19.51        NA       000
50576..............  .................  A                 Kidney endoscopy &           10.99      3.65        NA      0.66     15.30        NA       000
                                                           treatment.
50578..............  .................  A                 Renal endoscopy/             11.35      3.80        NA      0.67     15.82        NA       000
                                                           radiotracer.
50580..............  .................  A                 Kidney endoscopy &           11.86      3.99        NA      0.70     16.55        NA       000
                                                           treatment.
50590..............  .................  A                 Fragmenting of kidney         9.09      5.07     10.10      0.54     14.70     19.73       090
                                                           stone.
50600..............  .................  A                 Exploration of ureter..      15.84      8.51        NA      0.99     25.34        NA       090
50605..............  .................  A                 Insert ureteral support      15.46      8.71        NA      1.13     25.30        NA       090
50610..............  .................  A                 Removal of ureter stone      15.92      8.96        NA      1.08     25.96        NA       090
50620..............  .................  A                 Removal of ureter stone      15.16      8.09        NA      0.91     24.16        NA       090
50630..............  .................  A                 Removal of ureter stone      14.94      8.16        NA      0.90     24.00        NA       090
50650..............  .................  A                 Removal of ureter......      17.41      9.25        NA      1.07     27.73        NA       090
50660..............  .................  A                 Removal of ureter......      19.55     10.03        NA      1.19     30.77        NA       090
50684..............  .................  A                 Injection for ureter x-       0.76      0.26     14.20      0.04      1.06     15.00       000
                                                           ray.
50686..............  .................  A                 Measure ureter pressure       1.51      0.71      4.77      0.09      2.31      6.37       000
50688..............  .................  A                 Change of ureter tube..       1.17      1.75        NA      0.06      2.98        NA       010
50690..............  .................  A                 Injection for ureter x-       1.16      0.40     14.48      0.06      1.62     15.70       000
                                                           ray.
50700..............  .................  A                 Revision of ureter.....      15.21      8.97        NA      0.86     25.04        NA       090
50715..............  .................  A                 Release of ureter......      18.90     12.10        NA      1.68     32.68        NA       090
50722..............  .................  A                 Release of ureter......      16.35      9.40        NA      1.41     27.16        NA       090
50725..............  .................  A                 Release/revise ureter..      18.49     10.26        NA      1.44     30.19        NA       090
50727..............  .................  A                 Revise ureter..........       8.18      6.23        NA      0.51     14.92        NA       090
50728..............  .................  A                 Revise ureter..........      12.02      7.80        NA      0.88     20.70        NA       090
50740..............  .................  A                 Fusion of ureter &           18.42      9.33        NA      1.49     29.24        NA       090
                                                           kidney.
50750..............  .................  A                 Fusion of ureter &           19.51     10.28        NA      1.24     31.03        NA       090
                                                           kidney.
50760..............  .................  A                 Fusion of ureters......      18.42      9.70        NA      1.25     29.37        NA       090
50770..............  .................  A                 Splicing of ureters....      19.51      9.93        NA      1.25     30.69        NA       090
50780..............  .................  A                 Reimplant ureter in          18.36      9.65        NA      1.20     29.21        NA       090
                                                           bladder.
50782..............  .................  A                 Reimplant ureter in          19.54     11.18        NA      1.13     31.85        NA       090
                                                           bladder.
50783..............  .................  A                 Reimplant ureter in          20.55     10.62        NA      1.35     32.52        NA       090
                                                           bladder.
50785..............  .................  A                 Reimplant ureter in          20.52     10.37        NA      1.30     32.19        NA       090
                                                           bladder.
50800..............  .................  A                 Implant ureter in bowel      14.52      9.38        NA      0.92     24.82        NA       090
50810..............  .................  A                 Fusion of ureter &           20.05     12.91        NA      1.78     34.74        NA       090
                                                           bowel.
50815..............  .................  A                 Urine shunt to bowel...      19.93     11.47        NA      1.31     32.71        NA       090
50820..............  .................  A                 Construct bowel bladder      21.89     11.33        NA      1.38     34.60        NA       090
50825..............  .................  A                 Construct bowel bladder      28.18     14.68        NA      1.81     44.67        NA       090
50830..............  .................  A                 Revise urine flow......      31.28     15.36        NA      2.20     48.84        NA       090
50840..............  .................  A                 Replace ureter by bowel      20.00     11.53        NA      1.26     32.79        NA       090
50845..............  .................  A                 Appendico-vesicostomy..      20.89      9.67        NA      1.26     31.82        NA       090
50860..............  .................  A                 Transplant ureter to         15.36      8.67        NA      1.01     25.04        NA       090
                                                           skin.
50900..............  .................  A                 Repair of ureter.......      13.62      7.77        NA      0.98     22.37        NA       090
50920..............  .................  A                 Closure ureter/skin          14.33      8.72        NA      0.84     23.89        NA       090
                                                           fistula.
50930..............  .................  A                 Closure ureter/bowel         18.72      9.73        NA      1.57     30.02        NA       090
                                                           fistula.
50940..............  .................  A                 Release of ureter......      14.51      8.17        NA      1.04     23.72        NA       090
50945..............  .................  A                 Laparoscopy                  17.00      7.41        NA      1.15     25.56        NA       090
                                                           ureterolithotomy.
50947..............  .................  A                 Laparo new ureter/           24.50     11.58        NA      1.84     37.92        NA       090
                                                           bladder.
50948..............  .................  A                 Laparo new ureter/           22.50     10.47        NA      1.70     34.67        NA       090
                                                           bladder.
50949..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           ureter.
50951..............  .................  A                 Endoscopy of ureter....       5.84      1.96      5.01      0.35      8.15     11.20       000
50953..............  .................  A                 Endoscopy of ureter....       6.24      2.09     17.98      0.37      8.70     24.59       000
50955..............  .................  A                 Ureter endoscopy &            6.75      2.30     18.69      0.38      9.43     25.82       000
                                                           biopsy.
50957..............  .................  A                 Ureter endoscopy &            6.79      2.28     18.28      0.40      9.47     25.47       000
                                                           treatment.
50959..............  .................  A                 Ureter endoscopy &            4.40      1.59        NA      0.18      6.17        NA       000
                                                           tracer.
50961..............  .................  A                 Ureter endoscopy &            6.05      2.04     22.48      0.35      8.44     28.88       000
                                                           treatment.
50970..............  .................  A                 Ureter endoscopy.......       7.14      2.40        NA      0.43      9.97        NA       000
50972..............  .................  A                 Ureter endoscopy &            6.89      2.37        NA      0.39      9.65        NA       000
                                                           catheter.
50974..............  .................  A                 Ureter endoscopy &            9.17      3.01        NA      0.53     12.71        NA       000
                                                           biopsy.
50976..............  .................  A                 Ureter endoscopy &            9.04      3.03        NA      0.53     12.60        NA       000
                                                           treatment.
50978..............  .................  A                 Ureter endoscopy &            5.10      1.75        NA      0.30      7.15        NA       000
                                                           tracer.
50980..............  .................  A                 Ureter endoscopy &            6.85      2.31        NA      0.41      9.57        NA       000
                                                           treatment.
51000..............  .................  A                 Drainage of bladder....       0.78      0.25      1.95      0.05      1.08      2.78       000
51005..............  .................  A                 Drainage of bladder....       1.02      0.35      3.25      0.08      1.45      4.35       000
51010..............  .................  A                 Drainage of bladder....       3.53      1.86      6.96      0.23      5.62     10.72       010
51020..............  .................  A                 Incise & treat bladder.       6.71      5.42        NA      0.42     12.55        NA       090
51030..............  .................  A                 Incise & treat bladder.       6.77      5.46        NA      0.42     12.65        NA       090
51040..............  .................  A                 Incise & drain bladder.       4.40      4.19        NA      0.27      8.86        NA       090
51045..............  .................  A                 Incise bladder/drain          6.77      5.73        NA      0.47     12.97        NA       090
                                                           ureter.
51050..............  .................  A                 Removal of bladder            6.92      4.98        NA      0.42     12.32        NA       090
                                                           stone.

[[Page 40457]]

 
51060..............  .................  A                 Removal of ureter stone       8.85      6.16        NA      0.54     15.55        NA       090
51065..............  .................  A                 Removal of ureter stone       8.85      5.99        NA      0.53     15.37        NA       090
51080..............  .................  A                 Drainage of bladder           5.96      5.51        NA      0.35     11.82        NA       090
                                                           abscess.
51500..............  .................  A                 Removal of bladder cyst      10.14      5.99        NA      0.88     17.01        NA       090
51520..............  .................  A                 Removal of bladder            9.29      6.21        NA      0.58     16.08        NA       090
                                                           lesion.
51525..............  .................  A                 Removal of bladder           13.97      7.78        NA      0.85     22.60        NA       090
                                                           lesion.
51530..............  .................  A                 Removal of bladder           12.38      7.37        NA      0.82     20.57        NA       090
                                                           lesion.
51535..............  .................  A                 Repair of ureter lesion      12.57      7.80        NA      0.90     21.27        NA       090
51550..............  .................  A                 Partial removal of           15.66      8.38        NA      1.05     25.09        NA       090
                                                           bladder.
51555..............  .................  A                 Partial removal of           21.23     10.64        NA      1.37     33.24        NA       090
                                                           bladder.
51565..............  .................  A                 Revise bladder &             21.62     11.17        NA      1.40     34.19        NA       090
                                                           ureter(s).
51570..............  .................  A                 Removal of bladder.....      24.24     12.39        NA      1.59     38.22        NA       090
51575..............  .................  A                 Removal of bladder &         30.45     14.82        NA      1.88     47.15        NA       090
                                                           nodes.
51580..............  .................  A                 Remove bladder/revise        31.08     15.33        NA      1.94     48.35        NA       090
                                                           tract.
51585..............  .................  A                 Removal of bladder &         35.23     16.59        NA      2.18     54.00        NA       090
                                                           nodes.
51590..............  .................  A                 Remove bladder/revise        32.66     15.48        NA      2.01     50.15        NA       090
                                                           tract.
51595..............  .................  A                 Remove bladder/revise        37.14     16.93        NA      2.23     56.30        NA       090
                                                           tract.
51596..............  .................  A                 Remove bladder/create        39.52     18.20        NA      2.39     60.11        NA       090
                                                           pouch.
51597..............  .................  A                 Removal of pelvic            38.35     17.93        NA      2.49     58.77        NA       090
                                                           structures.
51600..............  .................  A                 Injection for bladder x-      0.88      0.30     14.75      0.04      1.22     15.67       000
                                                           ray.
51605..............  .................  A                 Preparation for bladder       0.64      0.22     15.45      0.04      0.90     16.13       000
                                                           xray.
51610..............  .................  A                 Injection for bladder x-      1.05      0.36     15.23      0.05      1.46     16.33       000
                                                           ray.
51700..............  .................  A                 Irrigation of bladder..       0.88      0.33      3.74      0.05      1.26      4.67       000
51705..............  .................  A                 Change of bladder tube.       1.02      1.25      2.50      0.06      2.33      3.58       010
51710..............  .................  A                 Change of bladder tube.       1.49      1.39      4.72      0.09      2.97      6.30       010
51715..............  .................  A                 Endoscopic injection/         3.74      1.28      4.20      0.24      5.26      8.18       000
                                                           implant.
51720..............  .................  A                 Treatment of bladder          1.96      0.66      4.03      0.12      2.74      6.11       000
                                                           lesion.
51725..............  .................  A                 Simple cystometrogram..       1.51        NA      5.50      0.13        NA      7.14       000
51725..............  26                 A                 Simple cystometrogram..       1.51      0.52      0.52      0.10      2.13      2.13       000
51725..............  TC                 A                 Simple cystometrogram..       0.00        NA      4.98      0.03        NA      5.01       000
51726..............  .................  A                 Complex cystometrogram.       1.71        NA      4.33      0.15        NA      6.19       000
51726..............  26                 A                 Complex cystometrogram.       1.71      0.59      0.59      0.11      2.41      2.41       000
51726..............  TC                 A                 Complex cystometrogram.       0.00        NA      3.74      0.04        NA      3.78       000
51736..............  .................  A                 Urine flow measurement.       0.61        NA      0.99      0.05        NA      1.65       000
51736..............  26                 A                 Urine flow measurement.       0.61      0.21      0.21      0.04      0.86      0.86       000
51736..............  TC                 A                 Urine flow measurement.       0.00        NA      0.78      0.01        NA      0.79       000
51741..............  .................  A                 Electro-uroflowmetry,         1.14        NA      1.75      0.09        NA      2.98       000
                                                           first.
51741..............  26                 A                 Electro-uroflowmetry,         1.14      0.39      0.39      0.07      1.60      1.60       000
                                                           first.
51741..............  TC                 A                 Electro-uroflowmetry,         0.00        NA      1.36      0.02        NA      1.38       000
                                                           first.
51772..............  .................  A                 Urethra pressure              1.61        NA      4.42      0.16        NA      6.19       000
                                                           profile.
51772..............  26                 A                 Urethra pressure              1.61      0.58      0.58      0.12      2.31      2.31       000
                                                           profile.
51772..............  TC                 A                 Urethra pressure              0.00        NA      3.84      0.04        NA      3.88       000
                                                           profile.
51784..............  .................  A                 Anal/urinary muscle           1.53        NA      3.08      0.13        NA      4.74       000
                                                           study.
51784..............  26                 A                 Anal/urinary muscle           1.53      0.53      0.53      0.10      2.16      2.16       000
                                                           study.
51784..............  TC                 A                 Anal/urinary muscle           0.00        NA      2.55      0.03        NA      2.58       000
                                                           study.
51785..............  .................  A                 Anal/urinary muscle           1.53        NA      3.12      0.12        NA      4.77       000
                                                           study.
51785..............  26                 A                 Anal/urinary muscle           1.53      0.53      0.53      0.09      2.15      2.15       000
                                                           study.
51785..............  TC                 A                 Anal/urinary muscle           0.00        NA      2.59      0.03        NA      2.62       000
                                                           study.
51792..............  .................  A                 Urinary reflex study...       1.10        NA      3.18      0.20        NA      4.48       000
51792..............  26                 A                 Urinary reflex study...       1.10      0.44      0.44      0.09      1.63      1.63       000
51792..............  TC                 A                 Urinary reflex study...       0.00        NA      2.74      0.11        NA      2.85       000
51795..............  .................  A                 Urine voiding pressure        1.53        NA      4.53      0.18        NA      6.24       000
                                                           study.
51795..............  26                 A                 Urine voiding pressure        1.53      0.53      0.53      0.10      2.16      2.16       000
                                                           study.
51795..............  TC                 A                 Urine voiding pressure        0.00        NA      4.00      0.08        NA      4.08       000
                                                           study.
51797..............  .................  A                 Intraabdominal pressure       1.60        NA      4.48      0.14        NA      6.22       000
                                                           test.
51797..............  26                 A                 Intraabdominal pressure       1.60      0.55      0.55      0.10      2.25      2.25       000
                                                           test.
51797..............  TC                 A                 Intraabdominal pressure       0.00        NA      3.93      0.04        NA      3.97       000
                                                           test.
51800..............  .................  A                 Revision of bladder/         17.42      9.26        NA      1.17     27.85        NA       090
                                                           urethra.
51820..............  .................  A                 Revision of urinary          17.89     10.78        NA      1.45     30.12        NA       090
                                                           tract.
51840..............  .................  A                 Attach bladder/urethra.      10.71      6.65        NA      0.87     18.23        NA       090
51841..............  .................  A                 Attach bladder/urethra.      13.03      8.36        NA      1.04     22.43        NA       090
51845..............  .................  A                 Repair bladder neck....       9.73      6.56        NA      0.62     16.91        NA       090
51860..............  .................  A                 Repair of bladder wound      12.02      7.66        NA      0.89     20.57        NA       090
51865..............  .................  A                 Repair of bladder wound      15.04      8.55        NA      1.01     24.60        NA       090
51880..............  .................  A                 Repair of bladder             7.66      5.56        NA      0.54     13.76        NA       090
                                                           opening.
51900..............  .................  A                 Repair bladder/vagina        12.97      7.93        NA      0.87     21.77        NA       090
                                                           lesion.
51920..............  .................  A                 Close bladder-uterus         11.81      7.67        NA      0.86     20.34        NA       090
                                                           fistula.
51925..............  .................  A                 Hysterectomy/bladder         15.58      9.17        NA      1.48     26.23        NA       090
                                                           repair.
51940..............  .................  A                 Correction of bladder        28.43     14.31        NA      1.97     44.71        NA       090
                                                           defect.
51960..............  .................  A                 Revision of bladder &        23.01     12.58        NA      1.41     37.00        NA       090
                                                           bowel.
51980..............  .................  A                 Construct bladder            11.36      7.01        NA      0.74     19.11        NA       090
                                                           opening.
51990..............  .................  A                 Laparo urethral              12.50      6.53        NA      1.02     20.05        NA       090
                                                           suspension.
51992..............  .................  A                 Laparo sling operation.      14.01      6.54        NA      0.93     21.48        NA       090
52000..............  .................  A                 Cystoscopy.............       2.01      0.68      3.20      0.12      2.81      5.33       000

[[Page 40458]]

 
52005..............  .................  A                 Cystoscopy & ureter           2.37      0.79      4.97      0.15      3.31      7.49       000
                                                           catheter.
52007..............  .................  A                 Cystoscopy and biopsy..       3.02      1.01        NA      0.18      4.21        NA       000
52010..............  .................  A                 Cystoscopy & duct             3.02      1.02      5.34      0.18      4.22      8.54       000
                                                           catheter.
52204..............  .................  A                 Cystoscopy.............       2.37      0.80      5.72      0.15      3.32      8.24       000
52214..............  .................  A                 Cystoscopy and                3.71      1.24      6.08      0.22      5.17     10.01       000
                                                           treatment.
52224..............  .................  A                 Cystoscopy and                3.14      1.05      5.94      0.18      4.37      9.26       000
                                                           treatment.
52234..............  .................  A                 Cystoscopy and                4.63      1.55      6.86      0.27      6.45     11.76       000
                                                           treatment.
52235..............  .................  A                 Cystoscopy and                5.45      1.83      7.15      0.32      7.60     12.92       000
                                                           treatment.
52240..............  .................  A                 Cystoscopy and                9.72      3.26      8.58      0.58     13.56     18.88       000
                                                           treatment.
52250..............  .................  A                 Cystoscopy and                4.50      1.51        NA      0.27      6.28        NA       000
                                                           radiotracer.
52260..............  .................  A                 Cystoscopy and                3.92      1.32        NA      0.23      5.47        NA       000
                                                           treatment.
52265..............  .................  A                 Cystoscopy and                2.94      0.99      3.62      0.18      4.11      6.74       000
                                                           treatment.
52270..............  .................  A                 Cystoscopy & revise           3.37      1.13      6.47      0.20      4.70     10.04       000
                                                           urethra.
52275..............  .................  A                 Cystoscopy & revise           4.70      1.57      6.96      0.28      6.55     11.94       000
                                                           urethra.
52276..............  .................  A                 Cystoscopy and                5.00      1.67      7.06      0.30      6.97     12.36       000
                                                           treatment.
52277..............  .................  A                 Cystoscopy and                6.17      2.10        NA      0.38      8.65        NA       000
                                                           treatment.
52281..............  .................  A                 Cystoscopy and                2.80      0.94      3.62      0.17      3.91      6.59       000
                                                           treatment.
52282..............  .................  A                 Cystoscopy, implant           6.40      2.15      7.23      0.38      8.93     14.01       000
                                                           stent.
52283..............  .................  A                 Cystoscopy and                3.74      1.26      6.37      0.22      5.22     10.33       000
                                                           treatment.
52285..............  .................  A                 Cystoscopy and                3.61      1.21      6.58      0.22      5.04     10.41       000
                                                           treatment.
52290..............  .................  A                 Cystoscopy and                4.59      1.55        NA      0.27      6.41        NA       000
                                                           treatment.
52300..............  .................  A                 Cystoscopy and                5.31      1.78        NA      0.32      7.41        NA       000
                                                           treatment.
52301..............  .................  A                 Cystoscopy and                5.51      1.79        NA      0.39      7.69        NA       000
                                                           treatment.
52305..............  .................  A                 Cystoscopy and                5.31      1.78        NA      0.31      7.40        NA       000
                                                           treatment.
52310..............  .................  A                 Cystoscopy and                2.81      0.94     14.32      0.17      3.92     17.30       000
                                                           treatment.
52315..............  .................  A                 Cystoscopy and                5.21      1.75     15.30      0.31      7.27     20.82       000
                                                           treatment.
52317..............  .................  A                 Remove bladder stone...       6.72      2.25     24.35      0.40      9.37     31.47       000
52318..............  .................  A                 Remove bladder stone...       9.19      3.08        NA      0.54     12.81        NA       000
52320..............  .................  A                 Cystoscopy and                4.70      1.58        NA      0.28      6.56        NA       000
                                                           treatment.
52325..............  .................  A                 Cystoscopy, stone             6.16      2.06        NA      0.37      8.59        NA       000
                                                           removal.
52327..............  .................  A                 Cystoscopy, inject            5.19      1.77        NA      0.32      7.28        NA       000
                                                           material.
52330..............  .................  A                 Cystoscopy and                5.04      1.69     19.35      0.30      7.03     24.69       000
                                                           treatment.
52332..............  .................  A                 Cystoscopy and                2.83      0.95     29.05      0.17      3.95     32.05       000
                                                           treatment.
52334..............  .................  A                 Create passage to             4.83      1.62        NA      0.28      6.73        NA       000
                                                           kidney.
52341..............  .................  A                 Cysto w/ureter                6.00      2.37        NA      0.34      8.71        NA       000
                                                           stricture tx.
52342..............  .................  A                 Cysto w/up stricture tx       6.50      2.57        NA      0.36      9.43        NA       000
52343..............  .................  A                 Cysto w/renal stricture       7.20      2.85        NA      0.40     10.45        NA       000
                                                           tx.
52344..............  .................  A                 Cysto/uretero, stone          7.70      3.04        NA      0.42     11.16        NA       000
                                                           remove.
52345..............  .................  A                 Cysto/uretero w/up            8.20      3.24        NA      0.46     11.90        NA       000
                                                           stricture.
52346..............  .................  A                 Cystouretero w/renal          9.23      3.65        NA      0.51     13.39        NA       000
                                                           strict.
52351..............  .................  A                 Cystouretro & or              5.86      1.97        NA      0.32      8.15        NA       000
                                                           pyeloscope.
52352..............  .................  A                 Cystouretro w/stone           6.88      2.31        NA      0.38      9.57        NA       000
                                                           remove.
52353..............  .................  A                 Cystouretero w/               7.97      2.67        NA      0.44     11.08        NA       000
                                                           lithotripsy.
52354..............  .................  A                 Cystouretero w/biopsy..       7.34      2.46        NA      0.41     10.21        NA       000
52355..............  .................  A                 Cystouretero w/excise         8.82      2.96        NA      0.50     12.28        NA       000
                                                           tumor.
52400..............  .................  A                 Cystouretero w/congen         9.68      5.45        NA      0.53     15.66        NA       090
                                                           repr.
52450..............  .................  A                 Incision of prostate...       7.64      6.17        NA      0.46     14.27        NA       090
52500..............  .................  A                 Revision of bladder           8.47      6.44        NA      0.50     15.41        NA       090
                                                           neck.
52510..............  .................  A                 Dilation prostatic            6.72      5.50        NA      0.40     12.62        NA       090
                                                           urethra.
52601..............  .................  A                 Prostatectomy (TURP)...      12.37      7.76        NA      0.74     20.87        NA       090
52606..............  .................  A                 Control postop bleeding       8.13      5.93        NA      0.49     14.55        NA       090
52612..............  .................  A                 Prostatectomy, first          7.98      6.29        NA      0.48     14.75        NA       090
                                                           stage.
52614..............  .................  A                 Prostatectomy, second         6.84      5.89        NA      0.41     13.14        NA       090
                                                           stage.
52620..............  .................  A                 Remove residual               6.61      5.83        NA      0.39     12.83        NA       090
                                                           prostate.
52630..............  .................  A                 Remove prostate               7.26      6.05        NA      0.43     13.74        NA       090
                                                           regrowth.
52640..............  .................  A                 Relieve bladder               6.62      5.40        NA      0.39     12.41        NA       090
                                                           contracture.
52647..............  .................  A                 Laser surgery of             10.36      5.33     57.84      0.61     16.30     68.81       090
                                                           prostate.
52648..............  .................  A                 Laser surgery of             11.21      7.39        NA      0.66     19.26        NA       090
                                                           prostate.
52700..............  .................  A                 Drainage of prostate          6.80      5.98        NA      0.41     13.19        NA       090
                                                           abscess.
53000..............  .................  A                 Incision of urethra....       2.28      2.46      7.27      0.13      4.87      9.68       010
53010..............  .................  A                 Incision of urethra....       3.64      3.97        NA      0.20      7.81        NA       090
53020..............  .................  A                 Incision of urethra....       1.77      0.66      3.91      0.11      2.54      5.79       000
53025..............  .................  A                 Incision of urethra....       1.13      0.44      4.44      0.07      1.64      5.64       000
53040..............  .................  A                 Drainage of urethra           6.40      7.92     12.82      0.41     14.73     19.63       090
                                                           abscess.
53060..............  .................  A                 Drainage of urethra           2.63      3.03      6.22      0.23      5.89      9.08       010
                                                           abscess.
53080..............  .................  A                 Drainage of urinary           6.29      7.84        NA      0.42     14.55        NA       090
                                                           leakage.
53085..............  .................  A                 Drainage of urinary          10.27      9.30        NA      0.67     20.24        NA       090
                                                           leakage.
53200..............  .................  A                 Biopsy of urethra......       2.59      0.96      5.28      0.17      3.72      8.04       000
53210..............  .................  A                 Removal of urethra.....      12.57      7.75        NA      0.81     21.13        NA       090
53215..............  .................  A                 Removal of urethra.....      15.58      8.41        NA      0.93     24.92        NA       090
53220..............  .................  A                 Treatment of urethra          7.00      5.35        NA      0.44     12.79        NA       090
                                                           lesion.
53230..............  .................  A                 Removal of urethra            9.58      6.09        NA      0.60     16.27        NA       090
                                                           lesion.
53235..............  .................  A                 Removal of urethra           10.14      6.33        NA      0.60     17.07        NA       090
                                                           lesion.
53240..............  .................  A                 Surgery for urethra           6.45      4.92        NA      0.42     11.79        NA       090
                                                           pouch.

[[Page 40459]]

 
53250..............  .................  A                 Removal of urethra            5.89      4.21        NA      0.35     10.45        NA       090
                                                           gland.
53260..............  .................  A                 Treatment of urethra          2.98      2.33      5.88      0.23      5.54      9.09       010
                                                           lesion.
53265..............  .................  A                 Treatment of urethra          3.12      2.28      6.20      0.20      5.60      9.52       010
                                                           lesion.
53270..............  .................  A                 Removal of urethra            3.09      2.41      5.55      0.21      5.71      8.85       010
                                                           gland.
53275..............  .................  A                 Repair of urethra             4.53      3.22        NA      0.28      8.03        NA       010
                                                           defect.
53400..............  .................  A                 Revise urethra, stage 1      12.77      7.82        NA      0.85     21.44        NA       090
53405..............  .................  A                 Revise urethra, stage 2      14.48      8.12        NA      0.91     23.51        NA       090
53410..............  .................  A                 Reconstruction of            16.44      8.72        NA      0.99     26.15        NA       090
                                                           urethra.
53415..............  .................  A                 Reconstruction of            19.41      9.63        NA      1.16     30.20        NA       090
                                                           urethra.
53420..............  .................  A                 Reconstruct urethra,         14.08      8.41        NA      0.90     23.39        NA       090
                                                           stage 1.
53425..............  .................  A                 Reconstruct urethra,         15.98      8.93        NA      0.97     25.88        NA       090
                                                           stage 2.
53430..............  .................  A                 Reconstruction of            16.34      8.88        NA      1.01     26.23        NA       090
                                                           urethra.
53440..............  .................  A                 Correct bladder              12.34      7.66        NA      0.73     20.73        NA       090
                                                           function.
53442..............  .................  A                 Remove perineal               8.27      5.81        NA      0.55     14.63        NA       090
                                                           prosthesis.
53443..............  .................  A                 Reconstruction of            19.89      9.44        NA      1.25     30.58        NA       090
                                                           urethra.
53445..............  .................  A                 Correct urine flow           14.06      8.26        NA      0.84     23.16        NA       090
                                                           control.
53447..............  .................  A                 Remove artificial            13.17      7.55        NA      0.79     21.51        NA       090
                                                           sphincter.
53449..............  .................  A                 Correct artificial            9.70      6.38        NA      0.57     16.65        NA       090
                                                           sphincter.
53450..............  .................  A                 Revision of urethra....       6.14      4.84        NA      0.37     11.35        NA       090
53460..............  .................  A                 Revision of urethra....       7.12      5.21        NA      0.43     12.76        NA       090
53502..............  .................  A                 Repair of urethra             7.63      5.42        NA      0.50     13.55        NA       090
                                                           injury.
53505..............  .................  A                 Repair of urethra             7.63      5.35        NA      0.46     13.44        NA       090
                                                           injury.
53510..............  .................  A                 Repair of urethra            10.11      6.41        NA      0.60     17.12        NA       090
                                                           injury.
53515..............  .................  A                 Repair of urethra            13.31      7.29        NA      0.83     21.43        NA       090
                                                           injury.
53520..............  .................  A                 Repair of urethra             8.68      5.82        NA      0.53     15.03        NA       090
                                                           defect.
53600..............  .................  A                 Dilate urethra                1.21      0.50      3.94      0.07      1.78      5.22       000
                                                           stricture.
53601..............  .................  A                 Dilate urethra                0.98      0.43      3.87      0.06      1.47      4.91       000
                                                           stricture.
53605..............  .................  A                 Dilate urethra                1.28      0.43        NA      0.08      1.79        NA       000
                                                           stricture.
53620..............  .................  A                 Dilate urethra                1.62      0.54      5.85      0.10      2.26      7.57       000
                                                           stricture.
53621..............  .................  A                 Dilate urethra                1.35      0.45      5.87      0.08      1.88      7.30       000
                                                           stricture.
53660..............  .................  A                 Dilation of urethra....       0.71      0.34      3.72      0.04      1.09      4.47       000
53661..............  .................  A                 Dilation of urethra....       0.72      0.24      3.77      0.04      1.00      4.53       000
53665..............  .................  A                 Dilation of urethra....       0.76      0.26        NA      0.05      1.07        NA       000
53670..............  .................  A                 Insert urinary catheter       0.50      0.21      3.48      0.03      0.74      4.01       000
53675..............  .................  A                 Insert urinary catheter       1.47      0.48      4.70      0.09      2.04      6.26       000
53850..............  .................  A                 Prostatic microwave           9.45      4.98     82.83      0.56     14.99     92.84       090
                                                           thermotx.
53852..............  .................  A                 Prostatic rf thermotx..       9.88      5.23     71.16      0.58     15.69     81.62       090
53899..............  .................  C                 Urology surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
54000..............  .................  A                 Slitting of prepuce....       1.54      1.39      5.42      0.10      3.03      7.06       010
54001..............  .................  A                 Slitting of prepuce....       2.19      2.01      6.02      0.14      4.34      8.35       010
54015..............  .................  A                 Drain penis lesion.....       5.32      3.07      6.85      0.33      8.72     12.50       010
54050..............  .................  A                 Destruction, penis            1.24      0.50      2.64      0.07      1.81      3.95       010
                                                           lesion(s).
54055..............  .................  A                 Destruction, penis            1.22      1.40      6.48      0.07      2.69      7.77       010
                                                           lesion(s).
54056..............  .................  A                 Cryosurgery, penis            1.24      0.53      2.92      0.06      1.83      4.22       010
                                                           lesion(s).
54057..............  .................  A                 Laser surg, penis             1.24      1.30      2.92      0.08      2.62      4.24       010
                                                           lesion(s).
54060..............  .................  A                 Excision of penis             1.93      1.56      5.37      0.12      3.61      7.42       010
                                                           lesion(s).
54065..............  .................  A                 Destruction, penis            2.42      2.08      5.28      0.13      4.63      7.83       010
                                                           lesion(s).
54100..............  .................  A                 Biopsy of penis........       1.90      0.74      3.57      0.10      2.74      5.57       000
54105..............  .................  A                 Biopsy of penis........       3.50      2.09      6.24      0.21      5.80      9.95       010
54110..............  .................  A                 Treatment of penis           10.13      7.76        NA      0.60     18.49        NA       090
                                                           lesion.
54111..............  .................  A                 Treat penis lesion,          13.57      8.81        NA      0.79     23.17        NA       090
                                                           graft.
54112..............  .................  A                 Treat penis lesion,          15.86      9.64        NA      0.94     26.44        NA       090
                                                           graft.
54115..............  .................  A                 Treatment of penis            6.15      6.49     10.30      0.39     13.03     16.84       090
                                                           lesion.
54120..............  .................  A                 Partial removal of            9.97      7.69        NA      0.60     18.26        NA       090
                                                           penis.
54125..............  .................  A                 Removal of penis.......      13.53      8.86        NA      0.81     23.20        NA       090
54130..............  .................  A                 Remove penis & nodes...      20.14     11.35        NA      1.19     32.68        NA       090
54135..............  .................  A                 Remove penis & nodes...      26.36     13.47        NA      1.58     41.41        NA       090
54150..............  .................  A                 Circumcision...........       1.81      1.91      7.90      0.17      3.89      9.88       010
54152..............  .................  A                 Circumcision...........       2.31      1.71        NA      0.16      4.18        NA       010
54160..............  .................  A                 Circumcision...........       2.48      1.71      5.89      0.16      4.35      8.53       010
54161..............  .................  A                 Circumcision...........       3.27      1.99        NA      0.20      5.46        NA       010
54200..............  .................  A                 Treatment of penis            1.06      0.37      2.62      0.06      1.49      3.74       010
                                                           lesion.
54205..............  .................  A                 Treatment of penis            7.93      7.15        NA      0.47     15.55        NA       090
                                                           lesion.
54220..............  .................  A                 Treatment of penis            2.42      1.00      1.94      0.15      3.57      4.51       000
                                                           lesion.
54230..............  .................  A                 Prepare penis study....       1.34      0.45        NA      0.08      1.87        NA       000
54231..............  .................  A                 Dynamic cavernosometry.       2.04      0.80      2.19      0.14      2.98      4.37       000
54235..............  .................  A                 Penile injection.......       1.19      0.40      1.11      0.07      1.66      2.37       000
54240..............  .................  A                 Penis study............       1.31        NA      1.19      0.13        NA      2.63       000
54240..............  26                 A                 Penis study............       1.31      0.45      0.45      0.08      1.84      1.84       000
54240..............  TC                 A                 Penis study............       0.00        NA      0.74      0.05        NA      0.79       000
54250..............  .................  A                 Penis study............       2.22        NA      3.37      0.16        NA      5.75       000
54250..............  26                 A                 Penis study............       2.22      0.74      0.74      0.14      3.10      3.10       000
54250..............  TC                 A                 Penis study............       0.00        NA      2.63      0.02        NA      2.65       000
54300..............  .................  A                 Revision of penis......      10.41      8.42        NA      0.64     19.47        NA       090

[[Page 40460]]

 
54304..............  .................  A                 Revision of penis......      12.49      9.50        NA      0.74     22.73        NA       090
54308..............  .................  A                 Reconstruction of            11.83      9.16        NA      0.70     21.69        NA       090
                                                           urethra.
54312..............  .................  A                 Reconstruction of            13.57     10.23        NA      0.81     24.61        NA       090
                                                           urethra.
54316..............  .................  A                 Reconstruction of            16.82     11.67        NA      1.00     29.49        NA       090
                                                           urethra.
54318..............  .................  A                 Reconstruction of            11.25      9.18        NA      1.15     21.58        NA       090
                                                           urethra.
54322..............  .................  A                 Reconstruction of            13.01      8.75        NA      0.77     22.53        NA       090
                                                           urethra.
54324..............  .................  A                 Reconstruction of            16.31     11.64        NA      1.03     28.98        NA       090
                                                           urethra.
54326..............  .................  A                 Reconstruction of            15.72     10.09        NA      0.93     26.74        NA       090
                                                           urethra.
54328..............  .................  A                 Revise penis/urethra...      15.65     10.43        NA      0.92     27.00        NA       090
54332..............  .................  A                 Revise penis/urethra...      17.08     11.76        NA      1.01     29.85        NA       090
54336..............  .................  A                 Revise penis/urethra...      20.04     16.59        NA      1.90     38.53        NA       090
54340..............  .................  A                 Secondary urethral            8.91      7.79        NA      0.72     17.42        NA       090
                                                           surgery.
54344..............  .................  A                 Secondary urethral           15.94     11.73        NA      1.10     28.77        NA       090
                                                           surgery.
54348..............  .................  A                 Secondary urethral           17.15     12.66        NA      1.02     30.83        NA       090
                                                           surgery.
54352..............  .................  A                 Reconstruct urethra/         24.74     15.36        NA      1.62     41.72        NA       090
                                                           penis.
54360..............  .................  A                 Penis plastic surgery..      11.93      8.27        NA      0.72     20.92        NA       090
54380..............  .................  A                 Repair penis...........      13.18      9.18        NA      1.16     23.52        NA       090
54385..............  .................  A                 Repair penis...........      15.39     11.82        NA      0.71     27.92        NA       090
54390..............  .................  A                 Repair penis and             21.61     13.41        NA      1.28     36.30        NA       090
                                                           bladder.
54400..............  .................  A                 Insert semi-rigid             8.99      6.12        NA      0.53     15.64        NA       090
                                                           prosthesis.
54401..............  .................  A                 Insert self-contd            10.28      6.93        NA      0.61     17.82        NA       090
                                                           prosthesis.
54402..............  .................  A                 Remove penis prosthesis       9.21      6.23        NA      0.55     15.99        NA       090
54405..............  .................  A                 Insert multi-comp            13.43      8.03        NA      0.80     22.26        NA       090
                                                           prosthesis.
54407..............  .................  A                 Remove multi-comp            13.34      7.62        NA      0.80     21.76        NA       090
                                                           prosthesis.
54409..............  .................  A                 Revise penis prosthesis      12.20      7.37        NA      0.73     20.30        NA       090
54420..............  .................  A                 Revision of penis......      11.42      8.18        NA      0.72     20.32        NA       090
54430..............  .................  A                 Revision of penis......      10.15      7.71        NA      0.60     18.46        NA       090
54435..............  .................  A                 Revision of penis......       6.12      5.81        NA      0.36     12.29        NA       090
54440..............  .................  C                 Repair of penis........       0.00      0.00      0.00      0.00      0.00      0.00       090
54450..............  .................  A                 Preputial stretching...       1.12      0.47      1.01      0.07      1.66      2.20       000
54500..............  .................  A                 Biopsy of testis.......       1.31      0.45      6.11      0.08      1.84      7.50       000
54505..............  .................  A                 Biopsy of testis.......       3.46      2.57        NA      0.21      6.24        NA       010
54510..............  .................  A                 Removal of testis             5.45      3.43        NA      0.35      9.23        NA       090
                                                           lesion.
54512..............  .................  A                 Excise lesion testis...       8.58      4.92        NA      0.51     14.01        NA       090
54520..............  .................  A                 Removal of testis......       5.23      3.55        NA      0.33      9.11        NA       090
54522..............  .................  A                 Orchiectomy, partial...       9.50      5.88        NA      0.57     15.95        NA       090
54530..............  .................  A                 Removal of testis......       8.58      5.18        NA      0.53     14.29        NA       090
54535..............  .................  A                 Extensive testis             12.16      7.07        NA      0.83     20.06        NA       090
                                                           surgery.
54550..............  .................  A                 Exploration for testis.       7.78      4.70        NA      0.49     12.97        NA       090
54560..............  .................  A                 Exploration for testis.      11.13      6.79        NA      0.79     18.71        NA       090
54600..............  .................  A                 Reduce testis torsion..       7.01      4.21        NA      0.45     11.67        NA       090
54620..............  .................  A                 Suspension of testis...       4.90      3.05        NA      0.31      8.26        NA       010
54640..............  .................  A                 Suspension of testis...       6.90      4.21        NA      0.49     11.60        NA       090
54650..............  .................  A                 Orchiopexy (Fowler-          11.45      7.11        NA      0.81     19.37        NA       090
                                                           Stephens).
54660..............  .................  A                 Revision of testis.....       5.11      3.26        NA      0.35      8.72        NA       090
54670..............  .................  A                 Repair testis injury...       6.41      4.16        NA      0.41     10.98        NA       090
54680..............  .................  A                 Relocation of                12.65      7.47        NA      0.94     21.06        NA       090
                                                           testis(es).
54690..............  .................  A                 Laparoscopy,                 10.96      6.42        NA      0.99     18.37        NA       090
                                                           orchiectomy.
54692..............  .................  A                 Laparoscopy, orchiopexy      12.88      5.68        NA      0.87     19.43        NA       090
54699..............  .................  C                 Laparoscope proc,             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           testis.
54700..............  .................  A                 Drainage of scrotum....       3.43      3.32      8.16      0.23      6.98     11.82       010
54800..............  .................  A                 Biopsy of epididymis...       2.33      0.81      6.31      0.14      3.28      8.78       000
54820..............  .................  A                 Exploration of                5.14      3.55        NA      0.33      9.02        NA       090
                                                           epididymis.
54830..............  .................  A                 Remove epididymis             5.38      3.64        NA      0.34      9.36        NA       090
                                                           lesion.
54840..............  .................  A                 Remove epididymis             5.20      3.57        NA      0.31      9.08        NA       090
                                                           lesion.
54860..............  .................  A                 Removal of epididymis..       6.32      4.14        NA      0.38     10.84        NA       090
54861..............  .................  A                 Removal of epididymis..       8.90      5.01        NA      0.52     14.43        NA       090
54900..............  .................  A                 Fusion of spermatic          13.20      7.06        NA      1.34     21.60        NA       090
                                                           ducts.
54901..............  .................  A                 Fusion of spermatic          17.94      9.80        NA      1.83     29.57        NA       090
                                                           ducts.
55000..............  .................  A                 Drainage of hydrocele..       1.43      0.49      2.10      0.10      2.02      3.63       000
55040..............  .................  A                 Removal of hydrocele...       5.36      3.40        NA      0.35      9.11        NA       090
55041..............  .................  A                 Removal of hydroceles..       7.74      4.43        NA      0.50     12.67        NA       090
55060..............  .................  A                 Repair of hydrocele....       5.52      3.44        NA      0.37      9.33        NA       090
55100..............  .................  A                 Drainage of scrotum           2.13      3.56      9.32      0.15      5.84     11.60       010
                                                           abscess.
55110..............  .................  A                 Explore scrotum........       5.70      3.55        NA      0.36      9.61        NA       090
55120..............  .................  A                 Removal of scrotum            5.09      3.32        NA      0.33      8.74        NA       090
                                                           lesion.
55150..............  .................  A                 Removal of scrotum.....       7.22      4.52        NA      0.47     12.21        NA       090
55175..............  .................  A                 Revision of scrotum....       5.24      3.66        NA      0.33      9.23        NA       090
55180..............  .................  A                 Revision of scrotum....      10.72      6.39        NA      0.72     17.83        NA       090
55200..............  .................  A                 Incision of sperm duct.       4.24      3.06        NA      0.25      7.55        NA       090
55250..............  .................  A                 Removal of sperm              3.29      3.00      9.03      0.21      6.50     12.53       090
                                                           duct(s).
55300..............  .................  A                 Prepare, sperm duct x-        3.51      1.45        NA      0.20      5.16        NA       000
                                                           ray.
55400..............  .................  A                 Repair of sperm duct...       8.49      5.17        NA      0.50     14.16        NA       090
55450..............  .................  A                 Ligation of sperm duct.       4.12      2.42      7.52      0.24      6.78     11.88       010

[[Page 40461]]

 
55500..............  .................  A                 Removal of hydrocele...       5.59      3.61        NA      0.43      9.63        NA       090
55520..............  .................  A                 Removal of sperm cord         6.03      3.72        NA      0.56     10.31        NA       090
                                                           lesion.
55530..............  .................  A                 Revise spermatic cord         5.66      3.74        NA      0.36      9.76        NA       090
                                                           veins.
55535..............  .................  A                 Revise spermatic cord         6.56      4.05        NA      0.42     11.03        NA       090
                                                           veins.
55540..............  .................  A                 Revise hernia & sperm         7.67      4.30        NA      0.74     12.71        NA       090
                                                           veins.
55550..............  .................  A                 Laparo ligate spermatic       6.57      3.34        NA      0.47     10.38        NA       090
                                                           vein.
55559..............  .................  C                 Laparo proc, spermatic        0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           cord.
55600..............  .................  A                 Incise sperm duct pouch       6.38      4.18        NA      0.38     10.94        NA       090
55605..............  .................  A                 Incise sperm duct pouch       7.96      5.13        NA      0.54     13.63        NA       090
55650..............  .................  A                 Remove sperm duct pouch      11.80      6.17        NA      0.72     18.69        NA       090
55680..............  .................  A                 Remove sperm pouch            5.19      3.84        NA      0.31      9.34        NA       090
                                                           lesion.
55700..............  .................  A                 Biopsy of prostate.....       1.57      0.53      3.75      0.10      2.20      5.42       000
55705..............  .................  A                 Biopsy of prostate.....       4.57      3.71        NA      0.26      8.54        NA       010
55720..............  .................  A                 Drainage of prostate          7.64      5.92        NA      0.44     14.00        NA       090
                                                           abscess.
55725..............  .................  A                 Drainage of prostate          8.68      6.48        NA      0.51     15.67        NA       090
                                                           abscess.
55801..............  .................  A                 Removal of prostate....      17.80      9.33        NA      1.08     28.21        NA       090
55810..............  .................  A                 Extensive prostate           22.58     11.34        NA      1.35     35.27        NA       090
                                                           surgery.
55812..............  .................  A                 Extensive prostate           27.51     13.82        NA      1.69     43.02        NA       090
                                                           surgery.
55815..............  .................  A                 Extensive prostate           30.46     14.38        NA      1.84     46.68        NA       090
                                                           surgery.
55821..............  .................  A                 Removal of prostate....      14.25      7.83        NA      0.85     22.93        NA       090
55831..............  .................  A                 Removal of prostate....      15.62      8.32        NA      0.94     24.88        NA       090
55840..............  .................  A                 Extensive prostate           22.69     11.76        NA      1.37     35.82        NA       090
                                                           surgery.
55842..............  .................  A                 Extensive prostate           24.38     12.37        NA      1.48     38.23        NA       090
                                                           surgery.
55845..............  .................  A                 Extensive prostate           28.55     13.70        NA      1.71     43.96        NA       090
                                                           surgery.
55859..............  .................  A                 Percut/needle insert,        12.52      7.41        NA      0.74     20.67        NA       090
                                                           pros.
55860..............  .................  A                 Surgical exposure,           14.45      8.41        NA      0.82     23.68        NA       090
                                                           prostate.
55862..............  .................  A                 Extensive prostate           18.39      9.45        NA      1.14     28.98        NA       090
                                                           surgery.
55865..............  .................  A                 Extensive prostate           22.87     11.07        NA      1.37     35.31        NA       090
                                                           surgery.
55870..............  .................  A                 Electroejaculation.....       2.58      1.15      1.84      0.14      3.87      4.56       000
55873..............  .................  A                 Cryoablate prostate....      17.80      9.99        NA      1.01     28.80        NA       090
55899..............  .................  C                 Genital surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
55970..............  .................  N                 Sex transformation, M         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           to F.
55980..............  .................  N                 Sex transformation, F         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           to M.
56405..............  .................  A                 I & D of vulva/perineum       1.44      1.26      2.35      0.14      2.84      3.93       010
56420..............  .................  A                 Drainage of gland             1.39      1.19      2.33      0.13      2.71      3.85       010
                                                           abscess.
56440..............  .................  A                 Surgery for vulva             2.84      2.32      3.58      0.28      5.44      6.70       010
                                                           lesion.
56441..............  .................  A                 Lysis of labial               1.97      2.02      2.56      0.17      4.16      4.70       010
                                                           lesion(s).
56501..............  .................  A                 Destruction, vulva            1.53      1.35      2.31      0.15      3.03      3.99       010
                                                           lesion(s).
56515..............  .................  A                 Destruction, vulva            2.76      2.35      3.11      0.18      5.29      6.05       010
                                                           lesion(s).
56605..............  .................  A                 Biopsy of vulva/              1.10      0.50      1.79      0.11      1.71      3.00       000
                                                           perineum.
56606..............  .................  A                 Biopsy of vulva/              0.55      0.23      1.56      0.06      0.84      2.17       ZZZ
                                                           perineum.
56620..............  .................  A                 Partial removal of            7.47      5.00        NA      0.76     13.23        NA       090
                                                           vulva.
56625..............  .................  A                 Complete removal of           8.40      5.92        NA      0.84     15.16        NA       090
                                                           vulva.
56630..............  .................  A                 Extensive vulva surgery      12.36      7.84        NA      1.23     21.43        NA       090
56631..............  .................  A                 Extensive vulva surgery      16.20     10.53        NA      1.63     28.36        NA       090
56632..............  .................  A                 Extensive vulva surgery      20.29     12.33        NA      2.03     34.65        NA       090
56633..............  .................  A                 Extensive vulva surgery      16.47      9.51        NA      1.66     27.64        NA       090
56634..............  .................  A                 Extensive vulva surgery      17.88     11.26        NA      1.78     30.92        NA       090
56637..............  .................  A                 Extensive vulva surgery      21.97     13.02        NA      2.18     37.17        NA       090
56640..............  .................  A                 Extensive vulva surgery      22.17     12.70        NA      2.26     37.13        NA       090
56700..............  .................  A                 Partial removal of            2.52      2.06      2.90      0.24      4.82      5.66       010
                                                           hymen.
56720..............  .................  A                 Incision of hymen......       0.68      0.70      1.67      0.07      1.45      2.42       000
56740..............  .................  A                 Remove vagina gland           4.57      3.00      3.91      0.37      7.94      8.85       010
                                                           lesion.
56800..............  .................  A                 Repair of vagina.......       3.89      2.73        NA      0.37      6.99        NA       010
56805..............  .................  A                 Repair clitoris........      18.86      9.64        NA      1.82     30.32        NA       090
56810..............  .................  A                 Repair of perineum.....       4.13      2.83        NA      0.41      7.37        NA       010
57000..............  .................  A                 Exploration of vagina..       2.97      2.35        NA      0.28      5.60        NA       010
57010..............  .................  A                 Drainage of pelvic            6.03      3.86        NA      0.57     10.46        NA       090
                                                           abscess.
57020..............  .................  A                 Drainage of pelvic            1.50      0.65      1.61      0.15      2.30      3.26       000
                                                           fluid.
57022..............  .................  A                 I &d vaginal hematoma,        2.56      1.58        NA      0.14      4.28        NA       010
                                                           ob.
57023..............  .................  A                 I &d vag hematoma,            2.56      1.58        NA      0.14      4.28        NA       010
                                                           trauma.
57061..............  .................  A                 Destruction vagina            1.25      1.24      2.25      0.13      2.62      3.63       010
                                                           lesion(s).
57065..............  .................  A                 Destruction vagina            2.61      2.32      2.97      0.26      5.19      5.84       010
                                                           lesion(s).
57100..............  .................  A                 Biopsy of vagina.......       1.20      0.52      1.56      0.10      1.82      2.86       000
57105..............  .................  A                 Biopsy of vagina.......       1.69      2.23      2.25      0.17      4.09      4.11       010
57106..............  .................  A                 Remove vagina wall,           6.36      2.55      2.55      0.58      9.49      9.49       090
                                                           partial.
57107..............  .................  A                 Remove vagina tissue,        23.00     10.63        NA      2.17     35.80        NA       090
                                                           part.
57109..............  .................  A                 Vaginectomy partial w/       27.00     12.01        NA      1.97     40.98        NA       090
                                                           nodes.
57110..............  .................  A                 Remove vagina wall,          14.29      7.53        NA      1.43     23.25        NA       090
                                                           complete.
57111..............  .................  A                 Remove vagina tissue,        27.00     12.71        NA      2.71     42.42        NA       090
                                                           compl.
57112..............  .................  A                 Vaginectomy w/nodes,         29.00     12.95        NA      2.19     44.14        NA       090
                                                           compl.
57120..............  .................  A                 Closure of vagina......       7.41      4.75        NA      0.75     12.91        NA       090
57130..............  .................  A                 Remove vagina lesion...       2.43      2.15        NA      0.23      4.81        NA       010
57135..............  .................  A                 Remove vagina lesion...       2.67      2.25      2.95      0.26      5.18      5.88       010

[[Page 40462]]

 
57150..............  .................  A                 Treat vagina infection.       0.55      0.22      1.00      0.06      0.83      1.61       000
57160..............  .................  A                 Insert pessary/other          0.89      0.37      1.38      0.09      1.35      2.36       000
                                                           device.
57170..............  .................  A                 Fitting of diaphragm/         0.91      0.35      1.42      0.09      1.35      2.42       000
                                                           cap.
57180..............  .................  A                 Treat vaginal bleeding.       1.58      1.47      2.28      0.16      3.21      4.02       010
57200..............  .................  A                 Repair of vagina.......       3.94      3.03        NA      0.38      7.35        NA       090
57210..............  .................  A                 Repair vagina/perineum.       5.17      3.54        NA      0.50      9.21        NA       090
57220..............  .................  A                 Revision of urethra....       4.31      3.43        NA      0.42      8.16        NA       090
57230..............  .................  A                 Repair of urethral            5.64      4.34        NA      0.50     10.48        NA       090
                                                           lesion.
57240..............  .................  A                 Repair bladder & vagina       6.07      4.46        NA      0.53     11.06        NA       090
57250..............  .................  A                 Repair rectum & vagina.       5.53      3.89        NA      0.54      9.96        NA       090
57260..............  .................  A                 Repair of vagina.......       8.27      5.06        NA      0.83     14.16        NA       090
57265..............  .................  A                 Extensive repair of          11.34      7.10        NA      1.14     19.58        NA       090
                                                           vagina.
57268..............  .................  A                 Repair of bowel bulge..       6.76      4.40        NA      0.66     11.82        NA       090
57270..............  .................  A                 Repair of bowel pouch..      12.11      6.45        NA      1.17     19.73        NA       090
57280..............  .................  A                 Suspension of vagina...      15.04      7.62        NA      1.44     24.10        NA       090
57282..............  .................  A                 Repair of vaginal             8.86      5.31        NA      0.86     15.03        NA       090
                                                           prolapse.
57284..............  .................  A                 Repair paravaginal           12.70      7.28        NA      1.17     21.15        NA       090
                                                           defect.
57287..............  .................  A                 Revise/remove sling          10.71      7.13        NA      0.64     18.48        NA       090
                                                           repair.
57288..............  .................  A                 Repair bladder defect..      13.02      6.95        NA      0.86     20.83        NA       090
57289..............  .................  A                 Repair bladder & vagina      11.58      6.89        NA      0.95     19.42        NA       090
57291..............  .................  A                 Construction of vagina.       7.95      6.21        NA      0.78     14.94        NA       090
57292..............  .................  A                 Construct vagina with        13.09      7.45        NA      1.29     21.83        NA       090
                                                           graft.
57300..............  .................  A                 Repair rectum-vagina          7.61      4.72        NA      0.70     13.03        NA       090
                                                           fistula.
57305..............  .................  A                 Repair rectum-vagina         13.77      6.94        NA      1.33     22.04        NA       090
                                                           fistula.
57307..............  .................  A                 Fistula repair &             15.93      7.63        NA      1.59     25.15        NA       090
                                                           colostomy.
57308..............  .................  A                 Fistula repair,               9.94      5.85        NA      0.91     16.70        NA       090
                                                           transperine.
57310..............  .................  A                 Repair urethrovaginal         6.78      4.69        NA      0.45     11.92        NA       090
                                                           lesion.
57311..............  .................  A                 Repair urethrovaginal         7.98      5.30        NA      0.51     13.79        NA       090
                                                           lesion.
57320..............  .................  A                 Repair bladder-vagina         8.01      5.38        NA      0.60     13.99        NA       090
                                                           lesion.
57330..............  .................  A                 Repair bladder-vagina        12.35      6.72        NA      0.86     19.93        NA       090
                                                           lesion.
57335..............  .................  A                 Repair vagina..........      18.73      9.43        NA      1.66     29.82        NA       090
57400..............  .................  A                 Dilation of vagina.....       2.27      1.33        NA      0.22      3.82        NA       000
57410..............  .................  A                 Pelvic examination.....       1.75      1.09      2.64      0.14      2.98      4.53       000
57415..............  .................  A                 Remove vaginal foreign        2.17      2.06      3.48      0.19      4.42      5.84       010
                                                           body.
57452..............  .................  A                 Examination of vagina..       0.99      0.46      1.60      0.10      1.55      2.69       000
57454..............  .................  A                 Vagina examination &          1.27      0.62      1.79      0.13      2.02      3.19       000
                                                           biopsy.
57460..............  .................  A                 Cervix excision........       2.83      1.20      2.13      0.28      4.31      5.24       000
57500..............  .................  A                 Biopsy of cervix.......       0.97      0.50      2.12      0.10      1.57      3.19       000
57505..............  .................  A                 Endocervical curettage.       1.14      1.27      1.95      0.12      2.53      3.21       010
57510..............  .................  A                 Cauterization of cervix       1.90      1.58      3.18      0.18      3.66      5.26       010
57511..............  .................  A                 Cryocautery of cervix..       1.90      0.78      2.43      0.18      2.86      4.51       010
57513..............  .................  A                 Laser surgery of cervix       1.90      1.57      2.60      0.19      3.66      4.69       010
57520..............  .................  A                 Conization of cervix...       4.04      2.87      4.28      0.41      7.32      8.73       090
57522..............  .................  A                 Conization of cervix...       3.36      2.58      3.81      0.34      6.28      7.51       090
57530..............  .................  A                 Removal of cervix......       4.79      3.65        NA      0.48      8.92        NA       090
57531..............  .................  A                 Removal of cervix,           28.00     13.63        NA      2.46     44.09        NA       090
                                                           radical.
57540..............  .................  A                 Removal of residual          12.22      6.32        NA      1.21     19.75        NA       090
                                                           cervix.
57545..............  .................  A                 Remove cervix/repair         13.03      6.90        NA      1.30     21.23        NA       090
                                                           pelvis.
57550..............  .................  A                 Removal of residual           5.53      3.91        NA      0.55      9.99        NA       090
                                                           cervix.
57555..............  .................  A                 Remove cervix/repair          8.95      5.73        NA      0.89     15.57        NA       090
                                                           vagina.
57556..............  .................  A                 Remove cervix, repair         8.37      5.05        NA      0.80     14.22        NA       090
                                                           bowel.
57700..............  .................  A                 Revision of cervix.....       3.55      2.53        NA      0.33      6.41        NA       090
57720..............  .................  A                 Revision of cervix.....       4.13      3.34        NA      0.41      7.88        NA       090
57800..............  .................  A                 Dilation of cervical          0.77      0.36      1.18      0.08      1.21      2.03       000
                                                           canal.
57820..............  .................  A                 D & c of residual             1.67      2.24      2.53      0.17      4.08      4.37       010
                                                           cervix.
58100..............  .................  A                 Biopsy of uterus lining       0.71      0.29      2.06      0.07      1.07      2.84       000
58120..............  .................  A                 Dilation and curettage.       3.27      2.46      3.86      0.33      6.06      7.46       010
58140..............  .................  A                 Removal of uterus            14.60      7.26        NA      1.46     23.32        NA       090
                                                           lesion.
58145..............  .................  A                 Removal of uterus             8.04      4.99        NA      0.80     13.83        NA       090
                                                           lesion.
58150..............  .................  A                 Total hysterectomy.....      15.24      7.77        NA      1.53     24.54        NA       090
58152..............  .................  A                 Total hysterectomy.....      20.60     10.05        NA      1.52     32.17        NA       090
58180..............  .................  A                 Partial hysterectomy...      15.29      7.72        NA      1.54     24.55        NA       090
58200..............  .................  A                 Extensive hysterectomy.      21.59     11.52        NA      2.15     35.26        NA       090
58210..............  .................  A                 Extensive hysterectomy.      28.85     14.52        NA      2.91     46.28        NA       090
58240..............  .................  A                 Removal of pelvis            38.39     19.57        NA      3.76     61.72        NA       090
                                                           contents.
58260..............  .................  A                 Vaginal hysterectomy...      12.98      6.54        NA      1.23     20.75        NA       090
58262..............  .................  A                 Vaginal hysterectomy...      14.77      7.32        NA      1.42     23.51        NA       090
58263..............  .................  A                 Vaginal hysterectomy...      16.06      7.85        NA      1.55     25.46        NA       090
58267..............  .................  A                 Hysterectomy & vagina        17.04      8.25        NA      1.51     26.80        NA       090
                                                           repair.
58270..............  .................  A                 Hysterectomy & vagina        14.26      7.09        NA      1.37     22.72        NA       090
                                                           repair.
58275..............  .................  A                 Hysterectomy/revise          15.76      7.64        NA      1.51     24.91        NA       090
                                                           vagina.
58280..............  .................  A                 Hysterectomy/revise          17.01      8.11        NA      1.54     26.66        NA       090
                                                           vagina.
58285..............  .................  A                 Extensive hysterectomy.      22.26     11.76        NA      1.88     35.90        NA       090
58300..............  .................  N                 Insert intrauterine          +1.01      0.40      1.37      0.10      1.51      2.48       XXX
                                                           device.

[[Page 40463]]

 
58301..............  .................  A                 Remove intrauterine           1.27      0.52      1.57      0.13      1.92      2.97       000
                                                           device.
58321..............  .................  A                 Artificial insemination       0.92      0.36      0.92      0.10      1.38      1.94       000
58322..............  .................  A                 Artificial insemination       1.10      0.44      1.04      0.11      1.65      2.25       000
58323..............  .................  A                 Sperm washing..........       0.23      0.10      0.53      0.02      0.35      0.78       000
58340..............  .................  A                 Catheter for                  0.88      0.34     11.96      0.08      1.30     12.92       000
                                                           hysterography.
58345..............  .................  A                 Reopen fallopian tube..       4.66      1.87        NA      0.36      6.89        NA       010
58350..............  .................  A                 Reopen fallopian tube..       1.01      1.11      2.06      0.10      2.22      3.17       010
58353..............  .................  A                 Endometr ablate,              3.56      2.26        NA      0.19      6.01        NA       010
                                                           thermal.
58400..............  .................  A                 Suspension of uterus...       6.36      4.09        NA      0.62     11.07        NA       090
58410..............  .................  A                 Suspension of uterus...      12.73      6.75        NA      1.09     20.57        NA       090
58520..............  .................  A                 Repair of ruptured           11.92      6.04        NA      1.17     19.13        NA       090
                                                           uterus.
58540..............  .................  A                 Revision of uterus.....      14.64      7.29        NA      1.28     23.21        NA       090
58550..............  .................  A                 Laparo-asst vag              14.19      7.04        NA      1.44     22.67        NA       010
                                                           hysterectomy.
58551..............  .................  A                 Laparoscopy, remove          14.21      6.95        NA      1.45     22.61        NA       010
                                                           myoma.
58555..............  .................  A                 Hysteroscopy, dx, sep         3.33      1.52      2.90      0.34      5.19      6.57       000
                                                           proc.
58558..............  .................  A                 Hysteroscopy, biopsy...       4.75      2.14      3.50      0.49      7.38      8.74       000
58559..............  .................  A                 Hysteroscopy, lysis....       6.17      2.54      2.54      0.62      9.33      9.33       000
58560..............  .................  A                 Hysteroscopy, resect          7.00      3.02      3.02      0.71     10.73     10.73       000
                                                           septum.
58561..............  .................  A                 Hysteroscopy, remove         10.00      4.27      4.27      1.02     15.29     15.29       000
                                                           myoma.
58562..............  .................  A                 Hysteroscopy, remove fb       5.21      2.30        NA      0.52      8.03        NA       000
58563..............  .................  A                 Hysteroscopy, ablation.       6.17      2.62      2.62      0.62      9.41      9.41       000
58578..............  .................  C                 Laparo proc, uterus....       0.00      0.00      0.00      0.00      0.00      0.00       YYY
58579..............  .................  C                 Hysteroscope procedure.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
58600..............  .................  A                 Division of fallopian         5.60      3.43        NA      0.39      9.42        NA       090
                                                           tube.
58605..............  .................  A                 Division of fallopian         5.00      3.19        NA      0.33      8.52        NA       090
                                                           tube.
58611..............  .................  A                 Ligate oviduct(s) add-        1.45      0.61        NA      0.07      2.13        NA       ZZZ
                                                           on.
58615..............  .................  A                 Occlude fallopian             3.90      2.62        NA      0.40      6.92        NA       010
                                                           tube(s).
58660..............  .................  A                 Laparoscopy, lysis.....      11.29      5.48        NA      1.14     17.91        NA       090
58661..............  .................  A                 Laparoscopy, remove          11.05      5.42        NA      1.12     17.59        NA       010
                                                           adnexa.
58662..............  .................  A                 Laparoscopy, excise          11.79      5.68        NA      1.18     18.65        NA       090
                                                           lesions.
58670..............  .................  A                 Laparoscopy, tubal            5.60      3.65        NA      0.55      9.80        NA       090
                                                           cautery.
58671..............  .................  A                 Laparoscopy, tubal            5.60      3.72        NA      0.56      9.88        NA       090
                                                           block.
58672..............  .................  A                 Laparoscopy,                 12.88      6.09        NA      1.22     20.19        NA       090
                                                           fimbrioplasty.
58673..............  .................  A                 Laparoscopy,                 13.74      7.12        NA      1.40     22.26        NA       090
                                                           salpingostomy.
58679..............  .................  C                 Laparo proc, oviduct-         0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           ovary.
58700..............  .................  A                 Removal of fallopian         12.05      6.05        NA      0.64     18.74        NA       090
                                                           tube.
58720..............  .................  A                 Removal of ovary/            11.36      5.92        NA      1.14     18.42        NA       090
                                                           tube(s).
58740..............  .................  A                 Revise fallopian             14.00      7.22        NA      0.59     21.81        NA       090
                                                           tube(s).
58750..............  .................  A                 Repair oviduct.........      14.84      7.52        NA      1.52     23.88        NA       090
58752..............  .................  A                 Revise ovarian tube(s).      14.84      7.91        NA      1.51     24.26        NA       090
58760..............  .................  A                 Remove tubal                 13.13      6.58        NA      1.34     21.05        NA       090
                                                           obstruction.
58770..............  .................  A                 Create new tubal             13.97      7.24        NA      1.42     22.63        NA       090
                                                           opening.
58800..............  .................  A                 Drainage of ovarian           4.14      4.40      4.55      0.36      8.90      9.05       090
                                                           cyst(s).
58805..............  .................  A                 Drainage of ovarian           5.88      3.53        NA      0.56      9.97        NA       090
                                                           cyst(s).
58820..............  .................  A                 Drain ovary abscess,          4.22      3.30        NA      0.29      7.81        NA       090
                                                           open.
58822..............  .................  A                 Drain ovary abscess,         10.13      5.16        NA      0.92     16.21        NA       090
                                                           percut.
58823..............  .................  A                 Drain pelvic abscess,         3.38      3.18        NA      0.18      6.74        NA       000
                                                           percut.
58825..............  .................  A                 Transposition, ovary(s)      10.98      5.96        NA      0.62     17.56        NA       090
58900..............  .................  A                 Biopsy of ovary(s).....       5.99      3.62        NA      0.56     10.17        NA       090
58920..............  .................  A                 Partial removal of           11.36      5.62        NA      0.68     17.66        NA       090
                                                           ovary(s).
58925..............  .................  A                 Removal of ovarian           11.36      5.70        NA      1.14     18.20        NA       090
                                                           cyst(s).
58940..............  .................  A                 Removal of ovary(s)....       7.29      4.06        NA      0.73     12.08        NA       090
58943..............  .................  A                 Removal of ovary(s)....      18.43      9.79        NA      1.86     30.08        NA       090
58950..............  .................  A                 Resect ovarian               16.93      9.26        NA      1.55     27.74        NA       090
                                                           malignancy.
58951..............  .................  A                 Resect ovarian               22.38     11.66        NA      2.20     36.24        NA       090
                                                           malignancy.
58952..............  .................  A                 Resect ovarian               25.01     12.80        NA      2.50     40.31        NA       090
                                                           malignancy.
58960..............  .................  A                 Exploration of abdomen.      14.65      8.39        NA      1.47     24.51        NA       090
58970..............  .................  A                 Retrieval of oocyte....       3.53      1.81      8.66      0.36      5.70     12.55       000
58974..............  .................  C                 Transfer of embryo.....       0.00      0.00      0.00      0.00      0.00      0.00       000
58976..............  .................  A                 Transfer of embryo.....       3.83      1.51      2.25      0.39      5.73      6.47       000
58999..............  .................  C                 Genital surgery               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
59000..............  .................  A                 Amniocentesis..........       1.30      0.64      1.95      0.23      2.17      3.48       000
59012..............  .................  A                 Fetal cord                    3.45      1.70        NA      0.62      5.77        NA       000
                                                           puncture,prenatal.
59015..............  .................  A                 Chorion biopsy.........       2.20      0.95      1.39      0.40      3.55      3.99       000
59020..............  .................  A                 Fetal contract stress         0.66        NA      0.79      0.20        NA      1.65       000
                                                           test.
59020..............  26                 A                 Fetal contract stress         0.66      0.28      0.28      0.12      1.06      1.06       000
                                                           test.
59020..............  TC                 A                 Fetal contract stress         0.00        NA      0.51      0.08        NA      0.59       000
                                                           test.
59025..............  .................  A                 Fetal non-stress test..       0.53        NA      0.45      0.12        NA      1.10       000
59025..............  26                 A                 Fetal non-stress test..       0.53      0.22      0.22      0.10      0.85      0.85       000
59025..............  TC                 A                 Fetal non-stress test..       0.00        NA      0.23      0.02        NA      0.25       000
59030..............  .................  A                 Fetal scalp blood             1.99      0.97        NA      0.36      3.32        NA       000
                                                           sample.
59050..............  .................  A                 Fetal monitor w/report.       0.89      0.36        NA      0.16      1.41        NA       XXX
59051..............  .................  A                 Fetal monitor/interpret       0.74      0.29        NA      0.14      1.17        NA       XXX
                                                           only.
59100..............  .................  A                 Remove uterus lesion...      12.35      6.34        NA      2.21     20.90        NA       090

[[Page 40464]]

 
59120..............  .................  A                 Treat ectopic pregnancy      11.49      6.28        NA      2.06     19.83        NA       090
59121..............  .................  A                 Treat ectopic pregnancy      11.67      6.31        NA      2.09     20.07        NA       090
59130..............  .................  A                 Treat ectopic pregnancy      14.22      7.04        NA      2.54     23.80        NA       090
59135..............  .................  A                 Treat ectopic pregnancy      13.88      6.90        NA      2.49     23.27        NA       090
59136..............  .................  A                 Treat ectopic pregnancy      13.18      6.99        NA      2.36     22.53        NA       090
59140..............  .................  A                 Treat ectopic pregnancy       5.46      3.28        NA      0.98      9.72        NA       090
59150..............  .................  A                 Treat ectopic pregnancy      11.67      6.57        NA      1.23     19.47        NA       090
59151..............  .................  A                 Treat ectopic pregnancy      11.49      6.03        NA      1.41     18.93        NA       090
59160..............  .................  A                 D & c after delivery...       2.71      2.26      3.60      0.49      5.46      6.80       010
59200..............  .................  A                 Insert cervical dilator       0.79      0.33      1.35      0.15      1.27      2.29       000
59300..............  .................  A                 Episiotomy or vaginal         2.41      1.01      2.10      0.43      3.85      4.94       000
                                                           repair.
59320..............  .................  A                 Revision of cervix.....       2.48      1.46        NA      0.45      4.39        NA       000
59325..............  .................  A                 Revision of cervix.....       4.07      2.11        NA      0.73      6.91        NA       000
59350..............  .................  A                 Repair of uterus.......       4.95      2.03        NA      0.88      7.86        NA       000
59400..............  .................  A                 Obstetrical care.......      23.06     15.19        NA      4.14     42.39        NA       MMM
59409..............  .................  A                 Obstetrical care.......      13.50      5.58        NA      2.42     21.50        NA       MMM
59410..............  .................  A                 Obstetrical care.......      14.78      6.67        NA      2.65     24.10        NA       MMM
59412..............  .................  A                 Antepartum manipulation       1.71      0.73      1.34      0.31      2.75      3.36       MMM
59414..............  .................  A                 Deliver placenta.......       1.61      1.31        NA      0.29      3.21        NA       MMM
59425..............  .................  A                 Antepartum care only...       4.81      5.18      5.23      0.86     10.85     10.90       MMM
59426..............  .................  A                 Antepartum care only...       8.28      8.95      8.95      1.49     18.72     18.72       MMM
59430..............  .................  A                 Care after delivery....       2.13      1.26      1.27      0.38      3.77      3.78       MMM
59510..............  .................  A                 Cesarean delivery......      26.22     17.34        NA      4.70     48.26        NA       MMM
59514..............  .................  A                 Cesarean delivery only.      15.97      6.53        NA      2.86     25.36        NA       MMM
59515..............  .................  A                 Cesarean delivery......      17.37      8.42        NA      3.12     28.91        NA       MMM
59525..............  .................  A                 Remove uterus after           8.54      3.51        NA      1.53     13.58        NA       ZZZ
                                                           cesarean.
59610..............  .................  A                 Vbac delivery..........      24.62     15.74        NA      4.41     44.77        NA       MMM
59612..............  .................  A                 Vbac delivery only.....      15.06      6.38        NA      2.70     24.14        NA       MMM
59614..............  .................  A                 Vbac care after              16.34      7.64        NA      2.93     26.91        NA       MMM
                                                           delivery.
59618..............  .................  A                 Attempted vbac delivery      27.78     18.17        NA      4.98     50.93        NA       MMM
59620..............  .................  A                 Attempted vbac delivery      17.53      6.91        NA      3.15     27.59        NA       MMM
                                                           only.
59622..............  .................  A                 Attempted vbac after         18.93      8.88        NA      3.39     31.20        NA       MMM
                                                           care.
59812..............  .................  A                 Treatment of                  4.01      2.50      3.68      0.58      7.09      8.27       090
                                                           miscarriage.
59820..............  .................  A                 Care of miscarriage....       4.01      2.75      3.70      0.72      7.48      8.43       090
59821..............  .................  A                 Treatment of                  4.47      2.96      3.86      0.80      8.23      9.13       090
                                                           miscarriage.
59830..............  .................  A                 Treat uterus infection.       6.11      3.88        NA      1.10     11.09        NA       090
59840..............  .................  R                 Abortion...............       3.01      2.27      3.96      0.54      5.82      7.51       010
59841..............  .................  R                 Abortion...............       5.24      3.63      5.70      0.94      9.81     11.88       010
59850..............  .................  R                 Abortion...............       5.91      2.85        NA      1.06      9.82        NA       090
59851..............  .................  R                 Abortion...............       5.93      3.20        NA      1.06     10.19        NA       090
59852..............  .................  R                 Abortion...............       8.24      4.45        NA      1.48     14.17        NA       090
59855..............  .................  R                 Abortion...............       6.12      3.35        NA      1.10     10.57        NA       090
59856..............  .................  R                 Abortion...............       7.48      3.68        NA      1.34     12.50        NA       090
59857..............  .................  R                 Abortion...............       9.29      4.40        NA      1.66     15.35        NA       090
59866..............  .................  R                 Abortion (mpr).........       4.00      1.58        NA      0.72      6.30        NA       000
59870..............  .................  A                 Evacuate mole of uterus       6.01      3.90        NA      0.77     10.68        NA       090
59871..............  .................  A                 Remove cerclage suture.       2.13      0.92      1.99      0.38      3.43      4.50       000
59898..............  .................  C                 Laparo proc, ob care/         0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           deliver.
59899..............  .................  C                 Maternity care                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
60000..............  .................  A                 Drain thyroid/tongue          1.76      2.26      2.38      0.14      4.16      4.28       010
                                                           cyst.
60001..............  .................  A                 Aspirate/inject thyriod       0.97      0.36      1.58      0.06      1.39      2.61       000
                                                           cyst.
60100..............  .................  A                 Biopsy of thyroid......       1.56      0.56      2.63      0.05      2.17      4.24       000
60200..............  .................  A                 Remove thyroid lesion..       9.55      6.63        NA      0.84     17.02        NA       090
60210..............  .................  A                 Partial thyroid              10.88      6.54        NA      1.01     18.43        NA       090
                                                           excision.
60212..............  .................  A                 Parital thyroid              16.03      8.59        NA      1.51     26.13        NA       090
                                                           excision.
60220..............  .................  A                 Partial removal of           11.90      7.05        NA      0.97     19.92        NA       090
                                                           thyroid.
60225..............  .................  A                 Partial removal of           14.19      7.96        NA      1.31     23.46        NA       090
                                                           thyroid.
60240..............  .................  A                 Removal of thyroid.....      16.06      9.11        NA      1.50     26.67        NA       090
60252..............  .................  A                 Removal of thyroid.....      20.57     11.58        NA      1.63     33.78        NA       090
60254..............  .................  A                 Extensive thyroid            26.99     15.89        NA      1.96     44.84        NA       090
                                                           surgery.
60260..............  .................  A                 Repeat thyroid surgery.      17.47     10.39        NA      1.39     29.25        NA       090
60270..............  .................  A                 Removal of thyroid.....      20.27     11.95        NA      1.78     34.00        NA       090
60271..............  .................  A                 Removal of thyroid.....      16.83      9.80        NA      1.35     27.98        NA       090
60280..............  .................  A                 Remove thyroid duct           5.87      5.19        NA      0.45     11.51        NA       090
                                                           lesion.
60281..............  .................  A                 Remove thyroid duct           8.53      6.43        NA      0.67     15.63        NA       090
                                                           lesion.
60500..............  .................  A                 Explore parathyroid          16.23      7.84        NA      1.61     25.68        NA       090
                                                           glands.
60502..............  .................  A                 Re-explore parathyroids      20.35      9.63        NA      2.00     31.98        NA       090
60505..............  .................  A                 Explore parathyroid          21.49     11.03        NA      2.14     34.66        NA       090
                                                           glands.
60512..............  .................  A                 Autotransplant                4.45      1.70        NA      0.44      6.59        NA       ZZZ
                                                           parathyroid.
60520..............  .................  A                 Removal of thymus gland      16.81      9.87        NA      1.84     28.52        NA       090
60521..............  .................  A                 Removal of thymus gland      18.87     11.73        NA      2.34     32.94        NA       090
60522..............  .................  A                 Removal of thymus gland      23.09     13.10        NA      2.83     39.02        NA       090
60540..............  .................  A                 Explore adrenal gland..      17.03      7.85        NA      1.42     26.30        NA       090
60545..............  .................  A                 Explore adrenal gland..      19.88      9.55        NA      1.75     31.18        NA       090

[[Page 40465]]

 
60600..............  .................  A                 Remove carotid body          17.93     13.45        NA      1.87     33.25        NA       090
                                                           lesion.
60605..............  .................  A                 Remove carotid body          20.24     18.32        NA      2.28     40.84        NA       090
                                                           lesion.
60650..............  .................  A                 Laparoscopy                  20.00      8.26        NA      1.98     30.24        NA       090
                                                           adrenalectomy.
60659..............  .................  C                 Laparo proc, endocrine.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
60699..............  .................  C                 Endocrine surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
61000..............  .................  A                 Remove cranial cavity         1.58      1.56      1.72      0.13      3.27      3.43       000
                                                           fluid.
61001..............  .................  A                 Remove cranial cavity         1.49      1.37      1.86      0.15      3.01      3.50       000
                                                           fluid.
61020..............  .................  A                 Remove brain cavity           1.51      1.46      2.26      0.26      3.23      4.03       000
                                                           fluid.
61026..............  .................  A                 Injection into brain          1.69      1.68      2.19      0.21      3.58      4.09       000
                                                           canal.
61050..............  .................  A                 Remove brain canal            1.51      1.59        NA      0.13      3.23        NA       000
                                                           fluid.
61055..............  .................  A                 Injection into brain          2.10      1.76        NA      0.13      3.99        NA       000
                                                           canal.
61070..............  .................  A                 Brain canal shunt             0.89      1.17      6.75      0.09      2.15      7.73       000
                                                           procedure.
61105..............  .................  A                 Twist drill hole.......       5.14      3.63        NA      1.05      9.82        NA       090
61107..............  .................  A                 Drill skull for               5.00      3.13        NA      1.02      9.15        NA       000
                                                           implantation.
61108..............  .................  A                 Drill skull for              10.19      6.95        NA      2.04     19.18        NA       090
                                                           drainage.
61120..............  .................  A                 Burr hole for puncture.       8.76      5.81        NA      1.81     16.38        NA       090
61140..............  .................  A                 Pierce skull for biopsy      15.90      9.91        NA      3.15     28.96        NA       090
61150..............  .................  A                 Pierce skull for             17.57     10.63        NA      3.52     31.72        NA       090
                                                           drainage.
61151..............  .................  A                 Pierce skull for             12.42      8.26        NA      2.45     23.13        NA       090
                                                           drainage.
61154..............  .................  A                 Pierce skull & remove        14.99      9.48        NA      3.05     27.52        NA       090
                                                           clot.
61156..............  .................  A                 Pierce skull for             16.32     10.33        NA      3.42     30.07        NA       090
                                                           drainage.
61210..............  .................  A                 Pierce skull, implant         5.84      3.52        NA      1.16     10.52        NA       000
                                                           device.
61215..............  .................  A                 Insert brain-fluid            4.89      4.17        NA      0.99     10.05        NA       090
                                                           device.
61250..............  .................  A                 Pierce skull & explore.      10.42      6.70        NA      2.02     19.14        NA       090
61253..............  .................  A                 Pierce skull & explore.      12.36      7.36        NA      2.26     21.98        NA       090
61304..............  .................  A                 Open skull for               21.96     12.68        NA      4.33     38.97        NA       090
                                                           exploration.
61305..............  .................  A                 Open skull for               26.61     15.06        NA      5.25     46.92        NA       090
                                                           exploration.
61312..............  .................  A                 Open skull for drainage      24.57     14.43        NA      4.99     43.99        NA       090
61313..............  .................  A                 Open skull for drainage      24.93     14.66        NA      5.07     44.66        NA       090
61314..............  .................  A                 Open skull for drainage      24.23     12.45        NA      4.00     40.68        NA       090
61315..............  .................  A                 Open skull for drainage      27.68     16.13        NA      5.62     49.43        NA       090
61320..............  .................  A                 Open skull for drainage      25.62     15.03        NA      5.20     45.85        NA       090
61321..............  .................  A                 Open skull for drainage      28.50     16.15        NA      5.35     50.00        NA       090
61330..............  .................  A                 Decompress eye socket..      23.32     17.12        NA      2.58     43.02        NA       090
61332..............  .................  A                 Explore/biopsy eye           27.28     19.52        NA      4.15     50.95        NA       090
                                                           socket.
61333..............  .................  A                 Explore orbit/remove         27.95     16.03        NA      2.24     46.22        NA       090
                                                           lesion.
61334..............  .................  A                 Explore orbit/remove         18.27     11.86        NA      3.02     33.15        NA       090
                                                           object.
61340..............  .................  A                 Relieve cranial              18.66     11.56        NA      3.66     33.88        NA       090
                                                           pressure.
61343..............  .................  A                 Incise skull (press          29.77     17.82        NA      6.04     53.63        NA       090
                                                           relief).
61345..............  .................  A                 Relieve cranial              27.20     16.42        NA      5.23     48.85        NA       090
                                                           pressure.
61440..............  .................  A                 Incise skull for             26.63     16.16        NA      5.57     48.36        NA       090
                                                           surgery.
61450..............  .................  A                 Incise skull for             25.95     14.71        NA      5.11     45.77        NA       090
                                                           surgery.
61458..............  .................  A                 Incise skull for brain       27.29     15.81        NA      5.28     48.38        NA       090
                                                           wound.
61460..............  .................  A                 Incise skull for             28.39     16.82        NA      5.13     50.34        NA       090
                                                           surgery.
61470..............  .................  A                 Incise skull for             26.06     14.19        NA      4.65     44.90        NA       090
                                                           surgery.
61480..............  .................  A                 Incise skull for             26.49     14.00        NA      5.54     46.03        NA       090
                                                           surgery.
61490..............  .................  A                 Incise skull for             25.66     15.05        NA      5.37     46.08        NA       090
                                                           surgery.
61500..............  .................  A                 Removal of skull lesion      17.92     10.99        NA      3.26     32.17        NA       090
61501..............  .................  A                 Remove infected skull        14.84      9.17        NA      2.63     26.64        NA       090
                                                           bone.
61510..............  .................  A                 Removal of brain lesion      28.45     16.46        NA      5.77     50.68        NA       090
61512..............  .................  A                 Remove brain lining          35.09     20.04        NA      7.14     62.27        NA       090
                                                           lesion.
61514..............  .................  A                 Removal of brain             25.26     14.64        NA      5.12     45.02        NA       090
                                                           abscess.
61516..............  .................  A                 Removal of brain lesion      24.61     14.81        NA      4.94     44.36        NA       090
61518..............  .................  A                 Removal of brain lesion      37.32     22.11        NA      7.53     66.96        NA       090
61519..............  .................  A                 Remove brain lining          41.39     24.02        NA      8.15     73.56        NA       090
                                                           lesion.
61520..............  .................  A                 Removal of brain lesion      54.84     31.79        NA     10.10     96.73        NA       090
61521..............  .................  A                 Removal of brain lesion      44.48     26.00        NA      8.85     79.33        NA       090
61522..............  .................  A                 Removal of brain             29.45     17.12        NA      5.30     51.87        NA       090
                                                           abscess.
61524..............  .................  A                 Removal of brain lesion      27.86     16.60        NA      5.01     49.47        NA       090
61526..............  .................  A                 Removal of brain lesion      52.17     30.36        NA      6.72     89.25        NA       090
61530..............  .................  A                 Removal of brain lesion      43.86     27.22        NA      6.17     77.25        NA       090
61531..............  .................  A                 Implant brain                14.63      9.23        NA      2.84     26.70        NA       090
                                                           electrodes.
61533..............  .................  A                 Implant brain                19.71     12.05        NA      3.80     35.56        NA       090
                                                           electrodes.
61534..............  .................  A                 Removal of brain lesion      20.97     12.99        NA      4.15     38.11        NA       090
61535..............  .................  A                 Remove brain electrodes      11.63      7.73        NA      2.29     21.65        NA       090
61536..............  .................  A                 Removal of brain lesion      35.52     20.53        NA      6.68     62.73        NA       090
61538..............  .................  A                 Removal of brain tissue      26.81     16.08        NA      5.38     48.27        NA       090
61539..............  .................  A                 Removal of brain tissue      32.08     19.01        NA      6.62     57.71        NA       090
61541..............  .................  A                 Incision of brain            28.85     16.37        NA      5.50     50.72        NA       090
                                                           tissue.
61542..............  .................  A                 Removal of brain tissue      31.02     18.89        NA      6.49     56.40        NA       090
61543..............  .................  A                 Removal of brain tissue      29.22     17.92        NA      6.11     53.25        NA       090
61544..............  .................  A                 Remove & treat brain         25.50     12.06        NA      4.91     42.47        NA       090
                                                           lesion.
61545..............  .................  A                 Excision of brain tumor      43.80     24.74        NA      8.88     77.42        NA       090
61546..............  .................  A                 Removal of pituitary         31.30     18.26        NA      6.06     55.62        NA       090
                                                           gland.

[[Page 40466]]

 
61548..............  .................  A                 Removal of pituitary         21.53     13.57        NA      3.63     38.73        NA       090
                                                           gland.
61550..............  .................  A                 Release of skull seams.      14.65      7.59        NA      1.14     23.38        NA       090
61552..............  .................  A                 Release of skull seams.      19.56     10.42        NA      0.88     30.86        NA       090
61556..............  .................  A                 Incise skull/sutures...      22.26     12.47        NA      3.57     38.30        NA       090
61557..............  .................  A                 Incise skull/sutures...      22.38     12.86        NA      4.68     39.92        NA       090
61558..............  .................  A                 Excision of skull/           25.58     13.34        NA      2.61     41.53        NA       090
                                                           sutures.
61559..............  .................  A                 Excision of skull/           32.79     19.09        NA      6.86     58.74        NA       090
                                                           sutures.
61563..............  .................  A                 Excision of skull tumor      26.83     16.05        NA      4.46     47.34        NA       090
61564..............  .................  A                 Excision of skull tumor      33.83     19.37        NA      7.08     60.28        NA       090
61570..............  .................  A                 Remove foreign body,         24.60     13.42        NA      4.60     42.62        NA       090
                                                           brain.
61571..............  .................  A                 Incise skull for brain       26.39     15.08        NA      5.23     46.70        NA       090
                                                           wound.
61575..............  .................  A                 Skull base/brainstem         34.36     21.06        NA      5.02     60.44        NA       090
                                                           surgery.
61576..............  .................  A                 Skull base/brainstem         52.43     29.82        NA      4.68     86.93        NA       090
                                                           surgery.
61580..............  .................  A                 Craniofacial approach,       30.35     19.50        NA      2.75     52.60        NA       090
                                                           skull.
61581..............  .................  A                 Craniofacial approach,       34.60     21.70        NA      3.37     59.67        NA       090
                                                           skull.
61582..............  .................  A                 Craniofacial approach,       31.66     19.38        NA      6.30     57.34        NA       090
                                                           skull.
61583..............  .................  A                 Craniofacial approach,       36.21     22.33        NA      6.94     65.48        NA       090
                                                           skull.
61584..............  .................  A                 Orbitocranial approach/      34.65     20.92        NA      6.53     62.10        NA       090
                                                           skull.
61585..............  .................  A                 Orbitocranial approach/      38.61     22.75        NA      6.19     67.55        NA       090
                                                           skull.
61586..............  .................  A                 Resect nasopharynx,          25.10     16.18        NA      3.52     44.80        NA       090
                                                           skull.
61590..............  .................  A                 Infratemporal approach/      41.78     25.75        NA      4.28     71.81        NA       090
                                                           skull.
61591..............  .................  A                 Infratemporal approach/      43.68     26.81        NA      5.26     75.75        NA       090
                                                           skull.
61592..............  .................  A                 Orbitocranial approach/      39.64     23.45        NA      7.55     70.64        NA       090
                                                           skull.
61595..............  .................  A                 Transtemporal approach/      29.57     19.37        NA      3.05     51.99        NA       090
                                                           skull.
61596..............  .................  A                 Transcochlear approach/      35.63     22.22        NA      4.25     62.10        NA       090
                                                           skull.
61597..............  .................  A                 Transcondylar approach/      37.96     21.94        NA      6.65     66.55        NA       090
                                                           skull.
61598..............  .................  A                 Transpetrosal approach/      33.41     20.82        NA      4.60     58.83        NA       090
                                                           skull.
61600..............  .................  A                 Resect/excise cranial        25.85     16.64        NA      3.12     45.61        NA       090
                                                           lesion.
61601..............  .................  A                 Resect/excise cranial        27.89     17.15        NA      5.29     50.33        NA       090
                                                           lesion.
61605..............  .................  A                 Resect/excise cranial        29.33     18.58        NA      2.51     50.42        NA       090
                                                           lesion.
61606..............  .................  A                 Resect/excise cranial        38.83     23.30        NA      6.81     68.94        NA       090
                                                           lesion.
61607..............  .................  A                 Resect/excise cranial        36.27     21.90        NA      5.69     63.86        NA       090
                                                           lesion.
61608..............  .................  A                 Resect/excise cranial        42.10     24.57        NA      8.31     74.98        NA       090
                                                           lesion.
61609..............  .................  A                 Transect artery, sinus.       9.89      4.61        NA      2.07     16.57        NA       ZZZ
61610..............  .................  A                 Transect artery, sinus.      29.67     12.80        NA      3.52     45.99        NA       ZZZ
61611..............  .................  A                 Transect artery, sinus.       7.42      2.93        NA      1.55     11.90        NA       ZZZ
61612..............  .................  A                 Transect artery, sinus.      27.88     14.33        NA      3.55     45.76        NA       ZZZ
61613..............  .................  A                 Remove aneurysm, sinus.      40.86     24.08        NA      8.32     73.26        NA       090
61615..............  .................  A                 Resect/excise lesion,        32.07     20.45        NA      4.64     57.16        NA       090
                                                           skull.
61616..............  .................  A                 Resect/excise lesion,        43.33     27.05        NA      7.02     77.40        NA       090
                                                           skull.
61618..............  .................  A                 Repair dura............      16.99     11.22        NA      2.92     31.13        NA       090
61619..............  .................  A                 Repair dura............      20.71     13.26        NA      3.42     37.39        NA       090
61624..............  .................  A                 Occlusion/embolization       20.15      7.28        NA      1.15     28.58        NA       000
                                                           cath.
61626..............  .................  A                 Occlusion/embolization       16.62      5.88        NA      0.84     23.34        NA       000
                                                           cath.
61680..............  .................  A                 Intracranial vessel          30.71     18.55        NA      6.04     55.30        NA       090
                                                           surgery.
61682..............  .................  A                 Intracranial vessel          61.57     34.03        NA     12.69    108.29        NA       090
                                                           surgery.
61684..............  .................  A                 Intracranial vessel          39.81     22.06        NA      7.87     69.74        NA       090
                                                           surgery.
61686..............  .................  A                 Intracranial vessel          64.49     36.32        NA     13.20    114.01        NA       090
                                                           surgery.
61690..............  .................  A                 Intracranial vessel          29.31     17.73        NA      5.51     52.55        NA       090
                                                           surgery.
61692..............  .................  A                 Intracranial vessel          51.87     29.41        NA     10.17     91.45        NA       090
                                                           surgery.
61697..............  .................  A                 Brain aneurysm repr,         50.52     28.07        NA      9.57     88.16        NA       090
                                                           complx.
61698..............  .................  A                 Brain aneurysm repr,         48.41     27.18        NA      9.28     84.87        NA       090
                                                           complx.
61700..............  .................  A                 Brain aneurysm repr ,        50.52     28.07        NA     10.18     88.77        NA       090
                                                           simple.
61702..............  .................  A                 Inner skull vessel           48.41     27.18        NA      9.75     85.34        NA       090
                                                           surgery.
61703..............  .................  A                 Clamp neck artery......      17.47     11.04        NA      3.62     32.13        NA       090
61705..............  .................  A                 Revise circulation to        36.20     20.39        NA      6.67     63.26        NA       090
                                                           head.
61708..............  .................  A                 Revise circulation to        35.30     16.07        NA      2.18     53.55        NA       090
                                                           head.
61710..............  .................  A                 Revise circulation to        29.67     14.41        NA      2.42     46.50        NA       090
                                                           head.
61711..............  .................  A                 Fusion of skull              36.33     20.11        NA      7.39     63.83        NA       090
                                                           arteries.
61720..............  .................  A                 Incise skull/brain           16.77     10.75        NA      3.51     31.03        NA       090
                                                           surgery.
61735..............  .................  A                 Incise skull/brain           20.43     12.67        NA      4.16     37.26        NA       090
                                                           surgery.
61750..............  .................  A                 Incise skull/brain           18.20     11.09        NA      3.71     33.00        NA       090
                                                           biopsy.
61751..............  .................  A                 Brain biopsy w/ ct/mr        17.62     10.82        NA      3.57     32.01        NA       090
                                                           guide.
61760..............  .................  A                 Implant brain                22.27     13.25        NA      4.59     40.11        NA       090
                                                           electrodes.
61770..............  .................  A                 Incise skull for             21.44     12.86        NA      4.09     38.39        NA       090
                                                           treatment.
61790..............  .................  A                 Treat trigeminal nerve.      10.86      6.17        NA      1.82     18.85        NA       090
61791..............  .................  A                 Treat trigeminal tract.      14.61      9.33        NA      3.03     26.97        NA       090
61793..............  .................  A                 Focus radiation beam...      17.24     10.92        NA      3.51     31.67        NA       090
61795..............  .................  A                 Brain surgery using           4.04      2.12        NA      0.81      6.97        NA       ZZZ
                                                           computer.
61850..............  .................  A                 Implant neuroelectrodes      12.39      8.00        NA      2.23     22.62        NA       090
61860..............  .................  A                 Implant neuroelectrodes      20.87     12.80        NA      4.04     37.71        NA       090
61862..............  .................  A                 Implant neurostimul,         19.34     12.05        NA      3.97     35.36        NA       090
                                                           subcort.
61870..............  .................  A                 Implant neuroelectrodes      14.94     11.37        NA      1.70     28.01        NA       090
61875..............  .................  A                 Implant neuroelectrodes      15.06      9.86        NA      2.42     27.34        NA       090

[[Page 40467]]

 
61880..............  .................  A                 Revise/remove                 6.29      5.20        NA      1.31     12.80        NA       090
                                                           neuroelectrode.
61885..............  .................  A                 Implant neurostim one         5.85      4.26        NA      1.22     11.33        NA       090
                                                           array.
61886..............  .................  A                 Implant neurostim             8.00      6.07        NA      1.64     15.71        NA       090
                                                           arrays.
61888..............  .................  A                 Revise/remove                 5.07      3.86        NA      1.04      9.97        NA       010
                                                           neuroreceiver.
62000..............  .................  A                 Treat skull fracture...      12.53      5.48        NA      0.87     18.88        NA       090
62005..............  .................  A                 Treat skull fracture...      16.17      9.04        NA      2.33     27.54        NA       090
62010..............  .................  A                 Treatment of head            19.81     11.71        NA      4.05     35.57        NA       090
                                                           injury.
62100..............  .................  A                 Repair brain fluid           22.03     13.99        NA      4.07     40.09        NA       090
                                                           leakage.
62115..............  .................  A                 Reduction of skull           21.66     10.54        NA      4.53     36.73        NA       090
                                                           defect.
62116..............  .................  A                 Reduction of skull           23.59     13.81        NA      4.85     42.25        NA       090
                                                           defect.
62117..............  .................  A                 Reduction of skull           26.60     15.24        NA      5.56     47.40        NA       090
                                                           defect.
62120..............  .................  A                 Repair skull cavity          23.35     14.11        NA      3.07     40.53        NA       090
                                                           lesion.
62121..............  .................  A                 Incise skull repair....      21.58     13.89        NA      2.47     37.94        NA       090
62140..............  .................  A                 Repair of skull defect.      13.51      8.60        NA      2.60     24.71        NA       090
62141..............  .................  A                 Repair of skull defect.      14.91      9.74        NA      2.85     27.50        NA       090
62142..............  .................  A                 Remove skull plate/flap      10.79      7.22        NA      2.10     20.11        NA       090
62143..............  .................  A                 Replace skull plate/         13.05      8.70        NA      2.55     24.30        NA       090
                                                           flap.
62145..............  .................  A                 Repair of skull & brain      18.82     11.37        NA      3.81     34.00        NA       090
62146..............  .................  A                 Repair of skull with         16.12     10.46        NA      2.94     29.52        NA       090
                                                           graft.
62147..............  .................  A                 Repair of skull with         19.34     12.26        NA      3.64     35.24        NA       090
                                                           graft.
62180..............  .................  A                 Establish brain cavity       21.06     12.91        NA      4.32     38.29        NA       090
                                                           shunt.
62190..............  .................  A                 Establish brain cavity       11.07      7.68        NA      2.18     20.93        NA       090
                                                           shunt.
62192..............  .................  A                 Establish brain cavity       12.25      8.21        NA      2.46     22.92        NA       090
                                                           shunt.
62194..............  .................  A                 Replace/irrigate              5.03      2.11        NA      0.50      7.64        NA       010
                                                           catheter.
62200..............  .................  A                 Establish brain cavity       18.32     11.46        NA      3.70     33.48        NA       090
                                                           shunt.
62201..............  .................  A                 Establish brain cavity       14.86      9.19        NA      2.52     26.57        NA       090
                                                           shunt.
62220..............  .................  A                 Establish brain cavity       13.00      8.63        NA      2.53     24.16        NA       090
                                                           shunt.
62223..............  .................  A                 Establish brain cavity       12.87      8.45        NA      2.58     23.90        NA       090
                                                           shunt.
62225..............  .................  A                 Replace/irrigate              5.41      4.05        NA      1.09     10.55        NA       090
                                                           catheter.
62230..............  .................  A                 Replace/revise brain         10.54      6.61        NA      2.10     19.25        NA       090
                                                           shunt.
62252..............  .................  A                 Csf shunt reprogram....       0.74        NA      1.38      0.04        NA      2.16       XXX
62252..............  26                 A                 Csf shunt reprogram....       0.74      0.29      0.29      0.02      1.05      1.05       XXX
62252..............  TC                 A                 Csf shunt reprogram....       0.00        NA      1.09      0.02        NA      1.11       XXX
62256..............  .................  A                 Remove brain cavity           6.60      5.30        NA      1.34     13.24        NA       090
                                                           shunt.
62258..............  .................  A                 Replace brain cavity         14.54      8.70        NA      2.91     26.15        NA       090
                                                           shunt.
62263..............  .................  A                 Lysis epidural                6.14      2.27      5.65      0.42      8.83     12.21       010
                                                           adhesions.
62268..............  .................  A                 Drain spinal cord cyst.       4.74      2.74        NA      0.29      7.77        NA       000
62269..............  .................  A                 Needle biopsy, spinal         5.02      2.35        NA      0.29      7.66        NA       000
                                                           cord.
62270..............  .................  A                 Spinal fluid tap,             1.13      0.48      3.78      0.06      1.67      4.97       000
                                                           diagnostic.
62272..............  .................  A                 Drain spinal fluid.....       1.35      0.62      3.26      0.13      2.10      4.74       000
62273..............  .................  A                 Treat epidural spine          2.15      1.27      1.31      0.14      3.56      3.60       000
                                                           lesion.
62280..............  .................  A                 Treat spinal cord             2.63      0.70      3.38      0.17      3.50      6.18       010
                                                           lesion.
62281..............  .................  A                 Treat spinal cord             2.66      0.61      3.81      0.16      3.43      6.63       010
                                                           lesion.
62282..............  .................  A                 Treat spinal canal            2.33      0.61      5.23      0.14      3.08      7.70       010
                                                           lesion.
62284..............  .................  A                 Injection for myelogram       1.54      0.71      4.39      0.10      2.35      6.03       000
62287..............  .................  A                 Percutaneous diskectomy       8.08      4.74        NA      0.66     13.48        NA       090
62290..............  .................  A                 Inject for spine disk x-      3.00      1.27      5.68      0.20      4.47      8.88       000
                                                           ray.
62291..............  .................  A                 Inject for spine disk x-      2.91      1.16      5.74      0.17      4.24      8.82       000
                                                           ray.
62292..............  .................  A                 Injection into disk           7.86      4.76        NA      0.65     13.27        NA       090
                                                           lesion.
62294..............  .................  A                 Injection into spinal        11.83      6.17        NA      0.85     18.85        NA       090
                                                           artery.
62310..............  .................  A                 Inject spine c/t.......       1.94      0.42      3.61      0.11      2.47      5.66       000
62311..............  .................  A                 Inject spine l/s (cd)..       1.57      0.36      3.87      0.09      2.02      5.53       000
62318..............  .................  A                 Inject spine w/cath, c/       2.08      0.46      3.70      0.12      2.66      5.90       000
                                                           t.
62319..............  .................  A                 Inject spine w/cath l/s       1.90      0.39      3.18      0.11      2.40      5.19       000
                                                           (cd).
62350..............  .................  A                 Implant spinal canal          6.87      3.70        NA      0.64     11.21        NA       090
                                                           cath.
62351..............  .................  A                 Implant spinal canal         10.00      6.77        NA      1.79     18.56        NA       090
                                                           cath.
62355..............  .................  A                 Remove spinal canal           5.45      2.80        NA      0.47      8.72        NA       090
                                                           catheter.
62360..............  .................  A                 Insert spine infusion         2.62      2.22        NA      0.21      5.05        NA       090
                                                           device.
62361..............  .................  A                 Implant spine infusion        5.42      3.54        NA      0.50      9.46        NA       090
                                                           pump.
62362..............  .................  A                 Implant spine infusion        7.04      4.08        NA      0.86     11.98        NA       090
                                                           pump.
62365..............  .................  A                 Remove spine infusion         5.42      3.06        NA      0.58      9.06        NA       090
                                                           device.
62367..............  .................  C                 Analyze spine infusion        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
62367..............  26                 A                 Analyze spine infusion        0.48      0.14      0.14      0.03      0.65      0.65       XXX
                                                           pump.
62367..............  TC                 C                 Analyze spine infusion        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
62368..............  .................  C                 Analyze spine infusion        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
62368..............  26                 A                 Analyze spine infusion        0.75      0.20      0.20      0.05      1.00      1.00       XXX
                                                           pump.
62368..............  TC                 C                 Analyze spine infusion        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
63001..............  .................  A                 Removal of spinal            15.82     11.55        NA      3.03     30.40        NA       090
                                                           lamina.
63003..............  .................  A                 Removal of spinal            15.95     11.68        NA      2.98     30.61        NA       090
                                                           lamina.
63005..............  .................  A                 Removal of spinal            14.92     11.16        NA      2.62     28.70        NA       090
                                                           lamina.
63011..............  .................  A                 Removal of spinal            14.52      9.38        NA      1.43     25.33        NA       090
                                                           lamina.
63012..............  .................  A                 Removal of spinal            15.40     10.10        NA      2.71     28.21        NA       090
                                                           lamina.
63015..............  .................  A                 Removal of spinal            19.35     13.43        NA      3.84     36.62        NA       090
                                                           lamina.
63016..............  .................  A                 Removal of spinal            19.20     13.38        NA      3.62     36.20        NA       090
                                                           lamina.

[[Page 40468]]

 
63017..............  .................  A                 Removal of spinal            15.94     11.68        NA      2.91     30.53        NA       090
                                                           lamina.
63020..............  .................  A                 Neck spine disk surgery      14.81     11.10        NA      2.89     28.80        NA       090
63030..............  .................  A                 Low back disk surgery..      12.00      9.64        NA      2.21     23.85        NA       090
63035..............  .................  A                 Spinal disk surgery add-      3.15      1.66        NA      0.57      5.38        NA       ZZZ
                                                           on.
63040..............  .................  A                 Laminotomy, single           18.81     13.04        NA      3.36     35.21        NA       090
                                                           cervical.
63042..............  .................  A                 Laminotomy, single           17.47     12.65        NA      3.11     33.23        NA       090
                                                           lumbar.
63043..............  .................  C                 Laminotomy, addl              0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
                                                           cervical.
63044..............  .................  C                 Laminotomy, addl lumbar       0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
63045..............  .................  A                 Removal of spinal            16.50     11.99        NA      3.19     31.68        NA       090
                                                           lamina.
63046..............  .................  A                 Removal of spinal            15.80     11.64        NA      2.89     30.33        NA       090
                                                           lamina.
63047..............  .................  A                 Removal of spinal            14.61     11.09        NA      2.61     28.31        NA       090
                                                           lamina.
63048..............  .................  A                 Remove spinal lamina          3.26      1.75        NA      0.58      5.59        NA       ZZZ
                                                           add-on.
63055..............  .................  A                 Decompress spinal cord.      21.99     14.82        NA      4.09     40.90        NA       090
63056..............  .................  A                 Decompress spinal cord.      20.36     14.12        NA      3.34     37.82        NA       090
63057..............  .................  A                 Decompress spine cord         5.26      2.69        NA      0.81      8.76        NA       ZZZ
                                                           add-on.
63064..............  .................  A                 Decompress spinal cord.      24.61     16.74        NA      4.72     46.07        NA       090
63066..............  .................  A                 Decompress spine cord         3.26      1.76        NA      0.63      5.65        NA       ZZZ
                                                           add-on.
63075..............  .................  A                 Neck spine disk surgery      19.41     13.57        NA      3.73     36.71        NA       090
63076..............  .................  A                 Neck spine disk surgery       4.05      2.16        NA      0.78      6.99        NA       ZZZ
63077..............  .................  A                 Spine disk surgery,          21.44     14.91        NA      3.44     39.79        NA       090
                                                           thorax.
63078..............  .................  A                 Spine disk surgery,           3.28      1.70        NA      0.50      5.48        NA       ZZZ
                                                           thorax.
63081..............  .................  A                 Removal of vertebral         23.73     16.42        NA      4.46     44.61        NA       090
                                                           body.
63082..............  .................  A                 Remove vertebral body         4.37      2.34        NA      0.82      7.53        NA       ZZZ
                                                           add-on.
63085..............  .................  A                 Removal of vertebral         26.92     17.85        NA      4.70     49.47        NA       090
                                                           body.
63086..............  .................  A                 Remove vertebral body         3.19      1.66        NA      0.55      5.40        NA       ZZZ
                                                           add-on.
63087..............  .................  A                 Removal of vertebral         35.57     21.93        NA      5.87     63.37        NA       090
                                                           body.
63088..............  .................  A                 Remove vertebral body         4.33      2.28        NA      0.77      7.38        NA       ZZZ
                                                           add-on.
63090..............  .................  A                 Removal of vertebral         28.16     17.88        NA      4.27     50.31        NA       090
                                                           body.
63091..............  .................  A                 Remove vertebral body         3.03      1.52        NA      0.45      5.00        NA       ZZZ
                                                           add-on.
63170..............  .................  A                 Incise spinal cord           19.83     13.68        NA      3.89     37.40        NA       090
                                                           tract(s).
63172..............  .................  A                 Drainage of spinal cyst      17.66     13.11        NA      3.46     34.23        NA       090
63173..............  .................  A                 Drainage of spinal cyst      21.99     14.91        NA      4.14     41.04        NA       090
63180..............  .................  A                 Revise spinal cord           18.27     12.45        NA      3.83     34.55        NA       090
                                                           ligaments.
63182..............  .................  A                 Revise spinal cord           20.50     12.80        NA      3.48     36.78        NA       090
                                                           ligaments.
63185..............  .................  A                 Incise spinal column/        15.04      9.84        NA      2.08     26.96        NA       090
                                                           nerves.
63190..............  .................  A                 Incise spinal column/        17.45     12.01        NA      2.88     32.34        NA       090
                                                           nerves.
63191..............  .................  A                 Incise spinal column/        17.54     12.40        NA      3.50     33.44        NA       090
                                                           nerves.
63194..............  .................  A                 Incise spinal column &       19.19     13.15        NA      4.01     36.35        NA       090
                                                           cord.
63195..............  .................  A                 Incise spinal column &       18.84     12.11        NA      3.44     34.39        NA       090
                                                           cord.
63196..............  .................  A                 Incise spinal column &       22.30     12.35        NA      4.66     39.31        NA       090
                                                           cord.
63197..............  .................  A                 Incise spinal column &       21.11     13.76        NA      4.42     39.29        NA       090
                                                           cord.
63198..............  .................  A                 Incise spinal column &       25.38     13.57        NA      5.31     44.26        NA       090
                                                           cord.
63199..............  .................  A                 Incise spinal column &       26.89     14.17        NA      5.62     46.68        NA       090
                                                           cord.
63200..............  .................  A                 Release of spinal cord.      19.18     13.16        NA      3.61     35.95        NA       090
63250..............  .................  A                 Revise spinal cord           40.76     20.99        NA      7.65     69.40        NA       090
                                                           vessels.
63251..............  .................  A                 Revise spinal cord           41.20     23.28        NA      7.98     72.46        NA       090
                                                           vessels.
63252..............  .................  A                 Revise spinal cord           41.19     22.61        NA      7.75     71.55        NA       090
                                                           vessels.
63265..............  .................  A                 Excise intraspinal           21.56     13.21        NA      4.29     39.06        NA       090
                                                           lesion.
63266..............  .................  A                 Excise intraspinal           22.30     13.55        NA      4.47     40.32        NA       090
                                                           lesion.
63267..............  .................  A                 Excise intraspinal           17.95     11.36        NA      3.50     32.81        NA       090
                                                           lesion.
63268..............  .................  A                 Excise intraspinal           18.52     10.91        NA      3.18     32.61        NA       090
                                                           lesion.
63270..............  .................  A                 Excise intraspinal           26.80     16.01        NA      5.41     48.22        NA       090
                                                           lesion.
63271..............  .................  A                 Excise intraspinal           26.92     16.14        NA      5.56     48.62        NA       090
                                                           lesion.
63272..............  .................  A                 Excise intraspinal           25.32     15.26        NA      5.07     45.65        NA       090
                                                           lesion.
63273..............  .................  A                 Excise intraspinal           24.29     14.68        NA      5.08     44.05        NA       090
                                                           lesion.
63275..............  .................  A                 Biopsy/excise spinal         23.68     14.18        NA      4.68     42.54        NA       090
                                                           tumor.
63276..............  .................  A                 Biopsy/excise spinal         23.45     14.11        NA      4.63     42.19        NA       090
                                                           tumor.
63277..............  .................  A                 Biopsy/excise spinal         20.83     12.87        NA      4.03     37.73        NA       090
                                                           tumor.
63278..............  .................  A                 Biopsy/excise spinal         20.56     12.49        NA      4.02     37.07        NA       090
                                                           tumor.
63280..............  .................  A                 Biopsy/excise spinal         28.35     16.74        NA      5.80     50.89        NA       090
                                                           tumor.
63281..............  .................  A                 Biopsy/excise spinal         28.05     16.50        NA      5.67     50.22        NA       090
                                                           tumor.
63282..............  .................  A                 Biopsy/excise spinal         26.39     15.69        NA      5.33     47.41        NA       090
                                                           tumor.
63283..............  .................  A                 Biopsy/excise spinal         25.00     14.89        NA      5.12     45.01        NA       090
                                                           tumor.
63285..............  .................  A                 Biopsy/excise spinal         36.00     20.43        NA      7.31     63.74        NA       090
                                                           tumor.
63286..............  .................  A                 Biopsy/excise spinal         35.63     20.55        NA      7.07     63.25        NA       090
                                                           tumor.
63287..............  .................  A                 Biopsy/excise spinal         36.70     20.93        NA      7.48     65.11        NA       090
                                                           tumor.
63290..............  .................  A                 Biopsy/excise spinal         37.38     21.51        NA      7.65     66.54        NA       090
                                                           tumor.
63300..............  .................  A                 Removal of vertebral         24.43     14.89        NA      4.78     44.10        NA       090
                                                           body.
63301..............  .................  A                 Removal of vertebral         27.60     15.85        NA      5.03     48.48        NA       090
                                                           body.
63302..............  .................  A                 Removal of vertebral         27.81     15.89        NA      5.25     48.95        NA       090
                                                           body.
63303..............  .................  A                 Removal of vertebral         30.50     17.46        NA      5.21     53.17        NA       090
                                                           body.
63304..............  .................  A                 Removal of vertebral         30.33     16.32        NA      4.72     51.37        NA       090
                                                           body.
63305..............  .................  A                 Removal of vertebral         32.03     18.86        NA      5.39     56.28        NA       090
                                                           body.
63306..............  .................  A                 Removal of vertebral         32.22     17.06        NA      2.39     51.67        NA       090
                                                           body.

[[Page 40469]]

 
63307..............  .................  A                 Removal of vertebral         31.63     18.18        NA      4.23     54.04        NA       090
                                                           body.
63308..............  .................  A                 Remove vertebral body         5.25      2.77        NA      1.01      9.03        NA       ZZZ
                                                           add-on.
63600..............  .................  A                 Remove spinal cord           14.02      5.95        NA      1.22     21.19        NA       090
                                                           lesion.
63610..............  .................  A                 Stimulation of spinal         8.73      5.07        NA      0.43     14.23        NA       000
                                                           cord.
63615..............  .................  A                 Remove lesion of spinal      16.28     10.42        NA      2.85     29.55        NA       090
                                                           cord.
63650..............  .................  A                 Implant neuroelectrodes       6.74      3.03        NA      0.48     10.25        NA       090
63655..............  .................  A                 Implant neuroelectrodes      10.29      7.11        NA      1.85     19.25        NA       090
63660..............  .................  A                 Revise/remove                 6.16      3.66        NA      0.65     10.47        NA       090
                                                           neuroelectrode.
63685..............  .................  A                 Implant neuroreceiver..       7.04      4.40        NA      0.96     12.40        NA       090
63688..............  .................  A                 Revise/remove                 5.39      3.68        NA      0.70      9.77        NA       090
                                                           neuroreceiver.
63700..............  .................  A                 Repair of spinal             16.53     10.39        NA      2.69     29.61        NA       090
                                                           herniation.
63702..............  .................  A                 Repair of spinal             18.48     10.70        NA      1.36     30.54        NA       090
                                                           herniation.
63704..............  .................  A                 Repair of spinal             21.18     12.18        NA      3.84     37.20        NA       090
                                                           herniation.
63706..............  .................  A                 Repair of spinal             24.11     14.00        NA      4.73     42.84        NA       090
                                                           herniation.
63707..............  .................  A                 Repair spinal fluid          11.26      7.85        NA      1.96     21.07        NA       090
                                                           leakage.
63709..............  .................  A                 Repair spinal fluid          14.32      9.62        NA      2.49     26.43        NA       090
                                                           leakage.
63710..............  .................  A                 Graft repair of spine        14.07      9.36        NA      2.61     26.04        NA       090
                                                           defect.
63740..............  .................  A                 Install spinal shunt...      11.36      7.56        NA      2.15     21.07        NA       090
63741..............  .................  A                 Install spinal shunt...       8.25      4.72        NA      1.05     14.02        NA       090
63744..............  .................  A                 Revision of spinal            8.10      5.49        NA      1.51     15.10        NA       090
                                                           shunt.
63746..............  .................  A                 Removal of spinal shunt       6.43      4.53        NA      1.15     12.11        NA       090
64400..............  .................  A                 Injection for nerve           1.11      0.27      2.55      0.06      1.44      3.72       000
                                                           block.
64402..............  .................  A                 Injection for nerve           1.25      0.44      4.03      0.07      1.76      5.35       000
                                                           block.
64405..............  .................  A                 Injection for nerve           1.32      0.31      2.53      0.08      1.71      3.93       000
                                                           block.
64408..............  .................  A                 Injection for nerve           1.41      0.70      2.77      0.09      2.20      4.27       000
                                                           block.
64410..............  .................  A                 Injection for nerve           1.43      0.30      2.45      0.08      1.81      3.96       000
                                                           block.
64412..............  .................  A                 Injection for nerve           1.18      0.27      2.56      0.08      1.53      3.82       000
                                                           block.
64413..............  .................  A                 Injection for nerve           1.40      0.36      2.79      0.09      1.85      4.28       000
                                                           block.
64415..............  .................  A                 Injection for nerve           1.48      0.31      2.62      0.08      1.87      4.18       000
                                                           block.
64417..............  .................  A                 Injection for nerve           1.44      0.33      2.57      0.09      1.86      4.10       000
                                                           block.
64418..............  .................  A                 Injection for nerve           1.32      0.29      2.34      0.07      1.68      3.73       000
                                                           block.
64420..............  .................  A                 Injection for nerve           1.18      0.27      2.33      0.07      1.52      3.58       000
                                                           block.
64421..............  .................  A                 Injection for nerve           1.68      0.38      2.74      0.10      2.16      4.52       000
                                                           block.
64425..............  .................  A                 Injection for nerve           1.75      0.40      2.30      0.11      2.26      4.16       000
                                                           block.
64430..............  .................  A                 Injection for nerve           1.46      0.43      2.60      0.11      2.00      4.17       000
                                                           block.
64435..............  .................  A                 Injection for nerve           1.45      0.57      2.88      0.15      2.17      4.48       000
                                                           block.
64445..............  .................  A                 Injection for nerve           1.48      0.34      3.25      0.08      1.90      4.81       000
                                                           block.
64450..............  .................  A                 Injection for nerve           1.27      0.33      1.60      0.08      1.68      2.95       000
                                                           block.
64470..............  .................  A                 Inj paravertebral c/t..       1.85      0.50      3.84      0.12      2.47      5.81       000
64472..............  .................  A                 Inj paravertebral c/t         1.29      0.35      3.50      0.09      1.73      4.88       ZZZ
                                                           add-on.
64475..............  .................  A                 Inj paravertebral l/s..       1.41      0.38      3.67      0.09      1.88      5.17       000
64476..............  .................  A                 Inj paravertebral l/s         0.98      0.26      4.03      0.06      1.30      5.07       ZZZ
                                                           add-on.
64479..............  .................  A                 Inj foramen epidural c/       2.20      0.62      3.97      0.14      2.96      6.31       000
                                                           t.
64480..............  .................  A                 Inj foramen epidural          1.54      0.42      4.11      0.09      2.05      5.74       ZZZ
                                                           add-on.
64483..............  .................  A                 Inj foramen epidural l/       1.90      0.53      3.85      0.12      2.55      5.87       000
                                                           s.
64484..............  .................  A                 Inj foramen epidural          1.33      0.36      4.02      0.08      1.77      5.43       ZZZ
                                                           add-on.
64505..............  .................  A                 Injection for nerve           1.36      0.35      2.23      0.08      1.79      3.67       000
                                                           block.
64508..............  .................  A                 Injection for nerve           1.12      0.37      2.82      0.06      1.55      4.00       000
                                                           block.
64510..............  .................  A                 Injection for nerve           1.22      0.26      2.54      0.07      1.55      3.83       000
                                                           block.
64520..............  .................  A                 Injection for nerve           1.35      0.29      3.48      0.08      1.72      4.91       000
                                                           block.
64530..............  .................  A                 Injection for nerve           1.58      0.36      3.14      0.09      2.03      4.81       000
                                                           block.
64550..............  .................  A                 Apply neurostimulator..       0.18      0.05      0.51      0.01      0.24      0.70       000
64553..............  .................  A                 Implant neuroelectrodes       2.31      1.29      4.86      0.17      3.77      7.34       010
64555..............  .................  A                 Implant neuroelectrodes       2.27      0.71      2.41      0.11      3.09      4.79       010
64560..............  .................  A                 Implant neuroelectrodes       2.36      0.87      2.44      0.17      3.40      4.97       010
64565..............  .................  A                 Implant neuroelectrodes       1.76      0.62      3.16      0.08      2.46      5.00       010
64573..............  .................  A                 Implant neuroelectrodes       7.50      5.42        NA      1.48     14.40        NA       090
64575..............  .................  A                 Implant neuroelectrodes       4.35      3.19        NA      0.37      7.91        NA       090
64577..............  .................  A                 Implant neuroelectrodes       4.62      3.58        NA      0.50      8.70        NA       090
64580..............  .................  A                 Implant neuroelectrodes       4.12      4.22        NA      0.21      8.55        NA       090
64585..............  .................  A                 Revise/remove                 2.06      2.17      2.75      0.29      4.52      5.10       010
                                                           neuroelectrode.
64590..............  .................  A                 Implant neuroreceiver..       2.40      2.36        NA      0.40      5.16        NA       010
64595..............  .................  A                 Revise/remove                 1.73      2.07        NA      0.22      4.02        NA       010
                                                           neuroreceiver.
64600..............  .................  A                 Injection treatment of        3.45      2.07      3.11      0.28      5.80      6.84       010
                                                           nerve.
64605..............  .................  A                 Injection treatment of        5.61      2.80      4.14      0.53      8.94     10.28       010
                                                           nerve.
64610..............  .................  A                 Injection treatment of        7.16      3.79        NA      1.12     12.07        NA       010
                                                           nerve.
64612..............  .................  A                 Destroy nerve, face           1.96      1.60      2.84      0.09      3.65      4.89       010
                                                           muscle.
64613..............  .................  A                 Destroy nerve, spine          1.96      1.46      1.77      0.10      3.52      3.83       010
                                                           muscle.
64614..............  .................  A                 Destroy nerve, extrem         2.20      0.80      3.56      0.16      3.16      5.92       010
                                                           musc.
64620..............  .................  A                 Injection treatment of        2.84      0.68      2.94      0.17      3.69      5.95       010
                                                           nerve.
64622..............  .................  A                 Destr paravertebrl            3.00      0.73      4.38      0.17      3.90      7.55       010
                                                           nerve l/s.
64623..............  .................  A                 Destr paravertebral n         0.99      0.24      3.46      0.06      1.29      4.51       ZZZ
                                                           add-on.
64626..............  .................  A                 Destr paravertebrl            3.28      0.88      3.84      0.22      4.38      7.34       010
                                                           nerve c/t.
64627..............  .................  A                 Destr paravertebral n         1.16      0.31      3.19      0.08      1.55      4.43       ZZZ
                                                           add-on.

[[Page 40470]]

 
64630..............  .................  A                 Injection treatment of        3.00      0.79      3.61      0.16      3.95      6.77       010
                                                           nerve.
64640..............  .................  A                 Injection treatment of        2.76      1.01      5.49      0.11      3.88      8.36       010
                                                           nerve.
64680..............  .................  A                 Injection treatment of        2.62      0.65      2.82      0.15      3.42      5.59       010
                                                           nerve.
64702..............  .................  A                 Revise finger/toe nerve       4.23      3.78        NA      0.51      8.52        NA       090
64704..............  .................  A                 Revise hand/foot nerve.       4.57      3.14        NA      0.59      8.30        NA       090
64708..............  .................  A                 Revise arm/leg nerve...       6.12      4.90        NA      0.82     11.84        NA       090
64712..............  .................  A                 Revision of sciatic           7.75      5.01        NA      0.54     13.30        NA       090
                                                           nerve.
64713..............  .................  A                 Revision of arm              11.00      5.85        NA      1.01     17.86        NA       090
                                                           nerve(s).
64714..............  .................  A                 Revise low back              10.33      3.99        NA      0.64     14.96        NA       090
                                                           nerve(s).
64716..............  .................  A                 Revision of cranial           6.31      5.01        NA      0.59     11.91        NA       090
                                                           nerve.
64718..............  .................  A                 Revise ulnar nerve at         5.99      5.00        NA      0.87     11.86        NA       090
                                                           elbow.
64719..............  .................  A                 Revise ulnar nerve at         4.85      4.51        NA      0.63      9.99        NA       090
                                                           wrist.
64721..............  .................  A                 Carpal tunnel surgery..       4.29      5.65      5.97      0.59     10.53     10.85       090
64722..............  .................  A                 Relieve pressure on           4.70      3.02        NA      0.32      8.04        NA       090
                                                           nerve(s).
64726..............  .................  A                 Release foot/toe nerve.       4.18      3.03        NA      0.57      7.78        NA       090
64727..............  .................  A                 Internal nerve revision       3.10      1.62        NA      0.40      5.12        NA       ZZZ
64732..............  .................  A                 Incision of brow nerve.       4.41      3.46        NA      0.77      8.64        NA       090
64734..............  .................  A                 Incision of cheek nerve       4.92      3.53        NA      0.83      9.28        NA       090
64736..............  .................  A                 Incision of chin nerve.       4.60      2.98        NA      0.71      8.29        NA       090
64738..............  .................  A                 Incision of jaw nerve..       5.73      3.64        NA      0.84     10.21        NA       090
64740..............  .................  A                 Incision of tongue            5.59      4.08        NA      0.43     10.10        NA       090
                                                           nerve.
64742..............  .................  A                 Incision of facial            6.22      4.84        NA      0.69     11.75        NA       090
                                                           nerve.
64744..............  .................  A                 Incise nerve, back of         5.24      3.92        NA      0.98     10.14        NA       090
                                                           head.
64746..............  .................  A                 Incise diaphragm nerve.       5.93      4.64        NA      0.75     11.32        NA       090
64752..............  .................  A                 Incision of vagus nerve       7.06      4.71        NA      0.83     12.60        NA       090
64755..............  .................  A                 Incision of stomach          13.52      6.22        NA      1.16     20.90        NA       090
                                                           nerves.
64760..............  .................  A                 Incision of vagus nerve       6.96      4.02        NA      0.51     11.49        NA       090
64761..............  .................  A                 Incision of pelvis            6.41      3.31        NA      0.26      9.98        NA       090
                                                           nerve.
64763..............  .................  A                 Incise hip/thigh nerve.       6.93      6.37        NA      0.77     14.07        NA       090
64766..............  .................  A                 Incise hip/thigh nerve.       8.67      6.18        NA      0.99     15.84        NA       090
64771..............  .................  A                 Sever cranial nerve....       7.35      5.56        NA      1.32     14.23        NA       090
64772..............  .................  A                 Incision of spinal            7.21      4.96        NA      1.20     13.37        NA       090
                                                           nerve.
64774..............  .................  A                 Remove skin nerve             5.17      3.66        NA      0.60      9.43        NA       090
                                                           lesion.
64776..............  .................  A                 Remove digit nerve            5.12      3.81        NA      0.63      9.56        NA       090
                                                           lesion.
64778..............  .................  A                 Digit nerve surgery add-      3.11      1.52        NA      0.38      5.01        NA       ZZZ
                                                           on.
64782..............  .................  A                 Remove limb nerve             6.23      3.65        NA      0.79     10.67        NA       090
                                                           lesion.
64783..............  .................  A                 Limb nerve surgery add-       3.72      2.02        NA      0.48      6.22        NA       ZZZ
                                                           on.
64784..............  .................  A                 Remove nerve lesion....       9.82      6.39        NA      1.17     17.38        NA       090
64786..............  .................  A                 Remove sciatic nerve         15.46     10.25        NA      2.22     27.93        NA       090
                                                           lesion.
64787..............  .................  A                 Implant nerve end......       4.30      2.21        NA      0.56      7.07        NA       ZZZ
64788..............  .................  A                 Remove skin nerve             4.61      3.31        NA      0.54      8.46        NA       090
                                                           lesion.
64790..............  .................  A                 Removal of nerve lesion      11.31      7.17        NA      1.68     20.16        NA       090
64792..............  .................  A                 Removal of nerve lesion      14.92      9.04        NA      1.88     25.84        NA       090
64795..............  .................  A                 Biopsy of nerve........       3.01      1.85        NA      0.40      5.26        NA       000
64802..............  .................  A                 Remove sympathetic            9.15      5.53        NA      0.87     15.55        NA       090
                                                           nerves.
64804..............  .................  A                 Remove sympathetic           14.64      7.82        NA      1.79     24.25        NA       090
                                                           nerves.
64809..............  .................  A                 Remove sympathetic           13.67      5.32        NA      0.96     19.95        NA       090
                                                           nerves.
64818..............  .................  A                 Remove sympathetic           10.30      5.79        NA      1.08     17.17        NA       090
                                                           nerves.
64820..............  .................  A                 Remove sympathetic           10.37      7.88        NA      1.17     19.42        NA       090
                                                           nerves.
64831..............  .................  A                 Repair of digit nerve..       9.44      7.17        NA      1.14     17.75        NA       090
64832..............  .................  A                 Repair nerve add-on....       5.66      3.12        NA      0.68      9.46        NA       ZZZ
64834..............  .................  A                 Repair of hand or foot       10.19      7.18        NA      1.23     18.60        NA       090
                                                           nerve.
64835..............  .................  A                 Repair of hand or foot       10.94      7.82        NA      1.36     20.12        NA       090
                                                           nerve.
64836..............  .................  A                 Repair of hand or foot       10.94      7.67        NA      1.32     19.93        NA       090
                                                           nerve.
64837..............  .................  A                 Repair nerve add-on....       6.26      3.40        NA      0.80     10.46        NA       ZZZ
64840..............  .................  A                 Repair of leg nerve....      13.02      9.23        NA      0.86     23.11        NA       090
64856..............  .................  A                 Repair/transpose nerve.      13.80      9.39        NA      1.71     24.90        NA       090
64857..............  .................  A                 Repair arm/leg nerve...      14.49      9.76        NA      1.76     26.01        NA       090
64858..............  .................  A                 Repair sciatic nerve...      16.49     10.31        NA      2.78     29.58        NA       090
64859..............  .................  A                 Nerve surgery..........       4.26      2.30        NA      0.50      7.06        NA       ZZZ
64861..............  .................  A                 Repair of arm nerves...      19.24     12.91        NA      2.45     34.60        NA       090
64862..............  .................  A                 Repair of low back           19.44      9.63        NA      2.47     31.54        NA       090
                                                           nerves.
64864..............  .................  A                 Repair of facial nerve.      12.55      8.72        NA      1.13     22.40        NA       090
64865..............  .................  A                 Repair of facial nerve.      15.24     10.03        NA      1.37     26.64        NA       090
64866..............  .................  A                 Fusion of facial/other       15.74      9.73        NA      1.06     26.53        NA       090
                                                           nerve.
64868..............  .................  A                 Fusion of facial/other       14.04      9.38        NA      1.40     24.82        NA       090
                                                           nerve.
64870..............  .................  A                 Fusion of facial/other       15.99      7.98        NA      1.08     25.05        NA       090
                                                           nerve.
64872..............  .................  A                 Subsequent repair of          1.99      1.11        NA      0.24      3.34        NA       ZZZ
                                                           nerve.
64874..............  .................  A                 Repair & revise nerve         2.98      1.58        NA      0.34      4.90        NA       ZZZ
                                                           add-on.
64876..............  .................  A                 Repair nerve/shorten          3.38      1.34        NA      0.39      5.11        NA       ZZZ
                                                           bone.
64885..............  .................  A                 Nerve graft, head or         17.53     11.25        NA      1.51     30.29        NA       090
                                                           neck.
64886..............  .................  A                 Nerve graft, head or         20.75     13.10        NA      1.73     35.58        NA       090
                                                           neck.
64890..............  .................  A                 Nerve graft, hand or         15.15     10.14        NA      1.74     27.03        NA       090
                                                           foot.
64891..............  .................  A                 Nerve graft, hand or         16.14      7.59        NA      1.38     25.11        NA       090
                                                           foot.

[[Page 40471]]

 
64892..............  .................  A                 Nerve graft, arm or leg      14.65      8.73        NA      1.65     25.03        NA       090
64893..............  .................  A                 Nerve graft, arm or leg      15.60     10.34        NA      1.77     27.71        NA       090
64895..............  .................  A                 Nerve graft, hand or         19.25     11.12        NA      2.04     32.41        NA       090
                                                           foot.
64896..............  .................  A                 Nerve graft, hand or         20.49      9.36        NA      1.85     31.70        NA       090
                                                           foot.
64897..............  .................  A                 Nerve graft, arm or leg      18.24     10.73        NA      2.64     31.61        NA       090
64898..............  .................  A                 Nerve graft, arm or leg      19.50     12.30        NA      2.71     34.51        NA       090
64901..............  .................  A                 Nerve graft add-on.....      10.22      5.29        NA      0.99     16.50        NA       ZZZ
64902..............  .................  A                 Nerve graft add-on.....      11.83      6.03        NA      1.10     18.96        NA       ZZZ
64905..............  .................  A                 Nerve pedicle transfer.      14.02      8.63        NA      1.52     24.17        NA       090
64907..............  .................  A                 Nerve pedicle transfer.      18.83     11.68        NA      1.79     32.30        NA       090
64999..............  .................  C                 Nervous system surgery.       0.00      0.00      0.00      0.00      0.00      0.00       YYY
65091..............  .................  A                 Revise eye.............       6.46      9.45        NA      0.26     16.17        NA       090
65093..............  .................  A                 Revise eye with implant       6.87      9.65        NA      0.28     16.80        NA       090
65101..............  .................  A                 Removal of eye.........       7.03      9.48        NA      0.28     16.79        NA       090
65103..............  .................  A                 Remove eye/insert             7.57      9.82        NA      0.30     17.69        NA       090
                                                           implant.
65105..............  .................  A                 Remove eye/attach             8.49     10.37        NA      0.34     19.20        NA       090
                                                           implant.
65110..............  .................  A                 Removal of eye.........      13.95     14.03        NA      0.68     28.66        NA       090
65112..............  .................  A                 Remove eye/revise            16.38     17.35        NA      0.96     34.69        NA       090
                                                           socket.
65114..............  .................  A                 Remove eye/revise            17.53     16.37        NA      0.94     34.84        NA       090
                                                           socket.
65125..............  .................  A                 Revise ocular implant..       3.12      1.47      4.85      0.15      4.74      8.12       090
65130..............  .................  A                 Insert ocular implant..       7.15      9.56        NA      0.28     16.99        NA       090
65135..............  .................  A                 Insert ocular implant..       7.33      9.30        NA      0.29     16.92        NA       090
65140..............  .................  A                 Attach ocular implant..       8.02      9.73        NA      0.31     18.06        NA       090
65150..............  .................  A                 Revise ocular implant..       6.26      9.01        NA      0.25     15.52        NA       090
65155..............  .................  A                 Reinsert ocular implant       8.66     11.15        NA      0.40     20.21        NA       090
65175..............  .................  A                 Removal of ocular             6.28      9.03        NA      0.26     15.57        NA       090
                                                           implant.
65205..............  .................  A                 Remove foreign body           0.71      0.20      5.14      0.03      0.94      5.88       000
                                                           from eye.
65210..............  .................  A                 Remove foreign body           0.84      0.31      5.30      0.03      1.18      6.17       000
                                                           from eye.
65220..............  .................  A                 Remove foreign body           0.71      0.19      6.66      0.05      0.95      7.42       000
                                                           from eye.
65222..............  .................  A                 Remove foreign body           0.93      0.28      5.24      0.04      1.25      6.21       000
                                                           from eye.
65235..............  .................  A                 Remove foreign body           7.57      6.67        NA      0.30     14.54        NA       090
                                                           from eye.
65260..............  .................  A                 Remove foreign body          10.96     11.53        NA      0.43     22.92        NA       090
                                                           from eye.
65265..............  .................  A                 Remove foreign body          12.59     13.08        NA      0.50     26.17        NA       090
                                                           from eye.
65270..............  .................  A                 Repair of eye wound....       1.90      1.98      3.59      0.08      3.96      5.57       010
65272..............  .................  A                 Repair of eye wound....       3.82      3.81      4.88      0.16      7.79      8.86       090
65273..............  .................  A                 Repair of eye wound....       4.36      4.26        NA      0.17      8.79        NA       090
65275..............  .................  A                 Repair of eye wound....       5.34      4.60      5.03      0.27     10.21     10.64       090
65280..............  .................  A                 Repair of eye wound....       7.66      7.12        NA      0.30     15.08        NA       090
65285..............  .................  A                 Repair of eye wound....      12.90     12.78        NA      0.51     26.19        NA       090
65286..............  .................  A                 Repair of eye wound....       5.51      6.63      7.74      0.21     12.35     13.46       090
65290..............  .................  A                 Repair of eye socket          5.41      6.69        NA      0.26     12.36        NA       090
                                                           wound.
65400..............  .................  A                 Removal of eye lesion..       6.06      6.38      7.70      0.24     12.68     14.00       090
65410..............  .................  A                 Biopsy of cornea.......       1.47      0.65      1.61      0.06      2.18      3.14       000
65420..............  .................  A                 Removal of eye lesion..       4.17      5.95      6.92      0.17     10.29     11.26       090
65426..............  .................  A                 Removal of eye lesion..       5.25      5.99      7.12      0.20     11.44     12.57       090
65430..............  .................  A                 Corneal smear..........       1.47      0.69      5.79      0.06      2.22      7.32       000
65435..............  .................  A                 Curette/treat cornea...       0.92      0.41      1.27      0.04      1.37      2.23       000
65436..............  .................  A                 Curette/treat cornea...       4.19      4.24      5.10      0.17      8.60      9.46       090
65450..............  .................  A                 Treatment of corneal          3.27      5.55      6.68      0.13      8.95     10.08       090
                                                           lesion.
65600..............  .................  A                 Revision of cornea.....       3.40      1.45      4.65      0.14      4.99      8.19       090
65710..............  .................  A                 Corneal transplant.....      12.35     12.27        NA      0.49     25.11        NA       090
65730..............  .................  A                 Corneal transplant.....      14.25     11.75        NA      0.56     26.56        NA       090
65750..............  .................  A                 Corneal transplant.....      15.00     13.52        NA      0.59     29.11        NA       090
65755..............  .................  A                 Corneal transplant.....      14.89     13.44        NA      0.58     28.91        NA       090
65760..............  .................  N                 Revision of cornea.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
65765..............  .................  N                 Revision of cornea.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
65767..............  .................  N                 Corneal tissue                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplant.
65770..............  .................  A                 Revise cornea with           17.56     14.45        NA      0.69     32.70        NA       090
                                                           implant.
65771..............  .................  N                 Radial keratotomy......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
65772..............  .................  A                 Correction of                 4.29      5.26      6.16      0.17      9.72     10.62       090
                                                           astigmatism.
65775..............  .................  A                 Correction of                 5.79      7.87        NA      0.22     13.88        NA       090
                                                           astigmatism.
65800..............  .................  A                 Drainage of eye........       1.91      1.36      2.13      0.08      3.35      4.12       000
65805..............  .................  A                 Drainage of eye........       1.91      1.37      2.13      0.08      3.36      4.12       000
65810..............  .................  A                 Drainage of eye........       4.87      7.32        NA      0.19     12.38        NA       090
65815..............  .................  A                 Drainage of eye........       5.05      6.86      7.93      0.20     12.11     13.18       090
65820..............  .................  A                 Relieve inner eye             8.13      9.12        NA      0.32     17.57        NA       090
                                                           pressure.
65850..............  .................  A                 Incision of eye........      10.52      9.40        NA      0.41     20.33        NA       090
65855..............  .................  A                 Laser surgery of eye...       3.85      3.56      4.83      0.17      7.58      8.85       090
65860..............  .................  A                 Incise inner eye              3.55      2.93      3.71      0.14      6.62      7.40       090
                                                           adhesions.
65865..............  .................  A                 Incise inner eye              5.60      6.14        NA      0.22     11.96        NA       090
                                                           adhesions.
65870..............  .................  A                 Incise inner eye              6.27      6.47        NA      0.24     12.98        NA       090
                                                           adhesions.
65875..............  .................  A                 Incise inner eye              6.54      6.59        NA      0.25     13.38        NA       090
                                                           adhesions.
65880..............  .................  A                 Incise inner eye              7.09      6.82        NA      0.28     14.19        NA       090
                                                           adhesions.
65900..............  .................  A                 Remove eye lesion......      10.93     11.71        NA      0.46     23.10        NA       090

[[Page 40472]]

 
65920..............  .................  A                 Remove implant from eye       8.40      7.47        NA      0.33     16.20        NA       090
65930..............  .................  A                 Remove blood clot from        7.44      7.92        NA      0.29     15.65        NA       090
                                                           eye.
66020..............  .................  A                 Injection treatment of        1.59      1.45      2.20      0.07      3.11      3.86       010
                                                           eye.
66030..............  .................  A                 Injection treatment of        1.25      1.29      2.05      0.05      2.59      3.35       010
                                                           eye.
66130..............  .................  A                 Remove eye lesion......       7.69      5.91      6.73      0.31     13.91     14.73       090
66150..............  .................  A                 Glaucoma surgery.......       8.30     10.08        NA      0.33     18.71        NA       090
66155..............  .................  A                 Glaucoma surgery.......       8.29     10.06        NA      0.32     18.67        NA       090
66160..............  .................  A                 Glaucoma surgery.......      10.17     10.94        NA      0.41     21.52        NA       090
66165..............  .................  A                 Glaucoma surgery.......       8.01      9.97        NA      0.31     18.29        NA       090
66170..............  .................  A                 Glaucoma surgery.......      12.16     11.90        NA      0.48     24.54        NA       090
66172..............  .................  A                 Incision of eye........      15.04     14.75        NA      0.59     30.38        NA       090
66180..............  .................  A                 Implant eye shunt......      14.55     11.76        NA      0.57     26.88        NA       090
66185..............  .................  A                 Revise eye shunt.......       8.14      8.25        NA      0.32     16.71        NA       090
66220..............  .................  A                 Repair eye lesion......       7.77      9.97        NA      0.32     18.06        NA       090
66225..............  .................  A                 Repair/graft eye lesion      11.05      9.28        NA      0.44     20.77        NA       090
66250..............  .................  A                 Follow-up surgery of          5.98      6.35      7.71      0.23     12.56     13.92       090
                                                           eye.
66500..............  .................  A                 Incision of iris.......       3.71      4.00        NA      0.15      7.86        NA       090
66505..............  .................  A                 Incision of iris.......       4.08      4.20        NA      0.17      8.45        NA       090
66600..............  .................  A                 Remove iris and lesion.       8.68      9.14        NA      0.34     18.16        NA       090
66605..............  .................  A                 Removal of iris........      12.79     12.23        NA      0.61     25.63        NA       090
66625..............  .................  A                 Removal of iris........       5.13      6.88      7.80      0.20     12.21     13.13       090
66630..............  .................  A                 Removal of iris........       6.16      7.91        NA      0.24     14.31        NA       090
66635..............  .................  A                 Removal of iris........       6.25      6.45        NA      0.24     12.94        NA       090
66680..............  .................  A                 Repair iris & ciliary         5.44      6.06        NA      0.21     11.71        NA       090
                                                           body.
66682..............  .................  A                 Repair iris & ciliary         6.21      7.95        NA      0.24     14.40        NA       090
                                                           body.
66700..............  .................  A                 Destruction, ciliary          4.78      6.25      7.59      0.19     11.22     12.56       090
                                                           body.
66710..............  .................  A                 Destruction, ciliary          4.78      6.28      7.47      0.18     11.24     12.43       090
                                                           body.
66720..............  .................  A                 Destruction, ciliary          4.78      6.24      7.37      0.19     11.21     12.34       090
                                                           body.
66740..............  .................  A                 Destruction, ciliary          4.78      5.75        NA      0.18     10.71        NA       090
                                                           body.
66761..............  .................  A                 Revision of iris.......       4.07      4.03      5.13      0.16      8.26      9.36       090
66762..............  .................  A                 Revision of iris.......       4.58      4.19      5.26      0.18      8.95     10.02       090
66770..............  .................  A                 Removal of inner eye          5.18      4.45      5.56      0.20      9.83     10.94       090
                                                           lesion.
66820..............  .................  A                 Incision, secondary           3.89      6.91        NA      0.16     10.96        NA       090
                                                           cataract.
66821..............  .................  A                 After cataract laser          2.35      3.11      3.51      0.10      5.56      5.96       090
                                                           surgery.
66825..............  .................  A                 Reposition intraocular        8.23      8.88        NA      0.32     17.43        NA       090
                                                           lens.
66830..............  .................  A                 Removal of lens lesion.       8.20      6.65        NA      0.32     15.17        NA       090
66840..............  .................  A                 Removal of lens               7.91      6.59        NA      0.31     14.81        NA       090
                                                           material.
66850..............  .................  A                 Removal of lens               9.11      7.13        NA      0.36     16.60        NA       090
                                                           material.
66852..............  .................  A                 Removal of lens               9.97      7.59        NA      0.39     17.95        NA       090
                                                           material.
66920..............  .................  A                 Extraction of lens.....       8.86      7.06        NA      0.35     16.27        NA       090
66930..............  .................  A                 Extraction of lens.....      10.18      8.53        NA      0.41     19.12        NA       090
66940..............  .................  A                 Extraction of lens.....       8.93      7.93        NA      0.35     17.21        NA       090
66982..............  .................  A                 Cataract surgery,            13.50      8.88        NA      0.55     22.93        NA       090
                                                           complex.
66983..............  .................  A                 Cataract surg w/iol, 1        8.99      5.74        NA      0.37     15.10        NA       090
                                                           stage.
66984..............  .................  A                 Cataract surg w/iol, i       10.23      7.44        NA      0.41     18.08        NA       090
                                                           stage.
66985..............  .................  A                 Insert lens prosthesis.       8.39      6.61        NA      0.33     15.33        NA       090
66986..............  .................  A                 Exchange lens                12.28      8.65        NA      0.49     21.42        NA       090
                                                           prosthesis.
66999..............  .................  C                 Eye surgery procedure..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
67005..............  .................  A                 Partial removal of eye        5.70      2.70        NA      0.22      8.62        NA       090
                                                           fluid.
67010..............  .................  A                 Partial removal of eye        6.87      3.28        NA      0.27     10.42        NA       090
                                                           fluid.
67015..............  .................  A                 Release of eye fluid...       6.92      7.62        NA      0.27     14.81        NA       090
67025..............  .................  A                 Replace eye fluid......       6.84      7.10     14.50      0.27     14.21     21.61       090
67027..............  .................  A                 Implant eye drug system      10.85      8.45     16.16      0.46     19.76     27.47       090
67028..............  .................  A                 Injection eye drug.....       2.52      1.20      8.03      0.11      3.83     10.66       000
67030..............  .................  A                 Incise inner eye              4.84      6.21        NA      0.19     11.24        NA       090
                                                           strands.
67031..............  .................  A                 Laser surgery, eye            3.67      3.00      3.80      0.15      6.82      7.62       090
                                                           strands.
67036..............  .................  A                 Removal of inner eye         11.89      8.81        NA      0.47     21.17        NA       090
                                                           fluid.
67038..............  .................  A                 Strip retinal membrane.      21.24     15.12        NA      0.84     37.20        NA       090
67039..............  .................  A                 Laser treatment of           14.52     11.91        NA      0.57     27.00        NA       090
                                                           retina.
67040..............  .................  A                 Laser treatment of           17.23     13.22        NA      0.68     31.13        NA       090
                                                           retina.
67101..............  .................  A                 Repair detached retina.       7.53      8.49     10.38      0.29     16.31     18.20       090
67105..............  .................  A                 Repair detached retina.       7.41      5.48      7.24      0.29     13.18     14.94       090
67107..............  .................  A                 Repair detached retina.      14.84     12.77        NA      0.58     28.19        NA       090
67108..............  .................  A                 Repair detached retina.      20.82     17.00        NA      0.82     38.64        NA       090
67110..............  .................  A                 Repair detached retina.       8.81      9.89     17.89      0.35     19.05     27.05       090
67112..............  .................  A                 Rerepair detached            16.86     15.09        NA      0.66     32.61        NA       090
                                                           retina.
67115..............  .................  A                 Release encircling            4.99      6.30        NA      0.19     11.48        NA       090
                                                           material.
67120..............  .................  A                 Remove eye implant            5.98      6.69     13.93      0.23     12.90     20.14       090
                                                           material.
67121..............  .................  A                 Remove eye implant           10.67     11.36        NA      0.42     22.45        NA       090
                                                           material.
67141..............  .................  A                 Treatment of retina....       5.20      6.47      7.44      0.20     11.87     12.84       090
67145..............  .................  A                 Treatment of retina....       5.37      4.10      5.09      0.21      9.68     10.67       090
67208..............  .................  A                 Treatment of retinal          6.70      6.61      7.81      0.26     13.57     14.77       090
                                                           lesion.
67210..............  .................  A                 Treatment of retinal          8.82      5.72      7.05      0.35     14.89     16.22       090
                                                           lesion.
67218..............  .................  A                 Treatment of retinal         18.53     15.13        NA      0.53     34.19        NA       090
                                                           lesion.

[[Page 40473]]

 
67220..............  .................  A                 Treatment of choroid         13.13      9.81     10.88      0.51     23.45     24.52       090
                                                           lesion.
67221..............  .................  A                 Ocular photodynamic           4.01      1.92      4.19      0.50      6.43      8.70       000
                                                           ther.
67227..............  .................  A                 Treatment of retinal          6.58      6.72      8.39      0.26     13.56     15.23       090
                                                           lesion.
67228..............  .................  A                 Treatment of retinal         12.74      7.25      9.63      0.50     20.49     22.87       090
                                                           lesion.
67250..............  .................  A                 Reinforce eye wall.....       8.66     10.21        NA      0.36     19.23        NA       090
67255..............  .................  A                 Reinforce/graft eye           8.90     10.14        NA      0.35     19.39        NA       090
                                                           wall.
67299..............  .................  C                 Eye surgery procedure..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
67311..............  .................  A                 Revise eye muscle......       6.65      6.09        NA      0.27     13.01        NA       090
67312..............  .................  A                 Revise two eye muscles.       8.54      7.06        NA      0.35     15.95        NA       090
67314..............  .................  A                 Revise eye muscle......       7.52      6.57        NA      0.30     14.39        NA       090
67316..............  .................  A                 Revise two eye muscles.       9.66      7.55        NA      0.40     17.61        NA       090
67318..............  .................  A                 Revise eye muscle(s)...       7.85      6.96        NA      0.31     15.12        NA       090
67320..............  .................  A                 Revise eye muscle(s)          4.33      6.56        NA      0.17     11.06        NA       ZZZ
                                                           add-on.
67331..............  .................  A                 Eye surgery follow-up         4.06      5.01        NA      0.17      9.24        NA       ZZZ
                                                           add-on.
67332..............  .................  A                 Rerevise eye muscles          4.49      5.66        NA      0.18     10.33        NA       ZZZ
                                                           add-on.
67334..............  .................  A                 Revise eye muscle w/          3.98      5.15        NA      0.16      9.29        NA       ZZZ
                                                           suture.
67335..............  .................  A                 Eye suture during             2.49      1.18        NA      0.10      3.77        NA       ZZZ
                                                           surgery.
67340..............  .................  A                 Revise eye muscle add-        4.93      6.82        NA      0.19     11.94        NA       ZZZ
                                                           on.
67343..............  .................  A                 Release eye tissue.....       7.35      6.94        NA      0.30     14.59        NA       090
67345..............  .................  A                 Destroy nerve of eye          2.96      1.38      4.19      0.13      4.47      7.28       010
                                                           muscle.
67350..............  .................  A                 Biopsy eye muscle......       2.87      2.37        NA      0.13      5.37        NA       000
67399..............  .................  C                 Eye muscle surgery            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
67400..............  .................  A                 Explore/biopsy eye            9.76     11.78        NA      0.43     21.97        NA       090
                                                           socket.
67405..............  .................  A                 Explore/drain eye             7.93     10.62        NA      0.36     18.91        NA       090
                                                           socket.
67412..............  .................  A                 Explore/treat eye             9.50     12.91        NA      0.41     22.82        NA       090
                                                           socket.
67413..............  .................  A                 Explore/treat eye            10.00     11.35        NA      0.43     21.78        NA       090
                                                           socket.
67414..............  .................  A                 Explr/decompress eye         11.13     13.53        NA      0.48     25.14        NA       090
                                                           socket.
67415..............  .................  A                 Aspiration, orbital           1.76      0.83        NA      0.09      2.68        NA       000
                                                           contents.
67420..............  .................  A                 Explore/treat eye            20.06     17.23        NA      0.84     38.13        NA       090
                                                           socket.
67430..............  .................  A                 Explore/treat eye            13.39     19.03        NA      0.97     33.39        NA       090
                                                           socket.
67440..............  .................  A                 Explore/drain eye            13.09     14.28        NA      0.58     27.95        NA       090
                                                           socket.
67445..............  .................  A                 Explr/decompress eye         14.42     15.52        NA      0.63     30.57        NA       090
                                                           socket.
67450..............  .................  A                 Explore/biopsy eye           13.51     14.00        NA      0.56     28.07        NA       090
                                                           socket.
67500..............  .................  A                 Inject/treat eye socket       0.79      0.20      1.93      0.04      1.03      2.76       000
67505..............  .................  A                 Inject/treat eye socket       0.82      0.21      0.90      0.04      1.07      1.76       000
67515..............  .................  A                 Inject/treat eye socket       0.61      0.29      0.79      0.02      0.92      1.42       000
67550..............  .................  A                 Insert eye socket            10.19     11.87        NA      0.50     22.56        NA       090
                                                           implant.
67560..............  .................  A                 Revise eye socket            10.60     11.46        NA      0.47     22.53        NA       090
                                                           implant.
67570..............  .................  A                 Decompress optic nerve.      13.58     14.77        NA      0.69     29.04        NA       090
67599..............  .................  C                 Orbit surgery procedure       0.00      0.00      0.00      0.00      0.00      0.00       YYY
67700..............  .................  A                 Drainage of eyelid            1.35      0.60      5.34      0.06      2.01      6.75       010
                                                           abscess.
67710..............  .................  A                 Incision of eyelid.....       1.02      0.49      5.48      0.04      1.55      6.54       010
67715..............  .................  A                 Incision of eyelid fold       1.22      0.59        NA      0.05      1.86        NA       010
67800..............  .................  A                 Remove eyelid lesion...       1.38      0.66      2.18      0.06      2.10      3.62       010
67801..............  .................  A                 Remove eyelid lesions..       1.88      0.90      5.68      0.08      2.86      7.64       010
67805..............  .................  A                 Remove eyelid lesions..       2.22      1.06      5.88      0.09      3.37      8.19       010
67808..............  .................  A                 Remove eyelid lesion(s)       3.80      3.79        NA      0.17      7.76        NA       090
67810..............  .................  A                 Biopsy of eyelid.......       1.48      0.71      4.45      0.06      2.25      5.99       000
67820..............  .................  A                 Revise eyelashes.......       0.89      0.38      1.56      0.04      1.31      2.49       000
67825..............  .................  A                 Revise eyelashes.......       1.38      1.66      6.95      0.06      3.10      8.39       010
67830..............  .................  A                 Revise eyelashes.......       1.70      1.87      8.18      0.07      3.64      9.95       010
67835..............  .................  A                 Revise eyelashes.......       5.56      4.53        NA      0.22     10.31        NA       090
67840..............  .................  A                 Remove eyelid lesion...       2.04      0.97      5.75      0.08      3.09      7.87       010
67850..............  .................  A                 Treat eyelid lesion....       1.69      1.76      7.12      0.07      3.52      8.88       010
67875..............  .................  A                 Closure of eyelid by          1.35      1.84      8.34      0.06      3.25      9.75       000
                                                           suture.
67880..............  .................  A                 Revision of eyelid.....       3.80      2.90      9.21      0.16      6.86     13.17       090
67882..............  .................  A                 Revision of eyelid.....       5.07      4.36     11.96      0.21      9.64     17.24       090
67900..............  .................  A                 Repair brow defect.....       6.14      6.16     10.03      0.30     12.60     16.47       090
67901..............  .................  A                 Repair eyelid defect...       6.97      6.35        NA      0.32     13.64        NA       090
67902..............  .................  A                 Repair eyelid defect...       7.03      6.44        NA      0.34     13.81        NA       090
67903..............  .................  A                 Repair eyelid defect...       6.37      7.12     11.86      0.39     13.88     18.62       090
67904..............  .................  A                 Repair eyelid defect...       6.26      7.21     12.42      0.26     13.73     18.94       090
67906..............  .................  A                 Repair eyelid defect...       6.79      6.29      7.52      0.42     13.50     14.73       090
67908..............  .................  A                 Repair eyelid defect...       5.13      5.67      8.20      0.20     11.00     13.53       090
67909..............  .................  A                 Revise eyelid defect...       5.40      6.37      9.33      0.25     12.02     14.98       090
67911..............  .................  A                 Revise eyelid defect...       5.27      6.15        NA      0.23     11.65        NA       090
67914..............  .................  A                 Repair eyelid defect...       3.68      3.31      9.72      0.16      7.15     13.56       090
67915..............  .................  A                 Repair eyelid defect...       3.18      1.54      8.46      0.13      4.85     11.77       090
67916..............  .................  A                 Repair eyelid defect...       5.31      5.00     12.94      0.22     10.53     18.47       090
67917..............  .................  A                 Repair eyelid defect...       6.02      6.18      9.20      0.25     12.45     15.47       090
67921..............  .................  A                 Repair eyelid defect...       3.40      3.05      9.35      0.14      6.59     12.89       090
67922..............  .................  A                 Repair eyelid defect...       3.06      2.89      8.41      0.13      6.08     11.60       090
67923..............  .................  A                 Repair eyelid defect...       5.88      5.14     12.91      0.24     11.26     19.03       090
67924..............  .................  A                 Repair eyelid defect...       5.79      5.55      8.55      0.23     11.57     14.57       090

[[Page 40474]]

 
67930..............  .................  A                 Repair eyelid wound....       3.61      2.88      9.23      0.17      6.66     13.01       010
67935..............  .................  A                 Repair eyelid wound....       6.22      5.19     13.75      0.29     11.70     20.26       090
67938..............  .................  A                 Remove eyelid foreign         1.33      0.53      6.62      0.06      1.92      8.01       010
                                                           body.
67950..............  .................  A                 Revision of eyelid.....       5.82      6.94      8.40      0.30     13.06     14.52       090
67961..............  .................  A                 Revision of eyelid.....       5.69      5.86      8.54      0.26     11.81     14.49       090
67966..............  .................  A                 Revision of eyelid.....       6.57      6.05      8.43      0.33     12.95     15.33       090
67971..............  .................  A                 Reconstruction of             9.79      7.56        NA      0.42     17.77        NA       090
                                                           eyelid.
67973..............  .................  A                 Reconstruction of            12.87      9.70        NA      0.59     23.16        NA       090
                                                           eyelid.
67974..............  .................  A                 Reconstruction of            12.84      9.61        NA      0.54     22.99        NA       090
                                                           eyelid.
67975..............  .................  A                 Reconstruction of             9.13      7.20        NA      0.38     16.71        NA       090
                                                           eyelid.
67999..............  .................  C                 Revision of eyelid.....       0.00      0.00      0.00      0.00      0.00      0.00       YYY
68020..............  .................  A                 Incise/drain eyelid           1.37      0.65      5.28      0.06      2.08      6.71       010
                                                           lining.
68040..............  .................  A                 Treatment of eyelid           0.85      0.41      5.13      0.03      1.29      6.01       000
                                                           lesions.
68100..............  .................  A                 Biopsy of eyelid lining       1.35      0.64      5.64      0.06      2.05      7.05       000
68110..............  .................  A                 Remove eyelid lining          1.77      1.35      6.35      0.07      3.19      8.19       010
                                                           lesion.
68115..............  .................  A                 Remove eyelid lining          2.36      1.12      5.90      0.10      3.58      8.36       010
                                                           lesion.
68130..............  .................  A                 Remove eyelid lining          4.93      2.35        NA      0.19      7.47        NA       090
                                                           lesion.
68135..............  .................  A                 Remove eyelid lining          1.84      0.87      5.65      0.07      2.78      7.56       010
                                                           lesion.
68200..............  .................  A                 Treat eyelid by               0.49      0.23      5.25      0.02      0.74      5.76       000
                                                           injection.
68320..............  .................  A                 Revise/graft eyelid           5.37      5.05      5.14      0.21     10.63     10.72       090
                                                           lining.
68325..............  .................  A                 Revise/graft eyelid           7.36      6.07        NA      0.30     13.73        NA       090
                                                           lining.
68326..............  .................  A                 Revise/graft eyelid           7.15      5.96        NA      0.30     13.41        NA       090
                                                           lining.
68328..............  .................  A                 Revise/graft eyelid           8.18      6.81        NA      0.40     15.39        NA       090
                                                           lining.
68330..............  .................  A                 Revise eyelid lining...       4.83      5.00      6.69      0.19     10.02     11.71       090
68335..............  .................  A                 Revise/graft eyelid           7.19      5.16        NA      0.29     12.64        NA       090
                                                           lining.
68340..............  .................  A                 Separate eyelid               4.17      3.89     11.78      0.17      8.23     16.12       090
                                                           adhesions.
68360..............  .................  A                 Revise eyelid lining...       4.37      4.78      5.92      0.17      9.32     10.46       090
68362..............  .................  A                 Revise eyelid lining...       7.34      7.43        NA      0.29     15.06        NA       090
68399..............  .................  C                 Eyelid lining surgery..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
68400..............  .................  A                 Incise/drain tear gland       1.69      1.88      8.24      0.07      3.64     10.00       010
68420..............  .................  A                 Incise/drain tear sac..       2.30      2.17      8.38      0.10      4.57     10.78       010
68440..............  .................  A                 Incise tear duct              0.94      0.45      5.27      0.04      1.43      6.25       010
                                                           opening.
68500..............  .................  A                 Removal of tear gland..      11.02     10.17        NA      0.60     21.79        NA       090
68505..............  .................  A                 Partial removal, tear        10.94     10.38        NA      0.57     21.89        NA       090
                                                           gland.
68510..............  .................  A                 Biopsy of tear gland...       4.61      2.16      9.87      0.19      6.96     14.67       000
68520..............  .................  A                 Removal of tear sac....       7.51      6.72        NA      0.33     14.56        NA       090
68525..............  .................  A                 Biopsy of tear sac.....       4.43      2.11        NA      0.18      6.72        NA       000
68530..............  .................  A                 Clearance of tear duct.       3.66      2.76     11.01      0.16      6.58     14.83       010
68540..............  .................  A                 Remove tear gland            10.60      8.32        NA      0.46     19.38        NA       090
                                                           lesion.
68550..............  .................  A                 Remove tear gland            13.26     10.39        NA      0.66     24.31        NA       090
                                                           lesion.
68700..............  .................  A                 Repair tear ducts......       6.60      6.10        NA      0.27     12.97        NA       090
68705..............  .................  A                 Revise tear duct              2.06      0.98      5.90      0.08      3.12      8.04       010
                                                           opening.
68720..............  .................  A                 Create tear sac drain..       8.96      7.26        NA      0.38     16.60        NA       090
68745..............  .................  A                 Create tear duct drain.       8.63      7.26        NA      0.38     16.27        NA       090
68750..............  .................  A                 Create tear duct drain.       8.66      7.68        NA      0.37     16.71        NA       090
68760..............  .................  A                 Close tear duct opening       1.73      0.82      5.54      0.07      2.62      7.34       010
68761..............  .................  A                 Close tear duct opening       1.36      0.63      6.39      0.06      2.05      7.81       010
68770..............  .................  A                 Close tear system             7.02      5.56     13.49      0.28     12.86     20.79       090
                                                           fistula.
68801..............  .................  A                 Dilate tear duct              0.94      0.44      6.44      0.04      1.42      7.42       010
                                                           opening.
68810..............  .................  A                 Probe nasolacrimal duct       1.90      1.89      8.09      0.08      3.87     10.07       010
68811..............  .................  A                 Probe nasolacrimal duct       2.35      2.14        NA      0.10      4.59        NA       010
68815..............  .................  A                 Probe nasolacrimal duct       3.20      2.61      9.93      0.14      5.95     13.27       010
68840..............  .................  A                 Explore/irrigate tear         1.25      0.59      7.01      0.05      1.89      8.31       010
                                                           ducts.
68850..............  .................  A                 Injection for tear sac        0.80      0.31     12.26      0.03      1.14     13.09       000
                                                           x-ray.
68899..............  .................  C                 Tear duct system              0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           surgery.
69000..............  .................  A                 Drain external ear            1.45      0.58      2.03      0.10      2.13      3.58       010
                                                           lesion.
69005..............  .................  A                 Drain external ear            2.11      2.06      2.46      0.16      4.33      4.73       010
                                                           lesion.
69020..............  .................  A                 Drain outer ear canal         1.48      0.75      2.13      0.11      2.34      3.72       010
                                                           lesion.
69090..............  .................  N                 Pierce earlobes........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
69100..............  .................  A                 Biopsy of external ear.       0.81      0.41      1.44      0.04      1.26      2.29       000
69105..............  .................  A                 Biopsy of external ear        0.85      0.96      1.45      0.06      1.87      2.36       000
                                                           canal.
69110..............  .................  A                 Remove external ear,          3.44      2.79      3.43      0.24      6.47      7.11       090
                                                           partial.
69120..............  .................  A                 Removal of external ear       4.05      4.42        NA      0.31      8.78        NA       090
69140..............  .................  A                 Remove ear canal              7.97      7.89        NA      0.56     16.42        NA       090
                                                           lesion(s).
69145..............  .................  A                 Remove ear canal              2.62      2.44      3.26      0.18      5.24      6.06       090
                                                           lesion(s).
69150..............  .................  A                 Extensive ear canal          13.43     11.19        NA      1.07     25.69        NA       090
                                                           surgery.
69155..............  .................  A                 Extensive ear/neck           20.80     15.24        NA      1.51     37.55        NA       090
                                                           surgery.
69200..............  .................  A                 Clear outer ear canal..       0.77      0.72      1.38      0.05      1.54      2.20       000
69205..............  .................  A                 Clear outer ear canal..       1.20      1.50        NA      0.09      2.79        NA       010
69210..............  .................  A                 Remove impacted ear wax       0.61      0.25      1.27      0.04      0.90      1.92       000
69220..............  .................  A                 Clean out mastoid             0.83      0.43      1.44      0.06      1.32      2.33       000
                                                           cavity.
69222..............  .................  A                 Clean out mastoid             1.40      1.63      2.12      0.10      3.13      3.62       010
                                                           cavity.
69300..............  .................  R                 Revise external ear....       6.36      4.35        NA      0.43     11.14        NA       YYY
69310..............  .................  A                 Rebuild outer ear canal      10.79      9.48        NA      0.77     21.04        NA       090

[[Page 40475]]

 
69320..............  .................  A                 Rebuild outer ear canal      16.96     13.66        NA      1.17     31.79        NA       090
69399..............  .................  C                 Outer ear surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
69400..............  .................  A                 Inflate middle ear            0.83      0.46      1.44      0.06      1.35      2.33       000
                                                           canal.
69401..............  .................  A                 Inflate middle ear            0.63      0.37      1.34      0.04      1.04      2.01       000
                                                           canal.
69405..............  .................  A                 Catheterize middle ear        2.63      1.48      2.97      0.18      4.29      5.78       010
                                                           canal.
69410..............  .................  A                 Inset middle ear              0.33      0.16      1.38      0.02      0.51      1.73       000
                                                           (baffle).
69420..............  .................  A                 Incision of eardrum....       1.33      0.72      2.22      0.10      2.15      3.65       010
69421..............  .................  A                 Incision of eardrum....       1.73      1.83      2.46      0.13      3.69      4.32       010
69424..............  .................  A                 Remove ventilating tube       0.85      0.89      1.59      0.06      1.80      2.50       000
69433..............  .................  A                 Create eardrum opening.       1.52      0.86      2.20      0.11      2.49      3.83       010
69436..............  .................  A                 Create eardrum opening.       1.96      1.97        NA      0.14      4.07        NA       010
69440..............  .................  A                 Exploration of middle         7.57      7.11        NA      0.53     15.21        NA       090
                                                           ear.
69450..............  .................  A                 Eardrum revision.......       5.57      5.90        NA      0.39     11.86        NA       090
69501..............  .................  A                 Mastoidectomy..........       9.07      7.91        NA      0.65     17.63        NA       090
69502..............  .................  A                 Mastoidectomy..........      12.38     10.47        NA      0.86     23.71        NA       090
69505..............  .................  A                 Remove mastoid               12.99     10.66        NA      0.92     24.57        NA       090
                                                           structures.
69511..............  .................  A                 Extensive mastoid            13.52     11.04        NA      0.96     25.52        NA       090
                                                           surgery.
69530..............  .................  A                 Extensive mastoid            19.19     14.65        NA      1.32     35.16        NA       090
                                                           surgery.
69535..............  .................  A                 Remove part of temporal      36.14     24.24        NA      2.59     62.97        NA       090
                                                           bone.
69540..............  .................  A                 Remove ear lesion......       1.20      1.52      2.13      0.09      2.81      3.42       010
69550..............  .................  A                 Remove ear lesion......      10.99      9.68        NA      0.80     21.47        NA       090
69552..............  .................  A                 Remove ear lesion......      19.46     14.31        NA      1.36     35.13        NA       090
69554..............  .................  A                 Remove ear lesion......      33.16     21.82        NA      2.32     57.30        NA       090
69601..............  .................  A                 Mastoid surgery              13.24     11.61        NA      0.92     25.77        NA       090
                                                           revision.
69602..............  .................  A                 Mastoid surgery              13.58     11.19        NA      0.94     25.71        NA       090
                                                           revision.
69603..............  .................  A                 Mastoid surgery              14.02     11.48        NA      1.00     26.50        NA       090
                                                           revision.
69604..............  .................  A                 Mastoid surgery              14.02     11.26        NA      0.98     26.26        NA       090
                                                           revision.
69605..............  .................  A                 Mastoid surgery              18.49     13.94        NA      1.29     33.72        NA       090
                                                           revision.
69610..............  .................  A                 Repair of eardrum......       4.43      3.37      4.09      0.31      8.11      8.83       010
69620..............  .................  A                 Repair of eardrum......       5.89      2.95      6.61      0.40      9.24     12.90       090
69631..............  .................  A                 Repair eardrum                9.86      9.04        NA      0.69     19.59        NA       090
                                                           structures.
69632..............  .................  A                 Rebuild eardrum              12.75     11.27        NA      0.89     24.91        NA       090
                                                           structures.
69633..............  .................  A                 Rebuild eardrum              12.10     10.91        NA      0.84     23.85        NA       090
                                                           structures.
69635..............  .................  A                 Repair eardrum               13.33      9.46        NA      0.87     23.66        NA       090
                                                           structures.
69636..............  .................  A                 Rebuild eardrum              15.22     12.80        NA      1.07     29.09        NA       090
                                                           structures.
69637..............  .................  A                 Rebuild eardrum              15.11     12.73        NA      1.06     28.90        NA       090
                                                           structures.
69641..............  .................  A                 Revise middle ear &          12.71     10.63        NA      0.89     24.23        NA       090
                                                           mastoid.
69642..............  .................  A                 Revise middle ear &          16.84     13.65        NA      1.18     31.67        NA       090
                                                           mastoid.
69643..............  .................  A                 Revise middle ear &          15.32     12.78        NA      1.08     29.18        NA       090
                                                           mastoid.
69644..............  .................  A                 Revise middle ear &          16.97     13.73        NA      1.19     31.89        NA       090
                                                           mastoid.
69645..............  .................  A                 Revise middle ear &          16.38     13.36        NA      1.16     30.90        NA       090
                                                           mastoid.
69646..............  .................  A                 Revise middle ear &          17.99     14.33        NA      1.26     33.58        NA       090
                                                           mastoid.
69650..............  .................  A                 Release middle ear bone       9.66      8.30        NA      0.68     18.64        NA       090
69660..............  .................  A                 Revise middle ear bone.      11.90      9.53        NA      0.84     22.27        NA       090
69661..............  .................  A                 Revise middle ear bone.      15.74     12.32        NA      1.10     29.16        NA       090
69662..............  .................  A                 Revise middle ear bone.      15.44     12.17        NA      1.08     28.69        NA       090
69666..............  .................  A                 Repair middle ear             9.75      8.34        NA      0.68     18.77        NA       090
                                                           structures.
69667..............  .................  A                 Repair middle ear             9.76      8.29        NA      0.72     18.77        NA       090
                                                           structures.
69670..............  .................  A                 Remove mastoid air           11.51      9.91        NA      0.78     22.20        NA       090
                                                           cells.
69676..............  .................  A                 Remove middle ear nerve       9.52      8.62        NA      0.69     18.83        NA       090
69700..............  .................  A                 Close mastoid fistula..       8.23      5.24        NA      0.55     14.02        NA       090
69710..............  .................  N                 Implant/replace hearing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
69711..............  .................  A                 Remove/repair hearing        10.44      9.18        NA      0.62     20.24        NA       090
                                                           aid.
69714..............  .................  A                 Implant temple bone w/       14.00      8.65        NA      0.97     23.62        NA       090
                                                           stimul.
69715..............  .................  A                 Temple bne implnt w/         18.25     10.42        NA      1.25     29.92        NA       090
                                                           stimulat.
69717..............  .................  A                 Temple bone implant          14.98      8.31        NA      1.04     24.33        NA       090
                                                           revision.
69718..............  .................  A                 Revise temple bone           18.50     10.51        NA      1.27     30.28        NA       090
                                                           implant.
69720..............  .................  A                 Release facial nerve...      14.38     12.04        NA      1.03     27.45        NA       090
69725..............  .................  A                 Release facial nerve...      25.38     18.21        NA      1.78     45.37        NA       090
69740..............  .................  A                 Repair facial nerve....      15.96     11.55        NA      1.13     28.64        NA       090
69745..............  .................  A                 Repair facial nerve....      16.69     11.91        NA      1.00     29.60        NA       090
69799..............  .................  C                 Middle ear surgery            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
69801..............  .................  A                 Incise inner ear.......       8.56      7.68        NA      0.60     16.84        NA       090
69802..............  .................  A                 Incise inner ear.......      13.10     10.97        NA      0.91     24.98        NA       090
69805..............  .................  A                 Explore inner ear......      13.82     10.74        NA      0.97     25.53        NA       090
69806..............  .................  A                 Explore inner ear......      12.35     10.50        NA      0.86     23.71        NA       090
69820..............  .................  A                 Establish inner ear          10.34      9.02        NA      0.66     20.02        NA       090
                                                           window.
69840..............  .................  A                 Revise inner ear window      10.26      9.90        NA      0.64     20.80        NA       090
69905..............  .................  A                 Remove inner ear.......      11.10      9.34        NA      0.77     21.21        NA       090
69910..............  .................  A                 Remove inner ear &           13.63     10.98        NA      0.94     25.55        NA       090
                                                           mastoid.
69915..............  .................  A                 Incise inner ear nerve.      21.23     15.31        NA      1.54     38.08        NA       090
69930..............  .................  A                 Implant cochlear device      16.81     12.66        NA      1.19     30.66        NA       090
69949..............  .................  C                 Inner ear surgery             0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           procedure.
69950..............  .................  A                 Incise inner ear nerve.      25.64     16.14        NA      2.90     44.68        NA       090

[[Page 40476]]

 
69955..............  .................  A                 Release facial nerve...      27.04     18.47        NA      1.89     47.40        NA       090
69960..............  .................  A                 Release inner ear canal      27.04     17.99        NA      2.43     47.46        NA       090
69970..............  .................  A                 Remove inner ear lesion      30.04     19.13        NA      2.34     51.51        NA       090
69979..............  .................  C                 Temporal bone surgery..       0.00      0.00      0.00      0.00      0.00      0.00       YYY
69990..............  .................  R                 Microsurgery add-on....       3.47      1.88        NA      0.56      5.91        NA       ZZZ
70010..............  .................  A                 Contrast x-ray of brain       1.19        NA      4.69      0.24        NA      6.12       XXX
70010..............  26                 A                 Contrast x-ray of brain       1.19      0.42      0.42      0.06      1.67      1.67       XXX
70010..............  TC                 A                 Contrast x-ray of brain       0.00        NA      4.27      0.18        NA      4.45       XXX
70015..............  .................  A                 Contrast x-ray of brain       1.19        NA      1.76      0.12        NA      3.07       XXX
70015..............  26                 A                 Contrast x-ray of brain       1.19      0.43      0.43      0.05      1.67      1.67       XXX
70015..............  TC                 A                 Contrast x-ray of brain       0.00        NA      1.33      0.07        NA      1.40       XXX
70030..............  .................  A                 X-ray eye for foreign         0.17        NA      0.47      0.03        NA      0.67       XXX
                                                           body.
70030..............  26                 A                 X-ray eye for foreign         0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           body.
70030..............  TC                 A                 X-ray eye for foreign         0.00        NA      0.41      0.02        NA      0.43       XXX
                                                           body.
70100..............  .................  A                 X-ray exam of jaw......       0.18        NA      0.57      0.03        NA      0.78       XXX
70100..............  26                 A                 X-ray exam of jaw......       0.18      0.06      0.06      0.01      0.25      0.25       XXX
70100..............  TC                 A                 X-ray exam of jaw......       0.00        NA      0.51      0.02        NA      0.53       XXX
70110..............  .................  A                 X-ray exam of jaw......       0.25        NA      0.70      0.04        NA      0.99       XXX
70110..............  26                 A                 X-ray exam of jaw......       0.25      0.09      0.09      0.01      0.35      0.35       XXX
70110..............  TC                 A                 X-ray exam of jaw......       0.00        NA      0.61      0.03        NA      0.64       XXX
70120..............  .................  A                 X-ray exam of mastoids.       0.18        NA      0.67      0.04        NA      0.89       XXX
70120..............  26                 A                 X-ray exam of mastoids.       0.18      0.06      0.06      0.01      0.25      0.25       XXX
70120..............  TC                 A                 X-ray exam of mastoids.       0.00        NA      0.61      0.03        NA      0.64       XXX
70130..............  .................  A                 X-ray exam of mastoids.       0.34        NA      0.89      0.05        NA      1.28       XXX
70130..............  26                 A                 X-ray exam of mastoids.       0.34      0.12      0.12      0.01      0.47      0.47       XXX
70130..............  TC                 A                 X-ray exam of mastoids.       0.00        NA      0.77      0.04        NA      0.81       XXX
70134..............  .................  A                 X-ray exam of middle          0.34        NA      0.84      0.05        NA      1.23       XXX
                                                           ear.
70134..............  26                 A                 X-ray exam of middle          0.34      0.12      0.12      0.01      0.47      0.47       XXX
                                                           ear.
70134..............  TC                 A                 X-ray exam of middle          0.00        NA      0.72      0.04        NA      0.76       XXX
                                                           ear.
70140..............  .................  A                 X-ray exam of facial          0.19        NA      0.68      0.04        NA      0.91       XXX
                                                           bones.
70140..............  26                 A                 X-ray exam of facial          0.19      0.07      0.07      0.01      0.27      0.27       XXX
                                                           bones.
70140..............  TC                 A                 X-ray exam of facial          0.00        NA      0.61      0.03        NA      0.64       XXX
                                                           bones.
70150..............  .................  A                 X-ray exam of facial          0.26        NA      0.86      0.05        NA      1.17       XXX
                                                           bones.
70150..............  26                 A                 X-ray exam of facial          0.26      0.09      0.09      0.01      0.36      0.36       XXX
                                                           bones.
70150..............  TC                 A                 X-ray exam of facial          0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           bones.
70160..............  .................  A                 X-ray exam of nasal           0.17        NA      0.57      0.03        NA      0.77       XXX
                                                           bones.
70160..............  26                 A                 X-ray exam of nasal           0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           bones.
70160..............  TC                 A                 X-ray exam of nasal           0.00        NA      0.51      0.02        NA      0.53       XXX
                                                           bones.
70170..............  .................  A                 X-ray exam of tear duct       0.30        NA      1.04      0.06        NA      1.40       XXX
70170..............  26                 A                 X-ray exam of tear duct       0.30      0.11      0.11      0.01      0.42      0.42       XXX
70170..............  TC                 A                 X-ray exam of tear duct       0.00        NA      0.93      0.05        NA      0.98       XXX
70190..............  .................  A                 X-ray exam of eye             0.21        NA      0.68      0.04        NA      0.93       XXX
                                                           sockets.
70190..............  26                 A                 X-ray exam of eye             0.21      0.07      0.07      0.01      0.29      0.29       XXX
                                                           sockets.
70190..............  TC                 A                 X-ray exam of eye             0.00        NA      0.61      0.03        NA      0.64       XXX
                                                           sockets.
70200..............  .................  A                 X-ray exam of eye             0.28        NA      0.87      0.05        NA      1.20       XXX
                                                           sockets.
70200..............  26                 A                 X-ray exam of eye             0.28      0.10      0.10      0.01      0.39      0.39       XXX
                                                           sockets.
70200..............  TC                 A                 X-ray exam of eye             0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           sockets.
70210..............  .................  A                 X-ray exam of sinuses..       0.17        NA      0.67      0.04        NA      0.88       XXX
70210..............  26                 A                 X-ray exam of sinuses..       0.17      0.06      0.06      0.01      0.24      0.24       XXX
70210..............  TC                 A                 X-ray exam of sinuses..       0.00        NA      0.61      0.03        NA      0.64       XXX
70220..............  .................  A                 X-ray exam of sinuses..       0.25        NA      0.86      0.05        NA      1.16       XXX
70220..............  26                 A                 X-ray exam of sinuses..       0.25      0.09      0.09      0.01      0.35      0.35       XXX
70220..............  TC                 A                 X-ray exam of sinuses..       0.00        NA      0.77      0.04        NA      0.81       XXX
70240..............  .................  A                 X-ray exam, pituitary         0.19        NA      0.48      0.03        NA      0.70       XXX
                                                           saddle.
70240..............  26                 A                 X-ray exam, pituitary         0.19      0.07      0.07      0.01      0.27      0.27       XXX
                                                           saddle.
70240..............  TC                 A                 X-ray exam, pituitary         0.00        NA      0.41      0.02        NA      0.43       XXX
                                                           saddle.
70250..............  .................  A                 X-ray exam of skull....       0.24        NA      0.69      0.04        NA      0.97       XXX
70250..............  26                 A                 X-ray exam of skull....       0.24      0.08      0.08      0.01      0.33      0.33       XXX
70250..............  TC                 A                 X-ray exam of skull....       0.00        NA      0.61      0.03        NA      0.64       XXX
70260..............  .................  A                 X-ray exam of skull....       0.34        NA      1.00      0.06        NA      1.40       XXX
70260..............  26                 A                 X-ray exam of skull....       0.34      0.12      0.12      0.01      0.47      0.47       XXX
70260..............  TC                 A                 X-ray exam of skull....       0.00        NA      0.88      0.05        NA      0.93       XXX
70300..............  .................  A                 X-ray exam of teeth....       0.10        NA      0.30      0.03        NA      0.43       XXX
70300..............  26                 A                 X-ray exam of teeth....       0.10      0.04      0.04      0.01      0.15      0.15       XXX
70300..............  TC                 A                 X-ray exam of teeth....       0.00        NA      0.26      0.02        NA      0.28       XXX
70310..............  .................  A                 X-ray exam of teeth....       0.16        NA      0.47      0.03        NA      0.66       XXX
70310..............  26                 A                 X-ray exam of teeth....       0.16      0.06      0.06      0.01      0.23      0.23       XXX
70310..............  TC                 A                 X-ray exam of teeth....       0.00        NA      0.41      0.02        NA      0.43       XXX
70320..............  .................  A                 Full mouth x-ray of           0.22        NA      0.85      0.05        NA      1.12       XXX
                                                           teeth.
70320..............  26                 A                 Full mouth x-ray of           0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           teeth.
70320..............  TC                 A                 Full mouth x-ray of           0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           teeth.
70328..............  .................  A                 X-ray exam of jaw joint       0.18        NA      0.55      0.03        NA      0.76       XXX
70328..............  26                 A                 X-ray exam of jaw joint       0.18      0.06      0.06      0.01      0.25      0.25       XXX
70328..............  TC                 A                 X-ray exam of jaw joint       0.00        NA      0.49      0.02        NA      0.51       XXX

[[Page 40477]]

 
70330..............  .................  A                 X-ray exam of jaw             0.24        NA      0.91      0.05        NA      1.20       XXX
                                                           joints.
70330..............  26                 A                 X-ray exam of jaw             0.24      0.08      0.08      0.01      0.33      0.33       XXX
                                                           joints.
70330..............  TC                 A                 X-ray exam of jaw             0.00        NA      0.83      0.04        NA      0.87       XXX
                                                           joints.
70332..............  .................  A                 X-ray exam of jaw joint       0.54        NA      2.26      0.12        NA      2.92       XXX
70332..............  26                 A                 X-ray exam of jaw joint       0.54      0.19      0.19      0.02      0.75      0.75       XXX
70332..............  TC                 A                 X-ray exam of jaw joint       0.00        NA      2.07      0.10        NA      2.17       XXX
70336..............  .................  A                 Magnetic image, jaw           1.48        NA     11.55      0.56        NA     13.59       XXX
                                                           joint.
70336..............  26                 A                 Magnetic image, jaw           1.48      0.52      0.52      0.07      2.07      2.07       XXX
                                                           joint.
70336..............  TC                 A                 Magnetic image, jaw           0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           joint.
70350..............  .................  A                 X-ray head for                0.17        NA      0.43      0.03        NA      0.63       XXX
                                                           orthodontia.
70350..............  26                 A                 X-ray head for                0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           orthodontia.
70350..............  TC                 A                 X-ray head for                0.00        NA      0.37      0.02        NA      0.39       XXX
                                                           orthodontia.
70355..............  .................  A                 Panoramic x-ray of jaws       0.20        NA      0.63      0.04        NA      0.87       XXX
70355..............  26                 A                 Panoramic x-ray of jaws       0.20      0.07      0.07      0.01      0.28      0.28       XXX
70355..............  TC                 A                 Panoramic x-ray of jaws       0.00        NA      0.56      0.03        NA      0.59       XXX
70360..............  .................  A                 X-ray exam of neck.....       0.17        NA      0.47      0.03        NA      0.67       XXX
70360..............  26                 A                 X-ray exam of neck.....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
70360..............  TC                 A                 X-ray exam of neck.....       0.00        NA      0.41      0.02        NA      0.43       XXX
70370..............  .................  A                 Throat x-ray &                0.32        NA      1.40      0.07        NA      1.79       XXX
                                                           fluoroscopy.
70370..............  26                 A                 Throat x-ray &                0.32      0.11      0.11      0.01      0.44      0.44       XXX
                                                           fluoroscopy.
70370..............  TC                 A                 Throat x-ray &                0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           fluoroscopy.
70371..............  .................  A                 Speech evaluation,            0.84        NA      2.36      0.14        NA      3.34       XXX
                                                           complex.
70371..............  26                 A                 Speech evaluation,            0.84      0.29      0.29      0.04      1.17      1.17       XXX
                                                           complex.
70371..............  TC                 A                 Speech evaluation,            0.00        NA      2.07      0.10        NA      2.17       XXX
                                                           complex.
70373..............  .................  A                 Contrast x-ray of             0.44        NA      1.90      0.11        NA      2.45       XXX
                                                           larynx.
70373..............  26                 A                 Contrast x-ray of             0.44      0.15      0.15      0.02      0.61      0.61       XXX
                                                           larynx.
70373..............  TC                 A                 Contrast x-ray of             0.00        NA      1.75      0.09        NA      1.84       XXX
                                                           larynx.
70380..............  .................  A                 X-ray exam of salivary        0.17        NA      0.72      0.04        NA      0.93       XXX
                                                           gland.
70380..............  26                 A                 X-ray exam of salivary        0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           gland.
70380..............  TC                 A                 X-ray exam of salivary        0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           gland.
70390..............  .................  A                 X-ray exam of salivary        0.38        NA      1.88      0.11        NA      2.37       XXX
                                                           duct.
70390..............  26                 A                 X-ray exam of salivary        0.38      0.13      0.13      0.02      0.53      0.53       XXX
                                                           duct.
70390..............  TC                 A                 X-ray exam of salivary        0.00        NA      1.75      0.09        NA      1.84       XXX
                                                           duct.
70450..............  .................  A                 Ct head/brain w/o dye..       0.85        NA      4.95      0.25        NA      6.05       XXX
70450..............  26                 A                 Ct head/brain w/o dye..       0.85      0.30      0.30      0.04      1.19      1.19       XXX
70450..............  TC                 A                 Ct head/brain w/o dye..       0.00        NA      4.65      0.21        NA      4.86       XXX
70460..............  .................  A                 Ct head/brain w/dye....       1.13        NA      5.97      0.30        NA      7.40       XXX
70460..............  26                 A                 Ct head/brain w/dye....       1.13      0.40      0.40      0.05      1.58      1.58       XXX
70460..............  TC                 A                 Ct head/brain w/dye....       0.00        NA      5.57      0.25        NA      5.82       XXX
70470..............  .................  A                 Ct head/brain w/o&w dye       1.27        NA      7.40      0.37        NA      9.04       XXX
70470..............  26                 A                 Ct head/brain w/o&w dye       1.27      0.44      0.44      0.06      1.77      1.77       XXX
70470..............  TC                 A                 Ct head/brain w/o&w dye       0.00        NA      6.96      0.31        NA      7.27       XXX
70480..............  .................  A                 Ct orbit/ear/fossa w/o        1.28        NA      5.10      0.27        NA      6.65       XXX
                                                           dye.
70480..............  26                 A                 Ct orbit/ear/fossa w/o        1.28      0.45      0.45      0.06      1.79      1.79       XXX
                                                           dye.
70480..............  TC                 A                 Ct orbit/ear/fossa w/o        0.00        NA      4.65      0.21        NA      4.86       XXX
                                                           dye.
70481..............  .................  A                 Ct orbit/ear/fossa w/         1.38        NA      6.05      0.31        NA      7.74       XXX
                                                           dye.
70481..............  26                 A                 Ct orbit/ear/fossa w/         1.38      0.48      0.48      0.06      1.92      1.92       XXX
                                                           dye.
70481..............  TC                 A                 Ct orbit/ear/fossa w/         0.00        NA      5.57      0.25        NA      5.82       XXX
                                                           dye.
70482..............  .................  A                 Ct orbit/ear/fossa w/         1.45        NA      7.47      0.37        NA      9.29       XXX
                                                           o&w dye.
70482..............  26                 A                 Ct orbit/ear/fossa w/         1.45      0.51      0.51      0.06      2.02      2.02       XXX
                                                           o&w dye.
70482..............  TC                 A                 Ct orbit/ear/fossa w/         0.00        NA      6.96      0.31        NA      7.27       XXX
                                                           o&w dye.
70486..............  .................  A                 Ct maxillofacial w/o          1.14        NA      5.05      0.26        NA      6.45       XXX
                                                           dye.
70486..............  26                 A                 Ct maxillofacial w/o          1.14      0.40      0.40      0.05      1.59      1.59       XXX
                                                           dye.
70486..............  TC                 A                 Ct maxillofacial w/o          0.00        NA      4.65      0.21        NA      4.86       XXX
                                                           dye.
70487..............  .................  A                 Ct maxillofacial w/dye.       1.30        NA      6.02      0.31        NA      7.63       XXX
70487..............  26                 A                 Ct maxillofacial w/dye.       1.30      0.45      0.45      0.06      1.81      1.81       XXX
70487..............  TC                 A                 Ct maxillofacial w/dye.       0.00        NA      5.57      0.25        NA      5.82       XXX
70488..............  .................  A                 Ct maxillofacial w/o&w        1.42        NA      7.45      0.37        NA      9.24       XXX
                                                           dye.
70488..............  26                 A                 Ct maxillofacial w/o&w        1.42      0.49      0.49      0.06      1.97      1.97       XXX
                                                           dye.
70488..............  TC                 A                 Ct maxillofacial w/o&w        0.00        NA      6.96      0.31        NA      7.27       XXX
                                                           dye.
70490..............  .................  A                 Ct soft tissue neck w/o       1.28        NA      5.10      0.27        NA      6.65       XXX
                                                           dye.
70490..............  26                 A                 Ct soft tissue neck w/o       1.28      0.45      0.45      0.06      1.79      1.79       XXX
                                                           dye.
70490..............  TC                 A                 Ct soft tissue neck w/o       0.00        NA      4.65      0.21        NA      4.86       XXX
                                                           dye.
70491..............  .................  A                 Ct soft tissue neck w/        1.38        NA      6.05      0.31        NA      7.74       XXX
                                                           dye.
70491..............  26                 A                 Ct soft tissue neck w/        1.38      0.48      0.48      0.06      1.92      1.92       XXX
                                                           dye.
70491..............  TC                 A                 Ct soft tissue neck w/        0.00        NA      5.57      0.25        NA      5.82       XXX
                                                           dye.
70492..............  .................  A                 Ct sft tsue nck w/o & w/      1.45        NA      7.47      0.37        NA      9.29       XXX
                                                           dye.
70492..............  26                 A                 Ct sft tsue nck w/o & w/      1.45      0.51      0.51      0.06      2.02      2.02       XXX
                                                           dye.
70492..............  TC                 A                 Ct sft tsue nck w/o & w/      0.00        NA      6.96      0.31        NA      7.27       XXX
                                                           dye.
70496..............  .................  A                 Ct angiography, head...       1.75        NA      7.65      0.54        NA      9.94       XXX
70496..............  26                 A                 Ct angiography, head...       1.75      0.69      0.69      0.06      2.50      2.50       XXX
70496..............  TC                 A                 Ct angiography, head...       0.00        NA      6.96      0.48        NA      7.44       XXX
70498..............  .................  A                 Ct angiography, neck...       1.75        NA      7.65      0.54        NA      9.94       XXX
70498..............  26                 A                 Ct angiography, neck...       1.75      0.69      0.69      0.06      2.50      2.50       XXX

[[Page 40478]]

 
70498..............  TC                 A                 Ct angiography, neck...       0.00        NA      6.96      0.48        NA      7.44       XXX
70540..............  .................  A                 Mri orbit/face/neck w/o       1.10        NA     11.41      0.36        NA     12.87       XXX
                                                           dye.
70540..............  26                 A                 Mri orbit/face/neck w/o       1.10      0.38      0.38      0.04      1.52      1.52       XXX
                                                           dye.
70540..............  TC                 A                 Mri orbit/face/neck w/o       0.00        NA     11.03      0.32        NA     11.35       XXX
                                                           dye.
70542..............  .................  A                 Mri orbit/face/neck w/        1.33        NA     13.69      0.43        NA     15.45       XXX
                                                           dye.
70542..............  26                 A                 Mri orbit/face/neck w/        1.33      0.46      0.46      0.04      1.83      1.83       XXX
                                                           dye.
70542..............  TC                 A                 Mri orbit/face/neck w/        0.00        NA     13.23      0.39        NA     13.62       XXX
                                                           dye.
70543..............  .................  A                 Mri orbt/fac/nck w/o&w        1.76        NA     25.13      0.78        NA     27.67       XXX
                                                           dye.
70543..............  26                 A                 Mri orbt/fac/nck w/o&w        1.76      0.62      0.62      0.08      2.46      2.46       XXX
                                                           dye.
70543..............  TC                 A                 Mri orbt/fac/nck w/o&w        0.00        NA     24.51      0.70        NA     25.21       XXX
                                                           dye.
70544..............  .................  A                 Mr angiography head w/o       1.20        NA     11.45      0.56        NA     13.21       XXX
                                                           dye.
70544..............  26                 A                 Mr angiography head w/o       1.20      0.42      0.42      0.07      1.69      1.69       XXX
                                                           dye.
70544..............  TC                 A                 Mr angiography head w/o       0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
70545..............  .................  A                 Mr angiography head w/        1.20        NA     11.45      0.56        NA     13.21       XXX
                                                           dye.
70545..............  26                 A                 Mr angiography head w/        1.20      0.42      0.42      0.07      1.69      1.69       XXX
                                                           dye.
70545..............  TC                 A                 Mr angiography head w/        0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
70546..............  .................  A                 Mr angiograph head w/         1.80        NA     22.70      0.56        NA     25.06       XXX
                                                           o&w dye.
70546..............  26                 A                 Mr angiograph head w/         1.80      0.63      0.63      0.07      2.50      2.50       XXX
                                                           o&w dye.
70546..............  TC                 A                 Mr angiograph head w/         0.00        NA     22.07      0.49        NA     22.56       XXX
                                                           o&w dye.
70547..............  .................  A                 Mr angiography neck w/o       1.20        NA     11.45      0.56        NA     13.21       XXX
                                                           dye.
70547..............  26                 A                 Mr angiography neck w/o       1.20      0.42      0.42      0.07      1.69      1.69       XXX
                                                           dye.
70547..............  TC                 A                 Mr angiography neck w/o       0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
70548..............  .................  A                 Mr angiography neck w/        1.20        NA     11.45      0.56        NA     13.21       XXX
                                                           dye.
70548..............  26                 A                 Mr angiography neck w/        1.20      0.42      0.42      0.07      1.69      1.69       XXX
                                                           dye.
70548..............  TC                 A                 Mr angiography neck w/        0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
70549..............  .................  A                 Mr angiograph neck w/         1.80        NA     22.70      0.56        NA     25.06       XXX
                                                           o&w dye.
70549..............  26                 A                 Mr angiograph neck w/         1.80      0.63      0.63      0.07      2.50      2.50       XXX
                                                           o&w dye.
70549..............  TC                 A                 Mr angiograph neck w/         0.00        NA     22.07      0.49        NA     22.56       XXX
                                                           o&w dye.
70551..............  .................  A                 Mri brain w/o dye......       1.48        NA     11.55      0.56        NA     13.59       XXX
70551..............  26                 A                 Mri brain w/o dye......       1.48      0.52      0.52      0.07      2.07      2.07       XXX
70551..............  TC                 A                 Mri brain w/o dye......       0.00        NA     11.03      0.49        NA     11.52       XXX
70552..............  .................  A                 Mri brain w/dye........       1.78        NA     13.86      0.66        NA     16.30       XXX
70552..............  26                 A                 Mri brain w/dye........       1.78      0.63      0.63      0.08      2.49      2.49       XXX
70552..............  TC                 A                 Mri brain w/dye........       0.00        NA     13.23      0.58        NA     13.81       XXX
70553..............  .................  A                 Mri brain w/o&w dye....       2.36        NA     25.34      1.19        NA     28.89       XXX
70553..............  26                 A                 Mri brain w/o&w dye....       2.36      0.83      0.83      0.10      3.29      3.29       XXX
70553..............  TC                 A                 Mri brain w/o&w dye....       0.00        NA     24.51      1.09        NA     25.60       XXX
71010..............  .................  A                 Chest x-ray............       0.18        NA      0.53      0.03        NA      0.74       XXX
71010..............  26                 A                 Chest x-ray............       0.18      0.06      0.06      0.01      0.25      0.25       XXX
71010..............  TC                 A                 Chest x-ray............       0.00        NA      0.47      0.02        NA      0.49       XXX
71015..............  .................  A                 Chest x-ray............       0.21        NA      0.58      0.03        NA      0.82       XXX
71015..............  26                 A                 Chest x-ray............       0.21      0.07      0.07      0.01      0.29      0.29       XXX
71015..............  TC                 A                 Chest x-ray............       0.00        NA      0.51      0.02        NA      0.53       XXX
71020..............  .................  A                 Chest x-ray............       0.22        NA      0.69      0.04        NA      0.95       XXX
71020..............  26                 A                 Chest x-ray............       0.22      0.08      0.08      0.01      0.31      0.31       XXX
71020..............  TC                 A                 Chest x-ray............       0.00        NA      0.61      0.03        NA      0.64       XXX
71021..............  .................  A                 Chest x-ray............       0.27        NA      0.81      0.05        NA      1.13       XXX
71021..............  26                 A                 Chest x-ray............       0.27      0.09      0.09      0.01      0.37      0.37       XXX
71021..............  TC                 A                 Chest x-ray............       0.00        NA      0.72      0.04        NA      0.76       XXX
71022..............  .................  A                 Chest x-ray............       0.31        NA      0.83      0.06        NA      1.20       XXX
71022..............  26                 A                 Chest x-ray............       0.31      0.11      0.11      0.02      0.44      0.44       XXX
71022..............  TC                 A                 Chest x-ray............       0.00        NA      0.72      0.04        NA      0.76       XXX
71023..............  .................  A                 Chest x-ray and               0.38        NA      0.91      0.06        NA      1.35       XXX
                                                           fluoroscopy.
71023..............  26                 A                 Chest x-ray and               0.38      0.14      0.14      0.02      0.54      0.54       XXX
                                                           fluoroscopy.
71023..............  TC                 A                 Chest x-ray and               0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           fluoroscopy.
71030..............  .................  A                 Chest x-ray............       0.31        NA      0.88      0.05        NA      1.24       XXX
71030..............  26                 A                 Chest x-ray............       0.31      0.11      0.11      0.01      0.43      0.43       XXX
71030..............  TC                 A                 Chest x-ray............       0.00        NA      0.77      0.04        NA      0.81       XXX
71034..............  .................  A                 Chest x-ray and               0.46        NA      1.59      0.09        NA      2.14       XXX
                                                           fluoroscopy.
71034..............  26                 A                 Chest x-ray and               0.46      0.17      0.17      0.02      0.65      0.65       XXX
                                                           fluoroscopy.
71034..............  TC                 A                 Chest x-ray and               0.00        NA      1.42      0.07        NA      1.49       XXX
                                                           fluoroscopy.
71035..............  .................  A                 Chest x-ray............       0.18        NA      0.57      0.03        NA      0.78       XXX
71035..............  26                 A                 Chest x-ray............       0.18      0.06      0.06      0.01      0.25      0.25       XXX
71035..............  TC                 A                 Chest x-ray............       0.00        NA      0.51      0.02        NA      0.53       XXX
71040..............  .................  A                 Contrast x-ray of             0.58        NA      1.64      0.10        NA      2.32       XXX
                                                           bronchi.
71040..............  26                 A                 Contrast x-ray of             0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           bronchi.
71040..............  TC                 A                 Contrast x-ray of             0.00        NA      1.44      0.07        NA      1.51       XXX
                                                           bronchi.
71060..............  .................  A                 Contrast x-ray of             0.74        NA      2.43      0.14        NA      3.31       XXX
                                                           bronchi.
71060..............  26                 A                 Contrast x-ray of             0.74      0.26      0.26      0.03      1.03      1.03       XXX
                                                           bronchi.
71060..............  TC                 A                 Contrast x-ray of             0.00        NA      2.17      0.11        NA      2.28       XXX
                                                           bronchi.
71090..............  .................  A                 X-ray & pacemaker             0.54        NA      1.88      0.11        NA      2.53       XXX
                                                           insertion.
71090..............  26                 A                 X-ray & pacemaker             0.54      0.22      0.22      0.02      0.78      0.78       XXX
                                                           insertion.
71090..............  TC                 A                 X-ray & pacemaker             0.00        NA      1.66      0.09        NA      1.75       XXX
                                                           insertion.
71100..............  .................  A                 X-ray exam of ribs.....       0.22        NA      0.64      0.04        NA      0.90       XXX

[[Page 40479]]

 
71100..............  26                 A                 X-ray exam of ribs.....       0.22      0.08      0.08      0.01      0.31      0.31       XXX
71100..............  TC                 A                 X-ray exam of ribs.....       0.00        NA      0.56      0.03        NA      0.59       XXX
71101..............  .................  A                 X-ray exam of ribs/           0.27        NA      0.75      0.04        NA      1.06       XXX
                                                           chest.
71101..............  26                 A                 X-ray exam of ribs/           0.27      0.09      0.09      0.01      0.37      0.37       XXX
                                                           chest.
71101..............  TC                 A                 X-ray exam of ribs/           0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           chest.
71110..............  .................  A                 X-ray exam of ribs.....       0.27        NA      0.86      0.05        NA      1.18       XXX
71110..............  26                 A                 X-ray exam of ribs.....       0.27      0.09      0.09      0.01      0.37      0.37       XXX
71110..............  TC                 A                 X-ray exam of ribs.....       0.00        NA      0.77      0.04        NA      0.81       XXX
71111..............  .................  A                 X-ray exam of ribs/           0.32        NA      0.99      0.06        NA      1.37       XXX
                                                           chest.
71111..............  26                 A                 X-ray exam of ribs/           0.32      0.11      0.11      0.01      0.44      0.44       XXX
                                                           chest.
71111..............  TC                 A                 X-ray exam of ribs/           0.00        NA      0.88      0.05        NA      0.93       XXX
                                                           chest.
71120..............  .................  A                 X-ray exam of                 0.20        NA      0.71      0.04        NA      0.95       XXX
                                                           breastbone.
71120..............  26                 A                 X-ray exam of                 0.20      0.07      0.07      0.01      0.28      0.28       XXX
                                                           breastbone.
71120..............  TC                 A                 X-ray exam of                 0.00        NA      0.64      0.03        NA      0.67       XXX
                                                           breastbone.
71130..............  .................  A                 X-ray exam of                 0.22        NA      0.78      0.04        NA      1.04       XXX
                                                           breastbone.
71130..............  26                 A                 X-ray exam of                 0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           breastbone.
71130..............  TC                 A                 X-ray exam of                 0.00        NA      0.70      0.03        NA      0.73       XXX
                                                           breastbone.
71250..............  .................  A                 Ct thorax w/o dye......       1.16        NA      6.22      0.31        NA      7.69       XXX
71250..............  26                 A                 Ct thorax w/o dye......       1.16      0.40      0.40      0.05      1.61      1.61       XXX
71250..............  TC                 A                 Ct thorax w/o dye......       0.00        NA      5.82      0.26        NA      6.08       XXX
71260..............  .................  A                 Ct thorax w/dye........       1.24        NA      7.39      0.36        NA      8.99       XXX
71260..............  26                 A                 Ct thorax w/dye........       1.24      0.43      0.43      0.05      1.72      1.72       XXX
71260..............  TC                 A                 Ct thorax w/dye........       0.00        NA      6.96      0.31        NA      7.27       XXX
71270..............  .................  A                 Ct thorax w/o&w dye....       1.38        NA      9.19      0.44        NA     11.01       XXX
71270..............  26                 A                 Ct thorax w/o&w dye....       1.38      0.48      0.48      0.06      1.92      1.92       XXX
71270..............  TC                 A                 Ct thorax w/o&w dye....       0.00        NA      8.71      0.38        NA      9.09       XXX
71275..............  .................  A                 Ct angiography, chest..       1.20        NA      9.18      0.37        NA     10.75       XXX
71275..............  26                 A                 Ct angiography, chest..       1.20      0.47      0.47      0.05      1.72      1.72       XXX
71275..............  TC                 A                 Ct angiography, chest..       0.00        NA      8.71      0.32        NA      9.03       XXX
71550..............  .................  A                 Mri chest w/o dye......       1.22        NA     11.46      0.41        NA     13.09       XXX
71550..............  26                 A                 Mri chest w/o dye......       1.22      0.43      0.43      0.04      1.69      1.69       XXX
71550..............  TC                 A                 Mri chest w/o dye......       0.00        NA     11.03      0.37        NA     11.40       XXX
71551..............  .................  A                 Mri chest w/dye........       1.44        NA     13.73      0.48        NA     15.65       XXX
71551..............  26                 A                 Mri chest w/dye........       1.44      0.50      0.50      0.05      1.99      1.99       XXX
71551..............  TC                 A                 Mri chest w/dye........       0.00        NA     13.23      0.43        NA     13.66       XXX
71552..............  .................  A                 Mri chest w/o&w dye....       1.89        NA     25.17      0.63        NA     27.69       XXX
71552..............  26                 A                 Mri chest w/o&w dye....       1.89      0.66      0.66      0.07      2.62      2.62       XXX
71552..............  TC                 A                 Mri chest w/o&w dye....       0.00        NA     24.51      0.56        NA     25.07       XXX
71555..............  .................  R                 Mri angio chest w or w/       1.81        NA     11.66      0.57        NA     14.04       XXX
                                                           o dye.
71555..............  26                 R                 Mri angio chest w or w/       1.81      0.63      0.63      0.08      2.52      2.52       XXX
                                                           o dye.
71555..............  TC                 R                 Mri angio chest w or w/       0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           o dye.
72010..............  .................  A                 X-ray exam of spine....       0.45        NA      1.17      0.08        NA      1.70       XXX
72010..............  26                 A                 X-ray exam of spine....       0.45      0.16      0.16      0.03      0.64      0.64       XXX
72010..............  TC                 A                 X-ray exam of spine....       0.00        NA      1.01      0.05        NA      1.06       XXX
72020..............  .................  A                 X-ray exam of spine....       0.15        NA      0.46      0.03        NA      0.64       XXX
72020..............  26                 A                 X-ray exam of spine....       0.15      0.05      0.05      0.01      0.21      0.21       XXX
72020..............  TC                 A                 X-ray exam of spine....       0.00        NA      0.41      0.02        NA      0.43       XXX
72040..............  .................  A                 X-ray exam of neck            0.22        NA      0.67      0.04        NA      0.93       XXX
                                                           spine.
72040..............  26                 A                 X-ray exam of neck            0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           spine.
72040..............  TC                 A                 X-ray exam of neck            0.00        NA      0.59      0.03        NA      0.62       XXX
                                                           spine.
72050..............  .................  A                 X-ray exam of neck            0.31        NA      0.99      0.07        NA      1.37       XXX
                                                           spine.
72050..............  26                 A                 X-ray exam of neck            0.31      0.11      0.11      0.02      0.44      0.44       XXX
                                                           spine.
72050..............  TC                 A                 X-ray exam of neck            0.00        NA      0.88      0.05        NA      0.93       XXX
                                                           spine.
72052..............  .................  A                 X-ray exam of neck            0.36        NA      1.24      0.07        NA      1.67       XXX
                                                           spine.
72052..............  26                 A                 X-ray exam of neck            0.36      0.13      0.13      0.02      0.51      0.51       XXX
                                                           spine.
72052..............  TC                 A                 X-ray exam of neck            0.00        NA      1.11      0.05        NA      1.16       XXX
                                                           spine.
72069..............  .................  A                 X-ray exam of trunk           0.22        NA      0.57      0.04        NA      0.83       XXX
                                                           spine.
72069..............  26                 A                 X-ray exam of trunk           0.22      0.08      0.08      0.02      0.32      0.32       XXX
                                                           spine.
72069..............  TC                 A                 X-ray exam of trunk           0.00        NA      0.49      0.02        NA      0.51       XXX
                                                           spine.
72070..............  .................  A                 X-ray exam of thoracic        0.22        NA      0.72      0.04        NA      0.98       XXX
                                                           spine.
72070..............  26                 A                 X-ray exam of thoracic        0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           spine.
72070..............  TC                 A                 X-ray exam of thoracic        0.00        NA      0.64      0.03        NA      0.67       XXX
                                                           spine.
72072..............  .................  A                 X-ray exam of thoracic        0.22        NA      0.80      0.05        NA      1.07       XXX
                                                           spine.
72072..............  26                 A                 X-ray exam of thoracic        0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           spine.
72072..............  TC                 A                 X-ray exam of thoracic        0.00        NA      0.72      0.04        NA      0.76       XXX
                                                           spine.
72074..............  .................  A                 X-ray exam of thoracic        0.22        NA      0.97      0.06        NA      1.25       XXX
                                                           spine.
72074..............  26                 A                 X-ray exam of thoracic        0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           spine.
72074..............  TC                 A                 X-ray exam of thoracic        0.00        NA      0.89      0.05        NA      0.94       XXX
                                                           spine.
72080..............  .................  A                 X-ray exam of trunk           0.22        NA      0.74      0.05        NA      1.01       XXX
                                                           spine.
72080..............  26                 A                 X-ray exam of trunk           0.22      0.08      0.08      0.02      0.32      0.32       XXX
                                                           spine.
72080..............  TC                 A                 X-ray exam of trunk           0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           spine.
72090..............  .................  A                 X-ray exam of trunk           0.28        NA      0.76      0.05        NA      1.09       XXX
                                                           spine.
72090..............  26                 A                 X-ray exam of trunk           0.28      0.10      0.10      0.02      0.40      0.40       XXX
                                                           spine.
72090..............  TC                 A                 X-ray exam of trunk           0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           spine.

[[Page 40480]]

 
72100..............  .................  A                 X-ray exam of lower           0.22        NA      0.74      0.05        NA      1.01       XXX
                                                           spine.
72100..............  26                 A                 X-ray exam of lower           0.22      0.08      0.08      0.02      0.32      0.32       XXX
                                                           spine.
72100..............  TC                 A                 X-ray exam of lower           0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           spine.
72110..............  .................  A                 X-ray exam of lower           0.31        NA      1.00      0.07        NA      1.38       XXX
                                                           spine.
72110..............  26                 A                 X-ray exam of lower           0.31      0.11      0.11      0.02      0.44      0.44       XXX
                                                           spine.
72110..............  TC                 A                 X-ray exam of lower           0.00        NA      0.89      0.05        NA      0.94       XXX
                                                           spine.
72114..............  .................  A                 X-ray exam of lower           0.36        NA      1.30      0.08        NA      1.74       XXX
                                                           spine.
72114..............  26                 A                 X-ray exam of lower           0.36      0.13      0.13      0.03      0.52      0.52       XXX
                                                           spine.
72114..............  TC                 A                 X-ray exam of lower           0.00        NA      1.17      0.05        NA      1.22       XXX
                                                           spine.
72120..............  .................  A                 X-ray exam of lower           0.22        NA      0.96      0.07        NA      1.25       XXX
                                                           spine.
72120..............  26                 A                 X-ray exam of lower           0.22      0.08      0.08      0.02      0.32      0.32       XXX
                                                           spine.
72120..............  TC                 A                 X-ray exam of lower           0.00        NA      0.88      0.05        NA      0.93       XXX
                                                           spine.
72125..............  .................  A                 Ct neck spine w/o dye..       1.16        NA      6.22      0.31        NA      7.69       XXX
72125..............  26                 A                 Ct neck spine w/o dye..       1.16      0.40      0.40      0.05      1.61      1.61       XXX
72125..............  TC                 A                 Ct neck spine w/o dye..       0.00        NA      5.82      0.26        NA      6.08       XXX
72126..............  .................  A                 Ct neck spine w/dye....       1.22        NA      7.38      0.36        NA      8.96       XXX
72126..............  26                 A                 Ct neck spine w/dye....       1.22      0.42      0.42      0.05      1.69      1.69       XXX
72126..............  TC                 A                 Ct neck spine w/dye....       0.00        NA      6.96      0.31        NA      7.27       XXX
72127..............  .................  A                 Ct neck spine w/o&w dye       1.27        NA      9.16      0.44        NA     10.87       XXX
72127..............  26                 A                 Ct neck spine w/o&w dye       1.27      0.45      0.45      0.06      1.78      1.78       XXX
72127..............  TC                 A                 Ct neck spine w/o&w dye       0.00        NA      8.71      0.38        NA      9.09       XXX
72128..............  .................  A                 Ct chest spine w/o dye.       1.16        NA      6.22      0.31        NA      7.69       XXX
72128..............  26                 A                 Ct chest spine w/o dye.       1.16      0.40      0.40      0.05      1.61      1.61       XXX
72128..............  TC                 A                 Ct chest spine w/o dye.       0.00        NA      5.82      0.26        NA      6.08       XXX
72129..............  .................  A                 Ct chest spine w/dye...       1.22        NA      7.38      0.36        NA      8.96       XXX
72129..............  26                 A                 Ct chest spine w/dye...       1.22      0.42      0.42      0.05      1.69      1.69       XXX
72129..............  TC                 A                 Ct chest spine w/dye...       0.00        NA      6.96      0.31        NA      7.27       XXX
72130..............  .................  A                 Ct chest spine w/o&w          1.27        NA      9.15      0.44        NA     10.86       XXX
                                                           dye.
72130..............  26                 A                 Ct chest spine w/o&w          1.27      0.44      0.44      0.06      1.77      1.77       XXX
                                                           dye.
72130..............  TC                 A                 Ct chest spine w/o&w          0.00        NA      8.71      0.38        NA      9.09       XXX
                                                           dye.
72131..............  .................  A                 Ct lumbar spine w/o dye       1.16        NA      6.22      0.31        NA      7.69       XXX
72131..............  26                 A                 Ct lumbar spine w/o dye       1.16      0.40      0.40      0.05      1.61      1.61       XXX
72131..............  TC                 A                 Ct lumbar spine w/o dye       0.00        NA      5.82      0.26        NA      6.08       XXX
72132..............  .................  A                 Ct lumbar spine w/dye..       1.22        NA      7.38      0.37        NA      8.97       XXX
72132..............  26                 A                 Ct lumbar spine w/dye..       1.22      0.42      0.42      0.06      1.70      1.70       XXX
72132..............  TC                 A                 Ct lumbar spine w/dye..       0.00        NA      6.96      0.31        NA      7.27       XXX
72133..............  .................  A                 Ct lumbar spine w/o&w         1.27        NA      9.16      0.44        NA     10.87       XXX
                                                           dye.
72133..............  26                 A                 Ct lumbar spine w/o&w         1.27      0.45      0.45      0.06      1.78      1.78       XXX
                                                           dye.
72133..............  TC                 A                 Ct lumbar spine w/o&w         0.00        NA      8.71      0.38        NA      9.09       XXX
                                                           dye.
72141..............  .................  A                 Mri neck spine w/o dye.       1.60        NA     11.59      0.56        NA     13.75       XXX
72141..............  26                 A                 Mri neck spine w/o dye.       1.60      0.56      0.56      0.07      2.23      2.23       XXX
72141..............  TC                 A                 Mri neck spine w/o dye.       0.00        NA     11.03      0.49        NA     11.52       XXX
72142..............  .................  A                 Mri neck spine w/dye...       1.92        NA     13.92      0.67        NA     16.51       XXX
72142..............  26                 A                 Mri neck spine w/dye...       1.92      0.69      0.69      0.09      2.70      2.70       XXX
72142..............  TC                 A                 Mri neck spine w/dye...       0.00        NA     13.23      0.58        NA     13.81       XXX
72146..............  .................  A                 Mri chest spine w/o dye       1.60        NA     12.81      0.60        NA     15.01       XXX
72146..............  26                 A                 Mri chest spine w/o dye       1.60      0.56      0.56      0.07      2.23      2.23       XXX
72146..............  TC                 A                 Mri chest spine w/o dye       0.00        NA     12.25      0.53        NA     12.78       XXX
72147..............  .................  A                 Mri chest spine w/dye..       1.92        NA     13.91      0.67        NA     16.50       XXX
72147..............  26                 A                 Mri chest spine w/dye..       1.92      0.68      0.68      0.09      2.69      2.69       XXX
72147..............  TC                 A                 Mri chest spine w/dye..       0.00        NA     13.23      0.58        NA     13.81       XXX
72148..............  .................  A                 Mri lumbar spine w/o          1.48        NA     12.77      0.60        NA     14.85       XXX
                                                           dye.
72148..............  26                 A                 Mri lumbar spine w/o          1.48      0.52      0.52      0.07      2.07      2.07       XXX
                                                           dye.
72148..............  TC                 A                 Mri lumbar spine w/o          0.00        NA     12.25      0.53        NA     12.78       XXX
                                                           dye.
72149..............  .................  A                 Mri lumbar spine w/dye.       1.78        NA     13.87      0.67        NA     16.32       XXX
72149..............  26                 A                 Mri lumbar spine w/dye.       1.78      0.64      0.64      0.09      2.51      2.51       XXX
72149..............  TC                 A                 Mri lumbar spine w/dye.       0.00        NA     13.23      0.58        NA     13.81       XXX
72156..............  .................  A                 Mri neck spine w/o&w          2.57        NA     25.41      1.20        NA     29.18       XXX
                                                           dye.
72156..............  26                 A                 Mri neck spine w/o&w          2.57      0.90      0.90      0.11      3.58      3.58       XXX
                                                           dye.
72156..............  TC                 A                 Mri neck spine w/o&w          0.00        NA     24.51      1.09        NA     25.60       XXX
                                                           dye.
72157..............  .................  A                 Mri chest spine w/o&w         2.57        NA     25.41      1.20        NA     29.18       XXX
                                                           dye.
72157..............  26                 A                 Mri chest spine w/o&w         2.57      0.90      0.90      0.11      3.58      3.58       XXX
                                                           dye.
72157..............  TC                 A                 Mri chest spine w/o&w         0.00        NA     24.51      1.09        NA     25.60       XXX
                                                           dye.
72158..............  .................  A                 Mri lumbar spine w/o&w        2.36        NA     25.34      1.20        NA     28.90       XXX
                                                           dye.
72158..............  26                 A                 Mri lumbar spine w/o&w        2.36      0.83      0.83      0.11      3.30      3.30       XXX
                                                           dye.
72158..............  TC                 A                 Mri lumbar spine w/o&w        0.00        NA     24.51      1.09        NA     25.60       XXX
                                                           dye.
72159..............  .................  N                 Mr angio spine w/o&w         +1.80        NA     12.96      0.61        NA     15.37       XXX
                                                           dye.
72159..............  26                 N                 Mr angio spine w/o&w         +1.80      0.71      0.71      0.08      2.59      2.59       XXX
                                                           dye.
72159..............  TC                 N                 Mr angio spine w/o&w         +0.00        NA     12.25      0.53        NA     12.78       XXX
                                                           dye.
72170..............  .................  A                 X-ray exam of pelvis...       0.17        NA      0.57      0.03        NA      0.77       XXX
72170..............  26                 A                 X-ray exam of pelvis...       0.17      0.06      0.06      0.01      0.24      0.24       XXX
72170..............  TC                 A                 X-ray exam of pelvis...       0.00        NA      0.51      0.02        NA      0.53       XXX
72190..............  .................  A                 X-ray exam of pelvis...       0.21        NA      0.73      0.04        NA      0.98       XXX
72190..............  26                 A                 X-ray exam of pelvis...       0.21      0.07      0.07      0.01      0.29      0.29       XXX

[[Page 40481]]

 
72190..............  TC                 A                 X-ray exam of pelvis...       0.00        NA      0.66      0.03        NA      0.69       XXX
72191..............  .................  A                 Ct angiograph pelv w/         1.20        NA      8.83      0.37        NA     10.40       XXX
                                                           o&w dye.
72191..............  26                 A                 Ct angiograph pelv w/         1.20      0.47      0.47      0.05      1.72      1.72       XXX
                                                           o&w dye.
72191..............  TC                 A                 Ct angiograph pelv w/         0.00        NA      8.36      0.32        NA      8.68       XXX
                                                           o&w dye.
72192..............  .................  A                 Ct pelvis w/o dye......       1.09        NA      6.20      0.31        NA      7.60       XXX
72192..............  26                 A                 Ct pelvis w/o dye......       1.09      0.38      0.38      0.05      1.52      1.52       XXX
72192..............  TC                 A                 Ct pelvis w/o dye......       0.00        NA      5.82      0.26        NA      6.08       XXX
72193..............  .................  A                 Ct pelvis w/dye........       1.16        NA      7.14      0.35        NA      8.65       XXX
72193..............  26                 A                 Ct pelvis w/dye........       1.16      0.40      0.40      0.05      1.61      1.61       XXX
72193..............  TC                 A                 Ct pelvis w/dye........       0.00        NA      6.74      0.30        NA      7.04       XXX
72194..............  .................  A                 Ct pelvis w/o&w dye....       1.22        NA      8.78      0.41        NA     10.41       XXX
72194..............  26                 A                 Ct pelvis w/o&w dye....       1.22      0.42      0.42      0.05      1.69      1.69       XXX
72194..............  TC                 A                 Ct pelvis w/o&w dye....       0.00        NA      8.36      0.36        NA      8.72       XXX
72195..............  .................  A                 Mri pelvis w/o dye.....       1.22        NA     11.46      0.41        NA     13.09       XXX
72195..............  26                 A                 Mri pelvis w/o dye.....       1.22      0.43      0.43      0.04      1.69      1.69       XXX
72195..............  TC                 A                 Mri pelvis w/o dye.....       0.00        NA     11.03      0.37        NA     11.40       XXX
72196..............  .................  A                 Mri pelvis w/dye.......       1.44        NA     13.73      0.48        NA     15.65       XXX
72196..............  26                 A                 Mri pelvis w/dye.......       1.44      0.50      0.50      0.05      1.99      1.99       XXX
72196..............  TC                 A                 Mri pelvis w/dye.......       0.00        NA     13.23      0.43        NA     13.66       XXX
72197..............  .................  A                 Mri pelvis w/o & w dye.       1.89        NA     25.17      0.85        NA     27.91       XXX
72197..............  26                 A                 Mri pelvis w/o & w dye.       1.89      0.66      0.66      0.09      2.64      2.64       XXX
72197..............  TC                 A                 Mri pelvis w/o & w dye.       0.00        NA     24.51      0.76        NA     25.27       XXX
72198..............  .................  N                 Mr angio pelvis w/o&w        +1.80        NA     11.74      0.57        NA     14.11       XXX
                                                           dye.
72198..............  26                 N                 Mr angio pelvis w/o&w        +1.80      0.71      0.71      0.08      2.59      2.59       XXX
                                                           dye.
72198..............  TC                 N                 Mr angio pelvis w/o&w        +0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
72200..............  .................  A                 X-ray exam sacroiliac         0.17        NA      0.57      0.03        NA      0.77       XXX
                                                           joints.
72200..............  26                 A                 X-ray exam sacroiliac         0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           joints.
72200..............  TC                 A                 X-ray exam sacroiliac         0.00        NA      0.51      0.02        NA      0.53       XXX
                                                           joints.
72202..............  .................  A                 X-ray exam sacroiliac         0.19        NA      0.68      0.04        NA      0.91       XXX
                                                           joints.
72202..............  26                 A                 X-ray exam sacroiliac         0.19      0.07      0.07      0.01      0.27      0.27       XXX
                                                           joints.
72202..............  TC                 A                 X-ray exam sacroiliac         0.00        NA      0.61      0.03        NA      0.64       XXX
                                                           joints.
72220..............  .................  A                 X-ray exam of tailbone.       0.17        NA      0.62      0.04        NA      0.83       XXX
72220..............  26                 A                 X-ray exam of tailbone.       0.17      0.06      0.06      0.01      0.24      0.24       XXX
72220..............  TC                 A                 X-ray exam of tailbone.       0.00        NA      0.56      0.03        NA      0.59       XXX
72240..............  .................  A                 Contrast x-ray of neck        0.91        NA      4.97      0.25        NA      6.13       XXX
                                                           spine.
72240..............  26                 A                 Contrast x-ray of neck        0.91      0.30      0.30      0.04      1.25      1.25       XXX
                                                           spine.
72240..............  TC                 A                 Contrast x-ray of neck        0.00        NA      4.67      0.21        NA      4.88       XXX
                                                           spine.
72255..............  .................  A                 Contrast x-ray, thorax        0.91        NA      4.56      0.22        NA      5.69       XXX
                                                           spine.
72255..............  26                 A                 Contrast x-ray, thorax        0.91      0.29      0.29      0.04      1.24      1.24       XXX
                                                           spine.
72255..............  TC                 A                 Contrast x-ray, thorax        0.00        NA      4.27      0.18        NA      4.45       XXX
                                                           spine.
72265..............  .................  A                 Contrast x-ray, lower         0.83        NA      4.28      0.22        NA      5.33       XXX
                                                           spine.
72265..............  26                 A                 Contrast x-ray, lower         0.83      0.27      0.27      0.04      1.14      1.14       XXX
                                                           spine.
72265..............  TC                 A                 Contrast x-ray, lower         0.00        NA      4.01      0.18        NA      4.19       XXX
                                                           spine.
72270..............  .................  A                 Contrast x-ray of spine       1.33        NA      6.44      0.34        NA      8.11       XXX
72270..............  26                 A                 Contrast x-ray of spine       1.33      0.43      0.43      0.07      1.83      1.83       XXX
72270..............  TC                 A                 Contrast x-ray of spine       0.00        NA      6.01      0.27        NA      6.28       XXX
72275..............  .................  A                 Epidurography..........       0.76        NA      2.32      0.21        NA      3.29       XXX
72275..............  26                 A                 Epidurography..........       0.76      0.25      0.25      0.03      1.04      1.04       XXX
72275..............  TC                 A                 Epidurography..........       0.00        NA      2.07      0.18        NA      2.25       XXX
72285..............  .................  A                 X-ray c/t spine disk...       1.16        NA      8.64      0.42        NA     10.22       XXX
72285..............  26                 A                 X-ray c/t spine disk...       1.16      0.39      0.39      0.06      1.61      1.61       XXX
72285..............  TC                 A                 X-ray c/t spine disk...       0.00        NA      8.25      0.36        NA      8.61       XXX
72295..............  .................  A                 X-ray of lower spine          0.83        NA      8.02      0.37        NA      9.22       XXX
                                                           disk.
72295..............  26                 A                 X-ray of lower spine          0.83      0.28      0.28      0.04      1.15      1.15       XXX
                                                           disk.
72295..............  TC                 A                 X-ray of lower spine          0.00        NA      7.74      0.33        NA      8.07       XXX
                                                           disk.
73000..............  .................  A                 X-ray exam of collar          0.16        NA      0.57      0.03        NA      0.76       XXX
                                                           bone.
73000..............  26                 A                 X-ray exam of collar          0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           bone.
73000..............  TC                 A                 X-ray exam of collar          0.00        NA      0.51      0.02        NA      0.53       XXX
                                                           bone.
73010..............  .................  A                 X-ray exam of shoulder        0.17        NA      0.57      0.03        NA      0.77       XXX
                                                           blade.
73010..............  26                 A                 X-ray exam of shoulder        0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           blade.
73010..............  TC                 A                 X-ray exam of shoulder        0.00        NA      0.51      0.02        NA      0.53       XXX
                                                           blade.
73020..............  .................  A                 X-ray exam of shoulder.       0.15        NA      0.52      0.03        NA      0.70       XXX
73020..............  26                 A                 X-ray exam of shoulder.       0.15      0.05      0.05      0.01      0.21      0.21       XXX
73020..............  TC                 A                 X-ray exam of shoulder.       0.00        NA      0.47      0.02        NA      0.49       XXX
73030..............  .................  A                 X-ray exam of shoulder.       0.18        NA      0.62      0.04        NA      0.84       XXX
73030..............  26                 A                 X-ray exam of shoulder.       0.18      0.06      0.06      0.01      0.25      0.25       XXX
73030..............  TC                 A                 X-ray exam of shoulder.       0.00        NA      0.56      0.03        NA      0.59       XXX
73040..............  .................  A                 Contrast x-ray of             0.54        NA      2.26      0.13        NA      2.93       XXX
                                                           shoulder.
73040..............  26                 A                 Contrast x-ray of             0.54      0.19      0.19      0.03      0.76      0.76       XXX
                                                           shoulder.
73040..............  TC                 A                 Contrast x-ray of             0.00        NA      2.07      0.10        NA      2.17       XXX
                                                           shoulder.
73050..............  .................  A                 X-ray exam of shoulders       0.20        NA      0.73      0.05        NA      0.98       XXX
73050..............  26                 A                 X-ray exam of shoulders       0.20      0.07      0.07      0.02      0.29      0.29       XXX
73050..............  TC                 A                 X-ray exam of shoulders       0.00        NA      0.66      0.03        NA      0.69       XXX
73060..............  .................  A                 X-ray exam of humerus..       0.17        NA      0.62      0.04        NA      0.83       XXX

[[Page 40482]]

 
73060..............  26                 A                 X-ray exam of humerus..       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73060..............  TC                 A                 X-ray exam of humerus..       0.00        NA      0.56      0.03        NA      0.59       XXX
73070..............  .................  A                 X-ray exam of elbow....       0.15        NA      0.56      0.03        NA      0.74       XXX
73070..............  26                 A                 X-ray exam of elbow....       0.15      0.05      0.05      0.01      0.21      0.21       XXX
73070..............  TC                 A                 X-ray exam of elbow....       0.00        NA      0.51      0.02        NA      0.53       XXX
73080..............  .................  A                 X-ray exam of elbow....       0.17        NA      0.62      0.04        NA      0.83       XXX
73080..............  26                 A                 X-ray exam of elbow....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73080..............  TC                 A                 X-ray exam of elbow....       0.00        NA      0.56      0.03        NA      0.59       XXX
73085..............  .................  A                 Contrast x-ray of elbow       0.54        NA      2.27      0.13        NA      2.94       XXX
73085..............  26                 A                 Contrast x-ray of elbow       0.54      0.20      0.20      0.03      0.77      0.77       XXX
73085..............  TC                 A                 Contrast x-ray of elbow       0.00        NA      2.07      0.10        NA      2.17       XXX
73090..............  .................  A                 X-ray exam of forearm..       0.16        NA      0.57      0.03        NA      0.76       XXX
73090..............  26                 A                 X-ray exam of forearm..       0.16      0.06      0.06      0.01      0.23      0.23       XXX
73090..............  TC                 A                 X-ray exam of forearm..       0.00        NA      0.51      0.02        NA      0.53       XXX
73092..............  .................  A                 X-ray exam of arm,            0.16        NA      0.55      0.03        NA      0.74       XXX
                                                           infant.
73092..............  26                 A                 X-ray exam of arm,            0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           infant.
73092..............  TC                 A                 X-ray exam of arm,            0.00        NA      0.49      0.02        NA      0.51       XXX
                                                           infant.
73100..............  .................  A                 X-ray exam of wrist....       0.16        NA      0.55      0.04        NA      0.75       XXX
73100..............  26                 A                 X-ray exam of wrist....       0.16      0.06      0.06      0.02      0.24      0.24       XXX
73100..............  TC                 A                 X-ray exam of wrist....       0.00        NA      0.49      0.02        NA      0.51       XXX
73110..............  .................  A                 X-ray exam of wrist....       0.17        NA      0.58      0.03        NA      0.78       XXX
73110..............  26                 A                 X-ray exam of wrist....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73110..............  TC                 A                 X-ray exam of wrist....       0.00        NA      0.52      0.02        NA      0.54       XXX
73115..............  .................  A                 Contrast x-ray of wrist       0.54        NA      1.74      0.11        NA      2.39       XXX
73115..............  26                 A                 Contrast x-ray of wrist       0.54      0.19      0.19      0.03      0.76      0.76       XXX
73115..............  TC                 A                 Contrast x-ray of wrist       0.00        NA      1.55      0.08        NA      1.63       XXX
73120..............  .................  A                 X-ray exam of hand.....       0.16        NA      0.55      0.03        NA      0.74       XXX
73120..............  26                 A                 X-ray exam of hand.....       0.16      0.06      0.06      0.01      0.23      0.23       XXX
73120..............  TC                 A                 X-ray exam of hand.....       0.00        NA      0.49      0.02        NA      0.51       XXX
73130..............  .................  A                 X-ray exam of hand.....       0.17        NA      0.58      0.03        NA      0.78       XXX
73130..............  26                 A                 X-ray exam of hand.....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73130..............  TC                 A                 X-ray exam of hand.....       0.00        NA      0.52      0.02        NA      0.54       XXX
73140..............  .................  A                 X-ray exam of finger(s)       0.13        NA      0.46      0.03        NA      0.62       XXX
73140..............  26                 A                 X-ray exam of finger(s)       0.13      0.05      0.05      0.01      0.19      0.19       XXX
73140..............  TC                 A                 X-ray exam of finger(s)       0.00        NA      0.41      0.02        NA      0.43       XXX
73200..............  .................  A                 Ct upper extremity w/o        1.09        NA      5.26      0.26        NA      6.61       XXX
                                                           dye.
73200..............  26                 A                 Ct upper extremity w/o        1.09      0.38      0.38      0.05      1.52      1.52       XXX
                                                           dye.
73200..............  TC                 A                 Ct upper extremity w/o        0.00        NA      4.88      0.21        NA      5.09       XXX
                                                           dye.
73201..............  .................  A                 Ct upper extremity w/         1.16        NA      6.23      0.31        NA      7.70       XXX
                                                           dye.
73201..............  26                 A                 Ct upper extremity w/         1.16      0.41      0.41      0.05      1.62      1.62       XXX
                                                           dye.
73201..............  TC                 A                 Ct upper extremity w/         0.00        NA      5.82      0.26        NA      6.08       XXX
                                                           dye.
73202..............  .................  A                 Ct uppr extremity w/o&w       1.22        NA      7.74      0.38        NA      9.34       XXX
                                                           dye.
73202..............  26                 A                 Ct uppr extremity w/o&w       1.22      0.43      0.43      0.06      1.71      1.71       XXX
                                                           dye.
73202..............  TC                 A                 Ct uppr extremity w/o&w       0.00        NA      7.31      0.32        NA      7.63       XXX
                                                           dye.
73206..............  .................  A                 Ct angio upr extrm w/         1.20        NA      7.78      0.37        NA      9.35       XXX
                                                           o&w dye.
73206..............  26                 A                 Ct angio upr extrm w/         1.20      0.47      0.47      0.05      1.72      1.72       XXX
                                                           o&w dye.
73206..............  TC                 A                 Ct angio upr extrm w/         0.00        NA      7.31      0.32        NA      7.63       XXX
                                                           o&w dye.
73218..............  .................  A                 Mri upper extremity w/o       1.10        NA     11.42      0.36        NA     12.88       XXX
                                                           dye.
73218..............  26                 A                 Mri upper extremity w/o       1.10      0.39      0.39      0.04      1.53      1.53       XXX
                                                           dye.
73218..............  TC                 A                 Mri upper extremity w/o       0.00        NA     11.03      0.32        NA     11.35       XXX
                                                           dye.
73219..............  .................  A                 Mri upper extremity w/        1.33        NA     13.70      0.43        NA     15.46       XXX
                                                           dye.
73219..............  26                 A                 Mri upper extremity w/        1.33      0.47      0.47      0.04      1.84      1.84       XXX
                                                           dye.
73219..............  TC                 A                 Mri upper extremity w/        0.00        NA     13.23      0.39        NA     13.62       XXX
                                                           dye.
73220..............  .................  A                 Mri uppr extremity w/         1.76        NA     25.13      0.78        NA     27.67       XXX
                                                           o&w dye.
73220..............  26                 A                 Mri uppr extremity w/         1.76      0.62      0.62      0.08      2.46      2.46       XXX
                                                           o&w dye.
73220..............  TC                 A                 Mri uppr extremity w/         0.00        NA     24.51      0.70        NA     25.21       XXX
                                                           o&w dye.
73221..............  .................  A                 Mri joint upr extrem w/       1.10        NA     11.42      0.36        NA     12.88       XXX
                                                           o dye.
73221..............  26                 A                 Mri joint upr extrem w/       1.10      0.39      0.39      0.04      1.53      1.53       XXX
                                                           o dye.
73221..............  TC                 A                 Mri joint upr extrem w/       0.00        NA     11.03      0.32        NA     11.35       XXX
                                                           o dye.
73222..............  .................  A                 Mri joint upr extrem w/       1.33        NA     13.70      0.43        NA     15.46       XXX
                                                           dye.
73222..............  26                 A                 Mri joint upr extrem w/       1.33      0.47      0.47      0.04      1.84      1.84       XXX
                                                           dye.
73222..............  TC                 A                 Mri joint upr extrem w/       0.00        NA     13.23      0.39        NA     13.62       XXX
                                                           dye.
73223..............  .................  A                 Mri joint upr extr w/         1.76        NA     25.13      0.78        NA     27.67       XXX
                                                           o&w dye.
73223..............  26                 A                 Mri joint upr extr w/         1.76      0.62      0.62      0.08      2.46      2.46       XXX
                                                           o&w dye.
73223..............  TC                 A                 Mri joint upr extr w/         0.00        NA     24.51      0.70        NA     25.21       XXX
                                                           o&w dye.
73225..............  .................  N                 Mr angio upr extr w/o&w      +1.73        NA     11.71      0.57        NA     14.01       XXX
                                                           dye.
73225..............  26                 N                 Mr angio upr extr w/o&w      +1.73      0.68      0.68      0.08      2.49      2.49       XXX
                                                           dye.
73225..............  TC                 N                 Mr angio upr extr w/o&w      +0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
73500..............  .................  A                 X-ray exam of hip......       0.17        NA      0.53      0.03        NA      0.73       XXX
73500..............  26                 A                 X-ray exam of hip......       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73500..............  TC                 A                 X-ray exam of hip......       0.00        NA      0.47      0.02        NA      0.49       XXX
73510..............  .................  A                 X-ray exam of hip......       0.21        NA      0.63      0.05        NA      0.89       XXX
73510..............  26                 A                 X-ray exam of hip......       0.21      0.07      0.07      0.02      0.30      0.30       XXX
73510..............  TC                 A                 X-ray exam of hip......       0.00        NA      0.56      0.03        NA      0.59       XXX

[[Page 40483]]

 
73520..............  .................  A                 X-ray exam of hips.....       0.26        NA      0.75      0.05        NA      1.06       XXX
73520..............  26                 A                 X-ray exam of hips.....       0.26      0.09      0.09      0.02      0.37      0.37       XXX
73520..............  TC                 A                 X-ray exam of hips.....       0.00        NA      0.66      0.03        NA      0.69       XXX
73525..............  .................  A                 Contrast x-ray of hip..       0.54        NA      2.26      0.13        NA      2.93       XXX
73525..............  26                 A                 Contrast x-ray of hip..       0.54      0.19      0.19      0.03      0.76      0.76       XXX
73525..............  TC                 A                 Contrast x-ray of hip..       0.00        NA      2.07      0.10        NA      2.17       XXX
73530..............  .................  A                 X-ray exam of hip......       0.29        NA      0.61      0.03        NA      0.93       XXX
73530..............  26                 A                 X-ray exam of hip......       0.29      0.10      0.10      0.01      0.40      0.40       XXX
73530..............  TC                 A                 X-ray exam of hip......       0.00        NA      0.51      0.02        NA      0.53       XXX
73540..............  .................  A                 X-ray exam of pelvis &        0.20        NA      0.63      0.05        NA      0.88       XXX
                                                           hips.
73540..............  26                 A                 X-ray exam of pelvis &        0.20      0.07      0.07      0.02      0.29      0.29       XXX
                                                           hips.
73540..............  TC                 A                 X-ray exam of pelvis &        0.00        NA      0.56      0.03        NA      0.59       XXX
                                                           hips.
73542..............  .................  A                 X-ray exam, sacroiliac        0.59        NA      2.28      0.13        NA      3.00       XXX
                                                           joint.
73542..............  26                 A                 X-ray exam, sacroiliac        0.59      0.21      0.21      0.03      0.83      0.83       XXX
                                                           joint.
73542..............  TC                 A                 X-ray exam, sacroiliac        0.00        NA      2.07      0.10        NA      2.17       XXX
                                                           joint.
73550..............  .................  A                 X-ray exam of thigh....       0.17        NA      0.62      0.04        NA      0.83       XXX
73550..............  26                 A                 X-ray exam of thigh....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73550..............  TC                 A                 X-ray exam of thigh....       0.00        NA      0.56      0.03        NA      0.59       XXX
73560..............  .................  A                 X-ray exam of knee, 1         0.17        NA      0.57      0.04        NA      0.78       XXX
                                                           or 2.
73560..............  26                 A                 X-ray exam of knee, 1         0.17      0.06      0.06      0.02      0.25      0.25       XXX
                                                           or 2.
73560..............  TC                 A                 X-ray exam of knee, 1         0.00        NA      0.51      0.02        NA      0.53       XXX
                                                           or 2.
73562..............  .................  A                 X-ray exam of knee, 3..       0.18        NA      0.62      0.05        NA      0.85       XXX
73562..............  26                 A                 X-ray exam of knee, 3..       0.18      0.06      0.06      0.02      0.26      0.26       XXX
73562..............  TC                 A                 X-ray exam of knee, 3..       0.00        NA      0.56      0.03        NA      0.59       XXX
73564..............  .................  A                 X-ray exam, knee, 4 or        0.22        NA      0.69      0.05        NA      0.96       XXX
                                                           more.
73564..............  26                 A                 X-ray exam, knee, 4 or        0.22      0.08      0.08      0.02      0.32      0.32       XXX
                                                           more.
73564..............  TC                 A                 X-ray exam, knee, 4 or        0.00        NA      0.61      0.03        NA      0.64       XXX
                                                           more.
73565..............  .................  A                 X-ray exam of knees....       0.17        NA      0.56      0.04        NA      0.77       XXX
73565..............  26                 A                 X-ray exam of knees....       0.17      0.07      0.07      0.02      0.26      0.26       XXX
73565..............  TC                 A                 X-ray exam of knees....       0.00        NA      0.49      0.02        NA      0.51       XXX
73580..............  .................  A                 Contrast x-ray of knee        0.54        NA      2.77      0.15        NA      3.46       XXX
                                                           joint.
73580..............  26                 A                 Contrast x-ray of knee        0.54      0.19      0.19      0.03      0.76      0.76       XXX
                                                           joint.
73580..............  TC                 A                 Contrast x-ray of knee        0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           joint.
73590..............  .................  A                 X-ray exam of lower leg       0.17        NA      0.57      0.03        NA      0.77       XXX
73590..............  26                 A                 X-ray exam of lower leg       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73590..............  TC                 A                 X-ray exam of lower leg       0.00        NA      0.51      0.02        NA      0.53       XXX
73592..............  .................  A                 X-ray exam of leg,            0.16        NA      0.55      0.03        NA      0.74       XXX
                                                           infant.
73592..............  26                 A                 X-ray exam of leg,            0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           infant.
73592..............  TC                 A                 X-ray exam of leg,            0.00        NA      0.49      0.02        NA      0.51       XXX
                                                           infant.
73600..............  .................  A                 X-ray exam of ankle....       0.16        NA      0.55      0.03        NA      0.74       XXX
73600..............  26                 A                 X-ray exam of ankle....       0.16      0.06      0.06      0.01      0.23      0.23       XXX
73600..............  TC                 A                 X-ray exam of ankle....       0.00        NA      0.49      0.02        NA      0.51       XXX
73610..............  .................  A                 X-ray exam of ankle....       0.17        NA      0.58      0.03        NA      0.78       XXX
73610..............  26                 A                 X-ray exam of ankle....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73610..............  TC                 A                 X-ray exam of ankle....       0.00        NA      0.52      0.02        NA      0.54       XXX
73615..............  .................  A                 Contrast x-ray of ankle       0.54        NA      2.27      0.13        NA      2.94       XXX
73615..............  26                 A                 Contrast x-ray of ankle       0.54      0.20      0.20      0.03      0.77      0.77       XXX
73615..............  TC                 A                 Contrast x-ray of ankle       0.00        NA      2.07      0.10        NA      2.17       XXX
73620..............  .................  A                 X-ray exam of foot.....       0.16        NA      0.55      0.03        NA      0.74       XXX
73620..............  26                 A                 X-ray exam of foot.....       0.16      0.06      0.06      0.01      0.23      0.23       XXX
73620..............  TC                 A                 X-ray exam of foot.....       0.00        NA      0.49      0.02        NA      0.51       XXX
73630..............  .................  A                 X-ray exam of foot.....       0.17        NA      0.58      0.03        NA      0.78       XXX
73630..............  26                 A                 X-ray exam of foot.....       0.17      0.06      0.06      0.01      0.24      0.24       XXX
73630..............  TC                 A                 X-ray exam of foot.....       0.00        NA      0.52      0.02        NA      0.54       XXX
73650..............  .................  A                 X-ray exam of heel.....       0.16        NA      0.53      0.03        NA      0.72       XXX
73650..............  26                 A                 X-ray exam of heel.....       0.16      0.06      0.06      0.01      0.23      0.23       XXX
73650..............  TC                 A                 X-ray exam of heel.....       0.00        NA      0.47      0.02        NA      0.49       XXX
73660..............  .................  A                 X-ray exam of toe(s)...       0.13        NA      0.46      0.03        NA      0.62       XXX
73660..............  26                 A                 X-ray exam of toe(s)...       0.13      0.05      0.05      0.01      0.19      0.19       XXX
73660..............  TC                 A                 X-ray exam of toe(s)...       0.00        NA      0.41      0.02        NA      0.43       XXX
73700..............  .................  A                 Ct lower extremity w/o        1.09        NA      5.26      0.26        NA      6.61       XXX
                                                           dye.
73700..............  26                 A                 Ct lower extremity w/o        1.09      0.38      0.38      0.05      1.52      1.52       XXX
                                                           dye.
73700..............  TC                 A                 Ct lower extremity w/o        0.00        NA      4.88      0.21        NA      5.09       XXX
                                                           dye.
73701..............  .................  A                 Ct lower extremity w/         1.16        NA      6.22      0.31        NA      7.69       XXX
                                                           dye.
73701..............  26                 A                 Ct lower extremity w/         1.16      0.40      0.40      0.05      1.61      1.61       XXX
                                                           dye.
73701..............  TC                 A                 Ct lower extremity w/         0.00        NA      5.82      0.26        NA      6.08       XXX
                                                           dye.
73702..............  .................  A                 Ct lwr extremity w/o&w        1.22        NA      7.74      0.37        NA      9.33       XXX
                                                           dye.
73702..............  26                 A                 Ct lwr extremity w/o&w        1.22      0.43      0.43      0.05      1.70      1.70       XXX
                                                           dye.
73702..............  TC                 A                 Ct lwr extremity w/o&w        0.00        NA      7.31      0.32        NA      7.63       XXX
                                                           dye.
73706..............  .................  A                 Ct angio lwr extr w/o&w       1.20        NA      7.78      0.37        NA      9.35       XXX
                                                           dye.
73706..............  26                 A                 Ct angio lwr extr w/o&w       1.20      0.47      0.47      0.05      1.72      1.72       XXX
                                                           dye.
73706..............  TC                 A                 Ct angio lwr extr w/o&w       0.00        NA      7.31      0.32        NA      7.63       XXX
                                                           dye.
73718..............  .................  A                 Mri lower extremity w/o       1.10        NA     11.41      0.36        NA     12.87       XXX
                                                           dye.
73718..............  26                 A                 Mri lower extremity w/o       1.10      0.38      0.38      0.04      1.52      1.52       XXX
                                                           dye.

[[Page 40484]]

 
73718..............  TC                 A                 Mri lower extremity w/o       0.00        NA     11.03      0.32        NA     11.35       XXX
                                                           dye.
73719..............  .................  A                 Mri lower extremity w/        1.33        NA     13.69      0.43        NA     15.45       XXX
                                                           dye.
73719..............  26                 A                 Mri lower extremity w/        1.33      0.46      0.46      0.04      1.83      1.83       XXX
                                                           dye.
73719..............  TC                 A                 Mri lower extremity w/        0.00        NA     13.23      0.39        NA     13.62       XXX
                                                           dye.
73720..............  .................  A                 Mri lwr extremity w/o&w       1.76        NA     25.12      0.78        NA     27.66       XXX
                                                           dye.
73720..............  26                 A                 Mri lwr extremity w/o&w       1.76      0.61      0.61      0.08      2.45      2.45       XXX
                                                           dye.
73720..............  TC                 A                 Mri lwr extremity w/o&w       0.00        NA     24.51      0.70        NA     25.21       XXX
                                                           dye.
73721..............  .................  A                 Mri joint of lwr extre        1.10        NA     11.42      0.36        NA     12.88       XXX
                                                           w/o d.
73721..............  26                 A                 Mri joint of lwr extre        1.10      0.39      0.39      0.04      1.53      1.53       XXX
                                                           w/o d.
73721..............  TC                 A                 Mri joint of lwr extre        0.00        NA     11.03      0.32        NA     11.35       XXX
                                                           w/o d.
73722..............  .................  A                 Mri joint of lwr extr w/      1.33        NA     13.70      0.43        NA     15.46       XXX
                                                           dye.
73722..............  26                 A                 Mri joint of lwr extr w/      1.33      0.47      0.47      0.04      1.84      1.84       XXX
                                                           dye.
73722..............  TC                 A                 Mri joint of lwr extr w/      0.00        NA     13.23      0.39        NA     13.62       XXX
                                                           dye.
73723..............  .................  A                 Mri joint lwr extr w/         1.76        NA     25.13      0.78        NA     27.67       XXX
                                                           o&w dye.
73723..............  26                 A                 Mri joint lwr extr w/         1.76      0.62      0.62      0.08      2.46      2.46       XXX
                                                           o&w dye.
73723..............  TC                 A                 Mri joint lwr extr w/         0.00        NA     24.51      0.70        NA     25.21       XXX
                                                           o&w dye.
73725..............  .................  R                 Mr ang lwr ext w or w/o       1.82        NA     11.67      0.57        NA     14.06       XXX
                                                           dye.
73725..............  26                 R                 Mr ang lwr ext w or w/o       1.82      0.64      0.64      0.08      2.54      2.54       XXX
                                                           dye.
73725..............  TC                 R                 Mr ang lwr ext w or w/o       0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
74000..............  .................  A                 X-ray exam of abdomen..       0.18        NA      0.57      0.03        NA      0.78       XXX
74000..............  26                 A                 X-ray exam of abdomen..       0.18      0.06      0.06      0.01      0.25      0.25       XXX
74000..............  TC                 A                 X-ray exam of abdomen..       0.00        NA      0.51      0.02        NA      0.53       XXX
74010..............  .................  A                 X-ray exam of abdomen..       0.23        NA      0.64      0.04        NA      0.91       XXX
74010..............  26                 A                 X-ray exam of abdomen..       0.23      0.08      0.08      0.01      0.32      0.32       XXX
74010..............  TC                 A                 X-ray exam of abdomen..       0.00        NA      0.56      0.03        NA      0.59       XXX
74020..............  .................  A                 X-ray exam of abdomen..       0.27        NA      0.70      0.04        NA      1.01       XXX
74020..............  26                 A                 X-ray exam of abdomen..       0.27      0.09      0.09      0.01      0.37      0.37       XXX
74020..............  TC                 A                 X-ray exam of abdomen..       0.00        NA      0.61      0.03        NA      0.64       XXX
74022..............  .................  A                 X-ray exam series,            0.32        NA      0.83      0.05        NA      1.20       XXX
                                                           abdomen.
74022..............  26                 A                 X-ray exam series,            0.32      0.11      0.11      0.01      0.44      0.44       XXX
                                                           abdomen.
74022..............  TC                 A                 X-ray exam series,            0.00        NA      0.72      0.04        NA      0.76       XXX
                                                           abdomen.
74150..............  .................  A                 Ct abdomen w/o dye.....       1.19        NA      5.98      0.30        NA      7.47       XXX
74150..............  26                 A                 Ct abdomen w/o dye.....       1.19      0.41      0.41      0.05      1.65      1.65       XXX
74150..............  TC                 A                 Ct abdomen w/o dye.....       0.00        NA      5.57      0.25        NA      5.82       XXX
74160..............  .................  A                 Ct abdomen w/dye.......       1.27        NA      7.18      0.36        NA      8.81       XXX
74160..............  26                 A                 Ct abdomen w/dye.......       1.27      0.44      0.44      0.06      1.77      1.77       XXX
74160..............  TC                 A                 Ct abdomen w/dye.......       0.00        NA      6.74      0.30        NA      7.04       XXX
74170..............  .................  A                 Ct abdomen w/o&w dye...       1.40        NA      8.85      0.42        NA     10.67       XXX
74170..............  26                 A                 Ct abdomen w/o&w dye...       1.40      0.49      0.49      0.06      1.95      1.95       XXX
74170..............  TC                 A                 Ct abdomen w/o&w dye...       0.00        NA      8.36      0.36        NA      8.72       XXX
74175..............  .................  A                 Ct angio abdom w/o&w          1.20        NA      8.83      0.37        NA     10.40       XXX
                                                           dye.
74175..............  26                 A                 Ct angio abdom w/o&w          1.20      0.47      0.47      0.05      1.72      1.72       XXX
                                                           dye.
74175..............  TC                 A                 Ct angio abdom w/o&w          0.00        NA      8.36      0.32        NA      8.68       XXX
                                                           dye.
74181..............  .................  A                 Mri abdomen w/o dye....       1.22        NA     11.46      0.41        NA     13.09       XXX
74181..............  26                 A                 Mri abdomen w/o dye....       1.22      0.43      0.43      0.04      1.69      1.69       XXX
74181..............  TC                 A                 Mri abdomen w/o dye....       0.00        NA     11.03      0.37        NA     11.40       XXX
74182..............  .................  A                 Mri abdomen w/dye......       1.44        NA     13.73      0.48        NA     15.65       XXX
74182..............  26                 A                 Mri abdomen w/dye......       1.44      0.50      0.50      0.05      1.99      1.99       XXX
74182..............  TC                 A                 Mri abdomen w/dye......       0.00        NA     13.23      0.43        NA     13.66       XXX
74183..............  .................  A                 Mri abdomen w/o&w dye..       1.89        NA     25.17      0.85        NA     27.91       XXX
74183..............  26                 A                 Mri abdomen w/o&w dye..       1.89      0.66      0.66      0.09      2.64      2.64       XXX
74183..............  TC                 A                 Mri abdomen w/o&w dye..       0.00        NA     24.51      0.76        NA     25.27       XXX
74185..............  .................  R                 Mri angio, abdom w or w/      1.80        NA     11.66      0.57        NA     14.03       XXX
                                                           o dy.
74185..............  26                 R                 Mri angio, abdom w or w/      1.80      0.63      0.63      0.08      2.51      2.51       XXX
                                                           o dy.
74185..............  TC                 R                 Mri angio, abdom w or w/      0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           o dy.
74190..............  .................  A                 X-ray exam of                 0.48        NA      1.46      0.08        NA      2.02       XXX
                                                           peritoneum.
74190..............  26                 A                 X-ray exam of                 0.48      0.17      0.17      0.02      0.67      0.67       XXX
                                                           peritoneum.
74190..............  TC                 A                 X-ray exam of                 0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           peritoneum.
74210..............  .................  A                 Contrst x-ray exam of         0.36        NA      1.30      0.07        NA      1.73       XXX
                                                           throat.
74210..............  26                 A                 Contrst x-ray exam of         0.36      0.13      0.13      0.02      0.51      0.51       XXX
                                                           throat.
74210..............  TC                 A                 Contrst x-ray exam of         0.00        NA      1.17      0.05        NA      1.22       XXX
                                                           throat.
74220..............  .................  A                 Contrast x-ray,               0.46        NA      1.33      0.07        NA      1.86       XXX
                                                           esophagus.
74220..............  26                 A                 Contrast x-ray,               0.46      0.16      0.16      0.02      0.64      0.64       XXX
                                                           esophagus.
74220..............  TC                 A                 Contrast x-ray,               0.00        NA      1.17      0.05        NA      1.22       XXX
                                                           esophagus.
74230..............  .................  A                 Cinema x-ray, throat/         0.53        NA      1.48      0.08        NA      2.09       XXX
                                                           esoph.
74230..............  26                 A                 Cinema x-ray, throat/         0.53      0.19      0.19      0.02      0.74      0.74       XXX
                                                           esoph.
74230..............  TC                 A                 Cinema x-ray, throat/         0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           esoph.
74235..............  .................  A                 Remove esophagus              1.19        NA      3.00      0.17        NA      4.36       XXX
                                                           obstruction.
74235..............  26                 A                 Remove esophagus              1.19      0.42      0.42      0.05      1.66      1.66       XXX
                                                           obstruction.
74235..............  TC                 A                 Remove esophagus              0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           obstruction.
74240..............  .................  A                 X-ray exam, upper gi          0.69        NA      1.68      0.10        NA      2.47       XXX
                                                           tract.
74240..............  26                 A                 X-ray exam, upper gi          0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           tract.
74240..............  TC                 A                 X-ray exam, upper gi          0.00        NA      1.44      0.07        NA      1.51       XXX
                                                           tract.
74241..............  .................  A                 X-ray exam, upper gi          0.69        NA      1.71      0.10        NA      2.50       XXX
                                                           tract.

[[Page 40485]]

 
74241..............  26                 A                 X-ray exam, upper gi          0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           tract.
74241..............  TC                 A                 X-ray exam, upper gi          0.00        NA      1.47      0.07        NA      1.54       XXX
                                                           tract.
74245..............  .................  A                 X-ray exam, upper gi          0.91        NA      2.66      0.15        NA      3.72       XXX
                                                           tract.
74245..............  26                 A                 X-ray exam, upper gi          0.91      0.32      0.32      0.04      1.27      1.27       XXX
                                                           tract.
74245..............  TC                 A                 X-ray exam, upper gi          0.00        NA      2.34      0.11        NA      2.45       XXX
                                                           tract.
74246..............  .................  A                 Contrst x-ray uppr gi         0.69        NA      1.86      0.11        NA      2.66       XXX
                                                           tract.
74246..............  26                 A                 Contrst x-ray uppr gi         0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           tract.
74246..............  TC                 A                 Contrst x-ray uppr gi         0.00        NA      1.62      0.08        NA      1.70       XXX
                                                           tract.
74247..............  .................  A                 Contrst x-ray uppr gi         0.69        NA      1.90      0.12        NA      2.71       XXX
                                                           tract.
74247..............  26                 A                 Contrst x-ray uppr gi         0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           tract.
74247..............  TC                 A                 Contrst x-ray uppr gi         0.00        NA      1.66      0.09        NA      1.75       XXX
                                                           tract.
74249..............  .................  A                 Contrst x-ray uppr gi         0.91        NA      2.85      0.16        NA      3.92       XXX
                                                           tract.
74249..............  26                 A                 Contrst x-ray uppr gi         0.91      0.32      0.32      0.04      1.27      1.27       XXX
                                                           tract.
74249..............  TC                 A                 Contrst x-ray uppr gi         0.00        NA      2.53      0.12        NA      2.65       XXX
                                                           tract.
74250..............  .................  A                 X-ray exam of small           0.47        NA      1.45      0.08        NA      2.00       XXX
                                                           bowel.
74250..............  26                 A                 X-ray exam of small           0.47      0.16      0.16      0.02      0.65      0.65       XXX
                                                           bowel.
74250..............  TC                 A                 X-ray exam of small           0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           bowel.
74251..............  .................  A                 X-ray exam of small           0.69        NA      1.53      0.09        NA      2.31       XXX
                                                           bowel.
74251..............  26                 A                 X-ray exam of small           0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           bowel.
74251..............  TC                 A                 X-ray exam of small           0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           bowel.
74260..............  .................  A                 X-ray exam of small           0.50        NA      1.64      0.09        NA      2.23       XXX
                                                           bowel.
74260..............  26                 A                 X-ray exam of small           0.50      0.17      0.17      0.02      0.69      0.69       XXX
                                                           bowel.
74260..............  TC                 A                 X-ray exam of small           0.00        NA      1.47      0.07        NA      1.54       XXX
                                                           bowel.
74270..............  .................  A                 Contrast x-ray exam of        0.69        NA      1.92      0.12        NA      2.73       XXX
                                                           colon.
74270..............  26                 A                 Contrast x-ray exam of        0.69      0.24      0.24      0.03      0.96      0.96       XXX
                                                           colon.
74270..............  TC                 A                 Contrast x-ray exam of        0.00        NA      1.68      0.09        NA      1.77       XXX
                                                           colon.
74280..............  .................  A                 Contrast x-ray exam of        0.99        NA      2.55      0.15        NA      3.69       XXX
                                                           colon.
74280..............  26                 A                 Contrast x-ray exam of        0.99      0.35      0.35      0.04      1.38      1.38       XXX
                                                           colon.
74280..............  TC                 A                 Contrast x-ray exam of        0.00        NA      2.20      0.11        NA      2.31       XXX
                                                           colon.
74283..............  .................  A                 Contrast x-ray exam of        2.02        NA      3.22      0.21        NA      5.45       XXX
                                                           colon.
74283..............  26                 A                 Contrast x-ray exam of        2.02      0.70      0.70      0.09      2.81      2.81       XXX
                                                           colon.
74283..............  TC                 A                 Contrast x-ray exam of        0.00        NA      2.52      0.12        NA      2.64       XXX
                                                           colon.
74290..............  .................  A                 Contrast x-ray,               0.32        NA      0.83      0.05        NA      1.20       XXX
                                                           gallbladder.
74290..............  26                 A                 Contrast x-ray,               0.32      0.11      0.11      0.01      0.44      0.44       XXX
                                                           gallbladder.
74290..............  TC                 A                 Contrast x-ray,               0.00        NA      0.72      0.04        NA      0.76       XXX
                                                           gallbladder.
74291..............  .................  A                 Contrast x-rays,              0.20        NA      0.48      0.03        NA      0.71       XXX
                                                           gallbladder.
74291..............  26                 A                 Contrast x-rays,              0.20      0.07      0.07      0.01      0.28      0.28       XXX
                                                           gallbladder.
74291..............  TC                 A                 Contrast x-rays,              0.00        NA      0.41      0.02        NA      0.43       XXX
                                                           gallbladder.
74300..............  .................  C                 X-ray bile ducts/             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           pancreas.
74300..............  26                 A                 X-ray bile ducts/             0.36      0.13      0.13      0.02      0.51      0.51       XXX
                                                           pancreas.
74300..............  TC                 C                 X-ray bile ducts/             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           pancreas.
74301..............  .................  C                 X-rays at surgery add-        0.00        NA      0.00      0.00        NA      0.00       ZZZ
                                                           on.
74301..............  26                 A                 X-rays at surgery add-        0.21      0.07      0.07      0.01      0.29      0.29       ZZZ
                                                           on.
74301..............  TC                 C                 X-rays at surgery add-        0.00        NA      0.00      0.00        NA      0.00       ZZZ
                                                           on.
74305..............  .................  A                 X-ray bile ducts/             0.42        NA      0.92      0.06        NA      1.40       XXX
                                                           pancreas.
74305..............  26                 A                 X-ray bile ducts/             0.42      0.15      0.15      0.02      0.59      0.59       XXX
                                                           pancreas.
74305..............  TC                 A                 X-ray bile ducts/             0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           pancreas.
74320..............  .................  A                 Contrast x-ray of bile        0.54        NA      3.29      0.16        NA      3.99       XXX
                                                           ducts.
74320..............  26                 A                 Contrast x-ray of bile        0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           ducts.
74320..............  TC                 A                 Contrast x-ray of bile        0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           ducts.
74327..............  .................  A                 X-ray bile stone              0.70        NA      1.97      0.12        NA      2.79       XXX
                                                           removal.
74327..............  26                 A                 X-ray bile stone              0.70      0.24      0.24      0.03      0.97      0.97       XXX
                                                           removal.
74327..............  TC                 A                 X-ray bile stone              0.00        NA      1.73      0.09        NA      1.82       XXX
                                                           removal.
74328..............  .................  A                 Xray bile duct                0.70        NA      3.34      0.17        NA      4.21       XXX
                                                           endoscopy.
74328..............  26                 A                 Xray bile duct                0.70      0.24      0.24      0.03      0.97      0.97       XXX
                                                           endoscopy.
74328..............  TC                 A                 Xray bile duct                0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           endoscopy.
74329..............  .................  A                 X-ray for pancreas            0.70        NA      3.34      0.17        NA      4.21       XXX
                                                           endoscopy.
74329..............  26                 A                 X-ray for pancreas            0.70      0.24      0.24      0.03      0.97      0.97       XXX
                                                           endoscopy.
74329..............  TC                 A                 X-ray for pancreas            0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           endoscopy.
74330..............  .................  A                 X-ray bile/panc               0.90        NA      3.41      0.18        NA      4.49       XXX
                                                           endoscopy.
74330..............  26                 A                 X-ray bile/panc               0.90      0.31      0.31      0.04      1.25      1.25       XXX
                                                           endoscopy.
74330..............  TC                 A                 X-ray bile/panc               0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           endoscopy.
74340..............  .................  A                 X-ray guide for GI tube       0.54        NA      2.77      0.14        NA      3.45       XXX
74340..............  26                 A                 X-ray guide for GI tube       0.54      0.19      0.19      0.02      0.75      0.75       XXX
74340..............  TC                 A                 X-ray guide for GI tube       0.00        NA      2.58      0.12        NA      2.70       XXX
74350..............  .................  A                 X-ray guide, stomach          0.76        NA      3.36      0.17        NA      4.29       XXX
                                                           tube.
74350..............  26                 A                 X-ray guide, stomach          0.76      0.26      0.26      0.03      1.05      1.05       XXX
                                                           tube.
74350..............  TC                 A                 X-ray guide, stomach          0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           tube.
74355..............  .................  A                 X-ray guide, intestinal       0.76        NA      2.84      0.15        NA      3.75       XXX
                                                           tube.
74355..............  26                 A                 X-ray guide, intestinal       0.76      0.26      0.26      0.03      1.05      1.05       XXX
                                                           tube.
74355..............  TC                 A                 X-ray guide, intestinal       0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           tube.
74360..............  .................  A                 X-ray guide, GI               0.54        NA      3.29      0.16        NA      3.99       XXX
                                                           dilation.
74360..............  26                 A                 X-ray guide, GI               0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           dilation.
74360..............  TC                 A                 X-ray guide, GI               0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           dilation.

[[Page 40486]]

 
74363..............  .................  A                 X-ray, bile duct              0.88        NA      6.31      0.31        NA      7.50       XXX
                                                           dilation.
74363..............  26                 A                 X-ray, bile duct              0.88      0.30      0.30      0.04      1.22      1.22       XXX
                                                           dilation.
74363..............  TC                 A                 X-ray, bile duct              0.00        NA      6.01      0.27        NA      6.28       XXX
                                                           dilation.
74400..............  .................  A                 Contrst x-ray, urinary        0.49        NA      1.83      0.11        NA      2.43       XXX
                                                           tract.
74400..............  26                 A                 Contrst x-ray, urinary        0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           tract.
74400..............  TC                 A                 Contrst x-ray, urinary        0.00        NA      1.66      0.09        NA      1.75       XXX
                                                           tract.
74410..............  .................  A                 Contrst x-ray, urinary        0.49        NA      2.09      0.11        NA      2.69       XXX
                                                           tract.
74410..............  26                 A                 Contrst x-ray, urinary        0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           tract.
74410..............  TC                 A                 Contrst x-ray, urinary        0.00        NA      1.92      0.09        NA      2.01       XXX
                                                           tract.
74415..............  .................  A                 Contrst x-ray, urinary        0.49        NA      2.26      0.12        NA      2.87       XXX
                                                           tract.
74415..............  26                 A                 Contrst x-ray, urinary        0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           tract.
74415..............  TC                 A                 Contrst x-ray, urinary        0.00        NA      2.09      0.10        NA      2.19       XXX
                                                           tract.
74420..............  .................  A                 Contrst x-ray, urinary        0.36        NA      2.70      0.14        NA      3.20       XXX
                                                           tract.
74420..............  26                 A                 Contrst x-ray, urinary        0.36      0.12      0.12      0.02      0.50      0.50       XXX
                                                           tract.
74420..............  TC                 A                 Contrst x-ray, urinary        0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           tract.
74425..............  .................  A                 Contrst x-ray, urinary        0.36        NA      1.41      0.08        NA      1.85       XXX
                                                           tract.
74425..............  26                 A                 Contrst x-ray, urinary        0.36      0.12      0.12      0.02      0.50      0.50       XXX
                                                           tract.
74425..............  TC                 A                 Contrst x-ray, urinary        0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           tract.
74430..............  .................  A                 Contrast x-ray, bladder       0.32        NA      1.15      0.07        NA      1.54       XXX
74430..............  26                 A                 Contrast x-ray, bladder       0.32      0.11      0.11      0.02      0.45      0.45       XXX
74430..............  TC                 A                 Contrast x-ray, bladder       0.00        NA      1.04      0.05        NA      1.09       XXX
74440..............  .................  A                 X-ray, male genital           0.38        NA      1.24      0.07        NA      1.69       XXX
                                                           tract.
74440..............  26                 A                 X-ray, male genital           0.38      0.13      0.13      0.02      0.53      0.53       XXX
                                                           tract.
74440..............  TC                 A                 X-ray, male genital           0.00        NA      1.11      0.05        NA      1.16       XXX
                                                           tract.
74445..............  .................  A                 X-ray exam of penis....       1.14        NA      1.51      0.10        NA      2.75       XXX
74445..............  26                 A                 X-ray exam of penis....       1.14      0.40      0.40      0.05      1.59      1.59       XXX
74445..............  TC                 A                 X-ray exam of penis....       0.00        NA      1.11      0.05        NA      1.16       XXX
74450..............  .................  A                 X-ray, urethra/bladder.       0.33        NA      1.55      0.09        NA      1.97       XXX
74450..............  26                 A                 X-ray, urethra/bladder.       0.33      0.11      0.11      0.02      0.46      0.46       XXX
74450..............  TC                 A                 X-ray, urethra/bladder.       0.00        NA      1.44      0.07        NA      1.51       XXX
74455..............  .................  A                 X-ray, urethra/bladder.       0.33        NA      1.66      0.10        NA      2.09       XXX
74455..............  26                 A                 X-ray, urethra/bladder.       0.33      0.11      0.11      0.02      0.46      0.46       XXX
74455..............  TC                 A                 X-ray, urethra/bladder.       0.00        NA      1.55      0.08        NA      1.63       XXX
74470..............  .................  A                 X-ray exam of kidney          0.54        NA      1.42      0.08        NA      2.04       XXX
                                                           lesion.
74470..............  26                 A                 X-ray exam of kidney          0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           lesion.
74470..............  TC                 A                 X-ray exam of kidney          0.00        NA      1.23      0.06        NA      1.29       XXX
                                                           lesion.
74475..............  .................  A                 X-ray control, cath           0.54        NA      4.20      0.20        NA      4.94       XXX
                                                           insert.
74475..............  26                 A                 X-ray control, cath           0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           insert.
74475..............  TC                 A                 X-ray control, cath           0.00        NA      4.01      0.18        NA      4.19       XXX
                                                           insert.
74480..............  .................  A                 X-ray control, cath           0.54        NA      4.20      0.20        NA      4.94       XXX
                                                           insert.
74480..............  26                 A                 X-ray control, cath           0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           insert.
74480..............  TC                 A                 X-ray control, cath           0.00        NA      4.01      0.18        NA      4.19       XXX
                                                           insert.
74485..............  .................  A                 X-ray guide, GU               0.54        NA      3.29      0.17        NA      4.00       XXX
                                                           dilation.
74485..............  26                 A                 X-ray guide, GU               0.54      0.19      0.19      0.03      0.76      0.76       XXX
                                                           dilation.
74485..............  TC                 A                 X-ray guide, GU               0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           dilation.
74710..............  .................  A                 X-ray measurement of          0.34        NA      1.16      0.07        NA      1.57       XXX
                                                           pelvis.
74710..............  26                 A                 X-ray measurement of          0.34      0.12      0.12      0.02      0.48      0.48       XXX
                                                           pelvis.
74710..............  TC                 A                 X-ray measurement of          0.00        NA      1.04      0.05        NA      1.09       XXX
                                                           pelvis.
74740..............  .................  A                 X-ray, female genital         0.38        NA      1.42      0.08        NA      1.88       XXX
                                                           tract.
74740..............  26                 A                 X-ray, female genital         0.38      0.13      0.13      0.02      0.53      0.53       XXX
                                                           tract.
74740..............  TC                 A                 X-ray, female genital         0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           tract.
74742..............  .................  A                 X-ray, fallopian tube..       0.61        NA      3.32      0.16        NA      4.09       XXX
74742..............  26                 A                 X-ray, fallopian tube..       0.61      0.22      0.22      0.02      0.85      0.85       XXX
74742..............  TC                 A                 X-ray, fallopian tube..       0.00        NA      3.10      0.14        NA      3.24       XXX
74775..............  .................  A                 X-ray exam of perineum.       0.62        NA      1.66      0.10        NA      2.38       XXX
74775..............  26                 A                 X-ray exam of perineum.       0.62      0.22      0.22      0.03      0.87      0.87       XXX
74775..............  TC                 A                 X-ray exam of perineum.       0.00        NA      1.44      0.07        NA      1.51       XXX
75552..............  .................  A                 Heart mri for morph w/o       1.60        NA     11.59      0.56        NA     13.75       XXX
                                                           dye.
75552..............  26                 A                 Heart mri for morph w/o       1.60      0.56      0.56      0.07      2.23      2.23       XXX
                                                           dye.
75552..............  TC                 A                 Heart mri for morph w/o       0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
75553..............  .................  A                 Heart mri for morph w/        2.00        NA     11.73      0.58        NA     14.31       XXX
                                                           dye.
75553..............  26                 A                 Heart mri for morph w/        2.00      0.70      0.70      0.09      2.79      2.79       XXX
                                                           dye.
75553..............  TC                 A                 Heart mri for morph w/        0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           dye.
75554..............  .................  A                 Cardiac MRI/function...       1.83        NA     11.72      0.56        NA     14.11       XXX
75554..............  26                 A                 Cardiac MRI/function...       1.83      0.69      0.69      0.07      2.59      2.59       XXX
75554..............  TC                 A                 Cardiac MRI/function...       0.00        NA     11.03      0.49        NA     11.52       XXX
75555..............  .................  A                 Cardiac MRI/limited           1.74        NA     11.70      0.56        NA     14.00       XXX
                                                           study.
75555..............  26                 A                 Cardiac MRI/limited           1.74      0.67      0.67      0.07      2.48      2.48       XXX
                                                           study.
75555..............  TC                 A                 Cardiac MRI/limited           0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           study.
75556..............  .................  N                 Cardiac MRI/flow              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mapping.
75600..............  .................  A                 Contrast x-ray exam of        0.49        NA     12.61      0.56        NA     13.66       XXX
                                                           aorta.
75600..............  26                 A                 Contrast x-ray exam of        0.49      0.20      0.20      0.02      0.71      0.71       XXX
                                                           aorta.
75600..............  TC                 A                 Contrast x-ray exam of        0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           aorta.
75605..............  .................  A                 Contrast x-ray exam of        1.14        NA     12.83      0.59        NA     14.56       XXX
                                                           aorta.

[[Page 40487]]

 
75605..............  26                 A                 Contrast x-ray exam of        1.14      0.42      0.42      0.05      1.61      1.61       XXX
                                                           aorta.
75605..............  TC                 A                 Contrast x-ray exam of        0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           aorta.
75625..............  .................  A                 Contrast x-ray exam of        1.14        NA     12.81      0.59        NA     14.54       XXX
                                                           aorta.
75625..............  26                 A                 Contrast x-ray exam of        1.14      0.40      0.40      0.05      1.59      1.59       XXX
                                                           aorta.
75625..............  TC                 A                 Contrast x-ray exam of        0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           aorta.
75630..............  .................  A                 X-ray aorta, leg              1.79        NA     13.58      0.65        NA     16.02       XXX
                                                           arteries.
75630..............  26                 A                 X-ray aorta, leg              1.79      0.65      0.65      0.08      2.52      2.52       XXX
                                                           arteries.
75630..............  TC                 A                 X-ray aorta, leg              0.00        NA     12.93      0.57        NA     13.50       XXX
                                                           arteries.
75635..............  .................  A                 Ct angio abdominal            1.89        NA      9.11      0.37        NA     11.37       XXX
                                                           arteries.
75635..............  26                 A                 Ct angio abdominal            1.89      0.75      0.75      0.05      2.69      2.69       XXX
                                                           arteries.
75635..............  TC                 A                 Ct angio abdominal            0.00        NA      8.36      0.32        NA      8.68       XXX
                                                           arteries.
75650..............  .................  A                 Artery x-rays, head &         1.49        NA     12.93      0.61        NA     15.03       XXX
                                                           neck.
75650..............  26                 A                 Artery x-rays, head &         1.49      0.52      0.52      0.07      2.08      2.08       XXX
                                                           neck.
75650..............  TC                 A                 Artery x-rays, head &         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           neck.
75658..............  .................  A                 Artery x-rays, arm.....       1.31        NA     12.92      0.60        NA     14.83       XXX
75658..............  26                 A                 Artery x-rays, arm.....       1.31      0.51      0.51      0.06      1.88      1.88       XXX
75658..............  TC                 A                 Artery x-rays, arm.....       0.00        NA     12.41      0.54        NA     12.95       XXX
75660..............  .................  A                 Artery x-rays, head &         1.31        NA     12.88      0.60        NA     14.79       XXX
                                                           neck.
75660..............  26                 A                 Artery x-rays, head &         1.31      0.47      0.47      0.06      1.84      1.84       XXX
                                                           neck.
75660..............  TC                 A                 Artery x-rays, head &         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           neck.
75662..............  .................  A                 Artery x-rays, head &         1.66        NA     13.04      0.62        NA     15.32       XXX
                                                           neck.
75662..............  26                 A                 Artery x-rays, head &         1.66      0.63      0.63      0.08      2.37      2.37       XXX
                                                           neck.
75662..............  TC                 A                 Artery x-rays, head &         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           neck.
75665..............  .................  A                 Artery x-rays, head &         1.31        NA     12.87      0.61        NA     14.79       XXX
                                                           neck.
75665..............  26                 A                 Artery x-rays, head &         1.31      0.46      0.46      0.07      1.84      1.84       XXX
                                                           neck.
75665..............  TC                 A                 Artery x-rays, head &         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           neck.
75671..............  .................  A                 Artery x-rays, head &         1.66        NA     12.99      0.62        NA     15.27       XXX
                                                           neck.
75671..............  26                 A                 Artery x-rays, head &         1.66      0.58      0.58      0.08      2.32      2.32       XXX
                                                           neck.
75671..............  TC                 A                 Artery x-rays, head &         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           neck.
75676..............  .................  A                 Artery x-rays, neck....       1.31        NA     12.88      0.61        NA     14.80       XXX
75676..............  26                 A                 Artery x-rays, neck....       1.31      0.47      0.47      0.07      1.85      1.85       XXX
75676..............  TC                 A                 Artery x-rays, neck....       0.00        NA     12.41      0.54        NA     12.95       XXX
75680..............  .................  A                 Artery x-rays, neck....       1.66        NA     12.99      0.62        NA     15.27       XXX
75680..............  26                 A                 Artery x-rays, neck....       1.66      0.58      0.58      0.08      2.32      2.32       XXX
75680..............  TC                 A                 Artery x-rays, neck....       0.00        NA     12.41      0.54        NA     12.95       XXX
75685..............  .................  A                 Artery x-rays, spine...       1.31        NA     12.87      0.60        NA     14.78       XXX
75685..............  26                 A                 Artery x-rays, spine...       1.31      0.46      0.46      0.06      1.83      1.83       XXX
75685..............  TC                 A                 Artery x-rays, spine...       0.00        NA     12.41      0.54        NA     12.95       XXX
75705..............  .................  A                 Artery x-rays, spine...       2.18        NA     13.18      0.65        NA     16.01       XXX
75705..............  26                 A                 Artery x-rays, spine...       2.18      0.77      0.77      0.11      3.06      3.06       XXX
75705..............  TC                 A                 Artery x-rays, spine...       0.00        NA     12.41      0.54        NA     12.95       XXX
75710..............  .................  A                 Artery x-rays, arm/leg.       1.14        NA     12.82      0.60        NA     14.56       XXX
75710..............  26                 A                 Artery x-rays, arm/leg.       1.14      0.41      0.41      0.06      1.61      1.61       XXX
75710..............  TC                 A                 Artery x-rays, arm/leg.       0.00        NA     12.41      0.54        NA     12.95       XXX
75716..............  .................  A                 Artery x-rays, arms/          1.31        NA     12.87      0.60        NA     14.78       XXX
                                                           legs.
75716..............  26                 A                 Artery x-rays, arms/          1.31      0.46      0.46      0.06      1.83      1.83       XXX
                                                           legs.
75716..............  TC                 A                 Artery x-rays, arms/          0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           legs.
75722..............  .................  A                 Artery x-rays, kidney..       1.14        NA     12.83      0.59        NA     14.56       XXX
75722..............  26                 A                 Artery x-rays, kidney..       1.14      0.42      0.42      0.05      1.61      1.61       XXX
75722..............  TC                 A                 Artery x-rays, kidney..       0.00        NA     12.41      0.54        NA     12.95       XXX
75724..............  .................  A                 Artery x-rays, kidneys.       1.49        NA     13.00      0.59        NA     15.08       XXX
75724..............  26                 A                 Artery x-rays, kidneys.       1.49      0.59      0.59      0.05      2.13      2.13       XXX
75724..............  TC                 A                 Artery x-rays, kidneys.       0.00        NA     12.41      0.54        NA     12.95       XXX
75726..............  .................  A                 Artery x-rays, abdomen.       1.14        NA     12.81      0.59        NA     14.54       XXX
75726..............  26                 A                 Artery x-rays, abdomen.       1.14      0.40      0.40      0.05      1.59      1.59       XXX
75726..............  TC                 A                 Artery x-rays, abdomen.       0.00        NA     12.41      0.54        NA     12.95       XXX
75731..............  .................  A                 Artery x-rays, adrenal        1.14        NA     12.81      0.59        NA     14.54       XXX
                                                           gland.
75731..............  26                 A                 Artery x-rays, adrenal        1.14      0.40      0.40      0.05      1.59      1.59       XXX
                                                           gland.
75731..............  TC                 A                 Artery x-rays, adrenal        0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           gland.
75733..............  .................  A                 Artery x-rays, adrenals       1.31        NA     12.88      0.60        NA     14.79       XXX
75733..............  26                 A                 Artery x-rays, adrenals       1.31      0.47      0.47      0.06      1.84      1.84       XXX
75733..............  TC                 A                 Artery x-rays, adrenals       0.00        NA     12.41      0.54        NA     12.95       XXX
75736..............  .................  A                 Artery x-rays, pelvis..       1.14        NA     12.81      0.59        NA     14.54       XXX
75736..............  26                 A                 Artery x-rays, pelvis..       1.14      0.40      0.40      0.05      1.59      1.59       XXX
75736..............  TC                 A                 Artery x-rays, pelvis..       0.00        NA     12.41      0.54        NA     12.95       XXX
75741..............  .................  A                 Artery x-rays, lung....       1.31        NA     12.87      0.60        NA     14.78       XXX
75741..............  26                 A                 Artery x-rays, lung....       1.31      0.46      0.46      0.06      1.83      1.83       XXX
75741..............  TC                 A                 Artery x-rays, lung....       0.00        NA     12.41      0.54        NA     12.95       XXX
75743..............  .................  A                 Artery x-rays, lungs...       1.66        NA     12.99      0.61        NA     15.26       XXX
75743..............  26                 A                 Artery x-rays, lungs...       1.66      0.58      0.58      0.07      2.31      2.31       XXX
75743..............  TC                 A                 Artery x-rays, lungs...       0.00        NA     12.41      0.54        NA     12.95       XXX
75746..............  .................  A                 Artery x-rays, lung....       1.14        NA     12.81      0.59        NA     14.54       XXX
75746..............  26                 A                 Artery x-rays, lung....       1.14      0.40      0.40      0.05      1.59      1.59       XXX
75746..............  TC                 A                 Artery x-rays, lung....       0.00        NA     12.41      0.54        NA     12.95       XXX

[[Page 40488]]

 
75756..............  .................  A                 Artery x-rays, chest...       1.14        NA     12.88      0.58        NA     14.60       XXX
75756..............  26                 A                 Artery x-rays, chest...       1.14      0.47      0.47      0.04      1.65      1.65       XXX
75756..............  TC                 A                 Artery x-rays, chest...       0.00        NA     12.41      0.54        NA     12.95       XXX
75774..............  .................  A                 Artery x-ray, each            0.36        NA     12.54      0.56        NA     13.46       ZZZ
                                                           vessel.
75774..............  26                 A                 Artery x-ray, each            0.36      0.13      0.13      0.02      0.51      0.51       ZZZ
                                                           vessel.
75774..............  TC                 A                 Artery x-ray, each            0.00        NA     12.41      0.54        NA     12.95       ZZZ
                                                           vessel.
75790..............  .................  A                 Visualize A-V shunt....       1.84        NA      1.97      0.16        NA      3.97       XXX
75790..............  26                 A                 Visualize A-V shunt....       1.84      0.64      0.64      0.09      2.57      2.57       XXX
75790..............  TC                 A                 Visualize A-V shunt....       0.00        NA      1.33      0.07        NA      1.40       XXX
75801..............  .................  A                 Lymph vessel x-ray, arm/      0.81        NA      5.61      0.29        NA      6.71       XXX
                                                           leg.
75801..............  26                 A                 Lymph vessel x-ray, arm/      0.81      0.28      0.28      0.05      1.14      1.14       XXX
                                                           leg.
75801..............  TC                 A                 Lymph vessel x-ray, arm/      0.00        NA      5.33      0.24        NA      5.57       XXX
                                                           leg.
75803..............  .................  A                 Lymph vessel x-ray,arms/      1.17        NA      5.74      0.29        NA      7.20       XXX
                                                           legs.
75803..............  26                 A                 Lymph vessel x-ray,arms/      1.17      0.41      0.41      0.05      1.63      1.63       XXX
                                                           legs.
75803..............  TC                 A                 Lymph vessel x-ray,arms/      0.00        NA      5.33      0.24        NA      5.57       XXX
                                                           legs.
75805..............  .................  A                 Lymph vessel x-ray,           0.81        NA      6.30      0.31        NA      7.42       XXX
                                                           trunk.
75805..............  26                 A                 Lymph vessel x-ray,           0.81      0.29      0.29      0.04      1.14      1.14       XXX
                                                           trunk.
75805..............  TC                 A                 Lymph vessel x-ray,           0.00        NA      6.01      0.27        NA      6.28       XXX
                                                           trunk.
75807..............  .................  A                 Lymph vessel x-ray,           1.17        NA      6.42      0.32        NA      7.91       XXX
                                                           trunk.
75807..............  26                 A                 Lymph vessel x-ray,           1.17      0.41      0.41      0.05      1.63      1.63       XXX
                                                           trunk.
75807..............  TC                 A                 Lymph vessel x-ray,           0.00        NA      6.01      0.27        NA      6.28       XXX
                                                           trunk.
75809..............  .................  A                 Nonvascular shunt, x-         0.47        NA      0.94      0.06        NA      1.47       XXX
                                                           ray.
75809..............  26                 A                 Nonvascular shunt, x-         0.47      0.17      0.17      0.02      0.66      0.66       XXX
                                                           ray.
75809..............  TC                 A                 Nonvascular shunt, x-         0.00        NA      0.77      0.04        NA      0.81       XXX
                                                           ray.
75810..............  .................  A                 Vein x-ray, spleen/           1.14        NA     12.81      0.60        NA     14.55       XXX
                                                           liver.
75810..............  26                 A                 Vein x-ray, spleen/           1.14      0.40      0.40      0.06      1.60      1.60       XXX
                                                           liver.
75810..............  TC                 A                 Vein x-ray, spleen/           0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           liver.
75820..............  .................  A                 Vein x-ray, arm/leg....       0.70        NA      1.17      0.08        NA      1.95       XXX
75820..............  26                 A                 Vein x-ray, arm/leg....       0.70      0.24      0.24      0.03      0.97      0.97       XXX
75820..............  TC                 A                 Vein x-ray, arm/leg....       0.00        NA      0.93      0.05        NA      0.98       XXX
75822..............  .................  A                 Vein x-ray, arms/legs..       1.06        NA      1.83      0.12        NA      3.01       XXX
75822..............  26                 A                 Vein x-ray, arms/legs..       1.06      0.37      0.37      0.05      1.48      1.48       XXX
75822..............  TC                 A                 Vein x-ray, arms/legs..       0.00        NA      1.46      0.07        NA      1.53       XXX
75825..............  .................  A                 Vein x-ray, trunk......       1.14        NA     12.81      0.60        NA     14.55       XXX
75825..............  26                 A                 Vein x-ray, trunk......       1.14      0.40      0.40      0.06      1.60      1.60       XXX
75825..............  TC                 A                 Vein x-ray, trunk......       0.00        NA     12.41      0.54        NA     12.95       XXX
75827..............  .................  A                 Vein x-ray, chest......       1.14        NA     12.80      0.59        NA     14.53       XXX
75827..............  26                 A                 Vein x-ray, chest......       1.14      0.39      0.39      0.05      1.58      1.58       XXX
75827..............  TC                 A                 Vein x-ray, chest......       0.00        NA     12.41      0.54        NA     12.95       XXX
75831..............  .................  A                 Vein x-ray, kidney.....       1.14        NA     12.81      0.59        NA     14.54       XXX
75831..............  26                 A                 Vein x-ray, kidney.....       1.14      0.40      0.40      0.05      1.59      1.59       XXX
75831..............  TC                 A                 Vein x-ray, kidney.....       0.00        NA     12.41      0.54        NA     12.95       XXX
75833..............  .................  A                 Vein x-ray, kidneys....       1.49        NA     12.93      0.61        NA     15.03       XXX
75833..............  26                 A                 Vein x-ray, kidneys....       1.49      0.52      0.52      0.07      2.08      2.08       XXX
75833..............  TC                 A                 Vein x-ray, kidneys....       0.00        NA     12.41      0.54        NA     12.95       XXX
75840..............  .................  A                 Vein x-ray, adrenal           1.14        NA     12.81      0.61        NA     14.56       XXX
                                                           gland.
75840..............  26                 A                 Vein x-ray, adrenal           1.14      0.40      0.40      0.07      1.61      1.61       XXX
                                                           gland.
75840..............  TC                 A                 Vein x-ray, adrenal           0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           gland.
75842..............  .................  A                 Vein x-ray, adrenal           1.49        NA     12.92      0.61        NA     15.02       XXX
                                                           glands.
75842..............  26                 A                 Vein x-ray, adrenal           1.49      0.51      0.51      0.07      2.07      2.07       XXX
                                                           glands.
75842..............  TC                 A                 Vein x-ray, adrenal           0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           glands.
75860..............  .................  A                 Vein x-ray, neck.......       1.14        NA     12.82      0.60        NA     14.56       XXX
75860..............  26                 A                 Vein x-ray, neck.......       1.14      0.41      0.41      0.06      1.61      1.61       XXX
75860..............  TC                 A                 Vein x-ray, neck.......       0.00        NA     12.41      0.54        NA     12.95       XXX
75870..............  .................  A                 Vein x-ray, skull......       1.14        NA     12.83      0.60        NA     14.57       XXX
75870..............  26                 A                 Vein x-ray, skull......       1.14      0.42      0.42      0.06      1.62      1.62       XXX
75870..............  TC                 A                 Vein x-ray, skull......       0.00        NA     12.41      0.54        NA     12.95       XXX
75872..............  .................  A                 Vein x-ray, skull......       1.14        NA     12.81      0.59        NA     14.54       XXX
75872..............  26                 A                 Vein x-ray, skull......       1.14      0.40      0.40      0.05      1.59      1.59       XXX
75872..............  TC                 A                 Vein x-ray, skull......       0.00        NA     12.41      0.54        NA     12.95       XXX
75880..............  .................  A                 Vein x-ray, eye socket.       0.70        NA      1.18      0.08        NA      1.96       XXX
75880..............  26                 A                 Vein x-ray, eye socket.       0.70      0.25      0.25      0.03      0.98      0.98       XXX
75880..............  TC                 A                 Vein x-ray, eye socket.       0.00        NA      0.93      0.05        NA      0.98       XXX
75885..............  .................  A                 Vein x-ray, liver......       1.44        NA     12.91      0.60        NA     14.95       XXX
75885..............  26                 A                 Vein x-ray, liver......       1.44      0.50      0.50      0.06      2.00      2.00       XXX
75885..............  TC                 A                 Vein x-ray, liver......       0.00        NA     12.41      0.54        NA     12.95       XXX
75887..............  .................  A                 Vein x-ray, liver......       1.44        NA     12.91      0.60        NA     14.95       XXX
75887..............  26                 A                 Vein x-ray, liver......       1.44      0.50      0.50      0.06      2.00      2.00       XXX
75887..............  TC                 A                 Vein x-ray, liver......       0.00        NA     12.41      0.54        NA     12.95       XXX
75889..............  .................  A                 Vein x-ray, liver......       1.14        NA     12.80      0.59        NA     14.53       XXX
75889..............  26                 A                 Vein x-ray, liver......       1.14      0.39      0.39      0.05      1.58      1.58       XXX
75889..............  TC                 A                 Vein x-ray, liver......       0.00        NA     12.41      0.54        NA     12.95       XXX
75891..............  .................  A                 Vein x-ray, liver......       1.14        NA     12.80      0.59        NA     14.53       XXX
75891..............  26                 A                 Vein x-ray, liver......       1.14      0.39      0.39      0.05      1.58      1.58       XXX

[[Page 40489]]

 
75891..............  TC                 A                 Vein x-ray, liver......       0.00        NA     12.41      0.54        NA     12.95       XXX
75893..............  .................  A                 Venous sampling by            0.54        NA     12.60      0.56        NA     13.70       XXX
                                                           catheter.
75893..............  26                 A                 Venous sampling by            0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           catheter.
75893..............  TC                 A                 Venous sampling by            0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           catheter.
75894..............  .................  A                 X-rays, transcath             1.31        NA     24.22      1.12        NA     26.65       XXX
                                                           therapy.
75894..............  26                 A                 X-rays, transcath             1.31      0.46      0.46      0.07      1.84      1.84       XXX
                                                           therapy.
75894..............  TC                 A                 X-rays, transcath             0.00        NA     23.76      1.05        NA     24.81       XXX
                                                           therapy.
75896..............  .................  A                 X-rays, transcath             1.31        NA     21.14      0.97        NA     23.42       XXX
                                                           therapy.
75896..............  26                 A                 X-rays, transcath             1.31      0.47      0.47      0.06      1.84      1.84       XXX
                                                           therapy.
75896..............  TC                 A                 X-rays, transcath             0.00        NA     20.67      0.91        NA     21.58       XXX
                                                           therapy.
75898..............  .................  A                 Follow-up angiogram....       1.65        NA      1.62      0.12        NA      3.39       XXX
75898..............  26                 A                 Follow-up angiogram....       1.65      0.58      0.58      0.07      2.30      2.30       XXX
75898..............  TC                 A                 Follow-up angiogram....       0.00        NA      1.04      0.05        NA      1.09       XXX
75900..............  .................  A                 Arterial catheter             0.49        NA     20.82      0.94        NA     22.25       XXX
                                                           exchange.
75900..............  26                 A                 Arterial catheter             0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           exchange.
75900..............  TC                 A                 Arterial catheter             0.00        NA     20.65      0.92        NA     21.57       XXX
                                                           exchange.
75940..............  .................  A                 X-ray placement, vein         0.54        NA     12.60      0.57        NA     13.71       XXX
                                                           filter.
75940..............  26                 A                 X-ray placement, vein         0.54      0.19      0.19      0.03      0.76      0.76       XXX
                                                           filter.
75940..............  TC                 A                 X-ray placement, vein         0.00        NA     12.41      0.54        NA     12.95       XXX
                                                           filter.
75945..............  .................  A                 Intravascular us.......       0.40        NA      4.64      0.23        NA      5.27       XXX
75945..............  26                 A                 Intravascular us.......       0.40      0.15      0.15      0.03      0.58      0.58       XXX
75945..............  TC                 A                 Intravascular us.......       0.00        NA      4.49      0.20        NA      4.69       XXX
75946..............  .................  A                 Intravascular us add-on       0.40        NA      2.40      0.14        NA      2.94       ZZZ
75946..............  26                 A                 Intravascular us add-on       0.40      0.14      0.14      0.03      0.57      0.57       ZZZ
75946..............  TC                 A                 Intravascular us add-on       0.00        NA      2.26      0.11        NA      2.37       ZZZ
75952..............  .................  A                 Endovasc repair abdom         4.00      1.58      1.58      0.68      6.26      6.26       XXX
                                                           aorta.
75953..............  .................  A                 Abdom aneurysm endovas        1.36      0.54      0.54      0.68      2.58      2.58       XXX
                                                           rpr.
75960..............  .................  A                 Transcatheter intro,          0.82        NA     14.97      0.68        NA     16.47       XXX
                                                           stent.
75960..............  26                 A                 Transcatheter intro,          0.82      0.30      0.30      0.04      1.16      1.16       XXX
                                                           stent.
75960..............  TC                 A                 Transcatheter intro,          0.00        NA     14.67      0.64        NA     15.31       XXX
                                                           stent.
75961..............  .................  A                 Retrieval, broken             4.25        NA     11.83      0.64        NA     16.72       XXX
                                                           catheter.
75961..............  26                 A                 Retrieval, broken             4.25      1.49      1.49      0.18      5.92      5.92       XXX
                                                           catheter.
75961..............  TC                 A                 Retrieval, broken             0.00        NA     10.34      0.46        NA     10.80       XXX
                                                           catheter.
75962..............  .................  A                 Repair arterial               0.54        NA     15.69      0.72        NA     16.95       XXX
                                                           blockage.
75962..............  26                 A                 Repair arterial               0.54      0.19      0.19      0.03      0.76      0.76       XXX
                                                           blockage.
75962..............  TC                 A                 Repair arterial               0.00        NA     15.50      0.69        NA     16.19       XXX
                                                           blockage.
75964..............  .................  A                 Repair artery blockage,       0.36        NA      8.39      0.38        NA      9.13       ZZZ
                                                           each.
75964..............  26                 A                 Repair artery blockage,       0.36      0.13      0.13      0.02      0.51      0.51       ZZZ
                                                           each.
75964..............  TC                 A                 Repair artery blockage,       0.00        NA      8.26      0.36        NA      8.62       ZZZ
                                                           each.
75966..............  .................  A                 Repair arterial               1.31        NA     15.99      0.75        NA     18.05       XXX
                                                           blockage.
75966..............  26                 A                 Repair arterial               1.31      0.49      0.49      0.06      1.86      1.86       XXX
                                                           blockage.
75966..............  TC                 A                 Repair arterial               0.00        NA     15.50      0.69        NA     16.19       XXX
                                                           blockage.
75968..............  .................  A                 Repair artery blockage,       0.36        NA      8.40      0.37        NA      9.13       ZZZ
                                                           each.
75968..............  26                 A                 Repair artery blockage,       0.36      0.14      0.14      0.01      0.51      0.51       ZZZ
                                                           each.
75968..............  TC                 A                 Repair artery blockage,       0.00        NA      8.26      0.36        NA      8.62       ZZZ
                                                           each.
75970..............  .................  A                 Vascular biopsy........       0.83        NA     11.67      0.54        NA     13.04       XXX
75970..............  26                 A                 Vascular biopsy........       0.83      0.30      0.30      0.04      1.17      1.17       XXX
75970..............  TC                 A                 Vascular biopsy........       0.00        NA     11.37      0.50        NA     11.87       XXX
75978..............  .................  A                 Repair venous blockage.       0.54        NA     15.69      0.71        NA     16.94       XXX
75978..............  26                 A                 Repair venous blockage.       0.54      0.19      0.19      0.02      0.75      0.75       XXX
75978..............  TC                 A                 Repair venous blockage.       0.00        NA     15.50      0.69        NA     16.19       XXX
75980..............  .................  A                 Contrast xray exam bile       1.44        NA      5.83      0.30        NA      7.57       XXX
                                                           duct.
75980..............  26                 A                 Contrast xray exam bile       1.44      0.50      0.50      0.06      2.00      2.00       XXX
                                                           duct.
75980..............  TC                 A                 Contrast xray exam bile       0.00        NA      5.33      0.24        NA      5.57       XXX
                                                           duct.
75982..............  .................  A                 Contrast xray exam bile       1.44        NA      6.51      0.33        NA      8.28       XXX
                                                           duct.
75982..............  26                 A                 Contrast xray exam bile       1.44      0.50      0.50      0.06      2.00      2.00       XXX
                                                           duct.
75982..............  TC                 A                 Contrast xray exam bile       0.00        NA      6.01      0.27        NA      6.28       XXX
                                                           duct.
75984..............  .................  A                 Xray control catheter         0.72        NA      2.17      0.12        NA      3.01       XXX
                                                           change.
75984..............  26                 A                 Xray control catheter         0.72      0.25      0.25      0.03      1.00      1.00       XXX
                                                           change.
75984..............  TC                 A                 Xray control catheter         0.00        NA      1.92      0.09        NA      2.01       XXX
                                                           change.
75989..............  .................  A                 Abscess drainage under        1.19        NA      3.51      0.19        NA      4.89       XXX
                                                           x-ray.
75989..............  26                 A                 Abscess drainage under        1.19      0.41      0.41      0.05      1.65      1.65       XXX
                                                           x-ray.
75989..............  TC                 A                 Abscess drainage under        0.00        NA      3.10      0.14        NA      3.24       XXX
                                                           x-ray.
75992..............  .................  A                 Atherectomy, x-ray exam       0.54        NA     15.70      0.71        NA     16.95       XXX
75992..............  26                 A                 Atherectomy, x-ray exam       0.54      0.20      0.20      0.02      0.76      0.76       XXX
75992..............  TC                 A                 Atherectomy, x-ray exam       0.00        NA     15.50      0.69        NA     16.19       XXX
75993..............  .................  A                 Atherectomy, x-ray exam       0.36        NA      8.40      0.37        NA      9.13       ZZZ
75993..............  26                 A                 Atherectomy, x-ray exam       0.36      0.14      0.14      0.01      0.51      0.51       ZZZ
75993..............  TC                 A                 Atherectomy, x-ray exam       0.00        NA      8.26      0.36        NA      8.62       ZZZ
75994..............  .................  A                 Atherectomy, x-ray exam       1.31        NA     15.99      0.75        NA     18.05       XXX
75994..............  26                 A                 Atherectomy, x-ray exam       1.31      0.49      0.49      0.06      1.86      1.86       XXX
75994..............  TC                 A                 Atherectomy, x-ray exam       0.00        NA     15.50      0.69        NA     16.19       XXX
75995..............  .................  A                 Atherectomy, x-ray exam       1.31        NA     15.95      0.75        NA     18.01       XXX
75995..............  26                 A                 Atherectomy, x-ray exam       1.31      0.45      0.45      0.06      1.82      1.82       XXX

[[Page 40490]]

 
75995..............  TC                 A                 Atherectomy, x-ray exam       0.00        NA     15.50      0.69        NA     16.19       XXX
75996..............  .................  A                 Atherectomy, x-ray exam       0.36        NA      8.39      0.37        NA      9.12       ZZZ
75996..............  26                 A                 Atherectomy, x-ray exam       0.36      0.13      0.13      0.01      0.50      0.50       ZZZ
75996..............  TC                 A                 Atherectomy, x-ray exam       0.00        NA      8.26      0.36        NA      8.62       ZZZ
76000..............  .................  A                 Fluoroscope examination       0.17        NA      1.34      0.01        NA      1.52       XXX
76001..............  .................  A                 Fluoroscope exam,             0.67        NA      2.81      0.15        NA      3.63       XXX
                                                           extensive.
76001..............  26                 A                 Fluoroscope exam,             0.67      0.23      0.23      0.03      0.93      0.93       XXX
                                                           extensive.
76001..............  TC                 A                 Fluoroscope exam,             0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           extensive.
76003..............  .................  A                 Needle localization by        0.54        NA      1.47      0.09        NA      2.10       XXX
                                                           x-ray.
76003..............  26                 A                 Needle localization by        0.54      0.18      0.18      0.03      0.75      0.75       XXX
                                                           x-ray.
76003..............  TC                 A                 Needle localization by        0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           x-ray.
76005..............  .................  A                 Fluoroguide for spine         0.60        NA      1.48      0.09        NA      2.17       XXX
                                                           inject.
76005..............  26                 A                 Fluoroguide for spine         0.60      0.19      0.19      0.03      0.82      0.82       XXX
                                                           inject.
76005..............  TC                 A                 Fluoroguide for spine         0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           inject.
76006..............  .................  A                 X-ray stress view......       0.41      0.19      0.19      0.04      0.64      0.64       XXX
76010..............  .................  A                 X-ray, nose to rectum..       0.18        NA      0.57      0.03        NA      0.78       XXX
76010..............  26                 A                 X-ray, nose to rectum..       0.18      0.06      0.06      0.01      0.25      0.25       XXX
76010..............  TC                 A                 X-ray, nose to rectum..       0.00        NA      0.51      0.02        NA      0.53       XXX
76012..............  .................  A                 Percut vertebroplasty         1.31      0.49      0.49      0.23      2.03      2.03       XXX
                                                           fluor.
76013..............  .................  A                 Percut vertebroplasty,        1.38      0.51      0.51      0.48      2.37      2.37       XXX
                                                           ct.
76020..............  .................  A                 X-rays for bone age....       0.19        NA      0.58      0.03        NA      0.80       XXX
76020..............  26                 A                 X-rays for bone age....       0.19      0.07      0.07      0.01      0.27      0.27       XXX
76020..............  TC                 A                 X-rays for bone age....       0.00        NA      0.51      0.02        NA      0.53       XXX
76040..............  .................  A                 X-rays, bone evaluation       0.27        NA      0.87      0.07        NA      1.21       XXX
76040..............  26                 A                 X-rays, bone evaluation       0.27      0.10      0.10      0.03      0.40      0.40       XXX
76040..............  TC                 A                 X-rays, bone evaluation       0.00        NA      0.77      0.04        NA      0.81       XXX
76061..............  .................  A                 X-rays, bone survey....       0.45        NA      1.14      0.07        NA      1.66       XXX
76061..............  26                 A                 X-rays, bone survey....       0.45      0.16      0.16      0.02      0.63      0.63       XXX
76061..............  TC                 A                 X-rays, bone survey....       0.00        NA      0.98      0.05        NA      1.03       XXX
76062..............  .................  A                 X-rays, bone survey....       0.54        NA      1.61      0.09        NA      2.24       XXX
76062..............  26                 A                 X-rays, bone survey....       0.54      0.19      0.19      0.02      0.75      0.75       XXX
76062..............  TC                 A                 X-rays, bone survey....       0.00        NA      1.42      0.07        NA      1.49       XXX
76065..............  .................  A                 X-rays, bone evaluation       0.70        NA      0.96      0.05        NA      1.71       XXX
76065..............  26                 A                 X-rays, bone evaluation       0.70      0.24      0.24      0.01      0.95      0.95       XXX
76065..............  TC                 A                 X-rays, bone evaluation       0.00        NA      0.72      0.04        NA      0.76       XXX
76066..............  .................  A                 Joint(s) survey, single       0.31        NA      1.20      0.07        NA      1.58       XXX
                                                           film.
76066..............  26                 A                 Joint(s) survey, single       0.31      0.11      0.11      0.02      0.44      0.44       XXX
                                                           film.
76066..............  TC                 A                 Joint(s) survey, single       0.00        NA      1.09      0.05        NA      1.14       XXX
                                                           film.
76070..............  .................  I                 CT scan, bone density         0.25        NA      3.00      0.14        NA      3.39       XXX
                                                           study.
76070..............  26                 I                 CT scan, bone density         0.25      0.10      0.10      0.01      0.36      0.36       XXX
                                                           study.
76070..............  TC                 I                 CT scan, bone density         0.00        NA      2.90      0.13        NA      3.03       XXX
                                                           study.
76075..............  .................  A                 Dual energy x-ray study       0.30        NA      3.16      0.15        NA      3.61       XXX
76075..............  26                 A                 Dual energy x-ray study       0.30      0.11      0.11      0.01      0.42      0.42       XXX
76075..............  TC                 A                 Dual energy x-ray study       0.00        NA      3.05      0.14        NA      3.19       XXX
76076..............  .................  A                 Dual energy x-ray study       0.22        NA      0.82      0.05        NA      1.09       XXX
76076..............  26                 A                 Dual energy x-ray study       0.22      0.08      0.08      0.01      0.31      0.31       XXX
76076..............  TC                 A                 Dual energy x-ray study       0.00        NA      0.74      0.04        NA      0.78       XXX
76078..............  .................  A                 Photodensitometry......       0.20        NA      0.82      0.05        NA      1.07       XXX
76078..............  26                 A                 Photodensitometry......       0.20      0.08      0.08      0.01      0.29      0.29       XXX
76078..............  TC                 A                 Photodensitometry......       0.00        NA      0.74      0.04        NA      0.78       XXX
76080..............  .................  A                 X-ray exam of fistula..       0.54        NA      1.23      0.07        NA      1.84       XXX
76080..............  26                 A                 X-ray exam of fistula..       0.54      0.19      0.19      0.02      0.75      0.75       XXX
76080..............  TC                 A                 X-ray exam of fistula..       0.00        NA      1.04      0.05        NA      1.09       XXX
76086..............  .................  A                 X-ray of mammary duct..       0.36        NA      2.71      0.14        NA      3.21       XXX
76086..............  26                 A                 X-ray of mammary duct..       0.36      0.13      0.13      0.02      0.51      0.51       XXX
76086..............  TC                 A                 X-ray of mammary duct..       0.00        NA      2.58      0.12        NA      2.70       XXX
76088..............  .................  A                 X-ray of mammary ducts.       0.45        NA      3.77      0.18        NA      4.40       XXX
76088..............  26                 A                 X-ray of mammary ducts.       0.45      0.16      0.16      0.02      0.63      0.63       XXX
76088..............  TC                 A                 X-ray of mammary ducts.       0.00        NA      3.61      0.16        NA      3.77       XXX
76090..............  .................  A                 Mammogram, one breast..       0.70        NA      1.28      0.08        NA      2.06       XXX
76090..............  26                 A                 Mammogram, one breast..       0.70      0.24      0.24      0.03      0.97      0.97       XXX
76090..............  TC                 A                 Mammogram, one breast..       0.00        NA      1.04      0.05        NA      1.09       XXX
76091..............  .................  A                 Mammogram, both breasts       0.87        NA      1.59      0.09        NA      2.55       XXX
76091..............  26                 A                 Mammogram, both breasts       0.87      0.30      0.30      0.03      1.20      1.20       XXX
76091..............  TC                 A                 Mammogram, both breasts       0.00        NA      1.29      0.06        NA      1.35       XXX
76092..............  .................  A                 Mammogram, screening...       0.70        NA      1.52      0.09        NA      2.31       XXX
76092..............  26                 A                 Mammogram, screening...       0.70      0.25      0.25      0.03      0.98      0.98       XXX
76092..............  TC                 A                 Mammogram, screening...       0.00        NA      1.27      0.06        NA      1.33       XXX
76093..............  .................  A                 Magnetic image, breast.       1.63        NA     17.93      0.83        NA     20.39       XXX
76093..............  26                 A                 Magnetic image, breast.       1.63      0.57      0.57      0.07      2.27      2.27       XXX
76093..............  TC                 A                 Magnetic image, breast.       0.00        NA     17.36      0.76        NA     18.12       XXX
76094..............  .................  A                 Magnetic image, both          1.63        NA     24.12      1.10        NA     26.85       XXX
                                                           breasts.
76094..............  26                 A                 Magnetic image, both          1.63      0.57      0.57      0.07      2.27      2.27       XXX
                                                           breasts.
76094..............  TC                 A                 Magnetic image, both          0.00        NA     23.55      1.03        NA     24.58       XXX
                                                           breasts.

[[Page 40491]]

 
76095..............  .................  A                 Stereotactic breast           1.59        NA      7.62      0.40        NA      9.61       XXX
                                                           biopsy.
76095..............  26                 A                 Stereotactic breast           1.59      0.56      0.56      0.09      2.24      2.24       XXX
                                                           biopsy.
76095..............  TC                 A                 Stereotactic breast           0.00        NA      7.06      0.31        NA      7.37       XXX
                                                           biopsy.
76096..............  .................  A                 X-ray of needle wire,         0.56        NA      1.49      0.09        NA      2.14       XXX
                                                           breast.
76096..............  26                 A                 X-ray of needle wire,         0.56      0.20      0.20      0.03      0.79      0.79       XXX
                                                           breast.
76096..............  TC                 A                 X-ray of needle wire,         0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           breast.
76098..............  .................  A                 X-ray exam, breast            0.16        NA      0.47      0.03        NA      0.66       XXX
                                                           specimen.
76098..............  26                 A                 X-ray exam, breast            0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           specimen.
76098..............  TC                 A                 X-ray exam, breast            0.00        NA      0.41      0.02        NA      0.43       XXX
                                                           specimen.
76100..............  .................  A                 X-ray exam of body            0.58        NA      1.43      0.09        NA      2.10       XXX
                                                           section.
76100..............  26                 A                 X-ray exam of body            0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           section.
76100..............  TC                 A                 X-ray exam of body            0.00        NA      1.23      0.06        NA      1.29       XXX
                                                           section.
76101..............  .................  A                 Complex body section x-       0.58        NA      1.60      0.10        NA      2.28       XXX
                                                           ray.
76101..............  26                 A                 Complex body section x-       0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           ray.
76101..............  TC                 A                 Complex body section x-       0.00        NA      1.40      0.07        NA      1.47       XXX
                                                           ray.
76102..............  .................  A                 Complex body section x-       0.58        NA      1.90      0.12        NA      2.60       XXX
                                                           rays.
76102..............  26                 A                 Complex body section x-       0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           rays.
76102..............  TC                 A                 Complex body section x-       0.00        NA      1.70      0.09        NA      1.79       XXX
                                                           rays.
76120..............  .................  A                 Cinematic x-rays.......       0.38        NA      1.17      0.07        NA      1.62       XXX
76120..............  26                 A                 Cinematic x-rays.......       0.38      0.13      0.13      0.02      0.53      0.53       XXX
76120..............  TC                 A                 Cinematic x-rays.......       0.00        NA      1.04      0.05        NA      1.09       XXX
76125..............  .................  A                 Cinematic x-rays add-on       0.27        NA      0.87      0.05        NA      1.19       ZZZ
76125..............  26                 A                 Cinematic x-rays add-on       0.27      0.10      0.10      0.01      0.38      0.38       ZZZ
76125..............  TC                 A                 Cinematic x-rays add-on       0.00        NA      0.77      0.04        NA      0.81       ZZZ
76140..............  .................  I                 X-ray consultation.....       0.00        NA      0.00      0.00        NA      0.00       XXX
76150..............  .................  A                 X-ray exam, dry process       0.00        NA      0.41      0.02        NA      0.43       XXX
76350..............  .................  C                 Special x-ray contrast        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           study.
76355..............  .................  A                 CAT scan for                  1.21        NA      8.56      0.41        NA     10.18       XXX
                                                           localization.
76355..............  26                 A                 CAT scan for                  1.21      0.43      0.43      0.06      1.70      1.70       XXX
                                                           localization.
76355..............  TC                 A                 CAT scan for                  0.00        NA      8.13      0.35        NA      8.48       XXX
                                                           localization.
76360..............  .................  A                 CAT scan for needle           1.16        NA      8.53      0.40        NA     10.09       XXX
                                                           biopsy.
76360..............  26                 A                 CAT scan for needle           1.16      0.40      0.40      0.05      1.61      1.61       XXX
                                                           biopsy.
76360..............  TC                 A                 CAT scan for needle           0.00        NA      8.13      0.35        NA      8.48       XXX
                                                           biopsy.
76370..............  .................  A                 CAT scan for therapy          0.85        NA      3.20      0.17        NA      4.22       XXX
                                                           guide.
76370..............  26                 A                 CAT scan for therapy          0.85      0.30      0.30      0.04      1.19      1.19       XXX
                                                           guide.
76370..............  TC                 A                 CAT scan for therapy          0.00        NA      2.90      0.13        NA      3.03       XXX
                                                           guide.
76375..............  .................  A                 3d/holograph reconstr         0.16        NA      3.54      0.16        NA      3.86       XXX
                                                           add-on.
76375..............  26                 A                 3d/holograph reconstr         0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           add-on.
76375..............  TC                 A                 3d/holograph reconstr         0.00        NA      3.48      0.15        NA      3.63       XXX
                                                           add-on.
76380..............  .................  A                 CAT scan follow-up            0.98        NA      3.79      0.19        NA      4.96       XXX
                                                           study.
76380..............  26                 A                 CAT scan follow-up            0.98      0.34      0.34      0.04      1.36      1.36       XXX
                                                           study.
76380..............  TC                 A                 CAT scan follow-up            0.00        NA      3.45      0.15        NA      3.60       XXX
                                                           study.
76390..............  .................  A                 Mr spectroscopy........       1.40        NA     11.52      0.55        NA     13.47       XXX
76390..............  26                 A                 Mr spectroscopy........       1.40      0.49      0.49      0.06      1.95      1.95       XXX
76390..............  TC                 A                 Mr spectroscopy........       0.00        NA     11.03      0.49        NA     11.52       XXX
76393..............  .................  A                 Mr guidance for needle        1.50        NA     11.55      0.52        NA     13.57       XXX
                                                           place.
76393..............  26                 A                 Mr guidance for needle        1.50      0.52      0.52      0.06      2.08      2.08       XXX
                                                           place.
76393..............  TC                 A                 Mr guidance for needle        0.00        NA     11.03      0.46        NA     11.49       XXX
                                                           place.
76400..............  .................  A                 Magnetic image, bone          1.60        NA     11.59      0.56        NA     13.75       XXX
                                                           marrow.
76400..............  26                 A                 Magnetic image, bone          1.60      0.56      0.56      0.07      2.23      2.23       XXX
                                                           marrow.
76400..............  TC                 A                 Magnetic image, bone          0.00        NA     11.03      0.49        NA     11.52       XXX
                                                           marrow.
76499..............  .................  C                 Radiographic procedure.       0.00        NA      0.00      0.00        NA      0.00       XXX
76499..............  26                 C                 Radiographic procedure.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
76499..............  TC                 C                 Radiographic procedure.       0.00        NA      0.00      0.00        NA      0.00       XXX
76506..............  .................  A                 Echo exam of head......       0.63        NA      1.66      0.10        NA      2.39       XXX
76506..............  26                 A                 Echo exam of head......       0.63      0.26      0.26      0.03      0.92      0.92       XXX
76506..............  TC                 A                 Echo exam of head......       0.00        NA      1.40      0.07        NA      1.47       XXX
76511..............  .................  A                 Echo exam of eye.......       0.94        NA      1.75      0.08        NA      2.77       XXX
76511..............  26                 A                 Echo exam of eye.......       0.94      0.42      0.42      0.02      1.38      1.38       XXX
76511..............  TC                 A                 Echo exam of eye.......       0.00        NA      1.33      0.06        NA      1.39       XXX
76512..............  .................  A                 Echo exam of eye.......       0.66        NA      1.85      0.09        NA      2.60       XXX
76512..............  26                 A                 Echo exam of eye.......       0.66      0.31      0.31      0.01      0.98      0.98       XXX
76512..............  TC                 A                 Echo exam of eye.......       0.00        NA      1.54      0.08        NA      1.62       XXX
76513..............  .................  A                 Echo exam of eye, water       0.66        NA      2.25      0.09        NA      3.00       XXX
                                                           bath.
76513..............  26                 A                 Echo exam of eye, water       0.66      0.31      0.31      0.01      0.98      0.98       XXX
                                                           bath.
76513..............  TC                 A                 Echo exam of eye, water       0.00        NA      1.94      0.08        NA      2.02       XXX
                                                           bath.
76516..............  .................  A                 Echo exam of eye.......       0.54        NA      1.35      0.07        NA      1.96       XXX
76516..............  26                 A                 Echo exam of eye.......       0.54      0.26      0.26      0.01      0.81      0.81       XXX
76516..............  TC                 A                 Echo exam of eye.......       0.00        NA      1.09      0.06        NA      1.15       XXX
76519..............  .................  A                 Echo exam of eye.......       0.54        NA      1.49      0.07        NA      2.10       XXX
76519..............  26                 A                 Echo exam of eye.......       0.54      0.26      0.26      0.01      0.81      0.81       XXX
76519..............  TC                 A                 Echo exam of eye.......       0.00        NA      1.23      0.06        NA      1.29       XXX
76529..............  .................  A                 Echo exam of eye.......       0.57        NA      2.03      0.08        NA      2.68       XXX
76529..............  26                 A                 Echo exam of eye.......       0.57      0.26      0.26      0.01      0.84      0.84       XXX

[[Page 40492]]

 
76529..............  TC                 A                 Echo exam of eye.......       0.00        NA      1.77      0.07        NA      1.84       XXX
76536..............  .................  A                 Echo exam of head and         0.56        NA      1.60      0.09        NA      2.25       XXX
                                                           neck.
76536..............  26                 A                 Echo exam of head and         0.56      0.20      0.20      0.02      0.78      0.78       XXX
                                                           neck.
76536..............  TC                 A                 Echo exam of head and         0.00        NA      1.40      0.07        NA      1.47       XXX
                                                           neck.
76604..............  .................  A                 Echo exam of chest.....       0.55        NA      1.48      0.08        NA      2.11       XXX
76604..............  26                 A                 Echo exam of chest.....       0.55      0.19      0.19      0.02      0.76      0.76       XXX
76604..............  TC                 A                 Echo exam of chest.....       0.00        NA      1.29      0.06        NA      1.35       XXX
76645..............  .................  A                 Echo exam of breast(s).       0.54        NA      1.23      0.08        NA      1.85       XXX
76645..............  26                 A                 Echo exam of breast(s).       0.54      0.19      0.19      0.03      0.76      0.76       XXX
76645..............  TC                 A                 Echo exam of breast(s).       0.00        NA      1.04      0.05        NA      1.09       XXX
76700..............  .................  A                 Echo exam of abdomen...       0.81        NA      2.22      0.13        NA      3.16       XXX
76700..............  26                 A                 Echo exam of abdomen...       0.81      0.28      0.28      0.04      1.13      1.13       XXX
76700..............  TC                 A                 Echo exam of abdomen...       0.00        NA      1.94      0.09        NA      2.03       XXX
76705..............  .................  A                 Echo exam of abdomen...       0.59        NA      1.61      0.10        NA      2.30       XXX
76705..............  26                 A                 Echo exam of abdomen...       0.59      0.21      0.21      0.03      0.83      0.83       XXX
76705..............  TC                 A                 Echo exam of abdomen...       0.00        NA      1.40      0.07        NA      1.47       XXX
76770..............  .................  A                 Echo exam abdomen back        0.74        NA      2.20      0.12        NA      3.06       XXX
                                                           wall.
76770..............  26                 A                 Echo exam abdomen back        0.74      0.26      0.26      0.03      1.03      1.03       XXX
                                                           wall.
76770..............  TC                 A                 Echo exam abdomen back        0.00        NA      1.94      0.09        NA      2.03       XXX
                                                           wall.
76775..............  .................  A                 Echo exam abdomen back        0.58        NA      1.60      0.10        NA      2.28       XXX
                                                           wall.
76775..............  26                 A                 Echo exam abdomen back        0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           wall.
76775..............  TC                 A                 Echo exam abdomen back        0.00        NA      1.40      0.07        NA      1.47       XXX
                                                           wall.
76778..............  .................  A                 Echo exam kidney              0.74        NA      2.20      0.12        NA      3.06       XXX
                                                           transplant.
76778..............  26                 A                 Echo exam kidney              0.74      0.26      0.26      0.03      1.03      1.03       XXX
                                                           transplant.
76778..............  TC                 A                 Echo exam kidney              0.00        NA      1.94      0.09        NA      2.03       XXX
                                                           transplant.
76800..............  .................  A                 Echo exam spinal canal.       1.13        NA      1.73      0.11        NA      2.97       XXX
76800..............  26                 A                 Echo exam spinal canal.       1.13      0.33      0.33      0.04      1.50      1.50       XXX
76800..............  TC                 A                 Echo exam spinal canal.       0.00        NA      1.40      0.07        NA      1.47       XXX
76805..............  .................  A                 Echo exam of pregnant         0.99        NA      2.43      0.14        NA      3.56       XXX
                                                           uterus.
76805..............  26                 A                 Echo exam of pregnant         0.99      0.36      0.36      0.04      1.39      1.39       XXX
                                                           uterus.
76805..............  TC                 A                 Echo exam of pregnant         0.00        NA      2.07      0.10        NA      2.17       XXX
                                                           uterus.
76810..............  .................  A                 Echo exam of pregnant         1.97        NA      4.87      0.25        NA      7.09       XXX
                                                           uterus.
76810..............  26                 A                 Echo exam of pregnant         1.97      0.74      0.74      0.07      2.78      2.78       XXX
                                                           uterus.
76810..............  TC                 A                 Echo exam of pregnant         0.00        NA      4.13      0.18        NA      4.31       XXX
                                                           uterus.
76815..............  .................  A                 Echo exam of pregnant         0.65        NA      1.65      0.09        NA      2.39       XXX
                                                           uterus.
76815..............  26                 A                 Echo exam of pregnant         0.65      0.25      0.25      0.02      0.92      0.92       XXX
                                                           uterus.
76815..............  TC                 A                 Echo exam of pregnant         0.00        NA      1.40      0.07        NA      1.47       XXX
                                                           uterus.
76816..............  .................  A                 Echo exam follow-up/          0.57        NA      1.32      0.07        NA      1.96       XXX
                                                           repeat.
76816..............  26                 A                 Echo exam follow-up/          0.57      0.23      0.23      0.02      0.82      0.82       XXX
                                                           repeat.
76816..............  TC                 A                 Echo exam follow-up/          0.00        NA      1.09      0.05        NA      1.14       XXX
                                                           repeat.
76818..............  .................  A                 Fetl biophys profil w/        0.86        NA      1.93      0.12        NA      2.91       XXX
                                                           stress.
76818..............  26                 A                 Fetl biophys profil w/        0.86      0.34      0.34      0.04      1.24      1.24       XXX
                                                           stress.
76818..............  TC                 A                 Fetl biophys profil w/        0.00        NA      1.59      0.08        NA      1.67       XXX
                                                           stress.
76819..............  .................  A                 Fetl biophys profil w/o       0.63        NA      1.84      0.11        NA      2.58       XXX
                                                           strs.
76819..............  26                 A                 Fetl biophys profil w/o       0.63      0.25      0.25      0.03      0.91      0.91       XXX
                                                           strs.
76819..............  TC                 A                 Fetl biophys profil w/o       0.00        NA      1.59      0.08        NA      1.67       XXX
                                                           strs.
76825..............  .................  A                 Echo exam of fetal            1.67        NA      2.57      0.15        NA      4.39       XXX
                                                           heart.
76825..............  26                 A                 Echo exam of fetal            1.67      0.63      0.63      0.06      2.36      2.36       XXX
                                                           heart.
76825..............  TC                 A                 Echo exam of fetal            0.00        NA      1.94      0.09        NA      2.03       XXX
                                                           heart.
76826..............  .................  A                 Echo exam of fetal            0.83        NA      1.00      0.07        NA      1.90       XXX
                                                           heart.
76826..............  26                 A                 Echo exam of fetal            0.83      0.30      0.30      0.03      1.16      1.16       XXX
                                                           heart.
76826..............  TC                 A                 Echo exam of fetal            0.00        NA      0.70      0.04        NA      0.74       XXX
                                                           heart.
76827..............  .................  A                 Echo exam of fetal            0.58        NA      1.91      0.12        NA      2.61       XXX
                                                           heart.
76827..............  26                 A                 Echo exam of fetal            0.58      0.22      0.22      0.02      0.82      0.82       XXX
                                                           heart.
76827..............  TC                 A                 Echo exam of fetal            0.00        NA      1.69      0.10        NA      1.79       XXX
                                                           heart.
76828..............  .................  A                 Echo exam of fetal            0.56        NA      1.32      0.09        NA      1.97       XXX
                                                           heart.
76828..............  26                 A                 Echo exam of fetal            0.56      0.23      0.23      0.02      0.81      0.81       XXX
                                                           heart.
76828..............  TC                 A                 Echo exam of fetal            0.00        NA      1.09      0.07        NA      1.16       XXX
                                                           heart.
76830..............  .................  A                 Echo exam, transvaginal       0.69        NA      1.73      0.11        NA      2.53       XXX
76830..............  26                 A                 Echo exam, transvaginal       0.69      0.24      0.24      0.03      0.96      0.96       XXX
76830..............  TC                 A                 Echo exam, transvaginal       0.00        NA      1.49      0.08        NA      1.57       XXX
76831..............  .................  A                 Echo exam, uterus......       0.72        NA      1.76      0.10        NA      2.58       XXX
76831..............  26                 A                 Echo exam, uterus......       0.72      0.27      0.27      0.02      1.01      1.01       XXX
76831..............  TC                 A                 Echo exam, uterus......       0.00        NA      1.49      0.08        NA      1.57       XXX
76856..............  .................  A                 Echo exam of pelvis....       0.69        NA      1.73      0.11        NA      2.53       XXX
76856..............  26                 A                 Echo exam of pelvis....       0.69      0.24      0.24      0.03      0.96      0.96       XXX
76856..............  TC                 A                 Echo exam of pelvis....       0.00        NA      1.49      0.08        NA      1.57       XXX
76857..............  .................  A                 Echo exam of pelvis....       0.38        NA      1.17      0.07        NA      1.62       XXX
76857..............  26                 A                 Echo exam of pelvis....       0.38      0.13      0.13      0.02      0.53      0.53       XXX
76857..............  TC                 A                 Echo exam of pelvis....       0.00        NA      1.04      0.05        NA      1.09       XXX
76870..............  .................  A                 Echo exam of scrotum...       0.64        NA      1.71      0.11        NA      2.46       XXX
76870..............  26                 A                 Echo exam of scrotum...       0.64      0.22      0.22      0.03      0.89      0.89       XXX
76870..............  TC                 A                 Echo exam of scrotum...       0.00        NA      1.49      0.08        NA      1.57       XXX
76872..............  .................  A                 Echo exam, transrectal.       0.69        NA      1.73      0.12        NA      2.54       XXX

[[Page 40493]]

 
76872..............  26                 A                 Echo exam, transrectal.       0.69      0.24      0.24      0.04      0.97      0.97       XXX
76872..............  TC                 A                 Echo exam, transrectal.       0.00        NA      1.49      0.08        NA      1.57       XXX
76873..............  .................  A                 Echograp trans r, pros        1.55        NA      2.60      0.21        NA      4.36       XXX
                                                           study.
76873..............  26                 A                 Echograp trans r, pros        1.55      0.53      0.53      0.08      2.16      2.16       XXX
                                                           study.
76873..............  TC                 A                 Echograp trans r, pros        0.00        NA      2.07      0.13        NA      2.20       XXX
                                                           study.
76880..............  .................  A                 Echo exam of extremity.       0.59        NA      1.61      0.10        NA      2.30       XXX
76880..............  26                 A                 Echo exam of extremity.       0.59      0.21      0.21      0.03      0.83      0.83       XXX
76880..............  TC                 A                 Echo exam of extremity.       0.00        NA      1.40      0.07        NA      1.47       XXX
76885..............  .................  A                 Echo exam, infant hips.       0.74        NA      1.75      0.11        NA      2.60       XXX
76885..............  26                 A                 Echo exam, infant hips.       0.74      0.26      0.26      0.03      1.03      1.03       XXX
76885..............  TC                 A                 Echo exam, infant hips.       0.00        NA      1.49      0.08        NA      1.57       XXX
76886..............  .................  A                 Echo exam, infant hips.       0.62        NA      1.61      0.10        NA      2.33       XXX
76886..............  26                 A                 Echo exam, infant hips.       0.62      0.21      0.21      0.03      0.86      0.86       XXX
76886..............  TC                 A                 Echo exam, infant hips.       0.00        NA      1.40      0.07        NA      1.47       XXX
76930..............  .................  A                 Echo guide,                   0.67        NA      1.76      0.10        NA      2.53       XXX
                                                           cardiocentesis.
76930..............  26                 A                 Echo guide,                   0.67      0.27      0.27      0.02      0.96      0.96       XXX
                                                           cardiocentesis.
76930..............  TC                 A                 Echo guide,                   0.00        NA      1.49      0.08        NA      1.57       XXX
                                                           cardiocentesis.
76932..............  .................  A                 Echo guide for heart          0.67        NA      1.76      0.10        NA      2.53       XXX
                                                           biopsy.
76932..............  26                 A                 Echo guide for heart          0.67      0.27      0.27      0.02      0.96      0.96       XXX
                                                           biopsy.
76932..............  TC                 A                 Echo guide for heart          0.00        NA      1.49      0.08        NA      1.57       XXX
                                                           biopsy.
76936..............  .................  A                 Echo guide for artery         1.99        NA      6.90      0.39        NA      9.28       XXX
                                                           repair.
76936..............  26                 A                 Echo guide for artery         1.99      0.70      0.70      0.11      2.80      2.80       XXX
                                                           repair.
76936..............  TC                 A                 Echo guide for artery         0.00        NA      6.20      0.28        NA      6.48       XXX
                                                           repair.
76941..............  .................  A                 Echo guide for                1.34        NA      2.00      0.13        NA      3.47       XXX
                                                           transfusion.
76941..............  26                 A                 Echo guide for                1.34      0.50      0.50      0.06      1.90      1.90       XXX
                                                           transfusion.
76941..............  TC                 A                 Echo guide for                0.00        NA      1.50      0.07        NA      1.57       XXX
                                                           transfusion.
76942..............  .................  A                 Echo guide for biopsy..       0.67        NA      1.72      0.12        NA      2.51       XXX
76942..............  26                 A                 Echo guide for biopsy..       0.67      0.23      0.23      0.04      0.94      0.94       XXX
76942..............  TC                 A                 Echo guide for biopsy..       0.00        NA      1.49      0.08        NA      1.57       XXX
76945..............  .................  A                 Echo guide, villus            0.67        NA      1.74      0.10        NA      2.51       XXX
                                                           sampling.
76945..............  26                 A                 Echo guide, villus            0.67      0.24      0.24      0.03      0.94      0.94       XXX
                                                           sampling.
76945..............  TC                 A                 Echo guide, villus            0.00        NA      1.50      0.07        NA      1.57       XXX
                                                           sampling.
76946..............  .................  A                 Echo guide for                0.38        NA      1.64      0.09        NA      2.11       XXX
                                                           amniocentesis.
76946..............  26                 A                 Echo guide for                0.38      0.15      0.15      0.01      0.54      0.54       XXX
                                                           amniocentesis.
76946..............  TC                 A                 Echo guide for                0.00        NA      1.49      0.08        NA      1.57       XXX
                                                           amniocentesis.
76948..............  .................  A                 Echo guide, ova               0.38        NA      1.63      0.10        NA      2.11       XXX
                                                           aspiration.
76948..............  26                 A                 Echo guide, ova               0.38      0.14      0.14      0.02      0.54      0.54       XXX
                                                           aspiration.
76948..............  TC                 A                 Echo guide, ova               0.00        NA      1.49      0.08        NA      1.57       XXX
                                                           aspiration.
76950..............  .................  A                 Echo guidance                 0.58        NA      1.49      0.09        NA      2.16       XXX
                                                           radiotherapy.
76950..............  26                 A                 Echo guidance                 0.58      0.20      0.20      0.03      0.81      0.81       XXX
                                                           radiotherapy.
76950..............  TC                 A                 Echo guidance                 0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           radiotherapy.
76965..............  .................  A                 Echo guidance                 1.34        NA      5.94      0.31        NA      7.59       XXX
                                                           radiotherapy.
76965..............  26                 A                 Echo guidance                 1.34      0.46      0.46      0.07      1.87      1.87       XXX
                                                           radiotherapy.
76965..............  TC                 A                 Echo guidance                 0.00        NA      5.48      0.24        NA      5.72       XXX
                                                           radiotherapy.
76970..............  .................  A                 Ultrasound exam follow-       0.40        NA      1.18      0.07        NA      1.65       XXX
                                                           up.
76970..............  26                 A                 Ultrasound exam follow-       0.40      0.14      0.14      0.02      0.56      0.56       XXX
                                                           up.
76970..............  TC                 A                 Ultrasound exam follow-       0.00        NA      1.04      0.05        NA      1.09       XXX
                                                           up.
76975..............  .................  A                 GI endoscopic                 0.81        NA      1.78      0.11        NA      2.70       XXX
                                                           ultrasound.
76975..............  26                 A                 GI endoscopic                 0.81      0.29      0.29      0.03      1.13      1.13       XXX
                                                           ultrasound.
76975..............  TC                 A                 GI endoscopic                 0.00        NA      1.49      0.08        NA      1.57       XXX
                                                           ultrasound.
76977..............  .................  A                 Us bone density measure       0.05        NA      1.42      0.05        NA      1.52       XXX
76977..............  26                 A                 Us bone density measure       0.05      0.02      0.02      0.01      0.08      0.08       XXX
76977..............  TC                 A                 Us bone density measure       0.00        NA      1.40      0.04        NA      1.44       XXX
76986..............  .................  A                 Ultrasound guide              1.20        NA      3.00      0.19        NA      4.39       XXX
                                                           intraoper.
76986..............  26                 A                 Ultrasound guide              1.20      0.42      0.42      0.07      1.69      1.69       XXX
                                                           intraoper.
76986..............  TC                 A                 Ultrasound guide              0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           intraoper.
76999..............  .................  C                 Echo examination              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
76999..............  26                 C                 Echo examination              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
76999..............  TC                 C                 Echo examination              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
77261..............  .................  A                 Radiation therapy             1.39      0.56      0.56      0.06      2.01      2.01       XXX
                                                           planning.
77262..............  .................  A                 Radiation therapy             2.11      0.83      0.83      0.09      3.03      3.03       XXX
                                                           planning.
77263..............  .................  A                 Radiation therapy             3.14      1.24      1.24      0.13      4.51      4.51       XXX
                                                           planning.
77280..............  .................  A                 Set radiation therapy         0.70        NA      3.67      0.18        NA      4.55       XXX
                                                           field.
77280..............  26                 A                 Set radiation therapy         0.70      0.25      0.25      0.03      0.98      0.98       XXX
                                                           field.
77280..............  TC                 A                 Set radiation therapy         0.00        NA      3.42      0.15        NA      3.57       XXX
                                                           field.
77285..............  .................  A                 Set radiation therapy         1.05        NA      5.86      0.29        NA      7.20       XXX
                                                           field.
77285..............  26                 A                 Set radiation therapy         1.05      0.38      0.38      0.04      1.47      1.47       XXX
                                                           field.
77285..............  TC                 A                 Set radiation therapy         0.00        NA      5.48      0.25        NA      5.73       XXX
                                                           field.
77290..............  .................  A                 Set radiation therapy         1.56        NA      6.97      0.35        NA      8.88       XXX
                                                           field.
77290..............  26                 A                 Set radiation therapy         1.56      0.56      0.56      0.06      2.18      2.18       XXX
                                                           field.
77290..............  TC                 A                 Set radiation therapy         0.00        NA      6.41      0.29        NA      6.70       XXX
                                                           field.
77295..............  .................  A                 Set radiation therapy         4.57        NA     29.15      1.41        NA     35.13       XXX
                                                           field.
77295..............  26                 A                 Set radiation therapy         4.57      1.64      1.64      0.18      6.39      6.39       XXX
                                                           field.
77295..............  TC                 A                 Set radiation therapy         0.00        NA     27.51      1.23        NA     28.74       XXX
                                                           field.

[[Page 40494]]

 
77299..............  .................  C                 Radiation therapy             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           planning.
77299..............  26                 C                 Radiation therapy             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           planning.
77299..............  TC                 C                 Radiation therapy             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           planning.
77300..............  .................  A                 Radiation therapy dose        0.62        NA      1.54      0.09        NA      2.25       XXX
                                                           plan.
77300..............  26                 A                 Radiation therapy dose        0.62      0.22      0.22      0.03      0.87      0.87       XXX
                                                           plan.
77300..............  TC                 A                 Radiation therapy dose        0.00        NA      1.32      0.06        NA      1.38       XXX
                                                           plan.
77305..............  .................  A                 Radiation therapy dose        0.70        NA      2.08      0.12        NA      2.90       XXX
                                                           plan.
77305..............  26                 A                 Radiation therapy dose        0.70      0.25      0.25      0.03      0.98      0.98       XXX
                                                           plan.
77305..............  TC                 A                 Radiation therapy dose        0.00        NA      1.83      0.09        NA      1.92       XXX
                                                           plan.
77310..............  .................  A                 Radiation therapy dose        1.05        NA      2.67      0.15        NA      3.87       XXX
                                                           plan.
77310..............  26                 A                 Radiation therapy dose        1.05      0.38      0.38      0.04      1.47      1.47       XXX
                                                           plan.
77310..............  TC                 A                 Radiation therapy dose        0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           plan.
77315..............  .................  A                 Radiation therapy dose        1.56        NA      3.18      0.18        NA      4.92       XXX
                                                           plan.
77315..............  26                 A                 Radiation therapy dose        1.56      0.56      0.56      0.06      2.18      2.18       XXX
                                                           plan.
77315..............  TC                 A                 Radiation therapy dose        0.00        NA      2.62      0.12        NA      2.74       XXX
                                                           plan.
77321..............  .................  A                 Radiation therapy port        0.95        NA      4.32      0.21        NA      5.48       XXX
                                                           plan.
77321..............  26                 A                 Radiation therapy port        0.95      0.34      0.34      0.04      1.33      1.33       XXX
                                                           plan.
77321..............  TC                 A                 Radiation therapy port        0.00        NA      3.98      0.17        NA      4.15       XXX
                                                           plan.
77326..............  .................  A                 Radiation therapy dose        0.93        NA      2.65      0.15        NA      3.73       XXX
                                                           plan.
77326..............  26                 A                 Radiation therapy dose        0.93      0.33      0.33      0.04      1.30      1.30       XXX
                                                           plan.
77326..............  TC                 A                 Radiation therapy dose        0.00        NA      2.32      0.11        NA      2.43       XXX
                                                           plan.
77327..............  .................  A                 Radiation therapy dose        1.39        NA      3.92      0.21        NA      5.52       XXX
                                                           plan.
77327..............  26                 A                 Radiation therapy dose        1.39      0.50      0.50      0.06      1.95      1.95       XXX
                                                           plan.
77327..............  TC                 A                 Radiation therapy dose        0.00        NA      3.42      0.15        NA      3.57       XXX
                                                           plan.
77328..............  .................  A                 Radiation therapy dose        2.09        NA      5.63      0.30        NA      8.02       XXX
                                                           plan.
77328..............  26                 A                 Radiation therapy dose        2.09      0.75      0.75      0.09      2.93      2.93       XXX
                                                           plan.
77328..............  TC                 A                 Radiation therapy dose        0.00        NA      4.88      0.21        NA      5.09       XXX
                                                           plan.
77331..............  .................  A                 Special radiation             0.87        NA      0.81      0.06        NA      1.74       XXX
                                                           dosimetry.
77331..............  26                 A                 Special radiation             0.87      0.31      0.31      0.04      1.22      1.22       XXX
                                                           dosimetry.
77331..............  TC                 A                 Special radiation             0.00        NA      0.50      0.02        NA      0.52       XXX
                                                           dosimetry.
77332..............  .................  A                 Radiation treatment           0.54        NA      1.51      0.08        NA      2.13       XXX
                                                           aid(s).
77332..............  26                 A                 Radiation treatment           0.54      0.19      0.19      0.02      0.75      0.75       XXX
                                                           aid(s).
77332..............  TC                 A                 Radiation treatment           0.00        NA      1.32      0.06        NA      1.38       XXX
                                                           aid(s).
77333..............  .................  A                 Radiation treatment           0.84        NA      2.17      0.13        NA      3.14       XXX
                                                           aid(s).
77333..............  26                 A                 Radiation treatment           0.84      0.30      0.30      0.04      1.18      1.18       XXX
                                                           aid(s).
77333..............  TC                 A                 Radiation treatment           0.00        NA      1.87      0.09        NA      1.96       XXX
                                                           aid(s).
77334..............  .................  A                 Radiation treatment           1.24        NA      3.64      0.19        NA      5.07       XXX
                                                           aid(s).
77334..............  26                 A                 Radiation treatment           1.24      0.44      0.44      0.05      1.73      1.73       XXX
                                                           aid(s).
77334..............  TC                 A                 Radiation treatment           0.00        NA      3.20      0.14        NA      3.34       XXX
                                                           aid(s).
77336..............  .................  A                 Radiation physics             0.00        NA      2.93      0.13        NA      3.06       XXX
                                                           consult.
77370..............  .................  A                 Radiation physics             0.00        NA      3.44      0.15        NA      3.59       XXX
                                                           consult.
77399..............  .................  C                 External radiation            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           dosimetry.
77399..............  26                 C                 External radiation            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dosimetry.
77399..............  TC                 C                 External radiation            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           dosimetry.
77401..............  .................  A                 Radiation treatment           0.00        NA      1.74      0.09        NA      1.83       XXX
                                                           delivery.
77402..............  .................  A                 Radiation treatment           0.00        NA      1.74      0.09        NA      1.83       XXX
                                                           delivery.
77403..............  .................  A                 Radiation treatment           0.00        NA      1.74      0.09        NA      1.83       XXX
                                                           delivery.
77404..............  .................  A                 Radiation treatment           0.00        NA      1.74      0.09        NA      1.83       XXX
                                                           delivery.
77406..............  .................  A                 Radiation treatment           0.00        NA      1.74      0.09        NA      1.83       XXX
                                                           delivery.
77407..............  .................  A                 Radiation treatment           0.00        NA      2.06      0.10        NA      2.16       XXX
                                                           delivery.
77408..............  .................  A                 Radiation treatment           0.00        NA      2.06      0.10        NA      2.16       XXX
                                                           delivery.
77409..............  .................  A                 Radiation treatment           0.00        NA      2.06      0.10        NA      2.16       XXX
                                                           delivery.
77411..............  .................  A                 Radiation treatment           0.00        NA      2.06      0.10        NA      2.16       XXX
                                                           delivery.
77412..............  .................  A                 Radiation treatment           0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           delivery.
77413..............  .................  A                 Radiation treatment           0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           delivery.
77414..............  .................  A                 Radiation treatment           0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           delivery.
77416..............  .................  A                 Radiation treatment           0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           delivery.
77417..............  .................  A                 Radiology port film(s).       0.00        NA      0.58      0.03        NA      0.61       XXX
77427..............  .................  A                 Radiation tx                  3.31      1.19      1.19      0.14      4.64      4.64       XXX
                                                           management, x5.
77431..............  .................  A                 Radiation therapy             1.81      0.75      0.75      0.07      2.63      2.63       XXX
                                                           management.
77432..............  .................  A                 Stereotactic radiation        7.93      3.26      3.26      0.33     11.52     11.52       XXX
                                                           trmt.
77470..............  .................  A                 Special radiation             2.09        NA     11.73      0.58        NA     14.40       XXX
                                                           treatment.
77470..............  26                 A                 Special radiation             2.09      0.75      0.75      0.09      2.93      2.93       XXX
                                                           treatment.
77470..............  TC                 A                 Special radiation             0.00        NA     10.98      0.49        NA     11.47       XXX
                                                           treatment.
77499..............  .................  C                 Radiation therapy             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           management.
77499..............  26                 C                 Radiation therapy             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           management.
77499..............  TC                 C                 Radiation therapy             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           management.
77520..............  .................  C                 Proton trmt, simple w/o       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           comp.
77522..............  .................  C                 Proton trmt, simple w/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           comp.
77523..............  .................  C                 Proton trmt,                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           intermediate.
77525..............  .................  C                 Proton treatment,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           complex.
77600..............  .................  R                 Hyperthermia treatment.       1.56        NA      3.55      0.21        NA      5.32       XXX
77600..............  26                 R                 Hyperthermia treatment.       1.56      0.55      0.55      0.08      2.19      2.19       XXX
77600..............  TC                 R                 Hyperthermia treatment.       0.00        NA      3.00      0.13        NA      3.13       XXX

[[Page 40495]]

 
77605..............  .................  R                 Hyperthermia treatment.       2.09        NA      4.75      0.31        NA      7.15       XXX
77605..............  26                 R                 Hyperthermia treatment.       2.09      0.75      0.75      0.13      2.97      2.97       XXX
77605..............  TC                 R                 Hyperthermia treatment.       0.00        NA      4.00      0.18        NA      4.18       XXX
77610..............  .................  R                 Hyperthermia treatment.       1.56        NA      3.55      0.20        NA      5.31       XXX
77610..............  26                 R                 Hyperthermia treatment.       1.56      0.55      0.55      0.07      2.18      2.18       XXX
77610..............  TC                 R                 Hyperthermia treatment.       0.00        NA      3.00      0.13        NA      3.13       XXX
77615..............  .................  R                 Hyperthermia treatment.       2.09        NA      4.75      0.27        NA      7.11       XXX
77615..............  26                 R                 Hyperthermia treatment.       2.09      0.75      0.75      0.09      2.93      2.93       XXX
77615..............  TC                 R                 Hyperthermia treatment.       0.00        NA      4.00      0.18        NA      4.18       XXX
77620..............  .................  R                 Hyperthermia treatment.       1.56        NA      3.57      0.19        NA      5.32       XXX
77620..............  26                 R                 Hyperthermia treatment.       1.56      0.57      0.57      0.06      2.19      2.19       XXX
77620..............  TC                 R                 Hyperthermia treatment.       0.00        NA      3.00      0.13        NA      3.13       XXX
77750..............  .................  A                 Infuse radioactive            4.91        NA      3.08      0.23        NA      8.22       090
                                                           materials.
77750..............  26                 A                 Infuse radioactive            4.91      1.77      1.77      0.17      6.85      6.85       090
                                                           materials.
77750..............  TC                 A                 Infuse radioactive            0.00        NA      1.31      0.06        NA      1.37       090
                                                           materials.
77761..............  .................  A                 Apply intrcav radiat          3.81        NA      3.75      0.28        NA      7.84       090
                                                           simple.
77761..............  26                 A                 Apply intrcav radiat          3.81      1.28      1.28      0.16      5.25      5.25       090
                                                           simple.
77761..............  TC                 A                 Apply intrcav radiat          0.00        NA      2.47      0.12        NA      2.59       090
                                                           simple.
77762..............  .................  A                 Apply intrcav radiat          5.72        NA      5.65      0.38        NA     11.75       090
                                                           interm.
77762..............  26                 A                 Apply intrcav radiat          5.72      2.10      2.10      0.22      8.04      8.04       090
                                                           interm.
77762..............  TC                 A                 Apply intrcav radiat          0.00        NA      3.55      0.16        NA      3.71       090
                                                           interm.
77763..............  .................  A                 Apply intrcav radiat          8.57        NA      7.52      0.53        NA     16.62       090
                                                           compl.
77763..............  26                 A                 Apply intrcav radiat          8.57      3.10      3.10      0.34     12.01     12.01       090
                                                           compl.
77763..............  TC                 A                 Apply intrcav radiat          0.00        NA      4.42      0.19        NA      4.61       090
                                                           compl.
77776..............  .................  A                 Apply interstit radiat        4.66        NA      3.28      0.35        NA      8.29       090
                                                           simpl.
77776..............  26                 A                 Apply interstit radiat        4.66      1.14      1.14      0.24      6.04      6.04       090
                                                           simpl.
77776..............  TC                 A                 Apply interstit radiat        0.00        NA      2.14      0.11        NA      2.25       090
                                                           simpl.
77777..............  .................  A                 Apply interstit radiat        7.48        NA      6.85      0.50        NA     14.83       090
                                                           inter.
77777..............  26                 A                 Apply interstit radiat        7.48      2.68      2.68      0.32     10.48     10.48       090
                                                           inter.
77777..............  TC                 A                 Apply interstit radiat        0.00        NA      4.17      0.18        NA      4.35       090
                                                           inter.
77778..............  .................  A                 Apply iterstit radiat        11.19        NA      9.03      0.69        NA     20.91       090
                                                           compl.
77778..............  26                 A                 Apply iterstit radiat        11.19      3.97      3.97      0.47     15.63     15.63       090
                                                           compl.
77778..............  TC                 A                 Apply iterstit radiat         0.00        NA      5.06      0.22        NA      5.28       090
                                                           compl.
77781..............  .................  A                 High intensity                1.66        NA     20.59      0.95        NA     23.20       090
                                                           brachytherapy.
77781..............  26                 A                 High intensity                1.66      0.60      0.60      0.07      2.33      2.33       090
                                                           brachytherapy.
77781..............  TC                 A                 High intensity                0.00        NA     19.99      0.88        NA     20.87       090
                                                           brachytherapy.
77782..............  .................  A                 High intensity                2.49        NA     20.89      0.98        NA     24.36       090
                                                           brachytherapy.
77782..............  26                 A                 High intensity                2.49      0.90      0.90      0.10      3.49      3.49       090
                                                           brachytherapy.
77782..............  TC                 A                 High intensity                0.00        NA     19.99      0.88        NA     20.87       090
                                                           brachytherapy.
77783..............  .................  A                 High intensity                3.73        NA     21.32      1.03        NA     26.08       090
                                                           brachytherapy.
77783..............  26                 A                 High intensity                3.73      1.33      1.33      0.15      5.21      5.21       090
                                                           brachytherapy.
77783..............  TC                 A                 High intensity                0.00        NA     19.99      0.88        NA     20.87       090
                                                           brachytherapy.
77784..............  .................  A                 High intensity                5.61        NA     22.00      1.10        NA     28.71       090
                                                           brachytherapy.
77784..............  26                 A                 High intensity                5.61      2.01      2.01      0.22      7.84      7.84       090
                                                           brachytherapy.
77784..............  TC                 A                 High intensity                0.00        NA     19.99      0.88        NA     20.87       090
                                                           brachytherapy.
77789..............  .................  A                 Apply surface radiation       1.12        NA      0.86      0.05        NA      2.03       090
77789..............  26                 A                 Apply surface radiation       1.12      0.41      0.41      0.03      1.56      1.56       090
77789..............  TC                 A                 Apply surface radiation       0.00        NA      0.45      0.02        NA      0.47       090
77790..............  .................  A                 Radiation handling.....       1.05        NA      0.88      0.06        NA      1.99       XXX
77790..............  26                 A                 Radiation handling.....       1.05      0.38      0.38      0.04      1.47      1.47       XXX
77790..............  TC                 A                 Radiation handling.....       0.00        NA      0.50      0.02        NA      0.52       XXX
77799..............  .................  C                 Radium/radioisotope           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
77799..............  26                 C                 Radium/radioisotope           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           therapy.
77799..............  TC                 C                 Radium/radioisotope           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
78000..............  .................  A                 Thyroid, single uptake.       0.19        NA      1.02      0.06        NA      1.27       XXX
78000..............  26                 A                 Thyroid, single uptake.       0.19      0.07      0.07      0.01      0.27      0.27       XXX
78000..............  TC                 A                 Thyroid, single uptake.       0.00        NA      0.95      0.05        NA      1.00       XXX
78001..............  .................  A                 Thyroid, multiple             0.26        NA      1.38      0.07        NA      1.71       XXX
                                                           uptakes.
78001..............  26                 A                 Thyroid, multiple             0.26      0.09      0.09      0.01      0.36      0.36       XXX
                                                           uptakes.
78001..............  TC                 A                 Thyroid, multiple             0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           uptakes.
78003..............  .................  A                 Thyroid suppress/stimul       0.33        NA      1.07      0.06        NA      1.46       XXX
78003..............  26                 A                 Thyroid suppress/stimul       0.33      0.12      0.12      0.01      0.46      0.46       XXX
78003..............  TC                 A                 Thyroid suppress/stimul       0.00        NA      0.95      0.05        NA      1.00       XXX
78006..............  .................  A                 Thyroid imaging with          0.49        NA      2.51      0.13        NA      3.13       XXX
                                                           uptake.
78006..............  26                 A                 Thyroid imaging with          0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           uptake.
78006..............  TC                 A                 Thyroid imaging with          0.00        NA      2.34      0.11        NA      2.45       XXX
                                                           uptake.
78007..............  .................  A                 Thyroid image, mult           0.50        NA      2.71      0.14        NA      3.35       XXX
                                                           uptakes.
78007..............  26                 A                 Thyroid image, mult           0.50      0.18      0.18      0.02      0.70      0.70       XXX
                                                           uptakes.
78007..............  TC                 A                 Thyroid image, mult           0.00        NA      2.53      0.12        NA      2.65       XXX
                                                           uptakes.
78010..............  .................  A                 Thyroid imaging........       0.39        NA      1.93      0.11        NA      2.43       XXX
78010..............  26                 A                 Thyroid imaging........       0.39      0.14      0.14      0.02      0.55      0.55       XXX
78010..............  TC                 A                 Thyroid imaging........       0.00        NA      1.79      0.09        NA      1.88       XXX
78011..............  .................  A                 Thyroid imaging with          0.45        NA      2.53      0.13        NA      3.11       XXX
                                                           flow.
78011..............  26                 A                 Thyroid imaging with          0.45      0.16      0.16      0.02      0.63      0.63       XXX
                                                           flow.

[[Page 40496]]

 
78011..............  TC                 A                 Thyroid imaging with          0.00        NA      2.37      0.11        NA      2.48       XXX
                                                           flow.
78015..............  .................  A                 Thyroid met imaging....       0.67        NA      2.77      0.15        NA      3.59       XXX
78015..............  26                 A                 Thyroid met imaging....       0.67      0.24      0.24      0.03      0.94      0.94       XXX
78015..............  TC                 A                 Thyroid met imaging....       0.00        NA      2.53      0.12        NA      2.65       XXX
78016..............  .................  A                 Thyroid met imaging/          0.82        NA      3.73      0.18        NA      4.73       XXX
                                                           studies.
78016..............  26                 A                 Thyroid met imaging/          0.82      0.30      0.30      0.03      1.15      1.15       XXX
                                                           studies.
78016..............  TC                 A                 Thyroid met imaging/          0.00        NA      3.43      0.15        NA      3.58       XXX
                                                           studies.
78018..............  .................  A                 Thyroid met imaging,          0.86        NA      5.66      0.27        NA      6.79       XXX
                                                           body.
78018..............  26                 A                 Thyroid met imaging,          0.86      0.32      0.32      0.03      1.21      1.21       XXX
                                                           body.
78018..............  TC                 A                 Thyroid met imaging,          0.00        NA      5.34      0.24        NA      5.58       XXX
                                                           body.
78020..............  .................  A                 Thyroid met uptake.....       0.60        NA      1.52      0.14        NA      2.26       ZZZ
78020..............  26                 A                 Thyroid met uptake.....       0.60      0.23      0.23      0.02      0.85      0.85       ZZZ
78020..............  TC                 A                 Thyroid met uptake.....       0.00        NA      1.29      0.12        NA      1.41       ZZZ
78070..............  .................  A                 Parathyroid nuclear           0.82        NA      2.09      0.12        NA      3.03       XXX
                                                           imaging.
78070..............  26                 A                 Parathyroid nuclear           0.82      0.30      0.30      0.03      1.15      1.15       XXX
                                                           imaging.
78070..............  TC                 A                 Parathyroid nuclear           0.00        NA      1.79      0.09        NA      1.88       XXX
                                                           imaging.
78075..............  .................  A                 Adrenal nuclear imaging       0.74        NA      5.62      0.27        NA      6.63       XXX
78075..............  26                 A                 Adrenal nuclear imaging       0.74      0.28      0.28      0.03      1.05      1.05       XXX
78075..............  TC                 A                 Adrenal nuclear imaging       0.00        NA      5.34      0.24        NA      5.58       XXX
78099..............  .................  C                 Endocrine nuclear             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
78099..............  26                 C                 Endocrine nuclear             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
78099..............  TC                 C                 Endocrine nuclear             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
78102..............  .................  A                 Bone marrow imaging,          0.55        NA      2.22      0.12        NA      2.89       XXX
                                                           ltd.
78102..............  26                 A                 Bone marrow imaging,          0.55      0.21      0.21      0.02      0.78      0.78       XXX
                                                           ltd.
78102..............  TC                 A                 Bone marrow imaging,          0.00        NA      2.01      0.10        NA      2.11       XXX
                                                           ltd.
78103..............  .................  A                 Bone marrow imaging,          0.75        NA      3.40      0.17        NA      4.32       XXX
                                                           mult.
78103..............  26                 A                 Bone marrow imaging,          0.75      0.28      0.28      0.03      1.06      1.06       XXX
                                                           mult.
78103..............  TC                 A                 Bone marrow imaging,          0.00        NA      3.12      0.14        NA      3.26       XXX
                                                           mult.
78104..............  .................  A                 Bone marrow imaging,          0.80        NA      4.30      0.21        NA      5.31       XXX
                                                           body.
78104..............  26                 A                 Bone marrow imaging,          0.80      0.29      0.29      0.03      1.12      1.12       XXX
                                                           body.
78104..............  TC                 A                 Bone marrow imaging,          0.00        NA      4.01      0.18        NA      4.19       XXX
                                                           body.
78110..............  .................  A                 Plasma volume, single..       0.19        NA      1.00      0.06        NA      1.25       XXX
78110..............  26                 A                 Plasma volume, single..       0.19      0.07      0.07      0.01      0.27      0.27       XXX
78110..............  TC                 A                 Plasma volume, single..       0.00        NA      0.93      0.05        NA      0.98       XXX
78111..............  .................  A                 Plasma volume, multiple       0.22        NA      2.61      0.13        NA      2.96       XXX
78111..............  26                 A                 Plasma volume, multiple       0.22      0.08      0.08      0.01      0.31      0.31       XXX
78111..............  TC                 A                 Plasma volume, multiple       0.00        NA      2.53      0.12        NA      2.65       XXX
78120..............  .................  A                 Red cell mass, single..       0.23        NA      1.79      0.10        NA      2.12       XXX
78120..............  26                 A                 Red cell mass, single..       0.23      0.09      0.09      0.01      0.33      0.33       XXX
78120..............  TC                 A                 Red cell mass, single..       0.00        NA      1.70      0.09        NA      1.79       XXX
78121..............  .................  A                 Red cell mass, multiple       0.32        NA      2.99      0.13        NA      3.44       XXX
78121..............  26                 A                 Red cell mass, multiple       0.32      0.12      0.12      0.01      0.45      0.45       XXX
78121..............  TC                 A                 Red cell mass, multiple       0.00        NA      2.87      0.12        NA      2.99       XXX
78122..............  .................  A                 Blood volume...........       0.45        NA      4.70      0.22        NA      5.37       XXX
78122..............  26                 A                 Blood volume...........       0.45      0.17      0.17      0.02      0.64      0.64       XXX
78122..............  TC                 A                 Blood volume...........       0.00        NA      4.53      0.20        NA      4.73       XXX
78130..............  .................  A                 Red cell survival study       0.61        NA      3.04      0.15        NA      3.80       XXX
78130..............  26                 A                 Red cell survival study       0.61      0.23      0.23      0.03      0.87      0.87       XXX
78130..............  TC                 A                 Red cell survival study       0.00        NA      2.81      0.12        NA      2.93       XXX
78135..............  .................  A                 Red cell survival             0.64        NA      5.03      0.24        NA      5.91       XXX
                                                           kinetics.
78135..............  26                 A                 Red cell survival             0.64      0.23      0.23      0.03      0.90      0.90       XXX
                                                           kinetics.
78135..............  TC                 A                 Red cell survival             0.00        NA      4.80      0.21        NA      5.01       XXX
                                                           kinetics.
78140..............  .................  A                 Red cell sequestration.       0.61        NA      4.09      0.20        NA      4.90       XXX
78140..............  26                 A                 Red cell sequestration.       0.61      0.21      0.21      0.03      0.85      0.85       XXX
78140..............  TC                 A                 Red cell sequestration.       0.00        NA      3.88      0.17        NA      4.05       XXX
78160..............  .................  A                 Plasma iron turnover...       0.33        NA      3.75      0.19        NA      4.27       XXX
78160..............  26                 A                 Plasma iron turnover...       0.33      0.14      0.14      0.03      0.50      0.50       XXX
78160..............  TC                 A                 Plasma iron turnover...       0.00        NA      3.61      0.16        NA      3.77       XXX
78162..............  .................  A                 Iron absorption exam...       0.45        NA      3.33      0.15        NA      3.93       XXX
78162..............  26                 A                 Iron absorption exam...       0.45      0.18      0.18      0.01      0.64      0.64       XXX
78162..............  TC                 A                 Iron absorption exam...       0.00        NA      3.15      0.14        NA      3.29       XXX
78170..............  .................  A                 Red cell iron                 0.41        NA      5.37      0.27        NA      6.05       XXX
                                                           utilization.
78170..............  26                 A                 Red cell iron                 0.41      0.14      0.14      0.04      0.59      0.59       XXX
                                                           utilization.
78170..............  TC                 A                 Red cell iron                 0.00        NA      5.23      0.23        NA      5.46       XXX
                                                           utilization.
78172..............  .................  C                 Total body iron               0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           estimation.
78172..............  26                 A                 Total body iron               0.53      0.19      0.19      0.02      0.74      0.74       XXX
                                                           estimation.
78172..............  TC                 C                 Total body iron               0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           estimation.
78185..............  .................  A                 Spleen imaging.........       0.40        NA      2.46      0.13        NA      2.99       XXX
78185..............  26                 A                 Spleen imaging.........       0.40      0.14      0.14      0.02      0.56      0.56       XXX
78185..............  TC                 A                 Spleen imaging.........       0.00        NA      2.32      0.11        NA      2.43       XXX
78190..............  .................  A                 Platelet survival,            1.09        NA      6.02      0.31        NA      7.42       XXX
                                                           kinetics.
78190..............  26                 A                 Platelet survival,            1.09      0.39      0.39      0.06      1.54      1.54       XXX
                                                           kinetics.
78190..............  TC                 A                 Platelet survival,            0.00        NA      5.63      0.25        NA      5.88       XXX
                                                           kinetics.
78191..............  .................  A                 Platelet survival......       0.61        NA      7.45      0.34        NA      8.40       XXX

[[Page 40497]]

 
78191..............  26                 A                 Platelet survival......       0.61      0.22      0.22      0.03      0.86      0.86       XXX
78191..............  TC                 A                 Platelet survival......       0.00        NA      7.23      0.31        NA      7.54       XXX
78195..............  .................  A                 Lymph system imaging...       1.20        NA      4.45      0.23        NA      5.88       XXX
78195..............  26                 A                 Lymph system imaging...       1.20      0.44      0.44      0.05      1.69      1.69       XXX
78195..............  TC                 A                 Lymph system imaging...       0.00        NA      4.01      0.18        NA      4.19       XXX
78199..............  .................  C                 Blood/lymph nuclear           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78199..............  26                 C                 Blood/lymph nuclear           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78199..............  TC                 C                 Blood/lymph nuclear           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78201..............  .................  A                 Liver imaging..........       0.44        NA      2.48      0.13        NA      3.05       XXX
78201..............  26                 A                 Liver imaging..........       0.44      0.16      0.16      0.02      0.62      0.62       XXX
78201..............  TC                 A                 Liver imaging..........       0.00        NA      2.32      0.11        NA      2.43       XXX
78202..............  .................  A                 Liver imaging with flow       0.51        NA      3.03      0.14        NA      3.68       XXX
78202..............  26                 A                 Liver imaging with flow       0.51      0.19      0.19      0.02      0.72      0.72       XXX
78202..............  TC                 A                 Liver imaging with flow       0.00        NA      2.84      0.12        NA      2.96       XXX
78205..............  .................  A                 Liver imaging (3D).....       0.71        NA      6.08      0.29        NA      7.08       XXX
78205..............  26                 A                 Liver imaging (3D).....       0.71      0.26      0.26      0.03      1.00      1.00       XXX
78205..............  TC                 A                 Liver imaging (3D).....       0.00        NA      5.82      0.26        NA      6.08       XXX
78206..............  .................  A                 Liver image (3d) w/flow       0.96        NA      6.17      0.13        NA      7.26       XXX
78206..............  26                 A                 Liver image (3d) w/flow       0.96      0.35      0.35      0.04      1.35      1.35       XXX
78206..............  TC                 A                 Liver image (3d) w/flow       0.00        NA      5.82      0.09        NA      5.91       XXX
78215..............  .................  A                 Liver and spleen              0.49        NA      3.06      0.14        NA      3.69       XXX
                                                           imaging.
78215..............  26                 A                 Liver and spleen              0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           imaging.
78215..............  TC                 A                 Liver and spleen              0.00        NA      2.89      0.12        NA      3.01       XXX
                                                           imaging.
78216..............  .................  A                 Liver & spleen image/         0.57        NA      3.63      0.17        NA      4.37       XXX
                                                           flow.
78216..............  26                 A                 Liver & spleen image/         0.57      0.20      0.20      0.02      0.79      0.79       XXX
                                                           flow.
78216..............  TC                 A                 Liver & spleen image/         0.00        NA      3.43      0.15        NA      3.58       XXX
                                                           flow.
78220..............  .................  A                 Liver function study...       0.49        NA      3.84      0.18        NA      4.51       XXX
78220..............  26                 A                 Liver function study...       0.49      0.17      0.17      0.02      0.68      0.68       XXX
78220..............  TC                 A                 Liver function study...       0.00        NA      3.67      0.16        NA      3.83       XXX
78223..............  .................  A                 Hepatobiliary imaging..       0.84        NA      3.91      0.20        NA      4.95       XXX
78223..............  26                 A                 Hepatobiliary imaging..       0.84      0.30      0.30      0.04      1.18      1.18       XXX
78223..............  TC                 A                 Hepatobiliary imaging..       0.00        NA      3.61      0.16        NA      3.77       XXX
78230..............  .................  A                 Salivary gland imaging.       0.45        NA      2.30      0.13        NA      2.88       XXX
78230..............  26                 A                 Salivary gland imaging.       0.45      0.16      0.16      0.02      0.63      0.63       XXX
78230..............  TC                 A                 Salivary gland imaging.       0.00        NA      2.14      0.11        NA      2.25       XXX
78231..............  .................  A                 Serial salivary imaging       0.52        NA      3.32      0.16        NA      4.00       XXX
78231..............  26                 A                 Serial salivary imaging       0.52      0.20      0.20      0.02      0.74      0.74       XXX
78231..............  TC                 A                 Serial salivary imaging       0.00        NA      3.12      0.14        NA      3.26       XXX
78232..............  .................  A                 Salivary gland function       0.47        NA      3.66      0.16        NA      4.29       XXX
                                                           exam.
78232..............  26                 A                 Salivary gland function       0.47      0.18      0.18      0.01      0.66      0.66       XXX
                                                           exam.
78232..............  TC                 A                 Salivary gland function       0.00        NA      3.48      0.15        NA      3.63       XXX
                                                           exam.
78258..............  .................  A                 Esophageal motility           0.74        NA      3.10      0.15        NA      3.99       XXX
                                                           study.
78258..............  26                 A                 Esophageal motility           0.74      0.26      0.26      0.03      1.03      1.03       XXX
                                                           study.
78258..............  TC                 A                 Esophageal motility           0.00        NA      2.84      0.12        NA      2.96       XXX
                                                           study.
78261..............  .................  A                 Gastric mucosa imaging.       0.69        NA      4.30      0.21        NA      5.20       XXX
78261..............  26                 A                 Gastric mucosa imaging.       0.69      0.26      0.26      0.03      0.98      0.98       XXX
78261..............  TC                 A                 Gastric mucosa imaging.       0.00        NA      4.04      0.18        NA      4.22       XXX
78262..............  .................  A                 Gastroesophageal reflux       0.68        NA      4.44      0.21        NA      5.33       XXX
                                                           exam.
78262..............  26                 A                 Gastroesophageal reflux       0.68      0.25      0.25      0.03      0.96      0.96       XXX
                                                           exam.
78262..............  TC                 A                 Gastroesophageal reflux       0.00        NA      4.19      0.18        NA      4.37       XXX
                                                           exam.
78264..............  .................  A                 Gastric emptying study.       0.78        NA      4.35      0.21        NA      5.34       XXX
78264..............  26                 A                 Gastric emptying study.       0.78      0.28      0.28      0.03      1.09      1.09       XXX
78264..............  TC                 A                 Gastric emptying study.       0.00        NA      4.07      0.18        NA      4.25       XXX
78267..............  .................  X                 Breath tst attain/anal        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           c-14.
78268..............  .................  X                 Breath test analysis, c-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           14.
78270..............  .................  A                 Vit B-12 absorption           0.20        NA      1.59      0.09        NA      1.88       XXX
                                                           exam.
78270..............  26                 A                 Vit B-12 absorption           0.20      0.07      0.07      0.01      0.28      0.28       XXX
                                                           exam.
78270..............  TC                 A                 Vit B-12 absorption           0.00        NA      1.52      0.08        NA      1.60       XXX
                                                           exam.
78271..............  .................  A                 Vit B-12 absorp exam,         0.20        NA      1.69      0.09        NA      1.98       XXX
                                                           IF.
78271..............  26                 A                 Vit B-12 absorp exam,         0.20      0.07      0.07      0.01      0.28      0.28       XXX
                                                           IF.
78271..............  TC                 A                 Vit B-12 absorp exam,         0.00        NA      1.62      0.08        NA      1.70       XXX
                                                           IF.
78272..............  .................  A                 Vit B-12 absorp,              0.27        NA      2.39      0.12        NA      2.78       XXX
                                                           combined.
78272..............  26                 A                 Vit B-12 absorp,              0.27      0.10      0.10      0.01      0.38      0.38       XXX
                                                           combined.
78272..............  TC                 A                 Vit B-12 absorp,              0.00        NA      2.29      0.11        NA      2.40       XXX
                                                           combined.
78278..............  .................  A                 Acute GI blood loss           0.99        NA      5.15      0.25        NA      6.39       XXX
                                                           imaging.
78278..............  26                 A                 Acute GI blood loss           0.99      0.35      0.35      0.04      1.38      1.38       XXX
                                                           imaging.
78278..............  TC                 A                 Acute GI blood loss           0.00        NA      4.80      0.21        NA      5.01       XXX
                                                           imaging.
78282..............  .................  C                 GI protein loss exam...       0.00        NA      0.00      0.00        NA      0.00       XXX
78282..............  26                 A                 GI protein loss exam...       0.38      0.14      0.14      0.02      0.54      0.54       XXX
78282..............  TC                 C                 GI protein loss exam...       0.00        NA      0.00      0.00        NA      0.00       XXX
78290..............  .................  A                 Meckel's divert exam...       0.68        NA      3.24      0.16        NA      4.08       XXX
78290..............  26                 A                 Meckel's divert exam...       0.68      0.24      0.24      0.03      0.95      0.95       XXX
78290..............  TC                 A                 Meckel's divert exam...       0.00        NA      3.00      0.13        NA      3.13       XXX
78291..............  .................  A                 Leveen/shunt patency          0.88        NA      3.34      0.17        NA      4.39       XXX
                                                           exam.

[[Page 40498]]

 
78291..............  26                 A                 Leveen/shunt patency          0.88      0.32      0.32      0.04      1.24      1.24       XXX
                                                           exam.
78291..............  TC                 A                 Leveen/shunt patency          0.00        NA      3.02      0.13        NA      3.15       XXX
                                                           exam.
78299..............  .................  C                 GI nuclear procedure...       0.00        NA      0.00      0.00        NA      0.00       XXX
78299..............  26                 C                 GI nuclear procedure...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
78299..............  TC                 C                 GI nuclear procedure...       0.00        NA      0.00      0.00        NA      0.00       XXX
78300..............  .................  A                 Bone imaging, limited         0.62        NA      2.67      0.15        NA      3.44       XXX
                                                           area.
78300..............  26                 A                 Bone imaging, limited         0.62      0.22      0.22      0.03      0.87      0.87       XXX
                                                           area.
78300..............  TC                 A                 Bone imaging, limited         0.00        NA      2.45      0.12        NA      2.57       XXX
                                                           area.
78305..............  .................  A                 Bone imaging, multiple        0.83        NA      3.90      0.19        NA      4.92       XXX
                                                           areas.
78305..............  26                 A                 Bone imaging, multiple        0.83      0.29      0.29      0.03      1.15      1.15       XXX
                                                           areas.
78305..............  TC                 A                 Bone imaging, multiple        0.00        NA      3.61      0.16        NA      3.77       XXX
                                                           areas.
78306..............  .................  A                 Bone imaging, whole           0.86        NA      4.52      0.22        NA      5.60       XXX
                                                           body.
78306..............  26                 A                 Bone imaging, whole           0.86      0.31      0.31      0.04      1.21      1.21       XXX
                                                           body.
78306..............  TC                 A                 Bone imaging, whole           0.00        NA      4.21      0.18        NA      4.39       XXX
                                                           body.
78315..............  .................  A                 Bone imaging, 3 phase..       1.02        NA      5.07      0.25        NA      6.34       XXX
78315..............  26                 A                 Bone imaging, 3 phase..       1.02      0.37      0.37      0.04      1.43      1.43       XXX
78315..............  TC                 A                 Bone imaging, 3 phase..       0.00        NA      4.70      0.21        NA      4.91       XXX
78320..............  .................  A                 Bone imaging (3D)......       1.04        NA      6.20      0.30        NA      7.54       XXX
78320..............  26                 A                 Bone imaging (3D)......       1.04      0.38      0.38      0.04      1.46      1.46       XXX
78320..............  TC                 A                 Bone imaging (3D)......       0.00        NA      5.82      0.26        NA      6.08       XXX
78350..............  .................  A                 Bone mineral, single          0.22        NA      0.82      0.05        NA      1.09       XXX
                                                           photon.
78350..............  26                 A                 Bone mineral, single          0.22      0.08      0.08      0.01      0.31      0.31       XXX
                                                           photon.
78350..............  TC                 A                 Bone mineral, single          0.00        NA      0.74      0.04        NA      0.78       XXX
                                                           photon.
78351..............  .................  N                 Bone mineral, dual           +0.30      0.12      1.60      0.01      0.43      1.91       XXX
                                                           photon.
78399..............  .................  C                 Musculoskeletal nuclear       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78399..............  26                 C                 Musculoskeletal nuclear       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78399..............  TC                 C                 Musculoskeletal nuclear       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78414..............  .................  C                 Non-imaging heart             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           function.
78414..............  26                 A                 Non-imaging heart             0.45      0.16      0.16      0.02      0.63      0.63       XXX
                                                           function.
78414..............  TC                 C                 Non-imaging heart             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           function.
78428..............  .................  A                 Cardiac shunt imaging..       0.78        NA      2.53      0.14        NA      3.45       XXX
78428..............  26                 A                 Cardiac shunt imaging..       0.78      0.31      0.31      0.03      1.12      1.12       XXX
78428..............  TC                 A                 Cardiac shunt imaging..       0.00        NA      2.22      0.11        NA      2.33       XXX
78445..............  .................  A                 Vascular flow imaging..       0.49        NA      2.01      0.11        NA      2.61       XXX
78445..............  26                 A                 Vascular flow imaging..       0.49      0.18      0.18      0.02      0.69      0.69       XXX
78445..............  TC                 A                 Vascular flow imaging..       0.00        NA      1.83      0.09        NA      1.92       XXX
78455..............  .................  A                 Venous thrombosis study       0.73        NA      4.18      0.20        NA      5.11       XXX
78455..............  26                 A                 Venous thrombosis study       0.73      0.26      0.26      0.03      1.02      1.02       XXX
78455..............  TC                 A                 Venous thrombosis study       0.00        NA      3.92      0.17        NA      4.09       XXX
78456..............  .................  A                 Acute venous thrombus         1.00        NA      4.29      0.28        NA      5.57       XXX
                                                           image.
78456..............  26                 A                 Acute venous thrombus         1.00      0.37      0.37      0.04      1.41      1.41       XXX
                                                           image.
78456..............  TC                 A                 Acute venous thrombus         0.00        NA      3.92      0.24        NA      4.16       XXX
                                                           image.
78457..............  .................  A                 Venous thrombosis             0.77        NA      2.90      0.15        NA      3.82       XXX
                                                           imaging.
78457..............  26                 A                 Venous thrombosis             0.77      0.28      0.28      0.03      1.08      1.08       XXX
                                                           imaging.
78457..............  TC                 A                 Venous thrombosis             0.00        NA      2.62      0.12        NA      2.74       XXX
                                                           imaging.
78458..............  .................  A                 Ven thrombosis images,        0.90        NA      4.30      0.20        NA      5.40       XXX
                                                           bilat.
78458..............  26                 A                 Ven thrombosis images,        0.90      0.34      0.34      0.03      1.27      1.27       XXX
                                                           bilat.
78458..............  TC                 A                 Ven thrombosis images,        0.00        NA      3.96      0.17        NA      4.13       XXX
                                                           bilat.
78459..............  .................  I                 Heart muscle imaging          0.00      0.74      0.74      0.00      0.74      0.74       XXX
                                                           (PET).
78459..............  26                 I                 Heart muscle imaging          1.88      0.74      0.74      0.08      2.70      2.70       XXX
                                                           (PET).
78459..............  TC                 I                 Heart muscle imaging          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (PET).
78460..............  .................  A                 Heart muscle blood,           0.86        NA      2.63      0.14        NA      3.63       XXX
                                                           single.
78460..............  26                 A                 Heart muscle blood,           0.86      0.31      0.31      0.03      1.20      1.20       XXX
                                                           single.
78460..............  TC                 A                 Heart muscle blood,           0.00        NA      2.32      0.11        NA      2.43       XXX
                                                           single.
78461..............  .................  A                 Heart muscle blood,           1.23        NA      5.11      0.26        NA      6.60       XXX
                                                           multiple.
78461..............  26                 A                 Heart muscle blood,           1.23      0.46      0.46      0.05      1.74      1.74       XXX
                                                           multiple.
78461..............  TC                 A                 Heart muscle blood,           0.00        NA      4.65      0.21        NA      4.86       XXX
                                                           multiple.
78464..............  .................  A                 Heart image (3d),             1.09        NA      7.36      0.35        NA      8.80       XXX
                                                           single.
78464..............  26                 A                 Heart image (3d),             1.09      0.40      0.40      0.04      1.53      1.53       XXX
                                                           single.
78464..............  TC                 A                 Heart image (3d),             0.00        NA      6.96      0.31        NA      7.27       XXX
                                                           single.
78465..............  .................  A                 Heart image (3d),             1.46        NA     12.17      0.56        NA     14.19       XXX
                                                           multiple.
78465..............  26                 A                 Heart image (3d),             1.46      0.55      0.55      0.05      2.06      2.06       XXX
                                                           multiple.
78465..............  TC                 A                 Heart image (3d),             0.00        NA     11.62      0.51        NA     12.13       XXX
                                                           multiple.
78466..............  .................  A                 Heart infarct image....       0.69        NA      2.84      0.15        NA      3.68       XXX
78466..............  26                 A                 Heart infarct image....       0.69      0.26      0.26      0.03      0.98      0.98       XXX
78466..............  TC                 A                 Heart infarct image....       0.00        NA      2.58      0.12        NA      2.70       XXX
78468..............  .................  A                 Heart infarct image           0.80        NA      3.90      0.19        NA      4.89       XXX
                                                           (ef).
78468..............  26                 A                 Heart infarct image           0.80      0.29      0.29      0.03      1.12      1.12       XXX
                                                           (ef).
78468..............  TC                 A                 Heart infarct image           0.00        NA      3.61      0.16        NA      3.77       XXX
                                                           (ef).
78469..............  .................  A                 Heart infarct image           0.92        NA      5.47      0.26        NA      6.65       XXX
                                                           (3D).
78469..............  26                 A                 Heart infarct image           0.92      0.33      0.33      0.03      1.28      1.28       XXX
                                                           (3D).
78469..............  TC                 A                 Heart infarct image           0.00        NA      5.14      0.23        NA      5.37       XXX
                                                           (3D).
78472..............  .................  A                 Gated heart, planar,          0.98        NA      5.79      0.29        NA      7.06       XXX
                                                           single.
78472..............  26                 A                 Gated heart, planar,          0.98      0.36      0.36      0.04      1.38      1.38       XXX
                                                           single.

[[Page 40499]]

 
78472..............  TC                 A                 Gated heart, planar,          0.00        NA      5.43      0.25        NA      5.68       XXX
                                                           single.
78473..............  .................  A                 Gated heart, multiple..       1.47        NA      8.67      0.40        NA     10.54       XXX
78473..............  26                 A                 Gated heart, multiple..       1.47      0.54      0.54      0.05      2.06      2.06       XXX
78473..............  TC                 A                 Gated heart, multiple..       0.00        NA      8.13      0.35        NA      8.48       XXX
78478..............  .................  A                 Heart wall motion add-        0.62        NA      1.77      0.10        NA      2.49       ZZZ
                                                           on.
78478..............  26                 A                 Heart wall motion add-        0.62      0.24      0.24      0.02      0.88      0.88       ZZZ
                                                           on.
78478..............  TC                 A                 Heart wall motion add-        0.00        NA      1.53      0.08        NA      1.61       ZZZ
                                                           on.
78480..............  .................  A                 Heart function add-on..       0.62        NA      1.77      0.10        NA      2.49       ZZZ
78480..............  26                 A                 Heart function add-on..       0.62      0.24      0.24      0.02      0.88      0.88       ZZZ
78480..............  TC                 A                 Heart function add-on..       0.00        NA      1.53      0.08        NA      1.61       ZZZ
78481..............  .................  A                 Heart first pass,             0.98        NA      5.52      0.26        NA      6.76       XXX
                                                           single.
78481..............  26                 A                 Heart first pass,             0.98      0.38      0.38      0.03      1.39      1.39       XXX
                                                           single.
78481..............  TC                 A                 Heart first pass,             0.00        NA      5.14      0.23        NA      5.37       XXX
                                                           single.
78483..............  .................  A                 Heart first pass,             1.47        NA      8.32      0.39        NA     10.18       XXX
                                                           multiple.
78483..............  26                 A                 Heart first pass,             1.47      0.57      0.57      0.05      2.09      2.09       XXX
                                                           multiple.
78483..............  TC                 A                 Heart first pass,             0.00        NA      7.75      0.34        NA      8.09       XXX
                                                           multiple.
78491..............  .................  I                 Heart image (pet),            0.00        NA      0.59      0.00        NA      0.59       XXX
                                                           single.
78491..............  26                 I                 Heart image (pet),            1.50      0.59      0.59      0.05      2.14      2.14       XXX
                                                           single.
78491..............  TC                 I                 Heart image (pet),            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           single.
78492..............  .................  I                 Heart image (pet),           +0.00        NA      0.74      0.00        NA      0.74       XXX
                                                           multiple.
78492..............  26                 I                 Heart image (pet),           +1.87      0.74      0.74      0.06      2.67      2.67       XXX
                                                           multiple.
78492..............  TC                 I                 Heart image (pet),            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           multiple.
78494..............  .................  A                 Heart image, spect.....       1.19        NA      7.40      0.29        NA      8.88       XXX
78494..............  26                 A                 Heart image, spect.....       1.19      0.44      0.44      0.04      1.67      1.67       XXX
78494..............  TC                 A                 Heart image, spect.....       0.00        NA      6.96      0.25        NA      7.21       XXX
78496..............  .................  A                 Heart first pass add-on       0.50        NA      7.15      0.27        NA      7.92       ZZZ
78496..............  26                 A                 Heart first pass add-on       0.50      0.19      0.19      0.02      0.71      0.71       ZZZ
78496..............  TC                 A                 Heart first pass add-on       0.00        NA      6.96      0.25        NA      7.21       ZZZ
78499..............  .................  C                 Cardiovascular nuclear        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78499..............  26                 C                 Cardiovascular nuclear        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78499..............  TC                 C                 Cardiovascular nuclear        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78580..............  .................  A                 Lung perfusion imaging.       0.74        NA      3.65      0.18        NA      4.57       XXX
78580..............  26                 A                 Lung perfusion imaging.       0.74      0.27      0.27      0.03      1.04      1.04       XXX
78580..............  TC                 A                 Lung perfusion imaging.       0.00        NA      3.38      0.15        NA      3.53       XXX
78584..............  .................  A                 Lung V/Q image single         0.99        NA      3.50      0.18        NA      4.67       XXX
                                                           breath.
78584..............  26                 A                 Lung V/Q image single         0.99      0.35      0.35      0.04      1.38      1.38       XXX
                                                           breath.
78584..............  TC                 A                 Lung V/Q image single         0.00        NA      3.15      0.14        NA      3.29       XXX
                                                           breath.
78585..............  .................  A                 Lung V/Q imaging.......       1.09        NA      5.94      0.30        NA      7.33       XXX
78585..............  26                 A                 Lung V/Q imaging.......       1.09      0.39      0.39      0.05      1.53      1.53       XXX
78585..............  TC                 A                 Lung V/Q imaging.......       0.00        NA      5.55      0.25        NA      5.80       XXX
78586..............  .................  A                 Aerosol lung image,           0.40        NA      2.69      0.14        NA      3.23       XXX
                                                           single.
78586..............  26                 A                 Aerosol lung image,           0.40      0.14      0.14      0.02      0.56      0.56       XXX
                                                           single.
78586..............  TC                 A                 Aerosol lung image,           0.00        NA      2.55      0.12        NA      2.67       XXX
                                                           single.
78587..............  .................  A                 Aerosol lung image,           0.49        NA      2.94      0.14        NA      3.57       XXX
                                                           multiple.
78587..............  26                 A                 Aerosol lung image,           0.49      0.18      0.18      0.02      0.69      0.69       XXX
                                                           multiple.
78587..............  TC                 A                 Aerosol lung image,           0.00        NA      2.76      0.12        NA      2.88       XXX
                                                           multiple.
78588..............  .................  A                 Perfusion lung image...       1.09        NA      3.54      0.20        NA      4.83       XXX
78588..............  26                 A                 Perfusion lung image...       1.09      0.39      0.39      0.05      1.53      1.53       XXX
78588..............  TC                 A                 Perfusion lung image...       0.00        NA      3.15      0.15        NA      3.30       XXX
78591..............  .................  A                 Vent image, 1 breath, 1       0.40        NA      2.95      0.14        NA      3.49       XXX
                                                           proj.
78591..............  26                 A                 Vent image, 1 breath, 1       0.40      0.14      0.14      0.02      0.56      0.56       XXX
                                                           proj.
78591..............  TC                 A                 Vent image, 1 breath, 1       0.00        NA      2.81      0.12        NA      2.93       XXX
                                                           proj.
78593..............  .................  A                 Vent image, 1 proj, gas       0.49        NA      3.57      0.17        NA      4.23       XXX
78593..............  26                 A                 Vent image, 1 proj, gas       0.49      0.17      0.17      0.02      0.68      0.68       XXX
78593..............  TC                 A                 Vent image, 1 proj, gas       0.00        NA      3.40      0.15        NA      3.55       XXX
78594..............  .................  A                 Vent image, mult proj,        0.53        NA      5.09      0.23        NA      5.85       XXX
                                                           gas.
78594..............  26                 A                 Vent image, mult proj,        0.53      0.19      0.19      0.02      0.74      0.74       XXX
                                                           gas.
78594..............  TC                 A                 Vent image, mult proj,        0.00        NA      4.90      0.21        NA      5.11       XXX
                                                           gas.
78596..............  .................  A                 Lung differential             1.27        NA      7.41      0.36        NA      9.04       XXX
                                                           function.
78596..............  26                 A                 Lung differential             1.27      0.45      0.45      0.05      1.77      1.77       XXX
                                                           function.
78596..............  TC                 A                 Lung differential             0.00        NA      6.96      0.31        NA      7.27       XXX
                                                           function.
78599..............  .................  C                 Respiratory nuclear           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78599..............  26                 C                 Respiratory nuclear           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78599..............  TC                 C                 Respiratory nuclear           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78600..............  .................  A                 Brain imaging, ltd            0.44        NA      3.05      0.14        NA      3.63       XXX
                                                           static.
78600..............  26                 A                 Brain imaging, ltd            0.44      0.16      0.16      0.02      0.62      0.62       XXX
                                                           static.
78600..............  TC                 A                 Brain imaging, ltd            0.00        NA      2.89      0.12        NA      3.01       XXX
                                                           static.
78601..............  .................  A                 Brain imaging, ltd w/         0.51        NA      3.53      0.17        NA      4.21       XXX
                                                           flow.
78601..............  26                 A                 Brain imaging, ltd w/         0.51      0.18      0.18      0.02      0.71      0.71       XXX
                                                           flow.
78601..............  TC                 A                 Brain imaging, ltd w/         0.00        NA      3.35      0.15        NA      3.50       XXX
                                                           flow.
78605..............  .................  A                 Brain imaging, complete       0.53        NA      3.55      0.17        NA      4.25       XXX
78605..............  26                 A                 Brain imaging, complete       0.53      0.20      0.20      0.02      0.75      0.75       XXX
78605..............  TC                 A                 Brain imaging, complete       0.00        NA      3.35      0.15        NA      3.50       XXX
78606..............  .................  A                 Brain imaging, compl w/       0.64        NA      4.04      0.20        NA      4.88       XXX
                                                           flow.

[[Page 40500]]

 
78606..............  26                 A                 Brain imaging, compl w/       0.64      0.23      0.23      0.03      0.90      0.90       XXX
                                                           flow.
78606..............  TC                 A                 Brain imaging, compl w/       0.00        NA      3.81      0.17        NA      3.98       XXX
                                                           flow.
78607..............  .................  A                 Brain imaging (3D).....       1.23        NA      6.92      0.34        NA      8.49       XXX
78607..............  26                 A                 Brain imaging (3D).....       1.23      0.46      0.46      0.05      1.74      1.74       XXX
78607..............  TC                 A                 Brain imaging (3D).....       0.00        NA      6.46      0.29        NA      6.75       XXX
78608..............  .................  N                 Brain imaging (PET)....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
78609..............  .................  N                 Brain imaging (PET)....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
78610..............  .................  A                 Brain flow imaging only       0.30        NA      1.66      0.09        NA      2.05       XXX
78610..............  26                 A                 Brain flow imaging only       0.30      0.11      0.11      0.01      0.42      0.42       XXX
78610..............  TC                 A                 Brain flow imaging only       0.00        NA      1.55      0.08        NA      1.63       XXX
78615..............  .................  A                 Cerebral blood flow           0.42        NA      3.95      0.19        NA      4.56       XXX
                                                           imaging.
78615..............  26                 A                 Cerebral blood flow           0.42      0.16      0.16      0.02      0.60      0.60       XXX
                                                           imaging.
78615..............  TC                 A                 Cerebral blood flow           0.00        NA      3.79      0.17        NA      3.96       XXX
                                                           imaging.
78630..............  .................  A                 Cerebrospinal fluid           0.68        NA      5.20      0.25        NA      6.13       XXX
                                                           scan.
78630..............  26                 A                 Cerebrospinal fluid           0.68      0.24      0.24      0.03      0.95      0.95       XXX
                                                           scan.
78630..............  TC                 A                 Cerebrospinal fluid           0.00        NA      4.96      0.22        NA      5.18       XXX
                                                           scan.
78635..............  .................  A                 CSF ventriculography...       0.61        NA      2.74      0.14        NA      3.49       XXX
78635..............  26                 A                 CSF ventriculography...       0.61      0.24      0.24      0.02      0.87      0.87       XXX
78635..............  TC                 A                 CSF ventriculography...       0.00        NA      2.50      0.12        NA      2.62       XXX
78645..............  .................  A                 CSF shunt evaluation...       0.57        NA      3.59      0.17        NA      4.33       XXX
78645..............  26                 A                 CSF shunt evaluation...       0.57      0.21      0.21      0.02      0.80      0.80       XXX
78645..............  TC                 A                 CSF shunt evaluation...       0.00        NA      3.38      0.15        NA      3.53       XXX
78647..............  .................  A                 Cerebrospinal fluid           0.90        NA      6.16      0.29        NA      7.35       XXX
                                                           scan.
78647..............  26                 A                 Cerebrospinal fluid           0.90      0.34      0.34      0.03      1.27      1.27       XXX
                                                           scan.
78647..............  TC                 A                 Cerebrospinal fluid           0.00        NA      5.82      0.26        NA      6.08       XXX
                                                           scan.
78650..............  .................  A                 CSF leakage imaging....       0.61        NA      4.79      0.22        NA      5.62       XXX
78650..............  26                 A                 CSF leakage imaging....       0.61      0.22      0.22      0.02      0.85      0.85       XXX
78650..............  TC                 A                 CSF leakage imaging....       0.00        NA      4.57      0.20        NA      4.77       XXX
78660..............  .................  A                 Nuclear exam of tear          0.53        NA      2.28      0.12        NA      2.93       XXX
                                                           flow.
78660..............  26                 A                 Nuclear exam of tear          0.53      0.19      0.19      0.02      0.74      0.74       XXX
                                                           flow.
78660..............  TC                 A                 Nuclear exam of tear          0.00        NA      2.09      0.10        NA      2.19       XXX
                                                           flow.
78699..............  .................  C                 Nervous system nuclear        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78699..............  26                 C                 Nervous system nuclear        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78699..............  TC                 C                 Nervous system nuclear        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78700..............  .................  A                 Kidney imaging, static.       0.45        NA      3.16      0.15        NA      3.76       XXX
78700..............  26                 A                 Kidney imaging, static.       0.45      0.16      0.16      0.02      0.63      0.63       XXX
78700..............  TC                 A                 Kidney imaging, static.       0.00        NA      3.00      0.13        NA      3.13       XXX
78701..............  .................  A                 Kidney imaging with           0.49        NA      3.67      0.17        NA      4.33       XXX
                                                           flow.
78701..............  26                 A                 Kidney imaging with           0.49      0.17      0.17      0.02      0.68      0.68       XXX
                                                           flow.
78701..............  TC                 A                 Kidney imaging with           0.00        NA      3.50      0.15        NA      3.65       XXX
                                                           flow.
78704..............  .................  A                 Imaging renogram.......       0.74        NA      4.15      0.20        NA      5.09       XXX
78704..............  26                 A                 Imaging renogram.......       0.74      0.26      0.26      0.03      1.03      1.03       XXX
78704..............  TC                 A                 Imaging renogram.......       0.00        NA      3.89      0.17        NA      4.06       XXX
78707..............  .................  A                 Kidney flow/function          0.96        NA      4.75      0.23        NA      5.94       XXX
                                                           image.
78707..............  26                 A                 Kidney flow/function          0.96      0.35      0.35      0.04      1.35      1.35       XXX
                                                           image.
78707..............  TC                 A                 Kidney flow/function          0.00        NA      4.40      0.19        NA      4.59       XXX
                                                           image.
78708..............  .................  A                 Kidney flow/function          1.21        NA      4.84      0.24        NA      6.29       XXX
                                                           image.
78708..............  26                 A                 Kidney flow/function          1.21      0.44      0.44      0.05      1.70      1.70       XXX
                                                           image.
78708..............  TC                 A                 Kidney flow/function          0.00        NA      4.40      0.19        NA      4.59       XXX
                                                           image.
78709..............  .................  A                 Kidney flow/function          1.41        NA      4.90      0.25        NA      6.56       XXX
                                                           image.
78709..............  26                 A                 Kidney flow/function          1.41      0.50      0.50      0.06      1.97      1.97       XXX
                                                           image.
78709..............  TC                 A                 Kidney flow/function          0.00        NA      4.40      0.19        NA      4.59       XXX
                                                           image.
78710..............  .................  A                 Kidney imaging (3D)....       0.66        NA      6.05      0.29        NA      7.00       XXX
78710..............  26                 A                 Kidney imaging (3D)....       0.66      0.23      0.23      0.03      0.92      0.92       XXX
78710..............  TC                 A                 Kidney imaging (3D)....       0.00        NA      5.82      0.26        NA      6.08       XXX
78715..............  .................  A                 Renal vascular flow           0.30        NA      1.66      0.09        NA      2.05       XXX
                                                           exam.
78715..............  26                 A                 Renal vascular flow           0.30      0.11      0.11      0.01      0.42      0.42       XXX
                                                           exam.
78715..............  TC                 A                 Renal vascular flow           0.00        NA      1.55      0.08        NA      1.63       XXX
                                                           exam.
78725..............  .................  A                 Kidney function study..       0.38        NA      1.89      0.10        NA      2.37       XXX
78725..............  26                 A                 Kidney function study..       0.38      0.14      0.14      0.01      0.53      0.53       XXX
78725..............  TC                 A                 Kidney function study..       0.00        NA      1.75      0.09        NA      1.84       XXX
78730..............  .................  A                 Urinary bladder               0.36        NA      1.57      0.09        NA      2.02       XXX
                                                           retention.
78730..............  26                 A                 Urinary bladder               0.36      0.13      0.13      0.02      0.51      0.51       XXX
                                                           retention.
78730..............  TC                 A                 Urinary bladder               0.00        NA      1.44      0.07        NA      1.51       XXX
                                                           retention.
78740..............  .................  A                 Ureteral reflux study..       0.57        NA      2.29      0.12        NA      2.98       XXX
78740..............  26                 A                 Ureteral reflux study..       0.57      0.20      0.20      0.02      0.79      0.79       XXX
78740..............  TC                 A                 Ureteral reflux study..       0.00        NA      2.09      0.10        NA      2.19       XXX
78760..............  .................  A                 Testicular imaging.....       0.66        NA      2.87      0.15        NA      3.68       XXX
78760..............  26                 A                 Testicular imaging.....       0.66      0.23      0.23      0.03      0.92      0.92       XXX
78760..............  TC                 A                 Testicular imaging.....       0.00        NA      2.64      0.12        NA      2.76       XXX
78761..............  .................  A                 Testicular imaging/flow       0.71        NA      3.40      0.17        NA      4.28       XXX
78761..............  26                 A                 Testicular imaging/flow       0.71      0.25      0.25      0.03      0.99      0.99       XXX
78761..............  TC                 A                 Testicular imaging/flow       0.00        NA      3.15      0.14        NA      3.29       XXX
78799..............  .................  C                 Genitourinary nuclear         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.

[[Page 40501]]

 
78799..............  26                 C                 Genitourinary nuclear         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exam.
78799..............  TC                 C                 Genitourinary nuclear         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           exam.
78800..............  .................  A                 Tumor imaging, limited        0.66        NA      3.58      0.18        NA      4.42       XXX
                                                           area.
78800..............  26                 A                 Tumor imaging, limited        0.66      0.23      0.23      0.03      0.92      0.92       XXX
                                                           area.
78800..............  TC                 A                 Tumor imaging, limited        0.00        NA      3.35      0.15        NA      3.50       XXX
                                                           area.
78801..............  .................  A                 Tumor imaging, mult           0.79        NA      4.44      0.21        NA      5.44       XXX
                                                           areas.
78801..............  26                 A                 Tumor imaging, mult           0.79      0.28      0.28      0.03      1.10      1.10       XXX
                                                           areas.
78801..............  TC                 A                 Tumor imaging, mult           0.00        NA      4.16      0.18        NA      4.34       XXX
                                                           areas.
78802..............  .................  A                 Tumor imaging, whole          0.86        NA      5.76      0.28        NA      6.90       XXX
                                                           body.
78802..............  26                 A                 Tumor imaging, whole          0.86      0.31      0.31      0.03      1.20      1.20       XXX
                                                           body.
78802..............  TC                 A                 Tumor imaging, whole          0.00        NA      5.45      0.25        NA      5.70       XXX
                                                           body.
78803..............  .................  A                 Tumor imaging (3D).....       1.09        NA      6.87      0.33        NA      8.29       XXX
78803..............  26                 A                 Tumor imaging (3D).....       1.09      0.41      0.41      0.04      1.54      1.54       XXX
78803..............  TC                 A                 Tumor imaging (3D).....       0.00        NA      6.46      0.29        NA      6.75       XXX
78805..............  .................  A                 Abscess imaging, ltd          0.73        NA      3.62      0.18        NA      4.53       XXX
                                                           area.
78805..............  26                 A                 Abscess imaging, ltd          0.73      0.27      0.27      0.03      1.03      1.03       XXX
                                                           area.
78805..............  TC                 A                 Abscess imaging, ltd          0.00        NA      3.35      0.15        NA      3.50       XXX
                                                           area.
78806..............  .................  A                 Abscess imaging, whole        0.86        NA      6.64      0.32        NA      7.82       XXX
                                                           body.
78806..............  26                 A                 Abscess imaging, whole        0.86      0.31      0.31      0.03      1.20      1.20       XXX
                                                           body.
78806..............  TC                 A                 Abscess imaging, whole        0.00        NA      6.33      0.29        NA      6.62       XXX
                                                           body.
78807..............  .................  A                 Nuclear localization/         1.09        NA      6.87      0.33        NA      8.29       XXX
                                                           abscess.
78807..............  26                 A                 Nuclear localization/         1.09      0.41      0.41      0.04      1.54      1.54       XXX
                                                           abscess.
78807..............  TC                 A                 Nuclear localization/         0.00        NA      6.46      0.29        NA      6.75       XXX
                                                           abscess.
78810..............  .................  N                 Tumor imaging (PET)....      +0.00        NA      0.76      0.00        NA      0.76       XXX
78810..............  26                 N                 Tumor imaging (PET)....      +1.93      0.76      0.76      0.09      2.78      2.78       XXX
78810..............  TC                 N                 Tumor imaging (PET)....       0.00        NA      0.00      0.00        NA      0.00       XXX
78890..............  .................  B                 Nuclear medicine data        +0.05        NA      1.31      0.06        NA      1.42       XXX
                                                           proc.
78890..............  26                 B                 Nuclear medicine data        +0.05      0.02      0.02      0.01      0.08      0.08       XXX
                                                           proc.
78890..............  TC                 B                 Nuclear medicine data        +0.00        NA      1.29      0.05        NA      1.34       XXX
                                                           proc.
78891..............  .................  B                 Nuclear med data proc..      +0.10        NA      2.62      0.12        NA      2.84       XXX
78891..............  26                 B                 Nuclear med data proc..      +0.10      0.04      0.04      0.01      0.15      0.15       XXX
78891..............  TC                 B                 Nuclear med data proc..      +0.00        NA      2.58      0.11        NA      2.69       XXX
78990..............  .................  I                 Provide diag                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           radionuclide(s).
78999..............  .................  C                 Nuclear diagnostic exam       0.00        NA      0.00      0.00        NA      0.00       XXX
78999..............  26                 C                 Nuclear diagnostic exam       0.00      0.00      0.00      0.00      0.00      0.00       XXX
78999..............  TC                 C                 Nuclear diagnostic exam       0.00        NA      0.00      0.00        NA      0.00       XXX
79000..............  .................  A                 Init hyperthyroid             1.80        NA      3.22      0.19        NA      5.21       XXX
                                                           therapy.
79000..............  26                 A                 Init hyperthyroid             1.80      0.64      0.64      0.07      2.51      2.51       XXX
                                                           therapy.
79000..............  TC                 A                 Init hyperthyroid             0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           therapy.
79001..............  .................  A                 Repeat hyperthyroid           1.05        NA      1.67      0.10        NA      2.82       XXX
                                                           therapy.
79001..............  26                 A                 Repeat hyperthyroid           1.05      0.38      0.38      0.04      1.47      1.47       XXX
                                                           therapy.
79001..............  TC                 A                 Repeat hyperthyroid           0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           therapy.
79020..............  .................  A                 Thyroid ablation.......       1.81        NA      3.22      0.19        NA      5.22       XXX
79020..............  26                 A                 Thyroid ablation.......       1.81      0.64      0.64      0.07      2.52      2.52       XXX
79020..............  TC                 A                 Thyroid ablation.......       0.00        NA      2.58      0.12        NA      2.70       XXX
79030..............  .................  A                 Thyroid ablation,             2.10        NA      3.34      0.20        NA      5.64       XXX
                                                           carcinoma.
79030..............  26                 A                 Thyroid ablation,             2.10      0.76      0.76      0.08      2.94      2.94       XXX
                                                           carcinoma.
79030..............  TC                 A                 Thyroid ablation,             0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           carcinoma.
79035..............  .................  A                 Thyroid metastatic            2.52        NA      3.52      0.21        NA      6.25       XXX
                                                           therapy.
79035..............  26                 A                 Thyroid metastatic            2.52      0.94      0.94      0.09      3.55      3.55       XXX
                                                           therapy.
79035..............  TC                 A                 Thyroid metastatic            0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           therapy.
79100..............  .................  A                 Hematopoetic nuclear          1.32        NA      3.07      0.17        NA      4.56       XXX
                                                           therapy.
79100..............  26                 A                 Hematopoetic nuclear          1.32      0.49      0.49      0.05      1.86      1.86       XXX
                                                           therapy.
79100..............  TC                 A                 Hematopoetic nuclear          0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           therapy.
79200..............  .................  A                 Intracavitary nuclear         1.99        NA      3.32      0.19        NA      5.50       XXX
                                                           trmt.
79200..............  26                 A                 Intracavitary nuclear         1.99      0.74      0.74      0.07      2.80      2.80       XXX
                                                           trmt.
79200..............  TC                 A                 Intracavitary nuclear         0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           trmt.
79300..............  .................  C                 Interstitial nuclear          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
79300..............  26                 A                 Interstitial nuclear          1.60      0.57      0.57      0.07      2.24      2.24       XXX
                                                           therapy.
79300..............  TC                 C                 Interstitial nuclear          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
79400..............  .................  A                 Nonhemato nuclear             1.96        NA      3.30      0.20        NA      5.46       XXX
                                                           therapy.
79400..............  26                 A                 Nonhemato nuclear             1.96      0.72      0.72      0.08      2.76      2.76       XXX
                                                           therapy.
79400..............  TC                 A                 Nonhemato nuclear             0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           therapy.
79420..............  .................  C                 Intravascular nuclear         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           ther.
79420..............  26                 A                 Intravascular nuclear         1.51      0.53      0.53      0.06      2.10      2.10       XXX
                                                           ther.
79420..............  TC                 C                 Intravascular nuclear         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           ther.
79440..............  .................  A                 Nuclear joint therapy..       1.99        NA      3.38      0.20        NA      5.57       XXX
79440..............  26                 A                 Nuclear joint therapy..       1.99      0.80      0.80      0.08      2.87      2.87       XXX
79440..............  TC                 A                 Nuclear joint therapy..       0.00        NA      2.58      0.12        NA      2.70       XXX
79900..............  .................  C                 Provide ther                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           radiopharm(s).
79999..............  .................  C                 Nuclear medicine              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
79999..............  26                 C                 Nuclear medicine              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           therapy.
79999..............  TC                 C                 Nuclear medicine              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           therapy.
80048..............  .................  X                 Basic metabolic panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40502]]

 
80050..............  .................  N                 General health panel...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80051..............  .................  X                 Electrolyte panel......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80053..............  .................  X                 Comprehen metabolic           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80055..............  .................  I                 Obstetric panel........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80061..............  .................  X                 Lipid panel............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80069..............  .................  X                 Renal function panel...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80072..............  .................  X                 Arthritis panel........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80074..............  .................  X                 Acute hepatitis panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80076..............  .................  X                 Hepatic function panel.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80090..............  .................  X                 Torch antibody panel...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80100..............  .................  X                 Drug screen, qualitate/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           multi.
80101..............  .................  X                 Drug screen, single....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80102..............  .................  X                 Drug confirmation......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80103..............  .................  X                 Drug analysis, tissue         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prep.
80150..............  .................  X                 Assay of amikacin......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80152..............  .................  X                 Assay of amitriptyline.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80154..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           benzodiazepines.
80156..............  .................  X                 Assay, carbamazepine,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           total.
80157..............  .................  X                 Assay, carbamazepine,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           free.
80158..............  .................  X                 Assay of cyclosporine..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80160..............  .................  X                 Assay of desipramine...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80162..............  .................  X                 Assay of digoxin.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80164..............  .................  X                 Assay, dipropylacetic         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
80166..............  .................  X                 Assay of doxepin.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80168..............  .................  X                 Assay of ethosuximide..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80170..............  .................  X                 Assay of gentamicin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80172..............  .................  X                 Assay of gold..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80173..............  .................  X                 Assay of haloperidol...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80174..............  .................  X                 Assay of imipramine....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80176..............  .................  X                 Assay of lidocaine.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80178..............  .................  X                 Assay of lithium.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80182..............  .................  X                 Assay of nortriptyline.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80184..............  .................  X                 Assay of phenobarbital.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80185..............  .................  X                 Assay of phenytoin,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           total.
80186..............  .................  X                 Assay of phenytoin,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           free.
80188..............  .................  X                 Assay of primidone.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80190..............  .................  X                 Assay of procainamide..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80192..............  .................  X                 Assay of procainamide..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80194..............  .................  X                 Assay of quinidine.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80196..............  .................  X                 Assay of salicylate....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80197..............  .................  X                 Assay of tacrolimus....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80198..............  .................  X                 Assay of theophylline..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80200..............  .................  X                 Assay of tobramycin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80201..............  .................  X                 Assay of topiramate....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80202..............  .................  X                 Assay of vancomycin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80299..............  .................  X                 Quantitative assay,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           drug.
80400..............  .................  X                 Acth stimulation panel.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80402..............  .................  X                 Acth stimulation panel.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80406..............  .................  X                 Acth stimulation panel.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80408..............  .................  X                 Aldosterone suppression       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           eval.
80410..............  .................  X                 Calcitonin stimul panel       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80412..............  .................  X                 CRH stimulation panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80414..............  .................  X                 Testosterone response..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80415..............  .................  X                 Estradiol response            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80416..............  .................  X                 Renin stimulation panel       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80417..............  .................  X                 Renin stimulation panel       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80418..............  .................  X                 Pituitary evaluation          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80420..............  .................  X                 Dexamethasone panel....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80422..............  .................  X                 Glucagon tolerance            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80424..............  .................  X                 Glucagon tolerance            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80426..............  .................  X                 Gonadotropin hormone          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80428..............  .................  X                 Growth hormone panel...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80430..............  .................  X                 Growth hormone panel...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80432..............  .................  X                 Insulin suppression           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           panel.
80434..............  .................  X                 Insulin tolerance panel       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80435..............  .................  X                 Insulin tolerance panel       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80436..............  .................  X                 Metyrapone panel.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80438..............  .................  X                 TRH stimulation panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80439..............  .................  X                 TRH stimulation panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80440..............  .................  X                 TRH stimulation panel..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
80500..............  .................  A                 Lab pathology                 0.37      0.17      0.19      0.01      0.55      0.57       XXX
                                                           consultation.
80502..............  .................  A                 Lab pathology                 1.33      0.61      0.64      0.05      1.99      2.02       XXX
                                                           consultation.
81000..............  .................  X                 Urinalysis, nonauto w/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           scope.
81001..............  .................  X                 Urinalysis, auto w/           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           scope.

[[Page 40503]]

 
81002..............  .................  X                 Urinalysis nonauto w/o        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           scope.
81003..............  .................  X                 Urinalysis, auto, w/o         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           scope.
81005..............  .................  X                 Urinalysis.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
81007..............  .................  X                 Urine screen for              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bacteria.
81015..............  .................  X                 Microscopic exam of           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urine.
81020..............  .................  X                 Urinalysis, glass test.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
81025..............  .................  X                 Urine pregnancy test...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
81050..............  .................  X                 Urinalysis, volume            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           measure.
81099..............  .................  X                 Urinalysis test               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
82000..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acetaldehyde.
82003..............  .................  X                 Assay of acetaminophen.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82009..............  .................  X                 Test for acetone/             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ketones.
82010..............  .................  X                 Acetone assay..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82013..............  .................  X                 Acetylcholinesterase          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           assay.
82016..............  .................  X                 Acylcarnitines, qual...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82017..............  .................  X                 Acylcarnitines, quant..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82024..............  .................  X                 Assay of acth..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82030..............  .................  X                 Assay of adp & amp.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82040..............  .................  X                 Assay of serum albumin.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82042..............  .................  X                 Assay of urine albumin.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82043..............  .................  X                 Microalbumin,                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quantitative.
82044..............  .................  X                 Microalbumin, semiquant       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82055..............  .................  X                 Assay of ethanol.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82075..............  .................  X                 Assay of breath ethanol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82085..............  .................  X                 Assay of aldolase......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82088..............  .................  X                 Assay of aldosterone...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82101..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           alkaloids.
82103..............  .................  X                 Alpha-1-antitrypsin,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           total.
82104..............  .................  X                 Alpha-1-antitrypsin,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pheno.
82105..............  .................  X                 Alpha-fetoprotein,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           serum.
82106..............  .................  X                 Alpha-fetoprotein,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           amniotic.
82108..............  .................  X                 Assay of aluminum......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82120..............  .................  X                 Amines, vaginal fluid         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           qual.
82127..............  .................  X                 Amino acid, single qual       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82128..............  .................  X                 Amino acids, mult qual.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82131..............  .................  X                 Amino acids, single           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
82135..............  .................  X                 Assay, aminolevulinic         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
82136..............  .................  X                 Amino acids, quant, 2-5       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82139..............  .................  X                 Amino acids, quan, 6 or       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           more.
82140..............  .................  X                 Assay of ammonia.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82143..............  .................  X                 Amniotic fluid scan....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82145..............  .................  X                 Assay of amphetamines..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82150..............  .................  X                 Assay of amylase.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82154..............  .................  X                 Androstanediol                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           glucuronide.
82157..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           androstenedione.
82160..............  .................  X                 Assay of androsterone..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82163..............  .................  X                 Assay of angiotensin II       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82164..............  .................  X                 Angiotensin I enzyme          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
82172..............  .................  X                 Assay of apolipoprotein       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82175..............  .................  X                 Assay of arsenic.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82180..............  .................  X                 Assay of ascorbic acid.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82190..............  .................  X                 Atomic absorption......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82205..............  .................  X                 Assay of barbiturates..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82232..............  .................  X                 Assay of beta-2 protein       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82239..............  .................  X                 Bile acids, total......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82240..............  .................  X                 Bile acids,                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cholylglycine.
82247..............  .................  X                 Bilirubin, total.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82248..............  .................  X                 Bilirubin, direct......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82252..............  .................  X                 Fecal bilirubin test...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82261..............  .................  X                 Assay of biotinidase...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82270..............  .................  X                 Test for blood, feces..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82273..............  .................  X                 Test for blood, other         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           source.
82286..............  .................  X                 Assay of bradykinin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82300..............  .................  X                 Assay of cadmium.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82306..............  .................  X                 Assay of vitamin D.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82307..............  .................  X                 Assay of vitamin D.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82308..............  .................  X                 Assay of calcitonin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82310..............  .................  X                 Assay of calcium.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82330..............  .................  X                 Assay of calcium.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82331..............  .................  X                 Calcium infusion test..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82340..............  .................  X                 Assay of calcium in           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urine.
82355..............  .................  X                 Calculus (stone)              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           analysis.
82360..............  .................  X                 Calculus (stone) assay.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82365..............  .................  X                 Calculus (stone) assay.       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40504]]

 
82370..............  .................  X                 X-ray assay, calculus..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82373..............  .................  X                 Assay, c-d transfer           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           measure.
82374..............  .................  X                 Assay, blood carbon           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dioxide.
82375..............  .................  X                 Assay, blood carbon           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           monoxide.
82376..............  .................  X                 Test for carbon               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           monoxide.
82378..............  .................  X                 Carcinoembryonic              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antigen.
82379..............  .................  X                 Assay of carnitine.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82380..............  .................  X                 Assay of carotene......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82382..............  .................  X                 Assay, urine                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           catecholamines.
82383..............  .................  X                 Assay, blood                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           catecholamines.
82384..............  .................  X                 Assay, three                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           catecholamines.
82387..............  .................  X                 Assay of cathepsin-d...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82390..............  .................  X                 Assay of ceruloplasmin.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82397..............  .................  X                 Chemiluminescent assay.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82415..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chloramphenicol.
82435..............  .................  X                 Assay of blood chloride       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82436..............  .................  X                 Assay of urine chloride       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82438..............  .................  X                 Assay, other fluid            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chlorides.
82441..............  .................  X                 Test for                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chlorohydrocarbons.
82465..............  .................  X                 Assay, bld/serum              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cholesterol.
82480..............  .................  X                 Assay, serum                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cholinesterase.
82482..............  .................  X                 Assay, rbc                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cholinesterase.
82485..............  .................  X                 Assay, chondroitin            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sulfate.
82486..............  .................  X                 Gas/liquid                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chromatography.
82487..............  .................  X                 Paper chromatography...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82488..............  .................  X                 Paper chromatography...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82489..............  .................  X                 Thin layer                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chromatography.
82491..............  .................  X                 Chromotography, quant,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sing.
82492..............  .................  X                 Chromotography, quant,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mult.
82495..............  .................  X                 Assay of chromium......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82507..............  .................  X                 Assay of citrate.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82520..............  .................  X                 Assay of cocaine.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82523..............  .................  X                 Collagen crosslinks....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82525..............  .................  X                 Assay of copper........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82528..............  .................  X                 Assay of corticosterone       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82530..............  .................  X                 Cortisol, free.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82533..............  .................  X                 Total cortisol.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82540..............  .................  X                 Assay of creatine......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82541..............  .................  X                 Column chromotography,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           qual.
82542..............  .................  X                 Column chromotography,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
82543..............  .................  X                 Column chromotograph/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           isotope.
82544..............  .................  X                 Column chromotograph/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           isotope.
82550..............  .................  X                 Assay of ck (cpk)......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82552..............  .................  X                 Assay of cpk in blood..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82553..............  .................  X                 Creatine, MB fraction..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82554..............  .................  X                 Creatine, isoforms.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82565..............  .................  X                 Assay of creatinine....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82570..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           creatinine.
82575..............  .................  X                 Creatinine clearance          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
82585..............  .................  X                 Assay of cryofibrinogen       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82595..............  .................  X                 Assay of cryoglobulin..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82600..............  .................  X                 Assay of 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 of dibucaine            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           number.
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                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dihydrotestosterone.
82652..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dihydroxyvitamin d.
82654..............  .................  X                 Assay of dimethadione..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82657..............  .................  X                 Enzyme cell activity...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82658..............  .................  X                 Enzyme cell activity,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ra.
82664..............  .................  X                 Electrophoretic test...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82666..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           epiandrosterone.
82668..............  .................  X                 Assay of erythropoietin       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82670..............  .................  X                 Assay of estradiol.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82671..............  .................  X                 Assay of estrogens.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82672..............  .................  X                 Assay of estrogen......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82677..............  .................  X                 Assay of estriol.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40505]]

 
82679..............  .................  X                 Assay of estrone.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82690..............  .................  X                 Assay of ethchlorvynol.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82693..............  .................  X                 Assay of ethylene             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           glycol.
82696..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           etiocholanolone.
82705..............  .................  X                 Fats/lipids, feces,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           qual.
82710..............  .................  X                 Fats/lipids, feces,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
82715..............  .................  X                 Assay of fecal fat.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82725..............  .................  X                 Assay of blood fatty          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acids.
82726..............  .................  X                 Long chain fatty acids.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82728..............  .................  X                 Assay of ferritin......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82731..............  .................  X                 Assay of fetal                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fibronectin.
82735..............  .................  X                 Assay of 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                 Assay of folic acid,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rbc.
82757..............  .................  X                 Assay of semen fructose       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82759..............  .................  X                 Assay of rbc                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           galactokinase.
82760..............  .................  X                 Assay of 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 of gammaglobulin        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           igm.
82785..............  .................  X                 Assay of gammaglobulin        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ige.
82787..............  .................  X                 Igg 1, 2, 3 or 4, each.       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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           only.
82820..............  .................  X                 Hemoglobin-oxygen             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           affinity.
82926..............  .................  X                 Assay of gastric acid..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82928..............  .................  X                 Assay of 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
82945..............  .................  X                 Glucose other fluid....       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, glucose, blood         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
82955..............  .................  X                 Assay of 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                 Assay of glucosidase...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82965..............  .................  X                 Assay of gdh enzyme....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
82975..............  .................  X                 Assay of 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                 Assay of glutathione...       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
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).
83008..............  .................  X                 Assay of guanosine.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83010..............  .................  X                 Assay of haptoglobin,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
83012..............  .................  X                 Assay of haptoglobins..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83013..............  .................  X                 H pylori analysis......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83014..............  .................  X                 H pylori drug admin/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           collect.
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.
83020..............  .................  X                 Hemoglobin                   +0.00      0.16      0.16      0.00      0.16      0.16       XXX
                                                           electrophoresis.
83020..............  26                 A                 Hemoglobin                    0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           electrophoresis.
83021..............  .................  X                 Hemoglobin                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chromotography.
83026..............  .................  X                 Hemoglobin, copper            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sulfate.
83030..............  .................  X                 Fetal hemoglobin,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           chemical.
83033..............  .................  X                 Fetal hemoglobin assay,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           qual.
83036..............  .................  X                 Glycated hemoglobin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
83045..............  .................  X                 Blood methemoglobin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
83050..............  .................  X                 Blood methemoglobin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           assay.
83051..............  .................  X                 Assay of plasma               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hemoglobin.
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.

[[Page 40506]]

 
83065..............  .................  X                 Assay of hemoglobin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           heat.
83068..............  .................  X                 Hemoglobin stability          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           screen.
83069..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hemoglobin.
83070..............  .................  X                 Assay of hemosiderin,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           qual.
83071..............  .................  X                 Assay of hemosiderin,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
83080..............  .................  X                 Assay of b                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hexosaminidase.
83088..............  .................  X                 Assay of histamine.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83090..............  .................  X                 Assay of homocystine...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83150..............  .................  X                 Assay of for hva.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83491..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           corticosteroids.
83497..............  .................  X                 Assay of 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,                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nonantibody.
83518..............  .................  X                 Immunoassay, dipstick..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83519..............  .................  X                 Immunoassay,                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nonantibody.
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 of intrinsic            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           factor.
83540..............  .................  X                 Assay of 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 of idh enzyme....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83582..............  .................  X                 Assay of ketogenic            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           steroids.
83586..............  .................  X                 Assay 17- ketosteroids.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83593..............  .................  X                 Fractionation,                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ketosteroids.
83605..............  .................  X                 Assay of lactic acid...       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 of 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 of urine for            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lactose.
83655..............  .................  X                 Assay of lead..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83661..............  .................  X                 L/s ratio, fetal lung..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83662..............  .................  X                 Foam stability, fetal         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lung.
83663..............  .................  X                 Fluoro polarize, fetal        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lung.
83664..............  .................  X                 Lamellar bdy, fetal           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lung.
83670..............  .................  X                 Assay of lap enzyme....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83690..............  .................  X                 Assay of lipase........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83715..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipoproteins.
83716..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipoproteins.
83718..............  .................  X                 Assay of lipoprotein...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83719..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipoprotein.
83721..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipoprotein.
83727..............  .................  X                 Assay of lrh hormone...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83735..............  .................  X                 Assay of 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
83788..............  .................  X                 Mass spectrometry qual.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83789..............  .................  X                 Mass spectrometry quant       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 of mercury.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83835..............  .................  X                 Assay of metanephrines.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83840..............  .................  X                 Assay of methadone.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83857..............  .................  X                 Assay of methemalbumin.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83858..............  .................  X                 Assay of 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 of csf protein...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83874..............  .................  X                 Assay of myoglobin.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83883..............  .................  X                 Assay, nephelometry not       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           spec.
83885..............  .................  X                 Assay of nickel........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83887..............  .................  X                 Assay of nicotine......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83890..............  .................  X                 Molecule isolate.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83891..............  .................  X                 Molecule isolate              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nucleic.
83892..............  .................  X                 Molecular diagnostics..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83893..............  .................  X                 Molecule dot/slot/blot.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83894..............  .................  X                 Molecule gel                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           electrophor.
83896..............  .................  X                 Molecular diagnostics..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83897..............  .................  X                 Molecule nucleic              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transfer.
83898..............  .................  X                 Molecule nucleic ampli.       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40507]]

 
83901..............  .................  X                 Molecule nucleic ampli.       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
83903..............  .................  X                 Molecule mutation scan.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83904..............  .................  X                 Molecule mutation             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           identify.
83905..............  .................  X                 Molecule mutation             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           identify.
83906..............  .................  X                 Molecule mutation             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           identify.
83912..............  .................  X                 Genetic examination....      +0.00      0.16      0.16      0.00      0.16      0.16       XXX
83912..............  26                 A                 Genetic examination....       0.37      0.16      0.16      0.01      0.54      0.54       XXX
83915..............  .................  X                 Assay of 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                 Organic acids, total,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
83919..............  .................  X                 Organic acids, qual,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
83921..............  .................  X                 Organic acid, single,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
83925..............  .................  X                 Assay of opiates.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83930..............  .................  X                 Assay of blood                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           osmolality.
83935..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           osmolality.
83937..............  .................  X                 Assay of osteocalcin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
83945..............  .................  X                 Assay of 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 of body fluid           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acidity.
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 of blood pku.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84035..............  .................  X                 Assay of 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 of rbc pg6d             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           enzyme.
84087..............  .................  X                 Assay phosphohexose           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           enzymes.
84100..............  .................  X                 Assay of phosphorus....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84105..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           phosphorus.
84106..............  .................  X                 Test for                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphobilinogen.
84110..............  .................  X                 Assay of                      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphobilinogen.
84119..............  .................  X                 Test urine for                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphyrins.
84120..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphyrins.
84126..............  .................  X                 Assay of feces                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphyrins.
84127..............  .................  X                 Assay of feces                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           porphyrins.
84132..............  .................  X                 Assay of serum                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           potassium.
84133..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           potassium.
84134..............  .................  X                 Assay of prealbumin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84135..............  .................  X                 Assay of pregnanediol..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84138..............  .................  X                 Assay of pregnanetriol.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84140..............  .................  X                 Assay of pregnenolone..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84143..............  .................  X                 Assay of 17-                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydroxypregneno.
84144..............  .................  X                 Assay of progesterone..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84146..............  .................  X                 Assay of 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
84152..............  .................  X                 Assay of psa, complexed       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84153..............  .................  X                 Assay of psa, total....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84154..............  .................  X                 Assay of psa, free.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84155..............  .................  X                 Assay of protein.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84160..............  .................  X                 Assay of serum protein.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84165..............  .................  X                 Assay of serum proteins      +0.00      0.17      0.17      0.00      0.17      0.17       XXX
84165..............  26                 A                 Assay of serum proteins       0.37      0.17      0.17      0.01      0.55      0.55       XXX
84181..............  .................  X                 Western blot test......      +0.00      0.15      0.15      0.00      0.15      0.15       XXX
84181..............  26                 A                 Western blot test......       0.37      0.15      0.15      0.01      0.53      0.53       XXX
84182..............  .................  X                 Protein, western blot        +0.00      0.17      0.17      0.00      0.17      0.17       XXX
                                                           test.
84182..............  26                 A                 Protein, western blot         0.37      0.17      0.17      0.01      0.55      0.55       XXX
                                                           test.
84202..............  .................  X                 Assay RBC                     0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           protoporphyrin.
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 of vitamin b-6...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84210..............  .................  X                 Assay of pyruvate......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84220..............  .................  X                 Assay of pyruvate             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           kinase.
84228..............  .................  X                 Assay of quinine.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84233..............  .................  X                 Assay of estrogen......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84234..............  .................  X                 Assay of progesterone..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84235..............  .................  X                 Assay of endocrine            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hormone.
84238..............  .................  X                 Assay, nonendocrine           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

[[Page 40508]]

 
84252..............  .................  X                 Assay of vitamin b-2...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84255..............  .................  X                 Assay of selenium......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84260..............  .................  X                 Assay of serotonin.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84270..............  .................  X                 Assay of sex hormone          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           globul.
84275..............  .................  X                 Assay of sialic acid...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84285..............  .................  X                 Assay of silica........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84295..............  .................  X                 Assay of serum sodium..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84300..............  .................  X                 Assay of urine sodium..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84305..............  .................  X                 Assay of somatomedin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84307..............  .................  X                 Assay of 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.
84376..............  .................  X                 Sugars, single, qual...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84377..............  .................  X                 Sugars, multiple, qual.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84378..............  .................  X                 Sugars single quant....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84379..............  .................  X                 Sugars multiple quant..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84392..............  .................  X                 Assay of urine sulfate.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84402..............  .................  X                 Assay of testosterone..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84403..............  .................  X                 Assay of total                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           testosterone.
84425..............  .................  X                 Assay of vitamin b-1...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84430..............  .................  X                 Assay of thiocyanate...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84432..............  .................  X                 Assay of thyroglobulin.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84436..............  .................  X                 Assay of total                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           thyroxine.
84437..............  .................  X                 Assay of neonatal             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           thyroxine.
84439..............  .................  X                 Assay of free thyroxine       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84442..............  .................  X                 Assay of thyroid              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           activity.
84443..............  .................  X                 Assay thyroid stim            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hormone.
84445..............  .................  X                 Assay of tsi...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84446..............  .................  X                 Assay of vitamin e.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84449..............  .................  X                 Assay of transcortin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84450..............  .................  X                 Transferase (AST)             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (SGOT).
84460..............  .................  X                 Alanine amino (ALT)           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (SGPT).
84466..............  .................  X                 Assay of transferrin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84478..............  .................  X                 Assay of triglycerides.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84479..............  .................  X                 Assay of thyroid (t3 or       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           t4).
84480..............  .................  X                 Assay, triiodothyronine       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (t3).
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                 Assay of troponin,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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 of feces for            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           trypsin.
84510..............  .................  X                 Assay of tyrosine......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84512..............  .................  X                 Assay of troponin, qual       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84520..............  .................  X                 Assay of urea nitrogen.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84525..............  .................  X                 Urea nitrogen semi-           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
84540..............  .................  X                 Assay of 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 of blood/uric           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
84560..............  .................  X                 Assay of urine/uric           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
84577..............  .................  X                 Assay of feces/               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urobilinogen.
84578..............  .................  X                 Test urine urobilinogen       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84580..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urobilinogen.
84583..............  .................  X                 Assay of urine                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urobilinogen.
84585..............  .................  X                 Assay of urine vma.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84586..............  .................  X                 Assay of vip...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84588..............  .................  X                 Assay of vasopressin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84590..............  .................  X                 Assay of vitamin a.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84591..............  .................  X                 Assay of nos vitamin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84597..............  .................  X                 Assay of vitamin k.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84600..............  .................  X                 Assay of 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 of zinc..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
84681..............  .................  X                 Assay of 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

[[Page 40509]]

 
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
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
85031..............  .................  X                 Manual hemogram, cbc...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
85046..............  .................  X                 Reticyte/hgb                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           concentrate.
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      0.20      0.20      0.02      0.67      0.67       XXX
                                                           interpretation.
85095..............  .................  A                 Bone marrow aspiration.       1.08      0.44      4.57      0.03      1.55      5.68       XXX
85097..............  .................  A                 Bone marrow                   0.94      0.42      1.81      0.03      1.39      2.78       XXX
                                                           interpretation.
85102..............  .................  A                 Bone marrow biopsy.....       1.37      0.55      4.70      0.04      1.96      6.11       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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
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.
85307..............  .................  X                 Assay activated protein       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           c.
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      0.13      0.13      0.00      0.13      0.13       XXX
85390..............  26                 A                 Fibrinolysins screen...       0.37      0.13      0.13      0.01      0.51      0.51       XXX
85400..............  .................  X                 Fibrinolytic plasmin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
85410..............  .................  X                 Fibrinolytic                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antiplasmin.
85415..............  .................  X                 Fibrinolytic                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plasminogen.
85420..............  .................  X                 Fibrinolytic                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plasminogen.
85421..............  .................  X                 Fibrinolytic                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plasminogen.
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
85536..............  .................  X                 Iron stain peripheral         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           blood.

[[Page 40510]]

 
85540..............  .................  X                 Wbc alkaline                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           phosphatase.
85547..............  .................  X                 RBC mechanical                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fragility.
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      0.16      0.16      0.00      0.16      0.16       XXX
                                                           aggregation.
85576..............  26                 A                 Blood platelet                0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           aggregation.
85585..............  .................  X                 Blood platelet                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           estimation.
85590..............  .................  X                 Platelet count, manual.       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,                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nonautomated.
85652..............  .................  X                 Rbc sed rate, automated       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
86001..............  .................  X                 Allergen specific igg..       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,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           titer.
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      0.42      0.49      0.03      1.39      1.46       XXX
                                                           service.
86078..............  .................  A                 Physician blood bank          0.94      0.43      0.52      0.03      1.40      1.49       XXX
                                                           service.
86079..............  .................  A                 Physician blood bank          0.94      0.43      0.52      0.03      1.40      1.49       XXX
                                                           service.
86140..............  .................  X                 C-reactive protein.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86146..............  .................  X                 Glycoprotein antibody..       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             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (CH50).
86171..............  .................  X                 Complement fixation,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
86185..............  .................  X                 Counterimmunoelectropho       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           resis.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antibody.
86243..............  .................  X                 Fc receptor............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86255..............  .................  X                 Fluorescent antibody,        +0.00      0.17      0.17      0.00      0.17      0.17       XXX
                                                           screen.
86255..............  26                 A                 Fluorescent antibody,         0.37      0.17      0.17      0.01      0.55      0.55       XXX
                                                           screen.
86256..............  .................  X                 Fluorescent antibody,        +0.00      0.17      0.17      0.00      0.17      0.17       XXX
                                                           titer.
86256..............  26                 A                 Fluorescent antibody,         0.37      0.17      0.17      0.01      0.55      0.55       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.
86294..............  .................  X                 Immunoassay, tumor qual       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86300..............  .................  X                 Immunoassay, tumor ca         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           15-3.
86301..............  .................  X                 Immunoassay, tumor, ca        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           19-9.
86304..............  .................  X                 Immunoassay, tumor ca         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           125.
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
86316..............  .................  X                 Immunoassay, tumor            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           other.
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.
86320..............  .................  X                 Serum                        +0.00      0.16      0.17      0.00      0.16      0.17       XXX
                                                           immunoelectrophoresis.

[[Page 40511]]

 
86320..............  26                 A                 Serum                         0.37      0.16      0.17      0.01      0.54      0.55       XXX
                                                           immunoelectrophoresis.
86325..............  .................  X                 Other                        +0.00      0.16      0.16      0.00      0.16      0.16       XXX
                                                           immunoelectrophoresis.
86325..............  26                 A                 Other                         0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           immunoelectrophoresis.
86327..............  .................  X                 Immunoelectrophoresis        +0.00      0.19      0.19      0.00      0.19      0.19       XXX
                                                           assay.
86327..............  26                 A                 Immunoelectrophoresis         0.42      0.19      0.19      0.01      0.62      0.62       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               +0.00      0.17      0.17      0.00      0.17      0.17       XXX
                                                           procedure.
86334..............  26                 A                 Immunofixation                0.37      0.17      0.17      0.01      0.55      0.55       XXX
                                                           procedure.
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,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
86485..............  .................  C                 Skin test, candida.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86490..............  .................  A                 Coccidioidomycosis skin       0.00        NA      0.29      0.02        NA      0.31       XXX
                                                           test.
86510..............  .................  A                 Histoplasmosis skin           0.00        NA      0.31      0.02        NA      0.33       XXX
                                                           test.
86580..............  .................  A                 TB intradermal test....       0.00        NA      0.25      0.02        NA      0.27       XXX
86585..............  .................  A                 TB tine test...........       0.00        NA      0.20      0.01        NA      0.21       XXX
86586..............  .................  C                 Skin test, unlisted....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
86611..............  .................  X                 Bartonella 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
86666..............  .................  X                 Ehrlichia 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
                                                           antibody.
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
86683..............  .................  X                 Hemoglobin, fecal             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antibody.
86684..............  .................  X                 Hemophilus influenza...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86687..............  .................  X                 Htlv-i antibody........       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40512]]

 
86688..............  .................  X                 Htlv-ii antibody.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
86696..............  .................  X                 Herpes simplex type 2..       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 antibody,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           total.
86705..............  .................  X                 Hep b core antibody,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           igm.
86706..............  .................  X                 Hep b surface antibody.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86707..............  .................  X                 Hep be antibody........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86708..............  .................  X                 Hep a antibody, total..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86709..............  .................  X                 Hep a antibody, 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
                                                           antibody.
86713..............  .................  X                 Legionella antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86717..............  .................  X                 Leishmania antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86720..............  .................  X                 Leptospira antibody....       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
                                                           ab.
86727..............  .................  X                 Lymph choriomeningitis        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ab.
86729..............  .................  X                 Lympho venereum               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antibody.
86732..............  .................  X                 Mucormycosis antibody..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86735..............  .................  X                 Mumps antibody.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86738..............  .................  X                 Mycoplasma antibody....       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 antibody......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86747..............  .................  X                 Parvovirus antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86750..............  .................  X                 Malaria antibody.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86753..............  .................  X                 Protozoa antibody nos..       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
                                                           antibody.
86757..............  .................  X                 Rickettsia antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86759..............  .................  X                 Rotavirus antibody.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86762..............  .................  X                 Rubella antibody.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86765..............  .................  X                 Rubeola antibody.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86768..............  .................  X                 Salmonella antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86771..............  .................  X                 Shigella antibody......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86774..............  .................  X                 Tetanus antibody.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86777..............  .................  X                 Toxoplasma antibody....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86778..............  .................  X                 Toxoplasma antibody,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           igm.
86781..............  .................  X                 Treponema pallidum,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           confirm.
86784..............  .................  X                 Trichinella antibody...       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
                                                           antibody.
86790..............  .................  X                 Virus antibody nos.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
86793..............  .................  X                 Yersinia antibody......       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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           assay.
86806..............  .................  X                 Lymphocytotoxicity            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           assay.
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              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           process.
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.

[[Page 40513]]

 
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/stem cell         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prep.
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                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inoculation.
87003..............  .................  X                 Small animal                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inoculation.
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, bacteria       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87046..............  .................  X                 Stool cultr, bacteria,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
87070..............  .................  X                 Culture, bacteria,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           other.
87071..............  .................  X                 Culture bacteri aerobic       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           othr.
87073..............  .................  X                 Culture bacteria              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           anaerobic.
87075..............  .................  X                 Culture bacteria              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           anaerobic.
87076..............  .................  X                 Culture anaerobe ident,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
87077..............  .................  X                 Culture aerobic               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           identify.
87081..............  .................  X                 Culture screen only....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87084..............  .................  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.
87088..............  .................  X                 Urine bacteria culture.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87101..............  .................  X                 Skin fungi culture.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87102..............  .................  X                 Fungus isolation              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           culture.
87103..............  .................  X                 Blood fungus culture...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87106..............  .................  X                 Fungi identification,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           yeast.
87107..............  .................  X                 Fungi identification,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mold.
87109..............  .................  X                 Mycoplasma.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87110..............  .................  X                 Chlamydia culture......       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
87118..............  .................  X                 Mycobacteric                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           identification.
87140..............  .................  X                 Cultur type                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           immunofluoresc.
87143..............  .................  X                 Culture typing, glc/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hplc.
87147..............  .................  X                 Culture type,                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           immunologic.
87149..............  .................  X                 Culture type, nucleic         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
87152..............  .................  X                 Culture type pulse            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           field gel.
87158..............  .................  X                 Culture typing, added         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           method.
87164..............  .................  X                 Dark field examination.      +0.00      0.17      0.18      0.00      0.17      0.18       XXX
87164..............  26                 A                 Dark field examination.       0.37      0.17      0.18      0.01      0.55      0.56       XXX
87166..............  .................  X                 Dark field examination.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87168..............  .................  X                 Macroscopic exam              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           arthropod.
87169..............  .................  X                 Macacroscopic exam            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           parasite.
87172..............  .................  X                 Pinworm exam...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87176..............  .................  X                 Tissue homogenization,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cultr.
87177..............  .................  X                 Ova and parasites             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           smears.
87181..............  .................  X                 Microbe susceptible,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           diffuse.
87184..............  .................  X                 Microbe susceptible,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disk.
87185..............  .................  X                 Microbe susceptible,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           enzyme.
87186..............  .................  X                 Microbe susceptible,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mic.
87187..............  .................  X                 Microbe susceptible,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mlc.
87188..............  .................  X                 Microbe suscept,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           macrobroth.
87190..............  .................  X                 Microbe suscept,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mycobacteri.
87197..............  .................  X                 Bactericidal level,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           serum.
87205..............  .................  X                 Smear, gram stain......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87206..............  .................  X                 Smear, fluorescent/acid       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           stai.
87207..............  .................  X                 Smear, special stain...      +0.00      0.17      0.17      0.00      0.17      0.17       XXX

[[Page 40514]]

 
87207..............  26                 A                 Smear, special stain...       0.37      0.17      0.17      0.01      0.55      0.55       XXX
87210..............  .................  X                 Smear, wet mount,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           saline/ink.
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 inoculate, eggs/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           animal.
87252..............  .................  X                 Virus inoculation,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tissue.
87253..............  .................  X                 Virus inoculate tissue,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           addl.
87254..............  .................  X                 Virus inoculation,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           shell via.
87260..............  .................  X                 Adenovirus ag, if......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87265..............  .................  X                 Pertussis ag, if.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87270..............  .................  X                 Chlamydia trachomatis         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, if.
87272..............  .................  X                 Cryptosporidum/gardia         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, if.
87273..............  .................  X                 Herpes simplex 2, ag,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
87274..............  .................  X                 Herpes simplex 1, ag,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
87275..............  .................  X                 Influenza b, ag, if....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87276..............  .................  X                 Influenza a, ag, if....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87277..............  .................  X                 Legionella micdadei,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, if.
87278..............  .................  X                 Legion pneumophilia ag,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
87279..............  .................  X                 Parainfluenza, ag, if..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87280..............  .................  X                 Respiratory syncytial         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, if.
87281..............  .................  X                 Pneumocystis carinii,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, if.
87283..............  .................  X                 Rubeola, ag, if........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87285..............  .................  X                 Treponema pallidum, ag,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
87290..............  .................  X                 Varicella zoster, ag,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
87299..............  .................  X                 Antibody detection,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nos, if.
87300..............  .................  X                 Ag detection, polyval,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           if.
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
87327..............  .................  X                 Cryptococcus neoform          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, eia.
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
87336..............  .................  X                 Entamoeb hist dispr,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, eia.
87337..............  .................  X                 Entamoeb hist group,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, eia.
87338..............  .................  X                 Hpylori, stool, eia....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
87339..............  .................  X                 Hpylori 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.
87341..............  .................  X                 Hepatitis b surface,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ag, eia.
87350..............  .................  X                 Hepatitis be 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
87400..............  .................  X                 Influenza a/b, 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
87427..............  .................  X                 Shiga-like toxin ag,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           eia.
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,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mult.
87450..............  .................  X                 Ag detect nos, eia,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           single.
87451..............  .................  X                 Ag detect polyval, eia,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mult.
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           probe.
87476..............  .................  X                 Lyme dis, dna, amp            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           probe.
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,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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.

[[Page 40515]]

 
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,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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
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,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           quant.
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.
87800..............  .................  X                 Detect agnt mult, dna,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direc.
87801..............  .................  X                 Detect agnt mult, dna,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ampli.
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
87901..............  .................  X                 Genotype, dna, hiv            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           reverse t.
87903..............  .................  X                 Phenotype, dna hiv w/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           culture.
87904..............  .................  X                 Phenotype, dna hiv w/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           clt add.
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        NA      0.81      0.04        NA      1.41       XXX

[[Page 40516]]

 
88104..............  26                 A                 Cytopathology, fluids..       0.56      0.26      0.26      0.02      0.84      0.84       XXX
88104..............  TC                 A                 Cytopathology, fluids..       0.00        NA      0.55      0.02        NA      0.57       XXX
88106..............  .................  A                 Cytopathology, fluids..       0.56        NA      0.55      0.04        NA      1.15       XXX
88106..............  26                 A                 Cytopathology, fluids..       0.56      0.26      0.26      0.02      0.84      0.84       XXX
88106..............  TC                 A                 Cytopathology, fluids..       0.00        NA      0.29      0.02        NA      0.31       XXX
88107..............  .................  A                 Cytopathology, fluids..       0.76        NA      0.89      0.05        NA      1.70       XXX
88107..............  26                 A                 Cytopathology, fluids..       0.76      0.35      0.35      0.03      1.14      1.14       XXX
88107..............  TC                 A                 Cytopathology, fluids..       0.00        NA      0.54      0.02        NA      0.56       XXX
88108..............  .................  A                 Cytopath, concentrate         0.56        NA      0.72      0.04        NA      1.32       XXX
                                                           tech.
88108..............  26                 A                 Cytopath, concentrate         0.56      0.26      0.26      0.02      0.84      0.84       XXX
                                                           tech.
88108..............  TC                 A                 Cytopath, concentrate         0.00        NA      0.46      0.02        NA      0.48       XXX
                                                           tech.
88125..............  .................  A                 Forensic cytopathology.       0.26        NA      0.33      0.02        NA      0.61       XXX
88125..............  26                 A                 Forensic cytopathology.       0.26      0.12      0.12      0.01      0.39      0.39       XXX
88125..............  TC                 A                 Forensic cytopathology.       0.00        NA      0.21      0.01        NA      0.22       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, c/v,                0.42      0.19      0.19      0.01      0.62      0.62       XXX
                                                           interpret.
88142..............  .................  X                 Cytopath, c/v, thin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           layer.
88143..............  .................  X                 Cytopath c/v thin layer       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           redo.
88144..............  .................  X                 Cytopath, c/v thin lyr        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           redo.
88145..............  .................  X                 Cytopath, c/v thin lyr        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sel.
88147..............  .................  X                 Cytopath, c/v,                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           automated.
88148..............  .................  X                 Cytopath, c/v, auto           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rescreen.
88150..............  .................  X                 Cytopath, c/v, manual..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88152..............  .................  X                 Cytopath, c/v, auto           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           redo.
88153..............  .................  X                 Cytopath, c/v, redo....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88154..............  .................  X                 Cytopath, c/v, select..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88155..............  .................  X                 Cytopath, c/v, index          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           add-on.
88160..............  .................  A                 Cytopath smear, other         0.50        NA      0.98      0.04        NA      1.52       XXX
                                                           source.
88160..............  26                 A                 Cytopath smear, other         0.50      0.23      0.23      0.02      0.75      0.75       XXX
                                                           source.
88160..............  TC                 A                 Cytopath smear, other         0.00        NA      0.75      0.02        NA      0.77       XXX
                                                           source.
88161..............  .................  A                 Cytopath smear, other         0.50        NA      0.99      0.04        NA      1.53       XXX
                                                           source.
88161..............  26                 A                 Cytopath smear, other         0.50      0.23      0.23      0.02      0.75      0.75       XXX
                                                           source.
88161..............  TC                 A                 Cytopath smear, other         0.00        NA      0.76      0.02        NA      0.78       XXX
                                                           source.
88162..............  .................  A                 Cytopath smear, other         0.76        NA      0.84      0.05        NA      1.65       XXX
                                                           source.
88162..............  26                 A                 Cytopath smear, other         0.76      0.35      0.35      0.03      1.14      1.14       XXX
                                                           source.
88162..............  TC                 A                 Cytopath smear, other         0.00        NA      0.49      0.02        NA      0.51       XXX
                                                           source.
88164..............  .................  X                 Cytopath tbs, c/v,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           manual.
88165..............  .................  X                 Cytopath tbs, c/v, redo       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88166..............  .................  X                 Cytopath tbs, c/v, auto       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           redo.
88167..............  .................  X                 Cytopath tbs, c/v,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           select.
88170..............  .................  A                 Fine needle aspiration.       1.27        NA      0.89      0.10        NA      2.26       XXX
88170..............  26                 A                 Fine needle aspiration.       1.27      0.55      0.55      0.07      1.89      1.89       XXX
88170..............  TC                 A                 Fine needle aspiration.       0.00        NA      0.34      0.03        NA      0.37       XXX
88171..............  .................  A                 Fine needle aspiration.       1.27        NA      0.73      0.08        NA      2.08       XXX
88171..............  26                 A                 Fine needle aspiration.       1.27      0.50      0.50      0.05      1.82      1.82       XXX
88171..............  TC                 A                 Fine needle aspiration.       0.00        NA      0.23      0.03        NA      0.26       XXX
88172..............  .................  A                 Cytopathology eval of         0.60        NA      1.12      0.04        NA      1.76       XXX
                                                           fna.
88172..............  26                 A                 Cytopathology eval of         0.60      0.27      0.27      0.02      0.89      0.89       XXX
                                                           fna.
88172..............  TC                 A                 Cytopathology eval of         0.00        NA      0.85      0.02        NA      0.87       XXX
                                                           fna.
88173..............  .................  A                 Cytopath eval, fna,           1.39        NA      1.35      0.07        NA      2.81       XXX
                                                           report.
88173..............  26                 A                 Cytopath eval, fna,           1.39      0.63      0.63      0.05      2.07      2.07       XXX
                                                           report.
88173..............  TC                 A                 Cytopath eval, fna,           0.00        NA      0.72      0.02        NA      0.74       XXX
                                                           report.
88180..............  .................  A                 Cell marker study......       0.36        NA      0.67      0.03        NA      1.06       XXX
88180..............  26                 A                 Cell marker study......       0.36      0.16      0.16      0.01      0.53      0.53       XXX
88180..............  TC                 A                 Cell marker study......       0.00        NA      0.51      0.02        NA      0.53       XXX
88182..............  .................  A                 Cell marker study......       0.77        NA      1.74      0.06        NA      2.57       XXX
88182..............  26                 A                 Cell marker study......       0.77      0.35      0.35      0.03      1.15      1.15       XXX
88182..............  TC                 A                 Cell marker study......       0.00        NA      1.39      0.03        NA      1.42       XXX
88199..............  .................  C                 Cytopathology procedure       0.00        NA      0.00      0.00        NA      0.00       XXX
88199..............  26                 C                 Cytopathology procedure       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88199..............  TC                 C                 Cytopathology procedure       0.00        NA      0.00      0.00        NA      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,               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           placenta.
88237..............  .................  X                 Tissue culture, bone          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           marrow.
88239..............  .................  X                 Tissue culture, tumor..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88240..............  .................  X                 Cell cryopreserve/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           storage.
88241..............  .................  X                 Frozen cell preparation       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88245..............  .................  X                 Chromosome analysis, 20-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           25.
88248..............  .................  X                 Chromosome analysis, 50-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100.
88249..............  .................  X                 Chromosome analysis,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100.
88261..............  .................  X                 Chromosome analysis, 5.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88262..............  .................  X                 Chromosome analysis, 15-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           20.

[[Page 40517]]

 
88263..............  .................  X                 Chromosome analysis, 45       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88264..............  .................  X                 Chromosome analysis, 20-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           25.
88267..............  .................  X                 Chromosome analys,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           placenta.
88269..............  .................  X                 Chromosome analys,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           amniotic.
88271..............  .................  X                 Cytogenetics, dna probe       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88272..............  .................  X                 Cytogenetics, 3-5......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88273..............  .................  X                 Cytogenetics, 10-30....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88274..............  .................  X                 Cytogenetics, 25-99....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88275..............  .................  X                 Cytogenetics, 100-300..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88280..............  .................  X                 Chromosome karyotype          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           study.
88283..............  .................  X                 Chromosome banding            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           study.
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.
88291..............  .................  A                 Cyto/molecular report..       0.52      0.23      0.23      0.02      0.77      0.77       XXX
88299..............  .................  C                 Cytogenetic study......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
88300..............  .................  A                 Surgical path, gross...       0.08        NA      0.44      0.02        NA      0.54       XXX
88300..............  26                 A                 Surgical path, gross...       0.08      0.04      0.04      0.01      0.13      0.13       XXX
88300..............  TC                 A                 Surgical path, gross...       0.00        NA      0.40      0.01        NA      0.41       XXX
88302..............  .................  A                 Tissue exam by                0.13        NA      1.12      0.03        NA      1.28       XXX
                                                           pathologist.
88302..............  26                 A                 Tissue exam by                0.13      0.06      0.06      0.01      0.20      0.20       XXX
                                                           pathologist.
88302..............  TC                 A                 Tissue exam by                0.00        NA      1.06      0.02        NA      1.08       XXX
                                                           pathologist.
88304..............  .................  A                 Tissue exam by                0.22        NA      0.93      0.03        NA      1.18       XXX
                                                           pathologist.
88304..............  26                 A                 Tissue exam by                0.22      0.10      0.10      0.01      0.33      0.33       XXX
                                                           pathologist.
88304..............  TC                 A                 Tissue exam by                0.00        NA      0.83      0.02        NA      0.85       XXX
                                                           pathologist.
88305..............  .................  A                 Tissue exam by                0.75        NA      1.77      0.05        NA      2.57       XXX
                                                           pathologist.
88305..............  26                 A                 Tissue exam by                0.75      0.35      0.35      0.02      1.12      1.12       XXX
                                                           pathologist.
88305..............  TC                 A                 Tissue exam by                0.00        NA      1.42      0.03        NA      1.45       XXX
                                                           pathologist.
88307..............  .................  A                 Tissue exam by                1.59        NA      2.56      0.11        NA      4.26       XXX
                                                           pathologist.
88307..............  26                 A                 Tissue exam by                1.59      0.73      0.73      0.06      2.38      2.38       XXX
                                                           pathologist.
88307..............  TC                 A                 Tissue exam by                0.00        NA      1.83      0.05        NA      1.88       XXX
                                                           pathologist.
88309..............  .................  A                 Tissue exam by                2.28        NA      3.57      0.13        NA      5.98       XXX
                                                           pathologist.
88309..............  26                 A                 Tissue exam by                2.28      1.04      1.04      0.08      3.40      3.40       XXX
                                                           pathologist.
88309..............  TC                 A                 Tissue exam by                0.00        NA      2.53      0.05        NA      2.58       XXX
                                                           pathologist.
88311..............  .................  A                 Decalcify tissue.......       0.24        NA      0.19      0.02        NA      0.45       XXX
88311..............  26                 A                 Decalcify tissue.......       0.24      0.11      0.11      0.01      0.36      0.36       XXX
88311..............  TC                 A                 Decalcify tissue.......       0.00        NA      0.08      0.01        NA      0.09       XXX
88312..............  .................  A                 Special stains.........       0.54        NA      1.69      0.03        NA      2.26       XXX
88312..............  26                 A                 Special stains.........       0.54      0.25      0.25      0.02      0.81      0.81       XXX
88312..............  TC                 A                 Special stains.........       0.00        NA      1.44      0.01        NA      1.45       XXX
88313..............  .................  A                 Special stains.........       0.24        NA      1.16      0.02        NA      1.42       XXX
88313..............  26                 A                 Special stains.........       0.24      0.11      0.11      0.01      0.36      0.36       XXX
88313..............  TC                 A                 Special stains.........       0.00        NA      1.05      0.01        NA      1.06       XXX
88314..............  .................  A                 Histochemical stain....       0.45        NA      1.05      0.04        NA      1.54       XXX
88314..............  26                 A                 Histochemical stain....       0.45      0.20      0.20      0.02      0.67      0.67       XXX
88314..............  TC                 A                 Histochemical stain....       0.00        NA      0.85      0.02        NA      0.87       XXX
88318..............  .................  A                 Chemical histochemistry       0.42        NA      1.78      0.02        NA      2.22       XXX
88318..............  26                 A                 Chemical histochemistry       0.42      0.19      0.19      0.01      0.62      0.62       XXX
88318..............  TC                 A                 Chemical histochemistry       0.00        NA      1.59      0.01        NA      1.60       XXX
88319..............  .................  A                 Enzyme histochemistry..       0.53        NA      1.75      0.04        NA      2.32       XXX
88319..............  26                 A                 Enzyme histochemistry..       0.53      0.24      0.24      0.02      0.79      0.79       XXX
88319..............  TC                 A                 Enzyme histochemistry..       0.00        NA      1.51      0.02        NA      1.53       XXX
88321..............  .................  A                 Microslide consultation       1.30      0.59      0.62      0.04      1.93      1.96       XXX
88323..............  .................  A                 Microslide consultation       1.35        NA      2.28      0.07        NA      3.70       XXX
88323..............  26                 A                 Microslide consultation       1.35      0.62      0.62      0.05      2.02      2.02       XXX
88323..............  TC                 A                 Microslide consultation       0.00        NA      1.66      0.02        NA      1.68       XXX
88325..............  .................  A                 Comprehensive review of       2.22      0.96      0.96      0.08      3.26      3.26       XXX
                                                           data.
88329..............  .................  A                 Path consult introp....       0.67      0.31      0.41      0.02      1.00      1.10       XXX
88331..............  .................  A                 Path consult intraop, 1       1.19        NA      0.84      0.07        NA      2.10       XXX
                                                           bloc.
88331..............  26                 A                 Path consult intraop, 1       1.19      0.54      0.54      0.04      1.77      1.77       XXX
                                                           bloc.
88331..............  TC                 A                 Path consult intraop, 1       0.00        NA      0.30      0.03        NA      0.33       XXX
                                                           bloc.
88332..............  .................  A                 Path consult intraop,         0.59        NA      0.46      0.04        NA      1.09       XXX
                                                           addl.
88332..............  26                 A                 Path consult intraop,         0.59      0.27      0.27      0.02      0.88      0.88       XXX
                                                           addl.
88332..............  TC                 A                 Path consult intraop,         0.00        NA      0.19      0.02        NA      0.21       XXX
                                                           addl.
88342..............  .................  A                 Immunocytochemistry....       0.85        NA      1.37      0.05        NA      2.27       XXX
88342..............  26                 A                 Immunocytochemistry....       0.85      0.39      0.39      0.03      1.27      1.27       XXX
88342..............  TC                 A                 Immunocytochemistry....       0.00        NA      0.98      0.02        NA      1.00       XXX
88346..............  .................  A                 Immunofluorescent study       0.86        NA      1.38      0.05        NA      2.29       XXX
88346..............  26                 A                 Immunofluorescent study       0.86      0.39      0.39      0.03      1.28      1.28       XXX
88346..............  TC                 A                 Immunofluorescent study       0.00        NA      0.99      0.02        NA      1.01       XXX
88347..............  .................  A                 Immunofluorescent study       0.86        NA      1.92      0.05        NA      2.83       XXX
88347..............  26                 A                 Immunofluorescent study       0.86      0.38      0.38      0.03      1.27      1.27       XXX
88347..............  TC                 A                 Immunofluorescent study       0.00        NA      1.54      0.02        NA      1.56       XXX
88348..............  .................  A                 Electron microscopy....       1.51        NA      6.42      0.11        NA      8.04       XXX
88348..............  26                 A                 Electron microscopy....       1.51      0.68      0.68      0.05      2.24      2.24       XXX

[[Page 40518]]

 
88348..............  TC                 A                 Electron microscopy....       0.00        NA      5.74      0.06        NA      5.80       XXX
88349..............  .................  A                 Scanning electron             0.76        NA      7.92      0.08        NA      8.76       XXX
                                                           microscopy.
88349..............  26                 A                 Scanning electron             0.76      0.35      0.35      0.03      1.14      1.14       XXX
                                                           microscopy.
88349..............  TC                 A                 Scanning electron             0.00        NA      7.57      0.05        NA      7.62       XXX
                                                           microscopy.
88355..............  .................  A                 Analysis, skeletal            1.85        NA      3.96      0.12        NA      5.93       XXX
                                                           muscle.
88355..............  26                 A                 Analysis, skeletal            1.85      0.85      0.85      0.07      2.77      2.77       XXX
                                                           muscle.
88355..............  TC                 A                 Analysis, skeletal            0.00        NA      3.11      0.05        NA      3.16       XXX
                                                           muscle.
88356..............  .................  A                 Analysis, nerve........       3.02        NA      4.47      0.16        NA      7.65       XXX
88356..............  26                 A                 Analysis, nerve........       3.02      1.36      1.36      0.10      4.48      4.48       XXX
88356..............  TC                 A                 Analysis, nerve........       0.00        NA      3.11      0.06        NA      3.17       XXX
88358..............  .................  A                 Analysis, tumor........       2.82        NA      1.71      0.16        NA      4.69       XXX
88358..............  26                 A                 Analysis, tumor........       2.82      1.28      1.28      0.10      4.20      4.20       XXX
88358..............  TC                 A                 Analysis, tumor........       0.00        NA      0.43      0.06        NA      0.49       XXX
88362..............  .................  A                 Nerve teasing                 2.17        NA      1.39      0.12        NA      3.68       XXX
                                                           preparations.
88362..............  26                 A                 Nerve teasing                 2.17      0.97      0.97      0.07      3.21      3.21       XXX
                                                           preparations.
88362..............  TC                 A                 Nerve teasing                 0.00        NA      0.42      0.05        NA      0.47       XXX
                                                           preparations.
88365..............  .................  A                 Tissue hybridization...       0.93        NA      1.43      0.05        NA      2.41       XXX
88365..............  26                 A                 Tissue hybridization...       0.93      0.41      0.41      0.03      1.37      1.37       XXX
88365..............  TC                 A                 Tissue hybridization...       0.00        NA      1.02      0.02        NA      1.04       XXX
88371..............  .................  X                 Protein, western blot        +0.00      0.14      0.14      0.00      0.14      0.14       XXX
                                                           tissue.
88371..............  26                 A                 Protein, western blot         0.37      0.14      0.14      0.01      0.52      0.52       XXX
                                                           tissue.
88372..............  .................  X                 Protein analysis w/          +0.00      0.15      0.15      0.00      0.15      0.15       XXX
                                                           probe.
88372..............  26                 A                 Protein analysis w/           0.37      0.15      0.15      0.01      0.53      0.53       XXX
                                                           probe.
88399..............  .................  C                 Surgical pathology            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
88399..............  26                 C                 Surgical pathology            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
88399..............  TC                 C                 Surgical pathology            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
88400..............  .................  X                 Bilirubin total               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transcut.
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      0.17      0.17      0.00      0.17      0.17       XXX
                                                           crystals.
89060..............  26                 A                 Exam,synovial fluid           0.37      0.17      0.17      0.01      0.55      0.55       XXX
                                                           crystals.
89100..............  .................  A                 Sample intestinal             0.60      0.23      2.07      0.02      0.85      2.69       XXX
                                                           contents.
89105..............  .................  A                 Sample intestinal             0.50      0.18      2.25      0.02      0.70      2.77       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      0.13      1.92      0.02      0.60      2.39       XXX
89132..............  .................  A                 Sample stomach contents       0.19      0.08      1.82      0.01      0.28      2.02       XXX
89135..............  .................  A                 Sample stomach contents       0.79      0.28      2.11      0.03      1.10      2.93       XXX
89136..............  .................  A                 Sample stomach contents       0.21      0.08      1.39      0.01      0.30      1.61       XXX
89140..............  .................  A                 Sample stomach contents       0.94      0.27      2.24      0.03      1.24      3.21       XXX
89141..............  .................  A                 Sample stomach contents       0.85      0.35      2.76      0.03      1.23      3.64       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/             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           embryos.
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,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           embryo.
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,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           complex.
89264..............  .................  X                 Identify sperm tissue..       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
89321..............  .................  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        NA      0.40      0.02        NA      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        NA      0.45      0.02        NA      0.47       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        NA      0.00      0.00        NA      0.00       XXX
89399..............  26                 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        NA      0.00      0.00        NA      0.00       XXX
90281..............  .................  I                 Human ig, im...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90283..............  .................  I                 Human ig, iv...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90287..............  .................  I                 Botulinum antitoxin....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90288..............  .................  I                 Botulism ig, iv........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90291..............  .................  I                 Cmv ig, iv.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40519]]

 
90296..............  .................  E                 Diphtheria antitoxin...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90371..............  .................  E                 Hep b ig, im...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90375..............  .................  E                 Rabies ig, im/sc.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90376..............  .................  E                 Rabies ig, heat treated       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90378..............  .................  X                 Rsv ig, im, 50mg.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90379..............  .................  E                 Rsv ig, iv.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90384..............  .................  I                 Rh ig, full-dose, im...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90385..............  .................  E                 Rh ig, minidose, im....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90386..............  .................  I                 Rh ig, iv..............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90389..............  .................  E                 Tetanus ig, im.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90393..............  .................  E                 Vaccina ig, im.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90396..............  .................  E                 Varicella-zoster ig, im       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90399..............  .................  I                 Immune globulin........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90471..............  .................  N                 Immunization admin.....       0.00        NA      0.00      0.00        NA      0.00       XXX
90472..............  .................  N                 Immunization admin,           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           each add.
90476..............  .................  E                 Adenovirus vaccine,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           type 4.
90477..............  .................  E                 Adenovirus vaccine,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           type 7.
90581..............  .................  E                 Anthrax vaccine, sc....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90585..............  .................  E                 Bcg vaccine, percut....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90586..............  .................  E                 Bcg vaccine,                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           intravesical.
90632..............  .................  E                 Hep a vaccine, adult im       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90633..............  .................  E                 Hep a vacc, ped/adol, 2       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose.
90634..............  .................  E                 Hep a vacc, ped/adol, 3       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose.
90636..............  .................  E                 Hep a/hep b vacc, adult       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90645..............  .................  E                 Hib vaccine, hboc, im..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90646..............  .................  E                 Hib vaccine, prp-d, im.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90647..............  .................  E                 Hib vaccine, prp-omp,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90648..............  .................  E                 Hib vaccine, prp-t, im.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90657..............  .................  X                 Flu vaccine, 6-35 mo,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90658..............  .................  X                 Flu vaccine, 3 yrs, im.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90659..............  .................  X                 Flu vaccine, whole, im.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90660..............  .................  X                 Flu vaccine, nasal.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90665..............  .................  E                 Lyme disease vaccine,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90669..............  .................  N                 Pneumococcal vacc, ped5       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90675..............  .................  E                 Rabies vaccine, im.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90676..............  .................  E                 Rabies vaccine, id.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90680..............  .................  E                 Rotovirus vaccine, oral       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90690..............  .................  E                 Typhoid vaccine, oral..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90691..............  .................  E                 Typhoid vaccine, im....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90692..............  .................  E                 Typhoid vaccine, h-p,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sc/id.
90693..............  .................  E                 Typhoid vaccine, akd,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sc.
90700..............  .................  E                 Dtap vaccine, im.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90701..............  .................  E                 Dtp vaccine, im........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90702..............  .................  E                 Dt vaccine  7, im......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90703..............  .................  E                 Tetanus vaccine, im....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90704..............  .................  E                 Mumps vaccine, sc......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90705..............  .................  E                 Measles vaccine, sc....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90706..............  .................  E                 Rubella vaccine, sc....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90707..............  .................  E                 Mmr vaccine, sc........       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
                                                           vaccine, sc.
90709..............  .................  E                 Rubella & mumps               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           vaccine, sc.
90710..............  .................  E                 Mmrv vaccine, sc.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90712..............  .................  E                 Oral poliovirus vaccine       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90713..............  .................  E                 Poliovirus, ipv, sc....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90716..............  .................  E                 Chicken pox vaccine, sc       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90717..............  .................  E                 Yellow fever vaccine,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sc.
90718..............  .................  E                 Td vaccine > 7, im.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90719..............  .................  E                 Diphtheria vaccine, im.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90720..............  .................  E                 Dtp/hib vaccine, im....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90721..............  .................  E                 Dtap/hib vaccine, im...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90723..............  .................  X                 Dtap-hep b-ipv vaccine,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90725..............  .................  E                 Cholera vaccine,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injectable.
90727..............  .................  E                 Plague vaccine, im.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90732..............  .................  X                 Pneumococcal vacc,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           adult/ill.
90733..............  .................  E                 Meningococcal vaccine,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sc.
90735..............  .................  E                 Encephalitis vaccine,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sc.
90740..............  .................  X                 Hepb vacc, ill pat 3          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose im.
90743..............  .................  X                 Hep b vacc, adol, 2           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose, im.
90744..............  .................  X                 Hepb vacc ped/adol 3          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose im.
90746..............  .................  X                 Hep b vaccine, adult,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           im.
90747..............  .................  X                 Hepb vacc, ill pat 4          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose im.
90748..............  .................  E                 Hep b/hib vaccine, im..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90749..............  .................  E                 Vaccine toxoid.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
90780..............  .................  A                 IV infusion therapy, 1        0.00        NA      1.09      0.06        NA      1.15       XXX
                                                           hour.

[[Page 40520]]

 
90781..............  .................  A                 IV infusion, additional       0.00        NA      0.55      0.03        NA      0.58       ZZZ
                                                           hour.
90782..............  .................  T                 Injection, sc/im.......       0.00        NA      0.10      0.01        NA      0.11       XXX
90783..............  .................  T                 Injection, ia..........       0.00        NA      0.40      0.02        NA      0.42       XXX
90784..............  .................  T                 Injection, iv..........       0.00        NA      0.47      0.03        NA      0.50       XXX
90788..............  .................  T                 Injection of antibiotic       0.00        NA      0.11      0.01        NA      0.12       XXX
90799..............  .................  C                 Ther/prophylactic/dx          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inject.
90801..............  .................  A                 Psy dx interview.......       2.80      0.92      1.13      0.06      3.78      3.99       XXX
90802..............  .................  A                 Intac psy dx interview.       3.01      0.98      1.16      0.07      4.06      4.24       XXX
90804..............  .................  A                 Psytx, office, 20-30          1.21      0.39      0.53      0.03      1.63      1.77       XXX
                                                           min.
90805..............  .................  A                 Psytx, off, 20-30 min w/      1.37      0.44      0.59      0.03      1.84      1.99       XXX
                                                           e&m.
90806..............  .................  A                 Psytx, off, 45-50 min..       1.86      0.62      0.75      0.04      2.52      2.65       XXX
90807..............  .................  A                 Psytx, off, 45-50 min w/      2.02      0.66      0.79      0.05      2.73      2.86       XXX
                                                           e&m.
90808..............  .................  A                 Psytx, office, 75-80          2.79      0.92      1.07      0.07      3.78      3.93       XXX
                                                           min.
90809..............  .................  A                 Psytx, off, 75-80, w/         2.95      0.95      1.11      0.07      3.97      4.13       XXX
                                                           e&m.
90810..............  .................  A                 Intac psytx, off, 20-30       1.32      0.43      0.55      0.03      1.78      1.90       XXX
                                                           min.
90811..............  .................  A                 Intac psytx, 20-30, w/        1.48      0.48      0.64      0.03      1.99      2.15       XXX
                                                           e&m.
90812..............  .................  A                 Intac psytx, off, 45-50       1.97      0.65      0.81      0.05      2.67      2.83       XXX
                                                           min.
90813..............  .................  A                 Intac psytx, 45-50 min        2.13      0.70      0.87      0.05      2.88      3.05       XXX
                                                           w/e&m.
90814..............  .................  A                 Intac psytx, off, 75-80       2.90      0.95      1.17      0.07      3.92      4.14       XXX
                                                           min.
90815..............  .................  A                 Intac psytx, 75-80 w/         3.06      0.98      1.19      0.07      4.11      4.32       XXX
                                                           e&m.
90816..............  .................  A                 Psytx, hosp, 20-30 min.       1.25      0.42      0.57      0.03      1.70      1.85       XXX
90817..............  .................  A                 Psytx, hosp, 20-30 min        1.41      0.45      0.62      0.03      1.89      2.06       XXX
                                                           w/e&m.
90818..............  .................  A                 Psytx, hosp, 45-50 min.       1.89      0.64      0.79      0.04      2.57      2.72       XXX
90819..............  .................  A                 Psytx, hosp, 45-50 min        2.05      0.65      0.82      0.05      2.75      2.92       XXX
                                                           w/e&m.
90821..............  .................  A                 Psytx, hosp, 75-80 min.       2.83      0.95      1.11      0.06      3.84      4.00       XXX
90822..............  .................  A                 Psytx, hosp, 75-80 min        2.99      0.96      1.12      0.07      4.02      4.18       XXX
                                                           w/e&m.
90823..............  .................  A                 Intac psytx, hosp, 20-        1.36      0.45      0.66      0.03      1.84      2.05       XXX
                                                           30 min.
90824..............  .................  A                 Intac psytx, hsp 20-30        1.52      0.49      0.71      0.03      2.04      2.26       XXX
                                                           w/e&m.
90826..............  .................  A                 Intac psytx, hosp, 45-        2.01      0.68      0.89      0.04      2.73      2.94       XXX
                                                           50 min.
90827..............  .................  A                 Intac psytx, hsp 45-50        2.16      0.69      0.92      0.05      2.90      3.13       XXX
                                                           w/e&m.
90828..............  .................  A                 Intac psytx, hosp, 75-        2.94      1.00      1.21      0.07      4.01      4.22       XXX
                                                           80 min.
90829..............  .................  A                 Intac psytx, hsp 75-80        3.10      1.00      1.24      0.07      4.17      4.41       XXX
                                                           w/e&m.
90845..............  .................  A                 Psychoanalysis.........       1.79      0.58      0.69      0.04      2.41      2.52       XXX
90846..............  .................  R                 Family psytx w/o              1.83      0.61      0.73      0.04      2.48      2.60       XXX
                                                           patient.
90847..............  .................  R                 Family psytx w/patient.       2.21      0.74      0.86      0.05      3.00      3.12       XXX
90849..............  .................  R                 Multiple family group         0.59      0.20      0.37      0.01      0.80      0.97       XXX
                                                           psytx.
90853..............  .................  A                 Group psychotherapy....       0.59      0.20      0.35      0.01      0.80      0.95       XXX
90857..............  .................  A                 Intac group psytx......       0.63      0.21      0.36      0.02      0.86      1.01       XXX
90862..............  .................  A                 Medication management..       0.95      0.31      0.44      0.02      1.28      1.41       XXX
90865..............  .................  A                 Narcosynthesis.........       2.84      0.93      1.65      0.07      3.84      4.56       XXX
90870..............  .................  A                 Electroconvulsive             1.88      0.74      0.74      0.04      2.66      2.66       000
                                                           therapy.
90871..............  .................  A                 Electroconvulsive             2.72      1.02        NA      0.06      3.80        NA       000
                                                           therapy.
90875..............  .................  N                 Psychophysiological          +1.20      0.47      0.89      0.03      1.70      2.12       XXX
                                                           therapy.
90876..............  .................  N                 Psychophysiological          +1.90      0.75      1.17      0.04      2.69      3.11       XXX
                                                           therapy.
90880..............  .................  A                 Hypnotherapy...........       2.19      0.70      0.88      0.05      2.94      3.12       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      0.38      0.38      0.02      1.37      1.37       XXX
                                                           records.
90887..............  .................  B                 Consultation with            +1.48      0.59      0.82      0.03      2.10      2.33       XXX
                                                           family.
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 train, any        0.41      0.18      0.76      0.02      0.61      1.19       000
                                                           meth.
90911..............  .................  A                 Biofeedback peri/uro/         0.89      0.37      0.89      0.04      1.30      1.82       000
                                                           rectal.
90918..............  .................  A                 ESRD related services,       11.18      5.35      5.35      0.30     16.83     16.83       XXX
                                                           month.
90919..............  .................  A                 ESRD related services,        8.54      4.40      4.40      0.24     13.18     13.18       XXX
                                                           month.
90920..............  .................  A                 ESRD related services,        7.27      3.81      3.81      0.19     11.27     11.27       XXX
                                                           month.
90921..............  .................  A                 ESRD related services,        4.47      2.71      2.71      0.12      7.30      7.30       XXX
                                                           month.
90922..............  .................  A                 ESRD related services,        0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           day.
90923..............  .................  A                 Esrd related services,        0.28      0.14      0.14      0.01      0.43      0.43       XXX
                                                           day.
90924..............  .................  A                 Esrd related services,        0.24      0.13      0.13      0.01      0.38      0.38       XXX
                                                           day.
90925..............  .................  A                 Esrd related services,        0.15      0.09      0.09      0.01      0.25      0.25       XXX
                                                           day.
90935..............  .................  A                 Hemodialysis, one             1.22      0.79        NA      0.03      2.04        NA       000
                                                           evaluation.
90937..............  .................  A                 Hemodialysis, repeated        2.11      1.11        NA      0.06      3.28        NA       000
                                                           eval.
90940..............  .................  X                 Hemodialysis access           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           study.
90945..............  .................  A                 Dialysis, one                 1.28      0.81        NA      0.04      2.13        NA       000
                                                           evaluation.
90947..............  .................  A                 Dialysis, repeated eval       2.16      1.13        NA      0.06      3.35        NA       000
90989..............  .................  X                 Dialysis training,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           complete.
90993..............  .................  X                 Dialysis training,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           incompl.
90997..............  .................  A                 Hemoperfusion..........       1.84      1.00        NA      0.05      2.89        NA       000
90999..............  .................  C                 Dialysis procedure.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
91000..............  .................  A                 Esophageal intubation..       0.73        NA      0.34      0.04        NA      1.11       000
91000..............  26                 A                 Esophageal intubation..       0.73      0.26      0.26      0.03      1.02      1.02       000
91000..............  TC                 A                 Esophageal intubation..       0.00        NA      0.08      0.01        NA      0.09       000
91010..............  .................  A                 Esophagus motility            1.25        NA      1.27      0.10        NA      2.62       000
                                                           study.
91010..............  26                 A                 Esophagus motility            1.25      0.46      0.46      0.05      1.76      1.76       000
                                                           study.

[[Page 40521]]

 
91010..............  TC                 A                 Esophagus motility            0.00        NA      0.81      0.05        NA      0.86       000
                                                           study.
91011..............  .................  A                 Esophagus motility            1.50        NA      1.57      0.10        NA      3.17       000
                                                           study.
91011..............  26                 A                 Esophagus motility            1.50      0.56      0.56      0.05      2.11      2.11       000
                                                           study.
91011..............  TC                 A                 Esophagus motility            0.00        NA      1.01      0.05        NA      1.06       000
                                                           study.
91012..............  .................  A                 Esophagus motility            1.46        NA      1.67      0.12        NA      3.25       000
                                                           study.
91012..............  26                 A                 Esophagus motility            1.46      0.54      0.54      0.06      2.06      2.06       000
                                                           study.
91012..............  TC                 A                 Esophagus motility            0.00        NA      1.13      0.06        NA      1.19       000
                                                           study.
91020..............  .................  A                 Gastric motility.......       1.44        NA      1.26      0.11        NA      2.81       000
91020..............  26                 A                 Gastric motility.......       1.44      0.51      0.51      0.06      2.01      2.01       000
91020..............  TC                 A                 Gastric motility.......       0.00        NA      0.75      0.05        NA      0.80       000
91030..............  .................  A                 Acid perfusion of             0.91        NA      0.56      0.05        NA      1.52       000
                                                           esophagus.
91030..............  26                 A                 Acid perfusion of             0.91      0.34      0.34      0.03      1.28      1.28       000
                                                           esophagus.
91030..............  TC                 A                 Acid perfusion of             0.00        NA      0.22      0.02        NA      0.24       000
                                                           esophagus.
91032..............  .................  A                 Esophagus, acid reflux        1.21        NA      1.17      0.10        NA      2.48       000
                                                           test.
91032..............  26                 A                 Esophagus, acid reflux        1.21      0.44      0.44      0.05      1.70      1.70       000
                                                           test.
91032..............  TC                 A                 Esophagus, acid reflux        0.00        NA      0.73      0.05        NA      0.78       000
                                                           test.
91033..............  .................  A                 Prolonged acid reflux         1.30        NA      1.80      0.14        NA      3.24       000
                                                           test.
91033..............  26                 A                 Prolonged acid reflux         1.30      0.48      0.48      0.05      1.83      1.83       000
                                                           test.
91033..............  TC                 A                 Prolonged acid reflux         0.00        NA      1.32      0.09        NA      1.41       000
                                                           test.
91052..............  .................  A                 Gastric analysis test..       0.79        NA      0.62      0.05        NA      1.46       000
91052..............  26                 A                 Gastric analysis test..       0.79      0.29      0.29      0.03      1.11      1.11       000
91052..............  TC                 A                 Gastric analysis test..       0.00        NA      0.33      0.02        NA      0.35       000
91055..............  .................  A                 Gastric intubation for        0.94        NA      0.58      0.06        NA      1.58       000
                                                           smear.
91055..............  26                 A                 Gastric intubation for        0.94      0.28      0.28      0.04      1.26      1.26       000
                                                           smear.
91055..............  TC                 A                 Gastric intubation for        0.00        NA      0.30      0.02        NA      0.32       000
                                                           smear.
91060..............  .................  A                 Gastric saline load           0.45        NA      0.36      0.04        NA      0.85       000
                                                           test.
91060..............  26                 A                 Gastric saline load           0.45      0.14      0.14      0.02      0.61      0.61       000
                                                           test.
91060..............  TC                 A                 Gastric saline load           0.00        NA      0.22      0.02        NA      0.24       000
                                                           test.
91065..............  .................  A                 Breath hydrogen test...       0.20        NA      0.42      0.03        NA      0.65       000
91065..............  26                 A                 Breath hydrogen test...       0.20      0.07      0.07      0.01      0.28      0.28       000
91065..............  TC                 A                 Breath hydrogen test...       0.00        NA      0.35      0.02        NA      0.37       000
91100..............  .................  A                 Pass intestine bleeding       1.08      0.46        NA      0.06      1.60        NA       000
                                                           tube.
91105..............  .................  A                 Gastric intubation            0.37      0.20        NA      0.02      0.59        NA       000
                                                           treatment.
91122..............  .................  A                 Anal pressure record...       1.77        NA      1.34      0.17        NA      3.28       000
91122..............  26                 A                 Anal pressure record...       1.77      0.64      0.64      0.10      2.51      2.51       000
91122..............  TC                 A                 Anal pressure record...       0.00        NA      0.70      0.07        NA      0.77       000
91132..............  .................  C                 Electrogastrography....       0.00        NA      0.00      0.00        NA      0.00       XXX
91132..............  26                 C                 Electrogastrography....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
91132..............  TC                 C                 Electrogastrography....       0.00        NA      0.00      0.00        NA      0.00       XXX
91133..............  .................  C                 Electrogastrography w/        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           test.
91133..............  26                 C                 Electrogastrography w/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
91133..............  TC                 C                 Electrogastrography w/        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           test.
91299..............  .................  C                 Gastroenterology              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
91299..............  26                 C                 Gastroenterology              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
91299..............  TC                 C                 Gastroenterology              0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
92002..............  .................  A                 Eye exam, new patient..       0.88      0.36      1.12      0.02      1.26      2.02       XXX
92004..............  .................  A                 Eye exam, new patient..       1.67      0.71      1.72      0.03      2.41      3.42       XXX
92012..............  .................  A                 Eye exam established          0.67      0.30      1.04      0.01      0.98      1.72       XXX
                                                           pat.
92014..............  .................  A                 Eye exam & treatment...       1.10      0.49      1.35      0.02      1.61      2.47       XXX
92015..............  .................  N                 Refraction.............      +0.38      0.15      1.43      0.01      0.54      1.82       XXX
92018..............  .................  A                 New eye exam &                2.50      1.15        NA      0.03      3.68        NA       XXX
                                                           treatment.
92019..............  .................  A                 Eye exam & treatment...       1.31      0.60        NA      0.03      1.94        NA       XXX
92020..............  .................  A                 Special eye evaluation.       0.37      0.17      0.70      0.01      0.55      1.08       XXX
92060..............  .................  A                 Special eye evaluation.       0.69        NA      1.54      0.02        NA      2.25       XXX
92060..............  26                 A                 Special eye evaluation.       0.69      0.30      0.30      0.01      1.00      1.00       XXX
92060..............  TC                 A                 Special eye evaluation.       0.00        NA      1.24      0.01        NA      1.25       XXX
92065..............  .................  A                 Orthoptic/pleoptic            0.37        NA      0.83      0.02        NA      1.22       XXX
                                                           training.
92065..............  26                 A                 Orthoptic/pleoptic            0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           training.
92065..............  TC                 A                 Orthoptic/pleoptic            0.00        NA      0.67      0.01        NA      0.68       XXX
                                                           training.
92070..............  .................  A                 Fitting of contact lens       0.70      0.33      0.98      0.01      1.04      1.69       XXX
92081..............  .................  A                 Visual field                  0.36        NA      1.43      0.02        NA      1.81       XXX
                                                           examination(s).
92081..............  26                 A                 Visual field                  0.36      0.16      0.16      0.01      0.53      0.53       XXX
                                                           examination(s).
92081..............  TC                 A                 Visual field                  0.00        NA      1.27      0.01        NA      1.28       XXX
                                                           examination(s).
92082..............  .................  A                 Visual field                  0.44        NA      1.28      0.02        NA      1.74       XXX
                                                           examination(s).
92082..............  26                 A                 Visual field                  0.44      0.20      0.20      0.01      0.65      0.65       XXX
                                                           examination(s).
92082..............  TC                 A                 Visual field                  0.00        NA      1.08      0.01        NA      1.09       XXX
                                                           examination(s).
92083..............  .................  A                 Visual field                  0.50        NA      1.24      0.02        NA      1.76       XXX
                                                           examination(s).
92083..............  26                 A                 Visual field                  0.50      0.23      0.23      0.01      0.74      0.74       XXX
                                                           examination(s).
92083..............  TC                 A                 Visual field                  0.00        NA      1.01      0.01        NA      1.02       XXX
                                                           examination(s).
92100..............  .................  A                 Serial tonometry              0.92      0.40      0.78      0.02      1.34      1.72       XXX
                                                           exam(s).
92120..............  .................  A                 Tonography & eye              0.81      0.32      0.76      0.02      1.15      1.59       XXX
                                                           evaluation.
92130..............  .................  A                 Water provocation             0.81      0.39      0.86      0.02      1.22      1.69       XXX
                                                           tonography.
92135..............  .................  A                 Opthalmic dx imaging...       0.35        NA      1.20      0.02        NA      1.57       XXX
92135..............  26                 A                 Opthalmic dx imaging...       0.35      0.16      0.16      0.01      0.52      0.52       XXX

[[Page 40522]]

 
92135..............  TC                 A                 Opthalmic dx imaging...       0.00        NA      1.04      0.01        NA      1.05       XXX
92140..............  .................  A                 Glaucoma provocative          0.50      0.22      0.95      0.01      0.73      1.46       XXX
                                                           tests.
92225..............  .................  A                 Special eye exam,             0.38      0.16      1.66      0.01      0.55      2.05       XXX
                                                           initial.
92226..............  .................  A                 Special eye exam,             0.33      0.15      1.74      0.01      0.49      2.08       XXX
                                                           subsequent.
92230..............  .................  A                 Eye exam with photos...       0.60      0.18      1.28      0.02      0.80      1.90       XXX
92235..............  .................  A                 Eye exam with photos...       0.81        NA      2.11      0.07        NA      2.99       XXX
92235..............  26                 A                 Eye exam with photos...       0.81      0.38      0.38      0.02      1.21      1.21       XXX
92235..............  TC                 A                 Eye exam with photos...       0.00        NA      1.73      0.05        NA      1.78       XXX
92240..............  .................  A                 Icg angiography........       1.10        NA      2.55      0.07        NA      3.72       XXX
92240..............  26                 A                 Icg angiography........       1.10      0.51      0.51      0.02      1.63      1.63       XXX
92240..............  TC                 A                 Icg angiography........       0.00        NA      2.04      0.05        NA      2.09       XXX
92250..............  .................  A                 Eye exam with photos...       0.44        NA      1.69      0.02        NA      2.15       XXX
92250..............  26                 A                 Eye exam with photos...       0.44      0.20      0.20      0.01      0.65      0.65       XXX
92250..............  TC                 A                 Eye exam with photos...       0.00        NA      1.49      0.01        NA      1.50       XXX
92260..............  .................  A                 Ophthalmoscopy/               0.20      0.09      0.22      0.01      0.30      0.43       XXX
                                                           dynamometry.
92265..............  .................  A                 Eye muscle evaluation..       0.81        NA      1.35      0.04        NA      2.20       XXX
92265..............  26                 A                 Eye muscle evaluation..       0.81      0.33      0.33      0.02      1.16      1.16       XXX
92265..............  TC                 A                 Eye muscle evaluation..       0.00        NA      1.02      0.02        NA      1.04       XXX
92270..............  .................  A                 Electro-oculography....       0.81        NA      1.17      0.05        NA      2.03       XXX
92270..............  26                 A                 Electro-oculography....       0.81      0.36      0.36      0.03      1.20      1.20       XXX
92270..............  TC                 A                 Electro-oculography....       0.00        NA      0.81      0.02        NA      0.83       XXX
92275..............  .................  A                 Electroretinography....       1.01        NA      1.19      0.04        NA      2.24       XXX
92275..............  26                 A                 Electroretinography....       1.01      0.45      0.45      0.02      1.48      1.48       XXX
92275..............  TC                 A                 Electroretinography....       0.00        NA      0.74      0.02        NA      0.76       XXX
92283..............  .................  A                 Color vision                  0.17        NA      0.67      0.02        NA      0.86       XXX
                                                           examination.
92283..............  26                 A                 Color vision                  0.17      0.07      0.07      0.01      0.25      0.25       XXX
                                                           examination.
92283..............  TC                 A                 Color vision                  0.00        NA      0.60      0.01        NA      0.61       XXX
                                                           examination.
92284..............  .................  A                 Dark adaptation eye           0.24        NA      2.15      0.02        NA      2.41       XXX
                                                           exam.
92284..............  26                 A                 Dark adaptation eye           0.24      0.08      0.08      0.01      0.33      0.33       XXX
                                                           exam.
92284..............  TC                 A                 Dark adaptation eye           0.00        NA      2.07      0.01        NA      2.08       XXX
                                                           exam.
92285..............  .................  A                 Eye photography........       0.20        NA      1.82      0.02        NA      2.04       XXX
92285..............  26                 A                 Eye photography........       0.20      0.09      0.09      0.01      0.30      0.30       XXX
92285..............  TC                 A                 Eye photography........       0.00        NA      1.73      0.01        NA      1.74       XXX
92286..............  .................  A                 Internal eye                  0.66        NA      1.98      0.03        NA      2.67       XXX
                                                           photography.
92286..............  26                 A                 Internal eye                  0.66      0.31      0.31      0.01      0.98      0.98       XXX
                                                           photography.
92286..............  TC                 A                 Internal eye                  0.00        NA      1.67      0.02        NA      1.69       XXX
                                                           photography.
92287..............  .................  A                 Internal eye                  0.81      0.30      1.89      0.02      1.13      2.72       XXX
                                                           photography.
92310..............  .................  N                 Contact lens fitting...      +1.17      0.46      1.08      0.00      1.63      2.25       XXX
92311..............  .................  A                 Contact lens fitting...       1.08      0.40      1.02      0.03      1.51      2.13       XXX
92312..............  .................  A                 Contact lens fitting...       1.26      0.46      1.01      0.03      1.75      2.30       XXX
92313..............  .................  A                 Contact lens fitting...       0.92      0.31      1.02      0.02      1.25      1.96       XXX
92314..............  .................  N                 Prescription of contact      +0.69      0.27      0.89      0.00      0.96      1.58       XXX
                                                           lens.
92315..............  .................  A                 Prescription of contact       0.45      0.18      0.74      0.01      0.64      1.20       XXX
                                                           lens.
92316..............  .................  A                 Prescription of contact       0.68      0.27      0.82      0.01      0.96      1.51       XXX
                                                           lens.
92317..............  .................  A                 Prescription of contact       0.45      0.15      0.88      0.01      0.61      1.34       XXX
                                                           lens.
92325..............  .................  A                 Modification of contact       0.00        NA      0.39      0.01        NA      0.40       XXX
                                                           lens.
92326..............  .................  A                 Replacement of contact        0.00        NA      1.61      0.05        NA      1.66       XXX
                                                           lens.
92330..............  .................  A                 Fitting of artificial         1.08      0.43      0.98      0.04      1.55      2.10       XXX
                                                           eye.
92335..............  .................  A                 Fitting of artificial         0.45      0.18      0.80      0.01      0.64      1.26       XXX
                                                           eye.
92340..............  .................  N                 Fitting of spectacles..      +0.37      0.15      0.66      0.00      0.52      1.03       XXX
92341..............  .................  N                 Fitting of spectacles..      +0.47      0.19      0.70      0.00      0.66      1.17       XXX
92342..............  .................  N                 Fitting of spectacles..      +0.53      0.21      0.73      0.00      0.74      1.26       XXX
92352..............  .................  B                 Special spectacles           +0.37      0.15      0.66      0.01      0.53      1.04       XXX
                                                           fitting.
92353..............  .................  B                 Special spectacles           +0.50      0.20      0.71      0.02      0.72      1.23       XXX
                                                           fitting.
92354..............  .................  B                 Special spectacles           +0.00        NA      8.72      0.08        NA      8.80       XXX
                                                           fitting.
92355..............  .................  B                 Special spectacles           +0.00        NA      4.27      0.01        NA      4.28       XXX
                                                           fitting.
92358..............  .................  B                 Eye prosthesis service.      +0.00        NA      0.95      0.04        NA      0.99       XXX
92370..............  .................  N                 Repair & adjust              +0.32      0.13      0.52      0.00      0.45      0.84       XXX
                                                           spectacles.
92371..............  .................  B                 Repair & adjust              +0.00        NA      0.61      0.02        NA      0.63       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             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lenses.
92392..............  .................  I                 Supply of low vision         +0.00        NA      3.98      0.02        NA      4.00       XXX
                                                           aids.
92393..............  .................  I                 Supply of artificial         +0.00        NA     12.36      0.47        NA     12.83       XXX
                                                           eye.
92395..............  .................  I                 Supply of spectacles...      +0.00        NA      1.35      0.08        NA      1.43       XXX
92396..............  .................  I                 Supply of contact            +0.00        NA      2.27      0.06        NA      2.33       XXX
                                                           lenses.
92499..............  .................  C                 Eye service or                0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
92499..............  26                 C                 Eye service or                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
92499..............  TC                 C                 Eye service or                0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
92502..............  .................  A                 Ear and throat                1.51      1.32        NA      0.06      2.89        NA       000
                                                           examination.
92504..............  .................  A                 Ear microscopy                0.18      0.09      1.02      0.01      0.28      1.21       XXX
                                                           examination.
92506..............  .................  A                 Speech/hearing                0.86      0.46      1.60      0.04      1.36      2.50       XXX
                                                           evaluation.
92507..............  .................  A                 Speech/hearing therapy.       0.52      0.28      1.47      0.02      0.82      2.01       XXX
92508..............  .................  A                 Speech/hearing therapy.       0.26      0.15      1.03      0.01      0.42      1.30       XXX
92510..............  .................  A                 Rehab for ear implant..       1.50      0.86      2.02      0.06      2.42      3.58       XXX

[[Page 40523]]

 
92511..............  .................  A                 Nasopharyngoscopy......       0.84      0.43      1.28      0.03      1.30      2.15       000
92512..............  .................  A                 Nasal function studies.       0.55      0.19      1.08      0.02      0.76      1.65       XXX
92516..............  .................  A                 Facial nerve function         0.43      0.24      0.89      0.02      0.69      1.34       XXX
                                                           test.
92520..............  .................  A                 Laryngeal function            0.76      0.37      0.57      0.03      1.16      1.36       XXX
                                                           studies.
92525..............  .................  G                 Oral function                 1.50      0.59      1.66      0.07      2.16      3.23       XXX
                                                           evaluation.
92526..............  .................  A                 Oral function therapy..       0.55      0.26      1.72      0.02      0.83      2.29       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        NA      0.43      0.04        NA      0.87       XXX
                                                           test.
92541..............  26                 A                 Spontaneous nystagmus         0.40      0.20      0.20      0.02      0.62      0.62       XXX
                                                           test.
92541..............  TC                 A                 Spontaneous nystagmus         0.00        NA      0.23      0.02        NA      0.25       XXX
                                                           test.
92542..............  .................  A                 Positional nystagmus          0.33        NA      0.43      0.03        NA      0.79       XXX
                                                           test.
92542..............  26                 A                 Positional nystagmus          0.33      0.17      0.17      0.01      0.51      0.51       XXX
                                                           test.
92542..............  TC                 A                 Positional nystagmus          0.00        NA      0.26      0.02        NA      0.28       XXX
                                                           test.
92543..............  .................  A                 Caloric vestibular test       0.10        NA      0.15      0.02        NA      0.27       XXX
92543..............  26                 A                 Caloric vestibular test       0.10      0.05      0.05      0.01      0.16      0.16       XXX
92543..............  TC                 A                 Caloric vestibular test       0.00        NA      0.10      0.01        NA      0.11       XXX
92544..............  .................  A                 Optokinetic nystagmus         0.26        NA      0.34      0.03        NA      0.63       XXX
                                                           test.
92544..............  26                 A                 Optokinetic nystagmus         0.26      0.13      0.13      0.01      0.40      0.40       XXX
                                                           test.
92544..............  TC                 A                 Optokinetic nystagmus         0.00        NA      0.21      0.02        NA      0.23       XXX
                                                           test.
92545..............  .................  A                 Oscillating tracking          0.23        NA      0.32      0.03        NA      0.58       XXX
                                                           test.
92545..............  26                 A                 Oscillating tracking          0.23      0.11      0.11      0.01      0.35      0.35       XXX
                                                           test.
92545..............  TC                 A                 Oscillating tracking          0.00        NA      0.21      0.02        NA      0.23       XXX
                                                           test.
92546..............  .................  A                 Sinusoidal rotational         0.29        NA      0.38      0.03        NA      0.70       XXX
                                                           test.
92546..............  26                 A                 Sinusoidal rotational         0.29      0.14      0.14      0.01      0.44      0.44       XXX
                                                           test.
92546..............  TC                 A                 Sinusoidal rotational         0.00        NA      0.24      0.02        NA      0.26       XXX
                                                           test.
92547..............  .................  A                 Supplemental electrical       0.00        NA      0.55      0.05        NA      0.60       ZZZ
                                                           test.
92548..............  .................  A                 Posturography..........       0.50        NA      1.72      0.13        NA      2.35       XXX
92548..............  26                 A                 Posturography..........       0.50      0.27      0.27      0.02      0.79      0.79       XXX
92548..............  TC                 A                 Posturography..........       0.00        NA      1.45      0.11        NA      1.56       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        NA      0.44      0.03        NA      0.47       XXX
                                                           air.
92553..............  .................  A                 Audiometry, air & bone.       0.00        NA      0.65      0.05        NA      0.70       XXX
92555..............  .................  A                 Speech threshold              0.00        NA      0.37      0.03        NA      0.40       XXX
                                                           audiometry.
92556..............  .................  A                 Speech audiometry,            0.00        NA      0.56      0.05        NA      0.61       XXX
                                                           complete.
92557..............  .................  A                 Comprehensive hearing         0.00        NA      1.17      0.10        NA      1.27       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        NA      0.70      0.05        NA      0.75       XXX
                                                           diagnosis.
92562..............  .................  A                 Loudness balance test..       0.00        NA      0.40      0.03        NA      0.43       XXX
92563..............  .................  A                 Tone decay hearing test       0.00        NA      0.37      0.03        NA      0.40       XXX
92564..............  .................  A                 Sisi hearing test......       0.00        NA      0.47      0.04        NA      0.51       XXX
92565..............  .................  A                 Stenger test, pure tone       0.00        NA      0.39      0.03        NA      0.42       XXX
92567..............  .................  A                 Tympanometry...........       0.00        NA      0.51      0.05        NA      0.56       XXX
92568..............  .................  A                 Acoustic reflex testing       0.00        NA      0.37      0.03        NA      0.40       XXX
92569..............  .................  A                 Acoustic reflex decay         0.00        NA      0.40      0.03        NA      0.43       XXX
                                                           test.
92571..............  .................  A                 Filtered speech hearing       0.00        NA      0.38      0.03        NA      0.41       XXX
                                                           test.
92572..............  .................  A                 Staggered spondaic word       0.00        NA      0.09      0.01        NA      0.10       XXX
                                                           test.
92573..............  .................  A                 Lombard test...........       0.00        NA      0.34      0.03        NA      0.37       XXX
92575..............  .................  A                 Sensorineural acuity          0.00        NA      0.30      0.02        NA      0.32       XXX
                                                           test.
92576..............  .................  A                 Synthetic sentence test       0.00        NA      0.44      0.04        NA      0.48       XXX
92577..............  .................  A                 Stenger test, speech...       0.00        NA      0.70      0.06        NA      0.76       XXX
92579..............  .................  A                 Visual audiometry (vra)       0.00        NA      0.71      0.05        NA      0.76       XXX
92582..............  .................  A                 Conditioning play             0.00        NA      0.71      0.05        NA      0.76       XXX
                                                           audiometry.
92583..............  .................  A                 Select picture                0.00        NA      0.88      0.07        NA      0.95       XXX
                                                           audiometry.
92584..............  .................  A                 Electrocochleography...       0.00        NA      2.44      0.17        NA      2.61       XXX
92585..............  .................  A                 Auditor evoke potent,         0.50        NA      2.05      0.14        NA      2.69       XXX
                                                           compre.
92585..............  26                 A                 Auditor evoke potent,         0.50      0.23      0.23      0.02      0.75      0.75       XXX
                                                           compre.
92585..............  TC                 A                 Auditor evoke potent,         0.00        NA      1.82      0.12        NA      1.94       XXX
                                                           compre.
92586..............  .................  A                 Auditor evoke potent,         0.00        NA      1.82      0.12        NA      1.94       XXX
                                                           limit.
92587..............  .................  A                 Evoked auditory test...       0.13        NA      1.36      0.10        NA      1.59       XXX
92587..............  26                 A                 Evoked auditory test...       0.13      0.07      0.07      0.01      0.21      0.21       XXX
92587..............  TC                 A                 Evoked auditory test...       0.00        NA      1.29      0.09        NA      1.38       XXX
92588..............  .................  A                 Evoked auditory test...       0.36        NA      1.62      0.12        NA      2.10       XXX
92588..............  26                 A                 Evoked auditory test...       0.36      0.17      0.17      0.01      0.54      0.54       XXX
92588..............  TC                 A                 Evoked auditory test...       0.00        NA      1.45      0.11        NA      1.56       XXX
92589..............  .................  A                 Auditory function             0.00        NA      0.52      0.05        NA      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 hearng aid            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test, one.

[[Page 40524]]

 
92595..............  .................  N                 Electro hearng aid tst,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           both.
92596..............  .................  A                 Ear protector                 0.00        NA      0.58      0.05        NA      0.63       XXX
                                                           evaluation.
92597..............  .................  G                 Oral speech device eval       1.35      0.53      1.60      0.05      1.93      3.00       XXX
92598..............  .................  G                 Modify oral speech            0.99      0.39      0.80      0.04      1.42      1.83       XXX
                                                           device.
92599..............  .................  C                 ENT procedure/service..       0.00        NA      0.00      0.00        NA      0.00       XXX
92599..............  26                 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        NA      0.00      0.00        NA      0.00       XXX
92950..............  .................  A                 Heart/lung                    3.80      1.16      1.37      0.21      5.17      5.38       000
                                                           resuscitation cpr.
92953..............  .................  A                 Temporary external            0.23      0.23        NA      0.01      0.47        NA       000
                                                           pacing.
92960..............  .................  A                 Cardioversion electric,       2.25      0.88      2.22      0.08      3.21      4.55       000
                                                           ext.
92961..............  .................  A                 Cardioversion,                4.60      1.85        NA      0.17      6.62        NA       000
                                                           electric, int.
92970..............  .................  A                 Cardioassist, internal.       3.52      1.03        NA      0.17      4.72        NA       000
92971..............  .................  A                 Cardioassist, external.       1.77      0.88        NA      0.06      2.71        NA       000
92975..............  .................  A                 Dissolve clot, heart          7.25      3.00        NA      0.22     10.47        NA       000
                                                           vessel.
92977..............  .................  A                 Dissolve clot, heart          0.00        NA      7.93      0.38        NA      8.31       XXX
                                                           vessel.
92978..............  .................  A                 Intravasc us, heart add-      1.80        NA      5.23      0.26        NA      7.29       ZZZ
                                                           on.
92978..............  26                 A                 Intravasc us, heart add-      1.80      0.74      0.74      0.06      2.60      2.60       ZZZ
                                                           on.
92978..............  TC                 A                 Intravasc us, heart add-      0.00        NA      4.49      0.20        NA      4.69       ZZZ
                                                           on.
92979..............  .................  A                 Intravasc us, heart add-      1.44        NA      2.85      0.15        NA      4.44       ZZZ
                                                           on.
92979..............  26                 A                 Intravasc us, heart add-      1.44      0.59      0.59      0.04      2.07      2.07       ZZZ
                                                           on.
92979..............  TC                 A                 Intravasc us, heart add-      0.00        NA      2.26      0.11        NA      2.37       ZZZ
                                                           on.
92980..............  .................  A                 Insert intracoronary         14.84      6.15        NA      0.78     21.77        NA       000
                                                           stent.
92981..............  .................  A                 Insert intracoronary          4.17      1.72        NA      0.21      6.10        NA       ZZZ
                                                           stent.
92982..............  .................  A                 Coronary artery              10.98      4.56        NA      0.57     16.11        NA       000
                                                           dilation.
92984..............  .................  A                 Coronary artery               2.97      1.22        NA      0.16      4.35        NA       ZZZ
                                                           dilation.
92986..............  .................  A                 Revision of aortic           21.80     10.37        NA      1.14     33.31        NA       090
                                                           valve.
92987..............  .................  A                 Revision of mitral           22.70     10.75        NA      1.18     34.63        NA       090
                                                           valve.
92990..............  .................  A                 Revision of pulmonary        17.34      8.54        NA      0.90     26.78        NA       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      5.01        NA      0.63     17.73        NA       000
92996..............  .................  A                 Coronary atherectomy          3.26      1.38        NA      0.17      4.81        NA       ZZZ
                                                           add-on.
92997..............  .................  A                 Pul art balloon repr,        12.00      4.84        NA      0.63     17.47        NA       000
                                                           percut.
92998..............  .................  A                 Pul art balloon repr,         6.00      2.38        NA      0.31      8.69        NA       ZZZ
                                                           percut.
93000..............  .................  A                 Electrocardiogram,            0.17        NA      0.51      0.03        NA      0.71       XXX
                                                           complete.
93005..............  .................  A                 Electrocardiogram,            0.00        NA      0.45      0.02        NA      0.47       XXX
                                                           tracing.
93010..............  .................  A                 Electrocardiogram             0.17      0.06      0.06      0.01      0.24      0.24       XXX
                                                           report.
93012..............  .................  A                 Transmission of ecg....       0.00        NA      2.32      0.15        NA      2.47       XXX
93014..............  .................  A                 Report on transmitted         0.52      0.19      0.19      0.02      0.73      0.73       XXX
                                                           ecg.
93015..............  .................  A                 Cardiovascular stress         0.75        NA      1.95      0.11        NA      2.81       XXX
                                                           test.
93016..............  .................  A                 Cardiovascular stress         0.45      0.18      0.18      0.01      0.64      0.64       XXX
                                                           test.
93017..............  .................  A                 Cardiovascular stress         0.00        NA      1.66      0.09        NA      1.75       XXX
                                                           test.
93018..............  .................  A                 Cardiovascular stress         0.30      0.12      0.12      0.01      0.43      0.43       XXX
                                                           test.
93024..............  .................  A                 Cardiac drug stress           1.17        NA      1.57      0.11        NA      2.85       XXX
                                                           test.
93024..............  26                 A                 Cardiac drug stress           1.17      0.47      0.47      0.04      1.68      1.68       XXX
                                                           test.
93024..............  TC                 A                 Cardiac drug stress           0.00        NA      1.10      0.07        NA      1.17       XXX
                                                           test.
93040..............  .................  A                 Rhythm ECG with report.       0.16        NA      0.19      0.02        NA      0.37       XXX
93041..............  .................  A                 Rhythm ECG, tracing....       0.00        NA      0.14      0.01        NA      0.15       XXX
93042..............  .................  A                 Rhythm ECG, report.....       0.16      0.05      0.05      0.01      0.22      0.22       XXX
93224..............  .................  A                 ECG monitor/report, 24        0.52        NA      3.57      0.21        NA      4.30       XXX
                                                           hrs.
93225..............  .................  A                 ECG monitor/record, 24        0.00        NA      1.22      0.07        NA      1.29       XXX
                                                           hrs.
93226..............  .................  A                 ECG monitor/report, 24        0.00        NA      2.15      0.12        NA      2.27       XXX
                                                           hrs.
93227..............  .................  A                 ECG monitor/review, 24        0.52      0.20      0.20      0.02      0.74      0.74       XXX
                                                           hrs.
93230..............  .................  A                 ECG monitor/report, 24        0.52        NA      3.84      0.22        NA      4.58       XXX
                                                           hrs.
93231..............  .................  A                 Ecg monitor/record, 24        0.00        NA      1.49      0.09        NA      1.58       XXX
                                                           hrs.
93232..............  .................  A                 ECG monitor/report, 24        0.00        NA      2.14      0.11        NA      2.25       XXX
                                                           hrs.
93233..............  .................  A                 ECG monitor/review, 24        0.52      0.20      0.20      0.02      0.74      0.74       XXX
                                                           hrs.
93235..............  .................  A                 ECG monitor/report, 24        0.45        NA      2.75      0.13        NA      3.33       XXX
                                                           hrs.
93236..............  .................  A                 ECG monitor/report, 24        0.00        NA      2.58      0.12        NA      2.70       XXX
                                                           hrs.
93237..............  .................  A                 ECG monitor/review, 24        0.45      0.17      0.17      0.01      0.63      0.63       XXX
                                                           hrs.
93268..............  .................  A                 ECG record/review......       0.52        NA      3.74      0.24        NA      4.50       XXX
93270..............  .................  A                 ECG recording..........       0.00        NA      1.22      0.07        NA      1.29       XXX
93271..............  .................  A                 Ecg/monitoring and            0.00        NA      2.32      0.15        NA      2.47       XXX
                                                           analysis.
93272..............  .................  A                 Ecg/review, interpret         0.52      0.20      0.20      0.02      0.74      0.74       XXX
                                                           only.
93278..............  .................  A                 ECG/signal-averaged....       0.25        NA      1.23      0.10        NA      1.58       XXX
93278..............  26                 A                 ECG/signal-averaged....       0.25      0.10      0.10      0.01      0.36      0.36       XXX
93278..............  TC                 A                 ECG/signal-averaged....       0.00        NA      1.13      0.09        NA      1.22       XXX
93303..............  .................  A                 Echo transthoracic.....       1.30        NA      4.28      0.23        NA      5.81       XXX
93303..............  26                 A                 Echo transthoracic.....       1.30      0.48      0.48      0.04      1.82      1.82       XXX
93303..............  TC                 A                 Echo transthoracic.....       0.00        NA      3.80      0.19        NA      3.99       XXX
93304..............  .................  A                 Echo transthoracic.....       0.75        NA      2.21      0.13        NA      3.09       XXX
93304..............  26                 A                 Echo transthoracic.....       0.75      0.30      0.30      0.02      1.07      1.07       XXX
93304..............  TC                 A                 Echo transthoracic.....       0.00        NA      1.91      0.11        NA      2.02       XXX
93307..............  .................  A                 Echo exam of heart.....       0.92        NA      4.17      0.22        NA      5.31       XXX

[[Page 40525]]

 
93307..............  26                 A                 Echo exam of heart.....       0.92      0.37      0.37      0.03      1.32      1.32       XXX
93307..............  TC                 A                 Echo exam of heart.....       0.00        NA      3.80      0.19        NA      3.99       XXX
93308..............  .................  A                 Echo exam of heart.....       0.53        NA      2.12      0.13        NA      2.78       XXX
93308..............  26                 A                 Echo exam of heart.....       0.53      0.21      0.21      0.02      0.76      0.76       XXX
93308..............  TC                 A                 Echo exam of heart.....       0.00        NA      1.91      0.11        NA      2.02       XXX
93312..............  .................  A                 Echo transesophageal...       2.20        NA      4.57      0.32        NA      7.09       XXX
93312..............  26                 A                 Echo transesophageal...       2.20      0.85      0.85      0.08      3.13      3.13       XXX
93312..............  TC                 A                 Echo transesophageal...       0.00        NA      3.72      0.24        NA      3.96       XXX
93313..............  .................  A                 Echo transesophageal...       0.95      0.21      4.70      0.05      1.21      5.70       XXX
93314..............  .................  A                 Echo transesophageal...       1.25        NA      4.21      0.28        NA      5.74       XXX
93314..............  26                 A                 Echo transesophageal...       1.25      0.49      0.49      0.04      1.78      1.78       XXX
93314..............  TC                 A                 Echo transesophageal...       0.00        NA      3.72      0.24        NA      3.96       XXX
93315..............  .................  A                 Echo transesophageal...       2.78        NA      4.78      0.34        NA      7.90       XXX
93315..............  26                 A                 Echo transesophageal...       2.78      1.06      1.06      0.10      3.94      3.94       XXX
93315..............  TC                 A                 Echo transesophageal...       0.00        NA      3.72      0.24        NA      3.96       XXX
93316..............  .................  A                 Echo transesophageal...       0.95      0.23      3.35      0.05      1.23      4.35       XXX
93317..............  .................  A                 Echo transesophageal...       1.83        NA      4.45      0.30        NA      6.58       XXX
93317..............  26                 A                 Echo transesophageal...       1.83      0.73      0.73      0.06      2.62      2.62       XXX
93317..............  TC                 A                 Echo transesophageal...       0.00        NA      3.72      0.24        NA      3.96       XXX
93318..............  .................  C                 Echo transesophageal          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           intraop.
93318..............  26                 C                 Echo transesophageal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           intraop.
93318..............  TC                 C                 Echo transesophageal          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           intraop.
93320..............  .................  A                 Doppler echo exam,            0.38        NA      1.84      0.11        NA      2.33       ZZZ
                                                           heart.
93320..............  26                 A                 Doppler echo exam,            0.38      0.15      0.15      0.01      0.54      0.54       ZZZ
                                                           heart.
93320..............  TC                 A                 Doppler echo exam,            0.00        NA      1.69      0.10        NA      1.79       ZZZ
                                                           heart.
93321..............  .................  A                 Doppler echo exam,            0.15        NA      1.15      0.08        NA      1.38       ZZZ
                                                           heart.
93321..............  26                 A                 Doppler echo exam,            0.15      0.06      0.06      0.01      0.22      0.22       ZZZ
                                                           heart.
93321..............  TC                 A                 Doppler echo exam,            0.00        NA      1.09      0.07        NA      1.16       ZZZ
                                                           heart.
93325..............  .................  A                 Doppler color flow add-       0.07        NA      2.89      0.18        NA      3.14       ZZZ
                                                           on.
93325..............  26                 A                 Doppler color flow add-       0.07      0.03      0.03      0.01      0.11      0.11       ZZZ
                                                           on.
93325..............  TC                 A                 Doppler color flow add-       0.00        NA      2.86      0.17        NA      3.03       ZZZ
                                                           on.
93350..............  .................  A                 Echo transthoracic.....       1.48        NA      2.33      0.13        NA      3.94       XXX
93350..............  26                 A                 Echo transthoracic.....       1.48      0.60      0.60      0.02      2.10      2.10       XXX
93350..............  TC                 A                 Echo transthoracic.....       0.00        NA      1.73      0.11        NA      1.84       XXX
93501..............  .................  A                 Right heart                   3.02        NA     17.20      1.03        NA     21.25       000
                                                           catheterization.
93501..............  26                 A                 Right heart                   3.02      1.21      1.21      0.16      4.39      4.39       000
                                                           catheterization.
93501..............  TC                 A                 Right heart                   0.00        NA     15.99      0.87        NA     16.86       000
                                                           catheterization.
93503..............  .................  A                 Insert/place heart            2.91      0.74        NA      0.16      3.81        NA       000
                                                           catheter.
93505..............  .................  A                 Biopsy of heart lining.       4.38        NA      3.64      0.36        NA      8.38       000
93505..............  26                 A                 Biopsy of heart lining.       4.38      1.77      1.77      0.23      6.38      6.38       000
93505..............  TC                 A                 Biopsy of heart lining.       0.00        NA      1.87      0.13        NA      2.00       000
93508..............  .................  A                 Cath placement,               4.10        NA     13.61      0.75        NA     18.46       000
                                                           angiography.
93508..............  26                 A                 Cath placement,               4.10      1.68      1.68      0.21      5.99      5.99       000
                                                           angiography.
93508..............  TC                 A                 Cath placement,               0.00        NA     11.93      0.54        NA     12.47       000
                                                           angiography.
93510..............  .................  A                 Left heart                    4.33        NA     36.72      2.13        NA     43.18       000
                                                           catheterization.
93510..............  26                 A                 Left heart                    4.33      1.78      1.78      0.22      6.33      6.33       000
                                                           catheterization.
93510..............  TC                 A                 Left heart                    0.00        NA     34.94      1.91        NA     36.85       000
                                                           catheterization.
93511..............  .................  A                 Left heart                    5.03        NA     36.08      2.11        NA     43.22       000
                                                           catheterization.
93511..............  26                 A                 Left heart                    5.03      2.07      2.07      0.26      7.36      7.36       000
                                                           catheterization.
93511..............  TC                 A                 Left heart                    0.00        NA     34.01      1.85        NA     35.86       000
                                                           catheterization.
93514..............  .................  A                 Left heart                    7.05        NA     36.71      2.22        NA     45.98       000
                                                           catheterization.
93514..............  26                 A                 Left heart                    7.05      2.70      2.70      0.37     10.12     10.12       000
                                                           catheterization.
93514..............  TC                 A                 Left heart                    0.00        NA     34.01      1.85        NA     35.86       000
                                                           catheterization.
93524..............  .................  A                 Left heart                    6.95        NA     47.26      2.79        NA     57.00       000
                                                           catheterization.
93524..............  26                 A                 Left heart                    6.95      2.81      2.81      0.36     10.12     10.12       000
                                                           catheterization.
93524..............  TC                 A                 Left heart                    0.00        NA     44.45      2.43        NA     46.88       000
                                                           catheterization.
93526..............  .................  A                 Rt & Lt heart catheters       5.99        NA     48.13      2.81        NA     56.93       000
93526..............  26                 A                 Rt & Lt heart catheters       5.99      2.46      2.46      0.31      8.76      8.76       000
93526..............  TC                 A                 Rt & Lt heart catheters       0.00        NA     45.67      2.50        NA     48.17       000
93527..............  .................  A                 Rt & Lt heart catheters       7.28        NA     47.43      2.81        NA     57.52       000
93527..............  26                 A                 Rt & Lt heart catheters       7.28      2.98      2.98      0.38     10.64     10.64       000
93527..............  TC                 A                 Rt & Lt heart catheters       0.00        NA     44.45      2.43        NA     46.88       000
93528..............  .................  A                 Rt & Lt heart catheters       9.00        NA     48.19      2.90        NA     60.09       000
93528..............  26                 A                 Rt & Lt heart catheters       9.00      3.74      3.74      0.47     13.21     13.21       000
93528..............  TC                 A                 Rt & Lt heart catheters       0.00        NA     44.45      2.43        NA     46.88       000
93529..............  .................  A                 Rt, Lt heart                  4.80        NA     46.41      2.68        NA     53.89       000
                                                           catheterization.
93529..............  26                 A                 Rt, Lt heart                  4.80      1.96      1.96      0.25      7.01      7.01       000
                                                           catheterization.
93529..............  TC                 A                 Rt, Lt heart                  0.00        NA     44.45      2.43        NA     46.88       000
                                                           catheterization.
93530..............  .................  A                 Rt heart cath,                4.23        NA     17.53      1.11        NA     22.87       000
                                                           congenital.
93530..............  26                 A                 Rt heart cath,                4.23      1.54      1.54      0.24      6.01      6.01       000
                                                           congenital.
93530..............  TC                 A                 Rt heart cath,                0.00        NA     15.99      0.87        NA     16.86       000
                                                           congenital.
93531..............  .................  A                 R & l heart cath,             8.35        NA     48.92      2.96        NA     60.23       000
                                                           congenital.
93531..............  26                 A                 R & l heart cath,             8.35      3.25      3.25      0.46     12.06     12.06       000
                                                           congenital.
93531..............  TC                 A                 R & l heart cath,             0.00        NA     45.67      2.50        NA     48.17       000
                                                           congenital.

[[Page 40526]]

 
93532..............  .................  A                 R & l heart cath,            10.00        NA     48.33      2.95        NA     61.28       000
                                                           congenital.
93532..............  26                 A                 R & l heart cath,            10.00      3.88      3.88      0.52     14.40     14.40       000
                                                           congenital.
93532..............  TC                 A                 R & l heart cath,             0.00        NA     44.45      2.43        NA     46.88       000
                                                           congenital.
93533..............  .................  A                 R & l heart cath,             6.70        NA     46.91      2.86        NA     56.47       000
                                                           congenital.
93533..............  26                 A                 R & l heart cath,             6.70      2.46      2.46      0.43      9.59      9.59       000
                                                           congenital.
93533..............  TC                 A                 R & l heart cath,             0.00        NA     44.45      2.43        NA     46.88       000
                                                           congenital.
93536..............  .................  A                 Insert circulation assi       4.85      1.97        NA      0.27      7.09        NA       000
93539..............  .................  A                 Injection, cardiac cath       0.40      0.16      0.85      0.01      0.57      1.26       000
93540..............  .................  A                 Injection, cardiac cath       0.43      0.18      0.86      0.01      0.62      1.30       000
93541..............  .................  A                 Injection for lung            0.29      0.12        NA      0.01      0.42        NA       000
                                                           angiogram.
93542..............  .................  A                 Injection for heart x-        0.29      0.12        NA      0.01      0.42        NA       000
                                                           rays.
93543..............  .................  A                 Injection for heart x-        0.29      0.12      0.55      0.01      0.42      0.85       000
                                                           rays.
93544..............  .................  A                 Injection for                 0.25      0.10      0.53      0.01      0.36      0.79       000
                                                           aortography.
93545..............  .................  A                 Inject for coronary x-        0.40      0.16      0.85      0.01      0.57      1.26       000
                                                           rays.
93555..............  .................  A                 Imaging, cardiac cath..       0.81        NA      6.26      0.31        NA      7.38       XXX
93555..............  26                 A                 Imaging, cardiac cath..       0.81      0.33      0.33      0.03      1.17      1.17       XXX
93555..............  TC                 A                 Imaging, cardiac cath..       0.00        NA      5.93      0.28        NA      6.21       XXX
93556..............  .................  A                 Imaging, cardiac cath..       0.83        NA      9.70      0.45        NA     10.98       XXX
93556..............  26                 A                 Imaging, cardiac cath..       0.83      0.34      0.34      0.03      1.20      1.20       XXX
93556..............  TC                 A                 Imaging, cardiac cath..       0.00        NA      9.36      0.42        NA      9.78       XXX
93561..............  .................  A                 Cardiac output                0.50        NA      0.67      0.07        NA      1.24       000
                                                           measurement.
93561..............  26                 A                 Cardiac output                0.50      0.16      0.16      0.02      0.68      0.68       000
                                                           measurement.
93561..............  TC                 A                 Cardiac output                0.00        NA      0.51      0.05        NA      0.56       000
                                                           measurement.
93562..............  .................  A                 Cardiac output                0.16        NA      0.34      0.04        NA      0.54       000
                                                           measurement.
93562..............  26                 A                 Cardiac output                0.16      0.05      0.05      0.01      0.22      0.22       000
                                                           measurement.
93562..............  TC                 A                 Cardiac output                0.00        NA      0.29      0.03        NA      0.32       000
                                                           measurement.
93571..............  .................  A                 Heart flow reserve            1.80        NA      5.19      0.31        NA      7.30       ZZZ
                                                           measure.
93571..............  26                 A                 Heart flow reserve            1.80      0.70      0.70      0.11      2.61      2.61       ZZZ
                                                           measure.
93571..............  TC                 A                 Heart flow reserve            0.00        NA      4.49      0.20        NA      4.69       ZZZ
                                                           measure.
93572..............  .................  A                 Heart flow reserve            1.44        NA      2.76      0.28        NA      4.48       ZZZ
                                                           measure.
93572..............  26                 A                 Heart flow reserve            1.44      0.50      0.50      0.17      2.11      2.11       ZZZ
                                                           measure.
93572..............  TC                 A                 Heart flow reserve            0.00        NA      2.26      0.11        NA      2.37       ZZZ
                                                           measure.
93600..............  .................  A                 Bundle of His recording       2.12        NA      2.79      0.22        NA      5.13       000
93600..............  26                 A                 Bundle of His recording       2.12      0.87      0.87      0.11      3.10      3.10       000
93600..............  TC                 A                 Bundle of His recording       0.00        NA      1.92      0.11        NA      2.03       000
93602..............  .................  A                 Intra-atrial recording.       2.12        NA      1.95      0.18        NA      4.25       000
93602..............  26                 A                 Intra-atrial recording.       2.12      0.86      0.86      0.12      3.10      3.10       000
93602..............  TC                 A                 Intra-atrial recording.       0.00        NA      1.09      0.06        NA      1.15       000
93603..............  .................  A                 Right ventricular             2.12        NA      2.51      0.20        NA      4.83       000
                                                           recording.
93603..............  26                 A                 Right ventricular             2.12      0.85      0.85      0.11      3.08      3.08       000
                                                           recording.
93603..............  TC                 A                 Right ventricular             0.00        NA      1.66      0.09        NA      1.75       000
                                                           recording.
93607..............  .................  A                 Left ventricular              3.26        NA      2.83      0.26        NA      6.35       000
                                                           recording.
93607..............  26                 A                 Left ventricular              3.26      1.36      1.36      0.17      4.79      4.79       000
                                                           recording.
93607..............  TC                 A                 Left ventricular              0.00        NA      1.47      0.09        NA      1.56       000
                                                           recording.
93609..............  .................  A                 Mapping of tachycardia.      10.07        NA      6.79      0.66        NA     17.52       000
93609..............  26                 A                 Mapping of tachycardia.      10.07      4.11      4.11      0.52     14.70     14.70       000
93609..............  TC                 A                 Mapping of tachycardia.       0.00        NA      2.68      0.14        NA      2.82       000
93610..............  .................  A                 Intra-atrial pacing....       3.02        NA      2.54      0.25        NA      5.81       000
93610..............  26                 A                 Intra-atrial pacing....       3.02      1.21      1.21      0.17      4.40      4.40       000
93610..............  TC                 A                 Intra-atrial pacing....       0.00        NA      1.33      0.08        NA      1.41       000
93612..............  .................  A                 Intraventricular pacing       3.02        NA      2.80      0.26        NA      6.08       000
93612..............  26                 A                 Intraventricular pacing       3.02      1.21      1.21      0.17      4.40      4.40       000
93612..............  TC                 A                 Intraventricular pacing       0.00        NA      1.59      0.09        NA      1.68       000
93615..............  .................  A                 Esophageal recording...       0.99        NA      0.70      0.05        NA      1.74       000
93615..............  26                 A                 Esophageal recording...       0.99      0.39      0.39      0.03      1.41      1.41       000
93615..............  TC                 A                 Esophageal recording...       0.00        NA      0.31      0.02        NA      0.33       000
93616..............  .................  A                 Esophageal recording...       1.49        NA      0.79      0.08        NA      2.36       000
93616..............  26                 A                 Esophageal recording...       1.49      0.48      0.48      0.06      2.03      2.03       000
93616..............  TC                 A                 Esophageal recording...       0.00        NA      0.31      0.02        NA      0.33       000
93618..............  .................  A                 Heart rhythm pacing....       4.26        NA      5.65      0.42        NA     10.33       000
93618..............  26                 A                 Heart rhythm pacing....       4.26      1.75      1.75      0.22      6.23      6.23       000
93618..............  TC                 A                 Heart rhythm pacing....       0.00        NA      3.90      0.20        NA      4.10       000
93619..............  .................  A                 Electrophysiology             7.32        NA     10.57      0.77        NA     18.66       000
                                                           evaluation.
93619..............  26                 A                 Electrophysiology             7.32      2.98      2.98      0.38     10.68     10.68       000
                                                           evaluation.
93619..............  TC                 A                 Electrophysiology             0.00        NA      7.59      0.39        NA      7.98       000
                                                           evaluation.
93620..............  .................  A                 Electrophysiology            11.59        NA     13.58      1.04        NA     26.21       000
                                                           evaluation.
93620..............  26                 A                 Electrophysiology            11.59      4.75      4.75      0.60     16.94     16.94       000
                                                           evaluation.
93620..............  TC                 A                 Electrophysiology             0.00        NA      8.83      0.44        NA      9.27       000
                                                           evaluation.
93621..............  .................  C                 Electrophysiology             0.00        NA      0.00      0.00        NA      0.00       000
                                                           evaluation.
93621..............  26                 A                 Electrophysiology            12.66      5.19      5.19      0.66     18.51     18.51       000
                                                           evaluation.
93621..............  TC                 C                 Electrophysiology             0.00        NA      0.00      0.00        NA      0.00       000
                                                           evaluation.
93622..............  .................  C                 Electrophysiology             0.00        NA      0.00      0.00        NA      0.00       000
                                                           evaluation.
93622..............  26                 A                 Electrophysiology            12.74      5.22      5.22      0.67     18.63     18.63       000
                                                           evaluation.
93622..............  TC                 C                 Electrophysiology             0.00        NA      0.00      0.00        NA      0.00       000
                                                           evaluation.

[[Page 40527]]

 
93623..............  .................  C                 Stimulation, pacing           0.00        NA      0.00      0.00        NA      0.00       ZZZ
                                                           heart.
93623..............  26                 A                 Stimulation, pacing           2.85      1.16      1.16      0.15      4.16      4.16       ZZZ
                                                           heart.
93623..............  TC                 C                 Stimulation, pacing           0.00        NA      0.00      0.00        NA      0.00       ZZZ
                                                           heart.
93624..............  .................  A                 Electrophysiologic            4.81        NA      3.91      0.36        NA      9.08       000
                                                           study.
93624..............  26                 A                 Electrophysiologic            4.81      1.96      1.96      0.25      7.02      7.02       000
                                                           study.
93624..............  TC                 A                 Electrophysiologic            0.00        NA      1.95      0.11        NA      2.06       000
                                                           study.
93631..............  .................  A                 Heart pacing, mapping..       7.60        NA      8.89      1.17        NA     17.66       000
93631..............  26                 A                 Heart pacing, mapping..       7.60      2.83      2.83      0.66     11.09     11.09       000
93631..............  TC                 A                 Heart pacing, mapping..       0.00        NA      6.06      0.51        NA      6.57       000
93640..............  .................  A                 Evaluation heart device       3.52        NA      8.46      0.53        NA     12.51       000
93640..............  26                 A                 Evaluation heart device       3.52      1.40      1.40      0.18      5.10      5.10       000
93640..............  TC                 A                 Evaluation heart device       0.00        NA      7.06      0.35        NA      7.41       000
93641..............  .................  A                 Electrophysiology             5.93        NA      9.49      0.66        NA     16.08       000
                                                           evaluation.
93641..............  26                 A                 Electrophysiology             5.93      2.43      2.43      0.31      8.67      8.67       000
                                                           evaluation.
93641..............  TC                 A                 Electrophysiology             0.00        NA      7.06      0.35        NA      7.41       000
                                                           evaluation.
93642..............  .................  A                 Electrophysiology             4.89        NA      9.00      0.51        NA     14.40       000
                                                           evaluation.
93642..............  26                 A                 Electrophysiology             4.89      1.94      1.94      0.16      6.99      6.99       000
                                                           evaluation.
93642..............  TC                 A                 Electrophysiology             0.00        NA      7.06      0.35        NA      7.41       000
                                                           evaluation.
93650..............  .................  A                 Ablate heart dysrhythm       10.51      4.36        NA      0.55     15.42        NA       000
                                                           focus.
93651..............  .................  A                 Ablate heart dysrhythm       16.25      6.70        NA      0.85     23.80        NA       000
                                                           focus.
93652..............  .................  A                 Ablate heart dysrhythm       17.68      7.27        NA      0.92     25.87        NA       000
                                                           focus.
93660..............  .................  A                 Tilt table evaluation..       1.89        NA      2.44      0.08        NA      4.41       000
93660..............  26                 A                 Tilt table evaluation..       1.89      0.78      0.78      0.06      2.73      2.73       000
93660..............  TC                 A                 Tilt table evaluation..       0.00        NA      1.66      0.02        NA      1.68       000
93662..............  .................  A                 Intracardiac ecg (ice).       2.80      1.16        NA      0.41      4.37        NA       ZZZ
93668..............  .................  N                 Peripheral vascular           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           rehab.
93720..............  .................  A                 Total body                    0.17        NA      0.75      0.06        NA      0.98       XXX
                                                           plethysmography.
93721..............  .................  A                 Plethysmography tracing       0.00        NA      0.70      0.05        NA      0.75       XXX
93722..............  .................  A                 Plethysmography report.       0.17      0.06      0.06      0.01      0.24      0.24       XXX
93724..............  .................  A                 Analyze pacemaker             4.89        NA      5.90      0.38        NA     11.17       000
                                                           system.
93724..............  26                 A                 Analyze pacemaker             4.89      2.00      2.00      0.18      7.07      7.07       000
                                                           system.
93724..............  TC                 A                 Analyze pacemaker             0.00        NA      3.90      0.20        NA      4.10       000
                                                           system.
93727..............  .................  A                 Analyze ilr system.....       0.52      0.19      0.19      0.05      0.76      0.76       XXX
93731..............  .................  A                 Analyze pacemaker             0.45        NA      0.67      0.05        NA      1.17       XXX
                                                           system.
93731..............  26                 A                 Analyze pacemaker             0.45      0.18      0.18      0.02      0.65      0.65       XXX
                                                           system.
93731..............  TC                 A                 Analyze pacemaker             0.00        NA      0.49      0.03        NA      0.52       XXX
                                                           system.
93732..............  .................  A                 Analyze pacemaker             0.92        NA      0.87      0.06        NA      1.85       XXX
                                                           system.
93732..............  26                 A                 Analyze pacemaker             0.92      0.37      0.37      0.03      1.32      1.32       XXX
                                                           system.
93732..............  TC                 A                 Analyze pacemaker             0.00        NA      0.50      0.03        NA      0.53       XXX
                                                           system.
93733..............  .................  A                 Telephone analy,              0.17        NA      0.78      0.06        NA      1.01       XXX
                                                           pacemaker.
93733..............  26                 A                 Telephone analy,              0.17      0.07      0.07      0.01      0.25      0.25       XXX
                                                           pacemaker.
93733..............  TC                 A                 Telephone analy,              0.00        NA      0.71      0.05        NA      0.76       XXX
                                                           pacemaker.
93734..............  .................  A                 Analyze pacemaker             0.38        NA      0.49      0.03        NA      0.90       XXX
                                                           system.
93734..............  26                 A                 Analyze pacemaker             0.38      0.15      0.15      0.01      0.54      0.54       XXX
                                                           system.
93734..............  TC                 A                 Analyze pacemaker             0.00        NA      0.34      0.02        NA      0.36       XXX
                                                           system.
93735..............  .................  A                 Analyze pacemaker             0.74        NA      0.74      0.06        NA      1.54       XXX
                                                           system.
93735..............  26                 A                 Analyze pacemaker             0.74      0.30      0.30      0.03      1.07      1.07       XXX
                                                           system.
93735..............  TC                 A                 Analyze pacemaker             0.00        NA      0.44      0.03        NA      0.47       XXX
                                                           system.
93736..............  .................  A                 Telephone analy,              0.15        NA      0.68      0.06        NA      0.89       XXX
                                                           pacemaker.
93736..............  26                 A                 Telephone analy,              0.15      0.06      0.06      0.01      0.22      0.22       XXX
                                                           pacemaker.
93736..............  TC                 A                 Telephone analy,              0.00        NA      0.62      0.05        NA      0.67       XXX
                                                           pacemaker.
93737..............  .................  A                 Analyze cardio/               0.45        NA      0.67      0.04        NA      1.16       XXX
                                                           defibrillator.
93737..............  26                 A                 Analyze cardio/               0.45      0.18      0.18      0.01      0.64      0.64       XXX
                                                           defibrillator.
93737..............  TC                 A                 Analyze cardio/               0.00        NA      0.49      0.03        NA      0.52       XXX
                                                           defibrillator.
93738..............  .................  A                 Analyze cardio/               0.92        NA      0.88      0.06        NA      1.86       XXX
                                                           defibrillator.
93738..............  26                 A                 Analyze cardio/               0.92      0.38      0.38      0.03      1.33      1.33       XXX
                                                           defibrillator.
93738..............  TC                 A                 Analyze cardio/               0.00        NA      0.50      0.03        NA      0.53       XXX
                                                           defibrillator.
93740..............  .................  B                 Temperature gradient         +0.16        NA      0.21      0.02        NA      0.39       XXX
                                                           studies.
93740..............  26                 B                 Temperature gradient         +0.16      0.06      0.06      0.01      0.23      0.23       XXX
                                                           studies.
93740..............  TC                 B                 Temperature gradient         +0.00        NA      0.15      0.01        NA      0.16       XXX
                                                           studies.
93741..............  .................  A                 Analyze ht pace device        0.80        NA      0.98      0.05        NA      1.83       XXX
                                                           sngl.
93741..............  26                 A                 Analyze ht pace device        0.80      0.32      0.32      0.02      1.14      1.14       XXX
                                                           sngl.
93741..............  TC                 A                 Analyze ht pace device        0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           sngl.
93742..............  .................  A                 Analyze ht pace device        0.91        NA      1.02      0.05        NA      1.98       XXX
                                                           sngl.
93742..............  26                 A                 Analyze ht pace device        0.91      0.36      0.36      0.02      1.29      1.29       XXX
                                                           sngl.
93742..............  TC                 A                 Analyze ht pace device        0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           sngl.
93743..............  .................  A                 Analyze ht pace device        1.03        NA      1.13      0.06        NA      2.22       XXX
                                                           dual.
93743..............  26                 A                 Analyze ht pace device        1.03      0.41      0.41      0.03      1.47      1.47       XXX
                                                           dual.
93743..............  TC                 A                 Analyze ht pace device        0.00        NA      0.72      0.03        NA      0.75       XXX
                                                           dual.
93744..............  .................  A                 Analyze ht pace device        1.18        NA      1.13      0.06        NA      2.37       XXX
                                                           dual.
93744..............  26                 A                 Analyze ht pace device        1.18      0.47      0.47      0.03      1.68      1.68       XXX
                                                           dual.
93744..............  TC                 A                 Analyze ht pace device        0.00        NA      0.66      0.03        NA      0.69       XXX
                                                           dual.
93760..............  .................  N                 Cephalic thermogram....       0.00        NA      0.00      0.00        NA      0.00       XXX
93762..............  .................  N                 Peripheral thermogram..       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40528]]

 
93770..............  .................  B                 Measure venous pressure      +0.16        NA      0.09      0.02        NA      0.27       XXX
93770..............  26                 B                 Measure venous pressure      +0.16      0.06      0.06      0.01      0.23      0.23       XXX
93770..............  TC                 B                 Measure venous pressure      +0.00        NA      0.03      0.01        NA      0.04       XXX
93784..............  .................  N                 Ambulatory BP                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           monitoring.
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      0.07      0.37      0.01      0.26      0.56       000
93798..............  .................  A                 Cardiac rehab/monitor..       0.28      0.11      0.45      0.01      0.40      0.74       000
93799..............  .................  C                 Cardiovascular                0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
93799..............  26                 C                 Cardiovascular                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
93799..............  TC                 C                 Cardiovascular                0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
93875..............  .................  A                 Extracranial study.....       0.22        NA      1.17      0.10        NA      1.49       XXX
93875..............  26                 A                 Extracranial study.....       0.22      0.08      0.08      0.01      0.31      0.31       XXX
93875..............  TC                 A                 Extracranial study.....       0.00        NA      1.09      0.09        NA      1.18       XXX
93880..............  .................  A                 Extracranial study.....       0.60        NA      3.89      0.33        NA      4.82       XXX
93880..............  26                 A                 Extracranial study.....       0.60      0.22      0.22      0.04      0.86      0.86       XXX
93880..............  TC                 A                 Extracranial study.....       0.00        NA      3.67      0.29        NA      3.96       XXX
93882..............  .................  A                 Extracranial study.....       0.40        NA      2.59      0.22        NA      3.21       XXX
93882..............  26                 A                 Extracranial study.....       0.40      0.15      0.15      0.04      0.59      0.59       XXX
93882..............  TC                 A                 Extracranial study.....       0.00        NA      2.44      0.18        NA      2.62       XXX
93886..............  .................  A                 Intracranial study.....       0.94        NA      4.54      0.37        NA      5.85       XXX
93886..............  26                 A                 Intracranial study.....       0.94      0.39      0.39      0.05      1.38      1.38       XXX
93886..............  TC                 A                 Intracranial study.....       0.00        NA      4.15      0.32        NA      4.47       XXX
93888..............  .................  A                 Intracranial study.....       0.62        NA      3.01      0.26        NA      3.89       XXX
93888..............  26                 A                 Intracranial study.....       0.62      0.24      0.24      0.04      0.90      0.90       XXX
93888..............  TC                 A                 Intracranial study.....       0.00        NA      2.77      0.22        NA      2.99       XXX
93922..............  .................  A                 Extremity study........       0.25        NA      1.22      0.13        NA      1.60       XXX
93922..............  26                 A                 Extremity study........       0.25      0.09      0.09      0.02      0.36      0.36       XXX
93922..............  TC                 A                 Extremity study........       0.00        NA      1.13      0.11        NA      1.24       XXX
93923..............  .................  A                 Extremity study........       0.45        NA      2.31      0.22        NA      2.98       XXX
93923..............  26                 A                 Extremity study........       0.45      0.16      0.16      0.04      0.65      0.65       XXX
93923..............  TC                 A                 Extremity study........       0.00        NA      2.15      0.18        NA      2.33       XXX
93924..............  .................  A                 Extremity study........       0.50        NA      2.51      0.26        NA      3.27       XXX
93924..............  26                 A                 Extremity study........       0.50      0.18      0.18      0.05      0.73      0.73       XXX
93924..............  TC                 A                 Extremity study........       0.00        NA      2.33      0.21        NA      2.54       XXX
93925..............  .................  A                 Lower extremity study..       0.58        NA      3.89      0.33        NA      4.80       XXX
93925..............  26                 A                 Lower extremity study..       0.58      0.21      0.21      0.04      0.83      0.83       XXX
93925..............  TC                 A                 Lower extremity study..       0.00        NA      3.68      0.29        NA      3.97       XXX
93926..............  .................  A                 Lower extremity study..       0.39        NA      2.60      0.22        NA      3.21       XXX
93926..............  26                 A                 Lower extremity study..       0.39      0.14      0.14      0.03      0.56      0.56       XXX
93926..............  TC                 A                 Lower extremity study..       0.00        NA      2.46      0.19        NA      2.65       XXX
93930..............  .................  A                 Upper extremity study..       0.46        NA      4.08      0.34        NA      4.88       XXX
93930..............  26                 A                 Upper extremity study..       0.46      0.17      0.17      0.03      0.66      0.66       XXX
93930..............  TC                 A                 Upper extremity study..       0.00        NA      3.91      0.31        NA      4.22       XXX
93931..............  .................  A                 Upper extremity study..       0.31        NA      2.71      0.22        NA      3.24       XXX
93931..............  26                 A                 Upper extremity study..       0.31      0.11      0.11      0.02      0.44      0.44       XXX
93931..............  TC                 A                 Upper extremity study..       0.00        NA      2.60      0.20        NA      2.80       XXX
93965..............  .................  A                 Extremity study........       0.35        NA      1.21      0.12        NA      1.68       XXX
93965..............  26                 A                 Extremity study........       0.35      0.13      0.13      0.02      0.50      0.50       XXX
93965..............  TC                 A                 Extremity study........       0.00        NA      1.08      0.10        NA      1.18       XXX
93970..............  .................  A                 Extremity study........       0.68        NA      4.31      0.38        NA      5.37       XXX
93970..............  26                 A                 Extremity study........       0.68      0.24      0.24      0.05      0.97      0.97       XXX
93970..............  TC                 A                 Extremity study........       0.00        NA      4.07      0.33        NA      4.40       XXX
93971..............  .................  A                 Extremity study........       0.45        NA      2.86      0.25        NA      3.56       XXX
93971..............  26                 A                 Extremity study........       0.45      0.16      0.16      0.03      0.64      0.64       XXX
93971..............  TC                 A                 Extremity study........       0.00        NA      2.70      0.22        NA      2.92       XXX
93975..............  .................  A                 Vascular study.........       1.80        NA      5.26      0.47        NA      7.53       XXX
93975..............  26                 A                 Vascular study.........       1.80      0.63      0.63      0.11      2.54      2.54       XXX
93975..............  TC                 A                 Vascular study.........       0.00        NA      4.63      0.36        NA      4.99       XXX
93976..............  .................  A                 Vascular study.........       1.21        NA      3.50      0.31        NA      5.02       XXX
93976..............  26                 A                 Vascular study.........       1.21      0.42      0.42      0.06      1.69      1.69       XXX
93976..............  TC                 A                 Vascular study.........       0.00        NA      3.08      0.25        NA      3.33       XXX
93978..............  .................  A                 Vascular study.........       0.65        NA      4.02      0.36        NA      5.03       XXX
93978..............  26                 A                 Vascular study.........       0.65      0.23      0.23      0.05      0.93      0.93       XXX
93978..............  TC                 A                 Vascular study.........       0.00        NA      3.79      0.31        NA      4.10       XXX
93979..............  .................  A                 Vascular study.........       0.44        NA      2.68      0.24        NA      3.36       XXX
93979..............  26                 A                 Vascular study.........       0.44      0.16      0.16      0.04      0.64      0.64       XXX
93979..............  TC                 A                 Vascular study.........       0.00        NA      2.52      0.20        NA      2.72       XXX
93980..............  .................  A                 Penile vascular study..       1.25        NA      3.88      0.35        NA      5.48       XXX
93980..............  26                 A                 Penile vascular study..       1.25      0.44      0.44      0.07      1.76      1.76       XXX
93980..............  TC                 A                 Penile vascular study..       0.00        NA      3.44      0.28        NA      3.72       XXX
93981..............  .................  A                 Penile vascular study..       0.44        NA      3.32      0.28        NA      4.04       XXX
93981..............  26                 A                 Penile vascular study..       0.44      0.15      0.15      0.02      0.61      0.61       XXX

[[Page 40529]]

 
93981..............  TC                 A                 Penile vascular study..       0.00        NA      3.17      0.26        NA      3.43       XXX
93990..............  .................  A                 Doppler flow testing...       0.25        NA      2.56      0.21        NA      3.02       XXX
93990..............  26                 A                 Doppler flow testing...       0.25      0.10      0.10      0.02      0.37      0.37       XXX
93990..............  TC                 A                 Doppler flow testing...       0.00        NA      2.46      0.19        NA      2.65       XXX
94010..............  .................  A                 Breathing capacity test       0.17        NA      0.81      0.03        NA      1.01       XXX
94010..............  26                 A                 Breathing capacity test       0.17      0.05      0.05      0.01      0.23      0.23       XXX
94010..............  TC                 A                 Breathing capacity test       0.00        NA      0.76      0.02        NA      0.78       XXX
94014..............  .................  A                 Patient recorded              0.52        NA      0.50      0.03        NA      1.05       XXX
                                                           spirometry.
94015..............  .................  A                 Patient recorded              0.00        NA      0.33      0.01        NA      0.34       XXX
                                                           spirometry.
94016..............  .................  A                 Review patient                0.52      0.17      0.17      0.02      0.71      0.71       XXX
                                                           spirometry.
94060..............  .................  A                 Evaluation of wheezing.       0.31        NA      1.22      0.06        NA      1.59       XXX
94060..............  26                 A                 Evaluation of wheezing.       0.31      0.10      0.10      0.01      0.42      0.42       XXX
94060..............  TC                 A                 Evaluation of wheezing.       0.00        NA      1.12      0.05        NA      1.17       XXX
94070..............  .................  A                 Evaluation of wheezing.       0.60        NA      3.83      0.10        NA      4.53       XXX
94070..............  26                 A                 Evaluation of wheezing.       0.60      0.19      0.19      0.02      0.81      0.81       XXX
94070..............  TC                 A                 Evaluation of wheezing.       0.00        NA      3.64      0.08        NA      3.72       XXX
94150..............  .................  B                 Vital capacity test....      +0.07        NA      0.61      0.02        NA      0.70       XXX
94150..............  26                 B                 Vital capacity test....      +0.07      0.03      0.03      0.01      0.11      0.11       XXX
94150..............  TC                 B                 Vital capacity test....      +0.00        NA      0.58      0.01        NA      0.59       XXX
94200..............  .................  A                 Lung function test (MBC/      0.11        NA      0.32      0.03        NA      0.46       XXX
                                                           MVV).
94200..............  26                 A                 Lung function test (MBC/      0.11      0.04      0.04      0.01      0.16      0.16       XXX
                                                           MVV).
94200..............  TC                 A                 Lung function test (MBC/      0.00        NA      0.28      0.02        NA      0.30       XXX
                                                           MVV).
94240..............  .................  A                 Residual lung capacity.       0.26        NA      1.42      0.05        NA      1.73       XXX
94240..............  26                 A                 Residual lung capacity.       0.26      0.08      0.08      0.01      0.35      0.35       XXX
94240..............  TC                 A                 Residual lung capacity.       0.00        NA      1.34      0.04        NA      1.38       XXX
94250..............  .................  A                 Expired gas collection.       0.11        NA      0.66      0.02        NA      0.79       XXX
94250..............  26                 A                 Expired gas collection.       0.11      0.04      0.04      0.01      0.16      0.16       XXX
94250..............  TC                 A                 Expired gas collection.       0.00        NA      0.62      0.01        NA      0.63       XXX
94260..............  .................  A                 Thoracic gas volume....       0.13        NA      0.40      0.04        NA      0.57       XXX
94260..............  26                 A                 Thoracic gas volume....       0.13      0.04      0.04      0.01      0.18      0.18       XXX
94260..............  TC                 A                 Thoracic gas volume....       0.00        NA      0.36      0.03        NA      0.39       XXX
94350..............  .................  A                 Lung nitrogen washout         0.26        NA      1.21      0.04        NA      1.51       XXX
                                                           curve.
94350..............  26                 A                 Lung nitrogen washout         0.26      0.08      0.08      0.01      0.35      0.35       XXX
                                                           curve.
94350..............  TC                 A                 Lung nitrogen washout         0.00        NA      1.13      0.03        NA      1.16       XXX
                                                           curve.
94360..............  .................  A                 Measure airflow               0.26        NA      0.65      0.06        NA      0.97       XXX
                                                           resistance.
94360..............  26                 A                 Measure airflow               0.26      0.08      0.08      0.01      0.35      0.35       XXX
                                                           resistance.
94360..............  TC                 A                 Measure airflow               0.00        NA      0.57      0.05        NA      0.62       XXX
                                                           resistance.
94370..............  .................  A                 Breath airway closing         0.26        NA      2.53      0.03        NA      2.82       XXX
                                                           volume.
94370..............  26                 A                 Breath airway closing         0.26      0.08      0.08      0.01      0.35      0.35       XXX
                                                           volume.
94370..............  TC                 A                 Breath airway closing         0.00        NA      2.45      0.02        NA      2.47       XXX
                                                           volume.
94375..............  .................  A                 Respiratory flow volume       0.31        NA      0.48      0.03        NA      0.82       XXX
                                                           loop.
94375..............  26                 A                 Respiratory flow volume       0.31      0.10      0.10      0.01      0.42      0.42       XXX
                                                           loop.
94375..............  TC                 A                 Respiratory flow volume       0.00        NA      0.38      0.02        NA      0.40       XXX
                                                           loop.
94400..............  .................  A                 CO2 breathing response        0.40        NA      0.84      0.06        NA      1.30       XXX
                                                           curve.
94400..............  26                 A                 CO2 breathing response        0.40      0.13      0.13      0.01      0.54      0.54       XXX
                                                           curve.
94400..............  TC                 A                 CO2 breathing response        0.00        NA      0.71      0.05        NA      0.76       XXX
                                                           curve.
94450..............  .................  A                 Hypoxia response curve.       0.40        NA      0.82      0.04        NA      1.26       XXX
94450..............  26                 A                 Hypoxia response curve.       0.40      0.11      0.11      0.02      0.53      0.53       XXX
94450..............  TC                 A                 Hypoxia response curve.       0.00        NA      0.71      0.02        NA      0.73       XXX
94620..............  .................  A                 Pulmonary stress test/        0.64        NA      2.36      0.10        NA      3.10       XXX
                                                           simple.
94620..............  26                 A                 Pulmonary stress test/        0.64      0.21      0.21      0.02      0.87      0.87       XXX
                                                           simple.
94620..............  TC                 A                 Pulmonary stress test/        0.00        NA      2.15      0.08        NA      2.23       XXX
                                                           simple.
94621..............  .................  A                 Pulm stress test/             1.42        NA      2.11      0.13        NA      3.66       XXX
                                                           complex.
94621..............  26                 A                 Pulm stress test/             1.42      0.46      0.46      0.05      1.93      1.93       XXX
                                                           complex.
94621..............  TC                 A                 Pulm stress test/             0.00        NA      1.65      0.08        NA      1.73       XXX
                                                           complex.
94640..............  .................  A                 Airway inhalation             0.00        NA      0.69      0.02        NA      0.71       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        NA      0.65      0.02        NA      0.67       XXX
                                                           (IPPB).
94651..............  .................  A                 Pressure breathing            0.00        NA      0.60      0.02        NA      0.62       XXX
                                                           (IPPB).
94652..............  .................  A                 Pressure breathing            0.00        NA      0.75      0.06        NA      0.81       XXX
                                                           (IPPB).
94656..............  .................  A                 Initial ventilator mgmt       1.22      0.33        NA      0.06      1.61        NA       XXX
94657..............  .................  A                 Continued ventilator          0.83      0.26        NA      0.03      1.12        NA       XXX
                                                           mgmt.
94660..............  .................  A                 Pos airway pressure,          0.76      0.24      0.68      0.03      1.03      1.47       XXX
                                                           CPAP.
94662..............  .................  A                 Neg press ventilation,        0.76      0.25        NA      0.02      1.03        NA       XXX
                                                           cnp.
94664..............  .................  A                 Aerosol or vapor              0.00        NA      0.52      0.03        NA      0.55       XXX
                                                           inhalations.
94665..............  .................  A                 Aerosol or vapor              0.00        NA      0.53      0.04        NA      0.57       XXX
                                                           inhalations.
94667..............  .................  A                 Chest wall manipulation       0.00        NA      0.83      0.04        NA      0.87       XXX
94668..............  .................  A                 Chest wall manipulation       0.00        NA      0.71      0.02        NA      0.73       XXX
94680..............  .................  A                 Exhaled air analysis,         0.26        NA      0.84      0.06        NA      1.16       XXX
                                                           o2.
94680..............  26                 A                 Exhaled air analysis,         0.26      0.09      0.09      0.01      0.36      0.36       XXX
                                                           o2.
94680..............  TC                 A                 Exhaled air analysis,         0.00        NA      0.75      0.05        NA      0.80       XXX
                                                           o2.
94681..............  .................  A                 Exhaled air analysis,         0.20        NA      1.70      0.11        NA      2.01       XXX
                                                           o2/co2.
94681..............  26                 A                 Exhaled air analysis,         0.20      0.07      0.07      0.01      0.28      0.28       XXX
                                                           o2/co2.
94681..............  TC                 A                 Exhaled air analysis,         0.00        NA      1.63      0.10        NA      1.73       XXX
                                                           o2/co2.

[[Page 40530]]

 
94690..............  .................  A                 Exhaled air analysis...       0.07        NA      0.55      0.04        NA      0.66       XXX
94690..............  26                 A                 Exhaled air analysis...       0.07      0.02      0.02      0.01      0.10      0.10       XXX
94690..............  TC                 A                 Exhaled air analysis...       0.00        NA      0.53      0.03        NA      0.56       XXX
94720..............  .................  A                 Monoxide diffusing            0.26        NA      1.44      0.06        NA      1.76       XXX
                                                           capacity.
94720..............  26                 A                 Monoxide diffusing            0.26      0.08      0.08      0.01      0.35      0.35       XXX
                                                           capacity.
94720..............  TC                 A                 Monoxide diffusing            0.00        NA      1.36      0.05        NA      1.41       XXX
                                                           capacity.
94725..............  .................  A                 Membrane diffusion            0.26        NA      0.81      0.11        NA      1.18       XXX
                                                           capacity.
94725..............  26                 A                 Membrane diffusion            0.26      0.08      0.08      0.01      0.35      0.35       XXX
                                                           capacity.
94725..............  TC                 A                 Membrane diffusion            0.00        NA      0.73      0.10        NA      0.83       XXX
                                                           capacity.
94750..............  .................  A                 Pulmonary compliance          0.23        NA      3.64      0.04        NA      3.91       XXX
                                                           study.
94750..............  26                 A                 Pulmonary compliance          0.23      0.07      0.07      0.01      0.31      0.31       XXX
                                                           study.
94750..............  TC                 A                 Pulmonary compliance          0.00        NA      3.57      0.03        NA      3.60       XXX
                                                           study.
94760..............  .................  T                 Measure blood oxygen          0.00        NA      0.09      0.02        NA      0.11       XXX
                                                           level.
94761..............  .................  T                 Measure blood oxygen          0.00        NA      0.18      0.05        NA      0.23       XXX
                                                           level.
94762..............  .................  A                 Measure blood oxygen          0.00        NA      0.11      0.08        NA      0.19       XXX
                                                           level.
94770..............  .................  A                 Exhaled carbon dioxide        0.15        NA      0.76      0.07        NA      0.98       XXX
                                                           test.
94770..............  26                 A                 Exhaled carbon dioxide        0.15      0.04      0.04      0.01      0.20      0.20       XXX
                                                           test.
94770..............  TC                 A                 Exhaled carbon dioxide        0.00        NA      0.72      0.06        NA      0.78       XXX
                                                           test.
94772..............  .................  C                 Breath recording,             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           infant.
94772..............  26                 C                 Breath recording,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           infant.
94772..............  TC                 C                 Breath recording,             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           infant.
94799..............  .................  C                 Pulmonary service/            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
94799..............  26                 C                 Pulmonary service/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
94799..............  TC                 C                 Pulmonary service/            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           procedure.
95004..............  .................  A                 Allergy skin tests.....       0.00        NA      0.10      0.01        NA      0.11       XXX
95010..............  .................  A                 Sensitivity skin tests.       0.15      0.07      0.44      0.01      0.23      0.60       XXX
95015..............  .................  A                 Sensitivity skin tests.       0.15      0.06      0.48      0.01      0.22      0.64       XXX
95024..............  .................  A                 Allergy skin tests.....       0.00        NA      0.14      0.01        NA      0.15       XXX
95027..............  .................  A                 Skin end point                0.00        NA      0.14      0.01        NA      0.15       XXX
                                                           titration.
95028..............  .................  A                 Allergy skin tests.....       0.00        NA      0.23      0.01        NA      0.24       XXX
95044..............  .................  A                 Allergy patch tests....       0.00        NA      0.20      0.01        NA      0.21       XXX
95052..............  .................  A                 Photo patch test.......       0.00        NA      0.25      0.01        NA      0.26       XXX
95056..............  .................  A                 Photosensitivity tests.       0.00        NA      0.17      0.01        NA      0.18       XXX
95060..............  .................  A                 Eye allergy tests......       0.00        NA      0.34      0.02        NA      0.36       XXX
95065..............  .................  A                 Nose allergy test......       0.00        NA      0.20      0.01        NA      0.21       XXX
95070..............  .................  A                 Bronchial allergy tests       0.00        NA      2.25      0.02        NA      2.27       XXX
95071..............  .................  A                 Bronchial allergy tests       0.00        NA      2.88      0.02        NA      2.90       XXX
95075..............  .................  A                 Ingestion challenge           0.95      0.42      0.88      0.03      1.40      1.86       XXX
                                                           test.
95078..............  .................  A                 Provocative testing....       0.00        NA      0.25      0.02        NA      0.27       XXX
95115..............  .................  A                 Immunotherapy, one            0.00        NA      0.38      0.02        NA      0.40       000
                                                           injection.
95117..............  .................  A                 Immunotherapy                 0.00        NA      0.50      0.02        NA      0.52       000
                                                           injections.
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               0.06      0.03      0.25      0.01      0.10      0.32       000
                                                           services.
95145..............  .................  A                 Antigen therapy               0.06      0.02      0.50      0.01      0.09      0.57       000
                                                           services.
95146..............  .................  A                 Antigen therapy               0.06      0.02      0.58      0.01      0.09      0.65       000
                                                           services.
95147..............  .................  A                 Antigen therapy               0.06      0.02      0.84      0.01      0.09      0.91       000
                                                           services.
95148..............  .................  A                 Antigen therapy               0.06      0.03      0.81      0.01      0.10      0.88       000
                                                           services.
95149..............  .................  A                 Antigen therapy               0.06      0.02      1.00      0.01      0.09      1.07       000
                                                           services.
95165..............  .................  A                 Antigen therapy               0.06      0.02      0.20      0.01      0.09      0.27       000
                                                           services.
95170..............  .................  A                 Antigen therapy               0.06      0.02      0.26      0.01      0.09      0.33       000
                                                           services.
95180..............  .................  A                 Rapid desensitization..       2.01      0.84      1.66      0.04      2.89      3.71       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        NA      7.82      0.34        NA     10.04       XXX
                                                           test.
95805..............  26                 A                 Multiple sleep latency        1.88      0.69      0.69      0.06      2.63      2.63       XXX
                                                           test.
95805..............  TC                 A                 Multiple sleep latency        0.00        NA      7.13      0.28        NA      7.41       XXX
                                                           test.
95806..............  .................  A                 Sleep study, unattended       1.66        NA      1.74      0.32        NA      3.72       XXX
95806..............  26                 A                 Sleep study, unattended       1.66      0.56      0.56      0.06      2.28      2.28       XXX
95806..............  TC                 A                 Sleep study, unattended       0.00        NA      1.18      0.26        NA      1.44       XXX
95807..............  .................  A                 Sleep study, attended..       1.66        NA     10.85      0.40        NA     12.91       XXX
95807..............  26                 A                 Sleep study, attended..       1.66      0.55      0.55      0.05      2.26      2.26       XXX
95807..............  TC                 A                 Sleep study, attended..       0.00        NA     10.30      0.35        NA     10.65       XXX
95808..............  .................  A                 Polysomnography, 1-3...       2.65        NA     19.34      0.44        NA     22.43       XXX
95808..............  26                 A                 Polysomnography, 1-3...       2.65      0.97      0.97      0.09      3.71      3.71       XXX
95808..............  TC                 A                 Polysomnography, 1-3...       0.00        NA     18.37      0.35        NA     18.72       XXX
95810..............  .................  A                 Polysomnography, 4 or         3.53        NA     16.46      0.47        NA     20.46       XXX
                                                           more.
95810..............  26                 A                 Polysomnography, 4 or         3.53      1.25      1.25      0.12      4.90      4.90       XXX
                                                           more.
95810..............  TC                 A                 Polysomnography, 4 or         0.00        NA     15.21      0.35        NA     15.56       XXX
                                                           more.
95811..............  .................  A                 Polysomnography w/cpap.       3.80        NA     14.73      0.49        NA     19.02       XXX

[[Page 40531]]

 
95811..............  26                 A                 Polysomnography w/cpap.       3.80      1.33      1.33      0.13      5.26      5.26       XXX
95811..............  TC                 A                 Polysomnography w/cpap.       0.00        NA     13.40      0.36        NA     13.76       XXX
95812..............  .................  A                 Electroencephalogram          1.08        NA      3.68      0.13        NA      4.89       XXX
                                                           (EEG).
95812..............  26                 A                 Electroencephalogram          1.08      0.47      0.47      0.04      1.59      1.59       XXX
                                                           (EEG).
95812..............  TC                 A                 Electroencephalogram          0.00        NA      3.21      0.09        NA      3.30       XXX
                                                           (EEG).
95813..............  .................  A                 Electroencephalogram          1.73        NA      4.96      0.15        NA      6.84       XXX
                                                           (EEG).
95813..............  26                 A                 Electroencephalogram          1.73      0.73      0.73      0.06      2.52      2.52       XXX
                                                           (EEG).
95813..............  TC                 A                 Electroencephalogram          0.00        NA      4.23      0.09        NA      4.32       XXX
                                                           (EEG).
95816..............  .................  A                 Electroencephalogram          1.08        NA      3.33      0.12        NA      4.53       XXX
                                                           (EEG).
95816..............  26                 A                 Electroencephalogram          1.08      0.48      0.48      0.04      1.60      1.60       XXX
                                                           (EEG).
95816..............  TC                 A                 Electroencephalogram          0.00        NA      2.85      0.08        NA      2.93       XXX
                                                           (EEG).
95819..............  .................  A                 Electroencephalogram          1.08        NA      3.93      0.12        NA      5.13       XXX
                                                           (EEG).
95819..............  26                 A                 Electroencephalogram          1.08      0.48      0.48      0.04      1.60      1.60       XXX
                                                           (EEG).
95819..............  TC                 A                 Electroencephalogram          0.00        NA      3.45      0.08        NA      3.53       XXX
                                                           (EEG).
95822..............  .................  A                 Sleep                         1.08        NA      2.43      0.15        NA      3.66       XXX
                                                           electroencephalogram.
95822..............  26                 A                 Sleep                         1.08      0.48      0.48      0.04      1.60      1.60       XXX
                                                           electroencephalogram.
95822..............  TC                 A                 Sleep                         0.00        NA      1.95      0.11        NA      2.06       XXX
                                                           electroencephalogram.
95824..............  .................  A                 Electroencephalography.       0.74      0.29      0.70      0.05      1.08      1.49       XXX
95827..............  .................  A                 Night                         1.08        NA      2.69      0.15        NA      3.92       XXX
                                                           electroencephalogram.
95827..............  26                 A                 Night                         1.08      0.43      0.43      0.03      1.54      1.54       XXX
                                                           electroencephalogram.
95827..............  TC                 A                 Night                         0.00        NA      2.26      0.12        NA      2.38       XXX
                                                           electroencephalogram.
95829..............  .................  A                 Surgery                       6.21        NA     28.49      0.33        NA     35.03       XXX
                                                           electrocorticogram.
95829..............  26                 A                 Surgery                       6.21      2.04      2.04      0.31      8.56      8.56       XXX
                                                           electrocorticogram.
95829..............  TC                 A                 Surgery                       0.00        NA     26.45      0.02        NA     26.47       XXX
                                                           electrocorticogram.
95830..............  .................  A                 Insert electrodes for         1.70      0.77      3.40      0.07      2.54      5.17       XXX
                                                           EEG.
95831..............  .................  A                 Limb muscle testing,          0.28      0.13      0.49      0.01      0.42      0.78       XXX
                                                           manual.
95832..............  .................  A                 Hand muscle testing,          0.29      0.11      0.43      0.01      0.41      0.73       XXX
                                                           manual.
95833..............  .................  A                 Body muscle testing,          0.47      0.24      0.56      0.01      0.72      1.04       XXX
                                                           manual.
95834..............  .................  A                 Body muscle testing,          0.60      0.29      0.57      0.02      0.91      1.19       XXX
                                                           manual.
95851..............  .................  A                 Range of motion               0.16      0.08      0.55      0.01      0.25      0.72       XXX
                                                           measurements.
95852..............  .................  A                 Range of motion               0.11      0.05      0.45      0.01      0.17      0.57       XXX
                                                           measurements.
95857..............  .................  A                 Tensilon test..........       0.53      0.24      0.63      0.02      0.79      1.18       XXX
95858..............  .................  A                 Tensilon test & myogram       1.56        NA      1.10      0.07        NA      2.73       XXX
95858..............  26                 A                 Tensilon test & myogram       1.56      0.71      0.71      0.04      2.31      2.31       XXX
95858..............  TC                 A                 Tensilon test & myogram       0.00        NA      0.39      0.03        NA      0.42       XXX
95860..............  .................  A                 Muscle test, one limb..       0.96        NA      1.22      0.05        NA      2.23       XXX
95860..............  26                 A                 Muscle test, one limb..       0.96      0.44      0.44      0.03      1.43      1.43       XXX
95860..............  TC                 A                 Muscle test, one limb..       0.00        NA      0.78      0.02        NA      0.80       XXX
95861..............  .................  A                 Muscle test, two limbs.       1.54        NA      1.43      0.10        NA      3.07       XXX
95861..............  26                 A                 Muscle test, two limbs.       1.54      0.71      0.71      0.05      2.30      2.30       XXX
95861..............  TC                 A                 Muscle test, two limbs.       0.00        NA      0.72      0.05        NA      0.77       XXX
95863..............  .................  A                 Muscle test, 3 limbs...       1.87        NA      1.77      0.11        NA      3.75       XXX
95863..............  26                 A                 Muscle test, 3 limbs...       1.87      0.85      0.85      0.06      2.78      2.78       XXX
95863..............  TC                 A                 Muscle test, 3 limbs...       0.00        NA      0.92      0.05        NA      0.97       XXX
95864..............  .................  A                 Muscle test, 4 limbs...       1.99        NA      2.67      0.16        NA      4.82       XXX
95864..............  26                 A                 Muscle test, 4 limbs...       1.99      0.92      0.92      0.06      2.97      2.97       XXX
95864..............  TC                 A                 Muscle test, 4 limbs...       0.00        NA      1.75      0.10        NA      1.85       XXX
95867..............  .................  A                 Muscle test, head or          0.79        NA      0.94      0.06        NA      1.79       XXX
                                                           neck.
95867..............  26                 A                 Muscle test, head or          0.79      0.37      0.37      0.03      1.19      1.19       XXX
                                                           neck.
95867..............  TC                 A                 Muscle test, head or          0.00        NA      0.57      0.03        NA      0.60       XXX
                                                           neck.
95868..............  .................  A                 Muscle test, head or          1.18        NA      1.23      0.08        NA      2.49       XXX
                                                           neck.
95868..............  26                 A                 Muscle test, head or          1.18      0.54      0.54      0.04      1.76      1.76       XXX
                                                           neck.
95868..............  TC                 A                 Muscle test, head or          0.00        NA      0.69      0.04        NA      0.73       XXX
                                                           neck.
95869..............  .................  A                 Muscle test, thor             0.37        NA      0.38      0.03        NA      0.78       XXX
                                                           paraspinal.
95869..............  26                 A                 Muscle test, thor             0.37      0.17      0.17      0.01      0.55      0.55       XXX
                                                           paraspinal.
95869..............  TC                 A                 Muscle test, thor             0.00        NA      0.21      0.02        NA      0.23       XXX
                                                           paraspinal.
95870..............  .................  A                 Muscle test,                  0.37        NA      0.37      0.03        NA      0.77       XXX
                                                           nonparaspinal.
95870..............  26                 A                 Muscle test,                  0.37      0.16      0.16      0.01      0.54      0.54       XXX
                                                           nonparaspinal.
95870..............  TC                 A                 Muscle test,                  0.00        NA      0.21      0.02        NA      0.23       XXX
                                                           nonparaspinal.
95872..............  .................  A                 Muscle test, one fiber.       1.50        NA      1.26      0.08        NA      2.84       XXX
95872..............  26                 A                 Muscle test, one fiber.       1.50      0.67      0.67      0.04      2.21      2.21       XXX
95872..............  TC                 A                 Muscle test, one fiber.       0.00        NA      0.59      0.04        NA      0.63       XXX
95875..............  .................  A                 Limb exercise test.....       1.34        NA      1.30      0.09        NA      2.73       XXX
95875..............  26                 A                 Limb exercise test.....       1.34      0.56      0.56      0.04      1.94      1.94       XXX
95875..............  TC                 A                 Limb exercise test.....       0.00        NA      0.74      0.05        NA      0.79       XXX
95900..............  .................  A                 Motor nerve conduction        0.42        NA      0.75      0.03        NA      1.20       XXX
                                                           test.
95900..............  26                 A                 Motor nerve conduction        0.42      0.19      0.19      0.01      0.62      0.62       XXX
                                                           test.
95900..............  TC                 A                 Motor nerve conduction        0.00        NA      0.56      0.02        NA      0.58       XXX
                                                           test.
95903..............  .................  A                 Motor nerve conduction        0.60        NA      0.52      0.04        NA      1.16       XXX
                                                           test.
95903..............  26                 A                 Motor nerve conduction        0.60      0.27      0.27      0.02      0.89      0.89       XXX
                                                           test.
95903..............  TC                 A                 Motor nerve conduction        0.00        NA      0.25      0.02        NA      0.27       XXX
                                                           test.
95904..............  .................  A                 Sense/mixed n                 0.34        NA      0.68      0.03        NA      1.05       XXX
                                                           conduction tst.
95904..............  26                 A                 Sense/mixed n                 0.34      0.16      0.16      0.01      0.51      0.51       XXX
                                                           conduction tst.
95904..............  TC                 A                 Sense/mixed n                 0.00        NA      0.52      0.02        NA      0.54       XXX
                                                           conduction tst.

[[Page 40532]]

 
95920..............  .................  A                 Intraop nerve test add-       2.11        NA      2.27      0.20        NA      4.58       ZZZ
                                                           on.
95920..............  26                 A                 Intraop nerve test add-       2.11      0.98      0.98      0.14      3.23      3.23       ZZZ
                                                           on.
95920..............  TC                 A                 Intraop nerve test add-       0.00        NA      1.29      0.06        NA      1.35       ZZZ
                                                           on.
95921..............  .................  A                 Autonomic nerv function       0.90        NA      0.71      0.05        NA      1.66       XXX
                                                           test.
95921..............  26                 A                 Autonomic nerv function       0.90      0.34      0.34      0.03      1.27      1.27       XXX
                                                           test.
95921..............  TC                 A                 Autonomic nerv function       0.00        NA      0.37      0.02        NA      0.39       XXX
                                                           test.
95922..............  .................  A                 Autonomic nerv function       0.96        NA      0.79      0.05        NA      1.80       XXX
                                                           test.
95922..............  26                 A                 Autonomic nerv function       0.96      0.42      0.42      0.03      1.41      1.41       XXX
                                                           test.
95922..............  TC                 A                 Autonomic nerv function       0.00        NA      0.37      0.02        NA      0.39       XXX
                                                           test.
95923..............  .................  A                 Autonomic nerv function       0.90        NA      2.91      0.05        NA      3.86       XXX
                                                           test.
95923..............  26                 A                 Autonomic nerv function       0.90      0.40      0.40      0.03      1.33      1.33       XXX
                                                           test.
95923..............  TC                 A                 Autonomic nerv function       0.00        NA      2.51      0.02        NA      2.53       XXX
                                                           test.
95925..............  .................  A                 Somatosensory testing..       0.54        NA      1.12      0.07        NA      1.73       XXX
95925..............  26                 A                 Somatosensory testing..       0.54      0.23      0.23      0.02      0.79      0.79       XXX
95925..............  TC                 A                 Somatosensory testing..       0.00        NA      0.89      0.05        NA      0.94       XXX
95926..............  .................  A                 Somatosensory testing..       0.54        NA      1.14      0.07        NA      1.75       XXX
95926..............  26                 A                 Somatosensory testing..       0.54      0.25      0.25      0.02      0.81      0.81       XXX
95926..............  TC                 A                 Somatosensory testing..       0.00        NA      0.89      0.05        NA      0.94       XXX
95927..............  .................  A                 Somatosensory testing..       0.54        NA      1.16      0.08        NA      1.78       XXX
95927..............  26                 A                 Somatosensory testing..       0.54      0.27      0.27      0.03      0.84      0.84       XXX
95927..............  TC                 A                 Somatosensory testing..       0.00        NA      0.89      0.05        NA      0.94       XXX
95930..............  .................  A                 Visual evoked potential       0.35        NA      0.67      0.02        NA      1.04       XXX
                                                           test.
95930..............  26                 A                 Visual evoked potential       0.35      0.15      0.15      0.01      0.51      0.51       XXX
                                                           test.
95930..............  TC                 A                 Visual evoked potential       0.00        NA      0.52      0.01        NA      0.53       XXX
                                                           test.
95933..............  .................  A                 Blink reflex test......       0.59        NA      1.02      0.07        NA      1.68       XXX
95933..............  26                 A                 Blink reflex test......       0.59      0.25      0.25      0.02      0.86      0.86       XXX
95933..............  TC                 A                 Blink reflex test......       0.00        NA      0.77      0.05        NA      0.82       XXX
95934..............  .................  A                 H-reflex test..........       0.51        NA      0.44      0.04        NA      0.99       XXX
95934..............  26                 A                 H-reflex test..........       0.51      0.23      0.23      0.02      0.76      0.76       XXX
95934..............  TC                 A                 H-reflex test..........       0.00        NA      0.21      0.02        NA      0.23       XXX
95936..............  .................  A                 H-reflex test..........       0.55        NA      0.46      0.04        NA      1.05       XXX
95936..............  26                 A                 H-reflex test..........       0.55      0.25      0.25      0.02      0.82      0.82       XXX
95936..............  TC                 A                 H-reflex test..........       0.00        NA      0.21      0.02        NA      0.23       XXX
95937..............  .................  A                 Neuromuscular junction        0.65        NA      0.61      0.04        NA      1.30       XXX
                                                           test.
95937..............  26                 A                 Neuromuscular junction        0.65      0.28      0.28      0.02      0.95      0.95       XXX
                                                           test.
95937..............  TC                 A                 Neuromuscular junction        0.00        NA      0.33      0.02        NA      0.35       XXX
                                                           test.
95950..............  .................  A                 Ambulatory eeg                1.51        NA      4.05      0.44        NA      6.00       XXX
                                                           monitoring.
95950..............  26                 A                 Ambulatory eeg                1.51      0.68      0.68      0.08      2.27      2.27       XXX
                                                           monitoring.
95950..............  TC                 A                 Ambulatory eeg                0.00        NA      3.37      0.36        NA      3.73       XXX
                                                           monitoring.
95951..............  .................  A                 EEG monitoring/               6.00        NA     22.95      0.58        NA     29.53       XXX
                                                           videorecord.
95951..............  26                 A                 EEG monitoring/               6.00      2.67      2.67      0.20      8.87      8.87       XXX
                                                           videorecord.
95951..............  TC                 A                 EEG monitoring/               0.00        NA     20.28      0.38        NA     20.66       XXX
                                                           videorecord.
95953..............  .................  A                 EEG monitoring/computer       3.08        NA      7.60      0.46        NA     11.14       XXX
95953..............  26                 A                 EEG monitoring/computer       3.08      1.36      1.36      0.10      4.54      4.54       XXX
95953..............  TC                 A                 EEG monitoring/computer       0.00        NA      6.24      0.36        NA      6.60       XXX
95954..............  .................  A                 EEG monitoring/giving         2.45        NA      4.34      0.15        NA      6.94       XXX
                                                           drugs.
95954..............  26                 A                 EEG monitoring/giving         2.45      1.08      1.08      0.10      3.63      3.63       XXX
                                                           drugs.
95954..............  TC                 A                 EEG monitoring/giving         0.00        NA      3.26      0.05        NA      3.31       XXX
                                                           drugs.
95955..............  .................  A                 EEG during surgery.....       1.01        NA      2.28      0.19        NA      3.48       XXX
95955..............  26                 A                 EEG during surgery.....       1.01      0.35      0.35      0.05      1.41      1.41       XXX
95955..............  TC                 A                 EEG during surgery.....       0.00        NA      1.93      0.14        NA      2.07       XXX
95956..............  .................  A                 Eeg monitoring, cable/        3.08        NA     31.21      0.47        NA     34.76       XXX
                                                           radio.
95956..............  26                 A                 Eeg monitoring, cable/        3.08      1.38      1.38      0.11      4.57      4.57       XXX
                                                           radio.
95956..............  TC                 A                 Eeg monitoring, cable/        0.00        NA     29.83      0.36        NA     30.19       XXX
                                                           radio.
95957..............  .................  A                 EEG digital analysis...       1.98        NA      2.57      0.17        NA      4.72       XXX
95957..............  26                 A                 EEG digital analysis...       1.98      0.89      0.89      0.07      2.94      2.94       XXX
95957..............  TC                 A                 EEG digital analysis...       0.00        NA      1.68      0.10        NA      1.78       XXX
95958..............  .................  A                 EEG monitoring/function       4.25        NA      3.53      0.29        NA      8.07       XXX
                                                           test.
95958..............  26                 A                 EEG monitoring/function       4.25      1.82      1.82      0.18      6.25      6.25       XXX
                                                           test.
95958..............  TC                 A                 EEG monitoring/function       0.00        NA      1.71      0.11        NA      1.82       XXX
                                                           test.
95961..............  .................  A                 Electrode stimulation,        2.97        NA      2.65      0.24        NA      5.86       XXX
                                                           brain.
95961..............  26                 A                 Electrode stimulation,        2.97      1.36      1.36      0.18      4.51      4.51       XXX
                                                           brain.
95961..............  TC                 A                 Electrode stimulation,        0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           brain.
95962..............  .................  A                 Electrode stim, brain         3.21        NA      2.73      0.23        NA      6.17       ZZZ
                                                           add-on.
95962..............  26                 A                 Electrode stim, brain         3.21      1.44      1.44      0.17      4.82      4.82       ZZZ
                                                           add-on.
95962..............  TC                 A                 Electrode stim, brain         0.00        NA      1.29      0.06        NA      1.35       ZZZ
                                                           add-on.
95970..............  .................  A                 Analyze neurostim, no         0.45      0.14      0.17      0.03      0.62      0.65       XXX
                                                           prog.
95971..............  .................  A                 Analyze neurostim,            0.78      0.23      0.29      0.06      1.07      1.13       XXX
                                                           simple.
95972..............  .................  A                 Analyze neurostim,            1.50      0.56      0.64      0.17      2.23      2.31       XXX
                                                           complex.
95973..............  .................  A                 Analyze neurostim,            0.92      0.37      0.41      0.07      1.36      1.40       ZZZ
                                                           complex.
95974..............  .................  A                 Cranial neurostim,            3.00      1.35      1.35      0.15      4.50      4.50       XXX
                                                           complex.
95975..............  .................  A                 Cranial neurostim,            1.70      0.75      0.76      0.07      2.52      2.53       ZZZ
                                                           complex.
95999..............  .................  C                 Neurological procedure.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
96100..............  .................  A                 Psychological testing..       0.00        NA      1.73      0.15        NA      1.88       XXX

[[Page 40533]]

 
96105..............  .................  A                 Assessment of aphasia..       0.00        NA      1.73      0.15        NA      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        NA      1.73      0.15        NA      1.88       XXX
                                                           extend.
96115..............  .................  A                 Neurobehavior status          0.00        NA      1.73      0.15        NA      1.88       XXX
                                                           exam.
96117..............  .................  A                 Neuropsych test battery       0.00        NA      1.73      0.15        NA      1.88       XXX
96400..............  .................  A                 Chemotherapy, sc/im....       0.00        NA      0.13      0.01        NA      0.14       XXX
96405..............  .................  A                 Intralesional chemo           0.52      0.24      1.78      0.02      0.78      2.32       000
                                                           admin.
96406..............  .................  A                 Intralesional chemo           0.80      0.32      2.44      0.02      1.14      3.26       000
                                                           admin.
96408..............  .................  A                 Chemotherapy, push            0.00        NA      0.95      0.05        NA      1.00       XXX
                                                           technique.
96410..............  .................  A                 Chemotherapy,infusion         0.00        NA      1.52      0.07        NA      1.59       XXX
                                                           method.
96412..............  .................  A                 Chemo, infuse method          0.00        NA      1.13      0.06        NA      1.19       ZZZ
                                                           add-on.
96414..............  .................  A                 Chemo, infuse method          0.00        NA      1.31      0.07        NA      1.38       XXX
                                                           add-on.
96420..............  .................  A                 Chemotherapy, push            0.00        NA      1.23      0.07        NA      1.30       XXX
                                                           technique.
96422..............  .................  A                 Chemotherapy,infusion         0.00        NA      1.21      0.07        NA      1.28       XXX
                                                           method.
96423..............  .................  A                 Chemo, infuse method          0.00        NA      0.48      0.02        NA      0.50       ZZZ
                                                           add-on.
96425..............  .................  A                 Chemotherapy,infusion         0.00        NA      1.41      0.07        NA      1.48       XXX
                                                           method.
96440..............  .................  A                 Chemotherapy,                 2.37      1.07      8.00      0.12      3.56     10.49       000
                                                           intracavitary.
96445..............  .................  A                 Chemotherapy,                 2.20      1.05      8.36      0.07      3.32     10.63       000
                                                           intracavitary.
96450..............  .................  A                 Chemotherapy, into CNS.       1.89      0.90      6.74      0.06      2.85      8.69       000
96520..............  .................  A                 Pump refilling,               0.00        NA      0.88      0.05        NA      0.93       XXX
                                                           maintenance.
96530..............  .................  A                 Pump refilling,               0.00        NA      1.05      0.05        NA      1.10       XXX
                                                           maintenance.
96542..............  .................  A                 Chemotherapy injection.       1.42      0.57      4.01      0.05      2.04      5.48       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.
96570..............  .................  A                 Photodynamic tx, 30 min       1.10      0.43      0.43      0.04      1.57      1.57       ZZZ
96571..............  .................  A                 Photodynamic tx, addl         0.55      0.22      0.22      0.02      0.79      0.79       ZZZ
                                                           15 min.
96900..............  .................  A                 Ultraviolet light             0.00        NA      0.39      0.02        NA      0.41       XXX
                                                           therapy.
96902..............  .................  B                 Trichogram.............      +0.41      0.16      0.24      0.01      0.58      0.66       XXX
96910..............  .................  A                 Photochemotherapy with        0.00        NA      0.57      0.03        NA      0.60       XXX
                                                           UV-B.
96912..............  .................  A                 Photochemotherapy with        0.00        NA      0.65      0.04        NA      0.69       XXX
                                                           UV-A.
96913..............  .................  A                 Photochemotherapy, UV-A       0.00        NA      1.33      0.08        NA      1.41       XXX
                                                           or B.
96999..............  .................  C                 Dermatological                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
97001..............  .................  A                 Pt evaluation..........       1.20      0.47      0.56      0.10      1.77      1.86       XXX
97002..............  .................  A                 Pt re-evaluation.......       0.60      0.26      0.35      0.04      0.90      0.99       XXX
97003..............  .................  A                 Ot evaluation..........       1.20      0.32      0.66      0.05      1.57      1.91       XXX
97004..............  .................  A                 Ot re-evaluation.......       0.60      0.13      0.42      0.02      0.75      1.04       XXX
97010..............  .................  B                 Hot or cold packs            +0.06        NA      0.24      0.01        NA      0.31       XXX
                                                           therapy.
97012..............  .................  A                 Mechanical traction           0.25        NA      0.27      0.01        NA      0.53       XXX
                                                           therapy.
97014..............  .................  A                 Electric stimulation          0.18        NA      0.25      0.01        NA      0.44       XXX
                                                           therapy.
97016..............  .................  A                 Vasopneumatic device          0.18        NA      0.25      0.01        NA      0.44       XXX
                                                           therapy.
97018..............  .................  A                 Paraffin bath therapy..       0.06        NA      0.22      0.01        NA      0.29       XXX
97020..............  .................  A                 Microwave therapy......       0.06        NA      0.23      0.01        NA      0.30       XXX
97022..............  .................  A                 Whirlpool therapy......       0.17        NA      0.44      0.01        NA      0.62       XXX
97024..............  .................  A                 Diathermy treatment....       0.06        NA      0.24      0.01        NA      0.31       XXX
97026..............  .................  A                 Infrared therapy.......       0.06        NA      0.22      0.01        NA      0.29       XXX
97028..............  .................  A                 Ultraviolet therapy....       0.08        NA      0.23      0.01        NA      0.32       XXX
97032..............  .................  A                 Electrical stimulation.       0.25        NA      0.29      0.01        NA      0.55       XXX
97033..............  .................  A                 Electric current              0.26        NA      0.31      0.02        NA      0.59       XXX
                                                           therapy.
97034..............  .................  A                 Contrast bath therapy..       0.21        NA      0.28      0.01        NA      0.50       XXX
97035..............  .................  A                 Ultrasound therapy.....       0.21        NA      0.17      0.01        NA      0.39       XXX
97036..............  .................  A                 Hydrotherapy...........       0.28        NA      0.37      0.01        NA      0.66       XXX
97039..............  .................  A                 Physical therapy              0.20        NA      0.28      0.01        NA      0.49       XXX
                                                           treatment.
97110..............  .................  A                 Therapeutic exercises..       0.45        NA      0.19      0.03        NA      0.67       XXX
97112..............  .................  A                 Neuromuscular                 0.45        NA      0.30      0.02        NA      0.77       XXX
                                                           reeducation.
97113..............  .................  A                 Aquatic therapy/              0.44        NA      0.32      0.03        NA      0.79       XXX
                                                           exercises.
97116..............  .................  A                 Gait training therapy..       0.40        NA      0.30      0.02        NA      0.72       XXX
97124..............  .................  A                 Massage therapy........       0.35        NA      0.29      0.01        NA      0.65       XXX
97139..............  .................  A                 Physical medicine             0.21        NA      0.26      0.01        NA      0.48       XXX
                                                           procedure.
97140..............  .................  A                 Manual therapy.........       0.43        NA      0.32      0.02        NA      0.77       XXX
97150..............  .................  A                 Group therapeutic             0.27        NA      0.27      0.02        NA      0.56       XXX
                                                           procedures.
97504..............  .................  A                 Orthotic training......       0.45        NA      0.30      0.03        NA      0.78       XXX
97520..............  .................  A                 Prosthetic training....       0.45        NA      0.31      0.02        NA      0.78       XXX
97530..............  .................  A                 Therapeutic activities.       0.44        NA      0.18      0.02        NA      0.64       XXX
97532..............  .................  A                 Cognitive skills              0.44        NA      0.24      0.01        NA      0.69       XXX
                                                           development.
97533..............  .................  A                 Sensory integration....       0.44        NA      0.30      0.01        NA      0.75       XXX
97535..............  .................  A                 Self care mngment             0.45        NA      0.30      0.02        NA      0.77       XXX
                                                           training.
97537..............  .................  A                 Community/work                0.45        NA      0.30      0.01        NA      0.76       XXX
                                                           reintegration.
97542..............  .................  A                 Wheelchair mngmnt             0.45        NA      0.30      0.01        NA      0.76       XXX
                                                           training.
97545..............  .................  R                 Work hardening.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
97546..............  .................  R                 Work hardening add-on..       0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
97601..............  .................  A                 Wound care selective...       0.50        NA      0.50      0.04        NA      1.04       XXX
97602..............  .................  B                 Wound care non-               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           selective.
97703..............  .................  A                 Prosthetic checkout....       0.25        NA      0.15      0.02        NA      0.42       XXX
97750..............  .................  A                 Physical performance          0.45        NA      0.25      0.02        NA      0.72       XXX
                                                           test.

[[Page 40534]]

 
97780..............  .................  N                 Acupuncture w/o stimul.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
97781..............  .................  N                 Acupuncture w/stimul...       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.
97802..............  .................  N                 Medical nutrition,           +0.00        NA      0.47      0.01        NA      0.48       XXX
                                                           indiv, in.
97803..............  .................  N                 Med nutrition, indiv,        +0.00        NA      0.34      0.01        NA      0.35       XXX
                                                           subseq.
97804..............  .................  N                 Medical nutrition,           +0.00        NA      0.14      0.01        NA      0.15       XXX
                                                           group.
98925..............  .................  A                 Osteopathic                   0.45      0.15      0.37      0.01      0.61      0.83       000
                                                           manipulation.
98926..............  .................  A                 Osteopathic                   0.65      0.26      0.43      0.02      0.93      1.10       000
                                                           manipulation.
98927..............  .................  A                 Osteopathic                   0.87      0.31      0.51      0.03      1.21      1.41       000
                                                           manipulation.
98928..............  .................  A                 Osteopathic                   1.03      0.36      0.59      0.03      1.42      1.65       000
                                                           manipulation.
98929..............  .................  A                 Osteopathic                   1.19      0.38      0.65      0.04      1.61      1.88       000
                                                           manipulation.
98940..............  .................  A                 Chiropractic                  0.45      0.13      0.25      0.01      0.59      0.71       000
                                                           manipulation.
98941..............  .................  A                 Chiropractic                  0.65      0.18      0.31      0.02      0.85      0.98       000
                                                           manipulation.
98942..............  .................  A                 Chiropractic                  0.87      0.24      0.37      0.03      1.14      1.27       000
                                                           manipulation.
98943..............  .................  N                 Chiropractic                 +0.40      0.16      0.34      0.01      0.57      0.75       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                 Postop 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 servcs, unusual       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           forms.
99082..............  .................  C                 Unusual physician             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           travel.
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       ZZZ
                                                           service.
99116..............  .................  B                 Anesthesia with               0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
                                                           hypothermia.
99135..............  .................  B                 Special anesthesia            0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
                                                           procedure.
99140..............  .................  B                 Emergency anesthesia...       0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
99141..............  .................  B                 Sedation, iv/im or           +0.80      0.39      2.04      0.04      1.23      2.88       XXX
                                                           inhalant.
99142..............  .................  B                 Sedation, oral/rectal/       +0.60      0.31      1.19      0.03      0.94      1.82       XXX
                                                           nasal.
99170..............  .................  A                 Anogenital exam, child.       1.75      0.69      1.85      0.07      2.51      3.67       000
99172..............  .................  N                 Ocular function screen.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
99173..............  .................  N                 Visual acuity screen...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
99175..............  .................  A                 Induction of vomiting..       0.00        NA      1.37      0.08        NA      1.45       XXX
99183..............  .................  A                 Hyperbaric oxygen             2.34      0.76        NA      0.12      3.22        NA       XXX
                                                           therapy.
99185..............  .................  A                 Regional hypothermia...       0.00        NA      0.63      0.03        NA      0.66       XXX
99186..............  .................  A                 Total body hypothermia.       0.00        NA      1.75      0.37        NA      2.12       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        NA      0.44      0.02        NA      0.46       XXX
99199..............  .................  C                 Special service/proc/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           report.
99201..............  .................  A                 Office/outpatient             0.45      0.16      0.45      0.02      0.63      0.92       XXX
                                                           visit, new.
99202..............  .................  A                 Office/outpatient             0.88      0.33      0.74      0.05      1.26      1.67       XXX
                                                           visit, new.
99203..............  .................  A                 Office/outpatient             1.34      0.50      1.07      0.08      1.92      2.49       XXX
                                                           visit, new.
99204..............  .................  A                 Office/outpatient             2.00      0.74      1.48      0.10      2.84      3.58       XXX
                                                           visit, new.
99205..............  .................  A                 Office/outpatient             2.67      0.96      1.77      0.12      3.75      4.56       XXX
                                                           visit, new.
99211..............  .................  A                 Office/outpatient             0.17      0.06      0.37      0.01      0.24      0.55       XXX
                                                           visit, est.
99212..............  .................  A                 Office/outpatient             0.45      0.17      0.51      0.02      0.64      0.98       XXX
                                                           visit, est.
99213..............  .................  A                 Office/outpatient             0.67      0.24      0.67      0.03      0.94      1.37       XXX
                                                           visit, est.
99214..............  .................  A                 Office/outpatient             1.10      0.40      1.02      0.04      1.54      2.16       XXX
                                                           visit, est.
99215..............  .................  A                 Office/outpatient             1.77      0.65      1.33      0.07      2.49      3.17       XXX
                                                           visit, est.
99217..............  .................  A                 Observation care              1.28      0.45        NA      0.05      1.78        NA       XXX
                                                           discharge.
99218..............  .................  A                 Observation care.......       1.28      0.45        NA      0.05      1.78        NA       XXX
99219..............  .................  A                 Observation care.......       2.14      0.74        NA      0.08      2.96        NA       XXX
99220..............  .................  A                 Observation care.......       2.99      1.05        NA      0.11      4.15        NA       XXX
99221..............  .................  A                 Initial hospital care..       1.28      0.47        NA      0.05      1.80        NA       XXX
99222..............  .................  A                 Initial hospital care..       2.14      0.76        NA      0.08      2.98        NA       XXX
99223..............  .................  A                 Initial hospital care..       2.99      1.07        NA      0.10      4.16        NA       XXX
99231..............  .................  A                 Subsequent hospital           0.64      0.24        NA      0.02      0.90        NA       XXX
                                                           care.
99232..............  .................  A                 Subsequent hospital           1.06      0.38        NA      0.03      1.47        NA       XXX
                                                           care.
99233..............  .................  A                 Subsequent hospital           1.51      0.54        NA      0.05      2.10        NA       XXX
                                                           care.
99234..............  .................  A                 Observ/hosp same date..       2.56      0.92        NA      0.11      3.59        NA       XXX
99235..............  .................  A                 Observ/hosp same date..       3.42      1.19        NA      0.13      4.74        NA       XXX
99236..............  .................  A                 Observ/hosp same date..       4.27      1.45        NA      0.17      5.89        NA       XXX
99238..............  .................  A                 Hospital discharge day.       1.28      0.45        NA      0.04      1.77        NA       XXX

[[Page 40535]]

 
99239..............  .................  A                 Hospital discharge day.       1.75      0.62        NA      0.05      2.42        NA       XXX
99241..............  .................  A                 Office consultation....       0.64      0.23      0.60      0.04      0.91      1.28       XXX
99242..............  .................  A                 Office consultation....       1.29      0.49      0.99      0.09      1.87      2.37       XXX
99243..............  .................  A                 Office consultation....       1.72      0.66      1.33      0.10      2.48      3.15       XXX
99244..............  .................  A                 Office consultation....       2.58      0.97      1.78      0.13      3.68      4.49       XXX
99245..............  .................  A                 Office consultation....       3.43      1.28      2.25      0.16      4.87      5.84       XXX
99251..............  .................  A                 Initial inpatient             0.66      0.30        NA      0.04      1.00        NA       XXX
                                                           consult.
99252..............  .................  A                 Initial inpatient             1.32      0.57        NA      0.08      1.97        NA       XXX
                                                           consult.
99253..............  .................  A                 Initial inpatient             1.82      0.76        NA      0.09      2.67        NA       XXX
                                                           consult.
99254..............  .................  A                 Initial inpatient             2.64      1.07        NA      0.11      3.82        NA       XXX
                                                           consult.
99255..............  .................  A                 Initial inpatient             3.65      1.44        NA      0.15      5.24        NA       XXX
                                                           consult.
99261..............  .................  A                 Follow-up inpatient           0.42      0.21        NA      0.02      0.65        NA       XXX
                                                           consult.
99262..............  .................  A                 Follow-up inpatient           0.85      0.37        NA      0.03      1.25        NA       XXX
                                                           consult.
99263..............  .................  A                 Follow-up inpatient           1.27      0.52        NA      0.04      1.83        NA       XXX
                                                           consult.
99271..............  .................  A                 Confirmatory                  0.45      0.21      0.64      0.03      0.69      1.12       XXX
                                                           consultation.
99272..............  .................  A                 Confirmatory                  0.84      0.36      0.88      0.06      1.26      1.78       XXX
                                                           consultation.
99273..............  .................  A                 Confirmatory                  1.19      0.50      1.07      0.07      1.76      2.33       XXX
                                                           consultation.
99274..............  .................  A                 Confirmatory                  1.73      0.71      1.38      0.09      2.53      3.20       XXX
                                                           consultation.
99275..............  .................  A                 Confirmatory                  2.31      0.90      1.63      0.10      3.31      4.04       XXX
                                                           consultation.
99281..............  .................  A                 Emergency dept visit...       0.33      0.09        NA      0.02      0.44        NA       XXX
99282..............  .................  A                 Emergency dept visit...       0.55      0.15        NA      0.03      0.73        NA       XXX
99283..............  .................  A                 Emergency dept visit...       1.24      0.32        NA      0.08      1.64        NA       XXX
99284..............  .................  A                 Emergency dept visit...       1.95      0.50        NA      0.12      2.57        NA       XXX
99285..............  .................  A                 Emergency dept visit...       3.06      0.75        NA      0.19      4.00        NA       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      1.33      1.59      0.14      5.47      5.73       XXX
                                                           hour.
99292..............  .................  A                 Critical care, addl 30        2.00      0.66      0.86      0.07      2.73      2.93       ZZZ
                                                           min.
99295..............  .................  A                 Neonatal critical care.      16.00      4.91        NA      0.70     21.61        NA       XXX
99296..............  .................  A                 Neonatal critical care.       8.00      2.63        NA      0.23     10.86        NA       XXX
99297..............  .................  A                 Neonatal critical care.       4.00      1.34        NA      0.12      5.46        NA       XXX
99298..............  .................  A                 Neonatal critical care.       2.75      0.96        NA      0.10      3.81        NA       XXX
99301..............  .................  A                 Nursing facility care..       1.20      0.42        NA      0.04      1.66        NA       XXX
99302..............  .................  A                 Nursing facility care..       1.61      0.56        NA      0.05      2.22        NA       XXX
99303..............  .................  A                 Nursing facility care..       2.01      0.69        NA      0.06      2.76        NA       XXX
99311..............  .................  A                 Nursing fac care,             0.60      0.21        NA      0.02      0.83        NA       XXX
                                                           subseq.
99312..............  .................  A                 Nursing fac care,             1.00      0.34        NA      0.03      1.37        NA       XXX
                                                           subseq.
99313..............  .................  A                 Nursing fac care,             1.42      0.49        NA      0.04      1.95        NA       XXX
                                                           subseq.
99315..............  .................  A                 Nursing fac discharge         1.13      0.39        NA      0.04      1.56        NA       XXX
                                                           day.
99316..............  .................  A                 Nursing fac discharge         1.50      0.53        NA      0.05      2.08        NA       XXX
                                                           day.
99321..............  .................  A                 Rest home visit, new          0.71      0.35      0.43      0.02      1.08      1.16       XXX
                                                           patient.
99322..............  .................  A                 Rest home visit, new          1.01      0.45      0.68      0.03      1.49      1.72       XXX
                                                           patient.
99323..............  .................  A                 Rest home visit, new          1.28      0.56      0.92      0.04      1.88      2.24       XXX
                                                           patient.
99331..............  .................  A                 Rest home visit, est          0.60      0.31      0.46      0.02      0.93      1.08       XXX
                                                           pat.
99332..............  .................  A                 Rest home visit, est          0.80      0.38      0.58      0.03      1.21      1.41       XXX
                                                           pat.
99333..............  .................  A                 Rest home visit, est          1.00      0.45      0.71      0.03      1.48      1.74       XXX
                                                           pat.
99341..............  .................  A                 Home visit, new patient       1.01      0.48      0.54      0.05      1.54      1.60       XXX
99342..............  .................  A                 Home visit, new patient       1.52      0.69      0.84      0.05      2.26      2.41       XXX
99343..............  .................  A                 Home visit, new patient       2.27      1.28      1.28      0.07      3.62      3.62       XXX
99344..............  .................  A                 Home visit, new patient       3.03      1.31      1.59      0.10      4.44      4.72       XXX
99345..............  .................  A                 Home visit, new patient       3.79      1.36      1.83      0.12      5.27      5.74       XXX
99347..............  .................  A                 Home visit, est patient       0.76      0.36      0.47      0.03      1.15      1.26       XXX
99348..............  .................  A                 Home visit, est patient       1.26      0.53      0.71      0.04      1.83      2.01       XXX
99349..............  .................  A                 Home visit, est patient       2.02      0.81      1.07      0.06      2.89      3.15       XXX
99350..............  .................  A                 Home visit, est patient       3.03      1.16      1.46      0.10      4.29      4.59       XXX
99354..............  .................  A                 Prolonged service,            1.77      0.63      1.46      0.06      2.46      3.29       ZZZ
                                                           office.
99355..............  .................  A                 Prolonged service,            1.77      0.63      1.25      0.06      2.46      3.08       ZZZ
                                                           office.
99356..............  .................  A                 Prolonged service,            1.71      0.60        NA      0.06      2.37        NA       ZZZ
                                                           inpatient.
99357..............  .................  A                 Prolonged service,            1.71      0.62        NA      0.06      2.39        NA       ZZZ
                                                           inpatient.
99358..............  .................  B                 Prolonged serv, w/o           0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
                                                           contact.
99359..............  .................  B                 Prolonged serv, w/o           0.00      0.00      0.00      0.00      0.00      0.00       ZZZ
                                                           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      0.43      1.43      0.04      1.57      2.57       XXX
                                                           supervision.
99375..............  .................  G                 Home health care              1.73      1.68      1.68      0.06      3.47      3.47       XXX
                                                           supervision.
99377..............  .................  B                 Hospice care                 +1.10      0.43      1.43      0.04      1.57      2.57       XXX
                                                           supervision.
99378..............  .................  G                 Hospice care                  1.73      1.68      1.68      0.06      3.47      3.47       XXX
                                                           supervision.
99379..............  .................  B                 Nursing fac care             +1.10      0.43      1.43      0.03      1.56      2.56       XXX
                                                           supervision.
99380..............  .................  B                 Nursing fac care             +1.73      0.68      1.68      0.05      2.46      3.46       XXX
                                                           supervision.
99381..............  .................  N                 Prev visit, new, infant      +1.19      0.47      1.46      0.04      1.70      2.69       XXX
99382..............  .................  N                 Prev visit, new, age 1-      +1.36      0.54      1.50      0.04      1.94      2.90       XXX
                                                           4.

[[Page 40536]]

 
99383..............  .................  N                 Prev visit, new, age 5-      +1.36      0.54      1.44      0.04      1.94      2.84       XXX
                                                           11.
99384..............  .................  N                 Prev visit, new, age 12-     +1.53      0.60      1.52      0.05      2.18      3.10       XXX
                                                           17.
99385..............  .................  N                 Prev visit, new, age 18-     +1.53      0.60      1.52      0.05      2.18      3.10       XXX
                                                           39.
99386..............  .................  N                 Prev visit, new, age 40-     +1.88      0.74      1.70      0.06      2.68      3.64       XXX
                                                           64.
99387..............  .................  N                 Prev visit, new, 65 &        +2.06      0.81      1.83      0.06      2.93      3.95       XXX
                                                           over.
99391..............  .................  N                 Prev visit, est, infant      +1.02      0.40      1.00      0.03      1.45      2.05       XXX
99392..............  .................  N                 Prev visit, est, age 1-      +1.19      0.47      1.07      0.04      1.70      2.30       XXX
                                                           4.
99393..............  .................  N                 Prev visit, est, age 5-      +1.19      0.47      1.04      0.04      1.70      2.27       XXX
                                                           11.
99394..............  .................  N                 Prev visit, est, age 12-     +1.36      0.54      1.12      0.04      1.94      2.52       XXX
                                                           17.
99395..............  .................  N                 Prev visit, est, age 18-     +1.36      0.54      1.15      0.04      1.94      2.55       XXX
                                                           39.
99396..............  .................  N                 Prev visit, est, age 40-     +1.53      0.60      1.24      0.05      2.18      2.82       XXX
                                                           64.
99397..............  .................  N                 Prev visit, est, 65 &        +1.71      0.68      1.34      0.05      2.44      3.10       XXX
                                                           over.
99401..............  .................  N                 Preventive counseling,       +0.48      0.19      0.60      0.01      0.68      1.09       XXX
                                                           indiv.
99402..............  .................  N                 Preventive counseling,       +0.98      0.39      0.85      0.02      1.39      1.85       XXX
                                                           indiv.
99403..............  .................  N                 Preventive counseling,       +1.46      0.58      1.08      0.03      2.07      2.57       XXX
                                                           indiv.
99404..............  .................  N                 Preventive counseling,       +1.95      0.77      1.32      0.04      2.76      3.31       XXX
                                                           indiv.
99411..............  .................  N                 Preventive counseling,       +0.15      0.06      0.18      0.01      0.22      0.34       XXX
                                                           group.
99412..............  .................  N                 Preventive counseling,       +0.25      0.10      0.24      0.01      0.36      0.50       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      0.36        NA      0.04      1.57        NA       XXX
                                                           newborn.
99432..............  .................  A                 Newborn care, not in          1.26      0.34      1.10      0.06      1.66      2.42       XXX
                                                           hosp.
99433..............  .................  A                 Normal newborn care/          0.62      0.20        NA      0.02      0.84        NA       XXX
                                                           hospital.
99435..............  .................  A                 Newborn discharge day         1.50      0.56        NA      0.05      2.11        NA       XXX
                                                           hosp.
99436..............  .................  A                 Attendance, birth......       1.50      0.47      0.59      0.05      2.02      2.14       XXX
99440..............  .................  A                 Newborn resuscitation..       2.93      0.88        NA      0.11      3.92        NA       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..............  .................  I                 Air ambulance service..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0040..............  .................  I                 Helicopter ambulance          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           service.
A0050..............  .................  I                 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-         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bus.
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.
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.
A0300..............  .................  I                 Ambulance basic non-          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           emer all.
A0302..............  .................  I                 Ambulance basic               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           emergeny all.
A0304..............  .................  I                 Amb adv non-er no serv        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all.
A0306..............  .................  I                 Amb adv non-er spec           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           serv all.
A0308..............  .................  I                 Amb adv er no spec serv       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all.
A0310..............  .................  I                 Amb adv er spec serv          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all.
A0320..............  .................  I                 Amb basic non-er +            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
A0322..............  .................  I                 Amb basic emerg +             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
A0324..............  .................  I                 Adv non-er serv sep           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mileage.
A0326..............  .................  I                 Adv non-er no serv sep        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mile.
A0328..............  .................  I                 Adv er no serv sep            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mileage.
A0330..............  .................  I                 Adv er spec serv sep          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mile.
A0340..............  .................  I                 Amb basic non-er +            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mileage.
A0342..............  .................  I                 Ambul basic emer +            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mileage.
A0344..............  .................  I                 Amb adv non-er no serv        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           +mile.
A0346..............  .................  I                 Amb adv non-er serv +         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mile.
A0348..............  .................  I                 Adv emer no spec serv +       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mile.
A0350..............  .................  I                 Adv emer spec serv +          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mileage.
A0360..............  .................  I                 Basic non-er sep mile &       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supp.
A0362..............  .................  I                 Basic emer sep mile &         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supply.
A0364..............  .................  I                 Adv non-er no serv sep        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mi&su.
A0366..............  .................  I                 Adv non-er serv sep           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mil&supp.
A0368..............  .................  I                 Adv er no serv sep            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mile&supp.
A0370..............  .................  I                 Adv er spec serv sep          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mi&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.

[[Page 40537]]

 
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hr.
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.
A0425..............  .................  X                 Ground mileage.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0426..............  .................  X                 Als 1..................       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0427..............  .................  X                 ALS1-emergency.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0428..............  .................  X                 bls....................       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0429..............  .................  X                 BLS-emergency..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0430..............  .................  X                 Fixed wing air                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transport.
A0431..............  .................  X                 Rotary wing air               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transport.
A0432..............  .................  X                 PI volunteer ambulance        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           co.
A0433..............  .................  X                 als 2..................       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0434..............  .................  X                 Specialty care                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transport.
A0435..............  .................  X                 Fixed wing air mileage.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A0436..............  .................  X                 Rotary wing air mileage       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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.
A4206..............  .................  I                 1 CC sterile                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           syringe&needle.
A4207..............  .................  I                 2 CC sterile                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           syringe&needle.
A4208..............  .................  I                 3 CC sterile                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           syringe&needle.
A4209..............  .................  I                 5+ CC sterile                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           syringe&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..............  .................  I                 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..............  .................  I                 Sterile needle.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4220..............  .................  P                 Infusion pump refill          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           kit.
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..............  .................  X                 Infus insulin pump non        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           needl.
A4231..............  .................  X                 Infusion insulin pump         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           needle.
A4232..............  .................  X                 Syringe w/needle              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           insulin 3cc.
A4244..............  .................  I                 Alcohol or peroxide per       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pint.
A4245..............  .................  I                 Alcohol wipes per box..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4246..............  .................  I                 Betadine/phisohex             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           solution.
A4247..............  .................  I                 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
A4261..............  .................  N                 Cervical cap                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           contraceptive.
A4262..............  .................  B                 Temporary tear duct           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plug.
A4263..............  .................  B                 Permanent tear duct           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plug.
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.
A4280..............  .................  X                 Brst prsths adhsv             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           attchmnt.
A4290..............  .................  X                 Sacral nerve stim test        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lead.
A4300..............  .................  B                 Cath impl vasc access         0.00      0.00      0.00      0.00      0.00      0.00       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/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cath.
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
A4319..............  .................  X                 Sterile H2O irrigation        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           solut.
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.
A4324..............  .................  X                 Male ext cath w/adh           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           coating.

[[Page 40538]]

 
A4325..............  .................  X                 Male ext cath w/adh           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           strip.
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
A4331..............  .................  X                 Extension drainage            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tubing.
A4332..............  .................  X                 Lubricant for cath            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           insertion.
A4333..............  .................  X                 Urinary cath anchor           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           device.
A4334..............  .................  X                 Urinary cath leg strap.       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
A4348..............  .................  X                 Male ext cath extended        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wear.
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
A4364..............  .................  P                 Liq adhes for facial          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prosth.
A4365..............  .................  X                 Adhesive remover wipes.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
A4369..............  .................  X                 Skin barrier liquid per       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oz.
A4370..............  .................  X                 Skin barrier paste per        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oz.
A4371..............  .................  X                 Skin barrier powder per       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oz.
A4372..............  .................  X                 Skin barrier solid 4x4        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           equiv.
A4373..............  .................  X                 Skin barrier with             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           flange.
A4374..............  .................  X                 Skin barrier extended         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wear.
A4375..............  .................  X                 Drainable plastic pch w       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fcpl.
A4376..............  .................  X                 Drainable rubber pch w        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fcplt.
A4377..............  .................  X                 Drainable plstic pch w/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o fp.
A4378..............  .................  X                 Drainable rubber pch w/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o fp.
A4379..............  .................  X                 Urinary plastic pouch w       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fcpl.
A4380..............  .................  X                 Urinary rubber pouch w        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fcplt.
A4381..............  .................  X                 Urinary plastic pouch w/      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o fp.
A4382..............  .................  X                 Urinary hvy plstc pch w/      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o fp.
A4383..............  .................  X                 Urinary rubber pouch w/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o fp.
A4384..............  .................  X                 Ostomy faceplt/silicone       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ring.
A4385..............  .................  X                 Ost skn barrier sld ext       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wear.
A4386..............  .................  X                 Ost skn barrier w flng        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ex wr.
A4387..............  .................  X                 Ost clsd pouch w att st       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           barr.
A4388..............  .................  X                 Drainable pch w ex wear       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           barr.
A4389..............  .................  X                 Drainable pch w st wear       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           barr.
A4390..............  .................  X                 Drainable pch ex wear         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           convex.
A4391..............  .................  X                 Urinary pouch w ex wear       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           barr.
A4392..............  .................  X                 Urinary pouch w st wear       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           barr.
A4393..............  .................  X                 Urine pch w ex wear bar       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           conv.
A4394..............  .................  X                 Ostomy pouch liq              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           deodorant.
A4395..............  .................  X                 Ostomy pouch solid            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           deodorant.
A4396..............  .................  X                 Peristomal hernia             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supprt blt.
A4397..............  .................  P                 Irrigation supply             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sleeve.
A4398..............  .................  P                 Ostomy irrigation bag..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4399..............  .................  P                 Ostomy irrig cone/cath        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w 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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sizes.
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.
A4464..............  .................  N                 Joint support device/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           garment.
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

[[Page 40539]]

 
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
A4483..............  .................  X                 Moisture exchanger.....       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..............  .................  B                 Surgical trays.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4554..............  .................  N                 Disposable underpads...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4556..............  .................  P                 Electrodes, pair.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4557..............  .................  P                 Lead wires, pair.......       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
A4561..............  .................  X                 Pessary rubber, any           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           type.
A4562..............  .................  X                 Pessary, non rubber,any       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           type.
A4565..............  .................  X                 Slings.................       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4570..............  .................  I                 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.
A4580..............  .................  I                 Cast supplies (plaster)       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A4590..............  .................  I                 Special casting               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           material.
A4595..............  .................  X                 TENS suppl 2 lead per         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           month.
A4608..............  .................  X                 Transtracheal oxygen          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cath.
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
A4614..............  .................  X                 Hand-held PEFR meter...       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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           foot.
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           by 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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pad.
A4641..............  .................  E                 Diagnostic imaging            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           agent.
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           contr 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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cuff.
A4670..............  .................  N                 Auto blood pressure           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           monitor.
A4680..............  .................  X                 Activated carbon              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filters.
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

[[Page 40540]]

 
A4771..............  .................  X                 Blood clotting time           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tube.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           caps.
A4870..............  .................  X                 Plumbing/electrical           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           work.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
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
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.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           catheter.
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             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           flange.
A5126..............  .................  P                 Disk/foam pad +or-            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           adhesive.
A5131..............  .................  P                 Appliance cleaner......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A5200..............  .................  X                 Percutaneous catheter         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           anchor.
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           wedge.
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.
A5508..............  .................  X                 Diabetic deluxe shoe...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A6020..............  .................  P                 Collagen wound dressing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A6021..............  .................  X                 Collagen dressing =16         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq in.
A6022..............  .................  X                 Collagen drsg>6=48 sq         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6023..............  .................  X                 Collagen dressing >48         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq in.
A6024..............  .................  X                 Collagen dsg wound            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filler.
A6025..............  .................  I                 Silicone gel sheet,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           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.

[[Page 40541]]

 
A6200..............  .................  X                 Compos drsg =16 no            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           border.
A6201..............  .................  X                 Compos drsg >16=48 no         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bdr.
A6202..............  .................  X                 Compos drsg >48 no            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           border.
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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6206..............  .................  P                 Contact layer = 16 sq         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6207..............  .................  P                 Contact layer >16= 48         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq in.
A6208..............  .................  P                 Contact layer > 48 sq         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
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 sq       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6217..............  .................  P                 Non-sterile gauze>16=48       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq.
A6218..............  .................  P                 Non-sterile gauze > 48        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq 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/           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           border.
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 w/      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o b.
A6224..............  .................  P                 Gauze > 48 in no w/sal        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/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 watr/      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sal.
A6230..............  .................  P                 Gauze > 48 sq in water/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           salne.
A6231..............  .................  X                 Hydrogel dsg=16 sq in..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A6232..............  .................  X                 Hydrogel dsg>16=48 sq         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6233..............  .................  X                 Hydrogel dressing >48         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq in.
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 w/      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           o b.
A6236..............  .................  P                 Hydrocolld drg > 48 in        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/b.
A6247..............  .................  P                 Hydrogel drg > 48 sq in       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/b.
A6248..............  .................  P                 Hydrogel drsg gel             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filler.
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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           w/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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sq 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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in.
A6405..............  .................  P                 Sterile elastic gauze /       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           yd.
A6406..............  .................  P                 Sterile non-elastic           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           gauze/yd.
A7000..............  .................  X                 Disposable canister for       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
A7001..............  .................  X                 Nondisposable pump            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           canister.
A7002..............  .................  X                 Tubing used w suction         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pump.
A7003..............  .................  X                 Nebulizer                     0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           administration set.
A7004..............  .................  X                 Disposable nebulizer          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sml vol.
A7005..............  .................  X                 Nondisposable nebulizer       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           set.

[[Page 40542]]

 
A7006..............  .................  X                 Filtered nebulizer            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           admin set.
A7007..............  .................  X                 Lg vol nebulizer              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disposable.
A7008..............  .................  X                 Disposable nebulizer          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prefill.
A7009..............  .................  X                 Nebulizer reservoir           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bottle.
A7010..............  .................  X                 Disposable corrugated         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tubing.
A7011..............  .................  X                 Nondispos corrugated          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tubing.
A7012..............  .................  X                 Nebulizer water collec        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           devic.
A7013..............  .................  X                 Disposable compressor         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filter.
A7014..............  .................  X                 Compressor nondispos          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filter.
A7015..............  .................  X                 Aerosol mask used w           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nebulize.
A7016..............  .................  X                 Nebulizer dome &              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mouthpiece.
A7017..............  .................  X                 Nebulizer not used w          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oxygen.
A7018..............  .................  X                 Water distilled w/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nebulizer.
A7019..............  .................  X                 Saline solution               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dispenser.
A7020..............  .................  X                 Sterile H2O or NSS w          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lgv neb.
A7501..............  .................  X                 Tracheostoma valve w          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           diaphra.
A7502..............  .................  X                 Replacement diaphragm/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fplate.
A7503..............  .................  X                 HMES filter holder or         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cap.
A7504..............  .................  X                 Tracheostoma HMES             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           filter.
A7505..............  .................  X                 HMES or trach valve           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           housing.
A7506..............  .................  X                 HMES/trachvalve               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           adhesivedisk.
A7507..............  .................  X                 Integrated filter &           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           holder.
A7508..............  .................  X                 Housing & Integrated          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Adhesiv.
A7509..............  .................  X                 Heat & moisture               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           exchange sys.
A9150..............  .................  E                 Misc/exper non-               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prescript dru.
A9160..............  .................  N                 Podiatrist non-covered        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           servi.
A9170..............  .................  N                 Chiropractor non-             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           covered 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.
A9504..............  .................  X                 Technetium tc 99m             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           apcitide.
A9505..............  .................  E                 Thallous chloride TL          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           201/mci.
A9507..............  .................  X                 Indium/111 capromab           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pendetid.
A9508..............  .................  X                 Iobenguane sulfate I-         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           131.
A9510..............  .................  X                 Technetium TC99m              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Disofenin.
A9600..............  .................  X                 Strontium-89 chloride..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
A9605..............  .................  X                 Samarium sm153                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lexidronamm.
A9700..............  .................  X                 Echocardiography              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Contrast.
A9900..............  .................  X                 Supply/accessory/             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           service.
A9901..............  .................  X                 Delivery/set up/              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dispensing.
D0120..............  .................  N                 Periodic oral                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           evaluation.
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.
D0170..............  .................  N                 Re-eval,est pt,problem        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.
D0277..............  .................  R                 Vert bitewings-sev to         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           eight.
D0290..............  .................  I                 Dental film skull/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           facial 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.
D0350..............  .................  I                 Oral/facial images.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
D0472..............  .................  R                 Gross exam, prep &            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           report.
D0473..............  .................  R                 Micro exam, prep &            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           report.
D0474..............  .................  R                 Micro w exam of surg          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           margins.
D0480..............  .................  R                 Cytopath smear prep &         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           report.

[[Page 40543]]

 
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           adult.
D1120..............  .................  N                 Dental prophylaxis            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           child.
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             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prophy chi.
D1204..............  .................  N                 Topical fluor w/o             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prophy 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                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           instruction.
D1351..............  .................  N                 Dental sealant per            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tooth.
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
                                                           maintain.
D1525..............  .................  R                 Remove bilat space            0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           maintain.
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
                                                           prima.
D2131..............  .................  N                 Amalgam four/more surf        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prima.
D2140..............  .................  N                 Amalgam one surface           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           permanen.
D2150..............  .................  N                 Amalgam two surfaces          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           permane.
D2160..............  .................  N                 Amalgam three surfaces        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perma.
D2161..............  .................  N                 Amalgam 4 or > surfaces       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perm.
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
                                                           anterio.
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
D2337..............  .................  N                 Compo resin crown ant-        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perm.
D2380..............  .................  N                 Resin one surf poster         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           primar.
D2381..............  .................  N                 Resin two surf poster         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           primar.
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
                                                           perman.
D2386..............  .................  N                 Resin two surf poster         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perman.
D2387..............  .................  N                 Resin three/more surf         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           post p.
D2388..............  .................  N                 Resin four/more, post         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perm.
D2410..............  .................  N                 Dental gold foil one          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surface.
D2420..............  .................  N                 Dental gold foil two          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surface.
D2430..............  .................  N                 Dental gold foil three        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surfa.
D2510..............  .................  N                 Dental inlay metalic 1        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surf.
D2520..............  .................  N                 Dental inlay metallic 2       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surf.
D2530..............  .................  N                 Dental inlay metl 3/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           more sur.
D2542..............  .................  N                 Dental onlay metallic 2       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surf.
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/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           more 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/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           more 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/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           more 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/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mre sur.
D2662..............  .................  N                 Dental onlay resin 2          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surface.
D2663..............  .................  N                 Dental onlay resin 3          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surface.
D2664..............  .................  N                 Dental onlay resin 4/         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mre 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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           noble me.
D2721..............  .................  N                 Crown resin w/ base           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
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/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           noble met.
D2780..............  .................  N                 Crown 3/4 cast hi noble       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           met.
D2781..............  .................  N                 Crown 3/4 cast base           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D2782..............  .................  N                 Crown 3/4 cast noble          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D2783..............  .................  N                 Crown 3/4 porcelain/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ceramic.
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.

[[Page 40544]]

 
D2792..............  .................  N                 Crown full cast noble         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D2799..............  .................  N                 Provisional crown......       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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crwn pri.
D2931..............  .................  N                 Prefab stnlss steel           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown pe.
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.
D2953..............  .................  N                 Each addtnl cast post..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D2954..............  .................  N                 Prefab post/core +            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D2955..............  .................  N                 Post removal...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D2957..............  .................  N                 Each addtnl prefab post       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
D3221..............  .................  N                 Gross pulpal                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           debridement.
D3230..............  .................  N                 Pulpal therapy anterior       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prim.
D3240..............  .................  N                 Pulpal therapy                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           posterior pri.
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.
D3331..............  .................  N                 Non-surg tx root canal        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           obs.
D3332..............  .................  N                 Incomplete endodontic         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tx.
D3333..............  .................  N                 Internal root repair...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           molar.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           root.
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
                                                           implan.
D3470..............  .................  N                 Intentional                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           replantation.
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.
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
                                                           toot.
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
                                                           planin.
D4245..............  .................  N                 Apically positioned           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           flap.
D4249..............  .................  N                 Crown lengthen hard           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tissue.
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.
D4268..............  .................  R                 Surgical revision             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedure.
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               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           delivery.
D4910..............  .................  N                 Periodontal maint             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           procedures.

[[Page 40545]]

 
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           resin.
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.
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           compl 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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maxil 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
D5867..............  .................  N                 Replacement of                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           precision att.
D5875..............  .................  N                 Prosthesis modification       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                0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           sectional.
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

[[Page 40546]]

 
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                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prosthesis.
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.
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
D6056..............  .................  N                 Prefabricated abutment.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D6057..............  .................  N                 Custom abutment........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D6058..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6059..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6060..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6061..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6062..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6063..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6064..............  .................  N                 Abutment supported mtl        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6065..............  .................  N                 Implant supported crown       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D6066..............  .................  N                 Implant supported mtl         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6067..............  .................  N                 Implant supported mtl         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           crown.
D6068..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6069..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6070..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6071..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6072..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6073..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6074..............  .................  N                 Abutment supported            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6075..............  .................  N                 Implant supported             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6076..............  .................  N                 Implant supported             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6077..............  .................  N                 Implant supported             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
D6078..............  .................  N                 Implnt/abut suprtd fixd       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dent.
D6079..............  .................  N                 Implnt/abut suprtd fixd       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dent.
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.
D6245..............  .................  N                 Bridge porcelain/             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ceramic.
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.
D6519..............  .................  N                 Inlay/onlay porce/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ceramic.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metl.
D6548..............  .................  N                 Porcelain/ceramic             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           retainer.
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D6722..............  .................  N                 Crown resin w/noble           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D6740..............  .................  N                 Crown porcelain/ceramic       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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.
D6781..............  .................  N                 Crown 3/4 cast based          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D6782..............  .................  N                 Crown 3/4 cast noble          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.
D6783..............  .................  N                 Crown 3/4 porcelain/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ceramic.
D6790..............  .................  N                 Crown full high noble         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metal.

[[Page 40547]]

 
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
D6976..............  .................  N                 Each addtnl cast post..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D6977..............  .................  N                 Each addtl prefab post.       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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           proc.
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/                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           extraction.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           1.25 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 >          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           1.25 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 >          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           1.25 cm.
D7465..............  .................  I                 Lesion destruction.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D7471..............  .................  I                 Rem exostosis any site.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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                 Closd rductn splint           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           alveolus.
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.

[[Page 40548]]

 
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disc.
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                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           components.
D7870..............  .................  I                 Tmj aspiration joint          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fluid.
D7871..............  .................  N                 Lysis + lavage w              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           catheters.
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           to 5cm.
D7911..............  .................  I                 Dental suture wound to        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           5 cm.
D7912..............  .................  I                 Suture complicate wnd >       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           5 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.
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/                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           frenulotomy.
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.
D7997..............  .................  N                 Appliance removal......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D7999..............  .................  I                 Oral surgery procedure.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
D8691..............  .................  N                 Repair ortho appliance.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D8692..............  .................  N                 Replacement retainer...       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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ad 15m.
D9230..............  .................  R                 Analgesia..............       0.00      0.00      0.00      0.00      0.00      0.00       YYY

[[Page 40549]]

 
D9241..............  .................  I                 Intravenous sedation...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D9242..............  .................  I                 IV sedation ea ad 30 m.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D9248..............  .................  R                 Sedation (non-iv)......       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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hours.
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.
D9911..............  .................  N                 Appl desensitizing            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           resin.
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
D9971..............  .................  N                 Odontoplasty 1-2 teeth.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
D9972..............  .................  N                 Extrnl bleaching per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           arch.
D9973..............  .................  N                 Extrnl bleaching per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tooth.
D9974..............  .................  N                 Intrnl bleaching per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tooth.
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      0.17      3.10      0.03      0.70      3.63       000
                                                           catheter.
G0004..............  .................  A                 ECG transm phys review        0.52        NA      7.35      0.45        NA      8.32       XXX
                                                           & int.
G0005..............  .................  A                 ECG 24 hour recording..       0.00        NA      1.22      0.07        NA      1.29       XXX
G0006..............  .................  A                 ECG transmission &            0.00        NA      5.92      0.36        NA      6.28       XXX
                                                           analysis.
G0007..............  .................  A                 ECG phy review &              0.52      0.21      0.21      0.02      0.75      0.75       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              0.00        NA      5.92      0.36        NA      6.28       XXX
                                                           tracing.
G0016..............  .................  A                 Post symptom ECG md           0.52      0.23      0.23      0.02      0.77      0.77       XXX
                                                           review.
G0025..............  .................  B                 Collagen skin test kit.       0.00      0.00      0.00      0.00      0.00      0.00       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        NA      0.00      0.00        NA      0.00       XXX
                                                           single.
G0030..............  26                 A                 PET imaging prev PET          1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           single.
G0030..............  TC                 C                 PET imaging prev PET          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           single.
G0031..............  .................  C                 PET imaging prev PET          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           multple.
G0031..............  26                 A                 PET imaging prev PET          1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           multple.
G0031..............  TC                 C                 PET imaging prev PET          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           multple.
G0032..............  .................  C                 PET follow SPECT 78464        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0032..............  26                 A                 PET follow SPECT 78464        1.50      0.52      0.52      0.05      2.07      2.07       XXX
                                                           singl.
G0032..............  TC                 C                 PET follow SPECT 78464        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0033..............  .................  C                 PET follow SPECT 78464        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0033..............  26                 A                 PET follow SPECT 78464        1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0033..............  TC                 C                 PET follow SPECT 78464        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0034..............  .................  C                 PET follow SPECT 76865        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0034..............  26                 A                 PET follow SPECT 76865        1.50      0.52      0.52      0.05      2.07      2.07       XXX
                                                           singl.
G0034..............  TC                 C                 PET follow SPECT 76865        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0035..............  .................  C                 PET follow SPECT 78465        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0035..............  26                 A                 PET follow SPECT 78465        1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0035..............  TC                 C                 PET follow SPECT 78465        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0036..............  .................  C                 PET follow cornry angio       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0036..............  26                 A                 PET follow cornry angio       1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           sing.
G0036..............  TC                 C                 PET follow cornry angio       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0037..............  .................  C                 PET follow cornry angio       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0037..............  26                 A                 PET follow cornry angio       1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0037..............  TC                 C                 PET follow cornry angio       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0038..............  .................  C                 PET follow myocard perf       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0038..............  26                 A                 PET follow myocard perf       1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           sing.
G0038..............  TC                 C                 PET follow myocard perf       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0039..............  .................  C                 PET follow myocard perf       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0039..............  26                 A                 PET follow myocard perf       1.87      0.70      0.70      0.07      2.64      2.64       XXX
                                                           mult.
G0039..............  TC                 C                 PET follow myocard perf       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0040..............  .................  C                 PET follow stress echo        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0040..............  26                 A                 PET follow stress echo        1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           singl.
G0040..............  TC                 C                 PET follow stress echo        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0041..............  .................  C                 PET follow stress echo        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0041..............  26                 A                 PET follow stress echo        1.87      0.70      0.70      0.05      2.62      2.62       XXX
                                                           mult.

[[Page 40550]]

 
G0041..............  TC                 C                 PET follow stress echo        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0042..............  .................  C                 PET follow ventriculogm       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0042..............  26                 A                 PET follow ventriculogm       1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           sing.
G0042..............  TC                 C                 PET follow ventriculogm       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           sing.
G0043..............  .................  C                 PET follow ventriculogm       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0043..............  26                 A                 PET follow ventriculogm       1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0043..............  TC                 C                 PET follow ventriculogm       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0044..............  .................  C                 PET following rest ECG        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0044..............  26                 A                 PET following rest ECG        1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           singl.
G0044..............  TC                 C                 PET following rest ECG        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0045..............  .................  C                 PET following rest ECG        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0045..............  26                 A                 PET following rest ECG        1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0045..............  TC                 C                 PET following rest ECG        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0046..............  .................  C                 PET follow stress ECG         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0046..............  26                 A                 PET follow stress ECG         1.50      0.52      0.52      0.04      2.06      2.06       XXX
                                                           singl.
G0046..............  TC                 C                 PET follow stress ECG         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           singl.
G0047..............  .................  C                 PET follow stress ECG         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0047..............  26                 A                 PET follow stress ECG         1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           mult.
G0047..............  TC                 C                 PET follow stress ECG         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mult.
G0050..............  .................  A                 Residual urine by             0.00        NA      0.84      0.04        NA      0.88       XXX
                                                           ultrasound.
G0101..............  .................  A                 CA screen;pelvic/breast       0.45      0.18      0.69      0.01      0.64      1.15       XXX
                                                           exam.
G0102..............  .................  A                 Prostate ca screening;        0.17      0.06      0.37      0.01      0.24      0.55       XXX
                                                           dre.
G0103..............  .................  X                 Psa, total screening...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
G0104..............  .................  A                 CA screen;flexi               0.88      0.45      1.88      0.05      1.38      2.81       000
                                                           sigmoidscope.
G0105..............  .................  A                 Colorectal scrn; hi           3.68      1.74      7.30      0.20      5.62     11.18       000
                                                           risk ind.
G0106..............  .................  A                 Colon CA screen;barium        0.99        NA      2.55      0.15        NA      3.69       XXX
                                                           enema.
G0106..............  26                 A                 Colon CA screen;barium        0.99      0.35      0.35      0.04      1.38      1.38       XXX
                                                           enema.
G0106..............  TC                 A                 Colon CA screen;barium        0.00        NA      2.20      0.11        NA      2.31       XXX
                                                           enema.
G0107..............  .................  X                 CA screen; fecal blood        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           test.
G0108..............  .................  A                 Diab manage trn per           0.00        NA      1.64      0.01        NA      1.65       XXX
                                                           indiv.
G0109..............  .................  A                 Diab manage trn ind/          0.00        NA      0.96      0.01        NA      0.97       XXX
                                                           group.
G0110..............  .................  R                 Nett pulm-rehab educ;         0.90      0.36      0.75      0.03      1.29      1.68       XXX
                                                           ind.
G0111..............  .................  R                 Nett pulm-rehab educ;         0.27      0.11      0.29      0.01      0.39      0.57       XXX
                                                           group.
G0112..............  .................  R                 Nett;nutrition guid,          1.72      0.68      1.48      0.05      2.45      3.25       XXX
                                                           initial.
G0113..............  .................  R                 Nett;nutrition                1.29      0.51      1.15      0.04      1.84      2.48       XXX
                                                           guid,subseqnt.
G0114..............  .................  R                 Nett; psychosocial            1.20      0.47      0.49      0.03      1.70      1.72       XXX
                                                           consult.
G0115..............  .................  R                 Nett; psychological           1.20      0.38      0.71      0.04      1.62      1.95       XXX
                                                           testing.
G0116..............  .................  R                 Nett; psychosocial            1.11      0.44      1.24      0.04      1.59      2.39       XXX
                                                           counsel.
G0120..............  .................  A                 Colon ca scrn; barium         0.99        NA      2.55      0.15        NA      3.69       XXX
                                                           enema.
G0120..............  26                 A                 Colon ca scrn; barium         0.99      0.35      0.35      0.04      1.38      1.38       XXX
                                                           enema.
G0120..............  TC                 A                 Colon ca scrn; barium         0.00        NA      2.20      0.11        NA      2.31       XXX
                                                           enema.
G0121..............  .................  A                 Colon ca scrn not hi          3.68      1.74      7.30      0.20      5.62     11.18       000
                                                           rsk ind.
G0122..............  .................  N                 Colon ca scrn; barium        +0.99        NA      2.59      0.15        NA      3.73       XXX
                                                           enema.
G0122..............  26                 N                 Colon ca scrn; barium        +0.99      0.39      0.39      0.04      1.42      1.42       XXX
                                                           enema.
G0122..............  TC                 N                 Colon ca scrn; barium        +0.00        NA      2.20      0.11        NA      2.31       XXX
                                                           enema.
G0123..............  .................  X                 Screen cerv/vag thin          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           layer.
G0124..............  .................  A                 Screen c/v thin layer         0.42      0.19      0.19      0.01      0.62      0.62       XXX
                                                           by MD.
G0125..............  .................  A                 Lung image (PET).......       1.50      0.52     56.08      2.00      4.02     59.58       XXX
G0125..............  26                 A                 Lung image (PET).......       1.50      0.52      0.52      0.05      2.07      2.07       XXX
G0125..............  TC                 A                 Lung image (PET).......       0.00        NA     55.56      1.95        NA     57.51       XXX
G0126..............  .................  A                 Lung image (PET)              1.87      0.70     56.26      2.01      4.58     60.14       XXX
                                                           staging.
G0126..............  26                 A                 Lung image (PET)              1.87      0.70      0.70      0.06      2.63      2.63       XXX
                                                           staging.
G0126..............  TC                 A                 Lung image (PET)              0.00        NA     55.56      1.95        NA     57.51       XXX
                                                           staging.
G0127..............  .................  R                 Trim nail(s)...........       0.11      0.05      0.52      0.01      0.17      0.64       000
G0128..............  .................  R                 CORF skilled nursing          0.08      0.03      0.03      0.01      0.12      0.12       XXX
                                                           service.
G0130..............  .................  A                 Single energy x-ray           0.22        NA      0.90      0.05        NA      1.17       XXX
                                                           study.
G0130..............  26                 A                 Single energy x-ray           0.22      0.11      0.11      0.01      0.34      0.34       XXX
                                                           study.
G0130..............  TC                 A                 Single energy x-ray           0.00        NA      0.79      0.04        NA      0.83       XXX
                                                           study.
G0131..............  .................  A                 CT scan, bone density         0.25        NA      3.18      0.14        NA      3.57       XXX
                                                           study.
G0131..............  26                 A                 CT scan, bone density         0.25      0.13      0.13      0.01      0.39      0.39       XXX
                                                           study.
G0131..............  TC                 A                 CT scan, bone density         0.00        NA      3.05      0.13        NA      3.18       XXX
                                                           study.
G0132..............  .................  A                 CT scan, bone density         0.22        NA      0.90      0.05        NA      1.17       XXX
                                                           study.
G0132..............  26                 A                 CT scan, bone density         0.22      0.11      0.11      0.01      0.34      0.34       XXX
                                                           study.
G0132..............  TC                 A                 CT scan, bone density         0.00        NA      0.79      0.04        NA      0.83       XXX
                                                           study.
G0141..............  .................  A                 Scr c/v cyto,autosys          0.42      0.19      0.19      0.01      0.62      0.62       XXX
                                                           and md.
G0143..............  .................  X                 Scr c/v                       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cyto,thinlayer,rescr.
G0144..............  .................  X                 Scr c/v                       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cyto,thinlayer,rescr.
G0145..............  .................  X                 Scr c/v                       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cyto,thinlayer,rescr.
G0147..............  .................  X                 Scr c/v cyto, automated       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sys.
G0148..............  .................  X                 Scr c/v cyto, autosys,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rescr.
G0163..............  .................  A                 Pet for rec of                1.50      0.56     56.12      2.00      4.06     59.62       XXX
                                                           colorectal ca.
G0163..............  26                 A                 Pet for rec of                1.50      0.56      0.56      0.05      2.11      2.11       XXX
                                                           colorectal ca.
G0163..............  TC                 A                 Pet for rec of                0.00        NA     55.56      1.95        NA     57.51       XXX
                                                           colorectal ca.
G0164..............  .................  A                 Pet for lymphoma              1.87      0.69     56.25      2.01      4.57     60.13       XXX
                                                           staging.

[[Page 40551]]

 
G0164..............  26                 A                 Pet for lymphoma              1.87      0.69      0.69      0.06      2.62      2.62       XXX
                                                           staging.
G0164..............  TC                 A                 Pet for lymphoma              0.00        NA     55.56      1.95        NA     57.51       XXX
                                                           staging.
G0165..............  .................  A                 Pet,rec of melanoma/met       1.50      0.59     56.15      2.00      4.09     59.65       XXX
                                                           ca.
G0165..............  26                 A                 Pet,rec of melanoma/met       1.50      0.59      0.59      0.05      2.14      2.14       XXX
                                                           ca.
G0165..............  TC                 A                 Pet,rec of melanoma/met       0.00        NA     55.56      1.95        NA     57.51       XXX
                                                           ca.
G0166..............  .................  A                 Extrnl counterpulse,          0.07      0.03      3.75      0.01      0.11      3.83       XXX
                                                           per tx.
G0167..............  .................  C                 Hyperbaric oz tx;no md        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           reqrd.
G0168..............  .................  A                 Wound closure by              0.45      0.25      1.80      0.01      0.71      2.26       000
                                                           adhesive.
G0173..............  .................  X                 Stereo                        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           radoisurgery,complete.
G0174..............  .................  X                 Intensitymodulatedradia       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tion.
G0175..............  .................  X                 OPPS Service,sched team       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           conf.
G0176..............  .................  X                 OPPS/PHP;activity             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           therapy.
G0177..............  .................  X                 OPPS/PHP; train & educ        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           serv.
G0178..............  .................  X                 Intensitymodulatedradia       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tion.
G0179..............  .................  A                 MD recertification HHA        0.45        NA      1.11      0.06        NA      1.62       XXX
                                                           patie.
G0180..............  .................  A                 MD certification HHA          0.67        NA      1.19      0.06        NA      1.92       XXX
                                                           patient.
G0181..............  .................  A                 Home health care              1.73        NA      1.45      0.06        NA      3.24       XXX
                                                           supervision.
G0182..............  .................  A                 Hospice care                  1.73        NA      1.78      0.06        NA      3.57       XXX
                                                           supervision.
G0183..............  .................  X                 Ocular photodynamic           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           therapy.
G0184..............  .................  A                 Ocular photodynamic tx,       0.47      0.23      0.23      0.50      1.20      1.20       ZZZ
                                                           2nd.
G0185..............  .................  C                 Transpuppillary               0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           thermotx.
G0186..............  .................  C                 Dstry eye lesn,fdr vssl       0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           tech.
G0187..............  .................  C                 Dstry mclr                    0.00      0.00      0.00      0.00      0.00      0.00       YYY
                                                           drusen,photocoag.
G0188..............  .................  C                 Xray lwr extrmty-full         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lngth.
G0188..............  26                 C                 Xray lwr extrmty-full         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lngth.
G0188..............  TC                 C                 Xray lwr extrmty-full         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lngth.
G0190..............  .................  X                 Immunization                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           administration.
G0191..............  .................  X                 Immunization admin,each       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           add.
G0192..............  .................  N                 Immunization oral/            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           intranasal.
G0193..............  .................  C                 Endoscopicstudyswallowf       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           unctn.
G0194..............  .................  C                 Sensorytestingendoscopi       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cstud.
G0195..............  .................  A                 Clinicalevalswallowingf       1.50      0.77      2.06      0.07      2.34      3.63       XXX
                                                           unct.
G0196..............  .................  A                 Evalofswallowingwithrad       1.50      0.77      2.06      0.07      2.34      3.63       XXX
                                                           ioopa.
G0197..............  .................  A                 Evalofptforprescipspeec       1.35      0.78      1.99      0.04      2.17      3.38       XXX
                                                           hdevi.
G0198..............  .................  A                 Patientadapation&trainf       0.99      0.58      1.08      0.03      1.60      2.10       XXX
                                                           orspe.
G0199..............  .................  A                 Reevaluationofpatientus       1.01      0.59      1.80      0.03      1.63      2.84       XXX
                                                           espec.
G0200..............  .................  A                 Evalofpatientprescipofv       1.35      0.78      1.99      0.04      2.17      3.38       XXX
                                                           oicep.
G0201..............  .................  A                 Modifortraininginusevoi       0.99      0.58      1.08      0.03      1.60      2.10       XXX
                                                           cepro.
G0202..............  .................  G                 Screen Mammogram,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           digital.
G0203..............  .................  G                 Scr Mamm, film to             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           digital.
G0204..............  .................  G                 Diag Mamm, digital,           0.69        NA      1.56      0.09        NA      2.34       XXX
                                                           bilat.
G0204..............  26                 G                 Diag Mamm, digital,           0.69      0.27      0.27      0.03      0.99      0.99       XXX
                                                           bilat.
G0204..............  TC                 G                 Diag Mamm, digital,           0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           bilat.
G0205..............  .................  G                 Diag Mamm, film/digit/        0.69        NA      1.56      0.09        NA      2.34       XXX
                                                           bil.
G0205..............  26                 G                 Diag Mamm, film/digit/        0.69      0.27      0.27      0.03      0.99      0.99       XXX
                                                           bil.
G0205..............  TC                 G                 Diag Mamm, film/digit/        0.00        NA      1.29      0.06        NA      1.35       XXX
                                                           bil.
G0206..............  .................  G                 Diag Mamm, digital, uni       0.58        NA      1.27      0.08        NA      1.93       XXX
G0206..............  26                 G                 Diag Mamm, digital, uni       0.58      0.23      0.23      0.03      0.84      0.84       XXX
G0206..............  TC                 G                 Diag Mamm, digital, uni       0.00        NA      1.04      0.05        NA      1.09       XXX
G0207..............  .................  G                 Diag Mamm, film/digit/        0.58        NA      1.27      0.08        NA      1.93       XXX
                                                           uni.
G0207..............  26                 G                 Diag Mamm, film/digit/        0.58      0.23      0.23      0.03      0.84      0.84       XXX
                                                           uni.
G0207..............  TC                 G                 Diag Mamm, film/digit/        0.00        NA      1.04      0.05        NA      1.09       XXX
                                                           uni.
G0210..............  .................  C                 PET img wholebody             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           dxlung ca.
G0210..............  26                 A                 PET img wholebody             1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           dxlung ca.
G0210..............  TC                 C                 PET img wholebody             0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           dxlung ca.
G0211..............  .................  C                 PET img wholebody init        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lung.
G0211..............  26                 A                 PET img wholebody init        1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           lung.
G0211..............  TC                 C                 PET img wholebody init        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lung.
G0212..............  .................  C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lung.
G0212..............  26                 A                 PET img wholebod restag       1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           lung.
G0212..............  TC                 C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lung.
G0213..............  .................  C                 PET img wholebody dx          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           colorec.
G0213..............  26                 A                 PET img wholebody dx          1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           colorec.
G0213..............  TC                 C                 PET img wholebody dx          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           colorec.
G0214..............  .................  C                 PET img wholebody init        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           color.
G0214..............  26                 A                 PET img wholebody init        1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           color.
G0214..............  TC                 C                 PET img wholebody init        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           color.
G0215..............  .................  C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           colr.
G0215..............  26                 A                 PET img wholebod restag       1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           colr.
G0215..............  TC                 C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           colr.
G0216..............  .................  C                 PET img wholebod dx           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           melanoma.
G0216..............  26                 A                 PET img wholebod dx           1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           melanoma.
G0216..............  TC                 C                 PET img wholebod dx           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           melanoma.
G0217..............  .................  C                 PET img wholbod init          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           melano.

[[Page 40552]]

 
G0217..............  26                 A                 PET img wholbod init          1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           melano.
G0217..............  TC                 C                 PET img wholbod init          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           melano.
G0218..............  .................  C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mela.
G0218..............  26                 A                 PET img wholebod restag       1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           mela.
G0218..............  TC                 C                 PET img wholebod restag       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           mela.
G0219..............  .................  C                 PET img wholbod melano        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           non-c.
G0219..............  26                 A                 PET img wholbod melano        1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           non-c.
G0219..............  TC                 C                 PET img wholbod melano        0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           non-c.
G0220..............  .................  C                 PET img wholebod dx           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lymphoma.
G0220..............  26                 A                 PET img wholebod dx           1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           lymphoma.
G0220..............  TC                 C                 PET img wholebod dx           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lymphoma.
G0221..............  .................  C                 PET img wholbod init          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lympho.
G0221..............  26                 A                 PET img wholbod init          1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           lympho.
G0221..............  TC                 C                 PET img wholbod init          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lympho.
G0222..............  .................  C                 PET img wholbod resta         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lymph.
G0222..............  26                 A                 PET img wholbod resta         1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           lymph.
G0222..............  TC                 C                 PET img wholbod resta         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           lymph.
G0223..............  .................  C                 PET imag wholbod reg dx       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           head.
G0223..............  26                 A                 PET imag wholbod reg dx       1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           head.
G0223..............  TC                 C                 PET imag wholbod reg dx       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           head.
G0224..............  .................  C                 PET imag wholbod req          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           ini hea.
G0224..............  26                 A                 PET imag wholbod req          1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           ini hea.
G0224..............  TC                 C                 PET imag wholbod reg          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           ini hea.
G0225..............  .................  C                 PET whol restag               0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           headneck onl.
G0225..............  26                 A                 PET whol restag               1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           headneck onl.
G0225..............  TC                 C                 PET whol restag               0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           headneck onl.
G0226..............  .................  C                 PET img wholbod dx            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esophagl.
G0226..............  26                 A                 PET img wholbod dx            1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           esophagl.
G0226..............  TC                 C                 PET img wholbod dx            0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esophagl.
G0227..............  .................  C                 PET img wholbod ini           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esophage.
G0227..............  26                 A                 PET img wholbod ini           1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           esophage.
G0227..............  TC                 C                 PET img wholbod ini           0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esophage.
G0228..............  .................  C                 PET img wholbod restg         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esopha.
G0228..............  26                 A                 PET img wholbod restg         1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           esopha.
G0228..............  TC                 C                 PET img wholbod restg         0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           esopha.
G0229..............  .................  C                 PET img metabolic brain       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           pres.
G0229..............  26                 A                 PET img metabolic brain       1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           pres.
G0229..............  TC                 C                 PET img metabolic brain       0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           pres.
G0230..............  .................  C                 PET mycard viability          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           post s.
G0230..............  26                 A                 PET mycard viability          1.50      0.60      0.60      0.04      2.14      2.14       XXX
                                                           post s.
G0230..............  TC                 C                 PET mycard viability          0.00        NA      0.00      0.00        NA      0.00       XXX
                                                           post s.
G9001..............  .................  X                 MCCD, initial rate.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
G9002..............  .................  X                 MCCD,maintenance rate..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
G9003..............  .................  X                 MCCD, risk adj hi,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           initial.
G9004..............  .................  X                 MCCD, risk adj lo,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           initial.
G9005..............  .................  X                 MCCD, risk adj,               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maintenance.
G9006..............  .................  X                 MCCD, Home monitoring..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
G9007..............  .................  X                 MCCD, sch team conf....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
G9008..............  .................  X                 Mccd,phys coor-care           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ovrsght.
G9016..............  .................  N                 Demo-smoking cessation        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           coun.
Gxxx1..............  .................  A                 Mammogram, screen, dir        0.70        NA      2.78      0.09        NA      3.57       XXX
                                                           dig.
Gxxx1..............  26                 A                 Mammogram, screen, dir        0.70      0.28      0.28      0.03      1.01      1.01       XXX
                                                           dig.
Gxxx1..............  TC                 A                 Mammogram, screen, dir        0.00        NA      2.50      0.06        NA      2.56       XXX
                                                           dig.
Gxxx2..............  .................  A                 Diag mammo, unilat, dir       0.70        NA      2.27      0.08        NA      3.05       XXX
                                                           dig.
Gxxx2..............  26                 A                 Diag mammo, unilat, dir       0.70      0.28      0.28      0.03      1.01      1.01       XXX
                                                           dig.
Gxxx2..............  TC                 A                 Diag mammo, unilat, dir       0.00        NA      1.99      0.05        NA      2.04       XXX
                                                           dig.
Gxxx3..............  .................  A                 Diag mammo, bilat, dir        0.87        NA      2.81      0.09        NA      3.77       XXX
                                                           dig.
Gxxx3..............  26                 A                 Diag mammo, bilat, dir        0.87      0.34      0.34      0.03      1.24      1.24       XXX
                                                           dig.
Gxxx3..............  TC                 A                 Diag mammo, bilat, dir        0.00        NA      2.47      0.06        NA      2.53       XXX
                                                           dig.
Gxxx4..............  .................  A                 Computer aided                0.06        NA      0.43      0.02        NA      0.51       XXX
                                                           detection.
Gxxx4..............  26                 A                 Computer aided                0.06      0.02      0.02      0.01      0.09      0.09       XXX
                                                           detection.
Gxxx4..............  TC                 A                 Computer aided                0.00        NA      0.41      0.01        NA      0.42       XXX
                                                           detection.
Gxxx5..............  .................  A                 Glaucoma screen, md           0.45      0.22      0.39      0.02      0.69      0.86       XXX
                                                           perform.
Gxxx6..............  .................  A                 Glaucoma screen, md           0.17      0.08      0.25      0.01      0.26      0.43       XXX
                                                           supv..
H0001..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           assess.
H0002..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           screenin.
H0003..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           screenin.
H0004..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0005..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0006..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0007..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0008..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0009..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0010..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.

[[Page 40553]]

 
H0011..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0012..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0013..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0014..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0015..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0016..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0017..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0018..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0019..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0020..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           services.
H0021..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           training.
H0022..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           interven.
H0023..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           outreach.
H0024..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0025..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0026..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0027..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0028..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0029..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           preventi.
H0030..............  .................  I                 Alcohol and/or drug           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hotline.
J0120..............  .................  E                 Tetracyclin injection..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J0130..............  .................  E                 Abciximab injection....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J0150..............  .................  E                 Injection adenosine 6         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG.
J0151..............  .................  E                 Adenosine injection....       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.
J0200..............  .................  E                 Alatrofloxacin mesylate       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inhibitor.
J0270..............  .................  E                 Alprostadil for               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J0275..............  .................  E                 Alprostadil urethral          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           suppos.
J0280..............  .................  E                 Aminophyllin 250 MG inj       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J0282..............  .................  E                 Amiodarone HCl.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J0285..............  .................  E                 Amphotericin B.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J0286..............  .................  E                 Amphotericin B lipid          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           complex.
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                     0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           phenpropionate 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
J0395..............  .................  E                 Arbutamine HCl                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J0400..............  .................  E                 Inj trimethaphan              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           camsylate.
J0456..............  .................  E                 Azithromycin...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J0476..............  .................  E                 Baclofen intrathecal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           trial.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mesylate.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disodium inj.
J0610..............  .................  E                 Calcium gluconate             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J0620..............  .................  E                 Calcium glycer & lact/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           10 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.

[[Page 40554]]

 
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.
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 /          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           500 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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           0.25 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                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cypionate inj.
J1020..............  .................  E                 Methylprednisolone 20         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG inj.
J1030..............  .................  E                 Methylprednisolone 40         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG inj.
J1040..............  .................  E                 Methylprednisolone 80         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG 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        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           1 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                 Dexamethasone 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                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
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.
J1260..............  .................  E                 Dolasetron mesylate....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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
J1327..............  .................  E                 Eptifibatide 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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG inj.
J1390..............  .................  E                 Estradiol valerate 20         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG 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
J1438..............  .................  E                 Etanercept injection...       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.
J1450..............  .................  E                 Fluconazole............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J1452..............  .................  E                 Intraocular Fomivirsen        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           na.
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

[[Page 40555]]

 
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
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
J1563..............  .................  E                 IV immune globulin.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J1600..............  .................  E                 Gold sodium thiomaleate       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J1610..............  .................  E                 Glucagon hydrochloride/       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           1 MG.
J1620..............  .................  E                 Gonadorelin hydroch/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100 mcg.
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..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ph 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.
J1745..............  .................  E                 Infliximab injection...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J1750..............  .................  E                 Iron dextran...........       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 /          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           .25 MG.
J1840..............  .................  E                 Kanamycin sulfate 500         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG 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 /          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           3.75 MG.
J1955..............  .................  E                 Inj levocarnitine per 1       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           gm.
J1956..............  .................  E                 Levofloxacin injection.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J1960..............  .................  E                 Levorphanol tartrate          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
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 /         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100 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 /       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           5 ML.
J2270..............  .................  E                 Morphine sulfate              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J2271..............  .................  E                 Morphine so4 injection        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100mg.
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           100 MG.
J2322..............  .................  E                 Nandrolone decanoate          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           200 MG.
J2330..............  .................  E                 Thiothixene injection..       0.00      0.00      0.00      0.00      0.00      0.00       XXX

[[Page 40556]]

 
J2350..............  .................  E                 Niacinamide/niacin            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J2352..............  .................  E                 Octreotide acetate            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J2355..............  .................  E                 Oprelvekin injection...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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 /        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           30 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.
J2500..............  .................  E                 Paricalcitol...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2540..............  .................  E                 Penicillin g potassium        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2543..............  .................  E                 Piperacillin/tazobactam       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2590..............  .................  E                 Oxytocin injection.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J2597..............  .................  E                 Inj desmopressin              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acetate.
J2640..............  .................  E                 Prednisolone sodium ph        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2650..............  .................  E                 Prednisolone acetate          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2670..............  .................  E                 Totazoline hcl                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
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
                                                           injeciton.
J2710..............  .................  E                 Neostigmine methylslfte       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2720..............  .................  E                 Inj protamine sulfate/        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           10 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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2760..............  .................  E                 Phentolaine mesylate          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2765..............  .................  E                 Metoclopramide hcl            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J2770..............  .................  E                 Quinupristin/                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dalfopristin.
J2780..............  .................  E                 Ranitidine                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydrochloride inj.
J2790..............  .................  E                 Rho d immune globulin         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J2792..............  .................  E                 Rho(D) immune globulin        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           h, sd.
J2795..............  .................  E                 Ropivacaine HCl               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
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
                                                           injeciton.
J2912..............  .................  E                 Sodium chloride               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J2915..............  .................  E                 NA Ferric Gluconate           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Complex.
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 injeciton       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.
J2993..............  .................  E                 Reteplase injection....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J2995..............  .................  E                 Inj streptokinase /           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           250000 IU.
J2997..............  .................  E                 Alteplase recombinant..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J3000..............  .................  E                 Streptomycin injection.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J3010..............  .................  E                 Fentanyl citrate              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injeciton.
J3030..............  .................  E                 Sumatriptan succinate /       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           6 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
J3245..............  .................  E                 Tirofiban hydrochloride       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                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J3280..............  .................  E                 Thiethylperazine              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maleate inj.
J3301..............  .................  E                 Triamcinolone acetonide       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.

[[Page 40557]]

 
J3302..............  .................  E                 Triamcinolone diacetate       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J3303..............  .................  E                 Triamcinolone                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hexacetonl 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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
J3370..............  .................  R                 Vancomycin hcl                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injeciton.
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
                                                           injeciton.
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
J3485..............  .................  E                 Zidovudine.............       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.
J3520..............  .................  N                 Edetate disodium per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           150 mg.
J3530..............  .................  E                 Nasal vaccine                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inhalation.
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           infusion.
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
J7197..............  .................  X                 Antithrombin iii              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J7198..............  .................  E                 Anti-inhibitor.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7199..............  .................  E                 Hemophilia clot factor        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           noc.
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.
J7315..............  .................  E                 Sodium hyaluronate            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
J7320..............  .................  E                 Hylan G-F 20 injection.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7330..............  .................  E                 Cultured chondrocytes         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           implnt.
J7500..............  .................  X                 Azathioprine oral 50mg.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7501..............  .................  X                 Azathioprine parenteral       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7502..............  .................  E                 Cyclosporine oral 100         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG.
J7508..............  .................  E                 Tacrolimus oral per 5         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG.
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.
J7513..............  .................  E                 Daclizumab, parenteral.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7515..............  .................  E                 Cyclosporine oral 25 mg       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7516..............  .................  E                 Cyclosporin parenteral        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           250mg.
J7517..............  .................  E                 Mycophenolate mofetil         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
J7520..............  .................  E                 Sirolimus, oral........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7525..............  .................  E                 Tacrolimus injection...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7599..............  .................  X                 Immunosuppressive drug        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           noc.
J7608..............  .................  E                 Acetylcysteine inh sol        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7618..............  .................  E                 Albuterol inh sol con..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7619..............  .................  E                 Albuterol inh sol u d..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7628..............  .................  E                 Bitolterol mes inhal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol con.
J7629..............  .................  E                 Bitolterol mes inh sol        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7631..............  .................  E                 Cromolyn sodium inh sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7635..............  .................  E                 Atropine inhal sol con.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J7636..............  .................  E                 Atropine inhal sol unit       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose.
J7637..............  .................  E                 Dexamethasone inhal sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           con.

[[Page 40558]]

 
J7638..............  .................  E                 Dexamethasone inhal sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7639..............  .................  E                 Dornase alpha inhal sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7642..............  .................  E                 Glycopyrrolate inhal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol con.
J7643..............  .................  E                 Glycopyrrolate inhal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol u d.
J7644..............  .................  E                 Ipratropium brom inh          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol u d.
J7648..............  .................  E                 Isoetharine hcl inh sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           con.
J7649..............  .................  E                 Isoetharine hcl inh sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7658..............  .................  E                 Isoproterenolhcl inh          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol con.
J7659..............  .................  E                 Isoproterenol hcl inh         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol ud.
J7668..............  .................  E                 Metaproterenol inh sol        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           con.
J7669..............  .................  E                 Metaproterenol inh sol        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7680..............  .................  E                 Terbutaline so4 inh sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           con.
J7681..............  .................  E                 Terbutaline so4 inh sol       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           u d.
J7682..............  .................  E                 Tobramycin inhalation         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol.
J7683..............  .................  E                 Triamcinolone inh sol         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           con.
J7684..............  .................  E                 Triamcinolone inh sol u       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           d.
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.
J8510..............  .................  E                 Oral busulfan..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J8520..............  .................  E                 Capecitabine, oral, 150       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
J8521..............  .................  E                 Capecitabine, oral, 500       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
J8530..............  .................  E                 Cyclophosphamide oral         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           25 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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG.
J8700..............  .................  E                 Temozolmide............       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.
J9001..............  .................  E                 Doxorubicin hcl               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           liposome inj.
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
                                                           injeciton.
J9062..............  .................  E                 Cisplatin 50 MG               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injeciton.
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.
J9091..............  .................  E                 Cyclophosphamide 1.0          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           grm inj.
J9092..............  .................  E                 Cyclophosphamide 2.0          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           grm 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                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           actinomycin 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
J9151..............  .................  E                 Daunorubicin citrate          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           liposom.
J9160..............  .................  E                 Denileukin diftitox,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           300 mcg.
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
J9180..............  .................  E                 Epirubicin HCl                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injection.
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                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           injeciton.
J9212..............  .................  E                 Interferon alfacon-1...       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

[[Page 40559]]

 
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          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inj.
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
                                                           injeciton.
J9219..............  .................  E                 Leuprolide acetate            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           implant.
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                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (mithramycin) 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 /       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           5 MG.
J9310..............  .................  E                 Rituximab cancer              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           treatment.
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
J9355..............  .................  E                 Trastuzumab............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
J9357..............  .................  E                 Valrubicin, 200 mg.....       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         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG inj.
J9375..............  .................  E                 Vincristine sulfate 2         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG inj.
J9380..............  .................  E                 Vincristine sulfate 5         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           MG 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
M0064..............  .................  A                 Visit for drug                0.37      0.12      0.26      0.01      0.50      0.64       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                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hypothermia.
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..............  .................  A                 Assessment of cardiac         0.17        NA      0.85      0.02        NA      1.04       XXX
                                                           output.
M0302..............  26                 A                 Assessment of cardiac         0.17      0.07      0.07      0.01      0.25      0.25       XXX
                                                           output.
M0302..............  TC                 A                 Assessment of cardiac         0.00        NA      0.78      0.01        NA      0.79       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..............  .................  A                 Screening pap smear by        0.42      0.19      0.19      0.01      0.62      0.62       XXX
                                                           phys.
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.
P9016..............  .................  E                 RBC leukocytes reduced.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9017..............  .................  E                 One donor fresh frozn         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plasma.
P9019..............  .................  E                 Platelets, each unit...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9020..............  .................  E                 Plaelet rich plasma           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           unit.
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.
P9023..............  .................  X                 Frozen plasma, pooled,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sd.
P9031..............  .................  X                 Platelets leukocytes          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           reduced.
P9032..............  .................  X                 Platelets, irradiated..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9033..............  .................  X                 Platelets leukoreduced        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           irrad.
P9034..............  .................  X                 Platelets, pheresis....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9035..............  .................  X                 Platelet pheres               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           leukoreduced.
P9036..............  .................  X                 Platelet pheresis             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           irradiated.
P9037..............  .................  X                 Plate pheres leukoredu        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           irrad.
P9038..............  .................  X                 RBC irradiated.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9039..............  .................  X                 RBC deglycerolized.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9040..............  .................  X                 RBC leukoreduced              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           irradiated.
P9041..............  .................  X                 Albumin(human), 5%.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9042..............  .................  X                 Albumin (human), 25%...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9043..............  .................  X                 Plasma protein fraction       0.00      0.00      0.00      0.00      0.00      0.00       XXX
P9044..............  .................  X                 Cryoprecipitatereducedp       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lasma.
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.
P9612..............  .................  X                 Catheterize for urine         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           spec.

[[Page 40560]]

 
P9615..............  .................  X                 Urine specimen collect        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mult.
Q0035..............  .................  A                 Cardiokymography.......       0.17        NA      0.45      0.03        NA      0.65       XXX
Q0035..............  26                 A                 Cardiokymography.......       0.17      0.07      0.07      0.01      0.25      0.25       XXX
Q0035..............  TC                 A                 Cardiokymography.......       0.00        NA      0.38      0.02        NA      0.40       XXX
Q0091..............  .................  A                 Obtaining screen pap          0.37      0.15      0.72      0.01      0.53      1.10       XXX
                                                           smear.
Q0092..............  .................  A                 Set up port xray              0.00        NA      0.31      0.01        NA      0.32       XXX
                                                           equipment.
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
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.
Q0160..............  .................  X                 Factor IX non-                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           recombinant.
Q0161..............  .................  X                 Factor IX recombinant..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q0163..............  .................  X                 Diphenhydramine HCl           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           50mg.
Q0164..............  .................  X                 Prochlorperazine              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maleate 5mg.
Q0165..............  .................  X                 Prochlorperazine              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maleate10mg.
Q0166..............  .................  X                 Granisetron HCl 1 mg          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0167..............  .................  X                 Dronabinol 2.5mg oral..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q0168..............  .................  X                 Dronabinol 5mg oral....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q0169..............  .................  X                 Promethazine HCl 12.5mg       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0170..............  .................  X                 Promethazine HCl 25 mg        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0171..............  .................  X                 Chlorpromazine HCl 10mg       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0172..............  .................  X                 Chlorpromazine HCl 25mg       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0173..............  .................  X                 Trimethobenzamide HCl         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           250mg.
Q0174..............  .................  X                 Thiethylperazine              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           maleate10mg.
Q0175..............  .................  X                 Perphenazine 4mg oral..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q0176..............  .................  X                 Perphenazine 8mg oral..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q0177..............  .................  X                 Hydroxyzine pamoate           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           25mg.
Q0178..............  .................  X                 Hydroxyzine pamoate           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           50mg.
Q0179..............  .................  X                 Ondansetron HCl 8mg           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0180..............  .................  X                 Dolasetron mesylate           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oral.
Q0181..............  .................  X                 Unspecified oral anti-        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           emetic.
Q0183..............  .................  X                 Nonmetabolic active           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tissue.
Q0184..............  .................  X                 Metabolically active          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tissue.
Q0185..............  .................  X                 Metabolic active D/E          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tissue.
Q0186..............  .................  I                 Paramedic intercept,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rural.
Q0187..............  .................  E                 Factor viia recombinant       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q1001..............  .................  X                 Ntiol category 1.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q1002..............  .................  X                 Ntiol category 2.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q1003..............  .................  X                 Ntiol category 3.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q1004..............  .................  X                 Ntiol category 4.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q1005..............  .................  X                 Ntiol category 5.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2001..............  .................  N                 Oral cabergoline 0.5 mg       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2002..............  .................  E                 Elliotts b solution per       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ml.
Q2003..............  .................  E                 Aprotinin, 10,000 kiu..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2004..............  .................  E                 Bladder calculi irrig         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sol.
Q2005..............  .................  E                 Corticorelin ovine            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           triflutat.
Q2006..............  .................  E                 Digoxin immune fab            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (ovine).
Q2007..............  .................  E                 Ethanolamine oleate 100       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
Q2008..............  .................  E                 Fomepizole, 1.5 mg.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2009..............  .................  E                 Fosphenytoin, 50 mg....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2010..............  .................  E                 Glatiramer acetate, per       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dose.
Q2011..............  .................  E                 Hemin, per 1 mg........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2012..............  .................  E                 Pegademase bovine, 25         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           iu.
Q2013..............  .................  E                 Pentastarch 10%               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           solution.
Q2014..............  .................  E                 Sermorelin acetate, 0.5       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
Q2015..............  .................  E                 Somatrem, 5 mg.........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2016..............  .................  E                 Somatropin, 1 mg.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2017..............  .................  E                 Teniposide, 50 mg......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2018..............  .................  E                 Urofollitropin, 75 iu..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2019..............  .................  E                 Basiliximab............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2020..............  .................  E                 Histrelin acetate......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2021..............  .................  E                 Lepirudin..............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q2022..............  .................  E                 VonWillebrandFactrCmplx       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           perIU.
Q3001..............  .................  E                 Brachytherapy                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Radioelements.
Q3002..............  .................  E                 Gallium ga 67..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q3003..............  .................  E                 Technetium tc99m              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bicisate.
Q3004..............  .................  E                 Xenon xe 133...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q3005..............  .................  E                 Technetium tc99m              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mertiatide.
Q3006..............  .................  E                 Technetium tc99m              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           glucepatate.
Q3007..............  .................  E                 Sodium phosphate p32...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q3008..............  .................  E                 Indium 111-in                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pentetreotide.

[[Page 40561]]

 
Q3009..............  .................  E                 Technetium tc99m              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           oxidronate.
Q3010..............  .................  E                 Technetium                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tc99mlabeledrbcs.
Q3011..............  .................  E                 Chromic phosphate p32..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q3012..............  .................  E                 Cyanocobalamin cobalt         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           co57.
Q3013..............  .................  E                 Injection, verteporfin,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           15mg.
Q4001..............  .................  X                 Cast sup body cast,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           plas.
Q4002..............  .................  X                 Cast sup body cast, fib       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4003..............  .................  X                 Cast sup shoulder cast,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4004..............  .................  X                 Cast sup shoulder cast,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4005..............  .................  X                 Cast sup long arm, ad,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4006..............  .................  X                 Cast sup long arm, ad,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4007..............  .................  X                 Cast sup long arm ped,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4008..............  .................  X                 Cast sup, long arm ped,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4009..............  .................  X                 Cast sup sh arm, pl....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4010..............  .................  X                 Cast sup sh arm, fib...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4011..............  .................  X                 Cast sup sh arm ped, pl       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4012..............  .................  X                 Cast sup sh arm ped,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4013..............  .................  X                 Cast sup gauntlet, pl..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4014..............  .................  X                 Cast sup gauntlet, fib.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4015..............  .................  X                 Cast sup gauntlet ped,.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4016..............  .................  X                 Cast sup gauntlet ped,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4017..............  .................  X                 Cast sup l arm splint,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4018..............  .................  X                 Cast sup l arm splint,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4019..............  .................  X                 Cast sup l arm splint         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped, p.
Q4020..............  .................  X                 Cast sup l arm splint         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped, f.
Q4021..............  .................  X                 Cast sup sh arm splint,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4022..............  .................  X                 Cast sup sh arm splint,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4023..............  .................  X                 Cast sup sh arm splint        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4024..............  .................  X                 Cast sup sh arm splint        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4025..............  .................  X                 Cast sup, hip spica, pl       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4026..............  .................  X                 Cast sup hip spica, fib       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4027..............  .................  X                 Cast sup hip spica, pl.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4028..............  .................  X                 Cast sup, hip spica,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4029..............  .................  X                 Cast sup long leg, pl..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4030..............  .................  X                 Cast sup, long leg, fib       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4031..............  .................  X                 Cast sup, long leg ped,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4032..............  .................  X                 Cast sup, long leg ped,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4033..............  .................  X                 Cast sup, leg cylinder,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4034..............  .................  X                 Cast sup, leg cylinder,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4035..............  .................  X                 Cast sup, leg cylinder        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4036..............  .................  X                 Cast sup, leg cylinder        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4037..............  .................  X                 Cast sup, sh leg, pl...       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4038..............  .................  X                 Cast sup, sh leg, fib..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4039..............  .................  X                 Cast sup, sh leg ped,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           pl.
Q4040..............  .................  X                 Cast sup, sh leg ped,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fib.
Q4041..............  .................  X                 Cast sup, l leg splint        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           , pl.
Q4042..............  .................  X                 Cast sup, l leg splint        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           , fib.
Q4043..............  .................  X                 Cast sup, l leg               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           splintped, p.
Q4044..............  .................  X                 Cast sup, l leg splint        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4045..............  .................  X                 Cast sup, sh leg splint       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           , pl.
Q4046..............  .................  X                 Cast sup, sh leg              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           splint, fib.
Q4047..............  .................  X                 Cast sup, sh leg splint       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4048..............  .................  X                 Cast sup, sh leg splint       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ped,.
Q4049..............  .................  X                 Finger splint, static..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
Q4050..............  .................  X                 Cast sup, unlisted            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           casts.
Q4051..............  .................  X                 Splint sup, misc.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
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

[[Page 40562]]

 
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-         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ray.
R0075..............  .................  C                 Transport port x-ray          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           multipl.
R0076..............  .................  B                 Transport portable EKG.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0009..............  .................  I                 Injection, butorphanol        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tartr.
S0012..............  .................  I                 Butorphanol tartrate,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nasal.
S0014..............  .................  I                 Tacrine hydrochloride,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           10 mg.
S0016..............  .................  I                 Injection, amikacin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sulfate.
S0017..............  .................  I                 Injection, aminocaproic       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           acid.
S0020..............  .................  I                 Injection, bupivicaine        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydro.
S0021..............  .................  I                 Injection, cefoperazone       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sod.
S0023..............  .................  I                 Injection, cimetidine         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydroc.
S0024..............  .................  I                 Injection,                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ciprofloxacin.
S0028..............  .................  I                 Injection, famotidine,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           20 mg.
S0029..............  .................  I                 Injection, fluconazole.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0030..............  .................  I                 Injection,                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           metronidazole.
S0032..............  .................  I                 Injection, nafcillin          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sodium.
S0034..............  .................  I                 Injection, ofloxacin,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           400 mg.
S0039..............  .................  I                 Injection,                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sulfamethoxazole.
S0040..............  .................  I                 Injection, ticarcillin        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disod.
S0071..............  .................  I                 Injection, acyclovir          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sodium.
S0072..............  .................  I                 Injection, amikacin           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sulfate.
S0073..............  .................  I                 Injection, aztreonam,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           500 mg.
S0074..............  .................  I                 Injection, cefotetan          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           disodiu.
S0077..............  .................  I                 Injection, clindamycin        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           phosp.
S0078..............  .................  I                 Injection, fosphenytoin       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sodi.
S0080..............  .................  I                 Injection, pentamidine        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           iseth.
S0081..............  .................  I                 Injection, piperacillin       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           sodi.
S0085..............  .................  I                 injection, gatifloxacin       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0086..............  .................  I                 Injection, verteporfin,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           15mg.
S0090..............  .................  I                 Sildenafil citrate, 25        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mg.
S0096..............  .................  I                 Injection,                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           itraconazole, 200.
S0156..............  .................  I                 Exemestane, 25 mg......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0157..............  .................  I                 Becaplermin gel 1%, 0.5       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           gm.
S0220..............  .................  I                 Medical conference by         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           physic.
S0221..............  .................  I                 Medical conference, 60        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           min.
S0601..............  .................  I                 Screening proctoscopy..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0605..............  .................  I                 Digital rectal                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           examination,.
S0610..............  .................  I                 Annual gynecological          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           examina.
S0612..............  .................  I                 Annual gynecological          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           examina.
S0620..............  .................  I                 Routine                       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ophthalmological exa.
S0621..............  .................  I                 Routine                       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ophthalmological exa.
S0630..............  .................  I                 Removal of sutures.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S0800..............  .................  I                 Laser in situ                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           keratomileusis.
S0810..............  .................  I                 Photorefractive               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           keratectomy.
S0820..............  .................  I                 Computerized corneal          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           topogra.
S0830..............  .................  I                 Ultrasound pachymetry..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S1015..............  .................  I                 IV tubing extension set       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S1016..............  .................  I                 Non-pvc intravenous           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           administ.
S2052..............  .................  I                 Transplantation of            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           small int.
S2053..............  .................  I                 Transplantation of            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           small int.
S2054..............  .................  I                 Transplantation of            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           multivisc.
S2055..............  .................  I                 Harvesting of donor           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           multivis.
S2060..............  .................  I                 Lobar lung                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplantation.
S2061..............  .................  I                 Donor lobectomy (lung).       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S2102..............  .................  I                 Islet cell tissue             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplant.
S2103..............  .................  I                 Adrenal tissue                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplant.
S2120..............  .................  I                 Low density                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lipoprotein(LDL).
S2140..............  .................  I                 Cord blood harvesting..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S2142..............  .................  I                 Cord blood-derived stem-      0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cell.
S2180..............  .................  I                 Donor leukocyte               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           infusion.
S2202..............  .................  I                 Echosclerotherapy......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S2205..............  .................  I                 Minimally invasive            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direct co.
S2206..............  .................  I                 Minimally invasive            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direct co.
S2207..............  .................  I                 Minimally invasive            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direct co.
S2208..............  .................  I                 Minimally invasive            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direct co.
S2209..............  .................  I                 Minimally invasive            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           direct co.
S2210..............  .................  I                 Cryosurgical ablation         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           (in si.
S2220..............  .................  I                 Thrombectomy, coronary.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S2300..............  .................  I                 Arthroscopy, shoulder,        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           surgi.
S2340..............  .................  I                 Chemodenervation of           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           abductor.
S2350..............  .................  I                 Diskectomy, anterior,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           with d.

[[Page 40563]]

 
S2351..............  .................  I                 Diskectomy, anterior,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           with d.
S2370..............  .................  I                 Intradiscal                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           electrothermal.
S2371..............  .................  I                 Each additional               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           interspace.
S3620..............  .................  X                 Newborn metabolic             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           screening.
S3645..............  .................  I                 HIV-1 antibody testing        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           of or.
S3650..............  .................  I                 Saliva test, hormone          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           level;.
S3652..............  .................  I                 Saliva test, hormone          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           level;.
S3700..............  .................  I                 Bladder tumor-                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           associated.
S3708..............  .................  I                 Gastrointestinal fat          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           absorpt.
S3902..............  .................  I                 Ballistocardiogram.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S3904..............  .................  I                 Masters two step.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S3906..............  .................  I                 Transfusion, direct,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           blood.
S5000..............  .................  I                 Prescription drug,            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           generic.
S5001..............  .................  I                 Prescription drug,brand       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           name.
S5002..............  .................  I                 Fat emulsion 10% in 250       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ml.
S5003..............  .................  I                 Fat emulsion 20% in 250       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ml.
S5010..............  .................  I                 5% dextrose and 45%           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           saline.
S5011..............  .................  I                 5% dextrose in lactated       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ring.
S5012..............  .................  I                 5% dextrose with              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           potassium.
S5013..............  .................  I                 5% dextrose/                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           45%saline,1000ml.
S5014..............  .................  I                 5% dextrose/                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           45%saline,1500ml.
S5016..............  .................  I                 Antibiotic admin              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies w/.
S5017..............  .................  I                 Antibiotic                    0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           adminsupplies w/o.
S5018..............  .................  I                 Pain therapy admin            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
S5019..............  .................  I                 Chemotherapy admin            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
S5020..............  .................  I                 Chemotherapy admin            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplies.
S5021..............  .................  I                 Hydration therapy admin       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supp.
S5022..............  .................  I                 Growth hormone therapy.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S5025..............  .................  I                 Infusion pump                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rental,perdiem.
S5503..............  .................  I                 Maintenance of                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           implanted vas.
S8001..............  .................  I                 Radiofrequency                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           stimulation.
S8035..............  .................  I                 Magnetic source imaging       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S8040..............  .................  I                 Topographic brain             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mapping.
S8049..............  .................  I                 Intraoperative                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           radiation the.
S8080..............  .................  I                 Scintimammography......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S8085..............  .................  I                 Fluorine-18                   0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fluorodeoxygluco.
S8092..............  .................  I                 Electron beam computed        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           tomog.
S8095..............  .................  I                 Wig (for medically-           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           induced h.
S8096..............  .................  I                 Portable peak flow            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           meter.
S8105..............  .................  I                 Oximeter for measuring        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           blood.
S8110..............  .................  I                 Peak expiratory flow          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rate (p.
S8200..............  .................  I                 Chest compression vest.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S8205..............  .................  I                 Chest compression             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           system gen.
S8210..............  .................  I                 Mucus trap.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S8260..............  .................  I                 Oral orthotic for             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           treatment.
S8400..............  .................  I                 Incontinence pants,           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
S8402..............  .................  I                 Diapers, each..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S8405..............  .................  I                 Incontinence liners,          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           each.
S8950..............  .................  I                 Complex lymphedema            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           therapy,.
S8999..............  .................  I                 Resuscitation bag......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S9001..............  .................  I                 Home uterine monitor          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           with or.
S9007..............  .................  I                 Ultrafiltration monitor       0.00      0.00      0.00      0.00      0.00      0.00       XXX
S9015..............  .................  I                 Automated EEG                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           monitoring.
S9022..............  .................  I                 Digital subtraction           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           angiogra.
S9023..............  .................  I                 Xenon regional cerebral       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bloo.
S9024..............  .................  I                 Paranasal sinus               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ultrasound.
S9025..............  .................  I                 Omnicardiogram/               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           cardiointegra.
S9035..............  .................  I                 Medical equipment or          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           supplie.
S9055..............  .................  I                 Procuren or other             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           growth fac.
S9056..............  .................  I                 Coma stimulation per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           diem.
S9061..............  .................  I                 Medical supplies and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           equipme.
S9075..............  .................  I                 Smoking cessation             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           treatment.
S9085..............  .................  I                 Meniscal allograft            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           transplan.
S9088..............  .................  I                 Services provided in          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           urgent.
S9090..............  .................  I                 Vertebral axial               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           decompressio.
S9122..............  .................  I                 Home health aide or           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           certifie.
S9123..............  .................  I                 Nursing care, in the          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           home; b.
S9124..............  .................  I                 Nursing care, in the          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           home; b.
S9125..............  .................  I                 Respite care, in the          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           home, p.
S9126..............  .................  I                 Hospice care, in the          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           home, p.
S9127..............  .................  I                 Social work visit, in         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           the ho.
S9128..............  .................  I                 Speech therapy, in the        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           home,.
S9129..............  .................  I                 Occupational therapy,         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           in the.
S9140..............  .................  I                 Diabetic Management           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Program,.

[[Page 40564]]

 
S9141..............  .................  I                 Diabetic Management           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Program,.
S9200..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9210..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9220..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9225..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9230..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9300..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9308..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9310..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9395..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9420..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9423..............  .................  I                 Nursing services,             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           patient as.
S9425..............  .................  I                 Nursing services and          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           all nec.
S9435..............  .................  I                 Medical foods for             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           inborn err.
S9455..............  .................  I                 Diabetic Management           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Program,.
S9460..............  .................  I                 Diabetic Management           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Program,.
S9465..............  .................  I                 Diabetic Management           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           Program,.
S9470..............  .................  I                 Nutritional counseling,       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           diet.
S9472..............  .................  I                 Cardiac rehabilitation        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           progr.
S9473..............  .................  I                 Pulmonary                     0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           rehabilitation pro.
S9474..............  .................  I                 Enterostomal therapy by       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           a re.
S9475..............  .................  I                 Ambulatory setting            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           substance.
S9480..............  .................  I                 Intensive outpatient          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           psychia.
S9485..............  .................  I                 Crisis intervention           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mental h.
S9524..............  .................  I                 Nursing services              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           related to.
S9526..............  .................  I                 Skilled nursing visits        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           for.
S9527..............  .................  I                 Insertion of a                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           peripherally.
S9528..............  .................  I                 Insertion of midline          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           central.
S9533..............  .................  I                 Pain management,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           intravenous.
S9535..............  .................  I                 Administration of             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hematopoie.
S9539..............  .................  I                 Administration of             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           antibiotic.
S9543..............  .................  I                 Administration of             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           medication.
S9545..............  .................  I                 Administration of             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           immune glo.
S9550..............  .................  I                 Home IV therapy,              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydration.
S9555..............  .................  I                 Additional home               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           infusion.
S9990..............  .................  I                 Services provided as          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           part of.
S9991..............  .................  I                 Services provided as          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           part of.
S9992..............  .................  I                 Transportation costs to       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           and.
S9994..............  .................  I                 Lodging costs (e.g.           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hotel ch.
S9996..............  .................  I                 Meals for clinical            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           trial par.
S9999..............  .................  I                 Sales tax..............       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 4.00d/12-       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           2.00d.
V2104..............  .................  X                 Spherocylindr 4.00d/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           2.12-4d.
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.
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/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           2.25-4d.
V2113..............  .................  X                 Spherocylindr 7.25d/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.25-6d.
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              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bifocal.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.12-7.0.
V2202..............  .................  X                 Lens sphere bifocal           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           7.12-20..
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            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.00d/2.1.
V2205..............  .................  X                 Lens sphcy bifocal            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.00d/4.2.
V2206..............  .................  X                 Lens sphcy bifocal            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.00d/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.

[[Page 40565]]

 
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-        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           12/2.2.
V2213..............  .................  X                 Lens sphcyl bifo 7.25-        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           12/4.2.
V2214..............  .................  X                 Lens sphcyl bifocal           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           over 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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aspheric bif.
V2218..............  .................  X                 Lens aniseikonic              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bifocal.
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           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           4.25-7/..
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               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           trifocal.
V2316..............  .................  X                 Lens lenticular               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           nonaspheric.
V2317..............  .................  X                 Lens lenticular               0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aspheric 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                 0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           speciality.
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                  0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hydrophilic.
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.
V2600..............  .................  X                 Hand held low vision          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aids.
V2610..............  .................  X                 Single lens spectacle         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           mount.
V2615..............  .................  X                 Telescop/othr compound        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2623..............  .................  X                 Plastic eye prosth            0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           custom.
V2624..............  .................  X                 Polishing artifical eye       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2625..............  .................  X                 Enlargemnt of eye             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prosthesis.
V2626..............  .................  X                 Reduction of eye              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prosthesis.
V2627..............  .................  X                 Scleral cover shell....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2628..............  .................  X                 Fabrication & fitting..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2629..............  .................  X                 Prosthetic eye other          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           type.
V2630..............  .................  X                 Anter chamber intraocul       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2631..............  .................  X                 Iris support intraoclr        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2632..............  .................  X                 Post chmbr intraocular        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2700..............  .................  X                 Balance lens...........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2710..............  .................  X                 Glass/plastic slab off        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           prism.
V2715..............  .................  X                 Prism lens/es..........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2718..............  .................  X                 Fresnell prism press-on       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2730..............  .................  X                 Special base curve.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2740..............  .................  X                 Rose tint plastic......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2741..............  .................  X                 Non-rose tint plastic..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2742..............  .................  X                 Rose tint glass........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2743..............  .................  X                 Non-rose tint glass....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2744..............  .................  X                 Tint photochromatic           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens/es.

[[Page 40566]]

 
V2750..............  .................  X                 Anti-reflective coating       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2755..............  .................  X                 UV lens/es.............       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2760..............  .................  X                 Scratch resistant             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           coating.
V2770..............  .................  X                 Occluder lens/es.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2780..............  .................  X                 Oversize lens/es.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2781..............  .................  X                 Progressive lens per          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           lens.
V2785..............  .................  X                 Corneal tissue                0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           processing.
V2790..............  .................  X                 Amniotic membrane......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V2799..............  .................  X                 Miscellaneous vision          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           service.
V5008..............  .................  N                 Hearing screening......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5010..............  .................  N                 Assessment for hearing        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5011..............  .................  N                 Hearing aid fitting/          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           checking.
V5014..............  .................  N                 Hearing aid repair/           0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           modifying.
V5020..............  .................  N                 Conformity evaluation..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5030..............  .................  N                 Body-worn hearing aid         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           air.
V5040..............  .................  N                 Body-worn hearing aid         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           bone.
V5050..............  .................  N                 Hearing aid monaural in       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           ear.
V5060..............  .................  N                 Behind ear hearing aid.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5070..............  .................  N                 Glasses air conduction.       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5080..............  .................  N                 Glasses bone conduction       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5090..............  .................  N                 Hearing aid dispensing        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fee.
V5100..............  .................  N                 Body-worn bilat hearing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5110..............  .................  N                 Hearing aid dispensing        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           fee.
V5120..............  .................  N                 Body-worn binaur              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hearing aid.
V5130..............  .................  N                 In ear binaural hearing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5140..............  .................  N                 Behind ear binaur             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hearing ai.
V5150..............  .................  N                 Glasses binaural              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hearing aid.
V5160..............  .................  N                 Dispensing fee binaural       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5170..............  .................  N                 Within ear cros hearing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5180..............  .................  N                 Behind ear cros hearing       0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5190..............  .................  N                 Glasses cros hearing          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5200..............  .................  N                 Cros hearing aid              0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           dispens fee.
V5210..............  .................  N                 In ear bicros hearing         0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5220..............  .................  N                 Behind ear bicros             0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           hearing ai.
V5230..............  .................  N                 Glasses bicros hearing        0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           aid.
V5240..............  .................  N                 Dispensing fee bicros..       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5299..............  .................  R                 Hearing service........       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5336..............  .................  N                 Repair communication          0.00      0.00      0.00      0.00      0.00      0.00       XXX
                                                           device.
V5362..............  .................  R                 Speech screening.......       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5363..............  .................  R                 Language screening.....       0.00      0.00      0.00      0.00      0.00      0.00       XXX
V5364..............  .................  R                 Dysphagia screening....       0.00      0.00      0.00      0.00      0.00      0.00      XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright 1994 American Dental Association. All rights reserved(D0110-D9999).
\3\ + Indicates RVUs are not use for Medicate payments.
\4\ PE RVUs = Practice Expense Relative Value Units.

      
  

  

  

  

  Federal Register / Vol. 66, No. 149 / Thursday, August 2, 2001 / 
Proposed Rules  

[[Page 40566]]


      
[FR Doc. 01-18951 Filed 8-1-01; 8:45 am]
BILLING CODE 4120-01-P